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HomeMy WebLinkAbout2008-130 - Amendment to Homeless Challenge Program ContractBILL N0.2008-130 ORDINANCE N0.2008-130 AN ORDINANCE APPROVING AN AMENDMENT TO A HOMELESS CHALLENGP: PROGRAM CONTRACT WITH THE UNITED SERVICES COMMUNITY ACTION AGE:vCY AND THE MISSOURI FAMILY SUPPORT DIVISION WHEREAS, the United Services Community Action Agency ("USCAA"), a nonprofit organization, provides assistance and support for impoverished and homeless persons and does so in part with federal, state and local funding (the "Homeless Challenge Program"); and WHEREAS, the State of Missouri (the "State") provides funding for USCAA, but its guidelines do not allow the State to contract directly with USCAA, but instead requires that the State contract with a municipality for Homeless Challenge Program services; and WHEREAS, under the Homeless Challenge Program, the State customarily contracts with and provides funding to a municipality which in turn contracts with USCAA for provision of the Homeless Challenge Program services; and WHEREAS, USCAA has approached the City of Riverside (the "City") and proposed that the City contract with the State for Homeless Challenge Program funding and USCAA for provision of the Homeless Challenge Program services; and WHEREAS, the Board of Aldermen by Ordinance 2004-13 and Ordinance 2008-29 approved a contract for a Homeless Challenge Program with the United Services Community Action Agency a-nd the Missouri Family Support Division; and NOW, THEREFORE, be it ordained by the Board of Aldermen of the City of Riverside, Missouri, as follows: Section 1. The City of Riverside shall amend a Homeless Challenge Program Contract, such agreement to be substantially in the form attached hereto as Exhibit A, with the State of Missouri (the "Agreement"), and a separate Agreement with the United Services Community Action Agency, extending the contract from October 1, 2008 to September 30, 2009 Section 2. The execution and delivery of the Agreements, with such additions and modifications deemed necessary by the Mayor to complete the same, is approved, and the Mayor is authorized to execute the Agreements and to take such other actions reasonably necessary to carry out the intent of this Ordinance on behalf of the City, the execution of the Agreements being conclusive evidence of such approval. Section 3. This Ordinance shall be in full force and effect from and after its passage and approval. Passed this ~ day of November, 2008. Mayor Kathleen L. Rose ATT ~ City Clerk REQUEST FOR PAYMENT OF FFY09 HOMELESS CHALLENGE PROGRAM IMPLEMENTATION n~~ Invoice #09-24/45 - (~1 OCT 0 8 2009 CONTRACTOR NAME CITY of RIVERSIDE CONTRACTOR ADDRESS 2950 NW Vivion Road, Riverside, MO 64150 CONTRACT NUMBER A0004380204 HCP-24/45 LA VENDOR NUMBER 44600586700 FOR THE PERIOD April 1, 2009 THROUGH September 30, 2009 (last month's units earned for this billing) 2,721 UNITS CONTRACTED 2.597 LESS NUMBER OF UNITS PREVIOUSLY REPORTED 124 EQUALS MAXIMUM BILLABLE UNITS 4 124 UNITS PROVIDED NOT PREVIOUSLY REPORTED 5 $ 25.12 TIMES UNIT COST 6 $ 3 114.88 EQUALS TOTAL VALUE $ 2 318.52 LOCAL SHARE (Line 6 x 75%) $ 1 325.08 STATE SHARE (Line 6 x 25%) I hereby certify that this information is true and correct: City or County Signature Sub-Contractor Signature /0-9 09 Date Date REQUEST FOR PAYMENT OF FFY09 HOMELESS PROGRAM IMPLEMENTATION Invoice #09-24/27 CONTRACTOR NAME CITY of RIVERSIDE CONTRACTOR ADDRESS 2950 NW Vivion Road. Riverside. MO 64150 CONTRACT NUMBER A0004380204 HCP-24/27 HIC VENDOR NUMBER 4460058670-0 FOR THE PERIOD October 1, 2008 THROUGH September 30, 2009 (last month's units earned for this billing) r~~r~r SEP 18 2009 1 1.110 UNITS CONTRACTED 2 820 LESS NUMBER OF UNITS PREVIOUSLY REPORTED 3 290 EQUALS MAXIMUM BILLABLE UNITS 4 290 UNITS PROVIDED NOT PREVIOUSLY REPORTED 5 $ 65.00 TIMES UNIT COST 6 $ 18,850.00 EQUALS TOTAL VALUE $ 14,137.50 LOCAL SHARE (Line 6 x 75%) $ 4.712.50 STATE SHARE (Line 6 x 25%) I here y certify that this information is true and correct: ~~- ~ Ci r County Signature Sub-Contractor Signature l l7 -(xi 9- /s-o9 Date Date PROCLAMATION Proclaiming October, 2009, Senior Citizen Month WHEREAS, senior citizens have played a vital role in our community for many years and are responsible for many of the attributes that make Riverside a great place to live and work; and WHEREAS, organizations such as Platte Senior Services, Inc. and the Platte County Senior Citizens' Services Fund has cooperated to provide many worthwhile programs designed to benefit seniors in the county; and WHEREAS, the contributions senior citizens have made and are making to this city and to the world at large are valuable beyond measure, and WHEREAS, the City of Riverside boasts a lazge number of senior citizens, many actively involved in the life of this community, and NOW, THEREFORE, be it proclaimed by the Board of Aldermen of the City of Riverside, Missouri, that the month of October, 2009, shall be celebrated as Senior Citizen Month and urge all younger citizens to voice their appreciation to their esteemed pazents, grandpazents, friends and co-workers for leading the way. ~D Kathleen L. Rose, Mayor By direction of the Boazd of Aldermen this 15th day of September 2009. `~\'~ a' REQUEST FOR PAYMENT OF FFY09 HOMELESS CHALLENGE PROGRAM IMPLEMENTATION Invoice #09-24/45 - 04 CONTRACTOR NAME CITY of RIVERSIDE CONTRACTOR ADDRESS 2950 NW Vivion Road, Riverside, MO 64150 CONTRACT NUMBER A0004380204 HCP-24/45 LA VENDOR NUMBER 44600586700 FOR THE PERIOD April 1, 2009 THROUGH July 31, 2009 (last month's units earned for this billing) 2.721 UNITS CONTRACTED 2.183 LESS NUMBER OF UNITS PREVIOUSLY REPORTED 538 EQUALS MAXIMUM BILLABLE UNITS 4 203 UNITS PROVIDED NOT PREVIOUSLY REPORTED 5 $ 25.12 TIMES UNIT COST 6 $ 5 099.36 EQUALS TOTAL VALUE $ 3 824.52 LOCAL SHARE (Line 6 x 75%) $ 1,274.84 STATE SHARE (Line 6 x 25%) I hereby certify that this information is true and correct: ~~ City or County Signature Sub-Contractor Signature Date Date REQUEST FOR FARO R M IMPLEMENTAT ON S C~LLENGE CONTRACTOR NAME CONTRACTOR ADDRESS CONTRACT NUMBER VENDOR NUMBER Invoice #09-24/45 - OS CITY of RIVERSIDE 2950 NW Vivion Road Riverside MO 64150 A0004380204 HCP-24/45 LA 44600 ~ Au st 31 2009 FOR THE PERIOD April 1, 2009 THROUGH (last month's wets earned for this billing) 2 721 UNITS CONTRACTED ESS NUMBER OF UNITS PREVIOUSLY REPORTED ~ 2 386 L EQUALS MAXIMUM BILLABLE UNITS 3 335 UNITS PROVIDED NOT PREVIOUSLY REPORTED 4 21I 5 25 12 TIMES UNIT COST UALS TOTAL VALUE 6 ~~ 32 EQ 3 975.24 LOCAL SHARE (Line 6 x 75%) 1 325.08 STATE SHARE (Line 6 x 25%) I hereby certify that this information is true and correct: ~~~° ~,~ Sub-Contractor Signattue City or County Signature ~ ~ ~~ ~ - ~~~ ~ ~ Date / Date REQUEST FOR PAYMENT OF FFY09 HOMELESS CHALLENGE PROGRAM IMPLEMENTATION Invoice #09-24/27-01 CONTRACTOR NAME CONTRACTOR ADDRESS CONTRACT NUMBER VENDOR NUMBER CITY of RIVERSIDE 2950 NW Vivion Road Riverside MO 64150 A0004380204 HCP-24127 HIC 4460058670-0 June 30, 2009 FOR THE PERIOD October 1, 2008 THRO last month's units earned for this billing) 1 110 UNITS CONTRACTED 0 LESS NUMBER OF UNITS PREVIOUSLY REPORTED 1 110 EQUALS MAXIMUM BILLABLE UNITS 4 820 UNITS PROVIDED NOT PREVIOUSLY REPORTED 5 $ 65 00 TIMES UNIT COST 6 $ 53 300.00 EQUALS TOTAL VALUE $ 39 975 00 LOCAL SHARE (Line 6 x 75%) $ 13 325 00 STATE SHARE (Line 6 x 25%) I hereby certify that this information is true and correct: ~~,~~ Sub-Contractor Signature City or County Signature, 9-i~-~9 ~-y~ Date / Date __ _ -.. REQUEST FOR PAYMENT OF FFY09 HOMELESS CHALLENGE PROGRAM IMPLEMENTATION Invoice #09-24-06 CONTRACTOR NAME CITY of RIVERSIDE CONTRACTOR ADDRESS 2950_N_W Vivion Road. Riverside. MO 64150 CONTRACT NUMBER A0004380204 HCP-24 USCAA VENDOR NUMBER 44600586700 FOR THE PERIOD October 1, 2008 THROUGH Ausust 2009 (last month's units earned for this billing) 197 UNITS CONTRACTED 102 LESS NUMBER OF UNITS PREVIOUSLY REPORTED 95 EQUALS MAXIMUM BILLABLE UNITS 4 95 UNITS PROVIDED NOT PREVIOUSLY REPORTED 5 $ 660.00 TIMES UNIT COST 6 $ 62.700 .00 EQUALS TOTAL VALUE $ 47.025.00 LOCAL SHARE (Line 6 x 75%) $ 15.675.00 STATE SHARE (Line 6 x 25%) I hereby certify that this information is true and correct: ~~l X~~f.~/~~ Crty or County Signature -~ - Date Sub-Contractor Signature y-a 9 Date 1' 1~lissr~uri 1)c~rxrt~rrent of SOCIAL SERVICES Yr~~r I'~ateratirti. £?ur .Sut~pt~a~t. p~t~C~[lf~L~ ~~ JAN 2 a 2009 JEREMIAH W,(JAY)NIXON, GOVERNOR RONALD J. LEVY, DIRECTOR ~:~wn~~• , ~ -..-~..>-~..a ihx~,--a»a4, ~.~,~:~.~~ ~,~ wA.,..,.z .*~., ,.,,,.w, .v.. ,_.. ~. «,~,,,~,.~,~ .:~ ,n~„~,:~~.-.,~.,~,~ „~-a DIVISION OF FINANCE AND ADMINISTRATIVE SERVICES P.O. BOX 1062.221 WEST HIGH • JEFFERSON CITY. M065102-1082 573-751-2542 573-751-7598FAx CONTRACT AMENDMENT CONTRACT NUMBER CONTRACT TITLE Homeless Prevention and Assistance Services A0004380204 AMENDMENTNUMBER CONTRACT PERIOD # 5 October 1, 2008 through September 30, 2009 REQUISITION NUMBER VENDOR NUMBER 4460058670-0 CONTRACTOR NAME AND ADDRESS STATE AGENCY'S NAME AND ADDRESS City of Riverside MO Department of Social Services 2950 NW Vivion Road Family Support Division Riverside, MO 64150 Homeless Challenge Program 615 Howerton Court, P.O. Box 2320 Jefferson City, MO 65102-2320 ACCEPTED BY TI{E STATE OF MISSOURI AS FOLLOWS: Amendment # 5 to renew contract A0004380204 for the period of October 1, 2008 through September 3Q 2009. Not to exceed $79,104.00 per the contract period. PROCUREMENT OFFICER PROCUREMENT CONTACT INFORMATION Betty Salmons E-Mail: bettyssalmons(a~dss.mosov Phone: 573-751-7558 Fax: 573-526-4678 SIGNATURE OF PROCUREMENT OFFICER DATE y~py ~J January I5, 2009 AUTHORIZED REPRESENTATIV F THE DEPARTM T O SOCIAL SE R V I CES __ ~~ /` r ~~~! ~1A- Jennifer R. Tidball RELAY MISSOURI FOR HEARING AND SPEECH IMPAIRED I-800-735-2466 VOICE • I-800.735-2966 TEXT PHONE An l:yuaf Oppnrhmriy limplnyer, .rcrvices provided on a nondiacrlminplary hgsiv. October 31, 2008 City of Riverside, Missouri Office of Administration Attn: Mr. Dave Blackburn 2950 N. W. Vivion Road Riverside, Missouri 64150 Re: Homeless Challenge Program Deaz Mr. Blackburn: Anticipating a sufficient federal appropriation (Community Services Block Grant), we are proposing to continue our FFY-09 Homeless Challenge Program HCP-24 activities for another renewal year, October 1, 2008, through Sentember 30, 2009. Accordingly, I will forwazd the appropriate contracts to the City of Riverside today, October 31s`. The first contract is between the Family Support Division and the City ofRiverside. The requirements of the City of Riverside in that contract are passed on to United Services in the second contract, between the City ofRiverside and United Services Community Action Agency. The two contracts are almost identical with the differences being the names of the contracting parties. Also attached to this amendment (Attachment 1) is a revised contract with updated contract language. If the amendment is acceptable, please have both contracts signed and I will arrange to have them picked up. If you have any questions, please feel free to contact Ms. Jeannie Chaffin of the Family Support Division in Jefferson City (573-751-6789) or contact me (816- 356-6814). I appreciate your assistance and consideration in this matter. Thank you for your support as we strive to assist less fortunate residents. Sincerely, Tommie Barnett, Executive Director United Services Community Action Agency Cc: Ms. Louise Rusick, City Clerk, City of Riverside Mr. Clifton Campbell, Program Director, USCAA Ms. Kimberly Brabits, Northland Outreach Manager, USCAA Contract No.HCP-24 AOC04380204 CONTRACT AMENDMENT No. 5 The subject contract entered into on October 1, 2005 between the FAMILY SUPPORT DIVISION AND the CITY OF RIVERSIDE - HCR24 is hereby amended as follows: This amendment is to renew the contract for October 1, 2008 thru September 30, 2009, not to exceed $79,104.00 in State funds per year. The contractor shall provide a total of 5,719 units of service, as defined in Exhibit A, at a mix of unit costs. The contractor agrees that the total contract cost shall not exceed $316,416.00 of which $237,312.00 shall be local funds from the sources identified in the attached Exhibit A and of which $79,104.00 shall be state funds. This amendment also adds Attachment No. 1, "Homeless Challenge Program Contract" for the purpose of updating contract language to the contract signed in 2006. Siguing this amendment indicates agreement with the new language. This amendmem shall be effective on October 1, 2008. All other terms and conditions of the contract, or any amendments thereto, shall remain unchanged. In witness whereof, the Division and the contractor hereby execute this contract: Authonzed Representative of the Contractor u orized Representative of the Family Support Division ~/ ~J !mod Title Date Date ~a~l~ Au zed resentative of the Department of Social Services 1~~31I °~ Date y~r a Contract No. HCP-24 AOCO4380204 CONTRACT AMENDMENT No. 5 The subject contract entered into on October 1, 2005 between the City of Riverside and United Services Community Action Agency -HCP-24 is hereby amended as follows: This amendment is to renew the contract for October 1, 2008 through September 3Q 2009, not to exceed $79,104.00 in State funds per year. The contractor shall provide a total of 5,719 units of service, as defined in Exhibit A, at a mix of unit costs. The contractor agrees that the total contract cost shall not exceed $316,416.00 of which $237,312.00 shall be local funds from the sources identified in the attached Exhibit A and of which $79,104.00 shall be state funds. This amendment also adds Attachment No. 1, "Homeless Challenge Program Contract" for the purpose of updating contract language to the contract signed in 2006. Signing this amendment indicates agreement with the new language. This amendment shall be effective on October 1, 2008. All other terms and conditions of the contract, or any amendments thereto, shall remain unchanged. In witness whereof, the City and the contractor hereby execute this contract: Authorized Representative of the Contractor Authorized Representative of The City of Riverside _i1z- /a-3/~ 8 itle Date Title Date P`, Attachment 1 co CONTRACT NO. HCP-24 HOMELESS CHALLENGE PROGRAM CONTRACT This contract made by and between the Family Support Division (hereinafter referred to as the "Division" and the City of Riverside (hereinafter referred to as the "Contractor"), shall be as follows: I. This contract shall become effective for services delivered beginning October 1, 2005, and shall continue in force through September 30, 2006, unless altered by mutually accepted written amendment in which case, the effective dates specified in said amendment shall control, and all parties acknowledge time is of the essence. 2. The Contractor agrees that its application and certifications submitted in response to the Homeless Challenge Program, and identified herein as Exhibit A, shall be a part of this contract as if said Exhibit A were set forth herein. The Contractor agrees to comply with all terms and conditions of the contract and Exhibit A. 2.1 The contract expresses the complete agreement of the parties and performance shall be governed solely by the specifications and requirements contained therein. 2.2 Any change to the contract, whether by modification and/or supplementation, must be accomplished by a formal contract amendment signed and approved by and between the duly authorized representative of the contractor and the Division. The contractor expressly and explicitly understands and agrees that no other method and/or no other document, including correspondence from the state agency, acts, and oral communications by or from any person, shall be used or construed as an amendment or modification to the contract. 3. All individuals and/or families enrolled in the Homeless Challenge Program and provided services both direct and Match services as described by the Contractor in Exhibit A, must meet the following income and Homeless/Prevention eligibility requirements: 1. Income Eligibility: Individuals and/or families must have a household income under 100% of the Federal Poverty Income Guidelines. 2. Homeless/Prevention Eligibility: In keeping with the purpose of the Homeless Challenge Program all individuals and/or families provided services must met one of the following criteria: Homeless (1) an individual who lacks a fixed, regular, and adequate nighttime residence; and (2) an individual who has a primary nighttime residence that is- (A) a supervised publicly or privately operated shelter designed to provide temporary living accommodations (including welfare hotels, congregate shelters, and transitional housing for the mentally ill); (B) an institution that provides a temporary residence for individuals to be institutionalized; or (C) a public or private place not designed for, or ordinarily used as a regulaz sleeping accommodation for human beings. Homeless Prevention (1) an individuallfamily who has received an eviction notice or notice of termination of utility services if- (A) the assistance is necessary due to a lack of resources and/or support networks necessary to avoid the eviction or termination of services. Page 1 4. The Contractor shall determine and document the eligibility of each recipient of services under this contract. 5. The Contractor shall provide a total of 5719 units of service, as defined in Exhibit A, at a unit cost of MIX. The Contractor agrees that the total contract cost shall not exceed $316,416.00 of which $237.312.00 shall be local funds from the sources identified in Exhibit A of which 79 104.00 shall be state funds. 6. The Contractor shall submit an invoice on the form approved by the Division for services rendered to the Family Support Division, CSBG Unit on or before the tenth of the month. Such invoices shall include: 6.1 the Contractor's name and address; 6.2 the month for which services are being invoiced; 6.3 the unique invoice number according to Division instructions; 6.4 the number of units of services invoiced, in whole numbers; 6.5 the total cost of services invoiced for that month; per the contract 6.6 the amount of the local share of the cost of services invoiced, in whole numbers; and 6.7 the amount of the state share of the cost of services invoiced, in whole numbers. 7. The Contractor agrees to submit a ROMA report to the Family Support Division, CSBG Unit by December 31 of the curcent year's program end. 8. The Contractor agrees that the amount of reimbursement due from the Division for the contract period shall not exceedtwenty-five percent of the total contract cost identified in paragraph 5. 9. The Contractor agrees to allow time and assistance for contract compliance reviews by the Division and further agrees to make available upon request any records required to be maintained by this contract. 10. Indemnification and Hold Harmless: To the extent permitted by law and without waiving sovereign immunity, City/County agrees to defend, indemnify and hold harmless the Division from and against all claims, actions, causes of action, or liabilities, including reasonable attorneys' fees, arising out of or resulting from any act undertaken or committed by City/County pursuant to the performance of its obligations under this Agreement. To the extent permitted by law and without waiving sovereign immunity, City/County also agrees to defend, indemnify and hold harmless the Division from any liability resulting from any claim, action or cause of action, which may be asserted by third parties arising out of City/County's performance pursuant to this Agreement, except for those actions or liabilities which are due to the misconduct or negligence of the Sponsor. 11. The contractor shall agree and understand that all programs, reports, materials, documentation, etc., which aze developed or acquired by the contractor as a requirement of the contract shall become the property of the State of Missouri, which shall include all rights and interests for present and future use or sale as deemed appropriate by the state agency. 11.1 The State of Missouri understands and agrees that any ancillary software tools orpre-printed materials (e.g., project management software tools or training software tools, etc.) developed or acquired by the contractor that maybe necessary to perform a particular service required hereunder but not required as a specific deliverable of the contract, shall remain the property of the contractor; however, the contractor shall be responsible for ensuring such tools and materials are being used in accordance with applicable intellectual property rights and copyrights. 11.2 The contractor shall further agree that no reports, documentation, or material prepared, including the program(s) developed as required by the contract, shall be used or marketed by the contractor or released to the public without the prior written consent of the state agency. Page 2 11.3 The contractor shall agree and understand that all discussions with the contractor and all information gained by the contractor as a result of the contractor's performance under the contract shall be confidential. 12. The contractor shall understand and agree that the contract may involve the use of federal funds. Therefore, for any federal funds used, the following paragraphs shall apply: In performing its responsibilities under the contract, the contractor shall fully comply with the following Office of Management and Budget (OMB) administrative requirements and cost principles, as applicable, including any subsequent amendments, applicable implementing regulations, and all other laws, regulations, and policies authorizing or governing the use of any federal funds paid to the contractor through the contract: a. Uniform Administrative Requirements - A-102 - State/Local Governments; 2 CFR 215 -Hospitals, Colleges and Universities, For-Profit Organizations (if specifically included in federal agency implementation), and Not-For-Profit Organizations. b. Cost Principles - A-87 - State/Local Governments; A-i22 -Not-For-Profit Organizations; A-21 - Colleges and Universities; 48 CFR 31.2 -For-Profit Organizations; 45 CFR 74 Appendix E - Hospitals Steven's Amendment - In accordance with the Departments of Labor, Health and Human Services, and Education and Related Agencies Appropriations Act, Public Law 101-166, Section 511, "Steven's Amendment", the contractor shall not issue any statements, press releases, and other documents describing projects or programs funded in whole or in part with Federal money unless the prior approval of the state agency is obtained and unless they clearly state the following as provided by the state agency: a. The percentage of the total costs of the program or project which will be financed with Federal money; b. The dollar amount of Federal funds for the project or program; and c. The percentage and dollar amount of the total costs of the project or program that will be financed by nongovernmental sources. 13. The Provider certifies to the best of its knowledge and belief that it and its principals: 13.1 Are not presently debarred, suspended, proposed for debarment, declared ineligible or voluntarily excluded from participation in this contract by any federal department or agency. 13.2 The Provider agrees that it will include the provisions of 22 without modification, in all tower tier covered sub awards or subcontracts and in all solicitation for lower tier covered contracts. 14. Officials and employees of the Division, its governing body, or any other public officials of the State of Missouri must comply with Sections 105.452 and 105.454 RSMo regarding conflict of interest. 15. The contractor hereby covenants that at the time of the submission of the application, the contractor has no other contractual relationships which would create any actual or perceived conflict of interest. The contractor further agrees that during the term of the contract neither the contractor nor any of its employees shall acquire any other contractual relationships which create such a conflict. 16. The Contractor agrees to keep and maintain adequate, legible, genuine, current and complete records of services rendered under the terms of this contract, in a form and manner acceptable to the Division, and to make available all such records to the Division, or its designated representatives, for a period of five (5) calendar years following the expiration of this contract. Contractor agrees that failure to comply with this provision shall be deemed a material breach of the contract and to repay to the Division all amounts received for any services which are not adequately verified and fully documented by the Contractor's records. Adequate verification and full Page 3 documentation shall mean that the Contractor's records are such that an orderly examination by a reasonable person is possible and can be conducted without the use of information extrinsic to the records and that such an examination can readily determine that the Contractor's reported services were, in fact, provided; that the recipients were eligible; when the services were provided; to whom the services were provided; and the extent or duration of services. 17, The Contractor agrees to allow reasonable and timely site visits by the Division and further agrees to make available upon request any records required to be maintained by this contract. The Contractor shall require appropriate identification or documentation of authority of all persons making site visits on behalf of the Division. 18. All parties agree to comply with the 1964 Civil Rights Act, as amended; Section 504 of the Rehabilitation Act of 1973, as amended; The Age Discrimination Act of 1975, as amended; the Omnibus Reconciliation Act of 1981, as amended; The Americans with Disabilities Act of 1990, as amended; and all other applicable Federal and State laws which prohibit discrimination in employment and in the delivery of services on the basis of race, color, national origin, age, sex handicap, disability or religious belief. 19. All Contractor employees, officers, subcontractors, and representatives shall maintain and preserve the confidentiality of information and documentation as is required pursuant to State law and Division regulations. The Division reserves the right to require that all Contractor employees, officers, subcontractors, and representatives execute a separate, detail confidentiality agreement. 20. The Contractor acknowledges and certifies that the Contractor is currently in compliance with, and shall continue to comply with Title 31, of the United States Code, as amended, as well as all other applicable Federal and State laws and regulations addressing lobbying and political contributions. 21. Pursuant to Article VII. Section 6 of the Constitution of the State of Missouri, as well as all other applicable Federal and State laws and regulations, the Contractor acknowledges and agrees that the money provided by the Division pursuant to this contract shall not be used to promote or further nepotism. 22. The Contractor shall only utilize persomnel authorized to work in the United States in accordance with applicable Federal and State laws. This includes, but is not limited to, the Illegal Immigration Reform and Immigrant Responsibility Act (IIRIRA) and INA Section 274A. If the Contractor is found to be in violation of this requirement or the applicable laws of the State, Federal and local laws & regulations, and if the State of Missouri has reasonable cause to believe that the contractor has knowingly employed individuals who are not eligible to work in the United States, the State shall have the right to cancel the contract immediately without penalty or recourse and suspend or debar the Contractor from doing business with the State. The Contractor agrees to fully cooperate with any audit or investigation from Federal, State, or local law enforcement agencies. 23. In the event the Contractor contracts with any other party to effectuate the terms of this contract, the contract between the Contractor and said other party, shall incorporate by reference and specify that said other party is currently incompliance with, and shall continue to comply with, paragraphs 3 and 5 and 10 through 23 detailed herein. 24. The Contractor shall obtain an annual audit of the services contracted herein. The audit shall be made in accordance with generally accepted auditing standards and is due within six months after termination or expiration of the contract. The audit shall contain, at a minimum, a consolidated statement of revenue and expenditures for the Homeless Challenge Program. Page 4 25. The Division reserves the right to terminate the contract at any time, for the convenience of the State of Missouri, without penalty or recourse, by giving written notice to the contractor at least thirty (30) calendar days prior to the effective date of such termination. In the event of termination pursuant to this paragraph, all documents, data, reports, supplies, equipment, and accomplishments prepared, furnished or completed by the contractor pursuant to the terms of the contract shall, at the option of the Division, become the property of the State of Missouri. The contractor shall be entitled to receive just and equitable compensation for services and/or supplies delivered to and accepted by the State of Missouri pursuant to the contract prior to the effective date of termination. 26. Any written notice of contract termination shall be sent by certified mail, first class, postage paid, and notice shall be effective upon deposit with the U.S. Postal Service. 27. The Contractor agrees that the Division may at its sole option and with agreement of the Contractor exercise a maximum of four (4) one year options to renew this agreement. 28. The contractor further understands that the Division has no commitment to renew this contract after the aforementioned expiration date. Page 5 EIfEIIBIT A E7~IT A DISTRIBUTION: #24-24 197 units of the attached Kansas City Homeless Family Support Project at a unit cost of $660.00 not to exceed $129,412.00 ($97,059.00/$32,353). #24-27 1110 units of the attached Comprehensive Housing Counseling for Homeless Prevention at a unit cost of $65.00 not to exceed $72,148.00 ($54,111/$18,037). #24-45 2721 units of the attached Homeless Prevention Program at a unit cost of $25.12 not to exceed $68,328.00 ($51,246/$17,082). #24-46 699 units of the attached Shelter and Services for Battered Women and their Children at a unit cost of $33.93 not to exceed $23,692.00 ($17,764/$5,923). #24-47 992 orals of the attached Emergency Shelter Services at a unit wst of $23.04 not to exceed $22,836.00 ($17,127/$5,709). EXHIBIT A a FFY08 HOMELESS CHALLENGE PROGRAM PROJECT DESCRIPTION . I. Title. What is the project titie7 State the title of your HCP project. Homeless Challenge Program 2. Problem Identification. Which of the local problem(s) listed below will be addressed? Select A, B, or C. /..'. Both: (A. Irulrviduala orfamilus currently home/sas & B. I~ivWrraLr orjaniliea of risk ojbecornhrg homeless) 3. Cause. Which tense of the boneless problem will be identified? Select A sad 1 or more causes from 1-8; Baad 1 or more tense from 1-5, or C and i or Wore causes from 1-4. A. Need of emerg~cy assistance because of the following: 1. lack of adequate income 2. home eviction, high energy bills 3. family violence 4. other--inadequate public assistance and/or limited access to programs $. Need teml-orary shelter because of: 1. Domestic violence 2. alienation of family/friends C. Need to move from current housing because of the following: 1. substandard housing 2. high housing costs 4. Eligibility. Who is eLlgibie? (Eligibility guidelines below are regained) Select A. Homeless; B. Homeless Preveatiea; or Both. C. Both (A. Komeless & B. Homeless Prevention) Those eligible for Homeless Challenge will be low-income individuals and families, who are at or below 1110% of the official poverty guidelines and who meet one of the following requirements: A. Homeless eligibility includes: (1) an individualllamily who lacks a fixed, regular, and adequate nighttime residence (this would be those moving place to place); or (2) an individuaVfamily who has a primary nighttime residence that is (a) a supervised publicly or privately operated shelter designed to provide temporary living accommodations (including welfare hotels, congregate shelters, and transitional housing for the mentally ill); (b) an institution that provides a temporary residence for an individual to be institutionalized; or (c) a public or private place not designed for, or ordinarily used as a regular sleeping accommodation for human beings. B. Homeless prevention eligibility: (1) an individual/family who has received an eviction/fareclosure notice or notice of temtination of utility services if (a) the assistance is necessary due to a lack of resources and/or support networks necessary to avoid the eviction or termination of services. 5. Participants. Who will be considered the participant? Select A, A. The entire household will be considered the participant. 6. ROMA Goai and Measure. Based on ezpected outcome, which national direct measure is moat appropriate? (Standard of Outcome Evaluaften) Select at least one of the measures: A, B, C, or D listed below. Goat 6: Low-income people, especially vulnerable populations, achieve their potentials by sher-gtirening family and other supportive systems. A. The number of low-income individuals and families that sought and received emergency assistance. 2. Emergency payments for fueU~ility/rent/mortgage payments 7. Target. Haw many of the ezpected oatcomes does the Provider plan to achieve for the year? Select the correct target A-and the number of assisted for one or more of the serwkxs Itsted, or B-aad the namber of provide, or C-and the nt~ber of moved. Tice number in A should equal the total of the number 1 through 9. • One-hundred and ninety-seven (197) are the total number of households that wilt receive emergency assistance for fuel, utility, rent or mortgage payments. 8. In~lemeatation. What is the project implementation plan? List the activities in the order they will oocnr and the dates We activities are projected to be accomphahed. 9. Service Unit. What is fife minimum service that the Provider itself will provide to a participant before request for payment is presented? (Standard of Performance Evaluation) An individuaUfamily will have received CSBG-paid FIAR/intake services, plus one or more of the following services to prevent or alleviate homelessness: • rental assistance • mortgage payment assistance • natural gas assistance • electric vendor payments • other fuel payments to vendors (e.g., Propane, etc.) In addition, each individua]/family presenting for help will complete a questionnaire that will pinpoint their level of or risk of homelessness on a scale. This questionnaire will serve as a baseline to draw comparisons and conclusions against, testing the extent of our strategy's effectiveness at program end. For the client's benefit, the information gathered by the questionnaire will be starting point for brief counseling is ,aonnu d krsl from either a Case Manager from our Faintly Support department or from someone from the Targeted Coaching program, The client will also receive an Action Plan t~~ m rm+~v s~rvon uxe manaatmem's) to help direct them toward success. USCAA will not bill the State before a client has completed the following four activities: 1. Homeless Questionnaire 2. Action Plan 3. At least 6 counseling hours 4. Received a service (rent/mortgage/utility) 1©. Data Collection. How will participant eligibility be documented? How will what happens to each participant be documents? How and where will participant records be kept? Participant eligibility will be documented through the FIAR process. All program participants must have a household income at or below 100% of the Federal Poverty Income Guidelines. The intake will document that each client receiving the Homeless Challenge assistance met the required criteria of either being currently homeless or being at risk for homelessness. A separate roster showing Homeless Challenge participants, an accounting of the 4 services they havc received, and the how much those services are worth will be kept in the Family+ Support Manager's office. All questionnaire and scale results, along with Action Plans, will be kept in each participant's file. Those files are checked on a monthly basis by the Family Support Ivianager. 11. Cost. What is the snit cast? How many waits are proposed? Please state your proposed contract amonat, gait cost for this project and the somber of waits you want to contract for. Take your total contract amount divided by the unit cost and then round the number of snits to a whole number. The unit cost is $660. The number of units proposed is 197 [rotalproJect cost (3119,411) dividedbY unit tear (5660)) The proposed contract amount with the State is $32,353. 12. Validate the reasonableness of the snit coat. Explain. USCAA's 2007 Needs Assessment found that next to "Food," low-income respondents ranked the need for help with "Utilities" as their second most urgent need out often choices. And it is not surprising why given these numbers: In Jackson County, surveyed households said that they are spending an average of neatly 2~°k of their income on utility payments. For low-income people living in Platte County, survey respondents reported that they spent an average of 19% of their household iricome for utilities, and Clay County respondents said their households were burdcrted with an average of 18% utility payments every month coming out of their household budget (10% is considered the ceiling of afforda611ity). The snit coat is based oa the average amount USCAA pays in atility assistance for these households, plus 10% admffiiatratioa cost for a total of S6b0. Low-income respondents ranked "Housing" as their third most critical need. Jackson and Platte Courities' respondents said they spend 48% of their household income on housing expense. Clay County's low-income households reported they use 43% of their income on housing each month. In contrast, Fair Market Rem (2007) for the Kansas City Metropolitan2 area is $622 for acne-bedroom unit and $714 for atwo-bedroom unit. (Less than 3090 of a household's Income is the gertera!!y accepted defrnition of "a,~j-ordable"housing.) when the average for the one and two bedroom units is calculated: $622 + $714 = 1.336 = $668 2 The average rent payment USCAA makes for a client is, again, close to $660 so the unit cost is well justified at this amount. Z The Kansu City Metropolitan Brea ineludw USCAA's aerviee counttes: lacksm. Clay R Platte. 13. What program doQars will be need for match? Energy Crisis Intervention Program (ECIP) $83,859 Suonortive Housitt Prog~m {SHPT $13.200 Total Match Dollars $97,059 14. ltetatgt oa Iuvestmenk Hew w~ the project be cost effective? Indicate the dollar value to a participant aad provide a basis, then compare with unit coati What is the return on ~vestmeat espressed as a ratio? E=phtht why this prroject is a goad bay for the state. Smite the dollar value this service would cost a participant aed also provide how you deteraained this dollar value, they compare with year proposed aatt cosk Provide s ratio of the dollar value to the participant and the proposed unit cost. Based on a long-term commitment of securing ptent housing for low-income families, this program will either prevettt or alleviate homelessness. The dollar value to the clients is based on not only on the direct service provided to them of paying their utility and housing costs (ru,tr cosy = 5660), but also preventing the negative consequences of NOT doing so. For example, if an elderly woman cannot get her utility bill paid and she loses her heat source for even a few days, there is a great likelihood she will fall ill. Now on her fixed and meager income, she is in a position of needing to go to the doctor and get a couple of prescriptions filled. This puts her further behind-approximately $200 more behind. A hospital visit may conservatively range from $2,500 to $8,000. And as any State worker in Senior Services can tell you, situafions like these can easily end up in a placement in a long-term care facility, which will cost the State Medicaid program a great deal more than just paying their utility bills up front would have cosk Especially since a stay in a long-term care facility costs anywhere from $50,000 to $70,000 a year. But to conservatively calculate the ratio of the dollar value to the participant and the unit cost, we will use the example of a short hospital stay costing only $2,500: $2.500 = ~ = 4 $ 660 1 1 EXHIBIT A Housing Information Center FY06 Homeless Challenge Program Project Description 1. Title. What is the gmject title? State the title of your HCP projecK. Comprehensive Housing Counseling for Homeless Prevention 2. Problem Identification. Which of the local problem(s) listed below will be addressed? Select A, $, or C. A. Individuals or families currently homeless. B. Individuals or families at risk of becoming homeless. C. Both, A and B. ~y =~~1 C. Both, A., Individuals or families currently homeless and B., Individuals or families at risk of becoming homeless. 3. Cause. Which cause of the homeless problem will be identified? Select A and 1 or more causes from 1-8; B and 1 or more causes from 1-5, or C 1 or more causes 1-4. A. Need of emergency assistance for. 2. Lack of adequate income 3. Home eviction, high energy bills 5. Family Violence C. Need to move from current housing because of. 1. Substandard housing 2. High housing costs 3. Increased rent 4. Eligibility. Wlw is eligible? (Eligibility guidelines below are required) Select A. Homeless, B. Homeless Prevention, or Both. Those eligible for Homeless Challenge will be Iow-income individuals and families, who are at or below 100% of the official poverty guidelines and who meet one of the following requirements, A. Homeless eligibility includes; (1) an individual/family who lacks a fixed, regular, and adequate nighttime residence (this would be those moving place to place): or. (2) an individual/family who has a primary nighttime residence that is (a) a supervised pub}icly or privately operated shelter designed to provide temporary living accommodations (including welfare hotels, congregate shelters, and transitional housing for the mentally ill); (b) an institution that provides a temporary residence for an individual to be institutionalized; of i (c) a public or private place not designed for, or ordinarily used as a regular sleepintg accommodation for human beings. B. Homeless prevention eligibility; (1) an individuaUfamily who has received an eviction/foreclosure notice or notice of termination of utility services if a the assistance is necessary due to a lack of resources and/or support networks necessary to avoid the eviction or termination of services. 5. Participants. Will every family member be considered a participant? Select A, B, C, or D. A. The entire household/family is considered a participant. 6. ROMA goal and measure. Based on expected outcome, which national direct measiae is most appropriate? (Standard of Outcome Evaluation) Select at least one of the measnrea A, B, G or D tested below. Goal 6: Low-income people, especially vulnerable populations, achieve their potential by strengthening family and other supportive systems. A. The number oflow-income individuals and families that sought and received emergency assistance. 2. Emergency payment for fuellutility/rent/mortgage payments 3. Temporary sheltei for the homeless D. Other -Number of households who obtain or maintain housing. Target. How many of the expected outcomes does IiIC plan w achieve for the year? Select the cort~ect target - A-and the cumber of households assisted for one or more of the services listed, or $ -and the number of bed n~hts provided, or C- and the number of families moved. The number en A should equal the total of the numbers 1 through 9. A. 3001ow-income households received emergency assistance, including such services as: 2.300 will receive emergency payments 3. 303 Temporary shelter for the homeless D. 950 will obtain or maintain housing 2 a~~~~ 8. Implementation. What is the project implementation plan? List the aMivities in the order of sequence that the activities will occur and the dates when the activities are expected to be completed. Activities include but not limited to; (a) Budget household management in prevention of eviction from housing, (b) Financial assistance to locate or relocate to housing. (c) Foreclosure prevention notice or notice of termination of utility services if (1) The assistance is necessary due to a lack of resources and/or support network necessary to avoid eviction or termination of services. (d) Homeless Prevention counseling. (1) Intake and screening is done either in person or over the phone, client is asked a series of questions to determine the need. The intake specialist will collect all pertinent information verifying eligibility related to a housing problem. The Program Director then assigns the intake to a counselor, who then will contact the client and schedule an appointment. (2) The initial interview is in two parts with an average of 180 minutes of face-to- face session to discuss the housing problem and implement a plan. A discussion of way to remove barriers to maintain stable housing or to obtain housing. Many have dual diagnosis, which prevent them from living on their own and need a support system in place before housing can be obtained. 9. Service Unit What is the minimum service that HIC itself will provide to a participant before request for payment is presented? (Standard of performance evaluation). Please state the minimum service that will be received by the participant before a unit is billed. The minimum service that HIC will provide to a participant is 30 face to face minutes and another 30 minutes to review data collection, determine eligibility, to make a plan and make referrals as needed to.resolve housing problem. In these face to face sessions, household management and budget credit counseling will be discussed. HIC will provide a total of 1,110 units of service during the contract period. 0. Data collection. How will participant eligibility be documented? How will what happens to each participant be documented? How and where will participant records be kept? Please provide information as to how the eligibility of the participant and the services received by the participant will be documented and where these participant records will be kept Case records will contain the information necessary for the counselor to determine the appropriate strategy, to decide the nature and amount of emergency assistance that is needed, or to make an appropriate referral if needed service is not offered by Housing Information Center. Uther file information that will be maintained includes: • Client Authorization for Counseling and client's right and responsibilities • Contact Record, which includes Social Security numbers, demographic information and income verification for household members. • Narrative, which documents the initial session with a clear statement of the problem/need and a preliminary service plan and the desired outcome(s). There will also be documentation showing the time spent with the client via the case notes, with client session beginning and ending date. • Financial Review, which is entered in a computer database. 1 I . Cost. What is the unit cost? How many units are proposed? Please state your proposed contract amount, unit cost for this project and the number of units you want to contract for. Take your total contraM amount divided by the unit cost and then round the number of units to a whole number. Our proposed contract amount equals $72,148. The unit cost of this program is $b5.00 per unit. The number of units proposed will be 1,110. 48 = 1,110 565.00 12. Validate the reasonableness ofthe unit cost. Explain. This unit cost is necessary to provide the housing counseling and identify supportive services proposed in this program. Experience demonstrates a need for extensive counseling to stabilize the typical situation and to enable families to obtain and retain permanent housing. Experience has indicated this cost is a fair unit cost. Families oftentimes, when encountering a crisis situation(s), cannot think clearly or make educated decisions regarding their housing situation. They need guidance in helping them to see alternatives to maintaining a household, help them to set goals and educate them in life ski]ls and provide them with a relationship that has support, trust and direction. 13. What program dollars will be used for match? This is a 3:1 match program (local match amount must be three times the state amount) and the local match plus the state amount equals the total contract amount. List the programs and doliar amounts use for match. The programlprograms and dollaz amount used for match is as follows: Program Dollars Comprehensive Housing Counseling $54.111.00 14. Return on Investment. How will the project be cost effective? Indicate the dollar value to a participant and provide a basis, then compare with the unit cost. What is the return on investment expressed as a ratio? Explain why this project is a good buy for the state, state the dollar value this service would cost a participant and also provide how you determined this dollar value, then compare with your proposed unit cost. Provide a ratio of the dollar value to the participant and the proposed unit cost. Based on these numbers, the value of the dollar amount received comes to approximately 25% of the total amount of the services provided. The return on investment is a one to one ratio when considering the cost of $65 per hour for the amount of time spent on housing counseling. EXHIBIT A is Legal Aid of Western Missouri Homeless Prevention Project F'Y06 Homeless Challenge Program Project Deacrlption Title. What is the project title? State the title of your HCP project R' Homeless Prevention Program 2. Problem Identification. Which of the local problem(s) listed below will be addressed? Select A, B, or C. C. Both, A., Individuals or families currently homeless and B., Individuals or families at risk of becoming homeless. 3. Cause. Which cause of the homeless problem will be identified? Select A and i or more causes from 1-g; B and 1 or more causes from i-5, or C 1 or more causes 1-4. A. Need of emergency assistance for. 6. Lack of available legal resources C. Need to move from current housing because of: 1. Substandard housing 2. high housing costs 3. incrrased rent Lack of affordable housing is one cause for homelessness that LAWMO proposes to address. LAWMO also proposes to address the preventable causes of homelessness, including foreclosures, evictions, improper rejections of application for housing, sub-standard housing, utility shutoff, lockouts, and discrimination against those with children. It is LAWMO's belief that if these issues are adequately addressed through legal advice and representation, it is possible to prevent and thereby reduce homelessness in Kansas City. 4. Eligibility. Who is eligible? (Eligibility guidelines below are required) Select A. Homeless, B. Homeless Prevention, or Both. Those eligible for li3omeless Challenge will be low-income individuals and , families, who are at or below 1 b0% of the official poverty guidelines and who meet one of the following requiremeffis; C., Both A and B A. Homeless eligibility includes; (1) an iadividual/family who lacks a fixed, regular, and adequate nighttime residence (this would be those moving place to place); or (2) an individuaUfamily who has a primary nighttime residence that is (a) a supervised publicly or privately operated shelter designed to provide temporary living accomatodations (including welfare hotels, coagregau shelters, and transitional housing for the mentally ill); (b) an institution that provides a temporary residence for an individual to be institutionalized; or (c) a public or private place not designed for, or ordinarily used as a regular sleeping accommodation for hurnan beings. B. Homeless pnwention eligibility; (1) an individual/family who has received an eviction/foreclosure notice or notice of termination of utility services if a. the assistattce is necessary due to a lack of resources and/or support networks necessary to avoid the eviction or termination of services. 5. Participants. Will every family merrier be t>ansideted a psOeipant? C, or D. "` D. Participates will be single peeaon under 18 years of age, a single ptet~ vwr 18 years of age or a family. Family means two or more related people whp tie,tide together. The minimum standard for a family member to be counted as a participant will be a member of a family who is dependent upon a LAWMO client and whose ability to live inadequate housing is immediately affected by the resolution of a client's legal problem. 6. ROMA goal and measure. Based on expected otrtcomq which national direct measure is most appropriate? (gtandani of Oatcome Evaluation) Select:< least one of the mesauna A, B, C, or D Bated below. Goa16: Low-income people, e,4pe~r~{gc pop~p potential by str~gdteaiag family ~ other strpptxtive systta ~~ ~;~; D. Other - Assistaiace to people to resolve their legal itttxrea. 7• Target How many of the expeted outcomes does I.A~VlVtO p~ ~ achieve for the year? Select the corrast target - A- sad tie number of io®seiolds assisted for one or mon of the setviees listed, or B -sad the aitmber of bed its Provided, or C- and tie number offimilies moved. The number in A should equal the total of the cambers 1 thmngh 9. 623 will be the targot number for the households that have their le resolved. gal issues 8• Implementation. What is the Project implementation plan? List the activities in the order of segneace that the activities will occur. and the dates when the activities are aP~d to be completed. A!1 applicants will have their case reviewed to detenniae legal merit and client eligibility. Each client is provided witit legal advice regarding his or her case. Cases where homelessness is imminent receive priority. Cases are also referred to the Volunteer Attorney Project in order to provide more assistance to prevent homelessness. Applicants who are income eligible for services but have a housing problem that lacks legal merit or has no legal remedy, will receive several kindi of assistance. LAWMO will provide information and advice about possible gal remedies and the applicant will be referred to other service providers as aPProPr~• In some cases, representation is offered even when no legal remedy exists. For instance, even if these is no legal defense to an eviction, an attorney may be able to negotiate a stay of execution and provide clients with two or three months to find a place to live rather than lxing set out on the street Major activities to be carried out under this grant include: • Outreach to homeless shelters and community centers. • Provide 2,721 hours o{representation for 623 households • Assist client who have bees locked out of their aparnnents • Assist clients who have been tmlawrwty evicted or threatened with eviction • Assist individuals to secure necessary repairs to keep living units habitable • Assist clients who have or are threatened with having their utilities shut off 9. • ~'~ chenLa who are ~8 fot'~losRa+e on their home due to delinquent Property taxes or exce~ive bills • ~praen a sin a landlords who have discriminated against a n', P,l Parent or a couple with children Service Unit. What is the minimum service that LAWIvIp itself will provide to a Participant before request forpayment is presented? (Standard of performance evaluation). Please state the minimpnt service that will be received by the Pm'tlcipant before a pail is billed. ~ WMO will use an hourly billing system for this project. a case is first opened, 15 minutes will be billed to capture the time spent. by an intake on clerical duties. Another 15 minutes wilt be billed for a applicant, conduct and in Parole sP~iatist taview with the app cam and dis ~ tO screen the case as group ~ptance meetings, li Doss the merits ofthe described in the~~ ~ ~ be billed at the pet hour trait rate as includes, but is no cost and validation section. One billable hour of service court time, legal hmited to: advice, representation, referral 1CSearrh ~ Preparation, assistance to tow-taco Placement, me housing groups, and outreach. These duties are performed by as attorney or a trained paralegal under the supervision of an attorney as appropriate. If as applicant's case is rejected for full representation due to masons stead earlier, only one-half hour will be billed to capture the limo spent by an intake specialist and a paralegal in screening the applicant, conduction and is-depth interview with the applicant, discussing the merits of the case at group acceptance meetings end communic~zion with applicants regarding the disposition of the case. 10. Data collection. How will participant eligibility be documented? How will what happens to each participant be documented? How and where will participant records be kept? Please provide information as to how the eligibility of the participant and the services received by the participant will be documented ' and where these particlpant records will be kept. All records will lx maintained at LAWMO Genteel Administrative Offices. All client records are te4ained for seven years, Additionally, alt computer databases records for a given year are archived at the end of a calendar year and retained indefinitely. Lastly, files will be made available to a State of Missouri employee for monitoring review to validate hours provided by LA WMO and proof of poverty income guideline eligibility. 11. Cost. What is the unit oost`! How many orals arse proposed? Please state your Pr'oPosed CODt+'a~t amosmt, taut cost for this project and the nnmber of units you want to contract for. Take yosu total sssntract amoaet divided by the wait coat and then round the ^smber of nW to a whole somber. S25 12~per t~mt'~ Tn ~ The unit cost of this pungrarn is will beI. $ °2,721 itilils 525.12 1 z• Validate the reesonableaess of the unit Cost. ~aplalII. This unit cost mated ~Par'alegal to a client for legal ~Sa~ce' ~ hour provided by ~ attorney includes °n ~tin8 or advisir g the clien The y ~ ~, air P~elegal ~ ~Ihe ~fesertt a cIieat cart cost teIIects onl ~u'se ~ salary figures, ~putati ese ~ Lhe 1<rould ~ obe f the b y the itmposed of aPrasentation tams it udget co 13. on ~ Brant is intended t ~e 1e to provide ~tlnogram dollars will be used fortiratch7 ~o~ match amoaat q' mzt~ be ~~ ~~ Hte ~ amortntj~aad ~~Pratn Dent 4 match plus the state amount equals the total contract amount List the Programs and dollar amoanb nse for match. ~e Program/Progams and dollar amount used for match is as follows: Program Dollars Uni-->= $97. 0~ In- ind 1 YAP Attu T,•m~~ 1 ~ 14. ~etum o8 ~vestm~e ~ow wlll the Pt'oject be cost effective? Indite the doIIar is the return on investm~ vide a basis, then. comPan with the unit cost. What good buy for the atate, atatej~t. ~~ ~ ~° why ~ project is a cam crpant and also Provide how you determin ~ dollar val~thea Pare wdL6 yOIIt Pr°Poaed °~ cost Provide a ratio of the dollar value to the Participant and the proposed unit cost Determining the value to the client can show the cost veaess of the project. At an average of three hours per individual ce9e, the invea~ent of $75.36 is far below the market value to the client, In most ~. the value of the service will extend beyond the client's immediate crisis and will far exceed its tot$1 cost. The legal servicxs Provided to the cliesrt may result in saving the client's home, the avoidance of a judgment of eviction, improvement in the habitability of the client's home or the construction of new housing units. T7re participant pays nothing for these services. Private ~~Y fees for the simplest of cases are at least three (3) times LA WMO's rate. buy, is the Kansas City legal community, a conservative figure for one hour of a privttte attorney ~~ ~8e fi'om $125 up to $300. Most of the cases handled by LAWMp would never be considered for acceptance b~~vate attorney, due to the client's lack of $aancia! resoprces. Without the Provided by LAWIyIp~ legal recourse for a near homeless family or Person would be cost ]nohibitive. 5 EXFIIBIT A ~-a ~~ HOMELESS CHALLENGE PROGRAM PROJECT NARRATIVE/2006 NEWHOIJSE SHELTER FOR BATTERED WOMEN AND THEIR CHILDREN I) What is the project title? Emergency Shelter Services. 2) Which of the local problems listed below will be addressed? A. Individuals or families currently homeless. 3) Which cause of the homeless problem will'be identified? B: Need for temporary shelter because of 1: Domestic violence will be identified. 4) Who is eligible? Those eligible for Homeless Challenge will be low-income individuals and families, who are at or below 100'/0 of the official poverty guidelines and who meet one of the following requirements: A. Homeless eligibility includes: { i) An individual who lacks a fixed, regular and adequate nighttime residence (this would be those moving place to place) and, (2) An individual/familytyho has a primary nighttime residence that is (a) A supervised publicly or privately operated shelter designed to provide temporary living accommodations (including welfare hotels, congregate shelters and transitioffiI housing for the mentally ill). 5) Who will be considered a participant? B) Only the family member/members receiving services will be consider a participant.. 6) ROMA goal and measure. Based on ezpected outcome, which national direct measure is most appropriate? (Standard of Ont+come Evaluation) a) Newhouse strives to achieve Gos! 6 of the Results Oriented Management and Accountability guidelines, which states, "Low income people, especially vulnerable populations, aclrieve their potential by strengthening family and other supportive systems. b) Our measure will be B: Number of nights of shelter provided. 'n How many of the ezpected outcomes do the provider plan to achieve for the Y~r? B. 992 bed nights of shelter provided for this contract (13,800 for total organization). 8) What is the project implementation plan? (Activities, events and dates) a) There is no specific date or events for implementation. The services are offered 24 hours per day, 365 days per yeaz and have been offered for 26 years. b) The services offered to all women entering shelter are: advocacy, case management, court advocacy, food, shelter, resource referral, therapy or a referral for therapy, group, children's programming (if applicable), faith FN: 2006 Homeless Challenge Program 22 November 2006 services (optional) and outreach services including transitional housing (if eligible). 9) What is the minimum service tha! the provider itself will provide to a participant before request for payment is presented? a) We estimate a minimum of 13,800 bednights for organization, (992 for this contract) will be provided in 2006. A bednight consists of one person in one bed for one night plus it includes such things as food, shelter and case management. The minimum service chat will be received by a participant is one night's stay and the state will be billed accordingly. 10) How will participant eligibility be documeatedY How will what happens to each participant be documented? How and where will participan# records be kept? a) Documentation of eligibility will be made during the intake process. b) All information about each client is recorded in the "Alice" database used by Newhouse to record information about all clients served and the services they received. c) The recoils are kept on the aetvvcak server with access by password required to view records. i l) What is the unit cost? a) The proposed contract amount is a total of $22,836: $ 5,709-State/HCP; $17, ] 29-Local match. The unit cost is $23.04. The number of units we want to contract for is 992. 12) Validate the reasonableness of the Halt cost. a) $23.04 per bednighi includes case management, food, shelter, resource referral, therapy or a referral for therapy, group, children's programming (if applicable), faith services (optional) and outreach services including transitional housing (if eligible). 13) What program dollars will be used for match? Dollars -Local Match (funds generated by special $17, 127 fundraising events) - State/HCP 5.709 Total $22,836 14) How will ffie project be twat-effective? Indicate the doNsr value to a participant sad provide a basis, then compare the unit cost. What is the return on investment expressed as a ratio? a) The value for a woman to live violence free is immeasurable. For the unit cost of $23.04, families receive not only safe shelter, but also a wide range of services to support their development as an individual or family and reduce the risk of continwed violence and subsequent homelessness. Our services strive to help the women become productive me~mbeas of society and enable them to care for themselves and their children. Placing a monetary value on these outcoanes is difficuk at best, if not impossible. FN: 2006 Homeless Challenge Program 22 Noveml~ 2006 HOMELESS CHALLENGE PROGRAM PROJECT NARRATIVF./2406 NEWHOUSE SHELTER FOR BATTERED WOMEN AND THEIIt CHII.DREN i) What is the project title? Emergency Shelter Services. 2) Which of the local problems listed blow w71 be addressed? A. Individuals or families currently homeless. 3) Which cause of the homeless problem wiR be identified? B: Need for temporary shelter because of: 1: Domestic violence will be identified. 4) Who is eligible? Those eligible for Homeless Challenge will below-income individuals and families, who are at or below 104% of the official poverty guidelines and who meet one of the following requirements: A. Homeless eligr'bility includes: (1) An individual who lacks a fixed, regular and adequate nighttime residence (this would be those moving place to place) and, (2) An individual/family who has a primary nighttime residence that is (a) A supervised publicly or privately operated shelter designed to provide temporary living accommodations (including welfare hotels, congregate shelters and transitional housing for the mentally ill). 5) Who will be considered a participantY B) Only the family member/members receiving services will be consider a participant.. 6) ROMA goal and measure. Based on ezpecbed outcome, which national direct measure is most appropriate? (Standard of Oatcome L'valuation) a) Newhouse strives to achieve (tea ¢ of the Results Oriented Management and Accountability guidelines, which states, "Low income people, especially vulnerable poputatians, achieve their potential by strengthening family and other supportive systems. b) Our measure will be B: Number of nights of shelter provided. 'n How many of the ezpecbed outcomes do the provider plan to achieve for the year? B. 992 bed nights of shelter provided for this contract (13,800 for total organization). 8) What is the project implementation plea? (Activities, events and dates) a) There is no specific date or events for implementation The services are offered 24 hours per day, 365 days per year and have been offered for 26 years. b) The services offered to all women entering shelter are: advocacy, case management, court advocacy, food, shelter, resource referral, therapy or a referral for therapy, group, children's programming (if applicable), faith FN: 2006 Homeless Challenge Progam 22 November 2006 services (optional) aad outreach services including transitional housing (if eligible). 9) What is the minimum service that the provider itself will provide to a participant before request for payment is presented? a) We cstinrate a minimum of 13,800 bednights for organization, (992 for this contract) will be provided in 2006. A bednight consists of offi person in one bed for one night plus it includes such things as food, shelter and case management. The minimum service that will be received by a participant is one night's stay and the state will be billed accordingly. 10) How will participant eligibility be documented? Hew will what happens to each participant be documented? How and where will participant records be kept? a) Doctrmentation of eligibility will be made during the intake process. b) All information about each client is recorded in the "Alice" database used by Newhouse to record information about all clients served and the services they received c) The records are kept on the network server with access by password required to view records. Il) What is the nail cost? a) The proposed contract amount is a total of $22,836: $ 5,709-State/HCP; $17,129-Local match. The unit cost is $23.04. The number of units we want to contract for is 992. 12) Validate the r+easonableneas of the Wait cost. a) $23.04 per bednight includes case management, food, shelter, resource referral, therapy or a referral for therapy, getup, children's progamming (if applicable), faith services (optional) and outreach services including transitional housing (if eligible). 13) What program dollars wig be used for match? p~~ Dollars -Local Match (funds generated by special $17, 127 fundraising evems) - State/FICP 5.709 Total $22,836 14) How will the project be oost-cff'eetive? Indicate the dollar value to a participant and provide a basis, then compare the unit cost. What is the return oa investment ezpremed as a ratio? a) The value for a woman to Gve violence frce is immeasurable. For the unit cost of $23,04, families receive not only safe shelter, but also a wide range of services to support their development as an individual or family and reduce the risk of continued violence and subsequent homelessness. Our services strive to help the women become productive members of society and enable them to care for themselves and their children. Placing a monetary value on these outcomes is difficult at best, if not impossible. FN: 2006 Homeless Challenge Progam 2213ovember 2006 Attachment 1 CONTRACT NO. HCP-24 HOMELESS CHALLENGE PROGRAM CONTRACT This contract made by and between the Family Support Division (hereinafter referred to as the "Division" and the City of Riverside (hereinafter referred to as the "Contractor"), shall be as follows: 1. This contract shall become effective for services delivered beginning October 1, 2005, and shall continue in force through September 30, 2006, unless altered by mutually accepted written amendment in which case, the effective dates specified in said amendment shall control, and all parties acknowledge time is of the essence. 2. The Contractor agrees that its application and certifications submitted in response to the Homeless Challenge Program, and identified herein as Exhibit A, shall be a part of this contract as if said Exhibit A were set forth herein. The Contractor agrees to comply with all terms and conditions of the contract and Exhibit A. 2.1 The contract expresses the complete agreement of the parties and performance shall be governed solely by the specifications and requirements contained therein. 2.2 Any change to the contract, whether by modification and/or supplementation, must be accomplished by a formal contract amendment signed and approved by and between the duly authorized representative of the contractor and the Division. The contractor expressly and explicitly understands and agrees that no other method and/or no other document, including correspondence from the state agency, acts, and oral communications by or from any person, shall be used or construed as an amendment or modification to the contract. 3. All individuals and/or families enrolled in the Homeless Challenge Program and provided services both direct and Match services as described by the Contractor in Exhibit A, must meet the following income and Homeless/Prevention eligibility requirements: 1. Income Eligibility: Individuals and/or families must have a household income under 100% of the Federal Poverty Income Guidelines. 2. Homeless/Prevention Eligibility: In keeping with the purpose of the Homeless Challenge Program all individuals and/or families provided services must met one of the following criteria: Homeless (1) an individual who lacks a fixed, regular, and adequate nighttime residence; and (2) an individual who has a primary nighttime residence that is- (A} a supervised publicly or privately operated shelter designed to provide temporary living accommodations (including welfare hotels, congregate shelters, and transitional housing for the mentally ill); (B) an institution that provides a temporary residence for individuals to be institutionalized; or (C) a public or private place not designed for, or ordinarily used as a regular sleeping accommodation for human beings. Homeless Prevention (1) an individuaVfamily who has received an eviction notice or notice of termination of utility services if- (A) the assistance is necessary due to a lack of resources and/or support networks necessary to avoid the eviction or termination of services. Page 1 4. The Contractor shall determine and document the eligibility of each recipient of services under this contract. 5. The Contractor shall provide a total of Si 19 units of service, as defined in Exhibit A, at a unit cost of MIX. The Contractor agrees that the total contract cost shall not exceed $316,416.00 of which $237,312.00 shall be local funds from the sources identified in Exhibit A of which $79,104.00 shall be state funds. 6. The Contractor shall submit an invoice on the form approved by the Division for services rendered to the Family Support Division, CSBG Unit on or before the tenth of the month. Such invoices shall include: 6.1 the Contractor's name and address; 6.2 the month for which services are being invoiced; 6.3 the unique invoice number according to Division instructions; 6.4 the number of units of services invoiced, in whole numbers; 6.5 the total cost of services invoiced for that month; per the contract 6.6 the amount of the local share of the cost of services invoiced, in whdle numbers; and 6.7 the amount of the state share of the cost of services invoiced, in whole numbers. 7. The Contractor agrees to submit a ROMA report to the Family Support Division, CSBG Unit by December 31 of the current year's program end. 8. The Contractor agrees that the amount of reimbursement due from the Division for the contract period shall not exceed twenty-five percent of the total contract cost identified in paragraph 5. 9. The Contractor agrees to allow time and assistance for contract compliance reviews by the Division and further agrees to make available upon request any records required to be maintained by this contract. 10. Indemnification and Hold Hannless: To the extent permitted by law and without waiving sovereign immunity, City/County agrees to defend, indemnify and hold harmless the Division from and against all claims, actions, causes of action, or liabilities, including reasonable attorneys' fees, azising out of or resulting from any act undertaken or committed by City/County pursuant to the performance of its obligations under this Agreement. To the extent permitted by law and without waiving sovereign immunity, City/County also agrees to defend, indemnify and hold harmless the Division from any liability resulting from any claim, action or cause of action, which may be asserted by third parties azising out of City/County's performance pursuant to this Agreement, except for those actions or liabilities which are due to the misconduct or negligence of the Sponsor. 11. The contractor shall agree and understand that all programs, reports, materials, documentation, etc., which are developed or acquired by the contractor as a requirement of the contract shall become the property of the State of Missouri, which shall include all rights and interests for present and future use or sale as deemed appropriate by the state agency. 1 L 1 The State of Missouri understands and agrees that any ancillary software tools or pre-printed materials (e.g., project management software tools or training softwaze tools, etc.) developed or acquired by the contractor that maybe necessary to perform a particular service required hereunder but not required as a specific deliverable of the contract, shall remain the property of the contractor; however, the contractor shall be responsible for ensuring such tools and materials aze being used in accordance with applicable intellectual property rights and copyrights. 11.2 The contractor shall further agree that no reports, documentation, or material prepared, including the program(s) developed as required by the contract, shall be used or marketed by the contractor or released to the public without the prior written consent of the state agency. Page 2 11.3 The contractor shall agee and understand that all discussions with the contractor and all information gained by the contractor as a result of the contractor's performance under the contract shall be confidential. 12. The contractor shall understand and agree that the contract may involve the use of federal funds. Therefore, for any federal funds used, the following paragaphs shall apply: In performing its responsibilities under the contract, the contractor shall fully comply with the following Office of Management and Budget (OMB) administrative requirements and cost principles, as applicable, including any subsequent amendments, applicable implementing regulations, and all other laws, regulations, and policies authorizing or governing the use of any federal funds paid to the contractor through the contract: a. Uniform Administrative Requirements - A-102 - State/Local Governments; 2 CFR 215 -Hospitals, Colleges and Universities, For-Profit Organizations (if specifically included in federal agency implementation), and Not-For-Profit Organizations. b. Cost Principles - A-87 - State/Local Governments; A-122 -Not-For-Profit Organizations; A-21 - Colleges and Universities; 48 CFR 31.2 -For-Profit Organizations; 45 CFR 74 Appendix E - Hospitals Steven's Amendment - In accordance with the Departments of Labor, Health and Human Services, and Education and Related Agencies Appropriations Act, Public Law 101-166, Section 511, "Steven's Amendment", the contractor shall not issue any statements, press releases, and other documents describing projects or programs funded in whole or in part with Federal money unless the prior approval of the state agency is obtained and unless they clearly state the following as provided by the state agency: a. The percentage of the total costs of the progam or project which will be financed with Federal money; b. The dollar amount of Federal funds for the project or progam; and c. The percentage and dollar amount of the total costs of the projector progam that will be financed by nongovernmental sources. 13. The Provider certifies to the best of its knowledge and belief that it and its principals: 13.1 Are not presently debarred, suspended, proposed for debarment, declared ineligible or voluntarily excluded from participation in this contract by any federal department or agency. 13.2 The Provider agees that it will include the provisions of 22 without modification, in all lower tier covered sub awards or subcontracts and in all solicitation for lower tier covered contracts. 14. Officials and employees of the Division, its governing body, or any other public officials of the State of Missouri must comply with Sections 105.452 and 105.454 RSMo regarding conflict of interest. 15. The contractor hereby covenants that at the time of the submission of the application, the contractor has no other contractual relationships which would create any actual or perceived conflict of interest. The contractor further agrees that during the term of the contract neither the contractor nor any of its employees shall acquire any other contractual relationships which create such a conflict. 16. The Contractor agees to keep and maintain adequate, legible, genuine, current and complete records of services rendered under the terms of this contract, in a form and manner acceptable to the Division, and to make available all such records to the Division, or its designated representatives, for a period of five (5) calendar years following the expiration of this contract. Contractor agrees that failure to comply with this provision shall be deemed a material breach of the contract and to repay to the Division all amounts received for any services which are not adequately verified and fully documented by the Contractor's records. Adequate verification and full Page 3 documentation shall mean that the Contractor's records are such that an orderly examination by a reasonable person is possible and can be conducted without the use of information extrinsic to the records and that such an examination can readily determine that the Contractor's reported services were, in fact, provided; that the recipients were eligible; when the services were provided; to whom the services were provided; and the extent or duration of services. 17. The Contractor agrees to allow reasonable and timely site visits by the Division and further agrees to make available upon request any records required to be maintained by this contract. The Contractor shall require appropriate identification or documentation of authority of all persons making site visits on behalf of the Division. 18. All parties agree to comply with the 1964 Civil Rights Act, as amended; Section 504 of the Rehabilitation Act of 1973, as amended; The Age Discrimination Act of 1975, as amended; the Omnibus Reconciliation Act of 1981, as amended; The Americans with Disabilities Act of 1990, as amended; and all other applicable Federal and State laws which prohibit discrimination in employment and in the delivery of services on the basis of race, color, national origin, age, sex handicap, disability or religious belief. 19. All Contractor employees, officers, subcontractors, and representatives shall maintain and preserve the confidentiality of information and documentation as is required pursuant to State law and Division regulations. The Division reserves the right to require that all Contractor employees, officers, subcontractors, and representatives execute a separate, detail confidentiality agreement. 20. The Contractor acknowledges and certifies that the Contractor is currently in compliance with, and shall continue to comply with Title 31, of the United States Code, as amended, as well as all other applicable Federal and State laws and regulations addressing lobbying and political contributions. 21. Pursuant to Article VII. Section 6 of the Constitution of the State of Missouri, as well as all other applicable Federal and State laws and regulations, the Contractor acknowledges and agrees that the money provided by the Division pursuant to this contract shall not be used to promote or further nepotism. 22. The Contractor shall only utilize personnel authorized to work in the United States in accordance with applicable Federal and State laws. This includes, but is not limited to, the Illegal Immigration Reform and Immigrant Responsibility Act (IIRIRA) and INA Section 274A. If the Contractor is found to be in violation of this requirement or the applicable laws of the State, Federal and local laws & regulations, and if the State of Missouri has reasonable cause to believe that the contractor has knowingly employed individuals who are not eligible to work in the United States, the State shall have the right to cancel the contract immediately without penalty or recourse and suspend or debar the Contractor from doing business with the State. The Contractor agrees to fully cooperate with any audit or investigation from Federal, State, or local law enforcement agencies. 23. In the event the Contractor contracts with any other party to effectuate the terms of this contract, the contract between the Contractor and said other party, shall incorporate by reference and specify that said other party is currently in compliance with, and shall continue to comply with, paragraphs 3 and 5 and 10 through 23 detailed herein. 24. The Contractor shall obtain an annual audit of the services contracted herein. The audit shall be made in accordance with generally accepted auditing standards and is due within six months after termination or expiration of the contract. The audit shall contain, at a minimum, a consolidated statement of revenue and expenditures for the Homeless Challenge Program. Page 4 25. The Division reserves the right to terminate the contract at any time, for the convenience of the State of Missouri, without penalty or recourse, by giving written notice to the contractor at least thirty (30) calendar days prior to the effective date of such termination. In the event of termination pursuant to this paragraph, all documents, data, reports, supplies, equipment, and accomplishments prepared, furnished or completed by the contractor pursuant to the terms of the contract shall, at the option of the Division, become the property of the State of Missouri. The contractor shall be entitled to receive just and equitable compensation for services and/or supplies delivered to and accepted by the State of Missouri pursuant to the contract prior to the effective date of termination. 26. Any written notice of contract termination shall be sent by certified mail, first class, postage paid, and notice shall be effective upon deposit with the U.S. Postal Service. 27. The Contractor agrees that the Division may at its sole option and with agreement of the Contractor exercise a maximum of four (4) one year options to renew this agreement. 28. The contractor further understands that the Division has no commitment to renew this contract after the aforementioned expiration date. Page 5 EXHIBIT A EXHIBIT A DISTRIBUTION: #24-24 197 units of the attached Kansas City Homeless Family Support Project at a unit cost of $660.00 not to exceed $129,412.00 ($97,059.00/$32,353). #24-27 1110 units of the attached Comprehensive Housing Counseling for Homeless Prevention at a unit cost of $65.00 not to exceed $72,148.00 ($54,111/$18,037). #24-45 2721 units of the attached Homeless Prevention Program at a unit cost of $25.12 not to exceed $68,328.00 ($51,246/$17,082). #24-46 699 units of the attached Shelter and Services for Battered Women and their Children at a unit cost of $33.93 not to exceed $23,692.00 ($17,7691$5,923). #24-47 992 units of the attached Emergency Shelter Services at a unit cost of $23.04 not to exceed $22,836.00 ($17,127/$5,709). ~ EXHIBIT A i ~.~"~~ Rose Brooks Center, Ina FY06 Homeless Challenge Program Project Description 1. Title. What is the project title? State the title of your HCP project. Emergency Shelter Program 2. Problem Identification. Which of the local problems} listed below will be addressed? Select A, B, or C. A., Individuals or families currently homeless 3. Cause. Which cause of the homeless problem will be identified? Select A and 1 or more causes from 1-8; B and 1 or more ceases from 1-5, or C 1 or more tenses 1-4. B., Need temporary shelter because of. 1. Domestic violence 2. Alienation of family/friends 4. Eligibility. Who is eligible? (Eligibility guidelines below are required) Select A. Homers, B. Hemelesa Prevention, or Both. A. Homeless eligibility includes; (1) as individual/family who leaks a fixed, regular, and adequate nighttime residence (this would be those moving place to place). 5. Participants. Will every family member be considered a participarn? Select A, B, C, or D. B. Only the family member/members receiving services will be considered a participant. 6. ROMA goal and measure. Based on expectod outcome, which national direct measure is most appropriate? (Standard of Outcome Evaluation) Select st least one of the measures A, B, C, or D Ilsted below. Croa! 6: Low-income people, especially vuhierable populations, achieve their potential by strengthening family and other supportive systems. B. Number of nights of shelter provided. Target. How many of the expected outcomes does USCAA plan to achieve for the year? Select the correct target - A- and the number of hous~rolds assisted for one or more of the services listed, or B -and the number of bed nights provfded, or C- and the number of famllies moved. The number irr A shoald equal the total of the numbers 1 through 9. B. 699 bed nights of shelter provided. 8. lmplementa#ion. What is the project implementation plan? List the activities in the order of sequence that the activities wiII occur and the dates when the activities are ezpected to be completed. The project implementation bogies when a victim of domestic violence calls the hofliae at Rose Brooks Center for safety and shelter from her abusive relationship. The woman is screened over the phone regarding Heads and tl~ appropriateness of shelter, as well as whether or nor Rose Brooks Center has space, then instructed to go to the police station where they will be driven to Rose Brooks if they have no transportation. If the woman has transportation, she will follow a police officer to the shelter. An intake form is then filled out upon their arrival at the shelter. The client is given an orientation, and assigned a case manager and therapist, and at this time the client becomes actively involved is her treatment plea. This involved the therapist and case manager working closely and in conjunction with the client. The resident will meet with her case manager and therapist at least once a week to accomplish the long-term goals. The case manager will work with the resident in helping her achieve practical goals such as: employment, housing, education, medical treatment, and/or orders of protection. Residents can stay at Rose Brooks for up to three months when activities are expected to be completed, the, are re-evaluated to disci where they are in their long-term plan. if they are successfully working towards a safe family environment for themselves and their children and have not found housing, they may stay for another throe months, and are evaluated every quarter. 9. Service Unit. What is the m;n;mum service that USCAA itself will provide to a participant before request for payment is preserved? (Standard of performance evaluation). Please state the minimum service that will be received by the parlicipant before a unit is billed. The minimum service that will be provided is that an individual will be housed ovemight (one bed night). We will define a bed night for the purposes of this grant as between 8 and 12 hours if a woman does not stay overnight, but received services at the shelter. Three meals a day will be offered, as well as individual therapy and counseling, and case management. Residervs will also have access to outreach programs, as well as the children's program, substance abuse counseling, transitional housing and court advocacy. 2 10. Data collection. How will participant eligibility be documented? How will what happens to each participant be documented? How and where will participant records be kept? Please provide iaformatfion as to how the eligibility of the participant and the services received by the participant will be documented and where these participant records will be kept. A participant's eligibility will be initially documented from the hotline call. A hotline intake process is performed before the victim is admitted to shelter to determine eligibility. Case flies will be kept on all people who come into the shelter for housing and services, and will be stored in a locked file cabinet, accessible only to those staff member who are directly working with the diem. A residential intake is done when a woman and her children first arrive. This documentation includes demographics including: race, sex, age,. and income, history of abuse, alcohoUchemical abuse, and education. Residents are also part of their own recovery process in that they participate in deciding their long and short-team goals while in the Rose Brooks Center program. These goals and milestones are documented in the residem's file, contact sheets, and treatment plans. Participants will be asked their income level. This will be noted on the file and those who meet OMB income guideline will be noted on the file. During their shelter stay, advocates, case managers, and therapists document services provided to the resident with progress notes and a monthly service tracking form. These service statistics are compiled in a computer database, ALICE, shared with the other area domestic violence programs. Rose Brooks Center has negotiated with the Mid-America Assistance Coalition and the ALICE systems administrator to build a computer link between ALICE and MAACLink HMIS. Records will be kept in the program office of the shelter in a locked file cabinet at all times. Rose Brooks Cemer is a 24-hour facility with staff presem at all times in the program office. 11. Coat. What is the unit cost? How maw Haifa are proposed? Please state your proposed contract amount, unit cost for this project and the number of units you want to contract for. Take your total contract amount divided by the unit cost and then round the number of units to a whole number. Our proposed contract amount equals $23,692. The unit cost of tins program is $33.93 per unit The number of units proposed will be 699. 523.692 = 699 $33.93 12. Validate the reasonableness of the unit cost. Ezplain. This cost is reasonable when you compare the cost of approximately $200.00 per day to house one prisoner sentenced for bettering or murder of their spouse or girlfriend in a domestic violence case. 699 units are proposed at $33.93 per unit = $23,692. The local match is $17,769 from the Domestic Violence Victim Assistance grant. Rose Brooks Center is requestirrg from the Homeless Challenge Program fund the balance of $5,923 for one year of funding. 13. What program dollars will be used for match? This is a 3:1 match program (local match amount mast be three times the state amount) and the total match plus the state amount equals the total contract amount List the programs and dollar amounts use for match. The program/programs and dollar amount used for match is as follows: Program Dollars Domestic Violence Assistance greet 1 769 14. Return on Im~estment. How will the project be cost effective? Indir~te the dollar value to a partieipard and provide a basis, then compare with the unit cost. What is the return on investment gcpressed as a ratio? Explaht why this project is a good buy for the state, state the dollar value this service would cost a partidpant and also provide how yon determined this dollar value, then rnmpare with your proposed unit cost Provide a ratio of the dollar value to the parHdpant and the proposed unit cost The dollar value to a woman who enters shelter is very hard to enumerate. The woman leaves a volatile, dangerous domestic situation and is provided sanctuary aml protection. A woman in shelter receives many comprehensive services from the staffer Rose Brooks Center. She received support groups, case management, therapeutic services, lifestyle Coarhingi court services, counseling for substance abuse and job skill training, as well as food and housing. This project is an excellent buy for the state from many different aspects. Domestic violence costs this counhy and the individual states billions of dollars annually considering the medical and hospitalization, costs of the victims, the psychological costs, loss of jobs due to the perpetrators terrorization and harassment (seventy-five percent of victims are harassed at work by their abuser. Tbis creates an unsafe and potentially explosive environment for all who work there), legal and court.time, time spent in prison by the abuser, the cost of death of the victim, and the cost of local, state, and federal police investigations. The programs at Rose Brooks Center focus on educating the client regarding domestic violence, and healing of the victim of domestic violence, and her accomplishments to achieve self-sufficiency so that she may re-enter society and provide safely and a permanent home for herself and her children. Her goals achieved at Rose Brooks Center will reduce the recidivism rate of her returning to 4 an emergency shelter in the future and offset the enormous cost of further domestic violence in her life and to the state. The value is that they also receive ~~PR counseling, case management and supportive services in one central location This program is cost effective in the long term because the program helps reduce crime in the neighborhoods, ends workplace violence, ends the intergenerational cycle of violence, and reduces the incidences of battering in families. The cost of lost wages and productivity because of the violence is enormous. Medical bills, police responses, court time, etc... all weigh heavily on a society that must respond to battering. For the purposes of this question, the expenses to provide shelter services were extracted From Rose Brooks Center's most retest amtual audit. Included in the expense is the cost to maiatainhepair our current shelter, utilities, security, telephone, food, and staff to provide case management as well as memo! therapy. Clients receive supplies while in shelter and this category of expense is Labeled as cliern assistance. Rose Brooks Center. iacutxed $1,712,813 in expenses to provide shelter services from July 1, 21104 through June 30, 2005. This expense is divided by the number of bednights for women during the year 2004!05 which was 22,837 bed nights. Tins resulted in an expense to Rose Brooks Center of $75 to provide bed night to a woman needing shelter services. The cost of the bed night that Rose Brooks Center is proposing that the Homeless Challenge Program fund is $33.93/night. For the $33.93 that the Homeless Challenge Program is being requested to invest in the Rose Brooks Cemer's shelter services, the women will receive 2.21: I worth of actual services. The actual cost to provide a woman shelter services to Rose Brooks is 221 % the amount being requested from the homeless Challenge Program. By sheltering abused women and their children, Rose Brooks Center helps them establish a support system necessary for them to seek other ways of living without violence. Rose Brooks Cer~er impacts their lives by helping them break down the isolation in which they live, and provides them with the space to explore options to violence in their families. REQUEST FOR PAYMENT OF FFY09 HOMELESS PROGRAM IMPLEMENTATION `~ ~` ~ ~ i i(~ IV ~~,~ ~C~ ~~ !!-1 APR 0 g 2009 Invoice #09-24-02 CONTRACTOR NAME CITY of RIVERSIDE CONTRACTOR ADDRESS 2950 NW Vivion Road, Riverside. MO 64150 CONTRACT NUMBER AOC04380204 HCP-24 USCAA VENDOR NUMBER 44600586700 FOR THE PERIOD October 1, 2008 THROUGH Mazch 2009 (last month's units earned for this billing) 197 UNITS CONTRACTED 49 LESS NUMBER OF UNITS PREVIOUSLY REPORTED 148 EQUALS MAXIMUM BILLABLE UNITS 21 UNITS PROVIDED NOT PREVIOUSLY REPORTED $ 660.00 TIMES UNIT COST $ 13.860.00 EQUALS TOTAL VALUE 7 $ 10,395.00 LOCAL SHARE (Line 6 x 75%) 8 $ 3,465.00 STATE SHARE (Line 6 x 25%) I hereby certify that this information is true and correct: City or County Signature Sub-Contractor Signature Date Date REQUEST FOR PAYMENT OF FFY09 HOMELESS PROGRAM IMPLEMENTATION Invoice CONTRACTOR NAME CITY of RIVERSIDE ~~~~~ AUG I 0 2009 CONTRACTOR ADDRESS 2950 NW Vivion Road, Riverside. MO 64150 CONTRACT NUMBER A0004380204 HCP-24/46 RB VENDOR NUMBER 44600586700 FOR THE PERIOD October 1 2008 THROUGH June 30, 2009 (last month's units earned for this billing) 699 UNITS CONTRACTED 0 LESS NUMBER OF UNITS PREVIOUSLY REPORTED 699 EQUALS MAXIMUM BILLABLE UNITS 699 UNITS PROVIDED NOT PREVIOUSLY REPORTED $ 33.93 TIMES UNIT COST $ 23 692.00 EQUALS TOTAL VALUE $ 17 769.00 LOCAL SHARE (Line 6 x 75%) $ 5 923.00 STATE SHARE (Line 6 x 25%) I hereby certify that this information is true and correct: 0 City or County Signature ~'/~ 4%' Date 2 - ontractor Signature Date REQUES"I' TOR PAYMENT OF FFY09 t{OIvIELESS CHALLENGE PROGRAM. I MPL EM ENTATT OI'~I Invoice: #09-24/46- CONTRACTOR NAME CONTRACTOR ADDRESS CON'T'RACT NUMBER VENDOR NUMBER CITY Ol± RIVERSIDE X950 North West V ivion Rd Riverside, MO 641 SQ A00043$0204 HCP-24(4( RB 446005A6700 POR'1'11E PERIOD OC'COBER 1, 2008 'CIiROiIGH ~ ~51~ 1(.;~t (last month s units earned for this billing) I __ t1: cy ti _ UNITS CONTRACTED 2 C LF,SS N[JMBER OI' UNITS PRF,VIOUSLY RFPOR'PLD 3 _(,<~Gi EQUALS MAXIMl1M BILLABI.F, UNIT'S 4 __ del ~i UNITS PROVIDED NO"I' PREVIOUS[,Y RL'•PORTED 5 ,a~ cy ~ 'TIMES UNIT COST 6 ~ ; (y-y.,-; 7 .EQUALS T01'AL VALUF. $ 1_T "(x'1,,,1 C" 1 LOCAL SHARE {Line 6 X 75°l°) $- ~`i ~t ~ i'+," S'fATE SHARE (Line 6 X 25%) I hereby certify that Ills information is trot and correct: City or County 5ignaturc Date ~ ~~, ._~.~Y'. uu a1' 1 ci ~ «~__tylC Sub-Contractor Signature Date Homeless Challenge 1011/48 - 9!30/09 Rose Brooks Center Bed Nights Giient ID Enrolled Exit Bedni hts 111409319 11/8/2008 2/9/2009 62 115427761 5/14/2009 6/30/2009 48 1149400893 11 /24/2008 12(23/2008 29 130207495 4/11/2009 5/11/2009 30 92333409 5/16/2009 6/30/2009 46 114550408 4/20/2009 6/30/2009 72 122938312 5!26/2009 6/26/2009 31 170857287 11!22!2008 12/29/2008 37 132255975 5/10(2009 6/30/2009 52 1632266975 1(18!2009 3/24/2009 65 142740219 4!4/2009 6/26!2009 52 155531125 5/29/2009 6/26!2009 28 104643132 5!27/2009 6/30/2009 35 135226818 12/24/2008 1/18/2009 27 111409319 11/15/2008 2/9/2009 85 TOTAL 699 REQUEST FOR PAYMENT OF FFY09 HOMELESS PROGRAM IMPLEMENTATION Invoice #09-24/45 - CONTRACTOR NAME CITY of RIVERSIDE CONTRACTOR ADDRESS 2950 NW Vivion Road, Riverside. MO 64150 CONTRACT NUMBER A0004380204 HCP-24/45 LA VENDOR NUMBER 44600586700 FOR THE PERIOD April 1, 2009 THROUGH June 30, 2009 (last month's units earned for this billing) ~I a (r~ f~ `iV] ~ ' !~'~ ~-' AUG 10 2009 2,721 UNITS CONTRACTED 1,646 LESS NUMBER OF UNITS PREVIOUSLY REPORTED 1.075 EQUALS MAXIMUM BILLABLE UNITS 537 UNITS PROVIDED NOT PREVIOUSLY REPORTED $ 25.12 TIMES UNIT COST $ 13,489.44 EQUALS TOTAL VALUE $ 10.117.08 LOCAL SHARE (Line 6 x 75%) $ 3,372.36 STATE SHARE (Line 6 x 25%) I hereby certify that this information is true and correct: _~ pisrgsc.c~ A ity or County Signature Sub-Contractor ignature ~ /~~y' Date Date KC HOME2008-09billi ng REQUEST FOR PAYMENT OF CONTRACTOR NAME CONTRACTOR ADDRESS CONTRACT NUMBER HOMELESS CHALLENGE PROGRAM IMPLEMENT UNITED SERVICES COMMUNITYACTION AGENCY HCP 24-45 LEGAL AID OF WESTERN MISSOURI Vendor NO. 6146384 FOR THE PERIOD October 1, 2008 TO June 30, 2009 (Most recent billing cutoff date) 2,721 Units Contracted - 1,646 Less Number of Units Previously Reported = 1,075 Equals Maximum Billable Units 4 537 Units Provided Not Previously Reported 5 x $ 25.12 Times Unit Cost 6 = $ 13,489.44 Equals Total Value 7 $ 10,117.08 Local Share (Line 6 x 75%) 8 $ 3,372.36 State Share (Line 6 x 25%) hereby certify that this information is true and correct ~'~~~ Sl~ya egg Lombardi, E ecutive Director ~-z~~ Date SEND TO: CSBG Administrative Unit Division of Family Services P.O. Box 88 Jefferson City, MO 65103 G:1XIslCharitytiBillingslHomeless ChallangelKCHOME2008-09billing 2008-2009 Homeless Challenge Program D7i2nzoos 2009 2009 2009 2009 2009 2009 2009 Case Number Staff Case 2006 2008 2008 2009 l A S t Total Type Oct. Nov. Dec. Jan. Feh. Mar. Apr/ May June Ju y ug. ep OS-0000-3158 JMS 701 0.25 0.25 O5-0000-3706 JEW 702 ! 0.42 0.42 06-0000-2856 SMK 704 0.17 0.17 O6-0000-3452 VAP _ 704 20.50 20.50 06-0000-4170 SMK 102 i 104.67 104.67 06-0000-5799 VAP 102 15.00 15~~ _ 07-0000-0038 JLG 703 0.17 '' 0.17 07-0000-0162 VAP 704 8.50 8~~ 07-0000-3361 JEW 702 ______ _ 0.50 _ _ _ 0.50 07-0000-3810 VAP 704 35.00 35.00 07-0000-3913 JEW 703 0.50 0.50 07-0000-4616 SXK 703 I 0.25 0.25 07-0000-4621 RSG __ 702 I _ _ 0.25 0.25 07-0000-5724 RSG 702 4.83 _ -- 4.83 D7-0000-5844 JEW 703 1.16 0.75 1.91 07-0000-5875 EBT 707 0.08 _ 0.08 D8-0000-0534 SXK 703 j 0.17 0.17 08-0000-0360 VAP 704 8.83 _ ~ 8.83 08-0000-0620 JEW 703 ! 0.50 _ i 0.50 08-0000-0660 RSG 703 30.50 30.50 08-0000-0737 MRA 402 0.08 _ ~ _ 0.08 08-0000-0773 RSG 703 1.50 __ 1.50 OS-0000-0980 JEW 703 0.33 0.33 08-0000-1412 BJT 802 _ 0.25 0.08 0.08 0.41 0.82 _ 08-DODO-1798 VAP 703 0.75 0.75 08-0000-1916 VAP 109 6.00 6.00 OS-0000-2025 _ RSG 703 1.75 1.75 08-0000-2105 JEW _ 703 1.34 _ 1.34 D8-0000-2214 RSG 703 _ 7.16 __ 7.18 08-0000-2246 VAP 704 10.50 _ ~ ~ 10.50 OS-0000-2261 RSG 703 ! __ 11.00 . 11.00 OS-0000-2308 RSG 703 0.58 0.56 08-0000-2448 RSG 701 _ 0.83 0.83 08-0000-2450 SXK 702 1.25 ~ -~ - 1.25 D8-0000-2639 ARD 402 0.08 ~ 0.08 _ _ 0.16 _ _ 08-0000-2797 VAP 702 4.58 ~ 4.58 08-0000-2833 08-0000-2849 RSG RSG 701 703 0.83 ! ~ _ 0.16 __ __ 0.42 - ~ ~__ i --- __ 0.83 0.58 OS-0000-2891 FVD 402 0.08 --- 0.08 08-0000-2938 JEP __ 701 0.08 _ _ ~ 0.08 08-DODO-2996 RSG 703 0.42 , _ 0.42 08-0000-3064 KJF 601 _ 0.331 0.08 _ 0.41 08-0000-3097 FVD 401 0.17 ~ 0.17 08-0000-3131 RSG 703 0.17 __ 0.17 08-DODO-3207 RSG 703 12.92 , 1.09 1.75 0.25 16.01 08-0000-3293 RSG 701 0.92 _ 0.92 08-0000-3362 RSG 701 1.33 1.33 08-0000-3397 VAP 703 0.25 0.25 08-0000-3502 SXK 410 '' 0.08 _ 0.08 08-0000-3658 RSG __ 703 0.17 0.17 OS-0000-3726 RSG 703 0.25 _ 0.25 _ 08-DODO-3734 SXK 701 0.15 _ ~ _ _ 0.15 08-DODO-3749 RSG 702 _ _ 0.08 ~ 0.08 08-0000-3767 RSG 703 0.25 ~ ~ 0.25 08-DODO-3796 JEW _ 703 _ 1.17 _0.50 0.91 I i 2.58 _ 08-0000-3915 SXK _ 701 _ 0.17 L 0.17 08-0000-3989 RSG ' 703 _ 0.25 __ ) '' 0.25 OB-0000-4000 VAP 702 _ 29.50 i 29.50 08-0000-4055 RSG 701 0.16 0.16 08-0000-0107 RSG 701 0.51 0.17 !, 0.68 08-0000-4128 ~ RSG 703 ! 0.25 ~ 0.25 08-0000-4154 'RSG 703 ~1.74 i i.74 _ OS-OOOOjl210 SXK ~ 702 I 0.16 I 0.16 Page 1 of 7 G:1XIslCharityl6illings\Homeless ChallangelKCHOME2008-09billing 2008-2009 Homeless Challenge Program 07!2712009 2008 ~ 2008 2009 ~ 2009 2009 2009 I 2009 2009 2009 2009 Case Number Staff Case 2008 ~ M A d M J l J A S t Total Type Oct. Nov. Dec. Jan. Feb. ar. p ay une u y ug. ep 08-0000-0243 SXK 702 0.17 0.17 08-0000+4300 JEL 701 0.08 0.08 OS-DODO-0349 RSG 703 0.08 _ _ 0.08 _ 08-0000-4387 FVD 402 4.50 0.08 _ - ~ _ ~ 4.58 08-0000-0389 JEW 703 0.08 6.00 4.75 ' 6.34 1.92 1.92 2.84 2.42 26.27 08-0000.4395 RSG , 701 0.16 i 0.16 OB-0000-4399 RSG 701 0.17 _ - 0.17 OB-0000.4406 RSG 701 0.17 '~ 0.17 OB-0000-4416 RSG 701 0.08 0.08 OB-0000-4428 RSG _ 703 _ ~ 1.25 _ _ _ 1.25 08-0000-4429 RSG 703 0.25 __ i 0.25 _ 08-0000-4430 RSG 703 0.16 0.16 08-0000-4431 JEW 703 0.17 _ 0.17 08-0000-4461 RSG 703 0.16 ' 0.16 _ OB-0000-4464 IRSG 703 0.16 _ __ 0.25 ___f 0.41 08-0000-4470 ; RSG _ 703 _ 0.08 ____ __ 0.08 08-0000-4488 FVD 401 0.42 _ _ ( 0.42 OS-0000498 ~ FVD 401 ! 0.17 0.08 0.25 08-0000-4499 ' RSG 703 ! 0.17 1.50 0.17 1.84 08-0000-4541 RSG 703 ' ~. 0.17 0.17 08-0000-4557 RSG 701 0.17 _ ___ 0.17 08-0000-0571 RSG 702 0.17 __ _ 0.17 08-0000-4587 RSG 703 0.08 0.08 OB-0000-4611 RSG 703 0.17 _ ___ 0.17 08-0000-4614 RSG 703 0.08 _ 0.08 OBA000-0622 RSG 703 0.08 0.08 OB-0000.4626 RSG 703 0.08 _ D.OB 08-0000.4630 RSG 703 0.42 0.42 08-0000-4647 FVD 402 0.24 0.08 __ 0.32 08-0000-4687 SXK 703 - 0.16 _ _ _ __ _ 0.17 ___ 0.33 _ 08-0000-4690 RSG 703 0.08 0.08 08-0000-4700 RSG 703 2.83 __ ___ _ 2.83 08-0000-4703 RSG _ 702 ____ 5.32 0.17 _ _ _ _ 5.49 08-0000-4707 RSG 703 0.16 1.34 1 1.50 08-0000-4713 RSG , 703 0 .1 7 _ _ _ ' 0.17 08-0000-4717 RSG ~ 702 _ _ . 2.64 , 4.16 23.26 0.08 0.33 ___ 30.47 08-0000-4746 RSG 703 0.25 __ _ 025 _ 08-0000-0748 RSG ''~, 703 0.06 _ _ 0.08 08-0000-4750 RSG 701 __ 2.75 2.75 08-0000-0757 08-OD00~1814 RSG FVD 703 402 0.33 0.42 0.08 0.50 ' I I ~ _ 0.83 0.50 08-0000-4829 RSG 701 0.92 _ - ~ __ 0.92 08-0000-4834 I RSG _ 701 0.17 0.25 i I ___ 0.42 08-0000-4882 ' KKK 601 0.59 0.25 0.25 1.09 08-0000-4867 RSG 703 0.25 ~. 0.17 ---~ 0.42 08-0000-4879 RSG 701 0.17 _ _ ___ _ _ 0.17 08-DODO-0880 ' RSG 703 1.42 , __ _ 1.42 08-0000-4904 RSG 703 1.17 !. _ - _ ~ _ 1.17 08-DODO-4929 RSG 703 1.671 i 1.87 08-0000-4968 , RSG 702 0.83 _ _- ~ _~ '~ 0.83 08-0000-0998 ; RSG 701 2.50'' 0.08 - I ~ 1 2.58 _ 08-0000-5009 ' RSG 702 2.26 0.17 _ 2.43 OB-0000-5021 RSG 701 2.26 0.08 _ 2.34 OB-0000.5042 '~, VAP 106 _ 1.83 2.25 i 4.08 OB-0000-5045 I RSG 703 _ 1.68 _ I 1.88 OS-DODO-5077 ' RSG 701 0.50 _ 0.50 OB-0000-5080 SX K 410 2.31 0.08 _ I 239 _ 08-DODO-5086 _ SXK 701 0.33 O.D7 ' 0.40 08-0000-5104 KKK 601 _ 0.25 0.08 __ 0.33 _. 08-0000-5112 JEW _ 601 0.42. __ 0.25 __ ! 0.67 OS-0000-5114 DEJ __ 404 _ 0.33 ~ _ 0.08 _ ' ~ ~ 0.41 08-0000-5130 JEP 403 1_33 ~ _ 0.08 '~, i I '~ 1 1.41 08-0000-5135 RSG ~ 703 1.34 ~ -- - ,, I 1.34 Page 2 of 7 G:tJ(IS1CharitylBillingslHomeless ChallangelKCHOME2008-09billing 2008-2009 Homeless Challenge Program 07!27!2009 Case 2008 2008 2008 2009 2009 2009 ~ 2009 2009 2009 2009 2009 Case Number Staff T O t N D J F b M A /M J J l A ~ S t I Total ype c . ov. ec. an. e . ar. pr ay une u y ug. ep ~ OB-0000.5173 RSG 703 2.25 ~ 2.25 08-0000-5175 TBD TBD 3.00 0.50 3.50 OB-0000.5200 VAP 703 0.90 0.08 0.42 15.75 17.15 OB-0000.5206 RSG 701 2.25 0.57 2.82 08-0000-5219 RSG 703 3.17 3.17 D8-0000-5236 RSG 703 2.51 0.25 __ ~ _ _ 2.76 OB-0000-5242 RSG 702 1.85 1.65 __ 3.50 08-0000-5243 RSG 703 1.08 0.17 1.25 08-0000-5244 RSG 703 1.59 0.08 ~ 1.67 08-0000-5254 RSG 701 i 2.74 ~ __ 2.74 08-0000-5259 RSG 701 2.07 0.08 _ 2.15 08-0000.5260 RSG 701 1.16 0.34 1.50 OB-0000-5270 RSG 703 0.91 - 0.33 ! -- _ _ _ 1.24 OS-0000.5281 RSG , 703 0.17 0.17 OB-0000.5301 FVD E 402 1.99 ~ _ - 1.99 08-0000-5310 SXK 701 0.17 0.08 ! 0.25 08-0000-5314 CDK 402 1.17 1.17 _ OB-0000-5358 RSG 703 0.92 _ ! 0.92 _ OB-0000-5382 RSG 703 1.84 0.08 i _ I _ ___ 1.92 08-0000-5388 RSG 701 1.49 0.25 1.74 08-0000-5389 RSG 702 2.33 ~, 2.33 _ __ 08-0000-5415 i JEW 703 _ ____ __ 1.83 _ __ 2.58 - 10.84 2.17 2.83 20.25 08-0000-5423 ~ RSG 702 0.92 I 0.16 1.08 08-0000-5427 T8D TBD 0.58 1.34 0.98 0.16 3.06 08-DODO-5433 RSG 703 2.05 1.44 3.49 OB-0000-5461 RSG 701 _ 0.50 0.25 _ _~ - i 0.75 OB-0000.5474 RSG __ 703 1.66 0.92 2.58 08-0000-5489 RSG 703 0.42 - 0.42 08-0000-5506 RSG 703 2.27 2.27 08-0000-5510 TBD' . TBD 0.59 1.07 1.66 08-0000-5521 TBD I TBD 1.50 0.17 1.67 OB-0000-5532 TBD TBD 0.41 _ _ __ __ ~ 0.41 _ OB-0000-5548 TBD _ TBD _ 0.89 0.33 I 1.22 _ OB-0000-5558 COK 401 0.92 _ 0.08 __ ___ ~ 1.00 08-0000-5562 MPC 601 0.59 0.08 0.67 08-0000-5569 - TBD TBD 0.17 - _ __ ___ O.i7 08-GOOD-5593 JEW 703 3.83 0.84 2.84 7.51 08-0000-5602 SXK 702 1.06 i 1.06 08-0000-5604 _ TBD _ TBD ~ 0.58 _ _ _ 0.58 OB-OOOOS655 I ACH 802 0.50 _ __ __ _ _ ~' 0.50 _ _ OB-0000-5660 ~ RSG 703 __ 2.08 - ____ _ ~ _ 2.08 OB-0000-5671 FVD 402 _ _ _ 0.33 _ 0.08 - -- --- 0.41 08-0000-5679 RSG 703 1.33 _ _ _ __ ___. _ 1_33 _ 08-0000-5691 FSD'. 601 __ - _ 1.33 _ ! 1.33 08-0000-5696 RSG VAP 3.43 4.06 _0.25 14.58 ____ 22.32 _ _ 08-0000-5698 JEW 703 _ 3.25 ! _ _ i 3.25 OB-0000-5709 RSG _ 701 1.90 ! 2.09 0.25 ! 4.24 08-0000-5733 RSG 702 3.92 ', 2.78 5.27 3.09 1.67 16.13 _ 08-0000-5737 TBD _ TBD _ 0.59 '' _ 0.59 08-0000-5743 TBD TBD 0.17 0.67 0.33 1.17 08-0000-5782 TBD TBD 0.59 2.74 - - 0.08 -- 3.41 08-0000-5787 TBD TBD 0.67 0.33 _ _ t.OD 08-DODO-5802 SXK 907 '~, 0.50 _ __ 0.50 _ 08-0000-5816 RSG 703 _ I 1.25 1.25 _ 08-0000-5821 RSG 702 '~' 1.25 _ _ 1.25 08-0000-5826 EBT 708 '~~. I _ 0.42 __ 0.42_ _ _ OS-0000-5848 RSG 703 1.2 5 i 1.25 08-0000-5862 ARD 402 ~ __ _ -- 0.50 i __ 0.50 08-0000-5878 I RSG 703 _ _ 1.75 _ 8.75 1.08 11.58 08-0000.5885 _ TBD TBD ~ 0.87 1.77 _ 0.33 ` 2.77 08-0000-5970 08-0000-5984 FVD JEW 401 701 _ --- 2.08 0.42 - ____ __ ! '; __+ _ ~ I 0.42 2.08 08-0000-5997 SSK _ 703 ~. _ 2.00 0.08 I 2.08 Page 3 of 7 G:VCIslCharityl6illingslHomeless ChallangelKCHOME2008-096illing 2008-2009 Homeless Challenge Program o7/znzoos 2 2009 2009 2009 ~ 2009 2009 2009 2009 2009 - Case Number Staff Case 2008 2008 008 A / M J J l A t S Total --- Type Oct. Nov. Dec. Jan. Feb. Mar. pr ay une u y ug. ep 08-0000-6000 JEL 702 1.84 1.84 08-0000-6003 JEW 703 1.83 1 . 50 0.76 4.09 _ D8-0000-6006 SSK _ _ 703 _ _ _ 3.59 _ _ _ 3.59 OB-0000-6007 JEW 703 _ __ 2.50 2.50 0&0000-6011 JEW 703 1.25 1.25 D8-0000-6048 RSG 702 2.48 6.84 22.42 2.10 0.41 __ 34.25 08-0000-0051 RSG 702 _ _ _ 2.99 6.66 38.fi1 10.76 19.80 7.75 _ _ __ ~ 86.57 08-0000-6071 JEW 703 1.17 0.08 1.25 __ 08-0000-6072 VAP _ 703 2.35 0.17 2.52 08-0000-6089 JEW 701 2.42 _ 2.42 08-0000-6092 JEW 703 2.01 _ _ i 2.01 08-0000-6126 JEL 702 0.83 0.83 08-0000-6152 JEW 703 _ _ _____ 0.58 0.08 _0.66 08-0000-6154 JEW 703 1.08 D.OS 1.16 OB-0000.6155 SSK 703 0.58 0.5 9 0.25 ~ 1.42 OB-0000.6167 JEW 703 _ _ _ 1.75 _ __ ~ __ _ _ 1.75 _ OS-0000-6175 JEW 703 I 1.57 0.25 % 1.82 OB-0000-6176 JEW 701 1.56 _ 1.56 - 08-0000-6205 JEW - 703 - - _ _ _ 0.91 008 0.99 08-0000-6233 JEW 703 1.08 __ 1.08 _ OB-0000-6266 JEW _ 703 _ _ 2.74 O.DS _ _ - --- 2.82 - _ OB-0000-6271 JEW 703 _____..._- 3.24 0.25 ---'~ _ - ^ 3.49 _ _ OB-0000-6274 JEW 703 , '. 1.08 1.08 08-0000-6289 JEW 702 _ ~ I 1.49 3.43 __ _ _ __4.92 _ _ Ofi-0000-6310 JEW 703 ~' ~ 2.10 3.05 ___ _____ 5.15 _ OB-0000-6352 KAR _ 703 ; I 1.49 0.25 _ 1.74 _ 08-0 000-6390 FVD 401 - ___ ___ i 0.25 ___ 0.25 _ _ _ 08-0000-6392 SIM ~~ 703 ~ __ _ 1.34 0.33 ___ ~ 1.67 08-0000-6394 JEW, 70 0.92 1.18 __ ____ 2.10 _ 08-DODO-6397 JEWi 703 _ ___ 1.09 1.17 0.25 i 2.51 09-0000-0024 JEW 701 1.59 0.34 i 1.93 09-0000-0095 JEW 702 0.67 0.67 09-0000-0129 JEW 701 _ __ 0.67 0.67 09-0000-0132 JEW _ 701-~ __ _ _ 1.91 0.17 _ 2.08 09-0000-0136 RSG 703 ___ __ 3.25 1.00 _ 1.58 ! 5.83 _ _ 09-0000-0137 i JEW 703 ____ _ ____ 2.00 0.08 2.08 09-0000-0169 ~ JWJ _ 702 _ ___ - _ _ 0.58 0.58 09-0000-0174 JEW 701 4.17 ! 4.17 09-0000-0214 JEW 703 __ 1.66 _ 0.08 _ 1.74 09-0000.0233 JEW 703 0.67 0.67 09-0000-0278 JEW 701 _ 2.23 0.17 2.40 _ 09-0000-0283 JEW 701 1.67 0.08 1.75 09-0000-0300 JEW 703 1.17 0.08 I 1.25 _ 09-0000-0313 JEW 701 - - 2.17 0.17 _ ___ ~ 2.34 09-0000-0342 JEW 703 1.00 0.25 1.25 _ 09-0000-0349 JEW 703 - --_- - _ - - _ 0.67 0.17 _ 0.84 09-0000-0356 FVD _ 402 __ _ 0.67 I 0.67 _ 09-0000-0362 JEW 703 2.35 0.25 ~ __ 2.60 09-0000-0375 JEW 703 ~ 2.51 0.17 0.17 2.85 09-0000-0388 JEW 703 ~ 0.75 1.08 I , 1.83 _ - 09-DODO-0401 JEW 703 _ ~ _.. __ _ __ 1.17 0.50 1.67 _ 09-0000-0452 JEW 703 ' ~~- 1.1~7 -- ~ - 0.08 1.25 _ 09-0000-0453 MPCi 601 I __ _ 0.75 0.75 09-0000-0458 JEW 703 I 0.58 0.16 0.08 0.82 _ 09-0000-0513 ~ SMK' 707 _ ~__ 1.17 1.17 09-0000-0525 JEW 701 ~ I 0.84 0.75 0.34 1.93 09-0000-0534 JEW! 701 _ __ ~ 0.99 6.73 0.34 8.06 09-0000-0540 JEW ~. 701 1.42 1.42 09-0000-0545 JEW'' 703 I ~ 0.83 0.83 _ 09-0000-0551 RSG 703 1.17 0.08 ~ 1.25 09-DODO-0623 JEW 703 '. _ ~ ~ 1.00 0.17 1.17 09-0000-0648 JEW 703 ~ _ 2.07 2.07 09-0000-0676 JEW 703 I i _ _ 1.75 1.75 Page 4 of 7 G:1XIslCharitylBillingslHomeless ChallangelKCHOME2008-09billing 2008-2009 Homeless Challenge Program 07/27/2009 Case 2008 2008 2008 ~ 2009 2009 2009 2 ~ Case Number Staff T O t N D 009 2009 2009 2009 2009 Total ype c . ov. i ec. Jan. Feb. Mar. AprlMay June July Aug. Sept 09-0000-0680 JEW 703 __ ~ 2.01 0.25 2.26 09-0000-0700 JEW 703 3.66 3.66 __ 09-0000-0718 RSG 703 __ _ - 2.43 0.17 2.60 09-0000-0730 RSG 703 _ _ _ 1.08 4.59 0.16 5.83 09-0000-0731 JEW 703 1.00 1.00 _ _09-0000-0736 _ JEW 703 _ i__ 1.00 0.16 1.16 _ 09-0000-0759 _ RSG 701 ___ I _ _ 2.26 0.17 2.43 09-0000-0769 JEW 703 1.59 0.25 _ 1.84 09-0000.0779 JEW 703 _ 1.34 0.08 __ 1.42 09.0000-0826 JEL 702 __ 5.92 0.50 6.42 09-0000-0826 JEW 703 0.00 09-0000-0858 JEW 703 1.50 0.16 1.66 09-0000-0885 JEW 703 0.25 0.25 __ 09-0000-0890_ RSG 703 0.58 ~ 0.25 _ 0.83 09-0000.0903 RSG 703 0.58 0.58 09-0000.0911 -- - JEW - 703 -- _ 1.25 1,25 , 09-0000-0945 JEW 7~ __ 1.49 0.08 _ 1.57 09-0000-0977 JEW 703 ~ _ _ _ __ 0.75 0.24 0.99 _ 09-DODO-1011 JEW 703 1.50 1.50 09-0000-1033 AJK 703 - -- 2.33 0.50 2.83 09-0000-1053 JEW 703 _ 1.05 1.05 09-0000-1057 T17 _ 705 __ _ _ 1.17 1.17 _ 09-0000.1094 __ RSG 703 _ 0.92 1.67 0.08 _ 2.67 09-0000-1111 JEW 703 _ - ____ ~ _ __ 1.42 1.42 09-0000-1114 RSG 703 0.92 0.16 1.08 09-0000-1143 RSG 703 0.58 0.08 0.66 _ 09-0000-1182 RSG __ 703 _ _ _ ~ 1.92 0.08 2.00 09-0000-1191 RSG 703 ~ ___ ___ ___ __ 0.67 0.16 0.83 09-0000-1194 RSG' _703 _ 0.58 ' 0.58 09-0000-1215 RSG 703 ____ _ 1.00 0.08 _ i 1.08 _ 09-0000-1222 ; RSG 703 _ ~ ~~ _ _ _ ~ ~ - _ 0.66 0.66 __09-0000-1232 RSG 701 _. 2.OD 0.42 2.42 09-0000-1252 RSG 703 _ _ 4.06 _ 0.25 - 4.33 09-0000-1333 RSG 703 0.66 0.66 09-0000-1339 JEW 702 ; 7.40 __ 7.40 09-0000-1342 RSG ~ 702 ' _ _ ___ 3.34 0.33 ___ _ 3.67 09-0000-1371 JEW 701 ~ 0.58 0.58 D9-0000-1377 RSG 709 __ 1.83 0.25 ___ 2.08 _ 09-0000-1479 JWJ 703 _ 1.66 0.50 __ 2.16 09-0000-1512 RSG 701 __ ~ 0.58 I 0.58 _ 09-0000-1520 _ RSG 703 0.83 0.50 1.33 09-0000-1557 RSG 703 _ ~_ _ I _ _ 1.50 0.16 1.66 _ 09-0000-1562 JEW' 703_ ~' _ 1.92 ~ 1,92 09-0000-1611 RSG 703 ~ __ 0.58 0.08 __ _ _ _ 0.66 09-0000-1654 RSG 703__ -_-- - - ___ ~ - _- - 2.59 -- ~-~- 2.59 09-0000-1659 RSG 703 0.75 0.16 - __ 0.91 _ 09-0000-1664 JWJ 701 _ ____ ~ 0.75 ~' 0.75 09-0000-1696 _ RSG 703 _ --~ ~ - _ --- 2.83 0.84 ~ _ 3.67 09-0000-1722 RSG 701 _,___._, . 2.73 1.01 ~ 3.74 _ 09-0000-1734 RSG 703 ! 0.75 _ I 0.75 09-0000-1747 RSG 703 _ ; _ 0.58 0.58 09-0000-1748 RSG, 703 _ __ 1.24 1.24 09-0000-1780 RSG 701 __ _ 2.09 2.09 09-0000.1784 SLL 411 0.08 0.08 _ 09-0000-1790 RSG 701 __ 2.33 _ _ 2.33 D9-0000-1812 ; VAP 703 _ __ - 4.34 4.34 _ 09-0000-1818 SXK 701 __ 2.73 I 2.73 D9-0000-1849 RSG 703 _ 1.08 __ 1.08 09-0000-1867 _ RSG 703 _ 1.08 - 1.08 09-0000-1904_ RSG 701 _ _ _ _ __ _ ~ - _ 0.83 ~ 0.83 D9-0000-1908 RSG 703 _ 1.58 1.58 09-0000-1912 RSG 703 ; _ ____ 2.07 2.07 09-0000-1961 RSG 703 1.08 ' _ 1.08 Page 5 of 7 G:1XISICharilyl6illingslHomeless ChallangelKCHOME2008-096illing 2008-2009 Homeless Challenge Program 0 712 712 0 0 9 - ~ Ca 2008 2008 2008 2009 2009 2009 2 Case Number Staff se T O t N 009 2009 2009 2009 2009 Total ype c . ov. Dec. Jan. Feb. Mar. Apr! May June July Aug. Sept 09-0000.2787 VAP 704 _ 1.00 0.25 1.25 09-0000-2793 RSG 701 __ 1.OB 0.50 1.58 09-0000-2794 JWJ 103 i 0.17 ~ 0.17 09-0000-2798 RSH 701 ~ _ _ 1.41 ~ 0.08 1.49 09-0000-2804 RSG 701 1.33 0.08 ' _ 1.41 _ 90-0000-2814 _ RSG 703 _ 1.25 1.25 09-0000-2815 _ RSG 703 __ _ 0.58 0.08 ', 0.66 09-0000-2817 RSG 703 _ 0.74 O.OB 0.82 09-0000-2858_ ' RSG 703 i __ 6.25 I 6.25 09-0000-2862 RSG 703 -__._ _ ____ 1.50 0.17 1.67 09-0000-2871 _ - 1.07 -- 1.07 09-0000-2877 VAP 402 __ 0.33 ~ ___ 0.33 09-0000-2883 JWJ ~ 703 0.58 0.32 0.90 09-0000-2886 RSG 701 ' 1.58 _ 0.50 2.08 09-0000-2900 JWJ 701 _ -- --- ~_ 1.67 1.26 2.93 09-0000-2921 T17 708 1.25 ' } 1.25 09-0000.2922 KJL 703 ! 14.67 -- ' 14.67 _ 09-0000-2949 _ SXK 103 --- _ -- ~ ~ - - 0.58 __ 0.58 09-0000.2978 _ JWJ 703 _ __ -- - 1.33 -~-- 1.33 09-0000-2991 SXK 703 0.82 0.82 09-0000-3014 SX_K 701 _ _ 2.88 2.88 09-0000-3031 -- _ ___.. 0.75 0.75 09-0000-3034 __ _ _ ~ 4.67 4.67 _ 09-0000-3065 JEP 701 1.00 _ 1.00 09-0000-3079 RSG 703 _ 1.83 1.83 09-0000-3092 09-0000-3118 ~ RSG RSG 701 703 __ 3.92 0.75 3.92 0.75 09-0000.3121 RSG 703 3.08 3.08 09-0000.3123 RSG 701 _~ __ 2.17 2.17 09-0000-3155 RSG 701 _ _ _ _ _ _ _ 2.76 2.76 09-0000-3180 RSG 702 __ ____' ~ __ _ _ - 2.33 __ ~ 2.33 09-0000-3189 RSG 703 1.92 1.92 __ 09-0000-3195 RSG 703 0.58 _ 0.58 09-0000-3217 RSG 703 2.25 2.25 09-0000-3228 1.08 1.08 09-0000-3241 RSG 703 1.92 __ 1.92 _ 09-0000.3384_ RSG 703 ! 0.75 0.75 09-0000.3395 RSG 702 ~ 1.42 1.42 09-0000.3398 __ 0.91 0.91 _ 09-0000-3400_ _-~-- -- --~~-- - 1.83 _ -~' - 1.83 09-0000-3406 ! _____ _ _ 1.50 ____ 1.50 09-0000-3414 _ 1.33 '~ 1.33 09-0000-3430 RSG ~ 703 2.76 2.76 09-0000-3447 ~ 0.67 i 0.67 09-0000-3467 i ---- 1.67 1.67 09-0000.3478 ~ 1.25 1.25 _ 84-1602-0616 ' JEL _701 _ _.. ~~ 0.58 ~ 0.58 88-2500-2100 JEL 702 97.90 71.90 72.96 78.03 82.56 77.20 158.00 57.32 695.87 _ 92-2500-1462 JEL 702 ~~ 3.01 1.75 2.00 2.50 2.17 1.75 8.92 1.59 __ 23.69 _ 96-2500-2407 JEL _ 702 _i 3.84 _ 1.25 2.59 7.68 98-0500-0013 RMD 704 0.50 ~ __ 0.50 Tofals by Billing P eriod 367.03 136.83 278.70 404.97 280.41 178.18 378.92 156.04 0.00 0.00 0.00 2,183.08 Page7of7 I' ~' I, ~ .~ R ' ~ o ~i ~ 4 ~ ~ `" ~ Qr o m W 0 .`~. 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W W W N ~n M ^~ ~-+ M ^ N M 7 N ut h N ^ ^ M .-~ .-~ M .~+ 7 N N Y 4 Y 4 In Ln M i+ M Ir L Y Y Yn Y I.n L L l.i Lr L L Y L F ~ ~ 'fl 'd 'b b b ~ b ~ ~ b ~ ~ b b ~ b b b 'd 'fl ~ ~ ~ C C C C C C C C q O G q C C C C ~' ~ C ~' C C C C C z a ce ~ a a a i~ a a a a z z a a a a a a e a a z z Vl Vl N N VI Vl N 41 Vl Vl (A N N Vi N N Vl N N N N N N N N U U U U U U U U V U V U U U V U U U U U U U U U U ~~a~~~a~a~~~~~~a~a~~~~~~~ 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 N ~V ~1 N N LV ~`1 ~V ~1 j\V ~V ~1 f~V f`V N N ^ ~ ~ N ~ N N ~ N h O ~n h ~O N h O Vt V N b O. d' ~ ~ O O O O ^ O y .N~. ~l \ N ~ ~ ~ \ M ^ ~V ^ ~V ^ ~1 ~ ~~m. ~ M M M M O ~^ N M N M N M N O N M M f~` N ~-- M ^ N T 4 N N A ~ O y O ~ N „d, N x Q '`^d' aRi ti p" y~ ~ L~ F f~ Q~ U~ ~3 W ~~ W d G N N ~ L. y a N O ~ ~+ N A ti o~~~ ~~~ ~~~ x ^' a A~ H>> 3 3 3 N .-. .. ~+ .. .-. ... ..r .w .. .-. .. .r .-. N .. .. .r .. '. .-. .~ ... .. ~ vt l~ 7 O M l~ ~ r r .M. n M vl ~D l~ 7 T 7 O R_ N ~O ~n O M ~ M .M-~ O~ [~ v1 l~ m C O Vi N M O ~D M ~D Vt N N Q~ 00 00 00 M ~D 00 lD 00 00 00 l0 O ~O 00 00 00 l~ 00 M M 01 O 00 O ^ O M O O O 7 00 O W M O O O O O O iD ~ ~D .• ~O ~O ~O iD M iD ~D ~O < ~O M N ~D ~D ~D ~O ~O ~O iD M REQUEST FOR PAYMENT OF FFY09 HOMELESS PROGRAM IMPLEMENTATION Invoice #09-24-03 CONTRACTOR NAME CITY of RIVERSIDE CONTRACTOR ADDRESS 2950 NW Vivion Road, Riverside, MO 64150 CONTRACT NUMBER A0004380204 HCP-24 USCAA VENDOR NUMBER 44600586700 FOR THE PERIOD October 1, 2008 THROUGH Apri12009 (last month's units earned for this billing) UNITS CONTRACTED ~~~d~ MAY 0 7,,,2009 70 LESS NUMBER OF UNITS PREVIOUSLY REPORTED 127 EQUALS MAXIMUM BILLABLE UNITS 4 10 UNITS PROVIDED NOT PREVIOUSLY REPORTED 5 $ 660.00 TIMES UNIT COST 6 $ 6,600,00 EQUALS TOTAL VALUE $ 4,950.00 LOCAL SHARE (Line 6 x 75%) $ 1,650.00 STATE SHARE (Line 6 x 25%) I hereby certify that this information is true and correct: . ~ ~/~ ~tSN~SiLC.C . SKJi!~ City or County Signature Sub-Contractor Signature g_p~ s--6 _ay Date Dates N w 0 ... d on m a N t~.a O N bq cV a REQUEST FOR PAYMENT OF FFY09 HOMELESS PROGRAM IMPLEMENTATION Invoice #09-24/45 CONTRACTOR NAME ,CITY of RIVERSIDE CONTRACTOR ADDRESS 2950 NW Vivion Road, Riverside, MO 64150 CONTRACT NUMBER A0004380204 HCP-24/45 LA VENDOR NUMBER 44600586700 ~~~~ MAY 0 7 2009 FOR THE PERIOD January 1, 2009 THROUGH Mazch 31, 2009 (last month's units earned for this billing) 1 2.721 UNITS CONTRACTED 2 771 LESS NUMBER OF UNITS PREVIOUSLY REPORTED 3 1.950 EQUALS MAXIMUM BILLABLE UNITS 4 875 UNITS PROVIDED NOT PREVIOUSLY REPORTED g $ 25.12 TIMES UNIT COST 6 $ 21,980.00 EQUALS TOTAL VALUE 7 $ 16 485.00 LOCAL SHARE (Line 6 x 75%) 8 $ 5 495.00 STATE SHARE (Line 6 x 25%) I hereby certify that this information is true and correct: 0 City or County Signature ~ B-0~ Date ~~ Sub-Contractor Signature s =~ -°~ Date KC H O M E 2008-09 b i l l i n g REQUEST FOR PAYMENT OF CONTRACTOR NAME CONTRACTOR ADDRESS HOMELESS CHALLENGE PROGRAM IMPLEMENTATION UNITED SERVICES COMMUNITY ACTION AGENCY CONTRACT NUMBER HCP 24-45 LEGAL AID OF WESTERN MISSOURI Vendor NO. 6146384 FOR THE PERIOD October 1, 2008 TO March 31,.2009 (Most recent billing cutoff date) 1 2,721 Units Contracted 2 - 771 Less Number of Units Previously Reported 3 = 1,950 Equals Maximum Billable Units 4 875 Units Provided Not Previously Reported 5 x $ 25.12 Times Unit Cost 6 = $ 21,980.00 Equals Total Value 7 $ 16,485.00 Local Share (Line 6 x 75%) 8 $ 5,495.00 State Share (Line 6 x 25°k) I hereby certify that this information is true and correct Signat~/`.P,re5g Lombardi, Exeliutive Director SEND TO: CSBG Administrative Unit Division of Family Services P.O. Box 88 Jefferson City, MO 65103 G:VCIslCharitylBillingslHOmeless ChallangelKCHOME2008-09billing 04/2312009 2008-2009 Homeless Challenge Program Case Number ~ gtaff Case 2008. 2008 ' 2008 2009 J 2009 F b 2009 M 2009 A r 2009 Ma 2009 ne J 2009 Jul 2009 Au 2009 Se t Total - Type Oct. Nov. Dec. an. e . ar. p . y u y g. p 05-0000.3158 JMS 701. 0.25 _ 0.25 05-0000.3706 JEW 702 0. 42 __0.42 06.0000.2856 SMK 704 0.17 _ _ 0.17 OB-0000-3452 VAP 704 20.50 20.50 06.0000-4170 SMK 102. 104.87 104.67 _ 06-0000-5799 VAP _ 102 _ 15.00 _ 15.00 07-0000-0038 JLG 703 ' 0.17 _ _ 0.17 07-GOOD-0182 VAP 704 8.50 _ 8.50 _ 07-0000-3361 JEW 702 0.50 0.50 07-0000-3810 VAP 704 35.00 _ 35.00 07-0000-3913 ! JEW 703 _ 0.50 i 0.50 _ 07-0000-4816 SXK 703 ', 0.25 ___ __ ____ ___ _ _ __ 0.25 07-0000-5724 ~ 07-00007 5D- 844844 07-00001 RSG JEW EBT 702 703 707 _4.83 _~_ 0.06 - 1.16 0.75 _ __ ~ - - 4.83 1.91 0.08 -- OS-0000.0360 --__ _ OB-0000-0620 , 08-0000.0660 I OB-0000-0737 VAP y- JEW RSG MRA 704- 703 i X703 _402 , -- ___ 30.50 _ .. i 0.06 .-_----• _~ _ -- 0.50 ___ 83 ---- ~ _.__ I ' __ - _ _ _ _ _ ~ - ~ 8.83 ~__ ._.._. 0.50 30.50 _ _0.08 OB-0000-0773 RSG 703 1.50 ' _ 1.50 08.0000.0980 JEW 703 0.33 0.33 OB-0000.1412 BJT 802 0.25 0.08 0.08 _ 0.41 OS-0000.1798 VAP 703 0.75 - __ _ 0.75 08-0000.1916 VAP 109 6.00 _ _ _6.00 OS-0000.2025 _ RSG 703 1.75 _ 1.75 OS-0000-2105 JEW 703 1.34 1.34_ OB-0000.2214 RSG 703 7.16 _' _ _ _ 7.16 _ OS-0000-2246 VAP 704 10.50 - -- _ ~ _ - _ __ __. 10.50 ._._.. -_ - 08-0000-2261 RSG - 703 11.00 ~ T i 1.00 OS-0000-2308 RSG 703 0.58 __ rt __ ___ _ __ _ _ _ __ __ _ 0.58 08-GOOD-2448 RSG 701 0.83 0.83 08-0000-2450 , SXK 702 1.25 1.25 08-0000-2639 ~, ARD 402 0.08 0.08 0.16 08-0000-2797 VAP 702 _ 4.58 _ _ _ _ 4.58 08-0000-2833 RSG 701 0.83 0.83 08-0000-2849 RSG 703 0.16 0.42 0.58 08-0000-2891 08-GOOD-2938 I FVD JEP 402 701 0.08 0.08 _ _ _ 0.08 0.08 08-0000.2996 RSG 703 0.42 0.42 08-0000.3064 08-0000-3097 ---- ~~-- 08-0000-3131 KJF FVD -- '.RSG ; 601 401 703 0.33 0.17 __ ._ 0.17, 0.08 _ __.--- ----__ _ ----J - - - -' ---- ~-- _ .. -- , _ i ..~ --1..- _ _ - _ - 0.41 ~ ~-- 0.17 _0.17 _ 08-0000-3207 08-0000-3293 ! _ RSG RSG 703 701 12.92 0.92 _ 1.09 1.75 ~ 15.76 0.92 08-0000-3362 I RSG 701 1.33 _ 1.33 08-0000-3397 VAP 703 0.25 _ _ ~ ~ _ - _ 0.25 08.0000-3502 SXK 410 0.08 _, 0.08 08-0000-3658 RSG 703 0.17 _ ~ _ 0.17 08.0000.3726 RSG 703 0.25 +_ . ~ 0.25 08.0000-3734 SXK 701 _ 0.15 0.15 OB-0000-3749 RSG 702 0.08 _ x __0.08 ' OB-0000-3767 RSG 703 0.25 _ __0_25 OS-0000-3798 JEW ~ 703 1.17 0.50 1.87 08-0000-3915 SXK 701 0.17 _ 0.17 _ OB-0000-3969 RSG 703 0.25 _ ~ _ 0.25 OB-0000-4000 VAP 702 2e.so _ 29.50 OB-0000-4055 RSG 701 0.16 0.18 _ 06-0000.4107 RSG 701 0.51 0.17 _ _ 0.68 08-0000-4128 RSG 703 0.25 __0.25 08-0000-4154 RSG 703 1.74 1.74 Panc 1 of F G:1XIsICharitylBillingslHomeless ChallangelKCHOME2008-09billing 04/23/2009 2008-2009 Homeless Challenge Program - Case Number Staff Case 2008 2008 2008 2009 J 2009 F b 2009 M 2009 A 2009 M 2009 J 2009 l J 2009 A 2009 Se t Total Type Oct. Nov. Dec. an. e . ar. pr. ay une y u ug. p OB-0000-4210 SXK 702 0.16 _ 0.16 08-00004243 SXK 702 0.17 _ _ 0.17 OB-00004300 JEL 701 0.08 0.08 08-00004349 RSG 703 0.08 _ _0.08 OB-0000-4387 FVD 402 _ 4.50 0.08 _ 4.58 OS-0000.4369 JEW 703 0.08 8.00 I ~ 4.75 6.34 1.92 1.92 21.01 08-00004395 RSG ~ 701 _ 0.16 0.16 08-0000-4399 RSG 701 0.17 _ F 0.17 _ OB-0000-4406 OS-00004416 RSG RSG 701 701 0.17 0.08 _ _ ~ 0.17 __ 0.08 08-00004428 RSG 703 ~ 1.25 _ _ _ _ __ 1.25 08-00004429 RSG 703 0.25 _ L 0.25 OB-0000-0430 08-0000-4431 RSG JEW 703 , 703 0_.16 ' _ i ___ I 0.17 _ '' ~ 0.16 _- 0.17 08-00004481 RSG 703 0.16 ~- I 0.16 OS 0000-_4484 _ 08 0000-4470 OB 0000-4486 RSG RSG FVD 703 703 I 401 0.16 ~ _ 0.08 0.42 - -- _ ~ i -~ ~ - 0 16_ 0.08 _ 0.42 OB 0000-4498 FVD '~. 401 0.17 _ 0.08 _ _ __ __ _0.25 08-00004499 RSG 703 ' 0.17 ; 1.50 0.17 1.84 08-00004541 RSG 703 0.17 _ 0.17 08-00004557 RSG 701 0.17 _ 0.17 OB-00004571 RSG 702 0.17 _ _ _ 0.17 08-00004567 RSG . 703 0.08 0.08 OB-00004611 RSG . 703 0.17 0.17 OB-00004614 RSG 703 0.08 - 0.08 OB-00004622 RSG 703 0.08 _ ~ __ 0.08 --- 08-0000-4626 OB-0000-4830 RSG RSG 703 i 703 0.08 0.42 I i ~ I T_ _ ___, _ ~ _ _ ~ _ 0.08 0 42 OB-00004647 OS-00004687 FVD SXK 402 703 0.24 ~ 0.16 0.08 ~ _ ~_ 0.32 0.16 DB-00004690 RSG 703 0.08 r- _ 0.08 08-00004700 RSG 703 2.83 2.83 OS-00004703 08-00004707 D8-00004713 08.00004717 08-00004746 08-00004748 DB-0000.4750 _ OB-0000.4757 OS-0000-4814 RSG RSG RSG RSG RSG RSG RSG RSG FVD, 702 ~ 703 703 702 ~ 703 703 701 703 402 5.32 0.16 0.17 0.25 0.08 2.75 0.33 _.--- '~ 0.42 _ 0.1~ 1.34 -_ ~ 2.64 ~ __ i - ~---- ---- - 0.09 4.16 _ r 0.50 3.26 - ' .08 --- - ~ __a ', - ~ _. ~ _ ~ _. ; - _. - _ 5.49 ~ 1.50 __ 0.17 ~ _30.14 0.25 0.08 .2_75._ ~ 0.83 -- 0.50_ - OB-00004829 RSG 701 -~~ 0.92 I - ' - ' - _ 0.92 08-00004834 RSG 701 0.17 0.25 _ 0.42 _ 08-0000.4862 ' 08-00004867 KKK RSG 601 703 0.59 0.25 0.25 0.17 0.2.5 _~ _ _1.09 ~~42 _ 08-00004879 RSG 701 0.17 _ 0.17 08-00004880 RSG 703 1.42 __ 1.42 08.00004904 RSG 703 1.17 _ _ 1.17 08-00004929 RSG _ 703 1.67 _ _ _ 1.67 OS-00004988 RSG 702 0.83 _ 0.63 _ 08-00004998 RSG 701 2.50 0.08 2.58 _ 08.0000-5009 RSG 702 2.28 0.17 _ _ 2.43 _ 08-0000-5021 RSG 701 2.26 0.08 _ _ _. _2.34 _ OB-0000-5042 VAP 106 1.83 2.25 4.08 08-0000.5045 RSG 703 1.68 1_68 OS-0000.5077 _ OB-0000-5080 ~ RSG SXK 701 410 0.50 2.31 0.08 ~ _ __ _ 0.50 2.39 D8-0000-5086 SXK 701 0.33 0.07 _ 0.40 OB-0000.5104 KKK 601 0.25 0.08 0.33 Panr. 2 of 5 G:1XIslCharitylBillingslHomeless ChallangelKCHOME2008-09billing 04/23/2009 2008-2009 Homeless Challenge Program - Case Number StaN Case T 2008 Oct 2008 Nov 2008 Dec 2009 Jan 2009 Feb 2009 Mar 2009 A r 2009 I Ma 2009 June 2009 Jul 2009 Au 2009 t' Total Se ype . . . . . . p . y y g. p OB-0000-5112 JEW 601 0.42 0.25 0.87 OB-0000-5114 DEJ 404 0.33 0.08 ___,_ 0.41 08-0000-5130 JEP 403 1.33 0.08 _ 1.41 OB-0000-5135 RSG 703 1.34 _ _ _ 1.34 OB-0000-5173 RSG 703 2.25 2.25 08-0000-5175 TBD TBD 3.00 ' 0.50 __ _ 3.50 _ 08-0000.5200 VAP 703 0.90 _ 0.08 0.42 15.75 17.15 08-0000-5206 _ 08-0000-5219 OB-0000-5236 RSG RSG RSG 701 703 703 2.25 3.17 2.51 ~ 0.57 _ 0.25 _ _ _ _ I ~ _ - _ 2.82 ~ __T__ - 3.17 _ 2.76 _ _ OB-0000-5242 RSG _ 702 _ 1.85 1.65 __ _ __ I __ _ _ _ 3.50 08-0000-5243 RSG 703 1.08 0.17 ~, ' 1.25 08.0000-5244 RSG 703 1.59 0.08 _ ~ ~ i _ 1.67 _ 08-0000-5254 RSG 707 2.74 _ _ -- ~~ - - 2.74 08-0000-5259 RSG 701 2.07 0.08 ___ ~ ~_ _ __2.15 - 08-0000-5260 RSG 701 1.16 0.34 - - -_ ~ - _ 1.50 _~08-0000-5270 ~08-0000-5261 , RSG RSG 703 ~ 703 _ 0.91 0.17 ~-~~ 0.33 - ~__y - ~ ~ ~ ~ ~ - 1.24 0.17 08-0000-5301 ;FVD 402 1.99 ~ * 1.99 _ 08-0000-5310 08-0000-5314 SXK CDK 701 402 0.17 1.17 0.08 _ _ _ _ T_ _ - ~ '~ + _ 0.25 __1.17 08-0000-5358 RSG 703 0.92 0.92 _ OS-0000-5382 RSG 703 1.84 0.08 _ _ __ _ _ 1.92 08-0000.5388 RSG 701 1.49 0.25 __ _ 1.74 _ 08-0000.5389 RSG 702 2.33 _ _ _2.33 _ 08-0000-5415 ' JEW 703 1.83 2.58 10.84 2.17 i 17.42 08-0000-5423 RSG 702 0.92 0.18 - - --. 1.06 08-0000-5427 TBD TBD 0.58 1.34 0.98 0.16 , 3.06 08-0000-5433 ' RSG 703 2,05 1.44 _..~ _ -` _ ~ f 3.49 08-00005461 RSG 701 0.50 0.25 _0.75 _ 08.0000-5474 RSG 703 1.88 0.92 _ _ 2.58 08-0000-5489 RSG 703 _ 0.42 _ 0.42 08-0000.5508 RSG 703 _ 2.27 _ _ _ 2.27 08.0000.5510 TBD TBD 0.59 1.07 _ _ _ 1.66 _ 08.0000-5521 TBD TBD 1.50 ! 0.17 _1.67 08.0000-5532 TBD TBD 0.41 0.41 _ OS-0000.5548 TBD TBD 0.89 0.33 1.22 OB-0000.5558 CDK 401 0.92 0.08 _ _ 1.00 _ OB-0000-5562 MPC 601 0.59 __ 0.08 _ 0.67 08.0000.5569 OB-0000-5593 - -- TBD JEW TBD 703 - - ~----..- 0.17 ~ 3.63 -----T -- 0.84 ---- - 2.84 - ~ ~ , __ I -- __.__ _ .... -- __~ ~ _~ --T _ i ._. ~ _ - t ~ _ _-- ~ 0.17 - -- .7.51_ - 1.06 ~~~-OB-0000-5804~~ ~TBD TBD .0.58 --~ --- ---~ --- t-- _ _._ 0.58 08-0000-5655 ACH 802 O.SD 0.50 OB-0000-5660 RSG 703 2.08 _ _ _ .; _ ___2.08 08.0000-5671 FVD 402 0.33 0.08 __ I _ _0.41 08-GOOD-5679 _, 08.0000-5691 RSG FSD 703 601 __ 1.33 __ 1.33 _ _ 1.33 1.33 _ 08-0000-5896 ' RSG VAP 3.43 4.06 +0.25 14.58 _ __ 22.32 OB-0000-5698 JEW 703 3.25 I ~ _ 3.25 08-0000.5709 RSG 701 1.90 2.09 0.25 _ ~__ ~ 4.24 OB-0000.5733 OB-0000-5737 RSG TBD 702 TBD 3.92 0.59 2.18 5.27 3.09 1.67 _ ~ 18.13 ~~59 08-0000-5743 OB-0000.5782 TBD ~ TBDi TBD TBD i 0.17 0.59 0.67 2.74 0.33 0.08 _ _j _ - .__?•17 3.41 ~~ 08-0000-5787 OB-0000.5602 TBD SXK TBD 907 _ 0.67 0.50 0.33 _ _ _ _~ 1.00 ~ _ 0.50 _ _ OB-0000.5818 RSG 703 1.25 _ _ 1.25 08-0000-5821 RSG ~~ 702 1.25 1.25 _ OB-0000.5826 EBT 708 0.42 0.42 Paae 3 of 5 G:1XIslCharitylBillingslHomeless Challange\KCHOME2008-09billing 04/2312009 2008-2009 Homeless Challenge Program Case Numbsr Staff Case T 2008 Oct 2008 Nov 2008 Dec 2009 Jan 2009 Feb 2009 Mar 2009 A r 2009 Ma 2009 Juna 2009 Jul 2009 Au 2009 Se t Total ype . . . . . . p . y y g. p 08-0000.5848 RSG 703 1.25 1.25 08-0000-5882 ARD 402 _ 0.50 ~ 0.50 08.0000.5878 RSG 703 1.75 8.75 1.08 11.58 OB-0000-5685 TBD TBD 0.67 1.77 0.33 2.77 _ OB-0000.5970 FVD 401 0.42 _ 0.42_ 08-0000-5984 JEW 701 2.08 2.08 OS-0000.5997 ~ SSK 703 2.00 0.08 _ _ _ 2.08 OB-0000.6000 JEL 702 1.84 1.84 DB-0000.6003 JEW 703 1.63 1.50 0.76 _ 4.09 08-0000.6006 SSK 703 - 3.59 _ _ 3.59 08.0000.6007 08-0000-6011 JEW JEW 703 703 2_50 1.25 X _ _ _ ~ ~ _ _ ~ _ __ 2.50 1.25 08-0000-6048 JEL 702 _ _ 2.48 6.84 22.42 2.10 _ __ ~ ~ 33.84 08-0000-6051 JEL 702 2.99 6.66 36.61 io.ve '' 59.02 08-0000-6071 JEW 703 1.17 0.08 1.25 08-0000-8072 JEW 703 - -" 2.35 ~~ _ _ _ _ _ _ 2.35 D8-0000-8069 JEW 701 ~ 2.42 -~ -- -- - - ~ - - ~~ - - - '~ ~ T 2.42 08-0000-6092 i JEW 703 ~ 2.01 ~ ~ 2.01 _ 08-0000-6126 ' , JEL 702 i _ _ 0.83 _ _ _ _ _ x_ _,0.83 08-0000-0152 ' JEW 703 0.58 0.08 0.86 OS-0000-8154 JEW 703 1.08 0.08 _ 1.16 08.0000.6155 SSK 703 _ 0.56 0.59 0.25 1.42 OS-0000.6167 JEW 703 I 1.75 _ 1.75 08-0000-8175 JEW 703 1.57 0.25 1.82 OB-0000.8178 JEW 701 1.58~~~ _ 1.56 OB-0000.8205 JEW 703 ~ 0.91 0.08 0.99 08-0000-6233 JEW 703 ' 1.08 1.08 08-0000.6266 JEW 703 2.74 0.08 _ . . ~ __ __ _ 2.82 08-0000.8271 JEW 703 3.24 0.25 _ _3.49 _-- 08-0000-8274 JEW 703 __ ~ _ 1.08 ~ -~- - - -~- -~- -- ~ 1.08 06-0000-6289 JEW ~ 702 _ 1.49 3.43 _ 4.92 OB-0000-8310 JEW 703 2.10 3.05 5.15 OB-0000-6352 KAR 703 1.49 0.25 __ _ __ 1.74 OB-0000-8390 FVD 401 0.25 _ __0.25 08-0000-8392 SIM 703 1.34 0.33 _ _ 1.67 08-0000-6394 JEW 703 0.92 1.18 2.10 OB-0000-6397 JEW 703 1.09 1.17 0.25 _ 2.51 09-0000-0024 JEW 701 1,59 0.34 _ _ _ 1.93 09-0000-0095 09-0000.0129 09-0000-0132__ 09-0000-0136 JEW JEW JEW JEW 702 701 701 703 --~ ~- ~ ' -- r ~ ! 0.67 0.67 1,91 ! 3.25 - 017 1.00 _ _ ~ __~ ~ ~ __ ~ ~ _ _ 0.67 __ ___.__ 0.67 ____2.08_ _ 4.25 09-0000-0137 JEW 703 2.00 0.08 2.06 09-0000-0174 JEW 701 4.17 4.17 09-0000.0214 JEW 703 1.66 0.08 _ _ 1.74 09-0000.0233 JEW 703 _ 0.67 _ 0.67 09-0000-0278 JEW 701 2.23 0.17 _ _ __2.40 09-0000-0283 JEW 701 1.67 0.08 _1.75 09-0000-0300 JEW 703 I i 1.17 0.08 _ _ 1.25 ~ 09-0000-0313 JEW 701 2.17 0.17 2.34 09-0000-0342 JEW 703 ' I 1.00 0.25 __ 1.25 09-0000.0349 JEW 703 0.87 0.17 _ 0_84 09-0000-0356 FVD 402 0.87 0.87 09-0000-0362 JEW 703 2.35 0.25 2.60 09-0000-0375 JEW 703 2.51 0.17 0.17 2.85 09-0000-0388 JEW 703 0.75 1.08 1.83 09-0000-0401 JEW 703 1.17 0.50 _ _ 1.67 09-0000.0452 JEW 703 _ 1.17 0.08 _ _ 1.25 09-0000-0458 JEW 703 0.58 0.16 0.08 __ 0.82 09-0000.0513 SMK 707 1.17 1.17 Pana d of 5 ~l ' G:U(IS1CharitylBilling5lHomeless Challange\KCHOME2008-09bllling 0412312009 2008.2009 Homeless Challenge Program Case 2008 2008 2008 2009 2009 2009 2009 2009 2009 2009 2009 2009 Caae Number Staff J F b r M A r Ma June Jul Au t Se Total TyPe Oct. Nov. Dec. an. e . . a p . y y g. p 09-0000-0525 JEW 701 0.84 0.75 0.34 _ 1.93 09-0000-0534 JEW 701 0.99 6.73 0.34 8.06 09-0000-0540 JEW 701 1.42 1.42 09-0000-0545 JEW 703 0.63 _ 0.63 _ 09-0000.0551 JEW 703 1.17 1.17 09-0000.0623 ,JEW 703 1.00 _ 1.00 09-0000-0648 I JEW 703 2.07 ~ __ 2.07 09.0000-0676 JEW 703 _ 1.75 1.75 09.0000-0660 IJEW 703 2.01 0.25 _ _ ~ ' , 2.26 09-0000-0700 09-0000-0718 ~ JEW JEW 703 703 3.66 2.43 ~ , - __ 3.66 2.43 09-0000-0730 09-0000-0731~ JEW JEW 703 703 _ ___ __ _ 1.08 4.59 1.00 _ _ __ ~ _ _ 5.67 1.00 09-0000-0736 J EW 703 _ _ 1.00 _ 0.16 1.16 09-0000-0759 ~ JEW 703 2.26 2.26 09-0000.0769 09-0000-0779 JEW JEW 703 703y _ ~-~- i - ~__- 1.59 1.34 0.25 0.08 _ -~ . __ __ . _ _ ~ ~ 1.84 --- 1.42 09-0000.0828 JEL 702 ! _ 5.92 0.50 ! 6.42 09-0000.0828_ JEW _703 : ~ _ - _ _ _ 0.00 09-0000-0858 JEW 703 i 1.50 0.16 _ ___ 1.66 09-0000.0685 JEW 703 0.25 _ 0.25 09-0000-0890 JEW 703 ~ 0.58 0.58 09-0000.0911 JEW 703 ~ 1.25 1.25 09-0000-0945 JEW 703 i -~ _ _ 1.49 0.08 _ _ 1.57 _ 09-0000-0977 JEW 703 ~. ~ 0.75 0.24 0.99 09-0000-1011 JEW 703 1.50 _ 1.50 09-0000-1033 JEW 703 2.33 2.33 09-0000-1053 JEW 703 _ 1.05 __ __ ~ ~ __ 1.05 09-0000.1057 T17 705 ~ 1.17 '~ - ~ ' - _ 1.17 - -- 09-0000-1094 09-0000-1111 JEW JEW ~ 703 703 _ - ~ .._ _ - 0.92 -- 1.67 1.42 ~--- r-- _- .- - --- 2.59 S:+t2 _ 09-0000-1114 JEW 703 ~ - 0.92 -- ~ 0.92 _ 09-0000-1143 ' JEW 703 ~ - 0.56 _ 0.58 09-0000-1162 09-0000-1191 JEW JEW 703 703 _ 1.92 0.67 _ - -± _ 1.92 0.67 09-0000-1215 JEW 703 1.00 _ 1.00 09-0000-1232 JEW 701 2.00 , 2.00 09-0000-1252 ' JEW 703 _ 4.08 _ _ 4.08 09-0000-1339 JEW 702 7.40 _ 7.40 _ 09-0000-1342 JEW 702 __ _ 3.34 _ 3.34 09-0000-1371 , 09-0000-1377 JEW JEW 701 709' 'i ; _ _ 0.58 _ 1.83 ~ _ _ ~ 0.58 1.83 09-0000-1479 ; JEW 703 1:86 _ ~ _ _ __ _ ; _ 1.66 _ 09-0000-1520 JEW 703 0.83 0.83 09-GOOD-1557 JEW 703 _ _ _ 1.50 __ _1.50 09-0000-1562 JEW 703 ' i 1.92 _ ~ _ 1.92 ~ 09.0000-1611 JEW 703 0.58 0.58 09-0000.1659 JEW 703 _ 0.75 _ __ _ 0.75 09-0000-1698 JEW 703 2.83 _ __2.83 09-0000-1722 JEW 703 2.73 ~ 2.73 841802-0616 JEL 701 0.58 __ _~ __ _ ~ 0.58 88-2500-2100 92-2500-1462 98-2500.2407 JEL JEL JEL 702 702 702 97.90 3.01 3.84 71.90 1.75 1.25 72.96 2.00 78.03 2.50 82.56 2.17 77zo 1.75 _ _ _~ _ ~ ~ 480.55 13.18 ~ 5.09 _ 96-0500-0013 RMD 704 _ 0.50 _ _~ _ ~„ 0.50 04-0000-1150 VAP 704 _ 225.4 I, 225.42 Totals by Billing Perlod 387.03 1 6.83 278.70 404.97 280.41 178.18 - - - - 1,646.12 Panty 5 of 5