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111318 CC Agenda
In compliance with the Americans with Disabilities Act, if you need special assistance to participate in this meeting, please contact the office of the City Clerk (951) 694-6444. Notification 48 hours prior to a meeting will enable the City to make reasonable arrangements to ensure accessibility to that meeting [28 CFR 35.102.35.104 ADA Title II] AGENDA TEMECULA CITY COUNCIL REGULAR MEETING CITY COUNCIL CHAMBERS 41000 MAIN STREET TEMECULA, CALIFORNIA NOVEMBER 13, 2018 — 7:00 PM At approximately 9:45 P.M., the City Council will determine which of the remaining agenda items can be considered and acted upon prior to 10:00 P.M. and may continue all other items on which additional time is required until a future meeting. All meetings are scheduled to end at 10:00 P.M. 6:00 PM - The City Council will convene in Closed Session in the Canyons Conference Room on the third floor of the Temecula City Hall concerning the following matters: CONFERENCE WITH REAL PROPERTY NEGOTIATORS. The City Council will meet in closed session pursuant to Government Code Section 54956.8 regarding four parcels of real property owned by the City of Temecula, as successor to the assets of the Redevelopment Agency of the City of Temecula, consisting of approximately 1 acre (APN 922-360-004, 005, 006 & 007) located on Main Street at Mercedes Street in the City of Temecula. The parties to the negotiations for the potential sale of the property are: Marketplace Old Town, LLC (Truax Development) and the City of Temecula. Negotiators for the City of Temecula are: Aaron Adams, Greg Butler, and Luke Watson. Under negotiation are price and terms for the sale of the property. CONFERENCE WITH REAL PROPERTY NEGOTIATORS. The City Council will meet in closed session pursuant to Government Code Section 54956.8 regarding the potential lease of portions of the rights of way owned by the City. The parties to the negotiations for the potential lease of the properties are: Los Angeles SMSA Limited Partnership, d/b/a Verizon Wireless and the City of Temecula. Negotiators for the City of Temecula are: Aaron Adams, Greg Butler, Patrick Thomas, Robert Cardenas, Peter Thorson, and Brendan Kearns. Under negotiation are price and terms of the potential lease of the properties. 3. CONFERENCE WITH LEGAL COUNSEL — POTENTIAL LITIGATION. The City Council will meet in closed session with the City Attorney pursuant to Government Code Section 54956.9(d)(4) with respect to one matter of potential litigation. A point has been reached where, in the opinion of the City Attorney, based on existing facts and circumstances, there is a significant exposure to litigation involving the City. Based on existing facts and circumstances, the City Council will decide whether to defend or initiate litigation. CONFERENCE WITH LEGAL COUNSEL — PENDING LITIGATION. The City Council will meet in closed session with the City Attorney pursuant to Government Code Section 54956.9(d)(1) with respect to two matters of pending litigation: (1) Center for Biological Diversity, et al. v. City of Temecula, et al.. Riverside County Superior Court Case No. RIC 1800858; and (2) Endangered Habitats League v. City of Temecula et al.. Riverside County Superior Court Case No. RIC 1800886. 1 Next in Order: Ordinance: 18-11 Resolution: 18-71 CALL TO ORDER: Mayor Matt Rahn Prelude Music: Aubrey Chang Invocation: Pastor William Rench of Calvary Baptist Church Flag Salute: Council Member Maryann Edwards ROLL CALL: Comerchero, Edwards, Naggar, Stewart, Rahn PRESENTATIONS/PROCLAMATIONS Presentation Regarding Shop Small Saturday 2018 PUBLIC COMMENTS A total of 30 minutes is provided for members of the public to address the City Council on items that appear within the Consent Calendar or a matter not listed on the agenda. Each speaker is limited to three minutes. If the speaker chooses to address the City Council on an item listed on the Consent Calendar or a matter not listed on the agenda, a Request to Speak form may be filled out and filed with the City Clerk prior to the City Council addressing Public Comments and the Consent Calendar. Once the speaker is called to speak, please come forward and state your name for the record. For all Public Hearing or Council Business items on the agenda, a Request to Speak form may be filed with the City Clerk prior to the City Council addressing that item. Each speaker is limited to five minutes. CITY COUNCIL REPORTS Reports by the members of the City Council on matters not on the agenda will be made at this time. A total, not to exceed, 10 minutes will be devoted to these reports. CONSENT CALENDAR NOTICE TO THE PUBLIC All matters listed under Consent Calendar are considered to be routine and all will be enacted by one roll call vote. There will be no discussion of these items unless members of the City Council request specific items be removed from the Consent Calendar for separate action. 2 1 Waive Reading of Standard Ordinances and Resolutions RECOMMENDATION: 1.1 That the City Council waive the reading of the text of all standard ordinances and resolutions included in the agenda except as specifically required by the Government Code. 2 Approve the Action Minutes of October 23, 2018 RECOMMENDATION: 2.1 That the City Council approve the action minutes of October 23, 2018. 3 Approve the List of Demands RECOMMENDATION: 3.1 That the City Council adopt a resolution entitled: RESOLUTION NO. 18- A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF TEMECULA ALLOWING CERTAIN CLAIMS AND DEMANDS AS SET FORTH IN EXHIBIT A 4 Approve the City Treasurer's Report as of September 30, 2018 RECOMMENDATION: 4.1 That the City Council approve and file the City Treasurer's Report as of September 30, 2018. 5 Adopt a Resolution Approving a Deposit Agreement and Joint Community Facilities Agreement Relating to the Financing of Municipal Services for Cypress Ridge Development, Tri Pointe Homes, Inc. RECOMMENDATION: 5.1 That the City Council adopt a resolution entitled: RESOLUTION NO. 18- A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF TEMECULA APPROVING A DEPOSIT AGREEMENT AND JOINT COMMUNITY FACILITIES AGREEMENT RELATING TO THE FINANCING OF MUNICIPAL SERVICES 3 6 Adopt the 2018 Conflict of Interest Code RECOMMENDATION: 6.1 That the City Council adopt a resolution entitled: RESOLUTION NO. 18- A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF TEMECULA ADOPTING THE CITY'S 2018 CONFLICT OF INTEREST CODE 7 Approve the Amended Salary Schedule to Include Minimum Wage Adjustments Effective January 1, 2019 RECOMMENDATION: 7.1 That the City Council approve the Amended Salary Schedule to be Effective January 1, 2019. 8 Approve the Amended and Restated Cooperation Agreement with the Friends of the Temecula Children's Museum for the Support of the Temecula Children's Museum and Operation of the Children's Museum, Concessions, and Subject Portion of Lot RECOMMENDATION: 8.1 That the City Council approve the Amended and Restated Cooperation Agreement with the Friends of the Temecula Children's Museum for the support of the Temecula Children's Museum and operation of the Children's Museum, concessions, and subject portion of lot. 9 Approve a Purchase Order for Tree Grates for the Sidewalks — Old Town Boardwalk Enhancement, PW17-16 RECOMMENDATION: 9.1 That the City Council approve a purchase order with Spruce & Gander, Inc. for the purchase of 38 tree grates, in the amount of $64,657.43, for Sidewalks — Old Town Boardwalk Enhancement, PW 17-16. 10 Accept Improvements and File the Notice of Completion for the Pavement Rehabilitation Program — Citywide, Rancho California Road (Old Town Front Street to Western City Limits), PW17-26 RECOMMENDATION: 10.1 Accept the improvements for the Pavement Rehabilitation Program — Citywide, Rancho California Road (Old Town Front Street to Western City Limits), PW 17-26; 4 10.2 Direct the City Clerk to file and record the Notice of Completion, release the Performance Bond, and accept a one-year Maintenance Bond in the amount of 10% of the final contract amount; 10.3 Release the Labor and Materials Bond seven months after filing the Notice of Completion, if no liens have been filed. 11 Approve the Plans and Specifications for the Community Recreation Center (CRC) Pool Renovations, PW 18-02 RECOMMENDATION: 11.1 That the City Council approve the Plans and Specifications for the Community Recreation Center (CRC) Pool Site Enhancements and Renovations, PW18-02. 12 Adopt a Resolution to Establish an All -Way Stop Control at the Intersection of Channel Street and Dorchester Drive/Heath Lane RECOMMENDATION: 12.1 That the City Council adopt a resolution entitled: RESOLUTION NO. 18- A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF TEMECULA, ESTABLISHING AN ALL -WAY STOP CONTROL AT THE INTERSECTION OF CHANNEL STREET AND DORCHESTER DRIVE/HEATH LANE ******************** RECESS CITY COUNCIL MEETING TO SCHEDULED MEETINGS OF THE TEMECULA COMMUNITY SERVICES DISTRICT, THE SUCCESSOR AGENCY TO THE TEMECULA REDEVELOPMENT AGENCY, THE TEMECULA HOUSING AUTHORITY, AND THE TEMECULA PUBLIC FINANCING AUTHORITY ******************** 5 TEMECULA COMMUNITY SERVICES DISTRICT MEETING Next in Order: Ordinance: CSD 18-01 Resolution: CSD 18-06 CALL TO ORDER: President Jeff Comerchero ROLL CALL: DIRECTORS: Edwards, Naggar, Rahn, Stewart, Comerchero CSD PUBLIC COMMENTS A total of 30 minutes is provided for members of the public to address the Board of Directors on items that appear within the Consent Calendar or a matter not listed on the agenda. Each speaker is limited to three minutes. If the speaker chooses to address the Board of Directors on an item listed on the Consent Calendar or a matter not listed on the agenda, a Request to Speak form may be filled out and filed with the City Clerk prior to the Board of Directors addressing Public Comments and the Consent Calendar. Once the speaker is called to speak, please come forward and state your name for the record. For all Public Hearing or District Business items on the agenda, a Request to Speak form may be filed with the City Clerk prior to the Board of Directors addressing that item. Each speaker is limited to five minutes. CSD CONSENT CALENDAR NOTICE TO THE PUBLIC All matters listed under Consent Calendar are considered to be routine and all will be enacted by one roll call vote. There will be no discussion of these items unless members of the Temecula Community Services District request specific items be removed from the Consent Calendar for separate action. 13 Approve the Action Minutes of October 23, 2018 RECOMMENDATION: 13.1 That the Board of Directors approve the action minutes of October 23, 2018. 14 Approve the First Amendment to the Agreement with Kingdom Causes DBA City Net for the Regional Homeless Outreach Initiative RECOMMENDATION: 14.1 That the Board of Directors approve the First Amendment to the Agreement with Kingdom Causes DBA City Net, in the amount of $32,926.83, for a total agreement amount of $52,918.83, for additional Regional Homeless Outreach Initiative program services. 6 CSD DIRECTOR OF COMMUNITY SERVICES REPORT CSD GENERAL MANAGER REPORT CSD BOARD OF DIRECTORS REPORTS CSD ADJOURNMENT Next regular meeting: Tuesday, November 27, 2018, at 5:30 PM, for a Closed Session, with regular session commencing at 7:00 PM, City Council Chambers, 41000 Main Street, Temecula, California. 7 TEMECULA PUBLIC FINANCING AUTHORITY MEETING Next in Order: Ordinance: TPFA 18-01 Resolution: TPFA 18-09 CALL TO ORDER: Chairperson Matt Rahn ROLL CALL: DIRECTORS: Comerchero, Edwards, Naggar, Stewart, Rahn TPFA PUBLIC COMMENTS A total of 15 minutes is provided for members of the public to address the Board of Directors on items that appear within the Consent Calendar or a matter not listed on the agenda. Each speaker is limited to three minutes. If the speaker chooses to address the Board of Directors on an item listed on the Consent Calendar or a matter not listed on the agenda, a Request to Speak form may be filled out and filed with the City Clerk prior to the Board of Directors addressing Public Comments and the Consent Calendar. Once the speaker is called to speak, please come forward and state your name for the record. For all Public Hearing or Authority Business items on the agenda, a Request to Speak form may be filed with the City Clerk prior to the Board of Directors addressing that item. Each speaker is limited to five minutes. TPFA CONSENT CALENDAR NOTICE TO THE PUBLIC All matters listed under Consent Calendar are considered to be routine and all will be enacted by one roll call vote. There will be no discussion of these items unless members of the Temecula Public Financing Authority request specific items be removed from the Consent Calendar for separate action. 15 Establish New Community Facilities District No. 19-01 — Municipal Services and Authorize the Levy of Special Taxes Relating to Cypress Ridge Development, Tri Pointe Homes, Inc. RECOMMENDATION: 15.1 That the Board of Directors adopt a resolution entitled: RESOLUTION NO. TPFA 18- A RESOLUTION OF THE BOARD OF DIRECTORS OF THE TEMECULA PUBLIC FINANCING AUTHORITY ACKNOWLEDGING RECEIPT OF A DEPOSIT RELATIVE TO THE FORMATION OF A COMMUNITY FACILITIES DISTRICT, AND DECLARING ITS INTENTION TO ESTABLISH THE COMMUNITY FACILITIES DISTRICT AND TO AUTHORIZE THE LEVY OF SPECIAL TAXES THEREIN — MUNICIPAL SERVICES 8 TPFA EXECUTIVE DIRECTOR REPORT TPFA BOARD OF DIRECTORS REPORTS TPFA ADJOURNMENT Next regular meeting: Tuesday, November 27, 2018, at 5:30 PM, for a Closed Session, with regular session commencing at 7:00 PM, City Council Chambers, 41000 Main Street, Temecula, California. 9 SUCCESSOR AGENCY TO THE TEMECULA REDEVELOPMENT AGENCY — No Meeting TEMECULA HOUSING AUTHORITY — No Meeting RECONVENE TEMECULA CITY COUNCIL PUBLIC HEARING Any person may submit written comments to the City Council before a public hearing or may appear and be heard in support of or in opposition to the approval of the project(s) at the time of the hearing. If you challenge any of the project(s) in court, you may be limited to raising only those issues you or someone else raised at the public hearing or in written correspondence delivered to the City Clerk at, or prior to, the public hearing. 16 Approve the Universal Health Systems Temecula Valley Hospital Modification to a Condition of Approval (Planning Application No. PA18-1258) RECOMMENDATION: 16.1 That the City Council conduct a Public Hearing and approve the Universal Health Systems Temecula Valley Hospital Modification to Condition of Approval No. 27 (Planning Application No. PA18-1258) upon Council consideration and adopt related resolution: RESOLUTION NO. 18- A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF TEMECULA APPROVING A MODIFICATION TO REVISE DEVELOPMENT PLAN (PA10-0194) CONDITION OF APPROVAL NO. 27 TO REQUIRE THE COMMENCEMENT OF THE PHASE IV HOSPITAL BED TOWER (HOSPITAL BED TOWER 2) FOUNDATION WITHIN 15 YEARS OF THE ISSUANCE OF THE CERTIFICATE OF OCCUPANCY FOR THE PHASE I HOSPITAL BUILDING (HOSPITAL BED TOWER 1), OR NO LATER THAN FEBRUARY 8, 2029. THE PROJECT IS LOCATED AT 31700 TEMECULA PARKWAY (APN 959-080-026) CITY COUNCIL BUSINESS 17 Approve Recommendation for Community Service Funding Program for Fiscal Year 2018-19 RECOMMENDATION: 17.1 That the City Council approve the Community Service Funding Ad Hoc Subcommittee's recommendation to allocate a total of $86,500 to fund 23 out of 31 grant applications received from nonprofit organizations for the Fiscal Year 2018-19 Community Service Funding Program. 10 18 Introduce Ordinance to Amend Chapter 3.32, Public Works Contract Bidding, Under the Uniform Public Construction Cost Accounting Act to Increase Minimum Bidding Requirements and Implement Recent Legislation RECOMMENDATION: 18.1 That the City Council introduce and read by title only an ordinance entitled: ORDINANCE NO. 18 - AN ORDINANCE OF THE CITY COUNCIL OF THE CITY OF TEMECULA AMENDING CHAPTER 3.32, PUBLIC WORKS CONTRACT BIDDING, UNDER THE UNIFORM PUBLIC CONSTRUCTION COST ACCOUNTING ACT TO INCREASE MINIMUM BIDDING REQUIREMENTS AND IMPLEMENT CHANGES TO SAID ACT BY CHAPTER 169 OF THE STATUTES OF 2018 19 Receive Short Term Rental Community Outreach Survey Results and Consider Preparation of an Ordinance and Nexus Study for the Administration of Short Term Rentals (At the Request of Subcommittee Members Mayor Rahn and Council Member Stewart) RECOMMENDATION: 19.1 Receive and File the City of Temecula Community Outreach Meetings and Survey Results; 19.2 Direct Staff to Prepare a Short Term Rental Ordinance and Nexus Study for the Administration of Short Term Rentals. COMMISSION REPORTS PUBLIC SAFETY REPORT CITY MANAGER REPORT CITY ATTORNEY REPORT ADJOURNMENT Next regular meeting: Tuesday, November 27, 2018, at 5:30 PM, for a Closed Session, with regular session commencing at 7:00 PM, City Council Chambers, 41000 Main Street, Temecula, California. 11 NOTICE TO THE PUBLIC The agenda packet (including staff reports and public Closed Session information) will be available for public viewing in the Main Reception area at the Temecula Civic Center (41000 Main Street, Temecula) after 4:00 PM the Friday before the City Council meeting. At that time, the agenda packet may also be accessed on the City's website — TemeculaCA.gov — and will be available for public viewing at the respective meeting. Supplemental material received after the posting of the Agenda Any supplemental material distributed to a majority of the City Council regarding any item on the agenda, after the posting of the agenda, will be available for public viewing in the Main Reception area at the Temecula Civic Center (41000 Main Street, Temecula, 8:00 AM — 5:00 PM). In addition, such material will be made available on the City's website — TemeculaCA.gov — and will be available for public review at the respective meeting. If you have questions regarding any item on the agenda for this meeting, please contact the City Clerk's Department, (951) 694-6444. 12 CITY COUNCIL CONSENT Item No. 1 Approvals City Attorney Director of Finance City Manager CITY OF TEMECULA AGENDA REPORT TO: City Manager/City Council FROM: Randi Johl, Director of Legislative Affairs/City Clerk DATE: November 13, 2018 SUBJECT: Waive Reading of Standard Ordinances and Resolutions PREPARED BY: Randi Johl, Director of Legislative Affairs/City Clerk RECOMMENDATION: That the City Council waive the reading of the text of all standard ordinances and resolutions included in the agenda except as specifically required by the Government Code. BACKGROUND: The City of Temecula is a general law city formed under the laws of the State of California. With respect to adoption of ordinances and resolutions, the City adheres to the requirements set forth in the Government Code. Unless otherwise required, the full reading of the text of standard ordinances and resolutions is waived. FISCAL IMPACT: None ATTACHMENTS: None Item No. 2 ACTION MINUTES TEMECULA CITY COUNCIL REGULAR MEETING CITY COUNCIL CHAMBERS 41000 MAIN STREET TEMECULA, CALIFORNIA OCTOBER 23, 2018 — 7:00 PM No Closed Session At 7:03 PM Mayor Rahn called the City Council meeting to order to consider the matters described on the regular agenda. CALL TO ORDER: Mayor Matt Rahn Prelude Music: Alliah Anid Invocation: Aaron Adams Flag Salute: Council Member Jeff Comerchero ROLL CALL: Comerchero, Edwards, Naggar (absent), Stewart (absent), Rahn PUBLIC COMMENTS None CITY COUNCIL REPORTS CONSENT CALENDAR 1 Waive Reading of Standard Ordinances and Resolutions - Approved Staff Recommendation (3-0, Naggar and Stewart absent); Motion by Comerchero, Second by Edwards; and electronic vote reflected approval by Comerchero, Edwards and Rahn, with Naggar and Stewart absent. RECOMMENDATION: 1.1 That the City Council waive the reading of the text of all standard ordinances and resolutions included in the agenda except as specifically required by the Government Code. 2 Approve the Action Minutes of October 9, 2018 - Approved Staff Recommendation (3-0, Naggar and Stewart absent); Motion by Comerchero, Second by Edwards; and electronic vote reflected approval by Comerchero, Edwards and Rahn, with Naggar and Stewart absent. RECOMMENDATION: 2.1 That the City Council approve the action minutes of October 9, 2018. Action Minutes 102318 1 3 Approve the List of Demands - Approved Staff Recommendation (3-0, Naggar and Stewart absent); Motion by Comerchero, Second by Edwards; and electronic vote reflected approval by Comerchero, Edwards and Rahn, with Naggar and Stewart absent. RECOMMENDATION: 3.1 That the City Council adopt a resolution entitled: RESOLUTION NO. 18-68 A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF TEMECULA ALLOWING CERTAIN CLAIMS AND DEMANDS AS SET FORTH IN EXHIBIT A 4 Approve the City Treasurer's Report as of August 31, 2018 - Approved Staff Recommendation (3-0, Naggar and Stewart absent); Motion by Comerchero, Second by Edwards; and electronic vote reflected approval by Comerchero, Edwards and Rahn, with Naggar and Stewart absent. RECOMMENDATION: 4.1 That the City Council approve and file the City Treasurer's Report as of August 31, 2018. 5 Approve the Second Amendment to the Agreement with Webb Municipal Finance, LLC for Special Tax Consulting Services - Approved Staff Recommendation (3-0, Naggar and Stewart absent); Motion by Comerchero, Second by Edwards; and electronic vote reflected approval by Comerchero, Edwards and Rahn, with Naggar and Stewart absent. RECOMMENDATION: 5.1 That the City Council approve the Second Amendment to the Agreement with Webb Municipal Finance, LLC for Special Tax Consulting Services relating to Temecula Public Financing Authority (TPFA) Community Facilities District No. 16-01, Roripaugh Ranch Phase 2, in the amount of $12,904.28. 6 Approve Meeting Schedule for City Council Meetings for the Month of December 2018 - Approved Staff Recommendation (3-0, Naggar and Stewart absent); Motion by Comerchero, Second by Edwards; and electronic vote reflected approval by Comerchero, Edwards and Rahn, with Naggar and Stewart absent. RECOMMENDATION: 6.1 That the City Council approve the meeting schedule canceling the December 25, 2018 City Council meeting. Action Minutes 102318 2 7 Adopt the 2017 City of Temecula Local Hazard Mitigation Plan Annex to the Riverside County Operational Area Multi -Jurisdictional Local Hazard Mitigation Plan - Approved Staff Recommendation (3-0, Naggar and Stewart absent); Motion by Comerchero, Second by Edwards; and electronic vote reflected approval by Comerchero, Edwards and Rahn, with Naggar and Stewart absent. RECOMMENDATION: 7.1 That the City Council adopt a resolution entitled: RESOLUTION NO. 18-69 A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF TEMECULA ADOPTING THE 2017 CITY OF TEMECULA LOCAL HAZARD MITIGATION PLAN ANNEX TO THE RIVERSIDE COUNTY OPERATIONAL AREA MULTI - JURISDICTIONAL LOCAL HAZARD MITIGATION PLAN 8 Approve the Fee Structure for Fishing Permits at Harveston Lake - Approved Staff Recommendation (3-0, Naggar and Stewart absent); Motion by Comerchero, Second by Edwards; and electronic vote reflected approval by Comerchero, Edwards and Rahn, with Naggar and Stewart absent. RECOMMENDATION: 8.1 That the City Council adopt a resolution entitled: RESOLUTION NO. 18-70 A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF TEMECULA APPROVING THE FEE STRUCTURE FOR FISHING PERMITS AT HARVESTON LAKE 9 Approve an Agreement with Altec Industries, Inc., and Appropriate Vehicle and Equipment Funds for the Purchase of a 2019 Ford F550 Public Works Bucket Truck - Approved Staff Recommendation (3-0, Naggar and Stewart absent); Motion by Comerchero, Second by Edwards; and electronic vote reflected approval by Comerchero, Edwards and Rahn, with Naggar and Stewart absent. RECOMMENDATION: 9.1 Approve an Agreement with Altec Industries, Inc., in the amount of $144,125, for the purchase of a 2019 Ford F550 Unit/Body and ILO Contract Chassis with Articulated Telescopic Aerial Device; 9.2 Appropriate Vehicle and Equipment Funds in the amount of $144,125. 10 Approve the First Amendment to the Right of Entry Agreement with the Western Riverside County Regional Conservation Authority on City -Owned Properties within Temecula Creek - Approved Staff Recommendation (3-0, Naggar and Stewart absent); Motion by Comerchero, Second by Edwards; and electronic vote reflected approval by Comerchero, Edwards and Rahn, with Naggar and Stewart absent. Action Minutes 102318 3 RECOMMENDATION: 10.1 That the City Council approve the First Amendment to the Right of Entry Agreement with the Western Riverside County Regional Conservation Authority on City -owned properties within Temecula Creek and authorize the City Manager to execute any amendments. RECESS: At 7:10 PM, the City Council recessed and convened as the Temecula Community Services District Meeting. At 7:13 PM, the City Council resumed with the remainder of the City Council Agenda. RECONVENE TEMECULA CITY COUNCIL PUBLIC HEARING 14 Approve Assembly Bill (AB) 1600 Financial Reports — Development Impact Fee Expenditures - Approved Staff Recommendation (3-0, Naggar and Stewart absent); Motion by Comerchero, Second by Edwards; and electronic vote reflected approval by Comerchero, Edwards and Rahn, with Naggar and Stewart absent. RECOMMENDATION: 14.1 That the City Council approve the AB 1600 Financial Reports for Fiscal Year Ending June 30, 2018. CITY COUNCIL BUSINESS 15 Consider and Provide Direction Regarding Adopt -A -Park (Community Beautification Program) (At the Request of Mayor Rahn) - Approved Staff Recommendation (3-0, Naggar and Stewart absent); Motion by Comerchero, Second by Edwards; and electronic vote reflected approval by Comerchero, Edwards and Rahn, with Naggar and Stewart absent. RECOMMENDATION: 15.1 That the City Council consider and provide direction regarding Adopt -A -Park (Community Beautification Program). DEPARTMENTAL REPORTS 16 Community Development Monthly Report 17 Fire Department Monthly Report 18 Police Department Monthly Report 19 Public Works Department Monthly Report Action Minutes 102318 4 COMMISSION REPORTS PUBLIC SAFETY REPORT CITY MANAGER REPORT CITY ATTORNEY REPORT ADJOURNMENT At 7:38 PM, the City Council meeting was formally adjourned to Tuesday, November 13, 2018, at 5:30 PM for Closed Session, with regular session commencing at 7:00 PM, City Council Chambers, 41000 Main Street, Temecula, California. *** Adjourned in Memory of Jeanne Ward and Bob Wolf Matt Rahn, Mayor ATTEST: Randi Johl, City Clerk [SEAL] Action Minutes 102318 5 Item No. 3 Approvals City Attorney Director of Finance City Manager CITY OF TEMECULA AGENDA REPORT TO: City Manager/City Council FROM: Jennifer Hennessy, Director of Finance DATE: November 13, 2018 SUBJECT: Approve the List of Demands PREPARED BY: Pascale Brown, Fiscal Services Manager Pam Espinoza, Accounting Technician 1 RECOMMENDATION: That the City Council adopt a resolution entitled: RESOLUTION NO. 18- A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF TEMECULA ALLOWING CERTAIN CLAIMS AND DEMANDS AS SET FORTH IN EXHIBIT A BACKGROUND: All claims and demands are reported and summarized for review and approval by the City Council on a routine basis at each City Council meeting. The attached claims represent the paid claims and demands since the last City Council meeting. FISCAL IMPACT: All claims and demands were paid from appropriated funds or authorized resources of the City and have been recorded in accordance with the City's policies and procedures. ATTACHMENTS: 1. Resolution 2. List of Demands RESOLUTION NO. 18- A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF TEMECULA ALLOWING CERTAIN CLAIMS AND DEMANDS AS SET FORTH IN EXHIBIT A THE CITY COUNCIL OF THE CITY OF TEMECULA DOES HEREBY RESOLVE AS FOLLOWS: Section 1. That the following claims and demands as set forth in Exhibit A, on file in the office of the City Clerk, has been reviewed by the City Manager's Office and that the same are hereby allowed in the amount of $8,097,394.35. Section 2. The City Clerk shall certify the adoption of this resolution. PASSED, APPROVED, AND ADOPTED by the City Council of the City of Temecula this 13th day of November, 2018. Matt Rahn, Mayor ATTEST: Randi Johl, City Clerk [SEAL] STATE OF CALIFORNIA ) COUNTY OF RIVERSIDE ) ss CITY OF TEMECULA I, Randi Johl, City Clerk of the City of Temecula, do hereby certify that the foregoing Resolution No. 18- was duly and regularly adopted by the City Council of the City of Temecula at a meeting thereof held on the 13th day of November, 2018, by the following vote: AYES: COUNCIL MEMBERS: NOES: COUNCIL MEMBERS: ABSTAIN: COUNCIL MEMBERS: ABSENT: COUNCIL MEMBERS: Randi Johl, City Clerk CITY OF TEMECULA LIST OF DEMANDS 10/11/2018 TOTAL CHECK RUN: 3,301,957.33 10/18/2018 TOTAL CHECK RUN: $ 977,743.32 10/25/2018 TOTAL CHECK RUN: 3,337,374.16 10/18/2018 TOTAL PAYROLL RUN: 480,319.54 TOTAL LIST OF DEMANDS FOR 11/13/2018 COUNCIL MEETING: $ 8,097,394.35 DISBURSEMENTS BY FUND: CHECKS: CITY OF TEMECULA LIST OF DEMANDS 001 GENERAL FUND 125 PEG PUBLIC EDUCATION & GOVERNMENT 140 COMMUNITY DEV BLOCK GRANT 165 AFFORDABLE HOUSING 170 MEASURE A FUND 190 TEMECULA COMMUNITY SERVICES DISTRICT 192 TCSD SERVICE LEVEL B STREET LIGHTS 194 TCSD SERVICE LEVEL "D" REFUSE/RECYCLING 196 TCSD SERVICE LEVEL "L" LAKE PARK MAINT. 197 TEMECULA LIBRARY FUND 210 CAPITAL IMPROVEMENT PROJECT FUND 300 INSURANCE FUND 305 WORKER'S COMPENSATION 320 INFORMATION TECHNOLOGY 330 CENTRAL SERVICES 340 FACILITIES 350 FACILITY REPLACEMENT FUND 472 CFD 01-2 HARVESTON A&B DEBT SERVICE 473 CFD 03-1 CROWNE HILL DEBT SERVICE FUND 474 AD03-4 JOHN WARNER ROAD DEBT SERVICE 475 CFD03-3 WOLF CREEK DEBT SERVICE FUND 476 CFD 03-6 HARVESTON 2 DEBT SERVICE FUND 477 CFD 03-02 RORIPAUGH DEBT SERVICE FUND 478 CFD 16-01 RORIPAUGH PHASE II 501 SERVICE LEVEL"C"ZONE 1 SADDLEWOOD 502 SERVICE LEVEL"C"ZONE 2 WINCHESTER CREEK 503 SERVICE LEVEL"C"ZONE 3 RANCHO HIGHLAND 504 SERVICE LEVEL"C"ZONE 4 THE VINEYARDS 505 SERVICE LEVEL"C"ZONE 5 SIGNET SERIES 506 SERVICE LEVEL"C"ZONE 6 WOODCREST COUNTRY 507 SERVICE LEVEL"C"ZONE 7 RIDGEVIEW 508 SERVICE LEVEL"C"ZONE 8 VILLAGE GROVE 509 SERVICE LEVEL"C"ZONE 9 RANCHO SOLANA 510 SERVICE LEVEL"C"ZONE 10 MARTINIQUE 511 SERVICE LEVEL"C"ZONE 11 MEADOWVIEW 512 SERVICE LEVEL"C"ZONE 12 VINTAGE HILLS 513 SERVICE LEVEL"C"ZONE 13 PRESLEY DEVELOP. 514 SERVICE LEVEL"C"ZONE 14 MORRISON HOMES 515 SERVICE LEVEL"C"ZONE 15 BARCLAY ESTATE 516 SERVICE LEVEL"C"ZONE 16 TRADEWINDS 517 SERVICE LEVEL"C"ZONE 17 MONTE VISTA 518 SERVICE LEVEL"C"ZONE 18 TEMEKU HILLS 519 SERVICE LEVEL"C"ZONE 19 CHANTEMAR 520 SERVICE LEVEL"C"ZONE 20 CROWNE HILL 521 SERVICE LEVEL"C"ZONE 21 VAIL RANCH 522 SERVICE LEVEL"C"ZONE 22 SUTTON PLACE 523 SERVICE LEVEL"C"ZONE 23 PHEASENT RUN 524 SERVICE LEVEL"C"ZONE 24 HARVESTON 525 SERVICE LEVEL"C"ZONE 25 SERENA HILLS 526 SERVICE LEVEL"C"ZONE 26 GALLERYTRADITION 527 SERVICE LEVEL"C"ZONE 27 AVONDALE 528 SERVICE LEVEL"C"ZONE 28 WOLF CREEK 529 SERVICE LEVEL"C"ZONE 29 GALLERY PORTRAIT $ 3,791,407.53 1,509.98 17,876.04 8,507.08 395.46 245,772.02 72,552.33 1,904.18 7,466.70 13,505.34 3,078,190.71 24,201.51 8,517.73 174,766.87 3,575.81 65,063.44 51,500.00 56.91 56.71 56.91 56.91 56.91 56.91 124.66 54.01 93.71 1,557.33 28.67 306.72 124.84 62.11 7,645.89 27.34 242.67 27.95 4,024.03 2,464.14 83.30 29.77 1,952.65 26.94 205.56 1,050.20 6,794.26 6,979.24 28.37 291.11 6,034.71 42.76 99.76 587.27 8,947.98 82.87 $ 7,617,074.81 CITY OF TEMECULA LIST OF DEMANDS 001 GENERAL FUND $ 288,950.96 140 COMMUNITY DEV BLOCK GRANT 658.83 165 AFFORDABLE HOUSING 4,127.71 190 TEMECULA COMMUNITY SERVICES DISTRICT 127,842.08 192 TCSD SERVICE LEVEL B STREET LIGHTS 449.05 194 TCSD SERVICE LEVEL D REFUSE RECYCLING 1,329.00 196 TCSD SERVICE LEVEL "L" LAKE PARK MAINT. 317.90 197 TEMECULA LIBRARY FUND 1,875.73 300 INSURANCE FUND 718.86 305 WORKERS' COMPENSATION 718.85 320 INFORMATION TECHNOLOGY 40,173.34 330 CENTRAL SERVICES 3,527.15 340 FACILITIES 7,561.44 472 CFD 01-2 HARVESTON A&B DEBT SERVICE 103.95 473 CFD 03-1 CROWNE HILL DEBT SERVICE FUND 104.03 474 AD03-4 JOHN WARNER ROAD DEBT SERVICE 103.95 475 CFD03-3 WOLF CREEK DEBT SERVICE FUND 103.95 476 CFD 03-6 HARVESTON 2 DEBT SERVICE FUND 103.95 477 CFD 03-02 RORIPAUGH DEBT SERVICE FUND 103.95 478 CFD 16-01 RORIPAUGH PHASE II 235.62 501 SERVICE LEVEL"C"ZONE 1 SADDLEWOOD 2.17 502 SERVICE LEVEL"C"ZONE 2 WINCHESTER CREEK 27.54 503 SERVICE LEVEL"C"ZONE 3 RANCHO HIGHLANDS 17.50 504 SERVICE LEVEL"C"ZONE 4 THE VINEYARDS 3.80 505 SERVICE LEVEL"C"ZONE 5 SIGNET SERIES 27.63 506 SERVICE LEVEL"C"ZONE 6 WOODCREST COUNTRY 12.10 507 SERVICE LEVEL"C"ZONE 7 RIDGEVIEW 13.81 508 SERVICE LEVEL"C"ZONE 8 VILLAGE GROVE 129.31 509 SERVICE LEVEL"C"ZONE 9 RANCHO SOLANA 2.34 510 SERVICE LEVEL"C"ZONE 10 MARTINIQUE 7.61 511 SERVICE LEVEL"C"ZONE 11 MEADOWVIEW 2.77 512 SERVICE LEVEL"C"ZONE 12 VINTAGE HILLS 83.29 513 SERVICE LEVEL"C"ZONE 13 PRESLEY DEVELOP. 17.27 514 SERVICE LEVEL"C"ZONE 14 MORRISON HOMES 6.56 515 SERVICE LEVEL"C"ZONE 15 BARCLAY ESTATES 6.16 516 SERVICE LEVEL"C"ZONE 16 TRADEWINDS 19.15 517 SERVICE LEVEL"C"ZONE 17 MONTE VISTA 0.58 518 SERVICE LEVEL"C"ZONE 18 TEMEKU HILLS 79.77 519 SERVICE LEVEL"C"ZONE 19 CHANTEMAR 41.54 520 SERVICE LEVEL"C"ZONE 20 CROWNE HILL 105.30 521 SERVICE LEVEL"C"ZONE 21 VAIL RANCH 180.15 522 SERVICE LEVEL"C"ZONE 22 SUTTON PLACE 3.19 523 SERVICE LEVEL"C"ZONE 23 PHEASENT RUN 6.30 524 SERVICE LEVEL"C"ZONE 24 HARVESTON 148.76 525 SERVICE LEVEL"C"ZONE 25 SERENA HILLS 37.36 526 SERVICE LEVEL"C"ZONE 26 GALLERYTRADITION 2.13 527 SERVICE LEVEL"C"ZONE 27 AVONDALE 6.35 528 SERVICE LEVEL"C"ZONE 28 WOLF CREEK 215.61 529 SERVICE LEVEL"C"ZONE 29 GALLERY PORTRAIT 3.19 480,319.54 TOTAL BY FUND: $ 8,097,394.35 apChkLst 10/11/2018 10: 39: 37 A M Final Check List CITY OF TEMECULA Page: 1 Bank : union UNION BANK Check # Date Vendor 4775 09/11/2018 006887 UNION BANK OF CALIFORNIA 007987 WALMART 006738 RANCHO COMMUNITY CHURCH 015626 EVENTBRITE.COM 007987 WALMART 008086 99 CENTS ONLY STORE 001526 MICHAELS STORES INC 001264 COSTCO TEMECULA 491 4776 09/27/2018 006887 UNION BANK OF CALIFORNIA 020767 SQUARESPACE INC 000645 SMART AND FINAL INC 020767 SQUARESPACE INC 020767 SQUARESPACE INC 020767 SQUARESPACE INC 001264 COSTCO TEMECULA 491 007226 PIZZA HUT 009612 BJS RESTAURANTS INC 003129 ALBERTOS Description Amount Paid Check Total RG PHONE: RESPONSIBLE COMPASSION RG FUNDRAISING REGIS: COMM MISSION OF RG FUNDRAISING REGIS: COMM MISSION OF RG SUPPLIES OPENING RG SUPPLIES OPENING RG SUPPLIES OPENING RG SUPPLIES OPENING HELP CTR - GRAND HELP CTR - GRAND HELP CTR - GRAND HELP CTR - GRAND RG PURCHASE OF DIGITAL PICTURES RG SUPPLIES: HELP CTR - GRAND OPENING RG PURCHASE OF DIGITAL PICTURES RG PURCHASE OF DIGITAL PICTURES RG PURCHASE OF DIGITAL PICTURES RG SUPPLIES: HELP CTR - GRAND OPENING RG RFRSHMNTS FOR CLASS RG RFRSHMNTS: MEETING WITH POLICE: RG RFRSHMNTS: MEETING WITH POLICE: HELP 90.50 750.00 100.00 18.19 9.69 50.49 176.08 10.00 84.13 10.00 10.00 10.00 34.94 39.48 55.19 1,194 95 123.83 377.57 Page:1 apChkLst 10/11/2018 10:39:37AM Final Check List CITY OF TEMECULA Page: 2 Bank : union UNION BANK (Continued) Check # Date Vendor 4854 10/03/2018 006887 UNION BANK OF CALIFORNIA 001264 COSTCO TEMECULA 491 001264 COSTCO TEMECULA 491 001365 RIVERSIDE, COUNTY OF, ENVIRONMENTAL HEALTH DEPT 020886 NETFLIX.COM 020933 GRAND SIERRA RESORT & CASINO 020933 GRAND SIERRA RESORT & CASINO 006937 SOUTHWEST AIRLINES 006937 SOUTHWEST AIRLINES 006937 SOUTHWEST AIRLINES 006937 SOUTHWEST AIRLINES 020450 CALIFORNIA INLAND EMPIRE, COUNCIL 012335 BELLAGIO HOTEL 012335 BELLAGIO HOTEL 007987 WALMART 001264 COSTCO TEMECULA 491 001365 RIVERSIDE, COUNTY OF, ENVIRONMENTAL HEALTH DEPT 020932 PUBLIC SECTOR EXCELLENCE Description Amount Paid Check Total KH OFC SUPPLIES: THEATER KH OFC SUPPLIES: THEATER KH HEALTH PERMIT: WESTERN DAYS KH REVERSAL OF FRAUDULENT CHARG KH MONTHLY CHARGE FOR SVC: CRC TEEN ROOM KH LODGING DEP:CALFEST 1/23-25 DA/WA KH LODGING DEP:CALFEST 1/23-25 MM/TC KH AIRFARE:CALFEST CONF 1/23 D.ADAMIAK KH AIRFARE:CALFEST CONF 1/23 W.AUGUSTINE KH AIRFARE:CALFEST CONF 1/23 M.MOREY KH AIRFARE:CALFEST CONF 1/23 T.COURTS KH ENTRY FEE: PRSA IE AWARD KH LODGING CREDIT: PRICE ADJUSTMENT KH LODGING DEPOSIT: TURNER, CHARISS KH HOSPITALITY SUPPLIES: THEATER KH OFC SUPPLIES: THEATER KH HEALTH PERMIT: WESTERN DAYS KH CUST SRVC WRKSHP 9/6 LJ/SR/GG 320.80 320.80 2.32 -123.92 7.99 77.97 77.97 238.96 238.96 238.96 238.96 90.00 -272.45 428.35 181.26 320.80 98.00 445.00 2,930.73 Page2 apChkLst 10/11/2018 10:39:37AM Final Check List CITY OF TEMECULA Page: 3 Bank : union UNION BANK (Continued) Check # Date Vendor 4940 10/02/2018 006887 UNION BANK OF CALIFORNIA 011163 U -HAUL CO. 011163 U -HAUL CO. 009486 SHELL OIL 020934 OSP CASES 004811 HEWLETT PACKARD COMPANY, DBA HP INC. 013338 APPLE STORE 013338 APPLE STORE 013338 APPLE STORE 008956 PANERA BREAD 008956 PANERA BREAD 013338 APPLE STORE 019967 MISAC 019967 MISAC 008567 GODADDY.COM INC. 020277 NETGEAR INC 020934 OSP CASES 013851 STORM SOURCE, LLC, DBA: APPOINTMENTPLUS 013851 STORM SOURCE, LLC, DBA: APPOINTMENTPLUS 016542 DOTGOV 4941 09/28/2018 016564 IMPACT TELECOM 4942 10/04/2018 000262 RANCHO CALIF WATER DISTRICT Description Amount Paid Check Total MH REVERSAL OF FRAUDULENT CHARGES MH EQUIP RENTAL: CITY CNCL MTG DUCK POND MH EQUIP RENTAL: CITY CNCL MTG DUCK POND MH REVERSAL OF FRAUDULENT CHARC MH RFRSHMNTS: CITY CNCL MTG AT DUCK POND MH SPACE RACK- PEG EQUIPMENT MH LAPTOP: COUNCIL MEMBER: EDWARDS MHAPPLECARE: LAPTOP: NAGGAR MH LAPTOP ACCESSORIES: NAGGAR MH LAPTOP: COUNCIL MEMBER: NAGGAR MH RFRSHMNTS: SFTWR TRAINING 09/26 MH RFRSHMNTS: EAM SFTWR TRAINING MH APP PROPROMTER STUDIO -MEDIA SVCS MH MEMB RENEWAL: HESLIN/PATRICK/CROWELL MH CONF REGISTRATION: HESLIN MH RENEWAL: DOMAIN NAME MH ARLO ANNUAL SUPPORT MH MISC PRODUCTION EQUIPMENT: PEG MH APPOINTMENT PLUS:IT MH ANNUAL RENEWAL MH RENEWAL OF DOMAIN NAME AUG 800 SERVICES:CIVIC CENTER AUG PAUBA RD 4943 10/04/2018 000262 RANCHO CALIF WATER AUG 30875 RANCHO VISTA RD DISTRICT -1,528.77 16.31 46.00 -1,649.67 14.34 180.00 2,305.50 199.00 563.28 1,510.15 45.46 166.60 13.65 390.00 525.00 100.85 119.81 1,329.98 40.00 1,212.11 400.00 56.99 22.53 5,999.60 56.99 22.53 22.53 22.53 Page:3 apChkLst Final Check List 10/11/2018 10:39:37AM CITY OF TEMECULA Page: 4 Bank : union UNION BANK (Continued) Check # Date Vendor 4944 10/04/2018 000262 RANCHO CALIF WATER DISTRICT 4945 10/04/2018 000262 RANCHO CALIF WATER DISTRICT 4946 10/04/2018 000262 RANCHO CALIF WATER DISTRICT 4947 10/04/2018 000262 RANCHO CALIF WATER DISTRICT 4948 10/04/2018 000262 RANCHO CALIF WATER DISTRICT 4949 10/04/2018 000262 RANCHO CALIF WATER DISTRICT 4950 10/04/2018 000262 RANCHO CALIF WATER DISTRICT 4951 10/04/2018 000262 RANCHO CALIF WATER DISTRICT 4952 10/04/2018 000262 RANCHO CALIF WATER DISTRICT 4953 10/04/2018 000262 RANCHO CALIF WATER DISTRICT 4954 10/04/2018 000262 RANCHO CALIF WATER DISTRICT 4955 10/04/2018 000262 RANCHO CALIF WATER DISTRICT 4956 10/04/2018 000262 RANCHO CALIF WATER DISTRICT 4957 10/04/2018 000262 RANCHO CALIF WATER DISTRICT 4958 10/04/2018 000262 RANCHO CALIF WATER DISTRICT 4959 10/04/2018 000262 RANCHO CALIF WATER DISTRICT Description Amount Paid Check Total AUG 30650 PAUBA RD 22.53 22.53 AUG RANCHO VISTA RD 56.78 56.78 AUG 30016 LAURIE RAE LN 72.22 72.22 AUG 43734 MEADOWS PKWY 78.08 78.08 AUG 33353 TEMECULA PKWY 86.22 86.22 AUG NACKE DR 86.51 86.51 AUG 31795 RANCHO CALI RD 89.77 89.77 AUG CAMPANULA WAY 91.24 91.24 AUG 32776 DE PORTOLA RD 91.79 91.79 AUG CAMPANULA WAY 96.49 96.49 AUG BUTTERFIELD STG RD 97.40 97.40 AUG 30875 RANCHO VISTA RD 105.71 105.71 AUG DE PORTOLA RD 109.67 109.67 AUG RANCHO VISTA RD 109.70 109.70 AUG 31795 RANCHO VISTA RD 111.43 111.43 AUG AVENDIA DE LA REINA 121.88 121.88 Page4 apChkLst Final Check List 10/11/2018 10:39:37AM CITY OF TEMECULA Page: 5 Bank : union UNION BANK Check # Date Vendor (Continued) Description Amount Paid Check Total 4960 10/04/2018 000262 RANCHO CALIF WATER AUG 32674 DE PORTOLA RD 122.65 122.65 DISTRICT 4961 10/04/2018 000262 RANCHO CALIF WATER AUG RANCHO VISTA RD 128.57 128.57 DISTRICT 4962 10/04/2018 000262 RANCHO CALIF WATER AUG MEADOWS PKWY 140.10 140.10 DISTRICT 4963 10/04/2018 000262 RANCHO CALIF WATER AUG 41417 MEADOWS PKWY 155.30 155.30 DISTRICT 4964 10/04/2018 000262 RANCHO CALIF WATER AUG BUTTERFIELD STG RD 159.69 159.69 DISTRICT 4965 10/04/2018 000262 RANCHO CALIF WATER AUG 42902 BUTTERFIELD STG RD 193.69 193.69 DISTRICT 4966 10/04/2018 000262 RANCHO CALIF WATER AUG 31093 RANCHO VISTA RD 194.39 194.39 DISTRICT 4967 10/04/2018 000262 RANCHO CALIF WATER AUG 41395 AVENIDA DE LA REINA 194.43 194.43 DISTRICT 4968 10/04/2018 000262 RANCHO CALIF WATER AUG CALLE ARAGON 195.37 195.37 DISTRICT 4969 10/04/2018 000262 RANCHO CALIF WATER AUG RANCHO VISTA RD 216.97 216.97 DISTRICT 4970 10/04/2018 000262 RANCHO CALIF WATER AUG VIA REINA 254.23 254.23 DISTRICT 4971 10/04/2018 000262 RANCHO CALIF WATER AUG 31966 RANCHO VISTA RD 257.29 257.29 DISTRICT 4972 10/04/2018 000262 RANCHO CALIF WATER AUG 31132 CORTE ANZA 257.62 257.62 DISTRICT 4973 10/04/2018 000262 RANCHO CALIF WATER AUG CAMINO MERANO 288.20 288.20 DISTRICT 4974 10/04/2018 000262 RANCHO CALIF WATER AUG 41403 CALLE TAJO 288.72 288.72 DISTRICT 4975 10/04/2018 000262 RANCHO CALIF WATER AUG 41403 CALLE TAJO 292.38 292.38 DISTRICT Page:5 apChkLst Final Check List 10/11/2018 10:39:37AM CITY OF TEMECULA Page: 6 Bank : union UNION BANK Check # Date Vendor (Continued) Description Amount Paid Check Total 4976 10/04/2018 000262 RANCHO CALIF WATER AUG RANCHO VISTA RD 322.08 322.08 DISTRICT 4977 10/04/2018 000262 RANCHO CALIF WATER AUG DE PORTOLA RD 344.56 344.56 DISTRICT 4978 10/04/2018 000262 RANCHO CALIF WATER AUG 31970 RANCHO VISTA RD 372.04 372.04 DISTRICT 4979 10/04/2018 000262 RANCHO CALIF WATER AUG 42091 CROWNE HILL DR 372.87 372.87 DISTRICT 4980 10/04/2018 000262 RANCHO CALIF WATER AUG 30600 PAUBA RD 379.85 379.85 DISTRICT 4981 10/04/2018 000262 RANCHO CALIF WATER AUG RANCHO VISTA RD 411.57 411.57 DISTRICT 4982 10/04/2018 000262 RANCHO CALIF WATER AUG OLD KENT RD 429.85 429.85 DISTRICT 4983 10/04/2018 000262 RANCHO CALIF WATER AUG RANCHO VISTA RD 434.58 434.58 DISTRICT 4984 10/04/2018 000262 RANCHO CALIF WATER AUG OID KENT RD 453.09 453.09 DISTRICT 4985 10/04/2018 000262 RANCHO CALIF WATER AUG 41415 MEADOWS PKWY 462.37 462.37 DISTRICT 4986 10/04/2018 000262 RANCHO CALIF WATER AUG PARK SITE DE PORTOLA RD 499.33 499.33 DISTRICT 4987 10/04/2018 000262 RANCHO CALIF WATER AUG 33411 PAUBA RD 558.02 558.02 DISTRICT 4988 10/04/2018 000262 RANCHO CALIF WATER AUG NACKE RD 566.29 566.29 DISTRICT 4989 10/04/2018 000262 RANCHO CALIF WATER AUG 30650 PAUBA RD 591.48 591.48 DISTRICT 4990 10/04/2018 000262 RANCHO CALIF WATER AUG 42083 CROWNE HILL DR 662.26 662.26 DISTRICT 4991 10/04/2018 000262 RANCHO CALIF WATER AUG 30875 RANCHO VISTA RD 681.38 681.38 DISTRICT Page6 apChkLst Final Check List 10/1112018 10:39:37AM CITY OF TEMECULA Page: 7 Bank : union UNION BANK Check # Date Vendor (Continued) Description Amount Paid Check Total 4992 10/04/2018 000262 RANCHO CALIF WATER AUG 32810 SAN JUAN CT 746.78 746.78 DISTRICT 4993 10/04/2018 000262 RANCHO CALIF WATER AUG CHANNEL ST 854.83 854.83 DISTRICT 4994 10/04/2018 000262 RANCHO CALIF WATER AUG DE PORTOLA RD 867.41 867.41 DISTRICT 4995 10/04/2018 000262 RANCHO CALIF WATER AUG 31421 CORTE TALVERA 878.69 878.69 DISTRICT 4996 10/04/2018 000262 RANCHO CALIF WATER AUG 30875 RANCHO VISTA RD 928.16 928.16 DISTRICT 4997 10/04/2018 000262 RANCHO CALIF WATER AUG SPORTS PARK MARGARITA 1,039.23 1,039.23 DISTRICT 4998 10/04/2018 000262 RANCHO CALIF WATER AUG 33409 PAUBA RD 1,042.66 1,042.66 DISTRICT 4999 10/04/2018 000262 RANCHO CALIF WATER AUG 30600 PAUBA RD 1,060.46 1,060.46 DISTRICT 5000 10/04/2018 000262 RANCHO CALIF WATER AUG CROWNE HILL DR 1,154.22 1,154.22 DISTRICT 5001 10/04/2018 000262 RANCHO CALIF WATER AUG 41665 CORTE HIGUERA 1,178.46 1,178.46 DISTRICT 5002 10/04/2018 000262 RANCHO CALIF WATER AUG NACKE DR 1,342.75 1,342.75 DISTRICT 5003 10/04/2018 000262 RANCHO CALIF WATER AUG 42470 CROWNE HILL DR 1,500.56 1,500.56 DISTRICT 5004 10/04/2018 000262 RANCHO CALIF WATER AUG RANCHO VISTA RD 1,616.74 1,616.74 DISTRICT 5005 10/04/2018 000262 RANCHO CALIF WATER AUG RANCHO VISTA RD 1,998.57 1,998.57 DISTRICT 5006 10/04/2018 000262 RANCHO CALIF WATER AUG CROWNE HILL DR 2,109.18 2,109.18 DISTRICT Page:7 apChkLst Final Check List 10111/2018 10:39:37AM CITY OF TEMECULA Page: 8 Bank : union UNION BANK (Continued) Check # Date Vendor 5007 10/03/2018 006887 UNION BANK OF CALIFORNIA 015499 CAFE PRESS. COM 008834 FIRE PROTECTION Description Amount Paid Check Total CD OVER THE LIMITS BANK FEE & INT 36.94 FEE CD LICENSE PLATE FRAMES: FIRE 238.61 CD EDUCATIONAL MATERIAL:FIRE 87.00 PUBLICATIONS DEPT 010514 CAMPINI'S ITALIAN DELI 009486 SHELL OIL 003198 HOME DEPOT 019177 GOSCH FORD TEMECULA CD RFRSHMNTS: INTERVIEW PANEL 60.95 CD PROPANE TANK REFILL: PREVENTION CD APPLIANCE REPLACEMENT: FIRE STA 84 CD VEHICLE REPAIR: FIRE PREV 014777 SARKIS CONCEPTS INC, DBA CD RFRSHMNTS: SPECIAL EVENT AT PAT & OSCAR TEMECULA COUNCIL 5008 10/02/2018 001212 SO CALIF GAS COMPANY 055-475-6169-5 32380 DEER HOLLOW WAY 47.83 1,656.42 65.00 146.91 2,339.66 178.28 178.28 5009 10/04/2018 002390 EASTERN MUNICIPAL WATER AUG MURRIETA HOT SPRINGS RD 84.84 84.84 DIST 5010 10/04/2018 002390 EASTERN MUNICIPAL WATER AUG MURRIETA HOT SPRINGS RD 394.76 394.76 DIST 5011 10/04/2018 002390 EASTERN MUNICIPAL WATER AUG 39569 SERAPHINA RD 557.08 557.08 DIST 5012 09/28/2018 000537 SO CALIF EDISON SEPT 2-28-331-4847 32805 PAUBA RD 82.90 82.90 5013 09/27/2018 010276 TIME WARNER CABLE SEPT INTERNET SVCS 29119 348.29 348.29 MARGARITA RD 5014 09/28/2018 010276 TIME WARNER CABLE SEPT INTERNET SVCS 41000 MAIN ST 4,876.28 4,876.28 5015 09/27/2018 018858 FRONTIER CALIFORNIA INC SEPT INTERNET SVCS TCC 148.98 148.98 5016 10/01/2018 018858 FRONTIER CALIFORNIA INC SEPT INTERNET SVCS CITY HALL 293.98 293.98 5017 10/03/2018 018858 FRONTIER CALIFORNIA INC SEPT INTERNET SVCS SENIOR 148.98 148.98 CENTER 5018 10/02/2018 000537 SO CALIF EDISON SEPT 2-40-576-0232 44173 18.29 18.29 BUTTERFIELD STG Page:8 apChkLst Final Check List 10/11/2018 10:39:37AM CITY OF TEMECULA Page: 9 Bank : union UNION BANK (Continued) Check # Date Vendor Description Amount Paid Check Total 5019 10/02/2018 000537 SO CALIF EDISON SEPT 2-29-657-2787 41638 WINCHESTER RD 5020 10/02/2018 000537 SO CALIF EDISON SEPT 2-31-419-2873 43000 HIGHWAY 395 5021 10/02/2018 000537 SO CALIF EDISON SEPT 2-35-164-3242 44270 MEADOWS PKWY 5022 10/02/2018 000537 SO CALIF EDISON SEPT 2-29-807-1093 28079 DIAZ RD 25.22 25.22 5023 10/02/2018 000537 SO CALIF EDISON SEPT 2-35-164-3515 32932 LEENA WAY 25.24 25.24 24.95 24.95 24.95 24.95 24.95 24.95 5024 10/02/2018 000537 SO CALIF EDISON SEPT 2-35-164-3663 42335 MEADOWS 25.24 25.24 PKWY 5025 10/02/2018 000537 SO CALIF EDISON SEPT 2-29-807-1226 28077 DIAZ RD 25.34 25.34 5026 10/02/2018 000537 SO CALIF EDISON SEPT 2-31-031-2616 27991 DIAZ RD 25.64 25.64 5027 10/02/2018 000537 SO CALIF EDISON SEPT 2-31-282-0665 27407 DIAZ RD 25.83 25.83 5028 10/02/2018 000537 SO CALIF EDISON SEPT 2-34-333-5389 41702 MAIN ST 25.98 25.98 5029 10/02/2018 000537 SO CALIF EDISON SEPT 2-35-164-3770 43487 26.67 26.67 BUTTERFIED STG 5030 10/02/2018 000537 SO CALIF EDISON SEPT 2-14-204-1615 30027 FRONT ST 36.60 36.60 5031 10/02/2018 000537 SO CALIF EDISON SEPT 2-33-357-5785 44747 REDHAWK 38.46 38.46 PKWY 5032 10/02/2018 000537 SO CALIF EDISON SEPT 2-28-904-7706 41000 MAIN ST 128.35 128.35 5033 10/02/2018 000537 SO CALIF EDISON SEPT 2-31-536-3481 41902 MAIN ST 131.56 131.56 5034 10/02/2018 000537 SO CALIF EDISON SEPT 2-19-171-8568 28300 MERCEDES 548.72 548.72 ST 5035 10/02/2018 000537 SO CALIF EDISON SEPT 2-31-536-3655 41904 MAIN ST 862.93 862.93 Page9 apChkLst Final Check List 10/11/2018 10:39:37AM CITY OF TEMECULA Page: 10 Bank : union UNION BANK (Continued) Check # Date Vendor Description Amount Paid Check Total 5036 10/02/2018 000537 SO CALIF EDISON SEPT 2-18-937-3152 28314 MERCEDES ST 1,429.51 1,429.51 5037 10/02/2018 000537 SO CALIF EDISON SEPT 2-31-912-7494 28690 MERCEDES 1,656.61 1,656.61 ST 5038 10/02/2018 000537 SO CALIF EDISON SEPT 2-02-351-4946 41845 6TH ST 2,100.38 2,100.38 5039 10/02/2018 000537 SO CALIF EDISON SEPT 2-34-624-4452 32131 S LOOP RD 2,153.94 2,153.94 5040 10/02/2018 000537 SO CALIF EDISON SEPT 2-29-224-0173 32364 OVERLAND 2,243.60 2,243.60 TRL 5041 10/02/2018 000537 SO CALIF EDISON SEPT 2-29-933-3831 43230 BUSINESS PARK D 5042 10/01/2018 000537 SO CALIF EDISON SEPT 2-21-981-4720 30153 TEMECULA PKWY 5043 10/09/2018 014486 VERIZON WIRELESS 8/11 - 9/10 TASK FORCE TABLETS: POLICE 5044 10/01/2018 010276 TIME WARNER CABLE SEPT INTERNET SVCS 32211WOLF VALLEY RD 5045 10/02/2018 001212 SO CALIF GAS COMPANY AUG 015 575 0195 2 32211 WOLF VALLEY RD 2,869.15 2,869.15 19.03 19.03 441.60 441.60 186.07 186.07 77.24 77.24 191814 10/11/2018 003951 ALL AMERICAN ASPHALT ASPHALT SUPPLIES: STREET MAINT 289.45 SEP PAVEMENT REHAB PRGRM - CITYVV 23,707.97 23,997.42 191815 10/11/2018 017795 ALTA LANGUAGE SERVICES, LANGUAGE TESTING: HR 120.00 120.00 INC 191816 10/11/2018 004422 AMERICAN BATTERY BATTERIES: CIVIC CTR 196.01 196.01 CORPORATION, DBA:AMERICAN BATTERY SUP 191817 10/11/2018 004240 AMERICAN FORENSIC NURSES PHLEBOTOMY SVCS:TEMECULA 940.00 AFN POLICE PHLEBOTOMY SVCS:TEMECULA POLICE 55.00 191818 10/11/2018 002187 ANIMAL FRIENDS OF THE JUL ANIMAL CONTROL SVCS:CITY OF 10,000.00 VALLEYS TEMECULA AUG ANIMAL CONTROL SVCS:CITY OF T 10,000.00 191819 10/11/2018 000101 APPLE ONE INC SEP TEMP STAFFING:COM DEV & 5,508.48 CLERK 995.00 20,000.00 5,508.48 Page:10 apChkLst 10/11/2018 10:39:37AM Final Check List CITY OF TEMECULA Page: 11 Bank : union UNION BANK (Continued) Check # Date Vendor 191820 10/11/2018 017149 8 G P RECREATION INC 191821 10/11/2018 019709 BAGDASARIAN, NADYA 191822 10/11/2018 011954 BAKER AND TAYLOR INC 191823 10/11/2018 015592 BAMM PROMOTIONAL PRODUCTS INC 191824 10/11/2018 017973 BUSINESS CENTER CENTRAL, LLC, DBA PRINTING GALORE 191825 10/11/2018 003138 CAL MAT, DBA VULCAN MATERIALS CO 191826 10/11/2018 020923 CALIBER COLLISION CORPORATE 191827 10/11/2018 013265 CALIF BUILDING, STANDARDS COMMISSION 191828 10/11/2018 001089 CALIF DEBT AND INVESTMENT 191829 10/11/2018 000638 CALIF DEPT OF CONSERVATION 191830 10/11/2018 004248 CALIF DEPT OF JUSTICE-ACCTING 191831 10/11/2018 004241 CALIF DEPT OF STATE ARCHITECT 191832 10/11/2018 020935 CAMPBELL, LESLIE 191833 10/11/2018 018828 CASC ENGINEERING AND, CONSULTING INC 191834 10/11/2018 004462 CDW LLC, DBA CDW GOVERNMENT LLC 191835 10/11/2018 000442 COMPUTER ALERT SYSTEMS Description Amount Paid Check Total TCSD INSTRUCTOR EARNINGS TCSD INSTRUCTOR EARNINGS TCSD INSTRUCTOR EARNINGS REIMB: TEAM PACE BOOK COLLECTIONS:LIBRARY UNIFORM SHIRTS:INFO TECH SHIRTS & PROMOTIONAL ITEMS:COLOR JACKETS: SAFETY DRIVER PROGRAM CREDIT MEMO: INVOICE WAS VOIDED SAFE DRIVER JACKETS ASPHALT SUPPLIES: STREET MAINT VEHICLE REPAIRS PW UNIT 14-212 3RD QTR PAYMENT OF SB1473 2018 REPORTING FEE: 2018-1732 2018 3RD QTR PMT:STRONG MOTION (APR -JUN) JUN DOJ BLOOD & ALCOHOL ANALYSIS:TEM PD DOJ BLOOD &ALCOHOLANALYSIS:TEM REMITTANCE OF AB1379 - QE SEP 2018 REMITTANCE OF SB1186 - QE SEP 2018 REIMB. CDL WRITTEN TEST JUN CONSULTANT SVCS: NPDES SMALL TOOLS & EQUIP:INFO TECH SMALL TOOLS & EQUIP:INFO TECH LIBRARY: SVC CALL FOR ALARM 3, 388.00 1,771.00 4,709.25 325.00 504.96 1,477.38 6,399.85 238.46 -265.32 173.98 251.59 2,006.24 574.00 1,625.00 2,510.20 35.00 1,680.00 196.80 14.10 121.00 2,685.00 420.26 988.92 118.50 9,868.25 325.00 504.96 7,877.23 147.12 251.59 2,006.24 574.00 1,625.00 2,510.20 1,715.00 210.90 121.00 2,685.00 1,409.18 118.50 Page:11 apChkLst Final Check List 10/11/2018 10:39:37AM CITY OF TEMECULA Page: 12 Bank : union UNION BANK (Continued) Check # Date Vendor Description Amount Paid Check Total 191836 10/11/2018 002945 CONSOLIDATED ELECTRICAL ELECTRICAL SUPPLIES: LIBRARY 151.16 DIST ELECTRICAL SUPPLIES: CIVIC CTR 1,004.85 191837 10/11/2018 014521 COSTAR GROUP OCT 18 WEB SUBSCRIPTION:ECO DEV 473.58 INFORMATION INC 191838 10/11/2018 001264 COSTCO TEMECULA 491 REFRESHMENTS:YEPP PGRM THEATER HOSPITALITY & OFC SUPPLIE: OFFICE SUPPLIES:INFO TECH TRAINING SUPPLIES: CERT 191839 10/11/2018 004329 COSTCO TEMECULA 491 SUPPLIES:CULTURAL ARTS EVENTS 191840 10/11/2018 002631 COUNTS UNLIMITED INC Traffic count data collection svcs: pw 191841 10/11/2018 020594 CRUZ, JEFFREY REIMB: CDL WRITTEN TEST 191842 10/11/2018 020491 CT&T CONCRETE PAVING INC RET RELEASE: CONST. SIDEWALKS - PW17-22 191843 10/11/2018 003272 DAISY WHEEL RIBBON CO INC PRINTER & PLOTTER DBA, DAISY IT SUPPLIES SUPPLIES:GIS/CIVIC SALES 191844 10/11/2018 003945 DIAMOND ENVIRONMENTAL SRVCS PORTABLE RESTROOM RENTAL: LONG CANYON PA PORTABLE RESTROOM RENTAL: LASER PORTABLE RESTROOM RENTAL: RIVER, PORTABLE RESTROOM RENTAL: VAIL R/ 191845 10/11/2018 020903 DIMAGGIO, KATHERYN HPDP-WENDY PARKER - 2ND MONTH 191846 10/11/2018 004192 DOWNS ENERGY FUEL 163.82 282.24 79.99 560.88 57.48 3,540.00 76.00 2,381.25 1,156.01 473.58 1,086.93 57.48 3,540.00 76.00 2,381 25 1,077.83 1,077.83 55.88 55.88 55.88 55.88 525.00 FUEL FOR CITY VEHICLES: TRAFFIC 253.68 DIV FUEL FOR CITY VEHICLES: PUBLIC WOF 1,213.12 FUEL FOR CITY VEHICLES STREET MAII 565.15 FUEL FOR CITY VEHICLES: TCSD 59.71 FUEL FOR CITY VEHICLES: TCSD 628.61 FUEL FOR CITY VEHICLES: PUBLIC WOF 84.30 FUEL FOR CITY VEHICLES:PUBLIC WOR 374.19 FUEL FOR CITY VEHICLES: POLICE DEP 98.33 FUEL FOR CITY VEHICLES: CODE ENFOI 95.34 FUEL FOR CITY VEHICLES: BLDG INSPEI 288.06 223.52 525.00 3,660.49 Page:12 apChkLst 10111/2018 10:39:37AM Final Check List CITY OF TEMECULA Page: 13 Bank : union UNION BANK (Continued) Check # Date Vendor 191847 10/11/2018 004068 ECALDRE MANALILI-DE VILLA, AILEEN 191848 10/11/2018 008704 EDWARDS, MARYANN 191849 10/11/2018 004829 ELLISON WILSON ADVOCACY LLC 191850 10/11/2018 015966 ERGO SOLUTION INC 191851 10/11/2018 004836 EWING IRRIGATION PRODUCTS INC 191852 10/11/2018 001056 EXCEL LANDSCAPE INC 191853 10/11/2018 019469 FALCON ENGINEERING SERVICES 191854 10/11/2018 000165 FEDERAL EXPRESS INC 191855 10/11/2018 009097 FULL COMPASS SYSTEMS 191856 10/11/2018 016184 FUN EXPRESS, LLC, SUBSIDIARY OF ORIENTAL TR 191857 10/11/2018 001937 GALLS LLC Description Amount Paid Check Total TCSD INSTRUCTOR EARNINGS TCSD INSTRUCTOR EARNINGS TCSD INSTRUCTOR EARNINGS TCSD INSTRUCTOR EARNINGS TCSD INSTRUCTOR EARNINGS TCSD INSTRUCTOR EARNINGS TCSD INSTRUCTOR EARNINGS TCSD INSTRUCTOR EARNINGS TCSD INSTRUCTOR EARNINGS TCSD INSTRUCTOR EARNINGS TCSD INSTRUCTOR EARNINGS TCSD INSTRUCTOR EARNINGS REIMB: LOCC CONF: 9/12-9/14 OCT STATE LOBBYING SVCS: CITY MGR ERGONOMIC EVAL & REPORT: TOVAR, LUISA TRADEWINDS: CALSENSE YAGI ANTENNA IRRIGATION REPAIRS: VARIOUS LOCATIONS IRRIGATION REPAIRS: VARIOUS LOCATh IRRIGATION REPAIRS: VARIOUS PARKS irrigation repair: var landscape medians SEP CONST MGMNT SVCS: PW04-08 9/12 EXP MAIL SVCS: CIP 09/20 EXPRESS MAIL SVCS: CITY CLERK SOUND/LIGHTING & SUPPLIES: THEATER SOUND/LIGHTING & SUPPLIES: THEATEI SUPPLIES:HIGH HOPES EVENTS MISC EQUIP: POLICE EXPLORERS MISC EQUIP:TEM POLICE VOLUNTEERS MISC EQUIP:TEM POLICE VOLUNTEERS FIRST AID SUPPLIES -AQUATICS 70.00 122.50 227.50 229.69 315.00 175.00 105.00 175.00 280.00 210.00 317.19 331.10 10.08 3,500.00 250.00 675.34 2,251.94 3,532.66 4,502.97 291.24 162,239.24 35.20 13.32 269.78 227.83 938.80 184.69 197.85 -178.86 80.04 2,557.98 10.08 3,500.00 250.00 675.34 10,578 81 162,239.24 48.52 497.61 938.80 283.72 Page:13 apChkLst Final Check List 10/11/2018 10:39:37AM CITY OF TEMECULA Page: 14 Bank : union UNION BANK (Continued) Check # Date Vendor Description Amount Paid Check Total 191858 10/11/2018 015506 GIFTING GROUP, THE ECO DEV: CITY OF TEMECULA BASKET 40.00 40.00 191859 10/11/2018 000177 GLENNIES OFFICE PRODUCTS MISC OFC SUPPLIES:FINANCE 132.07 INC OFC SUPPLIES: INFO TECH MISC OFC SUPPLIES: CITY CLERK MISC OFC SUPPLIES:CODE ENFORCEMI OFC SUPPLIES -BLDG & SAFETY OFC SUPPLIES -PLANNING OFC SUPPLIES -PLANNING 191860 10/11/2018 015451 GREATAMERICA FINANCIAL SEP LEASE FOR COPIERS:LIBRARY SVCS 191861 10/11/2018 000186 HANKS HARDWARE INC 191862 10/11/2018 012748 HARDY & HARPER INC 191863 10/11/2018 020628 HASA INC 76.82 52.04 37.48 54.35 20.84 328.25 701.85 793.89 793.89 MISC SUPPLIES: PW STREET MAINT 22.12 MISC SUPPLIES: PW STREET MAINT 280.49 SMALL TOOLS:VAR PARKS 81.55 Small tools & equip:harveston park 138.56 MISC SUPPLIES: PW STREET MAINT 23.90 MISC SUPPLIES: PW STREET MAINT 100.96 MISC SUPPLIES: PW STREET MAINT 29.35 MISC SUPPLIES: PW STREET MAINT 202.89 879.82 MORENO/OLD TOWN FRNT: REPLACE 33,777.00 ASPHALT RANCHO WY/DIAZ RD: REPLACE ASPHA 70,444.00 104,221.00 Pool Sanitizing Chemicals:various pools 624.44 624.44 191864 10/11/2018 002109 HD SUPPLY CONSTR. SUPPLY MISC SUPPLIES PW STREET MAINT LTD, DBA HDS WHITE CAP CONST T 191865 10/11/2018 014465 HILLCREST CONTRACTING INC CONST CONTRACT SVCS: PW06-09 191866 10/11/2018 003198 HOME DEPOT 191867 10/11/2018 010210 HOME DEPOT SUPPLY INC, THE 191868 10/11/2018 020420 HOWE, HUNTER 191869 10/11/2018 003624 HOWELL ANN MARIE 70.01 70.01 368,728.37 368,728.37 MISC SUPPLIES: THEATER 65.02 MISC SUPPLIES: THEATER 3,693.15 MISC SUPPLIES: THEATER 228.90 3,987.07 MAINT SUPPLIES: CIVIC CTR 129.30 129.30 EE COMPUTER PURCHASE PROGRAM 2,000.00 2,000.00 GRAPHIC DSGN SVCS:ECO DEV 255.00 255.00 Page:14 apChkLst Final Check List 10/11/2018 10:39:37AM CITY OF TEMECULA Page: 15 Bank : union UNION BANK (Continued) Check # Date Vendor 191870 10/11/2018 009650 IMPACT ADVERTISING DBA, IMPACT PROMOTIONALPRODUCT Description Amount Paid Check Total ECO DEV: STARTUP WEEK MEDIA WALL 191871 10/11/2018 009203 INLAND EMPIRE MEDIA GROUP PUBLICATION: ECON DEV INC 191872 10/11/2018 014435 INLAND EROSION CONTROL EROSION CONTROL SUPPLIES: PW SRVCS STREETS 191873 10/11/2018 004119 J T B SUPPLY COMPANY INC TRAFFIC SIGNAL LED LIGHTS: TRAFFIC 180.44 180.44 995.00 995.00 500.00 500.00 6,857.70 6,857.70 191874 10/11/2018 018352 JAMES ELLIOTT STTLMNT: THE LONG RUN 10/4 5,767.13 5,767.13 ENTERTAINMENT 191875 10/11/2018 020893 JEFF KATZARCHITECTURAL DSGN SVCS CRC POOL: PW18-02 42,984.00 42,984.00 CORP 191876 10/11/2018 015358 KELLY PAPER COMPANY INC plotter paper & misc paper 587.54 587.54 191877 10/11/2018 020892 KENNEDY COURT REPORTERS COURT REPORTER SVCS: CODE 243.95 243.95 INC ENFORCEMENT 191878 10/11/2018 020396 KINGDOM CAUSES, DBA CITY 8/14-9/13 HOMELESS COLLABORATIVE 10,000.00 NET SVCS 9/14-10/13 HOMELESS COLLABORATIVE 10,000.00 191879 10/11/2018 012370 LEADER PROMOTIONS INC, SUPPLIES: COLOR RUN 290.65 DBA LEADERPROMOS.COM 191880 10/11/2018 000482 LEIGHTON CONSULTING INC JUL GEOTECHNICAL SVCS: PW17-22 201.20 191881 10/11/2018 019561 M R S OSHA SAFETY INC FORKLIFT OPERATOR TRNG 7/17 10 600.00 PW STAFF 191882 10/11/2018 000217 MARGARITA OFFICIALS ASSN OFFICIATING SVCS:SPORTS 7,828.00 191883 10/11/2018 020302 MARIS IMAGING SOLUTIONS DOCUMENT IMAGING SRVCS:CITY 15,625.00 LLC CLERK 191884 10/11/2018 004043 MISSION ELECTRIC SUPPLY INC ELECTRICAL SUPPLIES: VARIOUS PARKS ELECTRICAL SUPPLIES: LIBRARY ELECTRICAL SUPPLIES: CIVIC CTR 163.16 70.55 20,000.00 290.65 201.20 600.00 7,828.00 15,625.00 91.72 325.43 Page:15 apChkLst Final Check List 10/11/2018 10:39:37AM CITY OF TEMECULA Page: 16 Bank : union UNION BANK (Continued) Check # Date Vendor 191885 10/11/2018 016445 MKB PRINTING 8 PROMOTIONAL INC, DBA MINUTEMAN PRESS Description Amount Paid Check Total #10 WINDOW ENV:BUS LIC RENEWALS 1,144.04 BUS CARDS:MARCIA SAMPLE 101.72 1,245.76 191886 10/11/2018 002257 MOST DEPENDABLE PB Sports Park: Mister Metering Valves 1,403.30 1,403.30 FOUNTAINS 191887 10/11/2018 015507 MSDSONLINE INC MSDS SUPSCRIPTION: RISK MGMT 1,679.00 1,679.00 191888 10/11/2018 018099 NATIONAL SAFETY DOT TESTING: HR 177.74 177.74 COMPLIANCE, INC 191889 10/11/2018 001323 NESTLE WATERS NORTH 8/23-9/22 WTR DLVRY SVC: CITY MGR 37.11 AMERICA, DBA OFC READYREFRESH 8/23-9/22 WTR DLVRY SVC: THEATER 56.56 8/23-9/22 WTR DLVRY SVCS: TVE2 45.20 8/23-9/22 WTR DLVRY SVCS: TES POOL 6.51 8/23-9/22 WTR DLVRY SVCS: CHAPARRA 43.11 8/23-9/22 WTR DLVRY SVC: CRC 178.27 8/23-9/22 WTR DLVRY SVC: TCC 37.76 8/23-9/22 WTR DLVRY SVC: TVM 24.39 8/23-9/22 WTR DLVRY SVC: PBSP 46.24 8/23-9/22 WTR DLVRY SVC: SKATE PARK 8.61 8/23-9/22 WTR DLVRY SVC: FOC 192.92 8/23-9/22 WTR DLVRY SVC: IWTCM 31.30 8/23-9/22 WTR DLVRY SVC: TPL 101.13 8/23-9/22 WTR DLVRY SVC: MRC 34.25 191890 10/11/2018 003964 OFFICE DEPOT BUSINESS SVS CREDIT:OFFICE SUPPLIES/HR -14.93 DIV OFFICE SUPPLIES:FINANCE OFFICE SUPPLIES:FINANCE OFFICE SUPPLIES:HR CREDIT:OFFICE SUPPLIES/HR OFFICE SUPPLIES:HR CREDIT:OFFICE SUPPLIES/HR OFFICE SUPPLIES:HR 17.38 26.79 14.93 -5.89 5.89 -46.21 54.93 191891 10/11/2018 002105 OLD TOWN TIRE AND SERVICE CITY VEHICLE MAINT SVCS:FIRE 2,256.72 CITY VEHICLE MAINT SVCS:MEDIC 191892 10/11/2018 002105 OLD TOWN TIRE AND SERVICE CITY VEHICLE MAINT SVCS:PW CIP CITY VEHICLE MAINT SVCS:PW PARKS CITY VEHICLE MAINT SVCS:PW PARKS 191893 10/11/2018 002105 OLD TOWN TIRE AND SERVICE CITY VEHICLE MAINT SVCS:PARK RANGER 843.36 52.89 1,645.33 3,902.05 538.88 621.89 39.87 1,200.64 94.07 94.07 Page:16 apChkLst 10/11/2018 10: 39: 37A M Final Check List CITY OF TEMECULA Page: 17 Bank : union UNION BANK (Continued) Check # Date Vendor 191894 10/11/2018 013127 ON STAGE MUSICALS, AKA JEFFREY PAUL STOVER 191895 10/11/2018 013198 ORTENZO-HAYES, KRISTINE 191896 10/11/2018 019851 ORTIZ ENTERPRISES INC 191897 10/11/2018 019334 PARK CONSULTING GROUP INC 191898 10/11/2018 020938 PEGUERO, PEDRO 191899 10/11/2018 020891 PETER M. DEQUINCY 191900 10/11/2018 001999 PITNEY BOWES 191901 10/11/2018 012904 PROACTIVE FIRE DESIGN AND, CONSULTING 191902 10/11/2018 018831 RADEECAL INC 191903 10/11/2018 020941 RAGER, MICHAEL 191904 10/11/2018 020937 RAILEY, JANET 191905 10/11/2018 010281 RAINBOW RACING SYSTEM INC 191906 10/11/2018 002072 RANCHO CALIF WATER DIST-FEES 191907 10/11/2018 000353 RIVERSIDE CO AUDITOR, CONTROLLER 191908 10/11/2018 010777 RIVERSIDE CO EXECUTIVE OFFICE Description Amount Paid Check Total "TRIBUTE TO THE LAWRENCE WELK SHOW' TCSD INSTRUCTOR EARNINGS TCSD INSTRUCTOR EARNINGS TCSD INSTRUCTOR EARNINGS TCSD INSTRUCTOR EARNINGS TCSD INSTRUCTOR EARNINGS TCSD INSTRUCTOR EARNINGS TCSD INSTRUCTOR EARNINGS PRGS PMT #16:115/SR 79 S ULT INTRCHG SEPT CONSULTING & ENTERPRISE SVCS: I.T. REIMB: CDL TEST STAFF TRNG WRKSHP:AQUATICS 10/12 9/16-18-12/15/18 POSTAGE MACHINE: BC SEPT PLAN REVIEW SRVCS: PREVENTION MOTOR MAINTENANCE: POLICE RELEASE CLAIMS AGREEMENT PAYMENT REFUND: CITATION # 324489 RACING BIBS:COLOR RUN IRRIGATION LINE:O.T. SIDEWALKS P W17-04 AUG '18 PRKG CITATION ASSESSMENTS FY 18/10 DEBT SRVC FEES:TEMECULA OCT -DEC '18 ANIMAL SHELTER OPERATI 2,497.46 448.35 463.05 470.40 470.40 705.60 968.00 976.80 1, 972, 609.97 9,647.50 76.00 2,800.00 77.48 3,162.40 3,176.63 275.34 305.00 98.54 2,105.00 2,965.50 106,027.00 2,497.46 4,502.60 1,972,609.97 9,647.50 76.00 2,800.00 77.48 3,162.40 3,176.63 275.34 305.00 98.54 2,105.00 2,965.50 48,767.16 154,794.16 Page:17 apChkLst Final Check List 10/11/2018 10:39:37AM CITY OF TEMECULA Page: 18 Bank : union UNION BANK (Continued) Check # Date Vendor 191909 10/11/2018 020940 SAMPSON, STEVE 191910 10/11/2018 009980 SANBORN GWYNETH A, CO TEMECULA MUSIC ACADEMY 191911 10/11/2018 017699 SARNOWSKI SHAWNA M PRESTON 191912 10/11/2018 020939 SHEA, RICHARD 191913 10/11/2018 009213 SHERRY BERRY MUSIC 191914 10/11/2018 009746 SIGNS BY TOMORROW 191915 10/11/2018 015674 SJ LINKING SYSTEMS 191916 10/11/2018 000645 SMART AND FINAL INC Description Amount Paid Check Total REIMB: CDL TEST 76.00 76.00 COUNTRY LIVE! @ THE MERC 10/6/18 416.25 416.25 PHOTOGRAPHY: EMERG MGMT 225.00 225.00 SUMMIT MTG REIMB: CDL TEST 76.00 76.00 JAZZ © THE MERC 10/4/18 DIMENSIONAL LOGO SIGN:TVE2 RADIOS:HEALTH FAIR 9/29/18 RADIO RENTALS:COLOR RUN 505.00 505.00 775.80 775.80 180.00 250.00 430.00 REFRESHMENTS:CULTURALARTS 253.99 REFRESHMENTS:T. MUSEUM 191917 10/11/2018 014783 SOFTRESOURCES, LLC SEPT ASSET MGMT CONSULT SRVCS:I.T. 191918 10/11/2018 000519 SOUTH COUNTY PEST CONTROL INC PEST CONTROL SRVCS:MARGARITA SPLASH PRK PEST CONTROL SRVCS:DUCK POND PEST CONTROL SRVCS:VAR CITY PARK: PEST CONTROL SRVCS:PALOMA DEL SC PEST CONTROL SRVCS:PBSP PEST CONTROL SRVCS:WOLF CREEK P PEST CONTROL SRVCS:STA 95 191919 10/11/2018 012652 SOUTHERN CALIFORNIA, OCT GEN USAGE: 0141,0839,2593,9306 TELEPHONE COMPANY 191920 10/11/2018 000293 STADIUM PIZZA INC REFRESHMENTS:CRC TEEN EVENT 9/20/18 REFRESHMENTS: HEALTH FAIR 9/29/18 REFRESHMENTS: HEALTH FAIR 9/27/18 226.90 480.89 5,020.13 5,020.13 49.00 49.00 493.00 94.00 70.00 49.00 80.00 884.00 595.50 595.50 129.32 184.50 59.32 373.14 191921 10/11/2018 017814 STC TRAFFIC, INC JUL STREET LIGHTING PLAN REVIEW 747.50 & INSPEC JUL-AUG HIGHWAY SAFETY IMPRV PRG 16,000.00 16,747.50 191922 10/11/2018 015648 STEIN ANDREW, DBA PARKINK AWARDS:F.I.T. FUN COLOR RUN 1,935.71 1,935.71 Page:18 apChkLst Final Check List 10/1112018 10:39:37AM CITY OF TEMECULA Page: 19 Bank : union UNION BANK (Continued) Check # Date Vendor 191923 10/11/2018 016262 STEVE ADAMIAK GOLF INSTRUCTION, AKA STEVEN L ADAMIAK Description Amount Paid Check Total TCSD INSTRUCTOR EARNINGS 630.00 TCSD INSTRUCTOR EARNINGS 630.00 TCSD INSTRUCTOR EARNINGS 520.80 1,780.80 191924 10/11/2018 020301 TAMONE, BEN REIMB: CDL TEST 76.00 76.00 191925 10/11/2018 012937 TARGETSOLUTIONS LEARNING WORKERS COMP TARGET SOLUTIONS 2,120.00 2,120.00 LLC TRNG 191926 10/11/2018 010679 TEMECULA AUTO REPAIR/RADIATOR, DBAAUTO ENTERPRISE INC 191927 10/11/2018 000339 THOMSON REUTERS, DBA:BARCLAYS THOMSON WEST VEH MAINT & REPAIR:TCSD CALIF CODE DESKTOP ED'19:FIRE PREV 589.60 589.60 188.14 188.14 191928 10/11/2018 017415 THYSSENKRUPP ELEVATOR OCT -DEC ELEVATOR SRVC:VAR CITY 5,049.00 5,049.00 CORP FACILITIE 191929 10/11/2018 013474 TOWN & COUNTRY TOWING TOWING SRVCS: TEMECULA POLICE 375.00 375.00 191930 10/11/2018 018983 TRUEVINE PENTECOSTAL REFUND: SEC DEPT/CRC 9/30 200.00 200.00 191931 10/11/2018 000161 TYLER TECHNOLOGIES, INC ENERGOV SOFTWARE MAINT:INFO 86,096.20 86,096.20 TECH 191932 10/11/2018 007766 UNDERGROUND SERVICE SEPT UNDERGROUND UTILITY 211.30 211.30 ALERT, OF SOUTHERN LOCATOR ALERTS CALIFORNIA 191933 10/11/2018 008977 VALLEY EVENTS, INC. TABLE LINENS RENTAL: ECO 284.00 284.00 DEV/STARTUP WEEK 191934 10/11/2018 009194 VILLAGE NEWS, INC ADVERTISING:REGIONAL TASK FORCE 3,488.00 3,488.00 191935 10/11/2018 009101 VISION ONE, INC., DBA: SEPT SHOWARE TICKETING 2,928.00 2,928.00 ACCESSO SHOWARE SRVCS:THEATER 191936 10/11/2018 007987 WALMART HOSPITALITY SUPPLIES:THEATER 42.55 SUPPLIES:SKATE PARK 99.00 141.55 191937 10/11/2018 001342 WAXIE SANITARY SUPPLY INC CLEANING SUPPLIES: VAR CITY 1,822.43 FACILITIES CLEANING SUPPLIES: VAR PARK SITES 35.05 1,857.48 Page:19 apChkLst Final Check List 10111/2018 10:39:37AM CITY OF TEMECULA Page: 20 Bank : union UNION BANK (Continued) Check # Date Vendor Description Amount Paid Check Total 191938 10/11/2018 003730 WEST COAST ARBORISTS INC 9/1-15/18 TREE MAINT:VILLAGES 517.00 GROVE 9/1-15/18 TREE MAINT:PRESLEY 982.30 9/1-15/18 TREE MAINTWOODCREST COL 92.00 9/1-15/18 EMERG TREE MAINT:VAR SLOF 1,582.95 9/1-15/18 TREE MAINT:PARKS & MEDIAN: 879.40 191939 10/11/2018 008402 WESTERN RIVERSIDE CO REG, CONSERVATION AUTHORITY 191940 10/11/2018 000621 WESTERN RIVERSIDE COUNCIL OF, GOVERNMENTS (WRCOG) 191941 10/11/2018 004567 WITCHER ELECTRIC, AKA TERRENCE KEVIN WITCHE SEPT 2018 MSHCP PAYMENT SEPT 2018 TUMF PAYMENT INSTALL ELECTRICAL PEDESTAL:VILLAGES 4,053.65 61,968.60 61,968.60 1,267.32 1,267.32 1,120.00 1,120.00 Grand total for UNION BANK: 3, 301, 957.33 Page20 apChkLst Final Check List 1011112018 10:39:37AM CITY OF TEMECULA Page: 21 237 checks in this report. Grand Total All Checks. 3, 301, 957.33 Page21 apChkLst Final Check List 10/18/2018 9:39:25AM CITY OF TEMECULA Page: 1 Bank : union UNION BANK Check # Date Vendor Description Amount Paid Check Total 5046 10/10/2018 014486 VERIZON WIRELESS 8/16-9/15 CELLULAR/BROADBAND:CITYWIDE 4,065.77 4,065.77 5047 10/05/2018 010276 TIME WARNER CABLE OCT INTERNET SVCS 40820 1.60 1.60 WINCHESTER RD 5048 10/15/2018 010276 TIME WARNER CABLE OCT INTERNET SVCS 28922 PUJOL ST 214.53 214.53 5049 10/15/2018 010276 TIME WARNER CABLE OCT INTERNET SVCS 30600 PAUBA RD 594.83 594.83 5050 10/15/2018 018858 FRONTIER CALIFORNIA INC SEPT INTERNET SVCS THEATER 148.98 148.98 5051 10/18/2018 010349 CALIF DEPT OF CHILD SUPPORT PAYMENT 899.07 899.07 SUPPORT 5052 10/18/2018 000194 I C M A RETIREMENT -PLAN ICMA-RC RETIREMENT TRUST 457 9,184.63 9,184.63 303355 PAYMENT 5053 10/18/2018 000444 INSTATAX (EDD) STATE TAXES PAYMENT 24,988.71 24,988.71 5054 10/18/2018 000283 INSTATAX(IRS) FEDERAL TAXES PAYMENT 83,556.83 83,556.83 5055 10/18/2018 000389 NATIONWIDE RETIREMENT OBRA- PROJECT RETIREMENT 2,910.90 2,910.90 SOLUTION PAYMENT 5056 10/18/2018 001065 NATIONWIDE RETIREMENT NATIONWIDE RETIREMENT PAYMENT 10,765.63 10,765.63 SOLUTION 5057 10/18/2018 000246 PERS (EMPLOYEES' PERS RETIREMENT PAYMENT 101,420.02 101,420.02 RETIREMENT) 5058 10/18/2018 000444 INSTATAX (EDD) 3RD QUARTER UI & ETT PAYMENT 11,169.35 11,169.35 Page:1 apChkLst Final Check List 10118/2018 9:39:25AM CITY OF TEMECULA Page: 2 Bank : union UNION BANK (Continued) Check # Date Vendor 5059 10/18/2018 007282 AMAZON COM INC, SYNCB/AMAZON 5060 10/18/2018 007282 AMAZON COM INC, SYNCB/AMAZON Description Amount Paid Check Total MISC OFC EQUIPMENT: HR 25.98 MISC OFC EQUIPMENT: HR 80.46 BOOKS/COLLECTIONS:LIBRARY 40.51 BOOKS/COLLECTIONS:LIBRARY 274.31 BOOKS/COLLECTIONS:LIBRARY 23.82 BOOKS/COLLECTIONS:LIBRARY 32.62 BOOKS/COLLECTIONS:LIBRARY 27.94 SUPPLIES & EQUIP:AQUATICS PGRM 169.00 SUPPLIES:HUMAN SVCS PGRMS 1,674.42 SUPPLIES:HUMAN SVCS PGRM 123.98 SUPPLIES:HUMAN SVCS PGRM 141.98 SUPPLIES:TVM &ACE 13.63 SUPPLIES:SKATE PARK 167.35 MISC EQUP: BC 531.79 MISC SUPPLIES AND TOOLS: PREV 25.97 SUPPLIES:TVM &ACE 142.94 PREV WEEK SUPP: STA & PREV 62.25 BOOKS/COLLECTIONS:LIBRARY 15.19 SUPPLIES & EQUIP:AQUATICS PGRM 409.62 SUPPLIES & EQUIP:AQUATICS PGRM 512.49 SUPPLIES:TVM &ACE 7.19 SUPPLIES:SKATE PARK 6.93 SUPPLIES:CRC -179.90 SUPPLIES:CRC 179.90 MISC OFFICE SUPPLIES: HR 79.16 BOOKS/COLLECTIONS:LIBRARY 206.50 MISC SUPPLIES & TOOLS: PREV 43.07 OFFICE SUPPLIES: MEDIC 19.98 MISC OFC SUPPLIES:FINANCE 87.55 4,859.08 MISC OFC SUPPLIES:FINANCE 169.01 MISC OFC SUPPLIES:FINANCE 6.23 MISC OFC SUPPLIES:FINANCE 8.47 AV SUPPLIES:INFO TECH 104.50 AV SUPPLIES:INFO TECH 71.49 MISC SUPPLIES: ECO DEV 4.10 451.35 5061 10/09/2018 018858 FRONTIER CALIFORNIA INC SEPT INTERNET SVCS FIRE STATION 119.84 119.84 73 5062 10/09/2018 018858 FRONTIER CALIFORNIA INC SEPT INTERNET SVCS LIBRARY 188.98 188.98 5063 10/05/2018 000537 SO CALIF EDISON SEPT 2-25-393-4681 41951 MORAGA RD 766.72 766.72 Page2 apChkLst Final Check List 10/18/2018 9:39:25AM CITY OF TEMECULA Page: 3 Bank : union UNION BANK (Continued) Check # Date Vendor Description Amount Paid Check Total 5064 10/05/2018 000537 SO CALIF EDISON SEPT2-30-520-4414 32781 TEMECULA PKWY 952.50 952.50 5065 10/05/2018 000537 SO CALIF EDISON SEPT2-35-664-9053 29119 MARGARITA 1,033.78 1,033.78 RD 5066 10/05/2018 000537 SO CALIF EDISON SEPT2-35-403-633741375 MCCABE CT 1,175.81 1,175.81 5067 10/05/2018 000537 SO CALIF EDISON SEPT 2-32-903-8293 41000 MAIN ST 21,074.60 21,074.60 5068 10/09/2018 000537 SO CALIF EDISON 5069 10/09/2018 000537 SO CALIF EDISON SEPT2-29-953-8447 31738 WOLF 25.06 25.06 VALLEY RD SEPT 2-29-657-2332 45538 REDWOOD 25.20 25.20 RD 5070 10/09/2018 000537 SO CALIF EDISON SEPT2-39-732-3171 41997 MARGARITA RD 5071 10/09/2018 000537 SO CALIF EDISON SEPT 2-29-953-8249 46497 WOLF CREEK RD 5072 10/09/2018 000537 SO CALIF EDISON SEPT 2-29-953-8082 31523 WOLF VALLEY RD 5073 10/09/2018 000537 SO CALIF EDISON SEPT 2-31-936-3511 46488 PECHANGA PKWY 5074 10/09/2018 000537 SO CALIF EDISON SEPT 2-35-707-0010 33451 S HWY 79 5075 10/09/2018 000537 SO CALIF EDISON SEPT 2-40-380-2424 40750 BUTTERFIELD STG 5076 10/09/2018 000537 SO CALIF EDISON SEPT 2-29-657-2563 42902 BUTTERFIELD STG 5077 10/09/2018 000537 SO CALIF EDISON SEPT 2-30-220-8749 45850 N WOLF CREEK 5078 10/09/2018 000537 SO CALIF EDISON SEPT 2-02-502-8077 43210 BUS PARK DR 5079 10/09/2018 000537 SO CALIF EDISON SEPT 2-31-404-6020 28771 OT STORE FRONT 26.56 26.56 29.44 29.44 30.63 30.63 50.66 50.66 51.07 51.07 81.96 81.96 201.58 201.58 312.01 312.01 462.66 462.66 489.45 489.45 Page:3 apChkLst Final Check List 10118/2018 9:39:25AM CITY OF TEMECULA Page: 4 Bank : union UNION BANK (Continued) Check # Date Vendor Description Amount Paid Check Total 5080 10/09/2018 000537 SO CALIF EDISON SEPT 2-40-330-1567 29716 STATE ROUTE 79 5081 10/09/2018 000537 SO CALIF EDISON SEPT 2-29-223-8607 42035 2ND ST 5082 10/09/2018 000537 SO CALIF EDISON SEPT 2-29-295-3510 32211 WOLF VALLEY RD 5083 10/09/2018 000537 SO CALIF EDISON SEPT 2-31-536-3226 28690 MERCEDES ST 5084 10/09/2018 000537 SO CALIF EDISON SEPT 2-27-560-0625 32380 DEERHOLLOW WAY 5085 10/09/2018 000537 SO CALIF EDISON SEPT 2-00-397-5067 TCSD SVC LEVEL C 5086 10/09/2018 000537 SO CALIF EDISON SEPT 2-00-397-5042 43200 BUS PARK DR 5087 10/09/2018 000537 SO CALIF EDISON SEPT 2-28-629-0507 30600 PAUBA RD 8,380.86 8,380.86 5088 10/09/2018 001212 SO CALIF GAS COMPANY SEPT 125-244-2108-3 30600 PAUBA RD 15.88 15.88 490.79 490.79 517.58 517.58 1,757.91 1,757.91 1,919.87 1,919.87 2,252.56 2,252.56 2,293.72 2,293.72 5,215.00 5,215.00 5089 10/09/2018 001212 SO CALIF GAS COMPANY 5090 10/09/2018 001212 SO CALIF GAS COMPANY 5091 10/09/2018 001212 SO CALIF GAS COMPANY 5092 10/09/2018 001212 SO CALIF GAS COMPANY SEPT 060-293-3315-7 28922 PUJOL ST 16.85 16.85 SEPT 101-525-0950-0 28816 PUJOL ST 16.85 16.85 SEPT 181-383-8881-6 28314 20.08 20.08 MERCEDES ST SEPT 026-671-2909-8 42051 MAIN ST 20.08 20.08 5093 10/09/2018 001212 SO CALIF GAS COMPANY SEPT 133-040-7373-0 43210 BUS PARK DR 5094 10/09/2018 001212 SO CALIF GAS COMPANY SEPT 028-025-1468-3 41375 MCCABE CT 5095 10/09/2018 001212 SO CALIF GAS COMPANY SEPT 129-582-9784-3 43230 BUS PARK DR 5096 10/09/2018 001212 SO CALIF GAS COMPANY SEPT 021-725-0775-4 41845 6TH ST 20.08 20.08 21.15 21.15 28.66 28.66 71.63 71.63 Page4 apChkLst 10/18/2018 9:39:25AM Final Check List CITY OF TEMECULA Page: 5 Bank : union UNION BANK (Continued) Check # Date Vendor 5097 10/09/2018 001212 SO CALIF GAS COMPANY 5098 10/09/2018 001212 SO CALIF GAS COMPANY 5099 10/09/2018 001212 SO CALIF GAS COMPANY 5100 10/09/2018 001212 SO CALIF GAS COMPANY 5101 10/10/2018 001212 SO CALIF GAS COMPANY 5102 10/10/2018 001212 SO CALIF GAS COMPANY 191942 10/11/2018 020923 CALIBER COLLISION CORPORATE 191943 10/18/2018 004802 ADLERHORST INTERNATIONAL LLC 191944 10/18/2018 003552 AFLAC PREMIUM HOLDING, C/O BNB BANK LOCKBOX 191945 10/18/2018 003951 ALL AMERICAN ASPHALT 191946 10/18/2018 009374 ALLEGRO MUSICAL VENTURES, DBAALLEGRO PIANO SERVIC 191947 10/18/2018 013950 AQUA CHILL OF SAN DIEGO 191948 10/18/2018 020223 B AND P OIL SERVICES 191949 10/18/2018 011954 BAKER AND TAYLOR INC Description Amount Paid Check Total SEPT 101-525-1560-6 27415 ENTERPRISE CIR SEPT 095-167-7907-2 30650 PAUBA RD SEPT 091-024-9300-5 30875 RANCHO VISTA SEPT 129-535-4236-7 41000 MAIN ST SEPT 098-255-9828-8 29119 MARGARITA RD SEPT 117-188-6393-6 32131 S LOOP RD VEHICLE REPAIRS PW UNIT 14-212 SEP POLICE K-9 TRAINING: ON SITE AFLAC ACCIDENT INDEMNITY PAYMENT ASPHALT SUPPLIES: PW PIANO TUNING/MAINT: THEATER OCT DRINKING WATER SYSTEM: PW OCT DRINKING WATER SYSTEM: MPSC OCT DRINKING WATER SYSTEM: JRC OCT DRINKING WATER SYSTEM: CIVIC C OCT DRINKING WATER SVCS: INFO TEC REFUND:ENG DEPOSIT LD16-1725 BOOKS/COLLECTIONS:LIBRARY BOOKS/COLLECTIONS:LIBRARY BOOKS/COLLECTIONS:LIBRARY BOOKS/COLLECTIONS:LIBRARY BOOKS/COLLECTIONS:LIBRARY 77.62 86.53 324.70 633.62 47.84 88.72 2,133.33 350.00 3,850.98 274.15 185.00 28.28 34.75 28.28 183.71 28.28 37, 000.00 15.95 50.62 267.17 77.29 16.41 77.62 86.53 324.70 633.62 47.84 88.72 2,133.33 350.00 3,850.98 274.15 185.00 303.30 37,000.00 427.44 Page:5 apChkLst Final Check List 1011812018 9:39:25AM CITY OF TEMECULA Page: 6 Bank : union UNION BANK (Continued) Check # Date Vendor Description Amount Paid Check Total 191950 10/18/2018 018101 BARN STAGE COMPANY INC, STTLMNT: CABARET AT THE MERC: 448.00 448.00 THE 10/12/18 191951 10/18/2018 013482 BAS SECURITY SECURITY:COLOR RUN 173.10 173.10 191952 10/18/2018 002377 BEST BUY COMPANY INC COMPUTER PURCHASE PRGM: WYTRYKUS,L. 1,791 49 1,791.49 191953 10/18/2018 015834 BOYER WAYNE E, DBA motor uniforms: temecula police 606.94 MOTOPORT USA motor uniforms: temecula police 788.44 191954 10/18/2018 017973 BUSINESS CENTER CENTRAL, Emergency management stickers 94.61 LLC, DBA PRINTING GALORE 191955 10/18/2018 003138 CAL MAT, DBA VULCAN MATERIALS CO ASPHALT SUPPLIES: PW 175.29 ASPHALT SUPPLIES: PW 253.95 1,395.38 94.61 ASPHALT SUPPLIES: PW 253.16 682.40 191956 10/18/2018 020949 CARDENAS, JAIME REIMB: '18 APA CONFERENCE: 10/9/18 95.24 95.24 191957 10/18/2018 000131 CARL WARREN AND COMPANY SEP CLAIM ADJUSTER SVCS 1,434.00 1,434.00 INC 191958 10/18/2018 020014 CASSON, G. AUSTIN ARTWORK PURCH:FALLEN HEROES 500.00 500.00 MEMORIAL 191959 10/18/2018 020025 CIVIL SOURCE INC PROJ MGMT SVCS: PW13-09 6,240.00 JUL ENG SVCS: PW15-11 BUTTERFIELD : 25,200.00 AUG ENG SVCS: PW15-11 BUTTERFIELD 7,680.00 39,120.00 191960 10/18/2018 003997 COAST RECREATION INC VARIOUS PARKS: SWING PARTS 89.82 89.82 191961 10/18/2018 017429 COBRAADVANTAGE INC, DBA SEP COBRA & FSAADMIN: HR 549.00 549.00 THE ADVANTAGE GROUP 191962 10/18/2018 004405 COMMUNITY HEALTH EMPLOYEE CHARITY DONATIONS 4.00 4.00 CHARITIES PAYMENT 191963 10/18/2018 010865 CONSTANT CONTACT INC TEMECULAGOV EMAIL MARKETING: 3,216.00 3,216.00 INFO SYS 191964 10/18/2018 013379 COSSOU, CELINE TCSD INSTRUCTOR EARNINGS 224.00 224.00 191965 10/18/2018 004329 COSTCO TEMECULA 491 SUPPLIES:CULTURALARTS EVENTS 18.99 MISC SUPPLIES:MPSC 365.88 MISC SUPPLIES:MPSC 365.49 750.36 Page6 apChkLst Final Check List 10/1812018 9:39:25AM CITY OF TEMECULA Page: 7 Bank : union UNION BANK (Continued) Check # Date Vendor Description Amount Paid Check Total 191966 10/18/2018 020436 CRONBERG, RICHARD N TCSD INSTRUCTOR EARNINGS 191967 10/18/2018 020944 CRUZ, LISA MARIE REFUND: SMARTPAY LIBRARY TRANSACTION 191968 10/18/2018 001393 DATA TICKET INC 191969 10/18/2018 012600 DAVID EVANS & ASSOCIATES INC 191970 10/18/2018 020948 DOYLE, PATRICK 196.00 196.00 15.99 15.99 JUL CITATION PROCESSING: POLICE 1,148.36 AUG CITATION PROCESSING: POLICE 1,225.79 7/1-9/1 DSGN SVCS: PW13-09 LIBRARY 13,067.50 AUG DSGN SVCS FALLEN HEROES: PW1 1,900.00 COMPUTER PURCHASE PROGRAM 1,880.27 191971 10/18/2018 013367 ELECTRO INDUSTRIAL SUPPLY MISC SMALL TOOLS & EQUIP: PW TRAFFIC 2,374.15 14, 967.50 1,880.27 465.09 465.09 191972 10/18/2018 011292 ENVIRONMENTAL SCIENCE AUG EIR PROPOSEDALTAIR SPECIFIC 140.00 ASSOC PLAN JUN ADDENDUM EIR: UPTOWN JEFFER: 11,197.50 AUG ADDENDUM EIR: UPTOWN JEFFER! 620.00 11,957.50 191973 10/18/2018 000165 FEDERAL EXPRESS INC 09/27 EXP MAIL SVCS: CITY MGR OFC 18.76 18.76 191974 10/18/2018 020885 FIRST -CITIZENS BANK & Artwork purchase:TVM- 5,250.00 5,250.00 TRUST CO 191975 10/18/2018 009549 FISK, STUART REIMB: '18 APA CONFERENCE: 405.93 405.93 10/7-10/9/18 191976 10/18/2018 019651 FOX, JAYME REIMB: RFRSHMNTS: EAM SFTWR 136.83 136.83 DEMO: INFO 191977 10/18/2018 017135 FOX, STACY REIMB: IMS MEMB & CERT DUES 380.00 REIMB: WATER QUALITY TRAINING 10/1- 262.19 642.19 191978 10/18/2018 002982 FRANCHISE TAX BOARD KRACH, BREE - CASE# 603016103 123.70 123.70 191979 10/18/2018 014865 FREIZE UHLER KIMBERLY DBA, PROMO:LOGO BROWN KRAFT 450.72 CLEAR BLUE PROMOTIONS SHOPPING BAGS City of Temecula Notepads - Econ Dev 350.05 800.77 191980 10/18/2018 004944 FULLCOURT PRESS TEXT PAPER:BUS LIC CERTIFICATES 406.42 406.42 191981 10/18/2018 016184 FUN EXPRESS, LLC, SUBSIDIARY OF ORIENTAL TR MISC SUPPLIES:MPSC 81.58 SUPPLIES:VARIOUS EVENTS 818.69 MISC SUPPLIES:MPSC 236.21 1,136.48 Page:7 apChkLst Final Check list 10/18/2018 9:39:25AM CITY OF TEMECULA Page: 8 Bank : union UNION BANK (Continued) Check # Date Vendor Description Amount Paid Check Total 191982 10/18/2018 010452 GAYLORD BROS INC MISC TOOLS & SUPPLIES: MUSEUM 644.91 644.91 191983 10/18/2018 000177 GLENNIES OFFICE PRODUCTS MISC. OFC SUPPLIES - STA 73 17.54 INC MISC. OFC SUPPLIES - STA 84 86.17 MISC. OFFICE SUPPLIES: STA 95 20.51 MISC OFC SUPPLIES: STA 95 52.79 MISC OFC SUPPLIES: STA 95 2.36 MISC OFC SUPPLIES: STA 84 71.47 MISC OFC SUPPLIES: BC 302.33 MISC OFC SUPPLIES: PW 102.46 191984 10/18/2018 004890 GOLDEN STATE FIRE WEST WING: REPLACE FIRE PROTECTION SPRINKLERS 191985 10/18/2018 000186 HANKS HARDWARE INC HARDWARE SUPPLIES - STA73 191986 10/18/2018 019732 HARC, INC. 191987 10/18/2018 020628 HASA INC 191988 10/18/2018 020945 HO, INES 191989 10/18/2018 003198 HOME DEPOT CONSULTING SRVCS:PUBLIC OUTREACH CONSULTING SRVCS:PUBLIC OUTREAC 655.63 10,100.00 10,100.00 17.35 17.35 3,280.00 3,400.00 6,680.00 Pool Sanitizing Chemicals:various pools 383.34 Pool Sanitizing Chemicals:various pools REFUND:32064 VIA NORTE 919-100-017 445.09 828.43 594.56 594.56 MISC SUPPLIES: THEATER 1.48 MISC SUPPLIES: THEATER 191990 10/18/2018 020849 IN THE MIX SOUND LLC AUDIO REPLACEMENT SYSTEM:THEATER 191991 10/18/2018 014435 INLAND EROSION CONTROL EROSION CONTROL SUPPLIES: PW SRVCS STREETS 191992 10/18/2018 018601 JHCH RIVERSIDE LAND CO LLC REFUND: ENG DEPOSIT LD16-2460 191993 10/18/2018 010394 JONES, ERIC REIMB: '18 APA CONFERENCE: 10/7-10/9/18 191994 10/18/2018 015378 KELLY-LEHNER, LYNN REIMB: REGISTRATION URBAN LAND INSTITUTE 185.20 186.68 51,500.00 51,500.00 300.00 300.00 30,500.00 30,500.00 156.08 156.08 525.00 525.00 191995 10/18/2018 017118 KRACH BREE B, DBA trophies/ribbons:Color Run 494.81 TEMECULA TROPHY & DES CREDIT TAX WITHHOLDING CASE 60301 -123.70 191996 10/18/2018 000482 LEIGHTON CONSULTING INC AUG MATLS & GEOTECH 4,733.90 TESTING:PW17-26 371.11 4,733.90 Page:8 apChkLst Final Check List 10/18/2018 9:39:25AM CITY OF TEMECULA Page: 9 Bank : union UNION BANK (Continued) Check # Date Vendor Description Amount Paid Check Total 191997 10/18/2018 003726 LIFE ASSIST INC EMERGENCY MEDICAL: MEDIC 48.48 48.48 191998 10/18/2018 011145 LODATO JILL CHRISTINE, DBA: TCSD INSTRUCTOR EARNINGS 1,263.85 THE PARTY MOM TCSD INSTRUCTOR EARNINGS 2,772.00 191999 10/18/2018 010987 LUDWIG, PERRY REIMB: WATER QUALITY TRAINING 270.73 10/1-10/2 192000 10/18/2018 003782 MAIN STREET SIGNS, DBA ATHACO INC 192001 10/18/2018 004141 MAINTEX INC 192002 10/18/2018 018675 MDG ASSOCIATES INC SIGN REPLACEMENT SUPPLIES:PW 828.13 VARIOUS PARK SIGNS & SUPPLIES 330.32 CLEANING SUPPLIES: VARI FACILITIES 2,534.07 JUL LABOR COMPLIANCE MONITORING SVCS AUG CDBGADMIN SVCS: PLANNING JULCDBGADMIN SVCS: PLANNING 857.50 4,035.85 270.73 1,158.45 2,53407 7,548.75 9,306.25 17,712.50 192003 10/18/2018 015259 MERCURY DISPOSAL RECYCLING FEES:CLASS II 272.08 SYSTEMS INC BATTERIES RECYCLING FEES:CLASS II BATTERIES 331.36 192004 10/18/2018 020907 MICHELLE MEDINA, DBA TCSD INSTRUCTOR EARNINGS 323.40 MICHELLE Q MEDINA 192005 10/18/2018 013443 MIDWEST TAPE LLC TCSD INSTRUCTOR EARNINGS TCSD INSTRUCTOR EARNINGS TCSD INSTRUCTOR EARNINGS 409.50 409.50 382.20 BOOKS/COLLECTIONS:LIBRARY 48.92 BOOKS/COLLECTIONS:LIBRARY 89.38 BOOKS/COLLECTIONS:LIBRARY 26.20 603.44 1,524.60 164.50 192006 10/18/2018 004951 MIKE'S PRECISION WELDING VARI PARKS: ON-CALL WELDING SVCS 3,800.00 INC VARI PARKS: ON-CALL WELDING SVCS 150.00 3,950.00 192007 10/18/2018 011649 MILLER, WENDY REIMB: GRANT WRITING CLASS: 158.51 158.51 192008 10/18/2018 004043 MISSION ELECTRIC SUPPLY INC ELECTRICAL SUPPLIES: VARIOUS PARKS ELECTRICAL SUPPLIES: VARIOUS PARK: ELECTRICAL SUPPLIES: VARIOUS PARK: ELECTRICAL SUPPLIES: VARIOUS PARK: 363.51 1,437.85 45.44 385.89 192009 10/18/2018 001868 MIYAMOTO-JURKOSKY, SUSAN TCSD INSTRUCTOR EARNINGS 385.00 ANN TCSD INSTRUCTOR EARNINGS TCSD INSTRUCTOR EARNINGS TCSD INSTRUCTOR EARNINGS 378.59 385.00 157.50 2,232.69 1,306.09 Page apChkLst 10/1812018 9:39:25AM Final Check List CITY OF TEMECULA Page: 10 Bank : union UNION BANK (Continued) Check # Date Vendor 192010 10/18/2018 016445 MKB PRINTING & PROMOTIONAL INC, DBA MINUTEMAN PRESS 192011 10/18/2018 004040 MORAMARCO, ANTHONY J, DBA BIGFOOT GRAPHICS 192012 10/18/2018 017089 MORRIS-HOPKINS, BROOKE 192013 10/18/2018 019019 MUSIC CONNECTION LLC 192014 10/18/2018 017861 MYTHOS TECHNOLOGY INC 192015 10/18/2018 000727 NATIONAL FIRE PROTECTION ASSN, LEADS ETC INC 192016 10/18/2018 018402 NEWSMINDED INC 192017 10/18/2018 000209 NUTRIEN AG SOLUTIONS INC 192018 10/18/2018 002292 OASIS VENDING, AKA EDWARD W BENDAS 192019 10/18/2018 003964 OFFICE DEPOT BUSINESS SVS DIV 192020 10/18/2018 002105 OLD TOWN TIRE AND SERVICE 192021 10/18/2018 002105 OLD TOWN TIRE AND SERVICE 192022 10/18/2018 002105 OLD TOWN TIRE AND SERVICE 192023 10/18/2018 002105 OLD TOWN TIRE AND SERVICE Description Amount Paid Check Total business cards & envelopes: temecula TEAM BLDG ACTIVITY:CULTURALARTS TCSD INSTRUCTOR EARNINGS TCSD INSTRUCTOR EARNINGS TCSD INSTRUCTOR EARNINGS TCSD INSTRUCTOR EARNINGS STTLMNT: "SPEAKEASY AT THE MERC" 10/13/1 OCT - DEC IT MONITORING SVCS: TVE2 FIRE PREV WK: STA & PREV NEWSPAPER DLVRY SVC:MPSC EQUIP REPAIR & MAINT: STA73 COFFEE/KITCHEN SUPPLIES:MPSC COFFEE/KITCHEN SUPPLIES:FOC COFFEE/KITCHEN SUPPLIES:CIVIC CEN' OFFICE SUPPLIES:PW DEPTS OFFICE SUPPLIES:PW DEPTS OFFICE SUPPLIES:FINANCE OFFICE SUPPLIES:PW DEPTS CITY VEHICLE MAINT SVCS:PW STREET MAINT CITY VEHICLE MAINT SVCS:PW FACS CITY VEHICLE MAINT SVCS:PW FACS CITY VEHICLE MAINT SVCS:PW LAND DE CITY VEHICLE MAINT SVCS:BLDG & SAFETY CITY VEHICLE MAINT SVCS:CODE ENF CITY VEHICLE MAINT SVCS:SPORTS PRGM 96.31 520.00 269.50 245.00 269.50 220.50 447.30 150.00 746.56 125.00 47.00 780.21 181.40 544.17 119.18 19.96 9.77 16.19 15.00 514.98 225.81 738.91 592.93 320.01 96.31 520.00 1,004.50 447.30 150.00 746.56 125.00 47.00 1,505.78 165.10 1,494.70 592.93 320.01 44.56 44.56 Page:10 apChkLst Final Check List 10/18/2018 9:39:25AM CITY OF TEMECULA Page: 11 Bank : union UNION BANK (Continued) Check # Date Vendor Description Amount Paid Check Total 192024 10/18/2018 008143 PETERS, MATT REIMB:'18APACONFERENCE: 10/7-10/9/18 192025 10/18/2018 000249 PETTY CASH PETTY CASH REIMBURSEMENT 192026 10/18/2018 010338 POOL AND ELECTRICAL PRODUCTS, INC 119.70 119.70 1,087.27 1,087.27 VARIOUS SUPPLIES: AQUATICS 199.79 CHEMICAL SUPPLIES: SPLASH PARK & F VARIOUS SUPPLIES: AQUATICS VARIOUS SUPPLIES: AQUATICS VARIOUS SUPPLIES: AQUATICS 328.59 314.59 311.81 308.78 192027 10/18/2018 005075 PRUDENTIAL OVERALL SEPT UNIFORM/FLR MTS/TWL 783.35 SUPPLY RENT: PW MNTC/C. SEPT UNIFORM/FLR MTS/TWL RENT:CIT 1,002.95 192028 10/18/2018 004457 R J NOBLE COMPANY PRGS PMT #2: PAVEMENT REHAB 166,290.89 PRGM 17-26 192029 10/18/2018 020429 REMOTE SATELLITE SYSTEMS NOV'18 SATELLITE PHONE INT'L SRVCS:EOC 192030 10/18/2018 002412 RICHARDS WATSON AND GERSHON 1,463.56 1,786.30 166,290 89 280.00 280.00 AUG 2018 LEGAL SERVICES 139,544.49 AUG 2018 LEGAL SRVCS BILLING ADJUS -2,499.86 BILLING ADJUSTMENT FOR LEGAL SER\ 192031 10/18/2018 017391 RISE INTERPRETING INC SEPT INTERPRETING SRVCS:CLASSES 192032 10/18/2018 000418 RIVERSIDE CO CLERK & NEG. DECLARATION FILING RECORDER FEE:LR14-0010 192033 10/18/2018 010777 RIVERSIDE CO EXECUTIVE FY 18/19 SCFA MISC REIMB EXPENSES OFFICE 192034 10/18/2018 001592 RIVERSIDE CO INFO AUG EMERG RADIO RENTAL: TEM TECHNOLOGY POLICE 192035 10/18/2018 004822 RIVERSIDE TRANSIT AGENCY FY18/19 TROLLEY SRVC:TROLLEY ROUTE 55 192036 10/18/2018 017699 SARNOWSKI SHAWNA M PRESTON 192037 10/18/2018 018451 SESSLER, TRINIDAD 600.00 137,644.63 420.00 420.00 2,280.75 2,280.75 297.00 297.00 2,551.37 2,551.37 20,332.00 20,332.00 PHOTOGRAPHY SRVCS:HEALTH FAIR 200.00 '18 PHOTOGRAPHY:ECO DEV COLLEGE FAI 200.00 400.00 REFUND:SWIM LESSONS CLASSES 33.00 33.00 6/20/17 192038 10/18/2018 009213 SHERRY BERRY MUSIC JAZZ @ THE MERC 10/11/18 516.00 516.00 Page:11 apChkLst Final Check List 10/18/2018 9:39:25AM CITY OF TEMECULA Page: 12 Bank : union UNION BANK (Continued) Check # Date Vendor Description Amount Paid Check Total 192039 10/18/2018 009746 SIGNS BY TOMORROW MISC SIGNAGE: HALLOWEEN 133.93 CONTESTS SIGN BANNERS:CITYWIDE CLEAN-UP 457.94 591.87 192040 10/18/2018 020545 SOCIAL WORK ACTION GROUP AUG PROF SRVCS:RESPONSIBLE 4,059.90 COMPASSION SEPT PROF SRVCS:RESPONSIBLE COM 2,831.52 6,891.42 192041 10/18/2018 019997 SPURLOCK LANDSCAPE JUN CONSULTING:UPTOWN 14,222.00 14,222.00 ARCHITECTS TEMECULA 192042 10/18/2018 000293 STADIUM PIZZA INC REFRESHMENTS:HUMAN SRVCS 10/5 400.87 400.87 192043 10/18/2018 008337 STAPLES BUSINESS CREDIT OFFICE SUPPLIES:FINANCE 81.41 OFFICE SUPPLIES:CITY MGR OFC 198.97 OFFICE SUPPLIES:POLICE MALL STORE 13.57 OFFICE SUPPLIES:POLICE MALL STORE 22.28 OFFICE SUPPLIES:THEATER 141.36 OFFICE SUPPLIES:PW DEPTS 62.67 CREDIT:OFFICE SUPPLIES/CITY CLERK -19.02 CREDIT:OFFICE SUPPLIES/FINANCE -70.32 OFFICE SUPPLIES:THEATER 7.61 OFFICE SUPPLIES:THEATER 79.28 OFFICE SUPPLIES:POLICE MALL STORE 60.06 OFFICE SUPPLIES:POLICE MALL STORE 10.90 OFFICE SUPPLIES:POLICE MALL STORE 42.74 OFFICE SUPPLIES:POLICE O.T. STOREFI 254.74 886.25 192044 10/18/2018 012789 STUART, JENNIFER SARAH TCSD INSTRUCTOR EARNINGS 6,814.79 6,814.79 192045 10/18/2018 015042 SULLIVAN SOLAR POWER REFUND SEC DEPOSIT: TCC RENTAL 200.00 200.00 10/6 192046 10/18/2018 020446 SURERIDE CHARTER INC, DBA TRANSPORTATION:TVM ACTIVITY 1,103.00 1,103.00 SUN DIEGO CHARTER 11/8/18 192047 10/18/2018 017295 TEMECULA PIZZA FACTORY, REFRESHMENTS:CSD SPECIAL EVENT 290.64 290.64 DBA: (PF INDUSTRIES, LLC) 10/9 192048 10/18/2018 016311 TIERCE, NICHOLAS GRAPHIC DESIGN SRVCS: THEATER 3,120.00 3,120.00 192049 10/18/2018 020843 TVEYES INC MEDIA MONITORING SERVICE: ECON 2,400.00 2,400.00 DEV/CM 192050 10/18/2018 017579 U S HEALTHWORKS MEDICAL, SEPT MEDICAL SCREENINGS: HR/ECO GROUP PC DEV 353.00 353.00 Page:12 apChkLst Final Check List 10/18/2018 9:39:25AM CITY OF TEMECULA Page: 13 Bank : union UNION BANK (Continued) Check # Date Vendor Description Amount Paid Check Total 192051 10/18/2018 008558 VALLEY OF THE MIST REFUND SEC DEPOSIT: CONF QUILTERS CENTER 10/6 192052 10/18/2018 014848 VALUTEC CARD SOLUTIONS SEPT TICKETING SRVCS: THEATER LLC 200.00 200.00 101.96 101.96 192053 10/18/2018 018174 VCAANIMAL HOSPITALS INC, K-9 VET CARE: TEMECULA POLICE 212.18 DBA VCA CALIF VETERINARY 9/27/18 K-9 VET CARE: TEMECULA POLICE 9/24/' 33.88 192054 10/18/2018 004861 VON RICHTER, POLLY REIMS: '18 NEOGOV CONF: 150.91 10/9-10/12/18 192055 10/18/2018 018147 WADDLETON, JEFFREY L. DJ/ANNOUNCER SRVCS:CARNIVAL 10/26/18 192056 10/18/2018 010487 WATSON, LUKE 246.06 150.91 400.00 400.00 REIMB:APA CONFERENCE: 10/7-10/9/18 733.23 REIMB:LEAGUE OF CA CITIES CONF: 192057 10/18/2018 001342 WAXIE SANITARY SUPPLY INC CLEANING SUPPLIES:CIVIC CNTR 192058 10/18/2018 003730 WEST COAST ARBORISTS INC 9/16-30/18 TREE MAINT:CRC 9/16-30/18 TREE MAINT:CITY R -O -W 9/16-30/18 TREE MAINT:HARV. LAKE PAR 9/16-30/18 TREE MAINT:HARVESTON 923.72 1,656.95 2,171.47 2,171.47 2,495.90 2,623.00 361.90 1,288.00 Grand total for UNION BANK: 6,768.80 977,743.32 Page:13 apChkLst Final Check List 10/18/2018 9:39:25AM CITY OF TEMECULA Page: 14 174 checks in this report. Grand Total All Checks. 977,743.32 Page:14 apChkLst 10/25/2018 9:47:37AM Final Check List CITY OF TEMECULA Page: 1 Bank : union UNION BANK Check # Date Vendor 5103 10/22/2018 007282 AMAZON COM INC, SYNCB/AMAZON 5104 10/09/2018 006887 UNION BANK OF CALIFORNIA 000175 GOVERNMENT FINANCE OFFICERS, ASSOCIATION, GFOA 5105 10/19/2018 006887 UNION BANK OF CALIFORNIA 000175 GOVERNMENT FINANCE OFFICERS, ASSOCIATION, GFOA 000154 CSMFO 000154 CSMFO 006952 PAYPAL 5107 10/19/2018 006887 UNION BANK OF CALIFORNIA 003964 OFFICE DEPOT BUSINESS SVS DIV 018925 FIREHOUSE SUBS 018925 FIREHOUSE SUBS 5108 10/18/2018 000262 RANCHO CALIF WATER DISTRICT 5109 10/18/2018 018858 FRONTIER CALIFORNIA INC 5110 10/12/2018 000537 SO CALIF EDISON 5111 10/12/2018 000537 SO CALIF EDISON 5112 10/12/2018 000537 SO CALIF EDISON 5113 10/12/2018 000537 SO CALIF EDISON 5114 10/12/2018 000537 SO CALIF EDISON Description Amount Paid Check Total CODE ENF:ERGONOMIC EQUIPMENT Code Enf:ergonomic equipment - JH BUDGET PRESENTATION AWARD ENTRY FEE JH BUDGET PRESENTATION AWARD ENTRY FEE JH BUDGET PRESENTATION AWARD ENTRY FEE JH BUDGET PRESENTATION AWARD ENTRY FEE JH VERISIGN PAYFLOW PRO TRANSACTION CD BANNER FOR OPEN HOUSE: FIRE STA 95 CD RFRSHMNTS: TEEN CERTIFICATION CD RFRSHMNTS: TEEN CERTIFICATION SEPT 3005020-28640 PUJOL ST OCT INTERNET SVCS:EOC SEPT 2-35-421-1260 41955 4TH ST SEPT 2-31-031-2590 28301 RANCHO CAL RD SEPT 2-39-737-1063 42061 MAIN ST SEPT 2-36-531-7916 44205 MAIN ST SEPT 2-29-458-7548 32000 RANCHO CAL RD 5115 10/12/2018 000537 SO CALIF EDISON SEPT 2-27-805-3194 42051 MAIN ST 97.83 47.84 210.00 340.00 150.00 150.00 57.60 118.50 428.19 776.08 66,246.78 136.43 15.91 17.76 44.24 107.27 234.75 145.67 210.00 697.60 1,322.77 66,246.78 136.43 15.91 17.76 44.24 107.27 234.75 6,461.16 6,461.16 Page:1 apChkLst Final Check List 10125/2018 9:47:37AM CITY OF TEMECULA Page: 2 Bank : union UNION BANK (Continued) Check # Date Vendor Description Amount Paid Check Total 5116 10/15/2018 000537 SO CALIF EDISON SEPT 2-30-066-2889 30051 RANCHO 24.40 24.40 VISTA 5117 10/15/2018 000537 SO CALIF EDISON SEPT 2-8521 29028 OT FRONT ST 26.05 26.05 5118 10/15/2018 000537 SO CALIF EDISON SEPT 2-36-122-7820 31777 DE 26.81 26.81 PORTOLA RD 5119 10/15/2018 000537 SO CALIF EDISON SEPT 2-25-350-5119 45602 REDHAWK 28.74 28.74 PKWY 5120 10/15/2018 000537 SO CALIF EDISON SEPT 2-40-765-3021 28916 PUJOL ST 53.36 53.36 5121 10/15/2018 000537 SO CALIF EDISON SEPT 2-29-479-2981 31454 TEMECULA 94.28 94.28 PKWY 5122 10/15/2018 000537 SO CALIF EDISON SEPT 2-40-765-3179 28922 PUJOL ST 100.55 100.55 5123 10/15/2018 000537 SO CALIF EDISON SEPT 2-29-974-7899 26953 YNEZ RD 173.31 173.31 5124 10/15/2018 000537 SO CALIF EDISON 5125 10/15/2018 000537 SO CALIF EDISON 5126 10/15/2018 000537 SO CALIF EDISON 5127 10/15/2018 000537 SO CALIF EDISON SEPT 2-10-331-2153 28816 PUJOL ST 1,288.36 1,288.36 SEPT 2-20-798-3248 42081 MAIN ST 2,003.37 2,003.37 SEPT 2-02-351-5281 30875 RANCHO 7.843.73 7,843.73 VISTA RD SEPT 2-05-791-8807 31587 TEMECULA 8,488.92 8,488.92 PKWY 5128 10/15/2018 000537 SO CALIF EDISON SEPT 2-36-171-5626 BUTTERFIELD STG RD 5129 10/15/2018 000537 SO CALIF EDISON SEPT 2-01-202-7330 VARIOUS LOCATIONS 5130 10/23/2018 006887 UNION BANK OF CALIFORNIA 020838 RIVERSIDE CENTRE PARKING ME PARKING: RCA BOARD MTG 10/1 5131 10/23/2018 006887 UNION BANK OF CALIFORNIA 001048 ROSAS CANTINA RESTAURANT PT RFRSHMNTS: INTERVIEW PANEL: CIP 23,785.03 23,785.03 72,307.15 72,307.15 2.00 2.00 46.16 46.16 Page2 apChkLst Final Check List 10125/2018 9:47:37AM CITY OF TEMECULA Page: 3 Bank : union UNION BANK Check # Date Vendor 5132 10/23/2018 006887 UNION BANK OF CALIFORNIA (Continued) Description Amount Paid Check Total 015363 76 TEMECULA FUELS CORP RM FUEL: RESPONSIBLE COMPASSION PRGM 5133 10/23/2018 006887 UNION BANK OF CALIFORNIA 50.00 50.00 000293 STADIUM PIZZA INC RG RFRSHMNTS: JOINT POLICE MTG 139.33 9/12/18 009734 IN -N -OUT BURGERS RG RFRSHMNTS: HOT TEAM MEETING 31.86 171.19 Page:3 apChkLst 10125/2018 9:47:37AM Final Check List CITY OF TEMECULA Page: 4 Bank : union UNION BANK (Continued) Check # Date Vendor 5134 10/23/2018 006887 UNION BANK OF CALIFORNIA 020953 LYFT 007028 AMERICAN AIRLINES 007028 AMERICAN AIRLINES 020953 LYFT 020957 FARMERS MARKET, CHARLOTTE INT'LAIRPORT 001256 MARRIOTT HOTEL 001256 MARRIOTT HOTEL 001256 MARRIOTT HOTEL 020956 BRICK N FIRE PIZZA 013338 APPLE STORE 020419 CHIPOTLE - CORP OFC 020419 CHIPOTLE - CORP OFC 020955 BALTIMORE CONVENTION CENTER 010307 CHICK FILA INC 001256 MARRIOTT HOTEL 001060 HYATT 001256 MARRIOTT HOTEL 019081 DEVILICIOUS EATERY 013703 LAKE ELSINORE VALLEY CHAMBER, OF COMMERCE 017932 MENIFEE VALLEY CHAMBER OF, COMMERCE 015496 SAN DIEGO AIRPORT PARKING 001060 HYATT 001256 MARRIOTT HOTEL 001060 HYATT 008842 JACK IN THE BOX - CORP OFC 001256 MARRIOTT HOTEL 010514 CAMPINI'S ITALIAN DELI Description Amount Paid Check Total AA TRANSPORTATION: ICMA CONF: 9/22-9/26 AA BAGGAGE CHECK: ADAMS, AARON M BAGGAGE CHECK IN: ADAMS, A. AA TRANSPORTATION: ICMA CONF: 9/22-9/26 AA RFRSHMNTS: ICMA CONF: 9/22-9/26 AA RFRSHMNTS: ICMA CONF: 9/22-9/26 AA RFRSHMNTS: ICMA CONF: 9/22-9/26 AA RFRSHMNTS: ICMA CONF: 9/22-9/26 AA RFRSHMNTS: ICMA CONF: 9/22-9/26 AA MEMBERSHIP: ADVERTISING: BEMOLL, B. AA RFRSHMNTS: ICMA CONF: 9/22-9/26 AA RFRSHMNTS: ICMA CONF: 9/22-9/26 AA R F RS H M NTS: ICMA CONF: 9/22-9/26 AA RFRSHMNTS: ICMA CONF: 9/22-9/26 M DEPOSIT LODGING: ICMA CONF: 9/22-9/26 AA LODGING: LOCC CONF: 9/11-9/14 AA LODGING: ICMA CONF: 9/22-9/26 AA RFRSHMNTS: TEAM PACE MTG 10/1 AA REGISTRATION: STATE OF THE CITY AA REGISTRATION: STATE OF THE CITY AA PARKING: ICMA CONF: 9/22-9/26 AA RFRSHMTS: LOCC CONF: 9/11-9/14 AA RFRSHMNTS: ICMA CONF: 9/22-9/26 AA RFRSHMTS: LOCC CONF: 9/11-9/14 AA RFRSHMNTS: ICMA CONF: 9/22-9/26 AA RFRSHMNTS: ICMA CONF: 9/22-9/26 AA RFRSHMNTS: CITYATTNY MTG: 10/09 25.37 25.00 25.00 24.40 24.31 23.14 22.08 22.08 19.08 17.99 12.99 12.72 10.65 8.75 252.95 843.72 791.86 195.74 183.00 225.00 160.00 4.25 3.63 7.75 6.89 4.66 76.35 Page:4 apChkLst Final Check List 10/25/2018 9:47:37AM CITY OF TEMECULA Page: 5 Bank : union UNION BANK (Continued) Check # Date Vendor Description Amount Paid Check Total 001060 HYATT AA LODGING: LOCC CONF: 9/11-9/14 -79.77 001060 HYATT AA LODGING: LOCC CONF: 9/11-9/14 968.15 013703 LAKE ELSINORE VALLEY AA REGISTRATION: STATE OF THE 48.00 CHAMBER, OF COMMERCE CITY 5135 10/23/2018 006887 UNION BANK OF CALIFORNIA 020954 GATEWAY 79 INC., DBA: GB RFRSHMTS: 2018 PIO MEETING 48.88 CHRONIC TACOS 9/17 004811 HEWLETT PACKARD GB LAPTOP FOR ECO DEV 2,369.16 COMPANY, DBA HP INC. 004599 AQUARIUM OF THE PACIFIC GB RFRSHMNTS: LOCC CONFERENCE 4.41 016098 CULTIVATING GOOD INC, DBA GB REFUND: RFRSHMNTS: STARTUP -8.70 E.A.T. MARKETPLACE WEEK 001264 COSTCO TEMECULA 491 GB SUPPLIES: START UP WEEK 142.44 EVENT 016098 CULTIVATING GOOD INC, DBA GB RFRSHMTS: THEATER START UP 102.61 E.A.T. MARKETPLACE WEEK 015354 FACEBOOK.COM GB FACEBOOK PROMOTING CITY 157.15 GOVERNMENT 007987 WALMART GB START UP WEEK SUPPLIES: ECO 217.28 DEV 019592 URBAN CAFE GB RFRSHMNTS: START UP WEEK 179.81 EVENT 020952 TNT TRANSPORT, DBA GB DEPOSIT: RFRSHMTS: SCMC 249.69 CREATIVE CATERING MEETING 11/13 020954 GATEWAY 79 INC., DBA: GB RFRSHMTS: 2018 PIO MEETING 606.76 CHRONIC TACOS 9/17 001060 HYATT GB LODGING: LOCC CONF: 9/12-9/14 601.14 000484 CALIF ASSN FOR LOCAL GB REGISTRATION: CONFERENCE: 495.00 ECONOMIC, DEVELOPMENT DAMKO, C. 020953 LYFT GB TRANSPORTATION: LOCC 8.55 CONFERENCE 3,965.74 015354 FACEBOOK.COM GB FACEBOOK PROMOTING CITY 8.47 5,182.65 GOVERNMENT 5136 10/16/2018 000537 SO CALIF EDISON SEPT 2-30-608-9384 28582 421.45 421.45 HARVESTON DR 5137 10/18/2018 010276 TIME WARNER CABLE OCT INTERNET SVCS 28816 PUJOL ST 586.77 586.77 5138 10/22/2018 010276 TIME WARNER CABLE OCT INTERNET SVCS 28922 PUJOL ST 586.77 586.77 5139 10/22/2018 010276 TIME WARNER CABLE OCT INTERNET SVCS 41845 6TH ST 586.77 586.77 Page:5 apChkLst Final Check List 10125/2018 9:47:37AM CITY OF TEMECULA Page: 6 Bank : union UNION BANK (Continued) Check # Date Vendor Description Amount Paid Check Total 5140 10/22/2018 010276 TIME WARNER CABLE OCT INTERNET SVCS 32380 DEER HOLLOW WAY 5141 10/17/2018 016564 IMPACT TELECOM SEPT 800 SERVICES:CIVIC CENTER 586.77 586.77 57.54 57.54 192059 10/25/2018 001517 AETNA BEHAVIORAL HEALTH NOV EMPLOYEE ASSISTANCE PRGM: 1,408.00 LLC, DBAAETNARESOURCES HR CREDITADJ: DEDUCTING 24 PARTICIPAt -105.60 1,302.40 192060 10/25/2018 004240 AMERICAN FORENSIC NURSES NOV '18 STAND BY FEE: POLICE 1,300.00 AFN PHLEBOTOMY SVCS:TEMECULA POLICE 550.00 PHLEBOTOMY SVCS:TEMECULA POLICE 195.00 2,045.00 192061 10/25/2018 013950 AQUA CHILL OF SAN DIEGO SEP WTR SVCS: POLICE 28.28 28.28 STOREFRONT 192062 10/25/2018 020610 ARAMEXX GROUP INC AUG FALLEN HEROES MEMORIAL: 35,931.66 PW17-07 SEP FALLEN HEROES MEMORIAL: PW17 7,985.79 192063 10/25/2018 011954 BAKER AND TAYLOR INC BOOK COLLECTIONS:LIBRARY 11.67 43,917.45 11.67 192064 10/25/2018 005665 BLACKS TOWING TOWING SVCS: TEMECULA POLICE 815.00 CREDIT: INV# 65092 -REMOVAL OF STOR. -65.00 750.00 192065 10/25/2018 018408 BOB CALLAHAN'S POOL SEP POOUFOUNTAIN MAINT: VARI 1,100.00 SERVICE LOCATIONS OCT POOUFOUNTAIN MAINT: VARI LOCP 1,100.00 SEP POOUFOUNTAIN MAINT: VARI LOCA 950.00 OCT POOUFOUNTAIN MAINT: VARI LOCP 950.00 4,100.00 192066 10/25/2018 010469 BOZONELOS, ROBERT PERFORMANCE AOTW 11/2/18 250.00 250.00 192067 10/25/2018 003138 CAL MAT, DBA VULCAN ASPHALT SUPPLIES: PW STREET 390.51 390.51 MATERIALS CO MAINT 192068 10/25/2018 004248 CALIF DEPT OF SEP FINGERPRINT SVCS:VAR DEPTS 4,340.00 4,340.00 JUSTICE-ACCTING 192069 10/25/2018 004618 CALIF NARCOTIC OFFICERS AVOIDING A CHEMICAL BULLET 11/14 70.00 70.00 ASSN EG/SV 192070 10/25/2018 000152 CALIF PARKS & RECREATION MEMBERSHIP RENEWAL: TURNER, 145.00 145.00 SOC, C P R S CHARISS 192071 10/25/2018 004462 CDW LLC, DBACDW GOVERNMENT LLC MISC SMALL TOOLS & EQUIP:INFO 434.89 TECH MISC SMALL TOOLS & EQUIP:INFO TECI- 225.66 660.55 Page6 apChkLst Final Check List 10/25/2018 9:47:37AM CITY OF TEMECULA Page: 7 Bank : union UNION BANK (Continued) Check # Date Vendor Description Amount Paid Check Total 192072 10/25/2018 000137 CHEVRON AND TEXACO, SEP 18 CITY VEHICLES FUEL: POLICE BUSINESS CARD SERVICES DEPT 2,019.48 2,019.48 192073 10/25/2018 020201 CIRCLE OF SAFE -T INC SART EXAMS:TEMECULA POLICE 1,200.00 SART EXAMS:TEMECULA POLICE 1,200.00 SART EXAMS:TEMECULA POLICE 1,200.00 SART EXAMS:TEMECULA POLICE 300.00 3,900.00 192074 10/25/2018 009905 COMPRISE TECHNOLOGIES SFTWR RENEWAL:TEM LIBRARY 15,100.00 15,100.00 INC 192075 10/25/2018 002945 CONSOLIDATED ELECTRICAL electrical supplies: various park sites 39.15 39.15 DIST 192076 10/25/2018 011922 CORELOGIC INC, DBA SEP PROP ID SFTVVR: CODE 306.50 306.50 CORELOGIC SOLUTIONS ENFORCEMENT 192077 10/25/2018 001264 COSTCO TEMECULA 491 SPECIAL EVENT SUPPLIES: PREV 290.66 290.66 192078 10/25/2018 004329 COSTCO TEMECULA491 SUPPLIES:HIGH HOPES EVENTS 176.39 176.39 192079 10/25/2018 017542 COX, KRISTI LYN TCSD INSTRUCTOR EARNINGS 358.40 TCSD INSTRUCTOR EARNINGS 280.00 TCSD INSTRUCTOR EARNINGS 201.60 TCSD INSTRUCTOR EARNINGS 156.80 TCSD INSTRUCTOR EARNINGS 112.00 1,108.80 192080 10/25/2018 019858 CUB SCOUT PACK 301 REFUND: SEC DEPOSIT -CRC 10/8 200.00 200.00 192081 10/25/2018 020105 CUMBERBATCH, JAMAL TCSD INSTRUCTOR EARNINGS 821.10 821.10 192082 10/25/2018 012600 DAVID EVANS & ASSOCIATES 8/5-9/1 ENG SVCS - PW08-04 9,360.82 9,360.82 INC 192083 10/25/2018 004192 DOWNS ENERGY FUEL FUEL FOR CITY VEHICLES: STREETS MAINT FUEL FOR CITY VEHICLES: PARKS MAIN FUEL FOR CITY VEHICLES: STREETS MF FUEL FOR CITY VEHICLES: TCSD FUEL FOR CITY VEHICLES: BLDG & SAFI FUEL FOR CITY VEHICLES: TRAFFIC DIV FUEL FOR CITY VEHICLES: CODE ENFOI FUEL FOR CITY VEHICLES: POLICE DEP' FUEL FOR CITY VEHICLES: LAND DEV 1,222.18 1,187.30 598.35 503.29 431.72 278.42 218.62 122.83 85.66 4,648.37 Page:7 apChkLst Final Check List 10125/2018 9:47:37AM CITY OF TEMECULA Page: 8 Bank : union UNION BANK (Continued) Check # Date Vendor Description Amount Paid Check Total 192084 10/25/2018 016839 EHS INTERNATIONAL, INC. SAFETY CONSULTANT: RISK MANAGEMENT 875.00 875.00 192085 10/25/2018 018098 ELITE CLAIMS MANAGEMENT NOV 18 3RD PARTY CLAIM ADMIN: 1,250.00 INC WRKRS COM JUL 18 3RD PARTY CLAIM ADMIN: WRKR 1,250.00 192086 10/25/2018 011292 ENVIRONMENTAL SCIENCE JUL ADDENDUM TO EIR: UPTOWN 187.50 ASSOC JEFFERSON 192087 10/25/2018 000164 ESGIL LLC JUL PLAN CHECK SVCS:BLDG & SAFETY SEP PLAN CHECK SVCS:BLDG & SAFET` AUG PLAN CHECK SVCS:BLDG & SAFET 192088 10/25/2018 000165 FEDERAL EXPRESS INC 9/27-10/9 EXP MAIL SVCS: CLERK/FIN/CODE 192089 10/25/2018 002982 FRANCHISE TAX BOARD KRACH, BREE - CASE# 603016103 125,515.24 2,500.00 187.50 41,621.37 25,112.50 192, 249.11 60.94 60.94 23.79 23.79 192090 10/25/2018 018858 FRONTIER CALIFORNIA INC OCT INTERNET SVCS:41000 MAIN ST 4,919.97 OCT INTERNET SVCS:SR CTR, SKATE PF 192091 10/25/2018 016549 GARCIA, DALE O.T.HALLOWEEN WALKING GHOST TOUR 10/27 192092 10/25/2018 013076 GAUDET YVONNE M, DBA YES TCSD INSTRUCTOR EARNINGS YOU CAN DRAW 206.84 5,126.81 300.00 300.00 235.20 235.20 192093 10/25/2018 000177 GLENNIES OFFICE PRODUCTS OFC SUPPLIES: FOC 137.86 INC OFC SUPPLIES -BLDG & SAFETY 66.09 MISC OFC SUPPLIES: ECO DEV 192094 10/25/2018 016552 GONZALES, MARK ALLEN TCSD INSTRUCTOR EARNINGS 192095 10/25/2018 003792 GRAINGER MISC STAGE SUPPLIES: THEATER 192096 10/25/2018 019495 HILLIGUS, CHAD ARTIST PROCUREMENT:TVM 192097 10/25/2018 010766 INLAND VALLEY SYMPHONY PERFORMANCE:SPOOKTACULAR CONCERT 10/28 192098 10/25/2018 000820 K R W &ASSOCIATES ENG PLAN CK & REVIEW: PW 192099 10/25/2018 020259 KAVEH ENGINEERING AND, JUL & AUG CONST OF OVERLAND CONSTRUCTION, INC DR:PW16-06 46.31 250.26 360.00 360.00 196.49 196.49 500.00 500.00 4,000.00 4,000.00 5,460.00 5,460.00 58,565.69 58,565.69 Page:8 apChkLst 10/25/2018 9:47:37AM Final Check List CITY OF TEMECULA Page: 9 Bank : union UNION BANK (Continued) Check # Date Vendor 192100 10/25/2018 020892 KENNEDY COURT REPORTERS INC 192101 10/25/2018 001091 KEYSER MARSTON ASSOCIATES INC 192102 10/25/2018 017118 KRACH BREE B, DBA TEMECULA TROPHY & DES 192103 10/25/2018 020415 KUHN, STUART 192104 10/25/2018 017946 LANDRUM, KAREN 192105 10/25/2018 014772 LOTA, RAYMONDA 192106 10/25/2018 020335 MC HOMES AND INVESTMENTS INC 192107 10/25/2018 018314 MICHAEL BAKER INTERNATIONAL 192108 10/25/2018 005690 MICHELLE'S PLACE WOMENS BREAST, CANCER RESOURCE CENTER 192109 10/25/2018 005690 MICHELLE'S PLACE WOMENS BREAST, CANCER RESOURCE CENTER 192110 10/25/2018 005690 MICHELLE'S PLACE WOMENS BREAST, CANCER RESOURCE CENTER 192111 10/25/2018 020816 MIDWAY PARTNERS LLC, DBA FANTAIL CAFE 192112 10/25/2018 012264 MIRANDA, JULIO C 192113 10/25/2018 016445 MKB PRINTING & PROMOTIONAL INC, DBA MINUTEMAN PRESS Description Amount Paid Check Total COURT REPORTER SVCS: CODE ENFORCEMENT SEP REAL ESTATE CONSULT:AFFORDABLE HOUSI SEP REAL ESTATE, HOUSING, ECO CON PROMO ITEMS: HOMELESS OUTREACH CREDIT: TAX WITHHOLDING CASE 60301 REIMB: WORK UNIFORM TCSD INSTRUCTOR EARNINGS PHOTO BOOTH RENTAL - FAMILY CARNIVAL REFUND: SEC DEPOSIT -TCC 10/13 ENG SUPPORT SVCS: PW04-08 6/4-9/30 DSGN SVCS: PECHANGA PKWY REGISTRATION: EDWARDS 10/25/18 REGISTRATION: LOWREY 10/25/18 REGISTRATION: SCHWANK 10/25/18 EXCURSION RFRSHMNTS: TVM 11/8 TCSD INSTRUCTOR EARNINGS TCSD INSTRUCTOR EARNINGS TCSD INSTRUCTOR EARNINGS Business cards: Brandi Bemoll 192114 10/25/2018 020959 MOBILITIE REFUND:PA17-0242 CUP CANCELLED 243.95 2,318.75 1,947.50 95.16 -23.79 113.13 665.00 698.00 200.00 5,232.00 377.73 50.00 50.00 50.00 105.00 842.10 436.80 302.40 37.52 243.95 4,266.25 71.37 113.13 665.00 698.00 200.00 5,609.73 50.00 50.00 50.00 105.00 1,581.30 37.52 847.20 847.20 Page9 apChkLst 10/25/2018 9:47:37AM Final Check List CITY OF TEMECULA Page: 10 Bank : union UNION BANK (Continued) Check # Date Vendor 192115 10/25/2018 004040 MORAMARCO, ANTHONY J, DBA BIGFOOT GRAPHICS 192116 10/25/2018 015164 NATURES IMAGE INC 192117 10/25/2018 008820 NEIGHBORS NEWSPAPER, AKA DIANE SIMONES 192118 10/25/2018 010167 ODYSSEY POWER CORPORATION 192119 10/25/2018 020472 PARKING LOGIX INC 192120 10/25/2018 000249 PETTY CASH 192121 10/25/2018 011549 POWER SPORTS UNLIMITED, DBA BMW MOTORCYCLES OF NO 192122 10/25/2018 014354 PROQUEST, LLC 192123 10/25/2018 020127 QUINN COMPANY 192124 10/25/2018 001364 R C P BLOCK & BRICK INC 192125 10/25/2018 000353 RIVERSIDE CO AUDITOR, CONTROLLER 192126 10/25/2018 000406 RIVERSIDE CO SHERIFFS DEPT 192127 10/25/2018 000406 RIVERSIDE CO SHERIFFS DEPT 192128 10/25/2018 012251 ROTH, DONALD J 192129 10/25/2018 000278 SAN DIEGO UNION -TRIBUNE Description Amount Paid Check Total TCSD INSTRUCTOR EARNINGS AUG PECHANGA PKWY ENV MITIGATION:PW11-01 SEP PECHANGA PKWY ENV MITIGATION ADVERTISING: TEMECULA PRESENTS DATA ROOM/UPS REPAIRS:CIVIC CENTER PRKG MGMT SYS-O.T. PRKG STRUCTURE PETTY CASH:'18 HALLOWEEN CARNIVAL VEH MAINT & REPAIR:POLICE 8/1/18-7/31/19 SOFTWARE RENEWAL:LIBRARY INSPECTION SRVC: STN 84 10/9 MASONRY SUPPLIES:VAR PARKS SEPT '18 PRKG CITATION ASSESSMENTS 8/16-9/12/18 LAW ENFORCEMENT EXTRA DUTY YOUTH COURT 7/12 & 8/9 TCSD INSTRUCTOR EARNINGS TCSD INSTRUCTOR EARNINGS AUG PUBLIC NTCS:CITY CLERK/PLNG/PW 192130 10/25/2018 017699 SARNOWSKI SHAWNA M PHOTOGRAPHY:FIRST FRIDAY OCT '18 PRESTON 126.00 400.26 400.26 250.00 1,473.23 12,150.00 1,500.00 726.86 1,095.00 634.17 140.62 2,248.50 2,411, 656.24 374.54 378.00 315.00 1,729.96 126.00 800.52 250.00 1,473.23 12,150.00 1,500.00 726.86 1,095.00 634.17 140.62 2,248.50 2,411, 656.24 374.54 693.00 1,72996 150.00 150.00 Page:10 apChkLst Final Check List 10125/2018 9:47:37AM CITY OF TEMECULA Page: 11 Bank : union UNION BANK (Continued) Check # Date Vendor Description Amount Paid Check Total 192131 10/25/2018 009746 SIGNS BY TOMORROW ADA SIGN:CIVIC CENTER 192132 10/25/2018 000519 SOUTH COUNTY PEST CONTROL INC 192133 10/25/2018 000293 STADIUM PIZZA INC 192134 10/25/2018 006145 STENO SOLUTIONS TRANSCRIPTION, SRVCS INC 200.85 200.85 PEST CONTROL SRVCS:VINATGE 470.00 HILLS 9/25 PEST CONTROL SRVCS:HARVESTON LA 94.00 PEST CONTROL SRVCS:PBSP 70.00 PEST CONTROL SRVCS:WOLF CREEK Pi 49.00 PEST CONTROL. SRVCS:OTC 48.00 PEST CONTROL SRVCS:STA 92 42.00 SEPT PEST CONTROL SRVCS:CITY FACI 822.00 1,595.00 REFRESHMENTS:HUMAN SERVICES 207.93 207.93 10/10 SEPT TRANSCRIPTION SRVCS:POLICE 425.52 425.52 192135 10/25/2018 020446 SURERIDE CHARTER INC, DBA TRANSPORTATION:MPSC SR SUN DIEGO CHARTER EXCURSION 8/15/18 192136 10/25/2018 013387 SWEEPING UNLIMITED INC OCT SWEEPING SRVCS:PRKG STRUCTURE 192137 10/25/2018 003599 T Y LIN INTERNATIONAL 7/1-8/24 SRVCS:F.V.PKWY/I15 PH II, 16-01 192138 10/25/2018 004209 TEMECULA SUNRISE ROTARY, OCT -DEC BUS BENCH PLACEMENT & FOUNDATION MAINT 1,078.50 1,078.50 540.00 540.00 136,404.80 136,404.80 2,233.75 2,233.75 192139 10/25/2018 017415 THYSSENKRUPP ELEVATOR ELEVATOR FIRE TEST:O.T. PRKG 141.50 CORP STRUCTURE9 ELEVATOR FIRE TEST:MAINT FAC 9/26 141.50 192140 10/25/2018 000668 TIMMY D PRODUCTIONS INC DJ SRVCS:TEEN MUSIC FESTIVAL 650.00 10/20 192141 10/25/2018 010046 TV CONVENTION &VISITORS AUG '18 BUS. IMPRV DISTRICT BUREAU, DBA VISIT TEMECULA ASMNTS VALLEY 283.00 650.00 143,129.98 143,129.98 192142 10/25/2018 017579 U S HEALTHWORKS MEDICAL, MEDICAL SCREENINGS:HR/ECON DEV 251.00 GROUP PC MEDICALSCREENINGS:HR 89.00 340.00 192143 10/25/2018 002110 UNITED RENTALS NORTH EQUIPMENT RENTAL: LIBRARY 53.29 53.29 AMERICA 192144 10/25/2018 008977 VALLEY EVENTS, INC. FACE PAINTING:AOTW 11/2 250.00 250.00 Page:11 apChkLst Final Check List 10125/2018 9:47:37AM CITY OF TEMECULA Page: 12 Bank : union UNION BANK (Continued) Check # Date Vendor Description Amount Paid Check Total 192145 10/25/2018 008977 VALLEY EVENTS, INC. FACE PAINTING:S.K.I.P PGRM 10/10/18 192146 10/25/2018 014850 VALLEY PRINTING SERVICES, PRINTING OF POSTCARDS:CITY INC. CLERK 192147 10/25/2018 016094 VAVRINEK, TRINE, DAY & CO CITY FINANCIAL STATEMENT AUDIT LLP 192148 10/25/2018 007511 VLAHOS, CHRIS REIMB: CASQA CONF: 10/15-10/17 192149 10/25/2018 019375 WARD, ROSANNE REIMB: '18 CALPERS SEMINAR: WARD, R. 192150 10/25/2018 020960 WAROFF, STEVEN REIMB: BUREAU OF GAMBLING CONTROL COURSE 192151 10/25/2018 020670 WEBB MUNICIPAL FINANCE ADMIN SRVCS:WEEDABATEMENT 913.50 913.50 LLC 192152 10/25/2018 020958 WILLIAMS, LAUREN REFUND:SMARTPAY LIBRARY 35.75 35.75 195.00 195.00 4,030.29 4,030.29 18,575.00 18,575.00 199.69 199.69 451.15 451.15 62.94 62.94 192153 10/25/2018 004567 WITCHER ELECTRIC, AKA ELECTRICAL REPAIRS:VAR. PARKS 3,000.00 TERRENCE KEVIN WITCHE ELECTRICAL REPAIRS:RANCHO CALIF R 1,180.00 4,180.00 Grand total for UNION BANK: 3,337,374.16 Page:12 apChkLst Final Check List 1012512018 9:47:37AM CITY OF TEMECULA Page: 13 133 checks in this report. Grand Total All Checks. 3, 337, 374.16 Page:13 Item No. 4 Approvals City Attorney Director of Finance City Manager CITY OF TEMECULA AGENDA REPORT TO: City Manager/City Council FROM: Jennifer Hennessy, Director of Finance DATE: November 13, 2018 SUBJECT: Approve the City Treasurer's Report as of September 30, 2018 PREPARED BY: Rudy J. Graciano, Fiscal Services Manager RECOMMENDATION: That the City Council approve and file the City Treasurer's Report as of September 30, 2018. BACKGROUND: Government Code Sections 53646 and 41004 require reports to the City Council regarding the City's investment portfolio, receipts. and disbursements respectively. Adequate funds will be available to meet budgeted and actual expenditures of the City for the next six months. Current market values are derived from the Local Agency Investment Fund (LAIF) reports. Union Bank of California trust and custody statements, and from US Bank trust statements. Attached is the City Treasurer's Report that provides this information. The City's investment portfolio is in compliance with the statement of investment policy and Government Code Sections 53601 and 53635 as of September 30, 2018. FISCAL IMPACT: None ATTACHMENTS: City Treasurer's Report as of September 30, 2018 Investments Managed Pool Accounts Retention Escrow Account Letter of Credit Trust Accounts Local Agency Investment Funds Federal Agency Callable Securities Federal Agency Bullet Securities Investments Portfolio Managment Treasury Report Portfolio Management Portfolio Summary September 30, 2018 City of Temecula 41000 Main Street P.O. Box 9033 Temecula, CA 92590 (951)694-6430 Par Market Book % of Days to YTM YTM Value Value Value Portfolio Term Maturity 360 Equiv. 365 Equiv. 43,334,515.24 43,334,515.24 43,334,515.24 36.47 1 1 1.969 1.997 1,395,623.17 1,395,623.17 1,395,623.17 1.17 1 1 0.163 0.165 2.00 2.00 2.00 0.00 1 1 0.000 0.000 8,094,202.18 8,094,202.18 8,094,202.18 6.81 1 1 2.308 2.340 30,988,999.58 30,921,827.95 30,988,999.58 26.08 1 1 2.035 2.063 25,000,000.00 24,592,990.00 25,000,000.00 21.04 1,312 691 1.697 1.720 10,000,000.00 9,907,330.00 10,000,000.00 8.42 997 422 1.712 1.735 118,813,342.17 118,246,490.54 118,813,342.17 100.00% 361 182 1.909 1.936 Cash Passbook/Checking (not included in yield calculations) Total Cash and Investments 8,031,688.74 8,031,688.74 8,031,688.74 1 1 0.000 0.000 126,845,030.91 126,278,179.28 126,845,030.91 361 182 1.909 1.936 Total Earnings September 30 Month Ending Fiscal Year To Date Current Year Average Daily Balance Effective Rate of Return 183,012.45 131,046,361.37 1.70% Reporting period 09/01/2018-09/30/2018 Data Updated: SET_MTH: 10/25/2018 12:11 Run Date: 10/25/2018 - 12:11 540,644.95 123,406,797.57 1.74% Portfolio TEME NL! CP PM (PRF_PM1) 7.3.0 Report Ver. 7.3.6.1 CUSIP Investment Managed Pool Accounts 233358001-6 233358006-6 233358000-6 276213009-6 276213008-6 276213006-6 164741002-6 164741008-6 164741006-6 164741000-6 164742002-6 164742000-6 229462007-6 229462002--6 229462009-6 229462006-6 229462000-6 94669921-6 94669911-6 94669917-6 94669916-6 94669000-6 276213002-6 276213000-6 94686001-6 94686005-6 94686000-6 94686006-6 276213022-6 276213023-6 276213029-6 276213028-6 276213026.6 276213020-6 218848001-6 218848008-6 Issuer 01-2 BOND F First Amer Govt Oblig Fund CI 01-2 REF RES First Amer Govt Oblig Fund CI 01-2 REF ST First Amer Govt Oblig Fund CI 03-02 COI First Amer Govt Oblig Fund CI 03-02 IMPR First Amer Govt Oblig Fund CI 03-02 RES First Amer Govt Oblig Fund CI 03-03 BOND F First Amer Govt Oblig Fund CI 03-03IMP First Amer Govt Oblig Fund CI 03-03RES First Amer Govt Oblig Fund CI 03-03SPEC First Amer Govt Oblig Fund CI 03-06 BOND F First Amer Govt Oblig Fund CI 03-06SPEC First Amer Govt Oblig Fund CI 03-1 2012 RF First Amer Govt Oblig Fund CI 03-1 BOND FD First Amer Govt Oblig Fund CI 03-1 COI First Amer Govt Oblig Fund CI 03-1 RESERV First Amer Govt Oblig Fund CI 03-1 SPECF First Amer Govt Oblig Fund CI 03-1ACQ11 First Amer Govt Oblig Fund CI 03-1ACQA11 First Amer Govt Oblig Fund CI 03-1 RES First Amer Govt Oblig Fund CI 03-1 RESB11 First Amer Govt Oblig Fund CI 03-1SPTAX11 First Amer Govt Oblig Fund CI 03-2 REFU First Amer Govt Oblig Fund CI 03-2 SPEC First Amer Govt Oblig Fund CI 03-4ADMIN11 First Amer Govt Oblig Fund CI 03-4PREP11 First Amer Govt Oblig Fund CI 03-4RED11 First Amer Govt Oblig Fund CI 03.4RES11 First Amer Govt Oblig Fund CI 16-01 BOND F First Amer Govt Oblig Fund CI 16-01 CAPINT First Amer Govt Oblig Fund CI 16-01 COI First Amer Govt Oblig Fund CI 16-01 IMP First Amer Govt Oblig Fund CI 16-01 RESERV First Amer Govt Oblig Fund CI 16-01 SPECF First Amer Govt Oblig Fund CI 2017A&B INT First Amer Govt Oblig Fund CI 2017ABPRIORP First Amer Govt Oblig Fund CI Data Updated: SET_MTH: 10/25/2018 12:11 Run Date: 10/25/2018 - 12:11 Portfolio Managment Treasury Report Portfolio Management Portfolio Details - Investments September 30, 2018 Page 1 Average Purchase Stated YTM YTM Days to Maturity Balance Date Pr Value Market Value Book Value Rale 380 385 Maturity Date 8,280.62 8,280.62 8,280.62 1.950 1.923 1.950 1 503, 931.95 503, 931.95 503, 931.95 1.950 1.923 1.950 1 85, 503.18 85, 503.18 85, 503.18 1.950 1.923 1.950 1 07/01/2018 0.00 0.00 0.00 0.000 0.000 1 599,870.67 599,870.67 599,870.67 1.950 1.923 1.950 1 743,656.91 743, 656.91 743, 656.91 1.950 1.923 1.950 1 0.03 0.03 0.03 1.800 1.775 1.800 1 270,172.14 270,172.14 270,172.14 1.950 1.923 1.950 1 396.63 396.63 396.63 1.950 1.923 1.950 1 206,946.44 206,946.44 206,946.44 1.950 1.923 1.950 1 0.00 0.00 0.00 1.630 1.608 1.630 1 18, 372.90 18, 372.90 18, 372.90 1.950 1.923 1.950 1 41.94 41.94 41.94 1.950 1.923 1.950 1 7,189.01 7,189.01 7,189.01 1.950 1.923 1.950 1 0.00 0.00 0.00 0.000 0.000 1 4,270.10 4,270.10 4,270.10 1.950 1.923 1.950 1 95, 662.97 95, 662.97 95, 662.97 1.950 1.923 1.950 1 0.00 0.00 0.00 0.870 0.858 0.870 1 07/01/2018 0.00 0.00 0.00 0.000 0.000 1 07/01/2018 0.00 0.00 0.00 0.000 0.000 1 0.00 0.00 0.00 0.000 0.000 1 0.00 0.00 0.00 0.000 0.000 1 7,748.30 7,748.30 7,748.30 1.950 1.923 1.950 1 49,842.77 49,842.77 49,842,77 1.950 1.923 1.950 1 517.67 517.67 517.67 1.950 1.923 1.950 1 13.24 13.24 13.24 1.960 1.933 1.960 1 59, 959.81 59, 959.81 59, 959.81 1.950 1.923 1.950 1 34,051.97 34,051.97 34,051.97 1.950 1.923 1.950 1 39,655.63 39,655.63 39,655.63 1.950 1.923 1.950 1 0.00 0.00 0.00 0.870 0.858 0.870 1 07/01/2018 0.00 0.00 0.00 0.000 0.000 1 6, 517, 305.18 6, 517, 305.18 6, 517, 305.18 1.950 1.923 1.950 1 3,157,887.04 3,157,887.04 3,157,887.04 1.950 1.923 1.950 1 124, 4 30.42 124, 430.42 124, 4 30.42 1.950 1.923 1.950 1 07/09/2018 16, 795.89 16, 795.89 16, 795.89 1.950 1.923 1.950 1 205,130.71 205,130.71 205,130.71 1.950 1,923 1.950 1 Portfolio TEME NL! CP PM (PRF_PM2) 7.3.0 Report Ver. 7.3.6.1 CUSIP Investment * Issuer Portfolio Managment Treasury Report Portfolio Management Portfolio Details - Investments September 30, 2018 Average Balance Purchase Date Stated YTM Par Value Market Value Book Value Rete 360 Page 2 YTM Days to Maturity 385 Maturity Date Managed Pool Accounts 218848013-2 218848000-6 218848009-6 233358009-6 94434160-6 94434161-6 107886000-6 107886001-6 107886010-6 107886011-6 107886016-6 107886020-6 107886021-6 107886028-6 107886026-6 136343008-6 136343018-6 136343000-6 136343001-6 136343006-6 146161000-6 146161001-6 94669902-3 94434160-1 94434161-2 136343018-2 146161008-3 146161006-3 94669921-5 94669911-5 94669917-5 94669906-5 94669916-5 94669000-5 164742006-5 164742000-5 2017B COI 2017B DS 2017B_PROJ 233358009-6 RDA-02INT RDA-02PRIN RDA-06AINT RDA06APRIN RDA06BINT RDA06BPRIN RDA06BRES RDA07INT RDA07PRIN RDA07PROJ RDA07RES RDA10APROJ RDA10BPROJ RDA1OINT RDA1OPRIN RDA1ORSRV RDA11AINT RDA11APRIN 03-1 BOND3 RDA 02 INT1 RDA 02 PRIN2 RDA 10B CIP2 RDA11APROJ RDA11ARSRV 03-01 ACQ11 03-01 ACQA11 03-01 RES 03-01 RESA11 03-01 RESB11 03-01 SPTAX11 03-06 RES 03-06 SPEC First Amer Govt Oblig Fund CI First Amer Govt Oblig Fund CI First Amer Govt Oblig Fund CI First Amer Govt Oblig Fund CI First Amer Govt Oblig Fund CI First Amer Govt Oblig Fund CI First Amer Govt Oblig Fund CI First Amer Govt Oblig Fund CI First Amer Govt Oblig Fund CI First Amer Govt Oblig Fund CI First Amer Govt Oblig Fund CI First Amer Govt Oblig Fund CI First Amer Govt Oblig Fund CI First Amer Govt Oblig Fund CI First Amer Govt Oblig Fund CI First Amer Govt Oblig Fund CI First Amer Govt Oblig Fund CI First Amer Govt Oblig Fund CI First Amer Govt Oblig Fund CI First Amer Govt Oblig Fund CI First Amer Govt Oblig Fund CI First Amer Govt Oblig Fund CI First American Treasury First American Treasury First American Treasury First American Treasury Federated Institutional Tax Fr Federated Institutional Tax Fr Federated Tax Free Obligations Federated Tax Free Obligations Federated Tax Free Obligations Federated Tax Free Obligations Federated Tax Free Obligations Federated Tax Free Obligations Federated Tax Free Obligations Federated Tax Free Obligations Data Updated: SET_MTH: 10/25/2018 12:11 Run Date: 10/25/2018 - 12:11 0.00 0.00 0.00 0.000 0.000 6,440.53 6,440.53 6,440.53 1.950 1.923 1.950 12, 719, 846.65 12, 719, 846.65 12, 719, 846.65 1.950 1.923 1.950 07/01/2018 0.00 0.00 0.00 0.000 0.000 0.00 0.00 0.00 0.000 0.000 0.00 0.00 0.00 0.000 0.000 0.00 0.00 0.00 0.000 0.000 0.00 0.00 0.00 0.000 0.000 0.00 0.00 0.00 0.000 0.000 0.00 0.00 0.00 0.680 0.671 0.680 0.00 0.00 0.00 0.940 0.927 0.940 0.00 0.00 0.00 0.000 0.000 0.00 0.00 0.00 0.930 0.917 0.930 0.00 0.00 0.00 0.940 0.927 0.940 0.00 0.00 0.00 0.940 0.927 0.940 0.00 0.00 0.00 0.000 0.000 0.00 0.00 0.00 0.000 0.000 0.00 0.00 0.00 0.000 0.000 07/01/2018 0.00 0.00 0.00 0.000 0.000 07/01/2018 0.03 0.03 0.03 0.000 0.000 0.00 0.00 0.00 0.000 0.000 0.00 0.00 0.00 0.000 0.000 07/01/2018 0.00 0.00 0.00 0.000 0.000 0.00 0.00 0.00 0.010 0.010 0.010 0.00 0.00 0.00 0.010 0.010 0.010 0.00 0.00 0.00 0.010 0.010 0.010 0.00 0.00 0.00 0.800 0.789 0.800 07/01/2018 0.00 0.00 0.00 0.000 0.000 0.00 0.00 0.00 0.250 0.247 0.250 0.00 0.00 0.00 0.250 0.247 0.250 07/01/2018 0.00 0.00 0.00 0.000 0.000 0.00 0.00 0.00 0.001 0.001 0.001 0.00 0.00 0.00 0.250 0.247 0.250 0.00 0.00 0.00 0.250 0.247 0.250 07/01/2018 0.00 0.00 0.00 0.000 0.000 0.00 0.00 0.00 0.250 0.247 0.250 Portfolio TEME NL! CP PM (PRF_PM2) 7.3.0 CUSIP Investment 9 Issuer Portfolio Managment Treasury Report Portfolio Management Portfolio Details - Investments September 30, 2018 Average Balance Purchase Date Page 3 Stated YTM YTM Days to Maturity Par Value Market Value Book Value Rae 380 385 Maturity Date Managed Pool Accounts 94669902-5 94686001-5 94686005-5 94686006-5 94669917-1 276213008-1 164742006-1 229462007-1 94669911-1 94669921-1 744727011-1 164741006-1 107886028-1 107886026-1 136343018-1 229462020-0 233358050-1 03-1 bond fd 03-4 ADMIN11 03-4 PREP11 03-4 RES11 03-01-1 RES 03-02 IMP 03-06 RES -1 03-1 2012 RE 03-1 ACQ A2 03-1 ACQ B2 03-3 ACQ 2 0303-1 RES RDA 07 PRO -1 RDA 07 RES -1 RDA 10B CIP1 03-01 CASH 01-2 SPECESC Federated Tax Free Obligations Federated Tax Free Obligations Federated Tax Free Obligations Federated Tax Free Obligations CA Local Agency Investment Fun CA Local Agency Investment Fun CA Local Agency Investment Fun CA Local Agency Investment Fun CA Local Agency Investment Fun CA Local Agency Investment Fun CA Local Agency Investment Fun CA Local Agency Investment Fun CA Local Agency Investment Fun CA Local Agency Investment Fun CA Local Agency Investment Fun USBANK U.S. Treasury Subtotal and Average 43,879,598.81 07/01/2018 0.00 0.00 0.00 0.000 0.000 1 0.00 0.00 0.00 0.250 0.247 0.250 1 07/01/2018 0.00 0.00 0.00 0.000 0.000 1 0.00 0.00 0.00 0.250 0.247 0.250 1 0.00 0.00 0.00 2.063 2.035 2.063 1 15,278,360.50 15,278,360.50 15,278,360.50 2.063 2.035 2.063 1 316,156.60 316,156.60 316,156.60 2.063 2.035 2.063 1 790,391.53 790,391.53 790,391.53 2.063 2.035 2.063 1 0.00 0.00 0.00 2.063 2.035 2.063 1 0.00 0.00 0.00 2.063 2.035 2.063 1 0.00 0.00 0.00 2.063 2.035 2.063 1 1,465,065.59 1,465,065.59 1,465,065.59 2.063 2.035 2.063 1 0.00 0.00 0.00 2.063 2.035 2.063 1 0.00 0.00 0.00 2.063 2.035 2.063 1 0.00 0.00 0.00 2.063 2.035 2.063 1 619.69 619.69 619.69 0.000 0.000 1 0.00 0.00 0.00 0.360 0.355 0.360 1 43,334,515.24 43,334.515.24 43,334,515.24 1.989 1.997 1 Retention Escrow Account NOBEL COMPANY Nobel Comp ARMY CORPS Army Corps 218848050-0 2002 ESCROW 218848060-0 2006AESCRO 218848070-0 2006BESCRO 218848080-0 2007ESCROW 229462020-2 03-01 ESCROW Banner Bank Union Bank USBANK USBANK USBANK USBANK U.S. Treasury Subtotal and Average 1,398,910.32 07/01/2018 07/01/2018 07/01/2018 07/01/2018 0.00 602,248.68 0.00 0.00 0.00 0.00 793,374.49 0.00 602,248.68 0.00 0.00 0.00 0.00 793, 374.49 1,395,623.17 1,395,823.17 0.00 602,248.68 0.00 0.00 0.00 0.00 793, 374.49 1,395,823.17 0.370 0.365 0.370 1 0.300 0.296 0.300 1 0.000 0.000 1 0.000 0.000 1 0.000 0.000 1 0.000 0.000 1 0.063 0.062 0.063 1 0.183 0.185 1 Letter of Credit 218848006-1 233358006-1 2017B RESER ASSURED GUARANTY MUNICIPAL COR 07/01/2018 01-2 REFRESI ASSURANCE CO BOND INSURANCE 07/01/2018 Subtotal and Average Data Updated: SET_MTH: 10/25/2018 12:11 Run Date: 10/25/2018 - 12:11 1.00 1.00 2.00 2.00 1.00 1.00 1.00 1.00 0.000 0.000 1 0.000 0.000 1 2.00 2.00 0.000 0.000 1 Portfolio TEME NL! CP PM (PRF _PM2) 7.3.0 CUSIP Investment 0 Issuer Trust Accounts 6746058700 PARS Pension US Bank Trust Subtotal and Average 8,107,185.34 Portfolio Managment Treasury Report Portfolio Management Portfolio Details - Investments September 30, 2018 Average Purchase Balance Date Pr Value 8,094,202.18 8,094,202.18 Page 4 Stated YTM YTM Days to Maturity Market Value Book Value Rate 380 385 Maturity Dat 8,094,202.18 8,094,202.18 2.340 2.308 2.340 1 8,094,202.18 8,094,202.18 2.308 2.340 1 Local Agency Investment Funds SYSCITY CITY CA Local Agency Investment Fun 15,718,422.97 15,684,351.78 15,718,422.97 2.063 2.035 2.063 1 SYSRDA RDA CA Local Agency Investment Fun 1,798.43 1,794.53 1,798.43 2.063 2.035 2.063 1 SYSTCSD TCSD CA Local Agency Investment Fun 15,268,778.18 15,235,681.64 15,268,778.18 2.063 2.035 2.063 1 Subtotal and Average 30,472,332.91 30,988,999.58 30,921,827.95 30,988,999.58 2.035 2.083 1 Federal Agency Callable Securities 3130A4G89 01207 Federal Home Loan Bank 03/24/2015 1,000,000.00 990,000.00 1,000,000.00 1.650 1.627 1.650 358 09/24/2019 3130AAME5 01226 Federal Home Loan Bank 01/30/2017 1,000,000.00 967,270.00 1,000,000.00 2.020 1.948 1.975 1,212 01/25/2022 3130AANA2 01227 Federal Home Loan Bank 01/30/2017 1,000,000.00 980,810.00 1,000,000.00 1.750 1.726 1.750 668 07/30/2020 3130AAW38 01228 Federal Home Loan Bank 03/22/2017 1,000,000.00 993,870.00 1,000,000.00 1.500 1.479 1.500 1,268 03/22/2022 3130AB3N4 01231 Federal Home Loan Bank 04/28/2017 1,000,000.00 987,240.00 1,000,000.00 1.550 1.529 1.550 393 10/29/2019 3130ABYY6 01235 Federal Home Loan Bank 08/24/2017 1,000,000.00 973,890.00 1,000,000.00 1.750 1.726 1.750 877 02/24/2021 3130ACN83 01238 Federal Home Loan Bank 10/30/2017 1,000,000.00 982,410.00 1,000,000.00 1.700 1.677 1.700 592 05/15/2020 3130ADFV9 01241 Federal Home Loan Bank 01/29/2018 1,000,000.00 985,590.00 1,000,000.00 2.250 2.219 2.250 851 01/29/2021 3134G8QB8 01219 Federal Home Loan Mtg Corp 03/29/2016 1,000,000.00 994,380.00 1,000,000.00 1.270 1.253 1.270 179 03/29/2019 3134G8PP8 01220 Federal Home Loan Mtg Corp 03/30/2016 1,000,000.00 973,750.00 1,000,000.00 1.500 1.661 1.684 730 09/30/2020 3134GAXX7 01224 Federal Home Loan Mtg Corp 11/30/2016 1,000,000.00 997,990.00 1,000,000.00 1.000 0.986 1.000 60 11/30/2018 3134GBAB8 01229 Federal Home Loan Mtg Corp 03/27/2017 1,000,000.00 983,850.00 1,000,000.00 1.670 1.647 1.670 543 03/27/2020 3134GBGZ9 01232 Federal Home Loan Mtg Corp 04/27/2017 1,000,000.00 969,790.00 1,000,000.00 2.000 1.964 1.991 1,214 01/27/2022 3134GBNK4 01234 Federal Home Loan Mtg Corp 05/30/2017 1,000,000.00 981,520.00 1,000,000.00 1.625 1.603 1.625 606 05/29/2020 3134GBL42 01237 Federal Home Loan Mtg Corp 09/28/2017 1,000,000.00 977,070.00 1,000,000.00 1.670 1.647 1.670 728 09/28/2020 3134GBR95 01239 Federal Home Loan Mtg Corp 10/30/2017 1,000,000.00 988,580.00 1,000,000.00 1.625 1.603 1.625 394 10/30/2019 3134GSGF6 01242 Federal Home Loan Mtg Corp 03/15/2018 1,000,000.00 987,530.00 1,000,000.00 2.625 2.589 2.625 1,080 09/15/2021 3134GSMF9 01246 Federal Home Loan Mtg Corp 05/30/2018 1,000,000.00 988,890.00 1,000,000.00 3.000 2.959 3.000 1,698 05/26/2023 3136G2EC7 01205 Federal National Mtg Assn 02/27/2015 1,000,000.00 995,970.00 1,000,000.00 1.300 1.282 1.300 149 02/27/2019 3136G2WT0 01216 Federal National Mtg Assn 01/27/2016 1,000,000.00 983,480.00 1,000,000.00 1.450 1.430 1.450 483 01/27/2020 3136G2XH5 01217 Federal National Mtg Assn 02/24/2016 1,000,000.00 981,670.00 1,000,000.00 1.400 1.381 1.400 511 02/24/2020 3136G3CL7 01218 Federal National Mtg Assn 03/24/2016 1,000,000.00 973,540.00 1,000,000.00 1.420 1.401 1.420 724 09/24/2020 3136G3TE5 01221 Federal National Mtg Assn 06/29/2016 1,000,000.00 974,200.00 1,000,000.00 1.250 1.233 1.250 637 06/29/2020 3136G3X59 01222 Federal National Mtg Assn 08/23/2016 1,000,000.00 986,770.00 1,000,000.00 1.100 1.085 1.100 326 08/23/2019 3136G4ST1 01247 Federal National Mtg Assn 06/28/2018 1,000,000.00 992,930.00 1,000,000.00 2.800 2.762 2.800 1,001 06/28/2021 Data Updated: SET_MTH: 10/25/2018 12:11 Run Date: 10/25/2018 - 12:11 Portfolio TEME NL! CP PM (PRF_PM2) 7.3.0 CUSIP Portfolio Managment Treasury Report Portfolio Management Portfolio Details - Investments September 30, 2018 Page 5 Average Purchase Stated YTM YTM Days to Maturity Investment # Issuer Balance Date Par Value Market Value Book Value Rate 360 365 Maturity Date Subtotal and Average 25,000,000.00 25,000,000.00 24,592,990.00 25,000,000.00 1.697 1.720 691 Federal Agency Bullet Securities 3133EEHU7 01202 Federal Farm Credit Bank 01/14/2015 1,000,000.00 997,380.00 1,000,000.00 1.410 1.391 1.410 105 01/14/2019 3133EGJ30 01225 Federal Farm Credit Bank 11/18/2016 1,000,000.00 982,780.00 1,000,000.00 1.100 1.085 1.100 413 11/18/2019 3130A5MH9 01211 Federal Home Loan Bank 06/26/2015 1,000,000.00 997,930.00 1,000,000.00 1.360 1.341 1.360 86 12/26/2018 3130A8ZV8 01223 Federal Home Loan Bank 08/23/2016 1,000,000.00 985,920.00 1,000,000.00 1.000 0.986 1.000 326 08/23/2019 3130ABDX1 01233 Federal Home Loan Bank 05/24/2017 1,000,000.00 992,960.00 1,000,000.00 1.400 1.381 1.400 235 05/24/2019 3130AC3F9 01236 Federal Home Loan Bank 08/10/2017 1,000,000.00 989,260.00 1,000,000.00 1.420 1.853 1.878 331 08/28/2019 3130ADEB4 01240 Federal Home Loan Bank 01/12/2018 1,000,000.00 983,410.00 1,000,000.00 2.125 2.096 2.125 834 01/12/2021 3130ADR79 01243 Federal Home Loan Bank 03/20/2018 1,000,000.00 992,980.00 1,000,000.00 2.300 2.268 2.300 536 03/20/2020 3130ADSJ2 01244 Federal Home Loan Bank 03/08/2018 1,000,000.00 990,050.00 1,000,000.00 2.460 2.426 2.460 889 03/08/2021 3130ADXU1 01245 Federal Home Loan Bank 04/09/2018 1,000,000.00 994,660.00 1,000,000.00 2.320 2.288 2.320 465 01/09/2020 Subtotal and Average 10,000,000.00 10,000,000.00 9,907,330.00 10,000,000.00 1.712 1.735 422 Total and Average 131,046,361.37 Data Updated: SET_MTH: 10/25/2018 12:11 Run Date: 10/25/2018 - 12:11 118,813,342.17 118,246,490.54 118,813,342 17 1.909 1.938 182 Portfolio TEME NL! CP PM (PRF_PM2) 7.3.0 Portfolio Managment Treasury Report Portfolio Management Portfolio Details - Cash September 30, 2018 CUSIP Investment # Issuer Average Purchase Stated YTM YTM Days to Balance Date Par Value Market Value Book Value Rate 360 365 Maturity Passbook/Checking Accounts 1453718479 WORKERS COMP BANK OF AMERICA MERRILL LYNC 07/01/2018 11,676.25 11,676.25 11,676.25 0.000 0.000 1 SYSPetty Cash Petty Cash City of Temecula 07/01/2018 3,511.00 3,511.00 3,511.00 0.000 0.000 1 SYSGen Ck Acct Gen Ck Acct Union Bank of California 8,009,693.49 8,009,693.49 8,009,693.49 0.000 0.000 1 SYSParking Ck PARKING CITA Union Bank of California 07/01/2018 6,808.00 6,808.00 6,808.00 0.000 0.000 1 Average Balance 0.00 Page 6 Total Cash and Investments Data Updated: SET_MTH: 10/25/2018 12:11 Run Date: 10/25/2018 - 12:11 131,046,361.37 126,845,030.91 126,278,179.28 126,845,030.91 1.909 1.936 182 Portfolio TEME NL! CP PM (PRF_PM2) 7.3.0 Futitit Fund Name 001 GENERAL FUND 002 MEASURES FUND 100 STATE GAS TAX FUND 102 RMRA-ROAD MAINTENANCE REHABILITATION ACT 103 STREETS MAINTENANCE FUND 120 DEVELOPMENT IMPACT FUND 125 PEG PUBLIC EDUCATION & GOVERNMENT 145 TEMECULA ENERGY EFFICIENCY ASSET TEAM 150 AB 2766 FUND 160 SUPPLEMENTAL LAW ENFORCEMENT SERVICES 161 TEMECULA MAJOR CRIMES REWARD FUND 165 AFFORDABLE HOUSING 170 MEASURE A FUND 190 TEMECULA COMMUNITY SERVICES DISTRICT 192 TCSD SERVICE LEVEL "B" STREET LIGHTS 194 TCSD SERVICE LEVEL "D" REFUSE/RECYCLING 195 TCSD SERVICE LEVEL "R" STREET/ROAD MAINT 196 TCSD SERVICE LEVEL "L" LAKE PARK MAINT. 197 TEMECULA LIBRARY FUND 198 PUBLIC ART 210 CAPITAL IMPROVEMENT PROJECT FUND 275 CFD 03-3 WOLF CREEK IMPROVEMENT FUND 277 CFD-RORIPAUGH 278 CFD-RORIPAUGH II 300 INSURANCE FUND 305 WORKER'S COMPENSATION 310 VEHICLES AND EQUIPMENT FUND 320 INFORMATION TECHNOLOGY 325 TECHNOLOGY REPLACEMENT FUND 330 CENTRAL SERVICES 340 FACILITIES 350 FACILITY REPLACEMENT FUND 380 SARDA DEBT SERVICE FUND 381 REDEVELOPMEN PROPERTY TAX TRUST 396 CAPITAL FINANCING 460 CFD 88-12 DEBT SERVICE FUND 472 CFD 01-2 HARVESTON A&B DEBT SERVICE 473 CFD 03-1 CROWNE HILL DEBT SERVICE FUND 474 AD 03-4 JOHN WARNER ROAD DEBT SERVICE 475 CFD 03-3 WOLF CREEK DEBT SERVICE FUND 476 CFD 03-6 HARVESTON 2 DEBT SERVICE FUND 477 CFD 03-02 RORIPAUGH DEBT SERVICE FUND 478 CFD-RORIPAUGH II 501 SERVICE LEVEL"C"ZONE 1 SADDLEWOOD 502 SERVICE LEVEL"C"ZONE 2 WINCHESTER CREEK 503 SERVICE LEVEL"C"ZONE 3 RANCHO HIGHLANDS 504 SERVICE LEVEL"C"ZONE 4 THE VINEYARDS 505 SERVICE LEVEL"C"ZONE 5 SIGNET SERIES 506 SERVICE LEVEL"C"ZONE 6 WOODCREST COUNTRY 508 SERVICE LEVEL"C"ZONE 8 VILLAGE GROVE 509 SERVICE LEVEL"C"ZONE 9 RANCHO SOLANA 510 SERVICE LEVEL"C"ZONE 10 MARTINIQUE 511 SERVICE LEVEL"C"ZONE 11 MEADOWVIEW 512 SERVICE LEVEL"C"ZONE 12 VINTAGE HILLS 513 SERVICE LEVEL"C"ZONE 13 PRESLEY DEVELOP 514 SERVICE LEVEL"C"ZONE 14 MORRISON HOMES 515 SERVICE LEVEL"C"ZONE 15 BARCLAY ESTATES 516 SERVICE LEVEL"C"ZONE 16 TRADEW INDS 517 SERVICE LEVEL"C"ZONE 17 MONTE VISTA 518 SERVICE LEVEL"C"ZONE 18 TEMEKU HILLS 519 SERVICE LEVEL"C"ZONE 19 CHANTEMAR 520 SERVICE LEVEL"C"ZONE 20 CROWNE HILL 521 SERVICE LEVEL"C"ZONE 21 VAIL RANCH 522 SERVICE LEVEL"C"ZONE 22 SUTTON PLACE 523 SERVICE LEVEL"C"ZONE 23 PHEASENT RUN 524 SERVICE LEVEL"C"ZONE 24 HARVESTON 525 SERVICE LEVEL"C"ZONE 25 SERENA HILLS 526 SERVICE LEVEL"C"ZONE 26 GALLERYTRADITION 527 SERVICE LEVEL"C"ZONE 27 AVONDALE 528 SERVICE LEVEL"C"ZONE 28 WOLF CREEK 530 SERVICE LEVEL"C"ZONE 30 FUTURE ZONES 701 PENSION RATE STABILIZATION FUND Grand Total: Cash and Investments Report CITY OF TEMECULA Through September 2018 Beginning Balance Receipts Disbursements Fund Total $ 26,186,617.31 $ 7,244,309.08 $ 8,024,561.23 $ 25,406,365.16 5,516,612.75 2,963,608.05 8,480,220.80 354,797.49 75.66 354,721.83 651,228.31 178,855.40 633,368.02 196,715.69 350,000.00 - 350,000.00 4,383,622.58 2,634.88 2,723,792.28 1,662,465.18 356,589.35 56.21 48,173.38 308,472.18 189,874.05 40.49 189,833.56 132,098.43 28.17 132,070.26 94,876.63 20.23 94,856.40 25,957.32 - 5.54 25,951.78 791,226.56 116.92 20,365.52 770,977.96 4,235,800.94 230,466.62 1,000,952.45 3,465,315.11 446,414.53 1,740,923.08 637,843.79 1,549,493.82 258,046.46 91,471.59 225,518.12 123,999.93 211,758.55 4,775.28 206,983.27 26,732.48 5.70 26,726.78 351,382.64 19,387.35 331,995.29 311,074.08 174,844.55 32,414.29 453,504.34 31,690.24 - 6.76 31,683.48 12,858,466.51 18,954,491.02 4,674,709.81 27,138,247.72 269,762.91 409.23 - 270,172.14 16,015,658.54 908.63 29.50 16,016,537.67 6,507,433.36 9,871.82 - 6,517,305.18 115 ,640.80 158,387.79 121, 997.08 152, 031.51 1,319,025.75 16,715.46 10,325.03 1,325,416.18 2,237,918.94 287,500.00 538.56 2,524,880.38 157,982.59 0.26 157,982.85 619,795.57 125,000.00 96,336.70 648,458.87 346,128.28 31,090.11 315,038.17 411,133.92 5.19 121,631.20 289,507.91 125,000.00 26.66 124,973.34 13,239,006.44 30,751.30 19,625.65 13,250,132.09 3,388,376.11 786.97 3,387,589.14 6,405,000.00 6,405,000.00 - 91,035.46 - 19.41 91,016.05 1,361,610.34 2,016.01 733,603.36 630,022.99 2,393,436.66 1,056.59 645,881.31 1,748,611.94 149,626.29 216.20 48,555.41 101,287.08 3,432,687.90 2,449.13 1,409,984.21 2,025,152.82 601,795.23 377.79 231,410.46 370,762.56 1,368,955.24 2,034.67 542,392.93 828,596.98 5,201,940.58 7,845.60 1,858,442.80 3,351,343.38 6,524.85 0.25 1,254.75 5,270.35 78,544.59 2,114.93 76,429.66 23,103.36 - 1,765.60 21,337.76 2,770.41 - 240.74 2,529.67 17,485.20 2,147.96 15,337.24 24,029.91 515.58 23,514.33 69,196.48 1,662.99 67,533.49 24,282.04 250.79 24,031.25 10,100.76 410.11 9,690.65 2,302.80 - 130.91 2,171.89 74,856.33 944.17 73,912.16 16,978.91 1,468.77 15,510.14 5,035.63 - 922.38 4,113.25 4,426.03 230.20 4,195.83 44,181.42 - 185.18 43,996.24 1,061.95 - 125.59 936.36 34,686.02 - 3,498.43 31,187.59 86,773.40 - 1,293.73 85,479.67 153,689.35 - 1,229.08 152,460.27 189,711.33 - 7,027.32 182,684.01 5,665.51 - 217.72 5,447.79 15,232.51 0.04 514.98 14,717.57 58,457.22 8,141.69 50,315.53 46,688.42 1,073.25 45,615.17 585.71 56.29 529.42 7,239.82 - 688.22 6,551.60 404,473.23 9,840.87 394,632.36 34,637.12 7.39 34,629.73 $ 8,107,633.04 13,430.86 $ 8,094,202.18 $ 132,599,171.47 $ 32.702,323.36 $ 39.023.315.55 $ 126,278,179.28 Journal Entries completed after August's Treasurer's Report was issued are reflected in the Receipts Disbursements columns. Item No. 5 CITY OF TEMECULA AGENDA REPORT TO: City Council FROM: Aaron Adams. City Manager DATE: November 13. 2018 SUBJECT: Adopt a Resolution Approving a Deposit Agreement and Joint Community Facilities Agreement Relating to the Financing of Municipal Services for Cypress Ridge Development. Tri Pointe Homes. Inc. PREPARED BY: Jennifer Hennessy, Director of Finance RECOMMENDATION: That the City Council adopt a resolution entitled: RESOLUTION NO. 18- A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF TEMECULA APPROVING A DEPOSIT AGREEMENT AND JOINT COMMUNITY FACILITIES AGREEMENT RELATING TO THE FINANCING OF MUNICIPAL SERVICES BACKGROUND: The California State Legislature enacted the Mello -Roos Community Facilities Act of 1982 (the "Mello -Roos Act") in order to allow public agencies to finance public facilities or to finance certain public services through the formation of a Community Facilities District ("CFD"). The current owner of the property to be developed into the 245 residential unit Cypress Ridge development. Tri Pointe Homes, Inc., (the 'Property Owner"), has requested, as one of the conditions of approval, that the Temecula Public Financing Authority (Authority) form a new Community Facilities District ("CFD 19-01 ") to finance police and fire protection services including other municipal services. At the recommendation of City Staff and with agreement of the Property Owner, CFD 19-01 will be formed as a municipal services CFD to include the provision for future annexations into CFD 19-01 which will allow the Authority to offset the cost of municipal services as a result of increased development occurring within the City. The territory which may be annexed into CFD 19-01 includes all property within the boundaries of the City. Because the Cypress Ridge development will establish the initial boundaries of CFD 19-01, it has been classified as Tax Zone 1. Additional tax zones may be established in the future by the CFD as additional developments are annexed. Under the terms of a Deposit Agreement, the Property Owner has submitted to the City of Temecula a deposit in the amount of $34,500 to be used to pay the costs of the City and the Authority to create CFD 19-01. In order to enable the CFD to finance the municipal services, California Government Code § 53316.2 requires the City and Authority enter into a joint community facilities agreement prior to the adoption by the Authority of an ordinance authorizing the levy of a special tax on property in the CFD. FISCAL IMPACT: The City has received an advance deposit of $34,500 to pay for the costs associated with the formation of CFD 19-01. ATTACHMENTS: 1. Resolution — Approving a Deposit Agreement and Joint Community Facilities Agreement Relating to the Financing of Municipal Services 2. Deposit Agreement 3. Joint Community Facilities Agreement RESOLUTION NO. 18- A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF TEMECULA APPROVING A DEPOSIT AGREEMENT AND A JOINT COMMUNITY FACILITIES AGREEMENT RELATING TO THE FINANCING OF MUNICIPAL SERVICES THE CITY COUNCIL OF THE CITY OF TEMECULA DOES HEREBY RESOLVE AS FOLLOWS: Section 1. Tri Pointe Homes, Inc. (the "Landowner") has submitted to the City of Temecula (the "City") $34,500.00 (the "Deposit"), to be used by the City to pay costs of the City and the Temecula Public Financing Authority (the "Authority") in connection with proceedings under Section 53311 et seq. of the California Government Code (the "Act") to create a community facilities district to be designated "Temecula Public Financing Authority Community Facilities District No. 19-01 (Municipal Services)" (the "CFD"). Section 2. There has also been submitted a Deposit Agreement (the "Deposit Agreement"), to be entered into by the Landowner, the City and the Authority (for itself and on behalf of the CFD), and the City now desires to enter into the Deposit Agreement with the Authority and the Landowner in order to assist with the formation of the CFD. Section 3. It is expected that the CFD will be authorized to fund certain municipal services to be provided by the City and related administrative expenses of the CFD (the "Services"), to be described in the proceedings to form the CFD. Section 4. In order to enable the CFD to finance the Services, Section 53316.2 of the California Government Code requires that the City and the Authority enter into a joint community facilities agreement prior to the adoption by the Authority of an ordinance authorizing the levy of a special tax on property in the CFD. Section 5. A form of joint community facilities agreement, by and between the City and the Authority relating to the Services to be provided by the City for the CFD (the "Joint Community Facilities Agreement") has been filed with the City Clerk. Section 6. The City Council, with the assistance of City staff, has reviewed the Deposit Agreement and the Joint Community Facilities Agreement, and the City Council now desires to approve the Deposit Agreement and the Joint Community Facilities Agreement and direct their execution and delivery. Section 7. The City Council hereby approves and authorizes the City Manager to execute and deliver the Deposit Agreement in the form on file with the City Clerk, and to take all actions on his part necessary to implement the Deposit Agreement. The Director of Finance is hereby authorized and directed to accept the Deposit and to use the Deposit (and any Additional Deposits. as defined in the Deposit Agreement) in the manner contemplated by the Deposit Agreement. Section 8. The City Council hereby approves the Joint Community Facilities Agreement in the form on file with the City Clerk, and hereby authorizes and directs the City Manager to execute and deliver the Joint Community Facilities Agreement in such form together with any changes therein deemed advisable by the City Manager upon consultation with the City Attorney and CFD formation counsel, the approval of such changes to be conclusively evidenced by the execution and delivery by the City Manager of the Joint Community Facilities Agreement. The City Council hereby declares that the Joint Community Facilities Agreement will be beneficial to the residents residing within the boundaries of the City. Section 9. The Mayor, City Manager, Director of Finance, City Clerk and all other officers of the City are hereby authorized and directed to take all actions and do all things necessary or desirable hereunder with respect to the implementation of the Deposit Agreement and the Joint Community Facilities Agreement, including but not limited to the execution and delivery of any and all agreements, certificates, instruments and other documents, which they, or any of them, may deem necessary or desirable and not inconsistent with the purposes of this Resolution. Section 10. This Resolution shall take effect upon its adoption. PASSED, APPROVED, AND ADOPTED by the City Council of the City of Temecula this 13th day of November, 2013. ATTEST: Randi Johl, City Clerk [SEAL] -2- Matt Rahn, Mayor STATE OF CALIFORNIA COUNTY OF RIVERSIDE CITY OF TEMECULA ss I, Randi Johl, City Clerk of the City of Temecula, do hereby certify that the foregoing Resolution No. 18- was duly and regularly adopted by the City Council of the City of Temecula at a meeting thereof held on the 13th day of November, 2013, by the following vote: AYES: COUNCIL MEMBERS: NOES: COUNCIL MEMBERS: ABSTAIN: COUNCIL MEMBERS: ABSENT: COUNCIL MEMBERS: -3- Randi Johl, City Clerk Quint & Thimmig LLP DEPOSIT AGREEMENT Proposed Temecula Public Financing Authority Community Facilities District No. 19-01 (Municipal Services) 8/31/18 9/18/18 10/16/18 THIS DEPOSIT AGREEMENT (the "Agreement") is by and among the City of Temecula, California (the `City"), the Temecula Public Financing Authority (the "Authority") for itself and on behalf of the proposed Temecula Public Financing Authority Community Facilities District No. 19- 01 (Municipal Services) ("CFD 19-01"), and Tri Pointe Homes, Inc., a Delaware corporation (the "Landowner"). RECITALS: WHEREAS, the Landowner owns the land located within the proposed boundaries of CFD 19-01; and WHEREAS, the Authority has advised the Landowner that it is considering the formation of CFD 19-01 and the levy of a special tax on the land in CFD 19-01 in order to finance certain municipal services and related administrative expenses eligible to be financed by CFD 19-01; and WHEREAS, the Landowner is willing to deposit funds with the City to ensure payment of the costs of the Authority and the City in forming CFD 19-01 as provided herein; and WHEREAS, the Authority, the City and the Landowner now desire to specify the terms of said deposit. AGREEMENT: NOW, THEREFORE, in consideration of the foregoing and the mutual covenants set forth herein, and for other consideration the receipt and sufficiency of which is hereby acknowledged, the parties hereto agree as follows: Section 1. The Deposit: Additional Advances. The City acknowledges that the Landowner has advanced $34,500.00 to the City (the "Deposit"), to be used by the City to pay the costs in conducting proceedings for the formation of CFD 19-01 (as more fully described in Section 2(a) below, the "Initial Costs"). The Deposit may be commingled with other funds of the City for purposes of investment and safekeeping, but the City shall at all times maintain records as to the expenditure of the Deposit. Section 2. Use of Funds. The Deposit shall be administered as follows: (a) The Director of Finance of the City may draw upon the Deposit from time to time to pay the Initial Costs, including but not limited to: (i) the fees and expenses of any consultants to the City or the Authority employed in connection with the formation of CFD 19-01; (ii) costs of publication of notices, preparation and mailing of ballots and other costs related to any election 20009.17:J15337 with respect to the formation of CFD 19-01 and the rate and method of apportionment of the special taxes to be levied therein; (iii) a reasonable charge for City staff time, as determined by the City Manager in his sole discretion, in analyzing CFD 19-01, including a reasonable allocation of City overhead expense related thereto; and (iv) any and all other actual costs and expenses incurred by the City or the Authority with respect to the formation of CFD 19-01 after the date of execution of this Agreement. (b) If CFD 19-01 is successfully formed, within thirty (30) days after the date of recordation of a notice of special tax lien for CFD 19-01, the Director of Finance of the City shall return any then unexpended amount of the Deposit to the Landowner, without interest, less an amount equal to any costs incurred by the City or the Authority or that the City or the Authority is otherwise committed to pay, which costs would be subject to payment under Section 2(a) above but have not yet been so paid. (c) If CFD 19-01 is not successfully formed, the Director of Finance of the City shall, within ten (10) business days after adoption of a resolution stating the intent of the Authority to terminate proceedings under the Act with respect to the formation of CFD 19-01, return an amount equal to any then unexpended Deposits to the Landowner, without interest, less an amount equal to any costs incurred by the City or the Authority or that the City or the Authority is otherwise committed to pay, which costs would be subject to payment under Section 2(a) above but have not yet been so paid. Section 3. Agreement Not Debt or Liability of City or Authority. It is hereby acknowledged and agreed that this Agreement is not a debt or liability of the City or the Authority, as provided in Section 53314.9(b) of the Act. Neither the City nor the Authority shall in any event be liable hereunder other than to return the unexpended and uncommitted portion of the Deposit as provided in Section 2 above and provide an accounting under Section 6 below. Neither the City nor the Authority shall be obligated to advance any of their own funds with respect to the formation of CFD 19-01 or for any of the other purposes listed in Section 2(a) hereof. No member of the City Council, the Board of Directors of the Authority or officer, employee or agent of the City or the Authority shall to any extent be personally liable hereunder. Section 4. No Obligation to Form CFD 19-01. The provisions of this Agreement shall in no way obligate the City or the Authority to form CFD 19-01 or to expend any of their own funds in connection with the formation of CFD 19-01. Section 5. Severability. If any part of this Agreement is held to be illegal or unenforceable by a court of competent jurisdiction, the remainder of this Agreement shall be given effect to the fullest extent reasonably possible. Section 6. Accounting. The Director of Finance of the City shall provide the Landowner with a written accounting of proceeds of the Deposit expended pursuant to this Agreement, within ten (10) business days of receipt by the Director of Finance of the City of a written request therefore submitted by an authorized officer of the Landowner. No more than one accounting will be provided in any calendar month and the cost of providing the accounting shall be charged to the Deposit. Section 7. Indemnification. The Landowner shall assume the defense of, indemnify and save harmless the Authority, the City and the CFD, members of the Board of Directors of the Authority and of the City Council of the City, their respective officers, officials, employees and agents and each of them (collectively, the "Indemnified Parties"), from and against all actions, -2- damages, claims, losses or expense of every type and description to which they may be subjected or put, by reason of, or resulting from any action or inaction of the Landowner related to the formation of the CFD and this Deposit Agreement. Notwithstanding the foregoing, no indemnification for an Indemnified Party is given hereunder for any action, damage, claim, loss or expense directly attributable to the intentional misconduct of such Indemnified Party. Section 8. Successors and Assigns. This Agreement shall be binding upon and inure to the benefit of the successors and assigns of the parties hereto. Section 9. Counterparts. This Agreement may be executed in counterparts, each of which shall be deemed an original. -3- IN WITNESS WHEREOF, the parties hereto have executed this Agreement as of the day and year written alongside theft signature line below. Executed on: November , 2018 Executed on: November , 2018 LANDOWNER: TRI POINTE HOMES, INC. By: Christian D. Larsen, Assistant Secretary CITY: CITY OF TEMECULA, CALIFORNIA By: Aaron Adams, City Manager Executed on: AUTHORITY: November , 2018 TEMECULA PUBLIC FINANCING AUTHORITY, for itself and on behalf of the proposed Temecula Public Financing Authority Community Facilities District 19-01 (Municipal Services) By: Aaron Adams, Executive Director 20009.17J15337 [Signature page to Deposit Agreement for Community Facilities District 19-01] -4- Quint & Thimmig LLP 8/31/18 10/16/18 JOINT COMMUNITY FACILITIES AGREEMENT TEMECULA PUBLIC FINANCING AUTHORITY COMMUNITY FACILITIES DISTRICT NO. 19-01 (MUNICIPAL SERVICES) This Joint Community Facilities Agreement (the "Agreement"), dated as of November 13, 2018, is by and between the Temecula Public Financing Authority (the "Authority") and the City of Temecula, California (the "Participating Agency"). RECITALS: WHEREAS, the Authority is undertaking proceedings to form the Temecula Public Financing Authority Community Facilities District No. 19-01 (Municipal Services) (the "CFD") pursuant to the Mello -Roos Community Facilities Act of 1982, as amended (the "Act") to finance certain municipal services and related administrative expenses eligible to be funded by the CFD (the "Services"), and the Participating Agency is willing to provide the Services to the extent it is reimbursed for the costs thereof by the CFD; and WHEREAS, Section 53316.2 of the Act requires that the Authority enter into a joint community facilities agreement with the Participating Agency, prior to the adoption by the Authority of a resolution forming the CFD; and WHEREAS the Authority and the Participating Agency now desire to enter into this Agreement to satisfy the requirements of Section 53316.2 of the Act and to memorialize their understanding with respect to the Services as more particularly set forth below. NOW, THEREFORE, in consideration of the foregoing and mutual covenants set forth below, the parties hereto do hereby agree as follows: Section 1. Provision of Services. The Participating Agency hereby agrees to provide the Services identified in Attachment A hereto, but only to the extent and so long as proceeds of special taxes levied in the CFD are made available to the Participating Agency to pay costs of the Participating Agency to provide the Services. Section 2. Limited Obligations. All obligations of the Authority under and pursuant to this Agreement shall be limited to the proceeds of special taxes levied in the CFD for such purpose and otherwise collected from the property owners in the CFD. No Boardmember, officer or employee of the Authority shall in any event be personally liable hereunder. The sole obligation of the Participating Agency hereunder shall be to provide all or such portion of the Services as the Participating Agency shall determine can be provided for in respect of any special tax revenue from the CFD made available to the Participating Agency for such purpose. If the Participating Agency shall fail to perform any of its obligations hereunder, the sole remedy of the Authority shall be the commencement of an action in the Superior Court for specific performance by the Participating Agency of such obligations. Section 3. Termination. Notwithstanding any other provision of this Agreement, this Agreement shall cease to be effective and shall terminate when (and only if) the special taxes are no longer levied on the landowners in the CFD. 20009.17:J15338 Section 4. No Obligation to Form CFD; Agreement of Benefit to Residents. The provisions of this Agreement shall in no way obligate the Authority to form the CFD. Notwithstanding the foregoing, by their respective execution of this Agreement, the Authority and the Participating Agency each declare that this Agreement is beneficial to the residents within the jurisdiction of their respective entities in assuring the provision of financing for the Services in furtherance of the purposes of the Act. Section 5. Partial Invalidity. If any part of this Agreement is held to be illegal or unenforceable by a court of competent jurisdiction, the remainder of this Agreement shall be given effect to the fullest extent reasonably possible. Section 6. Successors and Assigns. This Agreement shall be binding upon and inure to the benefit of the successors and assigns of the parties hereto. This Agreement is for the sole benefit of the Authority and the Participating Agency and their successors and assigns, and no other person or entity shall be deemed to be a beneficiary hereof or have an interest herein. Section 7. Execution in Counterparts. This Agreement may be executed in counterparts, each of which shall be deemed an original. -2- * * * * * * * * * * IN WITNESS WHEREOF, the parties hereto have executed this Agreement as of the day and year written alongside their signature below. 20009.17:J15338 -3- CITY OF TEMECULA (the "Participating Agency") By: Aaron Adams, City Manager TEMECULA PUBLIC FINANCING AUTHORITY (the "Authority") By: Aaron Adams, Executive Director ATTACHMENT A DESCRIPTION OF SERVICES AND RELATED ADMINISTRATIVE EXPENSES ELIGIBLE TO BE FUNDED BY THE DISTRICT SERVICES The services to be funded, in whole or in part, by the community facilities district (the "District") include the following: • Public safety services, including police protection, fire protection and suppression, services, and ambulance and paramedic services. • Maintenance of landscaping in public areas, public easements and public right of way, such maintenance to include but not be limited to maintenance of planting areas, trees, bio - retention filters, multipurpose trails, and the furnishing of water for irrigation. • Maintenance of sidewalks in or near to the area of the District. • Maintenance of public signage in or near the District. • Maintenance of storm protection and drainage systems within or serving the area of the District, including but not limited to storm drain pipes, culverts, detention/desilting basins, manholes, catch basins and drop inlets, cleanout of storm drains and catch basin cleaning and inspection. • Maintenance of streets and roadways within or in the vicinity of the District, including but not limited to slurry, overlay, curbs and gutters, curb ramps, striping and street sweeping. • Maintenance of street lighting located within or in the vicinity of the District, including but not limited to street lights, decorative lighting and pull box assemblies. • Maintenance of traffic signals within and in the vicinity of the District, including but not limited to electrical, LED replacement, maintenance and replacement. • Maintenance and lighting of parks, parkways and open space. • Graffiti removal from public improvements within and in the area of the District. • Maintenance of water and sewer systems with an estimated useful life of five or more years and serving the area in or in the general area of the District and owned by the Temecula Public Financing Authority or by another local agency pursuant to a joint community facilities agreement or a joint exercise of powers agreement adopted pursuant to Section 53316.2 of the California Government Code. A-1 The District may fund any of the following related to the services described above: the furnishing of services and materials for the ordinary and usual maintenance, operation and servicing of the improvements, including repair, removal or replacement of all or part of any of the improvements, the furnishing of water for the irrigation and the furnishing of electric current or energy for any lights or irrigation facilities, obtaining, constructing, furnishing, operating and maintaining equipment, apparatus or facilities related to providing the services and / or equipment, apparatus, facilities or fixtures in areas to be maintained, obtaining supplies or appurtenant facilities necessary for such maintenance, paying the salaries and benefits of personnel necessary or convenient to provide the services, payment of insurance costs and other related expenses and the provision of reserves for repairs and replacements and for the future provision of services. It is expected that the services will be provided by the City of Temecula (the "City"), either with its own employees or by contract with third parties, or any combination thereof. The services to be financed by the District are in addition to those provided in the territory of the District before the date of creation of the District and will not supplant services already available within that territory when the District is created. ADMINISTRATIVE EXPENSES The administrative expenses to be funded by the District include the direct and indirect expenses incurred by the Authority and the City in carrying out their respective duties with respect to the District (including, but not limited to, the levy and collection of the special taxes) including the fees and expenses of attorneys, any fees of the County of Riverside related to the District or the collection of special taxes, an allocable share of the salaries of the Authority and City staff directly related thereto and a proportionate amount of the Authority's and the City's general administrative overhead related thereto, any amounts paid by the Authority and the City from its respective general fund with respect to the District or the services authorized to be financed by the District, and expenses incurred by the Authority and the City in undertaking action to foreclose on properties for which the payment of special taxes is delinquent, and all other costs and expenses of the Authority and City in any way related to the District. OTHER The incidental expenses that may be funded by the District include, in addition to the administrative expenses identified above, the payment or reimbursement to the Authority, the City and any owner of land in the District of all costs associated with the establishment of the District. A-2 Item No. 6 Approvals City Attorney Director of Finance City Manager CITY OF TEMECULA AGENDA REPORT TO: City Manager/City Council FROM: Randi Johl, Director of Legislative Affairs/City Clerk DATE: November 13, 2018 SUBJECT: Adopt the 2018 Conflict of Interest Code PREPARED BY: Randi Johl, Director of Legislative Affairs/City Clerk RECOMMENDATION: That the City Council adopt a resolution entitled: RESOLUTION NO. 18- A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF TEMECULA ADOPTING THE CITY'S 2018 CONFLICT OF INTEREST CODE BACKGROUND: Government Code Section 87306.5 requires the biennial adoption of a Conflict of Interest Code. As the Code reviewing body under the Political Reform Act, the City Council accepted the Notice of Draft Amendments and reviewed the proposed changes to the City's Conflict of Interest Code at its August 28, 2018 City Council meeting. The attached resolution makes the proposed changes to the Code based on conditions occurring since the last update in 2016. The Notice of Intent was published for the requisite 45 -day public comment period. No comments were received. The proposed amendments reflect title changes of positions that already exist in the Code and the addition of positions based on an examination of their involvement in the decision making process. The City Attorney, City Clerk and Executive Management staff have reviewed the proposed changes and concur with the recommendation. FISCAL IMPACT: None ATTACHMENTS: 1. Biennial Notice 2. Resolution 3. Proof of Publication Name of Agency 2018 Local Agency Biennial Notice City of Temecula 41000 Main Street Mailing Address: Randi Johl 951-694-6444 Contact Person. Phone No randi.johl@temeculaca.gov N/A Email: Alternate Email' Accurate disclosure is essential to monitor whether officials have conflicts of interest and to help ensure public trust in government. The biennial review examines current programs to ensure that the agency's code includes disclosure by those agency officials who make or participate in making governmental decisions. This agency has reviewed its conflict of interest code and has determined that (check one BOX): ❑ An amendment is required. The following amendments are necessary: (Check all that apply.) O Include new positions O Revise disclosure categories O Revise the titles of existing positions O Delete titles of positions that have been abolished and/or positions that no longer make or participate in making governmental decisions O Other (describe) O The code is currently under review by the code reviewing body. ❑ No amendment is required. (If your code is over five years old, amendments may be necessary.) Verification (to be completed if no amendment is required) This agency's code accurately designates all positions that make or participate in the making of governmental decisions. The disclosure assigned to those positions accurately requires that all investments, business positions, interests in.real prope , and sources of income that may foreseeably be affected materially by the decisions m..e • i those hot. ng . si'r)lated positions are reported. The code includes all other provisions required by overt ent Cod: Sec On :X302. August 16, 2018 nature of Ch - xecutive Officer Date All agencies must complete and return this notice regardless of how recently your code was approved or amended. Please return this notice no later than October 1, 2018, or by the date specified by your agency, if earlier, to: (PLACE RETURN ADDRESS OF CODE REVIEWING BODY HERE) PLEASE DO NOT RETURN THIS FORM TO THE FPPC. w:vw.fppc.ca.gov FPPC Advice: advice 3fppc.ca.nov (866.275.3772) Page 1 of 1 RESOLUTION NO. 18- A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF TEMECULA ADOPTING THE CITY'S 2018 CONFLICT OF INTEREST CODE THE CITY COUNCIL OF THE CITY OF TEMECULA DOES HEREBY RESOLVE AS FOLLOWS: Section 1. The City Council of the City of Temecula has previously adopted a Conflict of Interest Code to apply to certain officers and employees of the City with an Exhibit A designating certain positions within the City that require the filing of economic disclosure forms. Section 2. The City Council of the City of Temecula does hereby amend the Conflict of Interest Code for the City of Temecula by deleting Exhibit A and substituting in its place a new Exhibit A, which is attached hereto and incorporated herein by this reference. Section 3. The City Clerk shall certify the adoption of this resolution. PASSED, APPROVED, AND ADOPTED by the City Council of the City of Temecula this 13th day of November, 2018. Matt Rahn, Mayor ATTEST: Randi Johl, City Clerk [SEAL] STATE OF CALIFORNIA ) COUNTY OF RIVERSIDE ) ss CITY OF TEMECULA I, Randi Johl, City Clerk of the City of Temecula, do hereby certify that the foregoing Resolution No. 18- was duly and regularly adopted by the City Council of the City of Temecula at a meeting thereof held on the 13th day of November 2018, by the following vote: AYES: COUNCIL MEMBERS: NOES: COUNCIL MEMBERS: ABSTAIN: COUNCIL MEMBERS: ABSENT: COUNCIL MEMBERS: Randi Johl, City Clerk SECTION 2. EXHIBIT A DESIGNATED CITY OF TEMECULA EMPLOYEES AND DISCLOSURE CATEGORIES The following positions entail the making or participating in the making of decisions which could have a material effect on financial interests. Designated Position Disclosure Categories Assistant City Manager 1 Assistant Director of Information Technology and Support Services 1 Building Official 1 Director of Finance 1 Chief of Police 1 Community Services Superintendent 1 Consultant * 1 Director of Community Development 1 Director of Community Services 1 Director of Information Technology and Support Services 1 Director of Legislative Affairs / City Clerk 1 Director of Public Works/City Engineer 1 Economic Development Manager 1 Exempt Officials 0 Fire Chief 1 Fiscal Services Manager 1 Human Resources Manager 1 IT Manager 1 Maintenance Manager 1 Maintenance Superintendent 1 Principal Civil Engineer 1 Principal Management Analyst 1 Principal Planner 1 Purchasing Manager 1 Senior Engineer 1 Senior Management Analyst 1 Senior Planner 1 Members of all City Commissions, Boards, and Committees 1 (Other than Government 87200 Filers) Consultants shall be included in the list of designated employees and shall disclose all of the information required to be disclosed by designated employees subject to the following limitations: The City Manager or his designee may determine in writing that a particular consultant, although a designated position, is hired to perform a range of duties that is limited in scope and thus is not required to fully comply with the disclosure requirement described in this Section. Such written disclosure shall include a description and based upon that description, a statement of the extent of disclosure requirements. The City Manager's determination is a public record and shall be retained for public inspection in the same manner and location as this Conflict of Interest Code. "" The Mayor, City Council, Members of the Planning Commission, City Manager, City Attorney, and City Treasurer are all required to file disclosure statements pursuant to (Government Code 87200) and are thus not included herein. 2 THIS SPACE RESERVED FOR CLERK/RECORDING STAMP PROOF OF PUBLICATION (2015.5 C.C.P.) STATE OF CALIFORNIA County of Riverside am a citizen of the United States and a resident of the County aforesaid: I am over the age of eighteen years and not a party to or interested in the above -entitled matter. I am the principal clerk of the printer of THE CALIFORNIAN An Edition of The San Diego Union -Tribune A newspaper of general circulation, published DAILY in the City of Temecula, California, 92590, County of Riverside, Three Lake Judicial District, and which newspaper has been adjudicated a newspaper of general circulation by the Superior Court of the County of Riverside, State of Califomia, under the date of February 26, 1991, Case Number 209105; that the notice, of which the annexed is a printed copy (set in type not smaller than nonpareil), has been published in each regular and entire issue of said newspaper and not in any supplement thereof, on the following dates, to wit: September 3RD, 2018 I certify (or declare) under penalty of perjury that the foregoing is true and correct. Dated at TEMECULA, California, this 4TH day of September, 2018 /s/ Analisa Pablo - Legal Advertising The Californian - an Edition of the San Diego Union Tribune 28441 Rancho California Rd. Suite 103, Temecula, CA 92590 CITY OF TEMECULA NOTICE OF INTENT TO AMEND THE CONFLICT OF INTEREST CODE AD# 5855994 NOTICE OF INTENT TO AMEND THE CONFLICT OF INTEREST CODE NOTICE IS HEREBY GIVEN that the City of fro ecu.a astroids to anienu ,i existing conflict of interest code. Rev+sions to the existing conRha of inte'ett code and 115,1 of designated employees who are required to h'e Statement of Economic Interests may nclude position title changes, reclessJhcahons, vacancies. and'or the addition and deletion of positions based on an examination of then Involvement In the decision making process. A full copy of the proposed amended conflict of Interest code Is available on the Office of the City Clerk for review and Inspection. NOTICE 15 FURTHER GIVEN that the City of Temecula has established a written comment period lar interested persom to submit comments pertaining to the proposed amended conflict of Interest code. Comments must be submrned in wilting to the Office of the City Clerk no later than November 1, 2018. at S:00 p.m. 10 be considered by the City Council when it takes action on the proposed amended Cocom of interest code. The City Council is scheduled to take action on the proposed cord KI 01 htterest code on November 13, 2018, at 7:00 p.m. The meeting will take place in the Council Chamber located at 41000 Main Saes, Temecula, California 92590inquiries concerning the proposed amended conflict o1 interest code may be directed to the Office of the City Clerk at (9513694-6421 or by email to randt.roh tat tenreculaca. gov. PUB: 09/03/201 B. 5855994 Item No. 7 Approvals City Attorney Director of Finance City Manager CITY OF TEMECULA AGENDA REPORT TO: City Manager/City Council FROM: Isaac Garibay, Human Resources Manager DATE: November 13, 2018 SUBJECT: Approve the Amended Salary Schedule to Include Minimum Wage Adjustments Effective January 1, 2019 RECOMMENDATION: That the City Council approve the Amended Salary Schedule to be Effective January 1, 2019. BACKGROUND: In 2016, the State of California issued a Minimum Wage Order (MW -2017), which mandates that all employers, including the City of Temecula. pay employees hourly wages not less than $12.00 per hour beginning January 1, 2019. As a result, those pay ranges that fall below $12.00 per hour were studied along with related job classifications to bring all pay ranges into compliance while maintaining internal equity differentials within each classification family. Salary range adjustments are being recommended for the following classifications: • Intern • Recreation Assistant • Recreation Leader The recommended adjustments only affect Project employees. No salary or benefit adjustments are being recommended for any Regular, benefited positions, including Executive staff, Mid Management staff, or staff represented by Teamsters Local 911. FISCAL IMPACT: It is difficult to predict the exact fiscal impact of project employment wages due to the nature of the work. Project employment positions have high turnover because they are temporary in nature. Employees often leave project positions for full- time, benefitted opportunities, and sometimes the positions are seasonal by design (e.g. recreation positions). Although it is unlikely, assuming all project positions are filled for the rest of Fiscal Year 2018-2019, the maximum Citywide fiscal impact would be $22,056. ATTACHMENTS: Salary Schedule Salary Steps Class Family / Title Level 1.0 1.5 2.0 • ADMINISTRATIVE Executive 4 24.8918 25.5141 26.1520 26.8057 27.4759 28.1628 28.8669 29.5885 30.3282 31.0865 31.8636 32.6602 33.4767 34.3136 35.1715 Assistant 4,314.5792 4,422.4437 4,533.0048 4,646.3299 4,762.4881 4,881.5503 5,003.5891 5,128.6788 5,256.8958 5,388.3182 5,523.0262 5,661.1018 5,802.6294 5,947.6951 6,096.3875 51,774.95 53,069.32 54,396.06 55,755.96 57,149.86 58,578.60 60,043.07 61,544.15 63,082.75 64,659.82 66,276.31 67,933.22 69,631.55 71,372.34 73,156.65 Senior 4 23.6924 24.2847 24.8918 25.5141 26.1520 26.8057 27.4759 28.1628 28.8669 29.5885 30.3282 31.0865 31.8636 32.6602 33.4767 Administrative Assistant 4,106.6786 4,209.3456 4,314.5792 4,422.4437 4,533.0048 4,646.3299 4,762.4881 4,881.5503 5,003.5891 5,128.6788 5,256.8958 5,388.3182 5,523.0262 5,661.1018 5,802.6294 49,280.14 50,512.15 51,774.95 53,069.32 54,396.06 55,755.96 57,149.86 58,578.60 60,043.07 61,544.15 63,082.75 64,659.82 66,276.31 67,933.22 69,631.55 Administrative 3 22.0478 22.5981 23.1642 23.7462 24.3437 24.9491 25.5704 26.2073 26.8600 27.5282 28.2202 As64tant(Y-Rate) 3,821.6200 3,917.0000 4,015.1300 4,116.0100 4,219.5800 4,324.5100 4,432.2000 4,542.6000 4,655.7300 4,771.5500 4,891.5000 45,859.44 47,004.00 48,181.56 49,392.12 50,634.96 51,894.12 53,186.40 54,511.20 55,868.76 57,258.60 58,698.00 Administrative 3 21.4641 22.0007 22.5507 23.1145 23.6924 24.2847 24.8918 25.5141 26.1520 26.8057 27.4759 28.1628 28.8669 29.5885 30.3282 Assistant 3,720.4481 3,813.4593 3,908.7958 4,006.5157 4,106.6786 4,209.3456 4,314.5792 4,422.4437 4,533.0048 4,646.3299 4,762.4881 4,881.5503 5,003.5891 5,128.6788 5,256.8958 44,645.38 45,761.51 46,905.55 48,078.19 49,280.14 50,512.15 51,774.95 53,069.32 54,396.06 55,755.96 57,149.86 58,578.60 60,043.07 61,544.15 63,082.75 Senior 2 20.4299 20.9406 21.4641 22.0007 22.5507 23.1145 23.6924 24.2847 24.8918 25.5141 26.1520 26.8057 27.4759 28.1628 28.8669 Office Specialist 3,541.1761 3,629.7055 3,720.4481 3,813.4593 3,908.7958 4,006.5157 4,106.6786 4,209.3456 4,314.5792 4,422.4437 4,533.0048 4,646.3299 4,762.4881 4,881.5503 5,003.5891 42,494.11 43,556.47 44,645.38 45,761.51 46,905.55 48,078.19 49,280.14 50,512.15 51,774.95 53,069.32 54,396.06 55,755.96 57,149.86 58,578.60 60,043.07 Office Specialist II 1 18.5084 18.9712 19.4454 19.9316 20.4299 20.9406 21.4641 22.0007 22.5507 23.1145 23.6924 24.2847 24.8918 25.5141 26.1520 3,208.1308 3,288.3340 3,370.5424 3,454.8059 3,541.1761 3,629.7055 3,720.4481 3,813.4593 3,908.7958 4,006.5157 4,106.6786 4,209.3456 4,314.5792 4,422.4437 4,533.0048 38,497.57 39,460.01 40,446.51 41,457.67 42,494.11 43,556.47 44,645.38 45,761.51 46,905.55 48,078.19 49,280.14 50,512.15 51,774.95 53,069.32 54,396.06 Office Specialist I 1 17.6166 18.0570 18.5084 18.9712 19.4454 19.9316 20.4299 20.9406 21.4641 22.0007 22.5507 23.1145 23.6924 24.2847 24.8918 3,053.5450 3,129.8837 3,208.1308 3,288.3340 3,370.5424 3,454.8059 3,541.1761 3,629.7055 3,720.4481 3,813.4593 3,908.7958 4,006.5157 4,106.6786 4,209.3456 4,314.5792 36,642.54 37,558.60 38,497.57 39,460.01 40,446.51 41,457.67 42,494.11 43,556.47 44,645.38 45,761.51 46,905.55 48,078.19 49,280.14 50,512.15 51,774.95 Office Aide III 1 16.3588 16.7677 17.1869 17.6166 18.0570 18.5084 18.9712 19.4454 19.9316 20.4299 20.9406 21.4641 22.0007 22.5507 23.1145 2,835.5201 2,906.4081 2,979.0683 3,053.5450 3,129.8837 3,208.1307 3,288.3340 3,370.5424 3,454.8059 3,541.1761 3,629.7055 3,720.4481 3,813.4593 3,908.7958 4,006.5157 34,026.24 34,876.90 35,748.82 36,642.54 37,558.60 38,497.57 39,460.01 40,446.51 41,457.67 42,494.11 43,556.47 44,645.38 45,761.51 46,905.55 48,078.19 Office Aide 11 1 14.4588 14.8202 15.1907 15.5705 15.9598 16.3588 16.7677 17.1869 17.6166 18.0570 18.5084 18.9712 19.4454 19.9316 20.4299 2,506.1866 2,568.8413 2,633.0623 2,698.8889 2,766.3611 2,835.5201 2,906.4081 2,979.0683 3,053.5450 3,129.8837 3,208.1307 3,288.3340 3,370.5424 3,454.8059 3,541.1761 30,074.24 30,826.10 31,596.75 32,386.67 33,196.33 34,026.24 34,876.90 35,748.82 36,642.54 37,558.60 38,497.57 39,460.01 40,446.51 41,457.67 42,494.11 Office Aide I 1 12.7794 13.0989 13.4264 13.7621 14.1061 14.4588 14.8202 15.1907 15.5705 15.9598 16.3588 16.7677 17.1869 17.6166 18.0570 2,215.1038 2,270.4814 2,327.2434 2,385.4245 2,445.0601 2,506.1866 2,568.8413 2,633.0623 2,698.8889 2,766.3611 2,835.5201 2,906.4081 2,979.0683 3,053.5450 3,129.8837 26,581.25_ 27,245.78 27,926.92 28,625.09 29,340.72 _ 30,074.24 30,826.10_ 31,596.75 32,386.67 _ 33,196.33 34,026.24 34,876.90 35,748.82 36,642.54 37,558.60 CITY OF TEMECULA SALARY SCHEDULE AS OF January 1, 2019 Page 1 of 12 CITY OF TEMECULA SALARY SCHEDULE AS OF January 1, 2019 Class Family/ Title Level Salary Steps 1.0 2.0 2.S 3.0 ANALYST ....._ Prindpal 7 38.8227 39.7933 40.7881 41.8078 42.8530 43.9243 45.0225 46.1480 47.3017 48.4843 49.6964 50.9388 52.2122 53.5175 54.8555 Management Analyst 6,729.2711 6,897.5028 7,069.9404 7,246.6889 7,427.8562 7,613.5526 7,803.8914 7,998.9887 8,198.9634 8,403.9375 8,614.0359 8,829.3868 9,050.1215 9,276.3745 9,508.2839 80,751.25 82,770.03 84,839.29 86,960.27 89,134.27 91,362.63 93,646.70 95,987.86 98,387.56 100,847.25 103,368.43 105,952.64 108,601.46 111,316.49 114,099.41 Senior 6 38.9454 39.9203 40.9190 41.9228 42.9868 44.0642 45.1649 46.2972 47.4530 48.6403 49.8591 50.9285 52.2022 53.5075 54.8442 Management Analyst 6,750.5300 6,919.5200 7,092.6200 7,266.6200 7,451.0400 7,637.7900 7,828.5900 8,024.8400 8,225.1900 8,430.9900 8,642.2400 8,827.6000 9,048.3800 9,274.6400 9,506.3300 (Y -Rate) 81,006.36 83,034.24 85,111.44 87,199.44 89,412.48 91,653.48 93,943.08 96,298.08 98,702.28 101,171.88 103,706.88 105,931.20 108,580.56 111,295.68 114,075.96 Senior 6 35.1715 36.0508 36.9520 37.8758 38.8227 39.7933 40.7881 41.8078 42.8530 43.9243 45.0225 46.1480 47.3017 48.4843 49.6964 Management Analyst 6,096.3875 6,248.7972 6,405.0171 6,565.1425 6,729.2711 6,897.5028 7,069.9404 7,246.6889 7,427.8562 7,613.5526 7,803.8914 7,998.9887 8,198.9634 8,403.9375 8,614.0359 73,156.65 74,985.57 76,860.20 78,781.71 80,751.25 82,770.03 84,839.29 86,960.27 89,134.27 91,362.63 93,646.70 95,987.86 98,387.56 100,847.25 103,368.43 Management Analyst 5 31.8636 32.6602 33.4767 34.3136 35.1715 36.0508 36.9520 37.8758 38.8227 39.7933 40.7881 41.8078 42.8530 43.9243 45.0225 5,523.0262 5,661.1018 5,802.6294 5,947.6951 6,096.3875 6,248.7972 6,405.0171 6,565.1425 6,729.2711 6,897.5028 7,069.9404 7,246.6889 7,427.8562 7,613.5526 7,803.8914 66,276.31 67,933.22 69,631.55 71,372.34 73,156.65 74,985.57 76,860.20 78,781.71 80,751.25 82,770.03 84,839.29 86,960.27 89,134.27 91,362.63 93,646.70 Management Assistant 4 23.6924 24.2847 24.8918 25.5141 26.1520 26.8057 27.4759 28.1628 28.8669 29.5885 30.3282 31.0865 31.8636 32.6602 33.4767 4,106.6786 4,209.3456 4,314.5792 4,422.4437 4,533.0048 4,646.3299 4,762.4881 4,881.5503 5,003.5891 5,128.6788 5,256.8958 5,388.3182 5,523.0262 5,661.1018 5,802.6294 49,280.14 50,512.15 51,774.95 53,069.32 54,396.06 55,755.96 57,149.86 58,578.60 60,043.07 61,544.15 63,082.75 64,659.82 66,276.31 67,933.22 69,631.55 Management Aide 111 3 21.4641 22.0007 22.5507 23.1145 23.6924 24.2847 24.8918 25.5141 26.1520 26.8057 27.4759 28.1628 28.8669 29.5885 30.3282 3,720.4481 3,813.4593 3,908.7958 4,006.5157 4,106.6786 4,209.3456 4,314.5792 4,422.4437 4,533.0048 4,646.3299 4,762.4881 4,881.5503 5,003.5891 5,128.6788 5,256.8958 44,645.38 45,761.51 46,905.55 48,078.19 49,280.14 50,512.15 51,774.95 53,069.32 54,396.06 55,755.96 57,149.86 58,578.60 60,043.07 61,544.15 63,082.75 Management Aide II 2 19.4454 19.9316 20.4299 20.9406 21.4641 22.0007 22.5507 23.1145 23.6924 24.2847 24.8918 25.5141 26.1520 26.8057 27.4759 3,370.5424 3,454.8059 3,541.1761 3,629.7055 3,720.4481 3,813.4593 3,908.7958 4,006.5157 4,106.6786 4,209.3456 4,314.5792 4,422.4437 4,533.0048 4,646.3299 4,762.4881 40,446.51 41,457.67 42,494.11 43,556.47 44,645.38 45,761.51 46,905.55 48,078.19 49,280.14 50,512.15 51,774.95 53,069.32 54,396.06 55,755.96 57,149.86 Management Aide I 1 17.6166 18.0570 18.5084 18.9712 19.4454 19.9316 20.4299 20.9406 21.4641 22.0007 22.5507 23.1145 23.6924 24.2847 24.8918 3,053.5450 3,129.8837 3,208.1308 3,288.3340 3,370.5424 3,454.8059 3,541.1761 3,629.7055 3,720.4481 3,813.4593 3,908.7958 4,006.5157 4,106.6786 4,209.3456 4,314.5792 36,642.54 37,558.60 38,497.57 39,460.01 40,446.51 41,457.67 42,494.11 43,556.47 44,645.38 45,761.51 46,905.55 48,078.19 49,280.14 50,512.15 51,774.95 Intern 1 12.1637 12.4678 12.7794 13.0989 13.4264 13.7621 14.1061 14.4588 14.8202 15.1907 15.5705 2,108.3677 2,161.0769 2,215.1038 2,270.4814 2,327.2434 2,385.4245 2,445.0601 2,506.1866 2,568.8413 2,633.0623 2,698.8889 25,300.41 25,932.92 26,581.25 _ 27,245.78 27,926.92 28,625.09 29,340.72 30,074.24 30,826.10 31,596.75 32,386.67 COMMUNITY DEVELOPMENT Director of 8 63.6155 65.21 66.8361 68.5070 70.2197 71.9751 73.7745 75.6189 77.5094 79.4471 81.4333 83.4691 85.5558 87.6947 89.8871 Community Development 11,026.69 11,302.36 11,584.9206 11,874.5436 12,171.4072 12,475.6924 12,787.5847 13,107.2743 13,434.9562 13,770.8301 14,115.1008 14,467.9783 14,829.6778 15,200.4198 15,580.4302 132,320.33 135,628.34 139,019.05 142,494.52 146,056.89 149,708.31 153,451.02 157,287.29 161,21947 165,249.96 169,381.21 173,615.74 177,956.13 182,405.04 186,965.16 _ COMMUNITY DEVELOPMENT- BUILDING & SAFETY Building Official 7 53.5175 54.8555 56.2269 57.6325 590734 60.5502 62.0639 63.6155 65.2059 66.8361 68.5070 70.2197 71.9751 73.7745 75.6189 9,276.3745 9,508.2839 9,745.9910 9,989.6407 10,239.3817 10,495.3663 10,757.7504 11,026.6942 11,302.3616 11,584.9206 11,874.5436 12,171.4072 12,475.6924 12,787.5847 13,107.2743 111,316.49 114,099.41 116,951.89 119,875.69 122,872.58 125,944.40 129,093.01 132,320.33 135,628.34 139,019.05 142,494.52 146,056.89 149,708.31 153,451.02 157,287.29 Field Supervisor - Building 4 42.8530 43.9243 45.0225 46.1480 47.3017 48.4843 49.6964 50.9388 52.2122 53.5175 54.8555 7,427.8562 7,613.5526 7,803.8914 7,998.9887 8,198.9634 8,403.9375 8,614.0359 8,829.3868 9,050.1215 9,276.3745 9,508.2839 89,134.27 91,362.63 93,646.70 95,987.86 98,387.56 100,847.25 103,368.43 105,952.64 108,601.46 111,316.49 114,099.41 Plan Checker 4 40.7881 41.8078 42.8530 43.9243 45.0225 46.1480 47.3017 48.4843 49.6964 50.9388 52.2122 7,069.9404 7,246.6889 7,427.8562 7,613.5526 7,803.8914 7,998.9887 8,198.9634 8,403.9375 8,614.0359 8,829.3868 9,050.1215 84,839.29 86,960.27 89,134.27 91,362.63 93,646.70 95,987.86 98,387.56 100,847.25 103,368.43 105,952.64 108,601.46 Senior Building Inspector 3 36.9520 37.8758 38.8227 39.7933 40.7881 41.8078 42.8530 43.9243 45.0225 46.1480 47.3017 6,405.0171 6,565.1425 6,729.2711 6,897.5028 7,069.9404 7,246.6889 7,427.8562 7,613.5526 7,803.8914 7,998.9887 8,198.9634 76,860.20 78,781.71 80,751.25 82,770.03 84,839.29 86,960.27 89,134.27 91,362.63 93,646.70 95,987.86 98,387.56 Building Inspector 11 2 33.4767 34.3136 35.1715 36.0508 36.9520 37.8758 38.8227 39.7933 40.7881 41.8078 42.8530 5,802.6294 5,947.6951 6,096.3875 6,248.7972 6,405.0171 6,565.1425 6,729.2711 6,897.5028 7,069.9404 7,246.6889 7,427.8562 69,631.55 71,372.34 73,156.65 74,985.57 76,860.20 78,781.71 80,751.25 82,770.03 84,839.29 86,960.27 89,134.27 Building Inspector l 1 30.3282 31.0865 31.8636 32.6602 33.4767 34.3136 35.1715 36.0508 36.9520 37.8758 38.8227 5,256.8958 5,388.3182 5,523.0262 5,661.1018 5,802.6294 5,947.6951 6,096.3875 6,248.7972 6,405.0171 6,565.1425 6,729.2711 63,082.75 64,659.82 66,276.31 67 933 22 _ 69,631.55 71,372.34 73,156.65 74,985.57 76,860.20 78,781.71 80,751.25 Page 2 of 12 CITY OF TEMECULA SALARY SCHEDULE AS OF January 1, 2019 Class Family / Title Level Salary Steps 1.0 1.5 2.0 2.5 3.0 4.0 COMMUNITY DEVELOPMENT - CODE ENFORCEMENT Field Supervisor - a 33.4767 34.3136 35.1715 36.0508 36.9520 37.8758 38.8227 39.7933 40.7881 41.8078 42.8530 Code Enforcement 5,802.6294 5,947.6951 6,096.3875 6,248.7972 6,405.0171 6,565.1425 6,729.2711 6,897.5028 7,069.9404 7,246.6889 7,427.8562 69,631.55 71,372.34 73,156.65 74,985.57 76,860.20 78,781.71 80,751.25 82,770.03 84,839.29 86,960.27 89,134.27 Senior Code 3 30.3282 31.0865 31.8636 32.6602 33.4767 34.3136 35.1715 36.0508 36.9520 37.8758 38.8227 Enforcement Officer 5,256.8958 5,388.3182 5,523.0262 5,661.1018 5,802.6294 5,947.6951 6,096.3875 6,248.7972 6,405.0171 6,565.1425 6,729.2711 63,082.75 64,659.82 66,276.31 67,933.22 69,631.55 71,372.34 73,156.65 74,985.57 76,860.20 78,781.71 80,751.25 Code Enforcement Officer II 2 27.4759 28.1628 28.8669 29.5885 30.3282 31.0865 31.8636 32.6602 33.4767 34.3136 35.1715 4,762.4881 4,881.5503 5,003.5891 5,128.6788 5,256.8958 5,388.3182 5,523.0262 5,661.1018 5,802.6294 5,947.6951 6,096.3875 57,149.86 58,578.60 60,043.07 61,544.15 63,082.75 64,659.82 66,276.31 67,933.22 69,631.55 71,372.34 73,156.65 Code Enforcement Officer I 1 24.8918 25.5141 26.1520 26.8057 27.4759 28.1628 28.8669 29.5885 30.3282 31.0865 31.8636 4,314.5792 4,422.4437 4,533.0048 4,646.3299 4,762.4881 4,881.5503 5,003.5891 5,128.6788 5,256.8958 5,388.3182 5,523.0262 51,774.95 53,069.32 54,396.06 55,755.96 57,149.86 58,578.60 60,043.07 61,544.15 63,082.75 64,659.82 66,276.31 _ COMMUNITY DEVELOPMENT - PLANNING Planning Manager7 48.4843 49.6964 50.9388 52.2122 53.5175 54.8555 56.2269 57.6325 59.0734 60.5502 62.0639 63.6155 65.2059 66.8361 68.5070 8,403.9375 8,614.0359 8,829.3868 9,050.1215 9,276.3745 9,508.2839 9,745.9910 9,989.6407 10,239.3817 10,495.3663 10,757.7504 11,026.6942 11,302.3616 11,584.9206 11,874.5436 100,847.25 103,368.43 105,952.64 108,601.46 111,316.49 114,099.41 116,951.89 119,875.69 122,872.58 125,944.40 129,093.01 132,320.33 135,628.34 139,019.05 142,494.52 Prindpal Planner 6 43.9243 45.0225 46.1480 47.3017 48.4843 49.6964 50.9388 52.2122 53.5175 54.8555 56.2269 57.6325 590734 60.5502 62.0639 7,613.5526 7,803.8914 7,998.9887 8,198.9634 8,403.9375 8,614.0359 8,829.3868 9,050.1215 9,276.3745 9,508.2839 9,745.9910 9,989.6407 10,239.3817 10,495.3663 10,757.7504 91,362.63 93,646.70 95,987.86 98,387.56 100,847.25 103,368.43 105,952.64 108,601.46 111,316.49 114,099.41 116,951.89 119,875.69 122,872.58 125,944.40 129,093.01 Senior Planner 5 39.7933 40.7881 41.8078 42.8530 43.9243 45.0225 46.1480 47.3017 48.4843 49.6964 50.9388 52.2122 53.5175 54.8555 56.2269 6,897.5028 7,069.9404 7,246.6889 7,427.8562 7,613.5526 7,803.8914 7,998.9887 8,198.9634 8,403.9375 8,614.0359 8,829.3868 9,050.1215 9,276.3745 9,508.2839 9,745.9910 82,770.03 84,839.29 86,960.27 89,134.27 91,362.63 93,646.70 95,987.86 98,387.56 100,847.25 103,368.43 105,952.64 108,601.46 111,316.49 114,099.41 116,951.89 Associate Planner II 4 36.0508 36.9520 37.8758 38.8227 39.7933 40.7881 41.8078 42.8530 43.9243 45.0225 46.1480 6,248.7972 6,405.0171 6,565.1425 6,729.2711 6,897.5028 7,069.9404 7,246.6889 7,427.8562 7,613.5526 7,803.8914 7,998.9887 74,985.57 76,860.20 78,781.71 80,751.25 82,770.03 84,839.29 86,960.27 89,134.27 91,362.63 93,646.70 95,987.86 Associate Planner I 3 32.6602 33.4767 34.3136 35.1715 36.0508 36.9520 37.8758 38.8227 39.7933 40.7881 41.8078 5,661.1018 5,802.6294 5,947.6951 6,096.3875 6,248.7972 6,405.0171 6,565.1425 6,729.2711 6,897.5028 7,069.9404 7,246.6889 67,933.22 69,631.55 71,372.34 73,156.65 74,985.57 76,860.20 78,781.71 80,751.25 82,770.03 84,839.29 86,960.27 Assistant Planner 2 29.5885 30.3282 31.0865 31.8636 32.6602 33.4767 34.3136 35.1715 36.0508 36.9520 37.8758 5,128.6788 5,256.8958 5,388.3182 5,523.0262 5,661.1018 5,802.6294 5,947.6951 6,096.3875 6,248.7972 6,405.0171 6,565.1425 61,544.15 63,082.75 64,659.82 66,276.31 67,933.22 69,631.55 71,372.34 73,156.65 74,985.57 76,860.20 78,781.71 Planning Technician 1 26.8057 27.4759 28.1628 28.8669 29.5885 30.3282 31.0865 31.8636 32.6602 33.4767 34.3136 4,646.3299 4,762.4881 4,881.5503 5,003.5891 5,128.6788 5,256.8958 5,388.3182 5,523.0262 5,661.1018 5,802.6294 5,947.6951 55,755.96 57,149.86 58,578.60 60,043.07 61,544.15 63,082.75 64,659.82 66,276.31 67,933.22 69,631.55 71,372.34 COMMUNITY DEVELOPMENT - SERVICES CommDev Processing 4 31.8636 32.6602 33.4767 34.3136 35.1715 36.0508 36.9520 37.8758 38.8227 39.7933 40.7881 Supervisor 5,523.0262 5,661.1018 5,802.6294 5,947.6951 6,096.3875 6,248.7972 6,405.0171 6,565.1425 6,729.2711 6,897.5028 7,069.9404 66,276.31 67,933.22 69,631.55 71,372.34 73,156.65 74,985.57 76,860.20 78,781.71 80,751.25 82,770.03 84,839.29 Senior CommDev 3 28.8669 29.5885 30.3282 31.0865 31.8636 32.6602 33.4767 34.3136 35.1715 36.0508 36.9520 Services Technician 5,003.5891 5,128.6788 5,256.8958 5,388.3182 5,523.0262 5,661.1018 5,802.6294 5,947.6951 6,096.3875 6,248.7972 6,405.0171 60,043.07 61,544.15 63,082.75 64,659.82 66,276.31 67,933.22 69,631.55 71,372.34 73,156.65 74,985.57 76,860.20 CommDev Services 2 26.1520 26.8057 27.4759 28.1628 28.8669 29.5885 30.3282 31.0865 31.8636 32.6602 33.4767 Technician II 4,533.0048 4,646.3299 4,762.4881 4,881.5503 5,003.5891 5,128.6788 5,256.8958 5,388.3182 5,523.0262 5,661.1018 5,802.6294 54,396.06 55,755.96 57,149.86 58,578.60 60,043.07 61,544.15 63,082.75 64,659.82 66,276.31 67,933.22 69,631.55 CommDev Services 1 23.6924 24.2847 24.8918 25.5141 26.1520 26.8057 27.4759 28.1628 28.8669 29.5885 30.3282 Technician I 4,106.6786 4,209.3456 4,314.5792 4,422.4437 4,533.0048 4,646.3299 4,762.4881 4,881.5503 5,003.5891 5,128.6788 5,256.8958 49,280.14 50,512.15 51,774.95 53,069.32 54,396.06 55,755.96 57,149.86 58,578.60 60,043.07 61,544.15 63,082.75 Page 3 of 12 Class Family / Title Level %alary Steps 10 2.0 7.5 4. 4.5 CITY CLERK Director of Legislative a 59.0734 60.5502 62.0639 63.6155 65.2059 66.8361 68.5070 70.2197 71.9751 73.7745 75.6189 77.5094 79.4471 81.4333 83.4691 Aff8ir5/City Clerk 10,239.3817 10,495.3663 10,757.7504 11,026.6942 11,302.3616 11,584.9206 11,874.5436 12,171.4072 12,475.6924 12,787.5847 13,107.2743 13,434.9562 13,770.8301 14,115.1008 14,467.9783 122,872.58 125,944.40 129,093.01 132,320.33 135,628.34 139,019. 05 142,494.52 146,056.89 149,708.31 153,451.02 157,287.29 161,219.47 165, 249.96 169,381.21 173,615.74 Deputy City Clerk 7 36.0508 36.9520 37.8758 38.8227 39.7933 40.7881 41.8078 42.8530 43.9243 45.0225 46.1480 47.3017 48.4843 49.6964 50.9388 6,248.7972 6,405.0171 6,565.1425 6,729.2711 6,897.5028 7,069.9404 7,246.6889 7,427.8562 7,613.5526 7,803.8914 7,998.9887 8,198.9634 8,403.9375 8,614.0359 8,829.3868 74,985.57 76,860.20 78,781.71 80,751.25 82,770.03 84,839.29 86,960.27 89,134.27 91,362.63 93,646.70 95,987.86 98,387.56 100,847.25 103,368.43 105,952.64 Records Manager 6 32.6602 33.4767 34.3136 35.1715 36.0508 36.9520 37.8758 38.8227 39.7933 40.7881 41.8078 42.8530 43.9243 45.0225 46.1480 5,661.1018 5,802.6294 5,947.6951 6,096.3875 6,248.7972 6,405.0171 6,565.1425 6,729.2711 6,897.5028 7,069.9404 7,246.6889 7,427.8562 7,613.5526 7,803.8914 7,998.9887 67,933.22 69,631.55 71,372.34 73,156.65 74,985.57 76,860.20 78,781.71 80,751.25 82,770.03_ 84,839.29 86,960.27 89,134.27 91,362.63 93,646.70 95,987.86 Records Supervisor 4 25.5141 26.1520 26.8057 27.4759 28.1628 28.8669 29.5885 30.3282 31.0865 31.8636 32.6602 4,422.4437 4,533.0048 4,646.3299 4,762.4881 4,881.5503 5,003.5891 5,128.6788 5,256.8958 5,388.3182 5,523.0262 5,661.1018 53,069.32 54,396.06 55,755.96 57,149.86 58,578.60 60,043.07 61,544.15 63,082.75 64,659.82 66,276.31 67,933.22 Senior 3 23.1145 23.6924 24.2847 24.8918 25.5141 26.1520 26.8057 27.4759 28.1628 28.8669 29.5885 Records Coordinator 4,006.5157 4,106.6786 4,209.3456 4,314.5792 4,422.4437 4,533.0048 4,646.3299 4,762.4881 4,881.5503 5,003.5891 5,128.6788 48,078.19 49,280.14 50,512.15 51,774.95 53,069.32 54,396.06 55,755.96 57,149.86 58,578.60 60,043.07 61,544.15 Records Coordinator 2 20.9406 21.4641 22.0007 22.5507 23.1145 23.6924 24.2847 24.8918 25.5141 26.1520 26.8057 3,629.7055 3,720.4481 3,813.4593 3,908.7958 4,006.5157 4,106.6786 4,209.3456 4,314.5792 4,422.4437 4,533.0048 4,646.3299 43,556.47 44,645.38 45,761.51 46,905.55 48,078.19 49,280.14 50,512.15 51,774.95 53,069.32 54,396.06 55,755.96 Records Technician 1 18.9712 19.4454 19.9316 20.4299 20.9406 21.4641 22.0007 22.5507 23.1145 23.6924 24.2847 3,288.3340 3,370.5424 3,454.8059 3,541.1761 3,629.7055 3,720.4481 3,813.4593 3,908.7958 4,006.5157 4,106.6786 4,209.3456 39,460.01 40,446.51 41,457.67 42,494.11 43,556.47 44,645.38 45,761.51 46,905.55 48,078.19 49,280.14 50,512.15 CITY MANAGER City Manager 8 111.42 (per Employment Contract) N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A 19,312.50 231,750.00 Assistant City Manager 8 71.9751 73.7745 75.6189 77.5094 79.4471 81.4333 83.4691 85.5558 87.6947 89.8871 92.1343 94.4376 96.7986 99.2185 101.6990 12,475.6924 12,787.5847 13,107.2743 13,434.9562 13,770.8301 14,115.1008 14,467.9783 14,829.6778 15,200.4198 15,580.4302 15,969.9410 16,369.1895 16,778.4193 17,197.8797 17,627.8267 149,708.31 153,451.02 157,287.29 161,219.47 165,249.96 169,381.21 173,615.74 177,956.13 182,405.04 186,965.16 191,639.29 196,430.27 201,341.03 206,374.56 211,533.92 Deputy City Manager 7 65.2059 66.8361 68.5070 70.2197 71.9751 73.7745 75.6189 77.5094 79.4471 81.4333 83.4691 85.5558 87.6947 89.8871 92.1343 11,302.3616 11,584.9206 11,874.5436 12,171.4072 12,475.6924 12,787.5847 13,107.2743 13,434.9562 13,770.8301 14,115.1008 14,467.9783 14,829.6778 15,200.4198 15,580.4302 15,969.9410 135,628.34 139,019.05 142,494.52 146,056.89 149,708.31 153,451.02 157,287.29 161,219.47 165,249.96 169 381.21 173,615.74 177,956.13 182,405.04 186,965.16 191,639.29 Assistant to the 6 53.5175 54.8555 56.2269 57.6325 59.0734 60.5502 62.0639 63.6155 65.2059 66.8361 68.5070 70.2197 71.9751 73.7745 75.6189 City Manager 9,276.3745 9,508.2839 9,745.9910 9,989.6407 10,239.3817 10,495.3663 10,757.7504 11,026.6942 11,302.3616 11,584.9206 11,874.5436 12,171.4072 12,475.6924 12,787.5847 13,107.2743 111,316.49 114,099.41 116,951.89 119,875.69 122,872.58 125,944.40 129,093.01 132,320.33 135,628.34 139 019.05 142,494.52 146,056.89 149,708.31 153,451.02 157,287.29 Economic Development 5 42.8530 43.9243 45.0225 46.1480 47.3017 48.4843 49.6964 50.9388 52.2122 53.5175 54.8555 56.2269 57.6325 59.0734 60.5502 Manager 7,427.8562 7,613.5526 7,803.8914 7,998.9887 8,198.9634 8,403.9375 8,614.0359 8,829.3868 9,050.1215 9,276.3745 9,508.2839 9,745.9910 9,989.6407 10,239.3817 10,495.3663 89,134.27 91,362.63 93,646.70 95,987.86 98,387.56 100,847.25 103,368.43 105,952.64 108,601.46 111,316.49 114,099.41 116,951.89 119,875.69 122,872.58 125,944.40 Video Production 3 30.3282 31.0865 31.8636 32.6602 33.4767 34.3136 35.1715 36.0508 36.9520 37.8758 38.8227 Specialist 5,256.8958 5,388.3182 5,523.0261 5,661.1018 5,802.6293 5,947.6951 6,096.3874 6,248.7971 6,405.0171 6,565.1425 6,729.2710 63,082.75 64,659.82 66,276.31 67,933.22 69,631.55 71,372.34_ 73,156.65 74,985.57_ 76,860.20 78,781.71 80,751.25 CITY OF TEMECULA SALARY SCHEDULE AS OF January 1, 2019 Page 4 0112 CITY OF TEMECULA SALARY SCHEDULE AS OF January 1, 2019 Class Family / Title Level 1.0 2.0 5 Salary Stops MCP Only COMMUNITY SERVICES a. ar Director of 8 63.6155 65.2059 66.8361 68.5070 70.2197 71.9751 73.7745 75.6189 77,5094 79.4471 81.4333 83.4691 85.5558 87.6947 89.8871 Community Services 11,026.6942 11,302.3616 11,584.9206 11,874.5436 12,171.4072 12,475.6924 12,787.5847 13,107.2743 13,434.9562 13,770.8301 14,115.1008 14,467.9783 14,829.6778 15,200.4198 15,580.4302 132,320.33 135,628.34 139,019.05 142,494.52 146,056.89 149,708.31 153,451.02 157,287.29 161,219.47 165,249.96 169,381.21 173,615.74 177,956.13 182,405.04 186,965.16 Asst Director of 7 48.4843 49.6964 50.9388 52.2122 53.5175 54.8555 56.2269 57.6325 59.0734 60.5502 62.0639 63.6155 65.2059 66.8361 68.5070 Community Services 8,403.9375 8,614.0359 8,829.3868 9,050.1215 9,276.3745 9,508.2839 9,745.9910 9,989.6407 10,239.3817 10,495.3663 10,757.7504 11,026.6942 11,302.3616 11,584.9206 11,874.5436 100,847.25 103,368.43 105,952.64 108,601.46 111,316.49 114,099.41 116,951.89 119,875.69 122,872.58 125,944.40 129,093.01 132,320.33 135,62834 139,019.05 142,494.52 Community Services 6 43.9243 45.0225 46.1480 47.3017 48.4843 49.6964 50.9388 52.2122 53.5175 54.8555 56.2269 57.6325 59.0734 60.5502 62.0639 Superintendent 7,613.5526 7,803.8914 7,998.9887 8,198.9634 8,403.9375 8,614.0359 8,829.3868 9,050.1215 9,276.3745 9,508.2839 9,745.9910 9,989.6407 10,239.3817 10,495.3663 10,757.7504 91,362.63 93,646.70 95,987.86 98,387.56 100,847.25 103,368.43 105,952.64 108,601.46 111,316.49 114,099.41 116,951.89 119,875.69 122,872.58 125,944.40 129,093.01 Community Services5 39.7933 40.7881 41.8078 42.8530 43.9243 45.0225 46.1480 47.3017 48.4843 49.6964 50.9388 52.2122 53.5175 54.8555 56.2269 Manager 6,897.5028 7,069.9404 7,246.6889 7,427.8562 7,613.5526 7,803.8914 7,998.9887 8,198.9634 8,403.9375 8,614.0359 8,829.3868 9,050.1215 9,276.3745 9,508.2839 9,745.9910 82,770.03 84,839.29 86,960.27 89,134.27 91,362.63 93,646.70 95,987.86 98,387.56 100,847.25 103,368.43 105,952.64 108,601.46 111,316.49 114,099.41 116,951.89 Community Services 4 29.5885 30.3282 31.0865 31.8636 32.6602 33.4767 34.3136 35.1715 36.0508 36.9520 37.8758 Supervisor II 5,128.6788 5,256.8958 5,388.3182 5,523.0262 5,661.1018 5,802.6294 5,947.6951 6,096.3875 6,248.7972 6,405.0171 6,565.1425 61,544.15 63,082.75 64,659.82 66,276.31 67,933.22 69,631.55 71,372.34 73,156.65 74,985.57 76,860.20 78,781.71 Community Services 4 28.1628 28.8669 29.5885 30.3282 31.0865 31.8636 32.6602 33.4767 34.3136 35.1715 36.0508 Supervisor I 4,881.5503 5,003.5891 5,128.6788 5,256.8958 5,388.3182 5,523.0262 5,661.1018 5,802.6294 5,947.6951 6,096.3875 6,248.7972 58,578.60 60043.07 61,544.15 63,082.75 64,659.82 66,276.31 67,933.22 69,631.55 71,372.34 73,156.65 74,985.57 Community Services 3 25.5141 26.1520 26.8057 27.4759 28.1628 28.8669 29.5885 30.3282 31.0865 31.8636 32.6602 Coordinator 0 4,422.4437 4,533.0048 4,646.3299 4,762.4881 4,881.5503 5,003.5891 5,128.6788 5,256.8958 5,388.3182 5,523.0262 5,661.1018 53,069.32 54,396.06 55,755.96 57,149.86 58,578.60 60,043.07 61,544.15 63,082.75 64,659.82 66,276.31 67,933.22 Community Services 3 24.2847 24.8918 25.5141 26.1520 26.8057 27.4759 28.1628 28.8669 29.5885 30.3282 31.0865 Coordinator 4,209.3456 4,314.5792 4,422.4437 4,533.0048 4,646.3299 4,762.4881 4,881.5503 5,003.5891 5,128.6788 5,256.8958 5,388.3182 50,512.15 51,774.95 53,069.32 54,396.06 55,755.96 57,149.86 58,578.60 60,043.07 61,544.15 63,082.75 64,659.82 Community Services 2 22.0007 22.5507 23.1145 23.6924 24.2847 24.8918 25.5141 26.1520 26.8057 27.4759 28.1628 Specialist 11 3,813.4593 3,908.7958 4,006.5157 4,106.6786 4,209.3456 4,314.5792 4,422.4437 4,533.0048 4,646.3299 4,762.4881 4,881.5503 45,761.51 46,905.55 48,078.19 49,280.14 50,512.15 51,774.95 53,069.32 54396.06 55,755.96 57,149.86 58,578.60 Community Services 2 20.9406 21.4641 22.0007 22.5507 23.1145 23.6924 24.2847 24.8918 25.5141 26.1520 26.8057 Specialist I 3,629.7055 3,720.4481 3,813.4593 3,908.7958 4,006.5157 4,106.6786 4,209.3456 4,314.5792 4,422.4437 4,533.0048 4,646.3299 43,556.47 44,645.38 45,761.51 46,905.55 48,078.19 49,280.14 50,512.15 51,774.95 53,069.32 54,396.06 55,755.96 Community Services1 18.9712 19.4454 19.9316 20.4299 20.9406 21.4641 22.0007 22.5507 23.1145 23.6924 24.2847 Assistant 3,288.3340 3,370.5424 3,454.8059 3,541.1761 3,629.7055 3,720.4481 3,813.4593 3,908.7958 4,006.5157 4,106.6786 4,209.3456 39,460.01 40,446.51 41,457.67 42,494.11 43,556.47 44,645.38 45,761.51 46,905.55 48,078.19 49,280.14 50,512.15 Senior Recreation Leader 1 15.9598 16.3588 16.7677 17.1869 17.6166 18.0570 18.5084 18.9712 19.4454 19.9316 20.4299 2,766.3611 2,835.5201 2,906.4081 2,979.0683 3,053.5450 3,129.8837 3,208.1307 3,288.3340 3,370.5424 3,454.8059 3,541.1761 33,196.33 . 34,026.24 34,876.90 35,748.82 36,642.54 37,558.60 38,497.57 39,460.01 40,446.51 41,457.67 42,494.11 Recreation Leader 1 13.4264 13.7621 14.1061 14.4588 14.8202 15.1907 15.5705 15.9598 16.3588 16.7677 17.1869 2,327.2434 2,385.4245 2,445.0601 2,506.1866 2,568.8413 2,633.0623 2,698.8889 2,766.3611 2,835.5201 2,906.4081 2,979.0683 27,926.92 28,625.09 29,340.72 30,074.24 30,826.10 31,596.75 32,386.67 33,196.33 34,026.24 34,876.90 35,748.82 Recreation Assistant 1 12.1637 12.4678 12.7794 13.0989 13.4264 13.7621 14.1061 14.4588 14.8202 15.1907 15.5705 2,108.3677 2,161.0769 2,215.1038 2,270.4814 2,327.2434 2,385.4245 2,445.0601 2,506.1866 2,568.8413 2,633.0623 2,698.8889 25,300.41 25,932.92 26,581.25 27,245.78 27,926.92 28,625.09 29,340.72 30,074.24 30,826.10_ 31,596.75 32,386.67 COMMUNITY SERVICES - AQUATICS Aquatics Supervisor 11 4 30.3282 31.0865 31.8636 32.6602 33.4767 34.3136 35.1715 36.0508 36.9520 37.8758 38.8227 5,256.8958 5,388.3182 5,523.0262 5,661.1018 5,802.6294 5,947.6951 6,096.3875 6,248.7972 6,405.0171 6,565.1425 6,729.2711 63,082.75 64,659,82 66,276.31 67,933.22 69,631.55 71,372.34 73,156.65 74,985.57 76,860.20 78,781.71 80,751.25 Aquatics Supervisor l 4 28.8669 29.5885 30.3282 31.0865 31.8636 32.6602 33.4767 34.3136 35.1715 36.0508 36.9520 5,003.5891 5,128.6788 5,256.8958 5,388.3182 5,523.0262 5,661.1018 5,802.6294 5,947.6951 6,096.3875 6,248.7972 6,405.0171 60,043.07 61,544.15 63,082.75 64,659.82 66,276.31 67,933.22 69,631.55 71,372.34 73,156.65 74,985.57 76,860.20 Aquatics Coordinator 3 26.1520 26.8057 27.4759 28.1628 28.8669 29.5885 30.3282 31.0865 31.8636 32.6602 33.4767 4,533.0048 4,646.3299 4,762.4881 4,881.5503 5,003.5891 5,128.6788 5,256.8958 5,388.3182 5,523.0262 5,661.1018 5,802.6294 54,396.06 55,755.96 57,149.86 58,578.60 60,043.07 61,544.15 63,082.75 64,659.82 66,276.31 67,933.22 69,631.55 Lead Lifeguard 2 15.9598 16.3588 16.7677 17.1869 17.6166 18.0570 18.5084 18.9712 19.4454 19.9316 20.4299 2,766.3611 2,835.5201 2,906.4081 2,979.0683 3,053.5450 3,129.8837 3,208.1307 3,288.3340 3,370.5424 3,454.8059 3,541.1761 33,196.33 34,026.24 34,876.90 35,748.82 36,642.54 37,558.60 38,497.57 39,460.01 40,446.51 41,457.67 42,494.11 Senior Lifeguard1 14.4588 14.8202 15.1907 15.5705 15.9598 16.3588 16.7677 17.1869 17.6166 18.0570 18.5084 2,506.1866 2,568.8413 2,633.0623 2,698.8889 2,766.3611 2,835.5201 2,906.4081 2,979.0683 3,053.5450 3,129.8837 3,208.1307 30,074.24 30,826.10 31,596.75 32,386.67 33,196.33 34,026.24 34,876.90 35,748.82 36,642.54 37,558.60 38,497.57 Lifeguard 1 12.7794 13.0989 13.4264 13.7621 14.1061 14.4588 14.8202 15.1907 15.5705 15.9598 16.3588 2,215.1038 2,270.4814 2,327.2434 2,385.4245 2,445.0601 2,506.1866 2,568.8413 2,633.0623 2,698.8889 2,766.3611 2,835.5201 26,581.25 27,245.78 27,926.92 28,625.09 29,340.72 30,074.24 30,826.10 _ 31,596.75 32,386.67 33,196.33 34,026.24 Page 5 of 12 CITY OF TEMECULA SALARY SCHEDULE AS OF January 1, 2019 Class Family / Title Level 1.0 2.0 2.5 1.0 Salary Steps 4. COMMUNITY SERVICES - DAY CAMP Day Camp Director 1 18.5084 18.9712 19.4454 19.9316 20.4299 20.9406 21.4641 22.0007 22.5507 23.1145 23.6924 3,208.1307 3,288.3340 3,370.5424 3,454.8059 3,541.1761 3,629.7055 3,720.4481 3,813.4593 3,908.7958 4,006.5157 4,106.6786 38,497.57 39,460.01 40,446.51 41,457.67 42,494.11 43,556.47 44,645.38 45,761.51 46,905.55 48,078.19 49,280.14 Assistant Day Camp 1 15.1907 15.5705 15.9598 16.3588 16.7677 17.1869 17.6166 18.0570 18.5084 18.9712 19.4454 Director 2,633.0623 2,698.8889 2,766.3611 2,835.5201 2,906.4081 2,979.0683 3,053.5450 3,129.8837 3,208.1307 3,288.3340 3,370.5424 31,596.75 32,386.67 33,196.33 34,026.24 34,876.90 35,748.82 36,642.54 37,558.60 38,497.57 39,460.01 40,446.51 COMMUNITY SERVICES - PARK RANGERS Supervising Park Ranger 4 30.3282 31.0865 31.8636 32.6602 33.4767 34.3136 35.1715 36.0508 36.9520 37.8758 38.8227 5,256.8958 5,388.3182 5,523.0262 5,661.1018 5,802.6294 5,947.6951 6,096.3875 6,248.7972 6,405.0171 6,565.1425 6,729.2711 63,082.75 64,659.82 66,276.31 67,933.22 69,631.55 71,372.34 73,156.65 74,985.57 76,860.20 78,781.71 80,751.25 Park Ranger 10 3 27.4759 28.1628 28.8669 29.5885 ' 30.3282 31.0865 31.8636 32.6602 33.4767 34.3136 35.1715 4,762.4881 4,881.5503 5,003.5891 5,128.6788 5,256.8958 5,388.3182 5,523.0262 5,661.1018 5,802.6294 5,947.6951 6,096.3875 57,149.86 58,578.60 60,043.07 61,544.15 63,082.75 64,659.82 66,276.31 67,933.22 69,631.55 7372.34 73,156.65 Park Ranger 11 2 24.8918 25.5141 26.1520 26.8057. 27.4759 28.1628 28.8669 29.5885 30.3282 31.0865 31.8636 4,314.5792 4,422.4437 4,533.0048 4,646.3299 4,762.4881 4,881.5503 5,003.5891 5,128.6788 5,256.8958 5,388.3182 5,523.0262 51,774.95 53,069.32 54,396.06 55,755.96 57,149.86 58,578.60 60,043.07 61,544.15 63,082.75 64,659.82 66,276.31 Park Ranger 1 22.5507 23.1145 23.6924 24.2847 24.8918 25.5141 26.1520 26.8057 27.4759 28.1628 28.8669 3,908.7958 4,006.5157 4,106.6786 4,209.3456 4,314.5792 4,422.4437 4,533.0048 4,646.3299 4,762.4881 4,881.5503 5,003.5891 46,905.55 48,078.19 49,280.14 50,512.15 51,774.95, 53,069.32 54,396.06 55,755.96 57,149.86 1 58,578.60 60,043.07 COMMUNITY SERVICES - THEATER _ Theater Technical 3 25.5141 26.1520 26.8057 27.4759 28.1628 28.8669 29.5885 30.3282 31.0865 31.8636 32.6602 Coordinator II 4,422.4437 4,533.0048 4,646.3299 4,762.4881 4,881.5503 5,003.5891 5,128.6788 5,256.8958 5,388.3182 5,523.0262 5,661.1018 53,069.32 54,396.06 55,755.96 57,149.86 58,578.60 60,043.07 61,544.15 63,082.75 64,659.82 66,276.31 67,933.22 Theater Technical 3 24.2847 24.8918 25.5141 26.1520 26.8057 27.4759 28.1628 28.8669 29.5885 30.3282 31.0865 Coordinator I 4,209.3456 4,314.5792 4,422.4437 4,533.0048 4,646.3299 4,762.4881 4,881.5503 5,003.5891 5,128.6788 5,256.8958 5,388.3182 50,512.15 51,774.95 53,069.32 54,396.06 55,755.96 57,149.86 58,578.60 60,043.07 61,544.15 63,082.75 64,659.82 Theater Technical 2 22.0007 22.5507 23.1145 23.6924 24.2847 24.8918 25.5141 26.1520 26.8057 27.4759 28.1628 Specialist 0 3,813.4593 3,908.7958 4,006.5157 4,106.6786 4,209.3456 4,314.5792 4,422.4437 4,533.0048 4,646.3299 4,762.4881 4,881.5503 45,761.51 46,905.55 48,078.19 49,280.14 50,512.15 51,774.95 53,069.32 54,396.06 55,755.96 57,149.86 58,578.60 Theater Technical 2 20.9406 21.4641 22.0007 22.5507 23.1145 23.6924 24.2847 24.8918 25.5141 26.1520 26.8057 Specialist! 3,629.7055 3,720.4481 3,813.4593 3,908.7958 4,006.5157 4,106.6786 4,209.3456 4,314.5792 4,422.4437 4,533.0048 4,646.3299 43,556.47 44,645.38 45,761.51 46,905.55 48,078.19 49,280.14 50,512.15 51,774.95 53,069.32 54,396.06 55,755.96 Theater Technical 1 18.9712 19.4454 19.9316 20.4299 20.9406 21.4641 22.0007 22.5507 23.1145 23.6924 24.2847 Assistant 3,288.3340 3,370.5424 3,454.8059 3,541.1761 3,629.7055 3,720.4481 3,813.4593 3,908.7958 4,006.5157 4,106.6786 4,209.3456 39,460.01 40,446.51 41,457.67 42,494.11 43,556.47 44,645.38 45,761.51 46,905.55 _ 48,078.19 49,280,14 50,512.15 FINANCE Director of Finance 8 63.6155 65.2059 66.8361 68.5070 70.2197 71.9751 73.7745 75.6189 77.5094 79.4471 81.4333 83.4691 85.5558 87.6947 89.8871 11,026.6942 11,302.3616 11,584.9206 11,874.5436 12,171.4072 12,475.6924 12,787.5847 13,107.2743 13,434.9562 13,770.8301 14,115.1008 14,467.9783 14,829.6778 15,200.4198 15,580.4302 132,320.33 135,628.34 139,019.05 142,494.52 146,056.89 149,708.31 153,45102 157,287.29 161,219.47 165,249.96 169,381.21 173,615.74 177,956.13 182,405.04 186,965.16 Assistant Director 7 47.3017 48.4843 49.6964 50.9388 52.2122 53.5175 54.8555 56.2269 57.6325 59.0734 60.5502 62.0639 63.6155 65.2059 66.8361 of Finance 8,198.9634 8,403.9375 8,614.0359 8,829.3868 9,050.1215 9,276.3745 9,508.2839 9,745.9910 9,989.6407 10,239.3817 10,495.3663 10,757.7504 11,026.6942 11,302.3616 11,584.9206 98,387.56 100,847.25 103,368.43 105,952.64 108,601.46 111,316.49 114,099.41 116,951.89 119,875.69 122,872.58 125,944.40 129,093.01 132,320.33 135,628.34 139,019.05 Fiscal Services Manager 6 42.8530 43.9243 45.0225 46.1480 47.3017 48.4843 49.6964 50.9388 52.2122 53.5175 54.8555 56.2269 57.6325 59.0734 60.5502 7,427.8562 7,613.5526 7,803.8914 7,998.9887 8,198.9634 8,403.9375 8,614.0359 8,829.3868 9,050.1215 9,276.3745 9,508.2839 9,745.9910 9,989.6407 10,239.3817 10,495.3663 89,134.27 91,362.63 93,646.70 95,987.86 98,387.56 100,847.25 103,368.43 105,952.64 108,601.46 111,316.49 _ 114,099.41 116,951.89 119,875.69 122,872.58 125,944.40 FINANCE -ACCOUNTING Senior Accountant 4 37.8758 38.8227 39.7933 40.7881 41.8078 42.8530 43.9243 45.0225 46.1480 47.3017 48,4843 49.6964 50.9388 52.2122 53.5175 6,565.1425 6,729.2711 6,897.5028 7,069.9404 7,246.6889 7,427.8562 7,613.5526 7,803.8914 7,998.9887 8,198.9634 8,403.9375 8,614.0359 8,829.3868 9,050.1215 9,276.3745 78,781.71 80,751.25 82,770.03 84,839.29 86,960.27 89,134.27 91,362.63 93,646.70 95,987.86 98,387.56 100,847.25 103,368.43 105,952.64 108,601.46 111,316.49 Accountant 11 3 34.3136 35.1715 36.0508 36.9520 37.8758 38.8227 39.7933 40.7881 41.8078 42.8530 43.9243 45.0225 46.1480 47.3017 48.4843 5,947.6951 6,096.3875 6,248.7972 6,405.0171 6,565.1425 6,729.2711 6,897.5028 7,069.9404 7,246.6889 7,427.8562 7,613.5526 7,803.8914 7,998.9887 8,198.9634 8,403.9375 71,372.34 73,156.65 74,985.57 76,860.20 78,781.71 80,751.25 82,770.03 84,839.29 86,960.27 89,134.27 91,362.63 93,646.70 95,987.86 98,387.56 100,847.25 Accountant I 32.6602 33.4767 34.3136 35.1715 36.0508 36.9520 37.8758 38.8227 39.7933 40.7881 41.8078 42.8530 43.9243 45.0225 46.1480 5,661.1018 5,802.6294 5,947.6951 6,096.3875 6,248.7972 6,405.0171 6,565.1425 6,729.2711 6,897.5028 7,069.9404 7,246.6889 7,427.8562 7,613.5526 7,803.8914 7,998.9887 67,933.22 69,631.55 71,372.34 73,156.65 _ 74,985.57 76,860.20 78,781.71 80,751.25 82,770.03 84,839.29 86,960.27 89,134.27 91,362.63 93,646.70 95,987.86 Pape6of 12 CITY OF TEMECULA SALARY SCHEDULE AS OF January 1, 2019 Class Family / Title Level 1.0 1.5 2.0 3.0 Salary Step, ' FINANCE - ACCOUNTING SUPPORT Accounting Support 4 32.6602 33.4767 34.3136 35.1715 36.0508 36.9520 37.8758 38.8227 39.7933 40.7881 41.8078 42.8530 43.9243 45.0225 46.1480 Supervisor 5,661.1018 5,802.6294 5,947.6951 6,096.3875 6,248.7972 6,405.0171 6,565.1425 6,729.2711 6,897.5028 7,069.9404 7,246.6889 7,427.8562 7,613.5526 7,803.8914 7,998.9887 67,933.22 69,631.55 71,372.34 73,156.65 74,985.57 76,860.20 78,781.71 80,751.25 82,770.03 84,839.29 86,960.27 89,134.27 91,362.63 93,646.70 95,987.86 Senior Accounting 3 29.5885 30.3282 31.0865 31.8636 32.6602 33.4767 34.3136 35.1715 36.0508 36.9520 37.8758 38.8227 39.7933 40.7881 41.8078 Technician 5,128.6788 5,256.8958 5,388.3182 5,523.0262 5,661.1018 5,802.6294 5,947.6951 6,096.3875 6,248.7972 6,405.0171 6,565.1425 6,729.2711 6,897.5028 7,069.9404 7,246.6889 61,544.15 63,082.75 64,659.82 66,276.31 67,933.22 69,631.55 71,372.34 73,156.65 74,985.57 76,860.20 78,781.71 80,751.25 82,770.03 84,839.29 86,960.27 Accounting Technician II 2 26.8057 27.4759 28.1628 28.8669 29.5885 30.3282 31.0865 31.8636 32.6602 33.4767 34.3136 35.1715 36.0508 36.9520 37.8758 4,646.3299 4,762.4881 4,881.5503 5,003.5891 5,128.6788 5,256.8958 5,388.3182 5,523.0262 5,661.1018 5,802.6294 5,947.6951 6,096.3875 6,248.7972 6,405.0171 6,565.1425 55,755.96 57,149.86 58,578.60 60,043.07 61,544.15 63,082.75 64,659.82 66,276.31 67,933.22 69,631.55 71,372.34 73,156.65 74,985.57 76,860.20 78,781.71 Accounting Technician I 2 25.5141 26.1520 26.8057 27.4759 28.1628 28.8669 29.5885 30.3282 31.0865 31.8636 32.6602 33.4767 34.3136 35.1715 36.0508 4,422.4437 4,533.0048 4,646.3299 4,762.4881 4,881.5503 5,003.5891 5,128.6788 5,256.8958 5,388.3182 5,523.0262 5,661.1018 5,802.6294 5,947.6951 6,096.3875 6,248.7972 53,069.32 54,396.06 55,755.96 57,149.86 58,578.60 60,043.07 61,544.15 63,082.75 64,659.82 66,276.31 67,933.22 69,631.55 71,372.34 73,156.65 74,985.57 Accounting Assistant1 23.1145 23.6924 24.2847 24.8918 25.5141 26.1520 26.8057 27.4759 28.1628 28.8669 29.5885 30.3282 31.0865 31.8636 32.6602 4,006.5157 4,106.6786 4,209.3456 4,314.5792 4,422.4437 4,533.0048 4,646.3299 4,762.4881 4,881.5503 5,003.5891 5,128.6788 5,256.8958 5,388.3182 5,523.0262 5,661.1018 48,078.19 49,280.14 50,512.15 51,774.95 53,069.32 54,396.06 55,755.96 57,149.86 58,578.60 60,043.07 61,544.15 63,082.75 64,659.82 66,276.31 67,933.22 Cashier 1 23.1145 23.6924 24.2847 24.8918 25.5141 26.1520 26.8057 27.4759 28.1628 28.8669 29.5885 4,006.5157 4,106.6786 4,209.3456 4,314.5792 4,422.4437 4,533.0048 4,646.3299 4,762.4881 4,881.5503 5,003.5891 5,128.6788 48,078.19 49,280.14 50,512.15 51,774.95 53,069.32 54,396.06 55,755.96 57,149.86 58,578.60 60,043.07 61,544.15 FINANCE - BUSINESS UCENSE Business License 4 31.0865 31.8636 32.6602 33.4767 34.3136 35.1715 36.0508 36.9520 37.8758 38.8227 39.7933 Supervisor 5,388.3182 5,523.0262 5,661.1018 5,802.6294 5,947.6951 6,096.3875 6,248.7972 6,405.0171 6,565.1425 6,729.2711 6,897.5028 64,659.82 66,276.31 67,933.22 69,631.55 71,372.34 73,156.65 74,985.57 76,860.20 78,781.71 80,751.25 82,770.03 Senior Business License 3 28.1628 28.8669 29.5885 30.3282 31.0865 31.8636 32.6602 33.4767 34.3136 35.1715 36.0508 Technician 4,881.5503 5,003.5891 5,128.6788 5,256.8958 5,388.3182 5,523.0262 5,661.1018 5,802.6294 5,947.6951 6,096.3875 6,248.7972 58,578.60 60,043.07 61,544.15 63,082.75 64,659.82 66,276.31 67,933.22 69,631.55 71,372.34 73,156.65 74,985.57 Business License 2 25.5141 26.1520 26.8057 27.4759 28.1628 28.8669 29.5885 30.3282 31.0865 31.8636 32.6602 Technician 4,422.4437 4,533.0048 4,646.3299 4,762.4881 4,881.5503 5,003.5891 5,128.6788 5,256.8958 5,388.3182 5,523.0262 5,661.1018 53,069.32 54,396.06 55,755.96 57,149.86 58,578.60 60,043.07 61,544.15 63,082.75 64,659.82 66,276.31 67,933.22 Business License 1 23.1145 23.6924 24.2847 24.8918 25.5141 26.1520 26.8057 27.4759 28.1628 28.8669 29.5885 Assistant 4,006.5157 4,106.6786 4,209.3456 4,314.5792 4,422.4437 4,533.0048 4,646.3299 4,762.4881 4,881.5503 5,003.5891 5,128.6788 48,078.19 49,280.14 50,512.15 51,774.95 53,069.32 54,396.06 55,755.96 57,149.86 58,578.60_ 60,043.07 61,544.15 FINANCE - PAYROLL Payroll Manager 5 36.0508 36.9520 37.8758 38.8227 39.7933 40.7881 41.8078 42.8530 43.9243 45.0225 46.1480 47.3017 48.4843 49.6964 50.9388 6,248.7972 6,405.0171 6,565.1425 6,729.2711 6,897.5028 7,069.9404 7,246.6889 7,427.8562 7,613.5526 7,803.8914 7,998.9887 8,198.9634 8,403.9375 8,614.0359 8,829.3868 74,985.57 76,860.20_ 78,781.71 80,751.25 82,770.03 84,839.29 86,960.27 89,134.27 91,362.63 93,646.70 95,987.86 98,387.56 100,847.25 103,368.43 105,952.64 Payroll Administrator 4 32.6602 33.4767 34.3136 35.1715 36.0508 36.9520 37.8758 38.8227 39.7933 40.7881 41.8078 42.8530 43.9243 45.0225 46.1480 5,661.1018 5,802.6294 5,947.6951 6,096.3875 6,248.7972 6,405.0171 6,565.1425 6,729.2711 6,897.5028 7,069.9404 7,246.6889 7,427.8562 7,613.5526 7,803.8914 7,998.9887 67,933.22 69,631.55 71,372.34 73,156.65 74,985.57 76,860.20 78,781.71 80,751.25 82,770.03 84,839.29 86,960.27 89,134.27 91,362.63 93,646.70 95,987.86 Payroll Supervisor 4 31.0865 31.8636 32.6602 33.4767 34.3136 35.1715 36.0508 36.9520 37.8758 38.8227 39.7933 40.7881 41.8078 42.8530 43.9243 5,388.3182 5,523.0262 5,661.1018 5,802.6294 5,947.6951 6,096.3875 6,248.7972 6,405.0171 6,565.1425 6,729.2711 6,897.5028 7,069.9404 7,246.6889 7,427.8562 7,613.5526 64,659.82 66,276.31 67,933.22 69,631.55 71,372.34 73,156.65 74,985.57 76,860.20 78,781.71 80,751.25 82,770.03 84,839.29 86960.27 89,134.27 91,362.63 Senior Payroll 3 28.1628 28.8669 29.5885 30.3282 31.0865 31.8636 32.6602 33.4767 34.3136 35.1715 36.0508 36.9520 37.8758 38.8227 39.7933 Coordinator 4,881.5503 5,003.5891 5,128.6788 5,256.8958 5,388.3182 5,523.0262 5,661.1018 5,802.6294 5,947.6951 6,096.3875 6,248.7972 6,405.0171 6,565.1425 6,729.2711 6,897.5028 58,578.60 60,043.07 61,544.15 63,082.75 64,659.82 66,276.31 67,933.22 69,631.55 71,372.34 73,156.65 74,985.57 76,860.20 78,781.71 80,751.25 82,770.03 Payroll Coordinator 2 25.5141 26.1520 26.8057 27.4759 28.1628 28.8669 29.5885 30.3282 31.0865 31.8636 32.6602 33.4767 34.3136 35.1715 36.0508 4,422.4437 4,533.0048 4,646.3299 4,762.4881 4,881.5503 5,003.5891 5,128.6788 5,256.8958 5,388.3182 5,523.0262 5,661.1018 5,802.6294 5,947.6951 6,096.3875 6,248.7972 53,069.32 54,396.06 55,755.96 57,149.86 58,578.60 60,043.07 61,544.15 63,082.75 64,659.82 66,276.31 67,933.22 69,631.55 71,372.34 73,156.65 74,985.57 Payroll Technician 1 23.1145 23.6924 24.2847 24.8918 25.5141 26.1520 26.8057 27.4759 28.1628 28.8669 29.5885 30.3282 31.0865 31.8636 32.6602 4,006.5157 4,106.6786 4,209.3456 4,314.5792 4,422.4437 4,533.0048 4,646.3299 4,762.4881 4,881.5503 5,003.5891 5,128.6788 5,256.8958 5,388.3182 5,523.0262 5,661.1018 48,078.19 49,280.14 50,512.15 51,774.95 53,069.32 54,396.06 55,755,96 57,149.86 58,578.60 60,043.07 61,544.15 63,082.75 64,659.82 66,276.31 67,933.22 Page 7 47112 Class Family / Title Level 1.0 1.5 2.0 Salary Steps FINANCE -PURCHASING a ^ Purchasing Manager 5 36.0508 36.9520 37.8758 38.8227 39.7933 40.7881 41.8078 42.8530 43.9243 45.0225 46.1480 47.3017 48.4843 49.6964 50.9388 6,248.7972 6,405.0171 6,565.1425 6,729.2711 6,897.5028 7,069.9404 7,246.6889 7,427.8562 7,613.5526 7,803.8914 7,998.9887 8,198.9634 8,403.9375 8,614.0359 8,829.3868 74,985.57 76,860.20 78,781.71 80,751.25 82,770.03 84,839.29 86,960.27 89,134.27 91,362.63 93,646.70 95987.86 98,387.56 100,847.25 103,368.43 105,952.64 Purchasing Supervisor 4 32.6602 33.4767 34.3136 35.1715 36.0508 36.9520 37.8758 38.8227 39.7933 40.7881 41.8078 5,661.1018 5,802.6294 5,947.6951 6,096.3875 6,248.7972 6,405.0171 6,565.1425 6,729.2711 6,897.5028 7,069.9404 7,246.6889 67,933.22 69,631.55 71,372.34 73,156.65 74,985.57 76,860.20 78,781.71 80,751.25 82,770.03 84,839.29 86,960.27 Senior Buyer 3 29.5885 30.3282 31.0865 31.8636 32.6602 33.4767 34.3136 35.1715 36.0508 36.9520 37.8758 5,128.6788 5,256.8958 5,388.3182 5,523.0262 5,661.1018 5,802.6294 5,947.6951 6,096.3875 6,248.7972 6,405.0171 6,565.1425 61,544.15 63,082.75 64,659.82 66,276.31 67,933.22 69,631.55 71,372.34 73,156.65 74,985.57 76,860.20 78,781.71 Buyer II 2 26.8057 27.4759 28.1628 4 881 5503 28.8669 29.5885 30.3282 31.0865 31.8636 32.6602 33.4767 34.3136 4,646.3299 4,762.4881 5,003.5891 5,128.6788 5,256.8958 5,388.3182 5,523.0262 5,661.1018 5,802.6294 5,947.6951 58,578.60 55,755.96 57,14986 60,043.07 61,544.15 63,082.75 64,659.82 66,276.31 67,933.22 69,631.55 71,372.34 Buyer I 2 25.5141 26.1520 26.8057 27.4759 28.1628 28.8669 29.5885 30.3282 31.0865 31.8636 32.6602 4,422.4437 4,533.0048 4,646.3299 4,762.4881 4,881.5503 5,003.5891 5,128.6788 5,256.8958 5,388.3182 5,523.0262 5,661.1018 53,069.32 54,396.06 55,755.96 57,149.86 58,578.60 60,043.07 61,544.15 63,082.75 64,659.82 66,276.31 67,933.22 Purchasing Assistant 1 23.1145 23.6924 24.2847 24.8918 25.5141 26.1520 26.8057 27.4759 28.1628 28.8669 29.5885 4,006.5157 4,106.6786 4,209.3456 4,314.5792 4,422.4437 4,533.0048 4,646.3299 4,762.4881 4,881.5503 5,003.5891 5,128.6788 48,078.19 49,280.14 50,512.15 51,774.95 53,069.32 54,396.06 55,755.96 57,149.86 58,578.60 60,043.07 61,544.15 _ FIRE Field Supervisor - Fire 4 45.0225 46.1480 47.3017 48.4843 49.6964 50.9388 52.2122 53.5175 54.8555 56.2269 57.6325 7,803.8914 7,998.9887 8,198.9634 8,403.9375 8,614.0359 8,829.3868 9,050.1215 9,276.3745 9,508.2839 9,745.9910 9,989.6407 93,646.70 95,987.86 98,387.56 100,847.25 103,368.43 105,952.64 108,601.46 111,316.49 114,099.41 116,951.89 119,875.69 Senior Fire Inspector 4 42.8530 43.9243 45.0225 46.1480 47.3017 48.4843 49.6964 50.9388 52.2122 53.5175 54.8555 7,427.8562 7,613.5526 7,803.8914 7,998.9887 8,198.9634 8,403.9375 8,614.0359 8,829.3868 9,050.1215 9,276.3745 9,508.2839 89,134.27 91,362.63 93,646.70 95,987.86 98,387.56 100,847.25 103,368.43 105,952.64 108,601.46 111,316.49 114,099.41 Fire Inspector II 2 38.8227 39.7933 40.7881 41.8078 42.8530 43.9243 45.0225 46.1480 47.3017 48.4843 49.6964 6,729.2711 6,897.5028 7,069.9404 7,246.6889 7,427.8562 7,613.5526 7,803.8914 7,998.9887 8,198.9634 8,403.9375 8,614.0359 80,751.25 82,770.03 84,839.29 86,960.27 89,134.27 91,362.63 93,646.70 95,987.86 98,387.56 100,847.25 103,368.43 Fire Inspector l 1 35.1715 36.0508 36.9520 37.8758 38.8227 39.7933 40.7881 41.8078 418530 43.9243 45.0225 6,096.3875 6,248.7972 6,405.0171 6,565.1425 6,729.2711 6,897.5028 7,069.9404 7,246.6889 7,427.8562 7,613.5526 7,803.8914 73,156.65 74,985.57 76,860.20 78,781.71 80,751.25 ' 82,770.03 84,839.29 86,960.27 _ 89,134.27 91,362.63 93,646.70 CITY OF TEMECULA SALARY SCHEDULE AS OF January 1, 2019 Page 13 or 12 Class Family / Title Level salary Steps 1,0 1.5 HUMAN RESOURCES Director of HR/Risk 8 59.0734 60.5502 62.0639 63.6155 65.2059 66.8361 68.5070 70.2197 71.9751 73.7745 75.6189 77.5094 79.4471 81.4333 83.4691 Management 10,239.3817 10,495.3663 10,757.7504 11,026.6942 11,302.3616 11,584.9206 11,874.5436 12,171.4072 12,475.6924 12,787.5847 13,107.2743 13,434.9562 13,770.8301 14,115.1008 14,467.9783 122,872.58 125,944.40 129,093.01 132,320.33 135,628.34 139,019.05 142,494.52 146,056.89 149,708.31 153,451.02 157,287.29 161,219.47 165, 249.96 169,381.21 173,615.74 Asst Director of HR/Risk 7 47.3017 48.4843 49.6964 50.9388 52.2122 53.5175 54.8555 56.2269 57.6325 59.0734 60.5502 62.0639 63.6155 65.2059 66.8361 Management 8,198.9634 8,403.9375 8,614.0359 8,829.3868 9,050.1215 9,276.3745 9,508.2839 9,745.9910 9,989.6407 10,239.3817 10,495.3663 10,757.7504 11,026.6942 11,302.3616 11,584.9206 98,387.56 100,847.25 103,368.43 105,952.64 108,601.46 111,316.49 114,099.41 116,951.89 119,875.69 122,872.58 125,944.40 129,093.01 132,320.33 135,628.34 139,019.05 HR Manager 6 42.8530 43.9243 45.0225 46.1480 47.3017 48.4843 49.6964 50.9388 52.2122 53.5175 54.8555 56.2269 57.6325 59.0734 60.5502 7,427.8562 7,613.5526 7,803.8914 7,998.9887 8,198.9634 8,403.9375 8,614.0359 8,829. 3868 9,050.1215 9,276.3745 9,508.2839 9,745.9910 9,989.6407 10,239.3817 10,495.3663 89,134.27 91,362.63 93,646.70 95,987.86 98,387.56 100,847.25 103,368.43 105,952.64 108,601.46 111,316.49 114,099.41 116,951.89 119,875.69 122,872.58 125,944.40 Risk Manager 6 43.5058 44.5910 45.7074 46.8476 48.0192 49.2222 50.4568 51.7148 53.0042 54.3332 55.6934 56.8887 58.3118 59.7664 61.2603 (0-981e) 7,541.0000 7,729.1000 7,922.6200 8,120.2500 8,323.3200 8,531.8500 8,745.8400 8,963.9000 9,187.4000 9,417.7500 9,653.5300 9,860.7000 10,107.3700 10,359.5100 10,618.4600 90,492.00 92,749.20 95,071.44 97,443.00 99,879.84 102,382.20 104,950.08 107,566.80 110 248.80 113,013.00 115,842.36 118,328.40 121,288.44 124,314.12 127,421.52 Risk Manager 6 42.8530 43.9243 45.0225 46.1480 47.3017 48.4843 49.6964 50.9388 52.2122 53.5175 54.8555 56.2269 57.6325 59.0734 60.5502 7,427.8562 7,613.5526 7,803.8914 7,998.9887 8,198.9634 8,403.9375 8,614.0359 8,829.3868 9,050.1215 9,276.3745 9,508.2839 9,745.9910 9,989.6407 10,239.3817 10,495.3663 89,134.27 91,362.63 93,646.70 95,987.86 98,387.56 100,847.25 103,368.43 105,952.64108,601.46 111,316.49 114,099.41 116,951.89 119,875.69 122,872.58 125,944.40 HR Supervisor 4 31.8636 32.6602 33.4767 34.3136 35.1715 36.0508 36.9520 37.8758 a 38.8227 39.7933 40.7881 41.8078 42.8530 43.9243 45.0225 5,523.0262 5,661.1018 5,802.6294 5,947.6951 6,096.3875 6,248.7972 6,405.0171 6,565.1425 6,729.2711 6,897.5028 7,069.9404 7,246.6889 7,427.8562 7,613.5526 7,803.8914 66,276.31 67,933.22 69,631.55 71,372.34 73,156.65 74,985.57 76,860.20 78,781.71 80,751.25 82,770.03 84,839.29 86,960.27 89,134.27 91,362.63 93,646.70 Senior HR Technician 28.8669 29.5885 30.3282 31.0865 31.8636 32.6602 33.4767 34.3136 35.1715 36.0508 36.9520 37.8758 38.8227 39.7933 40.7881 5,003.5891 5,128.6788 5,256.8958 5,388.3182 5,523.0262 5,661.1018 5,802.6294 5,947.6951 6,096.3875 6,248.7972 6,405.0171 6,565.1425 6,729.2711 6,897.5028 7,069.9404 60,043.07 61,544.15 63,082.75 64,659.82 66,276.31 67,933.22 69,631.55 71,372.34 73,156.65 74,985.57 76,860.20 78,781.71 80,751.25 82,770.03 84,839.29 HR Technician II 2 26.1520 26.8057 27.4759 28.1628 28.8669 29.5885 30.3282 31.0865 31.8636 32.6602 33.4767 34.3136 35.1715 36.0508 36.9520 4,533.0048 4,646.3299 4,762.4881 4,881.5503 5,003.5891 5,128.6788 5,256.8958 5,388.3182 5,523.0262 5,661.1018 5,802.6294 5,947.6951 6,096.3875 6,248.7972 6,405.0171 54,396.06 55,755.96 57,149.86 58,578.60 60,043.07 61,544.15 63,082.75 64,659.82 66,276.31 67,933.22 69,631.55 71,372.34 73,156.65 74,985.57 76,860.20 HR Technician I 2 24.8918 25.5141 26.1520 26.8057 27.4759 28.1628 28.8669 29.5885 30.3282 31.0865 31.8636 32.6602 33.4767 34.3136 35.1715 4,314.5792 4,422.4437 4,533.0048 4,646.3299 4,762.4881 4,881.5503 5,003.5891 5,128.6788 5,256.8958 5,388.3182 5,523.0262 5,661.1018 5,802.6294 5,947.6951 6,096.3875 51,774.95 53,069.32 54„396.06 55,755.96 57,149.86 58,578.60 60,043.07 61,544.15 63,082.75 64,659.82 66,276.31 67,933.22 69,631.55 71,372.34 73,156.65 HR Assistant 1 22.5507 23.1145 23.6924 24.2847 24.8918 25.5141 26.1520 26.8057 27.4759 28.1628 28.8669 29.5885 30.3282 31.0865 31.8636 3,908.7958 4,006.5157 4,106.6786 4,209.3456 4,314.5792 4,422.4437 4,533.0048 4,646.3299 4,762.4881 4,881.5503 5,003.5891 5,128.6788 5,256.8958 5,388.3182 5,523.0262 46,905.55 48,078.19 _ 49,280.14 50,512.15 51,774.95 53,069.32 54,396.06 55,755.96 57,149.86 58,578.60 60,043.07 61,544.15 63,082.75 64,659.82 66,276.31 INFORMATION TECHNOLOGY Director of IT/Support 8 59.0734 60.5502 62.0639 63.6155 65.2059 66.8361 68.5070 70.2197 71.9751 73.7745 75.6189 77.5094 79.4471 81.4333 83.4691 Services 10,239.3817 10,495.3663 10,757.7504 11,026.6942 11,302.3616 11,584.9206 11,874.5436 12,171.4072 12,475.6924 12,787.5847 13,107.2743 13,434.9562 13,770.8301 14,115.1008 14,467.9783 122,872.58 125,944.40 129,093.01 132,320.33 135,628.34 139,019.05 142,494.52 146,056.89 149,708.31 153,451.02 157,287.29 161,219.47 165,249.96 169,381.21 173,615.74 Asst Director of IT/S8pport 7 50.9388 52.2122 53.5175 54.8555 56.2269 57.6325 59.0734 60.5502 62.0639 63.6155 65.2059 66.8361 68.5070 70.2197 71.9751 Services 8,829.3868 9,050.1215 9,276.3745 9,508.2839 9,745.9910 9,989.6407 10,239.3817 10,495.3663 10,757.7504 11,026.6942 11,302.3616 11,584.9206 11,874.5436 12,171.4072 12,475.6924 105,952.64 108,601.46 111,316.49 114,099.41 116,951.89 119,875.69 122,872.58 125,944.40 129,093.01 132,320.33 135,628.34 139,019.05 142,494.52 146,056.89 149,708.31 IT Manager 6 46.1480 47.3017 48.4843 49.6964 50.9388 52.2122 53.5175 54.8555 56.2269 57.6325 59.0734 60.5502 62.0639 63.6155 65.2059 7,998.9887 8,198.9634 8,403.9375 8,614.0359 8,829.3868 9,050.1215 9,276.3745 9,508.2839 9,745.9910 9,989.6407 10,239.3817 10,495.3663 10,757.7504 11,026.6942 11,302.3616 95,987.86 98,387.56 100,847.25 103,368.43 105,952.64 108,601.46 111,316.49 114099.41 116,951.89 119,875.69 122,872.58 125,944.40 129,093.01 132,320.33 135 628.34 IT Administrator 5 41.8078 42.8530 43.9243 45.0225 46.1480 47.3017 48.4843 49.6964 50.9388 52.2122 53.5175 54.8555 56.2269 57.6325 59.0734 7,246.6889 7,427.8562 7,613.5526 7,803.8914 7,998.9887 8,198.9634 8,403.9375 8,614.0359 8,829.3868 9,050.1215 9,276.3745 9,508.2839 9,745.9910 9,989.6407 10,239.3817 86,960.27 89,134.27 91,362.63 93,646.70 95,987.86 98,387.56 100,847.25 103,368.43 105,952.64 108,601.46 111,316.49 114,099.41 116,951.89 119,875.69 122,872.58 IT Supervisor 4 37.8758 38.8227 39.7933 40.7881 41.8078 42.8530 43.9243 45.0225 46.1480 47.3017 48.4843 6,565.1425 6,729.2711 6,897.5028 7,069.9404 7,246.6889 7,427.8562 7,613.5526 7,803.8914 7,998.9887 8,198.9634 8,403.9375 78,781.71 80,751.25 82,770.03 84,839.29 86,960.27 8934.27 91,362.63 93,646.70 95,987.86 98,387.56 100,847.25 Senior IT Specialist 3 34.3136 35.1715 36.0508 36.9520 37.8758 38.8227 39.7933 40.7881 41.8078 42.8530 43.9243 5,947.6951 6,096.3875 6,248.7972 6,405.0171 6,565.1425 6,729.2711 6,897.5028 7,069.9404 7,246.6889 7,427.8562 7,613.5526 71,372.34 73,156.65 74,985.57 76,860.20 78,781.71 80,751.25 82,770.03 84,839.29 86,960.27 89,134.27 91,362.63 IT Specialist II 2 31.0865 31.8636 32.6602 33.4767 34.3136 35.1715 36.0508 36.9520 37.8758 38.8227 39.7933 5,388.3182 5,523.0262 5,661.1018 5,802.6294 5,947.6951 6,096.3875 6,248.7972 6,405.0171 6,565.1425 6,729.2711 6,897.5028 64,659.82 66,276.31 67,933.22 69,631.55 71,372.34 73,156.65 74,985.57 76,860.20 78,781.71 80,751.25 82,770.03 IT Specialist 2 29.5885 30.3282 31.0865 31.8636 32.6602 33.4767 34.3136 35.1715 36.0508 36.9520 37.8758 5,128.6788 5,256.8958 5,388.3182 5,523.0262 5,661.1018 5,802.6294 5,947.6951 6,096.3875 6,248.7972 6,405.0171 6,565.1425 61,544.15 63,082.75 64,659.82 66,276.31 67,933.22 69,631.55 71,372.34 73,156.65 74,985.57 76,860.20 78,781.71 IT Technician II 1 26.8057 27.4759 28.1628 28.8669 29.5885 30.3282 31.0865 31.8636 32.6602 33.4767 34.3136 4,646.3299 4,762.4881 4,881.5503 5,003.5891 5,128.6788 5,256.8958 5,388.3182 5,523.0262 5,661.1018 5,802.6294 5,947.6951 55,755.96 57,149.86 58,578.60 60,043.07 61544.15 63,082.75 64,659.82 66,276.31 67,933.22 69,631.55 71,372.34 IT Technician 1 25.5141 26.1520 26.8057 27.4759 28.1628 28.8669 29.5885 30.3282 31.0865 31.8636 32.6602 4,422.4437 4,533.0048 4,646.3299 4,762.4881 4,881.5503 5,003.5891 5,128.6788 5,256.8958 5,388.3182 5,523.0262 5,661.1018 53,069.32 54,396.06 55,755.96 57,149.86 58,578.60 60,043.07 61,544.15 63,082.75 64,659.82 66,276.31 67,933.22 CITY OF TEMECULA SALARY SCHEDULE A5 OF January 1, 2019 Page 9 of 12 Class Family / Title Level CITY OF TEMECULA SALARY SCHEDULE AS OF January 1, 2019 Salary Steps 1.0 1.5 2.0 3.0 PUBUC WORKS MIMEO Director ofPW/C4y 8 68.5070 70.2197 71.9751 73.7745 75.6189 77.5094 79.4471 81.4333 83.4691 85.5558 87.6947 89.8871 92.1343 94.4376 96.7986 Engineer 11,874.5436 12,171.4072 12,475.6924 12,787.5847 13,107.2743 13,434.9562 13,770.8301 14,115.1008 14,467.9783 14,829.6778 15,200.4198 15,580.4302 15,969.9410 16,369.1895 16,778.4193 142,494.52 146,056.89 149,708.31 153,451.02 157,287.29 161,219.47 165,249.96 169,381.21 173,615.74 177,956.13 182,405.04 186,965.16 191,639.29 196,430.27 201,341.03 PUBLIC WORKS - CUSTODIAL Custodian II 2 16.5044 16.9133 17.3378 17.7704 18.2185 18.6746 19.1386 19.6181 20.1057 20.6088 21.1279 (Y -86e) 2,860.7600 2,931.6400 3,005.2200 3,080.2000 3,157.8700 3,236.9300 3,317.3500 3,400.4700 3,484.9800 3,572.1900 3,662.1700 34,329.12 35,179.68 36,062.64 36,962.40 37,894.44 38,843.16 39,808.20 40805.64 41,819.76 42,866.28 43,946.04 Custodian!! 2 15.9598 16.3588 16.7677 17.1869 17.6166 18.0570 18.5084 18.9712 19.4454 19.9316 20.4299 2,766.3611 2,835.5201 2,906.4081 2,979.0683 3,053.5450 3,129.8837 3,208.1308 3,288.3340 3,370.5424 3,454.8059 3,541.1761 33,196.33 34,026.24 34,876.90 35,748.82 36,642.54 37,558.60 38,497.57 39,460.01 40,446.51 41,457.67 42,494.11 Custodian I 1 14.4588 14.8202 15.1907 15.5705 15.9598 16.3588 16.7677 17.1869 17.6166 18.0570 18.5084 2,506.1866 2,568.8413 2,633.0623 2,698.8889 2,766.3611 2,835.5201 2,906.4081 2,979.0683 3,053.5450 3,129.8837 3,208.1308 30,074.24 30,826.10 31,596.75 _ 32,386.67 33,196.33 34,026.24 34,876.90 35,748.82 36,642.54 37,558.60 38,497.57 PUBLIC WORKS - ENGINEERING Engineering Manager 7 59.0734 60.5502 62.0639 63.6155 65.2059 66.8361 68.5070 70.2197 71.9751 73.7745 75.6189 77.5094 79.4471 81.4333 83.4691 10,239.3817 10,495.3663 10,757.7504 11,026.6942 11,302.3616 11,584.9206 11,874.5436 12,171.4072 12,475.6924 12,787.5847 13,107.2743 13,434.9562 13,770.8301 14,115.1008 14,467.9783 122,872.58 125,944.40 129,093.01 132,320.33 135,628.34 139,019.05 142,494.52 146,056.89 149, 708.31 153,451.02 157,287.29 161,219.47 165,249.96 169,381.21 173,615.74 Principal Civil Engineer 6 53.5175 54.8555 56.2269 57.6325 59.0734 60.5502 62.0639 63.6155 65.2059 66.8361 68.5070 70.2197 71.9751 73.7745 75.6189 9,276.3745 9,508.2839 9,745.9910 9,989.6407 10,239.3817 10,495.3663 10,757.7504 11,026.6942 11,302.3616 11,584.9206 11,874.5436 12,171.4072 12,475.6924 12,787.5847 13,107.2743 111,316.49 114,099.41 116,951.89 119,875.69 122,872.58 125,944.40 129,093.01 132,320.33 135,628.34 139,019.05 142,494.52 146,056.89 149,708.31 153,451.02 157,287.29 Senior Civil Engineer 5 48.4843 49.6964 50.9388 52.2122 53.5175 54.8555 56.2269 57.6325 59.0734 60.5502 62.0639 63.6155 65.2059 66.8361 68.5070 8,403.9375 8,614.0359 8,829.3868 9,050.1215 9,276.3745 9,508.2839 9,745.9910 9,989.6407 10,239.3817 10,495.3663 10,757.7504 11,026.6942 11,302.3616 11,584.9206 11,874.5436 100,847.25 103,368.43 105,952.64 108,601.46 111,316.49 114,099.41 116,951.89 119,875.69 122,872.58 125,944.40 129,093.01 132,320.33 135,628.34 139,01905 142,494.52 Associate Civil Engineer 4 42.8530 43.9243 45.0225 46.1480 47.3017 48.4843 49.6964 50.9388, 52.2122 53.5175 54.8555 7,427.8562 7,613.5526 7,803.8914 7,998.9887 8,198.9634 8,403.9375 8,614.0359 8,829.3868 9,050.1215 9,276.3745 9,508.2839 89,134.27 91,362.63 93,646.70 95,987.86 98,387.56 100,847.25 103,368.43 105,952.64 108,601.46 111,316.49 114,099.41 Associate Engineer II 4 40.7881 41.8078 42.8530 43.9243 45.0225 46.1480 47.3017 48.4843 49.6964 50.9388 52.2122 7,069.9404 7,246.6889 7,427.8562 7,613.5526 7,803.8914 7,998.9887 8,198.9634 8,403.9375 8,614.0359 8,829.3868 9,050.1215 84,839.29 86,960.27 89,134.27 91,362.63 93,646.70 95,987.86 98,387.56 100,847.25 103,368.43 105,952.64 108,601.46 Associate Engineer 1 3 36.9520 37.8758 38.8227 39.7933 40.7881 41.8078 42.8530 43.9243 45.0225 46.1480 47.3017 6,405.0171 6,565.1425 6,729.2711 6,897.5028 7,069.9404 7,246.6889 7,427.8562 7,613.5526 7,803.8914 7,998.9887 8,198.9634 76,860.20 78,781.71 80,751.25 82,770.03 84,839.29 86,960.27 89,134.27 91,362.63 93,646.70 95,987.86 98,387.56 Assistant Engineer 11 2 33.4767 34.3136 35.1715 36.0508 36.9520 37.8758 38.8227 39.7933 40.7881 41.8078 42.8530 5,802.6294 5,947.6951 6,096.3875 6,248.7972 6,405.0171 6,565.1425 6,729.2711 6,897.5028 7,069.9404 7,246.6889 7,427.8562 69,631.55 71,372.34 73,156.65 74,985.57 76,860.20 78,781.71 80,751.25 82,770.03 84,839.29 86,960.27 89,134.27 Assistant Engineer I 2 31.8636 32.6602 33.4767 34.3136 35.1715 36.0508 36.9520 37.8758 38.8227 39.7933 40.7881 5,523.0262 5,661.1018 5,802.6294 5,947.6951 6,096.3875 6,248.7972 6,405.0171 6,565.1425 6,729.2711 6,897.5028 7,069.9404 66,276.31 67,933.22 69,631.55 71,372.34 73,156.65 74,985.57 76,860.20 78,781.71 80,751.25 82 770.03 84,839.29 Engineering Technician 11 1 28.8669 29.5885 30.3282 31.0865 31.8636 32.6602 33.4767 34.3136 35.1715 36.0508 36.9520 5,003.5891 5,128.6788 5,256.8958 5,388.3182 5,523.0262 5,661.1018 5,802.6294 5,947.6951 6,096.3875 6,248.7972 6,405.0171 60,043.07 61,544.15 63,082.75 64,659.82 66,276.31 67,933.22 69,631.55 71,372.34 73,156.65 74,985.57 76,860.20 Engineering Technician! 1 27.4759 28.1628 28.8669 29.5885 30.3282 31.0865 31.8636 32.6602 33.4767 34.3136 35.1715 4,762.4881 4,881.5503 5,003.5891 5,128.6788 5,256.8958 5,388.3182 5,523.0262 5,661.1018 5,802.6294 5,947.6951 6,096.3875 57,149.86 58,578.60 60,043.07 61,544.15 63,082.75 64,659.82 66,276.31 67,933.22 69,631.55 71,372.34 73,156.65 Page 10 of 12 Class Family / Title Salary Steps 1.0 1.5 2.0 •.0 4.5 5.0 5.5 6.0 PUBUC WORKS - INSPECTIONS Construction Manager 40.7881 41.8078 42.8530 43.9243 45.0225 46.1480 47.3017 48.4843 49.6964 50.9388 52.2122 7,069.9404 7,246.6889 7,427.8562 7,613.5526 7,803.8914 7,998.9887 8,198.9634 8,403.93751 8,614.0359 8,829.3868 9,050.1215 84,839.29 86,960.27 89,134.27 91,362.63 93,646.70 95,987.86 98,387.56 100,847.25 103,368.43 105,952.64 108,601.46 Supervising PW Inspector 4 33.4767 34.3136 35.1715 36.0508 36.9520 37.8758 38.8227 39.7933 40.7881 41.8078 42.8530 5,802.6294 5,947.6951 6,096.3875 6,248.7972 6,405.0171 6,565.1425 6,729.2711 6,897.5028 7,069.9404 7,246.6889 7,427.8562 69,631.55 71,372.34 73,156.65 74,985.57 76,860.20 78,781.71 80,751.25 82,770.03 84,839.29 86,960.27 89,134.27 Senior PW Inspector 3 32.2230 33.0245 33.8500 34.6994 35.5640 36.4527 37.3650 38.3007 39.2599 40.2426 41.2493 )v -Rate) 5,585.2400 5,724.8700 5,868.0000 6,014.7000 6,165.0700 6,319.2000 6,477.1800 6,639.1000 6,805.0800 6,975.2100 7,149.5900 67,023.01 68,690.96 70,408.00 72,174.75 73,973.12 75,821.62 77,719.20 79,665.46 81,660.59 83,704.61 85,798.54 Senior PW Inspector 3 30.3282 31.0865 31.8636 32.6602 33.4767 34.3136 35.1715 36.0508 36.9520 37.8758 38.8227 5,256.8958 5,388.3182 5,523.0262 5,661.1018 5,802.6294 5,947.6951 6,096.3875 6,248.7972 6,405.0171 6,565.1425 6,729.2711 63,082.75 64,659.82 66,276.31 67933.22 69631.55 71,372.34 73,156.65 74,985.57 76,860.20 78,781.71 80,751.25 PW Inspector IIz 27.4759 28.1628 28.8669 29.5885 30.3282 31.0865 31.8636 32.6602 33.4767 34.3136 35.1715 4,762.4881 4,881.5503 5,003.5891 5,128.6788 5,256.8958 5,388.3182 5,523.0262 5,661.1018 5,802.6294 5,947.6951 6,096.3875 57,149.86 58,578.60 60,043.07 61,544.15 63,082.75 64,659.82 66,276.31 67,933.22 69,631.55 71,372.34 73,156.65 PW Inspector I24.8918 25.5141 26.1520 26.8057 27.4759 28.1628 28.8669 29.5885 30.3282 31.0865 31.8636 4,314.5792 4,422.4437 4,533.0048 4,646.3299 4,762.4881 4,881.5503 5,003.5891 5,128.6788 5,256.8958 5,388.3182 5,523.0262 51,774.95 53,069.32 54,396.06 55,755.96 57,149.86 58,578.60 60,043.07 61,544.15 63,082.75 64,659.82 66,276.31 PUBUC WORKS - LANDSCAPE Maintenance Supervisor -5 38.8227 39.7933 40.7881 41.8078 42.8530 43.9243 45.0225 46.1480 47.3017 48.4843 49.6964 50.9388 52.2122 53.5175 54.8555 Landscape 6,729.2711 6,897.5028 7,069.9404 7,246.6889 7,427.8562 7,613.5526 7,803.8914 7,998.9887 8,198.9634 8,403.9375 8,614.0359 8,829.3868 9,050.1215 9,276.3745 9,508.2839 80,751.25 82,770.03 84,839.29 86,960.27 89,134.27 91,362.63 93,646.70 95,987.86 98,387.56 100,847.25 103,368.43 105,952.64 108,601.46 111,316.49 114,099.41 Field Supervisor - Landscape 4 35.1715 36.0508 36.9520 37.8758 38.8227 39.7933 40.7881 41.8078 42.8530 43.9243 45.0225 6,096.3875 6,248.7972 6,405.0171 6,565.1425 6,729.2711 6,897.5028 7,069.9404 7,246.6889 7,427.8562 7,613.5526 7,803.8914 73,156.65 74,985.57 76,860.20 78,781.71 80,751.25 82,770.03 84,839.29 86,960.27 89,134.27 91,362.63 93,646.70' Senior Landscape Inspector 3 31.8636 32.6602 33.4767 34.3136 35.1715 36.0508 36.9520 37.8758 38.8227 39.7933 40.7881 5,523.0262 5,661.1018 5,802.6294 5,947.6951 6,096.3875 6,248.7972 6,405.0171 6,565.1425 6,729.2711 6,897.5028 7,069.9404 66,276.31 67,933.22 69,631.55 71,372.34 73,156.65 74,985.57 76,860.20 78,781.71 80,751.25 82,770.03 84,839.29 Landscape Inspector II 2 28.8669 29.5885 30.3282 31.0865 31.8636 32.6602 33.4767 34.3136 35.1715 36.0508 36.9520 5,003.5891 5,128.6788 5,256.8958 5,388.3182 5,523.0262 5,661.1018 5,802.6294 5,947.6951 6,096.3875 6,248.7972 6,405.0171 60,043.07 61,544.15 63,082.75 64,659.82 66,276.31 67,933.22 69,631.55 71,372.34 73,156.65 74,985.57 76,860.20 Landscape Inspector I1 26.1520 26.8057 27.4759 28.1628 28.8669 29.5885 30.3282 31.0865 31.8636 32.6602 33.4767 4,533.0048 4,646.3299 4,762.4881 4,881.5503 5,003.5891 5,128.6788 5,256.8958 5,388.3182 5,523.0262 5,661.1018 5,802.6294 54,396.06 55,755.96 57,149.86 58,578.60 60,043.07 61,544.15 63,082.75 64,659.82 66,276.31 67,933.22 69,631.55 PUBUC WORKS - MAINTENANCE Maintenance Manager 7 43.9243 45.0225 46.1480 47.3017 48.4843 49.6964 50.9388 52.2122 53.5175 54.8555 56.2269 57.6325 59.0734 60.5502 62.0639 7,613.5526 7,803.8914 7,998.9887 8,198.9634 8,403.9375 8,614.0359 8,829.3868 9,050.1215 9,276.3745 9,508.2839 9,745.9910 9,989.6407 10,239.3817 10,495.3663 10,757.7504 91,362.63 93,646.70 95,987.86 98,387.56 100,847.25 103,368.43 105,952.64 108,601.46 111,316.49 114,099.41 116,951.89 119,875.69 122,872.58 125,944.40 129,093.01 Maintenance 6 39.7933 40.7881 41.8078 42.8530 43.9243 45.0225 46.1480 47.3017 48.4843 49.6964 50.9388 52.2122 53.5175 54.8555 56.2269 Superintendent 6,897.5028 7,069.9404 7,246.6889 7,427.8562 7,613.5526 7,803.8914 7,998.9887 8,198.9634 8,403.9375 8,614.0359 8,829.3868 9,050.1215 9,276.3745 9,508.2839 9,745.9910 82,770.03 84,839.29 86,960.27 89,134.27 91,362.63 93,646.70 95,987.86 98,387.56 100,847.25 103,368.43 105,952.64 108,601.46 111,316.49 114,099.41 116,951.89 Maintenance Supervisor 5 36.0508 36.9520 37.8758 38.8227 39.7933 40.7881 41.8078 42.8530 43.9243 45.0225 46.1480 47.3017 48.4843 49.6964 50.9388 6,248.7972 6,405.0171 6,565.1425 6,729.2711 6,897.5028 7,069.9404 7,246.6889 7,427.8562 7,613.5526 7,803.8914 7,998.9887 8,198.9634 8,403.9375 8,614.0359 8,829.3868 74,985.57 76,860.20 78,781.71 80,751.25 82,770.03 84,839.29_ 86,960.27 89,134.27 91,362.63 93,646.70 98,387.56 100,847.25 103,368.43 105,952.64 Field Supervisor- 4 28.1628 28.8669 29.5885 30.3282 31.0865 31.8636 32.6602 33.4767 34.3136 35.1715 ..95,987.86 36.0508 Maintenance 4,881.5503 5,003.5891 5,128.6788 5,256.8958 5,388.3182 5,523.0262 5,661.1018 5,802.6294 5,947.6951 6,096.3875 6,248.7972 58,578.60 60,043.07 61,544.15 63,082.75 64,659.82 66,276.31 67,933.22 69,631.55 71,372.34 73,156.65 74,985.57 Lead Maintenance Worker 3 25.5141 26.1520 26.8057 27.4759 28.1628 28.8669 29.5885 30.3282 31.0865 31.8636 32.6602 4,422.4437 4,533.0048 4,646.3299 4,762.4881 4,881.5503 5,003.5891 5,128.6788 5,256.8958 5,388.3182 5,523.0262 5,661.1018 53,069.32 54,396.06 55,755.96 57,149.86 58,578.60 60,043.07 61,544.15 63,082.75 64,659.82 66,276.31 67,933.22 Maintenance Worker II 2 23.1145 23.6924 24.2847 24.8918 25.5141 26.1520 26.8057 27.4759 28.1628 28.8669 29.5885 4,006.5157 4,106.6786 4,209.3456 4,314.5792 4,422.4437 4,533.0048 4,646.3299 4,762.4881 4,881.5503 5,003.5891 5,128.6788 48,078.19 49,280.14 50,512.15 51,774.95 53,069.32 54,396.06 55,755.96 57,149.86 58,578.60 60,043.07 61,544.15 Maintenance Worker I 1 20.9406 21.4641 22.0007 22.5507 23.1145 23.6924 24.2847 24.8918 25.5141 26.1520 26.8057 3,629.7055 3,720.4481 3,813.4593 3,908.7958 4,006.5157 4,106.6786 4,209.3456 4,314.5792 4,422.4437 4,533.0048 4,646.3299 43,556.47 44,645.38 45,761.51 46,905.55 48,078.19 49,280.14 50,512.15 51,774.95 53,069.32 54,396.06 55,755.96 CITY OF TEMECULA SALARY SCHEDULE A5 OF January 1, 2019 Page 11 of 12 CITY OF TEMECULA SALARY SCHEDULE AS OF January 1, 2019 Class Family / Title Level 1-0 2.0 Salary Steps PUBUC WORKS - FAOUTIES Field Supervisor - Facilities 4 30.3282 31.0865 31.8636 32.6602 33.4767 34.3136 35.1715 36.0508 36.9520 37.8758 38.8227 5,256.8958 5,388.3182 5,523.0262 5,661.1018 5,802.6294 5,947.6951 6,096.3875 6,248.7972 6,405.0171 6,565.1425 6,729.2711 63,082.75 64,659.82 66,276.31 67,933.22 69,631.55 71,372.34 73,156.65 74,985.57 76,860.20 78,781.71 80,751.25 Lead Maintenance Worker- 3 27.4759 28.1628 28.8669 29.5885 30.3282 31.0865 31.8636 32.6602 33.4767 34.3136 35.1715 Facilities 4,762.4881 4,881.5503 5,003.5891 5,128.6788 5,256.8958 5,388.3182 5,523.0262 5,661.1018 5,802.6294 5,947.6951 6,096.3875 57,149.86 58,578.60 60,043.07 61,544.15 63,082.75 64,659.82 66,276.31 67,933.22 69,631.55 71,372.34 73,156.65 Maintenance Worker II - 2 24.8918 25.5141 26.1520 26.8057 27.4759 28.1628 28.8669 29.5885 30.3282 31.0865 31.8636 Facilities 4,314.5792 4,422.4437 4,533.0048 4,646.3299 4,762.4881 4,881.5503 5,003.5891 5,128.6788 5,256.8958 5,388.3182 5,523.0262 51,774.95 53,069.32 54,396.06 55,755.96 57,149.86 58,578.60 60,043.07 61,544.15 63,082.75 64,659.82 66,276.31 Maintenance Worker l - 1 22.5507 23.1145 23.6924 24.2847 24.8918 25.5141 26.1520 26.8057 27.4759 28.1628 28.8669 Facilities 3,908.7958 4,006.5157 4,106.6786 4,209.3456 4,314.5792 4,422.4437 4,533.0048 4,646.3299 4,762.4881 4,881.5503 5,003.5891 46,905.55 48,078.19 49,280.14 50,512.15 51,774.95 53,069.32 54,396.06 55,755.96 57,149.86 58,578.60_ 60,043.07 PUBUC WORKS - SIGNALS Maintenance supervisor - 5 43.9243 45.0225 46.1480 47.3017 48.4843 49.6964 50.9388 52.2122 53.5175 54.8555 56.2269 57.6325 59.0734 60.5502 62.0639 Signal 7,613.5526 7,803.8914 7,998.9887 8,198.9634 8,403.9375 8,614.0359 8,829.3868 9,050.1215 9,276.3745 9,508.2839 9,745.9910 9,989.6407 10,239.3817 10,495.3663 10,757.7504 91,362.63 93,646.70 95,987.86 98,387.56 100,847.25 103,368.43 105,952.64 108,601.46 111,316.49 114,099.41 116,951.89 119,875.69 122,872.58 125,944.40 129,093.01 Field Supervisor - Signal 4 39.7933 40.7881 41.8078 42.8530 43.9243 45.0225 46.1480 47.3017 48.4843 49.6964 50.9388 6,897.5028 7,069.9404 7,246.6889 7,427.8562 7,613.5526 7,803.8914 7,998.9887 8,198.9634 8,403.9375 8,614.0359 8,829.3868 82,770.03 84,839.29 86,960.27 89,134.27 91,362.63 93,646.70 95,987.86 98,387.56 100,847.25 103,368.43 105,952.64 Senior Signal Technician 3 36.0508 36.9520 37.8758 38.8227 39.7933 40.7881 41.8078 42.8530 43.9243 45.0225 46.1480 6,248.7972 6,405.0171 6,565.1425 6,729.2711 6,897.5028 7,069.9404 7,246.6889 7,427.8562 7,613.5526 7,803.8914 7,998.9887 74,985.57 76,860.20 78,781.71 80,751.25 82,770.03 84,839.29 86,960.27 89,134.27 91,362.63 93,646.70 95,987.86 Signal Technician II 2 32.6602 33.4767 34.3136 35.1715 36.0508 36.9520 37.8758 38.8227 39.7933 40.7881 41.8078 5,661.1018 5,802.6294 5,947.6951 6,096.3875 6,248.7972 6,405.0171 6,565.1425 6,729.2711 6,897.5028 7,069.9404 7,246.6889 67,933.22 69,631.55 71,372.34 73,156.65 74,985.57 76,860.20 78,781.71 80,751.25 82,770.03 84,839.29 86,960.27 Signal Technician I 2 31.0865 31.8636 32.6602 33.4767 34.3136 35.1715 36.0508 36.9520 37.8758 38.8227 39.7933 5,388.3182 5,523.0262 5,661.1018 5,802.6294 5,947.6951 6,096.3875 6,248.7972 6,405.0171 6,565.1425 6,729.2711 6,897.5028 64,659.82 66,276.31 67,933.22 69,631.55 71,372.34 73,156.65 74,985.57 76,860.20 78,781.71 80,751.25 82,770.03 _ _ SUPPORT SERVICES Support Services 4 22.5507 23.1145 23.6924 24.2847 24.8918 25.5141 26.1520 26.8057 27.4759 28.1628 28.8669 Supervisor 3,908.7958 4,006.5157 4,106.6786 4,209.3456 4,314.5792 4,422.4437 4,533.0048 4,646.3299 4,762.4881 4,881.5503 5,003.5891 46,905.55 48,078.19 49,280.14 50,512.15 51,774.95 53,069.32 54,396.06 55,755.96 57,149.86 58,578.60 60,043.07 Senior Support Services 3 20.4299 20.9406 21.4641 22.0007 22.5507 23.1145 23.6924 24.2847 24.8918 25.5141 26.1520 Technician 3,541.1761 3,629.7055 3,720.4481 3,813.4593 3,908.7958 4,006.5157 4,106.6786 4,209.3456 4,314.5792 4,422.4437 4,533.0048 42,494.11 43,556.47 44,645.38 45,761.51 46,905.55 48,078.19 49,280.14 50,512.15 51,774.95 53,069.32 54,396.06 Support Services Technician 2 18.5084 18.9712 19.4454 19.9316 20.4299 20.9406 21.4641 22.0007 22.5507 23.1145 23.6924 3,208.1308 3,288.3340 3,370.5424 3,454.8059 3,541.1761 3,629.7055 3,720.4481 3,813.4593 3,908.7958 4,006.5157 4,106.6786 38,497.57 39,460.01 40,446.51 41,457.67 42,494.11 43,556.47 44,645.38 45,761.51 46,905.55 48,078.19 49,280.14 Support Services Assistant 1 16.7677 17.1869 17.6166 18.0570 18.5084 18.9712 19.4454 19.9316 20.4299 20.9406 21.4641 2,906.4081 2,979.0683 3,053.5450 3,129.8837 3,208.1308 3,288.3340 3,370.5424 3,454.8059 3,541.1761 3,629.7055 3,720.4481 34,876.90 35,748.82 36,642.54 37,558.60 _ 38,497.57 39460.01 40,446.51 _ 41,457.67 42,494.11 43,556.47 44645.38 Page 12 of 12 Item No. 8 Approvals City Attorney Director of Finance City Manager ,44-\ CITY OF TEMECULA AGENDA REPORT TO: City Manager/City Council FROM: Kevin Hawkins, Director of Community Services DATE: November 13, 2018 SUBJECT: Approve the Amended and Restated Cooperation Agreement with the Friends of the Temecula Children's Museum for the Support of the Temecula Children's Museum and Operation of the Children's Museum, Concessions, and Subject Portion of Lot PREPARED BY: Erica Russo, Community Services Superintendent RECOMMENDATION: That the City Council approve the Amended and Restated Cooperation Agreement with the Friends of the Temecula Children's Museum for the support of the Temecula Children's Museum and operation of the Children's Museum, concessions. and subject portion of lot. BACKGROUND: Since 2004, the City of Temecula has worked collaboratively with the Friends of the Temecula Children's Museum ("Association") to provide high-quality science - themed recreation for the families of Temecula. On April 10, 2018, Council approved an Eighth Amendment to the Cooperation Agreement to allow the Association to assume on an interim basis all responsibility for staffing and operating the facility and a portion of the adjacent lot, as well as janitorial services and routine care and maintenance of the building and exhibits. The City has continued to maintain the structures and systems of the facility, provide landscaping and maintenance for the lot, and provide support services and utilities including internet. telephone service, and surveillance for the facility. The Association retains all revenues from admissions, memberships, events, and field trips in order to provide funding for the ongoing operations of the Children's Museum. This interim operating agreement expires on December 31, 2018. Staff hereby recommends approving the attached Amended and Restated Cooperation Agreement to formalize this arrangement on a permanent basis. Additionally, this agreement summarizes and restates all prior amendments, agreements, and operating memoranda between the two parties into a single new agreement. FISCAL IMPACT: The ongoing costs of the City's maintenance and technology support for the facility have been approved in the Fiscal Year 18-19 Annual Operating Budget. ATTACHMENTS: Agreement AMENDED AND RESTATED COOPERATION AGREEMENT BETWEEN CITY OF TEMECULA AND THE FRIENDS OF THE TEMECULA CHILDREN'S MUSEUM FOR THE SUPPORT OF THE TEMECULA CHILDREN'S MUSEUM AND OPERATION OF THE CHILDREN'S MUSEUM, CONCESSIONS, AND SUBJECT PORTION OF LOT This Amended and Restated Cooperation Agreement Between the City of Temecula and Friends of the Temecula Children's Museum for the Support of the Temecula Children's Museum and Operation of the Children's Museum, Concessions, and Subject Portion of Lot ("Agreement") is made and entered into by and between the City of Temecula, a municipal corporation ("City"), and Friends of the Temecula Children's Museum, a California non-profit corporation ("Association"). The City and the Association are referred to below collectively as the '`Parties". ThisAgreement is effective on the date it is fully executed by the Parties. In consideration of the mutual covenants and conditions set forth herein, the Parties agree as follows: 1. Recitals. This Agreementis made with respect to the following facts and for the following purposes: A. The City is the owner of the following real properties: (1) That certain real property in the City of Temecula located at 42081 Main Street, Temecula, California 92590 and identified as Riverside County Tax Assessor's Parcel Numbers 922-036-042, -043 and -044, which is commonly known as Pennypickle's Workshop, Temecula Children's Museum and is improved with a building that has been renovated to accommodate the Children's Museum ("Children's Museum"), and includes educational exhibits and interactive displays for children as well as an approximate 1,200 square foot gift and snack concessions area ("Concessions"), and includes a plaza area around the building. (2) That certain real property in the City of Temecula located at 42061 Main Street, Temecula; California 92590 and is identified as Riverside County Tax Assessor's Parcel Numbers 922-036-039 and -040 ("Lot'). The Lot is an unimproved lot situated between the Children's Museum, The Merc, and the Old Town Temecula Community Theater. B. Association is a non-profit corporation incorporated and authorized to do business in the State of California. Association was established in 2004, and since that time has been devoted to the promoting of the Children's Museum and raising funds to support the Children's Museum, and its programs, services, and exhibits for the education and benefit of children. The Board of Directors of Association serves in a volunteer capacity and receives no salaries, recompense, or other financial benefit. C. The City and Association have partnered to operate the Children's Museum since 2004. Specifically, on March 16, 2004, the Parties entered into a cooperation agreement described below for operation of the Children's Museum, which the parties subsequently amended eight times to reflect the evolving needs of the City, Association, and the community. (1) On March 16, 2004, the City and Association entered into that certain Agreement entitled: 'Cooperation Agreement between the City of Temecula and The Friends of the Temecula Children's Museum for the Support of the Temecula Children's -1- 11086-0007\2226272v3.doc Museum and Operation of the Children s Museum Gift Shop" ("Original Cooperation Agreement"). (2) On July 11, 2006, the City and Association entered into a First Amendment to the Original Cooperation Agreement to suspend the license fee for the Gift Shop and enable the Association to develop the business and establish the inventory for the Gift Shop. (3) On July 24, 2007, the City and Association entered into a Second Amendment to the OriginalCooperation Agreement to extend the term to June 30, 2010. (4) On September 9, 2008, the City and Association entered into a Third Amendment to the OriginalCooperation Agreement to provide for further assistance in the design, renovation, fabrication, and installation of exhibits at the Children's Museum. (5) On November 9, 2010, the City and Association entered into a Fourth Amendment to the OriginalCooperation Agreement to extend the term of the Cooperation Agreement to June 30, 2013, and to revise Section 24 (Notice) of said Agreement to update the address for the City of Temecula and the effective date of the new address. (6) On January 22, 2013, the City and Association entered into a Fifth Amendment to the OriginalCooperation Agreement to add the scope of work for enhanced support of the Children's Museum, and to extend the term to June 30, 2015. (7) On June 23, 2015, the City and Association entered into a Sixth Amendment to the OriginalCooperation Agreement to extend the term to June 30, 2017. (8) On June13, 2017, the City and Association entered into a Seventh Amendment to theOriginai Cooperation Agreement to extend the term to June 30, 2020. The Seventh Amendment added provisions regarding special events and fundraising and collaborative efforts by the Parties. Further, the Seventh Amendment substituted the term "Concessions" in place of "Gift Shop" and set forth the terms by which Association was authorized to use an approximate 1,890 square foot portion of the Lot ("Subject Portion of Lot") in connection with its use of the Children's Museum. (9) On April 10, 2018, the City and Association entered into an Eighth Amendment to the Original Cooperative Agreement to provide the terms and conditions of the Association's interim use and operation of the Children's Museum and the Subject Portion of Lot from April 10, 2018 through December 30. 2018. D. The City and Association also entered into several Operating Memoranda that governed funding for specific exhibits at the Children's Museum. E. The City and Association entered into that certain Children's Museum Logo and Images License Agreement dated March 16, 2004 ("Logo and Images License Agreement") that grants to Association a license to utilize the Children's Museum logo, images, and descriptions set forth in the Logo and Images Agreement pursuant to the terms of said Agreement. The Parties agree and acknowledge that the Logos and Images License Agreement is outdated and does not accurately reflect the current status of the use of the Children's Museum logo and images. Accordingly, the Parties agree that they will cooperate -2- and work together to prepare a new agreement that accurately reflects the current status of the use of Children's Museum logo and images. F. The Children's Museum, Concessions, the Lot, and Subject Portion of Lot are depicted collectively on Exhibit A, which is attached hereto and incorporated herein by this reference. G. In connection with the Association's operation and use of the Children's Museum, Concessions, and Subject Portion of Lot, the Association currently uses (i) an approximate 300 square foot storage bay in the northwest section of the City's West Wing storage facility located at 43200 Business Park Drive in the City of Temecula ("City West Wing storage facility") and (ii) an approximate 900 square foot first floor office space in the City's West Wing storage facility. The approximate 300 square foot storage bay and the approximate 900 square foot first floor office space in the City's West Wing storage facility is referred to below collectively as "Children's Museum West Wing Storage".The Association's use of the Children's Museum West Wing Storage isgoverned by Section 5 below. H. The Parties intend that this Amended and Restated Cooperation Agreement will supersede and replace the Original Cooperation Agreement, as amended by the First through Eighth Amendments and any previous Operating Memoranda, so that said Original Cooperation Agreement as amended by the First through Eighth Amendments and said Operating Memoranda, will have no force or effect. 2. Right to Use and Operate Children's Museum, Concessions, and Subject Portion of Lot. The City hereby grants a license to Association to use and operate the Children's Museum, Concessions, and Subject Portion of Lot, in accordance with and subject to the terms and conditions of this Agreement. Association will not use the Children's Museum, Concessions, and Subject Portion of Lot for any uses other than those authorized for Association in this Agreement without the prior written consent of the City Manager or the City Manager's designee. A Except as specifically provided in this Agreement to the contrary. Association will have the exclusive right and obligation to use the Children's Museum to operateConcessions in accordance with the terms of this Agreement. B. Association will have the exclusive right to use the Children's Museum for fundraising and program activities in accordance with the terms of this Agreement. C. Except as specifically provided hereinafter to the contrary, Association will have the non-exclusive right to use the Subject Portion of Lot for fundraising and program activities and to operate Concessions in the Subject Portion of Lot in accordance with the terms of this Agreement. Fundraising and program activities must be approved by the City Manager or the City Manager's designee pursuant to the terms of Section 7.C. below. The City Manager or the City Manager's designee may authorize use of areas of the Lot in addition to the Subject Portion of Lot for association fundraising or program activities. D. The Association has the right to exclusive possession and use of the approximate 216 square foot structure/shed (`Shed') located on the Subject Portion of Lot.The Association represents that as of the date of this Agreement, it has taken the necessary steps to verify that the Shed is in compliance with applicable federal, state. local laws, ordinances, codes, and/or regulations and that the Association's proposed use of the Shed is in compliance -3- with said applicable laws. The Association will also at its sole cost and expense, cause any repairs that are necessary to ensure that the Shed and the Association's proposed use of the Shed are in compliance with applicable federal, state, local laws, ordinances, codes, and/or regulations during the term of this Agreement or inform the City that it is necessary to demolish the Shed because it is not feasible to complete required repairs. If demolition is required, Association will cause the Shed to be demolished within 30 calendar days of notifying the City in writing and providing documentation to the City showing that said demolition is necessary. 3. Term; Termination. A. Commencement Date. The term of this Agreement will commence on the date this Agreement is fully executed by the Parties ("Commencement Date"). B. Right to Terminate Agreement. Either party may terminate this Agreement for any reason, with or without cause, by providing 60 calendar days prior written notice of termination to the other party at the addresses shown below in Section 20 (Notice). C. Termination Date. This Agreement will terminate on the date that is 60 calendar days from the date on which either party to this Agreement provides written notice of termination in accordance with Section 3.B. above. "Term" is used below to describe the term of this Agreement, which commences on the Commencement Date and ends on the earlier of (i) the date that is 60 calendar days from the date on which either party to this Agreement provides written notice of termination as provided herein, or (ii) the date of termination on default under Section 21 below. 4. Fee. Based on the contributions Association has made to the children and community of Temecula, Association's promotion of the Children's Museum, the obligations of Association regarding operation and use of the Children's Museum, Concessions. and Subject Portion of Lot, and other valuable consideration. Association will not pay a license fee to the City for the Association's operation and use of the Children's Museum, Concessions, and Subject Portion of Lot in accordance with the terms of this Agreement. 5. Use of Children's Museum West Wing Storage, The Association is authorized to use the Children's Museum West Wing Storage in connection with its operation and use of the Children's Museum, Concessions, and the Subject Portion of Lot, subject to the terms of this Section. A. Duration. The City may terminate the Association's right to use the Children's Museum West Wing Storage at any time by providing 60 days written notice of termination to the Association. B. Removal of Items in Storage. On or before the 60th day after the date of the written notice discussed in Section S.A., the Association is required to remove, at its sole cost and expense, all of Association's goods, items, equipment, and personal property stored in the Children's Museum West Wing Storage. C. Items Left in Storage. property left by the Association in the Children' property of the City on the day that is 61 days pursuant to Section S.A. The City is authorized personal property left by the Association in the Any goods, items, equipment, and personal s Museum West Wing Storage will become the after the date of the City's notice of termination to dispose of said goods, items, equipment, and Children's Museum West Wing Storage at such -4- time with no liability on the part of the City or compensation due to the Association. The Association is responsible for any disposal or clean-up costs incurred by the City in connection with any goods, items, equipment, and personal property left by the Association in the Children's Museum West Wing Storage after its right to use the Children's Museum West Wing Storage is terminated. 6. Use of City Name. Association's use of the City name, logo, or other identifying marks will be limited to promotion of co-sponsored events and exhibits, and, in such cases will require the prior written approval of the City Manager or the City Manager designee. 7. Use and Operation of Children's Museum, Concessions, and Subject Portion of Lot; Responsibilities of Association. Association will use and operate the Children's Museum, Concessions, and Subject Portions of Lot, subject to the terms and conditions set forth below: A. Operation of Children's Museum, Concessions, and Subject Portion of Lot. Unless otherwise set forth below, Association will be responsible for all costs and expenses associated with the operation. programs, and exhibits at the Children's Museum, Concessions, and Subject Portions of Lot. (1) Association will operate the Children's Museum for not Tess than 305 days per calendar year. (2) Association will have the exclusive right to use the Children's Museum for fundraising and program activities in accordance with the terms of this Agreement. (3) Association will have the non-exclusive right to use the Subject Portion of Lot in connection with its use of the Children's Museum and for fundraising and program activities in accordance with the terms of this Agreement. (4) Association will have the exclusive right to use and possession of the Shed located in the Subject Portion of Lot in accordance with the terms of this Agreement. (5) Association will ensure that all exhibits and events at the Children's Museum are consistent with the best practices of the industry. B. Operation of Concessions. Except as specifically provided in this Agreement to the contrary, Association has the exclusive right and obligation to operate the Concessions in the approximate 1,200 square foot area of the Children's Museum depicted on Exhibit A hereto. Association agrees to sell educational toys, gifts and other appropriate and engaging merchandise that enhances the educational and recreational goals of the Children's Museum. Association agrees that all merchandise for sale in the Concessions will be of good quality and condition. City retains the right to require Association to discontinue sale or use of those items the City Manager or the City Manager's designee reasonably determines are not of good quality, condition, or appropriateness, upon five days written notice to Association by the City Manager or the City Manager's designee. (1) For sales tax purposes, the point of sale for ail merchandise related to the Children's Museum, Concession, or Subject Portion of Lot by Association will be the Children's Museum property. -5- (2) Association will maintain at all times a minimum of $10,000 in inventory for the Concessions. Upon termination of thisAgreement for any reason, all inventory and merchandise will become the Property of the City to enable the City to continue the operation of the Concessions. (3) Association is also authorized to sell convenience gift opportunities such as admission tickets on-line and membership to the Children's Museum. C. Special Events and Fundraising Activities of Association for Children's Museum. (1) Fundraising. One of the purposes of the Association is to raise funds for the development and maintenance of exhibits and programs at the Children's Museum and Subject Portion of Lot. Association is authorized to use the Children's Museum and Subject Portion of Lot for fundraising activities for the direct benefit of the Children's Museum, subject to the terms of this Agreement. a. Association agrees that prior to using the Subject Portion of Lot for fundraising activities for the direct benefit of the Children's Museum, Association will provide notification to the City of said fundraising activities planned for the Subject Portion of Lot 30 calendar days prior to the date of such activities. Further. Association will coordinate with the City Manager or City Manager's designee, the Association's use of the Subject Portion of Lot for fundraising activities to ensure that said fundraising activities do not conflict with other uses planned by the City in the remaining portions of the Lot. (2) Events. Association is responsible for the planning and operation of all events at the Children's Museum ("Events"). a. Association will plan and operate each of the Events with its employees or volunteers. City employees will not participate in the planning or operation of Events, unless the event is jointly sponsored by the Association and the City. b. Association will not be required to obtain a City permit for Events within the Children's Museum or Subject Portion of Lot. The City will not charge Association a facility fee for any Events within the Children's Museum or Subject Portion of Lot. The Association acknowledges and agrees that it will obtain permits that may be required by other governmental entities for Events or fundraising activities held within the Children's Museum or Subject Portion of Lot. c. The City will include the Events and descriptions thereof in its Recreation Brochure. Association is responsible for the accuracy of all information provided for inclusion in the City's Recreation Brochure, and for ensuring said information is provided according to publication deadlines as communicated by City Staff. d. As a 501(c)(3) tax exempt non-profit organization, Association will solicit and orchestrate sponsorships to help fund exhibits, events, and other opportunities to further the goals of the Children's Museum. D. Staffing of Children's Museum, Concessions, and Subject Portion of Lot. -6- (1) Association will be responsible for staffing the Children's Museum, Concessions, and Subject Portion of Lot at its sole cost and expense. (2) Association will ensure that its officers, employees, agents, and volunteers will at all times conform to all applicable statutes, ordinances, and regulations including the mandatory fingerprinting of all employees and volunteers, at Association' s expense, pursuant to State law. The Cityreserves the right to retain control of the Live Scan process for all individuals employed within the Children's Museum, Concessions. and Subject Portion of Lot. If the City determines not to exercise its right to control the Live Scan (fingerprinting) process, the Association is responsible for controlling the Live Scan process for all individuals employed within the Children's Museum, Concessions, and Subject Portion of Lot. (3) Association will maintain a staff adequate to operate and administer safely all facilities located at the Children's Museum, Concessions, and Subject Portions of Lot. E. Storage Units. Association will not place any storage units on the Children's Museum or Subject Portions of Lot without the prior written consent by City Manager or the City Manager's designee and complying with any necessary permits for such storage units. F Maintenance Obligations of the Association. (1) Association will make no substantial alteration or repair to the Children's Museum, Concessions, or Subject Portion of Lot without the prior written consent of the City Manager or the City Managers designee, including but not limited to carpentry, electrical, sewer, paving, and painting. (2) Association will, at its sole cost and expense, maintain in good order and a clean and safe condition the interior of the Children's Museum. Association will not damage, depreciate, alter, or misuse the Children's Museum, Concessions, and Subject Portions of Lot. (3) Association will, at its sole cost and expense, provide all routine custodial services for the interior of the Children's Museum, except as provided in Section 8.A.(4). (4) If Association damages the Children's Museum and Subject Portions of Lot, Association will pay the City promptly for all costs necessary to restore and remedy the Children's Museum and Subject Portions of Lot, including any exhibitsand equipment that are damaged, to their prior condition. In addition, Association will pay the City for any damage or injuries to the Children's Museum and Subject Portions of Lot, including any exhibits and equipment, occasioned by Association's negligence. misuse. or lack of ordinary care. (5) Association will promptly notify the City of any dilapidation or other defective conditions on the Children's Museum, Concessions, or Subject Portion of Lot that require repair. (6) Association agrees to maintain the Children's Museum, Concessions, or Subject Portion of Lot in a clean and neat condition, free and clear of garbage, -7- weeds, and debris. No dumping, storage of hazardous or toxic waste, nor the maintenance of any nuisance, public or private, is permitted. G. Miscellaneous Obligations of Association (1) Association will put forth its best effort to ensure that no loitering occurs on the Children's Museum or Subject Portion of Lot after the hours of operation. (2) Upon termination of this Agreement pursuant to Section 3 above, Association will return the Children's Museum, Concessions, and Subject Portions of Lot in as good as a condition and repair as the Children's Museum and Subject Portions of Lot existed as of the date of this Agreement, subject to reasonable wear and tear. 8. Responsibilities of City. A. City'sMaintenance Obligations. (1) The City is responsible for all maintenance and repairing the perimeter landscaping and related irrigation systems, the fire sprinkler system, and the fire alarm system, the secure camera system, and camera -related equipment. (2) The City is responsible for the maintenance and repair of the structural, plumbing, electrical, and mechanical systems of the Children's Museum as well as the exterior of the Children's Museum and of the Lot. (3) Subject to allocation of funds from the City's Capital Improvement Projects ("CIP") and except for damage to exhibits described in Section 7.F.(4) above, the City is responsible for repairs and improvements to existing exhibits and any new exhibits the that might be developed pursuant to Section 9 below, including any equipment that is part of said exhibits. (4) Subject to the mutual agreement of the Parties, the City will provide custodial support for specific custodial services, such as floor buffing. 9. Collaborative Efforts by the City and the Association for Development of Exhibits and Programs for Children's Museum. A. Meet and Confer on Collaborative Efforts. Representatives of the Association and the City Manager or the City Manager's designee will meet and confer regularly in a collaborative effort to further define and enhance the goals, direction, and focus of the Children's Museum and to develop programs and exhibits for the Children's Museum, which efforts will include the following: (1) Provide inspirational direction to the Children's Museum. (2) Focus on science -based and STEM -based disciplines, and the themed storyline of the Professor and his Workshop (3) Train and inspire Association staff to concentrate on and promote the unique attraction of the Children's Museum. -8- (4) Provide science training for Association staff. (5) Determine appropriate levels of staffing by Association for operation of the Children's Museum. (6) Development of new exhibits and exhibit rooms and refurbishment of existing exhibits and exhibit rooms; development of programs for children complementing the exhibits and displays; and providing for the maintenance and equipment upgrades for exhibits in the Children's Museum. (7) Develop a capital improvement program for the Children's Museum and Subject Portion of Lot. (8) Development of operational plans, exhibits, and programs in connection with the Association's use of the Subject Portion of Lot to further the goals and purposes of the Children's Museum and to ensure that the Association's use of the Subject Portion of Lot is consistent with the City's plans for the remaining portions of the Lot. B. Action Plans. As part of the meet -and -confer process for collaborative special events and exhibits, representatives of the Association and the City Manager or the City Manager's designee will cooperate in the development of action plans to implement goals, direction, focus, programs, and exhibits for the Children's Museum and Subject Portion of Lot. The action plans will include: (1) Description of the action item. (2) Specific responsibilities of the staffs of Association, the City. or both for the implementation of the item. (3) Funding sources for the item; Association financial contribution to the item; and any City financial contribution to the item. (4) Implementation schedule. C. Funding for Special Events and/or Exhibits. The City is not responsible for providing funding for special events, programs, or exhibits, unless, after meeting and conferring, the Parties determine, subject to the allocation of CIP funds from the CIP as specified in Section 8.A.(3), that they will enter into a separate Operating Memoranda for any such special event providing for such funding. (1) Following the meet and confer process, the City Manager, or the City Manager's designee, is hereby authorized to approve and implement an action plan for goals, direction. focus, programs and exhibits for the Children's Museum, provided the costs to the City are within the City's Budget, or amendments thereto, as approved by the City Council. (2) The City Manager, or the City Manager's designee, and a duly authorized representative of Association are hereby authorized to enter into necessaryOperating Memoranda to implement the action plans relating to any such exhibits and to specify the funding obligations of each party for such exhibits and special events. -9- D. Permits for Exhibits. The Association will ensure that all necessary City building permits are obtained for exhibits, and that such exhibits comply with all applicable City building and safety inspections. 10. Obligations Regarding Technology, Fixtures and Equipment, Operations. Maintenance, and Utilities. A. Technology, Fixtures, and Equipment. Association, will at its sole cost and expense, provide point of sale equipment, computers. applications, and related programs and equipment to meet operational needs at the Children's Museum, Concessions, and Subject Portion of Lot. The City will not provide any City point of sale equipment, computers, applications, electronic devices, and related programs, and Association will not use any such City point of sale equipment, computers, applications, electronic devices, and related programs located in the Children's Museum, if any, during the Term. All City technology assets located in the Children's Museum, including the Concessions area, as of the effective date of this Agreement will remain property of the City. The City will provide Wi-Fi, wired Internet, and access to the CityVolP telephone system to maintain continuity of contact phone numbers for the Children's Museum. The City will provide for the Association's use of a secure camera system including interior and exterior cameras throughout Children's Museum and Subject Portions of Lot, and one camera viewing station to allow access to live video footage. B. Utilities. The City is responsible for the utility costs, including but not limited to electric, WiFi, telephone lines for burglar and fire alarms, telephone, gas, trash, and water service for the Children's Museum and Subject Portion of Lot. 11. Rates and Revenue. A. Rates. Association will, with the consent and approval of the City Manager or the City Manager's designee, set the rates for the regular admissions, memberships, events. and field trips to the Children's Museum, and any change to said rates. B. Revenue. Association will retain ail revenue from the admissions, memberships. field trips, fundraising activities, and operation of the Concessions. Association will use said revenue for the operations, programs, maintenance, and exhibits at the Children's Museum and Subject Portion of Lot. Association will account for all such revenue pursuant to the financial reporting provisions set forth below in Section 12. 12. Financial Reporting. A. Association will submit to the City all annual tax returns and financial reports filed with government agencies within ten working days following the filing of such reports: provided, however, that the City Manager may accept the Association's 990 Forms if such forms provide comparable information. Association is solely responsible for determining whether the 990 forms satisfy Association's reporting obligations. B. Association will account for all funds provided by the City to the Association for any purpose including, but not limited to, maintaining exhibits, designing and installing new exhibits, operating programs, and organizing Events in accordance with the following: -10- (1) Association will provide an annual audited financial report, including a balance sheet, income statement, and budget -to -actual comparison for each fiscal year. (2) These financial records will be audited by an independent certified public accountant and will include a report itemizing, by specific expense classification, how funds received from City were expended for necessary operations of the Children's Museum. (3) May 15th of each year. (4) In addition, Association will retain such records of expended City funds, together with supporting documents, for a period of three years. Supporting documents will include, but not be limited to, copies of invoices, receipts, and cancelled checks to support expenses made from City funds. Association will maintain adequate records of expended City funds, provided in sufficient detail to permit an evaluation of services. All such financial records will be maintained in accordance with generally accepted accounting principles and will be clearly identified and readily accessible. The City will have the right to inspect this supporting documentation at any time during the three-year retention period. The audited financial report will be due to the City no later than 13. Ownership of Exhibits and Fixtures. A. All exhibits and fixtures located in the Children's Museum and Subject Portion of Lot as of the effective date of this Agreement, including, but not limited to certain fixtures in the Concessions constitute the property of the City. The Association may use these fixtures, and will be responsible for maintaining and repairing said fixtures during the Term. B. New fixtures purchased with funds of the Association or the City will become the property of the City upon termination of this Agreement. C. Subject to City Council approval, the Parties intend that the Children's Museum Enhancement Capital Improvement Project (CIP) would provide for major repairs, renovations, improvement of existing exhibits, and creation of new exhibits mutually agreed to by Association and the City. 14. Insurance. Association will maintain, at its sole cost and expense, at all times during the Term, liability insurance against claims for injuries to persons or damages to Children's Museum, Concessions, and Subject Portion of Lot that may arise from or in connection with the use and operation of the Children's Museum, Concessions and Subject Portion of Lot by the Association, its agents, representatives, or employees. Association's Certificate of Liability Insurance is attached as Exhibit B hereto, and incorporated herein by this reference. A. Minimum Scope of Insurance.Coverage will be at least as broad as the following coverages and any updated insurance industry standard policies. (1) General Liability Insurance. Association will, at its own cost and expense, during the entire Term, provide a broad form comprehensive coverage policy of public liability insurance issued by an insurance company acceptable to City and authorized to issue liability insurance in the State of California and having a rating of not less than A -VI las set forth in the then current Best's Insurance Guide, insuring Association and City against loss or liability -11- caused by or connected with Association's occupation, use. disuse, or condition of the Children's Museum, including the area for Concessions, and the Subject Portion of Lot in amounts not less than the coverage amounts set forth below in Subsection 14.B. (2) Worker's Compensation Insurance. Association will, at its own cost and expense, Worker's Compensation Insurance during the Term as required by the State of California and Employer's Liability Insurance. B. Minimum Limits of Insurance.Association will maintain limits no less than: (1) General Liability Insurance. $1,000.000 per occurrence for bodily injury, personal injury, and property damage. If Commercial General Liability Insurance or other form with a general aggregate limit is used, either the general aggregate limit will apply separatelyto this project/location or the general aggregate limit will be twice the required occurrence limit. The general liability policy will include non -owned automobile liability insurance. (2) Employer's Liability. $1,000,000 per accident for bodily injury or disease. C. Increase in Insurance Coverage. If, in the good faith opinion of City the amount of public liability and property insurance coverage at that time is not comparable to the insurance typically required by landlords of property similar to the Children's Museum, Association will increase the insurance coverage as required by City. D. Deductibles and Self -Insured Retentions. Any deductibles or self- insured retentions must be declared to and approved by the City Manager or the City Manager's designee. At the option of the City Manager or the City Manager's designee, either the insurer will reduce or eliminate such deductibles or self-insured retentions as respects the City, its officers, officials. employees and volunteers; or Association will procure a bond guaranteeing payment of losses and related investigations, claim administration, and defense expenses. E. Failure to Comply with Insurance Requirements. In the event the Association fails to submit the required documentation for insurance to the City Manager or the City Manager's designee within the times required by this Agreement or the City Manager or the City Manager's designee receives notice or is made aware of the termination of any required insurance policy, the City Manager or the City Manager's designee may immediately suspend Association's right to use the Premises, and will cause a notice of default to be issued to the Association. F. Verification of Coverage. Association will deliver to City a certificate of insurance, and if requested by City a complete and correct copy of each insurance policy. for all insurance required by this Section 14. All insurance policies required by express provisions of this Agreement will be non -assessable and will contain language to the effect that (i) any loss will be payable notwithstanding any act or negligence of the City that might otherwise result in the forfeiture of the insurance, (ii) that the insurer waives the right of subrogation against City, and (iii) the policies are primary and non-contributing with any insurance that may be carried by City. -12- G. Other Insurance Provisions. The general liability and worker's compensation policies are to contain, or be endorsed to contain, the following provisions: (1) The City of Temecula, the Temecula Community Services District, the Successor Agency to the Temecula Redevelopment Agency, their respective officers, officials, employees and volunteers are to be covered as insured's, in connection with the rights granted to the Association under this Agreement in connection with the Children's Museum, Concessions, and Subject Portion of Lot as respects: liability arising out of activities performed by or on behalf of the Association; products and completed operations of the Association; premises owned, occupied or used by the Association; or automobiles owned, leased. hired or borrowed by the Association. The coverage will contain no special limitations on the scope of protection afforded to the City of Temecula, the Temecula Community Services District, and the Successor Agency to the Temecula Redevelopment Agency, their officers, officials, employees or volunteers. (2) For any claims related to the operation or use of the Children's Museum, Concessions, and Subject Portion of Lot, the Association's insurance coverage will be primary insurance as respects to the City of Temecula, the Temecula Community Services District, the Successor Agency to the Temecula Redevelopment Agency, their officers, officials, employees and volunteers. Any insurance or self-insured maintained by the City, the City of Temecula, the Temecula Community Services District, the Successor Agency to the Redevelopment Agency of the City of Temecula, its officers, officials, employees, or volunteers will be excess of the Association's insurance and will not contribute with it. (3) Any failure to comply with reporting or other provisions of the policies including breaches of warranties will not affect coverage provided to the City of Temecula, the Temecula Community Services District, and the Successor Agency to the Temecula Redevelopment Agency. their officers, officials, employees, or volunteers. (4) The Association's insurance will apply separately to each insured against whom claim is made or suit is brought, except with respect to the limits of the insurers liability. (5) Each insurance policy required by this Agreement will be endorsed to state: "Should the policy be canceled before the expiration date the issuing insurer will endeavor to mail written notice to the City of Temecula 30 calendar days prior to such cancellation." 15. Indemnification. Association agrees to defend, indemnify, protect and hold harmless the City of Temecula, Temecula Community Services District, and/or the Successor Agency to the Temecula Redevelopment Agency, their respective officers, officials, employees and volunteers from and against any and all claims, demands, losses, defense costs or expenses, including attorney fees and expert witness fees, or liability of any kind or nature which the City of Temecula, Temecula Community Services District. and/or the Successor Agency to the Temecula Redevelopment Agency, their respective officers, agents, employees or volunteers may sustain or incur or that may be imposed upon them for injury to or death of persons, or damage to property arising out of Association's negligent or wrongful acts or omissions arising out of or in any way related to Association's use or occupancy of the Children's Museum. Concessions, and Subject Portion of Lot, the performance of or in connection with this Agreement. -13- 16. Licenses, Permits and Approvals. Association will, at Association's sole cost and expense, obtain any and all licenses, permits, and approvals required for the performance or use of the Children's Museum, Concessions, and Subject Portion of Lot that may be required by other governmental entities. Unless otherwise set forth in this Agreement, Association will procure all permits and licenses required by the City or other governmental entities to conduct special events for fundraising for the Children's Museum and Subject Portion of Lot and pay all facility use fees applicable to any such use permits, pursuant to such ordinances and resolutions of the City Council that might apply to such permits. Association will not be required to pay any City fees for special events or fund-raising events at the Children's Museum and Subject Portion of Lot as described in Section 7.C. Association may obtain a temporary Alcoholic Beverage Control License for use of the Children's Museum, Concessions, and Subject Portion of Lot, subject to any conditions imposed in the ABC permit and any permits issued by the City. 17. Citv's Reservation of Right of Entry The City, through the City Manager or the City Manager's designee, will have the right to enter the Children's Museum, Concessions and Subject Portions of Lot at all times during the period covered by this Agreement in order to ensure compliance with this Agreement. 18. Liens and Encumbrances. Association will not directly or indirectly create or permit to be created or to remain any mortgage, lien, encumbrance, charge or pledge of the Children's Museum, Concessions, or Subject Portion of Lot. Association will defend, indemnify and hold City harmless, pursuant to Section 15 (Indemnification) from any hens that may attach to any portion of the Children s Museum. Concessions, or Subject Portion of Lot arising from Association's use or operation of said Children's Museum, Concessions, or Subject Portion of Lot. 19. Notice. All notices and demands will be given in writing by personal delivery. certified mail, postage prepaid, and return receipt requested, or by Federal Express or other overnight carrier Notices will be considered given upon the earlier of (i) personal delivery, (ii) two business days following deposit in the United States mail, postage prepaid, certified or registered, return receipt requested, or (iii) one business day following deposit with Federal Express or other overnight carrier. If notice is received on a Saturday, Sunday or legal holiday. it will be deemed received on the next business day. The parties will address such notices as provided below or as may be amended by written notice: City: City of Temecula 41000 Main Street Temecula, California 92590 Attention: City Manager Association: Friends of Temecula Children's Museum 42081 Main Street Temecula, California 92590 Attention: President 20. Default. A. Default by Association if Association should fail to perform, keep, or observe any of the terms, conditions or covenants as set forth in this Agreement, City will give Association written notice to correct the failure within 30 calendar days of said notice. If -14- Association does not cure such default within the 30 -calendar day period, Association will be in default of this Agreement and Association's rights under this Agreement, at the sole discretion of the City, may be terminated and forfeited. Such election to terminate will not be construed as a waiver of any claim the City may have against Association, consistent with such termination. If, however, any failure is of such nature that it cannot be physically remedied within 30 calendar days of the date of the City's notice, except for the payment of money, and if Association has commenced the elimination of such failure promptly after the receipt of such notice, and continuously and diligently proceeds in good faith to eliminate such default, then the period for correction will be extended for such length of time as is reasonably necessary to complete such correction. The failure of Association to fund the necessary corrections will not justify an extension of the time to cure beyond the initial 30 -calendar day period B. Surrender of Possession Upon Termination by Default. Upon the termination of this Agreement pursuant to any such default under Section 20.A., Association covenants and agrees to surrender and to forfeit this Agreement, and deliver up the Children's Museum, Concessions, and Subject Portion of Lot peaceably to the City immediately upon any such termination. If Association remains in possession of the Children's Museum. Concessions, and Subject Portion of Lot after any such termination of this Agreement based on such default, Association will be deemed guilty of an unlawful possession of the Children's Museum, Concessions, and Subject Portion of Lot. C. Default by City. Notwithstanding any other provision of this Agreement to the contrary, the City will not be deemed to be in default under this Agreement until 30 calendar days after notice of default is given by Association to the City. If such default cannot be cured within such 30 -calendar day period, the City will not be deemed to be in default provided that, within such 30 -calendar day period, the City commences and thereafter diligently prosecutes efforts to cure the default. D. Legal Remedies Each party will have all remedies as may be allowed by law or equity to enforce its rights in this Agreement. No legal action will be filed by one party against the other party until such time as the other party has received the notice of default as provided in this Agreement. Any such action will be filed in Riverside County, California. 21. Independent Contractor. The relationship of the Parties to this Agreement is that of independent contractors and in no event will Association be considered an officer, agent, servant or employee of the City. Association is solely responsible for any workers' compensation, withholding taxes, unemployment insurance and any other employer obligations associated with the Association's employees, agents and performers. 22. Acknowledgements; Disclaimer of Warranties. Unless otherwise set forth in this Agreement. Association acknowledges that Association has operated all or part of the Children's Museum, Concessions and/or Subject Portions of Lot since 2004, subject to the terms of the Original Agreement and Amendments thereto. Association further acknowledges it has had the opportunity to inspect the Children's Museum, Concessions, and Subject Portions of Lot and that it will use and operate the Children's Museum, Concessions, and Subject Portion of Lot "As Is" without any representations or warranties from the City. CITY MAKES NO WARRANTY OR REPRESENTATION. EITHER EXPRESS OR IMPLIED, AS TO THE VALUE, DESIGN, CONDITION, MERCHANTABILITY OR FITNESS FOR ANY PARTICULAR PURPOSE OR FITNESS FOR THE USE CONTEMPLATED BY ASSOCIATION OF -15- THE CHILDREN'S MUSEUM, CONCESSIONS, OR SUBJECT PORTION OF LOT, OR ANY OTHER REPRESENTATION OR WARRANTY WITH RESPECT TO SAID CHILDREN'S MUSEUM, CONCESSIONS, OR SUBJECT PORTION OF LOT. IN NO EVENT WILL THE CITY AND ITS ASSIGNS BE LIABLE FOR INCIDENTAL, INDIRECT, SPECIAL OR CONSEQUENTIAL DAMAGES IN CONNECTION WITH OR ARISING OUT OF THIS LICENSE AGREEMENT, OR THE EXISTENCE, FURNISHING, FUNCTIONING OR ASSOCIATION'S USE OF THE CHILDREN'S MUSEUM, CONCESSIONS, OR SUBJECT PORTION OF LOT. Association Initials City Initials: 23. Taxes and Assessments. Association will pay all applicable federal, state, or local taxes, fees, charges, or assessments, including any possessory interest taxes, arising from Association's use and operation of the Children's Museum, Concessions, and Subject Portion of Lot in accordance with the terms of this Agreement. 24. Legal Responsibilities; Non -Discrimination. Association will keep itself informed of all local, State and Federal ordinances. laws and regulations which in any manner affect those employed by it or in any way affect the performance of its services described in this Agreement. Association covenants by and for itself and any successors in interest that there will be no discrimination against or segregation of any person or group of persons on account of race, color. ancestry, national origin, religion, creed, age, disability, handicap. sex, gender. sexual orientation, gender identity, marital status, medical condition, genetic information, military, or veteran status in the use or enjoyment of the Children's Museum, Concessions, or Subject Portion of Lot. Nor will the Association itself or any person claiming under or through it establish or permit any such practice or practices of discrimination or segregation with reference to the selection, location, number, use or occupancy of licensees, sub -licensees, or vendees of the Children's Museum, Concessions, and Subject Portion of Lot. Association will at all times observe and comply with all such ordinances, laws and regulations. The City, and its officers and employees, will not be liable at law or in equity occasioned by failure of Association to comply with this Section. 25. Miscellaneous. A. Third Party Agreements. Association will not, without the express, prior written consent of the City Manager or the City Manager's designee, enter into agreements with third parties concerning, among other things, advertising and signage at the Children's Museum. Concessions. and Subject Portion of lot, operation of the Concessions, and sale of food, beverage and concession items at the Children's Museum, Concessions, and Subject Portion of Lot. B. Assignment. Association will not assign its interest in this Agreement or in the Children's Museum, Concessions, or Subject Portion of Lot to any person or entity without first obtaining the City Manager's written consent. Any assignment without the City Manager's prior written consent will be voidable and, at the City Manager's election, will constitute a default under this Agreement. C. Governing Law and Venue. This Agreementwill be interpreted and enforced according to, and the Parties' rights and obligations, including any non -contractual -16- claims, will be governed by the domestic law of the State of California, without regard to its laws regarding choice of applicable law. Any proceeding or action to enforce this Agreement will occur in the federal court with jurisdiction over Riverside County and the state courts located in Riverside County, California. D. Attorneys' Fees. In the event any litigation is filed by one party against the other to enforce the party's rights under this Agreement, the prevailing party, as determined by the court's judgment, will be entitled to reasonable attorneys' fees and litigation expenses for the relief granted. E. Counterparts. This Lease may be executed in any number of counterparts, each of which, when executed and delivered, will be deemed to be an original, and all of which, taken together, will be deemed to be one and the same instrument. F. Amendments. Any modifications or amendments to this Agreement will be in writing executed by both Parties. G. Interpretation. Each party had the full opportunity to participate in the drafting of this Agreement and, therefore, the Agreementwill not be interpreted against any party on the ground that the party drafted the Agreement or caused it to be prepared. H. Entire Agreement Except for the Logo and Images Agreement, this Agreement is the entire agreement and understanding between the Parties with respect to the subject matter of this Agreement. It is the intent of the Parties to supersede the Original Cooperation Agreement, as amended by the First through Eighth Amendment, any previous Operating Memoranda regarding exhibits, and any representations,either oral or in writing, between the Parties hereto with respect to the subject matter of this Agreement. except that the Logo and Images Agreement is incorporated in this Agreement as set forth above in Section 5. Authority to Execute Agreement. Association has expressly authorized the execution of this Agreement on its behalf and bind said party and each party's respective administrators, officers, directors, shareholders, divisions, subsidiaries, agents, employees, successors, assigns, principals, partners, joint ventures, insurance carriers, and any others who may claim through it to this Agreement. The person executing this Agreement on behalf of Association warrants and represents to the City that this Agreement has been duly approved by the Association and that all applicable notices and procedures were complied with and that he is duly authorized by the Association to execute this Agreement on behalf of the Association. CITY OF TEMECULA, a California FRIENDS OF THE TEMECULA CHILDREN'S municipal corporation MUSEUM, a California non-profit corporation Dated: Dated. / L/ iii By: Byaoee Matt Rahn, Mayor Meti sa onaldson, President -17- ATTEST. By: Randi Johl, City Clerk APPROVED AS TO FORM: Peter M. Thorson, City Attomey Dated: By: -18- Tammy Marine, Vice eside Item No. 9 Approvals City Attorney Director of Finance City Manager CITY OF TEMECULA AGENDA REPORT TO: City Manager/City Council FROM: Patrick Thomas, Director of Public Works/City Engineer DATE: November 13, 2018 SUBJECT: City Council Agenda Item No. 9: Approve a Purchase Order for Tree Grates for the Sidewalks — Old Town Boardwalk Enhancement, PW17-16 In regards to the subject Agenda Report, Public Works staff collaborated with Planning Department staff to verify the design standard used in the project is consistent with the Old Town Specific Plan. The original Purchase Order specified a 4'x4' tree grate rather than the 5'x5' size included in the specific plan. This revision resulted in a cost increase of $25,040.77. The revised Purchase Order is for a total cost of $89,698.20. Approvals City Attorney Director of Finance City Manager CITY OF TEMECULA AGENDA REPORT TO: City Manager/City Council FROM: Patrick Thomas, Director of Public Works/City Engineer DATE: November 13, 2018 SUBJECT: Approve a Purchase Order for Tree Grates for the Sidewalks — Old Town Boardwalk Enhancement, PW 17-16 PREPARED BY: Avlin R. Odviar, Senior Civil Engineer William Becerra, Associate Engineer II RECOMMENDATION: That the City Council approve a purchase order with Spruce & Gander, Inc. for the purchase of 38 tree grates, in the amount of $64,657.43, for Sidewalks — Old Town Boardwalk Enhancement, PW 17-16. BACKGROUND: On August 14, 2018. City Council rejected all construction bids and authorized the Department of Public Works to re -advertise for construction bids for Sidewalks — Old Town Boardwalk Enhancement, PW 17-16. The Sidewalks — Old Town Boardwalk Enhancement project will replace existing boardwalk planks throughout Old Town Temecula with colored, stamped concrete consistent with the Old Town Specific Plan. The material and finish will be consistent with the finish of sidewalks at the approaches to the new Main Street Bridge. Some of the existing concrete sidewalks (San Diego Buff) may be replaced for continuity and consistency. Where practical, the improved sidewalk widths will be expanded and trees with tree grates installed for consistency with the Old Town Specific Plan. The project improvements will be made on portions of Old Town Front Street, Main Street, Sixth Street, and Mercedes Street. All of the existing tree grates in Old Town comply with the Old Town Specific Plan. The specific plan requires that all tree grates in Old Town be uniform in color, size, finish, as well as provides a photographic sample of style. Staff has found that Spruce & Gander, Inc. is the only vendor in the region capable of providing the tree grates that meet all requirements mentioned in the specific plan. The manufacturing and delivery lead time for the quantity of tree grates needed for Sidewalks - Old Town Boardwalk Enhancement is 12-14 weeks. Typically, the City's construction contractor would furnish and install these tree grates. By procuring the tree grates in advance of construction, the project would benefit from cost savings by eliminating contractor mark up. More importantly, there will be substantial time savings and efficiency realized by eliminating the delivery lead-time from the construction schedule. FISCAL IMPACT: The Sidewalks — Old Town Boardwalk Enhancement is identified in the City's Capital Improvement Program (CIP) budget for Fiscal Years 2019-23, and is funded with Community Development Block Grant and Measure S Funds. There are sufficient funds in the project account to cover the $64,657.43 cost of the tree grates. ATTACHMENTS: 1. Project Location Map 2. Project Description Old Town Boardwalk Enhancement PW 17-16 is - .sm, •erg Legend Boardwalk 2021-22 2019-20 2019-20 Projected 2020-21 2021-22 2022-23 Projected Projected Projected ww Couno, Capital Improvement Program Fiscal Years 2019-23 SIDEWALKS - OLD TOWN BOARDWALK ENHANCEMENT Infrastructure / Other Project Project Description: This project will establish programs that will remove boardwalk plank boards and replace them with colored concrete sidewalks stamped with wood grain finish similar to what was installed with the new Main Street bridge. Benefit / Core Value: This project promotes a sustainable walkable surface that will require little maintenance. New sidewalks will enhance American with Disabilities Act(ADA) access. It will also promote a "walkable" community by connecting the City. In addition, this project satisfies the City's Core Values of a Healthy and Livable City and Transportation Mobility and Connectivity. Project Status: Design is complete. Department: Public Works - Account No. 210.165.696 PW 17-16 Level: I Project Cost: Prior Years Actual Expenditures FYE 2018 Carryover Budget 2018-19 Adopted 2019-20 Appropriation Projected 2020-21 Projected 2021-22 Projected 2022-23 Projected and Future Total Project Years Cost Administration $ 52,907 $ 10,000 $ 40,000 $ 102,907 Construction $ 541,516 $ 200,000 $ 741,516 Construction Engineering $ 40,000 $ 20,000 S 60,000 Design/Environmental $ 67,093 S 67,093 Totals $ 52,907 $ 658,609 $ 260,000 $ - $ - $ - S S 971.516 Source of Funds: Prior Years Actual Expenditures CDBG"" 2' Measure S Total Funding: $ 52.907 $ 52.907 FYE 2018 Carryover Budget $ 411,516 $ 247.093 $ 658,609 2018-19 Adopted Appropriation $ 260,000 $ 260,000 Future Operation & Maintenance Costs 2018-19 nm unity Development Block Grant- Action Plan Fiscal Year 2017-18 129 2020-21 Total Project Cost $ 411,516 $ 560,000 $ 971,516 2022-23 Item No. 10 Approvals City Attorney Director of Finance City Manager Jtk CITY OF TEMECULA AGENDA REPORT TO: City Manager/City Council FROM: Patrick Thomas, Director of Public Works/City Engineer DATE: November 13, 2018 SUBJECT: Accept Improvements and File the Notice of Completion for the Pavement Rehabilitation Program — Citywide, Rancho California Road (Old Town Front Street to Western City Limits), PW17-26 PREPARED BY: Avlin Odviar, Senior Civil Engineer Nino Abad, Associate Civil Engineer RECOMMENDATION: That the City Council: Accept the improvements for the Pavement Rehabilitation Program — Citywide, Rancho California Road (Old Town Front Street to Western City Limits), PW17- 26; 2. Direct the City Clerk to file and record the Notice of Completion, release the Performance Bond. and accept a one-year Maintenance Bond in the amount of 10% of the final contract amount; 3. Release the Labor and Materials Bond seven months after filing the Notice of Completion, if no liens have been filed. BACKGROUND: On May 8, 2018, the City Council awarded a construction contract to RJ Noble Company, in the amount of $1,212,357.50, and authorized the City Manager to approve change orders not to exceed $121,235.75, to complete the Pavement Rehabilitation Program — Citywide, Rancho California Road (Old Town Front Street to Western City Limits), PW 17-26. PW17-26 is a component of the Pavement Rehabilitation Program — Citywide project that is included in the City's five-year Capital Improvement Program. The project included pavement rehabilitation of the full width of Rancho California Road from the westerly edge of the bridge deck at Murrieta Creek to the westerly City Limit (approximately 1.1 miles). The existing roadway surface was removed to a depth of approximately 6 -inches then replaced with an equivalent depth of new hot mix asphalt. The project also replaced eight (8) pedestrian ramps meeting current Americans with Disabilities Act (ADA) standards, adjusted utilities to grade, removed and replaced the existing traffic signal loop detectors. and replaced all striping and pavement markings. The Contractor, RJ Noble, has completed the work in accordance with the approved specifications and to the satisfaction of the Director of Public Works/City Engineer. All work is warranted for a period of one year from September 7, 2018, the date the City obtained "beneficial use" of the project improvements. The retention for this project will be released pursuant to the provisions of Public Contract Code Section 7107. FISCAL IMPACT: The Pavement Rehabilitation Program -Citywide is identified in the City's Capital Improvement Program (CIP) budget for Fiscal Years 2019-23 and is funded by the General, Gas Tax, RMRA and Measure A Funds. This project was identified as an eligible use of RMRA funds, and the City allocated the entire $512,997 of SB1 RMRA received in FY 2017-18 to the construction of this project. The remaining $738,216.05 will be funded with FY 2018-19 SB1 RMRA funds. In the event SB1 is repealed and there is insufficient RMRA funds to cover this project, an alternative funding source within this CIP project will be utilized. ATTACHMENTS: 1. Notice of Completion 2. Maintenance Bond 3. Contractor's Affidavit and Final Release 4. Project Area Map RECORDING REQUESTED BY AND RETURN TO: CITY CLERK CITY OF TEMECULA 41000 Main Street Temecula, CA 92590 EXEMPT FROM RECORDER'S FEES Pursuant to Government Code Sections 6103 and 27383 NOTICE OF COMPLETION NOTICE IS HEREBY GIVEN THAT: 1. The City of Temecula is the owner of the property hereinafter described. 2. The full address of the City of Temecula is 41000 Main Street, Temecula, California 92590. 3. The Nature of Interest is a Contract which was awarded by the City of Temecula to RJ Noble Company, 15505 E Lincoln Ave, Orange, CA 92856 to perform the following work of improvement: Pavement Rehabilitation Program — Citywide, Rancho California Road (Old Town Front Street — Western City Limits) Project No. PW 17-26 4. Said work was completed by said company according to plans and specifications and to the satisfaction of the Director of Public Works of the City of Temecula and that said work was accepted by the City Council of the City of Temecula at a regular meeting thereof held on November 13, 2018. That upon said contract Western Surety Company, 2020 Main Street Suite 750, Irvine, CA 92614 was surety for the bond given by the said company as required by law. The property on which said work of improvement was completed is in the City of Temecula, County of Riverside, State of California, and is described as follows: Rancho California Road from OId Town Front Street to the Western City Limits Project No. PW 17-26 The location of said property is: Rancho California Road from OId Town Front Street to the Western City Limits. Dated at Temecula, California, this 13th day of November, 2018. City of Temecula Randi Johl, City Clerk STATE OF CALIFORNIA COUNTY OF RIVERSIDE CITY OF TEMECULA ss I, Randi Johl, City Clerk of the City of Temecula, California, do hereby certify under penalty of perjury, that the foregoing NOTICE OF COMPLETION is true and correct, and that said NOTICE OF COMPLETION was duly and regularly ordered to be recorded in the Office of the County Recorder of Riverside by said City Council. Dated at Temecula, California, this 13th day of November, 2018. City of Temecula Randi Johl, City Clerk CITY OF TEMECULA, DEPARTMENT OF PUBLIC WORKS BOND NO. 30040014 -nn MAINTENANCE BOND for PAVEMENT REHABILITATION PROGRAM — CITYWIDE RANCHO CALIFORNIA ROAD PROJECT NO. PW17-26 KNOW ALL PERSONS BY THESE PRESENT THAT R.J. NOBLE COMPANY. 15505 E. LINCOLN AVENUE, ORANGE. CA 92865 NAME AND ADDRESS OF CONTRACTOR a CALIFORNIA CORPORA "ZION (fill in whethera Corporation, Partnership, or Individual) (hereinafter called "Principal"), and Westem Surety Company, 2020 Main Street, Suite 750, Irvine, CA 92614 NAME AND ADDRESS OF SURETY (hereinafter called "Surety"), are held and firmly bound unto CITY OF TEMECULA (hereinafter called "Owner") in the penal sum of one nundred twenty rive thousand one hundred twenty one DOLLARS AND 31/00 CENTS ($ 125 121.31 ) in lawful money of the United States, said sum being not less than ten percent (10%) of the Contract value payable by the said City of Temecula under the terms of the Contract, for the payment of which, we bind ourselves, successors, and assigns, jointly and severally, firmly by these presents. THE CONDITION OF THIS OBLIGATION is such that whereas, the Principal entered into a certain Contract with the Owner, dated the ii.1" day of Ma—! , 20 17. . a copy of which is hereto attached and made a part hereof for the construction of PAVEMENT REHABILITATION PROGRAM - CITYWIDE, RANCHO CALIFORNIA ROAD, PROJECT NO. PW17-26. WHEREAS, said Contract provides that the Principal will furnish a bond conditioned to guarantee for the period of one year after approval of the final estimate on said job, by the Owner, against all defects in workmanship and materials which may become apparent during said period; and WHEREAS, the said Contract has been completed, and was the final estimate approved on this the 7th day of September , 20 18 NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION IS SUCH, that if within one year from the date of approval of the final estimate on said job pursuant to the Contract, the work done under the terms of said Contract shall disclose poor workmanship in the execution of said work, and the carrying out of the terms of said Contract, or it shall appear that defective materials were furnished thereunder, then this obligation shall remain in full force and virtue, otherwise this instrument shall be void. MAINT-NANCF 3UNO MA -i As a part of the obligation secured hereby and in addition to the face amount specified, costs and reasonable expenses and fees shall be included, including reasonable attorney's fees incurred by the City of Temecula in successfully enforcing this obligation, all to be taxed as costs and included in any judgment rendered. The Surety hereby stipulates and agrees that no change, extension of time, alteration, or addition to the terms of the Contract, or to the work to be performed thereunder, or to the specifications accompanying the same, shall in any way affect its obligations on this bond, and it does hereby waive notice of any such change, extension of time, alteration, or addition to the terms of the Contract, or to 'the work, or to the Specifications. Signed and sealed this 11th day of October 20 18 (Seal) SURETY: WestemSurety Company PRINCIPAS R. J. NOB ECO 'ANY By Jam- S ott-Satandi (Name) Attorney-in-fact (Title) APPROVED AS TO FORM: CRAIG PORTER (Name) SENIOR VICE PRESIDENT (Title) By: x STEVE MEN ► )LA (Name) SECRETARY Peter M. Thorson, City Attorney (Title) NOTE: Signatures of two corporate officers required for corporations. A Notarial Acknowledgement or Jurat must be attached for each of the Surety and Principal Signatures. MAINTENANCE BOND M8-2 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE 31189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of ORANGE On 10/11/2018 ) before me, J. DE IONGH, NOTARY PUBLIC Date Here Insert Name and Title of the Officer personally appeared CRAIG PORTER Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the personfs)- whose name(s} is/are- subscribed to the within instrument and acknowledged to me that he/she/they- executed the same in his/her/their authorized capacity(ies}, and that by his/her/their signature(s}on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. J. DE IONGH Commission M 2128504 Notary Public - California 1 Orange County My Comm. [owes Oct ?° 2019 Place Notary Seal Above WITNESS my hand and offia Signature OPTIONAL Signatur STly4'tary Public J. DE IONGH Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Number of Pages: Signer(s) Other Than Capacity(ies) Claimed by Signers) Signer's Name:__ LJ Corporate Officer — Title(s) ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Trustee 0 Guardian or Conservator ❑ Other: Signer Is Representing: Document Date: Named Above: Signer's Name. L Corporate Officer — Title(s): ❑ Partner — LJ Limited P1 General 0 Individual P1 Attorney in Fact 0 Trustee —1 Guardian or Conservator 0 Other: Signer Is Representing: (.`(-{`C..C. `Cl:t.<'.4Y,-4`C..Y...(,'(..(;Cti'!-<.`C.['(..CX.i'•�i.(-<.`Cdr«.'C,a.:C.(�C.r...t.:.<..+(.C.(.:.<.G.<Jf..C.C:<.f..<.t:.•...,I.� • ©2014 National Notary Association • www.NationalNotary.org • 1 -800 -US NOTARY (1-800-876-6827) Item #5907 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California ) County of uhtAtsGE On i0/11/2018 before me, J. DE GH, NOTARY PUBLIC Date Here Insert Name and Title of the Officer personally appeared STEVE MENCuZ,4 Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(st whose name(s)- is/are- subscribed to the within instrument and acknowledged to me that he/she/they- executed the same in his/her/3#-6r authorized capacity(ies)-, and that by his/her/their signature(s)-on the instrument the person(s); or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. J. DE IONGH Commission 0 2128504 Notary Public - California z Orange County Comm. Exeres oct 28 _20_r19 L Place Notary Seal Above WITNESS my hand an. •' .ial Signature OPTIONAL Signat J. DE IONGH of Notary Public Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document. Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: L:] Corporate Officer — Title(s): LJ Partner — Limited ❑ General ❑ Individual Ll Attorney in Fact o Trustee ❑ Guardian or Conservator 7 Other: Signer Is Representing: Signer's Name: Cl Corporate Officer — Title(s): Li Partner — L Limited ❑ General LI Individual 71 Attorney in Fact hl Trustee Guardian or Conservator fI Other: Signer Is Representing: ©2014 National Notary Association • www.NationalNotary.org • 1 -800 -US NOTARY (1-800-876-6827) Item #5907 ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Orange On OCT 1 1 2018 before me, Michele A. Fedoruk, Notary Public (insert name and title of the officer) personally appeared James Scott Salandi, Attorney -in -Fact who proved to me on the basis of satisfactory evidence to be the person(s) whose name(i) is/avec subscribed to the within instrument and acknowledged to me that he/ssbcsivaey executed the same in his/he stitb[eic authorized capacity(iee), and that by his/ktottbisk- signature(a) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature Seal) MICHELE A. FEDORUK Notary Public - California Orange County Commission # 2238042 ='`� My Comm. Expires Apr 14, 2022 Western Surety Company POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY-IN-FACT Know All Men By These Presents, That WESTERN SURETY COMPANY, a South Dakota corporation, is a duly organized and existing corporation having its principal office in the City of Sioux Falls, and State of South Dakota, and that it does by virtue of the signature and seal herein affixed hereby make, .:u,utitute and appoint James Scott Salandi, Leonard Ziminsky, David Jacobson, Individually of Irvine, CA, its true and lawful Atturncy(s)-in-Fact with fitll power and authority hereby conferred to sign, seal and execute for and on its behalf bonds, undertakings and other obligatory inatrwnents of similar nature - In Unlimited Amounts - and to bind it thereby as fhlly and to the same extent as if such instruments were signed by a duly authorized officer of the corporation and all the acts of said Attorney, pursuant to the authority hereby given, am hereby ratified and confirmed. This Power of Attorney is made and executed pursuant to and by authority of the By -Law printed on the reverse hereof, duly adopted, as indicated, by the shareholders of the eorlxnation. la Witness Whereof, WESTERN SURETY COMPANY has caused these presents to be signed by its Vico President and its corporate seal to be hereto affixed on this 21st day of June, 2017. State of South Dakota County of Miw'chid an WESTERN SURETY COMPANY - aul T. Brunet, Vice President On this 21st day of June, 2017, before me personally camp Paul T. Btufat, to me Imown, who, being by me duly sworn, did depose and say: that he amides in the City of Sioux Falls, State of South Dakota; that be: is the Vice Prmideet of WESTERN SURETY COMPANY described in and which executed the above instrument, that he knows the seal of said corporation; that the seal affixed to the said rnsuwnatt is such corporate x81; that it was so affixed pursuant to authority given by the Board of Directors of said cortx.axru n and that he signed his name thereto pursuant to like authority, and acknowledges same to be the act and deed of said corporation. My commission expires June 23, 2021 J. MOHR �romnrs,auo axxrmowawda) CERTIFICATE J. Mohr, Notary Public 1, L Nelson, Assistant Secretary of WESTERN SURETY COMPANY do hereby certify that the Power of Attorney hcreinabove ad forth is still in force, and further certify that the By -Law of the corporation printed on the reverse hereof ry� 1.ine. jet unry whereof 1 have hereunto subscribed � 1 my name and affixed the seal of the said corporation this - day of U I lU _ Form F4280-7-2012 WESTERN SURETY COMPANY L Nelson, Assistant Secretary CITY OF TEMECULA, DEPARTMENT OF PUBLIC WORKS CONTRACTOR'S AFFIDAVIT AND FINAL RELEASE for PAVEMENT REHABILITATION PROGRAM — CITYWIDE RANCHO CALIFORNIA ROAD PROJECT NO. PW17-26 This is to certify that R.J MOBLE Cull/ \\1 (hereinafter the "Contractor') declares to the City of Temecula. under oath. that he/she/it has paid in full for all materials. supplies. labor. services. tools. equipment. and all other bills contracted for by the Contractor or by any of the Contractor's agents. employees or subcontractors used or in contribution to the execution of its Contract with the City of Temecula, with regard to the building. erection. construction. or repair of that certain work of improvement known as PAVEMENT REHABILITATION PROGRAM - CITYWIDE, RANCHO CALIFORNIA ROAD, PROJECT NO. PW17-26. situated in the City of Temecula. State of California. more particularly described as follows: R3\CHO C 11.IFOR\I 1 ROAD PW 17-26 ADDRESS OR DESCRIBE LOCATION OF WORK The Contractor declares that it knows of no unpaid debts or claims arising out of said Contract which would constitute grounds for any third party to claim a Stop Notice against of any unpaid sums owing to the Contractor. Further. in connection with the final payment of the Contract, the Contractor hereby disputes the following amounts: Description Dollar Amount to Dispute SO 00 Pursuant to Public Contract Code Section 7100. the Contractor does hereby fully release and acquit the City of Temecula and all agents and employees of the City. and each of them, from any and all claims, debts, demands. or cause of action which exist or might exist in favor of the Contractor by reason of payment by the City of Temecula of any contract amount which the Contractor has not disputed above. Dated RELEASE OCTOBER 22. 2018 CONTRACTOR: By Signature STFVF \11 \DOIA. SECRETARY Print Name and Title R-1 5.711 ft 269,852 sqft RANCHO CAL ORNIA PW17-26 Pavement Rehabilitation Program Citywide - Rancho California Road ([)|d Town Front Street to Western City Limits) Project Area Map ~ /r~^ 1 00 • Feet Item No. 11 Approvals City Attorney /' Director of Finance City Manager CITY OF TEMECULA AGENDA REPORT TO: City Manager/City Council FROM: Patrick Thomas, Director of Public Works/City Engineer DATE: November 13, 2018 SUBJECT: Approve the Plans and Specifications for the Community Recreation Center (CRC) Pool Renovations, PW18-02 PREPARED BY: Amer Attar, Principal Civil Engineer Troy Bankston, Senior Civil Engineer RECOMMENDATION: That the City Council approve the Plans and Specifications for the Community Recreation Center (CRC) Pool Site Enhancements and Renovations, PW18-02. BACKGROUND: On August 28, 2018, the City Council approved an Agreement for Consultant Services with Jeff Katz Architectural Corp. (JKA), for the Design of the Community Recreation Center (CRC) Pool Enhancement, PW18-02. The design is now complete and the project has been advertised for construction bids. The Community Recreation Center (CRC) Pool Site Enhancements and Renovations includes the removal, replacement, and the expansion of the pool decking, pool re -plastering, the installation of an enhanced lighting system with energy efficient LED fixtures, and a sound system. The construction will also include provisions for the addition of shade structures for portions of the pool deck. The shade structures will be installed as part of the project if the budget allows or can be installed later. In addition, the construction includes installation of plumbing to accommodate upgrading the wading pool at a future date. This project is exempt from the CEQA requirements pursuant to Article 19, Categorical Exemption, Section 15301, Existing Facilities, of the CEQA Guidelines. Section 15301 states that the restoration or rehabilitation of deteriorated or damaged structures, facilities, or mechanical equipment are Class 1 (d) activities, which are exempt from CEQA. The minimal expansion of the pool deck is a Class 1 (e) activity that is also exempt from CEQA. Project plans and specifications are complete and the project has been advertised for construction bids. The contract documents are available for review in the office of the Director of Public Works. The Engineer's Estimate is $1,600,000, and the contract allows for 60 working days (3 months) to complete the project. FISCAL IMPACT: The Community Recreation Center (CRC) Pool Site Enhancements and Renovations Project is identified in the City's Capital Improvement Program (CIP) budget for Fiscal Years 2019-23, and is funded with Measure S. Based on the Engineer's Estimate, the project will require additional appropriation. The exact amount of the additional appropriation will be identified and requested when the contract is awarded after bids are received. ATTACHMENTS: 1. Project Description 2. Project Location Capital Improvement Program Fiscal Years 2019-23 COMMUNITY RECREATION CENTER (CRC) POOL SITE ENHANCEMENTS AND RENOVATIONS Parks and Recreation Project Project Description: This project includes the removal and replacement of pool decking, pool re -plaster, and the installation of an enhanced lighting system with energy efficient LED fixtures. Benefit / Core Value: This project protects the City's vast investment in parks and facilities. This project satisfies the City's Core Value of a Healthy and Livable City, A Safe and Prepared Community and Accountable and Responsive City Government. Project Status: This project is estimated to be complete by June 2019. Department: Public Works/Temecula Community Services - Account No. 210.190.116 Level: 1 Project Cost: Prior Years Actual Expenditures FYE 2018 Carryover Budget 2018-19 Adopted 2019-20 Appropriation Projected 2020-21 Projected 2021-22 Projected 2022-23 Projected and Future Total Project Years Cost Administration $ 10,000 $ 50,000 $ 60,000 Construction $ 400,000 $ 270,000 $ 670.000 Construction Engineering $ 40,000 $ 40,000 Design/Environmental $ 90,000 $ 90,000 Totals $ - $ 410.000 $ 450,000 $ - $ - $ - $ - $ 860,000 Source of Funds: Prior Years Actual Expenditures FYE 2018 Carryover Budget 2018-19 Adopted Appropriation 2019-20 Projected 2020-21 Projected 2021-22 Projected 2022-23 Projected Measure S Total Funding: $ 410,000 $ 450,000 $ 410.000 $ 450,000 $ $ Total Project Cost $ 860,000 $ 860.000 Future Operation & Maintenance Costs 2018-19 2019-20 2020-21 2021-22 2022-23 141 COMMUNITY RECREATION CENTER (CRC) POOL SITE ENHANCEMENTS AND RENOVATIONS Parks and Recreation Project Aerial Data - 2015 0 100 200 Feet Item No. 12 Approvals / ��� �-- City Attorney /'�j,\ Director of Finance City Manager CITY OF TEMECULA AGENDA REPORT TO: City Manager/City Council FROM: Patrick Thomas, Director of Public Works/City Engineer DATE: November 13, 2018 SUBJECT: Adopt a Resolution to Establish an All -Way Stop Control at the Intersection of Channel Street and Dorchester Drive/Heath Lane PREPARED BY: Jerry Gonzalez, Associate Engineer II - Traffic RECOMMENDATION: That the City Council adopt a resolution entitled: RESOLUTION NO. 18- A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF TEMECULA, ESTABLISHING AN ALL -WAY STOP CONTROL AT THE INTERSECTION OF CHANNEL STREET AND DORCHESTER DRIVE/HEATH LANE BACKGROUND: A request was received from the Redhawk Homeowner's Association to consider the feasibility of implementing all way stop controls to assign right-of- way at various intersections on Channel Street and consider traffic calming measures to reduce vehicular speeds. In August 2018, Staff collected vehicular speed and volume data, which included entering volume data at the intersections of Channel Street at Chaote Street and Dorchester Drive/Heath Lane. The volume data was used to establish circulation patterns and determine potential "cut - through" traffic volumes. In addition to the data collection, a review of conditions was performed, which included an evaluation of sight distance, collision history, and completion of a mufti -way stop warrant analysis at the two (2) intersections. The warrant analysis performed at the two (2) intersections found that existing volumes fall below the minimum thresholds and all -way stop controls are not justified at both intersections. The Multi -Way Stop Sign Installation Policy for Residential Streets does however provide the flexibility to consider multi -way stop signs at locations where there is a need to provide right-of- way control to eliminate conflicts between vehicles due to visibility constraints. An evaluation of the intersection sight distance criteria indicates there is justification for an all -way stop control at the intersection of Channel Street at Dorchester Drive/Heath Lane due to limited sight distance. The results of the warrant analysis was presented to the Public/Traffic Safety Commission at their meeting of September 27, 2018. The Commission approved the recommendation (3-0-2) that the City Council adopt a resolution establishing an all -way stop control at the intersection of Channel Street and Dorchester Drive/Heath Lane. FISCAL IMPACT: Adequate funds are available in the Department of Public Works, Traffic Division's Annual Operating Budget for Fiscal Year 2018-19 for the installation of signs and associated pavement markings. ATTACHMENTS: 1. Resolution 2. Location Map RESOLUTION NO. 18- A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF TEMECULA, ESTABLISHING AN ALL -WAY STOP CONTROL AT THE INTERSECTION OF CHANNEL STREET AND DORCHESTER DRIVE/HEATH LANE THE CITY COUNCIL OF THE CITY OF TEMECULA DOES HEREBY RESOLVE AS FOLLOWS: Section 1. The City Council has considered the facts justifying the need for stop signs at the location described in this resolution. A. The City Council hereby finds and determines the installation of stop signs pursuant to this resolution will enhance public health, safety and general welfare at the intersection. B. The City Council hereby finds the proposed stop signs will not create any adverse conditions in the area. Section 2. Pursuant to Section 10.12.100 of the Temecula Municipal Code, the following All -Way Stop Intersection is hereby established in the City of Temecula. Channel Street and Dorchester Drive/Heath Lane PASSED, APPROVED, AND ADOPTED by the City Council of the City of Temecula this 13th day of November, 2018. Matt Rahn, Mayor ATTEST: Randi Johl, City Clerk [SEAL] STATE OF CALIFORNIA ) COUNTY OF RIVERSIDE ) ss CITY OF TEMECULA I, Randi Johl, City Clerk of the City of Temecula, do hereby certify that the foregoing Resolution No. 18- was duly and regularly adopted by the City Council of the City of Temecula at a meeting thereof held on the 13th day of November, 2018, by the following vote: AYES: COUNCIL MEMBERS: NOES: COUNCIL MEMBERS: ABSTAIN: COUNCIL MEMBERS: ABSENT: COUNCIL MEMBERS: Randi Johl, City Clerk 7LLB CITY OF TEMECULA LOCATION MAP 864.5 9 432.27 864.5 Feet WGS _1984_Web Mercator Auxiliary_ Sphere © Latitude Geographics Group Ltd. This map is a user generated static output from an Internet mapping site and is for reference only. Data layers that appear on this map may or may not be accurate, current, or otherwise reliable. THIS MAP IS NOT TO BE USED FOR NAVIGATION • Legend Parcels Highways II HWY ▪ INTERCHANGE ▪ INTERSTATE ▪ OFFRAMP ONRAMP USHWY Street Names © Parks • Schools Hospitals Public Facilities i,_; City of Temecula Boundary Sphere of Influence Council Districts t 2 4 5 Streets <all other values> <Null> COLLECTOR Notes TEMECULA COMMUNITY SERVICES DISTRICT CONSENT Item No. 13 ACTION MINUTES October 23, 2018 City Council Chambers, 41000 Main Street, Temecula, California TEMECULA COMMUNITY SERVICES DISTRICT MEETING The Temecula Community Services District meeting convened at 7:10 PM CALL TO ORDER: President Jeff Comerchero ROLL CALL: DIRECTORS: Edwards, Naggar (absent), Rahn, Stewart (absent), Comerchero CSD PUBLIC COMMENTS None CSD CONSENT CALENDAR 11 Approve the Action Minutes of October 9, 2018 - Approved Staff Recommendation (3-0, Naggar and Stewart absent); Motion by Edwards, Second by Rahn; and electronic vote reflected approval by Edwards, Rahn and Comerchero, with Naggar and Stewart absent. RECOMMENDATION: 11.1 That the Board of Directors approve the action minutes of October 9, 2018. 12 Approve the Second Amendment to the Agreement with Webb Municipal Finance, LLC for Special Tax Consulting Services - Approved Staff Recommendation (3-0, Naggar and Stewart absent); Motion by Edwards, Second by Rahn; and electronic vote reflected approval by Edwards, Rahn and Comerchero, with Naggar and Stewart absent. RECOMMENDATION: 12.1 That the Board of Directors approve the Second Amendment to the Agreement with Webb Municipal Finance, LLC for Special Tax Consulting Services relating to Temecula Public Financing Authority (TPFA) Community Facilities District No. 16-01, Roripaugh Ranch Phase 2, in the amount of $12,904.28. 13 Authorize the Quitclaim of Landscape and Retaining Wall Maintenance Easement Deed Located at 31906 Calle Elenita (Fronting La Serena Way) - Approved Staff Recommendation (3-0, Naggar and Stewart absent); Motion by Edwards, Second by Rahn; and electronic vote reflected approval by Edwards, Rahn and Comerchero, with Naggar and Stewart absent. RECOMMENDATION: 13.1 That the Board of Directors adopt a resolution entitled: CSD Action Minutes 102318 1 RESOLUTION NO. CSD 18-05 A RESOLUTION OF THE BOARD OF DIRECTORS OF THE TEMECULA COMMUNITY SERVICES DISTRICT OF THE CITY OF TEMECULA AUTHORIZING THE QUITCLAIM OF A LANDSCAPE AND RETAINING WALL MAINTENANCE EASEMENT DEED TO THE UNDERLYING FEE OWNERS OF 31906 CALLE ELENITA AND FINDING THE ACTION EXEMPT FROM CEQA (SECTION 15061(B)(3) OF CEQA GUIDELINES) (APN 957-310-046) CSD DIRECTOR OF COMMUNITY SERVICES REPORT CSD GENERAL MANAGER REPORT CSD BOARD OF DIRECTORS REPORTS CSD ADJOURNMENT At 7:13 PM, the Community Services District meeting was formally adjourned to Tuesday, November 13, 2018, at 5:30 PM for a Closed Session, with a regular session commencing at 7:00 PM, City Council Chambers, 41000 Main Street, Temecula, California. Jeff Comerchero, President ATTEST: Randi Johl, Secretary [SEAL] CSD Action Minutes 102318 2 Item No. 14 Approvals City Attorney Director of Finance City Manager TEMECULA COMMUNITY SERVICES DISTRICT AGENDA REPORT TO: General Manager/Board of Directors FROM: Kevin Hawkins, Director of Community Services DATE: November 13, 2018 SUBJECT: Approve the First Amendment to the Agreement with Kingdom Causes DBA City Net for the Regional Homeless Outreach Initiative PREPARED BY: Robin Gilliland, Community Services Manager RECOMMENDATION: That the Board of Directors approve the First Amendment to the Agreement with Kingdom Causes DBA City Net, in the amount of $32,926.83, for a total agreement amount of $52,918.83, for additional Regional Homeless Outreach Initiative program services. BACKGROUND: In 2017. the Regional Homeless Alliance (Southwest Riverside County Cities) was awarded $79,000.00 through Western Regional Council of Governments (WRCOG) to combat the impacts of homelessness in the region. The City of Temecula, as the lead agency, is administering the funding, which is being used in several different initiatives in the region. A portion of this funding was used to contract with Kingdom Causes (dba City Net) to provide services including Housing Navigation for homeless families. In that role, City Net partnered with local school districts to identify candidate families with minor children in need of housing. The funding assisted in providing immediate and consistent support for these families, including direct financial assistance for a single qualifying housing episode. This amendment would contract City Net for the remainder of allocated funds to continue this work. FISCAL IMPACT: Funds for this contract amendment have been allocated as part of the Annual Operating Budget for Fiscal Year 2018-19. ATTACHMENT: First Amendment FIRST AMENDMENT TO AGREEMENT BETWEEN TEMECULA COMMUNITY SERVICES DISTRICT AND KINGDOM CAUSES dba City Net REGIONAL HOMELESS OUTREACH INITIATIVE THIS FIRST AMENDMENT is made and entered into as of November 13, 2018 by and between the Temecula Community Services District, a community services district (hereinafter referred to as "City"), and Kingdom Causes dba City Net (hereinafter referred to as "Contractor"). In consideration of the mutual covenants and conditions set forth herein, the parties agree as follows: 1. This Amendment is made with the respect to the following facts and purposes: A. On November 13, 2017, the City and Contractor entered into that certain Agreement entitled "Agreement for Regional Homeless Outreach Initiative," in the amount of Nineteen thousand, nine hundred and ninety-two dollars and no cents ($19,992.00). b. The parties now desire to increase the payment in the amount of Thirty- two thousand, nine hundred twenty-six dollars and eighty-three cents ($32,926.83), and to amend the Agreement as set forth in this Amendment. 2. Section 4 of the Agreement entitled "PAYMENT" at paragraph "a" is hereby amended to read as follows: The City agrees to pay Contractor monthly, in accordance with the payment rates and schedules and terms set forth in Exhibit B. Payment Rates and Schedule, attached hereto and incorporated herein by this reference as though set forth in full, based upon actual time spent on the above tasks. Any terms in Exhibit B, other than the payment rates and schedule of payment, are null and void. The First Amendment amount shall not exceed Thirty-two thousand, nine hundred twenty-six dollars and eighty-three cents ($32,926.83), for a total Agreement amount not to exceed Fifty-two thousand, nine hundred eighteen dollars and eighty- three cents (52,918.83) 3. Exhibit B to the Agreement is hereby amended by adding thereto the items set forth on Attachment "A" to this Amendment, which is attached hereto and incorporated herein as though set forth in full 4. Except for the changes specifically set forth herein, all other terms and conditions of the Agreement shall remain in full force and effect. 04/18/2018 IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be executed the day and year first above written. TEMECULA COMMUNITY SERVICES KINGDOM CAUSES dba CITY NET DISTRICT (Two Signatures of corporate officers required unless corporate documents authorize only one person to sign the agreement on behalf of the corporation.) By: By: ATTEST: By: By: Randi Johl, Secretary APPROVED AS TO FORM: By: Peter M. Thorson, General Counsel /1_, Jeff Comerchero, TCSD President Br Fieldhouse, Executive Director to1'Cy �� Matt Bates, Vice President CONTRACTOR Kingdom Causes dba City Net Brad Fieldhouse, Executive Director 4508 Atlantic Ave., Suite 292 Long Beach, CA 90807 562-208-0500 Brad@Citynet.org 2 PM Initia;,�QJ Date: 1 C'i 1 1g 04/18/2018 ATTACHMENT A EXHIBIT B Contractor will invoice the City of Temecula on a monthly basis for $1,666.00 per month for 12 months between December 2017 and November 2018. Invoices will be received by the 15th of the month for the prior month. Each invoice will include an itemized summary of all work provided during the previous month. REIMBURSABLES: As a critical component of the Regional Homeless Outreach Initiative, City Net will utilize funds for services and materials needed to house families. City Net will submit invoices for reimbursement to the City of costs related to the services of the agreement, which can include: • Rental Deposits • Utility Deposits • Food • Uber/Lyft costs • Bus tickets • Temporary Lodging o Hotel o Emergency Shelter (Project Touch) • Gasoline Expenses • Moving Expenses 3 04/18/2018 TEMECULA PUBLIC FINANCING AUTHORITY CONSENT Item No. 15 Approvals City Attorney Director of Finance City Manager TEMECULA PUBLIC FINANCING AUTHORITY AGENDA REPORT TO: Board of Directors FROM: Aaron Adams, Executive Director DATE: November 13, 2018 SUBJECT: Establish New Community Facilities District No. 19-01 — Municipal Services and Authorize the Levy of Special Taxes Relating to Cypress Ridge Development, Tri Pointe Homes, Inc. PREPARED BY: Jennifer Hennessy, Director of Finance RECOMMENDATION: That the Board of Directors adopt a resolution entitled: RESOLUTION NO. TPFA 18- A RESOLUTION OF THE BOARD OF DIRECTORS OF THE TEMECULA PUBLIC FINANCING AUTHORITY ACKNOWLEDGING RECEIPT OF A DEPOSIT RELATIVE TO THE FORMATION OF A COMMUNITY FACILITIES DISTRICT, AND DECLARING ITS INTENTION TO ESTABLISH THE COMMUNITY FACILITIES DISTRICT AND TO AUTHORIZE THE LEVY OF SPECIAL TAXES THEREIN — MUNICIPAL SERVICES BACKGROUND: The California State Legislature enacted the Mello -Roos Community Facilities Act of 1982 (the "Mello -Roos Act") in order to allow public agencies to finance public facilities or to finance certain public services through the formation of a Community Facilities District. The current owner of the property to be developed into the 245 residential unit Cypress Ridge development, Tri Pointe Homes, Inc., (the "Property Owner"), has requested, as one of the conditions of approval, that the Temecula Public Financing Authority (the "Authority") form a new Community Facilities District ("CFD 19-01") to finance police and fire protection services including other municipal services. At the recommendation of City Staff and with agreement of the Property Owner, CFD 19-01 will be formed as a municipal services CFD to include the provision for future annexations into the CFD which will allow the Authority to offset the cost of municipal services as a result of increased development occurring within the City. The territory which may be annexed into CFD 19-01 includes all property within the boundaries of the City as shown in the Potential Annexation Area boundaries. Because the Cypress Ridge development will establish the initial boundaries of CFD 19-01, it has been classified as Tax Zone 1. Additional tax zones may be established in the future by CFD 19-01 as additional developments are annexed. As each annexation is proposed, an independent analysis will be prepared for each project to determine the City's annual cost for providing municipal services to the property within the proposed annexation. Based upon this analysis, the property proposed to be annexed will be assigned the appropriate maximum special tax rate. Appendix A of the Rate and Method of Apportionment will be updated to indicate each tax zone's applicable maximum special tax rate as each annexation occurs. Under the terms of a Deposit Agreement, the Property Owner has submitted to the City of Temecula a deposit in the amount of $34,500 to be used to pay the costs of the City and the Authority to create CFD 19-01. In order to enable CFD 19-01 to finance the municipal services, California Government Code § 53316.2 requires the City and Authority enter into a joint community facilities agreement prior to the adoption by the Authority of an ordinance authorizing the levy of a special tax on property in the CFD. FISCAL IMPACT: In accordance with City policy, a fiscal impact analysis (the "FIA") was completed for the project by Keyser Marston Associates, Inc. which determined the necessary annual special tax per unit needed to offset the increase in the cost of municipal services that the City will incur due to the development. The FIA determined the development would incur additional costs totaling $439 per unit which would be required to escalate 5.6% each year to ensure the development's increased costs remain neutral to the City's budget. The special taxes levied by the CFD will be assessed in perpetuity so long as services are provided to the property within the boundaries of the CFD. ATTACHMENTS: 1. Resolution — Intent to Establish a Community Facilities District and to Authorize the Levy of Special Taxes Therein — Municipal Services 2. Deposit Agreement 3. Joint Community Facilities Agreement RESOLUTION NO. TPFA 18- A RESOLUTION OF THE BOARD OF DIRECTORS OF THE TEMECULA PUBLIC FINANCING AUTHORITY ACKNOWLEDGING RECEIPT OF A DEPOSIT RELATIVE TO THE FORMATION OF A COMMUNITY FACILITIES DISTRICT, AND DECLARING ITS INTENTION TO ESTABLISH THE COMMUNITY FACILITIES DISTRICT AND TO AUTHORIZE THE LEVY OF SPECIAL TAXES THEREIN — MUNICIPAL SERVICES THE BOARD OF DIRECTORS OF THE TEMECULA PUBLIC FINANCING AUTHORITY DOES HEREBY RESOLVE AS FOLLOWS: Section 1. Under the Mello -Roos Community Facilities Act of 1982, constituting Section 53311 et seq. of the California Government Code (the "Law"), this Board of Directors may commence proceedings for the establishment of a community facilities district. Section 2. There has been submitted to this Board of Directors a Petition (Including Waivers) (the "Petition") of Tri Pointe Homes, Inc. (the "Landowner"), requesting the formation by this Board of Directors of a community facilities district under the Law to be known as the Temecula Public Financing Authority Community Facilities District No. 19- 01 (Municipal Services) (the "District"). Section 3. The Landowner also has submitted to the City of Temecula (the "City") $34,500.00 (the "Deposit"), to be used by the City to pay costs of the City and the Temecula Public Financing Authority (the "Authority") in connection with the proceedings to create the District. Section 4. There has also been submitted a Deposit Agreement (the "Deposit Agreement"), to be entered into by the Landowner, the City and the Authority (for itself and on behalf of the CFD) relative to the use of the Deposit and a Joint Community Facilities Agreement (the "Joint Community Facilities Agreement"), relative to the City providing the Services, as defined in Section 10 of this Resolution. Section 5. Under the Law, this Board of Directors is the legislative body for the proposed District and is empowered with the authority to establish the District and levy special taxes within the District. Section 6. This Board of Directors proposes to begin the proceedings necessary to establish the District pursuant to the Law. Section 7. The Director of Finance of the City is hereby requested to accept the Deposit, and to use the Deposit in the manner contemplated by the Deposit Agreement. The Executive Director of the Authority is hereby authorized and directed to execute the Deposit Agreement for and on behalf of the Authority, and to take all actions necessary, in his discretion, to implement the Deposit Agreement. Section 8. The name proposed for the District is Temecula Public Financing Authority Community Facilities District No. 19-01 (Municipal Services). Section 9. The proposed boundaries of the District are as shown on the map of the District entitled "Proposed Boundary Map" on file with the Secretary, which boundaries are hereby preliminarily approved. The Secretary is hereby directed to record, or cause to be recorded, the Proposed Boundary Map for the District in the office of the County Recorder as soon as practicable after the adoption of this Resolution. Section 10. The municipal services and related administrative expenses proposed to be eligible for funding by the District (the "Services") pursuant to the Law shall consist of those items described in Exhibit A hereto, which Exhibit is by this reference incorporated herein. The Board of Directors acknowledges that the Services will be in addition to those currently provided in the territory of the proposed District, and will not supplant services already available within the territory of the proposed District. This Board of Directors hereby expresses its opinion that the public interest will not be served by allowing property owners to enter into contracts as contemplated by Section 53329.5(a) of the Law, and does not intend to let property owners avail themselves of the actions otherwise permitted by said Section 53329.5(a). Section 11. This Board of Directors hereby approves the Joint Community Facilities Agreement in the form on file with the Secretary, and hereby authorizes and directs the Executive Director to execute and deliver the Joint Community Facilities Agreement in such form together with any changes therein deemed advisable by the Executive Director upon consultation with the counsel to the Authority and District formation counsel, the approval of such changes to be conclusively evidenced by the execution and delivery by the Executive Director of the Joint Community Facilities Agreement. This Board of Directors hereby declares that the Joint Community Facilities Agreement will be beneficial to the residents residing within the jurisdiction of the Authority. Section 12. Except to the extent that funds are otherwise available to the District to pay for the Services, a special tax sufficient to pay the costs thereof, secured by recordation of a continuing lien against all non-exempt real property in the District, will be levied within the District and collected in the same manner as ordinary ad valorem property taxes or in such other manner as this Board of Directors or its designee shall determine, including direct billing of the affected property owners. The proposed rate and method of apportionment of the special tax among the parcels of real property within the District, in sufficient detail to allow each landowner within the proposed District to estimate the maximum amount such owner will have to pay and which otherwise complies with applicable provisions of the Act, is described in Exhibit B attached hereto which Exhibit is by this reference incorporated herein. Section 13. The levy of said proposed special tax shall be subject to the approval of the qualified electors of the District at a special election. The proposed voting procedure shall be by mailed or hand -delivered ballot among the landowners in the proposed District, with each owner having one vote for each acre or portion of an acre of land such owner owns in the District. Section 14. Except as may otherwise be provided by the Law or the rate and method of apportionment of the special tax for the District, all lands owned by any public entity, including the United States, the State of California and/or the City of Temecula, or any departments or political subdivisions of any thereof, shall be omitted from the levy of the special tax to be made to cover the costs of the Services. Section 15. The Director of Public Works of the City is hereby directed to study the Services and to make, or cause to be made, and file with the Secretary a report in writing, presenting the following: (a) A brief description of the municipal services to be financed by the District; and. (b) An estimate of the cost of providing the services, including any Authority or City administrative costs. Said report shall be made a part of the record of the public hearing provided for below. Section 16. Tuesday, January 8, 2019, at 7:00 p.m. or as soon thereafter as the matter may be heard, in the regular meeting place of this Board of Directors, City Council Chambers, Temecula City Hall, 41000 Main Street, Temecula, California, be, and the same are hereby appointed and fixed as the time and place when and where this Board of Directors, as legislative body for the District, will conduct a public hearing on the establishment of the District and consider and finally determine whether the public interest, convenience and necessity require the formation of the District and the levy of said special tax. Section 17. The Secretary is hereby directed to cause notice of said public hearing to be given by publication one time in a newspaper published in the area of the District. The publication of said notice shall be completed at least seven days before the date herein set for said hearing. Said notice shall be substantially in the form of Exhibit C hereto. Section 18. This Board of Directors hereby determines that public convenience and necessity require that territory be added to the District in the future, and that this Resolution shall constitute a resolution of intention to annex territory to the District pursuant to Sections 53339.2 and 53339.3 of the Law. The name for the District is Temecula Public Financing Authority Community Facilities District No. 19-01 (Municipal Services). The territory proposed for annexation to the District in the future (the "Annexation Area") is as indicated on the map of the possible annexation area of the District entitled "Boundaries — Potential Annexation Area" on file with the Secretary; provided that such territory or any portion thereof may be annexed to the District only with the unanimous approval of the owner or owners of each parcel or the parcels to be annexed at the time that parcel or those parcels are so annexed. The Secretary is hereby directed to record, or cause to be recorded, the map entitled "Boundaries — Potential Annexation Area" for the District in the office of the County Recorder as soon as practicable after the adoption of this Resolution. The types of services to be provided in the District and in the Annexation Area are the "Services" referenced in Section 10 above, and will be shared by the territory initially included in the District and the territory to be annexed in the future. The special taxes which will be levied in any particular portion of the Annexation Area will be determined at the time of annexation which may involve the addition of new Tax Zones (as contemplated by the Rate and Method of Apportionment of Special Taxes for the District), and there shall be no alteration in the special tax rate levied in the District prior to any annexation as a result of any proposed annexation except as may occur by operation of the Rate and Method of Apportionment of Special Tax in Exhibit B solely as a result of additional territory being included within the District. The public hearing regarding the proposed annexations described in this Section 18 and required by Section 53339.3(0 of the Law shall be combined with the hearing described in Section 16 above, and the notice described in Section 17 above shall constitute the notice required by Section 53339.4 of the Law. Section 19. The firm of Albert A. Webb Associates is hereby designated as Special Tax Consultant to the Authority for the District and the firm of Quint & Thimmig LLP is hereby designated as Formation Counsel to the Authority for the District. The Executive Director is hereby authorized and directed to execute agreements with said firms for their services in connection with the District in the respective forms on file with the Director of Finance of the City. In any event, the fees and expenses of such consultants shall be payable solely from the Deposits, as defined in the Deposit Agreement. Section 20. This Resolution shall take effect upon its adoption. PASSED, APPROVED, AND ADOPTED by the Board of Directors of the Temecula Public Financing Authority this 13th day of November, 2018. Matt Rahn, Chair ATTEST: Randi Johl, Secretary [SEAL] STATE OF CALIFORNIA ) COUNTY OF RIVERSIDE ) ss CITY OF TEMECULA I, Randi Johl, Secretary of the Temecula Public Financing Authority, do hereby certify that the foregoing Resolution No. TPFA 18- was duly and regularly adopted by the Board of Directors of the Temecula Public Financing Authority at a meeting thereof held on the 13th day of November, 2018, by the following vote: AYES: BOARD MEMBERS: NOES: BOARD MEMBERS: ABSTAIN: BOARD MEMBERS: ABSENT: BOARD MEMBERS: Randi Johl, Secretary EXHIBIT A TEMECULA PUBLIC FINANCING AUTHORITY COMMUNITY FACILITIES DISTRICT NO. 19-01 (MUNICIPAL SERVICES) DESCRIPTION OF SERVICES AND RELATED ADMINISTRATIVE EXPENSES ELIGIBLE TO BE FUNDED BY THE DISTRICT SERVICES The services to be financed, in whole or in part, by the community facilities district (the "District") include the following: Public safety services, including police protection, fire protection and suppression, services, and ambulance and paramedic services. Maintenance of landscaping in public areas, public easements and public right of way, such maintenance to include but not be limited to maintenance of planting areas, trees, bio -retention filters, multipurpose trails, and the furnishing of water for irrigation. Maintenance of sidewalks in or near to the area of the District. Maintenance of public signage in or near the District. Maintenance of storm protection and drainage systems within or serving the area of the District including but not limited to storm drain pipes, culverts, detention/desilting basins, manholes, catch basins and drop inlets, cleanout of storm drains and catch basin cleaning and inspection. Maintenance of streets and roadways within or in the vicinity of the District, including but not limited to slurry, overlay, curbs and gutters, curb ramps, striping and street sweeping. Maintenance of street lighting located within or in the vicinity of the District, including but not limited to street lights, decorative lighting and pull box assemblies. Maintenance of traffic signals within and in the vicinity of the District, including but not limited to electrical, LED replacement, maintenance and replacement. Maintenance and lighting of parks, parkways and open space. Graffiti removal from public improvements within and in the area of the District. Maintenance of water and sewer systems with an estimated useful life of five or more years and serving the area in or in the general area of the District and owned by the Temecula Public Financing Authority or by another local agency pursuant to a joint community facilities agreement or a joint exercise of powers agreement adopted pursuant to Section 53316.2 of the California Government Code. A-1 The District may finance any of the following related to the services described above: the furnishing of services and materials for the ordinary and usual maintenance, operation and servicing of the improvements, including repair, removal or replacement of all or part of any of the improvements, the furnishing of water for the irrigation and the furnishing of electric current or energy for any lights or irrigation facilities, obtaining, constructing, furnishing, operating and maintaining equipment, apparatus or facilities related to providing the services and/or equipment, apparatus, facilities or fixtures in areas to be maintained, obtaining supplies or appurtenant facilities necessary for such maintenance, paying the salaries and benefits of personnel necessary or convenient to provide the services, payment of insurance costs and other related expenses and the provision of reserves for repairs and replacements and for the future provision of services. It is expected that the services will be provided by the City of Temecula (the "City"), either with its own employees or by contract with third parties, or any combination thereof. The services to be financed by the District are in addition to those provided in the territory of the District before the date of creation of the District and will not supplant services already available within that territory when the District is created. ADMINISTRATIVE EXPENSES The administrative expenses to be financed by the District include the direct and indirect expenses incurred by the Authority and the City in carrying out their respective duties with respect to the District (including, but not limited to, the levy and collection of the special taxes) including the fees and expenses of attorneys, any fees of the County of Riverside related to the District or the collection of special taxes, an allocable share of the salaries of the Authority and City staff directly related thereto and a proportionate amount of the Authority's and the City's general administrative overhead related thereto, any amounts paid by the Authority and the City from its respective general fund with respect to the District or the services authorized to be financed by the District, and expenses incurred by the Authority and the City in undertaking action to foreclose on properties for which the payment of special taxes is delinquent, and all other costs and expenses of the Authority and City in any way related to the District. OTHER The incidental expenses that may be financed by the District include, in addition to the administrative expenses identified above, the payment or reimbursement to the Authority, the City and any owner of land in the District of all costs associated with the establishment of the District. A-2 EXHIBIT B RATE AND METHOD OF APPORTIONMENT FOR TEMECULA PUBLIC FINANCING AUTHORITY COMMUNITY FACILITIES DISTRICT NO. 19-01 (MUNICIPAL SERVICES) The following sets forth the Rate and Method of Apportionment for the levy and collection of an Annual Special Tax in the Temecula Public Financing Authority ("Authority") Community Facilities District No. 19-01 ("CFD No. 19-01"). An Annual Special Tax shall be levied and collected in CFD No. 19-01 each Fiscal Year, in an amount determined through the application of the Rate and Method of Apportionment described below. All of the real property within CFD No. 19-01, unless exempted by law or by the provisions hereof, shall be taxed for the purposes, to the extent, and in the manner herein provided. SECTION A DEFINITIONS The terms hereinafter set forth have the following meanings: "Acre" or "Acreage" means the land area of an Assessor's Parcel as shown on an Assessor's Parcel Map, or if the land area is not shown on the Assessor's Parcel Map, the land area as shown on the applicable Final Map, or if the land area is not shown on the applicable Final Map, the land area as calculated by the CFD Administrator or City engineer. "Act" means the Mello -Roos Community Facilities Act of 1982, as amended, being Chapter 2.5, Part 1, Division 2 of Title 5 of the Government Code of the State of California. "Administrative Expenses" means the actual or reasonably estimated costs directly related to the formation, annexation, and administration of CFD No. 19-01, including but not limited to the following: (i) the costs of computing the Special Tax and of preparing the annual Special Tax collection schedule (whether by the CFD Administrator or designee thereof, or both); (ii) the costs of collecting the Special Tax (whether by the County, the Authority, the City, or otherwise); (iii) the costs of responding to property owner inquiries regarding the Special Tax; (iv) the costs of the Authority, the City or designee related to any appeal of the Special Tax; (v) the costs of commencing and pursuing to completion any foreclosure action arising from delinquent Special Taxes, (vi) the costs of preparing required reporting obligations, and (vii) an allocable share of the salaries of the City staff and City overhead expense directly relating to the foregoing. Administrative Expenses shall also include amounts advanced by the City for any administrative purposes of CFD No. 19-01. "Annual Special Tax" means for each Assessor's Parcel, the Special Tax actually levied in a given Fiscal Year on any Assessor's Parcel of Taxable Property. "Approved Property" means all Assessor's Parcels of Taxable Property other than Exempt Property: (i) that are included in a Final Map that was recorded prior to the January 1st immediately preceding the Fiscal Year in which the Special Tax is being levied, and (ii) that have not been issued a Building Permit on or before the April 1st immediately preceding the Fiscal Year in which the Special Tax is being levied. "Assessor" means the County Assessor. "Assessor's Parcel" means a lot or parcel of land designated on an Assessor's Parcel Map with an assigned Assessor's Parcel Number located within the boundaries of CFD No. 19-01. B-1 "Assessor's Parcel Map" means an official map of the Assessor designating parcels by Assessor's Parcel Number. "Assessor's Parcel Number" means that number assigned to a lot or parcel of land by the Assessor for purposes of identification. "Board of Directors" means the Board of Directors of the Authority, acting as the legislative body of CFD No. 19-01, or its designee. "Building Permit" means the first legal document issued by the City giving official permission for new construction. For purposes of this definition, "Building Permit" may or may not include any subsequent building permits issued or changed after the first issuance, as determined by the CFD Administrator. "Building Square Footage" or "BSF" means the square footage of assessable internal living space, exclusive of garages or other structures not used as living space, as determined by reference to the building permit application for such Assessor's Parcel and subject to verification by the CFD Administrator. "Calendar Year" means the period commencing January 1 of any year and ending the following December 31. "CFD No. 19-01" or "CFD" means Community Facilities District No. 19-01 (Municipal Services) established by the Authority under the Act. "CFD Administrator" means the Director of Finance of the City, or designee thereof, responsible for, among other things, determining the Special Tax Requirement and providing for the levy and collection of said Special Tax. "City" means the City of Temecula, California. "County" means the County of Riverside, California. "Developed Property" means all Assessor's Parcels of Taxable Property that: (i) are included in a Final Map that was recorded prior to January 1st preceding the Fiscal Year in which the Special Tax is levied, and (ii) a building permit was issued on or before April 1st preceding the Fiscal Year in which the Special Tax is being levied. "Exempt Property" means all Assessor's Parcels designated as being exempt from the Special Tax provided for in Section D. "Final Map" means a subdivision of property by recordation of a final map, parcel map, or lot line adjustment, pursuant to the Subdivision map Act (California Government Code Section 66410 et seq.) or recordation of a condominium plan pursuant to California Civil Code 4285 that creates individual lots that do not need, and are not expected, to be further subdivided prior to the issue of a Building Permit. "Fiscal Year" means the period commencing July 1 of any year and ending the following June 30. "Land Use Type" means Residential Property, Multifamily Residential Property, or Non - Residential Property. B-2 "Maximum Special Tax" means for each Assessor's Parcel of Taxable Property, the maximum Special Tax, determined in accordance with Section C that can be levied in any Fiscal Year on such Assessor's Parcel. "Multifamily Residential Property" means all Assessor's Parcels of Developed Property for which a building permit has been issued for the purpose of constructing a building or buildings comprised of attached Units available for rental by the general public, not for sale to an end user, and under common management, as determined by the CFD Administrator. "Non -Residential Property" means all Assessor's Parcels of Developed Property for which a Building Permit was issued for any type of non-residential use. "Proportionately" means for Taxable Property that the ratio of the Annual Special Tax levy to the Maximum Special Tax is equal for all applicable Assessor's Parcels. "Residential Property" means all Assessor's Parcels of Developed Property for which a Building Permit has been issued for purposes of constructing one or more residential dwelling Units. which are not Multifamily Residential Property. "Services" means services authorized to be funded by CFD No. 19-01. "Special Tax(es)" means the Special Tax authorized to be levied on Taxable Property within and by CFD No. 19-01 pursuant to the Act to fund the Special Tax Requirement. "Special Tax Requirement" means, subject to the Maximum Special Tax, that amount to be collected in any Fiscal Year to pay for the Services as otherwise required to meet the needs of CFD No. 19-01. The costs include the costs for (i) the Services, and (ii) Administrative Expenses: less (iii) a credit for funds available to reduce the Annual Special Tax levy, if any, as determined by the CFD Administrator. "Taxable Property" means all Assessor's Parcels within CFD No. 19-01, which are not Exempt Property. "Tax Zone" means a mutually exclusive geographic area, within which particular Special Tax rates may be levied pursuant to this Rate and Method of Apportionment of Special Tax. Appendix B identifies the Tax Zone in CFD No. 19-01 at formation: additional Tax Zones may be created when property is annexed into the CFD. "Tax Zone 1" means the specific geographic area identified on the CFD Boundary Map as Tax Zone 1. "Temecula Public Financing Authority" or "Authority" or "PFA" means the Temecula Public Financing Authority. "Undeveloped Property" means all Assessor's Parcels of Taxable Property which are not Developed Property, Approved Property, or Exempt Property. "Unit" means any residential structure. B-3 SECTION B CLASSIFICATION OF ASSESSOR'S PARCELS Each Fiscal Year, beginning with Fiscal Year 2019-20, each Assessor's Parcel within CFD No. 19-01 shall be classified as Taxable Property or Exempt Property. In addition. each Assessor's Parcel of Taxable Property shall be further classified as Developed Property. Approved Property, or Undeveloped Property. In addition, each Assessor's Parcel of Developed Property shall further be classified as Residential Property, Multifamily Residential Property or Non -Residential Property. SECTION C MAXIMUM SPECIAL TAX 1. Developed Property Each Fiscal Year, each Assessor's Parcel of Residential Property, Multifamily Residential Property. and Non -Residential Property shall be subject to the Maximum Special Tax. The Maximum Special Tax for each Assessor's Parcel of Taxable Property as shown in Table 1 shall be specific to each Tax Zone within the CFD. When additional property is annexed into CFD No. 19-01, the rate and method approved for the annexed property shall reflect the Maximum Special Tax for the Tax Zones annexed and included in Appendix A. The Maximum Special Tax for Fiscal Year 2019-2020 within Tax Zone 1 applicable to an Assessor's Parcel of Developed Property shall be determined using Table 1 below. TABLE 1 MAXIMUM SPECIAL TAX RATES FOR DEVELOPED PROPERTY Tax Zone Land Use Type Maximum Special Tax Annual Increase in Maximum Special Tax 1 Residential Property $463.58 per Unit 5.6% 1 Multifamily Residential Property $11,256 per Acre 5.6% 1 Non -Residential Property $11,256 per Acre 5.6% 2. Approved Property Each Fiscal Year, each Assessors Parcel of Approved Property shall be subject to the Maximum Special Tax. The Maximum Special Tax for each Assessor's Parcel of Approved Property as shown in Table 2 shall be specific to each Tax Zone within the CFD. When additional property is annexed into CFD No. 19-01, the rate and method approved for the annexed property shall reflect the Maximum Special Tax for the Tax Zones annexed and included in Appendix A. B-4 The Maximum Special Tax applicable to an Assessor's Parcel of Approved Property shall be determined using Table 2 below. TABLE 2 MAXIMUM SPECIAL TAX RATES FOR APPROVED PROPERTY Tax Zone Land Use Type Maximum Special Tax Annual Increase in Maximum Special Tax 1 Residential Property $463.58 per lot 5.6% 1 Multifamily Residential Property $11,256 per Acre 5.6% 1 Non -Residential Property $11,256 per Acre 5.6% 3. Undeveloped Property No Special Tax shall be levied on Undeveloped Property. 4. Increase in the Maximum Special Tax On each July 1. commencing July 1. 2020. the Maximum Special Tax shall be increased by the percentages indicated above in Tables 1 and 2. SECTION D EXEMPT PROPERTY The CFD Administrator shall classify as Exempt Property: (i) Assessor's Parcels which are owned by, irrevocably offered for dedication, encumbered by or restricted in use by the State of California, Federal or other local governments, including school districts, (ii) Assessor's Parcels which are owned by. irrevocably offered for dedication, encumbered by or restricted in use by a homeowners' association. or (iii) Assessor's Parcels with other types of public uses determined by the CFD Administrator. SECTION E METHOD OF APPORTIONMENT OF THE ANNUAL SPECIAL TAX Commencing with Fiscal Year 2019-20 and for each following Fiscal Year. the Authority shall determine the Special Tax Requirement and shall levy the Special Tax on all Assessor's Parcels of Taxable Property until the aggregate amount of the Special Tax equals the Special Tax Requirement. The Special Tax shall be levied for each Fiscal Year as follows: First: The Special Tax shall be levied Proportionately on each Assessor's Parcel of Developed Property up to 100% of the applicable Maximum Special Tax to satisfy the Special Tax Requirement:: Second: If additional moneys are needed to satisfy the Special Tax Requirement after the first step has been completed. the Special Tax shall be levied Proportionately on each Assessor's Parcel of Approved Property at up to 100% of the Maximum Special Tax for Approved Property. SECTION F PREPAYMENT OF THE SPECIAL TAX No prepayments of the Special Tax are permitted. B-5 SECTION G APPEALS AND INTERPRETATIONS Any property owner claiming that the amount or application of the Annual Special Tax is not correct may file a written notice of appeal with the CFD Administrator not later than twelve months after having paid the first installment of the Special Tax that is disputed. The CFD Administrator of CFD No. 19-01 shall promptly review the appeal, and if necessary, meet with the property owner, consider written and oral evidence regarding the amount of the Annual Special Tax and rule on the appeal. If the CFD Administrator's decision requires that the Annual Special Tax for an Assessor's Parcel be modified or changed in favor of the property owner, a cash refund shall not be made, but an adjustment shall be made to the Annual Special Tax on that Assessor's Parcel in the subsequent Fiscal Year(s). The Board of Directors may interpret this Rate and Method of Apportionment of the Annual Special Tax for purposes of clarifying any ambiguity and make determinations relative to the amount of Administrative Expenses. SECTION H TERM OF THE SPECIAL TAX For each Fiscal Year. the Special Tax shall be levied in perpetuity as long as the municipal Services are being provided. SECTION I MANNER OF COLLECTION The Annual Special Tax shall be collected in the same manner and at the same time as ordinary ad valorem property taxes; provided, however, that CFD No. 19-01 may collect the Annual Special Tax at a different time or in a different manner if necessary to meet its financial obligations. SECTION J FUTURE ANNEXATIONS It is anticipated that additional properties will be annexed to CFD No. 19-01 from time to time. As each annexation is proposed; an analysis will be prepared to determine the annual cost for providing Services. Based on this analysis, the property to be annexed, pursuant to California Government Code section 53339 et seq. will be assigned to the appropriate Maximum Special Tax rate for the Tax Zone when annexed and included in Appendix A. B-6 APPENDIX A TEMECULA PUBLIC FINANCING AUTHORITY COMMUNITY FACILITIES DISTRICT NO. 19-01 (MUNICIPAL SERVICES) MAXIMUM SPECIAL TAXES ASSIGNED TO EACH TAX ZONE Tax Zone Development Year Included Land Use Type Maximum Special Tax Annual Increase in Maximum Special Tax 1 Cypress Ridge 2018 Residential Property $463.58 per Unit 5.6% 1 Cypress Ridge 2018 Multifamily Residential Property $11,256 per Acre 5.6% 1 Cypress Ridge 2018 Non -Residential Property $11,256 per Acre 5.6% Increase in the Maximum Special Tax On each July 1, commencing July 1, 2020, the Maximum Special Tax shall be increased by the percentages indicated in the table above. B-7 APPENDIX B TEMECULA PUBLIC FINANCING AUTHORITY COMMUNITY FACILITIES DISTRICT NO. 19-01 (MUNICIPAL SERVICES) PROPOSED BOUNDARIES FLM T.( ara 0 14 Z.ViETION 3, TIE MMEC-J FMK rIPANCN4 to Or tda SECRE.80 0140.0 2.41.1C 4cVflqqTr - :IV,. 14 144 Arms up 94761.5 fro0351EC ,5'4(.0 Ka= 'NOCK kroXer. 33.04",4cCIES 751.KT :021 NO.= 03..V, 0, zr.O.S..,E Sncl CA.100O *ORS 8, 14 fiCaCr 3, COEC-0tSN 44 7140:10 PAL:: F3400,4 AL,O,CO r • *SUM rillraL '440, -15 1FSCurro SECo-so nac: krorc-, W31.00 14S Co 0 • oxA 03-a-00 • oft 445-0 ARIESSOwl 44CO.O.R. 14,-3.1145 4,41455 5 14 04: 0 -A Moor �c0( 4 ,e 0.110-0 Von 0 0400,0 • 113"4 .56/s90, 3Ve, amt. 40.30 ( \ • I. MAMA, NOT TO SCALE PROPOSED BOUNDARY MAP TEMECULA PUBLIC FINANCING AUTHORITY COMMUNITY FACILITIES DISTRICT NO. 19-01 (MUNICIPAL SERVICES, COUNTY OF RIVERSIDE, STATE OF CALIFORNIA 1-4 0001,, C44MEC.11 OCUS NAM • 4, 7 4500. 2:CC 15.0 CO45K0,7••4aur,55MSTR:CT 130-10.M. PARU._ 0115 ASSESSOR 5 'ARM 41141114 B-8 •{IfB` CEATir RM' 'IF i11MM Ari WOW % a¢OaOSED 6WILM 5 Q 'It PC-EJEVL WALAILIY YEA Or '1 'IitCELA '.0..: r1+, -C][ A. -..CYE, CDMAURi1 faO.f'i" CIS -LC" SO :941 •"tMl®M $rXL';. X'.' E?+ERST]E, STET O GtNYO.IA rirs uon:. FA ME SOKO DE OIRCOES SA 'ME /Kt_A KT- rOOKTC A.' ' r A AMM vEEF1 G 'MKEG`. .t.D a OE Ob O' __.._.. __. X !M'I'i EISOIL 7L _... FIE; A Th 7n'Lr n 1,t SE7E-Kr 7 r -E 'EPEC...A n.eK %WI% '.JD *'" CAE 6 '11,13Caa EI.L: m+R JEG NTQd, WEBB MENEM. TION AREA BOUNDARY BOUNDARIES - POTENTIAL ANNEXATION AREA TEMECULA PUBLIC FINANCING AUTHORITY COMMUNITY FACILITIES DISTRICT NO 19-01 (MUNICIPAL SERVICES} COUNTY OF RIVERSIDE. STATE OF CALIFORNIA SHi' 1 - EICOSOIX r -IS 7• V r 'K -Olt 71 T]O,a - I% Y. . -A AGE CF 'NRS o V6SESPEST MC 57AtE.: raOJ'¢5 CIA7)RS I. "MI WE/ V -ME LA..` WORTS I% Et ,.3111.`" O= UQESTE CALTORG:A R'S ILDAtv MirSCE.:TN" SOA% REC74/0 6- _..4:eS AP`.S 9.61-45.-1. YOT TO SCALE B-9 EXHIBIT C TEMECULA PUBLIC FINANCING AUTHORITY COMMUNITY FACILITIES DISTRICT NO. 19-01 (MUNICIPAL SERVICES) NOTICE OF PUBLIC HEARING Notice is hereby given that the Board of Directors of the Temecula Public Financing Authority will conduct a public hearing on Tuesday, January 8, 2019 at 7:00 p.m. or as soon thereafter as practicable, in the Temecula City Council chambers located at 41000 Main Street, Temecula, California, to consider the following: INTENT TO FORM TEMECULA PUBLIC FINANCING AUTHORITY COMMUNITY FACILITIES DISTRICT NO. 19-01 (MUNICIPAL SERVICES) On November 13, 2018, the Board of Directors of the Temecula Public Financing .Authority adopted a Resolution entitled "A Resolution of the Board of Directors of the Temecula Public Financing Authority Acknowledging Receipt of a Deposit Relative to the Formation of a Community Facilities District, and Declaring Its Intention to Establish the Community Facilities District and to Authorize the Levy of Special Taxes Therein — Municipal Services" (the "Resolution of Intention"). Reference is hereby made to the Resolution of Intention on file in the office of the Secretary of the Temecula Public Financing Authority for further particulars. In the Resolution of Intention. the Board of Directors declared its intention to form the Temecula Public Financing Authority Community Facilities District No. 19-01 (Municipal Services) (the "District") to finance the costs of certain municipal services and related administrative expenses proposed to be eligible to be funded by the District (the "Services") as identified in an exhibit to the Resolution of Intention. The proposed boundaries of the community facilities district were identified, and the Resolution of Intention identified a proposed special tax to be levied on real property to be included in the community facilities district to pay for costs of the Services. The Resolution of Intention recognized that a Petition to form the District had been submitted by the owner of the real property in the District. The Resolution of Intention approved a Deposit Agreement among the Authority, the City of Temecula and the landowner. In the Resolution of Intention, the Board of Directors provided that the levy of the special tax will be subject to a mailed ballot election among the landowners in the community facilities district. The Board of Directors authorized the Executive Director of the Temecula Public Financing Authority to execute a joint community facilities agreement with the City of Temecula, that will provide the Services, ordered the Director of Public Works of the City to prepare a report on the community facilities district. and called for a public hearing on the community facilities district. At the hearing, the testimony of all interested persons or taxpayers for or against the establishment of the community facilities district, the extent of the community facilities district and the provision of the Services will be heard. Any person interested may file a protest in writing with the Secretary. If fifty percent or more of the registered voters, or six registered voters, whichever is more, residing in the territory proposed to be included in the community facilities district, or the owners of one-half or more of the area of land in the territory proposed to be included in the community facilities district and not exempt from the special tax file written protests against the establishment of the community facilities district and the protests are not withdrawn to reduce the C-1 value of the protests to less than a majority, the Board of Directors of the Authority shall take no further action to establish the community facilities district or authorize the special taxes for a period of one year from the date of the decision of the Board of Directors, and if the majority protests of the registered voters or the landowners are only against the prepayment of special taxes or the furnishing of a type or types of public improvements or services within the community facilities district, or against levying a specified special tax, that prepayment, those types of public improvements or services, or the specified special tax, will be eliminated from the proceedings to form the community facilities district. In the Resolution of Intention, the Board of Directors also determined that certain territory identified on a map of the Potential Annexation Area for the proposed community facilities district may be annexed in part from time to time to the community facilities district in the future, with the unanimous approval of the owner or owners of any particular portion of the annexation area to be annexed. The public hearing required under the California Government Code relative to such annexation area will be combined with the public hearing described above. At the public hearing. the testimony of all interested persons for or against the future annexation of territory to the community facilities district or the levying of special taxes within the territory proposed to be annexed in the future will be heard. Any person interested in these matters is invited to attend and present testimony either for or against the above item. If you challenge the proposed action in court, you may be limited to raising only those issues you or someone else raised at the public hearing described in this notice or in written correspondence delivered to the Board of Directors of the Authority at or prior to the public hearing. /s/ Randi Johl Secretary, Temecula Public Financing Authority C-2 Quint & Thimmig LLP DEPOSIT AGREEMENT Proposed Temecula Public Financing Authority Community Facilities District No. 19-01 (Municipal Services) 8/31/18 9/18/18 10/16/18 THIS DEPOSIT AGREEMENT (the "Agreement") is by and among the City of Temecula, California (the "City"), the Temecula Public Financing Authority (the "Authority") for itself and on behalf of the proposed Temecula Public Financing Authority Community Facilities District No. 19- 01 (Municipal Services) ("CFD 19-01"), and Tri Pointe Homes, Inc., a Delaware corporation (the "Landowner"). RECITALS: WHEREAS, the Landowner owns the land located within the proposed boundaries of CFD 19-01; and WHEREAS, the Authority has advised the Landowner that it is considering the formation of CFD 19-01 and the levy of a special tax on the land in CFD 19-01 in order to finance certain municipal services and related administrative expenses eligible to be financed by CFD 19-01; and WHEREAS, the Landowner is willing to deposit funds with the City to ensure payment of the costs of the Authority and the City in forming CFD 19-01 as provided herein; and WHEREAS, the Authority, the City and the Landowner now desire to specify the terms of said deposit. AGREEMENT: NOW, THEREFORE, in consideration of the foregoing and the mutual covenants set forth herein, and for other consideration the receipt and sufficiency of which is hereby acknowledged, the parties hereto agree as follows: Section 1. The Deposit: Additional Advances. The City acknowledges that the Landowner has advanced $34,500.00 to the City (the "Deposit"), to be used by the City to pay the costs in conducting proceedings for the formation of CFD 19-01 (as more fully described in Section 2(a) below, the "Initial Costs"). The Deposit may be commingled with other funds of the City for purposes of investment and safekeeping, but the City shall at all times maintain records as to the expenditure of the Deposit. Section 2. Use of Funds. The Deposit shall be administered as follows: (a) The Director of Finance of the City may draw upon the Deposit from time to time to pay the Initial Costs, including but not limited to: (i) the fees and expenses of any consultants to the City or the Authority employed in connection with the formation of CFD 19-01; (ii) costs of publication of notices, preparation and mailing of ballots and other costs related to any election 20009.17J15337 with respect to the formation of CFD 19-01 and the rate and method of apportionment of the special taxes to be levied therein; (iii) a reasonable charge for City staff time, as determined by the City Manager in his sole discretion, in analyzing CFD 19-01, including a reasonable allocation of City overhead expense related thereto; and (iv) any and all other actual costs and expenses incurred by the City or the Authority with respect to the formation of CFD 19-01 after the date of execution of this Agreement. (b) If CFD 19-01 is successfully formed, within thirty (30) days after the date of recordation of a notice of special tax lien for CFD 19-01, the Director of Finance of the City shall return any then unexpended amount of the Deposit to the Landowner, without interest, less an amount equal to any costs incurred by the City or the Authority or that the City or the Authority is otherwise committed to pay, which costs would be subject to payment under Section 2(a) above but have not yet been so paid. (c) If CFD 19-01 is not successfully formed, the Director of Finance of the City shall, within ten (10) business days after adoption of a resolution stating the intent of the Authority to terminate proceedings under the Act with respect to the formation of CFD 19-01, return an amount equal to any then unexpended Deposits to the Landowner, without interest, less an amount equal to any costs incurred by the City or the Authority or that the City or the Authority is otherwise committed to pay, which costs would be subject to payment under Section 2(a) above but have not yet been so paid. Section 3. Agreement Not Debt or Liability of City or Authority. It is hereby acknowledged and agreed that this Agreement is not a debt or liability of the City or the Authority, as provided in Section 53314.9(b) of the Act. Neither the City nor the Authority shall in any event be liable hereunder other than to return the unexpended and uncommitted portion of the Deposit as provided in Section 2 above and provide an accounting under Section 6 below. Neither the City nor the Authority shall be obligated to advance any of their own funds with respect to the formation of CFD 19-01 or for any of the other purposes listed in Section 2(a) hereof. No member of the City Council, the Board of Directors of the Authority or officer, employee or agent of the City or the Authority shall to any extent be personally liable hereunder. Section 4. No Obligation to Form CFD 19-01. The provisions of this Agreement shall in no way obligate the City or the Authority to form CFD 19-01 or to expend any of their own funds in connection with the formation of CFD 19-01. Section 5. Severability. If any part of this Agreement is held to be illegal or unenforceable by a court of competent jurisdiction, the remainder of this Agreement shall be given effect to the fullest extent reasonably possible. Section 6. Accounting. The Director of Finance of the City shall provide the Landowner with a written accounting of proceeds of the Deposit expended pursuant to this Agreement, within ten (10) business days of receipt by the Director of Finance of the City of a written request therefore submitted by an authorized officer of the Landowner. No more than one accounting will be provided in any calendar month and the cost of providing the accounting shall be charged to the Deposit. Section 7. Indemnification. The Landowner shall assume the defense of, indemnify and save harmless the Authority, the City and the CFD, members of the Board of Directors of the Authority and of the City Council of the City, their respective officers, officials, employees and agents and each of them (collectively, the "Indemnified Parties"), from and against all actions, -2- damages, claims, losses or expense of every type and description to which they may be subjected or put, by reason of, or resulting from any action or inaction of the Landowner related to the formation of the CFD and this Deposit Agreement. Notwithstanding the foregoing, no indemnification for an Indemnified Party is given hereunder for any action, damage, claim, loss or expense directly attributable to the intentional misconduct of such Indemnified Party. Section 8. Successors and Assigns. This Agreement shall be binding upon and inure to the benefit of the successors and assigns of the parties hereto. Section 9. Counterparts. This Agreement may be executed in counterparts, each of which shall be deemed an original. -3- IN WITNESS WHEREOF, the parties hereto have executed this Agreement as of the day and year written alongside their signature line below. Executed on: November , 2018 Executed on: November , 2018 LANDOWNER: TRI POINTE HOMES, INC. By: Christian D. Larsen, Assistant Secretary CITY: CITY OF TEMECULA, CALIFORNIA By: Aaron Adams, City Manager Executed on: AUTHORITY: November , 2018 TEMECULA PUBLIC FINANCING AUTHORITY, for itself and on behalf of the proposed Temecula Public Financing Authority Community Facilities District 19-01 (Municipal Services) By: Aaron Adams, Executive Director 20009.17:J15337 [Signature page to Deposit Agreement for Community Facilities District 19-01] -4- Quint & Thimmig LLP 8/31/18 10/16/18 JOINT COMMUNITY FACILITIES AGREEMENT TEMECULA PUBLIC FINANCING AUTHORITY COMMUNITY FACILITIES DISTRICT NO. 19-01 (MUNICIPAL SERVICES) This Joint Community Facilities Agreement (the "Agreement"), dated as of November 13, 2018, is by and between the Temecula Public Financing Authority (the "Authority") and the City of Temecula, California (the "Participating Agency"). RECITALS: WHEREAS, the Authority is undertaking proceedings to form the Temecula Public Financing Authority Community Facilities District No. 19-01 (Municipal Services) (the "CFD") pursuant to the Mello -Roos Community Facilities Act of 1982, as amended (the "Act") to finance certain municipal services and related administrative expenses eligible to be funded by the CFD (the "Services"), and the Participating Agency is willing to provide the Services to the extent it is reimbursed for the costs thereof by the CFD; and WHEREAS, Section 53316.2 of the Act requires that the Authority enter into a joint community facilities agreement with the Participating Agency, prior to the adoption by the Authority of a resolution forming the CFD; and WHEREAS the Authority and the Participating Agency now desire to enter into this Agreement to satisfy the requirements of Section 53316.2 of the Act and to memorialize their understanding with respect to the Services as more particularly set forth below. NOW, THEREFORE, in consideration of the foregoing and mutual covenants set forth below, the parties hereto do hereby agree as follows: Section 1. Provision of Services. The Participating Agency hereby agrees to provide the Services identified in Attachment A hereto, but only to the extent and so long as proceeds of special taxes levied in the CFD are made available to the Participating Agency to pay costs of the Participating Agency to provide the Services. Section 2. Limited Obligations. All obligations of the Authority under and pursuant to this Agreement shall be limited to the proceeds of special taxes levied in the CFD for such purpose and otherwise collected from the property owners in the CFD. No Boardmember, officer or employee of the Authority shall in any event be personally liable hereunder. The sole obligation of the Participating Agency hereunder shall be to provide all or such portion of the Services as the Participating Agency shall determine can be provided for in respect of any special tax revenue from the CFD made available to the Participating Agency for such purpose. If the Participating Agency shall fail to perform any of its obligations hereunder, the sole remedy of the Authority shall be the commencement of an action in the Superior Court for specific performance by the Participating Agency of such obligations. Section 3. Termination. Notwithstanding any other provision of this Agreement, this Agreement shall cease to be effective and shall terminate when (and only if) the special taxes are no longer levied on the landowners in the CFD. 20009.17:J15338 Section 4. No Obligation to Form CFD; Agreement of Benefit to Residents. The provisions of this Agreement shall in no way obligate the Authority to form the CFD. Notwithstanding the foregoing, by their respective execution of this Agreement, the Authority and the Participating Agency each declare that this Agreement is beneficial to the residents within the jurisdiction of their respective entities in assuring the provision of financing for the Services in furtherance of the purposes of the Act. Section 5. Partial Invalidity. If any part of this Agreement is held to be illegal or unenforceable by a court of competent jurisdiction, the remainder of this Agreement shall be given effect to the fullest extent reasonably possible. Section 6. Successors and Assigns. This Agreement shall be binding upon and inure to the benefit of the successors and assigns of the parties hereto. This Agreement is for the sole benefit of the Authority and the Participating Agency and their successors and assigns, and no other person or entity shall be deemed to be a beneficiary hereof or have an interest herein. Section 7. Execution in Counterparts. This Agreement may be executed in counterparts, each of which shall be deemed an original. -2- * * * * * * * * * * IN WITNESS WHEREOF, the parties hereto have executed this Agreement as of the day and year written alongside their signature below. 20009.17:J15338 -3- CITY OF TEMECULA (the "Participating Agency") By: Aaron Adams, City Manager TEMECULA PUBLIC FINANCING AUTHORITY (the "Authority") By: Aaron Adams, Executive Director ATTACHMENT A DESCRIPTION OF SERVICES AND RELATED ADMINISTRATIVE EXPENSES ELIGIBLE TO BE FUNDED BY THE DISTRICT SERVICES The services to be funded, in whole or in part, by the community facilities district (the "District") include the following: • Public safety services, including police protection, fire protection and suppression, services, and ambulance and paramedic services. • Maintenance of landscaping in public areas, public easements and public right of way, such maintenance to include but not be limited to maintenance of planting areas, trees, bio - retention filters, multipurpose trails, and the furnishing of water for irrigation. • Maintenance of sidewalks in or near to the area of the District. • Maintenance of public signage in or near the District. • Maintenance of storm protection and drainage systems within or serving the area of the District, including but not limited to storm drain pipes, culverts, detention/ desilting basins, manholes, catch basins and drop inlets, cleanout of storm drains and catch basin cleaning and inspection. • Maintenance of streets and roadways within or in the vicinity of the District, including but not limited to slurry, overlay, curbs and gutters, curb ramps, striping and street sweeping. • Maintenance of street lighting located within or in the vicinity of the District, including but not limited to street lights, decorative lighting and pull box assemblies. • Maintenance of traffic signals within and in the vicinity of the District, including but not limited to electrical, LED replacement, maintenance and replacement. • Maintenance and lighting of parks, parkways and open space. • Graffiti removal from public improvements within and in the area of the District. • Maintenance of water and sewer systems with an estimated useful life of five or more years and serving the area in or in the general area of the District and owned by the Temecula Public Financing Authority or by another local agency pursuant to a joint community facilities agreement or a joint exercise of powers agreement adopted pursuant to Section 53316.2 of the California Government Code. A-1 The District may fund any of the following related to the services described above: the furnishing of services and materials for the ordinary and usual maintenance, operation and servicing of the improvements, including repair, removal or replacement of all or part of any of the improvements, the furnishing of water for the irrigation and the furnishing of electric current or energy for any lights or irrigation facilities, obtaining, constructing, furnishing, operating and maintaining equipment, apparatus or facilities related to providing the services and / or equipment, apparatus, facilities or fixtures in areas to be maintained, obtaining supplies or appurtenant facilities necessary for such maintenance, paying the salaries and benefits of personnel necessary or convenient to provide the services, payment of insurance costs and other related expenses and the provision of reserves for repairs and replacements and for the future provision of services. It is expected that the services will be provided by the City of Temecula (the "City"), either with its own employees or by contract with third parties, or any combination thereof. The services to be financed by the District are in addition to those provided in the territory of the District before the date of creation of the District and will not supplant services already available within that territory when the District is created. ADMINISTRATIVE EXPENSES The administrative expenses to be funded by the District include the direct and indirect expenses incurred by the Authority and the City in carrying out their respective duties with respect to the District (including, but not limited to, the levy and collection of the special taxes) including the fees and expenses of attorneys, any fees of the County of Riverside related to the District or the collection of special taxes, an allocable share of the salaries of the Authority and City staff directly related thereto and a proportionate amount of the Authority's and the City's general administrative overhead related thereto, any amounts paid by the Authority and the City from its respective general fund with respect to the District or the services authorized to be financed by the District, and expenses incurred by the Authority and the City in undertaking action to foreclose on properties for which the payment of special taxes is delinquent, and all other costs and expenses of the Authority and City in any way related to the District. OTHER The incidental expenses that may be funded by the District include, in addition to the administrative expenses identified above, the payment or reimbursement to the Authority, the City and any owner of land in the District of all costs associated with the establishment of the District. A-2 CITY COUNCIL PUBLIC HEARING Item No. 16 Approvals City Attorney Jz/t"\-- Director of Finance City Manager CITY OF TEMECULA AGENDA REPORT TO: City Manager/City Council FROM: Luke Watson, Director of Community Development DATE: November 13, 2018 SUBJECT: Approve the Universal Health Systems Temecula Valley Hospital Modification to a Condition of Approval (Planning Application No. PA18-1258) PREPARED BY: Scott Cooper, Associate Planner RECOMMENDATION: That the City Council conduct a Public Hearing and approve the Universal Health Systems Temecula Valley Hospital Modification to Condition of Approval No. 27 (Planning Application No. PA18-1258) upon Council consideration and adopt related resolution: Adopt a resolution entitled: RESOLUTION NO. 18- A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF TEMECULA APPROVING A MODIFICATION TO REVISE DEVELOPMENT PLAN (PA10-0194) CONDITION OF APPROVAL NO. 27 TO REQUIRE THE COMMENCEMENT OF THE PHASE IV HOSPITAL BED TOWER (HOSPITAL BED TOWER 2) FOUNDATION WITHIN 15 YEARS OF THE ISSUANCE OF THE CERTIFICATE OF OCCUPANCY FOR THE PHASE I HOSPITAL BUILDING (HOSPITAL BED TOWER 1), OR NO LATER THAN FEBRUARY 8, 2029. THE PROJECT IS LOCATED AT 31700 TEMECULA PARKWAY (APN 959-080- 026) BACKGROUND: The applicant approached the city and made the request for the revision to the conditional of approval to extend the commencement of the Phase IV hospital bed tower foundation by ten years. The applicant provided information that the second bed tower is not feasible or needed due to the current market conditions. The applicant met with the Hospital Ad Hoc Committee consisting of Mayor Rahn and Councilman Naggar. The subcommittee recommendation was to move forward with the revision to the condition of approval. The proposed Modification will allow for the revision of Condition of Approval No. 27 from PA10-0194. Condition of Approval No. 27 was added per the City Council, at a public hearing, on February 8, 2011 to read: The applicant shall commence construction of the Phase IV hospital bed tower (hospital bed tower 2) foundation within 5 years of issuance of the Certificate of Occupancy for the Phase I hospital building (hospital bed tower 1), or no later than February 8, 2019. The revised Condition of Approval shall read: The applicant shall commence construction of the Phase IV hospital bed tower (hospital bed tower 2) foundation within 15 years of issuance of the Certificate of Occupancy for the Phase I hospital building (hospital bed tower 1), or no later than February 8, 2029. The 10 year extension of the construction start date for the second hospital tower will allow Universal Health Systems the flexibility it needs to add new beds at an appropriate time. The applicant has previously met with the Hospital Ad Hoc Committee consisting of Mayor Rahn and Councilman Naggar at which time the applicant presented the need for a 10 year extension to the condition of approval. ENVIRONMENTAL: In accordance with the California Environmental Quality Act (CEQA), the proposed project is exempt from further environmental review and a Notice of Exemption will be adopted in compliance with CEQA (Section 15162, Subsequent EIRs and Negative Declarations) FISCAL IMPACT: None ATTACHMENTS: 1. City Council Resolution — Modification 2. Conditions of Approval 3. Notice of Public Hearing RESOLUTION NO. 18- A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF TEMECULA APPROVING A MODIFICATION TO REVISE DEVELOPMENT PLAN (PA10-0194) CONDITION OF APPROVAL NO. 27 TO REQUIRE THE COMMENCEMENT OF THE PHASE IV HOSPITAL BED TOWER (HOSPITAL BED TOWER 2) FOUNDATION WITHIN 15 YEARS OF THE ISSUANCE OF THE CERTIFICATE OF OCCUPANCY FOR THE PHASE I HOSPITAL BUILDING (HOSPITAL BED TOWER 1), OR NO LATER THAN FEBRUARY 8, 2029. THE PROJECT IS LOCATED AT 31700 TEMECULA PARKWAY (APN 959- 080-026) THE CITY COUNCIL OF THE CITY OF TEMECULA DOES HEREBY RESOLVE AS FOLLOWS: Section 1. Procedural Findings. The City Council of the City of Temecula does hereby find, determine and declare that: A. The City Council, at a regular meeting, considered the Application and environmental review on November 13, 2018, at a duly noticed public hearing as prescribed by law, at which time the City staff and interested persons had an opportunity to and did testify either in support or in opposition to this matter. B. At the conclusion of the City Council hearing and after due consideration of the testimony, the City Council approved Planning Application No. PA18-1258 subject to and based upon the findings set forth hereunder. C. All legal preconditions to the adoption of the Resolution have occurred. Section 2. Further Findings. The City Council, in approving the Application hereby finds, determines and declares that: Modifications, Development Code Section 17.05.030.E A. The proposed use is in conformance with the general plan for Temecula and with all applicable requirements of State law and other Ordinances of the City. The modification will allow for a revision to a previously approved condition of approval. The use will remain as originally approved and therefore will still meet all applicable requirements of State law and other Ordinances of the City. B. The overall development of the land is designed for the protection of the public health, safety, and general welfare. The modification will allow for a revision to a previously approved condition of approval. All requirements related to the public health, safety, and general welfare that have been reviewed and approved under the original approval remain valid with this modification. Section 3. Environmental Findings. The City Council hereby makes the following environmental findings and determinations in connection with the approval of the Development Plan Application: A. In accordance with the California Environmental Quality Act (CEQA), the proposed project is exempt from further environmental review and a Notice of Exemption will be adopted in compliance with CEQA (Section 15162, Subsequent EIRs and Negative Declarations); A Supplemental Environmental Impact Report was adopted in 2016 for the Temecula Valley Hospital. The proposed project has been determined to be consistent with the previously adopted EIR and is exempt from further environmental review (Section 15162, Subsequent EIRs and Negative Declarations). The project meets all requirements and mitigation contained in this document. Section 4. Approval of Revised Conditions of Approval. The City Council of the City of Temecula hereby approves Planning Application No. PA18-1258, a Modification to revise Development Plan (PA10-0194) Condition of Approval No. 27 to require the commencement of the Phase IV hospital bed tower (hospital bed tower 2) foundation within fifteen (15) years of the issuance of the Certificate of Occupancy for the Phase I hospital building (hospital bed tower 1), or no later than February 8, 2029 located at 31700 Temecula Parkway subject to the Conditions of Approval set forth on Exhibit A, attached hereto, and incorporated herein by this reference. PASSED, APPROVED, AND ADOPTED by the City Council of the City of Temecula this 13th day of November, 2018. Matt Rahn, Mayor ATTEST: Randi Johl, City Clerk [SEAL] STATE OF CALIFORNIA COUNTY OF RIVERSIDE CITY OF TEMECULA ss I, Randi Johl, City Clerk of the City of Temecula, do hereby certify that the foregoing Resolution No. 18- was duly and regularly adopted by the City Council of the City of Temecula at a meeting thereof held on the 13th day of November, 2018, by the following vote: AYES: COUNCIL MEMBERS: NOES: COUNCIL MEMBERS: ABSTAIN: COUNCIL MEMBERS: ABSENT: COUNCIL MEMBERS: Randi Johl, City Clerk EXHIBIT A CITY OF TEMECULA CONDITIONS OF APPROVAL Planning Application No.: PA18-1258 Project Description: A Modification to revise Development Plan (PA10-0194) Condition of Approval No. 27 to require the commencement of the Phase IV hospital bed tower (hospital bed tower 2) foundation within 15 years of the issuance of the Certificate of Occupancy for the Phase hospital building (hospital bed tower 1), or no later than February 8, 2029 located at 31700 Temecula Parkway Assessor's Parcel No. 959-080-026 MSHCP Category: Commercial DIF Category: Office TUMF Category: Service Commercial/Office Quimby Category: N/A (non-residenital) New Street In -Lieu of Fee: N/A (project not located within the Uptown Temecula Specific Plan Area) Approval Date: November 13, 2018 Expiration Date: November 13, 2021 WITHIN 48 HOURS OF THE APPROVAL OF THIS PROJECT Planning Department The applicant/developer shall deliver to the Planning Department a cashier's check or money order made payable to the County Clerk in the amount of Sixty -Four Dollars ($64.00) for the County administrative fee, to enable the City to file the Notice of Determination as provided under Public Resources Code Section 21152 and California Code of Regulations Section 15904. If within said 48-hour period the applicant/ developer has not delivered to the Planning Department the check as required above, the approval for the project granted shall be void by reason of failure of condition (Fish and Game Code Section 711.4(c)). GENERAL REQUIREMENTS Planning Department The applicant and owner of the real property subject to this condition shall hereby agree to indemnify, protect, hold harmless, and defend the City with Legal Counsel of the City's own selection from any and all claims, actions, awards, judgments, or proceedings against the City to attack, set aside, annul, or seek monetary damages resulting, directly or indirectly, from any action in furtherance of and the approval of the City, or any agency or instrumentality thereof, advisory agency, appeal board or legislative body including actions approved by the voters of the City, concerning the Planning Application. The City shall be deemed for purposes of this condition, to include any agency or instrumentality thereof, or any of its elected or appointed officials, officers, employees, consultants, contractors, legal counsel, and agents. City shall promptly notify both the applicant and landowner of any claim, action, or proceeding to which this condition is applicable and shall further cooperate fully in the defense of the action. The City reserves the right to take any and all action the City deems to be in the best interest of the City and its citizens in regards to such defense. 3. The permittee shall obtain City approval for any modifications or revisions to the approval of this project. 4. This approval shall be used within one year of the approval date; any time extension beyond the initial one year from approval of this modification will require the preparation of a new environmental document. By use is meant the beginning of substantial construction contemplated by this approval within the one-year period, which is thereafter diligently pursued to completion, or the beginning of substantial utilization contemplated by this approval. 5. A separate building permit shall be required for all signage. 6. Prior to the approval and issuance of any permanent signs, a sign program shall be submitted for review and approval for the project site. 7. The development of the premises shall substantially conform to the approved site plan and elevations contained on file with the Planning Department. 8. Landscaping installed for the project shall be continuously maintained to the reasonable satisfaction of the Planning Director. If it is determined that the landscaping is not being maintained, the Planning Director shall have the authority to require the property owner to bring the landscaping into conformance with the approved landscape plan. The continued maintenance of all landscaped areas shall be the responsibility of the developer or any successors in interest. 9. The applicant shall paint a three-foot by three-foot section of the building for Planning Department inspection, prior to commencing painting of the building. 10. The applicant shall submit to the Planning Department for permanent filing two 8" X 10" glossy photographic color prints of the approved Color and Materials Board and the colored architectural elevations. All labels on the Color and Materials Board and Elevations shall be readable on the photographic prints. 11. The Conditions of Approval specified in this resolution, to the extent specific items, materials, equipment, techniques, finishes or similar matters are specified, shall be deemed satisfied by staffs' prior approval of the use or utilization of an item, material, equipment, finish or technique that City staff determines to be the substantial equivalent of that required by the Condition of Approval. Staff may elect to reject the request to substitute. in which case the real party in interest may appeal, after payment of the regular cost of an appeal, the decision to the Planning Commission for its decision. 2 Material Color Exterior Plaster Color No. 1: Dryvit #456, "Oyster Shell" in Dryvit "Sandblast" texture Exterior Plaster Color No. 2: Dryvit #383, "Honey Twist" in Dryvit "Sandblast texture Tile Base: Daltile #CS51, 12" x 12" Continental Slate, Indian Red Painted Trim: To match color of "Indian Red" in tile base Ceramic Roof Tile: Monier Lifetile, Duralite Villa Tinted Glass: Viracon, Bronze VE 4-2M Window Frame: Kawneer, Medium Bronze 12. Trash enclosures shall be provided to house all trash receptacles utilized on the site. These shall be clearly labeled on site plan. 13. All utilities shall be screened from view. Landscape construction drawings shall show and label all utilities and provide appropriate screening. A three-foot clear zone shall be provided around fire check detectors as required by the Fire Department before starting the screen. Utilities shall be grouped together in order to reduce intrusion. Screening of utilities shall not look like an after -thought. Planting beds shall be designed around utilities. All light poles shall be located on the landscape plans and the applicant shall insure that there are no conflicts with trees. 14. The applicant shall insure that mature plantings will not interfere with utilities, adjacent site existing structures and landscaping and traffic sight lines. 15. All requirements of Development Code Chapter 17.32 (Water Efficient Landscape Design) are required to be met. 16. The applicant shall comply with the Mitigation Monitoring Program for the project. 17. The split rail fencing for the multi -use trail proposed along the northern property lines, adjacent to the residences shall be extended from the current location to the western edge of the property line. Said fence shall be a continuous fence beginning from the secondary driveway at DePortola to the western property line. (Added by City Council, January 22, 2008). 18. The developer shall contact the City's franchised solid waste hauler for disposal of construction debris. Only the City's franchisee may haul construction debris. 19. All trash enclosures shall be large enough to accommodate a recycling bin, as well as a regular solid waste container. 20. The property owner or private maintenance association shall maintain all parkways, perimeter landscaping, trail, walls, fences and on site lighting. 21. The developer shall comply with the Public Art Ordinance. 22. All major equipment (elevator motors, generators, air conditioning, etc., and soundproofing of same) shall conform to the latest best standards for noise reduction such that noise from these sources conforms to the City's Noise Ordinance. (Added per Planning Commission recommendation, December 15, 2010). 3 23. Trash service and deliveries to the loading dock shall be restricted to the hours of 7:00 a.m. to 6:00 p.m. All vehicles providing these services shall enter and leave the hospital grounds via the Temecula Parkway or Dona Lynora Road entrances only. (Added per Planning Commission recommendation, December 15, 2010). 24. Within 30 days of notification from the City to the applicant that the rough grading permit is cleared for issuance, the applicant shall submit, to the satisfaction of the City Attorney, completion security in the amount of $5 million that shall be released upon the completion of the foundation for the Phase I hospital building (hospital bed tower 1) (Added per City Council, February 8, 2011). 25. The applicant shall complete grading and commence construction of the Phase I hospital building (hospital bed tower 1) foundation no later than February 8, 2012. A 60 -day grace period shall be permitted, subject to approval by the City Council, and based only on extenuating circumstances beyond the control of the applicant (extending to April 8, 2012) (Added per City Council, February 8, 2011). 26. The applicant shall commence vertical construction of the Phase I hospital building (hospital bed tower 1) no later than May 8, 2012. A 60 -day grace period shall be permitted, subject to approval by the City Council, and based only on extenuating circumstances beyond the control of the applicant (extending to July 8, 2012) (Added per City Council, February 8, 2011). 27. The applicant shall commence construction of the Phase IV hospital bed tower (hospital bed tower 2) foundation within 5 15 years of issuance of the Certificate of Occupancy for the Phase I hospital building (hospital bed tower 1), or no later than February 8, 2019 2029 (Added per City Council, February 8, 2011} (Revised per City Council, November 13, 2018). Police Department 28. Any graffiti painted or marked upon the building shall be removed or painted over within twenty-four (24) hours of being discovered. Notify the Temecula Police Department immediately so a report can be taken. 29. Any business desiring a business security survey of their location can contact the crime prevention unit of the Temecula Police Department. 30. Any public telephones located on the exterior of the building should be placed in a well - lighted, highly visible area, and installed with a "call -out only" feature to deter loitering. This feature is not required for public telephones installed within the interior of the building. 31. Applicant shall ensure all landscaping surrounding the building are kept at a height of no more than three feet or below the ground floor windowsills. Plants, hedges and shrubbery should be defensible plants to deter would-be intruders from breaking into the building utilizing lower level windows. a. The placement of all landscaping should comply with guidelines from Crime Prevention Through Environmental Design (CPTED). 32. All parking lot lighting surrounding the complex should be energy-saving and minimized after hours of darkness and in compliance with the State of California Lighting Ordinance. 4 Furthermore, all exterior lighting must comply with Mt. Palomar Lighting Requirements. 33. All doors, windows, locking mechanisms, hinges, and other miscellaneous hardware shall be commercial or institution grade. 34. All exterior doors should have their own vandal resistant fixtures installed above. The doors shall be illuminated with a minimum one foot candle of Tight at ground level, evenly dispersed. 35. Upon completion of construction, the buildings shall have a monitored alarm system installed and monitored 24 hours a day by a designated private alarm company to notify the Temecula Police Department of any intrusion. All multi -tenant offices/suites/businesses located within a specific building shall have their own alarm system. This condition is not applicable if the business is opened 24/7. 36. All disabled parking stalls on the premises shall be marked in accordance with Section 22511.8 of the California Vehicle Code. 37. Any emergency generator system shall be inside a secure enclosure to prevent theft of fuel or tampering with the equipment. 38. All pressurized gas cylinders not in use shall be stored in a secure location to prevent theft. Building and Safety Department 39. Trash enclosures, patio covers, light standards, and any block walls if not on the approved building plans, will require separate approvals and permits. 40. Signage shall be posted conspicuously at the entrance to the project that indicates the hours of construction, shown below, as allowed by the City of Temecula Ordinance No. 0-90-04, specifically Section G (1) of Riverside County Ordinance No. 457.73, for any site within one- quarter mile of an occupied residence. Monday -Friday 6:30 a.m. — 6:30 p.m. Saturday 7:00 a.m. — 6:30 p.m. No work is permitted on Sundays or Government Holidays Fire Prevention 41. Final fire and life safety conditions will be addressed when building plans are reviewed by the Fire Prevention Bureau. These conditions will be based on occupancy, use, the California Building Code (CBC), California Fire Code (CFC), and related codes which are in force at the time of building plan submittal. 42. The Fire Prevention Bureau is required to set a minimum fire flow for the remodel or construction of all commercial buildings per CFC Appendix B. The developer shall provide for this project, a water system capable of delivering 4,000 GPM at 20 -PSI residual operating pressure for a 4 -hour duration. The fire service loop will be a complete looped system with two points of connection (CFC Appendix B and Temecula City Ordinance 15.16.020, Section R). 43. The Fire Prevention Bureau is required to set minimum fire hydrant distances per CFC 5 Appendix C. A combination of on-site and off-site 6" x 4" x 2-2 1/2" outlets on a looped system shall be located on fire access roads and adjacent to public streets. Hydrants shall be spaced at 350 feet apart, at each intersection and shall be located no more than 210 feet from any point on the street or Fire Department access road(s) frontage to a hydrant. The required fire flow shall be available from any adjacent hydrants in the system. The fire hydrants will provide coverage for the entire site, including all buildings, open space and parking areas (CFC Appendix C and Temecula City Ordinance 15.16.020, Section R). 44. As required by the California Fire Code, when any portion of the facility is in excess of 150 feet from a water supply on a public street, as measured by an approved route around the exterior of the facility, on-site fire hydrants and mains capable of supplying the required fire flow shall be provided (CFC Chapter 5, Section 508.5). 45. If construction is phased, each phase shall provide approved access and fire protection prior to any building construction. This includes the fire service lines and hydrants must be completed for the entire site prior to combustibles being brought on site. (CFC Chapter 5, Section 503.4 Public Works Department 46. A Grading Permit for either rough and/or precise grading, including all on-site flat work and improvements, shall be obtained from the Department of Public Works prior to commencement of any construction outside of the City -maintained street right -of way. 47. An Encroachment Permit shall be obtained from the Department of Public Works prior to commencement of any construction within an existing or proposed City right-of-way. 48. All improvement plans and grading plans shall be coordinated for consistency with adjacent projects and existing improvements contiguous to the site and shall be submitted on standard 24" x 36" City of Temecula mylars. 49. All on-site drainage facilities shall be maintained by a private maintenance association or property owner. 50. The undergrounding of electrical and telecommunication facilities per Temecula Municipal Code, Section 15.04.080 shall be completed prior to the issuance of the first building permit in Phase 3 (Medical Office Building 2). 51. The driveway on De Portola Road will be restricted to right-in/right-out/left-in movements. PRIOR TO ISSUANCE OF GRADING PERMITS Planning Department 52. Submit security completion bond per Condition of Approval number 24. 53. The applicant shall submit a separate plan, entitled outdoor furniture detail plan, showing details of all outdoor furniture, subject to the approval of the Director of Planning. Outdoor furniture shall be decorative and of high quality appearance. 54. The applicant shall submit cross sections verifying that all roof mounted equipment will be screened from public view as determined acceptable by the Director of Planning. 6 55. The elevations and roof plans shall show internalized downspouts for all buildings and structures, excluding trash enclosures. 56. Trash enclosures shall be shown on the site plan, landscape plan and elevations and shall comply with the following: a. Trash enclosures shall be provided to house all trash receptacles utilized on the site. b. All trash enclosures shall blend with the architecture of the overall center and include a decorative roof type feature as approved by the Director of Planning. c. Trash enclosures shall be screened from view. The applicant shall provide shrubs and wall vines on three sides of enclosures as required to provide screening. 57. Details of all exterior light fixtures, including decorative entry lighting and wall mounted lighting, shall be provided on the plans. 58. The Applicant shall provide a detailed elevation drawing to show a decorative fence no less than four feet in height around the helipad, subject to the approval of the Planning Director. Said fence shall be constructed in a manner that deflects horizontal wind velocities caused by the rotation of rotor blades, providing all FAR Part 77 imaginary surfaces and the surface of the area remain obstruction free, per Section 1710.020.P of the City of Temecula Development Code. 59. Provide the Planning Department with a copy of the underground water plans and electrical plans for verification of proper placement of transformer(s) and double detector check prior to final agreement with the utility companies. 60. Double detector check valves shall be either installed underground or internal to the project site at locations not visible from the public right-of-way, subject to review and approval by the Director of Planning. 61. The following shall be included in the Notes Section of the Grading Plan: "If at any time during excavation/construction of the site, archaeological/cultural resources, or any artifacts or other objects which reasonably appears to be evidence of cultural or archaeological resource are discovered, the property owner shall immediately advise the City of such and the City shall cause all further excavation or other disturbance of the affected area to immediately cease. The Director of Planning at his/her sole discretion may require the property to deposit a sum of money it deems reasonably necessary to allow the City to consult and/or authorize an independent, fully qualified specialist to inspect the site at no cost to the City, in order to assess the significance of the find. Upon determining that the discovery is not an archaeological/cultural resource, the Director of Planning shall notify the property owner of such determination and shall authorize the resumption of work. Upon determining that the discovery is an archaeological/cultural resource. the Director of Planning shall notify the property owner that no further excavation or development may take place until a mitigation plan or other corrective measures have been approved by the Director of Planning." 62. Prior to the issuance of grading permits, the developer is required to enter into a Cultural Resources Treatment Agreement with the Pechanga Tribe. This Agreement will address the treatment and disposition of cultural resources and human remains that may be impacted as a result of the development of the Project, as well as provisions for tribal monitors. 7 63. If cultural resources are discovered during the project construction (inadvertent discoveries), all work in the area of the find shall cease, and a qualified archaeologist and representatives of the Pechanga Tribe shall be retained by the project sponsor to investigate the find, and make recommendations as to treatment and mitigation. 64. A qualified archaeological monitor will be present and will have the authority to stop and redirect grading activities, in consultation with the Pechanga Tribe and their designated monitors, to evaluate the significance of any archaeological resources discovered on the property. 65. Tribal monitors from the Pechanga Tribe shall be allowed to monitor all grading, excavation and groundbreaking activities, including all archaeological surveys, testing, and studies, to be compensated by the developer. 66. The landowner agrees to relinquish ownership of all cultural resources, including all archaeological artifacts that are found on the Project area, to the Pechanga Tribe for proper treatment and disposition. 67. All sacred sites are to be avoided and preserved. 68. A qualified paleontologist/archaeologist shall be chosen by the developer for consultation and comment on the proposed grading with respect to potential paleontological/ archaeological impacts. A meeting between the paleontologist/ archaeologist, Planning Department staff, and grading contractor prior to the commencement of grading operations and the excavation shall be arranged. The paleontologist/archaeologist or representative shall have the authority to temporarily divert, redirect or halt grading activity to allow recovery of fossils. The applicant shall provide written verification that services for on-site professional archaeological and paleontological monitoring has been contracted during all phases of earthmoving activities. 69. The Pechanga Band of Luiseno Indians shall be contacted to afford the Band an opportunity to monitor ground -disturbing activities and participate in the decisions regarding collection and curation of any such resources. The applicant shall submit correspondence to the Planning Department that confirms that such contact has been made prior to the issuance of a grading permit. 70. The Applicant shall enter into a pre -construction agreement/treatment plan with the Pechanga Band of Luiseno Indians. prior to the issuance of grading permits, that sets forth and contains the terms and conditions for the treatment of discoveries of Native American cultural resources. The agreement/treatment plan shall contain provisions for the treatment of all Native American cultural items, artifacts, and human remains that may be uncovered during the project. The agreement/treatment plan may allow for the presence of Pechanga tribal monitors during any ground -disturbing activities. The applicant shall submit a signed copy of the pre -construction agreement/treatment plan to the Planning Department prior to the issuance of a grading permit. 71. The Applicant and/or landowner agrees to relinquish all cultural resources, including all archeological artifacts, that are found on the Project area to the Pechanga Band of Luiseno Indians for proper treatment and disposition. This mitigation measure shall be placed on the grading plan as a note prior to issuance of a grading permit. 72. Prior to any ground disturbance activities a qualified archaeological monitor will be present 8 and will have the authority to stop and redirect grading activities, in consultation with the Pechanga Band of Luiserro Indians and their designated monitors, to evaluate the significance of any archaeological resources discovered on the property. This mitigation measure shall be placed on the grading plan as a note prior to issuance of a grading permit. 73. If any human remains are encountered on the project site, all ground disturbing activities in the vicinity of the discovery will be terminated immediately and the County Coroner's office and the Pechanga Band of Luiseno Indians will be contacted to arrange for the treatment of such remains. This mitigation measure shall be placed on the grading plan as a note prior to issuance of a grading permit. 74. The applicant must enter into a written pre -excavation agreement with the Pechanga Band of Luiseno Indians that addresses the treatment and disposition of all cultural resources, human resources and human remains discovered on-site. A copy of the signed document shall be submitted to the Planning Department. 75. The grading plan shall include the following: a. Earth berms as required along the northern property lines and along Highway 79 South as discussed in these Conditions of Approval. b. A note on the plans indicating all areas not proposed for development within six months shall be hydroseeded and irrigated for soil and dust erosion. c. Show the five-foot landscape dimension for all parking islands, including the 1 -foot concrete landing strip (seven feet total width). One parking island is required per ten parking spaces. Public Works Department 76. A copy of the grading, improvement plans, along with supporting hydrologic and hydraulic calculations shall be submitted to the Riverside County Flood Control and Water Conservation District for approval prior to the issuance of any permit. A permit from Riverside County Flood Control and Water Conservation District is required for work within their right-of-way. 77. Each phase must install its respective WQMP BMP(s) as shown in the master plan. The applicant shall update the WQMP as each phase is developed and include slip sheets or other means to reflect the changes as each phase is developed. 78. A Grading Plan shall be prepared by a registered Civil Engineer and shall be reviewed and approved by the Department of Public Works. The grading plan shall include all necessary erosion control measures needed to adequately protect adjacent public and private property. 79. The Developer shall post security and enter into an agreement guaranteeing the grading and erosion control improvements in conformance with applicable City Standards and subject to approval by the Department of Public Works. 80. A Soil Report shall be prepared by a registered Soil or Civil Engineer and submitted to the Director of the Department of Public Works with the initial grading plan check. The report shall address all soils conditions of the site, and provide recommendations for the construction of engineered structures and pavement sections. 9 81. A Geological Report shall be prepared by a qualified engineer or geologist and submitted to the Department of Public Works with the initial grading plan check. The report shall address special study zones and the geological conditions of the site, and shall provide recommendations to mitigate the impact of liquefaction. 82. The Developer shall have a Drainage Study prepared by a registered Civil Engineer in accordance with City Standards identifying storm water runoff expected from this site and upstream of this site. The study shall identify all existing or proposed public or private drainage facilities intended to discharge this runoff. The study shall also analyze and identify impacts to downstream properties and provide specific recommendations to protect the properties and mitigate any impacts. Any upgrading or upsizing of downstream facilities, including acquisition of drainage or access easements necessary to make required improvements, shall be provided by the Developer. 83. NPDES - The project proponent shall implement construction -phase and post -construction pollution prevention measures consistent with the State Water Resources Control Board (SWRCB) and City of Temecula (City) NPDES programs. Construction -phase measures shall include Best Management Practices (BMPs) consistent with the City's Grading, Erosion & Sediment Control Ordinance, the City's standard notes for Erosion and Sediment Control, and the SWRCB General Permit for Construction Activities. Post -construction measures shall be required of all Priority Development Projects as listed in the City's NPDES permit. Priority Development Projects will include a combination of structural and non-structural onsite source and treatment control BMPs to prevent contaminants from commingling with stormwater and treat all unfiltered runoff year-round prior to entering a storm drain. Construction -phase and post -construction BMPs shall be designed and included into plans for submittal to, and subject to the approval of, the City Engineer prior to issuance of a Grading Permit. The project proponent shall also provide proof of a mechanism to ensure ongoing long-term maintenance of all structural post -construction BMPs. 84. As deemed necessary by the Director of the Department of Public Works, the Developer shall receive written clearance from the following agencies: a. San Diego Regional Water Quality Control Board b. Riverside County Flood Control and Water Conservation District c. Planning Department d. Department of Public Works 85. The Developer shall comply with all constraints which may be shown upon an Environmental Constraint Sheet (ECS) recorded with any underlying maps related to the subject property. 86. Permanent landscape and irrigation plans shall be submitted to the Planning Department and the Department of Public Works for review and approval. 87. The Developer shall obtain any necessary letters of approval or slope easements for off-site work performed on adjacent properties as directed by the Department of Public Works. 88. A flood mitigation charge shall be paid. The Area Drainage Plan fee is payable to the Riverside County Flood Control and Water Conservation District by either cashier's check or money order, prior to issuance of permits, based on the prevailing area drainage plan fee. If the full Area Drainage Plan fee or mitigation charge has already been credited to this property, no new charge needs to be paid. 10 89. The site is in an area identified on the Flood Insurance Rate Map as Flood Zone X. This project shall comply with Chapter 15, Section 15.12 of the City Municipal Code which may include obtaining a Letter of Map Revision from FEMA. A Flood Plain Development Permit shall be submitted to the Department of Public Works for review and approval. Fire Prevention 90. Maximum cul-de-sac- length shall not exceed 1320 feet. Minimum outside turning radius on any cul-de-sac shall be 45 feet (CFC Chapter 5, 503.2.4.and 503.2.5.along with Temecula City Ordinance 15.16.020 Section E). 91. Fire apparatus access roads shall be designed and maintained to support the imposed loads of fire apparatus and shall be with a surface to provide all-weather driving capabilities. Access roads shall be 80,000 lbs. GVW with a minimum of AC thickness of .25 feet. In accordance with Section 1410.1, prior to building construction, all locations where structures are to be built shall have fire apparatus access roads. All fire service access roads shall be installed and complete for the entire site prior to combustibles being brought on site.(CFC Chapter 5, Section 503.2, 503.4 and City Ordinance 15.16.020 Section E). 92. Fire Department vehicle access roads shall have an unobstructed width of not Tess than 24 feet and an unobstructed vertical clearance of not less than 13 feet 6 inches (CFC Chapter 5, Section 503.2, 503.4 and City Ordinance 15.16.020 Section E). 93. The gradient for fire apparatus access roads shall not exceed 15 percent (CFC Chapter 5, Section 503.2.7. and City Ordinance 15.16.020 Section E). 94. This development shall maintain two points of access, via all-weather surface roads, as approved by the Fire Prevention Bureau (CFC Chapter 5, Section 503.1.2). 95. Dead end roadways and streets in excess of 150 feet which have not been completed shall have a turnaround capable of accommodating fire apparatus (CFC Chapter 5, Section 503.2.5 and City Ordinance 15.16.020 Section E) PRIOR TO ISSUANCE OF BUILDING PERMIT Planning Department 96. The applicant shall submit to the Planning Department for permanent filing two 8" X 10" glossy photographic color prints of the approved Color and Materials Board and the colored architectural elevations. All labels on the Color and Materials Board and Elevations shall be readable on the photographic prints. 97. The applicant shall submit a photometric plan, including the parking lot to the Planning Department, which meets the requirements of the Development Code and the Palomar Lighting Ordinance. The parking lot light standards shall be placed in such a way as to not adversely impact the growth potential of the parking lot trees. 98. The final construction plans shall include a photometrics plan showing foot-candle illumination in the parking lot, driveways, drive aisles, pedestrian paths of travel and building entrances. A minimum of one -foot candle illumination shall be maintained throughout the site and a minimum of two foot-candle illumination shall be provided at primary building entrances. 11 99. Final Construction plans shall provide decorative lighting fixtures shall be provided at the primary entry of each building/structure, subject to the approval of the Director of Planning. Final construction plans shall provide details of all light fixtures, including decorative entry lighting, parking lot lighting and wall mounted lighting. 100. The applicant shall submit a detailed lighting plan for the helipad facility. 101. The elevations for all buildings shall be revised in a manner that all exterior ladders are screened from the public view of Temecula Parkway. 102. Three copies of Construction Landscaping and Irrigation Plans shall be reviewed and approved by the Planning Department. These plans shall conform to the approved conceptual landscape plan, or as amended by these conditions. The location, number, genus, species, and container size of the plants shall be shown. The plans shall be consistent with the Water Efficient Ordinance. The plans shall be accompanied by the following items: a. Appropriate filing fee (per the City of Temecula Fee Schedule at time of submittal). b. Provide a minimum five foot wide planter to be installed at the perimeter of all parking areas. Curbs, walkways, etc. are not to infringe on this area. c. A note on the plans stating that "Two landscape inspections are required: one inspection is required for irrigation lines and a separate inspection is required for final planting inspection." d. A note on the plans stating that "The contractor shall provide two copies of an agronomic soils report at the first irrigation inspection." e. One copy of the approved grading plan. f. Water usage calculations per Chapter 17.32 of the Development Code (Water Efficient Ordinance). g. Total cost estimate of plantings and irrigation (in accordance with approved plan). h. The locations of all existing trees that will be saved consistent with the Tentative Map. A landscape maintenance program shall be submitted for approval, which details the proper maintenance of all proposed plant materials to assure proper growth and landscape development for the long-term esthetics of the property. The approved maintenance program shall be provided to the landscape maintenance contractor who shall be responsible to carry out the detailed program. Specifications shall indicate that a minimum of two landscape site inspections will be required. One inspection to verify that the irrigation mainline is capable of being pressurized to 150 psi for a minimum period of two hours without loss of pressure. The second inspection will verify that all irrigation systems have head-to-head coverage, and to verify that all plantings have been installed consistent with the approved construction landscape plans. The applicant/owner shall contact the Planning Department to schedule inspections. 1. 103. The final construction landscape plan shall include the following: a. A calculation indicating the percentage of the site that is to be landscaped shall be provided on the construction landscape plans. The applicant shall insure that 12 minimum required code percentages for landscaping are provided to meet the specific zone requirements. b. The applicant shall field verify adjacent existing street plantings and coordinate proposed plantings to be compatible as approved by the Director of Planning. c. An appropriate method for screening the gas meters and other externally mounted utility equipment shall be reviewed and approved by the Planning Department. d. Street trees shall be provided along all streets at the rate of one per every 30 feet of street frontage. e. Areas proposed for development in another phase occurring not within six months of the completion of the previous phase shall be temporarily tufted, seeded and irrigated for dust and soil erosion control. A note on the grading plan and landscape plan shall be provided. f. A minimum five foot width planting area shall be provided at the ends of all parking rows. Curbs and concrete walks shall not infringe on this five foot width. The planter length shall be equal to the adjoining parking space. The planter shall contain a minimum of one tree, shrubs and ground covers. g. Accent trees (minimum 36 -inch box size) shall be installed at entries to parking areas in order to define the entry and provide a focal point. h. Indian Tribe, Faurei varieties shall be provided for Crape Myrtle. Additional trees shall be added on the north, east and west sides of building MOB #2 as approved by the Director of Planning. A combination of large (no less than 24 -inch box) Afghan Pines and California Pepper trees (or other large screen trees) shall be provided along the northern perimeter of the project to screen off-site views of the development as approved by the Director of Planning. k. A landscaped berm shall be provided along the northern property lines adjacent to the residentially zoned lots and DePortola, with mature (24-inchand 36 -inch box) screen trees to screen the view of the buildings and reduce the amount of glare from the project site, subject to approval by the Director of Planning. A cross section shall be provided on grading and landscape plans verifying the buffer area. The landscaped area along Temecula Parkway shall include a meandering berm with large shrubs to provide additional screening of the parking lot. The applicant shall provide a combination of shrub plantings and earth berms that can be maintained at a minimum height of three feet around all parking areas to screen parking from off-site views. m. All areas not designed for buildings, parking, driveways or other useable features shall be landscaped, unless approved by the Director of Planning. The area along the eastern property line, adjacent to the access driveway shall be landscaped, unless it is determined critical habitat not to be disturbed. n. The Landscape construction plans shall include final color and finish details for all decorative hardscape throughout the project site. Decorative hardscape shall be provided at all primary building entrances and outdoor gathering areas (including the hospital, medical office buildings, cancer center and fitness rehabilitation center). J. 104. All utilities shall be screened from public view. Landscape construction drawings shall show and label all utilities and provide appropriate screening. Provide a three foot clear zone 13 around fire check detectors as required by the Fire Department before starting the screen. Group utilities together in order to reduce intrusion. Screening of utilities is not to look like an after -thought. Plan planting beds and design around utilities. Locate all light poles on plans and insure that there are no conflicts with trees. 105. Building Construction Plans shall include detailed outdoor areas (including but not limited to trellises, decorative furniture, fountains, and hardscape) to match the style of the building subject to the approval of the Planning Director. 106. Building plans shall indicate that all roof hatches shall be painted "International Orange." 107. The construction plans shall indicate the application of painted rooftop addressing plotted on a nine -inch grid pattern with 45 -inch tall numerals spaced nine inches apart. The numerals shall be painted with a standard nine -inch paint roller using fluorescent yellow paint applied over a contrasting background. The address shall be oriented to the street and placed as closely as possible to the edge of the building closest to the street. 108. All roof mounted equipment shall be screened from public view as determined acceptable by the Director of Planning. 109. All exterior wall mounted ladders (for all buildings) shall be located in a manner that they are not visible from Temecula Parkway. 110. The developer shall provide TCSD verification of arrangements made with the City's franchise solid waste hauler for disposal of construction debris. 111. Prior to the first building permit or installation of additional street lighting whichever occurs first, the developer shall complete the TCSD application process, submit an approved Edison Streetlight Plan and pay the appropriate energy fees related to the transfer of arterial street lighting on Hwy 79 South into the TCSD maintenance program. Public Works Department 112. Prior to the first building permit, Parcel Map No. 32468 shall be recorded, unless otherwise approved by the Director of Public Works. 113. Improvement plans and/or precise grading plans shall conform to applicable City of Temecula Standards subject to approval by the Director of the Department of Public Works. The following design criteria shall be observed: a. Flowline grades shall be 0.5% minimum over P.C.C. and 1.00% minimum over A.C. paving. b. Driveways shall conform to the applicable City of Temecula Standard No. 207A. c. Street lights shall be installed along the public streets adjoining the site in accordance with City Standard No. 800, 801, 802 and 803. d. Concrete sidewalks and ramps shall be constructed along public street frontages in accordance with City of Temecula Standard Numbers. 400. 401 and 402. e. All street and driveway centerline intersections shall be at 90 degrees. f. Landscaping shall be limited in the corner cut-off area of all intersections and adjacent to driveways to provide for minimum sight distance and visibility. 14 114. The Developer shall design the following public improvements to City of Temecula General Plan standards unless otherwise noted. Plans shall be reviewed and approved by the Director of the Department of Public Works: a. Improve Highway 79 South (Urban Arterial Highway Standards - 134' R/W) to include installation of sidewalk, street lights, underground utilities, drainage facilities, signing and striping, utilities (including but not limited to water and sewer). b. Improve De Portola Road (Modified Secondary Arterial (4 lane separated) -88' R/W) to include installation of pavement, street lights, drainage facilities, signing and striping, and utilities (including but not limited to water and sewer). c. State Route 79/Redhawk Parkway (Margarita Road) - Provide southbound and eastbound right turn traffic signal overlap. d. The traffic signal at the intersection of Highway 79 South and Country Glen Way shall be modified to allow a full movement intersection. 115. Private roads shall be designed to meet City public road standards. Unless otherwise approved the following minimum criteria shall be observed in the design of private streets: a. Dona Lynora (66` R/W) to include the installation of street improvements, paving, curb and gutter, utilities (including but not limited to water and sewer). b. Private 28 -foot wide ingress/egress road to include installation of paving and curb per the approved site plan. 116. The Developer shall construct the following public improvements in conformance with applicable City Standards and subject to approval by the Director of the Department of Public Works: a. Street improvements, which may include, but not limited to: pavement, curb and gutter, sidewalks, drive approaches, street lights, signing, striping, traffic signal systems, and other traffic control devices as appropriate b. Storm drain facilities c. Sewer and domestic water systems d. Under grounding of proposed utility distribution lines 117. A construction area Traffic Control Plan shall be designed by a registered Civil or Traffic Engineer and reviewed by the Director of the Department of Public Works for any street closure and detour or other disruption to traffic circulation as required by the Department of Public Works. The Traffic Control Plan shall indicate that construction traffic may not use the entrance from DePortola Road to access the site. 118. All access rights, easements for sidewalks for public uses shall be submitted and reviewed by the Director of the Department of Public Works and City Attorney and approved by City Council for dedication to the City where sidewalks meander through private property. 119. The building pad shall be certified to have been substantially constructed in accordance with the approved Precise Grading Plan by a registered Civil Engineer, and the Soil Engineer shall issue a Final Soil Report addressing compaction and site conditions. 120. The Developer shall pay to the City the Public Facilities Development Impact Fee as required by, and in accordance with, Chapter 15.06 of the Temecula Municipal Code and all 15 Resolutions implementing Chapter 15.06. 121. The Developer shall pay to the City the Western Riverside County Transportation Uniform Mitigation Fee (TUMF) Program as required by, and in accordance with, Chapter 15.08 of the Temecula Municipal Code and all Resolutions implementing Chapter 15.08. In addition to the above Public Works Department Conditions of Approval, THE FOLLOWING CONDITIONS OF APPROVAL SHALL BE COMPLETED PRIOR TO THE ISSUANCE OF THE FIRST BUILDING PERMIT IN PHASE I — (A 140 -bed hospital) 122. Parcel Map No. 32468 shall be recorded, unless otherwise approved by the Director of Public Works. 123. The Developer shall design the following public improvements to City of Temecula General Plan standards unless otherwise noted. Plans shall be reviewed and approved by the Director of the Department of Public Works: a. Highway 79 South (Urban Arterial Highway Standards - 134' R/W) to include installation of sidewalk, street lights, underground utilities, drainage facilities, signing and striping, utilities (including but not limited to water and sewer). Westbound a) Provide a dedicated right turn lane - 12 foot wide by 200 feet long b) Provide three thru lanes c) Provide one left turn lane ii. Eastbound a) Provide two left turn lanes b) Provide two thru lanes and c) Provide one shared thru/right lane b. Dona Lynora (66' R/W) Installation of half -street improvements, paving, curb and gutter, utilities (including but not limited to water and sewer) ii. Restricted to right in/right out vehicular movement c. Main entry (Country Glen Way) and Highway 79 South Signal modification ii. Provide a 245' continuous median from Highway 79 South to main drive aisle iii. Southbound (exiting site) a) Provide two left turn lanes b) Provide a 20 -foot wide shared thru/right turn lane iv. Northbound (entering site) — 28 foot wide d. De Portola Road (Modified Secondary Arterial (4 lane separated) — 88' R/W) Installation of half -street improvements, paving, curb and gutter, 16 utilities (including but not limited to water and sewer) ii. Provide a 28 foot wide internal ingress/egress connection to De Portola Road e. State Route 79/Redhawk Parkway (Margarita Road) Provide southbound and eastbound right turn traffic signal overlap. Building and Safety Department The Conditions of Approval herein (Building and Safety Department) are not applicable to the projects that fall under the jurisdiction of the State of California OSHPD. These conditions are applicable to the construction documents for projects, specifically the medical office buildings that are within the jurisdiction of the City of Temecula Building and Safety Department. 124. All design components shall comply with applicable provisions of the California Building, Plumbing and Mechanical Codes; California Electrical Code; California Administrative Code, Title 24 Energy Code, California Title 24 Disabled Access Regulations, and the Temecula Municipal Code in place at the time of building permit application submittal. 125. A complete exterior site lighting plans showing compliance with Ordinance No. 655 for the regulation of light pollution. All street -lights and other outdoor lighting shall be shown on electrical plans submitted to the Department of Building and Safety. Any outside lighting shall be hooded and directed so as not to shine directly upon adjoining property or public rights-of-way. 126. A receipt or clearance letter from the Temecula Valley School District shall be submitted to the Building & Safety Department to ensure the payment or exemption from School Mitigation Fees. 127. Obtain all building plans and permit approvals prior to commencement of any construction work. 128. All building and facilities must comply with applicable disabled access regulations. Provide all details on plans (California Disabled Access Regulations effective April 1, 1998). 129. Provide disabled access from the public way to the main entrance of the building. 130. Provide van accessible parking located as close as possible to the main entry. 131. Provide number and type of restroom fixtures, to be in accordance with the provisions of the California Plumbing Code in place at the time of building permit application submittal. 132. Provide appropriate stamp of a registered professional with original signature on plans prior to permit issuance. 133. Provide electrical plan including load calculations and panel schedule, plumbing schematic and mechanical plan for plan review. 134. Truss calculations that are stamped by the engineer of record and the truss manufacturer engineer are required for plan review submittal. 135. Provide precise grading plan at plan check submittal to check accessibility for persons with disabilities. 17 136. A pre -construction meeting is required with the building inspector prior to the start of the building construction. Fire Prevention 137. The developer shall furnish three copies of the water system plans to the Fire Prevention Bureau for approval prior to installation for all private water systems pertaining to the fire service loop. Plans shall be signed by a registered civil engineer, contain a Fire Prevention Bureau approval signature block, and conform to hydrant type, location, spacing and minimum fire flow standards as required in these conditions. Hydraulic calculations will be required with the underground submittal to ensure fire flow requirements are being met for the on-site hydrants. The plans must be submitted and approved prior to building permit being issued (CFC Chapter 14, Section 1412 and Chapter 5, Section 501.3). 138. Fire sprinkler plans shall be submitted to the Fire Prevention Bureau for approval for all medical office buildings, except the actual hospital as that is handled by the State. Three sets of sprinkler plans must be submitted by the installing contractor to the Fire Prevention Bureau. These plans must be submitted prior to the issuance of building permit. 139. Fire alarm plans shall be submitted to the Fire Prevention Bureau for approval for all medical office buildings, except the actual hospital as that is handled by the State. Three sets of alarm plans must be submitted by the installing contractor to the Fire Prevention Bureau. The fire alarm system is required to have a dedicated circuit from the house panel. These plans must be submitted prior to the issuance of building permit. PRIOR TO RELEASE OF POWER, BUILDING OCCUPANCY OR ANY USE ALLOWED BY THIS PERMIT Planning Department 140. A report of findings, including an itemized inventory of recovered specimens, shall be prepared upon completion of the steps outlined the initial study, under cultural resources. The report shall include a discussion of the significance of all recovered specimens. The report and inventory, when submitted to the Lead Agency (City of Temecula), would signify completion of the program to mitigate impacts to the palentologic and archaeological resources. 141. The applicant shall be required to screen all loading areas and roof mounted mechanical equipment from view of the adjacent residences and public right-of-ways. If upon final inspection it is determined that any mechanical equipment, roof equipment or backs of building parapet walls are visible from any portion of the public right-of-way adjacent to the project site, the developer shall provide screening by constructing a sloping tile covered mansard roof element or other screening if reviewed and approved by the Director of Planning. 142. All required landscape planting and irrigation shall have been installed consistent with the approved construction plans and shall be in a condition acceptable to the Director of Planning. The plants shall be healthy and free of weeds, disease, or pests. The irrigation system shall be properly constructed and in good working order. 143. Performance securities, in amounts to be determined by the Director of Planning, to guarantee the maintenance of the plantings in accordance with the approved construction 18 landscape and irrigation plan shall be filed with the Planning Department for a period of one year from final certificate of occupancy. After that year, if the landscaping and irrigation system have been maintained in a condition satisfactory to the Director of Planning, the bond shall be released upon request by the applicant. 144. Each parking space reserved for the handicapped shall be identified by a permanently affixed reflectorized sign constructed of porcelain on steel, beaded text or equal, displaying the International Symbol of Accessibility. The sign shall not be smaller than 70 square inches in area and shall be centered at the interior end of the parking space at a minimum height of 80 inches from the bottom of the sign to the parking space finished grade, or centered at a minimum height of 36 inches from the parking space finished grade, ground, or sidewalk. A sign shall also be posted in a conspicuous place, at each entrance to the off- street parking facility, not less than 17 inches by 22 inches, clearly and conspicuously stating the following: "Unauthorized vehicles parked in designated accessible spaces not displaying distinguishing placards or license plates issued for persons with disabilities may be towed away at owner's expense. Towed vehicles may be reclaimed by telephoning (951) 696-3000." 145. In addition to the above requirements, the surface of each parking place shall have a surface identification sign duplicating the Symbol of Accessibility in blue paint of at least three square feet in size. 146. All site improvements including but not limited to parking areas and striping shall be installed prior to occupancy or any use allowed by this permit. 147. All of the foregoing conditions shall be complied with prior to occupancy or any use allowed by this permit. Public Works Department PHASE I - A 140 -bed hospital. 148. Prior to the first Certificate of Occupancy in Phase I, the following improvements shall be constructed and operational: a. Highway 79 South Traffic signal modifications at the intersection of Highway 79 South and Country Glen Way ii. Roadway improvements a) Westbound (i) Provide a dedicated right turn lane - 12 foot wide by 200 feet long (ii) Provide three thru lanes (iii) Provide one left turn lane b) Eastbound (i) Provide two left turn lanes (ii) Provide two thru lanes and 19 (iii) Provide one shared thru/right lane b. Main Entry/Country Glen Way Provide a 245' continuous median from Highway 79 South to main drive aisle ii. Southbound (exiting site) a) Provide two left turn lanes b) Provide a 20 -foot wide shared thru/right turn lane iii. Northbound (entering site) — 28 foot wide c. De Portola Road (Modified Secondary Arterial (4 lane separated) — 88' R/W) 28 -foot wide internal ingress/egress connection from project site to De Portola Road ii. Roadway improvements d. State Route 79/Redhawk Parkway (Margarita Road) Southbound and eastbound right turn traffic signal overlap e. Dona Lynora (66' R/W) Installation of half -street improvements, paving, curb and gutter, utilities (including but not limited to water and sewer) ii. Restricted to right in/right out vehicular movement 149. As deemed necessary by the Department of Public Works, the Developer shall receive written clearance from the following agencies: a. Rancho California Water District b. Eastern Municipal Water District c. Department of Public Works 150. All public improvements, including traffic signal modification, shall be constructed and completed per the approved plans and City standards to the satisfaction of the Director of the Department of Public Works. 151. The existing improvements shall be reviewed. Any appurtenance damaged or broken shall be repaired or removed and replaced to the satisfaction of the Director of the Department of Public Works. Building and Safety Department 152. Developments with multi -tenant buildings or Shell Buildings shall provide a house electrical meter to provide power for the operation of exterior lighting, irrigation pedestals and fire alarm systems for each building on the site. Developments with Single User Buildings shall clearly show on the plans the location of a dedicated panel in place for the purpose of the operation of exterior lighting and fire alarm systems when a house meter is not specifically proposed. Fire Prevention 153. Hydrant locations shall be identified by the installation of reflective markers (blue dots) per City Ordinance 15.16.020 Section E. 20 154. New buildings shall have approved address numbers, building numbers or approved building identification placed in a position that is plainly legible and visible from the street or road fronting the property. These numbers shall contrast with their background. Commercial, multi -family residential and industrial buildings shall have a minimum of 12 -inch numbers with suite numbers being a minimum of six inches in size. All suites shall have a minimum of 6 -inch high letters and/or numbers on both the front and rear doors (CFC Chapter 5, Section 505.1 and City Ordinance 15.16.020 Section E). 155. A "Knox -Box" shall be provided. The Knox -Box shall be installed a minimum of six feet in height and be located to the right side of the fire riser sprinkler room (CFC Chapter 5, Section 506). 156. All manual and electronic gates on required Fire Department access roads or gates obstructing Fire Department building access shall be provided with the Knox Rapid entry system for emergency access by fire fighting personnel (CFC Chapter 5, Section 506). 157. The applicant shall prepare and submit to the Fire Department for approval, a site plan designating fire lanes with appropriate lane painting and/or signs (CFC Chapter 5, Section 503.3). 158. The developer/applicant shall be responsible for obtaining underground and/or aboveground tank permits for the storage of combustible liquids, flammable liquids or any other hazardous materials from both the County Health Department and Fire Prevention Bureau (CFC Chapter 34 and City Ordinance 15.16.020). 159. A simple plot plan and a simple floor plan, each as an electronic file of the .DWG format, must be submitted to the Fire Prevention Bureau. Contact Fire Prevention for approval of alternative file formats which may be acceptable Police Department 149. Marked Parking for Disabled Vehicles: All disabled parking stalls on the premises shall be marked in accordance with section 22511.8 of the California Vehicle Code. OUTSIDE AGENCIES 150. Flood protection shall be provided in accordance with the Riverside County Flood Control District's transmittal dated July 24, 2004, a copy of which is attached. The fee is made payable to the Riverside County Flood Control Water District by either a cashier's check or money order, prior to the issuance of a grading permit (unless deferred to a later date by the District), based upon the prevailing area drainage plan fee. 151. The applicant shall comply with the recommendations set forth in the County of Riverside Department of Environmental Health's transmittal dated July 7, 2007, a copy of which is attached. 152. The applicant shall comply with the recommendations set forth in the Riverside Transit Authority's transmittal dated July 21, 2004, a copy of which is attached. 153. The applicant shall comply with the recommendations set forth in the Rancho California Water District's transmittal dated July 12, 2004, a copy of which is attached. 21 YY h1V1\G11 L. YY11.1.1KIYJJ General Manage-ChicfEngineer 1995 MARKET S I REL 1 RIVERSIDE, CA 92501 909.955.1200 909.788.9965 FAX 51180.1 RIVERSIDE COUNTY FLOOD CONTRA, AND WATER CONSERVATION DISTId( City of Temecula stn(Oftwee Box 9033 Post Temecula, California 92589-8033 Attention: t t -c4.4 Ladies and Gentlemen: 1 y !1 JUL 2 8 2004 J Re: +ire oL -bgb2 k PA. O*—o't:3 The District does not normally recommend •• diflons for land divisions or other land use cases in incorporated cities. The District also does not plan check • land use cases, or provide State Division of Real Estate letters or other flood hazardfor such cases. a admmentstrecommendations forsuch cases are normally limited to Items of specific erest to the District including District Master Drainage Plan facilities, other regional flood control and drainage facilities which could be considered a logical cnonent or extenslon of a master Plan system, and District Area Drainage Plan fees (development mitigation fees). fn addition,' Information of a general nature Is provided. The District has not reviewed the proposed project in detail and the following checked comments do not in any way constitute or imply District approval or endorsement of the proposed project with respect to flood hazard, public health and safety or any other such issue: This project would not be impacted by District Master Drainage Ptan facilities nor are other faditles of regional Interest proposed. This project Involves District Master Plan facilities. The District winownerahi of such facilities on written request of the City. Facilities must be constructed io District �, and District plan check and ink will be required for District acceptance. Plan check, Inspection and administrative fees will be re This protect proposes channels, storm drains 36 inches or larger in diameter. or other facilities that could be constdered regional in nature and/or a Icy extension of the adopted Master Drainage Plan. The District world consider aocepting ownership ofsuch 'militias on written requusf of bberequired for Districtt acceptance. Plan check, inspection and adminstraUmust be constructed to District standards, and ntplanve feesaro inspection will This project Is located within the limits of the Districts Area Drainage Plan for which drainage fees have been ad ted; applicable tees should be paid by cashier's check or money order only to the Ftood Control DleMc prior. to Issuance of building or grading permits whichever comes first Fees to be paid should be at the rate In effect at the time of ssuance of ute.actual permit. GENERAL INFORMATION This project ma ire a National Pollutant Discharge Elimination System (NPDES)permit from the State Water Resources Co Control Mani. Clearance for grading, recordation, or other final approvshould not be given until the `City has determined teethe project has been granted a perreltor ia-shown io be exempt. If this project involves a Federal Emergency Management Agency (F good plain, then the City shodd require- the applicant to provide aU studies calculations, pians and information required to meat FEMA p otrlrements, and should further re qa} the applicant obtain aEiG� Letter of Map Revision CLOMR) r to grading, recordation or other prat approval of the project, and a Letter of Map Revision (LOMR) prior to occupancy. If a natural watercourse or mapped flood pial n is Imp this project, the City should require the applicant to obtain a Section 1601/1603 Agreement from the Caatohnia Cfepartment of Fish and Game and a Clean Water Ad Section 404 Pethe rmit from the U.S. Army Coups of Ems, or writt t l correspondence from ase a endes may belindicating required Trom the local California Regi requirements. Qu tty CConClean �trol Board prior Act Section 0 issuance of a Corpsica 04 permit X tie•I cr . fait: t.h w,,- sit tut-- i iG Very truly yours, Ootp.-weo t..k.w. hliT1140 r tf its qu cr 14r0K'-Ce- Hl"� f 111-' r.) rT tt G� DIAZ r (sTFi Gr C4 L4 11 f , ARTURO T,t clnt-P• V` 1.-11- Senior Chi/ Engineer c:fY Date:_, COUNTY OF RIVERSIDE • COMMUNITY HEALTH AGENCY Ade,LS11.DEPARTMENT OF ENVIRONMENTAL HEALTH • July 7, 2004 City of Temecula Planning Department P.O. Box 9033 Temecula, CA 92589-9033 Attention: Dan Long RE: Piot Plan No. PA04-0462 & PA04-0463 Dear Mr. Long: Department of Environmental Health has reviewed the Piot Plan No. PA04-0462 & PA04-0463 to construct Temecula Regional Hospital and has no objections. Water and sewer services should be available in this area, although we have not in receipt of any infonnation concerning those services. PRIOR TO THE ISSUANCE OF BUILDING PERMITS THE FOLLOWING SHOULD BE REQUIRED: a) "Will -serve" letters from the appropriate water and severing districts. b) Any food establishments, (including vending machines), shall require three complete sets of plans for each food establishment will be submitted including a fixture schedule, a finish schedule and a plumbing schedule in order to ensure compliance with the California Uniform Retail Food Facilities Law 2. For specific reference, contact Food Facility Plan Examiners at (909) 600-6330. c) Any hazardous materials handling or storage Shall require a clearance letter from the Department of Environmental Health Hazardous Materials Management Branch (955- 5055) Sincerely, Sana Martinez, Supervising environmental Health Specialist (909) 9554980 NOTE: Any current additional requirements not covered can be applicable at time of Building Plan review for final Department of Environmental Health clearance. cc: Doug Thompson, Hazardous Materials • cal Eatorcement Agency • Ea Bre 1280, Riverside, CA 92502-1280 • (909) 955-8982 • FAX (909) 781-9653 • 4080 Lemon Street 9th Root. Riverside, CA 92501 .and Use ani Water Engineering • PAI Boa 1206, Riverside, CA 92502-1206 • NOT 955-8980 • FAX (909) 955-8903 • 4080 Lemon Street, 2nd Floor, Riveskie, CA 92501 Rtv.stiwe Transit Agency 1825 Third Street P.O. Box 59988 Wuerside. CA 92517-1968 Phone: (909) 565-5000 Fax (909) 565-5001 July 21, 2004 Mr. Dan Long, Case Planner Planning Dept, City of Temecula P.O. Box 9033 Temecula, CA 92589-9033 SUBJECT: PO4-0462 and PA44-0463 -Temecula Hospital - Comments from RTA i . Dear Mr. Long: Thank you for the opportunity to review the site plan for the proposed 535,000 sq ft medical complex at Temecula Hospital along State Route (SR) 79. A copy of RTA Planning's internal Development Review Memo is enclosed and provides additional rationale and technical detail in support of the requests for transit amenities that would expand mobility options for this project. To encourage and enhance future transit options at Temecula Hospital, RTA recommends the site plan or street improvement plans be revised at to show the following features: • A paved, lighted, and ADA -compliant transit bus stop with a 220 ft -long turnout configura- tion capabte of accommodating two parked buses, to be Installed along the N side of SR 79, just west of the primary hospital entrance. The bus stop should incorporate a paved passenger waiting area and space for installation of benches and passenger shelters. • Information note: Sufficient right-of-way appears available for this turnout without significant adjustment to sidewalks, loss of parking spaces or required landscaping and with minimum disturbance of future street tree or utility structure Installations. • RTA staff is also recommending designation on the plans of an additional specified dear path of travel from the bus stop to the entrance of the main hospital building. • RTA staff alsoadvises that the project proponents work with the City to Install two new passenger shelters at the new bus stop that are Complimentary to the hospital's design and architectural themes. RTA requests these recommendations be made conditions of approval for PA 04-0462 and PA04-0463. If you need further clarification or I can be of further assistance, please call me at (909) 565-5164 or contact me online at LnmccovOiversidetransit corn. Michael McCoy Senior Planner F:WataiPlanninglMiketvl\Word1Dev Rev4evATemecuia120041RTA Ltrhd - Temec Hosp.doc July 21, 2004 lOrrnido Ili mil Agency PLANNING DEPARTMENT MEMO DEVELOPMENT REVIEW To: Anne Palatino, Director of Planning From: Michael McCoy, Senior Planner Subject City of Temecula, Cases PA04-0462 & -0463: Piot Plan review andCUP for 535,000 sq ft of hospital and medical -related fadrities, N of State Route (SR) 79 and W of Margarita Rd; Riverside Transit Agency (RTA) Comments Bus routes involved: Existing Route 24 and future bus routes Summary: Universal Health Care Services Inc proposes a site plan and conditional use permit for the Temecula Hospital project, 535,000 sq ft of medical facilities located on 35 now vacant acres 1/4 mite west of the SR79-Maw Rd intersection in a rapidly expanding commercial district of Temecula. This will be the first full -facility medical Institution in Southwest Riverside County and will be a distinct asset to the community, challenging planners and engineers to provide a robust suite of mobility options for access to it. The project includes the following components: • 176 -bed, 6 -story hospital building, including Emergency admittance • A 5 -story expansion of the hospital • Two muiti-story medical office buildings • Cancer center • Fitness center • 1280 parking spaces The she plan's perimeter and Interior circulation pattems are very good, with primary access provided directly off a signalized Intersection at SR 79 and Country Glen Wy. The hospital's rnaln building entrance win have a covered drive-thru loop suitable for van - pools, paratransit and most private vehicles. Several ADA paths -of -travel are specified on the site plan for connection between the main hospital and an perimeter driveways. RTA operates Route 24 along some portions of SR79 but the bus currently does not stop at this site. RTA is currently studying a general reconfiguration of bus routes in South- west Riverside County and anticipates additional bus service along SR79 and Margarita Rd In the relatively near future since It Is an important arterial that would serve many commercial generators of bus traffic. In considering what transit amenities would be appropriate for the Temecula Hospital site, RTA staff looked at other comparable hospitals in the inland Counties. In some cases, such as Route 17, the hospital is important enough to be the route terminus or name of the line as identified on the bus itself. Also, several distinct transit routes often servo a single large hospital, as listed on the next page. It was found that in general, buses would come onto the site, close to the main building, to drop off and pick up passengers if the facility was publicly owned, such as Riverside F:\datalPtann ng\MikeMMWordtDev RsvtevvATemeada120041TemeculaHosp.doc County General Medical Center in Moreno Valley. For privately owned hospitals, like Kaiser or San Gorgonio, the transit stop was always off the property along a nearby street. Some examples of transit service and stops are: • Kaiser Hospital in Riverside: 2 lines, with transit stops along Magnolia having multiple turnouts, benches and shelters, etc; • Loma Linda Hospital: 3 lines, with transit stops at several locations on perimeter of complex and other nearby medical facilities such as the Veterans Hospital; • Riverside General: 3 lines, with transit center and bus turn -around on site, very close and convenient to main building; • Riverside Community: 2 lines, bus stops along Magnolia, off the property; • Corona Regional Med Ctr: 2 lines; bus stops along S Main St, off the property; • St. Bemardlne Med Ctr. 3 lines, multiple bus stops along various perimeter sts Smaller hospitals such as Menifee Valley Med Ctr or the Inland Valley Regional Medical Ctr are not expected to be comparable to the planned Temecula facility upon its full build -out. RTA staff believes Riverside's Kaiser Hospital bus stop configuration would be most comparable with the future needs of the proposed Temecula facility, since the former also has several medical towers, doctor offices and a slmllar perimeter access road network. No on-site access for regular transit buses is anticipated at either site. To ensure safety and convenience of future transit operations at the Temecula Hospital, RTA Is respectfully requesting the site plan or associated street engineering plans be amended to include a two or three -bay bus stop and bus turnout located at: • North side of State Highway 79, on the far side (west of) the proposed signalized Intersection with Country Glen VYy and the primary hospital entrance. The stop's taper, or entrance area, should begin no loser than 50 feet from the end of the Intersection's radius and extend for no less than 220 ft to accommodate two parked buses. The exact position would depend on location of utility structures. commer- cial signs, street lighting, key landscaping and other factors. The minimum depth (i.e. width) of the turnout is 10 ft, however this may be reduced to 5 ft if a designa- ted, striped bike path Is installed along this portion of State Highway 79. • Additionally, RTA requests the site pian specify another clear path of travel from the main building going directly out to the requested bus stop location. • RTA staff also requests that the protect proponents consider investing In some additional architectural amenities for the bus stop, Its benches and shelters by perhaps taking this opportunity to make a positive visual statement at this site in the interests of maintaining the corrununity image of Temecula. Because this facility will be one of the most well-known and visited places in the city, Its bus stop is deserving of a hlgh-quallty bench and shelter that are visually compatible and complimentary to the main building architectural theme. The applicant's architect or engineers are urged to contact RTA staff for further details. RTA staff will request the multi -bay bus turnout and the path of travel discussed above be made conditions of approval for cases 04-0462 and 04.0463. RTA staff will work with future developers of the eastbound bus stop site (across SR 79) to ensure it is comparable and compatible with the stop In front of the Hospital. INITIAL REVIEW INFORMATION - Review completed date: July 21, 2004. F_tdataWtanning\MikeMlWord\Dev RevlewlTemeaula120041TemecutaHiosp.doc Rancho water Board dDirocton John E Hearta.d Freidara Crab. F. E. Br. Woe Pr..td.at S4.Qben J. Com. Ralph R. Drily Rea R. Drat. U.. D. Rama John V. R..d Brim .L Bred? Pkifl p [. F.rk.. Director of NtoorosTre.ra.er R.P. $ob• resaon. Dir.drr of S>4to.a(.s Parry R. Leask CaotaeLLer UW M. Fervor District 8.a.tariadLoa +a.tr*Hw Gerd.* Massager C. nath.d Cq.ete a..r a..t s grim., 1" ca.a.t Gramma July 12, 2004 Dan Long, Project Planner City of Temecula Planning Department Post Office Box 9033 Temecula, CA 92589 - 9033 SUBJECT: WATER AVAILABILITY, TEMECUL GIONAL HOSPITAL; PARCELS NO. 1, NO. 2, AND NO. 3 OF PARCEL MAP 13043; PARCEL 4 OF PARCEL MAP 6813; AND PARCE S NO. 1, NO. 2, NO. 3, AND NO. 4 OF PARCEL MAP 13734; APN 959.080-001 THROUGH APN 959-080-004, AND APN 959-080-007 THROUGH APN 959-080-010; PA04-0462 AND PA04-0463 Dear Mr. Long: Please be advised that the above -referenced property is located within the boundaries of Rancho California Water District (RCWD). Water service, therefore, would be available upon construction of any required on-site and/or off- site water facilities and the completion of financial arrangements between RCWD and the property owner. If fire protection is required; the customer will need to contact RCWD for fees and requirements. Water availability would be contingent upon the property owner signing an Agency Agreement that assigns water management rights, if any, to RCWD. All on-site public water facilities will require public utility easements in favor of RCWD. The project proposes to relocate RCWD's 12 -inch discharge pipeline and the associated easement from RCWD Well No. 120. This pipeline must be contained within a minimum 20 -foot -wide easement, which is located such that no permanent structures or trees are located within its boundaries. The project proponent should schedule a meeting with RCWD to confirm and detail these requirements. If you have any questions, please contact an Engineering Services Representative at this office. Sincerely, RANCHO CALIFORNIA WA TER DISTRICT • Mc ad. G. Meyerpeter, P Development Engineerin 04\tabac0tWU, c Laurie Williams. Engineering Services Supervisor Bud Jones. Engineering Project Coordinator Ruck* C.lroraia Rata. Markt 42136 W1od..t.r B..: • Prat Offen. Box MT • SL... viR. gtt6.1da 9258941019 • CM 3984900 • FAX (f68) lY:tiW Notice of Public Hearin THE CITY OF TEMECULA 41000 Main Street Temecula, CA 92590 A PUBLIC HEARING has been scheduled before the CITY COUNCIL to consider the matter(s) described below. Case No: PA18-1258 Applicant: Universal Health Services - Temecula Valley Hospital Location: 31700 Temecula Parkway Proposal: A Modification to revise Development Plan (PA10-0194) Condition of Approval No. 27 to require the commencement of the Phase IV hospital bed tower (hospital bed tower 2) foundation within 15 years of the issuance of the Certificate of Occupancy for the Phase I hospital building (hospital bed tower 1), or no later than February 8, 2029. Environmental Action: In accordance with the California Environmental Quality Act (CEQA), the proposed project is exempt from further environmental review and a Notice of Exemption will be adopted in compliance with CEQA (Section 15162, Subsequent EIRs and Negative Declarations) PLACE OF HEARING City Council Chambers 41000 Main Street Temecula, California DATE OF HEARING November 13, 2018 TIME OF HEARING 7:00 PM Any person may submit written comments to the City Council before the hearing or may appear and be heard in support of or opposition to the approval of the project at the time of hearing. Any petition for judicial review of a decision of the City Council shall be filed within the time required by, and controlled by, Sections 1094.5 and 1094.6 of the California Code of Civil Procedure. In any such action or proceeding seeking judicial review of, which attacks or seeks to set aside, or void any decision of the City Council, shall be limited to those issues raised at the hearing or in written correspondence delivered to the City Clerk at, or prior to, the public hearing described in this notice. The proposed project application may be viewed at the public information counter, Temecula Civic Center, Community Development Department, 41000 Main Street, Monday through Friday from 8:00 a.m. until 5:00 p.m. Questions concerning the project(s) may be addressed to Scott Cooper, City of Temecula Community Development Department, (951) 506-5137. Public Hearings 18-16 CITY COUNCIL BUSINESS Item No. 17 Approvals City Attorney Director of Finance City Manager CITY OF TEMECULA AGENDA REPORT TO: City Council FROM: Aaron Adams, City Manager DATE: November 13, 2018 SUBJECT: Approve Recommendation for Community Service Funding Program for Fiscal Year 2018-19 PREPARED BY: Betsy Lowrey. Senior Management Analyst RECOMMENDATION: That the City Council approve the Community Service Funding Ad Hoc Subcommittee's recommendation to allocate a total of $86.500 to fund 23 out of 31 grant applications received from nonprofit organizations for the Fiscal Year 2018-19 Community Service Funding Program. BACKGROUND: The City Council appointed Council Member Jeff Comerchero and Council Member James Stewart to the Fiscal Year 2018-19 Community Service Funding Ad Hoc Subcommittee to recommend grant fund allocations up to $5,000 per non-profit organization for programs that provide community services to the citizens of Temecula. The Community Service Funding Program adopted Fiscal Year 2018-19 budget is $100,000. The Community Service Funding Program information was e-mailed to non-profit organizations in the Temecula Valley area including all community-based charities in the City's database. In addition, advertisements were sent to the local media. The application and guidelines were also posted on the City's website and hard copies were made available at City Hall. A total of 31 applications from non-profit organizations were submitted to the City requesting a total of $148,200 in grant funding. The Ad Hoc Subcommittee, along with staff members, reviewed the requests for funding based on criteria previously adopted by the City Council to support non-profit organizations who offer community -wide services such as food, clothing, shelter. and medical care. At this time, the Ad Hoc Subcommittee recommends that 23 organizations receive grant funding ranging from $1,000 to $5,000 each, totaling $86,500. $13,500 will remain in the FY18-19 budget for the possibility of additional programs to be funded as directed by the City Council. FISCAL IMPACT: Funds are available in the Fiscal Year 2018-19 Community Service Funding line item budget in the amount of $86,500. ATTACHMENTS: 1. Fiscal Year 2018-19 Community Service Funding Program Ad Hoc Subcommittee Recommendation Spreadsheet 2. Fiscal Year 2018-19 Community Service Funding Program Applications COMMUNITY SERVICE FUNDING (CSF) GRANT PROGRAM Account No. 001-101-999-5267 u 2 F NAME OF ORGANIZATION Address NOTE: Nonprofits located outside Temecula can still serve Temecula residents. FY 2018-19 REQUESTED PROGRAM/PROJECT DESCRIPTION SUBCOMMITTEE AWARD (Summarized) RECOMMENDATION $ 1 American Patriot Music Project (formerly Phoenix Patriot) 2 Assistance League of Temecula 3 Boys & Girls Club of Southwest County $5,000 STEM GUITAR BUILDING PROJECT 2019. Funding would go toward operational expenses [for prefabricated guitar kits to make instruments -music therapy for Veterans and first responders.] $5,000 FINANCIAL LITERACY SHADES. 1 -DAY Financial Literacy Conference to 66 TVUSD at -risk high school students and/or continuing education students. Conference supplies include classroom materials, participation incentives, student meals and books. $5,000 AFTER-SCHOOL TRANSPORTATION PROGRAM. Provides] transportation from 11 schools in Temecula to the Boys & Girls Club after school for approximately 50 youth. Funds from this grant will be used to off -set the cost of the following: repair and maintenance, fuel, phones, marketing, staff certification and training. $5,000 $5,000 $5,000 GRANTS PROVIDED BY THE CITY IN PREVIOUS YEARS FY 2015-2016 CSF FY 2016-2017 FY 2017-2018 Did not apply 5,000 Did not apply 1,000 4,769 5,000 Did 0 5,000 not apply COUNCIL CSF FY 2015-2016 FY 2016-2017 FY 2017-2018 Did Did Did not not not apply apply apply Did Did Did not not not apply apply apply Did Did 2,500 not not apply apply CDBG FY 2015-2016 FY 2016-2017 FY 2017-2018 FY 2018-2019 Did Did Did Did not not not not apply apply apply apply 7,892 8,283 5,345 7,961 7,892 0 5,345 7,961 Legend: "0" = Applied and Declined 1 COMMUNITY SERVICE FUNDING (CSF) GRANT PROGRAM Account No. 001-101-999-5267 I_T11�L�73�[�I2i NAME OF ORGANIZATION Address NOTE: Nonprofits located outside Temecula can still serve Temecula residents. FY 2018-19 REQUESTED PROGRAM/PROJECT DESCRIPTION SUBCOMMITTEE AWARD (Summarized) RECOMMENDATION 4 Canine Support Teams, Inc. $5,000 SERVICE DOGS FOR DISABLED PERSONS. Provides up to 3 Temecula residents with fully trained, ADA compliant service dogs. Funds will be used for food and routine vaccinations, 2 years of socializing, handling and training, monthly flea/tick and heartworm prophylactic, spay/neuter and veterinary care, training certifications, CST branded harness/vest, collar, leash. GRANTS PROVIDED BY THE CITY IN PREVIOUS YEARS CSF Did not apply 2,269 2,500 FY 2015-2016 In 10 is FY 2016-2017 T FY 2017-2018 Did Did Did not not not apply apply apply CDBG FY 2015-2016 FY 2016-2017 FY 2017-2018 FY 2018-2019 0 2,556 Did not apply 5,583 Legend: "0" = Applied and Declined 2 COMMUNITY SERVICE FUNDING (CSF) GRANT PROGRAM Account No. 001-101-999-5267 Address NOTE: Nonprofits NAME OF located outside 0 ORGANIZATION Temecula can still 3 serve Temecula residents. FY 2018-19 REQUESTED PROGRAM/PROJECT DESCRIPTION SUBCOMMITTEE AWARD (Summarized) RECOMMENDATION $ 5 Charity for Charity $5,000 CFC FUNDRAISING CONCERT, THE UNSTOPPABLES & THE CHARITY MAGAZINE. Funds will help launch our motivational speaking team [Unstoppables/ TVUSD students] including advertising, printing materials, marketing materials. Charity Magazine: advertising, print materials, marketing, promoting. Fundraising Concert [raise funds for upcoming projects]: production, video, stage, sound system, transportation. $2,5001 GRANTS PROVIDED BY THE CITY IN PREVIOUS YEARS FY 2015-2016 CSF FY 2016-2017 FY 2017-2018 Did Did Did not not not apply apply apply COUNCIL CSF FY 2015-2016 FY 2016-2017 FY 2017-2018 750 1,200 750 FY 2015-2016 FY 2016-2017 Did Did Did Did not not not not apply apply apply apply Legend: "0" = Applied and Declined 3 COMMUNITY SERVICE FUNDING (CSF) GRANT PROGRAM Account No. 001-101-999-5267 �i3i]�[�►l1AL[fi NAME OF ORGANIZATION Address NOTE: Nonprofits located outside Temecula can still serve Temecula residents. FY 2018-19 REQUESTED PROGRAM/PROJECT DESCRIPTION SUBCOMMITTEE AWARD (Summarized) RECOMMENDATION $ 6 Choice Program, Inc. 1 $5,000 THE CHOICE PROGRAM. [Works with to develop future leaders, build strong families/ communities. Events hosted by Founder James Cooley.] The funds will be used to cover the costs of 4 special community events during the program year. These events will highlight local and national speakers, become a platform for leadership building, and create an opportunity to strengthen family and community ties. [Funds go toward: food, t - shirts, education materials for events.] $1,000 GRANTS PROVIDED BY THE CITY IN PREVIOUS YEARS FY 2015-2016 CSF FY 2016-2017 FY 2017-2018 Did not apply FY 2015-2016 I 0 c FY 2016-2017 n FY 2017-2018 Did Did Did not not not apply apply apply CD BG FY 2015-2016 FY 2016-2017 FY 2017-2018 FY 2018-2019 Did not apply Did not apply Did not apply Did not apply Legend: "0" = Applied and Declined 4 COMMUNITY SERVICE FUNDING (CSF) GRANT PROGRAM Account No. 001-101-999-5267 [tIOTITAINIE NAME OF ORGANIZATION Address NOTE: Nonprofits located outside Temecula can still serve Temecula residents. FY 2018-19 REQUESTED PROGRAM/PROJECT DESCRIPTION SUBCOMMITTEE AWARD (Summarized) RECOMMENDATION $ 7 Congregation B'nai Chaim 8 Elizabeth Hospice / Foundation $5,000 AN AFTERNOON OUT. "An Afternoon Out" provides time-out for Temecula family caregivers of elderly adults. A variety of programs require (the) purchase of musical instruments, movie equipment, snacks, door safety alarms [and advertising. This is a respite program for family care givers which serves up to 25 Temecula families for 2 - 2.5 hours twice a week.] $2,500 SOUND MASKING SYSTEM. Purchase and install a Sound Masking System for our Temecula office where residents may come for assistance with challenges related to advanced serious illness or a loved one's passing. $1,000 0 GRANTS PROVIDED BY THE CITY IN PREVIOUS YEARS FY 2015-2016 CSF FY 2016-2017 Did not apply FY 2017-2018 Did Did not not apply apply 0 Did -1 not !!! apply COUNCIL CSF FY 2015-2016 FY 2016-2017 FY 2017-2018 Did Did Did not not not apply apply apply Did Did Did not not not apply apply apply CDBG T FY 2015-2016 FY 2016-2017 FY 2017-2018 j FY 2018-2019 Did Did Did Did not not not not apply apply apply apply 7,892 Did Did Did not not not apply apply apply Legend: "0" = Applied and Declined 5 COMMUNITY SERVICE FUNDING (CSF) GRANT PROGRAM Account No. 001-101-999-5267 NAME OF ORGANIZATION Address NOTE: Nonprofits located outside Temecula can still serve Temecula residents. FY 2018-19 REQUESTED PROGRAM/PROJECT DESCRIPTION SUBCOMMITTEE AWARD (Summarized) RECOMMENDATION $ 9 Fallbrook Healthcare Foundation dba Foundation for Senior Care $5,000 SENIOR CARE ADVOCACY. The program provides free in-home services to seniors that provides (1) mobility/ access support (ramps, grab bars), (2) distributes home safety kits and fall prevention measures (e.g., walkway lighting, walkers/wheelchairs, smoke/carbon monoxide detectors, and connects seniors to local and national resources to help them age safely in place. [Funding may also cover transportation costs incurred to conduct these home visits (fuel costs) and other easily installed devices.] GRANTS PROVIDED BY THE CITY IN PREVIOUS YEARS FY 2015-2016 CSF FY 2016-2017 FY 2017-2018 Did not apply Did not apply Did not apply FY 2015-2016 isc FY 2016-2017 ' n FY 2017-2018 Did Did Did not not not apply apply apply FY 2015-2016 FY 2016-2017 CDBG FY 2017-2018 FY 2018-2019 Did not apply Did not apply Did not apply Did not apply Legend: "0" = Applied and Declined 6 COMMUNITY SERVICE FUNDING (CSF) GRANT PROGRAM Account No. 001-101-999-5267 NAME OF ORGANIZATION Address NOTE: Nonprofits located outside Temecula can still serve Temecula residents. FY 2018-19 REQUESTED PROGRAM/PROJECT DESCRIPTION SUBCOMMITTEE AWARD (Summarized) RECOMMENDATION $ 10 Feeding America Riverside San Bernardino $5,000 FOOD SAFETY AND HANDING EPUIPMENT- MORE FOOD TO TMECULA RESIDENTS. Funds will be used to purchase food safety and handing equipment necessary to transport donated perishable product to low-income Temecula residents who are served through the food bank's hunger relief partners in Temecula. [Funding will be spent to purchase freezer blankets, thermometers, and scales to transport perishable food.] $0 GRANTS PROVIDED BY THE CITY IN PREVIOUS YEARS FY 2015-2016 Did not apply CSF FY 2016-2017 FY 2017-2018 Did Did not not , apply apply COUNCIL CSF FY 2015-2016 FY 2016-2017 FY 2017-2018 Did Did Did not not not apply apply apply CDBG FY 2015-2016 FY 2016-2017 --i FY 2017-2018 FY 2018-2019 Did Did Did Did not not not not apply apply apply apply Legend: "0" = Applied and Declined 7 COMMUNITY SERVICE FUNDING (CSF) GRANT PROGRAM Account No. 001-101-999-5267 NAME OF O ORGANIZATION us 0 a Address NOTE: Nonprofits located outside Temecula can still serve Temecula residents. FY 2018-19 REQUESTED $ PROGRAM/PROJECT DESCRIPTION SUBCOMMITTEE AWARD (Summarized) RECOMMENDATION $ 11 Habitat for Humanity / Habitat for Humanity, Inland Valley $5,000 A BRUSH KINDESS. Funds will be utilized to provide no -cost home repair/maintenance projects to low-income residents within the City of Temecula with the goal of preserving home affordability. [Projects may include house painting, weed abatement, landscaping, trash abatement, fence repair and painting, porch and step repair, and other minor exterior projects.] GRANTS PROVIDED BY THE CITY IN PREVIOUS YEARS FY 2015-2016 CSF FY 2016-2017 FY 2017-2018 1,500 4,769 L 5,000 COUNCIL CSF FY 2015-2016 FY 2016-2017 FY 2017-2018 Did Did Did not not not apply apply apply CDBG FY 2015-2016 FY 2016-2017 FY 2017-2018 FY 2018-2019 26,223 25,000 27,162 33,965 Legend: "0" = Applied and Declined 8 COMMUNITY SERVICE FUNDING (CSF) GRANT PROGRAM Account No. 001-101-999-5267 NAME OF 0 ORGANIZATION 0 a; ai 12 Hospice of the Valleys Address NOTE: Nonprofits located outside Temecula can still serve Temecula residents. FY 2018-19 REQUESTED PROGRAM/PROJECT DESCRIPTION SUBCOMMITTEE AWARD (Summarized) RECOMMENDATION $ $5,000 SENIOR ASSISTANCE PROGRAM. For services and provisions such as weekly grief support groups, annual memorial service of remembrance, Alzheimer support groups, overbed table rentals, rental of fully electric beds and mobile shower equipment, medication delivery services, and community education programs. [Funding will be used to ... provide community bereavement support to our patients' loved ones, as well as members of the community need grief support services, extend our ability to pay for patients to received unreimbursed services and equipment, provide community education programs on topic such as advanced directives and end -of -life care options.] $5,000 GRANTS PROVIDED BY THE CITY IN PREVIOUS YEARS FY 2015-2016 CSF FY 2016-2017 5,000 4,769 FY 2017-2018 5,00001 COUNCIL CSF FY 2015-2016 FY 2016-2017 FY 2017-2018 Did Did Did not not not apply apply apply CDBG FY 2015-2016 FY 2016-2017 FY 2017-2018 rY 2018-2019 Did not apply 0 5,345 5,583 Legend: "0" = Applied and Declined 9 COMMUNITY SERVICE FUNDING (CSF) GRANT PROGRAM Account No. 001-101-999-5267 z I NAME OF 0 ORGANIZATION a: U 1 Address NOTE: Nonprofits located outside Temecula can still serve Temecula residents. FY 2018-19 REQUESTED PROGRAM/PROJECT DESCRIPTION SUBCOMMITTEE AWARD (Summarized) RECOMMENDATION 13 Jacob's House 14 KVCR Educational Foundation $5,000 OPERATIONAL EXPENSES. With the City's grant, Jacobs House will provide a refuge where families and loved ones in need, find hope, comfort, peace and inspiration, which parallels Temecula's Traditions. [Funds will be used for equipment, food, and/or supplies.] $5,000 UNCOVERED IN THE ARCHIVES. This grant will be used to acquire equipment to produce the regionally - focused, historically -driven television show Uncovered In the Archives - broadcasting on the City of Temecula's PBS station, KVCR. [13 episode television program covering various intuitions throughout Greater Inland California] [Specifically the grant would support the purchase of a Mac Book Pro computer, hard drive RAID storage, 4K production monitor, power supplies and batteries, lights and monitors, a high resolution computer monitor, camera and drone rentals, food and lodging.] GRANTS PROVIDED BY THE CITY IN PREVIOUS YEARS FY 2015-2016 CSF FY 2016-2017 FY 2017-2018 1,769 2,500 Did Did Did not not not apply apply apply COUNCIL CSF FY 2015-2016 FY 2016-2017 FY 2017-2018 Did Did Did not not not apply apply apply Did Did Did not not not apply apply apply CDBG FY 2015-2016 FY 2016-2017 FY 2017-2018 FY 2018-2019 Did Did Did Did not not not not apply apply apply apply Did Did Did Did not not not not apply apply apply apply Legend: "0" = Applied and Declined 10 COMMUNITY SERVICE FUNDING (CSF) GRANT PROGRAM z' O 5 J Account No. 001-101-999-5267 NAME OF ORGANIZATION 15 Michelle's Place / Women's Breast Cancer Resource Center 16 National Charity League, Inc. (NCL) Temecula Valley Chapter Address NOTE: Nonprofits located outside Temecula can still serve Temecula residents. FY 2018-19 REQUESTED PROGRAM/PROJECT DESCRIPTION SUBCOMMITTEE AWARD (Summarized) RECOMMENDATION $ $5,000 BREAST HEALTH ASSISTANCE PROGRAM. The Temecula Community Service Grant will provide uninsured and underinsured women with potentially life-saving breast health services, navigation and temporary financial assistance to women going through breast cancer treatment. [A minimum of 20 women will receive diagnostic breast health services and/or financial aid through grocery gift cards.] $5,000 WE'VE GOT YOUR BACK. Project will provide 225 backpacks filled with school supplies to three local nonprofits (75 to Hope's Community Closet, 75 to Community Mission of Hope, and 75 to Michelle's Place) earmarked to go especially to Temecula residents to ease the back -to - school burdens of Temecula families in need. $5,000 $5,000 GRANTS PROVIDED BY THE CITY IN PREVIOUS YEARS FY 2015-2016 CSF FY 2016-2017 FY 2017-2018 5,000 4,769 Did Did not not apply apply 5,000 Did not apply COUNCIL CSF FY 2015-2016 FY 2016-2017 1 FY 2017-2018 2,000 Did Did not not apply apply Did Did Did not not not apply apply apply CDBG FY 2015-2016 FY 2016-2017 FY 2017-2018 FY 2018-2019 Did not apply Did not apply 8,283 Did not apply 10,688 Did not apply Did not apply Did not apply Legend: "0" = Applied and Declined 11 COMMUNITY SERVICE FUNDING (CSF) GRANT PROGRAM Account No. 001-101-999-5267 ac Za O� 1- Q 0 a. a NAME OF ORGANIZATION Address NOTE: Nonprofits located outside Temecula can still serve Temecula residents. FY 2018-19 REQUESTED PROGRAM/PROJECT DESCRIPTION SUBCOMMITTEE AWARD (Summarized) RECOMMENDATION $ 17 Operation Silver Star $5,000 VETERANS OUTREACH SUPPORT. {Veterans reintegrating into Civilian life.] Grant funds will be used to provide emergency financial assistance and follow up to veterans and their families residing in Temecula to assure they are connected with all available resources. [The average gift ranges from three to five hundred dollars (for) basic survival assistance such as food, rent/mortgage/utility payments, gasoline and vehicle repair, transportation to appropriate medical care.] $1,000 GRANTS PROVIDED BY THE CITY IN PREVIOUS YEARS FY 2015-2016 CSF FY 2016-2017 Did not apply FY 2017-2018 Did Did not not apply apply COUNCIL CSF FY 2015-2016 FY 2016-2017 FY 2017-2018 Did Did Did not not not apply apply apply CDBG FY 2015-2016 FY 2016-2017 FY 2017-2018 FY 2018-2019 Did Did Did Did not not not not apply apply apply apply Legend: "0" = Applied and Declined 12 COMMUNITY SERVICE FUNDING (CSF) GRANT PROGRAM Account No. 001-101-999-5267 Address NOTE: Nonprofits NAME OF located outside Q ORGANIZATION Temecula can still serve Temecula residents. a a' 4 FY 2018-19 REQUESTED PROGRAM/PROJECT DESCRIPTION SUBCOMMITTEE AWARD (Summarized) RECOMMENDATION $ 18 Our Nicholas Foundation 19 Project Touch (Gd's Fan Club) $5,000 AFTER SCHOOL PROGRAMS. We are 100% volunteer ran, so all of these funds would go to help pay for after school program fees, equipment and more. We provide all of our programs free to the Autism community so our expenses are taken care of through grants like this. [We would utilize the grant for soccer uniforms, supplies, and event costs.] $5,000 HOMELESS PREVENTION. To provide rental assistance to at - risk homelessness [or existing homeless]; gas cards or bus passes to help clients sustain employment; relocation costs to connect with out of area support systems. $5,000 GRANTS PROVIDED BY THE CITY IN PREVIOUS YEARS FY 2015-2016 CSF FY 2016-2017 FY 2017-2018 5,000 4,769 500 Did not apply 5,000 COUNCIL CSF FY 2015-2016 FY 2016-2017 FY 2017-2018 2,145 2,000 Did not apply Did Did 1,500 not not not apply apply apply CDBG FY 2015-2016 FY 2016-2017 FY 2017-2018 FY 2018-2019 Did Did Did Did not not not not apply apply apply apply Did Did Did Did not not not not apply apply apply apply Legend: "0" = Applied and Declined 13 1,769 5,000 COMMUNITY SERVICE FUNDING (CSF) GRANT PROGRAM Account No. 001-101-999-5267 NAME OF ORGANIZATION Si Address NOTE: Nonprofits located outside Temecula can still serve Temecula residents. FY 2018-19 REQUESTED $ PROGRAM/PROJECT DESCRIPTION SUBCOMMITTEE AWARD (Summarized) RECOMMENDATION $ 20 Reality Rally Inc. (Previous • funding to Michelle's Place) $5,000 REALITY RALLY. To help cover costs which benefit Temecula hotel beds for Reality Stars who raise funds to be here. Cover transport cosponsored by local companies. Some supplies from local companies. 21 Rose Again $5,000 KIDS SOAR PROGRAMS [KIDS Foundation SOAR, KIDS SOAR NEW SHOES, - KIDS SOAR EXTRA CURRICLUAR ACTIVITIES]. Funds used to provide clothing, basic necessities [shoes] tutoring and special needs items] to emergency placement children. Followed up by financial assistance for the child to take part in the extra -curricular activity of their choice. $5,000 GRANTS PROVIDED BY THE CITY IN PREVIOUS YEARS FY 2015-2016 CSF FY 2016-2017 FY 2017-2018 Did Did Did not not not apply apply apply 2,000 COUNCIL CSF FY 2015-2016 FY 2016-2017 FY 2017-2018 Did Did 1,000 not not CO apply apply 0 4,750 6,500 6,250 CDBG V) o N N 0 N 00 0 N 0, 0 N in to n CO o 0 0 0 N N N N >- >- ILL U - Did Did Did Did not not not not apply apply apply apply Did Did 3,206 Did not not not apply apply apply Legend: "0" = Applied and Declined 14 COMMUNITY SERVICE FUNDING (CSF) GRANT PROGRAM Account No. 001-101-999-5267 . Zf F o. a NAME OF ORGANIZATION Address NOTE: Nonprofits located outside Temecula can still serve Temecula residents. FY 2018-19 REQUESTED $ PROGRAM/PROJECT DESCRIPTION SUBCOMMITTEE AWARD (Summarized) RECOMMENDATION $ 22 Rotary Club of Temecula / Rotary Club of (Temecula Foundation 23 SAFE )Alternatives for 'Everyone $5,000 FOOD BASKETS FOR LOW INCOME. Use funds to purchase turkeys, hams, and gift cards to supplement food/gift baskets for military families, seniors, and students from low-income families as identified by TVUSD (and) other nonprofit agencies. $5,000 CREATING SAFE FAMILIES. Grant funds will asset SAFE on providing domestic violence clients with basic needs assistance such as food, clothing, and shelter to help stabilize them following violence. [SAFE will spend the grant funding on purchasing gasoline gift cards, and large retail store gift cards.] $5,000 $5,000 GRANTS PROVIDED BY THE CITY IN PREVIOUS YEARS FY 2015-2016 CSF FY 2016-2017 FY 2017-2018 5,000 4,769 5,000 Did 1,769 2,500 not apply COUNCIL CSF FY 2015-2016 FY 2016-2017 FY 2017-2018 Did Did Did not not not apply apply apply Did Did Did not not not apply apply apply CDBG FY 2015-2016 FY 2016-2017 1 FY 2017-2018 FY 2018-2019 Did Did Did Did not not not not apply apply apply apply 7,892 8,283 10,688 5,583 Legend: "0" = Applied and Declined 15 COMMUNITY SERVICE FUNDING (CSF) GRANT PROGRAM Account No. 001-101-999-5267 NAME OF ORGANIZATION 24 Santa Rosa Plateau Nature Education Foundation 25 Special Olympics Southern CA Temecula Valley/Inland Empire Address NOTE: Nonprofits located outside Temecula can still serve Temecula residents. Legend: "0" = Applied and Declined FY 2018-19 REQUESTED PROGRAM/PROJECT DESCRIPTION SUBCOMMITTEE AWARD (Summarized) RECOMMENDATION $ $2,500 ENVIRONMENTAL EDUCATION PATHWAY [3RD GRADE]. Sustain participation of TVUSD elementary students in Environmental Education Pathway program at the Santa Rosa Plateau. Funds will cover the cost of transportation for 1,500 of the 3,000 TVUSD students participating in the program each year. $5,000 SPORTS PROGRAMS. A grant from the City of Temecula will help support local Special Olympics programs to empower individuals with intellectual disabilities to improve their health and overall wellness through year-round sports training and competition. [A grant will fund existing direct program costs including transportation and registration fees for SUMMER GAMES.] $2,500 $2,500 GRANTS PROVIDED BY THE CITY IN PREVIOUS YEARS FY 2015-2016 CSF FY 2016-2017 FY 2017-2018 Did not apply 2,500 0 2,269 1,000 2,500 COUNCIL CSF FY 2015-2016 FY 2016-2017 FY 2017-2018 Did Did Did not not not apply apply apply Did Did Did not not not apply apply apply CDBG FY 2015-2016 FY 2016-2017 FY 2017-2018 FY 2018-2019 Did Did Did Did not not not not apply apply apply apply Did Did Did Did not not not not apply apply apply apply 16 COMMUNITY SERVICE FUNDING (CSF) GRANT PROGRAM Account No. 001-101-999-5267 • NAME OF O ORGANIZATION Q i tol— Q. a 4 Address NOTE: Nonprofits located outside Temecula can still serve Temecula residents. FY 2018-19 REQUESTED $ PROGRAM/PROJECT DESCRIPTION SUBCOMMITTEE AWARD (Summarized) RECOMMENDATION 26 Spero Vineyards (vineyard is in Temecula Valley wine country) 27 Temecula Valley Art League $5,000 SPERO REGERATIVE VITICULTURE PROJECT. [Works with City for Special Needs Viticulture Program] Grant funding will be used to modernize the irrigation systems of the vineyard and outdoor classroom using an innovative web based monitoring system. The aim is to reduce costs of the operation for the Spero Project and create a model of sustainable farming for the Valley's farmers and wine growers. Anticipated Collaborators: Vinduino, a Temecula area startup and Greg Pennyroyal of the Temecula Small Growers Association. $5,000 FINE ART CLASSES. Grant funds will be used to pay rent on workshop space, purchase art supplies, tables and chairs. $1,000 GRANTS PROVIDED BY THE CITY IN PREVIOUS YEARS FY 2015-2016 Did not apply CSF FY 2016-2017 FY 2017-2018 Did Did not not apply apply Didj Did not not apply apply Did not apply COUNCIL CSF 50 0 1 FY 2016-2017 FY 2017-2018 0 rsiLL Did Did Did not not not apply apply apply Did Did Did not not not apply apply apply FY 2015-2016 CD BG FY 2016-2017 FY 2017-2018 FY 2018-2019 Did not apply Did not apply Did not apply Did not apply Did not apply Did not apply Did not apply Did not apply Legend: "0" = Applied and Declined 17 COMMUNITY SERVICE FUNDING (CSF) GRANT PROGRAM Account No. 001-101-999-5267 Z O Q J NAME OF ORGANIZATION Address NOTE: Nonprofits located outside Temecula can still serve Temecula residents. FY 2018-19 REQUESTED PROGRAM/PROJECT DESCRIPTION SUBCOMMITTEE AWARD (Summarized) RECOMMENDATION $ 28 THESSALONIKA Family Services / Rancho Damacitas 29 Toward Maximum Independence Legend: "0" = Applied and Declined $5,000 EMPOWERMENT VILLAGE. Funds will support parenting & financial management classes along with childcare and transportation for single moms. [Funding would cover costs for classes, curriculum, supplies, transportation, childcare, etc.] $5,000 TMI CONNECT -TEMECULA. The program will assist individuals with intellectual and developmental disabilities such as autism, Down syndrome and cerebral palsy with social, advocacy, and educational goals, in order to be contributing member of society. TMI's San Diego CONNECT program has been successful in giving our clients an opportunity to form meaningful connections and invaluable skills. [Supplies for food/trainings and social gatherings. Activities would include an Art Night, social trainings, outings, and advocacy training. Equipment may be required by the trainer. Cost would include training consultant cost.] $5,000 $0 GRANTS PROVIDED BY THE CITY IN PREVIOUS YEARS FY 2015-2016 CSF 1,000 1,000 1,769 FY 2017-2018 5,000 Did not apply 1,769 2,000 COUNCIL CSF FY 2015-2016 FY 2016-2017 FY 2017-2018 Did 2,000 Did not Did not apply not apply Did Did Did not not not apply apply apply CDBG 1 FY 2015-2016 FY 2016-2017 FY 2017-2018 FY 2018-2019 Did Did Did Did not not not not apply apply apply apply Did Did Did Did not not not not apply apply apply apply 18 COMMUNITY SERVICE FUNDING (CSF) GRANT PROGRAM Account No. 001-101-999-5267 NAME OF ORGANIZATION Address NOTE: Nonprofits located outside Temecula can still serve Temecula residents. FY 2018-19 REQUESTED PROGRAM/PROJECT DESCRIPTION SUBCOMMITTEE AWARD (Summarized) RECOMMENDATION $ 30 Veterans Supplemental Support Network (VSSN) $3,200 VSSN VET REACH MOBILE APP. The funding will be used in full to fund a mobile application[s on two platforms IOS and Android System] VSSN/SVETreach. This application is intended to be designed with the purpose of directly linking Temecula veterans and service members and their families to resource providers within Temecula and surrounding areas. This app is designed to act as a[n] "uber" for referrals in that VSSN can solicit providers, track the time of response, and the services delivered to veteran and/or military families in order to improve the quality service delivery and response among community partners. $0 GRANTS PROVIDED BY THE CITY IN PREVIOUS YEARS CSF FY 2015-2016 Did not apply FY 2016-2017 FY 2017-2018 Did Did not not apply apply COUNCIL CSF FY 2015-2016 FY 2016-2017 FY 2017-2018 1,000 Did Did Did not not not apply apply CDBG FY 2015-2016 FY 2016-2017 FY 2017-2018 FY 2018-2019 Did Did Did Did not not not not apply apply apply apply Legend: "0" = Applied and Declined 19 COMMUNITY SERVICE FUNDING (CSF) GRANT PROGRAM Account No. 001-101-999-5267 NAME OF zI ORGANIZATION 3 1 a a Address NOTE: Nonprofits located outside Temecula can still serve Temecula residents. FY 2018-19 REQUESTED PROGRAM/PROJECT DESCRIPTION SUBCOMMITTEE AWARD (Summarized) RECOMMENDATION 31 Wounded American Veterans Experience Scuba (WAVES) 31 TOTAL $5,000 MISSION ORIENTED DIVING. Program conducts SCUBA mapping and conservation projects to provide therapy to veterans with service connected disabilities. Funding will purchase (1) specialized equipment including waterproof paper, writing utensils, and underwater measuring devices, (2) ground and boat transportation to the dive sites, (3) lodging to conduct week-long service projects, [and] (4) instruction and dive training by certified professionals. $148,200 $5,000 $86,500 $ - GRANTS PROVIDED BY THE CITY IN PREVIOUS YEARS CSF FY 2015-2016 FY 2016-2017 S2 FY 2017-2018 COUNCIL CSF FY 2015-2016 n 0 ui 0 1,1U- FY 2017-2018 1,000 1,000 Did not apply Did not apply Did Did not CDBG FY 2015-2016 FY 2016-2017 FY 2017-2018 FY 2018-2019 Did Did Did Did not not not not apply apply apply apply Legend: "0" = Applied and Declined 20 FY 2018/2019 COMMUNITY SERVICE FUNDING GRANT APPLICATION # 1 AMERICAN PATRIOT MUSIC PROJECT (formerly Phoenix Patriot Foundation) CITY OF TEMECULA. FISCAL YEAR 20 18-2019 COMMUNITY SERVICE FUNDING PROGRAM APPLICATION (Please Print or Type) DUE ON OR BEFORE: FRIDAY, SEPTEMBER 21, 2018 PROJECT/PROGRAM INFORMATION Amount Requested $ 5000.00 (Maximum allowable $5,000 per Organization) Project/Program Title: STEM Guitar Building Project 2019 Start Date: 3/1/2019 If Grant is Awarded, Make Check Payable to: American Patriot Music Project Mailing Address: End Date: 6/1/2019 ORGANIZATION AND GEOGRAPHIC AREA SERVED 1 Name of Applicant Organization: American Patriot Music Project Year Organization Founded: 2019 Website: Under Construction Number of Paid Staff: 1 Number of Volunteers: 30 Contact Name: Antonio Y. Villegas Title/Position: Vice -President Contact Person's Email Address: Telephone: Geographic Area(s) the Organization Serves: Temecula/Murrieta and Southern California Geographic Area(s) the Project/Program Serves: (NOTE: Community Service Funding Grant must be exclusively used to serve Temecula.) Include Physical Address of Project/Program: (if different than Organization's Mailing Address) SAME NONPROFIT STATUS Is this organization incorporated as a nonprofit? Yes Ei No I 1 (If No, then ineligible to receive City Funding) Date of Incorporation as a Nonprofit: TBD Federal Identification Number: State Identification Number: Print out and attach to this application Verification from Federal (IRS) and State (FTB) as follows: 1. Attach IRS Deductibility Status using this link: 7ttto://apps.irs.gov/appleos/ 2. Attach State Entity Status Letter using this Zink: ,ittns INAvvi ftbca goy/online/self serve entity status letter/index.asp 3. Attach first page only of most recent IRS Form 990 or attach print out of detailed information about your charity found on this State Registry's Search Tool: ntip://rct.dol.ca.qov/VerificationNVebiSearcn.aspx'?facility=Y Application Page 1 of 7 Has the organization or any members of the Board of Directors of the organization been involved with any personal business transactions valued over $500 including any business transactions, negotiations, investments, or interests in real property with a Temecula City Council Member during the past 12 months? No ✓ Yes �_ If Yes, briefly describe' Is a Temecula City Council Member a member of the Board of Directors or an Officer of the organization? No Yes If Yes, provide Council Member's Name and title within the organization• This Application has been authorized by the organization's: Executive Committee ri Board of Directors Members -at -Large ri FINANCIAL STATEMENTS Upon request, copies of the current budget of the organization / financial statements (balance statement and income statement), and if available CPA's audit, may be needed to demonstrate sound financial management. Do not submit now. CITY OF TEMECULA FUNDING — OTHER SOURCES Within the past two years, has your organization received (or is your organization concurrently requesting) any other sources of funding from the City of Temecula? No_ Yes ✓ if Yes, provide information in table below: Name of Funding Program from City (CDBG Grant? CSF Grant? Sponsorship?) Program, Project or Service(s) that was funded try the City Grantor Sponsorship Month and Year Grant or Sponsorship Received Amount CSF STEM Guitar Building Project (Phoenix Patriot Foundation California Chapter) Fiscal 2017 $1000.00 $ $ $ MISSION STATEMENT OF ORGANIZATION Briefly describe the goals and objectives, or mission, of your organization. To provide music therapy for U.S. Veterans and certified community first responders Including, but not limited to paramedics, EMT's, police officers, firefighters, rescuers and other trained members) of organizations working within the United States, and their families. Application Page 2 of 7 GRANT FUNDING PROJECT/PROGRAM DESCRIPTION NOTE: Receipts/invoices will be required to be submitted to the City to demonstrate that your organization used grant funding awarded by the City to support the project/program as described here. See Compliance Report on Application Page 6 for details. 1 Briefly describe the Project/Program (and its objectives) the City of Temecula grant funding will be used to support. The objective will be to provide therapy for injuries to Veterans, such as PTSD/MST or physical injuries related to deployment to a combat zone or actual combat. For our 1st responders, they also suffer from the same type of injuries related to the type of work they are in. 2. Describe how your organization will spend the grant funding awarded. Include equipment or services that would be purchased and why. STEM provides prefabricated guitar kits that cost 5200.00 each. for a 15 person project that = $3000.00 Plus shipping costs of about $600-00 For a size of 15 participants, we will require 3 instructors @ $1,100.00 each or $3,300.00 We will have food expenses, last year with 5 members our cost was (some food was donated) $350.00, costs for 15 would be about $700.00 We have since developed a list of food vendors that will provide a discount for a larger number of participants Explain how the grant funding will specifically benefit Temecula residents. The participants have no fee with the project, the expense on their behalf is for the guitar kits. Each participant will take the completed guitars with them and STEM provides at no cost to them, A guitar case, guitar tuners, guitar straps and as mentioned previously, APMP will provide free guitar lessons if the participant so chooses. This in tum will allow the participant to be an active member of the community while receiving additional training in carpentry, electronic and math skills. Estimated number of people expected to benefit from this Project/Program 15 Estimated number of volunteers involved in this Project/Program: 15 Application Page 3 of 7 4. In 30 words or Tess, summarize how the grant funds, if awarded, will be used. IMPORTANT: This summary will be used in a spreadsheet intended to summarize all Community Service Funding Grant Applications, including yours, submitted to the City Council. Per Item 3, the expenses are broken down. We are looking at an expense of about $7600.00. PROJECT/PROGRAM BUDGET PROJECT/PROGRAM BUDGET Line Items for Project/Program Revenues Expenses VARIOUS TYPES OF REVENUES/INCOME FOR THE PROJECT/PROGRAM: Amount of money requested from the City of Temecula Community Support Grant (Not to exceed $5,000) $ 5000.00 J Cash contributed to Project/Program by the Applicant Organization $ 1180.00 Other grants or funding already awarded for Project/Program, if any $ 0 In -Kind match amount or volunteer credit hours estimated amount $ 1620.00 VARIOUS TYPES OF EXPENSES FOR THE SPECIFIC PROJECT/PROGRAM: $ N/A Staffing expense for Project/Program (this amount is ineligible to be funded by City's Grant; however please include) Equipment expense for Project/Program $ 3600.00 Food expense for Project/Program $ 700.00 Marketing expense for Project/Program $ N/A Supplies expense for Project/Program $ 200.00 Facilities/Rent expense for Project/Program $ 7800.00 $ N/A Other expense for Project/Program $ 3300.00 TOTAL BUDGET FOR PROJECT/PROGRAM $ 7800.00 Application Page 4 of 7 SIGNATURE PAGE The applicant acknowledges and agrees to the following: • Recipient is subject to all Community Service Funding Program requirements including submittal deadlines and payment disbursements. • Every Community Service Funding application is considered individually and on its own merit. • Awards will be given to organizations and activities that directly benefit the residents of Temecula. • Funding is not immediately available to the recipient, and requires an award letter signature upon approval. Please allow time for checks to be processed. • The awarding of Community Service Funding does not constitute an automatic annual allocation. • The recognition for Community Service Funding should accrue to the City of Temecula. • Community Service Funding must be spent as specified on the Application and records may be requested by the City of Temecula to ensure the funds were used appropriately. • Community Service Funding grants will not be awarded or announced within the 60 days before an election in which an awarding Council Member is on the ballot. • The recipient shall provide a full accounting with documentation on the use of awarded funds. The recipient shall return to the City any funds not spent or documented per the signed agreement. • If awarded a Community Service Funding Grant by the City of Temecula last year, then compliance receipts must be submitted on or before this application's due date or this application may be rejected as incomplete. We hereby certify the information contained in this Application is true to the best of our knowledge and belief. ORGANIZATION NAME: American Patriot Music Project MAILING ADDRESS: PRESIDENT / AUTHORI SIGNATURE: PHONE: PMEMAIL: OFFICER: Antonio Y. Villegas, Jr. Vice -President Pr;n Name Title DATE: 09/20/2018 (Month, Day, Year) IF DIFFERENT THAN ABOVE, APPICATION PREPARED BY: Print Name Title SUBMIT ORIGINAL APPLICATION BY FRIDAY, SEPTEMBER 21, 2018, TO: City of Temecula Community Service Funding Attn: City Manager's Office 41000 MAIN STREET TEMECULA, CA 92590 If you have any questions please contact Betsy Lowrey at (951) 693-3959 or Stacey Brown at (951) 506-5100. Application Page 7 of 7 TDCQ DEPARTMENT OF THE TREASURY Li%J INTERNAL REV!'NUE SERVICE CINCINNATI OH 45999-0023 AMERICAN PATRIOT MUSIC PROJECT % DARRIN ISHAM Date of chis notice: C8 -22-2:_P to er identification Number: Form: SS -4 Number of this notice: :P 575 A For assistance you may call us a_: 1-B00-829-493' IF YOU WRITE, ATTACH THE STUB AT THE END OF THIS N':TICE. WE ASSIGNED YOU AN EMPLOYER IDENTIFICATION NUMBER Thank ou for applying for an Employer Identification Number (EP:). We assigned you EIN This EIN will identify you, your business accounts, tax aha documents, even if you have no employees. Please keep this notice in your perr'anent records. When filing tax documents, payments, and related correspondence, :t is very r:rrrortar.- that you use your EIN and complete name and address exactly as shown abc*:e. var_at_cn may cause a delay in processing, result in incorrect inf?rmaticn in your account, or even cause you to be assigned more than one EIN. If the irforttation 13 not correct as shown above, please make the correction using the a_Lached tear ot: s_ub and return. it to us. Based on the information received from you er your representative, you must file the following form(s) by the date(s) shown. Form 1120 04/15/2019 If you have questions about the Lords) c: the due date(s) shown, you can call us at the phone number or write to us at the address shown at the top of this notice. If you need help in determining your annual accounting period (tax year), see Publication 538, Accounting Periods and Methods. We assigned you a tax classification cased on information obtained from you cr y_ur representative. It is not a legal determination of your tax classification., and is net binding or. the IRS. If you want a Legal determination of your tax classif:cat:cn, y.0 may request a private letter ruling from the :RS under the guidelines in Revenue Procedure 2004-1, 2004-1 I.R.B. 1 (or superseding Revenue Procedure for the year at issue). N^'e: Certain tax classification elections can be requested by f..inq Classification Election. Se.: Form 8S32 and _ instruct:.+r,; t r a.i ii-:,.r..t. .:u _r ,c : r. IMPORTANT INFORMATION FOR S CORPORATION ESSCPION: If you intend to elect to file your return as a small business :orperat:.)n. an election to file a Form 1120-S must be made within certain rune±r.s and the corporation must meet certain tests. All of this information is in, -luded in the instructions for Form 2553, Election by a Stall Business ,:oreorati.>r.. INTERNAL REVENUE SERVICE P. O. BOX 2508 CINCINNATI, OH 45201 OCT 232018 Date: AMERICAN PATRIOT M ECT Dear Applicant: DEPARTMENT OF THE TREASURY Employer Identification Number: DLN: Contact Person: CUSTOMER SERVICE Contact Telephone Number: (877) 829-5500 Accounting Period Ending: December 31 Public Charity Status: 170(b) (1) (A) (vi) Form 990/990-EZ/990-N Required: Yes Effective Date of Exemption: July 10, 2018 Contribution Deductibility: Yes Addendum Applies: No ID# 31954 We're pleased to tell you we determined you're exempt from federal income tax under Internal Revenue Code (IRC) Section 501(c)(3). Donors can deduct contributions they make to you under IRC Section 170. You're also qualified to receive tax deductible bequests, devises, transfers or gifts under Section 2055, 2106, or 2522. This letter could help resolve questions on your exempt status. Please keep it for your records. Organizations exempt under IRC Section 501(c)(3) are further classified as either public charities or private foundations. We determined you're a public charity under the IRC Section listed at the top of this letter. If we indicated at the top of this letter that you're required to file Form 990/990-EZ/990-N, our records show you're required to file an annual information return (Form 990 or Form 990 -EZ) or electronic notice (Form 990-N, the e -Postcard). If you don't file a required return or notice for three consecutive years, your exempt status will be automatically revoked. If we indicated at the top of this letter that an addendum applies, the enclosed addendum is an integral part of this letter. For important information about your responsibilities as a tax-exempt organization, go to www.irs.gov/charities. Enter "4221 -PC" in the search bar to view Publication 4221 -PC, Compliance Guide for 501(c)(3) Public Charities, which describes your recordkeeping, reporting, and disclosure requirements. Letter 947 1 FY 2018/2019 COMMUNITY SERVICE FUNDING GRANT APPLICATION # 2 ASSISTANCE LEAGUE OF TEMECULA CITY OF TEMECULA FISCAL YEAR 2018-2019 /v COMMUNITY SERVICE FUNDING PROGRAM APPLICATION (Please Print or Type) DUE ON OR BEFORE: FRIDAY. SEPTEMBER 21, 20113 PROJECT/PROGRAM INFORMATION Amount Requested: $ 5000 (Maximum allowable $5,000 per Organization) Project/Program Title Financial Literacy -SHADES Start Date 9/2018 End Date: 6/2019 If Grant is Awarded, Make Check Payable to: Mailing Address: Assistance League of Temecula Valley ORGANIZATION AND GEOGRAPHIC AREA SERVED Name of Applicant Organization: Assistance League of Temecula V41I93lr Organization Founded: 1989 Website: http://assrstancelegue.org/temecula-vailftmber of Paid Staff: 0 Number of Volunteers: 250 Contact Name: Dorcas Shaktman Title/Position: VP OF FINANCE Contact Person's Email Address: Telephone: Geographic Area(s) the Organization Serves: Temecula Geographic Area(s) the Project/Program Serves: (NOTE: Community Service Funding Grant must be exclusively used to serve Temecula.) Temecula, CA 92590-2510 Include Physical Address of Project/Program (if different than Organization's Mailing Address) NONPROFIT STATUS Is this organization incorporated as a nonprofit? Yes x No (If No. then ineligible to receive City Funding) Date of Incorporation as a Nonprofit: 15 June 1989 Federal Identification Number: _State Identification Number Print out and attach to this application Verification from Federal (IRS) and State (FTB) as follows: 1. Attach IRS Deductibility Status using this link: bttp://apps.irs.clOv/'app/eos/ 2. Attach State Entity Status Letter using this link: huips.Nwvwv rtb.ca qov/ontine/seif serve .ntrty status letter/in 3. Attach first page only of most recent IRS Form 990 or attach print out of detailed informatio charity found on this State Registry's Search Tool: http://rct_doi.ca dovNerlfication/Web/Search Application Page 1 of 7 t tcllity' Y Has the organization or any members of the Board of Directors of the organization been involved with any personal business transactions valued over $500 including any business transactions, negotiations, investments, or interests in real property with a Temecula City Council Member during the past 12 months? No no Yes If Yes, briefly describe: Is a Temecula City Council Member a member of the Board of Directors or an Officer of the organization? No no Yes If Yes, provide Council Member's Name and title within the organization: This Application has been authorized by the organization's: Executive Committee Board of Directors Members -at -Large FINANCIAL STATEMENTS Upon request, copies of the current budget of the organization / financial statements (balance statement and income statement), and if available CPA's audit, may be needed to demonstrate sound financial management. Do not submit now. CITY OF TEMECULA FUNDING — OTHER SOURCES Within the past two years, has your organization received (or is your organization concurrently requesting) any other sources of funding from the City of Temecula? No_ Yes x If Yes, provide information in table below: Name of Funding Program from City Month and Year Program, Project or Service(s) that was funded by the City Grant or Amount (CDBG Grant? Grant or Sponsorship Sponsorship CSF Grant? Received Sponsorship?) coeG 2018-2019 Operation School Bell - new school clothes and shoes for 618 students in TVUSD Awarded -Pending $ 57 COBS 2017-2018 Operation School Bell - new school clothes and shoes for 529 students in TVUSD 1/31/2018 $ 5,345 CSF 2018-2019 Operation SHADES - Financial Literacy Conference for at -risk junior and senior students at TVUSD high schools Pending award $ 5,000 CSF 2017-2018 Foster Youth Summer Activities 2/01/2018 $5,000 CSF 2016-2017 Replacement of thrift shoo front doors 1/30/2017 $4,768.84 MISSION STATEMENT OF ORGANIZATION Briefly describe the goals and objectives, or mission, of your organization. Mission Assistance League of Temecula Valley, a chapter of National Assistance League, is a nonprofit, volunteer philanthropic organization dedicated to serving the needs of families in southwest Riverside County. Programs includes Operation School Bell, Chapters for Children, Operation Community Outreach, Operation Foster Youth, Operation Bear Hug, Operation Nonprofit Partnerships, Operation Scholarships and ASSISTEENS. Application Page 2 of 7 GRANT FUNDING PROJECT/PROGRAM DESCRIPTION NOTE Receipts/invoices will be required to be submitted to the City to demonstrate that your organization used grant funding awarded by the City to support the project/program as described here. See Compliance Report on Application Page 6 for details 1. Briefly describe the Project/Program (and its objectives) the City of Temecula grant funding wilt be used to support. Financial Literacy - SHADES, 1 day conference for low to moderate income, at -risk, homeless and/or foster youth high school students enrolled at Temecula Valley Unified School District and Continuation School (identified by school counselors) Began in 2014, Curriculum includes goals, budgeting, banking, credit, auto loans. insurance, job search and college admissions AND are taught by volunteer educators and workplace professionals A pre-test is given in all subjects at the beginning of the day and then a post-test is given to each student to evaluate understanding of class material. In FY 17-18, 230 students attended and graduated the financial literacy workshop. 2. Describe how your organization will spend the grant funding awarded. Include equipment or services that would be purchased and why. Assistarwe League of Temecula Valley requests a 85,000 grant award that will fund 66 TVUSD high school and/or continuing education students enrollment in the Financial Literacy -SHADES 1 day Conference. This workshop includes a workbook for each student with real life examples, reference matehals, a full class curriculum, taught by volunteer educators and workplace professionals. In addition, breakfast and lunch are served. Incentives are awarded for participation and teaming. as well as a graduation certificate. Cost per student is approximately $75.00. Books are purchased for each student titled "Why didn't they teach me this in school?". 3. Explain how the grant funding will specifically benefit Temecula residents. Last FY 17-18, 150 at -risk TVUSD high school students were enrolled and graduated from the Financial Literacy Conference. This year, there is expected to be a 10% increase in the number of students attending. Forty five states now include personal finance in their K-12 standards, up from 21 in 1998 (Alaska, California, Montana, New Mexico, Wyoming and the District of Columbia do NOT ) Data released this month from the Financia! Industry Regulatory Authority's Investor Education Foundation. which seeks to promote financial literacy, reveals high school students who are requred to take personal financial courses have better average credit scores and lower debt delinuency rates as young adults. Since 2014, Assistance League of Temecula Valley has been providing this workshop and collaborating with high school counselors in TVUSD and has taught and graduated a total of 433 juniors and seniors within the district. Estimated number of people expected to benefit from this Project/Program. 230 Estimated number of volunteers involved in this Project/Program: Application Page 3 of 7 250 4. In 30 words or less, summarize how the grant funds, if awarded, will be used. IMPORTANT: This summary will be used in a spreadsheet intended to summarize all Community Service Funding Grant Applications, including yours, submitted to the City Council. 1 -day Financial Literacy conference to (66) TVUSD at -risk high school students and/or continuing education students. Conference supplies include classroom materials; participation incentives; student meals and books. PROJECT/PROGRAM BUDGET PROJECT/PROGRAM BUDGET Line Items for Project/Program Revenues Expenses VARIOUS TYPES OF REVENUES/INCOME FOR THE PROJECT/PROGRAM: Amount of money requested from the City of Temecula Community Support Grant (Not to exceed $5,000) $ 5eco Cash contributed to Project/Program by the Applicant Organization $ to0oo Other grants or funding already awarded for Project/Program, if any $ wow In -Kind match amount or volunteer credit hours estimated amount $ 25,000 VARIOUS TYPES OF EXPENSES FOR THE SPECIFIC PROJECT/PROGRAM: Staffing expense for Project/Program (this amount is ineligible to be funded by City's Grant; however please include) Volunteer hours % $24.95Rrr NATIONAL VOL RATE $ 25000 Equipment expense for Project/Program $ 0 Food expense for Project/Program $ 4500 Marketing expense for Project/Program $ 0 Supplies expense for Project/Program classroom materiels, books $ 50000 $ 20500 Facilities/Rent expense for Project/Program $ 0 Other expense for Project/Program $ TOTAL BUDGET FOR PROJECT/PROGRAM $ 50000 Application Page 4 of 7 PREVIOUS FISCAL YEAR (FY) 2017-2018 COMPLIANCE REPORT If your organization was awarded a Community Service Funding Grant in FY 2017-2018 (last year) by the City of Temecula, please submit this information or the application may be rejected as incomplete. If your organization was NOT awarded a Community Service Funding Grant in FY 2017-2018 (last year), then skip this page. If your organization was awarded a Community Service Funding Grant in Fiscal Year 2017-2018 (last year) by the City of Temecula, all grant funds received must have been expended anytime on or between July 1, 2017, and June 30, 2018. In addition, all grant funds must be substantiated with proper back-up documentation. Failure to provide proper documentation may jeopardize any future funding. City of Temecula reserves the right to conduct an audit and/or require additional back-up information to substantiate how funds received from the City were spent. If the funds were not spent in accordance with the approved purpose stated on the Application, the organization will be required to refund the amount of funds. To substantiate that Fiscal Year 2017-2018 funds received from the City were spent appropriately, proper back-up documentation including the table below with accompanying receipts/invoices, must be submitted to the City on or before due date: Friday, September 21, 2018. EXPENDITURE REPORT due on or before Friday, September 21, 2018 1. Demonstrate that the Community Service Funding Grant specifically benefitted Temecula residents by providing the number of beneficiaries living in 92590, 92591 and 92592 that directly benefitted from this program: (approximate number of beneficiaries if you don't have a precise number): 2. Fill out this table (include additional copies if needed to explain all expenditures) 3. Attach Receipts/Invoices (in the same order as listed in this table) 4. Send to: City of Temecula, 41000 Main St., Temecula, CA 92590, Attn: City Manager's Office - CSF Organization: AL% v Name of Project/Program: F65 ,J I'dL Month + Year Grant Received from City: _2a _ Amount of Grant Fund Awarded: $ Sz v c a) E J:1 E Qz Date (Mo/DayfYr) 1 Name of Company on Amount on Receipt/Invoice of Receipt/Invoice Must be dated an or Expenditure between July t, 2017 - June 30, 2018 1 2 3 4 5 Describe... (1) what the expenditure was (2) purpose of the expenditure MUST support ProjectiProgram description on Application • Award Letter $ Explain ... how the expenditure specifically benefitted Temecula residents If namestaddresses of Temecula beneficiaries are available, please attach EXPENDITURE TOTAL Note: Expenditure Total must be equal to (or greater than) the 'Amount of Grant Fund Awarded" (above) provided by the City $5)per►r5� Application Page 5 of 7 SIGNATURE PAGE The applicant acknowledges and agrees to the following: • Recipient is subject to all Community Service Funding Program requirements including submittal deadlines and payment disbursements. • Every Community Service Funding application is considered individually and on its own merit. • Awards will be given to organizations and activities that directly benefit the residents of Temecula. • Funding is not immediately available to the recipient, and requires an award letter signature upon approval. Please allow time for checks to be processed. • The awarding of Community Service Funding does not constitute an automatic annual allocation. • The recognition for Community Service Funding should accrue to the City of Temecula. • Community Service Funding must be spent as specified on the Application and records may be requested by the City of Temecula to ensure the funds were used appropriately. • Community Service Funding grants will not be awarded or announced within the 60 days before an election in which an awarding Council Member is on the ballot. • The recipient shall provide a full accounting with documentation on the use of awarded funds. The recipient shall return to the City any funds not spent or documented per the signed agreement • If awarded a Community Service Funding Grant by the City of Temecula last year, then compliance receipts must be submitted on or before this application's due date or this application may be rejected as incomplete. We hereby certify the information contained in this Application is true to the best of our knowledge and belief. ORGANIZATION NAME: Assistance League of Temecula valley MAILING ADDRESS: PHONE: PRESIDENT / AUTHORIZED OFFICER: Dorcas shaktrnan EMAIL: Vice -President Finance 7Prin:4Name tie SIGNATURE: " eZ- t - .471(a'fi'U DATE: 9— /cf r/d IF DIFFERENT THAN ABOVE, ( APPICATION PREPARED BY: le r I - ids `Lki �rii�r M.3rr�e 111 - Title Dav SUBMIT ORIGINAL APPLICATION BY FRIDAY, SEPTEMBER 21, 2018, TO: City of Temecula Community Service Funding Attn: City Manager's Office 41000 MAIN STREET TEMECULA, CA 92590 If you have any questions please contact Betsy Lowrey at (951) 693-3959 or Stacey Brown at (951) 506-5100 Application Page 7 of 7 STATE OF CALIFORNIA 2 FRANCHISE TAX BOARD PO BOX 942857 SACRAMENTO CA 94257-0540 Entity Status Letter Date: 9/4/2018 ESL ID: 6012344770 According to our records, the following entity information is true and accurate as of the date of this letter. Entity ID: Entity Name: ASSISTANCE LEAGUE OF TEMECULA VALLEY 1. The entity is in good standing with the Franchise Tax Board. 2. The entity is not in good standing with the Franchise Tax Board. 3. The entity is currently exempt from tax under Revenue and Taxation Code (R&TC) Section 23701 d. 4. We do not have current information about the entity. The above information does not necessarily reflect: • The entity's status with any other agency of the State of Califomia, or other govemment agency. • If the entity's powers, rights, and privileges were suspended or forfeited at any time in the past, or the entity did business in California at a time when it was not qualified or not registered to do business in California o The status or voidability of any contracts made in California by the entity at a time when the entity was suspended or forfeited (R&TC Sections 23304.1, 23304.5. 23305a, 23305.1). o For entities revived under R&TC Section 23305b, any time limitations on the revivor or limitation of the functions that can be performed by the entity. Internet and Telephone Assistance Website: ftb.ca.gov Telephone: 800.852.5711 from within the United States 916.845.6500 from outside the United States TTY/TDD: 800.822.6268 for persons with hearing or speech impairments FTB 4263A WEB (NEW 02-2012) $ Print 1 Q HELP® MENU )come > Tax Exempt Organization Search > Assistance League Of Temecula Valley <Backto Search Results Assistance League Of Temecula Valley EIN: Publication 78 Data Organizations eligible to receive tax-deductible charitable contributions. Users may rely on this list in determining deductibility of their contributions. On Publication 78 Data List: Yes Deductibility Code: PC Page Last Reviewed or Updated: 6 -Ju( -2018 P► Share conoo Our Agency Know Your Rights Resolve an Issue Other Languages Related Sites About IRS Taxpayer Bill of Respond to a Espanol U.S. Treasury Rights Notice FY 2018/2019 COMMUNITY SERVICE FUNDING GRANT APPLICATION # 3 BOYS & GIRLS CLUB OF SOUTHWEST COUNTY CITY OF TEMECULA FISCAL YEAR 2018-2019 COMMUNITY SERVICE FUNDING PROGRAM APPLICA (Please Print or Type) DUE ON OR BEFORE: FRIDAY, SEPTEMBER 21, 2018 1___ AmountRequested $ $5,000 (Maximum allowable $5,000 per Organization) Project/Program Title: After -School Transportation Program Start Date: Jan 1, 2019 End Date: Dec 31, 2019 If Grant is Awarded, Make Check Payable to: Boys & Girls Club of Southwest County Mailing Address: 11.1111.1111111.1=11.- PROJECT/PROGRAM INFORMATION ORGANIZATION AND GEOGRAPHIC AREA SERVED Name of Applicant Organization: Boys & Girds Club of Southwest County Year Organization Founded: 1990 Website: www.bgcswc.org Number of Paid Staff: 40 Number of Volunteers: 200 Contact Name: Shelly Anguiano Figueroa Title/Position: President & CEO Contact Person's Email Address: shellyf@becswc.org Telephone: Geographic Area(s) the Organization Serves: Temecula, Murrieta, Lake Elsinore Geographic Area(s) the Project/Program Serves: (NOTE: Community Service Funding Grant must be exclusively used to serve Temecula.) Temecula Include Physical Address of Project/Program: (if different than Organization's Mailing Address) NONPROFIT STATUS Is this organization incorporated as a nonprofit? Yes E✓ No 0 (If No, then ineligible to receive City Funding) Date of Incorporation as a Nonprofit: 1996 Federal Identification Number: - State Identification Number: MEI Print out and attach to this application Verification from Federal (IRS) and State (FTB) as follows: 1. Attach IRS Deductibility Status using this link: http.//apps.irs.gov/app/eos/ 2. Attach State Entity Status Letter using this link: httos.1/www.ftb.ca.aov/onlineiself serve entity status letter/index.asc 3. Attach first page only of most recent IRS Form 990 or attach print out of detailed information about your chanty found on this State Registry's Search Tool: http://rct.doi.ca.covNerification/Web/Search.aspx?facility=Y Application Page 1 of 7 Has the organization or any members of the Board of Directors of the organization been involved with any personal business transactions valued over $500 including any business transactions, negotiations, investments, or interests in real property with a Temecula City Council Member during the past 12 months? No 171 I Yes [ 1 If Yes, briefly describe: Is a Te necula City Council Member a member of the Board of Directors or an Officer of the organization? No v Yes If Yes, provide Council Member's Name and title within the organization: This Application has been authorized by the organization's: Executive Committee 171 Board of Directors 1 1 Members -at -Large L 1 FINANCIAL STATEMENTS Upon request, copies of the current budget of the organization / financial ance statement and income statement), and if available CPA's audit, may be needed to demonstrate sound fnlancial management. Do not submit now. CITY OF TEMECULA FUNDING — OTHER SOURCES Within the past two years, has your organization received(or is your or any other sources of fundingfrom the Cityof Temecula? No organization concurrently requesting) I I Yes ✓ If Yes, provide information in table below: Name of Funding Program from City (CDBG Grant? CSF Grant? Sponsorship?) Program, Project or Service(s) that was funded by the City Grant or Sponsorship Month and Year Grant or Sponsorship Received Amount CSF Grant 17-18 CSF Grant 17-18 CSF Grant 17-18 CDBG Grant 17-18 Before & After School Program 01/2018 $1500.00 After School Program 12/2017 $ 5000.00 Before & After School Program 12/2017 $1000.00 Before & School Program 07/2017 $ 5345.00 MISSION STATEMENT OF ORGANIZATION Briefly describe the goals and objectives, or mission, of your organization. Our mission is to ensure all young people reach their full potential as productive, caring, and responsible citizens. The Boys & Girls Club After -School program is designed to ensure youth are academically successful, exhibit good character and citizenship, and live a healthy lifestyle. Application Page 2 of 7 GRANT FUNDING PROJECT/PROGRAM DESCRIPTION NOTE: Receiptslinvoices will be required to be submitted to the City to demonstrate that your organization used grant funding awarded by the City to support the project/program as described here. See Compllance Report on Application Page 6 for details. 1. Briefly describe the Project/Program (and its objectives) the City of Temecula grant funding will be used to support. Funding from this grant will help support the transportation of youth to the Boys & Girls Club of Southwest County (BGCSWC) after school each day The BGCSWC provides a comprehensive youth development program after-school that targets youth ages 6-1T The after-school program has a formula for success that is instilled in every member, to meet our priority outcomes, trained professional staff members, supervise, encourage, and implement the following activities daily activities: homework assistance, recreation and sports, cultural & performing arts, STEM, technology programs, leadership programs, etc. The program also offers a healthy meal and snack every afternoon. 2. Describe how your organization will spend the grant funding awarded. Include equipment or services that would be purchased and why. The grant funding will be used to support after school transportation of youth members from Temecula school campuses to the Boys & Girls Club. Funds from this grant would be used to off -set the costs of the following: repair and maintenance, fuel, phones, marketing, staff salary and certification and training. In addition, the Club charges an affordable fee to families for transportation; however, families that cannot afford the cost are provided scholarships; no one is tumed away due to their economic circumstance. Funds from this grant will also help scholarship families so they can participate. 3. Explain how the grant funding will specifically benefit Temecula residents. The Boys & Girls Club of Southwest County provides needed transportation to youth after school from 11 Temecula schools to our Temecula Clubhouse Monday - Friday. The Club is open when youth need us most, in the hours immediately after the school bell rings; during this time, violent juvenile crime triples and the "prime time for juvenile crime" begins. These negative outcomes can be attributed in part to a lack of connection to community and access to productive activities after school This is the time when youth most need a safe place to engage in meaningful activities with their peers and caring adults. Estimated number of people expected to benefit from this Project/Program. 50 Estimated number of volunteers involved in this Project/Program: 20 Application Page 3 of 7 4. In 30 words or less, summarize how the grant funds, if awarded, will be used. IMPORTANT: This summary will be used in a spreadsheet intended to summarize all Community Service Funding Grant Applications, including yours, submitted to the City Council. Provide transportation from 11 schools in Temecula to the Boys & Girls Club after school for approximately 50 youth members. PROJECT/PROGRAM BUDGET PROJECT/PROGRAM BUDGET Line Items for Pro)ect/Program Revenues VARIOUS TYPES OF REVENUES/INCOME FOR THE PROJECT/PROGRAM: Amount of money requested from the City of Temecula Community Support Grant 000 (Not to exceed $5,000) Cash contributed to Project/Program by the Applicant Organization Other grants or funding already awarded for Project/Program, if any In -Kind match amount or volunteer credit hours estimated amount VARIOUS TYPES OF EXPENSES FOR THE SPECIFIC PROJECT/PROGRAM: Staffing expense for Project/Program (this amount is ineligible to be funded by City's Grant; however please include) Equipment expense for Project/Program Food expense for Project/Program Marketing expense for Project/Program Supplies expense for Project/Program Facilities/Rent expense for Project/Program Other expense for Project/Program TOTAL BUDGET FOR PROJECT/PROGRAM Expenses $ 117,000 $ 60,000 182,000 218,717 Application Page 4 of 7 PREVIOUS FISCAL YEAR (FY) 2017-2018 COMPLIANCE REPORT If your organization was awarded a Community Service Funding Grant in FY 2017-2018 (last year) by the City of Temecula, please submit this information or the application may be rejected as incomplete. If your organization was NOT awarded a Community Service Funding Grant in FY 2017-2018 (last year), then skip this page. If your organization was awarded a Community Service Funding Grant in Fiscal Year 2017-2018 (last year) by the City of Temecula. all grant funds received must have been expended anytime on or between July 1, 2017, and June 30, 2018. In addition, all grant funds must be substantiated with proper back-up documentation. Failure to provide proper documentation may jeopardize any future funding. City of Temecula reserves the right to conduct an audit and/or require additional back-up information to substantiate how funds received from the City were spent. If the funds were not spent in accordance with the approved purpose stated on the Application, the organization will be required to refund the amount of funds. To substantiate that Fiscal Year 2017-2018 funds received from the City were spent appropriately, proper back-up documentation including the table below with accompanying receipts/invoices, must be submitted to the City on or before due date: Friday, September 21, 2018. EXPENDITURE REPORT due on or before Friday, September 21, 2018 1. Demonstrate that the Community Service Funding Grant specifically benefitted Temecula residents by provIding the number of beneficiaries living in 92590, 92591 and 92592 that directly benefitted from this program: (approximate number of beneficiaries if you don't have a precise number): 48 2. Fill out this table (include additional copies if needed to explain all expenditures) 3. Attach Receipts/Invoices (in the same order as listed in this table) 4. Send to: City of Temecula, 41000 Main St., Temecula, CA 92590, Attn: City Manager's Office - CSF Organization: Boys & Girls Club of Southwest County Name of Project/Program: BGC After School Progr2$ Month + Year Grant Received from City: 1 2/1 7 Amount of Grant Fund Awarded: $ 5000.00 Name of Company on Receipt/Invoice Date (roto/Day/Yr) on Receipt/Invoice Must be dated on or between July 1, 2017 - June 30, 2018 Paradise 4/6/18 Amount of Expenditure Describe... (1) what the expenditure was (2) purpose of the expenditure MUST support Project/Program description on Application + Award Latter $ 769.87 Vehicle repairs - pass smog test LKQ Corp. 6/28/18 $ 4230.13 Explain ... how the expenditure specifically benefitted Temecula residents if namestaddressas of Temecula beneficiaries are available, please attach Funds were used to repair bus used to transport Temecula members. Vehicle repairs - new engine Funds were used to repair bus used to transport Temecula members. EXPENDITURE TOTAL Note: Expenditure Total must be equal to (or greater than) the "Amount of Grant Fund Awarded" (above) provided by the City $ 5000.00 Application Page 5 of 7 FISCAL YEAR (FY) 2018-2019 COMPLIANCE REPORT If your organization is awarded a Community Service Funding Grant in FY 2018-2019 by the City of Temecula, then this information is not due until Monday, September 16, 2019 If your organization is awarded a Community Service Funding Grant in Fiscal Year 2018-2019 by the City of Temecula, all grant funds received must be expended anytime on or between July 1, 2018, and June 30, 2019. In addition, all grant funds must be substantiated with proper back-up documentation. Failure to provide proper documentation may jeopardize any future funding. City of Temecula reserves the right to conduct an audit and/or require additional back-up information to substantiate how funds received from the City were spent. If the funds are not spent in accordance with the approved purpose stated on the Application, the organization will be required to refund the amount of funds. To substantiate that Fiscal Year 2018-2019 funds received from the City were spent appropriately, proper back-up documentation including the table below with accompanying receipts/invoices, must be submitted to the City on or before due date: Monday, September 16, 2019. EXPENDITURE REPORT due on or before Monday, September 16, 2019 1. 2. 3. 4. Organization: Amount m E ` r d, ti E < Z Demonstrate that the Community Service Funding the number of beneficiaries living in 92590, 92591 (approximate number of beneficiaries if you don't have Fill out this table (include additional copies if needed Attach Receipts/Invoices (in the same order as listed Send to: City of Temecula, 41000 Main St., Temecula, Boys & Girls Club of Southwest County Grant specifically benefitted Temecula residents by providing and 92592 that directly benefitted from this program: a precise number): to explain all expenditures) in this table) CA 92590, Attn: City Manager's Office - CSF Name of Project/Program: After -School Transportation Program of Grant Fund Awarded: $ Month + Year Grant Received from City: Name of Company on Receipt/Invoice Date (Mo/Day/Yr) on Receipt/Invoice Must be dated on or between July 1, 2018 - June 30. 2019 Amount of Expenditure Describe... (1) what the expenditure was (2) purpose of the expenditure MUST support Project/Programbeneficiaries description on Application + Award Letter Explain ... how the expenditure specifically benefitted Temecula residents H names/addresses of Temecula are available, please attach 1 $ 2 $ 3 $ 4 $ 5 $ EXPENDITURE TOTAL Note: Expenditure Total must be equal to $ (or greater than) the "Amount of Grant Fund Awarded" (above) provided by the City Application Page 6 of 7 SIGNATURE PAGE The applicant acknowledges and agrees to the following: • Recipient is subject to all Community Service Funding Program requirements including submittal deadlines and payment disbursements. • Every Community Service Funding application is considered individually and on its own merit. • Awards will be given to organizations and activities that directly benefit the residents of Temecula. • Funding is not immediately available to the recipient, and requires an award letter signature upon approval. Please allow time for checks to be processed. • The awarding of Community Service Funding does not constitute an automatic annual allocation. • The recognition for Community Service Funding should accrue to the City of Temecula. • Community Service Funding must be spent as specified on the Application and records may be requested by the City of Temecula to ensure the funds were used appropriately. • Community Service Funding grants will not be awarded or announced within the 60 days before an election in which an awarding Council Member is on the ballot. • The recipient shall provide a full accounting with documentation on the use of awarded funds. The recipient shall return to the City any funds not spent or documented per the signed agreement. • If awarded a Community Service Funding Grant by the City of Temecula last year, then compliance receipts must be submitted on or before this application's due date or this application may be rejected as incomplete. We hereby certify the information contained in this Application is true to the best of our knowledge and belief. ORGANIZATION NAME: Boys & Girls Club of Southwest Counmty MAILING ADDRESS: PHONE: ( EMAIL: shellyf@becswc.org PRESIDENT/ AUTHORIZED OFFICER Shelly Anguiano Figueroa Printpawe Title (` DATE: 9/20/18 SIGNATURE: IF DIFFERENT THAN ABOVE, APPICATION PREPARED BY: 4. (Month, Day, Year) Print Name Title SUBMIT ORIGINAL APPLICATION BY FRIDAY, SEPTEMBER 21, 2018, TO: City of Temecula Community Service Funding Attn: City Manager's Office 41000 MAIN STREET TEMECULA, CA 92590 If you have any questions please contact Betsy Lowrey at (951) 693-3959 or Stacey Brown at (951) 506-5100. Application Page 7 of 7 Home > Tax Exempt Organization Search > Boys & Girls Club Of Southwest County <Back to Search Results Boys & Girls Club Of Southwest County EfN: HELPO MENU Publication 78 Data Organizations eligible to receive tax-deductible charitable contributions. Users may rely on this list in determining deductibility of their contributions. On Publication 78 Data List: Yes Deductibility Code: PC Page Last Reviewed or Updated: 6 -Jul -2018 atIRS Our Agency About IRS Work at IRS Help Contact Your Local Office Tax Stats, Facts & Figures Know Your Rights Taxpayer Bill of Rights Taxpayer Advocate Service Accessibility Civil Rights Freedom of Information Act Resolve an Issue Respond to a Notice Office of Appeals Identity Theft Protection Report Phishing Tax Fraud & Abuse * Share g Print Other Languages Related Sites Espanol U.S. Treasury EP SC PyCCKVWVl Tieng Viet Treasury Inspector General for Tax Administration USA.gov STATE OF CALIFORNIA FRANCHISE TAX BOARD } A i PO BOX 942857 - / , SACRAMENTO CA 94257-0540 Entity Status Letter Date: 9/20/2018 ESL ID: 3434835658 According to our records, the following entity information is true and accurate as of the date of this letter. Entity ID: - Entity Name: BOYS & GIRLS CLUBS OF SOUTHWEST COUNTY r✓ 1. The entity is in good standing with the Franchise Tax Board. • 2. The entity is not in good standing with the Franchise Tax Board. ❑✓ 3. The entity is currently exempt from tax under Revenue and Taxation Code (R&TC) Section 23701 d. • 4. We do not have current information about the entity. The above information does not necessarily reflect: • The entity's status with any other agency of the State of Califomia, or other government agency. • If the entity's powers, rights, and privileges were suspended or forfeited at any time in the past, or the entity did business in California at a time when it was not qualified or not registered to do business in Califomia: o The status or voidability of any contracts made in Califomia by the entity at a time when the entity was suspended or forfeited (R&TC Sections 23304.1, 23304.5, 23305a, 23305.1). o For entities revived under R&TC Section 23305b, any time limitations on the revivor or limitation of the functions that can be performed by the entity. Internet and Telephone Assistance Website: ftb.ca.gov Telephone: 800.852.5711 from within the United States 916.845.6500 from outside the United States TTY/TDD: 800.822.6268 for persons with hearing or speech impairments FTB 4263A WEB (NEW 02-2012) FY 2018/2019 COMMUNITY SERVICE FUNDING GRANT APPLICATION # 4 CANINE SUPPORT TEAMS CITY OF TEMECITLA RFCE/VED FISCAL YEAR 20 18-2019 COMMUNITY SERVICE FUNDING PROGRAM APPLICATION (Please Print or Type) DUE ON OR BEFORE: FRIDAY, SEPTEMBER 21, 2018 >Frt 6 tRs PROJECT/PROGRAM INFORMATION Amount Requested: $ 5,000 (Maximum allowable $5,000 per Organization) Project/Program Title: Service dogs for Disabled Persons Start Date: 1211/18 End Date: 11/30/19 If Grant is Awarded, Make Check Payable to: i ms. Inc Mailing Address: ORGANIZATION AND GEOGRAPHIC AREA SERVED Name of Applicant Organization: Canine Support Teams, Inc Year Organization Founded: 1989 Website: www.caninesupportteams.org Number of Paid Staff: 8 Number of Volunteers: 125 Contact Name: Sally Wing Title/Position: Marketng & Development Director Contact Person's Email Address: marketung@canmesupportteams.org Telephone: Direct Office: 951-301-2625 Geographic Area(s) the Organization Serves: Temecula valley, Inland Empire, Southern CA, Nation-wide Geographic Area(s) the Project/Program Serves: (NOTE: Community Service Funding Grant must be exclusively used to serve Temecula.) TEMECULA Include Physical Address of Project/Program: (if different than Organization's Mailing Address) NONPROFIT STATUS Is this organization incorporated as a nonprofit? Yes x No (If No, then ineligible to receive City Funding) Date of Incorporation as a Nonprofit: Federal Identification Number: April 25, 1998 State Identification Number: Print out and attach to this application Verification from Federal (IRS) and State (FTB) as follows: 1. Attach IRS Deductibility Status using this link: http://apt s.irs.Qov/app/eosl 2. Attach State Entity Status Letter using this link: https://www ftb.ca.gov/online/self serve entity status letterdindex.aso 3. Attach first page only of most recent IRS Form 990 or attach print out of detailed information about your charity found on this State Registry's Search Tool: http://rct.doi.ca.oovNerification/Web/Search.aspx?facility=Y Application Page 1 of 7 Has the organization or any members of the Board of Directors of the organization been involved with any personal business transactions valued over $500 including any business transactions, negotiations, investments, or interests in real property with a Temecula City Council Member during the past 12 months? No X Yes If Yes, briefly describe Is a Temecula City Council Member a member of the Board of Directors or an Officer of the organization? No X Yes If Yes, provide Council Member's Name and title within the organization: This Application has been authorized by the organization's: Executive Committee Board of Directors X Members -at -Large FINANCIAL STATEMENTS Upon request, copies of the current budget of the organization / financial statements (balance statement and income statement), and if available CPA's audit, may be needed to demonstrate sound financial management. Do not submit now. CITY OF TEMECULA FUNDING — OTHER SOURCES Within the past two years, has your organization received (or is your organization concurrently requesting) any other sources of funding from the City of Temecula? No_ Yes_ If Yes, provide information in table below: Name of Funding Program from City (CDBG Grant? CSF Grant? Sponsorship?) Temecula CDBG City of Temecula Community Services F City of Temecula Community Services Temecula CDBG MISSION STATEMENT OF ORGANIZATION Briefly describe the goals and objectives, or mission, of your organization. The mission of Canine Support Teams, Inc is to provide specially trained dogs to persons with disabilities to support their personal, social, and occupational independence. Tr) Achieve nur gaols ni it rieriiratMri vnluntPPrs wnrk with niir small, prnffssinnal training Staff to PnsurP high quality care and training of our dogs before they are partnered with a disabled handler. We successfully accomplish grants like this one. Canine Support Teams has been effectively carrying out its mission since 1989. Application Page 2 of 7 Month and Year Grant or Sponsorship Received Amount Program, Project or Service(s) that was funded by the City Grant or Sponsorship Service Dogs for Disabled Persons July, 2018 $ 5,583 rd Service Dogs for Disabled Persons Dec 2017 $ 2,500 una Serve Dogs for Disabled Persons Dec 2016 $ 2,268.84 Service Dogs for Disabled Persons July, 2016 $ 2,556 MISSION STATEMENT OF ORGANIZATION Briefly describe the goals and objectives, or mission, of your organization. The mission of Canine Support Teams, Inc is to provide specially trained dogs to persons with disabilities to support their personal, social, and occupational independence. Tr) Achieve nur gaols ni it rieriiratMri vnluntPPrs wnrk with niir small, prnffssinnal training Staff to PnsurP high quality care and training of our dogs before they are partnered with a disabled handler. We successfully accomplish grants like this one. Canine Support Teams has been effectively carrying out its mission since 1989. Application Page 2 of 7 GRANT FUNDING PROJECT/PROGRAM DESCRIPTION NOTE: Receipts/invoices will be required to be submitted to the City to demonstrate that your organization used grant funding awarded by the City to support the project/program as described here. See Compliance Report on Application Page 6 for details. 1 Briefly describe the Project/Program (and its objectives) the City of Temecula grant funding will be used to support. This project request of $5,000 will help us offset the expenses of providing THREE residents of Temecula with fully trained. ADA compliant Service Dogs These dogs will aid their handlers in routine daily tasks that are made difficult by their disabilities. With the help of their canine partners, these handlers will achieve greater independence. confidence, and autonomy 2 Describe how your organization will spend the grant funding awarded. Include equipment or services that would be purchased and why. The funds from the City of Temecula Community Services Fund will provide scholarships 3 clients. Supplies, services & equipment necessary include: Food and routine vaccinations for Service Dogs in training, Monthly flea/tick & heartworm prophylactic. Training certifications through the American Kennel Club. Spay/neuter and veterinary care, CST branded harness/vest, collar. leash 3. Explain how the grant funding will specifically benefit Temecula residents These funds will be specifically dedicated to scholarships for Temecula residents. We receive many applications from residents throughout Riverside County and beyond. Our intake and verification process allows us to identify those qualifying application and provide verification of residence to the City of Temecula. Estimated number of people expected to benefit from this Project/Program 3 direct (9 indirect) Estimated number of volunteers involved in this Project/Program Application Page 3 of 7 15 4 In 30 words or Tess, summarize how the grant funds, if awarded, will be used. IMPORTANT: This summary will be used in a spreadsheet intended to summarize all Community Service Funding Grant Applications, including yours, submitted to the City Council. Grant Funds will be used to offset the expenses of providing Service Dogs to (up to three Temecula residents. Our hard costs of preparing these dogs exceeds to $15,000 p/dog. We use fundraising campaigns, a wide range of private & corporate grants, and sponsorships to cover these costs which include: Food and routine vaccinations for Service Dogs in training, Two years of socializing, handling and training, Monthly flea/tick & heartworm prophylactic, Spay/neuter and veterinary care, Training certifications through the American Kennel Club, Team Training with Client, CST branded harness/vest, collar, leash PROJECT/PROGRAM BUDGET PROJECT/PROGRAM BUDGET Line Items for Project/Program Revenues Expenses VARIOUS TYPES OF REVENUES/INCOME FOR THE PROJECT/PROGRAM: Amount of money requested from the City of Temecula Community Support Grant $ 5,000 (Not to exceed $5,000) Cash contributed to Project/Program by the Applicant Organization $ 17,500 Other grants or funding already awarded for Project/Program, if any $ TBD In -Kind match amount or volunteer credit hours estimated amount $ 30,720 VARIOUS TYPES OF EXPENSES FOR THE SPECIFIC PROJECT/PROGRAM: Staffing expense for Project/Program (this amount is ineligible to be funded by $ 46,600 City's Grant; however please include) Equipment expense for Project/Program $ 450 Food expense for Project/Program $ 1,170 Marketing expense for Project/Program $ 3,110 Supplies expense for Project/Program $ 450 Facilities/Rent expense for Project/Program $ 7,875 Other expense for Project/Program $ 4,460 TOTAL BUDGET FOR PROJECT/PROGRAM $ 53220 + TBD $ 64,115 Application Page 4 of 7 PREVIOUS FISCAL YEAR (FY) 2017-2018 COMPLIANCE REPORT If your organization was awarded a Community Service Funding Grant in FY 2017-2018 (last year) by the City of Temecula, please submit this information or the application may be rejected as incomplete. If your organization was NOT awarded a Community Service Funding Grant in FY 2017-2018 (last year), then skip this page. If your organization was awarded a Community Service Funding Grant in Fiscal Year 2017-2018 (last year) by the City of Temecula, all grant funds received must have been expended anytime on or between July 1. 2017. and June 30, 2018. In addition, all grant funds must be substantiated with proper back-up documentation. Failure to provide proper documentation may jeopardize any future funding. City of Temecula reserves the right to conduct an audit and/or require additional back-up information to substantiate how funds received from the City were spent. If the funds were not spent in accordance with the approved purpose stated on the Application, the organization will be required to refund the amount of funds. To substantiate that Fiscal Year 2017-2018 funds received frorn the City were spent appropriately, proper back-up documentation including the table below with accompanying receipts/invoices, must be submitted to the City on or before due date: Friday, September 21, 2018. EXPENDITURE REPORT due on or before Friday, September 21, 2018 1. Demonstrate that the Community Service Funding Grant specifically benefitted Temecula residents by providing the number of beneficiaries living in 92590, 92591 and 92592 that directly benefitted from this program: (approximate number of beneficiaries if you don't have a precise number): 3 2. Fill out this table (include additional copies if needed to explain all expenditures) 3. Attach Receipts/Invoices (in the same order as listed in this table) 4. Send to: City of Temecula, 41000 Main St., Temecula, CA 92590, Attn: City Manager's Office - CSF Organization: Name of Project/Program: Amount of Grant Fund Awarded: $ Name of Company on Receipt/Invoice Month + Year Grant Received from City: Date (Mo/Day/Yr) on Receipt/Invoice Must be dated on or between July 1, 2017 - June 30. 2018 Amount of Expenditure 1 Certified 6/20/18 $ 500 Describe... (1) what the expenditure was (2) purpose of the expenditure MUST support Project/Program description on Application + Award Letter Outside Certification Scholarship Explain ... how the expenditure specifically benefitted Temecula residents If names/addresses of Temecula beneficiaries are available, please attach a Temecula Resident that brought his own dog to CST for training & certification 2 Certified 5/20/18 $ 1,500 Scholarship Ibis a Temecula Resident that received a CST raised & trained Service Dog 3 Certified 1/5/18 $ 500 Outside Certification Scholarship $ is a Temecula Resident that brought his own dog to CST for training & certification $ EXPENDITURE TOTAL Note Expenditure Total must be equal to (or $ 2,500 greater than) the "Amount of Grant Fund Awarded" (above) provided by the City Application Page 5 of 7 FISCAL YEAR (FY) 2018-2019 COMPLIANCE REPORT If your organization is awarded a Community Service Funding Grant in FY 2018-2019 by the City of Temecula, then this information is not due until Monday, September 16, 2019 If your organization is awarded a Community Service Funding Grant in Fiscal Year 2018-2019 by the City of Temecula, all grant funds received must be expended anytime on or between July 1, 2018, and June 30, 2019. In addition, all grant funds must be substantiated with proper back-up documentation Failure to provide proper documentation may jeopardize any future funding. City of Temecula reserves the right to conduct an audit and/or require additional back-up information to substantiate how funds received from the City were spent. If the funds are not spent in accordance with the approved purpose stated on the Application, the organization will be required to refund the amount of funds. To substantiate that Fiscal Year 2018-2019 funds received from the City were spent appropriately, proper back-up documentation including the table below with accompanying receipts/invoices, must be submitted to the City on or before due date: Monday, September 16, 2019 EXPENDITURE REPORT due on or before Monday, September 16, 2019 1. Demonstrate that the Community Service Funding Grant specifically benefitted Temecula residents by providing the number of beneficiaries living in 92590, 92591 and 92592 that directly benefitted from this program: (approximate number of beneficiaries if you don't have a precise number) 2. Fill out this table (include additional copies if needed to explain all expenditures) 3. Attach Receipts/Invoices (in the same order as listed in this table) 4. Send to: City of Temecula, 41000 Main St., Temecula, CA 92590, Attn: City Manager's Office - CSF Organization: Name of Project/Program: Month + Year Grant Received from City: Amount of Grant Fund Awarded: $ 2 3 4 5 Name of Company on Receipt/Invoice Date (Mo/Day/Yr) on Receipt/Invoice Amount of Describe... (1) what the expenditure was (2) purpose of the expenditure Must be dated on or Expenditure between MUST support ProjecbProgram July 1, 2018 - description on Application + Award Letter June 30, 2019 Explain ... how the expenditure specifically benefitted Temecula residents If namesladdresses of Temecula beneficiaries are available, please attach EXPENDITURE TOTAL Note: Expenditure Total must be equal to (or $ greater than) the "Amount of Grant Fund Awarded" (above) provided by the City _ Application Page 6 of 7 SIGNATURE PAGE The applicant acknowledges and agrees to the following: • Recipient is subject to all Community Service Funding Program requirements including submittal deadlines and payment disbursements. • Every Community Service Funding application is considered individually and on its own merit. • Awards will be given to organizations and activities that directly benefit the residents of Temecula. • Funding is not immediately available to the recipient, and requires an award letter signature upon approval. Please allow time for checks to be processed. • The awarding of Community Service Funding does not constitute an automatic annual allocation. • The recognition for Community Service Funding should accrue to the City of Temecula. • Community Service Funding must be spent as specified on the Application and records may be requested by the City of Temecula to ensure the funds were used appropriately. • Community Service Funding grants will not be awarded or announced within the 60 days before an election in which an awarding Council Member is on the ballot. • The recipient shall provide a full accounting with documentation on the use of awarded funds. The recipient shall return to the City any funds not spent or documented per the signed agreement. • If awarded a Community Service Funding Grant by the City of Temecula last year, then compliance receipts must be submitted on or before this application's due date or this application may be rejected as incomplete. We hereby certify the information contained in this Application is true to the best of our knowledge and belief. ORGANIZATION NAME: Canine Support Teams, Inc MAILING ADDRESS: PHONE: _ EMAIL: cstmain@caninesupportteams.org marketing@caninesupportteams.org PRESIDENT / AUTHORIZED OFFICER: Carol Roquemore, CEO, VP Board of Directors /� Print Name Title SIGNATURE: Cajt-L / 1 CLQ DATE: 9/17/18 (Month, Day, Year) IF DIFFERENT THAN ABOVE, APPICATION PREPARED BY: Sally Wing, Director of Marketing & Development Print Name Title SUBMIT ORIGINAL APPLICATION BY FRIDAY, SEPTEMBER 21, 2018, TO: City of Temecula Community Service Funding Attn: City Manager's Office 41000 MAIN STREET TEMECULA, CA 92590 If you have any questions please contact Betsy Lowrey at (951) 693-3959 or Stacey Brown at (951) 506-5100. Application Page 7 of 7 HELPS MENU= Home > Tax Exen1pt Organization Search > Canine Support Teams Inc. <Back to Search Results Canine Support Teams Inc. EIN: Publication 78 Data o Organizations eligible to receive tax-deductible charitable contributions. Users may rely on this list in determining deductibility of their contributions. On Publication 78 Data List:Yes Deductibility Code: PC Page fast Reviewed or Updated: 6-JuI.2018 NIRS Our Agency About IRS Work at IRS Help Contact Your Local Office Know Your Rights Taxpayer Bill of Rights Taxpayer Advocate Service Accessibility Civil Rights Tax Stats, Facts & Figures Freedom of Information Act No Fear Act Privacy Policy P'. Share 1 Print CI a Resolve an Issue Other Languages Related Sites Respond to a Notice Espanol Office of Appeals 4� Identity Theft Sly, a Protection PyCCICNN Ting Vi t Report Phishing Tax Fraud & Abuse U.S. Treasury Treasury inspector General for Tax Administration USA.gov STATE OF CALIFORNIA FRANCHISE TAX BOARD PO BOX 942857 SACRAMENTO CA 94257-0540 Entity Status Letter Date: 9/14/2018 ESL ID: 6360734317 According to our records, the following entity information is true and accurate as of the date of this letter Entity ID: Entity Name: CANINE SUPPORT TEAMS, INC. The entity is in good standing with the Franchise Tax Board. 2. The entity is not in good standing with the Franchise Tax Board. IY I 3. The entity is currently exempt from tax under Revenue and Taxation Code (R&TC) Section 23701 d. 111 4. We do not have current information about the entity. The above information does not necessarily reflect: • The entity's status with any other agency of the State of California, or other government agency. • If the entity's powers, rights, and privileges were suspended or forfeited at any time in the past, or the entity did business in California at a time when it was not qualified or not registered to do business in California: • The status or voidability of any contracts made in California by the entity at a time when the entity was suspended or forfeited (R&TC Sections 23304.1, 23304.5, 23305a, 23305.1). o For entities revived under R&TC Section 23305b, any time limitations on the revivor or limitation of the functions that can be performed by the entity. Internet and Telephone Assistance Website: ftb.ca.gov Telephone: 800.852.5711 from within the United States 916.845.6500 from outside the United States TTY/TDD: 800.822.6268 for persons with hearing or speech impairments FTB 4263A WEB (NEW 02-2012) FY 2018/2019 COMMUNITY SERVICE FUNDING GRANT APPLICATION # 5 CHARITY FOR CHARITY CITY OF TEMECULA FISCAL YEAR 2018-2019 COMMUNITY SERVICE FUNDING PROGRAM APPLICATION (Please Print or Type) DUE ON OR BEFORE: FRIDAY, SEPTEMBER 21, 2018 PROJECT/PROGRAM INFORMATION Amount Requested: $ 51 -- (Maximum allowable $5,000 per Organization) Project/Program Title:CC.C. 4"undrui sinr Concer i -Start Date: 8` r�Cl`& End Date. .J Gn 2.otq If Grant is Awarded. Make Check Payable to. CHci i -i Thc Un S bter.b c.► eS 1 Mailing Address: The Ci -,a rI ki NA Gig z.. ne.. ORGANIZATION AND GEOGRAPHIC AREA SERVED Name of Applicant Organization:C.11CW t+ CN, --C kOri+9 Year Organization Founded: laan Website:Chpr 1. f ,vc a(ii vt b' JNumber of Paid Staff: 1 Number of Volunteerso5-2O Contact Name:C har l'i} L PKC 5+i 1i Title/Position: Founder PY. CS i ckn + Contact Person's Email Addres elephone Geographic Area(s) the Organization rves: T:r e Cc,t I Ct V Ci) 1-c q Geographic Area(s) the Project/Program Serves (NOTE. Community Service Funding Grant must be exclusively used to serve Temecula.) rt me C.4_410. V c, 11 C Include Physical Address of Project/Program: (if different than Organization's Mailing Address) NONPROFIT STATUS Is this organization incorporated as a nonprofit? Yes )1 No (If No, then ineligible to receive City Funding) Date of Incorporation as a Non rofit: DC1 Federal Identification Number tate Identification Number: Print out and attach to this application Verification from Federal (IRS) and State (FTB) as follows: 1. Attach IRS Deductibility Status using this link: http.//apos.lrs.uov/app/eos/ 2. Attach State Entity Status Letter using this link: r,ttps .www ftb cagov!onlineself serve ertit' status lettemnQex asp 3. Attach first page only of most recent IRS Form 990 or attach print out of detailed information about your charity found on this State Registry's Search Tool: http://rct.dQj ca qov/Verificatlon/Web/Search.aspx?facility=Y Application Page 1 of 7 RECEIVED AUG 2 2 2G16 CITY MANAGER'S OFFICE Has the organization or any members of the Board of Directors of the organization been involved with any personal business transactions valued over $500 including any business transactions, negotiations, investments, or interests in real property with a Temecula City Council Member during the past 12 months? No X Yes If Yes, briefly describe: • Is a Temecula City Council Member a member of the Board of Directors or an Officer of the organization? No !' Yes If Yes, provide Council Member's Name and title within the organization: This Application has been authorized by the organization's: Executive Committee Board of Directors X Members -at -Large FINANCIAL STATEMENTS Upon request, copies of the current budget of the organization / financial statements (balance statement and income statement), and if available CPA's audit, may be needed to demonstrate sound financial management. Do not submit now. CITY OF TEMECULA FUNDING - OTHER SOURCES Within the past two years, has your organization received (or is your organization concurrently requesting) any other sources of funding from the City of Temecula? No_ Yes If Yes, provide information in table below: Name of Funding Program from City (CM* Grant? CSF Grant? Sponsorship?) Program, Protect or Services) that was funded by the City Grant or Sponsorship Month and Year Grant or Sponsorship Received Amount 5rrdsti, P stars 0P 4411 Va I Iry o.rd Sper,sur a1 ao� $1 S0-- $ $ $ MISSION STATEMENT OF ORGANIZATION Briefly describe the�goals and objectives, or mission, of your organization. (; ha v i +tj Foe C 1,-10 i s a t uca 1 Wish fu n5 j (X (50,4147-a-4-, (11 west-veS r id-Cn+ w1 --h 5Fc ' a - r -e -e d s due -to I i fie.. +1,, re arc.. n, n C 111 tn-es S ar -1r C r, \u vI . Application Page 2 of 7 GRANT FUNDING PROJECT/PROGRAM DESCRIPTION NOTE: Receipts/Invoices will be required to be submitted to the City to demonstrate that your organization used grant funding awarded by the City to support the project/program as described here. See Compliance Report on Application Page 6 for details 1 Briefly describe the Project/Program (and its objectives) the City of Temecula grant funding will be used to support. ° Fift�c1rc11stnq Cr) Ccr : Cur cbjeCtele 15-b roIse -R.+r,cS+o help 1i0t+h Cur up orrs ,n9 sec ts. * Thc. U ns-to(3pctble5 i 5 Ct mo4-'0/01-tcr,01 Spec4 4Carr Of O e-ci u a vi e s 1 -ha 4- 11 b.-inc) ir5p►rcttstx+,hdPC jry-b 5.}udcnis or TVUSD by 5►•,ur-►r9(Cal 1i -k. "tY+-iC 51w te5 frtwt.-. Inc✓e c4 a unstoPPc.bte over-c,or•v,g✓S . • The Chord -1i Mc9ciZ,ne(isp(rfS tt7 Shcirt' Ckciriti-es in DUI CC�vnr•�r,.a+�; t V.)AoDieC rnornCAG di14rer1ce tr 4fie 1iv-es of hure-%c r•',,`(cM Can 4 incl n'PirQ-1-,or-in I sr- ies, eYei-,-4-s,VOIOn4•ceroppor nits e5 3 4 -he IoCGta I AS,nI�GS 2 Describe how your organization will spend the grant funding awarded Who y.aioport 4 -hew•+. Include equipment or services that would be purchased and why Tht. CiWO.rd w e 11 Cor) towards Co5}-s G 5,x-yc-, G 4-cci W 1-ih I AvinCt-v,nci 4-4-Nt se pr-bc3rc..nns . • Fundretis, r.(1Co-c.erfi'• ProduC+,~,n trd.i i.ncjvrdto,stc*9t,Sound trar-5(Dor+AtiG'-N• ♦ p-ocr-,0 11trr S . sy 5+c rr •Thc, Uns}oppa.blc wive r+-ov c print; r cci rn er �a15, mar rie CNS ►Re mor1a15 p rb"r.o t t m Aryd prt;Cl,.•cc icy t uN ct o r-, s po✓ t-, Or" • • Tc C60.ri-4-. NACtiya.int : t dyer pv ,nt-,nc mc►iexr 1005, (nor IC.<tin g, P�d�^9 • J 3. Explain how the grant funding will specifically benefit Temecula residents. 13/4-ese -141Y-ee. prD rc .rr,s w ►11 kye n e f i t broad r%1 r.ccc. rt56d-cn-Fs. •�hc Unstoppablc5 well bene + our IoCat TvU5D Siuc1-e1 -4s b.f 41 -CA r"r n $1 r rc c -dory► i n 5 p t ror la l 0V t Y Come rS . •TQC C4 -+Ca+- { Macj Zine GS7% S 4erne -ita Q C4.rii-its 1D5kart, '31-0v% e , nsp►rck--in-+5, V-er + , 1r•eSc .4rCe 0..r,v,1 fir, 4 -c -Gr u ov-4ur+;i-i-eg * ►e, sir,esses vov^o-()po,r+ us 0-1 1. Estimated number of people expected to benefit from this Project/Program CDL -16" 4-tts5 Estimated number of volunteers involved in this Project/Program: - 30 Application Page 3 of 7 4. In 30 words or Tess, summarize how the grant funds, if awarded, will be used. IMPORTANT: This summary will be used in a spreadsheet intended to summarize all Community Service Funding Grant Applications, including yours, submitted to the City Council. Funds W'It h-clp launch our mo -};VA -hong' spcaIC.1n5 }et+m 4+14. r cizihe nd►-cAisin ' advcr+;scno1 , mab,- k;►,c, P , Pvocluc+-,o►-, -f-rar+sPt+a+iti %/11-% ick W;I1 btI lv 1-eay.e a 1gs+inc1 j rY, p c4. C+ ►' ns e ; r -c..+4 or, and in . PROJECT/PROGRAM BUDGET PROJECT/PROGRAM BUDGET Line Items for Project/Program Revenues Expenses VARIOUS TYPES OF REVENUES/INCOME FOR THE PROJECT/PROGRAM: Amount of money requested from the City of Temecula Community Support Grant (Not to exceed $5,000) $ Coo.CO Cash contributed to Project/Program by the Applicant Organization $ Other grants or funding already awarded for Project/Program, if any $ In -Kind match amount or volunteer credit hours estimated amount $ VARIOUS TYPES OF EXPENSES FOR THE SPECIFIC PROJECT/PROGRAM: Staffing expense for Project/Program (this amount is ineligible to be funded by $ City's Grant; however please include) Equipment expense for Project/Program $l5C0_ Food expense for Project/Program $ Marketing expense for Project/Program $ 1— OCC) Supplies expense for Project/Program Facilities/Rent expense for Project/Program $ Other for expense Project/Program $ TOTAL BUDGET _ FOR PROJECT/PROGRAM 5003—_ $ 500 — $5003-- Application Page 4 of 7 SIGNATURE PAGE The applicant acknowledges and agrees to the following: • Recipient is subject to all Community Service Funding Program requirements including submittal deadlines and payment disbursements. • Every Community Service Funding application is considered individually and on its own merit. • Awards will be given to organizations and activities that directly benefit the residents of Temecula. • Funding is not immediately available to the recipient, and requires an award letter signature upon approval. Please allow time for checks to be processed. • The awarding of Community Service Funding does not constitute an automatic annual allocation. • The recognition for Community Service Funding should accrue to the City of Temecula. • Community Service Funding must be spent as specified on the Application and records may be requested by the City of Temecula to ensure the funds were used appropriately. • Community Service Funding grants will not be awarded or announced within the 60 days before an election in which an awarding Council Member is on the ballot. • The recipient shall provide a full accounting with documentation on the use of awarded funds. The recipient shall return to the City any funds not spent or documented per the signed agreement. • If awarded a Community Service Funding Grant by the City of Temecula last year, then compliance receipts must be submitted on or before this application's due date or this application may be rejected as incomplete We hereby certify the information contained in this Application is true to the best of our knowledge and belief. ORGANIZATION NAME: Ck Cir i t Ct Or. i +1 MAILING ADDRESS: E: PRESIDENT / AUTHORI SIGNATURE: FICER: EMAIL: Cho r ► } �,S 'l ,rc s�-i �;1; ppv ii-ra, Inc! lW es► c1 -e , 1 - (Print (Print Name Title IF DIFFERENT THAN ABOVE, APPICATION PREPARED BY: DATE: SlaaI1a (Month, Day. Year) Print Name Title SUBMIT ORIGINAL APPLICATION BY FRIDAY, SEPTEMBER 21, 2018, TO: City of Temecula Community Service Funding Attn: City Manager's Office 41000 MAIN STREET TEMECULA, CA 92590 If you have any questions please contact Betsy Lowrey at (951) 693-3959 or Stacey Brown at (951) 506-5100. Application Page 7 of 7 1RS Exempt Organizations Select Check xemat Oroanizations Select Check Hone Organizations Eligible to Receive tax -Deductible Charitable Contributions (Pub. 78 data) - Search Results The following list includes tax-exempt organizations that are eligible to receive tax-deductible charitable contributions. Click on the "Deductibility Status" column for an explanation of limitations on the deductibility of contributions made to different types of tax-exempt organizations. Results are sorted by El N. To sort results by another category, click on the icon next to the column heading for that category. Clicking on that icon a second time wit reverse the sort order. Click on a column heading for an explanation of information in that column. 1-1 of 1 results Results Per Page j25 ' j OK 1 x Prev 1 1-1 1 Next » EIN: Legal Name (Doing Business As): CtS(: Charity for Charity Temecula Return to Search State country : Deductibility Status CA United States PC ac Prev 1 1-1 1 Next » STATE OF CALIFORNIA FRANCHISE TAX BOARD PO BOX 942857 SACRAMENTO CA 94257-0540 Entity Status Letter Date: 12/29/2015 ESL ID: 6405105126 According to our records, the following entity information is true and accurate as of the date of thls letter. Entity ID: Entity Name: CHARITY FOR CHARITY ® 1. The entity Is In good standing with the Franchise Tax Board. 0 2. The entity Is not in flood standing with the Franchise Tax Board. 3. The entity is currently exempt from tax under Revenue and Taxation Code (R&TC) Section 23701 d. 0 4. We do not have current Information about the entity. The above Information does not necessarily reflect • The entity's status with any other agency of the State of California, or other govemment agency. • if the entitys powers, rights, and privileges were suspended or forfeited at any time In the past, or the entity did business In California at a time when It was not qualified or not registered to do business In California: o The status or voidability of any contracts made In California by the entity at a time when the entity was suspended or forfeited (R&TC Sections 23304.1, 23304.5, 23305a, 23305.1). o For entitles revived under R&TC Section 23305b, any time limitations on the revivor or limitation of the functions that can be performed by the entity. Internet and Telephone Assistance Website: ftb.ca.gov Telephone: 800.852.6711 from within the United States 918.845.8500 from outside the United States TTY/TDD: 800.822.8268 for persons with hearing or speech impairments FTB 4283A WEB (NEW 02-2012) FY 2018/2019 COMMUNITY SERVICE FUNDING GRANT APPLICATION # 6 CHOICE PROGRAM CITY OF TEMECUTA FISCAL YEAR 2018-2019 COMMUNITY SERVICE FUNDING PROGRAM APPUCA N (Please Print or Type) DUE ON OR BEFORE: FRIDAY, SEPTEMBER 21, 2018 ro 10 2(118 o`: a PROJECT/PROGRAM INFORMATION Amount Requested: $ 5,000.00 Project/Program Title: The Choice Program, Inc. Start Date:12/01/18 End Date: 12/01/19 If Grant is Awarded, Make Check Payable to: Options & Opportunities: The Choice program Mailing Address: (Maximum allowable $5,000 per Organization) ORGANIZATION AND GEOGRAPHIC AREA SERVED i Name of Applicant Organization: Choice Program, Inc. Year Organization Founded: 2014 Website: cooleyfoundation.org Number of Paid Staff: 2 Number of Volunteers: 50 Contact Name: James Cooley Title/Position: Founder, CEO Contact Person's Email Address elephone: Geographic Area(s) the Organization Serves: City of Temecula Geographic Area(s) the Project/Program Serves: (NOTE: Community Service Funding Grant must be exclusively used to serve Temecula.) City of Temecula Include Physical Address of Project/Program: (if different than Organization's Mailing Address) NONPROFIT STATUS Is this organization incorporated as a nonprofit? Yes _'J No ❑ (If No, then ineligible to receive City Funding) Date of Incorporation as a Nonprofit: 2014 Federal Identification Number: State Identification Number: Print out and attach to this application Verification from Federal (IRS) and State (FTB) as follows: 1. Attach IRS Deductibility Status using this link: http:Uappsirs.uov/app/eosr 2. Attach State Entity Status Letter using this link: https_trwww,hb,cagovronlinerself serve entity status letterisndex.asp 3. Attach first page only of most recent IRS Form 990 or attach print out of detailed information about your charity found on this State Registry's Search Tool: http:Hrct.doi ca.govNerificationNVeb/Search_aspx?facility=Y Application Page 1 of 7 Has the organization or any members of the Board of Directors of the organization been involved with any personal business transactions valued over $500 including any business transactions, negotiations, investments, or interests in real property with a Temecula City Council Member during the past 12 months? No V Yes 1 1 If Yes, briefly describe: Is a Temecula City Council Member a member of the Board of Directors or an Officer of the organization? No Yes If Yes, provide Council Member's Name and title within the organization: yes Councilman James Stewart This Application has been authorized by the organization's: Executive Committee ✓ Board of Directors 1-1 I Members -at -Large El FINANCIAL STATEMENTS Upon request, copies of the current budget of the organization / financial statements (balance statement and income statement), and if available CPA's audit, may be needed to demonstrate sound financial management. Do not submit now. CITY OF TEMECULA FUNDING — OTHER SOURCES Within the past two years, has your organization received (or is your organization concurrently requesting) any other sources of funding from the City of Temecula? No Yes__ If Yes. provide information in table below: Name of Funding Program from City (CDBG Grant? CSF Grant? Sponsorship?) Program, Project or Service(s) that was funded by the City Grant or Sponsorship Month and Year Grant or Sponsorship Received Amount $ $ $ $ MISSION STATEMENT OF ORGANIZATION Briefly describe the goals and objectives, or mission, of your organization. Options and Opportunities: The Choice Program challenge youth to: embrace their personal greatness; develop their natural leadership skills; recognize the importance of community; and strive to live a life of significance. Application Page 2 of 7 GRANT FUNDING PROJECT/PROGRAM DESCRIPTION NOTE Receipts/invoices will be required to be submitted to the City to demonstrate that your organization used grant funding awarded by the City to support the project/program as described here. See Compliance Report on Application Page 6 for details. 1. Briefly describe the Project/Program (and its objectives) the City of Temecula grant funding will be used to support. The Choice Program is a community collaborative that works with Temecula City School District and other local youth organizations. Our goal is to develop future leaders through mentorship; build strong families and communities; and sponsor community events that educate as well as entertain. 2. Describe how your organization will spend the grant funding awarded. Include equipment or services that would be purchased and why. Funds will be used to cover costs associated with sponsoring (4) community leadership events. The events will be free to families and youth who live in Temecula. The organization will provide food, tee shirts, and educational materials based on the topic of each event. 3 Explain how the grant funding will specifically benefit Temecula residents. These events bring families and the community together to share and participate in positive and up -lifting activities. These events are hosted by Founder, James Cooley, and his contagious personality sets the tone for each event. Youth are often workshop leaders and it is their presence that adds value and benefits the community. Estimated number of people expected to benefit from this Project/Program: 500 Estimated number of volunteers involved in this Project/Program: 50 Application Page 3 of 7 4. In 30 words or Tess, summarize how the grant funds, if awarded, will be used. IMPORTANT: This summary will be used in a spreadsheet intended to summarize all Community Service Funding Grant Applications, including yours, submitted to the City Council. The funds will help support the Youth CORE Program, our special activities and events and allow us to create strong family and community ties in the city of Temecula. PROJECT/PROGRAM BUDGET PROJECT/PROGRAM BUDGET Line Items for Project/Program Revenues Expenses VARIOUS TYPES OF REVENUES/INCOME FOR THE PROJECT/PROGRAM: Amount of money requested from the City of Temecula Community Support Grant (Not to exceed $5,000) $ 5 000.00 ' $ 1,500.0 Cash contributed to Project/Program by the Applicant Organization $ 20, 000.00 Other grants or funding already awarded for Project/Program, if any $ 0.00 In -Kind match amount or volunteer credit hours estimated amount $ 25,000.00 $ 50,000.00 VARIOUS TYPES OF EXPENSES FOR THE SPECIFIC PROJECT/PROGRAM: -_ Staffing expense for Project/Program (this amount is ineligible to be funded by City's Grant; however please include) Equipment expense for Project/Program $ 10,500.00 Food expense for Project/Program $ 8,000.00 Marketing expense for Project/Program $ 5,500.00 Supplies expense for Project/Program $ 6,000.00 Facilities/Rent expense for Project/Program $ 8,000.00 Other expense for Project/Program $ 10,500.00 TOTAL BUDGET FOR PROJECT/PROGRAM $ 50,000.00 Application Page 4 of 7 PREVIOUS FISCAL YEAR (FY) 2017-2018 COMPLIANCE REPORT If your organization was awarded a Community Service Funding Grant in FY 2017-2018 (last year) by the City of Temecula, please submit this information or the application may be rejected as incomplete. If your organization was NOT awarded a Community Service Funding Grant in FY 2017-2018 (last year), then skip this page. If your organization was awarded a Community Service Funding Grant in Fiscal Year 2017-2018 (last year) by the City of Temecula, all grant funds received must have been expended anytime on or between July 1, 2017, and June 30, 2018. In addition, all grant funds must be substantiated with proper back-up documentation. Failure to provide proper documentation may jeopardize any future funding. City of Temecula reserves the right to conduct an audit and/or require additional back-up information to substantiate how funds received from the City were spent. If the funds were not spent in accordance with the approved purpose stated on the Application, the organization will be required to refund the amount of funds. To substantiate that Fiscal Year 2017-2018 funds received from the City were spent appropriately, proper back-up documentation including the table below with accompanying receipts/invoices, must be submitted to the City on or before due date: Friday, September 21, 2018. EXPENDITURE REPORT due on or before Friday, September 21, 2018 1 Demonstrate that the Community Service Funding Grant specifically benefitted Temecula residents by providing the number of beneficiaries living in 92590, 92591 and 92592 that directly benefitted from this program: (approximate number of beneficiaries if you don't have a precise number): 2. Fill out this table (include additional copies if needed to explain all expenditures) 3. Attach Receipts/Invoices (in the same order as listed in this table) 4. Send to City of Temecula, 41000 Main St., Temecula, CA 92590, Attn: City Manager's Office - CSF Organization: Choice Program, Inc. Amount of Grant Fund Awarded: $ Name of Project/Program: Month + Year Grant Received from City: 1 Date (Mo/Day/Yr)Describe... on (1) what the expenditure was 6▪ Name of Company Receipt/Invoice' A of nt (2) purpose of the expenditure E�, on O Receipt/invoice Must be dated on or I Expenditure j to = between MUST support Project/Program < July 1, 2017 - description on Application r Award Letter June 30, 2018 1 2 $ 3 4 Explain ... how the expenditure specifically benefitted Temecula residents It names/addresses of Temecula beneficiaries are available, please attach 5 EXPENDITURE TOTAL Note: Expenditure Total must be equal to $ (or greater than) the "Amount of Grant Fund Awarded" (above) provided by the City Application Page 5 of 7 FISCAL YEAR (FY) 2018-2019 COMPLIANCE REPORT If your organization is awarded a Community Service Funding Grant in FY 2018-2019 by the City of Temecula, then this information is not due until Monday, September 16, 2019 If your organization is awarded a Community Service Funding Grant in Fiscal Year 2018-2019 by the City of Temecula, all grant funds received must be expended anytime on or between July 1, 2018, and June 30, 2019. In addition, all grant funds must be substantiated with proper back-up documentation. Failure to provide proper documentation may jeopardize any future funding. City of Temecula reserves the right to conduct an audit and/or require additional back-up information to substantiate how funds received from the City were spent. If the funds are not spent in accordance with the approved purpose stated on the Application, the organization will be required to refund the amount of funds. To substantiate that Fiscal Year 2018-2019 funds received From the City were spent appropriately, proper back-up documentation including the table below with accompanying receipts/invoices, must be submitted to the City on or before due date: Monday, September 16, 2019. EXPENDITURE REPORT due on or before Monday, September 16, 2019 1. Demonstrate that the Community Service Funding Grant specifically benefitted Temecula residents by providing the number of beneficiaries living in 92590, 92591 and 92592 that directly benefitted from this program: (approximate number of beneficiaries if you don't have a precise number): 2. Fill out this table (include additional copies if needed to explain all expenditures) 3. Attach Receipts/Invoices (in the same order as listed in this table) 4. Send to: City of Temecula, 41000 Main St., Temecula, CA 92590, Attn: City Manager's Office - CSF Organization: Choice Program, Inc. Amount of Grant Fund Awarded: $ Name of Company on Receipt/Invoice Date (Mo/Day/Yr) on (1) what the expenditure was Amount Receipt/Invoiceof (2) purpose of the expenditure Expenditure Name of Project/Program: The Choice Program, Inc. Month + Year Grant Received from City: Describe... Explain ... Must be dated on or between July 1, 2018 - June 30. 2019 MUST support Project/Program description on Application + Award Letter 1 $ how the expenditure specifically benefitted Temecula residents If names/addresses of Temecula beneficiaries are available, please attach 2 3 4 5 EXPENDITURE TOTAL Note: Expenditure Total must be equal to $ (or greater than) the "Amount of Grant Fund Awarded" (above) provided by the City Application Page 6 of 7 SIGNATURE PAGE The applicant acknowledges and agrees to the following: • Recipient is subject to all Community Service Funding Program requirements including submittal deadlines and payment disbursements. • Every Community Service Funding application is considered individually and on its own merit. • Awards will be given to organizations and activities that directly benefit the residents of Temecula. • Funding is not immediately available to the recipient, and requires an award letter signature upon approval. Please allow time for checks to be processed. • The awarding of Community Service Funding does not constitute an automatic annual allocation. • The recognition for Community Service Funding should accrue to the City of Temecula. • Community Service Funding must be spent as specified on the Application and records may be requested by the City of Temecula to ensure the funds were used appropriately. • Community Service Funding grants will not be awarded or announced within the 60 days before an election in which an awarding Council Member is on the ballot. • The recipient shall provide a full accounting with documentation on the use of awarded funds. The recipient shall return to the City any funds not spent or documented per the signed agreement. • If awarded a Community Service Funding Grant by the City of Temecula last year, then compliance receipts must be submitted on or before this application's due date or this application may be rejected as incomplete. We hereby certify the information contained in this Application is true to the best of our knowledge and belief. ORGANIZATION NAME: Options and Opportunities: The Choice Prog. Inc MAILING ADDRESS: PRESIDEr r / AUT SIGNATURE: PHONE: ( MAIL: RIZED OFFICER: James Cooley, Founder/CEO IF DIFFERENT THAN ABOV , APPICATION PREPARED BY: DATE: 09/21/18 (Month, Day, Year) Print Name Title SUBMIT ORIGINAL APPLICATION BY FRIDAY, SEPTEMBER 21, 2018, TO: City of Temecula Community Service Funding Attn: City Manager's Office 41000 MAIN STREET TEMECULA, CA 92590 If you have any questions please contact Betsy Lowrey at (951) 693-3959 or Stacey Brown at (951) 506-5100. Application Page 7 of 7 � c ?c) 4\J State of Ca{ ifornia Secretary of State CERTIFICATE OF QUALIFICATION I, ALEX PADILLA, Secretary of State of the State of California, hereby certify that on the 26th day of May 2016, OPTIONS & OPPORTUNITIES/THE CHOICE PROGRAM INC., a corporation organized and existing under the laws of Texas, complied with the requirements of California law in effect on that date for the purpose of qualifying to transact intrastate business in the State of California, and that as of said date said corporation became and now is qualified and authorized to transact intrastate business in the State of California, subject however, to any licensing requirements otherwise imposed by the laws of this State. WP -25 (REV 01/2015) IN WITNESS WHEREOF, I execute this certificate and affix the Great Seal of the State of California this day of June 2, 2016. (90 ALEX PADILLA Secretary of State 0 JAM pDaartnient Treasury 1p�jyJ IRS Internal Revenue Service 053992 OGDEN UT 84201-0029 OPTIONS OPPORTUNITIES -THE CHOICE PROGRAM INC In reply refer to: 4077550277 June 1' 015 LTR 4168C 0 000000 00 00035577 BODC: TE Employer Identification Number: Person to Contact: Ms Benjamin cl-1"-Free--Te1-ep::•one Number:- 1 -877 -224 -5S -O0 — Dear Taxpayer: This is in response to your May 20, 2015, request for information regarding your tax-exempt status. Our records indicate that you were recognized as exempt under section 501(c)(3) of the Internal Revenue Code in a determination letter issued in October 2014. Our records also indicate that you are not a private foundation within the meaning of section 509(a) of the Code because you are described in sectionCs) 509(e)(1) and 170(b)(1)(A)Cvi). 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. Please refer to our website www.irs.gov/eo for information regarding filing requirements. Specifically, section 6033(j) of the Code provides that failure to file an annual information return for three consecutive years results in revocation of tax-exempt status as of the filing -due date of the third return for organization"s required to file. We will publish a list of organizatioys whose tax-exempt status was revoked under section 6033(3) off the Code on our website beginning in early 2011. OPTIONS OPPORTUNITIES -THE CHOICE PROGRAM INC 000000 00 00035578 If you have any questions,Eplease call us at the telephone number shown in the heading of this letter. Sincerely yours, Tamera Ripperda Director, Exempt Organizations 053992.4 5369.0244.159°3 1 SP 0.500 536 lalllliuulllesalu111111143111411111111111h1111e1ee1ie111e11111° OPTIONS OPPORTUNITIES -THE CHOICE 0GRAM INC ' CUT OUT AND RETURN THE VOUCHER AT THE BOTTOM OF THIS PAGE IF YOU ARE MAtCING A PAYMENT, EVEN IF YOU ALSO HAVE AN INQUIRY. The IRS address must appear in he BODCD-TE INTERNA. REVENUE SERVICE OGDEN t UT 84,21101-D0Z9 t f ii ii 11.A. lu�ttla{lluunilHuet�eetu(ejlilnuSA Use for payments La.z®_ r_ LTR4163C . Numbe Letter Daze 2015-06-17000000 Ta Period 1 1 lin Ammummommr OPTIONS OPPORTUNITIES—THE CHOICE PROGRAM INC 4720.102257 FX OPTI 00 2 000000 6713 00000000000 Corporations Section P.O.Box 13697 Austin, Texas 787I1-3697 Office of the Secretary of State Carlos H. Cascos Secretary of State Certificate of Fact The undersigned, as Secretary of State of Texas, does hereby certify that the document, Certificate of Formation for Options & Opportunities/The Choice Program, Inc. (file number 802074526), a Domestic Nonprofit Corporation, was filed in this office on October 01, 2014. It is further certified that the entity status in Texas is in existence. Phone: (512) 463-5555 Prepared by: SOS -WEB In testimony whereof, I have hereunto signed my name officially and caused to be impressed hereon the Seal of State at my office in Austin, Texas on May 18, 2016. 0 LA 11 Carlos H. Cascos Secretary of State Come visit us on the Internet at http://www.so.s.state.bzus/ Fax: (512) 463-5709 Dial: 7-1-1 for Relay Services TID: 10264 Document: 671327170004 Tc COOLEY FOUNDATION www. cooleyfoundatlon_org The JC Cooley Foundation (Options and Opportunities the Choice Program) a non- profit organization, can only achieve its annual scholarships goals with the assistance of generous donations and sponsorships from members and business owners in our community. Without these donations, serving our youth and investing in their future for tomorrow may not be possible. Since our organization relies on the generosity of individuals like you, we write to ask you to consider a donation to our cause_ A donor envelope is enclosed for your convenience or you can give online at iww.ccoiewfJUndatioF,.ot a . We hope that you will help support our efforts. Thank you in advance for your support! Sincere oole "EO and Founder J .oley Foundation (Options and Opportunities the Choice Program) ..I C O O L E Y F ()UN D AT I O N www.cooleyfoundation.org The JC Cooley Foundation is a non-profit organization that was started October of 2014. The JC Cooley Foundation continues to strive to expand its programs and offerings to the youth, young adults and citizens of our great communities nationwide and overseas. We hope that you will be able to take part in one or more of the many exciting events that we are offering this year and experience firsthand the pride we take in supporting our cause. It is our mission to "Equip the youth of today for the challenges of tomorrow". In order to meet our mission and provide services in our community, we rely heavily on the generosity of individuals and business owners for support. Without the assistance of community -minded individuals just like you, we wouldn't be able to serve our youth each year. We ask that you make a commitment to support our annual appeal by making a cash donation. This year our goal is $50,000.00 and we hope that you will be able to make a contribution. Your generosity will assist us in making a difference in the lives of the youth in our community. We have enclosed a donor envelope for your convenience or you can give online at www.cooleyfoundation_org. Remember that every donation makes a difference, regardless of size. Thank you in advance for your support! Jam:sy, CEO and .•under ) JC Cooley Foundation (Options and Opportunities the Choice Program) JC Cooley Foundation Scholarship Program The average cost of tuition for a student to attend a public four year university is $22, 953 annually (collegeboard.org). Even if a student were to get in state tuition, the cost would still be around $10,000 per year. These numbers do not include the cost of books, study material, food, transportation, and other necessary expenses. According to the WSJ, it's no wonder why the average graduating senior in 2017 had over $40,000 in debt. The JC Cooley Foundation believes in preparing the youth of today to be the leaders of tomorrow_ As part of our promise, the organization awarded 10 students with $500 scholarships in 2015 and 19 in 2016 and over 25 scholarships in 2017. This year, our plan is to awards deserving high seniors at least 30 scholarships of $250 and $500 or more to graduating seniors. To assist in not only lowering the debt of our future leaders and to help acknowledge hard work and dedicated students, please consider sponsoring a student for a scholarship. Since the JC Cooley Foundation is a nonprofit, all donations are tax deductible. We can provide you with a receipt of your donation along with our EIN number for employers who provide matching funds. Sponsorship Opportunities: JC Cooley Youth Scholarship $250 -$250 will be matched by the JC Cooley Foundation -Your name/company will be acknowledged on our website and social media pages Leadership Scholarship $500 -$250 will be matched by the JC Cooley Foundation -Your name/company will be acknowledged on our website and social media pages -Scholarship naming rights (ie the JC Cooley Scholarship) - "Dream BIG, Think BIG, Be BIG" T-shirt Mentorship Scholarship $750 - $250 will be matched by the JC Cooley Foundation -Your name/company will be acknowledged on our website and social media pages - Scholarship naming rights (ie the James Smith Scholarship) -"Dream BIG, Think BIG, Be BIG" T-shirt For more details or to s onsor a student for a scholarship, please contact: Michelle Cooley @ James Cooley @ THE JC COOLEY FOUNDATION SUMMARY FOR 2018 High school youth today face the daily pressure of fitting in with their peers, being the star athlete on the team, work at least a part-time job, and stay strong in the face of bullying — all while maintaining grades high enough to be accepted into a prestigious college so one day they can find a career to pay off thousands of dollars in student loans. The responsibility can be overwhelming, intimidating at times, leaving the youth nowhere to turn for help, direction, or just a friendly reminder that they are capable and can do it. The JC Cooley Foundation believes in the "Preparing today's youth to be the leaders of tomorrow." Its weekly programs are designed to be the support, the daily reminder to the youth of just how able they are to succeed in life, no matter the obstacles and challenges they face. Founded in October 2014, the JC Cooley Foundation has reached out to over 100,000 students, young adults and their families in over 15 schools nationwide and overseas. Since its beginning, the foundation hosted a variety of programs including the Youth Inspirational Leadership Breakfast, nationwide school speaking tours, Overseas Mission Trips, educational fieldtrips, and a kid friendly speaking partnership with the Boys and Girls Club. The foundation and James Cooley was also recognized by the ABC Channel 10 News for working with the youth of the community. This previous year, the JC Cooley Foundation has continued its Youth Inspirational Leadership Breakfast, hosting a total of 30 speaking events every Saturday featuring a local inspirational speaker and a youth guest speaker. In addition, the JC Cooley teamed with the Trinity Lutheran Church Co-sponsored 13 Mission Trips to Mexico (Over 200 youth and families). This experience gave many youth, young adults, and families an opportunity to work with and provides valuable community services to another nation in need. In the month upcoming (March through and December), the JC Cooley Foundation looks forward to continuing its relationship with the students at Temecula and Murrieta Highs, Fallbrook Union High School and the areas Boys and Girls Club through multiple leadership seminars. Another program the organization looks forward to continuing in the upcoming year is awarding scholarships to graduating high school seniors. In the previous two years, 45 students were awarded scholarships and this year the organization plans awarding 25 scholarships to deserving High Schools recipients at the Temecula Dollars for Scholars (TDFS), Murrieta Dollars for Scholar (MDFS), Several areas High Schools Seniors Award Ceremonies', and several High Schools Seniors around our GREAT Country. The JC Cooley Foundation was privileged to be able to reach out to so many youths and young adults in the community and across the nation since its beginning in 2014. With programs growing and partnerships forged between the organization and schools including USC, Cal State KEY FOCUS POINTS OF OPTIONS, OPPORTUNTIES/THE CHIOCE PROGRAM (THE JC COOLEY FOUNDATION) 1) JC Cooley Foundation Program is open to all youths, young adults and communities, regardless of race, creed, religion or social economic background 2) Enhance and focus on Leadership, Guidance, Mentorship and Social Skills to prepare out Today's Youth for Tomorrow's Challenges. 3) Focused to enhance understanding on the importance of community service to others and putting our wants aside to support others needs. 4) Focused on increasing our Youth's ability on public speaking, respect towards others and a clear understanding that all people are created equal and have common birthrights in fulfilling their purpose and destiny in life. 5) Reward many of our Youth with scholarships to guide and assist them in their path in pursuing higher education. 6) Provide roadmap to success in life based on the belief that failure is not an option. Through hard wink and sheer detenninanon ,James Cooley managed to escape the bleak poverty of iris youth to become a well educated individual, the owner of his own successful business and a leader who has now dedicated his life to paving the way for the next generation of achievers. James was born in Chattanooga, Tennessee. His mother sent him at an early age to Graham, Alabama, to live with relatives. lit Alabama, his new home had no indoor bathroom facilities, no running water, or electricity, hut what he received was unconditional love and compassion during his live -and - a -half years living in Alabama. This was a major lesson (earned that would pave James' path and direction for his life. James rejoined his mother and siblings by returning to Chattanooga, hut the family still lived in a chub public hous- ing project where gunfire was a daily occurrence. However, the lessons he learned from his stay in Alabama, the encour- agement of his eighth -grade teacher, his "Can Do" attitude to 'believe in yourself', inspired Jatnes to work for n better life. Deciding the military was his best option out of poverty, he joined the U.S. Navy as an enlisted man and worked his way up to obtain the rank of Master Chief Petry Officer (E-9). After fifteen years, he was commissioned as a Navy officer. He served an additional eight years and achieved the rank of Lieutenant (LT/03E). Along the way, he earned a Masters degree in Public Administration (MPA) from Central Michigan University and completed ten additional Masters Certiticaie programs including an Executive MBA from the University of Notre Dame Mendozn School of Business. After retiring from the Navy, James continued to work for the Department of Defense in the aerospace industry and eventually storied his own company as a government contractor. He was always eager to help others improve their lives. Through the Navy, he produced and hosted forty-seven television shows titled Cookv's Fitness Tips He was the recipient of one of the Thousand Poinis of Light awards from President George H. Bush for helping to create the nation's first breakfast tutoring program for underprivileged children, To pmvicle opportunities for others, James established the JC Cooley Foundation in 201+. This foundation is a nonprofit (50103) called Options & Opportunities: The Choice Program, which provides leadership imining, guid- ance, direction, and mentoring to youth and communities. James' wife, Michelle, and retired business owner and real estate executive, Don Dickinson, were instrumental in the development of the program. Working with local and nationwide youth through schools, churches, Boys & Gids Clubs, outreach centers, and businesses, the JC Cooley Foundation provides seminars on how to overcome obstacles and become successful, The JC Cooley Foundation has provided over $25,000 in scholarships to help students throughout California attend college. A dynamic motivational speaker, James has inspired thousands through his speaking tours, seminars, and YouTubc presentations. He is in great demand as a speaker for major corporations, the military, Rotary Clubs, Boys & Girls Clubs, churches, and many other organizations for his inspirational speaking and leadership seminars. James' vision is to develop his foundation into one of the top nonprofit organizations and serve the entire globe by providing training, direction, leadership, and inspiration for the next generation of leaders. OPTIONS & OPPORTUNITIES: THE CHOICE PROGRAM JC COOLFY FOUNDATION Aran: Jaws Cooley. TEMECULA VALLEY PARTNERS 1 JAMES COOLEY About Me Born in Chattanooga Tennessee Married to Micheile Freeman Father of 4 (James tli, Deangelo, Brittany and Joshua) President/CEO JC Cooley Innovation Solutions, LLC, Retired Military Naval Officer CEO/Founder JC Cooley Options & Opportunities / the Choice Program,DC COOLEY FOUNDATION) Naval JROTC Senior Military Science Instructor Certified at the Collegiate and High School Levels international and U. S. Nationwide Motivation Speaker Doctoral Student at Concordia University (E.D.D. Transformational Leadership) Educational background which includes a Masters of Public Administration (MPA) from Central Michigan University, Executive MBA Masters Certificate from the University Of Notre Dame, and several Masters Certificates Programs from Villanova University. Details about choice program inc Page 1 of 3 Q HELP© MENU= Home > Tax Exempt Organization Search > Choice Program Inc <Back to Search Results Choice Program Inc EIN: I Determination Letter 0 A favorable determination letter is issued by the IRS if an organization meets the requirements for tax-exempt status under the Code section the organization applied. Determination Letter: Determination Letter Publication 78 Data o Organizations eligible to receive tax-deductible charitable contributions. Users may rely on this list in determining deductibility of their contributions. On Publication 78 Data List: Yes Deductibility Code: PC Form 990-N (e -Postcard) o Organizations who have filed a 990-N (e -Postcard) annual electronic notice. Most small organizations that receive less than $50,000 fall into this category. Tax Year 2017 Form 990-N (e -Postcard) https://apps. irs.gov/app/eos/displayAll.do?dispatchMethod=displayAlllnfo&Id=4954275 &... 9/27/2018 Details about choice program inc Page 2 of 3 iYe Tax Period: 2017 (01/01/2017 -12/31/2017) ilium Legal Name (Doing Business as): Choice Program Inc MailingAddress: Principe 0 icer s Name an ddress: Gross receipts not greater than: $50,000 Organization has terminated: No Website URL: Tax Year 2016 Form 990-N (e -Postcard) Tax Year 2015 Form 990-N (e -Postcard) Page Last Reviewed or Updated: 6 -Jut -2018 IRS Our Agency Know Your Rights About IRS Taxpayer Bill of Rights Work at IRS Taxpayer Help Advocate Service Contact Your Accessibility Local Office Share ig Print IDin0ri; Resolve an Issue Other Languages Related Sites Respond to a Notice Office of Appeals Identity Theft Protection Espanol ofq-Oj PycckmiA U.S. Treasury Treasury Inspector General for Tax Administration USA.gov https: //apps.irs.gov/app/eos/displayAll.do?dispatchMethod=displayAllInfo&Id=4954275&... 9/27/2018 Details about choice program inc Page 3 of 3 Tax Stats, Facts & Civil Rights Figu res Freedom of Information Act No Fear Act Privacy Policy Report Phishing TiengVigt Tax Fraud & Abuse https: //apps.irs.gov/app/eos/displayAll.do?dispatchMethod=displayAllInfo&Id=4954275&... 9/27/2018 STATE OF CALIFORNIA FRANCHISE TAX BOARD PO BOX 942857 SACRAMENTO CA 94257-0540 Entity Status Letter Date: 9/27/2018 ESL ID: 6792182115 According to our records, the following entity information is true and accurate as of the date of this letter Entity ID: Entity Name: OPTIONS & OPPORTUNITIES/THE CHOICE PROGRAM INC. 1. The entity is in good standing with the Franchise Tax Board. 2. The entity is not in good standing with the Franchise Tax Board. ❑✓ 3. The entity is currently exempt from tax under Revenue and Taxation Code (R&TC) Section 23701 d. 4. We do not have current information about the entity. The above information does not necessarily reflect: • The entity's status with any other agency of the State of California, or other government agency. • If the entity's powers, rights, and privileges were suspended or forfeited at any time in the past, or the entity did business in California at a time when it was not qualified or not registered to do business in California: o The status or voidability of any contracts made in California by the entity at a time when the entity was suspended or forfeited (R&TC Sections 23304.1, 23304.5, 23305a, 23305.1). o For entities revived under R&TC Section 23305b, any time limitations on the revivor or limitation of the functions that can be performed by the entity. Internet and Telephone Assistance Website: ftb.ca.gov Telephone: 800.852.5711 from within the United States 916.845.6500 from outside the United States TTY/TDD: 800.822.6268 for persons with hearing or speech impairments FTB 4263A WEB (NEW 02-2012) FY 2018/2019 COMMUNITY SERVICE FUNDING GRANT APPLICATION # 7 CONGREGATION B'NAI CHIAM CITY OF TEMEC `I "L:A FISCAL YEAR 2018-2019 COMMUNITY SERVICE FUNDING PROGRAM APPLICATION (Please Print or Type) DUE ON OR BEFORE: FRIDAY, SEPTEMBER 21, 2018 PROJECT/PROGRAM INFORMATION Amount Requested $ 5,000.00 (Maximum allowable $5,000 per Organization) Project/Program Title: An Afternoon Out Start Date: 01/06/2019 End Date: TBD* * (To be determined) If Grant is Awarded, Make Check Payable to: Cone re. ation B'nai Chaim Mailing Address: ORGANIZATION AND GEOGRAPHIC AREA SERVED Name of Applicant Organization: Congregation B'nai Chaim of Murrieta Hot Sprinas Year Organization Founded 1978 Website: www.bnaichaim.com Number of Paid Staff: 8 Number of Volunteers: 30 Contact Name: Susie Suster. RN Title/Position: Board Member. B'nai Chaim Contact Person's Email Address: Telephoner Geographic Area(s) the Organization Serves: Southwest Riverside and Northwest San Diego Counties Geographic Area(s) the Project/Program Serves: (NOTE: Community Service Funding Grant must be exclusively used to serve Temecula.) Program physically located in Murrieta;program serves primarily Temecula Include Physical Address of Project/Program: (If different than Organization's Mailing Address) Same NONPROFIT STATUS Is this organization incorporated as a nonprofit? Yes X No _ (If No, then ineligible to receive City Funding.) Date of Incorporation as a Nonprofit: 1978 Federal Identification Number: State Identification Number: CITY MANAGER'S OFFICE Has the organization or any members of the Board of Directors of the organization been involved with any personal business transactions valued over $500 including any business transactions, negotiations, investments, or interests in real property with a Temecula City council Member during the past 12 months? No x Yes If Yes, briefly describe Is a Temecula City Council Member a member of the Board of Directors or an Officer of the organization? No x Yes If Yes, provide Council Member's Name and title within the organization: This Application has been authorized by the organization's: Executive Committee Board of Directors X Members -at -Large FINANCIAL STATEMENTS Upon request, copies of the current budget of the organization / financial statements (balance statement and income statement), and if available, CPA's audit, may be needed to demonstrate sound financial management. Do not submit now. CITY OF TEMECULA FUNDING — OTHER SOURCES Within the past two years, has your organization received (or is your organization concurrently requesting) any other sources of funding from the City of Temecula? No Name of Funding Program from City (CDBG Grant? CSF Grant? Sponsorship?) Program, Project or Service(s) that was funded by the City Grant or Sponsorship Month and Year Grant or Sponsorship Received Amount $ $ $ $ MISSION STATEMENT OF ORGANIZATION Briefly describe the goals and objectives, or mission, or your organization. The mission of Congregation B'nai Chaim is to (1) Provide religious services in a spiritual setting for members of its congregation and such members of the public as wish to participate; (2) Provide religious training and instruction for youth and non-Jewish persons wishing conversion; (3) Provide a facility where the Jewish population of the Southern Inland Empire can gather and share their traditions and culture; (4) Provide high-quality social and social welfare programs to the entire community, regardless of their faith; and (5) Provide a physical facility which is available for use by the community at large. Application Page 2 of 7 GRANT FUNDING PROJECT PROGRAM DESCRIPTION NOTE: Recipientsfinvoices will be required to be submitted to the City to demonstrate that your organization used grant funding awarded by the City to support the project/program as described hee. See Compliance Report on Application Page 6 for details. 1. Briefly describe the Project/Program (and its objectives) the City of Temecula grant funding will be used to support. "An Afternoon Out" is a respite program for family care givers which will serve up to 25 Temecula families for 2-21 hours twice a week. Its has a dual purpose: for family care givers, it provides a needed respite from the burnout stress and burdens of caring for loved one; for the patient, it provides a change of scenery, with activities that support NIH (National Institute of Health) goals for brain function enhancement and physical health. There will be music, reading, movies and dancing. 2. Describe how your organization will spend the grant funding awarded Include equipment or services that would be purchased and why. Music is highly conducive towards enhanced brain function, and group activities help avoid the isolation which is so prevalent among the elderly. We have a piano for sing-alongs, and will purchase various simple musical instruments that provide neurological exercise as well as enjoyment for participants. We will also purchase a CD recorder. We plan on showing movies, and will purchase a screen, projector, and blackout curtains for this activity. To keep participants safe, we will buy commercial exit devices with panic bars and exit alarms for the doors. In order to reach Temecula residents, we plan on advertising in local newspapers and magazines, since no similar programs appear to exist in the Temecula area. 3. Explain how the grant funding will specifically benefit Temecula residents. We have conducted a pilot study of programs in the general area of Temecula, and have found that no program similar to "An Afternoon Out" exists. By focusing on the so-called "sandwich generation" of spouses and adult children of Temecula, our program will serve two populations - the care giver and participant, and will benefit both simultaneously. Estimated number of people expected to benefit from this Project/Program 25 Estimated number of volunteers involved in this Project/Program 30 Page 3 of 7 4 In 30 words or less, summarize how the grant funds, if awarded, will be used. IMPORTANT: This summary will be used in a spreadsheet intended to summarize all Community Service Funding Grant Applications, including yours, submitted to the City Council. ' An Afternoon Out" provides time-out for Temecula family caregivers of elderly ill adults. A variety of programs require purchase of simple musical instruments. movie equipment. snacks. and door safety alarms. PROJECT/PROGRAM BUDGET PROJECT/PROGRAM BUDGET Line Items for Project/Program Revenues Expenses VARIOUS TYPES OF REVENUES INCOME FOR THE PROJECT/ PROGRAM Amount of Money requested from the City of Temecula Community Support Grant (Not to exceed $5,000) $ 5,000 Cash contributed to Project/Program by the Applicant Organization $ 5,000 Other grants or funding already awarded for Project/Program, if any $ 0 In -Kind match amount or volunteer credit hours estimated amount $ 3,000 VARIOUS TYPES OF EXPENSES FOR THE SPECIFIC PROJECT/PROGRAM Staffing expense for Project/Program (this amount is ineligible to be funded by City Grant; however, please include. $ 6,048 Equipment expense for Project/Program $ 3,435 Food expense for Project/Program $ 300 Marketing expense for Project/Program $ 1,800 Supplies expense for Project/Program $ 600 Facilities/Rent expense for Project/Program $ 0 Other expense for Project/Program $ 200 TOTAL BUDGET FOR PROJECT/PROGRAM $ 13,000 $12,383 Application Page 4 of 7 SIGNATURE PAGE The applicant acknowledges and agrees to the following: • Recipient is subject to all Community Service Funding Program requirements including submittal deadlines and payment disbursements. • Every Community Service Funding application is considered individually and on its own merit. • Awards will be given to organizations and activities that directly benefit the residents of Temecula. • Funding is not immediately available to the recipient, and requires an award letter signature upon approval. Please allow time for checks to be processed. • The awarding of Community Service Funding does not constitute an automatic annual allocation. • The recognition for Community Service Funding should accrue to the City of Temecula. • Community Service Funding must be spent as specified on the Application and records may be requested by the City of Temecula to ensure the funds were used appropriately. • Community Service Funding grants will not be awarded or announced within the 60 days before an election in which an awarding Council Member is on the ballot. • The recipient shall provide a full accounting with documentation on the use of awarded funds. The recipient shall return to the City any funds not spent or documented per the signed agreement. • If awarded a Community Service Funding Grant by the City of Temecula last year, then compliance receipts must be submitted on or before this application's due date or this application may be rejected as incomplete. We hereby certify the information contained in this Application is true to the best of our knowledge and belief. rit ORGANIZATION NAME:—)',L' J L / t Pa `t % 7 MAILING ADDRESS: E: MAIL:QLL2hay� , �G PRESIDENT / AUTHORIZED OFFICER: U2 .Z,41 r i i.)` — -I Print Name Title SIGNATURE: Lf ' //c 1 "lam %L IF DIFFERENT THAN ABOVE, APPICATION PREPARED BY: DATE: 4//T (M: nth, Da,,, .'ea( ) itle SUBMIT ORIGINAL APPLICATION BY FRIDAY, SEPTEMBER 21, 2018, TO: City of Temecula Community Service Funding Attn: City Manager's Office 41000 MAIN STREET TEMECULA, CA 92590 If you have any questions please contact Betsy Lowrey at (951) 693-3959 or Stacey Brown at (951) 506-5100. Application Page 7 of 7 STATE OF CALIFORNIA Franchise Tax Board Session expires in 19:57 Self Serve Entity Status Letter - Entity Search Summary The following Entity was found. Please click on the 'Generate Letter' button to produce the Entity Status Letter for this entity. Entity ID: Entity Name: CONGREGATION BNAI CHAIM OF MURRIETA HOT SPRINGS Address: Entity Status: REVIVED Exempt Status: EXEMPT Generate Letter l Back l _. _,....,,.,.M.- ..m..- .. _ .�. Copyright © 2018 State of California Q HELPO MENU Wome > Tax Exempt Organization Search > Congregation Bnai Chaim Of Murrieta Hot Springs <Back to Search Results Congregation Bnai Chaim Of Murrieta Hot Springs EIN: Publication 78 Data o Organizations eligible to receive tax-deductible charitable contributions. Users may rely on this list in determining deductibility of their contributions. On Publication 78 Data List: Yes Deductibility Code: PC Page Last Reviewed or Updated: 6 -Jul -2018 IRS P► Share ig Print )urAgency Know Your Rights Resolve an Issue Other Languages Related Sites bout IRS Taxpayer Bill of Respond to a Notice Espanol U.S. Treasury Rights v at IRS Office of Appeals (=':Z Treasury Inspector Taxpayer Advocate General for Tax - ielp Service Identity Theft of -- Q- Administration Protection Accessibility PyccKHN USA.gov STATE OF CALIFORNIA FRANCHISE TAX BOARD PO BOX 942857 SACRAMENTO CA 94257-0540 Entity Status Letter Date: 9/13/2018 ESL ID: 6238400217 According to our records, the following entity information is true and accurate as of the date of this letter. Entity ID: Entity Name: CONGREGATION BNAI CHAIM OF MURRIETA HOT SPRINGS 1. The entity is in good standing with the Franchise Tax Board. ❑ 2. The entity is not in good standing with the Franchise Tax Board. a✓ 3. The entity is currently exempt from tax under Revenue and Taxation Code (R&TC) Section 23701 d. 4. We do not have current information about the entity. The above information does not necessarily reflect: • The entity's status with any other agency of the State of California, or other government agency. • If the entity's powers, rights, and privileges were suspended or forfeited at any time in the past, or the entity did business in California at a time when it was not qualified or not registered to do business in California: o The status or voidability of any contracts made in California by the entity at a time when the entity was suspended or forfeited (R&TC Sections 23304.1, 23304.5, 23305a, 23305.1). o For entities revived under R&TC Section 23305b, any time limitations on the revivor or limitation of the functions that can be performed by the entity. Internet and Telephone Assistance Website: ftb.ca.gov Telephone: 800.852.5711 from within the United States 916.845.6500 from outside the United States TTY/TDD: 800.822.6268 for persons with hearing or speech impairments FTB 4263A WEB (NEW 02-2012) FY 2018/2019 COMMUNITY SERVICE FUNDING GRANT APPLICATION # 8 ELIZABETH HOSPICE FOUNDATION CITY OF TEMECULA FISCAL YEAR 201&2019 COMMUNITY SERVICE FUNDING PROGRAM APPLICATION (Please Print or Type) DUE ON OR BEFORE: FRIDAY, SEPTEMBER 21, 2018 PROJECT/PROGRAM INFORMATION Amount Requested: $ 2,500 (Maximum allowable $5,000 per Organization) Project/Program Title: Sound Masking system Start Date: 09/01/2018 End Date: 06/30/2019 If Grant is Awarded, Make Check Payable to: Mailing Address: The Elizabeth Hospice ORGANIZATION AND GEOGRAPHIC AREA SERVED Name of Applicant Organization: The Elizabeth Hospice Year Organization Founded: 1978 Website: www.elizabethhospice.org Number of Paid Staff: 355 Number of Volunteers: Contact Name: Vatei Campbell Title/Position: Grants Officer 369 Contact Person's Email Address: vatei.Campbell@ehospice.org Telephone: Geographic Area(s) the Organization Serves: Southwest Riverside (including Temecula) and San Diego County Geographic Area(s) the Project/Program Serves: (NOTE: Community Service Funding Grant must be exclusively used to serve Temecula.) This grant will be used for our regional office in Temecula. Include Physical Address of Project/Program: (if different than Organization's Mailing Address) NONPROFIT STATUS Is this organization incorporated as a nonprofit? Yes x No (If No, then ineligible to receive City Funding) Date of Incorporation as a Nonprofit: Federal Identification Number: 1978 State Identification Number: Print out and attach to this application Verification from Federal (IRS) and State (FTB) as follows: 1. Attach IRS Deductibility Status using this link: http://apps.irs.gov/app/eos/ 2. Attach State Entity Status Letter using this link: https://www.ftb.ca.gov/online/seifserve entity status letterlindex.asp 3. Attach first page only of most recent IRS Form 990 or attach print out of detailed information about your charity found on this State Registry's Search Tool: http;//rct.do'Lca.qov/VerificationNVeb/Search.aspx?facility=Y Application Page 1 of 7 REC61VED CITY MANAGER'S OFFICE Has the organization or any members of the Board of Directors of the organization been involved with any personal business transactions valued over $500 including any business transactions, negotiations, investments, or interests in real property with a Temecula City Council Member during the past 12 months? No X Yes If Yes, briefly describe: Is a Temecula City Council Member a member of the Board of Directors or an Officer of the organization? No X Yes If Yes, provide Council Member's Name and title within the organization: This Application has been authorized by the organization's: Executive Committee Board of Directors X Members -at -Large FINANCIAL STATEMENTS Upon request, copies of the current budget of the organization / financial statements (balance statement and income statement), and if available CPA's audit, may be needed to demonstrate sound financial management. Do not submit now. CITY OF TEMECULA FUNDING — OTHER SOURCES Within the past two years, has your organization received (or is your organization concurrently requesting) any other sources of funding from the City of Temecula? No X YesIf Yes, provide information in table below: Name of Funding Program from City (CDBG Grant? CSF Grant? Sponsorship?) Program, Project or Service(s) that was funded by the City Grant or Sponsorship Month and Year Grant or Sponsorship Received Amount N/A $ $ $ $ MISSION STATEMENT OF ORGANIZATION Briefly describe the goals and objectives, or mission, of your organization. The mission of The Elizabeth Hospice is to enhance the quality of life for those nearing the end of life's journey and for those who grieve for them. Throughout our 40 -year history, we have remained focused on the needs of our patients, their loved ones and those are grieving in the community -at -large Application Page 2 of 7 GRANT FUNDING PROJECT/PROGRAM DESCRIPTION NOTE: Receipts/invoices will be required to be submitted to the City to demonstrate that your organization used grant funding awarded by the City to support the project/program as described here. See Compliance Report on Application Page 6 for details. 1. Briefly describe the Project/Program (and its objectives) the City of Temecula grant funding will be used to support. Bereavement services for children and adults are available in our regional office in Temecula, Carlsbad, Escondido and Mission Valley. Last year, The Elizabeth Hospice facilitated 211 individual and family counseling sessions, and 26 grief support group meetings in our Temecula office. The Elizabeth Hospice provides care and solace to patients, their loved ones and all those in the community coping with the overwhelming challenges brought on by advanced life-threatening illness. In addition to hospice, palliative care and social support, bereavement services are a vital component of our continuum of care. Our counselors and trained volunteers are a community resource for grief counseling and emotional support for all who are grieving regardless of patient affiliation 2. Describe how your organization will spend the grant funding awarded. Include equipment or services that would be purchased and why. The Elizabeth Hospice requests a grant from the City of Temecula to purchase and install a sound masking system for our Temecula office where clinical and bereavement staff and volunteers work to support our Southwest Riverside hospice patients and bereavement clients. The proposed sound system will deliver uniform sound masking and reduce the need for expensive construction or sound blocking materials. It is a cost-effective and energy-efficient way to protect speech privacy and reduce acoustic interference. This is especially important when it concerns protecting the privacy of our patients and clients. In addition to individual/family counseling sessions and grief support groups, our Interdisciplinary Care Groups meet regularly at our Temecula office to provide patient and client updates, make care recommendations and discuss sensitive issues that require optimum discretion and confidentiality. 3. Explain how the grant funding will specifically benefit Temecula residents. The Elizabeth Hospice serves as a resource for Temecula residents to seek guidance and support when faced with the challenges that accompany a serious advanced illness or the loss of a loved one. Hospice resources and services are available to our hospice patients, their loved ones and the community -at -large. Our hospice families and individuals from the community may participate in regularly scheduled grief support groups free of charge. Individual or family counseling is available at no cost to our hospice patients and their families, and to community members on a sliding fee scale. As a not-for-profit community-based hospice care provider, we welcome all who need our services regardless of their ability to pay or how their loved one died. Estimated number of people expected to benefit from this Project/Program: 200 patients, clients and staff Estimated number of volunteers involved in this Project/Program: 15 volunteers Application Page 3 of 7 4. In 30 words or Tess, summarize how the grant funds, if awarded, will be used. IMPORTANT: This summary will be used in a spreadsheet intended to summarize all Community Service Funding Grant Applications, including yours, submitted to the City Council. Application Page 4 of 7 Purchase and install a sound masking system for our Temecula office where residents may come for assistance with challenges related to advanced serious illness or a loved one's passing. PROJECT/PROGRAM BUDGET PROJECT/PROGRAM BUDGET Line Items for Project/Program Revenues Expenses VARIOUS TYPES OF REVENUES/INCOME FOR THE PROJECT/PROGRAM: Amount of money requested from the City of Temecula Community Support Grant $ 2,781 (Not to exceed $5,000) Cash contributed to Project/Program by the Applicant Organization $ 9,686 Amount allocated from philanthropic contributions received through 8/31118 Other grants or funding already awarded for Project/Program, if any $ 850 Amount allocated from philanthropic contributions received through 8/31/18 In -Kind match amount or volunteer credit hours estimated amount $ 16,756 VARIOUS TYPES OF EXPENSES FOR THE SPECIFIC PROJECT/PROGRAM: Staffing expense for Project/Program (this amount is ineligible to be funded by $ 103,750 City's Grant; however please include) Equipment expense for Project/Program $ 5,422 Food expense for Project/Program $ 0 Marketing expense for Project/Program $ 160 Supplies expense for Project/Program $ 544 Facilities/Rent expense for Project/Program $ 2,011 Other expense for Project/Program $ 3,603 TOTAL BUDGET FOR PROJECT/PROGRAM General donations will be allocated to support this $ 30,073 $ 115,491 program as needed. Application Page 4 of 7 SIGNATURE PAGE The applicant acknowledges and agrees to the following: • Recipient is subject to all Community Service Funding Program requirements including submittal deadlines and payment disbursements. • Every Community Service Funding application is considered individually and on its own merit. • Awards will be given to organizations and activities that directly benefit the residents of Temecula. • Funding is not immediately available to the recipient, and requires an award letter signature upon approval. Please allow time for checks to be processed. • The awarding of Community Service Funding does not constitute an automatic annual allocation. • The recognition for Community Service Funding should accrue to the City of Temecula. • Community Service Funding must be spent as specified on the Application and records may be requested by the City of Temecula to ensure the funds were used appropriately. • Community Service Funding grants will not be awarded or announced within the 60 days before an election in which an awarding Council Member is on the ballot. • The recipient shall provide a full accounting with documentation on the use of awarded funds. The recipient shall return to the City any funds not spent or documented per the signed agreement. • If awarded a Community Service Funding Grant by the City of Temecula last year, then compliance receipts must be submitted on or before this application's due date or this application may be rejected as incomplete. We hereby certify the information contained in this Application is true to the best of our knowledge and belief. ORGANIZATION NAME: The Elizabeth Hospice MAILING ADDRESS: PHONE: ( EMAIL: vatei.campbell@ehospice.org PRESIDENT / AUTHORIZED OFFICER: Jean Loo -Russo, Chief Philanthropy Officer Print Name Title SIGNATURE: IF DIFFERENT THAN ABOVE, APPICATION PREPARED BY: DATE: [0-02.0(8 ;Month, Day, Year) Vatei Campbell, Grants Officer Print Name Title SUBMIT ORIGINAL APPLICATION BY FRIDAY, SEPTEMBER 21, 2018, TO: City of Temecula Community Service Funding Attn: City Manager's Office 41000 MAIN STREET TEMECULA, CA 92590 If you have any questions please contact Betsy Lowrey at (951) 693-3959 or Stacey Brown at (951) 506-5100. Application Page 7 of 7 Q HELP® MENU Home > Tax Exempt Organization Search > The Elizabeth Hospice Inc. < Back to Search Results The Elizabeth Hospice Inc. El N: Publication 78 Data o Organizations eligible to receive tax-deductible charitable contributions. Users may rely on this list in determining deductibility of their contributions. On Publication 78 Data List: Yes Deductibility Code: PC Page Last Reviewed or Updated: 6 -Jut -2018 f". Share COI RS Q Print Our Agency Know Your Rights Resolve an Issue Other Languages Related Sites About IRS Taxpayer Bill of Respond to a Notice Espanol U.S. Treasury Rights Work at IRS Office of Appeals Treasury Inspector Taxpayer Advocate General for Tax Help Service Identity Theft j- -01 Administration Protection Accessibility PyccKviI USA.gov STATE OF CALIFORNIA FRANCHISE TAX BOARD PO BOX 942857 SACRAMENTO CA 94257-0540 Entity Status Letter Date: 9/17/2018 ESL ID: 3065491257 According to our records, the following entity information is true and accurate as of the date of this tetter Entity ID: Entity Name: THE ELIZABETH HOSPICE, INC. ✓� 1. The entity is in good standing with the Franchise Tax Board. • 2. The entity is not in good standing with the Franchise Tax Board. ✓� 3. The entity is currently exempt from tax under Revenue and Taxation Code (R&TC) Section 23701 d ❑ 4. We do not have current information about the entity. The above information does not necessarily reflect: • The entity's status with any other agency of the State of California, or other government agency. ▪ If the entity's powers, rights, and privileges were suspended or forfeited at any time in the past, or the entity did business in California at a time when it was riot qualified or not registered to do business in California. o The status or voidability of any contracts made in California by the entity at a time when the entity was suspended or forfeited (R&TC Sections 23304.1, 23304.5, 23305a, 23305.1). o For entities revived under R&TC Section 23305b, any time limitations on the revivor or limitation of the functions that can be performed by the entity Internet and Telephone Assistance Website: ftb_ca.gov Telephone: 800.852.5711 from within the United States 916.845.6500 from outside the United States TTY/TDD: 800.822.6268 for persons with hearing or speech impairments FTB 4263A WEB (NEW 02-2012) FY 2018/2019 COMMUNITY SERVICE FUNDING GRANT APPLICATION # 9 FALLBROOK HEALTHCARE FOUNDATION dba FOUNDATION FOR SENIOR CARE CITY OF TEMECCIA FISCAL YEAR 2018-2019 COMMUNITY SERVICE FUNDING PROGRAM APPLICATION (Please Print or Type) DUE ON OR BEFORE: FRIDAY, SEPTEMBER 21, 2018 PROJECT/PROGRAM INFORMATION Amount Requested: $ 5,000 (Maximum allowable $5,000 per Organization) Project/Program Title: Senior Care Advocacy Program Start Date: 12/1/2018 End Date: 6/30/2019 If Grant is Awarded, Make Check Payable to: Fallbrook Healthcare Foundation Mailing Address: dba Foundation for Senior Care LORGANIZATION AND GEOGRAPHIC AREA SERVED Name of Applicant Organization. Fallbrook Healthcare Foundation Year Organization Founded: 1979 Website: www.foundationforseniorcare.org Number of Paid Staff: 19 Number of Volunteers: 97 Contact Name Rachel Mason Title/Position: Executive Director mason@foundationforseniorcare.or Contact Person's Email Address: Telephone: Geographic Area(s) the Organization Serves. Fallbrook, Rainbow, De Luz, Temecula Geographic Area(s) the Project/Program Serves: (NOTE: Community Service Funding Grant must be exclusively used to serve Temecula.) Temecula Include Physical Address of Project/Program: (if different than Organization's Mailing Address) Programs coordinated from ut the services are provided in the senior's home - within any of the Temecula area zip codes NONPROFIT STATUS Is this organization incorporated as a nonprofit? Yes x No (If No, then ineligible to receive City Funding) Date of Incorporation as a Nonprofit 9.19 -t979 Federal Identification Number: - State Identification Number. Print out and attach to this application Verification from Federal (IRS) and State (FTB) as follows. 1 Attach IRS Deductibility Status using this link: http:f/apps.irs gov/app/eos/ 2. Attach State Entity Status Letter using this link: https /fwww ftb ca goy/online/self serve entity status letter/index asp 3. Attach first page only of most recent IRS Form 990 or attach print out of detailed information about your charity found on this State Registry's Search Tool: http.//rct.dol.ca.govNerification/Web/Search.aspx?facility=Y Application Page 1 of 7 RECEIVED CITY MANAGER'S OFFICE Has the organization or any members of the Board of Directors of the organization been involved with any personal business transactions valued over $500 including any business transactions, negotiations, investments, or interests in real property with a Temecula City Council Member during the past 12 months? No x Yes If Yes, briefly describe. Is a Temecula City Council Member a member of the Board of Directors or an Officer of the organization? No x Yes If Yes, provide Council Member's Name and title within the organization: This Application has been authorized by the organization's. Executive Committee Board of Directors x Members -at -Large FINANCIAL STATEMENTS Upon request, copies of the current budget of the organization / financial statements (balance statement and income statement), and if available CPA's audit, may be needed to demonstrate sound financial management. Do not submit now. CITY OF TEMECULA FUNDING — OTHER SOURCES Within the past two years, has your organization received (or is your organization concurrently requesting) any other sources of funding from the City of Temecula? No x Yes_ If Yes, provide information in table below: Name of Funding Program from City (CDBG Grant? CSF Grant? Sponsorship?) Program, Project or Service(s) that was funded by the City Grant or Sponsorship Month and Year Grant or Sponsorship Received Amount $ $ $ $ MISSION STATEMENT OF ORGANIZATION Briefly describe the goals and objectives, or mission, of your organization The mission of the Foundation for Senior Care is to provide programs and resources enabling seniors to enhance their well-being and give them a more meaningful life. The Care Advocacy program is the embodiment of our mission and is guided by the goal of providing resources for seniors and the disabled to safely age at home With support from the referrals and resources aligned by the Care Advocates we ensure that our clients have safe housing. are secure in the environment by providing information, • • • 1• • 1111' • •• • •• •• . .•• 1 • • • -• It .•• •. • . • ••. 1 . • .•• • •••• while encouraging or enlisting caregivers who can assist them in managing their chronic health needs. Application Page 2 of 7 GRANT FUNDING PROJECT/PROGRAM DESCRIPTION NOTE: Receipts/invoices will be required to be submitted to the City to demonstrate that your organization used grant funding awarded by the City to support the project/program as described here. See Compliance Report on Application Page 6 for details 1. Briefly describe the Project/Program (and its objectives) the City of Temecula grant funding will be Our seniors popu9ationppresent needs from 3 main categories transportation. healthcare. and support for behavioral health issues Data shows that the senior population is a high user of hospitals and other healthcare facilities. The Senior Care Advocacy program provides Care Advocates work closely with our clients to prevent repeat hospitalizations by installing services and measures that help clients be safer and get access to preventative support services. Fall prevention is a key factor when the Care Advocates conduct a home safety evaluation By ensuring that walkways are clear. uncluttered and well lit the risk of falls is decreased. Loose rugs, uneven surfaces and other small impediments also contributes to falling: risks that are often unnoticed bu the senior themselves. Additional health indices relating to sleep difficulties, depression. and diabetes are also major concerns of our seniors The Care Advocates through home visits, physician communications, and other follow ups help clients get care for these concerns. We know these interventions work, as we have been providing these services to Fallbrook for over 10 years We receive many calls a month from Temecula residents, and unfortunately have no other agency we can refer them to for these services. This funding will support our expansion of services to Temecula city residents. 2. Describe how your organization will spend the grant funding awarded Include equipment or services that would be purchased and why. Funding would be specifically used to provide direct mobility access support (ramps, grab bars) in a senior's home (for those who are low-income), cover transportation costs incurred to conduct these home home visits (fuel costs), and distribution of home safety kits (items include walkway lighting, walkers/wheelchairs, smoke and or carbon monoxide detectors, and other easily installed devices that nelp seniors age in place). 3. Explain how the grant funding will specifically benefit Temecula residents. Our current funding limitations have not allowed us the flexibility to perform many home visits and safety checks to Temecula city residents; thus, this grant funding would allow us to increase the number of Temecula residents we could support. Specifically funding would cover the fuel costs to drive across the Temecula area. purchase the safety supplies, and mobility support items. Typically we anticipate that for each home safety visit we perform we provide at Least four additional services or follow ups visits to assist seniors in accessing supportive in-home care, connecting them with national entitlement programs (Medi -Cal, VA). and scheduling preventive medical services. The needs presented to us by our clients are varied and often complex; thus, we have an extensive network of partners from which to leverage resources. The Care Advocates work closely with Temecula Valley Hospital, who ask us to help seniors being discharged from the hospital with finding care support, organizing transportation, assisting with transitional housing and many other behavioral and social wellness challenges. Specifically, we make sure Temecula's seniors have access to enough and quality food, ability to access healthcare and social outlets, and ensure that seniors are provided with home safety and mobility measures. Estimated number of people expected to benefit from this Project/Program: 200 Estimated number of volunteers involved in this Project/Program 20-50 Application Page 3 of 7 4. In 30 words or Tess, summarize how the grant funds, if awarded, will be used. IMPORTANT: This summary will be used in a spreadsheet intended to summarize all Community Service Funding Grant Applications, including yours, submitted to the City Council. The Senior Care Advocacy program provides free in-home services to seniors that 1) provides mobility/access support (ramps, grab bars), 2) distributes home safety kits and fall prevention measures (e.g., walkway lighting,walkers/wheelchairs, smoke/carbon monoxide detectors) and 3) connects seniors to local and national resources to help them age safely in place. PROJECT/PROGRAM BUDGET PROJECT/PROGRAM BUDGET Une Items for Project/Program Revenues Expenses VARIOUS TYPES OF REVENUES/INCOME FOR THE PROJECT/PROGRAM: Amount of money requested from the City of Temecula Community Support Grant (Not to exceed 55,000) $ 5,000 Cash contributed to Project/Program by the Applicant Organization $25,964 Other grants or funding already awarded for Project/Program, if any $ 83,210 In -Kind match amount or volunteer credit hours estimated amount $ VARIOUS TYPES OF EXPENSES FOR THE SPECIFIC PROJECT/PROGRAM: Staffing expense for Project/Program (this amount is ineligible to be funded by City's Grant; however please include) $113,829 Equipment expense for Project/Program $3,405 Food expense for Project/Program $ $1,026 Marketing expense for Project/Program Supplies expense for Project/Program $ 1,536 Facilities/Rent expense for Project/Program $ $ 12,377 Other expense for Project/Program (fuel expenses to use the agency vehicles to travel across the Temcula city area) TOTAL BUDGET FOR PROJECT/PROGRAM $ 114,174 5132,173 Application Page 4 of 7 SIGNATURE PAGE The applicant acknowledges and agrees to the following: • Recipient is subject to all Community Service Funding Program requirements including submittal deadlines and payment disbursements. • Every Community Service Funding application is considered individually and on its own merit. • Awards will be given to organizations and activities that directly benefit the residents of Temecula. • Funding is not immediately available to the recipient, and requires an award letter signature upon approval. Please allow time for checks to be processed. • The awarding of Community Service Funding does not constitute an automatic annual allocation. • The recognition for Community Service Funding should accrue to the City of Temecula. • Community Service Funding must be spent as specified on the Application and records may be requested by the City of Temecula to ensure the funds were used appropriately. • Community Service Funding grants will not be awarded or announced within the 60 days before an election in which an awarding Council Member is on the ballot. • The recipient shall provide a full accounting with documentation on the use of awarded funds. The recipient shall return to the City any funds not spent or documented per the signed agreement. • If awarded a Community Service Funding Grant by the City of Temecula last year, then compliance receipts must be submitted on or before this application's due date or this application may be rejected as incomplete. We hereby certify the information contained in this Application is true to the best of our knowledge and belief. ORGANIZATION NAME: Fallbrook Healthcare Foundation dba Foundation for Senior Care MAILING ADDRESS: PHONE: mason@foundationforsenior EMAIL: care.org PRESIDENT / AUTHORIZED OFFICER: Rachel Mason, Executive Director Print Name DATE: Aug, 31. 2018 SIGNATURE: IF DIFFERENT THAN ABOVE, APPICATION PREPARED BY: (Month, Day, Year) Print Name Title SUBMIT ORIGINAL APPLICATION BY FRIDAY, SEPTEMBER 21, 2018, TO: City of Temecula Community Service Funding Attn: City Manager's Office 41000 MAIN STREET TEMECULA, CA 92590 If you have any questions please contact Betsy Lowrey at (951) 693-3959 or Stacey Brown at (951) 506-5100. Application Page 7 of 7 Q HELPO MENU Home > Tax ExerrlptQrganization Search > Fallbrook Healthcare Foundation Inc. < Back to Search Results Fallbrook Healthcare Foundation Inc. EIN: Publication 78 Data o Organizations eligible to receive tax-deductible charitable contributions. Users may rely on this list in determining deductibility of their contributions. On Publication 78 Data List: Yes Deductibility Code: PC Page Last Reviewed or Updated: 6 -Jul -2018 IRS Our Agency Know Your Rights About IRS Taxpayer Bill of Rights Work at IRS Taxpayer Advocate Help Service Accessibility Resolve an Issue Respond to a Notice Office of Appeals Identity Theft Protection fShare {4 Print Other Languages Espanol oFq01 Pyccxvi i Related Sites U.S. Treasury Treasury Inspector General for Tax Administration USA.gov . STATE OF CALIFORNIA FRANCHISE TAX BOARD PO BOX 942857 SACRAMENTO CA 94257-0540 • Entity Status Letter Date: 8/29/2018 ESL ID: 3561150003 According to our records, the following entity information is true and accurate as of the date of this letter Entity ID: IIIIII Entity Name: FALLBROOK HEALTHCARE FOUNDATION, INC VI1. The entity is in good standing with the Franchise Tax Board. El2. The entity is not in good standing with the Franchise Tax Board. LI3. The entity is currently exempt from tax under Revenue and Taxation Code (R&TC) Section 23701 d Li4. We do not have current information about the entity. The above information does not necessarily reflect: • The entity's status with any other agency of the State of California, or other government agency. • If the entity's powers, rights, and privileges were suspended or forfeited at any time in the past, or the entity did business in California at a time when it was not qualified or not registered to do business in California: o The status or voidability of any contracts made in California by the entity at a time when the entity was suspended or forfeited (R&TC Sections 23304.1, 23304.5, 23305a, 23305.1). o For entities revived under R&TC Section 23305b, any time limitations on the revivor or limitation of the functions that can be performed by the entity. Internet and Telephone Assistance Website: ftb.ca.gov Telephone: 800.852.5711 from within the United States 916.845.6500 from outside the United States TTY/TDD: 800.822.6268 for persons with hearing or speech impairments FTB 4263A WEB (NEW 02-2012) 8/29/2018 flume State of California Department of Justice About the AG In the New,; Careers Details Services & Information Office of the Attorney General ProgramsA - Z t'untacl Cs Registrant Details nhty Type is either the Corporate Class as registered with the Secretary of State or based on founding and registration documents submitted to the Peqsrry. Organization Name: FALLBROOK HEALTHCARE FOUNDATION, INC. IRS FEIN: Entity Type: Public Benefit SOS/FTB Corporate/Organization Number: 0912117 RCT Registration Number: Program Type: Issue Date: Registry Status: Date of Last Renewal: 037145 Charity 6/30/2006 Current 4/18/2018 Registration Type: Renewal Due Date: Date This Status: Charity Registration 11/15/2018 7/8/2011 Mailing Address Street: Street Line 2: City, State Zip: Annual Renewal Data Reported to the Registry Status of Filing: Accounting Period Begin Date: Accounting Period End Date: Total Assets: Total Revenue: Filing Received Date: Complete IRS Form 990 Received (Y/N): Online Submission (Y/N): Accepted 7/1/2001 6/30/2002 $997,924.00 $40,930.00 11/25/2002 N N Status of Filing: Accounting Period Begin Date: Accounting Period End Date: Total Assets: Total Revenue: Filing Received Date: Complete IRS Form 990 Received (Y/N): Online Submission (Y/N): Accepted 7/1/2002 6/30/2003 $1,136,958.00 $347,654.00 10/28/2010 N N Status of Filing: Accepted Accounting Period Begin Date: 7/1/2003 Accounting Period End Date: 6/30/2004 Total Assets: $1,501,721.00 Total Revenue: $685,452.00 Filing Received Date: 2/22/2005 Complete IRS Form 990 Received (Y/N): Y Online Submission (Y/N): N Status of Filing: Accepted Accounting Period Begin Date: 7/1/2004 Accounting Period End Date: 6/30/2005 Total Assets: $1,318,552.00 Total Revenue: $259,815.00 Filing Received Date: 2/21/2006 Complete IRS Form 990 Received (Y/N): Y Online Submission (Y/N): N Status of Filing: Accounting Period Begin Date: Accepted 7/1/2005 http://rct.doj.ca.gov/Verification/Web/Details.aspx?result=e4d65e30-0a l c-43df-ad32-cebe1556cc67 1/4 8/29/2018 Details Accounting Period End Date: Total Assets: Total Revenue: Filing Received Date: Complete IRS Form 990 Received (Y/N): Online Submission (Y/N): 6/30/2006 $1,123,386.00 $258,144.00 2/16/2007 Y N Status of Filing: Accepted Accounting Period Begin Date: 7/1/2006 Accounting Period End Date: 6/30/2007 Total Assets: $1,252,728.00 Total Revenue: $514,183.00 Filing Received Date: 2/20/2008 Complete IRS Form 990 Received (Y/N): Y Online Submission (Y/N): N Status of Filing: Accepted Accounting Period Begin Date: 7/1/2007 Accounting Period End Date: 6/30/2008 Total Assets: $1,388,574.00 Total Revenue: $567,896.00 Filing Received Date: 2/10/2009 Complete IRS Form 990 Received (Y/N): Y Online Submission (Y/N): N Status of Filing: Accepted Accounting Period Begin Date: 7/1/2008 Accounting Period End Date: 6/30/2009 Total Assets: $1,801,306.00 Total Revenue: $991,942.00 Filing Received Date: 2/8/2010 Complete IRS Form 990 Received (Y/N): Y Online Submission (Y/N): N Status of Filing: Accepted Accounting Period Begin Date: 7/1/2009 Accounting Period End Date: 6/30/2010 Total Assets: $1,425,136.00 Total Revenue: $403,898.00 Filing Received Date: 11/12/2010 Complete IRS Form 990 Received (Y/N): Y Online Submission (Y/N): N Status of Filing: Accepted Accounting Period Begin Date: 7/1/2010 Accounting Period End Date: 6/30/2011 Total Assets: $1.383,550.00 Total Revenue: $520,614.00 Filing Received Date: 2/6/2012 Complete IRS Form 990 Received (Y/N): Y Online Submission (Y/N): N Status of Filing: Accepted Accounting Period Begin Date: 7/1/2011 .accounting Period End Date: 6/30/2012 Total Assets: $1,181,214.00 Total Revenue: $373,058.00 Filing Received Date: 11/20/2012 Complete IRS Form 990 Received (Y/N): Y Online Submission (Y/N): N Status of Filing: Accepted Accounting Period Begin Date: 7/1/2012 Accounting Period End Date: 6/30/2013 Total Assets: $1,278.162.00 http://rct.doj.ca.govNerification/Web/Details.aspx?result=e4d65e30-0a 1 C-43df-ad32-cebe l 556cc67 2/4 8/29/2018 Details Total Revenue: $618,939.00 Filing Received Date: 12/5/2013 Complete IRS Form 990 Received (Y/N): Y Online Submission (Y/N): N Status of Filing: Accepted Accounting Period Begin Date: 7/1/2013 Accounting Period End Date: 6/30/2014 Total Assets: $1,163,215.00 Total Revenue: $447,261.00 Filing Received Date: 12/24/2014 Complete IRS Form 990 Received (Y/N): Y Online Submission (Y/N): N Status of Filing: Accepted Accounting Period Begin Date: 7/1/2014 Accounting Period End Date: 6/30/2015 Total Assets: $1,051,632.00 Total Revenue: $430,948.00 Filing Received Date: 11/30/2015 Complete IRS Form 990 Received (Y/N): Y Online Submission (Y/N): N Status of Filing: Accounting Period Begin Date: Accounting Period End Date: Total Assets: Total Revenue: Filing Received Date: Complete IRS Form 990 Received (Y/N): Online Submission (Y/N): Accepted 7/1/2015 6/30/2016 $943,102.00 $445,597.00 5/9/2017 Y N Status of Filing: Accepted Accounting Period Begin Date: 7/1/2016 Accounting Period End Date: 6/30/2017 Total Assets: $872,988.00 Total Revenue: $527,367:00 Filing Received Date: 2/23/2018 Complete IRS Form 990 Received (YIN): Y Online Submission (Y/N): N Related Documents Delinquency Letter (2nd Request) Delinquency Letter (2nd Request) CT -550 2009 CT -550 2009 Founding Documents RRF-1 2009 RRF-1 2008 Founding Documents 2009 RRF-1 2008 RRF-1 RRF-1 2007 2007 RRF-1 IRS Form 990 2007 2007 IRS Form 990 RRF-1 2006 RRF-1 2005 2006 RRF-1 2005 RRF-1 IRS Form 990 2005 RRF-1 2004 2005 IRS Fonu 990 2004 RRF-1 IRS Form 990 2004 RRF-1 2002 2004 IRS Form 990 2002 RRF-1 RRF-1 2001 2001 RRF-1 IRS Form 990 2001 RRF-1 2000 2001 IRS Form 990 2000 RRF-1 http://rct.doj.ca.govNerificationlWeb/Detaiis.aspx?result=e4d65e30-0al c-43df-ad32-cebe1556cc67 3,4 8/29/2018 Details IRS Form 990 2010 2010 IRS Form 990 IRS Form 990 2012 2012 IRS Form 990 RRF-I 2003 2003 RRF-1 IRS Form 990 2003 2003 IRS Form 990 IRS Forst 990 2006 2006 IRS Form 990 IRS Form 990 2008 2008 IRS Foran 990 IRS Form 990 2009 2009 IRS Fonn 990 I st Delinquency Notice 1st Delinquency Notice RRF-1 2010 2010 RRF-1 IRS Foran 990 Series 2017 RRF-I 2011 2011 RRF-1 IRS Form 990 2011 2011 IRS Form 990 RRF-1 2012 2012 RRF-1 Miscellaneous Document 2013 Miscellaneous Document 2013 Returned Check Returned Check RRF-I 2013 2013 RRF-I IRS Form 990 2013 2013 IRS Form 990 RRF-1 2014 2014 RRF-1 2015 RRF-I 2015 RRF-I 2015 IRS Form 990 2015 IRS Form 990 2014 IRS Form 990 2014 IRS Form 990 2016 Form RRF- I 2016 Form RRF-1 2016 IRS Form 990 Series 2016 IRS Form 990 Series Form RRF-1 2017 Prerequisite Information Prereq Type: Prerequisite Relationship: Charity Registrant: AUTOMOTIVE RECOVERY SERVICES INC Registration No: E0032753 Registration Type: Fundraising Event Registration Status: Awaiting Reporting 12/31/2018 Date Established: 2/27/2018 Association Date: 3/I3/2018 Expiration Date: http://rct.doj.ca.govNerification/Web/Detai Is.aspx?result=e4d65e30-0a1 c-43df-ad32-cebe 1556cc67 4/4 FY 2018/2019 COMMUNITY SERVICE FUNDING GRANT APPLICATION # 10 FEEDING AMERICA RIVERSIDE SAN BERNARDINO CITY OF TEMECUL t FISCAL YEAR 20182019 COMMUNITY SERVICE FUNDING PROGRAM APPLICATION (Please Print or Type) DUE ON OR BEFORE: FRIDAY, SEPTEMBER 21, 2018 PROJECT/PROGRAM INFORMATION Amount Requested: $ 5,000 (Maximum allowable $5,000 per Organization Project/Program Title: Fong 'a'"" and Handling -°°°`"`"'- More `°°°`°'"°e°"eResidents Start Date: 12/1/2018 End Date: 11/30/2019 If Grant is Awarded, Make Check Payable to: Feeding America Riverside 1 San Bernardino Mailing Address: ORGANIZATION AND GEOGRAPHIC AREA SERVED Name of Applicant Organization: Feeding America Riverside San Bernardino Year Organization Founded: 1980 Website www.FeedinglE.org Number of Paid Staff: 30 Number of Volunteers: 5,000 Contact Name: Stephanie Otero Title/Position President and CEO Contact Person's Email Address sotero@feedingamencaie.org Telephone 951-359-4757 ext. 121 Geographic Area(s) the Organization Serves: Riverside and San Bernardino Counties Geographic Area(s) the Project/Program Serves: (NOTE: Community Service Funding Grant must be exclusively used to serve Temecula.) Temecula Include Physical Address of Project/Program: (if different than Organization's Mailing Address) NONPROFIT STATUS Is this organization incorporated as a nonprofit? Yes Lid No 1-1 (If No, then ineligible to receive City Funding) Date of Incorporation as a Non rofit: 1985 Federal Identification Number: State Identification Number Print out and attach to this application Verification from Federal (IRS) and State (FTB) as follows: 1. Attach IRS Deductibility Status using this link: nttp.itapps.irs.dov/appieosi 2. Attach State Entity Status Letter using this link: https'www ttb.ca_oovfontine/seIt serve emit 3. Attach first page only of most recent IRS Form 990 or attach print out of detailed in charity found on this State Registry's Search Tool ntt+ /trct do ca •ay/Verification/Web/ Application Page 1 of 7 Has the organization or any members of the Board of Directors of the organization been involved with any personal business transactions valued over $500 including any business transactions, negotiations, investments or interests in real property with a Temecula City Council Member during the past 12 months? 1 No ✓ Yes 1 If Yes, briefly describe Is a Te ecula City Council Member a member of the Board of Directors or an Officer of the organization? No %/ Yes If Yes, provide Council Member's Name and title within the organization: No - N/A This Application has been authorized by the organization's: Executive Committee Board of Directors 174 t Members -at -Large FINANCIAL STATEMENTS Upon request, copies of the current budget of the organization / financial statements (balance statement and income statement), and if available CPA's audit, may be needed to demonstrate sound financial management. Do not submit now. CITY OF TEMECULA FUNDING — OTHER SOURCES Within the past two years, has your organization received (or is your organization concurrently requesting) any other sources of funding from the City of Temecula? No ✓ Yes_ If Yes provide information in table below: Name of Funding Program from City (CDBG Grant? CSF Grant? Sponsorship?) Program, Project or Service(s) that was funded by the City Grant or Sponsorship Month and Year Grant or Sponsorship Received Amount $ $ $ $ MISSION STATEMENT OF ORGANIZATION Briefly describe the goals and objectives, or mission, of your organization. Feeding America Riverside ( San Bernardino's (FARSB) mission is to alleviate hunger in the Inland Empire. Our primary goal is to eliminate hunger in the two counties we serve. In pursuit of this goal, 98 percent of every donation goes directly to programs and services. We are leading the fight against hunger and playing a vital role in solving the nation's hunger problem as the areas most efficient, hunger -relief organization in our community. Application Page 2 of 7 GRANT FUNDING PROJECT/PROGRAM DESCRIPTION NOTE: Receipts/invoices will be required to be submitted to the City to demonstrate that your organization used grant funding awarded by the City to support the project/program as described here See Compliance Report on Application Page 6 for details. 1. Briefly describe the Project/Program (and its objectives) the City of Temecula grant funding will be used to support. Food safety and handling is paramount when providing food to those in need. In order to provide the 26 million pounds of food to Riverside and San Bernardino residents, FARSB must follow stringent federal and state guidelines when distributing food. Additionally, our partner agencies are required to follow these same guidelines when transporting food from our facility or from our retail store donation partners to their respective food pantry, soup kitchen, emergency shelter or program. To do so, our agencies are required to utilize freezer blankets, thermometers, scales, and other items to make sure that the food they are picking up to be distributed maintains a minimum temperature. Funding would support the purchase of these items for our Temecula agencies. 2 Describe how your organization will spend the grant funding awarded Include equipment or services that would be purchased and why. Funding will be spent to purchase freezer blankets, thermometers, and other items necessary for our partner agencies o transport perishable food such as produce, dairy, meats, and other refrigerated or frozen product to their location for distribution to low-income individuals needing hunger -relief assistance. Food safety is paramount for these products, and as such, the purchase of the purchase of the above items is critical for our partner agencies to keep food at regulated temperatures. If funds are received, our agencies will provide a list of how many freezer blankets, thermometers, etc. are needed, then FARSB will purchase the equipment and allocate them appropriately. For reference the cost for each items are listed. freezer blankets -$100 per unit, scales $30 per unit, and thermometers - $5 per unit. Explain how the grant funding will specifically benefit Temecula residents. Currently, FARSB partners with 5 food pantries in Temecula that serving 10,520 Temecula residents monthly. Funding to purchase items through this grant will provide an estimated 16,000 - 20,000 additional pounds per agency to be distributed to clients beneffiting from their outreach. This equates to a minimum of 204,000 additional pounds of product (170,000 meals) that Temecula clients will have but current do not because of the lack of equipment needed to collect and distribute food by these agency partners. Our goal for this fiscal year for these agencies is to distribute in excess of 1,000,000 pounds of food or 833,000 meals. Estimated number of people expected to benefit from this Project/Program 1 0,520 Estimated number of volunteers involved in this Project/Program: 5,000 Application Page 3 of 7 4. In 30 words or Tess, summarize how the grant funds, if awarded, will be used. IMPORTANT: This summary will be used in a spreadsheet intended to summarize all Community Service Funding Grant Applications, including yours, submitted to the City Council. Funds will be used to purchase food safety and handling equipment necessary to transport donated perishable product to low-income Temecula residents who are served through the food bank's hunger -relief partners in Temecula. PROJECT/PROGRAM BUDGET PROJECT/PROGRAM BUDGET Line Items for Project/Program VARIOUS TYPES OF REVENUES/INCOME FOR THE PROJECT/PROGRAM: Amount of money requested from the City of Temecula Community Support Grant (Not to exceed $5,000) Revenues Cash contributed to Project/Program by the Applicant Organization Other grants or funding already awarded for Project/Program, if any In -Kind match amount or volunteer credit hours estimated amount VARIOUS TYPES OF EXPENSES FOR THE SPECIFIC PROJECT/PROGRAM: Staffing expense for Project/Program (this amount is ineligible to be funded by City's Grant; however please include) Equipment expense for Project/Program Food expense for Project/Program Marketing expense for Project/Program Supplies expense for Project/Program Facilities/Rent expense for Project/Program Other expense for Project/Program TOTAL BUDGET FOR PROJECT/PROGRAM Application Page 4 of 7 PREVIOUS FISCAL YEAR (FY) 2017-2018 COMPLIANCE REPORT If your organization was awarded a Community Service Funding Grant in FY 2017-2018 (last year) by the City of Temecula, please submit this information or the application may be rejected as incomplete. If your organization was NOT awarded a Community Service Funding Grant in FY 2017-2018 (last year), then skip this page. If your organization was awarded a Community Service Funding Grant in Fiscal Year 2017-2018 (last year) by the City of Temecula. all grant funds received must have been expended anytime on or between July 1. 2017, and June 30, 2018. In addition, all grant funds must be substantiated with proper back-up documentation. Failure to provide proper documentation may jeopardize any future funding. City of Temecula reserves the right to conduct an audit and/or require additional back-up information to substantiate how funds received from the City were spent If the funds were not spent in accordance with the approved purpose stated on the Application the organization will be required to refund the amount of funds To substantiate that Fiscal Year 2017-2018 funds received from the City were spent appropriately. proper back-up documentation Including the table below with accompanying receipts/invoices, must be submitted to the City on or before due date: Friday, September 21, 2018. EXPENDITURE REPORT due on or before Friday, September 21, 2018 1 Demonstrate that the Community Service Funding Grant specifically benefitted Temecula residents by providing the number of beneficiaries living in 92590, 92591 and 92592 that directly benefitted from this program: (approximate number of beneficiaries if you don't have a precise number) 2. Fill out this table (include additional copies if needed to explain all expenditures) 3. Attach Receipts/Invoices (in the same order as listed in this table) 4. Send to: City of Temecula, 41000 Main St., Temecula, CA 92590, Attn: City Manager's Office - CSF Organization: Feeding America Riverside San Bernardino Name of Project/Program: Amount of Grant Fund Awarded: $ Month + Year Grant Received from City: Attachment Number Name of Company on Receipt/Invoice Date (Mo/Day/Yr) on Receipt/Invoice Must be dated on or between July 1, 2017 - June 30. 2018 Amount of Expenditure Describe... (1) what the expenditure was (2) purpose of the expenditure MUST support ProjecUProgram description on Application + Award Letter Explain ... how the expenditure specifically benefitted Temecula residents If names/addresses of Temecula beneficiaries are available, please attach 1 $ 2 $ 3 $ 4 $ 5 $ EXPENDITURE TOTAL Note: Expenditure Total must be equal to $ (or greater than) the "Amount of Grant Fund Awarded" (above) provided by the City Application Page 5 of 7 FISCAL YEAR (FY) 2018-2019 COMPLIANCE REPORT If your organization is awarded a Community Service Funding Grant in FY 2018-2019 by the City of Temecula, then this information is not due until Monday, September 16, 2019 If your organization is awarded a Community Service Funding Grant in Fiscal Year 2018-2019 by the City of Temecula, all grant funds received must be expended anytime on or between July 1, 2018. and June 30. 2019 In addition, all grant funds must be substantiated with proper back-up documentation Failure to provide proper documentation may jeopardize any future funding. City of Temecula reserves the right to conduct an audit and/or require additional back-up information to substantiate how funds received from the City were spent. If the funds are not spent in accordance with the approved purpose stated on the Application. the organization will be required to refund the amount of funds To substantiate that Fiscal Year 2018-2019 funds received from the City were spent appropriately, proper back-up documentation including the table below with accompanying receipts/invoices, must be submitted to the City on or before due date: Monday, September 16, 2019. EXPENDITURE REPORT due on or before Monday, September 16, 2019 1. 2. 3. 4. Organization: Amount Demonstrate that the Community Service Funding the number of beneficiaries living in 92590, 92591 (approximate number of beneficiaries if you don't have Fill out this table (include additional copies if needed Attach Receipts/Invoices (in the same order as listed Send to: City of Temecula, 41000 Main St., Temecula, Feeding America Riverside San Bernardino Grant specifically benefitted Temecula residents by providing and 92592 that directly benefitted from this program. a precise number). 10.520 to explain all expenditures) in this table) CA 92590, Attn: City Manager's Office - CSF Name of Project/Program: -'°°S"" °"�"�'"E'""°"°"' u—rootib`M '1"'*""" of Grant Fund Awarded: $ Month + Year Grant Received from City: 0Name E Lon u ms= C zJuly Q Z of Company Receipt/Invoice Date (Mo/DayIYr) 'll on Amount Receipt/Invoice'1 of Must be dated on or Expenditure p between 1, 2018 - June 30, 2019 Describe... (1) what the expenditure was (2) purpose of the expenditure MUST support Project/Program description on Application + Award Latter Explain ... how the expenditure specifically benefitted Temecula residents If namesiaddresses of Temecula beneficiaries are available, please attach 1 $ 2 $ 3 $ 4 $ 5 $ EXPENDITURE Note: Expenditure Total (or greater than) the "Amount Awarded" (above) provided TOTAL must be equal to $ of Grant Fund by the City Application Page 6 of 7 SIGNATURE PAGE The applicant acknowledges and agrees to the following: • Recipient is subject to all Community Service Funding Program requirements including submittal deadlines and payment disbursements. • Every Community Service Funding application is considered individually and on its own merit. • Awards will be given to organizations and activities that directly benefit the residents of Temecula. • Funding is not immediately available to the recipient, and requires an award letter signature upon approval. Please allow time for checks to be processed. • The awarding of Community Service Funding does not constitute an automatic annual allocation. • The recognition for Community Service Funding should accrue to the City of Temecula. • Community Service Funding must be spent as specified on the Application and records may be requested by the City of Temecula to ensure the funds were used appropriately. • Community Service Funding grants will not be awarded or announced within the 60 days before an election in which an awarding Council Member is on the ballot. • The recipient shall provide a full accounting with documentation on the use of awarded funds. The recipient shall return to the City any funds not spent or documented per the signed agreement. • If awarded a Community Service Funding Grant by the City of Temecula last year, then compliance receipts must be submitted on or before this application's due date or this application may be rejected as incomplete. We hereby certify the information contained in this Application is true to the best of our knowledge and belief. ORGANIZATION NAME: Feeding America Riverside I San Bernardino MAILING ADDRESS: 951 359-4757 ext 121 soteroafeedingamericale.org HONE: ( ) EMAIL: PRESIDENT/AUTHORIZED OFFICER: Stephanie Otero, President and CEO SIGNATURE: Print Name Title ,1(Q9/20/2019 DATE: (Month, Day, Year) IF DIFFERENT THAN ABOVE, Nepllaroe olo> Cc�APPICATION PREPARED BY: int Name SUBMIT ORIGINAL APPLICATION BY FRIDAY, SEPTEMBER 21, 2018, TO: City of Temecula Community Service Funding Attn: City Manager's Office 41000 MAIN STREET TEMECULA, CA 92590 If you have any questions please contact Betsy Lowrey at (951) 693-3959 or Stacey Brown at (951) 506-5100. Application Page 7 of 7 9'19/2013 Details about feeding america riverside and san bernardino counties Q HELPO MENU Home > Tax Exempt Organization Search > Feeding America Riverside And San Bernardino Counties <Backto Search Results Feeding America Riverside And San Bernardino Counties EIN: 4,41011LA.116. 11.1, 44404 MItt,uolli, Publication 78 Data o Organizations eligible to receive tax-deductible charitable contributions. Users may rely on this list in determining deductibility of their contributions. On Publication 78 Data List: Yes Deductibility Code: PC Page Last Reviewed or Updated: 6 -Jul -2018 y 1 RS Our Agency Know Your Rights About IRS Taxpayer Bill of Rights Work at IRS Taxpayer Advocate Help Service r► Share $ Print Resolve an Issue Other Languages Respond to a Notice Espanol Office of Appeals ' X oE-gpi Related Sites U.S. Treasury Treasury Inspector General for Tax Administration Contact Your Local Accessibility Office Civil Rights Tax Stats, Facts & Figures Freedom of Information Act No Fear Act Privacy Policy Identity Theft Protection Report Phishing Tax Fraud & Abuse PyccKw N Tieng Vitt USA.gov ;.gov/app/eos/displayAll.do?dispatchMethod=displayAllinfo&Id=347564&ein=330072922&country=US&deductibility=all&dispatchMethod... 2/2 STATE OF CALIFORNIA FRANCHISE TAX BOARD PO BOX 942857 • SACRAMENTO CA 94257-0540 Entity Status Letter Date: 9/19/2018 ESL ID: 3538633373 According to our records, the following entity information is true and accurate as of the date of this letter Entity ID: Entity Name: FEEDING AMERICA RIVERSIDE SAN BERNARDINO COUNTIES 1. The entity is in good standing with the Franchise Tax Board. 2. The entity is not in good standing with the Franchise Tax Board. a3 The entity is currently exempt from tax under Revenue and Taxation Code (R&TC) Section 23701 d. 4. We do not have current information about the entity. The above information does not necessarily reflect: • The entity's status with any other agency of the State of Califomia, or other government agency. • If the entity's powers, rights, and privileges were suspended or forfeited at any time in the past, or the entity did business in California at a time when it was not qualified or not registered to do business in California: • The status or voidability of any contracts made in California by the entity at a time when the entity was suspended or forfeited (R&TC Sections 23304.1, 23304.5, 23305a, 23305.1). o For entities revived under R&TC Section 23305b, any time limitations on the revivor or limitation of the functions that can be performed by the entity. Internet and Telephone Assistance Website: ftb.ca.gov Telephone 800.852.5711 from within the United States 916.845.6500 from outside the United States TY/TDD: 800.822.6268 for persons with hearing or speech impairments A WEB (NEW 02-2012) FY 2018/2019 COMMUNITY SERVICE FUNDING GRANT APPLICATION # 11 HABITAT FOR HUMANITY / INLAND VALLEY CITY OF TEIECULtA FISCAL YEAR 2018-2019 COMMUNITY SERVICE FUNDING PROGRAM APPLICA (Please Print or Type) DUE ON OR BEFORE: FRIDAY, SEPTEMBER 21, 2018 PROJECT/PROGRAM INFORMATION Amount Requested: $ 5,000 Project/Program Title: A Brush with Kindness (Maximum allowable $5,000 per Organization) Start Date: January t, 2019 End Date: June 30, 2019 If Grant is Awarded, Make Check Payable to: Habitat for Humanity Inland Valley Mailing Address ORGANIZATION AND GEOGRAPHIC AREA SERVED Name of Applicant Organization: Habitat for Humanity Inland valley Year Organization Founded: 1991 Website www.habitativ.org Number of Paid Staff: 27 Number of Volunteers: 2,374 Contact Name Tammy Marine Title/Position Executive Director Contact Person's Email Address tammy@habitativ.org Telephone Geographic Area(s) the Organization Serves: Southwest Riverside County Geographic Area(s) the Project/Program Serves: (NOTE: Community Service Funding Grant must be exclusively used to serve Temecula.) Temecula Include Physical Address of Project/Program: (if different than Organization's Mailing Address) Habitat's office: NONPROFIT STATUS Is this organization incorporated as a nonprofit? Yes 7 No Li (If No, then ineligible to receive City Funding) Date of Incorporation as a Non • February 21, 1991 Federal Identification Number: State Identification Number: Print out and attach to this application Verification from Federal (IRS) and State (FTB) as follows: 1. Attach IRS Deductibility Status using this Zink: http://apps.irs.gov/app/eos/ 2. Attach State Entity Status Letter using this link: https;/www.ftb.ca.00vionline/self serve entity status letter/index asp 3. Attach first page only of most recent IRS Form 990 or attach print out of detailed information about your charity found on this State Registry's Search Tool: http://rct.doi.ca.gov/Verification/Web/Search.aspx?facility=Y Application Page 1 of 7 Has the organization or any members of the Board of Directors of the organization been involved with any personal business transactions valued over $500 including any business transactions, negotiations, investments, or interests in real property with a Temecula City Council Member during the past 12 months'? No ✓ YesP1 If Yes, briefly describe: Is a Temecula City Council Member a member of the Board of Directors or an Officer of the organization? No X Yes If Yes, provide Council Member's Name and title within the organization: This Application has been authorized by the organization's: Executive Committee Board of Directors I v I Members -at -Large FINANCIAL STATEMENTS 1 Upon request, copies of the current budget of the organization / financial statements (balance statement and income statement), and if available CPA's audit, may be needed to demonstrate sound financial management. Do not submit now. CITY OF TEMECULA FUNDING — OTHER SOURCES Within the past two years, has your organization received(or is your organization concurrently requesting) any other sources of funding from the City of Temecula? NoYes ✓ If Yes. provide information in table below: Name of Funding Program from City (CDBG Grant? CSF Grant? Sponsorship?) Program, Protect or Service(s) that was funded by the City Grant or Sponsorship Month and Year Grant or Sponsorship Received Amount Community Service Funding A Brush with Kindness December, 2017 $ 5,000 Community Service Funding A Brush with Kindness December, 2016 $ 4768.84 $ $ MISSION STATEMENT OF ORGANIZATION Briefly describe the goals and objectives, or mission, of your organization. The mission of Habitat for Humanity Inland Valley is to facilitate the dream of homeownership as well as improve living conditions for those within the community. For the last 27 years, Habitat IV has been furthering the worldwide Habitat goal of providing simple, affordable homes to qualified families in need. Our local affiliate is completely independent and all resources help low-income southwest Riverside County residents. Application Page 2 of 7 GRANT FUNDING PROJECT/PROGRAM DESCRIPTION NOTE: Receipts/invoices will be required to be submitted to the City to demonstrate that your organization used grant funding awarded by the City to support the project/program as described here. See Compliance Report on Application Page 6 for details. 1. Briefly describe the Project/Program (and its objectives) the City of Temecula grant funding will be used to support. A Brush with Kindness provides materials and expertise necessary to utilize volunteers and staff to provide minor, exterior home repairs or maintenance for low-income residents within the City of Temecula. Homeowners are helped with vital repairs that are out of their affordability or ability range - it not both. While we serve any low-income Temecula resident in need, the majority of those seeking services are seniors. With these funds, we will provide the basic consumable supplies needed for Temecula home repairs such as lumber, nails, paint, painting tools and other supplies, siding, etc. ABWK is on-going and funds will be used within 6 months of receipt. Typical repairs include landscaping, weed abatement, exterior home painting, fencework and other various minor exterior repairs or maintenance. 2. Describe how your organization will spend the grant funding awarded. Include equipment or services that would be purchased and why. We would utilize funding to serve any low-income resident within the City of Temecula with minor exterior home repair maintenance services. Projects may include: house painting, weed abatement, landscaping, trash abatement, fence repair and painting, porch and step repair, and other minor exterior projects- We estimate that we would serve 10-15 individuals with 5-10 home repair projects and all services will be rendered between 1/1/19-6/30/19. 3. Explain how the grant funding will specifically benefit Temecula residents. This project is only available to Temecula residents and will help keep neighborhoods beautiful and homeowners in stable, affordable housing. Many times simple repairs or improvements can cause struggling residents or families to quickly become financially unstable. With the ABWK program, homeowners can gain some financial stability, resulting in better outcomes in other areas of their lives and an increased quality of life. We will serve any low-income resident within the City of Temecula, however, roughly 80-85% of those seeking services are fixed-income seniors who are physically unable to complete projects themselves. Estimated number of people expected to benefit from this Project/Program 10-15 individuals Estimated number of volunteers involved in this Project/Program. 50-75 volunteers Application Page 3 of 7 4. In 30 words or less, summarize how the grant funds, if awarded, will be used. IMPORTANT: This summary will be used in a spreadsheet intended to summarize all Community Service Funding Grant Applications, including yours, submitted to the City Council. Funds would be utilized to provide no -cost home repair/maintenance projects to low-income residents within the City of Temecula with the goal of preserving home affordability. PROJECT/PROGRAM BUDGET PROJECT/PROGRAM BUDGET Line Items for Project/Program Revenues Expenses VARIOUS TYPES OF REVENUES/INCOME FOR THE PROJECT/PROGRAM: Amount of money requested from the City of Temecula Community Support Grant $ �' 000 (Not to exceed $5,000) Cash contributed to Project/Program by the Applicant Organization $ 5,000 Other grants or funding already awarded for Project/Program, if any $ In -Kind match amount or volunteer credit hours estimated amount $ 7,500 VARIOUS TYPES OF EXPENSES FOR THE SPECIFIC PROJECT/PROGRAM: Staffing expense for Project/Program (this amount is ineligible to be funded by City's Grant; however please include) $ 5,000 Equipment expense for Project/Program $ Food expense for Project/Program $ 500 Marketing expense for Project/Program $ 1 7,500 $ 1,000 Supplies expense for Project/Program $ 10,000 Facilities/Rent expense for Project/Program --------- $ 1 000 $ $ 17,500 Other expense for Project/Program TOTAL BUDGET FOR PROJECT/PROGRAM Application Page 4 of 7 Describe... (1) what the expenditure was (2) purpose of the expenditure MUST support Project/Program description on Application + Award Letter PREVIOUS FISCAL YEAR (FY) 2017-2018 COMPLIANCE REPORT If your organization was awarded a Community Service Funding Grant in FY 2017-2018 (last year) by the City of Temecula, please submit this information or the application may be rejected as incomplete. If your organization was NOT awarded a Community Service Funding Grant in FY 2017-2018 (last year), then skip this page. If your organization was awarded a Community Service Funding Grant in Fiscal Year 2017-2018 (last year) by the City of Temecula, all grant funds received must have been expended anytime on or between July 1, 2017, and June 30, 2018. In addition, all grant funds must be substantiated with proper back-up documentation. Failure to provide proper documentation may jeopardize any future funding. City of Temecula reserves the right to conduct an audit and/or require additional back-up information to substantiate how funds received from the City were spent. If the funds were not spent in accordance with the approved purpose stated on the Application, the organization will be required to refund the amount of funds. To substantiate that Fiscal Year 2017-2018 funds received from the City were spent appropriately, proper back-up documentation including the table below with accompanying receipts/invoices, must be submitted to the City on or before due date: Friday, September 21, 2018. EXPENDITURE REPORT due on or before Friday, September 21, 2018 1 1. Demonstrate that the Community Service Funding Grant specifically benefitted Temecula residents by providing the number of beneficiaries living in 92590, 92591 and 92592 that directly benefitted from this program: (approximate number of beneficiaries if you don't have a precise number): 2. Fill out this table (include additional copies if needed to explain all expenditures) 3. Attach Receipts/Invoices (in the same order as listed in this table) 4. Send to: City of Temecula, 41000 Main St., Temecula, CA 92590, Attn: City Manager's Office - CSF Organization: Habitat for Humanity Inland Valley Name of ProjecUProgram: A Brush with Kindess Amount of Grant Fund Awarded: $ 5,000 1 ! Date (Mo/Day/Yr) ton d Name of Company E ia; on Receipt/Invoice EReceipt/Invoice Q • Z Please see attached form Must be dated on or between July 1, 2017 - June 30. 2018 Month + Year Grant Received from City: December, 2017 Amount of Expenditure Explain ... how the expenditure specifically benefitted Temecula residents If names/addresses of Temecula beneficiaries are available, please attach EXPENDITURE TOTAL Note: Expenditure Total must be equal to $ (or greater than) the "Amount of Grant Fund Awarded" (above) provided by the City Application Page 5 of 7 FISCAL YEAR (FY) 2018-2019 COMPLIANCE REPORT If your organization is awarded a Community Service Funding Grant in FY 2018-2019 by the City of Temecula, then this information is not due until Monday, September 16, 2019 If your organization is awarded a Community Service Funding Grant in Fiscal Year 2018-2019 by the City of Temecula, all grant funds received must be expended anytime on or between July 1, 2018, and June 30, 2019. In addition, all grant funds must be substantiated with proper back-up documentation. Failure to provide proper documentation may jeopardize any future funding. City of Temecula reserves the right to conduct an audit and/or require additional back-up information to substantiate how funds received from the City were spent. If the funds are not spent in accordance with the approved purpose stated on the Application, the organization will be required to refund the amount of funds. To substantiate that Fiscal Year 2018-2019 funds received from the City were spent appropriately, proper back-up documentation including the table below with accompanying receipts/invoices, must be submitted to the City on or before due date: Monday, September 16, 2019. 1. 2. 3. 4. Organization: Amount EXPENDITURE REPORT due on or before Monday, September 16, 2019 Demonstrate that the Community Service Funding the number of beneficiaries living in 92590, 92591 (approximate number of beneficiaries if you don't have Fill out this table (include additional copies if needed Attach Receipts/Invoices (in the same order as listed Send to: City of Temecula, 41000 Main St., Temecula, Habitat for Humanity Inland Valley Grant specifically benefitted Temecula residents by providing and 92592 that directly benefitted from this program: a precise number): to explain all expenditures) in this table) CA 92590, Attn: City Manager's Office - CSF Name of Project/Program: A Brush with Kindness of Grant Fund Awarded: $ Month + Year Grant Received from City: m E 6- s .0 0 a: E Q Z Name of Company on Receipt/Invoice Date (Mo/Day/Yr) on Receipt/Invoice Must be dated on or between July 1, 2018 - June 30. 2019 Amount of Expenditure Describe... (1) what the expenditure was (2) purpose of the expenditure MUST support ProJecUProgram description on Application + Award Letter Explain ... how the expenditure specifically benefitted Temecula residents If names/addresses of Temecula beneficiaries are available, please attach 1 $ 2 $ 3 $ 4 $ 5 $ EXPENDITURE TOTAL Note: Expenditure Total must be equal to $ (or greater than) the "Amount of Grant Fund Awarded" (above) provided by the City Application Page 6 of 7 SIGNATURE PAGE The applicant acknowledges and agrees to the following: • Recipient is subject to all Community Service Funding Program requirements including submittal deadlines and payment disbursements. • Every Community Service Funding application is considered individually and on its own merit. • Awards will be given to organizations and activities that directly benefit the residents of Temecula. • Funding is not immediately available to the recipient, and requires an award letter signature upon approval. Please allow time for checks to be processed. • The awarding of Community Service Funding does not constitute an automatic annual allocation. • The recognition for Community Service Funding should accrue to the City of Temecula. • Community Service Funding must be spent as specified on the Application and records may be requested by the City of Temecula to ensure the funds were used appropriately, Community Service Funding grants will not be awarded or announced within the 60 days before an election in which an awarding Council Member is on the ballot. • The recipient shall provide a full accounting with documentation on the use of awarded funds. The recipient shall return to the City any funds not spent or documented per the signed agreement. • If awarded a Community Service Funding Grant by the City of Temecula last year, then compliance receipts must be submitted on or before this application's due date or this application may be rejected as incomplete. We hereby certify the information contained in this Application is true to the best of our knowledge and belief. ORGANIZATION NAME: Habitat for Humanity Inland Valley MAILING ADDRESS: HONE: mary© habitativ.org EMAIL: PRESIDENT / AUTHORIZED OFFTa my Marine, Executive Director P nt N. e Title SIGNATURE: IF DIFFERENT THAN ABOVE, Tames Marine, Executive Director APPICATION PREPARED BY: y DATE: September 21, 2018 (Month, Day, Year) Print Name Title SUBMIT ORIGINAL APPLICATION BY FRIDAY, SEPTEMBER 21, 2018, TO: City of Temecula Community Service Funding Attn: City Manager's Office 41000 MAIN STREET TEMECULA, CA 92590 If you have any questions please contact Betsy Lowrey at (951) 693-3959 or Stacey Brown at (951) 506-5100. Application Page 7 of 7 • • • Habitat 1 for Humanity® September 29, 2015 Inland Valle HFH RE: 501(c)(3) Letter for Inland Valley HFH, Partner ID# 1101-5322 Dear Affiliate Leader: Help build it.! This letter will confirm that Inland Valley HFH, with employer identification number - is considered a subordinate under the group tax exemption umbrella of Habitat for Humanity International, Inc. ("HFHI") under Section 5O1(c)(3) of the Internal Revenue Code. The group exemption number assigned to HFHI by the IRS is 8545. This number may be provided to prospective donors, foundations and other grant organizations as they request it and is required on certain IRS forms. Enclosed is a copy of the determination letter dated March 9, 2015, provided by the IRS as evidence of HFHI's tax exempt status as well as its group exemption. The determination letter, together with this letter, confirms Inland Valley HFH's subordinate status and provides evidence of its tax exempt status under Section 5O1(c)(3) of the Code. In partnership, Beverly Huffman Director, US/Canadian Support Services Center Habitat for Humanity International 877-434-4435 USSupoortCenter@habitat.org • habitat.org I Habitat. We build. Enclosure INTERNATIONAL HEADQUARTERS: 121 Habitat St., Americus, GA 31709-3498 USA www.habitat.org (229) 924-6935 loll tree (800) 422-4828 052913 IRSDepartment or the Treasury Internal Revenue Service OGDEN UT 84201-0029 HABITAT FOR HUMANITY INTERNATIONAL INC HABITAT FOR HUMANITY INTRNL PARENT EDWARD K QUIBELL - CFO/SR VP In reply refer to: 4077550277 Mar. 09, 2015 LTR 4167C 0 91-1914868 000000 00 00040704 BODC: TE Employer Identification Number: Group Exemption Number: 8545 Person to Contact: Ms Benjamin Toll Free Telephone Number: 1-877-829-5500 Dear Taxpayer: This is in response to your Jan. 20, 2015, request for information about your tax-exempt status. Our records indicate that you were issued a determination letter in January 1987, and that you are currently exempt under section 501(c)(3) of the Internal Revenue Code. Based on the information supplied, we recognized the subordinates named on the list you submitted as exempt from Federal income tax under section 501(c)(3) of the Code. 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, Tamera Ripperda Director, Exempt Organizations IRS Group Exemption FAQs The IRS refers to "central" or "parent" organizations, as well as "subordinate" organizations? What does these terms mean? An organization that has been granted a 501(c)(3) group exemption by the IRS is referred to as the central or parent organization. The central organization generally supervises many affiliates or chapters, called subordinate organizations. The subordinate organizations have similar structures, purposes, missions and activities. ❖ In Habitat's case, HFHI is the central organization and each Affiliate is a subordinate organization. What is the reason for group exemptions vs individual exemptions? Group exemptions are an administrative convenience for both the IRS and organizations with many affiliated organizations. Subordinates in a group exemption do not have to file, and the IRS does not have to process, separate applications for exemption. Instead, the IRS allows the central organization to include its subordinate organizations under its tax exempt "umbreIla." ❖ Group exemptions are more convenient because only one central organization (HFHI) needs to be checked for tax exempt status. Who determines if a subordinate organization may be included under the central organizations' group exemption? The central organization, not the IRS, determines who is exempt under its 501(c) (3) umbrella. The IRS does not approve or deny a subordinate's inclusion on HFHI's roster of exempt subordinates. It is solely at the discretion of the central organization holding the 501(c)(3) designation as long as the subordinate is similar in mission, purpose, structure and activities. The IRS leaves it up to the central organization to police its own list of subordinate entities and to report any changes. Failure to monitor the list in accordance with the rules set forth by the IRS may result in the central organization having its 501(c)(3) status revoked. ❖ HFHI is the final determiner of whether Affiliates are on its group exempt list. The IRS will not issue a letter with regard to an individual Affiliate. How does a donor verify that an organization is included as a subordinate in a group exemption ruling? The central organization which holds the group exemption (rather than the IRS) determines which organizations are included as subordinates under its group exemption umbrella. Therefore, a donor should verify that an organization is a subordinate eligible to receive tax deductible donations by requesting a copy of a letter provided by the central organization to the subordinate confirming the subordinate entity's inclusion on its roster of exempt subordinates. This letter, coupled with a copy of the central organizations 501(c)(3) determination letter provides adequate proof of the entity's tax exempt status. ❖ Affiliate should provide donors a copy of the confirmation letter (with the HFHI IRS determination letter attached) that HFHI provides to each Affiliate on an annual basis. ❖ Donors should be told that the IRS determination letter will not reference the Affiliate by name. How do donors verify that contributions are deductible with respect to a subordinate organization in a section 501(c)(3) group exemption ruling? Many donors are accustomed to consulting the IRS database known as EOS Select Check to confirm that donations to a specific organization are tax deductible. This works well for organizations that have an individual tax exemption; however, it creates a bit of confusion when it comes to organizations with a group tax exemption status. The EOS Select Check database does NOT list all subordinate entities. It lists the central organization because the central organization is the entity that applied for, and was granted, a 501(c)(3) designation. Many times donors become alarmed when they do not see the individual Affiliate listed in the database. It is important to explain to your donor that providing HFHI's group exemption number (GEN) along with a confirmation letter from HFHI, as the central organization, is sufficient proof of the subordinate entity's tax exempt status. Donors may rely upon central organization verification with respect to deductibility of contributions to subordinates covered in a section 501(c) (3) group exemption ruling. ❖ Explain to your donors early the procedure so that they will not be surprised when the Affiliate is not referenced on the EOS database. Employer Identification Number (EIN) vs Group Exemption Number (GEN) The Employer Identification Number (EIN) is a nine -digit number that is unique to each business and generally appears in the following format: XX-XXXXXXX. Its role for a business is similar to that of the Social Security number for an individual. The number includes information about which state the corporation is registered in. This unique identification number is assigned to a business entity so that they can easily be identified by the Internal Revenue Service. The EIN is also known as a Federal Identification Number (FIN) or Tax ID. This number is apart and separate from a company's group exemption number (GEN). The EIN identifies the specific organization. The GEN identifies the entity's further designation as a tax exempt organization. The GEN number is a number assigned by the IRS which identifies the central organization who was granted the group exemption. The GEN number is a 4 digit number that should be supplied to donors when they make a donation. This number allows the donor to make a tax deduction based on the donation to the tax exempt entity. • HFHI's GEN is 8545. This should be given to your donors. • Do not use HFHI's EIN in your Affiliate's tax return and other documents. This will cause the IRS to confuse your Affiliate with HFHI (including accidentally holding you responsible HFHI's payroll taxes, misreporting on Form 990, etc.) ❖ HFHI's GEN is 8545. This should be given to your donors. ❖ Do not use HFHI's EIN in your Affiliate's tax return and other documents. This will cause the IRS to confuse your Affiliate with HFHI (including accidentally holding you responsible HFHI's payroll taxes, misreporting on Form 990, etc.) STATE OF CALIFORNIA FRANCHISE TAX BOARD ti- PO BOX 942857 SACRAMENTO CA 94257-0540 Entity Status Letter Date: 9/20/2018 ESL ID: 6752175457 According to our records, the following entity information is true and accurate as of the date of this letter Entity ID: Entity Name: HABITAT FOR HUMANITY INLAND VALLEY, INC. 1. The entity is in good standing with the Franchise Tax Board. 2. The entity is not in good standing with the Franchise Tax Board. 3. The entity is currently exempt from tax under Revenue and Taxation Code (R&TC) Section 23701 d 4. We do not have current information about the entity. The above information does not necessarily reflect: • The entity's status with any other agency of the State of California, or other government agency. • If the entity's powers, rights, and privileges were suspended or forfeited at any time in the past, or the entity did business in Califomia at a time when it was not qualified or not registered to do business in California: o The status or voidability of any contracts made in California by the entity at a time when the entity was suspended or forfeited (R&TC Sections 23304.1, 23304.5, 23305a, 23305.1). o For entities revived under R&TC Section 23305b, any time limitations on the revivor or limitation of the functions that can be performed by the entity. Internet and Telephone Assistance Website: ftb.ca.gov Telephone: 800.852.5711 from within the United States 916.845.6500 from outside the United States TTY/TDD: 800.822.6268 for persons with hearing or speech impairments FTB 4263A WEB (NEW 02-2012) FY 2018/2019 COMMUNITY SERVICE FUNDING GRANT APPLICATION # 12 HOSPICE OF THE VALLEYS CITY OF TEMECULA FISCAL YEAR 2018-2019 COMMUNITY SERVICE FUNDING PROGRAM APPLICATION (Please Print or Type) DUE ON OR BEFORE: FRIDAY, SEPTEMBER 21, 2018 PROJECT/PROGRAM INFORMATION Amount Requested. $ 5000.00 Project/Program Title: Senior Assistance Program (Maximum allowable $5,000 per Organization) Start Date 07/01/2018 End Date: 06/30/2019 If Grant is Awarded, Make Check Payable to Hospice of the Valleys Mailing Address: ORGANIZATION AND GEOGRAPHIC AREA SERVED Name of Applicant Organization: Hospice of the Valleys Year Organization Founded: 1982 Website: www.HospiceoftheValleys.org Number of Paid Staff: 60 Number of Volunteers: 75 Contact Name: Lynette Cvar Title/Position: Chief Administrative Officer/CFO Contact Person's Email Address: LCvar@hovsc.org Telephone: Geographic Area(s) the Organization Serves: SW Riverside County & Fallbrook Geographic Area(s) the Project/Program Serves: (NOTE: Community Service Funding Grant must be exclusively used to serve Temecula.) Temecula Include Physical Address of Project/Program: (if different than Organization's Mailing Address) Hospice care will be provided to patients residing in the city of Temecula NONPROFIT STATUS Is this organization incorporated as a nonprofit? Yes 0✓ No (If No, then ineligible to receive City Funding) Date of Incorporation as a Non rofit. 06/29/1983 Federal Identification Number: State Identification Number: - Print out and attach to this application Verification from Federal (IRS) and State (FTB) as follows. 1. Attach IRS Deductibility Status using this link: http://apps.irs.aov/app/eos/ 2. Attach State Entity Status Letter using this link: hi..uwww ftb.ca •ov/online/self serve enti status I-ttertin_ x.as 3. Attach first page only of most recent IRS Form 990 or attach print out of detailed inform charity found on this State Registry's Search Tool: htt•.//rct.do..ca.•ovNerification/Web/Se Application Page 1 of 7 Has the organization or any members of the Board of Directors of the organization been involved with any personal business transactions valued over $500 including any business transactions, negotiations, investments, or interests in real property with a Temecula City Council Member during the past 12 months? No Q Yes If Yes, briefly describe: Is a Temecula City Council Member a member of the Board of Directors or an Officer of the organization? No X Yes If Yes, provide Council Member's Name and title within the organization: N/A This Application has been authorized by the organization's Executive Committee Board of Directors I v I Members -at -Large FINANCIAL STATEMENTS Upon request, copies of the current budget of the organization / financial statements (balance statement and income statement), and if available CPA's audit, may be needed to demonstrate sound financial management. Do not submit now. CITY OF' TEMECULA FUNDING — OTHER SOURCES Within the past two years, has your organization received (or is your organization concurrently requesting) any other sources of funding from the City of Temecula? No_ Yes ✓ If Yes. provide information in table below. Name of Funding Program from City (CDBG Grant? CSF Grant? Sponsorship?) Program, Project or Service(s) that was funded by the City Grant or Sponsorship Month and Year Grant or Sponsorship Received Amount CDBG Senior Assistance Program 2017-2018 $ 5,345.00 CDBG Senior Assistance Program 2018-2019 $5,583.00 $ $ r MISSION STATEMENT OF ORGANIZATION Briefly describe the goals and objectives, or mission, of your organization. Hospice of the Valleys fosters reverence for life, relief of suffering, and compassion in loss for terminally ill patients, and their families, in the communities we serve. For 35 years, Hospice of the Valleys has offered compassionate care to SW Riverside County and Fallbrook residents with life -limiting illness. We believe no one should die alone or in pain. We treat our patients the way we would treat our own families. Our goal is to offer comprehensive hospice care to patients in our community, regardless of their inability to pay Application Page 2 of 7 Has the organization or any members of the Board of Directors of the organization been involved with any personal business transactions valued over $500 including any business transactions, negotiations, investments. or interests in real property with a Temecula City Council Member during the past 12 months? No Yes If Yes, briefly describe: Is a Temecula City Council Member a member of the Board of Directors or an Officer of the organization? No Yes If Yes, provide Council Member's Name and title within the organization: This Application has been authorized by the organization's: Executive Committee Board of Directors Members -at -Large FINANCIAL STATEMENTS Upon request, copies of the current budget of the organization / financial statements (balance statement and income statement), and if available CPA's audit, may be needed to demonstrate sound financial management. Do not submit now. CITY OF TEMECULA FUNDING — OTHER SOURCES Within the past two years, has your organization received (or is your organization concurrently requesting) any other sources of funding from the City of Temecula? No I YesLj If Yes. provide information in table below: Name of Funding Program from City (CDBG Grant? CSF Grant? Sponsorship?) Program, Project or Service(s) that was funded by the City Grant or Sponsorship Month and Year Grant or Sponsorship Received Amount $ $ CSF FY17/18 Senior Assistance Program Dec 2017 $5,000 CSF FY16/17 Senior Assistance Program Jan 2017 $4,768.84 MISSION STATEMENT OF ORGANIZATION Briefly describe the goals and objectives, or mission, of your organization. Application Page 2 of 7 GRANT FUNDING PROJECT/PROGRAM DESCRIPTION NOTE: Receipts/invoices will be required to be submitted to the City to demonstrate that your organization used grant funding awarded by the City to support the project/program as described here. See Compliance Report on Application Page 6 for details. 1. Briefly describe the Project/Program (and its objectives) the City of Temecula grant funding will be used to support. The Senior Assistance Program provides comprehensive hospice care to patients and families living in our service area, Our care includes home visits by members of our clinical team, pain management, social services, and bereavement for those who need our care, even the uninsured We also provide services and supplies that are not paid for by insurance, such as medical equipment rentals, medication delivery, incontinence supplies and other needs that are unique to each patient We are also an invaluable resource to the family members of our patients We provide answers to the many questions faced at a very emotional and confusing time We help family members navigate end -of -life decisions and how to make the best of the remaining days with their loved one. 2 Describe how your organization will spend the grant funding awarded Include equipment or services that would be purchased and why. Funding will be used to: t) Increase access to hospice care for those with limited or no funding; 2) enhance the experience of patients and families at end -of -life by providing tangible support and assistance in meeting their individual needs; 3) provide community bereavement support to our patients' loved ones, as well as members of the community needed grief support services; 4) extend our ability to pay for patients to receive unreimbursed services and equipment; 6) provide community education programs on topics such as advanced directives and end -of -life care options Explain how the grant funding will specifically benefit Temecula residents. Funds received from the City of Temecula will go directly toward the care of our patients living in the City Those who will also benefit from aur services are also the family members of our patients, along with members of the community who attend our free, weekly grief support groups at the Mary Philips Senior Center- Temecula residents would also benefit from our annual Fall Memorial Service of Remembrance at the Temecula Public Library and our bi-weekly Alzheimer's Support Group at Rancho Community Church. Estimated number of people expected to benefit from this Project/Program 50 patients/85 community members Estimated number of volunteers involved in this Project/Program 60 Application Page 3 of 7 4. In 30 words or Tess, summarize how the grant funds, if awarded, will be used. IMPORTANT: This summary will be used in a spreadsheet intended to summarize all Community Service Funding Grant Applications, including yours, submitted to the City Council. For services and provisions such as weekly grief support groups, annual memorial services of remembrance, Alzheimer's Support Groups, overbed table rentals, rental of fully electric beds and mobile shower equipment, medication delivery services, and community education programs. PROJECT/PROGRAM BUDGET PROJECT/PROGRAM BUDGET Line Items for Project/Program Revenues Expenses VARIOUS TYPES OF REVENUES/INCOME FOR THE PROJECT/PROGRAM: Amount of money requested from the City of Temecula Community Support Grant (Not to exceed $5,000) $ 5,000 Cash contributed to Project/Program by the Applicant Organization $ 1 7, 700 Other grants or funding already awarded for Project/Program, if any $ 0 In -Kind match amount or volunteer credit hours estimated amount $ 0 VARIOUS TYPES OF EXPENSES FOR THE SPECIFIC PROJECT/PROGRAM: Staffing expense for Project/Program (this amount is ineligible to be funded by City's Grant; however please include) $ 12000 Equipment expense for Project/Program $ Food expense for Project/Program $ Marketing expense for Project/Program $ $ 10000. Supplies expense for Project/Program Facilities/Rent expense for Project/Program $ Other expense for Project/Program $ 700. TOTAL BUDGET FOR PROJECT/PROGRAM $ 22, 700.00 $ 22,700.00 Application Page 4 of 7 PREVIOUS FISCAL YEAR (FY) 2017-2018 COMPLIANCE REPORT If your organization was awarded a Community Service Funding Grant in FY 2017-2018 (last year) by the City of Temecula, please submit this information or the application may be rejected as incomplete. If your organization was NOT awarded a Community Service Funding Grant in FY 2017-2018 (last year), then skip this page. If your organization was awarded a Community Service Funding Grant in Fiscal Year 2017-2018 (last year) by the City of Temecula, all grant funds received must have been expended anytime on or between July 1, 2017, and June 30, 2018. In addition, all grant funds must be substantiated with proper back-up documentation. Failure to provide proper documentation may jeopardize any future funding. City of Temecula reserves the right to conduct an audit and/or require additional back-up information to substantiate how funds received from the City were spent. If the funds were not spent in accordance with the approved purpose stated on the Application, the organization will be required to refund the amount of funds. To substantiate that Fiscal Year 2017-2018 funds received from the City were spent appropriately, proper back-up documentation including the table below with accompanying receipts/invoices, must be submitted to the City on or before due date: Friday, September 21, 2018. EXPENDITURE REPORT due on or before Friday, September 21, 2018 1 Demonstrate that the Community Service Funding Grant specifically benefitted Temecula residents by providing the number of beneficiaries living in 92590, 92591 and 92592 that directly benefitted from this program: (approximate number of beneficiaries if you don't have a precise number): :o 2. Fill out this table (include additional copies if needed to explain all expenditures) 3. Attach Receipts/Invoices (in the same order as listed in this table) 4. Send to: City of Temecula, 41000 Main St., Temecula, CA 92590, Attn: City Manager's Office - CSF Organization: Hospice of the Valleys Amount of Grant Fund Awarded: $ 5,000.00 Name of Project/Program: Senior Assistance Progran Month + Year Grant Received from City: 1 1 /21 117 Date (Mo/DayI(r) ami Name of Company on E ` on Receipt/Invoice E Receipt/Invoice Q Z Medline Horizon Must be dated on or between July 1,2017 - June 30. 2018 07/2017- 12/2017 Amount of Expenditure Describe... (1) what the expenditure was (2) purpose of the expenditure MUST support ProjectlProgram description on Application + Award Letter $ 603.68 patients Incontinence Supplies for Explain ... how the expenditure specifically benefitted Temecula residents If names/addresses of Temecula beneficiaries are available, please attach Incontinence supplies kept patients free of skin initation due to incontinence Supplies also make the task of caregiving more manageable for the caregiver. 11/2017- 2/2018 $ 330.45 Fully electric bed rentals 8/29/2017 - 11 /05/2017 7/18/2017 - 11 /05/2017 $ 2899.10 07/18/2017 - 11 /05/2017 Fu y electric beds give paberils more Irrobibly and eases stagier burden Patent caregivers need to miss & recrre Use salient nary lanes ttroupho a the day, eolith an be physically dotnamng. Temecula Community Grief Support groups, Alzheimer's Support Groups Fall Memorial of Remembrance Navigating through grief, loss, and mental illness can be a difficult and confusing process Our team helps those who are suffering work through their emotions. Temecula Community Grief Support $ 3042.16 group, Temecula Fall Memorial of Remembrance Navigating through grief, loss, and mental illness can be a drfficult and confusing process. Our team helps those who are suffering work through their emotions Temecula Community Grief Support $ 3366.28 group, Temecula Fall Memorial of Remembrance Navigating through grief, loss. and mental illness can be a difficult and confusing process. Our team helps those who are suffering work through their emotions. EXPENDITURE TOTAL Note: Expenditure Total must be equal to (or greater than) the "Amount of Grant Fund Awarded" (above) provided by the City 10,241.67 Application Page 5 of 7 SIGNATURE PAGE The applicant acknowledges and agrees to the following: • Recipient is subject to all Community Service Funding Program requirements including submittal deadlines and payment disbursements. • Every Community Service Funding application is considered individually and on its own merit. • Awards will be given to organizations and activities that directly benefit the residents of Temecula. • Funding is not immediately available to the recipient, and requires an award letter signature upon approval. Please allow time for checks to be processed. • The awarding of Community Service Funding does not constitute an automatic annual allocation. • The recognition for Community Service Funding should accrue to the City of Temecula. • Community Service Funding must be spent as specified on the Application and records may be requested by the City of Temecula to ensure the funds were used appropriately. • Community Service Funding grants will not be awarded or announced within the 60 days before an election in which an awarding Council Member is on the ballot. • The recipient shall provide a full accounting with documentation on the use of awarded funds. The recipient shall return to the City any funds not spent or documented per the signed agreement. • If awarded a Community Service Funding Grant by the City of Temecula last year, then compliance receipts must be submitted on or before this application's due date or this application may be rejected as incomplete. We hereby certify the information contained in this Application is true to the best of our knowledge and belief. ORGANIZATION NAME: Hospice of the Valleys MAILING ADDRESS:.IMIMIMPHONE: LCvar@hovsc.org EMAIL: PRESIDENT / AUTHORIZED OFFICER: Lynette Cvar, Chief Administrative Officer/CFO Print Name SIGNATURE: IF DIFFERENT THAN ABOVE, APPICATION PREPARED BY: DATE: 09/20/2018 jilonth vay "ear) Print Name Title SUBMIT ORIGINAL APPLICATION BY FRIDAY, SEPTEMBER 21, 2018, TO: City of Temecula Community Service Funding Attn: City Manager's Office 41000 MAIN STREET TEMECULA, CA 92590 If you have any questions please contact Betsy Lowrey at (951) 693-3959 or Stacey Brown at (951) 506-5100. Application Page 7 of 7 SIGNATURE PAGE The applicant acknowledges and agrees to the following; • Recipient is subject to all Community Service Fund!ng Pmv im requirements including submittal deadlines and payment disbursements. • Every Community Service Funding application is considered individually and on its own merit. • Awards will be given to organizations and activities that directly benefit the residents of Temecula • Funding is not immediately available to the recipient, and requires an award letter signature upon approval. Please allow time for checks to be processed. • The awarding of Community Service Funding does not constitute an automatic annual allocation. • The recognition for Community Service Funding should accrue to the City of Temecula. • Community Service Funding must be spent as specified on the Application and records may be requested by the City of Temecula to ensure the funds were used appropriately. • Community Service Funding grants will not be awarded or announced within the 60 days before an election in which an awarding Council Member is on the ballot. • The recipient shall provide a full accounting with documentation on the use of awarded funds. The recipient shall return to the City any funds not spent or documented per the signed agreement. • If awarded a Community Service Funding Grant by the City of Temecula last year, then compliance receipts must be submitted on or before this application's due date or this application may be rejected as incomplete We hereby certify the information contained in this Application is true to the best of our knowledge and belief. ORGANIZATION NAME: Hospice of the Valleys MAILING ADDRESS: PHONE: (��7 LCvar©hovsc.org EMAIL: PRESIDENT / AUTHORIZED OFFICER: Lynette Cvar, Chief Administrative Officer/CFO SIGNATURE: Print Name IF DIFFERENT THAN ABOVE, APPICATION PREPARED BY: Print Marne to DATE: 09/20/2018 (Month, Day, Year) SUBMIT ORIGINAL APPLICATION BY FRIDAY, SEPTEMBER 21, 2018, TO: City of Temecula Community Service Funding Attn: City Manager's Office 41000 MAIN STREET TEMECULA, CA 92590 If you have any questipns please contact Betsy Lowrey at (951) 693-3959 or Stacey Brown at (951) 506-5100. Application Page 7 of 7 Details about hospice of the valleys sc rdgc 1 VL Q HELPO MENU }tome > Tax Exempt Organization Search > Hospice Of The Valleys Sc < Back to Search Results Hospice Of The Valleys Sc EIN: Publication 78 Data Organizations eligible to receive tax-deductible charitable contributions. Users may rely on this list in determining deductibility of their contributions. On Publication 78 Data List: Yes Deductibility Code: PC Page Last Reviewed or Updated: 6 -Jul -2018 SIRS r'► Share ig Print Our Agency Know Your Rights Resolve an Issue Other Languages Related Sites About IRS Taxpayer Bill of Respond to a Espanol U.S. Treasury Rights Notice Work at IRS Office of Appeals Treasury Inspector General https://apps. irs.gov/app/eos/displayAll.do?dispatchMethod=displayAllInfo&Id=3175143&... 9/20/2018 STATE OF CALIFORNIA FRANCHISE TAX BOARD PO BOX 942857 SACRAMENTO CA 94257-0540 Entity Status Letter Date: 9/20/2018 ESL ID. 8753936200 According to our records, the following entity information is true and accurate as of the date of this letter Entity ID: Entity Name: HOSPICE OF THE VALLEYS SC 1. The entity is in good standing with the Franchise Tax Board. n2. The entity is not in good standing with the Franchise Tax Board. 3. The entity is currently exempt from tax under Revenue and Taxation Code (R&TC) Section 23701 d n4. We do not have current information about the entity. The above information does not necessarily reflect: • The entity's status with any other agency of the State of California, or other government agency. • If the entity's powers, rights, and privileges were suspended or forfeited at any time in the past, or the entity did business in California at a time when it was not qualified or not registered to do business in California: o The status or voidability of any contracts made in California by the entity at a time when the entity was suspended or forfeited (R&TC Sections 23304.1, 23304.5, 23305a, 23305.1). o For entities revived under R&TC Section 23305b, any time limitations on the revivor or limitation of the functions that can be performed by the entity Internet and Telephone Assistance Website: ftb.ca.gov Telephone: 800.852.5711 from within the United States 916.845.6500 from outside the United States TTY/TDD: 800 822.6268 for persons with hearing or speech impairments FTB 4263A WEB (NEW 02-2012) FY 2018/2019 COMMUNITY SERVICE FUNDING GRANT APPLICATION # 13 JACOB'S HOUSE CITY OF TEMECULA FISCAL YEAR 2018-2019 COMMUNITY SERVICE FUNDING PROGRAM APPLICATION (Please Print or Type) DUE ON OR BEFORE: FRIDAY, SEPTEMBER 21, 2018 PROJECT/PROGRAM INFORMATION Amount Requested: $ DDU 4 (Maximum allowable $5,000 per Organization) Project/Program Title: rlt- e c.4-►;1,1r,t L )(JnmcsStart Date: End Date: 6 -30 If Grant is Awarded, Make Check Payable to: 1 'S /- IBJ . Mailing Address: ORGANIZATION AND GEOGRAPHIC AREA SERVED Name of Applicant Organization: Ji -tots �/-1005ci I i' Year Organization Founded -2Oo 1 ?/ r Website:., w wtyAc461,inucseletnecJIci;''SNumber of Paid Staff: r Number of Volunteers: '4,14 Contact Name: M.4 -,n iacreM ez Title/Position: e.rc:+ cAa ' • set t'mec.‘,Ne..o.-q Contact Person's Email Address: % A r fin E Jeke Db s ho Telephone: Geographic Area(s) the Organization Serves: Geographic Area(s) the Project/Program Serves: (NOTE: Community Service Funding Grant must be exclusively used to serve Temecula.) (' ► %-t, ... . Y. Include Physical Address of Project/Program: (if different than Organization's Mailing Address) air► (1 , ) NONPROFIT STATUS Is this organization incorporated as a nonprofit? Yes f No (If No, then ineligible to receive City Funding) Date of Incorporation as a Non lt,1 S T 4. „"g 0001 Federal Identification Number: State Identification Number. Print out and attach to this application Verification from Federal (IRS) and State (FTB) as follows: 1. Attach IRS Deductibility Status using this link: nttp.l/apps i s gov/app/eus, 2. Attach State Entity Status Letter using this link: ,vww_f<b cap 3. Attach first page only of most recent IRS Form 990 or attach print out of detailed information about your charity found on this State Registry's Search Toot rittp 7c1.dol ..a ..tovi`Jer &cation/Web/Search aspx?facility= RECEiiVED Application Page 1 of 7 CITY MANAGER'S OFFICE Has the organization or any members of the Board of Directors of the organization been involved with any personal business transactions valued over $500 including any business transactions, negotiations, investments, or interests in real property with a Temecula City Council Member during the past 12 months? No '✓ Yes If Yes, briefly describe: Is a Te ecula City Council Member a member of the Board of Directors or an Officer of the organization? No v Yes If Yes, provide Council Member's Name and title within the organization: This Application has been authorized by the organization's: Executive Committee _ Board of Directors FINANCIAL STATEMENTS Members -at -Large Upon request, copies of the current budget of the organization / financial statements (balance statement and income statement), and if available CPA's audit, may be needed to demonstrate sound financial management. Do not submit now CITY OF TEMECULA FUNDING — OTHER SOURCES Within the past two years, has your organization received (or is your organization concurrently requesting) any other sources of funding from the City of Temecula? NoYest If Yes, provide information in table below: Name of Funding Program from City (CDBG Grant? CSF Grant? Sponsorship?) Program, Project or Service(s) that was funded by the City Grant or Sponsorship Month and Year Grant or Sponsorship Received Amount C S ,' 6=i at .t P to int (a.k vi_ l ,p r c.. 0 E i o L- A UN Die ---y Tz OO wt a n o o V en (4-e es-, (2_ FP (o 8 $ 'Coo c_Sr' Lira•^t --t-note \e .n)NsNe4 1P..1(2 r- ,.„),.1,..,--r:', ill 1_oevt'O(2y 12oow. Feb 0V..oI4 $1,16c1 $ $ r Briefly describe the goals and objectives, or mission, of your organization. U D b's e %.S C.. \rocr c,t re-cocje u;Aere 'C,A0n+1,,e5 c&nb 1ovefl ci(vs co 1 -Hose ►r. hc5P1fN\12-cd 'r,rc. v /OM.; C MPO % ("C.YNeea Cckr y1C9e COVVOt C.}leeice l t\ S,7 , QA --41 c to W e a r^ e CO PA nk ,. n) J Ce � L3 L Z c f) CJ J C04-14 tQ 5eie ful es to C(Lt3 1.5 , 4r4A't i�L} €: CJ'J ; 'ici a 5 he\ tPQ �cf ph As r Qvti.oonod a..rtd 5pi1 (; ova \ 5,.,(,po2t MISSION STATEMENT OF ORGANIZATION Application Page 2 of 7 GRANT FUNDING PROJECT/PROGRAM DESCRIPTION NOTE: Receipts/invoices will be required to be submitted to the City to demonstrate that your organization used grant funding awarded by the City to support the project/program as described here. See Compliance Report on Application Page 6 for details_ 1 Briefly describe the Project/Program (and its objectives) the City of Temecula grant funding will be used to support. -See a. a ch (-Yev,`� 2. Describe how your organization wilt spend the grant funding awarded. Include equipment or services that would be purchased and why. c .nn rW.'# 3. Explain how the grant funding will specifically benefit Temecula residents. 5 e. e cx 1n rn p ,rs Estimated number of people expected to benefit from this Project/Program. 5 e p 'Nc r h, n Pv 1 - Estimated number of volunteers involved in this Project/Program: 5pp ct- 40.61 vnnp✓'t Application Page 3 of 7 4 In 30 words or Tess, summarize how the grant funds, if awarded, will be used. IMPORTANT: This summary will be used in a spreadsheet intended to summarize all Community Service Funding Grant Applications, including yours, submitted to the City Council. See a ac\Nmprlt PROJECT/PROGRAM BUDGET PROJECT/PROGRAM BUDGET Une Items for Project/Program VARIOUS TYPES OF REVENUES/INCOME FOR THE PROJECT/PROGRAM: Amount of money requested from the City of Temecula Community Support Grant (Not to exceed $5,000) Cash contributed to Project/Program by the Applicant Organization Other grants or funding already awarded for Project/Program, if any In -Kind match amount or volunteer credit hours estimated amount Revenues $ 9Acci+aS 410,46 t,Lt 4449*Swo f VARIOUS TYPES OF EXPENSES FOR THE SPECIFIC PROJECT/PROGRAM: Staffing expense for Project/Program (this amount is ineligible to be funded by City's Grant; however please include) Equipment expense for Project/Program Food expense for Project/Program Marketing expense for Project/Program Supplies expense for Project/Program Facilities/Rent expense for Project/Program Other expense for Project/Program TOTAL BUDGET FOR PROJECT/PROGRAM Application Page 4 of 7 $ a6o0 $ 8,6o i+wo. 5000 e7, goo PREVIOUS FISCAL YEAR (FY) 2017-2018 COMPLIANCE REPORT If your organization was awarded a Community Service Funding Grant in FY 2017-2018 (last year) by the City of Temecula, please submit this information or the application may be rejected as incomplete. If your organization was NOT awarded a Community Service Funding Grant in FY 2017-2018 (last year), then skip this page. If your organization was awarded a Community Service Funding Grant in Fiscal Year 2017-2018 (last year) by the City of Temecula, all grant funds received must have been expended anytime on or between July 1, 2017, and June 30, 2018. In addition, all grant funds must be substantiated with proper back-up documentation. Failure to provide proper documentation may jeopardize any future funding. City of Temecula reserves the right to conduct an audit and/or require additional back-up information to substantiate how funds received from the City were spent. If the funds were not spent in accordance with the approved purpose stated on the Application, the organization will be required to refund the amount of funds. To substantiate that Fiscal Year 2017-2018 funds received from the City were spent appropriately, proper back-up documentation including the table below with accompanying receipts/invoices, must be submitted to the City on or before due date: Friday, September 21, 2018. EXPENDITURE REPORT due on or before Friday, September 21, 2018 1. Demonstrate that the Community Service Funding Grant specifically benefitted Temecula residents by providing the number of beneficiaries living in 92590, 92591 and 92592 that directly benefitted from this program: (approximate number of beneficiaries if you don't have a precise number): 2. Fill out this table (include additional copies if needed to explain all expenditures) 3. Attach Receipts/Invoices (in the same order as listed in this table) 4. Send to: City of Temecula, 41000 Main St., Temecula, CA 92590, Attn: City Manager's Office - CSF Organization: J A-co(o's Name of Project/Program: Amount of Grant Fund Awarded: $ Arc,' Month + Year Grant Received from City: a, E `-, .e ,a 3 < Z Name of Company on Receipt/invoice Date (MoIDayIYr) on Receipt/Invoice Must be dated on or between Jul 1, 2017 - Y Juno 30. 2018 Amount of Expenditure Describe... (1) what the expenditure was (2) purpose of the expenditure MUST supportIf description n AppIicadon + m pilon on Application +Award Letter Explain ... how the expenditure specifically benefitted Temecula residents namesladdresses of Temecula beneficiaries are available, please attach 1 VjeI1S ?(Vii:. Q `a -/ii- 40 $1 14 l f IJrnjo►y,27 VPCztrkbe ctbl'(1,ly to (ztvnaer clL L1 2 b4crr.e` r 9/otS//1 $ AC- M1/4.dmblt^5 0P5CMde –r'rio lS ), 5 uep li e,S 3 t-,-ow..e te q /,i.y /l 1$ 0;5 }p 1 ovY•6i,.c) v(>eSruDe Supplies ®rerJ �, & p_. 1t. A-110(425 lues f' -f-0 i Cmo if -P.0 n eia l s. 4 ItCTioA Il . 410410a r1 c e 1 / 3 ///g $ tdS,% 5 $ ligi EXPENDITURE TOTAL 39 Note: Expenditure Total must be equal to (or $ ) — 0 greater than) the "Amount of Grant Fund v' l Awarded" (above) provided by the City Application Page 5 of 7 SIGNATURE PAGE J The applicant acknowledges and agrees to the following: • Recipient is subject to all Community Service Funding Program requirements including submittal deadlines and payment disbursements. • Every Community Service Funding application is considered individually and on its own merit. • Awards will be given to organizations and activities that directly benefit the residents of Temecula. • Funding is not immediately available to the recipient, and requires an award letter signature upon approval. Please allow time for checks to be processed. • The awarding of Community Service Funding does not constitute an automatic annual allocation. • The recognition for Community Service Funding should accrue to the City of Temecula. • Community Service Funding must be spent as specified on the Application and records may be requested by the City of Temecula to ensure the funds were used appropriately. • Community Service Funding grants will not be awarded or announced within the 60 days before an election in which an awarding Council Member is on the ballot. • The recipient shall provide a full accounting with documentation on the use of awarded funds. The recipient shall return to the City any funds not spent or documented per the signed agreement. • If awarded a Community Service Funding Grant by the City of Temecula last year, then compliance receipts must be submitted on or before this application's due date or this application may be rejected as incomplete. We hereby certify the information contained in this Application is true to the best of our knowledge and belief. ORGANIZATION NA • Arg SC MAILING ADDRESS: HONE:■ EMAIL: ma 27:,J PRESIDENT / AUTHORIZED OFFICER: :-t.) l& zti.5RA - Y2 -&Z- 0 PEa kit o") s YVLwn- - :2. Print Name Title SIGNATURE: DATE: V, 7/2ad (Month, Day, Year) IF DIFFERENT THAN ABOVE, APPICATION PREPARED BY: Print Name Title SUBMIT ORIGINAL APPLICATION BY FRIDAY, SEPTEMBER 21, 2018, TO: City of Temecula Community Service Funding Attn: City Manager's Office 41000 MAIN STREET TEMECULA, CA 92590 If you have any questions please contact Betsy Lowrey at (951) 693-3959 or Stacey Brown at (951) 506-5100. Application Page 7 of 7 City of Temecula Community Service Grant Questions/Answers 1. Q. Briefly describe the Project/Program (and its objectives) the City of Temecula grant funding will be used to support. Answer: Jacob's House is the only Temecula Valley lodging resource that provides services to local, state, national, and international guests. We do this by providing a safe haven for families in crisis. The organization was founded by Shawn and Stephanie Nelson after enduring the tragic loss of their son Jacob from a traffic accident. During their son's medical treatment, Shawn and Stephanie experienced what it was like to not have the comfort of a local resource to minimize the financial stress of transportation, food, and shelter while caring for a loved one in the hospital. After the passing of Jacob, the Nelsons and local community leaders vowed to create a Temecula Valley resource that does a number of things: assist families enduring a medical crisis, engage the whole Temecula Valley citizenry, provide Temecula citizens/businesses with the opportunity to rally around the families and partner with the Valley's 5 hospitals (Temecula Valley Hospital, Rancho Springs Medical Center, Inland Valley Medical Center, Rady's Hospital and Loma Linda Murrieta Medical Center) so we can further the mission of providing overall care. In October of 2013, Jacob's House Temecula became the first "Hospital Hospitality Resource" to open its doors in Southwest Riverside County, creating a legacy that Temecula Valley can be proud of and last for generations to come. Jacob's House is a home of refuge where families and loved ones can find safe temporary housing, shelter, hope, comfort, peace, and inspiration while caring for a loved one in the hospital. Jacob's House differs from other forms of hospital hospitality resources in that there are no age or income qualifications to access services. Any person or family enduring a medical crisis is eligible for services if: 1) A loved one is receiving critical medical treatment at one of the Southwest Riverside County Hospitals, and 2) the individual or family resides more than 25 miles away from the hospital. Jacob's House minimizes the financial burden on families by providing an accessible residential property composed of: 4 bedrooms, each with its own private bathroom; a fully stocked kitchen with ready to eat meals, snacks, fresh vegetables etc.; "Sarah's Closet" to provide men, women, and children with new clothing as needed during their stay; indoor laundry services; a playground and playhouse for children; an onsite Prayer Chapel; and free transportation services provided through our partnership with TAP by providing free bus tickets or by working with 2-1-1. Jacob's House has proudly served families from 35 states and 9 countries, and provided a place of refuge for 585 individual family support while caring for a total of 144 hospitalized patients in critical care at one of Temecula Valley's Hospitals. In March 2016 Jacob's House Temecula was recognized and named Charitable Organization of the Year by the Temecula Valley Chamber of Commerce for our values, leadership and outstanding contributions to the community. 2. Describe how your organization will spend the grant funding awarded. Include equipment or services that would be purchased and why. Answer: The use of this funding will continue and expand the overall operational and administrative functions, costs and opportunities for both Jacob's House and the citizenry, businesses and faith based organizations of the Temecula Valley. The funds will help Jacob's House reach its target population through collaborative partnerships with Temecula Hospitals. By funding Jacob's House we are able to identify individuals that do not have a place to stay or do not have the financial means to utilize hotel lodging. City Funds will allow Jacob's House the ability to provide services to any guest regardless of age. All eligible families will receive services provided by the organization, and is committed to serving individuals and families in the Temecula Valley, county, state, nation, and even internationally. Another positive outcome of City funding will allow us to expand opportunities to individuals, service groups, businesses and community leadership of a known commodity, Jacob's House with a great reputation within the City of Temecula that engages and provides a uniquely awarding experience affecting change within the Valley. Other benefits to Jacob's House if we receive the City's grant is the expansion of guest satisfaction; which currently is tracked with surveys administered to clients upon checkout. The rating scale of (0-4) captures the quality of the hospitality provided during client stay by rating: overall experience, room cleanliness, house cleanliness, professionalism of staff and volunteers, services provided, future recommendations. Guests may make suggestions and comments for programmatic improvement, and share client testimonials that are later communicated to donors, volunteers, and the general public through marketing materials, social media, newsletters etc. By receiving these City funds, Jacob's House will be able to alleviate the financial burden that a medical emergency causes. For example: in 2017, according to the Visit Temecula Valley hospitality association, the average Temecula Valley visitor spends between $49- $89 per night for food and beverage (2017 Travel Impacts: Visit Temecula Valley). Extrapolated, a family staying with Jacob's House who stays on average 5 days potentially saves $245 - $445 for the duration of their lodging in meals provided by Jacob's House. Also according to Visit Temecula Valley's 2017 report, the average cost saved by a Jacob's House guest for lodging on average is $144 per night, with a total financial benefit savings of $720 per stay. 3. Explain how the grant funding will specifically benefit Temecula residents. Answer: Throughout this year, Jacob's House has made significant investments in outreach to ensure that all prospective families, partnering hospitals, Temecula Valley residents, groups and businesses are being engaged and served. A couple of examples of outcomes that the Temecula Valley residents are benefiting Jacob's House and in turn the community as a whole are: Jacob's House purposely, ambitiously, and aggressively expanded our base of volunteer opportunities from 45 to 64 individual volunteers, who are categorized as House Attendants, Guest Intake, Event, Outreach, and Property Maintenance. Increasing our ability to provide Temecula Valley residents with rewarding and fulfilling volunteer opportunities, we went from approximately 350 hours of service from January - July 2017 compared to over 850 hours for same 6 month period this year. These local residents, groups, and Temecula Valley businesses contribute to the organization's operations, and ensure guests receive services such as lodging, meals, laundry, support, a respite, and renewal to deal with their loved one's medical crisis. Jacob's House volunteer partners contribute to the organization by fundraising, providing basic needs essentials, comfort products (i.e., blankets and teddy bears), storage containers or sheds, and indoor/outdoor maintenance. Our list of Temecula Valley volunteer partners consist of, Temecula Valley Methodist Church, Temecula Valley National Charity League (NCL), Murrieta Valley National Charity League (NCL), Wells Fargo, Eagle Scouts, Girl Scouts, The Rock Church, Old Town Spice and Tea Merchants, Abbott, Miller -Jones Mortuary, Europa Village Winery, Rogers Group Real Estate, and Starbucks Meadow Parkway. The organization also has wonderful funding partners that make our mission possible. By connecting with the Temecula Chamber we have been able to forge longstanding donor relationships with the following local businesses: Rancho Family Medical Group, Pechanga Resort and Casino, Abbott, CR&R, Alta Pacific Bank, Open Jar, and Temecula Valley Hospital. This partnership offers both Jacob's House and our surrounding community plenty of opportunities that benefit both entities. Jacob's House also affords local high school students the ability to fulfill their community service hours in a meaningful and rewarding way. Estimated number of people expected to benefit from this Project/Program: 75+ Estimated number of volunteers involved in this Project/Program: 61+ 4. In 30 words or less, summarize how the grant funds, if awarded, will be used. IMPORTANT: This summary will be used in a spreadsheet intended to summarize all Community Service Funding Grant Applications, including yours, submitted to the City Council. With the City's grant, Jacob's House will provide a refuge where families and loved ones in need, find hope, comfort, peace, and inspiration, which parallels Temecula's traditions. Q HELP() Home > Tax Exempt Organization Search > Jacobs House Inc. <Back to Search Results Jacobs House Inc. E(N: MENU Publication 78 Data 8 Organizations eligible to receive tax-deductible charitable contributions. Users may rely on this list in determining deductibility of their contributions. On Publication 78 Data List: Yes Deductibility Code: PC Page Last Reviewed or Updated: 6 -Jul -2018 iye IRS Our Agency About IRS Share [-9Print Know Your Rights Resolve an Issue Other Languages Taxpayer Bill of Respond to a Espanol Rights Notice Related Sites U.S. Treasury hospitality house for families in traumatic need. Shawn Nelson zo;..:!1,:iaf,.Chairrnar Stephanie Nelson Linda Melia Executive Director 1-3cc.16'.3 e r. -n;--,13 re,fuge 3t .4.- 7-3 a id 'owed ones et ei36 ri; Lfl ono wO3 COniir31:% aou SDI ar -esource cedk,•etec.i ser/,', -x; farlifies (.-1ists. 10/5 47),' PlSTCat erd ,(nal StiM3Oir www.jacobshousetemecula.org • House Mission Statement Program Philosophy • 8/2712015 House "Jat ob's house is a home of refuge where families and loved ones of tho;e hospitalized in traumatic medical need can find hope, comfort, peac€ and inspiration. We are a community resource dedicated to serve farilies in crisis. We do this by providing a shelter for the physical, emotional and spiritual support" Jacotts Howe. lot TSAmis, CIL ]MO 1 House Jacob's House — Hospital Hospitality House PROG RAM PHILOSOPHY: Every c ay people are in search of hope and healing for a loved one in medical crisis. People travel to and frc m distant places for cancer treatments, medical treatments, and surgery, to visit and supoort their lo red ones who are hanging in the balance between life and death. Our goal is to serve a vast area of Southern California, the nation, and all parts of the world as a whole; from wherever anyone must travel/ ) seek medical treatment for their loved one; to provide comfortable and convenient lodging is an esse ntial for these people. This essential includes a life-long impact on their peace -of -mind, their finance their extended relationships, and their faith. Jacob's House does not discriminate against anyone because of race, color, and creed, religious or politica belief. We are open to all family members of those who are hospitalized and in traumatic medica crisis and are in need of temporary housing during the darkest storms of life. We offer respite, love, hr ,pe, and inspiration by providing a home -away -from -home during the hospitalization period. At Jaco is House, a Hospital Hospitality House, we will provide not only an affordable place to stay by asking ; or a donation only; but a supportive, loving and caring environment. The Jacob's House staff and volunte ers will make it their primary mission and goal to help create a home and family atmosphere for those i i need of support, comfort, rest, peace and/or companionship. We will make it a place where those v •ho enter through the doors, will leave knowing, though we may not have been able to change their de stiny, we will have taken every possible step to impact their Journey. On beh ;If of the Board of Directors of Jacob's House, Inc. Establis led 2007 FY 2018/2019 COMMUNITY SERVICE FUNDING GRANT APPLICATION # 14 KVCR EDUCATIONAL FOUNDATION CITY OF TEMECULA FISCAL YEAR 20 18-2019 COMMUNITY SERVICE FUNDING PROGRAM APPLICATION (Please Print or Type) DUE ON OR BEFORE: FRIDAY, SEPTEMBER 21, 2018 PROJECT/PROGRAM INFORMATION Amount Requested: $ 5,000 Project/Program Title: "Uncovered in the Archives" (Maximum allowable $5,000 per Organization) Premiere: Season l's 13 episodes will Start Date: Nov. 13, 2018 End Date: premiere in the 2018-19 season with the finale in Spring 2019. If Grant is Awarded, Make Check Payable to: KVCR Educational Foundation] Inc. Mailing Address: I ORGANIZATION AND GEOGRAPHIC AREA SERVED KVCR Educational Foundation Name of Applicant Organization: f/b/o "Uncovered in the Archives Year Organization Founded: 1962 Website: wwwkvcr.org Contact Name: Brad Pomerance Number of Paid Staff: 43 Number of Volunteers: 200 Title/Position: Host/Executive Producer Contact Person's Email Address: brad(u.bigmisiproductions.com Telephone: Geographic Area(s) the Organization Serves: The City of Temecula, the Temecula Valley and Greater Inland California Geographic Area(s) the Project/Program Serves: (NOTE: Community Service Funding Grant must be exclusively used to serve Temecula.) The City of Temecula, the Temecula Valley and Greater Inland California Include Physical Address of Project/Program: (if different than Organization's Mailing Address) NONPROFIT STATUS Is this organization incorporated as a nonprofit? Yes x No (If No, then ineligible to receive City Funding) Date of Incorporation as a Nonprofit: Se tember 11, 2000 Federal Identification Number: State Identification Number: Print out and attach to this application Verification from Federal (IRS) and State (FTB) as follows: 1. Attach IRS Deductibility Status using this link: http://apps.irs.gov/app/eos/ 2. Attach State Entity Status Letter using this link: https:liwww.ftb.ca.govioniine/self serve entity status letter/index.asp 3. Attach first page only of most recent IRS Form 990 or attach print out of detailed information about your charity found on this State Registry's Search Tool: htto://rct.doi.ca.govNerification/Web/Search.asox?facility=Y Application Page 1 of 7 Has the organization or any members of the Board of Directors of the organization been involved with any personal business transactions valued over $500 including any business transactions, negotiations, investments, or interests in real property with a Temecula City Council Member during the past 12 months? No X Yes If Yes, briefly describe: Is a Temecula City Council Member a member of the Board of Directors or an Officer of the organization? No X Yes If Yes, provide Council Member's Name and title within the organization: This Application has been authorized by the organization's: Executive Committee Board of Directors Members -at -Large X FINANCIAL STATEMENTS Upon request, copies of the current budget of the organization / financial statements (balance statement and income statement), and if available CPA's audit, may be needed to demonstrate sound financial management. Do not submit now_ CITY OF TEMECULA FUNDING — OTHER SOURCES Within the past two years, has your organization received (or is your organization concurrently requesting) any other sources of funding from the City of Temecula? No X Yes If Yes, provide information in table below: Name of Funding Program from City (CDBG Grant? CSF Grant? Sponsorship?) Program, Project or Service(s) that was funded by the City Grant or Sponsorship Month and Year Grant or Sponsorship Received Amount $ $ $ $ MISSION STATEMENT OF ORGANIZATION Briefly describe the aoals and obiectives. or mission. of your oraanization. KVCR serves as the PBS affiliate for the City of Temecula, the Temecula Valley and Greater Inland California. Its mission is to serve as a beacon for cultural and educational media in Inland California which informs and transforms the entire Southland. As the first PBS affiliate in Southern California, KVCR is going through a renaissance. As part of this resurgence, KVCR is expanding its original programming slate, supporting television series by and for the Temecula Valley and Inland California, whose communities are often underserved by the overlapping larger media markets. The experienced production executives from the television program "Uncovered in the Archives," who are dedicated to providing outstanding television programming for Inland California, proudly join that effort. Director Glenn Grant has lived and worked in the Temecula Valley for 17 years. He has produced significant video content for the City of Temecula and other Temecula Valley entities, including Hot Summer Nights, the Rod Run, Temecula Street Painting, the Temecula Valley Balloon and Wine Festival and Temecula Winterfest. Executive Producers Brad Pomerance and CJ Eastman most recently worked for Charter Communications in the Inland region for a decade. Brad, CJ and Glenn welcome the opportunity to continue to produce outstanding television content by and for the City of Temecula, the Temecula Valley and all of Inland California. GRANT FUNDING PROJECT/PROGRAM DESCRIPTION NOTE: Receipts/invoices will be required to be submitted to the City to demonstrate that your organization used grant funding awarded by the City to support the project/program as described here. See Compliance Report on Application Page 6 for details. 1. Briefly describe the Project/Program (and its objectives) the City of Temecula grant funding will be used to support. 365 days a year, 24 hours a day, KVCR serves as the PBS television station for the City of Temecula, the Temecula Valley and Inland California. KVCR has ordered 13 episodes of the television show "Uncovered in the Archives" - a 30 -minute program which will premiere on November 13, 2018. The program will air on Tuesdays at 8:OOPM and Fridays at 6:30PM. "Uncovered in the Archives" will also be supported on social media platforms to maximize viewing opportunities. On this historically -driven television show, Host Brad Pomerance travels to various institutions throughout Greater Inland California to unravel some of the region's most extraordinary historical events - known and unknown, remembered and forgotten - all told through the hidden treasures that we uncover in the archives. The production team is looking forward to exploring the City of Temecula's rich history, by working with, for example, the Temecula Valley Museum. 2. Describe how your organization will spend the grant funding awarded. Include equipment or services that would be purchased and why. KVCR has ordered thirteen episodes for the first season of "Uncovered in the Archives." With a budget of approximately $10,000 per episode or $130,000 for an entire season, the production team is required to raise the entire budget for the series. To date, we have raised $80,000 (through support from the Coachella Valley Water District, Loma Linda University and Riverside County). We are now raising the final $50,000. A generous grant from the City of Temecula would allow us to acquire equipment necessary to produce this television series. Specifically, the grant would support the purchase of - a Mac Book Pro computer, to handle increasingly complex media management (approximately $3,000), hard drive RAID storage, to store extensive program files (approximately $1,100), a 4K production monitor, to track multiple camera action at one time (approximately $1,000), power supplies and batteries, to provide electricity for cameras, lights and monitors on remote locations (approximately $500) and a high resolution computer monitor (approximately $250). Other hard expense costs include camera and drone rentals (approximately $600 per episode or $7,800 for all 13 episodes), as well as food and lodging (approximately $3,000). 3. Explain how the grant funding will specifically benefit Temecula residents. - Our Director, Glenn Grant, lives in the Temecula Valley. As a result, the Temecula Valley has become one of the production team's home bases. We work in the Temecula Valley. We eat at restaurants in the Temecula Valley. We frequent businesses in the Temecula Valley. And we eagerly anticipate filming "Uncovered in Archives" in the City of Temecula, highlighting historical nuggets just waiting to be revealed. - KVCR is carried not only in Riverside and San Bernardino counties, but in significant portions of Inyo, Kern, Los Angeles, Orange, Santa Barbara and Ventura Counties. While KVCR and "Uncovered in the Archives" target its content especially for viewers in Inland California, its programming is broadcast throughout several Southern California counties. As a result, Temecula, the Temecula Valley and Inland California doubly benefit its residents enjoy self -grown programming highlighting their home region, while viewers living outside the region are presented with even more places to visit in the Temecula Valley and Inland California, increasing potential tourism and other business opportunities to the area. - The mission of "Uncovered in the Archives" is to tell stories based exclusively in Greater Inland California. Given this unflinching goal, viewers living in Temecula will directly benefit through the sustained opportunity to watch consistent television programming that features stories emanating from their own communities - stories actually from and about the Temecula Valley and Inland California. Approximately 700.000 viewers enjoy KVCR Estimated number of people expected to benefit from this Project/Program: tcicviswn arostram,ninx vn a monthly basis. "Uncovered in the Archives" has and will continue to Estimated number of volunteers involved in this Project/Program: welcome the participation of student volunteer interns. Application Page 3 of 7 4. In 30 words or Tess, summarize how the grant funds, if awarded, will be used. IMPORTANT: This summary will be used in a spreadsheet intended to summarize all Community Service Funding Grant Applications, including yours, submitted to the City Council. This grant will be used to acquire equipment to produce the regionally -focused, historically -driven television show "Uncovered in the Archives" - broadcasting on the City of Temecula's PBS station, KVCR. PROJECT/PROGRAM BUDGET PROJECT/PROGRAM BUDGET Une Items for Project/Program Revenues Expenses VARIOUS TYPES OF REVENUES/INCOME FOR THE PROJECT/PROGRAM: Amount of money requested from the City of Temecula Community Support Grant (Not to exceed $5,000) $ 5,000 Cash contributed to Project/Program by the Applicant Organization $ Other grants or funding already awarded for Project/Program, if any $ 80,000 In -Kind match amount or volunteer credit hours estimated amount $ VARIOUS TYPES OF EXPENSES FOR THE SPECIFIC PROJECT/PROGRAM: Staffing expense for Project/Program (this amount is ineligible to be funded by City's Grant; however please include) $ 93,190 Equipment expense for Project/Program $ 18,925 Food expense for Project/Program $ 1,500 Marketing expense for Project/Program $ 7,085 Supplies expense for Project/Program (Included in equipment) $ Facilities/Rent expense for Project/Program $ 7,800 Other expense for Project/Program (Travel, lodging) $ 1,500 TOTAL BUDGET FOR PROJECT/PROGRAM $ 85,0006" $ 130,000 "` We have raised $80,000. We hope to receive a $5,000 grant from the City of Temecula. We continue to seeks funds from other public and private sources to meet the $130,000 budget. Application Page 4 of 7 PREVIOUS FISCAL YEAR (FY) 2017-2018 COMPLIANCE REPORT If your organization was awarded a Community Service Funding Grant in FY 2017-2018 (last year) by the City of Temecula, please submit this information or the application may be rejected as incomplete. If your organization was NOT awarded a Community Service Funding Grant in FY 2017-2018 (last year). then skip this page. If your organization was awarded a Community Service Funding Grant in Fiscal Year 2017-2018 (last year) by the City of Temecula, all grant funds received must have been expended anytime on or between July 1, 2017, and June 30, 2018. In addition, all grant funds must be substantiated with proper back-up documentation. Failure to provide proper documentation may jeopardize any future funding. City of Temecula reserves the right to conduct an audit and/or require additional back-up information to substantiate how funds received from the City were spent. If the funds were not spent in accordance with the approved purpose stated on the Application, the organization will be required to refund the amount of funds. To substantiate that Fiscal Year 2017-2018 funds received from the City were spent appropriately, proper back-up documentation including the table below with accompanying receipts/invoices, must be submitted to the City on or before due date: Friday, September 21, 2018. EXPENDITURE REPORT due on or before Friday, September 21, 2018 1. Demonstrate that the Community Service Funding Grant specifically benefitted Temecula residents by providing the number of beneficiaries living in 92590, 92591 and 92592 that directly benefitted from this program: (approximate number of beneficiaries if you don't have a precise number): 2. Fill out this table (include additional copies if needed to explain all expenditures) 3. Attach Receipts/Invoices (in the same order as listed in this table) 4. Send to: City of Temecula, 41000 Main St., Temecula, CA 92590, Attn: City Manager's Office - CSF Organization: Name of Project/Program: Amount of Grant Fund Awarded: $ •y Name of Company E � on Receipt/Invoice Z 1 2 3 Date ink/Day/Yr) on Receipt/Invoice Must be dated on or between July 1, 2017 - June 30, 2018 Month + Year Grant Received from City: Amount of Expenditure $ Describe... (1) what the expenditure was (2) purpose of the expenditure MUST support Project/Program description on Application + Award Letter Explain ... how the expenditure specifically benefitted Temecula residents If names/addresses of Temecula beneficiaries are available, please attach 4 5 $ EXPENDITURE TOTAL Note: Expenditure Total must be equal to (or $ greater than) the "Amount of Grant Fund Awarded" (above) provided by the City Application Page 5 of 7 FISCAL YEAR (FY) 2018-2019 COMPLIANCE REPORT If your organization is awarded a Community Service Funding Grant in FY 2018-2019 by the City of Temecula, then this information is not due until Monday, September 16, 2019 If your organization is awarded a Community Service Funding Grant in Fiscal Year 2018-2019 by the City of Temecula, all grant funds received must be expended anytime on or between July 1, 2018, and June 30, 2019. In addition, all grant funds must be substantiated with proper back-up documentation. Failure to provide proper documentation may jeopardize any future funding. City of Temecula reserves the right to conduct an audit and/or require additional back-up information to substantiate how funds received from the City were spent. If the funds are not spent in accordance with the approved purpose stated on the Application, the organization will be required to refund the amount of funds. To substantiate that Fiscal Year 2018-2019 funds received from the City were spent appropriately, proper back-up documentation including the table below with accompanying receipts/invoices, must be submitted to the City on or before due date: Monday, September 16, 2019. EXPENDITURE REPORT due on or before Monday, September 16, 2019 1. Demonstrate that the Community Service Funding Grant specifically benefitted Temecula residents by providing the number of beneficiaries living in 92590, 92591 and 92592 that directly benefitted from this program: (approximate number of beneficiaries if you don't have a precise number): 2. Fill out this table (include additional copies if needed to explain all expenditures) 3. Attach Receipts/Invoices (in the same order as listed in this table) 4. Send to: City of Temecula, 41000 Main St., Temecula, CA 92590, Attn: City Manager's Office - CSF Organization: Name of Project/Program: Amount of Grant Fund Awarded: $ 1 2 3 4 5 Name of Company on Receipt/Invoice Month + Year Grant Received from City: Date (Mo/Day/Yr) on Receipt/Invoice Must be dated on or between July 1, 2018 - June 30, 2019 Amount of Expenditure Describe... Explain ... (1) what the expenditure was how the expenditure (2) purpose of the expenditure specifically benefitted Temecula residents MUST support Project/ProgramIf namesladdresses of Temecula description on Application + Award Letter beneficiaries are available, please attach $ EXPENDITURE TOTAL Note: Expenditure Total must be equal to (or greater than) the "Amount of Grant Fund Awarded" (above) provided by the City Application Page 6 of 7 SIGNATURE PAGE The applicant acknowledges and agrees to the following: • Recipient is subject to all Community Service Funding Program requirements including submittal deadlines and payment disbursements. • Every Community Service Funding application is considered individually and on its own merit. • Awards will be given to organizations and activities that directly benefit the residents of Temecula. • Funding is not immediately available to the recipient, and requires an award letter signature upon approval. Please allow time for checks to be processed. • The awarding of Community Service Funding does not constitute an automatic annual allocation. • The recognition for Community Service Funding should accrue to the City of Temecula. • Community Service Funding must be spent as specified on the Application and records may be requested by the City of Temecula to ensure the funds were used appropriately. • Community Service Funding grants will not be awarded or announced within the 60 days before an election in which an awarding Council Member is on the ballot. • The recipient shall provide a full accounting with documentation on the use of awarded funds. The recipient shall return to the City any funds not spent or documented per the signed agreement. • If awarded a Community Service Funding Grant by the City of Temecula last year, then compliance receipts must be submitted on or before this application's due date or this application may be rejected as incomplete. We hereby certify the information contained in this Application is true to the best of our knowledge and belief. ORGANIZATION NAME: KVCR Educational Foundation, f/b/o "Uncovered in the Archives" MAILING ADDRESS: PHONE: EMAIL: brad@bigmistproductions.com PRESIDENT / AUTHORIZED OFFICER: Brad Pomerance, Host/Executive Producer, "Uncovered in the Archives" SIGNATURE: DATE: September 20, 2018 IF DIFFERENT THAN ABOVE, APPICATION PREPARED BY: I'r:nt Nage SUBMIT ORIGINAL APPLICATION BY FRIDAY, SEPTEMBER 21, 2018, TO: City of Temecula Community Service Funding Attn: City Manager's Office 41000 MAIN STREET TEMECULA, CA 92590 If you have any questions please contact Betsy Lowrey at (951) 693-3959 or Stacey Brown at (951) 506-5100. Application Page 7 of 7 Premiering on PBS -Affiliate KVCR-TV in the Fall of 2018 Brad Pomerance Host/Executive Producer brad(cbigmistproductions.com CJ Eastman Exe cer QJ@bigmistproductions.com UNCOVERED IN THE ARCHIVES You Never Know What You Might Find Brad Pomerance, Host/Executive Producer CJ Eastman, Executive Producer Archival research remains the gold standard for historians and history buffs. There is just something about holding an actual, concrete object that makes all the difference. By merely touching the object, absorbing its texture, gauging its size or looking at it through the Tight, we yield unexpected insights and moments of clarity. On Uncovered in the Archives, we travel to archives around Inland California — from colleges to corporations, government offices to historical societies, museums to religious institutions — and unravel some of history's most extraordinary events - known and unknown, remembered and forgotten - all told through the hidden treasures that we uncover in the archives. ACT 1 We began each episode with our host arriving at the Archive, where he offers details about our location and the actual institution. Our host introduces us to the archivist(s) joining us on our journey. And who knows what types of characters we may meet in the stacks of the archives? Will the archivist be accommodating or ornery? Will the historian be helpful or hapless? We won't know until we arrive, but we know that we have to work with this individual no matter what personality quirks they may have. Once we engage in the introductions, the archivist gives us a tour of the repository. On the tour, we get an up close and personal look at the expansiveness of the archives. We gaze upon the rows of shelves holding the multitude of materials, both large and small. We learn how objects in the archives are meticulously maintained, through placement in secure, fire-resistant areas, stored to maximize both preservation and space, in rooms with humidity and temperature control to ensure longevity. As our archivist is pulling out materials for us to review, our host comes to realize ... - Some of these documents are fastened with rusty staples. Will he need Band-Aids, Neosporin or even tetanus shot? The archives are so dusty. Should he have taken a decongestant? - Does he need his reading glasses or even a magnifying glass? After we learn about the archive and see some of the gems within it, our archivist gives us a sneak peak into the extraordinary items that they have uncovered. We get a glancing glimpse and learn the most basic particulars thematically, but we have to wait to learn the true nature of what they have ... Uncovered in the Archives. 1 ACT 2 Our host and archivist return, with the archivist providing a deep dive into the item(s) that they uncovered. They might be artifacts, artwork, audio materials, baptismal records, birth records, books, coroner inquests, court records, criminal pleadings, death records, diaries, films, grand jury reports, immigration and naturalization documents, jail records, letters, manuscripts, maps, marriage licenses, military records, mining records, newspapers, police records, photographs, real estate records, slave records, slides, surveys, wills and so much more. The archivist talks us through the nitty-gritty of exactly how they uncovered this extraordinary object. We join them as they recreate their journey through the stacks of the archives, opening books on the shelves, reading documents within the volumes, peering at rarely -seen photographs, holding objects hidden in drawers. We might uncover long, lost treasures that shed light on a well-known historical event that can now be told througha different lens. We might discover long -lost gems that help us unravel an epic event that has been lost to history and can now be retold. Consider some objects that have been uncovered just in the past few years in Inland California.' Uncovered in the Archives of the Riverside Unified School District — historical documents relating to the district's decision to become the very first in the nation to desegregate. Uncovered in the Archives of San Bernardino County -- historical documents implicating a future Governor of California in murder. Uncovered in the Archives of the San Bernardino County Sheriff's Museum — historic materials surrounding the department's hunt for Paiute Indian "Willie Boy," who was wanted for murder. ACT 3 Our host and archivist open by reminding us that archives have become the repository of the "used to matter." Archival materials were generally created for immediate practical or administrative use - not for the benefit of future researchers. In other words, the archives might be filled with items that someone deemed valuable at one time. Or they might contain just -in- case objects that someone thought might prove valuable in the future. Whether these items were initially deemed of value or deposited as just -in -case items, these "used to matter" objects often prove to be incredibly valuable - monetarily, historically or otherwise. As a result, our host asks our archivist, possibly joined by an appraiser or a historian, to provide critical context to help make sense of the uncovered item. To the extent that the object has a monetary value, our experts reveal that amount and explain how they came to that figure. Every October, the nation celebrates American Archives Month. As part of the commemoration, several organizations sponsor I Found It In the Archives contests. To create increased engagement with our audience, we can produce, in association with a promotional partner, our own contest. 2 Otherwise, our experts unravel the historical significance of the find, recounting never -heard - before nuggets that the item itself has been yearning to reveal. By placing the artifact in historical perspective, our experts button up the episode with insight into the historical relevance of the find and explore how the object illuminates our past, the present and even our future. Uncovered In The Archives You Never Know What You Might Find c 7 Braking 11 -Hz Inland empirw Guii;Ik "UncovRrgd in thg'9rchivgs" Mov¢8 into production on VCR -'TV, for thg Inland empirQ. 13 epiAodQs OrdQrQd for fall 2018 .1 .., 3 Big Mist Productions KVCR Trusted. Valued. Essential. Uncovered in the Ar chives where our team travels to archives around Greater Inland California to unravel some of the region's most extraordinary historical events - known and unknown, remembered and forgotten - all told through the hidden treasures that we uncover in the archives. Host Brad Pomerance is no stranger to Inland California. Having served as Host of Charter Local Edition for nearly a decade, Brad has interviewed countless Council Members, Mayors, Supervisors, State Legislators and Members of the United States Congress representing Los Angeles, Riverside and San Bernardino Counties. Brad also serves as Host of the nationally -televised program, Air Land & Sea, a historically -driven travel series which has taken Brad to Barbados, the Czech Republic, Germany, Israel, Jamaica, Poland, Spain, Switzerland and Taiwan. CJ Eastman has signed on to serve as Executive Producer of Uncovered in the Archives. Having worked in television and live event production, the political arena and fundraising, CJ brings the perfect blend of experience to Uncovered in the Archives. CJ has produced politically -oriented talk shows, entertainment magazines, live telethons and served as Executive Producer for a live event which holds the Guinness World Record as the largest history lesson ever given. Sponsorsh i.p Opportu n ities Single Episode: $20,000 Quarter Season (4 Episodes): $77,500 Half Season (7 Episodes): $135,000 Full Season (13 Episode): $250,000 Extended Season (24 Episodes): $450,000 * Segment and/or partial episodic sponsorships available. ** Each sponsor will benefit from title sponsorship on the number of episodes which they financially support, but will also benefit from mentions as a contributing sponsor on every episode of Uncovered in the Archives over the television season. • • - Every episode includes up to 60 seconds for sponsorships announcements, produced pursuant to FCC underwriting guidelines for public television. All sponsorship announcements are attached to each episode and are seen by the viewing audience every time the episode runs on any platform, including television, on demand and online. ➢ All sponsors are listed on KVCR's Online Sponsorship Page. 3- Uncovered in the Archives is slated to premiere on Tuesdays in primetime. Each episode of Uncovered in the Archives will air on television no less than four times. Given this series is not impacted by current events, episodes of Uncovered in the Archives will likely receive significant repeat broadcasts for months and years to come. Potential added value: o Sponsorships may be tax deductible (Please consult your tax professional). o Cross promotion on KVCR's sister radio station, NPR -affiliate 91.9 KVCR-FM. o Cross promotion at public marketing events by KVCR and/or Uncovered in the Archives. o "Call -to -action" spots that air exclusively during after -show on-line airing. KVCR Viewership Information Video Providers: KVCR is distributed across all major video providers in the region, including AT&T U -Verse, DirecTV, Dish, Frontier FIOS and Spectrum (including all homes previously served by Charter Communications and Time Warner Cable). Average Monthly Viewership: KVCR is viewed in 500,000 — 700,000 households throughout the Southern California region (Nielsen, Monthly Data, February 2015 —July 2017). KVCR viewers hail from: • Inland California (Riverside & San Bernardino Counties): 42.5% • Los Angeles County: 37% • Orange County: t0% • Ventura County: 8.5% KVCR Demographic Viewer Profile • Caucasian: 52% • Hispanic: 28% • African-American: 12% • Asian -American: 8% ABS Viewership Information Marketing & Research Resources Inc., January 2017 PBS Is Trustworthy: For seven consecutive years, the American public has rated PBS the most trustworthy institution among nationally -known organizations. • 80% of Americans agree that money given to PBS stations by the government, corporations and individuals is money well spent. • 68% of PBS viewers feel that companies who fund PBS are demonstrating a commitment to quality and excellence. PBS Demographic Information: v Market research indicates the PBS audience is more educated and affluent than other TV viewers and PBS viewers include more leaders in business and individuals active in their communities. a PBS viewers are 74% more likely to be members of charitable organizations. v PBS viewers are 27% more likely to own a home valued over $500,000. y 59% of PBS viewers arc active investors. PBS Viewers Arc Known ToBe: • TV & Radio Lovers • Technophiles • News Junkies and Avid Readers • Leisure & Travel Buffs • Indic & Documentary Film Hounds • Theater & Live Music Fans • Shoppers with Dispensable Income • International/Multi-Cultural Citizens • Arts & Crafts Hobbyists • History/Nostalgia Enthusiasts • Kids & Families • Drama Series Devotees • Wine & Food Enthusiasts • School Administrators & Educators File Pay Refunds Search Q Help News Language v Charities & Nonprofits Tax Pros Credits & Deductions Forms & Instructions Nome > Tax Exempt Organization Search > Kvcr Educational Foundation Inc. <Back to Search Results Kvcr Educational Foundation Inc. EIN: Publication 78 Data o Organizations eligible to receive tax-deductible charitable contributions. Users may rely on this list in determining deductibility of their contributions. On Publication TS Data List: Yes Deductibility Code: PC Page Last Reviewed or Updated: 6-JuI-2018 IRS Our Agency About IRS Work at IRS Help Contact Your Local Office Tax Stats, Facts & Figures Know Your Rights Taxpayer Bill of Rights Taxpayer Advocate Service Accessibility Civil Rights Freedom of Information Act No Fear Act Privacy Policy Resolve an Issue Respond to a Notice Office of Appeals Identity Theft Protection Report Phishing Tax Fraud & Abuse Other Languages Espanol PyCCKti Tiling Viet [r Share Print I 101 0 Related Sites U.S. Treasury Treasury Inspector General for Tax Administration USA.gov STATE OF CALIFORNIA FRANCHISE TAX BOARD PO BOX 942857 SACRAMENTO CA 94257-0540 Entity Status Letter Date: 9/6/2018 ESL ID:6809591061 According to our records, the following entity information is true and accurate as of the date of this letter Entity ID: Entity Name ❑✓ KVCR EDUCATIONAL FOUNDATION, INC. 1. The entity is in good standing with the Franchise Tax Board 2. The entity is not in good standing with the Franchise Tax Board 3. The entity is currently exempt from tax under Revenue and Taxation Code (R&TC) Section 23701d 4. We do not have current information about the entity The above information does not necessarily reflect: • The entity's status with any other agency of the State of California, or other government agency. If the entity's powers, rights, and privileges were suspended or forfeited at any time in the past, or the entity did business in California at a time when it was not qualified or not registered to do business in California: o The status or voidability of any contracts made in California by the entity at a time when the entity was suspended or forfeited (R&TC Sections 23304.1, 23304.5, 23305a, 23305.1). o For entities revived under R&TC Section 23305b, any time limitations on the revivor or limitation of the functions that can be performed by the entity. Internet and Telephone Assistance Website: ftb.ca.gov Telephone: 800.852.5711 from within the United States 916.845.6500 from outside the United States TTY/TDD: 800.822.6268 for persons with hearing or speech impairments FTB 4263A WEB (NEW 02-2012) Date: SEE 1 1 ZON KVCR EDUCATIONAL FOJ2+DATION INC Dear Applicant: Em lover Id ntificat:ne Number: DLN: 1.1 1R!!!!! TERRY IZtIMI :D# 95048 Contact Telephone Number: (877) 829-5500 Accounting Period Ending: June 30 Foundation Status Classification: 170(b)(1)(A) (vi) Advance Ruling Period Begins: July 15, 1999 Advance Ruling Period Ends: June 30, 2004 Addendum Applies: No _. Based on information you supplied, and assuming your operations will be as stated in your application for recognition of exemption, we have determined you are exempt from federal income tax under section 501(a) of the Internal Revenue Code as an organization described in section 50.(c) (3). Because you are a newly created organization, we are not tow making a final determination of your foundation status under section 509(a) of the Code. However, we have determined that you can reasonably expect to be a publicly supported organization described in sections 509(a)(1) and 170(b)(1)(A)(vi). Accordingly, during a: advance ruling period you will be treated as a publicly supported organization, and not as a private foundation. This advance ruling period begins and ends on the dates shown above. Within 90 days after the end of your advance ruling period, you must send us the information needed to determine whether you have met the require- ments of the applicable support test during the advance ruling period. If you establish that you have been a publicly supported crcanization, we will classi- fy you as a sect'' -on. 509(a) (1: or 509(a;(2) organization as long as you continue to meet the requirements of the applicable support test. If you do not meet the public support requirements during :he advance ruling period, we will classify you as a private foundation `-es future periods. Also, if we classify you as a private foundation, we will treat you as a private foundation from you: beginning date for purposes of section 507(d) and 4940. Grantors and contributors may rely on our determination that you are not a private foundation until 90 days after the end of your advance ruling period. If you send us tre required information within the 30 days, grantors and contributors may continue to rely on the advance determination until we make Letter 1045 (HO/Ca) FY 2018/2019 COMMUNITY SERVICE FUNDING GRANT APPLICATION # 15 MICHELLE'S PLACE CITY OF TEMECITLA FISCAL YEAR 2018-2019 COMMUNITY SERVICE FUNDING PROGRAM APPLICA (Please Print or Type) DUE ON OR BEFORE: FRIDAY, SEPTEMBER 21, 2018 PROJECT/PROGRAM INFORMATION Amount Requested: $5,000 (Maximum allowable $5,000 per Organization) Project/Program Title: Breast Health Assistance Program Start Date: January 1, 2019 End Date: June 30, 2020 If Grant is Awarded, Make Check Payable to: Michelle's Place, Breast Cancer Resource Center Mailing Address: ORGANIZATION AND GEOGRAPHIC AREA SERVED Name of Applicant Organization: Michelle's Place Website: www.rnichellesplace.org Year Organization Founded:2001 Number of Paid Staff:9 Number of Volunteers: 65 Contact Name: Kim Gerrish Title/Position: Exec. Director Contact Person's Email Address: kim@michellesplace.org Telephone: Geographic Area(s) the Organization Serves: Riverside County Geographic Area(s) the Project/Program Serves: (NOTE: Community Service Funding Grant must be exclusively used to serve Temecula.) Include Physical Address of Project/Program: (if different than Organization's Mailing Address) NONPROFIT STATUS Is this organization incorporated as a nonprofit? Yes P1 No El (If No, then ineligible to receive City Funding) Date of Incorporation as a Non rofit: November 4, 2001 Federal Identification Number: State Identification Number: Print out and attach to this application Verification from Federal (IRS) and State (FTB) as follows: 1. Attach IRS Deductibility Status using this link: htto://apps.irs.gov/app/eos/ 2. Attach State Entity Status Letter using this link: https://www.ftb.ca.aov/online/self serve entity status letter/index.asp 3. Attach first page only of most recent IRS Form 990 or attach print out of detailed information about your charity found on this State Registry's Search Tool: http://rct.doi.ca.govNerificationNVeb/Search.aspx?facility=Y Application Page 1 of 7 Has the organization or any members of the Board of Directors of the organization been involved with any personal business transactions valued over $500 including any business transactions, negotiations, investments, or interests in real property with a Temecula City Council Member during the past 12 months? No • YesIf Yes, briefly describe: Is a Temecula City Council Member a member of the Board of Directors or an Officer of the organization? No X Yes If Yes, provide Council Member's Name and title within the organization: This Application has been authorized by the organization's. Executive Committee Board of Directors Members -at -Large FINANCIAL STATEMENTS Upon request, copies of the current budget of the organization / financial statements (balance statement and income statement), and if available CPA's audit, may be needed to demonstrate sound financial management. Do not submit now. CITY OF TEMECULA FUNDING — OTHER SOURCES Within the past two years, has your organization received (or is your organization concurrently requesting) any other sources of funding from the City of Temecula? No0 Yes ✓ If Yes, provide information in table below: Name of Funding Program from City (CDBG Grant? CSF Grant? Sponsorship?) Program, Project or Service(s) that was funded by the City Grant or Sponsorship Month and Year Grant or Sponsorship Received Amount CDBGBreast Health Ass stance Program - navigation and diagnostic breast health Assistance 2016 $ 8, 283 Council Member Matt Rahn Community Service Funding for the Breast Health Assistance program 2016 $21 000 CDBG Breast Health Assistance Program - Navigation 2017 $10,688 Mayor Mary Ann Edwards Reality Rally 2018 $1,000 MISSION STATEMENT OF ORGANIZATION Briefly describe the goals and objectives, or mission, of your organization. See attached Application Page 2 of 7 GRANT FUNDING PROJECT/PROGRAM DESCRIPTION NOTE: Receipts/invoices will be required to be submitted to the City to demonstrate that your organization used grant funding awarded by the City to support the project/program as described here. See Compliance Report on Application Page 6 for details. 1 Briefly describe the Project/Program (and its objectives) the City of Temecula grant funding will be used to support. See Attached 2. Describe how your organization will spend the grant funding awarded. Include equipment or services that would be purchased and why. See Attached 3. Explain how the grant funding will specifically benefit Temecula residents. See Attached Estimated number of people expected to benefit from this Project/Program 225 Estimated number of volunteers involved in this Project/Program: 52 Application Page 3 of 7 Mission Statement #1 Michelle's Place is a non-profit organization located in Temecula, facilitating breast health services, support and resources to women. As the only non-profit organization serving women's breast health needs in southern Riverside County, Michelle's Place serves any women needing access to quality screenings, treatment and support. Our mission statement is to empower individuals and families impacted by breast cancer through education and support services. As a non-profit agency, our organization relies on donations, grants and sponsorships to provide our services at no cost to our clients. Local support from individual private donors, businesses and local governments has historically funded our programs, indicating a high level of public support. Michelle's Place is a fiscally sound organization with conservative business practices designed for long-term program and agency sustainability. Our agency is governed by a Board of Directors made up of business professionals, community leaders, educators, health professionals and cancer survivors. Their breadth of experience, community involvement and guidance has developed Michelle's Place into an agency that is prepared and able to serve women needing breast health services. In addition, our Executive Director, Kim Gerrish, manages the day to day operations as well as secures partnerships, funding and relationships to steer the agency towards the future. Our program staff, which includes Cheryl Lebowitz , Jess Young , Dina Duran, Mercedes Ruiz, Laura Lawrence, Ashlee Collins and Michele Brewer, Melissa Rada and Nancy Harvey implement our programs, directly serve our clients and handle the administrative tasks necessary to make our agency run smoothly. Michelle's Place has grown significantly over the past few years, demonstrating both our community's need for quality breast health services and our community's positive response to our agency. In 2017, Michelle's Place provided over 11,000 services to nearly 1,800 women. Each year more women and families are seeking services through Michelle's Place because they have no other option. We expect the number of women needing services to continue to rise, and our agency is committed to ensuring that every woman who has been touched by breast cancer, or who suspects breast cancer has access to breast health services, regardless of her ability to pay. Michelle's Place does not discriminate based on race, color, creed, nationality, sex, marital status, disability, religion or political affiliate, nor does our agency require attendance or participation in any political, religious or social activity. Project Description and Use of Funds #2 & #3 The Breast Health Assistance program provides breast health resources, navigation, financial assistance and support to women and their families in Riverside County. One component of the Breast Health Assistance program is free and low-cost mammograms, ultrasounds and other diagnostic breast health services. Women who are uninsured, have a symptom of breast cancer and have a prescription for a diagnostic breast health service can apply for the program. Once accepted into the program a woman will receive guidance from one of our patient navigators who will ensure timely appointments and support through the process. Although a new law was passed last year that provides all women who have a symptom of cancer with the diagnostic breast health services they need, not all women will qualify. Michelle's Place Breast Health Assistance program will provide these women with the diagnostic services they need. The diagnostic program targets women who would otherwise fall through the cracks. These women include uninsured and underinsured women who have a symptom of breast cancer. Funding from the City of Temecula will directly benefit the residents of Temecula. A minimum of 20 women will receive diagnostic breast health services and / or financial support. Additionally, at least 200 women will receive resources through our Patient Navigator. There is currently no resource available to uninsured, low-income women of Temecula Valley to receive breast health services. Michelle's Place is meeting that need. Through the generous support of our local practitioners and imaging facilities, Michelle's Place receives a significant discount on all services provided to the participants of the Breast Health Assistance Program. All fees are reimbursable at Medi -Cal rates or a 40% discount, whichever is lower. If any of the participants who receive a screening or diagnostic service are in need of additional tests, surgeon consult or biopsy, they will receive these services free through the Breast Health Assistance program. Additionally, women who are currently in breast cancer treatment and are struggling financially can apply for the Pink Ribbon Assistance Program. Through this program, women receive financial aid through grocery gift cards. Additionally, they receive navigation to other resources such as food banks, shelters, co -pay assistance, free legal services, transportation, etc. 4. The Temecula Community Service Grant will provide uninsured and underinsured women with potentially life-saving breast health services, navigation and temporary financial assistance to women going through breast cancer treatment. 4. In 30 words or Tess, summarize how the grant funds, if awarded, will be used. IMPORTANT: This summary will be used in a spreadsheet intended to summarize all Community Service Funding Grant Applications, including yours, submitted to the City Council. see attached PROJECT/PROGRAM BUDGET PROJECT/PROGRAM BUDGET Line Items for Project/Program Revenues Expenses VARIOUS TYPES OF REVENUES/INCOME FOR THE PROJECT/PROGRAM: Amount of money requested from the City of Temecula Community Support Grant $ 5 000 (Not to exceed $5,000) ' Cash contributed to Project/Program by the Applicant Organization $ 30 000 , Other grants or funding already awarded for Project/Program, if any $ 30500 In -Kind match amount or volunteer credit hours estimated amount $ 1 0 000 , VARIOUS TYPES OF EXPENSES FOR THE SPECIFIC PROJECT/PROGRAM: Staffing expense for Project/Program (this amount is ineligible to be funded by $ 56,000 City's Grant; however please include) Equipment expense for Project/Program $ Food expense for Project/Program $ Marketing expense for Project/Program $ 750 Supplies expense for Project/Program $ 4250 Facilities/Rent expense for Project/Program $ Other expense for Project/Program $ 72,700 TOTAL BUDGET FOR PROJECT/PROGRAM $ 75,500 $133,700 Application Page 4 of 7 PREVIOUS FISCAL YEAR (FY) 2017-2018 COMPLIANCE REPORT If your organization was awarded a Community Service Funding Grant in FY 2017-2018 (last year) by the City of Temecula, please submit this information or the application may be rejected as incomplete. If your organization was NOT awarded a Community Service Funding Grant in FY 2017-2018 (last year), L then skip this page. If your organization was awarded a Community Service Funding Grant in Fiscal Year 2017-2018 (last year) by the City of Temecula, all grant funds received must have been expended anytime on or between July 1, 2017, and June 30, 2018. In addition, all grant funds must be substantiated with proper back-up documentation. Failure to provide proper documentation may jeopardize any future funding. City of Temecula reserves the right to conduct an audit and/or require additional back-up information to substantiate how funds received from the City were spent. If the funds were not spent in accordance with the approved purpose stated on the Application, the organization will be required to refund the amount of funds. To substantiate that Fiscal Year 2017-2018 funds received from the City were spent appropriately, proper back-up documentation including the table below with accompanying receipts/invoices, must be submitted to the City on or before due date: Friday, September 21, 2018. EXPENDITURE REPORT due on or before Friday, September 21, 2018 1. Demonstrate that the Community Service Funding Grant specifically benefitted Temecula residents by providing the number of beneficiaries living in 92590, 92591 and 92592 that directly benefitted from this program: (approximate number of beneficiaries if you don't have a precise number): 1`I'3 2. Fill out this table (include additional copies if needed to explain all expenditures) 3. Attach Receipts/Invoices (in the same order as listed in this table) 4. Send to: City of Temecula, 41000 Main St., Temecula, CA 92590, Attn: City Manager's Office - CSF Organization: Michelle's Place Amount of Grant Fund Awarded: $ 5,000 Name of Project/Program: Breast Health Assistance F Month + Year Grant Received from City: 12/2017 Date (Mo/Day/Yr) Name of Company on Amount on Receipt/Invoice of Receipt/Invoice Must be dated on or Expenditure between July 1, 2017 - June 30. 2018 Breastlink 3/1/18 Describe... (1) what the expenditure was (2) purpose of the expenditure MUST support Project/Program description on Application + Award Letter Explain ... how the expenditure specifically benefitted Temecula residents K names/addresses of Temecula beneficiaries are available, please attach $ 92 Surgical consult Due to HIPPA names not attached, but invoice is attached. Breastlink 2 6/6/18 $ 92 surgical consult Due to HIPPA names not attached but invoice is attached. Beverly Radiology 3 Med Grp Breastlink Breastlink 7/17/18 $ 750.00 5/11/18 6/21/2018 $ 92. Breast MRI Surgical consult Due to HIPPA names not attached but invoice is attached. Due to HIPPA names not attached but invoice is attached. $ 92 Surgical consult Due to HIPPA names not attached but invoice is attached. EXPENDITURE TOTAL 1,118.00 Note: Expenditure Total must be equal to $ (or greater than) the "Amount of Grant Fund Awarded" (above) provided by the City Application Page 5 of 7 FISCAL YEAR (FY) 2018-2019 COMPLIANCE REPORT If your organization is awarded a Community Service Funding Grant in FY 2018-2019 by the City of Temecula, then this information is not due until Monday, September 16, 2019 If your organization is awarded a Community Service Funding Grant in Fiscal Year 2018-2019 by the City of Temecula, all grant funds received must be expended anytime on or between July 1, 2018, and June 30, 2019. In addition, all grant funds must be substantiated with proper back-up documentation. Failure to provide proper documentation may jeopardize any future funding. City of Temecula reserves the right to conduct an audit and/or require additional back-up information to substantiate how funds received from the City were spent. If the funds are not spent in accordance with the approved purpose stated on the Application, the organization will be required to refund the amount of funds. To substantiate that Fiscal Year 2018-2019 funds received from the City were spent appropriately, proper back-up documentation including the table below with accompanying receipts/invoices, must be submitted to the City on or before due date: Monday, September 16, 2019. EXPENDITURE REPORT due on or before Monday, September 16, 2019 1. Demonstrate that the Community Service Funding Grant specifically benefitted Temecula residents by providing the number of beneficiaries living in 92590, 92591 and 92592 that directly benefitted from this program: (approximate number of beneficiaries if you don't have a precise number): 199 2. Fill out this table (include additional copies if needed to explain all expenditures) 3. Attach Receipts/Invoices (in the same order as listed in this table) 4. Send to: City of Temecula, 41000 Main St., Temecula. CA 92590, Attn: City Manager's Office - CSF Organization: Michelle's Place Amount of Grant Fund Awarded: $ 5,000 Name of Company on Receipt/Invoice Date (Mo/Day/Yr) on Receipt/Invoice Must be dated on or between July 1, 2018 - June 30. 2019 Stater Bros. 1 2 Beverly Radiology Brightlife 3 4 5 5/30/18 Amount of Expenditure Name of Project/Program Breast Health Assistance Program Month + Year Grant Received from City: 122017 Describe... (1) what the expenditure was (2) purpose of the expenditure MUST support Project/Program description on Application + Award Letter $ .also 5/17/18 5/18 grocery gift cards - total invoice was $4,700. But temecula residents used $2,300.00 Explain ... how the expenditure specifically benefitted Temecula residents If names/addresses of Temecula beneficiaries are available, please attach To provide food for women in active breast cancer treatment. $ Breast MRI 50 Lymphedema sleeves, $ 1 tt&,(,b'gloves and gauntlets EXPENDITURE TOTAL 3,812.66 Note: Expenditure Total must be equal to $ (or greater than) the 'Amount of Grant Fund Awarded' (above) provided by the City Due to HIPPA, name is not listed but invoice is attached. Due to HIPPA, name is not listed but invoice is attached Application Page 6 of 7 SIGNATURE PAGE The applicant acknowledges and agrees to the following: • Recipient is subject to all Community Service Funding Program requirements including submittal deadlines and payment disbursements. • Every Community Service Funding application is considered individually and on its own merit. • Awards will be given to organizations and activities that directly benefit the residents of Temecula. • Funding is not immediately available to the recipient, and requires an award letter signature upon approval. Please allow time for checks to be processed. • The awarding of Community Service Funding does not constitute an automatic annual allocation. • The recognition for Community Service Funding should accrue to the City of Temecula. • Community Service Funding must be spent as specified on the Application and records may be requested by the City of Temecula to ensure the funds were used appropriately. • Community Service Funding grants will not be awarded or announced within the 60 days before an election in which an awarding Council Member is on the ballot. • The recipient shall provide a full accounting with documentation on the use of awarded funds. The recipient shall return to the City any funds not spent or documented per the signed agreement. • If awarded a Community Service Funding Grant by the City of Temecula last year, then compliance receipts must be submitted on or before this application's due date or this application may be rejected as incomplete. We hereby certify the information contained in this Application is true to the best of our knowledge and belief. Michelle's Place, Breast Cancer Resource Center ORGANIZATION NAME: kim@m ichellesplace.org MAILING ADDRESS PHONE:Willii EMAIL: PRESIDENT / AUTHORIZED OFFICER: Kim Gerrish Executive Director SIGNATURE Print Name DATE: Title 09/19/18 (Month, Day, Year) IF DIFFERENT THAN ABOVE, APPICATION PREPARED BY: Print Name Title SUBMIT ORIGINAL APPLICATION BY FRIDAY, SEPTEMBER 21, 2018, TO: City of Temecula Community Service Funding Attn: City Manager's Office 41000 MAIN STREET TEMECULA, CA 92590 If you have any questions please contact Betsy Lowrey at (951) 693-3959 or Stacey Brown at (951) 506-5100 Application Page 7 of 7 9/21/2018 Details about michelles place breast cancer resource center Q HELPO MENU Home > Tax Exempt Organization Search > Michelles Place Breast Cancer Resource Center < Back to Search Results Michelles Place Breast Cancer Resource Center EIN: Publication 78 Data o Organizations eligible to receive tax-deductible charitable contributions. Users may rely on this list in determining deductibility of their contributions. On Publication 78 Data List: Yes Deductibility Code: PC Page Last Reviewed or Updated: 6 -Jul -2018 to IRS Our Agency About IRS Work at IRS Help e. Share $ Print L1©Oo 1,,, Know Your Rights Resolve an Issue Other Languages Related Sites Taxpayer Bill of Respond to a Notice Espanol U.S. Treasury Rights Office of Appeals E Treasury Inspector Taxpayer Advocate General for Tax Service Identity Theft 6F a{ Administration Protection Accessibility PyccK4In USA.gov A■ n S [�.�'arrutcnt or the'frr.tonk 6A •• Internal Revenue Set %Ice P.O. Box 2508 Cincinnati OH 45201 007351 WOMENS BREAST CANCER RESOURCE C .T R In reply refer to: 0752256968 June 10, 2014 LTR 4168C 0 000000 00 00033970 BODC: TE Employer Identification Number: Person to Contact: CUSTOMER SERVICE Toll Free Telephone Number: 1-877-829-5500 Dear Taxpayer: This is in response to your May 30, 2014, request for information regarding your tax-exempt status. Our records indicate that you were recognized as exempt under section 501(c)(3) of the Internal Revenue Code in a determination letter issued in December 2001. Our records also indicate that you are not a private foundation within the meaning of section 509(a) of the Code because you are described in section 509(a)(2). 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. Please refer to our website www.irs.gov/eo for information regarding filing requirements. Specifically, section 6033(j) of the Code provides that failure to file an annual information return for three consecutive years results in revocation of tax-exempt status as of the filing due date of the third return for organizations required to file. We will publish a list of organizations whose tax-exempt status was revoked under section 6033(j) of the Code on our website beginning in early 2011. STATE OF CALIFORNIA FRANCHISE TAX BOARD PO BOX 942857 SACRAMENTO CA 94257-0540 Entity Status Letter Date: 9/21/2018 ESL ID: 3119602666 According to our records, the following entity information is true and accurate as of the date of this letter Entity ID: Entity Name: MICHELLE'S PLACE BREAST CANCER RESOURCE CENTER 1. The entity is in good standing with the Franchise Tax Board. 2. The entity is not in good standing with the Franchise Tax Board. 3. The entity is currently exempt from tax under Revenue and Taxation Code (R&TC) Section 23701 d 4. We do not have current information about the entity. The above information does not necessarily reflect: • The entity's status with any other agency of the State of California, or other government agency. • If the entity's powers, rights, and privileges were suspended or forfeited at any time in the past, or the entity did business in California at a time when it was not qualified or not registered to do business in California: o The status or voidability of any contracts made in California by the entity at a time when the entity was suspended or forfeited (R&TC Sections 23304.1, 23304.5, 23305a, 23305.1). o For entities revived under R&TC Section 23305b, any time limitations on the revivor or limitation of the functions that can be performed by the entity. Internet and Telephone Assistance Website: ftb.ca.gov Telephone: 800.852.5711 from within the United States 916.845.6500 from outside the United States TTY/TDD: 800.822.6268 for persons with hearing or speech impairments FTB 4263A WEB (NEW 02-2012) FY 2018/2019 COMMUNITY SERVICE FUNDING GRANT APPLICATION # 16 NATIONAL CHARITY LEAGUE (NCL) TEMECULA CHAPTER CITY OF TEMECULA FISCAL YEAR 2018-2019 COMMUNITY SERVICE FUNDING PROGRAM APPLICATION (Please Print or Type) DUE ON OR BEFORE: FRIDAY, SEPTEMBER 21, 2018 PROJECT/PROGRAM INFORMATION Amount Requested: $ 5,000 (Maximum allowable $5,000 per Organization) Project/Program Title •'•y vc" {"t Your Rack Start Date: June 1. 2018 End Date: May 31. 2019 If Grant is Awarded, Make Check Payable to: National Chanty League, Inc., Temecula Valley Chapter Mailing Address: ORGANIZATION AND GEOGRAPHIC AREA SERVED National Charity League, Inc., Local 2013 Name of Applicant Organization: Temecula Valley Chapter Year Organization Founded: National 1925 Website..vww.temeculavaliey.nationalcharityleague.org Number of Paid Staff: Number of Volunteers: Local 231 Contact Name: Stacy Clemens or Suzanne Cope Title/Position: Grade Level Advisor, Class of 2019 acy Telephone: Suzanne Contact Person's Email Address: Geographic Area(s) the Organization Serves: Temecula Valley Geographic Area(s) the Project/Program Serves: (NOTE: Community Service Funding Grant must be exclusively used to serve Temecula.) • ,ovula Unified School DistrI t Include Physical Address of Project/Program: (if different than Organization's Mailing Address) N A NONPROFIT STATUS Is this organization incorporated as a nonprofit? Yes X No (If No, then ineligible to receive City Funding) Date of Incorporation as a Nonprofit: Federal Identification Number State Identification Number: February 2, 2015 Print out and attach to this application Verification from Federal (IRS) and State (FTB) as follows: 1. Attach IRS Deductibility Status using this link: ittto l/apos.irs.uovlauo/eosi 2. Attach State Entity Status Letter using this link: ntuis'iwww ft() ca govionlinelsel° ti_stht, :. lex dye 3. Attach first page only of most recent IRS Form 990 or attach print out of detailed information about your charity found on this State Registry's Search Tool: htto /lrct doi.cactovNenfication/Web/Search.asox?facility=Y RECEIVED Application Page 1 of 7 CITY MANAGER'S OFFICE Has the organization or any members of the Board of Directors of the organization been involved with any personal business transactions valued over $500 including any business transactions, negotiations, investments, or interests in real property with a Temecula City Council Member during the past 12 months? No Yes If Yes, briefly describe: Is a Temecula City Council Member a member of the Board of Directors or an Officer of the organization? No Yes If Yes, provide Council Member's Name and title within the organization: This Application has been authorized by the organization's: Executive Committee Board of Directors x Members -at -Large FINANCIAL STATEMENTS Upon request, copies of the current budget of the organization / financial statements (balance statement and income statement), and if available CPA's audit, may be needed to demonstrate sound financial management. Do not submit now. CITY OF TEMECULA FUNDING — OTHER SOURCES Within the past two years, has your organization received (or is your organization concurrently requesting) any other sources of funding from the City of Temecula? No Yes_ If Yes, provide information in table below: Name of Funding Program from City (CDBG Grant? CSF Grant? Sponsorship?) Program, Project or Service(s) that was funded by the City Grant or Sponsorship Month and Year Grant or Sponsorship Received Amount $ $ $ $ MISSION STATEMENT OF ORGANIZATION Briefly describe the goals and objectives, or mission, of your organization. To foster a mother -daughter relationship in a philanthropic organization committed to community service, leadership development and cultural experiences NCL Inc, Temecula Valley Chapter is a local chapter of a very organized national organization, both with boards and strict monitoring of our structure and budget management. We have served over 40,000 volunteer hours since 2013 - directly with 14 LOCAL non-profit organizations that directly serve the residents of Temecula. Application Page 2 of 7 GRANT FUNDING PROJECT/PROGRAM DESCRIPTION NOTE Receipts/invoices will be required to be submitted to the City to demonstrate that your organization used grant funding awarded by the City to support the project/program as described here. See Compliance Report on Application Page 6 for details. 1. Briefly describe the Project/Program (and its objectives) the City of Temecula grant funding will be used to support. This protect will provide backpacks filled with school supplies to 3 local non -profits who will in turn distribute tnern to a minimum of 225 Temecula students in need to enhance their learning experience. The organizations we are partnering with to distribute the backpacks include Hope's Community Closet, Community Mission of Hope and Michelle's Place. Each of these non-profit organizations services families with a need What many don't realize is their services extend past what one may consider the obvious and they help the entire family - including the school age children. Our efforts and donations will help a minimum of 225 students and we are hoping to surpass our goals to further bless more children and families 2. Describe how your organization will spend the grant funding awarded. Include equipment or services that would be purchased and why. Our total budget is $10,814.59. If awarded the maximum of the grant funding, 100% of it will be spent on the needed backpacks and supplies providing approximately half of the items listed below. Working with the 3 organizations mentioned above. we have compiled a list of supplies to include: backpacks (225), spiral notebooks wide& college (258) box crayons (123) glue sticks (123) pencil box (73) washable markers (123) plastic pocket folders w/brads (198) box tissues (80) box 12 pencils (225), binders (228), colored pencils (75) glue bottle (48) rulers (45) dividers (105) highlighters (210) hand sanitizer (75) packs pens red & blue (1,262), composition books primary & college (255) lined paper wide & college (258) pencil pouch (203) pink erasers (75) scissors (123) 1" binders (228) 3. Explain how the grant funding will specifically benefit Temecula residents. We will be donating our filled backpacks to 3 Individual local philanthropic organizations that work directly with Temecula residents. Each has their own unique qualifications lo determine who will benefit from their program. The filled backpacks, supplied by the senior class of National Charity League Inc., Temecula Valley Chapter will be earmarked to go specifically to Temecula residents Hope s Community Closet supplies clothing to children who receive freerreduced price lunches from TVUSD. In addition to donating clothing to Hope s Closet over the years, this year we plan to contribute 75 backpacks to better allow them to meet the community's needs. Community Mission of Hope, in addition 10 oeing a tood pantry, provides hygiene products and personal supplies to low-income families source. from community donations 75 fully stocked backpacks would be greatly appreciated by them to help meet their demand, especially for high school students. Michelle's Place has a huge need for backpacks for children who have a parent in their pink ribbon assistance program. Our goal is to provide them with their desired 17r; backpacks. which is more than our original goal of 75. This would be a huge. much appreciated donation for them. Estimated number of people expected to benefit from this Project/Program:_ At least 225 school children and their familie! Estimated number of volunteers involved in this Project/Program: This project was developed by the NCL class of 2019 Ticktockers (19 high school seniors) with the support of their Chapter Application Page 3 of 7 In 30 words or less, summarize how the grant funds, if awarded, will be used. IMPORTANT: This summary will be used in a spreadsheet intended to summarize all Community Service Funding Grant Applications, including yours, submitted to the City Council. 100% of funding will be used to acquire backpacks and supplies to enhance the learning experience of Temecula families in need, providing equal opportunities for all students. PROJECT/PROGRAM BUDGET PROJECT/PROGRAM BUDGET Line Items for Project/Program Revenues Expenses VARIOUS TYPES OF REVENUES/INCOME FOR THE PROJECT/PROGRAM: Amount of money requested from the City of Temecula Community Support Grant (Not to exceed $5,000) Cash contributed to Project/Program by the Applicant Organization Other grants or funding already awarded for Project/Program, if any In -Kind match amount or volunteer credit hours estimated amount VARIOUS TYPES OF EXPENSES FOR THE SPECIFIC PROJECT/PROGRAM: Staffing expense for Project/Program (this amount is ineligible to be funded by City's Grant; however please include) Equipment expense for Project/Program Food expense for Project/Program Marketing expense for Project/Program Supplies expense for Project/Program Facilities/Rent expense for Project/Program Other expense for Project/Program TOTAL BUDGET FOR PROJECT/PROGRAM $ 10,102.50 6,350.05 10,102.50 Application Page 4 of 7 4. In 30 words or Tess, summarize how the grant funds, if awarded, will be used. IMPORTANT: This summary will be used in a spreadsheet intended to summarize all Community Service Funding Grant Applications, including yours, submitted to the City Council. WE'VE GOT YOUR BACK project will provide 225 backpacks filled with school supplies to three local nonprofits (75 to Hope's Community Closet, 75 to Community Mission of Hope, and 75 to Michelle's Place) earmarked to go especially to Temecula residents to ease the back -to -school burdens of Temecula familes in need. PROJECT/PROGRAM BUDGET PROJECT/PROGRAM BUDGET Line Items for Project/Program Revenues Expenses VARIOUS TYPES OF REVENUES/INCOME FOR THE PROJECT/PROGRAM: Amount of money requested from the City of Temecula Community Support Grant (Not to exceed $5,000) $ Cash contributed to Project/Program by the Applicant Organization $ Other grants or funding already awarded for Project/Program, if any $ In -Kind match amount or volunteer credit hours estimated amount $ VARIOUS TYPES OF EXPENSES FOR THE SPECIFIC PROJECT/PROGRAM: $ Staffing expense for Project/Program (this amount is ineligible to be funded by City's Grant; however please include) Equipment expense for Project/Program $ $ Food expense for Project/Program Marketing expense for Project/Program $ Supplies expense for Project/Program $ Facilities/Rent expense for Project/Program $ Other expense for Project/Program $ TOTAL BUDGET FOR PROJECT/PROGRAM $ $ Application Page 4 of 7 SIGNATURE PAGE The applicant acknowledges and agrees to the following: • Recipient is subject to all Community Service Funding Program requirements including submittal deadlines and payment disbursements. • Every Community Service Funding application is considered individually and on its own merit. • Awards will be given to organizations and activities that directly benefit the residents of Temecula. • Funding is not immediately available to the recipient, and requires an award letter signature upon approval. Please allow time for checks to be processed. • The awarding of Community Service Funding does not constitute an automatic annual allocation. • The recognition for Community Service Funding should accrue to the City of Temecula. • Community Service Funding must be spent as specified on the Application and records may be requested by the City of Temecula to ensure the funds were used appropriately. • Community Service Funding grants will not be awarded or announced within the 60 days before an election in which an awarding Council Member is on the ballot. • The recipient shall provide a full accounting with documentation on the use of awarded funds. The recipient shall return to the City any funds not spent or documented per the signed agreement. • If awarded a Community Service Funding Grant by the City of Temecula last year, then compliance receipts must be submitted on or before this application's due date or this application may be rejected as incomplete. We hereby certify the information contained in this Application is true to the best of our knowledge and belief. ORGANIZATION NAME: National Charity League Inc., Temecula Valley Chapter MAILING ADDRESS: _ PRESIDENT / AUTHORIZED OFFICER: PHONE: ( y EMAIL: Jensine Koperek President SIGNATURE: 1ALN 7Y,Lt �f IF DIFFERENT THAN ABOVE, APPICATION PREPARED BY: Suzanne Cope DATE: (Nlo th; U earl Vice President, Leadership SUBMIT ORIGINAL APPLICATION BY FRIDAY, SEPTEMBER 21, 2018, TO: City of Temecula Community Service Funding Attn: City Manager's Office 41000 MAIN STREET TEMECULA, CA 92590 If you have any questions please contact Betsy Lowrey at (951) 693-3959 or Stacey Brown at (951) 506-5100. Application Page 7 of 7 STATE OF CALIFORNIA FRANCHISE TAX BOARD PO BOX 942857 SACRAMENTO CA 94257-0540 Entity Status Letter Date: 8/31/2018 ESL ID: 3485228422 According to our records, the following entity information is true and accurate as of the date of this letter Entity ID: _ Entity Name: NATIONAL CHARITY LEAGUE, INC., TEMECULA VALLEY CHAPTER ❑✓ 1. The entity is in good standing with the Franchise Tax Board. 2. The entity is not in good standing with the Franchise Tax Board. �✓ 3. The entity is currently exempt from tax under Revenue and Taxation Code (R&TC) Section 23701d El4. We do not have current information about the entity. The above information does not necessarily reflect: • The entity's status with any other agency of the State of California, or other government agency. • If the entity's powers, rights, and privileges were suspended or forfeited at any time in the past, or the entity did business in California at a time when it was not qualified or not registered to do business in California: c The status or voidability of any contracts made in California by the entity at a time when the entity was suspended or forfeited (R&TC Sections 23304.1, 23304.5, 23305a, 23305.1). o For entities revived under R&TC Section 23305b, any time limitations on the revivor or limitation of the functions that can be performed by the entity. Internet and Telephone Assistance Website: ftb.ca.gov Telephone: 800.852.5711 from within the United States 916.845.6500 from outside the United States TTY!TDD: 800.822.6268 for persons with hearing or speech impairments FTB 4263A WEB (NEW 02-2012) 8/31/2018 Details about national charity league inc temccula valley chapter Q HELP 0 MENU Home > Tax Exemputganization Search > National Charity League Inc Temecula Valley Chapter < PDilck to Search Results National Charity League Inc Temecula Valley Chapter EIN: Publication 78 Data o Organizations eligible to receive tax-deductible charitable contributions. Users may rely on this list in determining deductibility of their contributions. On Publication 78 Data List: Yes Deductibility Code: PC Form 990-N (e -Postcard) e Organizations who have filed a 990-N (e -Postcard) annual electronic notice. Most small organizations that receive less than $50,000 fall into this category. Tax Year 2016 Form 990-N (e -Postcard) Tax Year 2015 Form 990-N (e -Postcard) Tax Year 2014 Form 990-N (e -Postcard) Tax Year 2013 Form 990-N (e -Postcard) Tax Year 2012 Form 990-14 (e -Postcard) 8/31/2018 State v/ California Department of .lustice Details Office of (he Attorney General Ilmnc \bout the U. In the \ett. (ticr%InGletnatiun ('t�ntact ( s Entity Types Registrant Details ate Class as rec,ster?r! :d t7 the /e/ retery -ct Etat, �c U'itrBtiCn rlo(uinerts StiC i t!Ueri to !.he R Organization Name: NATIONAL C'HARLTY LEAG!'E. IN( ! FMLr1t'1 _A v, qt t 6Y c H 11'1 ER IRS FEIN Entity type: Public Benelit SOS/FTB Corporate/Organization Number: RCT Registration Number: n gntm 'type: Issue Date: Registry Status: Date of Last Renewal: C1'02I4I84 Charity 12/19/2014 Current 12/20/2017 Registration Type: Renewal Due Date: Date This Status: Charity Registration 10/15/2018 12/19/201-1 Street: Street Line 2: ('ity, State Zip: mailing Address Annual Renewal Data Reported to the Registry Status of Filing: Accounting Period Begin Date: t,ecounting Period End Date: Total Assets: fatal Revenue: Filing Received Date: Complete IRS Form 990 Received (Y/N): �()nline Submission (Y/N): Status of Filing: Accounting Period Begin Date: Accounting Period End Date: "Intal Assets: Total Revenue: Filing Received Date: Complete IRS Form 990 Received (Y/N): Online Submission (Y/N): Status of Filing: Accounting Period Begin Date: Accounting Period End Date: Total Assets: Total Revenue: Filing Received Date: Complete IRS Form 990 Received (Y/N): Online Submission (Y/N): Status of Filing: Accounting Period Begin Date: Accounting Period End Date: Total Assets: Total Revenue: Filing Received Date: Complete IRS Fornt 990 Received (Y/N): Online Submission (Y/N): Accepted 6/1 2013 5/31/201.3 $130.00 $23_500.00 1/12/2015 N N _ _ Accepted 6/1`2014 5/31/2015 $250.00 $32516.00 10/16/2015 N N Accepted 6/1/2015 5/31/2016 $250.00 $38.063.00 10/19/2016 N N Accepted 6/1/2016 5/31/2017 5250.00 544.007.00 10/16/2017 N N Confirmation n Of Registration LtIit r Founding Documents RRF-1 2014 1rtrnl to ►-N 20I4 l uint KRt 1 RR1 I 201', Related Documents Rc/istration l.ettcr Founding Documents .iia 2014 1K\ �'nrI71 tl+Ht v 2017 2015 RRF-I http://rct.doj ca.gov/Verification/Web/Details.aspx?result=913991cd-57ed.4506-9672-8971872ea914 1/2 FY 2018/2019 COMMUNITY SERVICE FUNDING GRANT APPLICATION # 17 OPERATION SILVER STAR CITY OF TEMECULA FISCAL YEAR 2018-2019 COMMUNITY SERVICE FUNDING PROGRAM APPUC ' :f N (Please Print or Type) DUE ON OR BEFORE: FRIDAY, SEPTEMBER 21, 2018 PROJECT/PROGRAM INFORMATION Amount Requested: $ 5 Oto (Maximum allowable $5,000 per Organization) Project/Program Title: Vefertit15 Oufr+ea0-%t Stt/ Start Date: DEnd Date: If Grant is Awarded, Make Check Payable to: Ee41u'i) 5' L-Ue/Q X17 2 Mailing Address: ORGANIZATION AND GEOGRAPHIC AREA SERVED STF�R Name of Applicant Organization: OPEeATIOAi c5ILVF4 Year Organization Founded: /0 Website: h4 E3 /IOpet^aficf1Silt er5 NumbeAf Paid Staff: 0 Number of Volunteers: a6 Contact Name: R l c11Qrd t✓I Q Cit12 Title/Position: CEO Contact Personsry1mtn)5Afdrassar o eratoi1siiVerTbe eproQ Geographic Area(s) the Organization Serves: Et2S1DE Co. AND 861t4VD Geographic Area(s) the Project/Program Serves: (NOTE: Community Service Funding Grant must be exclusively used to serve Temecula) T"ernt.G< l a Include Ph sical Address of Project/Pro ram: if different than Or anization's Mailing Address) NONPROFIT STATUS Is this organization incorporated as a nonprofit? Yes Y. No (If No, then ineligible to receive City Funding) Date of Incorporation as a Non rofit: 3 _I g l l Federal Identification Number: State Identification Number: Print out and attach to this application Verification from Federal (IRS) and State (FTB) as follows: 1. Attach IRS Deductibility Status using this link: http://aoos.irs.gov/app/eos/ 2. Attach State Entity Status Letter using this link: https:Hwww.ftb.ca.aov/online/self serve entity status letterfindex.aso 3. Attach first page only of most recent IRS Form 990 or attach print out of detailed information about your charity found on this State Registry's Search Tool: http://rct.doi.ca.govNerificationlWeb/Search.asox?facility=Y Application Page 1 of 7 Has the organization or any members of the Board of Directors of the organization been involved with any personal business transactions valued over $500 including any business transactions, negotiations, investments, or interests in real property with a Temecula City Council Member during the past 12 months? No %( Yes If Yes, briefly describe: Is a Temecula City Council Member a member of the Board of Directors or an Officer of the organization? No )( Yes If Yes, provide Council Member's Name and title within the organization: This Application has been authorized by the organization's: Executive Committee X Board of Directors Members -at -Large FINANCIAL STATEMENTS Upon request, copies of the current budget of the organization / financial statements (balance statement and income statement), and if available CPA's audit, may be needed to demonstrate sound financial management. Do not submit now. CITY OF TEMECULA FUNDING — OTHER SOURCES Within the past two years, has your organization received (or is your organization concurrently requesting) any other sources of funding from the City of Temecula? No Yes_ If Yes, provide information in table below: Name of Funding Program from City (CDBG Grant? CSF Grant? Sponsorship?) Program, Project or Servlce(s) that was funded by the City Grant or Sponsorship Month and Year Grant or Sponsorship Received Amount $ $ $ $ MISSION STATEMENT OF ORGANIZATION Briefly describe the goals and objectives, or mission, of your organization. 77> 5i pfb + o u r wounded rat(ifztrj members and -me,/ r rviil183 -through to heti- rami�b& f h'L moat- o -P th ei r I i i)es ua cth vin ��h n 'ecd ed ha. nc a, l , nvad-e rLQ I coq Q ADI other re.)ar -es. Application Page 2 of 7 GRANT FUNDING PROJECT/PROGRAM DESCRIPTION NOTE: Receipts/invoices will be required to be submitted to the City to demonstrate that your organization used grant funding awarded by the City to support the project/program as described here. See Compliance Report on Application Page 6 for details. 1. Briefly describe the Project/Program (and its objectives) the City of Temecula grant funding will be used to support. Ple.Ase ,tee reopca e. on +ht &o11ow63 pale . 2. Describe how your organization will spend the grant funding awarded. Include equipment or services that would be purchased and why. P li?as� g e res PoYtse o n P011oWt ►- page . 3. Explain how the grant funding will specifically benefit Temecula residents. 'l ease. see_. response_ 0 n Po i1Inu), nl P Estimated number of people expected to benefit from this Project/Program: 10 -16 4- Ct_MI /le_ Estimated number of volunteers involved in this Project/Program: -5 Application Page 3 of 7 GRANT FUNDING PROJECT/PROGRAM DESCRIPTION 1. Briefly describe the Project/Program (and its objectives) the City of Temecula grant funding will be used to support. The Veterans Outreach Support Program provides emergency assistance to veterans looking to reintegrate into civilian society. The goals of this program are: • To support returning combat veterans and their families through the trauma, rehabilitation and/or transition process by providing emergency financial assistance. • To provide veterans, their families and caregivers with the resources they need to live healthy, fulfilled lives after the service member returns home. 2. Describe how your organization will spend the grant funding awarded. Include equipment or services that would be purchased and why. Grant funding would be used to provide emergency financial assistance for basic needs to veterans and their families. The average gift ranges from three to five hundred dollars. Due to special health issues, difficulty in finding housing, and inability to immediately access their benefits, many veterans find themselves needing basic survival assistance such as food, rent/mortgage/utility payments, gasoline and vehicle repair, transportation to appropriate medical care and other basic needs. 3. Explain how the grant funding will specifically benefit Temecula residents. Through expanded community outreach, Operation Silver Star will seek out veterans residing in Temecula who are in need of emergency financial assistance and other resources and provide those services. This funding would allow us to serve more Temecula veterans than we have been able to in the past. The average has been two to four veterans served per year. Estimated number of people expected to benefit from this Project/Program: 10 —16 veterans and their families Estimated number of volunteers involved in this Project/Program: Three to five Application Page 3a of 7 4. In 30 words or less, summarize how the grant funds, if awarded, will be used. IMPORTANT: This summary will be used in a spreadsheet intended to summarize all Community Service Funding Grant Applications, including yours, submitted to the City Council. g_ tOr Ea it) wlLL kye USED T? PCU 1 'E . Q&E&‘t FE 4-0ai FAL 5SISThNCE 4101) FoLiz to U P 1 v ETE Pr Pr N D Th Evia FML RS , IJ T t ECILL,4 7v ft5SuPE EY A - RE co AM ECTE /1-U rt1 8L -E Rs- 56aO..CES . PROJECT/PROGRAM BUDGET PROJECT/PROGRAM BUDGET Line Items for Project/Program Revenues $ 61 000 Expenses VARIOUS TYPES OF REVENUES/INCOME FOR THE PROJECT/PROGRAM: Amount of money requested from the City of Temecula Community Support Grant (Not to exceed $5,000) Cash contributed to Project/Program by the Applicant Organization 0 $ ,) 0 Other grants or funding already awarded for Project/Program, if any $ O $ 0 $ D In -Kind match amount or volunteer credit hours estimated amount $ 300 VARIOUS TYPES OF EXPENSES FOR THE SPECIFIC PROJECT/PROGRAM: Staffing expense for Project/Program (this amount is ineligible to be funded by City's Grant; however please include) Equipment expense for Project/Program Food expense for Project/Program $ O Marketing expense for Project/Program $ 300 Supplies expense for Project/Program $ to,300 $ D $ 6 Facilities/Rent expense for Project/Program Other expense for Project/ProgramDi r proglu rn $ 40 C�tt� ,�v.,.,. � $ & 306 TOTAL BUDGET FOR PROJECT/PROGRAM Application Page 4 of 7 PREVIOUS FISCAL YEAR (FY) 2017-2018 COMPLIANCE REPORT If your organization was awarded a Community Service Funding Grant in FY 2017-2018 (last year) by the City of Temecula, please submit this information or the application may be rejected as incomplete. If your organization was NOT awarded a Community Service Funding Grant in FY 2017-2018 (last year), then skip this page. If your organization was awarded a Community Service Funding Grant in Fiscal Year 2017-2018 (last year) by the City of Temecula, all grant funds received must have been expended anytime on or between July 1, 2017, and June 30, 2018. In addition, all grant funds must be substantiated with proper back-up documentation. Failure to provide proper documentation may jeopardize any future funding. City of Temecula reserves the right to conduct an audit and/or require additional back-up information to substantiate how funds received from the City were spent. If the funds were not spent in accordance with the approved purpose stated on the Application, the organization will be required to refund the amount of funds. To substantiate that Fiscal Year 2017-2018 funds received from the City were spent appropriately, proper back-up documentation including the table below with accompanying receipts/invoices, must be submitted to the City on or before due date: Friday, September 21, 2018. EXPENDITURE REPORT due on or before Friday, September 21, 2018 1. Demonstrate that the Community Service Funding Grant specifically benefitted Temecula residents by providing the number of beneficiaries living in 92590, 92591 and 92592 that directly benefitted from this program: (approximate number of beneficiaries if you don't have a precise number): 2. Fill out this table (include additional copies if needed to explain all expenditures) 3. Attach Receipts/Invoices (in the same order as listed in this table) 4. Send to: City of Temecula, 41000 Main St., Temecula, CA 92590, Attn: City Manager's Office - CSF Organization: Name of Project/Program: Amount of Grant Fund Awarded: $ Month + Year Grant Received from City: c m E L Name of Company on Receipt/Invoice z Date (MolDay/Yrl on Receipt/Invoice Amount of Must be dated on or Expenditure between July 1, 2017 - June 30. 2018 Describe... (1) what the expenditure was (2) purpose of the expenditure MUST support Project/Program description on Application + Award Letter $ $ Explain ... how the expenditure specifically benefitted Temecula residents If names/addresses of Temecula beneficiaries are available, please attach $ EXPENDITURE TOTAL Note: Expenditure Total must be equal to (or greater than) the "Amount of Grant Fund Awarded" above) provided by the City $ Application Page 5 of 7 FISCAL YEAR (FY) 2018-2019 COMPLIANCE REPORT If your organization is awarded a Community Service Funding Grant in FY 2018-2019 by the City of Temecula, then this information is not due until Monday, September 16, 2019 If your organization is awarded a Community Service Funding Grant in Fiscal Year 2018-2019 by the City of Temecula, all grant funds received must be expended anytime on or between July 1. 2018, and June 30, 2019. In addition, all grant funds must be substantiated with proper back-up documentation. Failure to provide proper documentation may jeopardize any future funding. City of Temecula reserves the right to conduct an audit and/or require additional back-up information to substantiate how funds received from the City were spent. If the funds are not spent in accordance with the approved purpose stated on the Application, the organization will be required to refund the amount of funds. To substantiate that Fiscal Year 2018-2019 funds received from the City were spent appropriately, proper back-up documentation including the table below with accompanying receipts/invoices, must be submitted to the City on or before due date: Monday, September 16, 2019. EXPENDITURE REPORT due on or before Monday, September 16, 2019 1. Demonstrate that the Community Service Funding Grant specifically benefitted Temecula residents by providing the number of beneficiaries living in 92590, 92591 and 92592 that directly benefitted from this program: (approximate number of beneficiaries if you don't have a precise number): 2. Fill out this table (include additional copies if needed to explain all expenditures) 3. Attach Receipts/Invoices (in the same order as listed in this table) 4. Send to: City of Temecula, 41000 Main St., Temecula, CA 92590, Attn: City Manager's Office - CSF Organization: Name of Project/Program: Amount of Grant Fund Awarded: $ Attachment Date (Mo/Day/Yr) Name of Company on m on Receipt/Invoice = Receipt/Invoice Must be dated on or between Z —I July 1, 2018 - 1 June 3D, 2019 1 2 3 4 5 Amount of Expenditure $ Month + Year Grant Received from City: Describe... (1) what the expenditure was (2) purpose of the expenditure MUST support Project/Program description on Application + Award Letter Explain ... how the expenditure specifically benefitted Temecula residents If names/addresses of Temecula beneficiaries are available, please attach EXPENDITURE TOTAL Note: Expenditure Total must be equal to (or $ greater than) the "Amount of Grant Fund Awarded" (above) provided by the City Application Page 6 of 7 SIGNATURE PAGE The applicant acknowledges and agrees to the following: • Recipient is subject to all Community Service Funding Program requirements including submittal deadlines and payment disbursements. • Every Community Service Funding application is considered individually and on its own merit. • Awards will be given to organizations and activities that directly benefit the residents of Temecula. • Funding is not immediately available to the recipient, and requires an award letter signature upon approval. Please allow time for checks to be processed. • The awarding of Community Service Funding does not constitute an automatic annual allocation. • The recognition for Community Service Funding should accrue to the City of Temecula. • Community Service Funding must be spent as specified on the Application and records may be requested by the City of Temecula to ensure the funds were used appropriately. • Community Service Funding grants will not be awarded or announced within the 60 days before an election in which an awarding Council Member is on the ballot. • The recipient shall provide a full accounting with documentation on the use of awarded funds. The recipient shall return to the City any funds not spent or documented per the signed agreement. • If awarded a Community Service Funding Grant by the City of Temecula last year, then compliance receipts must be submitted on or before this application's due date or this application may be rejected as incomplete. We hereby certify the information contained in this Application is true to the best of our knowledge and belief. ORGANIZATION NAME: ©PES -P-none 5I Lir 377h MAILING ADDRESS: PHONE MAIL: ad M e f /S. /722_71a r - td opera:i ano I tier37'ar.eli PRESIDENT / AUTHORIZED OFFICER: R I hzt_rd d e- la_ Crag &esiA e y fr 2E0 PrintRame Title SIGNATURE: , ` ( � � DATE: q - 9-0 1 IF DIFFERENT THAN ABOVE, APPICATION PREPARED BY: C Ee 1 Li Pr Bit aCki Print Name (Month, Day, Year) &maw r t ter Title SUBMIT ORIGINAL APPLICATION BY FRIDAY, SEPTEMBER 21, 2018, TO: City of Temecula Community Service Funding Attn: City Manager's Office 41000 MAIN STREET TEMECULA, CA 92590 If you have any questions please contact Betsy Lowrey at (951) 693-3959 or Stacey Brown at (951) 506-5100. Application Page 7 of 7 9/20/2018 Details about operation silver star Q HELP© MENU Home > Tax ExemptQrganization Search > Operation Silver Star < Back to Search Results Operation Silver Star EIN: Publication 78 Data 8 Organizations eligible to receive tax-deductible charitable contributions. Users may rely on this list in determining deductibility of their contributions. On Publication 78 Data List: Yes Deductibility Code: PC Form 990-N (e -Postcard) e Organizations who have filed a 990-N (e -Postcard) annual electronic notice. Most small organizations that receive less than $50,000 fall into this category. Tax Year 2016 Form 990-N (e -Postcard) Tax Year 2015 Form 990-N (e -Postcard) Tax Year 2014 Form 990-N (e -Postcard) Tax Year 2013 Form 990-N (e -Postcard) Tax Year 2012 Form 990-N (e -Postcard) Tax Year 2011 Form 990-N (e -Postcard) Mips.happs.irs.gov/app/eos/displayAll.do?dispatchMethod=displayAlllnto8ld=41980778ein=4516088598country=USBdeductibility=all&dispatchMetho... 1/2 STATE OF CALIFORNIA FRANCHISE TAX BOARD PO BOX 942857 SACRAMENTO CA 94257-0540 Entity Status Letter Date: 9/20/2018 ESL ID: 6281493627 According to our records, the following entity information is true and accurate as of the date of this letter Entity ID: Entity Name: OPERATION SILVER STAR C 1. The entity is in good standing with the Franchise Tax Board. 2. The entity is not in good standing with the Franchise Tax Board. 3. The entity is currently exempt from tax under Revenue and Taxation Code (R&TC) Section 23701 d. 4. We do not have current information about the entity. The above information does not necessarily reflect: • The entity's status with any other agency of the State of California, or other government agency. • If the entity's powers, rights, and privileges were suspended or forfeited at any time in the past, or the entity did business in California at a time when it was not qualified or not registered to do business in California: o The status or voidability of any contracts made in California by the entity at a time when the entity was suspended or forfeited (R&TC Sections 23304.1, 23304.5, 23305a, 23305.1). o For entities revived under R&TC Section 23305b, any time limitations on the revivor or limitation of the functions that can be performed by the entity. Internet and Telephone Assistance Website: ftb.ca.gov Telephone: 800.852.5711 from within the United States 916.845.6500 from outside the United States TTY(TDD: 800.822.6268 for persons with hearing or speech impairments FTB 4263A WEB (NEW 02-2012) FY 2018/2019 COMMUNITY SERVICE FUNDING GRANT APPLICATION # 18 OUR NICHOLAS FOUNDATION CITY OF TEr'1IECULA FISCAL YEAR 20182019 COMMUNITY SERVICE FUNDING PROGRAM APPLICATION (Please Print or Type) DUE ON OR BEFORE: FRIDAY, SEPTEMBER 21, 2018 PROJECT/PROGRAM INFORMATION Amount Requested $5000.00 (Maximum allowable $5,000 per Organization) Project/Program Title: After School Programs Start Date: Current End Date: none If Grant is Awarded, Make Check Payable to: Our Nicholas Foundation Mailing Address ORGANIZATION AND GEOGRAPHIC AREA SERVED Name of Applicant Organization Our Nicholas Foundation Year Organization Founded:2004 \Nebsite:www.OurNick.org Number of Paid Staff: ° Number of Volunteers: 100+ Contact Name. Mark Anselmo Title/Position: Co -Founder Contact Person's Email Address: info@ournick org Telephone. Geographic Area(s) the Organization Serves. Temecula Valley Geographic Area(s) the Project/Program Serves: (NOTE: Community Service Funding Grant must be exclusively used to serve Temecula) Temecula Include Physical Address of Project/Program: (if different than Organization's Mailing Address) NONPROFIT STATUS Is this organization incorporated as a nonprofit? Yes ✓ No Date of Incorporation as a Nonprofit 2/17/11 Federal Identification Number - State Identification Number: (If No, then ineligible to receive City Funding) Print out and attach to this application Verification from Federal (IRS) and State (FTB) as follows 1. Attach IRS Deductibility Status using this Zink: httpiiapps rrs.govtappieos, 2. Attach State Entity Status Letter using this link: rift //www ftb caovlonlrnelself serve emir status ;_herr IL _ 3. Attach first page only of most recent IRS Form 990 or attach print out of detailed informat • * charity found on this State Registry's Search Tool: ;tto Pot do a oviVertficationMiebiSearc . ,j•x?f- lit Application Page 1 of 7 Has the organization or any members of the Board of Directors of the organization been involved with any personal business transactions valued over $500 including any business transactions, negotiations, investments, or interests in real property with a Temecula City Council Member during the past 12 months? No 17/1 Yes Ft If Yes, briefly describe: Is a Temecula City Council Member a member of the Board of Directors or an Officer of the organization? No Yes If Yes, provide Council Member's Name and title within the organization: NO This Application has been authorized by the organization's: Executive Committee P1 Board of Directors WI Members -at -Large FINANCIAL STATEMENTS Upon request, copies of the current budget of the organization / financial statements (balance statement and income statement), and if available CPA's audit, maybe needed to demonstrate sound financial management. Do not submit now. CITY OF TEMECULA FUNDING — OTHER SOURCES Within the past two years, has your organization received or is your organization concurrently requesting) any other sources of funding from the City of Temecula? NolI Yesl' llfYes, provide information in table below: Name of Funding Program from City (CDBG Grant? CSF Grant? Sponsorship?) Program, Project or Service(s) that was funded by the City Grant or Sponsorship Month and Year Grant or Sponsorship Received Amount Community Grant After School Programs 12/17 $5000 $ $ $ MISSION STATEMENT OF ORGANIZATION Briefly describe the goals and objectives, or mission, of your organization. Our goal is to provide services and a community for all those impacted by Autism. Application Page 2 of 7 GRANT FUNDING PROJECT/PROGRAM DESCRIPTION NOTE Receipts/invoices will be required to be submitted to the City to demonstrate that your organization used grant funding awarded by the City to support the project/program as described here See Compliance Report on Application Page 6 for details. 1 Briefly describe the Project/Program (and its objectives) the City of Temecula grant funding will be used to support. Our After School Programs are all free to the community and include Kick with Nick soccer which has over 125 players and over 200 local peers and volunteers. We also have a bowling league, playdates, parent social opportunities and educational opportunities as well. 2 Describe how your organization will spend the grant funding awarded. Include equipment or services that would be purchased and why. We would utilize the grant for soccer uniforms, supplies, event costs and more. 3. Explain how the grant funding will specifically benefit Temecula residents. Our after school programs include predominately Temecula residents...our Kick with Nick soccer is in Temecula in addition to our bowling, playdates and more. . Estimated number of people expected to benefit from this Project/Program. 200+ 250+ Estimated number of volunteers involved in this Project/Program- Application Page 3 of 7 In 30 words or less, summarize how the grant funds, if awarded, will be used. IMPORTANT: This summary will be used in a spreadsheet intended to summarize all Community Service Funding Grant Applications, including yours, submitted to the City Council We are 100% volunteer ran, so all of these funds would go to help pay for after school program fees, equipment and more. We provide all of our programs free to the Autism community so our expenses are taken care of through grants like this. PROJECT/PROGRAM BUDGET PROJECT/PROGRAM BUDGET Line Items for Project/Program Revenues Expenses VARIOUS TYPES OF REVENUES/INCOME FOR THE PROJECT/PROGRAM: $ 5000 Amount of money requested from the City of Temecula Community Support Grant (Not to exceed $5,000) Cash contributed to Project/Program by the Applicant Organization $ 1 0000 1 Other grants or funding already awarded for Project/Program, if any $ 0 In -Kind match amount or volunteer credit hours estimated amount $ 0 VARIOUS TYPES OF EXPENSES FOR THE SPECIFIC PROJECT/PROGRAM: Staffing expense for Project/Program (this amount is ineligible to be funded by City's Grant; however please include) $ 0 Equipment expense for Project/Program $ 5400 Food expense for Project/Program $ Marketing expense for Project/Program $ Supplies expense for Project/Program $ 1 5000 $ 5000 Facilities/Rent expense for Project/Program $ 5000 Other expense for Project/Program $ TOTAL BUDGET FOR PROJECT/PROGRAM $ 15000 Application Page 4 of 7 PREVIOUS FISCAL YEAR (FY) 2017-2018 COMPLIANCE REPORT If your organization was awarded a Community Service Funding Grant in FY 2017-2018 (last year) by the City of Temecula, please submit this information or the application may be rejected as incomplete. If your organization was NOT awarded a Community Service Funding Grant in FY 2017-2018 (last year), then skip this page. If your organization was awarded a Community Service Funding Grant in Fiscal Year 2017-2018 (last year) by the City of Temecula, all grant funds received must have been expended anytime on or between July 1, 2017, and June 30. 2018. In addition, all grant funds must be substantiated with proper back-up documentation. Failure to provide proper documentation may jeopardize any future funding. City of Temecula reserves the right to conduct an audit and/or require additional back-up information to substantiate how funds received from the City were spent. If the funds were not spent in accordance with the approved purpose stated on the Application. the organization will be required to refund the amount of funds. To substantiate that Fiscal Year 2017-2018 funds received from the City were spent appropriately, proper back-up documentation including the table below with accompanying receipts/invoices. must be submitted to the City on or before due date: Friday, September 21, 2018. EXPENDITURE REPORT due on or before Friday, September 21, 2018 1 1. 2. 3. 4. Organization: Amount Demonstrate that the Community Service Funding the number of beneficiaries living in 92590, 92591 (approximate number of beneficiaries if you don't have Fill out this table (include additional copies if needed Attach Receipts/Invoices (in the same order as listed Send to: City of Temecula, 41000 Main St., Temecula. Our Nicholas Foundation Grant specifically benefitted Temecula residents by providing i and 92592 that directly benefitted from this program: a precise number): 2QC to explain all expenditures) in this table) CA 92590, Attn: City Manager's Office - CSF Name of Project/Program: After School Programs of Grant Fund Awarded: $ 5000 Month + Year Grant Received from City: 201 7 C1 W E Q Z Name of Company on Reeeipt/Invoice Date (Mo/Day/Yr) on Receipt/invoice Must be dated on or between July t, 2017 - June 30. 2018 Amount os Expenditure {� Describe... (1) what the expenditure was (2) purpose of the expenditure MUST support ProjectlProgram description on Application Award Latter Explain ... how the expenditure specifically benefitted Temecula residents If names/addresses of Temecula beneficiaries are available, please attach 1 $ 2 $ 3 $ 4 $ 5 $ Note: (or EXPENDITURE TOTAL Expenditure Total must be equal to $ greater than) the "Amount of Grant Fund Awarded" (above) provided by the City._ Application Page 5 of 7 FISCAL YEAR (FY) 2018-2019 COMPLIANCE REPORT If your organization is awarded a Community Service Funding Grant in FY 2018-2019 by the City of Temecula, then this information is not due until Monday, September 16, 2019 If your organization is awarded a Community Service Funding Grant in Fiscal Year 2018-2019 by the City of Temecula, all grant funds received must be expended anytime on or between July 1, 2018, and June 30, 2019. In addition, all grant funds must be substantiated with proper back-up documentation. Failure to provide proper documentation may jeopardize any future funding. City of Temecula reserves the right to conduct an audit and/or require additional back-up information to substantiate how funds received from the City were spent. If the funds are not spent in accordance with the approved purpose stated on the Application, the organization will be required to refund the amount of funds. To substantiate that Fiscal Year 2018-2019 funds received from the City were spent appropriately, proper back-up documentation including the table below with accompanying receipts/invoices, must be submitted to the City on or before due date: Monday, September 16, 2019. EXPENDITURE REPORT due on or before Monday, September 16, 2019 1. Demonstrate that the Community Service Funding Grant specifically benefitted Temecula residents by providing the number of beneficiaries living in 92590, 92591 and 92592 that directly benefitted from this program: (approximate number of beneficiaries if you don't have a precise number): 2. Fill out this table (include additional copies if needed to explain all expenditures) 3. Attach Receipts/Invoices (in the same order as listed in this table) 4. Send to: City of Temecula, 41000 Main St., Temecula, CA 92590, Attn: City Manager's Office - CSF Organization: Our Nicholas Foundation Name of Project/Program: After School Programs Amount of Grant Fund Awarded: $ E r2 03 E � 3 az 1 2 Name of Company on Receipt/Invoice Date (Mo/Day/Yr) on Receipt/lnvoice Must be dated on or between July 1. 2018 - June 30. 2019 Month + Year Grant Received from City: Amount of Expenditure Describe... 1 Explain ... (1) what the expenditure was (2) purpose of the expenditure l MUST support Project/Program description on Application + Award Letter how the expenditure specifically benefitted Temecula residents 11 namestaddresses of Temecula beneficiaries are available, please attach $ $ 3 4 5 EXPENDITURE TOTAL Note: Expenditure Total must be equal to $ (or greater than) the "Amount of Grant Fund Awarded" (above) provided by the City Application Page 6 of 7 SIGNATURE PAGE The applicant acknowledges and agrees to the following: • Recipient is subject to all Community Service Funding Program requirements including submittal deadlines and payment disbursements. • Every Community Service Funding application is considered individually and on its own merit. • Awards will be given to organizations and activities that directly benefit the residents of Temecula. • Funding is not immediately available to the recipient, and requires an award letter signature upon approval. Please allow time for checks to be processed. • The awarding of Community Service Funding does not constitute an automatic annual allocation. • The recognition for Community Service Funding should accrue to the City of Temecula. • Community Service Funding must be spent as specified on the Application and records may be requested by the City of Temecula to ensure the funds were used appropriately. • Community Service Funding grants will not be awarded or announced within the 60 days before an election in which an awarding Council Member is on the ballot. • The recipient shall provide a full accounting with documentation on the use of awarded funds. The recipient shall return to the City any funds not spent or documented per the signed agreement. • If awarded a Community Service Funding Grant by the City of Temecula last year, then compliance receipts must be submitted on or before this application's due date or this application may be rejected as incomplete. We hereby certify the information contained in this Application is true to the best of our knowledge and belief. ORGANIZATION NAME: Our Nicholas Foundation MAILING ADDRESS; PHONE: k EMAIL: info@ournick.org PRESIDENT / AUTH RIZEd OFFICER: Mark Anselmo, Co -Founder P t Name Title G), •� DATE: 09/18/18 SIGNATURE: (Month, Day, Year) IF DIFFERENT THAN ABOVE, APPICATION PREPARED BY: Print Name Title SUBMIT ORIGINAL APPLICATION BY FRIDAY, SEPTEMBER 21, 2018, TO: City of Temecula Community Service Funding Attn: City Manager's Office 41000 MAIN STREET TEMECULA, CA 92590 If you have any questions please contact Betsy Lowrey at (951) 693-3959 or Stacey Brown at (951) 506-5100. Application Page 7 of 7 FY 2018/2019 COMMUNITY SERVICE FUNDING GRANT APPLICATION # 19 PROJECT TOUCH CITY OF TEMECU LA FISCAL YEAR 2018-2019 RFcFivFQ COMMUNITY SERVICE FUNDING PROGRAM APPLICATION (Please Print or Type) DUE ON OR BEFORE: FRIDAY, SEPTEMBER 21. 26likEILIANA Oc�r . GER a/ PROJECT/PROGRAM INFORMATION Amount Requested: $ 5000 Project/Program Title: Homeless Prevention If Grant is Awarded, Make Check Payable to: God's Fan Club dba Project TOUCH (Maximum allowable $5,000 per Organization Start Date. 10-01-2018 End Date 6-30-2018 Mailing Address: ORGANIZATION AND GEOGRAPHIC AREA SERVED Name of Applicant Organization. Project Touch Website: projecttouchonline.com Contact Name: Anne Unmacht Year Organization Founded: 2003 Number of Paid Staff: 2 Number of Volunteers: Title/Position. Executive Director 200 Contact Person's Email Address: anneeprojecttouchonline.cor1elephone: Geographic Area(s) the Organization Serves: Temecula Geographic Area(s) the Project/Program Serves: (NOTE: Community Service Funding Grant must be exclusively used to serve Temecula.) Temecula Include Physical Address of Project/Program: (if different than Organization's Mailing Address) Explanation. many apartments and duplexes are leased in Temecula for emergency housing of homeless NONPROFIT STATUS Is this organization incorporated as a nonprofit? Yes x No (If No. then ineligible to receive City Funding) Date of Incorporation as a Nonprofit: 09-03-2003 Federal Identification Number ___,State Identification Number: IM Print out and attach to this application Verification from Federal (IRS) and State (FTB) as follows: 1 Attach IRS Deductibility Status using this Zink: http://apps.irs qov/app/eosi 2. Attach State Entity Status Letter using this link: htips.//www.ftb.cagovionline/self serve enttty status tettertindex.ase 3. Attach first page only of most recent IRS Form 990 or attach print out of detailed inforryt.,jl`; •ur charity found on this State Registry's Search Tool: htt•:/lrct.do .ca. •ov/Verficationi Neb/S Application Page 1 of 7 Has the organization or any members of the Board of Directors of the organization been involved with any personal business transactions valued over $500 including any business transactions, negotiations, investments, or interests in real property with a Temecula City Council Member during the past 12 months? No x Yes If Yes, briefly describe: Is a Temecula City Council Member a member of the Board of Directors or an Officer of the organization? No x Yes If Yes, provide Council Member's Name and title within the organization: This Application has been authorized by the organization's: Executive Committee Board of Directors x Members -at -Large FINANCIAL STATEMENTS Upon request, copies of the current budget of the organization / financial statements (balance statement and income statement), and if available CPA's audit, may be needed to demonstrate sound financial management. Do not submit now. CITY OF TEMECULA FUNDING — OTHER SOURCES Within the past two years, has your organization received (or is your organization concurrently requesting) any other sources of funding from the City of Temecula? No x Yes If Yes, provide information in table below: Name of Funding Program from City (CDBG Grant? CSF Grant? Sponsorship?) Program, Project or Service(s) that was funded by the City Grant or Sponsorship Month and Year Grant or Sponsorship Received Amount /1 /► 71 pl -F y Councilman James Stewart August 2018 $ 1500 $ $ $ MISSION STATEMENT OF ORGANIZATION Briefly describe the goals and objectives, or mission, of your organization. Working together within our communities, together with civil and businesss organizations to effectively overcome homelessness and establish effective methods of homeless prevention Application Page 2 of 7 GRANT FUNDING PROJECT/PROGRAM DESCRIPTION NOTE Receipts/invoices will be required to be submitted to the City tc demonstrate that your organization used grant funding awarded by the City to support the project/program as described here. See Compliance Report on Application Page 6 for details 1 Briefly describe the Project/Program (and its objectives) the City of Temecula grant funding will be used to support. City of Temecula grant funding will support the following project: (1) rental assistance to prevent clients from becoming homeless or existing homeless; gas cards/bus passes and auto assistance so clients can get to jobs; and bus passes to relocate existing homeless to out of area support system. Objectives. to be able to respond to Temecula Police calls for assistance in preventing families from becoming homelesss and/or provide supportive temporary rental housing for homeless or relocate to out of area support system. 2. Describe how your organization will spend the grant funding awarded Include equipment or services that would be purchased and why. Rental assistance offered to prevent homelesness and/or for homeless: $3,000 Auto assistance, gas cards and/or bus passes to help clients get to their places of employment=$1,000 Relocate to out of area support system. 3. Explain how the grant funding will specifically benefit Temecula residents. By providing rental assistance to prevent clients from becoming homeless and offering bus passes and/or gas cards so clients living in Temcula can get to their jobs, this will most likely lead to a reduction of homeless and allow clients to live and keep their jobs so they contribute to the community By either preventing homelessness through rental assistance or providing rental housing for homeless or relocating homeless to out of area support systems, reduces the homeless in the City of Temecula. Estimated number of people expected to benefit from this Project/Program 165 Estimated number of volunteers involved in this Project/Program Application Page 3 of 7 200 In 30 words or Tess, summarize how the grant funds, if awarded, will be used. IMPORTANT: This summary will be used in a spreadsheet intended to summarize all Community Service Funding Grant Applications, including yours, submitted to the City Council. to provide rental assistance to at -risk of homelessness or existing homeless; gas cards or bus passes to help clients sustain employment; relocation costs to connect homeless with out of area support systems. PROJECT/PROGRAM BUDGET PROJECT/PROGRAM BUDGET Line Items for Project/Program Revenues Expenses VARIOUS TYPES OF REVENUES/INCOME FOR THE PROJECT/PROGRAM: Amount of money requested from the City of Temecula Community Support Grant (Not to exceed $5,000) $ 5000 Cash contributed to Project/Program by the Applicant Organization $ 75000 Other grants or funding already awarded for Project/Program, if any $ 15000 In -Kind match amount or volunteer credit hours estimated amount $ 50000 VARIOUS TYPES OF EXPENSES FOR THE SPECIFIC PROJECT/PROGRAM: Staffing expense for Project/Program (this amount is ineligible to be funded by City's Grant; however please include) Volunteer credit hours $ 50000 Equipment expense for Project/Program $ 0 Food expense for Project/Program $ 0 Marketing expense for Project/Program $ 0 Supplies expense for Project/Program $ 0 Facilities/Rent expense for Project/Program - rental assistance $90000 Other expense for Project/Program Gas cards, bus transportation $ 5n00 TOTAL BUDGET FOR PROJECT/PROGRAM $ 145000 $ 145000 Application Page 4 of 7 PREVIOUS FISCAL YEAR (FY) 2017-2018 COMPLIANCE REPORT If your organization was awarded a Community Service Funding Grant in FY 2017-2018 (last year) by the City of Temecula, please submit this information or the application may be rejected as incomplete. If your organization was NOT awarded a Community Service Funding Grant in FY 2017-2018 (last year), then skip this page. If your organization was awarded a Community Service Funding Grant in Fiscal Year 2017-2018 (last year) by the City of Temecula, all grant funds received must have been expended anytime on or between July 1, 2017, and June 30, 2018. In addition, all grant funds must be substantiated with proper back-up documentation. Failure to provide proper documentation may jeopardize any future funding City of Temecula reserves the right to conduct an audit and/or require additional back-up information to substantiate how funds received from the City were spent. If the funds were not spent in accordance with the approved purpose stated on the Application, the organization will be required to refund the amount of funds. To substantiate that Fiscal Year 2017-2018 funds received from the City were spent appropriately, proper back-up documentation including the table below with accompanying receipts/invoices, must be submitted to the City on or before due date: Friday, September 21, 2018. EXPENDITURE REPORT due on or before Friday, September 21, 2018 1. Demonstrate that the Community Service Funding Grant specifically benefitted Temecula residents by providing the number of beneficiaries living in 92590, 92591 and 92592 that directly benefitted from this program: (approximate number of beneficiaries if you don't have a precise number): 2. Fill out this table (include additional copies if needed to explain all expenditures) 3. Attach Receipts/Invoices (in the same order as listed in this table) 4. Send to: City of Temecula, 41000 Main St., Temecula, CA 92590, Attn: City Manager's Office - CSF Organization: Name of Project/Program: Amount of Grant Fund Awarded: $ Month + Year Grant Received from City: Name of Company on Receipt/Invoice Date (Motoayn,r) on Receipt/Invoice Must be dated on or between July 1, 2017 June 30, 2018 Amount of Expenditure $ $ Describe... (1) what the expenditure was (2) purpose of the expenditure MUST support Project/Program description on Application + Award Letter Explain ... how the expenditure specifically benefitted Temecula residents If namesladdresses of Temecula beneficiaries are available, please attach EXPENDITURE TOTAL Note: Expenditure Total must be equal to (or $ greater than) the "Amount of Grant Fund Awarded" (above) orovided bvthe Citv Application Page 5 of 7 NIS FISCAL YEAR (FY) 2018-2019 COMPLIANCE REPORT If your organization is awarded a Community Service Funding Grant in FY 2018-2019 by the City of Temecula, then this information is not due until Monday, September 16, 2019 If your organization is awarded a Community Service Funding Grant in Fiscal Year 2018-2019 by the City of Temecula, all grant funds received must be expended anytime on or between July 1, 2018, and June 30, 2019 In addition, all grant funds must be substantiated with proper back-up documentation. Failure to provide proper documentation may jeopardize any future funding. City of Temecula reserves the right to conduct an audit and/or require additional back-up information to substantiate how funds received from the City were spent. If the funds are not spent in accordance with the approved purpose stated on the Application, the organization will be required to refund the amount of funds. To substantiate that Fiscal Year 2018-2019 funds received from the City were spent appropriately, proper back-up documentation including the table below with accompanying receipts/invoices, must be submitted to the City on or before due date: Monday, September 16, 2019. EXPENDITURE REPORT due on or before Monday, September 16, 2019 1. Demonstrate that the Community Service Funding Grant specifically benefitted Temecula residents by providing the number of beneficiaries living in 92590, 92591 and 92592 that directly benefitted from this program: (approximate number of beneficiaries if you don't have a precise number): 2. Fill out this table (include additional copies if needed to explain all expenditures) 3. Attach Receipts/invoices (in the same order as listed in this table) 4. Send to: City of Temecula, 41000 Main St, Temecula, CA 92590, Attn: City Manager's Office - CSF Organization: Name of Project/Program: Amount of Grant Fund Awarded: $ Month + Year Grant Received from City: Name of Company on Receipt/Invoice 3 Date (Mo/Day/Yr) on Receipt/Invoice Must be dated on or between July1, 2018 - June 30. 2019 Amount of Expenditure $ EXPENDITURE TOTAL Note: Expenditure Total must be equal to (or $ greater than) the "Amount of Grant Fund Awarded" (above) provided by the City Describe... (1) what the expenditure was (2) purpose of the expenditure MUST support Project/Program description on Application + Award Letter Explain ... how the expenditure specifically benefitted Temecula residents If namesladdresses of Ternecula beneficiaries are available. please attach Application Page 6 of 7 SIGNATURE PAGE The applicant acknowledges and agrees to the following: • Recipient is subject to all Community Service Funding Program requirements including submittal deadlines and payment disbursements. • Every Community Service Funding application is considered individually and on its own merit. • Awards will be given to organizations and activities that directly benefit the residents of Temecula. • Funding is not immediately available to the recipient, and requires an award letter signature upon approval. Please allow time for checks to be processed. • The awarding of Community Service Funding does not constitute an automatic annual allocation. • The recognition for Community Service Funding should accrue to the City of Temecula. • Community Service Funding must be spent as specified on the Application and records may be requested by the City of Temecula to ensure the funds were used appropriately. • Community Service Funding grants will not be awarded or announced within the 60 days before an election in which an awarding Council Member is on the ballot. • The recipient shall provide a full accounting with documentation on the use of awarded funds. The recipient shall return to the City any funds not spent or documented per the signed agreement. • If awarded a Community Service Funding Grant by the City of Temecula last year, then compliance receipts must be submitted on or before this application's due date or this application may be rejected as incomplete. We hereby certify the information contained in this Application is true to the best of our knowledge and belief. ORGANIZATION NAME: GODS Fan Club dba Project TOUCH MAILING ADDRESS: PHONE: PRESIDENT / AUTHORIZED OFFICER: SIGNATURE: Anne Unmacht EMAIL: anne@projecttouchonline.co Executive Director 61-14k- ,tJ- IF DIFFERENT THAN ABOVE, APPICATION PREPARED BY: Nonprofit Growth and Grants Print Name DATE: �S Title SUBMIT ORIGINAL APPLICATION BY FRIDAY, SEPTEMBER 21, 2018, TO: City of Temecula Community Service Funding Attn: City Manager's Office 41000 MAIN STREET TEMECULA, CA 92590 If you have any questions please contact Betsy Lowrey at (951) 693-3959 or Stacey Brown at (951) 506-5100. Application Page 7 of 7 STATE OF CALIFORNIA FRANCHISE TAX BOARD PO BOX 942857 SACRAMENTO CA 94257-0540 Entity Status Letter Date: 9/17/2018 ESL ID: 6458244422 According to our records, the following entity information is true and accurate as of the date of this letter. Entity ID: _ Entity Name: GOD'S FAN CLUB A NON-PROFIT ORGANIZATION 1. The entity is in good standing with the Franchise Tax Board. 2. The entity is not in good standing with the Franchise Tax Board. 3. The entity is currently exempt from tax under Revenue and Taxation Code (R&TC) Section 23701d 4. We do not have current information about the entity. The above information does not necessarily reflect: • The entity's status with any other agency of the State of Califomia, or other government agency. If the entity's powers, rights, and privileges were suspended or forfeited at any time in the past, or the entity did business in California at a time when it was not qualified or not registered to do business in Califomia: o The status or voidability of any contracts made in California by the entity at a time when the entity was suspended or forfeited (R&TC Sections 23304.1, 23304.5, 23305a, 23305.1). o For entities revived under R&TC Section 23305b, any time limitations on the revivor or limitation of the functions that can be performed by the entity. Internet and Telephone Assistance Website: ftb.ca.gov Telephone: 800.852.5711 from within the United States 916.845.6500 from outside the United States TTY/TDD: 800.822.6268 for persons with hearing or speech impairments FTB 4263A WEB (NEW 02-2012) tt,) Q HELPO MENU= Home > Tax Exempt Organization Search > Gods Fan Club (Project Touch Men Of Influence) <Backto Search Results Gods Fan Club (Project Touch Men Of Influence) EIN: Publication 78 Data o Organizations eligible to receive tax-deductible charitable contributions. Users may rely on this list in determining deductibility of their contributions. On Publication 78 Data List: Yes Deductibility Code: PC Form 990-N (e -Postcard) o Organizations who have filed a 990-N (e -Postcard) annual electronic notice. Most small organizations that receive less than $50,000 fall into this category. Tax Year 2008 Form 990-N (e -Postcard) Page Last Reviewed or Updated: 6 -Jul -2018 Share] CiPo Print FY 2018/2019 COMMUNITY SERVICE FUNDING GRANT APPLICATION # 20 REALITY RALLY CITY OF TEMECULA FISCAL YEAR 20182019 COMMUNITY SERVICE FUNDING PROGRAM APPUC (Please Print or Type) DUE ON OR BEFORE: FRIDAY, SEPTEMBER 21, 20 PROJECT/PROGRAM INFORMATION Amount Requested: $ 15000 (Maximum allowable $5,000 per Organization Project/Program Title:RC L 1 T y IRO L. L iiLr Start Date: End Date: 'S 1 If Grant is Awarded, Make Check Payable to: LJ7 Mailing Address: ORGANIZATION AND GEOGRAPHIC AREA SERVED Name of Applicant Organization: 1`w tl L i "Ty iC Y LL/ Year Organization Founded:QD/O n l Website: WV�)1&), ‘PL: -'111 t?4LIL/ , fO�lumber of Paid Staff:-- Number of Volunteers:— 4f a) Contact Name: r t .14• J L.4 � Title/Position: u( Contact Person's Email Address&,(.L1006 i Ll Telephone: l'144 • t0►-rl � r►?�� nl Geographic Area(s) the Organization Serves: l Ems) r; (t - t rte? iji t- t_ey r OM) kb _ �/ Geographic Area(s) the Project/Program Serves: (NOTE: Community Service Funding'Grant must be LC»nC4 4') exclusively used to serve Temecula.) Etb piT 4Ez!J i 1017-->%(-0E- C-0 I Lel Include Physical Address of Project/Program: (if different than Organization's Mailing Address) cA4 R &)c 6L5ug i C--0 5 WIZ K- Intl NL -1/ T t C r.t c.A C✓ U j C C L=YO i LV , f�L L �U��t' !L - jD I.c ,»i -t, tI' US NONPROFIT STATUS Is this organization incorporated as a nonprofit? Yes 1 -/No (If No, then ineligible to receive City Funding) Date of Incorporation as a Nonprofit: /ID -LI (D°) Federal Identification Number State Identification Number: Print out and attach to this application Verification from Federal (IRS) and State (FTB) as follows: 1. Attach IRS Deductibility Status using this link: nttp /,apps.,rs.00virdppreu..' 2. Attach State Entity Status Letter using this link: 1. i;.t, ,tat.,, ,Y;,;: ,, r.. 3. Attach first page only of most recent IRS Form 990 or attach print out of detailed information about your charity found on this State Registry's Search Tool: nr-, rct dog 3ov \Jenfu;atton/Web/Se err:h lst,x'F=�� II1t1 Y t) (JAI c Tv cr 77-1 S 1 t- FG i= ?0 ro v u R -r-o)( 1 c K JL'" j) ,o(Loku3 Application Page 1 of 7 Has the organization or any members of the Board of Directors of the organization been involved with any personal business transactions valued over $500 including any business transactions, negotiations, investments, or interests in real property with a Temecula City Council Member during the past 12 months? No; Yes If Yes, briefly describe: Is a Temecula City Council Member a member of the Board of Directors or an Officer of the organization? No i Yes If Yes, provide Council Member's Name and title within the organization: This Application has been authorized by the organization's: Executive Committee Board of Directors � Members -at -Large FINANCIAL STATEMENTS Upon request, copies of the current budget of the organization / financial statements (balance statement and income statement), and if available CPA's audit, may be needed to demonstrate sound financial management. Do not submit now. r CITY OF TEMECULA FUNDING — OTHER SOURCES Within the past two years, has your organization received (or is your organization concurrently requesting) any other sources of funding from the City of Temecula? No_ Yes - If Yes, provide information in table below: Name of Funding Program from City (CDBG Grant? CSF Grant? Sponsorship?) Program, Project or Service(s) that was funded by the City Grant or Sponsorship Po P Month and Year Grant or Sponsorship Received Amount $ rc)Q e LIV Rou-Y $ $ $ MISSION STATEMENT OF ORGANIZATION Briefly describe the goals and objectives, or mission, of your organization. `7& iA lTrtC-tin) Application Page 2 of 7 MISSION STATEMENT AND GOALS P URPOSE Reality Rally Inc is a 5o1c(3) and is an event planning & hosting business run entirely by volunteers so we have no administrative overhead. Its purpose is to produce an event that will raise funds to support and promote Local public charitable organizations in need of funds to continue their organizations charitable work. Our charity of choice is Michelle's Place Breast Cancer Resource Center. In addition we highlight and promote other charitable organizations. Part of the draw might be the Reality TV Stars who have to raise funds to attend to meet the public. We include the public and business in a fundraising 3 day weekend to raise funds and awareness for a charity through competitive participation in fun events and games which are unique and have a significant draw. The event promotes and highlights the much needed services that the charitable organizations provide. In addition we bring visibility into our community from outside and promotion of what our town and area has to offer to encourage return visits thus impacting our city economic development. We garner not only local, regional visibility but global through all we do. P RODUCT Reality Rally Inc creates a unique fundraising event is significantly supported by sponsorship and is run entirely by a volunteer force in order to provide funds for their charity of choice. In addition it promotes local businesses, the community's attractions and the charity into a compelling and memorable experience in order to produce the event on a sponsorship and volunteer basis to protect the final donation to the charity. The community's local features and attractions are integrated in a unique concept — that of teaming up Reality Stars with local people who want to participate in supporting a charity. There is a place in each Reality Rally venue for national corporate sponsors, regional and small businesses, and, individuals -- all contributing and volunteering what they can in a cooperative and caring way. P OINTS OF DIFFERENCE • Inclusiveness. Reality Rally Inc opens the celebrity and competitive arena to virtually everyone who wants to participate. Unlike 5K races that require training and a higher degree of fitness, RR is "relatable" to non -athletes and the average person. • Compelling theme. Reality Rally plays on the popularity of reality TV. This makes it easy to attract participants to a fundraising venue when the value proposition is rubbing elbows with celebrities in having real fun together, one-on-one, in a family friendly atmosphere. In addition the event is attractive to sponsors who want to have their product placed in front of the consumer public who follow a high profile event thus enabling us to produce a significant event at low cost protecting the final donation. • Community appeal. Local color, culture and character is innovatively linked in to create pride and appreciation of the one's hometown, making it real and relevant to the participants, thus enhancing the fundraising effectiveness. • Out of area participation. The event reputation is widespread bringing in participants from all over the North American continent plus many other countries to play, attend parties, donate ,sponsor and volunteer. P ERSONALITY Reality Rally is bold, energetic, adventuresome, wholesome, socially engaging, exciting and inclusive. Images of treasure maps, discoveries, good-natured conspiracies, hidden clues, new friends and entertaining mascots are rolled up in a unique adventure for a good cause. Its bright colors, intriguing maps, well kept secrets, and surprises in store keep the guessing going and will promote social media interaction as well as coffee table conversation. It engages people to compete with their friends, coworkers and community leaders to have real fun together while doing a good deed. P ROMISE Our event goal alongside our promise is to raise at least $Zoo,000.00 every year for Michelle's Place Breast Cancer Resource Center. Reality Rally Inc promises to create a memorable, "feel good" experience which highlights and promotes business,schools,other Non Profits and in general the communites in the Temecula Valley.The event is run with a high standard of conduct and with integrity to positively represent all involved in the event. Our goal is that will keep people talking and wanting more, year after year. People will feel more connected to the community, and part of a bigger picture, knowing that they have contributed to improving their world and inspired to do more! All of this combined will result in increased visibilty to the Temecula Valley area and increased funds raised. Results • For the past 8 years we have produced an event with a global following and income. • We have become a signature event in Temecula and is one of the premier Reality Star fund raising events in the country. Our Stats back that up. • We are viewed in 96 countries on our website and have a significant Social Media following. 2018 Reality Rally Stats we are able to capture Donations for Michelle's Place 959 donations from Countries 5 States 44 Cities 683 190 Game Participants came from Countries 2 States 4 Cities 32 58 Reality Stars carne from Countries 2 States 17 Cities 42 159 Volunteers came from Countries 2 States 6 Cities 26 Charities: • Funds are always raised for Michelle's Place Breast Cancer Resource Center. • 11 other Charitable foundations were represented highlighting the work they do. BEAUTY AMY 20130113 IWO, tali WI 1a0/414 hM*SN RsaNn SW t.atxnutr tis oseans. is a maw M IWO Raft ilia via mow vert sots aiesers •sras,aftwI r� T �., a,.w •vWag Vin ,saear slow It Ore NORINIIimos ,a 1 ,e n a,w„rwea •••••••• 11110.4. rIMO% *NMI - X70 GRANT FUNDING PROJECT/PROGRAM DESCRIPTION NOTE: Receipts/invoices will be required to be submitted to the City to demonstrate that your organization used grant funding awarded by the City to support the project/program as described here. See Compliance Report on Application Page 6 for details. 1. Briefly describe the Project/Program (and its objectives) the City of Temecula grant funding will be used to support.s Kr11 �) 1- kot.L i 4) a )A tAIG i EZ -D u Lit/1 t L -NU ES . PC CloPr; i S F' `1 ► U RA L l u OS rOA ✓Y1►[ alt LLLc QLa t✓iry La ftLfD I rRoIMD 1 771QSr • 4111 (.,t; G A tt 1 kk_ L. -U F{ u tiJ ]7tRL r 1 ec(4c,c) (ZES) L Y0 07 to4ys, 2. Describe how your organization will spend the grant funding awarded. Include equipment or services that would be purchased and why. TrAG 1 J Di N c+ 1, )Ou c,1) 3; iv i r i c 4J r14 1 » PACT Du oN l U1) v Wl 1 LH CZLCS ?L c, 774r r D 14,1- P ri)v, ' c � cAlc r -i 0 'irk) ---,111\'J'‘--)6R 1 e, PSD LL ycI7(? Dem.; N LC S -f i — P ti c Cc -r5 3. Explain how the grant funding will sp cifically benefit Temecula residents. n ► kV K-04 LC_ N &z P t� -To CO�.1,T svu -Ft) Pabacc R,r,nLi -\ u opizcps .r C -L K)))-; , 2 } I i ©OS, 0\) F— PCS Pz ► 40 C c— �Y� L T uJkOr►/k Lei i H Pr `)K, so -'t - i y rn; R 149-71- {2 -9-71{2 i 6 iao U L ` �► ti L L4 -0)L- Ili (-tat h W KN) 51i -o r Estimated number of people expected to benefit from this Project/Pr ram: Estimated number of : Iu, eers)involved in this Project/Program: t -U- Lt ht IU tp a t q- k)17-7. L �9 LL vo Application Page 3 of 7 4 In 30 words or less, summarize how the grant funds, if awarded, will be used. IMPORTANT: This summary will be used in a spreadsheet intended to summarize all Community Service Funding Grant Applications, including yours, submitted to the City Council. 1-1cTEt i3LD5 f O'? ( 0J'It'? 6Poi?T c 0-: j e) ,` LL, c.fL LG ) v 1 C CjU f""L_., i C5 F.RL vYt L fl L k"f41C14 i t -ril I21}iLCt40 ?1(7 i ..SC PROJECT/PROGRAM BUDGET PROJECT/PROGRAM BUDGET Line Items for Project/Program Revenues Expenses VARIOUS TYPES OF REVENUES/INCOME FOR THE PROJECT/PROGRAM: Amount of money requested from the City of Temecula Community Support Grant (Not to exceed $5,000) $ /.1-) 5 6Go $ k_)0 k). Cash contributed to Project/Program by the Applicant Organization r\A10DRf►S►N J�-t ) itfktTS�}L�S • SI -6,a Gno�` . Other grants or funding already awarded for Project/Program, if any $ In -Kind match amount or volunteer credit hours estimated amount $6-001000fir. VARIOUS TYPES OF EXPENSES FOR THE SPECIFIC PROJECT/PROGRAM: Staffing expense for Project/Program (this amount is ineligible to be funded by City's Grant; however please include) Equipment expense for Project/Program $ eV Food expense for Project/Program$ 7j3 9-6 Marketing expense for Project/Program a Lirr iIv41 JvZ $ S Sapftkes-expense for Project/Program$ f -CE �;. i eo u.,..,:_ 5 , tt 1 g t. E L.0 pc, NGS $4" '33 3 , Facilities/Rent expense for Project/Program $ -&— Other expense for Project/Program $5q 75 TOTAL BUDGET FOR PROJECT/PROGRAM$ � Lft73 cK L--`/- 0 L—i�;SE S l+ L i Li )TL-Ij Ic , �i' r7 $ ) f `5, Mt j Application Page 4 of 7 PREVIOUS FISCAL YEAR (FY) 2017-2018 COMPLIANCE REPORT If your organization was awarded a Community Service Funding Grant in FY 2017-2018 (last year) by the City of Temecula, please submit this information or the application may be rejected as incomplete. If your organization was NOT awarded a Community Service Funding Grant in FY 2017-2018 (last year), then skip this page. If your organization was awarded a Community Service Funding Grant in Fiscal Year 2017-2018 (last year) by the City of Temecula, all grant funds received must have been expended anytime on or between July 1, 2017, and June 30, 2018. In addition, all grant funds must be substantiated with proper back-up documentation. Failure to provide proper documentation may jeopardize any future funding. City of Temecula reserves the right to conduct an audit and/or require additional back-up information to substantiate how funds received from the City were spent. If the funds were not spent in accordance with the approved purpose stated on the Application, the organization will be required to refund the amount of funds. To substantiate that Fiscal Year 2017-2018 funds received from the City were spent appropriately, proper back-up documentation including the table below with accompanying receipts/invoices, must be submitted to the City on or before due date: Friday, September 21, 2018. EXPENDITURE REPORT due on or before Friday, September 21, 2018 1. Demonstrate that the Community Service Funding Grant specifically benefitted Temecula residents by providing the number of beneficiaries living in 92590, 92591 and 92592 that directly benefitted from this program: (approximate number of beneficiaries if you don't have a precise number): 2. Fill out this table (include additional copies if needed to explain all expenditures) 3. Attach Receipts/Invoices (in the same order as listed in this table) 4. Send to: City of Temecula, 41000 Main St., Temecula, CA 92590, Attn: City Manager's Office - CSF Organization: Name of Project/Program: Amount of Grant Fund Awarded: $ Attachment Date (Mo/oayIYr) Name of Company on Amount on Receipt/Invoice of a Receipt/Invoice Must be dated on or Expenditure between July 1, 2017 - June 30. 2018 Z 1 2 Month + Year Grant Received from City: Describe... (1) what the expenditure was (2) purpose of the expenditure MUST support Project/Program description on Application + Award Letter 3 4 Explain ... how the expenditure specifically benefitted Temecula residents If names/addresses of Temecula beneficiaries are available, please attach 5 EXPENDITURE TOTAL Note: Expenditure Total must be equal to (or $ greater than) the "Amount of Grant Fund Awarded" (above) provided by the Clty Application Page 5 of 7 FISCAL YEAR (FY) 2018-2019 COMPLIANCE REPORT If your organization is awarded a Community Service Funding Grant in FY 2018-2019 by the City of Temecula, then this information is not due until Monday, September 16, 2019 If your organization is awarded a Community Service Funding Grant in Fiscal Year 2018-2019 by the City of Temecula, all grant funds received must be expended anytime on or between July 1, 2018, and June 30, 2019. In addition, all grant funds must be substantiated with proper back-up documentation. Failure to provide proper documentation may jeopardize any future funding. City of Temecula reserves the right to conduct an audit and/or require additional back-up information to substantiate how funds received from the City were spent. If the funds are not spent in accordance with the approved purpose stated on the Application, the organization will be required to refund the amount of funds. To substantiate that Fiscal Year 2018-2019 funds received from the City were spent appropriately, proper back-up documentation including the table below with accompanying receipts/invoices, must be submitted to the City on or before due date: Monday, September 16, 2019. EXPENDITURE REPORT due on or before Monday, September 16, 2019 1. Demonstrate that the Community Service Funding Grant specifically benefitted Temecula residents b+ providing the number of beneficiaries living in 92590, 92591 and 92592 that directly benefitted from thi: program: (approximate number of beneficiaries if you don't have a precise number): 2. Fill out this table (include additional copies if needed to explain all expenditures) 3. Attach Receipts/Invoices (in the same order as listed in this table) 4. Send to: City of Temecula, 41000 Main St., Temecula, CA 92590, Attn: City Manager's Office - CSF Organization: Amount of Grant Fund Awarded: $ Month + Year Grant Received from City: Date (Mo/Day,'Yr) Describe... on Amount (1) what the expenditure was Name of Project/Program: 2 3 4 5 Name of Company on Receipt/Invoice of (2) purpose of the expenditure Receipt/Invoice 1 Must bo dated on or Expenditure between MUST su July 1, 2018 - pport Project/Program Jun. 30, 2019 description on Application . Award Letter I$ Explain ... how the expenditure specifically benefitted Temecula residents If narnms/addresses of Tomecula beneficiaries are available, please attach EXPENDITURE TOTAL Note: Expenditure Total must be equal to (or $ greater than) the "Amount of Grant Fund Awarded" (above) provided by the City Application Page 6 of 7 SIGNATURE PAGE The applicant acknowledges and agrees to the following: • Recipient is subject to all Community Service Funding Program requirements including submittal deadlines and payment disbursements. • Every Community Service Funding application is considered individually and on its own merit. • Awards will be given to organizations and activities that directly benefit the residents of Temecula. • Funding is not immediately available to the recipient, and requires an award letter signature upon approval. Please allow time for checks to be processed. • The awarding of Community Service Funding does not constitute an automatic annual allocation. • The recognition for Community Service Funding should accrue to the City of Temecula. • Community Service Funding must be spent as specified on the Application and records may be requested by the City of Temecula to ensure the funds were used appropriately. • Community Service Funding grants will not be awarded or announced within the 60 days before an election in which an awarding Council Member is on the ballot. • The recipient shall provide a full accounting with documentation on the use of awarded funds. The recipient shall return to the City any funds not spent or documented per the signed agreement. • If awarded a Community Service Funding Grant by the City of Temecula last year, then compliance receipts must be submitted on or before this application's due date or this application may be rejected as incomplete. We hereby certify the information contained in this Application is true to the best of our knowledge and belief. ORGANIZATION NAME: MAILING ADDRESS: PRESIDENT / AUTHORIZED OFFICER: HONE: MAIL: G L 1—w941/4 -t, leZ.0-1 Li T SIGNATURE trt L 1. f,tt J , 2!''1. ' k. DATE: 1), IF DIFFERENT THAN ABOVE, APPICATION PREPARED BY: SUBMIT ORIGINAL APPLICATION BY FRIDAY, SEPTEMBER 21, 2018, TO: City of Temecula Community Service Funding Attn: City Manager's Office 41000 MAIN STREET TEMECULA, CA 92590 If you have any questions please contact Betsy Lowrey at (951) 693-3959 or Stacey Brown at (951) 506-5100. Application Page 7 of 7 REALITY RALLY CODE OF CONDUCT Reality Rally is committed to providing a safe, supportive and positive environment for our stars, volunteers and public. We strive to create a climate of dignity and respect, free from abusive, offensive or harassing behavior. This can only happen when everyone cooperates and agrees to act in a socially and professionally acceptable manner. As a 5o1c(3) organization: ID Reality Rally has an obligation to always do what's best for our charity ene ciary, Michelle's Place as well as our sponsors. We are committed to maintaining the highest degree of integrity in all our dealings with potential, current and past participants. All involved share a responsibility for the best and proper interests of our charity and sponsors. With a global image to consider, we are always mindful of how we, and our charity, are represented in the public eye. Any behavior which reflects poorly on Reality Rally, our charity or our sponsors, or is likely to cause embarrassment or which would be considered offensive to the community or general public, will not be tolerated. Reality Rally reserves the right to refuse participation of any persons in any area of the event that could have a possible negative impact on Reality Rally, our charity or our sponsors, as determined by our management. Details about reality rally inc. Page 1 of 2 Q HELPO MENU Home > Tax Exempt Organization Search > Reality Rally Inc. < Back to Search Results Reality Rally Inc. EIN: Determination Letter 8 A favorable determination letter is issued by the IRS if an organization meets the requirements for tax-exempt status under the Code section the organization applied. Determination Letter: Determination Letter Publication 78 Data a Organizations eligible to receive tax-deductible charitable contributions. Users may rely on this list in determining deductibility of their contributions. On Publication 78 Data List: Yes Deductibility Code: PC Page Last Reviewed or Updated: 6 -Jul -2018 IRS r► Share g Print 1 IJDinD https://apps.irs.gov/app/eos/displayAll.do?dispatchMethod=displayAlllnfo&Id=877490&e... 9/27/2018 Details about reality rally inc. Page 2 of 2 Our Agency About IRS Work at IRS Help Contact Your Local Office Know Your Rights Taxpayer Bill of Rights Taxpayer Advocate Service Accessibility Civil Rights Tax Stats, Facts & Figures Freedom of Information Act No Fear Act Privacy Policy Resolve an Issue Other Languages Related Sites Respond to a Notice Office of Appeals Identity Theft Protection Espanol 1 -• of PyCCKI1 Report Phishing Tieng Viet Tax Fraud & Abuse U.S. Treasury Treasury Inspector General for Tax Administration U SA. gov https://apps. irs. gov/app/eos/displayAll.do?dispatchMethod=displayAlllnfo&Id=877490&e... 9/27/2018 INTERNAL REVENUE SERVICE P. 0. BOX 2508 CINCINNATI, OH 45201 Date: J U I 29 201A iiiiiiiiiiiiiiiiiiill Dear Applicant: DEPARTMENT OF THE TREASURY EmDloygr Identification Number: DLN: Contact Person: PAULA J MOLL-MALONE ID# 31262 Contact Telephone Number: (877) 829-5500 Accounting Period Ending: April 30 Public Charity Status: 170(b)(1)(A)(vi) Form 990/990-EZ/990-N Required: Yes Effective Date of Exemption: December 17, 2015 Contribution Deductibility: Yes Addendum Applies: No We're pleased to tell you we determined you're exempt from federal income tax under Internal Revenue Code (IRC) Section 501(c)(3). Donors can deduct contributions they make to you under IRC Section 170. You're also qualified to receive tax deductible bequests, devises, transfers or gifts under Section 2055, 2106, or 2522. This letter could help resolve questions on your exempt status. Please keep it for your records. Organizations exempt under IRC Section 501(c)(3) are further classified as either public charities or private foundations. We determined you're a public charity under the IRC Section listed at the top of this letter. If we indicated at the top of this letter that you're required to file Form 990/990-EZ/990-N, our records show you're required to file an annual information return (Form 990 or Form 990 -EZ) or electronic notice (Form 990-N, the e -Postcard). If you don't file a required return or notice for three consecutive years, your exempt status will be automatically revoked. If we indicated at the top of this letter that an addendum applies, the enclosed addendum is an integral part of this letter. For important information about your responsibilities as a tax-exempt organization, go to www.irs.gov/charities. Enter "4221 -PC" in the search bar to view Publication 4221 -PC, Compliance Guide for 501(c)(3) Public Charities, which describes your recordkeeping, reporting, and disclosure requirements. Letter 947 -2 - REALITY RALLY INC Sincerely, Jeffrey I. Cooper Director, Exempt Organizations Rulings and Agreements Letter 947 FY 2018/2019 COMMUNITY SERVICE FUNDING GRANT APPLICATION # 21 ROSE AGAIN FOUNDATION CITY OF TEMECULAI. FISCAL YEAR 2018.20 19 COMMUNITY SERVICE FUNDING PROGRAM APPLICATION (Please Print or Type) DUE ON OR BEFORE: FRIDAY, SEPTEMBER 21, 2018 PROJECT/PROGRAM INFORMATION Amount Requested: $ $5'000' (Maximum allowable $5,000 per Organization) Project/Program Title: Soar Programs Start Date. July o1, 201 Start Date: June 30, 2019 If Grant is Awarded, Make Check Payable to: Rose Again Foundation Mailing Address: ORGANIZATION AND GEOGRAPHIC AREA SERVED Rose Again Foundation Name of Applicant Organization: Year Organization Founded: 2013 Website: RoseAgainFoundation.org Number of Paid Staff: none Number of Volunteers: 80+ Contact Name: Rhonda Reinke Rhonda@ RoseAgainFoundation.o Contact Person's Email Address: Telephone: Geographic Area(s) the Organization Serves: Cities of Temecula and Murrieta Geographic Area(s) the Project/Program Serves: (NOTE: Community Service Funding Grant must be exclusively used to serve Temecula.) Temecula Include Physical Address of Project/Program: (if different than Organization's Mailing Address) Various locations throughout Temecula including City of Temecula recreation centers and activities. Title/Position: C.E.O. NONPROFIT STATUS Is this organization incorporated as a nonprofit? Yes X No (If No, then ineligible to receive City Funding) Date of Incorporation as a Nonprofit: June 03, 2014 Federal Identification Number: State Identifidation Number Print out and attach to this application Verification from Federal (IRS) and State (FTB) as follows: 1. Attach IRS Deductibility Status using this link: nttp /tapps irs qov%app/eosi 2. Attach State Entity Status Letter using this Zink: dcs , . ww ttr' ,, '',' n ane/se,f - rr t ,can„ +ette'/index ayo 3. Attach first page only of most recent IRS Form 990 or attach print out of detailed information about your charity found on this State Registry's Search Tool: http firct dol ca qov/VerificationfWeb/Search.aspx?facility=Y RECEIVED Application Page 1 of 7 CITY MANAGER'S OFFICE Has the organization or any members of the Board of Directors of the organization been involved with any personal business transactions valued over $500 including any business transactions, negotiations, investments, or interests in real property with a Temecula City Council Member during the past 12 months? No X Yes If Yes, briefly describe: Is a Temecula City Council Member a member of the Board of Directors or an Officer of the organization? No X Yes If Yes, provide Council Member's Name and title within the organization: This Application has been authorized by the organization's: Executive Committee Board of Directors X Members -at -Large FINANCIAL STATEMENTS Upon request, copies of the current budget of the organization / financial statements (balance statement and income statement), and if available CPA's audit, may be needed to demonstrate sound financial management. Do not submit now. CITY OF TEMECULA FUNDING — OTHER SOURCES Within the past two years, has your organization received (or is your organization concurrently requesting) any other sources of funding from the City of Temecula? No_ YesX If Yes, provide information in table below: Name of Funding Program from City (CDBG Grant? CSF Grant? Sponsorship?) Program, Project or Service(s) that was funded by the City Grant or Sponsorship Month and Year Grant or Sponsorship Received Amount Please see attachment A $ $ $ $ MISSION STATEMENT OF ORGANIZATION Briefly describe the goals and objectives, or mission, of your organization. Rose Again Foundation provides programs that help severely neglected, abused, traumatized foster children acclimate to their new surroundings, catch up to their grade level at school, make new friends, improve self worth and begin to heal from the trauma and the loss and separation from family. Application Page 2 of 7 Grant Attachment "A" Grants Received to date as of September 01, 2018 Other Sources of Grant Funding or Economic Development Sponsorships from the City Type of Grant Program/Project/Service Month/Year Amount City CSF Kids of Summer 12-17-15 $2,000. Council CSF - JC Kids of Summer 3-17-16 $1,250. ME Kids of Summer 3-17-16 $1,000. MN Kids of Summer 3-17-16 $ 500. MR KOS / New Shoes 3-31-16 $1,000. MM KOS /Thrive Box 3-31-16 $1,000. Council CSF - MN BTC Holiday program 9-01-16 $1,000. Council CSF - JC Kids of Summer/Kids Soar 9-01-16 $1,000. ME Kids of Summer/Kids Soar 9-01-16 $1,500. MM Kids of Summer/Kids Soar 9-01-16 $1,000. MN Kids of Summer/Kids Soar 9-01-16 $1,000. MR Kids of Summer/Kids Soar 9-01-16 $1,000. City CSF Council CSF - JC Council CSF - JS Council CSF - ME City CSF Kids of Summer/Kids Soar 1-12-17 $1,768.84 Financial Aid Program 8-10-17 $1,000. Kids of Summer / Kids Soar 8-10-17 $1,000. Bless the Children Event 11-16-17 $1,250. Emergency Placement / KS 12-14-17 $5,000. Council CSF - JC Kids Soar Programs 7-11-18 $2,250. Council CSF - ME Kids Soar Programs 7-11-18 $ 500. Council CSF - JS Kids Soar Programs 7-11-18 $. 250. Thank you City of Temecula and Council Members for your continued support! We appreciate you! GrantAttachmentA Sept/2018 GRANT FUNDING PROJECT/PROGRAM DESCRIPTION NOTE: Receipts/invoices will be required to be submitted to the City to demonstrate that your organization used grant funding awarded by the City to support the project/program as described here. See Compliance Report on Application Page 6 for details. 1. Briefly describe the Project/Program (and its objectives) the City of Temecula grant funding will be used to support. Kids Soar - Emergency Placement Gifting provides new clothing, basic necessities, handmade blanket and cards, to a child placed quickly with only the clothes on their back. Special need items and tutoring are available. Kids Soar - New Shoes Program - provides new, quality, properly fit shoes to foster children in need. Kids Soar - Extra Curricular Activities Program - provides financial assistance for foster children to take part in the activity of their choice. The kids learn, achieve, make new friends and just get to be a kid again! 2. Describe how your organization will spend the grant funding awarded. Include equipment or services that would be purchased and why. The grant funding will be used to provide the Kids Soar services listed above. We have found that not just one, but a combination of the three programs brings the quickest and greatest amount of healing to the children. Funds will be used for clothing, shoes, tutoring, special need items and extra curricular activities. Many of the activity programs are City programs offered at the Recreation Centers, B & G Clubs, local businesses, and churches. Day and week camps are also a part of Kids Soar - Extra Curricular Activities. 3. Explain how the grant funding will specifically benefit Temecula residents. The children we serve are our neighbors. They go to school with our kids and grandkids. They will grow up to be neighbors with families of their own some day. These precious broken children need and deserve our support. Estimated number of people expected to benefit from this Project/Program: 6o to 80 Estimated number of volunteers involved in this Project/Program: 12 + Application Page 3 of 7 4. In 30 words or less, summarize how the grant funds, if awarded, will be used. IMPORTANT: This summary will be used in a spreadsheet intended to summarize all Community Service Funding Grant Applications, including yours, submitted to the City Council. Funds used to provide clothing, basic necessities, tutoring and special needs to emergency placement children. Followed up by financial assistance for the child to take part in the extra curricular activity of their choice. PROJECT/PROGRAM BUDGET PROJECT/PROGRAM BUDGET Line Items for Project/Program Revenues Expenses VARIOUS TYPES OF REVENUES/INCOME FOR THE PROJECT/PROGRAM: Amount of money requested from the City of Temecula Community Support Grant (Not to exceed $5,000) $ 5,000. Cash contributed to Project/Program by the Applicant Organization $ 5,000. Other grants or funding already awarded for Project/Program, if any $ 0. In -Kind match amount or volunteer credit hours estimated amount $ 11,000. VARIOUS TYPES OF EXPENSES FOR THE SPECIFIC PROJECT/PROGRAM: Staffing expense for Project/Program (this amount is ineligible to be funded by City's Grant; however please include) $ O. Equipment expense for Project/Program $ O. Food expense for Project/Program $ $ O. O. Marketing expense for Project/Program Supplies expense for Project/Program $ O. Facilities/Rent expense for Project/Program $ $ 0. 21,000. Other expense for Project/Program TOTAL BUDGET FOR PROJECT/PROGRAM $ 21,000. $ 21,000. Application Page 4 of 7 PREVIOUS . iSCAL YEAR (FY) 2017-2018 COMPL.,-ACE REPORT If your organization was awarded a Community Service Funding Grant in FY 2017-2018 (last year) by the City of Temecula, please submit this information or the application may be rejected as incomplete. If your organization was NOT awarded a Community Service Funding Grant in FY 2017-2018 (last year), then skip this page. If your organization was awarded a Community Service Funding Grant in Fiscal Year 2017-2018 (last year) by the City of Temecula, all grant funds received must have been expended anytime on or between July 1, 2017, and June 30, 2018. In addition, all grant funds must be substantiated with proper back-up documentation. Failure to provide proper documentation may jeopardize any future funding City of Temecula reserves the right to conduct an audit and/or require additional back-up information to substantiate how funds received from the City were spent. If the funds were not spent in accordance with the approved purpose stated on the Application, the organization will be required to refund the amount of funds. To substantiate that Fiscal Year 2017-2018 funds received from the City were spent appropriately, proper back-up documentation including the table below with accompanying receipts/invoices, must be submitted to the City on or before due date: Friday, September 21, 2018. EXPENDITURE REPORT due on or before Friday, September 21, 2018 1 2. 3. 4. Organization: Amount Demonstrate that the Community Service Funding Grant specifically benefitted providing the number of beneficiaries living in 92590, 92591 and 92592 that directly program: (approximate number of beneficiaries if you don't have a precise number): Fill out this table (include additional copies if needed to explain alt expenditures) Attach Receipts/Invoices (in the same order as listed in this table) Send to: City of Temecula, 41000 Main St., Temecula, CA 92590, Attn: City Manager's Rose Foundation Name of Project/Program: Temecula residents by benefitted from this 76 Office - CSF Kids Soar of Grant Fund Awarded: $ 5,000. Month + Year Grant Received Programs from City: 12/2017 =Name E v - = 7 Q Z of Company on Receipt/Invoice Date (NoIDayIYr) on Receipt/Invoice Must be dated on or between July 1, 2017 - June 30. 2018 Amount of Expenditure Describe... (1) what the expenditure was (2) purpose of the expenditure MUST support Project/Program description on Application + Award Letter Explain ... how the expenditure specifically benefitted Temecula residents If names/addresses of Temecula beneficiaries are available, please attach 1 Please see attachment B $ 2 $ 3 $ 4 $ 5 $ Note: greater EXPENDITURE TOTAL Expenditure Total must be equal to (or $ than) the "Amount of Grant Fund Awarded" (above) provided by the City Application Page 5 of 7 SIGNATURE PAGE The applicant acknowledges and agrees to the following: • Recipient is subject to all Community Service Funding Program requirements including submittal deadlines and payment disbursements. • Every Community Service Funding application is considered individually and on its own merit. • Awards will be given to organizations and activities that directly benefit the residents of Temecula. • Funding is not immediately available to the recipient, and requires an award letter signature upon approval. Please allow time for checks to be processed. • The awarding of Community Service Funding does not constitute an automatic annual allocation. • The recognition for Community Service Funding should accrue to the City of Temecula. • Community Service Funding must be spent as specified on the Application and records may be requested by the City of Temecula to ensure the funds were used appropriately. • Community Service Funding grants will not be awarded or announced within the 60 days before an election in which an awarding Council Member is on the ballot. • The recipient shall provide a full accounting with documentation on the use of awarded funds. The recipient shall return to the City any funds not spent or documented per the signed agreement. • If awarded a Community Service Funding Grant by the City of Temecula last year, then compliance receipts must be submitted on or before this application's due date or this application may be rejected as incomplete We hereby certify the information contained in this Application is true to the best of our knowledge and belief. ORGANIZATION NAME: Rose Again Foundation MAILING ADDRESS: PRESIDENT / AUTHORIZED OFFICER: PHONE: rhonda@roseagainfoundation.org EMAIL: Jeffrey Dixon President Print Name Title SIGNATURE: DATE: 9-04-2018 IlJl�f[�_ (Month, Day, Year) IF DIFFERENT THAN ABOVE, APPICATION PREPARED BY: Rhonda Reinke C.E.O. Print Name SUBMIT ORIGINAL APPLICATION BY FRIDAY, SEPTEMBER 21, 2018, TO: City of Temecula Community Service Funding Attn: City Manager's Office 41000 MAIN STREET TEMECULA, CA 92590 If you have any questions please contact Betsy Lowrey at (951) 693-3959 or Stacey Brown at (951) 506-5100. Application Page 7 of 7 STATE OF CALIFORNIA FRANCHISE TAX BOARD PO BOX 942857 SACRAMENTO CA 94257-0540 Entity Status Letter Date: 9/26/2018 ESL ID: 3574360478 According to our records, the following entity information is true and accurate as of the date of this letter Entity ID: Entity Name: ROSE AGAIN FOUNDATION Iv l 1. The entity is in good standing with the Franchise Tax Board. 2. The entity is not in good standing with the Franchise Tax Board. U3. The entity is currently exempt from tax under Revenue and Taxation Code (R&TC) Section 23701 d. I4. We do not have current information about the entity. The above information does not necessarily reflect: • The entity's status with any other agency of the State of California, or other government agency. • If the entity's powers, rights, and privileges were suspended or forfeited at any time in the past, or the entity did business in California at a time when it was not qualified or not registered to do business in California: o The status or voidability of any contracts made in California by the entity at a time when the entity was suspended or forfeited (R&TC Sections 23304.1, 23304.5, 23305a, 23305.1). o For entities revived under R&TC Section 23305b, any time limitations on the revivor or limitation of the functions that can be performed by the entity. Internet and Telephone Assistance Website: ftb.ca.gov Telephone: 800.852.5711 from within the United States 916.845.6500 from outside the United States TTY/TDD: 800.822.6268 for persons with hearing or speech impairments FTB 4263A WEB (NEW 02-2012) Details about rose again foundation Page 1 of 3 Q HELPS MENU }tome > Tax Exempt Organization Search > Rose Again Foundation < Back to Search Results Rose Again Foundation EIN: Publication 78 Data o Organizations eligible to receive tax-deductible charitable contributions. Users may rely on this list in determining deductibility of their contributions. On Publication 78 Data List: Yes Deductibility Code: PC Form 990-N (e -Postcard) o Organizations who have filed a 990-N (e -Postcard) annual electronic notice. Most small organizations that receive less than $50,000 fall into this category. Tax Year 2016 Form 990-N (e -Postcard) Tax Period: 2016 (07/01/2016 - 06/30/2017) EIN: Legal Name (Doing Business as): Rose Again Foundation Mailing Address: Principal Officer's Name and Address: Jeffrey Dixon https://apps.irs.gov/app/eos/displayAll.do?dispatchMethod=displayAlllnfo&Id=4519061 &... 9/26/2018 Details about rose again foundation Page 2 of 3 roes receip s no greater than: $50,000 Organization has terminated: No Website URL: www.RoseAgainFoundat ion.org Tax Year 2015 Form 990-N (e -Postcard) Tax Year 2014 Form 990-N (e -Postcard) > Tax Year 2013 Form 990-N (e -Postcard) Page Last Reviewed or Updated: 6 -Jul -2018 1 IRS Our Agency About IRS Work at IRS Help Contact Your Local Office Tax Stats, Facts & Figures Know Your Rights Taxpayer Bill of Rights Taxpayer Advocate Service Accessibility Civil Rights Freedom of Information Act No Fear Act r► Share $ Print IDino 1 Resolve an Issue Other Languages Related Sites Respond to a Notice Office of Appeals Identity Theft Protection Espanol 4 PyccKI1 Report Phishing TiengVigt Tax Fraud & Abuse U.S. Treasury Treasury Inspector General for Tax Administration U SA. gov https://apps. irs.gov/app/eos/displayAll. do?dispatchMethod=displayAlllnfo&Id=4519061 &... 9/26/2018 FY 2018/2019 COMMUNITY SERVICE FUNDING GRANT APPLICATION # 22 ROTARY CLUB TEMECULA FOUNDATION Cf i Y OF TEMECULk REctvE0 FISCAL YEAR 201 8-201 9 COMMUNITY SERVICE FUNDING PROGRAM APPLII0 4 i1l�l (Please Print or Type) ``r1Cc k'S DUE ON OR BEFORE: FRIDAY, SEPTEMBER 21, 2018 PROJECT/PROGRAM INFORMATION Amount Requested $ 5000 (Maximum allowable $5,000 per Organization) Project/Program Title: Food baskets for low-income Start Date. 10-2018 End Date 4-2019 If Grant is Awarded, Make Check Payable to: Rotary Club of Temecula Foundation Mailing Address: ORGANIZATION AND GEOGRAPHIC AREA SERVED Name of Applicant Organization: Rotary Club of Temecula Foundatipt%ar Organization Founded. 1999 Website: www temecularotary net Number of Paid Staff: 1 Number of Volunteers: 200 Contact Name Craig Davis Title/Position President 18-19 Contact Persons Email Address: elephone: Geographic Area(s) the Organization Serves Temecula Geographic Area(s) the Project/Program Serves (NOTE: Community Service Funding Grant must be exclusively used to serve Temecula.) Temecula Include Physical Address of Project/Program: (if different than Organization's Mailing Address) NONPROFIT STATUS Is this organization incorporated as a nonprofit? Yes x No (If No. then ineligible to receive City Funding) Date of Incorporation as a Nonprofit. 5-4-1999 Federal Identification Number- State Identification Number. Print out and attach to this application Verification from Federal (IRS) and State (FTB) as follows. 1 Attach IRS Deductibility Status using this Zink: http://apps irs qov/app/eos/ 2. Attach State Entity Status Letter using this link: https:l/www.ftb.caaov/online/self serve entit statusfir �i _ 3 Attach first page only of most recent IRS Form 990 or attach print out of detailed info ,A t- R charity found on this State Registry's Search Tool: hit .i/ ct.do .ca. ov/Verification/Web/Se ,1iL4"as. Application Page 1 of 7 Has the organization or any members of the Board of Directors of the organization been involved with any personal business transactions valued over $500 including any business transactions, negotiations, investments, or interests in real property with a Temecula City Council Member during the past 12 months? No x Yes If Yes, briefly describe Is a Temecula City Council Member a member of the Board of Directors or an Officer of the organization? No x Yes if Yes, provide Council Member's Name and title within the organization: This Application has been authorized by the organization's: Executive Committee Board of Directors x Members -at -Large FINANCIAL STATEMENTS Upon request, copies of the current budget of the organization / financial statements (balance statement and income statement), and if available CPA's audit, may be needed to demonstrate sound financial management. Do not submit now. CITY OF TEMECULA FUNDING — OTHER SOURCES Within the past two years, has your organization received (or is your organization concurrently requesting) any other sources of funding from the City of Temecula? No_ Yes_ If Yes, provide information in table below Name of Funding Program from City (CDBG Grant? CSF Grant? Sponsorship?) Program, Project or Service(s) that was funded by the City Grant or Sponsorship Month and Year Grant or Sponsorship Received Amount CSF 2017 food baskets for military, families, seniors jan 2018 $ 5000 CSF 2016 food baskets for military, families, seniors jan 2017 $ 4768 CSF 2015 food baskets for military, families, seniors jan 2016 $ 5000 $ MISSION STATEMENT OF ORGANIZATION Briefly describe the goals and objectives, or mission, of your organization. Rotary International Motto is "Service above Self' and it is the goal of the Rotary Temecula Noon Club to serve those in need (families, children, military, veterans, and seniors) with food baskets, baby goods, and seniors with yard maintenance needs in Temecula. Application Page 2 of 7 GRANT FUNDING PROJECT/PROGRAM DESCRIPTION NOTE: Receipts/invoices will be required to be submitted to the City to demonstrate that your organization used grant funding awarded by the City to support the project/program as described here. See Compliance Report on Application Page 6 for details 1. Briefly describe the Project/Program (and its objectives) the City of Temecula grant funding will be used to support. Rotary Temecula Noon Club thanks City of Temecula for previous years funding and requests funding for 1)food baskets for families in need during the holidays; 2) toys and gifts for low-income families in need during the holidays; 3) baby goods for miliary families living here in Temecula; 4) specialized care items for wounded veterans to participate in WAVES (scubadiving for disabled veterans; 5) food. home and yard care for seniors in need Target Population: Families identified by TVUSD, Michelle's Place. SAFE, WAVES, and Camp Pendleton. 2. Describe how your organization will spend the grant funding awarded. Include equipment or services that would be purchased and why. In fiscal year 17-18, more than 345 families were served during the holidays with food /gift baskets. hams, turkeys, gilt cards. toys and bikes, (members donate canned and boxed non-perishable food items,. bikes. ) and use grant funds to purchase turkeys, hams and gift cards from grocery or other store to maximize food/holiday baskets In addition, the Senior Committee works with the Mary Phillips Senior Center and fulfills senior housing and yard needs with volunteer workers visiting and helping out; the Military Committee works with the FRO at Camp Pendleton and identifies families in need residing in Temecula that are assisted with baby goods, respite care and/or specialized care for disabled veterans 3. Explain how the grant funding will specifically benefit Temecula residents. The target population is identified by school personnel within the Temecula Valley Unified School Distnct who identify students of low-income families in Temecula, Michelle's Place -identifies families of clients going through cancer treatements in Temecula; the Family Readiness Officer of Camp Pendleton gives a list to the Military Committee of families living in Temecula; and the Mary Phillips Senior Center works with the club Senior Committee to identify seniors who need home and yard maintenance in Temecula Estimated number of people expected to benefit from this Project/Program: 120o Estimated number of volunteers involved in this Project/Program: 200 Application Page 3 of 7 4. In 30 words or less, summarize how the grant funds, if awarded, will be used. IMPORTANT: This summary will be used in a spreadsheet intended to summarize all Community Service Funding Grant Applications, including yours, submitted to the City Council. Use funds to purchase turkeys, hams and gift cards to supplement food/gift baskets for military families, seniors, and students from low-income families identified by TVUSD, other nonprofit agencies PROJECT/PROGRAM BUDGET PROJECT/P ROGRAM B U DG ET Line Items for Project/Program Revenues Expenses VARIOUS TYPES OF REVENUES/INCOME FOR THE PROJECT/PROGRAM: Amount of money requested from the City of Temecula Community Support Grant (Not to exceed $5,000) $ 5000 Cash contributed to Project/Program by the Applicant Organization $ 5000 Other grants or funding already awarded for Project/Program, if any $ 5000 In -Kind match amount or volunteer credit hours estimated amount $ 10000 VARIOUS TYPES OF EXPENSES FOR THE SPECIFIC PROJECT/PROGRAM: Staffing expense for Project/Program (this amount is ineligible to be funded by City's Grant; however please include) $ 0 Equipment expense for Project/Program $ 0 Food expense for Project/Program $ 25000 Marketing expense for Project/Program $ $ a 0 Supplies expense for Project/Program Facilities/Rent expense for Project/Program $ 0 Other expense for Project/Program $ 25,000 $ 0 TOTAL BUDGET FOR PROJECT/PROGRAM $ 25,000 Application Page 4 of 7 PREVIOUS FISCAL YEAR (FY) 2017-2018 COMPLIANCE REPORT If your organization was awarded a Community Service Funding Grant in FY 2017-2018 (last year) by the City of Temecula. please submit this information or the application may be rejected as incomplete. If your organization was NOT awarded a Community Service Funding Grant in FY 2017-2018 (last year). then skip this page. If your organization was awarded a Community Service Funding Grant in Fiscal Year 2017-2018 (last year) by the City of Temecula, all grant funds received must have been expended anytime on or between July 1 2017. and June 30, 2018. In addition. all grant funds must be substantiated with proper back-up documentation. Failure to provide proper documentation may jeopardize any future funding. City of Temecula reserves the right to conduct an audit and/or require additional back-up information to substantiate how funds received from the City were spent. If the funds were not spent in accordance with the approved purpose stated on the Application, the organization will be required to refund the amount of funds. To substantiate that Fiscal Year 2017-2018 funds received from the City were spent appropriately. proper back-up documentation including the table below with accompanying receipts/invoices, must be submitted to the City on or before due date: Friday, September 21, 2018. EXPENDITURE REPORT due on or before Friday, September 21, 2018 1 Demonstrate that the Community Service Funding Grant specifically benefitted Temecula residents by providing the number of beneficiaries living in 92590, 92591 and 92592 that directly benefitted from this program- (approximate number of beneficiaries if you don't have a precise number): 2. Fill out this table (include additional copies if needed to explain all expenditures) 3. Attach Receipts/Invoices (in the same order as listed in this table) 4. Send to. City of Temecula, 41000 Main St.. Temecula, CA 92590, Attn: City Manager's Office - CSF 1200 Organization: Rotary Gob of Temecula Foundation Amount of Grant Fund Awarded: $ sow Attachment v E Z Name of Company on Receipt/Invoice 1 Date (Mo/Day/Yr) on Receiptllnvoice Must be dated on or between July 1, 2017 - June 30, 2018 Name of Project/Program: Month + Year Grant Received from City: ,an 20'3 TDescribe... Explain ... (1) what the expenditure was how the expenditure (2) purpose of the expenditure specifically benefitted Temecula residents If namesladdresses of Temecula beneficiaries are available, please attach Amount of Expenditure MUST support ProlecuProgram description on Application + Award Letter Winco Foods 12-21-17 2 3 Winco Foods 4 Target $ 3750 12/22/2017 $ 96.77 Gift cards to supplement food baskets students identifed by TVUSD Hams for families military . ramifies. seniors 12/21/2017 $ 3.750.00 Gift cards for food and toys„ goods military, famdies, seniors $ "all rosining in Ta.nd,da EXPENDITURE TOTAL Note: Expenditure Total must be equal to (or greater than) the "Amount of Grant Fund Awarded" (above) provided by the City $ %596 77 Application Page 5 of 7 FISCAL YEAR (FY) 2018-2019 COMPLIANCE REPORT If your organization is awarded a Community Service Funding Grant in FY 2018-2019 by the City of Temecula, then this information is not due until Monday, September 16, 2019 If your organization is awarded a Community Service Funding Grant in Fiscal Year 2018-2019 by the City of Temecula, all grant funds received must be expended anytime on or between July 1, 2018, and June 30, 2019. In addition, all grant funds must be substantiated with proper back-up documentation. Failure to provide proper documentation may jeopardize any future funding. City of Temecula reserves the right to conduct an audit and/or require additional back-up information to substantiate how funds received from the City were spent. If the funds are not spent in accordance with the approved purpose stated on the Application, the organization will be required to refund the amount of funds. To substantiate that Fiscal Year 2018-2019 funds received from the City were spent appropriately, proper back-up documentation including the table below with accompanying receipts/invoices, must be submitted to the City on or before due date: Monday, September 16, 2019. EXPENDITURE REPORT due on or before Monday, September 16, 2019 1 Demonstrate that the Community Service Funding Grant specifically benefitted Temecula residents by providing the number of beneficiaries living in 92590, 92591 and 92592 that directly benefitted from this program: (approximate number of beneficiaries if you don't have a precise number). 2. Fill out this table (include additional copies if needed to explain all expenditures) 3. Attach Receipts/Invoices (in the same order as listed in this table) 4. Send to: City of Temecula, 41000 Main St., Temecula, CA 92590. Attn: City Manager's Office - CSF Organization: Name of Project/Program: Amount of Grant Fund Awarded: $ Month + Year Grant Received from City: Date (Mo/oayNr) Name of Company on on Receipt/Invoice Receipt/Invoice Must be dated on or between July 1, 2018 - June 30, 2019 - Amount of Expenditure Describe... Explain ... (1) what the expenditure was how the expenditure (2) purpose of the expenditure specifically benefitted Temecula residents If names/addresses of Temecula beneficiaries are available, please attach MUST support Project/Program description on Application + Award Letter $ $ EXPENDITURE TOTAL Note: Expenditure Total must be equal to (or $ greater than) the "Amount of Grant Fund Awarded" (above) provided by the City Application Page 6 of 7 SIGNATURE PAGE The applicant acknowledges and agrees to the following: • Recipient is subject to all Community Service Funding Program requirements including submittal deadlines and payment disbursements. • Every Community Service Funding application is considered individually and on its own merit. • Awards will be given to organizations and activities that directly benefit the residents of Temecula. • Funding is not immediately available to the recipient, and requires an award letter signature upon approval. Please allow time for checks to be processed. • The awarding of Community Service Funding does not constitute an automatic annual allocation. • The recognition for Community Service Funding should accrue to the City of Temecula. • Community Service Funding must be spent as specified on the Application and records may be requested by the City of Temecula to ensure the funds were used appropriately. • Community Service Funding grants will not be awarded or announced within the 60 days before an election in which an awarding Council Member is on the ballot. • The recipient shall provide a full accounting with documentation on the use of awarded funds. The recipient shall return to the City any funds not spent or documented per the signed agreement. • If awarded a Community Service Funding Grant by the City of Temecula last year, then compliance receipts must be submitted on or before this application's due date or this application may be rejected as incomplete. We hereby certify the information contained in this Application is true to the best of our knowledge and belief. ORGANIZATION NAME: Rotary Club of Temecula Foundation MAIUNG ADDRESS: PHONE: EMAIL: PRESIDENT / AUTHORIZED OFFICER: SIGNATURE: • Craig Davis President 18-19 IF DIFFERENT THAN ABOVE, APPICATION PREPARED BY: Nonprofit Growth and Grants DATE: 7" 71,� SUBMIT ORIGINAL APPLICATION BY FRIDAY, SEPTEMBER 21, 2018, TO: City of Temecula Community Service Funding Attn: City Manager's Office 41000 MAIN STREET TEMECULA, CA 92590 If you have any questions please contact Betsy Lowrey at (951) 693-3959 or Stacey Brown at (951) 506-5100. Application Page 7 of 7 STATE OF CALIFORNIA FRANCHISE TAX BOARD PO BOX 942857 SACRAMENTO CA 94257-0540 Entity Status Letter Date: 9/6/2018 ESL ID: 3676133519 According to our records, the following entity information is true and accurate as of the date of this letter. Entity ID: Entity Name: ROTARY CLUB OF TEMECULA FOUNDATION ✓❑ 1. The entity is in good standing with the Franchise Tax Board. ri2. The entity is not in good standing with the Franchise Tax Board. 3. The entity is currently exempt from tax under Revenue and Taxation Code (R&TC) Section 23701 d. 4. We do not have current information about the entity. The above information does not necessarily reflect: • The entity's status with any other agency of the State of Califomia, or other government agency. If the entity's powers, rights, and privileges were suspended or forfeited at any time in the past, or the entity did business in California at a time when it was not qualified or not registered to do business in California: o The status or voidability of any contracts made in Califomia by the entity at a time when the entity was suspended or forfeited (R&TC Sections 23304.1, 23304.5, 23305a, 23305.1). For entities revived under R&TC Section 23305b, any time limitations on the revivor or limitation of the functions that can be performed by the entity. Internet and Telephone Assistance Website: ftb.ca.gov Telephone: 800.852.5711 from within the United States 916.845.6500 from outside the United States TTY/TDD: 800.822.6268 for persons with hearing or speech impairments FTB 4263A WEB (NEW 02-2012) Q HELPS MENU Home > Tax Exempt Organization Search > Rotary Club Of Temecula Foundation <Backto Search Results Rotary Club Of Temecula Foundation EIN: Publication 78 Data e Organizations eligible to receive tax-deductible charitable contributions. Users may rely on this list in determining deductibility of their contributions. On Publication 78 Data List: Yes Deductibility Code: PC Copies of Returns (990, 990 -EZ, 990 -PF, 990-T) o Electronic copies (images) of Forms 990, 990 -EZ, 990 -PF or 990-T returns filed with the IRS by charities and non -profits. Tax Year 2016 Form 990EZ Page Last Reviewed or Updated: 6 -Jul -2018 ' Share 1 ( Q Print / OD) FY 2018/2019 COMMUNITY SERVICE FUNDING GRANT APPLICATION # 23 SAFE ALTERNATIVES FOR EVERYONE CITY OF TEMECLTLA 123 FISCAL YEAR 2018-2019 COMMUNITY SERVICE FUNDING PROGRAM APPLICA (Please Print or Type) DUE ON OR BEFORE: FRIDAY, SEPTEMBER 21, 2018 PROJECT/PROGRAM INFORMATION Amount Requested $ 5,000.00 Project/Program Title: Creating SAFE Families (Maximum allowable $5,000 per Organization) Start Date 10/01/2018 End Date: 09/30/2018 If Grant is Awarded, Make Check Payable to: SAFE Alternatives for Everyone Mailing Address: ORGANIZATION AND GEOGRAPHIC AREA SERVED Name of Applicant Organization: SAFE Alternatives for Every Year Organization Founded:1998 Website: www.safefamiliesca.org Number of Paid Staff: 10 Number of Volunteers: 40 Contact Name Katie Gilbertson Title/Position: Program Director Contact Person's Email Address: katiegilbertson@rivcoda Telephone - Geographic Area(s) the Organization Serves Riverside County Geographic Area(s) the Project/Program Serves: (NOTE: Community Service Funding Grant must be exclusively used to serve Temecula.) Temecula Include Physical Address of Project/Program: (if different than Organization's Mailing Address) 28910 Pujol Street, Temecula Ca 92590 NONPROFIT STATUS Is this organization incorporated as a nonprofit? Yes I No D (If No, then ineligible to receive City Funding) Date of Incorporation as a Nonprofit 1998 Federal Identification Number: State Identification Number Print out and attach to this application Verification from Federal (IRS) and State (FTB) as follows: 1. Attach IRS Deductibility Status using this link: rittp.,apt .irs auvrappreos, 2. Attach State Entity Status Letter using this link: naps ,iwww ftb ca aovri,' (t 3. Attach first page only of most recent IRS Form 990 or attach print out of detailed information about your charity found on this State Registry's Search Tool: http.//rct.dot.ca.aovNeritication/Web/Search.asox?faaGtY=Y Application Page 1 of 7 Has the organization or any members of the Board of Directors of the organization been involved with any personal business transactions valued over $500 including any business transactions, negotiations, investments, or interests in real property with a Temecula City Council Member during the past 12 months'? No ✓ Yes If Yes, briefly describe: Is a Temecula City Council Member a member of the Board of Directors or an Officer of the organization? No Yes If Yes, provide Council Member's Name and title within the organization: No This Application has been authorized by the organization's: Executive Committee P1 Board of Directors Members -at -Large FINANCIAL STATEMENTS Upon request, copies of the current budget of the organization / financial statements (balance statement and income statement), and if available CPA's audit, may be needed to demonstrate sound financial management. Do not submit now. CITY OF TEMECULA FUNDING — OTHER SOURCES Within the past two years, has your organization received (or is your organization concurrently requesting) any other sources of funding from the City of Temecula? No Yes ✓ If Yes, provide information in table below: Name of Funding Program from City (CDBG Grant? CSF Grant? Sponsorship?) Program, Project or Service(s) that was funded by the City Grant or Sponsorship Month and Year Grant or Sponsorship Received Amount CDBG Temecula SAFE & Healthy Families $5583.00 $5583.0 CSF SAFE Emergency and Basic Needs $2500.00 $$2500. CDBG Creating SAFE families $10,688.0C $$10,68 $ MISSION STATEMENT OF ORGANIZATION Briefly describe the goals and objectives, or mission, of your organization. SAFE's mission is continue to be a leader in the social services field. SAFE is committed to providing services to children, youth and families, who have experienced or are at risk of abuse and violence. Application Page 2 of 7 GRANT FUNDING PROJECT/PROGRAM DESCRIPTION NOTE: Receipts/invoices will be required to be submitted to the City to demonstrate that your organization used grant funding awarded by the City to support the project/program as described here. See Compliance Report on Application Page 6 for details. 1 Briefly describe the Project/Program (and its objectives) the City of Temecula grant funding will be used to support. The program will provide emergency services to domestic violence victims and their families by providing safety planning, emergency placement in our Trinity SAFE house shelter for temporary housing. They provide food, gas, medication, clothing, case management, and resources/referrals to clients. 2 Describe how your organization will spend the grant funding awarded. Include equipment or services that would be purchased and why. SAFE will spend the grant funding on purchasing gasoline gift cards, cards, hotel vouchers, food gift cards and large retail store gift cards. Clients will also receive case management and safety planning. 3. Explain how the grant funding will specifically benefit Temecula residents. As the only domestic violence agency in the Valley, SAFE will be able to provide services for victims that reside in Temecula that is much needed such as food, clothing, gas and other basic needs. Clients will get assistance with completing restraining order and California Victim Compensation Board application. Estimated number of people expected to benefit from this Project/Program:75 Estimated number of volunteers involved in this Project/Program 5 Application Page 3 of 7 4. In 30 words or less, summarize how the grant funds. if awarded, will be used. IMPORTANT: This summary will be used in a spreadsheet intended to summarize all Community Service Funding Grant Applications, including yours, submitted to the City Council. Grant funds will assist SAFE on providing domestic violence clients with basic needs assistance such as food, clothing and shelter to help. stabilize them following violence. PROJECT/PROGRAM BUDGET PROJECf/PROGRAM BUDGET Line Items for Project/Program Revenues VARIOUS TYPES OF REVENUES/INCOME FOR THE PROJECT/PROGRAM: Amount of money requested from the City of Temecula Community Support Grant (Not to exceed $5,000) Cash contributed to Project/Program by the Applicant Organization Other grants or funding already awarded for Project/Program, if any 5000.00 In -Kind match amount or volunteer credit hours estimated amount VARIOUS TYPES OF EXPENSES FOR THE SPECIFIC PROJECT/PROGRAM: Staffing expense for Project/Program (this amount is ineligible to be funded by City's Grant; however please include) Equipment expense for Project/Program Food expense for Project/Program Marketing expense for Project/Program Supplies expense for Project/Program Facilities/Rent expense for Project/Program Other expense for Project/Program TOTAL BUDGET FOR PROJECT/PROGRAM Application Page 4 of 7 500.00 $ EXPENDITURE REPORT due on or before Friday, September 21, 2018 1 Demonstrate that the Community Service Funding Grant specifically benefitted Temecula residents by providing the number of beneficiaries living in 92590, 92591 and 92592 that directly benefitted from this program: (approximate number of beneficiaries if you don't have a precise number): 2. Fill out this table (include additional copies if needed to explain all expenditures) 3. Attach Receipts/Invoices (in the same order as listed in this table) 4. Send to: City of Temecula, 41000 Main St., Temecula, CA 92590, Attn City Manager's Office - CSF Organization: SAFE Altematives for Everyone Amount of Grant Fund Awarded: $ Name of Company on Receipt/Invoice PREVIOUS FISCAL YEAR (FY) 2017-2018 COMPLIANCE REPORT ' If your organization was awarded a Community Service Funding Grant in FY 2017-2018 (last year) by the City of Temecula, please submit this information or the application may be rejected as incomplete. If your organization was NOT awarded a Community Service Funding Grant in FY 2017-2018 (last year), then skip this page. If your organization was awarded a Community Service Funding Grant in Fiscal Year 2017-2018 (last year) by the City of Temecula, all grant funds received must have been expended anytime on or between July 1, 2017, and June 30, 2018. In addition, all grant funds must be substantiated with proper back-up documentation. Failure to provide proper documentation may jeopardize any future funding. City of Temecula reserves the right to conduct an audit and/or require additional back-up information to substantiate how funds received from the City were spent. If the funds were not spent in accordance with the approved purpose stated on the Application, the organization will be required to refund the amount of funds. To substantiate that Fiscal Year 2017-2018 funds received from the City were spent appropriately, proper back-up documentation including the table below with accompanying receipts/invoices, must be submitted to the City on or before due date: Friday, September 21, 2018. 1 2 Name of Project/Program: Month + Year Grant Received from City: Date (Mo/Day/Yr) 1 Describe... oni Amount (1) what the expenditure was ReceipUtnvotce of (2) purpose of the expenditure Expenditure MUST support Project/Program description on Application + Award Letter Must be dated on or between July 1, 2017 - June 30, 2016 Explain ... how the expenditure specifically benefitted Temecula residents K names addresses of Temecula beneficiaries are available, please attach EXPENDITURE TOTAL Note: Expenditure Total must be equal to $ (or greater than) the "Amount of Grant Fund Awarded" (above) provided by the City Application Page 5 of 7 FISCAL YEAR (FY) 2018-2019 COMPLIANCE REPORT If your organization is awarded a Community Service Funding Grant in FY 2018-2019 by the City of Temecula, then this information is not due until Monday, September 16, 2019 If your organization is awarded a Community Service Funding Grant in Fiscal Year 2018-2019 by the City of Temecula, all grant funds received must be expended anytime on or between July 1, 2018, and June 30, 2019. In addition, all grant funds must be substantiated with proper back-up documentation. Failure to provide proper documentation may jeopardize any future funding. City of Temecula reserves the right to conduct an audit and/or require additional back-up information to substantiate how funds received from the City were spent. If the funds are not spent in accordance with the approved purpose stated on the Application, the organization will be required to refund the amount of funds. To substantiate that Fiscal Year 2018-2019 funds received from the City were spent appropriately, proper back-up documentation including the table below with accompanying receipts/invoices, must be submitted to the City on or before due date: Monday, September 16, 2019. EXPENDITURE REPORT due on or before Monday, September 16, 2019 1 Demonstrate that the Community Service Funding Grant specifically benefitted Temecula residents by providing the number of beneficiaries living in 92590, 92591 and 92592 that directly benefitted from this program: (approximate number of beneficiaries if you don't have a precise number): 2. Fill out this table (include additional copies if needed to explain all expenditures) 3. Attach Receipts/Invoices (in the same order as listed in this table) 4. Send to: City of Temecula, 41000 Main St., Temecula, CA 92590, Attn: City Manager's Office - CSF Organization: SAFE Alternatives for Everyone Amount of Grant Fund Awarded: $ 1 Name of Project/Program: Creating SAFE Families Month + Year Grant Received from City: Date (Mo/oay(Yr) Describe... on (1) what the expenditure was Name of Company Amount on Receipt/Invoice of (2) purpose of the expenditure Receipt/Invoice Must be dated on or Expenditure' between MUST support Project/Program July 1, 2018 - . description on Application + Award Letter June 30. 2019 4 Explain ... how the expenditure specifically benefitted Temecula residents if names/addresses of Temecula beneficiaries are available, please attach EXPENDITURE TOTAL Note: Expenditure Total must be equal to $ (or greater than) the "Amount of Grant Fund Awarded"(above) provided by the City Application Page 6 of 7 SIGNATURE PAGE The applicant acknowledges and agrees to the following: • Recipient is subject to all Community Service Funding Program requirements including submittal deadlines and payment disbursements. Every Community Service Funding application is considered individually and on its own merit. • Awards will be given to organizations and activities that directly benefit the residents of Temecula. • Funding is not immediately available to the recipient, and requires an award letter signature upon approval. Please allow time for checks to be processed. • The awarding of Community Service Funding does not constitute an automatic annual allocation. • The recognition for Community Service Funding should accrue to the City of Temecula. • Community Service Funding must be spent as specified on the Application and records may be requested by the City of Temecula to ensure the funds were used appropriately. • Community Service Funding grants will not be awarded or announced within the 60 days before an election in which an awarding Council Member is on the ballot. • The recipient shall provide a full accounting with documentation on the use of awarded funds. The recipient shall return to the City any funds not spent or documented per the signed agreement. • If awarded a Community Service Funding Grant by the City of Temecula last year, then compliance receipts must be submitted on or before this application's due date or this application may be rejected as incomplete. We hereby certify the information contained in this Application is true to the best of our knowledge and belief. ORGANIZATION NAME: SAFE Alternatives For Everyone katiegilbertE MAILING ADDRESS:MIIII HONE: ( EMAIL: PRESIDENT/ AUTHORIZED OFFICER: Katie Gilbertson SIGNATURE: �` ` DATE: 011-2_11 I Zu i IF DIFFERENT THAN ABOVE, APPICATION PREPARED BY: Prior. Name SUBMVIIT ORIGINAL APPLICATION BY FRIDAY, SEPTEMBER 21, 2018, TO: City of Temecula Community Service Funding Attn: City Manager's Office 41000 MAIN STREET TEMECULA, CA 92590 If you have any questions please contact Betsy Lowrey at (951) 693-3959 or Stacey Brown at (951) 506-5100 Application Page 7 of 7 Q HELPO MENU Home > Tax Exempt Organization Search > Safe Alternatives For Everyone Inc. <Back to Search Results Safe Alternatives For Everyone Inc. EIN: Publication 78 Data o Organizations eligible to receive tax-deductible charitable contributions. Users may rely on this list in determining deductibility of their contributions. On Publication 78 Data List: Yes Deductibility Code: PC Page Last Reviewed or Updated: 6-Ju1-2018 rt~ IRS Our Agency About IRS # Share g Print Know Your Rights Resolve an Issue Other Languages Taxpayer Bill of Respond to a Espanol Rights Notice 13 CI glp Related Sites U.S. Treasury Work at IRS Help Contact Your Local Office Tax Stats, Facts & Figures Taxpayer Advocate Service Accessibility Civil Rights Freedom of Information Act No Fear Act Privacy Policy Office of Appeals Identity Theft ° ai Protection PyCCKHN Tieng Viet Report Phishing Tax Fraud & Abuse Treasury Inspector General for Tax Administration U SA.gov STATE OF CALIFORNIA FRANCHISE TAX BOARD PO BOX 942857 SACRAMENTO CA 94257-0540 Entity Status Letter Date: 9/21/2018 ESL ID: 3599476532 According to our records, the following entity information is true and accurate as of the date of this letter Entity ID: Entity Name: SAFE ALTERNATIVES FOR EVERYONE, INC ✓1 1. The entity is in good standing with the Franchise Tax Board. 2. The entity is not in good standing with the Franchise Tax Board. 3. The entity is currently exempt from tax under Revenue and Taxation Code (R&TC) Section 23701 d 4. We do not have current information about the entity. The above information does not necessarily reflect: • The entity's status with any other agency of the State of Califomia, or other government agency. • If the entity's powers, rights, and privileges were suspended or forfeited at any time in the past, or the entity did business in California at a time when it was not qualified or not registered to do business in California: o The status or voidability of any contracts made in California by the entity at a time when the entity was suspended or forfeited (R&TC Sections 23304.1, 23304.5, 23305a, 23305.1). • For entities revived under R&TC Section 23305b, any time limitations on the revivor or limitation of the functions that can be performed by the entity. 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