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Agenda 04/09/2013 Item #16D6 4/9/2013 16.D.6. EXECUTIVE SUMMARY Recommendation to approve the electronic submittal of Senior Corps Retired and Senior Volunteer Program (RSVP) application for FY 13-14 grant funds in the amount of $54,522 with a required match of$23,367 to the Corporation for National and Community Service, for the continuation of the Collier County sponsored RSVP program, and authorize the necessary budget amendments. OBJECTIVE: To administer RSVP, utilizing local retired volunteers to improve the quality of life and promote personal wellness, self reliance and independence of Collier County Citizens, with a significant computed value to the County at large. CONSIDERATIONS: The Board of County Commissioners approved strategic plan includes Strategic Focus Area III: Community Health, Wellness and Human Services, and the associated strategic goal is: "To improve the quality of life and promote personal wellness, self reliance and independence". Part of the agency's tactical achievement toward this goal is the receipt and management of RSVP grant funds. The purpose of the RSVP grant program is to develop a coordinated, county agency-wide volunteer program. Co-sponsored since 1990 by Collier County, RSVP places seniors in 50 non-profit organizations and County Agencies for community service. In 2012, almost 500 RSVP volunteers contributed 36,820 hours of service to County residents, a computed value to the County at large in excess of$699,580. Approval of the grant application will provide funding that will allow this award-winning program to continue its service to Collier residents,many of whom are the most vulnerable members of our community. This is a one year commitment with a maximum grant request permitted under this application of$54,522. The grant period begins July 1.2013, and ends June 30, 2014. FISCAL IMPACT: The total project cost is expected to be $77,889. The grant will provide $54,522, with a 30% match requirement of $23,367. $10,246.04 in local matching funds is required, with the remaining $13,120.96 being met by in-kind donations. In anticipation of the grant award, budget amendments are necessary to recognize interest and reserves within Grant Funds 116 and 123 to meet the cash match. These match funds will be placed in the Human Services Grant Match Fund (708)Reserves. At the time of award, staff will recognize the grant revenue and will appropriate the match within Reserves into RSVP Project 33269. GROWTH MANAGEMENT IMPACT: There is no Growth Management Impact associated with this Executive Summary. LEGAL CONSIDERATIONS: This item is legal sufficient and requires a majority vote. —JBW RECOMMENDATION: Recommendation to approve and authorize the Housing, Human and Veteran Services Interim Director to electronically submit the attached RSVP application to the Corporation for National and Community Service and to authorize the Chairwoman to sign the Assurances form for submittal, and authorize necessary budget amendments. PREPARED BY: Steve Smith, Project Director, Retired and Senior Volunteer Program, Housing, Human and Veteran Services Department, Collier County,FL. Packet Page -1208- 4/9/2013 16.D.6. COLLIER COUNTY Board of County Commissioners Item Number: 16.16.0.16.0.6. Item Summary: Recommendation to approve the electronic submittal of Senior Corps Retired and Senior Volunteer Program (RSVP) application for FY13-14 grant funds in the amount of$54,522 with a required match of$23,367 to the Corporation for National and Community Service,for the continuation of the Collier County sponsored RSVP program, and authorize the necessary budget amendments. Meeting Date: 4/9/2013 Prepared By Name: SmithSteve Title: VALUE MISSING 3/12/2013 6:39:10 PM Submitted by Title: VALUE MISSING Name: SmithSteve 3/12/2013 6:39:11 PM Approved By Name: DeSearJacquelyn Title: Accountant,Housing,Human&Veteran Services Date: 3/15/2013 2:02:22 PM Name: AlonsoHailey Title: Operations Analyst,Public Service Division Date: 3/19/2013 4:57:40 PM Name: GrantKimberley Title: Interim Director,HHVS Date: 3/20/2013 8:36:37 AM Name: SonntagKristi Date: 3/20/2013 8:47:05 AM Packet Page-1209- 4/9/2013 16.D.6. Name: AckermanMaria Title: Senior Accountant, Grants Date: 3/21/2013 9:19:37 AM Name: WhiteJennifer Title: Assistant County Attorney,County Attorney Date: 3/21/2013 9:35:25 AM Name: CarnellSteve Title: Director-Purchasing/General Services,Purchasing Date: 3/22/2013 2:23:16 PM Name: WhiteJennifer Title: Assistant County Attorney,County Attorney Date: 3/27/2013 2:32:48 PM Name: KlatzkowJeff Title: County Attorney Date: 3/28/2013 11:44:42 AM Name: StanleyTherese Title: Management/Budget Analyst, Senior,Office of Manage Date: 4/1/2013 11:58:44 AM Name: FinnEd Title: Senior Budget Analyst, OMB Date: 4/1/2013 2:58:18 PM Name: KlatzkowJeff Title: County Attorney Date: 4/1/2013 4:41:24 PM Name: OchsLeo Title: County Manager Date: 4/1/2013 5:03:23 PM Packet Page -1210- 4/9/2013 16.D.6. Housing, Human & Veteran Services Department Retired & Senior Volunteer Program (RSVP) 2013 RSVP Application for Continuation Grant renewal (year 2 of 3) application to the Corporation for National and Community Service for the continuation of the Collier County-sponsored (Executive Sponsor, Housing, Human and Veteran Services Department) Retired and Senior Volunteer Program (RSVP), that, if awarded, will provide grant funds in the amount of$54,522 per year of a three year grant. Packet Page-1211- 4/9/2013 16.D.6. Executive Summary Collier County Board of County Commissioners is the legal applicant and sponsor organization for the RSVP Program of Collier County. The Board of County Commissioners consists of 5 elected officials who, as the chief legislative body of the County are responsible for providing services to protect the health, safety, welfare, and quality of life of the citizens of Collier County. Our government is strengthened by civic participation and increased involvement from our citizens. The Collier County RSVP program proposes an estitmated total of three hundred and sixty volunteers for 2013-2014.This is a reduction in the number of volunteers from prior grant years as a result of graduating stations. The dollar amount that RSVP of Collier County is requesting is $54,522.00 each year of a three year grant period;this would be our second year. The service categories that the project will address are consistent with the mission of the program and are healthy futures, veterans and military families, education, environmental stewardship, economic opportunity and disaster services. Regarding the outcome of healthy futures, our community needs include having locations where seniors can find companionship and socialization with peers and assurance of stable or improved nutrition. The need to improve the overall health &wellness of seniors is also critical. The Collier County RSVP program proposes meeting these wellness needs through several approaches; including a meals program and Bone Builders. The Bone Builder program offers strength training and balance exercises to assist with a decrease in the incidence and severity of osteoporosis. In an effort to address health needs, a review of medical evidence reported in the Journal of the American Medical Society shows that strength training and balance exercises can decrease the incidence and severity of osteoporosis. RSVP Bone Builder Trainers will conduct an average of 80 classes per month while in full session. Another method to address these needs is through Collier County's Housing, Human and Veteran Services Nutrition Program where volunteers will aid in the service of meals as well as offer and serve nutritious, hot meals to needy seniors daily. The anticipated outcomes will be that RSVP volunteers will serve an average of 2000 meals per month to participatingseniors at Collier County congregate meal sites. The community need for veterans and military families is that many veterans reentering civilian society in this distressed economic climate may be jobless for an extended period of time. Many cannot afford to maintain a personal vehicle. For those who can, gasoline, while fluctuating in price, is still expensive and the cost of multiple long round trips to V.A. medical facilities can become cost prohibitive. The closest facility is located approximately 45 miles from Collier County. Many of our returning wounded veterans have suffered emotional as well as physical trauma, and find it difficult to relate, on a day-to-day basis, with members of the society that they are reentering. The method to address these needs is through the use of RSVP volunteers, most of them veterans themselves, to drive veterans to and from medical Page 2 of 10 Packet Page -1212- 4/9/2013 16.D.6. appointments in V.A. medical facilities throughout South Florida, primarily Bay Pines located in Tampa,with some trips to Miami. The anticipated outcome will be that the Veteran Transportation Service will help veterans to maintain or improve their health by transporting them to their medical appointments. The community need for education is that many Collier County Public School children are students speaking English as a second language, and many come from non-English speaking homes. This creates a need for literacy training in English reading comprehension, vocabulary and pronunciation as well as tutoring in regular classes. Teachers are unable to devote sufficient individual time to students in need. To address the needs of those children RSVP volunteers will tutor school children in English reading comprehension, vocabulary and pronunciation as well as in traditional curriculum classes. They will also tutor those non-English speaking adults in an evening program in an effort to help break the cycle of passing illiteracy from generation to generation. The anticipated outcome is seventy-five percent of school age childrens being tutored by RSVP volunteers will have acceptable progress as evidenced by literacy teacher reports. The community need for disaster services is critical in Southwest Florida. Collier County's large senior population includes many seniors living alone, many are homebound due to age and infirmity. These seniors are generally not familiar with disaster preparedness issues and procedures and could be in jeopardy in the event of a disaster. The method to address these needs will be through the use of RSVP volunteers who are trained and experienced in Community Emergency Response Team (C.E.R.T.) practices. These volunteers will teach classes to neighborhood volunteers and focus on the basics of emergency/disaster response. These neighborhood volunteers become the core response teams for their individual communities. C.E.R.T. volunteers will also visit seniors in their homes, educate them and help them prepare for potential emergencies and disasters. The volunteers also inspect the homes for safety and fire hazards. RSVP volunteer efforts not only enhance community disaster preparedness, but also help vulnerable seniors to remain safe and in their own homes. The anticipated outcome will be that ninety percent of homebound seniors who have received disaster preparedness information and have had a home safety inspection by RSVP C.E.R.T. volunteers will report an improved feeling of safety and security in their homes in the annual survey. Other human needs are for affordable housing for deserving low-income families and neighborhood clinics, respite care centers, shelters and soup kitchens. The method to address these needs will be that RSVP volunteers will work with Habitat for Humanity, building and rehabilitating houses to make them affordable to deserving low-income families who are willing to pitch in and invest "sweat equity" in the construction process. Volunteers will perform direct client assistance and support tasks to help community clinics, respite centers, shelters and soup kitchens. The anticipated outcome will be that eighty-five percent of surveyed organizations will report that RSVP volunteers enabled them to increase services to the needy members of the community. Page 3of10 Packet Page -1213- 4/9/2013 16.D.6. Narratives Strengthening Communities Collier County is located on the southern Gulf coast of the Florida peninsula, due west of Miami-Ft. Lauderdale. Collier County contains approximately 2,025.5 square miles of land area. Collier County's 251,377 people are 67%Caucasian,26%Hispanic or Latino of any race, 6% Black and 1%other. Twenty-five percent are 65 or older compared to 17% statewide referenced by MelissaDATA.com. While much of the County lives above the mean standard of living,there remains a vulnerable segment of the community that struggles to meet everyday basic needs and exists close to the poverty line. The Retired and Senior Volunteer Program (RSVP) invites local input into program design and evaluation and this is achieved by maintaining close communication with stations and community groups, as well as working closely with our Advisory Council. The Advisory Council is comprised of representative members of our community. Specifically, the current Council members are the Executive Director with the Downtown Naples Association, Chairman of the Collier County Black Advisory Board, Greater Naples Chamber of Commerce Board Member, Retired Firefighter, a member of the Collier Association for the Visually Impaired, Volunteer Coordinator for the Boys and Girls Club and a local Business Owner. The Advisory Council meets quarterly to review policy and provide input on program design. RSVP establishes partnerships with organizations that provide community services and support basic personal enrichment. To date, 217 not-for-profit organizations as well as County agencies have participated. Partnerships include local schools, hospitals, homeless shelters and soup kitchens. Partners are selected by employing an interview process and determination that their purpose and function are an appropriate fit for RSVP volunteer involvement. Included in this category are Collier County Association for the Visually Impaired who assists members with service referrals and transportation. Thus, RSVP serves as a liaison and steering agency between and for these organizations and our volunteers who execute program directives. To build RSVP public awareness, the project director has made TV appearances describing the program and encouraging volunteerism through speaking engagements at community service organizations and participation at many senior expos and similar venues, discussing the RSVP program and benefits of volunteering with hundreds of seniors. In addition the RSVP program director issues a quarterly newsletter to all stations, volunteers and community partners. RSVP is listed as both a resource and a senior activity in an extensive County-wide free senior resources guide. RSVP seeks to develop and broaden the available skills and resources that our talented volunteers bring with their efforts to benefit program Page 4 of 10 Packet Page -1214- 4/9/2013 16.D.6. recipients. The program maintains an Internet presence has been established at http://www.coll iergov.net. Our current RSVP volunteer demographic includes men and women as well as persons of diverse ethnic backgrounds. Our volunteers are brought together through outreach activities and involving representative groups and individuals in meaningful community service programs that cross cultural and ethnic lines. We draw our volunteers from the entire community,placing them according to interests and skills, not cultural and ethnic background, so that the common denominator of our volunteer teams is simply a desire to help others in specific areas of service. Community resources are mobilized by leveraging existing relationships with our many community partners into reciprocal action. For example, partnering with the Harry Chapin Food Bank, RSVP volunteers distribute food to families in need. RSVP is also able to mobilize quickly through our extensive networking with local organizations such as the Naples Interagency Council,the Collier County Council on Aging and Volunteer Collier. We enhance the capacity of organizations and institutions by integrating senior volunteers with organizational, leadership and office experience into existing and new partners, all while enhancing the ability of community service organizations to maximize their volunteer resources. RSVP personnel is available at all times to assist with volunteer management and planning issues on a routine basis. Through the use of volunteers, many partner organizations have been able to expand service hours and make additional services available that would otherwise not have been possible. RSVP integrates senior service into the activities of other service programs by seeking a good fit between community need, the processes and culture of the program attempting to meet the need and the skills, experience and interests of senior volunteers. As an example, County congregate meal sites provide hot, nutritious meals for low-income seniors at four sites in an effort to enhance integration of service into activities. Senior caregivers and relatives of the clients being served were recruited. These volunteers serve meals, and assist with social activities. The use of family members has created a warm and friendly atmosphere at the meal sites. Thus, understanding the community service model illustrated above, and after a successful performance history since 1990, RSVP seeks to further establish programmatic relationships in an effort to help raise awareness for the needs of the target population, provide client-centered services and strive to create a sense of minority inclusion in an area of Florida that has many resources to offer. Recruitment and Development Page 5 of 10 Packet Page -1215- 4/9/2013 16.D.6. A great strength of RSVP is our sense of community. We are an organized network built 440ek on relationships between members, and between members and the community. Often a personal invitation is the impetus for new members to be recruited into the program, especially if reinforced by respected community leaders. Through the programs relationships with community members, individuals are drawn into active RSVP issues, and, in turn, the RSVP program is drawn to issues within the community that could benefit from RSVP involvement. The Project Director regularly conducts recruitment activities. In the past year recruitment efforts have included senior expos and senior health fairs describing the Collier County RSVP program, and speaking engagements at numerous community organizations describing the benefits of volunteers and volunteering. All outreach activities focus on the RSVP program and the benefits of volunteering. Currently VolunteerMatch.org is utilized to broaden recruiting activities and attract additional baby boomers and seasonal residents. Building an effective and satisfied corps of volunteers begins before they set foot on the job, before training, before orientation. It begins with initial discussions with a potential volunteer, and hopefully, before that, personal interaction of the individual with an acquaintance who is a happy, fulfilled volunteer and who recommends RSVP to the candidate. When discussing the RSVP program with potential volunteers or new partners, we help them to clearly see how their participation fills a unique and meaningful role in the community, as well as the RSVP program. RSVP's attraction (satisfaction, new skills, networking opportunities, a chance to make a difference, etc.) becomes obvious during discussion of the program. Whenever possible, we connect prospective volunteers with seasoned volunteers through a matching process. Appreciating and validating the unique contribution of each RSVP member encourages them to get and stay involved. Volunteer currency is appreciation, recognition, validation, affirmation, which we include in every small daily interaction, as well as in the usual recognition events such as the annual appreciation luncheon and awards ceremony. RSVP volunteers receive specific training at volunteer stations needed to carry out their tasks, according to written commitment by the stations. The project director is available to assist station personnel with technical assistance regarding reports, surveys, reporting activities and the overall RSVP processes. With the use of the volunteer assignment form valuable information is given to both the Volunteer Station as well as the volunteer, such as need that warrants the volunteer assignment, volunteer activity, anticipated accomplishments and anticipated impact. Evidence indicates that our volunteers already possess the knowledge and skills for them to perform their volunteer job assignments and are a good match for the organization. Our recent station assessment survey of volunteer impact overwhelmingly confirms this. This, we believe, is a validation of our careful matching of volunteer interests, skills and abilities with the jobs, focus and culture of the volunteer station. Anecdotal evidence from our station partners Page 6 of 10 Packet Page-1216- 4/9/2013 16.D.6. indicates that it is also a happy corollary that many of our volunteers, especially those with a strong background in science, public safety and customer service, have much to teach station personnel. It is this symbiotic relationship between many stations and volunteers that brings to mind the RSVP adage that our volunteers provide "the experience of your lifetime." Program Management The project director, with assistance from the Advisory Council, works with community organizations and existing stations to identify unmet needs in the community as well as service organizations that might help to meet those needs as potential volunteer stations. Working within Collier County policies and guidelines as well as the CNCS program outline, the project director plans, organizes monitors and coordinates, with station staff, the programs and activities related to RSVP volunteers. Every effort is made to match the volunteers' skills and experience with the specific mission requirements of the stations that target specific community needs. The Project Director develops new Stations by evaluating community needs and evaluating each proposed station for itse applicability to the programs focus areas. The program's volunteer management software aggregates and reports both volunteer and station impact within type of station and service category. As part of the project assessment process, as well as the process of managing information and data to improve impacts, station accomplishments through its volunteers, are reviewed annually against planned activity goals and objectives. Also, an annual assessment of project/station accomplishments and impact on the community is conducted involving all stations. The annual assessment uses a survey form, mailed or e-mailed to administrative personnel of all stations, once a year in the spring. RSVP also does a Station visit each year to make sure the partners are in compliance with tracking and reporting of volunteer hours and are current with a Memorandum of Understanding. The results are tabulated and included in the Program Performance Report. The survey is designed to inform us if the RSVP volunteers we provided to the stations had the knowledge, skills and work/life experience needed to perform their volunteer service (or learned quickly), and if they were a good match for the organization. The survey responses also informs us if, in the past 12 months, the station: a. increased the number of persons served; b. increased the amount (frequency or types) of services; and/or c. sustained essential services in the face of decreasing resources. If so (in each case), we learn if RSVP volunteers helped: a. none; b. some; or c. a lot. Volunteer activity and project performance data are monitored and recorded throughout the year in order to (along with the annual assessment of project station accomplishments) demonstrate the concrete impacts of the project and its volunteers. Our impact assessment survey conducted with stations had a 20% response rate. 100% indicated that our volunteers served the public directly; 64% also used them in a support role. 100% responded that volunteers had the knowledge, skills and work/life experience necessary to perform their service, or learned quickly. All agreed that the volunteers were a good match for Page 7 of 10 Packet Page -1217- 4/9/2013 16.D.6. their organization. 93% of those who increased number of persons served in the past 12 months reported that our volunteers helped some or a lot. 64% reported that our volunteers had helped them increase the frequency or types of services. 100% of stations that were able to sustain essential services in the face of decreasing resources reported that our volunteers helped some or a lot to achieve this. Comments include: "Without them, my organization would not be able to provide services." "We are so glad to have the support...we hope to continue for the coming years." "...always go above and beyond the call of duty..." "...provide valuable services..." "...volunteers bring all their training and life-lessons to our students." In an effort to plan for program growth & development as well as maintain fiscal control, routine reviews of the budget occur. These ensure accountability and efficient and effective use of available resources. Physical resources are managed according to a County inventory system and are reconciled annually to inventory. The program utilizes community partners to secure in- kind match contributions to allow for project expansion. Increasing cash and in-kind has allowed the project to expand its appreciation activities. Organizational Capacity The Collier County Department of Housing, Human & Veteran Services has a demonstrated record of managerial and technical experience and provides organizational resources to complement the RSVP program. Housing, Human & Veteran Services (HHVS) successfully administers a number of federal and state grants including: Community Development Block Grant, HOME, Department of Elder Affairs, Safe Havens Visitation Program, State Housing Initiative Partnership and Disaster Recovery Initiative. Under the direction of Federal/State Grant Manager, Kristi Sormtag, and accounting supervisor, Bendisa Marku,the department holds over 25 years in grants administration. To ensure fiscal accountability the Housing, Human & Veteran Services (HHVS) Accountant performs all general accounting and fiscal services for RSVP. The RSVP project director has 20 years of experience as a business owner in graphic design and real estate investments. Currently has served 2 'A years as the RSVP Project Director. Housing, Human & Veteran Services (HHVS) serves Collier County's very low, low and moderate income residents, including the senior population by providing access to health care, developing volunteer services with retirees, assisting with affordable home ownership and other housing opportunities, maintaining safe and decent housing and independent living for seniors, utilizing federal and state grants to build safe, livable and healthy communities and to meet the local government mandates of human services in Collier County. The members of the Board of County Commissioners (BCC) are strong proponents of grassroots community volunteerism and believe in our mission of making a difference in the Page 8of10 Packet Page-1218- 4/9/2013 16.D.6. lives of our County's needy residents. The BCC provides strong administrative, financial and organizational support for Collier County RSVP, which has a 22-year successful track record for managing volunteers, engaging seniors and impacting community issues. Collier County Government has established effective personnel policies and procedures that are incorporated into the operations and programming of the Housing, Human & Veteran Services (HHVS) and RSVP. Job descriptions, personnel and budget policies, and procedures are updated regularly through accepted continuous improvement and risk management business processes. The County Attorney's office assists with approval of contractual documents and policies. The Purchasing Department acts as agent for cost savings in acquiring vendor services and products. The Human Resources Department ensures our ability to meet high personnel standards which help translate to premium consumer care. The availability of these resources assures the grantor of consistent quality and accountability of performance. Other Healthy Futures: RSVP volunteers who are certified as trainers for the osteoporosis Bone Builders exercise program and provide free Bone Builder exercise classes to osteoporosis patients and those who are at risk. Each class includes a full workout with lower and upper body strength training as well as balance and agility exercises RSVP volunteers will assist Collier County's Housing, Human and Veteran Services Nutrition Program by helping to prepare and serve nutritious, hot meals to needy seniors daily. The volunteers prepare the dining area, greet the people, 1 assist with preparation, serving and clean- up. They also encourage and assist the seniors to take part in the social activities at the congregate meal center. Environmental Stewardship: RSVP volunteers contribute 4,000 annualized hours educating residents in appreciating and conserving our natural resources at the Conservancy for Southwest Florida, Corkscrew Swamp Sanctuary and Rookery Bay National Estuarine Reserve. Education: Children and youth with literacy needs are an issue for Collier County, considering the large number of Hispanic families for whom English is a second language, and the number of schoolchildren who do not hear English spoken at home. RSVP has literacy volunteers at Literacy Volunteers of Collier County working year-round with children to help improve their English to the point that they can be successful in school and hopefully break the family cycle of Page 9ofl0 Packet Page -1219- 4/9/2013 16.D.6. school drop-outs which they have inherited. The Boys and Girls Club of Collier County has recently become a new RSVP Station where RSVP volunteers will help with the after school program there. RSVP has established a partnership with the Family Literacy Academy of Immokalee in an after school computer learning program, where RSVP volunteers will help assist children in the proper use of computers. Disaster Services: RSVP has a volunteer position on the Collier County Citizens' Corps, an advisory council to the County's Department of Emergency Preparedness. Council members are kept current on threat issues, report to their organizations and assist in leveraging their constituencies for relief and recovery efforts. RSVP has eight volunteers who are trained C.E.R.T. (Community Emergency Response Team) instructors. They teach classes of neighborhood volunteers the basics of emergency/disaster response. These neighborhood volunteers then become the core response teams for their individual communities. The C.E.R.T. instructors are available for follow-up and refresher classes. Twenty-one trained C.E.R.T. volunteers man the RSVP Services for senior teams. Their volunteer station is the North Naples Fire District. The team has a dual function. They visit seniors in their homes, educate them and help them prepare for potential emergencies and disasters. They help them form telephone trees for emergency communication and inspect their homes for potential safety and fire hazards. Veterans and Military Families: Twenty-one RSVP volunteer drivers, most of whom are veterans themselves, staff our Veterans Transportation Program. The drivers transport veterans to South Florida VA facilities in Bay Pines, Ft. Myers, Tampa and Miami. The drivers often form personal relationships with their fellow veteran passengers, staying in touch and providing moral support. The Collier County Veterans Services Department serves as our volunteer station for the program and provides the three fleet vehicles used to transport the veterans. Economic Opportunity: RSVP volunteers will work with Habitat for Humanity, building and rehabilitating houses to make them affordable to deserving low-income families who are willing to pitch in and invest "sweat equity" in the construction process. RSVP volunteers will perform direct client assistance and support tasks to help respite centers, homeless shelters and soup to meet the increasing needs of community members in crisis. PNS Amendment(if applicable) Not Applicable Page 10 of 10 Packet Page-1220- 4/9/2013 16.D.6. w c ,L, E — o 0 cA U L En = 41 E _• to L I 0. • o L1 E crs U Ts.o w a ....1 Q 7 U a = a) o a, o L o a. b 3 .� U y U c T a" O N • U ' M ,„6 ct a) O < P. •d) k0 •••bD c'..' N c,.. E O O L a) L iii v) , a) C.) C r s U 0 C s s L d4 cam) = •- = v] a O E a U 15- w y i w W ❑ 0 Q E ° H d Q G3 R 0 <,--,O v cz, c• E a) ate) a. U L L as a) a) = "a L s U o a- E o o a E- o C) a) G . > m w a y L — " a E = C x ° � • v, at En E a E. 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N O O a) td O O -, L ,Z M w u to„ a C i O M :a > G, e.tu cA -`a = (E .4 = E 'er3 -a > o .tHtcaE � � 3b`oU > CZU4 ai, oE3 > .L > E� f� >> Q aao = ,tcn Packet Page -1229- 4/9/2013 16.D.6. cn CD U Q ' ) an ct CU 5 0 v O W 0 W kt t c� O E E czt to 0 a ti d i e y O a ) c O = c ' > o L •--..„- z >` by O O O y • =C) O� O n cA o E o i et � L 0. _' d. a) 3 L O y 0. 0 a a� 'J C h �' a.CZ CZ a) > ai = ' °) fl c cue G L Q) O .--• U . a) N as C a) cu o E a) O 1. o U i a' 'U — +•-. U 3 5 L c.. N•— o w > •' CA L CL.0. «S ... L- v a) L .. a E ai et ri C ^� ^. o o c aoi cn h CD L L U L L2 n O C ! aL HHWUh IOIIIIJH Packet Page-1230- 4/9/2013 16.D.6. ASSURANCES As the duly authorized representative of the applicant,I certify,to the best of my knowledge and belief,that the applicant: 1. Has the legal authority to apply for federal assistance,and the institutional, 8. Will comply with the provisions of the Hatch Act(5 U.S.C. 1501-1508 and managerial,and financial capability(including funds sufficient to pay the 7324-7328)which limit the political activities of employees whose principal non-federal share of project costs)to ensure proper planning,management, employment activities are funded in whole or in part with Federal funds. and completion of the project described in this application. 9. Will comply,as applicable,with the provisions of the Davis-Bacon Act(40 2. Will give the awarding agency,the Comptroller General of the United U.S.0 276a and 276a-77),the Copeland Act(40 U.S.0 276c and 18 U.S.C. States,and if appropriate,the state,through any authorized representative, 874),and the Contract Work Hours and Safety Standards Act(40 U.S.C. access to and the right to examine all records,books,papers,or documents 327-333),regarding labor standards for Federally assisted construction sub- related to the award;and will establish a proper accounting system in agreements. accordance with generally accepted accounting standards or agency 10. Will comply,if applicable,with flood insurance purchase requirements of directives. Section 102(a)of the Flood Disaster Protection Act of 1973(P.L.93-234) 3. Will establish safeguards to prohibit employees from using their position which requires the recipients in a special flood hazard area to participate in for a purpose that constitutes or presents the appearance of personal or the program and to purchase flood insurance if the total cost of insurable organizational conflict of interest,or personal gain. construction and acquisition is$10,000 or more. 4. Will initiate and complete the work within the applicable time frame after 11. Will comply with environmental standards which may be prescribed receipt of approval of the awarding agency. pursuant to the following:(a)institution of environmental quality control 5. Will comply with the Intergovernmental Personnel Act of 1970(42 U.S.C. measures under the National Environmental Policy Act of 1969(P.L.91- 4728-4763)relating to prescribed standards for merit systems for programs 190)and Executive Order(EO)11514;(b)notification of violating facilities funded under one of the nineteen statutes or regulations specified in pursuant to EO 11738;(c)protection of wetlands pursuant to EO 11990:(d) Appendix A of OPM's Standards for a Merit System of Personnel evaluation of flood hazards in floodplains in accordance with EO 11988;(e) Administration(5 CFR 900,Subpart F). assurance of project consistency with the approved state management program developed under the Coastal Zone Management Act of 1972(16 6. Will comply with all federal statutes relating to nondiscrimination. U.S.0 1451 etseq,);(f)conformity of federal actions to State(Clean Air) These include but are not limited to:Title VI of the Civil Rights Act of Implementation Plans under Section 176(c)of the Clean Air Act of 1955,as 1964(P.L.88-352)which prohibits discrimination on the basis of amended(42 U.S.C.7401 et seq.);(g)protection of underground sources of race,color,or national origin:(b)Title IX of the Education drinking water under the Safe Drinking Water Act of 1974,as amended Amendments of 1972,as amended(20 U.S.C.1681-1683,and (P.L.93-523);and(h)protection of endangered species under the 1685-1686).which prohibits discrimination on the basis of sex;(c) Endangered Species Act of 1973,as amended(P.L.93-205). Section 504 of the Rehabilitation Act of 1973,as amended(29 U.S.C.794),which prohibits discrimination on the basis of disability 12. Will comply with the Wild and Scenic Rivers Act of 1968(16 U.S.0 1271 (d)The Age Discrimination Act of 1975,as amended(42 U.S.G. et seq.)related to protecting components or potential components of the 6101-6107),which prohibits discrimination on the basis of age;(e) national wild and scenic rivers system. The Drug Abuse Office and Treatment Act of 1972(P.L.92-255),as 13, Will assist the awarding agency in assuring compliance with Section 106 of amended,relating to nondiscrimination on the basis of drug abuse; the National Historic Preservation Act of 1966,as amended(16 U.S.C. (f)The Comprehensive Alcohol Abuse and Alcoholism Prevention, 470),EO 1 1593(identification and protection of historic properties),and Treatment and Rehabilitation Act of 1970(P.L.91-616),as the Archaeological and Historic Preservation Act of 1974(16U.S.C.469a-1 amended,relating to nondiscrimination on the basis of alcohol abuse et seq.). or alcoholism;(g)sections 523 and 527 of the Public Health Service 14. Will comply with P.L.93-348 regarding the protection of human subjects Act of 1912(42 U.S.G.290dd-3 and 290ee-3),as amended,relating involved in research,development,and related activities supported by this to confidentiality of alcohol and drug abuse patient records;(h)Title award of assistance, VIII of the Civil Rights Act of 1968(42 U.S.C.3601 et seq.),as amended,relating to nondiscrimination in the sale,rental or financing 15. Will comply with the Laboratory Animal Welfare Act of 1966(P.L.89-544, of housing;(i)any other nondiscrimination provisions in the National as amended,7 U.S.C.2131 et seq.)pertaining to the care,handling,and and Community Service Act of 1990,as amended;and(j)the treatment of warm blooded animals held for research,teaching,or other requirements of any other nondiscrimination statute(s)which may activities supported by this award of assistance, apply to the application. 16. Will comply with the Lead-Based Paint Poisoning Prevention Act(42 7. Will comply,or has already complied,with the requirements of Titles 11 and U.S.C.§§4801 et seq.)which prohibits the use of lead based paint in III of the Uniform Relocation Assistance and Real Property Acquisition construction or rehabilitation of residence structures. Policies Act of 1970(P.L.91-646)which provide for fair and equitable 17. Will cause to be performed the required financial and compliance audits in treatment of persons displaced or whose property is acquired as a result of accordance with the Single Audit Act of 1984,as amended,and OMB federal or federally assisted programs.These requirements apply to all Circular A-133,Audits of States,Local Governments,and Non-Profit interests in real property acquired for project purposes regardless of federal Organizations. participation in purchases. 18. Will comply with all applicable requirements of all other Federal laws, executive orders,regulations,application guidelines,and policies governing this program. SIGNATURE OF AUTHORIZED CERTIFYING OFFICIAL TITLE C\A A.1 CI) . APPLICANT ORGANIZATION DATE SUBMITTED C_o t her Co a n-4ry Soo,ro(, d- Co -} �¢ 0 m m t SS:ICKV!"5 ,l. .., 8 to form tw I , HI SufifeienCy ATTEST: DWIGHT E. BROOK, Clerk 21 AsuiS t ?Jowl-iv Attorney Packet Page-1231- 4/9/2013 16.D.6. Instructions for Completing Station Roster List • The purpose of this form is to provide information about each station for use in Surveys by the Corporation. The contact information is collected here both for survey demographics, as well as for direct contact with either the Project Director, or particular stations (for practical aspects of the surveys, such as sending printed versions if web access is inconvenient). Please make every effort to provide complete and accurate data, as this will result in high quality research results which you may use in raising other funds. • Senior Corps is working with the various vendors of volunteer management software, which you may be using, to enable transfer of the data directly from your database to this Excel file. • For each header item with a small red triangle in the upper right corner of the cell: if you place your cursor over the cell and wait a few seconds ("hover"), a"pop-up" comment box, with further description, will appear. • Note that the spreadsheet will "scroll"up and down, leaving the column names and station names visible at all times. • Please do not change the location of each data item (e.g., moving cells or columns), as this standardized form will be combined with others from all projects to form a uniform database. • The formatting of the document is fixed, except for the ability to change the width of the columns and height of the rows. This may make for easier entry of information,but makes printing the document unwieldy. • Service Categories are listed on the worksheet tab with that label;the official list is available at http://www.seniorcorps.org/pdf/resources/ServiceCateebries.pdf(copy and paste the link into your browser window). • After completion of the list, please email to your State Office. • Please continue to keep your station roster contact information accurate, as you will be asked to provide an updated list next year. Packet Page -1232- 4/9/2013 16.D.6. Ise in Surveys by demographics, as ions (for practical [convenient). Please t in high quality nt software, which ;e to this Excel file. the cell: if you ip" comment box, ames and station ,.olumns), as this a uniform database. ie width of the atic ut makes :ial list is available and paste the link you will be asked Packet Page -1233- 4/9/2013 16.D.6. If N m r 0 o L p y U N N N m n m o ▪ Z m E LIE. 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Adult Correctional Agencies Adult Day Care All Others(specify) Animal Welfare Programs Area Agencies on Aging Before and After School Care Chambers of Commerce Clinics(non-residential) Community Development Non-Profits Community-Based Environmental Congregate Meals/Meals on Wheels Courts Day Care Day Dare(Pre-elementary) Developmental Disability Agencies(non-residential) Food Banks/Gleaning Programs Head Start Home Health Agencies(public and private non-profit) Hospices Hospitals/Medical Centers Juvenile Correctional Facilities Libraries Mental Health Programs(non-residential) Multi-Purpose Centers(Including Senior Centers) Multi-Purpose/Senior Centers Museums Native American Schools Non-Head Start Pre-Schools(education focused) Nursing homes/Convalescent Centers/Hospices Other Community and Economic Development(specify) Other Educational (specify) Other Environmental(Specify) Other Health Care Organizations(specify) • Other Public Safety(specify) Other Social Service Agencies • Parks/Recreational Agencies Police/Law Enforcement Agencies Post-Secondary Institutions Private School Public Housing Public School Public/Congregate Housing Public/Private Elementary Schools Public/Private Secondary Schools Rehabilitation Centers(excluding sheltered workshops) Residential Long-Term Care Programs Service Organizations(Lions, Elks, etc.) Sheltered Workshops/Centers(vocationally focused) Teen Pregnancy/Teen Parenting Programs Thrift Shops/Coops Total number of faith-based Stations/Volunteers Transitional Shelters/Centers(e.g. homeless, abused, other short-term Umbrella Environmental Orgs(EASI, Wildlife Society) Veterans Hospital Vocational Centers Packet Page-1236- . .,' .. I «-.4 ' V CE ;T Y ; AR :d 4/9/2013 16.D.6. Adoption Adult Day Care Adult Education and Literacy Adult Offender/Ex-offender Services&Rehabilitation Afterschool Programs America Reads Border Babies Child abuse/neglect Children and Youth Safety Programs CHIPS, SCHIPS Clean Air Clean and Safe Waters Community Policing Communiity Patrol Community Revitalization/Improvement Community/Neighborhood Restoration/Clean-up Community-Based Volunteer Programs Companionship/Outreach Computer Literacy Conflict Resolution/Mediation Congregate Meals Consumer Education Cooperatives/Credit Unions Crime Awareness/Crime Avoidance Crisis Intervention Cultural Heritage Delivery of Health Services Disaster Mitigation Disaster Preparedness Disaster Recovery Disaster Response Elder Abuse/Neglect Elementary Education Energy Conservation Environmental Awareness • ESL Family Violence Food Distribution/Collection Food Production/Community Gardens/Farming GED/Dropouts Head Start, School Preparedness Health Education Health Screening HIV/AIDS Home Management Support/Education Homeland Security: Disaster Preparedness and Relief Homeland Security: Public Health Homeland Security: Public Safety Homeless Hospice/Terminally III Housing Referrals/Relocation/Other Housing Related Services Housing Rehabilitation/Construction Immunization Improvement of Household Security Independent Living-Disabled Independent Living-Seniors Indoor Environment In-Home Care Job Development/Placement Job Preparedness, School to Work Juvenile Justice, Delinquency/Gangs Legal Assistance Library Services Management Consulting Maternal/Child Health Services Mental Health Mental Retardation Packet Page -1237- Mentoring 4/9/2013 16.D.6. Microenterprise Neighborhood Watch/Block Watch Other Community and Economic Development Other Disaster Other Education Other Environment Other Health/Nutrition Other Housing Other Human Needs Other Public Safety Physical Disabilities Programs Pre-Elementary Day Care Regional/State/City Planning Respite Safe Havens Safety/Fire Prevention/Accident Prevention Secondary Education Senior Center Programs(Non-Residential) Senior Citizens Assistance Service Learning Sexual Abuse/Rape Small and Minority Business Development Social Services Planning& Delivery Systems/Community Organization Special Education Substance Abuse Tax Consulting/Counseling Technology Access Teen Pregnancy/Parent Support Education Tenant Organizing Thrift Store Toxic Waste Management Transitional Housing Transportation Services Tutoring and Child(Elementary) Literacy Tutoring and Child (High School) Literacy Tutoring and Child(Middle School) Literacy Victim/Witness Assistance Vocational Education Waste Reduction, Management and Recycling Welfare to Work Wildlife, Land&Vegetation Protection or Restoration Youth Leadership Development • Packet Page -1238- 4/9/2013 16.D.6. a) U �- f° o a) o >, m c � o (E' c N > O) a) C U ca a) a C 2 O _c v O >' t6 O L Q- a) — O c O 'U � c k -o a 4 a) O as as N U C QS 0 CD > ac) a 0 ' U V >- N N .- C cp • I _C . ) O 'c a) , E c 76 � 5 as al "- UO O U) L. � O• a—• o a O_ O.7.(i c �' . _ 0 .,_, Z al a) cu a) a) N O - a) CO a) 'a ti z a" C 5 N co CD O C La O O - a - co_ c a N a) N > O O >:a5 64 , O N 0 p N -- ti Q) CU —Y O 0 = = E (0 i cQ om co D) o c Q . fu >, u) C N z _ ac) 'C O E O C '- 0 0 0) = Ca C c U O 0 O co U Q L: L fB -0 c 0 f U = O -p -0 t N co .— >w.., • 'C m O >, C a) >, m C o_ 0 m 0 O a U) O 0 U NO " 0) m o CL Q 0 < 0 Packet Page -1239- 4/9/2013 16.D.6. Budget Total Amount CNCS Share Share Amount $77,919 au�2a s $23,396 $0 69.97% 30.03% 0.00% Project Petsontrei Expenses:add a new budget item Posit /Title QV_ Annual$alary Time TOW Amount CrIC5 Stare Share Arnnur• cdlt .dal Social L:eap 1 1349-4 l::c:. ,534,070 ,34 SD r, edit del ,i. _. l 1 040.3,3 57,461 53 9.3 46 edit del ,..nt,ta.phao, 1 63.Inh i.. .51;903 90 50 edit del subtotal 3 5135,670. ..:438,451: 344,604 84,41n sc Personnel Fringe Senorita:add a new budget Stern Item Description Total Amount CNCS share Snare Amount cdi: eel r;.,.,... -c 199=. „ Mg.'_' 92,901 1250' 3327.el, SC edit 14.91E 113,721 11.9 97.66 0, edit aut rerbene :,1003,,Ahst h.,h.lit,340 32.532 02.342 12;0.4_. S0 edit Lou 1900,11:1 F.)100,1;.Aal v. r.ar b, 1'$9 90 90.03 03 edit subtota, 520,294 818,505 11,/2, Su Local travel:add a new budget.item Pub Calculation : Total Amount ChIC. Share Sham Amount edit del Lneal rh,nan, ,n,3 rhahh,,tl. 5,_.=536,3 936. .i'C ..i a edit del suttotel 5350 5350 Si i SO —_ Long Distance Travel:add o new budget item Purpose Destination Trans.Amount Meals/Lodging Other Travel tutai amount- ':.0140:;Shale 5ha,0 ao,oum edit':9e1 • „Sell' to 1,SC 1519 9:6 sr__ s, edit del subtotal so 0 350 ':505.0 Sv, 5252 SO Equipment:odd a new budget ken, Item/Purpose Q3 Unit Cost Total 109800 CNCS Share 3,harh *m unt edit gal "a0 ;C 50 w_ subtotal .SO su 30 30 Supplies:add a now budget item Item/Purpose Calculation .Total Amount `..05405 sh0ra. Sham *root,.. edit dal n'. t narnP:e .are'cnpv and 1190h,,uen. iae0 0493 5.•, 5C edit del subtota, :5401, Saiit, S0 SL Contractual and Consultant Services:add a new budget item Pu_. Calculation Total Amount `oso;Snare She,. Amoy,. .edit'-.Cal tnst t.rnre/ 0500 5003 8510 ie edit del 501,10,0, :..3550 554,, 5u so Othe,Volunteer Support Costs:add a new budget item Item Total Amount cries Share shore An ou,!: -etht de, 0190 1,: 5100 50 edit del la _,:al o_.,, 02255 03 edit del 5309 9_.' _ edit del ,. SC+ 1 s e.. SC, sG edit , it l 53,000 _t 39 030 5, edit del 511000tai 59,505 1253 39,35:: 50 Indirect Costs:add a new budget item - Rate Type - Cost Basis - Calculation -Rate 'Claimed Total Amount .5',5r.,,. ,r.•„ „o,nv,• „mr rra Other Volunteer Gusts i arld a new budget item Item . Description ill,.:Amour! f 0.Share Snaie ..Amou^t suit O., Medic 'S0 SC SO hh edit U ,r_ 4.0. sr 5c edit . ,an,. al!,1,, _cove,nc 1, 541_00 ,. ,4.193 50 edit Feat' _, - Annual ac,ecal,.,«a.._ $3.81 5231 h3,93g 0E edit • t r?1„ 02 ,_ _, C edit Sublets, 57,931 5283 Si,55u SL subtow. iota,amount_ :.,505 Care - ro mnur.- 06,394. :.:13 5,984 Total CNCS Share Share Amount 77888 54522 23400 677;91$ .:334.532. 523,396 0o 69.97% 30.03% 0.00% 0.700005136 0.300431389. $10,246 Packet Page -1240-