Loading...
Purchase of Services Grant ProcessMasterpiece on the Mississippi TO: The Honorable Mayor and City Council Members FROM: Michael C. Van Milligen, City Manager SUBJECT: Purchase of Services Grant Process DATE: April 24, 2012 Dubuque bierd All-America City 1 2007 The City Council directed the Community Development Advisory Commission to develop by May 2012 a funding review process for General Fund purchase of services for FY2014. This memo presents the Commission's recommendation for the purchase of service grant application process. The Commission appointed a Purchase of Service (POS) Subcommittee, comprised of members Ann Michalski, Theresa Caldwell and David Shaw, to create a grant funding review process for human service activities that furthers City goals and priorities. The Subcommittee met on February 8, March 14 and April 11 and reviewed funding guidelines, the application format, and the ranking criteria. The Subcommittee's recommendations were reviewed by the Commission at its meeting on April 18th The Purchase of Services grant guidelines define the purpose and process for nonprofit organizations to apply for grant funding for human services programs that further the City of Dubuque's goals, objectives and priorities. The grant process proposes that applicants can request no less than $2,500 and no more than $25,000 per program. In order to encourage sustainability of the program, the grants can support a maximum of 75% of the program costs and applicants can receive funding for no more than four consecutive years. In addition, the fourth year of funding can be no more than 25% of the previous year's funding. Applicants are eligible to apply again in the sixth year. Priority funding will be given for new or expanded programming, although existing programs can be funded. Organizations that have not previously received a grant will be required to attend the grant writing workshop prior to submitting an application. A tentative timeline for the application process is proposed, with applications available in early September and due in early October. A Purchase of Services Review Subcommittee will rank the applications in October and forward to the Community Development Advisory Commission for review in November. The Commission's grant funding recommendations will be forwarded to the City Council for inclusion in the City budget process. The Council will approve the grant awards as part of the City wide budget in March. Housing and Community Development Department Director David Harris and the Community Development Advisory Commission recommend City Council approval of the Purchase of Service grant process for implementation in Fiscal Year 2014. I concur with the recommendation and respectfully request Mayor and City Council approval. Michael C. Van Milligen MCVM:jh Attachment cc: Barry Lindahl, City Attorney Cindy Steinhauser, Assistant City Manager David Harris, Housing and Community Development Department Director Ann Michalski, Chair, Community Development Advisory Commission 2 Masterpiece on the Mississippi Dubuque AII- ameicacia 11 1► 2007 TO: Michael Van Milligen, City Manager FROM David Harris, Housing and Community Development Department SUBJECT: Purchase of Services Grant Process DATE: April 19, 2012 INTRODUCTION The City Council directed the Community Development Advisory Commission to develop by May 2012 a funding review process for General Fund purchase of services for FY2014 This memo presents the Commission's recommendation for the purchase of service grant application process BACKGROUND The Commission appointed a Purchase of Service (POS) Subcommittee, comprised of members Ann Michalski, Theresa Caldwell and David Shaw, to create a grant funding review process for human service activities that furthers City goals and priorities The Subcommittee met on February 8, March 14 and April 11 and reviewed funding guidelines, the application format, and the ranking criteria The Subcommittee's recommendations were reviewed by the Commission at its meeting on April 18th DISCUSSION The POS grant guidelines define the purpose and process for nonprofit organizations to apply for grant funding for human services programs that further the City of Dubuque's goals, objectives and priorities The POS grants will be funded with General Funds and Community Development Block Grant (CDBG) The human service goals from the Comprehensive Plan and the City's vision, mission, goals, objectives and priorities are provided in the guidelines, which will be revised annually following the Council's goal setting session The grant process proposes that applicants can request no less than $2,500 and no more than $25,000 per program In order to encourage sustainability of the program, the grants can support a maximum of 75% of the program costs and applicants can receive funding for no more than four consecutive years In addition, the fourth year of funding can be no more than 25% of the previous year's funding. Applicants are eligible to apply again in the sixth year. Priority funding will be given for new or expanded programming, although existing programs can be funded. Organizations that have not previously received a grant will be required to attend the grant writing workshop prior to submitting an application. A tentative timeline for the application process is proposed, with applications available in early September and due in early October. A POS Review Subcommittee will rank the applications in October and forward to the Commission for review in November. The Commission's grant funding recommendations will be forwarded to the City Council for inclusion in the City budget process. The Council will approve the grant awards as part of the City wide budget in March. The Commission approved the attached Purchase of Services grant process, including the guidelines, application and ranking criteria, at their April 18th meeting. and recommend Council adoption. ACTION STEP The action step is for the City Council is to review and approve the Purchase of Service grant process for implementation in FY 2014. Prepared by Aggie Tauke, Community Development Specialist Masterpiece on the Mississippi CITY OF DUBUQUE IOWA ANNUAL PURCHASE OF SERVICES GRANT PROGRAM GUIDELINES PURPOSE This grant program is designed to provide support for human service programs in the City of Dubuque that further the City's goals, objectives and priorities ELIGIBLE APPLICANTS Not - for - profit organizations that provide year round human services programs and whose mission is consistent with furthering the City of Dubuque's goals, objectives and prionties Eligible applicants must be located in the City of Dubuque Organizations whose primary mission is political are ineligible INELIGIBLE COSTS- The following will not be funded with this grant • Expenses that occur pnor to City's funding fiscal year • Capital improvements or building renovations • Retirement of debt • Religious or political activities • General fundraising • Purchase of equipment • Lobbying • Organizational dues or memberships • Expenses that violate local, state, or federal laws FUNDING GUIDELINES The City Council has not yet determined an annual budget for Fiscal Year 2014 Funding for FY 2013 was $104,828 • Applicants can request no less than $2,500 and no more than $25,000 per program • The City of Dubuque will support no more than 75% of the total project cost For example, if a project has a total cost of $10,000, the City will award no more than 75% or $7,500 Please note that if an ineligible activity or expense is included in the application, it will be excluded and may reduce project expenses below the minimum grant request of $2,500 • An applicant is eligible to receive funding for no more than four (4) consecutive years In addition, applicant can receive no more than 25% of the previous year's funding in the fourth year Applicants are eligible to apply again in the sixth year • Prionty funding will be given for new or expanded programming, although existing program can be funded Funding levels will depend upon the number of eligible applicants and the degree to which an applicant meets selection criteria • Applications need to be complete as ranking will be based solely on the application received City of Dubuque Iowa Purchase of Services Grant Guidelines • Any grants funded with Community Development Block Grant (CDBG) funds will be required to comply with all applicable federal regulations. • Applicants are encouraged to consult with Aggie Tauke, Community Development Specialist for the City of Dubuque, at 563 - 589 -4239 or email ataukeCa cityofdubuque.orq with any questions before submitting your grant application. • Organizations that have not yet received funding for a grant are required to attend one of the workshops. Topics will include application preparation, evaluation procedures, grant writing tips, and a question and answer session. APPLICATION SUBMITTAL • Applications and Attachments can be emailed to Aggie Tauke, Community Development Specialist, at ataukeacityofdubuque.orq or hand delivered to the Housing and Community Development office, Historic Federal Building, 350 West 6`" Street, Suite 312, Dubuque, Iowa, by 5 p.m. by the application deadline. • If your Attachments are too bulky or not in electronic form, you may email the Application and hand deliver the Attachments. Please do not submit both a hard copy and an emailed copy of the Application. • Once an application is submitted, no changes or additions will be allowed. The deadline is strictly enforced. No late applications will be accepted. An organization, riot city staff, is solely responsible for the content of its grant. • Please note that when using the online application, cutting and pasting into the document may change the formatting from the original document. Information requested in the Application must be entered into the form and sections provided. Limit each answer to no more than 400 words per section. When you are finished with the application, save it in Word on your hard drive and email as an attachment. If you have trouble filling out the online application, immediately contact Aggie Tauke, Community Development Specialist, City of Dubuque, at 563 -589 -4239 or at ataukeacityofdubuque.orq • Please send only the attachments requested on Page 7. Letters of support or other documents not requested will be discarded TENTATIVE TIMELINE (Schedule after Council Goal Setting Session) • September 5, 2012- Applications available. • September 27, 2012 - Application Workshop, 4:00- 5:00 p.m. • September 28, 2012 - Application Workshop, Noon -1 p.m. • October 11, 2012- Applications are due by 5:00 p.m. in either electronic or hard copy form. • October 2012- POS Subcommittee reviews and ranks applications. • November 2012 - Applications are reviewed and approved by the Community Development Advisory Commission. Recommendation forwarded to the City Council for inclusion in the City budget process. • February 2013 — The Commission's grant recommendation will be presented to City Council by the Chairperson during budget hearings. • March 2013 - City Council approval of grant awards. • July 2013— Contracts signed Page 2of7 City of Dubuque Iowa Purchase of Services Grant Guidelines RATING CRITERIA • IMPACT: Program provides human services that support the City's mission, vision, annual goals, priorities, and /or human services goals.(See below.) (35 points) • PURPOSE: Program fulfills a need in the community and adequately defines services to be provided and population to be served. (25 points) New or expanded program, add 5 points. • CAPACITY: Agency has administrative and financial capacity to implement and /or continue the proposed program. (20 points) • BUDGET: Program is financially feasible and sustainable (15 points) APPLICATION REVIEW PROCESS Applications will be reviewed and ranked by a Purchase of Service (POS) Review Subcommittee. Their recommendation will be forwarded to the Community Development Advisory Commission. The Commission will review the applications and approve funding recommendations, which will be forwarded to the City Council for inclusion in the annual City budget process. The Commission's Chairperson will present the grant recommendations to City Council during the budget hearings, with final approval by the City Council. The City reserves the right to request modifications of the amount of grant awarded and to deny any request, even if the eligibility criteria are met. ACKNOWLEDGEMENT The Applicant agrees to acknowledge the City of Dubuque support in appropriate signage, program materials, promotion, publicity and advertising activities, and in other printed and electronic forms of communication pertaining to this grant. REPORTING The applicant agrees to provide an Annual Report summarizing the outcomes of the program. Also, the applicant will retain all financial records, reporting documents, and all other records pertinent to the City of Dubuque grant program for a period of five fiscal years following completion. If CDBG funded, additional reporting requirements will apply. Page 3 of 7 CITY OF DUBUQUE COMPREHENSIVE PLAN: HUMAN SERVICES GOALS Goal 1. To promote optimum health care services for community residents. • Support increasing the number of Dubuque area citizens with health care access and health insurance. • Support prescription drug assistance or coverage for the poor. • Support services to improve mental health treatment. • Encourage services to reduce substance abuse /chemical dependency. Goal 2. To promote optimum services to meet food, clothing, shelter, transportation, and other basic needs. • Promote awareness of and access to food assistance and nutrition programs for people in poverty and low or moderate income households. • Support an adequate, affordable supply of quality housing for low and moderate income households and the homeless. • Foster services that meet basic needs of all our citizens, with particular attention to the elderly, children, and persons with disabilities. • Encourage public /private coalitions to address human services needs. • Encourage participation in human service community action groups. Goal 3. To promote optimum individual and community safety. • Support reduction of the rate of domestic violence, including child abuse and dependent adult abuse, in the community. • Promote the expansion of emergency shelter and protective services programs. • Support the provision of foster care and legal services programs. • Address the connection between mental health, substance abuse, and public safety, emphasizing prevention and coordination of treatment for continuity of care. • Support increased neighborhood involvement and promote neighborhood associations. Goal 4. To promote optimum social and family relationships. • Support increased supply and range of available, high quality, affordable childcare, especially for low and moderate income households and those families with special needs children. • Support increased opportunities for the elderly to maintain an independent lifestyle. • Support the continuation and expansion of family services and foster care. Goal 5. To promote optimum income security and economic opportunity for community residents. • Target economic development efforts at creating jobs that pay salaries adequate to support a family. • Support the provision of job training, personal financial security, and job support programs. • Support decreasing the number of area residents who live at or below the poverty level. Goal 6. To work with area providers and citizens so that human services are supported and delivered in an effective and efficient mariner. • Encourage improved effective coordination and citizen involvement in service delivery, policy development, and program implementation. • Continue to coordinate, jointly plan, and support improved services through organized community action. • Encourage self- sufficiency for families and individuals. City of Dubuque Iowa Purchase of Services Grant Guidelines The City of Dubuque 2026 Vision Statement The city of Dubuque is a progressive, sustainable city with a strong diversified economy and expanding global connections; the Dubuque community is an inclusive community celebrating culture and heritage and has actively preserved our Masterpiece on the Mississippi; Dubuque citizens experience healthy living and active retirement through quality, livable neighborhoods and an abundance of fun things to do and they are engaged in the community, achieving goals through partnerships; and Dubuque City government is financially sound and providing services with citizens getting value for their tax dollars. Mission Statement The City's mission is to deliver excellent municipal services that support urban living, and contribute to a sustainable city. The City plans for the community's future, and facilitates access to critical human services. The result is a financially sound city government and citizens getting services and value for their tax dollar. Five -Year City Goals PLANNED AND MANAGED GROWTH Objectives: • Complete the Historic Millwork District as a thriving mixed use development with residential, retail /office, entertainment — a model for developers and other cities • Have safe, healthy neighborhoods citywide and homes with a variety of housing options • Have a thriving Downtown with professional offices, retail, residential and entertainment • Continue strong vibrant 24/7 residential /central business core (Main Street Service Area Downtown and Warehouse District) — including residential opportunities • Annex areas consistent with the annexation policy, including City services to annexed area • More beautiful, visually appealing city with attractive gateways, corridors, neighborhoods, homes and businesses • Develop Washington Neighborhood as a model for other neighborhoods PARTNERING FOR A BETTER DUBUQUE Objectives: • Federal and State lobbying and advocacy for Dubuque • Partner for economic and workforce development • Partner with education • Partner for culture and arts • Partner for support of families and children • Partner for housing opportunities • Partner for healthcare and wellness • Partner for historic preservation • Partner for delivery of human services — meeting the needs of the underserved • Partner with faith -based organizations • Partner for sustainability • Maintain and enhance private - public partnerships with common goals and commitments to shared resources that benefit the Dubuque community • Increase resident engagement in the City's governance processes Page 5 of 7 City of Dubuque Iowa Purchase of Services Grant Guidelines IMPROVED CONNECTIVITY — TRANSPORTATION AND TELECOMMUNICATIONS Objectives: • Increase and sustain commercial air service, including additional provider(s) and hub(s) • Have the ability to dnve the Southwest Artenal (Iowa Highway 32) • Develop a new model for public transit with high ridership by choice (working with ECIA) • Develop passenger rail service to Chicago • Develop an up -to -date, modern air terminal that appeals to air travelers • Improve traffic flow throughout the City — East -West Con - dors, roundabouts, light synchronization • Use "Complete Streets Concepts" Five -Year Community Goals for a Sustainable Dubuque SUSTAINABLE DUBUQUE viable • lovable • equitable ECONOMIC PROSPERITY Objectives: • Diversify the regional Dubuque economy • Retain, expand and grow local businesses, attract new businesses and to provide a more diverse tax base and job opportunities • Have the infrastructure and amenities to support economic development and growth industrial/business parks, streets and utility services, air service and housing • Have a workforce prepared for 21st century jobs • Have employment opportunities for persons of all skill and education levels • Have top quality life options and job opportunities for all residents • Work with viable not - for - profit partners Greater Dubuque Development Corporation, Dubuque Initiatives, Washington Neighborhood Development Corporation, Main Street and others for economic prosperity SOCIAL /CULTURAL VIBRANCY Objectives: • Increase the mutual understanding, acceptance and tolerance among all regardless of their ethnic background or life style • Increase the level of social tolerance and reduce the level of fear of others different than me • Continue to become an inclusive community in which all feel welcome and included • Increase resident interaction using vehicles like clean up campaigns, neighborhood picnics, new neighbor welcoming events, and other strategies developed by residents • Celebrate the cultural traditions and heritage • Become a regional hub for arts and culture • Have an efficient public health system that focuses on prevention and wellness • Work with viable not - for - profit partners Community Foundation, Multicultural Family Center Board, Hispanic Ministry, DACU, Neighborhood Organizations and others for Social /Cultural Vibrancy Page 6 of 7 City of Dubuque Iowa Purchase of Services Grant Guidelines ENVIRONMENTAL INTEGRITY Objectives: • Become a smarter city using sustainable technology for water, energy, transportation, health and wellness — a model community for the world • Reduce the potential flooding through protection • Reduce the community's carbon footprint • Improve the air quality — avoiding nonattainment • Reduce energy consumption and increase the use of alternative energy sources • Preserve Dubuque's natural and historic resources POLICY AGENDA 2011 — 2013 Top Priorities: (in alphabetical order) • 9 -1 -1 Center Relocation Analysis • Arts and Culture Strategy • Clean Air Attainment Strategy • Historic Millwork District Master Plan • Southwest Arterial Project • Support of Greater Dubuque Development Corporation • Washington Neighborhood Strategy H igh Priorities: On alphabetical order) • Annexation Study • Every Child 1 Every Promise • Master Plan for Chaplain Schmitt Island • Multicultural Family Center Support • New Industrial Park Location and Action Plan • Red Light and Speed Enforcement Cameras • Safe Community Initiative • Street Improvement Program For more information, contact Aggie Tauke Community Development Specialist Housing and Community Development 350 W 61h Street, Suite 312, Dubuque, Iowa 52001 563 - 589 -4239 or atauke a@.cityofdubuque org Page 7of7 THE CITY OF DUB Masterpiece on the Mississippi PURCHASE OF SERVICES GRANT APPLICATION Applicant Information Contact Person Phone ( ) Executive Director Phone ( ) Organization Name Organization Address City E-mail Address E-mail Address Date DUNS # Tax ID# State Zip Code ProgramlService Information *Limit each answer to no more than 400 words per section Program Name : 1. Provide a one paragraph executive summary of the program to be funded, then describe in more detail, including its purpose and the services provided. Location of the program YES NO Ulhll this funding increase New program? ❑ ❑ the level of service? # of individuals who will benefit from program Has the City of Dubuque YES NO ❑ ❑ Check if continuous or ongoing Check if previously CDBG funded 0 # of individuals who will be low /moderate income YES NO If yes, what year was If yes, what amount of funded this program before? ❑ ❑ it last funded? funding was received? City of Dubuque Iowa Purchase of Services Grant Application 2. Briefly describe your organization, its mission and goals, and additional services provided. 3. Identify the need for your program, and /or the need for expansion (if requested). Page 2 of 7 City of Dubuque Iowa Purchase of Services Grant Application 4. Describe the primary population served by your program. Does your program reach out to the underserved population? If so, explain how. How will these funds broaden access to your program? 5. How does your program address the City of Dubuque goals, objectives and /or priorities? Identify the specific goals (maximum three) that will be addressed. (See City goals in the attached Guidelines) Page 3 of 7 City of Dubuque Iowa Purchase of Services Grant Application 6. Describe your program's impact on the Dubuque community 7. List the specific outcomes you hope to achieve, including how performance will be measured. Page 4 of 7 City of Dubuque Iowa Purchase of Services Grant Application 8. List any other agencies that provide the same or similar services in the community, describe how your program is different, and how you work in partnership with them. 9. Describe your plan to sustain this program once the City's assistance is no longer available? Can the program commence (or continue) if partial funds are awarded? Page 5 of 7 City of Dubuque Iowa Purchase of Services Grant Application Program Budget Does your organization operate on a Calendar Year? ❑ ❑ YES NO Does your organization YES NO operate on a Fiscal Year? ❑ ❑ If Yes, Start Date and End Date List all exAenses and revenues associated with your Program. Be specific. PROGRAM EXPENSE CATEGORY Two years prior actual. Year ended Most recent completed year actual. Year ended Total Proposed Program Costs Estimate Description of Expense Date Date 1 Administrative 12 Contributions 2 Salaries /Benefits of Program 3 Supplies & Materials 4 Space and Equipment Rental 14 5 Marketing /Publicity 6 Third Party Payments 7 Other TOTAL NET GAIN / LOSS 8 9 110 TOTAL EXPENSES Income SourcelDescription Expected Income 11 Earned Income 12 Contributions 13 Other 14 TOTAL INCOME TOTAL NET GAIN / LOSS Provide additional information as needed to explain budget. Maximum of 200 words) Page 6of7 City of Dubuque Iowa Purchase of Services Grant Application Disclaimer and Signature 1 hereby certify that, to the best of my knowledge, all of the information contained in this Application is true and correct 1 understand that the City of Dubuque reserves the right to request modifications of this application during the process of contract negotiation, and, as finally approved by City of Dubuque, the Application shall serve as the work plan of the organization and shall become part of the Contract with the City of Dubuque The Applicant certifies • Agreement to submit further documents as required by the City of Dubuque to determine project and organization eligibility, and • Agreement to maintain any other specific records, as may be determined necessary by the City of Dubuque, to the overall evaluation of the project, and • Agreement to comply with all federal, state and local regulations governing the award and use of grant funds • Agreement to submit additional information as necessary to determine eligibility for Community Development Block Grant (CDBG) funds, if applicable 1 certify that 1 am authorized to submit this application on behalf of the organization named herein Signature Title Date Submit completed applications to: Housing and Community Development Department Attn: Community Development 350 West 6th Street Suite 312 Dubuque IA 52001 Email: atauke ©cityofdubuque.org Applications must be received no later than October 11th each year to be considered for funding. Checklist of REQUIRE ATTACHMENTS: A. Articles of Incorporation (if not previously submitted) B. Evidence of non - profit status (if not previously submitted) C. List of current Board of Directors and their affiliations D. List of program's current staff positions E. Most recent Annual Financial Statement or /Audit F. Agency's Current Year Operating Budget (Limited to one page) G. Attach a copy of your long range plan Page 7 of 7 FY 2014 Purchase of Services Grant Review & Ranking City of Dubuque Community Development Advisory Commission RATING CRITERIA 1 IMPACT: Program provides human services that support the City's mission, vision, annual goals, pnorilies, management agenda and human services goals See below (35 points) 2 PURPOSE: Program fulfills a need in the community and adequately defines services to be provided and population to be served (25 points) New or expanded program, add 5 points. 3 CAPACITY: Agency has administrative and financial capacity to implement and/or continue the proposed program (20 points) 4 BUDGET: Program is financially feasible and sustainable (15 points) Applicant Name: Total Score: Commissioner: Program I m pact (Rating Criteria 1 Program provides human and /or social services that supports the City's, mission, vision, annual goals, priorities, management agenda and /or human services goals) 35 Points Circle only ONE score Poor 1 2 3 Below Average 4 5 6 Average 7 8 9 Good, Above Average 10 11 12 Exemplary, Impressive 13 14 15 Questions Asked on the Application Review Criteria How does your program address the City of Meets an identified goal, objective and /or priority of the City Dubuque goals, objectives and /or priorities? Identify the specific goals (maximum three) that Potential impact on the Dubuque community (What does will be addressed (Question 5) this mean to the residents ?) Describe your program's impact on the Dubuque Clearly defined objectives and outcomes focusing on results community (Question s) and measurable outcomes versus only program activities List the specific outcomes you hope to achieve, including how performance will be measured (Question 7) and numbers served Potential to fulfill the proposed outcomes Long range plan (attachment G) NOTES 35 Points Max Page I 1 PURPOSE: ( Rating Criteria 2 Program fulfills a need in the community and adequately defines services to be provided and population to be served) 25 Points. New or expanded program, add 5 points. Circle only ONE score Poor 1 2 3 4 5 6 7 8 Below Average 9 10 11 12 1314 15 16 Average 17 18 19 20 21 22 23 24 Good, Above Average 25 26 27 28 29 30 31 32 Exemplary, Impressive 33 34 35 36 37 38 39 40 Questions Asked on the Application Review Criteria Provide a one paragraph executive summary of the program to be funded, then describe in more detail, including its purpose and the services provided (Question 1) Describe the primary population served by your program Does your program reach out to the underserved population? If so, explain how How will these funds broaden access to your program? (Question 4) Identify the need for your program, and/or the need for expansion (if requested) (Question 3) Program clearly described and meets an identified need and purpose Defines primary population served Potential of the organization to broaden access, expand and diversify the scope of citizens they serve Where appropriate, potential to reach underserved populations, such as those whose opportunities to receive human and social services are limited by geography, ethnicity, economics, or disability NOTES New or expanded program, add 5 Points 30 Points Maximum. CAPACITY: (Rating Criteria 3 Agency has administrative and financial capacity to implement and /or continue the proposed program) 20 Points Circle only ONE score Poor 1 2 3 4 5 Below Average 6 7 8 9 10 Average 11 12 13 14 15 Good, Above Average 16 17 18 19 20 Exemplary, Impressive 21 22 23 24 25 Questions Asked on the Application Review Criteria Appropriateness of the agency's mission to the City's mission Briefly describe your organization, its mission and goals, and additional services provided. (Question 2) and goals and to its audience and /or constituency Significance of the agency in the community List any other agencies that provide the same or similar services in the community, describe how your program is Duplication of existing services in community, and /or how different, and how you work in partnership with them they work in partnership (Question 8) Articles of Incorporation) and evidence of non - profit status Agency's ability to carry out its mission, including the quality (AttachmentA & B) and clarity of the agency's goals, and the qualifications of the organization's staff and leadership Attach a list of Board of Directors and their affiliations Also include a list of Staff Positions (Attachment C &D) NOTES 20 Points Max Page 12 BUDGET: (Rating Criteria 4 Program is financially feasible and sustainable) 15 Points Circle only ONE score Poor 1 2 3 4 Below Average 5 6 7 8 Average 9 10 11 12 Good, Above Average 13 14 15 16 Exemplary, Impressive 17 18 19 20 Questions Asked on the Application Review Criteria Describe your plan to sustain this program once the City's assistance is no longer available? Can the program commence (or continue) if partial funds are awarded ?(Question 9) Program Budget (Page 6 of 16) Attach recent Annual Financial Statement or /audit Include a current Operating budget (Attachments E & F) Review financial documents Overall budget is adequate to implement program Costs appear reasonable Program is able to be sustainable and can continue if City future funding is not provided NOTES 15 Points Max Eligible for CDBG funding: Other Comments and Concerns: Total Points Assigned? Yes No Pagel 3