HomeMy WebLinkAboutAGENDA REPORT 2008 0206 CC REG ITEM 08B CITY OF MOORPARK,CALIFORNIA
City Council Meeting
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MOORPARK CITY COUNdl—
AGENDA REPORT
TO: Honorable City Council
FROM: Barry K. Hogan, Deputy City Manage
Prepared by: David Lasher, Senior nagement Analyst
DATE: January 16, 2008 (CC Meeting on 2106108)
SUBJECT: Consider Proposals for Fiscal Year 2008-2009 for $199,014 in
Community Development Block Grant (CDBG) Funds
BACKGROUND
On November 29, 2007, the County of Ventura held its first Fiscal Year 2008-2009
public hearing to address unmet needs of lower-income persons in the Urban County
Entitlement Area, which includes the City of Moorpark. FY 2008-2009 CDBG proposal
submittal due dates and application preparation training were provided at this hearing.
The deadline for submittal of project proposals was January 7, 2008. Nine (9)
proposals specific to Moorpark were received. This year's applications are summarized
as Attachment 1, with a comparison to funding during previous years. Attachment 2
includes excerpts from this year's applications, and Attachment 3 provides an overview
of past CDBG funding. Complete proposals and the 2005 Consolidated Plan (including
the three year strategic plan) are available at the Community Development Department
public counter. The City's funding proposals are due to the County by March 16, 2008.
DISCUSSION
CDBG projects are expected to address the unmet needs of lower income persons as
identified in the Consolidated Plan. Eligible recipients are those whose income does not
exceed 80% of area median income. The median income for Ventura County is
currently $79,500.00 for a four person household. CDBG funds may be used for
housing, public facilities, economic development, housing rehabilitation, public service
programs and administrative activities.
An existing Cooperative Agreement is currently in effect between the City and Ventura
County with respect to CDBG oversight. The agreement includes a funding formula that
more closely reflects HUD formulas that are based on the 2000 Census.
000027
S1Community Development\CDBG\Agenda Rpts\Agenda Rpt 08-09\CC Public Hrg 1st Meeting 080206.doc
Honorable City Council
February 6, 2008
Page 2
According to current projections from the County, staff anticipates that the City will
receive approximately $199,014.39 in CDBG funds for FY 2008-2009. In FY 2007-2008
Moorpark received $205,633 in CDBG funds (3.22% more than the FY 2008-2009
amount). Of this projected funding, $163,250.00 has been requested for public projects
with fifteen (15%) percent ($29,852.16) of these funds available for public service
programs. A total of $9,642.83 may be allocated for administrative costs. This figure
includes the required $2,500.00 cost of the City's portion of the administrative charges
for the Fair Housing Program. The County, as our CDBG grantee, is required to
demonstrate to HUD in their Annual Plan that they affirmatively further fair housing.
Therefore, on behalf of the Entitlement Area, the County contracts with the Housing
Rights Center (HRC). They provide the Fair Housing Program for the entire Entitlement
Area. This Program provides renters with outreach and education on fair housing
rights, discrimination complaint investigation, enforcement and litigation, and
landlord/tenant counseling in seven languages.
In the current fiscal year (FY 2007-2008), the City is administering four (4) public service
programs and one (1) public project. In FY 2007-2008, of the $9,079 allowed for
administrative costs, the Council allocated the difference of the total administrative
allowance minus the Fair Housing Program administrative charge to the Human
Services Complex public project. This was requested by staff to simplify
administration, with funding from the Redevelopment Agency going to offset staff time
spent of CDBG programs. If the Council directed staff to follow the same procedure in
the FY 2008-09 cycle, $7,142.83 would be added to the Human Services Center public
project request.
For the FY 2008-2009 cycle, six (6) applications for public service programs were
received, totaling $35,000.00. These programs may be considered for funding based
on anticipation of increased levels of service, or to assist in establishing a new service.
A summary of the funding requests for service programs is shown below:
Organization Amount Requested
Catholic Charities $14,000.00
Long Term Care Ombudsman* $3,000.00
Loving Heart Hospice Foundation $4,000.00
FOOD Share, Inc.* $4,000.00
Many Motors $5,000.00
RAIN Project Transitional Living Center* $5,000.00
Total $35,000.00
* Indicates programs that could be administered by the County, at no cost to the City, through Joint
Powers agreements if the City chooses to fund these particular programs.
000028
Honorable City Council
February 6, 2008
Page 3
One (1) proposal for a public project and one (1) proposal for an economic development
project were received, totaling $163,250.00. The City is requesting $153,250.00 to fund
costs related to construction of the Human Services Complex. Additionally, $10,000.00
has been requested by the Women's Economic Venture for an economic development
project to provide self employment training and business counseling. The Women's
Economic Venture project could be administered by the County through a Joint Powers
Agreement if the City chooses to fund this program.
A summary of the funding requests is shown below:
FUNDING CATEGORY HUD PROPOSALS
LIMIT RECEIVED
Public Projects/Economic Development $159,519.40 $163,250.00
Public Service Programs $29,852.16 $351000.00
Administration (with Fair Housing Counseling) $9,642.83 $9,642.83
Total $199,014.39 $207,892.83
As in past years, the amount of monies requested for funding of Public Service
Programs exceeds the amount of money that the City can allocate toward such funding.
ENVIRONMENTAL DOCUMENTATION
As final approval authority for CDBG funding allocations, the County of Ventura is the
lead agency for processing of environmental documentation pursuant to California
Environmental Quality Act (CEQA) requirements.
000029
Honorable City Council
February 6, 2008
Page 4
STAFF RECOMMENDATION
1. Open the public hearing, receive public testimony, and close the public hearing.
2. Refer this matter to the Council's Finance, Administration and Public Safety
Committee for preparation of a recommendation for final appropriations for City
Council consideration at the regular meeting scheduled for March 5, 2008.
3. Continue this item, with the public hearing closed, to the meeting of March 5,
2008.
Attachments:
1. Summary of Proposals for FY 2008-2009
2. Excerpts from Proposals Submitted for FY 2008-2009
3. Overview of Past CDBG Funding
�U�►�33�D
Summary of CDBG Proposals Received By City of Moorpark for FY 2008-2009
PUBLIC SERVICE PROGRAMS
2004-2005 2005-2006 2006-2007 2007-2008 2008-2009 Number of
Organization Name of Project Approved Approved Approved Approved Amount Anticipated
Funding Funding Funding Funding Requested Moorpark
Beneficiaries
Catholic Charities Community Service Center and Food $ 9,047 $ 12,000 $ 14,097 $ 14,000 $ 14,000 2200H
Pantry _
Long Term Care Services-* Long Term Care Ombudsman $ 2,000 $ 3,000 $ 3,000 $ 2,745 $ 3,000 150H
Loving Heart Hospice Foundation Medical Hospice Services $ - $ 2,500 $ 5,000 $ 4,000 $ 4,000 2H
FOOD Share, Inc.* Brown Bag Program $ - $ - $ $ 3,000 $ 4,000 33P
Many Motors Domestic Violence Outreach and $ _ $ _ $ _ - $ 5,000 10P
Vehicle Placement Program
County of Ventura Human RAIN Project Transitional Living Center $ - $ - $ - $ 3,000 $ 5,000 10P
Services Agency/RAIN
Subtotal(Public Service Programs) 1 $ 11,047 $ 17,500 $ 2Z0977$_ 26,745 $ 35,000
PUBLIC PROJECTS/ECONOMIC DEVELOPMENT
Human Services Complex: Design and
City of Moorpark Engineering Services for Moorpark. $ 137,933 $ 130,178 $ 115,714 $ 158,133 $ 153,250 N/A
Women's Economic Ventures* Self Employment Training Program and $ - $ - $ _ $ _ $ 10,000 9P
Business Counseling
Subtotal(Public Projects) $ 137,933 $ 130,178 $ 115,714 $ 158,133 $ 163,250
ADMINISTRATION
City of Moorpark Administration (including Fair Housing) $ 2,500 $ 9,642
GRAND TOTAL(ALL PROPOSALS) $ 207,892
ESTIMATED ALLOCATION $ 199,014
AMOUNT EXCEEDING ALLOCATION $ 8,878
* Programs/Projects will likely be funded by the County and the local programs/projects for Moorpark could be administered by the County through
a Joint Powers Agreement.
CC ATTACHMENT 1
SACommunity DevelopmenAMBMAgenda Rpts\Agenda Rpt 08-09\Attachment_one_CCStf RpL080206 1/22/2008
PART I - APPLICATION
CDBG, HOME & ESG FUNDING APPLICATION
Project Proposal for Program Year 2008-09
submitted to City of Moorpark (Jurisdiction)
PART I -- General Information For Office Use
Matrix Code
Section A -- General Project Information Summary
Project Title Moorpark Community Service Center and Food Pantry
Brief Summary of the Project Provide essential safety net services and special outreach programs to
(one sentence) stabilize low-income households in the City of Moorpark.
Project Address 609 Fitch Avenue
Moorpark, CA 93021
Service Area of Proposed City of Moorpark
Project (i.e., specific city,
countywide, etc.)
Funds being requested in this CDBG $ 14,000 ESG $
proposal. Complete all that
apply. HOME $ ADD[ $
Consolidated Plan goal this project will Goal CID 6: To provide other services to low-moderate
meet (code or description from Part I income persons
Instructions-Attachment A).
Section B -- General Applicant Information
Legal Name of Applicant Organization Catholic Charities of Los Angeles, Inc., Ventura Region
Street Address, City and Zip Code Corporate Headquarters: 1531 James M. Wood Boulevard,
(Also note mailing address if different) Los Angeles, CA 90015
Regional Administration: 303 North Ventura Avenue,
Ventura, CA 93001
Site Address: 609 Fitch Avenue, Moorpark, CA 93021
Organization's website address catholiccharitiesla.org/santabarbara_v.html
Person to Contact Regarding this Name: Michael Perry, Regional Director
Application Address: 303 North Ventura Avenue, Ventura, CA 93001
Phone Number: (805) 643-4784 FAX Number: 643-4781
Email: mperry(c)ccharities.org;
Name: Pat Esseff, Regional Coord. of Client Services.
Address: 609 Fitch Avenue, Moorpark, CA 93021
Application—Part 1 010000 342
Page 1 of 6
Phone Number: (805) 529-0720 FAX Number: 529-3017
Email: pesseff(aD_ccharities.org;
Organization's Federal Identification Number(Tax ID#) 95-1690973
Is this organization a Community Housing Development Organization(CHDO)? NO
Federal Grant Experience (Disregard if your organization received CDBG, HOME or ESG
funding from this jurisdiction in the last 3 years.)
Federal Purpose of Grant Date Funding
Grant Obtained Amount
Program
NA
Fiscal Year and Audit Reports
What is your agency's fiscal year? July to June
Date of your organization's most recently completed audit. (Month/Year) June 30, 2006
What fiscal year did this most recent audit include? (Month/Year- Month/Year) 2005-2006
Was this audit conducted in compliance with the Single Audit Act? Yes
Are there any outstanding audit findings, which remain unresolved? No
Financial Management
If your organization is a non-profit organization, does your organization comply with: Check if yes
OMB Circular A-110, as implemented at 24 CFR Part 84 "Uniform Administrative X
Requirements for Grants and Agreements with Institutions of Higher Education,
Hospitals and Other Non-Profit Organizations"
OMB Circular A-122 "Cost Principles for Non-Profit Organizations" X
OMB Circular A-133"Audits of States, Local Governments and Non-Profit X
Organizations"
Organizational Structure and Insurance Documentation
Documents Check if
Attached
Bylaws X
Organization Chart X
List of the Board of Directors (as requested: Corporate and Regional) X
Application— Part 1 0000341
Page 2 of 6
Non-Profit Determination letters from the Federal Internal Revenue Service and the X
State Franchise Tax Board (Form 501.3.c)
Evidence of Insurance: A copy of current insurance coverage (General Liability, X
Automobile, Worker's Compensation, etc.) must be attached with this application. If
funded, an updated insurance policy will be required with the funding jurisdiction listed
as "additionally insured."
Application— Part I
Page 3 of 6
Section C -- Beneficiary Information
Income verification. How does (will) your organization verify income eligibility of your
clients?
Check if yes
Area of Benefit. Program service area has been identified and determined to be statistically
low-income based on the 2000 Census. If you use this method, provide all Census Tracts
and Block Groups served by your program and a calculation of the low-income
percentage. Also attach a map.
Self Certification. Clients independently"self-certify" on a membership form, intake form, X*
etc. If you use this method, please attach blank intake form.
Client Document Review. Clients provide tax documents, pay stubs, etc., to verify income. X*
Documents are reviewed by staff. If you use this method, please attach blank worksheet.
Presumed beneficiaries. Clients served are primarily and specifically from one of the
following groups: abused children, battered spouses, elderly persons (62 years of age or
older), illiterate persons, migrant farm workers, handicapped individuals, homeless
persons, persons with AIDS. If you use this method, please indicate which group.
Other. Survey, other documentation (required documentation for other governmental
programs, etc.). Please explain.
*(Method depends on funding source and specific program criteria)
Ethnicity (Very few projects are exempted from this requirement. Please refer to instructions.)
Check if yes
Does your organization request information on whether your clients are of Hispanic ethnicity? X
Race (Very few projects are exempted from this requirement. Please refer to instructions.)
Check if yes
Does your organization ask all clients (including Hispanic clients ) whether they are the one or X
more of the following races:
White
- Black or African American
- American Indian or Alaska Native
- Asian
- Native Hawaiian or Other Pacific Islander
- American Indian or Alaska Native and White
- Asian and White
- Black or African American and White
- American Indian or Alaska Native and Black or African American
- Balance/Other (Category used to report individuals who are of a race or combination
of races not listed above.)
Does your organization use any other Race categories? If yes, please explain and attach any
forms you use.
If your organization does not currently obtain ethnicity and race information on the clients to be served by
the proposed project, please explain how this information will be obtained to meet this requirement.
Application— Part I
tW039 f
Page 4 of 6
Section D — Project Information
Community Needs: Please describe the unmet community need this project proposes to meet.
Refer to the instructions and the 2005 Consolidated Plan. Describe your proposed project in the next
box.
According to Ventura County's 2005 Consolidated Plan, "Moorpark had the largest percentage gain in
population with a 37% increase since 1990." It is important that the available social service resources
match the community's growth.
Catholic Charities' Moorpark Community Services Center and Food Pantry (MP-CSC) primarily serves
"low wage earning", poverty populations. The Ventura County 2005 Consolidated Plan indicates that
13.4% of the 27.8% Hispanic households in Moorpark are considered extremely low-income and low
income. Eighty-eight percent of the Moorpark Community Services and Food Pantry (MP-CSC) clients
are Hispanic. Seventy-six percent of the households, assisted through the MP-CSC, earned annual
incomes under$20,000. The majority, 95% of the MP-CSC clients' incomes, fit into the extremely low and
very low-income categories.
The Moorpark Community Services Center clearly focuses on the most needy residents in this community.
Proposed Project to Meet Community Needs: How will your agency use these grant monies
to address the unmet community needs described above? In other words, what is your project? Refer to
Attachment A and indicate which 2005 Consolidated Plan goal your project will address.
Food, clothing and secure housing are the basic and ongoing needs of the people who come to the
Moorpark Community Services Center and Food Pantry (MP-CSC). The staff and volunteers at the
Center provided supplemental food, clothing, eviction prevention assistance, utility assistance, and large
holiday programs. These activities fit in Goal CD-6 of the Community Development portion of the 3-Year
Strategic Plan.
The CDBG monies will be used to continue the current services by providing the salary and benefits for an
experienced, bilingual caseworker to assist the client in addressing their problems and accessing a variety
of community resources. In addition, this person organizes the programs, recruits and trains volunteers,
coordinates donations, collects and maintains statistics and client records.
The Food Pantry portion of MP-CSC is an ongoing and labor-intensive program. The residents of
Moorpark, the school district, local clubs, organizations and churches generously supplement the
resources of the FoodShare program. Volunteers work hard to sort, organize, pack and distribute the
food. CDBG funds will be used to pay fora portion of the Food Pantry Coordinator's salary and benefits.
Objectives and Outcomes: Check one box in each table below that best reflects your
project's objectives and outcomes. See instructions for definitions.
Objectives Check one Outcomes Check one
Suitable Living Environment X Availability/Accessibility X
Decent Affordable Housing Affordability
Creating Economic Sustainability: Promoting
Opportunities Livable or Viable
Communities
Application— Part 1 000036
Page 5 of 6
Section E -- Application Certifications
The following certification must be completed and signed by an authorized agency representative to be
further considered for HUD program funding.
G1Regional Dev\Community Dev\CONSOLID\Consolid 08\Forms 08-09\Part I Appl 08.doc
Agency Certification
The undersigned agency hereby certifies that:
a. The information contained herein and in the attached Part II and Part III (if applicable) is
complete and accurate;
b. The agency shall comply with all federal and County policies and requirements applicable to the
CDBG, HOME (and ADDI), ESG program as appropriate for the funding if received;
C. The federal assistance made available through the CDBG, HOME (and ADDI) or ESG program
funding is not being utilized to substantially reduce the prior levels of local financial support for
community development activities; and,
d. If CDBG funds are approved for a facility, the agency shall maintain and operate the facility for its
approved use for a period of not less than twenty years, unless given specific approval from
HUD to do otherwise; and
e. If CDBG or HOME (and ADDI) funds are approved in the requested amount, then to the best of
your knowledge, sufficient funds will be available to complete the project as proposed.
Catholic Charities of Los Angeles, Inc. —Ventura Region
(Name of Agency)
Monsignor Gregory A. Cox
(Typed Name of Agency Official)
Executive Director
(Title of Agency Official)
Age Official Signatur
eanuary 4, 2008
(Date of Signature)
213-251-3400
(Telephone Number of Agency Official)
mcox @ccharities.org
(Email address of Agency Official)
Application —Part I .
Page 6 of 6
PART I - APPLICATION
CDBG, HOME & ESG FUNDING APPLICATION
Project Proposal for Program Year 2008-09
Submitted to CITY OF MOORPARK (Jurisdiction)
PART 1 -- General Information For Office Use
Matrix Code
Section A -- General Project Information Summary
r oject Title Long Term Care Services Ombudsman Program
ief Summary of the Project ADVOCATES AND COMPLAINT INVESTIGATORS FOR ELDERLY
(one sentence) PERSONS LIVING IN LONG TERM CARE FACILITIES
Project Address 2021 SPERRY AVENUE SUITE 35 VENTURA, CA 93003
Service Area of Proposed PROGRAM SERVES ALL OF VENTURA COUNTY INCLUDING
Project (i.e., specific city, UNINCORPORATED AREAS;
countywide, etc.) THIS GRANT SPECIFICALLY FOR CITY OF FILLMORE
Funds being requested in this CDBG $ 3.000 — ESG $
proposal. Complete all that
apply. HOME$ ADDI $
Consolidated Plan goal this project will GOAL#5 PROVIDE SERVICES TO SENIORS
meet (code or description from Part I
Instructions-Attachment A).
IL—
Section B -- General Applicant Information
Legal Name of Applicant Organization LONG TERM CARE SERVICES OF VENTURA COUNTY,
Street Address, City and Zip Code 2021 SPERRY AVENUE SUITE 35 VENTURA, CA 93003
(Also note mailing address if different)
Organization's website address www.ombudsmanventura.org
Person to Contact Regarding this Name: SYLVIA TAYLOR STEIN
Application Address: 2021 SPERRY AVENUE SUITE 35 VENTURA, CA
93003
Phone Number: 805.656.1986 EXT 13
FAX Number: 805.658.8540
Email: staylor @ombudsmanventura.org
Organization's Federal Identification Number(Tax ID#) 77-0199665
Is this organization a Community Housing Development Organization (CHDO)? NO
Application–Part I
Page 1 of 6 j)00038
Federal Grant Experience (Disregard if your organization received CDBG, HOME or ESG
funding from this jurisdiction in the last 3 years.)
FF Federal Grant Purpose of Grant Date Funding Amount
Pro ram Obtained
Area Agency on Aging Support Ombudsman Program 2007-2008 122,000
Area Agency on Aging Support Ombudsman Program 2006-2007 122,000
Area Agency on Aging Support of Ombudsman Program 2005-2006 125,000
Area Agency on Aging " " 2004-2005 122,000
Fiscal Year and Audit Reports
What is your agency's fiscal year? July 1 —June 30
Date of your organization's most recently completed audit. (Month/Year) 6/06
What fiscal year did this most recent audit include? (Month/Year- Month/Year)July/05—June/06
Was this audit conducted in compliance with the Single Audit Act? Yes or No. NO
Are there any outstanding audit findings which remain unresolved? If yes, please attach
explanation. NO
Financial Management
If your organization is a non-profit organization, does your organization comply with: Check if yes
OMB Circular A-110, as implemented at 24 CFR Part 84"Uniform Administrative X
Requirements for Grants and Agreements with Institutions of Higher Education,
Hospitals and Other Non-Profit Organizations"
OMB Circular A-122 "Cost Principles for Non-Profit Organizations" X
OMB Circular A-133 "Audits of States, Local Governments and Non-Profit X
Organizations"
Organizational Structure and Insurance Documentation
Documents Check if
Attached
Bylaws X
Organization Chart X
List of the Board of Directors X
Non-Profit Determination letters from the Federal Internal Revenue Service and the X
State Franchise Tax Board (Form 501.3.c)
Evidence of Insurance: A copy of current insurance coverage (General Liability, X
Automobile, Worker's Compensation, etc_) must be attached with this application. If
funded, an updated insurance policy will be required with the funding jurisdiction listed
as"additionally insured."
Application—Part I
Page 2 of 6 000039
Section C -- Beneficiary Information
Income verification. How does (will) your organization verify income eligibility of your
clients?
Check if yes
----------------- ------------ —----
Area of Benefit. Program service area has been identified and determined to be
statistically low-income based on the 2000 Census. if you use this method, provide all
Census Tracts and Block Groups served by your program and a calculation of the low-
income percentage. Also attach a map.
Self Certification. Clients independently "self-certify" on a membership form, intake
form, etc. If you use this method, please attach blank intake form.
Client Document Review. Clients provide tax documents, pay stubs, etc.,to verify
income. Documents are reviewed by staff. If you use this method, please attach blank
worksheet.
Presumed beneficiaries. Clients served are primarily and specifically from one of the X
following groups: abused children, battered spouses, elderly persons(62 years of age Elden
or older), illiterate persons, migrant farm workers, handicapped individuals, homeless y
persons, persons with AIDS. If you use this method, please indicate which group. Persons
Other. Survey, other documentation (required documentation for other govemmental
programs, etc.). Please explain.
Ethnicity (Very few projects are exempted from this requirement. Please refer to
instructions.)
Check if yes
Does your organization request information on whether your clients are of Hispanic YES*
ethnicity?
Race (Very few projects are exempted from this requirement. Please refer to instructions.)
Check if yes
Does your organization ask all clients (including Hispanic clients) whether they are the one NO**
or more of the following races:
- White
- Black or African American
- American Indian or Alaska Native
- Asian
- Native Hawaiian or Other Pacific Islander
- American Indian or Alaska Native and White
- Asian and White
- Black or African American and White
- American Indian or Alaska Native and Black or African American
- Balance/Other (Category used to report individuals who are of a race or
combination of races not listed above.
Does your organization use any other Race categories? If yes, please explain and attach NO
any forms you use.
Application—Part I
Page 3 of 6 000040
If your organization does not currently obtain ethnicity and race information on the clients to be served
by the proposed project, please explain how this information will be obtained to meet this
requirement.
* *Ombudsmen are federally mandated to provide services confidentially and free of charge to all
seniors regardless of race or ethnicity. We inquire regarding race/ethnicity when appropriate and
as necessary in the fulfillment of our duties By federal law we cannot access records without
consent and since 70% of our clients have varying degrees of dementia and cannot provide
consent or accurate information they are not a reliable source of race/ethnicity data.
Our most reliable source for race/ethnicity are Ombudsman observations and communication
when they are in the facilities visiting the residents.
Application—Part I
Page 4 of 6 o0004JL
Section D - Project Information
Community Needs: Please describe the unmet community need this project proposes to meet. Refer to
the instructions and the 2005 Consolidated Plan. Describe your proposed project in the next box.
Goal#5 to provide services to area seniors;
In the City of Moorpark 127 elderly persons live in one skilled nursing facility (on annual basis): The skilled
nursing facility is a hospice and has a very high rate of turnover: typically 60% of those living in nursing
homes have no family or friends who ever visit or look out for them most are female the average age is 84;
maiority have varying degrees of dementia and most suffer from some form of chronic debilitating illness or
disease Most are either on Medi Cal or SSI or considered low or low/moderate income. Moorpark families
needing help with placement in a long term care facility for themselves or a loved one depend on the
ombudsman program for objective and knowledgeable assistance;
In December of 2005 we had 178 long term care facilities throughout Ventura County with over 7,000 elderly
residents. As of December 2007 we have 220 long term care facilities with over 7,500 residents. When the
time comes that seniors cannot live at home any longer,they must make other living arrangements. For many
of these individuals that means moving into a long term care facility. These facilities are primarily nursing
homes, board and care homes, and assisted living homes. Some of the most vulnerable and at risk seniors
are those living in these institutional and long term care settings. Because of their vulnerability and
dependence on others to meet their needs, they are very high risk for abuse and neglect. They are also
extremely fearful of retribution and are reluctant to speak up for themselves. The ombudsman may be the
only extended family or friend they have for the rest of their lives and the only one they have to speak up for
them and act on their behalf.
Proposed Project to Meet Community Needs: How will your agency use these grant monies to
address the unmet community needs described above? In other words, what is your project? Refer to
Attachment A and indicate which 2005 Consolidated Plan goal your project will address. Goal#5 Services to
Seniors.
Funds will be used to support the ongoing work of the ombudsman program in Moorpark. Ombudsmen make
unscheduled and unannounced visits to the nursing home in Moorpark on a weekly basis. Ombudsmen
investigate complaints of abuse and neglect on behalf of the residents and work to resolve their issues and
concerns. The ombudsman, acting as their advocate, represents their express wish and advocates on their
behalf to facility administrators and other facility staff. If the problem cannot be resolved at the lowest level
with facility staff,or it is more serious in nature, it is reported to licensing agencies, law enforcement, Attorney
General, for further investigation. It is feared that most issues of neglect and abuse could go unremedied or
unheeded without the work of the ombudsman who is in the facilities on a regular basis to monitor and
investigate and help resolve complaints.
Ombudsmen also provide training for direct caregivers to help improve care and reduce instances of abuse
and neglect of residents. Ombudsmen also witness Advanced Health Care Directives and provide community
education, counseling and support groups to families dealing with lo92 term care.
Objectives and Outcomes: Check one box in each table below that best reflects your
projects objectives and outcomes. See instructions for definitions.
Objectives Check one Outcomes Check one
Suitable Living Environment X Availability/Accessibility X
Decent Affordable Housing Affordability
Creating Economic Opportunities Sustainability: Promoting
Livable or Viable Communities
Application—Part I
Page 5 of 6 U00042
Section E --Application Certifications
The following certification must be completed and signed by an authorized agency representative to
be further considered for HUD program funding.
Agency Certification
The undersigned agency hereby certifies that:
a. The information contained herein and in the attached Part II and Part III (if applicable) is
complete and accurate;
b. The agency shall comply with all federal and County policies and requirements applicable to the
CDBG, HOME (and ADDI, ESG program as appropriate for the funding if received;
C. The federal assistance made available through the CDBG, HOME (and ADDI) or ESG program
funding is not being utilized to substantially reduce the prior levels of local financial support for
community development activities; and,
d. If CDBG funds are approved for a facility, the agency shall maintain and operate the facility for
its approved use for a period of not less than twenty years, unless given specific approval from
HUD to do otherwise; and
e. If CDBG or HOME(and ADDI) funds are approved in the requested amount, then to the best of
your knowledge, sufficient funds will be available to complete the project as proposed.
Long Term Care Services of Ventura County, Inc.,
(Name of Agency)
Sylvia Taylor-Stein
(Typed Name of Agency Official)
Executive Pj&ector
(Title of Agen Official)
` (Agency OfficiA Signature)
{
(Date of Signature)
805.656.1986 ext 13
(Telephone Number of Agency Official)
staylor(D_ombudsmanventura.org
(Email address of Agency Official)
GARegional DevlCommunity Dev\CONSOLIMConsolid 081Fonns 08.09%Part I Appl 08.doc
Application—Part 1 000043
Page 6 of 6
EXHIBIT "A"
PART I - APPLICATION
CDBG, HOME & ESG FUNDING APPLICATION
Project Proposal for Program Year 2008-09
submitted to City of Moorpark (Jurisdiction)
PART I --.General Information For Office Use
Matrix Code
Section A -- General Project Information Summary
Project Title Medical Hospice Aid for Low-Income Hospice Patient(s)
Brief Summary of the Project Provide supplemental medical hospice services in a patient's home or
(one sentence) at the Moorpark Health Care Center for one or more low-income
residents of Moorpark
Project Address 5400 Atlantis Court, Moorpark, CA 93021
Service Area of Proposed City of Moorpark
Project (i.e., specific city,
countywide, etc.)
Funds being requested in this CDBG $ 4,000 ESG $
proposal. Complete all that
apply. HOME$ ADDI $
Consolidated Plan goal this Goal CD-5 AND CD-6
project will meet.
Section B -- General Applicant Information
Legal Name of Applicant Organization Loving Heart Hospice Foundation
Street Address, City and Zip Code 5400 Atlantis Ct.,Moorpark, CA 93021
(Also note mailing address if different)
Organization's website address www.tichomehospice.com
Person to Contact Regarding this Name: Diane Scruton, Director of Fundraising Programs
Application Address: 5400 Atlantis Ct., Moorpark, CA 93021
Phone Number: (805) 517-1620
FAX Number: (805) 517-1621
Email: foundation @tichomehospice.com
Organization's Federal Identification Number(Tax ID#) 77-0440034
Is this organization a Community Housing Development Organization (CHDO)? No
Application— Part 1 000044
Pane 1 of 5
EXHIBIT "A"
Federal Grant Experience (Disregard if your organization has received HUD funding from
this program in the last 3 years.)
Federal Grant Purpose of Grant Date Funding
Program Obtained Amount
Fiscal Year and Audit Reports
What is your agency's fiscal year? Calendar Year(January 1-December 31)
Date of your organization's most recently completed audit. (Month/Year) 2006
What fiscal year did this most recent audit include? (Month/Year through Month/Year)
January 2006— December 2006
Was this audit conducted in compliance with the Single Audit Act? Yes
Are there any outstanding audit findings which remain unresolved? No
Financial Management
If you organization is a non-profit organization, does your organization comply with: Check if
yes
OMB Circular A-110, as implemented at 24 CFR Part 84, "Uniform Administrative X
Requirements for Grants and Agreements with Institutions of Higher Education,
Hospitals and Other Non-Profit Organizations"
OMB Circular A-122 "Cost Principals for Non-Profit Organizations" X
OMB Circular A-133 "Audits of States, Local Governments and Non-Profit X
Organizations"
Organizational Structure
Documents Check if
Attached
Bylaws On file
Organization Chart X
List of the Board of Directors X
Non-Profit Determination letters from the Federal Internal Revenue Service and the On file
State Franchise Tax Board (Form 501.3.c)
Evidence of Insurance: A copy of current insurance coverage (General Liability, X
Automobile, Worker's Compensation, etc.) must be attached with this application. If
funded, an updated insurance policy will be required with the funding jurisdiction listed
as "additionally insured."
Application—Part I �04s
Page 2 of 5
EXHIBIT "A"
Section C -- Beneficiary Information
Income verification. How does (will) your organization verify income eligibility of your
clients?
Check if yes
Area of Benefit. Program service area has been identified and determined to be statistically
low-income based on the 2000 Census. If you use this method, provide all Census Tracts
and Block Groups served by your program and a calculation of the low-income
percentage. Also attach a map.
Self Certification. Clients independently"self-certify"on a membership form, intake form, X
etc. If you use this method, please attach blank intake form.
Client Document Review. Clients provide tax documents, pay stubs, etc., to verify income. " X
Documents are reviewed by staff. If you use this method, please attach blank worksheet.
Presumed beneficiaries. Clients served are primarily and specifically from one of the X
following groups: abused children, battered spouses, elderly persons (62 years of age
or older), illiterate persons, migrant farm workers, handicapped individuals, homeless
persons. If you use this method, please indicate which group is served.
Other. Survey, other documentation (required documentation for other governmental
programs, etc.). Please explain.
Ethnicity and Race (Very few projects are exempted from this requirement. Please refer to
instructions.)
Check if yes
Does your organization request information on whether your clients are of Hispanic ethnicity? X
Does your organization request information on categories of Hispanic ethnicity, i.e., X
Mexican/Chicano, Puerto Rican, Cuban, etc_?
Does your organization ask all clients (including Hispanic clients )whether they are the one or X
more of the following races:
- White
- Black or African American
- American Indian or Alaska Native
- Asian
- Native Hawaiian or Other Pacific Islander
- American Indian or Alaska Native and White
- Asian and White
- Black or African American and White
- American Indian or Alaska Native and Black or African American
- Balance/Other (The balance category will be used to report individuals that are not
included in any of the single race categories or in any of the multiple race categories
listed above.
Does your organization use any other Race categories? If yes, please explain and attach any X
forms you use.
If your organization does not currently obtain ethnicity and race information on the clients to be served by
the proposed project, please explain how this information will be obtained to meet this requirement.
k)00046
Application— Part I
Page 3 of 5
EXHIBIT "A"
Section D — Project Information
Community Needs: Please describe the unmet community need this project proposes to meet.
Refer to the instructions and the 2005 Consolidated Plan. Describe your proposed project in the next
box.
Our project meets the national objectives by benefiting low and moderate income persons. We
meet the 2005 Consolidated Plan Goals by providing a service that is primarily for seniors (Goal
CD-5) and a service to low-moderate income persons (Goal CD-6)
The unmet community need for Moorpark is to provide no-cost care to low-income residents who
have exhausted their personal resources and are unable to pay for medical hospice services that
are not covered by insurance OR they are not eligible for insurance coverage
Loving Heart Hospice Foundation is the only medical hospice providing bereavement counseling
twice a month at the Moorpark Active Adult Center AND who is affiliated with a ten-bed skilled
nursing facility in Moorpark that specializes in hospice care.
Proposed Project to Meet Community Needs: How will your agency use these grant monies
to address the unmet community needs described above? In other words, what is your project? Refer to
Attachment A and indicate which 2005 Consolidated Plan goal your project will address.
Our project and goal is to provide direct medical hospice care to one or more low-income
resident(s) of Moorpark in order to help someone that cannot afford hospice care because they
are uninsured, under-insured or have exhausted their personal resources. This help can be in the
form of skilled nursing days in a facility, supplemental caregiver hours in the home, payment of
medicines not covered by insurance, payment for durable medical equipment, or help with
cremation or funeral expenses,or the like.
Objectives and Outcomes: Check one box in each table below that best reflects your
project's objectives and outcomes. See instructions for definitions.
Objectives Check one Outcomes Check one
Suitable Living Environment X Availability/Accessibility
Decent Affordable Housing Affordability
Creating Economic Sustainability: Promoting X
Opportunities Livable or Viable
Communities
Application—Part 1 000047
Paae 4 of 5
EXHIBIT "A"
Section E -- Application Certifications
The following certification must be completed and signed by an authorized agency representative to be
further considered for HUD program funding.
Agency Certification
The undersigned agency hereby certifies that:
a. The information contained herein and in the attached Part II and Part III (if applicable) is
complete and accurate;
b. The agency shall comply with all federal and County policies and requirements applicable to the
CDBG, HOME (and ADDI), ESG program as appropriate for the funding if received;
C. The federal assistance made available through the CDBG, HOME (and ADDI) or ESG program
funding is not being utilized to substantially reduce the prior levels of local financial support for
community development activities; and,
d. If CDBG funds are approved for a facility, the agency shall maintain and operate the facility for its
approved use for a period of not less than twenty years, unless given specific approval from
HUD to do otherwise; and
e. If CDBG or HOME (and ADDI) funds are approved in the requested amount, then to the best of
your knowledge, sufficient funds will be available to complete the project as proposed.
Loving Heart Hospice Foundation
(Name of Agency)
Shelley Chilton
(Typed Name of Agency Official)
President of the Board
(Title of ency�OOicial)
(Ag cy Official Signature)
DI ok2
(Date of Signature)
(805) 517-1620
(Telephone Number of Agency Official)
foundation @tichomehospice.com
(Email address of Agency Official)
SACommunity Development\CDBG\08-09 Applications\Loving HearAPI_Loving Heart.doc
Application— Part 1 *-)00048
pans r; of ri
PART I - APPLICATION
CDBG, HOME & ESG FUNDING APPLICATION
Project Proposal for Program Year 2008-09
submitted to Moorpark (Jurisdiction)
PART I -- General Information For Office Use
Matrix Code
Section A -- General Project Information Summary
Project Title Brown Bag Program
Brief Summary of the Project FOOD Share provides a weekly supplemental bag of groceries to over
(one sentence) 1750 low-income seniors countywide, including those residing in
Moorpark
Project Address 4156 Southbank Rd.
Oxnard, CA 93036
Service Area of Proposed Moorpark
Project (i.e., specific city,
countywide, etc.)
Funds being requested in this CDBG $ 4,000 ESG $
proposal. Complete all that
apply. HOME $ ADDI $
Consolidated Plan goal this project will Goal CD-5
meet (code or description from Part I
Instructions-Attachment A).
Section B -- General Applicant Information
Legal Name of Applicant Organization FOOD Share, Inc.
Street Address, City and Zip Code 4156 Southbank Rd.
(Also note mailing address if different) Oxnard, CA 93036
Organization's website address www.foodshare.com
Person to Contact Regarding this Name: Kristy Pollard
Application Address: 4156 Southbank Rd.
Oxnard, CA 93036
Phone Number: 805-983-7100 x115
FAX Number: 805-983-2326
Email: kpollard @foodshare.com
Organization's Federal Identification Number(Tax ID#) 77-0018162
Is this organization a Community Housing Development Organization (CHDO)? No
Application—Part 1 �.i000 49
Page 1 of 6
Federal Grant Experience (Disregard if your organization received CDBG, HOME or ESG
funding from this jurisdiction in the last 3 years.)
Federal Purpose of Grant Date Funding
Grant Obtained Amount
Program
Fiscal Year and Audit Reports
What is your agency's fiscal year? July 1 through June 30
Date of your organization's most recently completed audit. (Month/Year) 06-07
What fiscal year did this most recent audit include? (Month/Year-Month/Year) 07/01/06—06/30/07
Was this audit conducted in compliance with the Single Audit Act? Yes
Are there any outstanding audit findings which remain unresolved? No.
Financial Management
If your organization is a non-profit organization, does your organization comply with: Check if yes
OMB Circular A-110, as implemented at 24 CFR Part 84 "Uniform Administrative X
Requirements for Grants and Agreements with Institutions of Higher Education,
Hospitals and Other Non-Profit Organizations"
OMB Circular A-122"Cost Principles for Non-Profit Organizations" X
OMB Circular A-133"Audits of States, Local Governments and Non-Profit X
Organizations"
Organizational Structure and Insurance Documentation
Documents Check if
Attached
Bylaws X
Organization Chart X
List of the Board of Directors X
Non-Profit Determination letters from the Federal Internal Revenue Service and the X
State Franchise Tax Board (Form 501.3.c)
Evidence of Insurance: A copy of current insurance coverage (General Liability, X
Automobile, Worker's Compensation, etc.) must be attached with this application. If
funded, an updated insurance policy will be required with the funding jurisdiction listed
as"additionally insured."
Application—Part I Oj00051D
Page 2 of 6
Section C -- Beneficiary Information
Income verification. How does (will) your organization verify income eligibility of your
clients?
Check if yes
Area of Benefit. Program service area has been identified and determined to be statistically
low-income based on the 2000 Census. If you use this method, provide all Census Tracts
and Block Groups served by your program and a calculation of the low-income
percentage. Also attach a map.
Self Certification. Clients independently"self-certify"on a membership form, intake form, X
etc. If you use this method, please attach blank intake form.
Client Document Review. Clients provide tax documents, pay stubs, etc., to verify income.
Documents are reviewed by staff. If you use this method, please attach blank worksheet.
Presumed beneficiaries. Clients served are primarily and specifically from one of the
following groups: abused children, battered spouses, elderly persons (62 years of age or
older), illiterate persons, migrant farm workers, handicapped individuals, homeless
persons, persons with AIDS. If you use this method, please indicate which group.
Other. Survey, other documentation (required documentation for other governmental
programs, etc.). Please explain.
Ethnicity (Very few projects are exempted from this requirement. Please refer to instructions.)
Check if es
Does your organization request information on whether your clients are of Hispanic ethnicity? X
Race (Very few projects are exempted from this requirement. Please refer to instructions.)
Check if es
Does your organization ask all clients (including Hispanic clients)whether they are the one or X
more of the following races:
- White
- Black or African American
- American Indian or Alaska Native
- Asian
- Native Hawaiian or Other Pacific Islander
- American Indian or Alaska Native and White
- Asian and White
- Black or African American and White
- American Indian or Alaska Native and Black or African American
- Balance/Other (Category used to report individuals who are of a race or combination
of races not listed above.
Does your organization use any other Race categories? If yes, please explain and attach any no
forms you use.
If your organization does not currently obtain ethnicity and race information on the clients to be served by
the proposed project, please explain how this information will be obtained to meet this requirement.
n/a
Application—Part I 0000S1
Page 3 of 6
Section D — Project Information
Community Needs: Please describe the unmet community need this project proposes to meet.
Refer to the instructions and the 2005 Consolidated Plan. Describe your proposed project in the next box.
Despite living in the world's most bountiful food-producing country, the number of seniors who suffer from
hunger in the United States is growing rapidly, according to The National Council on Aging._ In-addition the
USDA reports that more than three quarters of a million Americans over 65 and living alone have difficulty
providing themselves with a steady supply of food and experience some degree of hunger.
In Ventura County, there continues to be the same parallel as the rest of the country. There is a growing
prevalence of seniors and frail elderly who do not have the economic means to completely sustain them.
Many of these individuals lack family and social networks and live on drastically low fixed incomes resulting
in barren cupboards for this very vulnerable population. These seniors are economically insecure due to
escalating costs of housing, fuel, medications and other necessities, preventing them from'purchasing
groceries, especially of a high nutritious quality.
The need for hunger services for low-income seniors is escalating with the correlating rise in Ventura
County's population. Over the next five years, our county's current population of 800,000 is estimated to
increase to 875,000. According to the 2000 census the fastest growing population segment is seniors
aged 65 to 74 years of age. This cohort is expected to double by 2030 and the overall senior population is
expected to increase by 30%. Currently senior citizens comprise 13.63%of the total population, a 19.35%
increase in the last ten years. Of the 9.2% of individuals living in poverty in this county, 6.3% (68% of all
those falling under the poverty line)are senior citizens.
In many cases, FOOD Share is the only major source of help to this population. FOOD Share has found a
tremendous need in Moorpark where we currently serve over 30 low-income seniors with a bag of
groceries 52 weeks of the year. Deliveries are made to the Moorpark Senior Center.
Proposed Project to Meet Community Needs: How will your agency use these grant monies
to address the unmet community needs described above? In other words, what is your project?. Refer to
Attachment A and indicate which 2005 Consolidated Plan goal your project will address.
In addressing the 2005 Consolidated Plan Goal CD-5 and CD-6, FOOD Share will serve seniors and low-
income individuals through our Brown Bag Program. This weekly program will work with local partner
agencies or distribution points to serve supplemental bags of groceries to seniors over the age of sixty and
who qualify under strict income requirements. These individuals then pick up this food at the above listed
locations. If delivery is necessary and available, then the bag can also be delivered to those residents with
limited mobility. FOOD Share's food assistance will enable countywide seniors to utilize their small
household budgets on other vital needs, such as healthcare, housing, transportation and other basic
needs.
Another factor affecting the growing number of individuals needing service is the life expectancy of our
senior population. With seniors living longer, FOOD Share remains steadfast through service and support
through the long term. In a study conducted in recently, FOOD Share found that the average length of
time a senior stays on the program is 14 years. This loyalty to the residents of the entire county is what
makes FOOD Share so successful. FOOD Share works to increase the health of this vulnerable
population by providing a variety of nutritious food each week through the Brown Bag program, whereby
minimizing the risk of Type II Diabetes and other diet-related illnesses. The President of the National
Counicl on Aging, James Firman, states, "Hunger can be life threatening. Seniors who experience hunger
are at risk for serious health problems. Hunger increases the risk for stroke, exacerbates pre-existing ill
health conditions, limits the efficiency of many prescription drugs, and may affect brain chemistry
increasing the incidence of depression and isolation."
Application—Part 1 4,J()00'
Page 4 of 6
FOOD Share will continue to serve over 30 low-income seniors each week and will accept new
applications in an attempt to serve residents in-need throughout Moorpark.
Objectives and Outcomes: Check one box in each table below that best reflects your
project's objectives and outcomes. See instructions for definitions.
Objectives Check one Outcomes Check one
Suitable Living Environment X Availability/Accessibility X
Decent Affordable Housing Affordability
Creating Economic Sustainability: Promoting
Opportunities Livable or Viable
Communities
Application—Part I
Page 5 of 6
Section E --Application Certifications
The following certification must be completed and signed by an authorized agency representative to be
further considered for HUD program funding.
GARegional Dev\Community Dev\CONSOLIMConsolid Offorms 08-09%Part I Appl 08.doc
Agency Certification
The undersigned agency hereby certifies that:
a. The information contained herein and in the attached Part II and Part III (if applicablek is-
complete and accurate;
b. The agency shall comply with all federal and County policies and requirements applicable to the
CDBG, HOME (and ADDI, ESG program as appropriate for the funding if received;
C. The federal assistance made available through the CDBG, HOME (and ADDI)or ESG program
funding is not being utilized to substantially reduce the prior levels of local financial support for
community development activities; and,
d. If CDBG funds are approved for a facility, the agency shall maintain and operate the facility for its
approved use for a period of not less than twenty years, unless given specific approval from
HUD to do otherwise; and
e. If CDBG or HOME (and ADDI) funds are approved in the requested amount, then to the best of
your knowledge, sufficient funds will be available to complete the project as proposed.
FOOD Share
(Name of Agency)
Sandra Elespuru-Bishop
(Typed Name of Agency Official)
CEO
(Title of Agency Official)
&�o Lc�=�L;In
(Agency OfficiaVSig nature)
(Date of Signature)
805-983-7100
(Telephone Number of Agency Official)
sbishop(cD,foodshare.com
(Email address of Agency Official)
Application—Part 1 000054
Page 6 of 6
PART I - APPLICATION
CD13G, HOME & ESG FUNDING APPLICATION
Project Proposal for Program Year 2008-09
submitted to Moorpark (Jurisdiction)
PART I -- General Information For ofce Use
Matrix Code
Section A --General Project Information Summary
Project Title Opportunity Cars
Brief Summary of the Project This project, operated through Many Motors Vehicle Support Services,
(one sentence) will assist low-income individuals and families with car ownership and
provide support services for obtaining and maintain their vehicle. This
project is merged with our vision to assist individuals and families by
creating economic and social stability through the venue of
transportation.
Project Address 300 Montgomery Ave
Suite U
Oxnard, CA 93033
Service Area of Proposed County(including unincorporated areas)
Project (i.e., specific city,
countywide, etc.)
Funds being requested in this CDBG$5,000 ESG$
proposal. Complete all that
apply. HOME $ ADDI $
Consolidated Plan goal this project will Economic Opportunity, serving low-income individuals and
meet (code or description from Part I families
Instructions-Attachment A).
Section B --General Applicant Information
Legal Name of Applicant Organization Many Motors
Street Address, City and Zip Code 300 Montgomery Ave
(Also note mailing address if different) Suite U
Oxnard, CA 93033
Organization's website address http:Hwww.manymotorrs.org
Person to Contact Regarding this Name: Helen Ortega
Application Address: 300 Montgomery Ave
Suite U
Oxnard, CA 93033
Application—Part I
Page 1 of 6 000055
Phone Number: 805-509-4084
FAX Number: 805-656-5072
Email: hortega805 @yahoo.com
Organization's Federal Identification Number(Tax ID#)03-0397487
Is this organization a Community Housing Development Organization (CHDO)? No
Federal Grant Experience (Disregard if your organization received CDBG, HOME or ESG
funding from this jurisdiction in the fast 3 years.)
Federal Purpose of Grant Date Funding
Grant Obtained Amount
Program
CDBG- Vehicle Supportive Services August $3,000
Camarillo 2007
Fiscal Year and Audit Reports
What is your agency's fiscal year? July-June
Date of your organization's most recently completed audit. (Month/Year) Audit has not been
completed for Many Motors.
What fiscal year did this most recent audit include? (Month/Year-Month/Year) N/A
Was this audit conducted in compliance with the Single Audit Act? Yes or No. No
Are there any outstanding audit findings which remain unresolved? If yes, please attach explanation.
No
Financial Management
If your organization is a non-profit organization, does your organization comply with: Check if yes
OMB Circular A-110, as implemented at 24 CFR Part 84"Uniform Administrative
Requirements for Grants and Agreements with Institutions of Higher Education,
Hospitals and Other Non-Profit Organizations"
OMB Circular A-122"Cost Principles for Non-Profit Organizations"
OMB Circular A-133"Audits of States, Local Governments and Non-Profit
Organizations"
Organizational Structure and Insurance Documentation
Documents Check if
Attached
Bylaws X
Application—Part I
Page 2 of 6 ���
Organization Chart X
List of the Board of Directors X
Non-Profit Determination letters from the Federal Internal Revenue Service and the X
State Franchise Tax Board (Form 501.3.c)
Evidence of Insurance: A copy of current insurance coverage(General Liability, X
Automobile, Worker's Compensation, etc.) must be attached with this application. If
funded, an updated insurance policy will be required with the funding jurisdiction listed
as"additionally insured.": Automobile Insurance
Application—Part I
Page 3 of 6 000057
Section C -- Beneficiary Information
Income verification. How does (will) your organization verify income eligibility of your
clients? Clients fill out an application to be qualified for the program and are asked to submit
documentation with the application.
Check if yes
_ Area of Benefit. Program service area has been identified and determined to be statistically
low-income based on the 2000 Census. If you use this method, provide all Census Tracts
and Block Groups served by your program and a calculation of the low-income
percentage. Also attach a map.
Self Certification. Clients independently"self-certify"on a membership form, intake form, Yes
etc. If you use this method, please attach blank intake form.
Client Document Review. Clients provide tax documents, pay stubs,etc., to verify income. Yes
Documents are reviewed by staff. If you use this method, please attach blank worksheet.
Presumed beneficiaries. Clients served are primarily and specifically from one of the Yes
following groups: abused children, battered spouses, elderly persons(62 years of age or
older), illiterate persons, migrant farm workers, handicapped individuals, homeless
persons, persons with AIDS. If you use this method, please indicate which group.
Other. Survey,other documentation(required documentation for other governmental
programs, etc.). Please explain.
Ethnicity (Very few projects are exempted from this requirement. Please refer to instructions.)
Check if es
Does your organization request information on whether your clients are of Hispanic ethnicity? Yes
Race (Very few projects are exempted from this requirement. Please refer to instructions.)
Check if yes
Does your organization ask all clients (including Hispanic clients }whether they are the one or Yes
more of the following races:
- White
- Black or African American
- American Indian or Alaska Native
- Asian
- Native Hawaiian or Other Pacific Islander
- American Indian or Alaska Native and White
- Asian and White
- Black or African American and White
- American Indian or Alaska Native and Black or African American
- Balance/Other (Category used to report individuals who are of a race or combination
of races not listed above.
Does your organization use any other Race categories? If yes, please explain and attach any No
forms you use.
If your organization does not currently obtain ethnicity and race information on the clients to be served by
the proposed project, please explain how this information will be obtained to meet this requirement.
Application—Part I
Page 4 of 6 000058
Section D—Project Information
Community Needs: Please describe the unmet community need this project proposes to meet.
Refer to the instructions and the 2005 Consolidated Plan. Describe your proposed project in the next
box.
Many of the individuals and families provide service and support to are women in domestic violence
situations who are seeking to recreate a life for themselves and their families. It is through this recreation
that they often need to obtain many of life's basic needs and that includes transportation. When a
homeless individual and/or family is able to find housing yet needs economic stability, that is created
through employment and/or education opportunities and it is through the venue of transportation that this
becomes viably important.
As a woman with four kids has to transport her children from school along with keeping her job, the
transportation system is not always viable to do that.
Car ownership is also about the financial credibility that an individual and family can achieve through the
program.
Proposed Project to Meet Community Needs: How will your agency use these grant monies
to address the unmet community needs described above? In other words, what is your project? Refer to
Attachment A and indicate which 2005 Consolidated Plan goal your project will address.
The funds will be leveraged in a two-fold way:
1. To assist with the administrative function to operate the program which includes picking up the
vehicles from community donors, working the clients to process the applications and work with
vendors to get the vehicles ready for the individuals and families.
2. The funds will also be used to prepare the vehicles for the families. Our vehicles are all donated
and often need work to be done so that the vehicles are safe and ready for the family. The other
part of the project is to offer the family vehicle support for three months into the program, as the
individuals and families are seeking to adjust to having financial responsibility and accountability
for the process.
Objectives and Outcomes: Check one box in each table below that best reflects your
project's objectives and outcomes. See instructions for definitions.
Objectives Check one Outcomes Check one
Suitable Living Environment Availability/Accessibility
Decent Affordable Housing Affordability X
Creating Economic X Sustainability: Promoting `
Opportunities Livable or Viable
Communities
Application—Part I
Page 5 of 6 10000 9
Section E --Application Certifications
The following certification must be completed and signed by an authorized agency representative to be
further considered for HUD program funding.
G_1Regbnai Dev%Community DeACONSOUMCor►solid 08%Fonns 08-09%Part I Appi 08.doc
Agency Certification
The undersigned agency hereby certifies that
a. The information contained herein and in the attached Part II and Part III (if applicable)is
complete and accurate;
b. The agency shall comply with all federal and County policies and requirements applicable to the
CDBG, HOME(and ADDI), ESG program as appropriate for the funding if received;
C. The federal assistance made available through the CDBG, HOME(and ADDI)or ESG program
funding is not being utilized to substantially reduce the prior levels of local financial support for
community development activities; and,
d. If CDBG funds are approved for a facility, the agency shall maintain and operate the facility for its
approved use for a period of not less than twenty years, unless given specific approval from
HUD to do otherwise; and
e. If CDBG or HOME(and ADDI)funds are approved in the requested amount, then to the best of
your knowledge, sufficient funds will be available to complete the project as proposed.
Many Motors
(Name of Agency)
Helen Oreteaa
(Typed Name of Agency Official)
Executive Director
(Title of ncy fficial)
(Agency Vficial Sign ur )
1/5/2008
(Date of Signature)
805-509-4084
(Telephone Number of Agency Official)
horteaa8050-yahoo.com
(Email address of Agency Official)
Application—Part I U®0 060
Page 6 of 6
PART I - APPLICATION
CDBG, HOME & ESG FUNDING APPLICATION
Project Proposal for Program Year 2008-09
submitted to City of Moorpark (Jurisdiction)
PART I -- General Information For Office Use
Matrix Code
Section A -- General Project Information Summary
Project Title County of Ventura— RAIN Project Transitional Living Center(RAIN)—
CDBG Public Service (Operations)
Brief Summary of the Project RAIN Staff coordinate and provide transportation for the Transitional
(one sentence) Living Center residents to multiple locations daily.
Project Address 1732 S. Lewis Road, Camarillo, CA 93010
Service Area of Proposed Countywide
Project (i.e., specific city,
countywide, etc.)
Funds being requested in this CDBG $5000.00 ESG $
proposal. Complete all that
apply. HOME$ ADDI $
Consolidated Plan goal this project will Services for Homeless Individuals/Families Goal H-1
meet (code or description from Part I
Instructions - Attachment A).
Section B -- General Applicant Information
Legal Name of Applicant Organization County of Ventura Human Services Agency
Street Address, City and Zip Code 855 Partridge Drive, Ventura, CA 93003
(Also note mailing address if different)
Organization's website address www.vchsa.org
Person to Contact Regarding this Name: Debra M. Hyde, Project Director
Application Address: 1732 S. Lewis Road, Camarillo, CA 93010
Phone Number: 805-388-1356
FAX Number: 805-383-6437
Email: debbie.hyde @ventura.org
Organization's Federal Identification Number(Tax ID #) 95-6000944
Is this organization a Community Housing Development Organization (CHDO)? No
Application— Part I 00OW-L
Page 1 of 6
Federal Grant Experience (Disregard if your organization received CDBG, HOME or ESG
funding from this jurisdiction in the last 3 years.)
Federal Purpose of Grant Date Funding
Grant Obtained Amount
Pro ram
(Previously Funded)
Fiscal Year and Audit Reports
What is your agency's fiscal year? July through June
Date of your organization's most recently completed audit. (Month/Year) June 2006
What fiscal year did this most recent audit include? (Month/Year- Month/Year) FY 2005-2006
Was this audit conducted in compliance with the Single Audit Act? Yes or No. YES
Are there any outstanding audit findings which remain unresolved? NO If yes, please attach
explanation.
Financial Management
If your organization is a non-profit organization, does your organization comply with: Check if yes
OMB Circular A-110, as implemented at 24 CFR Part 84"Uniform Administrative
Requirements for Grants and Agreements with Institutions of Higher Education,
Hospitals and Other Non-Profit Organizations"
OMB Circular A-122"Cost Principles for Non-Profit Organizations"
OMB Circular A-133 "Audits of States, Local Governments and Non-Profit
Organizations"
Organizational Structure and Insurance Documentation
Documents Check if
Attached
Bylaws
Organization Chart See Attachment 1 X
List of the Board of Directors See Attachment 2 X
Non-Profit Determination letters from the Federal Internal Revenue Service and the
State Franchise Tax Board (Form 501.3.c)
Evidence of Insurance: A copy of current insurance coverage (General Liability, X
Automobile, Worker's Compensation, etc.) must be attached with this application. If
funded, an updated insurance policy will be required with the funding jurisdiction listed
as "additionally insured." See Attachment 3
Application— Part I o00062
Page 2 of 6
Section C - Beneficiary Information
Income verification. How does (will) your organization verify income eligibility of your
clients?
Check if yes
Area of Benefit. Program service area has been identified and determined to be
statistically low-income based on the 2000 Census. If you use this method, provide all
Census Tracts and Block Groups served by your program and a calculation of the low-
income percentage. Also attach a map.
Self Certification. Clients independently"self-certify' on a membership form, intake form,
etc. If you use this method, please attach blank intake form.
Client Document Review. Clients provide tax documents, pay stubs, etc., to verify
income. Documents are reviewed by staff. If you use this method, please attach blank
worksheet.
Presumed beneficiaries. Clients served are primarily and specifically from one of the X
following groups: abused children, battered spouses, elderly persons (62 years of age or
older), illiterate persons, migrant farm workers, handicapped individuals, homeless Homeless
persons, persons with AIDS. If you use this method, please indicate which group.
Other. Survey, other documentation (required documentation for other governmental
programs, etc.). Please explain.
Ethnicity (Very few projects are exempted from this requirement. Please refer to instructions.)
Check if es
Does your organization request information on whether your clients are of Hispanic ethnicity? X
Race (Very few projects are exempted from this requirement. Please refer to instructions.)
Check if yes
Does your organization ask all clients (including Hispanic clients ) whether they are the one or X
more of the following races:
- White
- Black or African American
- American Indian or Alaska Native
- Asian
- Native Hawaiian or Other Pacific Islander
- American Indian or Alaska Native and White
- Asian and White
- Black or African American and White
- American Indian or Alaska Native and Black or African American
- Balance/Other (Category used to report individuals who are of a.race or combination
of races not listed above.
Does your organization use any other Race categories? If yes, please explain and attach any No
forms you use.
If your organization does not currently obtain ethnicity and race information on the clients to be served by
the proposed project, please explain how this information will be obtained to meet this requirement.
Application— Part 1 000063
Page 3 of 6
Section D - Project Information
Community Needs: Please describe the unmet community need this project proposes to meet.
Refer to the instructions and the 2005 Consolidated Plan. Describe your proposed project in the next
box.
This project responds to the 2005 Consolidated Plan Goal H-1 ("To assist homeless or at-risk persons
with housing and services") in the "Services for Homeless Individual/Families" section. RAIN's uniqueness
can be traced to its outstanding support and services. It not only works to transition families to a new life,
but it also transforms their lives so they are able to participate in a more positive and productive manner
when they achieve self-sufficiency. The emphasis on life skills helps guarantee that self-sufficiency will be
maintained once it is achieved. Many programs are provided ranging from parenting, self-sufficiency,
relapse prevention, women's domestic violence, and men's group to individual, family, couples therapies,
parent coaching, and children's counseling. Each resident is provided with intensive case management
services. In addition, the children have academic tutoring, yoga and the "Child Watch" and "Beyond the
Backyard" programs. Medical services and screenings and job search and skills development are also
available. Volunteers work with residents in the garden, do painting projects, offer art classes, and
organize parties. Special outings have included trips to sporting events, art, music, plays, cultural and
outdoor activities. These services not only enhance the experience of residents, but strive to provide a
homelike, supportive atmosphere for children and adults alike, serving to promote parent-child attachment
and strengthen family bonds.
The RAIN Project has served 1590 homeless adults and children since 1997. During fiscal year 2006-
2007, 13 residents at RAIN were from the City of Moorpark. Thus far in fiscal year 2007-2008, RAIN has
also provided services to 13 Moorpark residents. The Ventura County Homeless and Housing Coalition's
2007 Homeless Count determined that on any given day there are 1,961 adults and children in Ventura
County who meet the HUD definition of homelessness. Of those counted, 13, all adults, were from the
City of Moorpark. Of these 13: all were living on the street, 92.3% were men and 7.7% were women,
77.7% were Hispanic or Latino and 22.3% were White, and 23.1% were born in California. Of the 1,961
people counted, 75% were determined to be living on the street (not living in a facility), stressing the need
for transitional and affordable long term housing in Ventura County.
RAIN's mission is to end homelessness one person at a time by providing a safe and nurturing
environment to renew hope, restore dignity, and strengthen family bonds. All of these elements are
essential to end the cycle of homelessness, poverty, unemployment, household violence, trauma, and
addiction. In order for individuals to become self-sufficient, they must have assistance in locating
appropriate community resources, obtaining employment, and with RAIN's forced savings plan, the
opportunity to save the money necessary for deposits and move-in expenses to unsupported housing. A
vital component to the long-term success of our residents is the continuum of care provided by
comprehensive case management.
The majority of homeless individuals are unemployed for a myriad of reasons including: lack of
transportation, either public or private; lack of appropriate clothing and/or equipment; limited or no access
to bathing facilities or hygiene products; criminal records; poor self-esteem; substance abuse history and
addiction; lack of marketable skills; limited job search skills; poor interpersonal skills; functional illiteracy
and/or untreated medical/psychological problems. Programs are needed that provide transitional housing
and in-house services to address these issues and assist individuals in finding employment while
developing the life skills essential for self-sufficiency.
Application— Part 1 1jOO
Page 4 of 6
Proposed Project to Meet Community Needs: How will your agency use these grant monies
to address the unmet community needs described above? In other words, what is your project? Refer to
Attachment A and indicate which 2005 Consolidated Plan goal your project will address.
RAIN is a 24/7 operational facility and is the only transitional living center in Ventura County that provides
transportation. Primary hours for transportation are from 6:00 a.m. to 10:00 p.m., but transportation is
available 24/7 as needed. Starting from RAIN in Camarillo, residents are transported to multiple locations
including Job and Career Centers, vocational training, job interviews, places of employment, and medical
examinations; their non school age children are transported to day care and their school age children are
picked up from school if sick.
These funds wiWbe utilized to partially compensate for the maintenance and fuel of one vehicle used in
these functions.
Objectives and Outcomes: Check one box in each table below that best reflects your
project's objectives and outcomes. See instructions for definitions.
Objectives Check one Outcomes Check one
Suitable Living Environment X Availability/Accessibility X
Decent Affordable Housing Affordability
Creating Economic Sustainability: Promoting
Opportunities Livable or Viable
Communities
Application— Part 1 000065
Page 5 of 6
Section E -- Application Certifications
The following certification must be completed and signed by an authorized agency representative to be
further considered for HUD program funding.
GARegional Dev\Community Dev\CONSOLID\Consolid 08\Forms 08-09\Part I Appl 08.doc
Agency Certification
The undersigned agency hereby certifies that:
a. The information contained herein and in the attached Part 11 and Part III (if applicable) is
complete and accurate;
b. The agency shall comply with all federal and County policies and requirements applicable to the
CDBG, HOME (and ADDI), ESG program as appropriate for the funding if received;
C. The federal assistance made available through the CDBG, HOME (and ADDI) or ESG program
funding is not being utilized to substantially reduce the prior levels of local financial support for
community development activities; and,
d. If CDBG funds are approved for a facility, the agency shall maintain and operate the facility for its
approved use for a period of not less than twenty years, unless given specific approval from
HUD to do otherwise; and
e. If CDBG or HOME (and ADDI) funds are approved in the requested amount, then to the best of
your knowledge, sufficient funds will be available to complete the project as proposed.
County of Ventura—Human Services Agency
(Name of Agency)
Ted Myers
(Typed Name of Agency Official)
Director
Titl of Age y Official)
gency-Officia ignature)
January 7, 2008
(Date of Signature)
805-477-5301
(Telephone Number of Agency Official)
ted.measrs ventura.orci
(Email address of Agency Official)
Application— Part 1 4 000G6
Page 6 of 6
PART I - APPLICATION
CDBG, HOME & ESG FUNDING APPLICATION
Project Proposal for Program Year 2008-09
submitted to City of Moorpark (Jurisdiction)
PART I -- General Information For Office Use
Section A -- General Project Information Summary Matrix Code
Project Title Women's Economic Ventures—Self Employment Training Program
and Business Counseling
Brief Summary of the Project WEV provides Self Employment Training and business and loan
(one sentence) services for Ventura County residents
Project Address 400 E. Esplanade Drive Suite 300 Oxnard, CA 93036
Service Area of Proposed Countywide
Project (i.e., specific city,
countywide, etc.)
Funds being requested in this CDBG $ $10,000 ESG $
proposal. Complete all that
apply. HOME $ ADDI $
Consolidated Plan goal this project will CD-3 Enhance economic development by creating jobs for
meet (code or description from Part I low to moderate income areas.
Instructions -Attachment A).
Section B -- General Applicant Information
Legal Name of Applicant Organization Women's Economic Ventures
Street Address, City and Zip Code 333 South Salinas Street, Santa Barbara, CA 93105
(Also note mailing address if different) Corporate office
Organization's website address www.wevonline.org
Person to Contact Regarding this Name: Mary Anne Rooney, Regional Leader
Application Address: 400 E. Esplanade Dr. Suite 300 Oxnard, CA 93036
Phone Number:805.604.9000 ext. 241
FAX Number:805.604.7784
Email: marooney @wevonline.org
Organization's Federal Identification Number(Tax ID#) 95-3674624
Is this organization a Community Housing Development Organization (CHDO)? No
Federal Grant Experience (Disregard if your organization received CDBG, HOME or ESG
funding from this jurisdiction in the last 3 years.)
Application—Part I o00067
Page 1 of 5
Federal Purpose of Grant Date Funding
Grant Obtained Amount
Program
Fiscal Year and Audit Reports
What is your agency's fiscal year? January 1 through December 31
Date of your organization's most recently completed audit. (Month/Year) December 31, 2006
What fiscal year did this most recent audit include? (Month/Year- Month/Year) 01/2006-12/2006
Was this audit conducted in compliance with the Single Audit Act? Yes or No. No
Are there any outstanding audit findings which remain unresolved? No
Financial Management
If your organization is a non-profit organization, does your organization comply with. Check if yes
OMB Circular A-110, as implemented at 24 CFR Part 84"Uniform Administrative
Requirements for Grants and Agreements with Institutions of Higher Education, X
Hospitals and Other Non-Profit Organizations"
OMB Circular A-122"Cost Principles for Non-Profit Organizations" X
OMB Circular A-133 "Audits of States, Local Governments and Non-Profit X
Organizations"
Organizational Structure and Insurance Documentation
Documents Check if
Attached
Bylaws X
Organization Chart X
List of the Board of Directors X
Non-Profit Determination letters from the Federal Internal Revenue Service and the X
State Franchise Tax Board (Form 501.3.c)
Evidence of Insurance: A copy of current insurance coverage (General Liability, X
Automobile, Worker's Compensation, etc.) must be attached with this application. If
funded, an updated insurance policy will be required with the funding jurisdiction listed
as"additionally insured."
Application—Part 1 000068
Page 2 of 5
Section C -- Beneficiary Information
Income verification. How does (will) your organization verify income eligibility of your
clients?
Check if yes
Area of Benefit. Program service area has been identified and determined to be statistically
low-income based on the 2000 Census. If you use this method, provide all Census Tracts
and Block Groups served by your program and a calculation of the low-income
percentage. Also attach a map.
Self Certification. Clients independently"self-certify" on a membership form, intake form, X
etc. If you use this method, please attach blank intake form.
Client Document Review. Clients provide tax documents, pay stubs, etc., to verify income.
Documents are reviewed by staff. If you use this method, please attach blank worksheet.
Presumed beneficiaries. Clients served are primarily and specifically from one of the
following groups: abused children, battered spouses, elderly persons (62 years of age or
older), illiterate persons, migrant farm workers, handicapped individuals, homeless
persons, persons with AIDS. If you use this method, please indicate which group.
Other. Survey, other documentation (required documentation for other governmental
programs, etc.). Please explain.
Ethnicity (Very few projects are exempted from this requirement. Please refer to instructions.)
Check if es
Does your organization request information on whether your clients are of Hispanic ethnicity? I X
Race (Very few projects are exempted from this requirement. Please refer to instructions.)
Check if yes
Does your organization ask all clients (including Hispanic clients )whether they are the one or X
more of the following races:
- White
- Black or African American
- American Indian or Alaska Native
- Asian
- Native Hawaiian or Other Pacific Islander
- American Indian or Alaska Native and White
- Asian and White
- Black or African American and White
- American Indian or Alaska Native and Black or African American
- Balance/Other (Category used to report individuals who are of a race or combination
of races not listed above.
Does your organization use any other Race categories? If yes, please explain and attach any
forms you use.
If your organization does not currently obtain ethnicity and race information on the clients to be served by
the proposed project, please explain how this information will be obtained to meet this requirement.
Section D - Project Information
Application— Part I
t►00069
Page 3 of 5
Community Needs: WEV provides technical assistance and microenterprise assistance to businesses.
Between 1997 and 2002, the number of woman-owned businesses increased by 14% nationwide—twice
the rate of all firms. Employment in woman-owned firms increased by 30%; 1.5 times the U.S. rate, and
sales grew by 40% the same rate as all firms. Ventura County is home to over 18,000 woman-owned
businesses with no business development programs targeted specifically toward their needs. According to
census data, only 11 percent of woman-owned businesses in Ventura County have employees, while two-
thirds of all businesses have employees. This suggests that woman-owned businesses have a need for
programs that will help them establish and expand stable enterprises. WEV seeks funding to help
underwrite its two core programs in Ventura County: Self-Employment Training (SET), Loan Fund
Operation, and post-loan, post-training follow-up services. SET is a highly interactive comprehensive
entrepreneurial training curriculum. Since 2002, through all our services, we have served 25 total
Moorpark residents; 19 LMI; 4 Hispanic; 24 Female. In 2007, 9 total Moorpark residents; 6 LMI; 1
Hispanic; 9 Female. (LMI is determined by HUD.) We have also provided $12,000 in loan dollars to
Moorpark residents. As you may recall, Moxie McMahon appeared in the Ventura County Star article in
December, 2007, as she was a SET graduate and started her business, Blonde on the Roof Publishing.
We estimate that for every business that has been created, one and one-half jobs are created. HUD's
standards ask that for every$35,000 that is issued, one new job is created.
Last year WEV created 7 new full-time jobs and 37 part-time jobs countywide. This is well above the HUD
standard. These two service categories—training and capital services—are integral components of a
comprehensive program that helps clients succeed in achieving their goal of economic self-sufficiency
through entrepreneurship.
Proposed Project to Meet Community Needs: How will your agency use these grant monies
to address the unmet community needs described above? In other words, what is your project? WEV
proposes to provide 8 self-employment training (SET) classes per year in various locations throughout the
county, of which two (2)will be Spanish-language (SSET) classes. The funds requested will enable staff to
continue SET outreach and delivery efforts within the community(for both Spanish and English speaking
residents) and pay for the instructors and facilitators of the program. SET is a 14-week, 56-hour self-
employment training class composed of four major components: 1)Self-assessment and personal skills
development such as goal-setting, personal financial management and building support networks 2)
Business feasibility,3) Business management skills and 4) Business planning. WEV projects that it will
serve 347 women through all WEV's programs this year and anticipates 75 businesses served through
technical assistance. WEV operates the Small Business Loan Fund (SBLF)which provides pre-bankable
clients with loans of up to$25,000 for start-up and up to$50,000 for expansion. WEV offers business
counseling for general business support as clients start and expand their businesses, and loan counseling
to screen and support loan applicants as they prepare applications for loans. Funding from other
jurisdictions has remained stagnant or decreased over the past few years (Simi Valley has already
declined for 08-09). The cost per client to WEV is$2,500; $15,000 serves six clients yet WEV projects
serving 9 Moorpark clients despite these challenges.
Objectives and Outcomes: Check one box in each table below that best reflects your
project's objectives and outcomes. See instructions for definitions.
Objectives Check one Outcomes Check one
Suitable Living Environment Availability/Accessibility
Decent Affordable Housing Affordability
Creating Economic x Sustainability: Promoting x
Opportunities Livable or Viable
Communities
000070
Application— Part
Page 4 of 5
Section E --Application Certifications
The following certification must be completed and signed by an authorized agency representative to be
further considered for HUD program funding.
GARegional Dev\Community Dev\CONSOLID\Consolid 08\Forms 08-09\Part I Appl 08.doc
Agency Certification
The undersigned agency hereby certifies that:
a. The information contained herein and in the attached Part II and Part III (if applicable) is
complete and accurate;
b. The agency shall comply with all federal and County policies and requirements applicable to the
CDBG, HOME (and ADDI), ESG program as appropriate for the funding if received;
C. The federal assistance made available through the CDBG, HOME (and ADDI) or ESG program
funding is not being utilized to substantially reduce the prior levels of local financial support for
community development activities; and,
d. If CDBG funds are approved for a facility, the agency shall maintain and operate the facility for its
approved use for a period of not less than twenty years, unless given specific approval from
HUD to do otherwise; and
e. If CDBG or HOME (and ADDI) funds are approved in the requested amount, then to the best of
your knowledge, sufficient funds will be available to complete the project as proposed.
Women's Economic Ventures
(Name of Agency)
Judy Hawkins
(Typed Name of Agency Official)
Executive Director
(Title of Agency Official)
/U L/A
ge.f0fficial Signature)
60ate of Sig Lure)
805.892.4924
(Telephone Number of Agency Official)
ihawkins a-wevonline.org
(Email address of Agency Official)
Application— Part I
000' 1
Page 5 of 5
PART I - APPLICATION
CDBG, HOME & ESG FUNDING APPLICATION
Project Proposal for Program Year 2008-09
submitted to City of Moorpark (Jurisdiction)
PART 1 -- General Information For Office Use
Matrix Code
Section A -- General Project Information Summary
Project Title
Moorpark Human Services Center
Brief Summary of the Project
(one sentence) To provide funds to complete the design and engineering for the
proposed building. -
Project Address
612 Spring Road, Moorpark, CA 93021
Service Area of Proposed
Project (i.e., specific city, Moorpark
countywide, etc.)
Funds being requested in this CDBG $153,250.00 ESG$
proposal. Complete all that
apply. HOME $ ADDI $
Consolidated Plan goal this Community Development—Goal 1- Public Facilities
project will meet.
Section B -- General Applicant Information
Legal Name of Applicant Organization City of Moorpark
Street Address, City and Zip Code 799 Moorpark Avenue, Moorpark, CA 93021
(Also note mailing address if different)
Organization's website address www.ci.moorpark.ca.us
Person to Contact Regarding this Name: Jessica Sczepan
Application Address: 799 Moorpark Avenue, Moorpark, CA 93021
Phone Number: (805) 517-6225
FAX Number: (805) 532-2530
Email: isczepan(c�ci.moorpark.ca.us
Organization's Federal Identification Number(Tax ID#) 95-3860962
Is this organization a Community Housing Development Organization (CHDO)? No
Application— Part I k)00072
Page 1 of 6
Federal Grant Experience (Disregard if your organization has received HUD funding.from
this program in the last 3 years.)
Federal Purpose of Grant Date Funding
Grant Obtained Amount
Program
Fiscal Year and Audit Reports
What is your agency's fiscal year? July 1-June 30
Date of your organization's most recently completed audit. (MonthNear) December 2006
What fiscal year did this most recent audit include? (MonthNear- MonthNear) July 1-June 30,
2007
Was this audit conducted in compliance with the Single Audit Act? Not Applicable
Are there any outstanding audit findings which remain unresolved? No
Financial Management
If your organization is a non-profit organization, does your organization comply with: Check if yes
OMB Circular A-110, as implemented at 24 CFR Part 84"Uniform Administrative
Requirements for Grants and Agreements with Institutions of Higher Education,
Hospitals and Other Non-Profit Organizations"
OMB Circular A-122 "Cost Principles for Non-Profit Organizations"
OMB Circular A-133 "Audits of States, Local Governments and Non-Profit
Organizations"
Organizational Structure
Documents Check if
Attached
Bylaws N/A
Organization Chart X
List of the Board of Directors N/A
Non-Profit Determination letters from the Federal Internal Revenue Service and the N/A
State Franchise Tax Board (Form 501.3.c)
Evidence of Insurance: A copy of current insurance coverage (General Liability, Self-
Automobile, Worker's Compensation, etc.) must be attached with this application. If Insured
funded, an updated insurance policy will be required with the funding jurisdiction listed
as"additionally insured." 1 11
Application— Part 1 j 0000 73
Page 2 of 6
Section C -- Beneficiary Information
Income verification. How does (will) your organization verify income,eligibility of your
clients? -
Check if yes
Area of Benefit. Program service area has been identified and determined to be statistically
low-income based on the 2000 Census. If you use this method, provide all Census Tracts
and Block Groups served by your program and a calculation of the low-income
percentage. Also attach a map.
Self Certification. Clients independently"self-certify" on a membership form, intake form, X (by
etc. If you use this method, please attach blank intake form. future
tenants)
Client Document Review. Clients provide tax documents, pay stubs, etc., to verify income. X(by
Documents are reviewed by staff. If you use this method, please attach blank worksheet. future
tenants)
Presumed beneficiaries. Clients served are primarily and specifically from one of the X(by
following groups: abused children, battered spouses, elderly persons (62 years of age or future
older), illiterate persons, migrant farm workers, handicapped individuals,-homeless tenants)
persons. If you use this method, please indicate which group is served.
Other. Survey, other documentation (required documentation for other governmental
programs, etc.). Please explain. --
Ethnicity and Race (Very few projects are exempted from this requirement. Please refer to
instructions.)
Check if yes
Does your organization request information on whether your clients are of Hispanic ethnicity?
Does your organization request information on categories of Hispanic ethnicity, i.e.,
Mexican/Chicano; Puerto Rican, Cuban, etc.? `
Does your organization ask all clients (including Hispanic clients )whether they are the one or
more of the following races:
- White
- Black or African American
- American Indian or Alaska Native
- Asian
- Native Hawaiian or Other Pacific Islander
- American Indian or Alaska Native and White
- Asian and White
- Black or African American and White
- American Indian or Alaska Native and Black or African American
- Balance/Other (The balance category will be used to report individuals that are not
included in any of the single race categories or in any of the multiple race categories
listed above.
Does your organization use any other Race categories? If yes, please explain and attach any
forms you use.
If your organization does not currently obtain ethnicity and race information on the clients to be served by
the proposed project, please explain how this information will be obtained to meet this requirement.
Beneficiary information will be collected by future tenants of the building.
Application—Part 1 J;i000 74
Page 3 of 6
Section D - Project Information
Community Needs: Please describe the unmet community need this project proposes to meet.
Refer to the instructions and the 2005 Consolidated Plan. Describe your proposed project in the next
box.
Currently, the only social service agency in Moorpark is the Catholic Charities' Food Pantry, and the only
medical facility in Moorpark is a County of Ventura clinic that is highly impacted. Therefore, the low income
population of Moorpark must travel to Simi Valley or Ventura to obtain needed services.
A community-wide survey completed by the Moorpark/Simi Valley Neighborhoods for Learning (NfL) in
late 2001 identified as high priority need in the Moorpark community- the need for medical, mental health,
and social services to be located in Moorpark; and the lack of adequate transportation to obtain services
outside of Moorpark. These needs made up the majority of the Top 10 needs identified in the community
of Moorpark. Focus groups conducted by the Moorpark/Simi Valley NfL further clarified_that those
Moorpark residents who do not have their own means of transportation, and must utilized public
transportation to reach these services located outside of Moorpark, do not seek or obtain needed services
until a crisis occurs. The Focus Groups further clarified that this is because it is so difficult, time
consuming, and costly to utilize public transit.
Another need in the-Moorpark community is the need for low-cost facilities from which social and human
service agencies may provide services for the residents of Moorpark. As an example, Catholic Charities
has aided the low-income citizens of Moorpark with food pantry services, as well as hosting a few social
services, for 25 years. They provide food distribution; utility, rent and eviction prevention assistance; dental
stipends for first graders; an outreach service to home bound frail seniors; and special holiday food and
toy programs. Their permanent facility burned down five years ago, and they are currently housed at a
temporary site. They have been searching for a permanent location for 5 years. To date no permanent
solution has been found due to lack of facilities at an affordable cost. Other social service agencies have
also expressed a desire to locate in Moorpark to provide better outreach to the residents of Moorpark;
however, the lack of facilities, even market-rate facilities, has prevented this from happening. Building
such a facility will enable these agencies to located in Moorpark and make their services more readily
available to those in need.
Proposed Project to Meet Community Needs: How will your agency use these grant monies
to address the unmet community needs described above? In other words, what is your project? Refer to
Attachment A and indicate which 2005 Consolidated Plan goal your project will address.
The City of Moorpark plans to utilize these grant monies to continue architectural design and engineering
for the Human Services Center site and buildings. The City has retained HMC Architects for the
conceptual design of the project and will enter into an agreement with HMC for the preparation of
construction drawings and specifications for the complex.
The Human Services Complex is to be located on a 2 acre site on the east side of Spring Road
immediately south of the Union Pacific Railroad Right-of-way. The site has already been purchased with
CDBG funds. Specific tenants have not yet been identified.
The City plans to lease the property at very low rates ($1/year) to human/social service/mental health
agencies, so that they can afford to locate in Moorpark.
Application— Part I U00075
Page 4 of 6
Objectives and Outcomes: Check one box in each table below that best reflects your
project's objectives and outcomes. See instructions for definitions.
Objectives Check one Outcomes Check one
Suitable Living Environment X Availability/Accessibility X
Decent Affordable Housing Affordability
Creating Economic Sustainability. Promoting
Opportunities Livable or Viable
Communities
Application—Part 1 0()007
Page 5 of 6
Section E --Application Certifications
The following certification must be completed and signed by an authorized agency representative to be
further considered for HUD program funding.
Agency Certification
The undersigned agency hereby certifies that:
a. The information contained herein and in the attached Part II and Part III (if applicable) is
complete and accurate;
b. The agency shall comply with all federal and County policies and requirements applicable to the
CDBG, HOME (and ADDI, ESG program as appropriate for the funding if received;
C. The federal assistance made available through the CDBG, HOME (and ADDI) or ESG program
funding is not being utilized to substantially reduce the prior levels of local financial support for
community development activities; and,
d. If CDBG funds are approved for a facility, the agency shall maintain and operate the facility for its
approved use for a period of not less than twenty years, unless given specific approval from
HUD to do otherwise; and
e. If CDBG or HOME (and ADDI)funds are approved in the requested amount, then to the best of
your knowledge, sufficient funds will be available to complete the project as proposed.
City of Moorpark
(Name of Agency)
Steven Kueny
(Typed Name of Agency Official)
City Manager
(Title of Agency Official)
(Agency Official Signature)
January 7, 2008
(Date of Signature)
(805) 517-6221
(Telephone Number of Agency Official)
(Email address of Agency Official) _
Application—Part I (joo()77
Page 6 of 6
PART I - APPLICATION
CDBG, HOME & ESG FUNDING APPLICATION
Project Proposal for Program Year 2008-09
submitted to City of Moorpark (Jurisdiction)
PART I -- General Information For Office Use
Matrix Code
Section A -- General Project Information Summary
Project Title Administration
Brief Summary of the Project Reimbursement for the cost of managing the CDBG program and
(one sentence) activities.
Project Address 799 Moorpark Avenue, Moorpark, CA 93021
Service Area of Proposed City of Moorpark
Project (i.e., specific city,
countywide, etc.)
Funds being requested in this CDBG $9,642.83 ESG$
proposal. Complete all that
apply. HOME$ ADDI $
Consolidated Plan goal this
project will meet.
Section B -- General Applicant Information
Legal Name of Applicant Organization City of Moorpark
Street Address, City and Zip Code 799 Moorpark Avenue, Moorpark, CA 93021
(Also note mailing address if different)
Organization's website address www.ci.moorpark.ca.us
Person to Contact Regarding this Name: David Lasher
Application Address: 799 Moorpark Avenue, Moorpark, CA 93021
Phone Number: (805) 517-6230
FAX Number: (805) 532-2540
Email: dlasherCaD-ci.moorpark.ca.us
Organization's Federal Identification Number(Tax ID#) 95-3860962
Is this organization a Community Housing Development Organization (CHDO)? No
Application—Part 1 000078
Page 1 of 5
Federal Grant Experience (Disregard if your organization received CDBG, HOME or ESG
funding from this jurisidiction in the last 3 years.)
Federal Purpose of Grant Date Funds
Grant Obtained Amount
Program
Fiscal Year and Audit Reports
What is your agency's fiscal year? July 1-June 30
Date of your organization's most recently completed audit. (MonthNear) December 2006
What fiscal year did this most recent audit include? (MonthNear- MonthNear) 7/01/05-06/30/06
Was this audit conducted in compliance with the Single Audit Act? Not Applicable
Are there any outstanding audit findings which remain unresolved? No
Financial Management
If your organization is a non-profit organization, does your organization comply with: Check if yes
OMB Circular A-110, as implemented at 24 CFR Part 84"Uniform Administrative
Requirements for Grants and Agreements with Institutions of Higher Education,
Hospitals and Other Non-Profit Organizations"
OMB Circular A-122 "Cost Principles for Non-Profit Organizations"
OMB Circular A-133"Audits of States, Local Governments and Non-Profit
Organizations"
Organizational Structure and Insurance Documentation
Documents Check if
Attached
Bylaws N/A
Organization Chart X
List of the Board of Directors N/A
Non-Profit Determination letters from the Federal Internal Revenue Service and the N/A
State Franchise Tax Board (Form 501.3.c)
Evidence of Insurance: A copy of current insurance coverage (General Liability, Self-
Automobile, Worker's Compensation, etc.) must be attached with this application. If Insured
funded, an updated insurance policy will be required with the funding jurisdiction listed
as"additionally insured."
Application—Part 1 �;(j.U*�
Page 2 of 5
Section C -- Beneficiary Information
Income verification. How does (will) your organization verify income eligibility of your
clients?
Check if yes
Area of Benefit. Program service area has been identified and determined to be statistically N/A
low-income based on the 2000 Census. If you use this method, provide all Census Tracts
and Block Groups served by your program and a calculation of the low-income
percentage. Also attach a map.
Self Certification. Clients independently"self-certify" on a membership form, intake form, N/A
etc. If you use this method, please attach blank intake form.
Client Document Review. Clients provide tax documents, pay stubs, etc., to verify income. N/A
Documents are reviewed by staff. If you use this method, please attach blank worksheet.
Presumed beneficiaries. Clients served are primarily and specifically from one of the N/A
following groups: abused children, battered spouses, elderly persons (62 years of age or
older), illiterate persons, migrant farm workers, handicapped individuals, homeless
persons, persons with AIDS. If you use this method, please indicate which group.
Other. Survey, other documentation (required documentation for other governmental N/A
programs, etc.). Please explain.
Ethnicity and Race (Very few projects are exempted from this requirement. Please refer to
instructions.)
Check if yes
Does your organization request information on whether your clients are of Hispanic ethnicity? N/A
Does your organization request information on categories of Hispanic ethnicity, i.e., N/A
Mexican/Chicano, Puerto Rican, Cuban, etc.?
Does your organization ask all clients (including Hispanic clients )whether they are the one or N/A
more of the following races:
- White
- Black or African American
- American Indian or Alaska Native
- Asian
- Native Hawaiian or Other Pacific Islander
- American Indian or Alaska Native and White
- Asian and White
- Black or African American and White
- American Indian or Alaska Native and Black or African American
- Balance/Other (The balance category will be used to report individuals that are not
included in any of the single race categories or in any of the multiple race categories
listed above.
Does your organization use any other Race categories? If yes, please explain and attach any N/A
forms you use.
If your organization does not currently obtain ethnicity and race information on the clients to be served by
the proposed project, please explain how this information will be obtained to meet this requirement.
Application—Part 1 000080
Page 3 of 5
Section D - Project Information
Community Needs: Please describe the unmet community need this project proposes-to meet.
Refer to the instructions and the 2005 Consolidated Plan. Describe your proposed project in the next
box.
To support the delivery of CDBG sponsored projects and programs_as deemed necessary through the
public participation plan.
Proposed Project to Meet Community Needs: How will your agency use these grant monies
to address the unmet community needs described above? In other words, what is your project? Refer to
Attachment A and indicate which 2005 Consolidated Plan goal your project will address.
To reimburse City staff salary and miscellaneous expenses for time spent administering the CDBG
programs.
Objectives and Outcomes: Check one box in each table below that best reflects your
project's objectives and outcomes. See instructions for definitions.
Objectives Check one Outcomes Check one
Suitable Living Environment X Availability/Accessibility X
Decent Affordable Housing Affordability
Creating Economic Sustainability: Promoting
Opportunities Livable or Viable
Communities
Application—Part I �
Page 4 of 5
Section E --Application Certifications
The following certification must be completed and signed by an authorized agency representative to be
further considered for HUD program funding. -
Agency Certification
The undersigned agency hereby certifies that:
a. The information contained herein and in the attached Part II and Part III (if applicable) is
complete and accurate;
b. The agency shall comply with all federal and County policies and requirements applicable to the
CDBG, HOME (and ADDI), ESG program as appropriate for the funding if received;
C. The federal assistance made available through the CDBG, HOME (and ADDI) or ESG program
funding is not being utilized to substantially reduce the prior levels of local financial support for
community development activities; and,
d. If CDBG funds are approved for a facility, the agency shall maintain and operate the facility for its
approved use for a period of not less than twenty years, unless given specific approval from
HUD to do otherwise; and
e. If CDBG or HOME (and ADDI) funds are approved in the requested amount, then to the best of
your knowledge, sufficient funds will be available to complete the project as proposed.
City of Moorpark
(Name of Agency)
Steven Kueny
(Typed Name of Agency Official)
City Manager
(Title of Agency Official)
(Agency Official Signature)
January 22, 2008
(Date of Signature)
(805) 517-6230
(Telephone Number of Agency Official)
dlasher(a ci.moorpark.ca.us
Application—Part 1 000082
Page 5 of 5
CDBG OVERVIEW OF PAST FUNDING: PUBLIC SERVICES
Public Service Program 1997-98 1998-99 1999-00 2000-01 2001-02 2002-03 2003-04 1 2004-05 1 2005-06 1 2006-07 1 2007-08 TOTAL
Adult Literacy $1,000 $1,000 $2,00
Catholic Charities $6,200 $9,097 $5,366 $7,293 $7,330 $7,643 $7,643 $9,047 $12,000 $12,000 $14,00 $97,61
Child Health Care $
Coalition to End Family $3,000 $3,000 $3,000 $9,00
Violence
Food Share, Inc. $3,OOC $3,00
Homeless Ombudsman $
Legal Services $2,000 $2,00
Long-term Care Ombudsman $1,964 $459 $2,000 $3,000 $3,000 $2,745 $13,16
Loving Heart Hospice $2,500 $2,500 $4,000 $9,00
Foundation
PDAP/Teen Counseling $1,500 $1,50
RAIN Project $3,000 $3,00
Senior Center Part-time Staff $9,200 $10,100 $13,000 $12,000 $12,000 $12,000 $12,000 $5,500 $7,444 $7,444 $100,68
Senior Equipment $
Senior Survivalmobile $1,000 $1,00
Senior Lifeline $
Senior Nutrition $9,000 $9,000 $10,000 $10,000 $10,000 $10,000 $10,000 $10,000 $78,00
Vocational Training
TOTAL (All Public Service $29,864 $29,197 $29,366 $29,293 $30,330 $29,643 $30,102 $29,547 $27,944 $27,944 $26,745 $319,97
Z7 projects)
C-_
C✓
S:\Community Development\CDBG\Agenda Rpts\Agenda Rpt 08-09\ CC ATTACHMENT 3 1/22/2008
Overview of Past Funding-for 2008-2009 Attachment 3
CDBG OVERVIEW OF FUNDING: OTHER CATEGORIES
CATEGORY 1997-98 1998-99 1999-00 2000-01 2001-02 2002-03 2003-04 2004-05 2005-06 2006-07 2007-08 TOTAL
AFFORDABLE HOUSING
Affordable Housing $1,235 $1,23
CODE ENFORCEMENT
Residential Code Enforcement $5,000 $703 $5,70
CAPITAL IMPROVEMENTS
DA Play Equipment at Mountain
Meadows Park $
Boys and Girls Club $51,764 $20,000 $71,76
Food Share $5,077 $5,000 $5,000 $10,000 $25,07
Human Services Complex $69,367 $90,294 $126,856 $105,587 $150,392 $138,000 $137,933 $130,178 $115,714 $177,716 $1,242,03
Public Park Acquisition and
Improvements $
RAIN Facility Rehabilitation $5,000 $2,539 $7,53
Senior Center Expansion $150,634 $66,875 $217,50
Street Improvement $
Street Light Improvement Project $46,876 $46,87
ECONOMIC DEVELOPMENT
omen's Economic Ventures(WEV) $0
RAIN Project $1,000 $1,00
TOTAL (All Public Service $150,634 $141,242 $142,058 $149,794 $157,463 $150,392 $145,616 $142,933 $135,178 $125,714 $177,71 $1,618,73
projects)
C S:\Community Development\CDBG\Agenda Rpts\Agenda Rpt 08-09\
Overview of Past Funding-for 2008-2009 Attachment 3 1/22/2008