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Home My WebLink About20071144.tiff RESOLUTION RE: APPROVE APPLICATION FOR EMERGENCY SHELTER GRANT ASSISTANCE 2007 AND AUTHORIZE CHAIR TO SIGN WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS,the Board has been presented with an Application for Emergency Shelter Grant Assistance 2007 from the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Greeley/Weld County Housing Authority, to the Colorado Division of Housing,with further terms and conditions being as stated in said application, and WHEREAS, after review,the Board deems it advisable to approve said application, a copy of which is attached hereto and incorporated herein by reference. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, ex-officio Housing Authority Board, that the Application for Emergency Shelter Grant Assistance 2007 from the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Greeley/Weld County Housing Authority, to the Colorado Division of Housing be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign said application. The above and foregoing Resolution was,on motion duly made and seconded,adopted by the following vote on the 23rd day of April, A.D., 2007. RD OF COUNTY COMMISSIONERS }. / +�ra CO TY, COLp RA DO ATTEST: Jung/ad " tst `` �t c*4 . Long, Chair Weld County Clerk to the Boar, !�,','gyp '1 _ / / �. ( 1 1 �+ iamm . J e, ro-Tem ' BY: _ e G,Ate4 , to CC De ty Clerk to the Bond 4 William F. Garcia AP V AS TO EXCUSED Robert D. Masden ounty Attorney / ougla Rad cher • 07 Date of signature: 5/3 2007-1144 e L' • /7'il HA0027 GREELEY/ WELD HOUSING AUTHORITIES No P.O. Box 130 ihii Greeley, Colorado 80632-0130 (970) 353-7437 March 30, 2007 (97O) 353-7463 Fax (800) 659-2656 TTY Relay Verda Martin Division of Housing State of Colorado 1313 Sherman Street, Room 518 Denver, CO 80203 Dear Ms. Martin: Enclosed is our Emergency Shelter Grant Assistance request for 2007 for the sum of$69,500. Based on the phone conversations with yourself and Lynn Shine I have an original and two copies of each sub-grantees application and a copy of their latest audit. As we discussed Room at the Inn has not had independent audits in the pass due to their low annual budget. They will receive their first audit this year. As the requesting Local Government I have enclosed three copies of the Local Government Summary Page, three copies of all certifications and a copy of our 2005 audit. f If you have any questions please contact me at(970) 352-1551 ext 6540. Sincerely, !A1-r v. Thomas Teixeira Executive Director r Enclosure F DOG ESG07-04 2007-1144 Housing Authority of the City of Greeley • Weld County Housing Authority in 903 6th Street • Greeley, Colorado •„.,, Local Government Summary Page Assurances and Certifications �" r � � � /° Approval of Nonprofit Organizations 4 Certificate of Consistency with Consolidated Plan Match Certification 6 Additional Funds Documentation Taxpayer Identification Request ' 8 Weld Count HA 2005 Audit Greeley Transitional House Application 9 3 copies A Woman's Place Application 1O 3 copies Catholic Charities Application 1 3 copies Room at the Inn 3 copies 13 ' LOCAL GOVERNMENT SUMMARY PAGE (TO BE COMPLETED ONLY BY LOCAL JURISDICTIONS WITH SUBGRANTEES) EMERGENCY SHELTER GRANT ASSISTANCE 2007 APPLICANT INFORMATION 1. Name and Address of Local Jurisdiction 2. CDH Project Number Weld County Housing Authority For CDH Use only P.O. Box 130 3. Date Received Greeley, CO 80632 For CDH Use Only 4. Name of Contact Person for Application 5. Phone 6. FAX 7. EMAIL Thomas Teixeira 970 353-7437 970 353-7463 Tom@greeley-weldha.org TYPE OF ORGANIZATION 8. Municipality/County n 9.Housing Authority 10. Service Area 12. Federal Identification Number Weld County 8 14 --- 11 15 16 18 14 14 16 BUDGET SUMMARY—ALL Projects Use Additional Sheets if Necessary 13. List Agency Name in 14. Operations 15. Essential 16. Homeless 17. Local this column (List Amount of Services Prevention Government Admin Request) (List Amount of (List Amount of Request) Request) Agency 1 Name 9,500 4,500 1,000 Greeley Transitional House Agency 2 Name 5,000 7,000 A Woman's Place Agency 3 Name 16,000 7,000 10,000 Catholic Charities Agency 4 Name 5,500 2,000 500 Room at the Inn Agency 5 Name Agency 6 Name 18. SUBTOTAL ALL By 36,000 20,500 11,500 Categories 19. Local Government 1,500 Admin 20. AMOUNT OF TOTAL REQUEST: $69,500 SIGNATURE OF AUTHORIZED OFFICIAL OR AGENCY REPRESENTATIVE 21. Name of Local Elected Official or Authorized Representative 22. Title of Local Elected Official or Authorized (Please Type) Representative David E. Long Chair Weld County Board of Commissioners 23. Signature of Loc lected Official or Authorized Representative 24.Date of Signature (ANA e io EMERGENCY SHELTER GRANTS PROGRAM ASSURANCES AND CERTIFICATIONS David E. Lon of Weld Count (name of chief elected official or appropriate the State of Colorado for funding through the Emergencywn, ity, county or nonprofit oran zat on)which nson-profit Housing and Urban Development HUD Shelter Grant Program from the U.S. Department of P (HUD), hereby assures and certifies that: Amounts awarded under this program will be used only for these purposes: 1. Assist in the prevention of homelessness. 2. Assist in supporting the essential operating costs of shelters. 3. Assist in improving the quality of supportive services to the homeless. Projects will not require participation in religious services, as a condition for receiving assistance. All projects funded will develop and administer, in good faith, a policy designed to ensure the shelter is free from the illegal use, possession or distribution of DRUGS and ALCOHOL by its beneficiaries. Pot ctif l 1 981. prohibited e activities will be in accordance with subsection 675 of 1 (e) of the Community Services Block Grant The town, city, county or nonprofit organization certifies that matching supplemental funds required by the regulations at 24 CFR 576.71 and 576.85(a)(3), as mentioned by the amendments to Items 415(a) and 415(c) of the Stewart B. McKinney Homeless Assistance Act made by (e) of the Cranston-Gonzalez Affordable Housing Act of 1990 (Public Law 101-625, November 28, 1990) will be provided. The amendment • exempts the first $100,000 from the matching requirement and requires that the benefit of the$100,000 exemption) be provided to those recipients from the State that are least capable of providing the matching funds. The requirements of 24 CFR 576.21(a)(4)(ii) which provide that the funding of homeless prevention activities for families that have received eviction notices or notices of termination of utility services meet the following standards: (A) that the inability of the family to make the required payments must be the result of a sudden reduction in income; (B) that the assistance must be necessary to avoid eviction of the family or termination of the services to the family; (C) that there must be a reasonable prospect that the family will be able to resume payments within a reasonable period of time; (D) that the assistance must not supplant funding for preexisting homeless prevention activities from any other source; (E) occur a week before eviction, foreclosure or termination. The requirements of 24 CFR 576.51(b)(2)(iii) concerning that submission b t applying for funding of a certification of approval of the proposed project(s) from the unit of local go emment in which the proposed project is located. The of motels or commercial facilities providing transient(ho(v)usin concerning the funding of emergency shelter in hotels or The requirements of 24 CFR576.56(a)(3) concerning the provision of termination and/or grievance procedures for an individual or family who violates program requirements. The requirement of 24 CFR576.56(b) concerning the involvement of homeless individuals and families in providing work or services pertaining to policy-making and in operations of facilities or activities assisted under this part. The requirement of 24 CFR576.57 concerning the prohibition of conflict of interest or financial interest in decision-making by elected officials, HUD as provided in elected 1(d). appointed officials, staff or board of directors except as may be granted by The requirements of 24 CFR 576.73 concerning the continued use of buildings for which Emergency Shelter Grant funds are used for rehabilitation or conversion of buildings for use of emergency shelters for the homeless; or when funds are used solely for operating costs or essential services, concerning the population to be served. The building standards requirement of 24 CFR 576.75. The requirements of 24 CFR 576.77, concerning assistance to the homeless. 17 a Weld County Housing Authority P.O. Box 130 Greeley, CO 80632 ' 970 353-7437 C. COLORADO I David E. Long Chair,Weld County Commissioners duly authorized to act on behalf of Weld County Government hereby approve the following projects proposed by Greeley Transitional House which is located in Weld County Colorado. Homeless Shelter Case management of clients Homeless prevention By: F David E. Long, Chair Date a (1; Weld County Housing Authority P.O. Box 132 Greeley, CO 80632 970 353-7437 COLORADO I David E. Long Chair,Weld County Commissioners duly authorized to act on behalf of Weld County Government hereby approve the following projects proposed by A Woman's Place Inc. which is located in Weld County Colorado. Shelter for victims of domestic abuse Case management of clients and families By: �J ' ;,c1 Y David E. Long, Chair 3/fib/ ,.?Oo 7 Date a (it Weld County Housing Authority P.O. Box 130 Greeley, CO 80632 970 353-7437 COLORADO I David E. Long Chair,Weld County Commissioners duly authorized to act on behalf of Weld County Government hereby approve the following projects proposed by Catholic Charities which is located in Weld County Colorado. Homeless Shelter Case management of clients and families Homeless Prevention By: David E. Long, Chair Date Kik Weld County Housing Authority P.O. Box 130 Greeley,CO 80632 970 353-7437 C. COLORADO I David E. Long Chair,Weld County Commissioners duly authorized to act on behalf of Weld County Government hereby approve the following projects proposed by Room at the Inn which is located in Weld County Colorado. Homeless Shelter Case management of clients and families By: C3 David E. Long, Chair .3/.2i/200 7 Date Certification of Consistency with Consolidated Plan Must be completed by Consolidated Plan Coordinator or Appropriate Official for any and each of the following Colorado jurisdictions in which a project/program operates. The State of Colorado will provide the Certification of Consistency with projects outside of these areas. Adams County; Arapahoe County; City of Arvada; City of Aurora; City of Boulder; City of Centennial; City of Colorado Springs; City and County of Denver; Douglas County; City of Fort Collins; City of Greeley; City of Grand Junction, Jefferson County; City of Lakewood; City of Longmont; City of Loveland; City of Pueblo, Pueblo County; and the City of Westminster. I, Rebecca Safarik, Community Development Director certify that the,Weld County Housing Authority application for the Emergency Shelter grant funds is consistent with the Consolidated Plan for the City of Greeley. (title) certify that (agency or program name) located in (name of jurisdiction) is consistent with the Consolidated Plan for (name of jurisdiction). Name and Title of C iiffyy Official for Jurisdiction c Date of Certification "ink Zd/ ;outi 16 MATCH CERTIFICATION SOURCES OF LOCAL MATCH (Attach supporting documentation for available match. Documentation should reflect funding availability during the ESG contract year.) Other Federal (including pass-through funds, e.g. City CDBG, County FEMA, etc.) State/Local Government Funding _Weld County Shelter Grant $1,500 Private (including recipient) Funding Fund Raising/Cash $ Loans $ Building Value or Lease $ Donated Goods $ Donated Computers _ $ New Staff Salaries $ Volunteers ($5.00 per hour) $ Volunteer Medical/Legal $ Other (specify) $ I certify that match funds have been identified and committed to support the proposed ESG project and have not been used to match previous ESG awards(i.e.the value of a donated building used as match in a 2001 award cannot be used as match in 2007). This form is a description of the sources and amounts of such match funds,which are not being used as match for an other federal program. j /,-z. ,/ .Yc 1 Signature/Title l Date V-t ..�'or �./i'Krc 12 Additional Funds Documentation The list of all sources of additional funds not included as match to be used to carry out your proposed project. Be specific. Sources of Additional Funds Amount of Additional Funds HUD Administrative Funds_ _$219,348_ HUD Housing Choice Voucher HAP funds _ _$2,498,304 _Weld County Shelter Grant _$58,500 Total Additional Funds Committed to the ESG Process $_2,776,152 Note the Weld County Housing Authority offers a priority listing on its S-8 waiting list for Homeless families who are being cased managed by the shelters that are the sub grantees of this request. The Greeley Housing Authority also offers a priority on it's waiting list for homeless families who are being case managed by the shelters who are the subgrantees of this request. The Greeley Housing Authority receives $2,394,228 in Housing Choice Voucher Housing Assistance Payments and $229,104 in Administrative funds 14 Form YY-9 page 1 of 2 Taxpayer Identification Number Request • Revised March 2005 This form may be used only by a U.S.person,including a resident alien.Foreign persons should furnish us with the appropriate Form W-8. The IRS defines a U.S.person as:`a U.S.citizen;'an entity(company,corporation,trust,partnership,estate,etc.)created or organized in,or under the laws of,the United States;'a U.S.resident(someone who has a'green card'or has passed the IRS'substantial-presence test.'For an explanation of the substantial-presence test,please see IRS Pubs.515 or 519.) Please complete all e,..parts below. Part 1 - Tax Identification: 1.Name: 2.Enter your Taxpayer Identification Number in the appropriate box. For individuals,this is your social security number(SSN).For other entities,it is your employer identification number(EIN). Social Security Number Employer Identification Number OR --— --_ 8_4_ 1__5 6 _8 44_ 6_ IF you are a SOLE PROPRIETOR or SINGLE-OWNER LLC—whether payment is made to a personal name or to a doing business name, you must provide the following: Required:Personal name of owner of the business:_Housing Authority of the County of Weld_ Optional:Business name if different from above: Weld County Housing Authority IF you assign payment to a third party-such as a factor-provide the following: Required:Your name: Optional:Name of third party: Part 2 - Exemption: If exempt from:Form 1099 reporting,checkyour qualifying reason below: O Corporation El Tax Exempt Entity Mlle United States ,A state,the District of ❑A foreign government or Note that there is no corporate under 501(a)(includes or any of its agencies Columbia,a possession of any of is political subdivisions exemption for medical and 501(c)(3),or IRA. or instrumentalities, the United States,or any of or an international organization healthcare payments or their political subdivisions or in which the United States payments for legal services. agencies, participates under a treaty or Act of Congress. Part 3 - Certification/Signature Under penalties.of perjury my signature certifies that: 1.I am a U.S. person(including a U.S.resident alien). 2.The number shown on this form is my correct taxpayer identification number(or I am waiting for a number to be issued to me). 3.I am not subject to backup withholding because:(a)I am exempt from backup withholding,or(b)I have not been notified by the Internal Revenue Service(IRS)that I am subject to backup withholding as a result of a failure to report all Interest or dividends,or(c)the IRS has notified me that I am no longer subject to backup withholding. Certification Instructions -You must cross out item 3 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, number 3 above does not apply. For mortgage interest paid, acquisition or abandonment of secured property,cancellation of debt, contributions to an individual retirement arrangement(IRA),and generally, payments other than interest and dividends,you are not required to sign the Certification, but you must provide your correct TIN. Person completing this form:Thomas Teixeira Phone:(970)353-7437 x103 Signature` Date: liA7 /2 O = / %�ri 6a ci / e'Cie Address: P.O. Box 130 City:_Greeley State:CO ZIP:80632 19 Application for Colorado Division of Housing (CDH) EMERGENCY SHELTER GRANT ASSISTANCE 2007 APPLICANT INFORMATION 1. Applicant(Agency) Name and Address 2. CDH Project Number For CDH Use only Greeley Transitional House 3. Date Received 1206 10th Street For CDH Use Only Greeley, CO 80631 4. Name of Contact Person for Application 5. Phone 6. FAX 7. EMAIL Jodi Hartmann (970) 352-3215 (970) 352.0130 jhart@gwest.net TYPE OF ORGANIZATION 8. Municipality/County 9.Housing Authority n 10. Nonprofit Organization 11. For how many years has your shelter/ 12. Federal Identification Number program received State ESG funding? 12+yrs. -- 8 4 1 0 4 5 8 5 9 13. Service Area 14. Population Greeley/Weld County 210,000 15. Provide a brief description of project and activities Greeley Transitional House is a homeless shelter that has been providing emergency shelter,food,and support services to homeless and previously homeless families in northern Weld County for more than 21 years. This application request is for an increase in funds from the 2006 funding in order to provide support for operations,essential services,and homeless prevention. This increase is critical to the agency in 2007 due to the significant increase in operational costs incurred when the organization expanded and relocated in 2005,effectively increasing our capacity 100%. In the two years since this move,we have Increased nights of shelter provided by 100%. The facility has remained above 85% occupancy year-round,with seasonal periods of 100%occupancy and waiting lists of up to four families. Our staffing costs have increased 6% and our facility costs(utilities,repairs,and maintenance)have increased 44%. ESG funds provide approx.5%of our total operational revenue, and are critical in helping us meet the current and growing need for emergency shelter services for homeless families in Weld County. BUDGET Use Additional Sheets if Necessary Line Item 16. Operations 17. Essential 18. Homeless 19. Administration Services Prevention Only for Local govls with subgrantees Staffing—Shelter Operations 2,000.00 Repairs&Maintenance 500.00 Utilities&Telephone 4,500.00 Facility Insurance 2,500.00 Case Management 4,500.00 Security Deposits 1,000.00 20. SUBTOTAL 9,500.00 4,500.00 1,000.00 21.TOTAL REQUEST: $ 15,000.00 22. Match Source(s) and Amount: Private Foundation Funding: $15,000.00 SIGNATURE OF AUTHORIZED OFFICIAL OR AGENCY REPRESENTATIVE 23. Name of Local Elected Official or Authorized Agency 24. Title of Local Elected Official or Authorized Representative (Please Type) Representative Jodi Hartmann Executive Director 25. Sig Authorized epresentative 26.Date of Signature J� /111 3/20/07 BUDGET NARRATIVE: For each budget category that you are requesting, please provide a narrative explanation of how funds will be used to address the need in that category 27. Operations Budget Narrative Explanation (Also Include information about shelter staff and their duties): Staffing — Shelter Operations: Will be used to help pay for the part-time House Managers who provide client oversight, security and maintenance after normal business hours to insure 24/7 on-site safety and supervision. Funds will partially pay for one of the five part-time staff members employed in this position. Repairs & Maintenance: Will be used to pay for routine repairs and maintenance at the shelter facility including appliance repairs (we have a total of 20 major appliances), lawn maintenance, small repairs, and cleaning supplies. Utilities &Telephone: Will provide partial funding for gas, electric, water& sewer, and business telephone costs for the shelter facility. Facility Insurance: Will provide partial funding of shelter commercial/liability policy. 28. Essential Services Budget Narrative Explanation (First-time requests for essential services also, answer the following): (1) Is this a new service or a quantifiable increase in service above that provided during the previous 12 months? What other local government or nonprofit resources have funded these homeless services in the past year? Case Management: Will provide funding for case manager to provide referrals and information for employment, health, education, child care, transportation, job training, budgeting, social services assistance, and permanent housing for client families. Case manager will act as mediator and liaison with landlords to prevent homelessness and to insure clients comply with lease agreements. 29. Homeless Prevention Budget Narrative Explanation (Please explain your program components and how you will ensure that clients are eligible for homeless prevention assistance). Security Deposits: Will be used to provide security deposit assistance necessary to prevent client families from becoming homeless due to inadequate resources to pay deposits upon leaving the emergency shelter. Assistance will only be given to those clients who have been living in the emergency shelter and have found permanent affordable housing upon leaving the shelter. SHELTER REPORT SHELTER CHARACTERISTICS 2006-2007 ACTUAL 2007-2008 PROJECTED 30. Beds (including cribs) 21 21 31. Sleeping Rooms 12 12 32. Total Families Served 84 95 33. Total Persons in Families 291 315 34. Total Individuals Served 291 315 35. Total Shelter Nights 10,768 10,850 AVERAGE COST PER PERSON OR HOUSEHOLD SERVED WITH ESG FUNDING 36. What is the average cost per person served for each of your ESG-funded activities? $24.78/individual night of shelter CLIENT PARTICIPATION REPORT (HUD REQUIRES DOCUMENTATION OF CLIENT PARTICIPATION) 37. Client Paid Hours 3,744 hours 38. Client Unpaid Hours 10-25 hours CONTINUUM OF CARE COORDINATION 39. Are you a participating member of your local Continuum of Care? © Yes ❑ No O We don't have one SHELTER/- Who provides the following services in your Do you have a written SUPPORTIVE SERVICES community? agreement to coordinate (1) If it's your organization put an'X" in this column services? beside the corresponding service; Answer"Yes"or"No" or"NA" TYPE OF SERVICE (2) If it's another organization, please list their name (Not Applicable) 40. Shelter Information and Referral X N/A(in all cases meaning written agreement not necessary for referrals) 41. Emergency Shelter X N/A 42.Transitional Housing X NIA 43. Permanent Housing (w/services) GreeleylWeld Housing Authority,private vendors N/A 44.Soup Kitchen Salvation Army,some local churches NIA 45.Case Management X N/A 46.Transportation Greeley Bus System N/A 47. Daycare Variety of public&private vendors NIA 48. Medical treatment Sunrise Community Health Center,Monfort Children's N/A Clinic, North Colo. Medical Center 49. Substance Abuse Counseling Island Grove Treatment Center,North Range N/A Behavioral Health, North Colorado Psych Care 50. Psychological North Range Behavioral Health, NIA North Colorado Psych Care 51. Employment Weld County Employment Services,Temporary N/A Agencies,Private Vendors 52. Life Skills/Budgeting X N/A 53. Educational Aims Community College, N/A Weld County Employment Services 54. Security Deposit X N/A 55. Back rent Catholic Charities Northern (limited) N/A 56. Back Mortgage Payments Catholic Charities Northern (limited) N/A 57. Utility Assistance Payments Catholic Charities Northern (limited) NIA EXTENT AND URGENCY OF THE NEED 58. What is the need to be addressed? How urgent is the need? Please provide data or statistical information with a citation that supports the needs your agency will address. Also describe your proposed activities and beneficiaries, and indicate the total number of persons to be served. The need for Emergency Shelter and services for homeless families continues to be urgent in Greeley/Weld County. Despite having expanded and relocated in 2005 to a new shelter facility that essentially doubled our capacity,we have remained at a high occupancy level (85% year-round, 100% seasonally), with up to a nine-family waiting list at times (GTH Internal Reports). According to GTH's internal monthly statistical reports,in 2004(at the previous smaller facility)the shelter served 57 families (185 individuals) with a continual waiting list of about six families. In 2006 the shelter served 85 families (290 individuals). These figures represent a 49% increase in number of families served over the past two years, and a 57% increase in number of individuals served. Further, the number of shelter nights provided grew 101% from 5,344 individual shelter nights provided in 2004, to 10,770 individual shelter nights provided in 2006. It is anticipated that these numbers will be maintained in 2007 (and probably increased)as the northern Colorado economy struggles to recover from the highest foreclosure rate in the country, and recent job losses due to an immigration raid at the community's major employer, Swift & Company. Further, Swift & Co. is for sale,and if sold,there are rumors that the beef plant in Greeley would be closed creating a catastrophic economic impact on the entire county(Greeley Tribune, March 18,2007). According to the Colorado Statewide Homeless Count in August 2006,there were 529 homeless persons in Region 3 which includes Weld County as well as the six sparsely populated counties in northeastern Colorado. It is reasonable to expect that the largest percentage of these surveys came from the Weld County area. Of the survey respondents,a majority(54%)were families. Of course,as noted in the survey,the one consistent finding in all research on homelessness is that surveys undercount the homeless. It is particularly difficult to count those homeless persons who are unsheltered(i.e.living temporarily with family or friends—the majority of cases of families that GTH serves). According to the Greeley Dream Team,a nonprofit program that provides services to homeless children In the Greeley-Evans School District,there are currently 290 homeless children (unduplicated)receiving services through this program. Conservatively,they represent 1,000 homeless persons In the community if you multiply those children by just 3.2(the average family size served by GTH). We believe the homeless survey significantly undercounted the number of homeless in the Greeley and Weld County area. Low-paying jobs and lack of affordable housing continue to be the primary cause of homelessness in Greeley and Weld County. Greeley Transitional House's target population is the working poor population (95%of our families are earning less than 150%of AMI). The majority of these families are working in retail or service positions—one of the lowest paid and most volatile sectors of the economy. While these families supply critical manpower for one of the most vital industries to our economy,they cannot afford the housing in the communities where they work. Wages continue to be lower than the rest of the northern front range of Colorado and the cost of housing remains high,with no significant economic relief in site(e.g. major employer expansions, higher vacancy rates,increased affordable housing opportunities,etc.). The affordable housing vacancy rate is also lower in Greeley(2.5%)than in any other Colorado metropolitan area except Pueblo or Grand Junction (both at 2.2%) according to the 2006 Colorado Affordable Housing Vacancy and Rent Study conducted by the Colorado Division of Housing. Weld County has been documented to be the least affordable county in Colorado in relation to the cost of housing and salaries/wages paid (Colorado Div. of Housing). Nearly one-fourth of the persons living in Greeley's 80631 zip code area(the older neighborhoods surrounding the shelter) are living at the federal poverty level (U.S. Census). Fifty percent(50%) of the children in Greeley's School District Six qualify for free lunches. Greeley/Weld County was listed as the fastest growing community in the country between 2000 and 2003(U.S.Census Bureau), but it is also the poorest county on the northern Colorado Front Range,with Weld County leading the country in foreclosures. According to the report,"Out of Reach", prepared annually by the Washington,D.C. based National Low Income Housing Coalition,Weld County's"Housing Wage",or the hourly Income needed to afford the average two-bedroom apartment,is approximately$13.27/hr. This is two times the current minimum wage of$6.85 per hour. An extremely low-income household earning$17,340 (or,30%of the statewide area median income of $57,800)cannot afford a monthly rent of more than$433,while the fair market rent for a two-bedroom apartment in Greeley is currently$570.00-$690.00 (National Low-Income Housing Coalition,Colorado Division of Housing Affordable Housing Vacancy Study). According to the Colorado Division of Housing's 2007 Cost Burdened Renter Households data,33%of the renter occupied households in Weld County are living at or below 30%of the median county income($57,800),and of those households, 72%are paying 30%or more of their income for rent. These families are highly vulnerable to homelessness,meaning there are more than 7,000 households who will potentially need emergency shelter if they are unable to pay their rent due to unemployment, illness,or a myriad of other problems. In 2007 GTH will continue to provide emergency shelter, case management, life skills classes,child/adolescent programs, and a two year follow-up program to homeless Weld County families. We anticipate serving 100 families in 2007 including 185 children and 125 adults. These services will be provided by four full-time staff,three part-time case managers,and six additional part-time staff members. LEVEL OF FUNDING SUPPORT/LEVERAGE 59. Part A. What is the financial commitment of your agency to this project? Do you have internal funding for this project? How will you provide the dollar-for-dollar match for this grant? To what extent does this program utilize community volunteers?What other funds from foundations and private donations do you receive for the project? Greeley Transitional House's projected 2007 Budget is$317,000. The requested ESG funds represent 5%of GTH's total projected 2007 revenues. Following is a breakdown of projected 2007 revenues and the percentage of the total: Private Foundations $115,000 36% Emergency Food&Shelter Program(FEMA) 11,000 3% Federal Supportive Grant(Bal.of State-HUD) 16,000 5% Weld County Housing Authority(HUD) 26,000 8% Em'ergencySpelters(Grant(HUD); ;'4',,4,000 5% City of Greeley 12,000 4% United Way of Weld County 72,000 23% Private Donations(individualslcorporatelchurches) 50,000 16% The dollar-for-dollar match for this grant will come from a private foundation,Monfort Family Foundation. The foundation has committed to a $20,000 grant in 2007. Approximately 75 community volunteers will provide everything from children's programs assistance, maintenance, fundraising, donation collections and disbursement,and program administration to help stabilize these families while living at the shelter,and to move them to self- sufficiency after they leave the shelter. Following is a partial list of the major contributors to the program in 2006(most will contribute at the same or greater levels in 2007: Private Foundation/Corporate/Individual The Daniels Fund,$25,000 Monfort Family Foundation,$20,000 George Doering Foundation,$15,000 Helen&Arthur Johnson Foundation,$10,000 El Pomar Foundation,$10,000 Anschutz Family Foundation,$7,500 Florence Winograd Foundation,$7,000 Phelps-Tointon,$5,200 Union Colony Bank,$5,000 Thomas Myers,$4,800 Ernest Martin Foundation,$3,000 Jodi Hartmann,$2,750 Travis Gillmore,$2,500 Steve&Laura Connolly,$2,100 United Way Youth Committee Fund,$2,000 CARHOF Fund,$2,000 Bank of Choice,$2,000 Wells Fargo Foundation,$1,250 Kerr-McGee,$1,200 Antiques at Lincoln Park,$1,200 New Frontier Bank,$1,200 Flood&Peterson,$1,200 Our Savior's Lutheran Church,$1,000 The Group Real Estate,$1,000 First Bank,$1,000 Betty Neill,$1,000 Part B. Do local governments(city and county)in which the project/program is located provide funding for the project? If so,what is the source of that funding? Does the community have its own allocation of Emergency Shelter Grant and/or Community Development Block Grant (CDBG)dollars? If so do you receive funding from that source? Emergency Food&Shelter Program(FEMA) 11,000 3% Federal Supportive Grant(Bal.of State-HUD) 16,000 5% Weld County Housing Authority(HUD) 26,000 8% Eme4;geridySkelter'G''dit'(HUD) -`. 15;0bQ',;; 5% City of Greeley(general funds) 12,000 4% GTH received $62,400 from State CDBG funds and$75,000 from City of Greeley CDBG funds to assist with the purchase of the new shelter facility in 2005. MANAGEMENT CAPACITY- STAFF AND,AGENCY 60. List key staff positions, responsibilities, and years of experience for staff of this agency and explain agency experience in conducting proposed ESG activities. Executive Director. Jodi Hartmann joined Greeley Transitional House in October 2005. Prior to joining GTH she worked for 4 Yz years as Development Director for Salud Family Health Centers, a large community health center system with clinics in nine northeastern Colorado communities. While at Salud Jodi successfully wrote $30 million in continuing and new grant funding, managed capital campaigns for two new clinic facilities,and was construction project coordinator for a $5.2 million clinic in Fort Collins completed in May 2005. Jodi has over 17 years experience in financial management,fundraising,grant writing and project development. Prior to joining Salud, Jodi worked for 13 years for the Greeley/Weld Economic Development office providing financial management, grant writing,fundraising and federal and state grant project management for this quasi-governmental organization. Jodi is also a graduate of the Master of Nonprofit Management program at Regis University. She was a member of the 1999 Colorado Trust Fellows class, having been awarded one of 12 competitive state-wide fellowships from the Trust to complete the MNM degree program. Jodi has performed all ESG administrative functions for the past two grant cycles. Assistant Director/Program Director. Lori Casares has worked for the Greeley Transitional House since 1997. She holds a B.A. in Family Studies from the University of Northern Colorado and is responsible for managing the Emergency Shelter program clients as well as supervising the Children's Program and Follow-up Program. Lori has held several positions at GTH including Assistant Director, Follow-up Case Management,and Follow-up Services Coordinator. Lori also served as the Interim Executive Director in 2005 while a search was conducted for the new director. Lori has an extensive background working with homeless families and children at high risk of being abused or having already been abused and has training and skills in crisis intervention,advocacy,and assessments. As Program Director, Lori supervises all program personnel at the agency. She has also worked for the Child Advocacy and Resource Education program in Greeley since 1997 as a contract teacher of parenting classes. Lori has worked with the ESG program as a case manager for the past nine years. Follow-up Program Coordinator. Teddy Sanchez joined Greeley Transitional House in 2002 as a part time House Manager and quickly moved to positions of increasing responsibility. She has coordinated the Follow-up Program for 3 %z years.Teddy has over 15 years experience working with at-risk youth and families having served as the Crisis Coordinator and Youth Care Supervisor at Attention Homes in Cheyenne, Wyoming for 12 years prior to moving to Greeley in 2001 to be near family. She also worked as a Residential Specialist at Southeast Wyoming Mental Health while living in Cheyenne. Teddy possesses exceptional skills in crisis management, advocacy,service coordination,and client case management. Teddy Sanchez has worked with the ESG program as a case manager for the past five years. MANAGEMENT CAPACITY - FINANCIAL 61. Explain your organization's financial control system and procedures, and explain how your agency will monitor its activities to ensure that ESG dollars are spent in a timely manner. • The Board of Directors is responsible for the financial health and integrity of the corporation. • The Executive Director is responsible for establishing and implementing accounting and reporting procedures, which reflect sound fiscal management and provide for appropriate accountability to the Board of Directors and the public. • The Executive Director,Assistant Director and the Administrative Coordinator ore bonded. • A checking and interest bearing savings account, petty cash checking account and all other investments are maintained with a financial institution in Weld County. • Financial records are maintained in accordance with generally accepted professional accounting practices and procedures and in a form and format appropriate to the requirements of an annual audit. • The Executive Director is responsible for submitting a proposed annual budget at the October Board meeting of each calendar year for the next year. Board of Directors will be responsible for final approved budget on an annual basis. • Routine and/or recurring expenses for operations of The Greeley Transitional House program which fall within the annual budget limitation approved by the Board of Directors are paid by the Executive Director as due. Drafts for such bills bear the co-signatures of the Executive Director and a member of the Executive Board. • Intermittent and unusual expenses that do not exceed$100.00 shall be paid from petty cash. A petty cash checking account not to exceed The Executive Director along with the Accountant prepares a Financial Report for submission to the Board of Directors at its regular monthly meeting which details monthly and year-to-date expenditures. • The Executive Director and the Executive Board of Directors arrange for an independent an independent audit of the corporation's financial records at the end of each calendar year, if and as required by funding sources. The auditor of auditing firm provides their findings to the Board of Directors. • ESG grant expenses are processed following the same procedures outlined above. Reimbursement for request is submitted after funds have been expended in each of the funded categories. • A separate expense account and income account will be established to record ESG expenses and matching income. COMMITMENT TO COORDINATE HOMELESS HOUSING, ESSENTIALSERVICES AND HOMELESS PREVENTION ACTIVITIES IN YOUR COMMUNITY OR CONTINUUM OF CARE 62. Explain how you coordinate homeless housing, essential services and homeless prevention activities with other local nonprofit agencies and governmental service providers to ensure coordinated case management and non-duplication of services in your community or Continuum of Care, GTH works closely with other homeless safety net providers and the Homeless Continuum of Care in northern Colorado. GTH cooperates with A Woman's Place (shelter for victims of domestic violence), A Room at the Inn (church-sponsored transitional housing for families)and the Guadalupe Shelter(night shelter only for primarily homeless single men and women and a few families) to provide referrals and information. Each of these shelters serves a different niche of the homeless population and little duplication of services occurs. However,the availability of these services provides our agencies with options for homeless families when we are full. Families will often stay at one of the other agencies until there is room at GTH. We find that these programs compliment our programs rather than compete for duplication of services. Unfortunately, there is more need in the community than all of these agencies/programs combined can meet. All of these agencies are also members of the United Way Housing&Emergency Services Network which meets monthly to discuss community needs and responses,communicate activities within each organization,and to coordinate new programs to meet emergency needs. ABILITY TO COMPLY WITH HOMELESS,MANAGEMENT INFORMATION SYSTEMS 63. When and where did your agency staff receive training on Homeless Management Information Systems (HMIS)? Our staff received training on three different occasions from Tracey Stewart,HMIS Coordinator for the Balance of State grantees through Colorado Coalition for the Homeless. All full-time staff have received training,with our Administrative Coordinator,Anna Sanchez,receiving the majority of the training because she is the primary data entry specialist for HMIS for the organization. 64. List Computer(s)that are/can be dedicated to HMIS: Models, Operating Systems, Storage Capacity Anna Sanchez'computer is the primary system dedicated to the HMIS program,although all of our computers have the capacity for handling the system. She operates an HP1502 computer with Windows XP. It has a 2.67GHZ processor,and a 75 GB hard drive. 65. How do you ensure that client files are kept confidential? The only staff who have access to the client files are the case managers,Teddy Sanchez and Lori Casares,and Anna Sanchez for entering on to HMIS system. Files are kept in locked file cabinets in offices that are locked when not in use. Only full-time staff members are allowed access to these offices. All employees are required to sign a confidentiality agreement upon employment at GTH. 66. Are you in compliance with HMIS? Please place an "X" in the box that best describes your current HMIS status? I am a new applicant. X My agency is entering all HUD-required HMIS data elements on a consistent basis. My agency is in discussions with my systems operator regarding my participation. We have not yet been trained on the HMIS system. My staff has been trained on HMIS, but I am waiting to upgrade equipment and or training before we fully participate. My agency is exempt from HMIS. PROJECT IMPACT - NARRATIVE 67. What impact do you expect to have on identified needs if you receive ESG funding? Please provide a short narrative description. 2007 will be our third year in our new 12-room shelter which has enabled Greeley Transitional House to more than double its services to homeless Greeley area families over past years. As stated earlier,in 2006 we provided over 10,760 nights of shelter to 85 families. These families included 112 adults and 174 children. We provided over 100 Life Skills classes and 1,025 hours of case management to the adults while living at the shelter and the children received a variety of services including twice-weekly activities nights,tutoring, advocacy,school intervention,holiday and birthday celebrations,and food/clothing needs. An additional 65 families were served through our post shelter case management program:the Follow-up program. This program provides on-going case management for up to two years to support these families after they leave the shelter in their efforts to remain self-sufficient. Eighty-six(86)adults and 143 children received services through this program in 2006.Over 2,300 client meetings occurred providing 1,325 hours of case management to the families. Does this program make a difference? We believe this program has a tremendous impact on preventing homelessness in the community. Over 85%of the families who received emergency shelter in 2006 found permanent,affordable housing. Ninety-six percent(96%)were employed or enrolled In vocational training or education. Ninety-nine percent(99%)of the school-aged children regularly attended school while living at the shelter,and 100%of the families received referrals and assistance in enrolling in all eligible services for basic needs to enable them to stabilize their family. ESG funds will enable us to continue to provide the extensive case management we believe is the cornerstone to the success we have with families. The relationships we are able to build both while the families are living in the shelter,and then transitioning into our two-year follow-up program are key to giving these high-risk families the"shoulder to lean on"that is missing in their lives. Our professional case managers provide the support,advocacy,and guidance families need to set goals,stay on task,and complete those goals in order to become self-sufficient. A client story provides the best testimonial to the difference our program makes in lives. Ellen(name has been changed)lived at the GTH shelter for two months along with her parents and younger brother and sister in mid 2006. A sophomore in high school,Ellen dreamed of attending the Union Colony Preparatory charter school to reach her goal of someday attending college. Homelessness impacts families in many different ways,and the challenges for teenagers are unique. Ellen needed internet access in order to do homework and other on-line class projects. While living at the shelter she used one of our computers. Later,through our Follow-up program we were able to connect Ellen to resources such as the Greeley Dream Team which provided her with a computer and internet access. Today she is a happy student at the Union Colony Prep school and working towards attending college when she graduates. Her family works closely with our Follow-up case manager to give them the guidance and support they need to stay self- sufficient. ESG funds provided the case management this family needed,the operational support to provide emergency shelter,and prevented homelessness by providing the family with security deposit assistance when they moved to their new rental home. PROJECT IMPACT - OUTCOME MEASUREMENTS Activities tell us what you are going to do. A measure is some way to quantify the work (activities)you are doing. It must be something you can measure from self-reports or something you can see, count, hear, smell, etc. Generally, there is a number involved: THE FOLLOWING MEASURES ARE FOR EXAMPLE ONLY • Number(de-duplicated) victims of domestic violence receiving shelter in your domestic violence facility • % of clients with increased budgeting ability • Number of households that received eviction prevention assistance • Number of teens receiving conflict resolution counseling An outcome is the WAY in which life has improved for a client as a result of our activity. Again using the above example: • Clients were able to stay in safe shelter; • Residents are able to balance a checkbook; • Households avoided homelessness • Youth are involved in fewer physical conflicts 68. For each activity you plan to undertake with Emergency Shelter Grant dollars, please identify the following: (Use additional pages if necessary) (a) the ACTIVITY, (b) HOW YOU PLAN TO MEASURE YOUR EFFORTS, and (c) the OUTCOMES THAT DESCRIBE HOW LIFE WILL BE IMPROVED FOR YOUR CLIENTS (d)the NUMBER OF BENEFICIARIES you expect for each activity. For examples PLEASE SEE ABOVE BOX LABELED "OUTCOME MEASUREMENTS" Xl0, `f E^ r..E-. Q r- �.r S.r.„'l�'• raX h„„7,A .y - .+;.'�3T: .i Outcome Indicator Method of Measurement Timeline Number of Beneficiaries. Outcome#1: Monthly internal 1/1/07-12/31/07 300 Families receive emergency shelter statistical records Outcome#2: Self-sufficiency plans for 1/1/07-12/31/07 125 Families receive weekly case management each family; and referrals to community services Case management notes Outcome#3: Life Skills calendar; 1/1/07-12/31/07 125 Families will receive twice-weekly Life Skills Case management notes Classes(e.g.credit counseling/budgeting, parenting, nutrition,etc.) Outcome#4: Case management notes 1/1/07-12/31/07 65 Families will be eligible to receive minimal security deposit assistance to enable them to prevent homelessness by moving to affordable housing when leaving shelter .0.1 3- ��jj{((( ; gr� - '411 T "` � yMira IVS:Wit S >S9 .. 'coflq �. v�i '`T*.� �V�'�'.a �rd , w c F :;R:;;;*. Outcome Indicator Method of Measurement Timeline Number of Beneficiaries Outcome#1: Case Management Notes 1/1/07-12/31/07 125 Families will receive information about the program through exit counseling with Case Manager Outcome#2: Internal monthly program 1/1/07-12/31/07 95 Families will enroll in Follow up program statistics and case within two weeks of leaving the Emergency management notes Shelter Outcome#3: Internal monthly program 1/1/07-12/31/07 80 Families will develop Work Plan and goals statistics and case and will remain compliant with program management notes requirements for up to two years. LOCAL GOVERNMENT SUMMARY PAGE (TO BE COMPLETED ONLY BY LOCAL JURISDICTIONS WITH SUBGRANTEES) EMERGENCY SHELTER GRANT ASSISTANCE 2007 APPLICANT INFORMATION 1. Name and Address of Local Jurisdiction 2. CDH Project Number Weld County Housing Authority For CDH Use only P.O. Box 130 3. Date Received Greeley, CO 80632 For CDH Use Only 4. Name of Contact Person for Application 5. Phone 6. FAX 7. EMAIL Thomas Teixeira 970 353-7437 970 353-7463 Tom@greeley-weldha.org TYPE OF ORGANIZATION 8. Municipality/County 9.Housing Authority 10. Service Area 12. Federal Identification Number Weld County 8 4 -- 1 5 6 8 4 4 6 BUDGET SUMMARY—ALL Projects Use Additional Sheets if Necessary 13. List Agency Name in 14. Operations 15. Essential 16.Homeless 17.Local this column (List Amount of Services Prevention Government Admin Request) (List Amount of (List Amount of Request) Request) Agency 1 Name 9,500 4,500 1,000 Greeley Transitional House Agency 2 Name 5,000 7,000 A Woman's Place Agency 3 Name 16,000 7,000 10,000 Catholic Charities Agency 4 Name 5,500 2,000 500 Room at the Inn Agency 5 Name Agency 6 Name 18. SUBTOTAL ALL By 36,000 20,500 11,500 Categories 19. Local Government 1,500 Admin 20. AMOUNT OF TOTAL REQUEST: $69,500 SIGNATURE OF AUTHORIZED OFFICIAL OR AGENCY REPRESENTATIVE 21. Name of Local Elected Official or Authorized Representative 22. Title of Local Elected Official or Authorized (Please Type) Representative David E. Long Chair Weld County Board of Commissioners 23. Signature of Loc lected Official or Authorized Representative 24.Date of Signature OTHER DOCUMENTS THAT YOU MUST SUBMIT WITH THIS APPLICATION (See attached pages) MATCH CERTIFICATION SOURCES OF LOCAL MATCH (Attach supporting documentation for available match. Documentation should reflect funding availability during the ESG contract year.) Other Federal (including pass-through funds, e.g. City CDBG, County FEMA, etc.) State/Local Government Funding Private (including recipient) Funding Fund Raising/Cash $ Loans $ Building Value or Lease $ Donated Goods $ Donated Computers _ $ New Staff Salaries $ Volunteers ($5.00 per hour) $ Volunteer Medical/Legal $ Other (specify) Monfort Family Foundation $ 20,000.00 I certify that match funds have been identified and committed to support the proposed ESG project and have not been used to match previous ESG awards(i.e.the value of a donated building used as match in a 2001 award cannot be used as match in 21! . This form is a description of the sources and amounts of such match funds,which are not being used as match for an ether ederal r gram. 7 gnature!Title Date Instructions for Completion of Match Certification All applicants are required to complete the Match Certification form. Eligible forms of match are as follows: • The value of salary paid to staff to carry out the ESG Program. • The value of the time and services contributed by volunteers to carry out the program at a rate of $5.00 per hour. • Volunteers providing professional services such as medical or legal services valued at the reasonable and customary rate in the community. • The value of any donated material or building. • The value of any building lease using a method to reasonably calculate fair market value. • Award letters from foundations, organizations, private individuals, and other government sources. Note: These awards must overlap the ESG funding period to be eligible. Additional Funds Documentation The list of all sources of additional funds not included as match to be used to carry out your proposed project. Be specific. Sources of Additional Funds Amount of Additional Funds Other Private Foundations $95,000 City of Greeley Funding $12,000 Private donations (churches) Individuals, corporations) $50,000 Total Additional Funds Committed to the ESG Process $ 157,000 Weld County Housing Authority f P.O. Box 132 Greeley, CO 80632 970 353-7437 COLORADO I David E. Long Chair,Weld County Commissioners duly authorized to act on behalf of Weld County Government hereby approve the following projects proposed by Greeley Transitional House which is located in Weld County Colorado. Homeless Shelter Case management of clients Homeless prevention By: David E. Long, Chair 3 aa. Q2Do Date - ft Certification of Consistency with Consolidated Plan Must be completed by Consolidated Plan Coordinator or Appropriate Official for any and each of the following Colorado jurisdictions in which a project/program operates. The State of Colorado will provide the Certification of Consistency with projects outside of these areas. Adams County;Arapahoe County; City of Arvada; City of Aurora; City of Boulder; City of Centennial; City of Colorado Springs; City and County of Denver; Douglas County; City of Fort Collins; City of Greeley; City of Grand Junction, Jefferson County; City of Lakewood; City of Longmont; City of Loveland; City of Pueblo, Pueblo County; and the City of Westminster. I, Rebecca Safarik, Community Development Director certify that the,Weld County Housing Authority application for the Emergency Shelter grant funds is consistent with the Consolidated Plan for the City of Greeley. (title) certify that (agency or program name) located in (name of jurisdiction) is consistent with the Consolidated Plan for (name of jurisdiction). aedir Name and Title of C i Official for Jurisdiction Date of Certification / G- Z / ploy 3 /7 - EMERGENCY SHELTER GRANTS PROGRAM ASSURANCES AND CERTIFICATIONS Jodi Hartmann (name of chief elected official or appropriate non- profit signatory)of Greeley Transitional House (town, city, county or nonprofit organization)which is applying to the State of Colorado for funding through the Emergency Shelter Grant Program from the U.S. Department of Housing and Urban Development(HUD), hereby assures and certifies that: Amounts awarded under this program will be used only for these purposes: 1. Assist in the prevention of homelessness. 2. Assist in supporting the essential operating costs of shelters. 3. Assist in improving the quality of supportive services to the homeless. Projects will not require participation in religious services, as a condition for receiving assistance. All projects funded will develop and administer, in good faith, a policy designed to ensure the shelter is free from the illegal use, possession or distribution of DRUGS and ALCOHOL by its beneficiaries. Political activities will be prohibited in accordance with subsection 675 (e) of the Community Services Block Grant Act of 1981. The town, city, county or nonprofit organization certifies that matching supplemental funds required by the regulations at 24 CFR 576.71 and 576.85(a)(3), as mentioned by the amendments to Items 415(a) and 415(c) of the Stewart B. McKinney Homeless Assistance Act made by Section 832(e) of the Cranston-Gonzalez National Affordable Housing Act of 1990 (Public Law 101-625, November 28, 1990) will be provided. The amendment exempts the first $100,000 from the matching requirement and requires that the benefit of the $100,000 exemption be provided to those recipients from the State that are least capable of providing the matching funds. The requirements of 24 CFR 576.21(a)(4)(ii) which provide that the funding of homeless prevention activities for families that have received eviction notices or notices of termination of utility services meet the following standards: (A) that the inability of the family to make the required payments must be the result of a sudden reduction in income; (B)that the assistance must be necessary to avoid eviction of the family or termination of the services to the family; (C) that there must be a reasonable prospect that the family will be able to resume payments within a reasonable period of time; (D) that the assistance must not supplant funding for preexisting homeless prevention activities from any other source; (E)occur a week before eviction, foreclosure or termination. The requirements of 24 CFR 576.51(b)(2)(iii) concerning that submission by nonprofit organizations applying for funding of a certification of approval of the proposed project(s) from the unit of local government in which the proposed project is located. The requirements of 24 CFR 576.51(b)(2)(v) concerning the funding of emergency shelter in hotels or motels or commercial facilities providing transient housing. The requirements of 24 CFR576.56(a)(3) concerning the provision of termination and/or grievance procedures for an individual or family who violates program requirements. The requirement of 24 CFR576.56(b) concerning the involvement of homeless individuals and families in providing work or services pertaining to policy-making and in operations of facilities or activities assisted under this part. The requirement of 24 CFR576.57 concerning the prohibition of conflict of interest or financial interest in decision-making by elected officials, appointed officials, staff or board of directors except as may be granted by HUD as provided in 570.611(d). The requirements of 24 CFR 576.73 concerning the continued use of buildings for which Emergency Shelter Grant funds are used for rehabilitation or conversion of buildings for use of emergency shelters for the homeless; or when funds are used solely for operating costs or essential services, concerning the population to be served. The building standards requirement of 24 CFR 576.75. The requirements of 24 CFR 576.77, concerning assistance to the homeless. The requirements of 24 CFR 576.79, other appropriate provisions of 24 CFR Part 576, and other applicable Federal law concerning nondiscrimination and equal opportunity. The requirements of 24 CFR 576.80 concerning minimizing the displacement of persons, as a result of a project assisted with these funds. The requirements of 24 CFR 576.80 concerning the Uniform Relocation Assistance and Real Acquisition Policies Act of 1970. The requirement of the Cranston-Gonzalez National Affordable Housing Act (Public Law 101-625, November 28, 1990 contained in Section 832(e)(2)(C)that grantees develop and implement procedures the ensure the confidentiality of records pertaining to any individual provided family violence prevention or treatment services under any project assisted "under the Emergency Shelter Grants Program" will, except with written authorization of the person or persons responsible for the operation of such shelter, not be made public." The requirement that local government will comply with the provisions of and regulations and procedures applicable under section 104(g) of the Housing and Community Development Act of 1974 with respect to the environmental review responsibilities under the National Environmental Policy Act of 1969 and related authorities, as specified in 24 CFR Part 58, and as applicable to activities of nonprofit organizations. The requirement that no Federal appropriated funds have been paid, by or on behalf of the local government or nonprofit organization, to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal loan, the entering into of any cooperative agreement, and modification of any Federal contract, grant, loan or cooperative agreement. The requirement that if any funds, other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan or cooperative agreement, the local government or nonprofit organization shall complete and submit Standard Form-LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions. The requirement of disclosure specified in Subpart C of 24 CFR Part 12 regarding assistance from other HUD-funded programs. The requirement that the local government or nonprofit organization shall require that the language of the PROHIBITION OF THE USE OF FEDERAL FUNDS FOR LOBBYING CERTIFICATION be included in the award documents for all standards at all tiers including subcontracts, sub-grants, and contracts under grants, loans, and cooperative agreements and that all sub-recipients shall certify and disclose accordingly. The requirement that(68 Fed. Reg. 43430)agencies receiving funding from the Emergency Shelter Grant Program become compliant with Homeless Management Information System (HMIS)as required by the Department of Housing and Urban Development. The required certification that the submission of an application for any emergency shelter grant is authorized under applicable law and that the local government or nonprofit organization possesses legal authority to carry out emergency shelter grant activities in accordance with applicable law and regulations of the Department of Housing and Urban Development. Jodi Hartmann, Executive Director m: and Title) 3/20/07 Sit ature Date Form W-9 page 1 012 Taxpayer Identification Number Request • Revised March 2005 This form may be used only by a U.S.person,including a resident alien.Foreign persons should furnish us with the appropriate Form W-s. The IRS defines a U.S.person as:'a U.S.citizen;*an entity(company,corporation,trust,partnership,estate,etc.)created or organized in,or under the laws of,the United States;'a U.S.resident(someone who has a'green card"or has passed the IRS"substantial-presence test'For an explanation of the substantial-presence test,please see IRS Pubs.515 or 519.) Please complete all...parts below. Part 1 - Tax Identification: 1.Name: Greeley Transitional House 2.Enter your Taxpayer Identification Number in the appropriate box. For individuals,this is your social security number(SSN).For other entities,it is your employer identification number(EIN). Social Security Number Employer Identification Number OR L8 4 1 0 4 5 9 5 8 ------_ -- - IF you are a SOLE PROPRIETOR or SINGLE-OWNER LLC-whether payment is made to a personal name or to a doing business name, you must provide the following: Required:Personal name of owner of the business: Optional:Business name if different from above. IF you assign payment to a third party-such as a factor-provide the following: Required:Your name: Optional:Name of third oartv: Part 2 - Exemption: Ifexemptirom Form 1099 reporting theck your qualuf)lng reason below ❑corporation XTax Exempt Entity ❑The United States ❑A state,the District of ❑A foreign government or Note that there is o corporate under 501(a)(includes or any of its agencies Columbia.a possession of any of its political subdivisions exemption for medical and 501(cX3).or IRA. or instrumentalities. the United States,or any of or an international organization healthcare payments or their political subdivisions or in which the United States payments for legal services. agencies. participates under a treaty or Act of Congress. Part 3 - Certification/Signature: Under penalties of perjury my signature certifies than 1.1 am a U.S.person(including a U.S.resident alien). 2.The number shown on this form is my correct taxpayer identification number(or I am waiting for a number to be Issued to me). 3.I am not subject to backup withholding because:(a)I am exempt from backup withholding,or(b)I have not been notified by the Internal Revenue Service(IRS)that I am subject to backup withholding as a result of a failure to report all interest or dividends,or(c)the IRS has notified me that I am no longer subject to backup withholding. Certification Instructions -You must cross out item 3 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return.For real estate transactions, number 3 above does not apply. For mortgage interest paid, acquisition or abandonment of secured property,cancellation of debt, contributions to an individual retirement arrangement(IRA),and generally, payments other than interest and dividends,you are not required to sign the Certification, but you must provide your correct TIN. Person completing this form: Jodi Hanmann Phone:( 970 ) 352-3215 Signature: 9 ' Date: 3/20/07 Address: 1206 10th Street City: Greeley State: CO ZIP: 80631 PLEASE PROVIDE A COPY OF YOUR LAST AUDIT MONFORT FAMILY FOUNDATION • February 6, 2007 Ms Jodi Hartman Greeley Transitional House 1206 10 St. Greeley CO 80631 Dear Ms. Hartman: The Trustees of the Monfort Family Foundation have designated $20,000 to Greeley Transitional House in 2007 paid through United Way. Along with the funds the Trustees are requesting that you kindly fill out the grant report form enclosed and return it to me at the following address within year. Monfort Family Foundation 134 Oak Street Eaton CO 80615 The Monfort Family congratulates your fine organization and wishes you much success in the future. Sincerely, Patty Pen old Executive Director Cc: Jeannine Truswell/ United Way of Weld County 134 OAK AVENUE • EATON , CO 80615 • Phone 970-454-2192 • Fax 970-454-2535 Report On The Audit Of GREELEY TRANSITIONAL HOUSE,INC. Greeley, Colorado December 31,2005 Brock & Associates, P.C. Certified Public Accountants TABLE OF CONTENTS Page Independent Auditor's Report 1 Exhibit 1 - Statements of Financial Position 2 Exhibit 2 - Statement of Activities 3 Exhibit 3 - Statements of Cash Flows 4 Exhibit 4 - Statement of Functional Expenses 5 Notes to Financial Statements - 6-7 Brock & Associates, P.C. Jim Brock,CPA Certified Public Accountants James Kloxin, CPA May 18,2006 Board of Directors Greeley Transitional House,Inc. Greeley, Colorado We have audited the accompanying financial statements of the Greeley Transitional House, Inc., as of and for the year ended December 31, 2005, as listed in the table of contents. These financial statements are the responsibility of the Agency's management. Our responsibility is to express an opinion on these financial statements based on the audit. We conducted the audit in accordance with generally accepted auditing standards. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement. An audit includes examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements. An audit also includes assessing the accounting principles used and significant estimates made by management, as well as evaluating the overall financial statement presentation. We believe that the audit provides a reasonable basis for our opinion: In our opinion, the financial statements referred to above present fairly, in all material respects, the financial position of Greeley Transitional House, Inc., as of December 31, 2005, and the results of its operations and changes in net assets and cash flows for the year then ended, in conformity with generally accepted accounting principles. Respectfully submitted, tt t4C1CC 1 ,4SvC 441 fie. Brock&Associates,P.C. Certified Public Accountants 4631 W. 20th Street Road,Suite 101 • Greeley, CO 80634 (970) 356-7994 • FAX (970) 304-9421 GREELEY TRANSITIONAL HOUSE, INC. Greeley, Colorado Statements of Financial Position December 31, 2005 and 2004 2005 2004 ASSETS Current Assets Cash and Cash Equivalents(Note 1) 42,112 182,803 Marketable Equity Securities (Note 1) 24,090 22,404 Grants Receivable 15,992 13,939 Prepaid Expense 1,723 3,677 Deposits - 19,078 Total Current Assets 83,917 241,901 Property Assets Land and Buildings 517,851 64,499 Equipment and Furniture 22,893 24,324 Less: Accumulated Depreciation (16,077) (52,701) Total Property Assets 524,667 36,122 Total Assets 608,584 278,023 LIABILITIES AND NET ASSETS Current Liabilities Mortgage Payable (Note 2) 39,000 - Accounts Payable 11,453 3,450 Payroll Withholding and Taxes Payable 1,693 4,653 Accrued Compensated Absences 1,143 13,652 Total Liabilities 53,289 21,755 Net Assets Unrestricted: Fixed Assets 524,667 36,122 Undesignated 28,657 218,175 Total Unrestricted 553,324 254,297 Temporarily Restricted 1,971 1,971 Total Net Assets 555,295 256,268 Total Liabilities and Net Assets 608,584 278,023 The accompanying notes are an integral part of these financial statements. Exhibit 1 2 GREELEY TRANSITIONAL HOUSE,INC. Greeley, Colorado Statement of Activities For the Year Ended December 31,2005 With Summary Information for the Year Ended December 31,2004 2005 Temporarily 2004 Unrestricted Restricted Total Total Support and Revenue Public Support Donations 216,809 - 216,809 142,315 Other Revenues Governmental Grants - 218,292 218,292 93,664 United Way Funding - 40,927 40,927 39,288 Investment Income 357 - 357 2,079 Net Increase in Fair Value of Investments 1,686 - 1,686 1,327 Gain on Sale of Assets 128,565 - 128,565 - Other Income 2,997 - 2,997 860 Total 350,414 259,219 609,633 279,533 Net Assets Released From Restrictions Restrictions Satisfied by Payment 259,219 (259,219) - - Total Support and Revenue 609,633 - 609,633 279,533 Functional Expenses (Exhibit 4) Program Services 267,882 - 267,882 228,661 Management and General 22,384 - 22,384 19,978 Fund Raising 20,340 - 20,340 18,247 Total Functional Expenses 310,606 - 310,606 266,886 Increase in Net Assets 299,027 - 299,027 12,647 Net Assets - Beginning of Year 254,297 1,971 256,268 243,621 Net Assets - End of Year 553,324 1,971 555,295 256,268 The accompanying notes are an integral part of these financial statements. Exhibit 2 3 GREELEY TRANSITIONAL HOUSE,INC. Greeley, Colorado Statements of Cash Flows For the Years Ended December 31, 2005 and 2004 2005 2004 Cash Flows From Operating Activities Increase (Decrease) in Net Assets 299,027 12,647 Adjustments to Reconcile Increase in Net Assets to Net Cash Provided by (Used by) Operating Activities: Depreciation - 4,174 Gain on Sale of Assets (128,565) - Unrealized(Gains) Losses - Securities (1,686) (1,327) (Increase) Decrease in Assets: Accounts Receivable - 75 Grants Receivable (2,053) (13,939) Prepaid Expense 1,954 176 Deposits 19,078 (19,078) Increase (Decrease) in Liabilities: Accounts Payable-Trade 8,003 (1,241) Payroll Taxes Payable (2,960) 606 Accrued Compensated Absences (12,509) 2,478 Net Cash Provided (Used)by Operating Activities 180,289 (15,429) Cash Flows From Investing Activities Proceeds from Sale of Assets 175,000 - Purchase of Property Assets (534,980) - Matured Certificate of Deposit - 34,000 Purchase of Marketable Securities - (304) Net Cash Provided (Used)by Investing Activities (359,980) 33,696 Cash Flow from Financing Activities Mortgage Loan Proceeds 267,500 - Mortgage Loan Payments (228,500)Net Cash Provided (Used)by Financing Activities 39,000 Net Change in Cash and Cash Equivalents (140,691) 18,267 Cash and Cash Equivalents - Beginning of Year 182,803 164,536 Cash and Cash Equivalents - End of Year 42,112 182,803 Noncash Activities Increase in Market Value of Equity Securities 1,686 1,327 The accompanying notes are an integral part of these financial statements. Exhibit 3 4 GREELEY TRANSITIONAL HOUSE,INC. Greeley,Colorado Statement of Functional Expenses For The Year Ended December 31,2005 With Summary Information for the Year Ended December 31,2004 Supporting Services Program Management Fund Totals Services and General Raising 2005 2004 Salaries and Wages 159,488 17,294 15,373 192,155 177,453 Program Expenses 17,964 - - 17,964 20,385 Employee Benefits 12,939 1,403 1,247 15,589 13,776 Payroll Taxes 12,767 1,384 1,232 15,383 14,220 Utilities 12,116 387 387 12,890 6,556 Depreciation 11,439 365 365 12,169 4,174 Household Supplies 9,015 - - 9,015 3,234 Mortgage Interest 5,247 167 167 5,581 - Insurance 4,526 238 - 4,764 4,799 Repairs and Maintenance 4,275 - - 4,275 4,273 Telephone 3,493 201 321 4,015 3,845 Professional Fees 3,555 395 - 3,950 4,000 Office Expenses 2,535 146 232 2,913 1,885 Training 2,337 134 215 2,686 1,258 Rental Expense 2,117 69 66 2,252 - Other Expense 1,402 - - 1,402 - Advertising 559 - 559 1,118 894 Vehicle Expenses 969 - - 969 1,959 Postage 826 47 77 950 1,023 Dues 313 154 - 467 378 Donor Recognition - - 99 99 401 Printing - - - - 1,193 Temp Service - - - - 1,100 Resident Emergency - - - - 80 Totals 267,882 22,384 20,340 310,606 266,886 The accompanying notes are an integral part of these financial statements. Exhibit 4 5 GREELEY TRANSITIONAL HOUSE,INC. Greeley,Colorado Notes to Financial Statements December 31,2005 Note 1 - Summary of Significant Accounting Policies Nature of Activities The Greeley Transitional House, Inc.,operates a temporary housing facility for homeless families in Greeley, Colorado. Business Activity The financial statements have been prepared on the accrual basis of accounting in accordance with generally accepted accounting principles. Public Support and Revenue Grants and other contributions of cash are reported as temporarily restricted support if they are received with donor stipulations that limit the use of the donated assets. When a donor restriction expires, that is, when a stipulated time restriction ends or purpose restriction is accomplished, temporarily restricted net assets are reclassified to unrestricted net assets and reported in the statement of activities as net assets released from restrictions. Donated materials and equipment are reflected as contributions in the accompanying statements at their estimated values at date of receipt. No amounts have been reflected in the statements for donated services, since no objective basis is available to measure the value of such services. Nevertheless, a substantial number of volunteers have donated significant amounts of their time in the Agency's program services and its fund-raising campaigns. Marketable Securities Marketable Equity Securities are carried at the lower of cost or market as determined at the balance sheet date. Details concerning investments are as follows: Fair Market Investments Cost Value 48 Shares Banc One Corp. 2,390 2,460 Aim Mutual Funds 27,404 21,630 Totals 29,794 24,090 6 GREELEY TRANSITIONAL HOUSE,INC. Greeley, Colorado Notes to Financial Statements December 31,2005 Note 1 - Summary of Significant Accounting Policies (Continued) Income Tax Status The Agency qualifies as a tax-exempt organization under Section 501(c)(3) of the Internal Revenue Code and,therefore, has no provision for federal income taxes. Cash and Cash Equivalents The Agency considers all highly liquid investments purchased with a maturity of three months or less to be cash equivalents. The Agency places its temporary cash investments with high credit quality financial institution. At times, such balances and temporary investments may be in excess of FDIC insurance limits. Estimates The preparation of financial statements in conformity with generally accepted accounting principles requires management to make estimates and assumptions that affect certain reported amounts and disclosures. Accordingly, actual results could differ from those estimates. Building and Equipment Building and equipment are valued at cost or fair market value at date of acquisition. Depreciation of buildings and equipment is provided on a straight-line basis over a useful life of 7 to 40 years. Functional Expenses Expenses are charges to program services and supporting services based on direct expenditures incun-ed. Any expenditures not directly chargeable are allocated to a program based on related salary expenses. Note 2 - Mortgage Payable Detail Payee Current Long Term Total W ells Fargo, Interest Rate 5.75% due July 4, 2006, secured by Real Estate at 1206 10th St., Greeley, CO 39,000 - 39,000 7 Application for Colorado Division of Housing (CDH) EMERGENCY SHELTER GRANT ASSISTANCE 2007 1. Applicant(Agency) Name and Address `21 DI4 Pf0jD`0ahy, � 3. 71 A Woman's Place Inc. For ooHusery 4. Name of Contact Person for Application 5. Phone 6. FAX 7. EMAIL Hallie Beard 970-351-0476 970-351-6686 Hallie@awpdv.org jj xs . g��G' I< f Tx ;. c 3 . r . ,. �°s . z .. �. :p '-d a i-fr.. 8. Municipality/County El I 9.1-lousing Authority � 10. Nonprofit Organization n Weld County XL' 11. For how many years has your shelter/ 12. Federal Identification Number program received State ESG funding? A Woman's Place has received this funding since 8 4 — 0 8 1 1 1 5 9 6 1994 through Weld County 13. Service Area ` 14. Population Weld County 219,257 (2004 estimate) 15. Provide a brief description of project and activities The Mission of A Woman's Place, Inc. is to shelter and help empower victims/survivors of domestic abuse to become safe, secure and self-reliant; and through education and collaboration to mobilize our community to help prevent domestic violence. A Woman's Place provides emergency safe shelter, food and supportive services to women and children who are homeless as a result of domestic violence. Our services include, but are not limited to: crisis support, legal advocacy, children's programs, information and referrals, 24 hour crisis line and outreach services. We are the only shelter in Weld County that provides comprehensive services to abused women and children. S , °t t . '>"G"r6 Px .� b 4 iy a + d ??i& F> ..EYTfi", ,�s3' •,h+ "- , sr�, ,,.,' wb1.,:t ,`411(4'.n` t e"°..:$.. S 4 ' - 11,, ,�i .. r ,. v� F # " Line Item 16. Operations 17. Essential 18. Homeless X19 Administration Services Prevention Only for Local govts with subgrantees Case Management $7,000.00 Utilities $3,000.00 Repairs/Maintenance $1,000.00 Insurance $1,000.00 20. SUBTOTAL $5,000.00 $7,000.00 21. TOTAL REQUEST: $ 12,000.00 22.Match Source(s) and Amount: City of Greeley $12,000.00 „• ., .F. *PTO, 2 ED 1C1i<1L OR ikGENCY•REPR SENTATIVE, 23. Name of Local Elected Official or Authorized Agency 24. Title of Local Elected Official or Authorized Representative (Please Type) Representative Ellen Szabo Executive Director 25. Signature of Authorized Representative 26.Date of Signature c March 21, 2007 2 tiEr B i ° „ . . . . flatteatt: eI �fiar�aY�areexpidl��ti0nn3h(atN#Ut3dswi1lrb 27.Operations Budget Narrative Explanation (Also Include information about shelter staff and their duties): A Woman's Place is asking for$5,000.00 for operational funding through ESG funds. Our safe house is operational 24 hours E day 7 day's a week. Utilities play a large part of providing safety and services to victims of domestic violence.We are asking fo $3,000.00 to help with utility costs. Repairs/Maintenance: We are asking $1,000.00 to do repairs around the safe house, insuring that women and children have a safe e&Nicomenthwith they may regan!het setsufidency. A Woman's Place offers a continuum of services for women and children who are victims/survivors of domestic violence. Our services include: screenings, intakes and crisis intervention 24 hours per day, 365 days per year, crisis and domestic violence support for victims of domestic violence; educational and support groups for residents and nonresidents; individual and group education/support for children and adolescents; parenting support and education; 24 hour phone coverage for crisis, domestic violence advocacy, and information/referral; and legal advocacy. Our services promote the self-sufficiency goals of the agency. All our services are free, confidential, and offered in English and Spanish, and through the Language Line we have confidential translation available in 150 languages 24hrs/day 7/days/wk. A Woman's Place employs twelve trained staff members. Our hiring protocol requires that candidates possess a BA, or are currently working toward a degree, or have at least three years of experience in a related field. All paid staff must complete a drug screening and a background check. We have a number of interns and volunteers from local universities and the community. Each employee, intern and volunteer is required to attend 15 hours of specific domestic violence training before working directly with clients. In addition, regular in-services are held to keep everyone up to date on topics pertaining to domestic violence and twice yearly we conduct a 40 hour training. The duties of staff, interns and volunteers can include assisting with the following program services: crisis and information calls, screenings and intakes, individual and group education, advocacy and support, parenting and life skills classes, case management, referrals, legal advocacy and children's group activities. 28. Essential Services Budget Narrative Explanation (First-time requests for essential services also, answer the following): (1) Is this a new service or a quantifiable increase in service above that provided during the previous 12 months? What other local government or nonprofit resources have funded these homeless services in the past year? Advocacy and case management is provided to all domestic violence victims who seek our services. Advocates assist clients it accessing resources, applying for housing, food stamps, TANF, Medicaid, etc. Legal Advocates assist clients with filing for prol orders, accompanying clients to court hearings, providing education about the legal process and referrals to providers. 29. Homeless Prevention Budget Narrative Explanation (Please explain your program components and how you will ensure that clients are eligible for homeless prevention assistance). N/A 3 131- SHELTER CHARACTERISTICS 2006-2007 ACTUAL 2007-2008 PROJECTED 30. Beds (including cribs) 28 28 31. Sleeping Rooms 8 8 32.Total Families Served 105 125 33.Total Persons in Families 168 170 34.Total Individuals Served 168 170 2374 2450 35.Total Shelter Nights M is t ' ?ER PERSON, O'Uts:140 'SERRVED' ilttsG FUNDING W ri: 36. What is the average cost per person served for each of your ESG-funded activities? $93.68 per night of stay y �� q kg F ,{ ' v r t C `I ��y l; °° �' g ; rye•- R.'q_ •, ,:*•: ••' .-, t $' 37.Client Paid Hours �. ' ' • 38.Client Unpaid Hours rr. .�yr s_ . = S € y' yr a t •"ar�.�w � . 39 Are au a •artici.atin. member of our local Continuum of Care? ■ Yesbit. ,---. .No ■ We don't have one sre zg � - F tsll° -� e .t. tSp°� {sp1 � ° Ra m 4. arZ , a - - o ree e nllyii.t .,.. AS,. °hrrlr�� ' ' - jN 5 �X.+a'r '-. n 0 � i. it -7---49+° 4 ,/,,,,,,::.:., �. . i'3` '&s •thzq ie s cia ei e 'e - i's'Z P e € -w xi eq'� a '®{L, : r4 P t f:a,3.} „M e a e e. y ,.o. e�0.�� iSi � � 6 1 � � D � �� 40 Shelter Information and Referral x 41. Emergency Shelter x -- 42.Transitional Housing Gre2,tet` elfa,tsdig u,J 4x sc fJ 43. Permanent Housing (w/services) (�t„(,I +'> N 44. Soup Kitchen 50.i04sLcsn P 45. Case Management pe-- 46.Transportation CS 47. Daycare !1/4) IA- 48. Medical treatment C I3lAnri5t-eXisitc_. i\--) 49. Substance Abuse Counseling 1O &out'-kea mera- 50. Psychological t.�nr1Y`EDroji J I (Q (J 51. Employment \d1/4,.) .rota) tc kt)U �w'1t� l' 52. Life Skills/Budgeting Y 53. Educational -AU3 ' UtJC .- 54. Security Deposit ,) a 55. Back rent I Q —` l'J 56. Back Mortgage Payments (}A-57. Utility Assistance Payments (St- I(L 0,1(aet ir¢.5 ' i € ( , Li 74 b.) .�+1,4 . �-F s' "-s:.rx z„a ....1e444. _. ... 0 t i 58. What is the need to be addressed? How urgent is the need? Please provide data or statistical information with a citation that supports the needs your agency will address. Also describe your proposed activities and beneficiaries, and indicate the total number of persons to be served. 1. There is a significant, critical incidence of domestic violence in our community. According to data available from the District Attorney's Office,Victims Witness Program, domestic violence continues to result in felony and misdemeanor charges at an average rate of 320 per year, exceeding one per day in some years. The Greeley Police Department has intervened in domestic violence incidents at the rate of 497 per year, and the Sheriffs Office at 217 per year (stats from 2005). It is difficult to estimate the number of unreported domestic violence crimes, but the number of domestic violence victims is even greater than these statistics indicate. 2. The need in Weld County is increasing for an effective, comprehensive, well funded agency that can provide services to assist victims of domestic violence and reduce the incidence of domestic violence in Weld County. a. Weld County is one of the fastest growing counties in the nation, with a population increase of 26.6%from April 2000 to July 2005. b. Weld County is ranked as the 9th largest population in Colorado according to the Colorado County Population Estimates(2005). c. Approximately 1/3 of homeless women are homeless due to domestic violence(Source: www.ncadv.orq) d. 100% of our clients are homeless due to domestic violence. In 2006, 316 women and children were provided safe shelter and/or comprehensive services through A Woman's Place.We provided 2,374 nights of stay. Staff handled at total of 4,151 phone calls; 468 crisis calls, 3,683 information and referral calls. We expect to serve as many or more victims of domestic violence in 2007—our services include shelter, case management, legal advocacy, crisis management and advocacy, group education and support for women and children who are victims of domestic violence. C. ^t, r 59. Part A. What is the financial commitment of your agency to this project? Do you have internal funding for this project? How will you provide the dollar-for-dollar match for this grant? To what extent does this program utilize community volunteers?What other funds from foundations and private donations do you receive for the project? Our funding sources include: Grants: VALE Weld $54,126.00 VALE Equip $5,000.00 VAWA $15,433.00 VOCA $39,013.00 City of Greeley $30,000.00 City of Evans $4,000.00 Town of Windsor $4,600.00 DAAP/ACT $60,000.00 ESG $10,959.00 EFSP $8,500.00 United Way $37,150.00 Foundations $144,000.00 Fundraisers/Donations $75,000.00 A Woman's Place has a strong volunteer base from our community and uses interns from University of Northern Colorado and Aims Community College Donations: corporate, community and individual donors, Fundraisers: Friends of A Woman's Place sponsors the GALA annually and all proceeds are given to A Woman's Place;the Board of Directors has a Fund Raising Committee that conducts an annual fund raiser called Cheers; and A Woman's Place is one of the founders this year of For Goodness Sake, a collaboration of five agencies including A Kid's Place,CARE, Eldergarden and Partners; For Goodness Sake has launched an annual year long, fundraiser called Celebrations and the proceeds will be divided between the five agencies. Part B. Do local governments(city and county) in which the project/program is located provide funding for the project? If so,what is the source of that funding? Does the community have its own allocation of Emergency Shelter Grant and/or Community Development Block Grant(CDBG)dollars? If so do you receive funding from that source? A Woman's Place does receive a local grant from the City of Greeley. The City of Greeley itself does not get ESG funding, but does receive Development Block Grant dollars. When our agency inquired of these services, we were told that all funding for the CDBG were used for 2007 and the next grant application would not be available until June 2007. ,etzc � # x to . r kw Vii. s--�°g s ? #f t ` ^'" °R"' : , s y x v i� � R 'W RI 4 ,' r 2y Q ::.N ESkP -Hex .`S . r ;,H. -ti 59. List key staff positions, responsibilities, and years of experience for staff of this agency and explain agency experience in conducting proposed ESG activities. • Ellen Szabo, Executive Director, received her BA from Harvard College and her M.Ed. in Counseling Psychology from Columbia University Teacher's College. She has extensive counseling experience working with populations impacted by domestic violence. She has worked in an alcoholism and substance abuse program; a rape victims advocate program, a family systems therapy agency serving low income and displaced families, and in a college counseling center, counseling students with disabilities and students in crisis, including domestic and dating violence situations. (at A Woman's Place since Feb 14, 2005) • Lotte Muster,NCC, LPC, LAC. Clinical Consultant(at A Woman's Place since April 2006) • Hallie Beard,Assistant Director, BA in Sociology with major in Criminal Justice, minor in Psychology and Legal Studies(at A Woman's Place since Feb 14, 2005) • Katherine Hayden, Development Director, BA in Sociology and Journalism (at A Woman's Place since 12/06) • Fawn Harmon,our Outreach/Legal Advocate Bacelors in Psychology and a Bachelors in Sociology with Criminal Justice Emphasis, Volunteered for Women's Shelter in Iowa, Intern for Probation Dept Victims Serivces Unit, Intern at DA's Office in Victim Witness Unit, paid employee at Sherriffs Office, Assistant Director,Weld County Law Enforcement Victim Services Unit(at A Woman's Place since April 2006) •Abby Peterfeso, or Parent/Child Advocate is a Masters level student at UNC in their Community Counseling Program, she earned a Bachelors in Psychology. (at A Woman's Place since May 2006) •Wendy Torres, Latina Outreach Advocate, BA Psychology,Volunteer at Family Center in Fort Collins working with youth on reading skills(at A Woman's Place since June 2006) •Amanda Wentz, Advocate, working on BA Non Profit Administration, (at A Woman's Place since July 2006) •Cheryl Oschsner, Advocate working on AA in Criminal Justice, (at A Woman's Place since February 2007) •Jeni Jett, Advocate, BA in Sociology(at A Woman's Place since February 2006) • Lacy Woods,Advocate (at A Woman's Place since February 2006) •Advocate to be hired •Advocate to be hired A Woman's Place employs ten trained staff members who provide direct service to domestic violence victims. We also have a number of interns and volunteers from local universities and the community who are committed to assisting our agency. Each staff member and volunteer is required to attend 15 hours of specific domestic violence training and mandatory bi-weekly in-services are held to keep staff and volunteers up to date on topics pertaining to domestic violence. Mk; =a .w „ rte, e ;z 2- — :$0,41101i4SSIMIDA1300,14(014.01t 61. Explain your organization's financial control system and procedures, and explain how your agency will monitor its activities to ensure that ESG dollars are spent in a timely manner. All financials are reviewed daily by the Executive Director. The Bookkeeper is a private contractor, and has no signing authority.The financial computer is not accessible to anyone in the safe house including the Executive Director who has'read only'access to financial information. Monthly financials are reviewed, analyzed and compared to budget by the Treasurer and are presented to the Financial Committee which meets monthly. In turn the Financial committee reports to the Board of Directors at the monthly Board meeting. An annual audit is performed by an independent auditor. R 44,. . ..; Y>® A . G E & ® B ,sMs @ a ei — PE t o..w a F r $x 4.4 62. Explain how you coordinate homeless housing, essential services and homeless prevention activities with other local nonprofit agencies and governmental service providers to ensure coordinated case management and non-duplication of services in your community or Continuum of Care, Domestic violence creates a population of greatest vulnerability - impacting financial, psychological, medical, physical and legal well-being. A Woman' s Place has the only program in Weld County that provides shelter and a continuum of services specifically geared toward victims/survivors of domestic violence. A Woman' s Place actively coordinates housing activities of domestic violence victims with other agencies in our community such as Transitional House, Catholic Charities, and Room at the Inn insuring that any one who seeks our services receives as many resources as possible. f y w. r y'1 ri f � r p� p ' ® 1 ♦'[ �,.rwpsw � ,,• tr; ��`.'.=,:6...:`c��-sv c.�,d�.,., a�_.'�.� �3 -•.s``�n,dA. �..a.'uza'A " a^CF,E,, 63. When and where did your agency staff receive training on Homeless Management Information Systems(HMIS)? Our agency does attend HMIS meetings to keep apprised of the many issues of homelessness and has participated in the recent statewide surveys, however; HMIS does not apply to us. Domestic Violence shelters are not required to report to HMIS. 64. List Computer(s)that are/can be dedicated to HMIS: Models, Operating Systems, Storage Capacity N/A 65. How do you ensure that client files are kept confidential? We ensure that client files are kept confidential by using only client numbers to identify files, and keeping them in an area that is locked. 66. Are you in compliance with HMIS? Please place an"X" in the box that best describes your current HMIS status? _I am a new applicant. _My agency is entering all HUD-required HMIS data elements on a consistent basis. My agency is in discussions with my systems operator regarding my participation. We have not yet been trained on the HMIS system. My staff has been trained on HMIS, but I am waiting to upgrade equipment and or training before we fully participate. X_My agency is exempt from HMIS. - �,.. r�.{.,y.r i -a..vn -s x. tsk is 7/68;;Y.1),,;( 4,,,, xis r t� •.:' {{+, f"�17 ' u t my r�' .s$e 66. What impact do you expect to have on identified needs if you receive ESG funding? Please provide a short narrative description. In 2006, 316 women and children were provided safe shelter and/or comprehensive services through A Woman's Place.We provided 2,374 nights of stay. Staff handled at total of 4,151 phone calls; 468 crisis calls, 3,683 information and referral calls. We expect to serve the same number of domestic violence victims or more in 2007. Of the women who chose to complete our Exit Survey in 2006,69%went on to a new living situation and only 2%went back to same living situation. 29%did not leave information on their future living situations. With our extended outreach program in English and Spanish we will expand the number of domestic violence victims who will be able to take advantage of our services. For all who seek our services, A Woman's Place will provide resources, referrals, and case management. ,'5, # :t.. e Iry - '�-ft 'i df 'i: -' yr t ,�� [ n A��/ry Ye� �? P r �' `I kg1l` 'mot r� � ; �'.,� �� ''a '4"1' ` .� „x.�'£`" 't �V,s� �s f_.y_K : E1"si iE 'x #P. S" dI Y :i R 'I .al §_' a NTSNu 'rx1:1 rL { v314 a 4, kr Y..S S`P +�Iy.>:` ''',:•:‘,1,1;:;,'; 't ,Ati fit fc. 10,,t67: dry,�.. edi �k' s*? y`,i c? 4t K' - l ,),„,;..):::;$37,17).:l t fj -t.°'°)fi� l °)�tirt °y¢e ac.,„„ P r €f"Vt ��vt5 it„ kr' ax cr s" .y �' rr a 3w°',�Sf tam y, 3kkX $ -'�r 'x*1e'�Fk- f C tx^'Ka'i, 94 a o?ktY r(SOW-A1 11 : #°9 e ;t - 39 #111 ltt11 $ 0 (��4��Ji1vf�j mYe n tip+ y yry+ln i i p t.8 § t �tx 3 €� � Ef - ti'"° k t .t P ht L � tR_ re`tteritttsi Mee is number ttiV0 vefi � . .,-,..::•.. .,:39.4.i;.:.-1 i - ° °- < $t t� ° ° e tic violence recei�g shelter fh your omestic violence faclity . . �(-' x " u t &e fib, tt Hyde e r$enitst- r' 'ae a�f r4- tt(io § Str'Si'1c "`' ' ' 'v-k ih � l }.°� ri n. T' licit Q i 6 - �� unseli s V\ . 4 k} ; sic' te i( �°Xi tt s 'tC !° lf,:i.2::!j b. )ta e a e i-e or''}' result f ur ac ivi ` gal ising7the fit. { , _s .. ^.7 rt j t.= ,i `� +`g .�, ,'f't n2 '+,3 +r. e,� Y '.t�':g's *�. Wj xF (1.441 f'4.1b' u* tT:1-/4 itin 3� 6, _ ' ' S;�, t >` -A1 4 a n ,.` ,. -s'�tg ar Ag."`S��c a r tA` f�' 4 .14tom' t ,ggcli14,111-"k O 1 f1°� .°P.0itiaili a c° „ ,%. ,t.: 'r.:4*�" )Wr rv, t, �a +?� "*' * " {,� �*a �Y+" ., i 46,$ 3 -'1-64 ,e° 1'.:5'}dzfa(lettCy%7$ t:)?.?;}1}, r . 2 r} '''. '1 5"�§',* .s . C''',J �ft 1 .t"i;�:.� /M i£ 2 �f.(.if 0:'''7,' ..;s°,lid .. ° 't,.xf^ .-x'" irw irCA"'.- f:'': ,alt- itegt`�- itt 68. For each activity you plan to undertake with Emergency Shelter Grant dollars, please identify the following: (Use additional pages if necessary) (a) the ACTIVITY, (b) HOW YOU PLAN TO MEASURE YOUR EFFORTS, and (c) the OUTCOMES THAT DESCRIBE HOW LIFE WILL BE IMPROVED FOR YOUR CLIENTS (d)the NUMBER OF BENEFICIARIES you expect for each activity. For examples PLEASE SEE ABOVE BOX LABELED"OUTCOME MEASUREMENT 1. Activity: Provide Emergency Food and Shelter to victims of domestic violence. a. Measurement:We will measure our success by collecting statistics on a daily, weekly and monthly basis. b. Outcomes:Victims of domestic violence who seek our services will receive emergency food and shelter in order to assist in ensuring their safety, health and wellbeing as they work toward self-sufficiency c.lt is our goal to provide emergency shelter to 225 women and children in 2007 2.Activity: Case Management a. Measurement:We will measure our success by collecting statistics on a daily, weekly and monthly basis. b. Outcomes:A Woman's Place will provide case management including referrals and resources to all victims of domestic violence who seek our services, thus assisting them in working toward self sufficiency. c. A Woman's Place will provide case management to 175 women and children who seek our services. LOCAL GOVERNMENT SUMMARY PAGE (TO BE COMPLETED ONLY BY LOCAL JURISDICTIONS WITH SUBGRANTEES) EMERGENCY SHELTER GRANT ASSISTANCE 2007 APPLICANT INFORMATION 1. Name and Address of Local Jurisdiction 2. CDH Project Number Weld County Housing Authority For CDH Use only P.O. Box 130 3. Date Received Greeley, CO 80632 For CDH Use Only 4. Name of Contact Person for Application 5. Phone 6. FAX 7. EMAIL Thomas Teixeira 970 353-7437 970 353-7463 Tom@greeley-weldha.org TYPE OF ORGANIZATION 8. MunicipalitylCounty 9.Housing Authority �l 10.Service Area 12.Federal Identification Number Weld County 8 14 -- 11 Is 16 18 14 14 16 BUDGET SUMMARY—ALL Projects Use Additional Sheets if Necessary 13.List Agency Name in 14. Operations 15. Essential 16.Homeless 17.Local this column (List Amount of Services Prevention Government Admin Request) (List Amount of (List Amount of Request) Request) Agency 1 Name 9,500 4,500 1,000 Greeley Transitional House Agency 2 Name 5,000 7,000 A Woman's Place Agency 3 Name 16,000 7,000 10,000 Catholic Charities Agency 4 Name 5,500 2,000 500 Room at the Inn Agency 5 Name Agency 6 Name 18. SUBTOTAL ALL By 36,000 20,500 11,500 Categories 19. Local Government 1,500 Admin 20. AMOUNT OF TOTAL REQUEST: $69,500 SIGNATURE OF AUTHORIZED OFFICIAL OR AGENCY REPRESENTATIVE 21. Name of Local Elected Official or Authorized Representative 22. Title of Local Elected Official or Authorized (Please Type) Representative David E. Long Chair Weld County Board of Commissioners 23. Signature of Loc lected Official or Authorized Representative 24.Date of Signature OTHER DOCUMENTS THAT YOU MUST SUBMIT WITH THIS APPLICATION (See attached pages) MATCH CERTIFICATION SOURCES OF LOCAL MATCH (Attach supporting documentation for available match. Documentation should reflect funding availability during the ESG contract year.) Other Federal (including pass-through funds, e.g. City CDBG, County FEMA, etc.) State/Local Government Funding City of Greeley $ $30,000.00 Private(including recipient) Funding Fund Raising/Cash $ Loans $ Building Value or Lease $ Donated Goods $ Donated Computers _ $ New Staff Salaries $ Volunteers ($5.00 per hour) $ Volunteer Medical/Legal $ Other(specify) $ I certify that match funds have been identified and committed to support the proposed ESG project and have not been used to match previous ESG awards(i.e.the value of a donated building used as match in a 2001 award cannot be used as match in 2007). This form is a description of the sources and amounts of such match funds,which are not being used as match for an other ederal program. gnature/Title Date 11 Instructions for Completion of Match Certification All applicants are required to complete the Match Certification form. Eligible forms of match are as follows: •The value of salary paid to staff to carry out the ESG Program. •The value of the time and services contributed by volunteers to carry out the program at a rate of$5.00 per hour. • Volunteers providing professional services such as medical or legal services valued at the reasonable and customary rate in the community. • The value of any donated material or building. •The value of any building lease using a method to reasonably calculate fair market value. •Award letters from foundations, organizations, private individuals, and other government sources. Note: These awards must overlap the ESG funding period to be eligible. of `Ir OFFICE OF THE CITY MANAGER City of 1000 10th Street,Greeley,Colorado 80631 Greeley (970) 350-9774 December 7, 2006 Hallie Beard, Grants Administrator A Women's Place, Inc. P.O. Box 71 Greeley, CO 80632 Dear Hallie: I am pleased to inform you that, at its December 5th meeting, the Greeley City Council approved its 2007 budget that includes an allocation of$30,000 to your agency as part of its support of Community Partners. You will be receiving a contract by mail shortly to be completed and returned to the City that describes the terms and conditions for use of the funds, reporting requirements and obligations related to compliance with state rules concerning immigration identification disclosures. Once your finding contract is received and approved by the City Finance Department the 2007 allocation may be requested as outlined in the contract. We are pleased to share our service to the citizens of Greeley with your organization and look forward to a safe, healthy and prosperous 2007. Please feel free to contact Lezlie Philp, Deputy Finance Director, at 350-9732 if you have any questions about your finding allocation prior to receipt of the contract. Sincerely • Ot City Manager cc: Lezlie Philp, Deputy Finance Director Mark Carmel, Deputy City Manager S e R %- i A c O1_ R C o si M E A I T r - I -r 1 .A TRADITION Additional Funds Documentation The list of all sources of additional funds not included as match to be used to carry out your proposed project. Be specific. Sources of Additional Funds Amount of Additional Funds Town of Windsor $4,600.00 DAAP/ACT $60,000.00 EFSP $8,500.00 ESG $10,959.00 City of Evans $4,100.00 United Way-Weld $30,689.00 VALE Weld $54,233.38 VALE Equipment $5,000.00 VAWA $15,433.00 VOCA $31,458.78 Weld County Housing $20,356.00 Total Additional Funds Committed to the ESG Process $ $245,329.20 it Weld County Housing Authority K P.O. Box 130 Greeley,CO 80632 970 353-7437 C. COLORADO I David E. Long Chair,Weld County Commissioners duly authorized to act on behalf of Weld County Government hereby approve the following projects proposed by A Woman's Place Inc. which is located in Weld County Colorado. Shelter for victims of domestic abuse Case management of clients and families By: 4D-J David E. Long, Chair 37751.200 7 Date Certification of Consistency with Consolidated Plan Must be completed by Consolidated Plan Coordinator or Appropriate Official for any and each of the following Colorado jurisdictions in which a project/program operates. The State of Colorado will provide the Certification of Consistency with projects outside of these areas. Adams County;Arapahoe County; City of Arvada; City of Aurora; City of Boulder; City of Centennial; City of Colorado Springs; City and County of Denver; Douglas County; City of Fort Collins; City of Greeley; City of Grand Junction, Jefferson County; City of Lakewood; City of Longmont; City of Loveland; City of Pueblo, Pueblo County; and the City of Westminster. I, Rebecca Safarik, Community Development Director certify that the,Weld County Housing Authority application for the Emergency Shelter grant funds is consistent with the Consolidated Plan for the City of Greeley. 1. (title) certify that(agency or program name) located in (name of jurisdiction) is consistent with the Consolidated Plan for (name of jurisdiction). aat ejtir Name and Title of C if ' Official G� y a'I for Jurisdiction Date of Certificatiop Aid- Z(r/ ;oar EMERGENCY SHELTER GRANTS PROGRAM ASSURANCES AND CERTIFICATIONS Ellen Szabo (name of chief elected official or appropriate non-profit signatory) of A Woman's Place (town, city, county or nonprofit organization)which is applying to the State of Colorado for funding through the Emergency Shelter Grant Program from the U.S. Department of Housing and Urban Development(HUD), hereby assures and certifies that: Amounts awarded under this program will be used only for these purposes: 1. Assist in the prevention of homelessness. 2. Assist in supporting the essential operating costs of shelters. 3. Assist in improving the quality of supportive services to the homeless. Projects will not require participation in religious services, as a condition for receiving assistance. All projects funded will develop and administer, in good faith, a policy designed to ensure the shelter is free from the illegal use, possession or distribution of DRUGS and ALCOHOL by its beneficiaries. Political activities will be prohibited in accordance with subsection 675 (e) of the Community Services Block Grant Act of 1981. The town, city, county or nonprofit organization certifies that matching supplemental funds required by the regulations at 24 CFR 576.71 and 576.85(a)(3), as mentioned by the amendments to Items 415(a) and 415(c) of the Stewart B. McKinney Homeless Assistance Act made by Section 832(e) of the Cranston-Gonzalez National Affordable Housing Act of 1990 (Public Law 101-625, November 28, 1990) will be provided. The amendment exempts the first $100,000 from the matching requirement and requires that the benefit of the $100,000 exemption be provided to those recipients from the State that are least capable of providing the matching funds. The requirements of 24 CFR 576.21(a)(4)(ii) which provide that the funding of homeless prevention activities for families that have received eviction notices or notices of termination of utility services meet the following standards: (A) that the inability of the family to make the required payments must be the result of a sudden reduction in income; (B) that the assistance must be necessary to avoid eviction of the family or termination of the services to the family; (C) that there must be a reasonable prospect that the family will be able to resume payments within a reasonable period of time; (D) that the assistance must not supplant funding for preexisting homeless prevention activities from any other source; (E)occur a week before eviction, foreclosure or termination. The requirements of 24 CFR 576.51(b)(2)(iii) concerning that submission by nonprofit organizations applying for funding of a certification of approval of the proposed project(s) from the unit of local government in which the proposed project is located. The requirements of 24 CFR 576.51(b)(2)(v) concerning the funding of emergency shelter in hotels or motels or commercial facilities providing transient housing. The requirements of 24 CFR576.56(a)(3) concerning the provision of termination and/or grievance procedures for an individual or family who violates program requirements. The requirement of 24 CFR576.56(b) concerning the involvement of homeless individuals and families in providing work or services pertaining to policy-making and in operations of facilities or activities assisted under this part. The requirement of 24 CFR576.57 concerning the prohibition of conflict of interest or financial interest in decision-making by elected officials, appointed officials, staff or board of directors except as may be granted by HUD as provided in 570.611(d). The requirements of 24 CFR 576.73 concerning the continued use of buildings for which Emergency Shelter Grant funds are used for rehabilitation or conversion of buildings for use of emergency shelters for the homeless; or when funds are used solely for operating costs or essential services, concerning the population to be served. The building standards requirement of 24 CFR 576.75. The requirements of 24 CFR 576.77, concerning assistance to the homeless. The requirements of 24 CFR 576.79, other appropriate provisions of 24 CFR Part 576, and other applicable Federal law concerning nondiscrimination and equal opportunity. The requirements of 24 CFR 576.80 concerning minimizing the displacement of persons, as a result of a project assisted with these funds. The requirements of 24 CFR 576.80 concerning the Uniform Relocation Assistance and Real Acquisition Policies Act of 1970. The requirement of the Cranston-Gonzalez National Affordable Housing Act (Public Law 101-625, November 28, 1990 contained in Section 832(e)(2)(C) that grantees develop and implement procedures the ensure the confidentiality of records pertaining to any individual provided family violence prevention or treatment services under any project assisted "under the Emergency Shelter Grants Program" will, except with written authorization of the person or persons responsible for the operation of such shelter, not be made public." The requirement that local government will comply with the provisions of and regulations and procedures applicable under section 104(g) of the Housing and Community Development Act of 1974 with respect to the environmental review responsibilities under the National Environmental Policy Act of 1969 and related authorities, as specified in 24 CFR Part 58, and as applicable to activities of nonprofit organizations. The requirement that no Federal appropriated funds have been paid, by or on behalf of the local government or nonprofit organization, to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal loan, the entering into of any cooperative agreement, and modification of any Federal contract, grant, loan or cooperative agreement. The requirement that if any funds, other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan or cooperative agreement, the local government or nonprofit organization shall complete and submit Standard Form-LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions. The requirement of disclosure specified in Subpart C of 24 CFR Part 12 regarding assistance from other HUD-funded programs. The requirement that the local government or nonprofit organization shall require that the language of the • PROHIBITION OF THE USE OF FEDERAL FUNDS FOR LOBBYING CERTIFICATION be included in the award documents for all standards at all tiers including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements and that all subrecipients shall certify and disclose accordingly. The requirement that(68 Fed. Reg. 43430) agencies receiving funding from the Emergency Shelter Grant Program become compliant with Homeless Management Information System (HMIS) as required by the Department of Housing and Urban Development. The required certification that the submission of an application for any emergency shelter grant is authorized under applicable law and that the local government or nonprofit organization possesses legal authority to carry out emergency shelter grant activities in accordance with applicable law and regulations of the Department of Housing and Urban Development. Ellen Szabo (Name and Title) 3`a910 ignature Date I 1` ; ' -.Ail etcre-� ift att�on NurftberRtequest }Ra larch 2005 �: r,s.� rtrt.. 4 s s r `` ,r dq`^t Oa:9S*4Ittr pOr to FA ilvi �a L e r x r, fdY¢ ,te #134. 4.Id'r`Pv or d ei of°the : " � f � y t a n s beta slew- o n e> �3..n Please complete all parts below p - e iet {ii: � -7rO'9 "4 rr' i I.Name: A Womarec Place Inc 2.Enter your Taxpayer Identification Number in the appropriate box. For individuals,this is your social security number(SSN).For other entities.it is your employer identification number(EIN). Sal Security Number-- Employer Identification Number OR -- _84-0811596 IF you are a SOLE PROPRIETOR or SINGLE-OWNER LW—whether payment is made to a personal name or to a doing business name, you must provide the following: Required:Personal name of owner of the business: Optional:Business name if different from above:_ IF you assign payment to a third party—such as a factor—provide the following: Required:Your name: ❑Corporation X❑Tax Exempt Entity ❑The United States DA state,the Mullet of ❑A foreign government cc Note that there is pq corporate under 501(a)(includes or any of its agencies Columbia.a possession of any of its political subdivisions exemption tor metrical and 501(cx3),or IRA. or instrumentalities. the United States,or any of or an international organization healthcare payments or the political arbdivisions or in which the United States payments for legal services agencies participates under a treaty a Act of Cengess ig re certi nef ;war +S' '.I d �t d.•• x.,._ .a.�: ,.:d, .,{f��„ }�a�.xc e ��dr�Ye'�"EI�tlfl�.�°�, 'aT{�Y �.. I.I am a U.S.person(including a U.S.resident alien). 2.The number shown on this form is my correct taxpayer identification number(or I am waiting for a number to be issued to me). 3.1 am not subject to backup withholding because:(a)I am exempt from backup withholding,or(b)I have not been notified by the Internal Revenue Service(IRS)that I am subject to backup withholding as a result of a failure to report alt interest or dividends,or(c)the IRS has notified me that I am no longer subject to backup withholding. Certification Instructions -You must cross out item 3 above If you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return.For real estate transactions, number 3 above does not apply. For mortgage interest paid,acquisition or abandonment of secured property,cancellation of debt, contributions to an individual retirement arrangement(IRA),and generally, payments other than interest and dividends,you are not required to sign the Certification, pbut �you Person completing this form: V`t-C/V l J Phone:( I-�-�1 Y ® T b Signatu Date: AD-1(0'7F' 1D-1(0'F' Address: o 60 City: p64.e,Q1 ail State:___r _ ZIP: 01[2 3( PLEASE PROVIDE A COPY OF YOUR LAST AUDIT i i i i i i I A WOMAN'S PLACE, INC. I FINANCIAL STATEMENTS I Years Ended December 31, 2006 and 2005 I I I 7 I I I TABLE OF CONTENTS Independent Auditors' Report 1 BALANCE SHEETS 2 STATEMENTS OF ACTIVITIES 3 STATEMENTS OF FUNCTIONAL EXPENSES 4 STATEMENTS OF CASH FLOWS 6 NOTES TO FINANCIAL STATEMENTS 7 A WOMAN'S PLACE, INC. Ill BALANCE SHEETS bl December 31 2006 2005 Ii ASSETS Cash $ 110,160 $ 8,928111 Receivables from Funding Agencies 48,799 62,686 Prepaid Expenses and Other Assets 5,667 400 Investments 224,521 233,923la Property and Equipment (net) 554,421 572,901 TOTAL ASSETS $ 943,568 $ 878,838 II LIABILITIES DI Accounts Payable $ 4,110 $ 13,820 Accrued Liabilities 12,601 11,559 Deferred Revenue - 3,572 111 Total Liabilities 16,711 28,951 NET ASSETS Ill Unrestricted: Investment in Property and Equipment 554,421 572,901ill Undesignated 369,629 274,272 Temporarily Restricted 2,807 2,714 Total Net Assets 926,857 849,887 I TOTAL LIABILITIES AND NET ASSETS $ 943,568 $ 878,838 II See Accompanying Notes to Financial Statements. I I I I I -2- I I 1 00 N M .--I.- VD I V1 C\ 00 O N N O\ 00 I M V O O t-- en O M N 7 00 \D ut 00 C\ Vl VD VD M O en Cl 00 OA V1 7 00 VD VD N M NIT 7 N O M 7 VD 7 M 00 II .. N Vim t`N 7 1T r- "4- !` rc a 00 vi vi O O Q` F°- h7 N el 1--- vn t` co ON 00 n 69 69 I .I. 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'G Q U CC j v 0 I U N b➢ F «3 .� C U W .yU. O C p R C) N up O O C) till w ti b 'Cl G m v C N Z a V) ca y a y °' U •t C y •C w v� Eo > G o ° ° °' ° •5 °' o a ge CL a 0 E Ill W c as - �' .- c° o > �° cl N auo 73 8 a ° .� ? o g o O E I w V] d O .E U y cl :° y A N 1+ O P N •° O H y� mu Q P, _s O o a g x 1 •y 8 F ° ° vUO z hp 4;2 vlz H w H m Q d Q I 4 On wavwwc7Sz Z Wa U Z Z -3- i. II Ili O V1 7 0> 7 00 M N in 7 N N M ./1 N O\ N N on M 00 .O N r• V1 \O 00 7 00 7 CO Vl 'O .-. 00 0, O l— t� Ts S00 V1 M7 l--..,NI, 7 N M (- 00 N 'n v0., In 00 .--• -^• M N 7 V1 N O1 7 7 N N O — M 'c ° 1D M N -- co N 0II H N M 7 69 69 00 .--, I NIn I NVD N i , , .0 , 0 , , 0 • b C 00 .--� .� en N N •�rilt w .- N 1,1 , vi v1 U K 69 4, C R{ in a. 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X. v •y (l~i W O Io H a C cUa W U o ro a3 ototq... U p W s. ... .o ...7 U I < Cl)C >' a. 0 � Uwa'' o0ap.. awwV)V) FF F at .E OF cn -5- ill A WOMAN'S PLACE, INC. STATEMENTS OF CASH FLOWS Years Ended December 31 2006 2005 Cash Flows from Operating Activities: Cash received from contributions and other funding $478,782 $ 415,052 Interest and dividends received 8,009 5,754 Cash paid to employees and suppliers (394,532) (526,477) Net Cash Provided (Used)by Operating Activities 92,259 (105,671) Cash Flows from Investing Activities: Change in investments 12,100 71,175 Purchase of property and equipment (3,127) (3,000) Net Cash Provided by Investing Activities 8,973 68,175 Cash Flows from Financing Activities - - NetIncrease (Decrease) in Cash 101,232 (37,496) Cash,Beginning of Year 8,928 46,424 Cash, End of Year $ 110,160 $ 8,928 Reconciliation of Change in Net Assets to Net Cash From Operating Activities: Increase (Decrease) in Net Assets $ 76,970 $ (91,433) Adjustments: (Gain) loss on investments (2,698) (4,007) Disposal of furnishings and equipment - 1,967 Depreciation 21,607 20,918 (Increase) decrease in: Receivables 13,887 (11,264) Prepaid expenses and other assets (5,267) 4,426 Increase (decrease) in: Accounts payable (9,710) (14,644) Accrued liabilities 1,042 (15,206) Deferred revenue (3,572) 3,572 Net Cash Provided (Used) by Operating Activities $ 92,259 $ (105,671) See Accompanying Notes to Financial Statements. -6- A WOMAN'S PLACE, INC. i NOTES TO FINANCIAL STATEMENTS ' NOTE 1 - Summary of Significant Accounting Policies: The accounting and reporting policies of A Woman's Place, Inc. (the Agency) conform to accounting principles generally accepted in the United States. The following summary of significant accounting policies is presented to assist the reader in evaluating the Agency's financial statements. Organization: The Agency is a non-profit organization formed in 1978 to provide services to women and their children who are victims of family violence. All areas of Weld County are served. A staff of professionals, student interns, and volunteer/advocates operate a safehouse facility for short-term crisis housing and provide advocacy, case management and support. Included in the services are a 24-hour help line, a children's program, community education, outreach, case management, legal advocacy, Latino outreach, and support groups. Basis of Presentation: The Agency reports information regarding its financial position and activities according to three classes of net assets: unrestricted net assets, temporarily restricted net assets, and permanently restricted net assets. Contributions restricted by the donor for particular programs are recorded as ' temporarily restricted revenue and included in temporarily restricted net assets until expended. Support that is restricted by the donor is reported as an increase in unrestricted net assets if the restriction expires in the reporting period in which the support is recognized. The Agency has no permanently restricted assets. Cash: ' The Agency maintains bank accounts at a commercial bank. The balances in those accounts may, at times, exceed the $100,000 Federal Deposit Insurance Corporation insurance limit. For purposes of the statement of cash flows, the Agency considers cash to include all cash on hand and demand bank deposits. Investments: The Agency records investments in marketable securities at market value. Interest and dividend income on marketable securities is recorded when received. I Pledges Receivable: Donors' unconditional promises to give are recorded as pledges receivable and contribution revenue when received. I -7 A WOMAN'S PLACE, INC. NOTES TO FINANCIAL STATEMENTS NOTE 1 - Summary of Significant Accounting Policies- Continued: Property and Equipment: Property and equipment purchased by the Agency are stated at acquisition cost. Donations of property and equipment are recorded at fair value on the date received. Depreciation is computed using the straight-line method over the estimated useful lives of the assets (twenty-five years for buildings, three to five years for furniture and equipment, and five to ten years for leasehold and building improvements). The Agency uses a capitalization limit of$1,000. Grants and Contracts: Grants and contracts from federal, state, and local governments and private foundations are considered exchange transactions and recorded as revenue when eligible expenses are incurred. Receivables from funding agencies represent amounts due for eligible expenses incurred prior to year end. Advances from funding agencies represent cash received in advance of incurring eligible expenses. In-kind Donations: Donations of materials and supplies to the Agency are recorded at estimated fair value when received. Donated office and facility space is recorded at the estimated value of comparable space in the community. The estimated value of donated services are recorded when the services provided require specialized skills, are by persons possessing those skills, and would typically be purchased if they were not donated. While instrumental to the Agency's delivery of program services, most of the volunteer services provided to the Agency do not meet the accounting criteria to be recorded in these financial statements. Functional Allocation of Expenses: The costs associated with each of the Agency's program and supporting services have been summarized in the statement of functional expenses. Certain costs have been allocated among the programs and supporting services benefited. Advertising Expenses: Advertising costs are expensed as incurred. Advertising expenses were $2,484 and $2,033 at December 31, 2006 and 2005,respectively. Use of Estimates: The preparation of financial statements in conformity with accounting principles generally accepted in the United States requires management to make estimates and assumptions that affect certain reported amounts and disclosures. Accordingly, actual results could differ from those estimates. -8- I A WOMAN'S PLACE, INC. I NOTES TO FINANCIAL STATEMENTS INOTE 1 - Summary of Significant Accounting Policies- Continued: Income Taxes: I The Agency qualifies as a tax-exempt organization under Section 501(c)(3) of the Internal Revenue Code. Accordingly, no provision is made in these financial statements for income taxes. I NOTE 2 - Investments: I2006 2005 December 31 Cost Market Cost Market IMoney Market Funds $ 5,629 $ 5,629 $ 56,087 $ 56,087 Certificates of Deposit 100,000 99,516 -- -- I Bonds 60,000 58,800 Mutual Funds 58,933 60,576 165,407 177,836 $224,562 $ 224,521 $ 221,494 $ 233,923 INOTE 3 - Property and Equipment: December 31 2006 2005 ILand $ 22,490 $ 22,490 Facility 632,354 632,354 I Furniture and equipment 12,184 11,543 667,028 666,387 Less: Accumulated depreciation 112,607 93,486 I $ 554,421 $ 572,901 NOTE 4 -Net Assets: IAt December 31, 2006, temporarily restricted net assets are available for the following purposes or periods: IDecember 31 2006 2005 Client needs $ 1,973 $ 2,469 I Language line 589 -- Other 245 245 $ 2,807 $ 2,714 I I -9- A WOMAN'S PLACE, INC. NOTES TO FINANCIAL STATEMENTS NOTE 5 - Grants and Contracts: Governmental grants and contracts are generally subject to audit by the federal government or other grantor. The ultimate determination of amounts received under these programs generally is based upon allowable costs reported to and audited by the government or grantor. Until such audits have been completed and final settlement reached, there exists a contingency to refund any amount received in excess of allowable costs. Management is of the opinion that no material liability will result from such audits. Following is a summary of grant awards to the Agency and the corresponding amount expended in 2006: Year Ended December 31,2006 Grant Award Grant Period Expended Federal(direct and passthrough): Victims Assistance/Domestic Violence Outreach $ 39,013 01/06 to 12/06 $ 31,459 Project(VOCA) Domestic Abuse Assistance Program(DAAP)and 72,200 7/05 to 06/06 36,100 (ACT) 60,000 7/06 to 06/07 30,000 Violence Against Women(VAWA) 15,433 04/05 to 03/06 3,858 15,433 04/06 to 03/07 11,575 Federal Emergency Management Agency 9,000 10/05 to 09/06 9,000 Weld County-Emergency Shelter Grant 11,057 07/05 to 06/06 5,529 10,694 07/06 to 06/07 5,430 State and Local: 25,000 01/06 to 12/06 25,000 City of Greeley-Night Intake/Counseling Domestic Violence Intervention Program(VALE) 54,088 01/05 to 06/06 27,044 57,233 07/06 to 06/07 30,189 Weld County Housing Authority 20,356 01/06 to 12/06 20,356 4,100 Other $239,640 Total NOTE 6- Operating Leases: Beginning November 2000, the Agency leased office space in Southern Weld County, Colorado under a three-year lease requiring monthly lease payments of $1,195. Rent expense was $2,629 in 2005. In May 2005, operations in Southern Weld County were discontinued. -10- Application for Colorado Division of Housing (CDH) EMERGENCY SHELTER GRANT ASSISTANCE 2007 APPLICANT INFORMATION 1. Applicant(Agency) Name and Address 2. CDH f roject Number Catholic Charities and Community Services of Archdiocese of Denver For CDH Use only. Northern Regional Office 3.Date Receiv d 2500 First Ave, Bldg C-B For DHt se"only ' Greeley, CO 80631 4. Name of Contact Person for Application 5. Phone 6. FAX 7. EMAIL Helen C. Somersall, Regional Director 970-484-5010 X 221 970-484-0259 hsomersall(a)ccdenver.orq TYPE-OF ORGANIZATION 8. Municipality/County Ei 9.Housing Authority 10. Nonprofit Organization x 11. For how many years has your shelter/ 12. Federal Identification Number program received State ESG funding? At least 5 years 8 4 -- 0 6 8 6 6 7 9 13. Service Area 14. Population Weld County, Colorado - 267,794 15. Provide a brief description of project and activities Shelter operations-Utilities, supplies and maintenance Essential Services-Shelter Case Management Homeless Prevention-Rental/Mortgage Assistance D�1 S x ¢ F .a '� .A �' B SY Tz i 7 N o- ' -g i; � - 4 N ;..x. d�'? pia� . �,i, n,t 'Se Additions She is if;"Necessaryk..'�ss§i,,-. .... 3,�;�Cz`t-�t....�,,.. . r ,� . e Line Item 16. Operations 17. Essential 18. Homeless 19. Administration Services Prevention Only for Local govts with subgrantees Utilities/Telephone $8,000 Supplies: Food, Supplies & Janitorial $5,000 Maintenance/Repairs $3,000 Staff Operations-Case Manager $7,000 Rent/mortgage assistance $10,000 20. SUBTOTAL $16,000 $7,000 $10,000 21. TOTAL REQUEST: $33,000 22. Match Source(s) and Amount: Daniels Foundation match is for $33,000 f ` ' -'. IGNATUR .OP #'UTHO} IZED OF,F,ICIA,L OR . E sf REPRESENTATIiII? '. 23. Name of Local Elected Official or Authorized Agency 24. Title of Local Elected Official or Authorized Representative (Please Type) Representative James Mauck President and CEO 25. Signature of Authorized Representative 26.Date of Signature 3/2 / [ D BUDGET NARRATIVE: For each budget category that you are requesting, please provide a narrative explanation of how funds will bt used to address the need in that category 27. Operations Budget Narrative Explanation (Also Include information about shelter staff and their duties): The utilities that will be paid include, heat, electricity, water and telephone service for the shelter. The supplies that will be paid include kitchen supplies, food and janitorial supplies for the shelter. The repairs and maintenance that will be paid include repairs and maintenance to the shelter, insurance for the shelter, janitorial services for the shelter and equipment maintenance. 28. Essential Services Budget Narrative Explanation (First-time requests for essential services also, answer the following): (1) Is this a new service or a quantifiable increase in service above that provided during the previous 12 months? What other local government or nonprofit resources have funded these homeless services in the past year? Under this section of the budget is a request for a portion of the salary for the Case Manager. This person works with the clients to develop a plan to end their homelessness. This is done through the development of an action plan with the steps to take to return to a stable life style. We have received funding for this position from United Way, Daniels Foundation and Weld County. 29. Homeless Prevention Budget Narrative Explanation (Please explain your program components and how you will ensure that clients are eligible for homeless prevention assistance). We are requesting $10,000 for homeless prevention services. These funds will be distributed through our Emergency Assistance Program. This program distributes funds for utility and rental assistance year round. The$10,000 request would either keep a household in their current housing for 30 days or assist people leaving the shelter to rent a home. We estimate that we will be able to help 20 households to be in a home. We provide this assistance also with funds from the Emergency Food and Shelter Program through FEMA. We require that a landlord will guarantee the renter 30 days of housing if the rent is paid and we also need to have a demand for rent from the landlord. We will also check with the county assessors office that the landlord making the request is the owner of said property. 2 SHELTER REPORT SHELTER CHARACTERISTICS 2006-2007 ACTUAL (projected) 2007-2008 PROJECTED 30. Beds (including cribs) 38 38 31. Sleeping Rooms 5 5 32. Total Families Served 32 40 33. Total Persons in Families 54 60 34. Total Individuals Served 488 500 35. Total Shelter Nights 9,416 10,000 AVERAGE COST PER PERSON OR HOUSEHOLD SERVED WITH ESG FUNDING 36. What is the average cost per person served for each of your ESG-funded activities? The average cost per person served for our ESG-funded activities is $353. CLIENT PARTICIPATION REPORT (HUD REQUIRES DOCUMENTATION OF CLIENT PARTICIPATION) 37. Client Paid Hours 0 0 38. Client Unpaid Hours 2,650 3,000 CONTINUUM OF CARE COORDINATION 39. Are you a participating member of your local Continuum of Care? 1 'Yes ❑ No ❑We don't have one SHELTER/ Who provides the following services in your Do you have a written SUPPORTIVE SERVICES community? agreement to coordinate (1) If it's your organization put an"X" in this column services? beside the corresponding service; Answer"Yes" or"No" or"NA" TYPE OF SERVICE (2) If it's another organization, please list their name (Not Applicable) 40. Shelter Information and Referral CCN 41. Emergency Shelter CCN 42. Transitional Housing CCN 43. Permanent Housing (w/services) CCN 44. Soup Kitchen 45. Case Management CCN 46. Transportation 47. Daycare CCN 48. Medical treatment 49. Substance Abuse Counseling 50. Psychological 51. Employment 52. Life Skills/Budgeting 53. Educational 54. Security Deposit CCN 55. Back rent CCN 56. Back Mortgage Payments CCN 57. Utility Assistance Payments CCN 3 EXTENT AND URGENCY OF THE NEED 58. What is the need to be addressed? How urgent is the need? Please provide data or statistical information with a citation that supports the needs your agency will address. Also describe your proposed activities and beneficiaries, and indicate the total number of persons to be served. During the fiscal year 2005-2006, 825 people were provided with shelter, food, hygiene supplies and supportive services. These supportive services revolved around making an action plan with the case manager to obtain the resources to have a stable home again. Currently 13% of the people in Weld County live below the poverty line. In Northeastern Greeley, where the shelter is located, the poverty rate is 25%. The lack of resources for these low income people leads many of them to slip in and out of homelessness. When they lose a job or miss a period of time at work, they will lose their jobs.They can lose their homes and often come to the shelter. With the Homeless Prevention funds and other grants we were able to keep 110 families in their homes this past year. This includes 3 households who moved from the shelter into a home. However we had to turn away twice as many households due to a lack of funds from our current funding sources. For a family of four in Weld County, there is a need for an income of$40,000 a year just to meet their basic needs. The households that come to the shelter and to emergency assistance make far below this amount. While the western side of Weld County has seen a surge • in the number of people living there and commuting to Denver for employment, those who live in the north east section of the county do not share in that economy and makeup the majority of people that we serve. LEVEL OF FUNDING SUPPORT/LEVERAGE 59. Part A. What is the financial commitment of your agency to this project? Do you have internal funding for this project? How will you provide the dollar-for-dollar match for this grant? To what extent does this program utilize community volunteers?What other funds from foundations and private donations do you receive for the project? The cost of this project is $172,475. The financial commitment of the agency is to fund the portion of the cost that is not covered by the ESG program. The agency raises funds through government grants, private grants, United Way and individual and group donations. The dollar match for this grant will be covered by a Private grant from the Daniels Foundation which has already awarded this program $50,000. They have been supporting the program for the past 3 years with grants. We are very active in using community volunteers. They provide the evening meal about 365 days a year, provide labor for painting the building inside and out and complete part of the cleaning that needs to be done in the spring. There were 1,495 volunteers who gave 5,980 hours of service. Using the value that this grant allows, that is $29,000 worth of volunteer service. Part B. Do local governments (city and county) in which the project/program is located provide funding for the project? If so, what is the source of that funding? Does the community have its own allocation of Emergency Shelter Grant and/or Community Development Block Grant(CDBG) dollars? If so do you receive funding from that source? We do not receive money from the CDBG program for the shelter. We do however receive funds from the city of Greeley and Weld County from general funds. 4 MANAGEMENT CAPACITY-STAFF AND AGENCY 60. List key staff positions, responsibilities, and years of experience for staff of this agency and explain agency experience in conducting proposed ESG activities. 1. Helen Somersall, MSW, has administrative responsibilities for the program. She is the regional director for Catholic Charities, Archdiocese of Denver, in Northern Colorado. She has worked for the agency for 13 years. 2. John Alvarez, BSW, has worked for the agency for 9 years. He has supervisory responsibilities for this shelter and the Mission Shelter in Fort Collins. He also supervises the Shelter plus Care program which has 11 vouchers, the Scattered Site Transitional program for families in both counties, and the Severe Weather Shelter in Fort Collins. 3. Jesus Flores is the Shelter Coordinator. He oversees the daily operations of the facility and provides case management for some clients. He also schedules volunteers, oversees needed repairs and purchases supplies and food. He has a BS from CU and 4 years with the agency. 4. Josie Clark, BSW, is the case manager for the shelter clients and also the Emergency Assistance coordinator. She coordinates the case management for the shelter clients, provides direct emergency financial services to clients, provides referral to other community resources and is the case manager for the clients in the Shelter plus Care program. She has been with the agency 1 year. MANAGEMENT CAPACITY- FINANCIAL 61. Explain your organization's financial control system and procedures, and explain how your agency will monitor its activities to ensure that ESG dollars are spent in a timely manner. Catholic Charities has an established set of Accounting Policies and Procedures. These policies and procedures are based on Generally Accepted Accounting Principles and OMB requirements. Catholic Charities also has an annual OMB A-133 audit. We have a full-time Grants accountant who monitors and submits reimbursement requests and reports for our ESG grant, ensuring that costs are allowable and acceptable. 5 COMMITMENT TO COORDINATE HOMELESS HOUSING, ESSENTIALSERVICES AND HOMELESS PREVENTION ACTIVITIES IN YOUR COMMUNITY OR CONTINUUM OF CARE 62. Explain how you coordinate homeless housing, essential services and homeless prevention activities with other local nonprofit agencies and governmental service providers to ensure coordinated case management and non-duplication of services in your community or Continuum of Care, Catholic Charities Northern is a founding member of the North Front Range Continuum of Care. This continuum of care provides the opportunity for providers of services to the homeless and those at risk of becoming homeless to meet and coordinate services to the homeless. Member agencies of the COC include representatives from local housing authorities, county and city governments, non-profit agencies, United Way and representatives form faith communities. Together as a COC we meet monthly and discuss coordination of case management, housing opportunities and strategies to overcome other barriers that the homeless need to confront if they are going to have a more stable life. From these meetings a understanding of each agencies programs and services are presented, along with limitations of those programs. Decisions are made about the applications each agency is making to fund the agencies and how we can support each others funding needs as well as sharing services and not duplicating services. We also gain an understanding of the expertise that each agency has and can contribute to the community effort. The North Front Range Continuum of Care has membership from both Weld and Larimer Counties -this is unique to our area. We can share experiences and resources that are available from two counties that have very different economies and population dynamics. ABILITY TO COMPLY WITH HOMELESS MANAGEMENT INFORMATION SYSTEMS 63. When and where did your agency staff receive training on Homeless Management Information Systems (HMIS)? Our staff has received training on the HMIS systems several times. There have been 3 trainings in the past year May 2006, February 2007 and March 07. 64. List Computer(s)that are/can be dedicated to HMIS: Models, Operating Systems, Storage Capacity Catholic Charities has a HP nx 7400 Notebook PC with the Microsoft Windows XP operating system and 80 GB of hard disk space for storage. This computer is dedicated to HMIS. 65. How do you ensure that client files are kept confidential? The client files for the HMIS system are locked in a fire and water proof file cabinet. 66. Are you in compliance with HMIS? Please place an "X" in the box that best describes your current HMIS status? _I am a new applicant. X My agency is entering all HUD-required HMIS data elements on a consistent basis. My agency is in discussions with my systems operator regarding my participation. We have not yet been trained on the HMIS system. My staff has been trained on HMIS, but I am waiting to upgrade equipment and or training before we fully participate. _My agency is exempt from HMIS. 6 PROJECT IMPACT - NARRATIVE 67. What impact do you expect to have on identified needs if you receive ESG funding? Please provide a short narrative description. The impact we expect to have on the identified needs is to provide emergency shelter and food to 500 people in the next year. This will include 400 single individuals and members from 40 families. While this is the most elementary impact it is also important if we are to make future impacts on the clients. People who are in need of shelter and food can not work on longer term needs if these basic needs are not met first. We expect to provide short term case management and case plans for 80 of the clients. This would include 20 households and 60 single individuals. This short term case management may be enough to enable the clients to regain housing and increased resources. This will all depend on the barriers that they face and the length of homelessness. We have found that the longer someone has been homeless the longer and more in-depth the case management will need to be. We also expect to help another 30 clients, including 5 families, with longer term case management. These will include families and single individuals that we are able to get into either permanent housing or 2 years of transitional housing. Included in this 30 will be those who need to access financial benefits such as SSI, SSDI, Old Age Pension, and Veterans Benefits. We may also need to help these people with applying for subsidized housing, medical benefits and nutritional benefits. PROJECT IMPACT - OUTCOME MEASUREMENTS Activities tell us what you are going to do. A measure is some way to quantify the work (activities)you are doing. It must be something you can measure from self-reports or something you can see, count, hear, smell, etc. Generally, there is a number involved: THE FOLLOWING MEASURES ARE FOR EXAMPLE ONLY • Number(de-duplicated)victims of domestic violence receiving shelter in your domestic violence facility • % of clients with increased budgeting ability • Number of households that received eviction prevention assistance • Number of teens receiving conflict resolution counseling An outcome is the WAY in which life has improved for a client as a result of our activity. Again using the above example: • Clients were able to stay in safe shelter; • Residents are able to balance a checkbook; • Households avoided homelessness • Youth are involved in fewer physical conflicts 68. For each activity you plan to undertake with Emergency Shelter Grant dollars, please identify the following: (Use additional pages if necessary) (a) the ACTIVITY, (b) HOW YOU PLAN TO MEASURE YOUR EFFORTS, and (c) the OUTCOMES THAT DESCRIBE HOW LIFE WILL BE IMPROVED FOR YOUR CLIENTS (d) the NUMBER OF BENEFICIARIES you expect for each activity. For examples PLEASE SEE ABOVE BOX LABELED "OUTCOME MEASUREMENTS" 1. The initial activity will be to provide shelter to 500 unduplicated individuals and families in the up coming funding period. This initial activity will be covered through the utility and maintenance request.We will measure the effort through the data records that give us the information on the number of people served and nights of shelter provided. Client life will be improved through their having a safe and secure place to sleep, eat and get basic hygiene needs met. 2. The intermediate outcome will be that families and individuals who stay in the shelter for two weeks will agree to meet with a case manager and determine what barriers they need to overcome to regain housing and to meet their basic needs. We will determine the number of clients who are expected to meet with the case management team by using the data system that we use to determine the number of clients who have stayed in the shelter for 2 weeks or more. It is expected that 80 clients will meet with our case managers, including 20 families with children. These clients will go through an assessment process and develop an action plan to improve their chances of returning to a stable home. They will improve their lives by going through this process and learning what actions they need to take to improve their situation. Some of them will leave without completing this process. However, if they return to the shelter again, we will be able to start again and maybe the next time they will know more about what they need to do to succeed. 3. The long term outcome will be that 25% of the clients who enter the case management program and develop an action plan will meet at least one of their action goals. The number of those who are expected to meet this out come will be 30 clients, including 5 families with children. We will use the data base and case management case records to determine the number of people who meet this outcome. The client's life will be improved through the skills they learn from building a relationship with a case manager and discussing their barriers to a better life. They will also be able to discuss the dreams and hopes they have for that better life. The long term plan will also give them support to find more permanent solutions to their current homelessness. 4. The outcome for the Homeless Prevention Assistance will be that 20 households will either be able to stay in their homes or be able to leave the shelter and gain a home by having their first months rent paid. 8 LOCAL GOVERNMENT SUMMARY PAGE (TO BE COMPLETED ONLY BY LOCAL JURISDICTIONS WITH SUBGRANTEES) EMERGENCY SHELTER GRANT ASSISTANCE 2007 APPLICANT INFORMATION 1. Name and Address of Local Jurisdiction 2. CDH Project Number For CDH Use only 3. Date Received For CDH Use Only 4. Name of Contact Person for Application 5. Phone 6. FAX 7. EMAIL TYPE OF ORGANIZATION 8. Municipality/County 9.Housing Authority❑ 10. Service Area 12. Federal Identification Number BUDGET SUMMARY-ALL Projects Use Additional Sheets if Necessary 13. List Agency Name in 14. Operations 15. Essential 16. Homeless 17. Local this column (List Amount of Services Prevention Government Admin Request) (List Amount of (List Amount of Request) Request) Agency 1 Name Agency 2 Name Agency 3 Name Agency 4 Name Agency 5 Name Agency 6 Name 18. SUBTOTAL ALL By Categories 19. Local Government Admin 20. AMOUNT OF TOTAL REQUEST: SIGNATURE OF AUTHORIZED OFFICIAL OR AGENCY REPRESENTATIVE 21. Name of Local Elected Official or Authorized Representative 22. Title of Local Elected Official or Authorized (Please Type) Representative 23. Signature of Local Elected Official or Authorized Representative 24.Date of Signature 9 OTHER DOCUMENTS THAT YOU MUST SUBMIT WITH THIS APPLICATION (See attached pages) 10 MATCH CERTIFICATION SOURCES OF LOCAL MATCH (Attach supporting documentation for available match. Documentation should reflect funding availability during the ESG contract year.) Other Federal (including pass-through funds, e.g. City CDBG, County FEMA, etc.) State/Local Government Funding Private (including recipient) Funding Daniels Foundation $ 33,000.00 Fund Raising/Cash $ Loans $ Building Value or Lease $ Donated Goods $ Donated Computers $ New Staff Salaries $ Volunteers ($5.00 per hour) $ Volunteer Medical/Legal $ Other (specify) $ I certify that match funds have been identified and committed to support the proposed ESG project and have not been used to match previous ESG awards(i.e. the value of a donated building used as match in a 2001 award cannot be used as match in 2007). This form is a description of the sources and amounts of such match funds,which are not being used as match for any other federal program. ca 4/1. , /Dram Arnin. 3/2 /707 Signature/Title Date n TOO 11 Instructions for Completion of Match Certification All applicants are required to complete the Match Certification form. Eligible forms of match are as follows: •The value of salary paid to staff to carry out the ESG Program. •The value of the time and services contributed by volunteers to carry out the program at a rate of$5.00 per hour. •Volunteers providing professional services such as medical or legal services valued at the reasonable and customary rate in the community. •The value of any donated material or building. •The value of any building lease using a method to reasonably calculate fair market value. •Award letters from foundations, organizations, private individuals, and other government sources. Note: These awards must overlap the ESG funding period to be eligible. 12 Additional Funds Documentation The list of all sources of additional funds not included as match to be used to carry out your proposed project. Be specific. Sources of Additional Funds Amount of Additional Funds Daniels Foundation $ 17,000 Private Donations—Archbishops Appeal $ 5,000 Parishes and Congregations $ 1,000 Enterprise Zone Donations $ 1,500 United Way $ 28,250 City of Greeley $ 9,000 Weld County $ 13,200 FEMA Shelter and Meals Assistance $ 29,025 Individual Private Donations $ 1,500 Fundraising Events $ 1,000 Total Additional Funds Committed to the ESG Process $ 106,475 13 SAMPLE CERTIFICATION OF LOCAL APPROVAL BY LOCAL BOARD OF COMMISSIONERS FOR NONPROFIT ORGANIZATIONS (Should be on County letterhead; can be signed by County Commission Chair or County Manager) I, , (name and title) duly authorize to act on behalf of the (name of jurisdiction) hereby approve the following project(s) proposed by (name of nonprofit) which is (are) to be located in (name of jurisdiction): By: Name and Title Date 14 Certification of Consistency with Consolidated Plan Must be completed by Consolidated Plan Coordinator or Appropriate Official for any and each of the following Colorado jurisdictions in which a project/program operates. The State of Colorado will provide the Certification of Consistency with projects outside of these areas. Adams County;Arapahoe County; City of Arvada; City of Aurora; City of Boulder; City of Centennial; City of Colorado Springs; City and County of Denver; Douglas County; City of Fort Collins; City of Greeley; City of Grand Junction, Jefferson County; City of Lakewood; City of Longmont; City of Loveland; City of Pueblo, Pueblo County; and the City of Westminster. (title) certify that (agency or program name) located in (name of jurisdiction) is consistent with the Consolidated Plan for (name of jurisdiction). Name and Title of Certifying Official for Jurisdiction Date of Certification 15 EMERGENCY SHELTER GRANTS PROGRAM ASSURANCES AND CERTIFICATIONS James Mauck (name of chief elected official or appropriate non-profit signatory) of Catholic Charities & Community Service,Archdiocese of Denver (town, city, county or nonprofit organization)which is applying to the State of Colorado for funding through the Emergency Shelter Grant Program from the U.S. Department of Housing and Urban Development(HUD), hereby assures and certifies that: Amounts awarded under this program will be used only for these purposes: 1. Assist in the prevention of homelessness. 2. Assist in supporting the essential operating costs of shelters. 3. Assist in improving the quality of supportive services to the homeless. Projects will not require participation in religious services, as a condition for receiving assistance. All projects funded will develop and administer, in good faith, a policy designed to ensure the shelter is free from the illegal use, possession or distribution of DRUGS and ALCOHOL by its beneficiaries. Political activities will be prohibited in accordance with subsection 675 (e) of the Community Services Block Grant Act of 1981. The town, city, county or nonprofit organization certifies that matching supplemental funds required by the regulations at 24 CFR 576.71 and 576.85(a)(3), as mentioned by the amendments to Items 415(a) and 415(c) of the Stewart B. McKinney Homeless Assistance Act made by Section 832(e) of the Cranston-Gonzalez National Affordable Housing Act of 1990 (Public Law 101-625, November 28, 1990) will be provided. The amendment exempts the first$100,000 from the matching requirement and requires that the benefit of the $100,000 exemption be provided to those recipients from the State that are least capable of providing the matching funds. The requirements of 24 CFR 576.21(a)(4)(ii) which provide that the funding of homeless prevention activities for families that have received eviction notices or notices of termination of utility services meet the following standards: (A) that the inability of the family to make the required payments must be the result of a sudden reduction in income; (B)that the assistance must be necessary to avoid eviction of the family or termination of the services to the family; (C) that there must be a reasonable prospect that the family will be able to resume payments within a reasonable period of time; (D) that the assistance must not supplant funding for preexisting homeless prevention activities from any other source; (E)occur a week before eviction, foreclosure or termination. The requirements of 24 CFR 576.51(b)(2)(iii) concerning that submission by nonprofit organizations applying for funding of a certification of approval of the proposed project(s) from the unit of local government in which the proposed project is located. The requirements of 24 CFR 576.51(b)(2)(v) concerning the funding of emergency shelter in hotels or motels or commercial facilities providing transient housing. The requirements of 24 CFR576.56(a)(3) concerning the provision of termination and/or grievance procedures for an individual or family who violates program requirements. The requirement of 24 CFR576.56(b) concerning the involvement of homeless individuals and families in providing work or services pertaining to policy-making and in operations of facilities or activities assisted under this part. The requirement of 24 CFR576.57 concerning the prohibition of conflict of interest or financial interest in decision-making by elected officials, appointed officials, staff or board of directors except as may be granted by HUD as provided in 570.611(d). The requirements of 24 CFR 576.73 concerning the continued use of buildings for which Emergency Shelter Grant funds are used for rehabilitation or conversion of buildings for use of emergency shelters for the homeless; or when funds are used solely for operating costs or essential services, concerning the population to be served. The building standards requirement of 24 CFR 576.75. The requirements of 24 CFR 576.77, concerning assistance to the homeless. 16 The requirements of 24 CFR 576.79, other appropriate provisions of 24 CFR Part 576, and other applicable Federal law concerning nondiscrimination and equal opportunity. The requirements of 24 CFR 576.80 concerning minimizing the displacement of persons, as a result of a project assisted with these funds. The requirements of 24 CFR 576.80 concerning the Uniform Relocation Assistance and Real Acquisition Policies Act of 1970. The requirement of the Cranston-Gonzalez National Affordable Housing Act (Public Law 101-625, November 28, 1990 contained in Section 832(e)(2)(C) that grantees develop and implement procedures the ensure the confidentiality of records pertaining to any individual provided family violence prevention or treatment services under any project assisted "under the Emergency Shelter Grants Program"will, except with written authorization of the person or persons responsible for the operation of such shelter, not be made public." The requirement that local government will comply with the provisions of and regulations and procedures applicable under section 104(g) of the Housing and Community Development Act of 1974 with respect to the environmental review responsibilities under the National Environmental Policy Act of 1969 and related authorities, as specified in 24 CFR Part 58, and as applicable to activities of nonprofit organizations. The requirement that no Federal appropriated funds have been paid, by or on behalf of the local government or nonprofit organization, to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal loan, the entering into of any cooperative agreement, and modification of any Federal contract, grant, loan or cooperative agreement. The requirement that if any funds, other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan or cooperative agreement, the local government or nonprofit organization shall complete and submit Standard Form-LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions. The requirement of disclosure specified in Subpart C of 24 CFR Part 12 regarding assistance from other HUD-funded programs. The requirement that the local government or nonprofit organization shall require that the language of the PROHIBITION OF THE USE OF FEDERAL FUNDS FOR LOBBYING CERTIFICATION be included in the award documents for all standards at all tiers including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements and that all subrecipients shall certify and disclose accordingly. The requirement that(68 Fed. Reg. 43430) agencies receiving funding from the Emergency Shelter Grant Program become compliant with Homeless Management Information System (HMIS) as required by the Department of Housing and Urban Development. The required certification that the submission of an application for any emergency shelter grant is authorized under applicable law and that the local government or nonprofit organization possesses legal authority to carry out emergency shelter grant activities in accordance with applicable law and regulations of the Department of Housing and Urban � � d Development. 1 / vi ee5e and Title) (/vlJ• 9uG1C) C'?/ < A.) 1 G !//. �, /aDieO Si ature gym. . ' t_ g ,4- �` .. 17 Fair. W-9 Request for Taxpayer (Rev.January 2003) Give form to the Department el me Treasury Identification Number and Certification requester. Do not internal Revenue Service send to the IRS. Ni Name Catholic Charities and Community Services of the Archdiocese of Denver, Inc. n Business name,if different from above c 0 m r Individual/ r'�1 Exempt from backup u Check appropriate box: Li Sole proprietor �! Corporation 0 Partnership 0 Other Pryi ALI C 2 '.v'I withholding S Address(number,street.and apt.or suite no.) re e Requester's name and address(opbop a 2525 W.Alameda Avenue - . ._- u SE Cry. state.and ZIP code m Denver,Co.80219 0. vi • m List account number(s)here(optional) m in Patti Taxpayer Identification Number(TIN) Enter your TIN in the appropriate box.For individuals,this is your social security number(SSN). Social security number However, for a resident alien,sole proprietor,or disregarded entity, see the Part I instructions on I I t I t I I page 3. For other entities, it.is your employer identification number(EIN). If you do not have a number,see How to get a TIN on page 3. • or• Note:If the account is in more than one name, see the chart on page 4 for guidelines on whose number Employer identification numbertd enter. 8 141.0 1 6 1 8 1 6 16 17 1 9 Part II Certification Under penalties of perjury,I certify that 1. The number shown on this form is my correct taxpayer identification number(or I am waiting for a number to be issued to me).and 2. I am not subject to backup withholding because: (a)I am exempt from backup withholding, or(b)I have not been notified by the Internal Revenue Service(IRS)that,'am subject to backup withholding as a result of a failure to report all interest or dividends. or(c)the IRS has notified me that I am no longer subject to backup withholding, and 3. I am a U.S, person(including a U.S. resident alien). • Certification instructions.You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions,item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt contributions to an individual retirement • arrangement(IRA),and generally, payments other than interest and dividends,you are not required to sign the Certification, but you must provide your correct TIN. (See the instructions on page 4.) Sign Signature of A //� Here U.S.person ► �(w/I 7� Date ► 3� p`'- O 7 Purpose of For `'— 1"v' Nonresident alien who becomes a resident alien. A person who is required to file an information return with Generally, only a nonresident alien individual may use the the IRS, must isobtain q iyour correct fi taxpayer information identificationretrn wi terms of a tax treaty to reduce or eliminate U.S. tax on number(TIN) to n for example, income paid to you, real pcertain types of income. However, most tax treaties contain a estate transactions, mortgage interest you paid, acquisition the saving known as a "saving y permit ouse.exemption ptioo from specified or abandonment of-secured property, cancellation of debt. or in the clause may fincome an enafter tax ie contributions you made to an IRA. continue for certain types of even the recipient has otherwise become a U.S, resident alien for tax purposes. U.S. person. Use Form W-9 only if you are a U.S. person (including a resident alien), to provide your correct TIN to the exception you are a U.S, the alien cla is relying tax an e person requesting it (the requester) and, when applicable, to: claiman empion in the m U.S. tax on certain of a tres eaty income, nto 1.Certify that the TIN you are giving is correct(or you are you mustattachtla staotement that specifies the pfollowing five waiting for a number to be issued), items: 2. Certify that you are not subject to backup withholding, 1.The treaty country. Generally, this must be the same or treaty under which you claimed exemption from tax as a 3. Claim exemption from backup withholding if you are a nonresident alien. U.S. exempt payee. 2. The treaty article addressing the income. Note: If a requester gives you a form other than Form W-9 3. The article number(or location) in the tax treaty that to request your TIN,you must use the requester's form if it is contains the saving clause and its exceptions. substantially similar to this Form W-9. 4.The type and amount of income that qualifies for the Foreign person. If you are a foreign person, use the exemption from tax. appropriate Form W-8 (see Pub. 515, Withholding of Tax on 5. Sufficient facts to justify the exemption from tax under Nonresident Aliens and Foreign Entities). the terms of the treaty article. Cat No.10231x Form W-9 (Rev. 1.2003) PLEASE PROVIDE A COPY OF YOUR LAST AUDIT 19 Catholic Charities and Community Services of the Archdiocese of Denver, Inc. Consolidated Financial Statements and Supplementary Information OMB Circular A-133 Version June 30,2006 (With Independent Auditor's Report Thereon) Catholic Charities and Community Services of the Archdiocese of Denver, Inc. Table of Contents Independent Auditor's Report 1 Statement of Financial Position, June 30, 2006 2 Statement of Activities, Year Ended June 30, 2006 3 Statement of Functional Expenses, Year Ended June 30, 2006 4 Statement of Cash Flows, Year Ended June 30, 2006 5 Notes to Financial Statements 6 Supplementary Information Consolidating Statement of Financial Position 20 Statement of Activities, Catholic Charities and Community Services 21 Statement of Activities, Farm Labor Housing Corporation 22 Schedule of Expenditures of Federal Awards, Year Ended June 30, 2006 23 Report on Internal Control Over Financial Reporting and on Compliance and Other Matters Based on an Audit Financial Statements Performed in Accordance with Government Auditing Standards 27 Report on Compliance with Requirements Applicable to Each Major Program and on Internal Control Over Compliance in Accordance with OMB Circular A-133 29 Schedule of Findings and Questioned Costs,Year Ended June 30, 2006 31 Summary Schedule of Prior Audit Findings 32 Independent Auditor's Report Board of Directors Catholic Charities and Community Services of the Archdiocese of Denver, Inc: We have audited the accompanying statement of consolidated financial position of Catholic Charities and Community Services of the Archdiocese of Denver, Inc. (Catholic Charities) as of June 30, 2006, and the related statements of activities, functional expenses and cash flows for the year ended. These consolidated financial statements are the responsibility of Catholic Charities' management. Our responsibility is to express an opinion on these consolidated financial statements based on our audit. The prior year summarized comparative information has been derived from the Catholic Charities' 2006 consolidated financial statements and, in our report dated November 4, 2005, we expressed an unqualified opinion on these consolidated financial statements. We conducted our audit in accordance with U.S. generally accepted auditing standards and the standards applicable to consolidated financial audits contained in Government Auditing Standards, issued by the Comptroller General of the United States. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the consolidated financial statements are free of material misstatement. An audit includes examining, on a test basis, evidence supporting the amounts and disclosures in the consolidated financial statements. An audit also includes assessing the accounting principles used and significant estimates made by management, as well as evaluating the overall consolidated financial statement presentation. We believe that our audit provides a reasonable basis for our opinion. In our opinion, the consolidated financial statements referred to above present fairly, in all material respects, the consolidated financial position of Catholic Charities as of June 30, 2006, and the changes in its net assets and its cash flows for the year then ended in conformity with U.S. generally accepted accounting principles. In accordance with Government Auditing Standards, we have also issued our report dated November 6, 2006, on our consideration of Catholic Charities' internal control over consolidated financial reporting and on our tests of its compliance with certain provisions of laws, regulations, contracts and grant agreements and other matters. The purpose of that report is to describe the scope of our testing of internal control over consolidated financial reporting and compliance and the results of that testing, and not to provide an opinion on the internal control over consolidated financial reporting or on compliance. That report is an integral part of an audit performed in accordance with Government Auditing Standards and should be considered in assessing the results of our audit. Our audit was performed for the purpose of forming an opinion on the basic consolidated financial statements of Catholic Charities taken as a whole. The accompanying supplementary information on pages 20-22a nd the schedule of expenditures of federal awards are presented for purposes of additional analysis or are required by U.S. Office of Management and Budget Circular A-133,Audits of States, Local Governments, and Non-Profit Organizations, and are not a required part of the basic consolidated financial statements. Such information has been subjected to the auditing procedures applied in the audit of the basic consolidated financial statements and, in our opinion, is fairly stated, in all material respects, in relation to the basic consolidated financial statements taken as a whole. November 6, 2006 Catholic Charities and Community Services of the Archdiocese of Denver, Inc. Consolidated Statement of Financial Position June 30,2006 (With Summarized Totals for 2005) 2006 2005 Assets: Cash and cash equivalents $ 839,770 1,368,141 Accounts receivable 1,985,809 1,887,327 Contributions receivable (note 2) 744,383 844,384 Inventory and other assets 1,042,799 513,038 Reserve cash (note 9) 309,458 272,253 investments (note 3) 5,784,478 6,001,076 Beneficial interest in assets held by others(note 4) 1,217,062 1,132,446 Custodial accounts(note 8) 41,781 44,502 Deferred charges 70,056 76,283 Property and equipment, net(notes 5, 10, 11 and 12) 17,926,647 18,457,940 Total assets $ 29,962,243 30,597,390 Liabilities: Accounts payable $ 512,119 740,008 Accrued expenses 1,509,611 1,082,188 Deferred revenue(note 6) 70,462 50,906 Liabilities under annuity agreements(note 7) 769,841 588,305 Custodial accounts(note 8) 41,781 44,502 Notes and mortgages payable(note 10) 1,329,645 1,553,205 Bonds payable (note 11) 1,480,000 1,580,000 Obligations under capital leases (note 12) 48,356 30,841 Total liabilities 5,761,815 5,669,955 Net Assets: Unrestricted: Property and equipment, net of related debt 13,934,311 14,097,285 Board designated (note 13) 2,938,106 2,938,106 Undesignated 2,184,545 2,702,366 Total unrestricted net assets 19,056,962 19,737,757 Temporarily restricted (note 13) 3,690,695 3,737,267 Permanently restricted(note 13) 1,452,771 1,452,411 Total net assets 24,200,428 24,927,435 Commitments and contingencies(notes 14-19) Total liabilities and net assets $ 29,962,243 30,597,390 See accompanying notes to financial statements. 2 Catholic Charities and Community Services of the Archdiocese of Denver, Inc. Consolidated Statement of Activities Year Ended June 30,2006 (With Summarized Totals for 2005) Temporarily Permanently 2006 2005 Unrestricted Restricted Restricted Total Total Revenue,Gains and Support: Public support: Direct contributions $ 2,442,744 1,794,701 360 4,237,805 3,458,226 Wills and bequests 59,685 514,424 - 574,109 2,370,296 Contributed materials 446,735 - - 446,735 358,372 Archbishop's Catholic Appeal and other support(note 15) 565,000 - - 565,000 510,000 Public and private grants(note la) 12,981,855 1,181,868 - 14,163,723 7,927,477 United Ways and Combined Federal Campaign 747,119 445,380 - 1,192,499 1,260,776 Auto program 91,750 - - 91,750 232,487 Change in net present value of annuities (50,836) - - (50,836) (49,689) Fundraising events and special appeals 252,392 - - 252,392 516,531 Special event direct expenses (40,678) - - (40,678) (63,442) Net assets released from restrictions 3,984,241 (3,984,241) - - - Total public support 21,480,007 (47,868) 360 21,432,499 16,521,034 Revenue: Program service fees 4,181,804 - - 4,181,804 3,586,748 SHARE food sales 4,502,677 - - 4,502,677 4,421,905 Rental income and subsidy 844,203 - - 844,203 909,829 Interest and investment income 272,647 1,296 - 273,943 245,147 Gain on sale of asset (35,239) - - (35,239) 305,484 Miscellaneous income 37 009 - - 37,009 40,554 Total revenue and gains 9,803,101 1,296 - 9,804,397 9,509,667 Total revenue,gains and support 31,283,108 (46,572) 360 31,236,896 26,030,701 Expenses: Program services: Mission/Ministry 2,591,914 - - 2,591,914 2,655,804 Homeless/Housing(note la) 10,841,883 - - 10,841,883 5,276,422 Family/Children 10,076,874 - - 10,076,874 8,442,820 SHARE Colorado 4,472,604 - - 4,472,604 4,237,507 Farm Labor Housing 917,503 - - 917,503 742,279 Total program services 28,900,778 - - 28,900,778 21,354,832 Supporting services: General and administrative 2,183,969 - - 2,183,969 2,322,086 Fundraising 879,156 - - 879,156 737,917 Total supporting services 3,063,125 - - 3,063,125 3,060,003 Total expenses 31,963,903 - - 31,963,903 24,414,835 Change in net assets (680,795) (46,572) 360 (727,007) 1,615,866 Net assets,beginning of year 19,737,757 3,737,267 1,452,411 24,927,435 23,311,569 Net assets,end of year $ 19,056,962 3,690,695 1,452,771 24,200,428 24,927,435 See accompanying notes to financial statements. 3 d' el r 0 r O 'O 00 N 0 Cr 0 en O 0 N' V r W ca V 0 .0 M N R oo - •o 0 NO 0 W N N O P P Cr O' C - N r y 0 O 00 0 r O N p b - N N- oo 0 M N - [ONO N y � O A r 'O 01 r y .ryr�+ �Nry�1 in O r (- V M •O ry [.O oo O\ O• - T C. or N N N N -, •-• --- M N N N •n O• V b 0 o;= — — en v' 6 Cl Cl N — O o O 0 0 N — N M N r- b M C. 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A N g g j C C y W 9 C c V d o v .4'4) E B m v" ca v Q 5, a c ,,, E qc m a c y = q m ° s c o id- c E C 0.0 • A 0 c '.z m eO a E c v m >, c v n o m u E °�' ° o F a a O pU b N O N O O u L C E X ° A ' 4.A. 6 0 U v = z - rn O c - — ..c E m g E. y " v el. . 0 c _ I-. ux m v o se: v O P. N •G E 0 2 = e S O O ' O N U N L' F' •^ O , u to rn ma ¢. d' vi C'J a. o0 Hi- Ow a. ° ❑ a V m0 ° O O .-1 F `" V) Catholic Charities and Community Services of the Archdiocese of Denver, Inc. Consolidated Statement of Cash Flows Year Ended June 30,2006 (With Summarized Totals for 2005) 2006 2005 Cash flows from operating activities: Change in net assets $ (727,007) 1,615,866 Adjustments to reconcile change in net assets to cash provided(used)by operating activities: Depreciation 937,209 921,050 Amortization 68,501 66,152 Contributions restricted for capital projects (120,321) (612,565) Gifts of securities (44,669) (10,336) Gifts of property and equipment (78,313) (13,814) Contributions restricted for endowment (360) (270) Realized and unrealized loss(gain)on investments 35,281 (57,337) Actuarial loss on annuity obligations 50,836 49,689 (Gain)loss on disposal of fixed assets 35,239 (238,213) Changes in operating assets and liabilities: Increase in receivables (98,482) (728,645) Decrease in contributions receivable 100,001 52,161 (Increase)decrease in prepaid expenses and other assets (529,761) 5,315 Increase in accounts payable and accrued expenses 199,534 461,730 Increase(decrease)in deferred revenue 19,556 (89,308) Net cash provided by(used by)operating activities (152,756) 1,421,475 Cash flows from investing activities: Proceeds from sales of investments 2,112,753 2,442,380 Purchases of investments (1,971,383) (3,023,637) Investments in reserve accounts (37,205) (90,384) Sales of property and equipment 232,533 305,484 Purchases of property and equipment (595,375) (1,876,773) Net cash used by investing activities (258,677) (2,242,930) Cash flows from financing activities: Proceeds from contributions restricted for: Capital projects 120,321 617,536 Endowment 360 270 Proceeds from borrowing 32,551 42,714 Payment of bonds (100,000) (95,000) Payment of annuity obligations (96,688) (71,118) Present value of liability for new gift annuity 227,388 29,080 Payments on notes payable and capital lease obligations (300,870) (86,449) Net cash provided by(used by)financing activities (116,938) 437,033 Net decrease in cash and cash equivalents (528,371) (384,422) Cash and cash equivalents at beginning of year 1,368,141 1,752,563 Cash and cash equivalents at end of year $ 839,770 1,368,141 Supplemental disclosures: Interest paid $ 198,487 140,176 See accompanying notes to financial statements. 5 Catholic Charities and Community Services of the Archdiocese of Denver, Inc. Notes to Consolidated Financial Statements June 30, 2006 (1) Summary of Significant Accounting Policies (a) General Catholic Charities and Community Services of the Archdiocese of Denver, Inc. (Catholic Charities) is organized as a Colorado not-for-profit corporation and was formed on April 27, 1928. Under the 1983 Code of Canon Law of the Roman Catholic Church, Catholic Charities is also public juridic person and accordingly, is subject to the Canonical Statutes of Catholic Charities and Community Services of the Archdiocese of Denver. Catholic Charities operates various programs to assist and promote charitable, welfare, educational, health, and social services in the Denver-Metropolitan area, Weld and Larimer counties and in Western Slope counties within the territory of the Archdiocese of Denver (the Archdiocese). Some of the major programs in operation are: The Office of Mission and Ministry is responsible for the provision and coordination of services within Catholic Charities to individuals and families in need of basic necessities through emergency assistance and neighborhood food banks. The office encompasses direct services, education, advocacy, immigration assistance and organized efforts to change societal systems that keep families from independence and self-sufficiency. The Office of Homelessness and Housing provides temporary shelter and meals as well as case management for homeless persons at Samaritan House and the Father Ed Judy House in Denver, the Mission in Fort Collins, and the Guadalupe Shelter in Greeley. The office also addresses employment and training issues, transitional housing, farm worker housing and the development of additional housing projects. Included in the office is Courtyard Commons, a 34-unit apartment house that offers transitional housing for persons leaving homeless shelters (see note 19). During the year ended June 30, 2006, Catholic Charities received and expended federal funds totaling $5,687,940 for Hurricane Katrina relief. These amounts are included in revenue and expense on the statement of activities. The Office of Family and Children provides daycare programs, Head Start, and before and after school programs, in Northern Colorado and Metro Denver. The Family Center provides adoptive, child welfare, and counseling services to birth parents with unplanned pregnancies. It also provides marriage and family counseling, senior services, and youth services. Operations also include a group home for the developmentally disabled, the immigration program, children's health program and the Western Slope dental program. SHARE Colorado is an acronym for Self Help and Resource Exchange. This program provides individual participants a choice of pre-selected food baskets for a nominal fee and two hours of community service. 6 Catholic Charities and Community Services of the Archdiocese of Denver, Inc. Notes to Consolidated Financial Statements, Continued (1) Summary of Significant Accounting Policies, Continued (a) General, Continued Farm Labor Housing Corporation (FLHC) is a separately incorporated program, formed in 1993 to provide farm labor housing that is safe, clean and affordable and to act as a catalyst to building more farm labor housing. The initial project for FLHC, Plaza del Milagro, consists of a 40-unit housing complex, which includes a community center and child-care center located in Greeley, Colorado. Plaza del Sol, which consists of 42 independent housing units, housing up to 144 single occupants, began renting in fiscal year 2004. (b) Consolidation The accompanying financial statements include the accounts of Farm Labor Housing Corporation, a separate not-for-profit corporation. All material interorganization transactions have been eliminated in consolidation. (c) Basis of Accounting The accompanying financial statements of the Catholic Charities have been prepared on the accrual basis of accounting and, accordingly, reflect all significant receivables, payables, and other liabilities. (d) Financial Statement Presentation Financial statement presentation follows the requirements of Statement of Financial Accounting Standards (SFAS) No. 117, Financial Statements of Not-For-Profit Organizations. Under SFAS No. 117, Catholic Charities is required to report information regarding its financial position and activities according to three classes of net assets: unrestricted, temporarily restricted, and permanently restricted net assets. In addition, Catholic Charities is required to present a statement of cash flows. (e) Contributions Catholic Charities accounts for contributions in accordance with the requirements of the Financial Accounting Standards Board in SFAS No. 116, Accounting for Contributions Received and Contributions Made. In accordance with SFAS No. 116, contributions received are recorded as unrestricted, temporarily restricted, or permanently restricted support, depending on the existence or nature of any donor restrictions. 7 Catholic Charities and Community Services of the Archdiocese of Denver, Inc. Notes to Consolidated Financial Statements, Continued (1) Summary of Significant Accounting Policies,Continued (e) Contributions, Continued Donor-restricted support is reported as an increase in temporarily or permanently restricted net assets, depending on the nature of the restriction. When a restriction expires (that is, when a stipulated time restriction ends or purpose restriction is accomplished), temporarily restricted net assets are reclassified to unrestricted net assets and reported in the statement of activities as net assets released from restrictions. (f) Contributions Receivable Unconditional contributions receivable are recognized as revenues in the period the pledge is received. Contributions receivable are recorded at net realizable value if expected to be collected in one year and at fair value if expected to be collected in more than one year. Conditional contributions receivable are recognized when the conditions on which they depend are substantially met. Catholic Charities uses the allowance method to determine uncollectible contributions receivable. The allowance is based on prior years' experience and management's analysis of specific promises made. (g) Cash and Cash Equivalents Catholic Charities considers all unrestricted highly liquid investments with an initial maturity of three months or less and that are not part of the investment portfolio to be cash equivalents. Bank accounts held as custodial accounts (note 8) or as reserve accounts (note 9) have not been included in cash and cash equivalents. (h) Investments Investments in marketable securities with readily determinable fair values and all investments in debt securities are stated at their fair values in the statement of financial position. Unrealized gains and losses are included in the change in net assets in the statement of activities. (i) Inventories Catholic Charities' inventory is stated at cost, and consists primarily of food to be sold in the SHARE program. At June 30, 2006, inventory amounted to $978,893. 8 Catholic Charities and Community Services of the Archdiocese of Denver, Inc. Notes to Consolidated Financial Statements, Continued (1) Summary of Significant Accounting Policies, Continued (j) Concentrations of Credit Risk Financial investments which potentially subject Catholic Charities to concentrations of credit risk include $3,683,655 held by the Archdiocese of Denver Irrevocable Revolving Fund Trust and invested on behalf of Catholic Charities. Catholic Charities also holds commercial bonds and stocks valued at $2,029,269 that are subject to changes in value due to market factors. Catholic Charities places its temporary cash and money market accounts with creditworthy, high-quality financial institutions. A significant portion of the funds are not insured by the FDIC or related entity. Accounts receivable consist of program service fees due primarily from government agencies, and government grant and contract related receivables. The allowance for doubtful accounts is based on past experience and on analysis of the collectibility of current accounts receivable. Accounts deemed uncollectible are charged to the allowance in the year they are deemed uncollectible. Accounts receivable are considered to be past due based on contractual terms Catholic Charities is subject to the risk of loss from certain government receivables if the government determines that certain amounts are unallowable reimbursements, although this has not happened to date. Management believes the receivables are fully collectible, and the allowance for doubtful accounts is adequate. Concentration of credit risk associated with contributions receivable exists as approximately 86% of Catholic Charities' contributions receivable balance consists of a pledge from one donor. (k) Property and Equipment Land, buildings and equipment with initial cost or value of more than $1,000 are capitalized at cost or, if donated, the estimated fair market value of the asset at the date of donation. Catholic Charities received donations of property and equipment valued at $78,313 during the year ended June 30, 2006. Depreciation is computed on a straight- line basis over the estimated useful lives of the assets. Equipment leased under capital leases is recorded at the present value of the lease payments. Amortization of capitalized leases is included with depreciation on the financial statements. (I) Use of Estimates The preparation of financial statements in conformity with generally accepted accounting principles requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of financial statements and the reported amounts of revenues and expenses during the reporting period. Actual results could differ from those estimates. 9 Catholic Charities and Community Services of the Archdiocese of Denver, Inc. Notes to Consolidated Financial Statements, Continued (1) Summary of Significant Accounting Policies,Continued (m) Advertising The Organization uses advertising to promote certain programs and products. The costs of advertising are expensed as incurred. During fiscal 2006, advertising costs totaled $138,253. (n) Contributed Materials and Services Donated materials which meet the criteria for recognition under SFAS No. 116 are reflected as contributions in the accompanying statements at their estimated values at date of receipt. Donated materials consisted of food valued at $446,735 contributed for shelter operations. Automobiles were donated for resale or scrap for which Catholic Charities received income from the proceeds in the amount of $91,750. Catholic Charities receives the rent-free use of a community center from the Denver Housing Authority, and a group home on the Fort Logan campus from the Colorado Department of Human Services. No amount is recorded in the financial statements for this use. No amounts have been reflected in the financial statements for donated services. Catholic Charities pays for most services requiring specific expertise. However, many individuals volunteer their time and perform a variety of tasks that assist Catholic Charities with specific assistance programs. (o) Functional Allocation of Expenses The costs of providing the various programs and other activities have been summarized on a functional basis in the statement of functional expenses. Accordingly, certain costs have been allocated among the programs and supporting services benefited. (p) Tax Exempt Status Catholic Charities is exempt from federal income tax under Section 501{c}{3} of the Internal Revenue Code through its inclusion in the United States Conference of Catholic Bishops group ruling and listing in the Official Catholic Directory. Accordingly, contributions to Catholic Charities qualify for the charitable contribution deduction. Income from activities not directly related to Catholic Charities' tax exempt purpose is subject to taxation as unrelated business income. There was no unrelated business income subject to tax in 2006 or 2005. (q) Prior Period Information The accompanying financial statements include certain prior-year summarized comparative information in total but not by net asset group. Such information does not include sufficient detail to constitute a presentation in conformity with generally accepted accounting principles. Accordingly, such information should be read in conjunction with Catholic Charities' financial statements for the year ended June 30, 2005, from which the summarized information was derived. 10 Catholic Charities and Community Services of the Archdiocese of Denver, Inc. Notes to Consolidated Financial Statements, Continued (2) Contributions Receivable Contributions receivable by Catholic Charities at June 30, 2006, consist primarily of grants from foundations, other agencies and individuals. Farm Labor Housing has no contributions receivable at June 30, 2006. Scheduled payments are as follows: Due within one year $ 139,667 Due within one to five years 534,916 Thereafter 200,000 874,583 Less: Unamortized discount (64,198) Allowance for uncollectibles (66,002) Net contributions receivable $ Catholic Charities has also received conditional pledges of support totaling $400,000 for the purpose of building a Head Start and Early Head Start facility. The pledges are conditional on certain requirements being approved by the Department of Health and Human Services. The conditions were not met at June 30, 2006 and the pledges have therefore not been recorded as receivable in the financial statements. (3) Investments Investments are recorded at fair value. Unrealized gains and losses are reported as increases or decreases in unrestricted net assets because the gains and losses are unrestricted. Investments consisted of the following at June 30, 2006: Investments with the Archdiocese of Denver Irrevocable Revolving Fund Trust $3,683, 655 Preferred stock and corporate notes1,024, 722 Mutual funds invested in debt securities 1,004,547 Money market and cash balance 71.554 $5184. 478 Investment income is summarized as follows: Interest and dividend income $ 309,224 Realized and unrealized appreciation of investments (35,281) Total investment income $ 273.943 The Archdiocese of Denver Irrevocable Revolving Fund Trust (Revolving Fund Trust) is a trust that enables parishes and other Catholic entities within the territory of the Archdiocese to pool financial resources to obtain competitive terms for depositing, withdrawing and borrowing money. The Revolving Fund Trust holds title to the assets of the Trust. However, the equitable and beneficial ownership of the assets of the trust belong to and are owned by each entity participating in the Revolving Fund Trust pursuant to the terms and conditions of the Trust Agreement. 11 Catholic Charities and Community Services of the Archdiocese of Denver, Inc. Notes to Consolidated Financial Statements, Continued (4) Beneficial Interest in Assets Held by Others Catholic Charities has entered into an agreement with the Catholic Foundation for the Roman Catholic Church in Northern Colorado (the Foundation), to hold and invest certain endowed funds, originally valued at $1,100,000. The funds deposited at the Foundation are to be held in perpetuity by the Foundation, to which variance power has been given. The Foundation shall distribute annually to Catholic Charities, as much of the net income of the Fund as Catholic Charities requests and the Foundation deems consistent with the agreement and the distribution policies of the Foundation. At June 30, 2006, the investments had a fair market value of$1,217,062. (5) Property and Equipment Property and equipment consisted of the following at June 30, 2006: Catholic Farm Labor Charities Housing Total Land and land improvements $ 3,049,028 936,157 3,985,185 Buildings 11,857,889 6,756,587 18,614,476 Construction in progress 225,906 - 225,906 Furniture and equipment 1,843,699 455.292 2,298,991 16,976,522 8,148,036 25,124,558 Less accumulated depreciation (6.105 562) (1.092.349) (7.197911) Property and equipment, net $ _10—8_70-20 74155.6K 17.926.647 (6) Deferred Revenue Grant and contract revenue is recognized as revenue when Catholic Charities incurs allowable reimbursable costs for the purpose specified by the grantor or contractor. Cash received in excess of the expended costs is recorded as unearned revenue, and allowable costs incurred in excess of cash received are recorded as a receivable. Deferred revenue at June 30, 2006 consisted of grants and program service fees received but not yet expended for the allowable purposes. (7) Charitable Gift Annuities Catholic Charities has received several charitable gift annuity contracts. These contracts require Catholic Charities to make fixed payments to the beneficiaries over their lifetimes. The obligation to make the periodic disbursements to the beneficiary becomes a general obligation of Catholic Charities. This liability is recorded at the net present value of the expected future payments, discounted at interest rates ranging from 4% to 6% over the expected lives of the beneficiaries, and totaled $769,841 at June 30, 2006. 12 Catholic Charities and Community Services of the Archdiocese of Denver, Inc. Notes to Consolidated Financial Statements, Continued (8) Custodial Accounts Catholic Charities maintains separate bank accounts on behalf of individuals for whom Catholic Charities has been appointed guardian or trustee. These accounts are shown as both an asset and a liability on the Statement of Financial Position as all disbursements must be on behalf of the individuals for whom the accounts are maintained. (9) Reserve Accounts FLHC is required to make payments to a reserve account for Plaza del Milagro until the balance reaches $400,000, at which time the funds may be used for repair, replacement, or improvement of the property, to meet payments on loan obligations, or to promote the loan or grant purpose. For fiscal year 2006, the required payment to this reserve account was $40,000, bringing the total account balance to $256,597. Annual payments of$41,380 are required to be made to a similar account for the Plaza del Sol until the balance reaches $413,800. Payments to the Plaza del Sol reserve of$53,665 were made to the reserve during the year and a withdrawal for property taxes of$19,600 was also made, bringing the balance of the account to $52,861. (10) Notes and Mortgages Payable At June 30, 2006, notes and mortgages payable consisted of the following: Farm Labor Housing Corporation: Note payable to USDA, Rural Development, interest at 1%, monthly payments to be made over 33 years, secured by first lien on the 40-unit property-Mi/agro $ 420,344 Note payable to Weld County, interest at 3%, monthly payments to be made over 33 years, secured by deed of trust-Milagro 265,003 Note payable to USDA, Rural Development, including accrued interest at 1%, monthly payments to be made over 33 years beginning at the time operations begin—Sol 1,225,357 Note Payable to Colorado Housing Finance Authority, interest at 1%, monthly payments of$1,608 to be made over 30 years. 460,157 Note payable to Weld County, interest at 3%, monthly payments beginning in 2004, secured by deed of trust-So/ 93i 19 2,463,980 Less discount (1,134,335) Net notes payable-Farm Labor Housing Corp. $ L329-645. 645 13 Catholic Charities and Community Services of the Archdiocese of Denver, Inc. Notes to Consolidated Financial Statements, Continued (10) Notes and Mortgages Payable, Continued The future undiscounted principal payments on these notes for years ended June 30 are: 2007 $ 76,762 2008 78,087 2009 78,754 2010 79,771 2011 80,804 Later years 2 069,80? 2,463,980 Less discount (1,134,335) Net notes payable, Farm Labor Housing $ 1,179 64S FLHC has received five loans with interest rates substantially lower than prevailing interest rates. These notes have been discounted, depending on the market rate for similar loans at the time of borrowing. The discounts have been deducted from the face value of the notes, and were recorded as restricted contributions in the years in which the loans were received (the years ended June 30, 1999, 2002, and 2004). The discount totals $1,134,335 at June 30, 2006. As this discount is amortized, a corresponding amount is released from temporarily restricted net assets. (11) Bonds Payable On June 22, 2001, the Colorado Educational and Cultural Facilities Authority issued Mortgage Revenue Refunding Bonds (2001 Bonds) in the amount of $1,930,000, the proceeds of which were loaned to Catholic Charities for the purpose of refunding $2,000,000 of First Mortgage Bonds, Series 1996 (1996 Bonds), which had an outstanding balance of $1,800,000. The 2001 Bonds are payable in semiannual installments varying from $81,310 to $103,669. The 2001 Bonds were issued in two series. Series 2001A Bonds amount to $1,790,000 and pay non-taxable interest, with interest rates ranging from 4.00% to 5.65%. Series 2001B Bonds amount to $140,000 and pay taxable interest, with interest ranging from 6.75% to 7.0%. The bonds are secured by a first mortgage on land and office building in Denver, Colorado. The bonds are subject to call and redemption on any interest payment date at par plus accrued interest, after November 15, 2006. 14 Catholic Charities and Community Services of the Archdiocese of Denver, Inc. Notes to Consolidated Financial Statements, Continued (11) Bonds Payable, Continued Debt service to maturity for the 2001 Bonds for the fiscal years ending June 30 is as follows: Principal Interest Total 2007 $ 100,000 81,043 181,043 2008 110,000 75,930 185,930 2009 110,000 70,348 180,348 2010 120,000 64,525 184,525 2011 125,000 57,591 182,591 Thereafter 915.000 179.320 1.094.320 Totals $1 480,000 578,757 2.008,757 Bond issuance costs have been recorded as deferred charges and are being amortized on the straight-line basis over the term of the bond issue. (12) Capital Leases Catholic Charities has entered into capital lease agreements for refrigerated trailers for use in the SHARE program and for office equipment, including copiers. Amortization expense related to the leases is included with depreciation expense on the statement of functional allocation. Future principal and interest payments on these leases for years ending June 30 are: 2007 $ 30,473 2008 16,399 2009 9.411 56,283 Less interest (7,927) $ 48,356 (13) Restrictions on Net Assets (a) Temporarily Restricted Temporarily restricted net assets at June 30, 2006 consist of the following: Catholic Charities: Contributions promised by donors, but not yet received $ 744,384 Contributions restricted by donors but not yet expended 640,336 Remaining proceeds from the Lowry Settlement 1,171,640 Subtotal 2.556.360 Farm Labor Housing Corporation: Unamortized loan discount(note 10) 1,134,335 Total $ 3 690 695 15 Catholic Charities and Community Services of the Archdiocese of Denver, Inc. Notes to Consolidated Financial Statements, Continued (13) Restrictions on Net Assets, Continued Net assets released from restrictions during 2006 consisted of the following: Catholic Charities: Collection of contributions receivable $ 100,001 Restricted contributions expended per donor instructions 3,761,966 Subtotal 3,861,967 Farm Labor Housing Corporation: Amortization of below market rate note payable 62,274 Restricted contributions received and expended per donor instructions 60.000 Subtotal 122.274 Total $ 3.9_84,21 In addition, unrestricted net assets generated by Farm Labor Housing projects are restricted for use by that particular housing project. (b)Permanently Restricted Permanently restricted net assets consist of endowment fund assets that are subject to restrictions requiring that the principal be invested in perpetuity and only the income be used. Permanently restricted net assets consist of the following endowment funds at June 30, 2006: Catholic Charities Endowment Fund-Samaritan House (note 4) $ 1,000,000 Catholic Charities Endowment Fund-operations (note 4) 100,000 General Endowment 50,000 South West Emergency Assistance 25,852 Marjory Reed Mayo - equipment 25,000 Samaritan House - capital improvements 251.919 Total permanently restricted net assets $1 5 2 Z71 (c) Board Designated Net Assets Board designated net assets are set aside at the discretion of the board of directors and may be redirected at their discretion at a future date. The Board of Catholic Charities has designated net assets for future use as follows: Capital improvements $ 935,000 Margery Reed Mayo 562,702 Catholic Charities Operations 562,702 Homelessness and Housing 562,702 Northern Operations 315,900 $2fl 16 Catholic Charities and Community Services of the Archdiocese of Denver, Inc. Notes to Consolidated Financial Statements, Continued (14) Operating Leases Catholic Charities rents office space for administrative and program needs in various locations. Total minimum rental commitment under these written lease agreements are as follows for the years ended June 30: 2007 $ 96,221 2008 32,288 2009 24.773 $1_51.282 In addition, Catholic Charities rents space for various programs on a month to month basis. Total rent expense for the year ended June 30, 2006 was $237,183. (15) Related Party Transactions —Archdiocese of Denver and Related Organizations Catholic Charities has as its general purpose, the promotion of the charitable causes of the Archdiocese. In addition to investments, the following related party transactions existed with the Archdiocese for the year ended June 30, 2006: (a) The Archdiocese of Denver contributed $565,000 to Catholic Charities through the Archbishop's Catholic Appeal. The Archdiocese also provided funding of $121,288 for the Archdiocesan Social Ministry program staffed by Catholic Charities. Catholic Charities also received $144,173 from the Archdiocese restricted for Hurricane Katrina Relief. (b) Archdiocesan Housing, Inc. (AHI), an entity related to the Archdiocese, reimbursed Catholic Charities for a portion of the wages of certain shared employees totaling $117,415 in the year ended in June 30, 2006. AHI also reimbursed Catholic Charities $54,131 for shared information technology services. At June 30, 2006, Catholic Charities had receivables totaling $72,538 for these services, and $195,019 for Catholic Charities' share of a developer fee paid by Mt. Loretto LLC. Catholic Charities owed Archdiocesan housing $81,554 for their work on the development of the new Guadalupe Shelter. (c) Courtyard Commons paid a management fee to Housing Management Services, Inc., an entity related to the Archdiocese. The fee is 6 1/2 percent of gross rents and amounted to $9,850 in the year ended June 30, 2006. Fees were paid through April 4, 2006, when Courtyard Commons was sold to Courtyard Commons, LLC. (d) Catholic Charities is one of two members of the non-profit organization, St. Vincent de Paul Stores (St. Vincent). Catholic Charities has a loan receivable from St. Vincent. Principal payments on the loan amounted to $6,076 in 2006. Catholic Charities rents space in the St. Vincent store for one of its emergency assistance centers. In 2006, Catholic Charities paid St. Vincent rent of$5,000 and reimbursed utilities amounting to $1,076. 17 Catholic Charities and Community Services of the Archdiocese of Denver, Inc. Notes to Consolidated Financial Statements, Continued (16) Pension Cost Catholic Charities has established a retirement plan under section 403(b) of the Internal Revenue Service Code that is available to employees. Catholic Charities contributes 5% of employee salaries for employees with a year or more service. In addition, Catholic Charities matches 50% of employee contributions of the first 4% contributed by the employee, up to a maximum 2% of their salaries. Total employer contributions under this plan were $434,382 for the year ended June 30, 2006. (17) Land Use Restrictions In conjunction with renovation of the Mission building in Ft. Collins that was partially funded by a grant of $46,235 from the City of Ft. Collins in 2006, Catholic Charities has agreed to continue to operate the building as a CDBG eligible public facility for 90 years or refund the grant. Farm Labor Housing Corporation has received four loans with interest at rates below market (see note 10). The loans require that the Plaza del Milagro and Plaza del Sol be maintained as low-income housing. In addition, FLHC has received an $85,000 loan from the Federal Home Loan Bank. This loan bears no interest and will be forgiven in full after 15 years, as long as FLHC is in compliance with the loan contract, which includes rental to eligible tenants, and continued ownership of the Plaza del Milagro. This loan was recorded as a contribution in the year it was received. A similar loan was received in July, 2003 for the construction of Plaza del Sol in the amount of $200,000, which was also recorded as a contribution in prior financial statements. The Plaza del Sol loan has terms that are the same as the Plaza del Milagro loan. During the year ended June 30, 2005, Catholic Charities received a grant from the Greeley Urban Renewal Authority (GURA) totaling $200,000, towards the purchase of a new site for the relocation of the Guadalupe Shelter. The grant requires that the property be used as a shelter; should the use change, the portion of the fair market value attributable to the grant must be refunded to GURA. (18) Mount Loretto Project Catholic Charities was involved in the development and construction of Mount Loretto, an affordable housing complex. During the year ended June 30, 2004, Catholic Charities' interest in the property was transferred to a newly formed company, Mount Loretto LLC, in which Catholic Charities, through its membership in Loretto/Charities, LLC, has an interest of less than .01%. Mount Loretto, LLC has received additional funding by issuing bonds through Colorado Affordable Catholic Housing Corporations and from tax credit investors. 18 Catholic Charities and Community Services of the Archdiocese of Denver, Inc. Notes to Consolidated Financial Statements, Continued (18) Mount Loretto Project, Continued Loretto/Charities, LLC is the general partner of the Mount Loretto, LLC. The obligations of the general partner are guaranteed by Catholic Charities. The general partner is also required to loan to the owner all funds needed to cover operating deficits for a 36-month period beginning after the project has achieved a three month break even, up to the greater of 10% of the final mortgage or $250,000, and provide an escrow of $130,000 as security for its obligations. In the event of tax credit recapture, the general partner is required to reimburse the investors for any recaptured credits. AHI has agreed to provide legally enforceable "back-up guarantees" and to escrow the required amounts to meet the operating deficit guaranty as well as any escrow required to meet the debt service reserve requirement. During the year ended June 30, 2004, Catholic Charities received funding totaling $600,000 from the State of Colorado for the construction of Mount Loretto. As a condition to the receipt of this funding, a covenant has been recorded to insure that the housing is to be rented to low income occupants for a term of 40 years. Should this condition not be met during the 40 year period, the $600,000 must be repaid. Similarly, during the year ended June 30, 2005 Catholic Charities received a grant of$600,000 from the City and County of Denver, and a grant of$294,000 from the Federal Home Loan Bank. The terms of these grants require that the property be rented to low income occupants for terms of 30 and 15, years respectively. During the year ended June 30, 2006, Catholic Charities recorded a developer's fee of $195,019 from Mt. Loretto, LLC. (19) Courtyard Commons On April 4, 2006, Catholic Charities sold the property at 1122 Pearl Street, Denver, known as Courtyard Commons. The property was sold to Courtyard Commons, LLC, a limited liability company whose managing member is AHI Development, LLC. The property consists of a 34-unit apartment house that offered transitional housing for persons leaving homeless shelters. The property was sold for$840,000 comprised of$202,731 in payment of the existing CHAFA mortgages on the property, and a promissory note of$637,269. The promissory note bears interest of 4.79%, and requires that Courtyard Commons LLC make annual payments of $1,000, cash flows permitting. The balance of the note and accrued interest is due and payable in full in 2045. Because recovery of Catholic Charities' investment in the property is uncertain, Catholic Charities has determined that a gain on sale will not be recorded, and accordingly, has recorded a loss of$46,319, equal to the excess of the cost basis of the property, $249,050, over the $202,731 payment received. Any future payments received will be recorded as gain under the cost recovery method as received. 19 Catholic Charities and Community Services of the Archdiocese of Denver, Inc. Consolidating Statement of Financial Position June 30, 2006 Catholic Farm Labor Charities Housing Total Assets: Cash and cash equivalents $ 556,345 283,425 839,770 Accounts receivable 1,944,331 41,478 1,985,809 Contributions receivable 744,383 - 744,383 Due from(to)other fund 70,000 (70,000) - Inventory and other assets 1,042,799 - 1,042,799 Reserve cash - 309,458 309,458 Investments 5,784,478 - 5,784,478 Beneficial interest in assets held by others 1,217,062 - 1,217,062 Assets held in trust for others 41,781 - 41,781 Deferred charges 70,056 - 70,056 Property and equipment,net 10,870,960 7,055,687 17,926,647 Total assets $ 22,342,195 7,620,048 29,962,243 Liabilities: Accounts payable $ 503,597 8,522 512,119 Accrued expenses 1,500,258 9,353 1,509,611 Deferred revenue 70,462 - 70,462 Liabilities under annuity agreements 769,841 - 769,841 Assets held in trust for others 41,781 - 41,781 Notes and mortgages payable - 1,329,645 1,329,645 Bonds payable 1,480,000 - 1,480,000 Obligations under capital leases 48,356 - 48,356 Total liabilities 4,414,295 1,347,520 5,761,815 Net Assets: Unrestricted Property and equipment, net of related debt 9,342,604 4,591,707 13,934,311 Board designated 2,938,106 - 2,938,106 Undesignated 1,638,059 546,486 2,184,545 Total unrestricted net assets 13,918,769 5,138,193 19,056,962 Temporarily restricted 2,556,360 1,134,335 3,690,695 Permanently restricted 1,452,771 - 1,452,771 Total net assets 17,927,900 6,272,528 24,200,428 Total liabilities and net assets $ 22,342,195 7,620,048 29,962,243 See accompanying independent auditors' report. 20 Catholic Charities and Community Services Statement of Activities Year Ended June 30,2006 (With Summarized Totals for 2005) Temporarily Permanently 2006 2005 Unrestricted Restricted Restricted Total Total Revenue,Gains and Support: Public support: Direct contributions $ 2,442,297 1,794,701 360 4,237,358 3,456,026 Wills and bequests 59,685 514,424 - 574,109 2,370,296 Contributed materials 446,735 - - 446,735 358,372 Archbishop's Catholic Appeal and other support 565,000 - - 565,000 510,000 Public and private grants 12,981,855 1,181,868 - 14,163,723 7,927,456 United Way and Combined Federal Campaign 747,119 445,380 - 1,192,499 1,260,776 Auto Program 91,750 - - 91,750 232,487 Change in net present value of annuitie (50,836) - - (50,836) (49,689) Fundraising events and special appeals 252,392 - - 252,392 516,531 Special event direct expenses (40,678) - - (40,678) (63,442) Net assets released from restrictions 3,861,967 (3,861,967) - - - Total public support 21,357,286 74,406 360 21,432,052 16,518,813 Revenue: Program service fees 4,181,804 - - 4,181,804 3,586,748 SHARE food sales 4,502,677 - - 4,502,677 4,421,905 Rental income 224,547 - - 224,547 254,570 Interest and investment income 270,878 1,296 - 272,174 244,660 Gain(loss)on sale of asset (35,239) - - (35,239) 305,484 Miscellaneous income 14,891 - - 14,891 22,253 Total revenue and gains 9,159,558 1,296 - 9,160,854 8,835,620 Total revenue,gains and support 30,516,844 75,702 360 _ 30,592,906 25,354,433 Expenses: Program services: Mission/Ministry 2,591,914 - - 2,591,914 2,655,804 Homeless/Housing 10,841,883 - - 10,841,883 5,276,422 Family/Children 10,076,874 - - 10,076,874 8,442,820 SHARE Colorado 4,472,604 - - 4,472,604 4,237,507 Total program services 27,983,275 - - 27,983,275 20,612,553 Supporting services: General and administrative 2,078,195 - - 2,078,195 2,224,703 Fund raising 879,156 - - 879,156 737,917 Total supporting services 2,957,351 - - 2,957,351 2,962,620 Total expenses 30,940,626 - - 30,940,626 23,575,173 Change in net assets (423,782) 75,702 360 (347,720) 1,779,260 Net assets,beginning of year 14,342,551 2,480,658 1,452,411 18,275,620 16,496,360 Net assets,end of year $ 13,918,769 2,556,360 1,452,771 17,927,900 18,275,620 See accompanying independent auditors'report. 21 Catholic Charities and Community Services Farm Labor Housing Corporation Statement of Activities Year Ended June 30,2006 (With Summarized Totals for 2005) Temporarily 2006 2005 Unrestricted Restricted Total Total Revenue,Gains and Support: Public support: Direct contributions $ 447 - 447 2,200 Government grants - - - 21 Net assets released from restrictions 122,274 (122,274) - - Total public support 122,721 (122,274)44 7 2,221 Rental income,tenants 209,877 - 209,877 231,341 Rental income, USDA subsidy 409,779 - 409,779 423,918 Interest 1,769 - 1,769 487 Other miscellaneous 22,118 - 22,118 18,301 Total revenue 643,543 - 643,543 674,047 Total revenue, gains and support 766,264 (122,274) 643,990 676,268 Expenses: Program services: Construction management 6,811 - 6,811 9,491 Plaza del Sol operations 469,182 - 469,182 432,316 Plaza del Milagro operations 441,510 - 441,510 300,472 Total program expenses 917,503 - 917,503 742,279 Supporting services: General and administrative 105,774 - 105,774 97,383 Total expenses 1,023,277 - 1,023,277 839,662 Change in net assets (257,013) (122,274) (379,287) (163,394) Net assets, beginning of year 5,395,206 1,256,609 6,651,815 6,815,209 Net assets, end of year $ 5,138,193 1,134,335 6,272,528 6,651,815 See accompanying notes to financial statements. 22 Catholic Charities and Community Services of the Archdiocese of Denver Schedule of Expenditures of Federal Awards Year Ended June 30,2006 Federal grantor/pass-through grantor/ Grant CFDA Expen- program title Grant Number award year number ditures U.S. Department of Health and Human Services: Early Head Start 08CH0150/02 7/1/05-6/30/06 93.600 $ 789,554 Subtotal Direct Programs 789,554 Passed through City and County of Denver Head Start GE51160 7/1/05-6/30/06 93.600 1,572,164 Passed through Rocky Mountain SER Head Start 7/1/05-6/30/06 93.600 50,000 Total Head Start 1,622,164 Passed through the State of Colorado: Child Care and Development Block Grant 7/1/05-6/30/06 93.575 83,338 Passed through Weld County Division of Human Services: Special Programs for the Aging Title IV&I FY05 1/1/05-12/31/05 93.048 11,250 Special Programs for the Aging Title IV&I FY06 1/1/06-6/30/06 93.048 11,250 Total Administration on Aging 22,500 Passed through Denver Department of Health&Human Services Promoting Safe and Stable Families GE31147(2) 10/1/04-9/30/05 93.556 32,639 Promoting Safe and Stable Families GE31147(3) 10/1/05-9/30/06 93.556 82,981 Passed through the State of Colorado: Promoting Safe and Stable Families 04IHA 00228 10/1/04-9/30/05 93.556 25,145 Promoting Safe and Stable Families 06IHA 00307 10/1/05-9/30/06 93.556 68,379 Total Promoting Safe and Stable Families 209,145 Passed through Denver County Community Services Block Grant GE51048 3/4/05-2/28/06 93.569 9,942 Passed through Denver Department of Human Services: Temporary Assistance for Needy Families: Navigators CE40277(1) 7/1/05-6/30/06 93.558 437,892 Intensive Case Management CE52125 9/1/05-12/31/06 93.558 235,119 Vouchers and Meals GE11312(4) 1/1/05-12/31/05 93.558 21,616 Housing CE61031 1/1/06-12/31/06 93.558 19,247 Total Temporary Assistance for Needy Families (Note 3) 713,874 Passed through Denver Regional Council of Governments: National Family Caregiver Support EX05030 1/1/05-12/31/05 93.052 34,348 National Family Caregiver Support EX06020 1/1/06-6/30/06 93.052 29,083 Total National Family Caregiver Support 63,431 Total U.S.Department of Health and Human Services 3,513,948 Continued 23 Catholic Charities and Community Services of the Archdiocese of Denver Schedule of Expenditures of Federal Awards Year Ended June 30,2006 Federal grantor/pass-through grantor/ Grant CFDA Expen- program title Grant Number award year number ditures Department of Housing and Urban Development: Passed-through the City of Loveland: Community Development Block Grant 10/1/04-9/30/05 14.218 $ 1,750 Passed through the City of Fort Collins: Community Development Block Grant PO 4406433 7/1/04-6/30/05 14.218 38,475 Community Development Block Grant PO 5505075 10/1/05-9/30/06 14.218 26,000 Passed through Denver County: Community Development Block Grant GE41233-1 10/1/04-9/30/05 14.218 32,002 Community Development Block Grant GE61067 1/1/06-6/30/07 14.218 43,508 Community Development Block Grant 4/1/06-3/31/07 14.218 50,502 Community Development Block Grant GE52040 3/1/05-3/31/06 14.218 128,940 Total Community Development Block Grant 321,177 Passed through Greeley Urban Renewal Community Development Block Grant/States Program 10/7/05-9/30/06 14.228 17,846 Passed through Colorado Division of Housing Emergency Shelter Grant H6ESG05968 7/1/05-6/30/06 14.231 20,000 Passed through Larimer County Department of Human Development: Emergency Shelter Grant 7/1/05-6/30/06 14.231 29,091 Passed through the State of Colorado Emergency Shelter Grant H6ESG05960 7/1/05-6/30/06 14.231 30,000 Passed through Weld County Department of Social Services: Emergency Shelter Grant H6ESG05931 7/1/05-6/30/06 14.231 22,084 Passed through Denver Department of Human Services Emergency Shelter Grant GE51814 1/1/05-12/31/05 14.231 10,000 Emergency Shelter Grant GE61115 1/1/06-12/31/06 14.231 15,000 Total Emergency Shelter Grants Program 126,175 Passed through Catholic Charities USA Housing Counseling Assistance Program 10/1/04-9/30/05 14.169 16,421 Housing Counseling Assistance Program 10/1/05-9/30/06 14.169 15,970 Total Housing Counseling Assistance Program 32,391 Passed through City and County of Denver HOME Investment Partnerships GE41233-1 10/1/04-12/31/05 14.239 141,100 HOME Investment Partnerships GE61067 1/1/06-6/30/07 14.239 120,338 Passed through Colorado Department of Local Affairs HOME Investment Partnerships H4HOMO4035 6/18/04-11/30/06 14.239 620,087 Total HOME Investment Partnerships(Note 3) 881,525 Continued 24 Catholic Charities and Community Services of the Archdiocese of Denver Schedule of Expenditures of Federal Awards Year Ended June 30,2006 Federal grantor/pass-through grantor/ Grant CFDA Expen- program title Grant Number award year number ditures Supportive Housing Program: Passed through the Colorado Coalition for the Homeless Transitional Housing CO01B200004 10/1/04.9/30/05 14.235 $ 5,056 Transitional Housing CO01B200004 10/1/05-9/30/06 14.235 13,258 Case Management COO1B400004 1/1/05-12/31/05 14.235 5,984 Case Management CO01B400004 1/1/06-12/31/06 14.235 14,762 Employment Services COOIB403002 5/1/05-4/30/08 14.235 39,299 Total Supportive Housing Program 78,359 Total Housing and Urban Development 1,457,473 Department of Homeland Security Emergency Food&Shelter National Board Program Passed-through the National/Local FEMA Boards Adams County LRO ID 096800-026 10/1/05-9/30/06 97.024 24,339 Adams County LRO ID 096800-026 10/1/04-9/30/05 97.024 42,673 Arapahoe County LRO ID 098000-002 10/1/05-9/30/06 97.024 35,655 Arapahoe County LRO ID 098000-002 10/1/04-9/30/05 97.024 34,757 Denver County LRO ID 101200-015 10/1/05-9/30/06 97.024 33,336 Denver County LRO ID 101200-015 10/1/04-9/30/05 97.024 34,495 Jefferson County LRO ID 104200-002 10/1/05-9/30/06 97.024 29,410 Jefferson County LRO ID 104200-002 10/1/04-9/30/05 97.024 30,765 Larimer County LRO ID 105800-002 10/1/05-6/30/06 97.024 28,268 Larimer County LRO ID 105800-002 10/1/04-6/30/05 97.024 6,825 Weld County LRO ID 111600-009 10/1/05-6/30/06 97.024 52,066 Weld County LRO ID 111600-009 10/1/04-6/30/05 97.024 29,125 Total Emergency Food&Shelter National Board Program(Note 3) 381,714 Passed through Catholic Charities USA Hurricane Katrina Case Management EMW-2006-GR-0056 12/9/05-10/8/07 97.084 57,615 Passed through the State of Colorado: Disaster Grant-Public Assistance(Note 3) H4HOMO4035 6/18/04-7/31/06 97.036 5,687,940 Total Department of Homeland Security 6,127,269 Corporation for National and Community Service Passed through the State of Colorado: AmeriCorps 390 9/1/05-8/31/06 94.006 183,617 AmeriCorps 303 9/1/04-9/30/05 94.006 39,852 Total Americorps 223,469 Total Corporation for National and Community Service 223,469 U.S. Department of Education Safe&Drug Free Schools&Communities S184B020933-03 10/1/04-9/30/05 84.I84B 42,426 Subtotal Direct Programs - 42,426 Passed through Denver Public Schools Title I Grants to Local Education Agencies 7/1/05-6/30/06 84.010 50,000 Passed through the State of Colorado Adult Education- State Grant Program 7/1/05-6/30/06 84.002 51,545 Continued 25 Catholic Charities and Community Services of the Archdiocese of Denver Schedule of Expenditures of Federal Awards Year Ended June 30,2006 Federal grantor/pass-through grantor/ Grant CFDA Expen- program title Grant Number _ award year number ditures Passed through Denver Public Schools 21st Century Community Learning Centers 7/1/05-6/30/06 84.287 $ 75,437 2I st Century Community Learning Centers 7/1/05-6/30/06 84.287 315,089 Total 21st Century Community Learning Centers(Note 3) 390,526 Total U.S. Department of Education 534,497 U.S. Department of Justice Passed through City and County of Denver Community Prosecution and Project Project Safe Neighborhoods GE42078 8/01/03-7/31/05 16.609 36,119 Passed through Colorado Legal Services Legal Assistance for Victims Program 10/1/04-9/30/06 16.524 84,884 Total U.S. Department of Justice 121,003 US Department of Transportation Passed through the Colorado Department of Transportation State&Comm. Highway Safety Program 05 HTS 00096 3/30/05-9/30/06 20.600 59,079 Total U.S. Department of Transportation 59,079 Veterans's Administration VA Homeless Providers Grant and Per Diem Program(Note 3) V5594P-03-4346 64.024 506,044 Total Veteran's Administration 506,044 U.S. Department of Agriculture: Passed through Colorado Department of Public Health and Environment Child and Adult Care Food Program 10/1/04-9/30/05 10.558 50,029 Child and Adult Care Food Program 10/1/05-9/30/06 10.558 219,435 Total Child and Adult Care Food Program 269,464 Total U.S.Department of Agriculture 269,464 Total Expenditures of Federal Awards $ 12,812,246 Note 1: The accompanying schedule of federal awards is prepared on the accrual basis of accounting. Note 2: Catholic Charities' financial statements include the operations of Farm Labor Housing Corporation(FLH( which expended$2,055,480 in federal awards which is not included in this schedule. This audit does not include the operations of FLHC because a separate audit of FLHC was performed in accordance with OMB Circular A-133. Note 3: Major program. 26 Report on Internal Control Over Consolidated Financial Reporting and on Compliance and Other Matters Based on an Audit of Consolidated Financial Statements Performed in Accordance with Government Auditing Standards Board of Directors Catholic Charities and Community Services of the Archdiocese of Denver,Inc: We have audited the consolidated financial statements of Catholic Charities and Community Services of the Archdiocese of Denver, Inc. (Catholic Charities) as of and for the year ended June 30, 2006, and have issued our report thereon dated November 6, 2006. We conducted our audit in accordance with generally accepted auditing standards and the standards applicable to consolidated financial audits contained in Government Auditing Standards, issued by the Comptroller General of the United States. Internal Control over Consolidated Financial Reporting In planning and performing our audit, we considered Catholic Charities' internal control over consolidated financial reporting in order to determine our auditing procedures for the purpose of expressing our opinion on the consolidated financial statements and not to provide an opinion on the internal control over consolidated financial reporting. Our consideration of the internal control over consolidated financial reporting would not necessarily disclose all matters in the internal control that might be material weaknesses. A material weakness is a reportable condition in which the design or operation of one or more of the internal control components does not reduce to a relatively low level the risk that misstatements caused by error or fraud in amounts that would be material in relation to the consolidated financial statements being audited may occur and not be detected within a timely period by employees in the normal course of performing their assigned functions. We noted no matters involving the internal control over consolidated financial reporting and its operation that we consider to be material weaknesses. Compliance and Other Matters As part of obtaining reasonable assurance about whether Catholic Charities' consolidated financial statements are free of material misstatement, we performed tests of its compliance with certain provisions of laws, regulations, contracts and grant agreements, noncompliance with which could have a direct and material effect on the determination of consolidated financial statements amounts. However, providing an opinion on compliance with those provisions was not an objective of our audit and, accordingly, we do not express such an opinion. The results of our tests disclosed no instances of noncompliance or other matters that are required to be reported under Government Auditing Standards. We noted certain matters that we reported to management of Catholic Charities in a separate letter dated November 6, 2006. 27 Catholic Charities and Community Services Of the Archdiocese of Denver Board of Directors This report is intended solely for the information and use of the board of directors, management, and federal awarding agencies and pass-through entities and is not intended to be and should not be used by anyone other than these specified parties. November 6, 2006 28 Report on Compliance with Requirements Applicable to Each Major Program and on Internal Control Over Compliance in Accordance With OMB Circular A-133 Board of Directors Catholic Charities and Community Services of the Archdiocese of Denver,Inc: Compliance We have audited the compliance of Catholic Charities and Community Services of the Archdiocese of Denver, Inc. (Catholic Charities) with the types of compliance requirements described in the U.S. Office of Management and Budget (OMB) Circular A-133 Compliance Supplement that are applicable to each of its major federal programs for the year ended June 30, 2006. Catholic Charities' major federal programs are identified in the summary of auditor's results section of the accompanying schedule of findings and questioned costs. Compliance with the requirements of laws, regulations, contracts and grants applicable to each of its major federal programs is the responsibility of Catholic Charities' management. Our responsibility is to express an opinion on Catholic Charities' compliance based on our audit. Catholic Charities' consolidated financial statements include the operations of Farm Labor Housing Corporation (FLHC), which expended $2,055,480 in federal awards, which is not included in the schedule for the year ended June 30, 2006. Our audit, described below, did not include the operations of FLHC because a separate audit of FLHC was performed in accordance with OMB Circular A-133. We conducted our audit of compliance in accordance with U.S. generally accepted auditing standards; the standards applicable to financial audits contained in Government Auditing Standards, issued by the Comptroller General of the United States; and OMB Circular A-133,Audits of States, Local Governments, and Non-Profit Organizations. Those standards and OMB Circular A-133 require that we plan and perform the audit to obtain reasonable assurance about whether noncompliance with the types of compliance requirements referred to above that could have a direct and material effect on a major federal program occurred. An audit includes examining, on a test basis, evidence about Catholic Charities' compliance with those requirements and performing such other procedures as we considered necessary in the circumstances. We believe that our audit provides a reasonable basis for our opinion. Our audit does not provide a legal determination of Catholic Charities' compliance with those requirements. In our opinion, Catholic Charities complied, in all material respects, with the requirements referred to above that are applicable to each of its major federal programs for the year ended June 30, 2006. Internal Control Over Compliance The management of Catholic Charities is responsible for establishing and maintaining effective internal control over compliance with the requirements of laws, regulations, contracts and grants applicable to federal programs. In planning and performing our audit, we considered Catholic Charities' internal control over compliance with requirements that could have a direct and material effect on a major federal program in order to determine our auditing procedures for the purpose of 29 Catholic Charities and Community Services of the Archdiocese of Denver, Inc. Board of Directors expressing our opinion on compliance and to test and report on the internal control over compliance in accordance with OMB Circular A-133. Our consideration of the internal control over compliance would not necessarily disclose all matters in the internal control that might be material weaknesses. A material weakness is a reportable condition in which the design or operation of one or more of the internal control components does not reduce to a relatively low level the risk that noncompliance with applicable requirements of laws, regulations, contracts and grants caused by error or fraud that would be material in relation to a major federal program being audited may occur and not be detected within a timely period by employees in the normal course of performing their assigned functions. We noted no matters involving the internal control over compliance and its operation that we consider to be material weaknesses. This report is intended solely for the information and use of the board of directors, management, and federal awarding agencies and pass-through entities and is not intended to be and should not be used by anyone other than these specified parties. November 6, 2006 30 Catholic Charities and Community Services of the Archdiocese of Denver, Inc. Schedule of Findings and Questioned Costs Year Ended June 30, 2006 A. Summary of Auditor's Results 1. The auditor's report expresses an unqualified opinion on the financial statements of Catholic Charities. 2. No reportable conditions relating to the audit of the financial statements are reported in the Report on Compliance and on Internal Control Over Financial Reporting Based on an Audit of Financial Statements. 3. No instances of noncompliance material to the financial statements of Catholic Charities were disclosed during the audit. 4. No reportable conditions related to the audit of major federal award programs are reported in the Report on Compliance with Requirements Applicable to Each Major Program and on Internal Control Over Compliance in Accordance With OMB Circular A-133. 5. The auditors' report on compliance for the major federal award programs for Catholic Charities expresses an unqualified opinion. 6. Audit findings that are required to be reported in accordance with Section 510(a) of OMB Circular A-133 are reported in this Schedule. 7. The programs tested as major programs were HOME Investment Partnerships (CFDA No. 14.239), Emergency Food & Shelter National Board Program (CFDA No. 97.024), 21st Century Community Learning Centers Disaster (CFDA No. 84.287), Grants-Public Assistance (CFDA No. 97.036), VA Homeless Providers Grant and Per Diem Program (CFDA No. 64.024) and Temporary Assistance for Needy Families(CFDA No.93.558). 8. The threshold for distinguishing Type A and B programs was $384,367. 9. Catholic Charities qualified as a low-risk auditee. B. Findings-Financial Statements Audit None. C. Findings-and Questioned Costs-Major Federal Award Programs Audit None. 31 Catholic Charities and Community Services of the Archdiocese of Denver, Inc. Summary Schedule of Prior Audit Findings Year Ended June 30,2006 None. 32 Application for Colorado Division of Housing (CDH) EMERGENCY SHELTER GRANT ASSISTANCE 2007 APPLICANT INFORMATION 1. Applicant(Agency) Name and Address 2. CDH Project Number Room at the Inn For CDH Use only Interfaith Hospitality Network, Inc. 3. Date Received 1213 5th Avenue For CDH Use Only Greeley, CO. 80631 4. Name of Contact Person for Application 5. Phone 6. FAX 7. EMAIL Stacy Suniga, Executive Director (970)378-0100 (970)378-1319 greeleyrati@yahoo.com TYPE OF ORGANIZATION 8. Municipality/County 9.Housing Authority 10. Nonprofit Organization rni 1,11 11. For how many years has your shelter/ 12. Federal Identification Number program received State ESG funding? 4 years beginning in July,2002 8 4 - I 1 15 1 5 1 4 17 1 6 ] 7 13. Service Area 14. Population GreeleylWeld County I Greeley—76,930; Weld County-180,936 15. Provide a brief description of project and activities The mission of Room at the Inn is to offer hope to the families of homeless or impoverished children,by providing assistance,food, shelter,safety,and emotional support in partnership with communities of faith. Our goals are to resourcefully break the barriers and the cycles of poverty and homelessness for families who suffer daily with these burdens. Our objective is to help families achieve financial independence and to give them the personal tools they need to remain independent,avoiding future emergency crisis. Homeless clients are involved in intense case management with staff and engage in various life skills/educational programming according to their individual needs. When they leave our shelter,staff follows up with families to ensure their success and independence. Recently, Room at the Inn has opened up a satellite center that will bring an even more intense focus on life skills and educational programming. At our Family Resource Center,homeless clients will have additional opportunity to involve themselves with increased support therapy and community groups. One aspect of the Family Resource Center will be client participation in our newly introduced Mentoring Program. The Mentoring Program will be included to give families one on one support as they seek resources to increase their skills, resiliency and familial well being.It is the goal of the Family Resource Center to offer our services to anyone who would like to improve their circumstances and decrease their dependency on emergency services. Along with the Mentoring Program, other preventative programs will be operational to help families on the cuff of homelessness avoid the tragedy. BUDGET Use Additional Sheets if Necessary Line Item 16. Operations 17. Essential 18. Homeless 19. Administration Services Prevention Only for Local govts with subgrantees Insurance $ 3000.00 Agency Utilities $ 2000.00 Transportation S 500.00 Case Management $ 1000.00 Counseling/Education $ 1000.00 Security Deposit $ 500.00 20. SUBTOTAL $ 5500.00 $ 2000.00 $ 500.00 21. TOTAL REQUEST: $ 8000.00 22. Match Source(s) and Amount: United Way: $ 8000.00 SIGNATURE OF AUTHORIZED OFFICIAL OR AGENCY REPRESENTATIVE 23. Name of Local Elected Official or Authorized Agency 24.Title of Local Elected Official or Authorized Representative (Please Type) Representative Stacy Suniga Executive Director 25. Signature of Authorized Representative 26.Date of Signature /7 jejer‘rt__- 03-15-07 BUDGET NARRATIVE: For each budget category that you are requesting, please provide a narrative explanation of how funds will be used to address the need in that category 27. Operations Budget Narrative Explanation (Also Include information about shelter staff and their duties): Room at the Inn is requesting support with necessary costs incurred in the daily operation of our shelter. Specifically,funding assistance for agency insurance,utility expenses,and necessary transportation costs of our agency vans. Room at the Inn operates 7 days per week for 365 days per year. Our yearly insurance costs are approximately 36000.00 per year. Agency utilities will cost approximately$8000.00 per year,and transportation maintenance and repair usually cost around $800.00 annually. For these reasons we felt compelled to request assistance with operations assistance in these areas. The entire operation of Room at the Inn is guided by the following staff: Stacy Sunina,Executive Director. Stacy oversees the Room at the Inn homeless program and the new Family Resource Center. She supervises three part-time employees, one college intern and 17 church volunteer coordinators. Stacy's key responsibilities include: Volunteer training, schedule coordination, leads some internal sessions in the areas of people skills and guestNolunteer dynamics. She coordinates professionals from outside agencies for education, life skills courses and counseling for clients. Stacy completes the screening process for all potential clients and determines eligibility for participation into the program. Stacy manages the financial records for individual donors and completes all grant writing duties for the agency. She also manages the day to day expenses and operations of the agency. As well,she is the community liaison,joining other agencies to work in continuum on such boards as Housing and Emergency Services Network, Northern Front Range Continuum of Care, and the federal governments Supporting Healthy Marriage Initiative. Stacy also speaks publicly about the services of Room at the Inn at various community forums. Barbara Peverley.Day Center Administrator: Barbara oversees the daily activities of the day center. She assists our guests in scheduling case management appointments and is readily available for referral support. She also works with clients regarding accountability toward program guidelines, ensuring the participation of all in household chores and attendance in program courses. Barbara also schedules our church rotation and is the first weekly communicator for our church coordinators.for life skills courses at our day facility, and coordinates volunteers to run children's programs that will coincide with our adult courses. Barbara also provides receptionist and secretarial services for the Room at the Inn Day Center and acts as the direct aid for the Executive Director. Juanita Garcia.Community Liaison: Juanita acts as the'pulse read into the community for the agency. Juanita is placed in two local elementary schools who have a large number of families who live under the poverty level. She engages with families to learn of those that may need active support to avoid the trauma of homelessness. Juanita also provides direct case management and referral to homeless clients and others in an outreach capacity. She co-directs the agencies Mentoring program by matching volunteer mentors with homeless families who graduate our program. She also supervises and supports mentors with monthly support sessions. Juanita engages with other area agencies who work preventatively with families in the United Way Champions Mentoring Project. Michelle Nast, Family Resource Center Administrator: Michelle is our newest staff member and she is the director for our preventative programs and oversees our new Family Resource Center. Michelle works with families who are not homeless but seeking assistance in preventative outreach. Michelle's biggest objective is to gather various community agencies to provide services for the community in our Resource Center and to create new programs as needs are determined through the voice of the community. Her objectives are highly engaged in bringing these community agencies together in a spirit of collaboration. It is the hope of Room at the Inn that all agencies bring their expertise to the Resource Center while reaping benefits for themselves and their clients. Michelle acts as a co-director along with Juanita for our Mentoring Program and also engages with other agencies who work collaboratively with the United Way Champions Mentoring Program. Church Coordinators(17 volunteers Positions): Church Coordinators recruit and organize volunteers from their participating communities of faith.They supervise assistant coordinators as they manage volunteer hosting duties in all phases of the Room at the Inn program within their host church. Church Volunteers(Recent count of 1800+active members): Church volunteers provide nightly meals and friendship for our homeless clients. They give direct support by giving of their time and talent to enhance the well being of homeless families in crisis. Tara Ryan: Tara is the interim Room at the Inn college intem. Tara interacts directly with all guest families and supports our families through friendship and referral. Tara is also leading a research project that follows up with former clients to learn of their on going achievements and/or obstacles in order to obtain a helpful evaluation that determines the outcome success Room at the Inn. 28. Essential Services Budget Narrative Explanation (First-time requests for essential services also,answer the following): (1) Is this a new service or a quantifiable increase in service above that provided during the previous 12 months? What other local government or nonprofit resources have funded these homeless services in the past year? Room at the Inn is seeking funds from the Emergency Shelter Grant for case-management and counseling activities. Assuring the long-term success of families requires access to one to one support and assistance programs. Enrollment into specific courses and/or support programs will become an integral and vital part of our long term self- sufficiency goals,whether that program is offered at the Family Resource Center or with a collaborating agency. It is our hope for our life skillsleducational programs and counseling support to bring meaningful experiences that will promote the development of new competencies in the family and will allow the family to advocate on their own behalf in the future. 29. Homeless Prevention Budget Narrative Explanation (Please explain your program components and how you will ensure that clients are eligible for homeless prevention assistance). We have requested funds to provide Security Deposit Assistance to help families gain a residence of their own. Previously, Room at the Inn had requested funds for Rent Assistance, but with the development of a new organization in Weld County called the Faith Service Fund has taken on the objective of providing rental assistance to families who are threatened with eviction. Room at the Inn works collaboratively with this effort and is able to provide referral to the Faith Service Fund often. However,finding assistance for Security Deposit remains a problem in Weld County and it is a service that Room at the Inn intends to continue as a service for families in need. SHELTER REPORT SHELTER CHARACTERISTICS 2006-2007 ACTUAL 2007-2008 PROJECTED 30. Beds(including cribs) 16 16 31. Sleeping Rooms 6 6 32. Total Families Served 37 42 33. Total Persons in Families 124 145 34.Total Individuals Served N/A N/A 35. Total Shelter Nights 4472 5000 AVERAGE COST PER PERSON OR HOUSEHOLD SERVED WITH ESG FUNDING 36. What is the average cost per person served for each of your ESG-funded activities? Our average cost for operation per person,which includes beds, meals,and 24 hour a day shelter is$17.50. Our average cost for Counseling/life skills support and case management activities is;30.00 per person. Our average cost for prevention activities in Rent Assistance and Security Deposit Assistance is 4200.00 per family. CLIENT PARTICIPATION REPORT (HUD REQUIRES DOCUMENTATION OF CLIENT PARTICIPATION) 37. Client Paid Hours 1044.75 38. Client Unpaid Hours 330 CONTINUUM OF CARE COORDINATION 39. Are you a participating member of your local Continuum of Care? © Yes ❑ No ❑We don't have one SHELTER/ Who provides the following services in your Do you have a written SUPPORTIVE SERVICES community? agreement to coordinate (1) If it's your organization put an sr in this column services? beside the corresponding service; Answer°Yes'or°No' or NA' TYPE OF SERVICE (2) If it's another organization, ease list their name (Not Applicable) 40. Shelter Information and Referral (X); United Way 211; Catholic Charities Northern *No 41. Emergency Shelter (X); Greeley Transitional House; Guadalupe Ctr. *No 42. Transitional Housing Greeley Transitional House *No 43. Permanent Housing (w/services) WC Housing Authority; Island Grove Village *No 44. Soup Kitchen Salvation Army *No 45. Case Management (X); WC Social Services;WC Job Services *No 46. Transportation (X); City of Greeley Bus Svc. *No 47. Daycare WC Childcare Asst.; Salvation Army Child Ctr. *No 48. Medical treatment Sunrise Health Clinic; Monfort Childrens Clinic *No 49. Substance Abuse Counseling Island Grove Rehab.;Alcoholics Anonymous *No 50. Psychological North Range Behavioral Health; *No NCMC Psyche Care 51. Employment (X); WC Job Services; Temp. Employ.Svcs. *No 52. Life Skills/Budgeting (X); C.A.R.E; Consumer Credit Counseling Yes 53. Educational (X); Agatha Brown Mem.Training Ctr.;WCSD#6 *No 54. Security Deposit (X); Catholic Charities Northern; *No Greeley Interfaith Association 55. Back rent (X); Faith Community Fund *No 56. Back Mortgage Payments (X); Faith Community Fund *No 57. Utility Assistance Payments Catholic Charities Northern *No • Due to the nature of the history of Weld County collaboration methods, our collaboration projects are agreed upon with verbal contracts. Agencies then work together to complete these projects, each honoring the commitments they have made to each other and to clients in the community. EXTENT AND URGENCY OF THE NEED 58. What is the need to be addressed?How urgent is the need? Please provide data or statistical information with a citation that supports the needs your agency will address. Also describe your proposed activities and beneficiaries, and indicate the total number of persons to be served. Family homelessness is a traumatic crisis. It is a crisis of logistics and emotions. In homelessness,not only do families deal with daily displacement and not knowing where their family will find a place to be safe and warm, it also deals tremendous emotional trauma to all members. Family homelessness exists at an unacceptable level in Greeley,as it does in most communities. Knowing that even one human being is struggling to receive their basic human needs is unacceptable. To respond to this desperate issue,Greeley currently has three operating homeless shelters. Guadalupe Center,Greeley Transitional House,and Room at the Inn operate 365 days a year to try to meet the needs of Greeley's Homeless population. Recently Greeley Transitional House expanded their facility to accommodate an additional six families to ease overflow. Though their expansion has been important to the cause, Catholic Charities and Room at the Inn have remained at capacity to serve the homeless,at times nursing a waiting list of people who could not be immediately accommodated because of overflow.Though homelessness is a major concern,another concern that affects an even larger population of families is poverty. Low paying employment and high housing expenses in Weld County make it extremely difficult for families to maintain enough resources for their family to function at a healthy level. Low income families face enormous stresses and the pressure can severely disrupt family life and lead to homelessness. Current data reported by the U.S. Census Bureau shows that the average median income in Colorado is$47, 203.00,while in Greeley the median income is$36,414.00. People living below poverty in Colorado as a state is 9.3%,while the percentage for people living below the poverty level in Greeley is 16.9%. It is higher for Greeley citizens under the age of 18,at 18%. One can reason with great probability that this figure reflects the concern for family poverty in Greeley. The U.S.Census also reports that there are 22,221 people of all ages who live in poverty in Weld County. In November of 2006, Realtytrac,an Irvine, Calif. Based company that tracks national foreclosure rates,posted that Weld County held the title for the highest foreclosure rate in the nation for 8 months consecutively as of that report. In Jan. 2007,the same company reported that Greeley had the highest foreclosure rate in the nation for the fifth consecutive month. The foreclosure rate in Greeley is six times the national average. Room at the Inn is completely committed to helping families recover from the loss of their home and now,to help families retain their homes. In 2006,our success rate of helping homeless families find long-term, permanent housing was 90%. This is the best report in our history and we intend to keep helping as many families as possible to regain independence. With the inception of our Family Resource Center,we are focused on providing support to help families in retaining their residences. Along with increasing head of household personal employability and family function through life skills,educational,and vocational courses,we are working to initiate housing assistance programs such as landlordttenant mediation and creating landlord incentives for working with families who need immediate support. All of our homeless clients will have the opportunity to directly effect their lives with positive influence via our course offerings,(which we anticipate to be around 130 people for 2007),and we intent to double, at minimum,the number of people in the community who will participate and benefit from the offerings of our Family Resource Center. LEVEL OF FUNDING SUPPORT/LEVERAGE 59. Part A. What is the financial commitment of your agency to this project? Do you have internal funding for this project? How will you provide the dollar-for-dollar match for this grant? To what extent does this program utilize community volunteers?What other funds from foundations and private donations do you receive for the project? Room at the Inn is committed to raising funds for the long term continuation of providing service to homeless families. Our funding is heavily created by individual and church support,grants,and fundraising. We have two annual fundraisers activities,our Hearts for Homeless Gala and Annual Golf Marathon,which account for an average of$40,000 of annual budget Our individual giving program,Innkeepers,averages about$30,000.00 per year and church support accounts for an approximate of$8,000.00. We have received a financial gift in the amount of $12,000.00 from Sunrise Neighborhood Center,a local nonprofit that works with the local Sunrise Neighborhood residents. Grants for this year,including ESG,will account for roughly$80,000.00. Our dollar for dollar grant match for the Emergency Shelter Grant will come from our grant award through United Way,which for 2007 was a dollar amount of 565,000.00. Room at the Inn has the potential to reach 30,000 people through our membership of 13 local churches. We have had 1800+volunteers provide hands-on,face to face volunteer duties in 2007. The benefits of our design to utilize precious community in-kind donations such as bedroom and dining space in our participating churches and volunteers for meals,hospitality hosting,and overnight stays,saves our agency an estimated 5200,000.00 in annual operation costs. We find that engaging the community to directly participate creates a win-win situation for all. Volunteers not only find awareness about the homeless issue,they become veritable catapults for change in our clients lives. Many clients have found landlords and employers through their contact with volunteers. Clients change the lives of volunteers as well,as many volunteers are profoundly touched by unknowing ability to make a difference as individuals. Part B. Do local governments(city and county) in which the project/program is located provide funding for the project? If so,what is the source of that funding? Does the community have its own allocation of Emergency Shelter Grant and/or Community Development Block Grant(CDBG)dollars? If so do you receive funding from that source? Our local Urban Renewal Authority coordinates the activities of the Community Development Block Grant for Greeley. We do not receive CDBG funding. As well,we do not receive any operating dollars from any local government source,however,the City of Greeley is a very active, important partner of Room at the Inn and helps us greatly to bring services to the homeless of Weld County. Our Day Center and Family Resource Center buildings are owned by the City of Greeley. Room at the Inn rents these properties from the City at an extremely reasonable cost Our contract for rent for our day center is indefinite and Room at the Inn pays the City one dollar per year($1.00)for rent. We have contracted for the use of our Family Resource Center site for$100.00 per month. This site is preserved by the local Historic Preservation Society and the city has invested heavily in rehabilitation of the property. It is a beautiful structure and we are grateful to the City of Greeley for their active interest in assisting us in doing all we can to help our fellow citizens in poverty. MANAGEMENT CAPACITY-STAFF AND AGENCY 60. List key staff positions, responsibilities, and years of experience for staff of this agency and explain agency experience in conducting proposed ESG activities. The Room at the Inn Homeless Shelter and Family Resource Center is overseen by Stacy Suniga, Executive Director of Room at the Inn. Stacy was one of the key founders of the Room at the Inn Agency,and has been the Executive Director since the agencies inception in 2001. She completed her training in Small Business Administration in 1992 and has been a small business owner for 13 years. Since becoming the Executive Director for Room at the Inn, Stacy has updated her training as a Non-Profit Director by enrolling in courses in non-profd management.She utilizes the expertise of trainers at the Community Resource Center and the Colorado Non-profit Association, both in Denver. Stacy maintains an active membership with both organizations. As well, National Interfaith Hospitality Network provides educational training for Executive Directors every 18 months at various specified locations within the U.S. Stacy faithfully attends every training period to expand her educational knowledge on every aspect of Executive Directorship. Room at the Inn started to receive ESG funding in 2002 and Stacy has overseen the agencies ESG program since then,managing funded activities and submitting regular reports and finance requests. Michelle Nast, Room at the Inn's newest member,was recently hired to Direct the activities of our Family Resource Center. Michelle is responsible for scheduling all aspects of life skills,education and vocation programs,as well as group support and counseling services. Michelle's focal population will be families who are at risk for being homeless and need immediate attention to prevent the crisis. Michelle is new to the Greeley area coming to us from the Arkansas Valley area in Southern Colorado. Michelle has a strong background in working with non-profits and has spent considerable time in a volunteer capacity when not directly employed with a non-profit agency. She is a certified instructor for the P.R.E.P and W.A.I.T abstinence education programs. She has strong experience in the organization, creation and promotion of events and programs as for many years she acted as a lead component in the organization of the Colorado State Fair and the Crowley County Fair. Her exhaustive experience in organizing makes Michelle the perfect choice to bring together a spectrum of resources for assistance to the Greeley Community. Michelle will be overseeing counseling/education Essential Service and Homeless Prevention activities for the ESG program. Juanita Garcia,Community Liaison, hired with Room at the Inn in 2006,will work with families who are homeless and involved with the Room at the Inn Shelter program.She works directly with families by providing case management,referral,and advocacy for our homeless clients. In accordance to her Community Liaison responsibilities,Juanita is placed part time in two local schools to identify and connect with families who may be on the verge of the homeless crisis and who exhibit a tendency for low resiliency. This current school year,Weld County School District 6 has eliminated all counselor and parent liaison positions from their elementary staff for the purpose of reducing staff expenses. Recognizing the impending problems that will follow for low-income family schools,Room at the Inn remained committed to support for parents at Jefferson and Billy Martinez Elementary Schools,two schools that annually carry a large population of impoverished children in their enrollments. Juanita is available for mentoring parents at these schools in the mornings. Her objective is to engage these families in various supportive programs of our Resource Center,as well as assess for possible candidates for our one to one mentoring program. Juanita is greatly committed to using her talent and experience for the benefit of families who are threatened or victimized by homelessness. Juanita will be involved in actively carrying out case management duties for our essential service program for ESG. Michelle and Juanita are also responsible for providing training and supervision to volunteer mentors in accordance with our agencies objectives of providing increased prevention assistance. Our Directors will meet with these volunteers weekly in a confidential setting to discuss ideas and concerns. They will also meet with other agencies who are participating in the United Way Champions program to develop assessment tools,program guidelines,and evaluation outcomes. Just as importantly,our Directors will meet frequently with other agencies with whom we are collaborating,to ensure the program is meeting the needs of mentored clients and is operating successfully. Dr.Tom McMahon,a retired school psychologist, is assisting Michelle and Juanita to continue to seek out collaborative ventures and in creating assistance programs for the benefit of our Family Resource Center and the Mentoring Program. Tom has a Doctorate in Psychology and a Masters Degree in Counseling. He is currently Colorado Licensed as a School Psychologist. Having recently retired from Weld County School District 6, he performs this position as a volunteer. Barbara Peverley, Day Center Administrator, is responsible for the management of our Day Center. Our day center acts as a central office for our agency and a temporary home and office for our homeless clients. Barbara has been with the Room at the Inn agency since 2002,and oversees the Operation Cost component for our ESG grant. MANAGEMENT CAPACITY—FINANCIAL 61. Explain your organization's financial control system and procedures, and explain how your agency will monitor its activities to ensure that ESG dollars are spent in a timely manner. Room at the Inn has a financial system that keeps a tight account of financial spending. Deposit of checks and other money sources are done daily by Barbara Peverely,our Day Center Administrator. Before making deposits, Barbara makes a photocopy of every check and deposit ticket for our private files. Checks are deposited in account at Cache Bank by 2:00pm every day. Decisions to make payments for activities(other than agency utilities and other necessary expenses)are made by the Executive Director,Stacy Suniga. When payment approval is made,a formal request is given to our Treasure, who then creates and signs a check for payment and either delivers it personally to the Executive Director for delivery or makes arrangements with the Executive Director for pick up from staff. The Executive Director makes arrangements for payment to be made to the correct party. At this point in time, Room at the Inn is only using the treasurers signature for all written checks. This method is used to keep very strict control measures over agency fund disbursements. Recently,Room at the Inn has converted to the accounting system of QuickBooks for non-profit for more accurate reporting and easier streamlining of agency spending and accounts receivables. Once every six months,our agency accounts are reviewed by an outside party, Karen Turner who is Assistant Professor of Accounting Studies at University of Northern Colorado and a Certified Internal Auditor. Karen is CPA certified in Texas. An Official Audit is scheduled for this year...2007. Recently,Room at the Inn hired an outside professional agency,Automatic Data Processing,Inc.,to process payroll checks and payroll expenses and generate payroll data reports for the agency Room at the Inn's Executive Director strictly oversees the financial accounting for the Emergency Shelter Grant. She ensures that money is used as intended and that payments and reports are given In a timely manner. COMMITMENT TO COORDINATE HOMELESS HOUSING, ESSENTIALSERVICES AND HOMELESS PREVENTION ACTIVITIES IN YOUR COMMUNITY OR CONTINUUM OF CARE 62. Explain how you coordinate homeless housing, essential services and homeless prevention activities with other local nonprofit agencies and governmental service providers to ensure coordinated case management and non-duplication of services in your community or Continuum of Care, Since our inception, Room at the Inn has recognized the value of coordinating services with other nonprofit providers, not only in the City,but in the State. Even before we were opened for services,Stacy Suniga was regularly attending Continuum of Care meetings and has been a member of the local Housing and Emergency Services Network or HESN. HESN is a local group of various non-profits who gather monthly to discuss emergency needs county wide. Another important aspect of the HESN objective is to coordinate solutions to local problems in a collaborative capacity. One positive result of these coordinated meetings is that the efforts make great strides to increase communication between area agencies. Room at the Inn also communicates daily with other service agencies for the purpose of referral or to coordinate the sharing of services. We work heavily with the United Way 211 staff to relate our availability for prevention and essential services and also to inquire about outside resources to benefit our clients. We have one ulterior motive for our Family Resource Center,and that is to evolve it into a"hub"for the community,a central location that all service agencies will take ownership of and utilize for their benefit and the benefit of their clients. We believe that this can be a one-stop shop for clients, which in turn will only increase communication between non-profit entities,thereby,furthering the non-duplication of services. ABILITY TO COMPLY WITH HOMELESS MANAGEMENT INFORMATION SYSTEMS 63. When and where did your agency staff receive training on Homeless Management Information Systems (HMIS)? Room at the Inn staff was formerly trained on usage of the HMIS Tapestry system on April 6, 2006. This training took place onsite at the Room at the Inn Agency. Tracy Stewart of the Colorado Coalition for the Homeless conducted our training on HMIS. Tracy is also the HMIS contact for the Balance of State Continuum of Care. 64. List Computer(s)that are/can be dedicated to HMIS: Models,Operating Systems, Storage Capacity Three computers are dedicated to HMIS reporting. Dell Inspiron 8600-Laptop 76487-OEM-0011903 Intel Pention—Processor 1.6 GHz 599 MHz and 512 MB Of Ram Microsoft Windows XP Professional version 2002 Dell Dimension D/ME521 76477-OEM-0011903-00102 AMD Athlon 64 x 2 Dual Core Processor 3800+ 2.00 GHz and 960 MB of Ram Microsoft Windows XP Professional Edition Dell Dimension D/ME521 89572-OEM-7332166-00096 AMD Athlon 64 x 2 Dual Core Processor 3800+ 2.00 GHz and 958 MB of Ram 32 Bit Operating System All computers are regularly maintained onsite for function and virus,firewall and spy ware protection by a professional Technician. 65. How do you ensure that client files are kept confidential? Every person who has a professional responsibility to have access to client files will sign a firm confidentiality agreement with the Room at the Inn agency. This agreement is a legal binding contract that states that Room at the Inn will take legal action if confidentiality is violated. As well,all clients will sign a Release of Information form at intake. This document allows communication between their case manager and other professionals in the community who are working with this the family to secure housing and other needed resources. For added security,all client files are kept in a locking,fire and water proof cabinet. 66.Are you in compliance with HMIS? Please place an`X' in the box that best describes your current HMIS status? _I am a new applicant. _X_My agency is entering all HUD-required HMIS data elements on a consistent basis. My agency is in discussions with my systems operator regarding my participation. We have not yet been trained on the HMIS system. _My staff has been trained on HMIS, but I am waiting to upgrade equipment and or training before we fully participate. My agency is exempt from HMIS. PROJECT IMPACT- NARRATIVE 67. What impact do you expect to have on identified needs if you receive ESG funding? Please provide a short narrative description. The final and undeterred focus of the Room at the Inn ESG programs is to increase self-sufficiency of participants while decreasing their reliance on governmental and local external living support. How our programs intend to accomplish this is through these very important principles: 1) Agency staff will initially work to build trusting relationships with the families they are serving. They will nurture that relationship into a partnership built on equality and respect where both parties have an equal responsibility to achieve desired outcomes. It is our goal for the family to achieve more resiliency and become personally responsible for positive, effective decision making for their future welfare. 2) Staff will work to enhance the family's ability to respond to development and growth by addressing the needs of all members of the family. They will educate caregivers on how to balance their needs and the needs of their children and other family members and how to effectively find solutions. To achieve long term success,staff will emphasize to each family member the primary importance of committing to the well being of each other and the importance of supporting each other in healthy ways. 3) Our Case Manager will enable families to build on their own strengths to promote the healthy development of the family.They will work to promote growth in their personal competencies and capacities while respecting the families right to control the aspects and directions of their lives in a manner that is a contribution to themselves and society. By building proactively on family strengths rather than reactively responding to deficits,our Case Manager will assist families to take effective action when dealing with difficult life circumstances while continuing to achieve individual and family goals. Families will also be given developmental tools to sustain their resiliency when future needs and/or circumstances of the family change. Our Case Manager will work to assure the long-term success of families by guiding them to the support life skills and educational programs. Families are empowered when they are given information and resources and then take personal action to improve the well being and financial stability for themselves.We believe that success for self-sustenance is rooted in increasing the personal skills of the heads of household. Room at the Inn mentoring programs are rooted in individual program participation. Participants will be assessed by the Case Manager to determine the strengths and deficiencies within their family. They will work to mobilize formal and informal resources that will fit their specific needs. On-going program support will be continually available for homeless families in our mentoring program. PROJECT IMPACT-OUTCOME MEASUREMENTS Activities tell us what you are going to do. A measure is some way to quantify the work (activities) you are doing. It must be something you can measure from self-reports or something you can see, count, hear, smell, etc. Generally, there is a number involved: THE FOLLOWING MEASURES ARE FOR EXAMPLE ONLY • Number(de-duplicated) victims of domestic violence receiving shelter in your domestic violence facility • % of clients with increased budgeting ability • Number of households that received eviction prevention assistance • Number of teens receiving conflict resolution counseling An outcome is the WAY in which life has improved for a client as a result of our activity. Again using the above example: • Clients were able to stay in safe shelter; • Residents are able to balance a checkbook; • Households avoided homelessness • Youth are involved in fewer physical conflicts 68. For each activity you plan to undertake with Emergency Shelter Grant dollars, please identify the following: (Use additional pages if necessary) (a) the ACTIVITY, (b) HOW YOU PLAN TO MEASURE YOUR EFFORTS, and (c) the OUTCOMES THAT DESCRIBE HOW LIFE WILL BE IMPROVED FOR YOUR CLIENTS (d)the NUMBER OF BENEFICIARIES you expect for each activity. For examples PLEASE SEE ABOVE BOX LABELED"OUTCOME MEASUREMENTS" OPERATIONS: Room at the Inn is devoted to remain operational with the support of ESG operation dollars in order to work diligently toward the success of families who suffer the results of living in poverty by becoming homeless. We will strive to continue an incredible success rate with families and hope to show continual progress in this area. We will seek to increase our population numbers by decreasing client average length of stays,without sacrificing their success. Room at the Inn will continue to measure our success by keeping accurate data on the numbers of families who leave our shelter for homes of their own. The outcomes of our efforts will be determined by the success of each family who leaves our shelter for a home of their own. We hope to retain,at minimum,a success rate of 85%while serving at least 35 families. Essential Services: In 2007,we are planning to add to our course offerings by a minimum of an additional 5 new programs. To expand our mission for essential services, our Family Resource Center,established in 2006 will open counseling, educational, and life skills courses to families who suffer not having a place to live and others on the verge of the debilitating crisis of homelessness. It is the goal of the Family Resource Center to help those who would like to improve their circumstances and decrease their dependency on emergency services. Case Management is another essential offering that serves homeless families. We will engage every client family served this year in case management. I is our goal to see 60% of homeless or at-risk for homeless families become self reliant and less dependant on emergency services, being able to handle crisis through the enhancement of self skills attained through services received at the Family Resource Center and Case Management sessions.We hope to enroll at least 50 clients in long term one to one mentoring to decrease their dependence on emergency services while increasing family resiliency. I is our goal to see that 85%of families enrolled will have improved employment, housing,and receive minimal public assistance.Outcomes for improved employment and housing will defined as: 1. Finding different employment to increase wages or increase fringe benefits for family support. 2. Increase individual skills and secure increased wages in current employment. 3. Obtaining housing affordable to the family income that is suitable for the comfort and safety of all family members. Progress for families will be measured by Case Managers and Professional Instructors/Counselors who will be taking case notes and charting progress with families using the strengths-based case management method. Continued progress will be assessed by program supervisors,and other agencies collaborating to help the family achieve success for the purpose of creating the best possible outcomes for participants. Extensive surveys given to the family before the end of their participation,will give valuable feedback on individual accomplishments and program evaluation. Follow up via occasional home visits and phone calls after the mentoring period,will also help us to assess outcome achievement and long-term client success. Preventative Services We feel in extremely important that we continue to offer at least minimal assistance for Security Deposit Assistance. There are very few resources in Greeley to help families with this need. We intend to offer this support to at least 3 families with ESG funding. Continued communication with client and landlord will help us to support the family long term,helping to ensure that the family retains their residence. Data providing this information will be kept on file to determine our outcome success. LOCAL GOVERNMENT SUMMARY PAGE (TO BE COMPLETED ONLY BY LOCAL JURISDICTIONS WITH SUBGRANTEES) EMERGENCY SHELTER GRANT ASSISTANCE 2007 APPLICANT INFORMATION 1. Name and Address of Local Jurisdiction 2. CDH Project Number Weld County Housing Authority For CDH Use only P.O. Box 130 3. Date Received Greeley, CO 80632 For CDH Use Only 4. Name of Contact Person for Application 5. Phone 6. FAX 7. EMAIL Thomas Teixeira 970 353-7437 970 353-7463 Tom@greeley-weldha.org TYPE OF ORGANIZATION 8. Municipality/County n 9.Housing Authority 10. Service Area 12. Federal Identification Number Weld County 8 14 1 15 16 18 14 14 16 J BUDGET SUMMARY—ALL Projects Use Additional Sheets if Necessary 13. List Agency Name in 14. Operations 15. Essential 16. Homeless 17.Local this column (List Amount of Services Prevention Government Admin Request) (List Amount of (List Amount of Request) Request) Agency 1 Name 9,500 4,50Q 1,000 Greeley Transitional House Agency 2 Name 5,000 7,000 A Woman's Place Agency 3 Name 16,000 7,000 10,000 Catholic Charities Agency 4 Name 5,500 2,000 500 Room at the Inn Agency 5 Name Agency 6 Name 18. SUBTOTAL ALL By 36,000 20,500 11,500 Categories 19. Local Government 1,500 Admin 20. AMOUNT OF TOTAL REQUEST: $69,500 SIGNATURE OF AUTHORIZED OFFICIAL OR AGENCY REPRESENTATIVE 21. Name of Local Elected Official or Authorized Representative 22. Title of Local Elected Official or Authorized (Please Type) Representative David E. Long Chair Weld County Board of Commissioners 23. Signature of Loc lected Official or Authorized Representative 24.Date of Signature � � )/2 �/ 2c°7 OTHER DOCUMENTS THAT YOU MUST SUBMIT WITH THIS APPLICATION (See attached pages) MATCH CERTIFICATION SOURCES OF LOCAL MATCH (Attach supporting documentation for available match. Documentation should reflect funding availability during the ESG contract year.) Other Federal (including pass-through funds, e.g. City CDBG, County FEMA, etc.) $ StatelLocal Government Funding Private (including recipient) Funding Fund Raising/Cash $ Loans $ Building Value or Lease $ Donated Goods $ Donated Computers $ New Staff Salaries $ Volunteers ($5.00 per hour) $ Volunteer Medical/Legal $ Other(specify) United Way Grant $ $65.000.00 1 certify that match funds have been identified and committed to support the proposed ESG project and have not been used to match previous ESG awards(i.e.the value of a donated building used as match in a 2001 award cannot be used as match in 2007). This form is a description of the sources and amounts of such match funds,which are not being used as match for an other federal program. Cp&>34ocs ' k 3 _Jo 07 gnat Me / Date Instructions for Completion of Match Certification All applicants are required to complete the Match Certification form. Eligible forms of match are as follows: • The value of salary paid to staff to carry out the ESG Program. •The value of the time and services contributed by volunteers to carry out the program at a rate of$5.00 per hour. •Volunteers providing professional services such as medical or legal services valued at the reasonable and customary rate in the community. •The value of any donated material or building. •The value of any building lease using a method to reasonably calculate fair market value. •Award letters from foundations, organizations, private individuals, and other government sources. Note: These awards must overlap the ESG funding period to be eligible. Additional Funds Documentation The list of all sources of additional funds not included as match to be used to carry out your proposed project. Be specific. Sources of Additional Funds Amount of Additional Funds Fundraising Activities _j 40,000 Individual Donors $ 30,000 Church Donation $ 8,000 Foundation Grants $ 20,000 Sunrise Neighborhood Center $ 12,000 Total Additional Funds Committed to the ESG Process $ $110,000 a ia Weld County Housing Authority P.O. Box 130 Greeley, CO 80632 970 353-7437 Ci COLORADO I David E. Long Chair, Weld County Commissioners duly authorized to act on behalf of Weld County Government hereby approve the following projects proposed by Room at the Inn which is located in Weld County Colorado. Homeless Shelter Case management of clients and families By: David E. Long, Chair .3/.2 s/i00 7 Date Certification of Consistency with Consolidated Plan Must be completed by Consolidated Plan Coordinator or Appropriate Official for any and each of the following Colorado jurisdictions in which a project/program operates. The State of Colorado will provide the Certification of Consistency with projects outside of these areas. • Adams County;Arapahoe County; City of Arvada; City of Aurora; City of Boulder; City of Centennial; City of Colorado Springs; City and County of Denver; Douglas County; City of Fort Collins; City of Greeley; City of Grand Junction, Jefferson County; City of Lakewood; City of Longmont; City of Loveland; City of Pueblo, Pueblo County; and the City of Westminster. I, Rebecca Safarik,Community Development Director certify that the, Weld County Housing Authority application for the Emergency Shelter grant funds is consistent with the Consolidated Plan for the City of Greeley. • (title) certify that(agency or program name) located in (name of jurisdiction) is consistent with the Consolidated Plan for (name of jurisdiction). ae Name and Title of C ify" Official for Jurisdiction Date of Certificatiop /f /MX- Zr7 adOr EMERGENCY SHELTER GRANTS PROGRAM ASSURANCES AND CERTIFICATIONS Stacy Sunida (name of chief elected official or appropriate non-profit signatory) of Room at the Inn (town, city, county or nonprofit organization)which is applying to the State of Colorado for funding through the Emergency Shelter Grant Program from the U.S. Department of Housing and Urban Development(HUD), hereby assures and certifies that: Amounts awarded under this program will be used only for these purposes: 1. Assist in the prevention of homelessness. 2. Assist in supporting the essential operating costs of shelters. 3. Assist in improving the quality of supportive services to the homeless. Projects will not require participation in religious services, as a condition for receiving assistance. All projects funded will develop and administer, in good faith, a policy designed to ensure the shelter is free from the illegal use, possession or distribution of DRUGS and ALCOHOL by its beneficiaries. Political activities will be prohibited in accordance with subsection 675 (e) of the Community Services Block Grant Act of 1981. The town, city, county or nonprofit organization certifies that matching supplemental funds required by the regulations at 24 CFR 576.71 and 576.85(a)(3), as mentioned by the amendments to Items 415(a) and 415(c) of the Stewart B. McKinney Homeless Assistance Act made by Section 832(e) of the Cranston-Gonzalez National Affordable Housing Act of 1990 (Public Law 101-625, November 28, 1990) will be provided. The amendment exempts the first$100,000 from the matching requirement and requires that the benefit of the $100,000 exemption be provided to those recipients from the State that are least capable of providing the matching funds. The requirements of 24 CFR 576.21(a)(4)(ii) which provide that the funding of homeless prevention activities for families that have received eviction notices or notices of termination of utility services meet the following standards: (A) that the inability of the family to make the required payments must be the result of a sudden reduction in income; (B)that the assistance must be necessary to avoid eviction of the family or termination of the services to the family; (C) that there must be a reasonable prospect that the family will be able to resume payments within a reasonable period of time; (D) that the assistance must not supplant funding for preexisting homeless prevention activities from any other source; (E)occur a week before eviction, foreclosure or termination. The requirements of 24 CFR 576.51(b)(2)(iii) concerning that submission by nonprofit organizations applying for funding of a certification of approval of the proposed project(s) from the unit of local government in which the proposed project is located. The requirements of 24 CFR 576.51(b)(2)(v) concerning the funding of emergency shelter in hotels or motels or commercial facilities providing transient housing. The requirements of 24 CFR576.56(a)(3) concerning the provision of termination and/or grievance procedures for an individual or family who violates program requirements. The requirement of 24 CFR576.56(b) concerning the involvement of homeless individuals and families in providing work or services pertaining to policy-making and in operations of facilities or activities assisted under this part. The requirement of 24 CFR576.57 concerning the prohibition of conflict of interest or financial interest in decision-making by elected officials, appointed officials, staff or board of directors except as may be granted by HUD as provided in 570.611(d). The requirements of 24 CFR 576.73 concerning the continued use of buildings for which Emergency Shelter Grant funds are used for rehabilitation or conversion of buildings for use of emergency shelters for the homeless; or when funds are used solely for operating costs or essential services, concerning the population to be served. The building standards requirement of 24 CFR 576.75. The requirements of 24 CFR 576.77, concerning assistance to the homeless. The requirements of 24 CFR 576.79, other appropriate provisions of 24 CFR Part 576, and other applicable Federal law concerning nondiscrimination and equal opportunity. The requirements of 24 CFR 576.80 concerning minimizing the displacement of persons, as a result of a project assisted with these funds. The requirements of 24 CFR 576.80 concerning the Uniform Relocation Assistance and Real Acquisition Policies Act of 1970. The requirement of the Cranston-Gonzalez National Affordable Housing Act (Public Law 101-625, November 28, 1990 contained in Section 832(e)(2)(C)that grantees develop and implement procedures the ensure the confidentiality of records pertaining to any individual provided family violence prevention or treatment services under any project assisted "under the Emergency Shelter Grants Program" will, except with written authorization of the person or persons responsible for the operation of such shelter, not be made public." The requirement that local government will comply with the provisions of and regulations and procedures applicable under section 104(g) of the Housing and Community Development Act of 1974 with respect to the environmental review responsibilities under the National Environmental Policy Act of 1969 and related authorities, as specified in 24 CFR Part 58, and as applicable to activities of nonprofit organizations. The requirement that no Federal appropriated funds have been paid, by or on behalf of the local government or nonprofit organization, to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal loan, the entering into of any cooperative agreement, and modification of any Federal contract, grant, loan or cooperative agreement. The requirement that if any funds, other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan or cooperative agreement, the local government or nonprofit organization shall complete and submit Standard Form-LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions. The requirement of disclosure specified in Subpart C of 24 CFR Part 12 regarding assistance from other HUD-funded programs. The requirement that the local government or nonprofit organization shall require that the language of the PROHIBITION OF THE USE OF FEDERAL FUNDS FOR LOBBYING CERTIFICATION be included in the award documents for all standards at all tiers including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements and that all subrecipients shall certify and disclose accordingly. The requirement that(68 Fed. Reg. 43430) agencies receiving funding from the Emergency Shelter Grant Program become compliant with Homeless Management Information System (HMIS) as required by the Department of Housing and Urban Development. The required certification that the submission of an application for any emergency shelter grant is authorized under applicable law and that the local government or nonprofit organization possesses legal authority to carry out emergency shelter grant activities in accordance with applicable law and regulations of the Department of Housing and Urban Development. Stacy Suniqa (Name nd Title) Signature ~ a' #4044-- D a 9°7 Form W-9 page 1 of 2 Taxpayer Identification Number Request . Revised March 2005 This form may be used only by a U.S.person,including a resident alien.Foreign persons should furnish us with the appropriate Form W-S. The IRS defines a U.S.person as:'a U.S.citizen;'an entity(company,corporation,trust,partnership,estate,etc.)created or organized in,or under the laws of,the United States;'a US.resident(someone who has a'green card"or has passed the IRS'substantial-presence test.'For an explanation of the substantial-presence test,please see IRS Pubs.515 or 519.) Please complete all.,..parts below. Part 1 - Tax Identification: 1.Name: Room et the Inn Greater Greeley InterfahhlRosnhaidy Nfiwob-br 2.Enter your Taxpayer Identification Number In the appropriate box. For Individuals,tivs Is your social socially nmMer(SSM-For other entitles,Ms your employer Identification number(Env). Social Security Number Employer Identification Number OR ___ __ __ 8 4 — 1 S 5 4 7 8_7 F you area SOLE PROPRIETOR or SINGLE-OWNER LW-whether payment Is made b a personal name orb:tackling Wag business rare. you must ameba the fonowing: Required:Personal name of owner of the business: Optional:Business name it different fan above: lF you assign payment bathed party-such as a factor-provide the following: Required:Your name: Optional:Name ci third pads: Part 2 - Exemption:If exempt from Form 1099 reporting,check your qualifying reason below ❑Corporation ❑XTax Exempt Entity El The United States El slate,the District d O A foreign government or Nos Matrixes i m corporate under 501(a)(maids. or any of its agencies Columbia,a possession of any d M pOircd subd'nisiae: ewniptbnfor medical and Sm(c)(3),or tax or kstalme ices. the United States,a any al or an stemabonal oganaatm healthcare payments or gait poetical subdivisions or in which the United States payment br legal services. agencies participates under a beetya Act of Congress. Part 3 - Certification/Signature: Under penalties of perjury my signature certifies that: hi i am a US.person(Including a US.resident alien). 2.The number shown on this form Is my correct taxpayer Identification number(or I am waiting for a number to be Issued to me). 3.1 am not subject to backup withholding because:(a)I am exempt from backup withholding,or(b)I have not been notified by the Internal Revenue Service(IRS)that I am subject to backup withholding as a result of a failure to report all interest or dividends,or(c)the IRS has notified me that I am no longer subject to backup withholding. Certification Instructions-You must cross out Item 3 above If you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, number 3 above does not apply.For mortgage Interest paid,acquisition or abandonment of secured property,cancellation of debt, contributions to an individual retirement arrangement(IRA),and generally,payments other than interest and dividends,you are not required to sign the Certification,but you must provide your correct TIN. Person completing this form: Stacy Suniga Phone:_(970)_378-0100 Signature:5CeLf4r12401-4-17 Date:_March 20,2007 Address: 1213 Sm Ave / City: Greeley State:_CO._ ZIP: 80631 PLEASE PROVIDE A COPY OF YOUR LAST AUDIT The Room at the Inn agency has previously maintained a budget of under$100,000.00 per year since our inception. Because of this, we have not had an official audit performed for our agency. Yearly, we have performed internal reviews to promote efficiency and accountability, and we are currently in the process of performing an Internal Audit for Room at the Inn. This audit is being performed by Cheni Scheidecker, A Colorado Certified Public Accountant, and Karen Turner, Assistance Professor of Accounting Studies at University of Northern Colorado who is a Certified Internal Auditor and is CPA certified in Texas. We are planning an Official Audit in June of 2007. We are talking to several Accounting firms and will finalize a decision in December as to who will perform this service for us in early summer, 2007. United Way of Weld County 814 gth Street Post Office Box 1944 Greeley,Colorado 80632 tel 970.353.4300 toll free 800.559.5590 Fax 970.353.4738 uwwc@unitedway-weld.org United Y www.unitedway-weld.org Wa Y December 5, 2006 Way 1 . Stacy Suniga Room at the Inn PO Box 1965 Greeley, CO 80631 Dear Stacy: Congratulations. The United Way of Weld County Board of Directors reviewed and adopted the Resource Investment Strengthening Families and Adults — Increasing Self Sufficiency recommendations for the grant awards on November 9, 2006. These dedicated volunteers have spent a substantial number of hours reviewing the Strengthening Families and Adults — Increasing Self Sufficiency applications and determining an equitable way to meet growing community needs with limited resources. The following is Room at the Inn award amounts for January 2007 —June 2008. The Director of Resource Investment will meet with you to review and finalize your budget and outcomes for this program. This will also include creating the budget for the July 2008— June 2009 fiscal year. PROGRAMS Jan—June 2007 July—June 2007-2008 2007 AWARD 2007-08 AWARD CLIENTS CLIENTS Family Resource Center 55 families $32,500 55 families $32,500 Mentoring Total 55 families $32,500 55 families $32,500 United Way of Weld County recognizes the valuable services Room at the Inn provides, and we are excited to work with you and your staff on this new collaborative initiative. As part of this initiative Room at the Inn staff will be working in conjunction with the other funded and community partners to develop and implement these new systems for helping individuals and families. We appreciate your interest and commitment in serving families in need. Please be reminded that fund distribution awards are always subject to conditions set forth in the Allocated Affiliate Periodic Contract and the Supplemental Fundraising Policy which you will be receiving in a future mailing. Please carefully review both documents. Each needs to be signed by both the Executive Director and Board • President and returned to United Way in order for fund distribution awards to be released. United Way of Weld County 814 9th Street Post Office Box 1944 Greeley,Colorado 80632 tel 970.353.4300 toll free 800.559.5590 fax 970.3534738 uwwc@unitedway-weld.org r ' www.unitedway-weld.org United, Y Way tAr With your help, United Way of Weld County will continue to receive the generous community support needed to address community needs. Support for the campaign is more important than ever. In order to succeed, we need a unified effort and the support of agency staff and board members. Thank you for your commitment to provide critical services to our community and your support of the United Way campaign. Together we can make a difference. Sincerely, Ga Boeh r Kevin Schwindt Chair, Resource Investment Chair, Board of Directors United Way of Weld County United Way of Weld County CC:Board President Hello