CC 2012-11-27_09.a. Community Development Block Grant ProgramMEMORANDUM
TO: CITY COUNCIL
FROM:
BY:
TERESA MCCLISH, COMMUNITY DEVELOPMENT DJRECTOR
l#. KE~L Y HEFFERNON, ASSOCIA~E P~ANNER
SUBJECT: CONSIDERATION OF PRELIMINARY APPROVAL OF COMMUNITY
DEVELOPMENT BLOCK GRANT (CDBG) PROJECTS FOR YEAR 20.13
DATE: NOVEMBER 27, 2012
RECOMMENDATION:
It is recommended the City Council provide preliminary approval of proposed projects to
be funded with the City's allocation of CDBG funds for the Year 2013 as shown in the
following table:
Recommended 2013 CDBG Allocation
Project and Category
2012 2013 Proposed
Allocation Requested 2013
Allocation
. . . . ; . -· . : . , I ...
•.• >i' t-.I •
000
Item 9.a. - Page 1
CITY COUNCIL
CONSIDERATION OF COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG)
PROJECTS FOR YEAR 2013
NOVEMBER 27, 2012
PAGE 2
Project and Category
2012 2013 Proposed
Allocati'on Requested 2013
Allocation
IMPACT ON FINANCIAL AND PERSONNEL RESOURCES:
The County has estimated that $58,517 in CDBG funds will be available to the City in
the fall of 2013. This estimate is equal to the final adjusted figure for the 2012 fiscal
year minus an 8% reduction due to anticipated Federal budget cutbacks to the CDBG
program. Similar to last year, the County will help administer the public service grants
for the City which will reduce City staff time involved.
BACKGROUND:
On May 24, 2011, the City Council approved a Cooperative Agreement with the County
of San Luis Obispo for the joint participation in the CDBG Program for fiscal years 2012
through 2014. The City, as a participant in the Housing and Urban Development (HUD)
designated Urban County program, receives an annual formula-based allocation of
CDBG funds. These funds are available for a variety of Community Development
activities as long as the activities meet at least one of three national objectives. The
objectives are:
1. Benefit low-and moderate-income persons;
2. Aid in the prevention or elimination of slums or blight; or
3. Address urgent community development needs that pose a serious or immediate
threat to public health or welfare.
The County distributed a Request for Proposals (RFP) and notified the public that the
County and participating cities would accept applications for funding until October 12,
2012. In addition, City and County staff held two "Needs Assessment Workshops" on
August 29, 2012 and September 12, 2012 to gather input from the public regarding the
allocation of CDBG funds.
ANALYSIS OF ISSUES:
Staff has prepared its recommendations using the following criteria ~et forth by the
County in the RFP:
1. Consistency with Federal regulations and laws;
2. Community support (for example, approval of project by a city council);
3. Seriousness of community development need proposed to be addressed by
project;
Item 9.a. - Page 2
CITY COUNCIL.
CONSIDERATION OF COMMUNITY DEVELOPMENT BLOCK. GRANT (CDBG)
PROJECTS FOR YEAR 2013 .
NOVEMBER 27, 2012
PAGE 3
4. Degree to which project benefits low-income and very low-income families or
persons;
5. Feasibility of the project to be completed as budgeted and by December 31,
2013;
6. Cost effectiveness of funds requested and leveraging of other funds; and
7. Organization's experience or knowledge regarding CDBG or HOME
requirements.
The cooperative agreement between the County and the City gives discretion regarding
~!location of funds. Unless the City's recommendation to the County for funding is
clearly in conflict with CDBG regulations, the County will approve the recommendation.
The final decision for funding priority will occur in March 2013.
Public Services
The competitiveness for public services funds, which is capped at 15 percent, is
historically strong and requests far exceed available funds ($39,700 is requested and
$8,777 is available). Due to the competition for these limited funds, the additional
funding criteria below are used as a guideline to establish staff's recommendation:
Priority in funding consideration has been given to programs that provide the best
combination of the following program characteristics:
• The provision of basic human needs. Services rated highest include those
providing food, shelter, clothing, urgent medical or crisis care, and basic
children's security. Moderate ranking includes those programs providing youth
services, social support, and non-urgent medical care.
• Provide needed services to the residents of the City of Arroyo Grande.
• Support a demonstrated need for services within the City of Arroyo Grande
based upon program action in prior years.
• Derive a majority of program funding from local entities and donations.
o Have demonstrated proportional and fair funding requests to other agencies
within the County.
• Would incur severe budget shortfalls if funding from the City of Arroyo Grande
would be withheld or drastically curtailed.
• Provide services at the County level but no local facilities exist.
o Have demonstrated the timely and efficient use of previous CDBG funds. This
standard is important since HUD and the County has mandated timely spending
of funds with one year of availability.
It is important to note that over the past year HUD has significantly increased its
monitoring efforts of jurisdictions participating in the CDBG program, which means that
local jurisdictions must increase their monitoring efforts of recipients as well. According
to County staff and based on a study conducted by the City of Los Angeles that
evaluated the costs associated with the administration of CDBG funded activities, the
Item 9.a. - Page 3
CITY COUNCIL
CONSIDERATION OF COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG)
PROJECTS FOR YEAR 2013
NOVEMBER 27, 2012
PAGE 4,
cost to properly monitor a given CDBG activity is approximately $8,000. Therefore, it is
important to limit the overall number of allocations and to award activities that either
individually or cumulatively receive greater than $10,000 in COBG funding.
The City received a total of six (6) applications: Two (2) from Community Action
Partnership of San Luis Obispo County, Inc. (CAPSLO), one (1) from Big Brothers Big
Sisters, one (1) from Transitional Food and Shelter, one (1) from Food Bank Coalition of
San Luis Obispo County, and one (1) from Senior Nutrition Program of San Luis Obispo
County. Due to the decrease in CDBG funding this year and the necessary increase in
monitoring efforts described above, staff is recommending that the CAPSLO Maxine
Lewis Memorial Shelter program be fully funded a·nd that no funding be allocated to the
other public service organizations. Of the six (6) public service applications, staff
believes the Maxine Lewis Memorial Shelter provides resources for the greatest need,
which is the homeless, and best satisfies the screening criteria.
Recommended funding $8,600 ($8,600 requested); Maxine Lewis Memorial Shelter
(Community Action Partnership of San Luis Obispo County, Inc.) -Staff
recommends funding in the amount of $8,600 for this project, which provides shelter,
food, showers and social services to the homeless. This recommendation is based upon
1) the provision of the most basic human services; 2) the shelter serves the South
County and is the closest facility of its type to the City of Arroyo Grande; 3) the majority
of the project's funding is from local entities; 4) a proportional and fair funding request;
5) CAPSLO's excellent past performance in utilizing CDBG funds and fulfilling HUD
documentation requirements; and 6) the amount is commensurate with past funding
from the City.
Recommended funding $0 ($8,1 00 requested); Adult Well ness and Prevention
Screening (Community Action Partnership of San Luis Obispo County, Inc.)-The
purpose of this program is to provide preventative and maintenance health screening
programs for adults within the county.
Recommended funding $0 ($5,000 requested); Big Brothers Big Sisters (Big
Brothers Big Sisters of San Luis Obispo County) -This program provides mentoring
for children between the ages of 6 to 16.
Recommended funding $0 ($3,000 requested); Shelter Program for 'the Medically
Fragile Homeless (Transitional Food and Shelter, Inc.) -The purpose of this
program is to provide temporary shelter to the medically fragile homeless.
Recommended funding $0 ($5,000 requested); Food Bank Coalition of San Luis
Obispo County -The Farm to Family Produce Program of the Food Bank Coalition
brings fresh produce to schools and neighborhoods throughout the county.
Item 9.a. - Page 4
CITY COUNCIL
CONSIDERATION OF COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG)
PROJECTS FOR YEAR 2013
NOVEMBER 27, 2012
PAGE 5
Recommended funding $0 ($10,000 requested); Senior Nutrition Program of San
Luis Obispo County -This program provides hot nutritionally balanced meals for
seniors.
Public ·Facilities
Staff recommends allocating $17,214 to assist in Americans with Disabilities Act (ADA)
improvements by removing architectural barriers. This may include ADA ramps,
sidewalk improvements or other ADA related improvements to public facilities. Final
determination of ADA improvements will be coordinated with the Sidewalk Improvement
Plan and other Capital Improvement Programs. Staff is currently updating its ADA
compliance plan. This funding is important to assist the City in achieving compliance
with ADA requirements.
Economic Development
One request for $5,000 was received to assist the City in Economic Development
Activities from the Mission Community Services Corporation (MCSC). MCSC proposes
to continue ongoing, on-site technical assistance to small businesses located within the
City of Arroyo Grande. Staff recommends funding the full request of $5,000.
Elimination of Slums and Blight
Efforts related to the elimination of slums and blight is limited to a 30 percent area
benefit cap ($17,555). Because of the ongoing demand for participation in the fac;ade
grant program, staff recommends funding of $7,000. Staff also recommends $9,000 be
funded for Code Enforcement.
Administration and Planning
Funds requested for the administration of the CDBG program have decreased in direct
proportion to the overall decrease in the City's CDBG funding, even though HUD
administrative requirements are increasing. Staff recommends allocating $11,703 for
program administration. Staff has established a real time billing arrangement with the
County of San Luis Obispo to assist with administration efforts. Therefore, a portion of
the funds will reimburse the City for staff time and a portion will be used to contract with
the County to administer the grants once approved.
ADVANTAGES:
The recommended allocations fund important City priorities. At the same time, it
allocates funding for priority public service requests to fund meaningful amounts and
reduce administrative staff time.
DISADV ANT AGES:
The recommendations result in a number of unfunded requests from organizations that
have come to rely on CDBG funding.
Item 9.a. - Page 5
CITY COUNCIL
CONSIDERATION OF COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG)
PROJECTS FOR YEAR 2013
NOVEMBER 27, 2012
PAGE 6
ALTERNATIVES:
The following alternatives are provided for the Council's consideration:
Accept staff's recommended preliminary funding for CDBG programs for the year
2013;
Modify staff's recommended funding for CDBG public service programs to
include other public service requests;
Eliminate funding for public service and/or economic development requests to
increase funding for City projects and programs; or
Provide direction to staff.
ENVIRONMENTAL REVIEW:
The allocation of CDBG funds is not considered a project under the California
Environmental Quality Act (CEQA) and National Environmental Policy Act (NEPA).
Specific projects that may have environmental impacts will be reviewed under CEQA
and NEPA prior to implementation.
PUBLIC NOTIFICATION AND COMMENTS:
A public hearing notice was published in The Tribune on Friday, November 16, 2012
and mailed to all CDBG project applicants. The Agenda was posted in front of City Hall
arid on the City's websi~e on Wednesday, November 21, 2012. No public comments
have been received.
Attachments:
1. CDBG Applications (6)
Item 9.a. - Page 6
ATTACHMENT 1 --
COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) PROGRAM
APPLICATION FOR THE 2013 PROGRAM YEAR
SAN LUIS OBISPO COUNTY DEPARTMENT OF PLANNING AND BUILDING
976 0SOS STREET • ROOM 200 • SAN LUIS OBISPO • CALIFORNIA 93408 • (805) 781-5600 :it i; toO
Promoting the Wise Use of Land • Helping to Build Great Communities
t}./1'~ )--\ /,~,> Organization Name: Community Action Partnership of San Luis Obispo County, Inc.
(Attach additional sheets if necessary)
To be considered for CDBG assistance, please submit this completed application with any exhibits, budgets
or beneficiary data as needed. PLEASE READ ALL INFORMATION IN THE APPLICATION.
Applications can be mailed to one of the participating jurisdictions listed in this application or to: Tony
Navarro, Planner III, Department of Planning and Building, 976 Osos Street, Room 300, San Luis Obispo,
CA., 93408 or hand delivered to Tony Navarro at 1035 Palm Street, Room 370, San Luis Obispo, CA.,
faxed to (805) 781-5624, or e-mailed to tnavarro@co.slo.ca.us. The application deadline is 5:00 P.M.,
Friday, October 12, 2012. Applications must be received by the County or one of the participating cities
(Arroyo Grande, Atascadero, Morro Bay, Paso Robles, San Luis Obispo) prior to close of the business day.
POSTMARKED DATED MAIL RECEIVED AFTER THE DEADLINE WILL NOT BE
ACCEPTED.
NOTE:
(1) Please review the CDBG regulations and guidelines and the Request for Proposals before
completing this proposal. The CDBG regulations, under 24 CFR 570, are available at
wv .. rw.sloplanning.om under "Federal HUD Grants."
(2) HMIS Reporting for 2013 homeless services, housing and shelter -All homeless service
providers applying for CDBG funds to assist, house or shelter the homeless must identify and
demonstrate its capacity to participate in the County of San Luis Obispo Homeless Management
Information System (HMIS) to provide: personnel for data entry, user licensing, and hardware and
software necessary for compatibility with HMIS. HMIS is an electronic data collection system that
stores client level information about persons who access the homeless services system in ·a
Continuum of Care, and reports aggregate data for the County as per the U.S. Department of
Housing and Urban Development's Data Standards found in
http://wwv..,_hudhre.info/documents/FinalHMISDataStandards March2010.pdf.
(3) The project/program proposal to the County of San Luis Obispo shall be examined in relation to the
County's community development goals and funding priorities as presented in the Urban County of
San Luis Obispo 2010-2015 Consolidated Plan (ConPlan). The ConPlan is available at
wwvl.sloplanning.org. The County of San Luis Obispo Department of Planning and Building
(Planning) considers the criteria stated in the 20 13 Request for Proposals as one of many tools to
help make funding recommendations to the Board of Supervisors. Planning will use other
info!IDation and sources including but are not limited to: the County Board of Supervisors,
recommendations from the Homeless Services Oversight Council, other participating jurisdictions of
the Urban County of San Luis Obispo, identified needs that could be addressed by the grant funds,
consistency with goals and priorities in the 2010 Consolidated Plan and the Ten Year Plan to End
Homelessness, results of the Needs Workshops, working knowledge of the projeCt and/or
organization by Planning, and availability of limited fund, to help with the funding
recommendations.
COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) PROGRAM
APPLICATION FOR FUNDING DURING 2013 PROGRAM YEAR
SAN LUIS OBISPO COUNTY PLANNING & BUILDING
PAGE 1 OF 14
AUGUST 23, 2012
SLOPLANNING'.ORG
Item 9.a. - Page 7
Please call County and/or city CDBG staff with any questions about how to complete the form or about the
rating criteria and process.
If the information for any of the questions below requires more room to provide a complete explanation of
your proposed project or program, please attach additional sheets.
CONTACT INFORMATION
1. Name and mailing address of applic~nt organization, with contact person, phone and fax
numbers, and e-mail address:
Name: Community Action Partnership of San Luis Obispo County, Inc. (CAPSLO)
Address (mailing and physical address requested if different):
1030 Southwood Drive,
San Luis Obispo, CA 93401
Contact person/title: Elizabeth "Biz" Steinberg, Chief Executive Officer
Phone: (805) 544-4355
Fax: (805) 549-8388
E-mail address: esteinberg@capslo. org
Is the organization a Faith Based Organization? YesD No !XI
*Organization's DUNS number: 0589019500000
If you are awarded CDBG funds or your proposal involves economic development, i.e., directly benefit a business, private
property owner, business, involves fa~ade improvements, provide technical assistance to a new or existing business, job
creation, loan guarantee, the beneficiary must obtain a Dun and Bradsteet (DUNS) number that must be reported to
HUD. Please contact Tony Navarro, (805) 781-5787, tnavarro@slo.co.ca.us for information on how to obtain a DUNS
number prior to incurring and obligating the federal funds.
Is your agency currently participating in HMIS?
Yes
If not, does your agency have the capacity to participate in HMIS? If yes, how so?
~
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COMMUNITY DEVELOPMENT BLOCK GRANT (COBG) PROGRAM
APPLICATION FOR THE 2013 PROGRAM YEAR
SAN LUIS OBISPO COUNTY PLANNING & BUILDING
PAGE 2 OF 14
AUGUST 23, 2012
SLOPLANNING.ORG
Item 9.a. - Page 8
PROJECT DESCRIPTION
2. Title/name/address of proposed project or program:
Maxine Lewis Memorial Shelter
7 50 Orcutt Road
San Luis Obispo, CA 93401
3. Please describe the proposed project or program. In one or two short paragraphs, include a brief
project/program description, the groups who will benefit and an explanation of how they will benefit
from the proposed project or program. For projects, describe the location of the project (be as specific
as possible, e.g. street address). For programs, state the location from which the program will be
operated and/or describe the geographic area served by the program. Also, please include a schedule of
project/program milestones.
Program description: The San Luis Obispo homeless shelter program has two shelter sites: the Maxine
Lewis Memorial (J..1L.M) Shelter at Orcutt and South Broad Street, and the Interfaith Coalition for the
Homeless (1CH) Shelter. ICH is a coalition of 14 faith-based groups (supported by volunteers) that
formed nearly two decades ago to support emergency overnight sheltering in the community. A different
church or synagogue hosts the ICH Shelter each month. Both shelter sites are open seven nights a week,
year-round. The J..1LM Shelter opens at 5:00pm for dinner, showers, client screening/intake for shelter
beds, and client information/referral assistance. Families are transported from the J..1LM Shelter to the
ICH Shelter where they will sleep. Individuals and persons with special needs stay at the MLM Shelter.
Who/how will benefit: Who: According to the 2011 Homeless Enumeration Report, 3, 774 county
residents were identified as homeless. A staggering 1,847 (49%) of those counted were younger than
18. Of those homeless persons surveyed, 39% countywide said they used shelter services and within the
City of San Luis Obispo 53% said they had accessed shelter services in the past year. 70% reported
having been homeless for more than a year, 19% have been homeless for more than three months, but
less than a year, and II% of have been homeless less than three months. All shelters were filled to
capacity on the night of the count and many people had been turned away due to overcapacity. The
Community Action Partnership's Homeless Services Program is the largest in the county, providing a
significant service to the community.
How: The San Luis Obispo shelter program will continue to benefit the county's homeless men, women
and children who receive emergency intervention services to meet their most basic needs. Clients
receive emotional and educational support to think beyond their immediate challenges and develop a
plan to stabilize their lives and move toward greater self-sufficiency.
Location: The J..1LM Shelter is in the City of San Luis Obispo but serves the entire county. The
program serves homeless men, women and childrenfrom each ofthe incorporated cities and all of the
unincorporated communities in the county.
Milestones: Through CAPSLO 's relationships and partnerships with other service sites and providers,
many of the low-income persons we serve achieve permanent housing, and more stable employment and
family functioning. Given our county's housing crisis, each family's personal achievements are
progra"! milestones.
COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) PROGRAM
APPLICATION FOR THE 2013 PROGRAM YEAR
SAN LUIS OBISPO COUNTY PLANNING & BUILDING.
..,uz:==w .. --.--= m
PAGE 3 OF 14
AUGUST 23, 2012
SLOPLANNING.ORG
Item 9.a. - Page 9
The outcomes achieved in our homeless programs represent incremental progress toward increased
personal and community well-being. At the personal level this means a homeless person facing their
problems, accepting help, developing a life-changing plan, and working in partnership with shelter staff
to take a series of small, manageable steps that lead to positive change. At the community level this
means reducing the impacts on agencies and systems such as law enforcement, the courts, hospital
emergency rooms, mental health and drug/alcohol resources, and child welfare services.
4. Will the services offered by your organization increase or expand as a result of the CDBG
assistance? If yes, please answer the following questions:
a. What new programs and/or services will be provided?
No expansion is planned because the MLM Shelter program is already operating at full capacity,
year-round.
b. Describe how existing programs and/or services will be expanded and what percentage of an
increase is expected?
CDBG funds will enable. the San Luis Obispo shelter program to maintain the current level of
services.
5. Check any of the following eligible activity categories that apply to the proposed project or
program: (Refer to CDBG regulations and the Guide to Eligible CDBG Activities).
Acquisition of real property*
Disposition of real property
Public facilities and improvements (may include acquisition, construction,
reconstruction, rehabilitation or installation)* and/or**
Privately owned utilities
Clearance and remediation activities**
_x_ Public services
Interim assistance
Relocation of individuals, families, businesses, non-profit organizations, and/or farms
Loss of rental income
Removal of architectural barriers
Housing rehabilitation**
New housing construction (under limited circumstances)
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COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) PROGRAM
APPLICATION FOR THE 2013 PROGRAM YEAR
SAN LUIS OBISPO COUNTY PLANNING & BUILDING
PAGE4 OF 14.
AUGUST 23, 2012
SLOPLANNING.ORG
Item 9.a. - Page 10
Homeownership assistance
Housing services
Code enforcement
Historic preservation**
Commercial or industrial rehabilitation**
Special economic development
Technical assistance and planning studies
* Relocation: Any project that involves .the acquisition of property and/or rehabilitation and is funded in
whole or in part with federal funds, even if the federal funds are not used for the acquisition itself, is subject
to federal requirements connected to acquisition and relocation. A project cannot be broken into separate
"projects" in order to avoid the federal requirements connected with property acquisition and relocation.
Any questions concerning whether the relocation regulations apply to a specific property acquisition project
should be directed to the Community Development Division staff before any action is taken on the project.
If HUD funded project will cause a household or a business to move, evenly temporarily, the relocation
regulations will apply. ·
Along with application submit:
e~ Estimate of relocation cost (moving costs, subsidy amount for suitable replacement dwelling)
• Letter to owner or voluntary acquisition, plus proof of delivery to owner.
o General Information letter to tenants (both business and residential tenants), plus proof of delivery to
all).
11 List of tenants (both business and residential tenants) at the time of application submittal.
11 Refer to SLO Col website for sample relocation letters.
** Lead based paint/asbestos: If HUD funded project involves acquisition or rehabilitation of a residential
units that was built in 1978 or earlier, then Lead-Based paint regulations will apply.
• Along with application submit an estimate of costs for LBP work, provided by certified LBP
consultant. Or statement by LBP consultant expJaining that project is exempt.
e Include any temporary housing costs.
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COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) PROGRAM PAGE 5 OF 14
APPLICATION FOR THE 2013 PROGRAM YEAR AUGUST 23, 2012
SAN LUIS OBISPO COUNTY PLANNING & BUILDING SLOPLANNING.ORG
Item 9.a. - Page 11
6. Describe the need and the degree of urgency for the proposed project or progra~.
What would be the consequences if the proposed project or program is not funded in
the next year?
Need/Urgency: All services offered are heavily used indicating a substantial need in the county. In the
12 months ending June 30, 2012, 869 unduplicated persons received one or inore nights of shelter for a
total of 29,063 shelter nights. Those sheltered increased by 3% from 2010-11 due to the worsening
economy preventing homeless from finding and/or keeping jobs and becoming self-sufficient and moving
out of the shelter. More than 35% of clients were women and children and more than 72% of adults
were disabled, an increase of 53% from 2010-11. Averages of79.4 persons per night are sheltered
year-round between the two San Luis Obispo shelter sites.
The MLM Shelter provides San Luis Obispo's only free dinner to Shelter clients and other hungry
community members. A total of 68,433 meals were served in the 12 months ending June 30, 2012,-
10,307 of those meals were served to "diner/dashers" (persons who came for dinner and a shower but
not a shelter bed). Averages of 107.6 dinners were served each night in 2011-12. 2, 705 shelter nights
were provided to children.
lfnotfunded: San Luis Obispo County's high cost of living and high cost of housing have heavily
impacted the local homeless. Until there is an adequate supply of affordable housing in the county,
emergency sheltering will be a fact of life. CAPSLO 's MLM Shelter has been serving the county's
homeless since 1989. Without CDBG fondingfrom the City and County of San Luis Obispo and other
cities, the Shelter would be forced to close. The MLM Shelter is notjust the largest homeless shelter
facility in the county and the only free dinner in the City of San Luis Obispo, it is also the "anchor"
program for many providers and services. Without an overnight shelter to meet the most basic needs of
the homeless, outreach and assistance services are disrupted and ongoing stabilization and self-
sufficiency efforts are undermined.
7. Please describe the specific organizational method used to implement the proposed
project or program (single or multiple group, public agency, non-profit, for-profit,
experience in operating similar programs, etc.):
As the county's Community Action Agency, CAPSLO has provided critical services to low-income
county residents since 1965 and, since 1989, has operated the MLM Shelter in San Luis Obispo. We
collaborate with the Interfaith Coalition for the Homeless, the City and County of San Luis Obispo, the
SLO Housing Authority, the SLO Supportive Housing Consortium, the Homeless Services Coordinating
Council, SLO People's Kitchen, and numerous public and private health and human service agencies to
provide services to homeless clients. Key community partners include County Department of Social
Services, County Mental Health, County Drug and Alcohol, Community Health Centers of the Central
Coast, Transitions-Mental Health Association, AmeriCorps, and Cal Poly State University.
To support the countywide continuum of homeless services, CAPSLO contributed statefonding toward
cregtion ofthe county's 10-Year Plan to End Chronic Homelessness. This plan will help guide homeless.
service delivery for the next decade, and will benefit all communities in the county as well as the
network of public, private and faith-based partners and service providers.
COMMUNITY DEVELOPMENT BLOCK GRANT {CDBG) PROGRAM
APPLICATION FOR:THE 2013 PROGRAM YEAR
SAN LUIS OBISPO COUNTY PLANNING & BUILDING
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PAGE 6 OF 14
AUGUST 23, 2012
SLOPLANNING.ORG
Item 9.a. - Page 12
The agency currently collects all data using the Homeless Management Information System (HMIS),
required by HUD, for this project. The agency collects data for the case management projects and is
working with the county to expand the collection to this and other projects. The CAPSLO Homeless
Services Data Analyst is responsible for getting the information on all case managed clients who are
being served under a HUD grant. Every other week, a case conference is held and it is decided then
what clients will be accepted to the program, and which clients will be closed out. During the following
week, the Data Analyst meets one-on-one with each of the Case Managers to review the client file for all
opening and closing clients, for completeness, accuracy, and to verify that the client is eligible for
services under the program, and that all documentation is in place. The Data Analyst then enters all of
the necessary information into HlvfiS. Additionally, case notes are emailed to the Data Analyst on a
regular basis in order to get all of the services that the client is receiving entered into HMIS. With the
information entered into the system, HMIS is capable of running reports to be given to the county and
ultimately HUD.
8. Does the project require the issuance of a permit (from local, state or federal agencies)?
Yes 0 No~
a. If yes, please identify. the permits necessary to complete the project.
b. Have the necessary permits been issued? Please provide proof of permit issuance.
c. If permits are required but not yet obtained, when will the permits be issued?
NATIONAL OBJECTIVES CRITERIA
9. Does the proposed project or activity meet one of the three national objectives of the
CDBG program? Please check one of the objectives below that applies to the
proposal, and explain how the project or activity meets that national objective.
a. X Benefits low-and moderate-income persons as defmed by the U.S. Department of
Housing and Urban Development (HUD).
Select one:
0 Low/Moderate-Income Area Benefit-The project serves only a limited area which is proven
by 2000 Census data or survey to be a predominately (51% or more) low/moderate-income area.
Applicants choosing this category must be able to prove their project/activity primarily benefits
low/moderate-income. households.
~ Low/Moderate-Income Limited Clientele -The project benefits a specific group of people
(rather than all areas in a particular area), at least 51% of whom are low/moderate-income persons;.
Note: Income verification for clients must be provided for this category. The following groups are
presumed to be low/moderate-income: abused children; elderly persons; ·battered spouses; homeless
persons; adults meeting census definition of severely disabled; persons living with AIDS; and
migrant farm workers
COMMUNITY DEVELOPMENT BLOCK GRANT (COBG) PROGRAM
APPLICATION FOR THE 2013 PROGRAM YEAR
SAN LUIS OBISPO COUNTY PLANNING & BUILDING
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PAGE 7 OF 14
AUGUST 23, 2012
SLOPLANNING.ORG
Item 9.a. - Page 13
0 Low/Moderate-Income Housing -The project adds or improves permanent residential
structures that will be/are occupied by low/moderate-income households upon completion.
0 Low/Moderate-Income Jobs -The project creates or retains permanents jobs, at least 51% of
which are taken by low/moderate-income persons or considered to be available to low/moderate-
mcome persons.
Explain:
Persons served at the MLM and ICH shelter sites are all homeless including
many persons with a physical or mental disability.
NOTE: To meet this national objective, the proposed activity must benefit a specific
clientele or residents in a particular area of the County or participating city, at least 51
percent of who are low-and moderate-income persons.
b. . __ Aids in the prevention or elimination of slums or blight.
Explain:
Select one:
0 Addressing Slums or Blight on an Area Basis -
0 Addressing Slums or Blight on a Spot Basis -This project will prevent or eliminate specific
conditions of blight or physical decay. Activities are limited to clearance, historic preservation,
rehabilitation of buildings, but only to the extent necessary to eliminate conditions detrimental to
public health and safety.
Is the project located in a Redevelopment Area? Yes 0 No 0
If yes, attach a map of the area with the site highlighted, and provide the Redevelopment Project
Area (excerpts accepted) which documents the existence of slum/blight. Also, document the specific
redevelopment objectives pertaining to the proposed project.
NOTE: To meet this national objective, the proposed activity must be within a designated
slum or blighted area and must be designed to address one or more conditions that
contributed to the deterioration of the area.
c. ___ .Meets community development needs having a particular urgency where existing conditions
pose a serious and immediate threat to the health or welfare of the community, and no other funding
sources are available, i.e., a major catastrophe such as a flood or earthquake.
COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) PROGRAM
APPLICATION FOR THE 2013 PROGRAM YEAR
SAN LUIS OBISPO COUNTY PLANNING & BUILDING
=======;~r"""""-.. ;...-.=-~=u'=~..:::;:::..._..,_. __ .... ~ -
PAGE 8 OF 14
AUGUST 23, 2012
SLOPLANNING.ORG
Item 9.a. - Page 14
Explain:
NOTE: To meet this national objective, the proposed activity must deal with major
catastrophes or emergencies such as floods or earthquakes.
10. If the project or program is designed to meet the national objective of providing benefit to low-
and moderate-income persons, please estimate the number of unduplicated number of persons (or
households) to benefit from the project and break that estimate down by income group
(unduplicated means the number. who are served, i.e., the grant will allow 25 children to
participate in preschool-not 25 children x 5 days x 52 weeks = 6,500).
a. Total number of persons or households who will benefit from the project or
program (regardless of income group):
800 ~ouseholds (circle the applicable unit)
b. Of the total number of persons or households entered above, how many will be
low-income (earning 51% -80% or less of the County median-income)?
20 ~ouseholds (circle the applicable unit)
c. Of the total number of persons or households entered above, how many will be
very low-income (earning 50% or less ofthe County median-income)?
780 ~ouseholds (circle the applicable unit)
11. Who are the clients of your organization? (Example: low-to moderate-income persons, elderly
persons, severely disabled persons, migrant farm workers, battered spouses, etc.)
The MLM Shelter program serves homeless men, women, and children as space is available. The client
population includes youth accompanied by a parent or guardian (from newborns to teenagers), and
adults including seniors. We serve persons of all ages, genders, races, and ethnicities without
discrimination. This includes the mentally ill, developmentally and physically disabled, persons
suffering from or in recovery from substance abuse, veterans, migrant farmworkers, and the working
poor. We serve the -chronically homeless, situational-homeless, unemployed, under-employed,
uninsured, and underinsured.
12. How will the clients benefit from this project?
Shelter clients have "one stop" access to a broad rqnge of services to help them stabilize their lives and
move toward greate_r self-sufficiency. As well as providing emergency shelter, the CAPSLO Homeless
Services program provides a holistic framework of services to help meet client needs. Comprehensive
COMMUNITY DEVELOPMENT BLOCK GRANT {C_DBG) PROGRAM
APPLICATION FOR THE 2013 PROGRAM YEAR
SAN LUIS OBISPO COUNTY PLANNING & BUILDING
PAGE 9 OF 14
AUGUST 23, 201-2
SLOPLANNING.ORG
Item 9.a. - Page 15
services include community meal programs at the MLM Shelter and Prado Day Center, daytime services
at the Day Center, linkages and advocacy support, and access to intensive case management and
permanent housing
Without these emergency shelter services, clients would congregate in public places or disperse
throughout local neighborhoods, impacting law enforcement and other public agencies.
13. If your project serves homeless households, please describe how your program coordinates with
other continuum of care projects and entities and how it aligns with the San Luis Obispo
Countywide 10-Year Plan to Homelessness.
C/f.PSLO 's Homeless Services Division works closely with other agencies that provide supplemental
services, including: Tri-Counties Regional Center, Department of Social Services, Independent Living
Resource Center, Salvation Army, Catholic Charities, Loaves and Fishes, SLO Housing Authority, local
VA Service Center, and local churches. Being the provider for a complement of services enables our
clients to seamlessly receive the benefits within one organization, as well as having the ability to be
referred to multiple agencies as needed. As a member the County Continuum of Care (CoC) CAPSLO
partially funded the development of the 1 0-year plan and is an active participant in its implementation.
CAPSLO also has developed other CoC projects that dovetail with this project and aides in the
continued effort to help homeless individuals and families moved toward self-sufficiency.
No single person, agency or government body can bring an end to veteran homelessness-it will take a
comprehensive and coordinated approach among all organizations that serve this population. This is
evident in the national strategy through the US Interagency Council on Homelessness and HUD.
CAPSLO and its local partners seek to emulate this collaborative approach. Each of the partners has
its specific expertise in dealing with homeless individuals and families. CDBG funding will enable us to
build on this expertise and continue the services we provide. The end result will be a more client
centered, "wraparound" service aimed at helping homeless individuals and families moved toward self-
sufficiency, stability, and subsequent success.
The program looks to support all of the national priorities. The goals of the Partnership's "Housing
Through Case Management" program are in sync with the key components of HUD 's mandate to fund
programs that promote moving homeless clients into housing and ensuring that they receive public
benefits and develop the skills needed to live independently. The Partnership's Homeless Services
programs (Maxine Lewis Memorial Shelter, Prado Day Center and Case A1anagement) work with HUD 's
target population on a countywide basis and have an established program of cooperation and linkages
with other agencies and organizations that provide services to homeless persons.
In addition to being consistent with the Federal Strategic Plan, the Partnership is an active participant in
the countywide process that developed County's 1 0-Year Plan to End Homelessness. Numerous
Partnership staff members have participated thus far, contributing their knowledge, experience and
goodwill to ensure a successful outcome. The Partnership generated the state discretionary grant and the
City of San Luis Obispo CDBG grant that were used by the County to pay for facilitation of the process to
develop our local10-Year Plan. The "Housing Through Case Management" services are consistent with
the Consolidated Plan. The 2009 Action Year ofthe 2005 Consolidated Plan shows these priorities for
Addressing Homelessness:
c==a=:--========--~a.c======c=zs==:==~==c====c~:=========~~~GC~~m===~~===r-~~~==~~~.-~~----=~~ U
COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) PROGRAM
APPLICATION FOR THE 2013 PROGRAM YEAR
SAN LUIS OBISPO COUNTY PLANNING & BUILDING
PAGE 10 OF 14
AUGUST 23, 2012
SLOPLANNING.ORG
Item 9.a. - Page 16
Priority I: Provide needed emergency shelter facilities and related services.
Priority 2: Prevent homelessness by enabling people to obtain or retain decent affordable housing and
supportive services.
Now that the 10-Year Plan is finalized, the Partnership is working diligently to advocate for, support and
comply with service delivery philosophies, strategies, mandates, and performance standards that are setting a
path to end all types ofhomelessness.
BENEFICIARY DATA
14. How do you collect demographic data on the beneficiaries of the proposed project or program?
(Example: raciaVethnic characteristics)
NOTE: You are required to provide beneficiary data at the end of each quarter and year end
data of the fiscal year.
Demographics are collected during the client intake process using the California Department of
Community Services and Development demographic form (Exhibit A attached).
15. How do you document and maintain income status of each client in compliance with HUD
regulations? (Example: very low, low-and moderate-income)
As part of the client intake process, client income is verified using the federal poverty guidelines.
16. Provide the following information for the person(s) in your organization responsible for the
preparation and submittal of the quarterly reports and for collecting and reporting the
beneficiary data to the Urban County.
Contact person/title: Robert J Ellis, Planning Specialist III
Phone number: (805) 544-4355
E-mail address: bellis@capslo.org
m=~~~~~~==~====c=========~mz~~==mc~~==~~~~~~~~c.~-~--·~ ~~~~~~~r~~··--·4~
COMMUNITY DEVELOPMENT BLOCK. GRANT (CDBG) PROGRAM PAGE 11 OF 14
APPLICATION FOR THE 2013 PROGRAM YEAR AUGUST 23, 2012
SAN LUIS OBISPO COUNTY PLANNING & BUILDING SLOPLANNING.ORG
Item 9.a. - Page 17
FINANCIAL INFORMATION
For CDBG applications to the County of San Luis Obispo involving acquisition, construction or
rehabilitation projects please provide the required additional budget information on BUDGET
FORM A and BUDGET FORM B attached to the back of this application.
17. Total amount of CDBG funds requested: $ ~$3"--'1'-=3'-'-'.3"--'6"--'1'-------------
Please identify the jurisdiction(s) to which you are applying (see Note below):
If you are requesting CDBG funds from more than one jurisdiction, please break down the
amount shown above by the jurisdiction ~isted below.
City of Arroyo Grande: $8.600 City of Paso Robles:
City of Atascadero: City of San Luis Obispo: $148.080
City of Morro Bay: $8.600 County of San Luis Obispo: $148,081
NOTE: If you are applying to one or more cities, please provide a copy of the application to the County
by the application deadline.
18. Please describe the budget for the proposed project or program. Itemize all sources of funding
expected to be available and used for this project
Please see Exhibit B attached
19. How do you plan to fund the operation and maintenance costs (if any) associated with this
project? Are these funds available now? If not, when will they be available? And from ·what
source(s)?
CDBG funds are the primary mainstream resource used to support operation and maintenance of the
MLM Shelter program. Other funding shown in Exhibit B also supports the shelter operation and is
received throughout the year. Every effort is made to keep costs low by generating volunteer and in-kind
support. The Shell Beach kitchen prepares the dinner on weekdays; .community groups provide dinner
on weekends and holidays. The shelter's dinner program annually involves several dozen community
groups and local families and/or individuals. We are always looking for new meal providers in order to
keep program costs as low as possible. In addition to the volunteer groups that provide dinner on
weekends and holidays, volunteers are used to help serve dinner every night and to be "evening
friends".
Volunteers and service groups such as California Conversation Corps also help with special events such
as shelter repairs/ upgrades as well as deep cleaning and landscaping, or take on special projects such
COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) PROGRAM
APPLICATION FOR THE 2013 PROGRAM YEAR
SAN LUIS OBISPO COUNTY PLANNING & BUILDING
-
PAGE 12 OF 14
AUGUST 23, 2012
SLOPLANNING.ORG
Item 9.a. - Page 18
as "shopping" at the Food Bank or helping with the "homework club". Community motels donate
towels, sheets and blankets to the program; other local businesses contribute to "blanket and pillow"
drives to benefit shelter clients.
We are also constantly looking at ways to diversify resources. CAPSLO 's Homeless Advisory
Committee is active in holdingfundraising events. CAPSLO also engaged resource development
consultants who created a long-range Financial Development Plan that will expand the agency's
capacity to generate diversified programmatic and capital development resources. That plan was
adopted by the CAPSLO (then EOC) Board in October 2007.
20. Will CDBG funds be used to match/leverage other funds? List below funding sources and
amounts and identify award dates of these sources.
CDBG funds are the primary mainstream resources used to support shelter operations; CDBG and ESG
funds are used to leverage all other local and private resources. Please see Exhibit B.
=~~==~====--========-==~==-= a ·-"'-= _ _ ··--·-<>->c. uo coc:.=•··
COMMUNITY DEVELOPMENT BLOCK GRANT (COBG) PROGRAM
APPLICATION FOR THE 2013 PROGRAM YEAR
SAN LUIS OBISPO COUNTY PLANNING & BUILDING
PAGE 13 OF 14
AUGUST 23, 2012
SLOPLANNING.ORG
Item 9.a. - Page 19
I certify that the information in this application is true and accurate to the best of my knowledge and ability.
~~~'1/\~/
Elizabeth "Biz" Steinberg
Printed or typed name
COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) PROGRAM
APPLICATION FOR THE 2013 PROGRAM YEAR
SAN LUIS OBISPO COUNTY PLANNING & BUILDING
1\
1/J -/I -r -z__.
CEO
Title
PAGE 14 OF 14
AUGUST 23, 2012
SLOPLANNING.ORG
Item 9.a. - Page 20
State of California
Department of Community Services and Development
CSBG Programmatic Data-Client Characteristic Report
CSD 295-CCR (Rev. 2011)
Please use the CSD 295 Client Characteristic Report Instructions and Helpful Hints to complete t :s fonm .
EXHIBIT A
..---------,
Contractor Name: Contract #:I I
Prepared By (name): Report Period:
Phone Number: Email address: L. ----------l.
Demographic data should be collected on ALL clients receiving services under any program adminis: red by the designated
Community Action Agency.
Yellow Highlighted Sections represent demographics collected on INDIVIDUALS
2 Total unduplicated number of persons about whom one or more characteristics were obtained
3 Total unduplicated number of persons about whom no characteristics were obtained
I
I
W~r:j'fjjfij{iifJ~~~~!~~p~B;P!J~~n,~-1f'i!ffii.'ifP.pk~!fltEj?ft,~" :f~W/~~~?7{ ~-~~.r-~';.;,~:i:/,'·::: ;"· .,>' ~ ._;" _ :: .. ·· · . ·: :. -.-_ ·: •·
h~<::t9?J:Y.rrc!.Y.elJ~~g~iW&.~-~r;Q'i¥r1JP.!-~~]ii·oL!!~Y'~iJ)..§l~$,,:~~~~;~)§.~~5i~~cie~~~9~~~i!i:~.~: ·_. . .-: · ~-. ·: J I .,s<_jrotaUJn'~ifpifeated,nu'moer.:Of,fammes,'affifuhvnom'iiiil\cli1r'acte-ristiCSiwere'otitaiiieif ~· _:,:_, -:' -,· :.-· ),• .. ~~· --
6. Gender Number of Persons• , I,12S£:.Famiiy;Sizer::·.,,..,:_:· -,~cr ... i -~ -:. :Nuniber:of Families·~·
M I I <-»~~o· ·-·-···· . . _,_-,··----~·' a. a e ~t:.~·;; ~ :~~~4 ~}~: · •. ~: !;.~ ' .. -:.-... _ :.· .. ~· -.~ ~
b. Female I •·io,~c"::'·J.ji)NolC.· ··:.,..·.;·· ._-.,_ • .. <: ...
*TotaiJ 0 ;1 ~=->t.~ :>~£~;:-}_,~~~-~~-~ .. , ':~:·~:~: :_ tf.· ·.j
7. Age Number of Persons• (7at·,;,· .. Jf,Qlir;~:~·:;;;_;:; · :': "~-,.,;:: · .,,-·•. 1-----------i
· ~:.~ifl~}~~~tt.~~=~:~}r~~
d. 18-23 !J1"i't:'l2gnror,:mo.!_~,~~":::··:~· .·:
e. 24-44 Sum of 7e f ~: _~::··.t::/~:-~t~~'¥ ,~ ~. ~ .;~rOtal··l-----""'l';------1
f. 45-54 thru 7h = "[m?s~~r:ce~-~~~~i-Jy, ,~-~-o~~L_.:_·"'::~,
g. 55-69 o · ~a!T"r.:-UnduJ:!Iicated'#.of.F.:amilies""' '-; ,.,..,__.;--':' ·' ~-·:--:-:>::-.:' ,~1 ·-·~ .... --if~~~--;-:.~.;\_:;. .... -....:..~;-1.~-;··t ,' .. ·. ·"' ........... · '·
h. 70+
1
.' /.f.: ·~:'.Efp~o_r:!J.!lg'"@rle•£>J::.M,qr~S_gl!r:c~s};~:·;;:.,.;~~ ..... ~:J:::::. · ~ ';.·· , .... , ·--~_,.,~,.._~~ ... ,, .... .,._ I ·rotal o ~".;,;·;!;,gfdO~~--,•~ ·-:~,!i!·.· •. ~I
8 Eth · "ty/R 1 b"·~·'"''·'G""d~'!f'-t ... d"if.'f·i='-'-'r<----' c.."' ···~ ,,.....~ ~·· ~--,-·-· . niCI ace .,,f:;:~;:~J~<;·'d9.·.,e.!!lfi~SJr:::_:-• ._.-. __ .• ··. · ·'-.:·-""'
1. Ethnicity ~r~1,~!!e,oi:tin.'Qj~J.i!fs.i~ ·: •.. ·. ~.; .:1 _ _ I
a. Hispanic, Latino or Spanish Origin I l;z:~-~~~~~~-_n~s'.~~ft,~_~n-g·e~:;~~-::,--=:-.~:,.__:;;:-.:;.:;L·
b. Not Hispanic, Latino or Spanish Origin •1 ·".;U.·1!~~ther.~havi~a'~sou~~Th-oom,l
··.r·~ ..... ~~~-~ ~~:-.. ··'~" •rota I o [ .,-,;.;;:: .<oc~~9;Q£.incom~,~·:• : ;.~o•"'l o
11. Race !Re'cor:'@F;(i~5"'0"urces~f.iiiifly;incom21,!!~}reported!inc:--.
a. White
b. Black or African American
c. American Indian and
Alaskan Native
d. Asian
e. Native Hawaiian
and Other Pacific Islander
f. Other
g. Multi-Race (any 2 or
more of the above)
:~~~~~~~~~~~~~~~~~~~~~~~~~:llli~~trr:!·~~-~4 _;_;__-""_·~_-_:-:_·.?_~_::'-~;_~-_··_·~_: ~-~:_-:-_-~_~ ___ ;_,~~
L ---------~'a..,g·f.~,~ ~~Ge'nerali/\ssistan@>":;··_.::. ~' ·.~~J" -----------1 ·P..::"'""ft"A '-:::'---~~~·· r -:"1~1 ··~1
-------------il}tl! ;~;~ 1u~]§PjgY.IJl~n!·J.\·isuriiic~r ( .1"-------------j r ~~,....Tj'1 ·~ ~-~:':1E~4-~:r;;~-~~ ....... !"f"!l-t·-" !r
;:;;i.l;t ;SlEm. plqyl)1er:tt\t-~!lies,Squr~7]"-----------l f--------------i·"'" f'].p . .,-CJ .-To..J.!1 ... ~0'1" •.,·-._ •"-<• """";:"" · "lr L ---------------iFi~'l'-j iEmliloymeni'\'oniYk.~:E;. V{,fl-'''------------1 ."" I'_."'..;, ;.,rt~il\~~'""T"' -=--·~~· .~-~~ ...... \'-.·~' J r,j!r I •··K1·~-'"."'01tier.' ·•. '· :~""'"·'. • .:f . "··J r------""'l';-------1)"'~~ ~~~-1 ~ ... -•. ~-·'·";...t.~ ... ~~~IJ~-&~;....;!!f-----""'l';------l 1 •rotal I o ~t"i~.J;;ij)Total!(c!,t)iro_l!gJi.!kjj o
. ~·~~ 1'J~I!evellof,F.amii~Jinconie~~t~::-:::;:·" ~~...''-'-9. Education Level of Adults Number of Persons 24+•• ~ ~ ·,_.J! .. , ;;~ :=--f'H-.H-S~"::::."'d&-l'!"~. • ; .. -· :• !~umJ?~·.of.F.,a_miiJ!lsZ:1 , ~· -:~~ .... itJo\0 , ~9UI e IOe,\:-..r._..~· ~.::.:..'":'Ct...t..-~' "'~ ~ _!, _ -!-_,/--_,
t ;a.ilit":'l;:'l!Ji? .to'i50%"_f';;· ;,f·r=·= -·~."'~1 1----~---------ir:[\•;, -<:: '· •JI=_ ••• ;r.·;~d ·::,.~n:; ·--; '"", ·,j ·1-------------1 a. 0-8
b. 9-12/Non-Graduate
c. High School Graduate/GED
d. 12+ Some Post Secondary
e. 2 or 4 yr. College Graduates
-rotal
o.· ·•;,1-@..'Y~to~J: :li'".:.. .. ~ , • ~· •• ·' 1---------------l .. ~-c.; .. t.:--":"",..~l 0-00L<~;~~l > :f·,-'"t!...jl-------------1 I----------~-·~.C·~"'Z&~;!2.~1"""~~-..:::,__,······, .... jl----------f ~cTI;j,_-,:i~l.ll.:.1:£fq_IJ'.?~~~.}~;.! ·, ... ~ .i 1--------------l, ?b~,126%'tO 150.%>~! .. L:.'!"> .·"11-----------f 1------~:-------il\iJ""' ... ·;-..--~'<::! ~---""~"--··· ·-~. , ..... 1------------l
0 N,~',.:<~:~o_!..1i~ .. ~~;it~ ·'!I 't::il----------1 I ~'J..·: · 6~'·'L.2-00°1 '~"··-.. ·.:..J ,i .. :..9·J7'."'.:~·~"'1i"Z.-:: ... ~ tgJ -~.,~~..;: .. ~ '"!'f·~l------------1 ··tii:t,(..._~~ -20-~i--:;Jf~-..... #'~--...:·~ lo--o1 ~ fji "j 11--:-::-=,-.....,=-=----:--:-.,.,-----------~=-_,.---=-==---....,.--IL~~:.:r;;~ _ )1 ·10 )~,o~rt~r--s-, .. o!:·. ~ ""{,. '------::-----i I t~~::1~ ..... r,.·.:;:-.. t .. "">f.;.;.~::~~'"1· ..... -~ "-r 10. Other Characteristics Number of Persons• r .., __ .,. ·' 't ;.1,~:-_~~!',tal 0
Yes No Total • ~,l,15!(3jHousirig~~-;):;;..;;2l':~:~~Nuniber,~of Fcamilies:~
a. Health Insurance I I I o I~Qwn.~:·"~?'·r'f_-.::":T"'~?.-:1
b. Disabled 1 1 1 o ~fb\f;.'"£Rfri!r-:'i.::::72:,;.ftcr~:C..-\-'-, ··:JI-----------1 r; -Ei.fr'>t"" .... ,~.,..~~ri.,n.-"' . ··-. F.. 1 r,1,1~F.amlly1TypiitK.;;:z:--'"',~~..r:~~Ql!~:~Nurriber;ot~F;amilies1~~-s::;;.1 · c~.'-l).f·i:lomeless,-.,c--: :"..:t~'~'l ,~· ~·,j 1
l i , ·~·;r .......... ~t:"U· :<; ~r-• ., .• :.-( I f i§'~~2P.arenVJ;.emalep~;~G'f',7:~~ d~::.. .. ~0tnerr,-.-•i;'!f-,···t~·~--c,.: C:·o~. '------~~-----1 .-,-.. ~ • .. --t:·_ ._..._.:;)o-\_.-... g·'7 f, .. 1 ,/.·..-. .. ,;.!·!; ..... -:LlJ ~~~-~;.~--'"!~.i.~~:p'?.::~,.~~~t.. .~-~~·-"'r l~t.SJf1gJ.eJ~~~~~:t~l_et074ff.·~~t,i.:A#-~'Jjil!1 ......... ~~~'i:V.£.::;.6"~~'t.·'-..1Total 0 ~ft~~!,l~t(~g:LfsjJtoJg~'"':~i;~&;~:1 ;I;16~J0tlier:tamllyTcnaracteristic5·~Number:om=ar'rtllies~Jj
d . i··'"s·-'J'"P.-~~"'··~·-·~"" . ·=u;·"1r~ r....,.,,,-,--. .....,......,.~.,.,.,, ............ :-.; mg eJ .. ersonr-:::~~·~~-""p-_· ~·.~~ .:.:~~· m ~ .. a~~.F,armer"".·r .. _~:.:--... .c._ 2(.,~ '.~ ::·~~ _ ~t ,-;&,'f~?-~f....I.,""I"'.G_,-?~-~,.1:"' .. '~"!;~_ .. ,. ""'• "'\' ;;·~;,_ L;,J~ ·~o.~<.·.,_,~· ... ;~T_;;,(·-... ,.,.~-1!.,:.....:;.,_~ ~.o......:·-~t;' .. f ··::: /li·l------------f.\~:i';;r;l;.wo~~dultsl;:~~C:tilldri:m~~ .... : -;~;,, tfi::e..._;-; 1 ;Q.:~:\>'~Migrnnt· F-armworkert,.?<:,-'-·.··'-'; 1-----------fl
A", .. ~.._,--.t.~'';T_.,..---.-.t~~~· •··~tot:~ ~"":-"f·.-~ ~'i l ... ~c"""''"-r.f .. ,.•-o:M '!Zlt·-v..;:·,...,. "·,•.:..·~"" ~f" "'c:>ttier., ·•• t.·;;K.o,,-:?:'i:;r •• M' ,;;._:~·<r·;~~~ '-c~~.::seaSo'riiiljF.:armworkei"r.P · ..i~ ·. Cqi-~n~ rtr:. "L·-"il:.~...;..r.:;,t.;., ... -. * ~~~ ls'.~"·P.<R·.:.~~~'l.-.._,:,.',..:".~·"171! :--:. ~1-------------i WJ§·""!4:F..;>'~·-·l:;'':,>.., t"J,:,P;::E!.;:'\-;.1:: "~"mW;o_tal 0 ~a~~..;.,.I~Jeran~.J-a.'fa·,.~ .. ~ ~':'S -~-~j ~-;,~·:~·'_A~;-u;~-:fi;lr~l~\::1: ·r._.<_;;,•~¥1{l&Kr.c~-~~'l!"""~,(;" ~f.~1'!..',··~);.,;;_;.;~; :-,.,:-:;;.;·:~,;,-,;:· • · .F==========J 1".:-~r-;77 df..;·~t ,.;q.:,~,.-:;. ;Jitif!if-¥::~;;-":G~&..,~Ji'll.~,~;J.r~'t%f ':fD.!>l.P'li'~~·;·r: :;,o;-.Je~;'fi.liKctiveJrVIilit~&Jl::f.:j ~~n:""a?-it ·
I · The sum in this category should not exceed the value of Section 2.
z-';;~-~nl'e1S'Urii1iiitltiiS1c;iti9c,i~Tsh-OUJ~!n~citiji'"fceea1th~;ViirL""e~sJ;ctft~5}7!~~ ,t-i2~~?6 ~~~~· ~~§!};y·ct:;?~,:~Ji ·;:,;: ~~-~:~1~ ~-},' · .. -~· .. -'~ :-::~-". ~ ~~_;._~
••• The sum In this category should not exceed the value of Section 4.
~3T.tff!lsum]iigh_li?C'itifOfYISifOUJdii:re~~rtttia[;:oi'LIDilfar(thl$~13fa1r:~;.~:~~;7(~~~~;~r;i?~~~~~~:-::-_tlt;t;;;;<~~:--;:;,:~;~:-~t;-~
..... Reminder, September 30, 2010 was the cutoff date for reporting CSBG clients served up to 200% of the Federal Poverty Guidelines. Item 9.a. - Page 21
Exhibit B
Community Action Partnership of SLO County, Inc.
Maxine Lewis Memorial Shelter
Proposed Budget FYE June 30, 2014
a. Revenues:
1. CDBG Funds Requested
2. Non-CDBG Funds Requested:
SLO County ESG
Local -SLO County General Fund
FEMA
United Way
City of Pismo Beach
Donations
Total Funds
b.
Expenditures:
Salaries
Fringe Benefits
Office Expense
Transportation
Utilities
Food
Laundry
Maintence & Repairs
Program Supplies
Direct Client Assistance
Advertising, Recruiting and Training
Miscellaneous
Indirect & Administrative
Total Expenditures
20013/14
Budget
$ 313,361
35,299
64,858
12,500
2,500
2,200
116,409
$ 547,127
$ 270,796
109,998
3,937
12,486
22,135
12,383
18,540
20,853
13,526
1,200
2,605
18,140
40,528
$ 547,127
Item 9.a. - Page 22
"'
\
7 CO~MUNITY DEVELOPMENT BLOCK GRANT (CJ;;~~~~b\f~M
APPLICATION FOR THE 2013 PROGRAM YEAR ,..., -:::: ::-::_-_ ~~-=-~-= .:...---:::::.~ -:__---=:-: . .:::=-:::_ ._--
SAN LUIS OBISPO COUNTY DEPARTMENT OF PLANNING AND BUILDING
976 0SOS STREET • ROOM 200 • SAN LUIS OBISPO • CALIFORNIA 93408 • (805) 781-5600'
Promoting the Wise Use of Land • Helping to Build Great Communities
Organization Name: Cominunitv Action Partnership of San Luis Obispo Countv. Inc_
(Attach additional sheets if necessary)
To be considered for CDBG assistance, please submit this completed application with any exhibits, budgets
or beneficiary data as needed. PLEASE READ ALL INFOR.iVI.A.TION IN THE APPLICATION.
Applications can be mailed to one of the participating jurisdictions listed in this application or to: Tony
Navarro, Planner III, Department of Planning and Building, 976 Osos Street, Room 300, San Luis Obispo,
CA.,. 93408 or hand delivered to Tony Navarro at 1035 Palm Street, Room 370, San Luis Obispo, CA.,
fa"<ed to (805) 781-:5624, or e-mailed .to tnavarro@co.slo.ca.us. The application deadline is 5:00 P.M.,
Friday, October 12, 2012. Applications must be received by the County or one of the participating cities
(Arroyo Grande, Atascadero, Morro Bay, Paso Robles, San Luis Obispo)prior to close ofthe business day.
POSTMARKED DATED MAIL RECEIVED AFTER THE DEADLINE WILL NOT BE
ACCEPTED.
NOTE:
(1) Please review the CDBG regulations and guidelines and the Request for Proposals before
completing this proposal. The CDBG regulations, under 24 CFR 570, are available at
\V\V\N.sloplannimLOr!! under "Federal' HUD Grants."
(2) HMIS Reporting for 2013 homeless services, housing and shelter-All homeless service
providers applying for CDBG funds to assist, house or shelter the homeless must identify and
demonstrate its capacity to participate in the County of San Luis Obispo Homeless Management
Informe1tion System (HMIS) to provide: personnel for data entry, user licensing, and hardware and
software necessary for compatibility with HMIS. HMIS is an electronic data collection system that
stores client level information about persons who access the homeless services system in a
Continuum of Care, and reports aggregate data for. the County as per the U.S. Department of
Housing and Urban Development's Data Standards found in
http://wwv•;.hudhre.info/docurnents/FinalHMISDataStandards March201 O.pdf.
(3) The project/program proposal to the County of San Luis Obispo shall be examined in relation to the
County's community development goals and funding priorities as presented in the Urban County of
San Luis Obispo 2010-2015 Consolidated Plan (ConPlan). The ConPlan is available at
www.sloplanning.om. The County of San Luis Obispo Department of Planning and Building
(Planning) considers the criteria stated in the 2013 Request for Proposals as one of many tools to
help make funding recommendations to the Board of Supervisors. Planning will use other
information and sources including but are not limited to: the c·ounty Board of Supervisors,
recommendations from the Homeless Services Oversight Council, other participating jurisdictions of
the Urban County of San Luis Obispo, identified needs that could be addressed by the grant funds,
consistency v-ri.th goals and priorities in the 20 I 0 Consolidated Plan and the Ten Year Plan to End
Homelessness, results of the Needs Workshops, working knowledge of the project and/or
organization by Planning, and availability of limited fund, to help with the fu.J.ding
recommendations.
·~-~~~=-~ ~ ~--
COMMUNirf DEVELOPMENT BLOCK GRANT (CDBG) PROGRAM
APPLICATlON FOR FUNDING DURING 2013 PROGRAM YEAR
SAN LUIS OBISPO COUNTY PLANNiNG & BUILDING
PAGE 1 OF 13
AUGUST 23, 2012
SLOPLANNING.ORG
Item 9.a. - Page 23
Please call County and/or city CDBG staff with any questions about how to complete the form or about the
rating criteria and process. ·
If the information for any 6f the questions below requires more room to provide a complete explanation of
your proposed project or program, please attach additional sheets.
CONTACT INFORMATION
1. Name and mailing address of applicant organization, with contact person, phone and fax
numbers, and e-mail address:
Name: Community Action Partnership of San Luis Obispo County
Address (mailing and physical address requested if different):
1 030 Southwood Drive
San Luis Obispo, CA 93401
Contact person/title: Elizabeth "Biz" Steinberg, Chief Executive Officer
Phone: (805)544-4355
Fax: (805)549-8388
E-mail address: esteinberg@capslo.org
Is the organization a Faith Based Organization? YesD No rgj
Organization's DUNS number: 0589019500000
Is your agency currently participating in HMIS? Yes, the agency's Homeless Services Division reports data
into HMIS.
If not, does your agency have the capacity to participate in HMIS? If yes, how so?
PROJECT DESCRIPTION
2. Titletn·ame/address of proposed project or program:
Adult Wellness and Prevention Screening Program (formerly Senior Health Screening)
Community Action Partnership's Health and Prevention Division
1411 Marsh Street, Suite 206
San Luis Obispo, CA 93401
3. Please describe the proposed project or program. In one or two short paragraphs, include a brief
project/program description, the groups who will benefit and an explanation of how they will benefit
from the proposed project or program. For projects; describe the location of the project (be as specific
as_ pos~ib_le.'. _e:~: .. ~1!~~~--... ~~~e.~s!: .... X.?r .P.~?giams, state the location from which the program will be
COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) PROGRAM
APPLICATION FOR THE 2013 PROGRAM YEAR
SAN LUIS OBISPO COUNll' PLANNING & BUILDING
PAGE 2 OF 13
AUGUST23, 2012
SLOPLANNING.ORG
Item 9.a. - Page 24
operated and/or describe the geographic area served by the program. Also, please include a schedule of
project/program n:Iilestones.
The Adult Wellness and Prevention Screening (Adult Wellness) Program is the only no-cost, mobile health
screening program for adults in the county. Adult Wellness provides low-income adults, ages 40 and older,
with professional, convenient, and free preventive and maintenance health screening, education, and
referrals regarding chronic disease issues. A part-time program coordinator/registered nurse (RN) and
bilingual/bicultural aide clerk bring equipment and supplies to 16 countywide sites on a pre-designated and
advertised day of the month. Screenings include: blood pressure, pulse and weight monitoring, hemoglobin,
glucose, and cholesterol (full lipid panels). These screenings have been specifically selected because the
abnormal results can lead to serious health issues, such as cardiovascular disease, diabetes, and other
chronic diseases. These screenings are also crucial because often there are no symptoms indicating that the
individual has a developing or occurring health issue. Seasonal flu vaccines are also provided. Education
topics include diet, exercise, healthy aging, lifestyle modification, medication usage and compliance,
disease conditions, bereavement issues, elder abuse, legal services, and appropriate use of hospital
emergency rooms. Clinics are held at local churches, senior and community centers, senior residential
facilities, and other locations where seniors already gather.
Though the program serves all adults (ages 40 and over), 95.6% of clients are seniors ages 55 and over.
Aithough medically one of the most vulnerable segments of the population, seniors are often reluctant or
Wlable to go to a doctor or get advice about a physical problem or change. The Adult Wellness Program is
committed to ensuring that seniors have access to services which help maintain their health, independence,
and quality of life, and avoid premature and costly institutionalization. The provision of competent, mobile
health screening services, offered in a comfortable environment by trusted staff, enhances the. efficacy of the
screening process. Staff promotes behaviors and activities that focus on reaching and maintaining optimal
health and stability, helps identify possible health problems, and offers support and social interaction for
seniors.
Specific Adult Wellness sites are:
• Anderson Apartments, 955 Monterey St, San Luis Obispo
• Cayucos Senior Center, 200 So. Ocean Ave, Cayucos
• California Manor Apartments, 1 0165 El Camino Real, Atascadero
• Central Coast Senior Center, 1580 Railroad Rd, Oceano
o First Methodist Church, 275 No. Halcyon Rd, Arroyo Grande
• Hagan Senior Center, 5905 East Mall, Atascadero
o Judso~ Lodge and Terrace, 3042 August St., San Luis Obispo
• Morro Bay Senior Center, 1001 Kennedy Way, Morro
• Parkview Manor Apartments, 365 So. Elm St, Arroyo Grande
• Paso Robles Senior Center, 270 Scott Rd, Paso Robles
• Peace Lutheran Church, 244 Oak Par~ Blvd, Arroyo Grande
• Ramona Gardens, 993Ramona Ave., Grover Beach
• St. Paul's Catholic Church, 800 Bello St, Pismo Beach
• St. Paul's Episcopal Church, 2700 Eton Rd, Cambria
• SLO Senior Center, 1445 Santa Rosa St, San Luis Obispo
• South Bay Community Center, 2180 Palisades Rd, Los Osos
• Villa Paseo Palms, Senior Center, 2818 Ramada Dr., Paso Robles ........ -..... ·-.. -~-.... -............ -... .-..,.. ... ~. ...... . . . . .. . . -
COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) PROGRAM
APPLICATION FOR THE 2013 PROGRAM YEAR
SAN LUIS OBISPO COUN"TY PLANNING & BUILDING
PAGE 3 OF 13
AUGUST 23,2012
SLOPLANNING.ORG
Item 9.a. - Page 25
Between July I, 2011 and June 30, 2012, the following project milestones were achieved:
o 6~8 unduplicated clients countywide received health screening services through the Adult Wellness
clinics.
o 139 Adult Wellness clinics were held throughout the county at 17 convenient sites.
• 1,151 clinic visits were provided through the Adult Wellness program. These visits resulted in the
provision of 3,513 units of service (including screening tests, counseling, education, and referrals).
o 96% of all clients stated that they attended the Adult Wellness clinic due to its accessible location and/or
no/low-cost screenings.
• 96% of returning clients surveyed reported that their cholesterol, blood sugar, and/or blood pressure
levels improved due to the program's guidance.
o 1 00% of returning clients surveyed reported that they felt their physical and/or mental health had
improved due to the health education, screening, or testing they received from the Adult Wellness clinic.
o 49% of all clients surveyed reported that the Adult Wellness program was their only source of
preventive and/or maintenance health services that they access.
4. Will the services offered by your organization increase or expand as a result of the CDBG
assistance? If yes, please answer the following questions:
a. What new programs and/or services will be provided?
CDBG funds will be used to maintain current service levels.
b. Describe how existing programs and/or services will be expanded and what percentage of an
increase is expected?
CDBG funds will be used to maintain current service levels.
5. Check any of the following eligible activity categories that apply to the proposed project or
program: (Refer to CDBG regulations and the Guide to Eligible CDBG Activities).
_x_ Public services
6. Describe the need and the degree of urgency for the proposed project or program.
What would be the consequences if the proposed project or program is not funded in
the ~;~ext year?
The Adult Wellness Program fills a gap in local health care services. As the cost of health care continues to
rise, individuals living on fixed incomes are struggling to afford it. The Elder Economic Security Standard
Index reports that the average adult over the age of 65 spends more than $400/month on health care related
expenses when they are in good health-the health care costs for those with "fair" or "poor" health are even
higher! Adult Wellness clients have been affected by cuts to MediCal, SSI/SSP benefits for aged and
disabled individuals, adult day services, rural health services, and reductions to other state-funded health
and social services programs they rely on to maintain their health, independence, and quality of life. These
cuts, combined with the recession, increasing health care costs (e.g. rising premium rates and prescription
drug costs), and the continuous increase in the number of seniors in the county, is driving an increased need
-..... .
COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) PROGRAM
APPLICATION FOR THE 2013 PROGRAM YEAR
SAN LUIS OBISPO COUNTY PLANNING & BUILDING
PAGE 4 OF 13
AUGUST 23, 2012
SLOPLANNING.ORG
Item 9.a. - Page 26
·,
for Adult Wellness services countywide. Between fiscal years 2010-11 and 2011-12, the program
experienced a 12% increase in the number of clients served.
Adult Wellness not only assists clients in saving on health care costs but also fills the gap for health
information. Throughout the nation, health care providers are stretched too thin when it comes to the
number of individuals they can see and the amount of time they can spend with each patient. Many of the
participants attend because they need additional support and services that cannot be provided through their
regular physician visits. Month after the month the Adult Wellness RN hears clients say, "I've learned more
from you than I have from my doctor." The nurse take as much tirile as needed to discuss various health
topics with clients, including: information on prescription usage, additional explanation regarding health
diagnoses or issues, counseling on various topics such as nutrition, and/or referrals to other services that are
specific to their needs. In a 2012 survey given to clinic patients the following comments were provided
regarding the program: );> "I thank God for this care! It is the only one I've had for five years! (patient has
not had health insurance for 5 years) );> "This program provides a tremendous service -Heather [the
program RNJ is extremely informative and takes time with each person to make the visit meaningful. She
increases our understanding of ways to lead a healthier lifestyle." );> "Because I went to the screening, I
changed my lifestyle habits. When I saw my doctor I was told that this action prevented a heart attack "
As mentioned previously, the largest population served by the Adult Wellness Program is seniors 55 and
over. According to the California Department of Aging, SLO county is experiencing a growth rate in
our senior population that far outpaces the majority ofthe state; a 100-149% increase in· seniors ages 60
and over, and a 200-299% increase for those 85 and over, by 2025. Our small county is growing faster
than urban areas like Los Angeles, San Diego, and the Bay Area. As our senior population continues to
both expand and age, their need for health and community-based services increases. A 2025 SLO
County Senior Symposium was held in 2011 in the City ofSLO to address concerns regarding this
increasing population and the lack of available services. Attendees were polled at the end of the event
and ranked "access to health care" (52%) as the third biggest challenge facing seniors. A local news
article stated, "Government at all levels is drastically cutting budgets, leaving our most vulnerable
[senior] members without needed services. Our country faces a frightening time of economic
instability." (calcoastnews.com article (10/26/11) on the 10/21/11 SLO County's Senior Symposium
2025).
As this population continues to age, their need for health and community-based services increases. Seniors
are living longer, often without family support. In the current climate of increasing costs ofhealth care and
housing, along with fewer physicians and lower Medi-Cal and Medicare reimbursement rates due to our
"rural" status, the regularity of Adult Wellness clinics is one of the best forms of preventive health services
available to county seniors. The California State Plan on Aging 2009-2013, states that adopting "healthier
behaviors" and "regular health screenings" (e.g. cholesterol) are ways for individuals 65 and over to
"dramatically reduce the risk for most chronic diseases." Adult Welln_ess meets both of these suggestions
by providing screenings that give insight into the patient's health status and !p.en educating them on
behavior changes that will maintain or improve their health (e.g. change in diet, exercise).
Basic health screening, education, and preventive care are critical to the physical, mental, and social well-
being of our low-income county residents. CDBG funding plays an essential role in continuing these vital
services in our community. Without CDBG support, CAPSLO's ability to maintain the level of these
essential services for county residents would be severely compromised. Even with our numbers increasing
every year, there is still a larger number of low-income adults that qualify and would benefit from our
services that are currently not accessing them. Services are marketed through the program's clinic
COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) PROGRAM
APPLICATION FOR THE 2013 PROGRAM YEAR
SAN LUIS OBISPO COUNTY PLANNING & BUILDING
PAGE 5 OF 13
AUGUST 23, 2012
SLOPLANNING.ORG
Item 9.a. - Page 27
calendars, which are distributed to over 300 social services organizations, businesses, and individuals, but
Adult Wellness does not conduct any other outreach. The program is operating at full capacity and cannot
take on more clients due to its limited resources. If funding were available, th~ program would provide
additional clinics.
Compromising program services would not only affect the individual but the community as a whole. If an
individual is unable to pay for their medical costs the burden falls on the taxpayer. The Center for American
Progress Fund reported in March 2009 that the more medical costs that accrue due to unpaid bills, the more
those costs are transferred over to insured individuals--in the form of higher premiums. For Californians,
the cost-shift per premium for individuals was $500 and $1,400 for families. By providing preventive and
maintenance services the program is reducing the medical costs of the uninsured which in turn reduces the
cost for the insured. Every individual attending an Adult Wellness screening clinics means: fewer patients
in the county clinics or doctors' offices; fewer emergency room or hospital beds occupied by patients whose
conditions worsened, due to delayed detection and treatment; fewer public and private dollars being spent
on chronic diseases, that get more expensive as they advance unmonitored. Adult Wellness is an all around
cost savings program!
7. Please describe the specific organizational method used to implement the proposed
project or program (single or multiple group, public agency, non-profit, for-profit,
experience in operating similar programs, etc.):
Since 1972, CAPSLO's Health and Prevention Division has successfully and cost-efficiently administered a
multitude of federal, state, local, and private foundation grants. The Division implements results-oriented
activities professionally and effectively, complies with reporting and fiscal requirements in a timely manner,
and conducts program evaluations to ensure effectiveness and continuous program improvement. Program
administration of the Adult Wellness Program is provided by the Program
Coordinator/RN, Health and Prevention Division Director, and the Planning Department. A contracted
physician is available for consultation.
The program's long-standing and productive relationships with city and county goverrunents, private
agencies, and community coalitions have enabled it to be in operation for 34 years and enjoy an excellent
reputation among county adults and health professionals alike. Adult Wellness collaborates with a total of
45 entities that include nonprofits; faith-based establishments; local goverrunent agencies; for-profit
business/corporations; consortiums/collaborations; financial/banking institutions; and health care
institutions and providers. The Program Coordinator is extremely knowledgeable regarding community
programs and services that are available in the community. She is able to connect each client with the .
assistance they need in regards to where to obtain affordable health care services; where to get the lowest
priced prescription medications; where to acquire food assistance or delivery services; depression and
bereavement counseling; assistance with utility payments; assistance with grocery shopping or completing
chores around the house; transportation assistance; and more. She recognizes that making the initial phone
call for needed services can be difficult; if she is concerned that a patient will not seek further guidance, she
will make direct contact to the program/service on behalf of the client. Or, if a client requests that she
contact the organization or program, she will do so. She follows through with patients regarding the
referrals and services provided. These are services that their current physicians are unable to provide them,
due to their increasing caseloads, yet it is exactly the type of services needed by senior patients who often
need the extra time.
-.-..
COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) PROGRAM
APPLICATION FOR THE 2013 PROGRAM YEAR
SAN LUIS OBISPO COUNTY PLANNING & BUILDING
PAGE60F 13
AUGUST 23,2012
SLOPLANNING.ORG
Item 9.a. - Page 28
8. Does the project require the issuance of a permit (from local, state or federal agencies)?
Yes D No IX!
a. If yes, please identify the permits necessary to complete the project.
NA
b. Have the necessary permits been issued? Please provide proof of permit issuance.
NA
c. If permits are required· but not yet obtained, when will the permits be issued?
NA
NATIONAL OBJECTIVES CRITERIA
9. Does the proposed project or activity meet one of the three national objectives of the
CDBG program? Please check one of the objectives below that applies to the
proposal, and explain how the project or activity meets that national objective.
a. K_ Benefits low-and moderate-income persons as defined by the U.S. Department of
Housing and Urban Development (HUD).
Select one:
0 Low/Moderate-Income Area Benefit -The project serves only a limited area which is proven
by 2000 Census data or survey to be a predominately (51% or more) low/moderate-income area.
Applicants choosing this category must be able to prove their project/activity primarily benefits
low/moderate-income households.
IX! Low/Moderate-Income Limited Clientele -The project benefits a specific group of people
(rather than all areas in a particular area), at least 51% of whom are low/moderate-income persons;.
Note: Income verification for clients must be provided for this category. The following groups are
presumed to be low/moderate-income: abused children; elderly persoris; battered spouses; homeless
persons; adults meeting census definition of severely disabled; persons living with AIDS; and
migrant farm workers
D Low/Moderate-Income Housing -The project adds or improves permanent residential
structures that will be/are occupied by low/moderate-income households upon completion.
0 Low/Moderate-Income Jobs-The project creates or retains permanents jobs, at least 51% of
which are taken by low/moderate-income persons or considered to be available to low/moderate-
income persons.
Explain: Ninety-two percent of Adult Wellness clients are at or below the Federal
Poverty Level.
NOTE: To meet this national objective, the proposed activity must benefit a specific
clientele or residents in a particular area of the County or participating city, at least 51
percent of who are low-and moderate-income persons.
COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) PROGRAM
APPLICATION FOR THE 2013 PROGRAM YEAR
SAN LUIS OBISPO COUNTY PLANNING & BUILDING
PAGE 7 OF 13
AUGUST 23, 2012
SLOPLANNING.ORG
Item 9.a. - Page 29
b. __ Aids in the prevention or elimiilation of slums or blight.
Explain:
Select one:
0 Addressing Slums or Blight on an Area Basis -
D Addressing Slums or Blight on a Spot Basis -This project will prevent or eliminate specific
conditions of blight or physical decay. Activities are limited to clearance, historic preservation,
rehabilitation of buildings, but only to the extent necessary to eliminate conditions detrimental to
public health and safety.
Is the project located in a Redevelopment Area? Yes 0 No 0
If yes, attach a map of the area with the site highlighted, and provide the Redevelopment Project
Area (excerpts accepted) which documents the existence of slum/blight. Also, document the specific
redevelopment objectives pertaining to the proposed project.
NOTE: To meet this national objective, the proposed activity must be within a designated
slum or blighted area and must be designed to address one or more conditions that
contributed to the deterioration of the area.
c. __ Meets community development needs having a particular urgency where existing conditions
pose a serious and immediate threat to the health or welfare of the community, and no other funding
sources are available, i:e., a major catastrophe such as a flood or earthquake.
Explain:
NOTE: To meet this national objective, the proposed activity must deal with major
catastrophes or emergencies such as floods or earthquakes.
10. If the project or program is designed to meet the national objective of providing benefit to low-
and moderate-income persons, please estimate the number of unduplicated number of persons (or
households) to benefit from the project and break that estimate down by income group
(unduplicated means the number who are served, i.e., the grant will allow 25 children to
participate in preschool-not 25 children x 5 days x 52 weeks = 6,500).
a. Total number of persons or households who will benefit from the project or
program (regardless of income group):
550 Persons/households (circle the applicable unit)
COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) PROGRAM
APPLICATION FOR THE 2013 PROGRAM YEAR
SAN LUIS OBISPO COUNTY PLANNING & BUILDING
PAGE 80F 13
AUGUST 23, 2012
SLOPLANNING.ORG
Item 9.a. - Page 30
b. Ofthe total number of persons or households entered above, how many will be
low-income (earning 51% -80% or less of the County median-income)?
132 Persons/households (circle the applicable unit)
c. Of the total number of persons or households entered above, how many will be
very low-income (earning 50% or less of the County median-income)?
374 Persons/households (circle the applicable unit)
11. Who are the clients of your organization? (Example: low-to moderate-income persons, elderly
persons, severely disabled persons, migrant farm workers, battered spouses, etc.)
The Adult Wellness Program's primary target populations are low-to moderate-income adults ages 40 and
over who are underinsured or uninsured.
12. How will the clients benefit from this project?
• By increasing access to health care by bringing no-cost services di~ectly to those who need them;
o By providing an environment of trust in which to discuss very personal and sometimes uncomfortable
health and other issues;
• By providing as much one-on-time for the client as needed in order for the RN to provide verbal and
written education on a variety of health issues;
o By identifying potentially serious health issues that are referred for immediate attention, clients are able
to avoid emergency room visits and premature, costly hospitalization or institutionalization. Not only
does this eliminate or reduce financial hardship at the individual and family level, it also alleviates stress
on the county's health care system and the associated financial costs which potentially impact taxpayers;
• By encouraging and empowering clients to be active participants in their own health care;
o By maintaining their health, independence and quality of life, clients feel better physically and
mentally, are more engaged in their communities and are empowered to recognize and adjust to
changes in their lives.
In light of significant growth among this population, as well as the escalating costs and decreasing
availability oflocal health care systems, Adult Wellness provides a reliable convenient and cost-effective
means of helping community members obtain needed preventive and maintenance health care.
To fully comprehend how vital the program is to our community it's important to learn about some of our
individual client successes.
"Mark," a 53 year old truck driver with no insurance, attended an Adult Wellness and Prevention
Screening clinic with complaints of feeling fatigued to the point of not being able to operate his truck. The
nurse discovered that he had both very high blood sugar and blood pressure, and sent him to see a doctor
immediately with a note reporting her findings. If he had not come to Adult Well ness and Prevention
Screening, he could have suffered serious consequences, such as a stroke or heart attack. He was also at
risk of losing consciousness while driving due to his blood sugar. He was so thankful that he had come in
and that the program was available for him!
COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) PROGRAM
APPLICATlON FOR THE 2013 PROGRAM YEAR
SAN LUIS OBISPO COUNTY PLANNING & BUILDING
PAGE 9 OF 13
AUGUST 23,2012
SLOPLANNING.ORG
Item 9.a. - Page 31
"Sarah," a 73 year old woman with multiple health problems came to an Adult We/lness and Prevention
Screening clinic and showed the nurse a "sore" that she was treating at home. The nurse thought it looked
like a staph infection, which could be very serious. She was immediately referred to a doctor who officially
diagnosed her with a staph infection. The doctor mentioned it was a good thing she came in when she did,
because she probably would have been hospitalized if they had let it go any longer. She was placed on
antibiotics and the infection healed.
"Steve," a 57 year-old Adult Wei/ness and Prevention Screening client, shared with the program's nurse that
since the economic downturn, his business has been failing. Because of his lack of income, he can no longer
afford to pay for health insurance. He recently experienced several incidents of an increased heart rate; in
addition, diabetes runs in his family, so he wants to monitor his blood sugar levels. The nurse listened to
his heart and conducted various blood screenings. His results were normal, but she shared with him
possible causes for his increased heart rate and discussed proper diet and exercise. Steve was thankful to
have Adult Wellness and Prevention Screening to turn to for preventive health support and shared with the
nurse that, as a college graduate and once successful business man, "!never thought I'd be in this position!"
The following are comments, provided by Adult Wellness patients in client surveys, which also illustrate the
benefits of the program:
• "I am so grateful your services are in my area-I don't have transportation so I have been unable to access
services there."
• "While attending these services, my cholesterol and sugar improved. When I stopped coming to the clinic m)
sugar/cholesterol went up. This clinic is important."
• "A wonderful service, thank you. Because I went to the screening, I changed my lifestyle habits. When I
visited my doctor (a cardiologist) I was told that my changes had prevented a heart attack."
o "I thank God for this care! It is the only one I've had for five years!"
o "It's a pleasure to have someone who really listens and is not in a hurry."
o "Our primary care physician is very positive about these services. It's very helpful and he always wants to
see our health screening results. It gives him a month by month assessment of how we are doing."
13. If your project serves homeless households, please describe how your program coordinates with
other continuum of care projects and entities and bow it aligns with the San Luis ·Obispo
Countywide 10-Year Plan to Homelessness.
NA
BENEFICIARY DATA
14. How do you collect demographic data on the beneficiaries of the proposed project or program?
(Example: racial/ethnic characteristics)
NOTE: You are required to provide beneficiary data at the end of each quarter and year end
data of the fiscal year.
Client and demographic information is completed for each Adult Wellness participant upon intake. The
data includes: gender, age, ethnicity/race, education level, family size, level and source of monthly income,
health insurance, and disability. Da:ta requested conforms to the California Department of Community
COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) PROGRAM
APPLICATION FOR THE 2013 PROGRAM YEAR
SAN LUIS OBISPO COUNTY PLANNING & BUILDING
PAGE 10 OF 13
AUGUST 23, 2012
SLOPLANNING.ORG
Item 9.a. - Page 32
Services and Development Data-Client Characteristics Report which is used to report demographic
information semi-annually to the State (see attached Exhibit A).
15. How do you document and maintain income status of each client in compliance with HUD
regulations? (Example: very low, low-and moderate-income)
As part of the intake process in each CAPSLO program, client income status is determined using the federal
poverty guidelines.
16. Provide the following· information for the person(s) in your organization responsible for the
preparation and submittal of the quarterly reports and for collecting and reporting the
beneficiary data to the Urban County.
Contact person/title: Danijela Dornan/Planning Coordinator
Phone number: (805)544-4355, ext. 480
E-mail address: ddornan@capslo.org
FINANCIAL INFORMATION
For CDBG applications to the County of San Lu·is Obispo involving acquisition, construction or
rehabilitation projects please provide the required additional budget information on BUDGET
FORM A and BUDGET FORM B attached to the back of this application.
17. Total amount of CDBG funds requested: $_4~.7!....!0::..::0~--------------
Please identify the jurisdiction(s) to which you are applying (see Note below):
City of Arroyo Grande and City of Paso Robles
If you are requesting CDBG funds from more than one jurisdiction, please break down the
amount shown above by the jurisdi~tion listed below.
City of Arroyo Grande: $8.100 City of Paso Robles: $8.300
City of Atascadero: City of San Luis Obispo:
City ofMorro Bay: County of San Luis Obispo: -------
18. Please describe the budget for the proposed project or program.
expected to be available and used for this project
Itemize all sources of funding
a. Revenues:
1. CDBG Funds requested $ 16 400
2. Other Federal fund(s) (please describe below) $ _____ _
3. State source(s) (please describe below) $ ______ _
4. Local source(s) (please describe below) $ 22.000
5. Other funds (please describe below) $ 33.004
Total Revenues $ 71,404
..........
COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) PRO.GRAM
APPLICATION FOR THE 2013 PROGRAM YEAR
SAN LUIS OBISPO COUNTY PLANNING & BUILDING
PAGE 11 OF 13
AUGUST 23, 2012
SLOPLANNING.ORG
Item 9.a. - Page 33
b. Expenditures: List below by item or cost category.
1. Personal expenditures $ 55 355
2. Operating expenses $ 10.760
3. Indirect Cost @ 8% $ 5 289
Total Revenues $ 71,404
19. How do you plan to fund the operation and maintenance costs (if any) associated with this
project? Are these funds available now? If not, when will they be available? And from what
source(s)?
All funds received are for general operating support of the Adult Wellness Program. Cost-efficiency is
enhanced by the ability to utilize churches, senior centers, low-income housing sites, and community centers
for screenings. Currently, not all funding has been secured and Adult Wellness is waiting to hear back from
CVS Caremark and Rite Aid Foundation. The program should be notified regarding funding before the end
ofthe year. Additional grants will be submitted in November.
20. Will CDBG funds be used to match/leverage other funds? List below funding sources and
amounts and identify award dates of these sources.
CDBG support of the Adult Wellness and Prevention Screening Program will be used to leverage other
funding sources including public, private foundations, and individual donations.
CDBG -Arroyo Grande $
CDBG -Paso Robles $
City of Pismo Beach· $
City ofSLO-Grants-In-Aid $
County of SLO -CBO $
SLO County Community Foundation $
-Preventive Health Grant
Wells Fargo $
CVS Caremark $
Rite Aid Foundation $
Donations/Fundraising $
Total $
-. . . ....... ~ . . . ~ .. . ..
COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) PROGRAM
APPLICATION FOR THE 2013 PROGRAM YEAR
SAN LUIS OBISPO COUNTY PLANNING & BUILDING
8,100
8,300
2,000
5,000
10,000
5,000
2,500
3,700
5,300
21,504
71,404
Pending application approval
Pending application approval
Award date: 9/4/2012
Award date: 7/1/2012
Award date: 7/1/2012
Pending application approval
Awarded: 9/28/2012
Pending application approval
Pending application approval
As collected
-
PAGE 12 OF 13
AUGUST 23, 2012
SLOPLANNING.ORG
Item 9.a. - Page 34
I certify that the information in this application is true and accurate to the best of my knowledge and ability.
(c!-!1 -( -c_
Date
Elizabeth "Biz" Steinberg Chief Executive Officer
Printed or typed name
...... __ ..................... _. __ ....... ·;·..-.•··~---. .,._,. ---~-·--·-.. --··-·-·~·· --· __ ... .. ····-·· .
COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) PROGRAM
APPLICATION FOR THE 2013 PROGRAM YEAR
SAN LUIS OBISPO COUNTY PLANNING & BUILDING
Title
PAGE130F13
AUGUST 23, 2012
SLOPLANNING.ORG
Item 9.a. - Page 35
State.ofCalifomia
Department or Community Services and'Oevetopin.ent
GSBG Programmatic Data-Client Characteristic Report
CSD 295-CCR(Rev. 2011) EXHIBIT A
Plea so use tho CSD 295 Client Characteristic Report lnstructlons·and-Helpful Hints to complete Cis form .
.-----------. Contractor Name: Contract if.: I I
Prepared By (name): Report Period:
Phone Number: Email-address: L. ________ ...J.
Demographic·data.sl}o'!ld be-collectl_lt:l o_n .ALL clients.rcceiving_seryices,under any program admlnis;. .red by the designated
Community Action Agency:
Yeitow:Hfghlighted·Sections-represent:demC!graphics collected 1 on•/NDIVIDUALS:
2. To_tal' unduplicated number of P.ersons about·whom•one or'more:_characteristics were obtained
3. Total unduplicated number-of perso·ns: about~V:ihom.no characteristics;were.obtained'
Blue!Higilifghied:secuo_ns.roprei_e'ni·cieinogijfj;fri'CS 'coiiei:ti/cfion·l=~iliiES·
14'; !9tal ·~ndl.rpii(:atedin!Jmb~f'Of'~:fmiliel!• a~b~!Jtl.wliom Ci~e•(,lr•jliq(e.~hara~teii~~cs.~e(e: obtaiii.~d•
.s Total,undupiicated!numlier:6fifamilies;about•whom.rio•.cliaraeteiisticsiwere,6litained, _
I r
I
I
6: Gender NumbcrofPe..Sons· ;1~2: --__;Fariilly_Size~__:_ _ -·-. -Nunibor·oH:amlllas7. ·I
a. Male , -a. -0rie --1
b. Female ' ·~--~we
·ro.tal o c: -Three_
7,.~
a. 0,5
:Four
·fii~~·
.=-l!p·
1
Number:off'ersons· 1; •g;
b. 6'1.1
c. 12-17
d. 18~23
e. 24-44
f. 45:54
g. 55-6g
1------------l' e.
1-------------1' t; g:
h.
1Six·
.Seveii1
.Eightar m 9 ;:e-
I Sum of7e •:··rota!~
thru_7h ~ ~j1J;_ ··sour~e\o_f;Fal)liJydnco_IJlll
0
~of•F.a_mill~-
L o a. · 'l!lncju~licat~<H#<gf~F.amilies
. ' Repor;tin!J ~i"Je.ofcrAQ:~f§9ur~s ~
___ "Total o 1
. of.'lhcame·-,. .. :. 1 1 I h. 70+
· 8. Ethnicity/Race ·b: .Unduplicate·d:#:of,F,a'riiilies '
1. Ethnicily f . ;~~po_rting·N~~~ii~m~ • . 1
a. Hispanic. Latino or·Spanisn'0rigih . ·1 ~-'Totaii!JNjjf.!JPJ!fariimes',:V~~·resfi8n<lii<:t· ~L--_...,..--...,....--,:-----1
b .. Not Hispanic. Latino or Spanish'Origin . ·' as ei~er-h:iVii19'!!-S.ource,of:inc;:6riil
"Total 0 ' -or',havinguio•in'c:Omii !:"" •• 0
11. Race · l~e¢o_ri:l:the,sou~c;~,;;f.l_l~~hftamily~income-as r~·porte<l'ln.
a. White. 1 1 13a:ab_ove:
b:. Black_ or Afri~n American c_; _ :~1\f'!F' .·
c. Amencan lndtan and .. d. ~r
Alaskan Native I 'e.. ~SociCIISe~yiity
d. Asian I f. ·f?en·sion ..
e. Native l'lawaiian· ,g: ·G~.n~ra.l ~sis_tanW'
and OtherPacific Islander I -~, ¥Jne_~~i(iyffi!'!ilt:l!l~sj[~n~ 't--------~
r. Other I :;,: :ErriP.I6yriferit·+~0tti'er.1so·urce~
g. Muiti-Race (any 2 or' 1j: 'Efl:pl;yr;;_~'it_tio~N:~·-·
more ofthe above) f ,j( GUier::.. . . : -
·rotat,l o -_ • · · t···•tpt31;!C;,:ibr9~9ht!g}l o I
. lf:i'4' 9 .. Educ?tion Level of Adults Number of;Persons>24'+** ~L
a. 0-8 '7 a ..
b, g.12JNon-Graduate ll:
c. l'ligh.School Graduate/GED :~ ..
d. 12+ Some Post'Secondary , a~
e. 2'or 4 yr. College Graduates .e.
··Total o :f.
·,YJi.vl!_lltifiF,iu~ily, tn_c:O~e
,•k ofHHS;gutdeline
.)ilP·I0~5Q% -
5i %1io iis•;.·-
7_6%\to -Hi9"Ai
·10:1-% to 12S~/.; . .-..·~-
1:2s•i..io-1SO%'~
-.ts~% .io·'1.~~W ~.:
-t76%:to:2oo%· ;~
Nt!n1her.·of·Fa!f1illos .....
It
l-o-1"'0.--::0:-:-th:-e-.r-C:::-:-h-ar-a-c-:-te-rl-;-s-,t"'lc_s_·----------:;N-;:u-m=be=-r-=-or"·;:;p-:-ers=-=o:-:n:-:s-;-.--i_ _ __ . _____ . -.. _~ :tjTo~JI-.• .q 0 __ . . I
Yes No Total" H15. Housmg .. . ;Number.of.'Famtlies ~·.
a. Health Insurance I I I 0 .a. 0wii ·
2o~%:anch;ver''""'" ·
b. Disabled I I I 0 '!i ;Rent
.11. :F.amny:r;ype _ _ Ntimber'off'iunllles-c . -.c. · t:io~!'!less
al •Singie•P.arenVF.emale· -1 d; 'Other. ·•.::t_o_tai 0 -~-.Sing!~ PCJreiivt ... far~
cc <rw.O:iPar.eiit'f.lousehoJiJ:
. g~ '§ingJe•Rf®~
e, -'1T.wo Aaul\i!--'No;Ctilldrnn,
·:f. -eth·.er
·• • ! . . ·,b. MiJfra.hi'f.i[rffiw~o'~!J:r,-
;I 1·\~~~ · -~~6 .t~i:a.ml!f._;c:_li~.-r<J-.c~rlstiC$-JNirmbar:of:F,ammes-::r •
• ,c.· SeasonallF.iumworlter.
"?tot.B! o 'd. -·'llet~~n -· -· --
1. -... --.... -e: i?-dive-Miiita,Y,_· ______ L ________ ~
·The sum ·In this category should not'i•xceed•thc vahie o(Sci:tlon'·2.
r·;-.;, :r'he,9umJn•ihtsicatl}9!:1._ry·sliould·ncit'exi:eod'tho'.vali:io.or.socuori:;;o:.~~.
••• The sum Iii this categoiY should not:oxceed,iho vaiue·of,Soction 4 .
. ,~-·. :rlle sum,fnithls-c:ategory•'shotild bo,greatiir than oqXjtiarto Section :i:i:a. . .
••••• Roml_nder, SeptemberJO, 2010 was•th~:c'utoff date forriliiortlng CSBG,clicniS;sorved,up to,200%-ol,thcFCderaiPoverty Guidelines.
Item 9.a. - Page 36
COMMUNITY DEVELOPMENT BLOCK GRANT {CDBG) PROGRAM
APPLICATION FOR THE 2013 PROGRAM YEAR
• 'i~J.:.'I'';'.!I~~r!-'1''1.'': ··io·~"!"·.·~~...:.;.l..~··::. "'""'' 1.•1:..~;.•.":':.::-. ~··::.··•-.·r..-:·:.~o~ •:.· .. ·.· ••''•' :~·-~~~.'!1 1 ">• ... :: • .:-l·,;•Jr: !i' •·•·· :•·: •;••. • :· .:• · ,; t' •'·· : :~: ,:. <'!. • ' •'•··~ •.. :-• • • ·,.
SAN LUIS OBISPO COUNTY DEPARTMENT OF PLANNING AND BUILDING
976 0SOS STREET • ROOM 200 • SAN LUIS OBISPO • CALIFORNIA 93408· • (805) 781-.5600;
Promoting the Wise Use of Land • Helping to Build Great Communities
Organization Name: Big Brothers Big Sisters of San Luis Obispo County
CONTACT INFORMATION
1. Name and mailing address of applicant organization, with contact person, phone and fax
numbe~, and ~m~il address:
Big Brothers Big Sisters of San Luis Obispo County
PO Box 12644, San Luis Obispo, CA 93406
142 Cross Street, Suite 140, Sao Luis Obispo, CA 93401
Contact: Anna Boyd Bucy, Executive Director
Phone: 805-781-3226
Fax: 805-781-3029
e-mail: anna@slobigs.org
Is the organization a Faith Based Organization? YesD
Organization's DUNS number: 948214333 ·
No [g)
Is your agency currently participating in HMIS? No. We are not a homeless service provider.
PROJECT DESCRIPTION
2. Title/name/address of proposed project or program:
Youth Mentoring
Big Brothers Big Sisters of San Luis Obispo County
POBox 12644
San Luis Obispo, CA 93406
3. Please describe the proposed project or program. In one or two short paragraphs, include a brief
project/program description, the groups who will benefit and an explanation of how they will benefit
from the proposed project or program. For projects, describe the location of the project (be as specific
as possible, e.g. street address). For programs, state the location from which the program will be
operated and/or describe the geographic area served by the program. Also, please include a schedule of
project/program milestones.
Big Brothers Big Sisters of San Luis Obispo County is a donor and volunteer supported organization proven
to help vulnerable children of single, low-income and/or incarcerated parents succeed. Every dollar we
raise goes directly to serving youth in San Luis Obispo County. Each dollar contributed by an individual
city supports children in that city .
. _.__~_. ..... -,.,:~_,...._ -·-· --. .-.............. ; . .;-, ~-·-··.·..: ·• -· ... ~·-....... , ···•.•,•, .. . ... .
COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) PROGRAM
APPLICATION FOR FUNDING DURING 2013 PROGRAM YEAR
SAN LUIS OBISPO COUNTY PLANNIN_G & BUILDING
PAGE 1 OF6
AUGUST23, 2012
SLOPLANNING.ORG
Item 9.a. - Page 37
Our youth mentoring programs create strong and enduring relationships by connecting vulnerable local
youth with volunteer adult friends. Volunteers are thoroughly screened and professionaJJy trained in order
to Insure child safety. Matches spend 6-8 hours a month maximizing the opportunities offered by shared
interests and compatible personalities. Volunteers enrich children's lives by modeling healthy choices and
providing connection with their community. Our professional staff provides individualized case
management to each match and hosts educational and enriching group activities for all participants. The
agency conducts regular baseline and follow up surveys to ensure long term positive results.
4. Will the services offered by your organization incre.asc or expand as a result of the CDBG
assistance? If yes, please answer the following questions:
a. What new programs and/or services will be provided?
CDBG funding will allow us to continue, rather than cutting services to families and our emphasis on bi-
monthly program activities for participating children.
b. Describe how existing programs and/or services will be expanded and what percentage of an
increase is expected?
We estimate 0 to 5% increase in the number of children served in the cities that provide CDBG funds. Our
caseworkers are currently operating at capacity and we are no longer enrolling children without additional
funding.
5. Check any of the (ollowing eligible activity categories that apply" to the proposed project or
program: (Refer to CDBG regulations and the Guide to Eli2ible CDBG Activities).
_x_ Public services
6. Describe the need and the degree of urgency for the proposed projecfor program.
What would be the consequences if the proposed project or program is not funded in
the next year?
According to a 2008 Tribune report, a full 34% of SLO County children are growing up below the poverty
line. United Way's Common Good Forecaster repons that "Poveny and low levels of education reinforce
one another." "Children in poverty face greater barriers to high school completion, and are significantly less
likely to enter and to graduate from college than middle class children." It also reports that an adult without
a high school diploma is twice as likely to be living in poverty as one who has graduated high school, and 7
times more likely than one who has graduated college.
Our youth mentoring programs seek to break this cycle. The majority of children in our program come from
low-income; single parent homes, often minus an incarcerated parent -the very children most at risk. We
must reduce services for clients residing in cities that do not provide funding. If funding for mentors is not
. available, many of these children \Viii require other more expensive social services in the coming years.
The University of Colorado Center for the Study and Prevention of Violence found Big Brothers Big S!sters
mentoring programs to be "one of only ~I outstanding violence and drug prevention programs that meet a
~--~_....;.-:::::-:-==ac;::-:=-=:-----=·· --· ~~-:_ .... _.:;.... ~~-o;-~x:-=..::t>o::: __ --__ _..._ __ -.=;:-__ .:::::•...:;;..__-= :::=------=:-~--~.=.: -t:=w---=="'l!~-J
COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG). PROGRAM PAGE 2 OF 6
APPLICATION FOR THE 2013 PROGRAM YEAR AUGUST 23,2012
SAN LUIS OBISPO COUNTY PlANNING & BUILDING SLOPLANNING.ORG
Item 9.a. - Page 38
high scientific standard of effectiveness." ln conjunction, Washington State Institute for Public Policy has
provided credible evidence that "for each dollar spent on Big Brothers Big Sisters "research-based"
prevention programs for youth, more than a dollar's worth of benefits will be generated in the realm of drug
and crime reduction and educational advancement."
7. Please describe the specific organizational method used to implement the proposed
project or program (single or m·ultiplc group, public agency, non-profit, for-profit,
experience in operating similar programs, etc.):
Big Brothers Big Sisters of San Luis Obispo County uses· the Brand New Thinking Service Delivery lvfodel
provided to us by Big Brothers Big Sisters of America. This model streamlines all of our paperwork,
interview process, training, and bac_kground screening processes so that volunteers and cli~nts are served in
the most efficient and cost effective manner possible, and children and families benefit from the services we
provide,
Our agency has won top 2% awards fTom our national organization for outstanding service in 2000, 2006,
2008, and 2009. Since opening for service in 1995, we have created more than 1,500 mentor relationships.
In 2011, we served over 350 children in San Luis Obispo County.
8. Does the project require the issuance of a permit (from local, state or federal agencies)?
· Yes 0 No [gj
NATIONAL OBJECTIVES CRITERIA
9. Does the proposed project or activity meet one of the three_national objectives of the
CDBG program? Please check one of the objectives below that applies to the
proposal, and explain how the project or activity meets that national objective.
a. X Benefits low-and moderate-income persons as defined by the U.S. Department of
Housing and Urban Development (HUD).
[g] Low/Moderate-Income Limited Clientele -The project benefits a specific group of people
(rather than all areas 'in a particular area), at least 51% of whom are low/moderate-income persons;.
Note: Income verification for clients must be provided for this category. The following groups are
presumed to be low/moderate-income: abused children; elderly persons; battered spouses; homeless
persons; adults meeting census definition of severely disabled; persons living with AlDS; and
migrant farm workers
Explain: The vast majority of children in our program come from low to
moderate income families, often living with single parents or grandparents, and
sometimes abused and/or minus an incarcerated parent.
.:_~--=-:-:..:....o::;~ ::...c __ -==--._=-;:.::::-~~>r:;....-...=;;,;~.;:,. ---_ _, ~-=-~:;.::.=.---: --
COMMUNITY DEVELOPMENT BLOCK GRANT (COBG) PROGRAM
APPLICATION FOR THE 2013 PROGRAM YEAR'
SAN LUIS OBISPO COUNTY PLANNING & BUILDING
PAGE 30F6
AUGUST 23, 2012
SLOPLANNING.ORG
Item 9.a. - Page 39
tO. If the project or program is designed to meet the national objective of providing benefit to low-
and moderate-income persons~ please estimate the number of unduplicated number of persons (or
households) to benefit from the project and break that estimate down by ~come group
(unduplicated means the number who are served, i.e., the grant will allow 25 children to
participate in preschool-not 25 children x 5 days x 52 weeks = 6,500).
a. Total number of persons or households who will benefit from the project or
program (regardless of income group):
approximately 190 Persons/households (circle the applicable unit)
. .
b. Of the total number of persons or households entered above, how many will be
low-income (earning 51% -80% or less of the County median-income)?
_ __.3-..-0...__ Persons/households (circle the applicable unit)
.c. Of the total number of persons or households entered above, how many will be
~low-income (earning 50% or less of the County median-income)?
100 Persons/households (circle the applicable unit)
11. Who are the clients of your organization? (Example: low-to moderate-income persons, elderly
persons, severely disabled persons, migrant farm workers, battered spouses, etc.)
Big Brothers Big Sisters of San Luis Obispo County provides mentors to children between the ages of 6 and
16 who live within the county of San Luis Obispo. Many of the children in our program come from low to
very low income single parent homes, often minus an incarcerated parent.
12. How will the clients benefit from this project?
A Public-Private Ventures study found that children enrolled in our program are more likely than their peers
to perform better in school, behave non-violently, avoid illegal drugs and alcohol and have stronger family
relationships. And, a study conducted for Big Brothers Big Sisters by Harris Interactive finds that adults
who were involved as children in our program are better educated, wealthier, and report strong relationships
with their spouses, children and friends.
13. If your project serves homeless households, please describe bow your program coordinates with
other continuum of care projects and entities and bow it aligns with the San Luis Obispo
Countywide 10-Year Plan to Homelessness.
We work to insure that our clients are in a permanent placement living situation before providing them with
a long term mentor.
---~""·-... '-----::...o...--..•,,., .. ,:o ·~·-· -•··-• •• : '.J' .,..;, • .•. ·· or~----L--------.... •·-•··· .•. -· ...... · · · \•_,a._,,_,, .. -·-... -· ••.•• • -· • . •• •~ .•••. ._., ... _ -·'-· ·• ····--• • • .. ••. , ... · •1 :..J..·.~t..·-·-:...·-··· ....• ~ ··• ..•.•
COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) PROGRAM
APPLICATION FOR THE 2013 PROGRAM YEAR
SAN LUIS OBISPO COUNTY PLANNING & BUILDING
PAGE40F6
AUGUST 23, 2012
SLOPLANNING.O.RG
Item 9.a. - Page 40
BENEFICIARY DATA
14. How do you collect demographic data on the beneficiaries of the proposed project or program?
(Example: racialfethnic characteristics)
NOTE: You are required to provide beneficiary data at the end of each quarter and year end
data of the f"IScal year.
Race, ethnicity, address, household size and income are all collected during the application process.
15. How do you document and maintain income status of each client in compliance with HUD
regulations? (Example: very low, low-and moderate-income)
. .
The raw numbers are entered into our database and compared with the annual categories released each year.
16. Provide the following information for the person(s) in your organization responsible for the
preparation and submittal of the quarterly reports and for collecting and reporting the
beneficiary data to the Urban County.
Contact person/title: Anna Boyd-Bucy, Executive Director
Phone number: 805-781-3226 x 17
E-mail address: anna@slobigs.org
FINANCIAL INFORMATION
For CDBG applications to the County of Sao Luis Obispo involving acquisition, construction or
rehabilitation projects please provide the required additional budget information on BUDGET
FORM A and BUDGET FORM B attached to the back of this application.
17. Total amount of CDBG funds requested: $=2=0=0-=-0=0 ____________ _
Please identify the jurisdiction(s) to which you are applying (see Note below):
Arroyo Grande, Atascadero, Paso Robles and Morro Bay
If you are requesting CDBG funds from more than one jurisdiction, please break down the
amount shown above by the jurisdiction listed below.
City of Arroyo Grande: ~000 City of Paso Robles: ~000
City of Atascadero: ~000 City of San Luis Obispo:
City of Morro Bay: ~000 County of San Lui~ Obispo:-------
NOTE: If you are applying to one or more cities, please provide a copy of the application to the County
by the application deadline.
-· ••""• ...... ;u;:;..;,_:.;_._., .. .._... a•.;;.·.• ··~-· •• •M•• .. 1--··-· """''"'~··~· .. • '•·•• , ,, ,... , ,, . , • ...... ,ol:~._._. _.,.
COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) PROGRAM
APPLICATION FOR THE 2013 PROGRAM YEAR
SAN LUIS OBISPO COUNTY PLANNING & BUILDING
···-····---·--'-•"'". ····---·~··· 0 ,. ···-· -'··-·~-·····••r.-.. .+..--0--·'--"'-· •••.
PAGE 50F6
AUGUST 23, 2012
SLOPLANNING.ORG
Item 9.a. - Page 41
18. Please describe the budget for the proposed project or program. Itemize all sources of funding
expected to be available and used for this project
a. Revenues:
1. CDBG Funds requested $20.000
2. Other Federal fund(s) (please describe below) $. _____ _
3. State source(s) (please describe below) $ ------
4. Local source(s) (please describe below) $12.000
5. Other funds (please describe below) $282.000
Total Revenues $314.000
b. Expenditures: List below by item or cost category.
County ofSLO-CBO
City of SLO-GIA
Special Events
Individual, Corporate and Foundation
$ 8,000
$ 4,000
$ 100,000
$ 182,000
19. How do yoll plan to fund the operation and maintenance costs (if any) associated with this
project? A.re these funds available now? If not, when will they be available? And from what
source(s)?
This program is funded through multiple sources. Funds become available throughout the course of the year
and are spent as needed.
20. Will CDBG funds be used to match/leverage other funds? List below funding sources and
amounts and identify award dates of these sources.
Our board members have agreed to match any support provided by CDBG funding. Those funds, combined
with the cities funds will go toward services for children and families_ residing in the cities that provide
.funding.
I certify that the information in this application is true and accurate to the best of my knowledge and ability.
rllTLe
Signature
I 0/3/12
Date
Anna Bovd-Bucv Executive Director
Printed or typeq name Title
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COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) PROGRAM
APPLICATION FOR THE 2013 PROGRAM YEAR
SAN lUIS OBISPO COUNTY PLANNING·& BUILDING
PAGE 6 OF 6
AUGUST 23, 2012
SLOPLANNING.ORG
Item 9.a. - Page 42
COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) PROGRAt\11
APPLICATION FOR THE 2013 PROGRAM YEAR
SAN LUIS OBISPO COUNTY DEPARTMENT OF PLANNING AND BUILDING
976 0SOS STREET • ROOM 200 • SAN LUIS OBISPO • CALIFORNIA 93408 •, (805) 781-5600
Promoting the Wise Use of Land • Helping to Build Great Communities
Organization Name: TRANSITIONAL FOOD AND SHELTER, INC.
(Attach additional sheets if necessary)
To be considered for CDBG assistance, please submit this completed application with any exhibits, budgets
or beneficiary data as needed. PLEASE READ ALL INFORMATION IN THE APPLICATION.
Applications can be mailed to one of the participating jurisdictions listed in this application or to: Tony
Navarro, Planner lii, Department of Planning and Building, 976 Osos Street, Room 300', San Luis Obispo,
CA., 93408 or hand delivered to Tony Navarro at 1035 Palm Street, Room 370, San "Luis Obispo, CA.,
faxed to (805) 781-5624, or e-mailed to tnavarro@co.slo.ca.us. The application deadline is 5:00 P.M.,
Friday, October 12, 2012. Applications must be received by the County or one of the participating cities
(Arroyo Grande, Atascadero, Morro Bay, Paso Robles, San Luis Obispo) prior to close of the business day.
POSTMARKED DATED MAIL RECEIVED AFTER THE DEADLINE WILL NOT BE
ACCEPTED.
NOTE:
(1) Please review the CDBG regulations and guidelines and the Request for Proposals before
completing this proposal. The CDBG regulations, under 24 CFR 570, are available at
www.sloplanning.org under "Federal I-IUD Grants."
(2) HMIS Reporting for 2013 homeless services, housing and shelter-All homeless service
providers applying for CDBG funds to assist, house or shelter the homeless must identify and
demonstrate its capacity to participate in the County of San Luis Obispo Homeless Management
Infonnation System (HMIS) to provide: personnel for data entry, user licensing, and hardware and
software necessary for compatibility with HMIS. HMJS is an electronic data collection system that
stores client level information about persons who access the homeless services system in a
Continuum of Care, and reports aggregate data for the County as per the U.S. Department of
Housing and Urban Development's Data Standards found in
http://www.hudhre.info/documents/FinalHMISDataStandards March20 1 O.pdf.
(3) The project/progran1 proposal to the County of San Luis Obispo shall be exan1ined in relation to the
County's community development goals and funding priorities as presented in the Urban County of
San Luis Obispo 2010-2015 Consolidated Plan (ConPlan). The ConPlan is available at
www.sloplanning.org. The County of San Luis Obispo Department of Planning and Building
(Planning) considers the criteria stated in the 2013 Request for Proposals as one of many tools to
help make funding recommendations to the Board of Supervisors. Planning will use other
information and sources including but are not limited to: the County Board of ~upervisors,
recommendations from the Homeless Services Oversight Council, other participating jurisdictions of
the Urban County of San Luis Obispo, identified needs that could be addressed by the grant funds,
consistency with goals and priorities in the 2010 Consolidated Plan and the Ten Year Plan to End
I-Iomelessness, results of the Needs Workshops, working knowledge of the project and/or
COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) PROGRAM
APPLICATION FOR FUNDING DURING 2013 PROGRAM YEAR
SAN LUIS OBISPO COUNTY PLANNING & BUILDING
PAGE 1 OF 16
AUGUST 23, 2012
SLOPLANNING.ORG
Item 9.a. - Page 43
organization by Planning, and availability of limited fund, to help with the funding
recommendations.
Please call County and/or city CDBG staff with any questions about how to complete the form or about the
rating criteria and process.
If the infonnation for any of the questions below requires more room to provide a complete explanation of
your proposed project or program, please attach additional sheets.
CONTACT INFORMATION
1. Name and mailing address of applicant organization, with contact person, phone and fax
numbers, and e-mail address:
Name: TRANSITIONAL FOOD AND SHELTER, INC.
Address (mailing and physical address requested if different): 3770 N. River Rd., Paso Robles, CA 93446
Contact person/title Pearl Munak, President
Phone: 805 238-7056
Fa.x:
E-mail address: pearltrans@aol.com
Is the organization a Faith Based Organization? YesD No xD
Organization's DUNS number: 020043385 ____________ _
If you arc awarded CDBC funds or your proposal involves economic development, i.e., directly benefit a business, private
property owner, business, involves fa~adc improvements, provide technical assistance to a new or existing business, job
creation, loan guarantee, the beneficiary must obtain a Dun and Bradstect (DUNS) number that must be reported to
HUD. Please contact Tony Navarro, (805) 781-5787, tnavarro@slo.co.ca.us for information on how to obtain a DUNS
number prior to incurring and obligating the federal_ funds.
Is your agency currently participating in HMIS? No, but we will be by the beginning of the next fiscal year.
If not, does· your agency have the capacity to participate in HMIS? If yes, how so?
Yes, through an agreement with CAPSLO to provide HMIS reporting for all TFS clients, starting in June.
COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) PROGRAM
APPLICATION FOR THE 2013 PROGRAM YEAR
SAN LUIS OBISPO COUNTY PLANNING & BUILDING
PAGE 2 OF 16
AUGUST 23, 2012
SLOPLANNING.ORG
Item 9.a. - Page 44
PROJECT DESCRIPTION
2. Title/name/address of proposed project or program:
24-hr./day Temporary, Emergency Shelter for Medically Fragile Homeless The office. address is
3770 N. River Rd., Paso Robles, CA 93446.
3.Piease describe the proposed project or program. In one or ·two short paragraphs, include a brief
project/program description, the groups who will benefit and an explanation of how they will
benefit from the proposed project or program. For projects, describe the location of the project
(be as specific as possible, e.g. street address). For programs, state the location from which the
program will be operated and/or describe the geographic area served by the program. Also,
please include a schedule of project/program milestones.
The group to be served is Medically Fragile Homeless, those too ill, injured or disabled to be in an
overnjght homeless shelter and out all day, requiring 24-hr./day shelter for rest because ·of their medical
condition. They will benefit by receiving 24-hr./day shelter, keeping their medical condition from getting
worse due to lack of shelter, and by receiving casework leading to self-support. Casework will be provided
by agreement with other agencies, with the assistance of volunteers. Thjs program has been ongoing for 14
years, serving the medically fragile exclusively for over 10 years. The program is countywide, serving all
areas of the county. Clients will be sheltered in apartments rented by the program from a private landlord at
5455 El Camino Real, Atascadero, and by use of motel vouchers countywide. Other apartments may be
rented elsewhere. Clients are accepted only by referral from a hospital, medical facility or social service
agency, and with a letter from a doctor. If the client will be able to get well, he and his immediate family
will be sheltered for the length of time specified by the doctor as being required for 24-hr./day shelter for hjs
healing. After that time, the client will be discharged to an overnight shelter. If the client will never get
well, and is totally and pennanently disabled or terminal, he will be given casework with the aim of getting
into permanent or transitional housing, and increasing his income if required in order to get into such
housing. Occasionally clients die in the progran1 before becoming housed, if they are tennjnal and expected
to die within 6 months when they are referred, or if some unexpected medical event occurs. This has been
·the continuing method of operation of this program.
Last year we served 301 unduplicated individuals, 95 from Paso Robles, 51 from Atascadero, and 155 ·
from the rest of the county. Of these, 63 were children in a household where the child or an adult was
medically fragile (disabled). We served these persons for 5,341 shelter nights. A shelter rught is one adult
or one child sheltered for one night. CDBG funds received from Paso Robles have been used to serve North
County clients, but have not exceeded the funds needed for Paso .Robles clients alone. Funds received from
Arroyo Grande have been used for clients from South County, but have not exceeded funds needed to serve
Arroyo Grande clients alone. Any funds received from Atascadero will be used for Atascadero clients alone.
Any funds received from Morro Bay will be used to serve Central Coast area clients, with ·emphasis on
Morro Bay clients.
All of the temporarily disabled were discharged when they got well, and all of the permanently disabled
were discharged when they got housing, except for one, who died. In 2013, we hope to serve more clients
because we expect to have casework for our clients from CAPSLO, financed by ESG funds, starting in the
coming fiscal year, and this may increase turnover beyond the turnover last year when we used volunteer
caseworkers primarily. With greater h1rnover, we can serve more clients in the same space.
4. Will the services offered by your organization increase or expand as a result of the CDBG
assistance? If yes, please answer the following questions:
COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) PROGRAM
APPLICATION FOR THE 2013 PROGRAM YEAR
SAN LUIS OBISPO COUNTY PLANNING & BUILDING
PAGE 3 OF 16
AUGUST 23, 2012
SLOPLANNING.ORG
Item 9.a. - Page 45
a.What new programs and/or services will be provided? We have been providing these services to
medically fragile homeless on an ongoing basis for over I 0 years, with the assistance of CDBG, so this is
not a new program or new service.
b .. Describe how existing programs and/or services will be expanded and what percentage of an
increase is expected?
Yes. We can serve 100-200 persons with this grant, and will have to deny services to that many without it.
5. Check any of the following eligible activity categories that apply to the proposed project or
program: (Refer to CDBG regulations and the Guide to Eligible CDBG Activities).
Acquisition of real property*
Disposition of real property
Public facilities and improvements (may include acquisition, cons_truction,
reconstruction, rehabilitation or installation)* and/or** ·
Privately owned utilities
Clearance and remediation activities**
X Public services
Interim assistance
Relocation of individuals, families, businesses, non-profit organizations, and/or farms
Loss of rental income
Removal of architectural barriers
Housing rehabilitation**
New housing construction (under limited circumstances)
Homeownership assistance
Housing services
Code enforcement
Historic preservation**
Commercial or industrial rehabilitation**
Special economic development
COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) PROGRAM
APPLICATION FOR THE 2013 PROGRAM YEAR
SAN LUIS OBISPO COUNTY PLANNING & BUILDING
PAGE 4 OF 16
AUGUST 23, 2012
SLOPLANNING.ORG
Item 9.a. - Page 46
Technical assistance and planning studies
*Relocation: Any project that involves the'acquisition of property and/or rehabilitation and is funded in
whole or in part with federal funds, even if the federal funds are not used for the acquisition itself, is subject
to federal requirements connected to acquisition and relocation. A project cannot be broken into separate
"projects" in order to avoid the federal requirements connected with property acquisition and relocation.
Any questions concerning whether the relocation regulations apply to a specific property acquisition project
should be directed to the Community Development Division staff before any action is taken on the project.
IfHUD funded project will cause a household or a business to move, evenly temporarily, the relocation
regulations will apply.
Along with application submit:
• Estimate of relocation cost (moving costs, subsidy amount for suitable replacement dwelling)
• Letter to owner or voluntary acquisition, plus proof of delivery to owner.
• General Information letter to tenants (both business and residential tenants), plus proof of delivery to
all).
• List of tenants (both business and residential tenants) at the time of application submittal.
• Refer to SLO Col website for sample relocation letters.
**Lead based paint/asbestos: IfHUD funded project involves acquisition or rehabilitation of a residential
units that was built in 1978 or earlier, then Lead-Based paint regulations will apply.
• Along with application submit an estimate of costs for LBP work, provided by certified LBP
consultant. Or statement by LBP consultant explaining that project is exempt.
• Include any temporary housing costs.
6. Describe the need and the degree of urgency for the proposed project or program.
What would be the consequences if the proposed project or program is not funded in
the next year?
Approximately 100 medically fragile homeless will not be served. This is the 113 of the
program that now depends on CDBG, as we now serve over 300 individuals per year .. Hospitals
will not be able to discharge patients because they cannot make an adequate discharge plan.
Discharge plans made may prove to be inadequate if the grant is not funded, resulting in
deterioration of the patient's condition and re-hospitalization. At-Risk Pregnancies (mother needs
bed rest to carry child to term) may not result in a live birth. Cancer patients will be unable to
begin or complete chemotherapy, because it will make them weak and they will collapse in public
and be taken to ERin an ambulance. Because they do not complete chemotherapy, cancer patients
will die. Lower limb injuries will not heal, resulting in re-hospitalizations, as patient will not be
able to follow doctor's orders to stay off the leg and elevate it. Emphysema patients and other
. patients with degenerative diseases will get worse and be re-hospitalized ·and may die in some
instances. Post-operative patients and accidental injuries will not heal properly, may be re-
hospitalized. Ill persons may be preyed upon and victimized by criminals if they are outdoors,
especially if unconscious or weak. Without casework, homeless persons who are chronically ill
will not be able to get into subsidized housing and may not be able to maximize income to get
COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) PROGRAM
APPLICATION FOR THE 2013 PROGRAMYEAR
SAN LUIS OBISPO COUNTY PLANNING & BUILDING
PAGE 5 OF 16
AUGUST 23, 2012
SLOPLANNING.ORG
Item 9.a. - Page 47
mammum income to get into subsidized ho.using, can't become self-supporting. Post-operative
patients may not heal properly or on time, may be re-hospitalized. Contagious conditions will not
be isolated, endangering the community, and will be refused mass shelter. ·Potential clients will be
refused for lack of resources to shelter them, and will suffer pain and unnecessary setbacks in
their medical conditions. Some will die.
7. Please describe the specific organizational method used to implement the proposed
project or program (single or multiple group, public agency, non-profit, for-profit,
experience in operating similar programs, etc.):
We arc a 501 c 3 nonprofit. We have been operating this program for 14 years, over 10
years serving medically fragile exclusively.
8.Does the project require the issuance of a permit (from local, state or federal agencies)?
Yes 0 No xO
a. If yes, please identify the pennits necessary to complete the project.
b. Have the necessary permits been issued? Please provide proof of pem1it issuance.
· c. If permits are required but not yet obtained, when will the permits be issued?
NATIONAL OBJECTIVES CRITERIA
9. Does the proposed project or activity meet one of the three national objectives of the
CDBG program? Please check one of the objectives below that applies to the
proposal, and explain how the project or activity meets that national objective.
a. _X_ Benefits low-and moderate-income persons as defined by the U.S. Department of
Housing and Urban Development (HUD).
Select one:
0 Low/Moderate-Income Area Benefit-The project serves only a limited area which is proven
by 2000 Census data or survey to be a predominately (51% or more) low/moderate-income area.
Applicants choosing this category must be able to prove their project/activity primarily benefits
low/moderate-income households.
XO Low/Moderate-Income Limited Clientele -The project benefits a specific group of ·people
(rather than all areas in a particular area), at least 51% of whom are low/moderate-income persons;.
Note: [ncome verification for clients must be provided for this category. The following groups are
presumed to be low/moderate-income: abused children; elderly persons; battered spouses; homeless
persons; adults. meeting census definition of severely disabled; persons living with AIDS; and
migrant fann workers
0 Low/Moderate-Income Housing -The project adds or improves permanent residential
structures that will be/are occupied by low/moderate-income households upon completion.
COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) PROGRAM
APPLICATION FOR THE 2013 PROGRAM YEAR
SAN LUIS OBISPO COUNTY PLANNING & BUILDING
PAGE 6 OF 16
AUGUST 23, 2012
SLOPLANNING.ORG
Item 9.a. - Page 48
D Low!Moderate-Income Jobs -The project creates or retains permanents jobs', at least 51% of
which are taken by low/moderate-income persons or considered to be available to low/moderate-. ' mcome persons.
Explain: It benefits the homeless exclusively. All clients are very low-income.
NOTE: To meet this national objective, the proposed activity must benefit a specific
clientele or residents in a particular area of the County or participating city, at least 51
percent of who are low-and moderate-income persons.
b. ___ Aids in the prevention or elimination of slums or blight.
Explain:
Select one:
D Addressing Slums or Blight on an Area Basis -
D Addressing Slums or Blight on a Spot Basis -This project will prevent or eliminate specific
conditions of blight or physical decay. Activities are limited to clearance, historic preservation,
rehabilitation of buildings, but only to the extent necessary to eliminate conditions detrimental to
public health and safety.
Is the project located in a Redevelopment Area? Yes D No D
If yes, attach a map of the area with the site highlighted, and provide the Redevelopment Project
Area (excerpts accepted) which documents the existence of slum/blight. Also, document the specific
redevelopment objectives pertaining to the proposed project.
NOTE: To meet this national objective, the proposed activity must be within a designated
slum or blighfed area and must be designed to address one or more conditions that
contributed to the deterioration of the area.
c. ___ Meets community development needs having a particular urgency where existing conditions
pose a serious and immediate threat to the health or welfare of the community, and no other f1.mding
sources are available, i.e., a major catastrophe such as a flood or earthquake.
Explain:
COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) PROGRAM
APPLICATION FOR THE 2013 PROGRAM YEAR
SAN LUIS OBISPO COUNTY PLANNING & BUILDING
PAGE 7 OF 16
AUGUST 23, 2012
SLOPLANNING.ORG
Item 9.a. - Page 49
NOTE: To meet this national objective, the proposed activity must deal with major
catastrophes or emergencies such as floods or earthquakes.
10. If the project or program is designed to meet the national objective of providing benefit to low-
and moderate-income persons, please estimate the number of unduplicatcd number of persons (or
households) to benefit from the project and break that estimate down by income group
(unduplicatcd means the number who arc served, i.e., the grant will allow 25 children to
participate in preschool-not 25 children x 5 days x 52 weeks = 6,500).
a. Total number of persons or households who will benefit from· the project or
program (regardless of income group):
300 __ Persons
b. Of the total number of persons or households entered above, how many will be
low-income (earning 51%-80% or less ofthe County median-income)?
300 Persons ---
c. Of the total number of persons or households entered above, how many will be
very low-income (earning 50% or less of the County median-income)?
300 Persons ---
11. Who arc the clients of your organization? (Example: low-to moderate-income persons, elderly
persons, severely disabled persons, migrant farm workers, battered spouses, etc.)
Medically Fragile Homeless in San Luis Obispo County.
12.How will the clients benefit from this project?
They will receive shelter 24-hrs./day to keep their medical condition from getting worse due to
lack of adequate shelter, as long as required by their medical condition. Their medical conditions will
not get worse because of lack of shelter. Those who cannot recover will be assisted into housing. They
will receive casework as needed.
13.lf your project serves homeless households, please describe how your program coordinates with
other continuum of care projects and entities and how it aligns with the San Luis Obispo Countywide
10-Y car Plan to Homclcssncss.
We arc the only agency serving medically fragile homeless needing 24-hr./day shelter. We serve
only those homeless households containing at least one medically fragile individual, that is, one
with a serious medical condition which will be made worse unnecessarily without 24-hr. shelter,
and who is, therefore, unsuitable for an overnight shelter. Other agencies operating a shelter or
othcnvisc scn'ing the homeless refer clients to us. When a client is well enough to be in an
overnight shelter, we terminate him from our program. We coordinate with other agencies
providing casework and ask them to provide casework to our cli~nts if possible. If it is not
possible, we usc volunteers to provide casework. We coordinate individually with other agencies
· providing scn'iccs to our clients and attend regular meetings to coordinate with other agencies
COMMUNITY DEVELOPMENT BLOCK GRANT (COBG) PROGRAM
APPLICATION FOR THE 2013 PROGRAM YEAR
SAN LUIS OBISPO COUNTY PLANNING & BUILDING
PAGE 8 OF 16
AUGUST 23, 2012
SLOPLANNING.ORG
Item 9.a. - Page 50
regarding clients and policy. We provide a service to other agencies to help their clients by
providing our services. We coordinate with HASLO and PSHHC and with <;::APSLO and
Transitions regarding their housing opportunities for our clients, and move many permanently
disabled homeless persons into housing.
BENEFICIARY DATA
14.How do you collect demographic data on the beneficiaries of the proposed project or program?
(Example: racial/ethnic characteristics)
NOTE: You are required to provide beneficiary data at the end of each quarter and year end
data of the fiscal year.
The referring agency provides demographic data about the client on the application and faxes
it to us. We keep statistics on racial and ethnic characteristics, adults and children, male and
female clients, and city of most recent residence.
15. How do you document and maintain income status of each client in compliance with HUD
regulations? (Example: very low, low-and moderate-income)
The referring agency verifies income and provides the initial information. Any changes are noted
in casework and in work of resident manager. All clients are homeless. Any client who begins to
receive enough income to pay low rent or get into subsidized housing is required to take immediate
steps to secure housing as soon as practicable. Even the latter are very low-income.
16.Provide the following information for the person(s) in your organization responsible for the
preparation and submittal of the quarterly reports and for collecting and reporting the b~eneficiary
data to the Urban County.
Contact person/title: Kevin Mikelonis, Vice-President
Phone number: 805 275-2308
E-mail address: kmikelonis@processdsg.com
FINANCIAL INFORMATION
For CDBG applications to the County of San Luis Obispo involving acquisition, construction or
rehabilitation projects please provide the required additional budget information on BUDGET
FORM A and BUDGET FORM B attached to the back of this application.
17.Total amount of CDBG funds requested: $26,000.00 _______________ _
Please identify the jurisdiction(s) to which you are applying (see Note below):
Paso Robles, Atascadero, city of San Luis Obispo, County of San Luis Obispo, City of Morro Bay
If you are requesting CDBG funds from more than one jurisdiction, please break down the
amount shown above by the jurisdiction listed below.
COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) PROGRAM
APPLICATION FOR THE 2013 PROGRAM YEAR
SAN LUIS OBISPO COUNTY PLANNING & BUILDING
PAGE 90F 16
AUGUST 23, 2012
SLOPLANNING.ORG
Item 9.a. - Page 51
City of Arroyo Grande: _3,000 CityofPaso Robles: _$17,000 ____ _
City of Atascadero: _ 3,000 City of San Luis Obispo: __ I ,000 ___ _
City of Morro Bay: _1,000 County of San Luis Obispo: __ 1,000 ____ _
NOTE: If you are applying to one or more cities, please provide a copy of the application to the County
by the applicat~on deadline.
18.Piease describe the budget for the· proposed project or program. Itemize all so~rces of funding
expected to be available and used for this project
a. Revenues:
1. CDBG Funds requested
2. Other Federal fund(s) (please describe below)
3. State source(s) (please describe below)
4. Local source(s) (please describe below)
5. Other funds (please describe below)
Total Revenues
Local sources:
Donations and fund-raising
United Way Community Impact Fund
Women's Legacy Fund (SLOCCF)
CBO!PHG
County Coalition for Homeless (GFS)
Total
$22,520
5,000
4,000
20,000
7,897
b. Expenditures: List below by item or cost category.
Rent for 5 apts. in Atascadero for client shelter 3 7,680
Apt. and motel Maintenance (client damage) 500
Motel vouchers for client shelter 30,000
Cleaning service (when client leaves apt.) 500
Insurance ~,750
Telecommunications 1,200
Marketing, fundraising, advertising 1,500
Bookeeping 5,000
Mileage 460
Postage 700
Office Supplies 250
CPA for Form 990 1,000
Bond for officers 900
COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) PROGRAM
APPLICATION FOR THE 2013 PROGRAM YEAR
SAN LUIS OBISPO COUNTY PLANNING & BUILDING
$ 26,000------
$ _____ _
$ _____ _
$59,417 ------
$ _____ _
$ 85,417------
59,417
PAGE 10 OF 16
AUGUST 23, 2012
SLOPLANNING.ORG
Item 9.a. - Page 52
P.O. Box
County administration
Total expenses
77
3,900
85,417
19.How do you plan to fund the operation and maintenance costs (if any) associated with this project?
Are these funds available now'? If not, when will they be available'? And from what source(s)?
All funds listed above under "local sources" of income, and all funds requested arc for operation
and maintenance costs, and cover operation and maintenance costs. Donations and reserves will
be used until grants become available.
20.Will CDBG funds be used to match/leverage other funds? List below funding sources and
amounts and identify award dates of these sources ..
The continued receipt of CDBG funds leverages all other funds.
[ certify that the infonnation in this application is true and accurate .to the best of my knowledge and ability.
10-11-12 -------------------------------------------------Signature Date
Pearl Munak President -----------------------------Printed or typed name Title
Note to applicant:
The County and cities require all of the grant recipients to maintain general liability, automobile and
workman's compensation insurance with limits of not less than $1 million***. If you are successful in
obtaining an award, you will be asked to provide documentation regarding ability to provide the required
coverage.
*** Liability coverage may vary by jurisdiction. Please call the city/county contact to verify limits.
COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) PROGRAM
APPLICATION FOR THE 2013 PROGRAM YEAR
SAN LUIS OBISPO COUNTY PLANNING & BuiLDING
PAGE 11 OF 16
AUGUST 23, 2012
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Item 9.a. - Page 53
Prior to HUD's release of grant conditions and/or funds for the CDBG-funded project, a review of the
project's potential impact on the environment must be conducted by the awarding jurisdictions and
approved by the County of San Luis Obispo prior to obligating or incurring project costs. The County
must certify to HUD that it h~s complied with all applicable environmental procedures and requirements.
Should project costs be obligated or incurred prior to the completion ofthe necessary environmental review,
the project shall not benefit from the federal funds. Environmental review requirements pursuant to 24
CFR Part 58 must be fully satisfied for any project selected for funding prior to the CDBG Program issuing
a Notice to Proceed for the project. The level of environmental review required depends on the nature of the
project. 24 CFR Part 58 is available at vvww.hud.gov/offices/cpd/environmental/lawsandregs/regs.
If you need assistance or have questions regarding this application, please contact any of the persons listed
below. Your application(s) can be dropped off or mailed to the following locations:
• Kelly Heffernan, Community Development Dept., City of Arroyo Grande, 214 E. Branch Street (P.O.
Box 550), Arroyo Grande, CA 93421, (805) 473-5420.
• Valerie Humphrey, Public Works Dept., City of Atascadero, 6907 El Camino Real, Atascadero, CA
93422, (805) 470-3460. .
o Rob Livick, Public Services Dept., City of Morro Bay, 955 Shasta Avenue, Morro Bay, CA, 93442,
(805) 772-6261 .
• Darren Nash, Community Development Dept., City of Paso Robles, I 000 Spring St., Paso Robles, CA
93446, (805) 237-3970.
• Tyler Corey, Community Development Dept., City of San Luis Obispo, 919 Palm St., San Luis Obispo,
CA 93401, (805) 781-7175.
• Tony Navarro, Dept. of Planning and Building, 976 Osos Street, Room 300, San Luis Obispo, CA
93408, (805) 781-5787.
COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) PROGRAM
APPLICATION FOR THE 2013 PROGRAM YEAR
SAN LUIS OBISPO COUNTY PLANNING & BUILDING
PAGE 12 OF 16
AUGUST 23, 2012
SLOPLANNING.ORG
Item 9.a. - Page 54
COUNTY OF SAN LUIS OBISPO CDBG SUPPLEMENTAL BUDGET INFORMATION SHEET
BUDGET FORM A
For CDBG applications to the County of San Luis Obispo involving acquisition, construction or
rehabilitation projects must provide the applicable project budget information.
Financial considerations are key in assessing a project's ability to be completed successfully and timely.
Factors to be considered in this area include (a) availability and sufficiency of resources (including all non-
CDBG, federal, state, county or private funding sources, (b) the leveraging of resources, (c) fiscal support
for the project for its continued viability and (d) the project budget's accuracy, reasonableness and
completeness in detem1ining the financial needs of the project.
Source of Funds. Provide for entire project and round to the nearest hundred dollars. Do NOT include
operating costs as this is not an eligible CDBG costs for projects involving acquisition, construction or
rehabilitation projects.
Description of Cost Date Amount
Funds Requested
Available
CDBG Funds: This
Request
Previous Award
Previous Award
CDBG··Funds: This
request
Previous Award
Other Federal Funds
Source:
State Funds
Source:
Private Funds:
Private Funds:
Private Funds:
In-Kind Contributions:
Labor
In-Kind Contributions
Other:
Other:
Other:
Totals
COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) PROGRAM
APPLICATION FOR THE 2013 PROGRAM YEAR
SAN LUIS OBISPO COUNTY PLANNING & BUILDING
_Approved-Total
Secured
0 /o of
Total
Budge
100%
PAGE 130F 16
AUGUST 23, 2012
SLOPLANNING.ORG
Item 9.a. - Page 55
Comment on your entity's strategy and plans on the leveraging and sufficiency of resources to implement
the proposed project. If project is not leveraged with other funds, explain why CDBG funds are being relied
on solely to.fund the proposed project.
COUNTY OF SAl'\1" LUIS OBISPO CDBG SUPPLEMENTAL BUDGET INFORt\1ATION SHEET
BUDGET FORM B
Project Budget
Budget Fonn-Acquisition, Construction and Rehabilitation Project Preliminary Budget & Project Funding
Requirements ·
Agency name:
Project:
Preliminary Budget: List all f-unding necessary to complete the proposed project. You must provide a
DETAILED budget line-item worksheet for all costs associated with the project. NOTE: YOU MUST
USE THIS FORMAT. Additionally, you must provide a DETAILED budget narrative explaining how
you arrived at each line item.
Activity
ACQUTSlTION
Purchase of Land
Purchase of Units
Other Expenses (List)
HARD COSTS
Site Work
Demolition
Construction
Appliances
Accessory Buildings
General Requirements
Contractor Overhead
Contractor Profit
Construction Contingency
Other (List on separate sheet
SOFT COSTS
Architect Fee-Design
Architect Fee-Supervision
Legal Fees
Engineering Fees
Other Professional Fees (List)
Appraisal
Market Study
Environmental Report
COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) PROGRAM
APPLICATION FqR THE 2013 PROGRAM YEAR
SAN LUIS OBISPO COUNTY PLANNING & BUILDING
CDBGFunds Other Funds
-
Total Cost
'
PAGE 14 OF 16
AUGUST 23, 2012
SLOPLANNING.ORG
Item 9.a. - Page 56
Title & Recording Expenses
Relocation Expenses
Consultants
Other Soft Costs (List)
INTEIUM COSTS
Construction Insurance
Construction Interest
Credit Enhancement
Real Estate Taxes
FlNANCING COSTS
Bond Premium
Permanent Loan Origination
Pennanent Loan Credit Enhance
Other Financing Costs (List)
DEVELOPER'S FEE (Determined individually
for each project)
TOTAL DEVELOPMENT COST
Budget must be specific and reflect the applicant's financial commitment, including items paid for by other
sources. This includes in-kind contributions and volunteer labor. It should not include amounts of
administration. Indicate the circumstances/consequences of partial funding is awarded for this project.
Authorization:
Authorized Signature for Project
Print name
COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) PROGRAM
APPLICATION FOR THE 2013 PROGRAM YEAR
SAN LUIS OBISPO COUNTY PLANNING & BUILDING
Title Date
PAGE 15 OF 16
AUGUST 23, 2012
.SLOPLANNING.ORG
Item 9.a. - Page 57
;!•
COUNTY OF SAN LUIS OBISPO CDBG SUPPLEMENTAL BUDGET INFORMATION SHEET
WORK PLAN & PERFORMANCE SCHEDULE
List all project milestones and their anticipated work period. There will be an opportunity to update the
project timeline after grant notification and before executing a grant agreement. Any proposed changes,
including extension and early completion, must be requested in writing and approved in advance by the
jurisdiction receiving the funding application. Note: Applicant will assume all financial risk if work on the
proposed project begins before environmental clearance is obtained. You may either use or recreate this
form to add tasks and activities and extended timeline. YOU MUST USE THIS FORMAT.
Task/Activity-Begin July 2013 JUL AUG SEP
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COMMUNITY DEVELOPMENT BLOCK GRANT {CDBG) PROGRAM
APPLICATION FOR THE 2013 PROGRAM YEAR
SAN LUIS OBISPO COUNTY PLANNING & BUILDING
OCT NOV
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DEC I JAN FEB
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PAGE 16 OF 16
AUGUST 23, 2012
SLOPLANNING.ORG
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Item 9.a. - Page 58
COMMUNITY DEVELdPMENT BLOCK GRAN1 (CDBG)
PROGRAM
APPLICATIQN FOR THE 2013 PROGRAM YEAR
SAN LUIS OBISPO COUNTY DEPJl.RT:MENT OF PLANNING AND BUILDING
976 0SOS STREET .-RoOri.1 20.0 • SAN LUI,S·OBISPP • CALIFORNIA 93408 • (805) 781-5600
Promoting: the Wise Use of Land • Helping toBuild Great Communities
+Organization Name: Food Bank Coalition ofSan Luis Obispo County
(Attach additional sheets if necessary)
To be considered for CDBG assistance, please submit this completed appJication with any exhibits,
budgets or beneficiary data. as needed. PLEASE READ ALL INFORMATION IN THE
APPLICATION. Applications can be mailed to one of the p'arucipating ju·risdictions listeo in this
application or to: Tony Navf.!ITO, Planner III, Department of Planning and Building, 979 Osos Street,
Room 300, San Luis Obispo, CA., 93408 or hand delivered. to Tm;y Navarro at L 03 5 Palm Street, Roo in
370, San Luis Objspo, CA., faxed to (805) 781-5624,. or e-mailed to tnavarro@co.slo.ca.us. The
application deadline is 5:00 P.M., Friday,. Octobet· 12~ 2012 .. Applicati'ons must be received by the
County or one ofthe participating cities (Arroyo Grande, Atascader.o, Morro Bay, Paso Robles, San Luis
Obispo) prior to close. of the business day. POSTMARkED DATED i\'lAlL RECEIVED AFTER
THE DEADLINE WILL NOT BE ACCEPTED.
NOTE:
(1) Please_review the CDBG regulations and .guidelines and the Request for Proposals before
compl'eting this proposal. The CDBG regulations, under 24 CFR 570, are available at
www.sloplanning.otg under "Federal BUD Grants."
(2) HMIS Reporting for 2013 homeless services, housing and shelter-All homeless service
providers applying for CDBG· funds to assist, house. or shelter· the home .less niust identify .and
demonstrate its capacity to participate in the County of Sa:n Luis Obispo Homeless Management
Information System (HMIS) to provide: personnel for data entry, user li.censing, and hardware
and. software necessary for compatibility with HMIS. HMIS is an electronjc data.collection
system that stores client level infonnation about persons who access the homeless services
system in. a. Continuum of Care, and reports aggregate data for the Co.uaty as per the U.S.
Dc;:partment of Housing and Urban Development's Data Standards found in
http://w\\;w.hudhre.info/documents!FinalHMlSDataStandarcls March?OJO.pdf.
(3) The project/progr<lffi proposal to the County of San Luis Obispo shall be examined in relation to
the County's community development goals and funding priorities as pcesented in the Urban
County of San .Luis Obispo 20 I 0.-2015 Consolidated Plan. (ConPh1n). The ConPlan is a'v'ailabl"e·
at www.sloplanning.org. The County of San Luis Obispo DepartmentofPlanning and Building
(Planning) considers the criteria stated in the 2013 Request for·Proposals as one of many tools to
help make funding recommendations to the Board of Supervisors. PlaiiDing will use other
information and sources including but are not limited to: the County Board of Supervisors,
recommendations from the Homeless Services Ov.ersight Council, othec participating
jurisdictions of the Urban County of San Luis Obispo·, identified needstharcould be addressed
by the grant. funds,. consistency with goals and priorities 'in the 2010 Consolidated Plan and the
Ten Year Plan. io End Homelessness, results ofthe Need~ Workshops, wo_rking knowledge ofthe
COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) PROGRAM
APPLICATION FOR FUNDING DURING 2013 PROGRAM YEAR
SAN LUIS OBISPO COUNTY PLANNING & BUILDING
PAGE1 OF 15
AUGUST 23, 2012
SLOPLANNING.ORG
Item 9.a. - Page 59
project and/or organization by Planning, and availability of limited fund, to help with the
funding recommendations. '
Please call County and/or city CDBG staffwith any questions about how to complete the:fomJ or about
the rating criteria and process.
ICthe information for any of the questions bet ow requires more room to provide a complete explanation
of y~:>Ur propo·sed project or. program, please attach additional sheets.
CONTACT INFORMATION
1. N~me and mailing address of applicant qrganization, with contact person, phone and fax
numbers, and e-mail address:
Name: Food Bank Coalition of San Luis Obispo County·
Address (mailing· and physical address requested if different):. P .0. Box 2070,_ Paso Robles, CA 9344 7
(2212 Golden Hill Road, Paso Robles, CA 9344.6)
Contact.person/title: Carl R. Haf1sen, Executive.birector
Phone_: (805) 238-4664 (office) (805) 235-285'1 (cell)
Fax: (805) 238-6956
E-mail address: chansen@slofo_odbank.org
ls the organization a Faith Based Organization? YesO No (g]
Organization's DUNS number,: ""6-'-'12""'2::::..:8""'0"""9'-'l'-'7 __________ _
If you are awarded CDUG:funds or your proposal involves economic development, .. i.e., dire.ctly .benefit-a business,
private property· owner, business, involves fa~tade improvements; provide .technical assistance to a new or. existi'ng
business, job creatfon, loan.guarantee, the beneficiary must obtain a Dun and Bradsteet (DUNS) number that must be
reported to HUD. Please contact Tony Navarro, (805) 781-5787, tnavarro@slo.co.ca.us for information on how to
obtain a DUNS number prior to incurring and obligating the federal funds.
Is your agency currently participating in HMIS?
No
If not, does your agency have the capacity to participate in HMIS? If yes, how so?
N/A .
----~----------~---~:; ~--·--·M·----~s~--.=~-~~~--~--~-==-------=----~---==--=---=--=--------------COMMUNITYDEVELOPMENTBLOCK GRANT (COBG) PROGRAM
APPLICATION FOR THE 2013 PROGRAM YEAR
SAN LUIS OBISPO COUNTY PLANNING &.BUILDI.NG
PAGE 2 OF 15
AUGUST 23,.2012
SLOPLANNING. ORG
Item 9.a. - Page 60
PRQJECT DESCRIPTION
2. Title/.name/address of proposed project or program:
Fam1 to Family Pr.oduce Program
51 locations administered by the Food Bank Coalition throughout San Luis Obispo County
3. Please describe the proposed project or program. In one or. two short par·agraplis, include a brief
projectlprogr~un description, the groups vvho will benefit and an expt·ariaticm of how they will benefit
from the proposed project or program. Fo_r proj~c,ts, describe the location of the project (be as
specific as. possible, e.g. street address). For prggrams, state the location from which the program
will be operated and/or describe the geographic area served by the program, Also, please include a
schedule of project/program milestones.
The Fann to Family Produce Program brings fiesh produce to schools and neighb.orhoods.
throughout the county, providing nutritious produce for families that would otherwise not have
adequate access to healthy food. Farm to Family works to reduce hunger among low-income
children and their families by adding produce into our distributions that. collaborate with local school
districts, cities, churches, senior and community centers, VF¥/halls and Granges. Distributions are
varied in times and locations to be accessible for families irr need. Some allow P.arents to collect
groceries when they pick up their children, increasing ~~cess for families with limited transportation,
language barriers, and other time barriers because ofwork schedules. Other distributions are in the
mid or late morn·ings to better accommodate_seniors, or· on Saturdays to better serve those who work
during:th_e. week. Fresh produce is also provided to our_partner aget'lci¢s throughout the county at no
cost and no restrictions because of our desire to ass.ure. access. to every.person in need wherever they
live in the county, from Cambria to Nipomo, and as far east as Califomia Valley. F01ty-five percent
of our food distributions by weight are fresh fruits and vegetables. In 20 l I, \V.e provided 2. 7 million
pounds of fresh produce to a total of 44,000 persons-250 lbs. for each family of four-who would
not have had access to it otherwise.
A sample of our many distribution site locations are as follows; all ·of them· can found on our website
at www.slofoodbank.org,
Soto Field-Arroyo Grande .
Sa~ta Rosa Elementary-8655 Santa Rosa Rd., Atascadero
Carissa Plains Elementary-9640 Carissa Plains
Santa Lucia Middle School-2850 Schoolhouse Ln., Cambtia
Community Church -60 So_. Third St., Cayue<o~
Salvation Anny-1197 Highland Way; Grover Beach
South Bay Community Center-2180 Palisades Ave., Los Osos
Del Mar Elementary-50.1 Sequoia St., Morro Bay
Nipomo Elementary-190 E. Price Street, Nipomo
Oceano Family Resource Center-i-s 11 19th St., Oceano
Paso Robles Family Resource Center-1802 Chestnut St., Paso Robles
Virginia Peterson Elem·entary-2501 Beechwood Dr., Paso Rob)es
COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) PROGRAM
APPLICATION FoR THE 2013 PROGRf'.M YEAR
SAN LUIS OBISPO COUNTY PLANNING & BUILDING
PAGE 3 OF 15
AUGUST 23, 2012
SLOPLANNING.ORG
Item 9.a. - Page 61
Lillian Larson.-1601 L St.,, San Miguel
Santa Margarita s·enior Center-22.10 H St., Santa Margarita
Pacheco Elemen:tary-261 Cuesta Dr., San Luis Obispo
Vintage Church-690 Peterson Ranch Rd., Templeton
Califomia ranks last among all states for participation in the federal food stamp program, and our
county ranks an extremely low 51 51 of California's 58 counties for Cal Fresh (food stamp) enrollment.
We are \Vorking hard·to enroll families, and CalFresh outreach. takes place at our distributions to
assure that as m<111y low-income f~milies ~s possjl:* in.· our county understand. their eligibility and
have convenient access to the CalFresh application process. \Vhen families come to pick up food at
Food Bank distribution sites; the Cal Fresh Coordinator offers assistance with enrollment in the
CalFresh program, eliminating transportation barr-iers to food stamp ~nrollment and providing long-
term food assistance; We also partner w,ith the Dep·artrnent of Social S'ervice~, whose outreach staff
enroll people at our sites. In addition, we partner with County Public Health to teach nutritious
cooking at our sites, using produce that is being-distributed that day.
See appendix for program milestones (Work Plan & Performance Schedule).
4. Will the services offered by your organization increase or expand as a result of the CDBG
assistance? If yes, please answer the following questions:
a. What new programs and/or services will be p~ovided?.
Existing services will be expanded-see Section 4b, belo\.v.
b. Describe how existing programs and/or services will be expanded and what percentage of an
increase is expected? .
The need for food continues to increase each. year in our county, and we will be exp-anding to at least
four more sites in 2013. This will provide over 400 additional families with 100,000 pounds of food
in the coming year. Overall, the Food Bank Coalition has had a 90% increase in utilization since
2006, from 27,000 to· 44,000 residents annually accessing services. In 2011, one out of every six
county residents received food from the Food Bank or one ofour 226 partner agencies.
5. Che.ck any of the f9Uowing eligible activity categ9~ies that apply to the proposed project or
program: (Refer to CDBG regulations an~ the Guide to Eligible CDBG Activities).
Acquisition of real property*
Disposition of real property
Public facili'ties and improvements (may include acquisition, construction,
reconstruction, rehabilitation or installation)* and/or **
Privately owned utilities
Clearance and remediation acti'vities**
-COMMUNITY DEVELOPMENT BLOCK GRANT (COBG) PROGRAM
APPLICATION FOR THE 2013 PROGRAM YEAR
SAN LUIS OBISPO COUNTY PLANNING & BUILDING
PAGE·4 OF 15
AUGUST 23,2012
SLOPLANNING.ORG
Item 9.a. - Page 62
' X Public sei-vices
Interim assistance
Relocation of individuals, families, businesses, non-profit organizations, and/or farms
Loss ofrent_al income
Removal of architectural barriers
Housing rehabilitation**
New housi'ng cons~ruction (under limited circumstances)
Homeownership assistance
Housing services
Code enforcement
Historic preservation**
Commercial or industrial rehabilitation**
Special economic development
Technical assistance and planni'hg studies
*Relocation: Any project that'involves the acquisition of property and/or rehabilitation.and is funded
in whole or in part with federal funds, even if the federal funds are not used for the acquisition itself, is
subject to fedet~al requirements connected to acquisition and relocation .. A project cannot be broken into
separate "projects" in order to avoid the federal requirements connected with property acquisition and
relocation. Any questions concerning vvhether th~ relocation regul~tions apply to·a specific property
acquisition project should be directed to the Community Development Divisioti. staff before any action is
taken on the project
lf HUD funded project will cause a household or a business to move, evenly temporarily, the relocation
regulations will apply.
Along with application submit:
o Estimate of relocation cost·(moving costs, subsidy amount for suitable replacement dwelling)
o Letter to owner or voluntary acquisition,. plus proof of delivery to owner.
• General Infonnation letter to tenants (both business and residential tenants), plus proofof
delivery to all).
;~·~
COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) PROGRAM
APPLICATION FOR THE 2013 PROGRAM YEAH
SAN LUIS OBISPO COUNTYPLANNING·&" BUILDING
PAGE 5 OF 15
AUGUST 23, 2012
SLOPLANNING.ORG
Item 9.a. - Page 63
o List of tenants (both business and residential tenants) at.the .time of application submittal.
o Refer to SLO CoJ· website for sample relocation letters.
**Lead based pai_nt;Jasbestos: IfHUD funded prQject involves acquisition or rehabilitation ofa
residential units that was built in 1978 or earlier, then Lead-Based paint regulations will apply.
o Along with application submit an estimate of costs for LBP work, provided by certified LBP
consultant. Or statement by LBP consultant explaining that project is exempt.
o Include any temporary housing costs.
6. Describe: the need and the degree of urg·ency for the proposed project or program.
What would be the consequences if _the proposed project or program is not funded in
the next year?
More and more families are using Food Bank resources in response to continuing high
unemployment, home foreclosures, and ever deeper cuts in the gqvemment safety net. Children are
disproportionately affected; they are nearly 40% of our clients put only 19% of the county's
population. The number of children enrolied in the federal free and reduced price lunch program rose
over 8% in our county from 2008 to 2010 (compared to 3%statewide) and in all likelihood is
continuing to climb.
Food is an essential yet often unaffordable need for local families, seniors and other persons. As part
of a county-wide hunger assessment, Cal Poly researchers conducted a food security survey in the
fall of2011. They interviewed more than 800 low-income·residents. Over 70% ofthose surveyed.
reported food insecurity. Over half reported having to choose between buying food or paying the
rent/morigage within the past year. And over half had to choose between buying foqd or paying for
medications.
Insufficient food decreases children's schoo_l success and overall health while increasing family
stressors. Seniors often must forego healthy eating because their diet requires more exp.ensive fresh
produce and ·low fat, salt, and sugar-items. When sufficient food can b.e purchased, low-i~come
parents are often forced to reiy on inexpensive foods that are overly processed and high in sugar and
fat.'TheseJoods contribute to obesity and il1nessin children and other family members. The 2009
CA Health Interview Survey results show·that:over half of children in our county eat fewer than the
recommended minimum of five servings of fruits and vegetables daily. CDBG funds will be used to
purchase produce through our Farm to Family program for distribution to local families, seniors, and
single persons.
7. Please describe the specific organizational method used to implement the proposed
project or program (single or multiple group, public agency, non~pr.otit, for-profit,
experience in operating similar programs,. etc):
The Food Bank Coalition is a. 50 I (c)(3) nonprofit that harnesses the power of collaboration to
provide foo_d bot11 directly and through 226 pari,ner agencies arol!nd the county. We have been active
in dire<;:t food' clelivery, food distribution to partner· agencies, and collaboration with local and state
=--== ... .__,,. --"""M"MF ~ r.lta:o ·=--OoQ .., --
COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) PROGRAM
APPLICATION FoR THE 2013' PROGRAM YEAR -
SAN LUIS OBISPO COUNTY PLANNING'& BUILDING
PAGE 6.0F 15
AUGUST 23, 2012
SLOPLANNING.ORG
Item 9.a. - Page 64
organizatioi1s to reduce poverty and ii1crease nutritio·n since o.ur inception in 1989. We administer
several food.distJ{bution programs, including Healthy Food for Local Families (HFLF), Emergency
Food Assistance Program (EF AP), s·ummer Food Service Program (SFSP), Harvest Bag, and Senior
Brown Bag. In addition to food distributions, programs include CalFresh food stamp outreach,
GleanSLO (a farm gleaning project).
The· Food Bank operates wiU1 a $1.9 inillion annual budget made· up of government funds, grants,
and individual dbnat_ions. Ovef 5QO volunteers maJ.<:e food distributions possible in 18 towns
throughout the county. We are a part of Feeding America's food bank network and a .member of the
California Association of Food Banks. We purchase food at very low p~ces through our Food Bank
network, which Is supplemented by donated food and produce from the community. Through the
Farm to Family Program, we partnei· wiU1 3·5. othe·r California Food Ballk:s to get benefici.al pricing
fdr produce and. distribute it effic.iently to residents of San Luis Obispo, County. At the distribution
level, we partner with seven school districts, other non-profit agencies., a variety of conununity
service organizations, and over 1,000 volunteers around the county.
8. Does the project requke tl1ejssuance of a permit (from local, state or federal agencies)?
· Yes D No r;g]
a, If yes, please identify the pennits necessary to complete Lhe project.
N/A
b. Have the necessary pennits been.issued? Please provide proofof.permit issuance.
N/A
c. If pennits are-required but not yet obtained, when will the pehnits be issti.ed?
N/A
~~~~~~~~=-~~=-~--~--~~~--~~~~~~--~~~~---.--~~~=-----~--~--~~~~~~~MMa-~=---~~.-r~~~
COMMUNITY DEVELOPMENT B.LOCK GRANT (CDBG) PROGRAM
APPLICATION FoR THE 2013 PROGRAM YEAR
PAGE 7 OF 15
AUGUST 23, 2012
SLOP~NNING.ORG SAN LUIS OBISPO COUNTY PLANNING & BUILDING
Item 9.a. - Page 65
NATIONAL OBJECTIVES CRITERIA
9. Docs the proposed project or acti~ity meet one of the three n_ational objectives of the
CDBG program? Please check one of the objectives below that applies to the
pmposal, and explain how the project or activity meets that national objective.
a.. x...__ Bendits low-and moderate-income persmis as defined by the U.S. Department of
Housing and l.Jrban.Development (HUD): ·
Select one:
D Low/Moderate-Income Area Benefit -The project ser\fes only a limited area. which is
proven by 2000 Cens_us dara or survey to be .a predominately (51% or more) low/moderate-
income· area. h.pplicants choosing this category must be able to prove their project/activity
primarily benefits. low/moderate~income households.
~ Low/Moderate-Income Limited Clientele-The project benefits a.specific group of people
(rather than all areas in a particular area), at least 51% of whom are low/moderate-income
persons;·. Note: Iilcome verification for clients must be provided for this category. The
following groups are presumed to be low/moderate-income: abused children; elderly persons;
battered spouses; homeless persons; adults. meeting census definition of severely disabled;·
persons living with AIDS; and· migrant farm workers
D Low/Moderate-Income Housing -The project adds or improves pennanent residential
structures that will be/ate occupied by low/inoderate-iiicome households upon completion,
D Low/Moderate-Income Jobs -The project creates. or retains permanents jobs, at least 51%
of which are taken b)' low/moderate~income persons or considered to be available to
low/moderate-income persons.
Explain: AU clients self-certify that they are at or below 125% of poverty.
Records are kept confidentially by the Food. Bank.
NOTE: To meet this national objective, the proposed activity must benefit a specific
clientele or residents in a particular area of the County or participating city, at least 51
percent of who are low-and moderate-incomepersons.
b. __ Aids in the prevention or elimination of slums or blight.
Explain:
Select one:
D Addressing Slums or Bljght on an Area Basis -
D Addressing .Slums or BHght on a Spot. Basis -This project will prevent or eliminate
specific conditions of ,bli'ght or physical .decay. Activities are limited to clearance, historic
COMMUNITY DEVELOPMENT BLOCK GRA-NT (CDBG) PROGRAM PAGE 8 OF 15
APPLICATION FOR THE 2013 PROGRAM YEAR AUGUST 23, 2012
SAN LUIS OBISPO COUNTY PLANNING & BUILDING SLOPLANNING.O_RG
Item 9.a. - Page 66
preservation, ·rehabilitation of buildings, but only to the .extent necessary to eliminate conditions
detrimental to-public health ·c:nd safety.
Is the project located in a Redevelopment Area? Yes D No X
If yes, attach a map of the area with the site highlighted, and provide the Redevelopment Project
Area (excerpts accepted) which documents tlie existence of sfum/blight. Also, document the
specific redevelopment objectives pertain-ing to the p'roposed project.
NOTE: To meet this national objective, the proposed activity must be within.a.designated
slum or blighted-area and must be designed to. address one or more conditions that
contributed to the-deterioration of the area.
c. __ Meets community development needs having a particular urgency where existing
conditions pose a serious and immediate threat to the health or welfare of the community, and no
other funding sources are available, i.e., a major catastrophe such as a flood or earthqucike.
Explain:
NOTE: To m.eet this national objective, the proposed activity must deal with major
catastrophes or emergencies such as floods or earthquakes.
10. If the project or program is designed to meet the national objective of providing benefit to low-
and moderate-income persons, please estimate the number of uilduplicated number of persons
(or households) to benefit .from th·e project and break that ·estimate down by income group
(unduplicatcd means the number who are; served, i.e., the grant will allow 25 children to
participate in preschool-not 25 children x 5 days x 52 weeks = 6,_500).
a. Total number of persons or households who will benefit from the project or
program (regardless of income group):
44.000 Persons/households (circle the applicable unit).
b. Of the total number of persons or households-entered above,_how many will be.
low-income (earning 5 l%-80% or less of the County median~ income)?
100% Persons/households (circle the applicable unit)
c. Of the total number of persons or households entered above, how many will be
very low-income (earning 50% or less of the County median-income)?
15l000 Persons/households (circle the applicable unit)
· COMMUNITY DEVELOPMENT ~LOCK GRANT (CDBG) PROG~M
APPLICATION FOR THE 2013 PROGRAM YEAR
SAN LUIS. OBISPO COUNTY PLANNING & BUILDING
PAGE 9 OF 15
AUGUST 23, 2012
SLOPLANNING.ORG
Item 9.a. - Page 67
ll. Who' are the clients of your organization'? (Example: low-to moderate..:income persons, elderly
persons, severely disabled persons, migr.ant·far·m workers, battered.spouses, etc.)
Anyone who is low-income'and in.need of'food in San Luis. Obispo County-is eligible for Food Bank
services. Families and i_ndividuals of all ages. are served by our programs, including'peoR~e with a wide
range of needs. Partner agencies include churches, women's shelters, family resource centers,. youth-
serving agencies; homeless shelters, and senior serv.ice organizations;. Some programs are available to
certain populations, while others are ·open to. all residents.
12. How will the clients benefit from this project'?
An increase in fresh produce for food-insecure children will result in greater school success and overall
health while decreasing faniily stressors. Fresh fruits and vegetables, whiCh are difficult for low-incorne
families to afford, will provide needed nutrients for children as their·.orains and bodies develop. For
children apd adults, the adcii):ionarh~althy food will reduce the lik_e)ihood_ of obesity, diqbet_es, heart
disease, and other nutrition-related chronic illnes~es. In addition, households and single persons may
have more money to spend on housing, transportation, and health care,.resulting in fewer homeless
children, parents who are able to work more, fewer missed. school or work days, and more productivity
and success in peoples lives ..
13. If your project serves homeless households, please describe how your program coordinates
with other continuum of care projects and entities and how it aligns with the San Luis Obispo
Countywide 10-Year Plan to Homelessness.
The.Food Bank Coalition has played a critical role in the delivery of ser\lices to homeless households
through its partnerships anq collaborative efforts with other non-profits and the g9vemment agencies
that· provide those services. Every entity that provides services to the homeless has access to free and
low-cost food to integrate into their program from the Food Bank Coalition, and virtually every entity
does. We have also been a key player in the battle. against obesily and other food-related illnesses. in this.
county by collaborating in the early days of the Childhood Obesity: Task Force, and continue our
involvement in such organizations as HEAL SLO,. and are the lead agency for CileanSLO, and the newly
formed San Luis Obispo Food System Coalition. We have partnered until recently in the search for
property for a south county homeless services facility with the Five Cities Homeless. Coalition, and are a
provider of healthy food to ti1e Maxine Lewis Shelter and Prado Day Center, ECHO in north county, and
a vaiiety of other non-profits that serve the homeless community,. including.many churches. All of these
endeavors are responses to and efforts toward the realization of the s·Lo Countywide 1 0-Year Plan to
End Homelt;:ssness.
COMMUNITY DEVELOPMENT BLOCK GRANT (COBG) PROGRAM
APPLICATION .FOR THE 2013 PROGRAM YEAR
SAN LUIS OBISPO COUNTY PLANNING & BUILDING
PAGE 10 OF 15
AUGUST 23,2012
SLOPLANNING.ORG
Item 9.a. - Page 68
BENEFICIARY DATA
14. How do you collect d'emographic data on the beneficiaries of the proposed pro jed or program?
(Example: racial/ethnic characteristics)
NOTE: You are required to provide beneficiary data at the end of each quarter and year end
data·of the fiscal year.
To ensure that clients reside. within the county, they are asked to .bring proof of address in the form
of a driver's license, bill or. other piece of mail. In order to receive fresh produce and the shelf-stable
food products distributed;_ they must self-certify (see belO\v) i'ncluding address and number· of
persons in their family. We do .not collect specific demographic data beyond that at distributio_ns·,
but draw from site observations; published census and food insecurity data for our county, and
occasional Cal Poly surveys that we cbmmissi011 to ·collect data froth our sites and other resources
are taken at our site by nutrition res_earch profes_sors and their students from Cal Poly.
15. How do you document and maintain income status of each client in c_ompliance with HUD
regulations.? (Example: very low, low-and moderate-income)
When clients come to the distribution, they self-certify that they meet the income guidelines \Vhich,
for 2012, are:
Household Monthly household income Annual . .househo!Cl income
size
l $1,396 $16,755
2 $1,891 $22,695 .., $2,386 $28,635 .)
4 $2,881 $34,575
5 $3,871 $46,455
Each time a client attends a distribution, they register using a federal EF A-7 Form for emergency
food assi'stance. This fonn requires a sign~ture to verify that they meet these lJSDA income
guidelines.
16. Provide the following information for the person(s) in your organization responsible for the
preparation and submittal of the quarterly reports and for collecting and reporting the
beneficiary data to the Urban County.
Contact person/title: Carl R. Hansen, Executiv.e Director.
Phone·number: (8b5) 238-4664
E-mail address: chansen@slofoodbank.org_
COMMUNITY DEVELOPMENT BLOCK GRANT {CDBG) PRO(;RAM
APPLICATION FORTHE 2013 PROGRAM YEAR
SAN LUIS OBISPO COUNTY PLANNING:& BUILDING
PAGE·11 OF15
AUGUST23, 2012
SLOPLANNING.ORG
Item 9.a. - Page 69
FINANCIAL INFORMATION
For CDBG applications to the County of San Luis Obispo involving acquisition, construc_tion or
rehabilitation projects please provide the required additional budget information on BUDGET
FORlVI A and BUDGET FORM B attached to the back of this application.
17. Total amount ofCDBG funds reque·sted: "'-$3:::...0"-'. -"-0-"'-00"'-----------------
Please identify thejmisdiction(s) to which-you are applying (see Note below):
Cities of AIToyo Grande. Atascadero. Morro Bay. and Pasb Robles,
If yQu are requesting CDBG funds from more· than one Jurisdiction, please break down the
amount shown above by the jurisdiction listed below.
City of Arroyo Grande: $5.000. City· of Paso Robles: ~$)"'""'-.""00~0<------
City of Atascadero: $5.000 City of San Luis Obispo: --""$)"-'-.""-0~00"-----
City of Morro Bay: $5.000 County ofSan Luis Obispo; _$~5~00~0<------
NOTE: If you are applying to one or more cities, please provide a copy of the application to the
County by the application deadline.
18. Pl(!ase describe the budgetfor the proposed project or program. Itemize all sources offunding
expe~ted to Qe available and used for this· project
a. Revenues:
I. CDBG Funds requested
2. Other Federai fund(s) (please describe below.)
3. Statesource(s) (please. describe below}
4. Local.source(s) donations
5. Other funds Community Endowment, Grants
Total Revenues
b. E'xpenditures: List below by item or cost category.
Purchase of fresh produce for fooa distributions:
Receiving and Distribution costs of fresh produce:
Total Expenditures
$ 30,000
$""-..0 _____ _
$ 0 ""---------
$ 80.000
$ 40.000
$ 150.000
$110,000.
$ 40.000
$150.000
-=-= .__,._ .• n= •.
--e ~----l
COMMUNITY DEVELOPMENT BLOCK GRANT (COBG) PROGRAM
APPLICATION FOR THE 20f3 PROGRAM YEAR
SAN LUIS OBISPO COUNTY PLANNING·&:BUILDING
PAGE 12 OF 15
AUGUST 23, 2012
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Item 9.a. - Page 70
19. How do you phm to fund the operation and mainten~nce ~osts (if any) associated ·with .this
project?· Are these funds available now? If not, when will they be available.? And from what
source(s)? •
The project will be funded by private donations, general' fundraising, and grants from foundations. We.
have some re~tri.cted funds in the Healthy Food for Local Families restricted fund that can be used for
produce, as· well as the Weqster BackPack Fund. But the majorityof funding will, be raised tlu·9ughout
the year through county-wide events such as Hunger Awareness Day and the Hunger Walk;mailers, and
smaller fundraisers. We have a well-established record offundraising and donations that allows us to
anticipate revenue from one year to the next.
20. Will CDBG funds be used to match/leverage other funds? List below funding sources and
amounts and identify award dates of these sources.
CDBG funds will match the furids discussed above (# 19), ensuring that the program can continue to be
offered at an expanded. level of s~;:rvice, and allowing us to add four additional sites in 2013 to address
the continuing need for food among local households and the homeless.
I certify that the· information in this application is true and accurate to the best of my knowledge and
ability.
<7 //) 1 I l/~~~ /~.,/;) /;:2..._
Signature Date
·carl R. Hansen Executive Director
Printed or typed name Title
Note to applicant:
The County and cities require· all of the grant recipients to maintain general liability, automobile and
workman's compensation insurance with limits ofnot less than $1 million***. Ifyou are successful in
obtairung an award, you will be asked to provide documentati'on regarding ability to provide the required
coverage.
*** Liab_ility co.veragemay vary by jurisdiction. Please call the city/county contact to verify limits.
Prior to HVD's release of grant conditions and/or funds for the CDBG-funded project, a review of the
proj_ect's potential impact on the environment must be conducted bythe awarding jurisdictions and
approved by the County ofSan Luis Obispo prior to obligating or incurring pro,ject costs. The
County must certify to HUD that it. has complied with all applicable environmental procedures and
requirements. Should project costs be obligated or incurred prior. to the completion of the necessary
environmental review, the project shall not benefit from the federal funds. Environmental review
requirements pursuant to 24 CFR Part 5.8 must be fully satisfied for any project selected for funding
I 'l!lol Ui-"'$llD ... ...._..-oii'IP'Ui ...... "''-4 ~~·--~-~----
COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) PROGRAM
APPLICATION FOR THE 2013 PROGRAM YEAR
SAN LUIS OBISPO COUNTY PLAJ\!NING & BUILDING
PAGE 13 OF 15
AUGUST23, 2012
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Item 9.a. - Page 71
prior'to the CDBG Pr9gram issuing a Notice to Proceed for tbe project. Th¢ level of'eiJ:virorunental
review required depends on the nature ofthe project. 24 CFR Part 58· is available at'
www .hue!. gov/o fl'ices/cpd/environmental/l::twsandre~s/regs.
IT you need assistance or )1ave·questions regarding this application, pl~ase contact any ofthe persons
listed 'below. Your application(s) can be dropped off or mailed to the following locations:
o Kelly Heffernan, Community Development Dept., City of Arroyo Grande, 214 E. Branch Street
(P.O. Box-550)1 Arroyo Grande, CA 93421, (805) 473-5420.
• Valerie Humphrey, Public Works Dept-., City of Atascadero, 6907 El Camino Real, Atascadero, CA
93422, (805) 4 70-3460.
o Rob Livick, Public Services Dept., City of Morro Bay, 955-Shasta Avenue; Morro Bay,_ CA, 93442,
(805) 772-6261
o Darren :Nash, Community Development Dept., City· of Paso. Robles, 1000 Spdng St.~ Paso Robles,
CA 93.446, (805) 237-3970.
e Tyler Corey, Community Development Dept, City ofSan.Luis Obispo, 919 Palm St., San Luis
Obispo, CA 93401, (805) 781-7175.
• Tony Navarro, Dept. of Pimming and Building, 976 Osos Street, Room 300, San Luis Obispo, CA
93408, (805) 781-5787.
~ 1!.-_,._1"'Q: II 10-a.-0!1 :=::;o; • .,._ -·-~--a '»
COMMUNITY DEVELOPMENT BLOCK GRANT (COBG) PROGRAM PAGE 14 OF 15
APPLICATION FOR THE 2013.PROGRAM YEAR AuGUST 23, 2012
SAN LUIS OBISPO COUNTY PLANNIN<;i & Bl,IILDING SLOPLANNING.ORG
Item 9.a. - Page 72
COUNTY OF SAN LUIS OBISPO CDBG SUPPLEMENTAL Bl.JDGET INFORMATION
S_HEET
WORK PLAl'l & PERFORMANCE SCHEDULE
List all projectmilestones and their anticipated work period. There will be an opportunity to update the
project timeline after grant notification and before executing a grant agreement. Any proposed changes,
including extension and early completion, must be requested in writing·and approved in advance by the
jurisdiction receiving the funding application. Note:: Applicant will assume all financial risk if work on
the. proposed project begins before ehv:iromnental deanirice is ol:5tained. Yo·u may either use or·recreate
this form to add tasks and activities and ·extended timeline. YOU 1\fUST l)SE T.HIS FORMAT.
Tusk/Activity-Begin July .JUL AUG SEP OCT
2013
Purchase produce. X X X
Transport produce from
central warehous.es to X X X
distribution sites.
Continue to distribute
produce to residents X X X through 226 partner
agencies.
Continue to provide f~od
dis_tributipns with 45%
produce in at least 18 X X X
towns (51 locations) in
the County.
Expand distributions to
four new sit<;:s within the X
county.
Continue to offer
assistance with Ca!Fresh X X X enrollment at
distribution sites.
COMMUNITY DEVELOPMENT BLOCK GRANT(CDBG)PROGRAM
APPLICATION FOR.THE 2013 PROGRAM YEAR
SAN LUIS OBISPO COUNTY PLANNING & BUILDING
X
X
X
X
X
X
NOV
X
X
X
X
X
X
DEC I JAi'l FEB MAR
X ' X X X
X X X X
X X X X
X X X X
X X X X
X X X X
APR
X
X
X
X
X
X
MAY JUN
X X
X X
X X
X X
X X
X X
PAGE 15 OF 15
AUGUST 23,2012
SLOPLANNING.ORG·
Item 9.a. - Page 73
COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) PROGRAM
APPLICATION FOR THE 2013 PROGRAM YEAR
SAN LUIS OBISPO COUNTY DEPARTMENT OF PLANNING AND BUILDING
976 0SOS STREET • ROOM 200 • SAN LUIS OBISPO • CALIFORNIA 93408 • (805) 781-5600
Promoting the Wise Use of Land • Helping to Build Great Communities
Organization Name: Senior Nutrition Program of San Luis Obispo County
(Attach additional sheets if necessary)
To be considered for CDBG assistance, please submit this completed application with any exhibits,
budgets or beneficiary data as needed. PLEASE READ ALL INFORMATION IN THE
APPLICATION. Applications can be mailed to one of the participating jurisdictions listed in this
application or to: Tony Navarro, Planner III, Department of Planning and Building, 976 Qsos Street,
Room 300, San Luis Obispo, CA., 93408 or hand delivered to Tony Navarro at 1035 Palm Street, Room
370, San Luis Obispo, CA., faxed to (805) 781-5624, or e-mailed to tnavarro@co.slo.ca.us. The
application deadline is 5:00 P.M., Friday, October 12, 2012. Applications must be received by the
County or one of the participating cities (Arroyo Grande, Atascadero, Morro Bay, Paso Robles, San Luis
Obispo) prior to close of the business day. POSTMARKED DATED MAIL RECEIVED AFTER
THE DEADLINE WILL NOT BE ACCEPTED.
NOTE:
(1) Please review the CDBG regulations and guidelines and the Request for Proposals before
completing this proposal. The CDBG regulations, under 24 CFR 570, are available at
\vww.sloplanning.org under "Federal HUD Grants."
(2) HMJS Reporting for 2013 homeless services, housing and shelter-All homeless service
providers applying for CDBG funds to assist, house or shelter the homeless must identify and
demonstrate its capacity to participate in the County of San Luis Obispo Homeless Management
Information System (HMIS) to provide: personnel for data entry, user licensing, and hardware and
software necessary for compatibility with HMIS. HMIS is an electronic data collection system that
stores client level information about persons who access the homeless services system in a Continuum
of Care, and reports aggregate data for the County as per the U.S. Department ofl-lousing and Urban
Development's Data Standards found in
http://www.hudhre.info/documents/FinalHMISDataStandards March20 1 O.pdf.
(3) The project/program proposal to the County of San Luis Obispo shall be examined in relation to
the County's community development goals and f1.mding priorities as presented in the Urban County of
San Luis Obispo 2010-2015 Consolidated Plan (ConPlan). The ConPlan is available at
www.sloplanning.org. The County of San Luis Obispo Department of Planning and Building (Planning)
considers the criteria stated in the 2013 Request for Proposals as one of many tools to help make funding
recommendations to the Board of Supervisors. Planning will use other information and sources
including but are not limited to: the County Board of Supervisors, recommendations from the Homeless
Services Oversight Council, other participating jurisdictions of the Urban County of San Luis Obispo,
identified needs that could be addressed by the grant funds, consistency with goals and priorities in the
2010 Consolidated Plan and the Ten Year Plan to End Homelessness, results of the Needs Workshops,
working knowledge of the project and/or organization by Planning, and availability of limited fund, to
help with the funding recommendations.
COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) PROGRAM
APPLICATION FOR FUNDING DURING 2013 PROGRAM YEAR
SAN LUIS OBISPO COUNTY PLANNING & BUILDING
PAGE I OF 16
AUGUST 23, 2012
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Item 9.a. - Page 74
Please call County and/or city CDBG staff with any questions about how to complete the form or about
the rating criteria and process.
If the information for any of the questions below requires more room to provide a complete explanation
of your proposed project or program, please attach additional sheets.
CONTACT INFORMATION
1. Name and mailing address of applicant organization, with contact person, phone and fax
numbers, and e-mail address: · ··
Name: Elias Nimeh
Address (mailing and physical address requested if different):
2180 Johnson Ave.
San Luis Obispo, CA 93401-4513
Contact person/title: Executive Director
Phone: 805-541-3312
fa.'<: 805-541-5631
E-mail address: elias.nimeh@att.net
Is the organization a Faith Based Organization? YesD
Organization's DUNS number: 839610680
No [g]
If you are awarded CDBG funds or your proposal involves economic development, i.e., directly benefit a business,
private property owner, business, involves fa .. ade improvements, provide technical assistance to a new or existing
business, job creation, loan guarantee, the beneficiary must obtain a Dun and Bradsteet (DUNS) number that must be
reported to HUD. Please contact Tony Navarro, (805) 781-5787, tnavarro@slo.co.ca.us for information on how to
obtain a DUNS number prior to incurring and obligating the federal funds.
Is your agency currently participating in HMIS?
no
lf not, does your agency have the capacity to participate in HN1IS? If yes, how so?
no
COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) PROGRAM
APPLICATION FOR THE 2013 PROGRAM YEAR
SAN LUIS OBISPO COUNTY PLANNING & BUILDING
PAGE 2 OF 16
AUGUST 23, 2012
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Item 9.a. - Page 75
PROJECT DESCRIPTION
2. Title/name/address of proposed project or program:
Title: Ongoing Program Support
Name: Senior Nutrition Program of SLO County
Address: 2180 Johnson Ave.
San Luis Obispo, CA 93401-4513
3. Please describe the proposed project or program. In one or two short paragraphs, include a brief
project/program description, the groups who will benefit and an explanation of how they will benefit
from the proposed project or program. For projects, describe the location of the project (be as
specific as possible, e.g. street address). For programs, state the location from which the program
will be operated and/or describe the geographic area served by the program. Also, please include a
schedule of project/program milestones ..
The Senior Nutrition Program of SLO County provides free, hot, nutritious noon-time meals to
seniors who are at least 60 years old. Seniors who are able to attend can eat meals at 10
community sites in congregate dining. We also deliver meals, with frozen meals for Saturday and
Sunday, to qualified seniors who are homebound. We rely on over 250 volunteers to deliver
meals. We are the only progran1 serving senior meals throughout San Luis Obispo County and
the only program that includes congregate dining and an opportunity for socialization among the
seniors. All of our meals are free to those who are eligible, although some clients choose to make
voluntary anonymous donations. Our program has three goals: nutrition, socialization, and
safety. Both the congregate dining and the home delivery provide socialization and human
contact to help break the cycle of isolation. Finally, the daily home deliveries by volunteers,
along with regular assessments by site supervisors, provide a safety net from accidents or
physical or financial abuse. All staff and volunteers are mandated to report any suspected abuse.
Currently, we are based in the former County Hospital complex in San Luis Obispo where we
are able to prepare all our meals in the fom1er hospital's kitchen and handle our administrative
needs in an adjacent office.
Thispast fiscal year, July 2011 -June 2012, SNPprepared and delivered approximately 156,000
meals to 1538 senior residents of San Luis Obispo County.
We are requesting the CDBG grant funding to help us maintain the high quality of our program
and services. SNP gets half (50%) of the needed funding to operate the program. CDBG grant
will be used as a matching fund for the Federal grant.
4. Will the services offered by your organization increase or expand as a result of the CDBG
assistance? If yes, please answer the following questions:
a. What new programs and/or services will be provided?
COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) PROGRAM
APPLICATION FOR THE 2013 PROGRAM YEAR.
SAN LUIS OBISPO COUNTY PLANNING & BUILDING
PAGE3 OF 16
AUGUST 23, 2012
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Item 9.a. - Page 76
b. Describe how existing programs and/or services will be expanded and what pe'rcentage of an
increase is expected?
5. Check any of the following eligible activity categories that apply to the proposed project or
program: (Refer to CDBG regulations and the Guide to Eligible CDBG Activities).
Acquisition of real property*
Disposition of real property
Public facilities and improvenients (may include acquisition, construction,
reconstruction, rehabilitation or installation)* and/or * *
Privately owned utilities
Clearance and remediation activities**
_'>) __ Public services
Interim assistance
Relocation of individuals, families, businesses, non-profit organizations, and/or farms
Loss of rental income
Removal of architectural batTiers
Housing rehabilitation**
New housing construction (under limited circumstances)
Homeownership assistance
Housing services
Code enforcement
Historic preservation**
Commercial or industrial rehabilitation**
Special economic development
Technical assistance and planning studies
COMMUNITY DEVELOPMENT BLOCK GRANT {COBG) PROGRAM
APPLICATION FOR THE 2013 PROGRAM YEAR
SAN LUIS OBISPO COUNTY PLANNING & BUILDING
PAGE4 OF 16
AUGUST 23, 2012
SLOPLANNING.ORG
Item 9.a. - Page 77
*Relocation: Any project that involves the acquisition of property and/or rehabilitation and is funded
in whole or in part with federal funds, even if the federal funi:ls are not used for the acquisition itself, is
subject to federal requirements connected to acquisition and relocation. A project cannot be broken into
separate "projects" in order to avoid the federal requirements connected with property acquisition and
relocation. Any questions concerning whether the relocation regulations apply to a specific property
acquisition project should be directed to the Community Development Division staff before any action is
taken on the project.
IfHUD funded project will cause a household or a business to move, evenly temporarily, the relocation
regulations will apply.
Along with application submit:
• Estimate of relocation cost (moving costs, subsidy amount for suitable replacement dwelling)
• Letter to owner or voluntary acquisition, plus proof of delivery to owner.
• General Information letter to tenants (both business and residential tenants), plus proof of
delivery to all).
• List of tenants (both business and residential tenants) at the time of application submittal.
o Refer to SLO Col website for sample relocation letters.
** Lead based paint/asbestos: If HUD funded project involves acquisition or rehabilitation of a
residential units that was built in 1978 or earlier, then Lead-Based paint regulations will apply.
o Along with application submit an estimate of costs for LBP work, provided by certified LBP
consultant. Or statement by LBP consultant explaining that project is exempt.
• Include any temporary housing costs.
6. Describe the need and the degree of urgency for the proposed project or program.
What would be the consequences if the proposed project or program is not funded in
the next year?
Without funding in the next year for our program, we would be forced to cut back on existing
services to our clients and tum away new clients. Senior Nutrition Program is proud of the level
of service we are able to provide and the number of seniors we are able to serve in our program.
However, our costs continue to rise, especially in the areas of food, labor costs, supplies, and gas
and maintenance for our delivery trucks. Additionally, we constantly receive requests from new
clients who want to participate in our program, especially among those who are homebound. The
home-delivered meals cost more to the program than the congregate meals. In order to maintain
our high level of service and program quality, we urgently need financial support from local
agencies.
7. Please describe the specific organizational method used to implement the proposed
COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) PROGRAM
APPLICATION FOR THE 2013 PROGRAM YEAR
SAN LUIS OBISPO COUNTY PLANNING.& BUILDING
PAGE 5 OF 16
AUGUST 23, 2012
SLOPLANNING.ORG
Item 9.a. - Page 78
project or program (single or multiple group, public agency, non-profit, for-profit,
experience in operating similar programs, etc.):
Senior Nutrition Program has operated in San Luis Obispo County, CA, for over 25 years. We are a
non-profit corporation that consists of a volunteer board of directors, dedicated staff of 8 full-time
and 18 part-time employees, and over.250 volunteers.
The process we use to provide hot, nutritious meals is as follows:
o Assessment of potential clients is determined at the initial application process. It is also
detennined if there are other. health issues, nutritional risks and limitations. When needed, we
will refer potential clients to other appropriate agencies.
• Our registered dietician prepares a menu of delicious and nutritious meals every month
that follows all health and dietary restrictions. Under the guidance of our experienced kitchen
manager, meals are prepared by trained staff in the central kitchen. Additionally, we supplement
our kitchen staff through a collaborative progran1 with three youth organizations whose
participants learn employable kitchen skills.
o Two drivers deliver food to 10 community sites each weekday in refrigerated trucks. Site
managers, with the help of volunteers; heat and serve food to our dining room clients. They also
pack meals that are picked up by volunteers from the sites to be delivered to the homebound five
days a week. Two additional frozen meals are delivered on Fridays to homebound clients to see
them through the weekend.
o SNP delivers meals to the City of San Luis Obispo, the Five Cities (Arroyo Grande, Oceano,
Grover Beach, Pismo Beach, and Nipomo), Los Osos!Baywood Park, Morro Bay, Cambria, Atascadero,
Santa Margarita, Templeton, and Paso Robles. ·
• SNP maintains daily records of every meal and every client served. On any day of the
year, we will be able to compare the cost-to-date of our food purchases for the fiscal year vs. last
year by the number of clients and the number of meals and also by the number of homebound
meals and the number of congregate meals.
SNP leadership focuses on effectively managing our costs, maintaining meticulous records, and
planning and preparing the highest quality meals for our seniors. Following is a brief biography
of our leaders:
• Elias Nimeh, Executive Director, has been the director of SNP for 7 years. He has a B. Sc.
degree in Agronomy from Arizona State University and 40 plus years' experience in the restaurant
business. He owned and operated a local business, Tortilla Flats, Inc., for 20 years.
o Irene Palacios, Kitchen Director, has been with the program for over 29 years and followed a
steady progression of increasing responsibilities and promotions until reaching her current position as
Kitchen Director approximately 26 years ago.
o Wendy Fertschneider, Nutritionist, has a degree in Dietetics and Food Administration from
Cal Poly SLO. She has been with the program for over _15 years in a variety of positions. Currently she
COMMUNITY DEVELOPMENT BLOCK GRANT (COBG) PROGRAM
APPLICATION FOR THE 2013 PROGRAM YEAR
SAN LUIS. OBISPO COUNTY PLANNING & BUILDING
PAGE 6 OF 16
AUGUST 23, 2012
SLOPLANNING.ORG
Item 9.a. - Page 79
works part-time as our Registered Dietician, which is required for this program, writing and approving
menus, providing staff training and nutrition education, and serving as advisory council facilitator.
'
• Additionally, interns from Cal Poly and Cuesta College assist our office staff. A group of
approximately 30 volunteers, the Friends of Senior Nutrition Program, have the primary responsibility
for planning and putting on our annual fund-raising event, the Night of a Million Meals.
8. Docs the project require the issuance of a permit (from local, state or federal agencies)?
Yes D No~
a. If yes, please identify the permits necessary to complete the project.
b. Have the necessary permits been issued? Please provide proof of permit issuance.
c. If permits are required but not yet obtained, when will the permits be issued?
NATIONAL OBJECTIVES CRITERIA
9. Docs the proposed project or activity meet one of the three na.tional objectives of the
CDBG program? Please check one of the objectives below that applies to the
proposal, and explain how the project or activity meets that national objective.
a. --./ Benefits low-and moderate-income persons as defmed by the U.S. Depm1ment of
Housing and Urban Development (I-IUD).
Select one:
D Low/Moderate-Income Area Benefit -The project serves only a limited area which is
proven by 2000 Census data or survey to be a predominately (51% or more) low/moderate-
income area. Applicants choosing this category must be able to prove their project/activity
primarily benefits low/moderate-income households.
D Low/Moderate-Income Limited Clientele-The project benefits a specific group of people
(rather than all areas in a pm1icular area), at least 51% of whom are low/moderate-income
persons;. Note: Income verification for clients must be provided for this category. The
following groups are presumed to be low/moderate-income: abused children; elderly persons;
battered spouses; homeless persons; adults meeting census definition of severely disabled;
persons living with AIDS; and migrant fann workers
D Low&'lodcrate-Incomc Housing -The project adds or improves permanent residential
structures that will be/are occupied by low/moderate-income households upon completion.
D Low/Moderate-Income Jobs -The project creates or retains pem1anents jobs, at least 51%
of which are taken by low/moderate-income persons or considered to be available to
low/moderate-income persons.
COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) PROGRAM
APPLICATION fOR THE 2013 PROGRAM YEAR
SAN LUIS OBISPO COUNTY PLANNING & BUILDING
PAGE 7 OF 16
AUGUST 23, 2012
SLOPLANNING.ORG
Item 9.a. - Page 80
Explain: All of our clients are elderly; some are disabled/homebound. In FY
2011-2012, SNP served 1532 clients. Of those served, 35% are living in
poverty. The remaining clients are living at a moderate income level. During'
the application process clients are asked to check income status. It is SNP
policy to provide meals free of charge to seniors at least 60 years old
regardless of income.
NOTE: To meet this national objective, the proposed activity must benefit a specific
clientele or residents in a parti.cular area of the County or participating city, at least 51
percent of who are low-and moderate-income persons.
b. ___ Aids in the prevention or elimination of slums or blight.
Explain:
Select one:
0 Addressing Slums or Blight on an Area Basis -
0 Addressing Slums or Blight on a Spot Basis -This project will prevent or eliminate
specific conditions of blight or physical decay. Activities are limited to clearance, historic
preservation, rehabilitation of buildings, but only to the extent necessary to eliminate conditions
detrimental to public health and safety.
Is the project located in a Redevelopment Area? Yes D No D
Ifyes, attach a map of the area with the site highlighted, and provide the Redevelopment Project
Area (excerpts accepted) which documents the existence of slum/blight. Also, document the
specific redevelopment objectives pertaining to the proposed project.
NOTE: To meet this national objective, the proposed activity must be within a designated
slum or blighted area and must be designed to address one or more conditions that
contributed to the deterioration of the area.
c. ___ Meets community development needs having a particular urgency where existing
conditions pose a serious and immediate threat to the health or welfare of the community, and no
other funding sources are available, i.e., a major catastrophe such as a flood or earthquake.
Explain:
NOTE: To meet this national objective, the proposed activity must deal with major
catastrophes or emergencies such as floods or earthquakes.
COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) PROGRAM
APPLICATION FOR THE 2013 PROGRAM YEAR
SAN LUIS OBISPO COUNTY PLANNING & BUILDING
PAGE 8 OF 16
AUGUST 23, 2012
SLOPLANNING.ORG
Item 9.a. - Page 81
8. If the project or program is designed to meet the national objective ofproviding benefit to low-
and moderate-income persons, please estimate the number of unduplicated number of persons
(or households) to benefit from the project and break that estimate down by income group
(unduplicated means the number who are served, i.e., the grant will allow 25 children to
participate in preschool-not 25 children x 5 days x 52 weeks = 6,500).
a. Total number of persons or households who will benefit from the project or
program (regardless of income group):
1532 Persons/households (circle the applicable unit)
b. Of the total number of persons or households entered above, how many will be
low-income (earning 51%-80% or less of the County median-income)?
536 Persons/households (circle the applicable unit)
c. Of the total number of persons or households entered above, how many will be
very low-income (earning 50% or less of the County median-income)? .
224 Persons/households (circle the applicable unit)
9. \Vho are the clients of your organization? (Example: low-to moderate-income persons,
elderly persons, severely disabled persons, migrant farm workers, battered spouses, etc.)
Elderly persons
low-to moderate-income persons
disabled persons
10. How will the clients benefit from this project?
The main benefit will be that seniors will continue to receive hot, nutritious meals at lunchtime
five days a week. Food insecurity among seniors is a growing problem nationwide, and our
county is no exception. Improved nutrition also brings improved health for our aging population,
which could reduce the strain on public health services. This project will increase independent
living for seniors. Seniors who might otherwise need to leave their homes because they can no
longer prepare meals will have an increased chance of staying in their homes. Research has
shown that seniors who can stay in their own home_s frequently experience less depression than
those in nursing homes. The project will also provide a safety net for these seniors, whether
homebound or dining at the centers. For the homebound, the volunteer drivers provide a daily
contact, and the site manager checks frequently. The program's delivery people, all volunteers,
are trained to recognize situations which may require emergency or law enforcement assistance.
COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) PROGRAM
APPLICATION FOR THE 2013 PROGRAM YEAR
SAN LUIS. OBISPO COUNTY PLANNING & BUILDING
PAGE 90F 16
AUGUST 23, 2012
SLOPLANNING.ORG
Item 9.a. - Page 82
11. If your project serves homeless households, please describe how your program coordinates
with other continuum of care projects and entities and how it aligns with the San Luis Obispo
Countywide 10-Y car Plan to Homclcssncss. ·
Several of our congregate sites in the county serve homeless seniors. The daily meals they receive
will help in improving and maintaining good health and reducing their dependence on emergency
facilities.
BENEFICIARY DATA
12. How do you collect demographic data on the beneficiaries of the proposed project or program?
(Example: racial/ethnic characteristics)
NOTE: You are required to provide beneficiary data at th~ end of each quarter and year end
data of the fiscal year.
SNP collects this information through the application process for each client and updates all
applicable data quarterly for all homebound clients. For congregate clients information is
updated annually.
13. How do you document and maintain income status of each client in compliance with HUD
regulations? (Example: very low, low-and moderate-income)
SNP collects this infom1ation through the application process for each new client and updates the
data quarterly for all homebound clients. For congregate clients information is updated annually.
All income status information is gathered according to Federal guidelines.
14. Provide the following information for the person(s) in your organization responsible for the
preparation and submittal of the quarterly reports and for collecting and reporting the
beneficiary data to the Urban County.
Contact person/title: Elias Nimeh
Phone number: 805 541-3312
E-mail address: elias.nimeh@att.net
FINANCIAL INFORMATION
For CDBG applications to the County of San Luis Obispo -involving acquisition, construction or
rehabilitation projects please provide the required additional budget information on BUDGET
FORM A and BUDGET FORM B attached to the back of this application.
COMMUNITY DEVELOPMENT BLOCK GRANT {CDBG) PROGRAM
APPLICATION FOR THE 2013 PROGRAM YEAR
SAN LUIS OBISPO COUNTY PLANNING & BUILDING
PAGE IOOF 16
AUGUST 23, 2012
SLOPLANNING.ORG
Item 9.a. - Page 83
15. Total amount of CDBG funds requested: $50,000.00
Please identify the jurisdiction(s) to which you are applying (see Note below):
San Luis Obispo County
Tf you are requesting CDBG funds from more than one jurisdiction, please break down the
amount shown above by the jurisdiction listed below.
City of Arroyo Grande:
City of Atascadero:
City of Morro Bay:
$10.000
$10.000
$10.000
City of Paso Robles:
City of San Luis Obispo:
County of San Luis Obispo:
$10.000
$10.000
NOTE: If you are applying to one or more cities, please provide a copy of the application to the
County by the application deadline.
16. Please describe the budget for the proposed project or program. Itemize all sources of funding
expected to be available and used for this project.
a. Revenues:
1. CDBG Funds requested
2. Other Federal fund(s) (please describe below)
3. State source(s) (please describe below)
4. Local source(s) (please describe below)
5. Other funds (please describe below)
Total Revenues
2-Title Ill C funds
3-Cal. State funds to senior programs.
4-Senior donations .
$ 50.000
$ 448.685
$ 100.033
$ 200.000
$ 125.909
$ 924,587
5-Grants from County, cities, United Way, SLOCCF, Cambria Community Services, Rabobank
b. Expenditures: List below by item or cost category.
1-Food & supplies $223,243
2-Wages & Benefits $535,54 7
3-Other costs $165,797
Total Costs $9241587
COMMUNITY DEVELOPMENT BLOCK GRANT (COBG) PROGRAM
APPLICATION FOR THE 2013 PROGRAM YEAR
SAN LUIS OBISPO COUNTY PLANNING & BUILDING
PAGE II OF 16
AUGUST 23, 2012
SLOPLANNING.ORG
Item 9.a. - Page 84
t.·
17. How do you plan to fund the operation and maintenance costs (if any) associated with this
project? Are these funds available now? If not, when will they be available? And from what
source(s)?
The Senior Nutrition Program operation and maintenance costs are funded by on-going donations
from seniors receiving services, the community at large, local grants and our annual fundraising
events.
The funds are received monthly.
18. Will CDBG funds be used to match/leverage other funds? List below funding sources and
amounts and identify award dates of these sources.
The CDBG funds will be used towards the matching funds from the federal grants. We are required
to provide matching funds of at least 15% of our federal grant.
l certify that the information in this application is true and accurate to the best of my knowledge and
ability.
10-12-2012
Signature Date
Elias Nimeh Executive Director
Printed or typed name Title
Note to applicant:
The County and cities require all of the grant recipients to maintain general liability, automobile and
workman's compensation insurance with limits of not less than $1 million***. If you are successful in
obtaining an award, you will be asked to provide documentation regarding ability to provide the required
~overage.
***Liability coverage may vary by jurisdiction. Please call the city/county contact to verify limits.
Prior to HUD's release of grant conditions and/or funds for the CDBG-funded project, a review of the
project's p~tential impact on the environment must be conducted by the awarding jurisdictions and
approved by the County of San Luis Obispo prior to obligating or incurring project costs. The
County must certify to I-IUD that it has complied vvith all applicable environmental procedures and
COMMUNITY DEVELOPMENT BLOCK GRANT (COBG) PROGRAM
APPLICATION FOR THE 2013 PROGRAM YEAR·
SAN LUIS OBISPO COUNTY PLANNING & BUILDING
PAGE 12 OF 16
AUGUST 23, 2012
SLOPI.ANNING.ORG
Item 9.a. - Page 85
requirements. Should project costs be obligated or incurred prior to the completion· of the necessary
environmental review, the project shall not benefit from the federal funds. Environmental review
requirements pursuant to 24 CFR Part 58 must be fully satisfied for any project selected for fUnding
prior to the CDBG Program issuing a Notice to· Proceed for the project. The level of environmental
review required depends on the nature of the project. 24 CFR Part 58 is available at
www.hud.gov/offices/cpd/envirorunental/lawsandregs/re!ls.
If you need assistance or have questions regarding this application, please contact any of the persons
listed below. Your application(s) can be dropped off or mailed to the following locations:
• Kelly Heffernan, Community Development Dept., City of Arroyo Grande, 214 E. Branch Street
(P.O. Box 550), Arroyo Grande, CA 93421, (805) 473-5420.
• ·Valerie Humphrey, Public Works Dept., City of Atascadero, 6907 El Camino Real, Atascadero, CA
93422, (805) 4 70-3460.
• Rob Livick, Public Services Dept., City of Morro Bay, 955 Shasta Avenue, Morro Bay, CA, 93442,
(805) 772-6261
o Darren Nash, Community Development Dept., City of Paso Robles, 1000 Spring St., Paso Robles,
CA 93446, (805) 237-3970.
o Tyler Corey, Community Development Dept., City of San Luis Obispo, 919 Palm St., San Luis
Obispo, CA 93401, (805) 781-7175.
• Tony Navarro, Dept. of Plruming and Building, 976 Osos Street, Room 300, San Luis Obispo, CA
93408, (805) 781-5787.
COUNTY OF SAN LUIS OBISPO CDBG SUPPLEMENTAL BUDGET INFORMATION
SHEET
BUDGET FORt"\1 A
For CDBG applications tf? the County of San Luis Obispo involving acquisition, construction or
rehabilitation projects must provide the applicable project budget information.
Financial considerations are key in assessing a project's ability to be completed successfully and timely.
Factors to be considered in this area include (a) availability and sufficiency of resources (including all
non-CDBG, federal, state, county or private funding sources, (b) the leveraging of resources, (c) fiscal
support for the project for its continued viability and (d) the project budget's accuracy, reasonableness
and completeness in detem1ining the financial needs of the project. -
Source of Funds. Provide for entire project and round to the nearest hundred dollars. Do NOT include
operating costs as this is not an eligible CDBG costs for projects involving acquisition, construction or
rehabilitation projects.
Description of Cost Date
Funds
COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) PROGRAM
APPLICATION FOR THE 2013 PROGRAM YEAR
SAN LUIS OBISPO COUNTY PLANNING & BUILDING
Approved
-Secured
PAGE 13 OF 16
AUGUST 23, 2012
SLOPLANNING.ORG
Item 9.a. - Page 86
Availa ed I
ble Bud . ge
CDBG Funds: This
Request
Previous A ward
Previous A ward
CDBG Funds: This
request
Previous Award
Other Federal Funds
I Source:
State Funds
Source:
Private Funds:
Private Funds:
Private Funds:
In-Kind
Contributions: Labor
In-Kind
Contributions
Other:
Other:
Other:
Totals 100
o;o
Comment on your entity's strategy and plans on the leveraging and sufficiency of resources to
implement the proposed project. If project is not leveraged with other funds, explain why CDBG funds
are being relied on solely to fund the proposed project.
COUNTY OF SAN LUIS OBISPO CDBG SUPPLEMENTAL BUDGET INFORMATION
SHEET
BUDGET FORM B
Project Budget
Budget Form-Acquisition, Construction and Rehabilitation Project Preliminary Budget & Project
Funding Requirements
Agency name:
Project:
Preliminary Budget: List all funding necessary to complete the proposed project. You must provide a
DETAILED budget line-item worksheet for all costs associated with the project. NOTE: YOU MUST
COMMUNITY DEVELOPMENT BLOCK GRANT (COBG) PROGRAM
APPLICATION FOR THE 2013 PROGRAM YEAR
SAN LUIS OBISPO COUNTY PLANNING & BUILDING
PAGE 14 OF 16
AUGUST 23, 2012
SLOPLANNING.ORG
Item 9.a. - Page 87
USE TillS FORMAT. Additionally, you must provide a DETAILED budget narrative explaining how
you arrived at each line item.
Activity
ACQUlSITION
Purchase of Land
Purchase of Units
Other Expenses (List)
HARD COSTS
Site Work
Demolition
Construction
Appliances
Accessory Buildings
General Requirements
Contractor Overhead
Contractor Profit
Construction Contingency
Other (List on separate sheet
SOFT COSTS
Architect Fee-Design
Architect Fee-Supervision
Legal Fees
Engineering Fees
Other Professional Fees (List)
Appraisal
Market Study
Environmental Report
Title & Recording Expenses
Relocation Expenses
Consultants
Other Soft Costs (List)
INTERlM COSTS
Construction Insurance
Construction Interest
Credit Enhancement
Real Estate Taxes
FINANCING COSTS
Bond Premium
Permanent Loan Origination
Permanent Loan Credit Enhance
Other Financing Costs (List)
DEVELOPER'S FEE (Determined
individually for each project)
TOTAL DEVELOPMENT COST
COMMUNITY DEVELOPMENT BLOCK GRANT (COBG) PROGRAM
APPLICATION FOR THE 2013 PROGRAM YEAR
SAN LUIS OBISPO COUNTY PLANNING & BUILDING
CDBG
Funds
'
.
Other·
Funds
Total Cost
PAGE 150F 16
AUGUST 23, 2012
SLOPLANNING.ORG
Item 9.a. - Page 88
Budget must be specific and reflect the applicant's financial commitment, including items paid for by
other sources. This includes in-kind contributions and volunteer labor. It should not include amounts of
administration. Indicate the circumstances/consequences of partial funding is awarded for this project.
Authorization:
Authorized Signature for Project Title Date
Print name
COUNTY OF SAN LUIS OBISPO CDBG SUPPLEMENTAL BUDGET lNFORiVlATION
SHEET
WORK PLAN & PERFORMAl~CE SCHEDULE
List all project milestones and their anticipated work period. There will be an opportunity to update the
project timeline after grant notification and before executing a grant agreement. Any proposed changes,
including extension and early completion, must be requested in writing and approved in advance by the
jurisdiction receiving the funding application. Note: Applicant will assume all financial risk if work on
the proposed project begins before environmental clearance is obtained. You may either use or recreate
this form to add tasks and activities and extended time line. YOU MUST USE TillS FORL'1A T.
Task/Activity-Begin July J A s 0 N D J F M A M
2013 u u E c 0 E A E A p A
L G p T v c N B R R y
I
I
I
I
-I
J
u
N
COMMUNITY DEVELOPMENT BLOCK GRANT (COBG) PROGRAM
APPLICATION FOR THE 2013 PROGRAM YEAR
SAN LUIS OBISPO COUNTY PLANNING & BUILDING
PAGE 16 OF 16
AUGUST 23, 2012
SLOPLANNING.ORG
Item 9.a. - Page 89
COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) PROGRAM
APPLICATION FOR THE 2013 PROGRAM YEAR
SAN LUIS OBISPO COUNTY DEPARTMENT OF PLANNING AND BUILDING
976 0SOS STREET • ROOM 200 • SAN LUIS OBISPO • CALIFORNIA 93408 • (805) 781-5600
Promoting the Wise Use of Land • Helping to Build Great Communities
Organization Name: Mission Community Services Corporation
(Attach additional sheets if necessary)
To be considered for CDBG assistance, please submit this completed application with any exhibits, budgets
or beneficiary data as needed. PLEASE READ ALL INFORMATION, IN THE APPLICATION.
Applications can be mailed to one of the participating jurisdictions listed in this application or to: Tony
Navarro, Planner III, Department of Planning and Building, 976 Osos Street, Room 300, San Luis Obispo,
CA., 93408 or hand delivered to Tony Navarro at 1035 Palm Street, Room 370, San Luis Obispo, CA.,
faxed to (805) 781-5624, or.e-mailed to tnavarro@co.slo.ca.us. The application deadline is 5:00P.M.,
Friday, October 12, 2012. Applications must be received by the County or one of the participating cities
(Arroyo Grande, Atascadero, Morro Bay, Paso Robles, San Luis Obispo) prior to close of the business day.
POSTMARKED DATED MAIL RECEIVED AFTER THE DEADLINE WILL NOT BE
ACCEPTED.
NOTE:
(1) Please review the CDBG regulations and guidelines and the Request for Proposals before
completing this proposal. The CDBG regulations, under 24 CFR 570, are available at
www.sloplanning.org under "Federal HUD Grants."
(2) HMIS Reporting for 2013 homeless services, housing and shelter-All homeless service
providers applying for CDBG funds to assist, house or shelter the homeless must identify and
demonstrate its capacity to participate in the County of San Luis Obispo Homeless Management
Information System (HMJS) to provide: personnel for data entry, user licensing, and hardware and
software necessary for compatibility with HMIS. HMIS is an electronic data collection system that
stores client level infonnation about persons who acces~ the homeless services system in a
Continuum of Care, and reports aggregate data for the County as per the U.S. Department of
Housing and Urban Development's Data Standards found in
http://www.hudhre.info/documents!FinaiHMISDataStandards March2010.pdf.
(3) The project/program proposal to the County of San Luis Obispo shall be examined in relation to the
County's community development goals and funding priorities as presented in the Urban County of
San Luis Obispo 2010-2015 Consolidated Plan (ConPian). The ConPlan is available at
www.sloplanning.org. The County of San Luis Obispo Department of Planning and Building
(Planning) considers the criteria stated in the 2013 Request for Proposals as one of many tools to
help make funding recornn1endations to the Board of Supervisors. Planning will use other
information and sources including but are not limited to: the County Board of Supervisors,
recommendations from the Homeless Services Oversight Council, other participating jurisdictions of
the Urban County of San Luis Obispo, identified needs that could be addressed by the grant funds,
consistency with goals and priorities in the 2010 Consolidated Plan and the Ten Year Plan to End
1-Iomelessness, results of the Needs Workshops, working knowledge of the project and/or
organization by Planning, and availability of limited f·und, to help with the funding
recommendations.
COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) PROGRAM
APPLICATION FOR FUNDING DURING 2013 PROGRAM YEAR
SAN LUIS OBISPO COUNTY PLANNING & BUILDING
PAGE 1 OF 19
AUGUST 23, 2012
SLOPLANNING.ORG
Item 9.a. - Page 90
Please call County and/or city CDBG staff with any questions about how to complete the form or about the
rating criteria and process. '
If the infonnation for any of the questions below requires more room to provide a complete explanation of
your proposed project or program, please attach additional sheets.
CONTACT INFORMATION
1. Name and mailing address of applicant organization, with contact person, phone and fax
numbers, and e-mail address:
Nan1e: Mission Community Services Corporation
Address (mailing and physical address requested if different):
71 Zaca Lane-Suite 130
San Luis Obispo, CA 93401
Contact person/title: David Ryal, Executive Director
Phone: (805) 595-1357
Fax: (805) 595-1358
E-mail address: drval@mcscorp.org
Is the organization a Faith Based Organization? YesD
Organization's DUNS number: 132438545
No X
If you arc awarded CDBG funds or your proposal involves economic development, i.e., directly benefit a business, private
property owner, business, involves fa~;ade improvements, provide technical assistance to a new or existing business, job
creation, loan guarantee, the beneficiary must obtain a Dun and Bradsteet (DUNS) number that must be reported to
HUD. Please contact Tony Navarro, (805) 781-5787, tnavarro@slo.co.ca.us for information on how to obtain a DUNS
number prior to incurring and obligating the federal funds.
Is your agency currently participating in HMIS? No
If not, does your agency have the capacity to participate in HMIS? If yes, how so? No
COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) PROGRAM
APPLICATION FOR THE 2013 PROGRAM YEAR
SAN LUIS OBISPO COUNTY PLANNING & BUILDING
PAGE 2 OF 19
AUGUST 23, 2012
SLOPLANNING.ORG
Item 9.a. - Page 91
PROJECT DESCRIPTION
2. Title/nam~/address of proposed project or program:
Women's Business Center-
Entrepreneurial Training Program with Fiscal Literacy and Business Technical assistance.
71 Zaca Lane-Suite 130
San Luis Obispo, CA 93401
3. Please describe the proposed project or program. In one or two short paragraphs, include a brief
project/program description, the groups who will benefit and an explanation of how they will benefit
from the proposed project or program. For projects, describe the location of the project (be as specific
as possible, e.g. street address). For programs, state the location from which the program \Viii be
operated and/or describe the geographic area served by the program. Also, please include a schedule of
project/program milestones.
The Women's Business Center (WBC) program is a partially funded program established
by the U.S. Small Business Administration (SBA). The purpose of the program is to provide
introductory and in-depth entrepreneurial training to the underserved population which
i:rtcludes: women, minorities, displaced workers, veterans, the disabled and other population
groups. One-on-one consulting is part of the WBC services, where the client can talk with
consultants from the WBC consultant pool. The WBC provides these services to individuals
looking to start a business as well as naseent and established businesses. (Services are
offered in English and Spanish)
From the New York Times to the Buffington Post; from USA Today to over 1,000,000 hits
on a Google Search for the 'Accidental Entrepreneur; this fact is still true "Tfie economic
ma[aise of tfie {ast few years yummefec[ fiome va(ues, 401 (li) 6a[ances and; for many, tlie security of a
steaay yaycfiecli. 'But one tliing it aian't fiamyer was entreyreneuria[ ari've. Some of tfie 6iggest gains in
entreyreneuria[ activity occurred" auring tfie aeytfis of tlie (;reat Recession".
USA Today-March 8, 2011
In the current economic condition, the entrepreneurial training/ self-employment services
offered by MCSC's Women's Business Center are vital in helping individuals in the categories
mentioned above become or maintain self-sufficiency. Large, medium and small businesses
are not hiring in numbers large enough to lower unemployment significantly, thus self-
employment becomes the viable option for a person's nextjobjcareer and self-sufficiency.
The Women's Business Center (WBC) program provides services from 71 Zaca Lane -
suite 130, in San Luis Obispo. However, the WBC is not limited to providing services from
this one location. Through cooperative agreements class offerings and consulting takes place
in Paso Robles, Templeton, Grover Beach, Arroyo Grande, Morro Bay and other locations as
needed. Services are available to all county residence, but focus is on the underserved
populations that are classified as: very-low to low to moderate income groups.
"Fiscal Literacy'' and "Fiscal Literacy for Small Business" are new offering that expands
partnerships that the WBC has for the delivery of services in San Luis Obispo County. These
four-part classes are eight hours in length total.
COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) PROGRAM
APPLICATION FOR THE 2013 PROGRAM YEAR
SAN LUIS OBISPO COUNTY PLANNING & BUILDING
PAGE 3 OF 19
AUGUST 23, 2012
SLOPLANNING.ORG
Item 9.a. - Page 92
The WBC program operates year round. The 14-week Self-employment Training (SET)
class is offered at twice a year (Spring and Fall). The ten-week Spanish Language class
"Empezando-How to write a Business Plan" is offered year. One class in north county and
one in south county. Fiscal Literacy will be offered at least six times. The goal is to graduate
a total 16 people from the SET classes and 16 from the Empezando classes. The first year
goal is to have 80 residents/businesses complete the Fiscal Literacy program.
Historically, the WBC consults with 150 San Luis Obispo County clients representing
most communities in the county during the program year. The WBC must report all activity
and economic impact via a federally approved data collection system titled WEBCats.
The proposed program for the County would take 16 individuals through 15-weeks (45
hours) of classroom training in entrepreneurship. Another 16 individuals would be trained
via the Empezando (33 hour) course. Added to the classroom training would be unlimited
use of the WBC's Business Information Center, a library of business books and videos, along
with computers that contain business plan software to assist in the development of business
plans. There is an additional 3 hours of consulting one-on-one for each participant in these
program, if requested by the student. Anticipated milestones include: 24 business plans
developed, introduction to potential funders (as needed), and 10 business startups.
. The proposed program for each of the participating cities includes: development and
delivery of workshops for the resident (pre-entrepreneur) and business population that would
be custom depending on needs. These classes would i.p.clude but not limited to; 1) So You
Want to Be an Entrepreneur? 2) Access to Capital; 3) Intemet Marketing for Small Business;
4) Social Media Boot Camp; 5) Financial Literacy.
Next, one-on-one consulting would be done within the local city jurisdiction thus saving the
resident or business from having to drive to the primary service office in San Luis Obispo.
Part Two of this component would be the development of a virtual business center that would
allow for face-to-face consulting via the Intemet with use of inexpensive web-cams
MCSC can assist in canvassing the business community, which is primarily small
businesses, many who fall below the median income levels of the county. There may be
multiple distinct business districts that need custom assistance.
4. Will the services offered by your organization increase or expand as a result of the CDBG
assistance? If yes, please answer the following questions:
a. What new programs and/or services will be provided?
Depending on funding levels, the development of a comprehensive on-line delivery
system (virtual business center) would continue. The SET class curriculum is on-line. It
is tied to an on-line business plan development platform or business plan software with
in-person facilitation. Ultimate goal is to develop a comprehensive virtual business
center.
COMMUNITY DEVELOPMENT BLOCK GRANT (COBG) PROGRAM
APPLICATION FOR THE 2013 PROGRAM YEAR
SAN LUIS OBISPO COUNTY PLANNING & BUILDING
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Item 9.a. - Page 93
b. Describe how existing programs and/or services will be expanded and what percentage of an
increase is expected?
CDBG funcling is leveraged with federal dollars as cash match. The funding permits
the WBC to offer the comprehensive SET program and the follow-on consulting services.
Consulting services would increase by approximately 25%. Added workshops as outlined
above can be offered on a regular basis.
5. Check any of the following eligible activity categories that apply to the proposed project or
program: (Refer to CDBG regulations and the Guide to Eligible CDBG Activities).
Acquisition of real property*
Disposition of real property
Public facilities and improvements (may include acquisition, construction,
reconstruction, rehabilitation or installation)* and/or * *
Privately owned utilities
Clearance and remediation activities**
Public services
Interim assistance
Relocation of individuals, families, businesses, non-profit organizations, and/or farms
Loss of rental income
Removal of architectural barriers
Housing rehabilitation**
New housing construction (under limited circumstances)
Homeownership assistance
Housing services
Code enforcement
Historic preservation**
Commercial or industrial rehabilitation**
Special economic development
COMMUNITY DEVELOPMENT BLOCK GRANT (COBG) PROGRAM
APPLICATION FOR THE 2013 PROGRAM YEAR
SAN LUIS OBISPO COUNTY PLANNING & BUILDING
PAGE 5 OF 19
AUGUST 23, 2012
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Item 9.a. - Page 94
X Technjcal assistance and planning studies
*Relocation: Any project that involves the acquisition of property and/or rehabilitation and is funded in
whole or in part with federal funds, even if the federal funds are not used for the acquisition itself, is subject
to federal requirements connected to acquisition and relocation. A project cannot be broken into separate
"projects" in order to avoid the federal requirements connected with property acquisition and relocation.
Any questions concerlling whether the relocation regulations apply to a specific property acquisition project
should be directed to the Community Development Division staff before any action is taken on the project.
If HUD funded project will cause a household or a business to move, evenly temporarily, the relocation
regulations will apply.
Along with application submjt:
• Estimate of relocation cost (moving costs, subsidy an10unt for suitable replacement dwelling)
o Letter to owner or voluntary acquisition, plus proof of delivery to owner.
o General Infonnation letter to tenants (both business and residential tenants), plus proof of delivery to
all).
• List of tenants (both business and residential tenants) at the time of application submittal.
o Refer to SLO Col website for sample relocation letters.
** Lead based paint/asbestos: If HUD funded project involves acquisition or rehabilitation of a residential
units that was built in 1978 or earlier, then Lead-Based paint regulations will apply.
• Along with application submit an estimate of costs for LBP work, provided by certified LBP
consultant. Or statement by LBP consultant explainjng that project is exempt.
• Include any temporary housing costs.
6. Describe the need and the degree of urgency for the proposed project or program.
What would be the consequences if the proposed project or program is not funded in
the next year?
The California unemploynient rate is 10.6% as of September 2011, which is lower than a
year earlier, when state unemployment was at 11. 9%. However, this rate is still well above
the reported national unemployment rate of 7 .8%. These rates do not take into account
those who have stopped looking for work. San Luis Obispo County unemployment for
August 2012 is 8.1%. (LMI-Bureau of Labor Statistics). It is reported that San Luis
Obispo County· has an estimated 11,200 unemployed. As reported by Sperling's Best
Places, job growth in the county stands at 0 .. 13%.
http: //www.bestplaces.net/economy/county/california/san luis obispo
COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) PROGRAM
APPLICATION FOR THE 2013 PROGRAM YEAR
SAN LUIS OBISPO COUNTY PLANNING & BUILDING
PAGE 6 OF 19
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Item 9.a. - Page 95
Self-employment becomes a viable option for individuals in this county. In fact small
business is critical to San Luis Obispo County and its cities well-being. Helping individuals
by providing. entrepreneurial training is a valuable service that has short and long-term
retum on investment.
Without the support of CDBG funding, fewer dislocated workers and others wanting to
start businesses may not be able to access needed entrepreneurial training and support.
Fewer dollars from local resources can lead to fewer dollars from the federal grant as cash
match is a requirement for the WBC program.
The WBC is a full-service technical assistance provider for retail and service businesses in
the County. The Small Business Development Center (SBDC) at Cal-Poly is focused on
technology businesses and start-ups. The vast majority of businesses in the County are not
tech businesses.
7. Please describe the specific organizational method used to implement the proposed
project or program (single or multiple group, public agency, non-profit, for-profit,
experience in operating similar programs, etc.):
The WBC program is implemented by the non-profit organization Mission Community
Services Corporation (MCSC). Currently MCSC has a seven person Board of Directors, an
Executive Director, WBC Program Manager, Consultant and Training Coordinator Consultant
and a pool of ten consultants to deliver classes and consulting services.
Mission Community Services Corporation is beginning its seventh year as a WBC. It was
recertified at the end of September 2011 to host the WBC program through 2014. MCSC has
hosted the Business Information Center for eight years.
MCSC partners with a number of organizations to deliver services including: the WIB
Business and Career One-Stop, chambers of commerce, local non-profits, and private sector
comparues.
8. Docs the project require the issuance of a permit (from local, state or federal agencies)?
Yes D No X
a. If yes, please identify the permits necessary to complete the project.
b. Have the necessary permits been issued? Please provide proof of pennit issuance.
c. If pennits are required but not yet obtained, when will the permits be issued?
NATIONAL OBJECTIVES CRITERIA
. 9. Does the proposed project or activity meet one of the three national objectives of the
CDBG program? Please check one of the objectives below that applies to the
proposal, and explain how the project or activity meets that national objective.
COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) PROGRAM
APPLICATION FOR THE 2013 PROGRAM YEAR
SAN LUIS OBISPO COUNTY PLANNING & BUILDING
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a. X Benefits low-and moderate-income persons as defined by the U.S. Department of
Housing and Urban Development (HUD).
Select one:
0 Low/Moderate-Income Area Benefit-The project serves only a limited area which is proven
by 2000 Census data or survey to be a predominately (51% or more) low/moderate-income area.
Applicants choosing this category must be able to prove their project/activity primarily benefits
low/moderate-income households.
0 Low/Moderate-Income Limited Clientele -The project benefits a specific group of people
(rather than all areas in a particular area), at least 51% of whom are low/moderate-income persons;.
Note: lncome verification for clients must be provided for this category. The following groups are
presumed to be low/moderate-income: abused children; elderly persons; battered spouses; homeless
persons; adults meeting census definition of severely disabled; persons living with AlDS; and
migrant fann workers
0 Low/Moderate-Income Housing -The project adds or improves pem1anent residential
structures that will be/are occupied by low/moderate-income households upon completion.
X Low/Moderate-Income Jobs -The project creates or retains permanents jobs, at least 51% of
which are taken by low/moderate-income persons or considered to be available to low/moderate-
mcome persons.
Explain: Services of the WBC help individuals and small business owners
improve the longevity of self-employment and the jobs the small business creates.
Many small business owners have started out in the very-low/moderate-income
level to become a success and create other jobs for this income level population.
NOTE: To meet this national objective, the proposed activity must benefit a specific
clientele or residents in a particular area of the County or participating city, at least 51
percent of who are low-and moderate-income persons.
b. ___ Aids in the prevention or elimination of slums or blight.
Explain:
Select one:
0 Addressing Slums or Blight on an Area Basis -
0 Addressing Slums or Blight on a Spot Basis -This project will prevent or eliminate specific
conditions of blight or physical decay. Activities are limited to clearance, historic preservation,
rehabilitation of buildings, but only to the extent necessary to eliminate conditions detrimental to
public health and safety.
Is the project located in a Redevelopment Area? Yes 0 No 0
If yes, attach a map of the area with the site highlighted, and provide the Redevelopment Project
Area (excerpts accepted) which documents the existence of slum/blight. Also, document the specific
redevelopment objectives pertaining to the proposed project.
COMMUNITY DEVELOPMENT BLOCK GRANT (COBG) PROGRAM
APPLICATION FOR THE 2013 PROGRAM YEAR
SAN LUIS OBISPO COUNTY PLANNING & BUILDING
PAGE 8 OF 19
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Item 9.a. - Page 97
NOTE: To meet this national objective, the proposed activity must be within a designated
slum or blighted area and must be designed to address one or more conditions that
contributed to the deterioration of the area.
c. ___ Meets community development needs having a particular urgency where existing conditions
pose a serious and immediate threat to the health or welfare of the conimunity, and no other funding
sources are available, i.e., a major catastrophe such as a flood or earthquake.
Explain:
NOTE: To meet this national objective, the proposed activity must deal with major
catastrophes or emergencies such as floods or earthquakes.
10. If the project or program is designed to meet the national objective of providing benefit to low-
a·nd moderate-income persons, please estimate the number of unduplicated number of persons (or
households) to benefit from the project and break that estimate down by income group
(unduplicated means the number who are served, i.e., the grant will allow 25 children to
participate in preschool -not 25 children x 5 days x 52 weeks = 6,500).
a. Total number of persons or households who will benefit from the project or
program (regardless of income group):
112 Persons/households (circle the appLicable unit)
b. Of the total number of persons or households entered above, how many will be
low-income (earning 51%-80% or less of the County median-income)?
50 tpersonSVhouseholds (circle the applicable unit)
c. Of the total number of persons or households entered above, how many will be
very low-income (earning 50% or less of the County median-income)?
25 Persons/households (circle the applicable unit)
11. Who are the clients of your organization? (Example: low-to moderate-income persons, elderly
persons, severely disabled persons, migrant farm workers, battered spouses, etc.)
The Mission Statement of M CSC is "We are dedicated to enhancing opportunities for potential
entrepreneurs and small business owners to become self-sustaining, successful contributors to
their communities, with special assistance for low-income, minority and non-profit businesses."
COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) PROGRAM
APPLICATION FOR THE 2013 PROGRAM YEAR
SAN LUIS OBISPO COUNTY PLANNING & BUILDING
PAGE 9 OF 19
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The WBC has striven to be a provider of services to those who are often underserved. Our
target m·arket: those who can not afford private sector consulting services, thus the very-low
to moderate income individuals in the WBC service area. This target market includes but not
limited to; women, minorities, veterans and the homeless.
12. How will the clients benefit from this project?
As noted above in question# 6, San Luis Obispo County is facing the statistic that one out of
every twelve workers is out of work. These displaced workers have gone from revenue generators
via payroll taxes to those who receive Unemployment Insurance Benefits from the State of .
California. In turn, UI benefits do not translate into keeping these people from dropping into the
income levels of 80% or lower in regards to medium income levels in the county.
The ranks of the target population of the CDBG program are growing. As noted, long-term
full-time jobs in the County and its cities are growing at a very small rate leaving self-
employment as still a viable option for a next job.
The MCSC WBC program is focused on providing a full menu of services to help individuals
who look to self-employment as their nextjob and the program also helps the small
businessperson find ways to keep door open and retain jobs; with the hope of business growth
that will create jobs.
The feature of Fiscal Literacy is designed to help the very low-to-moderate income residents
and small businesses to understand money, its uses, credit and how to start and improve credit
scores, repair credit and how to best use financial institutions. Topics include: Banking and
Budgeting; Checking and Savings; Borrowing and Building Credit; Types of Loans; Consumer
Rights and Financial Recovery. Helping people understand the money system will help them be
better equipped to move up the social/ economic ladder.
This grant proposal would provide support for a forty-five (45) hour entrepreneurial training·
class for Sixteen (16) individuals, who may be heads-of-households (families). The classroom
training provides information and materials on the following topics:
*Personal Financials *Introduction to Business *Introduction to Marketing
*Introduction to Business Entities *Introduction to Intellectual Property
*Library and Internet Research *Developing a Business Description
*Features and Benefits *Marketing and Pricing *Personal Cash Flow
*Business Finances *Customer Service *Promotion and Advertising
*Sales *Internet & Websites *Fixed and Variable Costs
*Business Cash Flow *Understanding Financial Statements
*Operational Plans & Business Management *Mission St<?.tement
*Business Plan Writing *Financial Planning *Marketing Plan
*Ta'< & Insurance Issues *Group Breakout Sessions
*DUNS Numbers and North American Industry Classification System (NAICS) Codes
Each participant receives access to on-line business plan software, on-line curriculum
and three books, that has been developed by a nationally recognized small business expert. The
materials are facilitator led. MCSC has developed an MOU with the software company to provide
COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) PROGRAM
APPLICATION FOR THE 2013 PROGRAM YEAR
SAN LUIS OBISPO COUNTY PLANNING & BUILDING
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Item 9.a. - Page 99
the materials at a substantial cost reduction. The difference in cost and retail is then captured
as an In-kind donation to grant funding.
Each client will receive up to three (3) hours of one-on-one consulting sessions with a
consultant from the WBC pool of business counselors. MCSC offers other workshops and
learning experiences that students of this program is invited to take advantage of. If needed,
more than three hours of consulting will be offered to the student.
MCSC offers a thirty-three (33) hour parallel class in Spanish titled "Empezando-How to
Write a Business Plan". MCSC plans to have sixteen (16) students go through this class. This
course is based on SBA class materials and covers many of the topics listed above. These
students will have up to three (3)hours of consulting provided to them upon completion of the
class.
MCSC plans to have eighty (80) students take and complete the Fiscal Literacy class. It is
anticipated that some of these students will take a combination of small business introductory
classes and Fiscal Literacy for Small Business.
All clients of the Women's Business Center will have unlimited access to the Business
Information Center (BIC) during operational hours. Evening and Saturday hours are part of the
BIC schedule.
As a SBA funded program, the WBC can introduce the client to various funding options
upon completion of the course and the completed business plan, which is a necessary part of
any loan package for a start-up business concept.
The client will have the tools necessary to allow them to make good sound business
decisions and to avoid the potholes that face many small businesses today.
13. If your project sen'es homeless households, please describe how your program coordinates with
other continuum of care projects and entities and how it aligns with the San Luis Obispo
Countywide 10-Year Plan to Homelessness.
Fiscal Literacy is open to all. If any student is homeless, the class is designed to help them understand
the use of money. MCSC would refer any homeless student to an appropriate agency for full support
services. Goal would be to help in the transition for homelessness to becoming part of the mainstream
of the community.
COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) PROGRAM
APPLICATION FOR THE 2013 PROGRAM YEAR
SAN LUIS OBISPO COUNTY PLANNING & BUILDING
PAGE110F19
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Item 9.a. - Page 100
BENEFICIARY DATA
14. How do you collect demographic data on the beneficiaries of the proposed project or program?
(Example: racial/ethnic characteristics)
NOTE: You are required to provide beneficiary data at the end of each quarter and year end
data of the fiscal year.
The WBC program is required by its SBA grant to collect demographic date on a SBA Form
641. This form collects ethnic, gender, disability and veteran information. The form also
collects business data as to start-up or existing business, legal structure of business; type of
business (retail, service, professional, etc.) and last year gross revenue information for existing
businesses.
MCSC uses a self-certification form based on the County of San Luis Obispo's Median
Income matrix.
Classes are captured on SBA Form 888.
15. How do you document and maintain income status of each client in compliance with HUD
regulations? (Example: very low, low-and moderate-income)
The.WBC has worked with San Luis Obispo County personnel to develop at self-certification
income verification form for all activity offered by the WBC. For the entrepreneurial training
class, those clients seeking tuition assistance have a more rigorous income verification process
to go through, one which MCSC has had in place for the past four years.
The Tuition Discount Application requests information on why the discount is being
requested. Income verification is requested by the client providing verification of their past
twelve-month of income, and number of people in the home. The fee for the 14-week course is
$2,000. MCSC proposes to use $1,000 from CDBG funding to write do-wn Y2 of the tuition cost
per student. Other grant funds and SBA funds will help lower the tuition even further on an as
needed basis. The client will be expected to fund at the least, 15% ($300) of the total tuition
cost. Material fees of $135 are also the responsibility of the students. Retail value for the
materials can be as high as $450. Special needs will be reviewed on a case by case basis.
16. Provide the following information for the person(s) in your organization responsible for the
preparation and submittal of the quarterly reports and for collecting and reporting the
beneficiary data to the Urban County.
Contact person/title: David Ryal/Executive Director-MCSC
Stephanie Ananian-WBC Program Manager
Phone number: (805) 595-1357
E-mail address: drval@mcscorp.org or Stephanie@mcscorp.org
COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) PROGRAM
APPLICATION FOR THE 2013 PROGRAM YEAR
SAN LUIS OBISPO COUNTY PLANNING & BUILDING
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Item 9.a. - Page 101
FINANCIAL INFORMATION
For CDBG applications to the County of San Luis Obispo involving acquisition, construction or
rehabilitation projects please provide the required additional budget information on BUDGET
FORM A and BUDGET FORM B attached to the back of this application.
17. Total amount of CDBG funds requested: $70,000
Please identify the jurisdiction(s) to which you are applying (see Note below):
If you are requesting CDBG funds from more than one jurisdiction, please break down the
amount shown above by the jurisdiction listed below.
City of Arroyo Grande:
City of Atascadero:
City of Morro Bay:
$5.000
$5.000
$5,000
City of Paso Robles: $10.000
City of San Luis Obispo: $10,000
County of San Luis Obispo: $35.000
NOTE: If you are applying to one or more cities, please provide a copy of the application to the County
by the application deadline.
18. Please describe the budget for the proposed project or program. Itemize all sources of funding
expected to be available and used for this project
a. Revenues:
1. CDBG Funds requested
2. Other Federal fund(s) (please describe below)
3. State source(s) (please describe below)
4. Local source(s) (please describe below)
5. Other funds (please describe below)
Total Revenues
• Federal Funds-SBA Grant-Women's Business Center
• Local Funds-Program Income, Mission Community Bank
$ 70,000
$ 80,000
$
$ 12,000
$ 25,000
$187,000
• Other Funds-Foundation Grants-i.e. Citibank, Bank of America
COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) PROGRAM
APPLICATION FOR THE 2013 PROGRAM YEAR
SAN LUIS OBISPO COUNTY PLANNING & BUILDING
PAGE 13 OF 19
AUGUST 23, 2012
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Item 9.a. - Page 102
. b. Expenditures: List below by item or cost category.
Personnel
Program Manager-100% (required by SBA Grant)
Executive Director. -50%
Fringe Benefits
Calculated at 22%
Supplies
. Class Materials
Contractual
Facilitator-6 classes
Consultants
Fiscal Manager
Facilities
Rent
Other
Total
Utilities and Phone/1 nternet
Liability Insurance
Promotion of Program
Travel -mileage
$ 39,000
$ 25,800
$ 14,250
$ 4,570 •.
$ 24,600
$ 43,080
$ 7,200
$ 16,000
$ 4,000
$ 4,500
$ 5,000
$ 1,500
$187,000
19. How do you plan to fund the operation and maintenance costs (if any) associated with this
project? Are these funds available now? If not, when will they be available? And from what
source(s)?
Mission Community Services Corporation receives funding from the SBA on a quarterly basis.
Funding from other sources comes in on a varied schedule depending on funding cycles of
agencies and foundations. Grants from financial institutions come in as awarded. Funding
from service contracts generated is received at benchmark points during the project.
20. Will CDBG funds be used to match/leverage other funds? List below funding sources and
amounts and identify award dates of these sources.
Yes. The funding source that CDBG funds would leverage is from the SBA. This contract
funding source requires a dollar for dollar match.
Mission Community Services Corporation constantly monitors other grant and funding
opportunities from the federal govemment to aid in the delivery of technical assistance to the
small business community and budding entrepreneurs. The vast majority of these funding
opportunities contain a cash match component.
0 U.S. SBA $123,000 10/01/20 12"
• Citibank $ 32,000 03/15/2012
• Bank of America $ 3,000 02/01/2012
0 Mission Community $ 25,000 01/01/2012
• Program Income $ 6,000 ongomg
• CDBG . $ 40,000
" Women's Business Center covers Kern and Monterey Counties as well as San Luis Obispo County.
COMMUNITY DEVELOPMENT BLOCK GRANT (COBG) PROGRAM
APPLICATION FOR THE 2013 PROGRAM YEAR
SAN LUIS OBISPO COUNTY PLANNING & BUILDING
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[ certify that the infonnation in this application is true and accurate to the best of my knowledge and ability.
10111/2012
Signature Date
David L. Ryal Executive Director
Printed or typed name Title
Note to applicant:
The County and cities require all of the grant recipients to maintain general liability, automobile and
workman's compensation insurance with limits of not less than $1 million***. If you are successf1.!1 in
obtaining an award, you will be asked to provide documentation regarding ability to provide the required
coverage.
*** Liability coverage may vary by jurisdiction. Please call the city/county contact to verify limits.
Prior to HUD's release of grant conditions and/or funds for the CDBG-funded project, a review of the
project's potential impact on the environment must be conducted by the awarding jurisdictions and
approved by the County of San Luis Obispo prior to obligating or incurring project costs. The County
must certify to HUD that it has complied with all applicable environmental procedures and requirements.
Should project costs be obligated or incurred prior to the completion of the necessary environmental review,
the project shall not benefit from the federal f1.mds. Environmental review requirements pursuant to 24
CFR Part 58 must be fully satisfied for any project selected for funding prior to the CDBG Program issuing
a Notice to Proceed for the project. The level of environmental review required depends on the nature of the
project. 24 CFR Part 58 is available at www.hud.gov/offices/cpd/environmental/lawsandreQs/regs.
[f you need assistance or have questions regarding this application, please contact any of the persons listed
below. Your app\ication(s) can be dropped off or mailed to the following locations:
• Kelly Heffernan, Community Development Dept., City of Arroyo Grande, 214 E. Branch Street (P.O.
Box 550), Arroyo Grande, CA 93421, (805) 473-5420.
• Valerie Humphrey, Public Works Dept., City of Atascadero, 6907 El Camino Real, Atascadero, CA
93422, (805) 4 70-3460.
• Rob Livick, Public Services Dept., City of Morro Bay, 955 Shasta A venue, Morro Bay, CA, 93442,
(805) 772-6261
• Darren Nash, Community Development Dept., City of Paso Robles, 1000 Spring St., Paso Robles, CA
93446, (805) 237-3970.
o Tyler Corey, Community Development Dept., City of San Luis Obispo, 919 Palm St., San Luis Obispo,
CA 93401, (805) 781-7175.
• Tony Navarro, Dept. of Planning and Building, 976 Osos Street, Room 300, San Luis Obispo, CA
93408, (805) 781-5787.
COMMUNITY DEVELOPMENT BLOCK GRANT {CDBG) PROGRAM
APPLICATION FOR THE 2013 PROGRAM YEAR
SAN LUIS OBISPO COUNTY PLANNING & BUILDING
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Item 9.a. - Page 104
COUNTY OF SAN LUIS OBISPO CDBG SUPPLEMENTAL BUDGET INFORMATION SHEET
BUDGET FORM A
For CDBG applications to the County of-8an Luis Obispo involving acquisition, construction or
rehabilitation projects must provide the applicable project budget information.
Financial considerations are key in assessing a project's ability to be completed successfully and timely.
Factors to be considered in this area include (a) availability and sufficiency of resources (including all non-
CDBG, federal, state, county or private funding sources, (b) the leveraging of resources, (c) fiscal support
for the project for its continued viability and (d) the project budget's accuracy, reasonableness and
completeness in detennining the financial needs of the project. ·
Source of Funds. Provide for entire project and round to the nearest hundred dollars. Do NOT include
operating costs as this is not an eligible CDBG costs for projects involving acquisition, construction or
rehabilitation projects.
(Not Applicabl~)
Description of Cost Date Amount Approved-Total 0 /o of
Funds Requested Secured Total
Available Budge
COBG Funds: This
Request
Previous A ward
Previous A ward
CDBG Funds: This
request
Previous Award
Other Federal Funds
Source:
State Funds
Source:
Private Funds:
Private Funds:
Private Funds:
In-Kind Contributions:
Labor
Ln-Kind Contributions
Other:
Other:
Other:
Totals 100%
Comment on your entity's strategy and plans on the leveraging and sufficiency of resources to implement
the proposed project. If project is not leyeraged with other funds, explain why CDBG funds are being relied
on solely to fund the proposed project.
COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) PROGRAM
APPLICATION FOR THE 2013 PROGRAM YEAR
SAN LUIS OBISPO COUNTY PLANNING & BUILDING
PAGE 16 OF 19
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COUNTY OF SAN LUIS OBISPO CDBG SUPPLEMENTAL BUDGET INFORMATION SHEET
Project Budget
BUDGET FORM B
(Not Applicable)
Budget Form-Acquisition, Construction and Rehabilitation Project Preliminary Budget & Project Funding
Requirements
Agency name:
Project:
Preliminary Budget: List all funding necessary to complete the proposed project. You must provide a
DETAILED budget line-item worksheet for all costs associated with the project. NOTE: YOU MUST
USE TillS FORMAT. Additionally, you must provide a DETAILED budget narrative explainjng how
you arrived at each line item.
Activity
ACQmSITlON
Purchase of Land
Purchase of Units
Other Expenses (List)
HARD COSTS
Site Work
Demolition
Construction
Appliances
Accessory Buildings
General Requirements
Contractor Overhead
Contractor Profit
Construction Contingency
Other (List on separate sheet
SOFT COSTS
Architect Fee-Design
Architect Fee-Supervision
Legal Fees
Engineering Fees
Other Professional Fees (List)
Appraisal
Market Study
Environmental Report
Title & Recording Expenses
Relocation Expenses
Consultants
------
COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) PROGRAM
APPLICATION FOR THE 2013 PROGRAM YEAR
SAN LUIS OBISPO COUNTY PLANNING & BUILDING
CDBG Funds Other Funds
'.
. '
r
,..
Total Cost
I
PAGE 17 OF 19
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Item 9.a. - Page 106
Other Soft Costs (List)
INTERIM COSTS
Construction Insurance
Construction Interest
Credit Enhancement
Real Estate Taxes
FJNANCING COSTS I
Bond Premium I
Permanent Loan Origination I
Permanent Loan Credit Enhance
Other Financing Costs (List)
DEVELOPER'S FEE (Determined individually
for each project)
TOTAL DEVELOPMENT COST
Budget must be specific and reflect the applicant's financial commit~1ent, including items paid for by other
sources. This includes in-kind contributions and volunteer labor. It should not include amounts of
administration. Indicate the circumstances/consequences of partial funding is awarded for this project.
Authorization:
Authorized Signature for Project
Print name
COMMUNITY DEVELOPMENT BLOCK GRANT (COBG) PROGRAM
APPLICATION FOR THE 2013 PROGRAM YEAR
SAN LUIS OBISPO COUNTY PLANNING & BUILDING
Title Date
PAGE 18 OF 19
AUGUST 23, 2012
SLOPLANNING.ORG
Item 9.a. - Page 107
COUNTY OF SAN LUIS OBISPO CDBG SUPPLEMENTAL BUDGET INFORMATION SHEET
WORK PLAN & PERFORMANCE SCHEDULE
List all project milestones and their anticipated work period. There will be an opportunity to update the
project timeline after grant notification and before executing a grant agreement. Any proposed changes,
including extension and early completion, must be requested in writing and approved in advance by the
jurisdiction receiving the funding application. Note: Applicant will assume all financial risk if work on the
proposed project begins before environmental clearance is obtained. You may either use or recreate this
form to add tasks and activities and extended tirneline. YOU MUST USE TillS FORMAT.
Task/Activity-Begin July 2013 :mL AUG SEP OCT
Fiscal Literacy Classes 1
ETP Class 1
Embezando
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COM~UNITY DEVELOPMENT BLOCK GRANT (CDBG) PROGRAM
APPLICATION FOR THE 2013 PROGRAM YEAR
SAN LUIS OBISPO COUNTY PLANNING & BUILDING
NOV DEC
1
-
JAN FEB MAR
2 2 2
1
APR
11
I
MAY JUN
1 1
1
PAGE 19 OF 19
AUGUST 23, 2012
SLOPLANNING.ORG
...... Item 9.a. - Page 108