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CC - Item 4A - Public Hearing on the Fiscal Year 2016-17 Annual Action Plan for Federally-Funded Programs
E M F o fit, © ° ROSEMEAD CITY COUNCIL ;F STAFF REPORT TO: THE HONORABLE MAYOR AND CITY COUNCIL FROM: JEFF ALLRED, CITY MANAGER dej.1 DATE: FEBRUARY 23, 2016 SUBJECT: PUBLIC HEARING ON THE FISCAL YEAR 2016-17 ANNUAL ACTION PLAN FOR FEDERALLY-FUNDED PROGRAMS SUMMARY The City Council will conduct its required annual public hearing regarding the projected use of federal Community Development Block Grant (CDBG) and HOME Investment Partnership (HOME) funds for the upcoming 2016-17 fiscal year. The U.S. Department of Housing and Urban Development (HUD) has not yet announced the final amounts to be allocated to participating communities; however, cities have been warned that Congress will again make cuts to these programs. Under federal regulations, no more than 15% of the CDBG allocation can be used for "social service" activities. Written proposals have been received from three organizations that are current recipients, which include the Family Promise of San Gabriel Valley (Family Promise), Santa Anita Family Service (Family Service), and Southern California Housing Rights Center (Housing Rights Center). Staff Recommendation Staff recommends that the City Council conduct a public hearing and take public testimony on the Annual Action Plan covering the period July 1, 2016 — June 30, 2017. No further City Council action is necessary. BACKGROUND The City of Rosemead is a federal entitlement grant recipient of Community Development Block Grant and HOME Investment Partnership funds from the U.S. Department of Housing and Urban Development (HUD). As part of the process to receive funding, the City must undertake development of a Consolidated Plan and Annual Action Plan. It is called a Consolidated Plan because it consolidates the application process for HUD's four entitlement grants into one consolidated plan and application. The four grants are: Community Development Block Grant (CDBG), HOME Investment Partnership Program (HOME), Housing Opportunities for Persons with AIDS (HOPWA), and Emergency Shelter Grant (ESG). All four grants are driven by an entitlement formula process set by the federal government. The City is eligible to participate in two of these programs: CDBG and HOME. ITEM NO. 4.A City Council Report February 23,2016 Page 2 of 3 As part of the requirements of the federal Consolidated Plan process, the City is required to hold a public hearing regarding the projected use of funds prior to adoption of its Consolidated Plan and Annual Action Plan. In order to receive the FY 2016-17 allocations, the City must comply with the following requirements of the Consolidated Plan final rule regarding pre-submission requirements: • Fulfill citizen participation requirements by conducting a public hearing to receive citizen input regarding annual funding needs; • Publish a draft Plan and Annual Action Plan for a 30-day comment period in order to receive citizen input regarding the final document; and Conduct a public hearing adopting the final Plan and the Annual Action Plan. The Annual Action Plan is a part of the Consolidated Plan, which takes all HUD requirements regarding planning, needs analysis, reporting, budgeting, citizen participation and certifications and incorporates them into one process. The full Consolidated Plan must be completed once every five years and the Annual Action Plan must be completed annually. ANALYSIS The Federal government is currently working on allocating CDBG and HOME funding awards and has not yet announced the final amounts to each participating community; however, cities have been warned that Congress will again be making cuts to these programs. While the City has not yet been notified of the grant amounts that will be available to meet identified needs within Rosemead for the FY 2016-17, HUD has warned that it is estimated that Rosemead will receive a decrease in its current $647,307 allocation of CDBG funds and a decrease in its current $201,143 allocation of HOME funds. It will not be certain until federal notification of awards. In conducting this public hearing, written invitations were sent to the four non-profit organizations (Family Promise, Family Service, People for People, and Housing Rights Center) that are currently receiving CDBG funding and the one Community Housing Development Organization (Rio Hondo Community Development Corporation) currently receiving HOME funding. Unfortunately, People for People did not submit a funding request since they ceased operation in September 2015 due to financial problems. Copies of the written proposals received from each organizations have been included in Attachment A. It is expected that all the organizations requesting funding will be represented at the public hearing. The hearing is also open to the general public and anyone present can submit a funding request for the Council's consideration. However, in accepting these recommendations only three broad funding categories are considered eligible under CDBG regulations. A project must either provide benefits to low or moderate-income persons, eliminate slum or blighted conditions, or is an urgent need. In addition, of the CDBG funds received, no more than 15% of the annual grant amount can be used for social service activities and no more than 20% of the grant amount can be used for administrative and program delivery activities. More than 70% of all funds received must be used for low-to- City Council Report February 23, 2016 Page of moderate income activities. Of the HOME funds received, no more than 10% can be used for administrative and program delivery activities and 15% must be set aside for a Community Housing Development Organization, as constituted under the regulations. The balance of funds can only be used for housing activities. Due to limited resources and potential cuts in funding; it may not be possible for the Council to endorse all of the projects that have been submitted by the various parties that attend tonight's public hearing. In addition, due to the federal funding restrictions discussed above, the Council will be limited in the amount of funds available for social service activities. To properly evaluate all proposed projects, it is recommended that the Council defer making any recommendations this evening until the City has received confirmation of our grant amounts with HUD. A summary of all funding requests and staff recommendations will be provided to the Council for review at a future meeting. PUBLIC NOTICE PROCESS Notice of the public hearing was published in the Rosemead Reader on February 11, 2016, as well as through the regular agenda notification process. Submitted by: Jc Michelle G. Ramirez Community Development Director Attachment A— Funding Requests Reserved ATTACHMENT A Reserved Family Promise (CDBG Funded) Reserved CITY OF ROSEMEAD 8838 E. Valley Boulevard Rosemead, CA 91770 (626)569-2102 ppiatt©cityofrosemead orq NON-PROFIT COMMUNITY SERVICE ORGANIZATION REQUEST FOR FUNDING FISCAL YEAR 2016 - 2017 Legal Name of Organization: Family Promise of San Gabriel Valley Tax ID#:27-0315194 DUNS#: Address: 1255 San Gabriel Blvd.Rosemead Ca 91170 Executive Director:Matthew Rayburn Contact Name:Matthew Rayburn Telephone:626-584-7806 Fax: Email:mauhew.raybur i a ips R.org Purpose of Organization: To assist homeless children and their families regain stable housing and employment within a supportive volunteer driven community. We provide safe and secure sleeping space, three meals a day, case management, and other assistance for families focused on sustainably housing the families as quickly as possible. Enter"X"by the appropriate designation: X Non-profit organization For-profit organization Enter"X"by all that apply: A faith-based organization An institution of higher education X Not Applicable FY 14-15 7 (Please Complete Attached Backup-Performance Report) FY 15-16 13 ROSEMEAD FY2015-2016 FINANCIAL SUPPORT: $5,000 FY 2016-2017 FINANCIAL REQUEST FROM CITY OF ROSEMEAD: $10,000 AGENCY TOTAL BUDGET FOR FISCAL YEAR 2016-2017: $213,093 Catalog of Federal Domestic Assistance(CFDA)Number:14.218 CFDA Title:Community Development Block Grants/Entitlement Grants 1. State the Agency's mission,goals and major objectives. In addition,describe programs designed to meet goals and objectives.Attach any recent evaluations of programs or needs assessments. Missions Statement:: To help homeless children by assisting their families to stay intact and to regain stable housing and employment within a supportive, volunteer-driven community. Goals: Family Promise aims to assist 20 Rosemead residents(4-6 families)with 180 services(i.e.one day ofemergency support) that provide the following • Provide homeless families with a safe place to sleep overnight, three nutritious meals and other related supports • Interventions to reverse the downward spiral of homelessness and societal alienation for the children and families • Assist parents/caregivers in obtaining meaningful employment • Help families attain psychosocial stability with the goal of returning to stable housing • Enstevfamilier obtain stable h usfrtgwithin 60 days Objectives: • Provide immediate shelter • Assess client system and identi barriers to stable housing • Devise individualized case plans to address family and systems issues • Collaborate with schools, social service agencies, mental health and addiction recovery programs to support families • Assist families to locate, apply for and obtain housing(includes helping families save income in order to have move in deposits, etc.) • Assist with development of employment resumes, conduct job searches, obtain interview and employment appropriate clothing • Provide counseling and case management to families as they progress toward goals Programs designed to meet goals and objectives: • Case management services:assessment and implementation of an individualized case plan with oversight by a Licensed Clinical Social Worker • Social work internship program that provides case management, counseling and assist families with life skills training • Collaboration with rapid rehousing programs and landlords as well as refer families to appropriate programs and services • Collaboration with other social service agencies/programs to meet needs of individual clients and client groups Briefly explain any new programs or services to Rosemead residents during FY 2014-2015.Are any planned for FY 2015-2016? • Family Promise was able to hire a full time Executive Director to ensure the organizations long term success • New After-care case management program ensures that families retain housing once they leave the program • For 2015-2016 Family Promise is working with the LEA of the Alhambra Unified School District to provide case management services to 100 homeless families. We are anticipating that a significant percentage of these will be Rosemead residents that we will be able to admit to our current programs. 4.List and explain any major changes in funding patterns or expenditures We are working with severaif traders to both expand ow current progrmns(adding afull time Case Manager)and introduce anew program identifying homeless families in the school systems so that we can intervene earlier and minimize the duration and negative effects of homelessness. Catalog of Federal Domestic Assistance(CFDA)Number: 14218 CFDA Title:Community Development Block Grants/Entitlement Grants 5.List major sources of funding and the amount(i.e.cities,county,state,federal,fundraising,etc.) The majority of me funding has come from huhvidhuls and community organizations Be. Churches,Rotary Club.and small businesses). In the upcoming year we are anticipating several Iarger grants fromfoundations and a.school district. 6.What Facilities in Rosemead are used to conduct services? Our Day Center is located at 1255 San Gabriel Blvd in the city of Rosemead All administrative, case management and support services are located at this site. Our families are housed at a variety of congregations spread across the Sim Gabriel Valley. 7.The proposed Community Service would be provided to: Mark each that apply X Low and Moderate-Income persons or households Abused Children Handimpped Persons Illiterate Persons Battered Spouses X Homeless Persons Migrant Fann Workers Elderly Persons 8.How many Rosemead citizens do you project will benefit from your program/project We project that approximately 5 Rosemead Families and/or 10 Rosemead Residents will benefit. Provide a specific example or case study of a client that exemplifies how program objectives were achieved during the past year: (Attach additional page if necessary) Please see attached. 10.Has your organization conducted the proposed activity before? X Yes No. I.I.Describe your organization's experience with CDBG We have received a CDBG grant from the City of Rosemead for the last 3years. We also previously received a CDBG gra nt from the City of Monterey Park 12.Do you charge any fees to your clients?If so,what is the fee structure? No, all our services are fee. Catalog of Federal Domestic Assistance(CFDA)Number: 14.218 CFDA"Fitie:Community Development Block Grants/Entitlement Grants PROGRAM REVENUE Use Whole Dollars Only FY 2014-2015 CurrentOperating Proposed for Year FY 2016-2017 FY 2015-2016 Public Support Contributions Foundation&Private Grants Fundraising/special Events Legacies and Bequests Other Federated Org. United Way Misc. Organizations Other Subtotal Government Federal State Local Subtotal Other Revenue Membership Dues Program Services Fees Investment Income Transfer From Other Fund All Other Revenue Subtotal TOTAL REVENUE Please explain Changes Greater than 15%between FY 2014-15 and FY 2015-16 and/or FY 2015-16 and FY 2016-17. We have applied for several new grants and contracts that are included in this year's budget. Catalog of Federal Domestic Assistance(CFDA)Number: 14.218 CFDA Title:Community Development Block Grants/Entitlement Grants En ) ! , }- 0 2 , l , § \ > ) ) : 2 , / \ 3 ! 0 CS- a < ® : \ ) ! ) & > j \ � " \ i ) \ \ } - 1 H ) {j ! \ - / \ , : a § ■ , -CI o. OH \ : \ \ N ) / - ) j .4 § ° Cl oc E ° 2f Jg C I . : ! Z- \ - \ \) - ) \ ¥ §\ ! \ 0. ) » o. o \ )\ \ ) 0 VI \ � j § \ ) / � 2 ° % < g / § -0 ! \ . I ? 7 ! 2 » § -g\ \\ e = PROGRAM BUDGET Use Whole Dollars Only FY 2014-2015 Current Proposed Budget CDBG SHARE Operating Year FY 2016-2017 FY 2016-17 FY 2015-2016 Expense Salaries Employee Benefits Employees Payroll Taxes Profes.&Consultant Fees Supplies Telephone& Fax Postage & Shipping Occupancy&Utilities Rental&Maint.of Equip. Printing & Publishing Travel and Transportation Conferences Specific Assist. To Individuals Membership Dues Awards & Grants Insurance Equipment Purchased Misc. Expenses Transfer to Other Funds Dues to National Organizations Over Expenses Please explain Changes Greater than 15%between FY 2014-15 and FY 2015-16 and/or FY 2015-16 and FY 2016-17. Please explain what expenses are included in the "Other"Category. Catalog of Federal Domestic Assistance(CFDA)Number: 14.218 CFDA Title:Community Development Block Grants/Entitlement Grants I HAVE BEEN AUIEC 2I7&D 70 SUHCLT REQUEST HER BONDING Signature Print Name irAlt (2 AY (3v,2 w Title:Executive Director Email Address: matthew.mybom @fpsgv.org Phone Number:626-569-0991 Organization: Family Promise of San Gabriel Valley Date 17 746 DO NOT COMPLETE THIS SECTION -FOR CITY USE ONLY Date Application Received: Date Reviewed by Rosemead Staff: Approved or Declined: Date Notification Letter Sent to Applicant: Catalog ofFederal Domestic Assistance(CFDA)Number: 14.218 CFDA Title:Community Development Block Grants/Entitlement Grants Story Admitted a family of 4(mom,stepdad and 2 little boys)who had never experienced homelessness before. The stepdad had previously had a stable job but the company he worked for downsized and he became unemployed. After months of staying in a Rosemead motel,and having pawned work-related equipment,the family was sleeping in their vehicle prior to coming to FPSGV. By providing the family with shelter and a place to be,they were able to focus on regaining stability.Some of the issues were: • Lack of social support system:They were embarrassed and ashamed so they had disconnected with family and friends. FP provided confidential shelter and case management so the family could reestablish contact with family members. Family provided some material support thereafter. • Lack of knowledge re: benefits eligibility and community resources. Through our networking and collaboration, referred the family to program that could eventually help with rent deposits and subsidy to help them get back on their feet once housed. • Inability to regain employment due to lack of work equipment.Assisted family to regain possession of work tools so could pursue employment. • Disruption in mom's schooling.Provided support and encouragement so mom could continue to pursue GED and eventual occupational certification. • Transportation problems (lack of$for fuel,vehicle breakdown). Provided gas cards so family could seek employment and housing.Assisted in getting to work while vehicle was in repairs. • Stress and trauma due to homelessness Provided supportive counseling, advocacy and encouragement for family as they made their way through this experience. Because we are small and can individualize the families'needs the children were comfortable and not as negatively impacted by their experiences as they would be in a traditional shelter setting.Since they were not yet school age, it was important for them to have a safe and secure setting 24/7. The family was successful in locating stable employment,saving their income and finally locating appropriate permanent housing. Family Promise continues to offer case management services to the family in order to prevent return to homelessness. 2016 Family Promise Budget Income Civic Organizations $ 6,160.00 Club 360 $ 9,900.00 Congregations $ 19,800.00 Friends of the Family $ 12,540.00 Grants $ 125,000.00 Individuals $ 11,093.50 Big Band Theory $ 4,400.00 Empty Bowls $ 9,900.00 Good Shepherd Bike Tour $ 11,000.00 Small Fund Raisers $ 3,300.00 (Total I $ 213,093.50 Expenses Business Expense $ 2,400.00 Depreciation&Amortization $ 2,500.00 Fees for Service $ 2,000.00 Fundraising Events $ 5,000.00 Guest Families $ 2,000.00 Insurance $ 6,187.50 Occupancy Expenses $ 6,480.00 Transportation $ 6,200.00 Utilities $ 8,000.00 Bookeeper $ 3,000.00 Driver Salaries $ 29,000.00 Case Manager Salaries $ 54,000.00 E.D. Salary $ 76,000.00 Travel&Meeting Expenses $ 405.00 Other Personnel Expenses $ 1,912.50 Total I $ 205,085.00 Family Service (CDBG Funded) Reserved CITY OF ROSEMEAD 8838 E.Valley Boulevard Rosemead,CA 91770 (626)569-2102 ppiatt@cityofrosemead.org NON-PROFIT COMMUNITY SERVICE ORGANIZATION REQUEST FOR FUNDING FISCAL YEAR 2020/ Legal Name of Organization: Santa Anita Family Service Tax ID#: 95-1816014 DUNS#: Address: 605 S. Myrtle Ave.Monrovia,CA 91016 Executive Director: George Nalbach.Ph.D. Contact Name: Danae Powers,LMFT Telephone: (626)359-9358 Fax: (626)358-7647 Email: danaep nasantaanitafamilyservice.arg Purpose of Organization: Santa Anita Family Service was founded in 1951 to foster well-being of the San Gabriel Valley creating healthier families and communities through professional leadership and the provision of high quality educational,mental health and social service programs. Enter"X"by the appropriate designation: X Non-profit organization For-profit organization Enter"X"by all that apply: A faith-based organization An institution of higher education X Not Applicable TOTAL UNDUPLICATED ROSEMEAD CLIENTS: FY 14-15 11 (116 counseling hours) (Please Complete Attached Backup—Performance Report) 15-14 (Est.) FY 16 17 15 ROSEMEAD FY 2015-2016 FINANCIAL SUPPORT: Exhibit A 2014-20IT FY-3O1 22SiFINANCIAL REQUEST FROM CITY OF ROSEMEAD: $y 20�y�2i) AGENCY TOTAL BUDGET FOR FISCAL YEAR 20 -20}&1} Exhibit B Catalog of Federal Domestic Assistance(CFDA)Number: 14218 CFDA Title: Community Development Block Grants/Entitlement Grants 1. State the Agency's mission,goals and major objectives. In addition,describe programs designed to meet goals and objectives. Attach any recent evaluations of programs or needs assessments. Missions Statement: Santa Anita Family Service was founded in 1951 to foster well-being of the San Gabriel Valley creating healthier families and communities through professional leadership and the provision of high-quality educational, mental health and social service programs. Goals: • Support Family Stability • Sober Living • Drug-Free Lifestyle • Violence-Free Lifestyle • Child Abuse Prevention and Intervention • Older Adults Stability and Independence • Emotional Well-Being of Adults and Children Objectives: Provide: o Individual,group,family,and conjoint treatment o Parent Education o Drug and Alcohol Treatment o Domestic Violence Treatment o Case Management o Linkages o Information and Referrals for Housing,Food,In-Home Supportive Services,Child Care,etc. Programs designed to meet goals and objects: • Community Development Block Grant-Rosemead • Community Services Block Grant—Counseling • Community Services Block Grant—Domestic Violence • Community Services Block Grant—Parenting • Community Services Block Grant—Recreation • Community Services Block Grant—Senior Services • Community Services Block Grant—Substance Abuse • CaIWORKS Domestic Violence Victims Support • Cal WORKS Substance Abuse • Domestic Violence Batterers Program • Family Preservation • Pathways Substance Abuse • PC-1000 Drug Diversion • Senior Services • Veterans and Family Support • Arcadia Unified School District • Covina-Valley Unified School District • Youth Accountability Board • CaIFRESH Catalog of Federal Domestic Assistance(CFDA)Number: 14.218 CFDA Title: Community Development Block GrantslEntitlement Grants 2 2. Briefly explain any new programs or services to Rosemead residents during FY 2015 -2016. Are any planned for FY 2016-2017? We did not add any new programs or services during FY 2015-16. Additional Veterans and Family Support and Drug and Alcohol Prevention and Intervention Services are expected in FY 2016-17 to include added support groups and case management. 3. How are clients referred to your agency? Community agencies, schools, police departments, Department of Children and Family Services,Prototypes,2-1-1,Residents of Rosemead 4. List and explain any major changes in funding patterns or expenditures Our Workforce Investment Act contracts through County of Los Angeles Community and Senior Services expired on June 30,2015 and were not available for renewal due to changes in workforce law effective July 1,2015. 5. List major sources of funding and the amount(i.e.cities, county, state,federal,fundraising,etc.) See attached (EXIT C) 6. What facilities in Rosemead are used to conduct services? We do not currently utilize facilities in Rosemead to conduct services. Services are provided out of our Monrovia office. We have made past attempts to work with the local schools to provide a variety of services, such as parent education and conflict resolution; however, space is often an issue and the families are frequently able to commute to our Monrovia office where the services are already being provided. 7. The proposed Community Service would be provided to: Mark each that apply X Low and Moderate-Income persons or households X Abused Children X Handicapped Persons X Illiterate Persons X Battered Spouses X Homeless Persons X Migrant Farm Workers X Elderly Persons 8. How many Rosemead citizens do you project will benefit from your program/project: 15 Provide a specific example or case study of a client that exemplifies how program objectives were achieved during the past year: (Attach additional page if necessary) As our program addresses an array of issues faced by many, to speak of just one becomes a challenge. Therefore, I have chosen a couple of examples which show some of the issues our Rosemead program participants deal with. EXAMPLE #1: Kayla, a 28 year old Peruvian-American, initially sought treatment at Santa Anita Family Service due to overwhelming feelings of hopelessness and despair. Raised in an emotionally abusive family, Kayla suffered from low self-esteem and struggled to Catalog of Federal Domestic Assistance(CFDA)Number: 14.218 CFDA Title: Community Development Block Grants/Entitlement Grants overcome the negative self-image instilled in her from an early age. Through work with one of our therapists Kayla has been able to identify and begin to change many of the cognitive distortions that helped mire her in unhealthy behavioral patterns and contributed to feelings of depression. As the symptoms of depression began to lift, Kayla experienced increased motivation and the ability to once again find pleasure in life. Additionally, Kayla has been able to leave an unsatisfying job and start a career in her desired field. EXAMPLE#2: It has been estimated that twenty five percent of all women in the US will be victims of domestic violence at some point in their lives. The impact of domestic violence can be devastating to both the individuals involved and society as a whole. Our agency offers multiple services geared towards victims and perpetrators of domestic violence. Sarah, a current client at SAFS, puts a face to the tragic epidemic of violence. Married at an early age, Sarah was excited to start her life as a military wife. Unfortunately, her dreams were quickly shattered as her husband escalated from verbal and emotional attacks against her to physical violence. Sarah came to our agency with an array of confusing emotions including fear, shame, and low self- esteem. Additionally, Sarah reported signs usually associated with Post Traumatic Stress Disorder such as intrusive thoughts, flashbacks, and nightmares that left her virtually paralyzed. Sarah reported being unable to work and hesitant to even leave her house. Slowly, Sarah has begun to recover through her work with one of our therapists. The nightmares and flashbacks have lessened significantly and Sarah has started to create a healthy support system. While the impacts of domestic violence are long term, Sarah now sees herself as a survivor rather than a victim of domestic violence and is excited to return to college and plans for a happy and productive future. 10. Uas your organization conducted the proposed activity before? Yes X No 11. Describe your organization's experience with CDBG _ Santa Anita Family Service has had an extensive experience with CDBG. For over 27 years we have worked with one or more of the following CDBG: Azusa,Baldwin Park,Monterey Park,Rosemead, Gloria Molina's office. In addition,Santa Anita Family Service also works with 8 CSBG grants: two each for domestic violence and senior services and one each for counseling,parenting, recreation, and substance abuse. 12. Do you charge any fees to your clients? If so,what is the fee structure? Rosemead clients are not typically charged for services. However, they may be asked for a small co-payment for service(usually less than S10.00). Catalog of Federal Domestic Assistance(CFDA)Number: 14.218 CFDA Title: Community Development Block Grants/Entitlement Grants 4 \ ) } : tr ic te ( \ § \/ CI 0 co _ § ! 0 k ! ) { § ® ; / : - \ ) -o2 ! / ; , 1 in # ° ` I - ° F E { ! ( ) @ hi 9 ca k - Z , : : / - ( - 00 co 0 GO H 40 , — % @ . . hi 3 I— g » It o a F./ 7 ` ` ) & / ° — ` ] — 1 ` - c. ) _ ( § _ i\ L. ) \I\ 1 \ ) :10 '.8 } \ §) ! ( ) /i El } } co o at 0 co la co .4 az ( ) { ( \; \ / \1 $ / | j ) ) / • } } 2 to Q \ ` co / E. c : » : ; : k \ � ` 2 ! \ ! ( \ , ) § k ® ` - @ ¥ 0 _ - \ \ ) LL 0 \ § ` # ) \ _ \ § . . . � \ / % \ r _ § $ \ 7 — 2 ai 14 I, _ ) ) ! ■ ! ) \ \ 4 \ \ \ ) \ » I O ii ! 2 \ ( ! \ 4 / ) ) / 0 PROGRAM BUDGET Use Whole Dollars Only Current FY 2014-2015 Operating Year Proposed Budget CDBG SHARE • FY 2015-2016 FY 2016-2017 FY 2016-17 Expense Salaries 223,256 250,000 250,000 297 Employee Benefits 33,489 38,000 38,000 50 Employees Payroll Taxes 17,079 19,000 19,000 24 Profes. & Consultant Fees 0 0 0 0 Supplies 6,000 6,000 6,000 3 Telephone & Fax 12,000 12,000 12,000 0 Postage & Shipping 1,800 1,200 1,200 0 Occupancy & Utilities 36,000 36,000 48 Rental & Maint. of Equip. 0 0 0 0 Printing & Publishing 0 0 0 0 Travel and Transportation 2,000 1,200 1,200 0 Conferences 0 0 0 0 Specific Assist. To 0 0 0 0 Individuals Membership Dues 0 _ 0 0 0 Awards & Grants 0 0 0 0 Insurance 24,000 24,000 24,000 0 Equipment Purchased 10,000 10,000 10,000 0 Misc. Expenses 0 0 0 0 Transfer to Other Funds 0 0 0 0 Dues to National 0 0 0 0 Organizations Over Expenses _ 0 0 0 0 Please explain Changes Greater than 15%between FY 2014-15 and FY 2015-16 and/or FY 2015-16 and FY 2016-17. Not applicable Please explain what expenses are included in the "Other" Category. Not applicable Catalog of Federal Domestic Assistance(CFDA)Number: 14.218 CFDA Title: Community Development Block Grants/Entitlement Grants 7 PROGRAM REVENUE Use Whole Dollars Only Current Operating FY 2014-2015 Year Proposed for FY 2015-2016 FY 2016-2017 , Public Support Contributions 10,000 10,000 10,000 Foundation&Private 20,000 20,000 20,000 Grants Fundraising/special Events _ 20,000 20,000 20,000 Legacies and Bequests 0 0 0 Other Federated Org. 0 0 0 United Way 0 0 0 Misc. Organizations 0 0 0 Other 0 0 0 Subtotal 50,000 50,000 50,000 Government Federal 122,424 122,424 _ 122,424 State 125,000 125,000 125,000 Local 65,000 65,000 65,000 Subtotal 312,424 312,424 _ 312,424 Other Revenue Membership Dues 0 0 _ 0 Program Services Fees 1,200 1,200 1,200 Investment Income 0 0 0 Transfer From Other Fund 0 0 0 All Other Revenue 0 0 0 Subtotal 1,200 1,200 1,200 TOTAL REVENUE 363,624 363,624 363,624 Please explain Changes Greater than 15%between FY 2014-15 and FY 2015-16 and/or FY 2015-16 and FY 2016-17. Not applicable. Catalog of Federal Domestic Assistance(CFDA)Number: 14.218 CFDA Title: Community Development Block Grants/Entitlement Grants 8 I HAVE BEEN AUTHORIZED TO SUBMIT REQUEST FOR FUNDING ea TAIL Signature Name Danae Powers,LMFT Print Name Clinical Director Title danaep(aisantaanitafamilvservice.orY Email Address 1626)966-1755 ext.5684 Phone Number Santa Anita Family Service Organization 2015-12-10 Date DO NOT COMPLETE THIS SECTION — FOR CITY USE ONLY Date Application Received: Date Reviewed by Rosemead Staff: Approved or Declined: Date Notification Letter Sent to Applicant: Act- CERTIFICATE OF LIABILITY INSURANCE M/20 11112/2015 THIS CERTIFICATE IS ISSUED AS AMATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder In Ileu of such endorsement(s). PRODUCER Phone: 626332225e Far 626 3399921 Christine Sousa LILLIAN ROMERO GOMEZ an (626)332-2258 In b) (626)339-9921 BAKER ROMERO S ASSOCIATES INSURANCE BROKERS,INC. E.MAIL christine(ajbakerromero.com 750 TERRADO PLAZA SUITE 238 ApO es. INSURERIS)AFFORDING COVERAGE NAIL i COVINA CA 91723 Agency um:0G22190 INSURER A :Philadelphia 23850 INSURED msuaExa SANTA ANITA FAMILY SERVICES 605 S.MYRTLE AVE msuasac MONROVIA CA 91016 INSURER D. ' INSURER E IxsuRERF COVERAGES CERTIFICATE NUMBER: 13958 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 1.e TYPE OF INSURANCE INS POLICY NUMBER _ IMwooron) MwDDMYVI _ LIMIT LAR X COMMERCIAL GENERAL LIABILITY PHPK1416822 11/10/15 11/10/18 lEACH OCCURRENCE li $ 1,000,000 MASETO RE"MED :s 100,000 CLAIMS-MADE LX�oeeuR FRET. IEa neu,rence) X PROFESSIONAL LIABILITY MED.EXP(My one person) I5 5,000 X ABUSE MOLESTATION PERSONAL er ADV INJURY $ 1,000,000 GEM_AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000 1—I PRO- I POLICY I JECT : L00 pROOIIQS-COMPIOP AGG $ 3AOO.000 OTHER: ( $ ES e SINGLE Lord AUTOMOBILE uABILIIY PHPK1418822 11/10/15 11/10/16 [Ea $ 1,000,000 ANY AUTO BODILY INJURY(Per person) $ ALL OWNED I SCHEDULED BODILY INJURY(Per accitivl))$I AUTOS AUTOS NON-OWNED RkWFRn DAMAGE _. $ IX HIRED AUTOS X AUTOS Ipe:amdeM} - I 5 A 'UMBRELLA use I X I OCCUR PHUB521257 11/10/15 11/10/16 EACH OCCURRENCE $ 1,000,000 EXCESS EXcEss riAB I I CLAIMS-MADE I I AGGREGATE S 1,000,000 ',DEC 1 X IRETENTION s 10,000. I (ABUSE $ INCLUDED Millie ER AND DEN E L.EACH AW ANY FL EEMBERa�EXCLUDED? rva r NI NIA EL DISEASE-EA EMPLOYEE I$ ruo OPERATIONS be EL.DISEASE-POLICY LIMIT II$ If AR.descras oder DESORPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Addluonal Remarks Schedule,may be attached if more space is reg )red) CERTIFICATE HOLDER NAMED AS ADDITIONAL INSURED FUNDING SOURCE TOTAL ABUSE LIMITS$2M/$2M CERTIFICATE HOLDER CANCELLATION CITY OF ROSEMEAD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 8838 E.VALLEY BLVD. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ROSEMEAD,CA 91770 ACCORDANCE WITH THE POLICY PROVISIONS. AlrmoR¢m REaaESelnnrnE Attention: Christine Sousa ACORD 25(2014/01) 01988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Exhibit A Budget Budget July 2014-June 2015 July 2015-June 2016 Income 4000 • Donations 12,700.00 12,700.00 4020 • Business Donations 7,400.00 7,400.00 4030• Foundation Donations 125,000.00 125,000.00 4040-Special Events 30,000.00 30,000.00 4100- Program Fundraising 4200 • Board Contributions 21,500.00 21,500.00 4600 • Revenue-Assoc Org. Monrovia 1,600.00 1,600.00 5001 • Senior Center SSP 802,745.00 802,745.00 5001-Senior Center FCSP 324,778.00 50012 • Family Support Contract 60,660.00 60,660.00 50015 • DV Calworks Contract 297,749.00 297,749.00 50018 • DV Calworks Grow - 50019 • DV General Relief - 5002 • Pathways Contract 16,900.00 16,900.00 5003 • Pact Contract 58,334.00 58,334.00 5006 • CDBG -Azusa Contract 10,000.00 10,000.00 5007 • City of Covina YAB 4,000.00 4,000.00 5013 • CDBG -Baldwin Park 3,300.00 3,300.00 5014• Covina USD 2,000.00 2,000.00 5015 • Arcadia USD 14,000.00 14,000.00 5016 • Pathways GR-Contract 22,000.00 5020 • Family Preservation Contract 461,957.00 1,012,000.00 5022 • CDBG- Rosemead 5,000.00 5,000.00 5035 • Prototypes-Calworks 10,000.00 10,000.00 5050 • Food Stamp Contract 2,000.00 2,000.00 5060 . CSBG 5 SS 67,000.00 67,000.00 5062 • CSBG-CFD-REC(D5) 68,035.00 68,035.00 5063 • CSBG-CFD-Counseling(D5) 8,000.00 8,000.00 5064 • CSBG-DV(5) 40,000.00 40,000.00 5067 • CSBG-Parenting Dl) 20,000.00 20,000.00 5070 • CSBG 1 SS 50,000.00 50,000.00 5085 • CSBG-CD SAP 6,000.00 6,000.00 5090 • CSBG DV 1 40,000.00 40,000.00 5095 • SB Dept of Child & Family Svcs 2,400.00 5100 •WIA ISY 500,000.00 - 5101 •WIA OSY 500,000.00 - 5102 •WIA ISY 5 300,000.00 - 5200 - Veterans Program 12,000.00 6100 •Amerada Hess Corp. 3,648.00 3,648.00 6120 • Peregrine Petroleum 378.00 378.00 6130 • Oasis Petroleum 716.00 716.00 6150 • Denbury 2,366.00 2,366.00 6160•Zenergy 4,334.00 4,334.00 6185 • FidelityOil Company 100.00 100.00 6200 • Counseling Fees 25,426.00 25,425.80 6201 • Pathways Fees 1,670.00 1,670.00 6202 • PC 1000 Fees 3,295.00 3,295.00 6203 - PACT Fees 23,245.00 23,245.00 6204 • Domestic Violence Fees 18,362.00 18,362.00 6206 • Parenting Fees 750.00 750.00 6207 • Senior Center income 4,258.00 4,258.00 6209 - Rosemead fees 330.00 330.00 6211 •Anger Management Fees 3,500.00 3,500.00 6213 • Chronic Illness Fees 140.00 140.00 6214 - Empowerment Group Fees 1,918.00 1,918.00 6215 • FCS/GR Fees 112.00 112.00 6230 • Rental income 4,493.00 4,493.00 6500 • Miscellanous Income 450.00 450.00 - 6520 • Interest 6900 • Gift in-kind income 90,000.00 90,000.00 Total Income 3,757,371.00 3,324,591.80 Expense 7000 •Salaries 1,357,976.59 1,251,989.00 7050 • Salaries- Clerical 254,773.80 254,773.80 7090 •Salaries- Para Professional 584,520.30 512,520.00 7100 • Health Insurance 75,630.00 75,630.00 7210 • Payroll taxes 168,000.00 150,000.00 7211 -Youth Salaries-WIA ISY 150,000.00 7212 -Youth Salaries-WIA OSY 100,000.00 7213 •Youth Salaries-WIA ISY 5 100,000.00 7214•Youth Salaries-WIA ISY 50K 7230 •W/C Insurance 81,431.00 81,431.00 7240 • Unemployment Claims EDD 28,478.00 28,478.00 7250-Tax Penalties 7260 -Tax Interest Expense 7300-Vacation Expense 7600 • Employee Relations 500.00 500.00 8000-Finance Charges 8040 •Audit Services 20,000.00 20,000.00 8041 •SDP Fees 8,800.00 8,800.00 8042 •Advertisement 1,000,00 1,000.00 8110 • Office supplies 40,000.00 40,000.00 8150 • Educational Supplies 400.00 400.00 8160 - Business meals 3,800.00 3,800.00 8175 • Educational Training 3,000.00 3,000.00 8182 • Professional Consulting 4,000.00 4,000.00 8183 • CFO Services 8200•Telephone 65,000.00 65,000.00 8300 • Postage 12,000.00 12,000.00 8410 • Rent 58,050.00 38,850.00 8420• Mortgage Interest Expense 22,829.00 22,829.00 8425 • Line of Credit Interest Expense 3,240.00 3,240.00 8426 • Fidelity Mortgage Interest 35,869.00 35,869.00 8427-Other Interest Expense 10,000.00 8428 - Penalties and reconnect fees 8429 -Interest&Tax Exp Capital lease 1,000.00 8430 • Utilities 30,000.00 30,000.00 8440 • Maintenance-Building 10,000.00 10,000.00 8445 • Maintenance Service & Repairs- Bldg 12,000.00 8450-Special Events Rental Expense 15,000.00 800.00 8455-Special Event Purchases 15,000.00 8490.Other Building Expense - 8501 • Rental & Maint of Equipment - 8505 - Rental Storage 3,000.00 8520• Equipment Hardware Expense 3,000.00 3,000.00 8525 -Software Expense 4,000.00 4,000.00 8530 - Computer Maintenance 20,000.00 20,000.00 8600 • Printing 18,500.00 18,500.00 8720 • Mileage 22,250.00 22,250.00 8721 •WIA ISY- Mileage 2,620.00 8722 •WIA OSY- Mileage 2,620.00 8723 •WIA ISY 5 - Mileage 2,620.00 8724-WIA Youth Mileage 8730-WIA Transportation Expense . 8810- Educational Conferences 8900 • Gift in Kind Expense 90,000.00 90,000.00 9000 • Membership Dues 5,525.00 5,525.00 9100 • Filing Fees 500.00 500.00 9200 • Liability Insurance 24,000.00 24,000.00 9500 • Miscellaneous 500.00 500.00 9520 • Bank charges/Fees 3,000.00 3,000.00 9521 -AMEX charges/Fees 9530 • Outreach Activity 9540 • Business License Renewal 564.00 564.00 9550 • Gateway Billing 660.00 660.00 9570 • Purchase of Service 7,250.00 7,250.00 9580 •Attorney Fees 11,000.00 11,000.00 9590 • Drug Testing 780.00 780.00 9592 • Fam Pres-Subcontractor 76,640.00 76,640.00 9593 • DV Cal-works Subcontractors 9594• Family Support Subcontractor 17,049.00 9595-CSBG Rec Subcontractor 5,000.00 5,000.00 9600• Finger Print Expense 535.00 535.00 9610 • Van Expense 1,000.00 9615 • Gas Expense 1,700.00 1,700.00 9700 • Write-offs 900.00 900.00 9800 • Depreciation 20,000.00 20,000.00 Total Expense 3,576,510.69 3,012,213.80 Net Income I 180,860.31 I 312,378.00 SANTA ANITA FAMILY SERVICE Exhibit B Budget Budget Jul 2015-Jun 2016 Jul 2016-Jun 2017 Income 4000• Donations 12,700.00 12,700.00 4010. Individuals 4020.Businesses 7,400.00 7,400.00 4030.Foundations 125,000.00 125,000.00 4040.Special Events 30,000.00 30,000.00 4100• Program Fundraising 4200• Board Contributions 21,500.00 21,500.00 4600• Revenue-Assoc Org. Monrovia 1,600.00 1,600.00 5001•Senior Center Contract 802,745.00 802,745.00 50012• Family Support Contract 60,660.00 60,660.00 50015 • DV Calworks Contract 297,749.00 297,749.00 50018 • DV Calworks Grow(50019) 5002 •Pathways Contract(5016)(5023) 16,900.00 16,900.00 5003 -Pact Contract 58,334.00 58,334.00 5006 •CDBG-Azusa Contract 10,000.00 10,000.00 5007 •Covina YAB Contract 4,000.00 4,000.00 5013 •CDBG-Baldwin Park Contract 3,300.00 3,300.00 5014-Covina Unified School Dist 2,000.00 2,000.00 5015 •Arcadia Unified School 14,000.00 14,000.00 5016• Pathways GR-Contract 5020• Family Preservation Contract 1,012,000.00 1,012,000.00 5022 •CDBG-Rosemead Contract 5,000.00 5,000.00 5024-Calworks/FCS Contract 5035. Prototypes-Calworks 10,000.00 10,000.00 5050- DPSS-Food Stamp Contract 2,000.00 2,000.00 5060•CSBG Senior(5SDA) (5 55) 67,000.00 67,000.00 5062 -CSBG REC(D5) 68,035.00 68,035.00 5063 •CSBG-CFD-Counseling(D5) 8,000.00 8,000.00 5064•CSBG DV 5 40,000.00 40,000.00 5067 • CSBG Parenting(D3) 20,000.00 20,000.00 5070 • CSBG Senior(1SDA)(1 SS) 50,000.00 50,000.00 5085 -CSBG SAP CD(Dl) 6,000.00 6,000.00 5090 •CSBG DV(D1) 40,000.00 40,000.00 5100•WIA ISY 5101 •WIA OSY 5102 •WIA ISY 5 6000• Murex Petroleum Corp. 6100-Amerada Hess Corp. 3,648.00 3,648.00 6120 . Peregrine Petroleum 378.00 378.00 6130 . Oasis Petroleum 716.00 716.00 6150• Denbury 2,366.00 2,366.00 6160-Zenergy 4,334.00 4,334.00 6175 •Ranch Oil Co. 6185 •FidelityOil Company 100.00 100.00 SANTA ANITA FAMILY SERVICE 6196• Hillsides-Family Pres 6200• Counseling Fees 25,425.80 25,425.80 6201• Pathways Fees 1,670.00 1,670.00 6202- PC 1000 Fees 3,295.00 3,295.00 6203- PACT Fees 23,245.00 23,245.00 6204- Domestic Violence Fees 18,36100 18,362.00 6206- Parenting Fees 750.00 750.00 6207•Senior Center income 4,258.00 4,258.00 6209 • Rosemead fees 330.00 330.00 6211•Anger Management Fees 3,500.00 3,500.00 6212•Adolescent Group Fees 6213• Chronic Illness Fees 140.00 140.00 6214•Empowerment Group Fees 1,918.00 1,918.00 6215 • FCS/GR Fees 112.00 112.00 6218.Victims of Crime 6230• Rental income 4,493.00 4,493.00 6500- Miscellanous Income 450.00 450.00 6520• Interest 6690•Gift-in-kind 90,000.00 90,000.00 Total Income 2,985,413.80 2,985,413.80 Expense 7000•Salaries 1,251,989.00 1,251,989.00 7050•Salaries-Clerical 254,773.80 254,773.80 7090•Salaries-Para Professional 512,520.00 512,520.00 7095. Salaries-Fundraiser 7099. Fund Development Support 7100•Health Insurance 75,630.00 75,630.00 7210• Payroll taxes 150,000.00 150,000.00 7211 •Youth Salaries-WIA ISY 7212 •Youth Salaries-WIA OSY 7213 •Youth Salaries-WIA ISY 5 7230•W/C Insurance 81,431.00 81,431.00 7240 • Unemployment Insurance 28,478.00 28,478.00 7600• Employee Relations 500.00 500.00 8000-Finance Charges 8040-Accounting Services 20,000.00 20,000.00 8041 -SBS Fees 8,800.00 8,800.00 8042 •Advertisement 1,000.00 1,000.00 8110. Office supplies 40,000.00 40,000.00 8150•Educational Supplies 400.00 400.00 8160 • Business Meals 3,800.00 3,800.00 8175 • Educational Training 3,000.00 3,000.00 8181. Fundraising Consultant 8182 Professional Consulting 4,000.00 4,000.00 8200 •Telephone 65,000.00 65,000.00 n _tJ SANTA ANITA FAMILY SERVICE 8300• Postage 12,000.00 12,000.00 8410• Rent 38,850.00 38,850.00 8420• Mortgage Interest Expense 22,829.00 22,829.00 8425 -Line of Credit Interest Expense 3,240.00 3,240.00 8426- Fidelity Mortgage Interest 35,869.00 35,869.00 8430• Utilities 30,000.00 30,000.00 8440• Maintenance-Building 10,000.00 10,000.00 8442. Maintenance Vehicle - - 8445 • Maintenance Service &Repairs 8455-Special Event Purchases 15,000.00 15,000.00 8490.Other Building Expense - - 8501 • Rental&Maint of Equipment - - 8520. Equipment 3,000.00 3,000.00 8525• Equipment Tax 4,000.00 4,000.00 8530•Computer Maintenance 20,000.00 20,000.00 8600•Printing 18,500.00 18,500.00 8720•Mileage 22,250.00 22,250.00 8721•WIA ISY-Mileage 8722•WIA OSY-Mileage _ 8723•WIA ISY 5-Mileage 8730-WIA Transportation Expense 8810• Educational Conferences 8900-Gift in Kind Expense 90,000.00 90,000.00 9000-Membership Dues 5,525.00 5,525.00 9100• Filing Fees 500.00 500.00 9200• Liability Insurance 24,000.00 24,000.00 9500• Miscellaneous 500.00 500.00 9520•Bank charges/Fees 3,000.00 3,000.00 9530. Outreach Activity 9540• Business License Renewal 564.00 564.00 9550•Gateway Billing 660.00 660.00 9570• Purchase of Service 7,250.00 7,250.00 9580•Attorney Fees 11,000.00 11,000.00 9590. Drug Testing 780.00 780.00 9592 • Fam Pres-Subcontractor 76,640.00 76,640.00 9593 • DV Cal-works Subcontractors 9594• Family Support Subcontractor 9595-CSBG Rec Subcontractor 5,000.00 5,000.00 9600•Finger Print Expense 535.00 535.00 9610 •Van Expense 9615 -Gas Expense 1,700.00 1,700.00 9700•Write-Offs 900.00 900.00 9800-Depreciation 20,000.00 20,000.00 Total Expense 2,985,413.80 2,985,413.80 'Net Income - - EXHIBIT C Exhibit C 2015-2016 Funding Resources ALLOCATION FUNDING SOURCES AMOUNT Donations 70,000 Client Fees 100,000 Contracts CSBG—Senior Services Districts 1 & 5 117,000 CSBG—Domestic Violence/Case Management 90,000 CSBG—Parenting 24,800 CSBG—Counseling 11,000 CSBG—Recreation 6,800 CSBG—Substance Abuse Treatment 24,800 City of Azusa 10,000 City of Baldwin Park 3,500 City of Covina 5,000 Arcadia Unified School District 21,000 Senior Center Contract 769,000 Pathways Contract 16,700 CalWORKS Contract 12,000 Family Preservation Contract 1,012.000 Domestic Violence Calworks/GR Contract 298,000 City of Rosemead 5,000 Royalties 9,000 Veterans Family Support Services Program 35,000 Miscellaneous 10,000 !I TOTAL 2,650,600 Housing Rights Center (CDBG Funded) Reserved © Re HOUSING RIGHTS CENTER WORKING FOR JUSTICE AND EQUALITY IN HOUSING January 7, 2016 Pat l'iatt Management Analyst City of Rosemead Community Development Department 8838 E. Valley Blvd. Rosemead, CA 91770 Dear Mr. Pratt, Attached please find the Housing Rights Center's Funding Application for the 2016-2017 Program Year. HRC respectfully requests $10,000 from the City of Rosemead for the Fair Housing Program. The Housing Rights Center appreciates this opportunity to continue our commitment to the City of Rosemead and its residents. Please do not hesitate to contact me with any questions. I can be reached at (213) 387-8400 x1111 or via e-mail at cahnansour @housingdghtscenter.org. Sincerely, Chancela Al-Mansour Executive Director Enclosures: Request for Funding Application HRC's Proposal Exhibit 1 Certificate of Liability Insurance Audited Financial Statement 2013 Financial Documents FY 2013-14 Proposal to City of Rosemead For Housing Discrimination Complaint and Fair Housing Outreach Services 2016-2017 Submitted by: Housing Rights Center 3255 Wilshire Blvd., Suite 1150 Los Angeles, CA 90010 (213) 387-8400 (800) 477-5977 TTY: (213)-201-0867 www.housingrightscenter.org January 6, 2016 Exhibit 1 2016-2017 Fair Housing Services Proposal CITY OF ROSEMEAD 8838 E.Valley Boulevard Rosemead, CA 91770 (626)569-2102 ppiatt@cityofrosemead.org NON-PROFIT COMMUNITY SERVICE ORGANIZATION REQUEST FOR FUNDING FISCAL YEAR 2016 -.2017 Legal Name of Organization: Southern California Housing Rights Center Tax ID#: 95-2572642 DUNS#: 944936798 Address: 3255 Wilshire Blvd., Suite 1150, Los Angeles, CA 90010 Executive Director: Chancela Al-Mansour Contact Name: Chancela Al-Mansour Telephone: (213)387-8400, ext. III 1 Fax: (213)381-8555 Email: calmansour(ahousingrightscenter.org —.Purpose of Organization: The Housing Rights Center's purpose is to promote equal opportunity in housing by affirmatively furthering fair housing. We do this by offering City of Rosemead residents services from our four key areas: (1)Discrimination Complaint Investigation,(2)Fair Housing Legal Services, (3)Landlord/Tenant Fair Housing Counseling. and(4)Education and Outreach. (See Exhibit 1, Proposal) Enter-X"by the appropriate designation: X Non-profit organization _For-profit organization Enter"X" by all that apply: A faith-based organization An institution of higher education X Not Applicable TOTAL UNDUPLICATED ROSEMEAD CLIENTS: FY 14-15 114 (Please Complete Attached Backup—Performance Report) (Est.) FY 15-16 100 ROSEMEAD FY 2015-2016 FINANCIAL SUPPORT: $10,000 FY 2016-2017 FINANCIAL, REQUEST FROM CITY OF ROSEMEAD: $10,000 AGENCY TOTAL BUDGET FOR FISCAL YEAR 2016-2017: $2,355.150 Catalog of Federal Domestic Assistance(CFDA)Number: 14.218 CFDA Title: Community Development Block Grants/Entitlement Grants 1 1. State the Agency's mission,goals and major objectives. In addition, describe programs designed to meet goals and objectives. Attach any recent evaluations of programs or needs assessments. Mission Statement: The Housing Rights Center's mission is to actively support and promote fair housing through education and advocacy, to the end that all persons have the opportunity to secure the housing they desire and can afford, without discrimination based on their race, color, religion, gender, sexual orientation, national origin, familial status, marital status, disability, ancestry, age, source of income,or other characteristics protected by law. Goals: (1) HRC will assist a minimum of 100 Rosemead residents with housing discrimination and landlord/tenant concerns; (2) At least 12% of Rosemead clients will be assisted in languages other than English; and, (3) At least 90% of Rosemead residents who complete an evaluation about Rosemead housing rights workshop will rate the information provided as being useful. Objectives: To educate/inform as many Rosemead residents as possible about the fair housing laws. Programs designed to meet goals and objects: 1. Documentation of Activities HRC's comprehensive intake database includes a reporting component that makes the production of statistics and other diagnostic data accurate and efficient. Statistical reports will include all demographic and complaint issue data, which will facilitate the analysis of trends and emerging needs. HRC also tracks all outreach activities in a database that allows us to track our activities by event type. 2. Documentation of Discrimination Complaints HRC will continue our practice of maintaining complete and organized case files. Our case files adhere to a strict format, which facilitates case management and review. Case files include all relevant documents and materials produced in the investigation and resolution of our cases. 2. Briefly explain any new programs or services to Rosemead residents during FY 2015-2016. Are any planned for FY 2016-2017? In FY 2015-2016. HRC continues its work on its re-funded three-year HUD Fair Housing Initiative Program (FHIP) grant. This Multi-Year PEI grant mandates that HRC continue to: conduct on-site and phone systemic testing in areas within L.A. County; recruit and train fair housing testers;refer cases to HUD that show evidence of housing discrimination; perform disability related testing to determine if the deaf and hard of hearing are being discriminated against in rental application housing and to perform more outreach and education activities. The project is expected to continue through 2016-2017. In 2016-2017, HRC is planning to update its website to provide more materials and information in non- English languages and to make filing a complaint with HRC even easier for Rosemead residents. 3. flow are clients referred to your agency? Clients find their way to HRC via: 1. City Of Rosemead staff and partner agency referrals; 2. HRC Website www}_housinerightscenter.orc)which can be found in a variety of ways,for example, by going to the city's webpage"At Your Service/Housing/Fair Housing Services"and clicking on our link or by using an Internet search engine; Phone Listing, Outreach Events, Community Organizations. Public Service Announcements and Press Releases, literature distribution, word-of-mouth. Catalog of Federal Domestic Assistance(CFDA)Number: 14.218 CFDA Title: Community Development Block Grants/Entitlement Grants 2 4. List and explain any major changes in funding patterns or expenditures. With the exception of a new HUD grant to investigate potential housing discrimination and the lack of equal housing opportunities in the Antelope Valley and Northern L.A. county, there have been no major changes in funding patterns or expenditures. 5. List major sources of funding and the amount(i.e. cities,county,state,federal,fundraising,etc.) YEAR FUNDING SOURCE AMOUNT RECEIVED 15/16 Alhambra $25,000 15/16 Baldwin Park $7,500 15/16 Carson _ $33,990 15/16 _ El Monte $18,000 15/16 FHIP Grant— HUD _ $325,000 15/16 FHIP Grant—Regional _ $180,000 15/16 Glendale _ $15,000 15/16 Glendora _ $15,000 15/16 Hawthorne $50,800 15/16 Inglewood _ $59,200 15/16 Lancaster _ $30,000 15/16 Los Angeles City $700,500 15/16 Los Angeles County $200,000 15/16 Montebello $20,000 15/16 Monterey Park $10,000 15/16 _ Oxnard _ $29,000 15/16 Palmdale $27,448 15/16 Pasadena $50,400 _ 15116 Pasadena _ $15,000 15116 Pico Rivera _ $12,000 15/16 Pomona $30,000 15/16 _ Redondo Beach $24,000 15/16 Rosemead $10,000 15/16 Ventura City $10,000 15/16 Ventura County $54,500 15/16 West Covina $10,000 15/16 Whittier $10,000 15/16 Fundraising, TrainnJ Fees, etc. _ Approx. $15,000 6. What facilities in Rosemead are used to conduct services? HRC conducts Fair Housing and Housing Rights Workshops at the handicap accessible Garvey Community Center. Additionally, HRC distributes fair housing literature to other city locations including city hall,the public library, chamber of commerce, and local CBOs. 7. The proposed Community Service would be provided to: Mark each that apply X Low and Moderate-Income persons or households• X Abused Children Catalog of Federal Domestic Assistance(CFDA)Number: 14.218 CFDA Title: Community Development Block Grants/Entitlement Grants 3 X Handicapped Persons X Illiterate Persons X Battered Spouses X Homeless Persons X Migrant Farm Workers X Elderly Persons 8. How many Rosemead citizens do you project will benefit from your program/project: More than 100. Provide a specific example or case study of a client that exemplifies how program objectives were achieved during the past year: (Attach additional page if necessary) HRC resolved a case in the City of Rosemead involving a Latino resident with physical disabilities. The resident was served with a 60-day notice to quit. The resident was served with an unlawful detainer because she was not able to vacate her apartment by the expiration of the notice due to her disability. The tenant asked HRC for assistance in requesting a reasonable accommodation; specifically to dismiss the unlawful detainer or provide her with an extension of time to vacate her unit based on her disability. HRC telephoned the owner's attorney and requested a reasonable accommodation on behalf of the resident. The owner's attorney asked HRC to submit the request in writing. HRC sent a letter to the owner's attorney requesting a reasonable accommodation on behalf of the resident. The owner's attorney agreed to provide the resident with additional time to vacate the unit. The owner also agreed to dismiss the unlawful detainer and seal the court record so there would be no adverse information on the tenant's record which would hurt the tenant's ability to rent again. 10. Has your organization conducted the proposed activity before? Yes_X No 11. Describe your organization's experience with CDBG: The Housing Rights Center has over 36 years of experience working with CDBG grants to provide fair housing services to local cities and counties. These cities and counties conduct annual programmatic and financial reviews. HRC has always received excellent reviews. 12. Do you charge any fees to your clients? If so, what is the fee structure? HRC is able to provide its vast array of services free of charge. Catalog of Federal Domestic Assistance(CFDA)Number: 14.218 CFDA Title: Community Development Block Grants/Entitlement Grants 4 o• a m on on op .0 = o — F N x- N N CO IIk L. L Nio 0 { dl, ^C S' Lt i� u. o Oo oO o V B a _ e G Q e olo I N co ydo m : E c 5 x f a iw N 9 w 30 [a. N M N on O N O. u o C.) Wi a v _ hm W .F. > mG E d - o e t. — - a 6,,, L � ZK � = ° �, u OF a E "> w U o II aC � � oa O F w; . „ e W W co co co r co N of LL G ce Z 1 = cU • W , Pti qu 4 U I a ct QU C N UU a N f a „ - O o a � An O z a ° U 4 z w ' r3 m m m D 6 t ° c a o ro o G z £ c m 5 3 = a I G �Y G G R S N 3 m ¢ ¢ z O F > N N H 0 co §kf f � l ,:r .1-. `( ~j ( :) § f 73 -7 ( \ \ N ` ! ! � _ . _ / { = _ ± \ = ''-' ` _ ` - / § E ` 2 ; ! \ ! ) / ; e , 0 - - ` ) - - \ ( ~ ..1. ` \ \ . ) ( , N CO / \O. - ..1. =P. , j .,§ - - \ 1 ( \ 1 \ \ \ = — §cc 2 --\ U \ = / ; / / •/ f f / / • PROGRAM BUDGET Use Whole Dollars Only _. Current FY 2014-2015 Operating Year Proposed Budget CDBG SHARE FY 2015-2016 FY 2016-2017 FY 2016-17 Expense - Salaries 1,450,153 1,451,400 1,475,500 _ 7,280 Employee Benefits 177,543 206,510 207,500 490 Employees Payroll Taxes 123,433 122,750 125,220 590 Profes. & Consultant Fees 16,228 15,875 16,000 60 Supplies 19,770 18,250 18,000 70 Telephone & Fax 29,587 22,820 24,500 150 Postage & Shipping 11,060 12,600 12,500 20 Occupancy & Utilities 160,780 178,200 178,500 780 Rental & Maint. of Equip. 60,990 48,560 - 50,480 280 Printing & Publishing - - - - Travel and Transportation 13,879 27,025 25,500 25 Conferences 3,441 3,6.00 3,500 5 Specific Assist. To - - - - Individuals Membership Dues - _ - - _ - Awards & Grants - - - - Insurance 20,548 20,850 20,500 - 90 Equipment Purchased - - - _ - Misc. Expenses 168,131 202,596 197,450 160 Transfer to Other Funds - - - - Dues to National - - - - Organizations Over Expenses 54,263 3,613 0 0 Please explain Changes Greater than 15%between FY 2014-15 and FY 2015-16 and/or FY 2015-16 and FY 2016-17. Changes between fiscal years are less than 15%. Please explain what expenses are included in the "Other" Category. Catalog of Federal Domestic Assistance(CFDA)Number: 14.218 CFDA Title: Community Development Block Grants/Entitlement Grants PROGRAM REVENUE Use Whole Dollars Only Current Operating FY 2014-2015 Year Proposed for FY 2015-2016 FY 2016-2017 Public Support Contributions Foundation&Private Grants Fundraising/special Events _ 15,000 15,000 15,000 Legacies and Bequests Other Federated Org. United Way Misc. Organizations Other Subtotal 15,000 15,000 15,000 Government Federal State _ Local 1,933,613 1,959,149 2,020,150 Subtotal 1,931613 1,959,149 2,020,150 Other Revenue _ Membership Dues Program Services Fees _ Investment Income _ Transfer From Other Fund All Other Revenue 361,193 360,500 320,500 Subtotal 361,193 360,500 320,500 TOTAL REVENUE 2,309,806 2,334,649 2,335,150 Please explain Changes Greater than 15% between FY 2014-15 and FY 2015-16 and/or FY 2015-16 and FY 2016-17. Changes between fiscal years are less than 15%. Catalog of Federal Domestic Assistance(CFDA)Number: 14.218 CFDA Title: Community Development Block Grants/Entitlement Grants 8 I HAVE BEEN AUTHORIZED TO SUBMIT REQUEST FOR FUNDING Signature Chancela Al-Mansour Print Name Executive Director Title catmansour(n housingrightscenter.org Email Address (213)387-8400,ext. 1111 Phone Number Housing Rights Center Organization Date DO NOT COMPLETE THIS SECTION — FOR CITY USE ONLY Date Application Received: Date Reviewed by Rosemead Staff: Approved or Declined: Date Notification Letter Sent to Applicant: Catalog of Federal Domestic Assistance(CFDA)Number: 14.218 CFDA Title: Community Development Block Grants/Entitlement Grants 9 AMR() CERTIFICATE OF LIABILITY INSURANCE DATE(MMIODplYY1) `-----. 7/1/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER NAmECT Amy Tolmer Velasquez Arroyo Insurance Services WCtN at): (626)792-7654 WC No): (626)594-0039 E-MAIL amyv @arroyoins.corn (Binney, Chase 6 Van Horne) ADDRE DpIESS. 11 W. Del Mar Blvd. , Suite 200 INSURER(S)AFFORDING COVERAGE NAICS Pasadena CA 91105 ILmuasaA:Philadelphia Indemnity Ins. Co. I INSURED INSURER 13:CNA -_ Southern California Housing Rights Center, Inc. INSURER C: ' 3255 Wilshire Blvd. INSURERD: Suite 1150 INSURER E: Los Angeles CA 90010-1404 INSURER F: I COVERAGES CERTIFICATE NUMBER:15/16 PEG/Auto/XS/WC REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AN D CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 'NCR TYPE OF INSURANCE ADN StaRl POLICY EFF POLICY UP l LIMITS LIR IMO WVfl POLICY NUMBER IMMIWIYYWI IMMIOWYYYYI X COMMERCIAL GENERAL LIABILITY 1 EACH OCCURRENCE $ 1,000,000 DAMAGL 10 MFNTED 100,000 A CLAMS-MADE X OCCUR I PREMISES(Ea occurrence) $ X Papx1362114 7/1/2015 7/1/2016 MED EXP(My one person) $ 10,000 PERSONAL a#DVIN.JRY $ 1,000,000 GENL AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 3,000,000 X PCLICYI '.ECT I j LOC PRODUCTS-COMP/OP AGG 3,000,000 OTHER' Employee Benefits 1,000,000 AUTOMOBILE LABILITY PXP61362114 07/01/2015 07/01/2016 SELSMa CeeD1i3 VGLL LIM]r 1,000,000 ANY AUTO BODILY W JURY(Per personI ALL OWNED SCHEDULED X BODILY INJURY(Per axnent)1 AUTOS NON-O A E. X AUTOS (Parr ec dents M1AGE HIRED AUTOS pUTO6 A X UMRGFLIA LAB OCCUR Pa0e505906 07/01/2015 07/01/2016 FaCII OCCURRENCE IS 1,000,000 EXCESSLIAB CLJUMSMADE: AGGREGATE $ 1,000,000 1 DEO J X I RETENTIONS 10.000 I$ B WORKERS COMPENSATION wc430522083 07/01/2015 07/01/2016 X 6ERTUTE I OTH- ER AND EMPLOYERS'LABILITY y I N' ANYPROmIETORPARTNER,EXECUTIVE N E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER NH)FXCWDEO7 EL.DISEASE-EA EMPLOYEE$ 1,000,000 If(Mandatory es.describe NH) DESCRIPTION CMel E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS below A CRIME PBPIt1362114 07/01/2015 07/01/2015 Employee O honesty 100,000 DeduMblle 1,000 DESCrdPTON OF OPERATIONS/LOCATIONS/VEHICLES (AMMO 101,Addloenal Remake Schedule,may be attached If more space le required) Certificate holder is named as an additional insured as defined in the policy form if required in a written agreement. Additional insured shall be:"The City of Rosemead named additional insured." POLICY OF ENDORSEMENT TO FOLLOW CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Rosemead THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attn: Michelle Ramirez ACCORDANCE WITH THE POLICY PROVISIONS. 8838 E. Valley Blvd Rosemead, CA 91770 AUTHORIZED REPRESENTATIVE Robyn Grandy, AM, C - 6"C '-" ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: 2HPKl3e2114 COMMERCIAL GENERAL LIABILITY CG 2010 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location(s) Of Covered Operations City of Rosemead Attn: Michelle Ramirez Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to B. Wth respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following additional organization(s) shown in the Schedule, but only exclusions apply: with respect to liability for "bodily injury', "property This insurance does not apply to "bodily injury" or damage" or "personal and advertising injury" "property damage"occurring after: caused, in whole or in part, by: 1. Your acts or omissions; or 1. All work, including materials, parts or equipment furnished in connection with such 2. The acts or omissions of those acting on your work, on the project (other than service, behalf, maintenance or repairs) to be performed by or in the performance of your ongoing operations for on behalf of the additional insured(s) at the the additional insured(s) at the location(s) location of the covered operations has been designated above. completed; or However: 2. That portion of 'your work" out of which the 1. The insurance afforded to such additional injury or damage arises has been put to its intended use by any person or organization insured only applies to the extent permitted by other than another contractor or subcontractor law; and engaged in performing operations for a 2. If coverage provided to the additional insured is principal as a part of the same project. required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. CG 2010 0413 ®Insurance Services Office, Inc., 2012 Page 1 of 2 C. Wrth respect to the insurance afforded to these 2. Available under the applicable Limits of additional insureds, the following is added to Insurance shown in the Declarations; Section III—Limits Of Insurance: whichever is less. If coverage provided to the additional insured is This endorsement shall not increase the required by a contract or agreement, the most we applicable Limits of Insurance shown in the will pay on behalf of the additional insured is the Declarations. amount of insurance: 1. Required by the contract or agreement; or Page 2 of 2 CO Insurance Services Office, Inc., 2012 CG 2010 0413 A " CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDYTYI 6/12/2015 THIS CERTIRCATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the pollcy(Ies)must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer tights to the certificate holder In lieu of such endorsement(s). PRODUCER CONTACT Any Tolmer Velasquez Arroyo Insurance Services we Ent: (626)792-7654 FAX No); (626)599-0839 (Binney, Chase & Van Horne) ADSS:amyv @arr0y0ins.DOm 11 W. Del Mar Blvd. , Suite 200 INSURERIS)AFFORDINC COVERAGE NAIL Pasadena CA 91105 INSURER A!Travelers Insurance Company INSURED INSURERS:: Southern California Housing Rights Center, Inc. INSURER C: 3255 Wilshire Blvd. INSURERD: Suite 1150 INSORERE: Los Angeles CA 90010-1404 INSURERF: COVERAGES CERTIFICATE NUMBER:15/16 D&O/EPL REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMBS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LIX TYPE OF INSURANCE NGO WAD POLICY NUMBER IMmoorvvYY) IMMILOMfW) LIMITS COMMERCIAL GENERAL LIABILOY EACH OCCURRENCE $ DAMAGE 10 RENTED j CLAIMS-MADE OCCUR PREMISES(Ea occu.rrence) 8 X MED EXP(Any one person) $ _ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APP_IES PER GENERAL AGGREGATE $ POLICY jE� OC PRODUCTS-COMP/OP AGG 6 OTHER $ AUTOMOBILE LIABILITY COMELDISNGLE LIMIT $ accide ANY AUTO BODILY INJURY(Per person) $ ALLOVVNED F SCHEDULED X BODILY INJURY(Per accident) $ ALTOS NON-OV ED PROPERTY DAMAGE $ HIRED AUTOS ' AUTOS (Perecadu,n UMBRELLA LAB _ OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE • $ DED RETENTIONS $ (!WORKERS COMPENSATOR STATUTE ER AND EMPLOYERS'LIABILITY Y/N ANY PROPR.ETORIPARTNER/EXECUTIVE -1 NfA EL.EACH ACCIDENT $ FICERIMEMBER EXCLUJELYI (Mandatory in NH) I L DISEASE-EA EMPLOYEE $ D1yc S desvibe under EL DISEASE-POLICY LIMIT $ ESCRIPTION OF OPERATIONS Oeow A Directors & Officers 105980303 R/9/2015 8/9/2016 D,recto rs&Officers Q1.,000,000 Employment Practices I, Employment Preaces $1,000,000 DESCRIPTION OF OPERATIONS/LOCATORS I VEHICLES IACORD 101,Additonsl Remelts Schedule,may be attached If more apace la required/ Certificate holder is named as an additional insured as defined in the policy form if required in a written agreement. Additional insured shall be:"The City of Rosemead named additional insured." POLICY OF ENDORSEMENT TO FOLLOW CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Rosemead THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attn: Michelle Ramirez ACCORDANCE WITH THE POLICY PROVISIONS. 8838 E. Valley Blvd Rosemead, CA 91770 AUTHORIZED REPRESENTATIVE �-f tech v ay. A Tolmer Velasquez/AM �T cJ 7 O 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD Rio Hondo CDC (HOME Funded) Reserved ORlO U DEVELOPMENT ONPON January 26, 2016 Michelle G. Ramirez, Community Dev. Director City of Rosemead 8838 E.Valley Blvd. Rosemead, CA. 91770 RE: CHDO/Operating Costs Request 2016-2017 Dear Ms. Ramirez, With the continued support from the City of Rosemead, Rio Hondo Community Dev. Corp. is able to offer low-income housing options to the citizens in Rosemead.Operating Costs incurred by Rio Hondo CDC are required to meet these goals. Please be so kind to provide moneys derived from HOME,CDBG and Program Income Funds to meet Rio Hondo CDC's ongoing operating expenses. The City of Rosemead and Rio Hondo CDC partnership has proven successful in providing low-income housing for two Rosemead families at 9331 Glendon Way and 8628 Landis View Lane. Costs for property maintenance, insurances, office staff/ utilities and professional services are incurred to meet the needs and continued growth of our program responsibilities.Thank you for your trust and collaboration. With a history of development, new construction, acquisition rehab and sound community support/ involvement, Rio Hondo CDC continues to offer much needed shelter/ housing to those families in the Rosemead and San Gabriel Valley.These endeavors are possible with the strong support from the City of Rosemead. Much appreciated indeed! Rio Hondo CDC is requesting funds to cover Operating Costs/ Expenses for 2016-2017 at this time and extends our best wishes to you and the City of Rosemead this coming year. Please feel free to contact me with any questions or if you require additional information Sincerely, Steven J. Cooper,Executive Director Rio Hondo Community Dev. Corp. CC: Patrick J. Piatt, City of Rosemead www.PIQHON[K>CDC nrq 11706 RAMONA BLVD • a 107 • EL MONTE. CA 91732 • 62&401 2784 Reserved