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13-137 Resolution No. 13-137 RESOLUTION AUTHORIZING EXECUTION OF A COMMUNITY DEVELOPMENT BLOCK GRANT SUB-RECIPIENT AGREEMENT WITH RENZ ADDICTION COUNSELING CENTER FOR ASPHALT ENTRANCE DRIVEWAY AND PARKING LOT 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 agreement with Renz Addiction Counseling Center on behalf of the City of Elgin for asphalt entrance driveway and parking lot at Two American Way, a copy of which is attached hereto and made a part hereof by reference. s/David J. Kaptain David J. Kaptain, Mayor Presented: August 28, 2013 Adopted: August 28, 2013 Omnibus Vote: Yeas: 9 Nays: 0 Attest: s/Kimberly Dewis Kimberly Dewis, City Clerk AGREEMENT BETWEEN THE CITY OF ELGIN AND RENZ ADDICTION COUNSELING CENTER This AGREEMENT is entered into as of the 28th day of August 2013,by and between the CITY OF ELGIN, an Illinois municipal corporation (hereinafter called "GRANTEE" or "CITY") and the RENZ ADDICTION COUNSELING CENTER, 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 One American Way, Elgin, Illinois 60120. 1. 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 called"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. H. SCOPE OF THE PROJECT A. SUB-RECIPIENT hereby agrees to perform, in a timely fashion, the activities provided for herein, and those previously defined in the application and project description dated December 13, 2012, submitted by the SUB-RECIPIENT entitled "Driveway and Parking Lot Pavement Project" a copy of which is attached hereto as Exhibit "A" and incorporated herein by this reference (hereinafter referred to as the "PROJECT"). The SUB-RECIPIENT was awarded a grant for Fiscal Year(FY) 2013. B. All funding provided to SUB-RECIPIENT shall be used solely to remove, dispose and replace existing asphalt entrance driveway and parking lot, located at Two American Way, Elgin, Illinois. About 953 low and moderate-income Elgin families will benefit from the Renz Center's program in its 2013 fiscal year. The subject building will serve 94 percent low and moderate income persons as defined by 24 CFR 570.208 (a) (2) (i) (A). Such funding shall be used only to resurface the driveway entrance off Summit Street and the parking facility, and other costs associated with the above activities as are consistent with the scope and intent of the PROJECT and are pre-approved by CITY staff. C. The SUB-RECIPIENT shall comply with administrative and procurement requirements as applied to the Community Development Block Grant program in accordance with 24 CFR 85: Page 1 of 19 I. The Bid Specifications shall include all specifications and pertinent attachments and shall define the items or services in order for the bidder to properly respond. 2. The SUB-RECIPIENT shall submit the Bid Specifications and plans to the City's Community Development Department for staffs approval prior to advertising in a local newspaper and the Dodge Construction News. 3. The SUB-RECIPIENT shall include in the invitation for bids, the statement "Minorities and women contractors are encouraged to submit bids." The SUB- RECIPIENT shall purchase a 1" a 3" space in the Dodge Construction News Classified Section specifically inviting Minority Business Entity/Women Business Entity(MBE/WBE) firms to submit bids. 4. All bids will be publicly opened at the time and place prescribed in the invitation for bids. S. The SUB-RECIPIENT shall provide the City's Community Development Department with a copy of the classified advertisement and the results from the bid opening. 6. The contract award will be awarded, in writing, to the lowest responsive and responsible bidder. Any or all bids may be rejected, if there are sound documented reasons. D. The SUB-RECIPIENT shall comply with the Federal Labor Standards and Prevailing Wage Rates as applied to the Community Development Block Grant Program in accordance with Title 29 of the Code of Federal Regulations, Part 5: 1. After the start of the described work, the SUB-RECIPIENT shall provide to the City's Community Development Department staff, weekly reports of the contractor and/or subcontractors at the job site. The SUB-RECIPIENT shall conduct employee interviews of the contractor and/or subcontractors at the job site. 2. Originals of all documents required for compliance with the Federal Labor Standards shall be supplied to the City's Community Development Department. 3. SUB-RECIPIENT shall erect a sign in a prominent place at the job site crediting the City of Elgin and HUD for funding of the PROJECT by including the following statement: "Funding for the Project has been provided, in part, by the City of Elgin from the U.S. Department of Housing and Urban Development's Community Development Block Grant Program." E. Quarterly Progress Reports and Disclosure of Client Data 1. The SUB-RECIPIENT shall provide a Quarterly Progress Report to the CITY each quarter, reporting on the status of the PROJECT in relation to the Project Implementation Schedule. The quarterly progress reports shall begin upon the signing of this Agreement, and be based on the CDBG program year, beginning on June 1` and ending on May 315` of the following year. The quarterly progress report shall be submitted until the completion of the project or until directed to discontinue such reports in writing by the CITY. Page 2 of 19 2. Quarterly progress reports shall be due on the 10`h day of the month following, the end of the quarter, for the previous quarter's activities. 3. The SUB-RECIPIENT shall use a form provided by the Community Development Department and shall include all required information about the number of clients served each quarter (by race, household income, household size and the number of female headed households). 4. The SUB-RECIPIENT shall maintain on the premises of their principal place of business client data demonstrating client eligibility for services provided, and any other demographic information as requested in the City's Quarterly Progress Reports. Such information shall be made available to the City's monitors for review upon request. 5. The SUB-RECIPIENT shall furnish and will permit the City, HUD or its agents, or other authorized federal officials, access to clients' records for the purpose of household size and income verification to ascertain compliance with the rules, regulations and provision of the Act. F. Request for Payment 1. The SUB-RECIPIENT shall provide the City's Community Development Department, prior to the start of construction, with an itemized list of all estimated expenditures. This list (on a State of Illinois Engineer's Pay Estimate form BLR-283 or equivalent) shall show expected quantities and unit prices for each item. 2. Request for payment shall be submitted on a timely basis. Each request for payment sent to the CITY shall be accompanied by said payment estimate form signed by the SUB-RECIPIENT'S authorized representative and showing the work completed. Changes to items on the pay estimate form must be authorized, in writing, by the SUB-RECIPEMT (on a State of Illinois Request for Approval of Change in Plans Form BLR-228 or equivalent), and a copy of such authorization shall be submitted to the City's Community Development Department before payment pursuant to such changes is made. G. Prior to the expenditure of CDBG funds, the 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 the CITY without the required documentation. H. SUB-RECIPIENT shall record and report monthly to the CITY all program income (as defined in 24 CFR 570.500(a)) generated by activities carried out with CDBG funds made available under this Agreement. Any such program income shall be returned to the CITY. Written request for an exception to this section must be made in writing to the CITY's Community Development Department. Such request shall describe 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 income and expenditures to the CITY. A written response to the request will be provided to the SUB- RECIPIENT from the CITY. The use of any program income by the SUB-RECIPIENT Page 3 of 19 shall comply with the requirements set forth at 24 CFR 570.504. By way of further limitations, to the extent any such income is used during the Agreement period for activities permitted under this Agreement, SUB-RECIPIENT shall reduce requests for additional funds by the amount of any such program income balances on hand. All unexpended program income shall be returned to the CITY at the end of this Agreement period. Any interest earned on cash advances from the U.S. Treasury and from funds held in a revolving fund account is not program income and shall be remitted promptly to 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 SUB-RECIPIENT'S undertaking to perform the PROJECT, a maximum of$35,000 (hereinafter "Grant Funds"), to be paid in the manner set forth herein at Section VII. B. This PROJECT shall be identified by the following project and account numbers: Project No. 154950 and Account No. 230-0000-791.93-36 in the amount of $35,000, which identifying numbers shall be used by SUB-RECIPIENT on all payment requests. C. In the event the services identified in Section II, Scope of the Project of this Agreement or other eligible services for low and moderate income individuals and households are no longer provided at the Renz Addiction Counseling Center, One American Way, Elgin, due to actions by the SUB-RECIPIENT, the SUB RECIPIENT shall reimburse the U.S. Department of Housing and Urban Development or the CITY for project activities undertaken in whole or in part with CDBG funds at a rate of 6.7% for each year and portion of each year remaining on the ten-year useful life of the facility improvements. The ten-year compliance period shall begin on the commencement date of this Agreement. This provision shall not be construed as limiting the CITY from asserting any claims against the Renz Addiction Counseling Center, for the breach of any other terms of this Agreement. D. Upon project completion as specified in Section II, Scope of the Project, any remaining CDBG project funds shall be available for reallocation by the CITY to another eligible CDBG project. If SUB-RECIPIENT materially fails to comply with any term of this award, the SUB-RECIPIENT shall repay to the CITY all funds used for ineligible activities. E. A minimum of 51 percent of the persons served on an annual basis shall be at or below 80 percent of the Median Family Income in order for the SUB-RECIPIENT to maintain eligibility for the CDBG funds provided for herein. Said income levels shall be updated and revised annually to conform to levels set by the U. S. Department of Housing and Urban Development. Failure to meet the aforementioned minimum 51 percent threshold shall require SUB-RECII'IENT to reimburse the CITY for funds expended, in whole or in part; for project activities. F. Changes in the scope of services, budget, or method of compensation contained in this Agreement, unless otherwise noted, may only be made through a written amendment to this Agreement, executed by the SUB-RECIPIENT and CITY. Page 4 of 19 TV. SUB-RECIPIENT'S COMPLIANCE WITH THE ACT A. CITY shall assist SUB-RECIPIENT'S making application for CDBG funds. B. SUB-RECIPIENT shall abide by the ACT, and all HUD rules and regulations promulgated to implement the ACT. C. SUB-RECIPIENT shall, upon request of CITY, (1) assist in the completion of an environmental review and (2) complete certifications showing equal employment opportunity compliance including equal employment opportunity certification with reference to the PROJECT, as set forth in Exhibit "C" attached hereto and made a part hereof. D. SUB-RECIPIENT, in performing under this Agreement, shall: 1. Not discriminate against any worker, employee, or applicant, or any member of 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 in- cluding, 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 CITY and HUD 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 agrees to post in conspicuous places available to employees and applicants for employment notices setting forth the provisions of this non-discriminatory clause. F. SUB-RECIPIENT shall comply with all laws and state and federal rules and 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, referred to 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. Paee 5 of 19 I. 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 this 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. Without limiting the foregoing, the SUB-RECIPIENT shall comply with the regulations, policies, guidelines and requirements set forth in Exhibit B, attached hereto and incorporated herein by this reference. 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 is used to meet the benefit of low and moderate income persons as defined by HUD, for a period of 10 years after the commencement of this Agreement. M. If.during the 10 year period after the commencement 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, 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 CFR 570.503(b)(8) and 24 CFR 570.505. V. RIGHTS TO SUBCONTRACT A. SUB-RECIPIENT is herewith granted authority to subcontract all or any portion of the PROJECT to such engineers, architects, independent land use consultants, professional land planner, construction contractors or other entities as SUB-RECIPIENT shall deem appropriate or necessary and upon such terms as may be acceptable to SUB-RECIPIENT. 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. VI. SUB-RECIPIENT'S AUTHORIZATION 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. Page 6 of 19 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-RECIPIENT 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-RECIPIENT; 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 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, certification that the work has been performed in a satisfactory manner and in conformance with the contract. 4. Process*m,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. SUB-RECIPIENT shall forward to 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 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, 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. Page 7 of 19 C. Except as provided for in Section IX and X herein, 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, A-122, and A- 133, 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 laws, rules and regulations, as specified in this Agreement and shall submit to CITY a quarterly progress report no later than the 10th day of the month following the activity being reported. SUB-RECIPIENT shall comply with all reporting and other requirements as specified in Exhibit "B" attached hereto and made a part of this Agreement. C. Relocation of Tenants SUB-RECIPIENT shall comply with the requirement under the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970. SUB-RECIPIENT shall maintain a separate relocation file for each displaced person/business for at least three years after the project has been completed or the person/business has received final relocation payments, whichever is later. Relocation costs must be paid to any tenant (residential or nonresidential) who occupies any building being acquired and is forced to move without cause. Waiver of rights to relocation costs can only be done by a single family homeowner. D. Management Plan and Operating Budget of the Facility SUB-RECIPIENT shall maintain, and keep current, a management plan and operating budget stating policies governing the operation of the facility and shall keep this plan and budget on file with the CITY. IX. TERMINATION OF AGREEMENT OR SUSPENSION OF PAYMENT A. During the implementation of the PROJECT, CITY may terminate this Agreement or may suspend payment of Grant Funds to SUB-RECIPIENT for SUB-RECIPIENT'S substantial breach of this Agreement, abandonment of the PROJECT or occurrence rendering impossible the performance by SUB-RECIPIENT of this Agreement. 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 or in breach of this Agreement relative 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. Page 8 of 19 C. In the event CITY elects to terminate this Agreement or to suspend payments, for any reason stated herein above 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 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 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 CITY for any funds expended in violation of any of the terms of this Agreement. D. SUB-RECIPIENT shall transfer to the CITY any unused CDBG funds and submit all billings attributable to this Project at the time this Agreement terminates or is suspended. X. REMEDIES A. To the fullest extent permitted 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 fees, damages or any and all other relief or 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 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, by CITY and/or any of its agents or representatives, 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 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 paragraph 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 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. Page 9 of 19 D. In addition to any remedies available to the CITY, if 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 Funds previously disbursed or allegedly due to the SUB-RECIPIENT. XI. TIMELINESS A. Time is:of the essence of this Agreement. SUB-RECIPIENT shall meet the schedule deadlines listed below. Any milestone which the SUB-RECIPIENT does not achieve within two months of the date listed 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 CITY's discretion. Actions Date 1. Prepare Bid Specification September 1, 2013 2. Bids Solicited September 15, 2013 3. Select Contractor October 1, 2013 4. Construction Begins October 15, 2013 5. Construction Completed May 31, 2014 B. SUB-RECIPIENT. Shall complete the PROJECT within twelve (12) months from the date of this Agreement. However, in the event of any alterations or additions or of circumstances beyond the control of SUB-RECIPIENT, which in the opinion of the Community Development Director will require additional time for completion of said expenditures, then in that case, the time of completion shall be extended by the Community Development Director by a period of time not to exceed six (6)months. C. If SUB-RECIPIENT is delayed in the completion of the PROJECT by any cause legitimately beyond its control, as determined by the CITY, such that it cannot complete the PROJECT within eighteen (18) months of the date of this Agreement, it shall immediately give written notice to the CITY of the anticipated delay, the reasons therefore and request an extension of time for completion of the PROJECT. CITY's Community Development Director shall consider any such request and shall make a recommendation to CITY's City Council as to whether in his sole discretion he considers such an extension to be reasonable and necessary, under the totality of circumstances to be required for completion of the PROJECT due to the particular circumstances. The CITY's City Council shall act upon the extension request and recommendation of the Community Development Director and notify the SUB-RECIPIENT whether the time extension is granted or denied, and the CITY's intention to exercise the remedies available herein, including but not limited to suspension of further payments. A revised implementation schedule shall be submitted by SUB-RECIPIENT if an extension is granted by the CITY. Page 10 of 19 XH. MISCELLANEOUS PROVISIONS A. AMENDMENTS - This Agreement constitutes the entire Agreement between the parties hereto. There are no other agreements, either oral or implied, between the parties hereto regarding the subject matter hereof. 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 Sections V and 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, 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. F. 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 m full force and effect. G. This Agreement shall not be construed to create a joint venture, partnership, employment or other agency relationship between the parties hereto. H. Venue for the resolution of any disputes or the enforcement of any rights between the parties hereto arising out of or in connection with the terms and provisions of this Agreement shall be in the Circuit Court of Kane County, Illinois. Page 11 of 19 IN WITNESS WHEREOF, the parties hereto have executed this Agreement on the dates recited below. CITY OF ELGIN, an Illinois Municipal Corporation BY: 114W Sean R. Ste City Manager DATE: August 28, 2013 ATTEST. &��&/ Kimberly hewis City Clerk SUB-RECIPIENT: Renz Addiction Counseling Center e American Way, gin,Illinois 60120 BY: ko rry o Exec tive irector DATE L / ATTEST: Pate 12 of 19 EXHIBIT A SUB-RECIPIENT'S CDBG APPLICATION Paoe 13 of 19 IN Wc "'s < ':� -�,� Organization Name: Renz Addiction Counseling Center Project Name: Driveway and Parking Lot Pavement Project Project Address: Two American Way,Elgin,IL 60120 Exec Director Name: Jerry Skogmo Address: One American Way,Elgin,IL 60120 Telephone Number: (847)742-3545 Fax Number: (847)697-5583 E-Mail Address: jskogmo @RenzCenter.org Website(if applicable):www.RenzCenter.org Employer(IRS)ID i=: 36-2447195 I DUNS Number. 1069216870000 Contact Name: Deb Howe Title: Marketing&Fund Development Director Contact Telephone r: (847)742-3545 Contact Fax Number: (847)697-5583 Contact E-Mail: dhowe @RenzCenter.org Website(if applicable): www.RenzCenter.org -�-"'`�✓ ��_..�=.c:!,s �'�'w- -'-�i---_�-e,� �o� '-:rx�.T..x ash -5�#�' r�s� Z z ��d�"� rtse,�"'a�"-.' u�`��-� �`.z CDBG Funds Requested 535000.00 Funding Leveraged from other Sources $23500.00 Check the category,which describes the type of funding,requested: OHousing; O Public Facility O Infrastructure OEconomic Development O Public Service C Other BRIEF PROJECT DESCRIPTION: Please provide a one-sentence statement about your project-not your organization. Renz Center is requesting funds for the removal,disposal and resurfacing of asphalt from our entrance driveway off Summit Street all the way to our outpatient treatment facility parking lot located at Two American Way in Elgin. City,of Elgin CDBG Application FY 2013-2014 Application Page 14 of 32 ` gg PnojectName/Title and Parking Lot Pavement Project Agency Name: ' Benz Addiction Counseling[eme Agency Address: One American Way City: State |L Zip Code: 00120 a. Provide o detailed description of the facilities tobe provided urimproved. Identify major components of proposed work and state estimated quantities: Since moving into-the Two American Way building over 12 years ago,Benz Center has continuously grown to meet the needs ofthe community by broadening our d)nica|and prevention programs. Asa result of meeting this increase in demand,car traffic has increased exponentially causing substantial pothole damage to the Center's driveway and parking lot asphalt. The pavement is beyond routine maintenance and is need of replacement. The improvements will include� 1.Removal and disposal of the driveway and parking lot asphalt;'2.Properly grade and level driveway and parking lot,and,"3.Resurfacing with asphalt. Asa result of these improvements,Benz Center's parking lot will l.No longer appear rundown-and aneyesore from the street;2.8e void of potholes and large standing pools of water;and,3.Provide clients with asafep|oceto enter and park without the risk ofa car accident and/or maintenance issues asthey relate to avoiding nr hitting apothole. b. Indicate the primary function of the facilities nobe provided orimproved: Benz Addiction Counseling Center is a non-profit agency dedicated to the prevention,intervention,and treatment of addictive behaviors and disorders and to factors often associated with addiction. The Center's Two American Way facility specifically provides Outpatient and intensive Outpatient Adolescent Services;Family Programs—including children of alcoholics;Outpatient and Intensive Outpatient Adult Services;Passage Program for Women—including free childcare;DUI Services,and Problem and Compulsive Gambling Programs. The Community Homeless Integration Project is also located in the facility,and they provide mental health care and substance abuse treatment along with intensive comprehensive case management care to individuals who are or at-risk of becoming homeless. c Readiness toProceed: (i) Do you have an architect/engineer under contract? 0 Yes No if,yes please provide name. (ii) Do you have preliminary plans/drawings completed(If yes,please scan and attacW7 Yes 0 No (iii) Do you have project cost estimates completed(If yes,please scan and attach}! Yes 0 No (using Davis Bacon Wage Rate and Labor Standards) d. Provide evidence of'site control. (Please scan and attach) Copy ofdeed. |f property is not owned provide ncopy of the lease. Agreement and letter from owner approving proposed work- City nfc/ymcnua^pp//covvnrvzu1s'2o14 Application Page 15msz CAPITAL PROJECTS ONLY r•_ ,� �. �� ..� �— -c-'.sue. �wn+'�'.¢ ��'`�..�"'�-��'� �-�. a�x��_.c��«-��'�.s�.-" '"' `� ` �*.z. a. Project Address/Location: (Scan and attach photographs) Project Address/Location: Two American Way,Elain IL 60120 Please see Attachment B:Photos Census Tract(s): 8044.04 Block Group(s): Block Group 4—Block 4002 b. Indicate if the project is located in,or will have any impact on,the following: (Please indicate Yes or No) (i) Do you have an architect/engineer under contract? 0 Yes No If yes,explain: (ii) Designated Wetlands Area: 0 Yes C No If yes,explain: (iii) Land Use/Zoning Charge: 0 Yes No If yes,explain: (iv) Environmental Hazards: 0 Yes Do No if yes,explain: c. Provide a time line for the project and current status of project progression: Construction Bid Period: Start Date: March 2014 Completion Date: May 2014 Status: �tect f3flefrt�(diona7 sfi�e�isateet�rerr � Z� ti�M a. Describe the existing problems or conditions to be corrected by the proposed activity. Identify the persons affected by these conditions. Explain how the project benefits love and moderate income people. Over the years,Renz Center's drive and parking lot has become riddled with potholes and cracks. And due to poor grading and leveling, the parking lot has areas that fill with water after a rainfall,thus reducing much needed parking spaces. Currently,94%of our Clinical Services clientele fall below the federal poverty leve!,as determined by HUD. Serving a large Hispanic community,50%of our clientele are from this ethnic origin. b. Describe in quantifiable terms the goals to be achieved by your project during the proposed funding period,and haw the recipients of your services will be benefited or changed. Specifically,the outcome of removal and replacement of the driveway and parking lot pavement will: 1.Eliminate pothole damage to cars,which can result in reoccurring loss of air pressure;noticeable bends and dents in wheels;and steering wheel realignment. 2.Provide a smooth driveway and parking lot that is properly graded,leveled,drained,and striped. 3. Eliminate the risk of car accident because someone was trying to avoid a pothole. Improve the overall appearance of the Two American Way facility. City of Elgin CDBG Application FY 2013-2014 Application Page 16 of 32 CAPITALPROJECTSQNLY _��,v '`"_�;. - �r i:f �.s�::s��-�:v -�erg-sK J �.ax..-. 1��.§ 'z ��t��, �ar•�z �"`r ��. �.+<t rF f�,� F-' , �,us; Atqulsition Costs Land Existing structures ( I Other acquisition costs 51t�1Alork(rlot to construction contr�ct� , Demolition/clearance Other site costs Construction/Aroect improvement Costs . New construction Rehabilitation $35,000.00 $23,500.00 $58,500.00 Performance bond-premium Construction continency Other Architectural and.Engtneering Architect fees Engineering fees Other A&E fees OtherOwner Costs Appraisal fees I ' Survey Soil boring/environmental/LBP evaluation Tap fees and impact fees Permitting fees Legal fees Other Miscellaneous Costs Developer fees Project reserves Relocation costs ProJect'Administeatlon&:Management Costs Marketing/management Operating 1 Taxes Insurance" 10ther GRAND TOTALS $35,000.00 $23,500.00 1 $58,500.00 I City of Elgin CDBG Application FY 2013-2014 Application Page 17 of 32 CAPITAL PROJECTS ONLY, E'Y+K+Y <etj<a Fay" <'ct TF. _ ' ^ r%e. �.yyA��` _.e •!` e ggg 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.5tate.il.us\aqency\idol\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/MBE)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 Bonds. The lowest qualified bid representing the complete scope of work from a QUALIFIED CONTRACT OR will be considered. City of Elgin CDBG Application FY 2013-2014 Application Page 18 o'32 y� 'W�evrtWM}.�'ID-. F.S''h .- �'#tt7ky�-� �.q- � � �'niter`'ti. ..cam r`,..4' "� 'fin 2��S^' � .a '�. 'N. -.-C r..--• »».��•d..�:k....��'f5-5'»."f+.�.,�.�»w`;z..�_.�- ''��`,."�..�,m'... r +.�. :.,,.,t,::.� .r?;�.z..,..-_;�,..�..:-- �`�'"��la.Lr��c��i't9- ��''`.�..R'�`�R��?�,°.��.,'3._R�'`,, �. �ay�. ^.ar.f'�.�a; ""� _ '�: A. This project is located in 8,044.04 CensusTract(s) (identifytract.by number) (webslte=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): 0 1. Benefits low/moderate income individuals/households ® 2. Addresses the prevention or elimination of slums or blight O3. Meets a particularly urgent community development need C. Check all statements that describe HOWthis•project or activity meets one of the-National Objectives above: OUM 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 UM 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. 0 UM.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. 0 UM 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. OUMJobs: 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 UM 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 ofjobs,a majority of which.are held by U M persons. OMicro-Enterprise Assistance: the project assists in the establishment of a micro-enterprise or assists persons developing a micro-enterprise. (A-micro-enterprise 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 orjobs as defined in previous sections. OSlum 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. OSpot 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 conditioned detrimental to public health and safety. Examples: historic preservation of a public facility threatening public safety,demolition of a deteriorated,abandoned building. City of Elgin CDBG Application FY 2013-2014 Application Page 19 of 32 :D. Project Category(check one): OAcquisition of Real Property ODisposition of Real Property OPublic 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.) OPrivately-Owned Utilities OPublic Service(Le.,a new service or an increase in the level of a service ORelocation Payments and Assistance to Displaced Persons ORemoval of Architectural Barriers,Handicapped Accessibility O Housing Rehabilitation OHistoric Preservation OCommercial or Industrial Rehabilitation, including facade improvements and corrections of code violations. OSpecial Economic Development or assistance to micro-enterprises City of Elgin CDBG Application FY 2013-2014 Application Page 20 of 32 "1 2707 ' 1 �J1 ��1�c° 1�4.��„ }'!+ tRftr��.i...t.. � °"�-,:v` cam." `x F� . "04 ;3 12.mom, � .,..z�:.n"2.. '' M�5^.,'a3,' '�.. F� -'. '.Cx,�e'.'��f-r,.Fy *,.�"._' "�� Y�s.- 4�' �:^"...5� �` 5cca..f` �N WI 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: 'Pubiic'5ervice Activity: Rental Reimbursement OAcquisition of Real Property Activity: OInfrastructure Activity: OAffordable Housing Activity: © Public Servide Activity: 'Parking Lot Pavement Replacement O Planning&Capacity Building Activity: The City of Elgin has identified ten strategic goals 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: O. A Safe Community O Quality Housing CNeighborhood Vitality O River as a Resource OEconomic Growth and Diversified Tax Base O Alive Downtown ORecreational,Leisure and Cultural Opportunities for all Citizens O Financially Stable City Government OAcquisition of Real Property O 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.) The Pavement Project will accommodate 953 LMI individuals who come to Renz Center for drug, alcohol, and gambling treatment and use the Center's parking lot. Please answer the followina auestions: A. What is the total estimated number of persons to be served by this project? 1249 B. What is the total estimated number of LMI persons to be served by this project? 953 C. What is the anticipated percentage of LMI persons to be served by this project? 94°io City of Elgin CDBG Application FY 2013-2014 Application Page 21 of 32 1 : MI : Please answer the following questions in the spce provided. A. Provide a detailed description of the proposed activity including ow the activity will address the community need you have indicated. Identify whether the activity is new,ongoing,or expanded from.previous years. Since moving into the Two American Way building over 12 years ago,Renz Center has continuously grown to meet the needs of the community by broadening our clinical and prevention programs. As a result of meeting this increase in demand, car traffic has increased exponentially causing substantial pothole damage to the Center's driveway and parking lot asphalt. In addition, city sidewalk repairs several years ago left a variance between the cement and asphalt resulting in a large pool of water after every rainfall. Over time,the standing water has pitted and degraded the asphalt. For these reasons,the pavement is beyond routine maintenance and in need of replacement. The improvements will include: 1. Removal and disposal of the driveway and parking lot asphalt;2.Properly grade and level driveway and parking lot;and,3. Resurfacing with asphalt. As a result of these improvements,Renz Center's parking lot will 1.No longer appear rundown and an eyesore from the street;2.Be void of potholes and large standing pools of water;and,3.Provide clients with a safe place to enter and park without the risk of a car accident and/or maintenance issues as they relate to avoiding or hitting a pothole. The Pavement Project at Two American Way would be a new project,,,and only in need of routine maintenance in the future. 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 identity these persons and ensure that the activity meets this objective. (An LMl certification form is included in the RFP Packet). Renz Center is open to all persons in need. A general overview of people or groups we serve includes: Clinical Services are open to any adolescent or adult needing alcohol/drug education or counseling, alcohol.abuse/addiction treatment, DUI services, problem and compulsive gambling treatment, and/or children of alcoholics/addicts counseling. We serve individuals and family members as young as 4 years old. We also have specialized programs for individuals involved in the court/legal system, school districts,and females--giving priority to pregnant women. Renz Center's Community Homeless Integration Project (CHIP) also provides case management services to individuals who are or at risk of becoming homeless. Renz Center strives to assist low-income individuals, and make drug abuse/gambling treatment affordable and accessible. By utilizing insurance,medicaid and/or a sliding fee scale,no one is denied service because of an inability to pay. Currently;93%of Renz Center's Clinical Services clientele fall below the low and moderate-income levels as determined by HUD criterion. Serving a large Hispanic community,50%of our clientele are from this ethnic origin. In FY12,Renz Center's Clinical Services saw 1,249 persons,performing over 31,000 hours of treatment services. CHIP provided case management services to 210 persons, performing 5,762 hours of treatment. C. Identify the accomplishments you intend to achieve with this activity. Provide.an activity time-frame/schedule(include start,completion dates,and other significant stages). Please note that the fiscal year does not start until June!,2013. Specifically, the outcome of removal and replacement of the driveway and parking lot pavement will: 1. Eliminate pothole damage to cars,which can result in reoccurring loss of air pressure;noticeable bends and dents in wheels;and steering wheel realignment; 2. Provide a smooth driveway and parking lot that is properly graded,leveled, drained,and striped; 3. Eliminate the risk of a care accident because someone was trying to avoid a pothole;and,4.Improve the overall appearance of theTwo American Way facility. The time frame for the project includes: Task: Completion Date: Obtain bids from pavement companies..............................................................................................................................................March-April 2014 Award bid and schedule demotion and repaving for driveway and parking lot.................................................................................May 2014 Driveway removal and replacement......................._..........................................._........................_..................................... May 2014 Parking lot removal and replacement.....................................__....................__................._..................................................._.............__....May 2014 Project completed(weather permitting)._...................................................................................................._..................I...............................may 2014 City of Elgin CDBG Application FY 2013-2014 Application Page 22 of 32 ^''£e -S e -Y ¢"'�`' 'F-'^Y.rR ar ri.+ b "f 'e�%4uM:^s Y2'S;-a 'S' 'h � N r'r+. �a"^ s � -c r ' } xid' .. ' '� -':�f �°' .'! �',-�.Y4- Please answer the following questions in thb spce 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. Throughout the last.51 years, Renz Center has continually-monitored community addiction needs and added services as necessary. We are a full-service agency that offers Clinical Services,which includes Outpatient/intensive Outpatient Adolescent Services;Family Programs;Outpatient/Intensive Outpatient Adult Services;DUI Services,Passage For Women,and problem and compulsive gambling programs. The Center's Prevention Services includes youth alcohol, drug and tobacco prevention education programs. The Center also has a strong HIV Prevention Education Services,which include education,outreach risk- reduction counseling,and free HIV testing. Dos Espirtus, Latina SISTA,and De Mujer a Mujer programs all cater to the Latino community and provide HIV education outreach. De Mujer a Mujer(Woman to Woman)is a unique program that mentors peer educators and empowers women to take charge of their own wellness. Renz Center's latest call to action is our Community Homeless integration Project(CHIP)which provides intensive case management to individuals who are homeless,or at risk of being homeless,and who also need substance abuse treatment and/or mental health services. This federally funded program is in collaboration with five community social service agencies. 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. Since opening our doors 51 years ago, Renz Center has had several expansion and re-modeling projects as we have grown to meet the needs of our community. During Executive-Director Jerry Skogmo's 16 year tenure with the agency,he has improved the financial health of the agency significantly and gained experience with purchasing and remodeling buildings. Mr.Skogmo was instrumental in the agency's move from rental space to the purchase of Two American Way in 1999,and again in acquiring One American Way in 2008. The agency most recently successfully completed.a CDBG rehabilitation of One American Way in 2009 with CDBG funds. 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. Renz Center's Executive Director,Jerry Skogmo, is responsible for all program and financial management,with guidance from the Center's Board of Directors' Finance Committee and an outside accounting firm. Skogmo will be responsible for the Pavement Project,from obtaining contractor bids to its completion. City of Elgin CDBG Application FY 2013-2014 Application Page 23 of 32 D. Identify any other agencies/partners in this activity and define the roles and responsibilities of these partners. For the Pavement Project,Renz Center will not be working with other agencies or partners. However,Renz Center works with several social service agencies,government offices,and schools throughout the year to provide treatment services,including, but not limited.to: Breaking Free, Centro de Informacion, Children's Home and Aid Society, Community Crisis Center, Community Unit School Districts U46 and 300, Department of Children and Family Services, Ecker Center for Mental Health, Elgin Community College, Elgin Gang and Drug Task Force, Elgin Hispanic Network, Elgin Housing Authority, Elgin Mental Health.Center,Greater Elgin Family Care Center, Illinois.Department of Public Health, Kane County Adult Justice Center, Kane County Adult Drug Court, Kane County Diagnostic Center, Kane County Juvenile Drug Court, Kane County States Attorneys Office i.e.Second Change Program,Larkin Center for Children and Adolescents,PADS of Elgin,to name a few. E. 'Demonstrate that the proposed activity is economically feasible and can be implemented in a timely cost effective manner within the proposed program year. Renz Center's executive director will advertise bids in a local newspaper and required Dodge construction publication,and will select the lowest quote. In an effort to not disrupt client services,Renz Center will complete the Pavement Project over a Friday, Saturday and Sunday. In the event of inclement weather,the project may be pushed for completion to the following weekend. At no time will Renz need to close as a result of the project,and parking alternatives will be available for staff and client use. 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. Due to the decomposition of the driveway and parking lot, Renz Center will.have no choice but to replace-the pavement. If funding is considerably less it is possible to replace the driveway first,which is slightly more in need of repair,and the parking lot at a later date. If the amount funded is not significantly reduced,the Center could possibly make up the difference with fundraising reserves. City of Elgin CDBG Application FY 2013-2014 Application Page 24 of 32 s ....' e '4'k7` E I.'rrt:,�{•x^G+F�` :i..0 cY. 7 "7 Ry"f"rL t "� t yfi-," E. �e tS"Y ki3c �'a: 7w*r n(� _. '.�^ "' �'-`" -� ��y;y��'"5x � ' rw>.n,...... `fi._. �°._ "� ,xp .,Z`t"k x a'� .✓."`,r.�'S�.a..:rC./" 'Jk kk r ��`...�_a..>S:"�',.'�'"i.,-a= .�� t� an o 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.scanned and 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.). Scan and 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 i MEN= -I= i Personnel's Contractual Services (Specify $35000.00 $23500.00 $58500.00 Remove existing asphalt, A combination of small regrade base,pave with capital grants and Renz 2"asphalt mix I Center reserves. Rent and Utilities Communications Travel Other(Specify). I I II � f TOTALS` $35000.00 $23500.00. Grand Total: 558500.—� OO; City of Elgin CDBG Application FY 2013-2014 Application Page 25 of 32 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 much 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 the additional space at the end of this document if necessary. You must submit iob descriptions with your application for each position title identified below. INot Applicable j I I X = I IX = XI = I iXl � = IXI = j IX � X (= I 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. Due to the decomposition of the driveway and parking lot, Renz Center will have no choice but to replace the pavement. If funding is considerably less it is possible to replace the driveway first,which is slightly more in need of repair,and the parking lot at a later date. If the amount funded is not significantly reduced, the Center could possibly make up the difference with fundraising events. City of Eloin CDBG Application FY 2013-2014 Application Page 26 of 32 Mll so g Sma In order for your application to be accepted,in addition to-the application itself,your organization must submit the following items to the City of Elgin Community Development Departmentno later than 75:00 PM on FRIDAY.DECEMBER 14,J011 2. ® An original application with all -questions :completed (single sided, 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/cert ifications: (if you have not submitted an application in the last two years OR if the information has changed) Articles of Incorporation Articles of Incorporation OCurrent List of Board of Directors OCertified Organization Audit/Financial Statements of most recent year A. 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) OIRS 201(c)(3)Designation Letter(Pending letters will not be accepted) OCurrent Fiscal Year Agency Budget,including all funding sources OJob Descriptions per budget detail. OAn Executed Statement of Applicant Form. ® An Executed Signature Authorization Form. OConflict of interest Disclosure Form: I hereby o firm thatth's:pack 'contains all.materials required. v City of Elgin CDBG Application FY 2013-2014 Application Page 27 of 32 Attachment A ` . Deed S;0F'S DEED (Judicial Sale) 99564'735 The Grantor, Beaj. E. ..°a�2EI/11256 b3 001 Page 1 of fi Sherman 6z Sons, Inc., Selling 19'99—0 6—11 -1 5:.0 6 a 2 2 Officer pursuant-to an Amended Cook Cmmty Recorder 27.00 Judgment of Foreclosure.and Order [l of Sale entered on April 14, 1994, by the Circuit Court of Cook Couaty,in Case No. 98 CH 15705, NW735 entitled Northside Community -Bank v. Northside Community Bank as Trustee under Trust Ai went dated December 15 1997 and known as M=Number 9713, et a1 and pursuant to which the private sale of'the land hereinafter described was approved and confirmed, hereby conveys to RENZ ADDICTION COUNSELING CENTER, an Ilinois not for profit corporation, certain land located in Elgin; Illinois,and being more particularly described in Exhibit attached hereto and incorpamted herein by reference,to have and to hold forever. This conveyance is being made and accepted subject to easements, conditions and restrictions of record affecting the Property. M Y OF ELGIN t�fYi REAL ESTATE "'y EXECUTED as of the�day of June, 1999. TRANSFER STAMP 1279.1 Bens.E. an&Sons,Inc. ow Au ion Ser ices oug B Robert Raggeveen, President Exempt under provisions of Paragraph .Section 31-45, Pro rty Tax Code. Daie Buyer,Seller.or Representative I1)4440 ot!i :STATE OF nuNOIS) ) SS. COUNTY OF COOK) I, �5;R 4W_V Al AZKAC-OCIF/ S , a notary public in a d for :said .County in -the -State :aforesaid, DO HEREBY CERTIFY that RCZERT ROGGEVF.EN,President ofBenj. E. Sherman&.Sons,Inc.Auction-Services Grarp, an Illinois corporation,-personally:known.'to me to be the same person whose name is subscribed to the foregoing instrument-and the President of:such corporation,-ap?eared before me on this day in person:and'acknowledged that he.signed.and :deliverel said instrument .pursuant.-to proper 'authority -given by such .corporation, as -his freE -and voluntary:act and deed forthe.uses and purposes therein set forth GIVEN under my hand and notarial seal this _ day of_ �7—tl4b` . 1919. "OFFICIAL .SEAL" � Gregory X Brackens notary Public, State :nf Fllinois My'C6mmiasiorn.Expires-10110101 -My Commission Expires: /O /O .D -A ,f This instrument prepared by: Richard P.Blessen,Esq. Quarles&Brady LLC 500 W.Madison Street,Suite 3700 Chicago,Illinois 60661 FE'3AI, Z;ESCRIPTION: EDIT A 9sss4735 PARCEL 1 : LOTS 3 AND 4 IN CAMPUS EAST, BEING A SUBDIVISION OF THAT PART OF THE SOUTH .ALF OF SECTION 7, .TOWNSHIP 41 NORTH, :RANGE 9, EAST OF THE .THIRD PRINCIPAL MERIDIAN ACCORDING TO THE PLAT THEREOF RECORDED OCTOBER 25, 1998 AS DOCUMENT 88-491978, SITUATED IN THE CITY OF ELGIN, COOK COUNTY, ILLATOIS. PARCEL 2 : NON-EXCLUSIVE EASEMENT FOR THE BENEFIT OF PARCEL 1 AS CREATED BY THE DECLARATION OF EASEMENT RECORDED OCTOBER 06, 1987 AS DOCUMENT 87542238 OVER THE FOLLOWING DESCRIBED LAND: THAT PART OF THE SOUTH HALF OF SECTION 7, TOWNSHIP 41 NORTH, RANGE 9 EAST OF THE THIRD PRINCIPAL MERIDIAN, DESCRIBED AS FOLLOWS : COMMENCING AT THE .NORTHEAST QUARTER CORNER OF LORD'S PARK, BEING ALSO THE NORTHWEST CORNER OF THE EAST HALF OF THE NORTHWEST QUARTER OF SECTION 18; THENCE SOUTH 88 DEGREES :38 MINUTES 00 SECONDS WEST, ALONG THE NORTH LINE OF LORD'S PIRK, A . DISTANCE OF 4 .10 FEET (RECORD AND MEASURED) ; THENCE NORTH 02 DEGREES 14 MINUTES 23 SECONDS EAST, A DISTANCE OF 556.25 FEET ( RECORD BEING NORTH 02 'DEGREES 25 MINUTES EAST, 556..20 FEET) TO THE SOUTHERLY RIGHT-OF-WAY .LINE OF STATE _ROUTE 58; -THENCE,SOUTH 89 DEGREES 03 MINUTES 46 SECONDS EAST, 1LONG SAID RIGHT-OF-WAY LINE A DISTANCE OF 164.28 FEET TO THE POINT OF BEGINNING; THENCE SOUTH 02 DEGREES 22 MINUTES 27 SECONDS. WEST A DISTANCE OF 161.64 FEET; THENCE NORTH 87 DEGREES 13 MINUTES 30 SECONDS WEST, A DISTANCE OF 163 .86 FEET; THENCE SOUTH 02 DEGREES 14 MINUTES 23 SECONDS EAST, A .DISTANCE OF 54. 14 FEET; THENCE SOUTH 87 DEGREES 41 MINUTES 13 SECONDS EAST, A DISTANCE OF 314 . 98 FEET; THENCE NORTH 02 DEGREES 28 MINUTES 40 SECONDS EAST, A DISTANCE OF 51.60 FEET; THENCE NORTH 87 DEGREES 13 MINUTES 30 tCONDS WEST, A DISTANCE OF 120.35 FEET; THENCE NORTH 02 DEGREES 22 �fi =_ES ,' SECONDS EAST, A DISTANCE OF 162 . 83 FEET TO THE SAID SOUTHERLY RIGHT-OF-WAY LINE OF STATE ROUTE 58; THENCE NORTH 89 DEGREES 03 MINUTES 46 SECONDS WEST, ALONG SAID RIGHT-OF-WAY LINE, A DISTANCE OF 31 . 01 FEET TO THE POINT OF BEGINNING, BEING SITUATED IN THE CITY OF ELGIN, COOK COUNTY, ILLINOIS. 06-07-302-067 06-07-302-06B 2 :BTATEMENT BY "GRANTOR :AND .GRANTEE The -Grantor, -or :his :Agent .:affirms 'that, to the best of his knowledge, the :name of the 'Grantee shown on the Deed or Assignment of .Beneficia.l 'Interest In a land trust :is either a natural person, an IIIinois -corporation or foreign -corporation 'authorized to do business :or -.acquire and 'hold title to .real estate in Illinois, a partnership :authorized to .do .business or acquire and hold title to real estate in :Illinois, -or .other entity recognized as a person and authorized -:to do business .or :acquire t'it'le to real es�zt"elunder the laws 'oft e tate :of Illinois. Dated , . r 19 Signature: G ntor or :Agent 'Subscribed .and .sworn to .before me this said a -_ "'OFF C,IAL SEAL" ALIS L, LAMACKI .Notary Publ y f o uhrc State of lilinois ission Expires 11/'9/99 ' 'The Grantee or '-his Agent 'affirms and verifies t)izt the name of the Grantee shown on the Deed or Ass.ignnent of Beneficial Interest in a land trust Is :either a natural person, an Illinois corporation or :foreign corporation authorized to` .do business or acquir9y, and hold title to real -estate. Illinois,. :a partnership authorized to do ..business or :acquire and hold title to real -estate in Illinois, or other entity recognized as a -person -and authorized to do business ..or acquire and -hold title to real estate under the la of 'the State of- 2 li ois. - �j�s'` Dated `�' � 19 Signature: antee or -Agent to 'Subscribed and sw n to -before me "OFFICIAL BEAL" by the maid LISA L,-LAMACKI this ...day , 1 - - Y 'Notary Public Wry L lesion Expires 1113139 :NOTE.: Any .person who knowingly submits a false statement concerning -the identity of a Grantee shall be guilty of a Class "C misdemeanor for the first .offense and of a .Class A misdemeanor for subsequent offenses. (Attach to Deed or ABI to be recorded in Cook County, Illinois, if exempt under the provisions of .Section 4 of the Illinois Real Estate. Transfer Tax Act. ) o 0.1 r EUGENE "GENT" MOORE �- ncrnRnFR OF DEEDS / REGISTRAR OF TORRENS Tl T.LES SAliff-ld Lill • Fri y� a�3Y^'r - .Y.h'1}Y.-� ? -+<� r•s' 7� Y�G. cad 7 -• . es - ".,.�-•s�•�,.`� � �_ _�..,y f . `tee-..<<.,. � wee-. :F� '� �` -as�"� "--,�.�x .,4�'' y-.ti .l K��H .� ��"cx.-�,�Cy.s�u'r -�-"•+,,}s`cc."S° ; L..::T.S.*r..SC.._ IN NO :MP VE h - -�— f -1 zT .f} �^� �.�h;��?'�',,,, i'3_ s. ms's- .F r s•' �'�_y�`� .� q Y 3+1G T .xYa ri � a t �' g. YY Y•- ,�a�^w_ - .,A3-SAC r �j°�.�. c,� - a::=.x � 'rte+"r v.,i'' '4,r "�� rx ' � -r... �'-••" yr�x�� 4-3 r � ,c,y x 4 x *-• r� �, n ."�-�' a. '� .,,E `. ,ia -- ,';, -w 2✓ .,.:� ��' ..�'ti'r � .its � 4? �} -� ry �,sy. kr.k'✓Y ��.�' �,� .- .^ ��"��1 - i '•• - tom-' r' ful T�3_ d F Ai7Y��C�"t' � \ -',9T tt '�✓..Y�ju�^k�•�'�"�ht ' Y r f Y y. - ,ays3 � s � --? C IM IN .. yam,*'T GY ti""��.}� �'¢ A. {b •ir,.n' �"-c'L .-+ T'jam"?' y City of Elgin Community Development Block Grant Attachment B: Photos Renz Addiction Counseling Center •Areas ®f Might i �5fi?1 c rah C ikrxi ;, � rkr � r t y" +.� r u rr' � � r_ �.t'sk•�=ja,}��°^' �S-�6r kSr:�.,'��.b' .d ?J �. ��l.,.N � "3tt•• r� aL3 — � I _ Attachment C �,, Articles of Inc. - -•' Gertihcate Number total ~1 H 1 1 ` o 0 O a e 0 p .commaTy COPT^•_x FOR AWOH01aam October �S�!.�,��19 b0 � GENERAL NOT FOR PROFIT CORPORATION ell Ao—w lFwrefOrp-, CHARLES 1F.CARPENTIER,54� "101, LO�GQQ.�I.O�'b�iGG {iG//.�"(.�iI.O�Qi vr � /��l7.AdrfLO�GQ�.I.d!7/ „e2fti7ZPlialt�i�L(!$ ��n, oatober ,4DA9 b �(� , ,one, �� ,a�ad �th, • SEG A77Y OF STATE (DO NOT WRITE IN THIS.SPACE) FORM NP:33 1 1To Se Filed Date F} ,n Duptleate ARTICLES OF AMENDMENT Filing Fee.$25.00 to the Filing -Fee 4 ARTICLES OF INCORPORATION under the Clerk GENERAL NOT FOR PROFIT CORPORATION ACT j I i To ;Secretary of.State Springfield,1I1 Inois The undersigned corporation, for the purpose of amending its Articles-of incorporation:and pursuant-to be provisions of.Section 35:of:the'General Not For Profit Corporation Act":of the State.of Illinois,hereby-executes.the-foliavingArtides of Amendment: t: The name .of:the:corporation Is: - Re n z A d-d i-C t i o n _C o u n s e I i n a Center I 2, Them are no members,`hxving voting rights with respect to amendments: >(Irisen•.°na°or"�ome°'j j (Strike paragmpta(a), (b), or(e) that are not.appllcablej 4 j ( , (c) At-a meeting of directors(members having no voting rights with reVect.to amendments)held on Xi 1 25 19 91 , same receiving the votes of a majority of:the directors then In office,the following amendments vere adopted in the:manrw.pressribed.by the"General Not For Profit Corporation•Ace'of the State of•1111nols: -See -Rider A :attached hereto. c.Z w o o 0 r% fr (over) RIDER A ; Article 6. The Corporation shall not engage in the practice of.medicine or psychiatry. The Corporation is organized and shall be operated as a -not-for-profit 1 corporation exclusively for charitable, educational and scientific purposes. Notwithstanding j the :foregoing or any other-provision of these Articles or the By-Laws of the Corporation: 1 (a) No part of the net earnings of the Corporation .shall inure to i the -benefit of, or be distributable to, its directors, officers or other private f persons, except that the Corporation shall be authorized-and empowered to !! pay reasonable compensation for services rendered and to make payments I and distributions in furtherance of the purposes.set forth above. w. I (b) No substantial part of the activities of the Corporation shall be rst the carrying on of propaganda, or otherwise attempting, to influence o 0 legislation (except to the extent permitted pursuant to an election made under Section 501(h) of the Internal Revenue Code of 1956, as amended (or the corresponding provision of any future United States internal revenue law j (the "Code")), and the Corporation shall not participate in or intervene in I (including the publishing or distnbukqn of statements) any political campaign 1 s on behalf of, or in opposition to, any ca_ndidateJon.public office. j rte; r T (c) The Corporation shall:not carry on any activities not permitted. to be-carried on (A).-by a .corporation exempt from federal income tat-and .described In Section 501(c)(3). of :the Code or (B) by .a corporation contributions to which.are deduct}ble under.Section 170(c)(2) of the "Oode. Upon dissolution :or.liquidation of the Corporation, all remaining assns 'of the Corporation:after.paying or making provision for the payment of all of the Iials3ities of the Corporation (except any assets held upon -condition requiring return, .transtr or other conveyance in-.the:event of dissolution,which.assets shall'be:returned, transfermd or conveyed :in accordance with such :requirements) shall be distributed to Comtmmity f Concern,Inc., an Illinois not-for-profit corporation("Community Concern")or its successor, provided that it is:then in existence and qualified as a-tax-exempt organization descn I } in Section 501(c)(3) of the Code, and otherwise to Human Development Corporation, an CA r � Illinois:not-for-profit corporation ("EDC'). In the event that neither Community.Coicern CA (or its .successor) :nor.HDC (or its successor) is then in existence -and :so qualified! the C Board of Directors of -the Corporation shalt dispose of :such .assets exclusively fa the - cr 'purposes of .the Corporation by .transferring such assets to such .organizatoat or organizations .organized and operated-exclusively for charitable, .scientific, or educatbnal purposes:and qualified as a tax-exempt organization or organizations described in Section .501(c)(3) of the Code, as the Board of Directors of the Corporation shall determine. Any of such assets not:so.disposed of shall be disposed of by the court.,of:p��ral}urisdickion $P! 4 of the county in which the principal office of the Corporation is then located, exclw6rely Z S • I I for the purposes of the Corporation in such-manner, or to such tax-exempt organization or organizations described in Section 50I(c)(3) of the Code, as said court shall deteanine. Article 7. The Corporate Member of the Corporation shall be Community i Concern, Inc., an 'Illinois not-for-profit corporation. The Corporation shall have no other members. The Corporate Member of the Corporation shall have such powers ts are I provided for in these Articles and the By-Laws of the Corporation. I The Corporate Member of the Corporation alone shall have the authcdty to i (i) appoint the persons who shaIl be authorized, from time to time, to act as the Directors of this Corporation and to remove any or all of said individuals and (ii) alter, amm- d or repeal the By-'Laws of the Corporation or adopt new By-Laws of the Corporation. F Additionally, any proposed action by the Directors of this Corporation to (i)_amend the Articles of Incorporation of this Corporation or (ii) authorize the merger, consolidation 0 or dissolution of this Corporation shall require the prior approval of the Corporate W Ln Member. i 0 rn i 2233s� f. v v i Attachment b BENZ ADDICTION COUNSELING CENTER Board of Directors BOARD OF::DIRECTOIZS a President Dr. Ian Jones VP CIinical Performance December December 7First an Hospital Sherman Hospital `04 `13 .Randall Road IL 60123 3-8116 Vice President Jolie.Esposito Vice President June June ommunity Bank First Community B ank `05 `14 uth Randall Road Elgin,IL 60123 847-622-8800 Secretary/ Michael Walsh Retired April April 12865 Rock Creek Circle, Treasurer Certified Public Accountant 109 113 Huntley,IL 60142 847=515-8821 Director Allen Belanger Lutheran Minister-Interim December December 943 Manchester Court Ministry `06 '12 South Elgin,IL 60177 Metropolitan Chicago 847-888-8172 Synod/E.L.C.A. Director James Lainkin City of St.Charles Police June ` 10 June`13 1221 Falcon Ridge Drive Chief Elgin,IL 60124 630-514-2120 Director Sherry Totzke Collection/Account Rep October October Zurich Zurich North America '05 '14 1400 American Way Schaumburg IL 60194 847-240-4492 Director Brian Monson Vice President December December STC Capital Bank Commercial Relationship 110 '16 460 South l"Street Manager St.Charles,Illinois 60174 STC Capital Bank Director Patricia Arroyo Supervisor April `11 Apri l `14 Provena Saint Joseph Hospital Interpreting Services and 77 North Airlite Street Community Health Mission Elgin,IL 601234912 Services 847-695-3200.ext. 5179 Provena Saint Joseph 847-931-5550 fax Hospital Director Mary Hyatt Retired May`11 May'14 39W280 Happy Hills Road St.Charles,IL 60175 630-584-3397 Director Claudia Martinez Teacher Oct. `1 1 Oct. `14 2070 Clearwater Streamwood High School Elgin,IL 60123 _ 314-497-4951 Director Bill Kousoulas Account Executive Nov. '12 Nov.`15 401 North Kirk Road,Geneva; Gordon Flesch IL 60134 815-751-1524 DIRECTOR Ron Razowsky Retired 625 Wood Ridge Court EMERITUS Elgin,IL 60123 847-888-3774 T:Board/DlRlist Thursday,November 14,2012 Attachment E Audited Financial Statement RENZ ADDICTIT l CIOUNSELITNTG CENTER Report on Audited Financial Statements and Other Supplemental Information June .30, 2012 MANNING SILVERMAN & COMPANY CERTIFIED PUBLIC ACCOUNTANTS (847) 459-8850 RENZ ADDICTION COUNSELING CENTER "TABLE OYCONTENTS -JUNE.30,2012 Page Independent Auditor's Report 1 Financial Statements Statement of Financial Position 2 Statement.of Activities and Changes in Net Assets 3 . _Statement of.Functional Expenses .4 Statement of Cash Flows 5 Notes to Financial Statements 6- 10 Supplementary Information 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 Standards 12- 13 Independent Auditor's Report on Compliance with-Requirements That Could Have.a Direct and Material Effect on Each Major Program and on Internal Control over Compliance in Accordance with OMB Circular A-133 14- 15 Independent Auditor's Report on Schedule of Expenditures of Federal Awards .16 Schedule of.Expenditures of Federal Awards 17 Schedule of Findings and Questioned Costs 18 - 19 Independent Auditor's Report on Grant Report 20__ Grant Report 21 -2.2 Provider Demographic information 23 , Personnel/Administrative.Information 24 Board of Directors. 25 DHS Financial Reporting Checklist 26 1W.LtiININlM ;VERNLAN Certified Public Accountants Co. Management Consultants Business Advisors CPA 'The CPA.Never underestimate the value. 175 Olde Half Day Road, Suite190 Lincolnshire, IL 60069 phone 847-4594850 fax 847-537-8954 INDEPENDENT AUDITOR'S REPORT Board of Directors Renz Addiction Counseling Center Elgin,Illinois We have audited the accompanying statement of financial position of Renz Addiction Counseling Center as of June 30, 2012, and the related statements of activities and changes in net assets, functional expenses and cash flows for the year then ended. These financial statements are the responsibility of the Center*s management. Our responsibility is.to express an opinion on these financial statements based on our audit. 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 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 misstatement. 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.audit provides 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 Renz Addiction Counseling Center as of June 30,2012, and its activities and changes in net assets and cash flows for the year then ended in conformity with accounting principles ge=rally accepted in the United States of America. In accordance with Government Auditing Standards, we have also issued our.reports dated_ September 28;2012 on our consideration of Renz Addiction Counseling Center's internal control structure, and a report dated September 28, 2012 on its compliance with certain provisions of laws, regulations, contracts and grants. Those reports are an integral part of an audit performed in accordance with Government Auditing Standards, and should be read in conjunction with this report in considering of our aud' . Manning Silverman & Company Certified Public Accountants September 28, 2012 "?bank you for the opportunity to serve you and for your referrals!" RENZ ADDICTION COUNSELING.CENTER STATEMENT OF FINANCIAL POSITION 3UNE:30,:2012 ASSETS Temporarily Unrestricted Restricted Total Current Assets: Cash and Cash Equivalents $ -531,125 1 $ 531,125 Accounts Receivable(Net of Allowance for Doubtful Accounts of$25,000) 364,838 - 364,838 Prepaid Expenses and Deposits 18,090 18,{190 Pledges Receivable,Current Portion 17,331 '17,331 Refinance Costs(Net of Amortization of$350) 3,150 3,150 Total Current Assets 934,534 - 934,534 Property and Equipment: Land 510,028 510,028 Building-and lmprovements 1,741,169 1,741,169 Furniture,and Equipment 409,361 - 409,361 Total Property and Equipment .2,660,558 - 2,660,558 Less: Accumulated Depreciation (737,767) (737,767) Total Property and Equipment 1,922,791 1,922,791 Total Assets $ 1857,325 $ - $ 2,857,325 LIABILITIES AND NET ASSETS. Current Liabilities: Accounts Payable $. 59,547 .$ - $ 59,547 Current Portion of Long-Term Debt 65,989 - 65,989 Accrued Compensation 18,453 18,453 Accrued Real Estate Taxes 21,555 - 21,555 Accrued Vacation Pay 54.444 54,444 Security Deposit Z,l 8l 2,181 Total Current Liabilities 222,169 222,169 Longterm-Liabilities: First Mortgages Payable,Less Current Portion Above 614,765 674,765 Total Liabilities 836,934 936,934 Unrestricted Net Assets 2,020;391 - 2,020,391 Temporarily Restricted Net Assets - Total Net Assets 2,020,391 2,020,391 Total Liabilities and Net Assets $ 2.857,325 $ $ 2,8571325 See Independent Auditor's Report. The accompanying notes are an integral part of these financial statements. 2 RENZ ADDICTION COUNSELING CENTER STATEMENT OF ACTIVITIES AND CHANGES IN NET ASSETS FORTTHE YEAR ENDED JUNE.30,1012 Temporanly Unrestricted Restricted Total Public Support and Other Revenue: Public Support Federal,State and Local Governmental Agencies $ 2,068,182 $ - $ 2,068,182 OtberOrganizations 55,710 - 55,710 Other Revenue Employee Assistance Services 18,577 - 18,577 Client Fees and Third Party Reimbursements 111,155 111,155 Miscellaneous Income .22,306 - 22,306 Interest income 42 263 - 42,263 Donations 39,976 39,976 Fundraising Events 28,421 28,421 Rental Income-.One American Way 26,595 26,595 Released from Restriction 205,401 (205.401) Total Public Support and Other Revenue 2.618586 (205,401) 2.413,185 Expenses: Program Services Elgut and Passage Outpatient Substance Abuse 1,022,662 - 1,022,662 Streamwood Outpatient Substance Abuse . 28,943 28,943 St Charles Outpatient Substance Abuse 139,659 - 139,659 Prevention-HIV 509,343 509,343 Employee Assistance Services 5,237 - 5,237 Prevention-ATOD 174.379 174.379" Total Program Services 1,880,223 1,880;223 Supporting Services,Management and General 386,739 - 386,739 Rental.Expense-One American Way 74,120 - 74,120 Total Expenses 2,341,082 - 2,34I,082 Excess of Public Support and Other Revenue over Expenses 277,504 (205,401) 72,103 Net Assets,Beginning of Year 1,688,587 205,401 1,893,988 Prior Period Adjustment 54.300 54,300 Net Assets,as Restated 1,742,887 205,401 1,948;288 Net Assets,End of Year S 2,0207391.S - S 2,020,391 See Independent.Auditor's Report. The accompanying notes are an integral part of these financial statements. i i j RENZ ADDICTION COUNSELING CENTER STA'T'EMENT OF FUNCTIONAL EXPENSES FOR THE YEAR ENDED JUNE M,1011 Prograin Services Elgin and.Passage Streamwood St.Charles Supporting Dotal Outpatient Outpatient Outpatient Employee Total Services, Program and Substance Substance Substance my ATOD Assistance Program Management Suppotting Abuse Abuse Abuse Prevention Prevention Services Servlc6s and General Services Personnel Services $ 534,778 $ 19,285 S 61,307 S 269,217 $ 128,713 S 2,450 S 1,015,750 $ 257.673 $ 1,273,423 Other Employee Expense, including Fringe Benefits 107,016 2,817 2,589 42,130 15,330 342 170,224 58,434 228.658 Contraci Services 177,399 . 370 12,310 76,875 2,642 133 269,729 3,171 .272,900 Commodities 82,041 3,419 11,387 66,613 13,186 1,686 178,332 29,379 207,711 Occupancy,including Rent 100,640 3,052 52,066 46,969 10,993 626 213,746 70,999 284,745 Sad Debt - - (1,570) (1,570) Fundraising Expense - 14,176 14,176 Total Expenses Before Depreciation and Amortization 1,001,274 28,943 139,659 561,804 170,864 5,237 1,847;781 432,262 2,280,043 Depreciation and Amortization 21,388 7,539 3,515 32,442 28,597 61,039 Total Expenses $ 1,022,662. $ 28,943 $ 139,659 S 509,343 S 174,379 $ 5,237 S. 1,880,223 $ 460,859 S 2,341082 i See Independent Auditor's Report. 'The accompanying notes are an integral part of these financial statements, 4 RENZ ADDICTION COUNSELING CENTER STATEMENT OF CASH FLOW'S FOR THE YEAR ENDED JUNE:30,2012 Cash Flows from-Operating Activities: Increase in Net Assets 72,103 Adjustments to Reconcile Increase in Net Assets to Net Cash Provided by(Used in)Operating Activities: Depreciation and Amortization 61,639 Prior Period Adjustment 54,300 Changes in Assets and Liabilities: Decrease in Accounts Receivable 5,034 (Increase)in Prepaid Expenses (2,306) Increase.in Accounts Payable 1,868 (Decrease) in Accrued Real Estate Taxes (13,169) (Decrease)in Accrued Compensation and Vacation Pay 46,733 (Increase)in Pledges Receivable (23,719) Increase in Security Deposit 2,181 Net Cash Provided by Operating Activities 204;064 Cash Flows from Investing Activities: Purchases of Fixed Assets (11,947) Refinance Cost (3,500) Net Cash(lased in) Investing Activities (15,447) Cash Flows from Financing Activities: Repayment of Mortgage (314-238) Net Cash(Used in)Financing Activities (314,238) Net(Decrease)in Cash and Cash Equivalents (125,621} Cash and Cash Equivalents,Beginning of Year 656,746 Cash and Cash Equivalents,End of Year 531,125 Supplemental Information: Cash Paid for Interest $ 55,573 See independent Auditor's Report. The accompanying notes are an integral part of these financial statements. 5 RENZ.ADDICTION COUNSELING CENTER NOTES TOYINANCIAL-STATEMENTS JUNE-30,1012 1. Organization-and Nature of Operations Renz Addiction.Counseling Center is.a-non-profit corporation organized under.the laws of the state of Illinois to specialize in-the treatment of substance abuse on an outpatient basis .and the delivery of prevention programming. The Center's primary service area includes northern Kane County and the-northwestern portions of Cook and.DuPage Counties. 2. Summary.of Significant Accounting Policies Basis of Accounting The accounts of the Center are maintained on the accrual basis. Information regarding the financial position and-activities of the Center are reported in.three classes of-net assets (as applicable): unrestricted, -temporarily restricted or permanently restricted, the latter two of which are based on.the-existence or absence of externally(donor) imposed restrictions on .contributions. Accordingly, net assets of the Center and changes therein are classified and reported as follows: Unrestricted Net Assets — Unrestricted net assets are not subject to donor-imposed stipulations. They include :all activities of the Center, .except for .those that are temporarily or permanently restricted by donors. Board designated amounts are part of unrestricted net assets. + Temporarily Restricted Net Assets —'Temporarily restricted net assets are subject to donor-imposed stipulations that can be removed through the passage of-time (time restrictions) or actions of the Center(purpose restrictions). + Permanently Restricted Net Assets —.Perman ently restricted net assets are subject to the restrictions.imposed by donors who require that the principal of this class of net assets be retained in perpetuity as an endowment with only the income to be reclassified to unrestricted net assets: Cash and Cash Equivalents The Center considers all highly liquid investments with an initial maturity of three months or less to be cash equivalents, excluding.-those amounts contained in the investment portfolios. 6 BENZ ADDICTION COUNSELING CENTER NOTES'TO FINANCIAL STA'T'EMENTS (Continued) .NNE 34,2012 Allowance for Doubtful Accounts Accounts receivable are stated net of an allowance for doubtful accounts. The Center estimated the allowance based on its historical experience of the relationship between actual bad debts and net amounts collected. Property and Equipment Property and-equipment is recorded at historical cost. The Center capitalizes fixed asset additions over $1,000. Depreciation is computed using the straight-line method for all property and equipment. The estimated useful lives in computing depreciation are as follows: Description Years Furniture and Office Equipment 5 -, 7 Building and Improvements 39 Maintenance and repairs, which neither materially add to the value of property nor appreciably prolong the lives, are charged to expense as incurred. Gains or losses on :dispositions of property and equipment are included in the statement.of activities and changes in net assets. Contributions. Grants and Contracts All contributions are considered to be available for unrestricted use unless specifically restricted by the donor, grantor or contracting agency. Amounts received that are designated for future periods or are restricted for specific purposes are reported as temporarily restricted or permanently restricted support that increases those net asset classes. Unconditional promises to give, which do not state a due date, are presumed to be unrestricted net assets. A donor restriction.expires when a stipulated time restriction ends, when an unconditional __promise__with_-an-implied time restriction__is_collected,_or when_a__purpose__restriction_is_. accomplished. upon expiration, temporarily restricted net assets are reclassified to unrestricted net assets and are reported in the statement of activities and changes in net assets as net assets released from restrictions. Permanently restricted net assets include the principal amount of contributions accepted with the stipulations from the donors that the principal be maintained in perpetuity, with only the income therefrom to be expended for ' either general purposes or a purpose specified by the donor. 7 -BENZ ADDICTION COUNSELING CENTER NOTES TO FINANCIAL STATEMENTS (Continued) JUNE-30,1012 Functional Allocation of Expenses The costs of providing the various programs-and other activities have been summarized on.a. functional basis.in the statement of activities and changes in net assets. Expenses that are easily.and directly associated with-a particular.program or supporting service are allocated .directly:to that:functional category. Certain costs have.been.allocated among.the.programs and supporting services benefited based on-.time_devoted to the functional areas.and other appropriate-methods. Income Taxes a The Center'is exempt from .federal and .state income :taxes under Section 501(c)(3) of the Internal:Revenue Code and is not considered to be a private foundation. It is also required to recognize or derecognize:in its financial statements positions taken or expected to be taken in a tax return on:a"more likely than not" threshold. The Center sloes not believe its financial statements include any uncertain tax positions. -The Center's income tax filings for the years 2008.and-thereafter remain subject to examination by the Internal Revenue Service. Use of Estimates The preparation of financial statements in conformity with generally accepted accounting principles requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities, the disclosure of contingent assets and Iiabilities at the date of the financial statements and the reported-amounts of revenues and expenses during the relevant period. Actual results could differ from those estimates. 3. Concentrations of Credit Risk Certain financial .instruments potentially subject the Center to concentrations of credit risk. These financial. instruments consist primarily of cash and cash equivalents and receivables. The Center maintains its cash in various-bank.deposit accounts which, at.times,may exceed federally insured Iimits. 'The Center has not experienced any losses in such accounts. concentrations-of-credit risk--with--respect-to-receivables are-:generally-diversified-due-to the — large number of entities and individuals composing the Center's program and donor base. The Center performs ongoing credit evaluations and writes off uncollectible amounts as they become,known. . 4. .Support from Governmental Units and Contingencies The Center receives a significant amount of its support from federal, state and local governments. A substantial reduction in the level of this support, if it were to occur, could have a significant effect on the Center's programs and activities. 8 RENZ ADDICTION COUNSELING CENTER NOTES TO-FINANCIAL STATEMENTS (Continued) JUNE 30,2012 Various programs are subject to review by government -agency grantors or their representatives. The reviews.of certain of these programs for the year ended June 30, 2012 have not been conducted. Accordingly, the Center's compliance with applicable requirements will be established at some future date. The amount, if any, of expenditure that may be disallowed by the government agencies cannot be determined at this time, although the Center expects such amounts,if any,to be immaterial. -5. Pledges Receivable A-number of contributors have made pledges to the Renz Capital Campaign. The pledges are payable over a 3-5 year term. $17,331 of pledges are expected to be received in.the year . ending June 30,2013. 6.. Property and Equipment Renz Addiction Counseling Center purchased an adjacent property at One American Way for $928,978 on November 30, 2007. Some of the building units were previously leased as medical and insurance offices. The lease with the medical foundation terminated as of December 31, 2010. The lease with the insurance company terminated as of October 31, 2011. As there is a for-profit component in the rents received, the building is subject to real estate tax liability and potentially some unrelated business income tax liability. 7. First Mortgages Payable The original mortgage loan of$735,011 to purchase the One American Way building was refinanced as of January 20,2012 at 4.68%. The new maturity date of this loan is January 20, 2017 and the loan is secured by the property. The Board approved a pay down of the loan by $226,500 as of January 1,2012. The loan balance as of June 30,2012 was$466,172. The Center borrowed $257;474 at 5.625% on June ?, 2011 to remodel the building at Two Arnerican Way. This loan has a maturity date of May 1; 2016 and is secured by the property. The loan balance as of June 30,2012 was $214,582. 9 RENZ ADDICTION COUNSELING CENTER ".NOTES-TO FINANCIAL STATEMENTS (Continued) JUNE 30,2012 'Scheduled maturities of the obligations areas follows: Year Ending June 30, Amount :2013 $ -65,989 2014 69,777 2015 72;378 :2016 '77,434 2017 '395,176 Total 6 754 -8. Compensated Absences Employees of the Center are entitled to paid vacation,paid sick days, and personal days off, depending on job classification, length of.service, and other factors. It is impracticable to estimate-the amount of compensation for future absences, and accordingly,no.liability has been recorded in the.accompanying financial statements. The Center's policy is to recognize the costs of compensated absences when actually paid to.employees. 9. Prior Period Adjustment During the.Year.ended June 30, 2012,the Center received refunds of$54,300 as a correction of prior year's real.estate taxes.- Such amount is reflected as a prior period.adjustment in the accompanying Statement of Activities and Changes in Net Assets. 10. Subsequent Events Subsequent events have been evaluated through September 28, 2012 which is the date the financial statements were"available to be issued; there are no subsequent events requiring recognition and/or disclosure. 10 uol.i�o�u�.x�a�r�nr��aar�s MANNIM I VERAN Certified Public Accountants CO. Management Consultants Business Advisors CPA The CPA. Never underestimate-the value. 175 01de Half Day Road, Suite 290 Lincolnshire,IL 60069 phone 847-459-8850 fa-v847-537-8954 REPORT ON INTERNAL,CONTROL OVER FINANCIAL REPORTING AND-ON•COMPLL4,NCE AND OTHER MATTERS BASED ON AN AUDIT OF FINANCIAL STATEMENTS PERFORMED IN ACCORDANCE WITH GOVERNMENT AUDITING STANDARDS Board of Directors Renz Addiction Counseling Center Elgin,,Elinois We have audited the financial statements of Renz Addiction Counseling Center (a nonprofit organization) as of and for.the year.ended June 30, 2012, and have issued our report thereon dated .September'28, *2012. 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 Government Auditing Standards, issued by the Comptroller General of the United States. Internal Control over Financial Reportin In planning and performing our audit, we considered Renz Addiction Counseling Center'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 Renz Addiction Counseling Center'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. "Thank you for the opportunity to serve you and for your referrals!" Our consideration of internal control over financial reporting 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 financial reporting that might be deficiencies, significant deficiencies, or material weaknesses. We did not identify any deficiencies in internal control over financial reporting that we consider to be material weaknesses, as defined above. . Compliance and Other Matters As part of obtaining reasonable assurance about whether Renz Addiction Counseling Center's financial statements are free of material misstatement, we performed tests of its compliance with certain provisions of laws, regulations, contracts, and 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. This report is intended solely for the information and use of management, others within the entity, the Board of Directors, and federal awarding agencies and pass-through entities and is not intended to be and should not be used by anyone other than these specified parties. 44- ---- . Manning Silverman&Company Certified Public Accountants September 28,2012 Nl I ITERAIAN Certified Public Accountants &'Co. Management Consultants Business Advisors CPA The CPA.Never underestimate the value. 175 Olde HalfDay.Road, Suire.290 Lincolnshire,IL 60069 phase 847-459-8850 fax 847-537-8954 INDEPENDENT AUDITOR'S REPORT ON COMPLIANCE WITH REQUIREMENTS THAT COULD'HAVE A'DIRECT AND MATERIAL EFFECT ON EACH MAJOR PROGRAM AND ON INTERNAL_CONTROL OVER COMPLIANCE IN ACCORDANCE WITH-OMB CIRCULAR A-133 Board of Directors Renz Addiction Counseling Center Elgin, Illinois Compliance We have audited Renz Addiction Counseling Center's compliance with the types of compliance requirements described in.the OMB Circular A=133 Compliance Supplement that could have a direct and material effect on each of Renz Addiction Counseling Center's major federal programs for the year ended June 30, 2012. Renz Addiction Counseling Center's major-federal programs .are identified in the summary of auditor's result section of the accompanying schedule of findings and questioned costs. Compliance with the requirements of laws, regulations, contracts, and grants applicable to each of its major federal programs is the responsibility of Renz Addiction Counseling Center's management. Our responsibility is .to express an opinion on-Renz Addiction Counseling Center'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, Audils• of States, Local Governments, and Non- __Profrt 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 Renz Addiction Counseling Center'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 of Renz Addiction Counseling Center's compliance with those requirements. In our opinion, Renz Addiction Counseling Center 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 June 30,2012. "7hank you for the opportunity to serve you and for your reji,,als!" Internal Control over Compliance Management of Renz Addiction Counseling Center is responsible for establishing and maintaining effective internal control over compliance with the requirements of laws, regulations, contracts, and grants applicable to federal programs. In planning and performing our. audit, we considered Renz Addiction Counseling Center's internal control over compliance with the requirements that could have a direct and material effect on a major federal program to determine the 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 Renz Addiction Counseling Center's internal control over compliance. A deftiency 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 weakness 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 type of compliance requirement of a federal program tiNill 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 management, others within the entity, the Board of Trustees, federal awarding agencies, and pass-through entities and is not intended to be and should not be used by any ne other than these specified parties. Manning Silverman & Company _ Certified Public Accountants September 28,2012 M �l�!1rI �f ;VE'RNL11rT Certified.Public Accountants !Co• Management Consultants Business Advisors CPA The CPA.Never underestimate the value. 175 Olde Half Lm,Road Suite 290 Lincoinshire, IL 60069 phone 847-459-8850 ./ax 847-537-8954 -INDEPENDENT AUDITOR'S REPORT ON SCHEDULE OF EXPENDITURES OF FEDERAL,AWARDS Board of.Directors Renz Addiction Counseling Center Elgin, Illinois We have audited-the financial.statements of Renz Addiction Counseling Center for the year ended .June 30, .2012,and have issued our report thereon dated September 28, 2012. These financial statements are -the responsibility of :Benz .Addiction. Counseling Center's management. Our responsibility is to express an.opinion on these financial statements based on our audit. We _conducted our audit in .accordance with auditing standards generally accepted in the United States of America, Government Auditing Standards issued by'the Comptroller General of the United States,.and the provisions of the Office of Management and Budget (OMB) Circular.A-13 3, Audits 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 the financial statements are free of material misstatement. An-audit includes examining,on a.test basis, evidence supporting the amounts and disclosures in the financial statements. An audit 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 audit provides a reasonable basis for our opinion. Our audit was made for the purpose of forming an opinion on the basic financial statements of .Benz Addiction Counseling Center for the year.ended June 30, 20I2, taken as a whole. The accompany_ing_Schedule of_Expenditures of Federal Awards is_presented_for purposes of additional analysis as required by OMB Circular A-133,and is not a required part of the basic financial statements. The information in that schedule has been subjected to the auditing procedures applied in the audit of the basic financial statements and, in our opinion, is fairly presented in all material r pect4inrelatio to the basic financial statements taken as a whole. Manning Silverman &Company Certified Public Accountants September 28,2012 "7bank you for the opportunity to serve you and far your referrals!" BENZ ADDICTION COUNSELING CENTER SCHEDULE OF EXPENDITURES OF FEDERAL AWARDS FOR THE YEAR ENDED JUNE 30,2012 Federal Federal CFDA Pass-Through Disbursements/ Pass-Through Grantor/Program Title Number Number Expenditures MAJOR PROGRAMS Department of Health and Human Services: Directly Received from SAMHSA 93.243 S 685,333 Passed Through Illinois Department of Human Services, Office of Alcoholism and Substance Abuse: Substance Abuse Prevention and Treatment Block Grant 93.959 l OCM001585 98,524 93.959 IOCM001585 332,142 430,666 NON-MAJOR PROGRAMS Department of Health and Human Services: Passed Through Illinois Department of Human Services, Office of Alcoholism and Substance Abuse: Title XX Block Grant 93.667 6,000 Passed Through Illinois Department of Public Health Cook County HIV Grant 93.940 66,036 Lake County MV Grant 93.940 98,683 IDPH-Minority Grant 93.940 68,448 233.167 Total S 1,355,166 1. Basis of Presentation The accompanying Schedule of Expenditures of Federal Awards of Renz Addiction Counseling Center _ is presented on the accrual basis of accounting. The information in this schedule is presented in accordance with the requirements of the OMB Circular A-133; "Audits of States,Local Governments, and Non-Profit Organizations." Therefore, the amounts presented in this schedule may differ from amounts presented in,or used in preparation of,the basic financial statements. 2. Amounts Provided to Subrecipients None 3. Non-Cash Assistance,Insurance,Loans or Guarantees None See Independent Auditor's Report on Schedule of Expenditures ofFederal Awards. 17 BENZ ADDICTION COUNSELING CENTER -SCHEDULE OF-FINDINGS AND QUESTIONED COSTS FOR THE YEAR ENDED.JUNE 30,1012 .SECTION-1—SUMMARY OF A:UDITOR'S:RESULTS Financial Statements Type of auditor's report issued: Unqualified Material weaknesses identified? Yes X No • Reportable conditions identified that are not considered to be material weaknesses? Yes X ' No Noncompliance material to financial statements noted? Yes X No Federal Awards Internal control over major programs: • Material weaknesses identified? Yes. X No Reportable conditions identified that are not considered to be material weaknesses? Yes X No Type of auditor's report issued on compliance .for major programs: Unqualified Are audit findings disclosed that are required to be reported in accordance with section S 10(a)of Circular A-133? Yes X No Identification of major programs: CFDA Numbers Name of Federal Prograt or Cluster --------Substance.Abuse-Prevention. _- --- -- - - - 'and Treatment Block Grant 93.243 Substance Abuse Prevention and Treatment Block Grant Dollar threshold used to distinguish between Type A and Type B programs: $300,000 Auditee qualified as low-risk auditee: X Yes No ;;s RENZ ADDICTION COUNSELING CENTER SCHEDULE OF FINDINGS AND QUESTIONED COSTS(Continued) FOR THE YEAR ENDED JUNE 30,"2012 SECTION 2—FINANCIAL STATEMENT FINDINGS None . SECTION 3-FEDERAL AWARD FINDINGS AND QUESTIONED COSTS . None SECTION 4—PRIOR AUDIT FINDINGS None 19 'NUNNIN Certified Public Accountants COQ Management Consultants Business Advisors CPA The CPA.'Never.underestimate the value. 175 01de Half Day Road, Suite 290 Lincolnshire,IL 60069 Phone 847-459-8850 fax 847-537-8954 INDEPENDENT.AUDITOR'S:REPORT ON GRANT REPORT Board of Directors .Rent Addiction Counseling Center Elgin,Illinois Our audit was made for the purpose of forming an opinion on the basic financial statements of Renz Addiction Counseling Center as of June 30,2012 and-for the year then ended, taken as a whole. The accompanying Grant Report for the year ended .tune 30, 2012 on pages 21 22 is presented for the purpose of additional analysis as required by the Illinois Department of Human Services and is not a required part of the basic financial statements. However, such information has been subjected to the.auditing procedures applied in our 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 awhole. 'The additional information on pages 23 -.26 marked`Unaudited," has not been subjected to auditing procedures applied.in the audit of the basic financial statements and, accordingly,we express no opinion on it. l Manning Silverman& Company Certified Public..Accountants..__ September-28,2012 "Thank you for the opportunity to serve you and for your referrals!" I ILUNOIS DEPARTMENT OF HUMAN SERVICES GRANT REPORT for thi petlod July 1 through June 10, 7- Page 1 of 2—GIr•antAliowablo Cost Summary AGENCY NAME: ��nZ f�cidic�ign Cvuns�llng C% e�Y~ FEIN: :to-2114-7 S I ---T S GRANT-F S MS ttitlfar Mgmt& . P' ! Gbnotai Total P P Pro tsm i 1Pmflm*-4 Fromm. 5 Pmgtvm NamelNtrmber/Coritre dt t o Nitmber/Olher ldenfiliration p l`)$ A Irdot Program ex errebt; S 1A160pla Marna ntand E3en�ml'Coahk Nate 1) 1,14,14L4i .p. C SUBTOTAL A+e I t D Subtred unallowaWfa,co!hprlpna 2 —O- E Add other a rdired tleab Qeolh dow"htOt -p- I TOTAL Al"bio oosfs Q Rmcm offs see Irmtruo6ne H linterett l smed .Gee InstrucUme NOTE 1: Management and General costs are allocated based on: _� direct satarlm total diced on�ts, other baeie(ahuh aVlsnauon). See Independent Auditor's Report on Information Accompenying.Audited Financial Statements. The accompanying notes are an integral part of these financial statements. 21 ;p tI M OSPARTMENrOF MOAAMSMAM 8 akw vEP=br nay.No j*it-mvi se.=2.- .. Pepe 2*(2—t31aULOMASLE C89T8 rap= AGENCY . Cmri{set ) Rl68fitfD5atdo01D16M11f0h! trod eNM �ysrxfvnnh tne�wtibiDti�teree!. IrnNeNOtlax . �p(tl�OB 0A Ot�rIUStlDd . 006►Of P .hfkir►d 9. 4 b0Y07�1Q0¢ 6tft;ss A petsoaa!ues tieamt: pdtGaei mWWd PM* ooet6tid3tiDrD S tlea�ht3lD►hYtenea� aosls ll ROptsm is FedmrsHy Radsd or wat-rDndtiUYdbyCatxl.me*l0ice'u—) TOM UM LOWAM E COSTS{b.MD D of Owt —S"bobw 9MW gtw w�tk'v�ati�e oobtsue Anted.stpn med dots es I caAlty ra wsi.srs kicR,dcC a► tasect x eMd Offmo coats ow the orsM t RPM. • �i 1 '2. Date b D See Independent Auditor's Report on Information Accompanying Audited Financial Statements. The accompanying notes are an integral part of these financial statements. 22 Provider Demographic Information Please confirmlcorrea the information below,frill in blacks when appiimble.•and return ibis form to DM with your fmanchd report submission. Now Lform�v on to fan vaTion lve rMPM5W tkL CbMa to lb n an th&formxill not af-d jrdonnaElen wed by otter ef>la ryWa DM. FM 362447195 Prnvkder RENZ ADDICnMCOUNSEL G C'ENT'ER Datrre Bminras As(DBA) Fks=l Year End 06130112 Not For Profit Yes For Profit T'ssaaver T'rw* Catporafion.atfies'em hospital Contact 3MMY SKOGM0,MA Tide EXECLTITVE DIRECTOR Address Line I 1 AMEMCANWAY Address Line 2 City,State.2Tp ELGIR,IL 60120 Phony (847)742-3545 MrL 232 FAX (847)697-3583 MVbil.F iwry JSKOGMO@RENZCEKMP,.org )WO Secondary arg - - - 'Valid Taxpa)w-Types are—Cation,other than-hosotal- Hnspiw indhidnal Regoxxal Offim of Education Scbool District Sole;Propriewxs* Unit of Counly Govemxnem. Unit ofMrmki l Government Unit of State Govesnmcnr Jnivasity,Collage or Junior College 1 unaudited 23 PMONNMJAD TRA TAIL INFOR"MON Mena et+mple2r tbjx tam Abd ar AM tD DES with sour`financial repart sebmwAn.. „nay xame Z- AM 1 i -ervi C r :FM#- 24 4.11 06 N,tmw of erep]aytxs in aiyeaoy.oa.dre lari day of most Teog$scsl yea{T � Nmtber of rawly hired=Ooym doing the mast rem t fracas year? � Nwubcr ofbudge d vaesnries on the inn day of mosl rr omiftscal year? � 8itpdhtamtal i Irrttrrg�tFDn .Pkam W-tho aar 8 and dtks ofall.boadad.eazrloy m Plat list.the namos.an tint s bfslt yees it .cwpntato audit cords: Lora -TcN r . mid%,SSwl- i k t we t�ctrV-eking lDj—r ,c:1t r Ri�car o a Pry Sect CcAlm konctl��a 4 CIi1C—W Ser- Cct#ri�rinE� p 1Nlease Hg ft cmrt9 v an-bars of.6u'Busrd orDiremm and d=texas,id�:r� �e o�f(`IM* i+hancc � - See ' ro llshlaat �Tc jPlease sttmch addlt}ouatpsges,ff.at�essery,:or a separstr iiatisigl ?least inditgfe.tht frcquatcy of fttt enbYs'Board of Directors'mpbr r4eedrgss: l—Vi -Pic=give the,does of the titres(3)most recant Board meeting: - — -- - - I+Qtxtiotz bald$? NLtV t'1Y1 "� 1, 2.o t 2 Afay2 Unaudited 24 RENZ ADDDCTION COUNSEUNO CENTER 60NA'DEN77AL 9OARD or DIRECTORS.LIST Dr..ten Jones O: 224-783-8119 y,lat>� �[rJlenttosnit�tt.atK1 5J1 Chat. f ION.Seeohd Si. 10 Prtesfdent Fax:l 847-429-8012 2004 2011 Walt Dundee,IL 80116 H: 847-426-2461 consnc.cm Jo fa.Esposlto O:847-622- 800 x 325 teeaosit Jun urte 165 S.Randall Road Vice President Fax:847-6224861 2005 2011 Etgtn,IL 60123 H:930-305-Ww Michael Welsh H:847-51 5-8621 tncw34l� txax.ne 110 Apr rAp 12885 Ro Crbek Circle, Setxotdryll'reasurar j 2009 Huntley,IL 60142 Rev.Allen Solanger O:847-398-7122 e s o ' 3111 a 943 M8klahester Couft 2008 202 South Etgtn,IL 60177 fi:8d 7-688.8172. James Lam n O: 830-702-69 WO X" June 1221"Falcon Rldge Drive f our 63v 377-1.678 jjgg[dnM hatkd aav 2010 2013 EiglM IL 60124 H-22?I-535.8781 Cell;630414-2120 Brian Mongol) 0:830483=4308 Deis Dec 4211 Bart ge 1•rall C:816 269 8016. 2010 2016 CheiryVa7ey.1111nois F:63OA63-4316 1-E O("6-9673 Laura Newman 0, 630-723.3570 t .nttwmarSit9llnitUboYaaom 7VZ NQV Feb 34v N.BAIaYia Ave, Fax-, 030-978.6488 nevrmz@comcast.nel 2003 2011 8ataafa,IL 60510 H: 830-879-1954 Call=312339.9179 "rry 7otzke 0:847 240-4492 'stUttice{ o ,�e 411 Oat Oct 133.McCabe H:630-289-57100 0 e j7&nna.cem 2005 201 f Sbwmwobd,IL 60167 Fmc:847-240-a0',•0 Pae,cis Arroyo 0: 847.695-3200 ext.5178 E!atdo1e Wcoveria ors ON April Aprg 77 MORE Llhtfte Street H; 2011. 2014 Elgirt,IL 60123-4912 Fax: 84'7931-5550 Mary Hyatt -_- R 630-584-3391 rvattl Itzil 'Oro may 39W280 Happy HItls 2011 2014 Ro6d 8 Si.Chades,IL i !3017 Claudia Maitinez 0:6301-213--5500 t?�fll 03&iZyat►do,Cam 010 Ock tact: 1691 S.Andrews Circle H:314-497-4051 2011 2014 EVn,1L.60123 Fax: Unaudited 25 MRS FY12-M NANCLA1 REM RTYNG,CHECTOJBT 7 ffi&FIDRM MW BB SJPM AND RETi71tNE D l�1'ITB R�P+DiLTINGPAC�CAGE . Pravidmrlf�na 3tHNZADDYCfIONCnUNSSLINGCHNiER FBit•1: 362449195 FseftDiftaf rvAdctafiiSWYear. O&I3 2 ktDc Dsha IW28J22 Nemn of RavSdt rC.otttnot IFdtBY 38oQbto,MA. U3RITC ICl1t ,Phoned: (W)942=3545 .7U ka ii vft -X tod66w sbJoaM be tlWYYd fn YQPravMt r ot ftu ma f r-e-"-r—tft 1a@V wba to . X.. _oMHambrA-t33skigte,4v&Rcpoat Tfmveisaa'7� cntids s,T�+ts Yita ndmEaramtpr ssDaoDO«amrs3�fio�r+asae�cf�awanandywarersgot�,eamaibmh.nt�39ads�ticawap�OC,vkbDly� . c v&.rA,4U(Bb*An*)Wm you 1,da anmp6m by dbeddagthe Dacb dow. . ❑We atpeededfra thm SSONO p in Federal hoods trom ab son�ees,oaf sot to�A-333 ' t:3?RSchedafe l:8eha8�ateafProgtaeaCmts GFR.Scberboie�Srbedck afPto�am ltevemms 0%Sobe&k 3:Prnpior Pwwmwet eiRS�er�e•6 Pra�n+ tn�acoeimee�et CFR 8obodvtt 3:Rgpwaf8erofoe Upf wDqvNigha ludepeadw laaapmd4wtABepoac an Ap:riy�g 'Proaehues to Qr&&�lttta 4fpi+ag�r�aGoste Avdtter`s"InRa mum Td°Opinion on CFR Sdmed da ofPttrgram Coats X_ O aatRepott lad�mtiladiiat'sReporl�Applying Agea3.13panProoad�to t>�OtRopddf X~ ;Y*ftdw Amdimes 7n R,4m To,Opb&v on"t3raatRepor X- US hoots orRepott PS 990.990 E7.,9W PF ar odw) X- -X- 990T{I w),vWUoab3e X. =Pttsomad/Admbnvnlnfoam�iestForn3 X.� PmvWwDammogtaphimInffirmetfan Foau A#auapemmt won: we hereby ty Wat it is ovr.bhtief dc npom a d maurb is,sabmitted to DES am comph eamd $igAtttee. CEO Deft f -i� V�,f-y ��►�f I Sigimoore PresideortorBavdTruxaer Due i Unaudited 26 Attachment F IRSIRSofthe7reasury IRS Designation Letter internal Revenue Service P.O. Box 2508 In reply refer to : Z24-8226129 -Cinci-nnati ON 45201 Mar . .31 , .2009 LTR 4168C 'EO :36-2447195 000000 .00 :000 000.19107 _BODC: TE RENZ ADDICTION COUNSELING CENTER TWO AMERICAN WAY ELGIN IL 60120-4341 002006 Employer Identification Number : 36-.2447195 Person to Contact : Ms . K. Nilson Toll Free Telephone Number: 1-877-:829-5500 Dear Taxpayer: This is in response to your request of Mar. 20 , 2009 , regarding your tax-exempt -status . Our records indicate that a determination letter was issued in May 1965 , .that recognized you as exempt from Federal income tax, and discloses that you are currently -exempt under section 50.1 (c) (3) of the Internal Revenue Code . Our records also indicate you are not a private foundation within the meaning of .section 509(a) of the Code because you are described in sections) 509(x) (1) and 170(b) ( ) (A) Cv.i) . Donors may deduct contributions to you -as :provided in section 170 of the Code . Bequests, legacies, devises, transfers , or gifts to you or for your use are deductible for Federal estate and gift tax .purposes if they meet the applicable provisions -of sections 2055, 2106 , and 2522 of the Code. If you have any questions, please call us at the telephone number shown in the heading of this letter . Sincerely yours , Michele M. Sullivan, Oper . Mgr . Accounts Management Operations I City of Elgin Community Development Block Grant Attachment G: Job Descriptions Per Budget Detail Renz Addiction Counseling Center Job.'Descriptions'Per Budget Detail "There are no job descriptions per budget detail for this pavement project. Renz Addiction Counseling Center's.Executive DirectorJerry Skogmo will be overseeing the project. Attached please find his resume. i i i JERRY SKOGMO, MA, LCPC, CADC 886 Newport Court i Buffalo Grove,Illinois 60089 (847)634-9490 PROFESSIONAL EXPERIENCE 1996-Present RENZ ADDICTION COUNSELING CENTER Elgin,Illinois Executive Director,Renz Addiction Counseling Center. Responsible for the overall day to day operations of this private, licensed, 1. non-profit organization. Primary responsibilities.also include income development, grant writing,program development, and participation on numerous community boards and committees. Have been chief manager for state and federal (SAMHSA)grants. The Center is a comprehensive community based agency with 45 staff members and a budget of over 2.3 million dollars. The Center provides prevention and treatment of alcohol and substance abuse, compulsive gambling and HIV prevention and education. Renz Center also contracts with area businesses and organizations for employee assistance programming. i i 1990-1996 TURNING POINT BEHAVIORAL HEALTH CARE CENTER Skolde,Illinois Clinical Director Responsibilities: Clinical administration, staff supervision and management of all agency programs including an APA approved internship program. This included program planning and development, income development and grant writing,budgeting,marketing clinical services, quality assurance programming, strategic planning,public relations activities and supervision of therapy and management staff. ' Direct service. 1985-Present Private Practice, Buffalo Grove. Illinois - - - - - - Individual,-couple,-and-group-psychotherapy--Specializing-in-treating--- mood disorders, alcohol and substance abuse counseling, stress management, and couple counseling. 1978-1990 ECKER CENTER FOR MENTAL HEALTH,Elgin,Illinois 1986-1990 Program Director/Director of Operations Responsibilities included: Program management and development, staff administrative and clinical supervision,budgeting, marketing of clinical services,public relations, management of accounts receivables and purchasing department,and operations management. Direct Service. JERRY SKOGMO 1982-1986 Program Director Administration of agency's largest clinical program. Responsibilities included program development,monitoring state contracts,operations management,staff supervision,and budgeting. 1980=1982 Coordinator,Day Treatment Program Program administration, staff supervision,and direct service. 1978-1980 Staff Psychotherapist 1979-1984 BAUM AND ASSOCIATES (1979-1984),Crystal Lake,'IHinois -MARYVILLE ACADEMY(1977-1979),Des Plaines,Illinois j .Therapist i 1976-1978 RIDGEWAY HOSPITAL, Chicago,*Illinois Staff Therapist EDUCATION 1976. Masters of Arts,Counseling Psychology,University of North Dakota 1974 Bachelor of Science,Business Administration,University of North Dakota LICENSES, CERTIFICATIONS AND MEMBERSHIPS 1998-Present Member;Board of Directors,Illinois Alcoholism and Drug Abuse Association 1996-Present Member,Kiwanis Club of Elgin, Board of Directors(since 2001). Club President,2006 1996-2002 Member, Secretary/Treasurer Board of Directors,:Employee Assistance Services 1995-Present Licensed Clinical Professional Counselor, State of Illinois 1988-Present Certified Alcohol and Drug Abuse Counselor, State of Illinois 1988-1993 National Board of Certified Counselors 1987-1989 Member,Board of Directors,Northwest Action Against Rape PERSONAL INFORMATION Married,two children. Excellent health. Attachment H Executive Statement _0 ON"Kim NEW y° - ON ME 111 MW MIN x� - _ 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 submittals received. 6. 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 (i.e.: 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. 12. 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. 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_s_ervina on the Board of Directors and other matters that-may_give_the___ appearance of a conflict of interest. ..N n - t 1 �791 �TJSL� aL�7Y ,'.7'l '1r� Y' ,a�`� r-^•�--�a . F iow. �- .p�rrotl�o�� -eedYfv�.,years,��r �,s' libe�re�n�i�y' �'flIs�f��rota-��. r City of Elgin C08G Application FY 2013-2014 Application Page 28 of 32 .By signature below,the applicant.acknowledges the above in its name on this 6th day of, December .2012. Renz Addiction Counseling Center 'Name of Organization By: / i (Signature) Executive Director (Title) City of Elgin CDBG Application FY 2013-2014 Application Page 29 of 32 Attachment I Executive Authorization WON W-11-1 I _ ? - - The Board of Directors of Renz Addiction Counseling Center does hereby resolve that on December 6,2012 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 2013-2014 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. Renz Addiction Counseling Center (Name of organization requesting CDBG funds} 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 container)herein are true,correct and complete. I also authorize the following person(s)to have signatory authority regarding this grant: Jerry Skogmo Executive Director Name Title Name Title t� V�O President/Board of Directors(or other authorized person) December 6,2012 Date i VO l=R © L=E 111"•��►T�11tl E�� _. MORE, ^' n, s 'mss- �.�s>-ws. '.».,�-" •",,-4. �'' ' 3 CtjtleT�tt7e tianrt=b1' rovi to—N-M �DW-4m:pasanreutWW, � c d te sor bs71 4,10 CORM are alJ# qnre is �d n City of Elgin CDBG Application FY 2013-2014 Application Page 30 of 32 Attachment J Conflict of Interest 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 CDBGassisted 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: I certify a no confli of interest exists between the City of Elgin and(name of organization) Il , I cerd that n conflict of interest exists between the subcontractors of the(name of organization) O J IF A POTENTIAL CONFLICT-EXISTS,COMPLETE THE FOLLOWING: O1 certify that a potential conflict of interest may exists between the City of Elgin and(name of organization) Ol 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 and Date City of Elgin CDBG Application FY 2013-2014 Application Page 31 of 32 -NOPOSAL PROPOSAL NO. ASPHALT WORKS INC. .112912 P.'BOX 1048 3NEErNo. _ ELGIN ILL 60121 DATE .847-921-0765 11- 11-29-2012 PROPOSAL SUBMITTED TO: WORK TO BE PERFORMED AT. ADDRESS NAB JERRY SKOGMO -BENZ CENTER ADDRESS ONE AMERICAN WAY ONE AMERICAN WAY- ELGIN ILL DATE OF PLANS ELGIN ILL 60120 PHONE NO. ARCHITEC i 847- 742-3545 =EXT 232 We hereby propose.to furnish the materials and perform the labor necessary for the completion of ASPHALT PARKING LOT. REMOVE AND HAUL AWAY EXISTING ASPHALT PARKING LOT. REGRADE AND ADD CA-6 STONE FOR PROPER GRADE- COMPACT STONE BASE WTH VIBRATORY ROLLER PAVE WITH 2" OF BINDER ASPHALT HOT MIX. PAVE WITH 2" OF SURFACE ASPHALT HOT MIX. COMPACTION WITH VIBRATORY ROLLER. *" material deposit"" **—additional excavation of base if needed will be xtra— Ail material is guaranteed to be as specified,and the above work to be performed in accordance with the drawings and specifications - submn ted for above work,and completed in a substantial workmanlike manner for the sum of fifty eight thousand five hundred Dollars ($ 58,500.00 with payments to be made as follows: Respectfully submitted ASPHALT WORKS INC. AM aueraton or deviation trorn above spedfications involving mm cows MH be exa=wd ony upon written arder, and wM bemme an extra charge pef BERT. over and above the estimate. Ail agreements canbrigerd upon strikes, ac " M our control. Note -This proposal may be withdrawn by us if not accepted within .30 days. ACCEPTANCE OF PROPOSAL The above prices,specifications and conditions are satisfactory and are hereby accepted:You are authorized to do the work as specified. Payments Ml be made as outlined above. Signature Date Signature Forms on CD PROPOSAL L'd S'IJOM lia4dSV d8Z:90 Z L aZ AoN RENZ ADDICTION COUNSELING CENTER 'TWO AMERICAN WAY 'ELGIN,ILLINOIS PAVEMENT.IMPROVEMENTS -NOVEMBER 16,2012 -SCOPE OF WORK-Page 2 of 2 BED -H-ParMng Lot Remove and Replace Parking Lot of Approximately 12,490 Square Feet with Two Lifts of Asphalt at inches. ,fie Saw.cut perimeter of repairs,-remove and dispose spoils off site. + Fine-grade and compact existing stone base to maximum field density. .4- Prime vertical--edges of repair with Type-B liquid asphalt primer. -4► Pave prepared base with.2 inches compacted hot bituminous Type-B binder. �r :Resurface binder course.with 2 inches compacted hot bituminous Class-1 surface course asphalt,matching grade of existing conditions. NO'T'E: No provision in this bid-for removal and replacement of pavement ;greater than the depth specified. Layout with Ycllow.Safety Traffic'Paint +34 Standard parking stalls + 2 ADA-handicapped parking stalls ❖ I Each speed bump TOTAL 2013:Bid 11: $42,097.00 Forty-Two Thousand,Eight Hundred_Ninety Seven Dollars * THIS PROPOSAL IS BASED ON ACCEPTANCE WITHIN 15 DAYS. * PRICE IS BASED ON DOING IN CONJUCTION WITH OTHER PROJECTS. --*--Subject-tothe-attached Jacobs-and-Son"-T-erns-and-Conditions"-ofattached-contract. * Permits,if any,are the owner's responsibility. * Contractor is not responsible for location or damage done to private lines or utilities. Of.the total Contract amount,•one third-is due on esecution.of Contract Documents and the balance is due upon completion of work and/or portions thereof. ACCEPTED Date Jacobs and Son Inc. Contractor Purchaser-Acceptor Authorized Agent-.Tony Jacobs 3901 Industrial Avenue- Roiling Meadows,IL 60008 (847)924-4701 Attachment L FY13 Agency Budget 'Benz Addiction Counseling Center 2013 Budget INCOME IL Dept.of Substance Abuse(DASA) $769,500 City of Elgin-CDBG $33,000 Kane County Juvenile Drug Court $20,000 Sheridan Correctional Center 53,800 School District 300 $65,000 Elgin Township $10,000 SAMHSA Grant-CHIP&Mujer $685,800 US Probation and Pretrial S16,000 Second Chance Program $8,600 Client Fees $105,000 Third Party Payments $136,300 Hanover 708 Board $68,000 St.Charies Mental Health $60,001) Geneva 708 Revenue S7,500 Geneva Community Chest $1,700 Central Kane County UW $14,000 IL Dept of Public Health $23!,000 National Library of Medicine S6,000 IL Dept Public Health/CDC GRANT $153,010 Contributions $31,500 Foundations S28,000 Interest $12,231 Fundraisers $28,000 Rental Income S43,200 EAS $16,025 Other income Si5,000 Total Income $2,568,166 EXPENSES Salaries 51,405,700 Benefits $265,100 Contractual $442,600 Depreciation 561,200 Insurance $21,000 interest 556,900 Office/Program Expenses $184,266 Utilities 527,600 Fundrasing Expenses $13,000 Other $33,100 Property Taxes $20,000 Rent $37,700 Total Expenses $2,568,166 EXHIBIT B ASSURANCES The SUB-RECIPIENT hereby warrants and represents 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 the 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 this 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 this 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 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 tl�Civil Rights Act of 1968 (Pub. L. 90-208), as amended; and that the SUBGRANTE 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 Housing 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 Housing, as amended by Executive Order 12259, and implementing regulations at 24 CFR Part 107; Page 14 of 19 (G) Section 504 of the Rehabilitation Act of 1973 (Pub. L. 93-112), as amended, and implementing 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 H 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; (J) The labor standards requirements as set forth in 24 CFR Part 570, Subpart K and HUD revelations 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 6. When a grant is in excess of S100,000 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 County, HUD, and to the AESOP Assistant Administrator for Enforcement (EN-329). 7. 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); 8. It is following the current City of Elgin Consolidated Plan which has been approved by HUD pursuant to 570.306; and 9. 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 Page 15 of 19 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: (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. Page 16 of 19 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, grant, loan, or cooperative agreement. (B) 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 SUB-RECIPIENT shall require that the language of this certification be included in the award documents for all sub-awards at all tiers (including subcontracts, sub-grants, 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 510,000 and not more than $100,000 for each such failure. Page 17 of 19 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. 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 and HUD, 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 CFR 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, HUD, 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, HUD, and the Secretary of Labor such information as they may require for the supervision of such compliance, and will otherwise assist the CITY and HUD 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 or HUD. (7) In the event that SUB-RECIPIENT fails or refuses to comply with the undertaking, the CITY; or HUD 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 HUD for appropriate legal proceedings. Page 18 of 19 i f SUB-RECIPIENT: Renz Addiction Counseling Center One American Way, Elgin, Illinois 60120 BY: 0.1ir Je Sk , E ecutive Director DAT 2/ ATTEST: Page 19 of 19 I ELGIN THE CITY IN THE SUBURBS- DATE: September 5, 2013 TO: Denise Momodu, Associate Planner FROM: Jennifer Quinton, Deputy City Clerk SUBJECT: Resolution Nos. 13-136 through 13-140 Adopted at the August 28, 2013, Council Meeting Enclosed you will find the agreement listed below. Please distribute this agreement to the other party and keep a copy for your records if you wish. If you have any questions please feel free to contact our office 847-931-5660 and we will do our best to assist you. Thank you. • Resolution 13-136 Adopted Authorizing Execution of a Community Development Block Grant Sub-Recipient Agreement with P.A.D.S. of Elgin, Inc. for Reimbursement of Monthly Rental Costs • Resolution 13-137 Adopted Authorizing Execution of a Community Development Block Grant Sub-Recipient Agreement with Renz Addiction Counseling Center for Asphalt Entrance Driveway and Parking Lot • Resolution 13-138 Adopted Authorizing Execution of a Community Development Block Grant Sub-Recipient Agreement with Wayside Cross Ministries for Reimbursement of Monthly Rental Costs • Resolution 13-139 Adopted Authorizing Execution of a Community Development Block Grant Sub-Recipient Agreement with Well Child Center, Inc. for HVAC Replacement • Resolution 13-140 Adopted Authorizing Execution of a Community Development Block Grant Sub-Recipient Agreement with Senior Services Associates, Inc. for Reimbursement of Monthly Rental Costs