HomeMy WebLinkAboutAttch 2b Chabot-Las Positas.,~
iv
ITY OF UBLIN
COMMUNITY GROVP/O~RGANIZATIONAL
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Section 2:
Application for
Community Group/Organizational Funding
SECTION 2 ~~~ ~~~~T
Page 1 of 19 Z~~
I~
a~
CITY OF DUBLIN
Fiscal Year 2010-2011
__- -- ;~ .-_ _`
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C OMMUNITY~ G1ZO~UP/ORG:
F.'` '`I It~~ f I I(~ ''I' ~
~~ ~.~AP,PLICATION FOR iF~
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,,,~. ~ ~ ~ r~' ` C OVER 'P~AGE
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AGENC~Y~'~NAIVIE : c~~iaBOT iAs`~P,~osiTas Go~uN~ n
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~ I tr ~i ; i,`` .~` ~ TRI-VALLEYvQNE-STOP CAREER G]
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TION
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LEGE'DISTRICT/ `" ~ I
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PROPOSED PROJECT/PROGRAM~~N~A~1VIE-:r,.,.{f ?~~' ' ;' ' ~` ,' ~'.,,
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CITY OF DUBLIN=EMPLOYMENT AND TRAININ,G SERVICES ~~`'~ ~{ ~ ,;r~ ~' , F ~ !` ~' ~
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FUNDING AMOU~NT~-REQUESTED: $15.,0oo~`{r4 ''~~~-~~ ~~ ~'f
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SECTION Z
Page 2 of 19
~
iv
CITY OF DUBLIN
Fiscal Year 2010-2011
APPLICATION~=FOR FUNDS
~:~~~
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i. Please select~one,Cexpense category i~ i0 C,apital,;~' XsOperating
s• _ =' J i' r ?' F~.~ 1~ ..4
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+~'' 1~~ ~~'`~ ~1,1 ' ~ _ . - _ ., !, f T r '. .
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2. Applican't~`vInformation: ~`~~. ^~~~.i '~=
'f . ~'s' .~ .'~
.,'r '4,~ d'' .,'-.r ~:' ;• ~ `~.~'`5,
'- ~`_'-y ~,. .' ,~
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F f ~'
Orgamzation/Agenc,y~Name Chabot,-rLas,Po'sita's rC'ommunity,College
;~' ~~ ~` Tri,Valley One=Stop~Career''~Center
~
~
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, ~r+-., ~~,f ~ a ~ ~L. ~ ~ 4 ' t
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Mai'ling Address~ 5020 Franklin Drive, Plea~
~ ~~ ~~ ~~~~ ~~ ~ ~ ~,
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Str~eet~Address,~~5020.Franklin~~Drive-- - -- ~`
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City Pleasanton '`~ Stat~te CA Zip 94y'
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~~, 'Presidentt~~;~,. ~ ~' ~~`-=~. Work Phone '
~ ,, ~, ~ ~ ~. ,t ~~, ``'~~
~ ~ ~ i ~i ~ ~ lr ~ `ti _. ~' _ ~
;Dr. H~al~_G. Gin 'ti ~`~`-~ ~. -~~ rr
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Board Presiderit (if~appl'icable) ~`` WorkPhoner , -r~'
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If you wisl%to;contact a-mern~ber of the Board`o.f Tr'ustees or the Chancell~
~t'~,`4. ~~"~~ ~1; `~~-._ ~'~. ~ r.~.'`~ a,.,, 1~~~,~'
Bailey, Executive Assistant~to t~he~Chancellor: -(92~5) 485-5~207 ~'=~4ti ~
~ ~. ~, i . ~ ~ r_. ~4 ~, t ~:
Please list the PrimarytiPro~ect Contact Person wlio=would~be alile to answer~questions al
r r
proj ect/program during theti fundi'ng ~period'. ~ ~`~ , ~ ~ ' T= ~, z `~l ~ `~`' '~S'-~; T ~ti '~~~
s'' ~'r f ~~1 ~t'F ~,-ti i ~ i
John Alves ~, i ~ 4i ~ ~~4 ,}r ', ~f ~~ r~ Director') ~ ', ~~---~')``~~,`~-.`~`~ ~J `s
' ` 7 _ J-r--~=-
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Contact Person for Project/Program: _ s__ ~- Job_Title`~ ~~' --
(925, 485-5266
Work Phone
jalvesn,clpccd.arg ~ ~T (925) 485-5273
Email
Federal Tax Identification No. (required) 94-167063
City of Dublin Business License No. (required~ 10043
Fax
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application and
SECTION 2
Page 3 of 19
L°
P ~A
City of Dublin
Fiscal Year 2010-2011
Application for Funds
3. Proposed Project/Program-In-for-mation_(po not describe organization.)
,t- --7 ~~J,'~ i_ _'_
^ Y i Ir ~.~',~ ...}a ~~~ ~' i' ~ 3 =~*~-.
Amount of Funds Req~uested $ 1~5,,000 `' i~~ ~a ~ ,i ~~ ;1~; ~`~ ,~'~;~-,
, ~~` . !! `,. ~, ~, ~ ~ .~~ ~ ~ i ,+r ,!~ ~ .,. 'a~...
r
(Maximum $25,0~00 per pro~`ect.) '~`_ ~"~ ~ ~ _ _ ~~ ,~~ ~~~ ~~ ~~;~ ~ : ~,.ti
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ProposedP o~ect%Program~Name: ;~-~` `"~'~ ~: '~`_~, ~~~,~ ` ~';~'`~~y
~ ti f ~ j~'_~.~ ~;
Citv of D,ublin Employment and Train'in~~Services-~ '~1 ~~ ~~;~,,~''~~=rff ~~r '~ t';
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~~rl .._-. r ~Y~ ~ ~f ~, ~__ ~ I ~4 ~~ I~l
Propose`d P-.rojectGProgram Date(s):' Start _~07/O1/20"10.~'~ arid End 06/340/2011--, i;~~,~~'~~
' ~ ~ k' ' ~~~ ~ ~ -~ ~ ~ ~ = ~
1~ t~ I ~ 1-' '~ -_:~_,~.~ I__' ~.."_ ' i~ ~~~`- rl, l t~ i~', i i
i( ~~ ~ ~ i ~~ ~` ~~ ,r'. _~~, ~~I ~ 1T10~. C~ay ~yT:'~ `~ffiO. C~ay', ~,~!T!i `, 'i ~ `i
~ ~ ~ ~ ~ ~ ~ j~ ~ `~ ' 'ti ~,, ~ ,,r`~~~'',~ ``~ ~i~~ ~ ~ i i ~ i
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Please note: ~ Cityr'Council~ ~
i ~ needs ai 100% dis~
`~_:-
~ ~ `below and provide
^ Agency~iis re`questing 1
' ~~ ~~, If selecting this op
~ ~, ~, ~, , << ~~ ~, ~ ~;
X Agenc`y'is'~n`ot~requestin
',' ; ' ~ `~, '~ ~', ~, '~`!,
y ~Please nrovide the
Grant Funds-ar-e-distnbuted on a re
ursement~at-the beginning'of the Fi~
justification fo~~his need . ~ . ~
)0% disbursement at the begimm~g~
`4,~~ _.~".~ ~,`~,,~~ I, ~ ~ '
tion, please provide justification iri~1
~ 100% disbursement at the be~inni
asis. ~If your Age i cy
<<
~e indicate`~thrs_
~ ~~~~ ~.~r~
_r~~ ~ I ;
f the Fisca~l`Year. ~~~~ ~~ ~~ i ~~~~~
~
ti_ ~ i ;~` , ~ t J; ,' ~i
nianic space
of the Fisca
l'o'vu
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ear., ~ ~ ' ~
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te~City in,',the
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'requency that reiiiibursements will' be submi
e. monthl ~'` uarferl 'at;~ ject com letie
g•~ Y~ q. Y~ p ~ P
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We respectfully request the funds~be_dispersed-morithly. _~~ ~-
~ ~ ~ ,, -- ;' " ' ;~ -,
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4,, ''~`` ~ -~,. ' ~, ~ -_ _ ~ ~, ~~,, ~,,, 4~, s,.;
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SECTION 2
Page 4 of 19
eu
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ai
City of Dublin
Fiscal Year 2010-2011
Application for Funds
a. How would the requested funds be used?
^ Describe, in detail, the PROPOSED-P.-ROJECT/PROGRAM (not the Agency).
^ Bulleted text is acceptable , ; ~ i, ~1 ~ f- ~-= . ~
^ Identify if therproposed pro~ec~ ;program.is a riewjs~~ervice;~or extension of an
eX1StlTlgrOlle, ~`~ ~~~~ :'~' ~ ~, 1~ ~ ~ ~' " ~r~~r` ,~''_~'~~''.,',`
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'VJL~,L~rxv i L~ l:~l~/YKVITKAlVl aaaress an ur
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~uality of~life for Dublin iesidents. ~'~Why is this~
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~ge'maybe~-ad~decl,_ifErieeded)~ -~~ ~ ~'~
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.ta/records,s~upport the need for this PROPOSE~]
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VI? Please identify your~data sources. ~(Additio~
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f ~ ~~f,~'~ titilE ~ ,r ,7. ~-.
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SECTION 2
Page 5 of 19
~~ l i
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City of Dublin
Fiscal Year 2010-2011
Application for Funds
d. Specify the PRO
Please refer to attachment I.
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853
Pro'ecdPro ram Partici ant Information
Total Proposed Participants Served by this Project/Program 10,000
Total Number of Dublin Residents Served by this Project 1,300
SECTION 2
Page 6 of 19
v
City of Dublin
Fiscal Year 2010-2011
Application for Funds
5. Financial Information-~- Operating-Budget~e
~ ,,I
_- v _ (_~7 C ~ ' _
1
a. Expense Budget ~- ,; _,;,_,,_ ,--,; ~ ~ ~~,; ,} ' Sy,4-ti ~
,
~; ~, ~ i ~ ~ ~ ,~
r.~ ~~ 'r~ I ~~ E ~ i ~ ; I ~ ~ ;i~ i ~ ~~',.~
~'.:f' .sc. I ~` e ~( i.~ ~` f .
FY 2010-2011 -
EXPENSE BUDGET
ORGANIZATION
_ THIS PROJECT/
PROGRAM
GRANT REQUEST
Personnel Costs
_
Em lo ee Salaries &'Benefits
p y., r ~. ~ .~~~ ~
p
.~ - ~
i .340~~~~i~ ,~~''~ '._
.
12~~~~" ~;~r ~'
~ s*r'~ ~'12~0~~
Non-Personnel Costs
-
-
.
.
,
Services~
~'~ ,r~- & Supphes .
~ ~ 60~ ~15 ~` ~ ~ '
'~ ~ ~ ~ ,F .~
~
,~~ 3 000 ~~~,
, , ,
~
~'~ ',
- 3~,;000
~
~
'
~
i~ ~' ,'~ ,!' ; ` ,,~ ,,' ;~' ,;~~Capital Costs ~ ~ ~,~ ``~.6E;0,00 j~(,,~~'~ ~~ ;;' `~,,_ ',~,, , ~,
~,
'~~
',
', '~~ ~
~
Ser,vices~'to Diibl'in Residents"~~
~ ; , ~ ~ ;~ - ~,15 ~ 000 ~ ~,~''
`,,. > ,,~ 1~5 000 '~'
> ti
~ '~ 'i ~` ~ ~~ '~ `~'
~ ~ ,~
'
Otlier (plea`se'specifyj '~
~, ~. ~ ~ ~ ~-.~I ~ ~ ~~'`~'' ~
~,~~ ~ ,~ - ~ ~
i -~~, ~ ~'`y~
~ '~
'_ ~ '~- ~i~
~
' r'~-.iti ~' `~
l ~ a ( ~ ~ ~ ~' ~TOTAL
~ -, `__ .. ._ .
'' ~ 48~9,615 r ~_T ;
~ '~ 1r5;000~,, '~, -- ~
;) '~~ ~?
(~15;000
~ , ( ,~~~,~~ ~~ ~ ; r ~ o _ ~ ( i~ ~ _.a r I i -~ '' ~, , ~ ~~~ ~,~. ,~~ ~ I
~ ,~~, ~~f ~, '~~ _ - ~ ~-----~ ---- '~~ ~ ~ ~~ ~ , ~~ti :~ ~ ~ ~_ _ .
~ ~ Furtherl ~Comments/Explanations (if necessary)-:., ~~ ~ ~~, ~~( I ~
~ i , ~'~ I~'! ~ ~~ ~ `,t ,~ r`` .''` ~ f ~ ~ , ,~ ~, ~ ~ ~ • -~ . ~ ~ _
~ ~ ;.
Th'ese ~b,udget~, f gures are anticipated and represent ou~r bestYestimate. ~, ~,~ ,, ;
j 1 ( i ~ l ` _~- •'` ~ ~ ( ( ti ~,~ ~`'- - ~ ~ ~ ~ I ( ~ ' ~ ~
~ ~ 1 i ~ ~i "~ i ~,t ,,' ,,,' ,ra ~ - ', ~ ~ ~ ~ ~~ ~I i ~ ~ ~ .
.~ ~ ~,, ~
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, t ~~, , ~i. ~E '~',~,. 4 =, `'`'- _._ ~ ~ ~ ~~ ~~ ~r '~ ~~ (' ,''r
i.
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~
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~
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.+~ (_ _
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~'ti~~ :,~, 1 ~ ,~t~ j~ ( ~ ~ ~ ~,'t`~~~ ti,"~ I'r ~~ ~tii~ - ~, ,t ~'~,~~,~
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- ~. ``~,.`;. _~ - -
SECTION Z
Page 7 of 19
ai
us ai
o~ r
v a
City of Dublin
Fiscal Year 2010-2011
Application for Funds
Revenue Budget ~ T ~~-
_ ~ T~:f - ~ ~ ~~ ~,-~4-
_ _=~ ,''' 4`'1 ,, i , , ` - ~°;~--
FY 2010-2011
REVENU~ BUDGET ORGANIZATION PROJECT/PROGRAM
Committed/Restricted Funds
(specify source)
f
y~ x ~~ ,. ~-
Alamed'a Count Workforce
~
_ - habot=Las~Positas
C ,__ ,
GeneralfEmpl`q,yment and
,
~~~ ~t , ~~~-
~~ ~.
Inves~tment~Board~ ~ f~ ~~__. ~ ~ 7 i i ~~ ~
Commu~nity C~ollege . . ,, ..
Trai~ning^Services
Dislo'cated Work'er Services -332,129 ~~Distnct%Tri 'Valley ~~~,
r,
'~;<
~
,~ r< < ~ ~,
Adu~lt' Ser~`',vicesl~` ---1'42,4s86 ~
~
"~ ~
~
'
~~f~ ~, ~~ ~ ~
One-Stop~Career--_ ,
,
<
; r,~. ~ ~ ! ~
~,~~ ~,~ ~~ ~, ~~, ', `~~
~
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,}z
~.
~ ~~
~ ~ ~
~ ~ ; ~ ~
,',~ .~ ,~ ,' ,' ,' ~' ~' ~` ~ ~~~~~, ~ =t'~ ~ ~ ; ~ ~_ ~ .~
Cienter ~~ ,,~`~~~ ~ , ~, ~; ,
~
, ~
,
~
~`"~~ ~~`~. '~, ~~~ '~ ~~ `~ `~ ~~ i.
,~
City of Dubl~in 'r ~• ''~ ~~'15;0,00 Chabot=`Las Positas
~ 'General Empl~o`yment and
.,~ a j =~, ~
~~ .-
L ~~ti ,!
~ ,~
: --~c,~ ~~ ~ ~
~--~,
~Community_ College, 1
T aining Servi
City of
ces-,-
~
, ~
,
~
' ~ ~ ~ ~ ~` ~ ' ~
0 - ( ~~ i
~! '~
~
'~ I
~ ~ ~
~ District/Tri-V~al~le
~ ~ '
~'
I~~ ,
1
D'ubl`in residerits ,, ~' outh
~
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`
--
_
~
~ ;
~
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- ~~`` ' ~~ ~~.,, ~~ F
~ I ~`
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y ti
~
One Stop-Caree'r--r
~ '
a ~ ~ ~
' ~ ~ k ~ _~ ~_
and'adults) ~`~'~ ~ '
~ ~ I
I
~
~
~ ~1..
._._
~; ~ , t~, ~!~ ~`~, ~.•' ,,~' ,~''
~
....
I ._'
Center '~
~
,,
. _ ~
fi`'` ,~~~ ~ ' ,~~ ~ ~ - a
~
~
~o ~l ~l ( ~~ ~~ ~t ~i~ ~
,,:~}`}
~ l '
~ '
~ ~
`
' ~ ~ ~
,.~
,
- ti ' ~ ~i i ~ ~ ~ i~~
~
!
~
~~~
~
~
~~
~ ; ~
,I i I
i
:
t
/
, ~ ~ - ~
~ ~ l ~ ~ 7 ~~ z .-
~,~ , ~ ~ 4 .~ , ~,y _ .- ~,~ ~._ ..
i ,ti
._
. ,~, ~._.~ ~~~ ti ~ ~ ;
~
i
,
~
,
i
,r'~r~~:~~
~` ,~~ ~'~ ;~~ ~~ ~''~~
.
.
r
'
~ {~ ~j ~.~ ~~ l4 ~'~ ~ ~ s ~:,_ ~
~, ~. ~, ~''t. ~ ~ , ~, ~,,ti. ~ ~ ~'
~ . ~.~ ~
~ ~-=~v ~ ~
~ . , (
~~~
~ ~fl
)~
Jrv~( ~ I ~
~ , ~
a~ ~ r' , ,
~
'S ~~ ' ~ ~ ,, ~ ~4 ,~i~ ~4 :~
~~ :. ~~ ~, ~:, 4 .~ 4 ~,
~~ S 5~~. `''i 4
. .~.. ~ fr
- ,; ~, f
- .~
, ~
~' ~•
r r ft 'r`
3*r ~' f a 1 r ~'~ 1
Non-Committed/Restricted Funds
(specify source)
'
.....
..
~
. _ ~
..
;`
_t-
...,v
5.`~. ~ C if ~
i,.`=,. I ~ ' .:?~ ~ __ ~ ' _ -'..._.. ~-_. - ~ - - 4
._ '~r_ _..
___..-• .- ~ ~~t. '~
.
- 't ' ..~,
'-~
]~,~ `-ti
rf ~"~f ~.~
~'~
..
~L 1 ~ ~
,^~ s{ ;~ _
'
~`~'`` NA ~' i E ~ ~L
~ -
~,,
-~ s~ ~ ; ti ; y
r.,~`
~-.
~
4 ~~'`'
~
~ .
~_
~
~ ,
~.
~
',;;~_`"-~ti I~~ ~;~ i.~ (~i
~
r
~ ~~`~- `i'~
',,~
l'~ II 'j~
f
~
~
' `~yr~
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; . ~ ~_
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, i
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, _ ._ _~~ ,
-~ ~_. =~,,, ~ ~~ ~
~~- , - _
!~~ ~! ~~,~ _ ~ ~ ~~-~
ti - -
~
TOTAL $489,615
Further Comments/Explanations (if necessary):
SECTION 2
Page 8 of 19
iv
_~
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'~4,~~ ~'~ ',~`~~' 4''~~ 4 ~ '`~,~~; ~~-'~- ~~ ~r~ r' ~` ~ ' ' ,~~ a',~~
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' ~y~ ~ `'~ ~ ''~j''1, ~4~. `` `1 ~' ~ ..~_-~ ~ fi~, ,, /~r'~ ~" ~'~~~` r~~ .fi ~ ~
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~',,, J~ l r ~ I ~ t.~ ~I~~ ~,.ti ~~G II ~i+ =-.z r,~'
~~ ~ ~_ r t~ ~ I'~ ~~1 !~ ! I i 4._~°~ i;~ -,,y r~ r
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- . =~s ~ ~~
SECTION 2
Page 9 of 19
s
iv
City of Dublin
Fiscal Year 2010-2011
Application for Funds
6. General Agency Infor_mation ~ ~_=-~~
. ~ - ~ (~_~ ~~= =~-~,, ~ ~ ~;.~
,;`~ ``'~''i `,_ ~ f , a - -~-
~~ 1 i '~. ~~ f i~ f I i,~ ~~~ 5~ ,;~`~~.
X Past grant appTi'cants~may clieck this box in lieu of completingritem~6_. (a-d) if the
f "'~ ~':~. ~ -~~ ~ ~,~ ~~' :._ ; ~.-. :,-'' r ~~ ~t~ rr "~''~ ~~ . `~.
program/organizational description--on=file wrth=the`Cit`y is correet and cur~rent.
~'~` ~ ~ ~ '~', ~;~ ~ ~-r=~.-~- - ~ti -'`, '`~`.;_= '~, ~~,'f`' ~'~ ~~,
rf~ v.L ~ ~•ti ~ ~..r'` Jr'r " '° . ~'~; ` 1~4`.t j,^~`'~'~ ~ .~!~ ~,,f ~ i ''~4:.
a. List all years~that Orgamzation has previously received City of:Dublin rfunding;(not
~ ` ~~ „ ~,^ ,~~' ,,~`~ , ,~, - -~ `+~ ~ ~.`~,,~~ ~,~-.~ ~~ r ,~ ' ,~~~
Community De~elopment Block Grant = CDBG) '~` ~~ ~~~.~ ~ ~ ~ '
; ~f ~ ~ ~ -.: ~ss~ '` r''~ ~~- ` ~ ~' ~``~ ~'''~, i ~~' ~-'~ ~~'t
~ ~ -~ ~d l i rr~ ~~t -~ ,~~! ~ ! 'S'w '~'i
, ~' r-,, J ~~` i i `~ ,,, ~ i~ ~. 8 , I~ ~~, ~ i ~'~ ~~i
~~~ ~ ~~ 7 _ s~~ `w 'i. f` ti ra~t' ,~'' ~ _ i ~`~ ~ i 'it
~~ i ~ ' ~~ , ~ ~ ~ ~ .. ~ _ ~ _ ~ '' ~, ~~, , I ' ~
~ i ~ ~ i ~ `~ - -t `w, - ,P''~ ?~ -~ ~i~, `i r '~ 1 ~ ; ~ ~
1~' ~ ~ I ( + ~f !~~ r~ ,~ ; `~,, ~ ( ~ '~~ ~ ~ w t~ i ~~ I~ !~ I I ~~ ~
c
,~ r i ~ I ~ I
~~i i i ~ ~~ ;~ r~'~~~ ~ °~ I~e '~; "`~ ~ ~ ~ ~'` ~`'~, '~ ~~~ I t_, ~I
i' ~ `- ~ ,';' ~.~~` ,~ ,'.,-~, ~ ~ ~~I ~ I ~ ~ ~`-~ ~-~. ~~~ ~i~~ l ~ L~ _ ~
b. i~ ~~ Describe the o ulation s ser-ved-b." ~ the Or a~niza~tion~. ;~ l~ << ~~`~~ ~~~ ~`ti '
=~ , ~ 1? p r ~ ) ~ Y g _ _ '~, ~ ~
~
~ , ~ ° ~ ~~ ~~ ~ ~ ~ ~
4 ' , ~ - ~, , ~- ~ ~ ,~~
'~ ~ ,~' ~
~ ~ ~'~ ~' ~~ ~ ~~~ ° C~~ ~- ~ ~_1 ~ ~ ~,-~ ~ ~ ,~ I~ ~4~ ~ ~~~~~ ~~
I --- I -- ^ J _ ,
~sf ~,~ '~ ~--~--~ ~ ~~_.~ ~ ~ _
I ,, ~ ~,,~~ ~ ~. to- _.~ r'~ ,~ ~ I i
! ~ , ~ , ~-,~ ~ '`~ ~ ~,. ~~ ~ ~ , ~~ .,,~ ~ ~ i . ~ ~ ~ i
~) ~i ~ ~ ~
,
~, i I ~ ~~ ~i ~ `~ ,~ " ,~ ~ ~~~ ,,.. r`~ .`` i ' ' ~ , [ ~
~ ~~ ~~ ~I ~i ~[ ~~ (L ~l l ~' ~ ~ ~'~ '` ~ ~ ti' ~ ~ ~ '~ ~~ ~ I! ~~ ~! ~~ ~~ ~~ I
~ I ~~ ~ ~t ~ t i~i ~'` _ ~~ .____ I~~' ``~ '~ ~ . ~ ~ r J i ~
} i . ^,~ _ ~" ~ ,.r r ' ,, , ~r ; I ~
~ , 'i ' ~, ~~ •~, ~ t'. ~ ' '', E . ', '_ ~ .
c. ,~, ~D'escribe`'~all the services the Organization currently~lpr'ovides to Dubliri~'r,esidents. , ~
L ~ .~4 1 . ~.`_ _ ~ I ~ ~ f ~ ~~ i~
f I
~;~~~ ~ ~~An~'~acidihonal page may~~b~4added; if~needed ~''~ ~~ ~~f ~~ ~a`,r' ,~'~` , ' ' ~
~ , .
~, ti ~ ~. ~. ~ '~ ~ ~ ~ ~
~, ,~ ~, ~ '~, ti ~,~ '~~ ~~. ~ ~ .-~ ~ ~`~,r ~ ,~ ~~' ~~ ~~~ `~
,,, ~ ~ y `~ ti~ .~ ~ •~,~ ~, '~ ~'~ ~; F ~:~,, ~' ,~ ~ r~ f,~`
~ ~ ~ 4~.~ ;.. ''•~~-, t~` ~ r.,^r ti'~ r' '` t.'r .
~ : '~ ~ ''~ ~` `' ~.~. ~~ 'T~,r' r f ,' E ,'
~y ;~~ . ~~~.~. ~ ~ ti y~ '~ _ ~ ~F _ r ,v.,._~t l, ; `~.(,f~f
l;.
~''``''h.. ~ If: ~~ f ~ ~ - -`~ J~ ~ ~~ ~ C ~''~ t' y ~`~
~ ';`I ~ ~~~~t ~~ -== _ ~ - ~~ ~;y ~''~4 ~'`~ ~~,~,~
` ~,+'- ~ I ~ ' ~ ~ ~l ..4 'y+f~~ ~ 4~
~,z,' ~- ''r~ ~~ ~ i~ f~ ~ 1 ~ ~ ~ . Lc ' ,~,lli ~4 ~ f~~'~
~q x
'.~ ,, ~ ~ ~ r ~~ j! ~~ ~ r ~ ~ ~ ~,~"~"~-,~,~~ t_ ~J ~ ~, °'1. 4 ~ `~'~..~,r'
:.L t [ t _~ i ~,~ ~ ~ ~ ~ ~ ~~ „i,~ ~ ~ r .
`~ -_ ~ '~: Ji` 1~ ~~ ~ f ~ ~ ~ ~ ~ `°_ `_~' _,,. =~
d. Has your agency ever~pre~iously received funds from the..City of Dublin? If yes,
please specify in what Fiscal I'ears-arid-the amount received each year.
SECTION 2
Page 10 of 19
J "~
iv
City of Dublin
Fiscal Year 2010-2011
Application fo~ Funds
rL
~r
7. Required Attachments.:- ~ ~ ~ ~=;; z
~ , ~~ _
~~~ r~~~ ~'~,~'ti ~` i~ ~ ~~ ~ ~ ~ _
~~ ' ~.; ~ ' ~i ~ ,- ~,
y i '~i(~ i ~.~r S~~ ~-
~~~ ,7 ~ ~ , . j , ~ r.~ t' ~~ r ~ ~
o Onlv one (1) coqy per Agencv of~each of~the following is reqwred,,even with~mi
r .~ -~: ~ _-- t xf _._ ^ . - .~ r ; '' F~ -~ `~..
~ ~''f~~S ~~, '~. ~ ~ ~ C i,~ >''(~ ~ ~ ';,~
projects/progra'ms submitted. ~ - _ _ ''~,v,~,,~ J ~ r,~~,
0
O
f f4 '7 ~'r`'rF
! 1
r'~`~ o-=A.:=Naines of Govern n
, , r,r
~ ~~ ~" J~ i `
'r r~ ' ~ -r~
i',' ,~ ~~' ,' o; B;~';~`Current total-Or.gan'
~ I ~ i I i 1 f' ~~1 r' '~
~+i ~ ~~ ~~ ~~ i~ ,~ ~~~~ ^ Clearl,y~~label/id_
!,~ (--R t~J ~_l~ .~~;. ~,PROJECT PRO
y ~ • I „ ~
II . {r`~~'ti I~ f : .-~~~ LT_.
~ j' o~ ~C. ~'Most~receiit audi.t-r
~4 ~~ ! ' ~ ~ ~-~' '~ i
,~ ~~~ !; ~~ -(~ ~ p ` ~ I ~
i~ ~ ` ~o ~D. ~R~ lution, letter or
~ili .~ -tf ~r-=, ~i: ~ ~~~i Board/Qrganization
,I ~ i i' ~~~ !~ i f~,I i^ Board/Organi ~
~'i~i ~~t ~~ ~ ~~~ O, ~~;E;~'~,~TgaTllZat1011~S C Ttlj
~ 4~ ~ ti ~ ~, 1,, ,~~ i C
', ~ ~ ', ~ ~ ~, ~ workers' compensat:
'~, i~ ~. ~ ~ ~~, S ~``, i ' ,
,0,~ ~ ~` ti~ ~~ ti~ ~.'4~~` ,~ `
t`~~~,~o`~~F4~~Ap lication Verific~
'~~l,~l,,~,~ a.: _¢.~'`:~t
be
~-~
~~~ ` j ~,,,I ~~ t4 y ~ 1,~;4tii
~ ~ ~ ~J ~r
g B`oard~ identify current Board office;
~- ~
~ ~~ ii , ~ ~ ~ ~
```., ,~, ``1 '~~"t ~ ~
ization .operating bud~et;-iricluding re~
entify the pro~gram that includes the PF
~ ~
GRAM,.~( ~~ ~~~` ~' '~. `` ~'`~
- - - - _.. ~ r" I . ~
epor-t-or tax return-(i~f-applicabl'e). i~
, ~_ j i' ~ i'-~,_ .~ ~~
~,--~ , ---- . ; . `~ >r ~' , ,
.ppTication, and
mav~b'e,,pe din.
~ I V ~i~
~r ~_
cate,.of insurance
D
^~~., G. SiQned affidavit form
'r..e1 ~..1~
~ ing coverage
r` ~
~~'r
ature Pase -~`~ t
~~. p ~oject/pro~am_plan (if applicable)._ ~'~`' °~1; `~.~
~~~ _~~ r ..~ ~ ~.-~ ~ - " ~ _ ~ ~~ ~` _ Iti,
~"~',.ti ~ ~~ ~ ~~ ~{ ~ ~~i~~ '~ ~ i~ ~;f~~.~ =y,~`'1 ,~ .~t~ ~~ ~~ ~ 4
^ H. Copy of IRS Let~er+of D,ete~rmmatio~ imdi~cating ta~x
~-'-~ ~ ,'' _'s ~^~ , 4, ~I i ~ = ~ ;,r~~~
- - - '~.;'»~~,-~~` ~ ~~ ;-
SECTION Z
Page 11 of 19
'1
'~ ~~ ~ i
~~c~ ~_ ~ ~~y 1~ ~it~
i
eriue `~ ~', ` ', `~ ~,';
~
~POSED', ~'~i 1~ ~~ ',`~
~~ i ~ ~~ ~`l ~_~ ~ I
4t. I ~ _~-,~, ' I II
t~ I ~" ~I I~ ~ I
, ~
~`
,
i ~ '-; ~ r'
! ~ ti .~a ~ ~
,f~ ,' ._ ~
, i~
~val~ was ~ganted.
'! ~ I ' i i
~~~I i f ~~ ~~~ ~~ _i I
~ ( I
,~( ~ j ~ I ~ ~i
.1~~ ,i~ [ ~, ~ ~'~ I ~ ~~ (
~T~ l~iability,~andl
~ ~
, ~, ~ ~~
' , ~ ,J ;a ~~ f~ ,~'r
, ~ ~ ~,~' ~ ~ ,r f _,
f, ~ ~ r` ~ ,.
, ~ ~ ,~' r
?~ s ~~ f~` r~~~
~~` r ,~;
,~'' f a,%
status.
d6
n~ ~i
~~ Q~
City of Dublin
Fiscal Year 2010-2011
Applacation for Funds
_ - - ~- ~,1 ---_ _ a_
-- -~
~ _ ~..
rrAPPLfICATION~`VERI'FIC`AT-I
~ ~~ ''~ ;,! ~ ( ~ ~~ ~a~~' ~"~~
~, d ~ ~ ~
.~'' ~`-,I '~-``- ~};r _~ _ "~,•~ i' ~ ;
I attest that the in~for-riiation contained in_th'is F-Y=2'0 ~ ~
.;~r ~~ .~. y ti,~ - ---
the funds requested will ,not supplant any other mor
~ r r,~ ~ `` '~''~, ~`'- '~ '`~ , ~ `'~,
`r f 'i ~ :~''~ ~''~`` ~., ~-~-- -
Attached~ is a resolution; letter, or other docurrierit ~
r~!,( 4~ __.~ ''~fr' I` ~,~ `~ ~ ~ I
approved the application as submitted~`` Succe`s_sful,~
re ort as:`soon,as ~,~ossible after_submitti~n the~rein
~
P ~ - ~ .,~ g
31, ,~2011.~'~ Failure to subrnit asrepor~`t`wi~ll~ result in i
~
, ~~
I~~~ _,~ i_.[ 1 ~~ ai~ ,,,,~'' it' ~~ , ~
i~ ~ ~ -`~ ~~,~ ~ }
~ ~ I ~ ~'~ _~~ 4~I ~ ~.
r
I ~~ ~~ ~y ~~ ~,^'''~ J {' r-°-
Signatures:~„! ` i : t1 t'' ~
~ ~ I ~~ , I l ~~ I r :~ ~ , I( L _.~
~ ~ _. ~
_~
`1 ~ - 'I ~ ~``~- '~~ - -
~ I ._ , - ~~ . • `, ~ 4'`' ~r' ~ "~ '~''jr~
i i Executive Director~
;
i ~ , ~ ~ ~ ~ ~ ~, ~ ~ ~~~ = ~'~ ~ .
~
~ ~ ~ ~ ~ , 4 , ~ ~ a,~~, ~r,
~ ~ ~ , ~ ~ ~ ~~~ ~ _ ~_._~
~~, ' '~. ~!i `z ~1 '~ ~i~ -- -- , ~ ,
t
~ ~ `,~ '~ ~' ~~~, ti ~`~ i ~` ~~ ~G :~ ~~,
1,~~, 4 ~ ~ `~, ~~,4. ~: '~
_ . . _ ~~.,~--=.
secured b; tne or amzatrom:~~
y,~~ .g t
-~ ~ ~ '~" r~ ~,k
~ ~~. .~" ~~ ~ ~~~
`'~ ~~~v f :-~`'`~} ,~r 1 ~. ~';
:dingYevidence that,~tlie Board~ of
` ,,
kca ts ~are required to;~ubmit a s
ement'~reauest, but not later,than
~.~ r -- -iI Y.r-,.Z '~
~,. _._.._._ ._.._~I ~ ~
~
f _ _' 4 r~~
~
~ _ .
. I
, 4~
r ~ `,, _~
~
,~, ~ ~ 'w,._t~
~ ~{
i~
~
_
.%`
"
~~4 x..
r
~~ ~,r
i
~
~
i
and that
,,~, ~ , ,t ~, ~, ~ _, ~
iding' ``, ~ "i ', `~ ~ ' ~ ~i
~i~i
~ ~~~~~ ~~ ~~ ~~~, ~_~ I~
ti I '
`~ F =~ -`1
, I' ~~ ~r ~' i
'~~ O ~ ,~ J r~
1 i , i~
~ ~ ~ ~~
i + _
iJ~ ~~, _
~ ~ ~~ 1
~ i'
l ~
~ ir ~~
~ , r. _
Date r,~ ~~~ ~' ~~ ~ ~,~~~
~ , ~ ~
r' ' ~' ~ ~ ~ ~~ ,'
,,,a ~~ ~ ; ;. ,, , , ~
~ ('~O~.~C~ C~:~~~~ ~e _~:i ~1 ~~_ ;~-~z
5 o r -~ ti, .r _-~''~-' : 4 ~ r ti.~ t
, ~ ~ ~, ~._ _ . ~ ~.- ~ -,, ~ ~t ..~:
~~ r I .~~ ~.-~ _ _ _ , ~,,
,~ s,
~~~ kti ;-a.- .~';~~1 I~ 3~~ ~ ~ 7 r . - '~ ~" ,i l 1~~ ~, '~~''l ~ ;~. "r ~,F~`:r
~. i t~ ~ ~ ~~f ~~z ~`' t ir .f'~,.
~`-~' ~ ir r , ~~ ~ 9r ~ _~ ~~ i ~ )~ ~~~ ``~~.4 ~,.~-~
4[ i: ~M1 ~ l i 1~i 1 j L ~r ~ w
~ ~' ~ • ~ ~ ~ ~ (~ ~~~ ~~ ~~ d= ~ ~
~-~ w_':s j D~~~ ~ 1 ~(=~=,.
_ _~ _
- _. -, ~-_ y ~ ~ - -~
SECTION 2
Page 12 of 19
J,r
~
~~ a
cl f
~l'~
~v
City of Dublin
Fiscal Year 2010-2011
Application for Funds
o This form is
o C
Coll;
StOj~
i
:r="=`~~ s~rAFFIDA
completed by each
n~~the proposedf pro
Chabot-
Project~Program Title: General
named by the
~ r~,f'ti .;;a
tted at time of apphcation ,~ ,.r , ~:
1 ~ ry ~., ~=.~ ~ ~,,` r,~ .~~`~,
y L ~ ~` 4 . r -,., '~4.
Positas Corrimunity College Di'stnct/Tn Valley One-
. ~~ - ~~ "~. ~~` ~;,~r' ~ y ~f f r J ~ 1
~4
r` _~
~ - ~'-,1 ~ - .4 -~.y, 5~~ e~ ,~~' ,~L
~aree'r`Center~,, ~`~~ ~ti~ a'~ ~ `~~,
- -, 7 i ~-~'` ~ ~
~nt'and-Traiiiing~;Services-City of Dt,4ublin residerits
I( ~ ~ ~ _ _ ~yC _JI y,~ ~+~ I~Y. ,
~ (~ l' ~ 1~ t~ J.lf' 1. ~~ - ~ 1~
~Youth.arid~~adults); , ~.._~ ~ ~. '~ ; ~ .~'' ~ ._.... 4`~ .- , ', ~'~ ~'~ ; ,'~
~~ i i ~i ii i ~ t i: ~, ~*~, `'~. r .~ -~ ~-'_" ,tr .f r -_. i~i i I ~ I i 1! ~
Project/Prograril,'Role Descr~ption (i~.e~, facility~space, ~stafffsuppor.t, etc ): '~~,'~ ~, ~~ ~, ~ ~~ ~';i
f ~ ~ ~ , ~ ~ .-~. ~ , , ~ ~ ~ ~ ~. ~ : , ~
Our, ov,erall;"mission,~is~-~to~pr-.ovid'e resour'ces a-nd~se~rvices in suppo,r;t'~o~f~ I; i~
~ ~ ~ I • i , , :~ ~, ~, ' ~ ~ ~ ,:r ; x ~ ~ ~ . ~ I ~; ~ !
emp!loyer-s and all;~~ ob, tra~ning and educationJ see'kersi All. servi i es a-re free
of~~charge to~j our community~w~ ~ Specifi'ca~lly-~;`~the additi`orial f.urid~ingf wo,ul~d ~be ~~
~ r~~' . r -I i % ~ ~_____~ ~ i.,-z~ '~ l ~''~ ~~,r" ~ ~!
used `to continue ~to,~serve? Dublin residents in _the folloWing ways :, ~, ~, , I
~ ~ ( ,,~ _ ~ ~ ~ .r~,~ ~ ~ ,~,,.`" ~ ~ r ~~ ~~- :~ ~~`
~ ' ~'~ ~. ~ ~~ ~i~° ° ~ C~ ~- . ~ ___ , . - ~ ~ i~'°~-_~ ~ ~ ~ ~~ r
', ~l~ y^ IRequest~ed =f:unds'-~ wou-l-d-be used to--pY
~I activities to Dublin cit'`izeris~`'categ
I~ r~ j~` ~~I, seekers, ~`laid off"~workers%di~splaced
'~,I~~ ~; !~ ~~ ~~ `Ito the wo~kforce,,,~veteraris, fperso`ns
~~, ,`,. ', ~, ~ of~fenders and ser"vices; for employez
~~i ~t ~~',^`~,'~,T~h'i.s program is an .extension of seY
~ y ~ ~ j' 1 i~ ~ f r~,•: -'".? :
~,~ i, ~, ~~ La~s';~Positas CollecTe/Tr-i=_UalleY One-
,', i~ ' 't, ~!com~
;.~, ~~ ~ ti ,
~
.~ 1, L4 ~ 4 4
; ~, ~, y4 `~
Agency Project/Rro
`'~4 ~:
~,~
Title Director
Phone (925) 485
ance with the~~Federal', Wc
~. ~~ -~` ~ 1
ON AGENCY
~ ~,_~ - _ _.
>vide workforce~,~de~ eLlopmerit '
>r.ically classified as job I~~
`workers,r youth, rieva~eiitrant's
:~ ~ ~~ i~ ~ ( ~ , ~ ~~
~with disabilitie~s,~ ~eX , ~ , , ~
~r ~ ~ , ~ !
, "*,, . ~.~ ~~ )' ii ~ ~ ~ ~~,,
~ices offered at~" .th`er' Ch~abot-
p Career C
Investment
Contact Person `~~ John Alves
"*~,ti, l~-'~ _ _ '
~M+~ ~ ..~
~ ~~ ~ ~q ~ + f.
~~ ~~ -- _ -
L' ^..1 I , i_ ~.._ _ ~. '~-.
7TE 'mail+,jal es@clpuced org~~~ ~ ~'~~
.~ ~~~r` ~~ ~, f u~ ~ r i 1 i~ ~ ~~
.~[__ J~ ~ ~~ ~ ( ~t [~ =t_
agericy~and-our orgariization)a~ee~f~
I attest that the applicant
the proposed project/program as
Executive Director
},.Jrrr ~ ~''~.
F
... ~ ~''~~ ~,['~,~ 4~
.~
_ti ~~ .~,~4 l~ ~`:.
4 "k. ~i. ~' t ~~ ,I}'
,, '~y,,, ~~'~ 4 .,~`~' ~
~ ;~• ~..
,t ~"~;,. ~ ~ r ~1
_ J ~ _~. ~_t'!
ork collaboratively to implement
funding application.
Date
~~ ~~ I~( ~`~
Project~ ogram Contact Person Date
~,~~x,~~~ ~~~ SECTION 2
~~` Page 13 of 19
~ ~
~
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SECTION 2
Page 14 of 19
~
'1 L
IP al
CITY OF DUBLIN
Fiscal Year 2010-2011
COMMUNITY GROUP/ORGANIZATIONAL FUNDING PROGRAM
REQUEST FOR REIMBURSEMENT
AGENCY NAME _ - =-^ ~. ~ [ 1 ~ ? i ^~~-~ 1^--= -
yrr r~"" ,~'" ~ 5't i , I~{~ ~I~~ ~1-y ~ ~;~~-~
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MAILING ADDRESS~F„OR-REIMBURSEMENT:-~ - ~ ~ ~ ;', i' ;'f r ~``~; ~ --., ~ ~,.
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PROJECT/PROGRAIVI NAME~:~ `j ~-`'~~, ~ ~`~,,~'' ~ . ~ ,~ ~ ~ ~, ~'~4
y _ ~ t •
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TOTAL FiJNDING~AMOUNT~AWARDED ti~TOTAL REIMBURSEMENT~REQUESTED TI3IS'PERIOD
~ ~I~ ~ (~ ~ ~ ~~ ~ ~~ ~~ ~~ ~~ ~~~ ~ ~ ~ ~ ~ ~~~ ~ ~ ~~ ~ ~ ~ ~i ~~ ~. ' ~~ ~
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Amount of
Reimbursement Requested
Expense Type (Please attach receipts, timesheets, etc.
(Please describe.) Date supporting identified ex enses.)
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TOTAL Amount Re uested
(lf requesting project/prograrri "start,'up'~~ ~furiding, pl~ease_d'escnbe _ ni~fi~a1 funding use above.)
- =- - ~'' -s ~~~ ~ ~~ -_-, _~`
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I attest that the above listed expenses are accurate and-true and have been used as represented in
the approved funding application.
Submitted by:
Signature:
Date:
SECTION 2
Page 15 of 19
J L
nv ~n
CITY OF DUBLIN
Fiscal Year 2010-2011
COMMUNITY GROUP/ORGANIZATIONAL FUNDING PROGRAM
_- _SUMMARY-REPORT
r-:.T~= -=~'~ _ _- ?. i- r ~ ~ (-_~~~-=; ==_,-~,~
ir ~~,,`'t ', ) i , ~ 7 -
(Summary~Report must be completed and su6nufted prior to August 31, 2011.)
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AGENCY NAME '~``f.~ ~ 4° ``" ~',`'~ -_ _ - - `~'='..1~ ~ l ~I ,~f`- ~ ;ti~
,*''r`F` ,~ ,~ ~ ~ ` _ - --~`. - ~ ~"-'-``~.~'f j`'„~''' `ti
'ti ,'`~`4 ```~ f ~,
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MAILING~ADDRESS'~;'`; frf d'~ ~ `~, `~,-~ .~; r~~ ~'~~`~
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PROJECT/PROGRAM NAME:.-' ~'~., `~. '~ ~~f'-~~,~ '~ ~ ~, ~ ~ i ~, ' ~ i
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TOTAL FiJNDING AMOUNT-AWARDED TOTAL REIMBURSEMENT~'RECEIVED ~ i.~ ~~~ '~i '
i i ! `~ ( I
~ ~ ~--~ ~ ~ I ~r- _ ____•' ~ , , = i' `~ ~ ~ ~ ~~ i ~
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1.) ~` Ho~w has ~~the PROJECT/PROGRAM addressed`an unrnet cominumty need~' antl,irilproved
~~, , ~ ~i , , ,, ~~~ ~,, ~ ~~ ~ ,'' ~ ~ . ~ ~~ _,:~ ~,r`' ,r' + ~ ; ~ , ~
the quality oftili~fe~~for Dubl'in,residerits (Additional page may~~be added, if need'ed):~'~ a' ,` ~' ~' ,','
` I 1 1 ~ , ~ J'' . i ~ 'r Jl' ~ ~~ ,I r
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2.) Please evaluate the~success of,'your',pro~ect/program ~ Were the-goalsroutlined in the
I
application met? Was the projec_t/pro'gram'carried out~efficiently?~rPlease use the objectives
identified in your application to discuss=your=program/project's success and impact. Include any
documentation/data/records you have that support your conclusions.
SECTION 2
Page 16 of 19
~
~
City of Dublin
Fiscal Year 2010-2011
SUMMARYREPORT
3} How many total participants
How many of those
I attest
~~~t ' -
Submii`t,ed by: _
r
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icipants`'are Dubliri resident`s? ,~!
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tion is accurate and true.
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SECTION 2
Page 17 of 19
~
~~ am
~ ro
.,_
iv
AGREEMENT BETWEEN
CITY OF DUBLIN
AND
Chabot-Las Positas Communitv College District/Tri-Vallev One-Stop Career Center
THIS AGREEMENT, dated for identification this day of 2010, is entered into
between the City of Dublin ("City'~)=and`~CLPGD/TVOS): =~~- ;~
- ii'C ~
~' -_ ~ ~ -'~~.
.~ :-- ~ -= z
~'i`~ ~~, `, ~ - , ~ 7 .
RECITALS ~ ;~~ ;'t ' ; ~ i' ~I i i ~'~ ~ 5` ``~'~,,~..
A. ~CLPCD/T~ ~'r i ` ~~ y_ '~ I ~ ~ ~ ,~ ,~ -,.~
VOS)-has asked Cit. to~coritribute'$$15,000 FifteeriaThousand Dollars) for
use by (CLPC~D''/TV'OS) to cover-operafional costs in`'order~~fo p'r,ovi'd`e tlie;services as
descnbed'~in`~Exhibit A;, ~ The services rendered pursuant to-this agreement w;ill be for the
penod~July~l; 2010 tlirough June 30, 2011. ~``~ '~~~~ ~~~`~ s~; ~~~~y
,~r'~~ f ~:?J'" ~r -~-~ ~,1 J~/~~~ iy ~~
B. Cit ~has determ~ined that it is ~in the,inter',est of~the residents of the~City of?Dublin~~to make
Y'~ti ~~ ~ ~~ ~~ ~ ~ , ~ ;~.
;'a donation of%$ ~(~° ~- ,- -,Dollars)~ for such purpose,~tprovided ce`r,tain
,~, , ~ ) ~ ~ ~~~
~ conditions,are met to ensure that the services~wi~ll benefit the residents,of City:, ~; ~, ~,~
i ~` ~~ i' ~l r - ~~ ~'~ -- -z `~ '``~, ~ - - ~~; ~ --- ~~4 ,~~~ i ~i i ~~ ~; ~
~ J I J ~~( ~ ( _~ f~ ~~ ~~ l ~I I ~ ~ ~ ~~
~ I 1 r I I I 1 '~~ ~ ~-. ~~ ~``
AGREEMEN~T~'~~ ;~,, ~~~:'~, ~ , ~ ~ '~~~ , ~ ~, ', ~~ ~ ',~
'~ ~ I ~ ~ ~ ~:= ~ ~ ,, ~~ ~ i ~`~ ~i~ ~ ~ ~ t ~l ~~ i
City and~~CLPC~D/TV.OS)~agree~,as follows: ~ ~ ~ ,~'' `~ ~i '~~ ~-~ - ~ i
~~ ~~ ~' ~~~ ~~~ , ~~''~,I ,. ~ ,- ~, ~``~ II ~~ _ ~,
1. ~ `~ Reci~tals , ~ r - ~ ~ ~ - - - - ---- '~ ~~' ~ ~ '~'~ ~ ~ ~`~,~ ~~ ~~,,~
I - ~, ' - , ' ~. .. _. 4
~ Tlie; oregoing recitals a'reltrue_and_correct arid are part of this'agreement. '~~ ~' ;r'
~ ~ ' f ~~ _ -_- ~---~ - i -- - -~ , ~_ ~; ~~ i~~ '~~~_-~~ ~
I ~ . ( . ~'~,
~ ~ ,,r' ~ ,:~~ i
2. ~ , Citvrponation~,,~~ ~ ,,,F ,~ ~ ~ ~ ~.~', ~- ''
, _~ ~ ~, : ~ ~. y ~~,'~~'~ ~-~i
~~i ', 'C~ity shal~l donate~$ `~:t ~(~~'.~ Dollars)'to b~e used~~by~fCLPCD/TVOS)~to be
,. , ~
',~~ ' us'ed for operatic ~`. - ~~ ~' ~ _ . ~ ; I , ~. ,. . -,. .~. ,. '~
~
~
~' ~ ~~.Exhibit A'to this
~, ~ ~ , ~ ~ ,t ~~,
~ ~ ~'~ `~,~, , ~
,~, 1 ~
1 4 ~ti~
3. Record's, '' _ ~, ~~
4.
Dated:
Dated:
By:
John Alves, Director
Upon rec
made by
plan.
ent The donation shall b~ p fid upon
i r y r _^ _,,~`
J
I l ~ ~` ~,, ~ ~-`~~ ~.
',, ~~,, -= f
. . . ~~`~ . '~ .. --i . . ~.~`r
and make ~them4a
~. _
`-•i ~
. _ `-~. ~-• s
' ~,1 -,__ ,.=
~ ~ i ,~.~ ~ i-, ^ _
,~'(CLPCD/TVO~S);
.~..., . ,. , ~
vailabrle~to City upon_..re~
~ 'J `~F :.
J~~f~ ..'r `
-- - -- ~ ~~,~i ~~`~
-- --_- ; ti_ '~~ ti4.
the
as descnbed~iri ,~,~
r
~e;to'~tlie' Cit'y'' ,;;'
~ ~
,,~ ~; ~, , ~ ,,.
f ~ 1 r' ~ ~,
/ i' ~' ~ ~ ` f r
.~ ~~ ~' f . r: ~
evaluation; ~audit
r; `~~
, ~,,.~`~ ~` .'r
~` ,~F
~~ .J'~~
7bing the progress
outlined in the work
. - -
`';-``- `~' ' ~ ; ~ ' ~ ~'~` .~ `~-_- _T~; ~
- __ '~ ~ -~
- _ _ _ - -_- _- "CITY OF DUBLIN
By:
Joni L. Pattillo, City Manager
SECTION 2
Page 18 of 19
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SECTION 2
Page 19 of 19
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Board of Trustees
Members of the Board
• Dr. Hal G. Gin (President) represents Trustee Area 6(Hayward, San Lorenzo)
since 2005.
• Mr. Donald L. "Dobie" Gelles (Board Secretary) represents Trustee Area 4
(Castro Valley and portions of Oakland) since 1998.
• Dr. Arnulfo Cedillo represents Trustee Area 3(Union City and South Hayward)
since 1985.
• Ms. Isobel F. Dvorsky represents Trustee Area 2(San Leandro) since 1985.
• Dr. Barbara Mertes represents Trustee Area 7(Livermore and portioiis of
Pleasanton) since 2000.
• Dr. Marshall Mitzman represents Trustee Area 1(Hayward) since 2008.
• Mr. Carlo Vecchiarelli represents Trustee Area 5(Pleasanton, Dublin, Sunol)
since 2004.
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~' Fiscal Year 2010-2011 't'
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Application for Funds r
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~ EXP-ENSE,BUD 'GET :. .
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ORGANIZATION.
Txis Pxo.rECT/:
PROGRAM -
~ ,.,
,
GRANT.REQUEST
Personnel Costs T ` .
Employee Salaries & Benefits 348,000 12,000 12,000
N,,on-Personnel Costs. . ~ . _ - ~
Services & Supplies 60,615 3,000 3,000
Capital Costs 66,000
Services to Dublin Residents 15,000 15,000
Other (please specify)
TOTAL 489,615 15,000 15,000
;i Further Comments/Explanations (if necessary): ;
_ . ;
€, ~- These budget f gures are anticipated and represent our best estimate. -- ;
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~i Page 7 of 19 ~;
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COMMUNITY BASED ORGANIZATION ~~~~~~~~f ~~e-~ PY 09-10
Master Contract Exhibit A and B Coversheet C~ l~~-~- ~>
Dept. Name: WIB Dept / 320400 vendor ~D #: 27284 eoard PO #: SOCSA -
Business Unit: SOCSA Master Contract # 900035 Procurement Contract # Budget Year 2010
ACCOUNT FUND DEPT PROGRAM SUB PROJECT-GRANT Amount to be Total Coniract
Encumbered Amount
610341 22404 320400 32000 SSGPCP091000011 $474,615.00 5474,615.00
Procurement Contract: Begin Date: July 1, 2009 Expire Date: June 30, 2010 Contract Maximum: ~474,615.00
Period of Funding: From: JUIy 1, 2009 To: June 30, 2010
Department Contact: David Harkess Telephone: 510-259-3832 FAX: 510-259-3845 QIC: 50306
Contract Name: Chabot-Las Positas Community College District (C-LPCCD) Tri-Valley One-Stop
Contractor Address: 5020 Franklin Drive BOS Dist #: 2
Pleasanton CA 94588 Location #: 13
Remittance Address: Same as above
Federal Tax I.D. #: 94-1670563
Contractor Telephone #: (925) 485-5262 EmaiC jalvesna clpccd.orq
Contractor Contact Person: John Alves FAX #: (925) 485-5273
Contract Service Category: WIA GRANT PROGRAM: ONE-STOP CAREER CENTER OPERATION -- TRI-VALLEY AREA
Estimated Units ot Service: Provide One-Stop services as described in Exhibit A/ Statement of Work
Maximum Single Payment & Exceptions: Not to exceed 110% of expenditure plan calculated on a monthly basis.
Method of Reimbursemenf ( Invoicing Procedures): Line-item cost reimbursement per periodic (monthly) invoice.
TOTAL CUMULATIVE INVOICED AMOUNT SHALL NOT EXCEED CONTRACT MAXIMUM.
History of Funding ~~ Original ~ Amendment # 1
Funding Level. ~545,000.00
Exhibit Number
Amount of Encumbrance ~474,615.00
File Date 6/9/09
File Number
Reason Board Approval
Funding Source I Federal - CFDA #@ Exhibit B State, '
of Aliocation: I ~474,615.00 -, .
The signatures below signify that the attached Exhibits A and B have been reviewed, negotiated and finalized. The Contractor also signifies
agreement with all provisions of the Master Contract
DEPARTMENT CONTRACTOR
Signature
Yolanda Baldovinos
Title Social Services Agency, Director
Amendment # 2 I Amendment # 3 I Amendment # 4
BY
Signatu~e
Print Name Lorenzo S. Lagaspi
r~ue Vice-Chancellor, Business Services oate
,ounry
Date
i/15/D9 - WIB / drh
Print Name
Title
7/9/2009 71:34~
Date
A-B Cvr 2010 One-Stop 5-15-09.x1s
4~~~c:1~~m~~ C~
NYSTROM & COMPANY LLP
CERTIFIED PUBLIC ACCOUNTANTS
REDDING, CALIFORNIA
INDEPENDENT AUDITORS' REPORT
Board of Trustees
Chabot-Las Positas Community College District
Pleasanton, California
We have audi ted the accom panying financi al statements of the busi ness-type activities of the
Chabot-Las Positas Community College District (District) as of and for the year ended
June 30, 2009, which collectively comprise the DistricYs basic financial statements as listed in
the table of contents. These financial statements are the responsibility of the District's
management. Our responsibility is to express opinions on these financial statements based on
our audit.
We conducted our audit in accordance with auditing standards generally accepted in the United
States of America; the standards applicable to financial audits contained in Government
Auditing Standards, issued by the Comptroller General of the United States; and the standards
prescribed by the California State Department of Finance. Those standards require that we
plan and perform the audit to obtain reasonable assurance about whether the financial
statements are free of material misstatement. An audit includes examining, on a test basis,
evidence supporting the amounts and disclosures in the financial statements. An audit also
includes assessing the accounting principles used and the significant estimates made by
management, as well as evaluating the overall financial statement presentation. We believe
that our audit provides a reasonable bas is for our opinions.
In our opinion, the financial statements referred to above present fairly, in all material respects,
the financial position of.the business-type activities of the District, as of June 30, 2009, and the
changes in financial position and cash flows for the year then ended in conformity with
accounting principles generally accepted in the U nited States of America.
In accordance with GovernmentAuditing Standards, we have also issued our report dated
December 2, 2009, on our consideration of the District's internal control over financial reporting
and on our tests of its compliance with certain provisions of laws, regulations, contracts and
grant agreements and other matters. The purpose of that report is to describe the scope of our
testing of internal control over financial reporting and compliance and the results of that testing,
and not to provide an opinion on the i nternal control over financial reporting or on compliance.
That report is an integral part of an audit performed in accordance with GovernmentAuditing
Standards and should be considered in assessing the results of our audit.
Page 2
NYSTROM 8 COMPANY LLP 4v'~ ~~ \ `I Y ~'~ ~ ~ ~~'~~1 1~
CERTIFIE~ PUBLIC ACCOUNTANTS ~ ~ -~S ~ ~
The ManagemenYs Discussion and Analysis (MD&A) on pages 4 through 15 is not a required
part of the basic financial statements but is supplementary information required by accounting
principles generally accepted in the U nited States of America. We have applied certain lim,ited
procedures, which consisted principally of inquiries of management regarding the methods of
measurement and presentation of the requi red supplem entary information. However, we did not
audit the information and express no opinion on it.
Our audit was conducted for the purpose of forming opinions on the financial statements that
collectively comprise the District's basic financial statements. The remaining supplementary
information as listed in the tabie of contents, including the Schedule of Expenditures of Federal
Awards, which is presented for purposes of additional analysis as required by the U.S. Office of
Management and B udget Circular A-133, Audits of States, Local Governments, and Non-Profit
Organizations, and the Schedule of State Financial Awards, which is presented for purposes of
additional analysis as required by the California Community Colieges Chancellor's Office, are
not a required part of the basic financiaf statements of the District. Such information has been
subjected to the auditing procedures applied in the audit of the basic financial statements and,
in our opinion, are fairly stated in all material respects in relation to the bas ic financial
statements taken as a whole.
~~~~ ~ ~~~
December 2, 2009
Page 3
~ ~~C~C.1'1C~~~~1~ ~
CHABOT-LAS POSITAS COMMUNITY COLLEGE DISTRICT
December 14, 2009
Agenda Item:
Subject: $15,000 funding request from the City of Dublin
Background: The Tri-Valley One-Stop Career Center submitted a request for funding for
$15,000 to the City of Dublin on 12/14/09. This request for funding was submitted
pending Board approval as instructed to due so by the City of Dublin. The Tri-Valley
One-Stop is requesting the Board to approve this request. The City of Dublin is awaiting
Board approval to further continue the review process.
Recommended Action: Board approval. It is further recommended that the Board
authorize the Vice Chancellor, Business Services, to execute the agreement and any
further augmentations or amendments to the agreement on behalf of the District.
Submitted: Lorenzo Legaspi/Date Approved: Joel Kinnamon/Date
SWACC CERTIFICATE Ot= COVERAGE I ISSUEDATE o7/zo/o7
ADMINISTRATOR: LICENSE # 0451271 THIS CERTIFICAT~ IS 15SU~D AS A MATTcR OF INFORMATION
KEENAN & ASSOCIATF'S ONLYAND CONFcRS NO RIGHTS UPON THc C~RTIFICAT~
1111 Broadway HOLD~R. THIS CERTI~ICAT~ DOES NOT AMEND, EXT~ND OR
SU 1 t° 2 0 0 O ALTER THE COVC~RAGES AFFORD~D BY THE COVc"RAGc
Oakland CA 94607 ~ocuM~NT58ELOW.
COV~R!=D PARTY: ~NTITIES AFFORDING COV~RAGE
cNrirYA Stat~wide Pssoc. of
Chabot-Las Positas Comm. College Disc. Community Co1leg~s
5020 Franklin Drive
Pl~asanton, CA 94588-3354
a,TrN: Lorenzo Legaspi
THIS IS TO CEFFTIFY THA7 THE COVcR4GES LISTcD BELOW HAVc" BEEN ISSUED TO THE COVERcD PkRTY NAMED ABOVE FOR THE PERIOD INDICATED, N07WITHSTANDING
ANY REOUIR~MENT, TERM, OR CONDITION 0= ANY CONTRACr OR OTH~R DOCUMCNT WITH RESPECT TO WNICH THIS CcRTIFICATE MAY BE ISSUED OR MAY P~RTAIN
THE COVERAGE AFFORDED HEREIN IS SUBJECT TO ALL 7HE TERMS, ANQ CONDITIONS OF SUCH COVERAGE DOCtIMENTS.
ENT TYPE OF COVERAGE COVERAGE EFFECTIVE/ MEMBER
LTR DOCUMENTS EXPIR.4TION DATE RETAINcD LIMIT LIMITS
/ DEDUCTIBLE
GENERAL LIABILITY
A [~GCNERAL LIABILITY
[ ]CU~IMSMADE[y,]OCCURRENCE
SWC0150007 07~01~07 COMBINED 51NGLE LINIT
~y~GOVERNMENT CODES 0 7 O 1 0 8
~ ~ $25, 000 EACH OCCURRENCE
$ l, 000
000
(XjERRORS80M15510NS
~ ] ,
-
AUTOMOBILE LIAHILITY
A (~ANYAU70
[}f]HIRED AUTO SGdC0150047 07 O1 07
I ~ COMBINED 51NGLE LIMIT
EACH OCCURRENCE
[}{]NON-OWNEDAUTO 07/Ol/OB ~25, 000 $ 1, 000, 000
~~GARAGE LIABILITY
~XJAUTO PHYSICAL DAMAGE
PROPERTV
A ALLRISK SWC0150007 07/Ol/07
EXCLUDES EARTHQUAKE & FLOOD $10, 000
07~01~08 $ 250, 000, D00
EACH OCCURRENCE
A I STUDENTPROFESSIONALLIABILITY ISWC0150007I 07~01~07 I I
07/O1/08 ~5,000 $Included
EACH OCCURRENCE
~cSCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / RESTRICTIONS /SPECIAL PROVISIONS:
s respects to the City Grant Recipient Agreement between Las Positas
~rnmunity College, dba Tri-Valley One-Stop Career Center and the City of
leasanton dated 7/11/07.
ERTIFICATE HOLDER:
CITY OF PT EASAi~ITON
200 Old Bernal Avenue
Pleasanton, CA 94556
CANCELLAIION...... SHOULD ANY OF 7}iE ABOVE DESCWBED COVERAGES BE
CANCELED BEFOR~ THe EXPIRAlION DATE 7HEREOF, THE ISSUING EN i7TY/ JPA
WILL ~~PS MAIL 3 O DAYS WrZTfFJd NOT1Cc TO THE CERT7FlCqTE
HOLDER NAMED TO THE LEFT, ~~p~Ph~}~~~js~~
~~i'c-lY'J~'lYilY.YtY`vS'i`-Jl liYaElY'I~l:'YL`ri`1'~aYi3'tiriYr11~'X.'.'J ~~
~At~~K~X~~9~1~4~
w ~ ~~
A~N: Nelson Fialho, City Manager
a..P/L,.D6/20001 of 1 nS83533/M77153
AUTHORIZED REPRCSENTATIVE
R3M
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' APPLICATION VERIFICATION ~~
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; I attest that the information contained in this FY 2010-2011 grant application is accurate and that "
~~
~~ the funds requested will not supplant any other monies secured by the organization. r;
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i` 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 submit a summary ,
s.
~ report as soon as possible after submitting the reimbursement request, but not later than August "
~
~-~~ 31, 201 l. Failure to submit a report will result in ineligibility for future funding. ~~
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.^. 1 wL^'...ei11L..'?'i~i:'.£:i~~1..L.T^i:.tiiu,?'i~£C+'_'3La~.~~Sen'..r w~r.i.~ ~w~"'Gr%~~~:~-"~~ IYS~ ~.._.: ~.....iSY:_~ .T+e:4iL'.^=_..av~..?.~. ~..T'J'.5:.°:`iv.:iY!T_i€: 6 __._ ~r_.: .s. a.._..» .~...d~. ~ '~..:.,~: S.'.TT"..^'exw`.F3~:T.~F'a4".u.."Z'~"12:. '~~ .'4J.sT'~:"JrK'3~~.;._...-~..... _.. ~
COLLABORATION I~GENC~
AFFIDAVIT FOIZM
o This form is to be completed by each collaborating organization as named by the
applicant agency in the proposed project/program.
o Completed forms must be submitted at time of application.
Collaborating Agency Name: Chabot-Las Positas Community College District/Tri-Valley One-
Stop Career Center
Agency Division/Department: One-Stop Career Center
Project/Program Title: General Employment and Training Services-City of Dublin residents
(youth and adults)
Project/Program Role Description (i.e., facility space, staff support, etc.):
Our overall mission is to provide resources and services in support of
employers and all job, training and education seekers. All services are free
of charge to our community. Specifically, the additional funding would be
used to continue to serve Dublin residents in the following ways:
^ Requested funds would be used to provide workforce development
activities to Dublin citizens categorically classified as job
seekers, laid off workers/displaced workers, youth, new entrants
to the workforce, veterans, persons with disabilities, ex
offenders and services for employers.
^ This program is an extension of services offered at the Chabot-
Las Positas.College/Tri-Valley One-Stop Career Center acting in
compliance with the Federal Workforce Investment Act of 1998.
Agency Project/Program Contact Person John Alves
Title Director
Phone (925) 485-5266 Email jalves@clpccd.org
I attest that the applicant agency and our organization agree to work collaboratively to implement
the proposed project/program as identified in the FY 2010-2011 funding application.
Executive Director
Date
~
~ , 1 ~ ~'~ ~`1 ~~
Projec / rogram Contact Person Date
, , SECTION 2 ~
;~ ,
:~k- I~C~.~(C+ C~,~~~'~~,1 ~~~~ . Page 13 of 19
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ititCi i~ni ncvciiuc .~ci v~~.v
Departmant of tf~e Treasut'y
~~~C~~~~~~P. 0. Box 2508
ate: January 3, 2007 ~ C~ncinnafr, OH ~5201
Person to Contact:
CHABOT-LAS POSfTAS COMMUIJfTI' COLLEGE Nfr, Schaiz ID 31-08701
DIST~9ICT Custom~r S~rvice Repres°ntative
5020 FRANKUN DRIV= Tofl ~ree Telephone Number:
PLEAS,ANTON CA 94588-0000 877-B29-5500
Federal IdentiTication Number:
94-1670503
Dear Sir or ~adam:
This is in response to your request of January 3, 2007, regarding your organization's federal tax status.
~ur records indicate that your organization may be a governmental instrum~ntality or a pofitical subdivision of
i state.
!o pravision of fhe Internal Revenue Code imposes a tax on the income of govemmental units (such as states
-id their pofitical subdivisions). Therefore, it has been the position of the Service that income of governmental
nits is not generally subject to federal income taxation. If, however, an entity is not itseif a governmental unit
~r an "infegral part" thAreof), its income will be subject to tax unless an excfusion or exemption appfies.
ne exclusion is provided by section 115(1) of the Code, which exciudes from gross income:
°...income derived from ... ths exercise of any essentia{ governmental function and
accruing to a State or any political subdivision thereof ..."
~ur organization's income may not be subject to tax, either because tfie organization is a governmental unit
an "integral part" thereof), or because the income is exciuded under section 115. (n addition, your
~anization may also be e(igible to receive charitable contributions, which are deductible for federal income,
ate, and grft tax purposes, Afso, your organization is probably exempt trom many federal excise taxes.
~r o; g4nization may obtain a letter rufing on its s#atus under section 115 by rollowing the procedures
cified in Rev. Proc. 2002-1 or its successor. -
r organization may also quali'ry for exemption from federal income fax as an organization described in
ion 501(c)(3) of the Code. If the organization is an entity separate from the state, county, or municipal
:rnment, and if it do~s not have powers or purposes inconsistent with exemption (such as tn~ power to tax
~ exercise enrorcem~nt of regulatory powers), your organization would qualify under saction 501(c)(3), 70
y for exemption, compf~te Form 1023 and pay the required user fee,
Attachment I
a. How would the requested funds be used?
^ Describe, in detail, the PROPOSED PROJECT/PROGRAM (not the
agency).
^ Bulleted text is acceptable.
^ Identify if the proposed project/program is a new service, or extension of
an existing one.
The Tri-Valley One-Stop Career Center, which is primarily funded by the Alameda
County Workforce Investment Board (ACWIB) and fiscally operated by Las Positas
Community College, is applying for funding to support the continuing efforts of our
career center.
Our overall mission is to provide resources and services in support of employers and all
job, training and education seekers. All services are free of charge to our community.
Specifically, the additional funding would be used to continue to serve Dublin residents
in the following ways:
Requested funds would be used to provide workforce development
activities to Dublin citizens categorically classified as job seekers, laid off
workers/displaced workers, youth, new entrants to the workforce,
veterans, persons with disabilities, ex offenders and services for
employers. ~
This program is an extension of services offered at the Chabot-Las Positas
College/Tri-Valley One-Stop Career Center acting in compliance with the
Federal Workforce Investment Act of 1998.
Examples of services offered are as follows; Core, intensive training and outreach
proa ams to youth and ex-offenders. Additionally, in the 2009l2010 fiscal year, The Tri-
Valley One-Stop Career Center continues with programs catered to the Women
Correctional Institution, as well as the Alameda County Jail both located in the city of
Dublin.
Core services consist of labor market infonnation, initial assessment of skill levels, job
search and placement assistance. Initial assessment and development of Individual
Employment Plan, vocational counseling, development of professional resume(s),
personalized and video-taped mock interview sessions and feedback, job development
and job referrals, financial assistance addressing mental health concerns, testing services
(i.e. typing tests, software assessment skills tests, etc), financial assistance to purchase
appropriate textbooks or job-specific equipment/licenses (i.e: tool sets, nursing uniforms,
construction steel toe boots, Hazmat endorsements, etc), reimbursement of certain
parking fees, reimbursement of certain transportation fees; vocational training programs;
job retention services; and on-the-job training (OJT) services.
Intensive services are available to eligible unemployed individuals who have completed
at least one core service, but have not been able to obtain employment, or employed
individuals needing additional services to obtain or keep employment that will lead to
personal self-sufficiency.
The youth component outreach services started in May 2406. It has provided
employment and educational services as well as career exploration services to Dublin
youth ages 14-21. The Tri-Valley One-Stop Career Center has created a separate youth
friendly area within the facility which includes job listings for youth, books, and other
materials specifically addressing the needs of our young customers. Counselors and staff
are especially sensitive to their needs. Goals are to continue the expansiori of the youth
program, to include the following;
^. Provide on-going outreach, emplo}nnent and vocational counseling
services to Dublin youth, with a particular focus on at-risk, foster youth
and youth with disabilities:
^ Meet with youth at local High Schools and Dublin City Library, work
closely with High School Counselors and Workability Coordinators,
Apprenticeship program coordinators, participate in High School or local
Youth Job Fairs, participate in other events relating to youth employment,
work with local businesses to create youth-friendly jobs, provide
opportunities for volunteer work, job shadowing, or internships.
^ Increase the selection of books and materials (i.e. DVDs, software, test
preparation books, job search guidance books for youth, apprenticeship
training materials, etc.) _
b. How would the PROPOSED PROJECT/PROGRAM address an unmet
comrriunity need and improve the quality of life for Dublin residents. Why is this
projectiprogram needed?
The past contributions of the City of Dublin have played a significant role in the success
we have had in providing resources and services to job seekers, with education and
training to the city's residents. The $15,000 requested funds would address the ever
present need especially during these difficult economic times. Dublin residents would
have access to up-to-date local area job market information and workforce related
services designed for local needs. In the midst of this ongoing recession the number of
laid-off/displaced workers continues to rise and has placed a strain on the Center.
However, the Center has continued to maintain a high level of achievement through its
awards of excellence and will continue to provide this high level of service to the City of
Dublin and all those seeking assistance from the Center. The Tri-Valley One Stop in
partnership with the Employment Development Department renders mutual assistance to
job seekers. For example: A job seeker will come to the Tri-Valley Center and use the
2
phone, fax, and computer to commensurate the opening of the Unemployment Insurance
Claim. The economic slump has increased the length of time of being unemployed but
however long it takes, the Center will diligently work with the client from the opening of
the unemployment claim to the time upon which the client obtains gainful employment.
Additionally, the Tri-Valley One Stop will continue to assist with outreach programs
targeting the incarcerated prior to release. Specifically, the Alameda County Jail and the
Women Federal Correctional Institution, as both facilities are located in Dublin. The Tri-
Valley One Stop goal and vested interest is to improve the quality of life for Dublin
residents through pride in gainful employment and thereby reducing public assistance.
ADULT SERVICES
The prediction of this recession worsening, will mean additional lay-offs for the
2009/2010 fiscal year. Displaced workers will not only come from the financial/mortgage
industry but also from retail and manufacturing. These are serious times and it will take
serious, committed professionals to see those displaced workers through these difficult
times. The staff and services of the Chabot-Las Positas College/Tri-Valley One-Stop
Career Center will meet the challenges imposed by the looming economy.
Additionally, many Dublin clients with unemployment issues have psychosocial
concerns that need to be addressed, i.e. divorce, substance abuse, mental health
issues, fear of losing one's home/and not being able to provide for one's family.
Staff assisted job search guidance and strategizing, labor market research,
vocational and personal counseling, job development, retraining for skills
upgrading, and appropriate referrals, to naine a few, may all be services useful in
stabilizing their situations and providing assistance in once again becoming
economically self-sufficient through proper employment.
Another large group from within our Dublin service area seeking assistance is
comprised of individuals wishing to re-enter the workforce after a prolonged
absence (i.e. 3 years+). These numbers are on the rise. Mainly, these are women
who have stayed home to raise their children and are now in a desperate position
to re-enter the workforce to contribute financially to their families. More often
than not, these customers lack the in-demand skill, expertise and knowledge of the
current labor market. Our comprehensive services allow them to become
reacquainted with current working conditions.
In these uncertain and difficult economic times, noticeably, many others are
currently employed but, now wish to upgrade their skills in order to become more
invaluable to their employer. The protection and retention of their present position
has become foremost for some.
Our staff and services assist these clients with the necessary tools, education, and
training for job retention.
YOUTH SERVICES
On a daily basis, students drop out of High School and even Middle School. Without a
high school diploma, many of these individuals will most likely enter a perpetual cycle of
unemployment, government assistance, and possibly prison. According to the California
Department of Education, almost one-third of high school students drop out. This
problem is further exacerbated by the fact that another third will graduate without the
credits needed to attend a four-year university. While many may try to attend college, a
large percentage fail as they do not have the skill to decide on a major or understand how
the classes relate to the world of work.
Youth, in particular at-risk, foster youth and those with disabilities face particular
challenges when it comes to job search and decision making about future careers and or
educational choices. The purpose of our youth service is to provide assistance to young
people in their vocational endeavors and to help them develop skills, habits and attitudes
conducive to job success and personal growth. ~
Many youth in our Dublin service area are unaware of potential employers. While many
have a need to work in order to assist in the provision of the family or to become
financially independent, they lack the skill and the knowledge of how to locate and
secure employment. With a strong vocational project, many of these youth will have '
assistance in locating appropriate and fulfilling work or making appropriate educational
choices.
In addition, the State of California - Department of Children and Family services - now
mandates that all foster youth register with their local One-Stop Career Center upon
turning 15 '/~. Henceforth, our One-Stop is.busy trying to accommodate and assist our
local foster youth.
Overall, the program and services will assist Dublin residents, both youth and adults, to
become economically self-sufficient and to empower them with the skills, tools, and
resources to remain competitive in a rapidly changing global economy. The Dublin
community will ultimately be able to reap the benefits of an educated and competitive
workforce.
c. What documentation/data records support the need for this PROPOSED
PROJECT/PROGRAM? Please identify your data sources.
Based upon the SmartWare tracking software for the 2009/2010 fiscal year, the Chabot-
Las Positas College/Tri-Valley One-Stop Career Center provided basic to intensive
services to 853 Dublin residents. This number of 853 does not include the additional
number of Dublin merchants and their employees reached in the seminars provided by
the Center. These seminars were provided to Dublin merchants prior to the closing or
reducing employees. The basic services included but were not limited to access to high
4
speed internet, fax, telephone, copy machine (at no charge) and work related
workshops/seininars, to more intensive type services such as career counseling, mock
interviews and referrals to various social service type agencies. Additionally, out of the
853, some Dublin residents needed additional intensive training. In this current fiscal
year, the total cost of the additional intensive training services provided to Dublin
residents, has thus far totaled in excess of $40,000.00. All of the above services
mentioned including the intensive training was provided to all 853 + Dublin residents
free of charge. As the economy continues to decline, displaced workers from all phases
of commerce and trade are being affected. Continued funding of the One-Stop Career
Center will be crucial not only for the East Bay but also for Dublin residents.
d. Specify the PROPOSED PROJECT/PROGRAM population to be served.
All Dublin youth, ages 14-21, with a particular emphasis on at-risk, foster
youth, and youth with disabilities.
Dublin adult population (18+) (i.e. laid off workers, long-tenn
unemployed or underemployed individuals, individuals wishing to reenter
the workforce, individuals in need of skills upgrade training, vocational
counseling, or strategic job search guidarice)
e. Projects/programs must be evaluated to determine if they are being carried out
efficiently and if project/pro~ am goals are being met. Please describe how you
plan to monitor your project/program's success and impact.
In regards to monitoring the program's success and impact on the individual participants,
all participants enrolled in the intensive services program component are being tracked
and followed up continuously throughout enrollment and for up to 12 months after the
program completion by our Case Managers. Therefore, Case Managers are able to
develop excellent rapport and close relationships with those clients receiving intensive
services, i.e., training or counseling services. Case Managers are ab~le to keep accurate
records and data on a client's educational and training achievements as well as
employment and job retention infonnation. Certain data, i.e. a client's training and
employment status are also being reported to and monitored by the Alameda County
Workforce Investment Board, with data supported by the Employment Development
Department based on the participant's social security number. Based on our submitted
information as well as the data provided by the (EDD), Alameda County (WIB) issues
monthly progress reports as well as a final annual report. The reports are made available
to staff, all Board inembers, all ACWIB staff, community partnership agencies, and other
local One-Stop Career Center staff.
Clients who are not enrolled in the intensive component of the program are being .
followed up with using our tracking software and database information -`SmartWare.'
In addition, we inail surveys to all previously enrolled customers exploring their level of
satisfaction with the proj ect as well as ideas for improvement.
5
Alameda County (WIB) also conducts an annual `customer satisfaction' survey, which is
being biven to all enrolled and non-enrolled (universal) customers. Since the survey's
inception five years ago, the Chabot-Las Positas/Tri-Valley One-Stop Career Center has
ranl:ed highest in the last four years among all 14 career centers (in Alaineda and Contra
Costa counties included in the survey. As a result, we the Chabot-Las Positas Tri-Valley
One-Stop Career Center again received the "Goldstar" for Exemplary Customer Service
award.
6
B~JSINESS LICE"JSE
The Licensee paid to the City of Dublin the required business license
fee and is hereby granted a license for the period stated, to conduct,
carry on or engage in the business set forth herein, in conformity
~vith Dublin Municipal Code 4.04 within the City limits.
:ty of Dubiin
100 Civic Plaza
Dublin, CA 94568
(925) 833-6620
DESCRIPTION:
One-Stop Career Center
Number: BL-010043
Effective Date: 10/1/2009
Expiration Date: 9/30/2010
TO BE POSTED IN A CONSPICUOUS PLACE • NOT TRANSFERABLEJ
Print View
http: //~w 5 mai l.clpccd. cc. ca.us: 8000/~w/w ebacc?User. context=pyeq...
~~~~C.I~~~~;~ ~
From: "Marangoni, Eugene" <EMarangoni@aciibrary.org>
To: <]Alves@clpccd.org>
CC: <jsimerman@clpccd.org>
Date; Thursday - December 3, 2009 4:46 PM
Subject:Job Seeker's Workshops Presented by Jerry Simerman at Dublin Library in 2009
Dear Mr. Alves:
Since 2008, Dublin Library has hosted three different job seeker's
workshops, all of which have been presented by Mr. Jerry Simerman of the
Tri-Valley One-Stop Career Center in Pleasanton, California. These
three workshops - Job Search from A to Z, Resume / Cover Letter Writing,
and Resume One-to-One Critique generally attract an average of 12
participants and sometimes more. The first two workshops (Job Search,
and Resume/Cover Letter Writing) last 2 hours.
In 2009, Mr. Simerman presented his.two workshops on job searching and
resume / cover letter writing, and his one-to-one resume critique in
March and again in October .
The Resume One-to-One Critique, which provides for a 20-minute critique
of an individual resume with a specialist from the One-Stop Career
Center, usually attracts so many participants that a waiting list is
necessary, and once Mr. Simerman had to bring along a colleague to help
handle the all the people who wanted to participate.
Mr. Simerman and I will be meeting later in December to discuss other
program ideas that would help job seekers in the Dublin areas to
successfully land new employment. Dublin Library definitely wants to
continue making this an ongoing program, and offering job search classes
on a quarterly basis.
Sincerely,
Eugene Marangoni
Librarian II
Dublin Library
200 Civic Plaza
I of 2
12/ l 4/2009 l 0:44 AM
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Board of Trustees
Members of the Board
• Dr. Hal G. Gin (President) represents Trustee Area 6(Hayward, San Lorenzo)
since 2005.
• Mr. Donald L. "Dobie" Gelles (Board Secretary) represents Trustee Area 4
(Castro Valley and portions of Oakland) since 1998.
• Dr. Arnulfo Cedillo represents Trustee Area 3(Union City and South Hayward)
since 1985.
• Ms. Isobel F. Dvorsky represents Trustee Area 2(San Leandro) since 1985.
• Dr. Barbara Mertes represents Trustee Area 7(Livermore and portions of
Pleasanton) since 2000.
• Dr. Marshall Mitzman represents Trustee Area 1(Hayward) since 2008.
• Mr. Carlo Vecchiarelli represents Trustee Area 5(Pleasanton, Dublin, Sunol)
since 2004.
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WIA ne p/ PY 09-10
COMMUNITY BASED ORGANIZATION ~~~,~`~~~Y~I~
Master Contract Exhibit A and B Coversheet C~l ~~,~~ ~>
Dept. Name: WIB Dept / 320400 Vendor ID #: 27284 Board PO #: SOC$A -
Business Unit SOCSA Master Contract # 900035 Procurement Contract # Budget Year 2010
ACCOUNT FUND DEPT PROGRAM SUB °ROJ~CT-GRANT Amount to be Total Contract
Encumbered Amount
610341 22404 320400 32000 ~ SSGPCP091000011 $474,615.00 5474,615.00
~
Procurement Contract: Begin Date: July 1, 2009 Expire Date: June 30, 2010 Contract Maximum: ~474,615.00
Period oi Funding: From: JUIy 1, 2009 To: June 30, 2010
Departmenf Contact: David Harkess Telephone : 510-259-3832 FAX: 510-259-3845 QIC: 50306
Contract Name: Chabot-Las Positas Community College District (C-LPCCD) Tri-Valley One-Stop
Contractor Address: 5020 Franklin Drive BOS Dist #: 2
Pleasanton CA 94588 Location #: 13
Remittance Address: Same as above
Federal Tax I.D. #: 94-1670563
Contractor Telephone #: (925) 485-5262 Email: ialves anclpccd.orq
Contractor Contact Person: John Alves ~ FAX #: (925) 485-5273
Contract Service Caiegory: WIA GRANT PROGRAM: ONE-STOP CAREER CENTER OPERATION -- TRI-VALLEY AREA
Estimated Units of Service: Provide One-Stop~services as described in Exhibit A/ Statement of Work -
Maximum Single Payment & Exceptions: Not to exceed 110% of expenditure plan calculated on a monthly basis.
Method of Reimbursement ( invoicing Procedures): Line-item cost reimbursement per periodic (monthly) invoice.
TOTAL CUMULATIVE INVOICED AMOUNT SHALL NOT EXCEED CONTRACT MAXIMUM.
History of Funding ~~ Original ~ Amendment # 1
Funding Level ~545,000.00
Exhibit Number
Amount of Encumbrance 5474,615.00
File Date 6/9/09
File Number
Reason Board Approval
Funding Source I Federal - CFDA #@ Exhibit B State. CO
of Allocation: 5474,615.00 -
The signatures below signify that the attached Exhibits A and B have been reviewed, negotiated and finalized. The Contractor also signifies
agreement with all provisions of the Master Contract.
Amendment # 2 ~ Amendment # 3 ~ Amendment # 4
DEPARTMENT
By
TiUe
Date
Signature
Yolanda Baldovinos
CONTRACTOR
Bv
Signature
Print Name Lorenzo S. Lagaspi ~
Tille Vice-Chancellor, Business Services Date
Social Services Agency, Director
Print Name
Date
i/15/09 - WIB / drh ~ 7/9/2009 71:34 A-8 Cvr 201 D One-Stop 5-15-09.z1s
(~'~~1~~m~e~ C~
NYSTROM & COMPANY LLP
CERTIFIED PUBLIC ACCOUNTANTS
REDDING, CALIFORNIA
INDEPENDENT AUDITORS' REPORT
Board of Trustees
Chabot-Las Positas Community College District
Pleasanton, California
We have audited the accompanying financial statements of the business-type activities of the
Chabot-Las Positas Community College District (District) as of and for the year ended
June 30, 2009, which callectively comprise the DistricYs basic financial statements as listed in
the table of contents. These financial statements are the responsibility of the DistricYs
management. Our responsibility is to express opinions on these-financial statements based on
our audit.
We conducted our audit in accordance with auditing standards generally accepted in the United
States of America; the standards applicable to financial audits contained in Government
Auditing Standards, issued by the Comptroller General of the United States; and the standards
prescribed by the California State Department of Finance. Those standards require that we
plan and perform the audit to obtain reasonable ass urance about whether the financial
statements are free of material misstatement. An audit includes examining, on a test basis,
evidence supporting the amounts and disclosures in the financial statements. An audit also
includes assessing the accounting principles used and the significant estimates made by
management, as well as evaluating the overall financial statement presentation. We believe
that our audit provides a reasonable bas is for our opEnions.
In our opinion, the financial statements referred to above present fairly, in all material respects,
the financial position of the business-type activities of the District, as of June 30, 2009, and the
changes in financial position and cash flows for the year then ended in conformity with
accounting principles generally accepted in the U nited States of America.
In accordance with GovernmentAuditing Standards, we have also issued our report dated
December 2, 2009, on our consideration of the DistricYs internal control over financial reporting
and on our tests of its compliance with certain provisions of laws, regulations, contracts and
grant agreements and other matters. The purpose of that report is to describe the scope of our
testing of internal control over financial reporting and compliance and the results of that testing,
and not to provide an opinion on the i nternal control over financial reporting or on compliance.
That report is an integral part of an audit performed in accordance with Government Auditing
Standards and should be considered in assessing the results of our audit.
Page 2
NYSTROM 8 COMPANY LLP 4v1 ~"~/` \( \~' ~ ~i~ ~ ~ ~C~~` l>
CERTIFIED PUBLIC ACCOUNTANTS ~ ~ ~~~'S
The Management's Discussion and Analysis (MD&A) on pages 4 through 15 is not a required
part of the basic financial statements but is supplementary information required by accounting
principles generally accepted in the U nited States of America. We have applied certain limited
procedures, which consisted principally of inquiries of management regarding the methods of
measurement and presentation of the requi red supplementary information. However, we did not
audit the information and express no opinion on it.
Our audit was conducted for the purpose of forming opinions on the financi al statements that
collectively comprise the DistricYs basic financiai statements. The remaining supplementary
information as listed in the table of contents, including the Schedule of Expenditures of Federal
Awards, which is presented for purposes of additional analysis as required by the U.S. Office of
Management and B udget Circular.A-133, Audits of States, Local Governments, and Non-Profit
Organizations, and the Schedule of State Financial Awards, which is presented for purposes of
additional analysis as required by the California Community Colleges Chancellor's Office, are
not a required part of the basic financial statements of the District. Such information has been
subjected to the auditing procedures applied in the audit of the basic financial statements and,
in our opinion, are fairly stated in all material respects in relation to the bas ic financial
statements taken as a whole.
y1~~~`~ ~ L~~
Decem ber 2, 2009
Page 3
~ ~~~~,1~r~~~ ~-~ ~ J
CHABOT-LAS POSITAS COMMUNITY COLLEGE DISTRICT
December 14, 2009
Agenda Item:
Subject: $15,000 funding request from the City of Dublin
Background: The Tri-Valley One-Stop Career Center submitted a request for funding for
$15,000 to the City of Dublin on 12/14/09. This request for funding was submitted
pending Board approval as instructed to due so by the City of Dublin. The Tri-Valley
One-Stop is requesting the Board to approve this request. The City of Dublin is awaiting
Board approval to further continue the review process.
Recommended Action: Board approval. It is further recommended that the Board
authorize the Vice Chancellor, Business Services, to execute the agreement and any
further augmentations or amendments to the agreement on behalf of the District.
Submitted: Lorenzo Legaspi/Date Approved: Joel Kinnamon/Date
SWACC CERTIFICATE OF COVERAGE ~ 15SUEDATE o7/20/07
I ADMiNISTR,4TOR: LICE~~SE # 0451271 THIS C=RTI~ICkTE 15 ISSU~D AS A MATT~R OF INFORMATION
KEENAN & AS.SOCIATES ONLYAND CONrERS NO RIGHTS UPCN THE CERTIFICAT~
1111 Broadway HOLD~P.. TH15 C~RTIrICAT~ DO~S NOi ANicND, EXT~ND OR
SU1 t° 2000 ALTER TH~ COV~RAGcS AFrORDtD BY THE COV~RAGC
Oakland CA 94607 DOCUNcNTSB~LOW.
COVERcD PARTY: ~NTI I IcS AFFORDING COVCRAGE
~NTIIYA SLdt°W1C~° P.SSOC. OI
Chabot-Las tcsitas Comm. College Dist. Community Co11?ges
5020 Franklin Drive
Pl~asanton, CA 94588-3354
A1iN: Lorenzo Legaspi
7HIS IS TO CERTIFY THAT THE COVEr24GE5 USTED BELOW HAVc BEEN ISSUED TO THE COVERED PARTY NAM~D ABOVE FOR THG PERIOD INDICATED, NOTWITY,STANDING
ANY REOUIREMENT, TERM, OR CONDITION Or" ANY CONTRACT OR OTH~R DOCl1MENT WITH R; SPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN
THE COVER,4GE AFFORDED HEREIN IS SUBJ~CT TO ALL THE TERMS, AND CONDITIONS OF SUCH COVERAGE DOCUMENTS.
ENT TYPE OFCOVERAGE COVERAGE EFFECTIVE/ MEMBER
LTR DOCUMcNTS EXPIRATION DATE RETAINED LIMIT LIMITS
_ /DEDUCTIBLE
GENERAL LIABILITY
A ~}{JGENERAL LIABILITY
[ ]CLAIMSMADE~}~OCCURRENCE
5WC0150007 07~01~07 COMBINED SINGLE LIMIT
~]{jGOVERNMENT CODES
07/O1/OB
g25,000 EACH OCCURRENCE
$1
000
000
[X]ERRORS & OMISSIONS
~ ] ,
,
AU70MOBILE LIABILITY
A (~{JANYAUTO
[}{]HIRED AUTO SWC0150007 07 O1 07
~ ~ COMBINED SINGLE LIMIT
EACH OCCURRENCE
[}~JNON-OWNEDAUTO 07/O1/08 $25, 000 ~ 1, 000, 000
(}{JGAR,4GE LIABILITY
(X]AUTO PHYSICAL DAMAGE
A ALRRPSKTM SWC0150007 07/O1/07
EXCLUDES EARTHQUAKE & FLOOD 0 7/ O l/ 0 8 $10 , 0 0 0 ~ 2 5 0, 0 0 0, 0 0 0
cACH OCCURRcNCE
A STUDENTPROFESSIONALLIABIL(TY SWC~150007 07~01~07
07/O1/08 ~5,000 ~Included
EACH OCCURRENCc
~ESCRIPTION OF OPERATIONS / LOCATIONS 1 VEHICLES / RESTRICTIONS / SPECIAL PROVISIONS:
s respects to the City Grant Recipient Agreement between Las Positas
~mmunity College, dba Tri-Valley One-Stop Career Cent~r and the Cicy o~
ieasanton dated 7/11/07.
ERTIFICATE HOLDcR:
CITY OF PLEASANTON
200 Old Bernal Avenue
Pleasanton, CA 94566
A7TN: Nelson Fialho, City Manager
a..P/L..06/20001 of 1 #563533/M77153
CANCcLLA710N ...... SHOULD ANY OF TH~ ABOV~ D~SCRIBED COVER4GES BE
CANCELED 9EFOFZ THE EXPIR4TlON DATE THERt'OF, THE ISSUING ENIITY/JPA
WILL ~~~ MAIL 3 O DAYS rV~d'TfEN NOiICE TO THG C~R1lrlCqTE
HOLDER NAMED TO THE LEr7, ~~~{PJ4~~:~y$~j~~r~~}~~~1
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AUTHORIZED REPRESENTATIVE
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Fiscal Year 2010-2011
Application foN Funds
APPLICATION VERIFICATION
I attest that the information contained in this FY 2010-2011 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 submit a summary
report as soon as possible after submitting the reimbursement request, but not later than August
31, 2011. Failure to submit a report will result in ineligibility for future funding.
Signatures:
Executive Director
Board President/Chairperson
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- Fiscal Year 2010-2011 '
Application fo~ Funds
COLLABORATION AGENCY
AFFIDAVIT FORM
o This form is to be completed by each collaborating organization as named by the
applicant agency in the proposed project/program.
o Completed forms must be submitted at time of application.
Collaborating Agency Name: Chabot-Las Positas Community College District/Tri-Valley One-
~` Stop Career Center
Agency Division/Department: One-Stop Career Center
Project/Program Title: General Employment and Training Services-City of Dublin residents
(youth and adults)
Project/Program Role Description (i.e., facility space, staff support, etc.):
Our overall mission is to_provide resources and services in support of
employers and all job, training and education seekers. Al1 services are free
of charge to our community. Specifically, the additional funding would be
used to continue to serve Dublin residents in the following ways:
^ Requested funds would be used to provide workforce development
activities to Dublin citizens categorically classified as job
seekers, laid off workers/displaced workers, youth, new entrants
to the workforce, veterans, persons with disabilities, ex
offenders and services for employers.
~ This program is an extension of services offered at the Chabot-
Las Positas College/Tri-Valley One-Stop Career Center acting in
compliance with the Federal Workforce Investment Act of 1998.
Agency Project/Program Contact Person John Alves
Title Director
Phone (925) 485-5266 Email jalves@clpccd.org
I attest that the applicant agency and our organization agee to work collaboratively to implement
the proposed project/program as identified in the FY 2010-2011 funding application.
Executive Director
,
Projec / rogram Contact Person
Date
I~ ~~ ~'Y
Date
~ SECTION 2 '
;' ~ ~~~~1 ~~`~~` ~~~1(~ Page 13 of 19 ~ '
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i~it :i ~ini ncvci~uc ..,o~ v~~.c:
ate: January 3, 2007
CHABOT-LAS POSfTAS
DISTRIC I
5020 FRANKUN DRIVE
Depar~ment of tf~e Treasury
~~~C~~~~~~P: 0. Box 2~08
~ Crncinrati, OH 4~201
COMIv1UNITl' COLLEGE
PLEAS.aNTON CA 9458B-0000
Dear Sir or Nadam:
Person to Contact:
Nfr, Scnatz ID 31-08701
Custom~r 5~rvic~ R~presentative
Toll ; ree Telephone Number:
8~-B29-5~00
Federal IdentiTication Number: ~
94-1070503
This is in response to your r~quest of January 3, 2007, regarding your organizafion's federal tax status.
~ur records indicate that your organization may be a governmental instrumentality or a polifical subdivision of
i state.
1o provision of the Internai Revenua Code imPoses a tax on the income of governmental units (such as states
-~d their polrtical subdivisions). Therefore, it has been the posrtion of the Service that income of governmental
~its rs not generally subject to federal income taxation. If, however, an entiiy is not itself a governmental unit
~r an "integral part" thereof), its income will be subject fo tax unless an exclusion or exemption applies.
ne exclusion is provided by secTion 115(1) of the Code, which excludes from gross income:
"...income derived from ... the exercise of any essential governmental function and
accruing to a State or any polifical subdivision thereof ..."
~ur organization's income may not be subject to tax, either because the organization is a governmenfai unit
an "integral part" fhereof), or because the income is excluded under section 115. In addition, your
~anization may also be e(igible to receive charitable contributions, which are deductible for federal income,
ate, and gift tax purposes. Also, your organization is probably exempt from many iederal excise taxes.
~r org4nization may obtain a letter ruling on 'rts status under s~ction 115 by following fhe procedures
ciTied in Rev. Proc. 2002-1 or its successor,
r organization may also quafi'ry for exemption from federal income rax as an organization described in
ion 501(c)(3) of th~ Code. If the organizafion is an entity s~parate from the stafe, county, or municipal
;rnment, and if it do~s not hav~ pow~rs or purposes inconsistent with ~xemption (such as the power fo tax
exerciss enr'orc~ment of regufatory powers), your organization would qualify under s~ction 501(c)(3). To
~ for exemption, comp(~t~ Form 1023 and pay the raquired us~r f~?.