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Home My WebLink About20061176.tiff RESOLUTION RE: APPROVE APPLICATION FOR EMERGENCY SHELTER GRANT ASSISTANCE 2006 AND AUTHORIZE CHAIR TO SIGN - COLORADO DIVISION OF HOUSING 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 an Emergency Shelter Grant 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 an Emergency Shelter Grant 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 24th day of April, A.D., 2006. E ° t OARD OF COUNTY COMMISSIONERS �_ % �(-1 D CO//J. �� Y, COLORADO /. • / p..♦� R %'lam / '. ATTEST: ' ( ( ..; r, ile, Chair Weld County Clerk to the Boa i '. Ocfr BY: lug ;(,I it ��CAECr(c el 711 CI —David Long, Pro-Tem D ty Clerk to the Board TV Will' H. Jerke A O ED ASTOF : Masaen \�r�'`+.n Robert D. J my Att ney AdA4 Glenn Vaad —� Date of signature: 513IN 2006-1176 HA0026 (C'. I- 4 /15--o S -�� 2 ! Y f -I i i�I`�"i t �ltirii}�x} i<��'r{ +j�{+n ,u s'`T�g 'fxA 'T�,..� : 1.APPLICANT(Name and Address) 2. PROJECT NO.- 3.Amount Requested 4.Date Received Weld County Housing Authority $79,500 6.Name/Title of Contact Person for 5. Name and Title of Local Elected Official or Authorized Agency Representative (Please Type) Application Torn Teixeira M.J.Geil C air Weld County Board of Commissioners 7.Signature o orized Representative 8.Date 3/30/06 9. Phone No. 10.EMAIL �� (970)353-7437 x103 tom@greeley- weldha.org weldha.orgha.org .97 TYPE 0 ORGANIZATION I- 7 11. Municipality/County Weld 12.Nonprofit 13. Federal I.D. No. 84-1568446 14.SERVICE AREA 15. POPULATION Weld County including the City of Greeley' Est 219,257 16.PROJECT DESCRIPTION&ACTIVITIES Weld County Housing Authority has administered the Emergency Shelter Grant Program for more than ten years. The following local agencies serve as the delivery system for Homeless services:Greeley Transitional Houe,A Woman's Place Inc.Catholic Charities and a room at the Inn. They all provide both shelter and case management services to their clients. 17.PROJECT BUDGET:NOTE. 'RU6AES., hUl�utigti s it1#J�; =�4tt ' TINrp+,O#"be'�T IE CATEGORIES of your requests based on your pdoA#lratli+bn of needs 11y1 E t b IN"'ll sn ail box below'1WIN4 Sour highest:need boln9'1*and your lowest need eling�rP 4 r LINE ITEM 18.Operations 19.Essential Services 20.Homeless 21.Other ❑ ❑ Prevention ❑ (Administration) ❑ $6,500 Insurance Utilities $22,500 Repair and Maintenance $4,500 Staffing $3,000 Supplies Food $6,000 Case Management $19,900 Transportation $800 Counseling Education $800 Rent/Mortgage $11,000 1 SHELTER REPORT • SHELTER CHARACTERISTICS 2004a'Actttal. 200SaO6 Projection 2006-07 Projection 25. BEDS pncl.bassinets) .106 114 126 26. SLEEPING ROOMS 26 31 32 27.TOTAL FAMILIES ERVED 224 300 337 28.TOTAL PERSONS IN FAMILIES 716 771 885 29.TOTAL INDIVIDUALS SERVED 1219 1306 1400 30. SHELTER NIGHTS(See instruction page) 19,928 24,600 27,025 31. MEALS SERVED 25,540 25,000 26,500 CLIENT PARTICIPATION REPORT HUD REQUIRES DOCUMENTATION OF CLIENT r20b4$$ 2006,0S'Projection 2006.07 PARTICIPATION. ,Attual Projection 32. Paid hrs. 0 ..._ 0 . . . . 0 33. Unpaid hrs. 7,618 8,350 8,450 34.Other Volunteer Hours 11,415 12,250 13,765 "Explain how clients participate in your agency: CONTINUUM OF CARE/SERVICE COORDINATION SHELTER I SUPPORTIVE SERVICES ;`.^ a SEftyf1DES'PROVIDERS 35. Emergency Shelter Information and Referral 411,GTA" CNN AWP" RATI" 36.Transitional Housing GTA", AWP" CNN* RATI" 37.Permanent Housing(with services) CNN 38. Permanent Housing(without services) CNN WCHA GHA 39. Soup kitchen Salvation Army 40. Clothing GIA Clothing Bank Ken's Closet 7th Day Adventist 41.Transportation GTA CNN 42.Case Management GTA AWP" CNN* RATI* 43. Daycare CNN Weld Soc Sery 44. Substance Abuse Counseling Island Grove North Range NCMC 45. Psychological North Range NCMC 46. Employment Weld Job Service Temp Agencies 47. Life Skills/Budgeting GTA/AWP CNN/RATI Consumer Credit 48. Educational AIMS Right to Read 49.Assistance w/Perm. housing GHA WHA 50. Medical treatment NCMC Weld Health Dept Sunrise Salud 51. Forms Assistance CNN,GTA AWP, RATI Legal Services 52. Other (1) Services provided by your agency mark with an X. (2)All Service Providers which you have written agreements with mark with an. 3 PREVENTION NSERVICES(Musthave an evi9#o ice, ? ' " "t foreclosure notice or cut-off notice'tci be acted upon no sooner than 7 days ftoM.date of assistance. 53. Utilities Assistance CNN* LEAP Red Cross 54. Security Deposit CNN* GTA" 55. Back rent CNN* GTA* 56. Back Mortgage Payments CNN* 57. Other Innovative Services(specify) (1)Services provided by your agency mark with an X. (2)All Service Providers which you have written agreements with mark with an. ' . - t< ,P%! ,+ iN 4 a y he, Oft,f a r�Ncc �,�+ i x 4F }s a iexte �R"- ' . i.f„r.. p1..+, '. ... Weld County has coordinated the Emergency Shelter Grant Programs since 1991. The program is administered through Weld County Housing Authority. Thomas Teixeira, Director of the Weld County Housing Authority is responsible for the overall administration of the Emergency Shelter Grant Program. The actual services are provide by the four shelters located in Weld County. A Woman's Place Inc. The Executive Director Ellen Szabo, received her BA at Harvard College and her M. Ed. In Counseling Psychobgy from Columbia University Teachers 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. Greeley Transitional House Jodi Hartman, Executive Director,joined the Greeley Transitional House in October 2005. Prior to joining GTH she worked for 4 '/:years as Development Director for Salud Family Health Centers, a large community health center system with clinics in nine northeastern Colorado communities. While a 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 having been awarded one of 12 competitive fellowships from the Colorado Trust to complete the MNM program in 1999. Catholic Charities Northern Catholic Charities has provided the following information regarding their blue Management Capacity: 1. Regional Director: Administrator responsible for funding and overall programs; MSW University of Denver 11 years with the Agency 2. Supervisor of Shelter Operations for Weld and Larimer County: responsible for program procedures, supervision of staff 5 years with the agency, BSW from CSU. 3. Shelter Coordinator oversees the daily operations of facility, and provides case management for clients schedules volunteers, BS in Human Services, CU 3 years with the agency. 4. Emergency Assistance Site Manager: provides direct emergency financial services to clients, and referral to other community resources; Associates Degreee in education, UNC, 23 years with the agency Room at the Inn Stacy Suniga, Executive Director, has been the director of Room at the Inn since 2001. She supervisors two part time employees and 15 volunteer church coordinators. Prior to assuming her position at Room at the Inn she worked for the Greeley Transitional House. 4 � , � ,. :. 58: E �` zr . f Po ,r , _ Describe the.ext , 'r. y e d r helter and services to'be provided. All the shelters in Weld County report a continued and increased need for their services. Low wages and a lack of truly affordable housing is still very prevalent in Weld County and the Greeley area. Nearly 25 percent of the people living in the 80631 zip code with comprises 50 % of the City of Greeley live below the federal poverty levet Fifty percent(50%) of the Children in the Greeley/Evans School District Six qualify for free lunch. Greeley/Weld County was listed as the fastest growing community in the country between 2000 and 2003 ( U.S. Census ), but it is also the poorest county on the Northern Colorado Front Range. In addition Weld County has been identified as the least affordable County in Colorado in relation to the cost of housing and salaries/wages paid. (Colorado Div. of Housing) 60.PfR0JECT IM A'Cfi What impact.do you saps t t ve 3i eta deeds you r eive ESG funding? This funding will allow the 4 shelters of Weld County to continue to provide services for the Homeless population of the County. For Additional detail please see Sub recipient Profiles et.OTHER R Ol EE List � 1, , I and,charitableha organizations that ni,z on`s er AperabonS, br homeless serA/ices. See Sub Recipient Profiles 62. FIRST-TIME REQUESTSi�,' CES: 'mate answer all of the following: (1) Is this al w sa1�r t , ua��e n e in er a above that provided during the p �o s oher' al g rnr ent or k I£il � Y 5 4 f„t nonprofit resou� � =' ' s services yin past year? 5 63.LIST: CONP!UTa , spEsiws b. .�4r, EQ I 7T AND sTAFFr!F'HAI LY YOUR AGENCY CURRENT UTILIZ II: AT ,,PRODUCE REPORTS, ETC The Weld County Housing Authority is fully compubrized and has the necessary software to account for funds and produce reports. The agency receives a annual 133 audit which is then provide to the Weld County and HUD. All sub recipients have necessary computers and software to gather data and produce reports. See Sub recipient profiles for additional information 6 Please have each subagency answer all application questions and submit with your applicaion. ESG CERTIFICATION AND OTHER SUBMITTALS Applicants are required to complete the following local Emergency Shelter Grant Program Certifications, submit proof of Internal Revenue Service (I.R.S.) 501(c) status, and submit a current I.R.S. W-9 Federal Tax Identification form as an application requirement. Local certifications include: 1. Emergency Shelter Grant Program Assurances and Certifications; 2. Certification of Local Approval for Nonprofit organization; 3. Certification of Consistency with the Consolidated Plan. Consolidated Plans have been adopted by the following local jurisdictions:Adams County,City of Arvada,City of Aurora,City of Boulder, City of Colorado Springs, City and County of Denver, City of Fort Collins, City of Greeley, Jefferson County, City of Lakewood, City of Longmont, City of Loveland, City and County of Pueblo, and the City of Westminster. ESG applicants from these areas should obtain Certifications of Consistency with the Consolidated Plans from these local governments. The Colorado Division of Housing will provide Certifications of Consistency with the Consolidated Plan for ESG applicants located throughout the balance of the state. 8 EMERGENCY SHELTER GRANTS PROGRAM ASSURANCES AND CERTIFICATIONS M. J,Geil (name of chief elected official or appropriate non- profit signatory) of Weld County (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. Renovate, rehabilitate, expand or convert (but not acquire) facilities for use as homeless shelters. 3. Assist in supporting the essential operating costs of shelters. 4. 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 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. M. J. Geil Chair eld County Board of Commissioners (Name and Titl APR 2 4 2008 -elcti Date CERTIFICATION OF LOCAL APPROVAL BY LOCAL BOARD OF COMMISSIONERS FOR NONPROFIT ORGANIZATIONS I, M. J. Geil Chair, Weld County Commissioners , (name and title) duly authorize to act on behalf of the Weld County Board of Commisioners (name of jurisdiction) hereby approve the following project(s) proposed by A Woman's Place Inc. (name of nonprofit) which is (are) to be located in Weld County (name of jurisdiction): By: M Geil Chair Weld County Board of Commisioners Name and Ti APR 242006 igna ure Date CERTIFICATION OF LOCAL APPROVAL BY LOCAL BOARD OF COMMISSIONERS FOR NONPROFIT ORGANIZATIONS I, M. J. Geil Chair, Weld County Commissioners , (name and title) duly authorize to act on behalf of the Weld County Board of Commisioners (name of jurisdiction) hereby approve the following project(s) proposed by Catholic Charities Northern (name of nonprofit) which is (are) to be located in Weld County (name of jurisdiction): By: M Geil Chair Weld County Board of Commisioners Name and tle APR 2 4 2006 Signature Date CERTIFICATION OF LOCAL APPROVAL BY LOCAL BOARD OF COMMISSIONERS FOR NONPROFIT ORGANIZATIONS I, M. J. Geil Chair Weld County Commissioners , (name and title) duly authorize to act on behalf of the Weld County Board of Commisioners (name of jurisdiction) hereby approve the following project(s) proposed by Greeley Transitional House (name of nonprofit) which is (are) to be located in Weld County (name of jurisdiction): By: M Geil Chair Weld County Board of Commisioners Name and T' APR 2 4 2006 Signa re Date CERTIFICATION OF LOCAL APPROVAL BY LOCAL BOARD OF COMMISSIONERS FOR NONPROFIT ORGANIZATIONS I, M. J. Geil Chair, Weld County Commissioners , (name and title) duly authorize to act on behalf of the Weld County Board of Commisioners (name of jurisdiction) hereby approve the following project(s) proposed by Room at the Inn (name of nonprofit)which is (are)to be located in Weld County (name of jurisdiction): By: M.__._ Geil Chair Weld County Board of Commisioners Name and Titi /97 APR 2 4 2006 Signat re Date Etik,,i,:.ni #P1= 34, ji L .. * To be-completed ONLY by;Caunt-,y-reciplents:and# Hotish1g'Authorities-with subgrantees. AGENCY A Woman's Place Inc. AMOUNT REQUESTED ADDRESS P.O. Box 71, Greeley, CO 80632 $15,000.00 PHONE Rank CONTACT PERSON/TITLE Ellen Szabo, Executive Director FEDERAL I.D. NO.84-0811596 Service Area Population Weld County 219,257 Project Description&Activities The Mission of the 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 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. Project Budget Please request funding amount byCategory. Then rank the categories of your requests based on your prioritization of needs..indicate your prioritization in the small',box'belaw with your'highest need being"1"and your lowest need being"4". LINE ITEMS .Operations Essential . Homeless Other Services Prevention (Administration) Case Management $7,000.00 Utilities and Phone $6,000.00 Repairs and Maintenance $1,000.00 Insurance $1,000.00 Subtotal $8,000.00 $7,000.00 TOTAL REQUEST $15,000.00 Project Match Please explain how your agency tracks match. 'PLEASE NOTE• NO DOUBLE COUNTING OF`MATCH IS ALLOWED Source Amount City of Greeley $15,000 SHELTER REPORT r ate ;IttWc' �.. 25.BEDS rind.bassinets) 28 28 28 26.SLEEPING ROOMS 9 8 8 27.TOTAL FAMILIES SERVED 128 150 150 28.TOTAL PERSONS IN FAMILIES 267 271 275 29.TOTAL INDIVIDUALS SERVED 267 271 275 30.SHELTER NIGHTS(See instruction page) 3960 4,000 4,025 31.MEALS SERVED 0 _ 0 0 CLIENT PARTICIPATION REPORT'�sr I a a �k..S r d r¢ r r,s /1!?::: t r . a. :.:11C; r .Akaitiataiht 32.Paid hrs. 0 0 0 33.Unpaid hrs. 0 0 0 34.Other Volunteer Hours 2020.75 2050.00 2065.00 'Explain how clients participate in your agency: Clients are responsible for the daily chores of the shelter, such as vacuuming,personal laundry and cleaning of client kitchen. CONTINUUM OF CARE/SERVICE COORDINATION Z fie "Pa5 � �.E ?s`,�,'�.k'a.. "(�ax,.�+; ...; .€k Fit 35.Emergency Shelter Information and Referral X Catholic Charities Room at the Inn 36.Transitional Housing Greeley Transitional House 37.Permanent Housing(with services) Greeley Center for Independence 38.Permanent Housing(without services) Greeley Housing Weld County Housing 39.Soup kitchen Salvation Army 40.Clothing X Ken's Closet Leanna's Closet 41.Transportation ________ 42.Case Management X 43.Daycare Local Daycares 44.Substance Abuse Counseling Alcohol Recovery Center Island Grove Treatment 45.Psychological North Range Behavioral UNC 46.Employment Job Services Local Temp agencies 47.Life Skills/Budgeting X Consumer Credit Counc. 48.Educational Aims, UNC c.a.r.e.* 49.Assistance w/Perm.housing Greeley Transitional Housing Authourity 50.Medical treatment NCMC,Weld Health Opt. Sunrise, Salud 51.Forms Assistance X Catholic Charities 52.Other X Colo. Legal Services Weld County Legal Services (1)Services provided by your agency mark with an X. (2)All Service Providers which you have written agreements with mark with an*. 2 l-3;-rrfy' y 1r7, ;irri ii75 .r lit 77,7379,777 r •- „-..:7 ! �..pl�.'.r:iYlr( aroyiit, L ii.l r. d•.'. r S , n,�!,I.}i ,o-1 - • - , ;TO r' f 1 Ir.'Ai71...HO f =1 53.Utilities Assistance Red Cross,LEAP Catholic Charities 54.Security Deposit Catholic Charities 55.Back rent - ■- Catholic Charities 56.Back Mortgage Payments Catholic Charities -. 57.Other Innovative Services(specify) -. (1)Services provided by your agency mark with an X. (2)All Service Providers which you have written agreements with mark with an*. Ellen Szabo, Executive Director, received her BA at 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. • A Woman's Place is the only domestic violence shelter in Weld County,all of our services are free,confidential and offered in English and Spanish. In 2005,we provided 128 women and their 139 children with safe shelter. We provided non-residential services and support to 131 women and 31 children. The women who seek our services are involved in a domestic violence relationship and come to us needing support, information, and domestic violence education. Many of these women have few resources and scarce financial means to leave their abuser without some sort of guidance. Throughout their stay atA Woman's Place, we provide these women with the knowledge and skills they need to become safe,secure, self-reliant and productive members of our community. With ESG funding, A Woman's Place Inc,will continue to offer emergency safe shelter and other services to women and their children who are homeless due to domestic violence. We work diligently with victims of domestic violence to help them become safe, secure, self-reliant and productive members of our community. In 2005,75%of the women indicated on their exit survey that they were moving on to a new living situation. 8t a el ,� rs dr e - <`i' F $'ETt *`e r 1' ~ k gab„ . 6 r i l . t 3 . G! I - �} e ( . i k e'14 4 1 •# ,; ' tip . r sd-;E k S,ll- r 'E r' ,c �� z nr. etc �,4 e ''1l ra, r E i t;; 4i J Y to 1., X14. it A'✓� e j r s _}., { - }7 r x r rc a . "s,r,.tx'r`' 4. yy .4`{�1 .. wi ,1C l l— +� �e.'"' ;,i + ,.....-. d .,',�:� ,,. .ar �_ s '5rv'. '6 . -" xz .^r � �i,LCo ;;y �+5.T � '� a 1"` ..: z'as�.'. ... r' ri�a*""��= x £'8` � a [-a a .7`:i DAAP/ACT City of Greeley VALE Weld Friends of A Woman's Place ESG United Way VOCA EFSP VAWA Women's Fund of Weld County 3 31es'!Alri. £ ley -r(`'fle94 Fl)r i a v-;tr i I,J cr.'77t",fi.- in '.:17-S +'kern t"krtp‘,t:3��et <St; cn �,e ° ,.: qer uaa `Peo.ak``^ �� 4t.��"19x0 /t�oEli aae6� kr ��°� (r ��°°�� 1ae�=3p�e a) r,.Inu)c©)rir 4 tit:: . e r 1' np sa pct` "e r A Woman's Place Inc Currently has a staff of 10 people. Each staff member has access to a computer and printer. Each staff member is responsible for keeping track of their own statistics throughout the month,at month end staff is required to submit their reports to our Stats Coordinator,who then compiles all data.The Grants Administrator and Controller compile monthly and annual reports. AGENCY AMOUNT REQUESTED ADDRESS PHONE Rank CONTACT PERSON/TITLE FEDERAL I.D. NO. Service Area Population Project Description &Activities rrz �a a r 'ril I3 ( t1 alrC � s,2 "�• c1ia13� it ?.1/y • , L.2.144 .4? i i Ia It ,r.1 ^,r t•to•1 Y ; r i• ..... 4 3• i'5Tst•Y.... ....4'• •':1:44 t:44 ''�;ks f ' }+ fix n,._. _ ,.., ..> .. .. ..........�.,.,..,..., .w».......�..«....... ,_m....+,aw.w�..eu..c..*eX+ ar"'.m.ue`3..,.cm,uuen+aW£� aKaY�nb LINE ITEMS .Operations Essential Homeless Other Services Prevention (Administration) 4 Subtotal TOTAL REQUEST Source Amount Please have each subagency answer all application questions and submit with your application. ESG CERTIFICATION AND OTHER SUBMITTALS Applicants are required to complete the following local Emergency Shelter Grant Program Certifications, submit proof of Internal Revenue Service (I.R.S.) 501(c) status, and submit a current I.R.S. W-9 Federal Tax Identification form as an application requirement. Local certifications include: 1. Emergency Shelter Grant Program Assurances and Certifications; 2. Certification of Local Approval for Nonprofit organization; 3. Certification of Consistency with the Consolidated Plan. Consolidated Plans have been adopted by the following local jurisdictions:Adams County,City of Arvada, City of Aurora, City of 5 SUBRECIPIENT PROFILE * To be completed ONLY by County recipients and Housing Authorities with subgrantees. AGENCY Greeley Transitional House AMOUNT REQUESTED ADDRESS 1206 10`h Street $20,000.00 PHONE (970) 352-3215 Rank CONTACT PERSON/TITLE Jodi Hartman Executive Director FEDERAL I.D. NO. 84-1045958 Service Area Population Weld County 219,257 Project Description&Activities The Mission of the 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 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. Project Budget Please request funding amount by category. Then rank the categories of your requests based on your prioritization of needs. Indicate your prioritization in the small box below with your highest need being 9"and your lowest need being"4". I LINE ITEMS I .Operations Essential I . Homeless 1 Other Services Prevention (Administration) ❑ ❑ Staffing for Shelter $3,000.00 Repairs and Maintenance $500.00 Utilities and Telephone $6,500.00 Facility Insurance $3,500.00 Case Management $4,400.00 Transportation $100.00 Security $2,000.00 Subtotal $13,500.00 $4,500.00 $2,000.00 TOTAL REQUEST $20,000.00 Project Match Please explain how your agency tracks match. PLEASE NOTE: NO DOUBLE COUNTING OF MATCH IS ALLOWED Source Amount City of. Greeley $10,000.00 United Way of Weld Country $5,000.00 Helen K. and Arthur E. Johnson Foundation $10,000.00 SHELTER REPORT SHELTER CHARACTERISTICS 2004-05 Actual 2005-06 Projection 2006-07 Projection 25.BEDS(And.bassinets) — 22 30 30 26.SLEEPING ROOMS 6 12 12 27.TOTAL FAMILIES SERVED 49 72 100 28.TOTAL PERSONS IN FAMILIES 185 235 300 29.TOTAL INDIVIDUALS SERVED 185 235 300 30.SHELTER NIGHTS(See instruction page) 5350 10,300 12,000 31.MEALS SERVED N/A N/A N/A CLIENT PARTICIPATION REPORT HUD REQUIRES DOCUMENTATION OF CLIENT 2004-05 2005-06 Projection 2006-07 PARTICIPATION. Actual Projection 32.Paid hrs. 0 0 0 33.Unpaid hrs. 4,500 5,000 5,000 34.Other Volunteer Hours 3,248 4,000 5,200 *Explain how Clients participate in your agency: Clients have assigned daily chores that help maintain the cleanliness and orderliness of the shelter. They also provide clerical support and minor maintenance when needed. We also have previously homeless persons on our Board of Directors and have hired previously homeless individuals for paid staff positions. CONTINUUM OF CAREISERVICE COORDINATION SHELTER /SUPPORTIVE SERVICES SERVICES PROVIDERS 35.Emergency Shelter Information and Referral X CCH' RATI' 36.Transitional Housing X . CCH' 37.Permanent Housing(with services) X Weld Co.Hous.Auth' Private Vendors 38.Permanent Housing(without services) Weld Co.Hous.Auth.* Private Vendors 39.Soup kitchen Salvation Army 40.Clothing GIA Clothing Bank Ken's Closet 7th Day Adventist Church 41.Transportation X CCH' 42.Case Management X CCH' 43.Daycare Weld Co.Soc.Services Private Vendors 44.Substance Abuse Counseling Island Grove No.Front Range NCMC Psychcere Behavioral Health 45.Psychological No.Front Range NCMC Psychcare Behavioral Health 46.Employment Weld Co.Job Services Temp.Agencies Private Vendors 47.Life Skills/Budgeting X Consumer Credit Private vendors& Counseling nonprofit agencies 48.Educational X Aims Comm.College Dream Team 49.Assistance wl Perm.housing X Weld Co.Housing Auth. 50.Medical treatment Sunrise Clinic Monfort Childrens Clinic Weld Co.Health Dept. 51.Forms Assistance X 52.Other X C.A.R.E.* (1)Services provided by your agency mark with an X. (2)All Service Providers which you have written agreements with mark with an x PREVENTION SERVICES(Must have an eviction notice, foreclosure notice or cut-off notice to be acted upon no sooner than 7 days from date of assistance. 53.Utilities Assistance X CCH• LEAP 54.Security Deposit X CCH' Private foundations 55.Back rent X CCH' 56.Back Mortgage Payments X COT' 57.Other Innovative Services(specify) N/A (1)Services provided by your agency mark with an X. (2)All Service Providers which you have written agreements with mark with an . 58.MANAGEMENT CAPACITY.'List key staff positions, responsibilities, and experience related to this project. Executive Director. Jodi Hartmann joined Greeley Transitional House in October 2005. Prior to joining GTH she worked for 4'/: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 having been awarded one of 12 competitive fellowships from the Colorado Trust to complete the MNM degree program in 1999. The fellowships were awarded to emerging nonprofit leaders from throughout Colorado.Jodi is responsible for the overall administration, programs, and fundraising for GTH. 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 clients as well as supervising the Children's Program and Follow-up Program. At GTH Lori has held several positions 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. 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 2'h 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. 59.EXTENT AND URGENCY OF NEED Describe the extent and urgency of'need torshelter and services to be provided. The need for Emergency Shelter and services for families continues to be urgent in Greeley/Weld County. Despite having expanded and relocated in 2005 to a new shelter facility in 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. 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. 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. According to the report,"Out of Reach", prepared annually by the Washington, D.C. based National Low Income Housing Coalition, Colorado's"Housing Wage",or the hourly income needed to afford the average two-bedroom apartment, is approximately$15.99. This is three times the current minimum wage of$5.15 per hour. An extremely low-income household earning$19,167(or,30%of the statewide area median income of$68,890)cannot afford a monthly rent of more than$479,while the fair market rent for a two-bedroom apartment in Greeley is currently$606.00. so. PROJECT IMPACT What impact do you expect to have on identified needs if you receive ESG funding? ESG Funding will assist us in continuing the momentum we have built by increasing our capacity to meet the growing number of homeless families in Greeley/Weld County. With this expansion we increased our facility costs significantly(primarily increased staffing, higher utilities, and higher facility insurance premium). Ultimately this funding will be used to provide Emergency Shelter and support services for up to 100 families(300 individuals)and will provide case management,security deposit assistance, and transportation services to the 75 families to be served by our Follow-up Program. 61.OTHER RESOURCES: List other local, state, federal and charitable organizations that fund your organization's shelter operations, or homeless services. Private Foundations $158,000 Emergency Food&Shelter Program(FEMA) 11,000 Federal Supportive Grant(CCH) 14,500 Weld County Housing Authority(HUD) 24,000 City of Greeley 10,000 United Way of Weld County 50,000 Private Donations(individuals/corporate/churches) 41,000 62. FIRST-TIME REQUESTS FOR ESSENTIAL SERVICES: Please answer all of the following: (1) Is this a new service ora 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? Not applicable—this is not a first-time request. However,it is important to note that due to the expansion and relocation of our shelter in 2005,we increased our capacity by 100%and increased the nights of individual emergency shelter provided by 93%over the previous 12 months. 63. LIST: COMPUTER RESOURCES INCLUDING EQUIPMENT AND STAFF THAT YOUR AGENCY CURRENTLY UTILIZES TO GATHER DATA, PRODUCE REPORTS, ETC With the move to the new facility, GTH upgraded all of its technology. All full-time employees have new Dell computers with Microsoft Office and Windows XP software. All staff have been or are in the process of being trained to utilize Excel spreadsheets for gathering data and producing reports. The Administrative Assistant is learning to use Microsoft Access for development of the organizational donor database,and will eventually use the program to track client data. The Executive Director,Assistant Director, and Follow-up Program Coordinator have all been trained to use the HIMS system through the Colorado Coalition for the Homeless. We are in the process of starting up that data base currently. SUBRECIPIENT PROFILE * To be completed ONLY by County recipients and Housing Authorities with subgrantees. AGENCY Catholic Charities Northern AMOUNT REQUESTED ADDRESS 2500 First Ave. Bldg CB $35,000 PHONE (970) 378-0100 Rank CONTACT PERSON/TITLE James Mauck President Catholic Charities FEDERAL ID. NO. 84-0686679 Service Area Population Weld County 219,257 Project Description&Activities The Mission of the 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 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. Project Budget Please request funding amount by category. Then rank the categories of your requests based on your prioritization of needs. Indicate your prioritization in the small box below with your highest need being"1"and your lowest need being"4". LINE ITEMS I .Operations I Essential I Homeless I Other Services Prevention (Administration) ❑ ❑ ❑ ❑ Utilities and Phone $9,000.00 Supplies/Food/Janitorial $6,000.00 Maintenance Repairs $3,000.00 Staff operations Case Management $7,000.00 Rental/mortgage assistance $10,000 Subtotal $18,000.00 $7,000.00 $10,000.00 TOTAL REQUEST $35,000 Project Match Please explain how your agency tracks match. PLEASE NOTE: NO DOUBLE COUNTING OF MATCH IS ALLOWED Source Amount United Way of Weld County $35,000 Tom Teixeira-2006 Weld ESG Application 3-21-06.doc Page SHELTER REPORT SHELTER CHARACTERISTICS 200445-Actual 2005-06 Projection 2006-07 Projection 25.BEDS(ind bassinets) 38 38 50 26. SLEEPING ROOMS 5 5 6 27.TOTAL FAMILIES SERVED 37 40 45 28.TOTAL PERSONS IN FAMILIES 139 150 170 29.TOTAL INDIVIDUALS SERVED 767 800 825 30.SHELTER NIGHTS(See instrudionpage) 6300 6500 6500 31.MEALS SERVED 12,600 13,000 13,000 CLIENT PARTICIPATION REPORT HUD REQUIRES >DOCUMENTATION ''20040 200=08,ProjectIon 2006-07 CLIENT PARTICIPATION.. Actcak ;< Projection 32.Paid hrs. 0 0 0 33.Unpaid hrs. 2738 2900 3000 34.Other Volunteer Hours 4380 4400 4500 'Explain how clients participate in your agency: Clients are asked to help with clean-up chores, moping floors, washing dishes, taking-out garbage, and folding linens. Other Volunteer are community people who serve meals, assist overnight staff and provide some maintenance. CONTINUUM OF CARE/SERVICE COORDINATION SHELTER I SUPPORTIVE SERVICES "SERVICES PROVIDERS- ! 35.Emergency Shelter Information and Referral XCCN 36.Transitional Housing XCCN 37.Permanent Housing(with services) XCCFLH 38.Permanent Housing(without services) XCCFLH 39.Soup kitchen 40.Clothing 41.Transportation i I 42 Case Management XCCN 43.Daycare XCCN 44.Substance Abuse Counseling 45.Psychological 46.Employment 47.Life Skills/Budgeting XCCN 48.Educational 49,Assistance w/Perm.housing XCCN 50.Medical treatment 51.Forms Assistance XCCN 52.Other (1)Services provided by your agency mark with an X. (2)All Service Providers which you have written agreements with mark with an*. I i 2 Tom Teixeira-2006 Weld ESG Application 3-21-06.doc rage .s PREVENTION SERVICES'(Must have'an eviction`notice, foreclosure notice or cut-off notice•to belated upon no sooner than 7 days from dateof assistance. 53.Utilities Assistance XCCN 54.Security Deposit 55.Back rent XCCN 56.Back Mortgage Payments XCCN 57.Other Innovative Services(specify) (1)Services provided by your agency mark with an X. (2)All Service Providers which you have written agreements with mark with an 4 F ... . a �ajp n 'ar h ri. 'y i x •. I i „•68 ti9 �i h'1 e1 . r rd " c _ u a , �4 �h.. 3 ofs-aqrti ', g n{. 1. Regional Director: Administrative responsibility for funding and overall programs; MSW University of Denver; 11 years with agency. 2. Supervisor of shelter operations for Weld and Larimer County: responsibility for program procedures, supervision of staff. 5 years with agency, BSW from CSU. 3. Shelter Coordinator: oversees the daily operations of facility, and provides case management for clients, schedules volunteers, BS in Human Services, CU 3; years with agency. 4. Emergency Assistance Site Manager: provides direct emergency financial services to clients, and referral to other community resources; Associates Degree in education,1m UNC 23 years with agency. sr :fj wI iu wNk 1 ti .. ( r i e.4 s=f,-;j46� tt = 3', > u Describethe=: .. d,a , � l e �r'., �i� fit e;.provided. During the past year 767 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. 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 short period of work. They can lose their homes and often come to the shelter. With the Homeless Prevention funds and other grants we were able to keep 136 families in their homes. This includes 5 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 living needs. The households that come to the shelter and to Emergency Assistance make far below that amount. Currently there is a pending lay-off of 350 people by a major employer in the community and this will lead to even more households attempting to survive on minimum wage jobs. 60 PROJECT IMP 1CT What iimpacttdo.you expect:to Davie on identified needs. f:you receive ESG funding? With the $10,000 for homeless prevention we expect to help 5 households move from the shelter into a home and another 28 households to stay in their present home. These households will include families with children, disabled and elderly. We have projected that we will serve 800 homeless people with 6,500 nights of shelter. We will also provide services that will enable the clients to return to a more stable and self sufficient life. 61.OTHER RESOURCES: last other`l scal, state federal and charitable organizations that fund your organization's'.shelter operations, or homeless services. United Way of Weld County, Daniels Foundation, City of Greeley, Weld County, Emergency Food and Shelter Program, The Archbishop's Appeal, Private Individuals, and faith communities. 3 Tom Teixeira-2006 Weld ESG Application 3-21-06.doc raye 14.1 62. FIRST-TIME REQUESTS FOR ESSENTIALERVICES: Please answer all of the following: (1) Is this a new service or a quantifiable increase in service above that provided during the previous 12 mo # s? What other local government or nonprofit resources have funded these1~ meless:services in--the past-,year? 63. LIST: COMPUTER RESOURCES INCLUDING,EQUIPMENT AND STAFF THAT YOUR AGENCY CURRENTLY UTILIZES TO GATHER DATA,-PRODUCE-REPORTS, ETC The agency has its own WEB based database. Each site is connected by internet and all information on clients, services provided, and demographics is entered into this database. All of the staff members are trained to use the computer system. We also generate reports for all the funders based on this information entered into the data base. We have computers at each site that has software equal to Windows 98 or better. SUBRECIPIENTPROFILE' 'v0a * To be completedONLY by County_reciptents andliousing Authorities with subgrantees. AGENCY AMOUNT REQUESTED ADDRESS PHONE CONTACT PERSON/TITLE FEDERAL I.D. NO. Rank Service Area Population Project Description&Activities Project Budget-Please request funding amount by.category.Then rank the categories of your requests based on your prioritization of needs. Indicate your.prioritization.In the small box below with your highest need being "1" and your lowest need°being wt". LINE ITEMS .Operations Essential Homeless Other Services Prevention (Administration) l � 4 Tom Teixeira-2006 Weld ESG Application 3-21-06.doc Nage • Subtotal TOTAL REQUEST .. .,.„..�;.,;.�.� y�.,.�.�-.,....U:.-rtg. _'di•::. ..i lit�>a . ::.."r�F. J�i+L"IRi►tF�R isl;'leiii i, i r-,. ., _ eiF4SIi' m c,k FFS i ri'- li o�y�.¢ U Source Amount Please have each subagency answer all application questions and submit with your application. � I ESG CERTIFICATION AND OTHER SUBMITTALS Applicants are required to complete the following local Emergency Shelter Grant Program Certifications, submit proof of Internal Revenue Service (I.R.S.) 501(c) status, and submit a current I.R.S. W-9 Federal Tax Identification form as an application requirement. Local certifications include: 1. Emergency Shelter Grant Program Assurances and Certifications; 2. Certification of Local Approval for Nonprofit organization; 3. Certification of Consistency with the Consolidated Plan. • Consolidated Plans have been adopted by the following local jurisdictions: Adams County, City of Arvada, City of Aurora, City of Boulder, City of Colorado Springs, City and County of Denver, City of Fort Collins, City of Greeley, Jefferson County, City of Lakewood, City of Longmont, City of Loveland, City and County of Pueblo, and the City of Westminster. ESG applicants from these areas should obtain Certifications of Consistency with the Consolidated Plans from these local governments. The Colorado Division of Housing will provide Certifications of Consistency with the Consolidated Plan for ESG applicants located throughout the balance of the state. 5 SUBRECIPIENT PROFILE * To be completed ONLY by County recipients and Housing Authorities with subgrantees. AGENCY Room at the Inn AMOUNT Interfaith Hospitality Network, Inc. REQUESTED ADDRESS 1213 5th Ave. Greeley, CO 80631 $8,000 PHONE (970) 378-0100 Rank CONTACT PERSON/TITLE Stacy Suniga, Executive Director FEDERAL I.D. NO. 84-1554767 Service Area Population Weld County 219,257 Project Description&Activities The Mission of the 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 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, Project Budget Please request funding amount by category. Then rank the categories of your requests based on your prlorttlzatlon of needs. Indicate your prioritization in the small box below with your highest need being "1•and your lowest need being"4". LINE ITEMS .Operations I Essential I . Homeless Other Services Prevention (Administration) ❑ ❑ ❑ ❑ Insurance $2,000.00 Utilities and Phone $1,000.00 Transportation $700 Case management $1,500 Counseling and Education $800.00 Rental Assistance $1,000.00 Security Deposit $1,000.00 Subtotal $3,000.00 $3,000 $2,000.00 TOTAL REQUEST $$8,000.00 Project Match Please explain how your agency tracks match. PLEASE NOTE: NO DOUBLE COUNTING OF MATCH IS ALLOWED Source Amount let Congregational Church Mission Fund $2,000 Volunteer Hours $6,000 SHELTER REPORT :SHELTERCHARACTERISTICS 2004-05:Actual -2005-06 Projection 2006.07°Projection 25.BEDS(h,d.basis) 18 18 18 26.SLEEPING ROOMS 6 6 6 27.TOTAL FAMILIES SERVED 40 38 42 28.TOTAL PERSONS IN FAMILIES 125 115 140 29.TOTAL INDIVIDUALS SERVED N/A N/A N/A 30.SHELTER NIGHTS(See kMucton write) 4318 3800+ 4500+ 31.MEALS SERVED 12,940 1200+ 13,500+ CUENT PARTICIPATION REPORT HUDTIEQUIRES DOCUMENTATION4OF CLIENT , iim4.05 2005=06'Projection .2006-07' PARTICIPATION. Actual Projection 32.Paid hrs. 0 0 0 33.Unpaid hrs. 380 450 450+ 34.Other Volunteer Hours (Non-client hours) 1767 1800+ 2000+ •E1iplain how clients participate it your agency A former client serves on the Room at the km Board of Directors.Her tine is donated to fundraising events,and board meetings.Other former clients prtidpats as dinner,evening and overnight hods,and in various rsytacities at our day center. CONTINUUM OF CARE/SERVICE COORDINATION StEL"r,ERs/.'8UP!PORTIVE SERVICES-' ,A. '$SERVICESdP.ROVIDERs 35.Emergency Shelter Information and Referral X Unked Way He pine Catholic Charities A Women's Place Smoky Transitional House 36.Transitional Housing 37.Permanent Housing(with services) X Catholic Charities Northern Greatly Ctr.For Indeped. Stephens Farm 38.Permanent Housing(without services) WC Housing Authority' Island Grove Village Lincoln Square Apart en a 39.Soup kitchen Salvation Army Greeley for God The Rock Church 40.Clothing X Ken's Closer Lassie's Close' Orly Interfaith Clothing Behr 41.Transportation X City of Greeley Bus 42.Case Management X WC Social Services WC Job Services North Cob.Med Ctr. 43.Daycare WC Childcare Asst. Salvation Army Child Ctr. Hillside Baptist Church 44.Substance Abuse Counseling Island Grove Treatment Alcoholics Anonymous N.Range Behavioral Heath 45.Pay.iolugk d N.Range Behavioral Health NCMC Psych Care WCSD 06-Counselors 46.Employment X WC Job Services Temp.Employ.Svcs. Labor Ready Employment 47.Life SIdWBudgekg X C.A.R.E Consumer Credti Cams. Love and Logic Parenting 48.Educational X Advanced Technology Educational Opp.Ctr. WCSD A 6 49.Assistance w/Perm.housing X WC Housing Authority Island Grove Village Faith Community Coalition 50.Medical treatment Sunrise Medical Clinic Monfort Children,Clinic WC Health Dept. 51.Forms Assistance X WC Social Services WC Job Services Ken's Closet 52.Other Vehicle donations,home furnishings,etc. X United Way Greeley Furniture Bank (1)Services provided by your agency mark with an X. (2)All Service Providers which you have written agreements with mark with an . .P.REVEN ICt1, VICES(Must¢have an evktlon.notIce, laaclonsa+notice orcSo f notice to lemon no anar�tlrn'7dAysriamd teofao fsnaa." . 53.Utilities Assistance LEAP Catholic Chanties Greeley Interfaith Ann 54.Secuity Deposit X Catholic Charities 55.Back rent X Catholic Charities Area Churches 56.Back Mortgage Payments 57.Other Innovative Services(specify) (1)Services provided by your agency mat with an X. (2)All Service Providers with you have written agreenhmis with mark with an*. Stacy Romero.Executive Director: Stacy oversees the 24 hrs per day,365 days per year Room at the Inn agency. She supervises two part-time employees and 15 church volunteer coordinators. Stacys key responsibilities include: Volunteer training,schedule coordination, case management and referral to homeless clients and others in an outreach capacity,leads internal sessions in the areas of people skills and guest/volunteer 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 Homeruns for Homeless Rental Assistance. Stacy also speaks publicly about the services of Room at the Inn at various community forums. Barbara Peverlev.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 at in household chores and attendance in program courses. Barbara also schedules area agency instructors 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. Sharon Tucker: Sharon interacts directly with all guest families and supports our families through friendship. Sharon is our case manager and she assists families with referral and direct assistance to find resources that will help them pull out of the crisis of homelessness. Sharon,along with other staff,provides transportation for our guest to and from our host churches. Church Coordinators(15 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 ,y,.ram within their host church. The continued and undeterred focus of Room at the Inn is to extend services to and opportunities for the poor and indigent. An increased need for our services is well documented over our years of operation. The Room at the Inn Office is consistently inundated with phone calls from Greeley area residents who are experiencing increased difficulty in their ability to afford their homes. For a variety of reasons(most having to do with finances), many families are being asked to leave their residences. A few agencies in Greeley completed agency expansions within the last four years to be able to serve more people. Those agencies were A Women's Place,The Greeley Transitional House,and the Guadalupe Center. The Transitional House and Guadalupe Center work directly with homeless individuals,while A Women's Place provides services to battered women. Even though Weld County can now"house"more homeless individuals inside of local shelters than ever before,Room at the Inn still remains a vital resource for families who have no where to go when they become homeless. Our beds are always filled with homeless children and their parents,and overflow remains an issue for area agencies. Over the past few years,two parent families have slowly emerged as the top population seeking our services,a spot that was previously held by the single mother population.This is telling of a worsening economy that continues to wreak havoc on the financial resiliency of a family in trouble. Continued,increasing budget cuts from governmental entities to support families have drastically reduced the families ability to overcome severe crisis,such as homelessness. As a result,our agency still frequently nurses a waiting list and always remains at capacity. However,Room at the Inn is here to offer help in many forms. We will continue to provide for the immediate needs of the homeless family and to offer assistance and hope through case management,life skills and educational programs. As well, our agency has recently undertaken a project to expand our services through the creation"family center that will increase current programs and allow space for the creation of new programs as they are identified. Currentiy,we are in the process of procuring a building for our family center. . t'az'L'K, ,^�''M1t '.444 , 'ras*Si r* .. 5R tom.' h. s hes G ti.z. k �' -r" y: C 4,,,,,„, .` 9th � + � n ,; P 4r• w � We have held at a steady success rate of 86%. This is defined as the number of families that have successfully left o• ur program for permanent,long term housing. Though this number may be acceptable in most circles,we hope to accomplish more. ESG funding will help us continue in our commitment to address the gamut of issues that are unique to families living in homelessness and provide opportunities that empowers families within this crisis. We seek to incite their passion to make positive change. We propose to do this by tailoring current programs to meet the unique needs of the individual.. ndividual. Needs that are identified within one to one case management. Currently,we are working with incoming instructors to enhance our programs by developing an assortment of curriculums that will match the individuals level of proficiency. We are also looking to increase volunteerism within these programs for more one on one specialized attention. Our goal is to provide holistic care to the family with more personal, long-term support,so that they will recognize their ability to be resilient in crisis and successful in life,despite the circumstances. Our ongoing vision to offer more services and specialized program is still in process as Room at the Inn Board of Directors and staff have been vigorously working to establish ai centralized hub that would accommodate a large number of life skills and educational programs. Once operational,we believe that this center could become a resource for many agencies and a collaboration of this sort would be welcomed with open arms. ' ' '' ye as asq ,n � , tr 01 R "' E � 01 (" S�y'. §F 4 9(0 y � � .b w�a� � . 'x . �� iI 474, a; I `"rte 1, ' i. k S �t 44 8,y, . iS , to ([ u�' i �xr S,r% , a nib Is1 4' :$nI Vp xu 1 4 �r 11' r r x x. w' `a t[r t� _ .ezra' m % ^Ka ;a- n *Y,... ,a-en nr. �::X .,ur%., k�;«4. ., '�., We receive no other state or federal funding for our agency other than the Emergency Shelter Grant. Private donations remain our biggest source of operating revenue through Innkeeper opportunities. Innkeepers is our individual donor program. Several foundations remain committed to providing yearly funds to our agency. Those foundations are the First Congregational Mission Fund,Mennonite International,Rocky Mountain Conference Foundation,and Our Saviors Benevolence Fund. Recently,we have initiated two major fundraising events that we are building to be yearly occurrences. Both were successful in 2005 and 2006, changing our the make up of our sources of revenue.Grant funding,including the Emergency Sheller Grant,account for around 20%of our annual budget. Private donor funding account for 55%and other sources,including fundraising,make up the concluding 25%. ,F a t > d , '. er sr .t*r ' r +< f 1µz , ... o IX� _ r 1 . a r 4 - - �t L.,,f' n� '�`�m�� '`=k" 5 " Y r� 3,, 6 k'AR.!,trrir 7;4704"TM Il-9. #Y"^ +k Yle T "« ...J-+a �' ar. «� S , !64 ✓ss va. . n tT .S. L s.�{. L1, '^. 4 ^ttk- `, < y '� q H T 1F' l i � �' iy1 UI R 1 9 t p4 t , i : d t .# 1 vnc""^,-,ti -1 we ,,, t pod. 4,-; ) `1A 1. �� _.h« ,,',�,.n _ _ ^.� v z . "..,`" k„, 4�- t r ' .. ...umw hr a, »'�s rl r(' e „'16_ui 1 „ _ ., vi l r. t , 7 i „t4. ."ate -',-.4;' a .w.tJ-„+�... a-.h+!. t do a n 4 .&y5 ��- V' Jx .arc4 5 %>' `,' feu .x; ,, ,re "'� -5,3tu;o-ti , h-,.,„:,„,,,,,,....:".001-0,--. 7,� '&ark 4:17.,:r..., r. 2 �5: b' IC e r 1J a � 1K t . �- ., .. . .�n4 a1«; ._ _.. Not Applicable. Thank you. ,, Y... '' € '• t 44 ° ,e , i< ''l xk E )^ T . r p` .: w { . a,iA.,-,errt T."aert .,.zz 1 !a...,,L,44.,-. _ - e `. R. 417,14-�'"3a^'t fa.S.-1/4"N.aa t 'VI' v 'ver,o,,1� '�xg;i ‘41,,r � 1,, •1... :"3..„:1- St r'7*..*. 7 v 1- r+ �S.c <7 fl - w t Ar ) IA' 4 x 1 i d4'5, - 6`w"..... ... . . . �'a;�%,dF ', . ' .k,sa•�1§�', � " W , ''''14.C. Y rat '�.€a !", `iF The Room at the Inn Executive Director,Stacy Suniga,is currently responsible for the collection and reporting of data for the purpose of statistical information. Barbara Peverley, Day Center Administrator,diligently tracks detailed phone requests and submits the monthly data to the executive director for processing. All data is stored on the hard drive of the executive director's computer with hard copies of all information stored in office files and at two offsite locations,one copy with the Agency Secretary and another with the Agency Treasurer. All files are backed up and stored offsite in a secure location. Programs that are used to create these reports include Microsoft Excel Spreadsheet,Microsoft Word,and Cosmi SL Accounting software, We have just started to implement QuickBooks Non-Profit for financial and data reports. Some reporting formats are provided by our national office,Family Promise and from United Way of Weld County for the previous purpose of reporting a countywide statistical record. Additional formats were created by Stacy Suniga, Executive Director for internal detailed information.These formats are not currently requested for use by any outside entity. The information on these forms are readily available at any time. All final data is gathered and disseminated by Stacy Suniga, Executive Director of Room at the Inn. AMOUNT AGENCY REQUESTED ADDRESS PHONE Rank CONTACT PERSON/TITLE FEDERAL I.D. NO. Service Area Population Project Description&Activities LINE ITEMS .Operations Essential .Homeless Other Services Prevention (Administration) ❑ ❑ ❑ ❑ Subtotal TOTAL REQUEST Hello