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Home My WebLink AboutCommunity Health Center - Healthcare for Homeless . ,e, (.,,,,) ,,,,K„...,,,,, , '4604) ow/4k, 42,,,,,,,,, s, Rating Tool for 2009/2010 Funding Applications SECTION 1. Mary Ann: Pass/Fail: If all answers are yes, the application goes forward. If any answer no, the application review stops. Yves o ❑ Submitted before deadline? i ❑All uestions answered on City supplemental application? ❑ lerdommon Application Checklist—all items "yes"? bvs4, 0 r Itat.Cati4U- COMMON APPLICATION CHECKLIST fl\ Yes o Cover pages l� . ❑ Agency Information and Questions 1-7. ❑ Question 8 Organizational Experience (2 page maximum) R ❑ Question 9 Need for Your Program (2 page maximum), ❑ Question 10 Proposed Program/Service (6 page maximum) ❑/ ❑ Question 11 Long Range Plan (1:page maximum) ❑ Question 12 Budget (2 page maximum) ./ Data Tables f1 ❑ Question 13 Number oflridividuals/Households Served ®,, ❑ Question 14a-c Performance Measures and Average Cost of Service L�J . El Question 15 Demographics (from ati funding sources) Fr, ❑ Question 16 Program Staff `i ❑ Question 17 Program Revenue,& Expense Budgets -' ❑ Question 18 Subcontracts ,� Required Documents Proof of non-profit status .. M ., ❑ Organizational Chart • [ Agency/Organization Mission Statement 1 . ❑,Board resolution authorizing submittal of the application (may be submitted up to 60 ' days after application). n ❑ List of the current governing board and local board, if applicable, (include name, position/title, City residence, length of time on the Board, and expiration of terms. Note any vacancies).:" ❑ Board Meeting,Minutes of last three board meetings of governing board and local board as applicable ❑ Annual Budget ar ❑ F'.nancial Audit Cover Letter ❑ .•Financial Audit Management Letter r) (a----- [ `°*°11 Financial Statement Verification of Non-Discrimination Policy Program Intake Form Sliding Fee Scale cPASS / FAIL n / ool p. 1 of 4/15/08 H:\HS 08\09-10 Funding cycle\Rating TooI414financeupdate.doc SECTION 2. Karen & Dianne: All pre-applications Passed No Score Rating Tool p. 2 Draft of 4/15/08 H:\HS 08\09-10 Funding cycle\Rating TooI414financeupdate.doc SECTION 3. Dianne: For informational purposes this year: Agency's Past Performance Past Funding History for last two funding cycles 2005-2008 (Circle CDBG or GF) Amount Allocated: 2005-2006 CDBG / GF 2007-2008 CDBG / GF Yes No ❑ ❑ Were quarterly reports on time in `07? ❑ ❑ Was first quarter report in '08 submitted on time? ❑ ❑ Did agency meet 100% of all the performance measures in 2007? If not— which ones did they not meet? ❑ ❑ Did agency submit an annual outcome report, on.time for `07? ❑ ❑ Was a monitoring visit done? If yes, were there any findings? Yes _ No ❑ ❑ Did agency staff respond to staff requests for information:in a timely manner? (looking for a pattern, not one-time,occurrences) in 2007? ❑ ❑ Did agency staff attend the City of Renton contract workshop.in 07? ❑ ❑ Did agency staff attend file:Joint City funding workshop in 2008? ❑ ❑ Was there key staff turnover in 2007? If so, what position(s) and how many? No Score Rating Tool p. 3 Draft of 4/15/08 H:\HS 08\09-10 Funding cycle\Rating Tool414financeupdate.doc SECTION 4. Staff check (Mary Ann and Dianne): make sure numbers in tables match. Score based on the number of boxes checked "Yes" Yes No ❑ ❑ #5 Total project costs need to match the totals on #17. ❑ ❑ #6 Total City funds requested for 2008 and requested for 2009 must match numbers given in table #17. ❑ ❑ Last column of#6 must match first column of#14C. ❑ ❑ Average cost of service per client for Renton in#12C must match same in #14C ❑ ❑ Last column of#13 must match middle-column:of#14C. ❑ ❑ In #13 - column two percentages must add to 100%. ❑ ❑ In #13 - if agency selected individuals or households, should be answered the same in question #15. ❑ ❑ #13 1st column numbers must match numbers on the top of#15.. ❑ ❑ Three columns in #17 p, 19 (Revenue Source) add correctly? ❑ ❑ Three columns in #17 p: 20 (Program Expense) add correctly? SCORE: / 10 Rating Tool p. 4 Draft of 4/15/08 H:\HS 08\09-10 Funding cycle\Rating TooI414financeupdate.doc SECTION 5. Finance Subcommittee of Human Services Advisory Committee: Scores financial health of the agency Originally the thought was that this would be pass/not pass. However, it does not get to the financial health of the organization. 1. Level of Financial Statements without "going concern" noted in Auditor Cover Letter ['CPA Audited 3 points ❑CPA Other/reviewed 2 points ['Internally prepared 1 point 2. Program Budget A) Is there a change of over 20% in the total program budget line on Table 17 Revenue Source between 2007 Actual and 2008 Budgeted? ❑Yes ❑No If yes, has this been adequately explained in question 12 B, "Changes to budget"? ['Yes 0 Points ❑No -2 Points B) On Question 17, are the totals for program.budget Revenue or Expenses off by more than $100? . ['Yes -3 points ❑No 0 points 3. Balance Sheet Strength. Does the program/agency have a positive total net asset figure on the balance sheet? ❑Yes 1 point ❑No. <0points 4. Balance Sheet Liquidity., Is the current ratio at least 1.10 on the Program /Agency Balance Sheet? (Current assets divided by current liabilities = current ratio). 0 Yes 2 points El No 0 points 5. Diversified Funding Program has a mixture of funding sources for 2007 as shown in Question 17, revenue source. ❑ At least 1 each City, Other Government Funds and Private Sources 3 points ❑ Has funding from at least two of the three types listed above. 2 points ❑Only City funding sources, but receives funding from more than one city. 1 point SCORE: / 9 Ra ing Tool p. 5 Drift of 4/15/08 H:1HS 08\09-10 Funding cycle\Rating Tool414financeupdate.doc 6. Human Services Advisory Committee: Scores quality of the application 0-3 a. Organizational Experience (score 0-3) Agency has track record of providing service (score 0-3) Staff has applicable/related experience in working with proposed program and/or training (score 0-3) Was there an explanation as,to how the Board stays informed and connected°about needs in South King County? b. Is the need in the City supported.by data? (score 0 —3) Is the data specific to Renton or to'South King County? (score 0 — 3) Is there a quantifiable need?' c. How easily can Renton residents access.the program? (score 0-3) Does the:proposed outreach fit Renton or show knowledge of Renton? (score 0-3) Were the language and cultural needs of the clients addressed? (score 0-3) Does the agency-propose to.have subcontractors or partners? Are services accessible through 1) the organization or 2) the subcontractors/partners? (Circle one) d:::Long Ra-nge Plan - (score ti-3) Is a long-range plan described, versus a strategic plan? (score 0-3) Does the plan list multiple funding sources for future funding?, '-(Score 0-3) Was evaluation of services mentioned in the plan? SCORE: / 33 Total Score: / 52 Rating Tool p. 6 Draft of 4/15/08 H:\HS 08\09-10 Funding cycle\Rating TooI414financeupdate.doc