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HomeMy WebLinkAbout05.M- Library RESOLUTION (ID# 1358) DOC ID: 1358 H CITY OF SAN BERNARDINO—REQUEST FOR COUNCIL ACTION Grant From: Deborah Clark M/CC Meeting Date: 12/05/2011 Prepared by: David Mendoza, (909) 381- 8201 Dept: Library Ward(s): All Wards Subject: RESOLUTION OF THE MAYOR AND COMMON COUNCIL OF THE CITY OF SAN BERNARDINO ACCEPTING $60,000 FROM THE CALIFORNIA STATE LIBRARY AND AUTHORIZING THE SAN BERNARDINO PUBLIC LIBRARY ("SBPL") TO RECRUIT AND HIRE a LIBRARIAN II/CHILDREN'S AND OUTREACH SPECIALIST AS GRANT MANAGER FOR THE "A+PARTNERS IN EDUCATION" PROJECT. [Ward(S): All] Financial Impact: Account Budgeted Amount: 0 Account No. 123-868-5945-0000 Account Description: A+Partners in Education Grant Balance as of: 11/28/11 Balance after approval of this item: $60,000 Please note this balance does not indicate available funding. It does not include non-encumbered reoccurring expenses or expenses incurred,but not yet processed. Motion 1: Adopt resolution; and Motion 2: Authorize the Director of Finance to amend the FY 2011-12 Budget to reflect the appropriation of $60,000 in funds into the newly established grant account (account no.123-868-5945-0000). Synopsis of Previous Council Action: None. Background: Application Process: Currently, the State Library offers a unique grant opportunity called "Pitch an Idea". Doe to staff shortages at the State Library,the usual 20 page application process has been replaced by a telephone conference between staffs of the State Library and the local library jurisdiction. hi August, San Bernardino Public Library "pitched an idea" to the State Library called "A+ Partners in Education". This project proposed funding a full time Librarian II/Children's Library Specialist to work with schools and other non-profits in the region for a period of approximately 9 months to create partnerships with the School district,the California State University at San Bernardino and other non- profit and service agencies in the San Bernardino city region serving the needs of children ages 8 through 17. Updated: 12/1/2011 by Shauna Britton H 1358 _ At the time of the application, Library Management was aware that the current Children's Library Specialist would be retiring on December 31,2011,after 35 years of service. Library Administration moved forward on the grant application in conjunction with this retirement to give the Library the opportunity to supplement children's services during this critical year of change and to provide a potential future applicant for the position of Library Specialist after the current employee's retirement benefits and accumulated leave have been paid for through salary savings. However, accepting this grant and funding this position does not guarantee the continuance of this position beyond the grant period closing date of September 30, 2012. The job duties of this position are designed to allow completion of this task within the 9 month time frame funded by the grant. Library Administration intends to request funding for refilling the position of Librarian II/Children's Specialist vacated by the retirement of the current employee during the 2012/13 budget cycle. If Common Council approves the budget for this position, it would be at the same salary range and classification as the grant funded position, and the incumbent will be eligible to apply for the regular staff position. The Position: The grant position title,salary range and benefit structure is as follows: Job Title:Librarian II/Children's and Outreach Specialist Salary: $3,984 per month or$35,856,based on a hiring date of January 1,2012 and a termination date of September 30, 2012, the end of the grant year. Benefits: $11,980 for 9 months benefits Total Salary and Benefits Package: $47,836 Total Salary and Benefits Package guaranteed by grant: $60,000 Funds remaining: $12,164 Upon completion of the grant project, the Mayor and Common Council will be requested in a future action to approve the use of grant funds remaining in the account of approximately$12,164 to offset the salary of the current Library grant funded employee Paula Miller, Literacy Specialist, who has been acting in the capacity of this grant position since November 1,2011. Budget: The budget for this project is based on$60,000 of grant funds from the California State Library. The State Library indicated that the application would be strengthened by the addition of matching funds, so the Library Board approved the use of$15,000 from the Library's Memorial Trust Fund as a match for the grant. No general fand monies will be used for this grant project. Library Board and Grant Committee Actions: At their Regular Meeting of September 12, 2011, the Library Board of Trustees unanimously approved the grant application and instructed the Library Director to forward the grant to the Grants Committee for consideration at their scheduled October 11,2011 meeting. At the cancellation of that meeting,Acting-Chair McCammack referred the grant for consideration of the fall Council at the next available meeting. Purpose of the Grant: If funding is accepted and the hiring of the Children's Library Specialist approved, "The "A+Partners �+ in Education" project will accomplish the following for the community at large, serving all wards,by Updated: 12/1/2011 by Shauna Britton H 1358 September 30,2012: • A network with a minimum of 20 Agencies participating in the "A+ Partners in Education" collaboration with 5 formal partnership documents to be created, including one with the San Bernardino School District. • The creation of a web site for the A+ Partners collaboration that will offer a calendar of programs and events supporting education; a list of community resources that can assist in homework help and grade improvement; where to find and how to access electronic resources available in the community, what community partners can offer parents and care givers in working with troubled youth, etc. • A library card drive in the San Bernardino School District to issue 40,000 new library cards to students ages 8 through 17. • A thorough understanding by the "A+ Partners" of the resources the San Bernardino Public Library has to offer students and families and an equal understanding by all library staff as to the resources available through the many family service agencies in the city region. • The creation of 3 publications, both electronic and paper, that raise the awareness of parents and students as to the resources available to assist in improving school performance from the San Bernardino Public Library and one on-line publication hosted on the website outlining the services for students and their families provided by all partners in the collaboration. Financial Impact: At no cost to the City, the City will receive the value of an full time employee at the level of Librarian II for a period of approximately 9 months to complete a specific and finite project. In addition, the Library's Literacy Budget will receive the amount of approximately$12,164 to compensate the Library for the use of the Literacy Coordinator's time in moving this project forward prior to hiring the grant funded staff. City Attorney Review: Suuaortina Documents: reso to 1358 (PDF) A+Partners Grant Application (PDF) Updated: 12/1/2011 by Shauna Britton H CALIFORNIA STATE LIBRARY FY 2011/12 LSTA PITCH AN IDEA GRANT APPLICATION ELEMENT 1: BASIC INFORMATION Applicant Information 1. Library/Organization 2. Library's DUNS Number San Bernardino Public Library 73604563 w 3. Internet Web Site Address www.sbpl.org y 4. Project Coordinator Name&Title 5. Email Address Deborah Kaye Clark,Library director clark.deb @sbpl.org a 6. Business Phone Number 7. Fax Number Q 909-381-8210 909-381-8229 `o 8. Mailing Address w PO Box or Street Address City State Zip 555 West 6'h Street San Bernardino CA 92410 0 0 Project Information 9. Project Title A+ Partners in Education ° 10. LSTA Funds Requested $60,000 `o 11. Cash Match $15,000 U 12. In-Kind $30,035 n 13. Total Project Cost $105,035 U 14. Federal Library Services&Technology Act(LSTA)Purpose(Check one purpose which best describes the project) Q ❑ Developing library technology,connectivity and services ❑ Providing targeted services to diverse populations or persons who have difficulty accessing services n ❑ Providing services to promote life-long learning _ ® Developing public and private partnerships 0 15. California's FY 2011/12 LSTA Goals(Check all that describe the project) — R ® Literacy and Educational Support u ® Responsive Changes in Library Services Q ® Digital Preservation and Resource Sharing ❑ Technology Access for All m ® Access and Accessibility t7 16. Number of persons served(The number of persons who use or will benefit directly from this project) 35,000 c 17. Congressional District(s)number 43rd R 18. Primary Audience for project(Check at least one, maximum of three) C ❑ Adults ❑ Public library trustees ® Children ❑ Rural Populations ❑ Institutionalized persons ❑ Senior Citizens t ❑ Library Staff&Volunteers ❑ Statewide public ® Non/limited English speaking persons ❑ Urban populations ❑ People with special needs ® Young adults and teens Q ❑ Pre-school children 19. This signature certifies that l have read and support this LSTA Statewide Grant Application. Director Name: Deborah Kaye Clark Mailing Address (iifdiiferensfrom above) 555 W. 6 Street city San Bernardino zip 92410 Director Signature: Date: ELEMENT 2: PROJECT BACKGROUND AND SUMMARY Describe how this project was identified as a need,how it relates to your strategic plan,and what will be accomplished if this ,.� project is implemented.Should relate to activities in the timeline(Element 4)and include statistical info to support project. Limit to one pave and use 12 Point font. The Need: The City of San Bernardino is a community of over 210,000 residents. A diverse community within an urban setting,the city is challenged by economic blight(over 20%of our residents are at poverty level with a total of 46.4%earning below$35,000 per household. Our per capita income is$14,545.) Our current unemployment rate has risen to 20%. Of the 211,338 residents represented in the 2010 Census figures, our v population aged 6-17 represents 26%of our residents. A picture of our ethnic breakdown shows 60%Hispanic w origin, 14%black. Also challenging is a high proportion of renters as opposed to owners, creating a transient population lacking of a real sense of community and increasing the highschool drop out rate. Thirty-three percent of the population is without a high school diploma. Even more alarming is the fact that the High School m dropout rate reached 53%--showing a downward spiral that must be reversed. a The San Bernardino Public Library should be a major educational engine helping to reverse the trend,however a overall circulation and use at the four libraries has fallen more than 10%below the circulation level of 2000 and w loans only 350,000 items per year. Of those items, 119,000 or only 34%are children's materials. In terms of m library cards, less than 20%of the children of the community currently hold library cards. Strategic Plan: In June of 2010,the City Council and Library Board identified community needs and established °o goals for the library to help to fill those needs. Among the needs identified were: To improve the performance of I public schools(to increase graduation rate);To provide more opportunities for family to play and learn together; To bring more people "downtown"; To increase increase participation in civic affairs and create a greater sense 6 of community. Library goals were approved to support these needs: 1) To convey a clear and consistent vision of the Library as an educational driver for the city which can also help build a sense of community. 2) Develop g a community vision that places the Feldheym Central Library in the minds of the public as a family friendly source of cultural enrichment and a partner with the schools in their child's education. 3) Increase Library partnerships and collaborations. N The solution: hi 2010,the Feldheym Library applied for and received a Family Place grant. That grant was so successful in our community,particularly in it's goal to enhance partnerships and collaborations with other family service agencies, that the Library determined to take another major step forward with this application,A+ o m Partners in Education. .a A+Partners Vision: To create a stable and education oriented community bound together with a vision of a success for their children nurtured from birth to high school graduation through a partnership between San = Bernardino Public Library and other formal education agencies, child wellfare non profit agencies and other City 2 Departments in a collaboration called A+Partners in Education. Designed to expand the educational H opportunities and enhance the academic achievement of each student,long term success will be defined by increasing the high school graduation level of the San Bernardino community, short term success by a m measurable increase in the following: documented partnerships between the library and community agencies, a. library cards issued to young people, circulation of children's materials,attendance at family library programs a and an increase in community programs focused on reading events. Methodology: Contract with a Librarian III level Children's specialist,with experience in public and school u library service,to analyze existing services and resources available to students and caregivers. To convene y9 meetings between the representatives of all potential community partners to facilitate the development of a city- wide program which would help achieve the vision of the project by tapping into the strengths and resources of each of the potential partner. To create partnership documents between the Library and a minimum of 5 agencies, assuring that the work accomplished during the grant period has a strong base to continue. To issue 35,000 new library cards to school age youngsters, our target audience. 2 ELEMENT 3: PLANNING AND EVALUATION Please answer each area concisely and completely.Limit to two Pages and use 12 point Font. _ A. Project Purpose—Short statement which answers the questions:we do what,for whom,for what expected benefit. The San Bernardino Public Library will hire a staff person for one year to create partnerships with the major formal education units in the city as well as city service divisions and major non-profit educational agencies that will forge into a city-wide group called A+Partners in Education. These partnerships will result in a list of the assets and programs available to students of all ages in the city, including books,on-line resources, special programs and tutoring programs; a thorough understanding by the staff of all partners of the resources the San Bernardino Public Library has to offer students; a library card drive in the San w Bernardino School District to enable every student in San Bernardino to gain access to the resources,both w physical and on-line,that the library has to offer;the facilitation of the A+Partners group to create a list of potential programs, activities,and events that will help make San Bernardino "a city of readers". a B. Project Activities/Methods—How will the project be carried out?Include major activities from the timeline. Q The Library will contract with a Librarian III level Children's specialist,with experience in public and w school library service. The first weeks will be spent in analyzing the resources currently available at the San Bernardino Public Library and creating the first publication to promote existing library resources to students,parents and teachers. The A+Partner Coordinator will then convene an initial meeting of all the c potential partners in education in the community surrounding the San Bernardino School District, (Administration,Board Members,Faculty/Staff,PTA Officers) explaining the A+Pamers in Education concept and encouraging participation in a new collaboration. Upon permission of the District,the A+ m Coordinator will assess resources available to students in the school libraries, including book and electronic m resources and tutoring programs. Concurrently, the staff person will conduct presentations to n Administrators, faculty,students,and PTA's to convey the depth of resources available currently from the public library and how to access those resources. The next convening will be of University/College a libraries to discover if there are University and Community College Libraries that allow non-student use of books or electronic resources, and what special tutoring and presentation skills might be available for parent or caregiver education. A third convening meeting will then occur bringing city agencies and major non- profit agencies together. The goal of this meeting is to assess what services and resources the agencies °- might have for students and to gain an understanding of what the Library has to offer. The fourth and final .09 convening will bring all potential partners together to establish a city-wide group dedicated to increasing n the graduation success rate of the community and making San Bernardino "a city of readers". a c m ti C. Anticipated Project Outputs—Measures of service or products provided. m 20 Agencies willing to participate in the A+Partners in Education collaboration. 5 partnership documents,one including the San Bernardino School District, outlining the objectives for a each member of the partnership so that a true equal partnership will emerge. + The creation of a web site for the A+Partners collaboration that will offer a calendar of programs and events supporting education; a list of community resources that can assist in homework help and grade E improvement;where to find and how to access electronic resources available in the community,what community partners can offer parents and caregivers in working with troubled youth, etc. a The creation of 3 publications,both electronic and paper, that raise the awareness of parents and students as to the resources available to assist in improving school performance from the San Bernardino Public Library and 1 on-line publication hosted on the website outlining the services for students and their families provided by all partners in the collaboration. To convene a series of 4 meetings involving non profit and service agencies in the city of San Bernardino ° that will result in the creation of the collaboration called A+Partners in Education. 3 The issuance of 40,000 new library cards to elementary aged students. D. Anticipated Project Outcome(s)—what change is expected in the target audience's skills,knowledge,behavior,attitude, and status or life condition. How will you measure these outcomes? w The target audience is listed at 35,000 youngsters,the number of elementary school aged youngsters that we c anticipate will receive library cards through the library card drive. If we are successful with the drive, the v youngsters knowledge of the materials and information they can obtain through the library will increase. r However, the ultimate outcome we hope to achieve through the creation of the A+Partners in Education is e an improvement in the graduation level of these same students some 7 years later. ¢+ A secondary target audience consists of the faculty and staff members of the schools,non profit agencies, government agencies and other professionals in the education community. We anticipate an increase in the knowledge of all caregivers as to the multitude of programs available to assist in the successful education of the young people of San Bernardino. We expect an increase in the skills of teachers and case workers of o participating agencies (app. 500 individuals) in their ability to refer students and parents to agencies that can help them in the pursuit of a diploma for their child or student. We will measure this by surveying the staff of all the participants in the program one year after they receive a copy of the final report listing the o agencies and assets in the community serving school aged youth and their education needs. $ E. Complete the following sentence.This project will be successful if: n ...at the conclusion of the project, the library has full documentation of the resources available in the city of San Bernardino for school age children which will help them excel in school; a minimum of five formal Q partnerships have been established with local agencies, including one with San Bernardino School District; a collaboration called A+Partners in Education has been established,40,000 new library cards have been M issued to school aged children; and circulation of children's and young adult materials increases by a minimum of 10%. `o M U a a c m c� N d C 1= N a c m E U U A a 4 Packet Pg. 141 (e auved +V joi iuer'J 000'o94;o eoueldeoov : 86£x) uogeoliddy luejE)sJauNed+V .3uewyoeny r r � x x uSt E a d a C X k N v V N ,e a 'S V W a X 0 9 0 °y X X d w 0 9 x x O y � ° x X E F $r X V V u a a A X d s $ > k X 0 i v � w ►� c '.rn k e .. w y o is U t U v O v C « m z Q p Y y d O O q A O O ti E E u 9 8 0 d W O 2 m > C C C F A F = —a > > > b u40U0 U U U U wU AAA ELEMENT 5: BUDGET The budget should clearly identify the amounts requested and from what sources. Column A Column B Column,. Budget Category Salaries & Benefits Children's Specialist/Project Coordinator $60,000 $7,500 $0 $67,500 Library Director $0 $0 $15,200 $15,200 Clerical Support Staff 25 FTE $0 $0 $8,485 $8,485 v Library Webmaster $0 $0 $1,350 $1,350 w e Subtotal $60,000 $7,500 $25,035 $92,535 Explanation: A full time Children's Specialist with experience in public and school libraries and the ability to convene and facilitate group dynamics m will be hired for 1 year with full benefits at a rate of$5,625 at a cost of$67,500. a The Library Director will dedicate a minimum of 7 hours per week to the project as in-kind support at a cost of$60 per hour,no Q benefits. A Library Clerk will provide 10 hours per week clerical support at a cost of$16.97 per hour. The Library Webmaster will dedicate a minimum of 40 hours to assist on the web development aspect of project at a cost of$33.73 per hour. t j 0 0 0 0 Library Materi' $0 $0 $0 $0 0 $0 $0 $0 $0 c $0 $0 $0 $0 0 a $0 $0 $0 $0 Subtotal $0 $0 ;;$O $0 Q u Explanation: n to C O U a a a 0 N d $0 $0 $0 $0 r $0 $0 $0 $0 a $0 $0 $0 $0 a $0 $0 $0 $0 a. Subtotal $0 $0 $0 $0 s Explanation: m Z; Q 6 PacketPg. 143 S.M.b O eratin Ex enses Column A Column B '..'I mn.E Budget Category: 7Subtotal Contracted Services Printing $1,000 $5,000 $6,0Web site assistance $1,600 $0 $1,600$0 $0 $0 $0 $0 $0 $2,600 $5,000 $7,600 w Explanation: S All photocopied materials will be produced in house,with an in-kind valueation set at approximately$5,000. 'y 500 copies of the final publication that lists the assets of all agencies and resources available through the A+collaboration will be d professionally printed at$2 per copy. r The Library's website was created and is maintained by ECivis Copomtion. $1,000 is budgeted for minor changes to the website to a accommodate the new A+Partners site Q `o c SUPP 6 Library Cards $0 $4,200 $0 $4,200 0 Barcodes $0 $700 $0 $700 °o_ $0 $0 $0 $0 w $0 $0 $0 $0 c Subtotal $0 $4,900 $0 $4,900 c Explanation: m 35,000 Library cards will be purchased at$.12 per card y° 35,000 barcodes will be purchased at$.02 per barcode Q m N M C O Other Charges $0 $0 $0 $0 a $0 $0 $0 $0 Q $0 $0 $0 $0 A $0 $0 $0 $0 v, Subtotal $0 $0 $0 $0 Explanation: a Q m E z qu L Q Operating Expenses Subtotal $0 $7,500 $5,000 $12,500 Project Total (Salaries&Benefits,Materials,Equipment,and Operating Expenses) $60,000 $15,000 $30,035 $105,035 Indirect Cost(up to 10%) $0 $0 $0 $0 Grant Totals $60,000 $15,000 $30,035 $105,035 7 Packet Pg. 144 FUTURE FUNDING Briefly describe how this project will be financially supported in the future. The duties of the staff hired for the project will largely involve the assessment of existing resources,the creation of partnerships and the development of the framework of a new collaboration. It is anticipated that the current Children's Specialist will be retiring in December of 2011. If we are allowed to fill the position, it will be available in July, 2012, consistent with the closing of the grant period. The person hired for that position will be responsible for continuing the momentum accomplished during the grant, assisted by the Family Literacy Coordinator. The Library Director will continue to take a leading role in making the collaboration continue and flourish. a W c .N `w ELEMENT 6: ATTACHMENTS r If you have additional resources that support your grant,please attach after this page a a ELEMENT 7: INTERNET CERTIFICATION FOR APPLICANT PUBLIC LIBRARIES FY 2011/12 o 0 Check the Appropriate Library Type 0 yr ® Public Library ❑ Academic ❑ K-12 ❑ Multi-type ❑ Special/Other o a a C As duly authorized representative of the applicant library, I hereby certify that: (check only one of the following © boxes) a au A• ® The applicant library has complied with the requirements of Section 9134(f)(1)of the Library Services and Technology Act. 0 B• ❑ The applicant library has not yet complied with the requirements of Section 9134(f)(1) of the .9 Library Services and Technology Act. However, the applicant is undertaking actions, including n any necessary procurement procedures,to put into place an Internet safety policy that meets these Q requirements. The applicant library will be in compliance with the requirements of Section OE 9134(f)(1)before the library receives funding for a subsequent year. N d C C• ❑ The requirements of Section 9134 (f)(1) of the Library Services and Technology Act do not apply a to the applicant library because no funds made available under the LSTA program will be used to a purchase computers used to access the Internet or to pay for direct cost associated with accessing the Internet for a public library or public elementary school or secondary school library that does E not receive discounted E-Rate services under the Communications Act of 1934, as amended. m Signature of Authorizing Official Date 8 Packet Pg. 145 ELEMENT 8: ASSURANCES The applicant assures and certifies that it will comply with the regulations, policies, guidelines and requirements, as they relate to th- application,acceptance and use of Federal funds for this federally assisted project. Also the Applicant assumes and certifies: 1. It possesses legal authority to apply for the grant; that a resolution, motion or similar action has been duly adopted or passed as w official act of the applicants governing body, authorizing the filing of the application, including all understandings and assurance contained therein, and directing and authorizing the person identified as the official representative of the applicant to act u connection with the application and to provide such additional information as may be required. 2. It will comply with Title VI of the Civil Rights Act of 1964(P.L. 88-352)and in accordance with Title VI of that Act, no person ii the United States shall,on the ground of race,color or national origin,be excluded from participation in,be denied the benefits of,o a be otherwise subjected to discrimination under any program or activity for which the applicant receives Federal financial assistant w and will immediately take any measures necessary to effectuate this agreement. .y 3. It will comply with Title VI of the Civil Rights Act of 1964(42 U.S.C.2000d)prohibiting employment discrimination where (1) the primary purpose of a grant is to provide employment or (2) discriminatory employment practices will result in unequa treatment of persons who are or should be benefiting from the grant-sided activity. a 4. It will comply with Section 504 of the Rehabilitation Act of 1973,as amended,20 U.S.C. 794,which prohibits discrimination on th. Q basis of handicap in programs and activities receiving Federal financial assistance. c 5. It will comply with Title IX of the Education Amendments of 1972, as amended, 20 U.S.C. 1681 et seq., which prohibit m discrimination on the basis of sex in education programs and activities receiving Federal financial assistance. 0 0 6. It will comply with the Age Discrimination Act of 1975, as amended,42 U.S.0 6101 et seq.,which prohibits discrimination on the o basis of age in programs or activities receiving Federal financial assistance. w 7. It will comply with requirements of the provisions of the Uniform Relocation Assistance and Real Property Acquisitions Act of 197( `o (P.L. 91-646) which provides for fair and equitable treatment of persons displaced as a result of Federal and federally-assiste. c programs. � a S. It will comply with the provisions of the Hatch Act which limit the political activity of employees. u It will comply with the minimum wage and maximum hours provisions of the Federal Fair Labor Standards Act, as they apply I, Q hospital and educational institution employees of State and local governments. M 10. It will establish safeguards to prohibit employees from using their positions for a purpose that is or gives the appearance of being = motivated by desire for private gain for themselves or others,particularly those with whom they have family,business,or other ties. c 11. It will give the sponsoring agency or the Comptroller General through any authorized representative the access to and the right b examine all records,books,papers,or documents related to the grant. o, a 12. It will comply with all requirements by the Federal-sponsoring agency concerning special requirements of law, progran requirements,and other administrative requirements. 13. It will insure that the facilities under its ownership,lease or supervision which shall be utilized in the accomplishment of the projec are not listed on the Environmental Protection Agency's (EPA) list of violating facilities and that it will notify the Federal granto d agency of the receipt of any communication from the Director of the EPA Office of Federal Activities indicating that a facility to b. used in the project is under consideration for listing by the EPA. y 14. It will comply with the flood insurance purchase requirements of Section 102(a)requires,on or after March 2, 1975,the purchase o flood insurance in communities where such insurance is available as a condition for the receipt of any Federal financial assistance to construction or acquisition purposes for use in any area that has been identified by the Secretary of the Department of Housing an. E Urban Development as an area having special flood hazards. The phrase "Federal financial assistance" includes any form of loan grant, guaranty, insurance payment, rebate, subsidy,disaster assistance loan or grant, or any other form of direct or indirect Federa zy assistance. Q 15. It will assist the Federal grantor agency in its compliance with Section 106 of the National Historic Preservation Act of 1966 a amended(16 U.S.C.470),Executive Order 11593,and the Archeological and Historic Preservation Act of 1966(16 U.S.C.469a-1 e seq.) by (a) consulting with the State Historic Preservation Officer on the conduct of investigations, as necessary to identif properties listed in or eligible for inclusion in the National Register of Historic Places that are subject to adverse effects(see 36 CFi Part 800.8)by the activity, and notifying the Federal grantor agency of the existence of any such properties, and by(b) complying with all requirements established by the Federal grantor agency to avoid or mitigate adverse effects upon such properties 9 Packet Pg: 746 ELEMENT 9: CERTIFICATIONS REGARDING LOBBYING, DEBARMENT, SUSPENSION AND OTHER RESPONSIBILITY MATTER; AND DRUG-FREE WORKPLACE REQUIREMENTS Applicants should refer to the regulations cited below to determine the certification to which they are required to attest. Applicants shout, also review the instructions for certification included in the regulations before completing this form. Signature of this form provides in compliance with certification requirements under 34 CFR Part 82 "New Restrictions on Lobbying,"and 34 CFR Part 85,"Government wide Debarment and Suspension (Non-procurement) and Government-wide Requirements for Drug-Free Workplace (Grants)." Th certifications shall be treated as a material representation of fact upon which reliance will be placed when the Institute of Museum an, Library Services determines to award the covered transaction,grant,or cooperative agreement. v 1. LOBBYING w C As required by Section 1352, Title 31 of the U.S. Code and implemented at 34 CFR Part 82 for persons entering into a gr ant o 0 cooperative agreement over$100,000,as defined at 34 CFR Part 82,Sections 82.105 and 82.110,the applicant certifies that: C A (a) No Federal appropriated funds have been paid or will be paid by or on behalf of the undersigned, to any person for influencing o a attempting to influence an officer or employee of any agency, a Member of Congress, and officer of employee of Congress, or ai Q employee of a Member of Congress in connection with the making of any Federal grant, the entering into or any cooperativ. o agreement and the extension,continuation,renewal,amendment,or modification of any Federal grant or cooperative agreement; a (b) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting G influence an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal grant o e, cooperative agreement, the undersigned shall complete and submit Standard Form-LLL"Disclosure Form to Report Lobbying,"ii °o accordance with its instructions; c e w (c) The undersigned shall require that the language of this certification be included in the award documents for all subawards at all tier o (including subgrants,contracts under grants and cooperative agreements,and subcontracts)and that all subrecipients shall certify am u disclose accordingly. C m a �2. DEBARMENT,SUSPENSION,AND OTHER RESPONSIBILITY MATTERS As required by Executive Order 12549,Debarment and Suspension,and implemented at 34 CFR Part 85,for prospective participant Q in primary covered transactions,as defined at 34 CFR Part 85,Sections 85.105 and 85.110- M A. The applicant certifies that it and its principals: 0 (a) Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from coverer 'M transactions by any Federal department or agency; Y .a (b) Have not within a three-year period preceding this application been convicted of or had a civil judgment rendered against them to Q commission of fraud or a criminal offense in connection with obtaining, attempting to obtain,or performing a public(Federal, Stat c or local) transaction or contract under a public transaction; violation of Federal or State antitrust statutes or commission o embezzlement,theft,forgery,bribery,falsification or destruction of records,making false statements,or receiving stolen property; yr (c) Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity (Federal, State, of local) wig Y commission of any of the offenses enumerated in paragraph A a (2)(b)of this certification;and Q (d) Have not within a three-year period preceding this application had one or more public transactions (Federal, State, of local terminated for cause or default;and E v B. Where the applicant is unable to certify to any of the statements in this certification, he or she shall attach an explanation to thi z application. R 3. DRUG-FREE WORKPLACE(GRANTEES OTHER THAN INDIVIDUALS) As required by the Drug-Free Workplace of 1988,and implemented at 34 CFR Part 85,Subpart F,for grantees,as defined at 34 CFI Part 85,Sections 85.605 and 85.610- CA. The applicant certifies that it will or will continue to provide a drug-free workplace by; (a) Publishing a statement notifying employees that the unlawful manufacture,distribution,dispensing,possession,or use of a controlled substance is prohibited in the grantee's workplace and specifying the actions that will be taken against employees for violation o` such prohibition; "'I(b) Establishing an on-going drug-free awareness program to inform employees about— %NW (1) The dangers of drug abuse in the workplace; (2) The grantee's policy of maintaining a drug-free workplace; (3) Any available drug counseling,rehabilitation,and employee assistance programs;and (4) The penalties that may be imposed upon employees for drug abuse violations occurring in the workplace. (c) Making it a requirement that each employee to be engaged in the performance of the grant be given a copy of the statement requirei W by paragraph(a); c (d) Notifying the employee in the statement required by paragraph(a)that,as a condition of employment under the grant,the employe c will— t 10 (1) Abide by the terms of the statement;and n- (2) Notify the employer in writing of his or her conviction for a violation of a criminal drug statute occurring in the workplace m later than five calendar days after such conviction; c (e) Notifying the agency, in writing, within 10 calendar days after receiving notice under subparagraph (d)(2) from an employee o otherwise receiving actual notice of such conviction. Employers of convicted employees must provide notice, including positim o title,to: Director,OLS/State Programs Division,Institute of Museum and Library Services, 1100 Pennsylvania Avenue,N.W.,Roon °o 802 Washington DC 20506 Notice shall include the identification number(s)of each affected grant w (f) Taking one of the following action, within 30 calendar days of receiving notice under subparagraph (d)(2), with respect to an, p employee who is so convicted- v c (1) Taking appropriate personnel action against such an employee,up to and including termination,consistent with the requirement ;a of the Rehabilitation Act of 1973,as amended;or °' _ v (2) Requiring such employee to participate satisfactorily in a drug abuse assistance or rehabilitation program approved for sucl Q purposes by a Federal,State,or local health,law enforcement or other appropriate agency. GO (g) Making a good faith effort to continue to maintain a drug-free workplace through implementation or paragraphs (a),(b),(c),(d),(e) n 1 and(f) B. The grantee may insert in the space provided below the site(s) for the performance or work done in connection with the specific r grant: v Place of Performance(Street address,city,county,state,zip code) a Q ry N d Check❑if there are workplaces on file that are not identified here. m DRUG-FREE WORKPLACE(GRANTEES WHO ARE INDIVIDUALS) Q As required by the Drug-Free Workplace of 1988,and implemented at 34 CFR Part 85,Subpart F,for grantees,as defined at 34 CFR Paz 85,Sections 85.605 and 85.610— m E A. As a condition of the grant,I certify that I will not engage in the unlawful manufacture,distribution,dispensing,possession,or use o r a controlled substance in conducting any activity with the grant;and Q B. If convicted of a criminal drug offense resulting from a violation occurring during the conduct of any grant activity,I will report th. conviction,in writing,within 10 calendar days of the conviction to: Director,OLS/State Programs Division,Institute of Museum an, Library Services, 1100 Pennsylvania Avenue, N.W., Room 802, Washington, DC 20506. Notice shall include the identificatim number(s)of each affected grant. 4. FEDERAL DEBT STATUS The undersigned,on behalf of the applicant,certifies to the best of his or her knowledge and belief that the applicant is not delinquen in the repayment of any Federal debt. ELEMENT 9: CERTIFICATION As the duly authorized representative of the applicant, I hereby certify that the applicant will comply with the above certification. Library/Organization Project Name Ui 9 Printed Name of Authorized Representative Title d Mailing Address(if diff rent than page 1) City Zip � m a Signature of Authorized Representative Date ¢ `o c w 0 0 0 0 m en O U U C A O. U U U a M C O M u a a c m N d : M n.. c m E L U A Q Doc.#/5548 12 Packet Pg. 149 DO I HAVE AN OUTCOME MEASUREMENT PROJECT? A very simple way to look at an outcome measurement project is that it causes change in a target audience's skills, knowledge, skills, behavior, attitude, and status or life condition. The following form is designed to help you figure out if your project is suitable for outcome measurement (Element 3, D on LSTA application). Please complete this form and submit with your LSTA Statewide Grant Application. Directions: v w 1. Discuss the following questions with your colleagues and decide if the answer is"Yes"or"No". Place c an X in the appropriate box for each question. m c 2. When you are finished with each section, total the number of"Yes"answers in each section and record your answers on the Sub-total line. + 3. When you have completed all four sections record the Sub-totals for each section in the Score box at w the end of the form. 4. If 15 or more of the answers are"Yes", your project is well suited for OM. If not, you need not fill out o Element 3, D on the LSTA application. o 0 Purpose and Design of Project YES NO a 1. Has the project been developed in response to an identified need? a 2. Can this project have a significant not total influence on the need? W N 3. Is impact on the end user a major purpose of the project9 4. Is the project more concerned with impact than with outputs? o 5. Is it more concerned with public service than with internal library operations? `_2 Q a 6. Is the project focused on effectiveness rather than efficiency? a c 7. Is it focused more on users' benefit than users' satisfaction? 8. Does the project—or a user's participation in it—have a distinct beginning and end? d Y Sub-total a a Users E E YES NO U 9. Are users clearly defined? a 10. Do the users participate consistently so you can track their progress? 11. Will users be willing to participate in an evaluation? Sub-total 13 Packet Pg. 150 S.M.b Impact YES NO 12. Is the desired impact measurable? 13. Will the impact occur within a few years(so that it can be observed)? Sub-total Management, Staff and Stakeholders w YES NO 5 .N 14. Does the management and staff have a service or user orientation? r A 15. Is the project stable enough to undertake this endeavor? n 16. Is there library leadership commitment to devote resources to outcome measurement and a then to act on the results? c 17.Are the project stakeholders supportive? 0 0 18. Will measuring outcomes provide useful feedback to improve the project? o W 19. Will measuring outcomes improve accountability to library or stakeholders by demonstratin effectiveness? m v c Sub-total a a ar v u a Score M YES NO SECTION c Purpose and Design of Project Users a n Impact a A Management, Staff and Stakeholders N TOTAL d C t N a Prepared by: Date: a c m E U U N Q From Rhea Joyce Rubin,Demonstrating Results:Using Outcome Measurement in Your Public Library. ALA Editions,2006. Doc.#15548 14 PacketPg. 151