HomeMy WebLinkAboutItem 08 - Nonprofit CDBG Application for Fiscal Years 2022-2024 Community Development Agency
santa-ana.org/cd
Item # 8
City of Santa Ana
20 Civic Center Plaza, Santa Ana, CA 92701
Staff Report
November 2, 2021
TOPIC: Nonprofit CDBG Application for Fiscal Years 2022-2024
AGENDA TITLE:
Nonprofit Community Development Block Grant Application Process for Fiscal Years
2022-2024
RECOMMENDED ACTION
Approve the nonprofit Community Development Block Grant application and scoring
criteria for Fiscal Years 2022-2024.
COMMUNITY DEVELOPMENT COMMISSION ACTION
At its regular meeting on October 27, 2021, the Community Development Commission
recommended that the City Council approve the nonprofit Community Development Block
Grant application and scoring criteria for Fiscal Years 2022 – 2024.
DISCUSSION
As an entitlement jurisdiction, the City receives an annual allocation of Community
Development Block Grant (CDBG) funds from the United States Department of Housing
and Urban Development (HUD) to improve low- to moderate-income neighborhoods,
eliminate blight, and encourage economic development. These funds are used for a
diverse range of programs as outlined in the City’s Consolidated Plan, including
affordable housing, street improvements, park and public facilities improvements, small
business start-up grants, code enforcement, and public services. The City may use a
maximum of 15 percent of each annual allocation to fund public service programs, such
as those concerned with employment, crime prevention, childcare, health, drug abuse,
education, fair housing counseling, energy conservation, welfare, homebuyer down
payment assistance, and recreational needs. The City of Santa Ana’s Community
Development Agency allocates these CDBG grant funds to nonprofit organizations
through a transparent, competitive process for projects and programs that most effectively
serve our residents.
The City’s CDBG allocation for Fiscal Year (FY) 2022-2023 and 2023-2024 is estimated
to be $5,640,635 each year, assuming the City receives the same allocation as FY 2021-
Nonprofit CDBG Application for Fiscal Years 2022 – 2024
November 2, 2021
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2023. The City may use a maximum of fifteen percent of this allocation (or $846,095)
each year for public service programs provided by nonprofit organizations.
On November 3, 2021, staff will seek to release the application for nonprofits to apply for
the estimated $1,692,190 in nonprofit CDBG funding for a two-year period for Fiscal
Years 2022-2024. This amount includes $846,095 in CDBG funding for FY 2022-2023
and $846,095 for FY 2023-2024. This amount is subject to adjustment based upon the
actual CDBG allocation from HUD following approval of the federal budget.
Funding will be available to experienced nonprofit organizations for the provision of public
services that include a priority on crime prevention, crisis-intervention, and/or suppression
efforts for children, youth and/or families.
Priority funding will be awarded to programs that encompass any of the following:
Develop crime prevention and suppression programs that assist in the
development of suitable living environments by targeting specific Santa Ana
neighborhoods that have a long-standing history of crime involving children, youth
and families. For example, crime prevention education programs or community-
oriented policing programs such as establishing a neighborhood watch program.
Develop programs that target victims of domestic violence, dating violence, sexual
assault or stalking.
Services that will benefit children (generally under age 13), including parenting
skills classes.
Health services – services addressing the physical health needs of residents.
Mental health services – services addressing the mental health needs of
residents.
Youth services – services during and after school programs that target teens
(ages 13 to 19) that include recreational programs with a counseling/mentorship
program that addresses healthy lifestyles, substance abuse prevention, crime
prevention, dating violence and anti-bullying. Programs with current
Memorandum of Understandings with Santa Ana Unified School District will have
priority over other youth service programs.
Legal services that provide legal aid to low- and moderate-income residents.
Senior services for the elderly 62+ years.
Proposed programs are required to meet the National Objective of an activity that
provides a benefit to low- and moderate-income persons. Nonprofit organizations will
have the option of submitting a joint application with other nonprofit organizations to
encourage collaboration and nonduplication of public services in our community.
Organizations will be able to apply individually for a minimum of $60,000 or a maximum
of $150,000 per program for the two-year period. Organizations that submit a joint
application may request a maximum of $300,000. Applications will be made available
online through the City’s Community Development Agency webpage and the PlanetBids
grant management system. Staff will be available to assist nonprofits with technical
support throughout the application process.
Nonprofit CDBG Application for Fiscal Years 2022 – 2024
November 2, 2021
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The review of applications and recommendations for funding will be performed by an Ad
Hoc Committee composed of three Community Development Commissioners and a staff
representative from the Community Development Agency. The recommendations from
the Ad Hoc Committee will first go to the Community Development Commission for review
and approval. The Commission will then recommend the nonprofit funding to the full City
Council for final review and approval. The following is the timeline for this year’s nonprofit
CDBG application process:
Nonprofit CDBG Application for Fiscal Years 2022 – 2024
November 2, 2021
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Fiscal Years 2022 - 2024 CDBG Public Service Application
FISCAL IMPACT
There is no fiscal impact associated with this item.
EXHIBIT(S)
1. 2022 – 2024 CDBG Public Service Application
Submitted By: Steven Mendoza, Assistant City Manager
Approved By: Kristine Ridge, City Manager
Dates Actions
Wednesday, October 27, 2021 Community Development Commission - Application
Review and Formation of Ad Hoc Committee
Tuesday, November 2, 2021 City Council - Application Review and Approval
Wednesday, November 3, 2021
Application released for 45 days
*All potential subrecipients from contact lists will be
notified via email and Constant Contact. A press
release will be issued.
Thursday, November 18, 2021 Mandatory CDBG Application Training
Monday, December 20, 2021 Applications due at 5:00 PM
Tuesday, December 21, 2021 to
Thursday, December 23, 2021
Staff review of applications for CDBG eligibility/National
Objective compliance
Wednesday, January 5, 2022 1st review of applications by the Community
Development Commission Ad Hoc Committee
Tuesday, January 25, 2022 and
Thursday, January 27, 2022
Community Development Commission Special
Meetings/Nonprofit Presentations of Public Service
Programs
Thursday, February 3, 2022 2nd review of applications by the Community
Development Commission Ad Hoc Committee
Wednesday February 23, 2022 Community Development Commission funding
recommendations
Tuesday, March 15, 2022
CDBG Public Hearing at City Council with
recommendation for approval of CDBG nonprofit
funding.
Copy of City of Santa Ana Community
Development Block Grant FY 2022- 2024 (Nonprofit Application) 1
City of San ta Ana
Community Develop ment Block Grant
Biennial Public Service Nonprofit Application
DESCRIPTION OF COMMUNITY DEVELOPMENT BLOCK GRANT
The Community Development Block Grant (CDBG) is a U.S. Department of Housing and
Urban Development (HUD) entitlement grant that the City receives on an annual basis to
develop viable urban communities by providing decent housing and a suitable living
environment, and by expanding economic opportunities, principally for low- and moderate-
income persons. No more than 15% of the City’s CDBG grant funds may be used for the
provision of public services (including labor, supplies, and materials) including but not limited
to those concerned with employment, crime prevention, child care, health, drug abuse,
education, fair housing counseling, energy conservation, welfare (but excluding the provision
of income payments), homebuyer down payment assistance, or recreational needs. To be
eligible for CDBG assistance, a public service must be either a new service or a quantifiable
increase in the level of an existing service above that which has been provided by or on behalf
of the City in the previous 12 calendar months. The City of Santa Ana Community
Development Agency allocates these CDBG grant funds to nonprofit organizations through a
transparent, competitive process for projects and programs that most effectively serve the
residents of the City. Interested and eligible organizations can apply on a biennial basis for
this funding via the CDBG Biennial Public Service Nonprofit Application.
CDBG Biennial NOFA
Funding will be available to experienced nonprofit organizations for the provision of public
services that include a priority on crime prevention, crisis-intervention, and/or suppression
efforts for children, youth and/or families.
Priority funding will be awarded to programs that:
Develop crime prevention and suppression programs that assist in the development of
suitable living environments by targeting specific Santa Ana neighborhoods that have a
long-standing history of crime involving children, youth and families. For example, crime
prevention education programs or community-oriented policing programs such as
establishing a neighborhood watch program.
Develop programs that target victims of domestic violence, dating violence, sexual
assault or stalking;
Services that will benefit children (generally under age 13), including parenting skills
classes;
Health services – services addressing the physical health needs of residents;
Mental health services – services addressing the mental health needs of residents;
Youth services – services during and after school programs that target teens (ages 13 to
19) that include recreational programs with a counseling/mentorship program that
EXHIBIT 1
Copy of City of Santa Ana Community
Development Block Grant FY 2022- 2024 (Nonprofit Application) 2
addresses healthy lifestyles, substance abuse prevention, crime prevention, dating
violence and anti-bullying. Programs with current Memorandum of Understandings with
Santa Ana Unified School District will have priority over other youth service programs;
Legal services that provide legal aid to low – and moderate income residents;
Senior services for the elderly 62+ years.
Programs will be funded for a two-year period from July 1, 2022 through June 30, 2024.
The minimum funding amount is $60,000 per program to ensure that CDBG
programs make the greatest impact in our community.
The maximum funding amount is $150,000 per program. However, organizations
that submit a joint application may request a maximum of $200,000 per program.
Set-Aside Funding
One percent (1%) of the City’s CDBG public service allocation may be set-aside to fund
qualified non-profits who apply for funding to screen and test for lead poisoning in our
community.
Organization Requirement
The purpose of this NOFA is to review, compare and evaluate organizations that want to
partner with the City to implement CDBG-funded projects, activities, and programs. The City
will review your application together with a panel of appointed officials on the Community
Development Commission to determine if your organization:
Has the programmatic capacity to successfully design, implement, and report on a
CDBG-funded project per the requirements of the United States Department of Housing
and Urban Development (HUD) and the City;
Has the fiscal capacity to accept, manage, and report on CDBG funds on a
reimbursement basis in accordance with HUD and City requirements;
Demonstrates a solid track record and past experience in implementing similar activities
and projects that are indicative of potential future success;
Implements proper controls and best management practices to ensure fair and ethical
dealings in the areas of finance and accounting, procurement, and client and vendor
grievances;
Implements eligible activities and projects that may be funded by CDBG;
Has adopted a mission statement, goals, and objectives that closely align with those of
the City (as expressed in its Consolidated Plan) and of HUD ;
Nonprofit organizations must be in good standing and have no outstanding monitoring
findings prior to a FY 2022-2024 CDBG award.
All nonprofit applicants must be able to document 501(c)(3) status. Applicants whose
status is pending at the time of application will not be considered for funding.
Nonprofit Organization Collaboration
Nonprofit organizations may submit a joint application with other nonprofit organizations.
Collaborating nonprofit organizations must meet all the application requirements.
EXHIBIT 1
Copy of City of Santa Ana Community
Development Block Grant FY 2022- 2024 (Nonprofit Application) 3
Faith-Based Organizations
Organizations that are religious or faith-based are eligible, on the same basis as any other
organization, to participate in the CDBG program. Organizations may not engage in inherently
religious activities, such as worship, religious instruction, or proselytization, as a part of the
programs or services funded with CDBG funds. If the organization conducts su ch activities, the
activities must be offered separately, in time or location, from the programs or services funded
with CDBG funds, and participation must be voluntary for the beneficiaries of the CDBG -funded
programs or services. Faith-based organizations may use space in their facilities to provide
CDBG-funded services without removing religious art, icons, scriptures or other religious
symbols. An organization that participates in the CDBG program shall not, in providing program
assistance, discriminate against a program beneficiary or prospective program beneficiary on
the basis of religion or religious belief. A religious organization’s exemption from the federal
prohibition on employment discrimination based on religion, set forth in section 702(a) of the
Civil Rights Act of 1964 is not forfeited when the organization participates in the CDBG
program. Notwithstanding the foregoing, nondiscrimination requirements imposed by statute
on all CDBG grantees shall apply to religious and faith-based organizations
Cost Reimbursement Agreement
Grants are provided through a Cost Reimbursement Subrecipient Agreement. Reimbursement
requests are allowed on a quarterly basis. Therefore, organizations must have enough
working capital to continue services until a reimbursement request can be processed by the
City. Only allowable and allocable CDBG expenses will be reimbursed. The term of the
agreement will be July 1, 2022 through June 30, 2024.
Insurance Requirement
Organizations approved for CDBG funding will be required to obtain a minimum of $1,000,000
general liability insurance, automobile Insurance not less than $1,000,000 per occurrence, and
workers’ compensation insurance not less than $1,000,000 per occurrence, for the term of the
agreement. In addition, the City must be listed as additionally insured via an endorsement
with the endorsement stating that the insurance is primary and noncontributory.
Eligible Activities Requirement
Public service activities which are directed toward the improvement of the quantity and quality
of community services principally benefiting persons of low- and moderate-income are eligible
for funding. These activities include, but are not limited to, services concerned with
employment, crime prevention, childcare, health, substance abuse counseling and treatment,
education, fair housing counseling, energy conservation, welfare (excluding income payments)
and recreational needs. Emergency grant payments for food, clothing, and shelter (rent,
mortgage, utilities) needs are eligible activities as long as the payments do not exceed three
months and the payments are made directly to the provider of such services on behalf of an
individual or family.
The services funded must be either a new service or a quantifiable increase in the level of
service above that which has been provided by or on behalf of the City in the previous 12
EXHIBIT 1
Copy of City of Santa Ana Community
Development Block Grant FY 2022- 2024 (Nonprofit Application) 4
calendar months. Services that were originally funded as a new or increased level of service are
eligible for continued funding.
Eligible costs include labor, materials, supplies, some operating and maintenance costs for the
portion of the facility in which the public service is located, and equipment neces sary for the
provision of the public service.
Ineligible costs include income payments, assistance for buildings used for the general conduct
of government, general local government expenses, political and religious activities, and the
purchase of equipment except equipment that constitutes all or part of a public service. Income
payments are payments made to an individual or family to provide basic levels of food, shelter,
or clothing but do not include emergency grant payments referenced above under elig ible
activities.
National Objective Requirement
The proposed program must meet the National Objective of activities that provide a benefit to
low- and moderate-income persons. At a minimum, the program must serve 51% low- and
moderate- income persons. Low- and moderate-income is defined as having an income equal
to or less than 80 percent of the area median income, adjusted for household size. The specific
household income limits are based on U.S. Census Bureau estimates, updated and issued by
HUD annually http://www.huduser.org/portal/datasets/il.html. In general, to document
compliance with the national objective requirement, funded programs will require the
collection, calculation, and documentation of the participants’ family size and income.
Limited Clientele activity: This is the category most often used for public service activities.
Limited clientele activities are activities limited to a specific group of persons. At least 51
percent of those served must be low- and moderate-income persons. Services qualifying under
this category serve a specific clientele, rather than providing service to all persons in a
geographic area. Limited clientele activities may qualify as either a presumed benefit activity or
a direct benefit activity. A presumed benefit activity is one that exclusively serves a specific
group of people that HUD categorically considers low and moderate-income persons. These
categories include: abused children, battered spouses, elderly persons, homeless persons,
illiterate adults, persons living with AIDS, migrant farm workers, and severely disabled adults
as defined by the Bureau of Census. The project sponsor must document that the activity is
designed to be used exclusively by a category of persons presumed by HUD to be low- and
moderate-income.
If the clientele served does not fall under one of the presumed benefit category of persons, it
may qualify as a direct benefit activity which serves low- and moderate-income persons. The
project sponsor must verify and maintain documentation regarding the family size and income
of each person served. At least 51 percent of the clientele served must be low - and moderate-
income persons or the activity funded must be limited exclusively to low- and moderate-income
persons. The nature and location of the activity may also support a conclusion that primarily
low- and moderate-income persons are served. To qualify under this definition, the service
provided must be both of such nature and in such location that it may reasonably be concluded
EXHIBIT 1
Copy of City of Santa Ana Community
Development Block Grant FY 2022- 2024 (Nonprofit Application)
5
that the activity’s clientele will primarily be low- and moderate-income persons.
City of Santa Ana Consolidated Plan Priority Need Requirement
Applications for fiscal year 2022-2024 must meet a FY 2020-2024 Consolidated Plan priority
need. The Consolidated plan is available for review HERE.
Federal Requirements Resource Links
If funded, organizations will also need to comply with several federal requirements. For more
information on these requirements, organizations may view the following websites.
Playing by the Rules - A Handbook for CDBG Subrecipients on Administrative Systems: HERE
Guide to National Objectives and Eligible Activities for CDBG Entitlement Communities: HERE
To view Uniform Administrative Requirement, Cost Principles, and Audit Requirements for
Federal Awards, 2 CFR 200, visit: HERE
Additional Requirements
This application will be available for public display. Therefore, do not include any
information that is subject to state or federal confidentiality regulations (i.e. an address to a
domestic violence shelter).
The attached application contains several questions regarding city residents. Residency
of participants is determined by the last permanent address. The City will hold
organizations accountable for the information included, such as expected service level.
Review of Applications
City staff will conduct a minimum threshold review of all applications received for completeness
and to determine the eligibility of the proposed program. The Community Development
Commission (CDC) will review and recommend public service funding levels to City Council. City
Council will review the recommendations provided by the CDC for funding to determine which
activities will be in the best interest of the community.
EXHIBIT 1
Copy of City of Santa Ana Community
Development Block Grant FY 2022- 2024 (Nonprofit Application)
6
CDBG CRITERIA FOR ALLOCATING POINTS
2022 - 2024 CDBG Application Guidelines
COMMUNITY NEEDS
1. Did organization identify
nature of the program and
demonstrate community
need for the target
population group (i.e. youth,
seniors, disabled)
10 Points
Applicant identifies the nature of the program and
demonstrates need for the target population. = 10 Pts.
Applicant does not identify the nature of the program and did
not demonstrate need for the target population. = 5 Pts.
Applicant only identifies State or National data = 0 Pts.
2. Did applicant meet a specific
City Consolidated Plan goal and
priority and stated correlation
to proposed program?
10 Points
Applicant met a specific Consolidated Plan goal and priority
and correlation to proposed program was clear= 10 Pts
Applicant met a specific Consolidated Plan goal and priority
but did not clearly state the correlation to proposed
program= 5 Pts
Applicant did not meet any plan goal or priority= 0 Pts.
CAPACITY TO PROVIDE PUBLIC SERVICES
3. Did the organization provide
a summary and listing of the
admin and program staff?
20 Points
Organization provided summary and staff listing of all admin
and program to fully execute proposed program=20 Pts
Organization did not provide both summary and staff listing of
all admin and program staff =10 Pts
Organization provided summary and staff listing of all admin
and program staff but does not have the capacity to fully
execute proposed program=5 Pts
Organization did not provide summary and staff listing of all
Admin and program=0 Pts
EXPERIENCE
4. Years of experience providing
the proposed program?
10 Points
5 or more years of experience providing proposed program=10
Pts
2-4 years of experience providing proposed program=5 Pts
1 year of experience providing proposed program=3 Pts
0 years of experience providing proposed program=0 Pts
5. Does the applicant have
experience administering
CDBG and/or any other
Federal Grants?
10 Points
Applicant has experience administering CDBG and other Federal
Grant programs=10 Pts.
Applicant only has experience administering CDBG
programs=5Pts.
Applicant has no experience administering CDBG and/or Federal
Grant programs=0 Pts.
EXHIBIT 1
Copy of City of Santa Ana Community
Development Block Grant FY 2022- 2024 (Nonprofit Application) 7
6.Did organization meet
prior year's performance
and/or expenditure
goals.
10 Points
Applicant met 90% annual goals and/or expended all grant
funds =10 Pts.
Applicant met 75% annual goals and/or expended all grant
funds =5Pts.
Applicant met 50% annual goals and/or expended all grant
funds for 1 of 3 years = 3 Pts.
Applicant did not meet annual goal and/or expended all grant
funds = 0 Pts.
EFFECTIVE & EFFICIENT USE OF FUNDS
7.Are the majority of
unduplicated participants from
Santa Ana? (Q1a/Q1=___%)
10 Points
100% to 80% of program participants are City residents = 10 Pts.
79.9% to 60% of program participants are City residents = 5 Pts.
59.9% to 30% of program participants are City residents = 0 Pts.
8.Did the organization describe
the measurable performance
outcomes and how outcomes
will be qualitatively and
quantitatively tracked?
10 Points
Measurable performance outcomes with qualitatively and
quantitatively tracking = 10 Pts.
Measurable performance outcomes but no qualitatively and
quantitatively tracking = 5 Pts.
No measurable performance outcomes and qualitatively and
quantitatively tracking = 0 Pts
9.Does the organization have
active partnerships and/or
collaborations in order to
effectively and efficiently carry
out proposed program?
10 Points
Organization partners and/or collaborates with 3 or more
community organizations = 10 Pts.
Organization partners and/or collaborates with 2 community
organizations = 5 Pts.
Organization partners and/or collaborates with 1 community
organization = 1 Pts.
Organization partners and/or collaborates with 0 community
organization = 0 Pts.
EXHIBIT 1
Copy of City of Santa Ana Community
Development Block Grant FY 2022- 2024 (Nonprofit Application) 8
Anticipated Timeline
If there is a question about any part of the application, please
contact us at dflores@santa-ana.org or 714-647-6561.
2022- 2024 CDBG Public Service Application
Dates Actions
Wednesday, October 27, 2021 Community Development Commission -
Application Review/ Ad Hoc Committee
Tuesday, November 2, 2021 City Council - Application Review and Approval
Wednesday, November 3, 2021
Application Released for 45 days
*Notify all potential subrecipients from contact
lists via email/Nixle/Constant Contact.
Thursday, November 18, 2021 Mandatory CDBG Application Training
Monday, December 20, 2021 Applications due at 5:00 PM
Tuesday, December 21, 2021 to
Thursday, December 23, 2021
Staff review of applications for CDBG
eligibility/National Objective compliance
Wednesday, January 5, 2022 1st review of applications by the CDC Ad Hoc
Committee
Tuesday, January 25, 2022 and
Thursday, January 27, 2022
CDC Special Meeting/Non-Profit Presentations
of Public Service Programs
Thursday, February 3, 2022 2nd review of applications by the CDC Ad Hoc
Committee
Wednesday February 23, 2022 CDC funding recommendations
Tuesday, March 15, 2022
CDBG Public Hearing at City Council,
approval of HUD funded programs and
services.
EXHIBIT 1
Copy of City of Santa Ana Community
Development Block Grant FY 2022- 2024 (Nonprofit Application) 9
APPLICATION FOR SUBRECIPIENT PROPOSALS
DUE DATE: Monday, December 20, 2021 at 5:00PM
Hard Copy Applications must be submitted by mail or hand delivered to:
City of Santa Ana
Attention: David Flores, Sr. Community Development Analyst
20 Civic Center Plaza 6th Floor
Santa Ana, CA 92701
NO LATER THAN 5 P.M., Monday, December 20, 2021.
ABSOLUTELY NO LATE APPLICATIONS WILL BE ACCEPTED.
Submit one complete application for each proposed program.
A complete application will include the following:
1.Organizational Cover Letter
2.Application Form
3.2022-2023 Proposed Program Budget (Attachment 1)
4.2023-2024 Proposed Program Budget (Attachment 2)
5.Certifications (Attachment 3)
6.Staff Listing (Attachment 4)
7.Organization Chart
8.Board of Directors, By-laws and Articles of Incorporation
9.Financial Statements & Single Audit, Form 990 (Single Audit required if organization
expended more than $750,000 of federal funds within a program year)
10.IRS Nonprofit Designation Letter
11.Logic Model
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.
EXHIBIT 1
Copy of City of Santa Ana Community
Development Block Grant FY 2022- 2024 (Nonprofit Application)
10
PUBLIC SERVICE APPLICATION
DUE DATE: 5:00 p.m., Monday, December 20, 2021.
Legal Name of Organization*
DUNS umber*
A DUNS number is a unique nine-character number used to identify your organization. The City
uses the DUNS number to report how federal grant money is allocated. DUNS number lookup
or registration.
Name of second organization if doing a collaboration
DUNS number of second organization if doing a collaboration
A DUNS number is a unique nine-character number used to identify your organization. The City
uses the DUNS number to report how federal grant money is allocations. DUNS number lookup
or registration.
Date Organization Founded*
Date of Nonprofit Incorporation*
SERVICE AND FUNDING
Q1. Total number of unduplicated individuals to be served during FY2022-
2023 and FY 2023-2024 by program*
2022-2023 _______________ 2023-2024 _______________
a. Percentage that are estimated to be low-income*
2022-2023 _______________ 2023-2024 _______________
Q2. Estimated yearly units of service*
(number of unduplicated individuals multiplied by service visits – i.e. 200 youth X 25 tutoring
sessions = 5,000 units of service)
2022-2023 _______________ 2023-2024 _______________
Q3. Total CDBG funds requested for FY 2022-2023 and FY 2023-2024*
($30,000 minimum)
2022-2023 _______________ 2023-2024 _______________
EXHIBIT 1
Copy of City of Santa Ana Community
Development Block Grant FY 2022- 2024 (Nonprofit Application)
11
a. Minimum Willing to Accept to Administer Your Program*
($30,000 minimum)
2022-2023 _______________ 2023-2024 _______________
Q4. Cost per participant*
(Total CDBG funds requested divided by Total to be served)
Q5. Program History
a. Total number of Santa Ana residents actually served in 2020-2021
and 2021-2022 *
2020-2021 _______________ 2021-2022 _______________
b. Total years the program has been in existence
Q6. Name of Program*
Q7. Provide a concise description of the proposed program*
(300 character maximum)
Q8. Provide a detailed description of the proposed program. Include the
following in order*
a. Detailed description of services provided
b. Frequency of service delivery (i.e. daily, weekly, monthly);
c. How the service is provided (i.e. one-on-one, classroom settings, home visits, phone
referrals); and
d. Target population groups (i.e. youth in specific
neighborhoods)
(5,000 character maximum)
Q9. Describe your experience in providing the proposed program or similar
programs*
Highlight accomplishments
(5,000 character maximum)
Q10. Will this program result in new service or increase the level on an existing
service*
Yes
No
EXHIBIT 1
Copy of City of Santa Ana Community
Development Block Grant FY 2022- 2024 (Nonprofit Application)
12
If yes, describe how the direct service proposed:
a. Is not a duplication of existing services available; or
b. Demonstrates a quantifiable increase in access and/or the level of an existing
service provided to the target population.
(5,000 character maximum)
Q11. Similar Services*
List similar services that are currently provided in the community and describe how the
proposed program complements or fills an existing gap in services
(2,000 character maximum)
Q12. Neighborhood Initiative Area*
An area that that has been adversely affected by disinvestment and decline is considered a
Neighborhood Initiative area. The City’s target areas for this period are the
Townsend/Myrtle Neighborhoods at Jerome Center and Cedar-Evergreen Neighborhood at
Madison Elementary School. Does the program serve residents of a Neighborhood Initiative
area?
Choices
Yes
No
If yes, please describe below
If yes, please describe the area boundaries and reasons the area fits Neighborhood
Initiative criteria.
(5,000 character maximum)
Q13. Describe the unmet need that the proposed program will address*
(5,000 character maximum)
Q14. Will the program be conducted within the City of Santa Ana boundaries*
Choices
Yes
No
If no, explain how Santa Ana residents will be served
(5,000 character maximum)
Q15. Organization Participation*
List Santa Ana neighborhood associations, local community organizations and/or civic groups
the organization participates in and to what extent.
(5,000 character maximum)
EXHIBIT 1
Copy of City of Santa Ana Community
Development Block Grant FY 2022- 2024 (Nonprofit Application)
13
Q16. List the benchmarks the organization will use to determine success of the
program*
Provide intended outcomes.
(5,000 character maximum)
Q17. Track and Measure Performance*
Describe how the organization will track and measure performance outcomes qualitatively
and quantitatively.
(5,000 character maximum)
Q18. List federal grants that the organization has received within the last 5
years*
Include grant amounts, services provided, and outcomes.
(5,000 character maximum)
Q19. Summarize the qualifications of the organization’s staff*
(Program & Administrative) that would allow the organization to provide the services
stated and comply with regulatory requirements.
(5,000 character maximum)
ATTACHMENTS
Please download all forms to your desktop and then fill out. If you try to fill out the form
from the download screen, the information will not be saved when you try to upload it.
2022-2023 Proposed Program Budget (Attachment 1)
2023-2024 Proposed Program Budget (Attachment 2)
Staff Listing (Attachment 3)
Certifications (Attachment 4)
Logic Model
Using the template provided below by the University of Wisconsin, please attach a logic
model that will summarize your proposed program on one page including the situation
(community need) that you are going to address, the inputs you will use to address that
need, your outputs of activities that you will undertake in your program, and the
outcomes (short - 3 months, medium - 6 months and long - 12 months), that you will
achieve. Please ensure you are as detailed as possible to provide your logic of how you
will achieve your stated outcomes.
Logic Model from University of Wisconsin:
EXHIBIT 1
Copy of City of Santa Ana Community
Development Block Grant FY 2022- 2024 (Nonprofit Application) 14
https://fyi.extension.wisc.edu/programdevelopment/logic-models/bibliography/
EXHIBIT 1
(Attachment 1)EXHIBIT 1
EXHIBIT 1
EXHIBIT 1
(Attachment 2)EXHIBIT 1
EXHIBIT 1
EXHIBIT 1
Staff Listing
(Include Admin and Program Staff working on the proposed program)
Name and Title Duties/Activities Performed Qualification for Duties/Activities CDBG
Funded
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Attachment 3 EXHIBIT 1
Attachment 4
EXHIBIT 1
EXHIBIT 1
EXHIBIT 1
EXHIBIT 1
EXHIBIT 1
EXHIBIT 1
EXHIBIT 1