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Home My WebLink AboutRES.912.04-04-1994 BILL NO. 94-71 RESOLUTION NO. ��f;� A RESOLUTION AUTHORIZING APPLICATIONS TO THE MISSOURI DEPARTMENT OF SOCIAL SERVICES UNDER THE EMERGENCY SHELTER GRANT PROGRAM, FOR SAFE HOUSE FOR WOMEN, INC. AND THE SALVATION ARMY, AND AUTHORIZING THE CITY MANAGER TO EXECUTE ALL NECESSARY GRANT DOCUMENTS BE IT RESOLVED BY THE COUNCIL OF THE CITY OF CAPE GIRARDEAU, MISSOURI, AS FOLLOWS: ARTICLE 1. The City Manager, for and on behalf of the City of Cape Girardeau, Missouri, is hereby authorized to execute grant applications to the Missouri Department of Social Services under the Emergency Shelter Grant Program for the Safe House for Women, Inc. and The Salvation Army, and is hereby authorized to execute all necessary grant documents. A copy of said applications is attached to this Resolution and made a part hereof. PASSED AND ADOPTED THIS �` DAY OF �.ti�2c�% , 19 i� � � `� �r �'�-�„�� L. -�Yro-des, Mayo f;� �i�s �e, �' ATTEST: l.,.z-��.<:l ��. �-r�r.b<ct�<�� f f �� )i..,',- Gayle � . Conrad Deputy City Clerk ' _._,--- . �..... .•S•,�:••;• • APPLIC�TION � 1� • j�ISSOURI 1994 EM�RGENCY SHEITER GRANT PROGRAM (ESGP) � 4" ' COntrdCt EXhibit A The following information ia to be provided by the Applicant ( local government) for each proposed service provider aqency. ` Application must be postmarked no later than Friday, April 8, 1994 and returned to: MISSOURI DEPARTMENT OF SOCIAL SERVICES DIVISION OF FAMILY SERVICES ATTN: ROBERT RICKARD _ EMERGENCY SHELTER GRANT PROGRAM P.O. BOX 310 ' JEFFERSON CITY, MISSOURI 65102-0310 SECTION I: GENERAL INFORMATION A. Name of City or County/(Grantee) : � � Citv of Cape Girardeau � .. Street/Box Nwnber 401 Independence St. , PO Bo�617_ City and Zip COde Cape Girardeau, Mo. 63702-0617 Contact Person J. Ronaid Fischer Title Citv Manaqer Phone Number (314) 334-8326 �� B. Service Provider Aqency/Organization Responsible for Grant ACtivitieS (Subgrantee) : Safe House for Women, Inc. Street/Box Number P.O. Box 1167 � City and Zip Code Cape Girardeau, MO 63702-1167 �_ ContaCt Person Re'becca Payne „ ..� Title Executive Director PhOne Number (314) 335-7745 or 314 651-1614 C. ESGP Funds Requested for total project s 3Q,000 Request must include total of all subqrantees. Not more than �75,000 or less than ;5,000 per grantee (county/city entity) SECTION II: ELIGIBILITY A. Funds will be obliqated by Juiv i , 1994 . (Must be obligated by local qovernment no later than lB0 days after grant award by the State) . . B. Obligated funds will be expended by June 30 , 19 95 , (Circle YES, N0, or Not Applicable (N/A) for the following questions) C. The proposed non-profit service provider agrees to YES NO not discriminate in the provision of assistance on the basis of sex, race, color, religion, national origin, �age, handicap or veteran status. If statement is true answer "YES" . MO 886-2369 (Rev. 1/94 ) -1- D. The amount of funds, value of services, YES NO N/A buildings, or materials to be provided locally for that project is equal to or greater than that specified in Section I, C � of this application. E. The amount of ESGP funds requested for Y�S NO N/A the provision of Prevention Services (not including essential services) does not exceed 300 of the Total ESGP grant requested. If statement is true, answer "YES. " F. The amount of ESGP funds requested for YES NO N/A the provision of Essential Support Services, (not including prevention services) , does not exceed 30$ of the Total ESGP Grant requested. If statement is true, answer "YES . " G. The applicant agrees that Emergency Shelter YES NO N/A funds will not be used to pay for acquiring a building or land, renting commercial or transient accommodations, any administrative costs for rehabilitation inspection services, loan processing or other similar professional services. If statement is true, answer "YES . " H. Local Qovernment will not use more than 2$ YES NO N/A of their ESGP award for cost they incur to administer the Emergency Shelter Grant Program. If statement is true, answer "YES . " (Service Provider Staff costs included in category of operations) I. If ESGP funds are used for shelter oper- YES NO N/A ations and/or essential services the build- ing will be used as a shelter as long as Federal assistance is received. If statement is true, answer "YES . " J. If ESGP funds are used for rehabilitation, YES NO N/A other than major rehabil.itation or con- version, the building will be used as a shelter for at least three years. If statement is true, answer "YES . " K. The emergency shelter building will meet YES NO N/A local government safety and sanitation standards, housing and building codes after project completion. If statement is true, answer "YES . " (Answer N/A if ESGP funds are not used for Rehab. ) MO 886-2369 (Rev. 1/94) -2- L. Homeless individuals will be given as- YES NO N/A sistance obtaining permanent housing, medical and mental health treatment, � counseling, and other state and federal assistance. If statement is true, answer "YES. " , NOTE: If NO is the response to any of the above qu�stions, stop here and do not submit an application. (Exception: D, E, F and H, a "NO" answer may be approved by the State under special circumstances SECTION III : ELIGIBILITY OF REHABILITATION, CONVERSION AND RENOVATION ACTIVITIES A. Does rehabilitation, conversion, or reno- YES NO N/A vation activities involve a building on the National Register of Historic Places, located in a Historical District, immedi- ately adjacent to a property listed on the National Register, or deemed to be eligible for inclusion on the National Register by the State Historic Preservation Officer? Answer N/A if not making improvements on a building with ESGP funds. B. Is the building to be improved owned by an YES NO N/A organization with religious purposes stated in By-laws, or Articles of Incorporation? Answer N/A if not making improvements on the building with ESGP funds. C. Will the estimated value of the im- YE NO N/A provements exceed 75$ of the appraised value of the building before the im- provements are made? (Answer N/A if not making improvements on the building with ESGP funds) D. If you answered YES to C, will your agency YES NO N/A provide assurances that the building will remain emergency shelter for the next ten years? (Answer N/A if not making im- provements on building with ESGP funds) E. Will the applicant provide assurances that YES NO N/A any building or rehabilitation or remodeling project is in compliance with Environmental Protection Requirements of 24 CFR 576.52 and 24 CFR Part 58. NOTE: If you answered NO to D. or E. , please do not submit an application. MO 886-2369 (Rev.1/94) -3- Definitions o Homeless: means an individual or family which lacks a� fixed, regular, and adequate nighttime residence: or an individual or family which has a primary nighttime residence that is: a super- vised publicly or privately operated shelter, desig�ed to provide temporary living accommodations (including welfare hotels, congregate shelters, and transitional housing for persons with mental illness) : an institution that provides a temporary resi- dence for individuals intended to be institutionalized: or a public or private place not designed for, or ordinarily used as, a regular sleeping accommodation for human beings . The term does not include any individual imprisoned or otherwise detained �ursuant to an Act of the Congress or a State law. o State EmerQencv Shelter Grant Funds: ESGP include only Missouri State Emergency Shelter Grant funds applied for. o ESGP: means Emergency Shelter Grant Program. o Local Cash Funds: include all cash donated by the city, nonprofit organization, or from other private sources. Do not include any funds derived from any state or federal sources. Include only those funds spent on the emergency shelter projects for which grant monies are to be spent. o EmerQencv Shelter: means any facility, the primary purpose of � which is to provide temporary or transitional shelter for the homeless in general or for specific populations of the homeless. o Local Non-Cash Resources: may include all public, private, and not-for-profit donations made after the date of the grant award to the grantee, including the value of any donated material or building, the value of any lease assigned on a building, any salary paid to staff, the volunteer time valued at $5.00/hour, or any other local resources. o Other State/Federal Aqencv Funds: proposal must include a copy of a letter of commitment from the agency administering the state or federal funds, if these funds are used to meet matching requirements. o Renovation: rehabilitation that involves costs of 75$ or less than the appraised value of the building before rehabilitation. o Maior Rehabilitation: rehabilitation that involves costs in excess of 75$ of the appraised value of the building before rehabilitation. o Conversion: a change in the use of a building to an emergency shelter for the homeless, where the cost of conversion and any rehabilitation exceed 75s of the value of the building before conversion. MO 886-2369 (Rev. 1/94) -4- o Essential Service: includes (but not limited to) services con- cerned with employment, physical health, mental health, substance abuse, education, food, or salary necessary to provide -such services. Grant amounts provided to grantee may be us�d to provide an essential service only if the service is a new service or a quantifiable increase in the level of a service above that which the grantee provided with local funds during the 12 calendar months immediately before it received the initial grant. Not more than 30$ of the grant may be used for essential services. o Homeless Prevention: means activities or programs designed to pre- vent the incidence of homelessness, including (but not limited to) : (a) Short-term subsidies to defray rent and utility arrearages for families that have received eviction or utility termination notices; (b) Security deposits or first month' s rent to permit a homeless family to move into its own apartment; (c) Mediation programs for landlord-tenant disputes; (d) Legal services programs for the representation of indigent tenants in eviction proceedings; (e) Payments to prevent foreclosure on a home; and (f) other inno- vative programs and activities designed to prevent the incidence of homelessness. Not more than 30 $ of the grant may be used for homeless prevention activities. o Administration: includes administrative costs associated only with the unit of local government incurred in administering the local ESG program. These costs do not include any costs associated with operating, maintaining, or providing support services for the emergency shelter. The local government may use no more than 20 of their ESGP award for this administrative cost. o Operations: includes costs associated with operating, maintaining, or providing services for the emergency shelter. In addition, the Housing and Community Development Act of 1992 Section 1402(e) (Public Law 102-550, approved October 28, 1992) amended Section 414(a) (3) to allow 10 percent of ESG allocation to be spent on staff costs of operations related to emergency shelter. The statute also requires you to involve, to the maximum extent practicable, homeless individuals and families in constructing, renovating, maintaining, and operating facilities assisted under the ESG Program, in providing services for occupants of these facilities (42 U.S.C. 11375(c) (7) , as added by Section 1402(b) of the Housing and Community Development Act of 1992 . * Termination of Assistance: Section 1402(d) Housing and Community Development Act of 1992 amends Section 415 of the Stewart B. McKinney Homeless Assistance Act by adding a subsection that requires that termination of assistance to any individual or family be in accordance with a formal termination process established by the recipient. This addition to the statute states: "If an individual or family who receives assistance. . . from a recipient violates program requirements, the recipient may terminate assistance in accordance with a formal process established by the recipient that recognizes the rights of individuals affected, which may include a hearing. " MO 886-2369 (Rev.1/94) -5- INSTRUCTIONS FOR SECTION IV: COST SUMMARY All applicants must fill in items on the Cost Summary Form. (Round amounts to nearest $100. ) All "other" expenditures must be specified. Descript. �f Expend. State Local Lccal Other Statel ESG Funds Cash Non-Cash or Federal Requested Funds Funds Grant Funds TOTAL I. REHAB. ,CONVERSION, and RENOVATION A. Renovation B. Major Rehab. 30 000 15 000 45 0 0 C. Conversion SUB TOTAL II. OPERATIONS A. Maintenance B. Insurance C. Utilities D. Telephone E. Furnishings F. Appliances G. 10$ staff H. Other (specify SUB TOTAL III . ESSENTIAL SUPPORT SERVICES A. Employment B. Food C. Health D. Drug/Substance Abuse E. Education F. Perm. Housing Referral G. Other(specify) SUB TOTAL IV. PREVENTION SERV. A. Client Rent B. Mortgage C. Utilities D. Security Deposit E. Other (specify) SUB TOTAL V. ADM. ESGP Lacal Gov. only 2 Limit TOTAL 30 000 15 000 0 MO 886-2369 (Rev. 1/94) -6- MATCHING FUNDS MADE AVAILABLE DURING THE CONTRACT PERIOD FOR THE ESGP. F 1. Cash Funds. Describe the source of the cash funds, and precisely for what these funds will be used. We are most fortunate to have received an excess of$15,000 from the Cape County Mental Health Board (Mill Tax) . This money will be used for major rehabilitation of our shelter, and will match ESGP funds at 50� for $1.00. 2. Non-Cash Resources. Describe the source and value of any non-cash resources including materials, salaries paid by local agency, volunteer labor ($5.00/hour allowed) , the appraised value of any donated building, or other sort match. Not Applicable 3. Other State/Federal Aqencv Grant Funds. Describe the source of the funds and precisely what the funds are to be used for. A letter of commitment from the relevant state/federal agency must be attached to the application if other state/federal funds are to be used to meet matching funds requirements. Not Applicable 4. Waiver. Section 832 of the Cranston-Gonzalez National Affordable Housing Act makes substantial changes to the Emergen- cy Shelter Grant Program (ESGP) regulations. One change is the elimination of the first $100,000 of the Missouri ESGP match requirements. The Missouri Dept. of Social Services intends to pass this benefit to units of local government in behalf of the emergency shelter/service providers who demonstrate inabili- ty or hardship in meeting the match requirement. Applicants wishing to be considered for a waiver of the match requirement must furnish an explanation of need. Indicate the amount of the match requested waived and the reason why a waiver is needed. Please see attached. 5. Confidentialitv. Section 832 of the Crantson-Gonzalez National Affordable Housing Act changes the ESG Program that require grantees to develop procedures to ensure confidentiality of victims of family violence. Indicate below how this requirement will be met to protect victims of family violence in your shelter or service provider organization. Please see attached. MO 886-2369 (Rev.1/94) -7- RE�UEST OF WAIVER We are req�_�estinq tt�at 5��% ��f tf�e match he waived. �We desperately need tc� enlarqe ��ur L;itcr�en, b�_�ild a cf4ildr�ns raom, as well as b�_iild a r�andicapped accessible bedr�_��m and batf� that w��_�ld acc�=�mm�_�date f��_�r pe��ple. This is ��f �_itm�_�st impr�rtance t�� _ts beca�_�se ��_�r shelter and related services tc� I-�nmeless victims ��f d��mestic vinlence is beinq �_�til.ized t�� its mayim�_�m capacity at all times. Tf�is past year the demand fc�r a�_�r Emerq�ncy SF�elter and s�_�pp��rt services F�ave bePn overwhelminq. We are servinq 49X more women, 19X more children. and �providinq 44X more bedniqhts of safie shelter; than the previous Year. We ��ften f�ave t�_� refPr s�_�mP fama.'l.i.es tn r�thPr sr,elters fJPCcI�_l5P w� are f�_�11 . At t.i.mes wt-�en tr,Pse ('iQlT1PZeS5 pe�_�ple cannc�t find �'�tf�2Y acc�_�mm��dati�_�ns WP F'�c�VP t�=� p�_�t tf�em �_�p at a l��cal h��tel , b�_�t tF�is arranqement maF::e� it r�ard t�� prnvide �_�ther nPcessarv =�_�pp��rt t�� them. Tr�e acceptan�e afi this prr_�n�-�sa.l w.itf� the waiver w��_ild enahle �_�s tn �r��vide the best p��ss.ibl� services t�-� �-��_�r families. We w��_�ld liE�e t�-� YPf.7�..IB�".�t ��c_�. i�c_�G and w��..ild he ahlP tc� matcl-� this with �1�. UU�>. This wa�_ild oive �_�s in.itiallv �4�. i>c-��:� with wr,i�r� t�� start �_��_�r pr�_�.7Pct w.ith. W� w��_�1rJ have t�-� raise between ��. �1(_1(_1 tii �`(_). !_1(_)(_1 �dditional fT1�=�f1Py t�=� 'flrilSfi ��llY prr�.ject based ��n preliminary disc�_�ssir�ns with ��_�r arcl-�ztect. Tnm Pf�illips. He anticipates that the tc�tal cc�st wi. 11 be between �5t_�,c_>t_�i► t�� 75,t�i�i�. We wi 11 have avai lable YBS�=��_lY CPS frr_�m Fl��d mr_�nies fc�r Dnmestic Vinlence Victims in April , t�_� cr�mplete this pr��.ject. CQNFIDENTIALITY SAFE HOUSE FOR WOMEN, INC. currently maintains a strict system to ensure confidentiality of client informatipn . Our confidentiality procedures are : All information provided by clients to any staff inember, volunteer, or representative will be considered confidential . Client records and other information pertaining to clients and services will be handled with confidentiality considered; i .e . , not available to public review, including accidental review. . A signed Release of Information is required each time client information is divulged to any other individual or agency. This includes probation/parole officers, client ' s attorney, other treatment programs, third party officers, client 's family, friends, custodial agent, and employers . Releases of of information are valid for six months, at which time a new release will be completed if necessary. Clients may at any time invalidate this agreement, if requested in writing. A Release of Information will not be required in the event of legal subpoena of client records, child abuse/neglect, or at risk of child abuse or neglect situations . Contract monitors will have access to client records without a signed Release of Information. Research, evaluations, and audits by government and other funding sources will have access to demographics without signed Releases of Information. A medical Release of Information will be required as part of the service agreement so that emergency treatment may be obtained, when appropriate . In the event the client is a minor, a Release of Information will be signed by the legal custodian(s ) before any records are released to any person other that those already specified . The Release will specify information to be released, to whom, for what purpose, and for what period of time . SECTION V: ACTIVITY DESCRIPTION NARRATIVE (Answer all items) A. Activities. � 1. Briefly describe the purpose and scope of the agency _ providing services to the homeless. Include a list of all staff, their educational background and related work experience. If homeless individuals are a p�rt of this please so indicate. *Please see attached resumes and job Descriptions. Other staff include: Stacey Hahn - B.A. in social work to be earned this spring from South East Missouri State IIniversity. Entering her third year of employment �ith us. Phyllis Sanders- B_A_ in Sociology _ SEMO IIniversity. Entering her third year of employment �ith us. Debra Willis - one year of attendance at SEMO University. Has worked extensively in the community and has comprehensive knovledge of local resources. Nicole Hann- Currently attending SEMO University. Entering her third year of employment with us. We currently employ several formerly homeless/battered women. 2. Describe how ESGP funds for each category requested in this application will be used. We will be utilizing ESGP funds for major rehabilitation, that will allow us to provide emergency shelter to four extra people, and to become handicapped accessible. 3. The Department of Social Services is permitted to use 5°s of the State' s 1994 ESGP award for administrative purposes. Federal statute specifies that the State share the amount available with local governments who receive ESGP awards from the State. As a result, 2$ of the amount awarded by the State will be provided to local governments who are participating in the program for administering their grant. Provide description of expected use for this request and the amount needed. Not Applicable. MO 886-2369 (Rev.1/94) -8- PURPOSE AND SCOPE OF AGENCY The Safe House for Women, Inc . mission statement is to "break the cycle of domestic violence by developing community awareness and involvement; providing safe shelter and confidential services; and empowering victims to take effective control of their own lives . " The services we provide to women and their children are 24-hour crises line, emergency food and shelter, transportation, Peer Support Groups, Legal Advocacy. SAFE HOUSE FQR WOMEN, INC. J�B DESCRIPTIQN JOB TITLE: Executive Director ` JOB SUMMARY: Responsible for the proper management of all aspects of Safe House activities in order to ensure realization of goals and objectives consistent with long-range plans of the Safe House Board of Directors SUPERVISED BY: �Safe House Board of Directors DUTIES AND RESPONSIBILITIES : I . Program Development A. Develop relationships with community leaders, organizations, corporations and foundations for obtaining community support and program recognition B. Present community programs regarding domestic violence, Missouri Abuse Law, services offered by the Safe House and other community resources available to victims of domestic violence C. Assure through program evaluation and planning with Board of Directors and House Manager that Safe House programs are developed to meet the the needs of the people served D. Review objectives and direct the development and and implementation of policies, consistent with Safe House philosophy II . Business and Financial Management A. Prepare annual operating budget for Board of Directors review and approval B. Maintain bokkeeping and financial records necessary for the financial management of the shelter C. Monitor bill payment, payroll and insurance requirements (health, liability, property, etc . ) D. Monitor financial reporting requirements to federal, state and local agencies Jab Description, Executive Director Page 2 E. Direct and supervise the activities of shelter manager � F. In consultation with House manager, maintain effective staffing of Safe House to meet proqram needs G. Prepare and submit program funding and grant applications, with board approval III . Board of Directors A. Assist the Board of Directors in carrying out legal responsibilities of a not-for-profit organization B. Attend Board meetings as required 1 . Provide monthly written reports pertaining to Safe House and Executive Director activities IV. Personnel Management A. Screen, interview, hire, train, and supervise staff and hotline volunteers . B. Evaluate and recommend salary adjustment C. Maintain staff and hotline volunteer time sheets D. Provide continuing education V. Other A. Perform other duties and functions as assigned by the Board of Directors QUALIFICATIONS : I . Previous experience in a responsible administrative position II . Management and Professional Skills to Include A. Ability to supervise and administer a not-for- profit agency B. Good proposal and technical writing skills Job Description, Executive Director Page 3 C. Financial planning, budgeting and cash-flow analysis skills ` D. Ability to communicate with large groups E. Extensive knowledge of Domestic Violence 9-23-92 REBECCA L. PAYNE R.R. 1, BOX 436 Jonesbora, Illinois 62952 ( 618 ) 747-2668 SKILLS : � -Extensive knowledge of Domestic Violence . -Extensive experience training Law Enforcement on the "Illinois Domestic Violence Act . -Skilled in working with, and acting as a liaison among diverse agencies and groups, including boards, committees, funders, the criminal �ustice system and other service providers . -Excellent public speaking and training skills . -Extensive experience in developing plans, programs, and budgets to fit the need of the community. EXPERIENCE• EXECUTIVE DIRECTOR: Safe House for Women, Inc . Cape Girardeau, Missouri . August 1992-Present . -Answered to Advisory and Executive Board for all concerns of a 24- hour shelter for victims of Domestic Violence . Responsibilities included : Service Deliverv and �rogram: Monitor the service delivery system in the areas of contract compliance indicators, goal attainment, and client outcome; maintain open dialog with staff, volunteers, and clients to assess unmet community needs and consequent program changes . Board and Communitv Relations : Report and recommend to Board of Directors regarding financial, program, personnel, and community issues; initiate and provide community ecucation and networking; act as liaison with funders and supporters . Personnel Management: Screen, interview, hire, train, and supervise staff; evaluate and recommend salary adjustments . Budget � Finance : Prepare, manage, and monitor all grants; identify, and maintain supplementary income from public and private sources; monthly, quarterly, and annual financial reports to all funders of program, and Board. OUTREAGH COORDINATOR: Gairo Women's Shelter . Cairo Illinois . October 1991 - August 1992 . -Developed and coordinated three walk-in programs, including supervision and delivery of Legal Advocacy and counseling services to victims of Domestic Violence . Chaired the Illinois Coalition Against Domestic Violence Public Policy Committee, and carried out Illinois Domestic Violence Act training for Southern Illinois Counties, within and outside of our catchment area, upon request of the Southern Illinois Police Training Unit Director . CONSULTANT: Cairo Women ' s Shelter . Cairo Illinois . September 1990-September 1991 . -Utilizing skills developed while Executive Director and Legal Advocate at Domestic Violence Programs in Illinois from 1984-1991, I consulted with programs in Southern Illinois in the areas of Outreach and Program Design . This work focused on Pu�lic Education with Criminal Justice Personnel and Social Service Agencies, while promoting community-wide usage of existing Domestic V�folence services . C�NSULTANT: Oasis Women 's Center . Alton, Illinois . May-June, 1990 . -Created, developed, and implemented Outreach system and Domestic Violence Programs for three counties for Central Western Illinois . Work included Systems Advocacy, Direct Service, and Public Education with Law Enforcement and Social Service Agencies . LEGAL ADVOCATE: A Woman 's Place . Urbana, Illinois . June 1987-January 1989 . -Worked closely with judges, criminal �ustice personnel, law enforcement, and private attorneys on behalf of Domestic Violence and Sexual Assault Victims . Assisted victims in pressing charges and obtaining Pro Se Orders of Protection under the Illinois Domestic Violence Act . EXECUTIVE DIRECTOR: Cairo Women 's Shelter . Cairo, Illinois . December 1984-June 1987 . -Answered to Advisory and Executive Board for all concerns of a 24- hour shelter for victims of family violence . Responsibilities included : Service Delivery and Program, Board and Community Relations, Personnel Management, and Budget and Finance . ADMINISTRATIVE COORDINATOR: Kankakee County Coalition Against Domestic Violence . Kankakee, Illinois . January 1984-December 1984 . -Provision of Legal Advocacy and counseling services to victims of Domestic Violence; responsible for the training of all volunteers and staff; the collection and analysis of program statistics; preparation of monthly and quarterly reports to the funding agent and Board of Directors . EDUCATIONAL $ACKGROUND: Completed one year towards M.A. at Northern Illinois University: De Kalb, illinois . 1982 B.A. Loyola University of Chicago: Chicago, Illinois . 1981 AFFILIATIONS AND COMMUNITY INVOLVEMENT: -Member of the NAACP . -Member of the Southern Illinois NOW Chapter . -Program Member of Missouri Coalition Against Domestic Violence (MCADV) REFERENCES AVAILABLE UPON REQUEST Refierences for Rebecca Payne Warren Mitct-,ell Alexander Cc��_�nty. Tllin��is; Sheriff 618-73�-'�261 The Hanc�rable Mark: Clark:e J�.tdqe c�f tt-�e �irst J�_�dicial Circ�_�it ��f Illin��is b18-73�-i��i�8 Jc�Yce Pr�_�itt Former Exec�_�tive DirPct��r c�f TI-�e Illin��is C��alitic�n ��f D��mestic Vi��lence zi7-��'3-2886 SAFE HOUSE FOR WOMEN, INC. JOB DESCRIPTION JOB TITLE: Shelter Manager ` JOB SUMMARY : Comprehensive supervision of shelter staff, shelter coverage, shelter operations, and case management. SUPERVISED BY : Executive Director DUTIES AND RESPONSIBILITIES : I . supervise and Train Shelter staff A. Interview, hire, and train shelter staff under the direction of the Executive Director B. Evaluate Performance C. Insure continuity between shifts 1 ) See that procedures and regulations are followed 2 ) Divide and assign duties related to shelter operations 3 ) Insure proper documentation and maintenance of client files II . CASE MANAGEMENT A. Assess needs of client once intake is completed 1 ) Meet with each adult resident within three days of arrival to assess needs and begin to establish goals 2 ) Meet weekly with each adult resident to evaluate set goals and review needs 3 ) Chart goals and objectives on appropriate forms 4 ) Review case notes daily 5) Crisis intervention on an as needed basis III . Maintain Shelter Facility A. Insure that proper health and safety requirements are kept at a high standard 1 . Make regular inspevtions of safety equipment 2 . Maintain proper food storage and usage 3 . Responsible for physical maintenance B. Maintain inventory control procedures IV . Maintain accurate records to ensure timely reports V. Maintain Procedure Manual VI . Attend Board meetings and committees as required VII . Other duties as assigned by the Executive Director 9-23-92 MICHELLE g_,_ LAYKOVICH 3009 Mimosa, Apart�ent 2 ( 314 > 651-6536 Cape Oiraxdedu, MO 63701 SK�LLS : Extensive knowledge of Domestic Violence and Crisis Intervention. Case Management, Form Development, Group Facilitation, Statistical Research, and Physical Interventive Techniques . Knowledgeable of Co-Dependency, Disabled Persons, AIDS, and Rape Advocacy. EDUCATION : 1988-1991 B. S .W. , Central Missouri State University, Warrensburg, MO ( 512 Hour Internship) 1986-1988 A.A. B . , Human Services, Longview Community College, Lee 's Summit, MO ( 312 Hour Practicu�) WORK EXPERIENCE• April 1993 - Shelter ,Manager, Safe House for Women, Inc. , Cape Girazdeau Present Mo. Report to Executive Director . Experiences : Supervision of Staff, Support Group, Policy Development/Implementation, Shelter Supervision, 3chedu�ing, and Training. January 1993 - Client Service Coordinator L Office banaQer, 3utv1val 8dult April 1993 Abuse, Inc. , Warrensburg, MO. Report to Exec . Dir . � • Fundraising, Volunteer Coordination, Po1iCy Development/Implementation, Shelter Supervision. 1992-1993 Youth Deve�opm n Generalist, St . Charles Youth and Family Services, Inc . Milwaukee, Wisconsin. Generic Team appzoach; E.D. Adolescent Males . Experiences : Individual Counseling, Social Skills Group, AODA Group, Facilitated Inservice Training, Treatment Planning and Implementation, Supervision of Unit, Physical Intervention. , August - Student Intern. Survival Adult Abuse, Inc. Warrensburg, MO December 1991 �xperiences : Case Management, Crisis Intervention, Needs � Assessment, Group Facilitation. ; 1989-1990 Mental Health Technicia�n. Oakwood Mental Health Hospital, I Windsor, M0. � �xperiences : Supervision of Units, Group Co-facilitation, � Security, Medical/Legal Records . f 1989-1991 Besident �ordinator, Johnson County Juvenile Detention � Center, Warrensburg, N0. Delinquent Offenders. � �xperiences : Supervision of Unit, Legal Documentation, ; Physical Intervention. � ; .7anuary - Youth Worker . Hilltop Coeducational Facility for Juvenile � May 1988 Delinquents, Lee 's Summit, MO. Status Offenders . Experiences : Supervision of Unit, Legal Documentation, Daily i Intervention, Recreational Planning and Implementation, Home � Visits, Transport of Clients . _ _ ; � 1986-1988 Secretarv, The Appraisal Company, Independence, MO. � 1985-1986 Receptioniqt= Command Perforraance, Independence, MO ; I�ANGUAGES �POKEN: American Sign Language . � RF.FFRFNC`FS � Ava i 1 ahl P linnn RPPIIIOQ�' . .- -- ...___ _ -- ---___. � . � _. I � • � _ i B. Describe how the followinq as4iatance Mill be provided to persons aerved by your aqer�cy: ;� 1. Permaaent Houain9 Ra�arral Sarvices ° Safe House for Women, Inc . works with East Missouri Action � Agency -- Section 8 HIID Housing as well as loc�l landlords in the community to provide housing. Refe=�als to FISH and '�the Salvation Army are made for utility assistance . � � 2. Overniqht Shelter Safe House for Women, Inc. provides safe , free , and condidential emergency shelter . 3. Medical Ser�tices = The Women's Medical Auxillary has provided the Safe Nouse for Women, Inc. with $1 , 000 to use for prescription purchases . Sprigg Street Medical Center accepts medicaid and medicare, and also provides services to the uninsured . Cape County . Health Department provides services to low income families . 4. Childran'a ServiCes (tt appliCable) : we are currently in the process of hiring a children ' s worker who w� ll work 30 hours a week. This will provide support, and advocacy to both mothers and children . She will also cond�zct a weekly self-esteem group for children . 5. Meatal Hoalth awd/or Druq 11bus� and/or Counaolta9 S�tv�c�a We refer to the Family Counseling Center , Southeast Missouri Hospital Substance Abuse Program, and the Community Counseling Center . � 6. Referral to cther Statp or.Fed�rai Proqrams The Safe House for Women, Inc . refers individuals to other state and/or Federal programs based on the individual ' s needs . 7. Employment Services � We refer to the Vocational Technical School , and financial aid is available to those who qualify for further education. � Vocational Rehabilitation serves clients who are in need of job training and placement . ' S. Transportation We utilize staff and volunteers for local transporta�ion at no cost to our clients . Referrals to FISH and Red Crc�ss are made for long distance travel . . , , . , 9. Food . Safe House for Women, Inc. provides all meals and nutritious snacks for� our re•sic?ents•. Upon leaving, if needed , we will provide basic food items for our clients . We receive food from the Bootheel Food Bank as well as Government Commodities . 10. ProveatiOn � ' We, encourage women to become financially independent and work with them to develop and�;follow budget planning. _ 11. OTHER (Specify) *PLEASE SEE ATTACHMENT Weekly support groups address issues such as how to write a resume , what to expect at a job interview, body language , and positive . communication. + 9 . � NETWORKING Because there are no similar program in our service a�ea and no other specialized services for battered women an� their children in Cape Girardeau County, the SAFE HOUSE FOR WOMEN, INC. provides a much needed service . However, when necessary, for the safety of the victim or when our facility has reached capacity, referrals to existing shelters in other counties in Southeast Missouri such as Poplar Bluff, and Malden will be made or the shelter in Cairo, Illinois . Our Executive Director and House Manager coordinate with other service providers in the area to link our clients with the best supportive services available to them in our community. These other service providers include : I . FOR HOUSING/UTILITIES A. East Missouri Action Agency--Section 8 HUD Housing. Clients are put on a waiting list for low-income housing. Emergency housing is offered in the spring on a limited basis . In addition to this, EMMA in conjuction with the Red Cross may provide the first month rent or deposit when funds are available . B. FISH provides assistance with utilities providing the person has received a shut-off notice . C. Salvation Army provides assistance with utilities providing the person has received a shut-off notice . II . FOR MEDICAL SERVICES/PRESCRIPTIONS A. Sprigg Street Medical Center is open days and some eveninqs and accepts medicaid and medicare, and also provides medical services to the uninsured . C. Salvation Army and FISH also provide assistance with prescriptions . D. Cape Girardeau' s County Health Department has received a 5-year grant for a Well Child Clinic . The program is available to low-income families only, and will open November 5th to treat sick children, as well as provide screenings and preventive health care . III . FOR CHILDREN' S SERVICES A. The Family Learning Center serves children ages 3-5 who have behavioral problems . FLC provides services on a sliding scale or low income families . B. Head Start serves children ages 3-5 years . HS provides services on a sliding scale for low income families . ' C. Easter Seals serves children who have physical and/or mental disabilities . IV. FOR TRANSPORTATION A. We utilize volunteers and staff for local transportation at no cost to our clients for appointments, court appearances, job interviews, etc . B. FISH provides bus tickets to St . Louis or Memphis and provides assistance with local transportation on a one time basis . C. Red Cross provides gas vouchers in conjunction with volunteering 9 hours on a one time basis . V. FOR MENTAL HEALTH AND/OR DRUG ABUSE AND/OR C�UNSELING SERVICES A. Family Counseling Center serves clients on an out-patient basis for drug abuse and/or alcohol abuse . B. Community Counseling Center provides counseling services to our clients . VI . FOR EMPLOYMENT/EDUCATIONAL SERVICES A. Vocational Technical School provides General Equivalency Diploma (GED) testing free of cost . Financial aid for further educational classes is also available to those who qualify. B. Vocational Rehabilitation serves clients who are physically impaired and are in need of job tr�ining and placement . SAFE H�USE FOR WOMEN, INC. has a good working relationship with and refers to all of the social service agencies and other community resources available to victims of domestic violence . We recently �oined the Community Caring Council, an entity organized by Rep. Mary Kasten, to facilitate cooperation among all social service providers in Cape County. We are able to introduce our residents into their system of cooperative case management, and can avail ourselves of any information, services, or assistance offered by that group. INSTRUCTIONS FOR SECTION VI : HOMELESS NEEDS o Homeless persons are defi�ed as families and/or i�dividuals who are poor and have no access to either traditional or permanent housing. "Poor" generally means persons below the poverty level, below 50$ of the median income for the area, and who have little savings. Estimates of the number of homeless persons being, or planned to be, ser`ved should be based on data available, experience, or an assessment of need in your community for the particular homeless population to be served. The homeless may include: homeless, neglected, and dependent children not under court intervention, street people, abused persons who have left their home and abusers with little money, little income, or persons with such low income that there is little affordable housing available for them or their families. o Under this program an emergency shelter should be a shelter that does not provide assistance on a long-term basis. These shelters generally should not provide accommodations for more than a few months to the same person. Emergency shelters generally should provide services that will sustain homeless persons through a period of hardship. A_ Describe the characteristics of the population to be served by the emergency shelter in terms of race, sex, reasons for being homeless, age, and marital status. Battered women and their children fleeing from domestic violence often have no where to go, except for the Safe House for Women. The Safe House for Women, Inc. provides Emergency Shelter and supportive services to any homeless victim of family violence and their children regardless of sex, race, age, or marital status. B. Estimate the number of homeless persons in your city/county having the characteristics described above. Indicate the source or base for your estimate. Since we opened in November, 1991, our records show that we have served 224 vomen, and 246 children with 8,302 bednights of safe and confidential Emergency Shelter and supportive services. C. Does the shelter serve meals? YES NO D. Does the shelter provide food other than meals? YES ) NO MO 886-2369 (Rev.1/94) -10- -� i � � SECTION VI : HOMELESS NEEDS (Con' t) j r � ' E. Number served in an average day/night? 16 j F. Estimate number of persons served by your present or proposed agency in one vear. 106 women,` 114 children r G. What is the present capacity of your shelter? 16 If expansion is planned within the next 12 months, what will be the new capacity when project is completed? 20 H. List all existing emergency shelters in your city/courlty area. Show the capacity of these shelters to serve the homele$s population and characteristics of the population served. (Include vour present ehelter and activities if operational) . SHELTER CAP�CITY POPU�ATION SERVICED 1. Safe House for Women 16 Victims of Domestic violence and their chi,•ldren 2. Ne�r Life Evangelistic unable to Homeless Men. Center find information) 3. 4. 5. 6. 7. 8. � 9. 10. I. Describe data which led you to the numbers shown in E, F, and G, above in Section VI . Safe House for �romen,Inc. monthly compilation of statistics. Letter No. 94-37 � �� , � �rit: . � �;' • �:.^, �x , cm►u�� CITY OF CAPE GIRARDEAU P.o.�Xe,� OfFICE OF THE �q�� „ �s''�°�,„; CAPEOIRARDEAU.6A0.83702-0817 CITY AAANAC3ER • TELEPFIONE(314)331-1212 FAX(311)3357948 March 16, 1994 Missouri Department of Social Services Division of Family Services Attn: Robert Rickard • Emergency Shelter Grant Program P. O. Box 310 Jefferson City, MO 65102-0310 Dear Mr. Rickard: It is my understanding that the Safe House for Women, Inc. has submitted an application for funding through the Emergency Shelter Grant Program. On behalf of the City of Cape Girardeau, I wish to offer my full support and endorsement of this application for funding. The Safe House for Women, Inc. provides a needed service to the community. Over the past years, this organization has proved to be a great asset to the City of Cape Girardeau. I urge you to approve the funding request of the Safe House for Women, Inc. to help them continue providing vital services to the citizens of Cape Girardeau. Thank you for your consideration. Sincerely, �� J. Ronald Fischer City Manager JRF:gc "HOME OF MISSOURI STATE FLAG" ,w ,c s ,;, a :�.� >a�`'� � y�' :�•s e a � . �� ff � �'n , � r�-'�� , 'a'a�� , ti. � . . .._ �i~� �''r CITY OF CAPE GIRARDEAU OFFICE OF THE , POLICE DEPAFi'iMENT CHIEF OF POLICE 40 S.SPRIGG STREET CAPE GIRARDEAU,MO 63707-8289 FAX (314)335-8571 (314)335E621 March 17, 1994 Missouri Depto of Sacial Services I�ivision of Famiiy Sez-vice Attcsntion: Robert Rickard EnFrgencyjshsltex C�ran� Progr.am P O ROX i�� ;;effPrson City, MO 65102-G310 SUBJECT: vOMESTIC VIOLENCE/SAFE HOUSE FOR WOME�T Domestic vio]_encP is a sericus gs�okslem ir� this Gountry� FBT statist,ics indiaate that one out af every two womsn ar.e beaten at some point a_n �heir marr.iage. �t�tistics indicate that tw�nty- eight percent of the �*am�n in this countxy are bat.tered �t least onc� a �•e�r, and t�,rpnty p�rcent at .Least onGe ever.y twa mont.hs. D�amestic violer�r.e r�su�ts ir. more in�uries that r.equire medi�al attQntion t:aan rape, automobile a�cidents� and �;uc�c�ings cc�mbined. E�ch y�ar three t� four mi1.7 ian womer� are k�eat-er. by their husbands, and fatir clie eacn day .from the�� assaults. Many tim�:� children are p�re:�ent in t:h�se ?��ames ��herE domestic violenc.� accurs. Frequentl_�� tk�ese childr�r. become victims �her�isp,i.•✓G�:. �Ts �knc�w �nat t}-�tiy� are ��¢t�er: �iMe� nior� 7_ineiy �o b� abu�ed or. ne�?ecte�. Frac�uer:�iY th�;�� rece�.�re �njur_ies indirec+�ly when cbjec�s are thr.or�m ar wea�ons a�e used agaiiYst, their mother. In#.�rt� in3y �� injure� wY�ile �.he1� are b�;ng held by� tneir mather when the batterer �trik�, �ut. c)ften oi.d�r c:hi.ldr�r. �.re hurt when thFy ccm� {�.o t:�� aid.e �f their mc�rer. I wish I coul� say that Ca�e Girard.ea.0 was i��lm:ine fro� this pr.ok��.em, but � cannot, Seldom d��s a da, go by tn�t I dc not read a report cor�cerning domestic vio.lence� A revi�w of de�artment records revea�s tha� rep��rted c:as�s Qf damesti� viole�ce to this department are ir.c�e�sing. In �992 ��is departm0n� hand:i_Pd 177 domestic viol�r: .r.e co�p?.�ints. In l�°33 the de�;ar�.me:�t hanclZ`d 20� domestic violer�ce cnmpiaints �and i�i Ja,�uary arsd FeF�r�:a�y c�f this year the department ;�as already r_�nai�a 43 s�ich complairet$. Domestic Violence/Safe House for Women Page 2 I am sorry to say that these complaints are continuing �o increase and at a dramatic rate. As of February 28 my department has investigated 65 percent more domestic violence complaints than for the same time period in 1993 . One also needs to keep in mind that these are only the reports we know about. Many times these types of incidents go unreported so I know there are many more victims in this community than the records indicate. In November 1991, the Safe House for Women was established to provide a shelter for the victims of domestic violence and their families. This facility has been a valued asset to this department and to victims. Several times each week officers of this department transport victims and their children to the Safe House. If this facility did not exist, there would be no place for these victims to go for safety and assistance. The Cape Girardeau Police Department strongly supports the effort of the Safe House for Women to provide safe shelter for these victim families, and to provide the necessar services to enable these victims to take control of their lives and break e cycle of abuse. �in r� 1 ours, a . ep ri . trong D' rector of Field Ope ions SCS:j sm r �� `��y' q�� .� �N''"�� A4��., � � � �` A.��" . CITY OF CAPE GIRARDEAU ` OFFICE OF THE , POLICE DEPARTMENT CHIEF OF POLICE 40 S.SPRIGG STREET CAPE GIF3ARDEAU,MO 63701-628g Ma rch 17 , 19 9 4 FAX (314)335-8571 (314)335-6621 Missouri Dept. of Social Servi�es Division of Family Services Attention Mr. Robert Rickard Emergency/Shelte'r Grant Progam P O Box 310 Jef�erson City, MJ 65102-031U To whom it may concern: In November of �991, the Saf� House for Women was established to provide she�ter for abused women anc3 their families in the City of Cape Girardeau. For a period �� time prior to 19�1 the City of Cape Girardeau enjoyed the servic�s of another woman's Safe House that closed due to financial problems. Between the closing of the original �afe House and the opar�ing of the present facility, providing of p�oper suppor* for ab�xsed �aomen and �heir famiiies in the City af Cape Girardeau beGam� a n�ghtmare. The Police Department did not fully realiz� ttie value of a �afe House for Women until we went withQut the ability tc� prcvide inzmec�.iate hai�sing in a sscure environment for abused females. T�P present Safe House is a wzll maintained, well organized facility for abused women governed by a sta.ff and a Board �f Directors fully committed to providing alternative living facilities to those in need. I ask that your agency give as m�ich :spport ta the women.'s Safe House in Cape Girardeau as y�u are a�sthorized to do so. The facility has made a tremendaus diff�rence in the City of Cape Girardeau, and the Police Department calls on the Safe Hous� for assistance almost on a 3aily b�sis� Thank you for your consicieratior. in tr.is matter. Sinc reLy,, ; , H ar (H. oy r. Chipf of Pol� e OF J`'� RF'° Z'� ,. �� MARY C.KASTEN ,��° , Zf Home Address CIN OF CAPE GIRARDEAU 7 3 � � D� 1209 SAILER CIRCLE DISTRICT 158 O �� S �e �y� CAPE GIRARDEAU CapitolOHice `ri� � ��ij� MISSOURI63701 ROOM 101 C-STATE CAPITOL � JEFFERSON CIiY,MO 65101 Otfice Te�ephone (314)334-31 1 1 (314)751-2459 •HomeTe�ephone (314)334-5657 MISSOURI � HOUSE OF REPRESENTATNES JEFFERSON CITY 65101 March 19 , 1994 Missouri D2partment of Social Services Division of Family Services ATTN: Robert Rickard Emer�ency Shelter Grant Program P. O . Box 310 Jefferson City, MO 65102-0310 Dear Mr . Rickard : The Safehouse for Women in Cape Girardeau is extremely important to our area . It is the only such facility in this entire region from Jefferson County to Malden, Missouri , and other parts south. This protection center for abused women and children is constantly needed and has been utilized since its opening in Novem',�er , 1990 . In 1993 49% more women and 19% r�ore children received shelter and protection in our facility . It has also provided 44% more beds per night than last year . I have served on the Budget Committee of the state leyislature ; thus , I am acutely aware of the shortage of fundiny . Much oF the su�port to keep the facility open and operating has been local . I wholeheartedly support this much needed service �rovided by the Safehouse for Women in Ca�e Girardeau , Missouri . I need not tell you the trauma that occurs in children ' s and women ' s lives when they are victims of abuse and that many have nowhere else to turn to ior help . So, I fervently ask you to consider this much needed grant money to hel� continue supportinc; the Safehouse for Women in Cape Girardeau which serves such a lar�e reyion of Missouri . The grant money will not only support the current facility, but will help fund much needed renovation and facilities for the dis- abled . Warmest regards , i � ,�� Mary C. Kasten State Representa ive MCK: sc w�� s � ., � � � � ,�`" �� _ar..��. �;�' ��r��r.��'��r� �� CITY OF CAPE GIRARDEAU OFFICE OF THE � , POLICE DEPARTMENT CHIEF OF POLICE 40 S.SPRIGG STREET CAPE GIRARDEAU,MO 63707-8289 FAX (314)335-8571 �314)335-6621 March 16, 1994 Missouri Department of Social Service Division of Fami.ly Service Attention: Robert Rickard Emergency Sheltsr Grant Program P O Box 310 Jefferson City� MO 65102--�749 Deax Mr. Rickard: In September of 1990, Safe House for Women, �nc. became a vision in response to the sudd�n closing af a long-standing shelter i:� Cape Girardeau. Thanks to the long hours o� many dedicated volunteers and community effort, Safe House for Women, Inc. was able to open it�'s doors in November 1991. At thi.s time th� Safe Hause is providing a safe ax�d secur.e facility for battered and abused women and children� Saf.e Ho��se for �vom�n, In�. is tne ar�ly domestic violence shelter serving Southeast Missouri between St. Louis and MaZden; and Poplar Bluff, Missouri and Carbondale, I1linois. As a Vict.im Advocate foz the Cat�e Girardeau PolicP Department and the Coor�dinator for ti�:c Vi�tim Wif,:ne�s F�rogram for th� Prc,secuting Attorney's Office, I wark firsthan3 with women and chi_ldren of all social classes and races wno are beaten, abused and threatened by the disturbed men in thei� live.s. Before the Safe Ho�as� opened, I was beside myself wz.th frustration due to na facilities availabZe for vict.im.s, much less ar,y servicEs available to th�m. There were many time� _T took th�m hon�� with me. I work very c?o�el� with the Safe Housp as well as their corcerned board member�. I can teli you tl^.at this organization not only provides a saf� anc� secu�e Y:aven �or the vi�tim, �ut also provides crisis counselinc�, phy�ical and pmotional support, and a 24 hour hotline. We have had ��rzat suppor_t from the community and our local churches have been ir.str�am�n�al ir_ securirig funding for the Safe Hous�. Page 2 Operation of a Safe House is expensive. Although a home has been obtained it has to be furnished, utility bills must be paid, meals, clothing and personal items must be provided. Most importantly, twenty-four hour, seven-day-a-week staffing is required. Therefore I appeal to you to please help this organization with funding so we can continue to provide a safe place for the many victims in our area. , Thank you for your consideration, any help will be greatly appreciated. Sincerely, Bettie Knoll Victim Advocate Cape Girardeau Police Department BK:j sm Y ��I AREA WIDE United Way •. Post Office Box 562 Cape Girardeau, Missouri 63702-0562 � 314-334-9634 FAX 314-334-6839 March 16, 1994 Missouri Department of Social Services Division of• Family Services Attn: Mr. Robert Rickard Emergency Shelter Grant Program Post Office Box 310 Jefferson City, MO 65102-0310 Dear Mr. Rickard: The Area Wide United Way is in support of the grant request of the Safe House for Women, Inc. , in Cape Girardeau, MO for the homeless for direct client service and renovation. The Safe House for Women is the only facility providing emergency shelter for women and their children in this area. The shelter is also in need of renovation to comply with the handicapped accessible requirements. Please contact me at 314/334-9634, if more information is needed from United Way. Sincerely, i / � i2�z-.�. `�^ �__ �2r.,�..� Do � y , . K1eirl� Executi Director �= � SOUTHEAST MISSOURI HOSPITAL� ��r~�h ��., 1��4 �1 55��1t7' l �P��7't.��1�'Y�t �_��" :7��C i c71 SEY~V i CES L7 i v i s i.��r� �_�f f-am i l.y S�rv a.ces At t Pr�t i�=�r-;: R�=�her�t R i ck�r�d Er�»ryer-�y Sh�ltc-��r C�rar-�t P�r�_�gr-•�rn P. C_i. B��x ?�i� TeffE��r=�_�r� Cit:y, hlisso�_ir�i E`�1�3-��1� Thi, is ir� =�_i�a��r�t ��f the gr,ar��t applicati��r�, f�=�r, �l-.he h��mFless, by the 8afeh��_�se f��r W��r�ier�, Ir�c. , Cape Cirardea�_�, MisS�=��_�r,i. The si:aff at S��_ithe�st 1�1iss��_ir-�i H�_�=,p�.tal ha= be�r-� gr�atef�_il �c�_� bP G�ble t�_� refer victirns �_�f dc�rn�st ic vi.��IPY'IC'C? <ar�d th�ir c•hi ldrer� tr_� the �afeh��_l5P f�_�'r Wc�mPr�, Tr-�c. f�.�r-� er�iPr�ge=r�c�y st��J.ter ar�d ern�_�t i��r�al ��_�pp�_�rt. TFre :.�d'F�I'1�=��_ISCP 'I-��Y� �.��=�f�lF?Yi� IYiC:. � 1S ci 'Vc�1llE'�J c_��rnrn�_tr,ity Y'E�SG�_tY'C2. I �+].Yi�_PY�ely h�_�pe y�_��_i wa. 11. fav�_�rably c�,��r�sider the gr^ar�t app.l ir_�.t irr,�� s�_�bmitted by tl-i� Safehr_��_ise frrr W�_�mer��, Ir�c. tc� E=r-��;bl� th� Saf��F��_��_�=e t�_:� c��r�tir��_ie th�ir g�_��d wc�r-•k.. If they are ._,wardFd i:.��_� t I�e grant i t w i 1 1 �.�sed f��r c9 i rect c 1 i ent c�_�=_t a�r,c! r,er��_�v�;t i.�_�r�. Th� kitc�her-� wi 11 he expar�ded ar�d the t-��_�r��e wi 11 br� rnade ii�r�di�:_a�peci dr(:_F�557.FJ1t�. F'J.�as� f��l. f rE,e t��; cc�r,t act rne w i t h ar�y g�_�est i��r�s. S i r�c�E�,e 1 y, . �.�.� , -�. s. �� C:c�r-�r�i e Lape, h1. S. W. I7 i r,ec�L c�r �_�f �c�c i a 1 5er,v i cPs 1701 Lacey Street / Cape Girardeau, Missouri 63701 i Phone .314-33d-4822 CIRCUIT COURT CAPE GIRARDEAU COUNTY,MISSOURI DIVISION IV MARYBELLE MUELLER, JUDGE JUDGE'S OFFICE CLERK'S OFFICE COMMON PLEAS COURTHOUSE COMMON PLEAS COURTHOUSE CAPE GIRARDEAU,MISSOURI 63701 �7 CAPE GIRARDEAU,MISSOURI 63701 PHONE 314334-6249 1 / M a r c h 19 9 4 PHONE 314334-6249 FAX 314-335-3809 ATTN: Mr. Robert Rickard Missouri Departme�t of Social Services Division of Family Services Emergency Shelter Grant Program P.O. Box 310 Jefferson City, MO 65102-0310 RE: Homeless & Direct Client Cost & Renovation Dear Mr. Rickard, Please accept this as my recommendation that the Safehouse for Women receive a grant for the coming year. The Safehouse in Cape Girardeau is in great need of any funding it can obtain. Cape Girardeau is in desperate need to continue to have the Safehouse with the services it offers to domestic violence victims. I am not sure what we would do if we did not have the safehouse. They fill such a large need and only as adequately as their funding will allow. Thank you very much. Very truly yours, v Marybelle Mueller Associate Circuit Judge MM:kjb .{�': r') , � ^ � ':t•• 1 �)� i . .4 L; =�-.'��-L ^ . ' k,' Gene E. Huckstep Rociney Miiler Presiding Commissioner Clerk of the Commission Larry L. �x COUNTY COMMISSiON lst Dist. Commissioner E. C. Younghouse Cape Girardeau County, Missouri 2nd Dist. Commissioner March 17� 1994 Missouri Department of Social Services Division of Family Services Attn: Mr. Robert Rickard F�nergency Shelter Grant Program P.O. Box 310 Jefferson City, MO 65102-0310 RE: Grant for Homeless - Direct Client Cost and Renovation Dear Mr. Rickard: We, the Cape Girardeau County CoRmission, would like to express our support of the Safehouse for Women� Inc. in Cape Girardeau. Without this facility the women of our area would have no place to go for needed services. As Public Officials, we feel it is our obligation to help protect the citizens of our conmunity. There are a rnuriber of domestic violence cases in this area. This facility has not been without a client since their opening, so the need is there. But the need for funding is also there. We feel this is a very worthwhile facility in our conmunity� and we would like to request your consideration in helping the Safehouse for Wanen to be able to continue their services to our area. Sincerely, U ON � � � � � � � � ne E. Huckstep, Presiding Conmissioner Cape Girardeau County Commission 1 Barton Square Jackson, Missouri 63755 (314) 243-1052 SECTION VII : LOCAL GOVERNMENT GRANTEE EMERGENCY SHELTER GRANTS PROGRAM CERTIFICATIONS BY THE CHIEF EXECUTIVE OFFICER � I� J. Ronald Fischer, City Manager , Chief Executive OffiCer of t e City of Cape Girar eau, Pdissouri � C@rtify th3t the City of city or county name city or Cape Girardeau county name will provide the matching supplemental funds required by the regulation at 24 CFR 576. 71. I have attached to this certification a description of the sources and amounts of such supplemental funds. I Certify that the City of Cape Girardeau will comply with: city or county (1) The requirements of 24 CFR 576.73, concerning the continued use of buildings for which emergency shelter grants are used as emergency shelters for the homeless; (2) The building standards requirement of 24 CFR 576.75; (3) The requirements of 24 CFR 576.77, concerning assistance to the homeless; (4) The requirements of 24 CFR 576 .79(a) and other applicable federal law concerning non-discrimination and equal opportunity; � and (5) The environmental review regulations 24 CFR 576.52 and 24 CFR Part 58, and procedures under, section 104(g) (1) of the Housing and Community Development Act of 1974, as made applicable by Section 482 of the Stewart B. McKinney Homeless Assistance Amendment Act of 1988, and the Cranston-Gonzalez National Affordable Housing Act of 1990. (6) The requirements of 24 CFR 576.3 and of Section 832, Section 832(b) , Section 832(c) , Section 832(d) , Section 832(e) (1) and Section 832(e) (2) (c) of the Cranston-Gonzalez National Affordable Housing Act of 1990 concerning administration of ESG program and ensuring confidentiality of victims of family violence. I certify that the submission of applications for emergency shelter grants is authorized under state and/or local law and that the city of Cape Girardeau City/ county name government possesses legal authority to carry out emergency shelter grants activities in accordance with applicable law and regulations of the Department of Housing and Urban Development including other federal requirements and the State of Missouri . MO 886-2369 (Rev. 1/94) -12- Additionally, I certify that use of emergency shelter grant amounts will comply with the following requirements: � (a) Non-discrimination and EQual Opportunity (1) The requirements of Fair Housing Act (42 U..S.C. 3601-20) and implementing regulations at 24 CFR Part 1001; Executive Order 11063 and implementing r�gulations at 24 CFR Part 107; and Title VI of the Civil Rights Act of 1964 (42 U.S.C. 2000d and 2000d-4) implementing regulations issued at 24 CFR Part 1; (2) The requirements of 24 CFR 576 .79(a) (2 ) , the prohibition against discrimination on the basis of age under the Age Discrimination Act of 1975 (42 U.S.C. 6101-07) and implementing regulations at 24 CFR Part 146 and the prohibitions against discrimination against handicapped individuals under section 504 of the Rehabilitation Act of 1973 (29 U.S.C. 794) and implementing regulations at 24 CFR Part 8; (3) The requirements of Executive Order 11246 and the regulations issued uncler the Order at 41 CFR 60; (4) The requirements of section 3 of the Housing and Urban Development Act of 1968, 12 U.S.C. 1701u (see 24 CFR 570.607(b) ; (5) The requirements of Executive Orders 11625, 12432, and 12138. Consistent with HUD' s responsibilities under these orders, the grantee must make efforts to encourage . the use of minority and women' s business enterprises in connection with activities funded under this part; and (5) The requirement that the grantee make known that the use of the facilities and services is available to all on a nondiscriminatory basis. Where the procedures that a grantee or recipient intends to use to make known the availability of such facilities and the ESGP services are unlikely to reach persons with handicaps or persons of any particular race, color, religion, sex, age or national origin who may qualify for such services, the recipient or grantee must establish additional procedures that will ensure that these persons are made aware of the facility and services. Adopt and implement procedures designed to make available to interested persons information concerning the existence and location of services and facilities that are accessible to persons with a handicap. Regulations of 24 CFR 576.79(a) (6) . MO 886-2369 (Rev. 1/94) -13- (b) Applicabilitv of OMB Circulars. The policies, guidelines, and requirements of 24 CFR Part 85 and OMB Circular No. A-87, as they relate to the acceptance and use of emerg ncy shelter grant amounts by states and units of general loca� govern- ment, and Nos. A-110 and A-122 as they relate to the ac- ceptance and use of emergency shelter grant amounts by private non-profit organizations. (c) Lead-Based Paint. The requirements, as applicable, of the Lead-Based Paint Poisoning Prevention Act (42 U.S .C. 4821-4846) and implementing regulations at 24 CFR Part 35; and of 24 CFR Part 576.79(c) . (d) Conflicts of Interest. In addition to conflict of interest requirements in OMB Circulars A-102 and A-110, no person (1) who 'rs an employee, agent, consultant, officer, or elected or appointed official of the grantee, state recipient, or non-profit recipient (or any designated public agency) that receives emergency shelter grant amounts and who exercises or has exercised any functions or responsibilities with re- spect to assisted activities or (2) who is in a position to participate in a decision-making process or gain inside infor- mation with regard to such activities, may obtain a personal or financial interest or benefit from the activity, or have an interest in any contract, subcontract or agreement with re- spect thereto, or the proceeds thereunder, either for him or herself or those with whom he or she has family or business ties, during his or her tenure or for one year thereafter. HUD may grant an exception to this exclusion as provided in 570.611(d) and (e) of this chapter. (e) Use of Debarred, Suspended, or IneliQible Contractors � The provision of 24 CFR Part 24 relating to the employment, engagement of services, awarding of contracts, or funding of any contractors or subcontractors during any period of de- barment, suspension or placement in ineligibility status. (f) Uniform Federal Accessibilitv Standards. For major rehabili- tation or conversion, the Uniform Federal Accessibility Standards at 24 CFR Part 40, Appendix A. (g) IlleQal Use of DruQs and Alcohol . The recipient and project sponsor conducting activities, funded in whole or in part with McKinney Act funds, to assist the homeless population in this jurisdiction, will administer, in good faith, a policy de- signed to ensure that the assisted homeless facility is free from the illegal use, possession, or distribution of drugs or alcohol by its beneficiaries. (h) Audit. The financial management system used by a state or unit of general local government that is a grantee or state recipient shall provide for audits in accordance with 24 CFR Part 44. A private non-profit organization is subject to the audit requirements of OMB Circular A-133 . MO 886-2369 (Rev. 1/94) -14- (i) Obliqation of Grant Funds. The requirement that each State recipient must have its grant amounts obligated (as that term is defined at 576.3) within 180 days of the date on which the State made the grant amounts available to the �State re- cipient. In the case of grants for homeless prevention ac- tivities under 576.21(a) (4) . State recipients are required to obligate grant amounts within 30 days of the`' date on which the State made the grant amounts available to �he State recipient. (j ) Expenditure of Grant Funds. The requirement that each grantee (city/county) recipient must spend all of its grant amounts within 24 months of the date on which the State made the grant amount5 available to the State recipient. In the case of grants for homeless prevention activities, State recipients must spend such sums within 180 days of the date on which the State made the grant amounts available to the recipient. (k) Provision of Assistance to Primarv ReliQious Orqanization. The limitation on assistance at section 576.22 (b) will be met in the use of ESGP funds. (1) Relocation and AcQuisition. The requirement that each grantee (city/county government) must comply with acquisition regu- lations at 576. 80 to minimize displacement of persons businesses, nonprofit organizations as a result of project assistance under this program, and to provide relocation assistance for displaced persons. (m) Contractual Provisions for Inclusion in ESGP Aareements Between Grantees or State Recipients and Primarilv Reliqious Orqanizations for the Provision of Essential Services and Pavment of Operational Costs (575. 21(a) (2) and (31 . In addition to, and not in substitution for, other provisions of this agreement regarding the provision of essential services and/or the payment of operational �osts for emergency shelters pursuant to the Emergency Shelter Grant Program, the Provider: {1) represents that it is, or may be deemed to be a religious or denominational institution or organization or an organ- ization operated for religious purposes which is supervised or controlled by or in connection with a religious or denominational institution or organization; and (2) agrees that, in connection with such essential services and operational costs: a. it will not discriminate against any employee or appli- cant for employment on the basis of religion and will not limit employment or give preference in employment to persons on the basis of religion; MO 886-2369 (Rev.1/94) -15- b. they will not discriminate against any pe son applying for shelter or any of the eligible activi�ies under this part on the basis of religion and will not limit such housing or other eligible activities or give preference to persons on the basis of �eligion; and c. it will provide no religious instruction or counse- ling, conduct no religious worship or services, engage in no religious proselytizing, and exert no other re- ligious influence in the provision of shelter and other eligible activities under this part. Signature of Chief Executive Officer (Date) (Local Government) (SEAL) MO 886-2369 (Rev. 1/94) -16- �..... �.�......•. • • e s � � APPLICATION , �� MISSOURI 1994 EMER�CENCY SHELTER GRANT PROGRAM (ESGP) 4" �' Contract Exhibit A The following information is to be provided by the Applicant ( local government) for each proposed service provider agency. Application must be postmarked no later than Friday, April 8, 1994 and returned to: MZSSOURI DEPARTMENT OF SOCIAL SERVICES DIVISION OF FAMILY SERVICES ATTN: ROBERT RICKARD , EMERGENCY SHELTER GRANT PROGRAM P.O. BOX 310 JEFFERSON CITY, MISSOURI 65102-0310 SECTION I : GENERAL INFORMATION A. Name of City or County/(Grantee) • City of Cape Girardeau Street/BOx Number n epen ence, ree , . . Box City and Zip Code ape irar eau, - Contact Person J. Ronald Fischer Title City Manager Phone Number (314) 334-1212 B. Service Provider Agency/Organization Responsible for Grant Activities (Subgrantee) : The Salvation Army Street/Box Number _ 701 Good Hope Street. P. O. Box 802 City and Zip Code Car� Girardeau, MO 63701 Contact Person _�1mer Tra�� Title �antain Phone Number 314-335-7000 C. ESGP Funds Requested for total project $ 35 , 000 . 00 Request must include total of all subgrantees. Not more than �75,000 or less than �5,000 per grantee (county/city entity) SECTION II: ELIGIBILITY A. Funds will be obligated by Julv 1 , 1994 . (Must be obligated by local government no later than 180 days after grant award by the State) . B. Obligated funds will be expended by June 30 , 19 95 . (Circle YES, NO, or Not Applicable (N/A) for the following questions ) C. The proposed non-profit service provider agrees to YES NO not discriminate in the provision of assistance on the basis of sex, race, color, religion, national origin, age, handicap or veteran status. If statement is true answer "YES" . MO 886-2369 (Rev. 1/94 ) -1- D. The amount of funds, value of services, YES NO N/A buildings, or materials to be provided locally for that project is equal to or greater than that specified in Section I , C of this application. E. The amount of ESGP funds requested for YES � NO N/A the provision of Prevention Services (not � including essential services) does not exce d 30$ of the Total ESGP grant requested. If statement is true, answer "YES. " F. The amount of ESGP funds requested for YES NO N/A the provision of Essential "Support Services, (not including prevention services) , does not exceed 30% of tlie Total ESGP Grant requested. If statement is true, answer "YES. " G. The applicant agrees that Emergency Shelte ES NO N/A funds will not be used to pay for acquirin a building or land, renting commercial or transient accommodations, any administrative costs for rehabilitation inspection services, loan processing or other similar professional services. If statement is true, answer "YES. " H. Local qovernment will not use more than 2$ YES NO N/A of their ESGP award for cost they incur to administer the Emergency Shelter Grant Program. If statement is true, answer "YES . " (Service Provider Staff costs included in category of operations) I. If ESGP funds are used for shelter oper- YES NO N/A ations and/or essential services the build- ing will be used as a shelter as long as Federal assistance is received. If statement is true, answer "YES . " J. If ESGP funds are used for rehabilitation, Y S NO N/A other than major rehabilitation or con- version, the building will be used as a shelter for at least three years. If statement is true, answer "YES. " K. The emergency shelter building will meet YES NO N/A local government safety and sanitation standards, housing and building codes after project completion. If statement is true, answer "YES. " (Answer N/A if ESGP funds are not used for Rehab. ) MO 886-2369 (Rev. 1/94) -2- L. Homeless individuals will be given as- YES NO N/A sistance obtaining permanent housing, medical and mental health treatment, counseling, and other state and federal assistance. If statement is true, answer "YES. " NOTE: If NO is the response to any of the above questions, stop here and do not submit an application. (Exception: D, E, F and H, a "NO" answer may be approved by the State under special circumstances SECTION III : ELIGIBILITY OF REHABILITATION, CONVERSION AND RENOVATION ACTIVITIES A. Does rehabilitation, conversion, or reno- YES NO N/A vation activities involve a building on the National Register of Historic Places, located in a Historical District, immedi- ately adjacent to a property listed on the National Register, or deemed to be eligible for inclusion on the National Register by the State Historic Preservation Officer? Answer N/A if not making improvements on a building with ESGP funds. B. Is the building to be improved owned by an YES NO N/A organization with religious purposes stated in By-laws, or Articles of Incorporation? Answer N/A if not making improvements on the building with ESGP funds. C. Will the estimated value of the im- YES NO N/A provements exceed 750 of the appraised value of the building before the im- provements are made? (Answer N/A if not making improvements on the building with ESGP funds) D. If you answered YES to C, will your agency YES NO N/A provide assurances that the building will remain emergency shelter for the next ten years? (Answer N/A if not making im- provements on building with ESGP funds) E. Will the applicant provide assurances that YES NO N/A any building or rehabilitation or remodeling project is in compliance with Environmental Protection Requirements of 24 CFR 576.52 and 24 CFR Part 58. NOTE: If you answered NO to D, or E. , please do not submit an application. MO 886-2369 (Rev. 1/94) -3- Definitions o Homeless: means an individual or family which lacks a fixed, regular, and adequate nighttime residence: or an individual or family which has a primary nighttime residence that is: a super- vised publicly or privately operated shelter, designed to provide temporary living accommodations (including welfare,rhotels, congregate shelters, and transitional housing for persons with mental illness) : an institution that provides a temporary resi- dence for individuals intended to be institutionalized: or a public or private place not designed for, or ordinarily used as, a regular sleeping accommodation for human beings. The term does not include any individual imprisoned or otherwise detained pursuant to an Act of the Congress or a State law. o State EmerQencv Shelter Grant Funds: ESGP include only Missouri State Emergency Shelter Grant funds applied for. o ESGP: means Emergency Shelter Grant Program. o Local Cash Funds: include all cash donated by the city, nonprofit organization, or from other private sources. Do not include any funds derived from any state or federal sources. Include only those funds spent on the emergency shelter projects for which grant monies are to be spent. o Emerqencv Shelter: means any facility, the primary purpose of which is to provide temporary or transitional shelter for the homeless in general or for specific populations of the homeless. o Local Non-Cash Resources: may include all public, private, and �not-for-profit donations made after the date of the grant award to the grantee, including the value of any donated material or building, the value of any lease assigned on a building, any salary paid to staff, the volunteer time valued at $5.00/hour, or any other local resources. o Other State/Federal AQencv Funds: proposal must include a copy of a letter of commitment from the agency administering the state or � federal funds, if these funds are used to meet matching requirements. o Renovation: rehabilitation that involves costs of 75$ or less than the appraised value of the building before rehabilitation. o Maior Rehabilitation: rehabilitation that involves costs in excess of 75$ of the appraised value of the building before rehabilitation. o Conversion: a change in the use of a building to an emergency shelter for the homeless, where the cost of conversion and any rehabilitation exceed 75$ of the value of the building before conversion. MO 886-2369 (Rev.1/94) -4- • o Essential Service: includes (but not limited to) services con- cerned with employment, physical health, mental health, substance abuse, education, food, or salary necessary to provide such services. Grant amounts provided to grantee may be used to provide an essential service only if the service is a new service or a quantifiable increase in the level of a service above that which the grantee provided with local funds during the 12 calendar months immediately before it received the initial grant. Not more than 30$ of the grant may be used for essential services. o Homeless Prevention: means activities or programs designed to pre- vent the incidence of homelessness, including (but not limited to) : (a) Short-term subsidies to defray rent and utility arrearages for families that have received eviction or utility termination notices; (b) Security deposits or first month' s rent to permit a homeless family to move into its own apartment; (c) Mediation programs for landlord-tenant disputes; (d) Legal services programs for the representation of indigent tenants in eviction proceedings; (e) Payments to prevent foreclosure on a home; and (f) other inno- vative programs and activities designed to prevent the incidence of homelessness. Not more than 30 $ of the grant may be used for homeless prevention activities. o Administration: includes administrative costs associated only with the unit of local government incurred in administering the local ESG program. These costs do not include any costs associated with operating, maintaining, or providing support services for the emergency shelter. The local government may use no more than 2$ of their ESGP award for this administrative cost. o Operations: includes costs associated with operating, maintaining, or providing services for the emergency shelter. In addition, the Housing and Community Development Act of 1992 Section 1402(e) (Public Law 102-550, approved October 28, 1992) amended Section 414(a) (3) to allow 10 percent of ESG allocation to be spent on staff costs of operations related to emergency shelter. The statute also requires you to involve, to the maximum extent practicable, homeless individuals and families in constructing, renovating, maintaining, and operating facilities assisted under the ESG Program, in providing services for occupants of these facilities (42 U.S.C. 11375(c) (7) , as added by Section 1402(b) of the Housing and Community Development Act of 1992 . * Termination of Assistance: Section 1402(d) Housing and Community Development Act of 1992 amends Section 415 of the Stewart B. McKinney Homeless Assistance Act by adding a subsection that requires that termination of assistance to any individual or family be in accordance with a formal termination process established by the recipient. This addition to the statute states: "If an individual or family who receives assistance. . . from a recipient violates program requirements, the recipient may terminate assistance in accordance with a formal process established by the recipient that recognizes the rights of individuals affected, which may include a hearing. " MO 886-2369 (Rev.1/94) -5- INSTRUCTIONS FOR SECTION IV: COST SUMMARY All applicants must fill in items on the Cost Summary Form. (Round amounts to nearest $100. ) All "other" expenditures must be specified. Descript. of Expend. State Local Local Other State ESG Funds Cash Non-Cash or Federal Requested Funds Funds Grant Funds TOTAL I. REHAB. ,CONVERSION, and RENOVATION A. Renovation B. Major Rehab. C. Conversion SUB TOTAL I I. OPERATIONS 5,500 5,500 A. Maintenance B. Insurance C. Utilities .3 10,300 D. Telephone 3, 0 3,000 E. Furnishings F. Appliances G. 10°s staff ,000 lo,000 16,000 H. Other (specify SUB TOTAL 24,800 10,000 34,800 III . ESSENTIAL SUPPORT SERVICES A. Employment B. FOOd 11,000 17,200 1,400 29,600 �C. Health 3,000 4,000 7,000 D_ Drug/Substance Abuse E. Education F. Perm. Housing Referral G. Other(specify) SUB TOTAL 14,000 21,200 1,400 36,600 IV. PREVENTION SERV. A. Client Rent 2,500 3,000 1,000 6,500 B. Mortgage C. Utilities 9,000 10,000 1,344 20,344 D. Security Deposit E. Other (specify) 9 500 11 000 2 000 22 500 SUB TOTAL 21 000 24 000 4 344 49, 344 V. ADM. ESGP Local Gov. only 2 Limit TOTAL 35 000 70 000 10 000 5 744 20 744 MO 886-2369 (Rev.1/94) -6- MATCHING FUNDS MADE AVAILABLE DURING THE CONTRACT PERIOD FOR THE ESGP. 1. Cash Funds. Describe the source of the cash funds, and precisely for what these funds will be used. The source of these funds is entirely from local donations . The funds are used for property upkeep, repairs, insurance for building, utilities, telephone and caseworker salary attributable to the Emergency Assistance Program. 2. Non-Cash Resources. Describe the source and value of any non-cash resources including materials, salaries paid by local agency, yolunteer labor ($5.00/hour allowed) , the appraised value of any donated building, or other sort match. The source of the non-cash resources are volunteers that work in the feeding program and the stocking of the food pantry. We also use donated food items in feeding program and for distribution to the needy. 3. Other State/Federal AQencv Grant Funds. Describe the source of the funds and precisely what the funds are to be used for. A letter of commitment from the relevant state/federal agency must be attached to the application if other state/federal funds are to be used to meet matching funds requirements. The Salvation Army uses F.E.M.A. funds for rent, utility, and food assistance. 4. Waiver. Section 832 of the Cranston-Gonzalez National Affordable Housing Act makes substantial changes to the Emergen- cy Shelter Grant Program (ESGP) regulations. One change is the elimination of the first $100,000 of the Missouri ESGP match requirements. The Missouri Dept. of Social Services intends to pass this benefit to units of local government in behalf of the emergency shelter/service providers who demonstrate inabili- ty or hardship in meeting the match requirement. Applicants wishing to be considered for a waiver of the match requirement must furnish an explanation of need. Indicate the amount of the match requested waived and the reason why a waiver is needed. NOT APPLICABLE. �. Confidentialitv. Section 832 of the Crantson-Gonzalez National Affordable Housing Act changes the ESG Program that require grantees to develop procedures to ensure confidentiality of victims of family violence. Indicate below how this requirement will be met to protect victims of family violence in your shelter or service provider organization. The Salvation Army conducts all its casework in complete confidentiality. Each client is interviewed privately and all paperwork is kept in a locked file cabinet. MO 886-2369 (Rev.1/94) -7- SECTION V: ACTIVITY DESCRIPTION NARRATIVE (Answer all items) A. Activities. 1 . Briefly describe the purpose and scope of the agency _ providing services to the homeless. Include a list of all staff, their educational background and related work experience. If homeless individuals are a part of this please so indicate. The Salvation Army maintains a social services office open 9-5 , Monday through Friday and offers a round- the-clock availability to provide emergency services to individuals needing housing. The Salvation Army works with other agencies and landlords in the com- munity to provide shelter to the homeless and utility assistance to keep families in their homes during times of crisis. If an emergency occurs and shelter cannot be found or is not available (such as after office hours or on week-ends) , The Salvation Army provides temporary lodging through a local motel for one night and sometimes longer if situation warrants it. 2. Describe how ESGP funds for each category requested in this application will be used. The ESGP funds will be used for the following programs: Utility assistance to keep families together, Transient Lodging program, Emergency Food assistance program and the Emergency Prescription assistance programs . 3. The Department of Social Services is permitted to use 5$ of the State' s 1994 ESGP award for administrative purposes. Federal statute specifies that the State share the amount available with local governments who receive ESGP awards from the State. As a result, 2$ of the amount awarded by the State will be provided to local governments who are participating in the program for administering their grant. Provide description of expected use for this request and the amount needed. NOT AVAILABLE. MO 886-2369 (Rev.1/94) -8- FEMA MEETING WEDNESDAY, NOVEMBER 24, 1993 ATTENDANCE:. Chairman, Captain Elmer Trapp called the meeting to order at 10:00 a.m. with the following in attendance: Giibert Leimer, Jackson Food Pantry; Mary Burton, American Red Cross; Helen Little, FISH Volunteers of Cape; William Bunch, East Missouri Action Agency; Calvin Chapman and Dorothy Klein, UNITED WAY. Rebecca Payne of the Safe House for Women was unable to attend. 1994 CHAIRMAN: The first item of business was to appoint a new chairman for 1994, and that position was accepted by Mary Burton. ALLOCATIONS: Captain Trapp ma.de a motion to use the same formula for distribution of funds as in 1993. Members voted to accept the motion. DISTRIBUTION: A total of $22,977.00 was received with $459.54 designated for administrative costs, and $22,517.46 for emergency services. The organizations will receive: American Red Cross 2690 $5,974.05 � , ,:, . ISI� �� , '�r.� . A �16% $3,676.35 East MO Action Agency 15% $3,446.50 Safe House for Women 15% $3,446.50 Jackson Food Pantry 3% $ 689.35 American Red Cross to provide rent/mortgage assistance and utility assistance; Salvation Army wi11 provide served meals, • other food, other shelter, rent/mortgage and utility assistance. FISH Volunteers will use the entire allocation for other food; Safe House for Women, mass shelter and Jackson Food Pantry, other food. A motion to accept the distribution of funds was made by Captain Trapp, the second by Gilbert Leimer and passed. B. Describe how the following assistance will be provided to persons served by your agency: 1. Permanent Housing Referral Services The Salvation Army works with landlords and. other agencies in the community to provide housing. 2. Overnight Shelter The Salvation Army has a transient lodging program for peaple who require a night' s lodging. The individuals are screened through the police station and then sent to the motel for the night. 3. Medical Services The Salvation Army provides prescription assistance to the elderly, those just released from hospital who are financially unable to get medication and families that are referred to us by doctor ' s office. 4. Children's Services (if applicable) Meals are provided to children through our feeding program. School supplies are provided to families that are financially unable to purchase them. (OVER) 5. Mental Health and/or Drug Abuse and/or Counseling Services Counseling services are provided by the caseworker and/or commanding officer. There is no fee for the service. 6. Referral to other State or Federal Programs , The Salvation Army refers individuals to other State and/or Federal programs based on the individuals need as brought to our attention. 7. Employment Services On occasion, The Salvation Army refers individuals to the Unemployment office and we also encourage finding employment in the community. 8. Transportation The Salvation Army works with another agency to provide gas and bus vouchers . The individuals are screened through the police station and then are asked to volunteer some work for the vouchers . Work may be waived on need. (OVER 9. Food The Salvation Army provides Emergency Food Assistance which includes: enough food for 3 nutritious meals for 3 days per person and more if needed. The last week of each month a community evening meal is served. 10. Prevention The Salvation Army provides rent and mortgage assistance where deemed necessary and thus prevents families from becoming homeless. 11. Other (specify) NOT APPLICABLE. MO 886-2369 (Rev.1/94) -g- CONTINUED FROM PAGE 9 4 . Day Camp program is provided through summer months . 8 . These vouchers are then taken to a gas station or bus station for their need. 9 . There is also an Easter and Thanksgiving community dinner provided. If there is a need, hot meals are served each day. A� Christmas , food baskets are given to families and individuals . The Salvation Army also distributes government commodities on a monthly basis according to availability. INSTRUCTIONS FOR SECTION VI : HOMELESS NEEDS o Homeless persons are defined as families and/or individuals who are poor and have no access to either traditional or permanent housing. "Poor" generally means persons below the poverty level, below 50$ of the median income for the area, and who have little savings. Estimates of the number of homeless persons being, or planned to be, served should be based on data available, experience, or an assessment of need in your community for the particular homeless population to be served. The homeless may include: homeless, neglected, and dependent children not under court intervention, street people, abused persons who have left their home and abusers with little money, little income, or persons with such low income t�at there is little affordable housing available for them or their families. o Under this program an emergency shelter should be a shelter that does not provide assistance on a long-term basis. These shelters generally should not provide accommodations for more than a few months to the same person. Emergency shelters generally should provide services that will sustain homeless persons through a period of hardship. A. Describe the characteristics of the population to be served � by the emergency shelter in terms of race, sex, reasons for being homeless, age, and marital status. The Salvation Army assists anyone, regardless of sex, race, cause of homelessnessm age or marital status . The individuals are screened through the police station. We also accept referrals from local hospitals and other community agencies . B. Estimate the number of homeless persons in your city/county having the characteristics described above. Indicate the source or base for your estimate. 1,966 The estimate is based on statistics provided by Local Division of Family Services . C. Does the shelter serve meals? YES NO D. Does the shelter provide food other than meals? YES NO MO 886-2369 (Rev.1/94) -10- SECTION VI : HOMELESS NEEDS (Con't) E. **Number served in an average day/night? 26 F. Estimate number of persons served by your present or proposed agency in one vear. 917 G. What is the present capacity of your shelter? NA If expansion is planned within the next 12 months, what will be the new capacity when project is completed? NA H. List all existing emergency shelters in your city/county area. Show the' capacity of these shelters to serve the homeless population and characteristics of the population served. (Include vour present shelter and activities if operational ) . SHELTER CAPACITY POPULATION SERVICED 1. 2- **The Salvation Army does not have an emergency shelter. There are no existing emergency shelters in the city 3- or county. The Salvation Army provides the majority of emergency housing to homeless people by lodging 4• transient families in a motel for one night or more and for families who want to seek permanent residence, �• we work with them in finding permanent housing. Cape Girardeau is on Interstate 55 and because of this , 6- we provide overnight lodging for families who are in transient. 7. 8. 9_ 10. I. Describe data which led you to the numbers shown in E, F, and G, above in Section VI . Statistical printout. MO 886-2369 (Rev.1/94) -11- SECTION VII : LOCAL GOVERNMENT GRANTEE EMERGENCY SHELTER GRANTS PROGRAM CERTIFICATIONS BY THE CHIEF EXECUTIVE OFFICER I, J. Ronald Fischer, City Manager , Chief Executive Officer Of the City of Cape Girardeau, Misso�uri , certify that the City of city or county name city or Cape Girardeau county name will provide the matching supplemental funds required by the regulation at 24 CFR 576 .71. I have attached to this certification a de�cription of the sources and amounts of such supplemental funds. I certify that the city of Cape Girardeau will comply with: city or county (1) The requirements of 24 CFR 576. 73, concerning the continued use of buildings for which emergency shelter grants are used as emergency shelters for the homeless; (2) The building standards requirement of 24 CFR 576 . 75; (3) The requirements of 24 CFR 576.77, concerning assistance to the homeless; (4) The requirements of 24 CFR 576. 79(a) and other applicable federal law concerning non-discrimination and equal opportunity; and (5) The environmental review regulations 24 CFR 576.52 and 24 CFR Part 58, and procedures under, section 104(g) (1) of the Housing and Community Development Act of 1974, as made applicable by Section 482 of the Stewart B. McKinney Homeless Assistance Amendment Act of 1988, and the Cranston-Gonzalez National Affordable Housing Act of 1990. (6) The requirements of 24 CFR 576 .3 and of Section 832, Section 832(b) , Section 832(c) , Section 832(d) , Section 832(e) ( 1) and Section 832(e) (2) (c) of the Cranston-Gonzalez National Affordable Housing Act of 1990 concerning administration of ESG program and ensuring confidentiality of victims of family violence. I certify that the submission of applications for emergency shelter grants is authorized under state and/or local law and that the city of Cape Girardeau city/ county name government possesses legal authority to carry out emergency shelter grants activities in accordance with applicable law and regulations of the Department of Housing and Urban Development including other federal requirements and the State of Missouri . MO 886-2369 (Rev. 1/94) -12- Additionally, I certify that use of emergency shelter grant amounts will comply with the following requirements: (a) Non-discrimination and EQual Opportunitv (1) The requirements of Fair Housing Act (42 U.S.C. 3601-20) and implementing regulations at 24 CFR Part 1001; Executive Order 11063 and implementing regulations at 24 CFR Part 107; and Title VI of the Civil Rights Act of 1964 (42 U.S.C. 2000d and 2000d-4) implementing regulations issued at 24 CFR Part 1; (2) The requirements of 24 CFR 576.79(a) (2) , the prohibition against discrimination on the basis of age under the Age Discrimination Act of 1975 (42 U.S.C. 6101-07) and implementing regulations at 24 CFR Part 146 and the prohibitions against discrimination against handicapped individuals under section 504 of the Rehabilitation Act of 1973 (29 U.S.C. 794) and implementing regulations at 24 CFR Part 8; (3) The requirements of Executive Order 11246 and the regulations issued under the Order at 41 CFR 60; (4) The requirements of section 3 of the Housing and Urban Development Act of 1968, 12 U.S.C. 1701u (see 24 CFR 570.607(b) ; (5) The requirements of Executive Orders 11625, 12432, and 12138. Consistent with HUD' s responsibilities under these orders, the grantee must make efforts to encourage the use of minority and women' s business enterprises in connection with activities funded under this part; and (6) The requirement that the grantee make known that the use of the facilities and services is available to all on a nondiscriminatory basis. Where the procedures that a grantee or recipient intends to use to make known the availability of such facilities and the ESGP services are unlikely to reach persons with handicaps or persons of any particular race, color, religion, sex, age or national origin who may qualify for such services, the recipient or grantee must establish additional procedures that will ensure that these persons are made aware of the facility and services. Adopt and implement procedures designed to make available to interested persons information concerning the existence and location of services and facilities that are accessible to persons with a handicap. Regulations of 24 CFR 576 .79(a) (6) . MO 886-2369 (Rev.1/94) -13- (b) _A_pplicabilitv of OMB Circulars. The policies, guidelines, and requirements of 24 CFR Part 85 and OMB Circular No. A-87, as they relate to the acceptance and use of emergency shelter grant amounts by states and units of general local govern- ment, and Nos. A-110 and A-122 as they relate to the ac- ceptance and use of emergency shelter grant amounts by private non-profit organizations. (c) Lead-Based Paint. The requirements, as applicable, of the Lead-Based Paint Poisoning Prevention Act (42 U.S.C. 4821-4846) and implementing regulations at 24 CFR Part 35; and of 24 CFR Part 576.79(c) . (d) Conflicts of Interest. In addition to conflict of interest requirements in OMB Circulars A-102 and A-110, no person (1) who is an employee, agent, consultant, officer, or elected or appointed official of the grantee, state recipient, or non-profit recipient (or any designated public agency) that receives emergency shelter grant amounts and who exercises or has exercised any functions or responsibilities with re- spect to assisted activities or (2) who is in a position to participate in a decision-making process or gain inside infor- mation with regard to such activities, may obtain a personal or financial interest or benefit from the activity, or have an interest in any contract, subcontract or agreement with re- spect thereto, or the proceeds thereunder, either for him or herself or those with whom he or she has family or business ties, during his or her tenure or for one year thereafter. HUD may grant an exception to this exclusion as provided in 570. 611(d) and (e) of this chapter. (e) Use of Debarred, Suspended, or IneliQible Contractors The provision of 24 CFR Part 24 relating to the employment, engagement of services, awarding of contracts, or funding of any contractors or subcontractors during any period of de- barment, suspension or placement in ineligibility status. (f) Uniform Federal Accessibilitv Standards For major rehabili- tation or conversion, the Uniform Federal Accessibility Standards at 24 CFR Part 40, Appendix A. (g) IlleQal Use of DruQs and Alcohol . The recipient and project sponsor conducting activities, funded in whol� or in part with McKinney Act funds, to assist the homeless population in this jurisdiction, will administer, in good faith, a policy de- signed to ensure that the assisted homeless facility is free from the illegal use, possession, or distribution of drugs or alcohol by its beneficiaries. (h) Audit. The financial management system used by a state or unit of general local government that is a grantee or state recipient shall provide for audits in accordance with 24 CFR Part 44. A private non-profit organization is subject to the audit requirements of OMB Circular A-133 . MO 886-2369 (Rev.1/94) -14- (i) Obliaation of Grant Funds The requirement that each State recipient must have its grant amounts obligated (as that term is defined at 576.3) within 180 days of the date on which the State made the grant amounts available to the State re- cipient. In the case of grants for homeless prevention ac- tivities under 576.21(a) (4) . State recipients are required to obligate grant amounts within 30 days of the date on which the State made the grant amounts available to� the State recipient. (j ) Expenditure of Grant Funds. The requirement that each grantee (city/county) recipient must spend all of its grant amounts within 24 months of the date on which the State made the grant amount5 available to the State recipient. In the case of grants for homeless prevention activities, State recipients must spe�d such sums within 180 days of the date on which the State made the grant amounts available to the recipient. (k) Provision of Assistance to Primarv ReliQious Orqanization The limitation on assistance at section 576.22 (b) will be met in the use of ESGP funds. (1) Relocation and AcQuisition. The requirement that each grantee (city/county government) must comply with acquisition regu- lations at 576.80 to minimize displacement of persons businesses, nonprofit organizations as a result of project assistance under this program, and to provide relocation assistance for displaced persons. (m) Contractual Provisions for Inclusion in ESGP AQreements Between Grantees or State Recipients and Primarilv Reliqious Orqanizations for the Provision of Essential Services and Pavment of Operational Costs (575 21(a) (2) and (3) . In addition to, and not in substitution for, other provisions of this agreement regarding the provision of essential services and/or the payment of operational costs for emergency shelters pursuant to the Emergency Shelter Grant Program, the Provider: {1) represents that it is, or may be deemed to be a religious or denominational institution or organization or an organ- ization operated for religious purposes which is supervised or controlled by or in connection with a religious or denominational institution or organization; and (2) agrees that, in connection with such essential services and operational costs: a. it will not discriminate against any employee or appli- cant for employment on the basis of religion and will not limit employment or give preference in employment to persons on the basis of religion; MO 886-2369 (Rev.1/94) -15- b. they will not discriminate against any person applying for shelter or any of the eligible activities under this part on the basis of religion and will not limit such housing or other eligible activities or give preference to persons on the basis of teligion; and c. it will provide no religious instruction or counse- ling, conduct no religious worship or services, engage in no religious proselytizing, and exert no other re- ligious influence in the provision of shelter and other eligible activities under this part. Signature of Chief Executive Officer (Date) (Local Government) (SEAL) MO 886-2369 (Rev. 1/94) -16-