AmeriCorps Healthy Futures Grant Agreement Approval 2019-2020 Copyrighted
August 19, 2019
City of Dubuque Consent Items # 8.
ITEM TITLE: AmeriCorps Healthy Futures GrantAgreementApproval
2019-2020
SUMMARY: City Manager recommending approval of an agreementfor
AmeriCorps Partners in Learning: Healthy Futures for
Program Year2019-2020.
SUGGESTED DISPOSITION: Suggested Disposition: Receiveand File;Approve
ATTACHMENTS:
Description Type
AmeriCorps Healthy Futures GrantAgreement-MVM City Manager Memo
Memo
Staff Memo-AmeriCorps Healthy Futures Grant Staff Memo
AgreementApproval for Program Year 2019-2020
2019-20 GrantAgreement Supporting Documentation
Dubuque
THE CITY OF �
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TO: The Honorable Mayor and City Council Members
FROM: Michael C. Van Milligen, City Manager
SUBJECT: AmeriCorps Partners in Learning: Healthy Futures Grant Agreement
DATE: August 13, 2019
Leisure Services Manager Marie Ware recommends City Council approval of an
agreement for AmeriCorps Partners in Learning: Healthy Futures for Program Year
2019-2020. This grant will run from September 9, 2019 —August 22, 2020.
The total cost associated with the AmeriCorps Partners in Learning: Healthy Futures
Grant is $89,995. The Corporation of National and Community Service's share is
$56,269 or 63%. The Grantee (Partners in Learning's) share is $33,726 or 37%. The
grantee's share is funded through in-kind match, which is provided through site
supervisor time, and cash match from our grant partners.
This grant is a continued effort to support Teen Mentoring programs through Leisure
Services, the Multicultural Family Center, Carnegie Stout Public Library and Mentor
Dubuque, expanding teen programs from summer-only into year-around programming.
I concur with the recommendation and respectfully request Mayor and City Council
approval.
v
Mic ael C. Van Milligen
MCVM:jh
Attachment
cc: Crenna Brumwell, City Attorney
Teri Goodmann, Assistant City Manager
Cori Burbach, Assistant City Manager
Marie L. Ware, Leisure Services Manager
Dubuque
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TO: Michael C. Van Milligen, City Manager
FROM: Marie L. Ware, Leisure Services Manager
SUBJECT: AmeriCorps Partners in Learning: Healthy Futures Grant Agreement
Approval for Program Year 2019-2020
DATE: August 13, 2019
INTRODUCTION
The purpose of this memorandum is to request approval of the attached agreement for
AmeriCorps Partners in Learning: Healthy Futures for Program Year 2019-2020. This
grant will run from September 9, 2019 —August 22"d, 2020 and during the Summer of
2020 if approved.
BACKGROUND
AmeriCorps Partners in Learning has served the Dubuque community since 2000 and
has been sponsored by the City of Dubuque since 2007. The program was awarded a
1-year formula planning grant through the lowa Commission on Volunteer Service in
2017, which is focused on supporting teen programming during the summer months. In
2018, AmeriCorps Partners in Learning was awarded a 2"d time to support teen summer
programs, in addition to a planning grant that was awarded to expand programming in
this area. This grant will be the 3�d grant awarded to support teen programming. It is to
the City to the 15t awarded to focus on engaging teens in year-long capacity creating
and sustaining connections between these youth and their community beyond summer.
This grant was funded at 75% of the applied for amount. The lowa Commission on
Volunteer Service has approved this program to request the remaining 25% in
supplemental federal funding. Supplemental AmeriCorps funding comes from other
state commissions that are unable to award all of their state-level formula funding and
return it to CNCS for redistribution to states like lowa whose requests exceed our
available funding at this time. Should supplemental funding be available to our
program, we will be notified, and it will be awarded in mid-September.
DISCUSSION
This formula-funded grant is a continued effort to support Teen Mentoring programs
through Leisure Services, the Multicultural Family Center, Carnegie Strout Public
Library and Mentor Dubuque, expanding teen programs from summer-only into year-
around programming. This grant will provide 4 year-long AmeriCorps positions in the
following capacities: 1 full-time (1700 hour) and 1 half-time (900 hour) positions with
Mentor Dubuque, and 2 three-quarter-time (1200 hour) positions- one with the
Multicultural Family Center and one with Carnegie-Stout Public Library. The grant will
also provide 4 minimum-time (300 hour) positions that will support the Multicultural
Family Center's summer STEP program. These positions will work together to support
teens to develop connections to their community through teen-focused programs that
will provide structured and unstructured mentoring, community and health education,
equity engagement and workforce development opportunities. The program will apply
for 6 additional minimum-time (300 hour) positions, 1 additional position to support the
STEP program, and 5 positions to support the Leisure Services Summer Teen Night
Programs.
In addition to our impact on community youth and local organizations, one of the areas
that AmeriCorps Partners in Learning prioritizes is with the AmeriCorps members
themselves. The Program strives to recruit from a diverse pool 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 iYs AmeriCorps members to
recognize their service as engagement and continue to serve in some facet after their
year.
The grant agreement has been reviewed by Barry Lindahl, Sr. Counsel.
BUDGETIMPACT
The total cost associated with the AmeriCorps Partners in Learning: Healthy Futures
Grant is $89,995. The Corporation of National and Community Service's share is
$56,269 or 63°k. The Grantee (PiL)'s share is $33,726 or 37°k. The grantee share is
funded through in-kind match, which is provided through site supervisor time, and cash
match from our grant partners.
ACTION REQUESTED
I respectfully request approval of the 2019-2020 AmeriCorps Grant Agreement for the
AmeriCorps Partners in Learning: Healthy Futures Program.
Prepared by: Heather Satterly, AmeriCorps Director
2
cc: Jacqueline Hunter, MFC Director
Danielle Day, Youth Services Manager
Dan Kroger, Recreation Division Manager
3
19-AF-OS
IOWA COMMISSION ON VOLUNTEER SERVICE
AMERICORPS GRANT AGREEMENT
GRANTEE: City of Dubuque
GRANT NUMBER: 19-AF-OS
EFFECTIVE DATE: September O1, 2019
PROGRAM NAME: AmeriCorps Partners in Learning: Healthy Futures
TOTAL MAXIMUM GRANT AMOUNT: $55,144
PROGRAM COMPLETION DATE: August 31, 2020
GRANTEE FEDERAL ID #: 42-6004596
THIS AMERICORPS AGREEMENT is made by and between IOWA COMMISSION ON
VOLUNTEER SERVICE, 200 East Grand Avenue, Des Moines, Iowa 50309 ("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 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 putpose 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 telms 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. 5.12501 et seq.).
1.2 EFFECTIVE DATE. "Effective Date" is September O1, 2019 and means the date on which
the terms of this Grant Agreement become in force and effect.
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1.3 GRANT AGREEMENT or AGREEMENT. "Grant Agreement" or "Agreement" means this
Agreement and all of the exhibits, attachments and documents refet-red to in the Agreement and
incoiporated by reference.
1.4 PROGRAM. "Program" means the detailed description of the work, services, and other
obligations to be performed or accomplished by the Grantee as described in this Agreement and
the AmeriCoips application approved by the Colporation for National and Community Seivice
("Coiporation" or "CNCS") and the Commission, as authorized by the National and Community
Service Act of 1990, as amended.
1.5 PROGRAM COMPLETION DATE. "Program Completion Date" or "Completion Date" is
August 31, 2020 and is the date by which the Agreement ceases to be in force and effect. 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 date stated
above; or b) the Agz•eement 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 Program Completion Date will not be extended beyond 90
(ninety) days past the original Program Completion Date.
1.6 ALLOWABLE COSTS. "Allowable Costs" are those costs which are identified in Attachment
A, Grant Application; Attackunent B, Budget; and consistent with Federal regulations and
guidelines applicable to the AmeriCorps program.
ARTICLE 2 - FUNDING
2.1 FUNDING SOURCE. The source of funding for the Grant is a federal grant from CNCS
[Code of Federal Domestic Assistance(CFDA) 94.006] for the AmeriCorps Program. The Grantee
shall comply with the requirements, conditions and rules of CNCS,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 federai funds for the AmeriCoips Program. Any termination, reduction,
or delay of CNCS funds to the Commission may, in the sole discretion of the Commission, result
in the te�-mination, reduction or delay of CNCS funds to the Gi•antee and/or termination of this
Agreement.
2.3 PRIOR COSTS. If any grantee has received v�nitten approval from the Commission to incur
certain costs prior to the Award Date of this Agreement, then said written approval and the terms
and conditions therein ar•e incolpor•ated he1•ein and maae a part of this Agreement by this reference
as if fully set forth.
2.4 USE OF GRANT FUNDS. The Grantee shall expend funds z•eceived undei•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.
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2.5 BUDGET AMENDMENTS. The following budget changes shall be subject to prior approval
of the Commission through the amendment process as provided fox in Article 10.6. Budget
amendments shall be requested from the Commission and approved prior to impiementation of the
budgetary changes. Budget amendments shall be compatible with the terms of this Agreements
and of such a nature as to qualify as an allowable cost. Budget amendments requested during the
final ninety (90) days of the Agreement period will be approved on a limited basis. The following
circumstances require budget amendments.
a) Budget changes which would result in changes in excess of ten percent (10%) of the total
budget.
b) Budget changes which would lower the Grantee's percent share of costs required under
this Agreement.
c) Budget changes which would add costs in a previously unbudgeted line item or that
include supplies in excess of$1,000 per item or equipment valued at greater than $5000,
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 MEMBER COSTS. 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 fu11y
recruit the awarded member service years(MSY),the Commission may reduce the federal funding.
The Commission reserves the right to request repayment of any federal funds disbursed above the
reduced federal amount.
2.8 ADMINISTRATIVE COST LIMITATIONS. Federal funds used for reasonable
administrative costs, are allowable.
a) For cost reimbursement grantees, the federal share of administrative costs shall be limited
to five percent(5%) of the CNCS funds in Sections I and II of the approved budget. The
Commission retains forty percent (40%) of the allowable federal share of administrative
costs from Section III of the approved budget. (See Exhibit E. Application Instructions
for detailed calculations of administrative costs). The variance in the Award Amount in
this grant agreement as compared to federal funds reflected in the budget is due to the
Commission withholding these funds from the Award. 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 the other grant funds expended.
b) Fixed-amount grantees are also subject to having 2% of their grant retained by the
Commission, calculated according to guidance from CNCS.
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
that are unallowable,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
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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 detei�rnines 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 CNCS NSCHC Enforcement Guide to assess disallowance in cases
of noncompliance or other unallowable cir•cumstances as described in the Guide. Disallowance
payments must be made with non-federal funds.
ARTICLE 3 - TERMS OF GRANT
3.1 GRANT. The Commission grants $55,144, for the time period of 9/1/2019 to 8/3U2020, to
the Grantee for AmeriCoips activities. The services of the Grantee are to commence as of the
Effective Date and shall be undertaken in such a manner as to assure their expeditious completion.
All of the services required hereunder shall be completed on or before the Completion Date.
3.2 WORK TO BE PERFORMED. Subject to the provisions set forth in this Agreement,
Volunteer Iowa grants funds to the Grantee to perform activities and seivices as specifically
outlined in Attachment A entitled "Grant Application" dated 6/24/2019, attached hereto, and
incorporated by this reference, and for such other tasks as Volunteer Iowa and Grantee may agree
to in writing.
3.3 DISASTER DEPLOYMENT. 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 serving as part of the Iowa Disaster Cadre may also be deployed under the Volunteer
Iowa Cooperative Agreement with Federal Emergency Management Agency (FEMA). The terms
of these deployments are covered in Attaclunent C, "Iowa AmeriCorps Disaster Cadre".
3.4 ADMINISTRATION.The Agreement shall be administered in accordance with all applicable
State and Federai laws,regulations and guidance,including those found in Exhibit F,"AmeriCoi•ps
Progz•am Director Manual", which has been distributed by Volunteer Iowa to the Grantee.
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:
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4.1 GRANT AGREEMENT EXECUTED. The Grant Agreement shall have been properly
executed and returned to Volunteer Iowa prior to the grant agreement start date or within thirty
(30) days of Volunteer Iowa's transmittal of the final Agreement to the Grantee.
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 (a11 Grantees).
4.4 SUBMISSION OF TAXPAYER IDENTIFICATION NUMBER. Completion and
submission of form"W-9, Request for Taxpayer ldentification Number and Certification."
ARTICLE 5 - REPRESENTATIONS AND WARRANTIES OF GRANTEE
To induce the Commission to make the Grant referred to in this Agreement,the Grantee represents,
covenants and warrants that:
5.1 AUTHORITY. The Grantee is duly organized and validly existing under the laws of the State
and is in good standing, and has complied with all applicable laws of the State of Iowa. The
Grantee is duly authorized and empowered to execute and deliver this Agreement. All action on
the part of the Grantee, such as appropriate resolution of their governing body for the execution
and delivery of the Agreement, has been effectively taken.
5.2 FINANCIAL INFORMATION. A11 financial statements and related materials concerning
the Grantee and the Program provided to the Commission are h�ue 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.
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,
oper•ation, 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
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whatsoever their rights to execute the Agreement or the ability of the Grantee to make the payments
required undei•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 EFFECTIVE DATE. The covenants, waxranties 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 WORK AND SERVICES. The Grantee shall perform in a satisfactory and
proper manner, the work and seivices detailed in the approved Grant Application(Attachment A)
by the Completion Date. Such work and services 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 AmeriCoips State requirements as deteimined by the Commission.
6.2 COMPLIANCE WITH LAWS AND REGULATIONS. The Grantee shall comply with all
applicable State and Fedez•al 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
Coiporation's regulations (45 CFR §§ 2500-2599), and the AineriCoips Terms and Conditions.
All Grantees are subject to all requirements under 2 CFR Chapters I and II.
6.3 USE OF DEBARRED, SUSPENDED, OR INELIGIBLE CONTRACTORS OR
SUBRECIPIENTS. CNCS 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
oi•ganization, or contractor during any period of debarment, suspension, or placement in ineligible
status under 2 CFR Pat-t 180 or any applicable law or regulation.
6.4 MONITORING. To fulfill its fiduciary responsibilities and programmatic obligations, the
Corrunission 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, virtuaily using electronic communications,
or a combination of these approaches. The Gz•antee shall implement and maintain sufficient
management practices and systems to assure compliance with all programmatic and fiscal
obligations under this Agreement. The Grantee's z•esponsibilities in this regard extend to ovei•sight
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
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Government, to access and examine, audit, andlor 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.;unless the Commission determines it necessary to access records during other days
or hours. 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
FFR covering the grant. A chart detailing disposition dates of past grants can be found in Exhibit
F, AmeriCorps Program Director Manual. 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: (a) copies of a11 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,(fl 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
AmeriCoips 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.
69 NOTIFICATIONS. In the event the Gz•antee 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 Ch 1.7 of the AmeriCorps Program Director Manual (Exhibit F), in the form
and content specified by Volunteer Iowa. The Grantee shall review all Claims and verify that
claimed expenditures are allowab�e costs. The Grantee shall maintain documentation adequate to
support all claimed costs reported for federal reimbursement or Grantee Share.
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ITEM SYSTEM OR DUE DATE (as noted or working
FORMAT day befoi•e if due date falls on a
weekend or holiday)
Fin�ncial Reporting
Claim and Signed GAX Claims component 25th of each month(or on quarterly
form in iowagrants.gov dates provided in AmeriCorps Program
Director Manual, if approved)
Final Claim and Signed Claims component Within 30 days of Grant Agreement
GAX in iowagrants.gov Completion Date
Federal Financial Status Report in Apri125, 2020 and October 15, 2020
Report(FFR) iowagrants.gov
Unexpended Funds Status Report in Apri125, 2020
Report iowagrants.gov
Budget Modification Status Report in For programs starting Au�ust 15, 2019
Request iowagrants.gov or Septembei• 1, 2019: April 30, 2020
For programs startin�January l, 2020:
July 30, 2020
Final FFR Status Report in Within 60 days of Grant Agreement
iowagrants.gov Completion Date
Annual Audit Form & Status Report in Annual Audit form: as part of Program
Second Audit Form iowagrants.gov Start Forms (see below)
Second Audit Form: within 30 days of
audit completion or publication
Performance Measure & Program Progress Reporting
Program Start Forms Start Foz•m As noted in the VolzrnteeT°Io1-va Start
components in Forms Schec�2�le & Cl�eckhst
iowagrants.gov For pro�rams starting Au�ust 15, 2019
or September 1, 2019: August 1, 2019;
September 1, 2019; October 1, 2019
For programs starting Januaiy 1, 2020:
December 15, 2020; January l, 2020;
Febivary l, 2020; March 1, 2020
Program Progress Status Report in For pro�rams startin�Au�ust 15, 2019
Reports (Initial, Mid, iowagz•ants.gov or September 1, 2019: January 15,
End, & Final 2020; May 15, 2020; October 15,
Performance Measure 2020; and within 30 days of Grant
Report) Agreement Completion Date, as
needed
For programs startin January 1, 2020:
April 15, 2020; May 15, 2020; October
15, 2020; and within 30 days of Grant
Agreement Completion Date, as
needed
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Closeout Report Status Report in Within 60 days of Grant Agreement
iowagrants.gov Completion Date
Other Reports various formats As contained in the AmeriCorps
Program Director Manual or as
notified by Volunteer Iowa
6.11 REQUIRED TRAININGS & COMMUNICATIONS. The Grantee will send at least one
staff inember to the following trainings (also noted in Ch. 1.7 of the AmeriCorps Program
Direoctor Manual (Exhibit F): Volunteer Iowa new Program Director training (for new
programs/new staff only, in Iowa in advance of the new program year), Volunteer Iowa Program
Staff Launch training (in Iowa in the first few months of the program year), the Iowa Nonprofit
Summit(held every other year in odd years, in Iowa), a National Service Regional Conference
(in the spring/summer in the North Central region). Other trainings may be offered or required
throughout the program year, based on Volunteer Iowa or CNCS monitoring and feedbacic. The
Grantee will have at least one staff inember participate in monthly Program Director Webinars
led by Volunteer Iowa staff and in regular program/financial monitoring check-in calls with
Volunteer Iowa staff, to be scheduled based on the Grantee's assigned monitoring levels.
6.12 AUDIT.
a) Single Audit. Grantees expending$750,000 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, Parts 200, 215, 220,
225, and 230) 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 of Financial Review. Grantees expending less than$750,000 in federal
awards in a year are exempt from any federal audit requirements for that year, but shall
comply with audit requirements prescribed by state or local law. Grantees that have an
audit or financial review performed that is inclusive of a grant period(s) covered by this
agreement must submit a copy of the audit or review to the Commission within 30 days
after completion.
c) Auditor of State. The Commission may engage the Auditor of State in conducting a
review or audit at any time. If such an engagement occurs, the Grantee must cooperate
with the process and provide records and files to enable the Auditor of State to conduct a
thorough review.
6.13 MAINTENANCE OF PROGRAM PROPERTY AND INSURANCE.
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 puiposes of vehicular liability on owned and
rented vehicles. Claims up to $250,000 are paid from the self-insurance pool. Claims
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exceeding $250,000 are processed through the Tort Claims process, in accordance with
Chapter 669 of the Code of Iowa.
Indemni�cation for state agencies: As an agency of the State of Iowa, the Grantee is
prohibited by law from indemnifying any person oi•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 customaz•ily insured against by coiporations 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 shail submit copies of all
applicable agreements, certificates, policies or other documentation requested by the
Commission attesting to insurance coverage and any renewals thereof.
Indemnifcation 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 ail appiicable 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 refei7ed to in the Act may be applicable to such activities by their own terms.
The Recipient certifies and assures coinpliance 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).
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, "GRANT APPLICATION", dated 6/24/2019 on the SF424, form
(attached)
ii. Attachment B, 'BUDGET" (attached)
iii. Attachment C, "IOWA AMERICORPS DISASTER CADRE." (attached if applicable)
iv. Attachment D, "ADDITIONAL FEES & REPORTING REQUIREMENTS FOR
GRANTEES NOT USING THE VOLUNTEER IOWA MEMBER MANAGEMENT
SYSTEM." (attached if applicable)
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b) Exhibits
i. Exhibit A, "ACT", The National and Community Service Act of 1990 as amended by
the Serve America Act,
https://www.nationalservice.�ov/sites/defauit/files/�age/Sei•vice Act 09 11 13.pdf
ii. Exhibit B, "FEDERAL REGULATIONS", 45 CFR §§ 2500-2599,
https://www.ecfr.gov/c�;i-bin/text-
idx?ID=9e5466ae66bOb60241 f448502b41433b&mc=true&tp1=/ecfrbrowse/Tit1e45/4
SchapterXXV.t�I
iii. Exhibit C, "AMERICORPS TERMS AND CONDITIONS", 2019 AmeriCorps Tei�rns
and Conditions, including both the General Terms and Conditions and the Program
Specific Terms and Conditions for AmeriCorps State and National
a. "FY2019 General Grant and Cooperative Agreement Terms and Conditions"
https://egrants.cns.gov/termsandconditions/Fina12019GeneralTandC508_11-
02-18.pdf
b. "2019 Terms and Conditions for AmeriCorps State and National Grants"
https://egrants.cns.�ov/termsandconditions/2019 ACSN PGM TCs508v2 20
190517.pdf
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 Guidance for 2019
AmeriCorps State and National Grants posted at
https://www.iowa rants.�ov/insideLinlcO�s.jsp?documentPk=1536203341269.
v. Exhibit E, "APPLICATION INSTRUCTIONS", including the New Project Pre-
Application Instructions, Returning Project Pre-Application Instructions, and
Volunteer Iowa Final Application Instructions posted at
https://www.iowa ig.ants•�ov/insideLinlcOpps.jsp?documentP1c=1536203341269.
vi. Exhibit F, "AMERICORPS PROGRAM DIRECTOR MANUAL", 2019-2020
AmeriCorps Program Director Manual, which has been distributed by Volunteer Iowa
to the Grantee and is posted to the Volunteer Iowa Current AmeriCorps Grantee
Resources page at https://www.volunteeriowa.org/americoips/cuz�ent-americorps-
grantee-resources.
7.2 ORDER OF PRIORITY. In the event of a conflict between documents of this agreement,the
following order of priority shall govern:
a) At-ticles 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"
� Exhibit E, "APPLICATION INSTRUCTIONS"
g) Attachment A, "GRANT APPLICATION" including all assurances, certifications,
attachments, and pre-award negotiations
h) Attachment B, "BUDGET"
i) Exhibit F, "AMERICORPS PROGRAM DIRECTOR MANUAL"
j) Attachment C "IOWA AMERICORPS DISASTER CADRE"
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19-AF-OS
k) Attachment D "ADDITIONAL FEES & REPORTING REQUIREMENTS FOR
GRANTEES NOT USING THE VOLUNTEER IOWA MEMBER MANAGEMENT
SYSTEM"
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, wananty or statement
made or fui�nished to the Commission by, or on behalf of, the Grantee in connection with
this Grant Agreement or to induce the Commission to make a gr•ant to the Grantee shall be
detet�rnined by the Commission to be incorrect, false, misleading or ei�roneous 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 Gr•antee.
b) Lack of Progress/Failure to Meet Program Requirements. If there is a failure of the
Grantee to make substantial and timely progress toward perfoi7nance 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 inaterials Some
leey areas of program requirements are full member eruollment, meeting Performance
Measure targets, responsiveness to Volunteer Iowa communication on compliance issues,
timely conection of compliance issues, timely and accurate program and financial
reporting.
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 Corrunission, is not
completed on or before the Completion Date.
e) Misspending. If the Grantee expends Grant proceeds for purposes not described in the
AlneriCoips application, this Agreement, or as authorized by the Commission.
� Insolvency or Bankruptcy. If the Grantee becomes insolvent or banlc�upt, 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 o7• 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 Gi•antee 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, ar7angement, insolvency, or
liquidation proceedings or other proceedings foz•relief under any banlc�•uptcy or similar law
or laws for the relief of debtors, are instituted by or against the Grantee and, if instituted
against the Grantee is consented to, or, if contested by the Grantee is not dismissed by the
adverse parties or by an order, deci•ee or judgment within sixty (60) days after such
institution.
g) Lack of or Insuf�cient 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.
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19-AF-OS
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 Vo�unteer Iowa. The
Commission sha11 have the final authority to assess whether the Grantee is making adequate
progress on their 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 perfoz�rnance at any time during or after the Completion
Date. Coi�ective 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 designed to bring the program into compliance that
is approved by the Commission. Volunteer Iowa may allow such necessary and proper
costs which the Grantee could not reasonably avoid during the pexiod 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 r•emains, 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 fu11 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
seelcing to exercise the enforcement of this clause.
ARTICLE 9 - DISBURSEMENT PROCEDURES
9.1 REQUEST FOR DISBURSEMENT. All disbursements of proceeds shall be subject to
r•eceipt by the Commission of claims for disbursement submitted by the Grantee. Claims for
disbursement ("claims") shall be in form and content acceptable to the Commission. Each
requisition shall be submitted to the Commission according to the scheduie 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
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19-AF-OS
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
deter-mining 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 AmeriCoips program are considered Program Income.
Programs are required to report all income genei•ated 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 pi•ogram income shall be expended prior to requesting
federal CNCS funds. Program income received after the Agreement Completion Date shall
be returned to the Commission.
9.2 REQUEST F4R 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. With prior approval, the Grantee may receive advance payments of
grant funds, provided the Grantee ineets 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 Pai-t 205.
ii. Discontinuing advance payments. The 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 payinents
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 ar•
insufficient due to non-appropriation, termination of the Progz•am, 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 CNCS funds, this interest shall be returned
to Volunteer Iowa.
9.3 MATCHING REQUIREMENTS.
a) The Grantee agrees to provide local matching contribution to the Progi•am as defined in the
"Grantee Share" column of the budget shown in Attachment B, `Budget". The Grantee is
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19-AF-OS
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 CNCS, 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 conective action plan undertaken according to Article 8.2.
10.3 TERMINATION.
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. Wrth thirty (30) days notice, Volunteer Iowa or the Grantee may
tei�rninate the Agreement in whole, or in part, when all parties agree that the
continuation of the Program would not produce beneficial results commensurate with
the future disbursement of funds.
ii. For Cause. As a result of Grantee's default under this Agreement, as stated in Article
8.
iii. Due to Non-appropriation or Reduction of CNCS Funding. If funds anticipated for
the continuing fulfillment of this Agreement are at any time not forthcoming or
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19-AF-OS
insufficient due to non-appropriation, termination of the Pz•ogram, 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 of services rendered prior to
tet�rnination.
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
tei�rnination,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 detei�rnines were properly incui7ed piior to notice of cancellation will
be allowable under the Grant Agreement. The Grantee shall retuz-n 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
retur-ned to Volunteer Iowa within thirty (30) days of the of receipt of Notice of
Termination.
10.�SURVIVAL OF AGREEMENT.If any poi-tion of this Grant Agreement is held to be invalid
or unenforceable, the remainder shall be valid and enforceable. The provisions of this Grant
Agreeinent shall survive the execution of all instruments her•ein mentioned and shall continue in
full foz•ce and effect until the Grant Agreeinent is tei7ninated 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 Couz-t for Po11c County or the United States District Court foi�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 both the Commission and the Grantee, unless otherwise specified within the
amendment.
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19-AF-OS
b) Unilateral Modi�cation. 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 whather an amendment request is
so substantial as to require CNCS 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.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 thereo£ No
single or pai-tial exercise of any right or remedy by the Commission sha11 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 agz•eed 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 B. 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 Ar�ticle 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,
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19-AF-OS
the Grantee shall pay upon demand any and all reasonable fees and expenses of the
Commission, including the fees and expenses of their attorneys, experts and agents, in
connection with the exercise or enforcement of any of the rights of the Commission undei•
this Grant Agreement, following the parties' unsuccessful good faith attempt to resolve
any default giving rise to the Commission seelcing 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, member 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 feder•al 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 Ai�ticle 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 inay 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 Agi•eement may be executed in any number of counterpai-ts,each
of which shall be deemed to be an original, but all of which together shall constitute but one and
the same instrument.
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19 -AF -05
IN WITNESS WHEREOF, the parties have executed this Grant Agreement as of the Award Date
first stated.
Iowa Commission on Volunteer Service City of Dubuque
BY: BY:
Adam Lounsbury
Executive Director
Michael Van Milligen
City Manager
For the purposes of this Agreement, please add the following designees:
T
eoL4- S
Programgram Representative Name and Title
(To be added by Authorized Representative)
k e 1 ( h AoCDLU C ±`
Financial Officer Name and Title
(To be added by Authorized Representative)
drp -ity-
- 19 -
Attachment A
Grant Application
PART I - FACE SHEET
APPLICATION FOR FEDERAL ASSISTANCE 1 TYPEOFSUBMISSION
Modified Standard Form 424(Rev 02/07 to confirm to the Corporation's eGrants System) Application X� Non-Construchon
a DATE SUBMITTED TO CORPORATION 3 DATE RECEIVED BY STATE STATE APPLICATION IDENTIFIER
OR NATIONAL AND COMMUNITY
ERVICE(CNCS) 24-JUN-19
b APPLICATION ID 4 DATE RECEIVED BY FEDERAL AGENCY FEDERAL IDENTIFIER
19AC214142 18AFHIA0010011
5 APPLICATION INFORMATION
LEGAL NAME City of Dubuque NAME AND CONTACT INFORMATION FOR PROJECT DIRECTOR OR OTHER
PERSON TO BE CONTACTED ON MATTERS INVOLVING THIS APPLICATION(give
DUNS NUMBER 093105302 area codes)
NAME Heather M Satterly
ADDRESS(grve street address,c�ty,state,z�p code and county)
2200 Bunker Hill Rd TELEPHONE NUMBER (563)584-8644
Dubuque IA 52001 -3010 FAX NUMBER
County Dubuque INTERNET E-MAIL ADDRESS hsatteri@cityofdubuque org
6 EMPLOYER IDENTIFICATION NUMBER(EIN) 7 TYPE OF APPLICANT
426004596 7a Local Government-Municipal
7b Local Government,Muniapal
8 TYPE OF APPLICATION(Check appropriate box)
� NEW ❑ NEW/PREVIOUS GRANTEE
� CONTINUATION 0 AMENDMENT
If Amendment,enter appropnate 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 FEDERA�DOMESTIC ASSISTANCE NUMBER 94 006 11 a DESCRIPTIVE TITLE OF APPLICANT'S PRoJECT
10b TITLE AmeriCorps State AmenCorps Partners in Learning Heaithy Futures
12 AREAS AFFECTED BY PROJECT(List CiGes,Coun4es,States,etc) 11 b CNCS PROGRAM INITIATIVE(IF ANY)
Dubuque,IA
13 PROPOSED PROJECT START DATE 09/01/19 END DATE 08l31/20 14 CONGRESSIONA�DISTRICT OF a Applicant IA 01 b Program IA 01
15 ESTIMATED FUNDING Year# 1� 16 IS APPLICATION SUBJECT TO REVIEW BY STATE EXECUTIVE
ORDER 12372 PROCESS�
a FEDERAL $ 56,269 00
0 YES THIS PREAPPLICATION/APPLICATION WAS MADE AVAILABLE
b APPLICANT $ 33,726 00 TO THE STATE EXECUTIVE ORDER 12372 PROCESS FOR
REVIEW ON
c STATE $ 0 00 DATE
d LOCAL $ 0 00 ❑X NO PROGRAM IS NOT COVERED BY E O 12372
e OTHER $ 0 00
f PROGRAM INCOME $ 0 00 17 IS THE APPLICANT DELINQUENT ON ANY FEDERAL DEBT�
� YES if"Yes,"attach an explanat�on � NO
g TOTAL $ 89,995 00
18 TO THE BEST OF MY KNOWLEDGE AND BELIEF,ALL DATA IN THIS APPLICATION/PREAPPLICATION ARE TRUE AND CORRECT,THE DOCUMENT HAS BEEN
DULY AUTHORIZED BY THE GOVERNING BODY OF THE APPLICANT AND THE APPLICANT WILL COMPLY WITH THE ATTACHED ASSURANCES IF THE ASSISTANCE
IS AWARDED
a TYPED NAME OF AUTHORIZED REPRESENTATIVE b TITLE c TELEPHONE NUMBER
Heather M Satterly (563)584-8644
d SIGNATURE OF AUTHORIZED REPRESENTATIVE e DATE SIGNED
O6/24/19
Page 1
Narratives
Executive Summary
The City of Dubuque proposes to have 8 AmeriCorps members who will develop and implement teen
programming in Dubuque, IA.At the end of the first program year, the AmeriCorps members will be
responsible for a change in teenaged youths' attitude towards making healthier choices. In addition,
the AmeriCorps members will leverage 20o volunteers who will be engaged in mentoring teens and
supporting teen programming.
This program will focus on the CNCS focus area of Healthy Futures. The CNCS investment of$56,269
will be matched with $33,�26, �22,326 in public funding and $11,40o in private funding.
Rationale and Approach/Program Design
Theoiy of Change
Teenaged youth in Dubuque are in crisis.According to the 2018 Iowa Youth Survey, only 84% of
Iowa teens felt that they have someone they can tallc to within their homes, and less than 83% of
students felt that the adults in the community care about students. Only 61% of students feel that
adults in the community let students know that they are proud of them. Since 2014, the percentage of
all students taldng the Iowa Youth Survey who agreed that adults in their community let them lcnow
they are proud of them when they do something well decreased by 10.9%. Overall, from 2oi2 to 2oi8,
the percentage of students who reported having a plan to kill themselves within the past year
increased by 53.0%. One in ten students talcing the Iowa Youth Survey in 2018 reported they had a
plan to kill themselves in the past twelve months. From 2012 to 2018, the percent of 6th grade
students who reported having a plan to lcill themselves within the past year increased by �1.1%.
Dubuque teens are also struggiing with risle-taldng behaviors and criminal activity. Data received
from Dubuque Police for the timeframe of January 2016 through NovemUer 2018 show 1,932
criminal charges were repoi�ted from youth aged g-l�. Of the i,932 charges reported, some of these
charges belong to the same individuals, with a total of i,524 arrests during this time span. A
brealcdown of ages of individuals charged shows that the older a student is, the more lilcely they are to
engage in rislc talcing and law-brealang behaviors. The top five charges were disorderly conduct,
assault,theft, criminal mischief, and interference with official acts. 195 charges were drug-related,
including drug possession, unlawful possession of prescription drugs and possession of drug
paraphernalia. 133 charges were alcohol-related, including consumption, OWI, possession and public
intoxication. Youth were more likely to be engaged in rislc-talcing and unlawful behavior during after-
school and evening hours, with �6� arrests occurring between 2:3opm z iopm. From 2012 to 2018,
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according to the Iowa Youth Survey, the percentage of students repoi-ting most of their school peers
feel it would be wrong or very wrong for them to use any illegal drug other than alcohol, cigarettes, or
marijuana decreased from 86.3°o t0 H2.2%. Our program utilizes a two-pronged approach to our
communityzs problem of teens in crisis. The first prong revolves around creating a positive connection
between teens and adults through-out the year, while the second prong focuses on fostering resiliency
and curbing risk-taking behaviors by giving teens safe and positive programming options during after-
school time and summer months. The first prong of our program is focused on developing positive
connections between teenaged youth and positive adult role models to support teens through ci7sis.
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 rislc, relationships are crucial to mitigating the negative
impact of toxic environments. Resilience,the capacity to overcome adversity, is facilitated by those
who engage with the child (Masten, 2ooi; Rutter, 2oi2). During the year, seven AmeriCorps
members will serve with community-centered programs to develop positive relationships between
teenaged youth and adult role models. Two of these members, one Full-Time position and one Half-
Time position, will serve with Hillcrest Family Services� Mentor Dubuque program, fostering positive
community-based mentoring relationships between youth and adults. These AmeriCorps members
will identify at-risk youth who would benefit from mentoring and the safe, positive adult role model
that the youth will be paired with, creating 3o new mentoring relationships.The AmeriCorps
memUers will follow the relationship, checking in on all aspects of the relationship while providing
opportunities for new experiences within the community. Five of these AmeriCorps members will
serve with the Multicultural Family Center to provide small group mentoring to a total of 4o teens
during the summer. During 2 separate sessions, 2o teens will receive mentoring 4 times per week for 4
weeks. These teens experience workforce engagement, service projects, and post-secondary education
experiences in a safe, controlled environment. These teens will develop skills and gain resources that
will help them seek future employment, giving them access to opportunities that they would not have
previously had, as well as adult mentors who will be able to guide them. Evidence is clear that social
connections are important determinants of healthy adolescent development (Ewell Foster, Cynthia, et
al). The second prong of our program utilizes �AmeriCorps members to engage teens during out-of-
school time and during the summer through teen night programs. The other two year-long members,
2 Three-Quai-ter Time positions, will serve with the Multicultural Family Center and the Carnegie-
Stout Public Library to develop and enhance connections with the teenaged youth populations of
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Dubuque. These AmeriCorps members will interact directly with over 25 community youth to build
relationships and increase attendance within teen-related after-school and summer programming.
Youth with a positive adult connection had significantly higher odds of good school performance, and
lower odds of alcohol use, violence involvement and violence witnessing (Culyba,Alison J., et al). The
Out-of-School teen programming is tailored to provide experiences with positive adults that are
interested in furthering teen futures. The other five AmeriCorps members will serve with the City of
Dubuquers Leisure Services Department providing small group enrichment to 25 teens during the
evenings with community teens. These members expand teen night programming to multiple times a
weelc to ensure that youth are engaged pz•oductively and are not engaging in unlawful behavior. These
AmeriCorps Members will pai�tner with the Multicultural Family Center, Carnegie-Stout Public
Library and other community organizations to provide active and engaging teen programs to increase
community connections. The majority of the summer teen programming will be held at one of our
city parks or with park staff along corizdors where teens are shown to be arrested and charged with
crimes. Providing thoughtful programming that engages the three pillars of the National Parlc and
Recreation Association, conservation, health and wellness, and social equity, is the best practice foY•
teens to feel connected to their city parks and provide positive outlets. Two-thirds of survey
respondents agree that offering a safe space to play is a top benefit of their park and recreation
agenciesL OST (Out-of-School Time) programs. Similarly, 46 percent of park and recreation
professionals report that another benefit of OST programs is providing a free or affordaUle space that
encourages healthy, physically active lifestyles through play, swimming, exercise, and sports
(National Parks and Recreation Association, 2018).
Evidence Base
Our program falls into the Pre-preliminary evidence tier as a newly proposed evidence-informed
program. While our program has previously Ueen implemented in a past program year as an
education-based program, we have determined that our program would Ue Uetter suited to address the
community needs of teen mental health. Our program previously saw the success of the Multicultural
Family Centerzs Summer Teen Empowerment Program(STEP, previously known as YEEP), which
saw 35 out of 4o at-rislc teens complete a summer mentoring and worlcforce development program.
The success of the STEP program, the lacic of other teen oppol�tunities in Dubuque, and the increasing
number of teens experiencing crisis helped our program determine that utilizing AmeriCorps can help
meet these community needs.
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Recently, the 2oi8 Iowa Youth Survey results were published by the Iowa Depat-tment of Public
Health showing that teenaged youth are struggling with mental health, suicide, and risk-taking
behaviors. Additionally, our program was able to review detailed arrest records from the Dubuque
Police Department of youth ages g � i�, which showed us that teens are engaging in unlawful and
risk-taking behavior.
Teenaged youth are an inherently underserved population that is typically difficult to serve. Our
program was unable to find a community-based program that served teenaged youth that our
partners (a mentoring organization, a city recreation department and a community library) would be
able to replicate with fidelity. This led our program to research best practices in teen programming
from across the country and in Iowa. Many Iowa communities of Dubuquers size do not have the
capacity to serve teens through free, community-based programming, which lead us to look at best
practices from the National Parlcs and Recreation Association to focus on out-of-school time
programming in an effort to reduce unlawful and risk taking behaviors in teens by giving them
options during their out-of-school time. Additionally, our program wanted to help support teens in
crisis by fostering resiliency. Research has shown that resiliency increases when youth are connected
with positive adult role models, leading our program to aim to create mentoring relationships with
teenaged youth. There is very little data on Dubuque teens, so our program will collect data on the
attitudes of the teens who participate in these community-based teen programs in an effort to gauge
their attitude towards their community and their healthy choices. From there, our program will move
to increase these attitudes and worlc to measure changes in teenaged behavior.
Website: Iowa Youth Survey (Iowa Department of Public Health)
http://www.iowayouthsurvey.iowa.gov/images/2oi8_State/IYS%2o2oi8%2oState%2oReport.pdf
Citation: zIowa Youth Survey 2o18.z Iowa Youth Survey, 2o1g,
www.iowayouthsurvey.iowa.gov/im ages/2oi8_State/IYS%2o2o 18%2oState%2oRepoi�t.pdf.
Journal: Children and Youth Services Review
Title: Connectedness to family, school, peers, and community in socially vulnerable adolescents
https://reader.elsevier.com/reader/sd/pii/Soi9o74o9173oi1�2?token=A9Bi982BD2�FD81EFooFFEA
ogCB24D5B9E4875D2A4D6oBE6�oDE2E6�AE32oA3B2569oE8CAB2F�99538E�FE�2335EoiCE
Citation: Ewell Foster, Cynthia, et al. tConnectedness to Family, School, Peers, and Community in
Socially Vulnerable Adolescents.z Children and Youth Services Review, Pergamon, 10 Aug. 201�,
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reader.elsevier.com/reader/sd/pii/So19o7409173011�2?token=A9B1g82BD2�FD81EFooFFEAo9CB2
4D5B9Eq.875D2A4D6oBE6�oDE2E6�AE32oA3B256goE8CAB2F7995g8E�FE�2335EoiCE.
Report: Out-of-School Time Repoi-t
https://www.nrpa.org/contentassets/c�6ea3d5bcee4595a1�aac298a5f2b�a/out-of-school-time-
survey-results-report-2 018.pdf
Citation: c2oi8 Out-of-School Time Report.t National Parlcs and Recreation Association, 2108,
www.nrpa.org/contentassets/c�6ea3d5bcee4595a1�aac2g8a5f2b�a/out-of-school-time-survey-
results-repoi�t-2o 18.pdf.
Report: NPRA Engagement Report
Title: 2018 Americanst Engagement with Parlcs Report
https://www.nipa.org/globalassets/engagement-survey-report-2o18.pdf
Citation: L2oi8 Ainericas' Engagement with Parks Report.z National Parks and Recreation
Association, 2018, www.nrpa.org/publications-research/research-papers/Engagement/.
Journal: Journal of Adolescent Health
Title: Protective Effects of Adolescent-Adult Connection on Male Youth in Urban Environments
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC47243g5/Pdf/nihms�35978•Pdf
Citation: Culyba,Alison J., et al. �Protective Effects of Adolescent-Adult Connection on Male Youth
in Urban Environments.z National Center for Biotechnology Information, 2016,
www.ncbi.nlm.nih.gov/pmc/articles/PMC4724385/Pdf/nihms�3597$•pdf.
Notice Priority
The program fits with several of our State of Iowa priorities based on the Volunteer Iowa State Service
Plan: 1) comprehensive community strategy 2) engage underrepresented populations and those that
provide a high return on investment and 3) actively participate in the Iowa Disaster Cadre.
Additionally, one of the program�s host sites meets the Volunteer Iowa State Service Plan priority of
Certification through the Iowa Mentoring Partnership. The program also fits within two CNCS
Funding Priorities: 1) Economic Opportunity and 2) Safer Communities.
Member Experience
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Members with AmeriCorps Partners in Learning have an incredible member experience for which the
Program Director, as an AmeriCorps alum, takes seriously. The development of inembers begins with
the recruitment process where the Program Director strategically recruits, interviews and places
members from our community to the site which is the best fit for each member. The Program
Director sits on the City of Dubuquers Leisure Services Equity Team, which focuses on recruiting and
hiring diverse community members into the department, as a whole, including the AmeriCorps
program. During the recruitment process,the Program Director learns each members' goals for their
term. This is crucial to retaining members. During their year of service, members are challenged to
develop personally and professionally. This begins with their day-to-day service where members are
supported and developed at their host site in partnership with their site supervisors. Members also
develop through the leadership of the Program Director.The Program Director takes a personal, 1-i
approach with members to challenge them in different ways. This can include leading sections of
monthly trainings, presenting in the community with the Program Director, mentoring other
AmeriCorps members at their host site,building a resume for future employment, applying for
graduate school or leading Days of Service projects. Our programs believes that each AmeriCorps
member brings unique talents to our community, and worlcs to foster the growth of that member and
utilization of their talents. Finally, all members develop and present a reflection project during our
End of Service Reflection Ceremony.AmeriCorps members also gain important experiences through
our Days of Service and service opportunities, which are conducted in partnership with Dubuque's
National Service Partnership (DNSP). This partnership is a collaboration of area national service
members and programs. Members participate in service opportunities that are approved by the
Program Director to ensure no prohibited activities take place. Through National Days of Service and
DSNP, our members learn about their community, network with other national service members, and
participate in additional service opportunities. The DNSP also expands to recognition events. For
example, national service members are invited to the City Council meeting for a City's Proclamation
of national service. The Mayor also attends the National Service Recognition Day Ceremony where all
members are recognized. Lastly,AmeriCorps members are recognized in several ways during their
service. The Program Director sends out weel�ly updates via email and gives a written "Shout Out" to
members. During monthly trainings, members receive a verbal"Shout Out". Members are also
recognized and thanked by the Program Director and site supervisor during AmeriCorps Week in ways
that are individual to each member, highlighting their strengths and the impacts they are having on
our programs and community.
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Organizational Capability
Organizational Bacicground and StafCng
AmeriCorps Partners in Learning has been sponsored by the City of DuUuque since 200�. The City of
Dubuque is a Municipal Corporation governed by an elected mayor and six-member council. The City
relies on its expert personnel to plan and implement the grant and provides in-lcind administration,
personnel and fiscal support. The City Council reviews the grant and budget documents each year.
The Program Director, Heather Satterly, a 3-term AmeriCorps alum from a State/National Program,
has worlced in AmeriCorps State/National Grant Management for 3 years in Iowa. Kim Stickney, also
an AmeriCoips alum, has been the Program Assistant for �yeais. She organizes and maintains key
program paperworlc including but not limited to National Service Criminal History Bacicgz•ound
Checks and Data Collection Submissions. Marie Ware, Leisure Services Manager, oversees the
activities of the AmeriCorps Program Director and members. She manages a depai-tment with 33 full-
time, 159 part-time/seasonal employees and a variety of volunteers. Marie has been directly and
indirectly involved with grant award management for over twenty-five years for three cities and a
non-profit agency. Arielle Swift,Accountant, has overseen the fiscal responsibilities of the program
since 2015.
AmeriCorps Pai-tners in Learning is housed in the City of Dubuquet,s Leisure Services Depai�tment.
The Leisure Services Department,through the Park Division and Recreation Division, provides quality
services to the entire coinmunity with diverse recreational programs for all ages and an integrated,
efficient, and safe system of parlcs,trails, and recreational facilities.The department also plans,
develops, and maintains the forinal public landscaping and natural areas in and around the City,
demonstrating an appreciation for the environment. The AmeriCorps Program Director, Heather
Satterly, served as an AmeriCorps Member for 3 hatf-time terms in a Parlcs and Recreation
Depai-tment. Her duties as an AmeriCorps member focused heavily on health and wellness
programming for adults and youth with disabilities, after-school youth, racial-minority populations
and the LGBTQ+ community. She has a Bachelor of Science Degree in Parks, Recreation and
Tourism Administration with a focus on Recreation Therapy from Western Illinois University. She
worlced as a Recreation and Exercise Therapist, worlcing directly with adults with disabilities on health
and wellness programining. Leisure Services Manager Marie Ware joined the City of Dubuque staff in
May 2010. In her position, Ware is responsil�le for leading a department that encompasses many of
the quality of life aspects of Dubuque. Those include city parks,trails and recreation, the Five Flags
Civic Center, the Grand River Center (conference and education center), Poi-t of Dubuque Marina,
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AmeriCorps Pai-tners in Learning, and Multicultural Family Center. Marie Ware has over 3o years of
professional experience in parks and recreation and nonprofit management in places across Iowa. She
served as Interim Executive Director of the Mahaska County YMCA in Oskaloosa. She was the
Owner/Facilitator of Future Endeavors, which provided customized services for non-profits, churches,
government, and businesses. Ware served as the Executive Director of the Mahaska Community
Recreation Foundation in Oskaloosa. She spent nine years with the City of Coralville Parks and
Recreation Department as Recreation Director and Parks and Recreation Director. She has a masteris
degree in public administration and bachelorzs degree in leisure studies from Iowa State University
and is a certified park and recreation professional (CPRP)by the National Recreation and Park
Association (NRPA). Ware is an active member of the NRPA and has held leadership positions,
including president, with the Iowa Parks and Recreation Association (IPRA) and the Iowa
Foundation for Parks and Recreation. She received the NRPA American Park and Recreation
Societyzs Young Professional Award and the IPRAzs Richard J. Slattery Award and Young
Professional Award.
Compliance and Accountability
AmeriCorps Partners in Learning strongly believes in compliance and accountability. The program
prides itself in having a reputation as a high functioning, low risk program. The Program Director has
a complete plan for compliance and accountability. The Program Director ensures site supervisors and
partner organizations fully understand the prohibited activities, non-duplication and non-
displacement guidelines, and all other important rules and regulations through service agreements
and the site supervisor training, which is face to face and 1-1 at each site, every year. The Program
Director also conducts at least two site visits a year, as well as a mid-term review to ensure rules and
regulations are being followed. The Program Director keeps lines of communications open between
members and site supervisors to ensure compliance and accountability. The Program Director
monitors the activities being performed through ongoing communication with members and site
supervisors. The Program Director can visit any site, at any time without prior appointment. Should a
compliance issue be suspected or arise, the Program Director holds a meeting with all parties involved
to review guidelines and design a corrective action plan. If compliance issues continue to be a concern
the AmeriCorps members are removed from their assigned placement until the site can ensure all
activities fall within the AmeriCorps guidelines. If compliance issues are not corrected, or re-appear,
the Program Director will no longer place AmeriCorps members at the host site. Lastly, the program
manages and implements its program with limited compliance issues. Our staff talces CNCS' Criminal
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History Record Check very seriously as well as the following program management policies: time
sheets, in land documentation, position descriptions, Member Service Agreements, Site Seivice
Agreements, mandatory training requirements, corrective action forms, midterm and end of year
evaluations, grievance,termination of service, drug free worlcplace, sexual harassment,prohibited
activities and unallowable activities. Our systems follow this cyclical pattern: follow, monitor, review
and updates to detect instances of rislc or noncompliance. The AmeriCorps Program Director runs all
background checks on AmeriCorps members.As these checks are completed, the Program Director
completes Volunteer IowaLs NSCHC Document Checklist and attaches it to copies of all Background
checks. Additionally, copies of aIl checks are kept in the memberzs electronic file, as well as in a hard
copy format. The AmeriCorps Program Assistant reviews all bacicground checks after they are run to
ensure that they are within compliance. To ensure compliance, the Program Director and Program
Assistant conduct member and staff file audits twice a year and worlcs closely with its expert fiscal
staff to ensure coinpliance.
Culture that Values Learning
AmeriCorps Partners in Learning, as part of the City of Dubuque,believes in creating an equitable
community of choice by being a data-driven & outcome focused high performance government built
on four pillars: Equity, Resiliency, Sustainability and Compassion. The City of DubuqueLs City Council
develops and sets goals, policy agenda top priorities and high priorities, as well as management agenda
top priorities and high priorities Uased on the Cityzs mission and vision statements. These goals and
priorities set the tone and expectations of the City government�s plan for the next 2 years. The City of
Dubuque is guided by the City Manager�s Management Philosophy- Step 1: Plan your worlc and worlc
your plan-The plan needs to be driven by engagement (employee, resident, customer) and data that
focuses on outcomes; Step 2: Input oriented-Team members should talce advantage of the valuable
input that can Ue provided by residents and employees for department decision-nialcing; Step 3:
Problem Solvers-Team membersL approach to issues should be to focus on what can be done to solve
the problem; Step 4: Develop Partnerships-Team members can be more effective Uy developing
partnerships with other departments and outside organizations; Step 5: Act with a sense of Urgency.
This management philosophy drives each department and division within the organization to collect
data, measure performance, and continually strive to create meaningful impact for itLs community
members. All departments have performance measures that connect to the CityLs goals and priorities.
These performance measures are collected on a regular basis and are repoi�ted on annually to the City
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Council and the community in the Citycs annual budget review process. During this budget review
process, all departments present the last yeares performance measures and impacts to the City Council
for a decision on the next yearts budget and goals.
Member Supervision
AmeriCorps Partners in Learning believes that member supervision is a vital aspect of the member
experience.All our AmeriCorps members receive two layers of supervision: i) Site Supervisor; and 2)
Program Director. First, every site designates a specific site supervisor. Each site supervisor provides
daily supervision to their members and is expected to spend a minimum of 4 hours per weelc
supervising and directly supporting their AmeriCorps Members. Site supervisors also provide on-site
training for the memberzs specific role within the host site agency and observations by the site
supervisor to ensure accurate interventions. Each year, site supervisors are trained by the Program
Director in a i-1, in person training. The site supervisor training consists of an overview of the CNCS
and ICVS, education award and living allowance, host site responsibilities, in-kind match
documentation, time sheets, data collection, site agreements, Drug Free Workplace Act, grievance,
suspension and termination processes, sexual harassment, discrimination, prohibited activities and
unallowable activities including non-duplication and non-displacement. The Program Director and
the site supervisors have a strong, professional relationship where they contact the Program Director if
problems arise. Second, the Program Director serves as a second level of supervision for all members.
Members receive feedbacic and guidance at monthly team meetings. The Program Director has an
open-door policy and members may contact via in-person meeting, email, phone, or text at any time
for any reason. The Program Director also offers open office hours at least once a week.Additionally,
midterm reviews are conducted on each members that include an evaluation of the program required
AmeriCorps guidelines and expectations, on-site member duties, site supervisor progress and the
program directores progress. This review is conducted with the member, Site Supervisor and Program
Director. Members also receive an end of service evaluation by the Program Director and site
supervisor.
Cost Effectiveness and Budget Adequacy
See Budget.
Evaluation Summary or Plan
The program model continues to operate based on past performance measurement data and a Process
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Evaluation where an outside evaluator collected systematic and accurate data on the program's logic
model activities and services delivered (outputs), participation in the intervention by the target
population (outputs) and pai-ticipant outcomes, including performance measurement data.
The program implements strong data collection systems and processes. First, member training on
data collection is very thorough. MemUers are trained on data collection processes during orientation
and by their host-site at their on-site trainings. Data collection is revisited at monthly meetings to
ensure questions are being answered and accuracy is reinforced. The program's dosage and duration
are revisited to reinforce accurate data collection is occurring appropriately for each site. Second, the
program uses strong data collection tools to collect information performance measures. Each year-
long member will be given an IPad to organize participant names, attendance of program
pai-ticipants, and pre and post assessments.AmeriCorps memUers will use these IPads to have new
program participants complete pre-assessments via SharePoint forms, where the data will
automatically be electronically sent to the Program Director. Each AmeriCorps member sends their
data to the Program Director on a bi-weeldy basis, concurrent with their bi-weekly timesheets. From
there,the Program Director analyzes the data, ensures accuracy, and organizes the data by host site
and member. The Program Director sends the coilected data bacic to the AmeriCorps member and site
supervisor monthly to review and analyze for accuracy and progress to targeted outputs and
outcomes. This will also serve as notification of when participants should be completing their post-
assessments based on their pai-ticipation attendance. Third, we have an agreement with each host site
to get data on the pai-ticipants we serve in a timely manner. Data is stored on Uoth the Program
Director's and the Program Assistant's secured computer and baciced up monthly.
The program conducted a process evaluation from March 2oi6 to November 2016. The two main
research questions were: i) Is the AmeriCorps Partners in Learning program being implemented
consistently with the program's logic model and theory of change and 2) Are program beneficiaries
generally satisfied with the program?The program utilized an outside evaluator to conduct and
analyze focus groups, surveys and data files. Site supervisors and members were encouraged to
participate in one focus group and one survey. 28 (15 QT and 13 HT) members and 12 site supervisors
completed the survey with each elementary school represented.
Based on the surveys, the responses indicated a positive impact on students. Surveys completed by the
site supervisors showed l00% of the respondents agreed the interventions implemented by ATneriCorps
members have helped children make progress in grade level reading; 100% agreed AmeriCorps is
positively contributing to K-3rd grade reading proficiency; 100% agreed they were satisfied with the
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program overall; and 92% agreed the students tutored by AmeriCorps members have more positive
connections to school because of AmeriCorps members. There were also very high responses to
members' training, attitude and professionalism.
Surveys completed by the AmeriCorps members showed 100% of the respondents agreed AmeriCorps
is positively contributing to K-3rd grade-level reading proficiency; 100% agreed they were satisfied
with the program overall; and 100% stated the Program Director supported them. There were also
very high responses to feeling connected and respected by their host site.
Based on the evaluator's analysis of the data files, there is one area of the program that needs
improvement-the program's completion rate.The average completion rate of all 12 schools was 4i%.
The highest school completion rate was 74% and the lowest school completion rate was 25%. The
program is currently following up with site supervisors from schools with the lowest completion rates
to learn what might have led to these low rates. In addition, the program explored other variables
contributing to a low completion rate. Some variables may be: not defining start; transiency; site
management; and scheduling conflicts. The program is implementing different strategies to ensure a
higher completion rate. Some strategies are educating about the importance of completing the
program, setting a completion goal and being transparent with data so members and site supervisors
ensure student completion. In addition,the program will no longer support schools who do not meet,
at the minimum, a completion rate of 50%.
Amendment Justification
NA
Clarification Summary
NA
Continuation Changes
NA
Grant Characteristics
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Page 13
Performance Measures
R�IS�'s b�Focus rl��ea A�ISYs by Objective
�aoQ� �oa�a
Healthy Futures 3 75 �ther Healthy Futures'�7F
Table1 MSYs by Focus Areas Table2 MSYs by Objeclives
� � , � �� �� � �
Healthy Futures 100% Other Heal(hy Fulures 100%
°,�o of 14'ISY NP1ti�I VS Applicttttt VS N�ot ut AN�t'
� i ao�
A,��E�6�.ont 3 7� Plation�i 0 Not m AN"r`t�
Table3. °/oMSYs by NPM vs Applicanf vs, Not in ANY
�
NPM pplicant Not in ANY
0% 100% 0%
Table4� No of MSY and Members by Objective
�� a � ��� � � � � �� �
Other Healthy Futures 3 75 8
� �
Primary Focus Area Healthy Fulures
Primary Intervention Other
Secondary Focus Area
Secondary Intervention
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Page 14
Performance Measure. Teen Mental Health through Community Connection
Focus Healthy Futures Objective Other Healthy Futures No of 3 75 No of g
Area MSY's Members
Problem Statement
As an underserved population in Dubuque, Teenaged youth are experiencing mental health crisis and are
more likely to participate in risk-taking behaviors, make unhealthy choices, and commit suicide
Selected Interventions�
1-1 Mentoring
Small group Mentoring
Describe Interventions
The AmeriCorps Partners in Learning Healthy Futures Program will have 1 FT and 1 HT AmeriCorps
members supporting one on one mentoring for at risk teenaged youth in the Hillcrest Family Services
Mentor Dubuque program AmeriCorps members will recruit and support positive mentoring relationships
with teenaged youth and aduit mentors who will meet for at ieast 1 hour a week For 50 weeks
The AmeriCorps Partners in Learning Healthy Futures Program will have 5 MT AmeriCorps members leading
one on one or small group mentoring for at risk teenaged youth in the Multicultural Family Center's Future
Talk program Members will mentor students at least 5 times a week for 4 weeks for 2 sessions
The AmeriCorps Partners in �earning Healthy Futures Program will have 2 3QT year long and 5 MT summer
AmeriCorps members supporting teen programming for at risk teenaged youth AmeriCorps members will
recruit and support teen participation on Teen Night programming to increase healthy choices and
community connection for 2 hours a week for 50 weeks during a full year
OUTPT59697 Output,
Number of teens who participate in an AmeriCorps supported teen program
�-- —------
�Target 95 individuals
' Measured By Other
i Described Instrument, AmeriCorps Members will record names of teenaged youth who participate in
I Teen Night programs, the MultiCultural Family Center's STEP program, and the
� Hillcrest Family Services Mentor Dubuque program
�
' Teens will take a pre-assessment to measure their current attitude towards
; heallhy choices and their current connection to their community
OUTCM59698 Outcome
Numbers of teens who increase in their attitude towards healthy choices & community connection
---- �
Target 76 individuals i
Measured By Oiher �
Described Instrument� Names of teenaged youth who participated in 80% of the Teen Night programs,
or have completed the MultiCullural Family Center's STEP program or Hillcrest
Family Services Mentor Dubuque program will be recorded
Upon completion of the STEP and Mentor Dubuque programs, or at the 80%
compfetion of the feen night programs, Teens will take a post-assessment to
measure their current attitude towards healthy choices and their current
� connection to their community The Pre and Post assessments for each teen �
' will be compared to determine a change in attitude towards healthy choices �
and community connection '
For Official Use Only
Page 15
For Official Use Oniy
Page 16
Program Information
General Information
*My organization has previously received an AmeriCorps State and National Yes
Grant Organizations that have been a host site for AmeriCorps members but
never had a direct grant relationship with either a State Commission or CNCS
should answer No
*The organization has sufficiently engaged community members and partner Yes
organizations in planning and implementing its intervention
*My organization certifies that it will comply with definitions and requirements Yes
outlined in the Performance Measures Instructions
AmeriCorps Funding Priorities
*Check any priority area(s) that apply to the proposed program In order to Safer Communities
receive priority consideration, applicants must demonstrate that the priority
area is a significant part of the program focus, high quality program design,
and outcomes
Grant Characteristics
�Check any grant characleristic(s) that apply to ihe proposed program None of the above grant
characteristics
AmeriCorps Identity/Co-branding
*AmeriCorps members will wear the AmeriCorps logo every day Yes
*AmeriCorps members will create and deliver elevator speeches Yes
*The AmeriCorps logo will be prominently displayed on the front page of the No
organization's website
For Offic�al Use Only
Page 17
Demographics
Other Revenue Funds 0
Number of volunteers generated by AmeriCorps members 200
Percenlage of MSY who are opportunity youth, if any 0
If Educafion NOFO Priority, which Education Priority number intervention is your program model 0
For Official Use Only
Page 18
Required Documents
Document Name Status
Evaluation Not Applicable
Federally Approved Indiiect Cost Agreement Not Applicable
Laboi Umon Concui-�ence Not Apphcable
Other pocuments Not Apphcable
For Official Use Only
Page 19
OZ a6ed
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se u�ns �ea�C s�aqwaw
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aq �ou �Cew 6uunp a�qe�nseau� �uFisap we�6o�d 6uipn��ui '�ani�ap �o�aqu�nu
ao �Cew sawo�}no aq �ou �Cew ao �Ceu, ay�o�a�qe�i�dde �o �ua�.ua�d�.ui ay� 6uipn��ui ssaappe
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ui sa6ueu� ui sa6ueu� ui sa6ueu� s��npoad ��aaia sai�inq�e a.ao� ayl �ey� sa�anosa� l�iunu�wo� aUl
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Logic Model
Problem Inputs Act�vities Outputs Short-Term Mid-Term Long-Term
Outcomes Outcomes Outcomes
opportunities Center Teen their community
Programs
1 3QT at Carnegie
Strout Public
Library Teen
Programs
For Official Use Only
Page 21
Attachment B
Budget
RPT_BGT_424
August 5,2019 12 51 PM
AmeriCorps Partners in Learning: Healthy Futures
City of Dubuque
Application ID•19AC214142 Budget Dates
Total Amt CNCS Share Grantee Share
Section I Program Operating Costs
A PersonnelExpenses 12,050 10,050 2,000
B Personnel Fringe Benefits 2,310 1,310 1,000
C Travel
Staff Travel 1,352 1,352 0
Travel to CNCS-Sponsored Meetings 0 0 0 0
Member Travel
Total $1,352 $1,352 $0
D Equipment
E Supplies 520 520 0
F Contractual and Consultant Services
G Trainmg
Staff Training 500 500 0
Member Training 800 80o 0
Total $1,300 $1,300 $0
H Evaluation
I Other Program Operating Costs 848 848 0
Section I.Subtotal $18,380 $15,380 $3,000
Section I Percentage 84°/a 16%
Section II.Member Costs
A Living Allowance
Full Time(1700 hrs) 14,000 8,000 6,000
1-Year Half Time(900 hours) 7,450 4,450 3,000
Reduced Half Time(675 hrs) 0 0 0
Quarter Time(450 hrs) 0 0 0
Minimum Time(300 hrs) 9,880 5,080 4,800
2-Year Half Time(2nd Year) 0 0 0
2-Year Half Time(1st Year) 0 0 0
Three Quarter Time(1200 hours) 19,800 10,800 9,000
Total $51,130 $28,330 $22,800
B Member Support Costs
FICA for Members 3,911 3,911 0
Worker's Compensation 1,636 1,636 0
Health Care 4,200 4,200 0
Total $9,747 $9,747 $0
Section II Subtotal $60,877 $38,077 $22,800
Section II.Percentages 63°/a 38%
Section III.Admimstrative/indirect Costs
A Corporation Fixed Percentage
Corporation Fixed Amount 9,613 1,687 7,926
Commission Fixed Amount 1,125 1,125 0
Total $10,738 $2,812 $7,926
B Federaily Approved Indirect Cost Rate
Sect�on III.Subtotal $10,738 $2,812 $7,926
Sect�on III Percentage 26% 74%
Section I+III.Funding Percentages 63% 38%
Budget Totals $89,995 $56,269 $33,726
Budget Total Percentage 63% 37%
Required Match 24°/a
#of years Rece�ving CNCS Funds 2
Form 424A Modified SF-424A(4/88 and 12/97)
Page 1
RPT_8GT 424
August 5,2019 12 51 PM
AmeriCorps Partners in Learning: Healthy Futures
City of Dubuque
Total MSYs 3 75
CostIMSY $15,005
Total Amt CNCS Share Grantee Share
Budget Totals $0 $0 $0
Budget Total Percentage 0% 0%
Required Match 24°/a
#of years Receiving CNCS Funds 2
Total MSYs 3 75
Form 424A Modified SF-424A(4/88 and 12/97)
Page 2
8/5/2019 Budget Narrative for 19AC214142
Budget Narrative: AmeriCorps Partners in Learning: Healthy Futures for City of Dubuque
Section I. Program Operating Costs
A. Personnel Expenses
Position(fitle-Qty-Annual Salary-%Time CNCS Share Grantee Share Total Amount
Program Director -1 person(s)at 8300 each x 100°/a usage 7,300 1,000 8,300
Program Ass�stant -1 person(s)at 2750 each x 100%usage 2,750 0 2,750
Site Supervisor -1 person(s)at 1000 each x 100%usage 0 1,000 1,000
CATEGORY Totals 10,050 2,000 12,050
B. Personnel Fringe Benefits
Purpose-Calculation CNCS Share Grantee Share Total Amount
Program Director Fringe Benefits Program Director(Workers Comp+FICA+ 1,249 486 1,735
IPERS=20 9%)
Program Assistant Fringe Benefits (Workers Comp+FICA+IPERS=20 9%) 61 514 �75
CATEGORY Totals 1,310 1,000 2,310
C. Travel
Staff Travel
Purpose-Calculation CNCS Share Grantee Share Total Amount
Travel to CNCS-Sponsored Meetings 0 0 0
ICVS(Director travel to ICVS sponsored meeting) ICVS(Director travel to
ICVS sponsored meeting 1 Trips to Des Moines @ 450 miles each=900 mdes 772 � 7�2
x 58 per mde(City of Dubuque policy approved mdeage reimbursement rate)
_$522,$50 per day diem x 2 days$100,$150 for 1 night in hotel)
Director Travel Director Travel(Mdeage for site supervision for 16 site visits,8
midterm reviews,and serwce pro�ects,x 1000 miles per year x 58 per mde 580 0 580
(City of Dubuque policy approved mdeage reimbursement rate)=$580)
CATEGORY Totals 1,352 0 1,352
Member Travel
Purpose-Calculation CNCS Share Grantee Share Total Amount
CATEGORY Totals 0 L-_ 0 I __....... __.O
�
D. Equipment
ItemlPurpose-Qty-Unit Cost CNCS Share Grantee Share Total Amount
CATEGORY Totals 0 0 0
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8/5/2019 Budget Narrative for 19AC214142
E. Supplies
Item-Calculation CNCS Share Grantee Share Total Amount
Member gear w/AmeriCorps logo (Uniforms-2 polo shirts for year-long
program members,4 x$50=$200,t-shirts for summer based program 8 x$20 400 0 400
_$160,name tags$5 x 8 members=$40,all with AmeriCorps logo)
Office supplies (paper,ink,toner,pens,pencils,post-it notes)$10 per month x 120 0 120
12=$120)
CATEGORY Totals 520 0 520
F. Contractual and Consultant Services
Purpose-Calculation-Dady Rate CNCS Share Grantee Share Total Amount
CATEGORY Totals 0 0 0
G. Training
Staff Training
Purpose-Calculation-Dady Rate CNCS Share I Grantee Share I Total Amount�
� _I �I
Program Director Trainmg (Program director attendance at conferences
reqwred by the program sponsor 4 trainings x$75 registration,$50 per day 500 0 500
diem x 4=500)-Dady Rate of 50
CATEGORY Totals 500 0 500
Member Training
Purpose-Calculation-Daily Rate CNCS Share Grantee Share Total Amount
Member Development (4 Mounds Team Buildmg/communication training, 1 400 0 400
trainings per year at$50'8=$400)-Daily Rate of 400
Member Orientation (Portfolios,handbooks,printed materials and other
trammg supplies as needed $50 x 8 members 3 day orientation training for 400 0 400
fall and summer members Ongomg monthly trainmg for both fall and summer
members)-Dady Rate of 50
CATEGORY Totals 800 0 800
H. Evaluation
Purpose-Calculation-Dady Rate CNCS Share Grantee Share Total Amount
CATEGORY Totals L-0 I 0 0
�
I. Other Program Operating Costs
Purpose-Calculation CNCS Share Grantee Share Total Amount
Background Checks Background Checks(12 x$54 each=648 Includes FBI,
state of residence and state of service checks for 8 members and 4 site 648 0 648
supervisors)
Member Timekeeping System ($15 x 8 members=210) 120 � 0�� 120�
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8/5/2019 Budget Narrative for 19AC214142
l II II Il I
Member Assistance Program ($10 x 8 members=$80) 80 0 80
CATEGORY Totals 848 L_�L_ 848
�IL
SECTION Totals 15,380 3,000 18,380
PERCENTAGE 84% 16%
Section II. Member Costs
A. Living Allowance
Item-#Mbrs w/Allow-Allowance Rate-#Mbrs w/o Allow CNCS Share Grantee Share Total Amount
Full Time(1700 hrs) 1 Member(s)at a rate of 14000 each 8,000 6,000 14,000
Members W/O allowance 0
Three Quarter Time(1200 hours) 2 Member(s)at a rate of 9900 each 10,800 9,000 19,800
Members W/O allowance 0
1-Year Haif Time(900 hours) 1 Member(s)at a rate of 7450 each 4,450 3,000 7,450
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 Q 0 0
Members W/O allowance
Reduced Half Time(675 hrs) Member(s)at a rate of each 0 0 0
Members W/O allowance
Quarter Time(450 hrs) Member(s)at a rate of each
Members W/O allowance 0 0 0
Mmimum Time(300 hrs) 4 Member(s)at a rate of 2470 each 5,080 4,800 9,880
Members W/O allowance 0
CATEGORY Totals 28,330 22,800 51,130 I
�
B. Member Support Costs
Purpose-Calculation CNCS Share Grantee Share Total Amount�
1
FICA for Members 51130"0765=$3911 3,911 0 3,911
Worker's Compensation liwng allowance totai(51130)x City of Dubuque 1,636 0 1,636
Workers Comp Rate(032)=1636
Health Care 12 months of health msurance for 1 FT member at$350/month 4,200 0 4,200
CATEGORY Totals 9,747 �0 �9,747
�l
SECTION Totals 38,077 22,800 60
� ,877
PERCENTAGE 63% 37% �-�
Section III. Administrative/Indirect Costs
A. Corporation Fixed Percentage
Item-Calculation CNCS Share Grantee Share 1 Total Amount
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8/5/2019 Budget Narrative for 19AC214142
I II II II I
Corporation Fixed Amount $15,380+$38,077=$53,457'0 0526=$2812 with
$1687 for CNCS share and$1125 for Commission share,Grantee share= 1,687 7,926 9,613
$18,380+$60,877=$79,257*0 10=$7926
.............._...._....
Commission Fixed Amount 1,125 0 1,125
CATEGORY Totals 2,812 7,926 10,738
B. Federally Approved Indirect Cost Rate
Calculation-Cost Type-Rate-Rate Claimed-Cost Basis CNCS Share� Grantee Share Total Amount
�I
CATEGORY Totals � 0 IL_� �
�---�
SECTION Totals 2,812 7,926 1
0,738
--........_...
PERCENTAGE 26°/a 74%
BUDGET Totals 56,269 33,726 89,995
PERCENTAGE 63% 37% �
Total MSYs 3 75 L-�
�I
Cost/MSY 15,005 I -�
L
Source of Funds
�Section Match Description Amount Type Source
Htllcrest Family Services Cash Match(secured) 10,400 Cash Private
Source of Funds Htllcrest Family Serwces Site Supervisor In-Kind 1,000 In Kind Private
(Secured)
City of Dubuque Cash Match(secured) 22,326 Cash State/Local
Total Source of Funds � 33,726 �l_______�
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Attachment C
Iowa AmeriCorps Disaster Cadre
Attachment C
IOWA AMERICORPS DISASTER CADRE
DISASTER DEPLOYMENT AGREEMENT
In this agreement the ICVS and GRANTEE agree as follows:
1. PURPOSE. The puipose of this agreement is to outline the expectations and
limitations of, for eligible reimbursements and requirements for disaster
deployment under the ICVS' Disaster Response Cooperative Agreement (DRCA)
with the Coiporation for National and Community Service (CNCS), Iowa
AmeriCorps Disaster Cadre or direct deployments initiated from Iowa Homeland
Security and Emergency Management(HSEMD).
2. MEMBERS. The GRANTEE, as a member of the Iowa AmeriCoips Disaster
Cadre is willing to respond to disasters or assist in recovery efforts within their
capability. ICVS and GRANTEE seek to make efficient use of their authority,
powers, resources, and privileges by entering into this agreement to carry out its
puiposes.
3. 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,
Iodging, meals, supplies, and equipment incui�ed for deployment and any
negotiated expenses specific to the deployment or mission assignment.
Unless specifically negotiated and approved under a specific mission assignment
and deployment(s), the ICVS will not reimburse costs already included in the
program's budget under its existing ICVS or CNCS grant(s). This preclusion
includes both the Corporation and non-Corporation shares of staff salaries paid,
participant costs, staff overtimes, administrative overhead and fees and/or any
other costs.
The GRANTEE is responsible for following all reimbursement procedures and
allowable cost policies outlined or referenced in the Disastez•Deployment
Agreement between the ICVS and CNCS that will be provided to the GRANTEE
in the case of mission assignment and deployment.
4. LIABILITY. GRANTEE ensures adequate liability coverage for any mission
assigrunent or deployment.
5. RECORD KEEPING. Records will be maintained by the GRANTEE and ICVS
in a manner consistent with the reporting z•equirements 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.
6. TRAINING. GRANTEE and/or ICVS shall insure AmeriCorps Members have
received appropriate training for the specific mission assignment prior to
acceptance of that mission assignment.
7. TERMINATION. This agreement may be terminated in part or completely with
or without cause by either ICVS or GRANTEE upon thirty (30) days written
notice.
8. AMENDMENTS. Any amendment to this agreement shall be by the mutual
consent of the parties, be in writing, and be appended to this agreement.
9. DEPLOYMENT. Any deployment not ordered by the Governor will be
voluntary and can be rejected by the ICVS 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 ICVS and/or CNCS.
10. ADMINISTRATORS. GRANTEE and the ICVS each will designate one
representative to serve as administrators of this agreement.
For GRANTEE: (Name)
(Phone number)
(Email address)
For ICVS: Adam Lounsbury
515-348-6230
Adam.Lounsbury@iowaeda.com
Attachment D
Additional Fees & Reporting Requirements for Grantees Not Using the
Volunteer Iowa Member Management System
Effective member management and timekeeping is critical for the success of any
AmeriCorps State program. Applicants were required to budget $1 S/member for
costs of participation in the state's member management and timekeeping systems.
This was a required budget item. Grantees who wish to use another member
management and timelceeping system may be allowed to do so, with Volunteer
Iowa approval, prior to the start of inember 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 aiternate meinber management and timekeeping
system can seek formal approval by completing this form to provide additional
detail about the alternate system and to acknowledge the additional fees and
reporting requirements to be incurred.
System name/platform:
Have you previously used this system for AmeriCorps member timekeeping:
Y/N
Please initial and date tlze following sections to aclinowledge these requirements:
Grantee agrees to pay a cost of$30hneinber as a fee to Volunteer Iowa for use of
an aiternate member management/timelceeping system.
Initials:
Grantee agrees to submit a monthly timekeeping report for the duration of the
project period to be monitored by Volunteer Iowa staff. Such a report inust come
directly from the system and should indicate submitted and approved hours per
member.
Initials:
This form completed by: (Name)
(Title)