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HomeMy WebLinkAboutItem 8.1 Chabot-Las Positas College Exh 4CITYMAIWgGEA'S OFFICE p COMMUNITY GROUP/ORGANIZATIONAL FUNDING REQUEST APPLICATION PACKET Fiscal Year 2009-2010 Section 2: Application for Community Group/Organizational Funding SECTION 2 Page 1 of 16 EXHIBIT CITY OF DUBLIN Fiscal Year 2008-2009 COMMUNITY GROUP/ORGANIZATION APPLICATION FOR FUNDS COVER PAGE AGENCY NAME: CHABOT-LAS POS[TAS COMMtTNTIY COLLEGE DISTxICT/ TRI-VALLEY ONE-STOP CAREER CENTER PROPOSED PROJECT/PROGRAM NAME: 1 CITY OF DUBLIN•EMPLOYMENT AND TRAINING SERVICES FUNDING AMOUNT REQUESTED: $15,000. SECTION 2 Page 2 of 16 ,.. -. a. _ ~~ CITY OF DUBLIN Fiscal Year 2009-2010 APPLICATION FOR FUNDS 1. Please select oneexpense category: ^ Capital X Operating 2. Applicant Information: Organization/Agency Name: Chabot-Las Positas Community College District/ Tri-Valley One-Stop Career Center Mailing Address 5020 Franklin Drive Pleasanton GA 94588-3354 Street Address 5020 Franklin Drive City Pleasanton State CA Zip 94588-3354 Robert Kratochvil 925-424-1630 BKratochvil(a)~positascolle,~e.edu Executive Director/Chairperson Work Phone Email Carlo Vecchiarelli 925-872-4634 Board President Work Phone Email Please list the Primary. Prgject Contact Person who would be able to answer questions about this application and project/program during the funding period. John Alves Director Contact Person for Project/Program Job Title 925-485-5266 JAlves e,cl ccd.org 925-485-5273 Work Phone Email Fax Federal Tax Identification No. (required) 94-167063 City of Dublin Business License No. (required) 10043 SECTION 2 Page 3 of 16 -.~ .~_..~ a _. _c~ Application for Funds 3. Proposed Project/Program Information (Do not describe organization.) Amount of Funds Requested $ 15,000. (Maximum $25,000 per project.) Proposed Project/Program Name: City of Dublin Employment and Training Services Proposed ProjectiProgram Date(s): Start 07/01/2009 and End 06/30/2010 mo. day yr. mo. day yr. Please note: City Council Grant Funds are distributed on a reimbursement basis. If your Agency needs x.100% disbursement at the beginning of the Fiscal Year, please indicate this below and please provide justification for this need. ?. ^Agency is requesting 100% disbursement at the beginning of the Fiscal Year. If selecting this option, please provide justification in the blank space below. X Agency i not requesting 100% disbursement at the beginning of the Fiscal Year. If selecting this option, please provide the frequency that reimbursements will be submitted to the Crty m the blank space below; e.g., monthly, quarterly, at project completion, etc. We respectfully re uest the funds be dis ersed monthl q p Y 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/PROGRAM (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 see attachment I, pages 1 and 2. b. How would the PROPOSED PROJECT/PROGRAM address an unmet community n~edand improve the quality of life for Dublin residents. Why is this project/program needed? (Additional page maybe added. if needed): Please see attachment I, pages 2,3 and 4. c. What documentation/data/records support the need for this PROPOSED PROJE~'T/PROGRAM? Please identify your data sources. (Additional page may be added, if needed.).. Please see attachment I, pages 4 and 5 .I d. Specify the PROPOSED PROJECT/PROGRAM population to be served. Please see attachment I, page 5. 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 may be added, if needed. Please see attachment I, pages 5 and 6. f. Specify numbers of clients served by agency, then by PROPOSED PROJECT/PROGRAM: ' :ants ~~;~~ ~ '` ~,.~~R £4.~ Total Number of Participants Served by Agency (if applicable) 07/01/08 - /01/30/09 7,669 Total Number of Dublin Residents Served by Agency (if applicable) 1,202 ~. Total Pro osed Partici ants Served b this Pro'ect/Program 8000 Total Number of Dublin Residents Served by this Project 1,250 SECTION 2 Page 6 of 16 .~ City of Dublin Fiscal Year 2009-2010 Application for Funds 5. Financial Information: --Operating Budget a. Expense Budget € F 3 Glf1V0-117 }s y ~x;~r:f[+~ w:• a; ~ ~~.IFC ~'c. r~ %; .~ E ~u ..a- ... ~,~ .> ',~}R(NI.~ ." _ ~~ROGRA~~._~_,'~ ~~-.-EST:. ti _ n p ~~` y ' ~ J ~+ c r . ~ ~, ri ! , ~. I~;mplo~~ee Salaries & Benefits . '?15,728.** 12,000. ~~* 12,000. fin 1 ~+ost~~ 1 ,~~." Services& Supplies 56,468** 3,000.** 3,000. Capital Costs 55,073. Services to Dublin Residents 15,000.** 15,000.** Other (please specify) TOTAL 342,269. 15,000 15,000. Further'Comments/Explanations (if necessary): **These budget figures are anticipated and represent our best estimate. 1 SECTION 2 Page 7 of 16 .-. City of Dublin Fiscal Year 2009-2010 Application for Funds 'r City of Dublin Fiscal Year 2009-2010 Application for Funds 6. General Agency Information X 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 has previously received City of Dublin funding (not Community Development Block Grant - CDBG). b. Describe the population(s) served by the Organization. c. Describe all the services the Organization currently provides to Dublin residents. ^ An additional page may be added. if needed. 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. SECTION 2 Page 9 of 16 • ~r City of Dublin Fiscal Year 2009-2010 Application for Funds 7. Required Attachments: o Only one (1) copy_per A~encv 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. ^ A. -Names of Governing Board; identify current Board officers. ^ B. Current total Organization operating budget, including revenue. ^ Clearly label/identify the program that includes the PROPOSED PROJECT/PROGRAM. v C. Most recent audit report or tax return (if applicable). ^ 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. ^ F. Application Verification Declaration Signature Page. ^ G. Signed affidavit form from each collaborating agency named in proposed project/pr`ogram plan (if applicable). ^ H. Copy of IRS Letter of Determination indicating tax exempt status. SECTION 2 Page 10 of 16 ~~ .i -.I° ~~a~~ 2v`~ ~ . Board of Trustees Members of the Board • Mr. Carlo Vecchiarelli (Board President) represents Trustee Area 5 (Pleasanton, Dublin, Sunol) since 2004. • Dr. Hal G. Gin (Board Secretary) represents Trustee Area 6 (Hayward, San Lorenzo) since 2005. • Dr. Arnulfo Cedillo represents Trustee Area 3 (Union City and South Hayward) since 1985. • Ms. Isobel F. Dworsky represents Trustee Area 2 (San Leandro) since 1985. • Mr. Donald L. "Dobie" Genes represents Trustee Area 4 (Castro Valley and portions of Oakland) since 1998. • Dr. Alison Lewis represents Trustee Area 1 (Hayward) since March of 1991. • Dr. Barbara Mertes represents Trustee Area 7 (Livermore and portions of Pleasanton) since 2000. Master Contract Exhibit A and B Coversheet ~-.~~ ~ ~~-- Dept. Name: WIB Dept / 320400 vendor ID #: 32649 Board PO #: SOCSA - Business Unit: SOCSA Master Contrail # 900035 Procurement Contract # Budget Year 2009 ACCOUNT FUND DEPT PROGRAM SUB PROJECT-GRANT mount toe Encumbered ota ontrail Amount 610341 22404 320400 32000 SSGPCP060700008 $349,364.00 $349,364.00 ~. Procurement Contract: Begin Date: July 1, 2008 Expire Date: June 30, 2009 Contract Maximum: $349,364.00 Period of Funding: From: JUIy 1, 2008 To: June 30, 2009 Department Contact: Jane Myers Telephone: 510-259-3829 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 Pleasanton CA 94588 Remittance Address: Same as above BOS Dist #: 2 Location #: 13 Federal Tax f.D. #: 94-1670563 Contractor Telephone #: (925) 485-5262 Email: lalveslo'~clpCCd.org 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 of Service: Provide One-Stop services as described in Exhibit A 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 Amendment # 2 Amendment # 3 Amendment # 4 Fundin Level $385,000.00 Exhibit Number SE09-208 Amount of Encumbrance $349,364.00 File Date File Number Reason Board Approval Funding Source of Allocation: Federal - CFDA # Exhibit B State County ` $349,364.00 I _ - ., 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 By Signature Yolanda Baldovinos Title Social Services Agency, Interim Director Date -___-- CONTRACTOR `~,. B Si ature Print Name Lorenzo S. Lagaspi rifle Vice-Chancellor, Business Services Date O'~~(„~ o.. Print Name Title Date 5/6/08 -WIB / drh 7/22/2008 14:31 A-B Cvr CLPCCD 5-13-08.x1s _ ~~ s:.s; ~- ALR~1 [~ '~` l~' 1 ~ t~l 4f E ~` Iwl: CV 'll` ~ C'i ~- ~ a 5 December 2008 John Alves Tri-Valley One-Stop 5020 Franklin Drive Pleasanton CA 94588 FISCAL MONITORING REPORT for PY 08-09 CONTRACT WIA ONE-STOP CAREER CENTER - PO 7781 This provides the results of the Fiscal Monitoring for the Workforce Investment Act (VVIA) funds provided under contract/sub-recipient agreement with the Chabot-Las Positas Community College District -Tri-Valley One-Stop Career Center for Program Year 2008/2009. The on-site review was conducted on December 3, 2008 and addressed the financial and procurement activities for the One-Stop Career Center during PY 08/09. ACWIB determined that the District is meeting all contract: requirements for financial and procurement activities for the WIA Adult -Dislocated Workers One-Stop contract (County PO 7781). In addition, ACWIB determined that the financial and procurement activities of the District and One-Stop Career Center are in-compliance-with the applicable WIA legislation and regulations. A summary report of the on-site review is attached to this letter. This is provided as documentation of the information provided during the monitoring visit discussions. Please be advised that ACWIB staff appreciates your assistance in completing the on- site monitoring process. Should there be questions, please contact me at 510.259.3832. Sin rely, David Harkess, Program Specialist Cc Linda Slater Jane Myers 24100 Amador Street, 6th Floor -- Hayward CA 94544-1203 Phone: 510.259.3832 // Fax: 510.259.3845 email: DHarkess@acgov.org Alameda County Workforce Investment Board FISCAL & PROCUREMENT MONITORING / PY 08-09 Summary of on-site review conducted by ACWIB staff. Contractor: Chabot-Las Positas CCD / Tri-Valley One-Stop Date On-Site: 12-3-08 . WIA Program(s): WIA One-Stop Career Center Operator / PO-7781 $349,364.00 +++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ AREAS of REVIEW -Fiscal Monitoring toolfi Internal Control -District sets-up specific system account for WIA contract funds; District manages expenditure & revenue tracking to the WIA contract account; District cash management meets WIA - Federal requirements. Cash Management -District establishes & tracks WIA funds within District system (Banner) by account specific to the WIA One-Stop program contract; the system identifies encumbrances, accruals and expenditures; One-Stop staff maintains spreadsheet tracking of all requisitions & expenditures and reconciles to District system on a monthly basis; payments-disbursements are managed by District Finance; requests are prepared by One-Stop, approved by Dean and reviewed/approved by District Finance; disbursements on requisitions and P.O.'s are prepared & issued by District. Expenditure Report -One-Stop managed spreadsheet data is used to reconcile District report (Banner) and to complete monthly reports; timeliness may be impacted by reconciliation and/or by delays in obtaining signature for invoice document. Allocations of WIA expenditures to Adults & Dislocated Workers programs and to WIA Cost Categories is based-on time-study reports for One- Stop staff. The cost allocation is applied by One-Stop staff and incorporated to invoice. Program Income - not applicable Cost Allocation -For PY 08-09 all costs recorded to the WIA contract account are 100% direct; there are no shared /allocated cost items for which the District is being reimbursed. Salary & Bonus Limitation - in compliance with limitation Indirect Costs - not applicable Cost/Resource Sharing at One Stops -Program MOU's are in-place for PY 08-09. Cost/resource sharing is currently in-progress with the ACWIB's consultant. Upon completion documentation will be forwarded to ACWIB. Fiscal & Procurement Oversight o Subreci ip tints -not applicable, no sub-recipients for PY 08-09 Debt Collection -utilize ACWIB Action Bulletin # 38 & District procedures Page 1 of 2 Fiscal Monitoring PY 08-09 Summary Report Incident Reporting -utilize ACWIB Action Bulletin # 32 Methods of Procurement -Managed by District Purchasing & Business offices; policies & procedures are provided to One-Stop staff; purchase requests are prepared at program, approved by Dean and processed to District Purchasing or Business Office; One-Stop and District procedures are in-compliance-with WIA requirements. Proper Management - no WIA purchased items at $S, 000 or more. Payroll Payments -time & attendance per District policies; account; activity reports are available at the program level; timesheet, signed by employee and Supervisor at One-Stop. Petty Cash -not used. Comments -Recommendations: Personnel costs are 100% direct to WIA One-Stop staff utilizes District monthly Both the District and the One-Stop are maintaining appropriate and applicable Fiscal Accountability for the PY 08-09 WIA funds being expensed for the Tri-Valley One-Stop Career Center. Reminder: In the recording of expenses and revenues for PY 08-09, notations that the origin of funds is Federal, Workforce Investment Act, with CFDA # 17.258 /WIA Adult Program Formula Grant, and CFDA # 17.260 /WIA Dislocated Workers Program Formula Grant, shall be clearly identified, and that this information shall be included within any Single Audit conducted on the financial activities for the period ending at June 30, 2009. Page 2 of 2 Fiscal Monitoring PY 08-09 Summary Report CHABOT-LAS POSITAS CONIlVIUNITY COLLEGE DISTRICT February 17, 2009 Agenda Item: Subject: Approval of request for funding from the City of Dublin Background: The Tri-Valley One-Stop Career Center submitted a request for funding in the amount of $15,000 with the City of Dublin on January 30, 2009. This request for funding was submitted pending Board approval as instructed by the City of Dublin. The city is awaiting Board approval to further continue the review process. The Tri-Valley One-Stop Career Center is requesting the Board to approve this request. Recommended Action: That the Board of Trustees approve the request for funding from the City of Dublin in the amount of $15,000. SWACC CERTIFICATE OF COVERAGE IssuEDATE 07/20/07 ADMINISTRATOR: LICENSE # 0451271 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION KEENAN & ASSOCIATES ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1111 Broadway HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Suite 2 0 0 0 ALTER THE COVERAGES AFFORDED BY THE COVERAGE Oakland CA 94607 DOCUMENTS BELOW. COVERED PARTY: ENTITIES AFFORDING COVERAGE ENTITYA Statewide ASSOC. Of Chabot-Las Positas Comm. College Dist. Community Colleges 5020 Franklin Drive Pleasanton, CA 94588-335 4 ATTN: Lorenzo Legaspi THIS IS TO CERTIFY THAT THE COVERAGES LISTED BELOW HAVE BEEN ISSUED TO THE COVERED PARTY NAMED ABOVE FOR THE PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM, OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE COVERAGE AFFORDED HEREIN IS SUBJECT TO ALL THE TERMS, AND CONDITIONS OF SUCH COVERAGE DOCUMENTS. ENT TYPE OF COVERAGE COVERAGE EFFECTIVE/ MEMBER LTR DOCUMENTS EXPIRATION DATE RETAINED LIMIT LIMITS /DEDUCTIBLE GENERAL LIABILITY A (GENERAL LIABILITY [ ]CLAIMS MADE[}{JOCCURRENCE COMBINED SINGLE LIMIT SWC0150007 07/0.1/07 EACH OCCURRENCE [XJGOVERNMENTCODES 07 O1 08 / / $2 5, 0 0 0 $ 1, 0 0 0, 0 0 0 (XJERRORS & OMISSIONS [1 AUTOMOBILE LIABILITY A [XJANYAUTO [XJHIRED AUTO SWC0150007 07 O1 07 COMBINED SINGLE LIMIT / / EACH OCCURRENCE [ANON-OWNED AUTO 07/01/08 $25, 000 $ 1, 000, 000 [GARAGE LIABILITY [XJAUTO PHYSICAL DAMAGE A PROPERTY ALL RISK SWC0150007 07/01/07 EXCLUDES EARTHQUAKE & FLOOD 07 O1 $10, 000 $ 250, 000, 000 / / ~ 8 EACH OCCURRENCE A STUDENT PROFESSIONAL LIABILITY . SWC0150007 07/01/07 07/01/08 $5,000 $Included EACH OCCURRENCE DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /RESTRICTIONS /SPECIAL PROVISIONS: As respects to the City Grant Recipient Agreement between Las Positas Community College, dba Tri-Valley One-Stop Career Center and the City of Pleasanton dated 7/11/07. CERTIFICATE HOLDER: CITY OF PLEASANTON 200 Old Bernal Avenue Pleasanton, CA 94566 CANCELLATION ...... SHOULD ANY OF THE ABOVE DESCRIBED COVERAGES BE CANCELED BEFORETHE EXPIRATION DATE THEREOF, THE ISSUING ENT17Y/JPA WILL"MAIL 30 DAYSWRffTENNOTICETOTHECERTIFlCATE HOLDER NAMED TO THE LEFT, f>~,5~~~¢~j¢tjse:V~~(~~14g1{L lstT~~~~~~X~1~~X ln°C,.r ATTN: Nelson Fialho, City Manager K&A..P/L..os/20001 of 1 ##S83533/M77153 AUTHORIZED REPRESENTATIVE R3M A.C.# 83533 STATEWIDE ASSOCIATION OF COMMUNITY COLLEGES ENDORSEMENT ADDITIONAL COVERED PARTY COVERED PARTY I COVERAGE DOCUMENT ~ ADMINISTRATOR Chabot-Las Positas Comm. SWC0150007 KEENAN & ASSOCIATES College Dist. Subject to all its terms, conditions, exclusions and endorsements, such additional covered party as is afforded by the coverage document shall also apply to the following entity but only as respects to liability arising directly from the actions and activities of the covered party described under "as respects" below. Additional Covered Party: CITY OF PLEASANTON 200 Old Bernal Avenue Pleasanton, CA 94566 As Respects: As respects to the City Grant Recipient Agreement between Las Positas Community College, dba Tri-Valley One-Stop Career Center and the City of Pleasanton dated 7/11/07. The City of Pleasanton,its elective and appointed boarsd, commissions, agents, employees, and volunteers are included as Additional Covered Parties but only as respects to the sole neglience of Chabot-Las Positas Community College District. This coverage shall be primary to the certificate holders coverage as respects the actions and activities of the Covered Party due to their sole negligence. ~- ~ e° ~;~' --- Authorized Representative City of Dublin Fiscal Year 2009-2010 Applicah'on for Funds ~~ FtECEi~" CI~ ~~ ~~~~1~ LIAR ~ 5 ~t~U ~;EH`a ~~~'I~E ~' 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 submit 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: DeRio e Pollard, Ph.D. President ~, Dr. Hal . ~ n Board President/Chairperson - a/;7/~~ Date ~~~ Date **16 page Grant application submitted electronically pending board approval** John Alves Director, Submitted Grant application electronically 1/29/09 SECTION 2 Page 11 of 16 ~~ a..._ ~. ~_ ___ ~.._ ,a.,.._.n.~~ ~> City of Dublin Fiscal Year 2009-2010 Application for 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) ProjectlProgram 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. A11 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 workfcrce 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) 485-5265 "~ 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 ?009-2010 funding application. a~ ~9 E c tive Director Date n ~ Proj c rogram Contact Person r ~ ©9 Date SECTION 2 Page 12 of 16 • .. ~ . Internal Revenue Service Department of the Treasury P. O. Box 2508 ate: January 3, 2007 Cincinnati, OH 45201 CHABOT-LAS POSITAS COMMUNITY COLLEGE DISTRICT 5020 FRANKLIN DRIVE PLEASANTON CA 94588-0000 Person to Contact: Mr. Schatz ID 31-08701 Customer Service Representative Toll Free Telephone Number: 877-829-5500 Federal Identification Number: 94-1670563 Dear Sir or Madam: This is in response to your request of January 3, 2007, regarding your organization's federal tax status. Our records indicate that your organization may be a governmental instrumentality or a political subdivision of a state. No provision of the Internal Revenue Code imposes a tax on the income of governmental units (such as states 7d their political 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 itself a governmental unit (or an "integral part" thereof), its income will be subject to tax unless an exclusion or exemption applies. One 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 political subdivision thereof ..." Your organization's income may not be subject to tax, either because the organization is a governmental unit (or an "integral part" thereof), or because the income is excluded under section 115. In addition, your organization may also be eligible to receive charitable contributions, which are deductible for federal income, estate, and gift tax purposes. Also, your organization is probably exempt from many federal excise taxes. Your organization may obtain a letter ruling on its status under section 115 by following the procedures specified in Rev. Prac. 2002-1 or its successor. Your organization may also qualify for exemption from federal income tax as an organization described in section 501(c)(3) of the Code. If the organization is an entity separate from the state, county, or municipal government, and if it does not have powers or purposes inconsistent with exemption (such as the power to tax or to exercise enforcement of regulatory powers), your organization would qualify under section 501(c)(3). To apply for exemption, complete 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 programs to youth and ex-offenders. Additionally, in the 2008/2009 fiscal year, The Tri- Valley One-Stop Career Center initiated an outreach program with the Women Correctional Institution, as well as the Alameda County Jail both located in the. city of Dublin. Core services consist of labor market information, 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 orjob-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 2006. 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 expansion of the youth program, to include the following; Provide on-going outreach, employment 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 PRQJECT/PROGRAM address an unmet community need and improve the quality of life for Dublin residents. Why is this project/program 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 name 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. 3 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 afour-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 '/2. 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 2008/2009 fiscal year, the Chabot- Las Positas College/Tri-Valley One-Stop Career Center provided basic to intensive services to 1202 Dublin residents. This number of 1202 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. i.e.: Mervyn's, Home Expo/Home Depot, Circuit City, Crown 4 Chevrolet, DHL and Washington Mutual. The basic services included but were not limited to access to high speed Internet, fax, telephone, copy machine (at no charge) and work related workshops/seminars, to more intensive type services such as career counseling, mock interviews and referrals to various social service type agencies. Additionally, out of the 1202, 25 Dublin residents needed additional intensive training. These 25 were deemed unable to keep or obtain new employment with their current skills. In this current fiscal year, 5 are still remaining in this intensive and costly program. The total cost of the additional intensive training services provided, has thus far totaled $27,200.00, up from last year which was $18,744.00. All of the above services mentioned including the intensive training was provided to all 1202 + 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-term unemployed or underemployed individuals, individuals wishing to reenter the workforce, individuals in need of skills upgrade training, vocational counseling, or strategic job search guidance) 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. 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 able to keep accurate records and data on a client's educational and training achievements as well as employment and job retention information. 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 members, 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.' 5 In addition, we mail surveys to all previously enrolled customers exploring their level of satisfaction with the project as well as ideas for improvement. Alameda County (WIB) also conducts an annual `customer satisfaction' survey, which is being given 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 ranked highest in the last four years among all 14 career centers (in Alameda 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