19D - RFP - ESG HOMELESS EMERGENCY ASSISTANCE

Home Browse Search

EMERGENCY SOLUTIONS GRANT PROGRAM CITY OF SANTA ANA, CALIFORNIA APPLICATION FOR SUBRECIPIENT PROPOSALS FY 2015 -2016 PROGRAM DUE DATE: January 5, 2015 Applications (one hard copy) must be returned to the address below NO LATER THAN 4 P.M., JANUARY 5, 2015; ABSOLUTELY NO LATE APPLICATIONS WILL BE ACCEPTED (NO FAXES OR ELECTRONIC VERSIONS). We recommend that applications being mailed be sent as certified mail with a return receipt to document delivery date. Those who deliver the application in person should request a delivery receipt. City of Santa Ana ESG Administration Community Development Agency M -25 20 Civic Center Plaza, 6t" floor Santa Ana, CA 92701 Do not add extra pages or attachments unless instructed to do so. Any supplemental material such as letters of support, press clippings, etc., will not be accepted as part of this application submittal. Limit responses to the space provided — any additional narrative beyond the provided space will not be considered. Submit one complete application for each proposed program. ❑ Application Form ❑ Program Budgets (Funded Personnel, Current Budget, and Prior Budget) (Attachments 1 (a -c)) ❑ IRS Non - profit Designation Letter (Attachment 2) ❑ Form 990 (Attachment 3) ❑ Current/proposed client eligibility intake form (Attachment 4) ❑ Board of Directors, By -laws and Articles of Incorporation (Attachment 5) ❑ Conflict of Interest Questionnaire (Attachment 6) NOTES: Failure to provide all required information will cause this application to become invalid and will not be considered for funding. The City reserves the right to withdraw consideration of this application if evidence of compliance is not provided or if compliance status changes during the application process. The City reserves the right to waive a requirement if it is determined to be in the best interest of the City. 4 19D-7