City of Rapid City



2667049530City of Rapid City, South DakotaCommunity Investment Grant Funds2018 Program Year (January 1, 2018 – December 31, 2018)COMMUNITY INVESTMENT GRANT FUNDS APPLICATIONProgram OverviewThe City of Rapid City’s Community Subsidy Grant Funds allocation for 2018 will be:$50,000*Applications Due by 5 p.m. October 25, 2017*Submit to:City of Rapid CityCommunity Development Division300 6th Street – Finance Office (5 p.m. Deadline) 333 6th Street – Community Development Office (4 p.m. Deadline)Mailing address: Community Development 300 6th StreetRapid City, SD 57701Email Address: Gregory.Skurupey@ or Lucy.LaDeaux@APPLICATION REVIEW CRITERIAEligible applicants must be non-profit organizations.Applications will be reviewed by City staff to determine completeness and eligibility. While a well-written application is no guarantee of funding, applicants should make every effort to ensure that their applications are complete and concise and submitted with all requested documentation. Incomplete applications will not be included for consideration.In addition to reviewing applications for completeness and project eligibility, the criteria listed below are used for evaluation:Ability to address a City high priority needCapacity and experience of the organizationLeveraged resourcesProject readinessPrior grant performance, reporting and timelinessAPPLICATION REVIEW PROCESSStaff reviews for eligibility and completenessInvestment Committee reviews and makes recommendation to CouncilCouncil preliminary approval of funding allocations Notification to applicants of funding recommendationsPublic comment period (30 days)City Council review of public comments, modifications to allocations, if any, and final approvalCity executes contracts with funded agenciesFunds are released to agencies according to City scheduleGrant allocations will be focused on, but not limited to, the high priority issues identified in the City’s Consolidated and Comprehensive Plans for 2013-2017. (See page 4)Please contact the Community Development Division (605-394-4181) with questions about the grant, how to complete the application, or application process. Applicants may inquire about project eligibility prior to submittal.WHAT TO EXPECT IF INVESTMENT FUNDING IS AWARDEDFollowing review and approval of the allocations by the City Council, City staff will prepare contracts agreements for the selected projects. Agreements will contain the terms and conditions of the Investment funding. The grantee will be required to sign two original agreements and return them to the City. Agreements will then be executed by the City and a fully executed original will be returned to the agency. The Agreements will cover a term of 12 months beginning January 1, 2018 and ending December 31, 2018. Funding amounts are subject to change based on sales tax revenues received by the City of Rapid City.If any part of the project may pose a potential conflict of interest, the grantee should contact the Community Development Division immediately to begin the conflict of interest waiver process for approval. The conflict of interest process takes approximately 2-3 weeks to complete.Disbursement of Community Investment FundsCommunity Investment Funds are disbursed on a staggered payment basis. Less than $5,000 - Lump sum annual payment in June$5,000 to less than $25,000 – Quarterly payments in February, May, August & November$25,000 or more – Monthly paymentsReporting Requirements and MonitoringGrantees are required to submit an end-of-year report to Community Development detailing project activity(s), what funding was spent on, and demographics of persons benefitting from the activity(s) funded. Community Development will provide the reporting form in both hard copy and electronic versions. Community Development may request additional documentation or reports from Grantees as needed, based on type of activity. Reporting shall be submitted by January 15, 2018. If funding is not completely spent by December 31, 2018, a report shall be submitted by January 15, 2019 covering activity through December 31 and a final report shall be submitted within 30 days of final expenditure of funds.Grantees receiving Community Investment Funds are required by state-statute to submit an annual financial report. A financial report from the previous fiscal year must be submitted within 90 days of your fiscal year-end. If financials are through an audit, they are to be submitted when the audit is completed.If a project involves construction or rehabilitation/renovation work the contractor/agency performing the work must have a DUNS number and Central Contractor Registration number in the SAMS government system and must not be on HUD’s debarred list.HIGH PRIORITY HUMAN SERVICES GOALSFunding is focused on, but not limited to, the high priority Human Services goals of the City.HOUSING SUPPORTIVE SERVICESHomeless families, Evicted households;Sobriety/Safe Haven chronic substance abusers.Homeless YouthHomeless PreventionHandicap accessibilityEnergy efficiencyImprove safetyHousing First Program AssistanceChronic HomelessReentry ClientsVeteransPUBLIC SERVICESCase Management ServicesSupport occupation and retention of housingHomelessMental Health Substance Abuse ClientsYouth and Early Childhood EducationChild CareMedical, Dental, Eye & Medications AssistanceAdult EducationAdult Job Training ProgramTransportationReentry Programs for Adults and ChildrenServices for Disabled and ElderlyVictims of Domestic ViolenceActivities that duplicate existing services may not be funded.City of Rapid CityCommunity Investment Funds Grant Program (CIFG)FY 2018 Application for FundingGeneral InformationAgency Name: FORMTEXT ????? DUNS Number: FORMTEXT ?????Federal I.D. Number: FORMTEXT ????? Organization Tax Exempt Status: FORMTEXT ?????Agency Address: FORMTEXT ?????Mailing Address: FORMTEXT ?????Street Address of Project: FORMTEXT ?????(If different from above) Contact InformationAgency Director: FORMTEXT ????? Phone: FORMTEXT ????? Fax Number: FORMTEXT ????? Email: FORMTEXT ?????Board President: FORMTEXT ?????Email: FORMTEXT ?????Person Charged with Reporting submittals: FORMTEXT ????? Phone: FORMTEXT ?????Email: FORMTEXT ?????PROGRAM/PROJECT INFORMATIONAmount Requested (round numbers only): $ FORMTEXT ????? Total Cost of Project: $ FORMTEXT ????? CIFG % of Total Cost: FORMTEXT ?????%PROJECT/PROGRAMB.This funding will: FORMCHECKBOX fund an existing program at the same level FORMCHECKBOX substantially increase an existing program FORMCHECKBOX fund a new program FORMCHECKBOX be used for a Public Facility or ImprovementsC.Provide detailed description of project (1-2 Sentences): FORMTEXT ?????D.Describe specifically what funds will be spent on: FORMTEXT ?????E.GOALSFunding is focused on, but not limited to, the following high priority Human Services goals of the City. If your project will address a need that is not listed, use the Other Needs section below to identify your project service. This project is consistent with the following Rapid City 2013-2017 Consolidated Plan and Comprehensive Plan priority need(s) check all that apply:HUMAN SERVICESGeneral FORMCHECKBOX Counseling for low income people FORMCHECKBOX People at risk FORMCHECKBOX Dental Care FORMCHECKBOX Health Care FORMCHECKBOX Medication assistance program FORMCHECKBOX Mental Health Services FORMCHECKBOX Handicap Services FORMCHECKBOX Legal Services FORMCHECKBOX Senior Services FORMCHECKBOX Substance Abuse ServicesHomelessness & Special Needs Populations FORMCHECKBOX Homeless Individuals FORMCHECKBOX Families - No Children FORMCHECKBOX Families with Children FORMCHECKBOX Youth FORMCHECKBOX Chronic Homeless FORMCHECKBOX Chronic Substance Abusers FORMCHECKBOX Dually Diagnosed FORMCHECKBOX Victims Domestic Violence FORMCHECKBOX Case Management FORMCHECKBOX Life Skills Training FORMCHECKBOX Support services for outreach & referrals FORMCHECKBOX Elderly FORMCHECKBOX Special Needs Population ________________ FORMCHECKBOX Handicap Accessibility Modifications Homeless Prevention/Housing First FORMCHECKBOX Housing Assistance w/ rents, mortgage payments, deposits, utilities FORMCHECKBOX Legal ServicesYouth FORMCHECKBOX Suicide prevention FORMCHECKBOX Youth Services FORMCHECKBOX Juvenile Delinquency FORMCHECKBOX Counseling services FORMCHECKBOX Counseling for incarcerated youth FORMCHECKBOX Health Education / Advocacy FORMCHECKBOX Mentoring programsYouth Programs FORMCHECKBOX Child Care/Youth Centers FORMCHECKBOX Abused/Neglected Children FORMCHECKBOX Emotional/ Behavioral problemsEducation FORMCHECKBOX Financial education FORMCHECKBOX Individual Deposit Accounts (for Education) FORMCHECKBOX Job Training/Skills Improvement FORMCHECKBOX Other ___________________________Transportation FORMCHECKBOX Passes FORMCHECKBOX Buses FORMCHECKBOX Transportation costs/expensesNon-Housing Economic Development FORMCHECKBOX Micro-enterprise loans for low-to-mod income FORMCHECKBOX Individual Deposit Accounts (Housing, Business, Job Training) FORMCHECKBOX Job Training programs for low income people FORMCHECKBOX Other________________________________Public Facilities FORMCHECKBOX Senior Centers FORMCHECKBOX Removal of Architectural Barriers FORMCHECKBOX Other ________________________________Other Needs FORMCHECKBOX FORMTEXT ????? FORMCHECKBOX FORMTEXT ????? FORMCHECKBOX FORMTEXT ?????F. Project Service Area (identify area to be served): FORMTEXT ?????G. Who will be served by the program for which CIFG funds are being requested? Please check any of the following specific groups of clientele and indicate the estimated number of persons or households you expect to help. FORMCHECKBOX Abused and/or neglected childrenNumber of FORMCHECKBOX persons FORMCHECKBOX households FORMTEXT ????? FORMCHECKBOX Homeless personsNumber of FORMCHECKBOX persons FORMCHECKBOX households FORMTEXT ????? FORMCHECKBOX Elderly personsNumber of FORMCHECKBOX persons FORMCHECKBOX households FORMTEXT ????? FORMCHECKBOX Disabled personsNumber of FORMCHECKBOX persons FORMCHECKBOX households FORMTEXT ????? FORMCHECKBOX Battered spouseNumber of FORMCHECKBOX persons FORMCHECKBOX households FORMTEXT ????? FORMCHECKBOX Illiterate persons Number of FORMCHECKBOX persons FORMCHECKBOX households FORMTEXT ?????Indicate the estimated number of people you expect to serve with these funds in each income level. FORMCHECKBOX Very low incomeNumber of FORMCHECKBOX persons FORMCHECKBOX households FORMTEXT ????? (income below 30% of area median income) FORMCHECKBOX Low incomeNumber of FORMCHECKBOX persons FORMCHECKBOX households FORMTEXT ????? (income between 31% - 50% of area median income) FORMCHECKBOX Moderate incomeNumber of FORMCHECKBOX persons FORMCHECKBOX households FORMTEXT ????? (income between 51% - 80% of area median income) FORMCHECKBOX Above 80% of median incomeNumber of FORMCHECKBOX persons FORMCHECKBOX households FORMTEXT ????? FORMCHECKBOX Other: FORMTEXT ?????Number of FORMCHECKBOX persons FORMCHECKBOX households FORMTEXT ?????Estimated Cost Per Person/Home Assisted: $ FORMTEXT ?????If this is a housing services program, it will be used to provide: FORMCHECKBOX Emergency Shelter How many families? FORMTEXT ????? FORMCHECKBOX Transitional Housing How many apartments? FORMTEXT ????? How many beds? FORMTEXT ????? FORMCHECKBOX Group home housing # of rooms: FORMTEXT ????? # beds: FORMTEXT ????? Amount per unit $ FORMTEXT ?????Will the program beneficiaries or participants be limited to low-and-moderate income households? FORMCHECKBOX Yes FORMCHECKBOX No If no, explain the criteria for qualifying for the program: FORMTEXT ?????I.Briefly state why is this project needed in this community? FORMTEXT ?????How will the proposed activity increase or maintain client’s self-sufficiency? (Check all that apply) FORMCHECKBOX Provision of decent, affordable housing FORMCHECKBOX Employment/job training FORMCHECKBOX Child Care Assistance FORMCHECKBOX Income Support FORMCHECKBOX Legal Assistance FORMCHECKBOX Health Care Assistance FORMCHECKBOX Substance Abuse Treatment FORMCHECKBOX Mental Health Assistance FORMCHECKBOX Transportation Assistance FORMCHECKBOX Eviction Prevention FORMCHECKBOX Job Search FORMCHECKBOX Housing Search FORMCHECKBOX Support services/case management (i.e. life skills, budgeting, parenting, etc.) FORMCHECKBOX Education (e.g. G.E.D. preparation/classes, etc) FORMCHECKBOX Other: FORMTEXT ????? FORMCHECKBOX Other: FORMTEXT ?????DEVELOPMENTJ. Project ReadinessIf this project is not funded for the full amount requested: FORMCHECKBOX We have other funding on hand to proceed FORMCHECKBOX We will apply for other grant funds FORMCHECKBOX We will not be able to proceed FORMCHECKBOX Other: The project can start within: FORMCHECKBOX 1-3 months of approval FORMCHECKBOX 4-6 months of approval FORMCHECKBOX 6-9 months of approval FORMCHECKBOX 9-12 months of approval FORMCHECKBOX 13+ months of approvalK.Fee schedule for services, if applicable, (please attach): FORMTEXT ?????L.How will progress toward meeting the activity’s goal and objectives be measured? FORMTEXT ????? # of case management hours FORMTEXT ????? # of case management sessions FORMTEXT ????? # of clients receiving treatment FORMTEXT ????? # of beds per night FORMTEXT ????? # of clients with increased income FORMTEXT ????? # of persons housed FORMTEXT ????? # of courses taken and/or completed FORMTEXT ????? # of employed clients FORMTEXT ????? # of clients who remained in their homes FORMTEXT ????? # of days housing provided FORMTEXT ????? # of client contacts made FORMTEXT ????? # child care slots provided/# of families receiving childcare FORMTEXT ????? # of completed job training activity(s)/certifications FORMTEXT ????? # of clients transported/# of trips delivered or made FORMTEXT ????? # of workshops presented/# of workshop participants FORMTEXT ????? Other: FORMTEXT ????? FORMTEXT ????? Other: FORMTEXT ?????M. How will the activity verify that clients served are low-to-moderate income? (Check the appropriate population if the activity/project targets clients representing populations that are presumed low income. Otherwise, check the appropriate income verification method used in the activity/project. Presumed Lower-Income Populations (not documented) FORMCHECKBOX Elderly Adults FORMCHECKBOX Severely Disabled Adults FORMCHECKBOX Abused Children FORMCHECKBOX Victims of Domestic Violence FORMCHECKBOX Illiterate Adults FORMCHECKBOX Homeless Persons FORMCHECKBOX Migrant Farm Workers FORMCHECKBOX People with HIV/AIDSThird-Party Verification FORMCHECKBOX School Lunch Program FORMCHECKBOX TANFF FORMCHECKBOX Other _________________________Income Verification Method (all others): FORMCHECKBOX Pay Stubs/Wage Statements FORMCHECKBOX W-2’s FORMCHECKBOX Income Tax Returns FORMCHECKBOX Social Security Documentation (SSI/SSA) FORMCHECKBOX Bank Statements FORMCHECKBOX Support Checks Documentation FORMCHECKBOX Other: FORMTEXT ????? FORMCHECKBOX Other: FORMTEXT ?????Client Self-Certification Statement FORMCHECKBOX Signed StatementN. Budget Breakdown for Program/Project (following page):Please provide a breakdown for the total program/project budget. All fields must be completed. If no funding, enter $0.00:(A)Expense Category(B)CIFG Requested Amount(C)Agency’s Funds(D)Other Federal Funds(E)State/Local Funds(F)Foundation/ Other Public FundsTotal Project Budget (B+C+D+E+F=G)Estimated date funds will be available: FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Personnel ServicesSalaries$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????Fringe Benefits (Total)$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????ServicesConsultant/Purchased$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????SuppliesOffice Supplies$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????Postage$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????Program Supplies$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????Other:$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????OperatingTelephone$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????Utilities$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????Rent/Lease$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????Printing$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????Liability Insurance$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????Mileage/Training$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????Other: $ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????Land Acquisition$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????Housing - Rehabilitation$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????Construction$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????Other: FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????Other: FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????Other: FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????TOTALS$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????O.SustainabilityExplain how the project or program will be financed and/or maintained in the future. Please be as specific as possible. FORMTEXT ?????P.Personnel Assigned to Scope of Work (list all who will be involved)Staff MemberJob TitleGeneral Program DutiesEst. Time Allocation Per WeekJane DoeCounselorIntakes, counseling10 hours/wk FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????INFORMATION REGARDING YOUR ORGANIZATIONNarratives describing your organization (Brief – 3-5 sentences):A. Mission of the organization: FORMTEXT ?????B.History of the organization: FORMTEXT ?????C.Number of clients served during the last twelve (12) months: FORMTEXT ?????D.Number of clients served in Rapid City: FORMTEXT ?????Outside Rapid City: FORMTEXT ?????E. Did the organization have any findings on the previous year’s financial audit? FORMCHECKBOX Yes FORMCHECKBOX NoIf answered Yes to E. Please attach Audit, findings narrative, and resolution.Please Note:Additional documentation requested:Financial Report – Previous fiscal yearList of Board MembersProof of Non-Profit StatusCode of Conduct/Non-discrimination PolicyConflict of Interest PolicyThis application is submitted for your review by:Signature of Agency DirectorSignature of Board PresidentPrintPrintName: _________________________________Name: _________________________________Date: Date: APPLICATION DEADLINEFY 2018 Community Subsidy Grant Funds Applications must be submitted to:Community Development Division - (605) 394-4181By mail: 300 Sixth Street, Rapid City, SD 57701In person: 333 Sixth Street – Community Development Office no later than 4:00 p.m. OR 300 Sixth Street – Finance Office no later than 5:00 p.m.onWednesday, October 25, 2017 ................
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