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HomeMy WebLinkAbout20-Parks & Recreation CITY OF SAN BERNARDINO - REQUEST FOR COUNCIL ACTION Date: February 5, 2003 (' , " \.; l , , ...' '1 Subject: RESOLUTION OF THE MAYOR AND COMMON COUNCIL OF THE CITY OF SAN BERNARDINO RATIFYING THE SUBMITTAL OF FOUR (4) GRANT APPLICATIONS BY THE DIRECTOR OF PARKS, RECREATION AND COMMUNITY SERVICES FOR COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) FUNDING FOR THE AGGREGATE AMOUNT OF $142,768 FROM THE CITIES OF HESPERIA AND VICTORVILLE, THE TOWN OF APPLE VALLEY, AND THE COUNTY OF SAN BERNARDINO, DEPARTMENT OF ECONOMIC & COMMUNITY DEVELOPMENT FOR THE SENIOR COMPANION PROGRAM. MICC Meeting Date: February 18, 2003 From: Lemuel P. Randolph, Director Dept: Parks, Recreation and Community Services Department Synopsis of Previous Council Action: January 14,2003 - Grants Ad-hoc Committee - Recommended submittal of the four (4) grant applications with the Community Development Block Grant (CDBG) funding in the amount of $142,768 from the Cities of Hesperia and Victorville, the Town of Apple Valley, and the County of San Bernardino, Department of Economic & Community Development for the Senior Companion Program. Recommended Motion: ~L~p- Signature Adopt Resolutions Contact person: Betty Deal Phone: 384-5413 Supporting data attached: Staff Repart, Resa, & Exhibit "A" Ward: N/A FUNDING REQUIREMENTS: Amount: (No City Match) $900.00 (AnnUal recognition tor SeOlor companions) Source: Senior Companion Trust Fund (Accl. Description) 772-381-2407 Finance: '6dv/cucy~ Council Notes: ~J,i71()3 ., 611 2oJ3-SS- 9C63-S(, ;;) 663 ..sri Ageo'e Item No. I ~ tJ If) 3 02/05103 3;55 PM CITY OF SAN BERNARDINO - REQUEST FOR COUNCIL ACTION Staff Report Subject: Resolution of the Mayor and Common Council of the City of San Bernardino ratifying the submittal of four (4) grant applications by the Director of Parks, Recreation and Community Services for Community Development Block Grant (CDBG) funding for the aggregate amount of $142,768 from the Cities of Hesperia and Victorville, the Town of Apple Valley, and the County of San Bernardino, Department of Economic & Community Development for the Senior Companion Program. Background: The City of San Bernardino is the only agency in the County qualified to provide Senior Companion Program (SCP) services. Any government or non-profit agency could apply to become an administrative agency for SCP services, however that would require the funding of a full time director as well as ongoing administrative support and office space. Unlike the city's SCP program, there is no federal or state funding available to cover these costs. Through a state grant, the San Bernardino Parks, Recreation and Community Services Department has provided SCP services to outlining areas of San Bernardino County, including the cities of Hesperia and Victorville, the Town of Apple Valley, and the County of San Bernardino, Department of Economic & Community Development, for the past (3) years. The state funding will be withheld starting in April of 2003. In light of this, these agencies have requested the San Bernardino Parks, Recreation and Community Services Department to use portions of their allocated Community Development Block grant funds to continue SCP services in their jurisdictions. The program serves two groups of senior citizens: (I) It provides for low-income persons 60+ years old an opportunity to remain active and serve less fortunate peers while receiving a small non-taxable stipend to supplemcnt their limited income.(2) It provides for those senior adults who are alone, isolated, disabled, or Ii'ail to choose to remain in their own homes instead of being placed in cxpensive institutional facilities. The projected funds trom these four grants would generate the following dollars Jurisdiction City of Hesperia - Town of Apple Valley - County of SB (ECD)- City ofVictorville- Fundin!! Level $ 19,884 19,500 83,500 19,884 Purnose of Fundin!! 3 Companions 3 Companions 8 Companions 3 Companions Recommendcd Funding $142,768 17 Companions* 02/10/032:47 PM *These companions will be paid through the CDBG grant funds and are not considered part of the City's payroll system. The City currently manages a SCP grant to provide services to local seniors. These grants will serve seniors residing within these four other jurisdictions. Many of them are frail, isolated, and disabled seniors in these areas of the County that are at risk of premature institutionalization if they do receive personal, in-home services. More than 33% of the total population are seniors and this number is growing rapidly due to the aging baby boomers. The City has provided SCP services to its senior citizens for the past 29 years (since 1974). SCP recruits, trains, and assigns cligible volunteers to provide in-home services such as grocery shopping, meal preparation, transportation to doctor appointments and to pick up medicine, provide companionship, reading, writing, assisting with home management and establishing a trusting, caring relationship. There is another very important bene lit of this program: it is very economical. The annual cost for one Companion is approximately $4,000. One Companion serves at least four (4) clients every week. Most clients are Medi-Cal eligible and therefore would be covered for convalescent hospital residency, which would be paid by the taxpayer at a cost of $40,000 each per year, if the cost-effective Companion services were not available. Financial Impact: No additional financial impact to the City of San Bernardino as the Parks existing budget already has enough funds included covering the in-kind items needed to administer these four grant programs. No more than live hours of City staff time is projected per calendar quarter in processing the stipend claims. These staff hours are funded through the SCP trust account and not the general fund. Rccommendation: Adopt Resolution. 02/10/032:47 PM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 "'''''''''~'.'. , RESOLUTION NO. RESOLUTION OF THE MAYOR AND COMMON COUNCIL OF THE CITY OF SAN BERNARDINO RATIFYING THE SUBMITTAL. OF A GRANT APPLICATION BY THE DIRECTOR OF PARKS, RECREATION AND COMMUNITY SERVICES FOR CDBG FUNDING IN THE AMOUNT OF $19,884 FROM THE CITY OF HESPERIA FOR THE SENIOR COMPANION PROGRAM (SCP). BE IT RESOLVED BY THE MAYOR AND COMMON COUNCIL OF THE CITY OF SAN BERNARDINO AS FOLLOWS: SECTION 1. The Mayor and Common Council of the City of San Bernardino hereby ratifY the submittal by the Director of Parks, Recreation and Community Services Department of a grant application for CDBG funding in the amount $19,884 from the City of Hesperia for the Senior Companion Program, a copy of which is attached hereto, marked Exhibit "A" and incorporated herein by reference as fully as though set forth at length. III III III III III III III III III III III III 'tZ c 2b J. /1 If /03 01/31/0312:08 PM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 -....~,;.,~>'.. . . ". , . ,~".._:,::"L'f~:,':~_': ... ;~'" i ; '''-.,.' ~o\o~~"\~~l~ '''"'j- : ",,! r~",~~,-t~;~:,;>~',~,.:' ~ ,:f-''':. .. ~ -'j ;,.' '. , ',~' . " _,.J >, ,. .':', RESOLUTION OF THE MAYOR AND COMMON COUNCIL'OF THE CITY OF SAN BERNARDINO RATIFYING 'THE SUBMITTAL OF A GRANT APPLICATION BY THE DIRECTOR OF PARKS, RECREATION AND COMMUNITY SERVICES FOR CDBG FUNDING IN THE AMOUNT OF $19,884 FROM THE CITY OF HESPERIA FOR THE SENIOR COMPANION PROGRAM (SCP). I HEREBY CERTIFY that the foregoing Resolution was duly adopted by the Mayor and Common Council of the City of San Bernardino at a meeting thereof, held on the day of , 2003, by the following vote, to wit: Council Members: AYES NAYS ABSTAIN ABSENT ESTRADA LONGVILLE MCGINNIS DERRY SUAREZ ANDERSON MCCAMMACK Rachel G. Clark, City Clerk 2003, The foregoing resolution is hereby approved this day of Approved as to Form and legal content: Judith Valles, Mayor City of San Bernardino JAMES F. PENMAN, City Attorney 01/31/0312:08 PM to', r' t _.' "......"~....._..._,..._---_._. - ,---_..._~-_."'_._.~_.,---..-.-.._- . :' :-_~:~";~.;}~i:;.~ i:. City of Hesperia . Community Development Block Grant Program Year July 1, 2003 through June 30, 2004 r PUBLIC SERVICE PROGRAM PROPOSAL - Project Application Form _ PUBLIC SERVICE PROGRAMS involve the use of CDSG funds to pay the non- construction costs of providing services such as: graffiti removal, social services, transportation services (in support of qualified social services); employment, housing, legal, health and education services; and blight abatement. I NOTE that funding for all Public Service Programs is restricted to 15% of the total grant awarded to the City of Hesperia. . Tvoe or Print A. APPLICANT INFORMATION 1. Name of Applicant: Cit of San Bernardino, Senior Com anion Pro ram 2. Mailing Address: 600 West Fifth Street San Bernardino. CA 92410 3. Contact Person: Bettv Deal. Manaeer Name and nUe 4. Phone No. 909-384-5413 5. Organizational Structure: m o Other (Please specify) (Recipients must be incorporated public or private non-profit organizations.) For Non-Profit, identify status [i.e. 501 (c) (3)] For Non-Profit, state Federal J.D. Number or Social Security Number Fax No. 909-889-980 I Government or Public Agency 0 E-maildeAl hetashrity.nrg Non-Profit Corporation B. PROJECT DESCRIPTiON Using 25 words or less, provide a concise description of the proposed program. This 25 word description is required in order for this application to be considered complete. A more detailed project description is also required in another part of this application. Seniors over 60 rovide in-home services to low-income homebound handica ed or elderl ersons needin rocer -sho in meal re aration escort to doc to apPointments, stimulation. comoanionshio. , C. PROJECT CHARACTERISTICS 1. Street address and nearest cross streets of the site or office where the program will be conducted: 600 W. 5th St.. San Bernardino 2. Legal property owner: Ci ty of San Bernardino _.~-"~"",",",",~-..............._....:...,.~~,--.-.- ~ " ~,:",,;'?<;~;:;::~.~':'~;;:-<.: ~"'~~- ; . :,,4-0; . ." ;_":l:,'_~,j:' . ',f." '.:-.' ~ / .' r , , PUBLIC SERVICE PROGRAM PROPOSAL . .' -~,;-~ "';":,' I 3. Local zoning restrictions that would affect the program: 4. Conditional use permit required? None DYes (allach copy) 1Kl No 5. Describe the community need(s)'addressed by this proposal: isolation. ,lack of trans ortation for medical needs and to rocer store w- frail-elderly 6. Describe the geographic boundaries of the neighborhood, community or area to be served in which clients of the proposed program reside (allach a map. if needed): City of Hesperia - homes of various clients. 7. Estimated number of people to be served: 15-18 each week (3 ComDanions Dlus 12-15 cl ien 8. The proposed Public Service or Community project would be provided to: x Low- and moderate income Battered Spouses persons or households Abused children 1( Handicapped persons Illiterate persons Homeless persons Migrant farm workers Elderly persons x D. PROPOSED PROGRAM BUDGET (Pleal'e see attached Budget Justification) Provide the financial information in the form below for the appropriate project. Costs should be based on the best information available. When preparing this information, consider the following factors: Vol. recognition CDBG Share $ 15,632.00 $ $ $ $ $ 4.252.00 $ $ 19,884.00 Other Source Personnel Equipment Consultant Services Space Rent, Phone, supplies, postage, printing Audits Other Transportation $2.160.00 Total Costs: Project Total (CDBG + Other):$22,344 .00 Estimator Name andTitJe: Betty Dllal, SCP Manager $300.00 $2,460.00 ~. _._~._~,- -~-..........:.:.-"-:'~' , "~~~:J.1.';::,r:'-',z,t:;L~::.:; I " ;'_4~<;:),.':;~>./~"':~~'~",: ' PUBLIC SERVICE PROGRAM PROPOSAL .-, ,'; 'r',-. '"c," ',' , r E. FUNDING COMMITMENTS 1. Identify the amount of CDBG funds requested in this application: $ $19,884.00 2. Identify the amount of funds to be provided by other source(s) for this project. The date of commitment for funding from these other sources must be stated below. Source: Citv of San Bernardino (in-kind) $$9fiO 00 Award date: ongoing Date available: onll;oing Source: Donations from clubs and individuals $$300.00 Award date: ongoing Date available: ongoing Source: Federal Budget Award date: ongoinl'; $$1,200.00 Date available: ongoing Source: Award date: $ Date available: Source: Award date: $ Date available: Total Amount Committed by Other Sources: $ 2.460.00 F. AUTHORIZED SIGNATURE. To the best of my knowledge. the information provided on this application is true and I am authorized to submit this application on behalf of the applicant agency. Name: David T. Boggs Phone: 909-384-5233 S;gn"",e, ~{)(~r · City of Hesperia Project Applications will be accepted until January 8, 2003. . -~ . - ..~ - /" "" Date: I. 'I -.,,;.; /.~~ · Applications must be delivered to: Hesperia City Hall; Attn: Scott McGookin: Economic Development Department, 15776 Main Street, Hesperia, CA 92345!!2 later than 3:00 D.m. on that date in order to be considered eligible. · For more information, or for questions contact Scott McGookin at (760) 947-1907. .:...........-~.....~.~, ..---.---..."'.....-..-., --.-. ._.~ ,. '--.;I. ,;'" '.'c,;_.,,~ '_;:';"<;;:~-~~: ~ ...,.,'" '.'1 <." ".>, BUDGET JUSTIFICA nON CDBG Funds: Personnel- Companions Stipends: 3 x $2.65 x 1044 hrs = Meals: . 3 x $1.75 x 208 days = Mileage: 3 x 3600 mi @ $.34 = $8,300.00 1,092.00 3.672.00 $13,064.00 Part-time Coordinator 10 hrs x 52 wks @$12.00 = 6.240.00 $19,304.00 Mileage: 140 mi x 12 mo @$.345 = 580.00 $19,884.00 Other Sources City of San Bernardino: (in-kind match) Supplies, postage, printing - $ 1,200.00 Phone 360.00 Space 600.00 $ 2,160.00 Individual & Group Donations: Volunteer recognition- 300.00 $ 2.460.00 Total: $22.344.00 \ 3 - A ':~~.:~t~~~.,;3~~:;"'" . . . ......:. '~-,'; --,._-----_.'~ '-~' .,:>.' " ,:~~~'c:.',,'-;:..-~ \Ji~-.:' ,', ;', PUBLIC SERVICE PROGRAM PROPOSAL - I ATTACHMENT "An DETAILED PROJECT DESCRIPTION Within the space provided on this page, furnish additional information needed to fully descr~be th~ pr?ject, its pu~pose and its beneficiaries. Please refer to the City of Hespena GUidelines for gUidance on factors that will be considered toward funding limits. Maps, plans, and brochures may be attached to this application. '. The Senior Companion Program was formed by U.S. Congress in 1974 with a two-fold purpose: I) utilizing low-income seniors (60 and over) to provide 20 hours per week of personal in-home services to adults who need help with activities of daily living while supplementing their incomes with a tax-free "stipend" payment and 2) allowing low-income, handicapped, disabled or frail elderly persons to remain in their own homes instead ofIiving in expensive institutional settings. Services provided include meal preparation, transportation to medical appointments, grocery-shopping, reading, writing and providing much needed companionship. In many cases, the Companion is the only contact the client has with the outside world. This link has proven to be most beneficial to the well-being of the clients and prevents or delays institutionalization. Companions also provide respite to family. members who give 24 hour, 7 days a week care to loved ones with Alzheimer's Disease, other forms of dementia, stroke, etc. This service is extremely important and appreciated by the caregivers, and has proven to prevent abuse caused by overstress on the provider trying to meet all the needs of the afflicted client. Benefits to the Companion.;, besides the tax-free stipends, include lunch reimbursement, mileage, training, insurance, recognition and the reward of helping others. It has been proven that Senior Companipns live longer and stay healthier than their peers who are not active. There is another very important benefit of this program; it is so economical. The annual cost for one Companion is approximately $4,000.00. This one Companion serves at least 4 clients every week. Most clients are Medi-Cal eligible and therefore would be covered for convalescent hospital residency, which would be paid by the taxpayers at a cost of$40,000 each per year, if the cost-effective Companion services were not available. $4,000 per year per Companion versus $40,000 x 4 clients per year certainly makes economic sense: spending $160,000 or $4,000 a year leaves only one sensible decisio n. See attached brochure for further information. , -. _"'_".,_...~-_._._,-._,.__.~,-_.._"'-"---'" ", . I:r.~...~~/.~. ';">;;'i~i:"-'~;:; '".\';!".:ft"'e( :::'(:~ .. _'."_ ,~" ~1.'\ ',L'J.:<i~t?; ;::. "",,' Grantee Information The City of San Bernardino's Parks, Recognition and Community Service Department is the only Senior Companion Program grantee in San Bernardino' County. The original grant from the Federal Government began in 1974 and serves not only San Bernardino, but surrounding cities, including Highland, Redlands, Lorna Linda, Colton, Rialto, Fontana and Yucaipa. Three years ago a $98,902.00 State Grant (through the S.B. County Department of Aging & Adult Services) was also awarded to this sponsor to serve Victorville, Hesperia, Apple Valley, Adelanto, Crestline, Yucca Valley, Joshua Tree and Twentynine Palms. The office and staff are located in San Bernardino; therefore there are no additional administrative costs. The City's Finance Department handles all the fiscal reports. The office space and record-keeping are provided as an in-kind match to all grants, thus eliminating rent, added staff costs, etc. In 2001 the State funding was cut to $78,807.00. And now we are fucing total elimination of these funds as the Governor tries to overcome the $35,000,000,000.00 budget deficit. The beneficiaries of this cost-effective program would face forced institutionali7.ation without their in-home personal care. We earnestly ask for your assistance to keep this valuable program operating in your City and will happily attend the public meeting on January 27 and the public hearing on February 24. Thank you for your consideration. Please feel free to contact us at 909-384-5413 if you have questions. ~'T J~~L~ ~1,~ Betty A. Deal MflIlI/,!:rT SmioT lUIII/Jut/ioll Program emoit; deoLbe@ci.rall.bunardinlJ"a.u,f P.-\RKS. Rt:CKt:.nlON & CO\l'lliNln Snn'ICt:.~ DtJ>.\Rnlt:NT 6t1t1 Wo,t 5th Stroot San llornardinll. C^ Y241l1.4~ lfi - 909.384.5413' Fax: 9t19,889.9~()1 www.d.san.hcrnardino.ca.us ~'--"~' " <.~ Sydney Loynd, Older Adult Program Spl1Cialist San Bernardino Adult School 1200 N. "E" Street San Bernardino, CA 92410 Economic Development Department City of Hesperia 15776 Main Street Hesperia, CA 92345 Attn: Scott McGookin Re: Community Block Grant Senior Companion Applicant To Whom It May Concern: I have worked with the San Bernardino Senior Companion Program on several levels for 14 years. The Companions were vital in providing an instructional program for the Department of Mental Health that I supervised. The Companions loved the work and the students were benefited daily by their input and example. We provided a great transition program to 65 students who would not have otherwise have had such a positive relationship. I have been the Advisory Council Chairperson for the Senior Companions for five years. The reputation of the program is outstanding! State and Federal Congressmen send representatives tei our meetings and events. Local businesses and Social Service Agencies are also represented. The Companions have more than proven their worth to the community and the clients they serve. As an instructor it has been my privilege to train our Companions regularly. I am but a part of the comprehensive training provided to the Volunteers. The Department of Aging and Adult Services, Social Security Department, County Health Department and various important agencies provide valuable information and networking. Clients remain at home much longer than expected. This program provides transportation to the doctor, pharmacies, and other locations to insure the clients' well being. Relationships become long term and important through the program. Emergencies are handled well and in some instances, lives saved because of the Companion program. The cost to the community is minimal compared to the institutionalization cost. I urge you to support this valuable agency for our community! (I live in Hesperia) Please call if you have any questions. My work number is (909) 384-5430 or you may reach me at home (760) 948-6318. Sincerely yours, j;J ('. , . . \..L dti'/"-'.,.v. 7"'-z"/ Sydney Lo{n'd Program Specialist .....-....... ...-......... \<OU<OJ -"-- '. ,.c' ,. ,'~ ~..: '.;',.~'~:',';.::?:"4 - , OO;:J-;:Jau J"~' .,::.,...;,_o"",~,(P. ~ . '''' . ""< "'~~.},:;. . DEPARTMENT OF AGING & ADULT SERVICES ", The Designated Area Ag.ncy DR Aging ,'CO~NJY,OF sAN S_IHO " H~~SYS1Ell . .,,", '-'" . 886 fast Mill Slreel . Sin B.mardlno. CA 12415-11640 (909) 891.3900 . Far (909) 891.3919 MARYR.SAWlCKI Olreclor Date: January 6, 2003 TOO - Tel8phMe Serlllcos rw lf1c Heetlng Impef<ed (909) 388-4502 Adult SeMces (909) 38e~sS5 Aging Sel\'lces To: Community Development Block Grant - Grantors From: Aging and Adult Servic"4, San Bernardino County of San Bernardino Re: Request for funding for the Senior Companion Program Please accept this letter of support for the request of funds sought by the City of San Bernardino to continue operation of the Senior Companion Program. The Governor has recently targeted this program as one of the community based service programs in the State that may be eliminated from further funding. The County of San Bernardino, for the past 6 years, has been a recipient of State funding and has contracted with the City of San Bernardino to operate the Senior Companion Program through these funds. The City has operated this program for over 20 years. The main purpose of the Senior Companion Program is to provide services to home bound individuals who might not otherwise receive personal care. Such services include shopping for groceries, serving meals, and providing trips to the physician's office. As recipients of the services of this program, many elderly adults avoid premature institutionalization. Additionally, by receiving visits by their companions, they are less prone to the level of depression that could lead to failing health, thus institutionalization. The program also benefits tile seniors that serve as companions, as they too are at risk individuals. By maintaining social activity within the community and being of service to the homebound, the program also prevents premature institutionalization for these individuals. In closing, we hope that you will consider funding this important program. Sincerely, /"'" r' // /' ;/ "7 --~-...../' (_ ' Mary Sawicki, Director Aging and Adult Services Department Cc: Contracl file, Cheon ~'~'. 1'; ;-. . ;':;;.;" :=;.:;.,:._; '::';'~'''~':~, !'(>'l:",;:"ri'::'''~ 0 ~:::-:: 6:;;;:.: ..., S~;::,"';~;;'.~ E::'i.F'>~;1~!';2 '..,..,. .., r;r..:iY::/;,::~ C-:~.:;;;t":_';'~:':.;>.;::- :'-:"":'-:'.'f' ..':::~ D. ~,~;j'~l~ .. S-:-:.::-:.'5 C;::..:::: F'2::D ,";;,::.:~,',:::. ... r," r.'.:. l.. J~:!-:,~r' eA.\'::$.......... .'.... t"i'! D~:.::::; ~ "--"--~'- --------~-.;..-.,-.....:....._-------'-....-........'-,.- . ,,''''.,.',., < ~,(;"-; ......r..:. -. .'....~:... :'~, "-,'", "!.'\.:..-'. . ,,'1:'>- ""! '. 300 Nonh "0" Slreel . San Bernardino. CA 92418-0001 www.ci.san-bernardino.ca.us '" SEmORCOMPAmONPROGRAM 600 West Fifth Street San Bernardino, CA 924 I 0 909-384-54 I 3 January 13, 2003. Scott McGookin, Senior Development Specialist City of Hesperia 15776 Main Street Hesperia, CA 92345 Dear Mr. McGookin, I am enclosing a corrected budget page for our CDBG application delivered to your office on Jan 8. The total budget is correct; I just didn't break out the volunteers' meals from personnel. On page 2, $ I ,092.00 now shows correctly as meals, leaving $ I 4,540.00 in personnel. (See Budget Justification page 3-A for breakdown). Also I neglected to enter our Federal LD. number on page I. It is 95-6000072, as shown on corrected page I attached. Please forgive my errors - no excuses, just rushed. Thanks! Sincerely, o 0<,..{ t. L -" Betty Deal) SCP Manager Cc: David T. Boggs Parks, Recreation & Community Services Department City of San Bernadino Attachments __.._. __._". ..:-.c.__ "-d';' ;"'O,~:,;;:,,,: )'<';~~f.;;,.:' .."-' - . . ;'~;;. '<.,'::., ..,,," ~ City of Hesperia Commun~ty Development Block Grant Program Year July 1, 2003 through June 30, 2004 I PUBLIC SERVICE PROGRAM PROPOSAL - Project Application Form _ PUBLIC SERVICE PROGRAMS involve the use of CDBG funds to pay the non- construction costs of providing services such as: graffiti removal, social services, transportation services (in support of qualified social services); employment, housing, legal, health and education services; and blight abatement. NOTE that funding for all Public Service Programs is restricted to 15% of the total grant awarded to the City of Hesperia. TYDe or Print A. APPLICANT INFORMATION 1. Name of Applicant: Cit of San Bernardino, Senior Com anion Pro ram 2. Mailing Address: 600 West Fifth Street San Bernardino, CA 92410 3. Contact Person: Betty Deal. Manager Name and Tille 4. Phone No. 909-384-5413 5. Organizational Structure: ag o Other (Please specify) (Recipients must be incorporated public or private non-profit organizations.) For Non-Profit, identify status [Le. 501 (c)(3)] For Non-Profit, state Federall.D. Number or Social Security Number 95-6000072 Fax No. 909-889-980 I Government or Public Agency 0 E-mail deal belilsbdty org Non-Profit Corporation B. PROJECT DESCRIpTION Using 25 words or less, provide a concise description of the proposed program. This 25 word description is required in order for this application to be considered complete. A more detailed project description is also required in another part of this application. Seniors over 60 provide in-home services to low-income, homebound, handicapped or elderl ersons needin racer -sho in meal re aration escort to doctor apPointments, stimulation, companionship. C. PROJECT CHARACTERISTICS 1. Street address and nearest cross streets of the site or office where the program will be conducted: 600 W. 5th St., San Bernardino 2. Legal property owner: Ci tv of San RerMnHM .---'-"....... --'~- -""'-"'"----- ~ .~" ".:"';",;:: ,> . t, ,.. r PUBLIC SERVICE PROGRAM PROPOSAL I 3. Local zoning restrictions that would affect the program: 4. Conditional use permit required? None o Yes (attach copy) m No 5. Describe the community need(s) addressed by this proposal: isolation, lack of trans ortation frail-elderly 6. Describe the geographic boundaries of the neighborhood, community or area to be seNed in which clients of the proposed program reside (attach a map. if needed): . City of Hesperia - homes of various clients. 7. Estimated number of people to be seNed: 15-18 each week (3 Companions plus 12-15 clien 8. The proposed Public SeNice or Community project would be provided to: x Low- and moderate income Battered Spouses persons or households Abused children x Handicapped persons Illiterate persons Homeless persons Migrant farm workers Elderly persons x D. PROPOSED PROGRAM BUDGET (Pleaf'e see attached Budget Justification) Provide the financial information in the form below for the appropriate project. Costs should be based on the best information available. When preparing this information, consider the following factors: Personnel Equipment Consultant SeNices CDBG Share $14.540.00 Other Source Space Rent, Phone, supplies. printing Volunteer meals postage, $ $ $ $ 1.092.00 $ $ $ $2.160.00 Other Transportation Vol. recognition 4.252.00 19,884.00 $300.00 $2,460.00 Total Costs: Project Total (CDBG + Other): $22,344.00 Estimator Name and Title: Betty Deal. SCP Manager "-_._,-~~,-,-~.._--'-'~~._~..~-,,;.-. ~,--~-~-,,~-...,---- ** FOR OFFICE USE ONLY - NOT A PUBLIC DOCUMENT ** RESOLUTION AGENDA ITEM TRACKING FORM Meeting Date (Date Adopted): '2. -lll -C)~<') Item # Vote: Ayes 1- Z 4 -'1 Nays.Cd- J Change to motion to amend original documents: 20 Resolution # 'Z 003-5 (, Abstain k3- Absent, ':<, Reso. # On Attachments: ~ Contract term: - Note on Resolution of Attachment stored separately: ~ Direct City Clerk to (circle 1): PUBLISH, POST, RECORD W/COUNTY NulllVoid After: - By: - Date Sent to Mayor: '2..-2..0-0.:,\ Date of Mayor's Signature: J -::;;0-03 Date of ClerklCDC Signature: :;2 - /? \ -c:, -=<. Reso. Log Updated: ./ Seal Impressed: ,/ 90 Day Reminder Letter Sent on 45th day: See Attached: See Attached: ~ttached: Date Returned: - Date Memo/Letter Sent for Signature: '--- 60 Day Rermnaer Lt;llt;l 3C;Hl vu :JQtk ~"'Y' Request for Council Action & Staff Report Attached: Updated Prior Resolutions (Other Than Below): Updated CITY Personnel Folders (6413, 6429, 6433,10584,10585,12634): Updated CDC Personnel Folders (5557): Updated Traffic Folders (3985, 8234, 655, 92-389): Yes ./ No By Yes No ..L.- By Yes No~ By Yes No~ By Yes No / B Copies Distributed to: City Attorney / Parks & Rec. / Code Compliance Dev. Services EDA Finance / Police Public Services Water Others: MIS Notes: BEFORE FILING. REVIEW FORM TO ENSURE ANY NOTATIONS MADE HERE ARE TRANSFERRED TO THE YEARLY RESOLUTION CHRONOLOGICAL LOG FOR FUTURE REFERENCE (Contract Term. etc.) Ready to File: J1l1- Date: ,?-;J\-b ") Revised 01112/01