Notice of Award and Request to Execute Agreement for 2026-2027 City of Dubuque AmeriCorps Program: Creating OpportunitiesCity of Dubuque
City Council
CONSENT ITEMS # 4.
Copyrighted
August 17, 2026
ITEM TITLE: Notice of Award and Request to Execute Agreement for
2026-2027 City of Dubuque AmeriCorps Program: Creating
Opportunities
SUMMARY: City Manager providing information on the award of 2026-
2027 City of Dubuque AmeriCorps Program: Creating
Opportunities grant and recommending City Council approval
to execute the AmeriCorps Grant Agreement that will be sent
for City Manager's signature by Volunteer Iowa through
Adobe Sign and Save.
SUGGUESTED Receive and File; Approve
DISPOSITION:
ATTACHMENTS:
1. MVM Memo Notice of Award & Request to Execute Agreement for 26-27 City of
Dubuque AmeriCorps Program Creating Opportunities
2. Staff Memo 26-27 Notice of Award & Request to Execute Agreement for City of
Dubuque AmeriCorps Program Creating Opportunities Memo
3. 24AFEIA001 001 5_City Dubuque_Grant Agreement —legal reviewed 7.30.26
Dubuque
THE CITY OF
uFA�a9a av
DuBE
13
Masterpiece on the Mississippi zoo�•*o
rP PP 2017202019
TO: The Honorable Mayor and City Council Members
FROM: Michael C. Van Milligen, City Manager
SUBJECT: Notice of Award & Request to Execute Agreement for 26-27 City of
Dubuque AmeriCorps Program: Creating Opportunities
DATE: August 13, 2026
Office of Community Impact & Neighborhood Support Director Antonio Mouzon is
providing information on the award of 26-27 City of Dubuque AmeriCorps Program:
Creating Opportunities grant and recommending City Council approval to execute the
AmeriCorps Grant Agreement that will be sent for City Manager's signature by
Volunteer Iowa through Adobe Sign and Save.
Federal Funds Awarded: $258,991
Match Required: Yes Match Amount: $170, 071
Match Funding Source:
• Bluff Strokes $4,500.00 (Secured)
• Centrally Rooted $6,750.000 (Secured)
• Dubuque Community School District (Secured) $45,000 Cash State/Local
• Youth Mental Health Corps $30,000 Private (Secured - enrollment dependent)
• City of Dubuque $83,821 Cash State/Local
o Multicultural Family Center $35,143 (Secured)
o Carnegie Stout Library $26,450 (Secured)
o Parks and Recreation $22,228 (Secured)
Anticipated Receipt of funds: Between 09/01/2026 - 08/31/2027
I concur with the recommendation and respectfully request Mayor and City Council
approval.
v
Mic ael C. Van Milligen
MCVM:sv
Attachment
cc: Crenna Brumwell, City Attorney
Cori Burbach, Assistant City Manager
Antonio Mouzon, Office of Community Impact & Neighborhood Support Director
Jason Lehman, Assistant City Attorney
Barry Lindahl, Senior Counsel
Jennifer Larson, Chief Financial Officer
Sarah Berna, AmeriCorps Program Director
Stephanie Hirsch, Office of Community Impact & Neighborhood Support
Administrative Support Professional
2
THE CF
D!Uj--B E-E
Masterpiece on the Mississippi
TO: Michael C. Van Milligen, City Manager
Dubuque
All -America City
2007-2012.2013
2017*2019
FROM: Antonio Mouzon, Office of Community Impact & Neighborhood Support
Director
SUBJECT: Notice of Award & Request to Execute Agreement for 26-27 City of
Dubuque AmeriCorps Program: Creating Opportunities
DATE: 07/31 /2026
INTRODUCTION
The purpose of this memorandum is to provide information on the award of 26-27 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 26 years of operation, 18 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.
Page 1 of 3
This formula 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 Centrally Rooted, Bluff Strokes Art Center,
Carnegie -Stout Public Library, Dubuque Community School District, City of Dubuque
Parks Department 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.
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 26-27 grant on 11/25/2025 for the City of
Dubuque AmeriCorps Program: Creating Opportunities. On 07/14/26 the Office Of
Community Impact & Neighborhood Support was notified of the 26-27 formula funded
award. The details of the award are below.
Federal Funds Awarded: $258,991
Match Required: Yes
Match Amount: $170, 071
Match Funding Source:
• Bluff Strokes $4,500.00 (Secured)
• Centrally Rooted $6,750.000 (Secured)
• Dubuque Community School District (Secured) $45,000 Cash State/Local
• Youth Mental Health Corps $30,000 Private (Secured - enrollment dependent)
• City of Dubuque $83,821 Cash State/Local
o Multicultural Family Center $35,143 (Secured)
o Carnegie Stout Library $26,450 (Secured)
o Parks and Recreation $22,228 (Secured)
Anticipated Receipt of funds: Between 09/01/2026 - 08/31/2027
Department Contact: Antonio Mouzon
Page 2 of 3
Departments Involved: Parks and Recreation, Carnegie Stout Public Library,
Multicultural Family Center
GRANT OBJECTIVE
The City of Dubuque will have 31 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 $170,071 ($128,821 in
public funding and $41,250 in private 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 26-27 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: 27-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
Stephanie Hirsch, Office of Community Impact & Neighborhood Support
Administrative Support Professional
Page 3 of 3
26-AF-06
IOWA COMMISSION ON VOLUNTEER SERVICE
AMERICORPS GRANT AGREEMENT
GRANTEE: City of Dubuque
FEDERAL GRANT NUMBER: 24AFEIA0010015
IOWAGRANTS NUMBER: 26-AF-06
PROGRAM NAME: City of Dubuque AmeriCorps Program
GRANT AGREEMENT PERIOD: 9/1/2026- 8/31/2027
TOTAL MAXIMUM GRANT AMOUNT: $258,991
GRANT TYPE: Cost Reimbursement
FEDERAL PRIME GRANT & TYPE: 24AFEIA001 (Formula)
FEDERAL PRIME AWARD DATE: 7/16/2026
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
26-AF-06
incorporated by reference. The Grant Agreement is the legal agreement by which the Commission
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
26-AF-06
retention of AmeriCorps members. Planning grants are a type of cost reimbursement grant
that does not include any member funding.
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 `BAP") 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. Cost -reimbursement grantees awarded under the notice are approved for pre -
award costs for one month prior to the start of the Agreement period. Approval of pre -award costs
26-AF-06
does not authorize the Grantee to enroll AmeriCorps members prior to the start of the Agreement
period. Pre -award costs for expenses up to one month prior to the start of the Agreement period are
allowable only to the extent they would have been allowable if incurred during the Agreement period.
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 often 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 $10,000, 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.
26-AF-06
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
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 Support Costs. Volunteer Iowa will assess the following on Grantee.
a) State Member Management System Costs: Grantees will be invoiced on a biannual or other
regular basis for a cost of $22/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 Costs: Grantees will be invoiced a State Support and
Monitoring Cost on a biannual or other regular basis to cover the cost of commission staff
time spent providing necessary technical assistance to programs. The cost calculation
provided in the annual Request for Applications. The cost 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 monitoring level.
ARTICLE 3 - TERMS OF GRANT
3.1 GRANT. The Commission grants $258,991 to the Grantee for AmeriCorps activities during the
Grant Agreement Period. The program activities of the Grantee are to commence as of the Effective
26-AF-06
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 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 Disaster Cadre 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 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: NA
26-AF-06
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.
26-AF-06
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
26-AF-06
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.
26-AF-06
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
for Submission
Date Due
Program Start Forms
Status reports or
Due Dates: August or September Start
grant forms in
Programs/January Start Programs Phase 1:
IowaGrants
August I/December 1
• Member Service Agreement and Host Site
Agreement templates (returning programs)
• Host Site Orientation Agenda and Training
Plan
• Program and Fiscal Staff Competency Self -
Assessment
• 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 1/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 I
• Financial and Program Policies
• Data Collection Plan and Process
• Tutoring Certification as applicable)
26-AF-06
Performance Measure —
Program Officer
Corrective Action Plan
Notification in
As needed throughout the program year
(may include amendment
IowaGrants
request)
Initial Progress Report
Status Report in
January 15/April 15
IowaGrants
Enrollment Plan Updates
Status Report in
January 30 and May 1/May I and September 30
IowaGrants
Mid -Year Progress
Status Report in
May 15
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
work or as soon as possible.
Agreement
IowaGrants
Grant Agreement No
Program Officer
Cost Extension Request
Notification in
April 30
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
Within 5 days of awareness of the need to make
Program Changes
Notification in
the change or as soon as possible.
IowaGrants
Financial Reporting
Form
System/Format
for Submission
*Date Due
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.
26-AF-06
Program Claim
Attachments (New
Attachments in
Attached monthly (to coincide with Claim
Programs and High
IowaGrants
Form) supporting documentation for all
Financial Monitoring
claimed costs.
Level Programs)
IET Form Attachment
Attached monthly (or **quarterly) to coincide
(State Agencies only)
IowaGrants
with Program Claim Form) by the 25th of the
month following the end of the report period.
April 25
Federal Financial Reports
October 25
(Cost Reimbursement
IowaGrants
FINAL: due within 60 days after the
only)
completion date of the grant (if grant end date
does not correspond with above reporting
deadlines).
Excess Program Income
April
(Cost Reimbursement
Iowa Grants
October 25
only)
Estimated Unexpended
IowaGrants
April 25 for all programs, and upon request
Funds Report
January 15 Required for programs that will
not fill all full-time member slots.
Budget Modification
April 30 Required for programs with >10%
Request (Program Officer
unexpended federal funds.
Notification)
IowaGrants
Requests for budget modifications can be
made at any time. It is recommended they be
N/A for Fixed Programs
requested within 15 days of identifying the
need for a change.
Closeout Packet (Status
IowaGrants
Within 60 days after the termination of the
Report)
Site Visit Response
IowaGrants
Within timeline as established in site visit
report from Volunteer Iowa.
Financial Desk Review
Covers one -reporting period as
IowaGrants as
Upon request in conjunction with a monthly
noted in the monitoring
attachment
financial claim report.
schedule based on program
monitoring level.
Change in financial staff
IowaGrants
Within 5 days of the person's last day of work
(Program Staff Update)
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
26-AF-06
*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).
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. I 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
I financial staff,); Developing Program Policies and Procedures Annual Training (required for I
financial staff); Internal Controls Annual Training (required for 1 financial staff and 1 program
staff); and Fraud Awareness Annual Training (required for I 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
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.
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 $1,000,000 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.
26-AF-06
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
$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.
26-AF-06
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, "YOUTH MENTAL HEALTH CORPS AGREEMENT" (completed if
applicable)
iv. Attachment D, "GRANT APPLICATION", dated on the SF424, form (attached)
v. Attachment E, 'BUDGET" (attached)
b) Exhibits
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%2Oof%o201990%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/c/c gi-bin/text-
idx? SID=Oa0651909748 e3 176908 86cbf689868 a&mc=true&tp1=/ecfrbrowse/Title45/45
cfrv5_02.tpl#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 (2026)" https:Hamericorps.gov/grantees-
sponsors/state-sub rag ntees
b. "FY 2026 AmeriCorps State and National Grants Terms and Conditions"
https://americorps.goy/grantees-sponsors/state-sub rag ntees
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 2026 AmeriCorps State
and National Grants posted at https://volunteer.iowa.gov/americorps/host-americorps-
pro gram-or-member/host-americorps-state-program
v. Exhibit E, "APPLICATION INSTRUCTIONS", including the Volunteer Iowa Pre -
Application Instructions and Volunteer Iowa Final Application Instructions posted at
https://volunteer. iowa.gov/a mericorps/host-americorps-program-or-member/host-
americorps-state-program
vi. Exhibit F, "VOLUNTEER IOWA AMERICORPS PROGRAM MANUAL", 2026-2027
AmeriCorps Program Manual, which is posted to the Volunteer Iowa website at
https://volunteer.iowa. gov/americop2s/current-americop2s-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:
26-AF-06
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"
f) 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"
ARTICLE 8 - DEFAULT AND REMEDIES
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.
f) 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
26-AF-06
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:
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 REQUEST 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
26-AF-06
("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
9.2 REOUEST 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 II. To the extent
that interest is earned on advances of AMERICORPS funds, this interest shall be
returned to Volunteer Iowa.
26-AF-06
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
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.
26-AF-06
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
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.
26-AF-06
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
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
26-AF-06
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.
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]
26-AF-06
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:
Sarah Berna, AmeriCorps Program Director
Financial Officer Name and Title:
Nathan Kelleher, Budget/Financial Analyst (Grant Focused)
GRANTEE: Please confirm below your participation in the Iowa AmeriCorps Disaster
Response Team (details in Attachment A):
*�es, the program will participate in the Iowa AmeriCorps Disaster Response Team*
ao, the program will not participate in the Iowa AmeriCorps Disaster Response Team
*If yes, the program will complete 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
ONo, the program has been approved to use another member management & timekeeping system*
*If no, the program will complete Attachment B
26-AF-06
Attachment A
Iowa AmeriCorps Disaster Response Team Deployment Agreement
26-AF-06
Attachment A
IOWA AMERICORPS DISASTER RESPONSE DEPLOYMENT AGREEMENT
In this agreement the Iowa Commission on Volunteer Service ("Commission" or "Volunteer Iowa")
and GRANTEE agree as follows:
I. 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 (Disaster
Cadre) deployments, or direct deployments initiated from Iowa Homeland Security and Emergency
Management (HSEMD).
2. MEMBERS. The GRANTEE 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.
Extended responses may result in reassignment of service activities to respond to disaster and/or
emergent needs. 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 Disaster Cadre.
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: The GRANTEE and Volunteer Iowa will discuss any mission
assignment requests from AMERICORPS 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.
26-AF-06
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 trainings prior to a disaster.
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):
26-AF-06
Attachment B
Alternate Member Management & Timekeeping System Form
Grant Agreement Number:
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 $44/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.
0 Yes, we acknowledge the reporting requirements
Grant Agreement Number:
Attachment C
Youth Mental Health Corps Agreement
-29-
Grant Agreement Number:
Attachment C
YOUTH MENTAL HEALTH CORPS AGREEMENT
YMHC ID NUMBER (IOWAGRANTS): 26-YM-02
YMHC MEMBER SLOTS PROJECTED: 16 (4 FT-QT; 12 MT)
YMHC MAXIMUM FUNDING AMOUNT: $30,000
YMHC FUNDING: FIXED -AMOUNT (NON-FEDERAL FUNDS)
PURPOSE
The purpose of this attachment is to outline the expectations, limitations and requirements for
eligible reimbursements for Youth Mental Health Corps (YMHC) programs. YMHC, in
partnership with the Schultz Family Foundation and Pinterest, is a collaborative initiative that
supports youth mental health in schools and communities while giving young adults on -ramps into
behavioral health careers. Iowa YMHC programs can participate in the Community Health Worker
Pathway and/or School -Based Pathway.
PROGRAMMATIC REQUIREMENTS:
MEMBERS:
1. AGE: YMHC AmeriCorps members must be between 18 and 24 years old at the time of
enrollment in AmeriCorps service.
2. YMHC members will be expected to complete career -focused surveys administered by
Serve Minnesota at the beginning of service, end of service, and six months after service
concludes.
3. PROFESIONAL DEVELOPMENT: Members will be provided with opportunities to
participate in professional development sessions led by the Peer Health Exchange and
coaching sessions provided by Inside Track.
4. TRAINING: All YMHC members must complete one Foundational training and Advanced
training, including but not limited to:
a. Foundational Training: Mental Health First Aid (online or in -person course
options may be scheduled by Volunteer Iowa or individually)
b. Advanced Training
i. Community Health Worker Pathway
1. Public Health for Community Health Workers; AND
2. Youth Mental Health Foundations
ii. School -Base Pathway
1. Direct Support Professional Behavioral & Mental Health Certificate
through DMACC; OR
2. Registered Behavioral Technician Certification through BIDS or
University of Kansas; OR
-30-
Grant Agreement Number:
3. Paraeducator Certification Program through Approved
Paraeducator Preparation Programs & Certifying Official; OR
4. Other certification or credential approved by Volunteer Iowa
iii. As time and budget allow, programs may also provide additional optional
professional development opportunities. A list of appropriate optional
opportunities will be available on the YMHC Basecamp.
GRANTEE:
1. YMHC grantees are expected to participate in a monthly shared learning calls, held on
the first Wednesday of each month from 9:00-9:45 AM CST. At least one program
representative must attend the Monthly YMHC Program Call.
2. Member information: GRANTEE will provide Volunteer Iowa with YMHC member contact
information within 8 days of enrollment for grant reporting requirements and to ensure
timely delivery of survey and YMHC network opportunities. Programs should enter the
following information for each enrolled member through correspondence in IowaGrants
using the member data file (available on Basecamp).
a. Name
c. Position title
d. Host site
e. Email (personal preferred for career survey and coaching)
f. Mobile (personal preferred for career survey and coaching)
3. MEMBER POSITION DESCRIPTION: Each YMHC Member Position Description (MPD)
must clearly outline the YMHC member activities, along with any additional requirements
related to training and data reporting. To support consistency across programs, the
YMHC MPD template includes comments with sample language that can be adapted as
needed.
YMHC Funds
FUNDS:
GRANTEE will be eligible to receive up to $3,000 per YMHC member enrolled in a quarter -time
or larger slot type after the following deliverables have been met:
1. Deliverable 1: $2,000 may be requested when a YMHC member is successfully enrolled
in eGrants to support programmatic costs related to YMHC activities
2. Deliverable 1: $1,000 may be requested when a YMHC member completes all YMHC
required foundational and advanced training options.
With prior approval for this slot type, GRANTEE will be eligible to receive up to $1,500 per YMHC
member enrolled in a minimum -time slot type after the following deliverables have been met:
1. Deliverable 1: $1,000 may be requested when a minimum -time YMHC member is
successfully enrolled in eGrants to support programmatic costs related to YMHC
activities.
-31-
Grant Agreement Number:
2. Deliverable 2: $500 may be requested when a minimum -time YMHC member completes
all required YMHC foundational trainings.
YMHC funds are intended to support YMHC program activities and interventions (including but
not limited to: supporting YMHC member living allowance, YMHC member incentives, YMHC
required trainings, supplement host site cost share, etc.).No additional funds will be awarded for
refilled slots. YMHC funding may be used by GRANTEE to meet the federal match requirement
for the AmeriCorps program.
CLAIMS PROCESS:
GRANTEE will submit claims quarterly via IowaGrants under the YMHC ID Number listed at the
beginning of this document.
REPORTING & DATA COLLECTION
PROGRESS REPORTS:
GRANTEE will complete progress reports via IowaGrants under the YMHC ID Number.
DATA COLLECTION:
The program is responsible for collecting data from YMHC members and/or sites to submit the
reports by the deadlines:
i. Number of young adults (18-24 years old) enrolled in the YMHC
ii. Number of members that complete a certification pathway
iii. Number of participating AmeriCorps grantees
iv. Number of participating host sites
v. Number of youth served by YMHC members within their caseload
vi. Number of community members served by YMHC members outside their caseload
vii. At least one narrative example of a member's activity supporting youth mental health
for the period.
viii. Other data requested and communicated by Volunteer Iowa
-32-
Grant Agreement Number:
Attachment C
Grant Application
-33-
DRAFT
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
SERV ICE (CNCS):
18-MAR-26
WA
4. DATE RECEIVED BY FEDERAL AGENCY:
FEDERAL IDENTIFIER
b. APPLICATION ID:
26AC281321
5. APPLICATION INFORMATION
LEGAL NAME City of Dubuque
NAMEAND CONTACT INFORMATION FOR PROJECT DIRECTOR OR OTHER
UEI NUMBER: TLJMHPVMMUD3
PERSON TO BE CONTACTED ON MATTERS INVOLVING THIS APPLICATION (give
area codes):
NAME: Sarah Berna
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 EMAIL ADDRESS: sberna@cityofdubuque.org
6. EMPLOYER IDENTIFICATION NUMBER (EIN):
7. TYPE OF APPLICANT:
7a. Local Government - Municipal
426004596
7b. Local Government, Municipal
8. TYPE OF APPLICATION (Check appropriate box).
F7NEW ❑X NEW/PREVIOUS GRANTEE
0 CONTINUATION 0 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 09/01/26 END DATE 08/31/27
14. CONGRESSIONAL DISTRICT OF: a.Applicant LK02 b.Program IA 02
15. ESTIMATED FUNDING: Year #:
1❑
16. IS APPLICATION SUBJECT TO REVIEW BY STATE EXECUTIVE
ORDER 12372 PROCESS?
a. FEDERAL
$ 258,991.00
0 YES. THIS PREAPPLICATIONIAPPLICATION WAS MADE AVAILABLE
TO THE STATE EXECUTIVE ORDER 12372 PROCESS FOR
$ 170,071.00
b. APPLICANT
REVIEW ON:
c. STATE
$ 0.00
DATE:
❑X NO. PROGRAM IS NOT COVERED BY E.O. 12372
d. LOCAL
$ 0.00
e.OTHER
$ 0.00
17. IS THE APPLICANT DELINQUENT ON ANY FEDERAL DEBT?
YES if "Yes," attach an explanation. ® NO
f. PROGRAM INCOME
$ 0.00
g. TOTAL
$ 429,062.00
18. TO THE BEST OF MY KNOWLEDGE AND BELIEF, ALL DATA IN THIS APPLICATION/PREAPPLICATION ARE TRUE AND CORRECT, THE DOCUMENT HAS BEEN
DULY AUTHORIZEDBY THE GOVERNING BODY OF THE APPLICANT AND THE APPLICANT WILL COMPLY WITH THE ATTACHED ASSURANCES IF THEASSISTANCE
IS AWARDED.
a. TYPED NAME OF AUTHORIZED REPRESENTATIVE:
b. TITLE:
c. TELEPHONE NUMBER:
Sarah Berne
(563)690-6171
d. SIGNATURE OF AUTHORIZED REPRESENTATIVE:
e. DATE SIGNED:
03/17/26
Page 1
r
Narratives
Executive Summary
The City of Dubuque will have 31 AmeriCorps members in Dubuque, Iowa. AmeriCorps members will
provide one-on-one and small group support for K-12 students through in -school and out -of -school
programs, anchored by the Check-In/Check-Out (CICO) model. By the end of the first program year,
the AmeriCorps members will be responsible for 140 students showing improvement in social and
emotional engagement measured via the Devereux Student Strengths Assessment (DESSA). In
addition, the AmeriCorps members will leverage too volunteers who will be engaged in mentoring
youth and supporting youth programming. The AmeriCorps investment will be matched with
$170,071; $128,821 in public funding and $41,250 in private funding.
Rationale and Approach/Program Design
1-COMMUNITY AND LOGIC MODEL Dubuque, Iowa, youth are in crisis, resulting in lower school
attendance, social and emotional challenges, higher need for behavioral intervention in school and
community programs, 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 City of Dubuque AmeriCorps Program
operates primarily in a severely economically distressed area, specifically in Downtown DBQ, in
census tracts 1, 5, and 7.01, with a $26,241.33 per capita income, a 9.3% average unemployment rate,
plus a 25.9% average percentage below the poverty level. In schools, major office discipline referrals
for behaviors have risen from 2021-2024 by 4.1% to 6%. Brain health retreat rooms were
implemented in 2022, and their use has increased from 2022-2024. Dubuque Community School
District's (DCSD) chronic absenteeism rates have been significantly high in elementary, middle, and
high school. And DCSD's 4-year graduation rates have decreased by nearly 1o% from 2014= 91.49%
to 2024= 81.91%. The 2021 Iowa Youth Survey, most recently released data, reported that 17% of
6th-grade students, 21% of 8th-grade students, and 24% of llth-grade students had thoughts of killing
themselves over the last year. In the most recently disaggregated Dubuque County data, youth
reporting plans to kill themselves rose to 10.5% in 2018.
City of Dubuque AmeriCorps Creating Opportunities 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 & 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 -
For Official Use Only
Page 2
j
Narratives
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 Dubuque 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 and
adverse childhood experiences. AmeriCorps Members are a valuable solution to address these needs, as
most partners are experiencing tightened budgets due to economic distress. Without the utilization of
AmeriCorps members, youth would simply not receive targeted SEL health interventions in our school
buildings and the greater Dubuque community. In the Dubuque community, there is no other
organization that has worked collaboratively across partners to help leverage resources and address
needs as the AmeriCorps program does. This program has pivoted to address youths' needs since 2007.
To continue to better impact youth, our program is making strategic progress on expanding service
capacity. Our program has increased partnerships to include organizations that directly support
youth in their mission and can expand meaningful activities utilizing social -emotional learning.
Recent new hosts, Centrally Rooted (music and brain health) and Bluff Strokes Art Center (youth art
engagement), are both serving targeted areas of access to youth populations. These new sites are both
located inside or within walking distance of Census tracts 1, 5, and 7.01, targeted to support
concentrated areas of poverty. Expanding capacity has also included the continued development of a
position to engage youth in outdoor education and sustainable community engagement. This City of
Dubuque Parks partnership is at the intersection of mental health and outdoor education to enhance
services to engage at -risk youth. Within this program, youth and members develop knowledge and
career pathways in civic and health through outdoor opportunities. Our program focuses on
strengthening the members through training, experience, and community connection. The youth in
our program develop future -ready skills through meaningful service from caring mentoring adults.
2-EVIDENCE TIER City of Dubuque AmeriCorps Creating Opportunities program falls into the pre -
preliminary evidence tier as an evidence -informed program. Previously, our program was focused on
reading. Since 2007, our partnerships have expanded, and our needs have shifted. The 2023-2026
grant cycle was the start of the redesigned program to address the needs of community partners.
Through our partners and service with Dubuque youth, we determined that our program would be
better suited to address the community needs of youths' Social Emotional Learning (SEL) & mental
For Official Use Only
Page 3
L.
Narratives
health. The success of service activities in the Summer Teen Empowerment Program (STEP) is a
long-standing example of our program's impact on youth engagement. The lack of other teen
opportunities in Dubuque and the increasing number of teens experiencing crisis continue to
demonstrate our program utilizing AmeriCorps funds to help address these community needs.
Additionally, our program is supporting 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. At schools, the SEL needs of students often
interrupt AmeriCorps literacy interventions, requiring de-escalation and leading to time needing to be
set aside for social -emotional needs to be addressed before academic learning can occur. The
adaptation needed led partners to request that our AmeriCorps program adapt to address SEL needs
for youth. There were no cost-effective services focused on addressing the social -emotional needs in
our community, and no funding to address these needs in our schools. Using best practice with the
Check In/Check Out Intervention method is a proven way to reduce behavioral problems of students
who are not responding to Tier I intervention strategies. CICO is a well -developed, evidence -based,
and efficient Tier II behavioral intervention (also known as the Behavior Education Program) (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.
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. When school instructional coaches select students to work with AmeriCorps
members, parents are informed about Social Emotional Learning, the program's SEL practices, and
how data is used to guide instruction.
3-EVIDENCE QUALITY -- Social Emotional Learning (SEL) interventions through the Dubuque
Community School District and Multicultural Family Center are assessed using the Devereux Student
Strength Assessment (DESSA). 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 (Le Buffe et al., 2009/2014/2018) and by Shapiro and Le Buffe (20o6). 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. The DESSA result ratings are shown through Need for
For Official Use Only
Page 4
Narratives
Instruction, Typical, and Strength.
Our program SEL interventions through the Multicultural Family Center (MFC)'s Summer Teen
Empowerment Program (STEP) saw graduation rates of 38 out of 42 in Summer 2023; 39 out of 40
in Summer 2024; and no data from 2025 due to termination of AmeriCorps funding. Adjustments to
align its future -ready programming with SEL outcomes lead to the demonstration of significant
growth in participants. The overall SEL composite score from the first year of the program design in
Summer 2023 showed the 'Need for overall SEL Instruction' decreased from 24 % to 8%. The overall
SEL composite score for the 2024 Summer program showed the 'Need for overall SEL Instruction'
decreased from 46% to 1% of the 40 teens in the program, resulting in a 45% growth for students
needing the most SEL Support. The Summer 2023 and 2024 STEP program showed 85% of the teens
demonstrating improvement in at least 1 SEL competency.
Additionally, the overall SEL composite score showed that 'Strength in overall SEL' grew from 12% to
46% of the 40 teens in the program, resulting in 34% of teens strengthening their SEL skills. The
largest growth in specific competencies for the 40 teens include Optimistic Thinking- 46% improved in
their attitude of confidence, hopefulness, & positive thinking; Self -Awareness- 38% improved in their
realistic understanding of their strengths, limitations, & desire for self-improvement; and Relationship
Skills- 39% improved in their performance of socially acceptable actions that promote & maintain
positive connections with others.
Our program SEL interventions through the Dubuque Community School District overall SEL
composite score from 2023-2024 showed the'Need for overall SEL Instruction' decreased from 33% to
5%, resulting in a 28% growth for students needing the most SEL Support. The largest growth in
specific competencies include Goal -Directed Behavior- 31% enabling individuals to set, plan for, and
persist in achieving meaningful goals; Social -Awareness- 30% their ability to understand perspectives,
empathize with others, and recognize social/ethical norms for behavior; and Decision Making- 28%
improved in their ability to make constructive, ethical, and safe choices about behavior and social
interactions. 2024-2025 SEL scores for Dubuque Community School were incomplete due to early
termination of AmeriCorps funding.
4-NOTICE PRIORITY -- The program fits with the AmeriCorps priority areas of:
1-Organizations leading service in communities with concentrated poverty, working to engage at -risk
youth and divert risky behaviors to increase public safety and crime prevention. Our program
intentionally supports partner organizations located within areas of concentrated poverty to expand
opportunities that engage youth in healthy, safe activities through mentoring and social -emotional
For Official Use Only
Page 5
Narratives
learning.
2-Programs that enhance member experience through expanding access to high -quality youth mental
health training for Community Health Worker pathways through Youth Mental Health Corps.
Service specifically aligned to support a pathway to behavioral health careers. Members work with
the teenage populations through four of our positions during the school year and 12 positions during
the summer. Year-round programming and member training support the day-to-day service that
surrounds mental well-being and belonging for both the youth and the members as they connect in
their community. Training also aligns with creating workforce development.
3-Creating workforce development and certification pathways is offered through robust training
(Youth Mental Health First Aid, Adverse Childhood Experiences, Trauma -Informed Care, etc.) to
support hiring preferences for mental health careers. Members are trained at the beginning of their
service to prepare for service and utilize during their contract and beyond. During the length of the
grant year, members are brought together to continue training and support monthly; these topics are
planned and also include input from members. Members have ivi conversations with supervisors
weekly to develop workforce skills. Some supervisors are trained instructional coaches and educators,
as well as some licensed in music and art therapy and social work. Partnership with the local police
department delivers emotional intelligence training to members. Our program supports internship
development and support from masters level social work employee to advise members on social work
competencies. We also utilize a training platform, where members can access a large array of
workplace training topics, some of which are assigned, and others can be requested based on the level
of skill needed for each member.
4-Enhance member experience is detailed in the section below. Each member might need different
skill attainment or personal growth based on their lived experience. This is tailored by both the host
site supervisor and program staff. Our program continues to participate in service projects and
supports developing the members in creating those service projects based on what they learn youth
need while serving in the community.
5-MEMBER EXPERIENCE -- Leadership development is a priority of our program that begins with a
strategic strength -based recruitment process. Program staff recruit, interview, and select each
member based on their personal and/or professional career goals and previous experience or interest
in working with youth. All Members receive training & professional development on Emotional
Intelligence, Adverse Childhood Experiences & Trauma -Informed Service, and Youth Mental Health
First Aid. During their term of service, members are challenged to develop personally and
For Official Use Only
Page 6
I
Narratives
professionally by seeking out development opportunities that match their goals and interests.
Members of the Iowa Youth Mental Health Corps gain access to specialized training, certification
opportunities, and ongoing professional development that strengthen their ability to support youth
mental health in their communities. Along with valuable hands-on service experience, members
benefit from coaching, statewide connections, and career -building support designed to prepare them
for future roles in mental health, education, and community service careers.
Each host site, as part of the program partnership, offers unique training and professional
development opportunities to all members across all program partners. This strengthens the members
professionally and prepares them for human services careers. For example, Dubuque Community
School District offers Positive Behavior Management and Intervention and Restorative Practices as
well as training on their Second Step SEL framework, and the MFC offers training on Youth
Leadership Development and ServSafe Food Health Preparation Safety.
To help AmeriCorps members build skills that expand their career opportunities and support long-
term pathways out of poverty, our program is strengthening internal training opportunities that
develop both role -specific and general employability skills. By connecting members to the community
through partnerships with the Community Engagement Coordinator and the Community Service and
Outreach Coordinator - and involving them in initiatives such as City Life and community -wide
service projects - we foster meaningful engagement and encourage a lifetime of civic participation.
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
provides oversight of the AmeriCorps Program Director & community outreach to identify areas of
growth within the community. This position currently holds Certification of EQ Practitioner through
Six Seconds and is an experienced leader in emotional intelligence and social -emotional learning. He
has taught Emotional Intelligence courses at the University of Dubuque and led workshops
integrating EQ across local government, the Dubuque Community School District, and the Dubuque
Police Department. He holds a Master of Arts in Communication focused on emotional intelligence,
with research centered on leadership development, and is currently pursuing a Ph.D. in Higher
Education with an emphasis on positive psychology and thriving. The AmeriCorps Program Director
designs program activity alongside community partners. This positions focused is on grant writing,
development, oversight, compliance, monitoring, and financial best practices. This role utilizes
For Official Use Only
Page 7
Narratives
educational background and people skills to enhance member experience by developing and executing
in-depth training and coaching for each AmeriCorps member. Overseeing the member experience
from recruitment to exit. The role establishes new partnerships and develops existing ones for the City
of Dubuque AmeriCorps program. The Program Director is active in enrolling members into the
Youth Mental Health Corps and providing support and time management to implement the training
pathways with members. Focus on developing the use of volunteers to enhance the data collection to
improve systems that demonstrate outcomes of youth mental health supports while maintain
confidentially. The AmeriCorps Director is an AmeriCorps Alum of the program, has previously
worked for the program as a Coordinator, a Site Supervisor, a COVID-19 Virtual Tutoring contractor,
and holds a certification as K-8 Iowa Licensed Educator. Experience working with youth was as an
educator, nationally licensed soccer coach, and Dubuque Community Soccer Club Director. The
Administrative Support Professional will conduct background checks, maintain & audit member files
& timesheets, submit program financial claims, maintain financial records and compliance records,
and provide supplemental member support. The Grant Financial Analyst for the City of Dubuque has
worked on the AmeriCorps Program finances since 2021. They provide training for city
administrative support professional who is responsible for financial reporting. The Finance Manager
for the City of Dubuque provides oversight & support to the Grant Financial Analyst to ensure
financial compliance. The Finance & Budget Director has been monitoring all the City of Dubuque's
federal grant activity since 2019. 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 Dubuque's
communities. The City of Dubuque has implemented apprenticeship programs in the Public Works
Department, a Circles program in the Housing Department, Teen Resiliency Corps in the Office of
Sustainability and Parks Department, and the Summer Teen Empowerment Program (a future -ready,
career program) with the AmeriCorps Program at the
Multicultural Family Center. The City of Dubuque continues to develop Community Livability
Pathways to engage at -risk youth in public service career exploration. Programs offered developing
family member education to widen the spectrum for civic engagement.
2-MEMBER SUPERVISION -- Before members arrive on site, each site supervisor is trained in
person, 1-1, and in a recorded webinar format to review overall program changes. Site supervisor
training consists of an overview of AmeriCorps & Iowa Commission on Volunteer Service, member
responsibilities, supervisor responsibilities, and host site agreements, time sheets, data collection,
For Official Use Only
Page 8
Narratives
prohibited activities, and unallowable activities, including nonduplication & non -displacement. The
program connects with site supervisors and members about setting up a weekly meeting to establish a
flow of information and feedback in real time. The program has both mid-term and end -of -term
evaluations. The mid-term supports a scheduled checkpoint to ensure members stay on track. All
members receive two layers of supervision. 1) Every host site designates a site supervisor to provide
daily supervision to members and conducts at least biweekly, 1-1 meetings with each member for
clear guidance. Site supervisors are available on site each day of service with a layer of direct support
when supervisors are out of the office. Site supervisors provide on -site training and observation to
ensure accurate interventions. 2) The Program Director serves as an added level of supervision. The
Director/Admin Support 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. The Program Director signs off
on all timesheets to have consistent tracking for hours to meet program partner needs and contract
fulfillment. Part of Member supervision includes monthly meetings with Program staff for training
and continued conversation about professional development needs based on feedback from members
themselves.
Cost Effectiveness and Budget Adequacy
MEMBER RECRUITMENT -- Recruitment efforts are focused on recruiting members directly from
the Dubuque Community, from retired professionals & stay-at-home parents to college students &
recent high school graduates. AmeriCorps Program Staff time is prioritized at 3 recruitment windows:
Fall, Winter, and Summer. Staff time budgeted supports positions being 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. City of
Dubuque sponsorship supports positions being advertised in the following City Mailers that go to all
households in Dubuque: four quarterly utility mailers, two annual leisure services guides, and two
City -Focus magazines. We prioritize making sure that members from all 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 (included with City sponsorship of program), training host sites to create welcoming service
environments (staff time supports), and ultimately meeting members where they are at and listening
to what they need to ensure they can be successful in their AmeriCorps Contract. As many interviews
as possible are conducted at the Multicultural Family Center to create a welcoming environment for
For Official Use Only
Page 9
17 7M.1.11 I a I
Narratives
all applicants. The AmeriCorps program is housed in the Office of Community Impact and
Neighborhood Supports, which works closely with multiple City departments. Additionally, program
staff time budgeted supports working with the City's Human Resources department to ensure best
practices are followed for all program hiring practices for applicants, members, and staff. The City of
Dubuque provides office space for program staff and covers part of their personnel and benefit costs in
the city department budget. Several City departments support our grant: Human Resources supports
recruitment best practices and provides access to the Employee Assistance Program; Finance and
Accounting oversee financial claims and reimbursements; City of Dubuque IT support for iPads for
AmeriCorps Members; and the Legal Department reviews contracts and agreements.
MEMBER RETENTION -- Our program prioritizes members when planning budget costs. Our
partnerships provide resources to support member development at no cost to the AmeriCorps
program. Current living allowances are above the minimum requirement. The program has also
made a significant effort to increase the living allowance to a 'livable allowance' to ensure that
members can focus on their experience, instead of worrying about their survival. The returning
member allowance increase, which is added to their living allowance, supports continued investment
from members and allows them to commit more fully to the position without having to worry about
juggling other jobs. One member shared they are more fully able to participate in the after -school
events with the kids due to the returning member living allowance increase. 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. Program recruitment brings members who are highly interested in
service to their community and supporting youth development.
Ongoing member retention is supported by monthly training and collaboration to bring members
together to review service activities as well as learn new skills. The program holds monthly training to
continue the flow of information between members. The information shared includes resources,
alternative service/training opportunities, community connections through service activities, and
K5/teen group member connections.
The program utilizes Youth Mental Health Corps financial resources for member training. Support
from private funds encompasses Youth Mental Health First Aid, Public Health for Community Health
Worker, and Youth Mental Health Foundations. Program continues to support Education and Social
Work Field Experiences supervision for students in either Bachelor or Master's programs. Statewide
Program Directors actively plan monthly training for all Iowa members to strengthen knowledge both
For Official Use Only
Page 10
Narratives
for service and the member's Life After AmeriCorps needs; financial planning, Adverse Childhood
Experiences, Mental Health Awareness, Life Cycle of a Member, signing up for public benefits, resume
building, etc. These virtual Iowa trainings reduce the costs of individual trainers and maximize
resources.
Members are recognized for their service during AmeriCorps Week each year and conclude their
service with an End of Service Ceremony. To continue connection and community building,
members are also automatically enrolled in the AmeriCorps Alumni Association, which meets
quarterly to network.
DATA COLLECTION -- Program utilizes the Devereux Student Strength Assessment (DESSA) adult
rating screening tool to assist members in identifying Social Emotional Competencies within students.
These students are assigned by school staff or are part of community programming.
The Program and School 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 to
meet 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 the student file on a secure server, and then the data is
recorded in OnCorps (AmeriCorps Database).
The allocated budget includes expenses related to the use of the OnCorps Reporting and Timekeeping
system, Aperture Education system (DESSA), and curriculum costs (supplies needed for intervention
sessions). Curriculum costs are used to replenish materials needed to carry out the social -emotional
learning lessons in the program's curriculum. OnCorps reporting and timekeeping system expenses
are reflected in the member management monitoring fees. Program data from the DESSA and
weekly reporting from members is monitored and aggregated by the Program Director/Admin to
report to AmeriCorps through the Iowa Commission on Volunteer Service.
Evaluation Summary or Plan
N/A
Amendment Justification
For Official Use Only
Page 11
I MM..'al
N/A
Clarification Summary
N/A
Continuation Changes
N/A
Grant Characteristics
Narratives
For Official Use Only
Page 12
I mn..'al
Performance Measures
&ISYs by Focus Area
E Education: 10.36
Tablet: MSYs by Focus Areas
FocusArea '.
Education 100%
N SYs by Objective
EK-12 Success:10.38
Tablet: MSYs by Objectives
Obj ect ives '
K- 12 Success 100%
°o of NISY NPNI VS Applicant VS Not in ANY
16%
84%
■ Applicant:0 National:8.68 Not in ANY:1.68
Table3: %MSYs by NPM vs.Applicant vs. Not in ANY
NPM plicant Not in ANY
84% 0% 16%
Table4: No of MSY and Members by Objective
No of MSYs No of Members
K- !21
Success 10.36 31
Primary Focus Area: Education
Primary Intervention: Other Classroom Support
Secondary Focus Area: Education
Secondary Intervention:
For Official Use Only
Page 13
Performance Measure: DBQ Social -Emotional Intervention
-ocus Education Objective: K- 12 Success M No of of 8.68 No of Members: 27
Area:
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 communities experiencing poverty are affected by these crises
at higher rates. The program will support K- 12 students through a 2- pronged approach. In the 1st prong,
3HT + 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). Students will be eligible for
services if they meet Iowa' s definition of at- risk in the areas of academic, attendance, or behavior, and are
approved by the school's MTSS team. During the summer, 10MT and 1FT 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 40 middle/high school teens. Also, during the Summer,
2 MT and 1 FT positions will be allocated to the City of Dubuque Office of Sustainability and Parks
Department' s Teen Resiliency Corps program to provide natural resource job exploration for 8- 10 high
school students. Members allocated to both Summer Teen Empowerment and Teen Resiliency Corps programs
will develop & implement free, community middle/ high school programming focused on building SEL skills that
translate into academic & career development. 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 who are interested in furthering 300 youth' s futures &
opportunities. 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 on SEL intervention needs as
determined by the DESSA assessment in a 1- 1 mentoring setting. Each intervention session (at least 30
minutes/week) will occur for 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 3 HT (Dubuque
Community School District - DCSD)/2 FT (Multicultural Family Center — MFC and Parks Department)
Members will serve as Coordinators, while the 10 QT (DCSD)/ 12 MT (MFC/Parks) 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 targeted SEL Intervention. Site Specific, the Coordinators
at DCSD will observe students' behaviors and provide feedback using a ' point card' to reward students
For Official Use Only
Page 14
DRAF =RM
Performance Measure: DBQ Social -Emotional Intervention
Problem Statement:
SOWNigerventions:
Other Classroom Support
Out- of- School Time
Summer Learning
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.
ED1A Output:
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
ED27C Outcome:
spent receiving interventions in the OnCorps 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 (i.e., K- Teacher, Test, Student). Students receiving interventions through
the Summer Teen Empowerment Programs and Teen Resiliency Corps Program
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 OnCorps 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 the 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 are
then extracted from the OnCorps 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 after the first 8 meetings and conduct 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.
For Official Use Only
Page 15
DRAF =RM
Performance Measure: DBQ Social -Emotional Intervention
Problem Statement:
SOWNigerventions:
Other Classroom Support
Out- of- School Time
Summer Learning
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
(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, Relationship skills, Responsible
Decision- making - originally 8 synthesized into these 5 competencies) that a
student is strong, typical, or needs further assistance with. The DESSA is a five -
point Likert- type scale assessment that provides an overall Social- Emotional
Composite score and a subscore for each of the 5(formerly 8) 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 who 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., 2009/2014/2018) 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 16
Program Information
AmeriCorps Funding Priorities
*Check any priority area(s) that apply to the proposed program. Please refer to
the NOFO for the information on the threshold for meeting priority
consideration.
Grant Characteristics
*Check any characteristics that are a significant part of the proposed program
Additional Documents
*How many evidence documents did you submit? (Program Evaluation Report,
Studies). Do not include evaluation plan in number.
*Did you submit an evaluation plan?
*How many non- evidence documents did you submit? (In most cases, this will
be zero)
Concentrated poverty, rural,
tribal communities, Youth
mental health/substance
abuse, Public safety, crime
prevention, partnerships,
Workforce pathways for
AmeriCorps members,
Enhanced member experience
Innovative Community
Strategies, Geographic Focus
Urban
Zero
Yes
Zero
For Official Use Only
Page 17
I MM..'al
Demographics
Other Revenue Funds
Number of volunteers generated by AmeriCorps members
Percent of disadvantaged youth enrolled
13439
100
For Official Use Only
Page 18
DRAF M"M
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 19
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. Depending
condition or status
program activities
the program
intervention or
attitudes, and
on program design,
in life. Depending on
(interventions) are
activities
program model that
opinions. These
these outcomes may
program design,
designed to address.
(interventions),
members will
outcomes, if
or may not be
these outcomes may
including the
implement or
applicable to the
measurable during
or may not be
number of
deliver, including
program design, will
the grant year.
measurable during
locations/sites and
duration, dosage,
almost always be
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.
DBQ Data:
SCHOOL -BASED
INDIVIDUAL
EDiA:
ED27C:
Youth will have:
Youth will become
Underserved
PROGRAM
STUDENT/SMALL
200 students served
140 students with
Improved school and
more resilient in
communities are
(Sept. - May) 3 HT +
GROUP SEL
150 students with
improved social-
program
their social -
affected
io QT with
INTERVENTIONS:
SEL needs will
emotional skills.
attendance.
emotional health
disproportionately
Dubuque School
-1-1 Social-
complete our
loo students who
Improved academic
and mental health
In 2021, the city
District at io
Emotional Learning
intervention
complete our
success.
with awareness of
published the
Elementary Schools
(SEL) Interventions
program.
program will
Decrease risk -taking
youth mental
Poverty Prevention
in Dubuque Co, IA
to K-5
5o at -risk teens will
improve at least one
behaviors.
health first aid.
Plan: 16% of DBQ
OUT -OF -SCHOOL
-Parental
complete the Teen
of the social-
Increased positive
Youth will be more
families of 4 survive
TIME PROGRAM
information sent to
Empowerment
emotional skills as
adult relationships.
likely to graduate
at i00% of the
(Sept. - Aug.)i TQT
families to bring
Programs.
determined by the
high school on time.
Official Poverty
at Carnegie Stout
awareness about
500 community
DESSA.
Increased progress
Measure (OPM),
Public Library + 1
program design.
youth will
4o at -risk teens who
toward career goals
Members will enter
24% of families of 4
FT at City Parks
-Following parent
participate in free
complete our
(youth and
mental health or
survive on just
Dept. + 1 FT at City
permission, SEL
enrichment
program will
member)
human services
150% of the OPM,
Multicultural
interventions are
programs during
improve in at least
careers.
32% of families of 4
Family Center + 1
administered at
the program year.
one social -emotional
survive on 200% of
HT at Centrally
least three times per
skill as determined
the OPM. 44% of
Rooted + 1 QT at
week for 15-30
Youth Mental
by the DESSA.
DBQ families of 4
Bluff Strokes Art
minutes each session
Health Corps
Youth will improve
survive when using
Center
for a minimum of 8
Complete both the
in at least one of the
United Way's ALICE
weeks or 24 sessions
required Youth
following Social and
measure (i00%
SUMMER PROGRAM
and until the child
Mental Health First
Emotional Skills:
OPM + Working
(June - Aug.) 1 MT
has been reassessed
Aid and Community
Self-awareness,
Poor).
at City Carnegie
and results show the
Health Worker
Social awareness,
Page 20
Logic Model
Problem
2023 Point -In -Time
Data shows that
37% of families in
DBQ county are still
below the ALICE
threshold.
School attendance in
the Dubuque
Community School
District (DCSD) has
been significantly
impacted post
COVID. The chronic
absenteeism rates
(1o% or more) have
been significantly
high for the last 3
years: Elementary
School 2021-22
(22%); Middle 2021-
22 (23%); and High
2021-22 (35%);
Elementary 2023-
24 (22%); Middle
2023--24 (29%);
and High 2023-24
(44%); Elementary
2024-25 (15%);
Middle 2024--25
(23%); and High
2024-25 (38%).
The DCSD chronic
absenteeism rates
have been
significantly high:
Elementary 2021-
22 (22%); Middle
2021-22 (23%); and
High 2021-22
(35%); Elementary
2023-24 (22%);
Inputs
Stout Public Library
+ io MT at City
Multicultural
Family Center +
2MT Parks Division
STAFF: 1 Director at
.8 FTE, 1 Admin.
Assistant at .58 FTE
EXTENSIVE
MEMBER TRAINING
& CERTIFICATIONS:
1) 6 hours program
orientation, 2) 4
hours ACES &
Trauma -informed
Service, 3) 4 hours
Emotional
Intelligence, 5) 8
hours Youth Mental
Health First Aid, 6)
Community Health
Worker Pathway
certification,
FUNDING: 1/2/3)
City of Dubuque
Parks and Carnegie
Stout Public Library
and Multicultural
Family Center, 4)
Dubuque
Community School
District, 5) Bluff
Strokes Art Center
6) Centrally Rooted
7) Youth Mental
Health Corps
Activities
student has
improved in at least
one SEL category.
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 the
CICO Coordinator,
and 3) Check-out
Outputs
Pathway trainings
Short -Term
Outcomes
Self -management,
Goal -directed
behavior,
Relationship skills,
Personal
responsibility,
Decision -making,
and
Optimistic thinking.
Up to 16 members
Youth Mental
Health Corps
completion of
required training,
free courses offered
to all members (31
total members)
Mid -Term Outcomes
Long -Term
Outcomes
For Official Use Only
Page 21
Logic Model
Problem
Inputs
Activities
Outputs
Short -Term
Outcomes
Mid -Term Outcomes
Long -Term
Outcomes
Middle 2023--24
with the same
(29%); and High
positive adult to
2023-24 (44%);
review successes and
Elementary 2024-
provide support.
25 (15%); Middle
During Check -In,
2024--25 (23%);
CICO Coaches will
and High 2024-25
individually check
(38%). DCSD's 4-
in with their
year graduation
student caseload to
rate has decreased
review behavioral
by nearly 1o% in
goals,
the last 12 years,
collaboratively set
beginning in 2013-
goals for the day,
14 at 91.49%,
and provide
falling to 81.9% in
encouragement. The
2024-25. Dubuque
CICO Coordinators
4-year graduation
will observe
rates still come in
students' behaviors
behind the Iowa
and provide
State average of
feedback using a
87.46% In 2024-
'point card' to
25, 88% of DCSD's K-
reward students
5th grade students
with points for
had o or i major
meeting goals.
office discipline
Before the end of the
referral (MODRs),
day, students will
6% had 2-5 MODRs
meet individually
(which is an
with their CICO
increase from 2021
Coach to assess their
from 4.5%), and 6%
point cards, discuss
had 6 or more
their goals and
MODRs (also an
behaviors, and
increase from 2021
provide
from 4.1%. MODRs
encouragement,
require behavioral
praise, and support.
intervention & de-
-Teen Programs 1-1
escalation external
or small group
to the classroom. In
mentoring and SEL
February 2022,
at least once a week
DCSD opened 2
for 40 weeks or a
Brain Health
total of 4o hours,
Retreat Rooms
and during an 8-
For Official Use Only
Page 22
Logic Model
Problem
Inputs
Activities
Outputs
Short -Term
Outcomes
Mid -Term Outcomes
Long -Term
Outcomes
(BHRR) in two high
week summer
schools. In 2024-
program (STEP and
2025, the BHRRs
TRC). These
were used by 1,395
programs focus on
students, up from
workforce
i,o82 students, for a
development,
total of 8,631, up
leadership skills,
from 3461 times,
financial skills, and
taken in the first 4
civic and
months after they
sustainability
were opened.
careers.
Dubuque County
COMMUNITY -WIDE
data, youth
SEL ENRICHMENT:
reporting plans to
-Conduct free
kill themselves rose
enrichment for
from 6.4% in 2012
Middle & High
to 10.5% in 2018.
School community
From 2016 to 2018,
youth at least 3x
the percentage of
times a week for 50
Dubuque County
weeks for at least 2
8th-grade students
hours per activity.
who reported
-Centrally Rooted
having a plan to kill
Music and Brain
themselves within
Health and Bluff
the past year
Strokes L Art
increased from 6.8%
Engagement
to 13.5%.
CAPACITY
BUILDING
DBQ youth also
SERVICES:
struggle with risk-
-Develop and
taking behaviors
support
and criminal
partnerships with
activity. Data from
community non-
DBQ Police for the
profits and
timeframe of August
businesses to engage
2022 through
youth in future -
August 2025 show
ready, career-
1,895 criminal
focused activities
charges involving
every week for 50
youth aged 9-17,
weeks for at least 5
with the top 5
hours each week.
For Official Use Only
Page 23
Logic Model
Problem
Inputs
Activities
Outputs
Short -Term
Outcomes
Mid -Term Outcomes
Long -Term
Outcomes
charges being
-Develop and
disorderly conduct
implement
(29%), assault
activities &
(19%), possession of
curriculum for the
a controlled
Youth Community
substance L
Livability Career
marijuana (first
Pathways program
offense ii%),
to engage K-12th
interference with
grade youth in
official acts (9%),
public service
and participating in
careers every week
riot (8%). 11% of
for 50 weeks for at
charges were drug-
least 5 hours each
related, and 8% of
week.
charges were
alcohol -related.
Youth were more
likely to be engaged
in risk -taking and
unlawful behavior
during after -school
& evening hours,
with48% of charges
occurring between
2:3oPHI -ioPm.
For Official Use Only
Page 24
Grant Agreement Number:
Attachment D
Budget
-34-
Budget Narrative: City of Dubuque AmeriCorps Program for City of Dubuque
Section I. Program Operating Costs
A. Personnel Expenses
__71
Position/Title -Qty -Annual Salary -% Time
CNCS Share
Grantee Share
Total Amount
AmeriCorps Program Director - .80 FTE - responsible for grant oversight,
member recruitment, site/member support: - 1 person(s) at 85203 each x 80 %
68,162
0
68,162
usage
Community Impact Administrative Assistant- .58 FTE -responsible for grant
compliance, NSCHC, file audits/monitoring: - 1 person(s) at 52681 each x 58
30,555
0
30,555
% usage
Category Totals
1 98,717
0
98,717
B. Personnel Fringe Benefits
Purpose -Calculation
CNCS Share
Grantee Share
Total Amount
AmeriCorps Program Director: AmeriCorps Director @ 80% time
(FICA@.0765= 5,214.39+ IPERS@ .0944= 6434.49+ HEALTH(Flat
22,961
0
22,961
Rate= 1 4094)@80%= 11275.2+ LIFE(Flat Rate=46)@80%= 36.8)
Community Impact Administrative Assistant: Cl Admin @ 58% time
(FICA@.0765= 2337.4574 + IPERS@ .0944= 2884.392 + HEALTH(Flat
13,423
0
13,423
Rate= 1 4094)@58%= 8174.52 + LIFE(Flat Rate=46)@58%= 26.68)
Category Totals
36,384
0
36,384
C. Travel
Staff Travel
Purpose -Calculation
CNCS Share
Grantee Share
Total Amount
Travel to CNCS-Sponsored Meetings: N/A to Iowa AmeriCorps State Programs
0
0
0
Volunteer Iowa Required Training - National Service Training Conference -
TBD: Airfare, est.$600 round trip 1 staff=$600 Meals-$80/day x 4 daysx1 staff
=$320; Lodging $150/night x 3 nightsx1 staff=$450. Mileage to airport est. 160
1,572
0
1,572
mi round trip x $0.70/mi=$112, parking airport $10/dayx4days=$40, $50
ground transport host city
Volunteer Iowa Required Training - Program Launch - Des Moines, IA: Mileage
- 1 Trip to Des Moines @ 450miles x $0.70 per mile (City of DBQ
1,295
0
1,295
reimbursement rate, staff ride together) =$315; Meals- $80/day per diem x
3daysx 2 staff = $480; Lodging- $125/night x 2nights x 2staff = $500
Volunteer Iowa Required Training - New Program Staff Orientation - Des
Moines, IA: Staff travel together (Director + new admin, travel listed in Program
0
0
0
Launch)
Staff Travel: Site supervision: site visits, mid-term reviews, and service
projects-500 miles per year x $0.70 per mile=$350(City of Dubuque mileage
1,428
0
1,428
reimbursement rate)x1 staff + 1 Admin 100 miles for member check in x $0.70
_ $70 + parking fees=$504x 2 staff=$1428
Category Totals
4,295
0
4,295
Member Travel
Purpose -Calculation
CNCS Share
Grantee ShareJ1
Total Amount
Member Travel (ex. Volunteer Day at Capitol): Weather dependent = $1
1
0
1
Category TotalsIL
1
0
1
D. Equipment
Item/Purpose -Qty -Unit Cost
CNCS Share
Grantee Share
Total Amount
L__ Category Totals
0
0
0
E. Supplies
__71
Item -Calculation
CNCS Share 11
Grantee Share
Total Amount
AmeriCorps Member gear w/AmeriCorps logo: AmeriCorps Member gear
w/AmeriCorps logo: Uniform shirts & badges - 31 members x $30/member;
930
0
930
tshirts for summer, longsleeve for winter, polo for year -long members - all w/
AmeriCorps logo = $930
Recruitment materials: Professional print job of program recruitment
100
400
500
fliers/trifolds/materials @ $125/job for 4 jobs = $500
Curriculum Supplies (replenish for SEL intervention): Changemakers supplies
450
0
450
$50/month for 9 months = $450
Category Totals
1,480
400
1,880
F. Contractual and Consultant Services
Purpose -Calculation -Daily Rate
CNCS Share
Grantee Share
Total Amount
Contracts and Consulting: Estimated for recruitment- Daily Rate of 50
_1E
0
50
50
Category Totals
0
50
L__5o
G. Training
Staff Training
Purpose -Calculation -Daily Rate
CNCS Share 11
Grantee Share
Total Amount
National Service Training: Registration $525x1 staff- Daily Rate of 525
0
525
525
Category Totals
0
525
525
Member Training
Purpose -Calculation -Daily Rate
CNCS Share 11
Grantee Share
Total Amount
Member Training: Member Training & Recognition Supplies: Orientation, AC
Week, Life after AmeriCorps: Portfolios, handbooks, printed materials, pins,
0
1,240
1,240
lunch for trainings over 6 hours other training/recognition supplies as needed.
$40/member * 31 members = $1,240- Daily Rate of 40
E__ Category Totals
0�[
1,240
I
1,240
H. Evaluation
Purpose -Calculation -Daily Rate
CNCS Share
Grantee Share
L
Total Amount
Evaluator Time: Hourly rate of $50/hr x 40 hrs- Daily Rate of 50
0
2,000
2,000
Category Totals
0
2,000
2,000
I. Other Program Operating Costs
Purpose -Calculation
National Service Criminal History Check: $40/individual x 31 individuals
=$1,240. Includes FBI, state of residence & state of service checks. All staff
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: $22/member
x 31 members = $682
CNCS Share II Grantee Share II Total Amount
0 11 1,240 11 1,240
0 1 682 I 682
Volunteer Iowa Required State Support & Monitoring Cost: $545 per MSY x
10.36
0
5,646
5,646
Document Signing: SignNow Business Plan: $8/month (100 documents 0 384 384
included) + (300 x $0.96) = $96/year + $288 = $384/year total
DESSA Data licenses: DESSA Student Assessment: 200 Aperture System 2,100 0 2,100
licenses@$10.50 each IF
Category Totals II
2,100 'I
7,952 I_
10,052
Section Totals
142,977 J
12,167]L
2,167
155,144
PERCENTAGE 11
92.16%
J 7.84% 11
Section II. Member Costs
A. Living Allowance
Item -# Mbrs w/ Allow -Allowance Rate -# Mbrs w/o Allow
CNCS Share
Grantee ShareJ1
Total Amount
Full Time (1700 hrs): 2 Member(s) at a rate of 22950 each
7,900
38,000
45,900
Members W/O allowance 0
Three Quarter Time (1200 hours): 1 Member(s) at a rate of 16800 each
4,900
11,900
16,800
Members W/O allowance 0
1-Year Half Time (900 hours): 4 Member(s) at a rate of 12150 each
20,600
28,000
48,600
Members W/O allowance 0
2-Year Half Time (1 st Year): Member(s) at a rate of each
0
0
0
Members W/O allowance
2-Year Half Time (2nd Year): Member(s) at a rate of each
0
0
0
Members W/O allowance
Reduced Half Time (675 hrs): 0 Member(s) at a rate of 0 each
0
0
0
Members W/O allowance 0
Quarter Time (450 hrs): 11 Member(s) at a rate of 6014 each
36,150
30,004
66,154
Members W/O allowance 0
Minimum Time (300 hrs): 13 Member(s) at a rate of 3992 each
1,896
50,000
51,896
Members W/O allowance 0
Abbreviated Time (100 hrs): Member(s) at a rate of each
Members W/O allowance
0
L
0
0
Category Totals
71,446
157,904
229,350
B. Member Support Costs
Purpose -Calculation
CNCS Share
Grantee ShareJ1
Total Amount
FICA for Members: $229350*.0765 = 17545
17,545
0
17,545
Worker's Compensation: $229350* .03 = $6881
6,881
0
6,881
Health Care: Member Healthcare: 600/month * 12 months * 1 member
(additional 1 member will be covered with off grant funds if necessary) _ $7200
7,200
0
7,200
MAP Access (non -grant funds): Grantee/City provides member access to
Employee Assistance Plan (21.50/member x 31)
0
0
F 0
Category Totals
31,626
0
31,626
Section Totals
103,072
157,904
260,976
PERCENTAGE
39.49%
60.51 %
Section III. Administrative/Indirect Costs
A. Corporation Fixed Percentage
Item -Calculation
CNCS Share
Grantee Share
Total Amount
Corporation Fixed Amount: Federal Share:Section I Federal (142977.049) +
Section II Federal (103071.775)*(.0526)=12942 Grantee Share: Section I All
12,942
0
12,942
(155144.249) + Section II All (260975.775)*(.01)=claiming 0% match
Commission Fixed Amount:
0
0
0
Category Totals
1 12,942
0
12,942
B. Federally Approved Indirect Cost Rate
Calculation -Cost Type -Rate -Rate Claimed -Cost Basis
CNCS Share
Grantee Share11
Total Amount
Category Totals
0
0
0
Section Totals
12,942
0
12,942
PERCENTAGE
100.00%
0.00%111
Budget Totals
258,991
170,071
429,062
PERCENTAGE
60.36%
39.64%
Required Match
28.00%
Total MSYs
10.36
=cost/MSY
24,999.13
Source of Funds
Section
Match Description
Amount
Classification
Source
Dubuque Community School District (secured)
45,000
Cash
State/Local
City of Dubuque (secured)
83,821
Cash
State/Local
Source of Funds
Centrally Rooted (proposed)
6,750
Cash
Private
Bluff Strokes Art Center (proposed)
4,500
Cash
Private
Youth Mental Health Corps (proposed)
30,000
Cash
Private
Total Source of Funds
170,071
��