New Riverside Local Board Meeting Agenda 9:00 a.m. - 11:00 a.m. …dpss.co.riverside.ca.us/files/pdf/homeless/efsp/efsp-lb... · 2019. 11. 12. · • Rowena Concepcion announced

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Chairperson: Belinda Marquez, Catholic Charities Vice Chairperson: Michelle Davis, City of Riverside

1. Call to Order: Welcome & Introductions – Roll Call

2. Approval of Minutes

a. September 4, 2019 Special Meeting

Recommended Motion:

Approve the minutes of previous meeting

3. Public Comment

Members of the public are encouraged to address the Local Board. Anyone who wishes to speak must submit a request form to the DPSS staff by 8:55 a.m. Each speaker should begin by identifying themselves for the record and is allowed three minutes.

4. Old Business

a. Update on Supplemental Appropriations for Humanitarian Assistance Application b. Phase 35 c. Phase 36

i. Mid-year reports ii. Request for 2nd Payments

5. New Business

a. Phase 37 Request for Applications (RFA)

i. Review and Approve RFA

Recommended Motion:

Approve the EFSP Phase 37 RFA for release on November 13, 2019

ii. Review and Approve Attachment A – Project Application

Recommended Motion:

Approve the EFSP Phase 37 Attachment A – Project Application for release on November 13, 2019

a. 2020 Meeting Schedule

6. Next Meeting:

• Wednesday, February 5, 2020: 9 a.m. - 11 a.m.

DPSS Staff Development Office: 22690 Cactus Avenue, Moreno Valley, CA 92553

o Call for Agenda items

7. Announcements

8. Adjournment

Emergency Food and Shelter Program (EFSP) Riverside Local Board Meeting Agenda

Wednesday, November 13, 2019

9:00 a.m. - 11:00 a.m.

DPSS Staff Development Office: Room 223

22690 Cactus Avenue

Moreno Valley, CA 92553

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EFSP Local Board Meeting - Teleconference November 13, 2019

The following EFSP Local Board members have confirmed they will call in to the meeting from the locations indicated:

Board Member: Call-in Location:

Beaudrea Callahan Executive Assistant Riverside County Veterans’ Services (951) 955-3041

Riverside County Veterans’ Services 4360 Orange Street, Riverside, CA 92501

Page 1 of 3 County of Riverside EFSP Local Board Meeting Minutes – 9.4.2019 Draft for approval 11.13.2019

Minutes for Emergency Food & Shelter Program Riverside Local Board Meeting Wednesday, September 4, 2019 - 9:00 a.m. to 11:00 a.m. DPSS Staff Development Office 22690 Cactus Avenue, Moreno Valley, CA 92553

TOPIC PRESENTER ACTION/ OUTCOME

1. Call to Order Belinda Marquez, Chairperson

• The meeting came to order at 9:02 a.m.

• Self-introductions were made. Quorum met.

2. Approval of Minutes Belinda Marquez • Beaudrea Callahan requested a change to the minutes to reflect her attendance on June 25, 2019. Motion was made by Michelle Davis to approve the minutes from June 25, 2019 with one correction to add Beaudrea Callahan as an attendee. Cordell Thomas seconded the motion. Motion carried with no abstentions.

3. Public Comment Belinda Marquez • None

4. Old Business a. HMIS Project Set-Up

Rowena Concepcion, DPSS

• EFSP has been completely set up in EFSP. If any EFSP LRO’s need training for their staff, please contact DPSS to set up training.

5. New Business a. Election of New

Board Members

Belinda Marquez

• Rowena Concepcion explained that the EFSP National Board requires that every local board have a Council of Churches representative. Donna Dahl, United Church of Christ, has agreed to serve on the EFSP Local Board.

• Alicia Diaz, Corona-Norco United Way would like to serve on the EFSP Local Board. Motion was made by Tim Brown to approve Alicia Diaz, Corona-Norco United Way as a Riverside EFSP Local Board member. Cordell Thomas seconded the motion. Motion carried with no abstentions. Motion was made by Lorena Marroquin to approve Donna Dahl as the Council of Churches representative for the EFSP Local Board. Tim Brown seconded the motion. Motion carried with no abstentions.

b. EFSP Supplemental Appropriations for Humanitarian Assistance Application

Rowena Concepcion & Lisa Renfro, DPSS i. Review and

discussion of applications submitted

• The Emergency Supplemental Appropriations funds shall be used to reimburse eligible nonprofit and government agencies that have expended funds on or after January 1, 2019 through June 30, 2019 to assist local communities that have been helping a significant influx of southern border migrants released from Department of Homeland Security (DHS) custody. The EFSP National Board has charged Local Boards with reviewing and ranking applicant agencies in Riverside County.

• A total of three applications were submitted so far: The Galilee Center, FIND Food Bank, and County of Riverside Economic Development Agency (EDA). The EDA application was submitted directly to the State Set Aside Committee, so the application was not available to provide for review at the meeting. DPSS staff will contact EDA to attempt to rectify the issue and transfer the application to the Local Board.

• The board discussed the lack of applications from other agencies that were well-known to have assisted Asylum Seekers (migrants) during the time period. Some agencies may have been awarded state funding that reimbursed assistance for Asylum Seekers. Belinda Marquez stated that Catholic Charities will not apply for the EFSP Supplemental Funding because they were awarded state funds. The board requested that DPSS staff confirm that applicant agencies did not already receive state funds for the same costs. The board requested DPSS staff to contact agencies that could potentially apply and be awarded the EFSP Supplemental funding.


ii. Ranking of

applications

Motion was made by Tim Brown to approve the application from The Galilee Center for the amount of $106,337.71, pending they did not already receive funding from another source. Michelle Davis seconded the motion. Motion carried with one abstention from Belinda Marquez.

Motion was made by Tim Brown to approve the application from FIND Food Bank for the amount of $6,260.17, pending they did not already receive funding from another source. Gina Marasco seconded the motion. Motion carried with two abstentions from Belinda Marquez and Lorena Marroquin.

Motion was made by Michelle Davis to approve the application from Riverside County EDA for the amount of $3,526.65. Tim Brown seconded the motion. Motion carried with two abstentions from Belinda Marquez and Gina Marasco.

• The board made a commitment to remain available to vote electronically on any additional applications submitted prior to noon on September 6th. DPSS staff will email any additional applications to the board and request their approval through an e-vote.

Motion was made by Gina Marasco for DPSS staff to accept additional EFSP Supplemental funding applications until noon on Friday, September 6; additional applications will be forwarded to the local board for review and approval prior to submission by DPSS staff. Tim Brown seconded the motion. Motion carried with no abstentions.

• The board agreed to rank applications according to the current local board priority for housing first and food second.

Motion was made by Tim Brown to rank EFSP Supplemental applications based upon the Riverside EFSP Local Board priority to serve housing first and food second and then rank by number of migrants served. Gina Marasco seconded the motion. Motion carried with no abstentions.

6. Next Meeting Belinda Marquez Wednesday, November 13, 2019 9:00 a.m. to 11:00 a.m.

DPSS Staff Development Office 22690 Cactus Avenue, Moreno Valley, CA 92553

7. Announcements • Cordell Thomas announced United Way of the Inland Valley’s new partnership with AmeriCorps VISTA.

• Rowena Concepcion announced that Patricia McMicheaux resigned her position and Lisa Renfro and Tiffany Nelson will be coordinating EFSP.

• Tim Brown provided the following radio station contact information for any agencies interested in advertising upcoming events, grant opportunities, etc.: [email protected] and [email protected].

• Belinda Marquez provided a brochure for The Holy Family Fund, a service now being offered by Catholic Charities San Bernardino/Riverside to provide a safety net for families that could potentially be taken into custody by Immigration and Customs Enforcement. Belinda added that Catholic Charities is now providing services out of the Moreno Valley Wellness Center.

mailto:[email protected]



ADJOURNMENT PRESENTER ACTION/ OUTCOME

8. Adjournment The meeting was adjourned at 10:16 a.m.

Riverside EFSP Local Board Meeting – September 4, 2019: Attendance Report

LB MEMBER AFFILIATION E-MAIL PRESENT

Gerald Winkel American Red Cross [email protected]

Daniel Salgado Cahuilla Band of Indians [email protected]

Belinda Marquez Catholic Charities [email protected] X

Jessica Meza (alternate) Catholic Charities [email protected]

Michelle Davis City of Riverside [email protected] X

Vince Wrzalinski Community Action Partnership [email protected]

Alicia Diaz Corona Norco United Way [email protected] X

Debbie Espinosa FIND Food Bank [email protected]

Lorena Marroquin (alternate) FIND Food Bank [email protected] X

Tim Brown Homeless Representative [email protected] X

Gina Marasco (alternate) Riverside County Housing Authority [email protected] X

Tanya Torno Riverside County Housing Authority [email protected]

Christopher Salazar (alternate) Riverside County Mental Health [email protected] X

Marcus Cannon Riverside County Mental Health [email protected]

Darryl Robinson (alternate) Salvation Army-Riverside [email protected]

Cordell Thomas United Way of the Inland Valleys [email protected] X

Linda Rogers (alternate) Valley Restart Shelter [email protected]

Susan Larkin Valley Restart Shelter [email protected] X

Grant Gautsche Veteran Services [email protected]

Beaudrea Callahan (alternate) Veteran Services [email protected] X

Donna Dahl United Church of Christ [email protected]

Guest Name Guests Affiliation/LRO E-MAIL PRESENT

Monique Guerra United Way of the Inland Valleys (AmeriCorps VISTA)

X

Local Board Contact Agency Staff PRESENT

Rowena Concepcion CoC-CORE Administrative Services Manager II X

Lisa Renfro CoC-CORE Administrative Services Officer X

Tiffany Nelson CoC-CORE Community Program Specialist II X



















Riverside County Department of Public Social Services

EFSP Request for Applications – Phase 37 (01/01/2020-12/31/2020)

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REQUEST FOR APPLICATIONS

EMERGENCY FOOD AND SHELTER PROGRAM

Phase 37 (01/01/2020 – 12/31/2020)

Completed applications must be submitted to:

County of Riverside - Department of Public Social Services Adult Services, CoC-CORE Region

1111 Spruce Street, Riverside, CA 92507

NO LATER THAN Thursday, December 19, 2019 by 4:00 p.m.



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EMERGENCY FOOD AND SHELTER PROGRAM 1.0 GENERAL INFORMATION The Riverside County Department of Public Social Services (DPSS) CoC CORE Region is requesting applications on behalf of the Emergency Food and Shelter Program (EFSP) Local Board for the County of Riverside. The purpose of this Request for Applications (RFA) is to identify nonprofit organizations and local government agencies, known as Local Recipient Organizations (LROs), to provide services for EFSP Phase 37. The RFA is being issued with the anticipation that the EFSP Local Board will continue to administer the EFSP funding. Applicants need to understand that this RFA is being released with the assumption that EFSP funding will occur. Confirmation of funding is contingent upon congressional approval of the federal budget for FEMA. APPLICATIONS MUST BE SUBMITTED IN ACCORDANCE WITH THE INSTRUCTIONS LISTED IN THIS RFA. Late or incomplete applications will be considered ineligible for scoring. Only complete applications will be scored. The EFSP Local Board and its designated representatives reserve the right to amend or modify the requirements of this RFA as necessary and to negotiate with applicants regarding services and costs, as well as to cancel, in part or in its entirety, this RFA if it is in their best interest to do so. This RFA does not commit the EFSP Local Board to award a contract or to pay costs incurred in response to this request. Agencies should be aware that EFSP funding from one year to the next is neither automatic, nor guaranteed. Each year the EFSP Local Board Review Committee evaluates and scores all eligible applications submitted and makes allocation decisions based on the most effective and efficient delivery of emergency services across the county. Applicants must not regard EFSP funding as part of their annual operational funding base, but as supplemental funding to meet specific emergency needs. This RFA references three types of applicants:

1. New Applicants: Qualified organizations that have never been funded or were not funded in the previous phase/year.

2. Returning Applicants: Qualified organizations that have received EFSP funding in previous phase/year.

3. Emergency Cold Weather Shelter (ECWS) Applicants: Qualified organization

that has the capacity to provide mass shelter during a specific time period. The minimum grant amount that can be requested by any organization is not to exceed $5,000 per supervisorial district. The maximum grant amount that can be requested by any organization that has never been funded or was not funded in the previous year



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(Phase 36) is not to exceed $20,000 per supervisorial district. All other organizations may apply for a maximum amount of $50,000 per supervisorial district.

New or Returning Applicant Minimum request per supervisorial

district

Maximum request per supervisorial

district

New Applicants $5,000 $20,000

Phase 36 Returning Applicants $5,000 $50,000

Under no circumstances is the EFSP Local Board bound to award any organization the amount requested. The amount of a grant to be awarded to an organization shall be determined by the Selection Process and Scoring Criteria described in this document. All questions regarding this document should be directed to the County of Riverside Department of Public Social Services CoC-CORE Region at [email protected]. 2.0 SPENDING PERIOD The spending period for Phase 37 funds will begin on January 1, 2020 and end on December 31, 2020. 3.0 ELIGIBLE ACTIVITIES The EFSP National Board regulations and the EFSP Local Board policy identify the activities listed below as eligible expenses. Each category is intended to meet specific emergency needs for food and shelter. EFSP funding can be requested to support one or more of the following activities: 3.1 Emergency Shelter – (Hotel or Motel Vouchers)

Applications should address helping people who are without resources and experiencing a housing crisis with no appropriate on-site shelter available. Costs must be reasonable. A 30-day maximum stay per person is allowed one time in a twelve-month period. The agreement(s) with the hotel or motel must be included with the application. Failure to include a copy of the hotel or motel agreement(s) will result in the application being declared “incomplete” and not able to be scored.

3.2 Emergency Cold Weather Shelter (ECWS)

Applications should address low-cost and minimum level humanistic response to life-threatening weather conditions. The EFSP Local Board will oversee and advise on the operations of this program. The program shall provide shelter to large numbers of homeless individuals and families, and to the maximum extent possible include the involvement of community organizations, churches, and other programs to heighten efficiency and maximize services. The bed night per diem rate is $12.50. Shelter operations are December through April.

*DPSS will remain the LRO for ECWS. A separate contract will be issued by DPSS to the ECWS provider.




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3.3 Mass Shelter

Applications should address assisting people who are without resources and experiencing a housing crisis with no means of securing temporary shelter in a hotel or motel. Mass shelter is defined as five beds or more in one location. A 30-day maximum stay per person with EFSP funds, per twelve-month period is allowed. The bed night per diem rate is $12.50.

3.4 Emergency Rent/Mortgage Assistance

Applications should address assisting people with emergency rent or mortgage assistance. The rent/mortgage assistance is limited to one month’s rent or mortgage payment, not to exceed $1,200. The LRO should verify that there is evidence the person requesting assistance can resume rent payments to avoid eviction after assistance is received. A household can only receive assistance one time in a twelve-month period.

3.5 Emergency Food

Applications for food should address helping people who are without resources to secure food. Food can be provided through hot/cold meals, distribution of food boxes, bags or sack lunches, or vouchers/gift cards for use at restaurants or grocery stores. The per diem rate (per person) for hot/cold served meals is $2.00.

3.6 Administrative Costs Up to 2% of your total EFSP grant can be allocated toward administrative costs. This can include payroll and/or office supplies used to administer the EFSP program.

3.7 Homeless Management Information System (HMIS) Participation

LROs that receive funding for shelter services (Rent/Mortgage, Mass Shelter and Other Shelter) are required to participate in HMIS, a local information technology system used to collect client-level data and data on the provision of housing and services to homeless individuals and families and persons at risk of homelessness. HMIS participation is free of charge and LROs will be provided with training and technical support. LRO’s are responsible for ensuring that all required resources including computer, internet access and data entry person, necessary to participate in HMIS are available. LROs will sign the HMIS Participating Agency Agreement and adhere to the requirements identified in the HMIS Policies and Procedures.



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4.0 EFSP GUIDELINES 4.1 Collaborative, multi-organization/agency applications from a group of service

providers serving the same community or communities are eligible for consideration. These applications should clearly identify the organization/agency, which will serve as fiscal agent/lead.

4.2 Applicants should be prepared to assist any qualifying individual or family seeking assistance in their designated Supervisorial District in need of emergency food and/or shelter.

4.3 Funding is not intended to make up for budget shortfalls or to be considered a separate line item in an annual budget.

4.4 EFSP funds should supplement an existing project. The funds are not to start new projects or to stop a project from closing.

4.5 EFSP funds cannot be used to replace federal, state, or city grant contracts.

4.6 Agencies must be financially able to front all the funding since payment may not come until later into the project.

4.7 Funding is open to all organizations helping hungry and homeless people and is not intended to solely support Local Board member agencies or local government.

4.8 Funded service providers are required to comply with local ordinances.

4.9 Matching funds must be documented and included in the Project Application. 5.0 TIMELINE/IMPORTANT DATES

5.1 Release of Request for Application Wednesday, November 13, 2019

5.2 Deadline to submit questions (by email only to [email protected])

Monday, December 2, 2019 at 4:00 p.m.

5.3 Mandatory Technical Training

Department of Public Social Services Mt. Rubidoux Conference Room 1111 Spruce Street, Riverside CA, 92507 Regional Access Project Foundation Conference Room 103 41-550 Eclectic Street, Palm Desert CA 92260

Tuesday, December 3, 2019 2:00 p.m. - 4:00 p.m.

Thursday, December 5, 2019 9:00 a.m. - 11:00 a.m.

5.4 Deadline to answer questions and post online at:

http://dpss.co.riverside.ca.us/homeless-programs/emergency-food-and-shelter

Monday, December 9, 2019 at 4:00 p.m.

5.5 Deadline to Submit Application Thursday, December 19, 2019 at 4:00 p.m.






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6.0 APPLICATION STANDARDS 6.1 All proposals must be submitted in accordance with the standards and specifications

contained within this RFA and Attachment A - Project Application to be considered for funding.

6.2 DPSS shall not pay any costs incurred or associated in the preparation of this or any proposal or for participation in the procurement process.

6.3 Complete Project Application and Attachments must be typed uniformly on letter size (8 ½” x 11”) sheets of white paper, single-sided or double-sided, each section clearly titled, with index dividers labeled Attachment 1, Attachment 2, etc.

6.4 Submit one (1) original copy and one (1) PDF copy emailed to [email protected].

6.5 Narrative is limited to a maximum of ten (10) pages including the questions. Narratives exceeding ten (10) pages will not be reviewed or scored.

6.6 New agencies must submit all required documentation.

6.7 Agencies funded in Phase 36 should submit attachments listed for Returning Applicants.

6.8 Agencies may withdraw their proposals at any time prior to the due date and time by submitting notification of withdrawal signed by the organization’s authorized agent. Proposals cannot be changed or modified after the date and time designated for receipt.

7.0 SUBMISSION DEADLINE 7.1 Project applications must be received by the Department of Public Social Services:

CoC-CORE Region, 1111 Spruce Street, Riverside, CA 92507, no later than 4:00 p.m. on December 19, 2019 by hand delivery or FedEx onlyor express mail.

7.2 Late proposals will not be accepted. Postmarks will not be accepted in lieu of this requirement. Only complete applications will be scored.



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8.0 CRITERIA FOR EMERGENCY FOOD AND SHELTER PROGRAM (EFSP) FUNDING In order to be eligible for funding under the Emergency Food and Shelter Program (EFSP), applicants must meet the following criteria: 8.1 The organization must have a current non-profit 501(c)(3) status or be an agency of

the government.

8.2 The organization must have provided emergency shelter and/or service programs for at least one year.

8.3 The organization must have a Federal Employer Identification Number (FEIN) or be in the process of obtaining a FEIN.

8.4 The organization must have a Data Universal Number System (DUNS) number issued by Dun & Bradstreet (D&B) and required associated information to EFSP.

8.5 The organization must be prepared to have EFSP funding directly deposited to their bank account. Except for the first check to newly funded organizations, the National Board will make all payments by Electronic Funds Transfer (EFT) only.

8.6 Applicants must provide written documentation to show that at least 55% of the total EFSP program budget is from other funding sources in each category. Organizations applying for funding in multiple districts must demonstrate the financial and staffing capacity to service all the districts they are applying.

8.7 The organization is not debarred or suspended from receiving Federal funds and must provide a print out that the agency in not listed on the Excluded Parties List System at www.epls.gov

8.8 The organization may not use EFSP funds as a cost-match for other Federal funds or programs.

8.9 The organization will not charge a fee to clients for EFSP funded services.

8.10 The organization must have an accounting system or an approved fiscal agent.

8.11 The organization must have their records audited by an independent certified public accountant if receiving $100,000 or more in EFSP funds. LROs that received EFSP Phase 36 (01/1/19 to 12/31/19) grants of $100,000 or more must attach a copy of their most recent financial records, audited by an independent certified public accountant, to the application. LROs that received EFSP grants totaling $50,000 to $99,999 during EFSP Phase 36 must attach a copy of the organization’s annual accountant’s review to its application. LROs that received grants totaling less than

http://www.epls.gov/



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$25,000 for Phase 36 must provide the same complete fiscal information that they provide to their board of directors.

8.12 The organization must have not received an adverse or no opinion audit.

8.13 The organization must have a voluntary board if private, not-for-profit.

8.14 The organization will, to the extent practicable, involve homeless individuals and

families, through employment, volunteer programs, etc., in providing emergency food and shelter services.

8.15 The organization must practice religious non-discrimination. Agencies with a religious affiliation wishing to participate in the program must not refuse services to an applicant based on religion or require attendance at religious services as a condition of assistance, nor will such groups require engagement in any religious preaching in any program receiving EFSP funds.

8.16 The organization must practice client non-discrimination by providing assistance to needy individuals and families without discrimination (age, race, sex, religion, national origin, disability, economic status or sexual orientation). The organization must express sensitivity to the transition from temporary shelter to permanent homes, attention to the specialized needs of homeless individuals with mental and physical disabilities or illness and facilitate access for homeless individuals to other sources of services and benefits.

8.17 The organization will ensure its employees, volunteers or other individuals

associated with the program will not engage in any trafficking of persons during the period this award is in effect.

8.18 The organization will ensure its employees, volunteers or other individuals

associated with the program will not use EFSP funds to support access to classified national security information.

8.19 Organizations applying for funding in service sites in more than one district must

apply as a multi-region organization and submit one (1) application for all districts served.

8.20 The organization will comply with the Office of Management and 2 CFR 200 if

expending $750,000 or more in Federal funds.

8.21 An organization receiving more than $100,000 in EFSP funds will comply with lobbying prohibition certification and disclosure of lobbying activities, if applicable.

8.22 The organization will spend all funds and close-out the program by the Local

Board’s selected end-of-program date and return any unspent funds to the National Board ($5.00 or more; checks made payable to United Way Worldwide/Emergency



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Food and Shelter National Board Program, 701 North Fairfax Street, Suite 310, Alexandria, VA 22314).

8.23 The organization is strongly encouraged to collaborate with other organizations to

maximize services to clients.

8.24 An organization receiving EFSP funding must read and comply with the Emergency Food and Shelter Program Phase 35 Responsibilities and Requirements Manual and the Phase 36 Addendum and the Phase 36 Key Changes and Clarifications, specifically the eligible and ineligible costs section.

8.25 An organization receiving EFSP funding must review and comply with the

Emergency Food and Shelter Program webinar material provided by National. 9.0 SELECTION PROCESS 9.1 Funding Priority - The EFSP Local Board has determined that funding priorities

for Phase 37 are as follows:

9.1a First Priority - Housing

• Rent/Mortgage Assistance

• Mass Shelter

• Emergency Cold Weather Shelter

• Other Shelter (Hotel/Motel) 9.1b Second Priority - Emergency Food

• Served Meals

• Other Food (Distribution/Vouchers) 9.2 Funding Allocation - The EFSP National Board determines the amount to be

distributed to jurisdictions with the highest need. The EFSP Local Board follows the National Board formula that is based upon the following areas: priority need per district, unemployment rate and other economic indicators such as: poverty rate and median income. The Local Board will allocate EFSP funds as follows: 80% of the funds will be allocated to housing and 20% of the funds will be allocated to food.

9.3 Funding in Other Districts - Applicants may apply for funding in any supervisorial

district where they have an office or other physical presence, or in a district where they provide at least 5% of the organization’s total services by service category to residents in/from that district as indicated by zip code. For example, to apply for funds in the food category the organization must have an office or service site OR have provided at least 5% of their total food services to persons in/from that district in the previous fiscal year.



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9.4 Scoring & Evaluation - Only applications that passed the Threshold Review will be evaluated and scored by the Review and Evaluation Committee, comprised of non-conflicted Local Board members and volunteers from the community. Threshold Review is for compliance with the requirements of the RFA including timeliness, completeness and submission of attachments. Applications that do not pass submission threshold are not eligible to appeal.

Applications for new applicants will be scored in the following areas:

9.3a Priority/Needs Statement 9.3b Performance Outcomes 9.3c Accounting and Financial Management 9.3d Capacity/Program Management 9.3e Coordination and Collaboration

Applications for returning applicants will be scored in the following areas:

9.3a EFSP Funding History/Overview 9.3b Performance Outcomes 9.3c Capacity/Program Management 9.3d Accounting and Financial Management 9.3e Compliance and Grants Management

Applications for ECWS applicants will be scored in the following areas:

9.3a Organizational Capacity 9.3b Performance Outcomes 9.3c Program Management 9.3d Accounting and Financial Management

9.5 Compliance - Organizations with unresolved EFSP compliance issues are not

eligible to apply for funding until the compliance is cleared with National.

9.6 Organizations that had funds reallocated by Local Board mandate or returned funds to National as a result of gross negligence, inadequate use of funds, failure to use funds for purposes intended and any other violation of National and Local board guidelines for Phase 36 are not eligible to apply.

9.7 Organizations that reallocated 25% or more of their funding allocation to another

LRO in either of the last two funded phases (Phase 35 and 36) will not be eligible to apply for the next phase.

9.8 Scoring Deductions - Ten (10) points will be deducted from the total score of

LROs that did not turn in required reports and documentation from the previous phase (Phase 36) by the due date identified by either National or Local Board.



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10.0 Ranking and Funding All applications that receive a score of 70 or above will be considered for funding. Ranking is determined by application score and region. Final ranking and funding recommendations are submitted to the Local Board for approval, and all funding recommendations are subject to National Board approval. The National Board directly funds all EFSP LROs.

11.0 Appeals Process

No appeal will be considered regarding a disagreement with the amount of an award for the Emergency Food and Shelter Program. To be considered a valid basis for appeal, the applicant must fall within one or more of the following criteria:

o New data or information relevant to the request which was not available

when the original application was submitted to the Local Board;

o Misunderstanding or factual error in the Local Board’s evaluation or interpretation of the agency request for EFSP funding;

o Other legal issues or concerns such as bias on the part of the EFSP Local

Board; violation of established procedure; etc. 11.1 Notification of non-funding will be sent out as soon as possible after applications

are received and ranked. The notification will contain specific instructions for requesting an appeal.

11.2 Upon receipt of the request for appeal, the applicant will be notified of the date and

place at which to appear for the appeal to be heard. Appeals must take place in person unless otherwise stated in the notification of non-funding.

11.3 The appeals will be heard by the full EFSP Local Board at the next scheduled

meeting of the Board following approval of grant recommendations. A simple majority vote is required to reverse the original recommendation. Under special circumstances, a separate Appeals Committee meeting may be called to ensure a timely appeals process.

11.4 The EFSP Local Board delegates authority to Riverside County DPSS CoC-CORE

Region to reestablish the rankings and grant amounts when a denial is reversed.

11.5 An official determination on the appeal will be made within 14 business days of the appeals presentation. The applicant will be notified in writing once a determination has been made.

Riverside County Department of Public Social Services EFSP Project Application – Phase 37 (01/01/2020-12/31/2020)

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ATTACHMENT A

PROJECT APPLICATION

EMERGENCY FOOD AND SHELTER PROGRAM

Phase 37 (01/01/2020 – 12/31/2020)

Completed applications must be submitted to:

County of Riverside - Department of Public Social Services

Adult Services, CoC-CORE Region 1111 Spruce Street, Riverside, CA 92507

NO LATER THAN

Thursday, December 19, 2019 by 4:00 p.m.


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APPLICATION FORM

EMERGENCY FOOD AND SHELTER PROGRAM RIVERSIDE COUNTY JURISDICTION PHASE 37

(January 1, 2020 through December 31, 2020)

Hand deliver or mail signed application in PDF format (with all required attachments as a separate file) to [email protected] on or before the due date. Any mandatory attachments should be sent in a separate PDF (no attachment should be part of the application file). Please Note: if you do not receive an e-mail acknowledgement after you submit the application, consider it not received. All applications must be typewritten (no smaller than 12-point font); no handwritten copies will be accepted. The EFSP Administrative office must receive all application materials no later than November 30, 2018, 4:00 p.m. Late or faxed applications will not be accepted. DO NOT SUBMIT THIS COVER PAGE as part of the application.

Table of Contents

I. Agency Information and Eligibility Page 5

II. Site Information Page 6

III. Funds Requested Page 9

New Applicants

IV. Agency Eligibility Page 12

V. Application Narrative Page 14

Returning Applicants

VI. Agency Eligibility Page 18

VII. Application Narrative Page 20

Emergency Cold Weather Shelter (ECWS) Applicants

VIII. Application Narrative Page 21



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Mandatory Attachments for Returning Applicants Note: the term “returning applicants” refers to those agencies who received EFSP funding in Phase 36. All returning applicants must include the following attachments in their original application. If attachment 6 is not applicable indicate N/A. Please note that incomplete applications will be deemed ineligible and will not be reviewed or scored.

1. Board Roster

2. Scheduled Board Meetings

3. Copies of Board Meeting Minutes

4. Financial Year end Report

A. Independent Annual Audit

B. Annual Review

C. Financial Year end Report

5. Match Documentation

6. Motel/Hotel Agreement(s) (if applicable)

7. Excluded Parties List (EPLS) verification

Mandatory Attachments for New Applicants Note: the term “new applicants” refers to those agencies who did not receive EFSP funding in Phase 36. All new applicants must include the following attachments in their original application. If some of these items are not applicable (e.g. if you are a unit of local government, or under the umbrella of a religious organization), indicate which items and why they are not included. Please note that incomplete applications will be deemed ineligible and will not be reviewed or scored.

1. Copy of current 501(c)(3)

2. Board Roster

3. Scheduled Board Meetings

4. Copies of Board Meeting Minutes

5. Financial Year end Report - one of the following

A. Independent Annual Audit

B. Annual Review

C. Financial Year end Report

6. Match Documentation

7. Client Forms

8. Client Nondiscrimination Statement

9. Mission Statement

10. Motel/Hotel Agreement(s) (if applicable)

11. Excluded Parties List (EPLS) verification

12. 2-1-1 Community Resource Database Program Information Form

13. CoC Membership Letter


Page 4 of 21

COVER PAGE

(All Applicants)

Name of Applicant Organization:

Grant Contact

Name:

Street Address:

City:

State:

Zip Code:

Phone Number:

Fax Number:

Email Address:

Organization Contact

Name:

Street Address:

City:

State:

Phone Number:

Fax Number:

Email Address:

Organization Website Link:


Page 5 of 21

PART A: APPLICANT INFORMATION (All Applicants)

1) Name of Applicant Organization:

2) Federal Employer Identification Number (FEIN):

3) Data Universal Numbering System (DUNS):

4) Was your organization selected for an EFSP funding award for Phase 36?

No – You are a NEW APPLICANT and may apply for a minimum of $5,000 per district up to a maximum of $20,000 per district.

Yes – You are a RETURNING APPLICANT and may apply for a minimum of $5,000 per district up to a maximum of $50,000 per district.

5) Does your organization have any open compliance exceptions from

any prior EFSP phase?

Not Applicable (New Applicant)

No Open Compliance Exceptions

Yes – Provide the LRO number(s), Phase number(s), and Problem Amounts for

open compliances:

LRO Number: Phase Number: Amount: LRO Number: Phase Number: Amount: LRO Number: Phase Number: Amount: LRO Number: Phase Number: Amount: LRO Number: Phase Number: Amount:

6) Which of the following Supervisorial Districts of Riverside County is your program applying for EFSP funding? Select only one option

District 1 District 2 District 3 District 4 District 5

Multi-region: applying for funding in more than one district and must have a Federal Employer Identification Number (FEIN).

7) Has your organization experienced a 25% reallocation of unspent funds from the previous 2 years of funding?

Yes

No


Page 6 of 21

8) Please complete the following section for each of the sites that you are requesting EFSP funding:

SUPERVISORIAL DISTRICT 1

Site Name:

Street Address:

City:

State:

Zip Code:

Service Days & Hours:

Contact Name:

Phone Number:

Fax Number:

Type of Program: (check all that apply)

Served Meals Other Food/Distribution/Food Vouchers/Gift Certificate Mass Shelter Other Shelter/Motel Rent/Mortgage Assistance ECWS


Site Name:

Street Address:

City:

State:

Zip Code:


Contact Name:

Phone Number:

Fax Number:



SUPERVISORIAL DISTRICT 3 Site Name:

Street Address:

City:

State:

Zip Code:


Contact Name:

Phone Number:

Fax Number:




Page 7 of 21


Site Name:

Street Address:

City:

State:

Zip Code:


Contact Name:

Phone Number:

Fax Number:



SUPERVISORIAL DISTRICT 5 Site Name:

Street Address:

City:

State:

Zip Code:


Contact Name:

Phone Number:

Fax Number:




Page 8 of 21

Service by geography: indicate, by percentage (%) total clients served during the most recent fiscal year or 12-month period for each geographic area listed below (see page 5 for details on which cities are included in the regions).


% % % % %

8A) Funding Categories, Primary Target Population and Affiliation

(This information will be published nationally) Check all that apply

Meals Served (Hot and Cold) Mass Shelter

Food Distribution (Boxes, Bags) Food Vouchers/Gift Certificates

Other Shelter/Motel Vouchers

Emergency Cold Weather Shelter (ECWS) Rent /Mortgage Assistance

8B) Primary Target Population: Select the target population(s) that will be served by your agency. Check all that apply

Chemically Addicted Homeless Individual/Family Single Men/Women

Domestic Violence Native American Minorities

Elderly No Target Population Unaccompanied Youth

under the age of 25

Families with Children Individuals with HIV/AIDS Veterans

Mentally Disabled Physically Disabled Other: ______________

8C) Affiliations: If the applicant organization is affiliated with, or is a chapter or unit of a larger organization, check that affiliation (e.g. a denomination, National YWCA, etc.). Must check at least one (1)

Aging Council Food Bank St. Vincent de Paul

American Red Cross Government Agency Traveler’s Aid Society

Catholic Charities Hotline/Info & Referral Tribal Government

Church Organization Jewish Federation Council United Way

Coalition Labor Organization Urban League

Community Action Agency Meals on Wheels YMCA/YWCA

Family Service America Salvation Army Unaffiliated


Page 9 of 21

PART B: EFSP FUNDING REQUEST (All Applicants) B.1 New applicants are limited to applying for a maximum of $20,000. Applicants that have received previous EFSP funding are limited to applying for a minimum $5,000 or maximum $50,000 per district.

*Rate is set by the National Emergency Food and Shelter Board

1. Food Services a. Per Diem/ Per Meal

b. Estimated # of Meals c. Funds Requested (a x b = c)

Served Meals $2.00* Other Food $ TOTAL $ 2. Shelter Services a. Per Diem

Allowance

b. Estimated # of Clients c. Funds Requested (a x b = c)

Mass Shelter $12.50/night* Emergency Cold Weather Shelter (ECWS)

$12.50/night*

Other Shelter

TOTAL 3. Rent/Mortgage

Assistance a. Average

Assistance (Maximum $1,200)

b. # Anticipated to Assist c. Funds Requested (a x b = c)

Rent/Mortgage Assistance $

TOTAL $

TOTAL REQUESTED FOR EFSP PHASE 37 $

B.2 Please complete the grid below. Refer to the list of Supervisorial Districts. The Total in the bottom right corner should equal the Total Requested for EFSP on B1.

Sup.

District Served Meals

Other Food Mass Shelter ECWS Other Shelter

Rent/Mortgage Assistance

Per District Total

D-1 $

$ $ $ $ $ $

D-2 $ $ $ $ $ $ $

D-3 $ $ $ $ $ $ $

D-4 $ $ $ $ $ $ $

D-5 $ $ $ $ $ $ $

TOTAL $ $ $ $ $ $ $


Page 10 of 21

B.3 EFSP is intended to supplement and expand the program you are requesting funding. Applicants will need to show that at least 55% of the total program budget is from other funding sources.

Service Category Current Program Funds

(Non-EFSP Funds)1

Sources of Current Program Funds (Non

EFSP Funds)2

EFSP Phase 37 Funds Requested3

Served Meals $ $

Other Food $ $

Mass Shelter $ $

ECWS $ $

Other Shelter $ $

Rent/Mortgage Assistance

$ $

TOTAL

1 Current Program Funds – This is the dollar amount of program funds you currently have to operate the program for which you are requesting funds. 2 Sources of Current Program Funds (Non-EFSP Funds) – This column should include the funding sources of the dollar amounts listed in the “Current Program Funds” column. Examples: CDBG grant, HUD, donations, fundraisers, etc. 3 EFSP Phase 37 Funds Requested – This is the dollar amount you are requesting for the Phase 37 funding cycle per category. This dollar amount MUST equal the dollar amounts in the request table of the total EFSP request in B.2

*ECWS funds do not require matching funds


Page 11 of 21

Riverside County Supervisorial Districts


Cities of: Canyon Lake Lake Elsinore Riverside (most portions) Wildomar Riverside Areas of: Arlanza Arlington Canyon Crest Casa Blanca La Sierra Mission Grove Riverside National Cemetery UCR Unincorporated Communities: Alberhill Air Force Village West Alessandro Heights Arnold Heights Box Springs Mountain California Meadows Canyon Ridge Canyon Spring Cottonwood Canyon Dawson Canyon De Luz Eastside El Cariso Gavilan Hills Glen Ivy Hot Springs Glen Valley Good Hope Hawarden Hills Horsethief Canyon Ranch Hunter Industrial Park La Cresta Lake Hills Lake Mathews Lakeland Village Meadowbrook Mead Valley Mocking Bird Canyon Montecito Ranch Orangecrest Presidential Park Rancho Carrillo Rancho Capistrano Ramona Santa Rosa Plateau Sedco Hllls Spanish Hills Sycamore Canyon Sycamore Creek Teneja Temescal Valleys Tongva Nation/ Traditional Trilogy The Farm The Orchard The Retreat University University City Victoria Victoria Grove Wild Rose Woodcrest

Cities of: Corona Norco Riverside (western side) Eastvale Jurupa Valley

Unincorporated Communities: Coronita El Cerrito Highgrove Home Gardens

Riverside Areas of: Belltown Downtown Glen Avon Green River Indian Hills Jurupa Jurupa Hills Magnolia Center Mira Loma Pedley Prado Basin Rubidoux Sunnyslope

Cities of: Hemet Murrieta San Jacinto Temecula

Unincorporated Communities: Aguanga Anza Diamond Valley East Hemet French Valley Garner Valley Gilman Hot Springs Glen Oaks Green Acres Homeland Idyllwild Lake Riverside Mountain Center Murrieta Hot Springs Pauba Valley Pine Cove Pine Meadow Pinyon Pines Poppet Flats Rancho California Sage Soboba Hot Springs Valle Vista Winchester Wine Country

Cahuilla Indian Reservation Pechanga Indian Reservation Ramona Indian Reservation Santa Rosa Indian Reservation Soboba Indian Reservation

Cities of: Blythe Cathedral City Coachella Desert Hot Springs Indian Wells Indio La Quinta Palm Desert Palm Springs (southern part) Rancho Mirage

Unincorporated Communities: Bermuda Dunes Chuckawalla Chiriaco Summit Chocolate Mountain Colorado River Communities Desert Beach Desert Center Desert Edge Desert Haven Desert Palms Eagle Mountain Indio Hills Joshua Tree Lake Tamarisk Mecca Mesa Verde Midland North Shore Oasis Ripley Sky Valley Salton Palo Verde Thermal Thousand Palms Valerie Jean Vista Santa Rosa

Agua Caliente Reservation Augustine Indian Reservation Cabazon Band of Mission Indians Torres Martinez Reservation

Cities of: Banning Beaumont Calimesa Menifee Moreno Valley Palm Springs (northern part) Perris

Unincorporated Communities: Badlands Banning Bench Box Spring Cabazon Cherry Valley Eden Hot Springs Garnet Juniper Flats Lake Perris Lakeview March ARB Menifee Valley Mission Lakes North Palm Springs Nuevo Oak Valley Painted Hills Pigeon Pass Reche Canyon Romoland San Gorgonio San Timoteo Canyon Sun City Quail Valley Twin Pines Whitewater

Morongo Indian Reservation


Page 12 of 21

PART C: EFSP REQUIRED DOCUMENTATION (New Applicants)

Name of Applicant Organization:

The following items must be submitted with this application. Please attach all required documentation to this checklist. If the required documentation is not included with each copy of the application, the application will be considered incomplete. Incomplete application and attachments will not be reviewed or scored.

Attachment 1: IRS 501(c)(3) status letter.

Included Attachment 2: Board Roster, including full name, address, phone number, and role on board.

(Designated board officers) Included

Attachment 3: List of scheduled board meetings for the past year.

Included Attachment 4: Copies of last three (3) board meetings minutes.

Included Attachment 5: Complete copy of most recent financial year-end report provided to agency

board. Included

One of the following MUST be Included:

5A: Copy of most the most recent financial records (within past 12 months) audited by an independent certified public accountant, if your organization received $100,000 of ESP Funds or $750,000 or more from any federal grants last year.

Included Not Applicable

5B: Copy of most recent Annual Accountant’s Review (within past 12 months) for organization that received $50,000 to $99,999 from any federal grants last year.


5C: Organizations that received grants totaling less than $25,000 (within past 12 months) must provide the same complete financial year-end reports that they provide to their board of directors.



Page 13 of 21

Attachment 6: Match Documentation includes a copy of contract, grant award letter,

donation letter, organization certification, etc. Included

Attachment 7: Copy of organization’s client application form, sign-in sheet or intake form used for clients receiving EFSP services.

Included Attachment 8: A copy of organization’s non-discrimination policy.

Included Attachment 9: A copy of the organization’s official mission statement.

Included Attachment 10: If requesting funding for motel vouchers, a copy of the agreement with the

motel or hotel. Included Not Applicable

Attachment 11: Provide a copy of the print out from www.epls.gov verifying that the

organization is not listed on the Excluded Parties List and is not debarred or suspended from receiving Federal funds

Included Attachment 12: 2-1-1 Community Resource Database Information

Included Attachment 13: CoC Membership Letter Included

I certify that the information provided in this proposal is true and correct to the best of my knowledge. I am authorized to submit this proposal on behalf of this organization. I understand that if awarded Emergency Food and Shelter funding, the amount requested may not be the amount awarded, and a contract will be written directly from this proposal, allowing only minor revisions. No additional funding will be awarded, nor will service units be reduced. My organization will comply with all reporting requirements and submit all spreadsheets, final report and documentation by the deadline set by the Local Board.

PRINT NAME and TITLE SIGNATURE DATE

EMAIL ADDRESS PHONE NUMBER



Page 14 of 21

PART D: APPLICATION NARRATIVE (New Applicants) Important Note:

• Respond to the questions as though the person(s) reviewing your application know(s) nothing about your organization or the services your organization provides.

• Answer every question regardless of whether you believe you have already provided the answer in previous questions.

• Clearly identify the partners in your community that you collaborate with and all services provided.

D1 ORGANIZATION HISTORY/OVERVIEW (20 MAXIMUM POINTS)

D1-1 Describe in detail the priority and need for each EFSP service category that your organization will provide and discuss what qualifies your organization to manage EFSP Phase 37 funding? Describe how the requested funding will supplement your existing program.

D2 PERFORMANCE OUTCOMES (20 MAXIMUM POINTS)

D2-1 Describe your organization’s experience in providing each service category for which funds are being requested. Organizations must demonstrate that they have been providing the services requested for more than one year and how services are being tracked/documented. (MAXIMUM 10 POINTS) D2-2 Discuss how your organization will evaluate project accomplishments and outcomes as a result of EFSP funding. (MAXIMUM 10 POINTS)

D3 CAPACITY/PROGRAM MANAGEMENT (30 MAXIMUM POINTS)

D3-1 Staffing Describe your staffing and their tasks for each EFSP service category that will be provided. Include a breakdown of (a) how many staff will be involved in providing service(s); and (b) whether they are full-time, part-time, or volunteers. (MAXIMUM 5 POINTS)

D3-2 Financial Capacity Describe your financial capacity in advancing the required 55% match to provide the services you are applying for until funds are received from EFSP National.

(MAXIMUM 5 POINTS)

D3-3 Access to Services Describe how EFSP services will be offered and implemented in the community/district where funds are requested. Address the (a) organization’s specific schedule for day and hours that staff are available to complete client intake for funded EFSP services and (b) explain if clients are seen on a walk-in basis or by appointment. (MAXIMUM 5 POINTS)


Page 15 of 21

D3-4 Client Intake and Eligibility Describe your organization’s (a) client intake process (include staff responsibilities and forms and assessments), (b) client eligibility requirements for each service and (c) your organization’s current record keeping process to ensure protection of client’s sensitive information. (MAXIMUM 5 POINTS)

D3-5 Case Management Describe your case management and referral process. What is your agency’s process for dealing with client’s needs that cannot be met using EFSP funds? (MAXIMUM 5 POINTS)

D3-6 Disaster Recovery Plan Describe your organization’s disaster (natural or man-made) recovery plan to ensure continuity of eligible services under EFSP (e.g. Emergency plans currently in place, succession of management, records retention, disaster preparedness, and alternative sites). (MAXIMUM 5 POINTS) D3-7 Homeless Management Information System (Only for LROs that provide shelter services) Describe your organization’s participation and experience with HMIS or any other databases used to enter clients’ information and how you ensure data quality. Include number and position of staff that will be responsible for this activity. (MAXIMUM 2 BONUS POINTS)

D4 ACCOUNTING AND FINANCIAL MANAGEMENT (20 MAXIMUM POINTS)

D4-1 Federal Grant Experience - Financial Stability Since EFSP funding is supplemental, briefly describe how EFSP funds will supplement your organization’s overall revenue. (MAXIMUM 10 POINTS)

D4-2 Accounting Procedures Describe the types of internal procedures in place to adequately monitor program expenditures; Discuss how often the expenditures are monitored; and who reviews the documentation information. (MAXIMUM 10 POINTS)

D5 COORDINATION AND COLLABORATION (10 MAXIMUM POINTS)

D5-1 Organization Collaboration Discuss your agency’s efforts to collaborate with other organizations to coordinate and maximize services to clients.


Page 16 of 21

PROGRAM INFORMATION FORM This form is to submit the program’s details, additions or changes.

Please summit a separate form for each program. Agency Name: >

Program Name: > Physical Address Check if location is private Street: > City: > State: > ZIP: >

Mailing Address Check if location is private Street: > City: > State: > ZIP: >

Main Phone: > Alternate Phone: > Fax: > TDD/TYY: > Hotline: > Other: > Main E-Mail: > Website: > Program Days and Hours: > Languages spoken other than English: > Eligibility/Target Population: > Intake/Application Procedure: Phone Appointment Required Walk-In Referral Needed

Mail Other: > Documents Required: > Region Served: All Riverside County West County Central County Southwest County

East County Coachella Valley Other: > Cities: > Zip Codes: > Fees: No Cost Low Cost Sliding Fee Donation Vary Other: > Method of Payment: Medi-Cal Cash Credit Cards Personal Check Program Description: >

Program Contact Check if contact is private Name: > Title: > Phone: > E-Mail: >

Program Director Check if contact is private Name: > Title: > Phone: > E-Mail: >

Submitted by: > Phone: > Date: > Please mark all that apply below.

Please enclose your brochure and return to: 2-1-1 Riverside County

2060 University Ave, Suite 212 Riverside, CA 92507

Phone: (951) 328 8290

Submitted/Updated by: Date: Approved by: Date: Entered by: Date: Reviewed by: Date:

- - C mmu Res rce D e

Cong

rega

te m

eals

Food

Dist

ribut

ion

Food

Vou

cher

s/

Gift

Card

s

Mas

s She

lter

Mot

el V

ouch

ers

Rent

al/M

ortg

age

A ssis

tanc

e

☐ ☐ ☐ ☐ ☐ ☐


Page 17 of 21

COUNTY OF RIVERSIDE CONTINUUM OF CARE FORMAL MEMBERSHIP LETTER

[Please use example to create your own CoC Letter on your company

letterhead]

[DATE]

County of Riverside Continuum of Care c/o Department of Public Social Services, CoC-CORE Region PO BOX 51720 Riverside, CA 92517-9801 RE: Appointment of Representative(s) to the County of Riverside Continuum of Care Dear County of Riverside Continuum of Care: The purpose of this letter is to formally appoint [NAME OF PERSON] as [ORGANIZATION'S NAME] primary

representative to the County of Riverside Continuum of Care (CoC), effective immediately. As you know,

[ORGANIZATION] is committed to supporting the effort to ending homelessness in our area, and we look forward

to working with you and other homeless and housing advocates.

I would also like to appoint [NAME OF PERSON] to serve as a secondary representative if [NAME OF PRIMARY

REPRESENTATIVE] is unable to participate.

Should you need any additional information or have any questions, you may contact me at [PHONE NUMBER] or at [EMAIL ADDRESS]. Sincerely, [NAME OF EXECUTIVE DIRECTOR/AGENCY HEAD] [TITLE]


Page 18 of 21

PART C: REQUIRED DOCUMENTATION (Returning Applicants) Name of Applicant Organization:

The following items must be submitted with this application. Please attach all required documentation to this checklist. If the required documentation is not included with each copy of the application, the application will be considered incomplete. Incomplete application and attachments will not be reviewed or scored.

Attachment 1: Board Roster, including full name, address, phone number, and role on

board. (Designated board officers) Included

Attachment 2: List of scheduled board meetings for the past year.

Included

Attachment 3: Copies of last three (3) board meetings minutes. Included

Attachment 4: Complete copy of most recent financial year-end report provided to

agency board. Included

One of the following MUST be Included:

4A: Copy of most the most recent financial records (within past 12 months) audited by an independent certified public accountant, if your organization received $100,000 of ESP Funds or $750,000 or more from any federal grants last year.


4B: Copy of most recent Annual Accountant’s Review (within past 12 months) for organization that received $50,000 to $99,999 from any federal grants last year.


4C: Organizations that received grants totaling less than $25,000 (within past 12 months) must provide the same complete financial year-end reports that they provide to their board of directors.

Included Not Applicable Attachment 5: Match Documentation includes a copy of contract, grant award letter,

donation letter, organization certification, etc. Included


Page 19 of 21

Attachment 6: If requesting funding for motel vouchers, a copy of the agreement with the motel or hotel.


Attachment 7: Provide a copy of the print out from www.epls.gov verifying that the

organization is not listed on the Excluded Parties List and is not debarred or suspended from receiving Federal funds

Included I certify that the information provided in this proposal is true and correct to the best of my knowledge. I am authorized to submit this proposal on behalf of this organization. I understand that if awarded Emergency Food and Shelter Program funding, the amount requested may not be the amount awarded, and a contract will be written directly from this proposal, allowing only minor revisions. No additional funding will be awarded, nor will service units be reduced. My organization will comply with all reporting requirements and submit all spreadsheets, final report and documentation by the deadline set by the Riverside CoC Local Board.

PRINT NAME and TITLE SIGNATURE DATE

EMAIL ADDRESS PHONE NUMBER



Page 20 of 21

PART D: APPLICATION NARRATIVE (Returning Applicants)

• As a current EFSP provider, please provide information for the following:

D1 LROs EFSP FUNDING HISTORY/OVERVIEW (25 MAXIMUM POINTS)

D1-1 Discuss your agency’s past services for each category funds are being requested. Include performance outcomes and the number of clients served from your most recent EFSP funding.

D2 PERFORMANCE OUTCOMES (20 MAXIMUM POINTS) D2-1 Describe the scope of services for which you are requesting funding. Discuss how EFSP funding has supplemented your existing program.

D3 CAPACITY/PROGRAM MANAGEMENT (20 MAXIMUM POINTS)

D3-1 Describe your organizational capacity and experience with operating emergency programs.

D4 FINANCIAL MANAGEMENT (20 MAXIMUM POINTS)

D4-1 If selected for funding under EFSP Phase 37, how will you cover

EFSP program costs if funding is delayed in the EFSP process?

D5 COMPLIANCE AND GRANTS MANAGEMENT (15 MAXIMUM POINTS)

D5-1 Did your agency reallocate any funds in Phase 35 or 36? (MAXIMUM 5 POINTS) D5-2 Did your agency submit required reports and documentation by the due date identified by either National or Local Board? (MAXIMUM 5 POINTS) D5-3 Did your agency have any compliance exceptions for Phase 34 or 35? If so, have they been corrected? (MAXIMUM 5 POINTS)


Page 21 of 21

PART D: APPLICATION NARRATIVE (ECWS Applicants)

D1 ORGANIZATIONAL CAPACITY (MAXIMUM 30 POINTS)

D1-1 Describe your organization’s experience in providing emergency shelter services. Organization must demonstrate that they have the capacity to provide shelter services beyond those already being provided.

D2 PERFORMANCE OUTCOMES (MAXIMUM 25 POINTS)

D2-1 Describe in detail the current services, if any, provided to the homeless population during the cold weather season. (i.e. food, support services)

D3 PROGRAM MANAGEMENT (MAXIMUM 20 POINTS)

D3-1 Describe your staffing for ECWS services. Include a breakdown of: (a) how many staff will be providing services; and (b) whether they are full-time, part-time, or volunteers. (MAXIMUM 5 POINTS) D3-2 Describe the client intake process for this program? (MAXIMUM 5 POINTS) D3-3 Describe all support services that are provided to the Emergency Shelter client. (MAXIMUM 5 POINTS) D3-4 How many clients do you anticipate serving in this category? (MAXIMUM 5 POINTS)

D4 ACCOUNTING AND FINANCIAL MANAGEMENT (MAXIMUM 25 POINTS)

D4-1 If selected for funding for ECWS, how will you cover the program costs if funding is delayed in the EFSP process?