Notice of Award & Request to Execute Agreement for 25-26 City of Dubuque AmeriCorps Program: Creating OpportunitiesCity of Dubuque
City Council
CONSENT ITEMS # 5.
Copyrighted
August 18, 2025
ITEM TITLE: Notice of Award & Request to Execute Agreement for 25-26
City of Dubuque AmeriCorps Program: Creating
Opportunities
SUMMARY: City Manager recommending City Council approval for the
City Manager to execute the 25-26 AmeriCorps Grant
Agreement for the City of Dubuque AmeriCorps Program:
Creating Opportunities grant.
SUGGUESTED Receive and File; Approve
DISPOSITION:
ATTACHMENTS:
1. MVM Memo
2. Staff Memo
3. 25-26 City of Dubuque AmeriCorps Grant Agreement
Page 164 of 579
Dubuque
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TO: The Honorable Mayor and City Council Members
FROM: Michael C. Van Milligen, City Manager
SUBJECT: Notice of Award & Request to Execute Agreement for 25-26 City of
Dubuque AmeriCorps Program: Creating Opportunities
DATE: August 14, 2025
Community Impact Director Antonio Mouzon is recommending City Council approval for
the City Manager to execute the 25-26 AmeriCorps Grant Agreement for the City of
Dubuque AmeriCorps Program: Creating Opportunities grant.
Match Amount: $175,299
Match Funding Source:
• Anticipated New Host Site(s) $40,500 (Pending funding availability)*
• Dubuque Community School District (Secured) $45,000 Cash State/Local
• City of Dubuque $89,799 Cash State/Local
o Multicultural Family Center $29,000 (Secured) + ($8,599 Pending funding
availability)
o Carnegie Stout Library $26,450 (Secured)
o Parks and Recreation $25,750 (Secured)
Funding streams for host site partners that were originally included in grant submission
in November 2024 have experienced reduced or eliminated funds. Two host site
partners are therefore not able to participate in this grant year. Those match fund
sources are now listed as the "Anticipated New Host Sites". Program is actively
searching for new host sites, selection will be based on their funding availability and fit
for program design, K-12 education.
The City of Dubuque will have 34 AmeriCorps members who will develop and
implement social and emotional learning interventions to K-12th grade students through
in -school and out -of -school -time programs in Dubuque, The AmeriCorps members will
be responsible for a change in social -emotional skills as measured by the Devereaux
Student Strengths Assessment (DESSA). In addition, the AmeriCorps members will
leverage 100 volunteers who will be engaged in mentoring youth and supporting youth
programming.
The AmeriCorps investment will be matched with $175,299 ($134,799 in public funding
and $40,500 in new host site funding). If the program falls short on match funding the
program scope and scale will be reduced to match available funds.
Page 165 of 579
I concur with the recommendation and respectfully request Mayor and City Council
approval.
Mic ael C. Van Milligen
MCVM:sv
Attachment
cc: Crenna Brumwell, City Attorney
Cori Burbach, Assistant City Manager
Antonio Mouzon, Community Impact Director
Jason Lehman, Assistant City Attorney
Barry Lindahl, Senior Counsel
Jennifer Larson, Chief Financial Officer
Sarah Berna, AmeriCorps Program Director
Anne Marie Greenwood, Community Impact Administrative Support Professional
2
Page 166 of 579
TO: Michael C. Van Milligen, City Manager
FROM: Antonio Mouzon, Community Impact Director
SUBJECT: Notice of Award & Request to Execute Agreement for 25-26 City of
Dubuque AmeriCorps Program: Creating Opportunities
DATE: 8/14/2025
INTRODUCTION
The purpose of this memorandum is to provide information on the award of 25-26 City
of Dubuque AmeriCorps Program: Creating Opportunities grant and to request approval
to execute the AmeriCorps Grant Agreement that will be sent to City Manager Mike Van
Milligan by Volunteer Iowa through Adobe Sign and Save.
DISCUSSION
The City of Dubuque AmeriCorps Program: Creating Opportunities has been extremely
successful in its 25 years of operation, 17 of which have been under the leadership of
the City of Dubuque. The program's success is apparent in the over 1,000 AmeriCorps
Alumni giving over 500,000 hours of service in our community. These members and
alumni have performed invaluable service.
AmeriCorps members are paid a living allowance stipend for their service and receive
an education award. The stipends and awards are a part of the grant. These funds are
often directly invested in our community in the form of groceries, rent or tuition to local
colleges and universities as well as other direct living expenses. Some of the
AmeriCorps members are grandparents and earn education awards they are passing
along to their grandchildren.
AmeriCorps the Agency, also referred to as Corporation for National and Community
Service (CNCS), has established priority areas of funding for their grants. The City of
Dubuque AmeriCorps program fits into AmeriCorps' priority area of education.
AmeriCorps emphasizes performance measures and being able to measure progress.
They require evidence -based approaches with evaluative data and use of a logic model.
This competitively funded grant is a continued effort to support the Dubuque
community's youth through social -emotional learning interventions, academic support,
mentoring, and future -ready programs through Carnegie -Stout Public Library, Dubuque
Community School District, and the Multicultural Family Center. With a primary focus on
fostering essential skills, AmeriCorps members will spearhead programs that target self-
awareness, social awareness, self -management, goal -directed behavior, relationship
skills, personal responsibility, decision -making, and optimistic thinking.
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By prioritizing these critical attributes, the City of Dubuque AmeriCorps members aim to
equip local youth with the necessary tools to navigate challenges, enhance well-being,
and succeed academically and beyond. Each of these attributes are often traits that we
admire in our friends, family members, colleagues, and leaders. At the conclusion of
each program year, AmeriCorps members will be responsible for driving measurable
changes in students' social and emotional competencies, empowering them to thrive in
various aspects of life. Through in -school and out -of -school -time programs, these
dedicated individuals will create supportive environments that promote personal growth
and positive development among the student population.
In addition to our impact on community youth and local organizations, one of the areas
that the AmeriCorps Program prioritizes is with the AmeriCorps members themselves.
The Program strives to recruit from a broad representation of candidates, with the
program previously having had a wide range of AmeriCorps from retirees to college
students, to newcomers to Dubuque, to stay at home parents, to people looking for a
career change. The program strives to encourage its AmeriCorps members to recognize
their service as engagement and continue to serve in some facet after their term of
service.
Council approved the request to apply for 23-26 competitive grant cycle on 12/19/2022
for the City of Dubuque AmeriCorps Program: Creating Opportunities. On 6/19/25,
Community Impact was notified of the 25-26 award. The details of the award are below.
Federal Funds Awarded: $362,250
Match Required: Yes
Match Amount: $175,299
Match Funding Source:
• Anticipated New Host Site(s) $40,500 (Pending funding availability)*
• Dubuque Community School District (Secured) $45,000 Cash State/Local
• City of Dubuque $89,799 Cash State/Local
o Multicultural Family Center $29,000 (Secured) + ($8,599 Pending funding
availability)
o Carnegie Stout Library $26,450 (Secured)
o Parks and Recreation $25,750 (Secured)
Anticipated Receipt of funds: Between 10/1/2025 - 12/1/2025
Department Contact: Antonio Mouzon
*Funding streams for host site partners that were originally included in grant
submission in November 2024 have experienced reduced or eliminated funds. Two host
site partners are therefore not able to participate in this grant year. Those match fund
sources are now listed as the "Anticipated New Host Sites". Program is actively
searching for new host sites, selection will be based on their funding availability and fit
for program design, K-12 education.
Page 168 of 579
Departments Involved: Parks and Recreation, Carnegie Stout Public Library,
Multicultural Family Center
GRANT OBJECTIVE
The City of Dubuque will have 34 AmeriCorps members who will develop and
implement social and emotional learning interventions to K-12th grade students through
in -school and out -of -school -time programs in Dubuque, The AmeriCorps members will
be responsible for a change in social -emotional skills as measured by the Devereaux
Student Strengths Assessment (DESSA). In addition, the AmeriCorps members will
leverage 100 volunteers who will be engaged in mentoring youth and supporting youth
programming. The AmeriCorps investment will be matched with $175,299 ($134,799 in
public funding and $40,500 in new host site funding).
ACTION REQUESTED
The purpose of this memorandum is to provide information on the award and request
approval for the City Manager to execute the 25-26 AmeriCorps Grant Agreement for
the City of Dubuque AmeriCorps Program: Creating Opportunities grant. This
agreement has been reviewed and approved by City of Dubuque Legal Counsel, Barry
Lindahl and Jason Lehmann
Attached: 25-AC-10 City of Dubuque Grant Agreement, Application and Budget
Narrative, City of Dubuque AmeriCorps Program Grant Award Letter
CC: Crenna Brumwell, City Attorney
Jason Lehman, Assistant City Attorney
Barry Lindahl, Senior Counsel
Jennifer Larson, Chief Financial Officer
Sarah Berna, AmeriCorps Program Director
Anne Marie Greenwood, Community Impact Administrative Support Professional
Page 169 of 579
25-AC-10
21 ACEIA0010012
IOWA COMMISSION ON VOLUNTEER SERVICE
AMERICORPS GRANT AGREEMENT
GRANTEE: City of Dubuque
GRANT NUMBER: 25-AC-10
PROGRAM NAME: City of Dubuque AmeriCorps Program
GRANT AGREEMENT PERIOD: 9/l/2025- 8/31/2026
TOTAL MAXIMUM GRANT AMOUNT: $362,250
GRANT TYPE: Cost Reimbursement
FEDERAL PRIME GRANT & TYPE: 24ACEIA001 (Competitive)
FEDERAL PRIME AWARD DATE: 7/l/2025
This AmeriCorps Grant Agreement is made by and between the Iowa Commission on Volunteer
Service, 321 E 12th St., Des Moines, Iowa 50319 ("Commission" or "Volunteer Iowa"), an agency
of the State of Iowa, and City of Dubuque ("Grantee"), 50 West 13th Street, Dubuque, IA 52001, a
city government.
WHEREAS the Commission is designated to receive, administer and disburse AmeriCorps State and
National grant funds; and
WHEREAS the Commission desires to disburse grant funds to the Grantee for eligible purposes
primarily addressing community needs identified in the Grant Application; and
WHEREAS the Grantee submitted an application for funding to the Commission and the Commission
has approved the application; and
WHEREAS, in approving the application, the Commission has relied upon the representations of the
proposed Program activities; management and financial condition of the Grantee; investment of other
Grantee funds; and other material information contained therein; and
WHEREAS the Grantee has certified to the Commission that the primary purpose for obtaining
AmeriCorps funds is to make a significant impact in the community while providing a meaningful
service opportunity for the AmeriCorps members;
NOW, THEREFORE, the Grantee accepts this grant upon the terms and conditions set forth in this
Agreement.
In consideration of the mutual promises contained in this Agreement, the Parties agree as follows:
ARTICLE 1 - DEFINITIONS
As used in this Agreement, the following terms shall apply:
1.1 ACT. "Act" means the National and Community Service Act of 1990 (42 U.S.C. 12501 et seq.),
as amended by the Serve America Act, (42 U.S.C. S.12501 et seq.).
1.2 GRANT AGREEMENT or AGREEMENT. "Grant Agreement" or "Agreement" means this
Agreement and all of the exhibits, attachments and documents referred to in the Agreement and
incorporated by reference. The Grant Agreement is the legal agreement by which the Commission
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makes subawards of AmeriCorps funding to the Grantee. The Grantee is the subrecipient and the
Commission is the pass -through entity.
a) Subaward means an award provided by a pass -through entity to a subrecipient for the
subrecipient to carry out part of a Federal Award received by the pass -through entity. A
subaward may be provided through any form of legal agreement.
b) Subrecipient means an entity, usually but not limited to non -Federal entities, that receives a
subaward from a pass -through entity to carry out part of a Federal award; but does not
include an individual that is a beneficiary of such award. A subrecipient may also be a
recipient of other Federal awards directly from a Federal awarding agency.
1.3 PROGRAM. "Program" means the detailed description of the program activities, interventions,
and other obligations to be performed or accomplished by the Grantee as described in this Agreement
and the AmeriCorps State and National application approved by the Corporation for National and
Community Service ("Corporation" or "AMERICORPS") and the Commission, as authorized by the
National and Community Service Act of 1990, as amended.
1.4 GRANT AGREEMENT PERIOD, EFFECTIVE DATE, & COMPLETION DATE. "Grant
Agreement Period" is the period in which the Agreement is in force and effect. The first date of the
Grant Agreement Period is considered the Effective Date (or start date) of the Agreement and the last
date is considered the Completion Date (or end date). The Grant Agreement Period is aligned with
the one-year Budget Period for the federal subaward, but the Grant Agreement Period may not cover
the full Period of Performance for the federal subaward, which may be one to three years. The
Agreement expires upon the occurrence of one of the following: a) Program tasks have been fully
accomplished including fulfillment of the obligations identified in Article 6 as of the end date of the
grant agreement period; or b) the Agreement is terminated by Volunteer Iowa due to any default
under Article 8.1; or c) the Agreement is terminated in accordance with the provisions set forth in
Article 10.3. Except in limited circumstances, the Grant Agreement Period Completion Date will not
be extended beyond 90 (ninety) days past the original Grant Agreement Period Completion Date.
a) Period of performance means the total estimated time interval between the start of an
initial Federal award and the planned end date, which may include one or more funded
portions, or budget periods. Identification of the period of performance in the Federal award
per § 200.211(b)(5) does not commit the awarding agency to fund the award beyond the
currently approved budget period.
b) Budget period means the time interval from the start date of a funded portion of an award
to the end date of that funded portion during which recipients are authorized to expend the
funds awarded, including any funds carried forward or other revisions pursuant to
§ 200.308.
1.5 GRANT TYPE. "Grant Type" refers to the category of grant award provided. AmeriCorps grants
may be either Cost Reimbursement or Fixed Amount types; the type of grant determines certain
budget and financial management responsibilities of the grantee.
a) Cost Reimbursement grants include a formal matching requirement and require the
submission of a budget and financial reports. For Cost Reimbursement Grantees
AMERICORPS funds a portion of program operating costs, member costs (if applicable),
and administrative expenses; funding is not directly dependent upon recruitment and
retention of AmeriCorps members. Planning grants are a type of cost reimbursement grant
that does not include any member funding.
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21 ACEIA0010012
b) Fixed Amount Grants provide a fixed amount of funding per Member Service Year (MSY)
that is substantially lower than the amount required to operate the program. Organizations
use their own or other resources to cover the remaining costs. Fixed Amount programs are
not required to submit detailed budgets or financial reports, there is no specific match
requirement, and programs are not required to track and maintain documentation of match.
However, AMERICORPS provides only a portion of the cost of running the program and
organizations must raise the additional resources needed to run the fixed amount program.
Fixed Amount Programs can access all of the AmeriCorps grant funds, provided they recruit
(in the case of Education Award Program or "EAP") or retain (in the case of full -cost Fixed
Amount programs) the members supported under the grant based on the MSY level
awarded. Professional Corps programs applying for operational funding through a Fixed
Amount Grant must submit a budget in support of their request for operational funds.
1.6 FUNDING TYPE. "Funding Type" refers to whether the program is funded out of the portion
of AMERICORPS funds that are provided to the state according to a population -based formula
(Formula) or out of the portion of AMERICORPS funds that are awarded to states on a competitive
basis (Competitive). The funds are awarded to Volunteer Iowa in a prime grant and each Iowa
AmeriCorps State Program is awarded out of the Commission's prime grant.
1.7 ALLOWABLE COSTS. "Allowable Costs" are those costs which are identified in Attachment
C, Grant Application; Attachment D, Budget; and consistent with Federal regulations and guidelines
applicable to the AmeriCorps program.
1.8AUTHORIZED REPRESENTATIVE. The Authorized Representative is the person within the
Grantee organization authorized to accept and commit funds on behalf of the organization. A copy
of the governing body's authorization for this official representative to sign must be on file in the
Grantee's office.
ARTICLE 2 - FUNDING
2.1 FUNDING SOURCES. The primary source of funding for the Grant is a federal grant from
AMERICORPS [Code of Federal Domestic Assistance (CFDA) 94.006] for the AmeriCorps
Program. A portion of the Grantee share of matching funds budgeted for this Grant may be provided
to the Grantee by AMERICORPS or by Volunteer Iowa from state funding sources as noted in Article
3.1. The Grantee shall comply with the requirements, conditions and rules of AMERICORPS, the
Commission and any other public or private entity having authority over the funds or the Grant.
2.2 RECEIPT OF FUNDS. All payments under this Agreement are subject to receipt by the
Commission of sufficient funds for the AmeriCorps Program. Any termination, reduction, or delay
of federal or state funds to the Commission may, in the sole discretion of the Commission, result in
the termination, reduction or delay of AMERICORPS funds to the Grantee and/or termination of this
Agreement.
2.3 PRIOR COSTS. If any grantee has received written approval from the Commission to incur
certain costs prior to the Effective Date of this Agreement, then said written approval and those terms
and conditions are incorporated herein and made a part of this Agreement by this reference as if fully
set forth.
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2.4 USE OF GRANT FUNDS. The Grantee shall expend funds received under the Grant only for
the purposes and activities described in its application and approved by the Commission and in
compliance with applicable federal and state law and regulations.
2.5 BUDGET AMENDMENT REQUIREMENTS FOR COST REIMBURSEMENT
GRANTEES. The following budget changes for cost reimbursement grantees shall be subject to
prior approval of the Commission through the amendment process as provided for in Article 10.6.
Budget amendments shall be requested from the Commission and approved prior to implementation
of the budgetary changes. Budget amendments shall be compatible with the terms of this Agreement
and of such a nature as to qualify as an allowable cost. Budget amendments requested during the final
ninety (90) days of the Agreement period will be approved on a limited basis. The following
circumstances require budget amendments.
a) Budget changes which would result in changes in excess of ten percent (10%) of the total
budget.
b) Budget changes which would lower the Grantee's percent share of costs required under this
Agreement.
c) Budgetary changes related to changes in the scope or goals of the project.
d) Costs requiring prior approval: adding costs in a previously unbudgeted line item, supplies
in excess of $1,000 per item, equipment valued at greater than $5000, subgrants or contracts
not included in approved application and budget, other costs requiring prior approval under
§ 2 CFR 200 regardless of the ten percent budget limitation.
2.6 DISBURSEMENT OF LESS THAN THE TOTAL AWARD AMOUNT. If the total award
amount has not been requested by the Grantee within sixty (60) days following the Completion Date,
then the Commission shall be under no obligation for further disbursement.
2.7 BUDGET MODIFICATIONS FOR UNDER RECRUITMENT AND UNEXPENDED
FUNDS. The award amount contemplated by this Agreement reflects a maximum possible payment
based on full member enrollment. In the event that the Program does not fully recruit the awarded
member service years (MSY), or if the program has significant amounts of estimated unexpended
funds, Volunteer Iowa will work to recapture these funds through a budget reduction. The budget
reduction may be voluntary (upon mutual agreement with the program) or at the sole discretion of
Volunteer Iowa based on low member recruitment, past unexpended funds or expected future
expenditures. The Commission reserves the right to request repayment of any federal funds disbursed
above the reduced federal amount.
a) Formula cost reimbursement programs with unexpended funds in excess of 10% of the
federal share at midyear will be required to submit a Budget Modification form according to
the due date and format specified in the Program Manual.
b) Competitive cost reimbursement programs may submit a Budget Modification form
following the date and format specified in the Program Manual, to reflect adjustments to
approved line items.
c) Fixed amount grantees will not submit a mid -year budget modification.
2.8 ADMINISTRATIVE COST GUIDELINES. Federal funds used for reasonable administrative
costs, are allowable. For cost reimbursement grantees, the federal share of administrative costs shall
be limited to approximately five percent (5%) of the AMERICORPS funds expended in Sections I
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and II of the approved budget. (See Exhibit E. Application Instructions for detailed calculations of
administrative costs). Grantees are eligible for additional administrative costs in the Grantee Share
of the budget. These amounts are approved at the time of award and are reflected in the budget.
Administrative costs will only be disbursed proportional to grant funds expended.
2.9 UNALLOWABLE COSTS. If Volunteer Iowa determines at any time, whether through
monitoring, audit, closeout procedures or by other means, that the Grantee has expended funds for
unallowable activities, the Grantee will be notified of the questioned costs and given an opportunity
to justify questioned costs prior to Volunteer Iowa's final determination of the disallowance of costs.
Appeals of any determinations will be handled in accordance with the provisions of Chapter 15h,
Iowa Code. If it is Volunteer Iowa's final determination that costs previously paid by Volunteer Iowa
are unallowable under the terms of the Agreement, the expenditures will be disallowed, and the
Grantee shall repay to Volunteer Iowa any and all disallowed costs. Grantee shall repay all disallowed
costs within thirty (30) days. Volunteer Iowa may work out a payment plan with the Grantee at its
discretion.
2.10 NATIONAL SERVICE CRIMINAL HISTORY CHECKS DISALLOWED COSTS. If
Volunteer Iowa determines at any time, whether through monitoring, audit, closeout procedures,
program self -reporting, or by other means, that any portion of the National Service Criminal History
Check (NSCHC) process has not been completed as required, Volunteer Iowa will follow the most
recent version of the AMERICORPS NSCHC Enforcement Guide to assess disallowance in cases of
noncompliance or other unallowable circumstances as described in the Guide. Disallowance
payments must be made with non-federal funds. Fixed amount grant staff and planning grants are
exempt from NSCHC requirements.
2.11 FEES. Volunteer Iowa will assess the following fees on Grantee.
a) State Member Management System Costs: Grantees will be invoiced on a biannual or other
regular basis for a fee of $20/member for costs of participation in the state's member
management and timekeeping systems. Grantees approved to use another member
management and timekeeping system (see Attachment B) will be charged an additional per -
member cost to account for increased Volunteer Iowa staff time required to conduct
required monitoring in a separate system.
b) State Support and Monitoring Fee: Grantees will be invoiced a State Support and
Monitoring Fee on a biannual or other regular basis to cover the cost of commission staff
time spent providing necessary technical assistance to programs. The fee calculation
provided in the annual Request for Applications. For prior Grantees, the fee level will be
based on categories selected from the most recent risk and monitoring level assessment. All
new grantees will be considered to be at the high fee level. Both cost reimbursement and
fixed amount grantees are subject to the fee, but only cost reimbursement grantees include
the fee in their program budget.
c)
ARTICLE 3 - TERMS OF GRANT
3.1 GRANT. The Commission grants $362,250 to the Grantee for AmeriCorps activities during the
Grant Agreement Period. The program activities of the Grantee are to commence as of the Effective
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Date and shall be undertaken in such a manner as to assure their expeditious completion. All of the
program activities required hereunder shall be completed on or before the Completion Date.
a) State match portion of the grant: of the total grant amount, $0 is state funding that shall be
used by the Grantee to meet the federal match requirement for the AmeriCorps program.
The state funding source is: not applicable.
3.2 GRANT ACTIVITIES TO BE PERFORMED. Subject to the provisions set forth in this
Agreement, Volunteer Iowa grants funds to the Grantee to carry out the program activities and
interventions as specifically outlined in Attachment C entitled "Grant Application" signed on
12/16/2024 and incorporated by this reference, and for such other grant obligations as Volunteer Iowa
and Grantee may agree to in writing.
3.3 DISASTER DEPLOYMENT FOR OPERATIONAL GRANTS. In the case of a state -declared
disaster, Grantee's members and/or grant -funded staff may be voluntarily deployed as an asset of the
state. In case of deployment, allowable related expenses outside of the scope of the approved
Application may be eligible for reimbursement. All disaster deployments must be approved by
Volunteer Iowa. Organizations opting to serve as part of the Iowa AmeriCorps Disaster Response
Team (Iowa A-DRT) may also be deployed under the Volunteer Iowa Cooperative Agreement with
the Federal Emergency Management Agency (FEMA). The terms of these deployments are covered
in Attachment C, "Iowa AmeriCorps Disaster Response Team Disaster Deployment Agreement".
3.4 GRANT ADMINISTRATION. The Agreement shall be administered in accordance with all
applicable State and Federal laws, regulations, and guidance, including those found in Exhibit F,
"Volunteer Iowa AmeriCorps Program Manual", which has been distributed by Volunteer Iowa to
the Grantee.
3.5 EVALUATION FOR OPERATIONAL GRANTS. The Grantee will fulfill the evaluation
requirements for AmeriCorps State & National grantees and subgrantees as outlined in Exhibit B,
"Federal Regulations" and other AMERICORPS evaluation guidance. If the Grantee's evaluation
plan requires AMERICORPS approval, the Grantee will secure this approval by the date
communicated in writing. Designated program staff may be required to participate in training and
technical assistance. Failure to submit plans or plan corrections or to participate in required training
will result in program suspension.
3.6 SPECIAL CONDITIONS. The Grantee will be subject to any special conditions noted below.
Special conditions may be specified by AMERICORPS or by Volunteer Iowa. AMERICORPS or
Volunteer Iowa will suspend programs that do not comply with the special conditions.
a) Special conditions applicable to this grant agreement: NA
3.7 APPROVED WAIVERS. The Grantee has received approval for the following waiver(s):
MSY minimum: NA
Maximum slot request: NA
Volunteer generation waiver: NA
Match Waiver: NA
Alternate timekeeping system: Yes - Approved
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ARTICLE 4 - CONDITIONS TO DISBURSEMENT OF FUNDS
Unless and until the following conditions have been satisfied, the Commission shall be under no
obligation to disburse to the Grantee any amounts under the Grant Agreement:
4.1 GRANT AGREEMENT EXECUTED. The Grant Agreement shall have been properly
executed and returned to Volunteer Iowa prior to the grant agreement effective date or within thirty
(30) days of Volunteer Iowa's transmittal of the final Agreement to the Grantee, whichever is sooner.
4.2 BINDING FINANCIAL COMMITMENTS. Upon request, the Grantee will provide a
resolution of the Board of Directors, or other Governing Body of the Grantee, authorizing the
execution and delivery of this Grant Agreement and such other papers as the Commission may
reasonably request, and specifying the officer(s) authorized to execute the Grant Agreement and bind
the Grantee.
4.3 GRANTEE DOCUMENTATION. The Grantee shall have completed the following Start Forms
related to program management and compliance.
a) Must be approved: Pre -Award Financial Form (new and planning Grantees) or Financial
Survey (returning Grantees).
b) Must be submitted: NSCHC Checklist, Policy, and Training Certifications (all operational
Grantees).
4.4 SUBMISSION OF PAYMENT PROCESSING FORMS.
a) Taxpayer identification number: Completion and submission of form "W-9, Request
for Taxpayer Identification Number and Certification."
b) (For non -state agencies) Electronic funds transfer (EFT): Completion and submission
of form "Direct Deposit Authorization Form" from Iowa Department of
Administrative Services.
4.5 SYSTEM FOR AWARD MANAGEMENT REGISTRATION. The Grantee shall have
a current and active registration with the System for Award Management (SAM) and a valid
Unique Entity Identifier (UEI).
ARTICLE 5 - REPRESENTATIONS AND COVENANTS OF GRANTEE
To induce the Commission to make the Grant referred to in this Agreement, the Grantee represents
and covenants that:
5.1 AUTHORITY. The Grantee is duly organized and validly existing under the laws of the State,
is in good standing, and has complied with all applicable laws of the State of Iowa. The Authorized
Representative listed for the Grantee is duly authorized and empowered to execute and deliver this
Agreement. All action on the part of the Authorized Representative, such as appropriate resolution
of their governing body for the execution and delivery of the Agreement, has been effectively taken.
5.2 FINANCIAL INFORMATION. All financial statements and related materials concerning the
Grantee and the Program provided to the Commission are true and correct in all material respects and
completely and accurately represent the subject matter thereof as of the effective date of the
statements and related materials, and no material adverse change has occurred since that date.
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5.3 GRANT APPLICATION. The content of the grant application the Grantee submitted to the
Commission for funding is a complete and accurate representation of the Grantee and the Program
as of the date of submission and there has been no material adverse change in the organization,
operation, or key personnel of the Grantee since the date the application was submitted to the
Commission.
5.4 CLAIMS AND PROCEEDINGS. There are no actions, lawsuits or proceedings pending or, to
the knowledge of the Grantee, threatened against the Grantee affecting in any manner whatsoever
their rights to execute the Agreement or the ability of the Grantee to make the payments required
under the Agreement, or to otherwise comply with the obligations of the Agreement.
5.5 PRIOR AGREEMENTS. The Grantee has not entered into any verbal or written contracts,
agreements or arrangements of any kind, which are inconsistent with the Grant Agreement.
5.6 RENEWAL AND RESTATEMENT. The covenants and representations of this Article are
made as of the Effective Date of this Agreement and shall be deemed to be renewed and restated by
the Grantee at the time of each request for disbursement of funds.
ARTICLE 6 - GRANTEE OBLIGATIONS AND AFFIRMATIVE COVENANTS
The Grantee covenants with Volunteer Iowa that:
6.1 PROGRAM ACTIVITIES AND INTERVENTIONS. The Grantee shall carry out in a
satisfactory and proper manner the activities and interventions detailed in the approved Grant
Application (Attachment C) by the end of the Grant Agreement Period. Such activities and
interventions will be conducted according to the standards generally acceptable in the Grantee's field
for similar tasks and projects, as long as these are in conformance with AmeriCorps State
requirements as determined by the Commission.
6.2 COMPLIANCE WITH LAWS AND REGULATIONS. The Grantee shall comply with all
applicable State and Federal laws, rules, ordinances, regulations and orders, including but not limited
to the National and Community Service Act as amended by the Serve America Act, the Corporation's
regulations (45 CFR § § 2500-2599), the AmeriCorps Terms and Conditions, and all Executive
Orders regarding DEI, Gender, and Climate Change signed by President Trump in 2025. All Grantees
are subject to the Uniform Guidance under 2 CFR Chapters I and II, except that Fixed -Amount Grants
are exempt from the cost principles outlined in 2 CFR Part 200, Subpart E.
Compliance in all respects with all applicable Federal anti -discrimination laws is material to the
government's payment decisions for purposes of section 3729(b)(4) of title 31, United States Code
and the Grantee certifies that it does not operate any programs promoting DEI that violate any
applicable Federal anti -discrimination laws.
6.3 USE OF DEBARRED, SUSPENDED, OR INELIGIBLE CONTRACTORS OR
SUBRECIPIENTS. AMERICORPS funds shall not be used directly or indirectly to employ, award
contracts to, support with member placements, or otherwise engage the service of, or fund any
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organization, or contractor during any period of debarment, suspension, or placement in ineligible
status under 2 CFR Part 180 or any applicable law or regulation.
6.4 MONITORING. To fulfill its fiduciary responsibilities and programmatic obligations, the
Commission shall conduct grant agreement oversight activities under this Agreement. The
Commission shall conduct monitoring on a routine basis based on the Commission's risk
assessments. The Commission shall conduct grant agreement oversight activities from the
Commission offices, on site at the Grantee's offices, virtually using electronic communications, or a
combination of these approaches. The Grantee shall implement and maintain sufficient management
practices and systems to assure compliance with all programmatic and fiscal obligations under this
Agreement. The Grantee's responsibilities in this regard extend to oversight of its sites and their
financial and program duties as an agent of the Grantee under this Agreement.
6.5 ACCESS TO RECORDS. The Grantee shall permit the Commission, Auditor of the State of
Iowa or any authorized representative of the State, and where federal funds are involved, the
Comptroller General of the United States or any other representative of the United States
Government, to access and examine, audit, and/or copy any directly pertinent books, documents,
papers and records of Grantee relating to orders, invoices, or payments or any other documentation
or materials pertaining to this Agreement. The Commission shall make every effort to provide prior
notice and to access records from Monday through Friday, between the hours of 8:00 a.m. and 5:00
p.m. Such rights to access shall continue as long as the records are retained by the Grantee. Records
may be accessed in hard copy, electronically, on site, or in other ways as necessary to meet the needs
of the Commission. Regardless of the method, all records will be managed by the Commission in
accordance with proper records management procedure(s) while they are in the possession of the
Commission. Access to records shall be granted within 72 hours of the request unless other
arrangements have been agreed to by the Commission.
6.6 RECORDS RETENTION. All records of the Grantee relating to this Agreement shall be
retained for a period of three (3) years following the submission date of the Commission's final
Federal Financial Report (FFR) covering the grant. A chart detailing disposition dates of past grants
is available on the Volunteer Iowa website and upon written request. In addition to financial records
and supporting documentation, this includes statistical records, evaluation and program performance
data, member information and personnel records and any other records needed to document
compliance with federal requirements and to justify costs and matching share.
6.7 PROGRAMMATIC DOCUMENTATION. Upon request, the Grantee shall deliver to
Volunteer Iowa or make available for review the following documentation as applicable based on
the grant type: (a) copies of all contracts or agreements relating to the Program, (b) invoices, receipts,
statements or vouchers relating to the Program, (c) member or staff records or files and program
performance and evaluation data related to this Program, (d) a list of all unpaid bills for labor and
materials in connection with the Program, (e) budgets and revisions showing estimated Program costs
and funds required at any given time to complete and pay for the Program, (f) current and year-to-
date operating statements and (g) any other such grant -related documents as requested, in order to
verify compliance with applicable state and federal AmeriCorps requirements.
6.8 NOTICE OF PROCEEDINGS. The Grantee shall promptly notify Volunteer Iowa of the
initiation of any claims, lawsuits or proceedings brought against the Grantee that, if unfavorably
determined, would have a material adverse effect on the Grantee's ability to perform this Agreement.
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6.9 NOTIFICATIONS. In the event the Grantee becomes aware of any material alteration in the
Program, initiation of any investigation involving the Program or any similar occurrence, the
Program shall promptly notify the Commission.
6.10 REPORTS. The Grantee shall prepare, review, certify and submit the requests and reports as
outlined below, or in the Volunteer Iowa AmeriCorps Program Manual (Exhibit F), in the form and
content specified by Volunteer Iowa. The Grantee shall review all Claims and verify that claimed
expenditures are allowable costs. The Grantee shall maintain documentation adequate to support all
claimed costs reported for federal reimbursement or Grantee Share.
Performance Measure & Program Progress Reporting
Form
System/Format
Date Due
for Submission
Program Start Forms
Status reports or
See Start Form Checklist for exact due dates
grant forms in
Pre -Work: May 15 and July 15
IowaGrants
• Member Service Agreement and Host Site
Agreement templates (returning programs)
• Host Site Orientation Agenda and Training
Plan
• Program and Fiscal Staff Competency Self -
Assessment
Phase 1: August 1/December 1
• Pre -Award Financial Form (new and
recompete programs)
• Recruitment Plan
• Enrollment Plan
• Performance Measure and
Enrollment/Retention Goals
• Program Management Segregation of Duties
• NSCHC Checklist, Policies, Procedures and
Training Certifications
Phase 2: September I/January or February 1
• Financial Survey
• Annual Audit Form
• Member Orientation Agenda (new and
recompeting programs)
• Member Service Agreement and Host Site
Agreement templates (new programs)
• Host Site Orientation Agenda & Training Plan
(new programs)
• Certificate of Insurance (new and recompeting
programs)
Phase 3: October 1/March 1
• Financial and Program Policies
• Data Collection Plan and Process
• Tutoring Certification as applicable)
Performance Measure —
Program Officer
Corrective Action Plan
Notification in
As needed throughout the program year
(may include amendment
IowaGrants
request)
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Initial Progress Report
Status Report in
January 15 (Due April 15 for programs with a
IowaGrants
January start date)
Enrollment Plan Updates
Status Report in
January 30 and May 31/May 31 and September
IowaGrants
30
Mid -Year Progress
Status Report in
May 15 (all programs)
Report
IowaGrants
Final Progress Report
Status Report in
15 days following the conclusion of the grant
IowaGrants
period
October 25 - Programs with a Final Progress
October Progress Report
Status Report in
Report due after October 25 (i.e., those whose
(if applicable)
IowaGrants
grants end in October or later) would have a
October Report due in advance of their Final
Report in order to meet AmeriCorps deadlines.
Monitoring Report
IowaGrants
Program Response or
correspondence
By the deadline established by Volunteer Iowa.
Response Plan
Change in program staff
Program Officer
Within 5 days of the person's first or last day of
as noted in Grant
Notification in
Fork or as soon as possible.
Agreement
IowaGrants
Grant Agreement
Program Officer
Extension Request
Notification in
By April 30 annually
IowaGrants
IowaGrants
Progress updates due in Mid -Year Performance
Program Evaluation Plan
status reports
Measure Report. Full report/plan deadline
or Report
and/or
varies: With re -competing application for
application
competitive programs.
Other Significant
Program Officer
Notification in
Within 5 days of awareness of the need to make
Program Changes
IowaGrants
the change or as soon as possible.
Financial Reporting
Form
System/Format
*Date Due
for Submission
IowaGrants
Submitted in accordance with timeline
Financial Start Up Forms
(completed by
outlined in Start Up Form Checklist.
Financial Staff)
Monthly by the 25th of the month following
the end of the report period. Claims should
Claim
IowaGrants
total at least $100 at the time of submission.
"Programs may request quarterly reporting
due 25th of the month following the end of the
quarter.
Program Claim
Attachments in
Attached monthly (to coincide with Claim
Attachments New
IowaGrants
Form) supporting documentation for all
Programs and High
claimed costs.
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21 ACEIA0010012
Financial Monitoring
Level Programs
IET Form Attachment
Attached monthly (or **quarterly) to coincide
IowaGrants
with Program Claim Form) by the 25th of the
month following the end of the report period.
IowaGrants as
April 25
status report
October 25
***Federal Financial
(Fixed Amount
FINAL: due within 90 days after the
Reports
and Education
Award Only
completion date of the grant (if grant end date
complete only
does not correspond with above reporting
specific sections)
deadlines).
Estimated Unexpended
IowaGrants
April 25 for all programs, and upon request
Funds Report (in FFR)
Budget Modification
Programs with unfilled FT slots after
Request (Program Officer
November 15 are required to submit a budget
Notification)
IowaGrants
modification by November 30. Requests for
budget modifications can be made at any
N/A for Fixed Programs
time.
Budget Modification
Required April 30 for all programs with >10%
Request (Program Officer
unexpended federal funds. Requests for
Notification)
IowaGrants
budget modifications can be made at any
time.
N/A for Fixed Programs
No Cost Extension
Request (if needed)
IowaGrants
April 30 in IowaGrants
(Program Officer
Notification)
Closeout Packet (Status
IowaGrants
Within 60 days after the termination of the
Report)
grant.
Self -Certification of
IowaGrants
Within 60 days after the termination of the
Closeout
grant.
In IowaGrants as
Audit Report and Second
attachment with
Within 30 days of the release of the audit
Audit Report (Status
Management
report or financial review.
Report)
Letter and Audit
IowaGrants is set to receive up to two audit reports per
Reconciliation
year.
Report
Site Visit Response
IowaGrants
Within timeline as established in site visit
report from Volunteer Iowa.
Financial Desk Review
IowaGrants as
Upon request in conjunction with a monthly
attachment
financial claim report.
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Covers one -reporting period as
noted in the monitoring
schedule based on program
monitoring level.
Change in financial staff
Update in
Within 5 days of the person's last day of work
IowaGrants
or as soon as possible.
Budget Changes (Program
By April 30 for programs with a August or
Officer Notification)
September start date and July 31 for programs
In general, major budget
IowaGrants
with a January start date OR
changes should be made in the
Within 15 days of awareness of the need to
first six months of the grant
make the change or as soon as possible.
Problems/Concerns —
Via email or
including suspected fraud,
phone call to
Immediately
waste or abuse of federal
program officer
funds
*If the reporting deadline falls on a weekend or state holiday, the reporting due date remains the
same. The program may submit on the due date or prior to the due date.
**Prior approval from Volunteer Iowa required for quarterly claim submission. Quarterly reports
cover the following periods: Sept -Dec; Jan -Mar•, Apr -Jun; Jul -Sept, Oct -Nov (this reporting schedule
includes the maximum grant period inclusive of no -cost extensions).
***FFR completion is limited to selected categories to monitor unexpended funds and excess
program income for Fixed Amount and Education Award programs.
Member Reporting
See section 3.1 of the Volunteer Iowa AmeriCorps Program Manual (Exhibit F) to reference a
full list of member reporting requirements and deadlines, such as for reporting of member early
exits, member injuries or requests to convert unfilled member slots.
6.11 REQUIRED TRAININGS & COMMUNICATIONS. The Grantee will send at least one
staff member to the following trainings (also noted in Ch. 1 of the Volunteer Iowa AmeriCorps
Program Manual, Exhibit F): Volunteer Iowa new Program Director training (for new
programs/new staff only, in Iowa in advance of the new program year with an abbreviated version
midyear), Volunteer Iowa Program Staff Launch training (in Iowa in the first few months of the
program year), a National Service Training (in the spring/summer, organized by ASC in -person
and virtually), and Volunteer Iowa Financial Trainings (virtual trainings are offered twice per year,
a minimum of one financial training is required each year for fiscal staff). Additionally,
AMERICORPS requires the following trainings (offered via eCourse in Litmos): National Service
Criminal History Check (NSCHC) Annual Training (required annually of two staff, see more under
National Service Criminal History Checks); Funds Management Annual Training (required for
Ifinancial staff,); Developing Program Policies and Procedures Annual Training (required for 1
financial staff); Internal Controls Annual Training (required for 1 financial staff and 1 program
staff); and Fraud Awareness Annual Training (required for 1 financial staff and 1 program staff).
Other trainings may be offered or required throughout the program year, based on Volunteer Iowa
or AMERICORPS monitoring and feedback.
The Grantee will have at least one staff member participate in monthly Program Staff Webinars led
by Volunteer Iowa staff and will have all staff who are budgeted (federal share or as match) 50% or
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21 ACEIA0010012
more of their time to the AmeriCorps grant participate in regular program/financial monitoring
check -in calls with Volunteer Iowa staff, to be scheduled based on the Grantee's assigned
monitoring levels. A minimum of one staff person should thoroughly review the information from
the AmeriCorps State Update and share with others, as appropriate.
Volunteer Iowa will provide specialized support to all programs based on enrollment and/or retention
percentages from the previously completed grant year. All groups will be required to attend specific
check in calls throughout the program year to meet with Volunteer Iowa and other program staff.
Programs will be grouped in three tiers based on their retention and/or enrollment (placed in the
group reflecting their lowest percentage): tier 1, 85% and above; tier 2, 71% - 84%; and tier 3, 70%
and below. All programs are expected to budget for recruitment activities in the next grant
application. Tier 2 and tier 3 programs are also required to submit a Recruitment Plan with their start
form and must have at least one staff attend the Recruitment Planning webinar held annually in July
(tier 1 programs are strongly encouraged to complete these activities). Tier 3 programs will also be
required to submit a budget modification in November to accommodate changes in slots and
recruitment activities based on fall enrollments. Programs will budget for a contractor to review
existing recruitment strategies, materials, and contractor(s), such as alumni, to complete recruitment
activities identified in the Recruitment Plan.
6.12 AUDIT.
a) Single Audit. Grantees expending $1,000,000 or more in federal awards in their fiscal year
shall ensure that an audit is performed in accordance with the Office of Management and
Budget (OMB) Uniform Guidance (2 CFR Chapter I, and Chapter II, Part 200) as
applicable. The audit and accompanying management letter (or other accompanying
documents) shall be submitted to the Commission within 30 days after the completion or
publication of the audit, unless a longer period is agreed to by both parties.
b) Other Audit or Financial Review. Grantees expending less than $750,000 in federal
awards in a year are exempt from any federal audit requirements for that year but shall
comply with audit requirements prescribed by state or local law. Grantees that have an audit
or financial review performed that is inclusive of a grant period(s) covered by this
agreement must submit a copy of the audit or review to the Commission within 30 days
after completion.
c) Auditor of State. The Commission may engage the Auditor of State in conducting a review
or audit at any time. If such an engagement occurs, the Grantee must cooperate with the
process and provide records and files to enable the Auditor of State to conduct a thorough
review.
6.13 MAINTENANCE OF PROGRAM INSURANCE AND INDEMNIFICATION. In addition
to the member insurance requirements for the AmeriCorps program as noted in Exhibits A-F, the
following requirements will apply depending on the grantee organization.
a) State agencies: If the Grantee is an Agency of the State of Iowa and is self -insured for
liability, in general, the Grantee does not purchase commercial liability insurance since
certain statutory protections are provided under Chapter 669 of the Code of Iowa. Chapter
669 authorizes claims against the State of Iowa on account of wrongful death, personal
injury or property damage incurred by reason of the negligence of the Agency or its
employees. The Grantee participates with the other State Departments or Regents
Institutions in a self-insurance pool for purposes of vehicular liability on owned and rented
vehicles. Claims up to $250,000 are paid from the self-insurance pool. Claims exceeding
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21 ACEIA0010012
$250,000 are processed through the Tort Claims process, in accordance with Chapter 669 of
the Code of Iowa.
Indemnification for state agencies: As an agency of the State of Iowa, the Grantee is
prohibited by law from indemnifying any person or entity, however, the Grantee agrees to
be responsible for its own negligent acts and omissions and those of its employees as
provided by the Iowa Tort Claims Act, Iowa Code, Chapter 669.
b) Private nonprofits, private institutions of higher education, city governments, school
districts, and other grantee types: If the Grantee is not an Agency of the State of Iowa, the
Grantee shall maintain, with financially sound and reputable insurers, insurance to cover the
project and protect its properties and assets against losses or damages of the kind
customarily insured against by corporations of established favorable reputation engaged in
the same or similarly situated. The requirement of insurance under this provision may be
met by establishing, to the satisfaction of Commission, either of the following: (i) that a
policy covering the project is in effect with any insurance company of recognized
responsibility; or (ii) that Grantee maintains an actuarially sound program of self-insurance
sufficient to cover the project. Grantee shall submit copies of all applicable agreements,
certificates, policies or other documentation requested by the Commission attesting to
insurance coverage and any renewals thereof.
Indemnification for non -state agencies: The Grantee shall indemnify and hold harmless
the Commission, its officers and employees from and against any and all losses in
connection with the Project.
6.14 CERTIFICATIONS. The Grantee certifies and assures that the Program will be conducted and
administered in compliance with all applicable Federal and State laws, regulations and orders. Certain
statutes are expressly made applicable to activities assisted under the Act by the Act itself, while
other laws not referred to in the Act may be applicable to such activities by their own terms. The
Recipient certifies and assures compliance with the applicable orders, laws and implementing
regulations, including but not limited to, the following:
a) Financial Management guidelines issued by the U.S. Office of Management and Budget,
Uniform Guidance (2 CFR 200). Fixed amount grants are exempt from the cost principles
outlined in 2 CFR Part 200, Subpart E.
b) Certifications and Assurances agreed upon at the time of application as detailed in the
AmeriCorps Application Instructions, (Exhibit E).
ARTICLE 7 - DOCUMENTS INCORPORATED BY REFERENCE; PRIORITY
7.1 DOCUMENTS INCORPORATED BY REFERENCE. The following documents are hereby
incorporated by reference:
a) Attachments
i. Attachment A, "IOWA AMERICORPS DISASTER RESPONSE TEAM
DEPLOYMENT AGREEMENT." (completed if applicable)
ii. Attachment B, "ALTERNATE MEMBER MANAGEMENT & TIMEKEEPING
SYSTEM FORM." (completed if applicable)
iii. Attachment C, "GRANT APPLICATION", dated 12/16/2024 on the SF424, form
(attached)
iv. Attachment D, 'BUDGET" (attached)
b) Exhibits
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21 ACEIA0010012
i. Exhibit A, "ACT", The National and Community Service Act of 1990 as amended by
the Serve America Act,
https://americorps. gov/sites/default/files/document/%40%2ONational%20and%2OCom
munity%20Service%2OAct%20ot%201990%20%28as%20amended%20through%20PL
%20111-13%29.pdf
ii. Exhibit B, "FEDERAL REGULATIONS", 45 CFR §§ 1200-1299 and 2500-2599,
https://www. ecfr. gov/cgi-bin/text-
idx?SID=0a0651909748e317690886cbf689868 a&mc=true&tp1=/ecfrbrowse/Title45/45
cfrv5_02.tp1#0
iii. Exhibit C, "AMERICORPS TERMS AND CONDITIONS", AmeriCorps Terms and
Conditions, including both the General Terms and Conditions and the Program Specific
Terms and Conditions for AmeriCorps State and National
a. "General Terms and Conditions (2025)" https://americolps.gov/grantees-
sponsors/state-subgrantees
ntees
b. "FY 2025 AmeriCorps State and National Grants Terms and Conditions"
hqps:Hamericorps.gov/grantees-sponsors/state-subgrantees
ram
iv. Exhibit D, "REQUEST FOR GRANT APPLICATIONS", including both the Volunteer
Iowa Request for Grant Applications (RFA) and the Corporation for National &
Community Service Mandatory Supplemental Information for 2025 AmeriCorps State
and National Grants posted at https://volunteer.iowa.gov/americorps/host-americgMs-
program-or-member/host-americorps-state-prop am
v. Exhibit E, "APPLICATION INSTRUCTIONS", including the Volunteer Iowa Pre -
Application Instructions and Volunteer Iowa Final Application Instructions posted at
https://volunteer.iowa.gov/americorps/host-americorps-program-or-member/host-
a m e ri co rps-state-p rog ra m
vi. Exhibit F, "VOLUNTEER IOWA AMERICORPS PROGRAM MANUAL", 2025-2026
AmeriCorps Program Manual, which is posted to the Volunteer Iowa website at
https://volunteer.iowa. gov/americop2s/current-americorps-grantee-resources
7.2 ORDER OF PRIORITY. In the event of a conflict between documents of this agreement, the
following order of priority shall govern:
a) Articles I through X herein
b) Exhibit A, "ACT"
c) Exhibit B, "FEDERAL REGULATIONS"
d) Exhibit C, "AMERICORPS TERMS & CONDITIONS"
e) Exhibit D, "REQUEST FOR GRANT APPLICATIONS"
0 Exhibit E, "APPLICATION INSTRUCTIONS"
g) Exhibit F, "VOLUNTEER IOWA AMERICORPS PROGRAM MANUAL"
h) Attachment A "IOWA AMERICORPS DISASTER RESPONSE TEAM DISASTER
DEPLOYMENT AGREEMENT"
i) Attachment B "ALTERNATE MEMBER MANAGEMENT & TIMEKEEPING SYSTEM
FORM"
j) Attachment C, "GRANT APPLICATION" including all assurances, certifications,
attachments, and pre -award negotiations
k) Attachment D, "BUDGET"
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ARTICLE 8 - DEFAULT AND REMEDIES
21 ACEIA0010012
8.1 EVENTS OF DEFAULT. The following shall constitute Events of Default under this Grant
Agreement:
a) Material Misrepresentation. If at any time any representation, warranty or statement made
or furnished to the Commission by, or on behalf of, the Grantee in connection with this Grant
Agreement or to induce the Commission to make a grant to the Grantee shall be determined
by the Commission to be incorrect, false, misleading or erroneous in any material respect
when made or furnished and shall not have been remedied to the Commission's satisfaction
within thirty (30) days after written notice by the Commission is given to the Grantee.
b) Lack of Progress/Failure to Meet Program Requirements. If there is a failure of the
Grantee to make substantial and timely progress toward performance of the Program or when
the Grantee has failed to comply with the Agreement, award conditions or standards. Full
program requirements are outlined in the Agreement and supporting materials. Some key
areas of program requirements are full member enrollment, meeting Performance Measure
targets, responsiveness to Volunteer Iowa communication on compliance issues, timely
correction of compliance issues, submitting timely and accurate program and financial
reports.
c) Noncompliance. If there is a failure by the Grantee to comply with any of the covenants,
terms or conditions contained in this Agreement.
d) Program Incompletion. If the Program, in the sole judgment of the Commission, is not
completed on or before the Grant Agreement Period Completion Date.
e) Misspending. If the Grantee expends Grant proceeds for purposes not described in the
AmeriCorps application, this Agreement, or as authorized by the Commission.
fl Insolvency or Bankruptcy. If the Grantee becomes insolvent or bankrupt, or admits in
writing its inability to pay its debts as they mature, or makes an assignment for the benefit of
creditors, or the Grantee applies for or consents to the appointment of a trustee or receiver for
the Grantee or for the major part of its property; or if a trustee or receiver is appointed for the
Grantee or for all or a substantial part of the assets of the Grantee and the order of such
appointment is not discharged, vacated or stayed within sixty (60) days after such
appointment; or if bankruptcy, reorganization, arrangement, insolvency, or liquidation
proceedings or other proceedings for relief under any bankruptcy or similar law or laws for
the relief of debtors, are instituted by or against the Grantee and, if instituted against the
Grantee is consented to, or, if contested by the Grantee is not dismissed by the adverse parties
or by an order, decree or judgment within sixty (60) days after such institution.
g) Lack of or Insufficient Insurance. If loss, theft, damage or destruction of any substantial
portion of the property of the Grantee occurs for which there is either no insurance coverage
or for which, in the opinion of the Commission, there is insufficient insurance coverage.
8.2 CORRECTIVE ACTION. Prior to issuing a formal notice of default for any of the events
identified under Article 8.1, Volunteer Iowa may, on reasonable notice to the Grantee, take action
to compel the Grantee to complete corrective action as required by Volunteer Iowa. The
Commission shall have the final authority to assess whether the Grantee is making adequate progress
on the performance measures and other program goals and requirements. The Commission may
require underperforming Grantees to submit Corrective Action Plans designed to increase the
Program's performance. The Commission reserves the right to monitor and measure the
achievement of program performance at any time during or after the Grant Agreement Period.
Corrective action may involve the following:
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21 ACEIA0010012
a) Suspend Payments. Volunteer Iowa may suspend the Agreement and withhold future
payments under the Agreement until the program is brought into compliance or develops a
corrective action plan and timeline that is approved by the Commission to bring the
program into compliance. Volunteer Iowa may allow such necessary and proper costs which
the Grantee could not reasonably avoid during the period of suspension provided that
Volunteer Iowa concludes that such costs meet the requirements of the federal regulations.
b) Partial Repayment. Volunteer Iowa may require partial repayment of Grant proceeds
which allows partial credit for the performance targets or programmatic goals which have
been met.
c) Other Remedies. The Commission may require other remedies following the parties'
unsuccessful good faith attempt to resolve any event of default giving rise to the
Commission seeking to exercise the enforcement of this clause.
8.3 NOTICE OF DEFAULT. Volunteer Iowa shall issue a written notice of default providing
therein a fifteen (15) day period in which the Grantee shall have an opportunity to cure, provided that
cure is possible and feasible.
8.4 REMEDIES UPON DEFAULT. If, after opportunity to cure, the default remains, Volunteer
Iowa may do one or more of the following:
a) Exercise any remedy provided by law,
b) Terminate the Grant Agreement and establish revised reporting deadlines for the purposes of
closing out the grant,
c) Require immediate repayment of the full amount of funds disbursed to the Grantee under the
Grant Agreement, plus interest.
d) Other Remedies. The Commission may require other remedies following the parties'
unsuccessful good faith attempt to resolve any default giving rise to the Commission
seeking to exercise the enforcement of this clause.
ARTICLE 9 - DISBURSEMENT PROCEDURES
9.1 REOUEST FOR DISBURSEMENT. All disbursements of proceeds shall be subject to receipt
by the Commission of claims for disbursement submitted by the Grantee. Claims for disbursement
("claims") shall be in form and content acceptable to the Commission. Each requisition shall be
submitted to the Commission according to the schedule shown in Article 6.10.
a) Program Income. All program income as defined in 2 CFR 200.307 shall be added to the
Budget and used to meet the grantee share in furthering eligible Program activities as defined
in the Agreement and the approved Grant Application. Program income not used to further
Program activities will be deducted from the federal share for the purpose of determining the
amount of reimbursable costs under the Agreement. In cases of dispute, final decisions
regarding the definition or disposition shall be made by Volunteer Iowa. Proceeds generated
from the AmeriCorps program are considered Program Income. Programs are required to
report all income generated in excess of that which is used to meet the grantee share of the
expenditures on the FFR to the Commission according to the schedule shown in Article 6.10.
All program income shall be expended prior to requesting federal AMERICORPS funds.
Program income received after the Grant Agreement Period shall be returned to the
Commission.
b) Late claims. Volunteer Iowa may deny payment of claims submitted later than 60 days past
the grant end date
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9.2 REQUEST FOR PAYMENT MODIFICATIONS.
a) Quarterly payments. With prior approval, the Grantee may qualify for quarterly claim
submission, provided the Grantee meets the financial management standards specified in 2
CFR Chapters I and II, as applicable, and provided Grantee submits any additional
information that may be required by Volunteer Iowa. The Commission may revoke the
approval for quarterly payment at any time, if the Grantee fails to meet financial management
requirements or demonstrates significant deficiencies.
b) Advance payments for cost reimbursement grantees. With prior approval, cost
reimbursement grantees may receive advance payments of grant funds, provided the Grantee
meets the financial management standards specified in 2 CFR Chapters I and II, as applicable,
and provided Grantee submits any additional information that may be required by Volunteer
Iowa.
i. Immediate cash flow needs. The amount of advance payments requested by the
Grantee must be based on actual and immediate cash needs in order to minimize
federal cash on hand in accordance with policies established by the U.S. Commission
of the Treasury in 31 CFR Part 205.
ii. Discontinuing advance payments. Volunteer Iowa may, after providing due notice
to the Grantee, discontinue the advance payment method and either allow payments
in advance based upon individual request and approval, or by reimbursement only,
in cases where the grantee receiving advance payments demonstrates unwillingness
or inability to establish procedures to ensure accurate reporting, minimize the time
elapsing between the receipt of the cash advance and its disbursement, displays other
practices that indicate a potential financial management problem or in cases where
federal funds are not forthcoming or insufficient due to non -appropriation,
termination of the Program, or reduction in funding level.
iii. Interest earned. In most circumstances, the Grantee must deposit advance funds
received from the Volunteer Iowa in a federally insured, interest -bearing account.
For exceptions to this requirement, refer to 2 CFR Chapters I and 1I. To the extent
that interest is earned on advances of AMERICORPS funds, this interest shall be
returned to Volunteer Iowa.
9.3 MATCHING REQUIREMENTS FOR COST REIMBURSEMENT GRANTEES. The
following requirements apply only to cost reimbursement grantees.
a) The Grantee agrees to provide local matching contribution to the Program as defined in the
"Grantee Share" column of the budget shown in Attachment D, `Budget". The Grantee is
expected to meet the budgeted match percent of the Grantee share for each reporting period,
unless otherwise agreed upon by the Commission.
b) The Grantee shall comply with OMB Cost Principles 2 CFR Part 200, Subpart E requirements
related to allowable kinds and sources of match and match documentation requirements.
Grantees utilizing match funds from other Federal sources must have consent from the other
Federal source allowing the use of the funds as match under this Grant. Grantees shall report
the amount and sources of federal funds, other than those provided by AMERICORPS, used
to carry out its Program. This includes other federal funds expended by Program
Subrecipients and operating sites. This information shall be reported on the Federal Financial
Report (FFR).
c) If a Program fails to meet the matching requirements, the Commission will notify the Grantee
in writing of the situation and request that the costs be brought into alignment with the
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budgeted federal and match percentages within one reporting period. If there is an on -going
issue related to match, the Commission may notify the Financial Representative, Program
Representative and/or the Authorized Representative of the Grantee agency. The Commission
may suspend payment of reimbursement request(s) until the situation is corrected.
ARTICLE 10 - GENERAL TERMS AND PROVISIONS
10.1 BINDING EFFECT. This Grant Agreement shall be binding upon the Grantee and the
Commission, and their respective successors, legal representatives and assigns. The obligations,
covenants, warranties, acknowledgments, waivers, agreements, terms, provisions and conditions of
this Grant Agreement shall be jointly and severally enforceable against the parties to this Grant
Agreement.
10.2 SUSPENSION. Volunteer Iowa may suspend a grant for not more than thirty (30) calendar
days. Examples of situations necessitating a suspension may include, but are not limited to:
a) Serious risk to persons or property.
b) Violations of Federal, state or local criminal statutes.
c) Material violation(s) of the grant agreement. Violations that are sufficiently serious that
they outweigh the general policy in favor of advance notice and opportunity to show cause.
d) Corrective action. As part of a corrective action plan undertaken according to Article 8.2.
10.3 TERMINATION. Termination means the ending of the Grant Agreement, at any time prior to
the planned end of the Grant Agreement Period.
a) Circumstances for Termination. This agreement may be terminated in the following
circumstances. (The Administrative Rules of Volunteer Iowa in regards to the appeals process
apply in all situations.)
i. For Convenience. With thirty (30) day notice, Volunteer Iowa or the Grantee may terminate
the Agreement in whole, or in part, when all parties agree that the continuation of the
Program would not produce beneficial results commensurate with the future disbursement
of funds.
ii. For Cause. As a result of Grantee's default under this Agreement, as stated in Article 8.
The agreement may also be terminated if it no longer effectuates the program goals or
AMERICORPS priorities.
iii. Due to Non -appropriation or Reduction of AMERICORPS Funding. If funds
anticipated for the continuing fulfillment of this Agreement are at any time not
forthcoming or insufficient due to non -appropriation, termination of the Program, or
reduction in funding level, then Volunteer Iowa shall have the right to terminate this
Agreement without penalty by giving the Grantee not less than thirty (30) days written
notice. In the event of termination of this agreement under this Article, the exclusive, sole
and complete remedy of the Grantee shall be payment for program activities performed
prior to termination.
b) Procedures Upon Termination.
i. Termination Notice. Volunteer Iowa shall provide written notice to the Grantee of the
decision to terminate, the reason(s) for the termination, the effective date of the
termination, and final reporting obligations and deadlines. If there is partial termination
due to a reduction in funding, the notice will set forth the change in funding and the
changes in the approved budget. The Grantee shall not incur new obligations after the
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21 ACEIA0010012
effective date of the termination and shall cancel as many outstanding obligations as
possible.
ii. Rights in Products. All finished and unfinished documents, data, reports and other
material prepared by the Grantee under the Agreement, except for any intellectual
property, shall, at Volunteer Iowa discretion, become the property of the Commission.
iii. Return of Funds. Volunteer Iowa's share of noncancelable obligations which Volunteer
Iowa determines were properly incurred prior to notice of cancellation will be allowable
under the Grant Agreement. The Grantee shall return to the Commission any costs
previously paid by the Commission which are subsequently determined to be unallowable
through audit, monitoring or closeout procedures within thirty (30) days of the
disallowance. In case of termination, all unencumbered Grant proceeds shall be returned
to Volunteer Iowa within thirty (30) days of the of receipt of Notice of Termination.
10.4 SURVIVAL OF AGREEMENT. If any portion of this Grant Agreement is held to be invalid
or unenforceable, the remainder shall be valid and enforceable. The provisions of this Grant
Agreement shall survive the execution of all instruments herein mentioned and shall continue in full
force and effect until the Grant Agreement is terminated or the proceeds are paid in full.
10.5 GOVERNING LAW. This Grant Agreement shall be interpreted in accordance with the law of
the State of Iowa, and any action relating to the Grant Agreement shall only be commenced in the
Iowa District Court for Polk County or the United States District Court for the Southern District of
Iowa.
10.6 AMENDMENT.
a) Joint Modification. The Agreement may only be amended through written prior approval of
the Commission. The Commission or the Grantee may, during the duration of this Agreement,
deem it necessary to modify provisions of this Agreement, which make a substantial change
in the scope of services, extend the period of operation, modify the performance measures or
make other changes to programmatic elements of the Agreement. The provisions of the
amendment shall be in effect as of the date the modification is signed by authorized
representatives of both the Commission and the Grantee, unless otherwise specified within
the amendment.
b) Unilateral Modification. Notwithstanding paragraph (a) above, Volunteer Iowa may
unilaterally modify this Agreement at will in order to accommodate any change in the Act or
any change in the interpretation of the Act or any applicable federal, state or local laws,
regulations, rules or policies. A copy of such unilateral modification will be given to the
Grantee as an amendment to this Agreement. Volunteer Iowa will give the Grantee reasonable
prior notice of any proposed unilateral modification of this agreement.
c) Volunteer Iowa Review. Volunteer Iowa will consider whether an amendment request is so
substantial as to require AMERICORPS written approval or as to necessitate reevaluating the
Commission's funding decision on the Program. An amendment will be denied if it
substantially alters the circumstances under which the Program funding was originally
approved or if it does not meet federal or state requirements.
10.7 NOTICES. Whenever this Grant Agreement requires or permits any notice or written request
by one party to another, it shall be in writing, and delivered at Volunteer Iowa's discretion via
electronic means (such as email with a read receipt requested), to the Authorized Representative,
Financial Representative, or Program Representative as noted on this Grant Agreement (or to another
Authorized Representative who may have been designated by written notice) or enclosed in an
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envelope, addressed to the party to be notified at the address heretofore stated (or at such other
address as may have been designated by written notice), properly stamped, sealed and deposited in
the United States Mail, as Certified Mail, return receipt requested. Any such notice given hereunder
shall be deemed delivered upon the earlier of actual receipt or two (2) business days after posting.
The Commission may rely on the address of the Grantee and Authorized Representative set forth
heretofore, as modified from time to time, as being the address and Authorized Representative of the
Grantee.
10.8 WAIVERS OR DELAYS AND EXERCISE OF RIGHTS AND REMEDIES. No waiver by
the Commission of any default hereunder shall operate as a waiver of any other default or of the same
default on any future occasion. No delay on the part of the Commission in exercising any right or
remedy hereunder shall operate as a waiver thereof. No single or partial exercise of any right or
remedy by the Commission shall preclude future exercise thereof or the exercise of any other right
or remedy.
10.9 LIMITATION. The Commission shall not, under any circumstances, be obligated financially
under this Grant Agreement except to disburse funds according to the terms of the Agreement. It is
expressly understood and agreed that the maximum amounts to be paid to the Grantee by the
Commission for any item of work or service shall conform to the Budget as presented in Attachment
D. It is further understood and agreed that all payments to the Grantee by the commission for all work
and services required under this Agreement shall not exceed the Total Maximum Grant Amount
unless modified by written amendment of this Agreement as provided for in Article 10.6.
10.10 ENFORCEMENT EXPENSES.
a) State agencies: If the Grantee is an Agency of the State of Iowa, if any dispute arises
between the parties in connection with this Agreement and it cannot be resolved by mutual
agreement of the parties, the remaining dispute shall be submitted to a board of arbitration
in accordance with the procedure set forth in Iowa Code §679A.19.
b) Private nonprofits, private institutions of higher education, city governments, school
districts, and other grantee types: If the Grantee is not an Agency of the State of Iowa, the
Grantee shall pay upon demand any and all reasonable fees and expenses of the
Commission, including the fees and expenses of their attorneys, experts and agents, in
connection with the exercise or enforcement of any of the rights of the Commission under
this Grant Agreement, following the parties' unsuccessful good faith attempt to resolve any
default giving rise to the Commission seeking to exercise the enforcement of its rights.
10.11 HEADINGS. The headings in this Grant Agreement are intended solely for convenience of
reference and shall be given no effect in the construction and interpretation of this Grant Agreement.
10.12 PROGRAM NONDISCRIMINATION. Grantee shall comply with the provisions of federal,
state and local laws and regulations to ensure that no employee or applicant for employment is
discriminated against because of race, creed, religion, color, age, sex, gender identity, sexual
orientation, national origin, disability, or other protected class. Grantee shall provide state or federal
agencies with appropriate reports as required, ensuring compliance with equal employment laws and
regulations. Grantee shall ensure that all authorized subcontractors comply with provisions of this
clause. A breach of this Article shall be considered a material breach of this Agreement.
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21 ACEIA0010012
10.13 NON -ASSIGNMENT. This Agreement may not be assigned without prior Commission
written consent. The Grantee may not discontinue administration of activities under this Agreement
without the prior written disclosure to and prior written consent of the Commission.
10.14 INTEGRATION. This Grant Agreement contains the entire understanding between the
Grantee and the Commission and any representations that may have been made before or after the
signing of this Grant Agreement, which are not contained herein, are nonbinding, void and of no
effect. Neither of the parties has relied on any such prior representation in entering into this Grant
Agreement.
10.15 COUNTERPARTS. This Agreement may be executed in any number of counterparts, each
of which shall be deemed to be an original, but all of which together shall constitute but one and the
same instrument.
[Remainder of Page Intentionally Left Blank — Attachments and Signature Page Follow]
Page 192 of 579
25-AC-10 21ACEIA0010012
GRANT AGREEMENT SIGNATURE & INFORMATION PAGE
IN WITNESS WHEREOF, the parties have executed this Grant Agreement by their proper and duly
authorized representatives as of the Effective Date first stated.
For City of Dubuque
___________________________________
Michael Van Milligen
City Manager
For Iowa Commission on Volunteer Service
_____________________________________
Adam Lounsbury
Executive Director
For the purposes of this Agreement, please add the following designees:
Lead Program Representative Name and Title:
_________________________________________________________________________
Financial Officer Name and Title:
_________________________________________________________________________
GRANTEE: Please confirm below your participation in the Iowa AmeriCorps Disaster
Response Team (details in Attachment A):
☐ Yes, the program will participate in the Iowa AmeriCorps Disaster Response Team*
☐ No, the program will not participate in the Iowa AmeriCorps Disaster Response Team
*If yes, the program must have completed Attachment A
GRANTEE: Please confirm below your use of the Volunteer Iowa Member Management
System
(Details in Attachment B):
☐ Yes, the program will use the Volunteer Iowa Member Management System
☐ No, the program has been approved to use another member management & timekeeping system*
*If no, the program must have completed Attachment B
25-AC-10
21 ACEIA0010012
Attachment A
Iowa AmeriCorps Disaster Response Team Deployment Agreement
Page 194 of 579
25-AC-10 21 ACEIA0010012
Attachment A
IOWA AMERICORPS DISASTER RESPONSE TEAM DEPLOYMENT AGREEMENT
In this agreement the Iowa Commission on Volunteer Service ("Commission" or "Volunteer Iowa")
and GRANTEE agree as follows:
1. PURPOSE. The purpose of this agreement is to outline the expectations, limitations, and
requirements for eligible reimbursements for disaster deployment under the Commission's Disaster
Response Cooperative Agreement (DRCA) with the Corporation for National and Community
Service ("Corporation" or "AMERICORPS"), Iowa AmeriCorps Disaster Response Team (Iowa A-
DRT) deployments, or direct deployments initiated from Iowa Homeland Security and Emergency
Management (HSEMD).
2. MEMBERS. The GRANTEE, as a member of the Iowa A-DRT is willing to respond to
disasters or assist in recovery efforts within their capability. Volunteer Iowa and GRANTEE seek to
make efficient use of their authority, powers, resources, and privileges by entering into this
agreement to carry out its purposes.
3. DISASTER RESPONSE: Volunteer Iowa requires the availability of Iowa AmeriCorps
members to support disaster response and/or recovery efforts as needed by the State of Iowa.
Waivers to this requirement will be considered on a case -by -case basis for GRANTEES that
demonstrate undue hardship or for complications related to program design.
4. STATE ACTIVATION: Volunteer Iowa serves as the primary point -of -contact for National
Service resources in Iowa during times of disaster and may receive requests for support from
government or nongovernmental partners, including the Iowa HSEMD, the Iowa State VOAD, and
the Iowa Governor's Office.
In an Iowa federal declaration, the Commission will work with AMERICORPS and Iowa HSEMD
on any mission assignments and requests for assistance from the Volunteer Iowa A-DRT.
Any budget or programmatic changes to a program due to a disaster response or recovery will be
made in accordance with AMERICORPS specific terms and conditions.
5. OUT OF STATE: If GRANTEE is a member of the Volunteer Iowa A-DRT, any mission
assignment requests from AMERICORPS will be discussed prior to accepting the mission
assignment. At any time, GRANTEE AmeriCorps members are not to deploy out of state without
express approval from the Commission.
6. COST REIMBURSEMENT. GRANTEE is eligible for cost reimbursements associated with
a specific mission assignment for allowable expenses that fall within the approved budget for
deployment. Allowable expenses include travel, lodging, meals, supplies, and equipment incurred
for deployment and any negotiated expenses specific to the deployment or mission assignment.
Unless negotiated and approved under a specific mission assignment and deployment(s), the
Commission will not reimburse costs already included in the program's budget under its existing
Volunteer Iowa or AMERICORPS grant(s). This preclusion includes both the CNCS and non-
CNCS shares of staff salaries paid, participant costs, staff overtimes, administrative overhead and
fees and/ or any other costs.
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25-AC-10 21 ACEIA0010012
The GRANTEE is responsible for following all reimbursement procedures and allowable cost
policies outlined or referenced in the Disaster Deployment Agreement between Volunteer Iowa and
AMERICORPS that will be provided to the GRANTEE in the case of mission assignment and
deployment.
7. LIABILITY. GRANTEE ensures adequate liability coverage for any mission assignment or
deployment. Any deployment outside of the scope of the program's normal duties or not covered by
existing policies will be covered by the state as members will be considered acting on behalf of the
state for deployment purposes.
8. RECORD KEEPING. Records will be maintained by the GRANTEE and Volunteer Iowa in
a manner consistent with the reporting requirements of the Iowa Department of Revenue and
Finance, the State of Iowa Auditor's Office, the Corporation for National and Community Service
and the Federal Emergency Management Agency. Source documentation sufficient to support
expenditures will be provided by the GRANTEE. GRANTEE shall keep a copy of receipts
requested for reimbursement for a period of 6.25 years from the end of the mission assignment.
9. TRAINING. Volunteer Iowa recommends GRANTEE provide training on disaster
preparedness, response, and recovery to all AmeriCorps members; however, Volunteer Iowa will
ensure task -specific training is provided to members if they are requested to assist in a disaster.
Before being eligible for deployment, members must undergo the AmeriCorps Disaster
fundamental training. Volunteer Iowa periodically provides GRANTEE members and staff with the
opportunity to take part in these trainings prior to a disaster. Additionally, members selected to
participate in the Volunteer Iowa A-DRT will receive additional intermittent trainings throughout
their service year.
10. TERMINATION. This agreement may be terminated in part or completely with or without
cause by either Volunteer Iowa or GRANTEE upon thirty (30) days written notice.
11. AMENDMENTS. Any amendment to this agreement shall be by the mutual consent of the
parties, be in writing, and be appended to this agreement.
12. DEPLOYMENT. Any deployment not ordered by the Governor will be voluntary and can
be rejected by the Commission or the GRANTEE. Programs will not be reimbursed for any disaster
response unless a specific deployment for that activity is issued. Multiple deployments may be
issued under any specific mission assignment received by Volunteer Iowa and/or AMERICORPS.
Typically, an Out of State deployment will require a minimum commitment of 30 days (4 weeks),
but this may be negotiated on a case -by -case basis.
13. ADMINISTRATORS. GRANTEE and Volunteer Iowa each will designate one
representative to serve as administrators and contacts of this Iowa Disaster Response Team
agreement. GRANTEE will complete the appropriate section below to designate a contact.
GRANTEE DISASTER CONTACT NAME (if different from lead program representative):
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25-AC-10
21 ACEIA0010012
Attachment B
Alternate Member Management & Timekeeping System Form
Page 197 of 579
25-AC-10 21 ACEIA0010012
Attachment B
ALTERNATE MEMBER MANAGEMENT & TIMEKEEPING SYSTEM
FORM
Alternate System:
Effective member management and timekeeping is critical for the success of any AmeriCorps
State program. Applicants were required to budget for costs of participation in the state's
member management and timekeeping systems. Grantees who wish to use another member
management and timekeeping system may be allowed to do so, with Volunteer Iowa approval
prior to the start of member service and at additional cost to account for increased Volunteer
Iowa staff time required to conduct required monitoring in a separate system. Any grantee
wishing to use an alternate member management and timekeeping system can seek formal
approval at the time of application.
ALTERNATE MEMBER MANAGEMENT & TIMEKEEPING SYSTEM
1. Alternate system requested at time of application:
2. Have you previously used this system for AmeriCorps member timekeeping:
❑ Yes ❑No
NOTIFICATION OF ADDITIONAL FEES & REPORTING REQUIREMENTS
1. Grantee agrees to pay a cost of $40/member as a fee to Volunteer Iowa for use
of an alternate member management/timekeeping system.
❑ Yes, we acknowledge the additional fee
2. Cost Reimbursement Grantees agree to provide Volunteer Iowa staff limited access
to the alternative timekeeping system for the duration of the project period for the
purpose of completing required monitoring. If such access is not available, the
Grantee agrees to submit a monthly timekeeping report in IowaGrants for the same
period, for the purpose of monitoring by Volunteer Iowa Staff. Such a report must
come directly from the system and should indicate submitted and approved hours
per member.
Fixed Amount Grantees are responsible for monitoring their own member
timekeeping in alignment with federal grant requirements and maintaining
timekeeping records for audit purposes; no timekeeping reporting to Volunteer Iowa
is required.
❑ Yes, we acknowledge the reporting requirements
Page 198 of 579
25-AC-10
Attachment C
Grant Application
21 ACEIA0010012
Page 199 of 579
PART I - FACE SHEET
APPLICATION FOR FEDERAL ASSISTANCE 1. TYPE OF SUBMISSION:
Modified Standard Form 424 (Rev.02/07 to confirm to the Corporation's eGrants System) Application X❑ Non -Construction
a. DATE SUBMITTED TO CORPORATION
3. DATE RECEIVED BY STATE:
STATE APPLICATION IDENTIFIER
FOR NATIONAL AND COMMUNITY
SERVICE (CNCS):
16-DEC-24
WA
4. DATE RECEIVED BY FEDERAL AGENCY:
FEDERAL IDENTIFIER
b. APPLICATION ID:
25A C270026
21 ACEIA0010012
5. APPLICATION INFORMATION
LEGAL NAME: City of Dubuque
NAME AND CONTACT INFORMATION FOR PROJECT DIRECTOR OR OTHER
UEI NUMBER: TLJMHPVMMUD3
PERSON TO BE CONTACTED ON MATTERS INVOLVING THIS APPLICATION (give
area codes):
NAME: Sarah Berne
ADDRESS (give street address, city, state, zip code and county):
50 W 13th St
TELEPHONE NUMBER (563) 690-6171
Dubuque IA 52001 - 4805
FAX NUMBER
County: Dubuque
INTERNET E-MAIL ADDRESS: sberna@cityofdubuque.org
6. EMPLOY ER IDENTIFICATION NUMBER (8N):
7. TYPE OF APR-ICA NT:
7a. Local Government - Municipal
426004596
7b. Local Government, Municipal
8. TYPE OF APPLICATION (Check appropriate box).
❑ NEW ❑ NEW/PREVIOUS GRANTEE
® CONTINUATION ❑ AMENDMENT
If Amendment, enter appropriate letter(s) in box(es):
A. AUGMENTATION B. BUDGET REVISION
C. NO COST EXTENSION D. OTHER (specify below):
9. NAME OF FEDERAL AGENCY:
Corporation for National and Community Service
10a. CATALOG OF FEDERAL DOMESTIC ASSISTANCE NUMBER: 94.006
11.a. DESCRIPTIVE TITLE OF APPLICANTS PROJECT:
10b. TITLE: AmeriCorps State
City of Dubuque AmeriCorps Program
11.b. CNCS PROGRAM INITIATIVE (IF ANY):
12. AREAS AFFECTED BY PROJECT (List Cities, Counties, States, etc):
Dubuque, IA
13. PROPOSED PROJECT: START DATE: 09/01/25 END DATE: 08/30/26
14. CONGRESSIONAL DISTRICT OF: a.Applicant LA92 b.Program EA&I
15. ESTIMATED FUNDING: Year #:F-3
16. IS APPLICATION SUBJECT TO REVIEW BY STATE EXECUTIVE
ORDER 12372 PROCESS?
a. FEDERAL
$ 362,250.00
YES. THIS FREAPPLICATIOWAPPLICATpN WAS MA DEAVALABLE
TO THE STATE EXECUTIVE ORDER 12372 PROCESS FOR
$ 175,299.00
b. APPLICANT
REVIEW ON:
c. STATE
$ 0.00
DATE:
❑X NO. PROGRAM IS NOT COVERED BY E.O. 12372
d. LOCAL
$ 0.00
a. OTHER
$ 0.00
17. IS THEAPPLICANT DELINQUENT ON ANY FEDERAL DEBT?
0 YES if "Yes," attach an explanation. ® NO
f. PROGRAM INCOME
$ 0.00
g. TOTAL
$ 537,549.00
18. TO THE BEST OF MY KNOWLEDGE AND BELIEF, ALL DATA IN THIS APPLICATION/PREAPPLICATION ARE TRUE AND CORRECT, THE DOCUMENT HAS BEEN
DULY AUTHORIZED BY THE GOVERNING BODY OF THEAPPLICANT AND THEAPPLICANT WILL COMPLY WITH THE ATTACHED ASSURANCES IF THE ASSISTANCE
IS AWARDED.
a. TYPED NAME OF AUTHORIZED REPRESENTATIVE:
b. TITLE
c. TELEPHONE NUMBER:
Sarah Berna
(563)690-6171
d. SIGNATURE OF AUTHORIZED REPRESENTATIVE:
e. DATE SIGNED:
12/16/24
Page 1
Page 200 of 579
Narratives
Executive Summary
The City of Dubuque will have 45 AmeriCorps members who will develop and implement social and
emotional learning interventions to K-12th grade students through in -school and out -of -school -time
programs in Dubuque, IA. At the end of the first program year, the AmeriCorps members will be
responsible for a change in social -emotional skills as measured by the Devereaux Student Strengths
Assessment (DESSA). In addition, the AmeriCorps members will leverage ioo volunteers who will be
engaged in mentoring youth and supporting youth programming.
The AmeriCorps investment will be matched with $217,776, $176,526 in public funding and $40,750
in private funding.
Rationale and Approach/Program Design
1-THEORY OF CHANGE AND LOGIC MODEL -- Dubuque, IA (DBQ) youth are in crisis, resulting
in lower school attendance, higher need for behavioral intervention in school, decreased graduation
rates, increased need for mental health interventions, and higher rates of risk -taking & law -breaking
behaviors. Additionally, youth from marginalized communities are experiencing these crises at higher
rates. The Dubuque County social vulnerability index (SVI) is not high, but many categories fall in the
moderate level including the percentage of 1) children who are 17 and younger; 2) single -parent
households with children under 18; 3) housing in structures with io or more units; 4) persons in
group quarters, and 5) households with no vehicle available. While the County SVI may not be high,
the City of Dubuque (DBQ) AmeriCorps Program operates primarily in a severely economically
distressed area, specifically in Downtown DBQ, in census tracts 1, 5, and 7.01 where the per capita
income was $20,296, the average unemployment rate was 11.1%, and the average percentage Below
the Poverty Level was 28.6%. In 2021, the city published the Equitable Poverty Prevention Plan that
found the following: 16% of DBQ families of 4 survive at i00% of the Official Poverty Measure
(OPM), 24% of families of 4 survive on just 150% of the OPM, 32% of families of 4 survive on 200%
of the OPM. 44% of DBQ families of 4 survive when using United Way's ALICE measure (i00% OPM
+ Working Poor). The overall racial composition of those experiencing poverty shows that 3 out of 4
are White, while nearly 1 in 5 is Black. Categories of Asian & Pacific Islanders, Two or More Races,
and Latinx account for 3% each. While go% percent of the DBQ population is White, the Black
community in DBQ is 4 times as likely to be poor as their White neighbors, almost twice as likely as
Blacks statewide, and 2.5 times as likely to live in poverty as Blacks nationwide. DBQ's poverty data
shows a profoundly disproportionate poverty level, especially considering that the Black community is
For Official Use Only
Page 2
Page 201 of 579
Narratives
5% of the total population. School attendance in Dubuque Community School District (DCSD) has
been significantly impacted by the COVID-19 pandemic. The chronic absenteeism rates (1o% or
more) have been significantly high for the last 3 years: Elementary School (ES): 2019-20 (18%),
2020-21 (21%), 2021-22 (22%); Middle School (MS): 2019-20 (27%), 2020-21 (24%), 2021-22 (23%);
and High School (HS): 2019-20 (39%), 2020-21 (37%), 2021-22 (35%). When disaggregating chronic
absenteeism by race, DCSD students of color were disproportionately more likely to be chronically
absent than their white counterparts, Black/African-American students: 61% (ES), 59% (MS), 77%
(HS); Hispanic: 27% (ES), 35% (MS), 53% (HS); Pacific Islander: 73% (ES), 71% (MS), 86% (HS);
White: 1o% (ES), 16% (MS), 29% (HS), especially considering that DCSD's student demographics are
75.3% White, 9.9% Black/African-American, 6% Multi -Racial, 4.9% Hispanic, 2.8% Pacific Islander,
1% Asian, and .1% Native American. DCSD's 4-year graduation rate has decreased by nearly 1o% in 8
years, beginning in 2013-14 at 91.49%, and falling to 81.91% in 2020-21. When disaggregating this
data by race, we continue to see the same pattern that our most marginalized students are
disproportionately struggling. In 2020-21, the 4-year graduation rates by race were Black/African
American: 56.14%; Hispanic: 69.o9%; Pacific Islander: 27.78%; White: 87.17%. In 2020-21, 91.5% of
DCSD's K-5th grade students had o or 1 major office discipline referral (MODRs), 4.5% had 2-5
MODRs, and 4.1% had 6 or more MODRs. MODRs require behavioral intervention & de-escalation
external to the classroom. In February 2022, DCSD opened 2 Brain Health Retreat Rooms (BHRR) in
two high schools. In 4 months, the BHRRs were used by 1,o82 students for a total of 3,161 times. In
DBQ County (DC), youth reporting plans to kill themselves rose from 6.4% in 2012 to 10.5% in 2018.
From 2o16 to 2o18, the percentage of DC 8th-grade students who reported having a plan to kill
themselves within the past year increased from 6.8% to 13.5%. According to the 2018 Iowa Youth
Survey (IYS), 18% of DC youth felt that they did not have someone they can talk to within their
homes. Of the DC youth surveyed in 2o18, 21% of youth identified as another race besides white (up
from 14% in 2014); 6% of youth were made fun of because of their race or color (up from 5% in
2014); 31% disagreed that students were respected for their differences (up from 21% in 2014), and
11% disagreed that adults respected differences in students (up from 8% in 2014). Since COVID, the
data is even more alarming. The 2021 IYS (DC -specific data not available) reported that 17% of 6th-
grade students, 21% of 8th-grade students, and 24% of 11th-grade students had thoughts of killing
themselves over the last year. When disaggregating this data, the details are staggering. 27% of female
students indicated they had thought about killing themselves in the past 12 months compared to 14%
of males. Non -White students reported higher rates of suicidal ideation with the highest rate (31%)
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reported among students who identified as two or more races and the lowest rate among White
students (19%)• 55% of LGBTQI students indicated they had thought about killing themselves in the
past 12 months compared to 15% for participating heterosexual students. 1 in to students who had
thought about killing themselves reported they had made a plan to kill themselves in the past 12
months, equivalent to 8% of all participating 6th graders, 11% of all participating 8th graders, and 12%
of all participating iith graders. Further, of the students who had thought about killing themselves,
24% of 6th graders, 26% of 8th graders, and 20% of llth graders reported they had tried to kill
themselves during the past 12 months. Students who attempted suicide during this period account for
4% of 6th graders and 5% of 8th and iith graders among the full sample of participating IYS students.
DBQ youth also struggle with risk -taking behaviors and criminal activity. Data from DBQ Police for
the timeframe of Jan. 2019 through Oct. 2022 show 2,452 criminal charges involving youth aged 9-
17, with the top 5 charges being assault (17%), disorderly conduct (17%), interference (8%), theft (8%),
and vandalism (7%). 11% of charges were drug -related, and 8% of charges were alcohol -related.
Youth were more likely to be engaged in risk -taking and unlawful behavior during after -school &
evening hours, with 48% of charges occurring between 2:30 pm - io pm. Our program utilizes an
integrated, comprehensive, TWO -PRONGED APPROACH to address our community's problem of
youth in crisis. The FIRST PRONG is focused on developing positive connections between youth &
positive adult role models within a school setting. AmeriCorps Members will provide 1-1 Social
Emotional Learning (SEL) interventions using the Check In, Check Out (CICO) Model to support
youth in crises by strengthening their social -emotional health. The SECOND PRONG of the program
focuses on developing community -based mentoring and enrichment for at -risk youth during out -of -
school and summertime. AmeriCorps Members will develop and implement after -school and summer
programs to build community within and around DBQ youth to improve social -emotional health.
Our program believes that utilizing AmeriCorps members to develop and increase opportunities for
community connection, as well as fostering direct connections with youth will create and foster
resiliency among these youth. In contexts of risk, relationships are crucial to mitigating the negative
impact of toxic environments. AmeriCorps Members are the ideal solution to address these needs, as
most partners are experiencing tightened budgets due to the current economic situation. Without the
utilization of AmeriCorps members, youth would simply not receive targeted SEL health interventions
in our school building and our larger community. In the DBQ community, there is no other
organization that has worked collaboratively across the partners to help leverage resources and
address needs as the AmeriCorps program does, as this program has pivoted to address youths' needs
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since 2007. 2-EVIDENCE BASE Our program falls into the pre -preliminary evidence tier as an
evidence -informed program. Previously, our program was focused on reading. Since 2007, our
partnerships expanded, and our needs shifted. Through our partners and work with DBQ youth, we
determined that our program would be better suited to address the community needs of youths' SEL &
mental health. Our program previously saw the success of SEL interventions through the
Multicultural Family Center (MFC)'s Summer Teen Empowerment Program (STEP), which saw 35
out of 4o at -risk teens complete a summer mentoring and workforce development program in
Summer 2019; 18 of 21 in Summer 2020; and 35 out of 40 in Summer 2021. In Summer 2022, STEP
aligned its future -ready programming with SEL outcomes, leading to significant growth of
participants. The overall SEL composite score showed that the 'Need for overall SEL Instruction'
decreased from 24 % to 2% of the 47 teens in the program, resulting in a 22% growth for students
needing the most SEL Support. Additionally, the overall SEL composite score showed that'Strength in
overall SEL' grew from 2% to 18% of the 47 teens in the program, resulting in 16% of teens
strengthening their SEL skills. The largest growth in specific competencies for the 47 teens include
Optimistic Thinking- 47% improved in their attitude of confidence, hopefulness, & positive thinking;
Self -Awareness- 46% improved in their realistic understanding of their strengths, limitations, & desire
for self-improvement; and Relationship Skills- 41% improved in their performance of socially
acceptable actions that promote & maintain positive connections with others. The success of the STEP
program, the lack of other teen opportunities in DBQ, and the increasing number of teens
experiencing crisis helped our program determine that utilizing AmeriCorps can help meet these
community needs. Additionally, our program wanted to help support teens in crisis by fostering
resiliency. Research has shown that resiliency increases when youth relate to positive adult role
models, leading our program to aim to create mentoring relationships with youth. Since the onset of
COVID-19, our elementary school -focused AmeriCorps members & host sites reported and
documented an increased need for SEL services, both in school & during out -of -school time. The
severe SEL needs of students often interrupted AmeriCorps interventions, requiring de-escalation and
leading to time needing to be set aside for social -emotional needs to be addressed before learning of
any kind could occur. This small adaptation led partners to request that our AmeriCorps program
adapt to address SEL needs for youth, as there are no free services focused on these needs in our
community, and there is no capacity or funding to address these needs in our schools. Knowing the
need for SEL, the program will utilize the Check In/Check Out Intervention (CICO) which is a well -
developed, evidence -based, and efficient Tier II behavioral intervention. CI CO (also known as the
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Behavior Education Program) was designed to reduce the behavioral problems of students who are
not responding to Tier I intervention strategies (Filter, K.J., Ford, A.L.B., Bullard, S.J. et al). CICO is a
K-12 Intervention strategy that provides students with immediate feedback on behavior & increased
positive adult attention. Students will be identified as eligible for AmeriCorps Member 1-1 interventions
if they meet 2 of the 4 criteria: having the highest SEL needs through the SEL Screener (Criteria 1);
and meet Iowa's definition of at -risk in academic, attendance, or behavior (Criteria 2+). Each CICO
session will occur at least 3 times/week for 30 minutes for at least 24 sessions and until the student
has been reassessed & results show the student has improved in at least one SEL category. Members
will serve as CICO Coordinators or CICO Coaches. CICO follows a structure of 1) Check -in with a
positive adult to set goals, 2) Monitoring, Evaluation, and Feedback with CICO Coordinator, and 3)
Check-out with the same positive adult to review successes and provide support. During Check -In,
CICO Coaches will individually check in with their student caseload to review behavioral goals,
collaboratively set goals for the day, and provide encouragement. The CICO Coordinators will observe
students' behaviors and provide feedback using a 'point card' to reward students with points for
meeting goals. Before the end of the day, students will meet individually with their CICO Coach to
assess their point cards, discuss their goals and behaviors, and provide encouragement, praise, and
support. Successful implementation of this program will result in students improving in at least one
SEL Category. Research on CICO has found that the intervention can improve student behavior,
increase accountability and motivation, improve self -monitoring skills and self-esteem, and enhance
family engagement efforts. 3-NOTICE PRIORITY - The program fits with the priority areas of: -
Organizations leading service in communities with concentrated poverty and serving historically
underrepresented and underserved individuals as detailed in our theory of change section; Programs
that provide additional benefits to AmeriCorps members. Additionally, the program does fit with
several State of Iowa priorities based on the ICVS State Service Plan: 1) comprehensive community
strategy 2) engage underrepresented populations and those that provide a high return on investment
3) address disparities with minority populations 4) Governor's priority areas of Future Ready Iowa,
childcare and enrichment, and education; 5) actively participate in A-DRT, and 6) priorities based on
Iowa Code: Summer Youth Corps through the Multicultural Family Center STEP Program, where
students receive workforce development, service learning, high school credit, and the ability to earn a
paid stipend, and Iowa National Service Corps. 4-MEMBER EXPERIENCE -- Leadership
development is a priority of our program that begins with a strategic strength -based, equity -focused
recruitment process. Program staff recruit, interview, and select each member based on their personal
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and/or professional career goals. All Members receive training & professional development on DEI,
Emotional Intelligence, ACES & Trauma -Informed Service. During their term of service, members
are challenged to develop personally and professionally by seeking out development opportunities that
match their goals and interests. Each host site, as part of the program partnership, offers unique
training and professional development opportunities to all members across all program partners, to
professionally prepare members for human services careers. For example, DCSD offers Youth Mental
Health First Aid Certification, the MFC offers training on Youth Behaviors Interventions, and St.
Mark offers a Working Genius workshop. The program has taken significant effort in the last 5 years
to increase the living allowance to a 'livable allowance' (from $7.io/hour to $13/hour equivalency) to
ensure that members can focus on their experience, instead of worrying about their survival.
Additionally, the program expects all host sites to practice barrier removal for AmeriCorps members,
including paying for downtown parking, and covering up to $200 per member in expenses for
additional professional development opportunities. Recruitment efforts are focused on recruiting
members directly from the DBQ Community, from retired professionals & stay-at-home parents to
college students & recent high school graduates. Positions are advertised virtually on local job boards,
internship websites, and city social media. Paper flyers are taken to bulletin boards in apartment
complexes, religious institutions, and community centers across all areas of town. Position
advertisements are included in the following City Mailers that go to all households in DBQ: 4
quarterly utility mailers, 2 annual leisure services guides, and 2 City -Focus magazines. Recruiting a
representative & diverse member corps is an important part of our program. We prioritize making
sure that members from diverse backgrounds and lived experiences are respected, valued, and
supported by following up with members on navigating the difficulties of public benefits, referring
members to the Member Assistance Plan for mental health services, training host sites in DEI and
Trauma to create inclusive service environments, and ultimately meeting members where they are at
and listening to what they need to ensure they can be successful in their AmeriCorps Contract. Before
enrollment, 20% of the questions asked in interviews are related to DEI to ensure that the program
hires members who reflect the youth that we serve through their lived experiences and identities. As
many interviews as possible are conducted at the Multicultural Family Center to create a safe,
welcoming, and inclusive environment for all applicants, as this is one of the only spaces in DBQ that
actively engages and welcomes diverse communities, including, but not limited to communities of
color, LGBTQI, and other culturally diverse groups. Additionally, the Program has worked with ICVS
to advocate for changes to the AmeriCorps citizenship requirements to include COFA migrants. The
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AmeriCorps program is housed in the Community Impact Division, which works closely with the
City's Equity & Human Rights Department and the Office of Shared Prosperity. Together, they ensure
that AmeriCorps programming & other city programs are culturally competent, equitable, and
accessible to community members. Additionally, program staff work with the City's Human
Resources department to ensure that all program hiring practices are equitable and inclusive to
applicants, members, and staff. Additionally, the city and DCSD have positions within their structure
to ensure equitable and strategic recruitment and hiring practices.
Organizational Capability
1-ORGANIZATIONAL BACKGROUND AND STAFFING - The City of Dubuque has sponsored an
AmeriCorps Program since 2007. The city relies on its expert personnel to plan & implement the grant
and provides in -kind administration, personnel, and fiscal support. The Community Impact Director,
Heather Satterly, a 3-term AmeriCorps alum, has been the Director since 2017, in addition to
managing another Iowa AmeriCorps Program for 3 years. Heather focuses on program compliance,
program monitoring, technical assistance, and in-depth training for AmeriCorps Members. Heather
serves as a trainer & facilitator for the city & program in the following areas: DEI, Emotional
Intelligence, ACES & Trauma, & High -Performing Government. Sarah Berna is the AmeriCorps
Coordinator & focuses on the member experience from recruitment to exit. Sarah, an AmeriCorps
Alum of the program, has previously worked for the program as a coordinator, a Site Supervisor, & a
COVID-19 Virtual Tutoring contractor. Sarah is a certified Elementary Education teacher. The
Administrative Assistant for the division will provide administrative support, including conducting
background checks, maintaining & auditing member files & timesheets, and providing supplemental
member support. Marie Ware, Leisure Services Department Manager, provides oversight of the
Director & program and has been directly & indirectly involved with grant award management for
over 25 years for 3 cities & a non-profit agency. Nathan Kelleher serves as the Grant Financial Analyst
for the City & has worked on the AmeriCorps Program finances since 2021. The Finance Manager for
the City provides oversight & support to the Grant Financial Analyst to ensure financial compliance.
Jennifer Larson, Finance & Budget Director, has been monitoring all of the City's federal grant
activity since 2oi9. The city has effectively partnered with & facilitated several education & workforce
development programs. The city supports Opportunity Dubuque & the Four Mounds Foundation's
Heart Program, both focused on education & skill development for DBQ's most marginalized
communities. The city has implemented apprenticeship programs in the Public Works Department, a
Circles program in the Housing Department, and the Summer Teen Empowerment Program (a
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future -ready, career program) with the AmeriCorps Program at the Multicultural Family Center.
Currently, the city is developing an equity -focused program called "Municipal Career Pathways"
(MCP) to engage at -risk youth in public service career exploration. The MCP program intends to
change the makeup of the City's future workforce to better represent our community. The city
currently has 74o employees, predominantly made up of white males. Breakdown by race & gender
for those are as follows: Male= 66%, Female= 34%; White= 92.5%, Black= 4.5%, Hispanic= 2%,
Asian= 0.75%, Native American= 0.25%. The city expects over 50% of its workforce to retire in the
next io years, creating many leadership openings. Program staff has lived experience that shapes how
they support & design the program with partners. Staff have grown up in generational poverty, are
part of the LGBTQI community, are religiously diverse, and live with several psychiatric disabilities.
Staff members were also first -generation college students that had to navigate systems without
parental support or guidance. Their experience growing up in poverty and time as AmeriCorps
members have informed every action that the program takes. The city has prioritized Diversity,
Equity, & Inclusion in all aspects of its service delivery, including equity audits of all financial
decisions made by the organization, and the intentional engagement with community members from
diverse backgrounds in learning about local government and ways to get involved through boards,
commissions, and career and volunteer opportunities. 2-COMPLIANCE AND ACCOUNTABILITY -
The program prides itself in having a reputation as a high -functioning program and has a complete
plan for compliance & accountability. The program ensures site supervisors & host sites fully
understand the prohibited activities, non -duplication & non -displacement guidelines, and all other
rules and regulations through service agreements and training. The program conducts at least two site
visits a year, and a mid-term review to ensure rules & regulations are being followed. Program staff
keeps lines of communication open between members and site supervisors to ensure compliance &
accountability. Should a compliance issue be suspected or arise, the Director holds a meeting with all
parties involved to review guidelines and design a corrective action plan. If compliance issues continue
to be a concern, members are removed from their assigned placement until the site can ensure all
activities fall within the AmeriCorps guidelines. If compliance issues are not corrected or re -appear,
the Director will no longer place members at the host site. Lastly, our staff takes AmeriCorps' Criminal
History Record Check very seriously as well as other program management policies including
timesheets, in -kind documentation, Member Service Agreements, Host Site Agreements, and more.
The Director runs all background checks on members. As these checks are completed, the Director
completes the ICVS NSCHC Monitoring Checklist and attaches it to copies of all checks that are kept
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in the member's electronic file and in a hard copy format. The Administrative Assistant audits all
background checks and program staff conduct member/staff file audits twice a year to ensure
compliance. The city has strong policies, procedures, and internal controls to prevent, detect, and
mitigate the risk of fraud, waste, abuse, and mismanagement. The city utilizes internal control best
practices, including segregation of duties, job rotation, oversight management, safeguarding of assets,
and organizational, departmental, and divisional standards of procedures and administrative policies
that apply to all employees to ensure that staff are educated & trained to prevent mismanagement.
These standards are reviewed & updated annually to ensure that relevancy. All levels of the program
understand the expectation to report concerns regarding instances of criminal activity, fraud, waste,
or abuse directly to the Director, with subsequent reporting to the City's Director of Finance & City
Manager, ICVS, and the Office of Inspector General. 3-MEMBER SUPERVISION - All members
receive two layers of supervision. 1) Every host site designates a site supervisor to provide daily
supervision to members and conducts biweekly, 1-1 meetings with each member for clear guidance.
Site supervisors provide on -site training and observation to ensure accurate interventions. 2) The
Program serves as an added level of supervision. The Coordinator meets regularly with each member
to discuss progress and ensure member activities fall within allowable activities and has an open-door
policy so members may contact via an in -person meeting, email, phone, or text at any time for any
reason. Before members arrive on site, each site supervisor is trained in person, 1-1, and in recorded
webinar format to review overall program changes. Site supervisor training consists of an overview of
AmeriCorps & ICVS, member responsibilities, supervisor responsibilities and host site agreements, in -
kind match documentation, time sheets, data collection, prohibited activities, and unallowable
activities including nonduplication & non -displacement.
Cost Effectiveness and Budget Adequacy
See Budget
Evaluation Summary or Plan
N/A
Amendment Justification
N/A
Clarification Summary
2025-2026 Continuation Clarification Revisions
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Budget revision items:
Section I.E. Supplies: Clarified that line item is correct at $o as the recruitment materials identified
will be supported with non -grant funds.
Section I.F. Contractual and Consultant Services: Corrected the calculation.
Continuation Changes
25-26 Continuation Changes:
-Changes in Operating Sites:
Anticipated participation in the Volunteer Iowa Youth Mental Health Corps will allow our current
Teen Health Education members, currently presenting Teen Mental Health First Aid curriculum, to
expand their resources and services for teens in existing programs. We anticipate additional host sites
serving the teen population will participate in increasing resources and developing services for DBQ
teens as well as support the members' pathways to mental health careers. In partnership with local
colleges, our program currently supports members by supervising their Social Work and Psychology
career internships throughout their service. We also support both elementary and secondary educator
pathways specifically with our social -emotional learning positions in the schools, these roles would
greatly benefit from the increased training and contribution to their pathway to school careers.
-Significant Changes in Program Scope or Design: N/A
-Changes to Performance Measures: N/A
-Significant Changes to Monitoring Structures or Staffing:
City of Dubuque AmeriCorps Program is now under a newly created Community Impact
Department. Department change brings community services that align together to enhance
coordination to better meet community needs and the target audience served by the department
programs. Community Impact Director serves the AmeriCorps program by strengthening community
partnerships to meet program needs. AmeriCorps Program Director develops and maintains all grant
operations, member development, and fiscal management. Administrative Assistant serves the
AmeriCorps program to support NSCHC monitoring, as well as all member file management.
-Budget revisions: See budget
24-25 Continuation Changes:
-Changes in Operating Sites: None
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-Significant Changes in Program Scope or Design: None
-Changes to Performance Measures: Due to the State of Iowa passing Senate File 496 in May of 2023,
this has impacted several areas of the program's proposed performance measure criteria. Senate File
496 prohibits administering a formal examination or survey of a student that is designed to assess the
student's mental, emotional, or physical health that is also not required by state or federal law without
first obtaining written consent of the student's parent or guardian. Districts must also give written
notice and obtain written consent from a student's parent or guardian prior to administering district -
required surveys, analyses, and evaluations. Additionally, district employees and contractors cannot
disclose information related to the social or emotional abilities, competencies, or characteristics of the
student unless the district obtains written consent of the parent or guardian after providing the parent
or guardian of the student all of the following: detailed information related to the survey, including
the person who created the survey, the person who sponsors the survey, how information generated
by the survey is used, and how information generated by the survey is stored.
The following criteria have been impacted:
1. Utilizing the District's Social -Emotional Health Screener to identify students with SEL needs. The
district has opted to no longer utilize their SEL screener, as the district would not able to equitably
assess and support students.
Therefore, the program will not be able to utilize results of the screener to identify students with SEL
needs.
2. Administering the DESSA. The program must obtain parent permission to administer the DESSA on
students receiving AmeriCorps services.
Due to this requirement, the program expects that many students receiving services will not receive
parent permission for the DESSA to be completed, which will result in lower performance measure
results. The program has adjusted performance measures based on permission slips for the 23-24
program year as of Nov 1, 2023.
The Program and district have identified the following processes for student identification, selection,
and intervention:
1. Student identified by Teacher as having SEL needs.
2. Student referred to the school's MTSS team (Multi -Tiered System of Support) and is determined if
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meets at least 2 of the 3 universal risk factors (Academic, Attendance, Behavior).
3. Referred student approved for services by the school's MTSS team;
4. Parent information letter about the DESSA Assessment, Curriculum, and Interventions and
Permission slip sent home.
5. Parent approval returns and is saved in student file and uploaded to America Learns (AmeriCorps
Database).
6. Instructional Coach determines schedule for student pull-outs (one on one or small groups based on
student -needs).
7. AmeriCorps Member begins to implement the 8 intervention sessions: 1 session per sub -category of
the SEL Assessment.
8. After the completion of the 8 sessions, member will complete the DESSA pre -assessment.
9. DESSA assessment results will show areas for focused instruction in the 8 subcategories.
io. The next 16 sessions will focus intervention activities on addressing the areas of need.
ii. Upon completion of 24 sessions, a DESSA post -assessment will be completed.
12. Results will identify new areas of need or if student remains/offloads from member caseload.
-Significant Changes to Monitoring Structures or Staffing: The AmeriCorps Program finances are
being transferred to the responsibilities of the Leisure Services Confidential Account Clerk, away from
the Finance Department's Budget/Financial Analyst- Grant Focused. The Analyst will provide
training, serve as oversight, and provide ongoing technical support for the Clerk.
-Budget Revisions: See Budget
Grant Characteristics
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Performance Measures
NISN-s by Focus _Niv--i
100%
EEducation: 14.40
Tablet: MSYs by Focus Areas
FocusArea '. msys
Education 100%
Primary Focus Area:
Primary Intervention:
AISYs by Objective
40
100%
MK-12 Success:14,1@
Table2: MSYs by Objectives
Objectives %MSys
K- 12 Success 100%
o of 1\ISY NPAI VS Applicant VS Not in ANY
-ob
73%
■ Applicant:0 National:10.57 Not in ANY:3.92
Table3: %MSYs by NPM vs.Applicant vs. Not in ANY
NPM pplicant INot in ANY
E 73% 0% 27%
Table4: No of MSY and Members by Objective
Secondary Focus Area:
Secondary Intervention:
Education
Other Classroom Support
Education
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Performance Measure: DBQ Social -Emotional Intervention
=ocus Education Objective: K- 12 Success No of 10.57 No of 32
Area: MSY's: Members:
Problem Statement:
Dubuque Community youth are in crisis, resulting in low school attendance, higher need for school behavioral
intervention, decreased graduation rates, increased need for mental health interventions, and high rates of
risk- taking behaviors. Additionally, youth from marginalized communities are experiencing these crises at
higher rates than non- marginalized youth. The program will support K- 12 students through a 2- pronged
approach. In the 1st prong, 10RHT + 10QT Members will provide student- specific Social and Emotional
Learning (SEL) interventions to K- 5th grade students identified through a Multi- Tiered System of Support
(MTSS). During the summer, 10MT and 2FT positions will be allocated to the Multicultural Family Center' s
Summer Teen Empowerment programs to provide mentoring, SEL health interventions, and academic
support/career coaching to 50 middle/high school teens. Students will be eligible for services if they meets
Iowa' s definition of at- risk in the areas of academic, attendance, or behavior and is approved by the school's
MTSS team. The 2nd prong utilizes members to engage youth during out- of- school time & summer as
mentors through SEL- focused enrichment programs. This programming is tailored to experiential learning with
adults that are interested in furthering 300 youth' s futures & opportunities. Members will develop &
implement free, community middle/high school programming focused on building SEL skills that translate into
academic & career. 3MT positions will provide SEL enrichment with K- 5 students during summer programs.
1- 1 support requires more time & attention, serving 200 students with 70% improvement is a reasonable goal.
Selected Interventions:
Mentoring
Other Classroom Support
Out- of- School Time
Summer Learning
Describe Interventions:
Interventions will follow the Check In, Check Out (CICO) model, focusing SEL intervention needs as
determined by the DESSA assessment in a 1- 1, mentoring setting. Each intervention session (total 30
minutes/day) will occur at least a minimum of 24 sessions and until the student has been reassessed and
results show the student has improved in at least one intervention- targeted SEL category. The 10 RHT
(Dubuque Community School District - DCSD)/2 FT (Multicultural Family Center - MFC) Members will serve
as Coordinators, while the 10 QT (DCSD)/10 MT (MFC) members will serve as Specialists. CICO follows a
structure of 1) Check- in with a Specialist to set goals, 2) Monitoring, Evaluation, and Feedback with
Coordinator, 3) Check- out with the Specialist to review successes and provide support. During Check- In (15
min), Specialist will individually check in with their student caseload to review goals, collaboratively set goals for
the day, and provide encouragement and a targetted SEL Intervention. The Coordinators will observe
students' behaviors and provide feedback using a ' point card' to reward students with points for meeting
goals. Before the end of the day, students will meet individually for Check- Out (15 min) with their Specialist to
assess their point card, discuss their goals and behaviors, and provide encouragement, praise, and support.
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Performance Measure: DBQ Social -Emotional Intervention
Problem Statement:
Sggikterventions:
Other Classroom Support
Out- of- School Time
Summer Learning
ED1A: Number of individuals served
Target: 200 Individuals
Measured By: Tracking System
Described Instrument: AmeriCorps Members will record the names of youth and the number of hours
spent receiving interventions in our AmericaLearns data system. Students
receiving interventions through DCSD will have a unique identifier associated to
them that consists of their grade level, teacher last name, student first name,
student last name (le: K- Satterly, Test, Student). Students receiving
interventions through the Summer Teen Empowerment Programs will have a
unique identifier associated to them that consists of first name, last name, full
birthdate (ie: Test, Student, 01012008). All members, regardless of site, are
required to complete detailed intervention reports in AmericaLearns after each
session with a student. These reports include information about the length of the
session, intervention content, the student' s level of engagement, and a brief
assessment of student' s progress. These reports are reviewed and approved by
the Site Supervisor of each member to ensure that student information is
documented correctly. Program staff regularly review identifiers to ensure no
duplication has occurred. The Student Name and unique identifier is then
extracted from the AmericaLearns system and uploaded by AmeriCorps Program
Staff into the program' s Aperture System to complete the Devereux Student
Strengths Assessment (DESSA) assessments. AmeriCorps members will complete
the 8- 10 minute DESSA in the first week of meeting and conducting Check- Ins
with youth participating in the programs. Youth will be considered served upon
completion of at least 24 sessions of the program, when AmeriCorps members
complete a 2nd DESSA for the student to assess student progress in the
targeted SEL subcategory.
ED27C Outcome:
ED27C: Number of students with improved academic engagement or social- emotional skills
Target: 140 Students
Measured By: Observation Tool
Described Instrument: AmeriCorps Members will complete the Devereux Student Strengths Assessment
For Official Use Only
Page 16
Page 215 of 579
Performance Measure: DBQ Social -Emotional Intervention
Problem Statement:
S fgikterventions:
Other Classroom Support
Out- of- School Time
Summer Learning
Described Instrument: (DESSA), a nationally standardized, adult- rating screening tool, that will assist
AmeriCorps members to identify what Social- Emotional Competencies (Self-
awareness, Social awareness, Self- management, Goal- directed behavior,
Relationship skills, Personal responsibility, Decision- making, Optimistic thinking)
that a student is strong, typical or needs further assistance with. The DESSA is a
five- point Likert- tyle scale assessment that provides an overall Social -
Emotional Composite score and a subscore for each of the eight social- emotional
competencies. DESSA results are reported using T- scores and percentile ranks.
Tools are also available for pre- test/post- test comparisons and rater
comparisons. Online administration produces individual student, classroom, site,
and program- level reports.
Students will be considered as having improved social and emotional skills when
AmeriCorps members complete a 2nd (or more) DESSA for the student to assess
student progress, and that progress shows a student has moved from " Needs
further assistance" to " Typical" or from ° Typical" to " Strength" in at least
one of the intervention- targeted social- emotional competencies. The DESSA will
be re- administered every 8 weeks or every 24 sessions, whichever comes first.
Students who do not improve or that have multiple areas of need will continue to
receive services, while students who have improved will be strategically
transitioned out of the program.
The DESSA has very high internal reliability, and evidence of criterion and
construct validity for using the DESSA to measure social- emotional competence
is reported in the test manual (LeBuffe et al., 2009/2014) and by Shapiro and
LeBuffe (2006). The DESSA has also been examined for racial and ethnic
differences for both parent and teacher raters and found no interpretable
differences for most comparisons.
For Official Use Only
Page 17
Page 216 of 579
Program Information
AmeriCorps Funding Priorities
*Check any priority area(s) that apply to the proposed program. Please refer to Underrepresented
the NOFO for the information on the threshold for meeting priority communities/underserved
consideration people, Programs providing
additional benefits, Workforce
pathways for AmeriCorps
members, Programs for/with
second chance youth
Grant Characeteristics
*Check any characteristics that are a significant part of the proposed program Innovative Community
Strategies, Geographic Focus
Urban
Additional Documents
*How many evidence documents did you submit? (Program Evaluation Report, Zero
Studies). Do not include evaluation plan in number.
*Did you submit an evaluation plan? No
*How many non- evidence documents did you submit? (In most cases, this will Zero
be zero)
For Official Use Only
Page 18
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Demographics
Other Revenue Funds
Number of volunteers generated by AmeriCorps members
Percent of disadvantaged youth enrolled
100
For Official Use Only
Page 19
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Required Documents
Document Name Status
Evaluation Not Applicable
Federally Approved Indirect Cost Agreement Not Applicable
Labor Union Concurrence Not Applicable
Other Documents Not Applicable
For Official Use Only
Page 20
Page 219 of 579
Logic Model
Problem
Inputs
Activities
Outputs
Short -Term
Outcomes
Mid -Term Outcomes
Long -Term
Outcomes
The community
Resources that are
The core activities
Direct products from
Changes in
Changes in behavior
Changes in
problem that the
necessary to deliver
that define the
program activities.
knowledge, skills,
or action.
condition or status
program activities
the program
intervention or
attitudes and
Depending on
in life. Depending on
(interventions) are
activities
program model that
opinions. These
program design,
program design,
designed to address.
(interventions),
members will
outcomes, if
these outcomes may
these outcomes may
including the
implement or
applicable to the
or may not be
or may not be
number of
deliver, including
program design, will
measurable during
measurable during
locations/sites and
duration, dosage
almost always be
the grant year.
the grant year.
number/type of
and target
measurable during
Some programs,
AmeriCorps
population.
the grant year.
such as
members.
environmental or
capacity -building
programs, may
measure changes in
condition over a
period as short as
one year.
Dubuque
SCHOOL -BASED
INDIVIDUAL
ED1A:200students
ED27C:140
Youthwillhave:
Youth will become
Community Youth
PROGRAM (Sept. -
STUDENT/SMALL
served
students with
more resilient in
are in crisis with
May)
GROUP SEL
improved social-
Improved school and
their social -
regards to school
10 RHT + 10 QT
INTERVENTIONS:
150 students with
emotional skills.
program
emotional health
attendance;
with Dubuque
-i-i SocialEmotional
SEL needs will
attendance.
and mental health.
academic success;
School District at 10
Learning (SEL)
complete our
too students who
social and emotional
Elementary Schools
Interventions to K-5
intervention
complete our
Improved academic
Youth will be more
challenges; and risk-
in Dubuque Co, IA
Administered at
program.
program will
success.
likely to graduate
taking behaviors.
least three times per
improve at least one
high school on time.
OUT -OF -SCHOOL
week for 15-30
5o at -risk teens will
of the social-
Decrease risk -taking
The DCSD chronic
TIME PROGRAM
minutes each session
complete the Teen
emotional skills as
behaviors.
absenteeism rates
(Sept. - Aug.)
for a minimum of 8
Empowerment
determined by the
have been
1 FT at Carnegie
weeks or 24 sessions
Programs.
DESSA.
Increased positive
significantly high:
Stout Public
and until the child
adult relationships.
Elementary 2021-
Library, 1 FT at City
has been reassessed
500 community
4o at -risk teens who
22 (22%); Middle
Arts & Culture
and results show the
youth will
complete our
2021-22 (23%); and
Dept., 1 FT at City
student has
participate in free
program will
High 2021-22
Engineering Dept.,
improved in at least
enrichment
improve in at least
(35%).
2 FT at City
one SEL category
programs during
one social -emotional
Multicultural
the program year.
skill as determined
DCSD's 4-year
Family Center, 2 FT
-1-1 or small group
by the DESSA.
graduation rate has
at Hillcrest Family
mentoring and SEL
decreased by nearly
Services
for at least once a
Youth will improve
1o% in 8 years:
week for 40 weeks or
in at least one of the
2013-14=91.49%;
SUMMER PROGRAM
a total of 4o hours
following Social and
Page 21
Page 220 of 579
Logic Model
Problem
Inputs
Activities
Outputs
Short -Term
Outcomes
Mid -Term Outcomes
Long -Term
Outcomes
2020-21=81.91%.
(June - Aug.)
during a 6-week
Emotional Skills:
3 MT at St Mark
summer program.
Self-awareness,
The 2021 Iowa
Youth Enrichment
Social awareness,
Youth Survey
Summer Program, 1
COMMUNITY -WIDE
Self -management,
reported that 17% of
MT at City Carnegie
SEL ENRICHMENT:
Goal -directed
6th-grade students,
Stout Public
-Conduct free
behavior,
21%of 8th-grade
Library, to MT at
enrichment for
Relationship skills,
students had
City Multicultural
Middle & High
Personal
thought of killing
Family Center
School community
responsibility,
themselves over the
youth 3x times a
Decision -making,
last year.
STAFF: 1 Director
week for 50 weeks
and Optimistic
at, .5 FTE, 1
for at least 2 hours
thinking.
Coordinator at .95
per activity.
FTE, i
Administrative
CAPACITY
Assistant at .58 FTE
BUILDING
SERVICES:
EXTENSIVE
-Develop and
MEMBER TRAINING
support
& CERTIFICATIONS:
partnerships with
1) 6 hours program
community
orientation, 2) 4
nonprofits and
hours ACES &
businesses to engage
Trauma -informed
youth in future -
Service, 3) 4 hours
ready, career -
Intercultural
focused activities
Competency &
every week for 50
Equity, 4) 4 hours
weeks for at least 5
Emotional
hours each week.
Intelligence, 5) 8
-Develop and
hours Youth Mental
implement
Health First Aid, 6)
activities &
8 hours Working
curriculum for the
Genius Workshop, 7)
Municipal Career
4 hours Ropes
Pathways program
Course
to engage K-12th
Teambuilding
grade youth in
public service
FUNDING: 1) City of
careers every week
Dubuque, 2)
for 50 weeks for at
Dubuque
least 5 hours each
Community School
week.
For Official Use Only
Page 22
Page 221 of 579
Logic Model
Problem
Inputs
Activities
Outputs
Short -Term
Mid -Term Outcomes
Long -Term
Outcomes
Outcomes
District, 3) Hillcrest
Family Services, 4)
St Mark Youth
Enrichment
For Official Use Only
Page 23
Page 222 of 579
25-AC-10
Attachment D
Budget
21 ACEIAO010012
Page 223 of 579
Budget Narrative: City of Dubuque AmeriCorps Program for City of Dubuque
Section I. Program Operating Costs
A. Personnel Expenses
Position/Title -Qty-Annual Salary -%Time
CNCS Share
Grantee Share
TotalAmount
AmeriCorps Program Director - .80 FTE - responsible for grant oversight,
member recruitment, site/member support: - 1 person(s) at 75921 each x 80 %
60,737
0
60,737
usage
Community Impact Administrative Assistant- .58 FTE -responsible for grant
compliance, NSCHC, file audits/monitoring: - 1 person(s) at 55090 each x 58
31,952
0
31,952
usage
Community Impact Director - .10 FTE - Responsible for oversight of Program
Director and Assistant, Grant Compliance, Implementation, Monitoring (non-
0
0
0
grants funds): - 0 person(s) at 0 each x 0 % usage
Category Totals
92,689
==
92,689
B. Personnel Fringe Benefits
Purpose -Calculation
CNCS Share
Grantee Share
Total Amount
AmeriCorps Program Director (non -grant funds): AmeriCorps Director @ 80
time (FICA@.0765= 4646+ IPERS@ .0944= 5507+ HEALTH(Flat
0
0
0
Rate= 1 3423)@80%= 10738+ LI FE(Flat Rate=55)@80 % = 44)
Community Impact Administrative Assistant (non -grant funds): Cl Admin @
58 % time (FICA@.0765= 2444 + IPERS@ .0944= 3016 + HEALTH(Flat
0
0
0
Rate= 1 3423)@58%= 7785 + LI FE(Flat Rate=55)@58 % = 31)
Community Impact Director: Community Impact Director @ 10 % time
(FICA@.0765= 801+ IPERS@ .0944= 989 + HEALTH(Flat
0
0
0
Rate= 13423)@1 0%= 1342 + LI FE(Flat Rate=55)@10 % = 6)
Category Totals
C. Travel
Staff Travel
Purpose -Calculation
CNCS Share
Grantee Share
Total Amount
Travel to CNCS-Sponsored Meetings: N/A to Iowa AmeriCorps State Programs
Page 224 of 579
Volunteer Iowa Required Training - National Service Training Conference -
TBD: Airfare, est.$600 round trip 2 staff=$1200 Meals-$50/day x 4 daysx2 staff
=$400; Lodging $150/night x 3 nightsx2 staff=$900. Mileage to airport est. 160
0
2,697
2,697
mi round trip x $0.67/mi=$107, parking airport $10/dayx4days=$40, $50
ground transport host city
Volunteer Iowa Required Training - Program Launch - Des Moines, IA: 1 Trip to
Des Moines @ 450miles x $0.67 per mile (City of DBQ reimbursement rate)
0
827
827
=$302; Meals- $50/day per diem x 3days = $150; Lodging- $125/night x
3nights = $375
Volunteer Iowa Required Training - New Program Staff Orientation - Des
Moines, IA (non -grant funds): 1 Trip to Des Moines @ 450miles x $0.67 per
0
0
0
mile (City of DBQ reimbursement rate) =$302; Meals- $50/day per diem x
3days = $150; Lodging- $125/night x 3nights = $375
Staff Travel: Site supervision for site visits, mid-term reviews, and service
projects - 1000 miles per year x $0.67 per mile (City of Dubuque mileage
11528
0
1,528
reimbursement mte)x1 staff + 1 Admin 250 miles x $0.67 = $837.50 + parking
fees = $345x 2 staff = $690
Category Totals
1,528
3,524
5,052
Member Travel
Purpose -Calculation
CNCS Share
Grantee Share
Total Amount
Category Totals
=
D. Equipment
Item/Purpose -Qty -Unit Cost
CNCS Share
Grantee Share
Total Amount
Category Totals
====F
01
E. Supplies
Item -Calculation
CNCS Share
Grantee Share
Total Amount
AmeriCorps Member gear w/AmeriCorps logo: AmeriCorps Member gear
w/AmeriCorps logo: Uniform shirts & badges - 34 members x $30/member;
tshirts for summer, longsleeve for winter, polo for year -long members - all w/
0
1,020
1,020
E_
AmeriCorps logo = $1020
Recruitment materials (non -grant funds): Professional print job of program
recruitment fliers/trifolds/materials @ $125/job for 4 jobs = $500 ($500 will be
0
0
0
supported by non -grant funds)
Page 225 of 579
Member recognition supplies: Portfolio, handbooks, printed materials,
389
122
511
certificates, pins for 34 members @ $15/member
Category Totals
389
1,142
1,531
F. Contractual and Consultant Services
Purpose -Calculation -Daily Rate
CNCS Share
Grantee Share
Total Amount
Contracts and Consulting: Estimated for recruitment -daily rate $50/day for 10
days- Daily Rate of 50
500
500
Category Totals
500
E=
500
G. Training
Staff Training
Purpose -Calculation -Daily Rate
CNCS Share
Grantee Share
Total Amount
National Service Training: Registration $400x2 staff=$800- Daily Rate of 800
800
800
Category Totals
800
800
Member Training
Purpose -Calculation -Daily Rate
CNCS Share
Grantee Share
Total Amount
Member Training: Orientation, AC Week, Life after AmeriCorps, End Service
Ceremony: training lunch over 6 hours. Ropes Course Team Building Training.
906
283
1,189
@ $34/member- Daily Rate of 34
Category Totals
906
283
1,189
H. Evaluation
Purpose -Calculation -Daily Rate 11
CNCS Share
Grantee Share
Total Amount
Category Totals
E=E:==o
I. Other Program Operating Costs
Page 226 of 579
Purpose -Calculation
CNCS Share
Grantee Share
Total Amount
National Service Criminal History Check: $40/individual x 34 individuals
=$1,360. Includes FBI, state of residence & state of service checks. All staff
1,360
0L
1,360
have an adjudicated NSCHC/no expected turn -over for program staff. If staff
changes occur, a NSCHC will be conducted for new staff.
Volunteer Iowa Required State Member Management Monitoring: $40/member
x 34 members = $1,360
1,360
1,360
Volunteer Iowa Required State Support & Monitoring fee: $545 per MSY x
14.49
7,897
7,897
America Learns Timekeeping & Data system: Data Collection ($6000 flat fee)
& Timekeeping System ($2024 quoted rate) for collection of raw data by
8,274
0
8,274
AmeriCorps Members, Electronic Signing ($250 quoted rate)
DESSA Data licenses: DESSA Student Assessment: 220 Aperture System
licenses@$9 each
0
1,980
1,980
Category Totals
18,891
1,980
20,871
Section Totals
115,703
6,929
122,632
PERCENTAGE
94.35%
5.65%
=
Section II. Member Costs
A. Living Allowance
Item -# Mbrs w/Allow -Allowance Rate -# Mbrs w/o Allow
CNCS Share
Grantee Share
Total Amount
Full Time (1700 hrs): 7 Member(s) at a rate of 23070 each
71,600
89,890
161,490
Members W/O allowance 0
Three Quarter Time (1200 hours): Member(s) at a rate of each
0
0
Members W/O allowance
Year Half Time (900 hours): Member(s) at a rate of each
0
Members W/O allowance
M
Year Half Time (1st Year): Member(s) at a rate of each
���
M
Members W/O allowance
Year Half Time (2nd Year): Member(s) at a rate of each
���
Members W/O allowance
M
Reduced Half Time (675 hrs): 8 Member(s) at a rate of 9045 each
45,200
27,160
72,360
Members W/O allowance 0
Page 227 of 579
Quarter Time (450 hrs): 8 Member(s) at a rate of 6030 each
26,800
21,440
48,240
Members W/O allowance 0
Minimum Time (300 hrs): 11 Member(s) at a rate of 3980 each
13,900
29,880
43,780
Members W/O allowance 0
Abbreviated Time (100 hrs): Member(s) at a rate of each
0��
Members W/O allowance
Category Totals
157,500
t68,370
325,870
B. Member Support Costs
Purpose -Calculation
CNCS Share
Grantee Share
Total Amount
FICA for Members: $314600*.0765 = 24067
24,067
24,067
Worker's Compensation: $314600* .03 - $9438
9,438
9,438
Health Care: Member Healthcare: 520/month * 12 months * 6 members
(additional 1 member will be covered with nongrant funds) _ $37440
37,440
37,440
MAP Access (non -grant funds): Grantee/City provides member access to
Employee Assistance Plan (21.50/member x 34)
F
Category Totals
70,945
==
70,945
Section Totals
228,445
168,370
396,815
PERCENTAGE
57.57%
42.43%
Section III. Administrative/Indirect Costs
A. Corporation Fixed Percentage
Item -Calculation
CNCS Share
Grantee Share
Total Amount
Corporation Fixed Amount: CNCS share 115,703 + Grantee share 228445
18,102
18,102
Commission Fixed Amount:
Category Totals
18,102
18,102
B. Federally Approved Indirect Cost Rate
Page 228 of 579
Calculation -Cost Type -Rate -Rate Claimed -Cost Basis
11 CNCS Share Grantee Share
Total Amount
Category Totals
======d
Section Totals
18,102
18,102
PERCENTAGE
100.00% 0.00%
Budget Totals
362,250
175,299
537,549
PERCENTAGE
67.39 %
32.61
Required Match
28.00
Total MSYs
Cost/MSY
25,000.00
��
Source of Funds
Section
Match Description
Amount
Classification
Source
Source of Funds
Dubuque Community School District (secured)
45,000
Cash
State/Local
Hillcrest Family Services (secured)
25,500
Cash
Private
City of Dubuque (secured)
96,200
Cash
State/Local
New Host Site (proposed)
8,599
Cash
Other
Total Source of Funds
175,299
==
Page 229 of 579