HomeMy WebLinkAboutAgreements/Contracts - New Hope DV/SA.1►� Washington State
artment of
dw pmCommerce
Shelter Program Funding Application
Grant Period: August 2020 - June 2023
Version Z
6/25/2020
Submission Deadline:
Julyj#, 2020 by 5:00 p.m.
3i
Table of Contents
Introduction
Program Information
Tabs to be completed (highlighted in yellow):
FORM A - Applicant Information
FORM B - Subgrantee Information (if applicable)
FORM C - Program Proposal
FORM D - Shelter Services
FORM E - Budget Form & Spending Plan
FORM F - Certification
Award Chart
Introducn
This Excel workbook contains the information and forms needed to submit a request for the Shelter Program.
TABS TO BE COMPLETED:
FORM A- Applicant Information
FORM B- Subgrantee Information (if applicable)
FORM C- Shelter Program Proposal
FORM D- Shelter Services
FORM E- Budget Form & Spending Plan
FORM F- Certification
APPLICATION CONTACT
Please email questions about the application, and the completed applications and attachments to:
Megan Kendig (she/her/hers)
Email: megan.kendig@commerce.wa.gov
SUBMISSION OF PROPOSALS
Please submit completed applications to the Application Contact by 5:00 p.m. on July 17, 2020.
Commerce reserves the right to reduce or redistribute an allocation if insufficient information is provided in the application, ineligible
activities are proposed, or if a grantee lacks demonstrated capacity to administer the grant. Preparation of an application does not
guarantee that applicants will receive funds.
NO OBLIGATION TO CONTRACT
This Application does not obligate the State of Washington or the Department of Commerce to contract for services specified herein.
REJECTION OF PROPOSALS
The Department of Commerce reserves the right at its sole discretion to reject any and all proposals received without penalty and not
issue a contract as a result of this application.
Program Information
Authorizing Statute and Fund Sources
Engrossed Substitute Senate Bill 6168 (section 127, subsection 85)
http://Iawfilesext.leg. wa. gov/biennium/2019-20/Pdf/Bills/Session %2OLaws/Senate/6168-S. S L. i)df?g =20200617143905
Program Purpose
The Department of Commerce intends for communities to use equitable and creative approaches to develop or expand shelter programs and
bring people inside with a goal of exiting participants to permanent housing quickly.
Grant Period
Grant award period August 2020 —June 2023
Program Overview
The "Program Overview" document is attached to the email with this funding application.
Program Requirements
1. Shelter program will enact strategies to ensure racially equitable access and racially equitable outcomes at exit.
2. Shelter rules and policies do not include pre -conditions for receiving shelter, and are narrowly focused on maintaining a safe environment for
residents and the community and avoiding exits to unsheltered homelessness.
3. Shelter staff are trained on LGBTQ+ competency, racial equity and how to implement trauma informed care.
4. Shelter program provides outreach to unsheltered individuals.
5. Shelter program provides residents with housing stability focused services, including diversion and problem solving. Shelter programs connect
shelter residents to mainstream services including behavioral health, chemical dependency, education or workforce training, employment services
and permanent supportive housing.
6. Shelter must be available for occupancy by December 2020. In special circumstances, Commerce will consider approval of later occupancy
dates. Commerce intends to recapture and redistribute funds for shelters not available for occupancy by the December deadline.
7. Shelter program is consistent with county local homeless housing plans.
8. Direct service providers must enter client data into the Homeless Management Information System.
Eligible Applicants
Counties, the largest city in each county and cities with populations of more than 25,000 are eligible to apply for funds. Nonprofits and tribal
governments are not eligible to apply directly, but are eligible subcontractors of local governments.
Funding Formula
Because every community in the states needs shelter capacity, funds will be set aside by formula for each county and larger city in the state,
divided by population.
The "Award Estimate" chart is the last tab of this Application.
Jurisdictions that submit a joint application from more than 50% of the eligible applicants in the county will be awarded 25% more funds than
jurisdictions that apply alone. Joint applications must include signatures of concurrency from each of the jurisdictions applying jointly, and will
be awarded a single contract that can be subcontracted to other jurisdictions and organizations as described in the application.
Eligible applicants not participating in a Coordinated Community Application may apply individually, but will receive less funding than if they
applied as part of a Coordinated Community Application. After initial awards to Coordinated Communities and Stand Alone applicants, any
remaining funds will be distributed proportionately to Coordinated Community Applicants, further incentivizing community coordination.
IN....f"gM.....'epartment:
Brittany Rang
Mailing Address:
PO Box 37
Physical Address (if different than mailing address):
35 CST NW
City:
Ephrata
Zip Code:
98823
Statewide Vendor Number (SWV):
SWV0002426-03
Unified Business Number (UBI):
132001884
Contact Information
Name/title
Phone
Email
Contact person for application:
Brittan Ran Administrative Services Coordinator
509-754-2011 ext 2937
I brang@grantcountvwa.oov
Applicant Type:
County Government
City Government
Executive
This is the person who will sign the
grant agreement with Commerce.
Program Manager
This is the person who is the
primary grant contact with
Commerce.
Finance/
bookkeeper
This is the person who we will
contact with questions about
invoices.
Data manager
This is the person who we
will contact with questions
about HMIS data.
Name:
Brittany Rang
Brittany Rang
Brittany Rang
Britt Smith
Title:
Adminitrative Services Coord.
Adminitrative Services Coord.
Adminitrative Services Coord.
Business Analytics Manager
Phone:
509-754-2011 ext 2937
509-754-2011 ext 2937
509-754-2011 ext 2937
509-925-1448
Email:
brana@grantcoutnywa.aov
brana(a.arantcoutnvwa.aov
branaanarantcoutnvwa.00v
bsmith@hopesource.us
If more than one subgrantee will be funded, please copy this
tab and complete this form for each.
Name of Organization:
HopeSource
Mailing Address:
700 E Mountain View Ave STE 500
Physical Address (if different than mailing address):
City:
Ellensburg
Zip Code:
98926
County(ies) served:
Grant, Kittitas, Okanogan, Chelan, Douglas, Adams
Subgrantee Type:
County Government
City Government
Council of Governments
X Nonprofit community/neighborhood based organization
Housing Authority
Federally recognized Indian tribe in the State of WA
Program Manager
Executive
This is the person who is the
This is the person who will sign the Primary grant contact with
grant agreement with Commerce.
Commerce.
Finance/
bookkeeper
This is the person who we will
contact with questions about
invoices.
Data manager
This is the person who we
will contact with questions
about HMIS data.
Name:
Susan Grindle Mark Hollandsworth
Ariam Mehtsentu
Britt Smith
Title:
CEO Director of Housing
CFO
Business Analytics Manager
Phone:
509-925-1448 509-925-1448
509-925-1448
509-925-1448
Email:
skgrindle@hopesource.us I mhollandworth@hopesource.us
amehtsentu@hopesource.us
I bsmith@hopesource.us
Program Proposal
Review all of the questions below first. If more than one shelter program will be funded, please copy this tab and answer the following
questions for each program.
1. Provide a summary description of how the funds will be used, including a description of program structure, type, target population and
services. Word limit 750.
The Enhanced Shelter funds will be used to purchase a local property to add ten new beds to the shelter capacity of Grant County. The
recent outbreak of the COVID-19 crisis has placed increased stress on an already stressed homeless response system. The shelter units will
be enhanced short stay of 90 days or less, and the structure can be converted to affordable housing if the shelter needs in the community
warrant a change in use. The target populations would include chronically homeless individuals, homeless veterans, homeless youth and
young adults, homeless seniors, homeless families with children, and domestic violence referrals from New Hope, Community Health, and
Grant Integrated Services.
The Enhanced Shelter program will begin with entry into the cloud-based Regional Coordinated Entry system managed by HopeSource,
and client requests will be shared with the Grant County Coordinated Entry provider, the Grant County Housing Authority. Staff can also
conduct in-office, field-based, or phone intakes depending on the situation of the person contacting coordinated entry. The coordinated
entry assessment includes a VI-SPDAT designed for each demographic to be served to determine the level of vulnerability and to develop
a stability plan best suited to the needs of each client. Clients enter through the online housing portal or are entered into the online
housing portal from an agency that is participating in the system, which can be accessed from any computer, with no distinction from one
site to the other. All applicants answer the same assessment questions. HopeSource replies to the household of receipt of the notice
during regular business hours to alert them that their request has been received. Clients fill out one form, and all service providers who
have signed a Memorandum of Understanding to share information are notified of the application by email. Participating providers then
communicate between themselves and determine the best choice for the applicant, who is then contacted. Literally homeless households
receive priority over households who are imminently at risk. Literally homeless families with children are referred directly to the Grant
County Housing Authority. All other homeless entrants are referred to HopeSource Client Advocates from the Moses Lake HopeSource
offices.
Once the initial assessments have been completed with the selected service provider, staff begin the process of creating a housing
stability plan, which can include connections for housing, food, transportation, mental and physical health, addiction counseling, legal
advice, and employment and education coaching and case management. If housing is a primary need, the client works with a case
manager to determine if there are ways to divert to historic support systems, including reconciliation with family or landlords rather than
entering a shelter system. If diversion into a stable environment is not possible, the case manager works to identify the client's preference
and need for housing type and enters them into a short- or longer-term stable housing unit using no-barrier Housing First principles. The
2. Describe existing partnerships with youth and young adult homeless service providers in your jurisdiction. Do adequate shelter services
exist in your jurisdiction? If not, how will this funding be used to serve youth and young adults experiencing homelessness? word limit 500.
HopeSource operates the Youth Homeless Project in Grant County and, within nine months, has experienced an active caseload of 12
homeless youth that are housed and case managed to prepare for the transition out of the homeless systems. Adequate shelter services
do not exist for homeless youth and young adults in Grant County. The Enhanced Shelter funds will increase the ability of outreach staff to
assist homeless youth who are living in the field, youth in homes that can provide only temporary residence sharing, and youth
susceptible to COVID who cannot guarantee quarantine space in the home.
3. Describe existing partnerships with domestic violence programs and shelters in your jurisdiction. Do adequate shelter services exist in
your jurisdiction? If not, how will this funding be used to serve people who are fleeing domestic violence? word limit 500.
New Hope and Grant Integrated Services operate the domestic violence housing and counseling services for Grant County. Adequate
shelter services do not exist for those fleeing domestic violence or experiencing mental health crises in the County. The Enhanced Shelter
will bring needed funding for outreach to domestic violence victims who are homeless and in homeless surroundings.
4. Describe how the shelter program is consistent with the county's local homeless housing Plan. Identify specifically in the Plan where the
program meets the goals and objectives. Wordlimit500.
The Shelter Program is consistent with Grant County's Homeless Housing Plan and the stated strategic goals of expanding low -barrier
intake options; offering low -barrier coordinated entry assessments; building the community's capacity to quickly identify people
experiencing homelessness and refer them to services; building and maintaining active lists of those experiencing homelessness including
tracking and housing placement; increasing the percentage of exits to permanent housing; reducing returns to homelessness; reducing
average length of time homeless; increasing case management; and increasing the number of affordable units in the community.
The Grant County Homeless and Affordable Housing Plan 2019 Update states:
This Shelter Program application addresses the need for an improved crisis response system and enhanced shelter beds for homeless
families with children and individuals while longterm sustainable housing opportunities are obtained and the acquisition of additional
affordable housing beds for the community.
5. Describe the type of shelter site/facility that will be utilized. Is the program drop-in/night-by-night or continuous stay? Ward Iimit500.
The Enhanced Shelter funds will be used to purchase a local property to add ten new beds to the shelter capacity of Grant County. The
program will operate as a continuous stay shelter, with HopeSource staff working with the clients to move them into stable, permanent
housing as quickly as possible. The shelter facility is an existing multi -family apartment complex that will be converted from market -rate
apartments to an enhanced shelter facility.
6. Provide a proposed implementation timeline, including activities prior to occupancy. What date will all new shelter beds will be
occupied by? Word limit 500.
A Purchase and Sale Agreement for the local property will be executed, and financing will be arranged, pending the successful award of
the Shelter Program Grant to the City/County. As of July 14th, 2020, the City of Moses lake has executed a Resolution to enter into an
Interlocal Agreement with the County for collaboration on the program. Grant County is executing a Resolutions and Interlocal Agreement
to authorize and allocate the funding to the City of Moses Lake and HopeSource as the subgrantee to implement and operate the
program. These documents will be in place and executed before the submission of the Shelter Program Application. Upon approval of the
grant application, the PSA will be completed, and the property acquired no later than October 30th, 2020. Any needed renovations or
improvements will commence, and occupancy of shelter beds will occur by December 30th, 2020.
7. Provide an account of existing shelter capacity in the jurisdiction on January 1, 2020 and the net increase in shelter capacity that will be
added. If a dote other than January 1, 2010 illustrates a more accurate representation of shelter capacity in your community, please use the most
accurate date. Word limit 500.
Grant County has only six shelter units to serve families with children or those fleeing domestic violence. No other shelter units exist to
serve the homeless population at large. The net increase in units as a result of the Enhanced Shelter Grant is ten units.
8. If the shelter program is serving a specific subpopulation, such as youth and young adults, families or households fleeing violence,
demonstrate the need to increase shelter capacity in your jurisdiction for the subpopulation using local data and program inventory. Word
limit 500.
Homeless Housing Project Expenditure Report can be found here: https://deptofcommerce.box.com/s/n29repx742s41gfpmsv992vntxas6ugx
Point in Time Count Reports can be found here: https://www.commerce.wa.gov/serving-mmmunities/homelessness/annuol-point-time-count/
While the proposed enhanced shelter program will not target specific subpopulations, the current shelter capacity does not address the
needs of homeless or at -risk families with children, youth and young adults, veterans, seniors, or chronically homeless. The Enhanced
Shelter grant would begin the task of addressing the needs of these underserved populations. With a poverty rate of 14.4% and a median
income of $54,982 (over $5,000 less than the US median household income), Grant County community members at -risk of becoming
homeless also face a 6.9% rental vacancy rate. Those who would otherwise be able to afford housing would be left unable to find available
rentals, leaving emergency housing as their only option (2018 American Community Survey 5 -Year Estimates, US Census). With an average
of 10 entries per month from Grant County, those in need of services are entering a system unable to meet their needs. Of those who
have sought services, 7% identified as Veterans, 55% identified as youth households, 21% identified as having a minor in the household,
and 7% were senior households.
9. If the shelter beds are utilized for sobriety focused shelter where there is a clean and sober requirement, demonstrate the need for
additional sobriety focused shelter options in your jurisdiction using local data and program inventory. Wordlimit 500.
Homeless Housing Project Expenditure Report can be found here: https://deptofcommerce.box.com/s/n29repx741s41gfpmsv992vntxas6ugx
These units will not be used for sobriety -focused shelter.
10. Provide an estimate of the average length of stay in the program. word limit 500.
If the program is currently utilizing HMIS, performance dashboards can be found here: https://www.commerce. wo.gov/seming-
communities/homelessness/homeless-system-performance/
Clients may receive shelter services for up to 90 days. For this project, HopeSource anticipates the average length of stay to be 60 days.
11. Provide an estimate of the percentage of exits from the shelter program to permanent destinations and positive outcomes. Word
Iimit500.
Positive Outcomes from Street Outreach as defined by HUD System Performance 7: https://files.hudexchange.info/resources/documents/System-
Performance-Measure-7-Housing-Destination-Summary.pdf)
If the program is currently utilizing HMIS, performance dashboards con be found here: https://www.commerce.wo.gov/seming-
communities/homelessness/homeless-system-performance/
In 2019, the HMIS data demonstrates that HopeSource achieved a positive outcome success rate of eighty-six percent (86%) in
transitioning clients Into stable, permanent housing at or before the ninety -day maximum shelter stay. HopeSource estimates a positive
outcome success rate of at least fifty percent (50%) for this shelter program.
If more than one program will be funded, please copy this tab and answer the following questions for each program.
12. Describe how problem -solving conversations will be used to divert households from entering the shelter or utilizing crisis response
system services longer term. Word limit 500.
Diversion is the front end of the Coordinated Entry intake process. It is a problem solving, strengths -based method of helping persons
determine if it is possible for them to stay anywhere else that's safe, other than a shelter. Identified solutions could be temporary or
permanent. Through the diversion process, persons chart their way out of emergency shelter and back into housing — we follow their lead,
providing the minimum amount of assistance (and therefore intervention into their lives) to help them get housed. Diversion conversations
can accomplish the following, based on the needs of the household: connect the client to family and natural supports; provide strengths -
based case management; provide conflict resolution/mediation; work with the client to search for housing/placement options; provide
landlord/tenant mediation; connect the client to mainstream resources; refer the client to legal assistance.
Successful diversion uses the first conversation with a household as an opportunity to explore their current housing crisis, and an exploration
of any potential resources a household may have to stay where they are currently residing or move to another housing opportunity.
Community partners and natural supports are critical to effective implementation. Warm handoffs are necessary because the person hears
what is being said about resolving their situation, it encourages the person to speak up, ask questions, and join the conversation, allows
everyone to correct or clarify information, and makes everyone an active member in the problem solving
Examples of questions leading to diversion include: Where did you sleep last night? What other housing options do you have for the next
few days or weeks? What issues exist with you remaining in your current housing situation? Can these issues be resolved with financial
assistance, case management, etc.? Is it possible/safe for you to stay in your current housing unit? What resources would you need to do
that (financial assistance, case management, mediation, transportation, etc.) What can we do to help you find a safe place other than
shelter? What would resolve your current housing crisis? What other things have you considered doing? If something happened to you, who
would you want to know?
13. Describe the philosophies, service models, and best practices that will be utilized. Specifically describe how services are trauma -informed
and how housing case management is implemented. Word limit 500.
The mission of HopeSource is to protect those who cannot protect themselves and encourage those who can through access to education,
employment, economic development, and vital services and to inspire hope in their lives. Hope changes everything.
HopeSource advances evidence -based, results -oriented service models to end homelessness, mixing both proven and promising practices
which include: Diversion --providing people who are at risk of becoming homeless services that stabilize them before they enter a shelter;
low barrier Coordinated Entry that simplifies access to housing services through coordinated referral; Progressive Engagement which quickly
provides just the right amount of assistance based on the unique needs of the household; Housing First; followed by Hope University, the
education division of HopeSource that promotes supportive education and employment for sustained independence; Diversity -Equity -
Inclusion principles modeled by lived -experience staff; and regular collection and evaluation of the outcomes to improve each program and
service.
The Intake Assessment tool utilized in homeless and housing programs is a comprehensive evaluation completed by a case manager trained
in the WSCAP Family Development model and who has experience in the social service field. The assessment, including the VI-SPDAT tool,
identifies barriers to permanent housing stabilization and assesses issues that may potentially impact housing success; identifies current
services the household is receiving; identifies life trauma such as abuse, neglect, alcohol/drug use, and domestic violence as well as
employment history, household composition, childcare issues, education and training, support networks, social networks, and household
stressors. The household's strengths, as well as short- and long-term goals, are included in the stability plan developed with the household.
During the intake process and case management, progressive engagement is used to form the household stabilization plan and to help the
household quickly self -resolve their situation where possible, adjusting the amount and intensity of the tailored service until the household
has achieved permanent housing. Follow-through may include landlord mediation, family reunification counseling, dispute resolution,
securing benefits or employment, budgeting instructions, access to legal services, credit counseling, social security, DSHS, transportation
needs, medical or mental health care, and youth and adult education, the housing authority, veteran liaisons, domestic violence housing, and
landlord associations for assistance with necessary rent support.
14. Describe strategies that will be implemented to prevent racial inequities in who is served and program outcomes. Word limit 500.
Grant County, the City of Moses Lake, and HopeSource recognize that race and ethnicity can significantly limit the opportunities of program
participants, acknowledge the unequal impact of these factors, and work to help program participants in overcoming systemic racism
through increased access to housing, education, asset building, income, employment, and high-quality food. HopeSource has worked for the
past three years with the Washington State Community Action Partnership and the National Community Action Partnership in its education,
training, and research into Diversity, Equity, and Inclusion jDEI) and has adopted the learning from that work in all its programs.
The staff of HopeSource has and currently includes representatives from the Hispanic/Latinx, Asian, African American, American Indian,
Native Hawaiian, LGBTO, military, and low-income populations. HopeSource expects that employees, vendors, and subcontractors are
sensitive to the culture, race and ethnicity, gender identity and sexual orientation, and the linguistic diversity within the population served
through this project and that they demonstrate behaviors and attitudes that enable them to work cross -culturally.
HopeSource has invited Diversity, Equity, and Inclusion consultants from The ReadySet to conduct a community forum and listening session
that incorporates ally skills touchpoints. Smaller workshops can be held as follow up throughout community groups to better understand
unintentional barriers and biases of organizations and individuals and how to recognize how language impacts those barriers, including
alternative language that is constructive and healing.
HopeSource seeks to build capacity around DEI so that we may continue to model diversity, equity, and inclusion for our external
stakeholders and communities and provide an equitable and inclusive environment for our staff and partners. HopeSource has proposed the
following activities supporting this initiative to local leaders: conduct community forum and listening session incorporating ally skills
touchpoints; ally skills workshops for HopeSource staff; and a more detailed ally skills workshop for the community. Ally skills workshop
learning outcomes include telling the difference between allyship and being an accomplice; knowing how to intervene in workplace
marginalization; empowered to speak up and respond when inequality occurs; understanding how to address and respond to workplace
harm; exhibiting self -reflection as an ally.
15. Describe how the program will collaborate with other mainstream providers inside and outside of the homeless crisis response system.
Word limit 500.
Outreach and identification are accomplished through field visits as well as referrals from law enforcement, local and regional networks of
social services and emergency services, public schools, faith -based organizations, and local businesses. Mainstream services include
partnerships with resources in Grant County that offer mental health, substance abuse, trauma counseling, employment training, and civil
legal advocacy, working with Grant Integrated Services for special needs, and healthcare systems, law enforcement, Grant County Housing
Authority; Northwest Justice Project; WorkSource; HopeSource life skills and employment skills through Hope University; DSHS -SNAP; the
Social Security SOAR program; the Department of Licensing; Big Bend Community College; public transportation access throughout Grant
and Adams Counties; and access to the 23 community action organizations in Washington State Community Action that provide food,
shelter, utility assistance, transportation, and referral to services in their counties.
16. Explain how the shelter program will participate in the local Coordinated Entry process. Word limit 500.
The Enhanced Shelter program will begin with entry into the cloud -based Regional Coordinated Entry system managed by HopeSource. Staff
can also conduct in -office, field-based, or phone intakes depending on the situation of the person contacting coordinated entry. The
coordinated entry assessment includes a VI-SPDAT designed for each demographic to be served to determine the level of vulnerability and to
develop a stability plan best suited to the needs of each client.
The Regional Coordinated Entry System created and managed by HopeSource operates twenty-four hours a day, seven days a week in
Kittitas, Grant, Adams, Chelan, Douglas, and Okanogan counties and ensures easy, low -to -no barrier access to homeless individuals and
families seeking housing. It can be accessed online from any computer, including public computers in libraries, schools, businesses, law
enforcement, and network service providers. The system can also be accessed by phone or in person, and information on how to access
Coordinated Entry is posted widely and visibly and shared with all public service providers. The Coordinated Entry System allows the
homeless person to control how they want to make contact and engages them in the process of seeking solutions to their crisis and receiving
assistance within 24 hours. HopeSource is seen and utilized as the central organization for community members and service partners to refer
people experiencing homelessness and people in crisis for assistance.
Budget Form and Spending Plan
Complete yellow highlighted sections. If funding more than one project, copy a blank version of this page into the workbook
and complete a separate budget.
Shelter Project Name:
Grant County Enhanced Shelter
Is this project already set up in HMIS?
No
If yes, HMIS project name?
additional rows as
Jurisdictions
Amount for each
Participating in
jurisdiction (see
Application
Award Chart) add
Dec -20
additional rows as
Feb -21
needed and provide
total
Grant Countyl
$ 335,511.00
Moses Lake
$ 187,864
TOTAL Available Funding
$ 523,375
Jurisdictions Amount for each
Participating in jurisdiction (see
Application Award Chart)
Example:
Thurston County $ 879,563
Lacey $ 313,085
TOTAL Available Funding $ 1,192,648
Costs of creating beds
pior to occupancy
Shelter beds occupied
Reimbursement fror
Commerce for beds
Aug -20
Sep -20
Aug -20
Sep -20
Oct -20
Nov -20
Dec -20
Jan -21
Feb -21
Costs of creating beds
10
pior to occupancy
10
10
$ 16,200
$ 16,200
$ 16,200
$ 16,200
$ 25,000
$ 25,000
$ 50,000
$ 16,200
$ 200,000
$ 16,200
$ 16,200
Shelter beds occupied
20
1 20
120
Reimbursement from
Commerce for beds
$ 12,000
$ 12,000
$ 12,000
TOTAL
$
$
$
$ 200,000
$ 12,000
$ 12,000
$ 12,000
Daily reimbursement rate
(cannot exceed $56) $
$ $ $ - $ 20
$ 20
$ 20
TOTAL Budgeted Funds
(August 2020 through
June 2023) $
523,375
Costs of creating beds
pior to occupancy
Shelter beds occupied
Reimbursement fror
Commerce for beds
Aug -20
Sep -20
Oct -20
Nov -20
Dec -20
Jan -21
Feb -21
$ 25,000
$ 25,000
$ 50,000
10
10
10
10
$ 16,200
$ 16,200
$ 16,200
$ 16,200
$ 25,000
$ 25,000
$ 50,000
$ 16,200
$ 16,200
$ 16,200
$ 16,200
Daily reimbursement rate
(cannot exceed $56) $ - $
TOTAL Budgeted Funds
(August 2020 through
June 2023) $ 424,000
- $ - $ 54 $ 54 $ 54 $ 54
Mar -21
Apr -21
May -21
Jun -21
Jul -21
Aug -21
Sep -21
Oct -21
Nov -21
Dec -21
Jan -22
Feb -22
10
10
20
20
20
20
20
20
20
20
20
20
20
20
$ 12,000
$ 10,175
$ 10,2001
10,200
$ 10,200
$ 10,200
$ 10,200
$ 10,200
$ 10,200
$ 10,200
$ 10,200
-$--1072-00
$ 10,200
$ 12,000
$ 10,175
$ 10,200
$ 10,200
$ 10,200
$ 10,200
$ 10,200
$ 10,200
$ 10,200
$ 10,200
$ 10,200
$ 20 $ 17 $ 17 $ 17 $ 17 $ 17 $ 17 $ 17 $ 17 $ 17 $ 17 $ 17
Mar -21
Apr -21
May -21
Jun -21
Jul -21
Aug -21 Sep -21
Oct -21
Nov -21
Dec -21
Jan -22
Feb -22
10
10
10
10
10
10 10
10
10
10
10
10
$ 16,200
$ 16,200
$ 16,200
$ 16,200
$ 16,200
$ 16,200 $ 16,200
$ 16,200
$ 16,200
$ 16,200
$ 16,200
$ 16,200
$ 16,200
$ 16,200
$ 16,200
$ 16,200
$ 16,200
$ 16,200 $ 16,200
$ 16,200
$ 16,200
$ 16,200
$ 16,200
$ 16,200
$ 54 $ 54 $ 54 $ 54 $ 54 $ 54 $ 54 $ 54 $ 54 $ 54 $ 54 $ 54
Mar-22
Apr-22
May-22
Jun-22
Jul-22
Aug-22
Sep-22
Oct-22
Nov-22
Dec-22
Jan-23
Feb-23
20
20
20
20
20
20
20
20
20
20
20
20
$ 10,200
$ 10,200
$ 10,200 $
10,200
$ 10,200
$ 10,200 $
10,200
$ 10,200
$ 10,200
$ 10,200
$ 10,200
$ 10,200
$ 10,200 IT
-15-255 I
$ 10,200 $
10,200 I
$ 10,200
$ 10,200 I $
10,200
$ 10,200 I
$ 10,200
$ 10,200
$ 10,200 I$
10,200
$ 17 $ 17 $ 17 $ 17 $ 17 $ 17 $ 17 $ 17 $ 17 $ 17 $ 17 $ 17
Mar -22
Apr -22
May -22
Jun -22
Jul -22
Aug -22
Sep -22
Oct -22
Nov -22
Dec -22
Jan -23
Feb -23
10
10
10
10
10
10
10
10
10
10
10
10
$ 16,200
$ 16,200
$ 16,200
$ 16,200
$ 16,200
$ 16,200
$ 16,200
$ 16,200
$ 16,200
$ 16,200
$ 16,200
$ 16,200
$ 16,200
$ 16,200
$ 16,200
$ 16,200
$ 16,200
$ 16,200
$ 16,200
$ 16,200
$ 16,200
$ 16,200
$ 16,200
$ 16,200
$ 54 $ 54 $ 54 $ 54 $ 54 $ 54 $ 54 $ 54 $ 54 $ 54 $ 54 $ 54
Lead Grantee Applicant - Executive Signature
I certify that the information presented in this application is true and correct and agree to the
Program Requirements. I authorize the submission to the Department of Commerce for
consideration of funding as the Lead Grantee.
Organization: Co—r\ 11�-
Executive Name:
Title:
Date:
Signature
Coordinated Applicant - Executive Signature
Joint applications must include signatures from each of the jurisdictions applying as Coordinated
Community Applicants. Please modify/add signature lines as needed to this form.
I certify that the information presented in this application is true and correct to my best knowledge
and agree to the Program Requirements.
Organization: City of Moses Lake
Executive Allison Williams
Name: Title: City Manager
Date: ^ July 30, 2020
Sig?%ture