2016-2018€¦ · unsaac grant application. fy 2016-2018 _____ 2 | p a g e

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UNSAAC Grant Application FY 2016-2018 ________________________________________________________________________________________________________ 1 | Page UNSAAC Grant Application 2016-2018 The University Neighborhood Service Agreement was established to address the unique impact Syracuse University has on the surrounding neighborhoods by enhancing governmental services and maintaining their health, safety, and welfare through police and fire protection, preservation and improvement of housing, community support, and park and public space improvements. The City of Syracuse and Syracuse University renewed the Service Agreement in 2016 for a period of five years, allocating a total of $2.5 million dollars to be used in alleviating the University’s impact on surrounding neighborhoods over that time period. With the renewed agreement, the UNSAAC borders have been expanded to include the Outer Comstock neighborhood, and the Southside neighborhood bordering the University. Under the terms of the service agreement, Syracuse University will pay the City of Syracuse $500,000 annually until 2021, $125,000 of which will be allocated each year to the City of Syracuse Police Department and applied to the cost of maintaining safety and security in the neighborhoods. The remaining $375,000 will be used for neighborhood projects and services that are in the mutual interest of the neighborhoods, their residents (including students), and the University*. Applications for funding are available online at http://www.syracuse.ny.us/home.aspx and at the Department of Neighborhood and Business Development (NBD) located at 201 E. Washington Street, Suite 600. One application should be completed for each program requesting funding. Do not combine funding requests for multiple proposals. All required attachments and documentation must be submitted with the application by the deadline in order to be considered for funding. Incomplete applications will not be considered. All funding applications are due no later than Thursday, July 7 th , at 5:00pm, to the following address: City of Syracuse, NBD Attn: Lindsay Speicher 201 E. Washington Street Suite 600 Syracuse, New York 13202 *Please note: Funding decisions are expected to cover a two-year funding cycle (July 1, 2016-June 30, 2018)

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Page 1: 2016-2018€¦ · UNSAAC Grant Application. FY 2016-2018 _____ 2 | P a g e

UNSAAC Grant Application FY 2016-2018________________________________________________________________________________________________________

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UNSAAC Grant Application

2016-2018

The University Neighborhood Service Agreement was established to address the unique impact Syracuse

University has on the surrounding neighborhoods by enhancing governmental services and maintaining

their health, safety, and welfare through police and fire protection, preservation and improvement of

housing, community support, and park and public space improvements.

The City of Syracuse and Syracuse University renewed the Service Agreement in 2016 for a period of five

years, allocating a total of $2.5 million dollars to be used in alleviating the University’s impact on

surrounding neighborhoods over that time period. With the renewed agreement, the UNSAAC borders

have been expanded to include the Outer Comstock neighborhood, and the Southside neighborhood

bordering the University.

Under the terms of the service agreement, Syracuse University will pay the City of Syracuse $500,000

annually until 2021, $125,000 of which will be allocated each year to the City of Syracuse Police

Department and applied to the cost of maintaining safety and security in the neighborhoods. The remaining $375,000 will be used for neighborhood projects and services that are in the mutual interest of the neighborhoods, their residents (including students), and the University*.

Applications for funding are available online at http://www.syracuse.ny.us/home.aspx and at the

Department of Neighborhood and Business Development (NBD) located at 201 E. Washington

Street, Suite 600.

One application should be completed for each program requesting funding. Do not combine

funding requests for multiple proposals. All required attachments and documentation must be

submitted with the application by the deadline in order to be considered for funding. Incomplete

applications will not be considered.

All funding applications are due no later than Thursday, July 7th

, at 5:00pm, to the following

address:

City of Syracuse, NBD

Attn: Lindsay Speicher

201 E. Washington Street Suite 600

Syracuse, New York 13202

*Please note: Funding decisions are expected to cover a two-year funding cycle (July 1, 2016-June 30, 2018)

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UNSAAC Program Overview

General Information and Guidelines

Any organization submitting a grant proposal for UNSAAC funds must be 501c organizations or

have a 501c fiscal sponsor to receive UNSAAC funding. Applications should show how the

proposal will positively impact the neighborhood or combat an issue stemming from being in

close proximity to Syracuse University and its student population. Proposals must be outcome-

based and measurable.

The University Neighborhood Services Agreement Advisory Committee (UNSAAC) consists of ten

members representing various organizations in the areas surrounding the University including

appointees from: The Westcott Neighborhood Association (WNA), the Southeast University

Neighborhood Association (SEUNA), the University Neighborhood Preservation Association

(UNPA), the Thornden Park Association, the Outer Comstock Neighborhood Association (OCNA),

and the Southside neighborhood. The advisory committee also consists of two members of the

Common Council, a representative from the City of Syracuse, and a representative from Syracuse

University.

The UNSAAC's role is to review proposals and make funding recommendations to the Mayor and

the Common Council. UNSAAC is comprised of volunteers and has no granting powers. In any

given fiscal year (July 1 through June 30), the UNSAAC budget recommendations may be

approved in full, in part, or voted down by the Syracuse Common Council. If a budget is voted

down, those funds are not disbursed and are retained in the City's general fund.

Funding and Reporting

Once the UNSAAC budget is approved by the Mayor and the Common Council, selected

applicants may proceed with their projects as outlined in their application.

This granting process is unique in that funds are REIMBURSED after project costs are

incurred by the applicant organization (i.e., funds are not automatically disbursed when

the budget is passed). Fiscal cost reports and expense summaries (appendix p. 14,15) must

be submitted with each reimbursement request along with documentation.

Funding for projects is for fiscal years July 1, 2016 to June 30, 2018. All costs must be

incurred within the grant term.

Progress reports must be submitted quarterly (appendix p. 16) to the Department of

Neighborhood and Business Development (NBD) to assure the project is being

completed as outlined in the application. Funds will not be disbursed if quarterly

reporting requirements are not met. Reports will be due to NBD by the 30th

of the

following months: April, July, October, and January.

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1. General Applicant Information

Area Applicant is seeking funding under (Please choose one):

Housing

Parking and Traffic

Quality of Life issues

Community development

Other

Applicant / Organization (Lead Applicant)

Organization:

Program Project:

New program (never funded) Ongoing (previously funded)

Proposal Request

Total UNSAAC Funds Requested: $

Total of Other Funding Sources Amount: $

Total Project / Program Budget: $

Program Location

Brief Program Description

Chief official / Board President of lead applicant

Name

Title

Mailing Address

City, State & Zip

Phone

Federal ID # Email

Designated contact person for this application

Name

Title

Mailing address

City, State & Zip

Phone

Email address

For Office Use Only:

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Narrative Information:

A. Agency/Organization Background:

1. Briefly describe your organization’s history, mission and goals.

2. Describe your organizational structure, including staffing and membership.

3. Describe your organization’s schedule of meetings and activities.

4. Describe your organization’s history of applying for, receiving and administering grant funds from

outside sources, if any.

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B. Program/Project Request: (Please complete either section B or C*)

*If you are applying for funding for a program, fill out section B. If you are applying for a Capital project, fill out

section C. Program requests include personnel and non-personnel costs necessary to carry out the program (salaries,

benefits, travel, rentals, program-specific equipment, etc.

1. Describe your proposed program.

2. Describe the issue/problem/situation to be addressed using this grant, how your project proposes

to address it, and what other programs or projects currently exist to address this issue, if any.

3. List the goals and measurable objectives of this project.

4. Describe in detail:

a. How the program will be implemented

b. Who will implement the program (staffing plan).

c. When will the program be implemented (timetable).

d. Where will the program be implemented (specific location(s)).

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5. Describe how the project addresses an impact of Syracuse University on the neighborhood and/or

an impact of the neighborhood on Syracuse University.

6. What quality of life issue(s) are addressed by the project and how are they addressed?

7. Describe neighborhood/SU support for the project and document this support, if any (have you

circulated petitions, gathered letters of support, conducted surveys or held public meetings?).

8. If your organization is currently receiving UNSAAC funds and/or received funds in the prior year

for a program/project, state the following:

a. Amount received for this or prior UNSAAC year, and title(s) of project(s).

b. Outcomes and accomplishments of prior year’s project, if applicable.

c. Start date and accomplishments for current year’s project, if already begun in some form.

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9. List and describe any other sources of funds for the project.

10. How will this program be sustained once UNSAAC funds are no longer available?

C. Capital Project Request: (Please complete either section B or C*)

*If you are applying for funding for a program, fill out section B. If you are applying for a Capital project, fill out

section C. Capital project requests include infrastructure improvements, the purchase of equipment or the purchase

of a specific service.

1. Describe your proposed capital project.

2. Describe the issue/problem/situation to be addressed using this grant, how your capital project

will address it, and what other programs or projects currently exist to address this issue, if any.

Explain why alternatives to the capital project are not feasible.

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3. List the goals and measurable objectives of this project.

4. Describe in detail:

a. How the capital project will be implemented

b. Who will implement the project (staffing plan).

c. When will the project be implemented (timetable).

d. Where will the project be implemented (specific location(s)).

5. Describe how the project addresses an impact of Syracuse University on the neighborhood and/or

an impact of the neighborhood on Syracuse University.

6. What quality of life issues are addressed by this capital project and how are they addressed?

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7. Describe neighborhood/Syracuse University support for the project and document this support, if

any (have you circulated petitions, gathered letters of support, conducted surveys or held public

meetings?).

8. If your organization is currently receiving UNSAAC funds and/or received funds in the prior year

for a program/project, state the following:

a. Amount received for this or prior UNSAAC year, and title(s) of project(s).

b. Outcomes and accomplishments of prior year’s project, if applicable.

c. Start date and accomplishments for current year’s project, if already begun in some form.

9. List and describe any other sources of funds for the project.

10. Describe how this project will be sustained, including operations and maintenance, once the

capital project is completed and UNSAAC funds are no longer available.

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11. Is the site of the proposed capital project owned by the applicant? If not, please state the owner’s

name and provide a letter from them stating their support for the capital improvement.

D. Evaluation:

1. How will you adhere to reporting requirements if the grant is funded?

2. Who will be the grant administrator designated to complete reports? Who will submit vouchers

for reimbursement?

3. How will you collect data and measure outcomes?

4. How will you report program accomplishments to the public?

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Attachments:

E. Required Attachments:

List of Board of Directors, officers and titles for applicant organization

IRS Letter of Determination of Status for applicant organization

If prior year funded, a copy of your final program and fiscal reports.

Financial Summary

Detailed project budget

If application is for a capital project, include:

o At least three (3) vendor quotes

o Certificate of title to property being improved

o Letter from property owner (if not applicant) supporting the capital improvement

F. Optional Attachments:

Letters of Support (limit 10)

Brochures, newspaper clippings, and other organizational information

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Financial Summary For Fiscal Period Ending ________

Statement of Support & Expenses

Revenues Expenditures

Contributions ______________ Program ______________

Individual ______________ Administration ______________

Corporate/Foundation ______________ Fundraising ______________

Government Grants ______________ Other (specify) ______________

Program generated ______________ ______________

Membership Dues ______________ ______________

Other (specify) ______________ ______________

______________ ______________

Total Revenues $ ______________ Total Expenditures $ ______________

Balance Sheet

Assets $ _______________ Liabilities $ ______________

Cash _______________ Current ______________

Securities _______________ Long Term ______________

Property/Equipment _______________ Total Liabilities ______________

Other (please specify) _______________

_______________ Fund Balances ______________

_______________ Restricted ______________

_______________ Unrestricted ______________

_______________ Total Fund Balances ______________

_______________

_______________ Total Liabilities +

Total Assets $ _______________ Fund Balances $ ______________

Note: for your balance sheet to “balance”

total assets = total liabilities + total fund balances

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UNSAAC Program Budget (2016-2018)

Applicant:

Program:

Submitted By:

Other Funding Sources (include revenues generate by program and agency in-kind contributions)

Use Of Funding Funding

Source Amount Funded

$

$

$

$

$

$

$

$

$

$

$

Budget Line items

Use Need

Description $ UNSAAC

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

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Appendix:

The following forms are for reference and are to be filled out only if an organization is

funded. These forms will be provided to awardees in excel format:

A. A

pp

rove

d P

roje

ct

Bu

dge

t

B. P

revio

us C

um

ulative

Expe

nd

iture

s

C. Exp

en

ditu

res fo

r this

Re

po

rting P

erio

d

D. C

urre

nt C

um

ulative

Expe

nd

iture

s

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00$0.00

$0.00

REM

AIN

ING

BA

LAN

CE:

$0.00

_____ Ap

pro

ved

_____Re

jecte

dR

evie

w o

f FCR

No

tes:

Ne

ighb

orh

oo

d &

Bu

sine

ss De

velo

pm

en

t use

on

ly

(NB

D R

epresen

tative)

(Signa

ture)

(Da

te)

Title of G

ran

t Ad

min

istrato

r(D

ate)

Cate

gory

A. P

ERSO

NN

EL

B. C

ON

SULTA

NTS

C. EQ

UIP

MEN

T

D. SU

PP

LIES

UN

SAA

C - FISCAL CO

ST REP

OR

T

Sub

mit w

ith EV

ERY vo

uch

er to

:

Re

ma

inin

g Ba

lan

ce: A

pp

rove

d P

roje

ct Bu

dge

t - Cu

rren

t Cu

mu

lative

Expe

nd

iture

s

GR

AN

TEE CER

TIFICA

TION

Gra

nt A

dm

inistra

tor (P

rint)

(Ph

on

e Nu

mb

er)G

ran

t Ad

min

istrato

r (Signa

ture)

Certifica

tion

Lan

gua

ge: I certify tha

t this rep

ort a

nd

all in

form

atio

n p

rovid

ed is tru

e, correct, a

nd

com

plete a

nd

ma

de in

acco

rda

nce w

ith th

e specifica

tion

s of th

e

con

tract fo

r this p

roject.

E. TRA

VEL

F. REN

T

G. O

THER

TOTA

L

Sum

mary o

f Expe

nd

iture

s

5. C

on

tract Am

ou

nt

6. R

ep

ort N

um

be

r

7. R

ep

ort D

ates C

ove

red

1. G

rante

e

2. G

rant A

dm

inistrato

r

3. P

rogram

Title

4. C

on

tract Pe

riod

REFER

ENCE

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5. Contract Amount

4. Contract Period

FCR Vendor Amount

Total Expenditures $0.00

6. FCR's covered to date:

Grant Administrator (Print)

(Date)

Approved / Rejected

Grant Administrator (Signature)

Certifications

NBD Use Only

(Reviewer)

(Date)

Invoice #

Date on Invoice

Date Paid

Invoice #

Date on Invoice

Date Paid

Invoice #

Date on Invoice

Date Paid

Invoice #

Date on Invoice

Date Paid

Invoice #

Date on Invoice

Date Paid

Invoice #

Date on Invoice

Date Paid

Invoice #

Date on Invoice

Date Paid

Date on Invoice

Date Paid

Invoice #

Invoice #

Invoice #

Invoice #

Date on Invoice

Date Paid

Invoice #

Date on Invoice

Date Paid

Date on Invoice

Date Paid

Invoice #

Date on Invoice

Date Paid

Date on Invoice

Date Paid

Invoice #

Date on Invoice

Date Paid

Date on Invoice

Date Paid

Invoice #

Date on Invoice

Date Paid

Invoice #

Date on Invoice

Date Paid

I certi fy that the information in this form is

correct and wi l l be veri fiable based on the

backup documentation provided. I

understand that i f funds are returned by

reimbursement and any incons is tencies in

this form wi l l be cause for withholding

reimbursement

Purchase Information

UNSAAC - Summary of Expenses

Send To:

Description of Charges (Including Category from FCR)

1. Grantee

2. Grant Administrator

3. Program Title

Invoice #

REFER

ENCE

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REFER

ENCE

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Syracuse University Service Agreement Area 2016-2021

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