HomeMy WebLinkAbout12-06-2017 HRC Agenda Packet
City of San Luis Obispo, Council Agenda, City Hall, 990 Palm Street, San Luis Obispo
Agenda
Human Relations Commission
Wednesday, December 6, 2017
5:00 pm
REGULAR MEETING
Council Hearing Room
990 Palm Street
CALL TO ORDER: Chair Robert Clayton
OATH OF OFFICE: Samuel Hughes
ROLL CALL: Commissioners Carol Sexton, Michelle Tasseff, Brett Raffish, Barrie
DuBois, Vice-Chair Nancy Welts, and Chair Robert Clayton
PUBLIC COMMENT PERIOD: At this time, the general public is invited to speak before the
Human Relations Commission on any subject within the jurisdiction of the Human Relations
Commission that does not appear on this agenda. Although the Commission will not take action
on any item presented during the Public Comment Period, the Chair may direct staff to place an
item on a future agenda for formal discussion.
CONSIDERATION OF MINUTES
Minutes of the Regular Meeting of the Human Relations Commission of November 1, 2017.
BUSINESS ITEMS
1. Neighborhood Matching Grant Program Update – GERSHOW
PUBLIC HEARINGS
2. 2018 Community Development Block Grant (CDBG) Draft Funding Recommendations.
– VERESCHAGIN
San Luis Obispo – Regular Meeting Agenda December 6, 2017 Page 2
The City of San Luis Obispo wishes to make all of its public meetings accessible to the
public. Upon request, this agenda will be made available in appropriate alternative formats
to persons with disabilities. Any person with a disability who requires a modification or
accommodation in order to participate in a meeting should direct such request to the City Clerk’s
Office at (805) 781-7100 at least 48 hours before the meeting, if possible. Telecommunications
Device for the Deaf (805) 781-7107.
COMMISSION & STAFF COMMUNICATIONS
3. Consider Cancellation of January 2018 Meeting
ADJOURNMENT
The next Regular Human Relations Commission meeting is scheduled for Wednesday,
February 7, 2018 at 5:00 p.m., in the Council Hearing Room, 990 Palm Street, San Luis Obispo,
California.
APPEALS: Administrative decisions by the Human Relations Commission may be appealed to
the City Council in accordance with the appeal procedure set forth in Chapter 1.20 of the San
Luis Obispo Municipal Code.
Draft Minutes
Human Relations Commission
Wednesday, November 1, 2017
Regular Meeting of the Human Relations Commission
CALL TO ORDER
A Regular Meeting of the San Luis Obispo Human Relations Commission was called to order on
Wednesday, November 1, 2017 at 5:00 p.m. in the Council Hearing Room, located at 990 Palm
Street, San Luis Obispo, California, by Chair Clayton.
ROLL CALL
Present: Commissioners Michelle Tasseff, Brett Raffish, Barrie DuBois, Vice-
Chair Nancy Welts, Chair Robert Clayton, and Commissioner Carol
Sexton (arrived at 5:05 p.m.)
Absent: None
Staff: Jenny Wiseman, Acting Housing Programs Manager; Cara Vereschagin,
Planning Technician
PUBLIC COMMENT
None
CONSIDERATION OF MINUTES
ACTION: MOTION BY VICE-CHAIR WELTS, SECOND BY COMMISSIONER
DUBOIS CARRIED 5-0 to approve the minutes of the Regular Meeting of the Human
Relations Commission of October 4, 2017.
PRESENTATIONS
1. Fiscal Health Response Plan
Community Development Director Codron provided a presentation regarding the City’s
Fiscal Health Response Plan and addressed the Commissioner’s questions.
BUSINESS ITEMS
2. Review of the 2016-17 Grants-in-Aid (GIA) Year End Reports
City of San Luis Obispo, Title, Subtitle
Draft Minutes
Human Relations Commission Meeting of November 1, 2017
Page 2
The Commission discussed the year-end reports for their liaison organizations, and
briefly reported out on key accomplishments those organizations made using Grants-in-
Aid funding.
Commissioner DuBois reported that she noticed two of her liaison organizations whom
work with youth, were not seeking funding because of the recent actions by the Federal
Government.
3. Review of 2018-19 GIA Draft Application Language
Acting Housing Programs Manager Wiseman opened up discussion to review the Draft
Grants-in-Aid Application. Wiseman made brief corrections to Application during review.
The Commission discussed including a clause to the Application about potential
requirements or consequences for applicants to comply with when submitting year-end
reports.
COMMENTS & DISCUSSION
4. Staff Transition
Acting Housing Programs Manager Jenny Wiseman announced that she had taken a
position elsewhere and would leaving the City of San Luis Obispo. Wiseman informed the
Commission that Deputy Director Fowler and Planning Technician Vereschagin would be
the Staff Liaisons until the position is filled.
Commissioner Communications
Chair Clayton informed the Commission about the upcoming Council Appointment on
November 7th, 2017 for a new Human Relations Commissioner.
Vice-Chair Welts informed the Commission about the peace talk attended with Chair
Clayton and Commissioner Tasseff, on the topic of homelessness and mental illness. The
possibility of the Human Relations Commission getting more involved in this cause was
discussed.
Vice-Chair Welts suggested the Human Relations Commission organize a workshop on
the topic of diversity, to occur in the Spring. It was agreed that this item was to be put on
the February Agenda to begin the planning stages of the workshop.
ADJOURNMENT
Chair Clayton adjourned the meeting at 6:15 p.m. The next Regular meeting of the
Human Relations Commission is scheduled for Wednesday, December 6, 2017 at 5:00
p.m., in the Council Hearing Room, 990 Palm Street, San Luis Obispo, California
City of San Luis Obispo, Title, Subtitle
Draft Minutes
Human Relations Commission Meeting of November 1, 2017
Page 3
Respectfully Submitted,
Cara Vereschagin
Planning Technician; Recording Secretary
Neighborhood Matching Grant Update; HRC Meeting December 6, 2017 Page 1
MEMORANDUM
TO: Human Relations Commission
FROM: Rebecca Gershow, Associate Planner, Long Range Planning
MEETING DATE: December 6, 2017
SUBJECT: Item #1: Neighborhood Matching Grant Program Update
RECOMMENDATION
Discussion and input only; no formal recommendation needed.
PROGRAM BACKGROUND
On August 18, 2015, the City Council adopted a resolution authorizing the Neighborhood
Matching Grant Pilot Program for two years, with $5,000 available for distribution in FY 2015-
16, and $10,000 in FY 2016-17. The City Council delegated the responsibility of awarding
Neighborhood Matching Grants to the Human Relations Commission (HRC). In 2016, the HRC
awarded the City’s first three Neighborhood Matching Grants, and in 2017, the HRC awarded two
additional Neighborhood Matching Grants, which will be further described below.
On March 7, 2017, the City Council approved the continuation of the Neighborhood Matching
Grant Pilot Program for two additional years, with $20,000 available for grants in the 2017-19
Financial Plan, assuming current funding sources are identified in the existing budget to reallocate
to the Program.
This agenda item serves as a program update to the HRC, as outlined in the annual meeting
schedule.
2017-18 GRANT CYCLE (Year 3)
A few changes were made to this year’s grant cycle. The application process was simplified in
response to feedback, and to encourage more qualifying applications. Instead of completing a draft
and final application, now neighbors only complete one application, and they have more time to
do so. Neighbors are still required to contact staff in advance of applying, so that staff can answer
questions and make sure the project meets the grant criteria. The application deadline was extended
from early January to February 12, giving applicants more time after the holidays to complete their
application. This also means that the HRC will not be making grant decisions until their April 4,
2018 meeting.
The 2017-18 Grant Cycle opened on October 2. For the third year of the program, a variety of
different ways have been used to advertise the opening of the grant cycle: E-notifications were
sent out twice; a short video was developed; several notifications were placed on City social media
(Twitter, Facebook and Instagram); a flyer was developed and distributed in advance of the
informational meeting; and an article was written for the Neighborhood Hub Newsletter. Five
Neighborhood Matching Grant Update; HRC Meeting December 6, 2017 Page 2
people attended an informational meeting, and staff has been responding to approximately one
inquiry a week. We will be meeting with two different potential applicants the week of November
27. We encourage HRC members to share grant information with their neighbors.
YEAR 2 PROJECT UPDATE
Table 1
Neighborhood Matching Grants Awarded on February 1, 2017
Name Address/Location Applicant Funds
Requested
1. Pop-up Parties (PUPs) Serra Meadows Cesar Torres Bustamante $1,982
2. Mitchell Park Renewed Mitchell Park Trudy Lindaman $5,000
Pop Up Parties (PUPs): Serra Meadows neighbors have so far held two events: a piñata-making
party followed by a piñata contest and celebration, and a Halloween Party. The intent of the grant
was to combine fun neighborhood gatherings with emergency preparedness. As Serra Meadows is
a new neighborhood, these gatherings would foster a sense of community and connectedness
among neighbors. Below is the event flyer.
Neighborhood Matching Grant Update; HRC Meeting December 6, 2017 Page 3
Mitchell Park Renewed: Mitchell Park neighbors rehabilitated the landscaping in two prominent
park areas: the bandstand and the Senior Center, at the corner of Santa Rosa and Buchon Streets.
The project serves as a model of xeriscape gardening. Using drought-tolerant, low-maintenance
plants, the new landscape highlights and enhances the former Kindergarten School, one of the
city’s historic resources. The project was completed in the Spring, and neighbors continue to
monitor the site. Below, neighbors recruited the Cal Poly baseball team to help with site prep.
NEXT STEPS
Staff will continue to promote the Neighborhood Matching Grant program, and work with
applicants to assist them in submitting complete applications by the February 12, 2018 deadline.
After projects are submitted, staff will make funding recommendations to the HRC for final
funding decisions on April 4, 2018. For those projects selected, staff will develop project contracts,
and work will begin by May 5, 2018. Staff will oversee grant administration, including project
monitoring and reimbursement requests.
ATTACHMENTS
2017-18 Neighborhood Matching Grant Program Guidelines
2017-18 Neighborhood Matching Grant Application
City of San Luis Obispo, Community Development, 919 Palm Street, San Luis Obispo, CA, 93401-3218, 805.781.7170, slocity.org
Neighborhood Matching Grant Pilot Program 2017-18 Guidelines Page 1
Neighborhood Matching Grant Program
2017-18 Guidelines
What is the Neighborhood Matching Grant Program?
San Luis Obispo’s quality of life is tied to strong neighborhoods and active residents. The
purpose of the Neighborhood Matching Grant Program is to support grassroots projects
that enhance and strengthen neighborhoods. All projects are initiated, planned and
implemented by neighborhood members in partnership with the City. Neighborhood
involvement and relationship building are key components of the program.
Grant requirements include: a match amount from the neighborhood equal to or greater
than the grant request; tangible neighborhood benefits; documented neighborhood
support and involvement; project readiness; and project sustainability, as described further
below.
The Neighborhood Matching Grant Program was originally authorized in the 2015-17
Financial Plan as a two-year pilot program. $5,320 was awarded in year 1, and $6,982 was
awarded in year 2. It was reauthorized in the 2017-19 Financial Plan, with $20,000 available
for grants.
Grant requests may range from $250 to $5,000 and for every dollar awarded by the City,
the neighborhood provides an equal or greater match consisting of volunteer labor,
donated professional services, donated materials and/or direct financial contributions.
Who is Eligible to Apply?
Proposals will be accepted from groups of people living or owning property within the
neighborhood. A neighborhood group may be an existing group whose membership is from
a commonly-recognized geographic area (e.g., neighborhood association, homeowners
association) or an ad hoc group formed to work together on a specific project. Many areas
in San Luis Obispo do not have identified neighborhood boundaries or organized
representation; therefore it is up to the group applying for funds to demonstrate that they
are representing their neighborhood.
Neighborhood Matching Grant Pilot Program 2017-18 Guidelines Page 2
Although businesses or community-based organizations (public, private or non-profit) are
not eligible to apply on their own, they may do so in active partnership with a lead
neighborhood group.
What Types of Projects May be Considered?
Projects may include, but are not limited to:
• Physical improvement projects that improve or enhance publicly visible areas of the
neighborhood, including landscape improvements, tree planting, waterway
enhancement, and natural area restoration activities.
• Events, activities and celebrations open to all neighborhood residents that
encourage interaction and communication between residents.
• Initiatives that serve to create, expand or increase participation in a neighborhood-
organization, or promote an understanding of issues important to neighborhood
residents.
As this is a pilot program, staff is interested in hearing what kinds of projects residents
believe will benefit their neighborhoods. Early consultation with City staff is encouraged.
What Types of Projects are NOT Eligible?
Grant funds cannot be used for:
• Projects that conflict with existing City policies, standards or codes
• Duplication of existing activities or services
• Operating expenses that are not directly related to the neighborhood project
• Projects fully outside the City limits
• Expenses or financial commitments made before the project contract is signed
• Funding for items or services not included in the project description
• Projects that require new connections to utilities
• Alcoholic beverages
• Public art projects (There is an existing program to support these types of projects.
Please contact Public Art Manager Melissa Mudgett at (805)781-7296.)
• Neighborhood Traffic Management CIP projects (There is an established NTM
program. Please contact Transportation Manager Jake Hudson at (805)781-7255 for
more information.)
How Are Projects Selected?
Projects are selected using the Project Criteria. The Human Relations Commission (HRC),
an advisory body to the City Council, will select Neighborhood Matching Grant projects.
Neighborhood Matching Grant Pilot Program 2017-18 Guidelines Page 3
The HRC has the discretion to approve full or partial funding for any or all of the project
applications submitted. However, the HRC is not required to allocate any or all of the grant
money for a cycle if it determines that proposals require further refinement or
consideration at a later date.
Proposed projects will be scored and ranked on how well they meet the following Project
Criteria:
Tangible Neighborhood Benefits (35 points)
The project:
• Produces an observable improvement to the neighborhood
• Provides a continuing benefit into the future
• Reflects a priority need of the neighborhood in which it is proposed
Neighborhood Involvement and Support (35 points)
The project:
• Fosters collaboration between neighbors, and maximizes opportunities for
neighbors to participate
• Clearly describes your neighborhood boundary, and quantifies the number of
people outreached to, in support of and participating in your project
• Demonstrates a broad neighborhood commitment. Ideas include:
o Circulate information regarding the proposed project to all addresses in the
neighborhood. Include renters, owners, and businesses (if present). Provide
a way for recipients to express support or concern to the person or group
leading the effort.
o Post notices of the proposal in the neighborhood, with information on how
to provide feedback and get involved
o Obtain letters of support from neighbors
o Include a list of signatures from those who are supportive of the project
o Include a list of neighbors who will be participating in the project (not just in
support of it)
o Discuss your project at a neighborhood association meeting, or other similar
forum
Project Readiness (20 points)
• The application is completed and consistent with grant guidelines
• The project is clearly defined and feasible
• For physical improvements, including landscaping, ongoing and long-term
maintenance is adequately addressed
• The project budget is based on documented and verifiable costs and specifications
• The project will be managed by capable operational and fiscal managers
• The project is compatible with plans, policies and practices of City of San Luis
Obispo
Neighborhood Matching Grant Pilot Program 2017-18 Guidelines Page 4
• Permission has been secured for use of the site from the property owner(s)
• The matching portion of the grant, including the availability of volunteers and
donated materials, is well documented and credible
Sustainability (10 points)
The project:
• Contributes to the environmental health of our community
• Has a positive effect on the local economy and minimizes costs to the community,
now and over the long term
• Supports responsible stewardship of public resources
• Contributes to social equity by including vulnerable or underrepresented
populations or promoting community safety and cultural awareness while building
relationships and neighborhood cohesion.
• Contributes to the goal of evenly distributing grant awards to neighborhoods
throughout the community
What Are the Project Match Requirements?
Requested grant funds must be matched by an equivalent amount of volunteer labor,
donated materials and supplies or professional services. The following are the project
match requirements:
• This is a 1-to-1 match grant, meaning the value of your match must be equal to or
greater than the grant amount of funds requested
• No more than 25 percent of volunteer labor may come from outside of the
neighborhood
• Other City resources may not be included as a match
• Only volunteer labor or professional services contributed after the grant agreement
is signed can be counted towards the match
• The value of volunteer labor is based on the latest estimated value for volunteer
time. Currently, this value is $24.141 per hour.
• Donated materials or supplies are valued at their retail price. Loaned equipment
may also be included as part of the match and valued at the standard rental fee.
• Professional services are valued at the reasonable and customary value of the
product or service provided. Donors of professional services must provide the value
of their contributions with documentation of professional qualifications.
• A Match Pledge Form provided with the application must be used to document
volunteer labor, materials, supplies and services, and copies of the completed forms
must be included with the final application.
• All portions of the match must be able to be documented .
1 Independent Sector, https://www.independentsector.org/volunteer_time
Neighborhood Matching Grant Pilot Program 2017-18 Guidelines Page 5
What Project Costs are Eligible for Reimbursement?
This is a reimbursement grant. Meaning, after your project is complete, the City will
reimburse you for actual expenses. In order to be eligible for reimbursement, items and
their estimated costs must be described in the project application budget. Eligible items
must be specifically purchased for the implementation of the project, and may include:
materials and supplies, professional services, rented equipment (e.g. tables, chairs, tents,
tools), food and drink (non-alcoholic), permit costs, insurance costs, plant materials, soil
supplements and other related expenses. All reimbursement requests must include
sufficient documentation. Only direct project costs documented in the project application
are eligible for reimbursement.
What is Required to be Submitted for the Project Application?
The following information is included in the Neighborhood Matching Grant Application:
• Application Checklist
• Project Information
• Project Narrative (includes a project description and how it meets the project
criteria)
• Project Schedule
• A Project Budget that includes estimates for:
o All materials and supplies
o Permits (if applicable)
o Insurance (if applicable)
o All other project expenses
o Identified neighborhood match
• Required Attachments:
o Location/Site Map, including neighborhood boundary
o Match Pledge Form (documentation of volunteer commitments, donated
materials and/or professional services)
o Neighborhood Petition Form
o Written permission from the property owner (if applicable)
It is required that applicants discuss their project with City staff before submitting a
Project Application to gain a full understanding of project expectations and
requirements. Contact Associate Planner Rebecca Gershow at (805)781-7011 or at
rgershow@slocity.org.
See the Neighborhood Matching Grant Application for full submittal details.
Neighborhood Matching Grant Pilot Program 2017-18 Guidelines Page 6
How Do I Develop a Successful Project?
Step 1: Select a project for your neighborhood, and build neighborhood support
Choose a project that will generate as much neighborhood support as possible. Successful
projects will have a well-defined set of goals and objectives, as well as a detailed list of the
steps and activities required to meet those goals and objectives. Take your cues from
neighborhood discussions – is there a known problem or issue in the area? Is there an
opportunity to build neighborhood relationships? As much of the neighborhood as
possible should be involved in identifying and shaping the project. Including the entire
neighborhood in the development of the project will increase support for the project. So
will meeting the Project Criteria (see Page 3).
Step 2: Discuss your project early with City staff
Discuss your project with City staff well before submitting an application to make sure your
project qualifies for a neighborhood matching grant, or to ask questions and receive
technical assistance. Contact Associate Planner Rebecca Gershow at (805)781-7011 or
rgershow@slocity.org.
Step 3: Ensure site control
If your project involves property which your applicant group or organization does not own,
you must obtain written permission from the owner. Projects may involve private property,
but must provide a clear public benefit, and documentation must be provided that
confirms property owner support and approval of the proposal.
Step 4: Commit to maintaining your project
If your project is a capital improvement or involves new plantings, you will need to commit
to maintaining it for at least 5-years.
Step 5: Research the regulations
Many projects need permits, insurance, or design review before proceeding, and may have
a lengthy process for getting approved. Grant funds are contingent on meeting city
standards and approvals. Find out what regulations and permits apply to your project and
how much they cost by looking on the City web site and talking to City staff (see Step 2).
Step 6: Determine resources needed
What will it cost to complete your project? Develop a list of all the resources needed at
each step of the way. Resources include expertise, equipment, supplies, volunteers,
services, permit fees, etc. Identify which of those resources you can provide as your match,
and clearly document in the application.
Step 7: Insurance
Depending on the nature of the project, you may be required to have liability insurance to
limit the liability of your organization and the City. If your project will involve the use of a
contractor, the City of San Luis Obispo will require proof of liability insurance from the
Neighborhood Matching Grant Pilot Program 2017-18 Guidelines Page 7
contractor. Usually, liability waivers will be adequate. If applicable, the cost of insurance
must be reflected in your project budget.
Step 8: Develop a budget and project schedule
Project budgets should be as comprehensive and accurate as possible:
• When possible, get cost estimates from more than one reliable source
• Provide documentation of professional qualifications to justify professional rates
• Include permit and insurance costs, if applicable
• Use the budget form provided in the application
Project schedules should be realistic, reflect the schedule constraints of potential service
providers and typically designed to be completed within one year from final contracts.
What Are the Program Deadlines and Important Dates?
Grant Cycle Opens: Monday, October 2, 2017
Grant Info Meeting: Monday, October 30, 2017 at 12:00 pm at 919 Palm
St, Conference Room 1. Bring your lunch.
Application Deadline: Monday, February 12, 2018 at 5:00 pm
Funding Decisions On: Wednesday, April 4, 2018
Contracts Signed By: May 4, 2018
Projects Completed By: One year from final contract
How Do I Apply?
Application materials will be available online (www.slocity.org) on Monday, October 2,
2017. Final Applications are due by 5 pm on Monday, February 12, 2018. Final
applications must be complete, with all documentation provided. Incomplete applications
will not move forward for consideration.
It is required that applicants discuss their project with City staff before submitting a
Project Application to gain a full understanding of project expectations and
requirements.
All applications should be dropped off, mailed or emailed to the attention of: Rebecca
Gershow, Associate Planner, Long Range Planning, Community Development Department,
919 Palm St, San Luis Obispo, CA 93401. Email: rgershow@slocity.org. See the
Neighborhood Matching Grant Application for more information.
What Happens If My Project Is Selected?
Congratulations! You are almost ready to get started.
Neighborhood Matching Grant Pilot Program 2017-18 Guidelines Page 8
Grant Agreements: Successful applicants will enter into an agreement with the Community
Development Department that details the terms and conditions of the grant. Grant
recipients will be eligible for reimbursement of expenses incurred only after grant
agreements are in place.
Fiscal Agents: Applicants will need to identify someone to handle and account for the
money raised as well as the funds the City reimburses for the project. The person who
handles the financial side of the project is called a fiscal agent.
Reimbursement: If your project is awarded a grant, purchases that were clearly identified
in the project budget will be reimbursed by the City. At completion of the project, the fiscal
agent will submit receipts for reimbursement, along with project match and photo
documentation of the completed project and the City will issue a reimbursement check.
Project Examples From Other Communities
Below are neighborhood matching grant projects from other communities. Feel free to use
these examples to generate ideas for a matching grant in your neighborhood, or come up
with your own!
• Invasive species removal and native plant restoration. Includes a commitment to
water during plant establishment
• Construction of raised accessible garden beds for neighborhood use, with optional
education programs on urban gardening
• Installation of theft-resistant, decorative neighborhood signs
• Free outdoor “theater in the park” performance, or concert in the park
• Traffic circle landscaping
• Bike path beautification
• Tree planting (along streets or in underutilized open spaces or parks)
• The start-up of a new neighborhood association
• Neighborhood BBQ and clean-up event
• Turf removal along a neighborhood street, and replanting with drought-tolerant
native landscaping
• Organizing a neighborhood book drive – collection and purchase of books for
neighborhood elementary school kids to take home over the summer
• Installing bike racks at needed locations in neighborhood
• Neighborhood pancake breakfast
• “Neighbors Night Out”– a free, family-friendly event with entertainment sponsored
by the neighborhood association to bring neighbors together
• Neighborhood web site or newsletter
• Development of a Neighborhood Tool Co-Op or Neighborhood Sharing Program
• Neighborhood elementary school butterfly garden
City of San Luis Obispo Neighborhood Matching Grant Application 2017-18
1 Community Development Department | 919 Palm Street | San Luis Obispo, CA 93401 | 805/781-7170
Neighborhood Matching Grant Program: 2017-18 Application
For the grant cycle opening October 2, 2017
Application deadline: February 12, 2018, 5 pm
Thank you for applying for a Neighborhood Mat ching Grant! Before filling out a project application:
Please read the Neighborhood Matching Grant Program Guidelines.
Discuss your project idea with the Neighborhood Matching Grant Program staff. Call or email
Associate Planner Rebecca Gershow at 805/781-7011 or rgershow@slocity.org.
1.
2.
Application submittal: One original hard copy and one scanned and emailed .pdf of the
application and all attachments are due by 5:00 pm, Monday, February 12, 2018.
The Application must include all of the Application Checklist components. Incomplete applications
will not be considered for funding. Submit one original and one .pdf of the full application,
including all attachments. Since we will be making copies of your application, please do not staple.
Affix with a binder clip or paper clip.
Applicants are required to discuss their project with City staff before submitting applications.
3.
See the Application Checklist on the next page for the required application components.
Submit Applications to: Rebecca Gershow, Associate Planner
Community Development Department
919 Palm St
San Luis Obispo, CA 93401
Phone: 805/781-7011
Email: rgershow@slocity.org
City of San Luis Obispo Neighborhood Matching Grant Application 2017-18
2 Community Development Department | 919 Palm Street | San Luis Obispo, CA 93401 | 805/781-7170
Application Checklist
Use this checklist as a tool to ensure all required compo nents are submitted with your final application.
Please attach it as the first page of your application.
Application Checklist
Project Information
Project Narrative
Project Schedule
Project Budget Worksheets (Project Expenses and Project Match)
Required attachments:
Location/Site Map, including neighborhood boundary
Match Pledge Form
Neighborhood Petition Form
Written permission from the property owner, if applicable
Responses to staff comments, if applicable
Other (non-required) attachments (please specify):
My Application includes all documents listed above, submitted by 5 pm
on February 12, 2018, including:
One (1) original application including all attachments submitted to 919 Palm
St, San Luis Obispo, CA, 93401, Att: Rebecca Gershow, Associate Planner.
One (1) application including all attachments in PDF format, submitted via
email to rgershow@slocity.org .
City of San Luis Obispo Neighborhood Matching Grant Application 2017-18
3 Community Development Department | 919 Palm Street | San Luis Obispo, CA 93401 | 805/781-7170
Project Information
Project Identification
Project Name:
Project Address or Location:
Briefly describe the project in 50 words or fewer:
Applicant Information
Applicant: (name of neighborhood
organization or ad-hoc group)
Primary Contact:
Mailing Address:
Phone: Email:
Secondary Contact :
Mailing Address:
Phone: Email:
The signatory below declares that s/he is authorized to act on behalf of the applicant organization or
group, and assures that (1) the information contained in this application is, to the best of my knowledge,
true and accurate, (2) a majority of the neighborhood, as described in the grant application, supports
this project, and (3) any funds received will be used only for purposes set forth herein.
Printed Name: Signature:
Mailing Address (if different
than above):
Phone: Email:
Project Funding Summary (from Project Budget Worksheets)
Total Neighborhood Match: (d) $
Grant funds requested: (a) $
City of San Luis Obispo Neighborhood Matching Grant Application 2017-18
4 Community Development Department | 919 Palm Street | San Luis Obispo, CA 93401 | 805/781-7170
Project Narrative
Please provide responses to the following four questions, which are based on the Project Criteria listed on
pages 3-4 of the Grant Guidelines. Please limit your responses to no more than 250 words per question.
Grant reviewers respond best to clear, concise narrative.
1.Project Description and Neighborhood Benefits
Please describe your project and the group applying for funds. Why do you feel your project is
important to your neighborhood? Please explain how you will ensure its success.
2.Neighborhood Involvement and Support
Clearly describe your project location and neighborhood. Please quantify the number of people
outreached to, in support of and participating in your project , and how your project demonstrates a
broad neighborhood commitment. Attach supplemental information, as appropriate.
City of San Luis Obispo Neighborhood Matching Grant Application 2017-18
5 Community Development Department | 919 Palm Street | San Luis Obispo, CA 93401 | 805/781-7170
3.Project Readiness
Please summarize your project’s budget, match and schedule, and how it will be managed. For physical
improvement projects, how will you address long-term maintenance? Please identify any approvals or
permits necessary for project success, as well as plans or policy documents that support your project.
For Final Application submittal only: Explain how you have addressed any issues raised by staff during
the Draft Application review.
4.Sustainability Values
As applicable, describe how your project is sustainable. Such as, how it contributes to the
environmental health of our community, will have a positive effect on the local economy, supports
responsible stewardship of public resources, and contributes to social equity in San Luis Obispo.
City of San Luis Obispo Neighborhood Matching Grant Application 2017-18
6 Community Development Department | 919 Palm Street | San Luis Obispo, CA 93401 | 805/781-7170
Project Schedule
Some ideas for how to develop a project schedule:
List in chronological order the steps you will take to carry out your project after it has been awarded
grant funds (Step or Activity).
Identify who will be primarily responsible for each step or activity (Person or Group Responsible).
Estimate the month and year the step or activity will be completed (Date Completed).
Projects should be completed within one year of the signed agreement with the City.
Step or Activity Person or Group Responsible Date Completed
City of San Luis Obispo Neighborhood Matching Grant Application 2017-18
7 Community Development Department | 919 Palm Street | San Luis Obispo, CA 93401 | 805/781-7170
Project Budget Worksheets
Please use the following worksheets to estimate your project’s expenses and neighborhood match. When
creating your project budget, it’s a good idea to get estimates from more than one reliable source. Only
items included as Project Expenses below are eligible for reimbursement. Don’t forget to keep all of your
receipts for when you submit your reimbursement requests at the completion of your project. Please see
the Grant Guidelines for more information, and if you have a question, ask us!
Project Expenses
The following types of expenses are reimbursable:
Materials/Supplies (e.g., construction or planting materials, non-alcoholic refreshments, etc.)
Printing/Reproduction (e.g., fliers, invitations, newsletters, etc.)
Capital Purchases (e.g., signage, bike racks, etc.)
Rentals/Lease (e.g., equipment, tools, chairs, tables, tents, PA system, etc.)
Contracted Services (e.g., site planning, concrete pouring, etc.)
Other Project Expenses (e.g., permit fees, insurance, etc.)
Please list your proposed project expenses below, with as much specificity as possible.
Project Expenses: Amount:
$
$
$
$
$
$
$
$
$
$
$
$
Grand Total of Reimbursable Expenses:* a) $
*These are the grant funds you are requesting
City of San Luis Obispo Neighborhood Matching Grant Application 2017-18
8 Community Development Department | 919 Palm Street | San Luis Obispo, CA 93401 | 805/781-7170
Project Match
The following types of donations and volunteer hours are eligible to be used as your project match:
In-kind donations. Include the person or group and the services or goods donated.
Volunteer hours. Include the activity to be performed, person or group volunteering, and number
of volunteer hours. Volunteer time is valued at $24.14/hr.
Please review the match requirements in the Grant Guidelines before completing.
In-kind Donations Amount:
$
$
$
$
Total donations: b) $
Volunteer Participation* Hours:
Amount:
(Hours x $24.14)
$
$
$
$
$
$
$
$
Total volunteer hours: c) $
*No more than 25 percent of the total volunteer hours may come from outside of the neighborhood.
Grand Total of Project Match = in kind donations + volunteer participation (b+c) d) $
Must be equal to or greater than the grand total of reimbursable expenses (a)
Meeting Date: December 6, 2017
Item Number: 2 2
HUMAN RELATIONS COMMISSION AGENDA REPORT
SUBJECT: 2018 CDBG Funding Recommendations
PROJECT ADDRESS: Citywide BY: Cara Vereschagin, Planning Technician Phone Number: 781-7596 e-mail: cveresch@slocity.org
FILE NUMBER: GENP-1188-2017
BACKGROUND
The City received a total of three 2018 CDBG applications requesting a total of $731,250. Estimated
funding for the 2018 Program Year is $444,380. Of the total estimated allocation, 20% of the funds are
reserved for administrative costs. Since the County has taken over the main portion of each
jurisdiction's administrative duties, 65% of the total administrative funds for the City are claimed by
the County and only 35% of the total administration funds stay with the City. Therefore, of the City’s
$444,380 estimated allocation, the City will receive $31,107 for administration purposes and $57,769
will go towards County administrative costs.
FUNDING PRIORITIES
On November 7, 2017, the City Council endorsed the HRC’s recommended CDBG funding priorities
for 2018. The ranked priorities established by the HRC and City Council are:
1. Provide emergency and transitional shelter, homelessness prevention and services.
2. Develop and enhance affordable housing for low and very-low income persons.
3.Promote accessibility and/or removal of architectural barriers for the disabled and elderly.
4.Enhance economic development (to include seismic retrofit, economic stability, low and
moderate income jobs).
PROGRAMS RECOMMENDED FOR FUNDING
The above priorities are used as the basis for making recommendations regarding the 2018 CDBG
applications. Staff is recommending priority funding for two of the three applications, as shown in
Attachment A, which are further described below. Both programs reflect projects that align with the
first and second established Funding Priorities. A copy of each of the 2018 CDBG applications is
provided for HRC review in Attachment B.
Project Overview and Funding Recommendations
1.CAPSLO (40 Prado Homeless Services Center): CAPSLO has requested $131,250 in CDBG
funds to assist with operational costs for the 40 Prado Homeless Services Center. The City
typically chooses to fund 100% of the public services allocation of CDBG funds (15% total) to
GENP-1188-2017 (Citywide)
Page 2
homeless shelters and services. The estimated public services allocation is $66,657 and
therefore the City is recommending funding $66,657 to CAPSLO.
2.SLONP and HASLO (Courtyard at the Meadows): The San Luis Obispo Nonprofit Housing
Corporation and the Housing Authority of San Luis Obispo are partnering to develop Courtyard
as the Meadows, a 36-unit affordable housing development which will house low and very low
income persons, in the desirable Serra Meadows neighborhood. They have requested $350,000
in CDBG funds to cover site acquisition, a process identical to the Bishop Street Studios
acquisition which received 2017 CDBG Funds. Staff is recommending funding the entirety of
the remaining funds allocated to housing and public facilities, a sum of $288,847, to this very
crucial affordable housing project.
ALTERNATIVE PROGRAM RECOMMENDED FOR FUNDING
In the case that either of the above funding recommendations are not approved by the County of San
Luis Obispo, Staff recommends any residual funding be allocated to the remaining CDBG Application
received. This program and recommendation is further described below.
3.City of San Luis Obispo (Curb Ramps): The City of San Luis Obispo Public Works
Department has requested $250,000 for curb ramp replacement projects to remove architectural
barriers for disabled and elderly persons. As this application aligns with the third established
Funding Priorities for 2018 CDBG awards, Staff determined this project be considered after the
two programs described above.
HRC Role
These recommendations are provided for the benefit of the public and HRC. The HRC’s role is to
consider these recommendations in light of public testimony and either, (1) accept the allocations
proposed if the HRC concurs, or (2) make changes so that the recommendation reflects the views of a
majority of the Commission. The adopted priorities should guide the Commission throughout the
discussion.
The HRC’s recommended allocations will be forwarded to the County for incorporation into the Draft
Action Plan for the 2018 CDBG program year. The entire Draft Action Plan will be considered by the
Council in March 2018.
Attachments
A.2018 CDBG Funding Recommendations
B. 2018 CDBG Applications
2018 CDBG General
Fund
Other
Sources
No. Activity (Note 1)(Note 2)(Note 3)Total
Public Services $66,657 Available (15% of $444,380)
1 40 Prado Homeless Shelter 131,250$ 66,657$ 132,000$ -$ 198,657$
SUBTOTAL, Public Services - 15% Max 131,250$ 66,657$ 132,000$ -$ 198,657$
2 Affordable Housing Site Acqusition:
Courtyard at the Meadows 350,000$ 288,847$ -$ 600,000$ 888,847$
3 ADA Street Improvements - Curb
Ramps 250,000$ -$ -$ -$ -$
SUBTOTAL, Housing/Public Facilities 600,000$ 288,847$ -$ 600,000$ 888,847$
4a CDBG Administration 31,107$ 31,107 -$ -$ 31,107$
4b County of SLO (Note 4)CDBG Administration 57,769$ 57,769$ -$ -$ 57,769$
88,876$ 88,876$ 88,876$
820,126$ 444,380$ 132,000$ 600,000$ 1,176,380$
1 Estimated Funding for CDBG Program Year 2018: $444,380
2 Tentative General Fund allocations for FY 18-19 (Estimate based on combined Prado Day and Maxine Lewis Shelter funds)
3 Anticipated Affordable Housing Fund Award, Final Award Subject to Council Approval
4 CDBG administration funding share per the 2018-20 Cooperation Agreement
City of SLO
SUBTOTAL, Program Admin/Planning - 20% Max
TOTAL
NOTES:
HASLO & SLONP
Program Administration $88,876 Available (20% of $444,380)
City of SLO
2018 CDBG Preliminary Funding Recommendations
Amount Recommended
Amount
RequestedApplicant
CAPSLO
Housing & Public Facilities $288,847 Available
Page 1
AT
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A
C
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M
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A
COUNTY OF SAN LUIS OBISPO
DEPARTMENT OF PLANNING & BUILDING
HSG-1003
09/08/2017
Community Development Block Grant (CDBG)
Program Year 2018 Application
976 OSOS STREET, ROOM 300 | SAN LUIS OBISPO, CA 93408 | (805) 781-5600 | TTY/TRS 7-1-1 PAGE 1 OF 21
www.sloplanning.org | actionplan@co.slo.ca.us
The County of San Luis Obispo is pleased to announce the availability of funds for the Community
Development Block Grant (CDBG) program. Applications MUST address one of the three national objectives
set by the U.S. Department of Housing and Urban Development (HUD), or they will NOT be considered for
CDBG funding (see the section on Qualifying Criteria for detailed information on the objectives).
Furthermore, completed applications should provide the necessary exhibits, budgets, or requested
information on targeted populations. Please email grant applications to ActionPlan@co.slo.ca.us by the
application deadline of 5:00 P.M., Friday, October 20, 2017. Please label your email subject with the grant
program name and the agency name (Example: CDBG – CAPSLO). *Note: Supplemental documents and
information or answers which exceed the allotted space or character limit may be added as attachments.
APPLICANT INFORMATION
(1-1) Organization Name
DUNS Number
Contact Person/Title
Phone/Fax Numbers
Email
Address
City, State, Zip
PROJECT SUMMARY
(2-1) Project/Program Title
Project/Program Address
Jurisdiction/Area Served
Targeted clientele
Project type (select one):
Public Service Public Facilities Economic Development Housing
(2-2) Brief Project Description:
(2-3) Total CDBG Funding Requested
Total Cost to Complete Project
Anticipated Start Date:Anticipated End Date:
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ATTACHMENT B
HSG-1003
09/08/2017
2018 CDBG APPLICATION
976 OSOS STREET, ROOM 300 | SAN LUIS OBISPO, CA 93408 | (805) 781-5600 | TTY/TRS 7-1-1 PAGE 2 OF 21
planning@co.slo.ca.us | www.sloplanning.org
AGENCY DETAILS, CAPACITY, AND EXPERIENCE (25 points)
(3-1) Type of Agency 501 (c)(3) For Profit Gov’t/Public Faith-based Other:
Date of Incorporation Annual Operating Budget
Number of Paid Staff Number of Volunteers
(3-2) Agency Mission Statement:
(3-3) Please describe your organization’s capacity to implement the proposed project/program. Who will
be involved in the project/program? (In-house employees, contractors, other agency partners, etc.)
1ER]
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ATTACHMENT B
HSG-1003
09/08/2017
2018 CDBG APPLICATION
976 OSOS STREET, ROOM 300 | SAN LUIS OBISPO, CA 93408 | (805) 781-5600 | TTY/TRS 7-1-1 PAGE 3 OF 21
planning@co.slo.ca.us | www.sloplanning.org
(3-4) Briefly describe your agency’s record keeping system with relevance to the proposed
project/program:
(3-5) Briefly describe your agency’s auditing requirements, including those for the proposed
project/program, and attach a copy of your most recent audit:
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ATTACHMENT B
HSG-1003
09/08/2017
2018 CDBG APPLICATION
976 OSOS STREET, ROOM 300 | SAN LUIS OBISPO, CA 93408 | (805) 781-5600 | TTY/TRS 7-1-1 PAGE 4 OF 21
planning@co.slo.ca.us | www.sloplanning.org
(3-6) Will the services offered by your organization increase or expand
as a result of CDBG assistance? If YES, please answer the following two
questions.
Yes No
What new programs or services will be provided?
Describe how existing programs or services will be expanded and what percentage of an increase is
expected?
(3-7) If your program serves homeless households, please describe how your program coordinates with
other homeless service providers to connect homeless individuals and families to resources.
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ATTACHMENT B
HSG-1003
09/08/2017
2018 CDBG APPLICATION
976 OSOS STREET, ROOM 300 | SAN LUIS OBISPO, CA 93408 | (805) 781-5600 | TTY/TRS 7-1-1 PAGE 5 OF 21
planning@co.slo.ca.us | www.sloplanning.org
QUALIFYING CRITERIA (10 points)
The Community Development Block Grant program was established by Congress in 1974 with
passage of the Housing and Community Development Act and is administered by the United
States Department of Housing and Urban Development (HUD). This program provides funds to
municipalities and other units of government around the country to develop viable urban
communities. This is accomplished by providing affordable, decent housing, a suitable living
environment and by expanding economic opportunities principally for low and moderate income
persons. Although local units of government develop their own programs and funding priorities,
all activities must be consistent with one or more of the following HUD national objectives:
Principally benefits low- and moderate-income persons
Prevents or eliminates slum or blight
Addresses an urgent need or problem in the community (e.g., natural disaster)
As an entitlement Urban County under the CDBG program, the County of San Luis Obispo receives
annual funding allocations from the federal government to fund activities to address these
national objectives.
As a funding recipient, San Luis Obispo County is required to submit an Annual Action Plan that
describes how the Urban County will utilize federal funds to address the national objectives in a
manner that will produce the greatest measurable impact on the Urban County communities. The
lead agency responsible for submission of this Plan to HUD is the Planning and Building
Department of the County of San Luis Obispo.
(4-1) Please identify the appropriate CDBG objective that applies to the proposed
project/program by checking the box next to A, B, or C. In addition, please provide a
corresponding explanation of how the proposed activity meets the national objective.
A.Objective One – Low/Moderate Income (check one):
Note: To meet this national objective, the proposed activity mus t benefit a specific clientele or
residents in a particular area of the County or participating city, of which at least 51 percent of who
are low- and moderate-income persons.
Select one:
Area Benefit – The project serves only a limited geographic area which is proven by 2010 Census
data or survey to be a predominately (51% or more) low/moderate-income area. Applicants choosing
this category must be able to prove their project/activity primarily benefits low/moderate-income
households.
Clientele – The project benefits a specific group of people, at least 51% of whom are
low/moderate-income persons. Note: Income verification for clients must be provided for this
category; however, the following groups are presumed to be low/moderate-income: abused
ATTACHMENT B
HSG-1003
09/08/2017
2018 CDBG APPLICATION
976 OSOS STREET, ROOM 300 | SAN LUIS OBISPO, CA 93408 | (805) 781-5600 | TTY/TRS 7-1-1 PAGE 6 OF 21
planning@co.slo.ca.us | www.sloplanning.org
children; elderly persons; battered spouses; homeless persons; illiterate adults; adults meeting
census definition of severely disabled; persons living with AIDS; and migrant farm workers.
Housing – The project adds or improves permanent residential structures that will be/are
occupied by low/moderate-income households upon completion.
Jobs – The project creates or retains permanents jobs, at least 51% of which are taken by
low/moderate-income persons or considered to be available to low/moderate-income persons.
Assistance to Microenterprises – The project provides technical assistance to microenterprises
owned by low/moderate-income persons.
B.Objective Two – Slums or Blight
Assists in the prevention or elimination of slums or blight. Note: To meet this national objective, the
p r o p o s e d a c t i v i t y m u s t b e w i t h i n a d e s i g n a t e d s l u m o r b l i g h t e d a r e a a n d m u s t b e d e s i g n e d t o
address one or more conditions that contributed to the deterioration of the area.
Select one:
Addressing Slums or Blight on an Area Basis
Addressing Slums or Blight on a Spot Basis - This project will prevent or eliminate specific
conditions of blight or physical decay. Activities are limited to clearance, historic preservation,
rehabilitation of buildings, but only to the extent necessary to eliminate conditions detrimental
to public health and safety.
C.Objective Three – Urgent Need
Meets community development needs having a particular urgency where existing conditions pose a
serious and immediate threat to the health or welfare of the community, and no other funding
sources are available, i.e., a major catastrophe such as a flood or earthquake. Note: To meet this
national objective, the proposed activity must deal with major catastrophes or emergencies such as
floods or earthquakes.
Please explain how the proposed activity meets the selected National Objective:
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ATTACHMENT B
HSG-1003
09/08/2017
2018 CDBG APPLICATION
976 OSOS STREET, ROOM 300 | SAN LUIS OBISPO, CA 93408 | (805) 781-5600 | TTY/TRS 7-1-1 PAGE 7 OF 21
planning@co.slo.ca.us | www.sloplanning.org
(4-2) Which of the 2015-2019 Consolidated Plan goal(s) does your project/program plan to
address? Check all that apply.
Create housing opportunities for residents
Preserve and maintain existing affordable housing
Reduce and end homelessness
Create a suitable living environment through public services
Stabilize and revitalize diverse neighborhoods (public facility improvements)
Improve educational and job readiness
(4-3) Check any of the following eligible activity categories that apply to the proposed
project or program:(Refer to CDBG regulations and
https://www.hudexchange.info/resources/documents/Basically-CDBG-Chapter-2-Activity.pdf )
Acquisition of real property*
Disposition of real property
Public facilities and improvements (may include acquisition, construction, reconstruction, rehabilitation
or installation)*†
Privately owned utilities
Public services
Relocation of individuals, families, businesses, non-profit organizations, and/or farms
Removal of architectural barriers
Housing rehabilitation†
Homeownership assistance
Technical assistance to businesses/micro-enterprise development
Administrative technical assistance and planning studies (specified)
PROJECT DETAILS/DESCRIPTION (25 points)
(5-1) Targeted Clientele: Individuals or households? Identify the projected target population your
proposed activity will serve. (Include age, race, residency, handicap status, income level or other unit
characteristics or subgroup information)
* See relocation provisions in Exhibit A
† See lead-based paint provisions in Exhibit A
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ATTACHMENT B
HSG-1003
09/08/2017
2018 CDBG APPLICATION
976 OSOS STREET, ROOM 300 | SAN LUIS OBISPO, CA 93408 | (805) 781-5600 | TTY/TRS 7-1-1 PAGE 8 OF 21
planning@co.slo.ca.us | www.sloplanning.org
(5-2) If the project or program is designed specifically to provide benefit to low- and
moderate-income persons, please estimate the number of unduplicated persons (or
households) to benefit from the project, and break that estimate down by income group.
Note: Unduplicated means the number who are served, i.e., the grant will allow 25 children to participate in
preschool – not 25 children x 5 days x 52 weeks = 6,500.
(Check box if project serves households or individual
persons)
Number Households Persons
TOTAL Number of Persons or Households
(regardless of income):
Of the total number of persons or households entered above,
how many will be low-income:
(earning 51% - 80% or less of the County median-income)
Of the total number of persons or households entered above,
how many will be very low-income:
(earning 50% or less of the County median-income)
(5-3) Please describe the proposed project or program in detail.Make a case for why your project
should be funded. Describe the need and the degree of urgency for the proposed project or program. What
would the consequences be if the proposed project or program is not funded in the next year?Please
attach a timeline of the project/program milestones.
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ATTACHMENT B
HSG-1003
09/08/2017
2018 CDBG APPLICATION
976 OSOS STREET, ROOM 300 | SAN LUIS OBISPO, CA 93408 | (805) 781-5600 | TTY/TRS 7-1-1 PAGE 9 OF 21
planning@co.slo.ca.us | www.sloplanning.org
(5-4) Does the project require the issuance of a permit? (State, local, or federal)
Yes No
If YES, please respond to the following:
Have the necessary permits been issued? Please provide proof of issuance:
If permits are required but not yet obtained, when will the permits be issued?
Identify the permits necessary:
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ATTACHMENT B
HSG-1003
09/08/2017
2018 CDBG APPLICATION
976 OSOS STREET, ROOM 300 | SAN LUIS OBISPO, CA 93408 | (805) 781-5600 | TTY/TRS 7-1-1 PAGE 10 OF 21
planning@co.slo.ca.us | www.sloplanning.org
BENEFICIARY DATA (15 points)
Organizations will be asked to provide detailed data regarding race, ethnicity, gender, income, etc.
If they cannot provide data, they may not be eligible for funding.
(6-1) How do you document and maintain income status of each client in compliance with
HUD regulations?(Example: very low ( AMI), low ( AMI) and moderate-income AMI))
Area Median Income (AMI). Please provide a sample of your intake process as an attachment if possible.
(6-2) How do you collect demographic data on the beneficiaries of the proposed project or
program? (Example: racial/ethnic characteristics) Please provide a sample of your intake process as an
attachment if possible.
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ATTACHMENT B
HSG-1003
09/08/2017
2018 CDBG APPLICATION
976 OSOS STREET, ROOM 300 | SAN LUIS OBISPO, CA 93408 | (805) 781-5600 | TTY/TRS 7-1-1 PAGE 11 OF 21
planning@co.slo.ca.us | www.sloplanning.org
FINANCIAL INFORMATION (20 points)
For CDBG applications to the County of San Luis Obispo involving acquisition, construction, or
rehabilitation projects, the County will require additional information on financial source and use
of funds and other budget details prior to the draft Action Plan funding recommendations.
(7-1) How do you plan to fund the operation and maintenance costs (if any) associated with
this project? Are these funds available now? If not, when will they be available? Will the
project be required to pay a prevailing wage?
(7-2) Do you have any CDBG funds remaining from prior Fiscal Year allocations?
Yes No If YES, answer the following:
What fiscal year did you receive funding?
What project did you receive funding for?
How much is remaining?
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232,000. Funds will be spent March 2018 per TCAC schedule
ATTACHMENT B
HSG-1003
09/08/2017
2018 CDBG APPLICATION
976 OSOS STREET, ROOM 300 | SAN LUIS OBISPO, CA 93408 | (805) 781-5600 | TTY/TRS 7-1-1 PAGE 12 OF 21
planning@co.slo.ca.us | www.sloplanning.org
(7-3) Itemize all sources of funding expected to be available for each category, if applicable
(please include commitment letters if available):
CDBG Funds Requested
Other Federal Fund(s)
State Source(s)
Local Source(s)
Applicants Matching Funds
Other:
(7-4) Will CDBG funds be used to match/leverage other funds from other sources? List
below funding sources and amounts and identify award dates of these sources.
Source(s):Amount:
TOTAL
(7-5) Identify all jurisdictions you are applying to for CDBG funds. Indicate the amount
applied for at each jurisdiction, and the total amount requested. Note: Any project/program
being recommended less than $8,000 total will not be funded per the Cooperation Agreement.
City of Arroyo Grande
City of Atascadero
City of Morro Bay
City of Paso Robles
City of Pismo Beach
City of San Luis Obispo
County of San Luis Obispo
TOTAL
,31)
0S[-RGSQI ,SYWMRK 8E\ 'VIHMXW
ATTACHMENT B
ATTACHMENT B
ATTACHMENT B
ATTACHMENT B
ATTACHMENT B
ATTACHMENT B
HSG-1003
09/08/2017
2018 CDBG APPLICATION
976 OSOS STREET, ROOM 300 | SAN LUIS OBISPO, CA 93408 | (805) 781-5600 | TTY/TRS 7-1-1 PAGE 18 OF 21
planning@co.slo.ca.us | www.sloplanning.org
Exhibit A – Housing Rehab and Construction Projects
Will the affordable housing project be applying for tax credits? Yes No
If yes, what round? March June
If March was selected and if your project is identified to receive funds, will your
project require a Reservation Letter for the state tax creditors Yes No
Has NEPA been completed on this project? Yes No
How old is the property/building in terms of years?
Has a property inspection report been completed if undertaking rehab? Yes No
For buildings/structures constructed prior to 1978:
Have asbestos and lead hazard risk assessment reports been issued for the facility? Yes No
Has the facility been abated for asbestos and lead paint? Yes No
Will children occupy the facility? Yes No
If yes, indicate the age range of children:
Has a Phase I or Phase II environmental assessment been conducted for the
property? If so, please provide a copy.
Yes No
List and describe any known hazards (e.g. asbestos, storage tanks – underground, aboveground):
2% 2I[ GSRWXVYGXMSR
2%
ATTACHMENT B
HSG-1003
09/08/2017
2018 CDBG APPLICATION
976 OSOS STREET, ROOM 300 | SAN LUIS OBISPO, CA 93408 | (805) 781-5600 | TTY/TRS 7-1-1 PAGE 19 OF 21
planning@co.slo.ca.us | www.sloplanning.org
Has the property been designated or been determined to be potentially eligible
for designation as a local, state, or national historic site? If Yes, describe below: Yes No
Is the building/structure located on a Historic Site? Yes No
Is the building/structure located in a Historic District? Yes No
Is the building/structure in a Flood Zone? Yes No
Is the building/structure in a Flood Plain? Yes No
Does your agency have flood insurance? Yes No
Will there be demolition required? Yes No
The questions below ask about zoning. If zoning information is not known, contact the local municipality
to request assistance.
What is the project structure type?
Residential Commercial Public facility Public right-of-way
What is the current zoning of the project site?
Is the project site zoned correctly for the proposed
activity? Yes No
If no, provide below an explanation of efforts and a timetable to change the zoning or obtain a variance:
674
ATTACHMENT B
HSG-1003
09/08/2017
2018 CDBG APPLICATION
976 OSOS STREET, ROOM 300 | SAN LUIS OBISPO, CA 93408 | (805) 781-5600 | TTY/TRS 7-1-1 PAGE 20 OF 21
planning@co.slo.ca.us | www.sloplanning.org
B.15. Does the project require temporary/permanent relocation of occupants?Yes No
If yes, this project is subject to the Uniform Relocation Assistance and Real Property Acquisition
Policies Act (URA). Describe the relocation plans, including timetable and notifications to occupants.
List how many of the occupied units are: (a) owner-occupied; (b) renter-occupied; or (c) businesses.
Indicate whether temporary and/or permanent displacement is required. [NOTE: This will be for site
information only. Relocation activities will not be eligible for funding with Fiscal Year 2018 CDBG
funds.]
ATTACHMENT B
HSG-1003
09/08/2017
2018 CDBG APPLICATION
976 OSOS STREET, ROOM 300 | SAN LUIS OBISPO, CA 93408 | (805) 781-5600 | TTY/TRS 7-1-1 PAGE 21 OF 21
planning@co.slo.ca.us | www.sloplanning.org
Federal regulations require that all facilities and/or services assisted with CDBG funds be accessible to the
disabled. Accessibility includes such things as: entrance ramps, parking with universal logo signage,
grab bars around commodes and showers, top of toilet seats that meet required height from the
floor, drain lines under lavatory sink either wrapped or insulated, space for wheelchair
maneuverability, accessible water fountains, access between floors (elevators, ramps, lifts), and
other improvements needed to assure full access to funded facilities/programs, including serving
the blind and deaf.
Describe below whether the project currently meets ADA standards for accessibility by the disabled. If not,
describe the accessibility problems and methods to be utilized to address the problems, including
funding and timetable. NOTE: The project site must first be fully ADA-compliant before other
construction activities can be implemented with CDBG funding.
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ATTACHMENT B
5-4 Permits Necessary
Architectural Review Commission Approval
Courtyard at the Meadows
ATTACHMENT B
Community Development
919 Palm Street . San Luis Obispo . CA 93401-3218
805 .781 .7170
slocity org
September 29, 2016
HAS LO
PO Box 1289
San Luis Obispo, CA 93406
SUBJECT: ARCH-3370-2016 (3175 Violet Street)
Gentlemen:
Review of a new affordable housing project within the Serra Meadows
development Lot 108
The Architectural Review Commission, at its meeting of September 12, 2016, approved your
request, based on the findings and subject to the conditions, as noted in the attached resolution.
The Architectural Review Commission's approval expires after three years if construction has
not started, unless the Commission designated a different time period. On request, the
Community Development Director may grant a single, one-year extension.
If you have any questions, please contact Kyle Bell at (805) 781-7524.
Sincerely,
T~:/
Principal Planner
Community Development
Attachment: Resolution No. ARC-1018-16
cc: San Luis Obispo County Assessor's Office
ATTACHMENT B
RESOLUTION NO. ARC-1018-16
A RESOLUTION OF THE SAN LUIS OBISPO ARCHITECTURAL
REVIEW COMMISSION APPROVING A NEW AFFORDABLE HOUSING
PROJECT THAT CONSISTS OF FOUR NEW BUILDINGS THAT
INCLUDE 36 RESIDENTIAL UNITS AND A REQUEST TO REDUCE THE
STREET YARD TO 10 FEET FOR A PORTION OF THE BUILDING
ALONG VIOLET STREET, WHERE 15 FEET IS NORMALLY
REQUIRED, IN ACCORDANCE WITH THE MITIGATED NEGATIVE
DECLARATION ER-120-13 CITY COUNCIL RESOLUTION NO. 10512
(2014 SERIES), AS REPRESENTED IN THE STAFF REPORT AND
ATTACHMENTS DATED SEPTEMBER 12, 2016 (3175 VIOLET STREET
ARCH-3370-2016)
WHEREAS, the City Council of the City of San Luis Obispo conducted a public hearing
in the Council Chamber of City Hall, 990 Palm Street, San Luis Obispo, California, on April 15,
2014, approving the proposed revised map and modified conditions of Vesting Tentative Tract
Map 2353 adopted through City Council Resolution No. 10512 (2014 Series) originally approved
through City Council Resolution No. 9777 (2006 Series) pursuant to a proceeding instituted under
MOD/TR/ER 120-13, Mangano Homes Inc., applicant; and
WHEREAS, the Architectural Review Commission of the City of San Luis Obispo
conducted a public hearing in the Council Hearing Room of City Hall, 990 Palm Street, San Luis
Obispo, California, on March 21, 2016, for the purpose of considering a conceptual review of the
project, pursuant to a proceeding instituted under ARCH-2663-2016, SLO Non-Profit Housing
Corp., applicant; and ·
WHEREAS, the Airport Land Use Commission of the County of San Luis Obispo
conducted a public hearing in the Board of Supervisors Chambers of the County Government
Center, 1055 Monterey Street, Room Dl 70, San Luis Obispo, California, on April 20, 2016, which
determined that the proposed density bonus is consistent with the Airport Land Use Plan, pursuant
to a proceeding instituted under, HASLO Project, SLO Non-Profit Housing Corp., applicant; and
WHEREAS, the Architectural Review Commission of the City of San Luis Obispo
conducted a public hearing in the Council Hearing Room of City Hall, 990 Palm Street, San Luis
Obispo, California, on September 12, 2016, pursuant to a proceeding instituted under ARCH-
3370-2016, SLO Non-Profit Housing Corp., applicant; and
WHEREAS, the Architectural Review Commission of the City of San Luis Obispo has
duly considered all evidence, including the testimony of the applicant, interested parties, and
evaluation and recommendations by staff, presented at said hearing.
WHEREAS, notices of said public hearing were made at the time and in the manner
required by law; and
NOW, THEREFORE, BE IT RESOLVED by the Architectural Review Commission of
ATTACHMENT B
Resolution No. ARC-I 018-16
3175 Violet Street (ARCH-3370-2016)
Page 2
the City of San Luis Obispo as follows:
SECTION 1. Findings. The Architectural Review Commission hereby grants final
approval to the project (ARCH-3370-2016), based on the following findings:
1. The project will not be detrimental to the health, safety, and welfare of persons living or
working at the site or in the vicinity because the project will be compatible with site
constraints and the scale and character of the neighborhood.
2. The project is consistent with the Housing Element because the project provides a variety of
residential types, sizes, and styles of dwellings (HE 5.4). The project supports Housing
Element Policies related to inclusion and expansion of affordable housing units within the
City (HE 1.1, 1.2, 2.1, 2.2, 7.1, 7.2, and 8.1)
3. The project is consistent with the Conservation and Open Space Element policy 4.4.3 because
the project promotes higher-density, compact housing to achieve more efficient use of public
facilities and services and to improve the City's jobs/housing balance.
4. The project is consistent with the Margarita Area Specific Plan because the project site is one
of two sites dedicated to provide a minimum of 40 affordable dwellings within the housing
tracts of the western enclave of the Margarita Area (Tract 2343, 2353, & 2428).
5. The design of the project is consistent with the Community Design standards of the Margarita
Area Specific Plan and has been designed in accordance with the Spanish architectural style
which is an appropriate architectural style for all land use types within the Margarita Area.
The project design incorporates articulation, massing, and a mix of color/finish materials that
are compatible with the neighborhood and complementary to other development within the
immediate vicinity.
Density Bonus
6. The proposed project will provide quality affordable housing consistent with the intent of
Chapter 17. 90 of the Municipal Code, and the requested density bonus and reduction to site
development standards is necessary to facilitate the production of affordable housing units.
7. The Margarita Area Specific Plan limits the locations of density bonuses within Residential
Development Areas due to the need of consistency with the County Airport Land Use Plan,
density bonuses are only available in the areas identified in Figure 5 of the Plan. On April 20,
2016 the Airport Land Use Commission held a pre-application review and unanimously
determined that the proposed density bonus for the project site was consistent with the Airport
Land Use Plan. The proposed density bonus of 35 percent is consistent with the General Plan
Land Use Element 2.4.2 for providing density bonuses on a receiving site within an expansion
area.
Building Height, Mass and Scale
8. The proposed height, mass and scale of the project will not negatively alter the overall
character of the neighborhood or the streets appearance because the site is physically suited
ATTACHMENT B
Resolution No. ARC-I 018-16
3175 Violet Street (ARCH-3370-2016)
Page 3
for the proposed type of development allowed in the R-3-SP zone. The project is consistent
with the Community Design Guidelines because the development is designed in a manner
that does not deprive reasonable solar access to adjacent properties by providing greater
setbacks than what is required for majority of the buildings mass along the street frontage that
also incorporates vertical and horizontal wall plan offsets that provide high-quality and
aesthetically pleasing architectural design.
9. The proposed height, mass and scale of the project is necessary to provide additional dwelling
units to be dedicated affordable for "low & very low" income households.
Setback Exception
10. The setback reduction will not constitute a grant of special privilege of an entitlement
inconsistent with the limitations upon other properties in the vicinity as the setback reduction
is consistent with the · development pattern of adjacent properties with the similar zoning
which allow 10-foot street yard setbacks for front porches.
11. Granting of the five-foot setback reduction for Building 3 will not alter the overall character
of the neighborhood or the streets appearance because the proposal is minor and the setback
reduction will allow reasonable development of the project site.
12. The project will not deprive adjacent properties ofreasonable solar access because the portion
of the structure requiring a setback reduction will cast no greater shadow as the highest point
of the structure is setback from the property line of the closest adjacent structure greater than
what is required by the setback/height requirements of the Margarita Area Specific Plan. No
useful purpose would be realized by requiring full setbacks because no significant fire
protection, emergency access, privacy or security impacts are anticipated.
SECTION 2. Environmental Review. On October 12, 2004, the City Council certified the
Final Program EIR for the Margarita Area Specific Plan through Council Resolution 9615 (2004
Series). On April 15, 2014 the City Council adopted the Tiered Initial Study and Mitigated
Negative Declaration (ER-120-13) which addressed the changes and revisions to Tract #2342 &
#2353. The City Council Resolution No. 10512 (2014 Series) incorporates all revised mitigation
measures and supersedes in their entirety the previously approved mitigation measures approved
by Council Resolution No. 9777 (2006 Series). The City Council Resolution No. 10512 includes
Condition #48 which requires that Lot 108 of Tract #2353 is to be dedicated for affordable housing
to provide for the required affordable units for both Tract #2342 & #2353. The project is consistent
with the adopted Mitigated Negative Declaration, all mitigation measures adopted as part of the
MASP EIR and Subsequent Tiered MND that are applicable to the proposed project are carried
forward and applied to the proposed project to effectively mitigate the impacts that were previously
identified.
SECTION 3. Action. The Architectural Review Commission (ARC) hereby grants final
approval to the project with incorporation of the following conditions:
Planning
1. The applicant shall defend, indemnify and hold harmless the City and/or its agents, officers
ATTACHMENT B
Resolution No. ARC-1018-16
3175 Violet Street (ARCH-3370-2016)
Page 4
and employees from any claim, action or proceeding against the City and/or its agents,
officers or employees to attack, set aside, void or annul, the approval by the City of this
project, and all actions relating thereto, including but not limited to environmental review
("Indemnified Claims"). The City shall promptly notify the applicant of any Indemnified
Claim upon being presented with the Indemnified Claim and the City shall fully cooperate in
the defense against an Indemnified Claim.
2. Final project design and construction drawings submitted for a building permit shall be in
substantial compliance with the project plans approved by the ARC. A separate, full-size
sheet shall be included in working drawings submitted for a building permit that lists all
conditions and code requirements of project approval listed as sheet number 2. Reference
shall be made in the margin of listed items as to where in plans requirements are addressed.
Any change to approved design, colors, materials, landscaping, or other conditions of
approval must be approved by the Director or Architectural Review Commission, as deemed
appropriate.
3. The project shall comply with all mitigation measures and conditions, applicable to the
project site, established under City Council Resolution No. 10512 (2014 Series).
4. In order to qualify for the parking requirements established in the Zoning Regulations Section
l 7.16.060K (Low-Income Housing Parking) the proposed residential units are limited to "low
& very low" income households. To provide housing for "moderate" income households the
applicant shall demonstrate compliance with the parking requirements provided in Chapter
17.90 of the Zoning Regulations or request an Alternative Incentive for parking requirements.
5. Continued affordability provisions shall be developed to assure units remain affordable to
residents that earn low and very low incomes. The continuance of affordability shall be
subject to review and approval by the Community Development Director prior to issuance of
building permits.
6. Prior to issuance of a building permit, the applicant shall provide the project's Covenants,
Conditions & Restrictions (CC & R's) to demonstrate compliance with notification
requirements related to noise associated with the San Luis Obispo Airport, as discussed by
the Airport Land Use Commission on April 20, 2016, to the satisfaction of the Community
Development Director.
7. The applicant shall submit building plans that include a trash enclosure design that is finished
with high quality materials to match the architecture of the project buildings; design of the
enclosure is subject to the Community Design Guidelines and to the satisfaction of the
Community Development Director.
8. The project shall be constructed to meet the maximum outdoor and indoor noise exposure
levels of Noise Element Table 1 (60 dB for outdoor activity areas and 45 dB for indoor
spaces).
9. Plans submitted for a building permit shall call out the colors and materials of all proposed
ATTACHMENT B
Resolution No. ARC-1018-16
3175 Violet Street (ARCH-3370-2016)
Page 5
building surfaces and other improvements. Colors and materials shall be as shown on the
color elevation submitted with Architectural Review application. The applicant is encouraged
to further explore the opportunity to include more articulation on the surfaces of the elevations
through additional tilework, accent pieces, accent colors, decorative iron, trellises and "Juliet
balconies" where neighborhood privacy is not an issue, to the approval of the Community
Development Director.
10. The proposed stucco walls shall have a smooth, hand-troweled or sand finish appearance, to
the satisfaction of the Community Development Director. This shall be noted on plans
submitted for a building permit.
11. Plans submitted for a building permit shall include window details indicating the type of
materials for the window frames and mullions, their dimensions, and colors. Plans shall
include the materials and dimensions of all lintels, sills, surrounds recesses and other related
window features.
12. Plans submitted for construction permits will include elevation and detail drawings of all
walls and fences. Fences, walls, and hedges will comply with the development standards
described in the Zoning Regulations (§17.16.050-Fences, Walls, and Hedges).
13. The locations of all lighting, including bollard style landscaping or path lighting, shall be
included in plans submitted for a building permit. All wall-mounted lighting fixtures shall be
clearly called out on building elevations included as part of working drawings. All wall-
mounted lighting shall complement building architecture. The lighting schedule for the
building shall include a graphic representation of the proposed lighting fixtures and cut-sheets
on the submitted building plans. The selected fixture(s) shall be shielded to insure that light
is directed downward consistent with the requirements of the City's Night Sky Preservation
standards contained in Chapter 17.23 of the Zoning Regulations.
14. Mechanical and electrical equipment shall be located internally to the building. With submittal
of working drawings, the applicant shall include sectional views of the building, which clearly
show the sizes of any proposed condensers and other mechanical equipment. If any
condensers or other mechanical equipment is to be placed on the roof, plans submitted for a
building permit shall confirm that parapets and other roof features will adequately screen
them. A line-of-sight diagram shall be included to confirm that proposed screening will be
adequate. This condition applies to initial construction and later improvements.
15. A final landscaping plan, including irrigation details and plans, shall be submitted to the
Community Development Department along with working drawings. The legend for the
landscaping plan shall include the sizes and species of all groundcovers, shrubs, and trees with
corresponding symbols for each plant material showing their specific locations on plans. The
applicant shall meet with the City Arborist to identify and implement best methods for
successful future screening of the sloped planting areas, including but not limited to, tree size,
tree species, soil amendments and irrigation, with the performance goal of fast maturity of
screening on the steeper slope, to the satisfaction of the Public Works Director and the
Community Development Director.
I
' I
ATTACHMENT B
Resolution No. ARC-I 018-16
3175 Violet Street (ARCH-3370-2016)
Page 6
16. The location of any required backflow preventer and double-check assembly shall be shown
on all site plans submitted for a building permit, including the landscaping plan. Construction
plans shall also include a scaled diagram of the equipment proposed. Where possible, as
determined by the Utilities Director, equipment shall be located inside the building within 20
feet of the front property line. Where this is not possible, as determined by the Utilities
Director, the back flow preventer and double-check assembly shall be located in the street
yard and screened using a combination of paint color, landscaping and, if deemed appropriate
by the Community Development Director, a low wall. The size and configuration of such
equipment shall be subject to review and approval by the Utilities and Community
Development Directors.
Engineering Division -Public Works/Community Development Department
17. Projects involving the construction of new structures requires that complete frontage
improvements be installed or that existing improvements be upgraded per city standard. MC
12.16.050
18. The building plan submittal shall include the dimensions and bearings for all property lines
for reference.
19. The building plan submittal shall show the existing driveway approach to be abandoned and
replaced with curb and gutter per City Engineering Standards.
20. The new driveway approaches shall be designed to comply with current standards . The
current City and ADA standard requires a 4' accessible sidewalk extension behind the ramp.
21. The building plan submittal shall show and dimension the 60' right-of-way width for both
Violet St. and Plum St. on the site plan. Show the 30' dimension of the centerline to property
line, 18' centerline to face of curb, and 12' from face of curb to property line dimensions for
reference.
22. The building plan submittal shall show the development of the driveway and parking areas to
comply with the Parking and Driveway Standards for dimension , maneuverability, slopes,
drainage, and materials. Alternate paving materials are recommended for water quantity
and/or quality control purposes and in the area of existing or proposed trees and where the
driveway or parking area may occur within the drip line of any tree. Alternate paving material
shall be approved to the satisfaction of the Planning Division.
23. Provisions for trash, recycle, and green waste containment, screening, and collection shall be
approved to the satisfaction of the City and San Luis Obispo Garbage Company. The
respective refuse storage area and on-site conveyance shall consider convenience, aesthetics,
safety, and functionality. The design of the trash enclosure shall show compliance with
Engineering Standards 101 O.B for drainage requirements.
24. The building plan submittal shall include a complete site utility plan. All existing and
proposed utilities along with utility company meters shall be shown. Existing underground
\ '
ATTACHMENT B
Resolution No . ARC-I 018-16
3175 Violet Street (ARCH-3370-2016)
Page 7
and overhead services shall be shown along with any proposed alterations or upgrades.
Services to the new structures shall be underground. All work in the public right-of-way shall
be shown or noted.
25. The building plan submittal shall verify the location of all existing utilities stubbed into the
site in accordance with the approved Tract 2353 Improvement Plans . Any existing utility
connections that are not proposed to be used shall be abandoned per City Engineering
Standards.
26. The building plan submittal shall show the separation between the recycled water hydrant and
driveway approach off of Plum Street to be in compliance with City Engineering Standards
and to the satisfaction of the Public Works Department and the Utilities Department.
27. The building plan submittal shall show the recycled water landscape meter and service to be
installed per City Engineering Standards and to the satisfaction of the Public Works
Department and the Utilities Department.
28. The building plan submittal shall show the location of the fire service lateral, double-check
assembly, and fire department connection (FDC) on the site utility plan. Show the location
of the fire riser room and interior fire riser in accordance with the ARC approvals and/or the
Planning Divisions architectural guidelines. Provide access to the fire riser and appurtenances
in accordance with the UFC and as approved by the Fire Marshal. Clarify to the satisfaction
of the Fire Marshal whether an FDC should be provided at the double-check assembly or on
the building.
29. This development shall comply with the Waterway Management Plan. The building plan
submittal shall include a final drainage report in accordance with the Waterway Management
Plan Volume III, Drainage Design Manual and the Post Construction Stormwater
Requirements as promulgated by the Regional Water Quality Control Board. The drainage
report shall consider the upslope historic drainage tributary to the property that may need to
be accepted and conveyed along with the improved on-site drainage .
30. The building plan submittal shall include a complete grading, drainage and erosion control
plan. The grading and drainage plan shall show existing structures and grades located within
15' of the property lines in accordance with the grading ordinance. The plan shall consider
historic offsite drainage tributary to this property that may need to be accepted and conveyed
along with the improved on-site drainage. This development may alter and/or increase the
storm water runoff from this site or adjoining sites. The improved or altered drainage shall
be directed to the street and not across adjoining property lines unless the drainage is conveyed
within recorded easements or existing waterways.
31. The building plan submittal shall show compliance with the Post Construction Stormwater
Requirements as promulgated by the Regional Water Quality Control Board for redeveloped
sites, to the approval of the Public Works Director. Include a complete Post Construction
Stormwater Control Plan Template as available on the City's Website.
,, '
ATTACHMENT B
7-3 Project Budget
Courtyard at the Meadows
ATTACHMENT B
2018 CDBG Application
Courtyard at the Meadows
7-1 Project Budget Summary
Site Acquisition 900,000
Construction Costs
Site Work
Structures 5,233,650
General Requirements 344,100
Contractor Overhead 216,450
Contractor Profit 216,450
Other: Construction Contingency 316,350
Total Construction Costs 6,327,000
Soft Costs
Architectural Fees 184,000
Survey & Engineering 75,000
Construction Loan Fees & Interest 726,367
Permenant Loan Origination Fee 257,500
Legal Fees 160,000
Appraisal Costs 9,000
Construction Contingency 316,350
TCAC Monitoring Fees 37,755
Permit & Impact Fees 1,296,862
Marketing 15,000
Furnishings 35,000
Soft Cost Contingency/Other 121,750
Accrued Interest 135,357
Consulting/Other Professional Fees 55,000
Total Soft Costs 3,424,941
Capitalized Reserves 223,647
Developer Fee 1,388,706
Total Rehab & Related Costs 11,364,294
Total Project Costs 12,264,294
ATTACHMENT B
2018 CDBG Application
Courtyard at the Meadows
71 Project Budget Summary
Construction Sources
Tax Exempt Construction Loan 7,515,000
City of San Luis Obispo
Affordable Housing Funds 630,000
Fee Waivers 1,053,924
CDBG Funds 350,000
Accrued Interest 81,357
County of San Luis Obispo
HOME Funds 450,000
Accrued Interest 18,000
HASLO
HASLO Public Funds Loan 900,000
Deferred Developer Fee 685,000
Accrued Interest 36,000
Limited Partner Tax Credit Equity 545,013
Total Construction Sources 12,264,294
Permanent Sources
Tax Exempt Permanent Loan 4,112,013
City of San Luis Obispo
Affordable Housing Funds 630,000
Fee Waivers 1,053,924
CDBG Funds 350,000
Accrued Interest 81,357
County of San Luis Obispo
HOME Funds 450,000
Accrued Interest 18,000
HASLO
HASLO Public Funds Loan 900,000
Deferred Developer Fee 451,702
Accrued Interest 36,000
Limited Partner Tax Credit Equity 4,181,298
Total Permanent Sources 12,264,294
ATTACHMENT B
2018 CDBG Application
Courtyard at the Meadows
Project Narrative
Project: Courtyard at the Meadows
Courtyard at the Meadows will be a new construction affordable housing project consisting of 36
residential units located within the Serra Meadows development in San Luis Obispo, California. The
project will feature 9 one bedroom, 18 two bedroom, and 9 three bedroom units, including a managers
unit. There is a high demand for all bedroom types in this market as there is a critical shortage of
affordable housing.
The project has been designed with a Spanish architectural style that includes features such as stucco
walls, low slope roof, mission tile, recessed exterior window faces, and arched openings. The proposed
layout of the project site provides for efficient use of the available site area and existing topography by
maximizing the number of residential units for the site, concealing required parking behind structures.
The site plan provides outdoor courtyard space and adequate landscaping between the structures and
parking areas. The site provides sufficient access and internal circulation for vehicles and pedestrians.
The project’s parking area is not a dominant visual element of the site and is screened by buildings that
are oriented toward the street providing private outdoor space interior to the project site for the residential
units that respect the privacy of the adjacent lower density residential structures.
There are no offsite improvements required as the utilities have already been brought to the site. The land
is owned by the Housing Authority of the City of San Luis Obispo. The Housing Authority will lease the
land on a long term ground lease to the to-be formed Limited Partnership that will own the building
improvements.
ATTACHMENT B
COUNTY OF SAN LUIS OBISPO
DEPARTMENT OF PLANNING & BUILDING
AAA-XXXX
MM/DD/YYYY
Community Development Block Grant (CDBG)
Program Year 2018 Application
976 OSOS STREET, ROOM 300 | SAN LUIS OBISPO, CA 93408 | (805) 781-5600 | TTY/TRS 7-1-1 PAGE 1 OF 18
www.sloplanning.org | actionplan@co.slo.ca.us
The County of San Luis Obispo is pleased to announce the availability of funds for the Community
Development Block Grant (CDBG) program. Applications MUST address one of the three national objectives
set by the U.S. Department of Housing and Urban Development (HUD), or they will NOT be considered for
CDBG funding (see the section on Qualifying Criteria for detailed information on the objectives).
Furthermore, completed applications should provide the necessary exhibits, budgets, or requested
information on targeted populations. Please email grant applications to ActionPlan@co.slo.ca.us by the
application deadline of 5:00 P.M., Friday, October 20, 2017. Please label your email subject with the grant
program name and the agency name (Example: CDBG – CAPSLO). *Note: Please attach additional sheets for
more detailed information of your proposed project or program for any of the questions below.
APPLICANT INFORMATION
(1-1) Organization Name
DUNS Number
Contact Person/Title
Phone/Fax Numbers
Email
Address
City, State, Zip
PROJECT SUMMARY
(2-1) Project/Program Title
Project/Program Address
Jurisdiction/Area Served
Targeted clientele
Project type (select one):
Public Service Public Facilities Economic Development Housing
(2-2) Brief Project Description:
(2-3) Total CDBG Funding Requested
Total Cost to Complete Project
Anticipated Start Date:Anticipated End Date:
ATTACHMENT B
AAA-XXXX
MM/DD/YYYY
2018 CDBG APPLICATION
976 OSOS STREET, ROOM 300 | SAN LUIS OBISPO, CA 93408 | (805) 781-5600 | TTY/TRS 7-1-1 PAGE 2 OF 18
planning@co.slo.ca.us | www.sloplanning.org
AGENCY DETAILS, CAPACITY, AND EXPERIENCE (25 points)
(3-1) Type of Agency 501 (c)(3) For Profit Gov’t/Public Faith-based Other:
Date of Incorporation Annual Operating Budget
Number of Paid Staff Number of Volunteers
(3-2) Agency Mission Statement:
(3-3) Please describe your organization’s capacity to implement the proposed project/program. Who will
be involved in the project/program? (In-house employees, contractors, other agency partners, etc.)
(3-4) Briefly describe your agency’s record keeping system with relevance to the proposed
project/program:
ATTACHMENT B
AAA-XXXX
MM/DD/YYYY
2018 CDBG APPLICATION
976 OSOS STREET, ROOM 300 | SAN LUIS OBISPO, CA 93408 | (805) 781-5600 | TTY/TRS 7-1-1 PAGE 3 OF 18
planning@co.slo.ca.us | www.sloplanning.org
(3-5) Briefly describe your agency’s auditing requirements, including those for the proposed
project/program, and attach a copy of your most recent audit:
(3-6) Will the services offered by your organization increase or expand
as a result of CDBG assistance? If YES, please answer the following two
questions.
Yes No
What new programs or services will be provided?
Describe how existing programs or services will be expanded and what percentage of an increase is
expected?
(3-7) If your program serves homeless households, please describe how your program coordinates with
other homeless service providers to connect homeless individuals and families to resources.
ATTACHMENT B
AAA-XXXX
MM/DD/YYYY
2018 CDBG APPLICATION
976 OSOS STREET, ROOM 300 | SAN LUIS OBISPO, CA 93408 | (805) 781-5600 | TTY/TRS 7-1-1 PAGE 4 OF 18
planning@co.slo.ca.us | www.sloplanning.org
QUALIFYING CRITERIA (10 points)
The Community Development Block Grant program was established by Congress in 1974 with
passage of the Housing and Community Development Act and is administered by the United
States Department of Housing and Urban Development (HUD). This program provides funds to
municipalities and other units of government around the country to develop viable urban
communities. This is accomplished by providing affordable, decent housing, a suitable living
environment and by expanding economic opportunities principally for low and moderate income
persons. Although local units of government develop their own programs and funding priorities,
all activities must be consistent with one or more of the following HUD national objectives:
Principally benefits low- and moderate-income persons
Prevents or eliminates slum or blight
Addresses an urgent need or problem in the community (e.g., natural disaster)
As an entitlement Urban County under the CDBG program, the County of San Luis Obispo receives
annual funding allocations from the federal government to fund activities to address these
national objectives.
As a funding recipient, San Luis Obispo County is required to submit an Annual Action Plan that
describes how the Urban County will utilize federal funds to address the national objectives in a
manner that will produce the greatest measurable impact on the Urban County communities. The
lead agency responsible for submission of this Plan to HUD is the Planning and Building
Department of the County of San Luis Obispo.
(4-1) Please identify the appropriate CDBG objective that applies to the proposed
project/program by checking the box next to A, B, or C. In addition, please provide a
corresponding explanation of how the proposed activity meets the national objective.
A.Objective One – Low/Moderate Income (check one):
Note: To meet this national objective, the proposed activity must benefit a specific clientele or
residents in a particular area of the County or participating city, of which at least 51 percent of who
are low- and moderate-income persons.
Select one:
Area Benefit – The project serves only a limited geographic area which is proven by 2010 Census
data or survey to be a predominately (51% or more) low/moderate-income area. Applicants choosing
this category must be able to prove their project/activity primarily benefits low/moderate-income
households.
Clientele – The project benefits a specific group of people, at least 51% of whom are
low/moderate-income persons. Note: Income verification for clients must be provided for this
category; however, the following groups are presumed to be low/moderate-income: abused
ATTACHMENT B
AAA-XXXX
MM/DD/YYYY
2018 CDBG APPLICATION
976 OSOS STREET, ROOM 300 | SAN LUIS OBISPO, CA 93408 | (805) 781-5600 | TTY/TRS 7-1-1 PAGE 5 OF 18
planning@co.slo.ca.us | www.sloplanning.org
children; elderly persons; battered spouses; homeless persons; illiterate adults; adults meeting
census definition of severely disabled; persons living with AIDS; and migrant farm workers.
Housing – The project adds or improves permanent residential structures that will be/are
occupied by low/moderate-income households upon completion.
Jobs – The project creates or retains permanents jobs, at least 51% of which are taken by
low/moderate-income persons or considered to be available to low/moderate-income persons.
Assistance to Microenterprises – The project provides technical assistance to microenterprises
owned by low/moderate-income persons.
B.Objective Two – Slums or Blight
Assists in the prevention or elimination of slums or blight. Note: To meet this national objective, the
proposed activity must be within a designated slum or blighted area and must be designed to
address one or more conditions that contributed to the deterioration of the area.
Select one:
Addressing Slums or Blight on an Area Basis
Addressing Slums or Blight on a Spot Basis - This project will prevent or eliminate specific
conditions of blight or physical decay. Activities are limited to clearance, historic preservation,
rehabilitation of buildings, but only to the extent necessary to eliminate conditions detrimental
to public health and safety.
C.Objective Three – Urgent Need
Meets community development needs having a particular urgency where existing conditions pose a
serious and immediate threat to the health or welfare of the community, and no other funding
sources are available, i.e., a major catastrophe such as a flood or earthquake. Note: To meet this
national objective, the proposed activity must deal with major catastrophes or emergencies such as
floods or earthquakes.
Please explain how the proposed activity meets the selected National Objective:
ATTACHMENT B
AAA-XXXX
MM/DD/YYYY
2018 CDBG APPLICATION
976 OSOS STREET, ROOM 300 | SAN LUIS OBISPO, CA 93408 | (805) 781-5600 | TTY/TRS 7-1-1 PAGE 6 OF 18
planning@co.slo.ca.us | www.sloplanning.org
(4-2) Which of the 2015-2019 Consolidated Plan goal(s) does your project/program plan to
address? Check all that apply.
Create housing opportunities for residents
Preserve and maintain existing affordable housing
Reduce and end homelessness
Create a suitable living environment through public services
Stabilize and revitalize diverse neighborhoods (public facility improvements)
Improve educational and job readiness
(4-3) Check any of the following eligible activity categories that apply to the proposed
project or program: (Refer to CDBG regulations and
https://www.hudexchange.info/resources/documents/Basically-CDBG-Chapter-2-Activity.pdf )
Acquisition of real property*
Disposition of real property
Public facilities and improvements (may include acquisition, construction, reconstruction, rehabilitation
or installation)*†
Privately owned utilities
Public services
Relocation of individuals, families, businesses, non-profit organizations, and/or farms
Removal of architectural barriers
Housing rehabilitation†
Homeownership assistance
Technical assistance to businesses/micro-enterprise development
Administrative technical assistance and planning studies (specified)
PROJECT DETAILS/DESCRIPTION (25 points)
(5-1) Targeted Clientele: Individuals or households? Identify the projected target population your
proposed activity will serve. (Include age, race, residency, handicap status, income level or other unit
characteristics or subgroup information)
* See relocation provisions in Exhibit A
† See lead-based paint provisions in Exhibit A
ATTACHMENT B
AAA-XXXX
MM/DD/YYYY
2018 CDBG APPLICATION
976 OSOS STREET, ROOM 300 | SAN LUIS OBISPO, CA 93408 | (805) 781-5600 | TTY/TRS 7-1-1 PAGE 7 OF 18
planning@co.slo.ca.us | www.sloplanning.org
(5-2) If the project or program is designed specifically to provide benefit to low- and
moderate-income persons, please estimate the number of unduplicated persons (or
households) to benefit from the project, and break that estimate down by income group.
Note: Unduplicated means the number who are served, i.e., the grant will allow 25 children to participate in
preschool – not 25 children x 5 days x 52 weeks = 6,500.
(Check box if project serves households or individual
persons)
Number Households Persons
TOTAL Number of Persons or Households
(regardless of income):
Of the total number of persons or households entered above,
how many will be low-income:
(earning 51% - 80% or less of the County median-income)
Of the total number of persons or households entered above,
how many will be very low-income:
(earning 50% or less of the County median-income)
(5-3) Please describe the proposed project or program in detail. Make a case for why your project
should be funded. Describe the need and the degree of urgency for the proposed project or program. What
would the consequences be if the proposed project or program is not funded in the next year? Please
attach a timeline of the project/program milestones.
ATTACHMENT B
AAA-XXXX
MM/DD/YYYY
2018 CDBG APPLICATION
976 OSOS STREET, ROOM 300 | SAN LUIS OBISPO, CA 93408 | (805) 781-5600 | TTY/TRS 7-1-1 PAGE 8 OF 18
planning@co.slo.ca.us | www.sloplanning.org
(5-4) Does the project require the issuance of a permit? (State, local, or federal)
Yes No
If YES, please respond to the following:
Identify the permits necessary:
Have the necessary permits been issued? Please provide proof of issuance:
If permits are required but not yet obtained, when will the permits be issued?
BENEFICIARY DATA (15 points)
Organizations will be asked to provide detailed data regarding race, ethnicity, gender, income, etc.
If they cannot provide data, they may not be eligible for funding.
(6-1) How do you document and maintain income status of each client in compliance with
HUD regulations? (Example: very low (≤30% AMI), low (≤50% AMI) and moderate-income (≤80% AMI))
Area Median Income (AMI). Please provide a sample of your intake process as an attachment if possible.
ATTACHMENT B
AAA-XXXX
MM/DD/YYYY
2018 CDBG APPLICATION
976 OSOS STREET, ROOM 300 | SAN LUIS OBISPO, CA 93408 | (805) 781-5600 | TTY/TRS 7-1-1 PAGE 9 OF 18
planning@co.slo.ca.us | www.sloplanning.org
(6-2) How do you collect demographic data on the beneficiaries of the proposed project or
program? (Example: racial/ethnic characteristics) Please provide a sample of your intake process as an
attachment if possible.
FINANCIAL INFORMATION (20 points)
For CDBG applications to the County of San Luis Obispo involving acquisition, construction, or
rehabilitation projects, the County will require additional information on financial source and use
of funds and other budget details prior to the draft Action Plan funding recommendations.
(7-1) How do you plan to fund the operation and maintenance costs (if any) associated with
this project? Are these funds available now? If not, when will they be available? Will the
project be required to pay a prevailing wage?
ATTACHMENT B
AAA-XXXX
MM/DD/YYYY
2018 CDBG APPLICATION
976 OSOS STREET, ROOM 300 | SAN LUIS OBISPO, CA 93408 | (805) 781-5600 | TTY/TRS 7-1-1 PAGE 10 OF 18
planning@co.slo.ca.us | www.sloplanning.org
(7-2) Do you have any CDBG funds remaining from prior Fiscal Year allocations?
Yes No If YES, answer the following:
What fiscal year did you receive funding?
What project did you receive funding for?
How much is remaining?
(7-3) Itemize all sources of funding expected to be available for each category, if applicable
(please include commitment letters if available):
CDBG Funds Requested
Other Federal Fund(s)
State Source(s)
Local Source(s)
Applicants Matching Funds
Other:
(7-4) Will CDBG funds be used to match/leverage other funds from other sources? List
below funding sources and amounts and identify award dates of these sources.
Source(s):Amount:
TOTAL
(7-5) Identify all jurisdictions you are applying to for CDBG funds. Indicate the amount
applied for at each jurisdiction, and the total amount requested. Note: Any project/program
being recommended less than $8,000 total will not be funded per the Cooperation Agreement.
City of Arroyo Grande
City of Atascadero
City of Morro Bay
City of Paso Robles
City of Pismo Beach
City of San Luis Obispo
County of San Luis Obispo
TOTAL
ATTACHMENT B
AAA-XXXX
MM/DD/YYYY
2018 CDBG APPLICATION
976 OSOS STREET, ROOM 300 | SAN LUIS OBISPO, CA 93408 | (805) 781-5600 | TTY/TRS 7-1-1 PAGE 11 OF 18
planning@co.slo.ca.us | www.sloplanning.org
(7-6) Please list expenditures under CDBG by item or cost category, and attach a timeline of
the expenditures.
TOTAL
FEDERAL REQUIREMENTS ACKNOWLEDGEMENTS
Every person or Agency awarded a 2018 CDBG Contract or grant by San Luis Obispo County for the
provision of services shall be required to certify to the County that they will comply with federal and local
requirements including, but not limited to, those listed below. Please initial each certification listed to
indicate you or your agency can and will comply with these requirements if funded.
Federal Requirements Initials
Americans with
Disabilities Act
Certify that this agency has reviewed its projects, programs and
services for compliance with all applicable regulations contained in
Title II, Americans with Disabilities Act of 1990.
Audits Agrees to have an annual audit conducted in accordance with
current San Luis Obispo County policy regarding audits and 2 CFR
200.501 audit requirements. Shall comply with current San Luis
Obispo County policy concerning the purchase of equipment and
shall maintain inventory records of all non-expendable personal
property as defined by such policy as may be procured with funds
provided through the grant.
Conflict of Interest (2 CFR 200.112, 200.318, and 570.611) Certify and agree that no
covered persons who exercise or have exercised any functions or
responsibilities with respect to CDBG-assisted activity, or who are in
a position to participate in a decision-making process or gain inside
information with regard to such activities, may obtain a financial
interest in any contract, or have a financial interest in any contract,
subcontract, or agreement with respect to the CDBG-assisted
activity, either for themselves or those with whom they have
business or immediate family ties, during their tenure or for a
period of one (1) year thereafter. A “covered person” includes any
person who is an employee, agent, consultant, officer, or elected or
ATTACHMENT B
AAA-XXXX
MM/DD/YYYY
2018 CDBG APPLICATION
976 OSOS STREET, ROOM 300 | SAN LUIS OBISPO, CA 93408 | (805) 781-5600 | TTY/TRS 7-1-1 PAGE 12 OF 18
planning@co.slo.ca.us | www.sloplanning.org
appointed official of the agency
Civil Rights Act Certify that it complies with and prohibits discrimination in
accordance with Title VI of the Civil Rights Act of 1964.
Debarment Status of
Contractors
Certify that, to the best of its knowledge and belief, that it and its
principals will not knowingly enter into any subcontract with a
person who is, or organization that is, debarred, suspended,
proposed for debarment, or declared ineligible from award of
contracts by any Federal agency
(https://www.sam.gov/portal/public/SAM/)
Drug-Free Workplace Certify that it will provide a drug-free workplace.
Accounting Standards: Agrees to comply with 2 CFR 200(E)(F) and
agrees to adhere to the accounting principles and procedures
required therein, utilize adequate internal controls, and maintain
necessary source documentation for all costs incurred.
Cost Principles: Shall administer its program in conformance with
2 CFR 200(E), “Cost Principles for Non-Profit Organizations,” or 2 CFR
225, “Cost Principles for State and Local Governments,” as
applicable. These principles shall be applied for all costs incurred
whether charged on a direct or indirect basis.
Financial
Management
Procurement Policies: Certify and agree to procure all materials,
property, or services in accordance with the requirements of 2 CFR
200.320-326.
Lobbying Activities Certify that no Federal appropriated funds have been paid or will be
paid, by or on behalf of the agency, to any person for influencing or
attempting to influence an officer or employee of any agency, a
Member of Congress, an officer or employee of Congress, or an
employee of a Member of Congress in connection with the
awarding of any Federal contract, the making of any Federal grant,
the making of any Federal loan, the entering into of any cooperative
agreement, and the extension, continuation, renewal, amendment,
or modification of any Federal contract, grant, loan or cooperative
agreement.
Minority Business
Enterprise (MBE),
Women’s Business
Enterprise (WBE),
Small Business
Contracting
Certify that it will comply with 2 CFR 200.321 to take all necessary
affirmative steps to assure that minority firms, women business
enterprises, and labor surplus area firms are used when possible.
Further certify that it will submit to San Luis Obispo County at the
time of project completion a report of the MBE and WBE status of
all subcontractors to be paid with CDBG funds with contracts of
$10,000 or greater, in a format that will be provided by the County.
Real Property Certify that it will comply with real property standards (24 CFR Part
570.505) applicable to any property within the owner’s control that
is acquired or improved in whole or in part using CDBG funds in
excess of $25,000.
ATTACHMENT B
AAA-XXXX
MM/DD/YYYY
2018 CDBG APPLICATION
976 OSOS STREET, ROOM 300 | SAN LUIS OBISPO, CA 93408 | (805) 781-5600 | TTY/TRS 7-1-1 PAGE 13 OF 18
planning@co.slo.ca.us | www.sloplanning.org
Religious Activities Certify and agree that funds provided to the agency will not be
utilized for inherently religious activities prohibited by 24 CFR
570.200(j), such as worship, religious instruction, or proselytization.
Section 3 Certify and agree to ensure that opportunities for training and
employment arising in connection with contracts or subcontracts
for a housing rehabilitation (including reduction and abatement of
lead-based paint hazards), housing construction, or other public
construction project are given to low- and very low-income persons
residing within the metropolitan area in which the CDBG-funded
project is located; where feasible, priority should be given to low-
and very low-income persons within the service area of the project
or the neighborhood in which the project is located, and to low- and
very low-income participants in other HUD programs; and award
contracts for work undertaken in connection with a housing
rehabilitation (including reduction and abatement of lead-based
paint hazards), housing construction, or other public construction
project to business concerns that provide economic opportunities
for low- and very low-income persons residing within the
metropolitan area in which the CDBG-funded project is located;
where feasible, priority should be given to business concerns that
provide economic opportunities to low- and very low-income
residents within the service area or the neighborhood in which the
project is located, and to low- and very low-income participants in
other HUD programs.
Section 504 Section 504 of the Rehabilitation Act of 1973: Certify that it has read
and understands all of its obligations under Section 504 to prohibit
discrimination against persons with disabilities in the operation of
programs receiving federal financial assistance.
Liability The County and cities require all grant recipients to maintain
general liability, automobile and workman’s compensation
insurance with limits of not less than $1 million (may vary by
jurisdiction). If you are successful in obtaining a reward, you will be
asked to provide documentation regarding your ability to provide
the required coverage.
Environmental
Review
Prior to HUD’s release of grant conditions and/or funds for the
CDBG-funded project, a review of the project’s potential impact on
the environment must be conducted and approved by the County of
San Luis Obispo prior to obligating or incurring project costs. The
County must certify to HUD that it has complied with all applicable
environmental procedures and requirements. Should project costs
be obligated or incurred prior to the completion of the necessary
environmental review, the project shall not benefit from the federal
funds. The level of environmental review required depends on the
nature of the project. 24 CFR Part 58 is available at
http://www.hud.gov/offices/pih/ih/codetalk/onap/docs/24cfr58.pdf.
ATTACHMENT B
AAA-XXXX
MM/DD/YYYY
2018 CDBG APPLICATION
976 OSOS STREET, ROOM 300 | SAN LUIS OBISPO, CA 93408 | (805) 781-5600 | TTY/TRS 7-1-1 PAGE 14 OF 18
planning@co.slo.ca.us | www.sloplanning.org
Relocation Any project that involves the acquisition of property, construction,
and/or rehabilitation and that is funded in whole or in part with
federal CDBG funds is subject to federal relocation requirements. In
general, any property owner, commercial business, or residential
occupant who is displaced by a HUD-funded project may be eligible
for relocation benefits. A project cannot be broken into separate
“projects” in order to avoid the federal requirements connected with
property acquisition and relocation. Any questions concerning the
relocation regulations for a specific property acquisition project
should be directed to the County Housing and Economic
Development staff before any action is taken on the project.
HMIS Reporting All homeless service providers applying for CDBG funds to assist,
house, or shelter the homeless must identify and demonstrate the
capacity to participate in the County of San Luis Obispo Homeless
Management Information System (HMIS) to provide: personnel for
data entry, user licensing, and hardware and software necessary for
compatibility with HMIS. HMIS is an electronic data collection
system that stores client level information about persons who
access the homeless services system in a Continuum of Care, and
reports aggregate data for the County as per HUD’s Data Standards.
HUD updated its data standards in 2014, and the new standards are
in effect as of October 1, 2014. More information can be found at
https://www.hudexchange.info/resources/documents/HMIS-Data-Standards-
Manual.pdf and
https://www.hudexchange.info/resources/documents/HMIS-Data-
Dictionary.pdf.
Affirmative Marketing Quarterly and annual reports shall be submitted by the
project/program manager to the County for CDBG-funded public
services and housing projects. Each report shall include the total
number of project/program applicants and clients served with
respect to race, ethnicity, gender, and disability status. Affirmative
marketing efforts shall be taken to increase the participation of any
underserved groups.
ATTACHMENT B
AAA-XXXX
MM/DD/YYYY
2018 CDBG APPLICATION
976 OSOS STREET, ROOM 300 | SAN LUIS OBISPO, CA 93408 | (805) 781-5600 | TTY/TRS 7-1-1 PAGE 15 OF 18
planning@co.slo.ca.us | www.sloplanning.org
I certify that the information in this application is true and accurate to the best of my knowledge and ability.
_____________________________________________________________________________________
Signature DATE
_____________________________________________________________________________________
Printed or Typed Name Title
ATTACHMENT B
AAA-XXXX
MM/DD/YYYY
2018 CDBG APPLICATION
976 OSOS STREET, ROOM 300 | SAN LUIS OBISPO, CA 93408 | (805) 781-5600 | TTY/TRS 7-1-1 PAGE 16 OF 18
planning@co.slo.ca.us | www.sloplanning.org
Exhibit A – Housing Rehab and Construction Projects
Will the affordable housing project be applying for tax credits? Yes No
If yes, what round? March June
If March was selected and if your project is identified to receive funds, will your
project require a Reservation Letter for the state tax creditors Yes No
Has NEPA been completed on this project? Yes No
How old is the property/building in terms of years?
Has a property inspection report been completed if undertaking rehab? Yes No
For buildings/structures constructed prior to 1978:
Have asbestos and lead hazard risk assessment reports been issued for the facility? Yes No
Has the facility been abated for asbestos and lead paint? Yes No
Will children occupy the facility? Yes No
If yes, indicate the age range of children:
Has a Phase I or Phase II environmental assessment been conducted for the
property? If so, please provide a copy.
Yes No
List and describe any known hazards (e.g. asbestos, storage tanks – underground, aboveground):
Has the property been designated or been determined to be potentially eligible
for designation as a local, state, or national historic site? If Yes, describe below: Yes No
Is the building/structure located on a Historic Site? Yes No
Is the building/structure located in a Historic District? Yes No
Is the building/structure in a Flood Zone? Yes No
ATTACHMENT B
AAA-XXXX
MM/DD/YYYY
2018 CDBG APPLICATION
976 OSOS STREET, ROOM 300 | SAN LUIS OBISPO, CA 93408 | (805) 781-5600 | TTY/TRS 7-1-1 PAGE 17 OF 18
planning@co.slo.ca.us | www.sloplanning.org
Is the building/structure in a Flood Plain? Yes No
Does your agency have flood insurance? Yes No
Will there be demolition required? Yes No
The questions below ask about zoning. If zoning information is not known, contact the local municipality
to request assistance.
What is the project structure type?
Residential Commercial Public facility Public right-of-way
What is the current zoning of the project site?
Is the project site zoned correctly for the proposed
activity? Yes No
If no, provide below an explanation of efforts and a timetable to change the zoning or obtain a variance:
B.15. Does the project require temporary/permanent relocation of occupants?Yes No
If yes, this project is subject to the Uniform Relocation Assistance and Real Property Acquisition
Policies Act (URA). Describe the relocation plans, including timetable and notifications to occupants.
List how many of the occupied units are: (a) owner-occupied; (b) renter-occupied; or (c) businesses.
Indicate whether temporary and/or permanent displacement is required. [NOTE: This will be for site
information only. Relocation activities will not be eligible for funding with Fiscal Year 2018 CDBG
funds.]
ATTACHMENT B
AAA-XXXX
MM/DD/YYYY
2018 CDBG APPLICATION
976 OSOS STREET, ROOM 300 | SAN LUIS OBISPO, CA 93408 | (805) 781-5600 | TTY/TRS 7-1-1 PAGE 18 OF 18
planning@co.slo.ca.us | www.sloplanning.org
Federal regulations require that all facilities and/or services assisted with CDBG funds be accessible to the
disabled. Accessibility includes such things as: entrance ramps, parking with universal logo signage,
grab bars around commodes and showers, top of toilet seats that meet required height from the
floor, drain lines under lavatory sink either wrapped or insulated, space for wheelchair
maneuverability, accessible water fountains, access between floors (elevators, ramps, lifts), and other
improvements needed to assure full access to funded facilities/programs, including serving the blind
and deaf.
Describe below whether the project currently meets ADA standards for accessibility by the disabled. If not,
describe the accessibility problems and methods to be utilized to address the problems, including
funding and timetable. NOTE: The project site must first be fully ADA-compliant before other
construction activities can be implemented with CDBG funding.
ATTACHMENT B
COUNTY OF SAN LUIS OBISPO
DEPARTMENT OF PLANNING & BUILDING
HSG-1003
09/08/2017
Community Development Block Grant (CDBG)
Program Year 2018 Application
976 OSOS STREET, ROOM 300 | SAN LUIS OBISPO, CA 93408 | (805) 781-5600 | TTY/TRS 7-1-1 PAGE 1 OF 21
www.sloplanning.org | actionplan@co.slo.ca.us
The County of San Luis Obispo is pleased to announce the availability of funds for the Community
Development Block Grant (CDBG) program. Applications MUST address one of the three national objectives
set by the U.S. Department of Housing and Urban Development (HUD), or they will NOT be considered for
CDBG funding (see the section on Qualifying Criteria for detailed information on the objectives).
Furthermore, completed applications should provide the necessary exhibits, budgets, or requested
information on targeted populations. Please email grant applications to ActionPlan@co.slo.ca.us by the
application deadline of 5:00 P.M., Friday, October 20, 2017. Please label your email subject with the grant
program name and the agency name (Example: CDBG – CAPSLO). *Note: Supplemental documents and
information or answers which exceed the allotted space or character limit may be added as attachments.
APPLICANT INFORMATION
(1-1) Organization Name
DUNS Number
Contact Person/Title
Phone/Fax Numbers
Email
Address
City, State, Zip
PROJECT SUMMARY
(2-1) Project/Program Title
Project/Program Address
Jurisdiction/Area Served
Targeted clientele
Project type (select one):
Public Service Public Facilities Economic Development Housing
(2-2) Brief Project Description:
(2-3) Total CDBG Funding Requested
Total Cost to Complete Project
Anticipated Start Date:Anticipated End Date:
ATTACHMENT B
HSG-1003
09/08/2017
2018 CDBG APPLICATION
976 OSOS STREET, ROOM 300 | SAN LUIS OBISPO, CA 93408 | (805) 781-5600 | TTY/TRS 7-1-1 PAGE 2 OF 21
planning@co.slo.ca.us | www.sloplanning.org
AGENCY DETAILS, CAPACITY, AND EXPERIENCE (25 points)
(3-1) Type of Agency 501 (c)(3) For Profit Gov’t/Public Faith-based Other:
Date of Incorporation Annual Operating Budget
Number of Paid Staff Number of Volunteers
(3-2) Agency Mission Statement:
(3-3) Please describe your organization’s capacity to implement the proposed project/program. Who will
be involved in the project/program? (In-house employees, contractors, other agency partners, etc.)
ATTACHMENT B
HSG-1003
09/08/2017
2018 CDBG APPLICATION
976 OSOS STREET, ROOM 300 | SAN LUIS OBISPO, CA 93408 | (805) 781-5600 | TTY/TRS 7-1-1 PAGE 3 OF 21
planning@co.slo.ca.us | www.sloplanning.org
(3-4) Briefly describe your agency’s record keeping system with relevance to the proposed
project/program:
(3-5) Briefly describe your agency’s auditing requirements, including those for the proposed
project/program, and attach a copy of your most recent audit:
ATTACHMENT B
HSG-1003
09/08/2017
2018 CDBG APPLICATION
976 OSOS STREET, ROOM 300 | SAN LUIS OBISPO, CA 93408 | (805) 781-5600 | TTY/TRS 7-1-1 PAGE 4 OF 21
planning@co.slo.ca.us | www.sloplanning.org
(3-6) Will the services offered by your organization increase or expand
as a result of CDBG assistance? If YES, please answer the following two
questions.
Yes No
What new programs or services will be provided?
Describe how existing programs or services will be expanded and what percentage of an increase is
expected?
(3-7) If your program serves homeless households, please describe how your program coordinates with
other homeless service providers to connect homeless individuals and families to resources.
ATTACHMENT B
HSG-1003
09/08/2017
2018 CDBG APPLICATION
976 OSOS STREET, ROOM 300 | SAN LUIS OBISPO, CA 93408 | (805) 781-5600 | TTY/TRS 7-1-1 PAGE 5 OF 21
planning@co.slo.ca.us | www.sloplanning.org
QUALIFYING CRITERIA (10 points)
The Community Development Block Grant program was established by Congress in 1974 with
passage of the Housing and Community Development Act and is administered by the United
States Department of Housing and Urban Development (HUD). This program provides funds to
municipalities and other units of government around the country to develop viable urban
communities. This is accomplished by providing affordable, decent housing, a suitable living
environment and by expanding economic opportunities principally for low and moderate income
persons. Although local units of government develop their own programs and funding priorities,
all activities must be consistent with one or more of the following HUD national objectives:
Principally benefits low- and moderate-income persons
Prevents or eliminates slum or blight
Addresses an urgent need or problem in the community (e.g., natural disaster)
As an entitlement Urban County under the CDBG program, the County of San Luis Obispo receives
annual funding allocations from the federal government to fund activities to address these
national objectives.
As a funding recipient, San Luis Obispo County is required to submit an Annual Action Plan that
describes how the Urban County will utilize federal funds to address the national objectives in a
manner that will produce the greatest measurable impact on the Urban County communities. The
lead agency responsible for submission of this Plan to HUD is the Planning and Building
Department of the County of San Luis Obispo.
(4-1) Please identify the appropriate CDBG objective that applies to the proposed
project/program by checking the box next to A, B, or C. In addition, please provide a
corresponding explanation of how the proposed activity meets the national objective.
A.Objective One – Low/Moderate Income (check one):
Note: To meet this national objective, the proposed activity must benefit a specific clientele or
residents in a particular area of the County or participating city, of which at least 51 percent of who
are low- and moderate-income persons.
Select one:
Area Benefit – The project serves only a limited geographic area which is proven by 2010 Census
data or survey to be a predominately (51% or more) low/moderate-income area. Applicants choosing
this category must be able to prove their project/activity primarily benefits low/moderate-income
households.
Clientele – The project benefits a specific group of people, at least 51% of whom are
low/moderate-income persons. Note: Income verification for clients must be provided for this
category; however, the following groups are presumed to be low/moderate-income: abused
ATTACHMENT B
HSG-1003
09/08/2017
2018 CDBG APPLICATION
976 OSOS STREET, ROOM 300 | SAN LUIS OBISPO, CA 93408 | (805) 781-5600 | TTY/TRS 7-1-1 PAGE 6 OF 21
planning@co.slo.ca.us | www.sloplanning.org
children; elderly persons; battered spouses; homeless persons; illiterate adults; adults meeting
census definition of severely disabled; persons living with AIDS; and migrant farm workers.
Housing – The project adds or improves permanent residential structures that will be/are
occupied by low/moderate-income households upon completion.
Jobs – The project creates or retains permanents jobs, at least 51% of which are taken by
low/moderate-income persons or considered to be available to low/moderate-income persons.
Assistance to Microenterprises – The project provides technical assistance to microenterprises
owned by low/moderate-income persons.
B.Objective Two – Slums or Blight
Assists in the prevention or elimination of slums or blight. Note: To meet this national objective, the
proposed activity must be within a designated slum or blighted area and must be designed to
address one or more conditions that contributed to the deterioration of the area.
Select one:
Addressing Slums or Blight on an Area Basis
Addressing Slums or Blight on a Spot Basis - This project will prevent or eliminate specific
conditions of blight or physical decay. Activities are limited to clearance, historic preservation,
rehabilitation of buildings, but only to the extent necessary to eliminate conditions detrimental
to public health and safety.
C.Objective Three – Urgent Need
Meets community development needs having a particular urgency where existing conditions pose a
serious and immediate threat to the health or welfare of the community, and no other funding
sources are available, i.e., a major catastrophe such as a flood or earthquake. Note: To meet this
national objective, the proposed activity must deal with major catastrophes or emergencies such as
floods or earthquakes.
Please explain how the proposed activity meets the selected National Objective:
ATTACHMENT B
HSG-1003
09/08/2017
2018 CDBG APPLICATION
976 OSOS STREET, ROOM 300 | SAN LUIS OBISPO, CA 93408 | (805) 781-5600 | TTY/TRS 7-1-1 PAGE 7 OF 21
planning@co.slo.ca.us | www.sloplanning.org
(4-2) Which of the 2015-2019 Consolidated Plan goal(s) does your project/program plan to
address? Check all that apply.
Create housing opportunities for residents
Preserve and maintain existing affordable housing
Reduce and end homelessness
Create a suitable living environment through public services
Stabilize and revitalize diverse neighborhoods (public facility improvements)
Improve educational and job readiness
(4-3) Check any of the following eligible activity categories that apply to the proposed
project or program: (Refer to CDBG regulations and
https://www.hudexchange.info/resources/documents/Basically-CDBG-Chapter-2-Activity.pdf )
Acquisition of real property*
Disposition of real property
Public facilities and improvements (may include acquisition, construction, reconstruction, rehabilitation
or installation)*†
Privately owned utilities
Public services
Relocation of individuals, families, businesses, non-profit organizations, and/or farms
Removal of architectural barriers
Housing rehabilitation†
Homeownership assistance
Technical assistance to businesses/micro-enterprise development
Administrative technical assistance and planning studies (specified)
PROJECT DETAILS/DESCRIPTION (25 points)
(5-1) Targeted Clientele: Individuals or households? Identify the projected target population your
proposed activity will serve. (Include age, race, residency, handicap status, income level or other unit
characteristics or subgroup information)
* See relocation provisions in Exhibit A
† See lead-based paint provisions in Exhibit A
ATTACHMENT B
HSG-1003
09/08/2017
2018 CDBG APPLICATION
976 OSOS STREET, ROOM 300 | SAN LUIS OBISPO, CA 93408 | (805) 781-5600 | TTY/TRS 7-1-1 PAGE 8 OF 21
planning@co.slo.ca.us | www.sloplanning.org
(5-2) If the project or program is designed specifically to provide benefit to low- and
moderate-income persons, please estimate the number of unduplicated persons (or
households) to benefit from the project, and break that estimate down by income group.
Note: Unduplicated means the number who are served, i.e., the grant will allow 25 children to participate in
preschool – not 25 children x 5 days x 52 weeks = 6,500.
(Check box if project serves households or individual
persons)
Number Households Persons
TOTAL Number of Persons or Households
(regardless of income):
Of the total number of persons or households entered above,
how many will be low-income:
(earning 51% - 80% or less of the County median-income)
Of the total number of persons or households entered above,
how many will be very low-income:
(earning 50% or less of the County median-income)
(5-3) Please describe the proposed project or program in detail. Make a case for why your project
should be funded. Describe the need and the degree of urgency for the proposed project or program. What
would the consequences be if the proposed project or program is not funded in the next year? Please
attach a timeline of the project/program milestones. PLEASE See Attachment B
ATTACHMENT B
HSG-1003
09/08/2017
2018 CDBG APPLICATION
976 OSOS STREET, ROOM 300 | SAN LUIS OBISPO, CA 93408 | (805) 781-5600 | TTY/TRS 7-1-1 PAGE 9 OF 21
planning@co.slo.ca.us | www.sloplanning.org
(5-4) Does the project require the issuance of a permit? (State, local, or federal)
Yes No
If YES, please respond to the following:
Identify the permits necessary:
Have the necessary permits been issued? Please provide proof of issuance:
If permits are required but not yet obtained, when will the permits be issued?
ATTACHMENT B
HSG-1003
09/08/2017
2018 CDBG APPLICATION
976 OSOS STREET, ROOM 300 | SAN LUIS OBISPO, CA 93408 | (805) 781-5600 | TTY/TRS 7-1-1 PAGE 10 OF 21
planning@co.slo.ca.us | www.sloplanning.org
BENEFICIARY DATA (15 points)
Organizations will be asked to provide detailed data regarding race, ethnicity, gender, income, etc.
If they cannot provide data, they may not be eligible for funding.
(6-1) How do you document and maintain income status of each client in compliance with
HUD regulations? (Example: very low (≤30% AMI), low (≤50% AMI) and moderate-income (≤80% AMI))
Area Median Income (AMI). Please provide a sample of your intake process as an attachment if possible.
(6-2) How do you collect demographic data on the beneficiaries of the proposed project or
program? (Example: racial/ethnic characteristics) Please provide a sample of your intake process as an
attachment if possible.
ATTACHMENT B
HSG-1003
09/08/2017
2018 CDBG APPLICATION
976 OSOS STREET, ROOM 300 | SAN LUIS OBISPO, CA 93408 | (805) 781-5600 | TTY/TRS 7-1-1 PAGE 11 OF 21
planning@co.slo.ca.us | www.sloplanning.org
FINANCIAL INFORMATION (20 points)
For CDBG applications to the County of San Luis Obispo involving acquisition, construction, or
rehabilitation projects, the County will require additional information on financial source and use
of funds and other budget details prior to the draft Action Plan funding recommendations.
(7-1) How do you plan to fund the operation and maintenance costs (if any) associated with
this project? Are these funds available now? If not, when will they be available? Will the
project be required to pay a prevailing wage?
(7-2) Do you have any CDBG funds remaining from prior Fiscal Year allocations?
Yes No If YES, answer the following:
What fiscal year did you receive funding?
What project did you receive funding for?
How much is remaining?
ATTACHMENT B
HSG-1003
09/08/2017
2018 CDBG APPLICATION
976 OSOS STREET, ROOM 300 | SAN LUIS OBISPO, CA 93408 | (805) 781-5600 | TTY/TRS 7-1-1 PAGE 12 OF 21
planning@co.slo.ca.us | www.sloplanning.org
(7-3) Itemize all sources of funding expected to be available for each category, if applicable
(please include commitment letters if available):
CDBG Funds Requested
Other Federal Fund(s)
State Source(s)
Local Source(s)
Applicants Matching Funds
Other:
(7-4) Will CDBG funds be used to match/leverage other funds from other sources? List
below funding sources and amounts and identify award dates of these sources.
Source(s):Amount:
TOTAL
(7-5) Identify all jurisdictions you are applying to for CDBG funds. Indicate the amount
applied for at each jurisdiction, and the total amount requested. Note: Any project/program
being recommended less than $8,000 total will not be funded per the Cooperation Agreement.
City of Arroyo Grande
City of Atascadero
City of Morro Bay
City of Paso Robles
City of Pismo Beach
City of San Luis Obispo
County of San Luis Obispo
TOTAL
donations/fundraising
ATTACHMENT B
HSG-1003
09/08/2017
2018 CDBG APPLICATION
976 OSOS STREET, ROOM 300 | SAN LUIS OBISPO, CA 93408 | (805) 781-5600 | TTY/TRS 7-1-1 PAGE 13 OF 21
planning@co.slo.ca.us | www.sloplanning.org
(7-6) Please list expenditures under CDBG by item or cost category, and attach a timeline of
the expenditures.
TOTAL
FEDERAL REQUIREMENTS ACKNOWLEDGEMENTS
Every person or Agency awarded a 2018 CDBG Contract or grant by San Luis Obispo County for the
provision of services shall be required to certify to the County that they will comply with federal and local
requirements including, but not limited to, those listed below. Please initial each certification listed to
indicate you or your agency can and will comply with these requirements if funded.
Federal Requirements Initials
Americans with
Disabilities Act
Certify that this agency has reviewed its projects, programs and
services for compliance with all applicable regulations contained in
Title II, Americans with Disabilities Act of 1990.
Audits Agrees to have an annual audit conducted in accordance with
current San Luis Obispo County policy regarding audits and 2 CFR
200.501 audit requirements. Shall comply with current San Luis
Obispo County policy concerning the purchase of equipment and
shall maintain inventory records of all non-expendable personal
property as defined by such policy as may be procured with funds
provided through the grant.
Conflict of Interest (2 CFR 200.112, 200.318, and 570.611) Certify and agree that no
covered persons who exercise or have exercised any functions or
responsibilities with respect to CDBG-assisted activity, or who are in
a position to participate in a decision-making process or gain inside
information with regard to such activities, may obtain a financial
interest in any contract, or have a financial interest in any contract,
subcontract, or agreement with respect to the CDBG-assisted
activity, either for themselves or those with whom they have
business or immediate family ties, during their tenure or for a period
of one (1) year thereafter. A “covered person” includes any person
who is an employee, agent, consultant, officer, or elected or
appointed official of the agency
ATTACHMENT B
HSG-1003
09/08/2017
2018 CDBG APPLICATION
976 OSOS STREET, ROOM 300 | SAN LUIS OBISPO, CA 93408 | (805) 781-5600 | TTY/TRS 7-1-1 PAGE 14 OF 21
planning@co.slo.ca.us | www.sloplanning.org
Civil Rights Act Certify that it complies with and prohibits discrimination in
accordance with Title VI of the Civil Rights Act of 1964.
Debarment Status of
Contractors
Certify that, to the best of its knowledge and belief, that it and its
principals will not knowingly enter into any subcontract with a
person who is, or organization that is, debarred, suspended,
proposed for debarment, or declared ineligible from award of
contracts by any Federal agency
(https://www.sam.gov/portal/public/SAM/)
Drug-Free Workplace Certify that it will provide a drug-free workplace.
Accounting Standards: Agrees to comply with 2 CFR 200(E)(F) and
agrees to adhere to the accounting principles and procedures
required therein, utilize adequate internal controls, and maintain
necessary source documentation for all costs incurred.
Cost Principles: Shall administer its program in conformance with 2
CFR 200(E), “Cost Principles for Non-Profit Organizations,” or 2 CFR
225, “Cost Principles for State and Local Governments,” as applicable.
These principles shall be applied for all costs incurred whether
charged on a direct or indirect basis.
Financial
Management
Procurement Policies: Certify and agree to procure all materials,
property, or services in accordance with the requirements of 2 CFR
200.320-326.
Lobbying Activities Certify that no Federal appropriated funds have been paid or will be
paid, by or on behalf of the agency, to any person for influencing or
attempting to influence an officer or employee of any agency, a
Member of Congress, an officer or employee of Congress, or an
employee of a Member of Congress in connection with the awarding
of any Federal contract, the making of any Federal grant, the making
of any Federal loan, the entering into of any cooperative agreement,
and the extension, continuation, renewal, amendment, or
modification of any Federal contract, grant, loan or cooperative
agreement.
Minority Business
Enterprise (MBE),
Women’s Business
Enterprise (WBE),
Small Business
Contracting
Certify that it will comply with 2 CFR 200.321 to take all necessary
affirmative steps to assure that minority firms, women business
enterprises, and labor surplus area firms are used when possible.
Further certify that it will submit to San Luis Obispo County at the
time of project completion a report of the MBE and WBE status of all
subcontractors to be paid with CDBG funds with contracts of $10,000
or greater, in a format that will be provided by the County.
Real Property Certify that it will comply with real property standards (24 CFR Part
570.505) applicable to any property within the owner’s control that is
acquired or improved in whole or in part using CDBG funds in excess
of $25,000.
ATTACHMENT B
HSG-1003
09/08/2017
2018 CDBG APPLICATION
976 OSOS STREET, ROOM 300 | SAN LUIS OBISPO, CA 93408 | (805) 781-5600 | TTY/TRS 7-1-1 PAGE 15 OF 21
planning@co.slo.ca.us | www.sloplanning.org
Religious Activities Certify and agree that funds provided to the agency will not be
utilized for inherently religious activities prohibited by 24 CFR
570.200(j), such as worship, religious instruction, or proselytization.
Section 3 Certify and agree to ensure that opportunities for training and
employment arising in connection with contracts or subcontracts for
a housing rehabilitation (including reduction and abatement of lead-
based paint hazards), housing construction, or other public
construction project are given to low- and very low-income persons
residing within the metropolitan area in which the CDBG-funded
project is located; where feasible, priority should be given to low-
and very low-income persons within the service area of the project
or the neighborhood in which the project is located, and to low- and
very low-income participants in other HUD programs; and award
contracts for work undertaken in connection with a housing
rehabilitation (including reduction and abatement of lead-based
paint hazards), housing construction, or other public construction
project to business concerns that provide economic opportunities
for low- and very low-income persons residing within the
metropolitan area in which the CDBG-funded project is located;
where feasible, priority should be given to business concerns that
provide economic opportunities to low- and very low-income
residents within the service area or the neighborhood in which the
project is located, and to low- and very low-income participants in
other HUD programs.
Section 504 Section 504 of the Rehabilitation Act of 1973: Certify that it has read
and understands all of its obligations under Section 504 to prohibit
discrimination against persons with disabilities in the operation of
programs receiving federal financial assistance.
Liability The County and cities require all grant recipients to maintain general
liability, automobile and workman’s compensation insurance with
limits of not less than $1 million (may vary by jurisdiction). If you are
successful in obtaining a reward, you will be asked to provide
documentation regarding your ability to provide the required
coverage.
Environmental
Review
Prior to HUD’s release of grant conditions and/or funds for the
CDBG-funded project, a review of the project’s potential impact on
the environment must be conducted and approved by the County of
San Luis Obispo prior to obligating or incurring project costs. The
County must certify to HUD that it has complied with all applicable
environmental procedures and requirements. Should project costs
be obligated or incurred prior to the completion of the necessary
environmental review, the project shall not benefit from the federal
funds. The level of environmental review required depends on the
nature of the project. 24 CFR Part 58 is available at
http://www.hud.gov/offices/pih/ih/codetalk/onap/docs/24cfr58.pdf.
ATTACHMENT B
HSG-1003
09/08/2017
2018 CDBG APPLICATION
976 OSOS STREET, ROOM 300 | SAN LUIS OBISPO, CA 93408 | (805) 781-5600 | TTY/TRS 7-1-1 PAGE 16 OF 21
planning@co.slo.ca.us | www.sloplanning.org
Relocation Any project that involves the acquisition of property, construction,
and/or rehabilitation and that is funded in whole or in part with
federal CDBG funds is subject to federal relocation requirements. In
general, any property owner, commercial business, or residential
occupant who is displaced by a HUD-funded project may be eligible
for relocation benefits. A project cannot be broken into separate
“projects” in order to avoid the federal requirements connected with
property acquisition and relocation. Any questions concerning the
relocation regulations for a specific property acquisition project
should be directed to the County Housing and Economic
Development staff before any action is taken on the project.
HMIS Reporting All homeless service providers applying for CDBG funds to assist,
house, or shelter the homeless must identify and demonstrate the
capacity to participate in the County of San Luis Obispo Homeless
Management Information System (HMIS) to provide: personnel for
data entry, user licensing, and hardware and software necessary for
compatibility with HMIS. HMIS is an electronic data collection system
that stores client level information about persons who access the
homeless services system in a Continuum of Care, and reports
aggregate data for the County as per HUD’s Data Standards. HUD
updated its data standards in 2014, and the new standards are in
effect as of October 1, 2014. More information can be found at
https://www.hudexchange.info/resources/documents/HMIS-Data-Standards-
Manual.pdf and https://www.hudexchange.info/resources/documents/HMIS-
Data-Dictionary.pdf.
Affirmative Marketing Quarterly and annual reports shall be submitted by the
project/program manager to the County for CDBG-funded public
services and housing projects. Each report shall include the total
number of project/program applicants and clients served with
respect to race, ethnicity, gender, and disability status. Affirmative
marketing efforts shall be taken to increase the participation of any
underserved groups.
ATTACHMENT B
HSG-1003
09/08/2017
2018 CDBG APPLICATION
976 OSOS STREET, ROOM 300 | SAN LUIS OBISPO, CA 93408 | (805) 781-5600 | TTY/TRS 7-1-1 PAGE 17 OF 21
planning@co.slo.ca.us | www.sloplanning.org
I certify that the information in this application is true and accurate to the best of my knowledge and ability.
_____________________________________________________________________________________
Signature DATE
_____________________________________________________________________________________
Printed or Typed Name Title
ATTACHMENT B
HSG-1003
09/08/2017
2018 CDBG APPLICATION
976 OSOS STREET, ROOM 300 | SAN LUIS OBISPO, CA 93408 | (805) 781-5600 | TTY/TRS 7-1-1 PAGE 18 OF 21
planning@co.slo.ca.us | www.sloplanning.org
Exhibit A – Housing Rehab and Construction Projects
Will the affordable housing project be applying for tax credits? Yes No
If yes, what round? March June
If March was selected and if your project is identified to receive funds, will your
project require a Reservation Letter for the state tax creditors Yes No
Has NEPA been completed on this project? Yes No
How old is the property/building in terms of years?
Has a property inspection report been completed if undertaking rehab? Yes No
For buildings/structures constructed prior to 1978:
Have asbestos and lead hazard risk assessment reports been issued for the facility? Yes No
Has the facility been abated for asbestos and lead paint? Yes No
Will children occupy the facility? Yes No
If yes, indicate the age range of children:
Has a Phase I or Phase II environmental assessment been conducted for the
property? If so, please provide a copy.
Yes No
List and describe any known hazards (e.g. asbestos, storage tanks – underground, aboveground):
ATTACHMENT B
HSG-1003
09/08/2017
2018 CDBG APPLICATION
976 OSOS STREET, ROOM 300 | SAN LUIS OBISPO, CA 93408 | (805) 781-5600 | TTY/TRS 7-1-1 PAGE 19 OF 21
planning@co.slo.ca.us | www.sloplanning.org
Has the property been designated or been determined to be potentially eligible
for designation as a local, state, or national historic site? If Yes, describe below: Yes No
Is the building/structure located on a Historic Site? Yes No
Is the building/structure located in a Historic District? Yes No
Is the building/structure in a Flood Zone? Yes No
Is the building/structure in a Flood Plain? Yes No
Does your agency have flood insurance? Yes No
Will there be demolition required? Yes No
The questions below ask about zoning. If zoning information is not known, contact the local municipality
to request assistance.
What is the project structure type?
Residential Commercial Public facility Public right-of-way
What is the current zoning of the project site?
Is the project site zoned correctly for the proposed
activity? Yes No
If no, provide below an explanation of efforts and a timetable to change the zoning or obtain a variance:
ATTACHMENT B
HSG-1003
09/08/2017
2018 CDBG APPLICATION
976 OSOS STREET, ROOM 300 | SAN LUIS OBISPO, CA 93408 | (805) 781-5600 | TTY/TRS 7-1-1 PAGE 20 OF 21
planning@co.slo.ca.us | www.sloplanning.org
B.15. Does the project require temporary/permanent relocation of occupants?Yes No
If yes, this project is subject to the Uniform Relocation Assistance and Real Property Acquisition
Policies Act (URA). Describe the relocation plans, including timetable and notifications to occupants.
List how many of the occupied units are: (a) owner-occupied; (b) renter-occupied; or (c) businesses.
Indicate whether temporary and/or permanent displacement is required. [NOTE: This will be for site
information only. Relocation activities will not be eligible for funding with Fiscal Year 2018 CDBG
funds.]
ATTACHMENT B
HSG-1003
09/08/2017
2018 CDBG APPLICATION
976 OSOS STREET, ROOM 300 | SAN LUIS OBISPO, CA 93408 | (805) 781-5600 | TTY/TRS 7-1-1 PAGE 21 OF 21
planning@co.slo.ca.us | www.sloplanning.org
Federal regulations require that all facilities and/or services assisted with CDBG funds be accessible to the
disabled. Accessibility includes such things as: entrance ramps, parking with universal logo signage,
grab bars around commodes and showers, top of toilet seats that meet required height from the
floor, drain lines under lavatory sink either wrapped or insulated, space for wheelchair
maneuverability, accessible water fountains, access between floors (elevators, ramps, lifts), and
other improvements needed to assure full access to funded facilities/programs, including serving
the blind and deaf.
Describe below whether the project currently meets ADA standards for accessibility by the disabled. If not,
describe the accessibility problems and methods to be utilized to address the problems, including
funding and timetable. NOTE: The project site must first be fully ADA-compliant before other
construction activities can be implemented with CDBG funding.
ATTACHMENT B
COMMUNITY ACTION PARTNERSHIP OF
SAN LUIS OBISPO COUNTY, INC.
REPORT ON EXAMINATION OF FINANCIAL STATEMENTS
AND ADDITIONAL INFORMATION
FOR THE YEAR ENDED
MARCH 31, 2016
WITH COMPARATIVE TOTALS FOR 2015)
ATTACHMENT B
COMMUNITY ACTION PARTNERSHIP OF SAN LUIS OBISPO COUNTY, INC.
REPORT ON EXAMINATION OF FINANCIAL STATEMENTS
AND ADDITIONAL INFORMATION
MARCH 31, 2016
TABLE OF CONTENTS
Page
Independent Auditor’s Report ............................................................................................................ 1
FINANCIAL STATEMENTS
Statement of Financial Position ...................................................................................................... 3
Statement of Activities .................................................................................................................... 4
Statement of Cash Flows ................................................................................................................ 5
Notes to Financial Statements ........................................................................................................ 6
ADDITIONAL INFORMATION
Schedule of Expenditures of Federal Awards ................................................................................ 16
Note to Schedule of Expenditures of Federal Awards .................................................................... 19
Independent Auditor’s Report on Internal Control Over Financial Reporting
and on Compliance and Other Matters Based on an Audit of Financial
Statements Performed in Accordance with Government Auditing Standards .............................. 20
Independent Auditor’s Report on Compliance for Each Major Program
and on Internal Control Over Compliance Required by the Uniform Guidance ........................... 22
Combining Statement of Revenue and Expense by Functional Programs .................................... 24
Supplemental Schedules:
Statements of Revenue and Expense:
Department of Community Services and Development – CSBG ............................................. 25
Head Start/Early Head Start Programs .................................................................................... 26
Department of Health and Human Services
Early Head Start Child Care Partnership Program ................................................................ 27
Head Start/Early Head Start Program – Northern San Diego County ..................................... 28
Department of Health and Human Services
Migrant and Seasonal Head Start/Early Head Start .............................................................. 29
Migrant and Seasonal Early Head Start Child Care Partnership Program .............................. 30
California Family Health Council –
Federal Title X – Family Planning .......................................................................................... 31
State of California Department of Health Services –
Family Planning and Clinical Program: F-PACT ................................................................... 32
California Department of Public Health –
Maternal, Child, and Adolescent Health – Information and Education (I&E) Project ............. 33
ATTACHMENT B
Page
California Department of Public Health –
Maternal, Child, and Adolescent Health – Adolescent Family Life Program (AFLP) ............. 34
San Luis Obispo County –
Federal Emergency Management Agency/Emergency Food and
Shelter Program (FEMA/EFSP) ............................................................................................. 35
U.S. Department of Veterans Affairs –
Supportive Services for Veteran Families (SSVF) ................................................................. 36
Area Agency on Aging CAA# 45102A – San Luis Obispo –
Home Repair Services ........................................................................................................... 37
Area Agency on Aging CAA# 45102B – Santa Maria –
Home Repair Services ........................................................................................................... 38
Area Agency on Aging CAA# 45102C –
Adult Day Services IIIB Funding ............................................................................................ 39
Area Agency on Aging CAA# 49102D –
Healthy Eating Program IIID Funding .................................................................................... 40
Area Agency on Aging CAA# 45802A – San Luis Obispo –
Caregiver Home Adaptations IIIE Funding ............................................................................. 41
Area Agency on Aging CAA# 45802B – Santa Maria –
Grandparent Caregiver Home Adaptations IIIE Funding ....................................................... 42
Area Agency on Aging CAA# 56102A – San Luis Obispo –
Home Repair Services ........................................................................................................... 43
Area Agency on Aging CAA# 56102B – Santa Maria –
Home Repair Services ........................................................................................................... 44
Area Agency on Aging CAA# 56102C –
Adult Day Services IIIB Funding ............................................................................................ 45
Area Agency on Aging CAA# 56102E –
Active Living Program IIID Funding ........................................................................................ 46
Department of Community Services and Development –
Department of Energy (DOE) ................................................................................................. 47
Department of Community Services and Development –
Low Income Housing Energy Assistance Program (LIHEAP): Weatherization ..................... 48
Department of Community Services and Development –
LIHEAP: Energy Crisis Intervention Program (ECIP) / Assurance 16 /
Home Energy Assistance Program (HEAP) ........................................................................... 49
Department of Community Services and Development –
LIHEAP: Toilet Retrofit Program ............................................................................................ 50
Department of Community Services and Development –
LIHEAP: Weatherization ......................................................................................................... 51
Department of Community Services and Development –
LIHEAP: Energy Crisis Intervention Program (ECIP) / Assurance 16 /
Home Energy Assistance Program (HEAP) ........................................................................... 52
ATTACHMENT B
Page
Schedule of Expenditures for State Funded Child Care Programs ............................................. 53
Schedule of Expenditures for State Funded Child Care Programs:
Resource and Referral Programs ............................................................................................ 54
Alternative Payment Programs................................................................................................. 55
Child Care Resource Center – Other Programs ...................................................................... 56
State Migrant Programs ........................................................................................................... 57
Center-Based and Family Child Care (FCC) Programs ........................................................... 58
SCHEDULE OF FINDINGS AND QUESTIONED COSTS ................................................................ 59
ATTACHMENT B
1
INDEPENDENT AUDITOR’S REPORT
Board of Directors
Community Action Partnership of
San Luis Obispo County, Inc.
San Luis Obispo, California
Report on the Financial Statements
We have audited the accompanying financial statements of Community Action
Partnership of San Luis Obispo County, Inc., which comprise the statement of
financial position as of March 31, 2016, and the related statements of activities and
cash flows for the year then ended, and the related notes to the financial statements.
Management’s Responsibility for the Financial Statements
Management is responsible for the preparation and fair presentation of these
financial statements in accordance with accounting principles generally accepted in
the United States of America; this includes the design, implementation, and
maintenance of internal control relevant to the preparation and fair presentation of
financial statements that are free from material misstatement, whether due to fraud or
error.
Auditor’s Responsibility
Our responsibility is to express an opinion on these financial statements based on
our audit. We conducted our audit in accordance with auditing standards generally
accepted in the United States of America and the standards applicable to financial
audits contained in Government Auditing Standards, issued by the Comptroller
General of the United States. Those standards require that we plan and perform the
audit to obtain reasonable assurance about whether the financial statements are free
from material misstatement.
An audit involves performing procedures to obtain audit evidence about the amounts
and disclosures in the financial statements. The procedures selected depend on the
auditor’s judgment, including the assessment of the risks of material misstatement of
the financial statements, whether due to fraud or error. In making those risk
assessments, the auditor considers internal control relevant to the entity’s
preparation and fair presentation of the financial statements in order to design audit
procedures that are appropriate in the circumstances, but not for the purpose of
expressing an opinion on the effectiveness of the entity’s internal control.
Accordingly, we express no such opinion. An audit also includes evaluating the
appropriateness of accounting policies used and the reasonableness of significant
accounting estimates made by management, as well as evaluating the overall
presentation of the financial statements.
We believe that the audit evidence we have obtained is sufficient and appropriate to
provide a basis for our audit opinion.
ATTACHMENT B
2
Opinion
In our opinion, the financial statements referred to above present fairly, in all material respects, the
financial position of Community Action Partnership of San Luis Obispo County, Inc., as of March 31,
2016, and the changes in its net assets and its cash flows for the year then ended in accordance with
accounting principles generally accepted in the United States of America.
Other Matters
Other Information
Our audit was conducted for the purpose of forming an opinion on the financial statements as a whole.
The combining statement of revenue and expense by functional programs and statements of revenue and
expense are presented for purposes of additional analysis and are not a required part of the financial
statements. The accompanying schedule of expenditures of federal awards, as required by Title 2 U.S.
Code of Federal Regulations (CFR) Part 200, Uniform Administrative Requirements, Cost Principles, and
Audit Requirements for Federal Awards, is presented for purposes of additional analysis and is not a
required part of the financial statements. Such information is the responsibility of management and was
derived from and relates directly to the underlying accounting and other records used to prepare the
financial statements. The information has been subjected to the auditing procedures applied in the audit
of the financial statements and certain additional procedures, including comparing and reconciling such
information directly to the underlying accounting and other records used to prepare the financial
statements or to the financial statements themselves, and other additional procedures in accordance with
auditing standards generally accepted in the United States of America. In our opinion, the information is
fairly stated, in all material respects, in relation to the financial statements as a whole.
Other Reporting Required by Government Auditing Standards
In accordance with Government Auditing Standards, we have also issued our report dated September 22,
2016, on our consideration of Community Action Partnership of San Luis Obispo County, Inc.’s internal
control over financial reporting and on our tests of its compliance with certain provisions of laws,
regulations, contracts, and grant agreements and other matters. The purpose of that report is to describe
the scope of our testing of internal control over financial reporting and compliance and the results of that
testing, and not to provide an opinion on internal control over financial reporting or on compliance. That
report is an integral part of an audit performed in accordance with Government Auditing Standards in
considering Community Action Partnership of San Luis Obispo County, Inc.’s internal control over
financial reporting and compliance.
Report on Summarized Comparative Information
We have audited the financial statements of Community Action Partnership of San Luis Obispo County,
Inc., as of March 31, 2015, and expressed an unmodified opinion on those financial statements in our
report dated September 17, 2015. In our opinion, the summarized comparative information presented
herein as of and for the year ended March 31, 2015, is consistent, in all material respects, with the
audited financial statements from which it has been derived.
BROWN ARMSTRONG
ACCOUNTANCY CORPORATION
Bakersfield, California
September 22, 2016
ATTACHMENT B
See Notes to Financial Statements.
3
COMMUNITY ACTION PARTNERSHIP OF SAN LUIS OBISPO COUNTY, INC.
STATEMENT OF FINANCIAL POSITION
MARCH 31, 2016
WITH COMPARATIVE TOTALS FOR 2015)
ASSETS Unrestricted 2016 2015
CURRENT ASSETS
Cash 1,479,517$ (25,129)$ 1,454,388$ 176,314$
Grants and Accounts Receivable 4,780,573 35,382 4,815,955 6,035,457
Inventory (Note D) 94,086 - 94,086 76,525
Prepaid Expenses 178,006 - 178,006 174,991
TOTAL CURRENT ASSETS 6,532,182 10,253 6,542,435 6,463,287
PROPERTY AND EQUIPMENT, NET (Note E) 10,383,421 - 10,383,421 10,213,667
DEPOSITS 64,349 - 64,349 51,644
TOTAL ASSETS 16,979,952$ 10,253$ 16,990,205$ 16,728,598$
LIABILITIES AND NET ASSETS
CURRENT LIABILITIES
Line of Credit (Note F) 324,000$ -$ 324,000$ 318,000$
Current Portion - Notes Payable (Note G) 114,484 - 114,484 114,460
Accounts Payable and Accrued Liabilities 3,573,510 1,242 3,574,752 3,807,298
California Department of Education Reserves 47,175 - 47,175 63,655
Unearned Deferred Revenue 1,930,736 - 1,930,736 1,650,842
TOTAL CURRENT LIABILITIES 5,989,905 1,242 5,991,147 5,954,255
NOTES PAYABLE (Note G) 930,782 - 930,782 985,643
NET ASSETS (Note B) 10,059,265 9,011 10,068,276 9,788,700
TOTAL LIABILITIES AND NET ASSETS 16,979,952$ 10,253$ 16,990,205$ 16,728,598$
Total AllFundsTemporarily
Restricted
ATTACHMENT B
See Notes to Financial Statements.
4
COMMUNITY ACTION PARTNERSHIP OF SAN LUIS OBISPO COUNTY, INC.
STATEMENT OF ACTIVITIES
FOR THE YEAR ENDED MARCH 31, 2016
WITH COMPARATIVE TOTALS FOR 2015)
Unrestricted 2016 2015
REVENUE AND SUPPORT
Federal Grants and Contracts 46,973,711$ -$ 46,973,711$ 40,887,712$
State Revenue 13,311,681 9,011 13,320,692 13,745,933
City and County Revenue 4,965,932 - 4,965,932 5,042,703
Corporate and Foundation Revenue 2,041,634 - 2,041,634 1,982,044
Participant Support 484,118 - 484,118 495,667
Donations and Fundraising 598,428 - 598,428 486,359
Other Income, Including Interest 44,962 - 44,962 43,553
In-Kind Revenue 3,493,611 - 3,493,611 5,190,036
Net Assets Released from
Restrictions - (Note C)
Satisfaction of Program Restrictions 17,892 (17,892) - -
Total Revenue and Support 71,931,969 (8,881) 71,923,088 67,874,007
EXPENSE
General Fund 64,182 - 64,182 66,881
Community Services Block Grant 270,507 - 270,507 310,058
Head Start and Early Head Start 14,832,097 - 14,832,097 13,051,538
Migrant and Seasonal Head Start 29,645,360 - 29,645,360 27,471,308
State Child Development Programs 6,219,247 - 6,219,247 6,708,753
Child Care Resource Connection -
Alternative Payment Resource and Referral 8,095,404 - 8,095,404 7,557,323
Child Care Food Programs 2,366,274 - 2,366,274 2,455,456
Health and Prevention Services 2,613,062 - 2,613,062 2,193,151
Housing Support, Sheltering, and
Veterans Services 3,770,200 - 3,770,200 4,113,918
Energy Conservation Programs 2,868,876 - 2,868,876 2,986,548
Family Support Services 1,134,552 - 1,134,552 1,013,760
Total Expense 71,879,761 - 71,879,761 67,928,694
CHANGE IN NET ASSETS 52,208 (8,881) 43,327 (54,687)
ADJUSTMENTS TO NET ASSETS
Changes in Property, Equipment,
and Other Net Assets 236,249 - 236,249 1,141,688
NET ASSETS, BEGINNING OF THE YEAR 9,770,808 17,892 9,788,700 8,701,699
NET ASSETS, END OF THE YEAR 10,059,265$ 9,011$ 10,068,276$ 9,788,700$
Total AllFundsTemporarily
Restricted
ATTACHMENT B
See Notes to Financial Statements.
5
COMMUNITY ACTION PARTNERSHIP OF SAN LUIS OBISPO COUNTY, INC.
STATEMENT OF CASH FLOWS
FOR THE YEAR ENDED MARCH 31, 2016
WITH COMPARATIVE TOTALS FOR 2015)
Temporarily
Unrestricted Restricted 2016 2015
Cash Flows From Operating Activities
Change in net assets 52,208$ (8,881)$ 43,327$ (54,687)$
Adjustments to reconcile change in net assets
to net cash provided (used) by operating activities:
Depreciation 41,588 - 41,588 49,656
Changes in assets and liabilities:
Increase) decrease in assets:
Grants and accounts receivable 1,214,396 5,105 1,219,501 140,847
Inventory (17,561) - (17,561) (650)
Prepaid expenses (3,015) - (3,015) 57,502
Deposits (12,705) - (12,705) (6,075)
Increase (decrease) in liabilities:
Accounts payable and accrued expenses (227,644) (4,902) (232,546) ( 656,621)
California Department of Education Reserves (16,480) - (16,480) (77,788)
Unearned deferred revenue 279,894 - 279,894 399,078
Net cash provided (used) by operating activities 1,310,681 ( 8,678) 1,302,003 (148,738)
Cash Flows From Investing Activities
Asset purchases, less retirements 261,157 - 261,157 (1,363,336)
Less assets charged to restricted net assets (236,249) - (236,249) 1,117,330
Net cash provided (used) by investing activities 24,908 - 24,908 (246,006)
Cash Flows From Financing Activities
Proceeds received from line of credit 324,000 - 324,000 500,000
Payments made on line of credit, less interest of
9,941 and $26,528, respectively (318,000) - (318,000) (432,000)
Proceeds from note payable - - 347,819
Payments made on notes payable, less
62,188 and $58,897, respectively (54,837) - (54,837) (50,574)
Net cash provided (used) by financing activities (48,837) - ( 48,837) 365,245
Net increase (decrease) in cash 1,286,752 ( 8,678) 1,278,074 (29,499)
Cash:
Beginning 192,765 ( 16,451) 176,314 205,813
Ending 1,479,517$ (25,129)$ 1,454,388$ 176,314$
Supplemental Information
Interest paid 62,921$ 39,205$
Non-cash items: in-kind donations received 3,493,611$ 5,190,036$
Total All Funds
ATTACHMENT B
6
COMMUNITY ACTION PARTNERSHIP OF SAN LUIS OBISPO COUNTY, INC.
NOTES TO FINANCIAL STATEMENTS
YEAR ENDED MARCH 31, 2016
NOTE A – MAJOR PROGRAM ACTIVITIES AND SUMMARY OF SIGNIFICANT ACCOUNTING
POLICIES
Community Action Partnership of San Luis Obispo County, Inc., (the Agency) was founded as a nonprofit
public benefit corporation in December 1965. The Agency was organized for the purpose of directing
available public and private resources for a coordinated effort in the prevention of poverty and the
circumstances that perpetuate it. The Agency is primarily funded through federal, state, and local
government units.
Major Program Activities
General Fund
The General Fund accommodates a number of small programs that foster community awareness and has
unrestricted activities which support other programs of the Agency.
Administration and Community Services Block Grant
The Administration contains all indirect costs that are charged out to all programs based on the Agency’s
approved Indirect Cost Rate from the United States Department of Health and Human Services.
Separately, also includes a Community Services Block Grant (CSBG) that supports both program and
administrative activities.
Regional and Early Head Start, Early Head Start Partnership Programs
The Head Start and Early Head Start Program operates in San Luis Obispo, Northern San Diego, and
Southern Monterey Counties, offering 745 Head Start and 318 Early Head Start income-eligible and at-
risk children, pregnant women, and families a comprehensive program responding to their emotional,
social, health, and nutritional needs. Through community participation, staff development, and family
involvement, our goal is to provide children a successful beginning, leading to a better future - and help
parents move toward self-sufficiency.
The Agency was the recipient of an Early Head Start Child Care Partnership grant effective February 1,
2015, thus, providing an opportunity for us to expand services in San Luis Obispo, Kern, and San Diego
Counties. The initial award is eighteen months and ends July 31, 2016. The funds provide a platform for
our agency to enhance collaborative relationships with local partners to deliver comprehensive child care
services to 164 additional Early Head Start children birth to three years old and pregnant women in
disadvantaged communities within these counties.
Migrant and Seasonal Head Start/Migrant and Seasonal Early Head Start and Migrant Early Head Start
Partnership Programs
The MSHS and MSEHS provide low-income migrant and seasonal farmworker families with programs
that serve 2,146 children from pre-natal stages to five years of age. The high-quality, comprehensive
child development programs operate in the eight California counties of Fresno, Kern, Monterey, Orange,
San Benito, San Luis Obispo, Santa Barbara, and Ventura. Full-day services are provided in center-
based and family child care options that operate five days per week for 7-8 months during peak
agricultural periods. Community Action Partnership of Madera County, our delegate agency, provides 519
of the children services in Fresno County.
The Agency was the recipient of an eighteen month initial award for Migrant Early Head Start Child Care
Partnership funds effective March 1, 2015. The award is renewable for each of the subsequent four
years starting September 1, 2016. This grant enables us to meet the unique needs of 348 migrant at-risk
children and pregnant moms who work in the agricultural fields throughout a six county service area and
expands our Migrant Head Start Services into a new county, San Joaquin.
ATTACHMENT B
7
COMMUNITY ACTION PARTNERSHIP OF SAN LUIS OBISPO COUNTY, INC.
NOTES TO FINANCIAL STATEMENTS
YEAR ENDED MARCH 31, 2016
NOTE A – MAJOR PROGRAM ACTIVITIES AND SUMMARY OF SIGNIFICANT ACCOUNTING
POLICIES (Continued)
Major Program Activities (Continued)
State Child Development Programs
The program provides high-quality, full-day and part-day child care for approximately 690 children, birth
through five years of age, in 6 counties: San Luis Obispo, Monterey, San Joaquin, San Diego, Kern, and
Fresno. Families pay a fee for child care services provided based on their income and an established
sliding scale.
Child Care Resource Connection (CCRC) Alternative Payment and Resource and Referral Programs
The Agency’s Child Care Resource Connection (CCRC) helps parents and community members find child
care through the Resource and Referral Network. The Alternative Payment Program provides eligible
parents/caretakers with financial assistance to offset child care costs to pursue job training, employment,
or further their education. The program currently serves 1,480 children (925 families). CCRC also offers
training and licensing assistance to those who want to become child care providers. CCRC maintains a
Toy and Resource Library open to the public and can connect families with local and state agencies
dedicated to creating a safe environment for all children.
Child Care Food Programs
The programs provide healthy meals to children eligible to participate in the Child Care Food Program
administered by the California Department of Education. Approximately 1,251,714 meals were served to
children; 606,420 of those were enrolled in child care in San Luis Obispo County through CCRC program.
The remaining meals were served to center-based children in San Luis Obispo and in our outlying service
areas extending from Orange County in the south to San Joaquin County in the north.
Health and Prevention Services Programs
The programs provide reproductive health care medical services, education, and advocacy. Health
Division programs focus on prevention: age-appropriate sexuality education for county school districts,
youth development, teen obesity, case management for pregnant and parenting teens, free to low cost
reproductive health care services including teen peer clinics, and menopausal services, as well as health
screening and education clinics for seniors and the removal of gang and anti-social tattoos.
The two clinics located in San Luis Obispo and Arroyo Grande served 5,510 unduplicated clients, youth
programs served 3,900 clients, the adult wellness program served 485 clients, and the tattoo removal
program served 185 clients.
Housing Support, Sheltering, and Veterans Services Programs
Through the Case Management program, case managers worked with 477 persons to stabilize income
and/or obtain permanent housing or housing support. The program also master leases six apartments
and provides intensive case management for chronically homeless individuals transitioning from life on
the street.
ATTACHMENT B
8
COMMUNITY ACTION PARTNERSHIP OF SAN LUIS OBISPO COUNTY, INC.
NOTES TO FINANCIAL STATEMENTS
YEAR ENDED MARCH 31, 2016
NOTE A – MAJOR PROGRAM ACTIVITIES AND SUMMARY OF SIGNIFICANT ACCOUNTING
POLICIES (Continued)
Major Program Activities (Continued)
Housing Support, Sheltering, and Veterans Services Programs (Continued)
Homeless Services shelters, feeds, and offers an array of services to homeless and those facing a
housing crisis throughout San Luis Obispo County, with the goal of helping individuals achieve stability
and self-sufficiency. Volunteers, an integral part of the program, provide overflow sheltering, prepare and
serve meals, and help with fundraising. 27,866 shelter nights were provided through Maxine Lewis
Memorial Shelter, an overflow program operated by Interfaith Coalition for the Homeless, a safe parking
program operated seven days a week and a seasonal warming station. A total of 60,675 breakfasts and
dinners were provided. The Agency also operates the Prado Day Center in San Luis Obispo in
collaboration with the Friends of Prado Day Center, People’s Kitchen, and the Ministerial Association. The
day center provided 24,769 breakfasts as well as 26,511 lunches through People’s Kitchen. Additional
services include day sheltering, laundry services, and access to social services for approximately 99
individuals daily.
Supportive Services for Veteran Families is a program that provides eligible Veteran families, who are
either homeless or very low-income, with outreach, case management, and assistance in obtaining
Veterans Administration (VA) and other benefits to stay in or acquire permanent housing on a sustainable
basis. In the second year of operation, 126 eligible Veteran households were served.
Energy Conservation Programs
The Energy Conservation Programs offer free energy saving home improvements and minor home
repairs to qualified lower-income households.
Programs funded by PG&E and SoCal Gas provided over 3,050 households basic weatherization
services in San Luis Obispo, Santa Cruz, Santa Barbara, and Monterey Counties. The Low Income Home
Energy Assistance Program (LIHEAP) and the Department of Energy (DOE) Weatherization Assistance
Program assisted 298 households with weatherization services, heating and cooling, and water heater
replacements. These programs cut monthly bills up to 40 percent through the installation of weather-
stripping, insulation, efficient lighting, and other energy saving devices. The Home Energy Assistance
Program ( HEAP) program assisted 1,329 qualified households with payment of their utilities. Minor
repairs, including handicap access, were performed for 483 households through funding provided by the
Area Agency on Aging and the Community Development Block Grant’s Home Repair Programs.
Family and Community Support Services
The Direct Services program assists families to meet their basic needs to achieve a stable, safe home
environment and sustain self-sufficiency. A range of services are provided to minimize family stressors,
ensure child safety, and support family well-being.
Services Affirming Family Empowerment (SAFE) is a community based, school-linked program designed
to bring services to children and families. Family Advocates provide prevention and intervention
assistance and facilitate meetings with families and providers in order to develop a plan to find solutions
to problems the family may be facing. A total of 459 families were served by the SAFE programs.
Adult Day Services offers a licensed, social model day care program in North San Luis Obispo County
that accommodates 18 to 21 adults daily. The program provides a safe and stimulating environment for
frail elderly adults who may have significant memory loss or dementia. The center operates five days per
week and is designed to meet the needs of working families. A full, hot lunch is served daily and paid
staff and volunteers provide care and activities for the participants.
ATTACHMENT B
9
COMMUNITY ACTION PARTNERSHIP OF SAN LUIS OBISPO COUNTY, INC.
NOTES TO FINANCIAL STATEMENTS
YEAR ENDED MARCH 31, 2016
NOTE A – MAJOR PROGRAM ACTIVITIES AND SUMMARY OF SIGNIFICANT ACCOUNTING
POLICIES (Continued)
Summary of Significant Accounting Policies
Accrual Basis of Accounting
The accounting records of the Agency are maintained on the accrual basis of accounting in accordance
with accounting principles generally accepted in the United States of America.
Fund Accounting
To ensure observance of limitations and restrictions placed on the use of resources available to the
Agency, the accounts of the Agency are maintained in accordance with the principles of fund accounting.
Fund accounting is the procedure by which resources for the various programs are classified for
accounting and reporting according to the activities and objectives specified by donors, grantors, officials,
and governing boards. Separate accounts are maintained for each fund.
Accounting in Accordance with Financial Accounting Standards Board Accounting Standards Codification
ASC) Topic 958-205 and Topic 605
The Agency reports contributions of cash and other assets as restricted if received with donor stipulations
that limit the use of the asset contributed. When a stipulated time restriction or purpose restriction is met,
temporarily restricted net assets are reclassified to unrestricted net assets and reported in the statement
of activities as net assets released from restrictions.
Estimates
The preparation of financial statements in conformity with accounting principles generally accepted in the
United States of America requires management to make estimates and assumptions that affect the
reported amounts of assets, liabilities, net assets, and revenues and expenses for the reporting period.
Actual results could differ from those estimates.
Fair Values of Financial Instruments
The following methods and assumptions were used to estimate the fair value of financial instruments:
Cash and cash equivalents: The carrying amount reported in the statement of financial position
for cash and cash equivalents approximates its fair value.
Accounts receivable and accounts payable: The carrying amounts of accounts receivable and
accounts payable in the statement of financial position approximate fair value.
Notes payable: The carrying value of the Agency’s debt approximates fair value because of the
variable nature of market interest rates.
Concentrations of Credit Risk
Financial instruments that potentially subject the Agency to concentrations of credit risk consist principally
of uninsured cash balances. The Agency places its cash deposits with quality financial institutions. The
Agency maintains its cash balances in interest bearing accounts and $250,000 is FDIC insured. The
approximate uninsured balance at March 31, 2016, was $2,982,780. There were no uninsured U.S.
Department of Health and Human Services funds on hand at March 31, 2016.
ATTACHMENT B
10
COMMUNITY ACTION PARTNERSHIP OF SAN LUIS OBISPO COUNTY, INC.
NOTES TO FINANCIAL STATEMENTS
YEAR ENDED MARCH 31, 2016
NOTE A – MAJOR PROGRAM ACTIVITIES AND SUMMARY OF SIGNIFICANT ACCOUNTING
POLICIES (Continued)
Summary of Significant Accounting Policies (Continued)
Concentration of Revenue Sources
During the year ended March 31, 2016, the Agency had two major revenue sources that accounted for
approximately 80% of the total Agency revenue. The U.S. Department of Health and Human Services
accounted for approximately 67%, while the California Department of Education accounted for
approximately 17% of the total revenue.
Cash and Cash Equivalents
Cash is defined as cash in demand deposit accounts as well as cash on hand. Cash equivalents are
short-term, highly liquid investments that are readily convertible to known amounts of cash and
investments so near their maturity that the risk of changes in value due to changes in interest rates is
negligible. These are generally investments with maturity dates within three months of their acquisition
date. Not included as cash equivalents are funds restricted as to their use, regardless of liquidity or the
maturity dates of investments.
Inventory
Inventory is stated in the accompanying financial statements at the lower of cost, first-in, first-out basis, or
market.
Property and Equipment
As shown in Note E, property and equipment are stated at cost. Depreciation is computed on the
straight-line method over the estimated useful lives of the respective assets. Leasehold improvements are
stated at cost, and amortized by the straight-line method over the estimated useful life or remaining term
of lease, whichever is less.
The Agency reports gifts of land, buildings, and equipment as unrestricted support unless explicit donor
stipulations specify how the donated assets must be used. Gifts of long-lived assets with explicit
restrictions that specify how the assets are to be used and gifts of cash or other assets that must be used
to acquire long-lived assets are reported as restricted support. Absent explicit donor stipulations about
how long those long-lived assets must be maintained, the Agency reports expirations of donor restrictions
when the donated or acquired long-lived assets are placed in service.
The Agency capitalizes all asset purchases of $5,000 or more that have a useful life of at least two years,
except where a grantor may impose a different threshold.
Assets purchased with grantor funds, which are expensed in the period acquired, are recorded in the
accompanying statement of financial position as an asset, with a corresponding entry to net assets. In
order to reflect the decrease in value over the life of these assets, depreciation is charged directly to net
assets annually.
Vacation Policy
Vacation benefits are accrued on a monthly basis. The maximum carryover of unused vacation hours
varies from 240 to 320 hours depending on the length of employee service. Seasonal staff is paid out
vacation pay in full annually upon furlough. Employees are also allowed an annual election of a specific
number of vacation hours to be paid out in the quarter following the calendar year-end.
ATTACHMENT B
11
COMMUNITY ACTION PARTNERSHIP OF SAN LUIS OBISPO COUNTY, INC.
NOTES TO FINANCIAL STATEMENTS
YEAR ENDED MARCH 31, 2016
NOTE A – MAJOR PROGRAM ACTIVITIES AND SUMMARY OF SIGNIFICANT ACCOUNTING
POLICIES (Continued)
Summary of Significant Accounting Policies (Continued)
Sick Leave
For introductory, regular, and limited term employees, both full and part time, sick leave accrues monthly
up to a maximum of 280 hours. Employees have the option to convert up to a maximum of 6 work days of
unused sick leave to vacation days each year.
Allocation of Expenses
Administrative expenses are charged to operating programs based upon an annually approved indirect
cost rate, currently at 8%, from the U.S. Department of Health and Human Services.
Donated Goods and Services
Donated materials and services (in-kind) are reflected as contributions in the accompanying financial
statements at their fair market value if such services would have been purchased if not provided by
donation or require specialized skills and are provided by individuals possessing such specialized skills.
In-kind contributions to the Agency vary by program, but generally include volunteer services, contractors,
rent, and supplies. The total in-kind contributions for the year ended March 31, 2016, were $3,493,611.
Summarized Financial Information for 2015
The financial statements include certain prior year summarized comparative information in total but not by
net asset class. Such information does not include sufficient detail to constitute a presentation in
conformity with accounting principles generally accepted in the United States of America. Accordingly,
such information should be read in conjunction with the organization’s financial statements for the year
ended March 31, 2015, from which the summarized information was derived.
NOTE B – TEMPORARILY RESTRICTED NET ASSETS
Temporarily restricted net assets are part of the net assets of the Agency resulting from contributions and
other inflows of assets whose use by the Agency is limited by donor imposed stipulations that either
expire by passage of time or can be fulfilled and removed by actions of the Agency pursuant to those
stipulations. At March 31, 2016, temporarily restricted net assets consisted of the following:
California Department of Education Programs:
Materials and Supplies CHST - 5048 392$
Infant/Toddler CCIP - 5048 8,619
9,011$
ATTACHMENT B
12
COMMUNITY ACTION PARTNERSHIP OF SAN LUIS OBISPO COUNTY, INC.
NOTES TO FINANCIAL STATEMENTS
YEAR ENDED MARCH 31, 2016
NOTE C – NET ASSETS RELEASED FROM DONOR RESTRICTIONS
Net assets were released from donor restrictions by incurring expenses satisfying the restricted purposes
or by occurrence of other events specified by donors. For the year ended March 31, 2016, the following
net assets were released from donor restrictions:
California Department of Education Programs:
Materials and Supplies CHST - 4048 2,231$
Infant/Toddler CCIP - 4048 8,178
Renovation and Repair CRPM - 2068 7,483
17,892$
NOTE D – INVENTORY
Inventory at March 31, 2016, consisted of the following:
Energy and Weatherization Materials 90,028$
Office and General Supplies 4,058
94,086$
NOTE E – PROPERTY AND EQUIPMENT
At March 31, 2016, property and equipment consisted of the following:
Accumulated Net Book
Cost Depreciation Value
Office furniture and equipment 3,006,809$ 2,128,879$ 877,930$
Automobiles, trucks, and buses 3,834,136 2,844,807 989,329
Buildings and improvements 17,678,243 11,856,379 5,821,864
24,519,188 16,830,065 7,689,123
Land 2,694,298 - 2,694,298
27,213,486$ 16,830,065$ 10,383,421$
Of the $761,338 total depreciation for the fiscal year, $41,588 was expensed and $719,750 was charged
directly to the property and equipment net assets.
ATTACHMENT B
13
COMMUNITY ACTION PARTNERSHIP OF SAN LUIS OBISPO COUNTY, INC.
NOTES TO FINANCIAL STATEMENTS
YEAR ENDED MARCH 31, 2016
NOTE F – LINE OF CREDIT
The Agency has a $1,000,000 revolving line of credit with Coast National Bank secured by unrestricted
inventory, chattel paper, accounts, equipment, a deed of trust on a property in Arroyo Grande, California,
and general intangibles with a maturity date of November 15, 2016. Monthly minimum payments are
equal to the interest charged on the outstanding balance for the preceding 31 days. Principal payments
may be made at any time. Any balance of interest and principal remaining at the end of the term are due
and payable on November 15, 2016. The annual interest rate is equivalent to the Wall Street Journal
prime rate plus 1.5%, averaging approximately 5% during the fiscal year. As of March 31, 2016, the
balance due on the line of credit was $324,000.
NOTE G – NOTES PAYABLE
At March 31, 2016, notes payable consisted of the following:
Note payable to bank, for acquisition of Nipomo land and buildings, with interest at
6%, due in monthly payments of $1,717. The note matures September 11, 2028,
and is secured by the land and buildings at 965 El Camino Real, Atascadero. 179,616$
Note payable to bank, Nipomo Head Start Center, fully amortizing U.S. Department
of Agriculture (USDA) guaranteed loan due in monthly payments of $3,619, with
interest at 6.5%. Matures June 3, 2044, and is secured by the land and buildings
located at 291 N. Thompson Rd., Nipomo. 558,613
Note payable to bank, with interest at 7%, due in monthly installments of $1,607.
The note matures June 3, 2020, and is secured by land and buildings at 923 G
Street, Wasco.73,514
Note payable to California Health Facilities Financing Authority, secured by first
deed of trust, with principal and interest at 3% due in monthly installments of $2,597.
The note matures October 1, 2024, and is secured by the clinic building and land
at 1152 E. Grand Avenue, Arroyo Grande. 233,523
1,045,266
Less current portion 114,484
930,782$
Future principal maturities on notes payable are as follows:
Year Ending March 31,
2017 114,484$
2018 114,484
2019 114,484
2020 110,854
2021 95,198
Thereafter 495,762
1,045,266$
Interest expense on these notes for the year ended March 31, 2016, was $62,188.
ATTACHMENT B
14
COMMUNITY ACTION PARTNERSHIP OF SAN LUIS OBISPO COUNTY, INC.
NOTES TO FINANCIAL STATEMENTS
YEAR ENDED MARCH 31, 2016
NOTE H – INCOME TAXES
The Agency has received tax-exempt status under Section 501(c)(3) of the Internal Revenue Code, and
Section 23701(d) of the State of California Revenue and Taxation Code.
Open Tax Years
The Agency files information tax returns in the U.S. and California. With few exceptions, the Agency is no
longer subject to U.S. federal and State of California income tax examinations by tax authorities for years
before 2012.
NOTE I – EMPLOYEE BENEFIT PLANS
Defined Contribution Plan
The Agency maintains a defined contributory retirement plan available for its employees which allows
participants to make tax deferred investment contributions. The plan qualifies under the provisions of
Section 403 (b) of the Internal Revenue Code of 1954, as amended. Total employer’s cash contributions
made by the Agency to the plan for the year ended March 31, 2016, were $789,856, averaging 2.89% of
total salaries and wages.
Cafeteria Plan
The Agency maintains a non-discriminatory Internal Revenue Code Section 125 Cafeteria Plan for all
employees. Under the plan, an employee may pay for family member health insurance, child care,
medical expenses, or employee sponsored insurance. These supplemental payments are pre-tax dollars
and not subject to employment or income taxes.
NOTE J – TRANSFERS
Transfers represent the recordation of assets expensed in the current period in accordance with the
grantor’s terms and conditions. When the Board of Directors deems it appropriate, transfers are also
made from unrestricted funds to cover current year deficits of restricted operating programs.
ATTACHMENT B
15
COMMUNITY ACTION PARTNERSHIP OF SAN LUIS OBISPO COUNTY, INC.
NOTES TO FINANCIAL STATEMENTS
YEAR ENDED MARCH 31, 2016
NOTE K – COMMITMENTS AND CONTINGENCIES
Commitments
The Agency conducts administrative and program operations at various leased facilities. Future minimum
payments under operating leases are as follows:
Year Ending March 31,
2017 2,035,795$
2018 1,238,957
2019 504,712
2020 286,486
2021 205,282
Thereafter 838,031
5,109,263$
Total rent expense for the year ended March 31, 2016, was $1,543,068.
Grant Awards
Grant awards require the fulfillment of certain conditions as set forth in the instruments of grant. Failure
to fulfill the conditions could result in the return of the funds to the grantors. The Agency deems this
contingency remote since, by accepting the grants and their terms, it has accommodated the objectives of
the organization to the provisions of the grants. The Agency’s management is of the opinion that the
organization has complied with the terms of all grants.
NOTE L – SUBSEQUENT EVENTS
The Agency has evaluated its financial position and activities from the March 31, 2016 year-end of this
report through September 22, 2016, which is the date that the financial statements were available to be
issued.
The Agency’s financial institution, Coast National Bank, was acquired by the Bank of the Sierra.
Conversion of banking systems was effective July 22, 2016. No other material subsequent event items
that required recognition or disclosure were identified.
ATTACHMENT B
ADDITIONAL INFORMATION
ATTACHMENT B
16
COMMUNITY ACTION PARTNERSHIP OF SAN LUIS OBISPO COUNTY, INC.
SCHEDULE OF EXPENDITURES OF FEDERAL AWARDS
FOR THE YEAR ENDED MARCH 31, 2016
Federal Expenditures
CFDA Grantor's or Amounts
Number Number Earned
Department of Agriculture:
Passed Through Program From:
California Department of Education:
Child Care Food Program - Day Care Homes 10.558 04469-CACFP-40-NP-DCH 1,033,275$
Child Care Food Program - Day Care Homes Expansion Funds 10.558 7CA300CA3 2,990
Child Care Food Program - Center Based 10.558 04469-CACFP-40-NP-CS 1,306,031
Passed Through Program From:
County of San Luis Obispo:
Supplemental Nutrition Assistance Program - Education 10.551 PO# 25008636 23,973
Total Department of Agriculture:2,366,269
Department of Health and Human Services:
Head Start and Early Head Start 4/1/15 - 3/31/16 93.600 09CH9190/01 6,391,923
Early Head Start Partnerships 4/1/15 - 3/31/16 93.600 09HP0025/01 2,552,017
Head Start and Early Head Start 4/1/15 - 3/31/16 93.600 09CH9103/04 4,074,865
Migrant Seasonal Head Start 4/1/15 - 8/31/15 93.600 90CM0151/24 14,813,056
Migrant Seasonal Head Start 9/1/15 - 3/31/16 93.600 90CM9821/01 10,497,404
Migrant Seasonal Early Head Start Partnerships 4/1/15-3/31/16 93.600 90HM0003/01 3,145,918
Office of Adolescent Health 7/1/15 - 3/31/16 93.297 TP1AH000109-01-01 425,635
Office of Adolescent Health 4/1/15 - 8/31/15 93.297 1TPIAH000067-05-01 163,222
Passed Through Program From:
Area Agency on Aging:
AAA Title IIIB Home Repair - 4/1/15 - 6/30/15 93.044 CAA# 45102A 1,597
AAA Title IIIB Home Repair - 7/1/15 - 3/31/16 93.044 CAA# 56102A 56,901
AAA Title IIIB Home Repair - 4/1/15 - 6/30/15 93.044 CAA# 45102B 6,627
AAA Title IIIB Home Repair - 7/1/15 - 3/31/16 93.044 CAA# 56102B 32,523
AAA Title IIIE Caregiver Home Adaptations - 4/1/15 - 6/30/15 93.052 CAA# 45802A -
AAA Title IIIE Grandparent Caregiver Home Adapt. - 4/1/15 - 6/30/15 93.052 CAA# 45802B -
AAA Title IIIB Adult Day Care - 4/1/15 - 6/30/15 93.044 CAA# 45102C 1,988
AAA Title IIIB Adult Day Care - 7/1/15 - 3/31/16 93.044 CAA# 56102C 48,267
AAA Title IIID Adult Wellness Services - 4/1/15 - 6/30/15 93.043 CAA# 45102D 8,550
AAA Title IIID Adult Wellness Services - 7/1/15 - 3/31/16 93.043 CAA# 56102E 19,396
Passed Through Program From:
California Department of Community Services and Development:
Community Services Block Grant (CSBG) 4/1/15 - 12/31/15 93.569 15F-2039 223,345
Community Services Block Grant (CSBG) 1/1/16 - 3/31/16 93.569 16F-5039 47,162
LIHEAP Weatherization 4/1/15 - 3/31/16 93.568 15B-3036 248,896
LIHEAP - A16, ECIP, HEAP 4/1/15 - 3/31/16 93.568 15B-3036 391,415
LIHEAP Toilet Retrofit Program 9/1/15 - 3/31/16 93.568 15B-3036 10,803
LIHEAP Weatherization 1/1/16 - 3/31/16 93.568 16B-4035 95,951
LIHEAP - A16, ECIP, HEAP 1/1/16 - 3/31/16 93.568 16B-4035 168,382
Grantor / Pass-Through Grantor /
or Program Title
ATTACHMENT B
17
COMMUNITY ACTION PARTNERSHIP OF SAN LUIS OBISPO COUNTY, INC.
SCHEDULE OF EXPENDITURES OF FEDERAL AWARDS (Continued)
FOR THE YEAR ENDED MARCH 31, 2016
Federal Expenditures
CFDA Grantor's or Amounts
Number Number Earned
Department of Health and Human Services: (Continued)
Passed Through Program From:
California Department of Public Health (CDPH):
CDPH Maternal, Child, and Adolescent Health 4/1/15 - 6/30/15 93.778 11 - 10282 4,101
CDPH Maternal, Child, and Adolescent Health 7/1/15 - 3/31/16 93.778 11 - 10282 8,969
CDPH Maternal, Child, and Adolescent Health 4/1/15 - 6/30/15 93.994 12-10063 11,954
CDPH Maternal, Child, and Adolescent Health 7/1/15 - 3/31/16 93.994 12-10063 57,356
Passed Through Program From:
California Department of Education (CDE):
Child Care Development Block Grant Cluster
CDE Child Care Programs 93.575 N/A 1,171,335
CDE Child Care Programs 93.596 N/A 1,465,101
Total Child Care Development Block Grant Cluster 2,636,436
Passed Through Program From:
County of San Luis Obispo, Department of Social Services:
CalWorks Homeless Services 4/1/15-6/30/15 93.558 PO# 25005206 15,039
CalWorks Homeless Services 7/1/15-3/31/16 93.558 PO# 25005206 10,010
CalWorks Stage 1 4/1/15 - 6/30/15 93.558 C005-2014 337,720
CalWorks Stage 1 7/1/15 - 3/31/16 93.558 C005-2015 979,075
CalWorks Direct Services 4/1/15 - 6/30/15 93.558 C018-2014 27,533
CalWorks Direct Services 7/1/15 - 3/31/16 93.558 C018-2015 87,648
CalWorks South County SAFE Family Advocates 4/1/15 - 6/30/15 93.556 C024-2014 33,138
CalWorks South County SAFE Family Advocates 7/1/15 - 3/31/16 93.556 C024-2015 49,224
CalWorks Cal Learn 4/1/15 - 6/30/15 93.558 C006-2014 18,789
CalWorks Cal Learn 7/1/15 - 3/31/16 93.558 C006-2015 49,741
CalWorks Housing Support Program 4/1/15 - 6/30/15 93.558 C022-2014 258,162
CalWorks Housing Support Program 7/1/15 - 3/31/16 93.558 PO# 25010147 8,808
Passed Through Program From:
California Family Health Council, Inc.:
Family Planning Title X 4/1/15 - 12/31/15 93.217 778-5320-71209-15 91,258
Family Planning Title X 1/1/16 - 3/31/16 extension 93.217 778-5320-71209-15 29,730
Total Department of Health and Human Services: 48,140,535
Department of Energy:
Passed Through Program From:
California Department of Community Services and Development:
DOE Weatherization 9/1/15 - 3/31/16 81.042 15C - 1032 45,519
Total Department of Energy:45,519
Department of Homeland Security:
Passed Through Program From:
County of San Luis Obispo:
Emergency Food and Shelter (EFSP/FEMA) 4/1/15-6/30/15 97.024 086400-001 Phase 32 15,000
Total Department of Homeland Security:15,000
Grantor / Pass-Through Grantor /
or Program Title
ATTACHMENT B
18
COMMUNITY ACTION PARTNERSHIP OF SAN LUIS OBISPO COUNTY, INC.
SCHEDULE OF EXPENDITURES OF FEDERAL AWARDS (Continued)
FOR THE YEAR ENDED MARCH 31, 2016
Federal Expenditures
CFDA Grantor's or Amounts
Number Number Earned
Department of Housing and Urban Development:
Passed Through Program From:
Cities and Counties located in California:
Case Management 4/1/15 - 5/31/15 14.267 CA0740L9D141306 44,594
Case Management 6/1/15 - 3/31/16 14.267 CA0740L9D141407 204,384
Case Management 4/1/15 - 5/31/15 14.267 CA0741L9D141306 37,565
Case Management 6/1/15 - 3/31/16 14.267 CA0741L9D141407 178,642
Case Management 4/1/15 - 11/30/15 14.267 CA1029L9D141303 25,977
Case Management 12/1/15 - 3/31/16 14.267 CA1029L9D141404 13,515
Case Management 4/1/15 - 11/30/15 14.267 CA1030L9D141302 36,003
Case Management 12/1/15 - 3/31/16 14.267 CA1030L9D141403 19,570
CDBG 4/01/15 - 3/31/16 14.218 County of San Luis Obispo 225,923
CDBG 4/01/15 - 3/31/16 14.218 Cities of Pismo Beach and
San Luis Obispo
64,343
CDBG 4/01/15 - 3/31/16 14.218 City of Santa Maria 85,798
Emergency Shelter Grant 4/1/15 - 6/30/15 14.231 S-14-UC-06-0508 2,245
Emergency Shelter Grant 7/1/15 - 3/31/16 14.231 E-15-UC-06-0508 42,892
Emergency Shelter Grant 4/1/15 - 6/30/15 14.231 S-14-UC-06-0508 -
Emergency Shelter Grant 7/1/15 - 3/31/16 14.231 E-15-UC-06-0508 25,461
Total Department of Housing and Urban Development: 1,006,912
Department of Veteran Services:
Supportive Services for Veteran Families 4/1/15 - 9/30/15 64.033 C15-CA-614A 425,644
Supportive Services for Veteran Families 10/1/15 - 3/31/16 64.033 C15-CA-614A 575,941
Total Department of Veteran Services:1,001,585
TOTAL ALL AWARDS 52,575,820$
Grantor / Pass-Through Grantor /
or Program Title
ATTACHMENT B
19
COMMUNITY ACTION PARTNERSHIP OF SAN LUIS OBISPO COUNTY, INC.
NOTE TO SCHEDULE OF EXPENDITURES OF FEDERAL AWARDS
FOR THE YEAR ENDED MARCH 31, 2016
NOTE 1 – BASIS OF PRESENTATION
The accompanying schedule of expenditures of federal awards includes the federal and state grant
activity of Community Action Partnership of San Luis Obispo County, Inc., (the Agency) and is presented
on the accrual basis of accounting. The Federal information in this schedule is presented in accordance
with the requirements of the U.S. Office of Management and Budget (OMB) and the Uniform Guidance.
Therefore, some amounts presented in this schedule may differ from amounts presented in, or used in
the preparation of, the basic financial statements. The Agency has elected not to use the 10% de minimis
indirect cost rate. Administrative expenses are charged to operating programs based upon an annually
approved indirect cost rate, currently at 8%, from the U.S. Department of Health and Human Services.
ATTACHMENT B
20
INDEPENDENT AUDITOR’S REPORT ON INTERNAL CONTROL OVER
FINANCIAL REPORTING AND ON COMPLIANCE AND OTHER MATTERS
BASED ON AN AUDIT OF FINANCIAL STATEMENTS PERFORMED IN
ACCORDANCE WITH GOVERNMENT AUDITING STANDARDS
Board of Directors
Community Action Partnership of
San Luis Obispo County, Inc.
San Luis Obispo, California
We have audited, in accordance with the auditing standards generally accepted in
the United States of America and the standards applicable to financial audits
contained in Government Auditing Standards issued by the Comptroller General of
the United States, the financial statements of Community Action Partnership of San
Luis Obispo County, Inc., which comprise the statement of financial position as of
March 31, 2016, and the related statements of activities and cash flows for the year
then ended, and the related notes to the financial statements, and have issued our
report thereon dated September 22, 2016.
Internal Control Over Financial Reporting
In planning and performing our audit of the financial statements, we considered
Community Action Partnership of San Luis Obispo County, Inc.’s internal control over
financial reporting ( internal control) to determine the audit procedures that are
appropriate in the circumstances for the purpose of expressing our opinion on the
financial statements, but not for the purpose of expressing an opinion on the
effectiveness of Community Action Partnership of San Luis Obispo County, Inc.’s
internal control. Accordingly, we do not express an opinion on the effectiveness of
Community Action Partnership of San Luis Obispo County, Inc.’s internal control.
A deficiency in internal control exists when the design or operation of a control does
not allow management or employees, in the normal course of performing their
assigned functions, to prevent, or detect and correct, misstatements on a timely
basis. A material weakness is a deficiency, or a combination of deficiencies, in
internal control, such that there is a reasonable possibility that a material
misstatement of the entity’s financial statements will not be prevented, or detected
and corrected on a timely basis. A significant deficiency is a deficiency, or a
combination of deficiencies, in internal control that is less severe than a material
weakness, yet important enough to merit attention by those charged with
governance.
Our consideration of internal control was for the limited purpose described in the first
paragraph of this section and was not designed to identify all deficiencies in internal
control that might be material weaknesses or significant deficiencies. Given these
limitations, during our audit we did not identify any deficiencies in internal control that
we consider to be material weaknesses. However, material weaknesses may exist
that have not been identified.
ATTACHMENT B
21
Compliance and Other Matters
As part of obtaining reasonable assurance about whether Community Action Partnership of San Luis
Obispo County, Inc.’s financial statements are free from material misstatement, we performed tests of its
compliance with certain provisions of laws, regulations, contracts, and grant agreements, noncompliance
with which could have a direct and material effect on the determination of financial statement amounts.
However, providing an opinion on compliance with those provisions was not an objective of our audit and,
accordingly, we do not express such an opinion. The results of our tests disclosed no instances of
noncompliance or other matters that are required to be reported under Government Auditing Standards.
Purpose of this Report
The purpose of this report is solely to describe the scope of our testing of internal control and compliance
and the results of that testing, and not to provide an opinion on the effectiveness of Community Action
Partnership of San Luis Obispo County, Inc.’s internal control or on compliance. This report is an integral
part of an audit performed in accordance with Government Auditing Standards in considering Community
Action Partnership of San Luis Obispo County, Inc.’s internal control and compliance. Accordingly, this
communication is not suitable for any other purpose.
BROWN ARMSTRONG
ACCOUNTANCY CORPORATION
Bakersfield, California
September 22, 2016
ATTACHMENT B
22
INDEPENDENT AUDITOR’S REPORT ON COMPLIANCE FOR
EACH MAJOR PROGRAM AND ON INTERNAL CONTROL OVER
COMPLIANCE REQUIRED BY THE UNIFORM GUIDANCE
Board of Directors
Community Action Partnership of
San Luis Obispo County, Inc.
San Luis Obispo, California
Report on Compliance for Each Major Federal Program
We have audited Community Action Partnership of San Luis Obispo County, Inc.’s
compliance with the types of compliance requirements described in the U.S. Office of
Management and Budget (OMB) Compliance Supplement that could have a direct and
material effect on each of Community Action Partnership of San Luis Obispo County,
Inc.’s major federal programs for the year ended March 31, 2016. Community Action
Partnership of San Luis Obispo County, Inc.’s major federal programs are identified in
the summary of auditor’s results section of the accompanying schedule of findings and
questioned costs.
Management’s Responsibility
Management is responsible for compliance with the requirements of laws,
regulations, contracts, and grants applicable to its federal programs.
Auditor’s Responsibility
Our responsibility is to express an opinion on compliance for each of Community
Action Partnership of San Luis Obispo County, Inc.’s major federal programs based on
our audit of the types of compliance requirements referred to above. We conducted our
audit of compliance in accordance with auditing standards generally accepted in the
United States of America; the standards applicable to financial audits contained in
Government Auditing Standards, issued by the Comptroller General of the United
States; and the audit requirements of Title 2 U.S. Code of Federal Regulations, Part
200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements
for Federal Awards (Uniform Guidance). Those standards and the Uniform Guidance
require that we plan and perform the audit to obtain reasonable assurance about
whether noncompliance with the types of compliance requirements referred to above
that could have a direct and material effect on a major federal program occurred. An
audit includes examining, on a test basis, evidence about Community Action
Partnership of San Luis Obispo County, Inc.’s compliance with those requirements and
performing such other procedures as we considered necessary in the circumstances.
We believe that our audit provides a reasonable basis for our opinion on compliance
for each major federal program. However, our audit does not provide a legal
determination of Community Action Partnership of San Luis Obispo County, Inc.’s
compliance.
ATTACHMENT B
23
Opinion on Each Major Federal Program
In our opinion, Community Action Partnership of San Luis Obispo County, Inc., complied, in all material
respects, with the types of compliance requirements referred to above that could have a direct and material
effect on each of its major federal programs for the year ended March 31, 2016.
Report on Internal Control Over Compliance
Management of Community Action Partnership of San Luis Obispo County, Inc., is responsible for
establishing and maintaining effective internal control over compliance with the types of compliance
requirements referred to above. In planning and performing our audit of compliance, we considered
Community Action Partnership of San Luis Obispo County, Inc.’s internal control over compliance with the
types of requirements that could have a direct and material effect on each major federal program to
determine the auditing procedures that are appropriate in the circumstances for the purpose of expressing
an opinion on compliance for each major federal program and to test and report on internal control over
compliance in accordance with the Uniform Guidance, but not for the purpose of expressing an opinion on
the effectiveness of internal control over compliance. Accordingly, we do not express an opinion on the
effectiveness of Community Action Partnership of San Luis Obispo County, Inc.’s internal control over
compliance.
A deficiency in internal control over compliance exists when the design or operation of a control over
compliance does not allow management or employees, in the normal course of performing their assigned
functions, to prevent, or detect and correct, noncompliance with a type of compliance requirement of a
federal program on a timely basis. A material weakness in internal control over compliance is a
deficiency, or combination of deficiencies, in internal control over compliance, such that there is a
reasonable possibility that material noncompliance with a type of compliance requirement of a federal
program will not be prevented, or detected and corrected, on a timely basis. A significant deficiency in
internal control over compliance is a deficiency, or a combination of deficiencies, in internal control over
compliance with a type of compliance requirement of a federal program that is less severe than a material
weakness in internal control over compliance, yet important enough to merit attention by those charged
with governance.
Our consideration of internal control over compliance was for the limited purpose described in the first
paragraph of this section and was not designed to identify all deficiencies in internal control over
compliance that might be material weaknesses or significant deficiencies. We did not identify any
deficiencies in internal control over compliance that we consider to be material weaknesses. However,
material weaknesses may exist that have not been identified.
The purpose of this report on internal control over compliance is solely to describe the scope of our
testing of internal control over compliance and the results of that testing based on the requirements of the
Uniform Guidance. Accordingly, this report is not suitable for any other purpose.
BROWN ARMSTRONG
ACCOUNTANCY CORPORATION
Bakersfield, California
September 22, 2016
ATTACHMENT B
24
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1
9
2
4
7
8
0
9
5
4
0
4
2
3
6
6
2
7
4
2
6
1
3
0
6
2
3
7
7
0
2
0
0
CH
A
N
G
E
IN
N
E
T
A
S
S
E
T
S
14
5
1
4
2
1
3
4
5
3
7
4
2
1
7
0
ATTACHMENT B
25
COMMUNITY ACTION PARTNERSHIP OF SAN LUIS OBISPO COUNTY, INC.
STATEMENT OF REVENUE AND EXPENSE
DEPARTMENT OF COMMUNITY SERVICES AND DEVELOPMENT
CSBG
FOR THE YEAR ENDED MARCH 31, 2016
16F-5039
Budget
1/1/2015 4/ 1/2015 Total 1/1/2015 Budget vs. 1/1/2016
Through Through Audited Reported through Actual Through
3/31/2015 12/31/2015 Costs Costs 12/31/2015 Variance 3/31/2016
REVENUE
Grants and Contracts 55,687$ 223,345$ 279,032$ 279,032$ 279,032$ -$ 47,162$
Other Revenue - - - - - - -
TOTAL REVENUE 55,687 223,345 279,032 279,032 279,032 - 47,162
EXPENSE
Administrative Costs
Salaries and Wages 1,859 13,718 15,577 15,577 15,311 ( 266) -
Employee Benefits 433 3,470 3,903 3,903 3,943 40 -
Operating Expenses and Equipment 10,788 55,322 66,110 66,110 66,336 226 8,561
Out-of-State Travel 581 - 581 581 581 - -
Subcontractor Services - - - - - - -
Other Costs 3,113 11,173 14,286 14,286 14,286 - 2,859
Subtotal Administrative Costs 16,774 83,683 100,457 100,457 100,457 - 11,420
Program Costs
Salaries and Wages 26,459 93,912 120,371 120,371 120,222 (149) 25,132
Employee Benefits 9,718 31,556 41,274 41,274 41,423 149 9,513
Operating Expenses and Equipment 2,736 14,194 16,930 16,930 16,930 - 1,097
Out-of-State Travel - - - - - - -
Subcontractor Services - - - - - - -
Other Costs - - - - - - -
Subtotal Program Costs 38,913 139,662 178,575 178,575 178,575 - 35,742
TOTAL EXPENSE 55,687 223,345 279,032 279,032 279,032 - 47,162
EXCESS (DEFICIENCY) OF
REVENUE OVER EXPENSE -$ -$ -$ -$ -$ -$ -$
15F-2039
Actual
ATTACHMENT B
26
COMMUNITY ACTION PARTNERSHIP OF SAN LUIS OBISPO COUNTY, INC.
STATEMENT OF REVENUE AND EXPENSE
HEAD START/EARLY HEAD START PROGRAMS
FOR THE YEAR ENDED MARCH 31, 2016
Total
Regional and Early
PA 20 PA 22 PA 21 PA 25 In-Kind First 5 HeadStart
REVENUE
Grants and Contracts 39,890$ 3,168,457$ 76,676$ 3,106,900$ -$ 80,750$ 6,472,673$
In-Kind Contributions - - - - 1,639,595 - 1,639,595
TOTAL REVENUE 39,890 3,168,457 76,676 3,106,900 1,639,595 80,750 8,112,268
EXPENSE
Salaries and Wages - 1,595,688 - 1,544,873 - 42,548 3,183,109
Employee Benefits - 770,516 - 663,565 - 13,379 1,447,460
Volunteer Services In-Kind - - - - 1,029,439 - 1,029,439
Service Provider Payments - - - 181,817 - - 181,817
Consultants and Contractual 438 32,485 817 16,002 - - 49,742
Contractors In-Kind - - - - 228,803 - 228,803
Materials and Supplies 16,965 136,846 23,485 171,576 - 11,261 360,133
Travel and Transportation 10,009 57,192 21,010 35,848 - 1,932 125,991
Repairs and Maintenance - 108,931 - 54,478 - 1,844 165,253
Training and Seminars 8,572 6,463 23,457 1,246 - - 39,738
Rent - 104,384 - 109,990 - - 214,374
Space In-Kind - - - - 255,086 - 255,086
Utilities and Telephone - 53,833 - 30,804 - 3,805 88,442
Insurance - 41,536 - 29,713 - - 71,249
Capital Purchases - 1,000 - 17,771 - - 18,771
Human Resources Support - 8,105 - 7,929 - - 16,034
Medical and Participant Costs - 9,959 - 8,012 - - 17,971
Postage, Printing, and Other 951 6,893 2,228 4,452 - - 14,524
Supplies and Food In-Kind - - - - 126,267 - 126,267
Indirect Expense 2,955 234,626 5,679 228,824 - 5,981 478,065
TOTAL EXPENSE 39,890 3,168,457 76,676 3,106,900 1,639,595 80,750 8,112,268
EXCESS (DEFICIENCY) OF
REVENUE OVER EXPENSE -$ -$ -$ -$ -$ -$ -$
09CH91901/01
ATTACHMENT B
27
COMMUNITY ACTION PARTNERSHIP OF SAN LUIS OBISPO COUNTY, INC.
STATEMENT OF REVENUE AND EXPENSE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
EARLY HEAD START CHILD CARE PARTNERSHIP PROGRAM
FOR THE PERIOD FEBRUARY 1, 2015 THROUGH MARCH 31, 2016
2/1/2015 4/ 1/2015 2/1/2015
Through Through Through
3/31/2015 3/31/2016 3/31/2016
REVENUE
Grants and Contracts 28,604$ 2,552,017$ 2,580,621$
In-Kind Contributions - 530,541 530,541
TOTAL REVENUE 28,604 3,082,558 3,111,162
EXPENSE
Salaries and Wages 7,832 1,021,582 1,029,414
Employee Benefits 2,235 405,011 407,246
Volunteer Services In-Kind - 356,330 356,330
Service Provider Payments - 123,514 123,514
Consultants and Contractual - 43,324 43,324
Contractors In-Kind - 109,373 109,373
Materials and Supplies 14,243 367,353 381,596
Travel and Transportation 530 53,173 53,703
Repairs and Maintenance 758 62,918 63,676
Training and Seminars 72 20,190 20,262
Rent - 50,857 50,857
Space In-Kind - 17,111 17,111
Utilities and Telephone 5 15,417 15,422
Insurance - 3,485 3,485
Capital Purchases - 197,557 197,557
Human Resources Support - 4,099 4,099
Medical and Participant Costs 810 6,225 7,035
Postage, Printing, and Other - 2,908 2,908
Supplies and Food In-Kind - 47,727 47,727
Indirect Expense 2,119 174,404 176,523
TOTAL EXPENSE 28,604 3,082,558 3,111,162
EXCESS (DEFICIENCY) OF
REVENUE OVER EXPENSE -$ -$ -$
094P0025/01
ATTACHMENT B
28
COMMUNITY ACTION PARTNERSHIP OF SAN LUIS OBISPO COUNTY, INC.
STATEMENT OF REVENUE AND EXPENSE
HEAD START/EARLY HEAD START PROGRAM - NORTHERN SAN DIEGO COUNTY
FOR THE YEAR ENDED MARCH 31, 2016
Total
Head Start and
PA 20 PA 22 PA 21 PA 25 In-Kind First 5 Early HeadStart
REVENUE
Grants and Contracts 27,377$ 3,423,681$ 15,215$ 608,592$ -$ 112,192$ 4,187,057$
In-Kind Contributions - - - - 959,819 - 959,819
Other Revenue - - - - - - -
TOTAL REVENUE 27,377 3,423,681 15,215 608,592 959,819 112,192 5,146,876
EXPENSE
Salaries and Wages - 1,540,296 - 267,485 - 34,733 1,842,514
Employee Benefits - 600,699 - 97,920 - 10,909 709,528
Volunteer Services In-Kind - - - - 353,747 - 353,747
Consultants and Contractual 1,698 355,279 - 3,067 - - 360,044
Contractors In-Kind - - - - 563,021 - 563,021
Materials and Supplies 9,852 218,703 2,825 90,218 - 40,168 361,766
Travel and Transportation 8,784 41,573 7,437 3,152 - - 60,946
Repairs and Maintenance - 70,477 - 22,765 - 1,347 94,589
Training and Seminars 5,015 2,020 3,826 - - 1,137 11,998
Rent - 201,085 - 9,977 - - 211,062
Space In-Kind - - - - 30,780 - 30,780
Utilities and Telephone - 44,311 - 3,002 - - 47,313
Insurance - 20,389 - 2,036 - - 22,425
Capital Purchases - 52,424 - 65,369 - 11,647 129,440
Human Resources Support - 11,612 - 1,495 - - 13,107
Medical and Participant Costs - 9,552 - 1,649 - - 11,201
Postage, Printing, and Other - 5,538 - 218 - 4,803 10,559
Supplies and Food In-Kind - - - - 12,271 - 12,271
Indirect Expense 2,028 249,723 1,127 40,239 - 7,448 300,565
TOTAL EXPENSE 27,377 3,423,681 15,215 608,592 959,819 112,192 5,146,876
EXCESS (DEFICIENCY) OF
REVENUE OVER EXPENSE -$ -$ -$ -$ -$ -$ -$
09CH9103/04
ATTACHMENT B
29
COMMUNITY ACTION PARTNERSHIP OF SAN LUIS OBISPO COUNTY, INC.
STATEMENT OF REVENUE AND EXPENSE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
MIGRANT AND SEASONAL HEAD START/EARLY HEAD START
FOR THE PERIODS SEPTEMBER 1, 2014 THROUGH AUGUST 31, 2015
AND SEPTEMBER 1, 2015 THROUGH MARCH 31, 2016
90CM9821/01
9/1/2014 4/ 1/2015 9/1/2014 9/ 1/2015
Through Through Through Through
3/31/2015 8/31/2015 8/31/2015 3/31/ 2016
REVENUE
Grants and Contracts 10,673,250$ 14,813,056$ 25,486,306$ 10,497,404$
In-Kind Contributions 551,123 668,087 1,219,210 479,155
TOTAL REVENUE 11,224,373 15,481,143 26,705,516 10,976,559
EXPENSE
Salaries and Wages 4,001,138 5,404,215 9,405,353 3,708,417
Employee Benefits 1,458,556 2,416,106 3,874,662 1,588,941
Volunteer Services In-Kind 306,682 425,668 732,350 257,933
Service Provider Payments 960,361 1,743,725 2,704,086 930,210
Consultants and Contractual 62,789 106,943 169,732 80,909
Contractors In-Kind 12,010 50,980 62,990 18,378
Materials and Supplies 357,030 600,557 957,587 408,808
Travel and Transportation 282,305 286,909 569,214 227,061
Repairs and Maintenance 185,871 208,758 394,629 190,135
Training and Seminars 54,574 30,139 84,713 44,719
Rent 299,032 202,887 501,919 329,362
Space In-Kind 211,477 122,968 334,445 177,040
Utilities and Telephone 155,061 164,378 319,439 156,222
Insurance 11,402 184,918 196,320 12,790
Capital Purchases 163,128 109,915 273,043 39,819
Human Resources Support 39,373 34,508 73,881 21,367
Medical and Participant Costs 36,462 60,076 96,538 51,398
Postage, Printing, and Other 25,951 23,995 49,946 48,937
Supplies and Food In-Kind 20,954 68,472 89,426 25,804
Delegate Agency Contract 1,945,825 2,317,577 4,263,402 2,034,367
Indirect Expense 634,392 917,449 1,551,841 623,942
TOTAL EXPENSE 11,224,373 15,481,143 26,705,516 10,976,559
EXCESS (DEFICIENCY) OF
REVENUE OVER EXPENSE -$ -$ -$ -$
90CM0151/24
ATTACHMENT B
30
COMMUNITY ACTION PARTNERSHIP OF SAN LUIS OBISPO COUNTY, INC.
STATEMENT OF REVENUE AND EXPENSE
MIGRANT AND SEASONAL EARLY HEAD START CHILD CARE PARTNERSHIP PROGRAM
FOR THE PERIOD MARCH 1, 2015 THROUGH MARCH 31, 2016
3/1/2015 4/ 1/2015 3/1/2015
Through Through Through
3/31/2015 3/31/2016 3/31/2016
REVENUE
Grants and Contracts 36,302$ 3,145,918$ 3,182,220$
In-Kind Contributions - 463,876 463,876
TOTAL REVENUE 36,302 3,609,794 3,646,096
EXPENSE
Salaries and Wages 14,383 1,128,141 1,142,524
Employee Benefits 3,703 410,586 414,289
Volunteer Services In-Kind - 4,971 4,971
Service Provider Payments - 493,543 493,543
Consultants and Contractual - 6,580 6,580
Contractors In-Kind - 455,883 455,883
Materials and Supplies 10,492 358,236 368,728
Travel and Transportation 1,250 125,554 126,804
Repairs and Maintenance 379 81,341 81,720
Training and Seminars - 25,857 25,857
Rent 1,077 58,257 59,334
Utilities and Telephone 54 23,970 24,024
Insurance 792 4,784 5,576
Capital Purchases - 179,198 179,198
Human Resources Support 1,458 2,490 3,948
Medical and Participant Costs - 11,146 11,146
Postage, Printing, and Other 25 16,478 16,503
Supplies and Food In-Kind - 3,022 3,022
Indirect Expense 2,689 219,757 222,446
TOTAL EXPENSE 36,302 3,609,794 3,646,096
EXCESS (DEFICIENCY) OF
REVENUE OVER EXPENSE -$ -$ -$
90HM0003/01
ATTACHMENT B
31
COMMUNITY ACTION PARTNERSHIP OF SAN LUIS OBISPO COUNTY, INC.
STATEMENT OF REVENUE AND EXPENSE
CALIFORNIA FAMILY HEALTH COUNCIL
FEDERAL TITLE X – FAMILY PLANNING
FOR THE YEAR ENDED MARCH 31, 2016
4/1/2015 1/1/2016 4/1/2015
Through Through Through
12/31/2015 3/31/2016 3/31/2016
REVENUE
Grants and Contracts 91,258$ 29,730$ 120,988$
Other Revenue - - -
TOTAL REVENUE 91,258 29,730 120,988
EXPENSE
Salaries and Wages 55,854 19,953 75,807
Employee Benefits 12,587 4,262 16,849
Medical Expenses 14,639 2,815 17,454
Materials and Supplies 19 - 19
Travel and Transportation 884 458 1,342
Training and Seminars 515 40 555
Indirect Cost 6,760 2,202 8,962
TOTAL EXPENSE 91,258 29,730 120,988
EXCESS (DEFICIENCY) OF
REVENUE OVER EXPENSE -$ -$ -$
Family Planning Services
ATTACHMENT B
32
COMMUNITY ACTION PARTNERSHIP OF SAN LUIS OBISPO COUNTY, INC.
STATEMENT OF REVENUE AND EXPENSE
STATE OF CALIFORNIA DEPARTMENT OF HEALTH SERVICES
FAMILY PLANNING AND CLINICAL PROGRAM: F-PACT
FOR THE YEAR ENDED MARCH 31, 2016
San Luis Arroyo 4/1/2015 San Luis Arroyo 7/ 1/2015Total
Obispo Grande Through Obispo Grande Through Clinical
Clinic Clinic 6/30/2015 Clinic Clinic 3/31/2016 Programs
REVENUE
Grants and Contracts 166,194$ 106,905$ 273,099$ 533,067$ 421,167$ 954,234$ 1,227,333$
Donations 368 317 685 915 6,942 7,857 8,542
Other Revenue 2,468 198 2,666 7,324 3,751 11,075 13,741
TOTAL REVENUE 169,030 107,420 276,450 541,306 431,860 973,166 1,249,616
EXPENSE
Salaries and Wages 70,720 34,926 105,646 211,560 159,381 370,941 476,587
Employee Benefits 20,538 11,823 32,361 71,334 52,911 124,245 156,606
Consultants and Contractual 1,350 1,350 2,700 4,500 4,500 9,000 11,700
Medical Expenses 40,023 30,957 70,980 110,496 92,630 203,126 274,106
Materials and Supplies 7,525 5,853 13,378 38,594 26,285 64,879 78,257
Travel 530 83 613 442 79 521 1,134
Repairs and Maintenance 4,133 3,963 8,096 12,890 15,583 28,473 36,569
Training and Seminars 2,951 - 2,951 1,308 78 1,386 4,337
Rent 445 - 445 1,897 - 1,897 2,342
Utilities and Telephone 2,006 1,594 3,600 10,067 9,507 19,574 23,174
Insurance 150 150 300 10,285 10,258 20,543 20,843
Capital Purchases - - - - - - -
Human Resources Support 474 46 520 1,875 2,476 4,351 4,871
Postage, Printing, and Other 1,029 576 1,605 3,731 2,719 6,450 8,055
Interest and Depreciation 2,145 8,793 10,938 4,107 25,340 29,447 40,385
Indirect Expense 12,287 7,306 19,593 38,321 30,113 68,434 88,027
TOTAL EXPENSE 166,306 107,420 273,726 521,407 431,860 953,267 1,226,993
EXCESS (DEFICIENCY) OF
REVENUE OVER EXPENSE 2,724$ -$ 2,724$ 19,899$ -$ 19,899$ 22,623$
For the Period 4/1/15 - 6/30/15 For the Period 7/ 1/15 - 3/31/16
ATTACHMENT B
33
COMMUNITY ACTION PARTNERSHIP OF SAN LUIS OBISPO COUNTY, INC.
STATEMENT OF REVENUE AND EXPENSE
CALIFORNIA DEPARTMENT OF PUBLIC HEALTH
MATERNAL, CHILD, AND ADOLESCENT HEALTH
INFORMATION AND EDUCATION (I&E) PROJECT
FOR THE YEAR ENDED MARCH 31, 2016
4/1/2015 7/ 1/2015
Through Through
6/30/2015 3/31/2016 Total
REVENUE
Federal Income 4,101$ 8,969$ 13,070$
State Income 8,835 21,558 30,393
Donations 502 866 1,368
TOTAL REVENUE 13,438 31,393 44,831
EXPENSE
Salaries and Wages 8,371 16,917 25,288
Employee Benefits 2,788 7,805 10,593
Materials and Supplies 408 1,851 2,259
Travel 574 1,008 1,582
Repairs and Maintenance - 116 116
Training and Seminars - 31 31
Rent 223 523 746
Utilities and Housekeeping 79 445 524
Telephone - 372 372
Indirect Cost 995 2,325 3,320
TOTAL EXPENSE 13,438 31,393 44,831
EXCESS (DEFICIENCY) OF
REVENUE OVER EXPENSE -$ -$ -$
11 - 10282
ATTACHMENT B
34
COMMUNITY ACTION PARTNERSHIP OF SAN LUIS OBISPO COUNTY, INC.
STATEMENT OF REVENUE AND EXPENSE
CALIFORNIA DEPARTMENT OF PUBLIC HEALTH
MATERNAL, CHILD, AND ADOLESCENT HEALTH
ADOLESCENT FAMILY LIFE PROGRAM (AFLP)
FOR THE YEAR ENDED MARCH 31, 2016
4/1/2015 7/ 1/2015
Through Through
6/30/2015 3/31/2016 Total
REVENUE
Federal Income 11,954$ 59,215$ 71,169$
Donations - 6,293 6,293
TOTAL REVENUE 11,954 65,508 77,462
EXPENSE
Salaries and Wages 7,192 40,096 47,288
Employee Benefits 2,529 12,356 14,885
Materials and Supplies 205 2,577 2,782
Travel and Transportation 586 2,912 3,498
Repairs and Maintenance - 64 64
Training and Seminars - 234 234
Rent 502 1,110 1,612
Utilities and Housekeeping - 194 194
Insurance - 397 397
Postage and Printing 45 378 423
Telephone 10 338 348
Indirect Cost 885 4,852 5,737
TOTAL EXPENSE 11,954 65,508 77,462
EXCESS (DEFICIENCY) OF
REVENUE OVER EXPENSE -$ -$ -$
12-10063
ATTACHMENT B
35
COMMUNITY ACTION PARTNERSHIP OF SAN LUIS OBISPO COUNTY, INC.
STATEMENT OF REVENUE AND EXPENSE
SAN LUIS OBISPO COUNTY
FEDERAL EMERGENCY MANAGEMENT AGENCY/EMERGENCY
FOOD AND SHELTER PROGRAM (FEMA/EFSP)
FOR THE YEAR ENDED MARCH 31, 2016
Phase 32 Phase 32 Phase32
7/1/2014 4/ 1/2015 7/1/2014
Through Through Through
3/31/2015 6/30/2015 6/30/2015
REVENUE
Grants and Contracts -$ 15,000$ 15,000$
Other Income - - -
TOTAL REVENUE - 15,000 15,000
EXPENSE
Materials and Supplies - 3,498 3,498
Utilities and Telephone - 2,281 2,281
Other Expenses - 9,221 9,221
TOTAL EXPENSE - 15,000 15,000
EXCESS (DEFICIENCY) OF
REVENUE OVER EXPENSE -$ -$ -$
ATTACHMENT B
36
COMMUNITY ACTION PARTNERSHIP OF SAN LUIS OBISPO COUNTY, INC.
STATEMENT OF REVENUE AND EXPENSE
U.S. DEPARTMENT OF VETERANS AFFAIRS
SUPPORTIVE SERVICES FOR VETERAN FAMILIES (SSVF)
FOR THE YEAR ENDED MARCH 31, 2016
4/1/2015 10/1/2015 4/1/2015
Through Through Through
9/30/2015 3/31/2016 3/31/2016
REVENUE
Grants and Contracts 425,644$ 575,941$ 1,001,585$
TOTAL REVENUE 425,644 575,941 1,001,585
EXPENSE
Salaries and Wages 117,797 140,047 257,844
Employee Benefits 42,106 56,674 98,780
Consultants and Contractual 180,085 276,453 456,538
Materials and Supplies 11,699 20,024 31,723
Travel and Transportation 23,514 22,462 45,976
Repairs and Maintenance 762 682 1,444
Training and Seminars 3,377 200 3,577
Rent 7,200 9,532 16,732
Utilities and Housekeeping 498 346 844
Insurance 2,963 269 3,232
Postage and Printing 912 330 1,242
Telephone 2,851 4,104 6,955
Other Expenses 362 2,144 2,506
Indirect Cost 31,518 42,674 74,192
TOTAL EXPENSE 425,644 575,941 1,001,585
EXCESS (DEFICIENCY) OF
REVENUE OVER EXPENSE -$ -$ -$
ATTACHMENT B
37
COMMUNITY ACTION PARTNERSHIP OF SAN LUIS OBISPO COUNTY, INC.
STATEMENT OF REVENUE AND EXPENSE
AREA AGENCY ON AGING CAA# 45102A – SAN LUIS OBISPO
HOME REPAIR SERVICES
FOR THE PERIOD JULY 1, 2014 THROUGH JUNE 30, 2015
7/1/2014
Through
3/31/2015
4/1/2015
Through
6/30/2015
Total
Audited
Costs
Reported
Expenses
7/1/14-6/30/15
Total Budget
7/1/14-6/30/15 Variance
REVENUE
Grants and Contracts 68,574$ 1,597$ 70,171$ 70,171$ 70,171$ -$
In-Kind 12,198 530 12,728 12,729 13,000 272
Program Income 1,395 395 1,790 1,790 3,000 1,210
Donations - Unrestricted - - - - - -
TOTAL REVENUE 82,167 2,522 84,689 84,690 86,171 1,482
EXPENSE
Personnel:
Salaries and Wages 32,337 91 32,428 32,429 36,906 4,478
Payroll Taxes 2,931 4 2,935 2,934 3,523 588
Employee Benefits 9,575 28 9,603 9,602 13,516 3,913
In-Kind Personnel - - - - - -
Total Personnel 44,843 123 44,966 44,965 53,945 8,979
Travel and Training:
Staff Travel 68 - 68 68 125 57
In-Kind Staff Travel - - - - - -
Staff Training - - - - - -
In-Kind Staff Training - - - - - -
Total Travel and Training 68 - 68 68 125 57
Equipment
Expendable - - - - - -
Non-Expendable - - - - - -
In-Kind Equipment - - - - - -
Total Equipment - - - - - -
Consultants:
Consultants - - - - - -
In-Kind Consultants - - - - - -
Total Consultants - - - - - -
Other Costs:
Rent 1,180 52 1,232 1,233 1,063 ( 169)
Telephone 435 - 435 435 425 (10)
Utilities 138 18 156 156 225 69
Janitorial 154 21 175 - - ( 175)
Insurance - 1,247 1,247 1,247 1,180 (67)
Accounting/Auditing - - - - - -
Office Supplies/Postage 210 26 236 235 250 14
Vehicle Operations 1,375 - 1,375 1,375 2,125 750
Vehicle Repairs and Maintenance 169 - 169 169 1,175 1,006
Building Repairs and Maintenance 172 12 184 174 530 346
Equipment Repairs and Maintenance - - - 183 - -
Equipment Rental - - - - - -
Volunteer Expense - - - - - -
Taxes and Licenses 115 - 115 115 325 210
Printing - - - - 65 65
Advertising - - - - 75 75
Memberships/Subscriptions - - - - - -
Outside Services 89 - 89 89 - (89)
Program Supplies 993 59 1,052 16,187 335 ( 717)
Indirect/Allocated Costs 5,183 148 5,331 5,330 5,420 89
Other In-Kind 12,198 530 12,728 12,729 1,500 (11,228)
Building Materials 14,709 240 14,949 - 17,283 2,334
Small Tools 136 46 182 - 125 (57)
Disposal - - - - - -
Total Other Costs 37,256 2,399 39,655 39,657 32,101 (7,554)
TOTAL EXPENSE 82,167 2,522 84,689 84,690 86,171 1,482
Excess (Deficiency) of Revenue
Over Expense
ATTACHMENT B
38
COMMUNITY ACTION PARTNERSHIP OF SAN LUIS OBISPO COUNTY, INC.
STATEMENT OF REVENUE AND EXPENSE
AREA AGENCY ON AGING CAA# 45102B – SANTA MARIA
HOME REPAIR SERVICES
FOR THE PERIOD JULY 1, 2014 THROUGH JUNE 30, 2015
7/1/2014
Through
3/31/2015
4/1/2015
Through
6/30/2015
Total
Audited
Costs
Reported
Expenses
7/1/14-6/30/15
Total Budget
7/1/14-6/30/15 Variance
REVENUE
Grants and Contracts 32,373$ 6,627$ 39,000$ 39,000$ 39,000$ -$
Grants and Contracts - CCSCF 5,000 - 5,000 5,000 - (5,000)
In-Kind 9,370 1,566 10,936 10,936 12,000 1,064
Program Income 615 90 705 705 1,900 1,195
Donations - Unrestricted - - - - - -
TOTAL REVENUE 47,358 8,283 55,641 55,641 52,900 (2,741)
EXPENSE
Personnel:
Salaries and Wages 17,860 3,076 20,936 21,026 23,671 2,735
Payroll Taxes 1,640 249 1,889 1,888 2,276 387
Employee Benefits 4,850 982 5,832 5,832 7,009 1,177
In-Kind Personnel - - - - - -
Total Personnel 24,350 4,307 28,657 28,746 32,956 4,299
Travel and Training:
Staff Travel 409 - 409 409 125 ( 284)
In-Kind Staff Travel - - - - - -
Staff Training - - - - - -
In-Kind Staff Training - - - - - -
Total Travel and Training 409 - 409 409 125 ( 284)
Equipment
Expendable - - - - - -
Non-Expendable - - - - - -
In-Kind Equipment - - - - - -
Total Equipment - - - - - -
Consultants:
Consultants 89 - 89 - - ( 89)
In-Kind Consultants - - - - - -
Total Consultants 89 - 89 - - ( 89)
Other Costs:
Rent 671 103 774 774 709 (65)
Telephone 370 - 370 370 275 (95)
Utilities 127 11 138 138 150 12
Janitorial 154 12 166 - 175 9
Insurance - 898 898 898 858 (40)
Accounting/Auditing - - - - - -
Office Supplies/Postage 186 19 205 205 175 (30)
Vehicle Operations 1,374 - 1,374 1,374 1,975 601
Vehicle Repairs and Maintenance 185 119 304 304 725 421
Building Repairs and Maintenance 114 23 137 166 185 48
Equipment Repairs and Maintenance - - - 137 - -
Equipment Rental - - - - - -
Volunteer Expense - - - - - -
Taxes and Licenses - - - - 150 150
Printing - - - - 50 50
Advertising - - - - 50 50
Memberships/Subscriptions - - - - - -
Outside Services - - - - - -
Program Supplies 1,016 6 1,022 7,873 165 ( 857)
Indirect/Allocated Costs 2,814 498 3,312 3,311 3,334 22
Other In-Kind 9,370 1,566 10,936 10,936 900 (10,036)
Building Materials 6,066 715 6,781 - 9,853 3,072
Small Tools 63 6 69 - 90 21
Disposal - - - - - -
Total Other Costs 22,510 3,976 26,486 26,486 19,819 (6,667)
TOTAL EXPENSE 47,358 8,283 55,641 55,641 52,900 (2,741)
Excess (Deficiency) of Revenue Over
Expense
ATTACHMENT B
39
COMMUNITY ACTION PARTNERSHIP OF SAN LUIS OBISPO COUNTY, INC.
STATEMENT OF REVENUE AND EXPENSE
AREA AGENCY ON AGING CAA# 45102C
ADULT DAY SERVICES IIIB FUNDING
FOR THE PERIOD JULY 1, 2014 THROUGH JUNE 30, 2015
7/1/2014
Through
3/31/2015
4/1/2015
Through
6/30/2015
Total
Audited
Costs
Reported
Expenses
7/1/14-6/30/15
Total Budget
7/1/14-6/30/15 Variance
REVENUE
Grants and Contracts (AAA) 49,012$ 1,988$ 51,000$ 51,000$ $ 51,000 -$
Grants and Contracts (VA) 5,680 - 5,680 5,680 22,448 16,768
Grants and Contracts (CBO) 11,627 - 11,627 11,627 11,627 -
In-Kind 9,377 3,675 13,052 13,051 15,099 2,047
Donations - Unrestricted - - - - 11,433 11,433
Program Support - 16,475 16,475 16,722 25,281 8,806
Other Revenue (Client Contributions) 16,460 4,220 20,680 20,680 35,000 14,320
TOTAL REVENUE 92,156 26,358 118,514 118,760 171,888 53,374
EXPENSE
Personnel:
Salaries and Wages 41,199 10,052 51,251 51,251 83,357 32,106
Payroll Taxes 3,982 924 4,906 4,906 7,987 3,081
Employee Benefits 11,994 3,666 15,660 14,124 21,346 5,686
In-Kind Personnel 3,229 1,698 4,927 4,927 6,789 1,862
Total Personnel 60,404 16,340 76,744 75,208 119,479 42,735
Travel and Training:
Staff Travel - - - - 272 272
In-Kind Staff Travel - - - - - -
Staff Training 71 94 165 183 198 33
In-Kind Staff Training - - - - - -
Total Travel and Training 71 94 165 183 470 305
Equipment
Expendable - - - - - -
Non-Expendable - - - - - -
In-Kind Equipment - - - - - -
Total Equipment - - - - - -
Consultants:
Consultants - - - - - -
In-Kind Consultants - - - - - -
Total Consultants - - - - - -
Other Costs:
Rent 7,178 1,772 8,950 9,587 9,013 63
Telephone 397 - 397 397 445 48
Utilities 507 229 736 662 1,311 575
Janitorial - - - - - -
Insurance 14 1,583 1,597 2,450 1,705 108
Accounting/Auditing - - - - - -
Office Supplies/Postage 616 296 912 958 1,206 294
Vehicle Operations 117 - 117 117 - ( 117)
Vehicle Repairs and Maintenance - - - - - -
Building Repairs and Maintenance 637 180 817 876 1,552 735
Equipment Repairs and Maintenance - - - - - -
Equipment Rental - - - - - -
Volunteer Expense - - - - - -
Taxes and Licenses 90 - 90 91 482 392
Printing - - - - 155 155
Advertising 70 63 133 132 927 794
Memberships/Subscriptions 202 - 202 202 185 (17)
Outside Services (Nutrition) 7,313 1,754 9,067 9,280 10,769 1,702
Program Supplies 2,260 390 2,650 2,663 5,749 3,099
Indirect/Allocated Costs 6,132 1,680 7,812 7,830 10,130 2,318
Other In-Kind 6,148 1,977 8,125 8,124 8,310 185
Total Other Costs 31,681 9,924 41,605 43,369 51,939 10,334
TOTAL EXPENSE 92,156 26,358 118,514 118,760 171,888 53,374
Excess (Deficiency) of Revenue
Over Expense
ATTACHMENT B
40
COMMUNITY ACTION PARTNERSHIP OF SAN LUIS OBISPO COUNTY, INC.
STATEMENT OF REVENUE AND EXPENSE
AREA AGENCY ON AGING CAA# 49102D
HEALTHY EATING PROGRAM IIID FUNDING
FOR THE PERIOD JULY 1, 2014 THROUGH JUNE 30, 2015
7/1/2014
Through
3/31/2015
4/1/2015
Through
6/30/2015
Total
Audited
Costs
Reported
Expenses
7/1/14-6/30/15
Total Budget
7/1/14-6/30/15 Variance
REVENUE
Grants and Contracts (AAA) 19,905$ 8,550$ 28,455$ 28,455$ 28,455$ -$
Grants and Contracts (CBO) 517 173 690 690 690 -
In-Kind 500 180 680 680 680 -
Donations - Unrestricted 99 554 653 653 1,618 965
Program Support - - - - - -
Other Revenue (participant fees) - - - - - -
TOTAL REVENUE 21,021 9,457 30,478 30,478 31,443 965
EXPENSE
Personnel:
Salaries and Wages 14,082 5,873 19,955 19,956 20,063 108
Payroll Taxes 1,293 500 1,793 1,793 2,104 311
Employee Benefits 2,062 674 2,736 2,737 2,159 (577)
In-Kind Personnel - - - - - -
Total Personnel 17,437 7,047 24,484 24,486 24,326 (158)
Travel and Training:
Staff Travel - - - - -
In-Kind Staff Travel - - - - - -
Staff Training - - - - - -
In-Kind Staff Training - - - - - -
Total Travel and Training - - - - - -
Equipment
Expendable - - - - - -
Non-Expendable - - - - - -
In-Kind Equipment - - - - - -
Total Equipment - - - - - -
Consultants:
Consultants - - - - - -
In-Kind Consultants - - - - - -
Total Consultants - - - - - -
Other Costs:
Rent - 112 112 111 180 68
Telephone - - - 30 30 30
Utilities - - - - - -
Janitorial - - - - - -
Insurance - 250 250 250 250 -
Accounting/Auditing - - - - - -
Office Supplies/Postage 29 169 198 197 200 2
Vehicle Operations - - - - - -
Vehicle Repairs and Maintenance 283 98 381 381 400 19
Building Repairs and Maintenance - - - - - -
Equipment Repairs and Maintenance - - - - - -
Equipment Rental - - - - - -
Volunteer Expense - - - - - -
Taxes and Licenses - - - - - -
Printing - 123 123 123 125 2
Advertising - - - - 50 50
Memberships/Subscriptions - - - - - -
Outside Services (Nutrition) - - - - - -
Program Supplies 1,252 791 2,043 2,013 2,918 875
Indirect/Allocated Costs 1,520 687 2,207 2,207 2,284 77
Other In-Kind 500 180 680 680 680 -
Total Other Costs 3,584 2,410 5,994 5,992 7,117 1,123
TOTAL EXPENSE 21,021 9,457 30,478 30,478 31,443 965
Excess (Deficiency) of Revenue
Over Expense
ATTACHMENT B
41
COMMUNITY ACTION PARTNERSHIP OF SAN LUIS OBISPO COUNTY, INC.
STATEMENT OF REVENUE AND EXPENSE
AREA AGENCY ON AGING CAA# 45802A – SAN LUIS OBISPO
CAREGIVER HOME ADAPTATIONS IIIE FUNDING
FOR THE PERIOD JULY 1, 2014 THROUGH JUNE 30, 2015
7/1/2014
Through
3/31/2015
4/1/2015
Through
6/30/2015
Total
Audited
Costs
Reported
Expenses
7/1/14-3/31/15
Total Budget
7/1/14-6/30/15 Variance
REVENUE
Grants and Contracts (AAA) -$ -$ -$ -$ 5,000$ 5,000$
In-Kind - - - - 1,675 1,675
Program Income - - - - 200 200
Donations - Unrestricted - - - - - -
TOTAL REVENUE - - - - 6,875 6,875
EXPENSE
Personnel:
Salaries and Wages - - - - 1,183 1,183
Payroll Taxes - - - - 103 103
Employee Benefits - - - - 261 261
In-Kind Personnel - - - - 791 791
Total Personnel - - - - 2,338 2,338
Travel and Training:
Staff Travel - - - - 80 80
In-Kind Staff Travel - - - - - -
Staff Training - - - - - -
In-Kind Staff Training - - - - - -
Total Travel and Training - - - - 80 80
Equipment
Expendable - - - - - -
Non-Expendable - - - - - -
In-Kind Equipment - - - - - -
Total Equipment - - - - - -
Consultants:
Consultants - - - - - -
In-Kind Consultants - - - - - -
Total Consultants - - - - - -
Other Costs:
Rent - - - - 150 150
Telephone - - - - 125 125
Utilities - - - - 125 125
Janitorial - - - - 75 75
Insurance - - - - - -
Accounting/Auditing - - - - - -
Office Supplies/Postage - - - - 110 110
Vehicle Operations - - - - 325 325
Vehicle Repairs and Maintenance - - - - 250 250
Building Repairs and Maintenance - - - - - -
Equipment Repairs and Maintenance - - - - - -
Equipment Rental - - - - - -
Volunteer Expense - - - - - -
Taxes and Licenses - - - - 150 150
Printing - - - - 100 100
Advertising - - - - 75 75
Memberships/Subscriptions - - - - - -
Outside Services (Nutrition) - - - - - -
Program Supplies - - - - 125 125
Indirect/Allocated Costs - - - - 385 385
Other In-Kind - - - - 884 884
Building Materials - - - - 1,503 1,503
Small Tools - - - - 75 75
Total Other Costs - - - - 4,457 4,457
TOTAL EXPENSE - - - - 6,875 6,875
Excess (Deficiency) of Revenue
Over Expense
ATTACHMENT B
42
COMMUNITY ACTION PARTNERSHIP OF SAN LUIS OBISPO COUNTY, INC.
STATEMENT OF REVENUE AND EXPENSE
AREA AGENCY ON AGING CAA# 45802B – SANTA MARIA
GRANDPARENT CAREGIVER HOME ADAPTATIONS IIIE FUNDING
FOR THE PERIOD JULY 1, 2014 THROUGH JUNE 30, 2015
7/1/2014
Through
3/31/2015
4/1/2015
Through
6/30/2015
Total
Audited
Costs
Reported
Expenses
7/1/14-6/30/15
Total Budget
7/1/14-6/30/15 Variance
REVENUE
Grants and Contracts (AAA) -$ -$ -$ -$ 5,000$ 5,000$
In-Kind - - - - 1,675 1,675
Program Income - - - - 200 200
Donations - Unrestricted - - - - - -
TOTAL REVENUE - - - - 6,875 6,875
EXPENSE
Personnel:
Salaries and Wages - - - - 1,183 1,183
Payroll Taxes - - - - 103 103
Employee Benefits - - - - 261 261
In-Kind Personnel - - - - 791 791
Total Personnel - - - - 2,338 2,338
Travel and Training:
Staff Travel - - - - 80 80
In-Kind Staff Travel - - - - - -
Staff Training - - - - - -
In-Kind Staff Training - - - - - -
Total Travel and Training - - - - 80 80
Equipment
Expendable - - - - - -
Non-Expendable - - - - - -
In-Kind Equipment - - - - - -
Total Equipment - - - - - -
Consultants:
Consultants - - - - - -
In-Kind Consultants - - - - - -
Total Consultants - - - - - -
Other Costs:
Rent - - - - 150 150
Telephone - - - - 125 125
Utilities - - - - 125 125
Janitorial - - - - 75 75
Insurance - - - - - -
Accounting/Auditing - - - - - -
Office Supplies/Postage - - - - 110 110
Vehicle Operations - - - - 325 325
Vehicle Repairs and Maintenance - - - - 250 250
Building Repairs and Maintenance - - - - - -
Equipment Repairs and Maintenance - - - - - -
Equipment Rental - - - - - -
Volunteer Expense - - - - - -
Taxes and Licenses - - - - 150 150
Printing - - - - 100 100
Advertising - - - - 75 75
Memberships/Subscriptions - - - - - -
Outside Services (Nutrition) - - - - - -
Program Supplies - - - - 125 125
Indirect/Allocated Costs - - - - 385 385
Other In-Kind - - - - 884 884
Building Materials - - - - 1,503 1,503
Small Tools - - - - 75 75
Total Other Costs - - - - 4,457 4,457
TOTAL EXPENSE - - - - 6,875 6,875
Excess (Deficiency) of Revenue
Over Expense
ATTACHMENT B
43
COMMUNITY ACTION PARTNERSHIP OF SAN LUIS OBISPO COUNTY, INC.
STATEMENT OF REVENUE AND EXPENSE
AREA AGENCY ON AGING CAA# 56102A – SAN LUIS OBISPO
HOME REPAIR SERVICES
FOR THE PERIOD JULY 1, 2015 THROUGH MARCH 31, 2016
7/1/2015
Through
3/31/2016
4/1/2016
Through
6/30/2016
Total
Audited
Costs
Reported
Expenses
7/1/15-3/31/16
Total Budget
7/1/15-6/30/16 Variance
REVENUE
Grants and Contracts 56,901$ -$ 56,901$ 56,901$ 69,920$ 13,019$
In-Kind 33,456 - 33,456 33,456 11,500 (21,956)
Program Income 1,342 - 1,342 1,342 2,000 658
Donations - Unrestricted - - - - - -
TOTAL REVENUE 91,699 - 91,699 91,699 83,420 (8,279)
EXPENSE
Personnel:
Salaries and Wages 25,975 - 25,975 25,247 37,833 11,858
Payroll Taxes 2,418 - 2,418 2,346 3,609 1,191
Employee Benefits 7,597 - 7,597 7,236 13,703 6,106
In-Kind Personnel - - - - - -
Total Personnel 35,990 - 35,990 34,829 55,145 19,155
Travel and Training:
Staff Travel - - - - 125 125
In-Kind Staff Travel - - - - - -
Staff Training - - - - - -
In-Kind Staff Training - - - - - -
Total Travel and Training - - - - 125 125
Equipment
Expendable - - - - - -
Non-Expendable - - - - - -
In-Kind Equipment - - - - - -
Total Equipment - - - - - -
Consultants:
Consultants - - - - - -
In-Kind Consultants - - - - - -
Total Consultants - - - - - -
Other Costs:
Rent 94 - 94 519 1,173 1,079
Telephone 288 - 288 282 450 162
Utilities 27 - 27 178 225 198
Janitorial - - - 211 275 275
Insurance - - - - 950 950
Accounting/Auditing - - - - - -
Office Supplies/Postage 64 - 64 203 250 186
Vehicle Operations 1,483 - 1,483 1,483 1,533 50
Vehicle Repairs and Maintenance 116 - 116 116 500 384
Building Repairs and Maintenance 30 - 30 126 200 170
Equipment Repairs and Maintenance 87 - 87 87 - ( 87)
Equipment Rental - - - - - -
Volunteer Expense - - - - - -
Taxes and Licenses - - - - 150 150
Printing - - - - 65 65
Advertising - - - - 75 75
Memberships/Subscriptions - - - - - -
Outside Services - - - - - -
Program Supplies 849 - 849 869 1,050 201
Indirect/Allocated Costs 4,314 - 4,314 4,314 6,179 1,865
Other In-Kind 33,456 - 33,456 33,456 - (33,456)
Building Materials 14,420 - 14,420 14,545 14,950 530
Small Tools 406 - 406 406 125 ( 281)
Disposal 75 - 75 75 - ( 75)
Total Other Costs 55,709 - 55,709 56,870 28,150 (27,559)
TOTAL EXPENSE 91,699 - 91,699 91,699 83,420 (8,279)
Excess (Deficiency) of Revenue
Over Expense
ATTACHMENT B
44
COMMUNITY ACTION PARTNERSHIP OF SAN LUIS OBISPO COUNTY, INC.
STATEMENT OF REVENUE AND EXPENSE
AREA AGENCY ON AGING CAA# 56102B – SANTA MARIA
HOME REPAIR SERVICES
FOR THE PERIOD JULY 1, 2015 THROUGH MARCH 31, 2016
7/1/2015
Through
3/31/2016
4/1/2016
Through
6/30/2016
Total
Audited
Costs
Reported
Expenses
7/1/15-3/31/16
Total Budget
7/1/15-6/30/16 Variance
REVENUE
Grants and Contracts 32,523$ -$ 32,523$ 32,523$ 44,196$ 11,673$
In-Kind 17,718 - 17,718 17,719 9,000 (8,718)
Program Income 405 - 405 405 1,000 595
Donations - Unrestricted - - - - - -
TOTAL REVENUE 50,646 - 50,646 50,647 54,196 3,550
EXPENSE
Personnel:
Salaries and Wages 14,276 - 14,276 16,286 22,460 8,184
Payroll Taxes 1,348 - 1,348 1,484 2,180 832
Employee Benefits 3,732 - 3,732 4,398 7,684 3,952
In-Kind Personnel - - - - - -
Total Personnel 19,356 - 19,356 22,168 32,324 12,968
Travel and Training:
Staff Travel 113 - 113 113 525 412
In-Kind Staff Travel - - - - - -
Staff Training - - - - - -
In-Kind Staff Training - - - - - -
Total Travel and Training 113 - 113 113 525 412
Equipment
Expendable - - - - - -
Non-Expendable - - - - - -
In-Kind Equipment - - - - - -
Total Equipment - - - - - -
Consultants:
Consultants - - - - - -
In-Kind Consultants - - - - - -
Total Consultants - - - - - -
Other Costs:
Rent 785 - 785 347 750 (35)
Telephone 236 - 236 232 380 144
Utilities 253 - 253 103 150 ( 103)
Janitorial 348 - 348 137 175 ( 173)
Insurance - - - - 350 350
Accounting/Auditing - - - - - -
Office Supplies/Postage 278 - 278 139 200 (78)
Vehicle Operations 1,460 - 1,460 1,460 1,725 265
Vehicle Repairs and Maintenance 101 - 101 101 295 194
Building Repairs and Maintenance 196 - 196 100 250 54
Equipment Repairs and Maintenance 87 - 87 87 - ( 87)
Equipment Rental - - - - - -
Volunteer Expense - - - - - -
Taxes and Licenses - - - - 150 150
Printing - - - - 50 50
Advertising - - - - 50 50
Memberships/Subscriptions - - - - - -
Outside Services - - - - - -
Program Supplies 397 - 397 397 775 378
Indirect/Allocated Costs 2,439 - 2,439 2,439 4,014 1,575
Other In-Kind 17,719 - 17,719 17,719 - (17,719)
Building Materials 6,818 - 6,818 5,045 11,943 5,125
Small Tools 60 - 60 60 90 30
Disposal - - - - - -
Total Other Costs 31,177 - 31,177 28,366 21,347 (9,830)
TOTAL EXPENSE 50,646 - 50,646 50,647 54,196 3,550
Excess (Deficiency) of Revenue
Over Expense
ATTACHMENT B
45
COMMUNITY ACTION PARTNERSHIP OF SAN LUIS OBISPO COUNTY, INC.
STATEMENT OF REVENUE AND EXPENSE
AREA AGENCY ON AGING CAA# 56102C
ADULT DAY SERVICES IIIB FUNDING
FOR THE PERIOD JULY 1, 2015 THROUGH JUNE 30, 2016
7/1/2015
Through
3/31/2016
4/1/2016
Through
6/30/2016
Total
Audited
Costs
Reported
Expenses
7/1/15-3/31/16
Total Budget
7/1/15-6/30/16 Variance
REVENUE
Grants and Contracts (AAA) 48,267$ -$ 48,267$ 43,217$ $ 54,200 5,933$
Grants and Contracts (VA) - - - - - -
Grants and Contracts (CBO) 8,196 - 8,196 8,196 10,928 2,732
In-Kind 7,707 - 7,707 7,707 15,747 8,040
Donations - Unrestricted - - - - - -
Program Support - - - - 35,000 35,000
Other Revenue (Client Contributions) 13,305 - 13,305 13,305 28,658 15,353
TOTAL REVENUE 77,475 - 77,475 72,425 144,533 67,058
EXPENSE
Personnel:
Salaries and Wages 30,644 - 30,644 30,644 65,150 34,506
Payroll Taxes 3,177 - 3,177 3,177 6,069 2,892
Employee Benefits 11,896 - 11,896 11,896 20,596 8,700
In-Kind Personnel 2,935 - 2,935 2,935 8,427 5,492
Total Personnel 48,652 - 48,652 48,652 100,242 51,590
Travel and Training:
Staff Travel 6 - 6 6 220 214
In-Kind Staff Travel - - - - - -
Staff Training 43 - 43 - 160 117
In-Kind Staff Training - - - - - -
Total Travel and Training 49 - 49 6 380 331
Equipment
Expendable - - - - 3,200 3,200
Non-Expendable - - - - - -
In-Kind Equipment - - - - - -
Total Equipment - - - - 3,200 3,200
Consultants:
Consultants - - - - - -
In-Kind Consultants - - - - - -
Total Consultants - - - - - -
Other Costs:
Rent 5,053 - 5,053 5,053 7,287 2,234
Telephone 296 - 296 236 360 64
Utilities 508 - 508 528 1,060 552
Janitorial 147 - 147 147 - ( 147)
Insurance 1,276 - 1,276 170 1,378 102
Accounting/Auditing - - - - - -
Office Supplies/Postage 544 - 544 373 975 431
Vehicle Operations - - - - - -
Vehicle Repairs and Maintenance - - - - - -
Building Repairs and Maintenance 846 - 846 787 1,255 409
Equipment Repairs and Maintenance - - - - - -
Equipment Rental - - - - - -
Volunteer Expense - - - - - -
Taxes and Licenses 69 - 69 64 390 321
Printing 28 - 28 28 125 97
Advertising 78 - 78 78 750 672
Memberships/Subscriptions - - - - 150 150
Outside Services (Nutrition) 5,019 - 5,019 4,518 8,708 3,689
Program Supplies 4,970 - 4,970 2,219 1,650 (3,320)
Indirect/Allocated Costs 5,168 - 5,168 4,794 9,303 4,135
Other In-Kind 4,772 - 4,772 4,772 7,320 2,548
Total Other Costs 28,774 - 28,774 23,767 40,711 11,937
TOTAL EXPENSE 77,475 - 77,475 72,425 144,533 67,058
Excess (Deficiency) of Revenue
Over Expense
ATTACHMENT B
46
COMMUNITY ACTION PARTNERSHIP OF SAN LUIS OBISPO COUNTY, INC.
STATEMENT OF REVENUE AND EXPENSE
AREA AGENCY ON AGING CAA# 56102E
ACTIVE LIVING PROGRAM IIID FUNDING
FOR THE PERIOD JULY 1, 2015 THROUGH MARCH 31, 2016
7/1/2015
Through
3/31/2016
4/1/2016
Through
6/30/2016
Total
Audited
Costs
Reported
Expenses
7/1/15-3/31/16
Total Budget
7/1/15-6/30/16 Variance
REVENUE
Grants and Contracts (AAA) 19,396$ -$ 19,396$ 18,254$ 28,165$ 8,769$
Grants and Contracts (CBO) 300 - 300 - - (300)
In-Kind Revenue 480 - 480 300 600 120
Donations 1,061 - 1,061 - 2,100 1,039
Other Revenue (Participant Fees) - - - - - -
TOTAL REVENUE 21,237 - 21,237 18,554 30,865 9,628
EXPENSE
Personnel:
Salaries and Wages 12,275 - 12,275 12,275 18,565 6,290
Payroll Taxes 1,127 - 1,127 1,127 1,772 645
Employee Benefits 1,504 - 1,504 1,327 2,107 603
In-Kind Personnel - - - - - -
Total Personnel 14,906 - 14,906 14,729 22,444 7,538
Travel and Training:
Staff Travel - - - - - -
In-Kind Staff Travel - - - - - -
Staff Training 880 - 880 880 840 (40)
In-Kind Staff Training - - - - - -
Total Travel and Training 880 - 880 880 840 (40)
Equipment
Expendable - - - - - -
Non-Expendable - - - - - -
In-Kind Equipment - - - - - -
Total Equipment - - - - - -
Consultants:
Consultants - - - - - -
In-Kind Consultants - - - - - -
Total Consultants - - - - - -
Other Costs:
Rent 250 - 250 250 600 350
Telephone - - - - - -
Utilities - - - - - -
Janitorial - - - - - -
Insurance - - - - - -
Accounting/Auditing - - - - - -
Office Supplies/Postage 104 - 104 104 200 96
Vehicle Operations - - - - - -
Vehicle Repairs and Maintenance 172 - 172 172 500 328
Building Repairs and Maintenance - - - - - -
Equipment Repairs and Maintenance - - - - - -
Equipment Rental - - - - - -
Volunteer Expense - - - - - -
Taxes and Licenses - - - - - -
Printing - - - - 200 200
Advertising - - - - - -
Memberships/Subscriptions - - - - - -
Outside Services (Nutrition) - - - - - -
Program Supplies 2,907 - 2,907 596 3,240 333
Indirect/Allocated Costs 1,538 - 1,538 1,523 2,241 703
Other In-Kind 480 - 480 300 600 120
Total Other Costs 5,451 - 5,451 2,945 7,581 2,130
TOTAL EXPENSE 21,237 - 21,237 18,554 30,865 9,628
Excess (Deficiency) of Revenue
Over Expense
ATTACHMENT B
47
COMMUNITY ACTION PARTNERSHIP OF SAN LUIS OBISPO COUNTY, INC.
STATEMENT OF REVENUE AND EXPENSE
DEPARTMENT OF COMMUNITY SERVICES AND DEVELOPMENT
DEPARTMENT OF ENERGY (DOE)
FOR THE PERIOD AUGUST 1, 2014 THROUGH JUNE 30, 2015
FOR THE PERIOD SEPTEMBER 1, 2015 THROUGH MARCH 31, 2016
15C - 1032
8/1/2014
Through
3/31/2015
4/1/2015
Through
6/30/2015
Total
Audited
Costs
Reported
Expenses
8/1/14-6/30/15
Total Budget
8/1/14-6/30/15 Variance
9/1/2015
Through
3/31/2016
REVENUE
Grants and Contracts 38,664$ -$ 38,664$ 38,664$ 38,664$ -$ 45,519$
TOTAL REVENUE 38,664 - 38,664 38,664 38,664 - 45,519
EXPENSE
ADMINISTRATIVE COSTS
Administrative Costs 2,287 - 2,287 2,287 2,287 - 2,560
Administrative Equipment - - - - - - -
Total 2,287 - 2,287 2,287 2,287 - 2,560
PROGRAM COSTS
Training and Technical Assistance - - - - 2,838 2,838 -
Liability Insurance - - - - 325 325 -
Vehicle Insurance - - - - - - -
Intake 1,500 - 1,500 1,500 1,500 - 1,161
Outreach 1,500 - 1,500 1,500 1,500 - 1,185
Client Education 1,500 - 1,500 1,500 1,500 - 1,185
Workers Compensation 1,266 - 1,266 1,266 1,765 499 1,722
Minor Vehicle and Equipment - - - - 450 450 -
General/Operating Expenses 237 - 237 237 2,450 2,213 648
Automation Supplemental - - - - - - -
Direct Program Activities 23,756 - 23,756 23,756 17,406 (6,350) 31,482
Health and Safety Activities 6,618 - 6,618 6,618 6,643 25 5,576
Total 36,377 - 36,377 36,377 36,377 - 42,959
TOTAL EXPENSE 38,664 - 38,664 38,664 38,664 - 45,519
Excess (Deficiency) of Revenue
Over Expense
14C - 1832
ATTACHMENT B
48
COMMUNITY ACTION PARTNERSHIP OF SAN LUIS OBISPO COUNTY, INC.
STATEMENT OF REVENUE AND EXPENSE
DEPARTMENT OF COMMUNITY SERVICES AND DEVELOPMENT
LOW INCOME HOUSING ENERGY ASSISTANCE PROGRAM (LIHEAP): WEATHERIZATION
FOR THE PERIOD JANUARY 1, 2015 THROUGH MARCH 31, 2016
15B - 5036
1/1/2015
Through
3/31/2015
4/1/2015
Through
3/31/2016
Total
Audited
Costs
Reported
Expenses
1/1/15-3/31/16
Total Budget
1/1/15-3/31/16 Variance
REVENUE
Grants and Contracts 130,843$ 230,459$ 361,302$ 361,592$ $ 361,592 290$
Other Revenue - - - - - -
TOTAL REVENUE 130,843 230,459 361,302 361,592 361,592 290
EXPENSE
PROGRAM COSTS
Intake 9,929 18,998 28,927 28,927 28,927 -
Outreach 7,947 10,133 18,080 18,080 18,080 -
Training 2,098 3,283 5,381 5,381 5,400 19
Direct Program Activities 104,319 179,833 284,152 286,781 281,326 (2,826)
Liability Insurance - 1,980 1,980 1,980 1,780 (200)
Minor Vehicle and Equipment 399 2,166 2,565 2,565 6,800 4,235
Workers Compensation - Crew 3,208 9,636 12,844 10,505 10,600 (2,244)
General Operating 2,943 4,430 7,373 7,373 8,679 1,306
Total 130,843 230,459 361,302 361,592 361,592 290
TOTAL EXPENSE 130,843 230,459 361,302 361,592 361,592 290
Excess (Deficiency) of Revenue
Over Expense
ATTACHMENT B
49
COMMUNITY ACTION PARTNERSHIP OF SAN LUIS OBISPO COUNTY, INC.
STATEMENT OF REVENUE AND EXPENSE
DEPARTMENT OF COMMUNITY SERVICES AND DEVELOPMENT
LIHEAP: ENERGY CRISIS INTERVENTION PROGRAM (ECIP) / ASSURANCE 16 /
HOME ENERGY ASSISTANCE PROGRAM (HEAP)
FOR THE PERIOD JANUARY 1, 2015 THROUGH MARCH 31, 2016
15B - 3036
1/1/2015
Through
3/31/2015
4/1/2015
Through
3/31/16
Total
Audited
Costs
Reported
Expenses
1/1/15-3/31/16
Total Budget
1/1/15-3/31/16 Variance
REVENUE
Grants and Contracts $ 159,270 $ 396,458 555,728$ 555,728$ $ 556,235 507$
Other Revenue - - - - - -
TOTAL REVENUE 148,803 396,458 555,728 555,728 556,235 507
EXPENSE
ASSURANCE 16
Assurance 16 Activities 16,226 44,317 60,543 60,543 60,543 -
ADMINISTRATIVE COSTS
Administrative Costs 21,489 47,786 69,275 69,275 70,477 1,202
INTAKE PROGRAM COSTS
Intake 14,848 47,776 62,624 62,624 64,638 2,014
OUTREACH PROGRAM COSTS
Outreach 10,182 29,668 39,850 39,850 39,850 -
TRAINING AND TECHNICAL ASSISTANCE
Training 1,256 5,172 6,428 6,428 6,800 372
ECIP/HEAP PROGRAM COSTS
EHCS Diagnostics 7,089 13,622 20,711 20,711 22,000 1,289
Cooling Service Repair/Replacement 1,995 8,781 10,776 10,776 14,000 3,224
Heating Service Repair/Replacement 49,605 61,652 111,257 111,257 110,000 (1,257)
EHCS Water Heater Repair/Replacement 12,027 38,204 50,231 50,231 48,000 (2,231)
EHCS Other Program Costs 11,648 53,034 64,682 64,682 56,000 (8,682)
ECIP Wood/Propane/Oil Payments 6,174 6,948 13,122 13,122 13,500 378
SWEATS - - - - - -
HEAP Wood/Propane/Oil Payments - - - - - -
Liability Insurance - 2,886 2,886 2,886 2,717 (169)
Minor Vehicle and Equipment 338 1,721 2,059 2,059 6,200 4,141
Workers Compensation - Crew 2,276 5,593 7,869 7,869 8,800 931
General Operating 4,117 13,098 17,215 17,215 16,510 (705)
Automation Supplemental - 16,200 16,200 16,200 16,200 -
Total 95,269 221,739 317,008 317,008 313,927 (3,081)
TOTAL EXPENSE 159,270 396,458 555,728 555,728 556,235 507
Excess (Deficiency) of Revenue
Over Expense -$ -$ -$ -$ -$ -$
ATTACHMENT B
50
COMMUNITY ACTION PARTNERSHIP OF SAN LUIS OBISPO COUNTY, INC.
STATEMENT OF REVENUE AND EXPENSE
DEPARTMENT OF COMMUNITY SERVICES AND DEVELOPMENT
LIHEAP: TOILET RETROFIT PROGRAM
FOR PERIOD SEPTEMBER 1, 2015 THROUGH MARCH 31, 2016
15B - 3036
9/1/2015
Through
3/31/2016
4/1/2016
Through
6/30/2016
Total
Audited
Costs
Reported
Expenses
9/1/15-3/31/16
Total Budget
9/1/15-6/30/16 Variance
REVENUE
Grants and Contracts 10,803$ -$ 10,803$ 8,720$ $ 103,730 92,927$
Other Revenue - - - - - -
TOTAL REVENUE 10,803 - 10,803 8,720 103,730 92,927
EXPENSE
ADMINISTRATIVE COSTS
Administrative Costs 514 - 514 434 4,510 3,996
Total 514 - 514 434 4,510 3,996
PROGRAM COSTS
Program Support Costs 3,502 - 3,502 2,310 9,020 5,518
Direct Program Activities 6,787 - 6,787 5,975 90,200 83,413
Total 10,289 - 10,289 8,285 99,220 88,931
TOTAL EXPENSE 10,803 - 10,803 8,719 103,730 92,927
Excess (Deficiency) of Revenue
Over Expense
ATTACHMENT B
51
COMMUNITY ACTION PARTNERSHIP OF SAN LUIS OBISPO COUNTY, INC.
STATEMENT OF REVENUE AND EXPENSE
DEPARTMENT OF COMMUNITY SERVICES AND DEVELOPMENT
LIHEAP: WEATHERIZATION
FOR PERIOD JANUARY 1, 2016 THROUGH MARCH 31, 2016
16B - 4035
1/1/2016
Through
3/31/2016
4/1/2016
Through
12/31/2016
Total
Audited
Costs
Reported
Expenses
1/1/16-3/31/16
Total Budget
1/1/16-12/31/16 Variance
REVENUE
Grants and Contracts 88,843$ -$ 88,843$ 75,136$ $ 271,215 182,372$
Other Revenue - - - - - -
TOTAL REVENUE 88,843 - 88,843 75,136 271,215 182,372
EXPENSE
PROGRAM COSTS
Intake 3,349 - 3,349 3,349 21,697 18,348
Outreach 3,580 - 3,580 3,580 13,561 9,981
Training 1,641 - 1,641 1,641 3,800 2,159
Minor Vehicle and Equipment 355 - 355 355 7,400 7,045
General Operating 30,381 - 30,381 30,381 60,000 29,619
Total 39,306 - 39,306 39,306 106,458 67,152
DIRECT PROGRAM COSTS
Direct Program Costs 49,537 - 49,537 35,830 164,757 115,220
TOTAL EXPENSE 88,843 - 88,843 75,136 271,215 182,372
Excess (Deficiency) of Revenue
Over Expense
ATTACHMENT B
52
COMMUNITY ACTION PARTNERSHIP OF SAN LUIS OBISPO COUNTY, INC.
STATEMENT OF REVENUE AND EXPENSE
DEPARTMENT OF COMMUNITY SERVICES AND DEVELOPMENT
LIHEAP: ENERGY CRISIS INTERVENTION PROGRAM (ECIP) / ASSURANCE 16 /
HOME ENERGY ASSISTANCE PROGRAM (HEAP)
FOR THE PERIOD JANUARY 1, 2016 THROUGH MARCH 31, 2016
16B - 4035
1/1/2016
Through
3/31/2016
4/1/2016
Through
12/31/16
Total
Audited
Costs
Reported
Expenses
1/1/16-3/31/16
Total Budget
1/1/16-12/31/16 Variance
REVENUE
Grants and Contracts $ 175,490 $ - 175,490$ 175,490$ $ 429,192 253,702$
Other Revenue - - - - - -
TOTAL REVENUE 175,490 - 175,490 175,490 429,192 253,702
EXPENSE
ASSURANCE 16
Assurance 16 Activities 19,467 - 19,467 19,467 55,596 36,129
ADMINISTRATIVE COSTS
Administrative Costs 19,581 - 19,581 19,439 55,224 35,643
PROGRAM SUPPORT COSTS
Intake 22,848 - 22,848 22,848 45,103 22,255
Outreach 11,547 - 11,547 11,547 28,189 16,642
Training 1,541 - 1,541 1,541 4,500 2,959
Minor Vehicle and Equipment 1,173 - 1,173 1,173 4,500 3,327
General Overhead Costs 28,599 - 28,599 28,599 74,104 45,505
Automation Supplemental - - - - 35,000 35,000
Total 65,708 - 65,708 65,708 191,396 125,688
PROGRAM SERVICES COSTS
ECIP Emergency Heating and Cooling Services (EHCS) 66,467 - 66,467 66,609 108,476 42,009
ECIP and HEAP Wood/Propane/Oil Payments 4,267 - 4,267 4,267 18,500 14,233
SWEATS - - - - - -
Total 70,734 - 70,734 70,876 126,976 56,242
TOTAL EXPENSE 175,490 - 175,490 175,490 429,192 253,702
Excess (Deficiency) of Revenue
Over Expense -$ -$ -$ -$ -$ -$
ATTACHMENT B
53
COMMUNITY ACTION PARTNERSHIP OF SAN LUIS OBISPO COUNTY, INC.
SCHEDULE OF EXPENDITURES FOR STATE FUNDED CHILD CARE PROGRAMS
FOR THE NINE MONTHS ENDED MARCH 31, 2016
Total TotalTotalTotal Total
Resource and Alternative Other CCRC Migrant Center-
Referral Payment Resource Child Care Based Total
EXPENDITURES Programs Programs Programs Programs Programs Contracts
Direct Payments to Providers $ - $ 3,577,648 $ 8,230 $ 73,140 $ 153,196 $ 3,812,214
1000 Certificated Salaries - - - 540,052 493,544 1,033,596
2000 Classified Salaries 97,192 278,389 40,162 482,091 684,892 1,582,726
3000 Employee Benefits 26,209 88,601 11,267 454,400 499,439 1,079,916
4000 Books and Supplies 8,494 11,586 3,826 170,765 81,588 276,259
5000 Services and Other Operating Expenses 34,573 71,287 16,180 215,950 210,647 548,637
6100/6200 Other Approved Capital Outlay - - - - - -
6400 New Equipment - - - - - -
6500 Replacement Equipment - - - - - -
Depreciation on Assets not Purchased with Public Funds - - - - - -
Start-Up Expenses - Service Level Exemption (a) - - - 190,206 - 190,206
Indirect costs (b) 13,317 322,201 6,373 154,912 169,843 666,646
Total Expenses Claimed for Reimbursement (c) 179,785 4,349,712 86,038 2,281,516 2,293,149 9,190,200
Supplemental Expenses - Head Start - - - 1,466,050 1,787,223 3,253,273
Supplemental Expenses - CACFP - - - 171,882 266,170 438,052
Total Supplemental Expenses - - - 1,637,932 2,053,393 3,691,325
Total Expenditures $ 179,785 $ 4,349,712 $ 86,038 $ 3,919,448 $ 4,346,542 $ 12,881,525
Notes:
a) Start-up expenses for state migrant programs.
b) The indirect cost plan is approved by the U.S. Department of Health and Human Services.
c) Any food expenses have been allocated to the appropriate contracts.
reimbursement, reasonable, necessary, and adequately supported, according to governing laws, regulations, and contract provisions.
We have examined the claims filed for reimbursement and the original records supporting the transactions recorded under the contracts
listed above to an extent considered necessary to assure ourselves that the amounts claimed by the contractor were eligible for
ATTACHMENT B
54
COMMUNITY ACTION PARTNERSHIP OF SAN LUIS OBISPO COUNTY, INC.
SCHEDULE OF EXPENDITURES FOR STATE FUNDED CHILD CARE PROGRAMS
RESOURCE AND REFERRAL PROGRAMS
FOR THE NINE MONTHS ENDED MARCH 31, 2016
CRRP-5048
EXPENDITURES
Direct Payments to Providers $ -
1000 Certificated Salaries -
2000 Classified Salaries 97,192
3000 Employee Benefits 26,209
4000 Books and Supplies 8,494
5000 Services and Other Operating Expenses 34,573
6100/6200 Other Approved Capital Outlay -
6400 New Equipment -
6500 Replacement Equipment -
Depreciation on Assets not Purchased with Public Funds -
Start-Up Expenses - Service Level Exemption (a) -
Indirect Costs (b)13,317
Total Expenses Claimed for Reimbursement (c) 179,785
Supplemental Expenses -
Total Expenditures $ 179,785
Notes:
a) No start-up expenses.
b) The indirect cost plan is approved by the U.S. Department of Health and Human Services.
c) Any food expenses have been allocated to the appropriate contracts.
We have examined the claims filed for reimbursement and the original records supporting the transactions recorded
to governing laws, regulations, and contract provisions.
under the contracts listed above to an extent considered necessary to assure ourselves that the amounts claimed
by the contractor were eligible for reimbursement, reasonable, necessary, and adequately supported, according
ATTACHMENT B
55
COMMUNITY ACTION PARTNERSHIP OF SAN LUIS OBISPO COUNTY, INC.
SCHEDULE OF EXPENDITURES FOR STATE FUNDED CHILD CARE PROGRAMS
ALTERNATIVE PAYMENT PROGRAMS
FOR THE NINE MONTHS ENDED MARCH 31, 2016
Total
Stage 2 Stage3 Alternative
CAPP-5053 C2AP-5048 C3AP-5047 Payment
EXPENDITURES CDE Contracts
Direct Payments to Providers $ 833,233 $ 1,744,594 $ 999,821 $ 3,577,648
1000 Certificated Salaries - - - -
2000 Classified Salaries 69,582 131,135 77,672 278,389
3000 Employee Benefits 17,976 49,462 21,163 88,601
4000 Books and Supplies 3,757 6,463 1,366 11,586
5000 Services and Other Operating Expenses 18,741 44,083 8,463 71,287
6100/6200 Other Approved Capital Outlay - - - -
6400 New Equipment - - - -
6500 Replacement Equipment - - - -
Depreciation on Assets not Purchased with Public Funds - - - -
Start-Up Expenses - Service Level Exemption (a) - - - -
Indirect Costs (b) 75,463 158,059 88,679 322,201
Total Expenses Claimed for Reimbursement (c) 1,018,752 2,133,796 1,197,164 4,349,712
Supplemental Expenses - - - -
Total Expenditures $ 1,018,752 $ 2,133,796 $ 1,197,164 $ 4,349,712
Notes:
a) No start-up expenses.
b) The indirect cost plan is approved by the U.S. Department of Health and Human Services.
c) Any food expenses have been allocated to the appropriate contracts.
reimbursement, reasonable, necessary, and adequately supported, according to governing laws, regulations, and contract provisions.
We have examined the claims filed for reimbursement and the original records supporting the transactions recorded under the contracts
listed above to an extent considered necessary to assure ourselves that the amounts claimed by the contractor were eligible for
ATTACHMENT B
56
COMMUNITY ACTION PARTNERSHIP OF SAN LUIS OBISPO COUNTY, INC.
SCHEDULE OF EXPENDITURES FOR STATE FUNDED CHILD CARE PROGRAMS
CHILD CARE RESOURCE CENTER – OTHER PROGRAMS
FOR THE NINE MONTHS ENDED MARCH 31, 2016
Child Care Health and Local Childcare Training Training Total
Initiative Safety Planning Council Stipends Stipends Other
CCIP-5048 CHST-5048 CLPC-5038 CRET-5036CTKS Resource
EXPENDITURES Programs
Direct Payments to Providers $ 130 $ - $ - $ - $ 8,100 $ 8,230
1000 Certificated Salaries - - - - - -
2000 Classified Salaries 13,194 - 19,459 5,878 1,631 40,162
3000 Employee Benefits 3,150 - 5,710 1,568 800 11,267
4000 Books and Supplies 362 25 3,077 363 - 3,826
5000 Services and Other Operating Expenses 1,933 2,798 5,626 5,232 629 16,180
6100/6200 Other Approved Capital Outlay - - - - - -
6400 New Equipment - - - - - -
6500 Replacement Equipment - - - - - -
Depreciation on Assets not Purchased with Public Funds - - - - - -
Start-Up Expenses - Service Level Exemption (a) - - - - - -
Indirect Costs (b) 1,501 226 2,710 1,043 893 6,373
Total Expenses Claimed for Reimbursement (c) 20,270 3,049 36,582 14,084 12,053 86,038
Supplemental Expenses - - - - - -
Total Expenditures $ 20,270 $ 3,049 $ 36,582 $ 14,084 $ 12,053 $ 86,038
Notes:
a) No start-up expenses.
b) The indirect cost plan is approved by the U.S. Department of Health and Human Services.
c) Any food expenses have been allocated to the appropriate contracts.
reimbursement, reasonable, necessary, and adequately supported, according to governing laws, regulations, and contract provisions.
We have examined the claims filed for reimbursement and the original records supporting the transactions recorded under the contracts
listed above to an extent considered necessary to assure ourselves that the amounts claimed by the contractor were eligible for
ATTACHMENT B
57
COMMUNITY ACTION PARTNERSHIP OF SAN LUIS OBISPO COUNTY, INC.
SCHEDULE OF EXPENDITURES FOR STATE FUNDED CHILD CARE PROGRAMS
STATE MIGRANT PROGRAMS
FOR THE NINE MONTHS ENDED MARCH 31, 2016
Total
State Specialized State Specialized State
Migrant Services Migrant Services Migrant
EXPENDITURES CMIG-5011 CMSS-5011 CMIG-5012 CMSS-5012 CDE Contracts
Direct Payments to Providers $ 73,140 $ - $ - $ - $ 73,140
1000 Certificated Salaries 268,741 43,960 201,224 26,127 540,052
2000 Classified Salaries 101,065 38,235 303,009 39,782 482,091
3000 Employee Benefits 169,015 32,957 226,282 26,146 454,400
4000 Books and Supplies 24,774 2,237 69,386 74,368 170,765
5000 Services and Other Operating Expenses 67,008 11,195 86,766 50,981 215,950
6100/6200 Other Approved Capital Outlay - - - - -
6400 New Equipment - - - - -
6500 Replacement Equipment - - - - -
Depreciation - - - - -
Start-Up Expenses - Service Level Exemption (a) - - 190,206 - 190,206
Indirect Costs (b) 56,299 10,287 70,934 17,392 154,912
Total Expenses Claimed for Reimbursement (c) 760,042 138,871 1,147,807 234,796 2,281,516
Supplemental Expenses - Head Start 768,294 - 697,756 - 1,466,050
Supplemental Expenses - CACFP 69,608 - 102,274 - 171,882
Total Supplemental Expenses 837,902 - 800,030 - 1,637,932
Total Expenditures $ 1,597,944 $ 138,871 $ 1,947,837 $ 234,796 $ 3,919,448
Notes:
a) Start-up expenses for CMIG-5012.
b) The indirect cost plan is approved by the U.S. Department of Health and Human Services.
c) Any food expenses have been allocated to the appropriate contracts.
reimbursement, reasonable, necessary, and adequately supported, according to governing laws, regulations, and contract provisions.
We have examined the claims filed for reimbursement and the original records supporting the transactions recorded under the contracts
listed above to an extent considered necessary to assure ourselves that the amounts claimed by the contractor were eligible for
ATTACHMENT B
58
COMMUNITY ACTION PARTNERSHIP OF SAN LUIS OBISPO COUNTY, INC.
SCHEDULE OF EXPENDITURES FOR STATE FUNDED CHILD CARE PROGRAMS
CENTER-BASED AND FAMILY CHILD CARE (FCC) PROGRAMS
FOR THE NINE MONTHS ENDED MARCH 31, 2016
Total
General State Center-Based
Center Preschool and FCC
EXPENDITURES CCTR-5244 CSPP-5478 Programs
Direct Payments to Providers $ 153,196 $ - $ 153,196
1000 Certificated Salaries 215,748 277,796 493,544
2000 Classified Salaries 174,584 510,308 684,892
3000 Employee Benefits 159,994 339,445 499,439
4000 Books and Supplies 39,011 42,577 81,588
5000 Services and Other Operating Expenses 47,453 163,194 210,647
6100/6200 Other Approved Capital Outlay - - -
6400 New Equipment - - -
6500 Replacement Equipment - - -
Depreciation on Assets not Purchased with Public Funds - - -
Start-Up Expenses - Service Level Exemption (a) - - -
Indirect Costs (b)63,199 106,644 169,843
Total Expenses Claimed for Reimbursement (c) 853,185 1,439,964 2,293,149
Supplemental Expenses - Head Start 834,104 953,119 1,787,223
Supplemental Expenses - CACFP 59,248 206,922 266,170
Total Supplemental Expenses 893,352 1,160,041 2,053,393
Total Expenditures $ 1,746,537 $ 2,600,005 $ 4,346,542
Notes:
a) No start-up expenses.
b) The indirect cost plan is approved by the U.S. Department of Health and Human Services.
c) Any food expenses have been allocated to the appropriate contracts.
reimbursement, reasonable, necessary, and adequately supported, according to governing laws, regulations, and contract provisions.
We have examined the claims filed for reimbursement and the original records supporting the transactions recorded under the contracts
listed above to an extent considered necessary to assure ourselves that the amounts claimed by the contractor were eligible for
ATTACHMENT B
59
COMMUNITY ACTION PARTNERSHIP OF SAN LUIS OBISPO COUNTY, INC.
SCHEDULE OF FINDINGS AND QUESTIONED COSTS
FOR THE YEARS ENDED MARCH 31, 2016 AND 2015
SECTION I – SUMMARY OF AUDITOR’S RESULTS
Financial Statements
Type of auditor’s report issued: Unmodified
Internal control over financial reporting:
Material weakness identified? Yes X No
Significant deficiencies identified that
are not considered to be material weaknesses? Yes X None Reported
Noncompliance material to financial statements noted? Yes X No
Federal Awards
Internal control over major federal programs:
Material weakness identified? Yes X No
Significant deficiencies identified that
are not considered to be material weaknesses? Yes X None Reported
Type of auditor’s report issued on compliance for major programs: Unmodified
Any audit findings disclosed that are required to be reported in
accordance with the Uniform Guidance? Yes X No
Identification of major programs:
CFDA Number(s) Name of Federal Program or Cluster
93.600 Head Start, Early Head Start, and Migrant Head Start
93.575/93.596 Child Care Development Block Grant
64.033 VA Supportive Services for Veteran Families Program
Dollar threshold used to distinguish between Type A and B programs: $1,577,275
Auditee qualified as low-risk auditee? X Yes No
ATTACHMENT B
60
COMMUNITY ACTION PARTNERSHIP OF SAN LUIS OBISPO COUNTY, INC.
SCHEDULE OF FINDINGS AND QUESTIONED COSTS (Continued)
FOR THE YEARS ENDED MARCH 31, 2016 AND 2015
SECTION II – FINANCIAL STATEMENT FINDINGS
None.
SECTION III – FEDERAL AWARDS FINDINGS AND QUESTIONED COSTS
None.
ATTACHMENT B
Attachment B: Program Milestones
Same as ESG
Exhibit A – Work Plan and Performance Schedule
List all project milestones and their anticipated work period. There will be an opportunity to update the
project timeline after grant notification and before executing a grant agreement. Any proposed changes,
including extension and early completion, must be requested in writing and approved in advance by the
jurisdiction receiving the funding application. Project schedule should be comprehensive and include clear
documentation that the project is ready to start upon approval of funding. Project schedule should be
feasible and able to be completed within the 12- or 18-month period as applicable. Applicant will assume all
financial risk if work on the proposed project begins before environmental clearance is obtained.
Task/Activity
Starts July 1, 2018)
JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN
ATTACHMENT B
CAPSLO Homeless Services 290 Check Completed By:___
Revised 4/1/2015 1
Taken By:Referral Source:Date
Office:Prado MLM SLO CM SC CM NC CM Link ECHO T-MHA
Household Type:Size:H of H:
First Name:Middle Name:
Last Name:Suffix:HMIS Release Signed?
Maiden Name or Nick Name:
Names of other adults in family:
Date of Birth:Age:Social Security Number:
Sex:Female Male Transgendered Male to Female Transgendered Female to Male
Height: Weight: Eye Color: Hair Color:
Identification Type:State:Number:
Ethnicity (Choose 1):Non-Hispanic or Non-Latino Hispanic or Latino
Race (Check all that apply):American Indian or Alaska Native Asian
Black or African American Native Hawaiian or Other Pacific Islander White
Relationship to H of H:Self Aunt/Uncle Daughter Foster Child Grandchild
Grandparent Niece/Nephew Parent Sig. Other Son Spouse Step Child
Does this person live in the same household as H of H?Yes No
Have you ever been on active duty in the U.S. military?Yes No Verified?Yes No
What brought you to this county: Family Friends Employment Born or Raised Here
Other:
Citizenship Status: American Legal Alien Other
Education Level Reached:HS Diploma GED x Post-Secondary Schooling
If post-secondary, please describe:
Are you a farmer?Yes No Type:Year-Round Seasonal Migrant
Are you pregnant?Yes No If yes, due date:Handout Provided Yes No
Contact Phone Number:Mailing Address:
Emergency Contact Person:Relationship:
Address:Phone Number:
Where did you stay last night? (What best describes your current living situation?) Continued On Next Page
Foster care home or foster care group home
Hospital or other residential non-psychiatric medical facility
Jail, prison or juvenile detention facility
Long-term care facility or nursing home
Psychiatric hospital or other psychiatric facility
Substance abuse treatment facility or detox center
Client doesn't know
Client refused
Other (Please Specify):
Owned by client, no ongoing housing subsidy
Homeless Services Adult Intake Form
1
ATTACHMENT B
CAPSLO Homeless Services 290 Check Completed By:___
Revised 4/1/2015 2
Owned by client, with ongoing housing subsidy
Permanent housing for formerly homeless persons
Rental by client, with GPD TIP subsidy
Rental by client, no ongoing housing subsidy
Rental by client, with other ongoing housing subsidy
Rental by client, with VASH housing subsidy
Emergency shelter, including hotel or motel paid for with emergency shelter voucher
Hotel or motel paid for without emergency shelter voucher
Place not meant for human habitation (vehicle, abandoned building, bus/train station/airport, outside)
Residential project or halfway house with no homeless criteria
Safe Haven
Staying or living in a family member's room, apartment or house
Staying or living in a friend's room, apartment or house
Transitional housing for homeless persons
How long have you been staying in place marked above?
One day or less Two days to one week More than one week, but less than one month
One to three months More than three months, but less than one year One year or longer
Client doesn't know Client refused
Has the client been continuously homeless for at least one year? (The client has been homeless and living or
residing in a place not fit for human habitation, an emergency shelter, and/or a Safe Haven (as marked above)
continuously for at least one year as of the date of project entry. Stays in institutions (i.e. jail, hospital,
mental health facility) of 90 days or less do note constitute a break in homelessness, provided the client was
homeless prior to entering the institution.)
No Yes Client Doesn't Know Client Refused
Start date of time on street, in an emergency shelter, or safe haven? (literally homeless)
Number of times the client has been homeless in the past three years? (Enter "0 (not homeless - Prevention
only)" if the client did not experience homelessness in the past three years, including today. For example,
the client is entering a homeless prevention project and has not been homeless in the past three years. If the
client is entering a housing project for the homeless, "0 (not homeless - Prevention only)" may not be used.
Enter "1 (homeless only this time)", "2", "3", or "4 or more" based on the number of times the client was
homeless and living or residing in a place not fit for human habitation, an emergency shelter, and/or a Safe
Haven over the past three years. Count an episode of homelessness that begins as of project entry. For
example, a client is staying with a friend, is asked to leave, and then enters an emergency shelter. The
client had not previously stayed on the streets or in a shelter so the number of times homeless in the past
three years would be "1 (homeless this time only)".
0 1 2 3 4 or more Client Doesn't Know Client Refused
Total number of months homeless in the past three years? (If the number of times the client has been
homeless in the past three years is 4 or more, count months the client was homeless and living or residing
in a place not meant for human habitation, an emergency shelter, and/or Safe Haven in the past three years.
Any single day or part of a month spent homeless should be counted as one month.)
Total number of months continuously homeless immediately prior to project entry? (Indicate the number of
ATTACHMENT B
CAPSLO Homeless Services 290 Check Completed By:___
Revised 4/1/2015 3
months the client has been continuously homeless including the day of project entry. For partial months, 1
day to 30 days = 1 month. For example, a client is living on the street from mid-July to the day the client
enters emergency shelter on August 5th. This would count as two months.
Status documented? (Is there documentation in the client's paper file or in the HMIS of the client's length of
homelessness (either continuously homeless, the number of times homeless, or the number of months
homeless in the past three years.))No Yes
Housing Status: (Check the response which represents clients housing status prior to program entry.)
Homeless (Residing in a place not fit for human habitation, an emergency shelter, and/or Safe Haven.)
At imminent risk of losing housing (Needs to be out of current residence within 14 days)
Fleeing domestic violence
At-risk of homelessness
Stably housed
Client doesn't know
Client refused
Last Permanent Residence which Client has Stayed for 90 Days or Longer:
City:State:Zip Code:
Substance Abuse Problem:No Alcohol Abuse Drug Abuse
Both Alcohol and Drug Abuse Client Doesn't Know Client Refused
IF ALCOHOL ABUSE, DRUG ABUSE, OR BOTH ALCOHOL AND DRUG ABUSE:
Expected to be of long-continued and indefinite duration and substantially impairs ability to live independently?
No Yes Client Doesn't Know Client Refused
Currently receiving services/treatment for this condition?
No Yes Client Doesn't Know Client Refused
Documentation of the disability and severity on file?No Yes
Physical Disability:No Yes Client Doesn't Know Client Refused
IF YES:Description:
Expected to be of long-continued and indefinite duration and substantially impairs ability to live independently?
No Yes Client Doesn't Know Client Refused
Currently receiving services/treatment for this condition?
No Yes Client Doesn't Know Client Refused
Documentation of the disability and severity on file?No Yes
Developmental Disability:No Yes Client Doesn't Know Client Refused
IF YES:Description:
Expected to substantially impair ability to live independently?
No Yes Client Doesn't Know Client Refused
Currently receiving services/treatment for this condition?
No Yes Client Doesn't Know Client Refused
Documentation of the disability and severity on file?No Yes
Chronic Health Condition:No Yes Client Doesn't Know Client Refused
IF YES:Description:
Expected to be of long-continued and indefinite duration and substantially impairs ability to live independently?
ATTACHMENT B
CAPSLO Homeless Services 290 Check Completed By:___
Revised 4/1/2015 4
No Yes Client Doesn't Know Client Refused
Currently receiving services/treatment for this condition?
No Yes Client Doesn't Know Client Refused
Documentation of the disability and severity on file?No Yes
HIV/AIDS:No Yes Client Doesn't Know Client Refused
IF YES:
Expected to substantially impair ability to live independently?
No Yes Client Doesn't Know Client Refused
Currently receiving services/treatment for this condition?
No Yes Client Doesn't Know Client Refused
Documentation of the disability and severity on file?No Yes
Mental Health Problem:No Yes Client Doesn't Know Client Refused
IF YES:Description:
Expected to be of long-continued and indefinite duration and substantially impairs ability to live independently?
No Yes Client Doesn't Know Client Refused
Currently receiving services/treatment for this condition?
No Yes Client Doesn't Know Client Refused
Documentation of the disability and severity on file?No Yes
Domestic Violence Victim/Survivor:No Yes Client Doesn't Know Client Refused
If yes, when experience occurred? Within Past 3 Months 3-6 Months Ago
6-12 Months Ago More Than 1 Year Ago Client Doesn't Know Client Refused
Currently taking any medications?Yes No Name of doctor:
If yes, what type:
Known allergies:Yes No Description:
Currently Receiving Income From Any Source?
No Yes Client Doesn't Know Client Refused If yes; enter type and amount below.
Currently Receiving Non-Cash Benefit From Any Source?
No Yes Client Doesn't Know Client Refused If yes; check type below.
WIC TANF Transportation Services
Private Disability Insurance Other:
Yes: Source Yes:Source
Food Stamps (SNAP, Cal Fresh)TANF Child Care Services
TOTAL
Unemployment Insurance TANF (Cal-Works/AFDC)
Soc Sec Disability (SSDI)Retirement from Social Sec.
Amount
Earned Income (Employment)Worker's Compensation
Yes: Source Amount Yes:Source
Alimony/Spousal Support
VA Non-Service-Connected
Disability Pension
VA Service-Connected
Disability Compensation
General Assistance (GA)
Pension/Retirement Income
From A Former Job
Supplemental Soc Sec (SSI)
Child Support
ATTACHMENT B
CAPSLO Homeless Services 290 Check Completed By:___
Revised 4/1/2015 5
Currently Covered By Health Insurance?
No Yes Client Doesn't Know Client Refused If yes; check type below.
Are you a sex offender?Yes No Served any jail time in last 7 years? Yes No
On Parole On Probation PO Officer
Description of offense and year:
Do you have a vehicle? Yes No Year:Make:
Model:Color:License Plate:
Do you have any pets?Yes x No What kind?
Are you receiving services from any agencies? Yes No If yes, complete the following:
If you have a vehicle, are you current on the following?
Registration:Yes No Insurance:Yes No
Financial History: Have you ever filed for bankruptcy?Yes No
Comments:
I,, give the Community Action Partnership of San Luis Obispo County,
Inc. consent to release, obtain and share all pertinent identifying and non-confidential social, medical and
other information about myself that will allow me to benefit from services offered. In granting such permission,
I understand that such information will remain confidential and that such information will only be used for my
benefit or to benefit other members of my family. Only authorized personnel will share client information
needed to service delivery, to track demographic trends, service patterns and the client outcomes achieved.
I release the Community Action Partnership of San Luis Obispo County, Inc. and its staff from any liability
for disclosing or acquiring information that I have permitted by signing this form. Unless I make a formal
request to the Community Action Partnership of San Luis Obispo County, Inc. that I no longer want to
participate in the services offered, this release will remain in force for 3 years from today.
The statements made by me on this consent form are true, correct and complete to the best of my knowledge.
Client Signature Date Staff Signature Date
Credit Cards Child Support Utilities Medical Other Debts
Case Management Only
Agency Providing Service Address Phone Contact Person
Medi-Cal/Cen-Cal (Medicaid)Employer Provided Health Insurance
Medicare Health Insurance Obtained Through COBRA
VA Medical Services State Health Insurance For Adults
SCHIP (Healthy Families)Private Pay Health Insurance
Yes: Source Yes:Source
Sec. 8/PH/Rent Assistance Other TANF Funded Services
Temporary Rental Assistance Other:
ATTACHMENT B
Domain 1 2 3 4 5 Score
Housing Homeless or threatened with
eviction.
In transitional, temporary or
substandard housing; and/or
current rent/mortgage payment is
unaffordable
over 30% of income).
In stable housing that is safe but
only marginally adequate.
Household is in safe, adequate
subsidized housing.
Household is safe,
adequate, unsubsidized
housing.
Income No income.
Inadequate income and/or
spontaneous or inappropriate
spending.
Can meet basic needs with
subsidy; appropriate spending.
Can meet basic needs and
manage debt without
assistance.
Income is sufficient, well
managed; has discretionary
income
and is able to save.
Adult
Education
Literacy problems and/or no high
school diploma/GED are serious
barriers to employment.
Enrolled in literacy and/or GED
program and/or has sufficient
command of English to where
language is not a barrier to
employment.
Has high school diploma/GED.
Needs additional
education/training to improve
employment situation and/or to
resolve literacy problems to
where they are able to function
effectively in society.
Has completed
education/training needed to
become employable. No
literacy problems.
Life Skills
Unable to meet basic needs
such as hygiene, food, activities of
daily living.
Can meet a few but not all needs
of daily living without assistance.
Can meet most but not all daily
living needs without assistance.
Able to meet all basic needs of
daily living without assistance.
Able to provide beyond basic
needs of daily living for self
and family.
Family /Social
Relations
Lack of necessary support form
family or friends; abuse (DV, child) is
present or there is
child neglect.
Family/friends may be supportive,
but lack ability or resources to
help; family members do not relate
well with one another; potential
for abuse or neglect.
Some support from
family/friends; family members
acknowledge and seek to
change negative behaviors; are
learning to communicate and
support.
Strong support from family or
friends. Household members
support each other’s efforts.
Has healthy/expanding
support network; household
is stable and communication
is consistently open.
Legal Current outstanding tickets or
warrants.
Current charges/trial pending,
noncompliance with
probation/parole.
Fully compliant with
probation/parole terms.
Has successfully completed
probation/parole within past 12
months, no new charges filed.
No active criminal justice
involvement in more that 12
months and/or no felony
criminal history.
Mental
Health
Danger to self or others; recurring
suicidal ideation; experiencing
severe difficulty in day-to-day life
due to psychological problems.
Recurrent mental health
symptoms that may affect
behavior, but not a danger to
self/others; persistent problems
with functioning due to mental
health symptoms.
Mild symptoms may be present
but are transient; only moderate
difficulty in functioning due to
mental health problems.
Minimal symptoms that are
expectable responses to life
stressors; only slight
impairment in functioning.
Symptoms are absent or
rare; good or superior
functioning in wide range of
activities; no more than
every day problems or
concerns.
Substance
Abuse
Meets criteria for severe
abuse/dependence; resulting
problems so severe that institutional
living or hospitalization may be
necessary.
Meets criteria for dependence;
preoccupation with use and/or
obtaining drugs/alcohol;
withdrawal or withdrawal
avoidance behaviors evident; use
results in avoidance or neglect of
essential life activities.
Use within last 6 months;
evidence of persistent or
recurrent social, occupational,
emotional or physical problems
related to use (such as disruptive
behavior or housing problems);
problems have persisted for at
least one month.
Client has used during last 6
months, but no evidence of
persistent or recurrent social,
occupational, emotional, or
physical problems related to
use; no evidence of recurrent
dangerous use.
No drug use/alcohol abuse
in last 6 months.
Disabilities
In crisis – acute or chronic symptoms
affecting housing, employment,
social interactions, etc.
Vulnerable – sometimes or
periodically has acute or chronic
symptoms affecting housing,
employment, social interactions,
etc.
Safe – rarely has acute or
chronic symptoms affecting
housing, employment, social
interactions, etc.
Building Capacity –
asymptomatic – condition
controlled by services or
medication
Thriving – no identified
disability.
Total Score:0
Self-Sufficiency Matrix
ATTACHMENT B
Emergency Shelter
If the client and/or family have no place to stay, regardless of score on Self-Sufficiency Matrix, they can
be referred to the emergency shelters in the county, which are the Maxine Lewis Memorial Shelter in
SLO, or the ECHO shelter in Atascadero. No official written referral necessary. All ECHO clients who
utilize shelter services for 5 days or longer are required to be on case management (for other areas for
general case management, see below).
Referral Made:Yes No Case Manager:
Transitional Housing (T-MHA) Time Limit of 2 Years
Clients (this program is for single individuals only) who are homeless and disabled (mentally or
physically) are eligible. These clients generally score in the lower portion of the Self-Sufficiency
Matrix (9-25 pts.) and will need some type of income.
Referral Made:Yes No Case Manager:
Permanent Supportive Housing (CAPSLO and T-MHA) No Time Limit
CAPSLO
Clients (this program is for single individuals only, aside from 1 unit that is available for a couple) who
are chronically homeless (have a disability AND have either been consistently homeless for a year or
longer OR have had 4 bouts of homelessness in the last 3 years) and must have an income of at least
750/mo. or more are eligible. These clients generally score in the lower portion of the Self-Sufficiency
Matrix (9-25 pts.).
Referral Made:Yes No Case Manager:
T-MHA
Clients (this program is for single individuals only, aside from 1 unit that is available for a family) who
are chronically homeless (have a disability AND have either been consistently homeless for a year or
longer OR have had 4 bouts of homelessness in the last 3 years) and must have an income. These
clients generally score in the lower portion of the Self-Sufficiency Matrix (9-25 pts.).
Referral Made:Yes No Case Manager:
Case Management (Supportive Service Only-No Housing Attached)
General case management is available to clients in SLO or South County for individuals and
households who are literally homeless, at imminent risk of being homeless, or are fleeing domestic
violence situations (certain documentation required to prove eligibility). These clients will have varying
scores on the Self-Sufficiency Matrix, but should not exceed 36 pts.
Referral Made:Yes No Case Manager:
Rapid Re-Housing/Eviction Prevention
Individuals and households who are in need of financial assistance to maintain their current housing or
to transition back into permanent housing may be eligible for assistance through The Link (certain
restrictions apply). Generally, these clients are mid-scoring on the Self-Sufficiency Matrix (25-36 pts.).
Referral Made:Yes No Case Manager:
50 Now
The most vulnerable homeless individuals in SLO County may be eligible to receive a housing choice
voucher along with case management to provide the supportive services needed to maintain their
housing.
Referral Made:Yes No Case Manager:
ATTACHMENT B
COMMUNITY ACTION PARTNERSHIP OF SAN LUIS OBISPO COUNTY, INC.
HOMELESS SERVICE CENTER
CDBG EXPENDITURE TIMELINE
18-Jul 18-Aug 18-Sep 18-Oct 18-Nov 18-Dec 19-Jan 19-Feb 19-Mar 19-Apr 19-May 19-Jun Totals
Salaries 10,580 10,580 10,580 10,580 10,580 10,580 10,580 10,580 10,580 10,580 10,580 10,580 126,960
Benefits 5,396 5,396 5,396 5,396 5,396 5,396 5,396 5,396 5,396 5,395 5,395 5,395 64,749
Supplies 974 974 974 974 974 974 974 974 975 975 975 975 11,692
Repairs 853 853 853 853 853 853 853 853 853 853 853 854 10,237
Food Supplies 873 873 873 873 873 873 873 873 873 873 873 872 10,475
Indirect 1,494 1,494 1,494 1,494 1,494 1,494 1,494 1,494 1,495 1,494 1,494 1,494 17,929
20,170 20,170 20,170 20,170 20,170 20,170 20,170 20,170 20,172 20,170 20,170 20,170 242,042
Attachment D ATTACHMENT B
COUNTY OF SAN LUIS OBISPO
DEPARTMENT OF PLANNING & BUILDING
AAA-XXXX
MM/DD/YYYY
Community Development Block Grant (CDBG)
Program Year 2018 Application
976 OSOS STREET, ROOM 300 | SAN LUIS OBISPO, CA 93408 | (805) 781-5600 | TTY/TRS 7-1-1 PAGE 1 OF 18
www.sloplanning.org | actionplan@co.slo.ca.us
The County of San Luis Obispo is pleased to announce the availability of funds for the Community
Development Block Grant (CDBG) program. Applications MUST address one of the three national objectives
set by the U.S. Department of Housing and Urban Development (HUD), or they will NOT be considered for
CDBG funding (see the section on Qualifying Criteria for detailed information on the objectives).
Furthermore, completed applications should provide the necessary exhibits, budgets, or requested
information on targeted populations. Please email grant applications to ActionPlan@co.slo.ca.us by the
application deadline of 5:00 P.M., Friday, October 20, 2017. Please label your email subject with the grant
program name and the agency name (Example: CDBG – CAPSLO). *Note: Please attach additional sheets for
more detailed information of your proposed project or program for any of the questions below.
APPLICANT INFORMATION
1-1) Organization Name
DUNS Number
Contact Person/Title
Phone/Fax Numbers
Email
Address
City, State, Zip
PROJECT SUMMARY
2-1) Project/Program Title
Project/Program Address
Jurisdiction/Area Served
Targeted clientele
Project type (select one):
Public Service Public Facilities Economic Development Housing
2-2) Brief Project Description:
2-3) Total CDBG Funding Requested
Total Cost to Complete Project
Anticipated Start Date:Anticipated End Date:
ATTACHMENT B
AAA-XXXX
MM/DD/YYYY
2018 CDBG APPLICATION
976 OSOS STREET, ROOM 300 | SAN LUIS OBISPO, CA 93408 | (805) 781-5600 | TTY/TRS 7-1-1 PAGE 2 OF 18
planning@co.slo.ca.us | www.sloplanning.org
AGENCY DETAILS, CAPACITY, AND EXPERIENCE (25 points)
3-1) Type of Agency 501 (c)(3) For Profit Gov’t/Public Faith-based Other:
Date of Incorporation Annual Operating Budget
Number of Paid Staff Number of Volunteers
3-2) Agency Mission Statement:
3-3) Please describe your organization’s capacity to implement the proposed project/program. Who will
be involved in the project/program? (In-house employees, contractors, other agency partners, etc.)
3-4) Briefly describe your agency’s record keeping system with relevance to the proposed
project/program:
ATTACHMENT B
AAA-XXXX
MM/DD/YYYY
2018 CDBG APPLICATION
976 OSOS STREET, ROOM 300 | SAN LUIS OBISPO, CA 93408 | (805) 781-5600 | TTY/TRS 7-1-1 PAGE 3 OF 18
planning@co.slo.ca.us | www.sloplanning.org
3-5) Briefly describe your agency’s auditing requirements, including those for the proposed
project/program, and attach a copy of your most recent audit:
3-6) Will the services offered by your organization increase or expand
as a result of CDBG assistance? If YES, please answer the following two
questions.
Yes No
What new programs or services will be provided?
Describe how existing programs or services will be expanded and what percentage of an increase is
expected?
3-7) If your program serves homeless households, please describe how your program coordinates with
other homeless service providers to connect homeless individuals and families to resources.
ATTACHMENT B
AAA-XXXX
MM/DD/YYYY
2018 CDBG APPLICATION
976 OSOS STREET, ROOM 300 | SAN LUIS OBISPO, CA 93408 | (805) 781-5600 | TTY/TRS 7-1-1 PAGE 4 OF 18
planning@co.slo.ca.us | www.sloplanning.org
QUALIFYING CRITERIA (10 points)
The Community Development Block Grant program was established by Congress in 1974 with
passage of the Housing and Community Development Act and is administered by the United
States Department of Housing and Urban Development (HUD). This program provides funds to
municipalities and other units of government around the country to develop viable urban
communities. This is accomplished by providing affordable, decent housing, a suitable living
environment and by expanding economic opportunities principally for low and moderate income
persons. Although local units of government develop their own programs and funding priorities,
all activities must be consistent with one or more of the following HUD national objectives:
Principally benefits low- and moderate-income persons
Prevents or eliminates slum or blight
Addresses an urgent need or problem in the community (e.g., natural disaster)
As an entitlement Urban County under the CDBG program, the County of San Luis Obispo receives
annual funding allocations from the federal government to fund activities to address these
national objectives.
As a funding recipient, San Luis Obispo County is required to submit an Annual Action Plan that
describes how the Urban County will utilize federal funds to address the national objectives in a
manner that will produce the greatest measurable impact on the Urban County communities. The
lead agency responsible for submission of this Plan to HUD is the Planning and Building
Department of the County of San Luis Obispo.
4-1) Please identify the appropriate CDBG objective that applies to the proposed
project/program by checking the box next to A, B, or C. In addition, please provide a
corresponding explanation of how the proposed activity meets the national objective.
A. Objective One – Low/Moderate Income (check one):
Note: To meet this national objective, the proposed activity must benefit a specific clientele or
residents in a particular area of the County or participating city, of which at least 51 percent of who
are low- and moderate-income persons.
Select one:
Area Benefit – The project serves only a limited geographic area which is provenby 2010 Census
data or survey to be a predominately (51% or more) low/moderate-income area. Applicants choosing
this category must be able to prove their project/activity primarily benefits low/moderate-income
households.
Clientele – The project benefits a specific group of people, at least 51% of whom are
low/moderate-income persons. Note: Income verification for clients must be provided for this
category; however, the following groups are presumed to be low/moderate-income: abused
ATTACHMENT B
AAA-XXXX
MM/DD/YYYY
2018 CDBG APPLICATION
976 OSOS STREET, ROOM 300 | SAN LUIS OBISPO, CA 93408 | (805) 781-5600 | TTY/TRS 7-1-1 PAGE 5 OF 18
planning@co.slo.ca.us | www.sloplanning.org
children; elderly persons; battered spouses; homeless persons; illiterate adults; adults meeting
census definition of severely disabled; persons living with AIDS; and migrant farm workers.
Housing – The project adds or improves permanent residential structures that will be/are
occupied by low/moderate-income households upon completion.
Jobs – The project creates or retains permanents jobs, at least 51% of which are taken by
low/moderate-income persons or considered to be available to low/moderate-income persons.
Assistance to Microenterprises – The project provides technical assistance to microenterprises
owned by low/moderate-income persons.
B.Objective Two – Slums or Blight
Assists in the prevention or elimination of slums or blight. Note: To meet this national objective, the
proposed activity must be within a designated slum or blighted area and must be designed to
address one or more conditions that contributed to the deterioration of the area.
Select one:
Addressing Slums or Blight on an Area Basis
Addressing Slums or Blight on a Spot Basis - This project will prevent or eliminate specific
conditions of blight or physical decay. Activities are limited to clearance, historic preservation,
rehabilitation of buildings, but only to the extent necessary to eliminate conditions detrimental
to public health and safety.
C.Objective Three – Urgent Need
Meets community development needs having a particular urgency where existing conditions pose a
serious and immediate threat to the health or welfare of the community, and no other funding
sources are available, i.e., a major catastrophe such as a flood or earthquake. Note: To meet this
national objective, the proposed activity must deal with major catastrophes or emergencies such as
floods or earthquakes.
Please explain how the proposed activity meets the selected National Objective:
ATTACHMENT B
AAA-XXXX
MM/DD/YYYY
2018 CDBG APPLICATION
976 OSOS STREET, ROOM 300 | SAN LUIS OBISPO, CA 93408 | (805) 781-5600 | TTY/TRS 7-1-1 PAGE 6 OF 18
planning@co.slo.ca.us | www.sloplanning.org
4-2) Which of the 2015-2019 Consolidated Plan goal(s) does your project/program plan to
address? Check all that apply.
Create housing opportunities for residents
Preserve and maintain existing affordable housing
Reduce and end homelessness
Create a suitable living environment through public services
Stabilize and revitalize diverse neighborhoods (public facility improvements)
Improve educational and job readiness
4-3) Check any of the following eligible activity categories that apply to the proposed
project or program: (Refer to CDBG regulations and
https://www.hudexchange.info/resources/documents/Basically-CDBG-Chapter-2-Activity.pdf )
Acquisition of real property*
Disposition of real property
Public facilities and improvements (may include acquisition, construction, reconstruction, rehabilitation
or installation)*†
Privately owned utilities
Public services
Relocation of individuals, families, businesses, non-profit organizations, and/or farms
Removal of architectural barriers
Housing rehabilitation†
Homeownership assistance
Technical assistance to businesses/micro-enterprise development
Administrative technical assistance and planning studies (specified)
PROJECT DETAILS/DESCRIPTION (25 points)
5-1) Targeted Clientele: Individuals or households? Identify the projectedtarget population your
proposed activity will serve. (Include age, race, residency, handicap status, income level or other unit
characteristics or subgroup information)
See relocation provisions in Exhibit A
See lead-based paint provisions in Exhibit A
ATTACHMENT B
AAA-XXXX
MM/DD/YYYY
2018 CDBG APPLICATION
976 OSOS STREET, ROOM 300 | SAN LUIS OBISPO, CA 93408 | (805) 781-5600 | TTY/TRS 7-1-1 PAGE 7 OF 18
planning@co.slo.ca.us | www.sloplanning.org
5-2) If the project or program is designed specifically to provide benefit to low- and
moderate-income persons, please estimate the number of unduplicated persons (or
households) to benefit from the project, and break that estimate down by income group.
Note: Unduplicated means the number who are served, i.e., the grant will allow 25 children to participate in
preschool – not 25 children x 5 days x 52 weeks = 6,500.
Check box if project serves households or individual
persons)
Number Households Persons
TOTAL Number of Persons or Households
regardless of income):
Of the total number of persons or households entered above,
how many will be low-income:
earning 51% - 80% or less of the County median-income)
Of the total number of persons or households entered above,
how many will be very low-income:
earning 50% or less of the County median-income)
5-3) Please describe the proposed project or program in detail. Make a case for why your project
should be funded. Describe the need and the degree of urgency for the proposed project or program. What
would the consequences be if the proposed project or program is not funded in the next year? Please
attach a timeline of the project/program milestones.
ATTACHMENT B
AAA-XXXX
MM/DD/YYYY
2018 CDBG APPLICATION
976 OSOS STREET, ROOM 300 | SAN LUIS OBISPO, CA 93408 | (805) 781-5600 | TTY/TRS 7-1-1 PAGE 8 OF 18
planning@co.slo.ca.us | www.sloplanning.org
5-4) Does the project require the issuance of a permit? (State, local, or federal)
Yes No
If YES, please respond to the following:
Identify the permits necessary:
Have the necessary permits been issued? Please provide proof of issuance:
If permits are required butnot yet obtained, when will the permits be issued?
BENEFICIARY DATA (15 points)
Organizations will be asked to provide detailed data regarding race, ethnicity, gender, income, etc.
If they cannot provide data, they may not be eligible for funding.
6-1) How do you document and maintain income status of each client in compliance with
HUD regulations? (Example: very low (30% AMI), low (50% AMI) and moderate-income (80% AMI))
Area Median Income (AMI). Please provide a sample of your intake process as an attachment if possible.
ATTACHMENT B
AAA-XXXX
MM/DD/YYYY
2018 CDBG APPLICATION
976 OSOS STREET, ROOM 300 | SAN LUIS OBISPO, CA 93408 | (805) 781-5600 | TTY/TRS 7-1-1 PAGE 9 OF 18
planning@co.slo.ca.us | www.sloplanning.org
6-2) How do you collect demographic data on the beneficiaries of the proposed project or
program? (Example: racial/ethnic characteristics) Please provide a sample of your intake process as an
attachment if possible.
FINANCIAL INFORMATION (20 points)
For CDBG applications to the County of San Luis Obispo involving acquisition, construction, or
rehabilitation projects, the County will require additional information on financial source and use
of funds and other budget details prior to the draft Action Plan funding recommendations.
7-1) How do you plan to fund the operation and maintenance costs (if any) associated with
this project? Are these funds available now? If not, when will they be available? Will the
project be required to pay a prevailing wage?
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7-2) Do you have any CDBG funds remaining from prior Fiscal Year allocations?
Yes No If YES, answer the following:
What fiscal year did you receive funding?
What project did you receive funding for?
How much is remaining?
7-3) Itemize all sources of funding expected to be available for each category, if applicable
please include commitment letters if available):
CDBG Funds Requested
Other Federal Fund(s)
State Source(s)
Local Source(s)
Applicants Matching Funds
Other:
7-4) Will CDBG funds be used to match/leverage other funds from other sources? List
below funding sources and amounts and identify award dates of these sources.
Source(s):Amount:
TOTAL
7-5) Identify all jurisdictions you are applying to for CDBG funds. Indicate the amount
applied for at each jurisdiction, and the total amount requested. Note: Any project/program
being recommended less than $8,000 total will not be funded per the Cooperation Agreement.
City of Arroyo Grande
City of Atascadero
City of Morro Bay
City of Paso Robles
City of Pismo Beach
City of San Luis Obispo
County of San Luis Obispo
TOTAL
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7-6) Please list expenditures under CDBG by item or cost category, and attach a timeline of
the expenditures.
TOTAL
FEDERAL REQUIREMENTS ACKNOWLEDGEMENTS
Every person or Agency awarded a 2018 CDBG Contract or grant by San Luis Obispo County for the
provision of services shall be required to certify to the County that they will comply with federal and local
requirements including, but not limited to, those listed below. Please initial each certification listed to
indicate you or your agency can and will comply with these requirements if funded.
Federal Requirements Initials
Americans with
Disabilities Act
Certify that this agency has reviewed its projects, programs and
services for compliance with all applicable regulations contained in
Title II, Americans with Disabilities Act of 1990.
Audits Agrees to have an annual audit conducted in accordance with
current San Luis Obispo County policy regarding audits and 2 CFR
200.501 audit requirements. Shall comply with current San Luis
Obispo County policy concerning the purchase of equipment and
shall maintain inventory records of all non-expendable personal
property as defined by such policy as may be procured with funds
provided through the grant.
Conflict of Interest (2 CFR 200.112, 200.318, and 570.611) Certify and agree that no
covered persons who exercise or have exercised any functions or
responsibilities with respect to CDBG-assisted activity, or who are in
a position to participate in a decision-making process or gain inside
information with regard to such activities, may obtain a financial
interest in any contract, or have a financial interest in any contract,
subcontract, or agreement with respect to the CDBG-assisted
activity, either for themselves or those with whom they have
business or immediate family ties, during their tenure or for a
period of one (1) year thereafter. A “covered person” includes any
person who is an employee, agent, consultant, officer, or elected or
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appointed official of the agency
Civil Rights Act Certify that it complies with and prohibits discrimination in
accordance with Title VI of the Civil Rights Act of 1964.
Debarment Status of
Contractors
Certify that, to the best of its knowledge andbelief, that it and its
principals will not knowingly enter into any subcontract with a
person who is, or organization that is, debarred, suspended,
proposed for debarment, or declared ineligible from award of
contracts by any Federal agency
https://www.sam.gov/portal/public/SAM/)
Drug-Free Workplace Certify that it will provide a drug-free workplace.
Accounting Standards: Agrees to comply with 2 CFR 200(E)(F) and
agrees to adhere to the accounting principles and procedures
required therein, utilize adequate internal controls, and maintain
necessary source documentation for all costs incurred.
Cost Principles: Shall administer its program in conformance with
2 CFR 200(E), “Cost Principles for Non-Profit Organizations,” or 2 CFR
225, “Cost Principles for State and Local Governments,” as
applicable. These principles shall be applied for all costs incurred
whether charged on a direct or indirect basis.
Financial
Management
Procurement Policies: Certify and agree to procure all materials,
property, or services in accordance with the requirements of 2 CFR
200.320-326.
Lobbying Activities Certify that no Federal appropriated funds have been paid or will be
paid, by or on behalf of the agency, to any person for influencing or
attempting to influence an officer or employee of any agency, a
Member of Congress, an officer or employee of Congress, or an
employee of a Member of Congress in connection with the
awarding of any Federal contract, the making of any Federal grant,
the making of any Federal loan, the entering into of any cooperative
agreement, and the extension, continuation, renewal, amendment,
or modification of any Federal contract, grant, loan or cooperative
agreement.
Minority Business
Enterprise (MBE),
Women’s Business
Enterprise (WBE),
Small Business
Contracting
Certify that it will comply with 2 CFR 200.321 to take all necessary
affirmative steps to assure that minority firms, women business
enterprises, and labor surplus area firms are used when possible.
Further certify that it will submit to San Luis Obispo County at the
time of project completion a report of the MBE and WBE status of
all subcontractors to be paid with CDBG funds with contracts of
10,000 or greater, in a format that will be provided by the County.
Real Property Certify that it will comply with real property standards (24 CFR Part
570.505) applicable to any property within the owner’s control that
is acquired or improved in whole or in part using CDBG funds in
excess of $25,000.
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Religious Activities Certify and agree that funds provided to the agency will not be
utilized for inherently religious activities prohibited by 24 CFR
570.200(j), such as worship, religious instruction, or proselytization.
Section 3 Certify and agree to ensure that opportunities for training and
employment arising in connection with contracts or subcontracts
for a housing rehabilitation (including reduction and abatement of
lead-based paint hazards), housing construction, or other public
construction project are given to low- and very low-income persons
residing within the metropolitan area in which the CDBG-funded
project is located; where feasible, priority should be given to low-
and very low-income persons within the service area of the project
or the neighborhood in which the project is located, and to low- and
very low-income participants in other HUD programs; and award
contracts for work undertaken in connection with a housing
rehabilitation (including reduction and abatement of lead-based
paint hazards), housing construction, or other public construction
project to business concerns that provide economic opportunities
for low- and very low-income persons residing within the
metropolitan area in which the CDBG-funded project is located;
where feasible, priority should be given to business concerns that
provide economic opportunities to low- and very low-income
residents within the service area or the neighborhood in which the
project is located, and to low- and very low-income participants in
other HUD programs.
Section 504 Section 504 of the Rehabilitation Act of 1973: Certify that it has read
and understands all of its obligations under Section 504 to prohibit
discrimination against persons with disabilities in the operation of
programs receiving federal financial assistance.
Liability The County and cities require all grant recipients to maintain
general liability, automobile andworkman’s compensation
insurance with limits of not less than $1 million (may vary by
jurisdiction). If you are successful in obtaining a reward, you will be
asked to provide documentation regarding your ability to provide
the required coverage.
Environmental
Review
Prior to HUD’s release of grant conditions and/or funds for the
CDBG-funded project, a review of the project’s potential impact on
the environment must be conducted and approved by the County of
San Luis Obispo prior to obligating or incurring project costs. The
County must certify to HUD that it has complied with all applicable
environmental procedures and requirements. Should project costs
be obligated or incurred prior to the completion of the necessary
environmental review, the project shall not benefit from the federal
funds. The level of environmental review required depends on the
nature of the project. 24 CFR Part 58 is available at
http://www.hud.gov/offices/pih/ih/codetalk/onap/docs/24cfr58.pdf.
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Relocation Any project that involves the acquisition of property, construction,
and/or rehabilitation and that is funded in whole or in part with
federal CDBG funds is subject to federal relocation requirements. In
general, any property owner, commercial business, or residential
occupant who is displaced by a HUD-funded project may be eligible
for relocation benefits. A project cannot be broken into separate
projects” in order to avoid the federalrequirements connected with
property acquisition and relocation. Any questions concerning the
relocation regulations for a specific property acquisition project
should be directed to the County Housing and Economic
Development staff before any action is taken on the project.
HMIS Reporting All homeless service providers applying for CDBG funds to assist,
house, or shelter the homeless must identify and demonstrate the
capacity to participate in the County of San Luis Obispo Homeless
Management Information System (HMIS) to provide: personnel for
data entry, user licensing, and hardware and software necessary for
compatibility with HMIS. HMIS is an electronic data collection
system that stores client level information about persons who
access the homeless services system in a Continuum of Care, and
reports aggregate data for the County as per HUD’s Data Standards.
HUD updated its data standards in 2014, and the new standards are
in effect as of October 1, 2014. More information can be found at
https://www.hudexchange.info/resources/documents/HMIS-Data-Standards-
Manual.pdf and
https://www.hudexchange.info/resources/documents/HMIS-Data-
Dictionary.pdf.
Affirmative Marketing Quarterly and annual reports shall be submitted by the
project/program manager to the County for CDBG-funded public
services and housing projects. Each report shall include the total
number of project/program applicants and clients served with
respect to race, ethnicity, gender, and disability status. Affirmative
marketing efforts shall be taken to increase the participation of any
underserved groups.
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I certify that the information in this application is true and accurate to the best of my knowledge and ability.
Signature DATE
Printed or Typed Name Title
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Exhibit A – Housing Rehab and Construction Projects
Will the affordable housing project be applying for tax credits? Yes No
If yes, what round? March June
If March was selected and if your project is identified to receive funds, will your
project require a Reservation Letter for the state tax creditors Yes No
Has NEPA been completed on this project? Yes No
How old is the property/building in terms of years?
Has a property inspection report been completed if undertaking rehab? Yes No
For buildings/structures constructed prior to 1978:
Have asbestos and lead hazard risk assessment reports been issued for the facility? Yes No
Has the facility been abated for asbestos and lead paint? Yes No
Will children occupy the facility? Yes No
If yes, indicate the age range of children:
Has a Phase I or Phase II environmental assessment been conducted for the
property? If so, please provide a copy.
Yes No
List and describe any known hazards (e.g. asbestos, storage tanks – underground, aboveground):
Has the property been designated or been determined to be potentially eligible
for designation as a local, state, or national historic site? If Yes, describe below: Yes No
Is the building/structure located on a Historic Site? Yes No
Is the building/structure located in a Historic District? Yes No
Is the building/structure in a Flood Zone? Yes No
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Is the building/structure in a Flood Plain? Yes No
Does your agency have flood insurance? Yes No
Will there be demolition required? Yes No
The questions below ask about zoning. If zoning information is not known, contact the local municipality
to request assistance.
What is the project structure type?
Residential Commercial Public facility Public right-of-way
What is the current zoning of the project site?
Is the project site zoned correctly for the proposed
activity? Yes No
If no, provide below an explanation of efforts and a timetable to change the zoning or obtain a variance:
B.15. Does the project require temporary/permanent relocation of occupants?Yes No
If yes, this project is subject to the Uniform Relocation Assistance and Real Property Acquisition
Policies Act (URA). Describe the relocation plans, including timetable and notifications to occupants.
List how many of the occupied units are: (a) owner-occupied; (b) renter-occupied; or (c) businesses.
Indicate whether temporary and/or permanent displacement is required. [NOTE: This will be for site
information only. Relocation activities will not be eligible for funding with Fiscal Year 2018 CDBG
funds.]
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Federal regulations require that all facilities and/or services assisted with CDBG funds be accessible to the
disabled. Accessibility includes such things as: entrance ramps, parking with universal logo signage,
grab bars around commodes and showers, top of toilet seats that meet required height from the
floor, drain lines under lavatory sink either wrapped or insulated, space for wheelchair
maneuverability, accessible water fountains, access between floors (elevators, ramps, lifts), and other
improvements needed to assure full access to funded facilities/programs, including serving the blind
and deaf.
Describe below whether the project currently meets ADA standards for accessibility by the disabled. If not,
describe the accessibility problems and methods to be utilized to address the problems, including
funding and timetable. NOTE: The project site must first be fully ADA-compliant before other
construction activities can be implemented with CDBG funding.
ATTACHMENT B