HomeMy WebLinkAboutHH-2018-001 (2)HH -2018-001
HOMELESS HOUSING PROGRAM
GRANT AGREEMENT
This Homeless Housing Program Grant Agreement ("Agreement") is entered into
between KITTITAS COUNTY, a political subdivision of the State of Washington (the
"County"), and HOPESOURCE, HOUSING AUTHORITY OF KITTITAS COUNTY, and
ELMVIEW, Washington non-profit corporations ("Recipients") for Housing Authority
Supportive Services (HASS).
ARTICLE I — PURPOSE AND TERM
Section 1.1 Purpose: The purpose of this Agreement is to distribute homeless housing
surcharge funds awarded pursuant to the applicable provisions of RCW 36.22.179-1791.
Section 1.2 Term: This Agreement shall take effect January 1, 2018 and terminate on
December 31, 2018.
ARTICLE II — GRANT AMOUNT, USE AND BUDGET
Section 2.1 Grant Amount: The Recipient is awarded a total of up to one hundred -
seventeen thousand, two hundred -twenty five dollars ($117,22500) (the "Grant Award")
to be administered as follows as Grant Award HH 2018- 001.
Section 2.2 Use of Grant. The Recipient shall use the Grant Award solely for the
purposes and in the manner described in Exhibit A – Attached Application and Exhibit
B – Attached Supplemental Application Information- Adjustments to Proposed Project
Timelines may be requested of the Committee in writing and the Committee may
recommend adjustments to the Board of Kittitas County Commissioners. These
recommendations may be granted or denied at the discretion of the Board of Kittitas
County Commissioners.
Section 2.3 Budget, The Grant Award shall be expended by the Recipient as set forth in
Exhibits A and B - Application and Supplemental Application Information.
Adjustments to Proposed Project Budgets may be requested of the Committee in writing and
the Committee may recommend adjustments to the Board of Kittitas County
Commissioners. These recommendations may be granted or denied at the discretion of
the Board of County Commissioners (BOCC).
ARTICLE III — DISBURSEMENTS
Section 3.1 Disbursement of Grant Award Funds. Not more frequently than once a
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month, the Recipient may request disbursement from the Grant Award. Each disbursement
request must be made by the Recipient submitting to the County at the address specified in
Section 5.2 a properly completed Reimbursement Request form. The request must identify
the work performed and be accompanied by detailed invoices of all allowable costs and
expenses incurred for which the Recipient is seeking disbursement, unless further
documentation is requested by the Committee, the Kittitas County Auditor's Office, or the
BOCC. The Recipient will be subject to periodic on-site audits to ensure that satisfactory
supporting documentation of all allowable costs and expenses are being kept.
Section 3.1-A Post Disbursement. Within 30 days of its receipt of the request and
satisfactory supporting documentation, and subject to the other terms and conditions
contained in this Agreement, the County shall pay the amount of the invoice to the
Recipient at the address specified in Section 5.2.
Section 3.1-B Advance Disbursement. The Recipient may under extraordinary
circumstances request disbursement from the Grant Award in advance of actual
expenditure. Please contact the BOCC for additional information.
Section 3.2 Disbursement Limitations. In no event will the County ever be required to
disburse funds in excess of the Grant Award. In addition, unless expressly provided
otherwise in this Agreement: (a) no disbursements will be made in advance of costs or
expenses being incurred; and (b) no costs or expenses incurred by the Recipient prior to the
effective date of this Agreement, or after its termination, are eligible for reimbursement.
Section 3.3 Disbursement Without Prejudice. Any disbursement made by the County
to the Recipient shall be without prejudice to the County's rights later to challenge the
propriety of the Recipient's claimed costs or expenses.
Section 3.4 Witliliolding Disbursements. If the Recipient fails to perform any
obligation under this Agreement and the failure has not been cured within 10 days
following oral or written notice from the County or the Committee, the County may,
without penalty and in its sole discretion and upon written notice to the Recipient,
withhold all monies otherwise due the Recipient until such failure to perform is cured.
This right to withhold disbursements is in addition to all other rights and remedies the
County may have available to it under this Agreement or under law.
ARTICLE IV—REPORTS AND RECORDKEEPING
Section 4.1 Quarterly Progress Reports. At least once a quarter, and upon request from
time to time, the Recipient shall provide a report on the progress made to date on the Project,
using such form and meeting such requirements as determined by the Committee in Exhibit
"C". Such progress reports shall be provided by the Recipient to the Committee and to the
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County at its address specified in Section 5.2. The Recipient shall also provide an annual
report as specified in the grant guidelines.
Section 4.2 Record Retention; Review. The Recipient shall maintain records sufficient
to fully document its compliance with all contractual, grant and legal requirements, for not
less than six years from the last date of work performed or reimbursement pursuant to this
agreement, whichever is later. Upon reasonable advance notice, the Recipient shall provide
the County its authorized agents, and State or Federal agencies having audit authority related
to this Agreement with full access to all of the Recipient's records relating to this
Agreement or the Project. The Recipient shall defend, indemnify and hold harmless the
County and its appointed and elective officers, agents and employees, from and against all
loss or expense for any audit exceptions or other irregularities in its performance or
recordkeeping, including but not limited to impermissible or unauthorized use of Grant
Award funds. This section shall survive termination of this Agreement.
ARTICLE V — CONTRACT ADMINISTRATION AND NOTICES
Section 5.1 Personnel. The Recipient will secure at its own expense all labor and
materials required to perform any work in connection with the Project. The Recipient shall
be responsible for all applicable payroll, labor and industries premiums, and taxes. All
employees and subcontractors of the Recipient shall be covered by Industrial Insurance in
full compliance with title 51 of the Revised Code of Washington ("RCW").
Section 5.2 Contract Representatives. The parties' designated representatives shall be
responsible for the administration of this Agreement and for receiving notices given in
connection with this Agreement. The following are designated as the representatives of the
parties.
FOR THE COUNTY: Judy Pless, Budget & Finance Manager
County Auditor's Office
205 West 5t" – Suite 105
Ellensburg WA 98926
509-962-7502
judy.pless@co.kittitas.wa.us
FOR THE RECIPIENT: Susan Grindle
HopeSource
700 East Mountain View Avenue, Suite 501
Ellensburg, WA 98926
509-925-1448
sk indr�lena bgpesource.us
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A party may change its designated representative or address by providing written notice to
the other party.
Section 5.3 Notices. Any notice required or permitted to be made under this Agreement
may be given personally, by facsimile, or by first-class, registered or certified mail. A
notice personally delivered to the other party is deemed given upon proper delivery. A
notice sent by first-class, registered or certified mail is deemed given three days after
mailing, if properly addressed and having proper postage. Notices delivered by facsimile
shall be deemed to have been given on the date of transmission if received during the
recipient's business day or, if not, on the recipient's next business day. E-mail addresses,
if listed in this Agreement, are provided only for convenience and not for notice purposes.
ARTICLE VI — INSURANCE
Section 6.1 Professional Legal Liability. The Recipient will maintain professional legal
liability or professional errors and omissions coverage appropriate to the Recipient's
profession. The coverage will have a limit of not less than One Million Dollars ($1
million) per occurrence. The coverage will apply to liability for a professional error, act or
omission arising out of the Recipient's services under the Agreement. The coverage will
not exclude bodily injury or property damage. The coverage will not exclude hazards
related to the work rendered as part of the Agreement or within the scope of the Recipient's
services under the Agreement, including testing, monitoring, measuring operations or
laboratory analysis where such services are rendered under the Agreement.
Section 6.2 Workers' Compensation and Ernplayer Liability. The Recipient will
maintain workers' compensation insurance as required by Title 51 RCW, and will provide
evidence of coverage to the BOCC. If the Contract is for over $50,000, then the Recipient
will also maintain employer liability coverage with a limit of not less than One Million
Dollars ($1 million). The Recipient will request that the Washington State Department of
Labor and Industries, Workers Compensation Representative, send written verification to
the County that the Recipient is currently paying workers' compensation.
Section 6.3 Commercial General Liability. The Recipient will maintain commercial
general liability coverage for bodily injury, personal injury and property damage, subject
to a limit of not less than One Million Dollars ($1 million) per occurrence. The general
aggregate limit will apply separately to the Contract and be no less than Two Million
Dollars ($2 million). The Recipient will provide commercial general liability coverage that
does not exclude any activity to be performed in fulfillment of the Agreement. Specialized
forms specific to the industry of the Recipient will be deemed equivalent, provided
coverage is no more restrictive than would be provided under a standard commercial
general liability policy, including contractual liability coverage.
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Section 6.4 Miscellaneous Insurance Provisions.
A. The Recipient will place insurance with insurers licensed to do business in the
State of Washington and having A.M. Best Company ratings of no less than A -
VII, with the exception that excess and umbrella coverage used to meet the
requirements for limits of liability or gaps in coverage need not be placed with
insurers or re -insurers licensed in the State of Washington.
B. The insurance limits established by this section are not intended to indicate the
Recipient's exposure, nor are they limitations on the Recipient's indemnification
duties. This section shall survive termination of this Agreement.
C. The policy shall be endorsed and the certificate shall reflect that the County, its
officers, officials, employees, agents and representatives, are an additional
insured with respect to activities under the contract, and the policy will contain no
special limitations on the scope of protection afforded to the County, its officers,
officials, employees, agents and representatives as an additional insured.
D. The certificate will, at a minimum, list limits of liability and coverage. The
Recipient will furnish the County with properly executed certificates of insurance
or a signed policy endorsement, including the additional -insured provision, which
will clearly evidence all insurance required in this Section, before work under this
Agreement shall commence, but no later than Ten (10) days after the effective
date of this Agreement. Acceptable forms of evidence are the endorsement pages
of the policy showing the County as an additional insured.
E. The Recipient will maintain all required policies in force from the time services
commence until services are completed. The Recipient will provide a current or
updated copy of all insurance policies specified in the Agreement upon the
request of the County. Certificates, policies and endorsements scheduled to
expire before completion of services will be renewed before expiration. The
certificate will provide that the underlying insurance contract may not be
canceled, or allowed to expire, except on 30 -days' prior written notice to the
County. Any certificate or endorsement limiting or negating the insurer's
obligation to notify the County of cancellation or changes must be amended so as
not to negate the intent of this provision. Written notice of cancellation or change
must be delivered to the County as set forth in Sections 5.2 and 5.3.
F. If the Recipient's liability coverage is written as a claims -made policy, then the
Recipient must evidence the purchase of an extended -reporting period or "tail"
coverage for a three-year period after completion of the services.
G. The Recipient's liability insurance provisions shall be primary and shall be non-
contributing with any other insurance maintained by Kittitas County with respect
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to any insurance or self-insurance programs covering the County, its elected and
appointed officers, officials, employees, agents and representatives.
H. Any failure to comply with reporting provisions of the policies will not affect
coverage provided to the County, its officers, officials, employees, agents or
representatives.
I. The Recipient's insurance will apply separately to each insured against whom
claim is made or suit is brought, subject to the limits of the insurer's liability. The
Recipient will include all subcontractors as insurers under its policies or will
furnish separate certificates and endorsements for each subcontractor. All
coverage for subcontractors will be subject to all of the requirements stated in
these provisions.
ARTICLE VII — INDEMNIFICATION
Section 7.1 Indemnification. To the fullest extent permitted by law, the Recipient shall
indemnify, defend and hold harmless the County, the Committee and the BOCC, and all
County officials, officers, employees, agents and each of them, from and against all claims
in any way resulting from or arising out of the performance of this Agreement, whether
such claims arise from the actual or alleged acts, errors or omissions of the Recipient, its
subcontractors, third parties, the County, the Committee or the BOCC, or anyone directly
or indirectly employed or supervised by any of them or anyone for whose acts, errors or
omissions any of them may be liable. "Claim" means any loss, claim, suit, action,
liability, damage or expense of any kind or nature whatsoever, including but not limited to
attorneys' fees and costs, attributable to personal or bodily injury, sickness, disease or
death, or to injury to or destruction of property, including the loss of use resulting
therefrom.
Section 7.2 Recipient's Duty to indemnify The Recipient's duty to indemnify, defend
and hold harmless includes but is not limited to claims by the Recipients or any
subcontractor's officers, employees or agents. The Recipient's duty, however, does not
extend to claims arising from the sole negligence or willful misconduct of the County, the
Committee or the BOCC, or of the officials, officers, employees, agents or representatives
of the County, the Committee or the BOCC.
Section 7.3 Waiver of RCW Title 51 Immunity. Solely for purposes of this
indemnification provision, the Recipient expressly waives its immunity under Title 51
RCW and acknowledges that this waiver was mutually negotiated by the parties. The
Recipient's duty to indemnify, defend and hold harmless shall survive termination of this
Agreement.
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ARTICLE VIII—NONDISCRIMINATION AND LEGAL COMPLIANCE
Section 8.1 Nondiscrimination. The Recipient shall not discriminate against any
employee or applicant for employment, or program participant or program participant
applicant, on account of race, color, sex, religion, national origin, creed, marital status, age,
Vietnam era or disabled veterans status, the presence of any sensory, mental or physical
handicap, or any other basis prohibited by law with respect to any program participation,
employment upgrading, demotion, transfer, recruitment or selection for training, including
apprenticeships and volunteers. This prohibition does not apply, however, to a religious
corporation, association, educational institution or society with respect to the employment
of individuals of a particular religion to perform work connected with the carrying on by
such corporation, association, educational institution or society of its activities.
Section 8.2 Compliance witli Laws. The Recipient and its officials, officers, employees,
agents and subcontractors shall comply with all applicable federal, state and local laws,
regulations, rules and policies. The County, the Committee and the BOCC shall have no
obligation to ensure such compliance.
ARTICLE IX — TERMINATION
Section 9.1 Termination for Loss of Funding. The County shall have the right to terminate
this Agreement at any time after providing written notice consistent with sections 5.2 and 5.3 of
this agreement if the funds relied upon for the Grant Award are terminated, suspended or
otherwise lost or impaired in whole or in part.
Section 9.2 Termination for Convenience. Either party may terminate this Agreement for
convenience upon giving the other party at least 30 days' advance written notice. In that event,
the Recipient will be entitled to payment only for those expenses and costs reasonably and
actually incurred prior to the effective date of the termination.
Section 9.3 Termination for Default. If either party defaults in its performance under this
Agreement, the nondefaulting party may give the defaulting party written notice that it has 30
days in which to cure the default. If the default is not cured within 30 days of notice, the
nondefaulting party may terminate the contract. In the event of such a termination, the
nondefaulting party shall have all rights and remedies available to it under law.
ARTICLE X — MISCELLANEOUS
Section 10.1 Permissible -Use Warranty. The Recipient warrants that its planned and actual
uses of the Grant Award constitute permissible uses for homeless housing surcharge funds as
established by RCW 36.22.179. This section shall survive termination of this Agreement.
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Section 10.2 Organizational -Status Warrant. The Recipient warrants that it is duly
organized, existing and in good standing under the laws of the State of Washington.
Section 10.3 Relationship of Parties. This Agreement, and the parties' and the Committee's
and the County's activities under it, shall not be construed as creating any kind of partnership or
joint venture, nor shall it be construed as creating any kind of independent contractor, agency or
employment relationship between the parties, the Committee, or the County.
Section 10.4 No Third -Party Rights. This Agreement is entered into by the parties solely for
their own benefit and it creates or grants no rights of any kind in any other party.
Section 10.5 Assit�Ment. The Recipient shall not assign any of its rights or delegate any of its
duties under this Agreement without the prior express written consent of the County, which may
be granted or refused in the County's sole discretion.
Section 10.6 Choice of Law- Venue- Jurisdiction. This Agreement shall be governed by the
laws of the State of Washington. In the event of a legal proceeding, venue shall be only in a
court of competent jurisdiction in Kittitas County. Each party hereby consents to the personal
jurisdiction of the courts of the State of Washington, County of Kittitas. This section shall
survive the termination of this Agreement.
Section 10.7 Waiver. No term or condition of this Agreement shall be deemed waived
unless such waiver is expressly agreed to in writing by the party granting the waiver. In
addition, waiver of any breach of this Agreement shall not be deemed a waiver of any prior
or subsequent breach.
Section 10.8 Amendment. This Agreement can be amended only by a writing executed
by the parties.
Section 10.9 Entire Agreement. The parties acknowledge that this Agreement is the
complete expression of their agreement regarding the subject matter of this Agreement.
Any oral or written representations or understandings not incorporated into this Agreement
are specifically excluded.
Section 10.10 F-leadings. The headings in this Agreement are for convenience only and
shall not be deemed to affect the meaning of its provisions.
Section 10.11 Severability. If any provision of this Agreement is held by a court of
competent jurisdiction to be invalid, such invalidity shall not affect the validity of the
remaining provisions that can be given effect without the invalid provision, provided that
the underlying intent of the parties can still be given effect.
Section 10.12 Signature Authority. Each person signing this Agreement on behalf of a
party warrants that he or she has full authority to sign this Agreement on that party's
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behalf.
Section 10.13 Counterparts. This Agreement may be executed in counterparts, each of
which shall be deemed an original and all of which together shall be deemed one
agreement. Each counterpart may be executed and delivered by facsimile to the other
party.
Section 10.14 Exhibits. The following exhibits are incorporated into this Agreement by
reference: (a) Exhibit A - Attached Application.
(b) Exhibit B - Attached Supplemental Application Information
(c) Exhibit C - Attached Quarterly Reporting format
KITTITAS COUNTY:
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DATE: 14i• I q i U1,-]
KITTITAS COUNTY BOARD
ABSENT
Commissioner
RECIPIENT:
By: (Print Name)
Title: (�o
DATE:
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HH -2018-001
III REPORTING
*For each Quarterly Report, the agency will use the standardized reporting form
developed by the Homeless and Affordable Housing Committee.
Quarterly Reports are due on the following:
April 15, 2018
July 15, 2018
October 15, 2018
January 15, 2019 (Only for contracts lasting longer than one year.)
Please provide a brief description of work paid for by County funds and total amount of
County funds expended per reporting period.
Agencies may report information beyond the standard reporting form if desired.
Please send an electronic copy of each report to:
Kittitas County Homeless and Affordable Housing Committee
Debbie Myers, Kittitas County Board of Commissioners office
Kittitas County Auditor's Office, Judy Pless
*Reporting requirements may be amended by the Committee so that appropriate data can
be gathered.
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EXHIBIT "All
� r h.i M1lrl'. 1 rr.
Homelessness and Affordable Housing Funds
2017 Request for Proposals Application Form
.ti rnnr
"Fields outlined in red are required"
PROJECT INFORMATION
Project Title: Housing Authority Supportive Services
Project Site Name(s): Scattered Sites
Project Site Address(s): Various
Which fund source is this proposal for? (select one, see Section 1 of the RFP for details)
Affordable Housing Funds
0 Homeless and Housing Assistance Funds
Total Project Costs (including other funding and resources): $126,099.00
Total Amount Requested (from Kittitas County Homeless Housing and Assistance or Affordable
Housing funds): $117,225.00
Time Frame for Utilization of Requested Funds: 1/1/18 to 12/31/19
City, Town or Unincorporated Area to be served: Kittitas County
APPLICANT INFORMATION
Name of Applicant Organization: HopeSource/Housing Authority of Kittitas County/Elmview
Mailing Address: 700 East Mountain View Avenue, Suite 501
City, State, Zip: Ellensburg, Washington 98926
Phone: 509-925-1448
Fax: 509-925-1204
Email Address: skgrindle@hopesource.us
Website: www.hopesource.us
Federal Tax Identification Number: 91-0814544
Type of Organization:
Government
• Non -Profit
For -Profit
Local housing authority
Tribe
PROJECT CONTACTS
Name of Organization Director: Susan Grindle
Phone: 509-925-1440 ext. 222
Email: skgrindle@hopesource.us
Project Contact Name: Mark Hollandsworth
Title: Director Community Services
Phone: 509-925-1448
Email Address: mhollandsworth@hopesource.us
Fiscal Contact Name: Ariam Mehtsentu
Phone: 509-312-0844
Email Address: amehtsentu@hopesource.us
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AUTHORIZATION
Acceptance of this application may be subject to subsequent compliance reviews, including a review
of the latest audit of financial statement. Preparation of an application does not guarantee that
applicants will receive funds. By signing this grant application form the undersigned certifies that all
information is accurate to the best of his/her knowledge.
Signature of Authorized Representative
PROPOSALOVAIL5
1. Applicant Profile and Qualifications: Tell us about your organization including the
purpose of your work, your goals, any history, and experience working in homeless
and/or affordable housing services, experience managing public funds, and anything
else that describes the organization's qualifications. (250 words max.)
Housing Authority of Kittitas County (HAKC) strives to enhance the Ellensburg community by
creating decent, safe and affordable living environments that foster stability and self-sufficiency
for people with low incomes. HAKC's goal is to partner with other organizations to offer an array
of services and community activities to improve the lives of those we serve on top of providing
housing. HAKC provides long-term, low income rental housing and rental assistance to
approximately 400 family members. HAKC owns and operates 161 apartments in Ellensburg and
Kittitas WA. HAKC is an independent public corporation with the ability and resources to
successfully implement the collaboration of Housing Authority units with wrap around case
management providcd by HopeSource and other supportive services through Elmview.
HopeSource purpose is to protect those who cannot protect themselves and to encourage those
who can. Our goals are to end homelessness in our community, and to support people on their
way to building self-sufficient lives. HopeSource has a 50 year history as a private, non-profit
community action agency operating in a rural environment, making a difference through
programs that stabilize households in crisis including housing, nutrition, energy assistance, home
weatherization, transportation, rental assistance, and youth recreation assistance. HopeSource
administers 38 federal, state and local contracts including; the Consolidated Homeless Grant,
Housing and Essential Needs, Supportive Services for Veteran Families, McKinney-Ventor,
HUD, Rural Development, Housing Trust Fund, Housing Finance Commission, and private
funding from the ROE Foundation, Mercer Creek Church, the Shoemaker Foundation, and the
Suncadia Associate Fund.
Elmview has provided support and training which enables people to find and keep jobs for more
than 50 years. Elmview's Mission, is to equip people to identify and reach their maximum
potential throughout their lives. To do so, the organization has developed expertise in working
with people with a range of challenges to finding and keeping employment. Through the year,
Elmview has developed positive relationships with employers in the public and private
sectors --relationships which lead to employment which meet the vision and capacities of the
people served the need of the employer to have a productive contributing workforce.
2. Project Description Summary: Provide a brief summary the project being proposed and
a general description of how it will address homelessness or affordable housing in
Kittitas County. Be sure and indicate whether the proposal is intended to provide direct
client services or construction, maintenance, or improvement of housing facilities. (250
words max.)
Housing Authority of Kittitas County, HopeSource and Elmview propose to collaborate on a
combination of rental vouchers supported by wrap around case management and supportive
services. Housing Authority of Kittitas County, in conjunction with the Yakima Housing
Authority, will continue to provide vouchers to 25 households and will work with HopeSource
and Elmview for wrap around case management with the goal of graduating tenants from
subsidized voucher housing to permanent unsubsidized housing. Case management includes
connection to mental health professionals, substance abuse counselors, and job training
resources.
Case management is based in the progressive engagement model of light, medium and heavy
service touch designed to deliver only what is needed in order to move a household forward,
recognizing that some circumstances require more support than others to break free of barriers.
HopeSource case managers connect households internally to energy assistance, youth
scholarships, transportation, and life skills education including budgeting, credit and debt, and
employment preparation. They connect households externally with resources such as mental
health, physical health, substance counseling, and job searching.
Linking housing vouchers with case management could potentially lead to the launch of an
innovative Pathways to Permanence project where Housing Authority, HopeSource and Habitat
for Humanity would partner to provide homeless households immediate shelter, then case
management in subsidized housing, ending with successful homeownership.
People succeed as they are supported and empowered to break the cycle of dependence on
services and provided the tools to move forward with their lives. Employment is a critical
element. Work enhances self-esteem, provides an opportunity to build skills and a supportive
social support network, and income which enables the individual and family to be able to build
assets which support them to move to invest in themselves and their families' future. The
collaboration of three local agencies outlined in this proposal provides the support and
framework to move families to self-sufficiency and the opportunity to positively engage in our
communities.
County Priorities: Indicate which of the following priorities are being addressed by the
proposed project. (Select all that apply and give a brief 100 word description for each
selected.)
UIncrease capacity and sustainability for homeless sheltering.
u Connect shelter clients to services to reduce homelessness.
FIncrease site-based rental vouchers for people who are homeless with wrap-
around case management through current partnerships.
This collaboration between HopeSource, Elmview and Housing Authority of Kittitas County
will enable Housing Authority to begin the process of submitting site based vouchers which
include wrap around case management, the first step in moving to the future designation of a
number of units for homeless households.
EJNew affordable housing development.
CIIncreased access to rental vouchers,
nPromotion of private landlord usage of Section 8 rental vouchers.
✓Z Programs which increase access to affordable home ownership.
Linking housing vouchers with case management and providing employment skills and training
services will launch a Pathways to Permanence project for the Housing Authority with support
from HopeSource, Elmview and Habitat for Humanity. Homeless households would enter the
HopeSource shelter and, if successful in stabilizing themselves and securing a job, would
transition to a Housing Authority unit. Case managers would continue working with the
household once transitioned to prepare them to be a successful applicant for home ownership
with Habitat for Humanity or other conventional sources. The employment component offered
through partnering with Elmview squarely places the families served on a path which can lead
to building the skills and equity needed to move toward homeownership.
4. Partnerships: List your key community partnerships for the proposed project and what
their role will be. (250 words max.)
The Housing Authority, in conjunction with the Yakima Housing Authority, is a recipient of
VASH for veterans and Section 8 housing vouchers for qualified households. Central
Washington Healthcare provides mental health supportive housing for individuals coming out of
therapeutic treatment. WorkSource employment specialists coordinate with HopeSource to
provide employment search and preparation resources if the client is able to work. Elmview
Employment Specialists provide the needed one-to-one support to enable people participating in
the program to find and keep employment. DSHS - SNAP and temporary financial benefits
provide needed security as clients construct their safety net. The Social Security SOAR program
assists in moving from disability to ability. The Department of Licensing provides resolution of
licensing issues. The Ministerial Association offers spiritual counseling and can assist with small
essential needs. Central Transit, HopeSource Dial -A -Ride, and The Apple Line provide
transportation services for the community to mitigate the expense of traveling in the county and
connecting with family outside the county. RSVP provides guidance on insurance questions.
Aging and Long Term Care and People for People provide aging in place and support for seniors.
Kittitas County Commissioners provide funding for homeless and at risk seniors over the age of
65. Central Washington Disability Resources and Elmview provide training and disability
support. FISH offers food and social support. Free Clinic Dental & Vision provide access to
medical treatment. Goodwill and the Methodist Clothing Bank provide basic clothing and
household needs. Hospice is available for seniors who face end of life issues. Senior Centers in
Ellensburg and Cie Elum give access to activities and socialization opportunities. Social Security
Administration administers the basic income support of most seniors.
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5. Gaps and Duplication in Services: Describe how your proposed project fills a gap in
homeless and/or affordable housing services in Kittitas County. Include a description of
how the project is or isn't a duplication of current services. (250 words max.)
In the Kittitas County Ten Year Plan to End Homelessness, in Goal No. 1 the first priority
mentioned is to increase site based rental vouchers. There are no other organizations in Kittitas
County that provide Section 8 and VASH vouchers coupled with wrap around case management.
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Sustainability: Describe your ability, experience, and resources to implement and
sustain the project during the term of the project. (250 words max.)
The Supportive Services program is not sustainable without Kittitas County funds. Housing
Authority of Kittitas County, HopeSource and Elmview continue to seek sustainable funding
sources for these types of programs and is in discussion with foundations and other sources of
State and Federal grant funding. Funding specifically for case management for populations with
multiple barriers is scarce at every level of government and in every community. Housing
Authority of Kittitas County, HopeSource and Elmview utilize other grant sources to backfill the
county funding, and sponsor annual fund-raisers to augment government and foundation grants.
HopeSource Case Managers are trained in family dynamics, home health worker certification,
care coordination, mental and physical first aid, SOAR benefits training, deescalation and trauma
informed care. Advocates have a combined 38 years of experience working with vulnerable, low
income populations and seniors. Elmview Employment Specialists are trained in Supportive
Employment and Individual Placement and Support and the development of Person Centered
Plans for individualized client engagement and planning.
N
7. Goals & Objectives: Use the Goals and Objectives Form below to fill in the following
table with your project's goals, measures, strategies, and objectives. See the examples
below for guidance and use as many forms as necessary.
Example #1:
GOAL: Increase number of people enrolled li} health MSUrance by 25% by December 31, 2017.
Measures How will you know you are malting progress toward your goal?) I Data Source I
Internal tracking
Number of new enrollees in health insurance I
will you do to achieve
. _...... .. .........
sheet
Strategy #1 Create promotional materials to distribute to local partners
your goal?) advertising health insurance enrollment assistance.
Promote the service with at least 5 community partners
each quarter through December 2017.
Measurable Objectives:, �i
Distribute at least 100 flyers around the community by
December 2017.
Strategy #2
at will you do to achieve
Measurable Objectives:
Strategy #3
will you do to achieve your goal?)
Fvmmnlo ftp -
Offer health insurance enrollment assistance at local
community events.
• Attend at least 2 community events per quarter in both
Upper Kittitas County and Lower Kittitas County through
December 2017.
Offer health insurance enrollment assistance appointments in
the office.
I• Schedule at least 40 hours per month of open walk-in
assistance through December 2017.
Measurable Objectives: Ensure staff availability for at least 25 scheduled
1 • appointments each month through December2017.
GOAL: Increase the number of trail systems available to the general public within the City of Ellensburg from 5
to 7 by December 2019.
Meafures (How wil[ yotl &now you are rE7akln ro rass toward aur oal? .Iffin Source st
Number of trail systems open to the public and clearly labeled I Trails report
Strategy #1
Establish public-private partnerships for funding trail
(What will you do to achieve your goal?)
construction and maintenance.
• Create tailored presentation about project by March 2017.
• Meet with at least 2 potential partners each quarter
Measurable Objectives:
through June 2018.
Establish at least 2 primary public-private partnerships for
trails by December 2018.
Strategy #2
Identify sites for new trail systems.
(What will you do to achieve your goal?)
Conduct site visits with partners of potential new sites by
Measurable Objectives:
March 2018.
Identify pros and cons of potential new sites by lune 2018.
• Solidify 2 new trail sites by December 2018.
Strategy #3
(What will you do to achieve your goal?)
Build new trail systems.
• Create plans for construction of new trail systems by March
Measurable Objectives:
2019.
• Two new trail systems will be built by December 2019.
12
GOALS AND OBJECTIVES FORM_
Fill out white sections only,
GOAL: 1
The Housing Authority and HopeSource, working jointly, graduate tenants to unsubsidized housing
through wrap around case management which opens units and reduces wait list times
Measures (Haw will you know you are making progress toward your goal'
Housing Stability Plans in place for tenants
Number of tenants exited to permanent housing
Improved Self Sufficiency Scores
Source
Tracking documents
Tracking documents
Survey Scoring
Develop case management support program
Strategy #11
(What will you do to achieve your goal?) with HopeSource
Measurable Objectives:
Plan and process in place for Housing Authority
wrap around case management support of
identified tenants
j
Strategy # Identify tenants with capability to move to greater
2:
(What will you do to achieve your goal?) self-sufficiency
Measurable Objectives:
Criteria and process in place for equitable and
confidential selection for the case management
program
_—---____........ .. _ J
Strategy#3: Provide connection, guidance, expectations and
(What will you do to achieve your goal?) I accountability to overcome barriers
Measurable Objectives:
.....................................
Referrals and connection to identified service
providers completed, stability plans outlining
expectations and accountability in place for
identified tenants
*Use copies of the same form ifyou have more than 3 strategies for the same goal*
GOALS AND OBJECTIVES FORM
Fill out white sections only.
GOAL:
75% of people participating in the program will be employed.
Measures mow will you know you are making progress towardyourgoat?) I Data Source
Measure number of people employed through employment support servicesTracking documents
1 Collaborate with program partners to identify
Strategy#1: individuals in need of employment supports.
(What will you do to achieve your goal?)
Measurable Objectives:
Number of people participating in the programs
staffed
Number of people participating in the program
incorporating an employment outcome in their
program plan.
Strategy #2: Engage identified individuals to develop
(What will you do to achieve your goal?) individualized Person Centered Plans (PCP)
focused on employment outcomes.
f Individuals identified for PCP
I
Measurable Objectives: PCPs completed for identified individuals
Strategy#3: Work with individuals to implement employment
(What will you do to achieve your goal?) focused PCP.
Individuals actively engaged in implementation of
PCP
Track and report on PCP milestones achieved
Measurable Objectives: Number of people employed
1 *Use copies of the same. form if you have more than 3 strategies for the same .coal* 1
n
GOALS AND OBJECTIVES FORM
Fill out white sections only.
GOAL:I.
Pilot a Pathways to Permanence model with the Housing Authority, HopeSource, and Habitat for
Humanity that moves homeless households from the shelter to Housing Authority units as they are
prepared to be successful applicants for home ownership W
Measures tHow will you know You are making progress toward your goal?) Data source
Housing Stability Plans in place for identified shelter households
Improved Life & Work Skills
Number of tenants prepared for home ownership
Tracking documents
4
Assessment Testing
Survey Scoring
Create plan for managing shelter households and
Strategy #i: preparing them to successfully enter the Housing Authority
(What will you do to achieve your goal?)
1
Plan in place with support, training, expectations
and training identified tenants
Measurable Objectives:
Work with former shelter households in increasing their assets and
Strategy #2; understanding basic life and financial skills that will help them save
(What will you do to achieve your goal?) for home ownership
Measurable Objectives:
Strategy #3;
(What will you do to achieve your goal?)
Measurable Objectives:
Number of former shelter households who show
they have learned new skills and have improved
their asset base
Work with Habitat to coach the selected
I
ouseholds in preparing for successful application
Number of households who, once selected,
successfully meet the standards for application
*Use copies of the same form. if you have inoi•e than 3 strategies foi• the same goal*
BUDGET NARRATIVE
1. Funding Utilization: Describe how the funds will be used to support the proposed
project. For example, will the funds be used for staff time, supplies, consultants,
contractors, construction costs, direct customer services, etc.? (250 words max.)
The funding will ti -e used primarily for the activity of staff in the provision of case management and
supportive services for Haus€ng Authority tenants. Elmview will work in partnership with HopeSource and
the Housing Authority of KRtltas County to support identified individuals to find and steep employment.
The bulk of the funds requested are for staff dedicated to the project. The primary staff cost Is for the
Case Manager and Employment Specialist,
Housing Authority of Kittitas County, HopeSource and Elmview are reouesting an initial grant award of
$117,256 for a two year grant period January 1, 2018 through Derern€aer 31, 2019 with a 5% annual
Increase. Total request equals $2-10,374.
14
2. Other Support: Describe any monetary, in-kind, donations, grants, or other types of
support that will be used for the project. Include both guaranteed support and support
that may still be uncertain. (250 words max.)
Additional funding support will be provided by Housing Authority of Kittitas County and Elmview In the
form of an In Kind donation of office space, utility expense and supplies as detailed In the attached
budget. ElmVlew will contribute office space, office, computer, and network support for this project
valued at $16,000.
15
3. Sustainability: Describe how this project would or wouldn't be sustained if these
Homelessness Prevention and Affordable Housing funds were not available either
currently or in the future. (250 words max.)
Without county support for wrap around case management, the Housing Authority Pathways to
Permanence project could not move forward. While other grants can augment some of the case
management resource time, it would not be sufficient to support a structured program with the
Housing Authority that would be successful. Elmview has a long-established relationship with
state agencies which fund employment services for individuals with significant barriers to
employment. It is anticipated that as individuals are identified for employment supports,
Elmveiw will work to establish eligibility for programs which will enable program participants to
find and sustain employment. Elmview is an Employment Network which contracts with the
Social Security Administration through SSA's Ticket to Work program. Those individuals who
are receiving Social Security or who become recipients of Social Security while working with
Case Managers will become eligible to participate in the Ticket to Work program. Ticket to
Work provides long-term support to people to be and stay employed and thereby, move off
Social Security. The strategies above will ensue the sustainability of the employment support
and training component for this program.
16
4. Partial Funding: If this project were to receive only partial funding from this source,
how would the project be impacted? How would the proposal be adjusted for less than
the requested amount of funds? (250 words max.)
The level of supportive service provided and the numbers of tenant served would be impacted by a
decision to only partially fund this project.
17
yr j �r_ Dap xatmeul of the TreOmury
4 lnlen7H1 Revenue Service
P.O. box 2508
Cincinnati OH
)16972
HOPESOURCE
601 W STH AVE
ELLENSBURG WA
In reply refer to: 0248514008
45201 Oct. 07, 2008 LTR 4168C E0
91-0814544 000000 00 000
00015105
BODC: TE
"1-]VkZl
Employer Identification Number: 91-0814544
Person to Contact: MRS. LUTES
Toll Free Telephone Number: 1-877-829-5500
Dear TAXPAYER:
This is in response to your request of Sep. 29, 2008, regarding your
tax-exempt status.
Our records indicate that a determination letter was issued in
MARCH, 1967, that recognized you as exempt from Federal income tax,
and discloses that you are currently exempt under section 501(c)(3)
of the Internal Revenue Code.
Our records also indicate you are not a private foundation within the
meaning of section 509(a) of the Code because you are described in
section(s) 509(a)(1) and 170(b)(1)(A)(vi).
Donors may deduct contributions to you as provided in section 170 of
the Code. Bequests, legacies, devises, transfers, or gifts to you or
for your use are deductible for Federal estate and gift tax purposes
if they meet the applicable provisions of sections 2055, 2106, and
2522 of the Code.
If you have any questions, please call us at the telephone number
shown in the heading of this letter.
Sincerely yours,
Michele M. Sullivan, Oper. Mgr.
Accounts Management Operations I
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EXHIBIT "B"
HOUSING AUTHORITY/ HOPESOURCE / ELMVIEW- HASS
1. Project Description- Redo this paragraph and take out all of the program description. What we need to
know is which agency is doing what part of this partnership. Also, you mention Habitat for Humanity?
Are they part of this project? If so, where do they fit in and what do they do? NG
HopeSource's revised Project description:
HAKC, HopeSource and Elmview propose to collaborate on a combination of rental
vouchers supported by wrap around case management and supportive services. HAKC, in
conjunction with the Yakima Housing Authority, will continue to provide vouchers to 25
households and will contract with HopeSource and Elmview for wrap around case
management and employment training with the goal of graduating tenants from subsidized
voucher housing to permanent unsubsidized housing.
HopeSource case managers will provide households with Supportive Services and connect
them internally to energy assistance, youth scholarships, transportation, and life skills
education including budgeting, credit and debt, and employment preparation. They connect
households externally with resources such as nutrition security, mental health, physical
health, substance counseling, and job searching.
Elmview case managers will provide Employment Services that support and empower
families with job searching and training for the workforce.
The collaboration of the three local agencies outlined provide the support and framework to
move families to self-sufficiency and potential home ownership opportunities through a
Habitat for Humanity home ownership program or other conventional opportunity.
Habitat for Humanity is included by reference as a community partner whom we may refer
our successful graduating households to for a home ownership opportunity.
2. Is this a pilot for a Pathways to Permanence project? Or, is that an additional part of this
project? It's difficult to understand.
The philosophy of this program is to move people from subsidized housing to permanent
housing that households can afford without subsidy. Strategies include improving wages,
improved budgeting skills, and finance management. The "pathways to permanence" is a
phrase used by community action agencies to describe the work Community Action does to
move households into stability and self-sufficiency.
3. . Goals, Strategies and Measures- very confusing, not specific enough and do not include
timelines at this point. The responsibilities of each agency should be identified in this
section as well. What will be done, how will it be accomplished and who is responsible for
each strategy and/or measure? NG
See updated Goals worksheet.
4. In the budget narrative, Funding and Utilization, outline which agency receives funding, the
work they do for the funding, and how much funding. Who coordinates the budget and how
will each agency receive their funding? Why the 5% increase each year? Approximate the
amounts of the in-kind contributions of the two year span. NG
The non -administrative staff cost will be shared by HopeSource and Elmview for
supportive service and supportive employment staff activity to be determined by the
individual needs of the clients. Administrative functions will be administrated by
HopeSource and its staff. The 5%increase covers the 3% increase in COLA (cost of living
allowance) and projected operations cost increases.
Approximately $17,000.00 in in-kind contributions from the Housing Authority and
Elmview for space, utility, supplies and equipment costs over the two year period.
5. Proposal Details #1: Applicant profile and Qualifications page 4 348 words. Obviously, this
is not a question. I merely want it on record. JF
Understood.
Proposal Details #2: Project Description Summary page 5 19 words. Obviously, this is not
a question; I merely want it on record. Why is Habitat for Humanity and not Elmview
referred to in paragraph 3? JF
Habitat for Humanity, unlike Elmview provides homeownership opportunity which is one
of the goals of this program.
7. Proposal Details #3: county priorities page 8- why is Habitat for Humanity referred to here?
JF
See above
8. Proposal details #4: Partnerships page 9- 274 words. Obviously, this is not a questions; I
merely want it on record. Are these entities actual, real partners with HopeSource? JF
HopeSource regularly works with and considers the organizations listed in the grant as
collaborative partners in meeting the needs of vulnerable populations in our community.
The term partnership among social service providers in a community is a generally
accepted term that defines cooperation and inter -referral among agencies within that
community.
9. Proposal Details #6: Partnerships page 11- you state in the first paragraph, "... utilize other
grant sources to backfill..." What other grant sources? JF
HopeSource operates a variety of grants in central Washington, many of which can be
leveraged or used as match to fill in any gaps in funding.
10. Goals and Objectives form page 12- All three pages have the same
question: Why are there no measurable listed? On the third of these pages
where it states, in the top box, "...HopeSource and Habitat for
Humanity..." What does Habitat have to do with this funding request? JF
See revised goals worksheets
(The Pathways to Permanence narrative and goals sheet has been removed from our
grant proposal.)
11. Budget Narrative #I - Funding Utilization page 14- What is the actual
amount you are asking for on this specific grant? JF
We are requesting $117,256.00 for the initial 2018 grant year with a 5% escalator
for the remaining year.
12. Budget Narrative #3: Sustainability page 15- You state "Those individuals who are
receiving Social Security or who become recipients..." Is this SSA retirement of
disability? JF
Individuals may be recipients of either/or SSA or SSDI
13. How many clients do you expect to serve with this grant? GC
We are targeting 25 households annually.
14. Please explain the application, screening and selection process. GC
Participants of the program must first qualify for HAKC housing and are then selected
from the HAKC waitlist per their required waitlist selection criteria.
15. Who audits how the money is spent to ensure the best interests of Kittitas County taxpayers?
GC
Kittitas County Auditor is responsible for auditing all county expenditures. HopeSource is
annually audited by an external account and has received 11 consecutive years of clean
audits.
16. Are all the vouchers used each year? GC
Housing Authority has committed 25 housing based vouchers to this project which we
anticipate using.
17. How will you measure the success of your program? GC
Per the updated goals worksheet
18. Before the 2019, 2020, etc. monies are released, how will you report, and what will you
report, on the expenditures of the prior yearto the committee? GC
We will work with the HAHC and the Board of Commissioners to create a reporting
tool which meets requirements.
EXHIBIT "C"
Kittitas County Homelessness and Affordable Housing Committee
Quarterly Report
Please complete the quarterly report by the 15th day of the month following the end of each
quarter.
Program: HopeSource/Housing Authority of Iittitas County/EImv1ew
Organization: Housing Authority Supportive Services
Contact Person: Susan Grindle Mark Hollandsworth & Airam Mehtsentu
Phone #: 509-925-1448, & 509-312-0844
Funding Period
Date/Year:u to Date/Year:
Reporting Quarter: Quarter of ____year
Total Number of Participants Currently in the Program
Total # of Participants
1St Quarter
2nd Quarter 3rd Quarter
4th Quarter Total for Year
Expected
�...... — -
Actual
Gender of Participants
Gender(Total#of Participants*)
1St Qtr
2nd Qtr
3rd Qtr 4th Qtr Total for Year
Male
Female
Total*
�...... — -
J
GOALS AND Q6J__ELTIViES FORM
Fill out white sections only,
GOAL:
The Housing Authority and Hope5ource, working jointly, graduate tenants to unsubsidized housing
through wrap around case management which opens units and reduces wait list times
IM!/aut {clow wIM VWi�lohY +y u m�kinI�ess t*wwd�aur"lamDeftsoutte
Housing Stability Plans in place for tenants
Tracking documents
Number of tenants exited to permanent housing
Tracking documents
Improved Self Sufficiency Scores
Survey Scoring
I
Develop case management support program
strategrOL'
(What will you do to achleye yourgoal?l
with HopeSource
Plan and process in place for Housing Authority
wrap around case management support of
N1aaSUrallle Obj�ective4;
identified tenants
Identify tenants with capability to move to greater
stratNgy �r�:
(what will voudotoachieve your Xual?I
self-sufficiency
Criteria and process in place for equitable and
confidential selection for the case management
i
I Measurable Objectives;
program
Strataiy#3:
provide connection, guidance, expectations and
(whetw NyoudotoachkwevourPoai?)
accountability to overcome barriers
Referrals and connection to identified service
providers completed, stability plans outlining
expectations and accountability in place for
Measurable Objectives:
identified tenants
hu��c� »tore ........frar3.+lrufe �s ifn .same �►eur!*
*r?s°e cr��.rc.ti ref tfnt� scrr>rE* ir►rr+r rj tir3rr
GOALS AND OBJEcrlY.N FORM
Fill out white sections only.
GOAL:
i
75% of people participating in the program will be employed.
Measures Flow "lljou know you are makW4 pywess toward l
Date Soures
Measure number of people employed through emptnyrnent support services
Tracking documents
Collaborate with program partners to identify
strattbg o"
(►What willl you do to achieve your goal?)
individuals In geed of employment supporls_
Number of people participating in the programs
staffed
Measurable Obfec[tvm
Number of people participating in the program
incorporating an employment outcome in their
program plan.
Engage identified individuals to develop
Strata" III:
lWhatwill you dotoachieve yoorpail?)
individualized Person Centered Plans (PCP)
focused on employment outcomes.
Individuals identified for PCP
PCPs completed for identified individuals
MeasurableObjectNes
Strategy 03:
Work with individuals to implement employment
(What W111 you do to achieve your goat?)
focused PGP.
Individuals actively engaged in implementation of
PCP
Track and report on PCP milestones achieved
Measurable[ lett[ve5
Number of people employed
Use copier ejPhe Same fin -in fj'you have nfore lhon 3 strateiex or the same.goal*
GOALS AND OB1,ECTIVES FORM
Fill out white seetrons array,
GOAL:
Pilot a Pathways to Permanence model with the housing Authority, Hopesource, and Habitat for
Humanity that moues homeless households from the shelter to Housing Authority units as they are
prepared to be successful applicants for home ownership
Measures (Howrwiq you knowVou are makilrg progress toward your goal)
D;Aa source
Housing Stability Plans In place for Identified shelter households
Tracking documents
Assessment Testing
Survey Scoring
Improved Life & Work Skills
Number of tenants prepared for home ownership
Create plan for managing shelter households and
Strategy #11
preparing them to succes-sfully enter the Horsing Authorily
(what will you do to achie re your "Val
Plan in place with support, training, expectations
and training identified tenants
Measurable objectives_
Work with Porn Ar shedler housaholds in incra-sing I!.L lr amels and
5tratg9y 02:
understanding baslo llle and frnanclal skills lbat will help thea save
lWhat will you do to achlim your goal?j
lar home ownershlp
Number of former shelter households who show
they have learned new skills and have improved
their asset base
Measurable Oblectives;
Work with Habitat to coach the selected
strateiltv 113'
Iwhat will you Flo to schiew vow gwl?l households In preparing for successful application
Number of hous€rholds who, once selected,
successfully meet the standards for application
Measurable 4bJectives:
'U.Te ca les o lire same )rm t l!oto have rtwre Own 3 sti-ale ies r the same zoal
GOALS AND OBJECTIVES FORM
Flll out white sections only.
GOAL:
Prepare a target of 25 tenants for unsubsidized housing through wrap around
case management,
Measures (Ni rwr wR you kno* au are maVnz pMnu tawwd your aoal?f
tmta Source -
Number of tenants exited to permanent housing
Esap64
Improved Self Sufficiency Scores
Internal wellbeing survey
case management Support Services
StrategyDevelop
. program for HAKC clients
goal?)
{What will you do 15a achieve your aoat7}
-Support Services program tailored to HAKC
demographic completed within the first 60 days of
grant award,
Measurable objectives:
-Criteria and process for equitable and confidential
selection for the case management program
developed within 90 days of grant award
Strategy #2:
Conduct assessment of 25 tenants and identify
(What will you do to wAlaw your goal?)
tenants with capability to move to greater
self-sufficiency
Assessments completed for all identified
tenants within 120 days of grant award.
Measurable Objectives:
- Screen minimum of 4 tenants a month to verify
status and appropriate to program
stratagyif3:
Provide tenants connections, referral and guidance
(what will you do to achleve ymw Voal?j
to services needed to overcome Identified borders.
-Stabilay plans outlining expectations and accountability
developed with Identified tenants within 10 days of
assessment
Meas ectives"
-Referrals and connection to identified service providers
that will overcome specific household barriers
completed within 10 days of assessment.
"(.7secupie.s (if the samefarm I vu
haiv more Than 3 s1ralegies for lite sante gaal*
GOALS AND OBJECTIM FORM
Fill out white sections only.
GOAL:
75% of people participating in the program will have completed the Elmview
employment program and will be employed.
Mamas 11low wlti-You knout You are making p o�rysstawardyouf j- '?L
Gadta 5o"
Number of people employed within 6 months of training
Internal Tracking Documents
Collaborate with HAKC and HopeSource to
Strata�y Ni:
identify individuals in need of employment
(what will you do to achieve your pain
supports.
50% of those identified for the program will
incorporate employment outcomes in their
Measurable Objectives:
stability plan.
stratep Engage Identified individuals to develop
(What uAll you do to achkw your S"?) individualized person centered plans (PCP) focused
on employment outcomes,
80% of individuals identified as participants will
develop a PGP
Measurable objectives;
i
Ser#� 'Work with individuals to implement employment
(what wilt you do to achlmm yow palli focused PCP,
-80% of individuals actively engaged in the
training will implement an employment PGP
_ Number of people employed within 10 months
A�leasurable Oblectivarr
of training completion
- *Use copies of the same fora jj'jmj
have more than 3 sir ata fes ar the ,same goal*
Explain progress made on each of your Goals and Objectives submitted in your application.
Please provide additional information, trends or comments related to successes of your
Plea se provA"idia ardl4l ft(ifio.,naiili tof'orm tnont,a trr ), nds ar con; m�en, ts, relait d too, The._ Alen es "'h
your progra, ;project: