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HomeMy WebLinkAbout13549 ORD - 01/05/1977jkh:1 -5 -77; 1st , AN ORDINANCE AUTHORIZING THE CITY MANAGER TO SUBMIT A GRANT APPLICA- TION FOR THIRD YEAR FUNDING OF THE RETIRED SENIOR VOLUNTEER PROGRAM (R.S.V.P.) TO THE ACTION AGENCY,.A SUBSTANTIAL COPY OF WHICH IS ATTACHED HERETO, MARKED EXHIBIT "A" AND MADE A PART HEREOF; AUTHORIZING THE CITY MANAGER TO EXECUTE ALL RELATED CONTRACTS AND OTHER NECESSARY DOCUMENTS IN ORDER TO IMPLEMENT THE AFORESAID PROGRAM; AND DECLARING AN EMERGENCY. BE IT ORDAINED BY THE CITY COUNCIL OF THE CITY OF CORPUS CHRISTI, TEXAS: SECTION 1. That the City Manager be and he is hereby authorized to submit a Grant Application for third year funding of the Retired Senior Volunteer Program (R.S.V.P.) to the ACTION Agency, all as more fully set forth in the Grant Application, a substantial' copy of which is attached hereto, marked Exhibit "A ", and made a part hereof. SECTION 2. That the City Manager be and he is hereby authorized to execute all related contracts and other necessary documents in order to implement the aforesaid program. SECTION 3. The necessity to authorize submission of the aforesaid Grant Application and to authorize execution of other necessary contracts and documents in order to implement the said program creates a public emergency and an imperative public necessity requiring the suspension of the Charter rule that no ordinance or resolution shall be passed finally on the date of its introduction but that such ordinance or resolution shall be read at three several meetings of the City Council, and the Mayor having declared such emergency and necessity to exist, having requested the suspen- sion of said Charter rule and that this ordinance be passed finally on the date of its introduction and take effect and be in full force and effect from and after its passage, IT IS ACCORDINGLY SO ORDAINED, this the day of January, 1977. ATTEST: Ci eS cre�arr• APP D: DAY OF JANUARY, 1977: J. BRUCE �L 0, .AYC00C.K, C � ATTORNEY By Assistant City ` ttorney MAYOR'S 1 THE CITY OF CORPUS CHRISTI, TEXAS 13549 kiCROFILMED . JUN 301980 OMB Approve) No.29 -00218 ' O u ¢ a i ¢ Z 2 w10. w t FEDERAL ASSISTANCE 1. TYPE OF ACTION ❑ PREAPPLICATION (Mark ay- propriafe ❑ APPLICATION NOTIFICATION OF INTENT IOpt.l bOZ) 8 REPORT OF FEDERAL ACTION 2. APPLI CANT'S APPLI- CATION a. Number 3, STATE APPLICA• TION !DENT!. FIER a. Number b. Data Year month day 19 77 , 4 1 b. Date Year month day Assigned 19 /,em,e flank 4, LEGAL. APPLICANT /RECIPIENT a. Applicant Name : RSVP • b. Organization Unit : REGION VI a, StraetR.O. Boa 'P.O. BOX 9277 NUECES d. City 'CORPUS CHRISTI e. county ' I. state TEXAS g. ZIP Code: 784O8 n, Contact Person (Name K12 4-5I 5 fclepAmreNo) • :512/8/8 54 -44508 8 5. FEDERAL EMPLOYER IDENTIFICATION ND. 0. a. Number I7 12 I . 10 10 2 I GRAM (F 01" Federal Catalog) b. Title RETIRED SENIOR VOLUNTEEF PROGRAM 7. TITLE AND DESCRIPTION OF APPLICANT'S PROJECT RETIRED SENIOR VOLUNTEER PROGRAM TYPE OF APPLICANT/RECIPIENT - A -State H- Community Action Agency B- Intenreta I -Higher Educational Institution C- Substate J- Indian Tribe District K -Other (Specify.). D -County E -Cny FSchool District G District Purpose Enter appropriate letter E Dncial .).TYPE OF ASSISTANCE A -Brio Grant 0-Insurance B- Supplemental Grant E -Other Enter appro. 0 C -Loan prlate lefter(8)I I A AREA OF PROJECT IMPACT (Name; of titles, counties, Staler, etc) NUECES COUNTY 11. ESTIMATED NUMBER OF PERSONS BENE. FITING 300 12, TYPE OF APPLICATION A -New C- Revision E- AUgnentation El D- Conamuedon Enter appropriate letter al 13. PROP05ED FUNDING 14. CONGRESSIONAL DISTRICTS OF: 15. TYPE OF CHANGE (For I2e or 12e) A- Increase Dollars F -Other (Specify /: a, Federal S 27, 808 .00 a. Applicant 14 b. Project 14 B- Decrease Dollars C- Increase Duration b. Applcant .W D- Decrease Duration E- Cancellatwn c. State ,00 16. PROJECT START DATE Year month day 1977 4 1 17. PROJECT DURATION 12 Months Enter appro. priafe letter(;,) I I B 14. d - Kcal 787 00 a. Other 00 18. ESTIMATED DATE TO Year month day BE SUBMITTED TO FEDERAL AGENCY 18. 1876 - 12- 15 19. EXISTING FEDERAL. IDENTIFICATION NUMBER f. TOTAL S 42,595 .00 20, FEDERAL AGENCY TO RECEIVE REQUEST (Name, Coy, Safe, ZIP Code) ACTION 212 N. Sam Paul Street Dallas, Texas 75201 21. REMARKS ADDED 0Y ° "° SECTION II- CERTIFICATIONI 22. THE APPLICANT CERTIFIES THAT D a. To the best of my knowledge and belief, data In this preapplieetion/oppbeation are and correct, the document has been duly authorized by tna governing body of the applicant and the assurances if wet comply with the 0,0004d anurencn if the assist. e ce is approved, b. If required by OMB Circular A'85 this application Wm submitted, pursuant to No instructions herein, to appropriate clearinghouses and all responses are attached: sponse 111 931 131 re- Response attached - 23. CERTIFYING REPRE• SENTATIVE 0. TYPED NAME AND TITLE R. MARVIN TOWNSEND CITY MANAGER b. SIGNATURE a DATE SIGNED Year month day 19 day SECTION III - FEDERAL AGENCY ACTION I 24 AGENCY NAME 25, APPLICA• Year month TION RECEIVED 19 26. ORGANIZATIONAL UNIT 27, ADMINISTRATIVE OFFICE 28 FEDERAL APPLICATION IDENTIFICATION 29. ADDRESS 30, FEDERAL GRANT IDENTIFICATION day 31. ACTION TAKEN ❑ e, Awarded ❑ b. Rejected ❑ 0. Returned For Amendment ❑ d. Deferred p a. Withdrawn 32. FUNDING. Year month day 34. Year month STARTING 0. Federal 5 ,O0 33, ACTION DATE (' 19 DATE 19 b. Applicant .W 35, CONTACT FOR ADDITIONAL INFORMATION (Name and telephone number) 36 Year month day ENDING 19 s DATE C. State d, Lccal .00 .00 37, REMARKS ADDED e. Other .00 El Yes ❑ No f. TOTAL 5 .00 38 FEDERAL AGENCY A 05 ACTION - --- e. In taking above etIon, any comments received f ore clearinghouses were con. sidered. If agency res0onse Is dun under provisions of Part 1, OMB Circular A-95, it has been On b ba'n9 mode. r i 1 b. FEDERAL L AGENCY A.95 5 OFFICIAL - _ _ _ _ _ , __ __. STANDARD FORM 424 PAGE 1 110.75) ATTEST: City Secretary APPROVED: *1 Assistant Cit Attorney GENERAL INSTRUCTIONS This is a multipurpose standard form. First, it will be used by applicants as a required facesheet for preapplications and applications submitted in accordance with Federal Management Circular 74-7. Second, it will be used by Federal agencies to report to Clearinghouses on major actions taken on applications reviewed by clearinghouses In accordance with OMB Circular A-95. Third, It will be used by Federal agencies to notify States of grants -In -aid awarded In accordance with Treasury Circular 1082. Fourth, it may be used, on an optional basis, as a notification of intent from applicants to clearinghouses, as an early initial notice that Federal assistance is to be applied for (clearinghouse procedures will govern). APPLICANT PROCEDURES FOR SECTION I Applicant will complete all items in Section I. If an item is not applicable, write "NA ". If additional space is needed, insert an asterisk " *", and use the remarks section on the back of the form. An explanation follows for each item: Item 1. Mark appropriate box. Pre - application and application guidance is In FMC 74.7 and Federal agency program instructions. Notification of intent guidance is in Circular A-95 and procedures from clearinghouse. Applicant will not use "Report of Federal Action" box. 2a. Applicant's own control number, if desired. 2b. Date Section I is prepared. 3a. Number assigned by State clearinghouse, or if delegated by State, by areawide clearinghouse. All requests to ,, Federal agencies must contain this identifier if the pro- gram is covered by Circular A-95 and required by applicable State /areawide clearinghouse procedures. If in doubt, consult your clearinghouse. 3b. Date applicant notified of clearinghouse identifier. 4a-4h. Legal name of applicant /recipient, name of primary organizational unit which will undertake the assistance activity, complete address of applicant, and name and telephone number of person who can provide further information about this request. 5. Employer identification number of applicant as assigned by Internal Revenue Service. 6a. Use Catalog of Federal Domestic Assistance number assigned to program under which assistance is requested. If more than one program (e.g., joint - funding) write "multiple" and explain in remarks; If unknown, cite Public Law or U.S. Code. 6b. Program title from Federal Catalog. Abbreviate if neces- sary. 7. Brief title and appropriate description of project. For notification of intent, continue in remarks section if necessary to convey proper description. 8. Mostly self - explanatory. "City" includes town, township or other municipality. 9. Check the type(s) of assistance requested. The definitions of the terms are: A. Basic Grant. An original request for Federal funds. This would not include any contribution provided undera supplemental grant. B. Supplemental Grant. A request to increase a basic grant in certain cases where the eligible applicant cannot supply the required matching share of the basic Federal program (e.g., grants awarded by the Appalachian Regional Commission to provide the applicant a snatching share). C. Loan. Self explanatory. Item D. Insurance. Self explanatory. E. Other. Explain on remarks page. 10. Governmental unit where significant and meaningful impact could be observed. List only largest unit or units affected, such as State, county, or city. If entire unit affected, list it rather than subunits. 11. Estimated number of persons directly benefiting from project. 12. Use appropriate code letter. Definitions ere: A. New. A submittal for the first time for a new project. B. Renewal. An extension for an additional funding/ budget period for a project having no projected completion date, but for which Federal support must be renewed each year. C. Revision. A modification to project nature or scope which may result In funding change (increase or decrease). D. Continuation. An extension for an additional funding/budget period for a project the agency ini- tially agreed to fund for a definite number of years. E. Augmentation. A requirement for additional funds for a project previously awarded funds in the same funding/budget period. Project nature and scope un- changed. 13. Amount requested or to be contributed during the first funding/budget period by each contributor. Value of in -kind contributions will be included. If the action is a change in dollar amount of an existing grant (a revision or augmentation), indicate only the amount of the change. For decreases enclose the amount in parentheses. If both basic and supplemental amounts are Included, breakout In remarks. For multiple program funding, use totals and show program breakouts in remarks. Item definitions: 13a, amount requested from Federal Government; 13b, amount applicant will contribute; 13c, amount from State, if applicant is not a State; 13d, amount from local government, if applicant is not a local government; 13e, amount from any other sources, explain in remarks. 14a. Self explanatory. 14b. The district(s) where most of actual work will be accomplished. If city-wide or State -wide, covering several districts, write "city- wide" or "State-wide." 16. Complete only for revisions (item 12c), or augmentations (item 12e). STANDARD FORM 424 PAGE 3 (10.75) !t ' • 16. Approximate date project expected to begin (usually associated with estimated date of availability of funding). 17. Estimated number of months to complete project after Federal funds are available. 18. Estimated date preapplication /application will be sub- mitted to Federal agency if this project requires clearing- house review. If review not required, this date would usually be same as date in item 2b. Item 19. Existing Federal'identification number if this is not a new request and directly relates to a previous Federal action. Otherwise write "NA ". 20. Indicate Federal agency to which this request is ad- dressed. Street address not required, but do use ZIP. • 21. Check appropriate box as to whether Section IV of form contains remarks and /or additional remarks are attached. APPLICANT PROCEDURES FOR SECTION 11 Applicants will always complete Items 23a, 23b, and 23c. If clearinghouse review is required, item 22b must be fully completed. An explanation follows for each item: Item 22b. List clearinghouses to which submitted and show in appropriate blocks the status of their responses. For more than three clearinghouses, continue in remarks section. All written comments submitted by or through clearing- houses must be attached. 23a, Name and title of authorized representative of legal applicant. Item 23b. Self explanatory. 23c. Self explanatory. Note: Applicant completes only Sections I and II. Section III is ' completed by Federal agencies. FEDERAL AGENCY PROCEDURES FOR SECTION III If applicant-supplied information in Sections I and II needs no updating or adjustment to fit the final Federal action, the Federal agency will complete Section III only. An explanation for each item follows: Item Item 24. Executive department or independent agency having 35, Name and telephone no. of agency person who can program administration responsibility. provide more Information regarding this assistance. 25. Self explanatory. 36. Date after which funds will no longer be available. 26. Primary organizational unit below department level 37, Check appropriate box as to whether Section IV of form having direct program management responsibility. contains Federal remarks and /or attachment of additional 27. Office directly monitoring the program, remarks. 28. Use to identify non -award actions where Federal grant identifier in item 30 is not applicable or will not suffice. 29. Complete address of administering office shown in item 26. 30. Use to identify award actions where different from Federal application identifier in item 28. 31. Self explanatory. Use remarks section to amplify where appropriate. 32. Amount to be contributed during the first funding/budget period by each contributor. Value of in -kind contribu- tions will be included. If the action is a change in dollar amount of an existing grant (a revision or augmentation), indicate only the amount of change. For decreases, enclose the amount in parentheses. If both basic and supplemental amounts are included, breakout in remarks. For multiple program funding, use totals and show program breakouts in remarks. Item definitions: 32a, amount awarded by Federal Government; 32b, amount applicant will contribute; 32c, amount from State, if applicant is not a State; 32d, amount from local govern- ment if applicant is not a local government; 32e, amount from any other sources, explain in remarks. 33. Date action was taken on this request. 34. Date funds will become available. 38, For use with A -95 action notices only. Name and telephone of person who can assure that appropriate A -95 action has been taken —If same as person shown in item 35, write "same ". If not applicable, write "NA ". Federal Agency Procedures — special considerations A. Treasury Circular 1082 compliance. Federal agency will assure proper completion of Sections I and III. If Section I is being completed by Federal agency, all applicable items must be filled in. Addresses of State Information Reception Agencies (SCI RA's) are provided by Treasury Department to each agency. This form replaces SF 240, which will no longer be used. B. OMB Circular A -95 compliance Federal agency will assure proper completion of Sections I, II, and III. This form is required for notifying all reweaving clearinghouses of major actions on all programs reviewed under A -95. Addresses of State and areewide clearinghouses are provided by 01/I8 to each agency. Substantive differences between applicant's request and /or clearinghouse recommendations, and the project as finally awarded will be explained in A-95 notifica- tions to clearinghouses. C Special note. In most, but not all States, the A -95 State clearinghouse and the ITC 1082) SCI RA are the same office. In such cases, the A -95 award notice to the State clearing- house will fulfill the TC 1082 award notice requirement to the State SCIRA. Duplicate notification should be avoided. STANDARD FORM 424 PAGE 4 (10.75) • � I Instructions for Page 6 PART 11 Negative answers will not require an explanation unless the Federal agency requests more information at a later date. Provide supplementary data for all "Yes' answers in the space provided in accordance with the following instruc• Lions. Item 1 — Provide the name of the governing body establish. ing the priority system and the priority rating assigned to this project. Item 2 — Provide the name of the a;lency or board which issued the clearance and attach the documentation of status or approval. Item 3 — Attach the clearinghouse comments for the eppli. cation in accordance with the instructions contained in 01. face of Management and Budget Circular No. A.95. 11 corn. ments were submitted previously with a preapplication, do not submit them again but any additional comments re. ceived from' the clearinghouse should be submitted with this application. Item 4 — Furnish the name of the approving agency and the approval date. Item 5 — Show whether the approved comprehensive plan is State, local or regioral, or if none of these, explain the Page 5 scope of the plan. Give the location where the approved plan is available for examination and state whether this project is in conformance with the plan. Item 6 —Show the population residing or working on the . Federal installation who will benefit from this protect. Item 7 — Show the percentage of the project work that will be conducted on federally-owned or leased land. Give the name of the Federal installation and its location. Item 8 — Describe briefly the possible beneficial and harm• ful impact on the environment of the proposed project. If an adverse environmental impact is anticipated, explain what action will be taken to minimize the impact. Federal agencies will prowda separate instructions if additional data is needed. Item 9 — State the number of individuals, familks, buss- nesses, or farms this project will displace. Federal agencies will provide separate instructions if additional data is needed. • Item 10 —Show the Federal Domestic Assistance Catalog number, the program 'flame, the type of assistance, the sta- tus and the amount of each project where there is related previous, pending or anticipated assistance, Use additional sheets. If needed. 000 No.00.00 toe PART II PROJECT APPROVAL INFORMATION Item 1. ■ Noma of Governing Body Does this assistance request require State, local, regional, or other priority rating? X Priority Rating Yes No hm 2. State, or local Does this assistance request require advisory, educational or health clearonces? Yes_ Name of Agency or Board R No (Attach Documentation) Item 3. Does this assistance request require clearinghouse review to accordance with OMB Circular A -95? Yes X No (Attach Comments) • Ite_4. Name of Approving Agency Governor's Committee on Does this assistance request require State, local, Nate itteR regional or other planning approval? X Yes No Item Is the proposed project covered by on approved comae. Check one: State o el L 1 hensive plan? Regional L] Yes X No Locotton of Plan Item 6. Will the assistance requested serve a FederYes X No Federal fPopulation sbenefiting from Project instal lotion? Item 7. Will the ossistonce requested be on Federal land or ame of Location Federol deInstnllod on Land Yes No Percent of Project Item Will the ossistonce requested have an impact or effect See instructions for additional information to b. on the environment? provided. Yes X No Item 9 Number of: Will the assistance requested cause the displacement Iidviduals n of tndividuols, families, businesses, or forms. Bus inesses Families Yes X No Farms Item 19. Is there other related assistance on this project previous, See instructions for additional information to be pending, or anticipated? provided. Yes X No Page 6 ONIB Approval No. 29-R0218 a 1 , G 2 o 11 2 u C E rn I FEDERAL ASSISTANCE 1. TYPE OF ACTION ❑ PREAPPLICATION Work urk aµ proprule ❑ APPLICATION NOTIFICATION OF INTENT (Opt.) Inn) B REPORT OF FEDERAL ACTION 2 CANT'S APPLI' CATION a. Number 3, STATE TPONCA IDENTI- FIER a, Number b. Dote Year month day i9 77 4 1 b. Dena Year month day Assigned 19 u I,eee Blank 4, LEGAL. APPLICANT /RECIPIENT a. Applicant Name :RSVP b Organization Unit 'REGION VI a, streeUP G, Boa 2 4. Cow ' CORPUS CHRISTI e• County : NUECES f. state a. ZIP Code: 78408 h, Conlon! Parson (Name KETTY TERCILLA s rehplloneN°) 512/854 -4508 6. FEDERAL EMPLOYER IDENTIFICATION NO. 6. 7 I2 I . IO I O I2 GRAM /F'O'" Federal Catalog) b. Title RETIRED SENIOR VOLUNTEES PROGRAM 7, TITLE AND DESCRIPTION OF APPLICANT'S PROJECT RETIRED SENIOR VOLUNTEER PROGRAM 8. TYPE OF APPLICANT /RECIPIENT - 13-Interstate MHigher Educational anal Insst tution 1 CSubstata J- Indian Tribe District K -Other (Spec: bp D- County - F-Se ool District G- Special Purpose District Enter appropriate letter E O. TYPE OF ASSISTANCE A -Basic Grant 0- Insurance 13-Supplemental Grant E -0Other Enterappro- C -Loan prrale letter(e)I I A 10. AREA OF PROJECT IMPACT (Names of tile+, 80681(28, Slater, etc) NUECES COUNTY 11, ESTIMATED NUMBER OF PERSONS BENS- FITING 300 12. TYPE OF APPLICATION A -New C- Revision E- Augrnantabon B- Renewal D -ContinuetIO rt Enter appropriate letter �1] 13. PROPOSED FUNDING 14, CONGRESSIONAL DISTRICTS OF: 15. TYPE OF CHANGE /For 12c or 120) A- Increase Dollen F Other (Specify): a- Federal $ 27, 808 ,90 a•APpl.. 14 b. Project 14 13-Decrease Donors oK`eaa Duration b. Applicant •00 0 E- Cancellation e. State ,00 16. PROJECT START DATE Year month day 1977 4 1 17. PROJECT DURATION 12 Months £nferappro- prune (011er(1 EJ d: Loral 14.787 .00 e. Other p0 18. ESTIMATED DATE TO Year month day , BE SUBMITTED TO FEDERAL AGENCY p, 1975 - 12- 15 19. EXISTING FEDERAL IDENTIFICATION NUMBER I. TOTAL S 42,595 .00 20. FEDERAL AGENCY TO RECEIVE REOUEST (Name, Cny, Stale, ZIP Code) ACTION 212 N. Sam Paul Street Dallas, Texas 75201 21. REMARKS ADDED 0Yer ON° SECTION II- CERTIFICATIONI 22, THE APPLICANT CERTIFIES THAT D e, To the best of my knowledge and brine!, data in this preepplleation /application are true and correct, the document has been duly authorized by the governing body of the applicant and the applicant will comply with the attached a surances ,I the estop ,ice Is approved. b. If required by OMB Copular A'95 thi, application was submitted, punuent to No ro instructions herein, to appropriate clearinghouses and alt responses are attached: sponse 0i l21 rJ (3) RM.., attached 8 23. CERTIFYING REPRE• SENTATIVE a. TYPED NAME AND TITLE R. MARVIN TOWNSEND CITY MANAGER b. SIGNATURE a DATE SIGNED Year month day 19 day SECTION III- FEDERAL AGENCY ACTION I 24. AGENCY NAME 25. APPLICA• Year month TION RECEIVED 19 20. ORGANIZATIONAL UNIT 27. ADMINISTRATIVE OFFICE 28. FEDERAL APPLICATION IDENTIFICATION 29. ADDRESS 30. FEDERAL GRANT IDENTIFICATION Year day 31. ACTION TAKEN ❑ a. Awarded ❑ b. Rejected El c, Returned For Amendment 0 a. Deferred ❑ Withdrawn 32. FUNDING Year month day ` 34. month STARTING 19 a. Federal 5 .00 33. ACTION DATE 19 Ir DATE b. Applicant Og 35. CONTACT FOR ADDITIONAL INFORMATION (Name and telephone number) 36. Year month day ENDING 19 DATE e. Seta d. Lmel .00 37. REMARKS ADDED e. Other .00 ❑ Yes 0 No f. TOTAL S .00 a. 30, FEDERAL AGENCY A-95 ACTION ----I e. In taking above anon, any comments received f om clearinghouses on' Primed. It agency response 1s due under provisions of Part 1, OMB Circular It has bee° °r is b..5.... _ __ _ -,_ b. (Name 606 and AGENCY ENo a Nos OFFICIAL f_ , _ _ ._ _ _ ------ -- ( 4 1 STANDARD FORM 474 PAGE 1 110 -751 ...t...r • r . 'L. ..� 2 "A r ATTEST: _t } 1 .__ _ AP ROVED: City Secretary XJl,J h Assist nt City Attorney OMB NO. 80-90186 PART III — BUDGET INFORMATION Grant Program, Function Or Activity lal t. RSVP 2. 3. 4. 5. TOTALS Federal Catalog No. - (bl 72,002 SECTION A — BUDGET SUMMARY Estimated Unobligated Funds Federal k1 s 4,678 $ s $ Non- Federd (d( • Federal fel s 27,808 s New or Revised Budget Non•Federal (11 $ 14,787 $ Total (8) s 42,595 s- • SECTION B — BUDGET CATEGORIES (see -Page 88) 6. Object Class Categories CO a. Personnel b. Fringe Benfits c. Travel d. Equipment e. Supplies f. Contractual Services g. Construction h. Other 1. Total Direct Charges j. Indirect Charges k. TOTALS 7. Program Income — Grant Program, Function or Activity , 6.10::, .6, J.:011Z Ai Aote' Aa /..,A / / / / / / % / /. % / % / / / / / % / % % / / / / / / / //. // / / ///%,% %A A 41 A AV ///////////i//////////i////// / / / / /i / / / / / / / / /�Ai / /� / /� / / / / /// ///////// / / / / / / /r / / / / / / / / / / /i / / / / /// / / / / /// / / Are / . ' re / /// / / / / / / // . // / / / / / / / r / / / / / / / / /// / i / / / / //// / / / / ri INSTRUCTIONS tOR PART III, SECTION B' General Instructions Grant applicants are to complete Page Bain lieu of Section B, Part III, PageB, of the application. A detailed narrative, identifying fully and justifying each line item and cost Included in the budget, must accompany Page 8B. 1. Schedule of Volunteer Support Expenses For Budget Period Shown In Item 14, Page 1 on Application: A. GRANTEE PERSONNEL EXPENSES. (Persons currently employed or to be employed by applicant organization). List by title each individual or the staff whose salary is to be paid by any project funds (Federal or non - Federal). List the individual's total annual salary, the percentage of time or effort to be spent on the project, the total cost of the individual's work assignable to the project, and the dollar amounts of Federal and non - Federal funds requested for each individual's salary. Be certain to list any staff member who will serve without any form of compensation or salary. B List the Fringe Benefit and Total Cost dollars in ratio to the percentage of time spent on the project. C. GRANTEE STAFF TRAVEL EXPENSES. This item Is may for staff as listed under Grantee Personnel in A above. Any travel in this item must be for the purpose of supporting grant activities es described in the application. Any anticipated travel away from the project site should be explained in full, along with cost calculation. D. EQUIPMENT. Attach Itemized list. E. Self Explanatory. F. CONTRACTUAL SERVICES. Includes consultants and train- ing cost. G. OTHER VOLUNTEER SUPPORT EXPENSES. List other line items and costs, showing Federal and Non•Fedeml breakdown. 2. Schedule of Volunteer Expanses: - A. VOLUNTEER PERSONNEL EXPENSES. List Stipends and allowances that are paid directly to volunteers. • B. FRINGE BENEFITS. List the Fringe Benefits such as Volunteer Meals, Insurance, FICA, Uniforms, Physical Exams, Recognition, etc. C. TRAVEL. List all volunteer transportation cost including the cost of vehicles, leased or purchased, insurance end maintenance cost. Attach Itemized list. • D. EQUIPMENT. Attach itemized list. E. Self Explanatory. F. Self Explanatory. G. OTHER VOLUNTEER EXPENSES. List other volunteer line items and cost, 3. Percentage: A. FEDERAL. Calculate the percentage of the Federal share by dividing the total budget (i.e. Federal and non - Federal share combined/ into the dollar amount of the Federal portion. B. NONFEDERAL. Calculate the percentage of the non. Federal share by dividing the total budget li e. Federal and non•Federal) into the dollar amount of the non•Federal portion. 4. Volunteer Strength: Enter the estimate of total number of Volunteer manhours expected to be spent on program activities for each quarter. Enter the budgeted total number of volunteers for budget period. • Page 8A PART III - SECTION B, ' . 1. VOLUNTEER SUPPORT EXPENSES A. GRANTEE PERSONNEL EXPENSES Title 111 Annual Salary (2) % T i,ne Spent on Project 131 Total Cost (41 F adore! Funds Requested 151 Non Fade, el Resources Project Director Senior Clerk Typist Bus Operator Bus Operator $11,112 7,524 3,762 3,366 100 100 50 50 11;112 7,524 3,762 3,366 $7,402 5,014 2,505 3,710 2,510 1,257 3,366 TOTAL PERSONNEL EXPENSES $ 25,764 % s25,764 $14,921 $ 10,843 B. FRINGE BENEFITS 3.340 480 3.135 480 205 C. -111 GRANTEE STAFF LOCAL TRAVEL C. (21 GRANTEE STAFF LONG DISTANCE TRAVEL 695 695 D. EQUIPMENT 163 100 63 E SUPPLIES 312 312 F. CONTRACTUAL SERVICE G. OTHER: 'ea-at-age 480 480 Communications 504 504 Printing 600 600 Space 92 92 TOTAL VOLUNTEER SUPPORT EXPENSES 32,430 20,243 12,187 2. VOLUNTEER EXPENSES A. PERSONNEL EXPENSES Stipends Living Allowance End of Service Allowance Food and Lodging Allowance B. FRINGE BENEFITS Meals 3,125 1,875 1,250 FICA Uniforms 200 200 Insurance 790 790 Other: 3750 C TRAVEL 3.7550 D. EQUIPMENT Fuel & Lubricant (Bus) 500 500 E. SUPPLIES F. CONTRACTUAL SERVICE G. OTHER Recognition 1,500 300 450 1,050 300 Vr,lunreer Orientation TOTAL VOLUNTEER EXPENSES 10,165 42,595 7,565 27,808 2,600 14,787 TOTAL DIRECT COSTS: (Add l t6 21 TOTAL INDIRECT COSTS• AS, page .1) TOTAL COSTS 12,595 loo %100 27,808 6%'A % 14,787 34 79 )u 3. PERCENTAGE 4. VOLUNTEER STRENGTFI: Estimated Volunteer manhours 1st Budgeted number of Volunteers: • qtr 13,000 205 qtr 14,000 3rd qtr 15,000 4th ql, 16,000 a Mar edmnns of Mist nn are obsolete and will not be used.) Papo 88 • 1. VOLUNTEER SUPPORT EXPENSES FEDERAL NON- FEDERAL TOTAL A. GRANTEE PERSONNEL EXPENSES ` 1 - Project Director 7,402 3,710 11,112 1 - Senior Clerk Typist 5,014 2,510 7,524 1 - Bus Operator (50 %) 2,505 1,257 3,762 1 - Bus Operator (50 %) 3,366 3,366 City has a wage scale based on length of employment and their salaries are consistent with those policies. B. FRINGE FENEFITS 1. FICA - 5.85% Project Director ' 650 650 Senior Clerk Typist 440 440 Bus Operator 220 220 Bus Operator 197 197 2. TMRS - 7.47% Project Director 830 830 Senior Clerk Typist 562 562 3. HOSPITALIZATION /LIFE INSURANCE Project Director 196 196 Senior Clerk Typist 196 196 j 4. WORKMAN'S COMPENSATION Project Director 0.168% 19 19 Senior Clerk Typist 0.168% 13 13 Bus Operator 2.35% 9 9 Bus Operator 2.35% 8 8 sc C. GRANTEE STAFF TRAVEL FEDERAL NON- FEDERAL TOTAL 1: RSVP Director averaging 201 to 300 miles per month. City reimbursement rate schedule is $40 per mileage between 201 to 300 480 480 2. RSVP state and region conferences and training seminars, 2 state conferences 8 days /year x $40 /day 320 320 3. Transportation to and from these meetings: Air Fare to Dallas 110 110 Car fare to Austin (500) 75 75 Air fare to New Orleans 150 150 Misc. travel expense 40 40 D. EQUIPMENT USAGE AND MAINTENANCE 1. Equipment maintenance Typewriter and calculator 100 100 2. These items of equipment are owned by the grantee and loaned to RSVP for its use: Typewriter (400) Calculator (150) Two desk (300) One executive chair (75) 925 x 6 2/3% 63 63 E. OFFICE SUPPLIES Estimated requirements for office supplies sere based on $125 per staff employees, so the cost was computed at: 211 x $125 312 312 F. CONTRACTUAL SERVICE - NONE G. OTHERS 1. Space costs. 120 sq. /feet 92 92 maintenance, utilities and operational cost 2. Communications Two units ' 504 504 3. Printing and Publications Monthly newspaper 600 600 4. Postage Newspaper, birthday, sick cards $40 /month x 12 months 480 480 8D 2. VOLUNTEER EXPENSES FEDERAL NON- FEDERAL TOTAL A. PERSONNEL EXPENSES - NONE B. FRINGE BENEFITS 1. 30 volunteers /week requiring meals x $1.25 meals x 50 weeks - meals 1,875 1,875 purchased by volunteers and reimbursed 2. Senior Community Service will provide 20 volunteers /wk x $1.25 per meal x 50 wks. 1,250 1,250 3. Uniforms - Volunteers are required to wear uniform at all hospitals. Approximate cost per uniform is $10 x 20 volunteers 200 200 4. Insurance Accident $0.65 x 300 volunteers 195 195 Liability 0.65 x 300 volunteers 195 195 Excessive Auto Liability $2.00x200 400 400 C. TRAVEL City has a choice of a city scale for mileage or staight 15e per mile. Riembursement for 25 volunteer /week x.150 per mile x 20 miles RT (average) 50 weeks 3,750 D. EQUIPMENT 3,750 Buses are used for transportation of volunteers as needed. Fuel and lubricant ' 500 500 E. SUPPLIES - NONE F. CONTRACTUAL SERVICE - NONE ' G. OTHERS 1. Recognition - $5.00 x'300 450 1,050 1,500 2. Recruitment - $1.00 x 300 300 300 FEDERAL - 27,808 NON- FEDERAL - 14,787 TOTAL COST - 42,595 SE FEDERAL - 65.28% NON- FEDERAL - 34.72% TOTAL COST - 100% Instructions for Page41.0,except Part IV PART 111 (continued) • Section C. Source of Non - Federal Resources Line 8.11 - Enter amounts of non - Federal resources that will ; be used on the grant. If in-kind contributions are included, provide a brief explanation on a separate sheet. (See Attach. ment F, Office of Management and Budget Circular No. ' A -102.) Column (a) - Enter the program titles identical to Column la), Section A. A breakdown by function or activity is not necessary. Column (b) - Enter the amount of cash and m•kind con• tribuuons to be made by the applicant as shown )n Section A. (See also Attachment F, Office of Management and Budget Circular No. A•102.( Column (c) - Enter the State contribution if the applicant • is not a State or State agency. Applicants which are a State or State agencies should leave this column blank. Column (d) - Enter the amount of cash and in•kind con• tributions to be made from all other sources. Column (e) - Enter totals of Columns lb), (c), and (d). - Line 12 - Enter the total for each of Columns (b) -(e). The • amount in Column (e) should be equal to the amount on Line 5, Column Ifl, Section A. 1 • Section D. Forecasted Cash Needs Line 13 - Enter the amount of cash needed by quarter from the grantor agency during the first year. Line 14 - Enter the amount of cash from all other sources needed by quarter during the first year. Line 15 - Enter the totals of amounts on Lines 13 and 14 • Section E. Budget Estimates of Federal Funds Needed for Balance of the Project Lines 16.19 - Enter in Column (a) the same grant program titles shown in Column (a), Section A. A breakdown by func- tion or activity a not necessary. For new applications and continuing grant applications, enter in the proper columns amounts of Federal funds which will be needed to complete the program or project over the succeeding funding periods (usually in years). This Section need not be completed for amendments, changes, or supplements to funds for the current year of existing grants. If more than four lines are needed to list the program titles submit additional schedules as necessary. Line 20 - Enter the total fur each of the Columns (b) -(e). When additional schedules are prepared for this Section, an• notate accordingly and show the overall totals on this brie. Section F - Other Byiget Information. Line 21 - Use this space to explain amounts for individual direct object cost categories that may appear to be out of the _ordinary or to explain the details as required by the Federal grantor agency. Line 22 - Enter the type of indirect rate (provisional, prede- termined, final or fixed) that will be in effect during the fund- ing period, the estimated amount of the base to which the rate is applied, and the total indirect expense. • - - Line 23 - Provide any other explanations required herein or any other comments deemed necessary. 1. 1 Supplement to Lines 22 and 23 - 22. INDIRECT COST EXPENSES Unless the applicant organization has a current negotiated in- direct cost agreement with a Federal agency, the applicant is not eligible to request an allowance for indirect cost. If in- direct costs are requested, enter the information in the space provided and attach a copy of the latest negotiated agreement with a Federal agency. Fill in the total amount of indirect cost. S &W means salaries, wages and other related labor costs of the applicant organization only. TADC means total allow- able direct costs. 23. REMARKS: Complete a, b, and c. Page 9 .,,,, •••,., „--- ._- -„ r.-, n •••, -...• - x.-•e. ro 0 R 0 SECTION C — NON- FEDERAL RESOURCES (a)Grar. Pryor (S) APPLICANT :a1 STATE (4) OTHER SOURCES (.1 TOTALS s s14 787 s s 14 787 t. (0. 11. 11. TOTALS 114787 s $ 14,787 SECTION D — FORECASTED CASH NEEDS 13. Federal Tn.( f ex 1.. Year 1.. Ovamr 2nd Duarte/ 1e/ O...,., hh Orate. S S S S S 14. NonF.d.ral 15. TOTAL S S $ S S SECTION E — BUDGET ESTIMATES OF FEDERAL FUNDS NEEDED FCR BALANCE OF THE PROJECT (s) Gram Program FUTURE FUNDING PERIODS (YEARSI 0.) FIRST (a) SECOND (4) THIRD (.) FOURTH 16. RSVP 1 32,000 $ 33,000 1 34,000 n. IS. 11. 20. TOTALS 1 32,000 s 33,000' s 34.000 $ SECTION F — OTHER BUDGET INFORMATION (A".,S .ddRlonal Sheet. N N. ..r,) 21. Dlr..rCfwa.., 42,595 22. I,4..,Ch..O.., a. Indirect rate type: Q Provisional Q Predetermined 0 Final Or Fixed b. Attach current negotiated agreement with name of Federal agency and date: c. Based on QS &W QTADC Base: $ Rate: % n• "•"''•' a. Total Project Cost (Item 21 plus Item 22) 42,595 b. Percentage of nor: - Federal resources to total project cost 34.72 %, c. Other Remarks ;attW.addit`onal pages were necessary). PART IV PROGRAM NARRATIVE (Attach per instruction) Instructions for Part IV, Pagel() • PART IV PROGRAM NARRATIVE Prepare the program narrative statement in accordance with the following instructions for all new grant programs. Re- quests for continuation or refunding the changes on an ap- proved protect should respond to item 5b only. Requests lor supplemental assistance should respond to question 5c only. 1. OBJECTIVES AND NEED FOR THIS ASSISTANCE. Pinpoint any relevant physical. economic, social, financial, institutional, or other problems requiring a solution. Dem- onstrate the need for assistance and state the principal and subordinate objectives of the project. Supporting documen- tation or other testimonies from concerned interests other than the applicant may be used. Any relevant data based on planning studies should be included or footnoted. 2. RESULTS OR BENEFITS EXPECTED. Identify results and benefits to be derived. For example, when applying for a grant to establish a neighborhood health center provide a description of who will occupy the lacdity, how the facility will be used, and how the facility will benefit the general public. 3. APPROACH. a. Outline a plan of action pertaining to the scope and detail of how the proposed work will be accom- plished lot grant program, function or activity, provided at the budget. Cite factors which might ac- eulelate or decelerate the work and you' reason for taking this approach as opposed to others. Describe any unusual features at the project such as design or technological innovations, reductions in cost or time, or ext'aordinary social and community involvement. I). P'ovide for each giant program, function or activity, quantitative monthly or quarterly projections of the accomplishments to be achieved in such terms as the number of jobs created; the number of people served; and the number of patients treated. When accom- plishments cannot he quantified by activity or func- tion, list them in chronological order to show the sclirdule of accomplishments and their target dates. c. Identify the kinds of data to be collected and main - tamed and discuss the criteria to be used to evaluate the results and successes of the project. Explain the methodology that will be used to determine if the needs identified and discussed are being met and if the results and benefits identified in item 2 are being achieved. d. List organizations, cooperators, consultants, or other key individuals who will work on the project along with a short description of the nature of theer effort or contribution. 4. GEORGRAPHIC LOCATION. Give a precise location of the project or area to be served by the proposed project. Maps or other graphic aids may be ' attached 5. IF APPLICABLE, PROVIDE THE FOLLOWING IN- ' FORMATION: a. For research or demonstration assistance requests, present a biographical sketch of the program director with the following information; name, address, phone number, background, and other qualifying experience for the project. Also. list the name, training and back- ground for other key personnel engaged in the project. b. Discuss accomplishments to date and list in chrono- logical order a schedule of accomplishments, progress or milestones anticipated with the new funding re- quest. If there have been significant changes in the project objectives, location approach. or tine delays, explain and justify. Forsother requests for changes or amendments, explain the reason for the chancels). If the scope or objectives have changed or an extension of time is necessary, explain the circumstances and justify. I( the total budget has been exceeded, or if individual budget items have changed more than the prescribed limits contained in Attachment K to Office of Management and Budget Circular No. A -102. explain and justify the change and its effect on the project. c. For supplemental assistance requests, explain the rea- son for the request and justify the need for addi- tional funding. 6. SEE APPLICABLE ACTION PROGRAM GUIDELINES FOR PREPARING NARRATE STATEMENT. Page 11 Or PART V ASSURANCES The Applicant hereby assures and certifies that he will comply with the regulations. policies, guidelines, and requirements Including OMB Circulars Nos. A•21, A -87, A.95, and A -102, as they relate to the application, acceptance and use of Federal hinds for this Federally assisted project. Also the Applicant assures and certifies with respect to the grant that: • 1. 11 possesses legal authority to apply for the grant; that a resolution, motion or similar action has been duly adopted ur passed as at official act of the applicant's governing body, authorizing the tiling of the application, including all understandings and assurances contained therein, and directing and authorizing the person identi• fled as the of hcial representative of the applicant to act in connection with the application and to provide such additional information as may be required. 2. It will c°nlply with Title VI of the Civil Rights Act of 1964 (P.L. 88.3521 and in accordance with Title VI of that Act, no person in the United States shall, on the ground of race, color, or national origin, be excluded from participation in, be denied the benefits of, or be °then wise subjected to discrimination under any pro - ream or activity for which the applicant receives Federal financial assistance and will immediately take any mew su1es nicessary to effectuate this agreement. 3. it will comply with Title VI of the Civil Rights Act of 1964 142 USC 2000c1) Prohibiting employment discrimi nation whine (1) the primary purpose of a grant' is to provide employment or (2) discriminatory employment ',.111 ces volt sasult in unequal treatment of persons wtso me or should be benefiting from the grant-aided activity. 4. It will comply with requirements of the provisions of the Uniform Relocation Assistance and Real Prnperty Ac -' quisitinns Act of 1970 IPA.. 91 6461 which provides for fair and equitable treatment of persons displaced as a result of Federal and federally assisted programs. - 1 5. It will comply with the provisions of the Hatch Act which limit the policial activity of employees 6. It will comply with, the minimum wage and maximum hours °visions of the Federal Fair Labor Standards Act, as they apply to hospital and educational institu- tion employees of State and local governments. 7. It will establish safeguards to prohibit employees from using their positions tor purpose that is nn gives the appearance of being motivated by a desire for private gain for themselves or others, particIilarly those with whom they have family, business, or other ties. 8. 11 will give the grantor agency or the Comptroller Gen- eral through any authorized representative the access to and the right to examine all records, hooks, papers, or documents related to the grant. 9. It will comply with all requirements imposed by the Federal grantor agency concerning special requuements of law, program requirements, and other administrative requucmonis approved in accordance with Of lice of Management and Budget Circular No. A -102. • ' Page 12 GPO 000.130 re OMB NO: • 116 -R0288 Expires: 1/31/77 PROJECT NARRATIVE ACTION Form A.666 (R.. 10/74) 1 • Tld V PROJECT NARRATIVE isia common proposal form for AC.TION's domestic programs. If you are applying • for' ,I grant from ACTION, you must also i:omplete.the APPLICATION FOR FED €RAL ASSISTANCE, ACTION Form A 263, This ACTION PROJECT NARRATIVE is then submitted along with the ACTION Form A -263 in lieu of Part IV of Form A 263. If you are not applying fora federal grant from ACTION, but are requesting only full -time Volunteers under the VISTA or ACTION Cooperative Volunteer programs, you are not required to complete the ACTION Form A -263 and this form then constitutes your total application. Struoture of PROJECT NARRATIVE a Pages 3 through 10 of this form request information which all applicant organizations must supply if applying for assistance from ACTION in the form of a grant or full -time Volunteers, Pages 11 through 16 request information which has relevance to particular ACTION programs only. You should complete only those pages or attachments which are appropriate to the type of assistance you are requesting You may request assistance from more than one ACTION program on a single application by completing the general section and the attachments which apply to the various programs The following chart summarizes which forms, pages and attachments are required for each of ACTION's domestic programs. ACTION PROGRAM ACTION Form A -263 ACTION PROJECT NARRATIVE ACTION Cooperative Volunteers Foster Grandparent Program Retired Senior Volunteer Program • Senior Companion Program SCORE /ACE University Year for ACTION VISTA Volunteers Not Required Required Required Required Not Required Required Not Required Pages 3.10 /Attachment A Pages 3.10 /Attachment B Pages 3.10 /Attachment B Pages 3.10 /Attachment B Pages 3.10 Not Required /Attachment E Pages 3.10 /Attachment C.D Pages 3 -10 /Attachment A GENERAL INSTRUCTIONS Complete the ACTION PROJECT NARRATIVE carefully. Your completed project narrative is your presentation to the people who will review your project's potential. Answer each question completely, but be brief and concise. Unnecessarily long or elaborate responses will not enhance the prospects of approval and may in fact detract from the truly significant aspects of your proposal. If you need additional space to answer a particular question, attach extra sheets of paper, being sure to identify the number of the question you are answering. All answers should be typewritten if possible. Otherwise, print clearly using dark ink. Specific instructions for items subject to different interpretations are provided opposite the page to be completed. SPECIFIC INSTRUCTIONS FOR PAGE 3 Item 1 — Enter the descriptive name of the proposed project if different from the name of the applicant organization. Item 2 - Enter the name of the applicant organization, the name of the primary organizational unit which will undertake the project. Item 6 — Enter the dates of the proposed project period from when ACTION assistance will begin until the date that assistance will be totally withdrawn. Item 8 — Check the block or blocks along side of the particular ACTION program from which assistance is being requested. 2 ACTION PROJECT NARRATIVE IDe Not Write In ThisSpace) Project No SECTION 1. BASIC INFORMATION (Items 1 throng 7 appltca VISTA and ACV on to 1. Title of Project 2. Applicant Organization (Name and Address — Street, City, State and Zip Code) CITY OF CORPUS CHRISTI P.0. BOX 9277 CORPUS CHRISTI, TX 14th NUECES 78408 Congressional District No. • County or Area 512 854 -4508 Area Code Telephone No. 3. Name and Title of Principal Executive Officer: (Address— Street, City, State and Zip Code) R. MARVIN TOWNSEND CITY MANAGER CORPUS CHRISTI, TEXAS 4. Project Director (Name, Title and Address— Street, City State and Zip Code) HOMER T. MARTINEZ, JR., DIRECTOR SENIOR COMMUNITY SERVICES P.O. BOX 9277 CORPUS CHRISTI, TEXAS 78408 5. Name, Title and Address of Person Primarily Responsible for Preparing Proposal KETTY TERCILLA — RSVP DIRECTOR P.O. BOX 9277 CORPUS CHRISTI, TX 78408 512 854 -4508 Area Code Telephone No. 6. Oates of Project Period: From 4/1/77 Thru 3/31/78 7. Type of Organization (Check Applicable Block) (J County ❑ Federal a City/Town ❑ Tribal Council ❑ State ❑ Private Non.Profit• '(Submit Proof of Status. i.e., IRS Certification and /or State Approved Charter) ❑ Other (SPECIFY) 8. Type of ACTION Assistance Requested (Check Applic• able Block(sl) ❑ ACTION Cooperative Volunteers (ACV) ❑ Foster Grandparent Program Grant (FGP) a Retired Senior Volunteer Program Grant (RSVP) ❑ Senior Companion Program Grant (SCP) ❑ SCORE /ACE Technical Assistance ❑ University Year for ACTION Grant (UYA) ❑ VISTA Volunteers (VISTA) ❑ Other (SPECIFY) TERMS AND CONDITIONS. The undersigned accept the obligation to comply with statutes and regulations, policies and the terms and conditions pertinent to this program(s) in effect at the time of the award. The undersigned further agree to comply with Title VI of the Civil Rights Act of 1964 (PL 88352). The undersigned also certify that they have no commitments or obligations inconsistent with compliance with the above. The undersigned further certifies that the filing of this application has been duly authorized by the governing body of the undersigned. SIGNATURES: (Ink Signatures Required) A. Signature of Principle Executive Offices R. Marvin Townsend, City Manager 12/20/76 Date B. Signature of Project Director Home T. Martinez, SCS Director 3 Date 12/20/76 INSTRUCTIONS FOR PAGE 5 • • SECTION II This section is designed to nerinit you to describe your proposed plan to use ACTION resources to correct the local problems you identify. For each problem you identify, you must complete a separate SECTION II, Project Plan, Additional copies of SECTION 11 have been printed indeuendently and are available upon request from the ACTION Regional Office. In the space in the upper righthanrl corner, number consecutively each problem you have identified. . ITEM 1 Briefly state the specific problem you wish to address. A problem is an unsatisfactory situation your organization wishes to change. Words such as "education" or "health" are not problems in this case because they do not describe a situation that needs to be changed. On the other hand, students from a specified population who read an average of two years below the national average does describe a situation you may plan to change. ITEM 2 This section offers you an opportunity to expand upon the problem. It should indicate.the location and boundaries of the area to be served, demographic information on the community ano the recipients of the service, and other factors which clarify the problem. ADDITIONAL INSTRUCTIONS FOR ORGANIZATIONS APPLYING FOR FGP, RSVP OR SCP GRANTS For each of the Older Americans programs the primary problem to be addressed has been identified by the legislation in terms of the needs of the older persons serving as volunteers. In this part of the narrative, identify the local circumstances and conditions which will be addressed and improved by the proposed project. ADDITIONAL INSTRUCTIONS FOR ORGANIZATIONS APPLYING FOR UVA Each participating agency must complete a Section II for each problem which will be addressed by UYA Volunteers. These Section 11's should accompany both the planning and operational grants. . . 1 4 t �w m No. SECTIONll PROJECT PLAN (Do Not Wrote In This Space) Protect No. PART A. PROBLEM IDENTIFICATION AND ANALYSIS t. State the specific prohlem your proposed project will address using ACTION resources. Ouanttllable, measurable terms should be used. The continuing need of older persons to find meaningful activities which can keep them part of the community while allowing them to use their experience and capabilities is the problem which this project will address using ACTION resources. During the year, a minumum of 300 retired persons (or persons 60 or over) will be helped to provide volunteer services for 30 or more volunteer stations (in community service agencies)., All activities will be designed to meet the standards of the Retired Senior Volunteer Program. 2. Fully describe the problem by providing additional information (including statistics) that supports and clarifies the problem statement. According to the most recent estimates, over 20,000 persons 60 or older live in Corpus Christi. While 8,000 of=tiese senior citizens are below poverty level, only 21.1% of the total 20,000 are employed (either part - time or full time). The remaining 79.91 have an equal need for meaning- ful involvement in the community. It is this large number of unemployed elderly from whom the RSVP will seek its participants. The need to be involved is not limited to any one ethnic group. Thus, opportunities for involvement should be provided for all segments of the older community.' (The ethnic breakdown among the elderly is 60% Anglo 3. 0eseibe the mayor causes of the problem. 35% Spanish- speaking, and 5% Black.) Our society emphasizes youth and encourages early retirement, with few efforts to see that older persons continue to find ways to stay part of the mainstream of society. As the number of older persons has increased and as the job market has tightened, the pool of active and capable older persons has grown larger and larger. At the same time, because of reduced budgets, many agencies have had to cut down the amount of services they can provide or have been unable to expand services to meet rising demands. These two factors combine to create the problem and point to the solution. 4. Describe the major consequences of the problem. When older persons cannot find meaningful ways to be part of society, they tend to withdraw into themselves; their health and their mental/ emotional condition tend to deteriorate more rapidly than would be caused by normal aging processes. When agencies are forced to reduce services because of funding cutbacks or rising costs, individuals in the community cannot receive services they need. Both these consequences can be addressed, at least in part, 5 by the RSVP program. - SPECIFIC INSTRUCTIONS FOR PAGE•7 • • PART B. GOALS AND OBJECTIVES List the goals and objectives of your proposed project that address the problem identified in PART A. Goals are the key or principle results expected of the project They,should state the actual major changes in the problem that the project will attempt to produce and are generally long term in nature. Below each goal state the principal and subordinate objectives in measurable terms which together will lead to the accomplishment of that goal. Estimate the time on a weekly, monthly or quarterly basis by which each goal and objective will be accomplished in the second column of the chart. The third column will be used to monitor your actual achievement and should be left blank at this time. The goals and objectives should be written according to the following format: Goal: To establish in Prince George's County a cooperative with a membership of 150 low income farmers. • Principal Objective: To have held the first organizational meeting of the cooperative with 50 of the 250 low•income farmers in Prince George's County in attendance. , Subordinate Objective: To have advertised the meeting through newspaper and radio. Principal Objective: To have contacted 50 potential buyers in the Baltimore area and have secured tentative commitments to buy from Co op from 10 of them. ADDITIONAL INSTRUCTIONS FOR ORGANIZATION APPLYING FOR FGP, RSVP OR SCP GRANTS When stating objectives for these programs, be sure to specify the following on a quarterly basis for the first year of operation and on an annual basis for each subsequent year of the project period. • i — Recruitment of Volunteers — Number of Volunteers — Number of hours of service — Number of Volunteer stations or volunteer assignments — Development of volunteer stations — Number of hours of orientation and in•service training • — Number of children to be served for FGP — Number of adults to be served for SCP • • 6 Prottem No. WORK PLAN PLANNED PERIOD GOALS AND OBJECTIVES OF ACCOMPLISHMENT ACTUAL ACCOMPLISHMENT - To have 13,000 accumulated service hrs. By June 30, 1977 To have 150 active volunteers To increase to a minimum of 25 volunteer stations ' To have 27,000 accumulated service hrs. By Sept. 30, 1977 To have 200 active volunteers To increase to a minimum of 30 volunteer stations To have 42,000 accumulated service hrs. By Dec. 31, 1977 To have 250 active volunteers To increase to a minimum of 35 volunteer stations ' V To have 58000 accumulated service hrs. By March 30,1978 To have 300 active volunteers To increase to a minimum of 40 volunteer stations Problem No. WORK PLAN GOALS AND OBJECTIVES PLANNED PERIOD OF ACCOMPLISHMENT ACTUAL ACCOMPLISHMENT - -- To have conference with representatives of stations to upgrade in- service training. Newsletter to all volunteers, volunteer stations, Advisory Committee and interested individuals. . Meeting with agencies representatives, active volunteer stations and future prospects for volunteer station. Orientation program for new volunteers. Participate in Annual Senior Citizens Fair. Advisory Committee meetings in order to have them actively involved in the program Recognition (Sept. 1977) Program evaluation by the Advisory Committee. (Dec. 1977) Quarterly Monthly Quarterly Monthly Annually Monthly Annually Annually Problei PART C. INTEGRATED PROGRAMMING . If your project anticipated using Volunteers from more than one ACTION program, describe below how their activities will be coordinated. Explain how this project will be coordinated with other community, state and/or Federal agencies involved in similar or related activities. N/A 8 • •■••••",', • ...1.`1 • r —rn-,-tr-r—r. . . . . ig• , • Problem No. • . PART D. RESOURCES AND COMMUNITY INVOLVEMENT 1. List those resou ces your organization will actually use to address the problem and meet your specified goals and be objectives. Include all human, material and institutional resources that are committed to this project. Resources could line. They small as use of a single car for one day a week or as major as free transportation for all Volunteers on the city bus . could include part•time services of a staff member of another agency or donated office space. Indicate the source of the resource and its approximate dollar value. (This question applicable to VISTA and ACV only.) Description of Resource Source Dollar Value • N/A . v • TOTAL 2. Describe plans for future resource development Indicate how the proposed project will mobilize additional resources from both within and outside of the service area to help address the problem. .. - ' . The RSVP program is under the supervision of Senior Community Services, a division of the Department of Planning and Urban Development, City of ;- Corpus Christi. Senior Community Services is charged with aging programming throughout the City and the County. As a result the City has provided and .- will continue to provide much support in terms of monetary resources. . Meals contributions from volunteer stations will be solicited. 3. Describe how you involved the people you propose to serve in the planning and development of your project. ' Presently there are active volunteers serving in the Advisory Committee . - Coucil for the purpose of providing feedback to the Council Members on the 1. progress of the program, and their thoughts and ideas on how to better it.. • 4. Describe how you intend to involve the people you propose to serve in the implementation of your project. (This question not applicable to RSVP. FGP, and SCP.) • . • .N /A 5. Describe your plan for continued involvement of the total community in the project including plans for transferring ACTION volunteer skills or tasks to community people so that permanent resources will be left In the community when resources are withdrawn. - • N/A . 9 SECTION III. PROJECT MANAGEMENT 1. Attach organization charts of your organization and the proposed project including the Volunteer supervision structure. 2. Attach the job description and resume of the individual, who has the major responsibility for managing the proposed project on a dayto•day basis. For grant programs this normally will be the project director. For VISTA and ACV it is normally the Volunteer supervisor. 3. How will supervision be pronded for the Volunteers? Will supervision be a full-time or part -time responsibility? If full -time Volunteers are to be supervised by persons devoting only a portion of their time to that activity, specify what proportion will be spent supervising the Volunteers and describe the individual's other responsibilities. The RSVP Director is under the supervision of the Director of Senior Community Services on a day -to -day basis and accepts and utilizes advice and guidance from the RSVP Advisory Committee., The RSVP Director is responsible for planning, organizing, directing and supervising the volunteer program for senior citizens. These responsibilities include development of volunteer stations, transportation and other needs of the volunteers, publicity, recruitment, orientation of volunteer and volunteer stations, and assignments, and also the preparation of necessary reports including the quarterly report and semi - annual federal report. In addition, the RSVP Director will schedule meetings with community agencies. Direct supervision for the volunteers shall be the responsibility of the stations with the RSVP Director furnishing supervision as needed and /or reques 4. What do you anticipate Volunteer training needs to be and what is your plan to meet these needs? Volunteer stations will offer training to the RSVP volunteers assigned, accord to the needs of the station and the individual volunteer. The director will hold monthly meetings with all new volunteers in order to interchange ideas and discuss the motive and purpose of the RSVP and the need of the volunteers' work in the community. - • 5. Describe the project related transportation needs of the Volunteers and how will these needs be met? Two means of transporting volunteers are presently utilized. Those volunteers who have their own cars are reimbursed for the actual mileage between their home and the volunteer station. Those who cannot•furnish their own transpor- tation are transported to their stations by RSVP minibus. This minibus is equipped by the City of Corpus Christi with a two way radio .which enables • the program to more efficiently serve the volunteers. 10 lrtxm un¢ AVIATION CITY OF CORPUS CHRISTI CORR. CHRISTI ORGANIZATIONAL CHART N. NMI MID MAN DEVELLPSIEST MEMBER / Ix5FTL1o6 \ / i lT DISIpMJR -t 0 LL6RA1411 MIIROMMI w°uc ununo 70.°x$11 exLLxxL .—J LIOxYR ISAxI.RwII --a J J zxx POUR :OMO ,c xnx° J —{ ....T."' I-- 1 1 —0 a I --I x.xx—J-1 J _J RECREATION I SUPERVISOR CITY OF CORPUS CHRISTI SENIOR COMMUNITY SERVICES ORGANIZATIONAL CHART DIRECTOR. SECRETARY SECRETARY R.S.V.P. DIRECTOR. SECRETARY BUS OPERATOR SR. CENTER SUPERVISOR I NUTRITION COORDINATOR IKITCHEN STAFF I SECRETARY 1 (CENTER DIRECTOR•LINDALEI (CENTER DIR.•GREENW00D ENTER DIRECTOR•ROBSTOWNI OUTREACH WORKERS BUS OPERATORS RECEPTIONIST - CUSTODIANS RECREATION AIDES MEAL SITE AIDES_ VOLUNTEERS f. [CENTER DIR. WAS 7:NGTON I NLECES CCV7TY CENSUS TRACTS -1970 PORJLSTCI.- FRERRE0 BY THE LEGISLGTVE CC/JNCIL- AMU_ r9" -AJITY PCP 237.544 RESUME • Enriqueta Tercilla (Ketty) PERSONAL DATA Date of Birth - December 31, 1930 Place of Birth - Santiago de Cuba, Oriente, Cuba Sex - Female Husband - Evaristo E. Martal Status - Married . Children- Enriqueta (21) Rolando (19) Evariato (17) Liann M. (14) Social Security - 280 -40 -9211 Co Naturalized citizen of the United States: Place - and _ NssionerzofiImnigration Corpus Christi, Texas Certificate No. - 8930396 Date Issued- August 18, 1966 Home address - 443 Barracuda, Corpus Christi, Texas. 78411' Telephone - 512 - 855 -8723 Native language - Spanish Foreign language - English EDUCATION - BS Education Habana University, Habana, Cuba (1950) PROFESSIONAL EXPERIENCE Assistant Coordinator of the Information Center at Greenwood Library from June 1975 to October 1976. After becoming Assistant Coordinator I began working on the Nueccs County Section of the 1 -2 -3 Handbook, which also entailed the updating of the filing system. My position also required the formal and informal presentation to agencies concerning the Information Center activities. On a monthly basis, it required the maintaining of statistics of the Center and the submittance of reports to the library system. It was part of the programs necessity to solicit and maintain the under- standing and the support of community agencies in connection with the activities of the program, to establish and maintain good rapport with the clients. My work with the library allowed me to be in close contact with all of the Senior Community Centers, and the activities provided; this also included working with other agencies such as nursing hones, Mental Health and Mental Retardation, hospitals,child programs etc. 10 -0. Maria de la Luz Izquierdo M.D. (Psychiatrist) My position was account clerk and receptionist, receiving and assisting the clientele, collecting medical in -take information from patients. Budgeting, maintaining records of clients, collecting their fees, handling insurance claims etc. Corpus Christi Independent School District - Schanen Elementary School I taught Spanish to First and Second, grade classes. Also, all Physical Education Activities. for First through Sixth grades, and organized intramural activities. St. Patricks Parochial School Taught Spanish classes for students in First through Eighth grade. Christopher College Instructor, as such, I directed the health and physical education activities for the freshmen and sophgmbre years. CONrUNITY ACTIVITIES YWCA - Board of Director (1973) Coastal Bend Mental Health Association (active member) Member of the Advisory Corenittee of Foster Grandparents (1975 - to present) Coordinating Council. on Comprehensive Health Services for Children & Youth 10 -E • ATTACHMENT A IDo Not write le This Spec./ Prol.ct No. VISTA and ACTION.COOPERATIVE VOLUNTEER PROGRAMS 1. What are the earliest and latest possible starting dates for this proposed project? Earliest Latest 2. Indicate when you want groups of Volunteers to arrive: . i, No. Of • • Group of Proposed Date , Minimum No. Minimum No. Volunteers Volunteers of Arrival of'NRV': of "LRV's 'Nationally Recruited Volunteers "Locally Recruited Volunteers 1st 2nd 3rd 3. What is the maximum number of Volunteers you expect to be working on this proposed project at any one time? 4. If you expect to use locally recruited low-income VISTA Volunteers on your project. state your plan for their individual career development and describe the process by which it will be implemented. , r • - . - .i• �� • � Lam• R' Ir .. - N/A • it r ATTACHMENT B . 10o Not Write In This Space) Project No. PCP, RSVP and SCP 1. Describe the contributions to this application by the small group of community representatives which later can be expanded into a Advisory Committee if a grant is awarded. List the members of this group by name and indicate what organization, if any. they represent. 1. Guadalupe Valdez - (Chairman) Senior Community Services Advisory Committee 2. Horace Cleveland - SCORE, Senior Community Services Advisory Committee 3. Noe P. Jimenez - Nueces County Senior Citizens (Pres.) 4. Albert Struller- Senior Community Services Advisory Committee 5. Evelyn Wilson - Fan Club, Senior Community Services Advisory Committee 6. Libby Lira- Zavala- Zavala Neighborhood Center Coordinator 7. Sidney Wolf -RSVP Volunteer 8. Ed Russell -RSVP Volunteer 9. Maria Teresa Weekley -RSVP Volunteer 2. Identify plans and timing for the future expansion of the Advisor,/ Committee and in particular explain what the Committee's role and responsibilities will be during the first year in project development and evaluation. The Advisory Committee for RSVP is composed of six members,.which presently serve on the Advisory Committee for Senior Community Services, appointed by the city council on a one or two years basis, also three members of the RSVP active volunteers and three or more members from the community in general, will help in publicity, recognition, program evaluations and other. 3. Specify ways in which older persons are already serving the community as volunteers, approximately how many older persons are involved, what activities they are performing, with which community organizations, and with what degree of regularity. SEE ATTACHMENT 12 AGENCY Senior Community Services (8 different locations) C.C. Independent School District C.C. Public Libraries Del Mar College Red Cross NCC RSVP Hospital - Memorial Spohn Naval Air Station Hosp. Driscoll Ada Wilson Nursing Home - The Hearth Retama Manor (4) South Park Manor AARP - chapter #244 C.C. State School Crisis Intervention ATTACHMENT B -12 Volunteers are serving, Teaching and supervising arts and crafts, entertainment, cook aids, janitorial, and host and hostess. Teachers aid in different levels, ,Instructors, Recreation supervisors. Mending, binding, clerical work and story telling. Teaching, supervising swimming, and clerical work. Clerical work, Assisting nurses Clerical work, general office Information desk, mail room, thrift shop, flower desk, medical records, childrens floor - recreation, visitations. Visitations, aiding patients with meal feeding, recreation, teaching and super- vising arts and crafts, entertainment. Transporting, visiting, telephoning the lonesome, Serving on committes for Senior Citizens, and other community activities. Child care. 11 Serving Weekly 35 8 6 5 6 4 22 14 20 3 Manning the telephone. 4 5 ATTACHMENT B (Coned) • IDo Not Wrna In This Space) Prol.ct No. 4. Describe your organization's relationship with: a. Other community organizations dealing with the same problem. 1. Senior Community Service — RSVP is part of the Senior Community Services. This is a plus in terms of recruitment, training and placer 2. Coastal Bend Council of Government — RSVP.volunteers serve on committees and task forces. 3. Foster Grandparent - A close relationship - RSVP Director is on the Advisory Committee. 4. SCORE — General RSVP Advisory Council members and volunteers are also b. State Agency on Aging. SCORE members. 5. Volunteer Action - New organization Coastal Bend Council of Government - Area Agency on Aging - Liaison is continuous. 5. oescnbe plans for local assessment of project operation at regular intervals. The Advisory Committee with the project Director will evaluate the volunteers and volunteer stations and suggest methods of publicity, to increase the number of volunteers and volunteer stations. 6. Describe the physical facilities and equipment to be used in connection with the project. Explain why the planned office location is suitable for recruiting older persons. The RSVP office is located at Senior Community Services Lindale Center, 3135 Swantner, with the program incorporated with the other,Senior , Community Service programs. A new building that houses all kind of facilities for the elderly of the community. The facility is ideal for RSVP and will enhance recruitment in the following ways: a. By giving project staff daily contact with participants, all of whom are potential volunteers. b. By giving project greater visibility to general public as well as to elderly. By providing a variety of meeting rooms with large parking facilities, also enabling projeceto have more group orientation and public meetings. c. 13 1 • exit! ATTACHMENT B (Cont'd) • (Do Not writ* In Thn SP..) Protect No. 7. For RSVPApp /scants — State the plans for securing non - federal support of the project during the project period. Include a timetable for non - federal support and indicate likely sources of this support. 1. State grant in aid 2. Increased station support - 3. Revenue Sharing Funds, City-County' (non matching) 4. Auxiliary fund raising 5. General Fund monies 8. Present approach and methods to be used in conducting the following activities. Give particular attention to process and timing in accomplishing each task. a. Interviewing, selecting and placing Volunteers. + b. Provision of meals, insurance and recognition for Volunteers. c. Provision of physical examinations, referral and supportive services to FGP and SCP Volunteers. - d. A public information program. e. A record keeping system. ATTACHED 9. For FGP and SCP Applicants — Provide a memorandum of understanding as described in the FGP and SCP Program Operations Handbook. N/A 14 • ATTACHMENT B -14 8. A. INTERVIEWING, SELECTING AND PLACING VOLUNTEERS. The volunteer application form has been redesigned, giving the program more information regarding the volunteer's background and interest to aid in appropiate placement. B. PROVISION OF MEALS, INSURANCE AND RECOGNITION FOR VOLUNTEERS. Senior Community Services provides meals in eight different centers RSVP volunteers make use of this service. Insurance is provided for volunteers through CIMA Corporate Insurance Management. Recognition day takes place once a year, with invitations to the Advisory Committee, representatives of all the volunteers stations and members of the community in general. C. PROVISION OF PHYSICAL EXAMINATIONS, REFERRAL AND SUPPORTIVE SERVICES TO FGP AND SCP VOLUNTEERS. Not applicable. D. A PUBLIC INFORMATION PROGRAM. Frequent reports to the community through the news media, with pictures of volunteers in different stations being made avilable to depict the „ various types of services RSVP volunteers perform in the stations. Monthly newsletters will be sent to volunteers as well as other community residents who may have some interest in the program. Invitation to and appearing before community group agencies and repre- sentatives in order to whow RSVP film, pass out literature and information and progress of the program; and how it helps the community in general. E. A RECORD KEEPING SYSTEM. A file of each volunteer is kept with all the information pertaining to each person. File of each volunteer station with the Memorandum of Understanding signed by the Director. Records of Volunteers hours, mileage and meals signed by the volunteer station representative. 1 4A RSVP* APPLICATION AND ENROLLMENT RECORD LINDALE SENIOR COMMUNITY SERVICES 3135'SWANTNER, CORPUS CHRISTI, TEXAS 78404 PHONE: 854 -4508 NAME - PHONE ADDRESS BIRTHDATE (MO.) . (DAY) (YR.) CIRCLE GRADE COMPLETED:- 1 2 3 4 5 6 7 8 9 10 11 12 COLLEGE? (STREET N0.) (CITY) AGE RACE ' SEX (ZIP) CIRCLE TIME AVAILABLE: DAYS: S M T W T F S; A.M. P.M. CIRCLE AREAS OF SERVICE BASED ON INTEREST AND /OR EXPERIENCE: TYPING MUSIC GARDENING CHILD CARE WRITING LETTERS DRIVER TUTORING HOST OR HOSTESS PLAYING GAMES ARTS & CRAFTS SEWING OFFICE WORK READING TELEPHONE VISITATIONS SCIENCE PUBLICITY FISHING WOODWORKING SWIMMING FINE ARTS GROUP WORK COMMITTEE WORK LIST YOUR HOBBIES: LIST FORMER WORK OR TRAINLYG: LIST ANY AND ALL PROFESSIONAL TRAINING: LIST MEMBERSHIPS (MENTION OFFICES HELD): LIST ANY FOREIGN LANGUAGES YOU SPEAK AND /OR WRITE: LIST ANY PHYSICAL HANICAPS: HAVE YOU EVER BEEN A VOLUNTEER BEFORE? YES NO . IF YES, WHERE? (MENTION TRAINING, IF ANY.) YOU NEED TRANSPORTATION? YES NO FOR EMERGENCY USE: NEAREST RELATIVE, NEIGHBW.. OR FRIEND: NAME PHONE- ADDRESS DR'S NAME HOSPITAL PHONE NAME OF BENEFICIARY (FOR RSVP INSURANCE) NAME RELATIONSHIP ADDRESS ' (STREET NO.) (CITY) (ZIP) IF I USE MY CAR, I WILL KEEP IN EFFECT MY AUTOMOBILE LIABILITY INSURANCE. I VOLUNTEER MY SERVICES THROUGH THE NUECES COUNTY RSVP, AND I UNDERSTAND THAT I AM NOT AN EMPLOYEE OF THE CITY OF CORPUS CHRISTI, SENIOR COI NNITY SERVICES, OR RSVP. CO DATE RSVP VOLUNTEER SIGNATURE DATE RSVP PROJECT DIRECTOR *THE RETIRED SENIOR VOLUNTEER PROGRAM IS ANOTHER PEOPLE HELPING PEOPLE PROGRAM OPERATING IN NUECES COUNTY UNDER THE CITY OF CORPUS CHRISTI - SENIOR CO1•f•IUNITY SERVICES. VOLUNTEER NAME TATION P.O. Box 9277. Corpus Christi, Texas 78408 512 - 854 -4508 RSVP VOLUNTEER VOLUNTEER STATION SUPERyISOR RSVP DIRECTOR ATTACHMENT C loo Net cante In inns space) Project No. • UYA PLANNING GRANT 1. State the project objectives of applicant organization. Explain UYA project. This statement must be consistent with the general experience to working in the community, development of support ends. 2. The project plans to field___ full year Volunteers Volunteers. number 3. How many undergraduates 1 I and graduate ( why the applicant organization is interested goals of UYA. Areas covered should include service learning and goals for institutionalization including short term, critical in conducting a interest and when ACTION scarce skill Include as a formal budget of 10% 1 students number will be involved. travel and other expenses. This budget is not budget plan. A minimum l . 4. Enter below the first year operations, the permanent and temporary staff salaries. local share items such as stall time and other expenses borne by the participating agencies. proposal by the applicant, but is intended to give ACTION an idea of the general nonfederal share is required for lust year operational grants as well as planning grants. Preliminary Operational Grant Budget Period: To Local $ ACTION $ - TOTAL Personnel: Volunteer Expenses: Travel: Other: — Total Direct f 5. Attach a statement of administrative support of the project the statement be signed by the President and attest to the concurrence Indirect @ 8% GRAND TOTAL and credit bearing features of UYA. It is recommended of the faculty and administrators involved. 15 that ATTACHMENT D [Do Not Wrea In Thn Seal Prgacl No. UYA OPERATIONAL GRANT 1. Describe the general purposes and specific quantifiable goals of applicant organization. Update and restate in more concrete terms the general goal statement from the planning grant proposal. Explain the specific plan for institutionalizing the project. 2. Enter the requested Information for each participating agency that will supervise the Volunteers. Under Descriptive Title enter a phrase which briefly summarizes the major activity such as "Community Planning" or "Consumer Advocates ". , Organization and Address - Descriptive Title Number of Volunteers ' 3. Identify each project that needs critical scarce skilled Volunteers, explain the need for each particular skill requested, and define the skill in terms of training or background required. 4. Attach a copy of the service learning plan. 16 SPACE COSTS A. Ratio of ACTION Program Space to Entire Facility 1.46 ACTION Space 120 Sq. Ft., Total Facility 8,200 Sq. Ft. 1. Does Grantee own the facilities the ACTION Program is housed in? X Yes No 2. If Yes, what was the acquisition cost of the facility? $ 314,971 a. Use Charge - 2% of #2 x % in A. $ -92 s2-7 b. Does Grantee depreciate facility? Yes X No If Yes, multiply % in A by grantee's depreciation factor If No, only 2.a can be used for Space costs. 3. Does Grantee pay rent for the facilities the ACTION Program is housed in? Yes X No a. If Yes, what is the monthly rent? $ b. Multiply 3.a by % in A. This is the rent allowance ACTION Program. $ 4. Does a third party own the facilities the ACTION Program is housed in? Yes X No a. If Yes, obtain appraised value from an independent appraiser in grantee's community at rate per square foot. Multiply that rate by the ACTION space in A. $ 5. One, and only one, of the above methods may be used to determine,Space costs. 6. In addition, actual costs paid for maintenance, utilities, custodial service, and repair (but no renovation) of ACTION used space may be charged to the grant. B. Procedures, Limitations, and Other Information Pertaining to Space costs. No rental charge may be made for space owned of controlled (managed or administered) by the grantee or a collaborating institution except that a charge may be allowed, as negotiated, either as a federal charge or a non- federal budget contribution whenever such charge is equivalent to the cost of ownership. Cost of Ownership may be prorated using only one of two alternative methods. 1 6A "ill:'iiOPN REGIOts VI . STATE OFFICE ON AGING COMMENTS ON ACTION PROJECTS (To be mailed by project with one copy of application to State Office on Aging) ' This form is intended to provide compliance with the requirements of Public Law 93 -113 that the State Office on Aging be given at least 60 days to review the project applications for RSVP and make recommendations thereon to the Regional Office and at least 45 days to review project applications for Foster Grandparents and Senior Companions and make recommendations thereon. To be filled in by Project: .Grant applied for RSVP X Foster Grandparents Senior Companions Grantee's name: CITY OF CORPUS CHRISTI Address: P.O. BOX 9277 CORPUS CHRISTI TEXAS 7R4flR Street City State Date: DECEMBER 15, 1976 To be filled in by State Office: Overall Rating: Excellent Good_ Fair Poor Recommendations or Comments (Use reverse side or separate sheet if needed). Signature Title & State Date State Office on Aging: Please return completed form as soon as feasible to: 1�Oe,c _7 NEf2,`I9AVJE2. , State ACTION Program Director 6,vd -e ss 56,,,E- /S/ /'/ /llsr�,.i, Le xhs 7157o1 • CITY OF CORPUS CHRISTI, TEXAS CERTIFICATION OF FUNDS (City Charter Article IV Section 21) January 5, 1977 Dept. of Planning & Urban Development I certify to the City Council that $ 8,461.00 , the amount required for the contract, agreement, obligation or expenditures contemplated in the above and foregoing ordinance is in the Treasury of the City of Corpus Christi to the credit of: Fund No. and Name #102, General Fund, Activity #MEEH-41461 Project No. Activity #4775 - Fund #162 Project Name Retired Senior Volunteer Program 4/1/77- 3/31/78 `City Cash Contribution to Grant Program \ ) from which it is proposed to be drawn, and such money is not appropriated for any other purpose. January 5 �9 77 FIN 2 -55 4/77 /77 dised 7/31/69 •�4 CITY OF COsiPUS CHRISTI, TEXAS CERTIFICATION OF FUNDS (City Charter Article 1V Section 21) January 5, 19771 Dept. of Planning is Urban Development I certify to the City Council that $ 8,461.00 , the amount required for the contract, agreement, obligation or expenditures contemplated in the above and foregoing ordinance is in the Treasury of the City of Corpus Christi to the credit of: Fund No. and Name 0102, General Fund, Activity PE 4u5I Project No. Activity 04775 - Fund 0162 Project Name Retired Senior Volunteer Program 4'1 +77 - 9!:7 78 ( City Cash Contribution to Grant Program:) from which it is proposed to be drawn, and such money is not appropriated for any other purpose. January 5 19 77 Director of Finance ' FIN 2 -55 Refer 7/31/69 a CORPUS CHRISTI, TEXAS Cr- DAY OF (�� , 192,74a TO THE MEMBERS OF THE CITY COUNCIL CORPUS CHRISTI, TEXAS FOR THE REASONS SET FORTH IN THE EMERGENCY CLAUSE OF THE FOREGOING ORDINANCE, A PUBLIC EMERGENCY AND IMPERATIVE NECESSITY EXIST FOR THE SUSPEN- SION OF THE CHARTER RULE OR REQUIREMENT THAT NO ORDINANCE OR RESOLUTION SHALL BE PASSED FINALLY ON THE DATE IT IS INTRODUCED, AND THAT SUCH ORDINANCE OR RESOLUTION SHALL BE READ AT THREE MEETINGS OF THE CITY COUNCIL; 1, THEREFORE, " REQUEST THAT YOU SUSPEND SAID CHARTER RULE OR REQUIREMENT AND PASS THIS ORDI- NANCE FINALLY ON THE DATE IT IS INTRODUCED, OR AT THE PRESENT MEETING OF THE CITY COUNCIL. RESPECTFULLY, MAYOR THE CITY OF CORPUS CHRIS , TEXAS THE CHARTER RULE WAS SUSPENDED BY THE FOLLOWING VOTE: JASON LUBY DR. BILL TIPTON EDUARDO DE ASES RUTH GILL BOB GULLEY GABE LOZANO, SR. EDWARD L. SAMPLE THE ABOVE ORDINANCE WAS PASSED BY THE FOLLOWING , VOTE: JASON Luis), DR. BILL TIPTON EDUARDO DE ASES RUTH GILL BOB GULLEY GABE LOZANO, SR. EDWARD L. SAMPLE