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6.6 KS Emergency Shelter Grant CITY OF SALINA REQUEST FOR CITY COMMISSION ACTION DATE 04/05/03 TIME 4:00 P.M. AGENDA SECTION: NO. 6 ORIGINATING DEPARTMENT: DEAN ANDREW PLANNING & COMMUNITY DEVELOPM ENT APPROVED FOR AGENDA: ITEM NO. 6 BY: BY: Item Consider applications for the 2004 Kansas Emergency Shelter Grant Program. Background The Kansas Housing Resources Corporation (formerly Kansas Department of Commerce and Housing) is accepting applications for the 2004 Emergency Shelter Grant (ESG) Program. This program provides funding to assist homeless individuals and families. As in previous years, applications from local agencies must be submitted through units of local government. Five eligible Salina agencies serving the homeless have submitted applications as follows: Orqanization Ashby House Domestic Violence Association of Central Kansas $ 6,500 $15,000 Service (Shelter renovation & utilities, Client transportation, Staff salaries) (Staff salaries, Rent/Utility assistance) Req uest $21,300 Catholic Charities Emergency Aid /Food Bank $12,000 (Shelter renovation & utilities, Staff salaries, Rent/utility assistance) (Dental care, Client transportation, Nutritional Counseling, Rent/utility assistance) TOTAL Requests $ 8,000 $62,800 (Rent/utility assistance) Salvation Army If funding is approved and accepted by an agency, a grant agreement will be signed between the agency and the City. A combined grant agreement will also be signed between the City and the State. Funding will be supplied by the City as requested by the agency and reimbursed to the City by the State. In the event the full amount requested is not approved, some reallocation may be necessary. Recommended Action If the City Commission wishes to sponsor the grant applications by these local agencies, a motion should be passed authorizing the Mayor to sign the application and related documents. Encl: Copy of Applications f I I ~ I I I I I I I I , f Kansas Emergency Shelter Grant Application FFY 2004 I j City of ~ Salina lr Emergency Shelter Grant Application APPLICA TION FOR 2004 KANSAS EMERGENCY SHELTER GRANT Instructions: Please complete all eight sections of the Emergency Shelter Grant (ESG) application. r f ! } SECTION I: APPLICANT INFORMATION (Local Units of Government Only) A. Applicant Information Local Government Authorized Representati ve City of Salina, Kansas Alan E. Jilka Title Mayor City Salina 67402- Federal J.D. 0736 Number #48-6017228 Address P.o. Box 736 State Kansas Zip Contact to whom questions about thi~; application should be directed: Judy Brengman I I I I j Telephone (785) 309-5760 Fax (785) 309-5761 i I i .. r.~mail Address judy. brengman@salina.org B. Purpose of Request (Check all that apply.) D Bring building up to health and safety codes. D Make or improve facilities accessibility. D Increase beds for homeless people by - (number). ~ Expand or maintain the number of homeless individuals or families served. ~ Increase or maintain essential services. ~ Provide homeless prevention services. ~ Other (Specify): . . ( I I i r I Certification: To the best of my knowledge and belief, the data in this application are true and correct. This document h~s been duly authorized by the governing body of the applicant. The applicant will comply with federal and state regulations if assistance is approved. _{jJa~ ¿. ~4 Signature 4-/2-lbOY Date Alan E. Jilka Mayor Note: To unlock this document in MS Word, Click on the "Tools" drop-down menu & select "Unprotect Document" l I.. , PROPOSED PROJECT BUDGET FFY 2004 KANSAS EMERGENCY SHELTER GRANT PROGRAM GRANTEE NAME City of Salina, Department of Development Services Neighborhood Services Division GRANTEE ADDRESS 300 West Ash Salina, Kansas I l SUB-GRANTEE NAMES Ashby House Catholic Charities Domestic Violence Association of Central Kansas Emergency Aid Food Bank Salvation Army SUB-GRANTEE ADDRESS 150 S. 8th 425 West Iron 203 S. Santa Fe 255 S. Chicago 1137 N. Santa Fe PROJECT BUDGET FUNDS REQUESTED Shelter Rehabilitation Operations Essential Services Homeless Prevention $ 7,744 12,400 13,500 18,000 Subtotal $62,800 . ! . I .. Local GovernmentAdministration @2.5% $ 1.570 TOTAL FUNDS REQUEST $64,370 MATCIDNG FUNDS A. Cash B. Non-cash, including leases C. Staff Salaries D. Volunteer Labor* $33,0010 10 23,000 12,00'Q TOTAL Grant Funds Match (at least 1 :1) $68,0010 ------ ----- GRAND TOTAL (Request + Match) $132,370 --- *Time and services estimated at $5.00 per hour - , j j j j I I I I I I I I I I I KANSAS EMERGENCY SHELTER GRANT SECTION II: PROVIDER INFORMATION Ashby House Project Funds Requested Shelter Rchabilitation Operations Essential Services Homeless Prevention Total Request Matching Funds Cash Staff Salaries Non-cash (volunteer labor *) Total Match *Time and services estimated at $5 per hour $ 2,300 $ 9,000 $10,000 $ 0.00 $21,300 $ 8,000 $ 8,000 $ 6,000 $22,000 I I t~ II II - 18 I I I I I I I I I I I I Emergency Shelter Grant Application 2 SECTION II: PROVIDER IN FORl\tlA TION Section II asks for information on each of the homeless service providers. Section II needs to be completed on each sub-grantee in order to receive funding. If more space is needed, please make copies of page 2 and 3 and attach them to the completed application. A. Provider Information Emergency Shelter or Service Provider Ashby House, Ltd. Address 150 S. 8th, P. O. Box 3482 City Salina Federal I.D. Number 48-1099925 Fax (785) 825-6924 ashbv{@,alltel.net - , / Saiine, McPherson, Eilsworth, Lincoln, Ottawa & Dickinson counties, as well as most of northwest Kansas. Saline-Dist.24; McPherson-Dist.35; Ellsworth- Dist36; Lincoln-Dist.36; Ottawa-Dist24; Dickinson-Dist.24 & pulls in 35. Saline-Dist.67,69,71; McPherson-Dist. 70, 73, 74; Ellsworth-Dist67,69,71 and pulls in 119; Lincoln-DistI19; ûttawa-Dist1O7; Dickinson- Dist.ó7,69,71 and pulis in 64,68,107. E-mail Address Counties served by shelter State Senate Districts of all counties served State House Districts of aU counties served Contact Person Bryan Anderson Telephone (785) 826-4935 State KS Zip 67401 Note: To unlock this document in MS Word, Click on the 'Tools" drop-down menu & select "Unprotect Document" jl ì Î- Î 11 I d ì ì II II ï 8 II II II 8 . 8 Emergency Shelter Grant Application 4 SECTION IV: ACTIVITY DESCRIPTION A. Activities 1. Briefly describe the purpose and capacity of the agency providing services to the homeless. The mission of Ashby House is to provide homeless and destitute families with the resources and skills necessary to become productive members of the community. Ashby House is the only full-time emergency and transitional shelter for homeless families in Salina and Saline County. Since opening in 1992, 1021 families have been sheltered. In 1995, Ashby House opened a Life Skills Center to serve families that are homeless and families that are on the verge ofhomelessness. Clients receive instruction in basic life skills such as: nutrition, parenting, job readiness, personal hygiene, money management, healthlwellness, and goal setting. In 1998, Ashby House added transitional shelter (90 day) to its program through the purchase of a 12 unit apartment building (Bridge House) at 153 South 8t.'1. Ashby House can provide services for up to 16 families at a time (4 families in Ashby House Homeless Shelter and 12 families in Bridge House Transitional Shelter). 2. Describe how ESG funds for each category requested in this applicatilon wili be used, (be specific, add more pages if needed): Rehabilitation: Amount Requested: $2,300.00 Renovate exterior brick work on Bridge House Transitional Shelter. Water damage caused the brick surtàce and mortar to deteriorate. Operations: Amount Requested: :£9,000.00 Gas, electricity and water for Ashby House Homeless Shelter and Bridge House Transitional Shelter. Essential Services: Amount Requested: $10,000.00 ($2,000) Clienllransportalion for employment, medical, substance abuse counseling, mental evaluation and counseling. ($8,000) Life Skills and advocacy for homeless individuals living at Ashby House. Expenses include staff salaries, materials, and translation services necessary for homeless clieI)ts to gain self-sufficiency. These services are: i. Employment preparation 2. Assistance in obtaining permanent housing through public programs and private landlords. 3. Health and nutrition education, decision making, parenting, budgeting. 4. Assistance in improving levels of education, including GED, diploma, and job training programs. Homeless Prevention: N/A Amount Requested: $ Note: To unlock ù1Ìs document in MS Word, Click on ù¡e "Tools" drop-down menu & select "Unprotect Document" " Emergency Shelter Grant Application G B. Assistance Specifically describe how the following assistance, if applicable, will be provided to persons served by your agency: 1. Permanent Housing Referral Services Referrals are primarily made to the Salina Housing Authbrity for Section 8 and Public Housing. Clients who are ineligible for assisted housing work with Ashby House staff to determine cost limits for housing based on income and other expenses. 2. Overnight Shelter Ashby House provides overnight shelter to homeless families, couples, and unaccompanied women. Clients also receive meals, personal hygiene items and clothing free of charge. Each family stays in a private room with a common living room, dinning room, and kitchen. 3. Medical Services Medical services are received through referrals to the Salina Cares Clinic, Saline County Health Department, Salina Regional Health Center, and Central Kansas Mental Health. The clients provide medical and dental services to low income O' .. 0 cnents at a mtnnnal cost. 4 Children's Services Children participate in a life skills program, a reading program staffed by volunteers, and structured play activities while their parents are in life skills classes. Families also participate in parenting classes (Child Abuse Prevention Services) and are referred to Family Preservation, Parents as Teachers, and the Heartland Programs for additional support. 5. Mental Health and/or Drug Abuse and/or Counseling Services Counseling services are provided by referral to Central Kansas Mental Health, Providian, and Central Kansas Foundation. These agencies work in-house to aid in the referral process. CKMH teaches a class in stress management and CKF assists with intervention for substance treatment. Note: To lilllock this dOClill1ent in MS Word, Click on the 'Tools" drop-down menu & select "Unprotect Document" Ie ì I I- I I I I I I I I I I I I I I 8 I Emergency Shelter Grant Application 7 6. Employment Services Ashby House staff meets with clients daily for a job club. During that time staff help clients make job contacts and also gives instruction in job æadiness and maintenance. The Job Service Center and The Salina Chamber of Commerce collaborate with Ashby House to provide job placement through the One Step Career Center. 7. Transportation Transportation is provided through a taxi voucher system. Clients also receive assistance with fuel if they own a car. Occupational Center of Central Kansas offers some public transportation at a minimal cost to clients. However, the OCCK program has restricted hours and requires 24 hour advanced notice for a ride. 8. Other Available Federal, State, and Private Assistance Clients are referred to Social Rehabilitation Services for assistance, particularly in the area of food stamps, child care, and financial assistance. Clients are also referred to Social Security for issues concerning disability. 9. Other Clients in need of education are referred to Little House Learning Center, Smoky Hill Learning Center, and the Salina Area Technical School for Adult Education. c. Confidentiaiity Section 832 of the Cranston-Gonzalez National Affordable Housing Act changes to the ESG Program require grantees to develop procedures to ensure confidentiality of victims of family violence. Indicate how this requirement will be met to protect victims offamily violence in your Shelter or service provider organization. Note: If this application includes funding to II domestic violence shelter, the shelter must provide their confidentiality policy in order to be considered for funding. The staff of Ashby House is extensively trained on confidentiality and family security. While Ashby House is not considered a "safe house", every precaution is taken to provide a safe environment. Visitors are not allowed into the shelter without client approval. The shelter is locked at night and no one is allowed in after curfew. The shelter is staffed 24 hours per day. Note: To unlock this document in MS Word, Click on the "Tools" drop-down menu & select "Unprotect Document" I I I 1 I I KANSAS EMERGENCY SHELTER GRANT SECTION II: PROVIDER INFORMATION Catholic Charities Project Funds Requested Shelter Rehabilitation Operations Essential Services Homeless Prevention Total Request Matching Funds Cash Non-cash (lease & prop. Value) Staff Salaries Volunteer Labor * Total Match *Time and services estimated at $5 per hour $ 0 $ 0 $ 2,500 $ 4,000 $ 6,500 $ 11,000 $ 0 $ 0 $ 0 $11,000 >, ! III 5 i ~ Emergency Shelter Grant Application 2 SECTION II: PROVIDER INFORMATION Section II asks for information on each of the homeless service providers. Section II needs to be completed on each sub-grantee in order to receive funding. If more space is needed, please make copies of page 2 and 3 and attach them to the completed application. A. Provider Information Emergency Shelter or Catholic Charities of Salina, Service Provider Inc. Contact Person Karen Hauser Address 425 W. Iron Ave. Telephone (785) 825-0208 City Salina State Kansas Zip 6740] (785)826-9708 Federal J.D. Number 48-0676263 Fax E-mail Address ccharsal@alhelp.org Counties served by shelter State Senate Districts of all counties served State House Districts of all counties served 24 67,69,71 t . c 1 ! ~ Note: To unlock this document in MS Word, Click on the "Tools" drop-down menu & select "Unprotect Document" Emergency Shelter Grant Application 3 SECTION III: Matching Funds Note: Matching funds must be provided after the date of the grant award to the grantee. Funds used to match a previous ESG grant may not be used to match a subsequent grant award. Please describe in detail matching funds to be used for this grant. A. Cash Funds Describe the source of the cash funds. We have $7,000.00 cash funds, provided to Catholic Charities by the Knights of Columbus, for emergency assistance (ie. Rent, utility assistance), for families with children. We have an additional $4,000.00 in the Catholic Charities Assistance account for rent and utility assistance. B. Non-Cash Resources Describe the source and value of any non-cash resources, including materials, salaries paid by local agency, volunteer labor ($5.00 per hour allowed; Volunteer providing professional services, such as medical or legal services are valued at the reasonable and customary rate in the community), the appraised value of any donated building, or other match. We provide an office to meet with clients, phone, office supplies, and MAACLink connection for case management. C. Other State/Federal Agency Grant Funds Describe the source of the funds and precisely how the funds are to be used. A letter of commitment from the relevant state/federal agency must be attached to the application if other state/federal funds are to be used to meet matching fund requirements. D. \lV' aiver Section 832 of the Cranston-Gonzalez National Affordable Housing Act makes substantial changes to the ESG regulations. One change is the elimination of the first $100,000 of the Kansas ESG match requirements. Kansas Housing Resources Corporation intends to pass this benefit to units of local government in behalf of the emergency shelter/service providers who demonstrate inability or hardship in meeting the match requirement. Applicants wishing to be considered for a waiver of the match requirement must furnish an explanation of need. Indicate the amount of the match requested to be waived and the reason why a waiver is needed (attach waiver request to the back of this application). Note: To unlock this document in MS Word, Click on the "Tools" drop-down menu & select "Unprotect Document" WORK CONDITIONS CONFIDENTIALITY Agency personnel will strive to maintain the confidentiality of the employee/client relationship. The Agency places responsibility for maintaining of client confidentiality with each employee. Information may be disclosed to sources outside the agency on a need-to-know only basis under the following circumstances: to prevent hann to self or others; by court order, as required by law; upon the presentation of a signed release of information request by the client. Within the Agency, information may be released to other members of staff when necessary to further the delivery of services, to include information for billing purposes, information shared with other staff clinicians in the transfer of cases and all accompanying records, and for the purposes of conducting quality assurance reviews. In such cases information transferred from one Catholic Charities office to another within the Diocese of Salina will be treated in the same manner as transfer of information within a single office location. All Catholic Charities employees are bound by the same confidentiality agreement and will not violate that trust. Client confidentiality procedures, including security of files, handling of materials related to cases, release of information~ billing records, etc., should be discussed at the monthly Continuous Quality Improvement (CQI) meetings. ~ Approved 1/21/2002 44 ,';l¡elter Grant Application 4 SECTION IV: ACTIVITY DESCRIPTION A. Activities 1. Briefly describe the purpose and capacity of the agency providing services to the homeless. Catholic Charities is a multi-service agency providing homeless prevention services to the poor in our 31 county area. A part of this effort is to þrovide emergency assistance for homeless prevention, to advocate with landlords on behalf of our clients, to provide interpretation services to residents with limited English-speaking abilities, and to provide screening and referral to clients to alleviate problems of domestic violence, drug and alcohol problems, crises pregnancy services and problems of daily living. 2. Describe how ESG funds for each category requested in this application will be used, (be specific, add more pages ifneeded): Rehabilitation: Amount Requested: $ Operations: Amount Requested: $ Essential Services: Amount Requested: ~OO.OO We are requesting $2,500.00 for essential services. This will be used for case management services to review emergency assistance requests and to provide language translation and interpretation where needed. Additional salary will be covered by Catholic Charities. Homeless Prevention: Amount Requested: $4,000.00 ¡ (! ii Ii We are requesting $4,000.00 for rent and utility assistance for persons on the verge ofhomelessness. This will be matched by Catholic Charities. 3. Kansas Housing Resources Corporation is permitted to use five percent of the state's 2002 ESG award for administrative purposes. The state sub grants two-and-a-half percent of the award to local governments who receive ESG grants for costs associated with accounting for the use of grant funds, preparing program-related reports, obtaining program audits, and similar costs related to administering the grant after the award. Provide a description of the expected use for this request, (to be completed by local unit of government). This will be used for clerical and reporting purposes. ! , , I ' Note: To unlock this document in MS Word, Click on the "Tools" drop-down menu & select "Unprotect Document" I I I~ I I I I I I I I I I I I I I ~ I Emergency Shelter Grant Application 5 B. Assistance Specifically describe how the following assistance, if applicable, will be provided to persons served by your agency: 1. Permanent Housing Referral Services We provide rent and utility assistance to persons on the verge of eviction or for persons transitioning from a shelter to permanent housing. The case manager does an assessment of need and works with utility companies and local landlords and, in some case, works out a payment plan. 2. Overnight Shelter We make referrals to the men's shelter and to Ashby House, or occasionally pay for motel lodging. 3. lv1edical Services Catholic Charities has a special fund to provide assistance for unmet medical needs which are evaluated by a case manager. We also provide accompaniment and interpretation services for Doctor's appointments for Iimited-English- speaking clients. 4. Children's Services We provide counseling services for children and adolescents and a tutoringlmentoring program for Hispanic children, six and under. This is an in- kind service, funded by other sources. 5. Mental Health and/or Drug Abuse and/or Counseling Services These services are funded by other sources of Catholic Charities. Note: To unlock this document in MS Word, Click on the "Tools" drop-down menu & select "Unprotect Document" KANSAS EMERGENCY SHELTER GRANT SECTION II: PROVIDER INFORMATION Domestic Violence Association of Central Kansas Project Funds Requested Shelter Rehabilitation Operations Essential Services Homeless Prevention Total Request Matching Funds Cash Non-cash (lease & prop. Value) Staff Salaries Volunteer Labor * Total Match *Time and services estimated at $5 per hour ~ ¡ :i ¡¡ {¡ ,! ,I $ 6,000 $ 6,000 $ 3,000 $ 0.00 $15,000 !' i I $ 0 $ 0 $15,000 $ 0 $15,000 ~ . ) ! . ~ Emergency Shelter Grant Application 2 SECTION II: PROVIDER INFORMATION Section II asks for information on each of the homeless service providers. Section II needs to be completed on each sub-grantee in order to receive funding. If more space is needed, please make copies of page 2 and 3 and attach them to the completed application. A. Provider Information Domestic Violence Emergency Shelter or Association of Central Service Provider Kansas " i Federal I.D. Number 48-0903329 Contact Person Heather Soper Telephone 785-827 - 5862 State Kansas Zip 67401 Fax 785-827-2410 Address 203 S. Santa Fe City Salina E-mail Address heathers@salhelp.org Saline, Washington, Dickinson, Ellsworth, Ottawa, Republic, Counties served by shelter Mitchell, Cloud, Jewell, and Lincoln State Senate Districts of all counties served 24,36 State House Districts of all counties served 67,69,71,106,107 1 , Note: To unlock this document in MS Word, Click on the "Tools" drop-down menu & select "Unprotect Document" D. tcmergency Shelter Grant Application 3 SECTION III: Matching Funds Note: Matching funds must be provided after the date of the grant award to the grantee. Funds used to match a previous ESG grant may not be used to match a subsequent grant award. Please describe in detail matching funds to be used for this grant. A. Cash Funds Describe the source of the cash funds. The Executive Assistant's Salary will serve as the cash match for the funds that we are requesting. This position makes $29,000 a year and we will use $15,000 of this salary for our cash match. B. Non-Cash Resources Describe the source and value of any non-cash resources, including materials, salaries paid by local agency, volunteer labor ($5.00 per hour allowed; Volunteer providing professional services, such as medical or legal services are valued at the reasonable and customary rate in the community), the appraised value of any donated building, or other match. c. Other State/Federal A2encv Grant Funds Describe the source of the funds and precisely how the funds are to be used. A letter of commitment from the relevant state/federal agency must be attached to the application if other state/federal funds are to be used to meet matching fund requirements. , , ~ Waiver Section 832 of the Cranston-Gonzalez National Affordable Housing Act makes substantial changes to the ESG regulations. One change is the elimination of the first $100,000 of the Kansas ESG match requirements. Kansas Housing Resources Corporation intends to pass this benefit to units of local government in behalf of the emergency shelter/service providers who demonstrate inability or hardship in meeting the match requirement. Applicants wishing to be considered for a waiver of the match requirement must furnish an explanation of need. Indicate the amount of the match requested to be waived and the reason why a waiver is needed (attach waiver request to the back of this application). 4 4 I I I I I t . ¡ ; Note: To unlock this document in MS Word, Click on the "Tools" drop-down menu & select "Unprotect Document" . . . . . , .. Emergency Shelter Grant Application 4 SECTION IV: ACTIVITY DESCRIPTION A. Activities 1. Briefly describe the purpose and capacity of the agency providing services to the homeless. The Domestic Violence Association of Central Kansas (DV ACK) was incorporated in 1980. Our agency provides specialized services to victims of domestic violence and sexual assault. We cover a ten county area in North Central Kansas providing our specialized services to a population of 122,000. One ofthe ways that DV ACK serves this population is through our emergency shelter. The clients that are in shelter go through a program that is called our "21-day program" and they complete this during their stay. This program includes components of education on domestic violence and sexual assault. This program also includes information on other area agencies in the area that may be able to assist them in their current situation. Our main goal here at DV ACK is to assist women and children in developing a safe and healthier home/lifestyle while they are receiving our services. 2. Describe how ESG funds for each category requested in this application will be used, (be specific, add more pages if needed): Rehabilitation: Amount Requested: $2,000 I Rehabilitation is an ongoing process when you have a shelter facility that sees many people come through the door. One of the toughest areas to maintain upkeep on is our shelter facility. We need some minor renovations done in our shelter. Weare requesting funds for new carpet, minor shelter repairs, renovation costs of our toy room, and replacement costs of appliances that are outdated and worn out. I I Operations: Amount Requested: $6,000 I DV ACK is requesting funds to help operate the shelter. Since we are a non-profit agency, the majority of our funds that we receive from our grants go to pay for the shelter staff that assists the clients. This in turn leaves us with limited funding for operations in the shelter. We would like to ask for $6,000 to assist in shelter maintenance, operations, utilities, security, and insurance for the building. I I I -I Essential Services: Amount Requested: $3,000 DV ACK is seeking funding in this category to better serve our clients. We are requesting $3,000 in funds to assist our clients in receiving health benefits, employment assistance, travel vouchers, rent and utility assistance, and other emergency services that are essential when they need assistance from our agency. We would also ask for funds to be able to provide child care when it is necessary. I Note: To unlock this document in MS Word, Click on the "Tools" drop-down menu & select "Unprotect Document" Emergency Shelter Grant Application 5 Homeless Prevention: Amount Requested: $ 3. Kansas Housing Resources Corporation is permitted to use five percent of the state's 2002 ESG award for administrative purposes. The state sub grants two-and..a-half percent of the award to local governments who receive ESG grants for costs associated with accounting for the use of grant funds, preparing program-related reports, obtaining program audits, and similar costs related to administering the grant after the award. Provide a description of the expected use for this request, (to be completed by local unit of government). I ~ - " r "C :I i! ..... ~ C A - - ~ t . . Note: To unlock this document in MS Word, Click on the "Tools" drop-down menu & select "Unprotect Document" , . . . . .. - Emc(;~¡;w;y Shelter Grant Application 6 ---..----.- B. Assistance Specifically describe how the following assistance, if applicable, will be provided to persons served by your agency: 1. Permanent Housing Referral Services DV ACK has always had a very positive working relationship with the Housing Authority. When the clients come to DV ACK one of the first things we want to help them accomplish is to get them on the housing list. We work very closely with the housing manager to ensure that domestic violence victims are a top priority. 2. Overnight Shelter Emergency overnight shelter is one ofDV ACK's main programs. Although when we say overnight shelter, we typically hope they will stay and complete the program which is at least 30 days if not closer to 60 days. DV ACK is committed to providing emergency services to victims of domestic violence and sexual assault. More often than not, our services are usually sought in emergency type situations. 3. Medical Services DV ACK is first and foremost concerned with a client's medical status. TIús is one of the first things we do to ensure their safety, is to make sure we have met all their medical needs. This is vital to the women and children that we serve that have been isolated from any type of medical care. We have a very good working relationship with the local hospital, the health departments, and local non-.profit clinics. 4. Children's Services . r I . . . Ii ( .. DV ACK is able to assist the children that we have come into shelter. We work very closely with SRS and Child Abuse Prevention Services. We feel that we meet the children's needs by providing support groups for them as well as for their mothers, by providing support services, and also by referring them to counseling if needed. , , ... 5. Mental Health and/or Drug Abuse and/or Counseling Services I C ii f i t ~ - , Through referrals to local service agencies such as Counseling and Growth, Central Kansas Mental Health, and Central Kansas Foundation for drug and alcohol, we do what we can to refer our clients to these agencies as needed. . . . f & C . . C r ~ . Note: To unlock this document in MS Word, Click on the "Tools" drop-down menu & select "Unprotect JDocument" ~ - - . ... ,~,~ " I I I j I - 8 I I I I I I I 8 I Emergency Shelter Grant Application 7 6. Employment Services Some of the ways that DV ACK provides assistance with employment services is through job services agencies, SRS, and adult education life skills classes. DV ACK also helps with employment by providing the local newspaper, a computer for internet job search, and by assisting in filling out applications and assistance with resumes. 7. Transportation DV ACK is asking for funds to be able to help provide transportation for the clientele that we serve. Currently we collaborate with OCCK and the Hotline to help provide affordable low cost transportation but unfortunately that is often not enough. We have to utilize area cab companies because Salina does not have much in the way of public transportation. 8. Other Available Federal, State, and Private Assistance DV ACK will assist in anyway possible to ensure that our clients have access to any services that may be available to them through the Federal, State, or local government. 9. Other c. Confidentiality Section 832 of the Cranston-Gonzalez National Affordable Housing Act changes to the ESG Program require grantees to develop procedures to ensure confidentiality of victims of family violence. Indicate how this requirement will be met to protect victims of family violence in your Shelter or service provider organization. Note: If this application includes funding to a domestic violence shelter, the shelter must provide their confidentiality policy in order to be considered for funding. All information received on intake forms are placed in a locked file cabinet. Only staff that is privy to that information can obtain those files. Confidentiality agreements are signed by all clients and staff that work with clients. Information release forms must be Note: To unlock this document in MS Word, Click on the "Tools" drop-down menu & select "Unprotect Document" , ìI J- II j 81 II ~ II - - 81 8 I I I I I I Emergency Shelter Grant Application 8 signed by the client before any information can be released to another agency or case worker. Note: To unlock this document in MS Word, Click on the "Tools" drop-down menu & select "Unprotect Document" KANSAS EMERGENCY SHELTER GRANT I SECTION II: PROVIDER INFORMATION Emergency Aid / Food Bank Project Funds Requested Shelter Rehabilitation Operations Essential Services Homeless Prevention Total Request Matching Funds Cash Non-cash (lease & prop. Value) Staff Salaries Volunteer Labor * Total Match *Time and services estimated at $5 per hour $ 0 $ 0 $ 6,000 $ 6.000 $12,000 $ 6,000 $ 0 $ 0 $ 6.000 $12,000 iJ ,~' Ir~ Emergency Shelter Grant Application 2 I I I I I l SECTION II: PROVIDER INFORMATION Section II asks for information on each of the homeless service providers. Section II needs to be completed on each sub-grantee in order to receive funding. If more space is needed, please make copies of page 2 and 3 and attach them to the completed application. Á. Provider Information Emergency Shelter or Salina Emergency Aid! Service Provider Foodbank Contact Person Kathleen Jackson Address 255 South Chicago Telephone 785-827-7111 City Salina State KS Zip 67401 Federal J.D. Number 237425890 Fax 785-452-9851 E-mail Address F oodbank@salhelp.org Counties served by shelter Saline i State Senate Districts of all counties served State House Districts of all counties served I I I I I ~ I Note: To unlock this document in MS Word, Click on the "Tools" drop-down menu & select "Unprotect Document" ~. r f Emergency Shelter Grant Application 3 SECTION III: Matching Funds Note: Matching funds must be provided after the date of the grant award to the grantee. Funds used to match a previous ESG grant may not be used to match a subsequent grant award. Please describe in detail matching funds to be used for this grant. A. B. ~ Cash Funds Describe the source of the cash funds. Cash funds used to match the grant will come from donors, private, churches, and business. Non-Cash Resources Describe the source and value of any non-cash resources, including materials,. salaries paid by local agency, volunteer labor ($5.00 per hour allowed; Volunteer providing professional services, such as medical or legal services are valued at the reasonable and customary rate in the community), the appraised value of any donated building, or other match. We have a volunteer of about 50 people. We will be using their labor and the salaries that are paid to the staff. C. Other State/Federal Agency Grant Funds Describe the source of the funds and precisely how the funds are to be used. A letter of commitment from the relevant state/federal agency must be attached to the application if other state/federal funds are to be used to meet matching fund requirements. D. Waiver Section 832 of the Cranston-Gonzalez National Affordable Housing Act makes substantial changes to the ESG regulations. One change is the elimination of the first $100,000 of the Kansas ESG match requirements. Kansas Housing Resources Corporation intends to pass this benefit to units of local government in behalf of the emergency shelter/service providers who demonstrate inability or hardship in meeting the match requirement. Applicants wishing to be considered for a waiver of the match requirement must furnish an explanation of need. Indicate the amount of the match requested to be waived and the reason why a waiver is needed (attach waiver request to the back of this application). Note: To unlock this document in MS Word, Click on the "Tools" drop-down menu & select "Unprotect Document" Emergency Shelter Grant Application 4 SECTION IV: ACTIVITY DESCRIPTION A. Activities 1. Briefly describe the purpose and capacity of the agency providing services to the homeless. Salina Emergency Aid! Foodbank have been at the fÌont line of preventing homelessness for thirty two years. We provide cash assistahce, budgeting, cooking classes, referrals to Housing, Social Security, representative payee program, Foodbank. This is our third year for a garden which provides volunteer time for our clients and a purpose of self worth. The purpose ofthe agency is to help those in need, with dignity. 2. Describe how ESG funds for each category requested in this application will be used, (be specific, add more pages if needed): Rehabilitation: Amount Requested: $ Operations: Amount Requested: $ I I ~ I;,: t Essential Services: Amount Requested: $6000.00 The funds in essential services will be used in three different categories. Dental we see people needing a tooth pulled every week. Currently we have no dental program in Salina, and the dentist want the money up front if you do not have insurance. The grant will be to help with e-x-ray initial visit and extraction ofthe tooth or teeth. Our goal is to help people continuing to work. With the loss of work comes less pay and that leads to homelessness. Transportation this will allow our clients a ride to and fÌom receiving our services. Salina is too small for a transportation system yet too big to walk to most places. We will work we a transportation service already set up and have them do the transportation and then we will pay them for the rides. We have used this method in the past and it works. Many clients do not come because they have no ride. Staff salaries: Because staff works on the fÌont live this grant will be used to help pay for staff. We recently started using a data base program that is HUD approved as far as getting number of people served and the % of ethnicity. It will not increase the staffs salary it will allow us to continue to see clients and help in a small way. Note: To unlock this document in MS Word, Click on the 'Tools" drop-down menu & select "Unprotect Document" j j j I i ì 1 ì I , Emefp}~JlCY Shelter Grant Application 5 Homeless Prevention: Amount Requested: $6000.00 Salina Emergency Aid! Foodbank are a leader in prevention ofhomelessness. We currently have 81 persons that we handle their money every month because of their mental illness. Salina has seen a lot of job loss in the past year. Everyday we see people who have lost jobs because of being laid off or hurt on the job or illness. Rent in Salina continues to go up and with the price of gas to heat people's homes we are seeing people have to make a decision. Do I pay fdr heat or a place to live? We recently saW a gas (heating) bill for $348.00 for one month. The money will go to help with rent evictions, and to help pay up to one month electric/heating bill or rent payment. More and more people are working, however they are working part time jobs, jobs paying low wages, 3. Kansas Housing Resources Corporation is permitted to use five percent of the state's 2002 ESG award for administrative purposes. The state subgrants two-and-a-half percent ofthe award to local governments who receive ESG grants for costs associated with accounting for the use of grant funds, preparing program-related reports, obtaining program audits, and similar costs related to administering the grant after the award. Provide a description ofthe expected use for this request, (to be completed by local unit of government). j , j t I I I ~ I Note: To unlock this document in MS Word, Click on the "Tools" drop-down menu & select "Unprotect Document" Erncrgcnçy Shelter Grant Application 3 SECTION III: Matching Funds Note: Matching funds must be provided after the date of the grant award to the grantee. Funds used to match a previous ESG grant may not be used to match a subsequent grant award. ¡c.' ~ i~; ~ j j , j I i I I Î - - I I I I Please describe in detail matching funds to be used for this grant. A. Cash Funds Describe the source of the cash funds. Cash funds used to match the grant will come from donors, private, churches, and business. B. Non-Cash Resources Describe the source and value of any non-cash resources, including materials, salaries paid by local agency, volunteer labor ($5.00 per hour allowed; Volunteer providing professional services, such as medical or legal services are valued at the reasonable and customary rate in the community), the appraised value of any donated building, or other match. We have a volunteer of about 50 people. We will be using their labor and the salaries that are paid to the staff. c. Other State/Federal Agency Grant Funds Describe the source of the funds and precisely how the funds are to be used. A letter of commitment from the relevant state/federal agency must be attached to the application if other state/federal funds are to be used to meet matching fund requirements. D. Waiver Section 832 of the Cranston-Gonzalez National Affordable Housing Act makes substantial changes to the ESG regulations. One change is the elimination of the first $100,000 of the Kansas ESG match requirements. Kansas Housing Resources Corporation intends to pass this benefit to units of local government in behalf of the emergency shelter/service providers who demonstrate inability or hardship in meeting the match requirement. Applicants wishing to be considered for a waiver of the match requirement must furnish an explanation of need. Indicate the amount of the match requested to be waived and the reason why a waiver is needed (attach waiver request to the back of this application). Note: To unlock this document in MS Word, Click on the "Tools" drop-down menu & select "Unprotect Document" ì I I~ I J I I I I I I I I I I I I J I Emergem;y Shelter Grant Application 4 SECTION IV: ACTIVITY DESCRIPTION A. Activities 1. Briefly describe the purpose and capacity of the agency providing services to the homeless. Salina Emergency Aid! Foodbank have been at the front line of preventing homelessness for thirty two years. We provide cash assistance, budgeting, cooking classes, referrals to Housing, Social Security, representative payee program, Foodbank. This is our third year for a garden which provides volunteer time for our clients and a purpose of self worth. The purpose ofthe agency is to help those in need, with dignity. 2. Describe how ESG funds for each category requested in this application will be used, (be specific, add more pages if needed): Rehabilitation: Amount Requested: $ Operatons: Amount Requested: $ Essential Services: Amount Requested: $6000.00 The funds in essential services will be used in three different categories. Dental we see people needing a tooth pulled every week. Currently we have no dental program in Salina, and the dentist want the money up front if you do not have insurance. The grant will be to help with e-x-ray initial visit and extraction of the tooth or teeth. Our goal is to help people continuing to work. With the loss of work comes less pay and that leads to homelessness. Transportation this will allow our clients a ride to and from receiving our services. Salina is too small for a transportation system yet too big to walk to most places. We will work we a transportation service already set up and have them do the transportation and then we will pay them for the rides. We have used this method in the past and it works. Many cJients do not come because they have no ride. Staff salaries: Because staff works on the front live this grant will be used to help pay for staff. We recently started usiing a data base program that is HUD approved as far as getting number of people served and the % of ethnicity. It will not increase the staffs salary it will allow us to continue to see clients and help in a small way. Note: To unlock this document in MS Word, Click on the "Tools" drop-down menu & select "Unprotect Document" Emergency Shelter Grant Application 5 Homeless Prevention: Amount Requested: $6000.00 Salina Emergency Aid! Foodbank are a leader in prevention ofhomelessness. We currently have 81 persons that we handle their money every month because of their mental illness. Salina has seen a lot of job loss in the past year. Everyday we see people who have lost jobs because of being laid off or hurt on the job or illness. Rent in Salina continues to go up and with the price of gas to heat people's homes we are seeing people have to make a decision. Do I pay fori heat or a place to live? We recently saw a gas (heating) bill for $348.00 for one month. The money will go to help with rent evictions, and to help pay up to one month electric/heating bill or rent payment. More and more people are working, however they are working part time jobs, jobs paying low wages, I t 3. Kansas Housing Resources Corporation is permitted to use five percent of the state's 2002 ESG award for administrative purposes. The state subgrants two-and-a-half percent ofthe award to local governments who receive ESG grants for costs associated with accounting for the use of grant funds, preparing program-related reports, obtaining program audits, and similar costs related to administerlng the grant after the award. Provide a description of the expected use for this request, (to be completed by local unit of government). t t , I I I I I I I Note: To unlock this document in MS Word, Click on the "Tools" drop-down menu & select "Unprotect Document" Emergency Shelter Grant Application 6 B. Assistance Specifically describe how the following assistance, if applicable, will be provided to persons served by your agency: t t I I I I I I I 1. Permanent Housing Referral Services Salina Emergency Aid/ Foodbank refers clients to the Salina Housing Authority, We also contact landlords to see if they have affordable rentals available. We encourage each person to sign up for housing and to keep checking back until they get on. 2. Overnight Shelter Overnight shelter is referred to Ashby House or the Rescue Mission. If no shelter is found we put people up for one night in a motel 3. Medical Services Salina Cares Clinic takes care of the indigent population. During an interview when we hear that a person does not have medical insurance we refer them to Salina Cares. 4. Children's Services We provide help with food and rent evictions, utility disconnects. 5. Mental Health and/or Drug Abuse and/or Counseling Services We work closely with Mental Health. Of the 81 clients we have in our payee program the majority have a connection with the Mental Health Center. Our job is to help create as normal a life style as possible and keep them from becoming homeless. We can say with certainly that because of us 81 individuals and family members are not homeless each night in Salina. I Note: To unlock this document in MS Word, Click on the "Tools" drop-down menu & select "Unprotect Document" Emergency Shelter Grant Application 7 6. Employment Services We provide a paper in our waiting area with local jobs. We also tell people about the library and the use of the internet which lists local jobs. 7. Transportation Salina Emergency Aid! Foodbank works with the agencies that already has transportation in place. That way we are not duplicating services. 8. Other Available Federal, State, and Private Assistance 9. Other We write grants to help with assistance for prevention ofhomelessness. The cost of gas this winter and the higher rents are forcing people out in the street, because they can not afford both. C. Confidentiality Section 832 of the Cranston-Gonzalez National Affordable Housing Act changes to the ESG Program require grantees to develop procedures to ensure confidentiality of victims of family violence. Indicate how this requirement will be met to protect victims of family violence in your Shelter or service provider organization. Note: If this appUcation includes funding to' a domestic violence shelter, the shelter must provide their confidentiality policy in order to be considered for funding. Note: To unlock this document in MS Word, Click on the "Tools" drop-down menu & select "Unprotect Document" KANSAS EMERGENCY SHELTER GRANT SECTION II: PROVIDER INFORMA nON The Salvation Army :- " - I I , , , , I I Project Funds Requested Shelter Rehabilitation Operations Essential Services Homeless Prevention Total Request Matching Funds Cash Non-cash (lease & prop. Value) Staff Salaries Volunteer Labor * Total Match *Time and services estimated at $5 per hour $ 0 $ 0 $ 0 $8,000 $8,000 $8,000 $ 0 $ 0 $ 0 $8,000 j ì I j j I I I J I I I , I I , I Shelter Grant Application 2 SECTION II: PROVIDER INFORMATION Section II asks for information on each of the homeless service providers. Section II needs to be completed on each sub-grantee in order to receive funding. If more space is needed, please make copies of page 2 and 3 and attach them to the completed application. A. Provider Information Emergency Shelter or Service Provider The Salvation Army 440-545-998 Contact PerSon Roxanne Matous Telephone (785) 823-2251 State KS Zip 67401 Fax 785-823- 7766 Address 1137 N. Santa Fe City Salina Federal I.D. Number E-mail Address Counties served by shelter Saline SÜÙe Senate Districts of all counties served State House Districts of all counties served 24 67,69, 71 Note: To unlock this document in MS Word, Click on the "Tools" drop-down menu & select "Un protect Document" I I I- I I j iJ i ï I II II I II I I 8 , I ;,'mui;ency Shelter Grant Application 3 SECTION III: Matching Funds Note: Matching funds must be provided after the date of the grant award to the grantee. Funds used to match a previous ESG grant may not be used to match a subsequent grant award. Please describe in detail matching funds to be used for this grant. A. Cash Funds Describe the source of the cash funds. Our matching funds of$8000.00 will come from current Salvation Army fund raising efforts. B. Non-Cash Resources Describe the source and vqlue of any non-cash resources, including materials, salaries paid by local agency, volu~teer labor ($5.00 per hour allowed; Volunteer providing professional services, such as medical or legal services are valued at the reasonable and customary rate in the community), the appraised value of any donated building, or other match. N/A C. Other StatelFederal A~ency Grant Funds Describe the source of the funds and precisely how the funds are to be used. A letter of commitment from the relevant state/federal agency must be attached to the application if other state/federal funds are to be used to meet matching fund requirements. D. Waiver Section 832 of the Cranston-Gonzalez National Affordable Housing Act makes substantial changes to the ESG regulations. One change is the elimination of the first $100,000 of the Kansas ESG match requirements. Kansas Housing Resources Corporation intends to pass this benefit to units of local government in behalf of the emergency shelter/service providers who demonstrate inability or hardship in meeting the match requirement. Applicants wishing to be considered for a waiver of the match requirement must furnish an explanation of need. Indicate the amount of the match requested to be waived and the reason why a waiver is needed (attach waiver request to the back of this application). Note: To unlock this document in MS Word, Click on the "Tools" drop-down menu & select "Un protect Document" Emergmcy Shelter Grant Application 4 SECTION IV: ACTIVITY DESCRIPTION A. Activities 1. Briefly describe the purpose and capacity of the agency providing services to the homeless. The Salvation Army, an international movement, is an evangelical part of the universal Christian church. It's message is based on the Bible. It's mission is to preach the gospel of Jesus Christ and to meet human needs 'in His name without discrimination. The Salvation Army offers year round services to homeless families and individuals by assisting with utility disconnects, prescriptions, food, clothing, eye exams, household furnishings and other emergency needs. 2. Describe how ESG funds for each category requested in this application will be used, (be specific, add more pages if needed): Rehabilitation: Amount Requested: $ Operations: Amount Requested: $ Essential Services: Amount Requested: $ Homeless Prevention: Amount Requested: $8000.00 The Salvation Army will request $8000.00 to assist with utility assistance. 3. Kansas Housing Resources Corporation is permitted to use five percent ofthe state's 2002 ESG awa'rd for administrative purposes. The state subgrants two.-and-a-half percent of the award to local governments who receive ESG grants for costs associated with accounting for the use of grant funds, preparing program-related reports, obtaining program audits, and similar costs related to administering the grant after the award. Provide a description ofthe expected use for this request, (to be completed by local unit of government). N/A ~ I Note: To unlock this document in MS Word, Click on the "Tools" drop-down menu & select "Un protect Document" Shelter Gran1 Application 6 ._- _.' -.. - ... B. Assistance Specifically describe how the following assistance, if applicable, will be provided to persons served by your agency: 1. Permanent Housing Referral Services In addition to providing direct assistance, The Salvation Army will make referrals to other agencies as needed. I 2. Overnight Shelter The Salvation Army, in Salina, does not provide overnight shelter and refers to proper agencIes. . " Ii ;:: Mcd¡ca~ Services The Salvation .Army will assist with prescriptions and eye exams, we will refer to other agencies if needed. ! 4. Children's Services N/A 5. Mental Health and/or Drug Abuse and/or Counseling Services N/A Note: To unlock this document in MS Word, Click on the "Tools" drop-down menu & select "Un protect Document" Emergency Shelter Grant Application 7 6. Employment Services The Salvation Army makes referrals as needed. ! ¡ ¡ ] . , 7. Transportation The Salvation Army, in Salina, does not assist with transportation and will refer those with this need to the proper agencies. I': } 8. Other Available Federal, State, and Private Assistance N/A -. 9. Other The Salvation Army will provide assistance for homeless prevention for those providing necessary documentation including disconnect notices. c. Confidentiality Section 832 of the Cranston-Gonzalez National Affordable Housing Act changes to the ESG Program require grantees to develop procedures to ensure confidentiality of victims of family violence. Indicate how this requirement will be met to protect victims offamily violence in your Shelter or service provider organization. Note: If this application includes funding to a domestic violence shelter, the shelter must provide their confidentiality policy in order to be considered for funding. The Salvation Army client records are confidentiaL They are kept in lockt.~d files and / or password-protected computer programs, accessible only by designated persons. Client information is not shared with other agencies unless an Authorization Release of Information is signed by the client, or there is a valid court order. Note: To unlock this document in MS Word, Click on the "Tools" drop-down menu & select "Un protect Document" !i Ii Ii If Ii Ii ,I Iii SECTION V: HOMELESS DEFINITION AND COMMUNITY RESOURCES J SECTION VI : CONTINUUM OF CARE SECTION VII : PERFORMANCE MEASURES I j I I j I I , , f f f Emergency Shelter Grant Application 7 SECTION V: HOMELESS DEFINITION AND COMMUNITY RESOURCES Homeless means as the term is defined in 42 U.S.c. 11302. "(a) IN GENERAL-For purposes of this Act, the term "homeless" or "homeless individual or homeless person" includes--{l) an individual who lacks a fixed, regular, and adequate nighttime residence; and (2) an individual who has a primary nighttime residence that is: A) supervised publicly or privately operated shelter designed to provide temporary living accommodations (including welfare hotels, congregate shelters, and transitional housing for the mentally ill); B) ~ institution that provides a temporary residence for individuals intended to be institutionalized; or C) a public or private place not designed for, or ordinarily used as, a regular sleeping accommodations 1ür human beings. EXCLUSION.- For purposes of this Act, the term "homeless" or "homeless individuals" does not include any individual imprisoned or otherwise detained under an Act of the Congress or a State law." (42 U.S.C. 11302) There is a statutory requirement that ESG funds must benefit either homeless persons, or persons at imminent risk of becoming homeless in the case of homeless prevention activities. A. Estimate an unduplicated count of homeless persons in your city/county, including the homeless population who do not access services. Explain how you estimated the homeless population. Has your community implemented, or is planning on implementing, an HMIS (Homeless Management Information System)? If so, what software is your community utilizing? (1) Homeless population living in a shelter: (point in time shelter count) (2) Homeless population who do not access services: 3 (count determined by physical count at random times during the year) (3) HMIS: no funding for a community-wide system at this time, but Catholic Charities is using MAACLink with good success. HMIS has been identified as crucial for effective collaboration among local Continuum of Care agencies. 95 f B. List all existing emergency shelter(s), domestic violence shelter(s), transitional housing, and social services that assist the homeless in your city/county area. If the agency listed below provides shelter include capacity and characteristics of the population served; if the agency provides only services provide characteristics of population served. (If the agency listed below only serves a sub population of the homeless, i.e. mentally ill, veteran, victims of domestic abuse please note this in population served). Shelter Capacity Population Served Families/ unaccompanied women Families/ unaccompanied women 1. Ashby House Homeless Shelter 14 , f , I f 2. Bridge House Transitional Shelter 3. Domestic Violence Association of Central Kansas (DV.A.C.K.) 48 18 Women/children Unaccompanied men 4. Salina Rescue Mission TOTAL 62 142 (Add pages, if necessary) Note: To unlock this document in MS Word, Click on the "Tools" drop-down menu & select "Unprotect Document" Emergency Shelter Grant Application 9 SECTION VII: PERFORMANCE MEASURES The local government and recipient nonprofit organizations must keep unduplicated counts of the number of homeless individuals and families assisted and report them quarterly to the state. For FFY 2003, this will continue to be done by Performance Reports that need to be submitted to the state on a quarterly bases. The Performance Reports are available on our web site at www.kshousingcoro.org (Web site instructions: Click on "Programs", Click on Emergency I Shelter Grant Program", Click on "ESG Program Forms", Click on "ESG 2004 Application". Further, the local organizations involved in the proposed project should develop standardized performance measures for significant outcomes, (keeping in mind that the stated goal of ESG funded programs is too increase permanent housing, stability and self-sufficiency in the homeless population). Submitting this application implies understanding and agreement of the required data collection for this grant. Note: This year the Annual Report will be required under the technical submission stage of funding. The data used to submit this document will be projections based on previous year performance reports. This change is so that the state can meet federal IDIS reporting These requirements were emphasized in a January 29, 2004, meeting with subgrantee- applicants. Note: To unlock this document in MS Word, Click on the "Tools" drop-down menu & select "Unprotect Document" t I I CERTIFICATION OF LOCAL APPROVAL FOR NONPROFIT ORGANIZATIONS LOCAL UNIT OF GOVERNMENT EMERGENCY SHELTER GRANT PROGRAM FY 2004 CERTIFICATIONS Emergency Shelter Grant Application 10 SECTION VIII: STATEMENT OF ASSURANCES AND CERTIFICATIONS (Following I pages) Note: To unlock this document in MS Word, Click on the "Tools" drop-down menu & select "Unprotect Document" I I I I I I I I I I I I I J I I I 1 I Emergency Shelter Grant Application II KANSAS HOUSING RESOURCES CORPORATION CERTIFICATION OF LOCAL APPROVAL FOR NONPROFIT ORGANIZATIONS I, Alan E. Jilka, Mayor , duly authorized to act on behalf of the City of Salina, Kansas hereby approve the following project(s) proposed by the City of Salina, Kansas. By: lJt; M) L. c¡}Jk Alan E. Jilka "- Signature 4-12~2LO4- Date Mayor Note: To unlock this document in MS Word, Click on the "Tools" drop-down menu & select "Un protect Document" ": .".:.. ( ~. I ¡ ';mcrgency Shelter Grant Application 12 KANSAS HOUSING RESOURCES CORPORATION I J LOCAL UNIT OF GOVERNMENT EMERGENCY SHELTER GRANT PROGRAM FY2004 CERTIFICATIONS I, Alan E. Jilka, Mayor , authorized to act on I behalf of The City of Salina, Kansas , certify that the City of Salina will ensure compliance by the Neighborhood Services Division and nonprofit organizations to which it distributes funds under the Emergency Shelter Grant Program with: J (4) (5) (6) (7) (8) (9) (I) The requirements of24 CFR 576.2 I (a)(4), which provide that the funding of homeless prevention activities for families that have received eviction notices or notices oftennination of utility services meet the following standards: (A) that the inability of the family to make the required payments must be the result of a sudden reduction in income; (B) that the assistance must be necessary to avoid eviction of the family or tennination of the services to the family; (C) that there must be a reasonable prospect that the family will be able to resume payments within a reasonable period of time; and (D) that the assistance must not supplant funding for pre-existing homeless prevention activities trom any other source. (2) The requirements of24 CFR 576,25(b)(2) concerning the submission by nonprofit organizations applying for funding ofa certification of approval of the proposed project(s) from the unit of local government in which the proposed project is located. (3) The requirements of24 CFR 576.53 concerning the continued use of buildings for which Emergency Shelter Grant funds are used for rehabilitation or conversion of buildings for use as emergency shelters for the homeless; or when funds are used solely for operating costs or essential services, concerning the population to be served. The building standards requirement of24 CFR 576.55. The requirements of24 CFR 576.56, concerning assistance to the homeless. The requirements of24 CFR 576.57, other appropriate provisions of24 CFR Part 576, and other applicable Federal law concerning nondiscrimination and equal opportunity. The requirements of24 CFR 576.59(b) concerning the Unifonn Relocation Assistance and Real Property Acquisition Policies Act of 1970. The requirements of24 CFR 576,59 concerning minimizing the displacement of persons as a result of a project assisted with these funds. The requirements of24 CFR 576.65(a) and 576.65(b) that grantees develop and implement procedures to ensure the confidentiality of records pertaining to any individual provided family violence prevention or treatment services under any project assisted under the Emergency Shelter Grant Program and that the address or location of any family violence shelter project assisted with ESG funds will not be made public, except with written authorization of the person or persons responsible for the operation of the shelter. Note: To unlock this document in MS Word, Click on the "Tools" drop-down menu & select "Unprotect Document" I.'~ I' I I I I I I I Emergency Shelter Grant Application 13 (10) The requirement that recipients involve, to the maximum extent practicable, homeless individuals and families in constructing, renovating, maintaining, and operating facilities assisted under the ESG program, and in providing services for occupants of these facilities as provided by 24 CFR 576.56(b)(2). (11 ) The new requirement of the McKinney Act (42 USC 11362) to develop and implement, to the maximum extent practicable and where appropriate, policies an<f protocols for the discharge of persons from publicly funded institutions or systems of care (such as health care facilities, foster care or other youth facilities, or correction programs and institutions) in order to prevent such discharge from immediately resulting in homelessness for such persons. I further understand that State and local governments are primarily responsible for the care of these individuals, and that ESG funds are not to be used to assist such persons in place of State and local resources. I certify that the local unit of government will comply with the requirements of24 CFR Part 24 concerning the Drug-Free Workplace Act of 1988. I I I I I certify that the local unit of government will comply with the provisions of, and regulations and procedures applicable under 24 CFR 576.57(e) with respect to the environmental review responsibilities under the National Environmental Policy Act of 1969 and related authorities as specified in 24 CFR Part 58 as ap¡!icablc to activities of nonprofit organizations funded directly by the State. The local unit of government also agrees to assume the Department's responsibility and authority as set forth in 24 CFR 576.57(e) for acting on the environmental certifications and requests for the release of funds submitted to the State by local government recipients. I certify that the local unit of government will ensure the provision of the matching funds required by 24 CFR 576.51 and 42 USC 113 75, including a description ofthe sources and amounts of such supplemental funds, as provided by the State, units of general local government or nonprofit organ izations. Name and Title: I I I I I I O~) (~.!~~ SIgn re Lt-J2 -lDY1 Date Alan E. Jilka, Mayor Note: To unlock this document in MS Word, Click on the "Tools" drop-down menu & select "Unprotect Document"