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HomeMy WebLinkAboutItem 8.1 Child Care Links Exh 6CITY OF DUBLI~E~fl~~N ~,lAN 3 0 2009 gNMANAGEH'SOFRCE COMMUNITY GROUP/ORGANIZATIONAL FUNDING REQUEST APPLICATION PACKET Fiscal Year 2009-2010 Section 2: ii CITY OF DUBLIN Fiscal Year 2009-2010 COMMUNITY GROUP/ORGANIZATION APPLICATION FOR FUNDS COVER PAGE AGENCY NAME: CHILD CARE LINKS PROPOSED PROJECT/PROGRAM NAME: COMMUNITY SERVICE FUNDING AMOUNT REQUESTED: $23.500. SECTION 2 Page 2 of 16 ~. ;- it CITY OF DUBLIN Fiscal Year 2009-2010 APPLICATION FOR FUNDS i. Please select one expense category: ^ Capital X Operating 2. Applicant Information: Organization/Agencyhame Child Care Links Mailing Address 1020 Seroentine Lane Suite 102 Street Address same. as above City Pleasanton State CA Zip 94566 Carol Thompson 925. 417.8733. cthompson(u~childcarelinks.or~ Executive Director/Chairperson Work Phone Email Board President (if applicable) Work Phone Email Please list the Primary Project Contact Person who would be able to answer questions about this application and project/program during the funding period. Melissa Spann Community Specialist Contact Person for Project/Program Job Title 925.417.8733 mspann(c~childcarelinks.or~ 925.417.8740 Work Phone Email Fax Federal Tax Identification No. (required) 94-2379571 City of Dublin Business License No. (required) 200181 SECTION 2 Page 3 of 16 ,` ~. ,~ City of Dublin Fiscal Year 2009-2010 Application for Funds 3. Proposed Project/Program Information (Do not describe organization.) Amount of Funds Requested $ 23 500 (Maximum $25,000 per project.) Proposed Project/Program Name Community Services Proposed Project/Program Date(s)::. Start 7 / 1 / 09' and End 6 / 30 / 10 mo. day yr. ,: mo. day yr. Please note: City Council Grant Funds are distributed on a reimbursement basis. If your Agency needs a 100% disbursement at the beginning of the Fiscal Year, please indicate this below and please provide justification for this need... ^ Agency is requesting 100°fo disbursement at the beginning of the Fiscal Year. If selecting this option, please provide justification in the blank space below. D Agency is not requesting 100% disbursement at the beginning of the Fiscal Year. Please provide the frequency that. reimbursements will. be submitted to the City in the blank space below; e.g., monthly, quarterly, at project completion, etc. Child Care Links will request reimbursement on a monthly basis. SECTION 2 Page 4 of 16 ~® .,_ ~' City of Dublin Fiscal Year 2009-2010 Application for Funds a. How would the requested funds be used? ^ Describe, in detail, the PROPOSED- PROJECT/PROGRAIVI (not the Agency). ^ Bulleted text is acceptable. ^ Identify if the proposed project/program is a new service, or extension of an existing one. - ^ An additional page may be added, if needed. Please seeAttachmentA. b. c. How would the PROPOSED PROJECT/PROGRAM address~l an unmet community need and improve the quality°of life for Dublin residents. Why is this project/program needed? (Additional page maybe added, if needed): Please ee Attachment B. What documentation/data/records support the need for this PROPOSED PROJECT/PROGRAM? ,Please identify your data sources. (Additional page maybe added, if needed.) Please see Attachment C. SECTION 2 Page 5 of 16 .. ®~ City of Dublin Community Group/Organizational Funding Request Fiscal Year 2009-2010 ATTACHMENT A 3. A. How would the requested funds be used? Child Care Links is pleased to present this funding request for fiscal year 2009-2010 in the amount of $23,500. This increased funding request is a result of the cities' growth, the increase in the cities' diversity and to help cover the costs of in-kind services previously provided by the agency. Child Care Links is dedicated to providing resources that strengthen and support children and their families. Within the City of Dublin through 1) recruitment, retention and training efforts for potential and existing child care professionals; 2) advocacy for quality child care for all children and documentation of child care supply and demand; 3) offering parent education and services.. The projects and services listed below are designed to meet the agency's goal of supporting children, their families and child care providers in the City of Dublin. Assist potential Dublin family child care home providers and child care center operators in successfully completing the licensing and conditional use permit process by offering technical assistance, training and health and safety incentives. Funds would be used for. staff time and purchase of health and safety incentives such as fire extinguishers, first aid kits, safety gates and other health and safety items needed to support the child care site. This activity currently exists through funding from the City of Dublin. • Provide training in child development, business practices and health and nutrition for Dublin providers in order to enhance quality care in Dublin. Funds will be used to pay for the Community Specialist in planning the trainings, trainer fees and if appropriate, resource materials to provide to workshop attendees. This is an extension of an existing service. Production of the 4~d Annual Early Childhood Education (ECE) Conference in Fall 2009. This conference presents an opportunity for child care professionals to gather for a day of training, self-improvement workshops and networking. Funds will be used for the Community Specialist to assist in planning this event. In addition, funds will be used to purchase materials given to conference attendees. This is an extension of an existing service. Collaborate and support the Tri-Valley Provider Recognition Program. This event is an opportunity to recognize providers for their valuable service to children and their families in the City of Dublin. Funds will be used to purchase certificates and an Page 1 of 3 Attachment A City of Dublin Community Group/Organizational Funding Request Fiscal Year 2009-2010 appropriate incentive honoring their service to Dublin families. This is an extension of an existing service. • Increase available child care resources in Dublin through participation in planning groups and advocacy efforts. Child Care Links is active in regional, county and state advocacy groups. Funds will be used for the Community Specialist to attend appropriate meetings and applicable membership fees. This activity exists through funding from the City of Dublin. Document changes in child care supply/demand, child care costs and provide statistical and other information to help the city plan for child care needs. Funds will be used for staff time and the production of the quarterly child care supply and demand reports. This activity currently exists through funds from the City of Dublin. Produce an annual rate survey for the City of Dublin. Funds will be used for staff time and the production of the annual rate survey. This is an extension of an existing service. Educate parents about the value of quality care, informing the community about child care issues and provide outreach to under-served local populations within the City of Dublin to inform them of available services. Funds will be used for staff time and production of consumer education materials. This activity currently exists through funds from the City of Dublin. • Production of the 10th Annual Tri-Valley Preschool Fair in Spring 2010.This event presents an opportunity for parents to evaluate local preschools and provides an excellent forum for the participating preschools to market their businesses. The Preschool Fair also offers exhibit space to local community agencies, Mothers' Clubs and child-related businesses. Additionally, the Fair will include a health and safety component. This provides an opportunity for parents, child care providers and their children to gather important health and safety related resources in a fun, child-friendly environment. Funds will be utilized for the salary of the Community Specialist who plans this event. Also, funds will be used to purchase materials, advertisement, postage and publication of a Tri Valley Preschool Guide. This activity currently exists through funds from the city of Dublin. • Production of the 3~d annual Stress Reduction Workshop in Winter 2009. This workshop recognizes providers for their valuable service to children and their families while also reminding them to take time out to nurture themselves. This is an extension of an existing service. Funds will be used to pay presenters, pay vendors to provide health and relaxation information and services and to purchase materials for workshop attendees. Page 2 of 3 Attachment A City of Dublin Community Group/Organizational Funding Request Fiscal Year 2009-2010 Assist CaIWORKs participants and other low income families with eligibility for child care subsidies in their search for child care. Funds will be used for staff time and production of consumer and parenting education materials. This is an extension of an existing service. Provide the Family Read Night Program to Dublin English and Spanish speaking parents, child care providers and their children. Funds will be used for staff time and the purchase of books and healthy. snacks for children in attendance. This activity exists through funds from the City of Dublin. • Various workshop and training opportunities for City of Dublin parents and child care professionals. Topics may include but are not limited to: Kindergarten readiness, discipline, communicating with children, inclusion of children with special needs, play groups, nutrition, environmentally friendly practices, building a creative curriculum. Funds will be used to pay the salary of the Community Specialist planning the trainings, trainer/presenter fees and if appropriate, resource materials to provide workshop attendees. The agency proposes to duplicate many of these workshops for Dublin's Spanish speaking residents or to provide aSpanish-speaking translator to include Spanish-speaking attendees in workshops. This is an extension of an existing service. • The agency proposes to duplicate many of these workshops for Dublin's Spanish speaking residents or to provide aSpanish-speaking translator to include Spanish- speaking attendees in workshops. Page 3 of 3 Attachment A City of Dublin Community Group/Organizational Funding Request Fiscal Year 2009-2010 ATTACHMENT B B. How would the PROPOSED PROJECT/PROGRAM address an unmet community need and improve the quality of life for Dublin residents. Why is this project/program needed? One of the biggest challenges parents face when entering into the workforce is finding the right care for their child. Parents search for child care providers who not only meet their scheduling and budgeting needs, but who they feel will also provide a safe, nurturing and learning environment for their children. Child Care Links strives to support and promote quality care for all children to maximize their potential. Similarly, the agency offers support to existing child care providers within the city of Dublin so they may offer the best quality programs. Provider Support The California Early Care and Education Workforce Study: Licensed Child Care Centers and Family Child Care Providers, Alameda County Highlights, August 2006 states that "...the persistence of high turnover in Alameda County's ECE workforce is of serious concern. The earnings gap between kindergarten and ECE teachers, in particular, is likely to continue to fuel such turnover particularly among those who have made the greatest investment in education and training..." The study also states that "Teachers with a BA or higher degree are more likely than others to be over age 50 and approaching retirement..." With these challenges facing the child care field, efforts to recruit, train and retain child care providers are needed. Child Care Links' staff works closely with potential family child care providers and child care center operators in the licensing and conditional use permit process. As the only state funded resource and referral agency serving the Tri Valley area, the support to these providers is essential in meeting the demand and expanding the child care supply for Dublin residents. According to the Alameda County Early Care and Education Needs Assessment, June 2006, Dublin shows a large school-age, full time child care deficit of 680 slots and an infant child care deficit of over 100 slots. The report also states that 59% of the parents, with children under the age of 6, and 73% of the parents, with children 6 to17 years of age, are either single working parents or come from two-income households. With a significant percentage of Dublin parents in the workforce, the need for quality, affordable child care is significant. By providing and promoting trainings in child development, socio-emotional development and well-being, business practices and health and nutrition for Dublin child care providers, Child Care Links is able to improve the quality of child care. According to NACCRRA's National Survey of Child Care Resource & Referral Training: Building a Training System for the Child Care Workforce, "Better trained providers are more likely to promote positive growth and development of children." Training and educational opportunities are important to the operation of child care programs and the retention of child care providers. Child Care Links, in collaboration with other organizations, will host the 4t"Annual Early Childhood Education Page 1 of 3 Attachment B City of Dublin Community Group/Organizational Funding Request Fiscal Year 2009-2010 Conference in the fall of 2009. This is the only early care and education conference focusing on the needs of child care providers hosted in the Tri Valley area. In addition, Child Care Links works in collaboration with the local family child care association, Valley Family Child Care Association (VFCCA) and the local directors association, Directors of the Valley (DOV), in recognizing child care providers for the work they do with. children and their families. NACCRRA states "The child care profession is one of the most underpaid occupations in the country; yet early childhood is the most critical developmental period for all children." The Stress Reduction Workshop, a training and recognition event, is an opportunity for the child care providers to be acknowledged and to celebrate their essential role in the community. By providing these services to potential and existing child care providers, the City of Dublin will have a child care system with trained professionals that will meet the demand of the city's working families; and, children will be placed in safe, nurturing and learning environments. Advocacy As stated previously, according to the California Early Care and Education Workforce Study (August 2006), the average annual salary for child care centers' highest paid teachers with a BA or higher degree is $37,544, about $22,500 less than that of the average Alameda County K-12 teacher, who typically works a shorter year and earns better benefits." Child Care Links understands that child care is an essential part of local and state economy. Without child care, working families will not be able to work and contribute to the city's economy. Agency staff advocate for higher wages, educational stipends and longevity pay for child care providers. Through these advocacy efforts, Dublin residents have access to a stable, long-term, quality child care workforce. Data Collection As the state funded resource and referral agency for the Tri Valley area, Child Care Links collects child care data, and documents changes in child care supply and demand. The agency, through these efforts, is able to provide statistical and other information to help the city plan for child care needs. In addition, this tool is used by potential child care providers in meeting the needs of the neighborhood where they will be providing care. The agency also produces the annual rate survey which provides information on average child care costs throughout the city of Dublin. This report is used as a tool for child care providers in establishing their costs for services and to provide parents in search of child care with the average cost within their neighborhood. Parent Education and Services Child Care Links works toward supporting parents in caring for their children. The agency supports families by offering For Your Information (FYI) handouts to parents at the agency office, community events, during home visits and on the Child Care Links website. Topics include Ages and Stages (how your child develops), sibling rivalry, how to handle biting, coping Page 2 of 3 Attachment B City of Dublin Community Group/Organizational Funding Request Fiscal Year 2009-2010 with crisis, to name a few. One of the handouts the staff encourages parents to take is on positive discipline. This is one of the ways Child Care Links promotes parent education in the community. In addition, the agency offers parent education workshops that cover topics such as blended families, how to deal with Internet predators, car seat safety, nutrition and exercise. These topics are examples of how Child Care Links responds to community needs. Additionally, Child Care Links works closely with CaIWORKs participants and income eligible families seeking subsidized child care. When clients come into the office to work with their Eligibility Specialist, parents are counseled on how to choose child care, provided with FYI handouts, offered community resources that meet their needs, and questions they have regarding the care of their children are processed. Tri-Valley Preschool. Fair The annual Tri-Valley Preschool Fair is one way to communicate to parents, guardians and the community the availability of child care programs and resources. Parents and guardians may use this information to determine which programs meet their standard of quality and affordability. All referral and resource information provided to parents and guardians at the Tri- Valley Preschool Fair is free. Participating preschools benefit from parent/guardian feedback regarding quality and affordability. Parental education and choice motivates preschools to carefully weigh feedback and formulate plans to meet the needs of families in the community. Page 3 of 3 Attachment B City of Dublin Community Group/Organizational Funding Request Fiscal Year 2009-2010 ATTACHMENT C C. What documentation/data/records support the need for the PROPOSED PROJECT/PROGRAM? Please identify your data sources. Provider Support • The California Early Care and Education Workforce Study: Licensed Child Care Centers and Family Child Care Providers, Alameda County Highlights, August 2006 • Alameda County Early Care and Education Needs Assessment, June 2006; City of Dublin profile • National Association for Child Care Resource and Referral Agencies (NACCRRA) National Survey of Child Care Resource and Referral Training: Building a Training System for the Child Care Workforce • 2006 California Child Care Portfolio published by the California Child Care Resource & Referral Network • Every Child Counts, First Five Alameda County has included as part of its strategic plan the importance of providing training, monetary stipends and non-monetary incentives to recruit, retain and support child care professionals. Advocacy • The California Child Care Resource and Referral Network in collaboration with the California Department of Education -Child Development Division, recognizes the role resource and referral agencies play in advocating for children and those who care for them. Participation in advocacy efforts are seen as crucial as resource and referral agencies are the entities that work closely with parents and providers on issues surrounding children and child care. • Also, Child Care Links agrees with the Child Development Policy Institute's mission to help establish sound public policy and that "early education must be valued by the citizens of California. The public must perceive early childhood education as important and respect the field as professional". • "Child Care and Early Education industry must be recognized as a significant economic force that helps assure a strong economy, directly by the creation of jobs and indirectly Page 1 of 3 Attachment C City of Dublin Community Group/Organizational Funding Request Fiscal Year 2009-2010 by permitting families of all income levels to work"(CDPl.net). Child Care Links believes through advocacy this mission can be achieved. Data Collection • The California Child Care Resource and Referral Network is the oldest, most well- established system of child care Resource and Referral agencies in the United States. The Network combines practical knowledge at the local level with extensive experience in working on state and national child care policy. • Over the past thirty years, California's resource and referral services have evolved from a grassroots effort to help parents find child care, to awell-developed system that supports parents, providers, and local communities in finding, planning for, and providing affordable, quality child care. • As a member of this system, Child Care Links recognizes the importance of providing supply and demand information at the local level to ensure ongoing support for affordable, quality child care for families. • The California Child Care Resource and Referral Network provides a comprehensive California statewide report, known as the California Child Care Portfolio, including a narrative highlighting child care supply, demand, and cost issues in the context of current policy, demographic and labor force trends, followed by statewide data on child care supply, demand, and cost, and graphic profiles of child care supply and demand. • Child Care Links provides data for this statewide report which is included as part of Alameda County's overall supply and demand statistics: • The California Early Care and Education Workforce Study: Licensed Child Care Centers and Family Child Care Providers, Alameda County Highlights, August 2006 Alameda County Early Care and Education Needs Assessment, June 2006; City of Dublin profile Tri-Valley Preschool Fair The Tri Valley Preschool Fair was first started in 2000 by a group of parents who felt a need for a one-stop shop for parents in search of preschool programs for their children. Though many of the parents used Child Care Links to obtain preschool programs that fit their needs, many of the parents wanted an opportunity to visit with each program efficiently and effectively, thus the birth of the Tri Valley Preschool Fair. Child Care Links has always been involved in the annual event, however, it was not until January 2006 that the agency was approached to solely plan and coordinate the event. Page 2 of 3 Attachment C City of Dublin Community Group/Organizational Funding Request Fiscal Year 2009-2010 Requests for information regarding preschool programs is received by Child Care Links via phone and a-mail from parents/guardians. The Fair provides an opportunity for families with questions regarding preschool programs to visit a large number of programs in one day at one location. Provide access to quality, affordable child care for Dublin children from birth through elementary school. Feedback from families during Initiatives For Children (IFC) focus group discussions noted under Child Care and After School Programs in the Tri-Valley Human Services Needs Assessment Page 3 of 3 Attachment C City of Dublin Fiscal Year 2009-2010 Application for Funds d. Specify the PROPOSED PROJECT/PROGRAM population to be served. The populations to be serves by the proposed project are children, families, child care providers, businesses and community members living in the City of Dublin. e. Projects/programs must be evaluated to determine if they are being carried out efficiently and if project/program goals are being met. Please describe how you plan to monitor your project/program's success and impact. ^ An additional page maybe added, if needed. Please see Attachment D. f. Specify numbers of clients served by agency, then by PROPOSED PROJECT/PROGRAM: The agency has no true way to capture the number of individuals we offer services to as attendance varies by event CCL strives to capture as many participants as possible through our various marketing efforts: mass mailing of event flyers, our quarterly newsletter, our website and through collaboration with several other human service organizations. ~ Pei ants '_~, `,°~ Total Number of Partici ants Served by ,a enc if a licablc) 9,398 Total Number of Dublin Residents Served b A enc (if a > >licahle) 2.652 Pro ect/ ~t~~#'-~i` °~n`f~~ Total Pro osed Partici ants Served b .this Pro'eet/Pro ram NA Total Number of Dublin Residents Served by this. Project 850 SECTION 2 Page 6 of 16 ®~ City of Dublin Community Group/Organizational Funding Request Fiscal Year 2009-2010 ATTACHMENT D E. Projects/programs must be evaluated to determine if they are being carried out efficiently and if project goals are being met. Please describe how you plan to monitor your project/program's success and impact. Projects/Programs will be evaluated and measured through the use of the following tools: Provider Support • Registration forms and sign-in sheets will measure the attendance at workshops. Attendees are asked to state in which city they provide child care. • Evaluations will measure the effectiveness of the workshop, will provide feedback on the workshop and offer suggestions on future training needs for child care providers. • Child Care Links Annual Survey is mailed to all licensed child care providers on the database and is used not only to update the provider's information on the child care referral database, but the information shared by the provider also states the types of training and support they are in need of. Residents will be identified and recorded by name, date of service and other pertinent information. Child Care Links will be using NACCRRAWare software to record the information. "NACCRRAware is Web-based information management software designed by NACCRRA members to assist Child Care Resource and Referral's in performing their critical role by providing complete and accurate data and statistics. NACCRRAware is referral friendly and allows CCR&Rs( Child Care Resource and Referrals) to collect, report, and distribute information in an efficient, meaningful, and cost-effective manner" (www.naccrra.or~/naccrraware). Agency staff will document through the Other Services Data Collection Project the number of clients by city who attend workshops and events and the number of clients who receive technical assistance and counseling other than child care referrals. • Agency staff will document the number of potential and current child care providers who request and receive a home visit and/or utilize the resource lending library. Agency staff will document the number of Dublin child care providers in attendance at the annual recognition event. In addition, all Dublin child care providers, regardless of attendance at the event, will receive a certificate and appropriate gift honoring their service to children and their families. Page 1 of 2 Attachment D City of Dublin Community Group/Organizational Funding Request Fiscal Year 2009-2010 • Agency staff will document the number of children and parents who attend the Tri Valley Preschool Fair. This is accomplished by collecting zip codes as parents enter the main hall where preschool programs are tabling. • Agency staff will document the number of Dublin parents and children who attend car seat safety checkpoints. Agency staff will also document the number of car seat safety checkpoints held each quarter. Reports (as requested) will reflect the status of programs and the number of Dublin residents served. • The projects/programs will be monitored by quarterly reporting. Child Care Links uses a technical assistance tally sheet divided by city and type of caller to document the number and type of calls received from the community. For each reporting period, Child Care Links will include in its city report the number of technical assistance calls specific to the City of Dublin • The report will include child care supply and demand data. • The report will include the annual rate survey once the survey is published. • The report will include, if applicable, anecdotal data received in response to trainings, workshops and other events. Page 2 of 2 Attachment D City of Dublin Fiscal Year 2009-2010 Application for Funds 5. Financial Information- Operating $udget- a. Expense Budget ~Xt'ENSE ~r~Fp~". ~ EI~r 't`l~ ~t~AM - .t~~ ~ES'i` _.. EmE~l~~yee Salaries ~~ Bcnetits Non~'~rs©~l~B~'~StS' Services & Supplies Capital Costs Other (please specify) Other (please specify) TOTAL Further Comments/Explanations (if necessary): Please see Attachment E. SECTION 2 Page 7 of 16 s ®I Attachment E City of Dublin FY 09-10 Program Grant Revenue 23,500 Salary 10,700 Fringe 3,725 ins 75 Prof fees 1,420 Printing 1,855 Postage 175 Travel 150 Events 5,000 Dues & Memberships 85 Telephone 115 Equip Rent 200 13, SUU ~® City of Dublin Fiscal Year 2009-2010 Application for Funds b. Revenue Budget Further Comments/Explanations (if necessary):` Please see Attachment F. SECTION 2 Page 8 of 16 ~. ;® .~ ~. Attachment F . £ 0 U C O Z C v v y ~ -a ~ -O ~ ~ v -a -a ~ -o ~ -a -a -a -a v -a ~ ~ ~ ~ a, v v a, v v a~ v v v v v v a, v a~ v v O C C C CC U C C C ~ C ~ ~ ~ ~ G C ~ ~ ~ U (~ C C C ~ C C c C ~ C C C ~ c c C ~ ~ ~ C C C ~ ~ ~ ~ c c C ~ ~ ~ O O O O O O O O O O O O O O O O O O O O U U U U Z U U U U U U U U U U U U U U Z O O O O N O O O O O O O O O O O O O O O N O O O O O O O O O O O O O O O O O O O O O I~ 0 0 I~ n O u1 X 0 0 00 O ~ 0 0 0 0 0 00 O I~ +' N 0 0 0 ~ O ~ u'1 ~ O ei O I~ 0 0 0 0 0 00 O O = N l0 O H O O .-I tD i~ O I~ O M i.n 0 0 0 0 O lD 3 V1 ~ O 00 N O .-I O O M O O M 0 0 0 0 Ol 111 ~ ~ ~ ~ ~ N O N M 00 M N N rl O ri ri N N Q e -I e -I l D O M N ~-i lD ~ ~ N A ~. v v c c v N a a V1 U1 1n v ~ C •V C C U C C C C C O .O ~ O O ~ O O O O O ~, ~ +~ u N h +' f 6 +-~ u v ~ ++ u ++ ~ ++ a ~!1 ~' u ~f1 tIf 111 111 'a+ ~ N • ~ f6 c .~ ~ ~ _ ~ ~ c .~ ~ t i ~ ++ N ~ ~ h ++ N +-+ h +.+ c .~ N • L_ L L L L W f0 W ~ W W ~ W W W LL W LL LL LL LL d0 ~' O µ- 0 4- 0 ~ 4- O ~ O 4- O Vf y.., O O N V1 N V1 ~. 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O `~ O O O O O O ;~+ v O O O O a a a a ~ > c U in ~ ;~ .~ U U U V O vvi o iD ~ o ; v v v ~, ~ v ~ ~, ~ ~ o o ~ -~ v ~ ~ ~ ~ -~ -~ ~ a ~ N r ~ '+~--~ ~ :~ ii ~ ~ ~ ~ a ~ t ~ ~ v a ~ O - :~ - s - t - v t L ~ U ~ c o GJ G1 L L L L L ~ 3 ~ O ~. ~ i i-+ O O O ~` ~' L L ~ GJ ~ a + f6 V A N Q Q Q Q Q ~ 0 a v U c.) ~ w w S U v U w w w w U O ~ 1 - \1 City of Dublin Fiscal Year 2009-2010 Application for Funds 6. General Agency Information D Past grant applicants may check this box in lieu of completing item 6 (a-d) if the program/organizational description on file'with the City is correct and current. a. List all years that Organization haspreviously received City of Dublin funding>(not Community Development Block Grant - CDBG}. Please see above. b. Describe the population(s) served. by the Organization. Please see above.. c. Describe all the services the Organization currently. provides to Dublin residents. ^ An additional page may be added, if needed. Please see above. d. Has your agency ever previously received funds. from. the City of Dublin? If yes, please specify in what Fiscal Years and the amount received each year. Please see above. SECTION 2 Page 9 of 16 it City of Dublin Fiscal Year 2009-2010 Application for Funds 7. Required Attachments: o Only one (11 cony uer Aeencv of each of the following is required, even with multiple projects/programs submitted. o Applications without the following documents will'not be reviewed for funding. o Please label attachments: A, B, C, etc. o A. Names of Governing Board; identify current Board officers. m B. Current total Organization operatin bg ud~et, including revenue. ^ Clearly label/identify the program that includes the PROPOSED PROJECT/PROGRAM. o C. Most recent audit report or tax return (if applicable). o D. Resolution, letter or other document providing evidence of Board/Organization approval of application, and date approval was granted. ^ Board/Organization approval may be pending. © E. Organization's certificate. of insurance showing coverage for liability and workers' compensation. o F. Application Verification Declaration Signature Page. ~ G. o H. Copy. of IRS Letter of Determination indicating tax exempt status. SECTION 2 Page 10 of 16 e. ~~ Ch i I d Care links Attachment AA Child Care Links Board of Directors Jackie Fitzgerald -Board Chairperson Instructor of Early Childhood Development Las Positas College 3033 Collier Canyon Road (Business) Livermore, CA 94550 Bernie Billen -Board Secretary Banker Vice PresidentBusiness Development 465 Main Street (Business) Pleasanton, CA 94566 (College) 925-424-1000 Ext. 1135 (Phone) 925-447-1158 j Fitzgerald@Laspostiascollege.edu Jackie.Fitzgerald@comcast.net ** send all messages to both email addresses (Phone) 925- 484-5400 (Fax)925-484-9073 bbillen@vcb-ca.com Marjorie Gilmore Vice President Loan Officer 11815 Bloomington Way Dublin, CA 94568 Maroof Mendez Director & President ABC Magic Moments Preschool 2367 Jackson St. Fremont, CA 94539 Phyllis Houghton Retired 4064 Christobal Way Pleasanton, Ca 94566 Diane Anderson 5769 Thousand Oaks Drive Castro Valley, CA 94552 Marj orie. gillmore@herbank.ccom (925) 314-2815 (Work) 510-656-3722 abcmagicmoments@comcast.net pnhoughton@sbcglobal.net (925)846-8725 diaand05@gmail.com Home: (510) 537-3352 Cell: (510) 502-3555 1!30109 Attachment BB Child Care Links FY 2008 - 2009 Budget Revenue Grant $ 22,039,990 Interest $ 25,000 Parent Fees $ 407,585 City of Dublin $ 23,500 Total Revenues $ 22,496,075 Salary $ 2,569,831 City of Dublin $ 10,700 Subtotal Salary $ 2,580,531 Fringe $ 942,867 City of Dublin $ 3,725 Subtotal Fringe $ 946,592 Books and Supplies $ 236,902 City of Dublin $ 2,030 Subtotal Books and Supplies $ 238,932 Subcontractors $ 240,160 City of Dublin $ - Subtotal Subcontractors $ 240,160 Services and Other Operating Expenses $ 1,157,743 City of Dublin $ 7,045 Subtotal Services and Other Operating Expenses $ 1,164,788 Provider Payments $ 17,325,072 City of Dublin $° Subtotal Provider Payments $ 17,325,072 Total Expenses $ 22,496,075 INTERNET REPORT ID: 294199 VERSION: 1 FORM SF-SAC Attachment CC OMB No. 0348-0057 IM.- Econ, and Stat. Admin.- U.S. CENSUS BUREAU At/! A(!CI.IT Cl~O to-o-~~~ol OFFICE OF MANAGEMENT AND BUDGET Data Collection Form for Reporting on AUDITS OF STATES, LOCAL GOVERNMENTS, AND NON-PROFIT ORGANIZATIONS for Fiscal Year Ending Dates in 2008, 2009, or 2010 Complete this form, as required by OMB Circular A-133, "Audits of States, Local Governments, and Non-Profit Organizations." PART 1 GENERAL INFORMATION (To be completed by auditee, except for Items 6, 7, and 8) 1. Fiscal period ending date for this submission 2. Type of Circular A-133 audit 3. Audit period covered Month Day Year ~ ®Single audit ~ ®Annual s ~ Other - ~ Months 06 / 30 / 2008 2 ^frogram-specific audit ~ ^ Biennial 4. Auditee Identification Numbers a. Primary Employer Identification Number (EIN) d. Data Universal Numbering System (DUNS) Number 9 4- 2 9 7 1 0 5- 3 0 2 - 6 0 3 5 b. multiple cov red in this report? i ^ Yes 2 ®No e. Are multiple DUNS covered in this report? i ^ Yes 2 ®No c. If Part em = " es," complete Part I, Item 4c f. If Part I, Item 4e = "Yes," complete Part I, Item 4f o the c tin tion heet on Page 4. on the continuation sheet on Page 4. 5. AUDIT IN OR ATION 6. PRIMARY AUDITOR INFORMATION (To be completed by auditor) a. Auditee ame a. Primary auditor name CHILD C E LIN DAMORE, HAMRIC & SCHNEIDER, INC. b. Auditee d ess Numbe and eet) b. Primary auditor address (Number and street) 1020 SERPENTINE NE SUIT 102 2856 ARDEN WAY SUITE 200 City City PLEASANTON SACRAMENTO State ZIP + 4 C de State ZIP + 4 Code CA 4 5 6 CA 9 5 8 _ c. Auditee contact c. Primary auditor contact Name Name CAROL THOMPSON MARTA J. WILLIAMS Title itle EXECUTIVE DIRECTOR PRIN AL d. Auditee contact telephone d. P ' ary auditor contact telephone 925 249 - 3913 916. 4 - 9373 e. Auditee contact FAX P ' ary a Itor c tact-FAX 925 417 - 8740 916 48 - 28 f. Auditee contact E-mail f. P ' ary aud' r con ct -mail CTHOMPSON CHILDCARELINKS.ORG ILLIAM DHSC .COM g. AUDITEE CERTIFICATION STATEMENT -This is g. DITO STAT MEN - T e a elements and information to certify that, to the best of my knowledge and belief, the clude n this rm are ' ited o tho prescribed by OMB auditee has: (1) engaged an auditor to perform an audit 'rc r A-13 . The in rmatio inclu ed in Parts II and III of the in accordance with the provisions of OMB Circular A-133 fo , exce for Pa II, Item 7, 8, nd 9a-9f, was transferred for the period described in Part I, Items 1 and 3; (2) the from the ditor' eport(s) f r the eriod described in Part I, Items auditor has completed such audit and presented a signed 1 and 3, and i of a su titu for such re s. The auditor audit report which states that the audit was conducted in has not p ed any au sting ocedure ce th date of the accordance with the provisions of the Circular; and, (3) auditor's report(s). A cop of th repo package uired by the information included in Parts 1, I1, and 111 of this OMB Circular A-133, w ch in u he com audi data collection form is accurate and complete. I declare report(s), is available i its a ty from t uditee the dress that the foregoing is true and correct. provided in Part I of t Is form. As re ~ ed by OM ircular 133, the information in Pa 11 an of this form sent din ~s form by the auditor bas Information incl ed in re rting Auditee certification Date package. The auditor has not performed a additio I audits procedures in connection with the comp Ion of his f ELECTRONICALLY CERTIFIED 10/30/2008 7a. Add Secondary auditor inform ion? pt~ al) Name of certifying official ~ ^ Yes 2 ®No e Part I, Item 8 on th contl ation b. l CAROL THOMPSON 5 sheet on page Title of certifying official Auditor certification ate ~ FXFCIITIVF rIIRFCT~IR ~~ Gl~T~ALII/+AI 1 V !`C~TICICI'1 ~ni l~nnst ~ INTERNET REPORT ID: 294199 VERSION: 1 Primary EIN: s 4- 2 3 7 9 5 7 1 PART 11 FINANCIeL STnTEMENTS /Te by r_emnlptpd by auditor) 1. Type of audit report Mark either: i ~ Unqualified opinion OR any combination of: 2 ^ Qualified opinion s ^ Adverse opinion a ^ Disclaimer of opinion 2. Is a "going concern" explanatory paragraph included in the audit report? ~ ^ Yes z ©No 3. Is a significant deficiency disclosed? ~ ^ Yes 2 ~ No -SKIP fo Ifem 5 4. Is any significant deficiency reported as a material weakness? i ^ Yes 2 ^ No 5. Is a material compli ce disclosed? ~ ^ Yes 2 ~ No PA 11 DE AL PROGRAMS (To be completed by auditor) 1. Does th udit 's re ort include a statement that the auditee's financial ent ude epartments, ncies, or other organizational units expen g $ 0,00 or more in ede I awards that have separate A-133 audits w 'ch are t included ' this au 't? (AICPA Audit Guide, Chapter 12) i ^ Yes z ®No 2. What is t doll r thres Id to ' tingu Ty A and Type B programs? $ 331,500 (OMB Ci ular -133 .52 b)) 3. Did the audite uali s a to -risk auditee? .530) ~ ~ Yes 2 ^ No 4. Is a significant deficiency dis osed for any m r program? ( .510(a)(1)) ~ ^ Yes 2 ^X No -SKIP to Item 6 _ S. Is any significant deficiency eport d for y maj rogram s a aterial weakness? (§ _ .510(a)(1) ~ ^ Yes 2 ^ No 6. Are any known questioned costs report d? ( _ .510(a)(3) or ~ ^ Yes z X^ No 7. Were Prior Audit Findings related to dir t fu wn in the S mary chedule of Prior Audit Findings? (§_.315(b)) ~ ^ Yes 2 X^ No 8. Indicate which Federal agency(ies) have Curren year audit 'dings re ted to dire nding or prior audit findings shown in the Summary Schedule of Prior Audit Findings related to irect ndin (Mark )all at apply or None) sa ^ U.S. Agency for Inter- ^ ation Aeron 'cs and ss ^ Social Security national Development Spa Admi ' trati Administration io ^ Agriculture ss ^ General Services Administration s ^ Tonal chives d ~s ^ U.S. Department zs ^ Appalachian Regional ss ^ Health and Human Services ecord Admin' rati of State Commission s~ ^ Homeland Security o5 Nat' al En wme for o ^ Transportation i i ^ Commerce t Arts is ^ Housing and Urban 2~ ^ Treasury sa ^ Corporation for National Development os ation Endow nt fo and Communit Service the manities Y os ^ Institute of Museum and ~z ^ Defense Library Services a~ tional Scie sa etera Affairs as ^ Education is ^ Interior oundation oo ~ N ~s ^ Justice o~ ^ Office of N Tonal ai ^ Energy Control P icy Other ecr p ss ^ Environmental » ^ Labor es ^ Small Bus ess Protection Agency os ^ Legal Services Corporation Administrati Page 2 FORM SF-SAC {8-6-2008) r N to M N O~ e Z W cII d .~ O .- i# {`').. O >A R a Q7 t0 N O O O N M N O r O W m ~, ~~~ U V w ~~ ~ ~ ~ ~ Z Q ~ ~ Q ~ Q Q p Z Z C O Z ,~, m ,~ W I- w O ~ o ~ ... 'C O o SZ ~ C !_ ~ « N •C ~ Q ~' ~ ra ~ °' ~ a ~ ~ O C ° _~ ~ ca fn ~ TQ'~ QUO" ~ rn C ~ ~ N ~ ~ a ~ ~ 0 0 0 ~. 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X w Z N E t1 ~ i W z . >, y m Q~= Q o ~ a~ .~ 0 fT 'U O W Q a V 6 N ~ US ~ N> N Q W ~ H .~ O alp ~O ~ ~ Q ~^ ~ ~!? r Z } W ` ~ Q U .O 3 Q ~ ~ ~ W ~~ mrn ~° w w~ w U g o O ~ a~ m -o ~? ~_ ~ _ "L W IL ~ S Q LL ~Ia ~ LL U U W I ~ p 0 ~ y Z V7 y ~ ~ -O ~ C E U (07 ~ Z Z W LL (9 O - ~ C ~ Q 47 U a~ O y ~ ~ x ' ° o~ o •°' O w s . ~ o ~n o0 rn 00 v~ v~ v~ m <n 0 cn 0 v~ 0 v~ 00 ~ ? ~ ~~ - ~ r ~ .~ o Na ° ~ o .. ~~~,~ ~ ~-z ~-z ~z ~-z ~z ,-Z 0 }z 0 ~-Z 0 ,-Z }z a v o o- a ~ 3 ~ ~ ~ N W ~~~~`. ^® ^® ^X^ ^^ ^^ ^^ ^^ ^^ ^^ . v ~ am oul O Q ~ ~ X ~ ~ ~- N r N r N r N ~- `- N r N ~ N r N ~ U ~ `_ ~~ ~ N ~ Q W ~ ~~ ~ ~~ O O~ V Cn ~ N Q c »- ~ U m O ~.NO 00 ~ N C C17 N f6 a~ ° W v.0 ° ° a ~ ~ ~ ~ u x '~ `~ Q ~ ~ s ~ ~ ~ , _ :~ °~ °'~ ~v ° ~ 'm J Q ~ z x W ~ ~ W ~ o °- m a~ ~ Q~oo~~¢QUo ~ ~ ~ ~ ~ ~ ~N Q oo U ~ ° E W 0 ~ LL - - -- _ - - _ - -_ __ __ __ --_ -- - -- Q °' Q CA O =y W v W U T~ N U x M M M 0 e- N M V, ~~~~, ~; ,~ Q ~ ~ ~ ~, ~ a FORM SF-SAC (8-6-2008) N .C O U C ~6 N fn N f0 C O U O N w z 0 z ,o Q Z Page 3 ti 'as ti M N I w Z_ W a (6 .~ tl a w v io N ti 0 0 N M N r r Z N 0' W a~ rn v rn N r O a w I I I I I I I I I 1 I I I I I I I I I I o I I I I i I I I I I I I I I I I I I I I Q N N w .~_ r N N N C7 N a' N N N O N Qf N O C7 r C9 N t'7 C7 t"~ d' !°f IA R'9 t0 C! 1~ ~"~ 00 t'9 O1' ~"! O et m L 0 U L7 Z ~ I I I I I I I I I I I 1 1 I I I I I a~ a E Q s ~ I 1 1 I I I I I i I I I I I I I I I I ~, Z J ~% r N M d' ~ r r r ~ r r r r r N I I I I I I I I 1 I I I 1 I I I I I 0 a ~ N ~ r ~ N ~ C'f ~!' ~ ~ tt1 et t0 d' P ~ QD ~ Of e! O ~f1 r ttt N N ~"! to !C tf~ t11 to {O tf1 1~ tt1 00 ~t'f ?1 N O t0 _ c _ N L 1 U N Z W N ~ I I I I I I I I I I I I I I I I 1 i I I Z c 0 v r N N N df N tt N tD N 1~ N OD N Q1 N O !'9 r M N Cf ~"~ ~"! d' @7 1A C7 t0 t'9 h t'9 CD C9 Q1 t'9 O ~ . ~ a~ L fl. w m a ~ a ~ .l I I I I I i I I I I I I I I I i I I Z i J ~j r N Cf 'd' 1f1 ~C 1~ CD 07 O T r 7~ N T ri T d' ! 1A T ~D P f~ T 00 T O r O N Page FORM SF-SAC (8-6-2008) ti as ti to N I Q~ z w c~ d r 0 d Q s 0 W w I I ~ a ~ ~ a~ o o ~ _ ~ ~ z ~ ~ z ~ ~ : :~ t W N : LL W N .t_ N N o N ca c6 cU6 0 ~ ~ m cU6 N N ~ ~ C C C 1= ~ ~ C C C C c ~ U U U U U c f6 U U OU U U O O V + L L ' L O' L O L O L O ~ ,~ L O ' O L ~ O L O a N ¢ ¢ ¢ a ¢ ¢ ^' a a ¢ ¢ ~ m ~ ~ m m ~ m ~ ~ ~ ~ c c c c c c c c c c c O O ~ O O O U U O N O~ O O O N N ~ ~ ~ T N ~ ~ N ~- ~ N m N N N N N w ~ m N (~ (!~ U in (n Z fn fn fn Cn (n U cn to Z H L7 L7 U1 R ~ '~ GI r' t0 ~ V ~ d '~ Ni t0 N ~ ~ I ~ I o ~ ~ ` `0 a > ~ m c ~ o -o o o c Q. X _ ~~ E a 'm E .c Z ` o - E Z o ~ ' U - ~, W `- LL W w J V) d N N ~ ~ N (6 (0 ~6 N ~ C6 f0 ~0 f6 ~j ~ c c c E a ~ c c c c ~ ~ o 0 0 0 0 c~ ~ v v ~ v ~ c ~ U U U U U c m ~j O O O ~ O L O I ~- O L O O ~ L O L O O L O , TS ~ ~ + 'a "O ~ + 'LS "O '6 "O Q Q Q N Q Q Q Q N Q Q Q Q tLS (6 (6 f6 f6 fd f6 f0 N f6 fQ N f9 Zi "O 'O 'O "O 'a '~ "6 'O 'a 'O 'LS ~ c c C c C C C C C C C O O O ai U O U U ~ U U U U T ~ d N U O U U _~, ~ N (n (n Cn U (n Z VJ fn (n Cn U (n (n Z H (n Cn (n ,cam„ R ~ V 'Q '~" R .C V 'C d "' ~? J N ~ ~.. C O .~ .r w O C ~ ~ - a i ~ I U ~ ~ ~ C L N L Q1 O ~ -Q = ~ O ~ Z a> ~ E Z o ~ _ E ` `- j ~- ? i o ~ U U U U ~ ~ N U 4 '~ ti. ~ t l U Q O O N f6 f6 d N N f6 (Q f6 ~. c0 'O 'o O O C N O U U U ~ C (II O U U U U U -6 p O L O U ~ O 9-+ L O' _ L O L O O U ~ L O L I O L I O L O p ~ ~ + ( p Q O a N O Q 7 Q 7 Q 7 Q 7 Q 3 Q N > Q > Q 7 Q p Q n ~ ~ L ~ ~ ~ ~ ~ ~ +~~ L~ ~ -a Q -a ~ -a -o a -o ~ a -o ~ ' c c c c c c c c c c c c ~ o~ 0 0 0~ 0 0 0 0 ~ o~ 0 0 0 - U O U O ~, +' ~ U~ N m - U N U d U N U N U d T '-' ~ U~ d m N ..+ U N U N U O ~ fn Z Cn U Cn fn Z H (~ fn fn fn U (n (~ Z F- fn (~ (~ ~ R ~ v ~ d w ~ ~ v ~ ~ w T ~' 1M" Ii a FORM SF-SAC (8-6-2008) Page 5 ~1 I I C Link Attachment DD Providing Resources for Famil Develo ment since 1976 Y P November 3, 2008 Quarterly Board Meeting of Child Care Links' Board of Directors ACTION ITEM: Staff requesting Board of Directors' authorization to develop and submit proposals for additional federal, state, city and private funding opportunities in fiscal year 2008- 2009. Motion made by Director Bernie Billen to accept staffs' request to pursue additional funding for the agency. Second by Director Marjorie Wong-Gillmore. Motion passed unanimously. Respectfully submitted, ~~/~s~~ Bernie Billen, Secretary East County Office 1020 Serpentine Lane, Suite 102 Pleasanton, CA 94566 (925) 417-8733 (925) 417-8740 Fax mail@childcarelinks.org www.childcarelinks.org South County Office 39155 Liberty Street, Suite D430 Fremont, CA 94538 (510) 791-9256 (510) 713-0385 Fax Date North County Office 250 East 18th Street, 2nd Floor Oakland, CA 94606 (510) 268-0106 (510) 268-0548 Fax Attachment EE ACORD CERTIFICATE UI' LIAtiILi w Y INSURANCE OPID A DATE(MM,DDIYYYY} CHILD-1 12 05 08 PRODUCER THIS CERTIFICATIE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE R. C . Fischer t Co . HOLDER. THES CERTIFICATE DOES NOT AMEND, EXTEND OR P . O . Box 8101 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Walnut Creek CA 94596-8101 Phone:92S-932-7823 Fax:925-932-0962 INSURERS AFFORDING COVERAGE NAIC# INSUREb IN$URERA Nonprofl to Insurance ALiianco INSURER B' Child Care Links INSURER C: 1020 SerpentinQ Lane #lO2 Pleasanton CA 94566 INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICYPERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OFANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BYTHE POLICIES DESCRIBED HEREIN 1S SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPEOFINSURANCE POLICY NUMBER DATE MM/D DATE MMlDDIYY LIMITS GENERAL LIABILITY EACH OCCURRENCE S 1 , OOO , OOO A X X COMMERCIAL GENERAL LIABILITY 200810181NP0 12/01/08 12/01/09 PREMISES Eaoccurence) s100 000 CLAIMS MADE ~ OCCUR MED EXP (Any one person) $ 1 O , OOO PERSONALBADVINJURY $1,000,000 GENERAL AGGREGATE S 2 000, 000 GEN'LAGGREGAlELIMITAPPLIESPER: PRODUCTS-CQMPIOPAGG S2,000,OOO X POLICY JEC7 LQC Em Ben. Included AU TOMOBILE LIABILITY COMBINED SINGLE LIMIT A X ANY AUTO 200810181NP0 12/01/08 12/01/09 (eaaxident) $ 1 , 000, OOO ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ ~ HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) S PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY- EA ACCIDENT $ _ ANYAUTO OTHER THAN EA ACC 8 AUTO ONLY: AGG $ EXCESSAIMBRELLALIABILITY EACH OCCURRENCE s2 OOO OOO A X OCCUR ~CLAIMSMADE 2OO$101$ZUMB 12~01~09 12/01/09 AGGREGATE 32 OOO OOO S DEDUCTIBLE $ X RETENTION S lO OOO S WORKERS COMPENSATION AND TORY LIMITS ER EMPLOYERS' LIABILITY ANY PROPRIETORlPARTNERlEXECUTNE E.L. EACH ACCIDENT 5 OFFICERlMEMBEREXCLIIDED7 E.L.DISEASE.EAEMPLOYEE 3 If yes, dasuibe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS! LOCATIONS! VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT! SPECIAL PROVISIONS *10 day notice of cancellation for non payment of premium. ~,r=n r Irwt1 I c nvwtn CADEP-9 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATKi DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL *3O DAYS WRITTEN California Department Of NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BU7 FAILURE TO DO SO SHALL Education, Fiscal & IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Administrative Services 1430 N Street, SUlt@ 2213 REPRESENTATNES. Sacramento CA 95814 AUTHOR~ZEDRE~tESENTATIVE ~ _ t i ... _ n u... ACORD 25 (2001!08) CORPORA City of Dublin Fiscal Year 2009-2010 Application for Funds APPLICATION VERIFICATION I attest that the information contained in this FY"2009-2010. grant application is`accurate and that the funds requested will not supplant any other monies secured by the organization. , Attached is a resolution, letter, or other document providing evidence that the Board of Directors approved the application as submitted. Successful applicants are required to ubmit a summary report as soon as possible after submitting the reimbursement request, but not later than August 31, 2010. Failure to submit. a report will result in ineligibility. for future funding. Signatures: Ex cutive Director Board President/Chairperson SECTION 2 Page 11 of 16 lr3o-d~ Date -Date ~~ ®w Attachment HH Internal Revenue Service Date: January 15, 2002 Child Care Links 1020 Serpentine Lane Suite 102 Pleasanton, CA 94566-4758 Department of the Treasury P. O. Box 2508 Cincinnati, OH 45201 Person to Contact: Richard Owens 31-00913 Customer Service Representative Toll Free Telephone Number: 8:00 a.m. to 6:30 p.m. EST 877-829-5500 . Fax Number: 513-263-3756 Federal Identification Number: 94-2379571 Dear Sir or Madam: This is in response to the amendment to your organization's Articles of Incorporation filed with the state on September 12, 2001. We have updated our records to reflect the name change as indicated above. Our records indicate that a determination letter issued in May 1977, granted your organization exemption from federal income tax under section 501(c)(3) of the Internal Revenue Code. That letter is still in effect. Based on information subsequently submitted, we classified your organization as one that is not a private '~ ~ foundation within the meaning of section 509(a) of the Code because it is an organization described in sections 509(a)(1) and 170(b)(1)(A)(vi). This classification was based on the assumption that your organization's operations would continue as stated in the application. If your organization's sources of support, or its character, method of operations, or purposes have changed, please let us know so we can consider the effect of the change on the exempt status and foundation status of your organization. Your organization is required to file Form 990, Return of Organization Exempt from Income Tax, only if its gross receipts each year are normally more-than $25,000., If a return is required, it must be filed by the 15th day of the fifth month after the end of the organization's annual accounting period. The law imposes a penalty of $20 a day, up to a maximum of $10,000, when a return is filed late, unless there is reasonable cause for the delay. All exempt .organizations (unless specifically excluded) are liable for taxes under the Federal Insurance Contributions Act (social security taxes} on remuneration of $100 or more paid to each employee during a calendar year. Your organization is not liable for the tax imposed under the Federal Unemployment Tax Act (FUTA). Organizations that are not private foundations are not subject to the excise taxes under Chapter 42 of the Code. However, these organizations are not automatically exempt from other federal excise taxes. Donors may deduct contributions to your organization as provided in section 170 of the Code. Bequests, legacies, devises, transfers, or gifts to your organization or for its use are deductible for federal estate and gift tax purposes if they meet the applicable provisions of sections 2055, 2106, and 2522 of the Code. -2- Child Care Links 94-2379571 Your organization is not required to file federal income tax returns unless it is subject to the tax on unrelated business income under section 511 of the Code. If your organization is subject to this tax, it must file an income tax return on the Form 990-T, Exempt Organization Business Income Tax Return. In this letter, we are not determining whether any of your organization's present or proposed activities are unrelated trade or business as defined in section 513 of the Code. The law requires you to make your organization's annual return available for public inspection. without charge for three years after the due date of the return. If your organization had a copy of its application for recognition of exemption on July 15, 1987, it is also required to make available for public inspection a copy of the exemption application, any supporting documents and the exemption letter to any individual who requests such documents in person or in writing. You can charge only a reasonable fee for reproduction and actual postage costs for the copied materials. The law does not require you to provide copies of public inspection documents that are widely available, such as by posting them on the Internet {World Wide Web). You may be liable for a penalty of $20 a day for each day you do not make these documents available for public inspection (up to a maximum of $10,000 in the case of an annual return). ~` Because this letter could help resolve any questions about your organization's exempt status and foundation Y. `status, you should keep it with the organization's permanent records. - If you have any questions, please call us at the telephone number shown in the heading of this letter. This letter affirms your organization's exempt status. Sincerely, ~~ ~~ John E. Ricketts, Director, TE/GE Customer Account Services