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FY 2011-2012 CITY OF SARATOGA COMMUNITY GRANT & CDBG STANDARD APPLICATION DATE: February 11, 2011 Please refer to the Application Instructions Sheet for details on the following questions.
Please expand the form as needed. However, please limit your answers to one paragraph per question. 1) Applicant Organization/Agency Name: KSAR15, Saratoga Community Access Cable TV
Foundation Agency Address: 14000 Fruitvale Avenue, Saratoga, California, 95070 Executive Director: Tom Moran, Chairman of the Board Phone: 408-741-2108 Fax: 408-867-9207 E-Mail: ksar@ksar15.org
Agency is a Faith Based Organization: ____ Yes __X_ No 2) Program Title: KSAR -Saratoga High School Media Arts Mentoring Program Program Address: 14000 Fruitvale Avenue, Saratoga, California,
95070 Contact Person/Title: Bryan Knysh, Vice Chairman of the Board Phone: 408-205-4045 Fax: 408-867-9207 E-Mail: bryan@kidport.com 3) Amount requested for FY11/12: $3,100 4) City of
Saratoga grant funds requested in the past: $8,716 City of Saratoga grant funds received in the past: $6,209 5) Program description and number of unduplicated clients served: The KSAR15
Saratoga High School Media Arts Mentoring Program will provide two activities for the 2011-12 school year: 1) Coordinate student volunteer and internship activities at KSAR: getting
students involved at KSAR and with KSAR programming (e.g., interviewing and camera work at Saratoga community events, film editing, etc.). 2) Media careers: review resumes, video reels/portfolios,
mock interviews and KSAR shadowing program for students to see studio operations. Volunteer and Internship programs will support 10 students in the summer. Career support will be provided
to 12 students per year. This is a comprehensive program in that it provides real world experience through shadowing, volunteer activities and internships, and assists students in TV
career counseling through resume reviews, video reel reviews and mock interviews. 6) Program purpose and objectives: This program will be designed to provide the Saratoga High School
Media Arts Program students with real world television and broadcast experience. The program will teach students key skills in TV production and give students the opportunity to get
involved in TV production through a volunteer and Internship program. Lastly, the program will assist students in developing effective resumes and interview techniques to start a TV
broadcasting career.
FY 2011-2012 CITY OF SARATOGA COMMUNITY GRANT & CDBG STANDARD APPLICATION 7) Program management: This program will be managed by Bryan Knysh, Vice Chairman – KSAR Board of Directors
and KSAR staff member David Lee, Station Manager. Currently, all KSAR staff are part-time employees. A KSAR staff member will coordinate the volunteer and internship programs. 8) Agency
description and experience: KSAR15 Saratoga Community Access Television is a non-profit organization responsible for operating the Public, Educational, and Government Access channels
for the community of Saratoga. Under the guidance of the Saratoga Community Access Cable Television Foundation, KSAR15 provides facilities, training, and support to members of the community
who wish to use this medium for the free expression of ideas. KSAR seeks to inform, educate, and entertain, and be available to all for the free expression of opinion. KSAR15’s mission
is to provide an energetic medium of communication for Saratogans to express and view the diversified talents and interests within the community, being freely available to the Public,
their schools, and their Government. 9) Audit information: See attached. 10) Sources of funds anticipated for this project: KSAR board involvement will be provided on a volunteer basis.
Saratoga High School teacher involvement will be covered by the Saratoga High School as part of normal MAP activities. KSAR staff costs will be funded through this Saratoga Community
Grant. KSAR has also received a grant from the West Valley Solid Waste JPA to create recycling Public Service Announcements utilizing the interns. 11) Budget: Please use the attached
worksheet. 12) Performance Measurements: Please use the attached worksheet. 13) Outreach: KSAR is a community television station largely operated through the volunteer efforts of Saratoga
residents. Volunteer efforts will continue to be a significant part of this program. In addition, KSAR has direct support of the Saratoga High School Media Arts Program teachers. These
teachers will be involved in reviewing and approving all student programs developed and delivered by KSAR. The teachers will also be involved in scheduling and coordinating MAP student
involvement in the program. The program activities will be promoted by both KSAR15 and Saratoga High School MAP, including publicity through Saratoga News. Several Saratoga News and
Mercury News articles have highlighted the MAP program already, and we expect to get continued coverage of the program. In addition, KSAR runs a weekly advertisement in the Saratoga
News to promote its activities. This advertisement will on occasion
FY 2011-2012 CITY OF SARATOGA COMMUNITY GRANT & CDBG STANDARD APPLICATION highlight this program. This promotion will benefit KSAR, Saratoga High School, its students and the Saratoga
community at large through developing and maintaining a strong community access television program. 14) Leveraging: This program is an extension of the KSAR video production and volunteer
program in place today which is used to train and coordinate volunteer activities in the production of KSAR television programming. As a community operated, non-profit organization,
the majority of Saratoga programming on KSAR is developed through these volunteer activities. KSAR board member participation in this project will be provided as volunteer work. Saratoga
High School teacher time and costs in terms of planning, review and coordination with KSAR will be covered by Saratoga High School as part of normal MAP activities. KSAR staff salaries
will be funded partially by this Saratoga Community Grant. A grant from the West Valley Solid Waste JPA will also let the interns create high production value Public Service Announcements
for wider distribution. 15) Cost /Benefit Analysis: Career counseling for 12 students, 160 hours of summer internship for 10 students. 16) Target Beneficiaries: The target beneficiaries
of this program are the Saratoga High School Media Arts Program students. These students are all Saratoga residents based on the Saratoga High School residency requirement. This program
does not target any specific income level or social demographic, nor are we planning to solicit such information from students involved in the program.
BUDGET AGENCY NAME: KSAR Date Prepared: 2/7/2011 PROGRAM NAME: Saratoga High School Media Arts Mentoring Program The following budget covers KSAR staff hour costs estimated for this
grant. It does not include volunteer or teacher effort associated with this program since these costs are not covered by this grant. SPECIFIC ACTIVITIES BUDGET AMOUNT Can be broken down
quarterly or annually (please specify) Media careers: Review resumes, review video reel/portfolio, mock interviews during the 2011-2012 school year. volunteer Student volunteer and internship
program – activity planning, coordinating and supervision. 16 hrs x 10 weeks x $35/hr summer 2011 = $5,600 less West Valley Solid Waste JPA grant of $2,500 $3,100
PERFORMANCE MEASUREMENTS AGENCY NAME: KSAR Date Prepared: 2/7/11 PROGRAM NAME: Saratoga High School Media Arts Mentoring Program PERFORMANCE MEASUREMENT WORKSHEET GOAL: Prepare students
in the Saratoga High School Media Arts Program for a career in Television Production OBJECTIVE (1): Assist students in preparing for job applications including: reviewing and critiquing
resumes, reviewing and critiquing video reels/portfolios, mock interviews and KSAR shadowing program for students to see studio operations. OUTCOME (1): Provide verbal and written reviews
and critiques of student resumes, video reels and mock interviews for 12 students in preparing job applications and interviewing for careers in television production. OBJECTIVE (2):
Establish volunteer and internship programs to provide students with hands on experience in aspects of running a community access television station. Teach students the basics of Community
Access programming including program scheduling, loading and timing shows and dealing with producer’s questions. Teach students how to broadcast a new show OUTCOME (2): Student made
video on the air.
PERFORMANCE MEASUREMENTS including the required paperwork and assisting new producers. Students will learn how the KSAR Bulletin Board works, and how to design a Power Point slide, convert
it to a JPEG file, and then convert the JPEG into a WMV file, and then load it onto the KSAR video server for broadcast. The students will be shown all aspects of shooting a live show
in the KSAR Studio. The students will learn about three point lighting, how to program and run the character generator, mike the talent, run the soundboard, operate a camera, and finally
how to direct the entire production. This will also include having the students shoot a KSAR production of a local Saratoga event. The students will learn about the pre-production (writing
questions for the interviews, designing a story), production (shooting the event), and postproduction (editing the event).
FY 2011-2012 CITY OF SARATOGA CDBG SUPPLEMENTAL Name of Applicant Organization: Saratoga Area Senior Coordinating Council Name of Program: Saratoga Adult Care Center Please complete
the following questions in addition to the Standard Application to determine additional requirements for CDBG eligibility: 1. Please complete the following tables with the number of
recipients for each category: 2. How does the purpose and objectives of the proposed program meet the Urban County’s CDBG funding objectives with regard to either the Urban County Priority
Needs or the Urban County Non-Housing Community Development Needs as described in the Consolidated Plan3? The purposes and objectives of SASCC’s Adult Care Program are directly related
to the Urban County Non-Housing Community Development Needs which specify that there are needs for supporting the operating expenses of organizations which provide supportive services
“which address the needs of the frail elderly or persons with disabilities.” The critical need for these aging focused services is discussed in the “Community for a Lifetime” Executive
Summary of the strategic plan co-sponsored by the City of San Jose and the County of Santa Clara in February 2005: “In 2005, there were more than 200,000 older adults living in Santa
1 The Urban County includes the unincorporated portions of the County of Santa Clara and the cities of Campbell, Los Altos, Los Altos Hills, Los Gatos, Monte Sereno, Morgan Hill, and
Saratoga. 2 Based on the attached FY 2010 HUD Income Limits for Santa Clara County 3 The 2005-2010 Urban County Consolidated Plan is available online at http://www.saratoga.ca.us/by
clicking on the CDBG grant link under In The Spotlight on the right hand side of the webpage Number of Unduplicated Beneficiaries City No. Campbell 5 San Jose 5 Sunnyvale 5 Los Gatos
3 Monte Sereno 1 Santa Clara 2 Saratoga 25 Unincorporated Santa Clara County Outside the Urban County1 Total unduplicated beneficiaries 46 Number of Urban County unduplicated beneficiaries
at or below current county-wide median income2 Income Category No. 0-30% (Extremely low) 15 31-50% (Very Low) 8 51-80% (Low) 9
FY 2011-2012 CITY OF SARATOGA CDBG SUPPLEMENTAL Clara County. By 2020, this number will double and older adults will represent more than 1 out of every 5 individuals in SCC. By 2050
the average life expectancy is projected to be 87 years for women (currently 80) and 81 for men (currently 74). SCC Supervisor Don Gage, in a 2007 community assessment, stated that “By
2020, the number of people…who are 60 and older will have almost doubled….a growth rate 3 to 4 times faster than the county’s overall population. It’s important to determine the needs…now
so we can ensure effective aging services are in place in the future.” Through our program we work to prevent or delay institutionalization of the frail elderly, to enable them to remain
in their homes for as long as possible and to improve the quality of life for the participants and their caregivers. The purpose of the Center is to meet the growing need for this service
which will only accelerate as the population ages. Independent studies show that by the year year 2010, Santa Clara County’s population of individuals 85 years of age and over is expected
to double resulting in an increased need for services such as ours. Our services apply to the HUD Development Community Needs categories of Public Facility Senior Centers as our program
is open to all and housed in a public Saratoga City public building and also to Public Senior Services which is ranked as a “High” priority need.
FY 2011-2012 CITY OF SARATOGA CDBG SUPPLEMENTAL
FY 2011-2012 CITY OF SARATOGA COMMUNITY GRANT & CDBG STANDARD APPLICATION DATE: 10 February, 2011 Please refer to the Application Instructions Sheet for details on the following questions.
Please expand the form as needed. However, please limit your answers to one paragraph per question. 1) Applicant Organization/Agency Name: Saratoga Area Senior Coordinating Council Agency
Address: 19655 Allendale Ave. Saratoga, CA, 95070 Executive Director: Susan Huff Phone: 408-868-1255 Fax: 408-868-9546 E-Mail: shuff@sascc.org Agency is a Faith Based Organization: No
2) Program Title: Saratoga Adult Care Center Program Address: 19655 Allendale Ave. Saratoga, CA 95070 Contact Person/Title: Susan Huff, Executive Director Phone: 408-868-1255 Fax: 408-868-9546
E-Mail: shuff@sascc.org 3) Amount requested for FY11/12: $34,000 4) City of Saratoga grant funds requested in the past: $37,000 in 10-11; $35,000 in 09/10; $34,000 in 08/09; $33,000
in 07/08; $37,284 in 06/07; $36,288 in 05/06; $36,288 in 04/05; 36,737 in 03/04; $35,667 in 02/03; $35,500 in 01/02 City of Saratoga grant funds received in the past: $33,487 in 10/11;
$ 36,203 in 09/10; $32,000 in 08/09; $32,000 in 07/08; $33,000 in 06/07; $36,681 in 05/06; $36,288 in 04/05; $35,366 in 03/04; $35,667 in 02/03; $34,500 in 01/02 5) Program description
and number of unduplicated clients served: Saratoga Adult Care Center is a Social Adult Day Program, which seeks to enhance the quality of life for area seniors via specific, ongoing
supportive services, made available to lower-income participants. The program serves residents of Saratoga and the surrounding communities of Campbell, West San Jose and Santa Clara.
Program participants require assistance to complete ADLs and IADLs (activities of daily living and instrumental activities of daily living) in addition to supervision and care management
to promote safety, well-being, and longevity in their home environment. Participation in our program promotes expanded opportunity for individualized socialization, structured activities,
physical activity and adaptive exercise, and care management and resources in regards to difficult behaviors, nutrition, and personal care. Individual care plans are created for each
participant to optimize their benefits from participating in our program. In addition to these core services, we provide support, respite, and resources to families and caregivers. The
program is open Monday through Friday from 8:30 a.m. to 5:30 p.m. to meet the needs of caregivers who work outside the home or need respite for other reasons. Requests to help fund this
program are made because it serves mostly very low to moderate-income seniors. Fees are determined by an individual’s ability to pay, (i.e. a sliding scale), requiring supplemental funds
from outside sources. Adult Day Care Services are an ideal way to care for the needs of frail
FY 2011-2012 CITY OF SARATOGA COMMUNITY GRANT & CDBG STANDARD APPLICATION seniors, often eliminating the need for institutionalized care, which can substantially reduce the cost for
families and the community as a whole. On an average year the Saratoga ACC will serve 50 unduplicated clients and their families. An average of 50% reside in Saratoga. Additionally,
through our caregiver support meetings, resource visits, calls and emails we serve an additional average of 300 community members each month with information, referrals and resources.
6) Program purpose and objectives: The purpose of the Saratoga Adult Care Center is to enhance the quality of life for Saratoga and surrounding area seniors via specific, ongoing supportive
services, made available to lowerincome participants. The overall goal is to prevent or delay the institutionalization of severely disabled adults & seniors, enable them to remain in
their homes for as long as possible, improve the quality of life for the participants; and to improve improve the quality of life for caregivers via support and respite. These services
incorporate the following objectives: (1) Provide daily respite care to up to 22 frail and less independent participants from the West Valley Area of Santa Clara County. (2) Prevent
or delay institutionalization of individuals who require considerable personal assistance. (3) Provide socialization, instruction and structured activities such as exercise, crafts,
skill development and nutritious meals daily for the less independent elderly in a licensed care facility. (4) Continue to facilitate caregiver support groups at a minimum of once monthly
in cooperation with the Alzheimer’s Association and provide similar support services to local churches and civic organizations of the West Valley area. (5) Provide respite and improve
quality of life for caregivers and eliminate or delay the high emotional and financial cost of custodial care. (6) Continue utilizing volunteer services to help contain Center costs.
(7) Maintain minimum minimum enrollment of approximately 380 participant days each month. (8) Increase funding base through local resources, participant fees and fund raising events
in an effort to reduce dependence on City and county funding. Due to the low-income status of the population served and the service-intensive nature of the program, becoming self-supporting
is not feasible at this time. As stated above, the overall goal is to prevent or delay the institutionalization of the frail elderly, enable them to remain in their homes for as long
as possible and improve the quality of life for the participants and their caregivers. This has remained our goal throughout our programs history and previous Saratoga CBDG funds have
helped us
FY 2011-2012 CITY OF SARATOGA COMMUNITY GRANT & CDBG STANDARD APPLICATION achieve and maintain that goal along with the high quality of service that we provide to our clients. Our utilization
demonstrates and validates the need and demand for our unique services. Our accomplishments over the past year, reached with the help of Saratoga CBDG funds are: Supported all of
the Adult Care’s ongoing efforts mentioned above to support families and participants Allowed for the continuous operation of all of our programs, including our exercise and music
programs, which are no longer subsidized by West Valley College. Helped us to avoid further draws from our investment account. This will enable our funds to further grow to help sustain
SASCC for the future. Helped us to maintain our social worker and support groups to further assist families of Adult Care. Prevented any reduction of staff or staff hours, so we
could continue all of the programs and services for our clients. Allowed us to host more social events for our members. 7) Program management: Both divisions, the Saratoga Adult Care
Center and The Saratoga Senior Center are governed by the SASCC Board of Directors. Additionally, the Executive Director is responsible for and works closely with both division managers
and staff. A Program Manager and Assistant Program Manager/Social Worker are responsible for the dayto-day operations of the Adult Care Center and report directly to the Executive Director.
The Center employs two full-time and five part-time employees, (Program Manager/Social Worker, Program Assistants, Assistant Program Manager) providing services of approximately 8,000
hours per year. The Program Management team oversees activities; the intake, care-planning, and evaluation components, entertainment and projects. They are responsible for scheduling
all activities, special events and classes for the participants. They direct the center, lead many of the activities and oversee the Administrative Assistant, Social Worker, and the
Program Assistants who also run activities and assist participants with projects, meals, toileting and any other special needs that may arise. Along with the Executive Director and the
Social Worker, the Program Manager evaluates the needs of new potential clients, develops care plans, maintains ongoing progress reports, and works with families. The program provides
exercise routines, memory training and stimulation through travelogues, crafts, music, a variety of entertainment, current events, discussions and directed conversation. Special adaptive
exercises and physical skill training are focused on participants who need help with any disabilities (e.g. stroke, aphasia, Parkinson’s). Healthy
FY 2011-2012 CITY OF SARATOGA COMMUNITY GRANT & CDBG STANDARD APPLICATION snacks are provided and full nutritious meals are served daily prepared by the Saratoga-Los Gatos Assistance
League. Volunteers and instructors assigned by West Valley College augment the activities and help keep expenses at a minimum. All of the staff at the Saratoga Adult Care Center are
highly trained, each with many years of experience working with frail elders. Twenty volunteers supplement the seven paid staff and provide between 600 to 800 hours of service annually.
The Executive Director, Program Manager, and Social Worker also maintain strong public relations with local, county and state senior organizations and participate in required trainings.
They are involved with public speaking engagements, organizational networking and other important community events. These efforts have resulted in a highly visible program where there
is frequently a waiting list for prospective participants. 8) Agency description and experience: The Saratoga Adult Care Center (ACC) is a major program component of the Saratoga Area
Senior Coordinating Council (SASCC) incorporated as a non-profit organization in 1979. SASCC also operates the Saratoga Senior Center for more active, independent older adults. Recognizing
the needs of the aging population, supported by a community assessment, SASCC opened the Saratoga Adult Care Center in January of 1988 as the first facility in Santa Clara County designed
and built specifically as an adult day care center. It provides much needed respite for caregivers and promotes a higher quality of life for the participants at much less cost to both
family members and public agencies. The Saratoga Adult Care Center has steadily increased in number of days open from two at the onset to five full days weekly by February 1994. During
this time, the average number of families served monthly increased from 9 to 42 at any one time, with well over 350 visits by participants each month. This increased utilization validates
the need and demand for the service. The center serves approximately 18 participants per day. This assures each participant ample one-on-one time with our assistants and volunteers.
Participants come from the surrounding areas of the West Valley Corridor, including Saratoga, Los Gatos, Santa Clara, Campbell, San Jose, Mt. View, Sunnyvale and Cupertino. The Adult
Care Center provides licensed, direct care and social adult daycare activities for severely disabled adults and less independent seniors as well as resources, support and referrals to
their caregivers. The daily program offers individualized and structured activities, adaptive exercise and movement taught by West Valley College instructors and a retired physical
therapist, entertainment and education opportunities, basic health monitoring, assistance with daily tasks, and assistance with personal care and hygiene. The nutrition program includes
a lunch meal and two snacks. Meals are prepared on-site with fresh, seasonal ingredients. We are able to provide low-sugar, low-fat, and portion-controlled meals as necessary. Providing
a nutrition program supports health maintenance and a participant’s ability to
FY 2011-2012 CITY OF SARATOGA COMMUNITY GRANT & CDBG STANDARD APPLICATION “age in place”; providing one meal during the day can reduce the burden caregivers may feel in planning and
preparing meals. Individual care planning, family support and collaboration with healthcare professionals and/or social service professionals is provided for participants and family
caregivers (“caretakers”). Additional services include family counseling through care plan meetings, community resource referrals, and a monthly caregiver meeting to discuss care strategies,
provide a forum for discussion about care-giving issues, and support caregivers in being informed about care options. Collaboration with other community-based organizations, and transportation
services through Outreach Para-transit maximize the benefit to our clients, family caregivers, and community members. MISSION STATEMENT The purpose of the Saratoga Area Senior Coordinating
Council is to provide quality services to local seniors of all ages, abilities, religions, social and economic backgrounds. Our primary objective is to involve community groups and individuals
in senior related issues, to develop community responsibility, advocacy for problems facing our aging population, to assure that the needs of older adults are met and to improve the
overall quality of their lives. 9) Audit information: The firm of LMGW, Certified Public Accountants, performs annual audits and reviews (every other year) at a cost to our organization.
Please find attached a copy of our last Reviewed Financial Statements for the year ending June 30, 2010. 10) Sources of funds anticipated for this project: _________________________________
SOURCE ESTIMATE STATUS Saratoga CDBG Grant $34,000 Submitted and Pending Campbell CDBG Grant $ 4,000 Submitted January 28, 2011 Business Alliance Program $10,000 Ongoing Fees $166,000
Ongoing St. Andrews $ 4,200 Receiving monthly checks Donations, Appeals $ 15,000 Ongoing Fundraising Events $ 17,000 Ongoing Total: $250,200
FY 2011-2012 CITY OF SARATOGA COMMUNITY GRANT & CDBG STANDARD APPLICATION 11) Budget: Please see the attached worksheet. 12) Performance Measurements: Please use the attached worksheet.
13) Outreach: a) How SASCC informs Saratoga residents about its ACC program: To fulfill SASCC’s Community Outreach Initiative the agency informs Saratoga residents about its programs
through several different outreach methods. Approximately 750 copies of the agency’s newsletter that details all of the activities and programs at SASCC is sent out 12 times (monthly)
per year to each member household and an additional resource list of 100, including churches, other senior centers, the local Chamber of Commerce, retirement communities and assisted
living centers, libraries, local businesses, and other nonprofits supporting seniors. The agency also promotes its activities, programs and events through articles in the City Newsletter,
email and mail splashes, Saratoga Village Community Network, KSAR, the Saratoga News, SASCC’s continually updated website at www.sascc.org, the Saratoga Recreation guide, and Facebook.
SASCC has also updated and expanded its brochures (both divisions) for the public, which describe its programs and outlines its history, mission and volunteer opportunities. The brochure
is given out in response to all new inquiries. The Executive Director and members of our Board of Directors and Advisory Committee also advocate and conduct outreach through networking
to a broad range of community organizations including Asian-American groups, Indian-American groups, the Rotary Club, Kiwanis, Lions, the Saratoga Chamber of Commerce, Healthcare libraries,
area recreation centers and retirement communities. In addition, our Director has aligned with several peer organizations with the intention of collaborating for the benefit of seniors.
She is also reaches out to local schools to establish and grow inter-generational relationships. SASCC as a whole and the
ACC have been “adopted” many times by youth groups. The target groups for outreach include: Asian-American and Indian-American families which constitute approximately 30% of the population
of Saratoga are increasingly participating in the Senior Center which provides the exposure that we need for ACC. Other elders in Saratoga that are not SASCC members; Seniors that
have joined SASCC but seldom participate in activities Family members of participants or potential participants.
FY 2011-2012 CITY OF SARATOGA COMMUNITY GRANT & CDBG STANDARD APPLICATION Other senior-oriented organizations Schools Our staff works closely with other like-agencies for referrals,
which is mutually beneficial. Local churches Another important method of outreach is the many health screenings, free workshops and seminars that we host on a range of issues including
legal matters, nutrition, flu shots, Eastern Medicine, vision and hearing screenings, insurance matters, etc. In addition the agency hosts many social activities to appeal to a broad
range of interests. b) Additional outreach efforts SASCC will use to attract new Saratoga residents and sources drawn on to implement this outreach: SASCC will continue to focus on
reaching out to all prevalent ethnicities in the community. We have built a good relationship with Indian-American community leaders and continue with our plans to better reach their
constituent elders. We will continue to distribute mailings to every household in Saratoga Saratoga at least once per year. Through the funding from a generous restricted donation,
we have been able to develop a Marketing Plan which is allowing us to redesign our brochures, flyers, and increase our mailings; therefore increased outreach. The agency continues
to update the Member Resource Services program which provides a broader range of assistance to seniors and their caregivers. Blue Ribbon Task Force: This is a group of 15 highly proven,
talented community leaders from a variety of backgrounds who are committed to help us in special projects, fundraising and outreach. Last year we launched the Business Alliance Program
(BAP). With this project we identify and align with local area businesses who are interested in the welfare of the area seniors. The program is multi-leveled where a business owner may
choose to sponsor SASCC, offer discounts to its members, or both. We anticipate that the efforts put into this program will grow over time into something of tremendous mutual benefit
to SASCC members and our business community. The added benefit will of course be a growth in membership which will provide additional fees and exposure. Thus far, we have also gained
$12,000 from this program. We will continue to focus on fewer but larger and more efficient fund-raising events in 2011. c) The number of additional Saratoga residents ACC has served
since SASCC
FY 2011-2012 CITY OF SARATOGA COMMUNITY GRANT & CDBG STANDARD APPLICATION applied for previous funding in 2008-2009: Nine new families from Saratoga have been served since the application
for previous funding, along with the 12 that we continue to serve for a total of 21. 14) Leveraging: a) Total Amount of Funding Requested from All Organizations This Year: Organization
Date Funds Requested Amount Requested Percentage of Total Cost Saratoga CDBG February 11, 2011 $34,000 12% Campbell CDBG January 28, 2011 $4,000 2% Health Trust event September 2011
$1,000 1% Health Trust Care support* March 2011 $45,000 * 4% St. Andrews July 2011 $4,200 2% Dorothy Fund TBA $4,700 2% Rotary & Kiwanis TBA $6,000 2.5% These figures do not include
letters of appeal or business sponsorships *this request will be very specific for program expansion, and should it be granted, will not support overall operations, but will offset a
percentage of labor TBD. Estimate $10,000 b) Total Amount of Funding Received from All Organizations Last Year: Organization Type of Funding Amount Received Percentage of Total Cost
Saratoga CDBG Federal Grant $33,487 12% Matched Grant City of Saratoga $15,000(50%of $30K) 6% Campbell CDBG Federal Grant $4,000 1.5% Lion’s Club Donation $800 < 1% Deanza Kiwanis Donation
$600 < 1% St Andrews Donation $4,200 2% Health Trust Grant $1000 < 1% Dorothy Fund Private donor Fund $6,500 2.5% These figures do not include letters of appeal or business sponsorships
15) Cost /Benefit Analysis: We are requesting $34,000 to support a portion of the total operating costs of the Saratoga Adult Care Center program. Per the attached budget, operating
costs include salaries, benefits, member programs and classes, food, supplies, training, audits, insurance, and
FY 2011-2012 CITY OF SARATOGA COMMUNITY GRANT & CDBG STANDARD APPLICATION necessary licenses and memberships. With intensive volunteer and fundraising efforts, this program creatively
stretches its revenues. The budget is tightly controlled and the Finance Committee, the Board of Directors and the Executive Director review expenses monthly. Rent, utilities, and janitorial
services are provided in-kind by the City of Saratoga. The City’s support remains as a significant factor in our organization’s success. In year 2009-10, 70% of the participants in the
Adult Care Center had low or very-low incomes. On average, their daily payments were subsidized by $25.00. With the efficient use of limited resources, the cost of the program is factored
at $12.30 per hour per participant. This is considerably less than in-home or nursing care ($22 per hour) for an individual who might otherwise require public support. Funds are requested
from the City of Saratoga to partially underwrite the programs ad services to our participants. 16) Target Beneficiaries: Saratoga Residents Served* Percentage of Total Clientele Low-Income
Clients Served Percentage of Total Clientele 25 54% Saratoga: 17 Total : 32 Sarat: 53 % of 32 low income total Sarat: 68% of Total Saratoga clients *2009-10 The number of Saratoga
residents served was 25 out of a total of 46 clients or 54% of our total number of clients. The total number of Low Income clients that we serve from all locations is 32 out of 46
or 70%. The total number of Low Income clients from Saratoga was 17 or 68% of our Saratoga resident clientele, 53% of our total low income clients and 37% of our total clients. Total
Program Cost projection Total Clients Served Cost Per Client Funding Requested Percentage of Total Cost $256,000 (50 families unduplicated per year) $5,120.00 $34,000 12%
BUDGET AGENCY NAME: SASCC Date Prepared: 11 Feb. 2011 PROGRAM NAME: Saratoga Adult Care Center SPECIFIC ACTIVITIES BUDGET AMOUNT PROPOSED PROJECT ANNUAL OPERATING EXPENSES Personnel
$195,500 Fringe $5,400 Fundraising $4,700 Office Supplies $2,600 Communications/marketing $1,200 Printing and Advertising $1,000 Program instruction and events $750 Program Supplies
$1,850 Program Food $22,050 Administration $3,900 Insurance $6,750 Audit $6,000 Equipment Maintenance & rental $800 Continuing Education/licensing $1,700 $254,200 PROPOSED PROJECT ANNUAL
OPERATING REVENUES CDBG funds $38,000 Program fees $166,000 Fundraising $17,000 Donations $25,000 St Andrews $4,200 Other TBDeveloped $4,000 $254,200
PERFORMANCE MEASUREMENTS AGENCY NAME: __SASCC______________ Date Prepared: _11 Feb. 2011_______ PROGRAM NAME: _______Saratoga Adult Care Center_____________ PERFORMANCE MEASUREMENT WORKSHEET
GOAL: The Adult Care Center seeks to enhance the quality of life for Saratoga Area Seniors via specific, ongoing supportive services, made available to lower-income participants, to
help keep the frail adult in his/her home & community and to provide respite to caregivers, regardless of income. OBJECTIVE (1): For FY 2010-2011 the Adult Care Center will provide over
8,000 hours of paid services to a minimum of 50 participants (clients) over a one year period. OUTCOME (1): To serve and improve the quality of life on a day to day basis for 50 unduplicated
clients and their families. OBJECTIVE (2): For FY 2011-2012 the Adult Care Center will maintain a realistic balance of client days in each quarter to support programs. OUTCOME (2): Maintain
client days at a minimum of 380 in each quarter.
FY 2011-2012 CITY OF SARATOGA COMMUNITY GRANT & CDBG STANDARD APPLICATION DATE: February 10, 2011 Please refer to the Application Instructions Sheet for details on the following questions.
Please expand the form as needed. However, please limit your answers to one paragraph per question. 1) Applicant Organization/Agency Name: Santa Clara Family Health Foundation Agency
Address: 210 East Hacienda Avenue, Campbell, CA, 95008 Executive Director: Kathleen M. King Phone: 408.874.1998 Fax: 408.874.1995 E-Mail: kking@scfhp.com Agency is a Faith Based Organization:
____ Yes _X__ No 2) Program Title: Healthy Kids Program Program Address: 210 East Hacienda Avenue, Campbell, CA, 95008 Contact Person/Title: Emily M. Hennessy, Director of Finance Phone:
408.874.1912 Fax: 408.874.1995 E-Mail: ehennessy@scfhp.com 3) Amount requested for FY11/12: $9,288 4) City of Saratoga grant funds requested in the past: $7,264 City of Saratoga grant
funds received in the past: $3,632 5) Program description and number of unduplicated clients served: Healthy Kids enables low-income children in Santa Clara County to receive health
services they need for healthy development. Funded entirely through local public and private sources, the program provides comprehensive health coverage (medical, dental, vision, and
mental health) for a population generally underserved – specifically, children with immigration issues or those who are not eligible for Medi-Cal or Healthy Families because their family
income is too high to qualify, yet too low to pay for health care or insurance. In Santa Clara County, there are roughly 7,300 children enrolled in Healthy Kids. Of these children, 10
children reside in Saratoga. Funds awarded from the City of Saratoga, would provide much-needed health coverage to the uninsured children in its community. 6) Program purpose and objectives:
The purpose of the Healthy Kids program is to provide low-income, uninsured children with health coverage. When Healthy Kids program and the Children's Health Initiative (outreach and
and enrollment effort targeting uninsured children) began in January 2001, one in eight children in Santa Clara County (13%) were uninsured. Now, this number has been reduced to one
in 33 or 3%. Because of our success, other counties have replicated our program. Twenty-three other counties within California have implemented some form of the Children’s Health Initiative
and Healthy Kids program models. In essence, our primary objective is to raise as much funds as possible to provide coverage to the children currently enrolled in the program. When we
were previously funded by the City of Saratoga, our objective was to keep as many Saratoga children in the program. 7) Program management:
FY 2011-2012 CITY OF SARATOGA COMMUNITY GRANT & CDBG STANDARD APPLICATION The Healthy Kids program is administered by Santa Clara Family Health Plan, a community-based health plan that
administers health benefits for Medi-Cal and Healthy Families recipients. They have been working in this capacity since 1996 and are well respected within the health community. Santa
Clara Family Health Foundation functions as a separate 501(c)(3) nonprofit organization that raises funds for the Healthy Kids program, as well as other projects and programs of Santa
Clara Family Health Plan. The Foundation works closely with the Health plan to ensure proper management and oversight of Healthy Kids as it relates to benefits, customer service, program
evaluation, and resource development. 8) Agency description and experience: The mission of Santa Clara Family Health Foundation is to promote access to affordable, high quality health
care through resource development and outreach on behalf of the underserved members of our community. In 2001, Santa Clara Family Health Plan (SCFHP), along with community partners,
established Healthy Kids with core funding from public tobacco funds and funding from SCFHP. The Foundation's primary focus for the past nine years has been on raising funds to support
the Healthy Kids program and the Children’s Health Initiative in Santa Clara County. Note: The Children’s Health Initiative is the extensive outreach effort throughout the County to
identify and assist parents of uninsured children in applying for health coverage for their children through Medi-Cal, Healthy Families, or Healthy Kids. 9) Audit information: Please
find attached a copy of the Foundation’s management letter and audited financials for fiscal year ending June 30, 2010. 10) Sources of funds anticipated for this project: FY 11-12 AB
495 $ 75,000 City of Cupertino 3,987 City of Mountain View 12,120 City of San Jose 1,000,000 County of Santa Clara 3,000,000 El Camino Hospital 75,000 FIRST 5 Santa Clara County 1,622,718
The Health Trust 200,000 Lifeguard Charitable Fund 20,000 Lucile Packard Children’s Hospital 50,000 Mission Community Fund -Santa Clara Family Health Plan Reserve 1,233,296 33,893 Total
Funding 7,326,014 Funding Source Individual Contributions 11) Budget: Please use the attached worksheet. 12) Performance Measurements: Please use the attached worksheet.
FY 2011-2012 CITY OF SARATOGA COMMUNITY GRANT & CDBG STANDARD APPLICATION 13) Outreach: Santa Clara Family Health Foundation’s School Outreach Program coordinates outreach and enrollment
efforts within schools throughout Santa Clara County, including Saratoga. A regional collaborative of school district staff, nurses, and administrators, along with community-based organizations
serving families in Saratoga convene monthly to coordinate the hosting of school enrollment events where parents of uninsured children can apply for health coverage through Medi-Cal,
Healthy Families, Healthy Kids, or Kaiser Child Health Plan. These outreach efforts are ongoing and occur two to three times a year in and around the City of Saratoga. Since applying
in 2007, the Healthy Kids program has served an additional 40 Saratoga children. 14) Leveraging: FY 10-11 % of Total Date Requested AB 495 100,000 1.2% Ongoing Blue Shield of California
Foundation 189,200 2.2% Apr 09 The California Endowment 250,000 2.9% May 09 City of Cupertino 3,987 0.0% Jan 10 City of Milpitas 10,000 0.1% Jan 09 City of Mountain View 12,120 0.1%
Feb 09 City of San Jose 2,100,000 24.7% Jun 10 County of Santa Clara 3,000,000 35.2% Jun 10 The David & Lucile Packard Foundation 386,862 4.5% Jun 09 El Camino Hospital 75,000 0.9% Jul
10 FIRST 5 Santa Clara County 2,043,223 24.0% Jun 10 The Health Trust 200,000 2.3% Jun 10 Lifeguard Charitable Fund 20,000 0.2% May 09 Lucile Packard Children’s Hospital 50,000 0.6%
Jul 10 Mission Community Fund 8,000 0.1% Feb 10 SanDisk Corporation 20,000 0.2% Jul 10 Westly Foundation 25,000 0.3% May 09 20,000 0.2% ongoing Total Funding 8,513,392 Funding Source
Individual Contributions
FY 2011-2012 CITY OF SARATOGA COMMUNITY GRANT & CDBG STANDARD APPLICATION Funding Source FY 09-10 % of Total Type of Funding AB 495 240,652 2.3% Reimbursement Blue Shield of California
Foundation 567,600 5.3% Grant The California Endowment 500,000 4.7% Grant City of Milpitas 10,000 0.1% CDBG City of Mountain View 12,120 0.1% CDBG City of San Jose 1,815,288 17.1% HNVF
Contract County of Santa Clara 3,000,000 28.2% Grant The David & Lucile Packard Foundation 194,402 1.8% Grant El Camino Hospital 150,000 1.4% Grant FIRST 5 Santa Clara County 2,888,027
27.1% Contract The Health Trust 500,000 4.7% Grant Lifeguard Charitable Fund 25,000 0.2% Grant Lucile Packard Children’s Hospital 50,000 0.5% Grant Palo Alto Medical Foundation 600,000
5.6% Grant SanDisk Corporation 5,000 0.0% Grant Westly Foundation 10,000 0.1% Grant Individual Contributions 27,000 0.3% Fundraising Fundraising Events 47,051 0.4% Fundraising Total
Funding 10,642,140 15) Cost /Benefit Analysis: Total Program Cost Total Clients Served Cost per Client Funding Request % of Total Cost $7,326,014 6,155 $1,190 $7,264 0.01% 16) Target
Beneficiaries: Saratoga Residents Served % of Total Clientele Low-Income Clients Served % of Total Clientele 10 1.6% 10 1.6%
BUDGET AGENCY NAME: Santa Clara Family Health Foundation Date Prepared: February 10, 2011 PROGRAM NAME: Healthy Kids Program SPECIFIC ACTIVITIES BUDGET AMOUNT Healthy Kids Coverage (Ages
0-5) $1,622,718 Healthy Kids Coverage (Ages 6-18) 5,703,296 Total Healthy Kid Program 7,326,014
PERFORMANCE MEASUREMENTS AGENCY NAME: Santa Clara Family Health Foundation Date Prepared: February 10, 2011 PROGRAM NAME: Healthy Kids Program PERFORMANCE MEASUREMENT WORKSHEET GOAL:
Improve access to affordable health coverage for children so they are healthier and perform better in school OBJECTIVE (1): Maintain 6,000 children (ages 0-18) enrolled in Healthy Kids
each month for the year (includes the 10 children residing in Morgan Hill that are enrolled in Healthy Kids) OUTCOME (1): 6,000 extremely low-, very low-, and lowincome, uninsured children
will receive access to health coverage through Healthy Kids. As a result, participants will have improved access to affordable health coverage, which will enable them to improve their
overall health and miss fewer days of school. OBJECTIVE (2): Secure funding to provide coverage to the children (ages 0-18) enrolled in Healthy Kids each month for the year OUTCOME (2):
6,000 extremely low-, very low-, and lowincome, uninsured children will receive access to health coverage through Healthy Kids, as determined by funding. As a result, participants will
have improved access to affordable, comprehensive health services. OBJECTIVE (3): Conduct appropriate, effective outreach in the community to enable children currently enrolled in Healthy
Kids maintain their coverage OUTCOME (3): 70% of Healthy Kids members retain their coverage after the initial one-year period. As a result, participants will continue to have access
to health services. OBJECTIVE (4): Conduct appropriate outreach to identify uninsured children and assist their parents in applying for health coverage OUTCOME (4): 3,000 uninsured children
apply for health coverage. As a result, children have access to health services that enable them to become healthier.
FY 2011-2012 CITY OF SARATOGA COMMUNITY GRANT & CDBG STANDARD APPLICATION DATE: February 11, 2011 Please refer to the Application Instructions Sheet for details on the following questions.
Please expand the form as needed. However, please limit your answers to one paragraph per question. 1) Applicant Organization/Agency Name: Shady Shakespeare Theatre Company Agency Address:
PO BOX 520, Santa Clara, Ca 95052 Executive Director: Dinna Myers Phone: 408-569-0360 Fax: 408-986-9552 E-Mail: Dinna@shadyshakes.org Agency is a Faith Based Organization: ____ Yes __X__
No 2) Program Title: Shakespeare in Sanborn Park Program Address: 16055 Sanborn Road, Saratoga, CA 95070 Contact Person/Title: Dinna Myers, Managing Director Phone: 408-569-0360 Fax:
408-986-9552 E-Mail: Dinna@shadyshakes.org 3) Amount requested for FY11/12: $5,000.00 4) City of Saratoga grant funds requested in the past: Shady Shakespeare requested $2,500 in 2009
and $3,000.00 in 2010. City of Saratoga grant funds received in the past: Shady Shakespeare was grateful to receive $2,500.00 in 2009 and $375.00 in 2010. 5) Program description and
number of unduplicated clients served: For the last 10 years, Shady Shakespeare Theatre Company (SSTC) has produced performances of Shakespeare’s plays in the summer months in Sanborn-Skyline
County Park in Saratoga. In 2011 we will be producing 22 performances of The Life and Times of Henry V and A Midsummer Night’s Dream from July 29th – September 4th, Thursday through
Sunday evenings at 7pm. Due to a critical lack of available funding from a broad spectrum of sources, for the first time since 2001, we will be charging for tickets for adults 18 and
over to attend our performances. Adult ticket prices will range from $6.00 to $18.00 each. However, kids 17 and under will continue to receive free admission. So a family of four can
still enjoy an evening of live theatre for as little as $12.00. While our core audience comes primarily from Saratoga, Monte Sereno, Los Gatos, Cupertino, Campbell, Sunnyvale, and San
Jose, there are also a number of people who travel in from the East Bay, the Peninsula, Santa Cruz County, and San Francisco. Many of these people come to Saratoga to shop or enjoy dinner
at a local restaurant before making their way to Sanborn Park. Because SSTC strives to make its work attainable to persons of all educational and cultural backgrounds, our audiences
mirror the diversity of the Silicon Valley itself. 30% of our audience are people of color. Our services are of special interest to families who would not ordinarily be able to expose
their children to the magic of live theatre without our summer program. SSTC’s 2010 productions of Much Ado About Nothing and The Merchant of Venice were attended by approximately 5,476
people, 812 of who were children under the age of 18. Since an unknown number of these people see both productions, we estimate that the unduplicated number is approximately 4,500.
FY 2011-2012 CITY OF SARATOGA COMMUNITY GRANT & CDBG STANDARD APPLICATION 6) Program purpose and objectives: Shady Shakespeare Theatre Company seeks financial support from the City of
Saratoga in order to continue to offer FREE admission to our summer productions to youth aged 17 and under in 2011. Our objective is to add to the cultural diversity of the city of Saratoga
and offer its residents, and those of surrounding cities, affordable access to live theatre. In this dismal economy, thousands of families will be counting on programs like ours to keep
art and culture affordable in our community. Previous funding from the City of Saratoga, and other funders, has permitted us to focus energy on audience development. Last year SSTC increased
its audience by 37%. We feel this shows both need and desire for our program in Saratoga. Your support will allow us to continue to offer free admission to the more than 800 kids that
come and see our plays each summer and to continue to grow awareness of our programs among the residents of Saratoga and bring people from other cities to discover or rediscover The
Village and surrounding businesses. Our research shows that theatre companies that are able to offer free or affordable arts access are either tied to a major university or supported,
in part, by the city in which they perform. We are asking the City of Saratoga to recognize that the arts are part of a healthy cultural ecology and to embrace Shady Shakespeare as a
premier provider of performing arts experiences in Saratoga. 7) Program management: Although SSTC continues to pay its artists and core staff members an honorarium for their work, the
company is managed by a committed group of professionals who work far and beyond their compensation to bring high-quality and innovative theatrical productions to the City of Saratoga
each summer. The administrative staff are independent contractors who contribute of 10 – 20 hours per week of their time. The Artistic Director, Larry Barrott, is responsible for maintaining
artistic integrity and the quality of the experience for both the participants and the public. The Artistic Director selects programming, chooses artistic staff, and oversees the artistic
ensemble. The Managing Director, Dinna Myers, is responsible for the business aspects of the organization such as marketing and public relations, fundraising, grant writing, volunteer
development, and organizational development. The Membership Director, Vera Sloan, is responsible for developing our membership program and providing benefits and exceptional experiences
to our members and high-level donors. Fiscal and program oversight is provided by the Board of Directors. In 2010, we were pleased to engage approximately 40 community volunteers. Their
duties included set, prop, and costume construction, technical operation, fundraising, marketing, concession sales, ushering, graphic and website design, and event management. 8) Agency
description and experience: SSTC is a 501(c)3 nonprofit corporation committed to providing Silicon Valley residents the opportunity to experience the performing arts and to building
community relationships through cultural participation. Our particular brand of theatre demystifies the rich and challenging language of Shakespeare without dumbing it down, bringing
people from all walks of life together to enjoy one of the most significant playwrights of all time. In addition to our summer Shakespeare Festival in Saratoga, SSTC also offers experiential
arts education through our Summer Shakespeare Camp for Youth and Teens, and by bringing programs to the public schools. Dinna Myers and Sara Betts founded Shady Shakespeare in 1999.
For the first three years, the company performed one play each summer in
FY 2011-2012 CITY OF SARATOGA COMMUNITY GRANT & CDBG STANDARD APPLICATION a variety of locations in the South Bay and Peninsula and we charged for tickets. In 2002, SSTC moved to Sanborn-Skyline
County Park in Saratoga and began making performances free to the public. Hats were passed at the conclusion of each performance and giving has always been equal to $3.00 per capita.
In 2005, SSTC expanded its programming to performing two plays in repertory. SSTC’s mission is as follows. • Shakespeare: To be a proponent of the works of William Shakespeare and to
make these works accessible to people from all walks of life. To be the voice of Shakespeare in a modern society, and to bring the universal messages of his work to the people of the
Silicon Valley. • Artistry: To provide an environment that nurtures, fulfills, educates, and excites theatrical artists while allowing them to further their artistic and personal goals.
To create experiences that push the envelope of theatrical performance, inspire audiences, incite personal reflection, and challenge paradigms. • Strength: To maintain an artistic organization
that enhances the quality of life in the Bay Area, is an asset to the community it serves, and is valued by that community. To be the kind of organization that compels people to become
involved in and contribute to its workings. • Diversity: To encourage and demonstrate cultural diversity by providing opportunities to all artists and volunteers without regard to race,
creed, or gender. To support economic diversity by making art available to people of all economic and sociological backgrounds. 9) Audit information: Shady Shakespeare does not have
a professionally prepared or audited Financial Statement. We have attached a Standard Profit Loss Report and Balance Sheet for 2010 and an Annual Report produced by the California Cultural
Data Project. 10) Sources of funds anticipated for this project: SOURCE AMOUNT STATUS Individual Giving $20,000.00 $15,000 already received $5,000 uncommitted Corporate Giving $7,000.00
$5,000 from SanDisk Corporation uncommitted. $2,000 in matching funds from employee giving programs, committed. Government Support $5,000.00 City of Saratoga Community Grant, uncommitted.
Foundation Support $8,000.00 $3,000 from Saratoga Rotary, uncommitted. $5,000 from Arts Council Silicon Valley, uncommitted Earned Income from Special Events $6,000.00 Events occur in
June, September, and November. Earned Income from Ticket Sales and Merchandising $44,000.00 Related to our Spring Production of The Imaginary Invalid in San Jose and our Shakespeare
in the Park Program in Sanborn Park in July – September. Total: $90,000
FY 2011-2012 CITY OF SARATOGA COMMUNITY GRANT & CDBG STANDARD APPLICATION 11) Budget: Please see the attached worksheet. 12) Performance Measurements: Please see the attached worksheet.
13) Outreach: SSTC markets its productions to Saratoga residents and to the entire Silicon Valley in a variety of media. • SSTC website at http://www.shadyshakes.org, • Local event websites
such as with Artsopolis, Gold Star, Eventbee, and online calendars with the Mercury News, Metro, and Wave Magazines. • SSTC leverages Social Media such as Twitter and Facebook. We have
1176 followers on Facebook and will be using their highly targeted paid advertising to specifically attract Saratoga residents by zip code. • Monthly e-mail newsletters to our own list
using Constant Contact as our e-provider. • Print advertisements in Saratoga Community News and other Community Newspapers • Direct mail campaign consisting of an oversized postcard
to past attendees, proven arts buyers from
other organizations, and random households in Saratoga totaling 7,500 pieces. • Flyers are distributed by company members, volunteers and various organizations that support the arts.
• Every attempt is made to engage the broadcast and print media where possible through press releases and PSA’s to 288 media sources in a complex database. 14) Leveraging: Thus far in
2011, SSTC has requested a total of $18,000 from 4 organizations (including this grant request), which is approximately 20% of our budget. In addition to this request for $5,000 from
the City of Saratoga, we have completed the following applications: • We applied to the Arts Council Silicon Valley on February 7th and expect to receive around $5,000.00 in June. •
We applied to the SanDisk Corporation in January and hope to receive $5,000 in March. • We have submitted a request to the Saratoga Rotary Foundation for $3,000.00, and expect to have
announcement of award in March. The grants above are for this program only. We also have applications pending with the Packard Foundation for a new website, US Bank Corp and Union Bank
for funding for our education programs, and Seagate Technologies for operational support. In 2010, only 12% of SSTC’s income was from grants totaling $10,730.00. We received $2,855.00
from the Arts Council Silicon Valley, $5,000.00 from SanDisk Corporation, $375.00 from the City of Saratoga, and $2,500.00 from Applied Materials. 15) Cost /Benefit Analysis: Total Program
Cost Total Clients Served Cost per client Funding Requested % Total Cost $90,000 5,000 $18.00 $5000 5.6%
FY 2011-2012 CITY OF SARATOGA COMMUNITY GRANT & CDBG STANDARD APPLICATION 16) Target Beneficiaries: Since we have not typically sold tickets, we have no record of who attends our production
or where they live. We are only able to count people as they enter the theatre. We estimate, based on our email and postal mailing lists, that approximately 5% of our unduplicated clients
served are Saratoga residents. Saratoga Residents Served % Total Clientele Low-Income Clients Served % Total Clientele Estimated 500 5%
BUDGET AGENCY NAME: Shady Shakespeare Theatre Company Date Prepared: 1/1/11 PROGRAM NAME: Shakespeare in Sanborn Park SPECIFIC ACTIVITIES BUDGET AMOUNT Can be broken down quarterly or
annually (please specify) Annual Artist Stipends -$20,000.00 Production Expenses -scenery, costumes, lighting, props, sound, etc. -$27,000.00 Marketing and Publicity -$10,000.00 Rent
-$4,000.00 Insurance -$5,000.00 Administrative -$17,000.00 Fundraising -$7,000.00 TOTAL EXPENSES -90,000.00 Grants and Corporate Giving and Sponsorships +20,000.00 Individual Giving
+20,000.00 Special Event Fundraising – Gala, Poker Tournament, ArtsWalk +6,000.00 Earned Income – Concession Sales, Merchandising, Advertising Sales, Ticket Sales, +44,000.00 TOTAL INCOME
+90,000.00
PERFORMANCE MEASUREMENTS AGENCY NAME: Shady Shakespeare Theatre Company Date Prepared: 2/8/11 PROGRAM NAME: Shakespeare in Sanborn Park PERFORMANCE MEASUREMENT WORKSHEET GOAL: SSTC’s
goal is to enhance the quality of life in Saratoga by providing low cost access to the performing arts to its residents and residents of the Silicon Valley. OBJECTIVE (1): Our objective
is to provide 22 performances of two of Shakespeare’s plays free to the public in Sanborn Park from July 29th – September 4th, 2011 for over 5,000 Silicon Valley Residents. OUTCOME (1):
It is difficult to measure the intrinsic impact of the arts on the lives of our neighbors. How can we quantify the effect on quality of life that comes from sitting under the stars with
one’s family and friends and sharing a cultural experience? How do we measure the value of the arts in the lives of our kids and the impact they have on their future as students and
professionals and community members? We primarily gauge our success by the ever-growing audience numbers, letters we receive from the public, and public reviews on Guidestar.com, Artsopolis.com,
Facebook, and Yelp. OBJECTIVE (2): One of our strategic goals is to make Saratoga residents aware of our programs and engage them as audience members and potential volunteers. We expect
to lose some audience as a result of having to sell tickets. We hope to minimize loss and even possibly grow overall attendance at our performances in 2011. OUTCOME (2): We are seeking
to specifically increase the Saratoga and Monte Sereno segment of our audience by 10%. Other indicators of success are an increase in volunteerism and donations by Saratoga community
members, and increased support from local businesses in the form of advertising revenue and in-kind donations.
FY 2011-2012 CITY OF SARATOGA COMMUNITY GRANT & CDBG STANDARD APPLICATION DATE: February 7, 2011 Please refer to the Application Instructions Sheet for details on the following questions.
Please expand the form as needed. However, please limit your answers to one paragraph per question. 1) Applicant Organization/Agency Name: Wildlife Center of Silicon Valley Agency Address:
3027 Penitencia Creek Road, San Jose, CA 95132 Executive Director: Anita Templer Phone: 408-929-9453 Fax: 408-928-5853 E-Mail: atempler@wcsv.org Agency is a Faith Based Organization:
____ Yes X No 2) Program Title: Urban Wildlife Hospital and Rehabilitation; Environmental Urban Wildlife Education Program Address: 3027 Penitencia Creek Road, San Jose, CA 95132 Contact
Person/Title: Anita Templer, Executive Director Phone: 408-929-9453 Fax: 408-928-5853 E-Mail: atempler@wcsv.org 3) Amount requested for FY11/12: $2,125.85 4) City of Saratoga grant funds
requested in the past: $4,000 in FY05/06, $4,000 in FY06/07, $4,212 in FY07/08, $4,212 in FY 08/09, $4,212 in FY 09/10, $4,212 in FY 10/11 City of Saratoga grant funds received in the
past: As requested in FY05/06 through FY09/10; $1,275 in FY10/11. 5) Program description and number of unduplicated clients served: Each year, the Wildlife Center of Silicon Valley (WCSV)
provides high quality hospital care and rehabilitation for more than 4,000 injured, sick, or orphaned urban wildlife from throughout the South Bay. In 2010, Saratoga residents brought
100 animals, including three hawks, a deer, a Canada Goose, and two owls, to WCSV for care. Additionally, WCSV responded to 225 telephone inquiries from Saratoga residents, providing
them with pertinent information that helped to foster a healthy coexistence between the public and the urban wildlife in their neighborhoods and served to increase the safety and well-being,
and improve the quality of life, of human and animal alike. 6) Program purpose and objectives: The Wildlife Center of Silicon Valley (WCSV) is the only hospital facility in the South
Bay that provides hospital care, rehabilitation and, whenever possible, release for more than 150 species of sick, injured, or orphaned birds and small mammals. Environmental education
and assistance is provided by trained individuals who respond to telephone and e-mail inquiries and also give age-appropriate presentations throughout the South Bay on a variety of questions
and concerns related to urban wildlife. When wildlife issues are not appropriately addressed and/or wildlife are removed from their natural habitat, it causes an unnatural imbalance
in the ecosystem and often results in additional problems for residential neighborhoods, such as an overabundance or mice, rats and cockroaches.
FY 2011-2012 CITY OF SARATOGA COMMUNITY GRANT & CDBG STANDARD APPLICATION 7) Program management: The Wildlife Center of Silicon Valley currently has three full-time employees – an Education
and Outreach Coordinator who is responsible for responding to all phone, electronic and in-person enquiries, off-site educational presentations, and volunteer recruitment; a Wildlife
Rehabilitation Supervisor who oversees all hospital care and rehabilitation activities; and an Executive Director who manages day-to-day business operations. Additionally, WCSV employs
two part-time animal care staff and a part-time administrative assistant who is also responsible for animal intake which, during the peak season of March through September, numbers between
60 and 100 animals per day. During the busy season, the hospital adds one additional part-time staff person to its roster. Animal care is heavily dependent on more than 150 volunteers
who contribute over 30,000 hours each year. 8) Agency description and experience: The Wildlife Center of Silicon Valley has been providing high quality care and rehabilitation for urban
wildlife in the South Bay since 1993, specifically to the City of Saratoga since 1999, and is the only wildlife hospital and rehabilitation facility available to more than 150 animal
species that share our communities. The Mission Statement of the Wildlife Center of Silicon Valley is: “To provide high quality care and rehabilitation of injured, sick, and orphaned
wildlife within the Silicon Valley and surrounding communities.” 9) Audit information: The Wildlife Center of Silicon Valley is not required to nor does it currently conduct an annual
audit. 10) Sources of funds anticipated for this project: The Wildlife Center of Silicon Valley is primarily funded by individual donations and income from special events. We also receive
service fees from the nine cities whose residents avail themselves of and benefit from the services we provide. Please see attached schedule. 11) Budget: Please see the attached worksheet.
12) Performance Measurements: Please see the attached worksheet. 13) Outreach: The Wildlife Center of Silicon Valley issues an informational magazine twice a year that is free of charge
to the public; environmental education that often includes a non-releasable education animal, is also provided through age-appropriate presentations in schools, community centers, fairs
and other public arenas. One such presentation, paired with a bird release, was made in 2010 at West Valley College. 14) Leveraging: The attached schedule shows actual sources of funding
in 2010 and projected sources in 2011.
FY 2011-2012 CITY OF SARATOGA COMMUNITY GRANT & CDBG STANDARD APPLICATION 15) Cost /Benefit Analysis: Saratoga Residents Served and % of total intake in 2010 Saratoga Telephone Inquiries
and % of total in 2010 2010 cost of total program Average cost per intake Saratoga benefit received 2010/2011 Saratoga Funding 100 – 2% of total 225 – 4% of total $283,446 $55 $5,500
(not including outreach and telephone calls $1,275 (23% of intake benefit) 16) Target Beneficiaries: We anticipate that at least 325 unduplicated Saratoga residents will receive direct
benefit from our programs.
BUDGET AGENCY NAME: Wildlife Center of Silicon Valley Date Prepared: February 7, 2011 PROGRAM NAME: Urban Wildlife Hospital and Rehabilitation; Environmental Urban Wildlife Education
SPECIFIC ACTIVITIES BUDGET AMOUNT Hospital and Rehabilitation Food, medicine, enclosures, supplies 53,800 Facilities maintenance and security 11,200 Personnel 117,329 Education and Outreach
Tracks Magazine and other education materials 10,000 Personnel 80,503 Program Support Personnel 41,282 Utilities 21,300 Other program support 54,411 TOTAL PROGRAM EXPENSES (2011) $389,825
PERFORMANCE MEASUREMENTS AGENCY NAME: Wildlife Center of Silicon Valley Date Prepared: February 7, 2011 PROGRAM NAME: Urban Wildlife Hospital and Rehabilitation; Environmental Urban
Wildlife Education PERFORMANCE MEASUREMENT WORKSHEET GOAL: To provide highest quality hospital care and rehabilitation to the injured, sick, and orphaned wildlife that are brought to
the Wildlife Center of Silicon Valley. To conduct environmental urban wildlife education programs that help area residents avoid and/or resolve potential human/wildlife conflicts and
develop an understanding of and respect for urban wildlife. OBJECTIVE (1): To provide appropriate, humane, and effective hospital care and rehabilitation to at least 4,000 injured, sick,
and orphaned wildlife that will be brought to our facility in 2011. OUTCOME (1): The rate of return by wildlife patients to their natural habitat will be increased by 15%. OBJECTIVE
(2): To develop and train an education team that will provide informational presentations throughout the South Bay, including Saratoga, serving to improve the relationship between humans
and wildlife that helps to maintain a balanced ecosystem. OUTCOME (2): The number of community events, school presentations, etc., will be increased by at least 15%, thereby significantly
increasing the number of residents reached to 1,500.
FY 2011-2012 CITY OF SARATOGA COMMUNITY GRANT & CDBG STANDARD APPLICATION DATE: January 31, 2011 Please refer to the Application Instructions Sheet for details on the following questions.
Please expand the form as needed. However, please limit your answers to one paragraph per question. 1) Applicant Organization/Agency Name: West Valley Community Services Agency Address:
10104 Vista Drive Cupertino CA 95014 Executive Director: Naomi Nakano Matsumoto Phone: 408-255-8033x 301 Fax: 408-366-6090 E-Mail: naomin@wvcommunityservices.org Agency is a Faith Based
Organization: ____ Yes X No 2) Program Title: Comprehensive Emergency Assistance Program (CEAP) Program Address: 10104 Vista Drive Cupertino CA 95014 Contact Person/Title: Sujatha Venkatraman,
Director Stability Support Services Phone: 408-255-8033 x 301 Fax: 408-366-6090 E-Mail: sujathav@wvcommunityservices.org 3) Amount requested for FY11/12: $15,164 4) City of Saratoga
grant funds requested in the past: $15,164 City of Saratoga grant funds received in the the past: $15,164 5) Program description and number of unduplicated clients served: The Comprehensive
Emergency Assistance Program (CEAP) provides Saratoga residents with lifeline case management and emergency assistance services that help them manage their financial crisis; enhance
and/or maintain their self-sufficiency status. In addition, wrap-around case management helps access services they need in order to find suitable housing and employment
as well as community resources that help them address specific needs. CEAP will help protect the most vulnerable citizens from food instability by ensuring lifeline access to nutritional
support that maintains their health and well being, which is instrumental for employment and maintaining overall self sufficiency. The components of the CEAP are intended to provide
wrap-around services that clients can access at one location. Case Management: Case management services are available to help link clients to various community resources and providing
providing translation if needed. Case Managers complete the intake and assessment of household needs, give referrals to appropriate services to meet such needs if they are not available
in-house, and recertify clients as necessary (a minimum one recertification is needed per year). As the case manager conducts the intake, additional programs such as food stamps, discount
utilities and child care are discussed. If a client does not qualify for cash assistance, the case manager makes appropriate referrals and helps the client consider other options as
necessary. Food Pantry: WVCS works to alleviate hunger by distributing more than 250,000 pounds of food each year to more than 4,000 individuals and families. All qualified clients will
have
FY 2011-2012 CITY OF SARATOGA COMMUNITY GRANT & CDBG STANDARD APPLICATION access to the food pantry in order to supplement their needs and reduce grocery expenses. Every visit to the
food pantry includes fresh fruit and vegetables, fresh bread, eggs, a source of protein, and milk, sourced from Second Harvest Food Bank and generous donations from local grocery stores
such as Safeway and Whole Foods. Emergency Cash Assistance: WVCS provides one-time Emergency Financial Assistance to prevent evictions, and utility cutoffs. The goal is to stabilize
individuals and families during times of trouble and help them return to self-sufficiency. Rent and utility assistance is provided 24 to 48 hours after approval, payable directly to
the vendor. Checks are never made payable to the client. Emergency cash assistance qualification includes: proof of residency, income, identification, childrens birth certificates,
rental agreement and proof of emergency. Volunteer Income Tax Assistance (VITA): The EITC/VITA Case Manager coordinates certified volunteers and on-site facilities to assist clients
with preparing and filing their taxes. VITA works to ensure everyone in the community receives all of the tax credits and deductions for which they are eligible. VITA helps taxpayers
obtain eligible tax credits and deductions, especially EITC, Child Tax Credit, Education Tax Credits and Child Care tax deductions. Financial Education & Counseling: Because of the neighborhood
they live in, credit history, or lack of access to transportation, low-income working families often pay more for basic goods and services, including groceries, healthcare, financial
services, credit products, and insurance than families with higher incomes. Financial education workshops and counseling are offered periodically to connect low-income working families
to targeted financial education on budgeting, spending, and credit that can help them to stay within their monthly budgets. Mental Health Counseling: Research indicates that the availability,
utilization, and quality of mental health services is particularly disproportionate among minority and low-income people due to issues such as inadequate or no insurance, social stigma,
lack of or incorrect diagnosis by medical professionals, and limited access to care. Mental health counseling is offered to clients with the focus on crisis management and emotional
stabilization. These services are offered on-site by a partner mental health agency. Raising A Healthy Eater (RAHE): The RAHE program addresses the public health concern linking poverty
to obesity and poor health. Through the RAHE program, parents and their children who access the WVCS Food Pantry learn to plan for, shop for, and prepare healthy meals based on the resources
available to them. The RAHE program teaches families the basic skills needed to make healthy food choices for their families. Parent Workshops: In all communities, parents face multiple
challenges that may inhibit their ability to effectively raise and support their children. To meet their responsibilities, all parents need support from individuals, family-friendly
institutions, and caring communities. Free parent workshops are offered at WVCS to help strengthen parents' capability to draw upon available resources for their own and their children's
well-being. 6) Program purpose and objectives: For many individuals and families already struggling, higher prices stretch budgets even more, and result in increasing requests for basic
human needs such as food, clothing, shelter, emergency financial aid, housing assistance, and family support services. WVCS provides a variety of
FY 2011-2012 CITY OF SARATOGA COMMUNITY GRANT & CDBG STANDARD APPLICATION services to prevent homelessness and hunger and serves as the only safety-net agency in the West Valley for
individuals and families facing eviction, utility disconnections, and hunger. The CEAP provides lifeline services to low-income families, seniors, and single adults living in Saratoga
by preventing hunger, eviction, and utility shut-offs. Qualified clients receive services as-needed, resulting in more stable monthly situations and more stable lives. Wrap-around services
are available to all WVCS qualified clients, which include mental health services, nutrition classes, and special seasonal programs, incorporating an integrated approach to nutritional
and financial well-being. The -income seniors, single adults, and families in the West Valley community have continued
access to basic human needs services, including access to an adequate quantity of quality food and assistance with rent, deposit, or utility payment, and intends to improve the overall
community condition by providing outreach, direct services and case management through a planned course of action. To meet the goal, major program provisions will ensure those qualified
will receive: Utility and financial management assistance Rent and financial management assistance Security deposits and financial management assistance Food and nutrition information
�
� earn. This is measured by the elimination and/or reduction of requests by clients who received financial assistance, and is tracked by case notes and phone call logs. Annual budget
reviews �
� and asset-building programs will be encouraged to assist with further savings.
-sufficiency components �
� to long-term stability for each household and the community overall. Food is a basic need and all CEAP clients qualify for food pantry
services, which can save a family of four, $200 to $300 per month in food costs. WVCS data suggests that an increase in food pantry usage correlates with a decrease in financial assistance
requests, as measured by daily food logs, case management, and client case notes for cash assistance requests. WVCS created the Raising-A-Healthy Eater program as one way to ensure our
clients regularly access the food pantry, thus thus decreasing financial hardship. Healthy and kid friendly recipes and cooking demonstrations are focused on how to best prepare food
received from the food pantry, with each recipe and food tasting created from only ingredients found in the food pantry.
-working neighbors survive this economic crisis.
FY 2011-2012 CITY OF SARATOGA COMMUNITY GRANT & CDBG STANDARD APPLICATION 7) Program management: To ensure thorough and comprehensive services to extremely-low to low-income residents,
the and identification for all adults, rental agreement, and
birth certificates for any children. Recertification is conducted annually. The management of the CEAP is integrated and each staff member is cross-trained to ensure consistent and quality
services. Employees and volunteers represent the clientele served and speak many of the client languages. Three positions staff this project: Case Manager; Operations Manager; and Program
Director. In-kind positions include San Jose State University Social Work Interns and community volunteers. 8) Agency description and experience: WVCS provides a continuum of basic needs,
family support and housing services through three different areas -Health, Home, and Heart. Health -Provides Food, Clothing, & Nutrition Services WVCS works to alleviate hunger by distributing
approximately 400,000 pounds of food each year to more than 4,000 individuals and families. WVCS receives donations of food from Second Harvest Food Bank, local grocery stores and the
community. The Food Pantry is staffed primarily by volunteers who bag and distribute more than $600,000 worth of food to more than 2,000 families every year. Every week, income eligible
households have access to the WVCS Food Pantry at two locations in Cupertino and Los Gatos. Our Community Access to Resources and Education (CARE) project is available to provide access
to valuable health and nutrition resources during times of need. WVCS provides SNAP Food Stamps eligibility pre-screening, cooking on a budget classes, one-on-one nutrition consultation
and other services. Home -Provides Housing Assistance The Transitional Housing Program provides supportive services and stable housing to 12 homeless men and 6 single mothers with a
child. Tenants also receive budget coaching, case management and assistance to secure permanent housing. Our Below Market Rate Housing (BMR) Program places over 200 low-income households
into affordable rental housing units in Cupertino. The BMR program administers the affordable housing sales program for the City of �
� Vista Village Apartment Complex, permanent housing for low-income households.
Heart -Provides Family Support & Emergency Assistance Unexpected situations have the potential to cause deep financial instability. WVCS provides onetime Emergency Financial Assistance
to prevent evictions, utility cutoffs, transportation needs,
FY 2011-2012 CITY OF SARATOGA COMMUNITY GRANT & CDBG STANDARD APPLICATION clothing vouchers and other basic needs. Case managers work closely with families and individuals to determine
qualifications, needs and capability to stabilize. The goal is to stabilize individuals and families during times of trouble and help them return to self-sufficiency. Ongoing financial
workshops are offered free of charge and provide valuable information on budgeting, credit, and more. In addition, counseling services and legal consultation are provided from qualified
volunteer specialists and partner agencies. WVCS also coordinates special programs that provide the distribution of Thanksgiving, spring, and holiday food baskets, back-to-�
� -a-rogram during December in collaboration
with various faithbased and community-based organizations. These special programs offer families the
9) Audit information: The date of the most recent audit is for the fiscal year ending June 30, 2010.
The following items were noted in the Management Letter: During out tests of indirect expense allocations we found that some expenses were not allocated across functional areas/classes
in accordance with . Expense allocations are being monitored �
� During our tests of cost reimbursement invoices, billing to various grantors,
we noted that costs had been over-claimed, and in some cases costs were under-claimed. A review/approval step has been added to the billing
process to ensure all invoices that are sent out to grantors reflect actual costs incurred. 10) Sources of funds anticipated for this project: SOURCE AMOUNT STATUS City of Saratoga 15,164
Application Pending Other Cities 82,335 Application Pending Foundation 78,750 Committed Community Donations 38,000 Secured Total: 214,249 11) Budget: Please see the attached worksheet.
12) Performance Measurements: Please see the attached worksheet. 13) Outreach: WVCS works closely with other community-based organizations serving Saratoga residents to provide information
on WVCS programs and services. WVCS has long-standing relationships with United Way Silicon Valley, Second Harvest Food Bank, local Rotaries, Kiwanis, Lions
FY 2011-2012 CITY OF SARATOGA COMMUNITY GRANT & CDBG STANDARD APPLICATION clubs, Saratoga Ministerial Association and other services groups who assist us in providing outreach for our
programs and services. WVCS also plans to engage our localFaith in Action (FIA) network, a group of synagogues and churches in the community. We are working with MidPen Housing and are
conducting workshops at their low income housing units in Saratoga through our Community Access to Resources and Education (CARE) project. In addition, our CEAP information is
available via 2-1-1 Santa Clara County, a free health and human service information and referral number. Program information is also available on our website. WVCS also plans to work
with the City of Saratoga to ensure that program information
and schools. WVCS is also currently working with West Valley College in developing a partnership that will allow us to
promote our services on their college campus. 14) Leveraging: SOURCE AMOUNT STATUS Saratoga 15,164 Application Pending Other Cities 82,335 Application Pending Foundation 78,750 Committed
Community Donations 38,000 Secured Total: 214,249 15) Cost /Benefit Analysis: 16) Target Beneficiaries: Saratoga Residents served % Total Clientele Low-Income Clients Served % Total
Clientele 67 11% 611 100% Total Program Cost Total Clients Served Cost per client Funding Requested % Total Cost $214,249 611 $351 $15,164 2%
BUDGET AGENCY NAME: West Valley Community Services Date Prepared: January 25, 2010 PROGRAM NAME: Comprehensive Emergency Assistance Program (CEAP) SPECIFIC ACTIVITIES BUDGET AMOUNT ANNUALLY
Can be broken down quarterly or annually (please specify) SALARIES Personnel Payroll Tax and Benefits 7,488.00 1,800.00 OFFICE EXPENSE Telephone/Fax Travel Utilities 1,496.00 720.00
2,460.00 PROJECT EXPENSES Accounting 1,200.00 $15,164.00
PERFORMANCE MEASUREMENTS AGENCY NAME: West Valley Community Services Date Prepared: January 25, 2011 PROGRAM NAME: Comprehensive Emergency Assistance Program (CEAP) PERFORMANCE MEASUREMENT
WORKSHEET GOAL: To increase the self sufficiency for lower income Saratoga residents by creating and/or maintaining household stability including preventing hunger, evictions, utility
shut-offs and homelessness and by providing information and referrals to public assistance programs such as Food Stamps, SSI, SSID, Cal Works, and others. OBJECTIVE (1): Provide food
on a weekly basis. OUTCOME (1): By June 30, 2012, 100% of qualified Saratoga residents receiving food assistance will have food stability. 40 individuals will be served. OBJECTIVE (2):
Provide rental and/or utility assistance on a onetime only basis. OUTCOME (2): By June 30, 2012, 80% of recipients will state that the assistance provided prevented eviction and/or utility
shut-off. 10 individuals will be served.