HomeMy WebLinkAboutCrisis Clinic - Teen Link Cv5I5 (r) i C leefi 1—E tic,
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 b, the application review stops.
Yes No
N iiii Submitted before deadline?
!a ❑ r uestions answered on City supplemental application?
II LJ Common Application Checklist—all items "yes"? 5u,s4— OV., OS nia---'
COMMON APPLICATION CHECKLIST
Yes Cover pages
❑ Agency Information and Questions 1-7.
❑ Question 8 Organizational Experience (2 page maximum)
IDI ❑ Question 9 Need for Your Program (2 page maximum)_
I` I ❑ Question 10 Proposed Program/Service (6 page maximum) ,
0 ❑ Question 11 Long Range Plan (1 page maximum)
.d ❑ Question 12 Budget (2 page maximum).
Data Tables
❑ ❑ Question 13 Number of,.individuals/Households Served
e ❑ Question 14a-c Performance Measures and Average Cost of Service
❑ Question 15 Demographics,(from'atlfunding sources)
ElQuestion 16 Program Staff ,
ElfQuestion 17 Program Revenue& Expense Budgets
❑ Question 18 Subcontracts
Required Documents
V❑ Proof of non-profit status
Organizational Chart,
Z- 2111-Agency/Organization Mission Statement
0 Board resolution,authorizing submittal of the application (may be submitted up to 60
,days after application).
❑ 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.
�❑ `tVote any vacancies:).:;
Board Meeting Minutes of last three board meetings of governing board and local
oard as applicable'
0 Annual Budget` '
0 ❑ Financial Audit Cover Letter
bill II-Financial Audit Management Letter
financial Statement
2' ElV rification of Non-Discrimination Policy
❑ [ •gram Intake Form
❑ Sliding Fee Scale r\ O —
PASS FAIL
'ati1 •ol p. 1
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SECTION 2. Karen & Dianne: All pre-applications Passed
No Score
Rating Tool p. 2
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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.the Joint City funding workshop in 2008?
❑ ❑ Was there key staff turnover in,2007? If so, what position(s) and how
many?
h=.
qY
N• Score
Rating Tool p. 3
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•
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 Rentotrin:#12C must match same in
#14C
❑ ❑ Last column of#13 must match middle colur in 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#1,5.
❑ ❑ 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
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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 explainedfinyquestion 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 programagency,have a positive total net asset figure on the
balance sheet?
❑Yes ,1 point-
[No ;o points
4. Balance Sheet Liquidity;
Is the current ratio‘at:jeast 1.10 on the Program /Agency Balance Sheet?
(Current assets divided by current liabilities = current ratio).
❑.Yes 2`_Points
❑: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
Rating Tool p. 5
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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.asto how the Board stays
informed and connected.about needs in South King
Y..
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"R'ange Plan
(score0-3) Is a long-range plan described, versus a strategic plan?
s. (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
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