The URL can be used to link to this page

Home My WebLink About55A - RESO - LIBRARYREQUEST FOR COUNCIL ACTION CITY COUNCIL MEETING DATE: AUGUST 15, 2017 TITLE: AGREEMENT WITH THE CALIFORNIA STATE LIBRARY AND APPROPRIATION ADJUSTMENT FOR YOUTH KNOW: COMMUNITY SOCIAL INNOVATION PROJECT (STRATEGIC PLAN NO. 212A) O(TY MAN CLERK OF COUNCIL USE ONLY: ❑ As Recommended ❑ As Amended ❑ Ordinance on I" Reading ❑ Ordinance on 2ntl Reading ❑ Implementing Resolution ❑ Set Public Hearing For CONTINUED TO FILE NUMBER Approve a Resolution of the City Council of the City of Santa Ana accepting the award of a Pitch -an -Idea Grant and authorizing the Executive Director of the Parks, Recreation and Community Services Department to execute any paperwork necessary to comply with the Grant. Approve an appropriation adjustment recognizing grant revenue in the amount of $65,800 in the Library Services and Technology Act -Grant Awards revenue account (no. 15411002 52001) and appropriating the same amount to the Library Services and Technology Act - Grant Awards expenditure accounts (no. 15411193 various). DISCUSSION On January 30, 2017, the State of California Library issued a Notice of Funding Availability from the Library Services and Technology Act under the 'Pitch -An -Idea" Grant. Parks, Recreation and Community Services Agency (PRCSA) - Library Division submitted a proposal for a "Youth Know: Community Social Innovation Project', which promotes youth civic engagement. After State review of various ideas, the City was invited to participate in a conference call to elaborate on the "Pitch - An -Idea' proposal. The Youth Know program will utilize experienced Youth Civic Engagement interns to mentor and guide teen/young adult volunteers in the development of the skills required to find out about issues of interest, analyze that information, develop possible paths to improvement/mitigation, and promote their ideas to the community and support services. On June 26, 2017, the City received an award letter informing the City that the grant application was approved for the requested amount. In order to comply with the terms of the Grant, the City needs to execute certain certifications, assurances, and other documents. Staff is requesting that 55A-1 Agreement with California State Library and Appropriation Adjustment August 15, 2017 Page 2 the City Council authorize the Executive Director of the Parks, Recreation and Community Services Department to execute those certification, assurances and other documents necessary to comply with the terms of the Grant. STRATEGIC PLAN ALIGNMENT Approval of this item allows the City to meet Goal #2 — Youth, Education and Recreation, Objective #2 (Expand youth programming), Strategy A (Focus resources on quality youth engagement, civic awareness, enrichment and educational programs (i.e. youth camping trips) and expand after- school programs during out-of-school hours at the library and community centers.). FUNDING The City will receive $29,610 upon execution of agreement and submission of claim by fiscal agent, $29,610 on or about October 30, 2017 and $6,580 on the submission of all reporting and returns all unspent funds by the time specified in the Grant Guide. FISCAL IMPACT An appropriation adjustment to recognize grant funds and appropriations to the respective accounts and fiscal year is shown below. Accounting Unit FY 17/18 Revenue Library Services and Technology Act -Grant Awards (no. 15411002 52001) $65,800 Expenditure Library Services and Technology Act -Grant Awards (no. 15411193 various) $65,800 APPROVED AS TO FUNDS AND ACCOUNTS: erardo Mouet Francisco Gutierrez E6 Executive Director Executive Director Parks, Recreation and Community Finance and Management Services Agency Services Agency EXHIBIT: 1. Resolution 2. Consolidated Application, Notification of Grant Award 3. Certification 55A-2 8/15/17 LAR RESOLUTION NO. 2017- A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF SANTA ANA ACCEPTING THE AWARD OF A PITCH - AN -IDEA GRANT AND AUTHORIZING THE EXECUTIVE DIRECTOR OF THE PARKS, RECREATION AND COMMUNITY SERVICES DEPARTMENT TO EXECUTE ANY PAPERWORK NECESSARY TO COMPLY WITH THE GRANT BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF SANTA ANA AS FOLLOWS: Section 1. The City Council of the City of Santa Ana hereby finds, determines and declares as follows: A. The State of California, California State Library ("State") issued a Notice of Funding Availability dated January 30, 2017 ("NOFA") under its Pitch -An -Idea Program. B. The City of Santa Ana filed an application for a Pitch -An -Idea Program grant for implementation of the "Youth Know: Community Social Innovation" project which promotes youth civic engagement. C. The State is authorized to approve funding allocations for the Pitch -An - Idea Program, subject to the terms and conditions of the NOFA, Program Guidelines, Application Package, and Standard Agreement. D. On June 26, 2017, the City received an award letter from the State informing the City that the grant application was approved for the requested amount. Section 2. The City Council of the City of Santa Ana hereby authorizes and directs the City to enter into, execute, and deliver an agreement in an amount not to exceed $65,800.00, and any and all other documents including any grant assurances or certifications required or deemed necessary or appropriate to comply with the Pitch -An - Idea Program Grant from the State, and all amendments thereto (collectively, the "Pitch - An -Idea Grant Documents'). Section 3. The City of Santa Ana hereby agrees to be subject to the terms and conditions as specified by the granting agency. Funds are to be used for allowable project expenditures to be identified in the Agreement. Any and all activities funded, information provided, and timelines represented in the application are enforceable through the Agreement and/or certifications. City agrees to use the funds for eligible expenditures in the manner presented in the application as approved by the State and in accordance with the NOFA and Program Guidelines and Application Package. Resolution 2017 -XXX Exhibit i Page 1 of 2 55A-3 Section 4. The Executive Director of Parks, Recreation and Community Services Agency or his designee is authorized to execute in the name of the City the Pitch -An -Idea Grant Documents including but not limited to Grant assurances and certifications as required by the State for participation in the Program. Section 5. This Resolution shall take effect immediately upon its adoption by the City Council, and the Clerk of the Council shall attest to and certify the vote adopting this Resolution. ADOPTED this day of 2017. Miguel A. Pulido Mayor APPROVED AS TO FORM: Sonia R. Carvalho City Attorney By: &u ,A, Laura A. Rossini Senior Assistant City Attorney AYES: Councilmembers NOES: Councilmembers ABSTAIN: Councilmembers NOT PRESENT: Councilmembers CERTIFICATE OF ATTESTATION AND ORIGINALITY I, Maria D. Huizar, Clerk of the Council, do hereby attest to and certify the attached Resolution No. 2017- to be the original resolution adopted by the City Council of the City of Santa Ana on 2017. Date: Clerk of the Council City of Santa Ana 55A-4 Resolution 2017 -XXX Page 2 of 2 CALIFORNIA STATE LIBRARY LIBRARY SERVICES AND TECHNOLOGY ACT (LSTA) FISCAL YEAR 2017/2018 PITCH -AN -IDEA GRANT APPLICATION ELEMENT 1: BASIC INFORMATION (please see application instructions for additional information) 1. 3. Library/Organization Santa Ana Public Library 2. Library's DUNS Number 08-315-3247 Legal Business Name (must match name registered with Federal Employer Identification Number (FEIN)) City Of Santa Ana 4. Project Coordinator Name 5. Project Coordinator Title Principal Librarian- Young u o un eer Cheryl A. Eberly Services 6. Email Address 7. Business Phone Number ceberly@santa-ana.org 714-647-5288 8. Mailing Address City State Zip 26 Civic Center Plaza Santa Ana CA 92701 9. Project Title Youth Know: Community Social Innovation Project 10. LSTA Funds Requested $65,800 11. Cash Match & In -Kind $78,680 12. Total Project Cost $144,480 13. California's LSTA Goals (Check one goal that best describes the project) ❑ Literate California ❑ 21" Century Skills ❑ 22" Century Tools ❑ Content Creation/Preservation ❑ Bridging the Digital Divide ❑ Information Connections ® Community Connections ❑ Ensuring Library Access for All 14. Primary Audience for project (Select all that apply) ® Adults ® Pre -School Children ® Families ❑ Rural Populations ® Immigrants/Refugecs ® School Age Children ® Intergenerational Groups (Excluding Families) ® Senior Citizens ® Library Staff, Volunteers and/or Trustees ❑ Statewide Public ® Low Income ❑ Suburban Populations ® Non/Limited English Speaking Persons ® Unemployed ® People with Disabilities ® Urban Populations ® People with Limited Functional Literacy ® Young Adults and Teens ELEMENT 2: PROJECT BACKGROUND AND SUMMARY Describe how this project was identified as a need, how it relates to your library's strategic plan, what will be accomplished if this project is implemented, and how you will know whether your project is successful. Summary should relate to activities in the timeline (Element 4) and include statistical information to support the project. The Santa Ana Public Library's TeenSpace has always been a refuge for marginalized youth. Since its inception in 2009, it has welcomed and sheltered teens and young adults experiencing the results of the cultural, economic, educational, and situational challenges endemic to an urban immigrant community. They have grown up in a built out environment suffering from high population density, limited green space and an expanding and very present homeless population. They face daily the effects of poverty and poor diet on health and hope. The statistics are daunting. Santa Ana's population is 78% Latino and 11% Asian. 71% speak Spanish and 9.7% speak an Asian language at home. 45% are foreign born. 31% fall below the poverty line, and the median income for those 25 and over is just over $24,000 per year. Engaging youth through its Circle of Mentoring Program, the Library has been successful in drawing marginalized youth into the program and retaining them through their growing years. The Library's effective commitment to these youth and their concerns was recognized by the President's Committee on the Arts and Humanities, which awarded the program the 2014 National Arts and Humanities Youth Program Award. The City's Strategic Plan has recognized the importance of these problems by providing the Library with a central role in its Youth Civic Engagement five year Strategic Plan. It has enabled the Library to employ Youth Civic Engagement Interns, who are tasked both with developing their own commitment to civic engagement, and reaching out to the City's youth to engage them. They have had remarkable success. In 2016, they developed and hosted a Youth Services Provider Summit, which offered nearly 100 workers in service to Santa Ana youth an opportunity to learn from a nationally recognized expert how to cultivate resilience in youth. Both the Library and the providers recognize that resilience is essential to children growing up among such challenges. Many of these providers will be partners in this project. The YCE's have revitalized the City's moribund Youth Commission, and supported its operation for over two years, recruiting members and insuring funding for Commission projects. The Youth Commission is charged with bringing youth concerns and innovations to the attention of the City Council, and is an essential youth voice in the community. The Youth Commission will be actively promoting and outreaching for the Youth Know project as part of their #1 Love Santa Ana initiative. The Youth Know program will utilize these experienced Youth Civic Engagement Interns to mentor and guide teen/young adult volunteers in the development of the skills required to find out about issues of interest, analyze that information, develop possible paths to improvement/mitigation, and promote their ideas to the community and support sources. The Youth Know program will employ Tutor Mentors to focus on developing youth skills in the following areas: 1)Research, 2.)Writing, 3.) Communications and Public Speaking and 4.) Video Production. This will begin in a Summer Engagement Academy. The Academy will repeat in January and April, to involve as many teens as possible. In the fall, eight intems selected from the summer academy participants will be employed as Youth Know Interns and will steer new volunteers in guiding young children in reading and writing about social issues, and will host a series of bilingual computer workshops teaching adults how to contact their representatives, evaluate online information sources and communicate using social media. In the spring an additional four Youth Know interns will be hired from the January cohort to implement the same program with a new group of participants. From April -August all intents along with 30 youth volunteers/participants will engage in a Youth Know Social Innovation Academy. The Innovation Academy will incorporate new elements leading to a culminating event in August 2018. This session will take the teens into action, learning about the four targeted areas of the project: homelessness, food insecurity, community sustainability, and health, and using that knowledge to design community-based social innovations for the targeted areas. They will receive instruction in grant writing to fund their innovations, and present them at the culminating Youth Know Social Innovation Unconference and Fair. At the culmination of this project, 292 Youth, 120 Pre -K and elementary age little Buddies, 60 Adult Computer learners, and 40 Community Stakeholders will have participated in high impact civic engagement activities that will provide the necessary catalyst for civic engagement in their community. Additionally we project that over 1000 additional folks will be reached and inspired towards civic engagement by project via CTV3 PSA's and Website. If successful, the Youth Know academy will be sustained albeit in a limited capacity as part of the city's Youth Civic Engagement strategic initiative. The long-term impact of the Youth Know project will be determined when successful outcomes are produced from strategies and interventions designed during the project are implemented in the community of Santa Ana to alleviate the stropples ofhomelessness_ health. food insecurity and community sustainability. 2 EXHIBIT 2 55A-6 ELEMENT 3: PARTNERSHIPS Please list all formal partners for your project here. Please attach (under Element 7) a copy of your signed agreement with each partner, which outlines the role the partner will play and the resources the partner will contribute. y�� Resources That Organization Type Legal Type Partner Will Partner Name (see instructions (see instructions Role on Project Contribute for valid entries) for valid entries) (materials/funds/staff) Cal State University School (University) State Government Instructor/Consul Materials and Staff for Fullerton Nursing Program tant/Mentor for instruction/mentorship Health Focus on Health Focus Area Area Doing Good Works Other- Public Private Sector Instructor/Consul Materials and staff for e13 nefiYCorpora ion ant7Mv filoinstruction/consultatIDTf- Social mentorship in Social Entrepreneurship Entreupreneurship Focus focus area Area Vazquez Law Group Other - Law Office Private Sector Instructor/Consul Materials and Staff for tant/Mentor for instruction/consultation/ Community mentorship in Sustainability Community (Renters Rights) Sustainability (Renters focus area Rights) focus area OC Food Access Human Service Non -Profit Instructor/Consul Materials and Staff for Organization tant/Mentor for instruction/consultation/ Food Insecurity mentorship in Food focus area Insecurity subject area. Coordinate hands-on service learning activity Heritage Museum OC Museum Non -Profit Instructor/Consul Materials and staff for tant/Mentor for instruction/consultation/ Community mentorship in Sustainability and Community Food Insecurity Sustainability and Food focus area Insecurity focus area. Coordinate hands-on service learning activity Orange County Social Human Services Local Government Refer Foster Materials and Services Agency Organization Youth consultation for participants to homelessness subject program. area. Facilitate outreach Consultant for to Foster Youth homelessness participants. focus area Latino Health Access Human Services Non Profit Instructor/Consul Materials and staff for Organization tant/Mentor for instruction/consultation/ Health and mentorship in Health Community Sus- and Community tainability topics Sustainability focus area y�� Orange County Human Services Non Profit Instructor/Consul Materials and staff for Congregation Community Organization tant/Mentor for instruction/consultation/ Organization Homelessness mentorship in focus area homelessness focus area. Facilitate hands-on service learning activities '65 ELEMENT 4: PLANNING AND EVALUATION Please answer each area concisely and completely. For section A -F limit responses to four vales. A. Project Intent (Check only one that best describes the project) Lifelong Learning ❑ Improve users' formal education ❑ Improve users' general knowledge and skills Information Access ❑ Improve users' ability to discover information ❑ Improve users' ability to obtain information resources Institutional Capacity ❑ Improve the library workforce ❑ Improve the library's physical and technology infrastructure ❑ Improve library's operations Economic & Employment Development ❑ Improve users' ability to use and apply business resources Human Services ❑ Improve users' ability to apply information that furthers their personal, family, or household finances ❑ Improve users' ability to apply information that furthers their personal or family health & wellness ❑ Improve users' ability to apply information that furthers their parenting and family skills Civic engagement ® Improve users' ability to participate in their community ® Improve users' ability to participate in community conversation around topics of concern B. Project Purpose — Short statement which answers the questions: we will do what, for whom, for what expected benefit(s). The Youth Know: Community Innovation project will address the lack of civic engagement in our youth by motivating them as learners, critical thinkers, and teachers, helping them to clarify issues in their minds, explore solutions, bring the community together to discuss them, and mentor younger children in their own journey to engagement. C. Anticipated Project Outputs — Measures of services and/or products to be created/provided. 12 youth interns will be trained in workforce and leadership skills to learn, design, implement and engage their community in addressing important community issues, 80 teen/young adult volunteers will learn about important community issues and engage others, 60 adult computer learners will learn how to engage civically in local, state and national governement, 120 little buddies will learn about important issues in their communities and be engaged to finding pathways to shed light, inform and address these issues. 1 Social Innovation Unconference and Fair will be produced with a total projected antendance of 200 community youth and 40 community stakeholders, and 1 Youth Know Social Innovation website will be created, 8 one minute bilingual PSA's will be created. Total anticipated community members served: 512 and 1000+ community members projected to be reached from PSA's on CTV3 D. Anticipated Project Outcome(s) — What change is expected in the target audience's skills, knowledge, behavior, attitude, and/or statusflife condition? How will you measure these outcomes? (for examples see attachment B of the application instructions) 80% of project participants will indicate an increased likelihood to participate in civic causes as compared to their initial survey, 85% of project participants will indicate an increased awareness of issues facing their community, 80% of project participants will acknowledge a sense of optimism and empowerement in finding and implementing innovative pathways to alleviating these social issues, 50% of project participants will have communicated with an elected official regarding the issues that interests them, 80% of Little Buddies will say they learned something important during their story -time and Story -book creation project, 70% of Little Buddies will want to share what they learned with another person. Outcomes will be measured via pre-tests and post-tests, surveys as well as via anecdotal self -reports and observations. E. Briefly describe how this project will be financially supported in the future. ,7mu If project is successful it will become part of the annual curriculum for the city's Youth Civic Engagement initiative, albeit on a smaller scale with a lesser number of Teen/Youth interns. The Youth Know project is fully in line with the ongoing activities of the Youth Civic Engagement Goal embedded in the City's Five Year Strategic Plan. The Library has been tasked with outreach to the community to increase the understanding and commitment of youth to the positive growth and development of their City. The Youth Know Community Innovation Project will focus the attention and efforts of our young people on the most urgent of our community's issues F. Activity Information. Activities are action(s) through which the intent or objective of a project are accomplished. Four activity types have been identified, each with select methods to help you describe how you will carry out this project. Indicate activity types that require a significant commitment of resources to the project (representing 10% or more of total project resources). ® Instruction - Involves an interaction for knowledge or skill transfer and how learning is delivered or experienced. (Check all that apply and provide a description including whether the format will be in- person, virtual, or both) ® Program - Formal interaction and active user engagement (e.g., a class on computer skills). ®—Presentation --Formal-interaerion-andpassiroe user-engagement�e:g:; an-auntorsta}kj, ® Consultation - Informal interaction with an individual or group of individuals (library staff or other professional) who provide expert advice or reference services to individuals, units, or organizations. ® Other Description: Youth Know Summer and Winter Civic Engagement Academy 1 st Cohort and 2nd Cohort: 50 Teen/Young Adult Volunteeers receive instruction in the following areas: A.) Learn about the issues from Community Experts: i.) Homelessness, ii.)Food Insecurity iii.)Community Sustainability, iv.) Health, B.) Learn to analyze and research media to separate fact from fiction, C.) Learn about local, national and global initiatives and innovations that target these issues, D.) Learn how to communicate with elected representatives regarding these issues , E.) Learn to Communicate and inform the public about these issues via the following workshops: l.) High Impact social media 2.) Marketing 3.) Create 1 minute Bilingual PSA F.) Participate in one "Good -for - Community " Service Project G.) Participate in one "Good -for the World" Service Project H.) Fieldtrip to Museum of Tolerance. Instruction and Learning will occur via a combination of Program, Presentation, Consultation and Other in the form of hands-on service learning, and fieldtrips. Youth Know Student Internships 1" and 2"d Cohort: 12 Student interns will be recruited from Summer and Winter academies. Interns with the guidance and supervision of city's Youth Civic Engagement admin interns and tutor/mentors will lead, and implement two Programs: A.) Kids Know: Buddy Story -time and Story -Book Project and B.)Community Know Computing for Civic Engagement.. Youth Interns will learn to engage, instruct and assist program participants via a combo approach of program, presentation and consultation formats, as well as other hands on programming work based learning formats. A.)Kids Know: Buddy Story -time and Story -Book Project 1" and 2"d Cohort: 120 children will participate in intern led special Story -times featuring children's books that shed light on important social issues. 60 Teen Big -buddy volunteers will pair up with little buddies to reflect on Story -times, create artwork and collaborate on creating a Kids Know Story -Book Instruction will include program, presentation, consultation and other hands-on learning by doing elements. B.) Community Know Computing for Civic Engagement 1 at and 2"d Cohort: 60 adults will be assisted by Teen Interns in special bilingual computer classes that will teach the public about various aspects of online civic participation like online petitions, emails to elected representative, credible online news sources, how to avoid online scams, how to be informed of local initiative, how to communicate effectively with social media. Instruction will include program, presentation, consultation and other hands-on learning by doing elements. Youth Know Social Innovation Academy: 12 interns and 30 Teens/Young Adult Volunteers will receive instruction in the following areas 1. Peer mentorship. 2.Leam about the Social Innovations and Social Entrepreneurships in 4 areas of i.) Homelessness, ii.) Food Insecurity iii.) Community Sustainability iv.) Health, 3. Participate in community engagement events to provide information, and gather community input, 4.) Do service learning at local community organizations to learn about various community initiatives and interventions in target areas, 5.) Brainstorm, collaborate and design community based social innovations for 4 targeted areas and 6.) Learn to write a grant, and EXHIBIT?, identify funding sources for social innovation. Instruction will include program, presentation, consultation and other hands-on service learning experiences. Culminating Event: Youth Know Social Innovation Unconference and Fair: 12 Interns with the guidance and supervision of the City's Youth Civic Engagement admin interns and tutor/mentors will lead and implement the 2 day event for 200 youth and 40 community stakeholders. The Unconference and Fair will bring in 40 community stakeholder organizations and 200 community youth. The first day will be a Social Innovation Fair where intems will exhibit and present on their social innovation projects that they developed as part of their Social Innovation Academy. The Second day will be the Unconference or "Open Space" meeting format which is a " loosely structured conference emphasizing the informal exchange of information and ideas between participants, rather than following a conventionally structured program of events". Instruction in this event will include program, presentation, consultation and other hands-on learning by doing elements. Largest percent of project funding is dedicated to Instruction Activity type. 2. ® Content - Involves the acquisition, development, or transfer of information and how information is made accessible. (Check all that apply and provide a description including whether the_format will be physical, digital, or both) ® Acquisition - Selecting, ordering, and receiving materials for library or archival collections by purchase, exchange, or gift, which may include budgeting and negotiating with outside agencies (i.e. publishers, vendors) to obtain resources. May also include procuring software or hardware for the purposes of storing and/or retrieving information or enabling the act of experiencing, manipulating, or otherwise interacting with an information resource. ® Creation - Design or production of an information tool or resource (e.g., digital objects, curricula, manuals). Includes digitization or the process of converting data to digital format for processing by a computer. ❑ Description - Apply standardized descriptive information and/or apply such information in a standardized format to items or groups of items in a collection for purposes of intellectual control, organization, and retrieval. ❑ Lending - Provision of a library's resources and collections through the circulation of materials (general circulation, reserves). May also refer to the physical or electronic delivery of documents from a library collection to the residence or place of business of a library user, upon request. ❑ Preservation - Effort that extends the life or use life of a living or non -living collection, the individual items or entities included in a collection, or a structure, building or site by reducing the likelihood or speed of deterioration. ❑ Other Description: Acquisition: 1. We will be creating a specialized Youth Know Social Innovation Young Adult collection of books and materials on the topics of social change, social innovation, social entrepreneurship, open spaces, youth leadership, homelessness, community sustainability, health and food insecurity. 2. We will be purchasing children's books that shed light on important social issues 3. We will be purchasing (pads and desktop computeers for use by intems and participants Creation: 1. We will create 1 Youth Know Social Innovation website which will have curriculum materials, project ideas from youth, resources and display photos and other project outputs like Buddy story -book and Youth Intern innovation ideas. 2. 8 1 minute bilingual PSA's on 4 Target areas. 3. ❑ Planning & Evaluation - Involves design, development, or assessment of operations, services, or resources and when information is collected, analyzed, and/or disseminated. (Check all that apply and provide a description including whether the.format will be in-house or third -party) ❑ Retrospective - Research effort that involves historical assessments of the condition of a project, program, service, operation, resource and/or user group. ❑ Prospective - Research effort that projects or forecasts a future condition of a project, program, service, operation, resource, and/or user group. Description: 4. ❑ Procurement —May only be used for projects with an Institutional Capacity Intent. Acquiring or leasing facilities; purchasing equipment/supplies, hardware/software, or other materials (not content) that support general library infrastructure. (Provide a description) Description: EXHIBIT 2 55A-12 ELEMENTS: GRANT TIMELINE/ACTIVITIES Show each major project activity and when it will be started and/or completed throughout the project The dinneline should correspond to the activities described in Planning and Evaluation. Please put an X in each Recruitment and Assigning of Tutor/Mentors Youth Know Summer Civic Engagement Academy 1" Cohort ertanuu X month. X X X Youth Know Student Internships I" Cohort/8 interns) X X X X X X X X X X X Kids Know: Buddy Story -time and Story Book Project (1" Cohort) X X X X X Community Know Computing for Civic Engagement (1" Cohort) X X X X X Youth Know Winter Civic Engage ent Academy (2nd Cohort) Youth Know Student Internships 2d Cohort/4 interns) X X X X X X X X Kids Know: Buddy Story -time and Story Book Project (2 Cohort) X X X X X �mmunity Know Computing for Civic Engagement (2 hort X X X X X uth Know Social Innovation Academy X X X X X uth Know Social Innovation Unconference and Fair X X X X Youth Know Social Innovation Unconference and Fair X Youth Know Social Innovation Website X X X X X Youth Know Social Innovation PSA's X X X X X X X X X X X ELEMENT6: BUDGET The budget should clearly identify the amounts requested and from what sources. Youth Know Interns $35,000 $0 $35,000 Civic Engagement Tutor Mentors $20,000 $6,500 $26,500 Youth Civic Engagement Admin Interns $0 $15,000 $15 000 Library Staff Oversight —$0—$45,000 $45,000 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Subtotal $55,000 $66,500 $121,500 DescriptiGm-Staffaequest- Youth Know Interns: Cohort 1 (8 interns =290 hrs /14%FTE per intern @ $11.23/hr =$26,054) + Cohort 2 (4 interns =199 hrs/9.5%FTE per intern @ $11.23/hr =$8940) _ $35,000 Youth Civic Engagement Tutor Mentors: Research Tutor Mentors (306 hrs /15% FTE @$16.34 =$5000) + Writing Tutor Mentors (306 Ins/15% FTE @$16.34 = $5000) + Communications and Public Speaking Tutor Mentors (306 hrs/15%FTE@$16.34 = $5000) + Video Production Tutor Mentors (306 hrs/15%FTE@$16.34 =$5,000) _ $20,000 In -Kind Staff Budget Youth Civic Engagement Tutor Mentors (4 Tutor Mentors x 100hrs/5%FI'E @ $16.34/hr =$6,500) Youth Civic Engagement Admin Interns ( 6 Admin Interns x 178 hours/8.5`/`FIE @ $14/hr =$15,000) Library Staff Oversight: Cheryl Eberly, Project Director, 300 hrs/15%FTE @$60/hr =$18,000, Heather Folmar, Library Operations Manager, 80hrs/ 4%FTE x $80/hr = $6400, Cat Torres, Librarian, 400 hrs/19%FTE @ $40/hr =$16,000, David Lopez, Librarian, 115hrs/5.5%FTE x S40/hr =$4600 Contracted Advisors - Community Sustainability $0 $1,000 $1,000 Contracted Advisors - Homelessness $0 $500 $500 Contracted Advisor - Social Innovation Media and Marketing $0 $500 $500 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Subtotal $0 $2,000 $2,000 Description: Contracted Advisor 1 (TBD) -Community Sustainability (LGBTQ Focus Area) _ $500 Contracted Advisor 2 (TBD) - Community Sustainability (Immigration Focus Area) =$500 Contracted Advisor 3 (TBD) - Homelessness (Global Perspective Focus Area) _ $500 Contracted Advisor (Laura Bustamante) -Social Innovation Media and Marketing = $500 EXHIBIT 2 10 55A-14 Fieldtrip to Museum of Tolerance - Transportation 2 Cohorts $0 $1200 $1200 Fieldtrip to Museum of Tolerance - Meals 2 Cohorts $0 $600 $600 Fieldtrip to Museum of Tolerance - Admissions $400 $400 $800 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Subtotal $400 $2,200 $2,600 Description: Grant Funded (Admissions Tickets to Museum of Tolerance Cohort 2 = 35 participants x $11.50= In -Kind -Transportation casts Gehert l-afld Goh9rb2 (-Chartered Bus=$600�er tripe 3-taps=$1209 Meal Costs Cohort 1 and Cohort 2 ($300 per tap x 2 trips = $600) Admissions Tickets to Museum of Tolerance Cohort 1 (35 participants x $11.50 = $400) Library Materials $2,000 $2,000 $400) $4,000 Supplies $4,000 $180 $4,180 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 1...-$2,180 $0 1 $0 Subtotal $6,000 $8,180 5gxIPAT� 11 Description: Library Materials: 1. Acquisition of books to be added to a specialized Youth Know Social Innovation Young Adult collection of books and materials on the topics of social change, social innovation, social entrepreneurship, open spaces, youth leadership, homelessness, community sustainability, health and food insecurity. 2. We will be purchasing children's books that shed light on important social issues Supplies: Ipads (For use by Youth Know Interns at Civic Engagement Events and for Social Media and Digital Media) =6 Ipads x $400 =2400 Desktop Computers (Youth Know Intern Project Computer station) = 2 Computers x $800 =$1600 In -Kind = "Strenghtfmder 2.0" Books For Youth Interns = 12 books x $15 =$180 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Subtotal $0 $0 $0 Description: Community Partners- Doing Good Works $0 $5,200 $5,200 Community Partners - Vazquez Law Office $0 $600 $600 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 1 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Subtotal $0 $5,800 $5,800 Description: Doing Good Works: In -Kind Contribution = $5,250 Mindset Matters curriculum for 40 students, access to Year 1 and Year 2 materials = $4,250 Time allocated for Doing Good Works ($50/hour for each member): • Amy Bawden: set up, orientation, training = 5 hours • Amy Bawden, Scott Henderson, & Jordan Bartlett: presentation time and mentoring time = 15 howl total . Total time = 20 hours X $50 = $1,000 Vazquez Law Group = Deborah Vazquez (2 hours x $300 per hour = $600) EXHIBIT 2 12 55A-16 Check one: ❑ No Indirect ❑ Federally negotiated indirect cost rate * please attach supporting documentation if required Description: 10% of total PT base salary total of $44,000 ELEMENT 7: ATTACHMENTS ® Indirect proposed cost rate * $65,800 1 $78,680 1 $144,480 If you have additional resources that support your grant, please attach after this page ELEMENT 8: INTERNET CERTIFICATION Check the Appropriate Library Type ® Public Library ❑ Academic ❑ K-12 ❑ Multi -Type ❑ Special/Other As the duly authorized representative of the applicant public library, public elementary school library or public secondary school library applying for LSTA funding, I hereby certify that the Library is (check only one of the following boxes) A. ® An individual applicant that is CIPA compliant. The applicant library, as a public library, a public elementary school library or public secondary school library, has complied with the requirements of Section 9134(f)(1) of the Library Services and Technology Act. B. ❑ Representing a group of applicants. Those applicants that are subject to CIPA requirements have certified they are CIPA compliant. All public libraries, public elementary school libraries, and public secondary school libraries, participating in the application have complied with the requirements of Section 9134(f)(1) of the Library Services and Technology Act. The library submitting this application has collected Internet Safety Certifications from all other applicants who are subject to CIPA requirements. The library will keep these certifications on file with other application materials, and if awarded funds, with other project records. C. ❑ Not Subject to CIPA Requirements. The CIPA requirements do not apply because no funds made available under this LSTA grant program will be used to purchase computers used to access the Internet or to pay for direct costs associated with accessing the Internet. SIGNATURE I have read and support this LSTA Grant Application. Santa Ana Public Library Youth Know: Community Innovation Project Library/Organization Project Name Gerardo Mouet Library Director Director Jlle: mcpltstalan,im,nmvps& ,.,n,dll7/8 Director: Parks, Recreation, and Community Services Title 5/30/2017 Date EXHIBIT 2 14 55A-18 THE BASICS — YOUR LSTA GRANT AWARD The following provides all of the basic information about your grant and managing your grant. Award #: 40-8787 File #: CP -22 IMLS #: LS -00-17-0005-17 Library: Santa Ana Public Library Project Title: Youth Know: Community Social Innovation Project Award Amount: $65,800 2017/2018 LSTA APPROVED BUDGET Salaries/Wages/Benefits $55,000 Consultant Fees $0 Travel $400 Supplies/Materials $6,000 Equip ment $5,000 or more per unit $0 Services $0 Project Total $61,400 Indirect Cost $4,400 Grant Total $65,800 Start Date: Jul 1 2017 End Date: I August 31, 2018 This project will be officially closed as of the end date listed above and no new expenditures may be generated, nor may any additional funded project activities occur. Unexpended or unencumbered funds must be returned within 30 days of the end date. However, if funds were encumbered prior to the end date, this project is allowed 45 days to liquidate those encumbrances. Any funds not liquidated are to be returned with the liquidation report within 60 days of the end date. REPORTING Financial and program narrative reports are required. All required reporting materials will be located on the California State Library's website at htto://www.library.ca.cov/grantsnsta/manaae.htmi. The forms, along with instructions, will be on the website under the heading "Pitch -An -Idea Grants 2017/2018." The Grant Guide for this project will list specific reporting due dates. This letter and the enclosed list of LSTA procedural requirements amend the Consolidated Application/Grant Award Certification document and must remain a part of all your existing copies. Failure to provide timely reports is a serious breach of a grant recipient's administrative duty under the grant program, which may result in federal audit exceptions against the state and the loss of LSTA funds. PAYMENTS Please note this clarification regarding payments. If your full grant amount is $20,000 or more, ten percent (10%) of the grant award is withheld until the end of the project period. It is payable only if the grant recipient fulls all project reporting requirements and expends all funds, or returns all unspent grant funds, by the time specified in the grant program. CONTACT We want your project to be successful. Please work with this grant monitor in implementing your project. Grant Monitor: Lena Pham Phone Number: (916) 651-0376 Email Address: lena.pham@library.ca.gov Exhibit 3 N" m plNaaw" tlnrINe alsH 118 55A-19 California State Library Fiscal Office P.O.942837 Sacramento, CA 94237-0001 LSTA GA PAGE 1 LSTA GRANT AWARD # 40-8787 Project Title: Youth Know: Community Social Innovation Project System/Agency: Santa Ana Public Library CONSOLIDATED APPLICATION NOTIFICATION OF GRANT AWARD I. The subrecipient designated above hereby certifies to the California State Library, for a grant of funds in the amount $65,800 . This block grant will provide library services as set forth in the LSTA Service Project Application as approved and/or as amended by the California State Librarian. TERMS AND CONDITIONS The subrecipient agency and its named or designated fiscal agent hereby assures the California State Library that: 1. It is mutually understood between the parties that this grant award may have been written before ascertaining the availability of congressional appropriation of funds, for the mutual benefit of both parties in order to avoid program and fiscal delays which would occur if the grant award were executed after that determination was made. 2. This grant award is valid and enforceable only if sufficient funds are made available to the State by the United States government for the Fiscal Year 2017/18 for the purposes of this program. In addition, this grant award is subject to any additional restrictions, limitations, or conditions enacted by the Congress or any statute enacted by the Congress which may affect the provisions, terms or funding of this grant award in any manner. 3. It is mutually agreed that if the Congress does not appropriate sufficient funds for the program, this grant award shall be amended to reflect any reduction in funds. 4. The California State Library has the option to amend the grant award to reflect any reduction of funds. 5. Upon the grant award approval by the State Librarian, one (1) completed set of this CONSOLIDATED APPLICATION NOTIFICATION OF GRANT AWARD will be sent to the subgrantee. Such copy shall be the officially approved agreement for the conduct of the approved project. 6. "Subrecipierif means the government or other legal entity to which a subaward is awarded and which is accountable to the grantee for the use of the funds provided. 7. The subrecipient will make reports to the State Librarian in such form and containing such information as may be required to enable the California State Library to perform its duties. The subrecipient will keep such records and afford such access as the California State Librarian, California State Library may find necessary to assure the correctness and verification of such reports. 55A-20 California State Library Fiscal Office P.O.942837 Sacramento, CA 94237-0001 LSTA GA PAGE 2 LSTA GRANT AWARD # 40-8787 Project Title: Youth Know: Community Social Innovation Project System/Agency: Santa Ana Public Library CONSOLIDATED APPLICATION NOTIFICATION OF GRANT AWARD, LSTA (continued) B. The control of funds and title to property derived there from shall be in a subrecipient agency for the uses and purposes provided; a subrecipient agency will administer such property and funds and shall apply funds only for the purposes for which they were granted. 9. The expenditure under this program will not be used to supplant subrecipient effort. 10. This agreement is entered into under provisions of the Library Services and Technology Act, Public Law 104-208 on September 30, 1996; and Congressional Record — House, H11644 - H11728 on September 28, 1996, H12266 -H12267 on October 3, 1996; and 2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards, December 26, 2013. Congress enacted the Museum and Library Services Act of 2010 (Pub. L. 111-340, codified at 20 U.S.C. § 9101 of seq.), which also incorporates Library Services and Technology Act (LSTA). 11. Performance of the provisions of this agreement is subject to the conditions and availability of funds as awarded by the State Librarian under said Act. 12. The terms of this agreement shall be from upon execution until the end of the grant period, but shall be subject to termination by either party by giving written notice to the other party at least thirty (30) days prior to the effective date of termination. In the event this agreement is so terminated, the subrecipient shall deliver to the State Librarian copies of all reports and/or materials prepared up to the date of termination, and the State Librarian shall determine, and pay the subrecipient for the necessary and appropriate expenditures and obligations to the date of termination which have not been covered by prior installments heretofore paid to the subrecipient. If funding has been advanced to the subrecipient, any unobligated balances, as determined by the State Librarian, shall be returned to the State Library within 60 days of the notice of termination. 13. The State Librarian is empowered to review, audit, and inspect the project for compliance with this agreement. LIMITATION OF EXPENDITURE Expenditure for all projects must conform to the approved budget, as amended, and with applicable Federal and State laws and regulations. 55A-21 California State Library Fiscal Office P.O.942837 Sacramento, CA 94237-0001 Project Title: Youth Know: Community Social Innovation Project System/Agency: Santa Ana Public Library LSTA GA PAGE 3 LSTA GRANT AWARD # 40-8787 CONSOLIDATED APPLICATION NOTIFICATION OF GRANT AWARD, LSTA (continued) During the grant period, the subrecipient may find that the awarded budget may need to be modified. Budget changes, requests for additional funds, or requests for reductions in the grant funding award must be discussed with the assigned State Library Grant Monitor and a Grant Award Modification (LSTA Form 4) may be required to be submitted according to the instructions. Approval is by the State Librarian. Adjustments should be reported on the next financial report. Any adjustments in approved budgets must be documented and documentation retained in project accounts. The total amount paid by the California State Library to the subrecipient under this agreement shall not exceed $65,800 and shall be expended/encumbered in the designated grant period. REPORTS AND CLAIMS It is the responsibility of the recipient of these instructions to see that the proper individual to supply the required reports and claims receives the instructions and makes the required reports and claims to the California State Library. I. The subrecipient shall be responsible for the submission of two Narrative Reports, unless otherwise noted in the Grant Guide for the project located on the CSL's website, on the progress and activities of the project to the State Library within 30 days following the end of the designated quarter. II. The subrecipient shall submit quarterly Financial Reports to the State Library, unless otherwise noted in the Grant Guide for the project located on the CSL's website. These reports are to reflect the expenditures made by the subrecipient under the agreement. The financial reports are to be submitted within 30 days following the end of the designated quarter. III. To obtain payment hereunder the subrecipient shall submit authorized claims provided by the State Library for that purpose, on each of the following mentioned dates for payment, and the California State Library agrees to reimburse the Library as soon thereafter as State fiscal procedures will permit. IV. The final 10% of the grant award (if applicable) is payable only if the subrecipient fulfills all project reporting requirements and returns all unspent funds by the time specified in the Grant Guide. Failure to provide timely reports is a serious breach of a grant recipient's administrative duty under the award, which may result in federal audit exceptions against the State and the loss of LSTA funds. The State Librarian may extend the final deadline for good cause. Request for extension beyond the final deadline of the grant period must be received at least 30 days prior to that deadline. Payment will be provided to cover the expenditures incurred by the subrecipient for the project in the following manner: $29,610 upon execution of the agreement and submission of claim by fiscal agent $29,610 on or about October 30, 2017 $6,580 on the submission of all reporting and return of funds If the amount of payment made by the California State Library shall exceed the actual expenses during the term of this agreement, as reflected in the financial reports to be filed by the subrecipient, the subrecipient shall refund to the California State Library the ar9ypLof syr excess payment. LSTA PAGE 4 LSTA GRANT AWARD # 40-8787 Project Title: Youth Know: Community Social Innovation Project System/Agency: Santa Ana Public Library CERTIFICATIONS REGARDING: NONDISCRIMINATION; DEBARMENT AND SUSPENSION; AND OTHER ASSURANCES The authorized representative certifies that the Subrecipient or its Fiscal Agent will comply with the following: Nondiscrimination (a) Title VI of the Civil Rights Act of 1964, as amended (42 U.S.C. § 2000 et seq.), which prohibits discrimination on the basis of race, color, or national origin; (b) Section 504 of the Rehabilitation Act of 1973, as amended (29 U.S.C. § 701 et seq.), which prohibits discrimination on the basis of disability (note: IMLS applies the regulations in 45 C.F.R part 1170 in determining compliance with § 504 as it applies to recipients of Federal assistance); (c) Title IX of the Education Amendments of 1972, as amended (20 U.S.C. § 1681-83, 1685-86), which prohibits discrimination on the basis of sex in education programs; and (d) The Age Discrimination in Employment Act of 1975, as amended (42 U.S.C. § 6101 at seq.), which prohibits discrimination on the basis of age. The authorized representative certifies to the best of his or her knowledge and belief that neither the Subrecipient nor its Fiscal Agent: Debarment and Suspension (a) Are presently excluded or disqualified; (b) Have been convicted within the preceding three years of any of the offenses listed in 2 C.F.R. part 180.800(a) or had a civil judgment rendered against it or them for one of those offenses within that time period; fraud, antitrust, embezzlement, forgery, bribery, tax evasion, making false statements, receiving stolen property, or similar offenses so serious as to affect the integrity of the subrecipient or its fiscal agent. (c) Are presently indicted for or otherwise criminally or civilly charged by a governmental entity (Federal, State, or local) with commission of any of the offenses listed in 2 C.F.R. part 180.800(a) and enumerated above. (d) Have had one or more public transactions (Federal, State, or local) terminated within the preceding three years for cause or default. Trafficking in Persons • engages in trafficking in persons, procures a commercial sex act, or uses forced labor • procures a commercial sex act during the period of time that the award is in effect • uses forced labor in the performance of the grant Federal Debt Status Representative certifies to the best of his or her knowledge and belief that the Subrecipient is not delinquent in the repayment of any Federal debt. 55A-23 LSTA PAGE 5 LSTA GRANT AWARD # 40-8787 Project Title: Youth Know: Community Social Innovation Project System/Agency: Santa Ana Public Library CERTIFICATIONS REGARDING: NONDISCRIMINATION; DEBARMENT AND SUSPENSION; AND OTHER ASSURANCES (continued) Certification Regarding Lobbying Activities (Applies to Applicants Requesting Funds in Excess of $100,000) (31 U.S.C. § 1352) (a) No Library Services and Technology Act funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any Federal 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 a Federal contract, the making of a Federal grant, the making of a Federal loan, the entering into of a cooperative agreement, or the extension, continuation, renewal, amendment, or modification of a Federal contract, grant, loan, or cooperative agreement. (b) No Library Services and Technology Act funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any State agency, Member of the Legislature, an officer or employee of the Legislature, or an employee of a Member of the Legislature in connection with legislative action through oral or written communication with State legislative officials, or solicitation of others to influence or attempt to influence legislative action. (c) No Library Services and Technology Act or other federal funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence any officer or employee of any county, district, or city agency, in connection with legislative action through oral or written communication with officials, or solicitation of others to influence or attempt to influence legislative action. LSTA funds will not be used for costs to: • draft legislation or resolutions • travel to meetings of governmental bodies urge passage of legislation or resolutions • survey voters regarding passage and drafting of legislation or resolutions • pay governmental fees (use fees, ballot filing fees, permits, etc.) Drug -Free Workplace (a) Continue to provide a drug-free workplace by complying with the requirements in 2 C.F.R. part 3186 (Requirements for Drug -Free Workplace (Financial Assistance)). In particular, the recipient must comply with drug- free workplace requirements in subpart B of 2 C.F.R. part 3186, which adopts the Government -wide implementation (2 C.F.R. part 182) of sections 5152-5158 of the Drug -Free Workplace Act of 1988 (P. L. 100-690, Title V, Subtitle D; 41 U.S.C. §§ 701-707). (b) This includes, but is not limited to: making a good faith effort, on a continuing basis, to maintain a drug-free workplace; publishing a drug-free workplace statement; establishing a drug-free awareness program for the employees; taking actions concerning employees who are convicted of violating drug statutes in the workplace. 55A-24 LSTA PAGE 6 LSTA GRANT AWARD # 40-8787 Project Title: Youth Know: Community Social Innovation Project System/Agency: Santa Ana Public Library The authorized representative also certifies that the Subrecipient or its Fiscal Agent will comply with the following: will comply with all requirements by the Federal -sponsoring agency concerning special requirements of law, program requirements, and other administrative requirements. will insure that the facilities under its ownership, lease or supervision which shall be utilized in the accomplishment of the project are not listed on the Environmental Protection Agency's (EPA) list of violating facilities and that it will notify the Federal grantor agency of the receipt of any communication from the Director of the EPA Office of Federal Activities indicating that a facility to be used in the project is under consideration for listing by the EPA. will comply with the flood insurance purchase requirements of Section 102(a) requires, on or after March 2, 1975, the purchase of flood insurance in communities where such insurance is available as a condition for the receipt of any Federal financial assistance for construction or acquisition purposes for use in any area that has been identified by the Secretary of the Department of Housing and Urban Development as an area having special flood hazards. The phrase "Federal financial assistance" includes any form of loan, grant, guaranty, insurance payment, rebate, subsidy, disaster assistance loan or grant, or any other form of direct or indirect Federal assistance. will assist the Federal grantor agency in its compliance with Section 106 of the National Historic Preservation Act of 1966 as amended (16 U.S.C. 470), Executive Order 11593, and the Archeological and Historic Preservation Act of 1966 (16 U.S.C. 469a-1 et seq.) by (a) consulting with the State Historic Preservation Officer on the conduct of investigations, as necessary to identify properties listed in or eligible for inclusion in the National Register of Historic Places that are subject to adverse effects (see 36 CFR Part 800.8) by the activity, and notifying the Federal grantor agency of the existence of any such properties, and by (b) complying with all requirements established by the Federal grantor agency to avoid or mitigate adverse effects upon such properties. 55A-25 LSTA GRANT AWARD DOCUMENTATION Budget Citation Chapter 14, Item 6120-211-0890 LSTA Award #: 40-8787 Project Title: Youth Know: Community Social Innovation Project Subgrantee: Santa Ana Public Library Approval Date: 7/1/2017 Funding Start Date: **upon execution** Term: upon execution — end of grant period Approved Funds: $65,800 Payments: $29,610 upon execution of agreement Schedule No. $29,610 on or about October 30, 2017 Schedule No. $6,580 on completion and return of abatements Schedule No. Appropriation Encumbered (designate where applicable) For: FY 17/18 Augmentation Encumbered For: FY 17/18 Reporting Structure: 61202000 COA: 5432000 Program #: 5312 DUNS #: 083153247 The LSTA program is a federal grant from the Institute of Museum and Library Services (IMLS) Catalog Number From Catalog of Federal Domestic Assistance (CFDA) #: 45.310 IMLS FAIN: LS -00-17-0005-17 IMLS Federal Award Date: 01/18/17 (partial award) 06/13/17 (remaining award) IMLS Total Amount of the Federal Award and Obligated by this action: $15,178,758 BUDGET CATEGORY SALARIES CONSULTANT FEES TRAVEL SUPPLIES/MATERIALS EQUIPMENT SERVICES INDIRECT COSTS TOTAL APPROVED BUDGET $55,000 $400 $6,000 $4,400 ----------------- $65,800 55A-26 ATTENTION ATTACHED IS THE CLAIM FOR PAYMENT AND THE LSTA CERTIFICATION. THESE TWO FORMS MUST BE COMPLETED, SIGNED (WITH ORIGINAL SIGNATURES), AND RETURNED TO: CALIFORNIA STATE LIBRARY FISCAL OFFICE - LSTA P.O. BOX 942837 SACRAMENTO, CA 94237.0001 THESE FORMS MUST BE SUBMITTED AS SOON AS POSSIBLE TO AVOID DELAY IN RECEIVING FUNDS. YOU SHOULD RETAIN COPIES OF THE CLAIM AND THE CERTIFICATION FOR YOUR FILES. THESE ARE THE ONLY DOCUMENTS THAT NEED TO BE RETURNED AT THIS TIME. THANK YOU, Attachments 55A-27 CALIFORNIA STATE LIBRARY INVOICE #: 40-8787-001 Library Services and Technology Act FINANCIAL CLAIM 1ST PAYMENT FY: 17/18 FAIN: LS -00-17-0005-17 ITEM NO: 6120-211-0890, Chapter 14, Statutes of 2017 PURCHASING AUTHORITY NUMBER: CSL -6120 REPORTING STRUCTURE: 61202000 GOA: 5432000 PROGRAM #: 5312 SCHEDULE NO: SCHEDULE DATE: DATE: Claim of: Santa Ana Public Library Address: For: Santa Ana Public Library (Name of System or Agency) Project Title: Youth Know: Community Social Innovation Project Amount Claimed: $29,610 Grant Award Number: 40-8787 For Period From: upon execution to end of grant period Type of Payment PROGRESS FINAL IN FULL Payable Upon Execution of Agreement 7/1/2017 CERTIFICATION I hereby certify under penalty of perjury: that I am the duly authorized representative of the claimant herein; that this claim is in all respects true, correct and in accordance with law and the terms of the agreement; and that payment has not previously been received for the amount claimed herein. (Signature of the ieuthorized representative) State of California, State Library Fiscal Office by date (State Library representative) MAIL ONE ORIGINAL SIGNATURE TO: California State Library Fiscal Office — LSTA P.O. Box 942837 FA fz`wl LSTA GRANT AWARD # 40-8787 Project Title: Youth Know: Community Social Innovation Project System/Agency: Santa Ana Public Library PLEASE COMPLETE AND RETURN THIS PAGE CERTIFICATION I certify that I am the legally designated representative for this award and am authorized to receive and expend funds for the conduct of this program. I certify that all information provided to the California State Library for review in association with this award is and will be correct and complete to the best of my knowledge; that as the authorized representative of the grant award, I have the legal authority to commit my organization to the conditions of this award. III. 1 certify that any or all other subrecipients participating in the program have agreed to the terms of the application/grant award, and have entered into an agreement(s) concerning the final disposition of equipment, facilities, and materials purchased for this program from the funds awarded for the activities and services described in the attached, as approved and/or as amended in the applicatio SIGNED �` DATE Authorized re resentative oY�aaass /11ouPr, ,,,K. � X4045, t, 2& '`rr Type or print name and title of authorized representative"" G&ouPr-,o ,04417¢,fr 66eC E-mail address of authorized representative This form, with signature, must be returned to: California State Library Fiscal Office — LSTA P.O. Office 942837 Sacramento, CA 94237-0001 55A-29 55A-30