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12-177Resolution No. 12 -177 RESOLUTION AUTHORIZING EXECUTION OF A COMMUNITY DEVELOPMENT BLOCK GRANT SUB - RECIPIENT AGREEMENT WITH SENIOR SERVICES ASSOCIATES, INC. BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF ELGIN, ILLINOIS, that Sean R. Stegall, City Manager, and Kimberly A. Dewis, City Clerk, be and are hereby authorized and directed to execute a community development block grant sub - recipient agreement on behalf of the City of Elgin with Senior Services Associates, Inc. for monthly rental costs associated with the lease of the facility located at 205 Fulton Street, Elgin, Illinois, a copy of which is attached hereto and made a part hereof by reference. sl David J. Kaptain David J. Kaptain, Mayor Presented: December 5, 2012 Adopted: December 5, 2012 Omnibus Vote: Yeas: 7 Nays: 0 Attest: s{ Kimberly Dewis Kimberly Dewis, City Clerk AGREEMENT BETWEEN THE CITY OF ELGIN, AND SENIOR SERVICES ASSOCIATES, INC. This AGREEMENT is entered into as of the 5th day of D Lembe>• , 2012, by and between the CITY OF ELGIN, an Illinois municipal corporation (hereinafter called "GRANTEE" or "CI1"Y ") and SENIOR SERVICES ASSOCIATES, INC., a not -for -profit corporation incorporated pursuant to the laws of the State of Illinois, (hereinafter called "SUB- RECIPIENT') having a principal place of business at 101 South Grove Avenue, Elgin, Illinois 60120. I. RECITALS A. CITY has applied for Community Development Block Grant Funds (hereinafter referred to as "CDBG funds') from the United States Department of Housing and Urban Development (hereinafter called "HUD ") as provided by the Housing and Community Development Act of 1974, as amended (P.L. 93 -383) (hereinafter tailed "ACT'). B. CITY has considered and approved the application of SUB - RECIPIENT for CDBG funds allotted to CITY for distribution to SUB- RECIPIENT. C. The CITY and SUB - RECIPIENT enter into this Agreement pursuant to their respective powers to enter into such Agreements, as those powers are defined in the Illinois Constitution and applicable statutes. B. SCOPE OF THE PROJECT A. SUB - RECIPIENT hereby agrees to perform, in a timely fashion, the activities provided for herein, and those previously defined and identified in the Project Application and project description submitted by the SUB - RECIPIENT, dated December 16, 2011, and entitled "Elgin Senior Center Support," a copy of which is attached hereto as Exhibit "A" and incorporated herein by this reference (hereinafter referred to as the "`PROJECT "). B. All funding provided to SUB - RECIPIENT shall be used solely to reimburse SUB - RECIPIENT for monthly rental costs associated with the lease of the facility at 205 Fulton Street, Elgin, Illinois. This facility is to be used exclusively for the provision of educational, recreational socialization and wellness programs in a safe, inviting and accessible setting for senior citizens. Services provided at the facility are to be consistent with the scope and intent of the PROJECT. All individuals served by SUB - RECIPIENT pursuant to this agreement will be low and moderate income persons as defined by 24 CFR 570.208 (a)(2)(i)(A). C. The SUB - RECIPIENT shall develop and submit to the CITY an Outcome Performance Measurement Statement that establishes project goals and objectives, identifies performance indicators, and estimates the number of clientele to be served. The SUB - RECIPIENT shall provide Quarterly Progress Reports to the CITY each quarter, reporting on the status of the PROJECT in relation to the percent of project completion, accomplishments, effectiveness of the project as related to the goals and objectives, and the clientele served, including number served, client access to the service (either new or improved access), and demographics. The quarterly progress reports shall begin upon the signing of this Agreement, and be based on the CDBG Page 1 of 16 program year, beginning on June I" and ending on May 31" of the following year. The quarterly progress report shall continue until the completion of this project or until directed to discontinue such reports in writing by the CITY. D. Prior to the expenditure of CDBG funds, SUB - RECIPIENT shall meet with the City's Community Development Department staff to establish acceptable documentation and guidelines regarding requests for payment for the activities described in the Scope of Work. No payment of CDBG funds will be made by City without the required documentation. E. SUB - RECIPIENT shall return to the CITY any program income, as defined in 24 CFR Part 570.500(a), which is generated as a result of this PROJECT. All written requests for an exception to this agreement shall be made, in writing, to the City's Community Development Department explaining why the SUB - RECIPIENT needs the income, the specific activities the SUB - RECIPIENT will undertake with the funds and how the SUB- RECIPIENT will report the income and expenditures to the CITY. A written response to the request will be provided to SUB - RECIPIENT from the CITY. III. AMOUNT AND TERMS OF GRANT A. The CITY shall distribute to SUB - RECIPIENT, as SUB - RECIPIENT'S portion of the total grant received by the CITY and in consideration of the SUB - RECIPIENT'S undertaking to perform the PROJECT, a maximum of $29,000 (hereinafter "Grant Funds "), to be paid in the manner provided for herein at Sections 11 (D) and VII. Prior to the initial payment of Grant Funds, SUB - RECIPIENT shall submit, to the CITY, their Outcome Performance Measurement Statement and progress report indicating client demographics and program status. SUB - RECIPIENT shall submit quarterly progress reports, by the 10 "' day following the end of the preceding quarter, to the CITY. The amount to be paid to SUB - RECIPIENT will be based upon the work completed and the submittal of employee work reports in support of the invoiced amount. B. This PROJECT shall be identified as Project No. 154851 and Account No. 230 -0000- 791.30-99, which identifying numbers shall be used by SUB - RECIPIENT on all payment requests. IV. SUB - RECIPIENT'S COMPLIANCE WITH THE ACT A. CITY shall assist SUB - RECIPIENT in making application for CDBG funds B. SUB - RECIPIENT shalt abide by the Act and all HUD rules and regulations promulgated to implement the Act. C. SUB - RECIPIENT shall, upon request of the CITY, (1) assist in the completion of an environmental review and (2) complete certifications showing equal employment opportunity compliance including equal employment opportunity certifications with reference to the PROJECT, as set forth in Exhibit "C" attached hereto and made a part hereof. D. SUB - RECIPIENT, in performing tinder this Agreement, shall: 1. Not discriminate against any worker, employee, or applicant, or any member of Page 2 of 16 the public, because of race, creed, color, sex, age or national origin, nor otherwise commit an unfair employment practice; and 2. Take affirmative action to insure that applicants are employed without regard to race, creed, color, sex, age or national origin, with such affirmative action including, but not limited to the following: Employment, upgrading, demotion or transfer, termination, recruitment or recruitment advertising, layoff or termination, rates of pay or other forms of compensation, selection for training, including apprenticeship. E. SUB - RECIPIENT shall permit_ the CITY and the Department of Housing and Urban Development to conduct on -site reviews, examine personnel and employment records and to conduct any other procedures or practices to assure compliance with the provisions of this agreement. SUB - RECIPIENT shall post in conspicuous places available to employees and applicants for employment notices setting forth the provisions of Section IV (D) above. F. SUB - RECIPIENT shall not violate any laws, state or federal rules or regulations, including but not limited to those regarding a direct or indirect illegal interest on the part of any employee or elected official of the SUB - RECIPIENT in the PROJECT or payments made pursuant to this Agreement. G. SUB - RECIPIENT hereby warrants and represents that neither the project, including but not limited to any funds provided pursuant thereto, nor any personnel employed in the administration of the program shall be in any way or to any extent engaged in the conduct of political activities in contravention of Chapter 15 of Title 5, United States Code, commonly known as the Hatch Act. H. SUB - RECIPIENT shall maintain records to show actual time devoted and costs incurred, in relation to the PROJECT, and shall prepare and submit quarterly progress reports which describe the work already performed and anticipated during the remaining time of the PROJECT. Upon fifteen (15) days notice from the CITY, originals or certified copies of all time sheets, billings, and other documentation used in the preparation of said progress reports shall be made available for inspection, copying, or auditing by the CITY at any time during normal business hours, at 150 Dexter Court, Elgin, Illinois. 1. SUB - RECIPIENT shall adopt the audit requirements of the Office of Management and Budget (hereinafter "OMB ") Circular A -133, "Audits of Institutions of Higher Learning and Other Non -Profit Institutions." SUB- RECIPIENT shall submit to the CITY one copy of said audit report. SUB - RECIPIENT shall permit the authorized representatives of the CITY, HUD and the Comptroller General of the United States to inspect and audit all data and reports of the SUB - RECIPIENT relating to its performance under the Agreement. J. SUB- RECIPIENT and CITY shall at all times observe and comply with Title 24 CFR Part 570 and all applicable laws, ordinances or regulations of the Federal, State, County, and local government, which may in any manner affect the performance of this Agreement. K. SUB - RECIPIENT shall transfer to the CITY any unused CDBG funds and submit all billings attributable to this Project at the time this Agreement expires. L. SUB - RECIPIENT will ensure that any real property under the SUB- RECIPIENT'S control that was acquired and /or improved in whole or in part with CDBG funds in excess of $25,000 is used exclusively for the benefit of low and moderate income persons as defined by Page 3 of 16 HUD, for a period of 15 years after the expiration of this agreement M. If during the 15 year period after the expiration of this Agreement, the SUB - RECIPIENT disposes of any property under the SUB RECIPIENT'S control that was acquired and/or improved in whole or in part with CDBG funds in excess of $25,000, then the SUB- RECIPIENT will reimburse the CITY in the amount of the current fair market value of the property less any portion of the value attributable to expenditures of non -CDBG funds for acquisition of, or improvement to, the property in accordance with 24 CPR 570.503(b)(8) and 24 CFR 570.505. V. RIGHTS TO SUBCONTRACT A. SUB - RECIPIENT shall not assign, transfer, subcontract or otherwise convey its rights or obligations under this Agreement without the prior written consent of the CITY, which consent may be withheld in the CITY'S sole discretion." B. Administration of any subcontracts by the SUB - RECIPIENT shall be in conformance with 24 CFR Part 570.200(d)(2) and Part 85.36. VL SUB - RECIPIENT'S AUTHORIZAI`ION TO ACCEPT PROPOSALS A. After the CITY has received notification that funds for the PROJECT have been released by HUD, the SUB - RECIPIENT shall be authorized to accept the proposal of any subcontractor for the PROJECT. VII. BILLING PROCEDURE A. Upon Release of Grant Funds by HUD for the PROJECT, the CITY shall make disbursements to the SUB - RECIPIENT as either reimbursement for advances made by SUB - RECIPIEN'T or as advances for specific cash requirements of SUB - RECIPIENT for the PROJECT. All claims of SUB - RECIPIENT, whether for reimbursement or advancement, shall comply with the following requirements: 1. SUB- RECIPIENT shall submit a listing of all disbursements of CDBG Funds, on a form provided by the CITY. 2. Any claim for advancement of CDBG Funds shall be limited to an amount necessary for SUB - RECIPIENT to meet specific cash requirements for the PROJECT and shall be disbursed by SUB - RECIPIENT within three (3) working days of receipt by SUB- RFCIPIENT. 3. Any request for reimbursement or advancement pertaining to work under contracts from the SUB - RECIPIENT shall include the following: a. For interim payments to contractors and subcontractors, certification that the work for which payment is requested has been performed and is in place and to the best of SUB - RECIPIENT'S knowledge, information and belief that, the quality of such work is in accordance with the contract and subcontracts, subject to: (i) any evaluation of such work as a functioning PROJECT upon substantial Page 4 of 16 completion; (ii) the results of any subsequent tests permitted by the subcontract; and (iii) any defects or deficiencies not readily apparent upon inspection of the work; and b. For final payment, that the work has been performed in a satisfactory manner and in conformance with the contract. 4. Processing of all requests for payment shall be contingent upon the submission of the required documentation by the contractor and subcontractor to the CITY that fully complies with federal labor standards, uniform relocation act or any other applicable federal, state, or local statutes, rules or regulations. 5. SUS- RECIPIENT shall forward to the CITY all billings, vouchers, and other documents representing any accounts payable, in such timely and reasonable manner as both parties shall determine; provided, however, that in no event shall such documents be forwarded to the CITY later than twenty -one (21) days after SUB - RECIPIENT'S receipt of such documents. 6. SUB - RECIPIENT shall cooperate with the CITY to facilitate the maintenance of financial records by the CITY as required by Title 24 CFR 85. B. Upon submission of an acceptable claim for Grant Funds, the CITY shall process such claim and shall approve such claim for payment following approval by the City's Community Development Department, for compliance with this Agreement and applicable HUD requirements. C. Except as provided for in Sections IX and X hereof, the CITY shall pay all required payments against eligible project costs, as described in Section 11.13, incurred by SUB - RECIPIENT under this Agreement. VIII. ADMINISTRATION AND REPORTING REQUIREMENTS A. SUB - RECIPIENT shall administer the Grant Funds in conformance with the regulations, policies, guidelines and requirements of OMB Circular numbers A -110, and A -122, as they relate to the acceptance and use of federal funds for the PROJECT. B. SUB - RECIPIENT shall submit all required information to show compliance with applicable taws, rules and regulations, as specified in this Agreement and shall submit to the CITY a quarterly progress report, by the 10`' day following the end of the preceding quarter. Other reporting requirements are specified in Exhibit "B" attached hereto and made a part of this Agreement. IX. TERMINATION OF AGREEMENT OR SUSPENSION OF PAYMENT A. During the implementation of the PROJECT, the CITY may terminate this Agreement or may suspend payment of Grant Funds to SUB - RECIPIENT for SUB - RECIPIENT'S substantial breach of the Agreement, abandonment of the PROJECT or occurrence rendering impossible the performance by SUB - RECIPIENT of this Agreement. Page 5 of 16 B. During the implementation of the PROJECT, the CITY may suspend payments of Grant Funds, due to use of funds in a manner unrelated to SUB - RECIPIENT'S performing the PROJECT, failure by SUB - RECIPIENT in submitting supporting information or documentation for a claim, submission by SUB - RECIPIENT of incorrect or incomplete reports, or SUB - RECIPIENT'S suspension of its pursuit of the PROJECT. C. In the event the CITY elects to terminate this Agreement or to suspend payments, for any reason stated hereinabove in paragraph A and B of this Section IX, it shall notify the SUB - RECIPIENT, in writing, of such action, specifying the particular deficiency, at least five (5) working days in advance of any such action and establishing a time and a place for the SUB - RECIPIENT to refute the alleged deficiency at a time prior to the CITY'S taking such action. After allowing the SUB - RECIPIENT the opportunity to refute or correct the alleged deficiency, if the alleged deficiency continues to exist, in the reasonable opinion of the CITY, the CITY may withhold payment of the Grant Funds until such time as the violation or breach is remedied. No action taken or withheld by the CITY under this paragraph shall relieve the SUB - RECIPIENT of its liability to the CITTY for any funds expended in violation of any of the terms of this Agreement. D. Unless terminated pursuant to the provisions of paragraph IX herein, this agreement shall terminate on December 31, 2013. X. REMEDIES A. To the fullest extent pennitted by law, SUB - RECIPIENT agrees to and shall indemnify, defend and hold harmless the CITY, its officers, employees, boards and commissions from and against any and all claims, suits, judgments, costs, attorneys fee's, damages or any and all other relief of liability arising out of or resulting from or through, or alleged to arise out of, any breach of this agreement; misuse or misapplication of funds derived pursuant to this agreement by SUB - RECIPIENT; violation of any statutes, rules and regulations, directly or indirectly, by SUB - RECIPIENT and /or any of its agents or representatives; or any negligent acts or omissions of SUB - RECIPIENT or of SUB - RECIPIENT'S officers, employees, agents or subcontractors. In the event of any action against the CITY, its officers, employees, agents, boards or commissions covered by the foregoing duty to indemnify, defend and hold harmless, such action shall be defended by legal counsel of the CITY'S choosing. The provisions of this paragraph shall survive any termination and /or expiration of this Agreement. B. In the event of loss of approved Grant Funds for the PROJECT as a result of any violation or breach of this Agreement by the CITY, misuse or misapplication of funds received from HUD unrelated to the PROJECT, or any violation of the statutes, rules and regulations of HUD, directly or indirectly, the CITY and /or any of its agents or representatives, the CITY'S liability to SUB - RECIPIENT shall be limited to any funds which have previously been provided to SUB - RECIPIENT pursuant to this agreement. SUB - RECIPIENT hereby waives and releases the CITY from any and all other liability pursuant to any such breach, misuse, misapplication or violation of statutes, rules or regulations. C. In the event HUD, or any other federal agency, makes any claim which would give rise to invoking the remedy provisions, as set forth in paragraphs A or B of this Section X, then the CITY or SUB- RECIPIENT shall immediately notify the other party, in writing, providing the full details of the alleged violation. To the extent that any such matter is not subject to exclusive federal jurisdiction, venue for the resolution of any disputes or the enforcement of any rights Page 6 of 16 XI. XII. arising out of or in connection with this Agreement between the CITY and SUB - RECIPIENT shall be in the Circuit Court of Kane County, Illinois. D. In addition to any other remedies available to the CITY, if the CITY has lost or been prevented from receiving any federal funds, other than the Grant Funds, as a result of any alleged violation of law or other breach of this Agreement by SUB - RECIPIENT, the SUB - RECIPIENT shall repay, upon demand by the CITY, such amount of Grant Finds previously disbursed or allegedly due to the SUB - RECIPIENT. TIMELINESS A. Time is of the essence of this agreement. SUB - RECIPIENT shall meet the schedule deadlines fisted below. Any milestone which the SUB - RECIPIENT does not achieve within two months of the date fisted will result in the SUB - RECIPIENT submitting a revised implementation schedule for approval by the City's Community Development Staff, Failure to achieve these deadlines may result in the loss or reduction of grant funds at the CITY'S discretion. Actions 1. Provide a Center for Elgin Senior Citizens 2. Provide Educational & Recreational and Wellness Programs Date January 1, 2012 - December 31, 2012 January 1, 2012 - December 31, 2012 3. Rental Reimbursement January 1, 2012 - December 31, 2012 B. Total Number of Months Required for Project Completion 12 Months MISCELLANEOUS PROVISIONS A. AMENDMENTS - This Agreement constitutes the entire Agreement between the parties hereto. Any proposed change in this Agreement shall be submitted to the other party for prior approval. No modifications, additions, deletions, or the like, to this Agreement shall be effective unless and until such changes are executed, in writing, by the authorized officers of each party. B. SUBJECT TO FINANCIAL ASSISTANCE AGREEMENT - This Agreement is made subject to financial assistance agreements between the CITY and the United States Department of Housing and Urban Development, with the rights and remedies of the parties hereto being in accordance with any such agreements. C. ASSIGNMENT - except as provided in Section VI hereof, SUB- RECIPIENT shall not assign this Agreement or any part thereof and SUB - RECIPIENT shall not transfer or assign any Grant Funds or claims due or to become due hereunder, without the written approval of the CITY having first been obtained. D. ATTORNEY'S OPINION - If requested, SUB - RECIPIENT shall provide an opinion of its attorney, in a form reasonably satisfactory to the CITY, that all steps necessary to adopt this Agreement, in a manner binding upon SUB- RECIPIENT, have been taken by SUB - RECIPIENT, Page 7 of 16 and that SUB - RECIPIENT is in compliance with applicable local, state and federal statues, rules and regulations for the purpose of complying with this Agreement. E. HEADINGS - The section headings of this Agreement are for convenience and reference only and in no way define, limit, or describe the scope or intent of this Agreement, and should be ignored in construing or interpreting this Agreement. P. The terms of this agreement shall be severable. In the event any of the terms or provisions of this agreement are deemed to be void or otherwise unenforceable for any reason, the remainder of this agreement shall remain in full force and effect. G. This agreement shall not be construed to create ajoint venture, partnership, employment or other agency relationship between the parties hereto. Page 8 of 16 IN WITNESS WHEREOF, the parties hereto have executed this Agreement on the dates recited below. CITY OF ELGIN, an Illinois Municipal Corporation DATE: December 5, 2012 ATTEST: 9mm kd Kimberly Dewis, City Clerk SUB - RECIPIENT: Senior Services Associates, Inc. 101 S. Grove Avenue, Elgin, Illinois 60120 BY: 62 Bette Scboenholtz, Executive Direbtor DATE: —it ^i" "t L -'�' C '? Page 9 of 16 EXHIBIT A SUB - RECIPIENT'S CDBG APPLICATION Page 10 of 16 PROPOSAL APPLICATION FOR CDBG FUNDING: THE COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) ENTITLEMENT PROGRAM FISCAL YEAR 2012 -2013 JUNE 11 2012 THROUGH MAY 31, 2013 Organization Name: Senior Services Associates Inc. Project Name: Elgin Senior Center Support Project Address: 205 Fulton Street, Elgin IL 60120 Exec Director Name: Bette Schoenhoitz Address: 101 S. Grove Avenue. Elgin IL 60120 Telephone #: 847 -741 -0404 Fax #: 847 - 741 -2163 M% DEC I ? '2'n tl tl CITY OF l»LGIN� Email Address: bmcclory@seniorservicesassoc.org Website :www.seniorservicesassocorg Employer (IRS) ID #: 36- 2775102 —� DUNS #: 36- 2775102 024043754 Contact Name: Beth McClory _Title: Chief Administrative Officer Contact Telephone #: 847 - 741 -0404 Fax #: 847- 741 -2163 Contact Email: bmccloryCo)seniorservicesassoc .org Website : www.seniorservicesassoc.org PROJECT FUNDING REQUEST CDBG Funds Requested: Funding Leveraged from other Sources: $32,844.00 $10,356.00 Check the category, which describes the type of funding, requested: E❑ Housing ❑ Public Facility X Fj infrastructure ❑ Economic Development ❑ Public Service ❑ Other BRIEF PROJECT DESCRIPTION: Please provide a one - sentence statement about your project —not your organization. Provide a center for Elgin senior citizens to gather offering educational, exercise and wellness programs and opportunities for recreation and socialization in a safe, inviting and accessible setting. City of Elgin CDBG Application FY 2012 -2013 Application Page 15 CONSTRUCTION PROJECTS ONLY Public improvements /Construction Activity Application Form Project Name /Title: Agency Name: Agency Address: _Z�p. _. City: State: 1' 1. Project Description (Attach additional sheets as necessary.) i a. Provide a detailed description of the facilities to be provided or improved. Identify major components of proposed work and state estimated quantities: I 1 I �b, indicate the primary function of the facilities to be provided or improved: I c. Readiness to Proceed: (I) Do you have an architect /engineer under contract? If so provide name. I ❑ Yes C No I. I (ii) Do you have preliminary plans /drawings completed Of so, attach)? ❑ Yes n No (ii) Do you have project cost estimates completed (if so attach)? ❑ Yes R No (using Davis Bacon Wage Rate and Labor Standards) Please note that any costs incurred prior to the award and environmental review process cannot be reimbursed to the applicant. e. Provide evidence of site control. Copy of the deed. If property is not owned provide a copy of the (ease. Agreement and letter from owner approving proposed work. i City of Elgin CDBG Application FY 2012 -2013 Application Page 16 CONSTRUCTION PROJECTS ONLY r2. Project Location: Ij a. Project Address /Location; (Include photographs) Census Tract(s): Block Group(s): b. Indicate if the project is located in, or will have any impact on, the following: ( Please indicate Yes or No) -y (i) National Register Historic District (ii) Designated Wetlands Area - (iii) Land Use /Zoning Change 11 Yes ❑ No G Yes ❑ No 0 Yes 0 No If yes, explain: If yes, explain: If yes, explain: i (iv) Environmental Hazards Yes ❑ No If yes, explain: I j i c. Provide a time line for the project and current status of project progression: Construction Bid Period: Start Date: Completion Date: Status: -- -' 3 3. Project Benefit: (Attach additional sheets as necessary.) a. Describe the existing problems or conditions to be corrected by the proposed activity. identify the persans affected by these conditions. Explain how the project benefits low and moderate income people. b. Describe in quantifiable terms the goals to be achieved by your project during the proposed funding period, and how the recipients of your services will be benefited or changed. I J City of Elgin CDBG Application FY 2012 -2013 Application Page 17 CONSTRUCTION PROJECTS ONLY "The tine items in column A are a guide. items may be added or deleted depending on the type of project City of Elgin CDBG Application FY 2012 -2013 Applicafion Page 18 CONSTRUCTION PROJECTS ONLY L Construction Procurement Guidelines for private non- profit construction projects All construction contracts in excess of $2,000 will be subject to federal Davis -Bacon Wage Rates and Labor Standards provisions. A schedule of current prevailing wage rates and fringe benefits is available at the Illinois Department of Labor at www. state.1f.us\agency idof rates�evenmo\kane9999.htm . $25,000 - $99,999 Projects over $25,000 require Newspaper Advertisement Public Solicitation of Contractor Bids in Elgin Standard Times. Federal requirements for Davis -Bacon and Minority and Women Business Enterprise Participation (MBE /WBE) compliance will be applicable. Federal Section 3 and City of Elgin Minority Workforce Requirements are not applicable for contracts under $100,000. The lowest qualified bid representing the complete scope of work from a QUALIFIED CONTRACTOR will be considered. $100,000 + Projects over $100,000 require Newspaper Advertisement Public Solicitation of Contractor Bids in Elgin Standard Times. Federal requirements for Davis -Bacon and Minority and Women Business Enterprise Participation (MBE /WBE) compliance will be applicable. Federal Section 3 and City of Elgin Minority Workforce Requirements will be applicable for contracts over $100,000. Bond Requirement -100% Payment and Performance Bands. The lowest qualified bid representing the complete scope of work from a QUALIFIED CONTRACTOR will be considered. City of Elgin CDBG Application FY 2012 -2013 Application Page 19 2. PROJECT ELIGIBILTY SECTION A. This project is located in 8512 census Tract(s) (Identify tract by number) (website — Eactfinder.census.gov) B. This project meets at least ONE of the HUD national objectives listed below (please check all applicable, discussion and definitions available on page 6 of the packet): X 1. Benefits low /moderate income individuals /households 2. Addresses the prevention or elimination of slums or blight 3. Meets a particularly urgent community development need. C. Check all statements that describe HOW this project or activity meets one of the National Objectives above:: ❑ LIM Area Benefit: the project meets the identified needs of L/M income persons residing in an area where at least 51% of those residents are L/M income persons. The benefits of this type of activity are available to all persons in the area regardless of income. Examples: street improvements, water /sewer lines, neighborhood facilities, facade improvements in neighborhood commercial districts. R LIM Limited Clientele: the project benefits a specific group of people (rather than all the residents in a particular area), at least 51% of whom are L/M income persons. The following groups are presumed to be L /M: abused children, elderly persons, battered spouses, homeless, handicapped, illiterate persons. Examples: construction of a senior center, public services for the homeless, meals on wheels for elderly, construction of job training facilities for the handicapped. ❑ LIM Housing: the project adds or improves permanent residential structures that will be occupied by L/M income households upon completion. Housing can be either owner or renter occupied units in either one family or multi - family structures. Rental units for L/M income persons must be occupied at affordable rents. Examples: acquisition of property for permanent housing, rehabilitation of permanent housing, conversion of non - residential structures into permanent housing. ❑ LIM Jobs: the project creates or retains permanent jobs, at least 51% of which are taken by L/M income persons or considered to be available to L/M income persons, Examples: loans to pay for the expansion of a factory, assistance to a business which has publicly announced its intention to close w /resultant loss of jobs, a majority of which are held by L/M persons. El Micro Enterprise Assistance: the project assists in the establishment of a microenterprise or assists persons developing a microenterprise. (A microenterprise is defined as having five or fewer employees, one or more of whom owns the business.) This activity must benefit low /moderate income persons, area or jobs as defined in previous sections. NOTE: List is continued on the following page... City of Elgin CUBG Application FY 2012 -2013 Application Page 20 ❑ Slum or Blighted Area: the project is in a designated slum /blight area and the result of this project addresses one or more of the conditions that qualified the area. El Spot Blight the project will prevent or eliminate specific conditions of blight or physical decay outside a slum area. Activities are limited to clearance, historic preservation, rehabilitation of buildings, but only to extent necessary to eliminate conditions detrimental to public health and safety. Examples: historic preservation of a public facility threatening public safety, demolition of a deteriorated, abandoned building. D. Project Category (check one): El Acquisition of Real Property 0 Disposition of Real Property X Public Facilities and Improvements (e.g., homeless shelter, water and sewer facilities, flood and drainage improvements, fire protection facilities /equipment, community, senior and health centers, parking, streets, curbs, gutters and sidewalks, parks and playgrounds.) ❑ Privately -Owned Utilities ❑ Public Service (i.e., a new service or an increase in the level of a service) ❑ Relocation Payments and Assistance to Displaced Persons Q Removal of Architectural Barriers, Handicapped Accessibility El Housing Rehabilitation ❑ Historic Preservation ❑ Commercial or Industrial Rehabilitation, including facade improvements and correction of code violations. 0 Special Economic Development or assistance to micro - enterprises. City of Elgin CDBG Application FY 2012 -2013 Application Page 21 3. IMPACT ON APPLICABLE GOALS, NEEDS, AND OBJECTIVES The Five -Year Consolidated Plan identifies both priority needs in the community and strategies to address these needs. The need for your proposed project will be determined by identifying how the project impacts upon the adopted Consolidated Plan Priority Needs. Therefore, applications should provide a clear explanation of how the project impacts upon the adopted Consolidated Plan Priority Needs. Greater consideration will be given to projects that provide a clear description of the project with supporting data and methodology of how the project will meet the Consolidated Plan Priority Needs. Please identify the category and activity applicable to your proposal, using that table as your guide: Example: Public Services Activity: Youth Transportation ❑ Homelessness Activity • Infrastructure Activity ❑ Affordable Housing Activity • Public Facilities Activity Provide an accessible senior center • Planning & Capacity Building Activity The City of Elgin has identified ten strategicgoais to reflect the City's ongoing commitment to the community. Greater consideration will be given to projects that provide a clear description of the project with supporting data and methodology of how the project will meet the City's strategic goals. Please identify ALL the categories applicable to your proposal: ❑ A Safe Community X Neighborhood Vitality ❑ Economic Growth and Diversified Tax Base X Recreational, Leisure and Cultural Opportunities for all Citizens ❑ Quality Housing ❑ River as a Resource X Alive Downtown ❑ Financially Stable City Government ❑ Customer Service ❑ Diverse Management Staff PROPOSED PROJECT ACCOMPLISHMENTS Please briefly describe proposed accomplishment(s) if funding is awarded: (Accomplishments must be described in terms of households served, people served, businesses created, housing units created, jobs created or public facilities undertaken. Example: This program will serve 485 LMI individuals, this program will create 25 jobs, etc.) PROPOSED ACCOMPUSFEviENTS: and ;I �Clale c e ll�r .�00 111,va4l� aocl Please answer the following questions: A. What is the total estimated number of persons to be served by this project? 1100 B. What is the total estimated number of LMI persons to be served by this project? 1100 ❑ C. What is the anticipated percentage of LMI persons to be served by this project? 100% (pr ) City of Elgin CDBG Application FY 2012 -2013 Application 2 4. ACTIVITY DESCRIPTION: Please answer the following questions in the space provided. A. Provide a detailed description of the proposed activity including how the activity will address the community need you have indicated. identify whether the activity is new, ongoing, or expanded from previous years. The center will be open from 8 AM to 4 PM Monday through Friday, closed on holidays, for open games, parties, evidence based fitness programs, educational lectures, lunch, and special events. in addition to the wellness, education and recreation activities provided, the expanded space will also house 2 case managers. The case managers will provide information and assistance to seniors visiting the center as well as others by appointment. The space will also provide income tax preparation (through AARP), Triad meetings and events, volunteer recruitment for Senior Services and other agencies and government offices and legal assistance (from volunteer attorneys) for seniors. We plan to partner with local clubs, groups and other agencies, allowing use of this space. All programs are an expansion of previous programming. The additional space allows Senior Services to serve over 300 persons at a time, our previous capacity was 82. We can also offer up to three activities at a time addressing the community need for recreational and leisure activities, in this case for seniors and the disabled and a special outreach into the Hispanic and Laotian communities. our programming brings the senior community together; many renew old acquaintances while making new friends. Alive Downtown is another community need we address. Many days we bring over 300 persons into the downtown area. We work with the DNA to find ways our clients and our partners will stay downtown and patronize other businesses. B. Identify who will benefit from the proposed activity (e.g. homeless, youth, seniors, disabled, et cetera), If designed to benefit persons of L/M income, describe the process you will use to identify these persons and ensure that the activity meets this objective. (An LMI certification form is included in the RFP Packet). Our contract with the Northeastern Illinois Area on Aging, who provides a grant that covers the salaries involved with the center, states that we open our activities to persons age 60 and older. We recently changed our by -laws to allow us to serve the disabled of any age. HUD presumes that the elderly and handicapped persons are lower income. C. Identify the accomplishments you intend to achieve with this activity. Provide an activity timeframe /schedule (include start, completion dates, and other significant stages). This program began, with support from the City of Elgin and Elgin Township, on June 1, 2011 when we occupied the space at 205 Fulton Street in Elgin. At that time we requested a three year lease with renewal options. With the popularity of this program and the increase in the senior population we don't see an end to the need for a senior center in Elgin. In 2012 we will add the evidence based program "Fit and Strong" to our existing fitness programs and Latin Dance and will continue to add programs as funding is acquired and demand dictates. We will also seek partners, other clubs and organizations that could use the space. In 2012 our goals include increasing volunteerism by 15 %, seniors knowing where to seek needed services and benefits by 10% and program participants feeling less isolated, lonely and more active and confident by 30 %. We will use the Northeastern Illinois Area Agency on Aging "Quality of Life" assessment to track these accomplishments. City of Elgin CDBG Application FY 2012 -2013 Application Page 23 4. ORGANIZATIONAL CAPACITY Please answer the following questions in the space provided. A. Provide an overview of your organization including length of time in existence. Attach a list of current officers and board members with terms. Senior Services Associates, Inc. is a non - profit agency dedicated to sustaining and improving the quality of life for individuals 60 and over, the disabled and their caregivers by providing access to the social services they need. To accomplish this goal we provide case management and an assessment to determine m- home services that may be needed, information and assistance completing forms and accessing needed benefits, outreach to the homebound, elder abuse investigation, nursing home ombudsman, recreation, education, health and wellness programs, fall prevention program, chronic disease self management program and numerous volunteer opportunities that assist other non- for - profits and government offices. We have been serving Elgin for over 38 years, incorporated in Illinois on August 30, 1973. B. Describe your organization's experience in successfully conducting this type of activity. Identify any skills, current services, or special accomplishments that demonstrate your capacity for success. Senior Services began operations in 1973 as an adult day center, providing day care and activities for seniors needing stimulation, care and activity daily. After adding many other services, a few years later, we opened an activity center for more mobile and active seniors in Elgin when we relocated to downtown Elgin in 1984 where we had the space. The Elgin center has grown from an average of 20 persons to often over 100 daily. Senior Services operates active senior centers today in Yorkville, Crystal lake, McHenry, Woodstock, Harvard and last year opened an expanded center in Aurora. Many of these towns approached Senior Services to open centers In their communities because of word of mouth and the reputation of our ability to offer senior programming. C. Identify the person(s) responsible for program and financial management of the activity. Identify all other persons involved in this activity noting whether these positions are current or new, pending this award. All persons and positions responsible for the program and financial management of this activity are current. The activity director is Ramona (Minnie) Vasquez; her supervisor is Beth McClory, Chief Administrative Officer, the front office manager (reception) is Kris Waisted; and the Chief Financial Officer is Matt Schoenholtz. Minnie is assisted by our bilingual (Spanish and Laotian) case managers when required. City of Elgin CDBG Application FY 2012 -2013 Application Page 24 Ciiy of Elgin CDBG Application FY 2012 -2013 Application Page 25 D. Identify any other agencies /partners in this activity and define the roles and responsibilities of these partners. Daily lunches are served by the Salvation Army Golden Diners, special events are contracted with local restaurants. Many events are sponsored by members of the Senior Provider Network, including local nursing homes and home health agencies and the members of Triad; the Kane County Sheriffs office and the Elgin Police Department. E. Demonstrate that the proposed activity is economically feasible and can be implemented in a timely cost effective manner within the proposed program year. Senior Services has occupied the space at 205 Fulton Street sine June 1, 2011. The City of Elgin assisted in negotiating the lease for three years. The renewal, June 1, 2012 through May 31, 2013 requests no increase in the rent or change in terms. The program operates within the approved budget. F. Oftentimes projects that receive an award of CDBG funding are actually awarded less than the amount originally requested. This requires the submission of a revised budget and a description of how it will carry out the proposed activity with reduced funding prior to the commitment of any funding. Please indicate here whether your proposed activity could be undertaken with a reduced commitment of funding and if so, please highlight how that would affect the scope of services you are proposing. Since June 1, 2012, Senior Services has paid $800 a month toward this rent. we are asking that portion of the rent be picked up by CDBG funding so that we can use our contribution to make up for reductions in funding for Triad, supplying volunteers to assist with city and community events and in other agencies and city offices and signing up Elgin residents for Ride in Kane and other city services. Should we be awarded less than the amount requested we would seek other options for funding, but if we did not receive funding from another source we would have to give up the space at 205 Fulton Street. City of Elgin CDSG Application FY 2012 -2013 Application Page 26 5. FINANCIAL The City encourages CDBG funds to be utilized as gap funding. A gap is defined as the amount of funding necessary to run a program after all other funding sources have been identified, thus leveraging is very important in the application process. ACTIVITY BUDGET Please answer the following questions in the space provided. You may reference and attach an additional page if necessary. A. Complete the Budget Summary chart. More detailed budgets may be attached (and are strongly recommended) in support of the proposal. B. Identify sources of leveraged funding for this activity. Include the status of these funds (i.e. cash on hand, grants received, planned fund - raising, etc.). Attach copies of funding commitment letters or other evidence of funding support. C. Leverage -Consideration will be given to the amount of non -CDBG funds committed to the project. BUDGET SUMMARY category Breakdown CDBG Leveraged Funds Source of ' Total Funds Lev eraged Funds Personnel - -� �Co_ntractual Service s (Specify) Rent &Utilities 10,356 00 Elgin Township 1 43 200.00 32,$44.00 -- -� -- -.j._ ----- -- - -... Communications Travel Other Specify: —r — - I I l I Tota4 CDBG Re�quese 1 Total Other Funds Grand Taial 33 0 �- 10,356.00 - - $43,200.00 *NOTE: Please complete Budget Detail Chart on page 26 if personnel costs are included in your proposal. City of Elgin CDBG Application FY 2012 -2013 Application Page 27 BUDGET DETAIL This section provides back -up for each line item shown in the Budget Summary Chart. Please make certain this detailed breakdown is consistent with the Program Budget. Round up to the nearest hundred. Please note: A job description for each person must be provided. A Note about the Staff /Salary Breakdown: Please show all proposed staff positions funded with CDBG funds that relate to the proposed activity. If multiple staff members have the same position /title, list separately (For example: Counselor 1, Counselor 2). Use an additional sheet if necessary. You must submit job descriptions with your application for each position title identified below. A. Oftentimes projects that receive an award of CDBG funding are actually awarded less than the amount originally requested. This requires the submission of a revised budget and a description of how it will carry out the proposed activity with reduced funding prior to the commitment of any funding. Please indicate here whether your proposed activity could be undertaken with a reduced commitment of funding and if so, please highlight how that would affect the scope of services you are proposing. City of Elgin CDBG Application FY 2012 -2013 Application Page 28 Is this a Annual Total %Time Spent on T:Requested ition Position current or Annual Fringe Annual x this CDBG _ Co Title proposed SaEary Benefits Salary Project /Program BG position? A. Oftentimes projects that receive an award of CDBG funding are actually awarded less than the amount originally requested. This requires the submission of a revised budget and a description of how it will carry out the proposed activity with reduced funding prior to the commitment of any funding. Please indicate here whether your proposed activity could be undertaken with a reduced commitment of funding and if so, please highlight how that would affect the scope of services you are proposing. City of Elgin CDBG Application FY 2012 -2013 Application Page 28 A. THRESHOLD CERTIFICATION In order for your application to be accepted, in addition to the application itself, your organization must submit the following items to the Office of Housing and Community Development no later than 5:00 PM on FRIDAY, DECEMBER 16. 2011. An original application with all questions completed along with one copy that is 3 -hole punched and clipped [not bound] of the completed application. (Only the original must include the requested support documents such as the articles of incorporation and the current list of your Board of Directors.) The following attachments /certifications: (if you have not submitted an application in the last two years OR if the information has changed) ❑ Articles of Incorporation Current List of Board of Directors g( c�``e�rtified Organization Audit /Financial Statements of most recent year �Ga Copy of OMB A -133 Audit (Required if $300,000 in aggregate Federal funds expended), or b. Financial statements audited by a CPA (only if not qualified for A -133), or C. Profit and Loss Statement for most recently completed fiscal year and General Ledger printout (only first time applicants or those who do not meet above criteria ,/ may submit) W' IRS 501(c)(3) Designation Letter (Pending letters will not be accepted) V Current Fiscal Year Agency Budget, including all funding sources a Job Descriptions per budget detaiLA// fS An Executed Statement of Applicant Form. '1 An Executed Signature Authorization Form. /Conflict of Interest Disclosure Form. I hereby confirm that this packet contains all materials required. !i, Printed Name !d Signer City of Elgin CDBG Application FY 2012 -2013 Application Page 29 B. STATEMENT OF APPLICANT The undersigned acknowledges the following: 1. That, to the best of its knowledge and belief, all factual information provided is true and correct and all estimates are reasonable. 2. That no revised proposals /applications may be made in connection with this application once the deadline for applications has passed. 3. That the City of Elgin may request or require changes in the information submitted, and may substitute its own figures, which it deems reasonable for any or all figures provided. That the applicant will participate in required interview for project assessment and cooperatively assist in the review process. 4. That, if the project(s) is recommended and approved by the Mayor and City Council, the City reserves the right to reduce and /or cancel the allocation if federal entitlements are cancelled, reduced, or rescinded. 5. The City of Elgin reserves the right not to fund any su bmittals received. G. By submission of this application, the organization agrees to abide by the federal regulations applicable to this program. 7. That, if the project(s) is funded, the organization agrees to abide by the City's locally established policies and guidelines 8. That past program and financial performance will be considered in reviewing this application. 9. That services are to be provided at no cost to citizens during the grant period. All program income (Le.: fees, repayments, foreclosures, etc.) must be remitted to the City. 10. That, if the project(s) is funded, the City or a designated agency may conduct an accounting system inspection to review internal controls, including procurement and uniform administrative procedures, prior to issuance of payments for projected expenditures. 11. That, if project(s) is funded, the City will perform an environmental review prior to the obligation of funds. 11 That, if a project is funded, a written agreement that includes a statement of work, records retention and reporting, program income procedures, local and federal requirements, circumstances that would trigger grant suspensions and terminations, and reversions of assets would be required between the organization and the City, 13. That a project's funding does not guarantee its continuation in subsequent action plans. 14. Provide written signatory authority from the organization's governing body indicating who can execute contracts and amendments on its behalf. Statement of Applicant continued on following page. city of Elgin CDBG Application FY 2012 -2013 Application Page 30 15. Agrees to abide by the City of Elgin's Conflict of Interest policy. Items of concern would include staff members serving on the Board of Directors, staff members' families serving on the Board of Directors, and other matters that may give the appearance of a conflict of interest. U.S, Code Title 18, Section 1001, provides that a fine of up to $10,000 or imprisonment for a period not to exceed five years, or both, shall be the penalty for willful misrepresentation and the making of false, fictitious statements, knowing same to be false. By signature below, the applicant acknowledges the above in its name on this Fifteenth day of December, 2011. Senior Services Assodiates Inc Name of Organization By:�� (Signature) --\� Executive Director (Title) City of Elgin CDBG Application FY 2012 -2013 Application Page 31 C. SIGNATURE AUTHORIZATION FORM The Board of Directors of Senior Services Associates Inc. does hereby resolve that on December 7, 2011, the Board reviewed the Application for Community Development Block Grant Funds to be submitted to the City of Elgin Community Development Department for funding consideration for the fiscal year 2012 -2013 and in a proper motion and vote approved this application for submission. The Board further certifies that the organization making this application has complied with all applicable laws and regulations pertaining to the application and is a non - profit organization, tax - exempt and incorporated in the State of Illinois. Senior Services Associates, Inc. hereby . proposes to provide the services or project identified in the Scope of Services in accordance with this application for Community Development Block Grant Funds. If this application is approved and this organization receives CDBG funding from the City of Elgin, this organization agrees to adhere to all relevant Federal, State and local regulations and other assurances as required by the City. Furthermore, as the duly authorized representative of the organization, I certify that the organization is fully capable of fulfilling its obligation under this application as stated herein. I further certify that this application and the information contained herein are true, correct and complete. I also authorize the following person(s) to have signatory authority regarding this grant: Bette Schoenholtz Name Executive Director Title ......� Name Title f j � President /Board of Directors (or other authorized person) /w/& f/ Date PENALTY FOR FALSE OR FRAUDULENT STATEMENT U.S. Code Title 18, Section 1001, provides that a fine of up to $10,000 or imprisonment for a period not to exceed five years, or both, shall be the penalty for willful misrepresentation and the making of false, fictitious statements, knowing some to be false. City of Elgin CDBG Application FY 2012 -2013 Application Page 32 Conflict of Interest The standards in OMB Circular A -110, Subpart C, provide that no employee, officer, or agent shall participate in the selection, award, or administration of a contract supported by Federal funds if a real or apparent conflict of interest would be involved. Such a conflict would arise when an employee, officer, or agent, any member of his or her immediate family, his or her partner, or an organization which employs or is about to employ any of the parties indicated herein, has a financial or other interest in the firm selected for an award. The CDBG regulations at 24 CFR 570.611 and HOME regulations at 24 CFR 92.356 provide that no person who is an employee, agent, consultant, officer, or elected official or appointed official of the recipient or subrecipient that are receiving CDBG or HOME funds and (1) who exercises or has exercised any functions or responsibilities with respect to activities assisted with CDBG funds; or (2) who is in a position to participate in a decision- making process or gain inside information with regard to these activities, may obtain a financial interest from a CDBG- assisted or HOME- assisted activity, or have any interest in any contract, subcontract, or agreement with respect thereto, or the proceeds there under, either for themselves or those with whom they have family or business ties, during their tenure or for one (1) year thereafter. A disclosure of the nature of any perceived or actual conflict must be made prior to the execution of agreements utilizing CDBG or HOME. IF NO CONFLICT EXISTS, COMPLETE THE FOLLOWING: X I certify that no conflict of interest exists between the City of Elgin and Senior Services Associates Inc. X I certify that no conflict of interest exists between the subcontractors of and Senior Serivices Associates IF A POTENTIAL CONFLICT EXISTS, COMPLETE THE FOLLOWING: ❑ 1 certify that a potential conflict of interest may exist between the City of Elgin and (name of organization) ❑ I certify that a potential conflict of interest may exist between (name of subcontractor) and (name of organization) Describe the nature of the conflict of interest below. Identify the individual, employment and the conflict or potential conflict, and their affiliation with your organization. Signature of Authorized Agency Official Bette Schoenholtz. Executive Director Typed Name and Title MIR December 15 2011 City of Elgin CDBG Application FY 2012 -2013 Application Page 33 Senior Services Associates, Inc. Board of Directors President: Tom Van Cleave Vice President: Linda Longmeyer Tom Aquilina Past PresidentJBoard Emeritus 10/04/00 —10/01/11 Aquilina & Associates, Inc. 6708 Rhode Island Trail Crystal Lake, I1 60012 815- 459 -0881 Office 815- 459 -8819 Fax 815 -621 -3553 Cell tmaquilina dacomcast.net Identa Austin Board Emeritus 10/01/00 — 10/01/1I Plum Landing Apt 508 495 North Lake Street Aurora, II 60506 630 - 892 -7829 630 - 896 -5056 fax Kevin Barry 9/01/11- 9/01/14 1070 Larkin Avenue Elgin IL 60123 847- 697 -8900 Kevin(a( b_arrv- law.com Patricia Feeley 10/01/06 — 10 /01 /I1 710 Pinhurst Lane Oswego, 11 60543 773 -590 -4320 home 630 -554 -3712 patfeel ev(u sbc alobal.net Cory Freeman 07/01/09 — 10/01/12 Valley Estate Planners, Ltd 14N555 Tyrrei Road Elgin, IL 60124 847- 888 -3888 Work corva'jvallevestateplanners com Jane Johnson 6/1/11- 10 /i /14 Law Elder Law 2275 Church Road Aurora IL 60502 630 - 585 -5200 Work janQm laweIder1aw.com Secretary /Treasurer: Gil Note Past - President: Tom Aquilina Gerald Jones 10/1/10- 10/1/13 2071 Scheffer Aurora IL 60502 630 -514 -5664 .tones -g sbcglobalnet William Markison I0/I /10- 10/1/13 311 Maplewood Lane Crystal Lake, IL 60014 Retired 815- 459 -5204 markisonasbcQ fobal.net Larkin G Mead 2/1/11 - 2/1/14 PO Box 1204 Woodstock, IL 60098 815 -338 -5938 larkinmead@aol com Frank Miller 10/01/08 — 10/01/11 Board Emeritus 534 Kingsway Drive Aurora, Il 60506 Retired AT &T PR RTA Board 630 -896 -81.11 home 630 - 896 -5387 fax Florida Address 10355 Paradise Blvd Treasure Island FL 33706 Gerald Morrow 10/01/2010-10/01-2013 Plum Landing Apt 209 495 N Lake Street Aurora IL 60506 Comptroller Retired City- of Aurora & Wadsworth 630 -896 -0889 saintg� com Kitty Nash 10/1/10- 10/l/13 Home State Bank Senior Club Advisor PC Box 1738 Crystal Lake IL 60039 815. 459 -2002 knash@tyhomestateonline.com Gilbert Note 02/01/08 — 02/01 /l l 275 Waverly Drive Elgin, 11 60120 Retired Accountant 847 - 741 -2901 pore. peoplepe com Trinidad Rodriguez 6/1/11 - 6/1/14 513 Fremont St Elgin, IL 60120 847- 888 -9373 Cecelia Sanders 02/01/08 — 02/01/11 1108 Sunset Avenue Yorkville, II 60560 630 - 553 -0151 home Work info: Sunnymere, Inc Marketing 925 Sixth Avenue Aurora, 11 60505 630 - 898.7844 work sunn mereinarketing,(o ),sbcglobal .net Tom Smith 10/01/06 — 1.0/01/ 12 550 West Galena Blvd Aurora, 11 60506 Private CPA 630 - 897.7781 home 630 - 897 -7782 fax tesmithcpana sbeglobal net Steve Thoren 10/1/09 — 10/1/12 Majestic Mortgage 53 S Union St Elgin IL 60123 847 -840 -7319 wonase0awowway.con Toni Van Cleave 10/1/08 — 10/1/11 1023 Lexington Lane Batavia, II 60510 Kane County Board 630 -879 -6344 home 630- 220 -2736 cell 312 -220 -2736 thomasvancleave o)comcast,net Mark Weber 10/1/94 — 10/1/11 2210 North Bockman Road Marengo, II 60152 Castle Bank Trust Department 815 -245 -7245 cell mweber(a7 cast le b ank. com Revised: 11/17/11 i 1 Dugan Lopatka Certified Public Accountants & Consultants A Professional Corporation 104 East Roosevelt Road Michael J. Dugan Wheaton, Illinois 60187 T. Brett Fliekinger Jerry L. Lopatka (630) 665.9490 Karen M. Olson Mark F. Schultz Fax (630) 665 -030 Hugh E. Elliott Peter J. Zich www.dugardopaika.com Leo M. Misdom e-mail: info@duganlopatka.corn Gwen S. Henry INDEPENDENT AUDITOR'S REPORT To the Board of Directors of Senior Services Associates, Inc.: We have audited the accompanying statement of financial position of Senior ,Services Associates, Inc. (the Organization) as of September 30, 2010 and 2009, and the related statements of activities and cash flows for the years then ended and the statement of functional expenses for the year ended September 30, 2010. These financial statements are the responsibility of Senior Services Associates, Ine.'s management. Our responsibility is to express an opinion on these financial statements based on our audit. The 2009 summarized comparative information on the statement of functional expenses has been derived from the Organization's 2009 financial statements and, in our report dated January S. 2010, we expressed an unqualified opinion on those financial statements, We conducted our audits in accordance with auditing standards generally accepted in the United States of America and the standards applicable to financial audits contained in Government Auditing Standards, issued by the Comptroller General of the United States. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatements. An audit includes examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements. An audit also includes assessing the accounting principles used and significant estimates made by management, as well as evaluating the overall financial statement presentation. We believe that our audits provide a reasonable basis for our opinion. In our opinion, the financial statements referred to above present fairly, in all material respects, the financial position of Senior Services Associates, Inc, as of September 30, 2010 and 2009 and the changes in its net assets and its cash flows for the years then ended, in conformity with accounting principles generally accepted in the United States of America. In accordance with Government Auditing Standards, we have also issued our report dated December 7, 2010, on our consideration of Senior Service Associates, Ine,'s internal control over financ:ial reporting and our tests on its compliance with certain provisions of laws, regulations, contracts, and grant agreements and other matters. The purpose of that report is to describe the scope of our testing of internal control over financial reporting and compliance and the results of that testing, and not to provide an opinion on the internal control over financial reporting or on compliance. That report is an integral part of an audit performed iii accordance with Government Auditing Standards and should be considered in assessing the results of our audit. AFttf�WAE 19 TE A C 1 T INTEpN4ilONAt Nt1Won of FppcEECiONAt AOCOUNTANES Independent Auditor's Report Page two Our audit was conducted for the purpose of forming an opinion on the basic financial statements of Senior Services Associates, Inc. taken as a whole. The accompanying schedule of expenditures of federal awards is presented for purposes of additional analysis as required by U.S. Office of Management and Budget Circular A -133, Audits of States, Local Governments, and Non -Pratt ®rgani=ions, and is not a required part of the basic financial statements. The accompanying schedules of public support and revenue by counties and functional expenses by counties on Schedules 1 through 6 is presented for purposes of additional analysis, and is not a required part of the basic financial statements. Such information has been subjected to the auditing procedures applied in the audit of the basic financial statements and, in our opinion, is fairly stated, in all material respects, in relation to the basic financial statements taken as a whole. Wheaton, Illinois December 7, 2010 CURRENT ASSETS: Cash and cash equivalents Receivables - Grants - Other Prepaid expenses Total current assets PROPERTY AND EQUIPMENT: Land Buildings Building improvements Furniture, fixtures and equipment Vehicles Less - Accumulated depreciation Net property and equipment OTHER ASSETS: Security deposits CURRENT LIABILITIES: Accounts payable Accrued payroll Accrued vacation Grant advance Total liabilities COMMITMENTS NET ASSETS: Unrestricted i, lie G���lllE� ;s r EXHIBIT 1 2010 2009 $ 657,598 $ 25105 853,642 948,601 8,344 8 „414 20,760 13,057 246,975 246,975 1,540,344 1,221,957 101,634 (17224,197) 20,000 20,000 153,953 153,953 742,097 742,097 461,259 438,609 246,975 246,975 364,826 11624,284 101,634 (17224,197) (1,163,412) 400,087 438,222 5,973 21848 $ 1,9 46,4 $ 11663,027 $ 28,877 $ 10,164 187,084 130,792 91 ,762 107,452 57,103 15,129 364,826 263,537 1,581,578 099,490 $ 1,946,404 $ 1,6637027 The accompanying notes are an integral part of this statement. SENIOR SERWCES OF rat±+ E& T14E YEA-P�S-ENDED-5�E-P-MMBF,-R-10.2010 AND UNRESTRICTED ASSETS: Public Support - Northeastern Illinois Area on Aging Illinois Department on Aging Grants United Way Counties, townships, and cities Foundations Donations In-kind contributions Miscellaneous Total public support Revenue - Transportation Activities Trip commissions Membership dues Fundraising Project income Newsletter Miscellaneous Total unrestricted revenue Total unrestrictedd public support and revenue Functional expenses - Program services - Trransportation Case Management Information and Referral Outreach 2010 $ 1,4091116 1,363,835 131,791 183,387 701,170 10,000 56,274 741,441 1,343 rat• $ 1,299,148 1t377,796 259,584 244,927 636,211 53,052 836,520 19,644 4,598,357 41726,882 12,033 86,087 I1844 19,300 110,644 44,753 8,009 20,250 34,313 76,157 330 14,284 115,537 33,446 14,196 49,475 302,920 337,738 4,901,277 51064,620 169,306 288,577 17086,310 1,068,682 929,685 972,809 53,232 80,127 The accompanying notes are an integral part of this statement. SEKO—R SERVICES ASSOCIATES, STATEMENT Of ACTIVITIES tt r„ � �:t� mat: as�r:;,avr ■ � .n r�... UNRESTRICTED ASSETS: (Continued) Functional expenses - (Continued) Program services - (Continued) Ombudsman Multi - Purpose Neighbor to Neighbor Elder Abuse Senior Companion R.S.V.P. Total unrestricted program services Supporting services - Management and general Fundraising Total unrestricted supporting services Total unrestricted functional expenses CHANGE IN NET ASSETS NET ASSETS, Beginning of year NET ASSETS, End of year 2010 2009 $ 145,532 $ 154,680 565,458 516,999 32,687 61,534 369,637 467,736 194,220 155,741 85,003 89,685 3,631,070 3,796,570 1,054,200 1,066,444 33,919 48,605 11088,119 1 I,1151049 47719,189 4,9I1,619 182,088 1537001 1,399,490 1,246,489 $ I,581,578 $ 1,399,490 The accompanying notes are an integral part of this statement. CASH FLOWS FROM OPERATING ACTIVITIES: Cash received from public support and revenue Cash paid for program services, employees and suppliers Cash paid for interest Net cash provided by (used in) operating activities CASH FLOWS FROM INVESTING ACTIVITIES: Purchases of property and equipment NET CHANGE IN CASH AND CASH EQUIVALENTS CASH AND CASH EQUIVALENTS, Beginning of year CASH AND CASH EQUIVALENTS, End of year RECONCILIATION OF CHANGE IN NET ASSETS TO NET CASH PROVIDED BY (USED IN) OPERATING ACTIVITIES: Change in net assets Adjustments to reconcile change in net assets to net cash provided by (used in) operating activities: Depreciation Change in assets and liabilities: (Increase) decrease in receivables (Increase) decrease in prepaid expenses (Increase) in security deposits Increase (decrease) in accounts payable Increase (decrease) in accrued expenses and grant advance Net adjustments Net cash provided by (used in) operating activities 2010 $ 4,2541867 (30825,522) (982) 428,363 (22,650) 405,713 251,885 $ 657,598 $ 182,088 60,785 95,029 (7,703) (3,125) 18,713 82,576 246,275 $ 428,363 The accompanying notes are an integral part of this statement: 2009 $ 3,732,479 (4,143,787) (411,308) (50,94I) (462,249) 714,I34 $ 251,885 $ 153,001 55,445 (495,621) 7,161 (43,540) (87,754) (564,309) $ (411,308) B O O �O �z z .� aa V Cf YYrr «, oaoa.'ni <�$m�'n �inacan enbn.r ag �F h O wf r i r r r rn N � 4 H Ve so $ _ N r CJ O �Qp{V w Vy Qa ^ qqm S O N h (yam rrl.j N m rn p N iO•ai P� 9 � ror�ppyy �a ryp ry. C. a�P p p a� F_ M1 V' h M T'3 aNP aaf O � F h11 F �Nhp yYJy py N m p v Tr V b aO Y tD O �w y r M ,y N r rv, r r V�J� Wd� `P rD M1 � U N � H U B U � n n _o c�A+�t^ry9O FuT .L F W A.d za a a L; ,�cP �> C7U dE 0 p qL C P a � P E W d h h rim m m C V Q S N •+ W N ttJ F V VNi F� r (� wp.. P C T O N r V V W M t � tY C? Q p� ^� r N CO W w y W rE V .. x 0033 N q y .s y N F N *n y N tl1 M N N F; .O .D ap vi aj h •w � V V r O N M1 aL Off, a0 � fn N ..r N C� .8 GT +Md m O w�. h C N 8 S eR N •^ N W a�G di H ppy 0 C N .O MN C7 y M Ory y 5 txV N � �mT N � yy $� C�iYC rr Lr p O a q C F pC 4 AyG H SENIOR SERVICES ASSOCIATES INC NOTES TO FINANCIAL STATEMENTS SEPTEMBER 30 2010 AND 2009 (1) SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES: Senior Services Associates, Inc. (the Organization) is an Illinois non -profit corporation. The Organization is dedicated to sustaining and improving the quality of life for mature adults throughout Kane, Kendall, and McHenry Counties by providing access to the social services they need. The Organization is dedicated to preserving independence, promoting mental and physical well being, and protecting the rights and dignity of mature adults. The financial statements were available to be issued on December 7, 2010, with subsequent events being evaluated through this date. The following is a brief summary of the accounting policies adopted by the Organization: Accounting_ Method - The records of the Organization are maintained and the financial statements have been prepared on the accrual basis of accounting. Property and ECNhitnent - Property and equipment is recorded at cost or, if donated, at fair market value on the date donated. The Organization generally capitalizes additions of $500 or more. Depreciation is computed using the straight -line method over the estimated useful lives of the assets as follows: Asset Type Life Buildings 15 - 25 Years Furniture, fixtures and equipment 5 -10 Years vehicles 5 - 10 Years Building improvements 10 - 25 Years Allocation of Expenses - Expenses are allocated to the various programs either directly as incurred and applicable or by a percentage of staff time spent within each program area. Credit Risk - Financial instruments which potentially subject the Organization to concentrations of credit risk consist principally of cash. The Organization places its cash and deposits with high credit quality financial institutions; however, deposits may exceed the federally insured limits from time to time, Cash and Cash Equivalents - For purposes of the statement of cash flows, the Organization considers all highly liquid instruments with an initial maturity of three months or less to be cash equivalents. -2° (1) SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES: (Continued) Restricted Resources - Contributions that are restricted by the donor are reported as increases in unrestricted net assets if the restrictions expire in the reporting period in which the revenue is recognized. All other donor- restricted contributions received are reported as increases in temporarily restricted or permanently restricted support, depending on the existence and/or nature of any donor restrictions. When a donor restriction expires, that is, when a stipulated time restriction ends or the purpose of the restriction is accomplished, temporarily restricted net assets are reclassified to unrestricted net assets and reported in the statement of activities as net assets released from restrictions. The Organization reports gifts of land, buildings, and equipment as unrestricted support unless explicit donor stipulations specify how the donated assets must be used. Gifts of long -lived assets with explicit restrictions that specify how the assets are to be used and gifts of cash or other assets that must be used to acquire long -lived assets are reported as restricted support, Absent explicit donor stipulations about how long those long -lived assets must be maintained, the Organization reports expirations of donor restrictions when the donated or acquired long -lived assets are placed in service. Estimates - The Organization prepares its financial statements according to accounting principles generally accepted in the United States of America which require the use of estimates and assumptions that affect certain reported amounts and disclosures. Actual results could differ from those estimates. Bad Debts - The Organization utilizes the direct write -off method for bad debts. Significant losses are not anticipated from the present receivable balance. Adverrisine - Advertising expenses are charged as incurred. Advertising expenses for September 30, 2010 and 2009 were $22,679 and $30,187, respectively. �_..# i. t ' #. The financial statements included certain prior -year summarized comparative information in total but not by net asset class. Such information does not include sufficient detail to constitute a presentation in conformity with generally accepted accounting principles. Accordingly, such information should be read in conjunction with the Organization's financial statements for the year ended September 30, 2009, from which the summarized information was derived, -3- (2) LINE OF CREDIT: At September 30, 2010, the Organization has available a $300,000 line of credit due in February, 2011. Interest is at prime and the line is secured by the Organization's assets. The Organization has no outstanding balance on the line of credit as of September 30, 2010 and 2009, (3) TAX - EXEMPT STATUS: The Organization has been determined by the Internal Revenue Service to be exempt from federal income taxes under Section 501(c)(3) of the Internal Revenue Code. Accordingly, no provision for income tax has been established. The Organization files income tax returns in the U.S. federal jurisdiction and Illinois. With few exceptions, the Organization is no longer subject to U,S, federal, state and local, or non -U.S. income tax examinations by tax authorities for years before 2006. The Organization does not expect a material net change in unrecognized tax benefits in the next twelve months. (4} BUILDING AGREEMENT: During 1981 and 1982, the City of Elgin received federal funds through a Housing and Community Development Block Grant to purchase and rehabilitate a senior center. The Organization entered into an agreement with the City to operate the senior center, The agreement contains restrictive covenants which the Organization must comply with. If it does not comply with the covenants, then ownership of the senior center reverts back to the City. These covenants are primarily: 1) the facility must be properly used, 2) the building may not be leased without prior approval, and 3) adequate insurance must be carried. All restrictive covenants have been met for the years ended September 30, 2010 and 2009. (5} COMMITMENTS: The Organization is Ieasing additional office space under operating leases that expire at various dates through October, 2015. Rent expense for the years ended September 30, 2010 and 2009 was $123,096 and $112,766, respectively, The Organization also leases office equipment under operating leases that expire at various dates through October, 2010. Rent expense for the years ended September 30, 2010 and 2009 was $10,559 and $8,783, respectively. Future minimum rental commitments as of September 30, 2010 are as follows: 2011 $ 56,529 2012 60,654 2013 63,093 2014 24,927 2015 23,000 4- f6) IN -KIND CONTRIBUTIONS AND EXPENSES: Certain contributed services and expenses have been recorded, based upon their estimated fair market value, on the date of contribution as follows: 2014 2009 In -kind contributions $ 6 S D In -kind expenses: Personal services $ 7,41.441 (7) PROFIT- SHARING PLAN: The Organization has a defined contribution profit - sharing plan (401(k)) covering all full -time employees who have met certain service requirements. The plan provides for discretionary matching contributions up to 3% of the employee's salary by the Organization, up to a maximum amount permitted under the internal Revenue Code. The profit - sharing expense for the years ended September 30, 2010 and 2009 is $41,098 and $44,890, respectively. (8) CONCENTRATION OF GRANTS: The Organization received approximately 57 % and 53 % of its total public support and revenue from a grant from Northeastern Illinois Area on Aging and Illinois Department on Aging for the years ended September 30, 2010 and 2009, respectively. (9) CONTINGENCIES: The Organization has been named as a defendant in a lawsuit. Management believes that this claim is adequately covered by existing insurance policies, or is without merit and will not have a material adverse effect on the financial position of the Organization. L)upp L o Certified PublicAccountants & Comuitants A Professional Corporation 104 East Roosevelt Road Michael J. Dugan Wheaton, Illinois 60187 Jerry L. Lopatka (630) 665 -4440 Mark F. Schultz Fax (630) 665 -5030 Peter J. Zich wwwAuganlopafica.com Leo M. Misdom a -mail: infoOduganiopatka.coln INDEPENDENT AUDITOR'S REPORT ON INTERNAL CONTROL OVER FINANCIAL REPORTING AND ON COMPLIANCE AND OTHER MATTERS BASED ON AN AUDIT OF FINANCIAL STATEMENTS PERFORMED IN ACCORDANCE WITH GOVERNMENT AUDITING STAVD,4RDS To the Board of Directors of Senior Services Associates, Inc.: T. Brett Flickinger Karen M. Olson Hugh E. Elliott Gwen S. Henry We have audited the financial statements of Senior Services Associates, Inc. (the Organization) as of and for the year ended September 30, 2010, and have issued our report thereon dated December 7, 2010. We conducted our audit in accordance with auditing standards generally accepted in the United States of America and the standards applicable to financial audits contained in Governmental Auditing Standards, issued by the Comptroller General of the united States, k. s t•/ l 1 Y 1 In planning and performing our audit, we considered the Organization's internal control over financial reporting as a basis for designing our auditing procedures for the purpose of expressing our opinion on the financial statements, but not for the purpose of expressing an opinion on the effectiveness of the Organization's internal control over financial reporting. Accordingly, we do not express an opinion on the effectiveness of the Organization's internal control over financial reporting. A deficiency in internal control exists when the design or operation of a control does not allow management or employees, in the normal course of performing their assigned functions, to prevent or detect and correct misstatements on a timely basis. A material weakness is a deficiency, or a combination of deficiencies, in 'Internal control such that there is a reasonable possibility that a material misstatement of the entity's financial statements will not be prevented, or detected and corrected on a timely basis. Our consideration of internal control over financial reporting was for the limited purpose described in the first paragraph of this section and would not necessarily identify all deficiencies in internal control over financial reporting that might be deficiencies, significant deficiencies or material weaknesses. We did not identify any deficiencies in internal over financial reporting that we consider to be material weaknesses, as defined above. AYffILOIA/rYE 1 [A� (/w E,♦ 1 A C T MMNATIONAL NkYWORK Of PROFESSIONAL ACCOUNTANTS Independent Auditor's Report on Internal Control Over Financial Reporting and on Compliance and Other Matters Based on an Audit of Financial Statements Performed in Accordance with GvvernmentAuditing Standards Page two LON M" Emns , As part of obtaining reasonable assurance about whether the Organization's financial statements are free of material misstatement, we performed tests of its compliance with certain provisions of laws, regulations, contracts, grant agreements, noncompliance with which could have a direct and material effect on the determination of financial statement amounts. However, providing an opinion on compliance with those provisions was not an objective of our audit and, accordingly, we do not express such an opinion. The results of our tests disclosed no instances of noncompliance or other matters that are required to be reported under Government Auditing Standards. * ** * *s* This report is intended solely for the information and use of the Board of Directors, management, others within the Organization and federal awarding agencies and pass - through entities and is not intended to be used by anyone other than these specified parties. Wheaton, Illinois December 7, 2010 Dugan Lopata Certified Public Accountants & Consultants A Professional Corporation .104 East Roosevelt Road Michael J. Dugan Wheaton, Illinois 60187 Jerry L. Lopatka (630) 665 -4840 Mark F. Schultz Fax (630) 665 -5030 Peter J, Zich www.duganlopatka.com Leo M. Misdom a rnaii: info0duganlopatka.cont INDEPENDENT AUDITOR'S REPORT ON COMPLIANCE WITH REQUIREMENTS THAT COULD HAVE A DIRECT AND MATERIAL EFFECT ON EACH MAJOR PROGRAM AND INTERNAL CONTROL OVER COMPLIANCE IN ACCORDANCE WITH OMB CIRCULAR A -133 To the Board of Directors of Senior Services Associates, Inc. Compliance - M Brett Flickinger Karen M. Olson Hugh E. Elliott Gwen S. Henry We have audited Senior Services Associates, Inc.'s (the Organization) compliance with the types of compliance requirements described in OMB CircularA -333 Compliance SWplemenr that could have a direct and material effect in each of the Organization's major federal programs for the year ended September 30, 2010, The Organization's major federal programs are identified in the summary of auditor's results section of the accompanying schedule of findings and questioned costs. Compliance with the requirements of taws, regulations, contracts and grants applicable to each of its major federal programs is the responsibility of the Organization's management. Our responsibility is to express an opinion on the Organization's compliance based on our audit. We conducted our audit of compliance in accordance with auditing standards generally accepted in the United States of America; the standards applicable to financial audits contained in Government Auditing Standards, issued by the Comptroller General of the United States; and OMB Circular A -133, Audirs of States, Local Governments, and Non - Profit Organizations. Those standards and OMB Circular A -133 require that we plan and perform the audit to obtain reasonable assurance about whether noncompliance with the types of compliance requirements referred to above that could have a direct and material effect on a major federal program occurred. An audit includes examining, on a test basis, evidence about the Organization's compliance with those requirements and performing such other procedures as we considered necessary in the circumstances. We believe that our audit provides a reasonable basis for our opinion. Our audit does not provide a legal determination on the Organization's compliance with those requirements, In our opinion, the Organization complied, in all material respects, with the compliance requirements referred to above that could have a direct and material effect on each of its major federal programs for the year ended September 30, 2010, IAFFIIIAttt EE' ® (/+ °� {^ I 1 Y i V 1 MTERNAVONAt NTT QRC Of RROFESMi L AC<OIMFANIS Independent Auditor's Report on Compliance with Requirements That Could Have a Direct and Material Effect on Each Major Program and Internal Control over Compliance in Accordance with OMB Circular A -133 Page two Internal Control Over Compliance - Management of the Organization is responsible for establishing and maintaining effective internal control over compliance with requirements of laws, regulations, contracts and grants applicable to federal programs. In planning and performing our audit, we considered the Organization's internal control over compliance with requirements that could have a direct and material effect on a major federal program in order to determine our auditing procedures for the purpose of expressing our opinion on compliance and to test and report on internal control over compliance in accordance with OMB Circular A -133, but not for the purpose of expressing an opinion on the effectiveness of internal control over compliance. Accordingly, we do not express an opinion on the effectiveness of the Organization's internal control over compliance. A deficiency in internal control over compliance exists when the design or operation of a control over compliance does not allow management or employees, in the normal course of performing their assigned functions, to prevent, or detect and correct, noncompliance with a type of compliance requirement of a federal program on a timely basis. A material weabiess in internal control over compliance is a deficiency, or combination of deficiencies, in internal control over compliance, such that there is a reasonable possibility that material noncompliance with a We of compliance requirement of a federal program will not be prevented., or detected and corrected on a timely basis. Our consideration of internal control over compliance was for the limited purpose described in the first paragraph of this section and was not designed to identify all deficiencies in internal control over compliance that might be deficiencies, significant deficiencies or material weaknesses. We did not identify any deficiencies in internal control over compliance that we consider to be material weaknesses, as defined above. This report is intended solely for the information and use of the Board of Directors, management, others within the Organization and federal awarding agencies and pass - through entities and is not intended to be and should not be used by anyone other than those specified parties. Wheaton, Illinois December 7, 2010 Ln + Ct U�� U y. 'L! y w y. 4 � O c.. a U N � � � ❑ Q O d C O q T T � C C C N nt cya cyC u] h h m U�� U y. 'L! y w y. 4 � O c.. a U N � � � ❑ Q O EXHIBIT 5 Page 2 of 2 FOR THE YEAR ENDED SEPTEMBER 30 2010 Note A - Basis of Presentation: The accompanying schedule of expenditures of federal awards includes the federal grant activity of Senior Services Associates, Inc. and is presented on the accrual basis of accounting. The information in this schedule is presented in accordance with the requirements of OMB Circular A -133, Audits of States, Local Governments, and Non- Profrt Organizations. Therefore, some amounts presented in this schedule may differ from amounts presented in, or used in the preparation of, the basic financial statements. Note B - Sub- Recipients: Senior Services Associates, Inc. did not provide any federal awards to sub - recipients during the year ended September 30, 2010. Note C - Non -Cash Awards: Senior Services Associates, Inc. did not have any outstanding federal Ioans or loan guarantees or insurance at September 30, 2010, and did not receive any federal non -cash awards during the year ended September 30, 2010. SENIOR SERVICES ASSOCIATES_ SCHEDULE OF FINDINGS AND OUESTIONED COSTS FOR THE YEAR ENDED SEPTEMBER 30 2010 Part 1: SUNMARY OF AUDIS' RESULTS - L The auditor's report expresses an unqualified opinion on the financial statements of Senior Services Associates, Inc. 2. There were no significant deficiencies disclosed during the audit of the financial statements. 3. No instances of noncompliance material to the financial statements of Senior Services Associates, Inc, were disclosed during the audit. 4. There were no significant deficiencies disclosed during the audit of the major federal award programs. . 5. The auditor's report on compliance for the major federal award programs for Senior Services Associates, Inc, expresses an unqualified opinion on all major federal programs. b. Audit findings relative to the major federal award programs for Senior Services Associates, Inc. are reported in this Schedule. 7. The programs tested as major programs included: Special Programs for the Aging, Title III, Part B — Grants for Supportive Services and Senior Centers 93.044 $. The threshold for distinguishing Types A and B programs was $300,000. 9. Senior Services Associates, Inc. was determined to be a low -risk auditee. I0Si�iall►l►71►Ct y _ . a ut .♦ a r None: There were no audit findings or questioned costs. !' Ali - �. • • 4 ♦ hi . ♦., , . ♦ » I' 1 None: There were no audit findings or questioned costs. EXHIBIT 7 SENIOR SERVICES ASSOCIATES INC SUMMARY SCHEDULE OF PRIOR AUDIT FINDINGS FOR THE YEAR ENDED SEPTEMBER 30 2010 Summary of Prior Audit Findings - There were no prior audit findings reported. �I d i s� zz .a y� A G 5� E GL C H i o a H i l� � p• �� N� P N iV N ? 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( {f } \ ® ` i ( }feJ \ } �}a° wd w w r r r r r r r r r r r, r r r 1 a Pp Cf h .r N O M yy � O p y 2 � w w �GNHIN � +� arnrn .o rnnV � r r r : mm m ry h N = N N p p w Vj N T.r R N m� ' rD nl CJ N�� y V 4 m� r a n •� r N m r r r 1 YO tT �wq O w rye' p p w Z w O p O p oo rn yr Srd O h mvr v3 m.n r� r rn .p % .n c M1 h r0 U1 f[y�]ry fL U C m N N� m O O T 0 a x" . j ..............................� - 2° ti ( ® ,,,� �� „ •'a ;ll-4 - ! , rq[ - .ƒ ,.. ;.,,;..,lq,,.,..,1,.,.. ) / /}$ }k) / /\ / /\ / \ ƒ / / \ / \ \ /) \ \ \ / \\ / \ Internal Revenue Service Date: May 5, 2007 SENIOR SERVICES ASSOCIATES INC 101 S GROVE AVE ELGIN IL 60120 Dear Sir or Madam: Department of the Treasury P. O. Box 2508 Cincinnati, OH 45201 Person to Contact: T. Buckingham 29 -70700 Customer Service Representative Toll Free Telephone Number: 877 - 829 -5500 Federal Identification Number: 36- 2775102 This is in response to your request of May 4, 2007, regarding your organization's tax - exempt status. in January 1977 we issued a determination letter that recognized your organization as exempt from federal income tax. Our records indicate that your organization is currently exempt under section 501(c)(3) of the Internal Revenue Code. Our records indicate that your organization is also classified as a public charity under sections 509(a)(1) and 170(b)(1)(A)(vi) of the Internal Revenue Code. Our records indicate that contributions to your organization are deductible under section 170 of the Code, and that you are qualified to receive tax deductible bequests, devises, transfers or gifts under section 2055, 2106 or 2522 of the Internal Revenue Code. If you have any questions, please call us at the telephone number shown in the heading of this letter. Sincerely, Michele M. Sullivan, Oper. Mgr. Accounts Management Operations 1 sTaT! . Illinois Department of Revenue Office of Local Government Services tm s1 Sales Tax Exemption Section, 3-520 101 W. Jefferson Street Springfield, Illinois 62702 217 782 -8881 April 15, 2011 SENIOR SERVICES ASSOCIATES INC BUSINESS MNAGER 101 S GROVE AVE ELGIN IL 60120 We have received your recent letter; and based on the information you furnished, we believe SENIOR SERVICES ASSOCIATES INC of ELGIN, IL is organized and operated exclusively for charitable purposes, Consequently, sales of any kind to this organization are exempt from the Retailers' Occupa- tion Tax, the Service Occupation Tax (both state and local), the Use Tax, and the Service Use Tax in Illinois, We have issued your organization the following tax exemption identification number: E9983- 1597 -06. To claim the exemption, you must provide this number to your suppliers when purchasing tangible personal property for organizational use. This exemption may nor be used by individual members of the organization to make purchases for their individual use, This exemption will expire on May 1, 2016, unless you apply to the Illinois Depart- ment of Revenue for renewal at least three months prior to the expiration date. Office of Loca( Government Services Illinois Department of Revenue STS -49 A -2/98) IL- 492 -3456 �1- 0000047 SENIOR SERVICES FY 2012 BUDGET RMNIIE TOTAi 3010 Acf TApB — 29?? W0 3020 MsmbarsNps 14100 3040 Donabom 3000 iRsnta 4S6 4070 8� Nen1a1ll J6BDANMI®B 41800. 68.5W 3100 NOwsleeltaj _ _r a X00_ 3120Wab>rle Advsdis 0200Grante 13T,360 9240 GUent Service Grants ' 3235 Wd o p Ptln _ 20 000 3240 Gram Via a Fdo 20 00 3245 Somalmm o da4 300 3250E nbery Fdn. " y 3255 AOi P.rsonal Comvamnn 10_ ,500 330001niw ProyM Income 3310 Horns Rep air Plalett OCAme 3400TCPComm>msions _ __,,, „_ 3500 Kencall Count N4ml n_ _ '__ 3500FUMIZM1oa 120000 3) 00 Trana.Pmjact lnc. +11060 A 0 10 for NSlimal Service 01967 NEIL Aa -Il 4110 NEIL AAA_IIIB 64190) 4110 NEIL AAA-E.A. 3�S 5)_ 4114 NE1': ANE EIS 4115NEILFES 4113 NEIL CMP Ombudsman _ B 963 4120N El CATA IIIB(s) 4121 NEIL FCS 25.686_ 4121 NEIL ViI_ 30606 4123 NEIL CHAP 61 4]!Q 4125 NEIL IIID FaIIPrevan 1$296 4428 SNAP 6.252 41a5G pFiI lag 5_ 4146 Laj?_ IRE 4 +sec 9-; Respfe 19641 41WPiapt -nce ]3_ 4i50P erOmbfa Ombudsman 4.00IOOA .37976 >89 - 4215OR5- Staid q IL �_ 3'11 OM 4275 Mamas Hea!Itf ReaqurCd 00 4300 Elpkl_UnRad Wad _ 3q.000 43 +0 Lemni Keno United WaX„ 16,000 632 FFox Val19y Uniled Wav y 40 ?Do 4323 Fox Val�ay UW =ft Fund _ 4330 Batavia United Wav 1,000 4336 iceoo UN1ed Wav +C OOG GSneVa AJaO Geneva Cmnmunity 0hesl, 30,E 0_0 4480 35 372 Munn Tmmshi 4400 AUmry TawrehlD 1� 500 4403 Elgin Township I JO'100 410 Henamr Taxnshlo 441051. Chxlsa TOwnshlp__,_,_L 5006 4435 Dundee TOVmHhfp___, - 4440K�„e(I„Tovmshp Geneva Township Rears;mm Raeeam-h Nund TOwnShID Marengo Township __ _. 3,200 Kendall CCDu� Sr Ref _ t_tl500 Kendall 7289cartl _11000 I1�fElliot __ [4600T�" __L_344]10 cHenry, County Sr aaf��470.000_ arre COUn RiveN0s1 !Litle V L REVENUE: 4,046.000 LEXPENS£5; "t 4,046,0W NET __......._..._._ -_____ ± -09) SENIOR SERVICES FY129UOGET_ 1 ..__ _ E_XPENOIT_U RES: �. ...._�_.. A_G _ TOTAL 51o05aiane5 _ —J 2472789 5105 Temporary PersonYlal__ �_ 9 S n9 5110 FIC0. 189 1288 5120Nee18t „__�2g8.786 _51301110 lnscrenu _ 23993 5140UnamolaYment lnsvrance 24 791 _ 5150 Workmen's Comp;__ ��__ 15 5100 Penuoa Plan Exwns _3tJ 647]3 5278 ElnWnyw ASat818nGe 2400 5175 Loss on Plan _ _- S+.BO Emokrrranl_Gosts „_T_ ent Cost -6105 1920 Rent 138 CBB 9108 M1k m Rent BttOGRSi8tdnp,F,,,__._ — i33]3] _6120 EiecW C 1 7634 _- � _8130 wa:ar 8140 Extsrmineim 2�t5 6180 inaur&nca 3 726 jandarall aSkel 8160 JSrctenal /Mt6ntenanw t �_3t2 8190 RntY 8190R3— $sUpfrif¢s ____ ' SS,552 7200 NOUm SuppGea _,f! 17,000 suppaes hati.- ]300 Foal SPppliex t Ventll(g Mectine_ 7300Fmi —428sp 42 595_ 7000 Aaiviy upplies 23,165_ 7060 AClivl�aatle y7.Ota 2500 8 c—ompuL_ppji900 ter,Sm uoplies ! 6,972 Olhaf 9100vanklelnityins 1 8120 Pnt ai !o_ _._ _ 4,000 lays 8125_6gegor[ ana INncen _ 500 9190 )ce� 119 Imveisazinstsa ,3200 =nve1 ]2;,,758 9205 Miswilawaus 8220 Atl_eNSinp 143 ".3 8225MerNeilrc 5042 8230�ink Rateval 550 8240 AWit 14 OW V_____ 0uas d 8260 S43 i0e44 a2e6 cak x Gu -- e9 9300 fieg8_tioa 6310 HIfBQ Ve 1 nke �— _ 5_ BBd 8320nmfi Manteerenw 8346? p nengd Qupl � 20'{,Ql„ 8380 P uaSe._.._._ 32 .65 iepn nq____T 49203 8365 C3860 8eaaler Pnpne Service 19816 6390Ir,Wmel X625_ �. 8400 Tinning^_ " 796_ M Ba ConG[nunf 3 3 3,6-26 8030 PrIXasaonai Fee3____ 640 _8635 _237906 8440 C dub_ Coninn pCIrpmw Gantra 37925 84W Pagng_ _8580 intena _209_ 13 790 N"AlMeintenan= 8500 Naw[Ieltar BB X63 8510 %ena Gounlyr River Boer - 8520 FumiahiOgslFixune ___ __ _ 8530 Voluntwr Expen¢a,_ 8540 VduHe_R Travel 888 BS_95 Eyin Emaromcv Client Exo_ 8580 VoWntaer Meals _ 84fif 8580Voidntwr Fecocnl5art 4.300 - 9585 VO[unlw( Recmananl 1000 96O)nurcstEUe^ne _ .__ 8605 Govsmmce _8610 II D HAVO PIImo L 1 8812 NEIL PAP I 8611 NEIL CAPACIN ONE -TIME e9 =15 GnkC Ex-psnre -One Time _ 8817 NEIL FGs 25886 99]0 (,I BSej RuNantisl Renalr18 W25 VII Prowdev_e Services 23300 8628 NEIL ESS FFSS AT 8 Legal - �1! 8 27 Cenglver gesP¢e _ 78.621 8- 82929 `i urei�ome pWenloo __ 9831 NE_Il Gne -time 9633 Gap _ 181951 _PAI,Ekpensta 88341110 Mod "lion Management 88051LSLo-jm9 _,__,__ __ M36 NEIL Gep_Flli - Grandparonts —Ref - _8837TnplAnivlty urA 0840 Tqxg._ _ _ 25 912 VU_Wa.Y 8850 fax ellaj: B680EIS CtS tSery csa _ 8600 Ole t6 ices FUaQetl Gagta 66e1 6685 M 1 i h .ill Reso w Qa L � 3675 MCHenry Emergency _ 78 H me Repair Proje t E xp 86 xp_, 31000 8680 FUntlmbing_ 16,500 _ „_ 87 Semm Restricted _ !! 42 500_ 8220 Move 8 Reno a on e2 so —Xnox 8236 8ox Pu nn s - __ 8735 TranspaRe(fon RICA 29074 Bain AIC_ _8740 _ TOTAL EXPENSES: 4048,000 EXHIBIT B ASSURANCES The SUB - RECIPIENT hereby assures and certifies that it will comply with the regulations, policies, guidelines and requirements with respect to the acceptance and use of CDBG funds in accordance with the ACT and City of Elgin policies. Also, the SUB - RECIPIENT certifies with respect to the grant that: 1. It possesses legal authority to make a grant submission to the City and to execute a community development and housing program; 2. Its governing body has duly adopted or passed as an official act, a resolution, motion or similar action authorizing the person identified as the official representative of the SUB - RECIPIENT to execute the Agreement, all understandings and assurances contained herein, and directing the authorization of the person identified as the official representative of the SUB - RECIPIENT to act in connection with the execution of the Agreement and to provide such additional information as may be required. 3. Prior to submission of its application to the City, the SUB - RECIPIENT has: (A) Met the citizen participation requirements of 570.301(b) and has provided citizens with: (1) The estimate of the amount of CDBG funds proposed to be used for activities that will benefit persons of low and moderate income; and (2) Its plan for minimizing displacement of persons as a result of activities assisted with implementing regulations CDBG funds and to assist persons actually displaced as a result of such activities; (B) Prepared its application in accordance with the policies of the City of Elgin and made the application available to the public; 4. 'The grant will be conducted and administered in compliance with: (A) Title VI of the Civil Rights Act of 1964 (Pub. L. 88 -352 42 U.S.C. Sec 2000d et seq.) and implementing regulations issued at 24 CFR Part I; (B) Title VIII of the Civil Rights Act of 1968 (Pub. L. 90 -208), as amended; and that the SUB - RECIPIENT will administer all programs and activities related to housing and community development in a manner to affirmatively further fair housing; (C) Section 109 of the Housing and Community Development Act of 1974, as amended; and the regulations issued pursuant hereto; (D). Section 3 of the Mousing and Urban Development Act of 1968, as amended; (E) Executive Order 11246 -Equal Opportunity, as amended by Executive Orders 11375 and 12086, and implementing regulations issued at 41 CFR Chapter 60; (F) Executive Order 11063 - Equal Opportunity in Mousing, as amended by Executive Order 12259, and implementing regulations at 24 CFR Part 107; (G) Section 504 of the Rehabilitation Act of 1973 (Pub. L. 93 -112), as amended, and implementing Page 11 of 16 regulations when published in effect; (H) The Age Discrimination Act of 1975 (Pub. L. 94 -135), as amended, and implementing regulations when published for effect; (I) The relocation requirements of Title II and the acquisition requirements of Title III of the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970, as amended, and the implementing regulations at 24 CFR Part 42, as required under 24 CFR 570.606; (I) The labor standards requirements as set forth in 24 CFR Part 570, Subpart K and HUD regulations issues to implement such requirements; (K) Executive Order 11988 relating to the evaluation of flood hazards and Executive Order 11738 relating to the prevention, control and abatement of water pollution; (L) The flood insurance purchase requirements of Section 102(a) of the Flood Disaster Protection Act of 1973 (Pub. L. 93 -234); (M) The Fair Housing Act (42 U.S.C. 3601 -20); 5. Its notification, inspection, testing and abatement procedures concerning lead -based paint will comply with 570.608 and 24 CFR Part 35; and 6. When a grant is in excess of $100,000 it will comply with all applicable standards, orders, or requirements issued under Section 308 of the Clean Air Act (42 U.S.C. 1857(h), Section 508 of the Clean Water Act (33 U.S.C. 1368), Executive Order 11738, and Environmental Protection Agency regulation (40 CFR Part 15), which prohibit the use under nonexempt Federal contracts, grants or loans, of facilities included on the EPA list of Violating Facilities. The provision shall require reporting of violations to the City, IIUD, and to the AESOP Assistant Administrator for Enforcement (EN -329). It has developed its application so as to give maximum feasible priority to activities which benefit low and moderate income families or aid in the prevention or elimination of slums or blight; (the application may also include activities which the SUB - RECIPIENT certifies are designed to meet other community development needs having a particular urgency because existing conditions pose a serious and immediate threat to the health or welfare of the community, and other financial resources are not available); It is following the current City of Elgin Consolidated Plan which has been approved by HUD pursuant to 570.306; and It will not attempt to recover any capital costs of public improvements assisted in whole or in part with funds provided under Section 106 of the ACT or with amount resulting from a guarantee under Section 108 of the ACT by assessing any amount against properties owned and occupied by persons of low and moderate income, including any fee charged or assessment made as a condition of obtaining access to such public improvements, unless: (1) funds received under Section 106 of the ACT are used to pay the proportion of such fee or assessment that relates to the capital costs of such public improvements that are financed from revenue sources other than under Title I of the ACT; or (2) for purposes of assessing any amount against properties owned and occupied by low and moderate income persons, the SUB - RECIPIENT certifies that it lacks sufficient funds received under Section 106 of the ACT to comply with the requirements of subparagraph (1) above. 10. The SUB - RECIPIENT certifies that it will provide a drug -free workplace by: Page 12 of 16 (A) Publishing a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession or use of a controlled substance is prohibited in the SUB - RECIPIENT'S workplace and specifying the actions that will be taken against employees for violation of such prohibition; (B) Establishing a drug -free awareness program to inform employees about: (1) The dangers of drug abuse in the workplace; (2) The SUB - RECIPIENT'S policy of maintaining a drug -free workplace; (3) Any available drug counseling, rehabilitation, and employee assistance programs; and (4) The penalties that may be imposed upon employees for drug abuse violations occurring in the workplace. (C) Making it a requirement that each employee to be engaged in the performance of the grant be given a copy of the statement required by paragraph (A); (D) Notifying the employee in the statement required by paragraph (A) that, as a condition of employment under the grant, the employee will: (1) Abide by the terms of the statement; and (2) Notify the employer of any criminal drug statute conviction for a violation occurring in the workplace no later than five days after such conviction; (E) Notifying the City of Elgin's Community Development Department within ten (10) days after receiving notice under subparagraph (D)(2) from an employee or otherwise receiving actual notice of such conviction; (F) Taking one of the following actions, within 30 days of receiving notice under subparagraph (D)(2), with respect to any employee who is so convicted: (1) Taking appropriate personnel action against such an employee, up to and including termination; or (2) Requiring such employee to participate satisfactorily in a drug abuse assistance or rehabilitation program approved for such purposes by a Federal, State, or local health, law enforcement, or other appropriate agency; (G) Making a good faith effort to continue to maintain a drug -free workplace through implementation of paragraphs (A), (B), (C), (D), (E) and (F). 11. It has adopted and is enforcing a policy prohibiting the use of excessive force by law enforcement agencies within its jurisdiction against any individuals engaged in nonviolent civil rights demonstrations. 12. In regards to lobbying, the SUB - RECIPIENT certifies: (A) No Federal appropriated funds have been paid or will be paid, by or on behalf of the SUB - RECIPIENT, to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, Page 13 of 16 grant, loan, or cooperative agreement. (13) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form -LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions. (C) The SUS - RECIPIENT shall require that the language of this certification be included in the award documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements) and that all sub - recipients shall certify and disclose accordingly. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. Page 14 of 16 EXHIBIT C EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION Community Development Block Grant Program City of Elgin The undersigned understands and agrees that it is a SUB - RECIPIENT of the Community Development Block Grant Program of the City of Elgin. The undersigned also agrees there shall be no discrimination against any employee who is employed in carrying out work from the assistance received from the City of Elgin and the Department of Housing and Urban Development, or against any applicant for such employment, because of race, color, religion, sex, age or national origin, including but not limited to employment, upgrading, demotion or transfer; recruitment or recruitment advertising; lay off or termination; rates of pay or other forms of compensation; and selection for training, including apprenticeship. The SUB - RECIPIENT further agrees to the following: (1) It will incorporate or cause to be incorporated into any grant contract, loan, grant insurance or guarantee involving Federally assisted construction work, or modification thereof, which is paid for in whole or in part with funds obtained from the Community Development Block Grant program, the language contained in HUD Equal Employment Opportunity Regulations at 42 CFR 130.15(b), in Executive Order 11246, as amended by Executive Orders 11375 and 12006, and implementing regulations issued in 41 CER Chapter 60. (2) It will be bound by said equal opportunity clause with respect to its own employment practices when it participates in any Community Development Block Grant Program construction. (3) It will assist and cooperate actively with the City of Elgin, the Department of Housing and Urban Development and the Secretary of Labor in obtaining the compliance of contractors and subcontractors with the equal opportunity clause and the rules, regulations and relevant orders of the Secretary of Labor. (4) It will furnish the City of Elgin, the Department of Housing and Urban Development and the Secretary of Labor such information as they may require for the supervision of such compliance, and will otherwise assist the City of Elgin and the Department of Housing and Urban Development in the discharge of primary responsibility for securing compliance. (5) It will refrain from entering into any contract or contract modification subject to Executive Order 11246 of September 24, 1965, with a contractor debarred from or who has not demonstrated eligibility for government contracts and federally assisted construction contracts pursuant to the Executive Order. (6) It will carry out such sanctions and penalties for violation of the equal opportunity clause as may be imposed upon contractors and subcontractors by the Secretary of Labor, the City of Elgin or the Department of Housing and Urban Development. (7) In the event that SUB - RECIPIENT fails or refuses to comply with the undertaking, the City of Elgin, or the Department of Housing and Urban Development may take any or all of the following actions: cancel, terminate or suspend, in whole or in part, this grant, refrain from extending any further assistance to the SUB - RECIPIENT until satisfactory assurance of future compliance has been received; and refer the case to the Department of Housing and Urban Development for appropriate legal proceedings. Page 15 of 16 SUB - RECIPIENT: Senior Services Associates, Inc. 101 South Grove Avenue, Elgin, Illinois 60120 BY: ' a Bette Schoenholtz, Executive Director DATE:+ Page 16 of 16