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Home My WebLink AboutItem 8.1 Eden Hope & Opportunity Exh 11 ~~ CITY OF DUBLIN RECEIVED cmr of ~usuw UAN 3 0 2009 COMMUNITY GROUP/ORGANIZATIONA~IY~~~SOFFICE FUNDING REQUEST APPLICATION PACKET Fiscal Year 2009-2010 Section 2: Application for Community Group/Organizational Funding SECTION 2 Page 1 of 18 EXHIBIT ~_ i CITY OF DUBLIN Fiscal Year 2009-2010 COMMUNITY GROUP/ORGANIZATION APPLICATION FOR FUNDS COVER PAGE AGENCY NAME: EDEN COUNCIL FOR HOPE AND OPPOR'TLINITY PROPOSED PROJECT/P'ROGRAM NAME: RENTAL ASSISTANCE PROGRAM FUNDING AMOUNT REQUESTED: $5,635.0 W i ~ l SECTION 2 Page 2 of 18 ,» CITY OF DUBLIN Fiscal Year 2009-2010 APPLICATIt3N FOR FUNDS i. Please select one' egpe>ase category: ^ Capital B Operating 2. Applicant Information: Organization/AgencyHame Eden Council for Hope & Opportunity Mailing Address 770 A Street Street Address Same as above. City Hayward State CA Zip 94541 Marjorie A. Rocha Executive Director/Chairperson Marv Anne Remo Boazd President (if applicable) 510-581-9380 Work Phone 510-481-1784 Work Phone mar~ie(a~echofairhousing.org Email mazenol ,hotmail.com Email Please list the Primary Project Contact Pgrson who would be able to answer questions about this application and project/program during the funding period. Marjorie A. Rocha ~ ~ Executive Director Contact Person for Proj ect/Program Job Title 510-581-9380 maz ie(a7echofairhousing.or~ 510-537-4793 Work Phone Email Fax Federal Tax Identification No, (required) 94-6124081 City of Dublin Business License No. (required) 10980 SECTION 2 Page 3 of 18 i r . _.. .. City of Dublin Fiscal Year 2009-2010 Application for Funds 3. Proposed Project/Program Inform:~tion (Do not describe organization.) Amount of Funds Requested $ 5,635.00 (Maximum $25,000'per project.) Proposed ProjectJProgram Name Rental Assistance Program Proposed Project/Program Date(s): Start 07 / O1 / 2009 and End 06 / 30 /2010 mo. day yr. mo. day yr. Please'notec-City Council Grant Funds are distributed on a reimbursement basis. If your Agency needs a 100% disbursement at the beginning of the Fiscal Year, please indicate this below and please provide justification for this need. ^ Agency is requesting 100% disbursement at the beginning of the Fiscal Year. If selecting this option, please provide justification in the blank space below. E~ Agency is not requesting 100% disbursement at the beginning of the Fiscal Year. .:Please provide the frequency that reimbursements will be submitted to the City in the blank space below; e.g., monthly, quarterly, at project completion, etc. Quarterly reimbursement requests. ~, :~ T i SECTION 2 Page 4 of 18 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. The Rental Assistance Program (RAP) is a rent/deposit guarantee program, which provides assistance to low- to moderate-income tenants to pay security deposits or delinquent rent. A budget is completed and if the client has income left at the end of the month, the RAP Counselor contacts the owner and negotiates small, monthly payments of either the security deposit or the delinquent amount of the rent until the amount owed is paid. A contract is signed by both the tenant and the andlord, and ECHO acts as a guarantor in the event the tenant defaults. The following activities are provided to Rental Assistance Program applicants: Pre-Screening for Assistance - 65 Households ECHO staff will conduct pre-screening of clients to determine eligibility. Clients who have repayment ability will be ;referred to the next step of the program, described in the following sections. Clients who have no apparent repayment ability may be offered Critical Family Needs/Housing Assistance or FEMA funds for grant assistance, when available. ECHO staff will process heir applications. Support Counseling - 7 Households ECHO staff will provide counseling regarding necessary support services to ensure long-term placement and stability of loan guarantee recipients as well as assist other RAP clients, who have been found' to be ineligible for a RAP guarantee, with basic support .and information. Such counseling 'shall consist-of budgeting information, homeseeking tips, counseling on negative credit reports, etc. Information and Referral.- 20 Households ECHO staff will provide information and referral regarding additional services available to clients. Such information will include AFDC Homeless Assistance Funds, SSI Special Circumstances Funds, emergency shelter availability, mental health services, emergency medical services, discount food programs, etc. Rent/Deposit Guarantees - 7 Households ECHO staff will conduct a formal intake and loan application interview with prospective applicants. This meeting will be held to secure required documentation, liability releases, and verifications. Staff also will initiate negotiation with the landlord regarding terms, conditions, and information on RAP. SECTION 2 Page 5 of 18 ap& Y 4 Follow-up - 7 Households ECHO staff will provide follow-up on all loan guarantees. Additionally, support will be provided to the landlord and the tenant regarding problems, which may arise during the course of the agreement. Collection - As needed - ECHO staff will conduct collection on loan guarantees, which are in jeopardy of default. Collection will consist of letters of warning, and/or telephone communication. ECHO will reimburse the landlord within a 15-20 day period in cases of default. Outreach - As needed ECHO staff will distribute materials to community-based organizations, schools, and churches; and air public 'service announcements and network extensively with other service providers to ensure program productivity. The Rental Assistance Program has been in existence since 1987 assisting 4,600 households attain or :preserve housing. b. How would the PROPOSED PROJECT/PROGRAM address an unmet community need and improve the quality of life for Dublin residents. Why is this project/program needed? (Additional page may be added, if needed): The Rental Assistance Program prevents homelessness and institutionalization, and households who may otherwise be displaced into emergency shelters or on the streets, are provided an additional option. to prevent their displacement. Low-income tenants find it difficult to save for deposits. to move in to a unit. Or, in many cases, tenants have a temporary fmancial set back, whichxequires them to forego paying the rent. And, with the current foreclosure situation, many rental property owners are defaulting on their mortgage payments. In these situations, tenants may be forced to move` either because they have made rent payments to a landlord who no longer owns the property, or stop making rent payments altogether because they do not know to whom they should pay rent. Through .utilization of the Rental Assistance Program (RAP), affordable housing can be secured or preserved fflr low-income families. e. What documentation/data/records support the need for this PROPOSED PROJECT/PROGRAM? Please identify your data sources. (Additional page may be added, if needed.) The current housing situation for very low- and low-income families and individuals is stressful at best. In the City of Dublin, 30% of renters are paying 35% or more of their income toward rent.l Because of meager resources, temporary financial difficulties can lead to eviction or force a move to an emergency shelter. The Dublin's housing prices combined with high move-in costs, ~ Source: U.S. Census Bureau, Census 2000 Summary File 3 SECTION 2 Page 6 of 18 .x:Ke.+x i can serve to lock people out of the housing market. Even those who have the funds to pay deposits must wait for their former landlord to repay previously paid deposits. The most significant causes of homelessness and institutionalization are the high costs of housing, long waiting lists for subsidized housing combined with diminishing federal subsidies impacting growing numbers of low-income households in the City of Dublin. The renters who are most affected by these factors are female-headed, African American, and Native American households.2 City of Dublin 2 City of Dublin, Housing Element, 1999-2006, A-15, A-24 SECTION 2 Page 7 of 18 ., Fiscal Year 2009-2010 Application for Funds d. Specify the PROPOSED PROJECT/PROGRAM population to be served. ECHO Housing serves eligible low-income renters that reside in, or are seeking to move into Dublin, and need assistance=with deposits or delinquent rent. 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. ECHO Housing -defines the success in the Rental Assistance Program by ensuring that 7 households wll'either be empowered to move into housing by paying their security deposit, or preserve their housing by paying the delinquent rent, and thereby preventing homelessness and institutionalization. Families are assisted with the high expense of relocation costs by having the ability to access the Rental Assistance Program allowing move-in or stay-in payments in monthly installments. The tenant is-saved from homelessness, and City is saved the cost of institutionalization. It prevents persons whose rent is delinquent from being evicted by assisting them with a repayment plan. This also helps the landlord recoup rent, and spares them the cost of advertising for a new tenant. This program is results-oriented, and is the difference between remaining housed and being homeless, and moves the client toward self-sufficiency. Progress is measured each month by the Outreach/Compliance Coordinator through reports issued by the RAF Counselor. Contract goals and outcomes are reviewed and compared to the actual number of services provided. f. Specify numbers of clients served by agency, then by PROPOSED PROJECT/PROGRAM: A enc Partici ants Total Number of Partici ants Served b A enc (if a licable 4,500 Total Number of Dublin Residents Served by A enc (if a licable) 50 Pro'ec#/Pro ram Partici ants Total Pro osed Partici ants Served b this Pro'ect/Pro ram 168 Total Number of Dublin Residents Served b this Pro"ect 7 SECTION 2 Page 8 of 18 it i City of Dublin Fiscal Year 2009-2010 Application for Funds 5. Financial Information --Operating Budget a. Expense Budget FY 20t?9-2010 EXPENSE BUDGET ORGANIZATION TINSPRO tECT/ PROGRAM GRANT REQUEST Personnel Costs Employee Salaries & Benefits $512,015 $107,770 $4,490 Non-Personnel Costs Services & Supplies $82,836 $12,676 $596 Capital Costs Other (please specify) Rent 54,564 $12,714 $454 Other (please specify) Phone $17,915 $4,072 $95 TOTAL $667,330 $137,232 $5,635 Further Comments/Explanations (if necessary): SECTION 2 Page 9 of 18 R ~~ ~~ City of Dublin Fiscal Year 2009-2010 Application for Funds b. Revenue Budget FY 20+09-2010 REVENUE BUDGET ORGANi~ATION 1'ROJECTIPROGRAM CommittedlRestricted Fends s eci source Alameda Coun $95,000 -0- City of Alameda $31,000 -0- City of Berkeley' $5,808 -0- Ci of Cu ertno $8,870 -0- Ci of Dublin $5,635 $5,635 Ci of Fremont $34,978 $19,016 Ci of Ha and $73,815 $5,530 De t of HUD $67,174 -0- Ci of Livermore $41,865 -0- Ci of Menlo Park $7,250 -0- Ci of Oakland $114,000 $93,000 Ci of Pleasanton $58,790 -0- Ci Redwood Ci $31,000 -0- Ci of San Leandro $54,000 $5,000 Santa Clara Coup $3,859 -0- Ci of Union Ci $10,000 -0- Wells Far o Foreclosure Miti ation $5,000 -0- Non-Committed/Restricted Funds s ci source RAP Default Pool $9,051 $9,051 Membershi /Fundraisin $10,235 -0- TOTAL $667,330 $137,232 Further Comments/Explanations (if necessary): SECTION 2 Page 10 of 18 1~ ~~ City of Dublin Fiscal Year 2009-2010 Application for Funds 6. General Agency Information ^ 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 ail years that Organization has previously received City of Dublin funding (not Community :Development Block Grant - CDBG). FY2001-2002 FY2008-2009 b. Describe the population(s) served by the Organization. ECHO serves very low- to moderate-income tenants, their landlords, low-income mortgagors and senior homeowners in Southern Alameda and the Mid-Peninsula. c. Describe all the services the Organization currently provides to Dublin residents. ^ An additional page may be added, if needed. Fair Housing Services and Landlord/Tenant Counseling & Dispute Resolution funded by Alameda County. 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. Yes. FY2001-2002: $20,000 Yes. FY2008-2009: $ 9,215 Yes. FY2008-2009: $ 3,488 SECTION 2 Page 11 of 18 ~~ ~` City of Dublin Fiscal Year 2009-2010 Application for Funds 7. Required Attachments: o Only one (1) cony aer Agency of each of the following is required, even with multiple projects/programs submitted. o Applications without the fallowing 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 PROPOSEn PROJECT/PROGRAM. ~''C. Most recent audit report or tax return (if applicable). ~' D. Resolution, letter or other document providing evidence of BoardlOrganization approval of application, and date approval was granted. ^ BoardlOrganization approval may be pending. ~' E. ' .Organization's certificate of insurance showing coverage for liability and .workers' compensation. ta° ~'. Application Verification Declaration Signature Page.: ~'' G. Signed affidavit form from each collaborating agency named in proposed project/grogram plan (if applicable). ~ H. Copy_of IRS Letter of Determination indicating tax exempt status. SECTION 2 Page 12 of 18 ~cHo Eden Council for Hope ~ Opportunity 770 A Street • Haywarri, CA 94541 BOARD OF DIRECTORS Attachment A 510-581-9380 • Fax: 510-537-4793 www. echofairhousing. org NAME OCCUPATION EMPLOYER RESIDENCE Mary Anne Reno Registered Nurse Self-employed 15865 Via Granada President fax: 510-276-0679 San Lorenzo, CA 945$0 Term:1 /07 -1 /08 510-481-1784 Mareno1 hotmaiLcom Felix Marten Manager of BART 27096 Fielding Drive Vice-President Operations Liaison 510-847-4067 Hayward, CA 94542 Term: 1 /07 -1 /08 510-881-2468 fmartenC~bart.gov Matthew Caligaris Vice President Union Bank of California 930 Cuesta Drive Treasurer 400 University Ave. Mountain dew, CA 94040 Term: 1 /07 -1 /08: Palo Alto, CA 94301 650-967-3807 Matthew.Cali aris uboc.com 650-859-1225 Andrea Girton Co-owner/operator Opportunity Ink 6700 Dougherty Road #79 Term: 1/07 -1108. Work: 209-941-7065 Dublin, CA 94568 o t ink sb lobal.net Ce11:510-677-1700 925-551-3100 Jack H. Moms Consultant, Electronic Self-employed 140 Baywood Avenue Director Hardware Menlo Park, CA 94025 Term: 1/07 -1/08 Development 650-325-1886 'ackhm att.net Rita Marten Nurse Practitioner Planned Parenthood 27096 Fielding Drive Director 1866 B Street _ Hayward, CA 94542 Term:1 /07 -1 /08 Hayward, CA 94541 510-881-2468 rdmarten comcast.net 1-800-967-7526 Mary Rizzo Shuman Leasing Services Alameda County Housing 6328 Rubicon Way Director Manager Authority Livermore, CA 94551 Term: 1 /07 -1 /08 22941 Atherton Street 925-449-6160 ma rs haca.net Hayward, CA 94541 510-727-8570 FQUAL NOUSING- OPPORiUNITV Attachment B K L M N ~ P q B C D E F G H I J Fa ir Housing P rogram Fund' mg 1 Budget 200&2009 La rrdladITenar rt Program F unding Li vemrorelHllD P anter W l ells Fargo HUD Al Hayward ameda Co. Sa n Leandro U nion City A lameda Ci 2 ~~ ~ 2~8 Hayward Al ameda Co. Sa n Learxlro U nion City A lameda Ci L 12 ivermore 37 0 eas 47 0 0.04 0.62 0.4 0.32 0.11 0.04 0.12 3 N o. of Personnel 0.18 0.53 0.33 0.04 0. . . 4 79644 56512 35000 4546 15000 40000 50730 5000 67174 45750 38488 14000 5454 1C~0 5 C onhactRevenue 6 7 C ontract Costa: - 8 S hares: oo 1660 4889 3044 369 7107 3413 4335 369 5719 3690 2952 1015 871 369 317 1.107 950 g ExeaN+re Director t. 0 1425 4196 2612 317 950 2929 3721 317 4908 3167 2533 878 319 958 10 pir~t Services Specialist 1.0 2633 319 958 2953 3750 319 4947 3192 2554 11 Program Director t.oo 1436 4229 209 628 1935 2458 209 3243 2092 1674 575 2D9 12 Receptior,;st-liay t.0o 941 2772 1726 849 2618 33 2 4386 2831 2~.5 0 ~ M9 13 t3ootdteeper o.ew 1274 3751 2335 283 0 0 O D p p 14 TenanN.L-AC 1.14 6199 18253 11365 1378 20M 0 -0 0 0 7378 11021 3788 1378 11 15 Fair HousingCounseior-AC o.51 0 0 0 0 0 D 0 p 12~ p p p 4133 16 Fair Housing Specialist 0.85 0 0 0 0 2066 0 D 0 0 0 0 0 0 0 0 17 RAP CounselorsSo. Co. 0.41 0 0 0 0 0 0 D 0 0 D 0 p p 18 RAP Counselors-NO. Co. 0.87 0 0 0 0 0 0 0 0 0 17357 0 0 0 p 0 1s HECCoortseror os~ 0 0 o 0 0 0 0 12743 16187 1378 4133 0 p D o 0 20 Housing Programs Coordinator t.ce 0 0 0 8624 26591 33778 2875 44596 28747 22996 7906 2875 8824 21 TOTAL SALARIES 12936 38090 23717 2875 ~ 10.61 23 Fdnge Benefits 220 660 2034 2584 220 3419 2799 1759 605 Z'10 24 FICA 990 2914 1814 29 88 270 343 29 453 292 234 ~ ~ 86 25 SUUirainirg Tax 131 387 241 103 319 405 34 536 345 276 95 34 103 26 Walters Compensation 155 457 285 34 996 3072 3903 332 5148 3321 2657 913 332 996 27 Emp. Heallh Insurance 1495 4401 2740 332 5698 7235 616 9557 6158 4926 1693 616 1847 28 TOTAL FRINGE 2771 8159 5080 616 1847 2g 30 TOTALtiAIJFR 15707 46249 28797 3491 10472 32287 83 41013 08173913 0 3491 00695652 0 54252 0.10782609 34905 0.956522 27924 0.05565217 8599 0.01913043 3491 0.00695652 10472 D.02086957 03130435 0 09217391 0 0.0573913 0.00695652 0.02086957 0.064347 . . 31 Paroenttocentract . . 32 Occupancy Costs 33 Rent 06 4728 2944 357 480 1481 1881 160 2482 3566 2854 ~~ 3 0 0 34 Hayward (8 utilanitor) 16 858 1090 93 14~ D ~r ~prg 0 0 0 0 0 0 0 p O D 0 0 820 ~ 0 0 0 0 820 0 0 0 p p 0 0 37 Palo ARo 0 0 0 0 0 0 0 _ ~ Telephone: 334 983 612 74 100 308 391 33 516 7 0 5 0 ~ 74 0 100 0 39 Hayward 0 0 0 503 639 54 ~ ~ ~ ~~ 0 0 0 0 0 0 0 0 0 0 0 0 363 0 0 0 0 41 Oaitland 0 0 0 0 0 0 0 0 0 0 0 0 431 1783 42 P alo alto 1940 5711 3556 431 1763 3150 4002 341 5279 4310 _3448 1185 43 T OTAL OCCUPANCY _ 44 45 Genaral 307 903 562 -. 68 205 631 801 68 1057 ~~ ~ 187 ~ 68 20 ~.5 59 46 f>I(ke Supplies 88 260 162 2D 59 182 237 20 305 3 7 47 Advertising 61 181 17 2 1 4 41 126 16 0 1 4 211 73 6 109 11 1 48 PrbrtinglCopying l 501 147 5 91 8 11 1 33 4 703 0 130 8 11 1 172 5 171 3 89 0 11 5 49 Et}ripmentlviaiNRenta 55 3 34 4 4 2 12 5 38 6 49 0 4 2 64 7 34 8 33 8 ~ 104 50 Postage 18 8 32 2 40 9 3 5 ~ 51 ArxAt 15 7 46 1 28 7 3 5 10 4 2 2 5 1 6 7 3 4 2 5 S 7 2 1 7 3 2 5 1 5 1 9 33 4 11 5 1 52 vs. Op/CprrsuBant 18 8 55 3 34 4 4 2 12 5 38 6 49 0 4 2 64 7 41 7 1 q 42 53 Insurant~Bondir~ 12 9 16 3 1 4 21 6 13 9 11 1 ~ 54 TraininglEdtrtxtion 6 3 18 4 11 5 1 4 4 2 22 1 1 9 29 1 18 8 15 0 5 1 2 9 56 8 5 24 9 15 5 1 9 5 6 17 4 5 1 51 55 AAemhershipslPubs 120 1 81 m 99 6 20 8 50 24 0 0 26 7 6 0 r~ ~8e 13 1 17 2 18 9 4 3 9(1 gp 8 p 0 _ 0 224 0 0 164 0 78 0 1640 57 FH Audit 0 0 0 0 0 0 7 D ~ ~q p 72 0 ap p 720 58 Chedter Pool Compens. 0 0 0 40 0 9 229 0 _ 3 7 512 5 4 2 623 5 3 57 3 616 2 689 3 683 0 342 5 149 6 3507 59 TOTAL GENERAL 177 5 507 2 321 13 ~ 0 0 0 0 0 0 0 0 0 0 0 0 0 0 __ 61 Accamtirg/Gedcal _ -- _ _ 62 194 22 569 72 355 55 43 30 145 32 405 60 512 49 44 04 656 94 461 08 362( 12 142 09 541 8 15742 83 TOTAL DIRECT 64 0 0 0 0 0 0 0 65 Arknin. Costs 0 0 0 0 0 405 0 60 512 0 49 44 656 04 94 461 08 382 02 142 09 54 18 15742,. 66 TOTAL CONTRACT COSTS 194 22 569 72 355 55 43 30 145 32 __ 67 $22 2 ($46 0) ($55 5) $21 6 $46 8 ($56 0) ($51 9) $59 6 $1,48 0 ($35 8) $28 6 ($20 9) $3 6 $258 68 SURPLUS(DEF1CrT) Attachment B Q R S T U V W X Y Z AA AB AC AD AE AF AG 1 Rental Assistance Program Home Equity Conversion Program Allocable Totals 2 CuperOno Menb Palk Redwood Ci. Sarda Clara San Leandro Hayward Fmmord SFF Dublin Oakland Pleas. Fremont Berkeley Oakland Costs 3 0.05 0.05 0.2 O.Ot 0.05 D.O7 0.18 0.13 0.04 0.87 0.09 0.14 0.05 0.19 4.86 10.61 4 12 25 7.04 5.75 5 8619 7250 30000 3578 5000 1161 19016 14288 3488 93000 10820 15,962 5150 21000 651628 8 7 1.58 Oak.personn 8 9 461 461 1845 92 461 92 1660 1199 369 8025 830 1291 461 1753 _ 0 53040 53040 10 _396 396 1583 79 396 79 1425 1029 317 6887 712 1108 396 1504 0 45521 45521 11 399 399 1596 80 399 80 1436 1037 319 6942 718 7117 399 _ 1516 0 45884 45884 12 262 262 1046 52 262 52 941 680 209 4550 471 732 262 994 0 30075 30075 i3 354 354 1415 71 354 77 1274 920 283 6157 637 991 354 1345 0 40693 40693 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 __ 39262 39262 15 0 0 0 0 0 0 0 0 0 0 __ 0 0 0 0 0 17565 17565 1s nn _ nn ses8 34a o 0 0 0 0 0 0 0 0 0 0 2sz7a zsrra 17 0 0 0 0 1722 344 6199 4477 1378 0 0 0 0 0 0 14121 14121 18 0 0 0 0 0 0 _ 0 0 0 29963 0 0 0 0 0 29963 29963 19 0 0 0 0 0 0 0 0 0 0 3124 4860 1736 6596 0 33673 33673 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 34440 34440 21 3593 3593 14374 719 3593 719 12936 9343 2675 62526 6493 10100 3607 13707 0 413510 413510 22 23 24 275 275 1100 55 275 55 990 715 220 4783 497 773 _ 276 1049 0 31633 31633 25 37 37 146 7 37 7 131 95 29 635 66 102 37 139 0 4200 4200 28 43 43 172 9 43 9 155 112 34 750 78 121 43 764 0 4962 4962 27 415 __415 1661 83 415 83 1495 1079 332 7224 747 1162 415 1578 0 47745 47145 28 770 770 3079 154 770 154 2771 2001 616 13393 1386 2159 771 2930 0 88541 88541 29 30 4363 4363 17453 873 4363 673 15707 11344 3491 75'919 7881 12259 4378 16637 0 502050 502050 31 0.00869565 0.00869565 0.03478261 0.00173973 0.00869565 0.00173973 0.03130435 0.0226087 0.00695652 0.15130435 0.01565217 0.0243478 0.00869565 0.03304348 0 7 1 32 33 34 200 200 800 40 446 89 1606 1160 357 3482 360 560 200 7_60 0 34620 34620 35 0 0 0 0 0 0 _ 0 0 0 0 0 0 0 0 0 3480 3480 36 0 0 0 0 0 0 0 0 0 5947 615 957 342 1299 0 10800 10800 37 914 914 3654 183 0 0 0 0 0 0 0 0 0 0 0 5664 5664 ~ - - 39 42 42 166 8 93 19 334 241 74 724 75 177 42 158 0 _ 7200 72~ 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2040 2040 41 0 0 0 0 0 0 0 0 0 2629 272 423 151 574 0 4775 4775 42 629 629 2516 126 0 0 __ 0 0 0 0 0 0 0 0 0 3900 3900 43 1784 1784 7137 357 539 708 1940 1407 431 12782 1322 2057 735 2792 0 72479 72478 44 - 45 _ _ 46 85 85 341 17 85 17 307 222 68 1483 753 239 85 324 0 9800 9800 47 25 25 98 5 25 5 88 64 20 427 44 69 25 93 0 2825 2825 48 17 17 68 3 17 3 61 44 14 297 31 48 17 65 0 1960 1960 49 139 139 557 28 139 28 501 362 111 2421 250 3~ 139 529 0 16000 16000 50 52 52 209 10 52 10 188 _ 136 42 908 94 746 52 198 0 6000 6~ 51 43 43 174 9 43 9 157 113 35 757 78 122 43 165 0 5000 5000 52 2 2 8 0 2 0 7 5 2 _ 35 4 6 2 8 0 230 230 53 52 52 209 10 52 10 188 136 42 908 94 146 52 198 0 6000 6000 54 17 17 70 3 17 3 63 45 14 303 31 49 17 66 0 2000 2000 55 23 23 94 5 23 5 85 61 19 409 42 66 23 89 0 2700 2700 56 897 549 1528 771 10 12 125 125 125 1201 121 230 60 249 0 10971 10911 57 960 0 1350 600 0 0 0 0 0 0 _ 0 0 0 0 0 11018 11018 58 228 168 987 900 0 0 0 0 0 0 0 0 0 0 0 8503 857}3 59 2542 1174 56.92 2362 467 103 1769 7312 490 9147 942 1509 517 1984 0 82947 82947 t3O 61 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 733 8689 7321 30281 3592 5369 1084 19416 14057 4412 97848 10145 15824 5629 21412 0 657476 657476 734 _ 85 0 0 0 __ 0 0 0 0 0 0 0 0 0 0 0 0 66 8689 7321 30281 3592 5369 1084 79416 14057 _ 4412 _ 97848 70145 _ -- 15824 5629 21412 0 657476 657476 67 _ 68 ($70) ($71) ($281) ($14) ($369) $77 ($400) $22.9 ($924) ($4,848) $675 $138 ($479) ($412) ($5,848) Attachment C EDEN COUNCIL FOR HOPE AND OPPORTUNITY FINANCIAL STATEMENTS YEAR ENDED JUNE 30, 2008 TABLE OF CONTENTS Page(s) Independent Auditor's Report on Financial Statements 1 Financial Statements: Statement of Financial Position 2 Statement of Activities 3 .Statement of Cash Flows 4 Notes to Financial Statements 5-7 Independent Auditor's Report on Supplementary Information 8 Supplementary Information: Schedule of Support, Revenues and Expenses 9 Schedule. of Expenditure of Federal Awards 10 Report on Compliance' and Internal Control Over. Financial 11-12 Report on Compliance With Requirements Applicable to Each Major Program 13-14 Findings and Questioned Costs Section: Summary of Findings and Questioned Costs 15-16 Attachment C EDEN COUNCIL FOR HOPE AND OPPORTUNITY Statement of Financial Position As of June 30, 2008 Assets: Current Assets. Cash in bank and on hand Grants receivable Other receivable .Prepaid expenses and deposits Total Current Assets Noncurrent Assets: Fixed Assets: Furniture and Office equipment Leasehol improvements Subtotal Less: Accumulated depreciation Net Fixed Assets .Cash in bank-restricted Total Assets Liabilities and Net Assets: Current Liabilities: Accounts payable Other liabilties Advances from grantors Total Current Liabilities Noncurrent Liabilities: Unearned income (note 4) Total Liabilities ' Unrestricted Net Assets Total Liabilities and Net Assets See accompanying footnotes to financial statements Unrestricted Restricted Property Fund Fund Fund Total ,: ~~,L~ $57,821 $57,821 64,704 64,704 0 8,019 8,019 130,544 0 '130,544 104,007 104,007 7,201 7,201 111,208 111,208 -106,175 -106, 9 75 5,033 5,033 39,320 176,957 216,277 $169,864 $176,957 $5,033 $351,854 1.08. $1.08 29,809 29;809 29,918 0 0 29,918 ~~:='_~ 2 Attachment C EDEN COUNCIL FOR HOPE AND OPPORTUNITY Statement of Cash Flows For The Year Ended June 30, 2008 >tn~. Cash Flows .From Operating Activities: Change in net assets $1,319 Adjustments to reconcile increase(decrease) in net assets to net cash provided by operating activities: Depreciation (Increase)decrease in grants receivable 26,205 (increase)decrease in other receivable (increase)decrease in prepaid expenses and deposits -364 (increase)decrease in restricted cash in bank 68,685 Increase (decrease) in accounts payable -2,530 Increase (decrease) in advances from grantors -58296 Increase(decrease) in unearned income -70,861 Other adjustments-Reclassify MCFH funds as unrbstricted 60,21.1 Total adjustments 23,050 Net cash provided(used) by operations 24,369 Cash Flows From Financing Activities: Fixed asset purchases -1,583 Net cash provided(used) by financing activities -1,583 Net change in cash 22,786 Cash, 7/1/2007 35035 Cash, 6/30/2008 $57,821 T ~R i ~... A See accompanying notes to financial statements 4 Attachment C Note 4-Grants Receivable Grants receivable at June 30, 2008 consisted of unreimbursed amounts from the following grantors: Grantor Balance Due Ci of Ha and T/L $ 1,513 Ci of Hayward F/H 3,434 City of Hayward RAP 74 Contra Costa County 1,392 Ci of Fremont 3,145 Alameda County 17,462 U.S. De artment of HUD 0 City of Livermore 2,597 City of Oakland 24,574 City of Pleasanton 2,767 City of San Leandro 0 Union City 1,164 Cupertino 3,082 Menlo Park 1,962 Santa. Clara County 509 U.S. De artment of Justice 774 HECM Out-Of State 255 Total $ 64,704 Alameda Coun RLF 12,162 North. Calif. F/H Coalition 379 ESP/RDG funds 40,325 North. Calif. Regional Coord. 261 RAP Funds 121,869 Regional default funds 1,958 NCG WRAP funds 3 Total $ 176,957 Management has not established a provision for doubtful accounts since it believes these amounts due are fully collectible. Notes- Unearned Income Unearned Income at June 30, 2008 consisted of unexpended amounts of funds as follows: Pro am Amount ESP RLF re ayments $ 6 Attachment C Robert L. Hicks Certified Public Accountant 38857 Altura Street Fremont, California 94536 (510) 794-4765 Independent Auditor's Report on Supplementary Information Board of Directors Eden Council For Hope and Opportunity Hayward, CA I have audited the financial statements of Eden Council For Hope and Opportunity (the Agency)) for the year ended June 30, 2008, and have issued my report thereon dated September 8, 2008. These financial statements are the responsibility of the Agency's management. My responsibility is to express an opinion on these fmancial statements based. on my audit. I conducted my audit in accordance with generally accepted auditing standards. Those standards require that I plan and perform the audit to obtain reasonable assurance about. whether the fmancial statements are free of material misstatement. An audit also includes assessing the accounting principles used and significant estimates made by management, as well as evaluating the overall financial statement presentation. I believe that my audit provides a reasonable basis for my opinion. My audit was made. for the purpose of forming. an opinion on the basic fmancial statements of the Agency taken as a whole. The supplementary fmancial information identified on pages 8-15 is presented for purposes of additional analysis and is not a required part of the basic financial statements and, in my opinion, is fairly stated in all material respects in relation to the basic financial statements taken as a whole.. September 8, 2008 / 8 Attachment C 2 O Oa. m o~~o Q W ~ N W Oc'vm 2 ~ c c N ~ ~ LL C T a ~ m c V ~ C ~ o~ ~ C 61 ~' U ~ ~ ~ w °' ~~' D:4 0.0 wtnOtL f0 t0 N~tM`7MOO ~O d'tO P ~d'f~ V'f~M0 0 f0 t0 tOM NNOOOOa tQ W O)(O ODO ~O OD <r pp rtpOfp OOO~t tO l~ r NaOO<DN 0 0 w ~ A (O N a0 ~O N N N 01 N ~ (O N~ N M M ~ O V M r N r ~ 00 r N ~ 7 ~ Eq N ~ O 00 N ~ N 06)CO aD cI' ~ ~ m '~ O O M r t0 ~ r K a~ C h r A r t0 r ~ w ~ 3 GH Q C V O 2 V ~ V' Nst O~ ~O f~ t0 ~ N NOO~M~ONf~ ONNN V' aO 01 r iM0~0 N ~ N M ~ r r M t~ h r ~ ~ Efl a LL O O M~MaD tO OD O) O ~ 010)tnNO) aO O O O CO d' st O O O O r O st ~O N '~ f~ 0 -g O O - O_Or Or(p N t~ f~M ~N ~Y O O d' r ~ r N J _ v~ ~ ` O 'C ~ ' 2 ~ • ~VtL +~ i O -• O O OD CF '~i I~ M I~ o'f 0Y O (O ~O cl' r N (O I. aD OD `7 'Ot~ N M - -sr Of M N N 6) I~ CO O Sijl;;~ N N ~O I~ M N O O CO O N N N QO r N r O~OrrNr r M (Or O)I p ~ st N ~"> 2 k~ '~ ~ aO ti O O ~ aD sf d' CD N a0 N O a0. t~ d' ~~ N N 6~ON~~O G~Of el' O CO ~ sF O N ~ O~ t00 V WM 1~ ~ N r 0 r r r N d' O N _ a :+ % r m 3= ~ ~ ~7LL ~'~ M O P-OIC V N1~ N O DONaDNNM~ O ~p M M O~a000 ~0 0~ ~~O) MNN ~ 00 w C N N ~O M O t~ h aD aO r ~0 O1 O) O) c0 t f~ O W ~ M tf)N SON M ~ d)('7 N N Y d ~ ~ r ~, ~ V ~ ¢ A~?! t ~'~ ~D _ OD st O ~t N M.. M t0 ~O N C~ N M ~A ~0 1'~ ~ W 0 M ~- n tom. ti h ~ O O O O ~ M r er r N~ a0 N (~ r M ~t N a0 r ~O r r O 'O {y,i O O O N d' ~ (O N r O N •z ~ V OOC~}.3 f~ n (O '~ M f0 r M M t~ t0 CO d' tp aD ~ ~ O ~ r t0 r (O ~ ~ M N. N ~.`~ 0p O D V' O ~ f~ S• a ~ ~ vso O Of N 00 M ~O Of N f0 CO DO N ~O M M '~ M M O aD O CO 'd' a0 N d' f0 r 6) M Of 6f DO M ~ M N DO CO 00 r ~O r r 0 O; 1~ r~ ao r r N v ~ USF- 1~ h NOr ONE CO Q MMOMOO h 'O r aDM t~s1't0 h GD h OI~Mr0 ~ 0 O) 01 r r a0 OD 10 st (O t0 M r N M <O 1 ~O y~ O~ ~r~;y ~ ~ ~~ N N r N OO r r N J~~i ~, • „ '? ~ ;:~ ~ ,', .i a '~.. ~~ , r, I I• V S LL ~ F`~;i m N m ~ `~ ~ N~ a X ,c ~~ N .-. ~ C N a N ~ ~ O O Q ~ ~ X!!~.... ul O +~ . + Y Y C O :+ m g c ar ~ ~~ O c +c N H ? a a~ N ~ 3 O ~ C N C~ .~ U N Q N O= O 7 3. C N '.~_-. C N ~i ~ C C~ ~ f ~ ~ C- ~ T d. ~ ~ c ~. c X ~' ~~°~ nt0~~ ~ A p °a~c~cc~m ~ ° f6 n p p N C a i i ~ a y y J. N O~ O v~ ~ t6 y a~ , m ~ O N C L n~~ y p ~. d ~ ~ ~ a (d ~ G O' 0 N C N n t) ~ d C U A a y ~ C c N > ~L~ ` . .. U C N n am E`er ~ aci ~"a`~i= `~ ~ ~ ~ o,m E`.~ aci a~ ~ `~ m m W OOCF-F-~ ~ a~ U O ~ LCn W 01-~F-I-tL x W fn. cH x N ~ ~ I I - Attachment C c'7 ('700p000~00MOC0 rf ON ~ ~~ O ~t ~ O ~ O M N~ 0 000 I~ ~ ~ OI~OC4~OMOM00NN~NO N N M O to CO M O N O 00 OO f~ ('7 1~ r OD ~ r l1') M~ ~ O ~ M ~' ti ~- ~ ~ ~ ~ ~ (Q ~ ~ N N U N X LL W ~ QO QO QO DO ao a0 oD o0 d0 QO o0 00 00 a0 O N N N N N N N N N N N N N N Q (~ r r dc- dc- ~~ ~ r r r ~ ~ r ~ Z (7 ~ ~ ~ t N ~ ap U m p ~ F' d ~ mU ~ c ' < w Oa a ~ ~ ~~~ ~°° ow ~ ~ ~ O L 0 ~ ~ =~ m~ m V ~ i X00 p mo c ~ ~ . O = W ~. W W ~.. LL C ~ (OD ~o u.UVU =u.g= c~7 ~ ~ ~ o Z LL N (7 ~ C ~ . -~ '~ C C N m C (~ C _ ~~ 7 O~ ~ W O o ~ _ Y ~~~ ~ U U N '.~' ~ ~- (0 ~ ~ ~ : M L c s N N O ~~ Oi iv v o v 2 ~ = ~ n.~ ~ - a oUa °~ o t OC~~ ~ ~ o 0 0 0 0 ~ ~ ° ° o o,Z'~ vim... ~ ~ ~°' ~ ~ °' `° o oa UUUUU~QU °' . ~ ~ KW U W o = ~ OOrnrnrnrnrn~~~'~L rn O rn o Q ~ L zw ~ ~ ° ~ > > ~ ~ ° ~ rn rn 0 0 0 0 0 0 0 0 0 ° = o •-D ~ c~ O m~ o C7 ,C ea 0 0 0 ~.;5.;~~~~~~~~~~~ muj t V 3 y Z d m m v'a ~-a -° -a'O v v -a v'a v ~ N N O _~j r W .C L N ~ O (n d N N~ N N N cA ~ N t to (n fn to M In fn U1 fn fA fq M N. V N N a+ f wtnu. ~ ~ aao_aaaaan.a~aa. o~- 1 1 H O r ~ ~ r 3 a ea i m ~' s t i p 1 a i °~ a ii W > 1 ~ ~, Attachment C My consideration of internal. control over financial reporting was for the limited purpose described in the first paragraph of this section and would not necessarily identify all deficiencies in internal control that might be significant deficiencies or material weaknesses. I did not identify any deficiencies in internal control over financial reporting that I consider to be material weaknesses, as defined above. Compliance and Other Matters As part of obtaining reasonable assurance about whether ECHO's financial statements are free of material misstatement, I performed tests of its compliance with certain provisions of laws, regulations, contracts, and grant agreements, noncompliance with which could have a direct and material effect on the determination of financial statement amounts. However, providing an opinion on compliance with those provisions was not an objective of my audit, and accordingly, I do not express such an opinion. The results of my tests disclosed no instances of noncompliance or other matters that are required to be reported under GovemmentAuditing Standards. This report is intended for the information of the board of directors, management, others within ECHO and funding agencies, and is not intended to be and should not be used anyone other than these specified parties. /~~ ~~ ~~~ September 8, 2008 ~ 12 Attachment C In my opinion, the Agency complied, in all material respects, with the requirements referred to above that are applicable to each of its major federal programs for the year ended June 30, 2008. The results of my auditing procedures disclosed no_instances of noncompliance with those requirements, which are required to be reported in accordance with OMB Circular A-133. Internal Control Over Compliance The management of the Agency is responsible for establishing and maintaining effective internal control over compliance with requirements of laws, regulations, contracts, and grants applicable to federal programs. In planning and performing my audit, I considered the Agency's internal control over compliance with requirements that could have a direct and material effect on a major federal program in order to determine my auditing procedures for the purpose of expressing my opinion on compliance and to test and report on internal control over compliance with OMB Circular A-133. My consideration of the internal control over compliance would not necessarily disclose all matters in the internal control that might be material weaknesses. A material weakness is a condition in which the design or operation of one or more of the internal control components does not reduce to a relatively low level the risk that noncompliance with applicable requirements of laws, regulations, contracts,: and grants that would be material in relation to major federal programs being audited may occur and not be detected within a timely period by employees in the normal course of performing their assigned fuhctions. I noted no matters involving the internal control over compliance and its operations that I consider to be material weaknesses. This report is intended for the information of the board of directors, management, and funding agencies. This restriction is not intended to limit the distribution of this report, which is a matter of public record..- September 8, 2008 14 Attachment C Section II-FINANCIAL STATEMENT FINDINGS: No matters were reported. Section III-FEDERAL AWARD FINDINGS AND QUESTIONED COSTS: No matters were reported. 16 MHO Eden Council for Hope & Opportunity 770 A Street • Hayward, CA 94541 RESOLUTION Attachment D 510-581-9380 • Fax: 510-537-4793 www.echo~irhousing.org WHEREAS, the Eden Council for Hope and Opportunity, ECHO, is established to fight discrimination in housing and expand housing opportunities for persons of low to moderate incomes, and WHEREAS, special a#orts are targeted to racial and ethnic minori#ies, the .disabled, seniors, and female-headed households, and WHEREAS, ECHO has provided successful and beneficial counseling and financial support services in the RENTAL ASSISTANCE PROGRAM, a deposit and rental assistance program which provides grants and guarantees for move-in costs and delinquent rent for low and m~erate income residents of Dublin. BE lT THEREFORE RESOLVED that the Board of Directors of the Eden Council for Hope and Opportunity authorizes submission of a proposal to request admins#ra#ive funding from the City of Dublin Community Funds for fiscal year 2009-2010. iT IS FURTHER RESOLVED that the Executive Director is authorized to act as an agent of ECHO to develop, negotiate, execute the proposal, and resultant contract, if awarded, and any amendments. ne Reno, P side t Date Rocha, Executive Director ERUpL HOUSIH6 OPPURTUHITY acoRO CERTIFICATE OF LIABILITY INSURANCE OP ID LM DATE(MM,°°"'""' EDENC-1 10 15 08 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Der Manouel Ins & Fin Svcs Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Der Manouel Insurance Group .... HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P. O. Box 28906 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Fresno CA 93729-8906 Phone: 559-447-4600 Fax: 559-447-4586 INSURERS AFFORDING COVERAGE. NAIC # INSURED INSURER A: N. I . A. C INSURER B; Philadelphia insurance Cos. Eden COUIICII FOr Hope And Op ortunity INSURER C: 770 A Street 1000m 2O4 Ha ward CA 91541-3956 INSURER D: y INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY 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 INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD POLICY EXPIRATION DATE MMIDD LIMITS GENERAL LIABILITY EACH OCCURRENCE $ lOOOOOO A X X COMMERCIAL GENERAL LIABILITY 200801679NP0 10/28/08 10/28/09 PREMISES Eaoccurence $ 100000 CLAIMS MADE a OCCUR MED EXP (Any one person) $ 1 OOOO A X Emp Dishonest 50k 200701679NP0 10/28/08 10/28/09 PERSONAL&ADVINJURY $ lOOOOOO GENERAL AGGREGATE $ 2000000 GEN'LAGGREGATELIMITAPPLIESPER: PRODUCTS-COMP/OPAGG $2000000 POLICY PRO- LOC JECT AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT $ lOOOOOO ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) A X HIRED AUTOS 200801679NP0 10/28/08 lO/28/O9 gODILYINJURY A X NON-0WNEDAUTOS 200801679NP0 (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN ~ ACC $ AUTO ONLY: qGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR ~ CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND WC TATU- OTH- TORY LIMITS ER EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ OTHER B D & O Liability PHSD334100 07/01/08 07/01/09 Limit $1,000,000 Retention $2 500 DESCRIPTION OFOPERATIONS /LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS *10 day notice of cancellation will be issued for non-payment of premium* City of Dublin and its officers, employees, agents, and volunteers are named. additional insured. CERTIFICATE HOLDER CANCELLATION DUBLI-2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3O DAYS WRITTEN Community D@VelOpment Director NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL City of Dublin 1 OO CiViC Plata IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Dublin CA 94568 REPRESENTATIVES. AUTHORI ATIVE ACORD 25 (2001/08) ~/ ~ A~~1~~~1i 2PORATION 7988 Attachment E Attachment E POLICYHOLDER COPY STATE P.O. BOX 420$07, -SAN FRANCISCO,CA 94142-0807. COMPENSATION INSURANCE FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE: 08-05-2008 GROUP: POLICY NUMBER: 12 9 1 63 1-2008 CERTIFICATE ID: 160 - CERTIFICATE EXPIRES: 07-01-2009 07-01-2008/07-01-2009 CITY OF DUBLIN Ng COMMUNITY DEVELOPMENT DIRECTOR 100 CIVIC PLZ DUBLIN CA 94568-2658 This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated. This policy is not subject to cancellation by the Fund except upon 30 days advance written notice to the employer. We will also give you 30 days advance notice should this policy be cancelled prior to its normal expiration. This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policy listed herein. Notwithstanding any requirement, term or condition of any contract or .other document with respect to which this certificate of insurance may be issued or to which it may pertain, the insurance afforded by the policy described herein is subject to all the terms, exclusions, and conditions, of such policy. ~k~ THORIZED REPRESENTATI PRESIDENT EMPLOYER'S. LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE. ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 07-01-1992 IS ATTACHED TO AND FORMS A PART OF THIS .POLICY. EMPLOYER EDEN COUNCIL FOR HOPE & OPPORTUNITY PROGRAM (A NON-PROFIT CORP.) 770 A ST STE 201 HAYWARD CA 94541 [JS6,CS] (aev.2-o51 PRINTED 08-05-2008 a~ NB ,. nt&(i City of Dublin Fiseal 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: N/A Agency Division/Department: Project/Program Title: ProjectlProgram Role Description (i.e., facility space, staff support, etc.): Agency Project/Program Contact Person Title Phone Email I attest that the applicant agency and our organization agree to work collaboratively to implement the proposed projectlprogram as identified in the FY 2009-2010 funding application. Executive Director Date Project/Program Contact Person Date SECTION 2 Page 14 of 18 Attachment. H i ,.,. ' . i`' i` 'r', f,f i . . I }I AIA ~ ; 1 ~~x rry'}}Yep t' ~+js It Y i + 1 ~ ~ ~ gi~~~ ,t( + r i 4 y {x ~Zn r 4 It t , L !C t .+r n(~ ~~.v~ ..f Y i .y ,J ¢x{s~%r~~ttt~lti~t 1,. ~Y ~ ~~:. • vi. - i { ) ~ '(ts n ~ zr ~ Y p + i '; I 1 's ! ~ ~ r .~ Y ~ ~, ~ ~~iid i+ i ~ ~, ~ yL . ~ • r ~r~~~# ~f .t i7 f=~i], y ^•~ L ~ ~'~ ~riti~~~ i ~~~,~t-~(`L~i 4yr'~ p ~'~,~iry' r >r z=r ssy:e ~., ~F i i 'l t ~3x ?~+.._ °~~i. ~ f5 v~; I~~'~~ ~fi~ /... , e F ~ xk r t {.~ "~ f s .~{ -.'I ,~ ~x • e4i~ $~{.+ ~ ,I~, 3{~4~~d'~i+~7?t +4 '"-t~~r~~~~*~i`' 1~ rTJF t~~C~ ~ .f , ~ ty~m ~ * . ~rw .•.i'~ `'~`' as! ~ ~ i ~~v.l t a ,?~ v iy rirt i If~~ !~ {i ~ t U x'fP,u. c Y•s ~ ~ Yy. ~,. v >r ..: • , ~,H .• i s i .+ ~~~ ~, ii} Y. _ #j ~ •~ ;`J3t f~~r,7 .~y. _ C c-. .caw. .:~._w"' t ~:; ,i, Yl' - * '., `' `` ` 'i,{ ;: i"Ri'Nr i... ~ x .~_:.1 . :. c>i(tA ~ , ~ ,1r -J~.~.+~. .li ..t,eW }S~LU~. =r u~ r •1 :i +'sd a; 1~..*. . ,.... ~~'~ • :'LC '~ ii .~. .~~-~~ d";'+ ~'!`5;^. ,!'.vf •:~~~.: "~< ,., , : w ~ : ~. . ;.. ; Sr: ,' i :,t ~, i p{. ~~* tiJ r;w i ! ~ . . ~ r'. • 11r:1: ' . ~ tt~t : ~ ~ :" i :: ' : ~t~,~~11: • ~ . .I Et~-E~•~et: ~J If T~ 1 i'" , ia . . f ' : -T ~ ~ ~ ' S ' ~ : i ~ ~ ~ ' ";, ~`~ ' t! . . - Y [ s ~'J~'.r .S!!!, .°}~-1 ' ~ ~"I(~~: :. ;~ °'> ~ > 'I ~ ~~' ~i ' i ~ " '1 ._ - t, .. , _ .- t~:~t.~c~ { l ~ ~1~f. _~_~.~.J12 J~~k.~~ i , • 14,a . iT~~ ~: F . '•~r;' ?'.t:~t . liii ~~~. `." r}A.. .+:7- ,,a 4 it i'•~~ I n :~ {_~' . i~~ .'; ~ .:~ ' `~ 1~ ii .. t i'r_ i t i~~~ ~. .- ..~ .... . il~inl{IN ~~fi.'•INi 7 W~ ~ + ..., .,,~ ~-~._~ .... .. .r••s.. ': ,.pl. F-. .i a~:7.=s~.:: ,; • ,. , r , )1'Y'y.~1j ry ~y L4.'M"~L'7'~~I~ri1C•t.~I ~y~1~~~ / ~ L.+ r-.1 . ~•'uJ:~1T~"a..c ~i6:/~'~.. _':f:7T~;G:. 2~i.~Y~~ .+4~+~ ;~~ ,' _~~ tip: ~.:r~`u~ !~(~~ ,1~ ~w`.1l ~~~~-~: ~~ ~k~:i~~a!!,i U1tr~i~ ~~" !o -t~ STATE OF CALIFORNIA ": FRANCHISE TAX BOARD -°@' ~'°; . PO BOX 1286 ~`'' RANCHO CORDOVA, CA 95741-1286 Attachment H In Reply Refer To: 755'cam Date 02/13/2008 ENTITY STATUS EDEN COUNCIL FOR HOPE AND OPPORTUNITY 770 A ST HAYWARD CA 94541 Entity Name :EDEN COUNCIL FOR HOPE AND OPPORTUNITY Note: This letter does not reflect the entity's status -with any other agency. Entity Number :0495301 ® 1. The above entity is in good standing with this agency. ® 2. The above entity is currently exempt from tax under Revenue and Taxation Code Section 23701 d. ^ 3. Our records indicate the above entity is not incorporated, qualified, organized, or registered through the Secretary of State to transact business in California. ® 4. The above entity was incorporated, qualified, organized., or registered through the Secretary of State on 08/10/1965 . ^ 5. The above eritity has an unpaid liability of $ for account period(s) ending ^ 6. Our records do not show that the above entity filed returns for account period(s) ending ^ 7. The above entity was effective ^ 8. The above entity's current address on record with this agency is: ^ 9. We do not have current information about the above entity. Comments: ASSISTANCE Telephone assistance is available year-round from 7 a.m. until 8 p.m. Monday through Friday. From January through June, assistance is also available from 8 a.m. until 5 p.m. on Saturdays, We may modify these hours without notice to meet operational needs.. - Fromwithin the United States, call ................................. (800) 852-5711 From outside the United States, call (not toll-free) ............. (916) 845-6500 Website at: www.ftb.ca.gov . Assistance for person with disabilities: We comply with the Americans with Disabilities Act. Persons with hearing or speech impairments please call TTY/TDD (800) 822-6268. FTB 4263A ARCS (REV 09-2002) CITY OF DUBLIN COMMUNITY GROUP/ORGANIZATIONAL FUNDING REQUEST APPLICATION PACKET Fiscal Year 2009-2010 Section 2: Application for Community Group/Organizational Funding SECTION 2 Page 1 of 23 ~ ~ City of Dublin L~~~2/~1-~~C~ Board resident/Chairperson Fiscal Year 2009-2010 Application for Funds APPLICATION VERIFICATION I attest that the information contained in this FY 2009-2010 grant application is accurate and that the funds requested will not supplant any other monies secured by the organization. Attached is a resolution, letter, or other document providing evidence that the Board of Directors approved the application as submitted. Successful applicants are required to 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. Sign tore ' ~~ ~D Executi ' Di ector Date ~2 ~ ,moo g -~. Date SECTION 2 Page 13 of 18