UNSAAC Grant Application 2016-2018

UNSAAC Grant Application
FY 2016-2018
________________________________________________________________________________________________________
UNSAAC Grant Application
2016-2018
The University Neighborhood Service Agreement was established to address the unique impact Syracuse
University has on the surrounding neighborhoods by enhancing governmental services and maintaining
their health, safety, and welfare through police and fire protection, preservation and improvement of
housing, community support, and park and public space improvements.
The City of Syracuse and Syracuse University renewed the Service Agreement in 2016 for a period of five
years, allocating a total of $2.5 million dollars to be used in alleviating the University’s impact on
surrounding neighborhoods over that time period. With the renewed agreement, the UNSAAC borders
have been expanded to include the Outer Comstock neighborhood, and the Southside neighborhood
bordering the University.
Under the terms of the service agreement, Syracuse University will pay the City of Syracuse $500,000
annually until 2021, $125,000 of which will be allocated each year to the City of Syracuse Police
Department and applied to the cost of maintaining safety and security in the neighborhoods. The
remaining $375,000 will be used for neighborhood projects and services that are in the mutual
interest of the neighborhoods, their residents (including students), and the University*.
Applications for funding are available online at http://www.syracuse.ny.us/home.aspx and at the
Department of Neighborhood and Business Development (NBD) located at 201 E. Washington
Street, Suite 600.
One application should be completed for each program requesting funding. Do not combine
funding requests for multiple proposals. All required attachments and documentation must be
submitted with the application by the deadline in order to be considered for funding. Incomplete
applications will not be considered.
th
All funding applications are due no later than Thursday, July 7 , at 5:00pm, to the following
address:
City of Syracuse, NBD
Attn: Lindsay Speicher
201 E. Washington Street Suite 600
Syracuse, New York 13202
*Please note: Funding decisions are expected to cover a two-year funding cycle (July 1, 2016-June 30, 2018)
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UNSAAC Grant Application
FY 2016-2018
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UNSAAC Program Overview
General Information and Guidelines
Any organization submitting a grant proposal for UNSAAC funds must be 501c organizations or
have a 501c fiscal sponsor to receive UNSAAC funding. Applications should show how the
proposal will positively impact the neighborhood or combat an issue stemming from being in
close proximity to Syracuse University and its student population. Proposals must be outcomebased and measurable.
The University Neighborhood Services Agreement Advisory Committee (UNSAAC) consists of ten
members representing various organizations in the areas surrounding the University including
appointees from: The Westcott Neighborhood Association (WNA), the Southeast University
Neighborhood Association (SEUNA), the University Neighborhood Preservation Association
(UNPA), the Thornden Park Association, the Outer Comstock Neighborhood Association (OCNA),
and the Southside neighborhood. The advisory committee also consists of two members of the
Common Council, a representative from the City of Syracuse, and a representative from Syracuse
University.
The UNSAAC's role is to review proposals and make funding recommendations to the Mayor and
the Common Council. UNSAAC is comprised of volunteers and has no granting powers. In any
given fiscal year (July 1 through June 30), the UNSAAC budget recommendations may be
approved in full, in part, or voted down by the Syracuse Common Council. If a budget is voted
down, those funds are not disbursed and are retained in the City's general fund.
Funding and Reporting
Once the UNSAAC budget is approved by the Mayor and the Common Council, selected
applicants may proceed with their projects as outlined in their application.

This granting process is unique in that funds are REIMBURSED after project costs are
incurred by the applicant organization (i.e., funds are not automatically disbursed when
the budget is passed). Fiscal cost reports and expense summaries (appendix p. 14,15) must
be submitted with each reimbursement request along with documentation.

Funding for projects is for fiscal years July 1, 2016 to June 30, 2018. All costs must be
incurred within the grant term.

Progress reports must be submitted quarterly (appendix p. 16) to the Department of
Neighborhood and Business Development (NBD) to assure the project is being
completed as outlined in the application. Funds will not be disbursed if quarterly
th
reporting requirements are not met. Reports will be due to NBD by the 30 of the
following months: April, July, October, and January.
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UNSAAC Grant Application
FY 2016-2018
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1. General Applicant Information
Area Applicant is seeking funding under (Please choose one):
Housing
Parking and Traffic
Quality of Life issues
Community development
Other
For Office Use Only:
Applicant / Organization (Lead Applicant)
Organization:
Program Project:
New program (never funded)
Ongoing (previously funded)
Proposal Request
Total UNSAAC Funds Requested: $
Total of Other Funding Sources Amount: $
Total Project / Program Budget: $
Program Location
Brief Program Description
Chief official / Board President of lead applicant
Name
Title
Mailing Address
City, State & Zip
Phone
Federal ID #
Email
Designated contact person for this application
Name
Title
Mailing address
City, State & Zip
Phone
Email address
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UNSAAC Grant Application
FY 2016-2018
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Narrative Information:
A. Agency/Organization Background:
1.
Briefly describe your organization’s history, mission and goals.
2.
Describe your organizational structure, including staffing and membership.
3.
Describe your organization’s schedule of meetings and activities.
4.
Describe your organization’s history of applying for, receiving and administering grant funds from
outside sources, if any.
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UNSAAC Grant Application
FY 2016-2018
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B. Program/Project Request: (Please complete either section B or C*)
*If you are applying for funding for a program, fill out section B. If you are applying for a Capital project, fill out
section C. Program requests include personnel and non-personnel costs necessary to carry out the program (salaries,
benefits, travel, rentals, program-specific equipment, etc.
1.
Describe your proposed program.
2.
Describe the issue/problem/situation to be addressed using this grant, how your project proposes
to address it, and what other programs or projects currently exist to address this issue, if any.
3.
List the goals and measurable objectives of this project.
4.
Describe in detail:
a. How the program will be implemented
b. Who will implement the program (staffing plan).
c. When will the program be implemented (timetable).
d. Where will the program be implemented (specific location(s)).
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UNSAAC Grant Application
FY 2016-2018
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5.
Describe how the project addresses an impact of Syracuse University on the neighborhood and/or
an impact of the neighborhood on Syracuse University.
6.
What quality of life issue(s) are addressed by the project and how are they addressed?
7.
Describe neighborhood/SU support for the project and document this support, if any (have you
circulated petitions, gathered letters of support, conducted surveys or held public meetings?).
8.
If your organization is currently receiving UNSAAC funds and/or received funds in the prior year
for a program/project, state the following:
a. Amount received for this or prior UNSAAC year, and title(s) of project(s).
b. Outcomes and accomplishments of prior year’s project, if applicable.
c. Start date and accomplishments for current year’s project, if already begun in some form.
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UNSAAC Grant Application
FY 2016-2018
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9.
List and describe any other sources of funds for the project.
10. How will this program be sustained once UNSAAC funds are no longer available?
C. Capital Project Request: (Please complete either section B or C*)
*If you are applying for funding for a program, fill out section B. If you are applying for a Capital project, fill out
section C. Capital project requests include infrastructure improvements, the purchase of equipment or the purchase
of a specific service.
1.
Describe your proposed capital project.
2.
Describe the issue/problem/situation to be addressed using this grant, how your capital project
will address it, and what other programs or projects currently exist to address this issue, if any.
Explain why alternatives to the capital project are not feasible.
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UNSAAC Grant Application
FY 2016-2018
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3.
List the goals and measurable objectives of this project.
4.
Describe in detail:
a. How the capital project will be implemented
b. Who will implement the project (staffing plan).
c. When will the project be implemented (timetable).
d. Where will the project be implemented (specific location(s)).
5.
Describe how the project addresses an impact of Syracuse University on the neighborhood and/or
an impact of the neighborhood on Syracuse University.
6.
What quality of life issues are addressed by this capital project and how are they addressed?
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UNSAAC Grant Application
FY 2016-2018
________________________________________________________________________________________________________
7.
Describe neighborhood/Syracuse University support for the project and document this support, if
any (have you circulated petitions, gathered letters of support, conducted surveys or held public
meetings?).
8.
If your organization is currently receiving UNSAAC funds and/or received funds in the prior year
for a program/project, state the following:
a. Amount received for this or prior UNSAAC year, and title(s) of project(s).
b. Outcomes and accomplishments of prior year’s project, if applicable.
c. Start date and accomplishments for current year’s project, if already begun in some form.
9.
List and describe any other sources of funds for the project.
10. Describe how this project will be sustained, including operations and maintenance, once the
capital project is completed and UNSAAC funds are no longer available.
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UNSAAC Grant Application
FY 2016-2018
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11. Is the site of the proposed capital project owned by the applicant? If not, please state the owner’s
name and provide a letter from them stating their support for the capital improvement.
D. Evaluation:
1.
How will you adhere to reporting requirements if the grant is funded?
2.
Who will be the grant administrator designated to complete reports? Who will submit vouchers
for reimbursement?
3.
How will you collect data and measure outcomes?
4.
How will you report program accomplishments to the public?
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UNSAAC Grant Application
FY 2016-2018
________________________________________________________________________________________________________
Attachments:
E. Required Attachments:
 List of Board of Directors, officers and titles for applicant organization
 IRS Letter of Determination of Status for applicant organization
 If prior year funded, a copy of your final program and fiscal reports.
 Financial Summary
 Detailed project budget
 If application is for a capital project, include:
o At least three (3) vendor quotes
o Certificate of title to property being improved
o Letter from property owner (if not applicant) supporting the capital improvement
F. Optional Attachments:
 Letters of Support (limit 10)
 Brochures, newspaper clippings, and other organizational information
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UNSAAC Grant Application
FY 2016-2018
________________________________________________________________________________________________________
Financial Summary
For Fiscal Period Ending ________
Statement of Support & Expenses
Revenues
Contributions
______________
 Individual
______________
 Corporate/Foundation ______________
 Government Grants
______________
 Program generated
______________
 Membership Dues
______________
Other (specify)
______________
______________
Total Revenues
$ ______________
Expenditures
 Program



Administration
Fundraising
Other (specify)
Total Expenditures
Balance Sheet
Assets
$ _______________ Liabilities
 Cash
_______________
 Current
 Securities
_______________
 Long Term
 Property/Equipment
_______________ Total Liabilities
 Other (please specify)
_______________
_______________ Fund Balances
_______________
 Restricted
_______________
 Unrestricted
_______________ Total Fund Balances
_______________
_______________ Total Liabilities +
Total Assets
$ _______________ Fund Balances
______________
______________
______________
______________
______________
______________
______________
______________
$ ______________
$ ______________
______________
______________
______________
______________
______________
______________
______________
$ ______________
Note: for your balance sheet to “balance”
total assets = total liabilities + total fund balances
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UNSAAC Grant Application
FY 2016-2018
________________________________________________________________________________________________________
UNSAAC Program Budget (2016-2018)
Applicant:
Program:
Submitted By:
Other Funding Sources (include revenues generate by program and agency in-kind contributions)
Funding
Source
Use Of Funding
Amount Funded
$
$
$
$
$
$
$
$
$
$
$
Budget Line items
Use
Need
Description
$ UNSAAC
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
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6. Report Number
5. Contract Amount
CE
1. Grantee
7. Report Dates Covered
UNSAAC - FISCAL COST REPORT
2. Grant Administrator
Summary of Expenditures
B. Previous Cumulative
Expenditures
$0.00
REMAINING BALANCE:
C. Expenditures for this
Reporting Period
3. Program Title
4. Contract Period
N
A. Approved Project
Budget
$0.00
FE
RE
Submit with EVERY voucher to:
Category
A. PERSONNEL
B. CONSULTANTS
C. EQUIPMENT
D. SUPPLIES
E. TRAVEL
F. RENT
G. OTHER
TOTAL
GRANTEE CERTIFICATION
Remaining Balance: Approved Project Budget - Current Cumulative Expenditures
_____ Approved
(Signature)
_____Rejected
Notes:
Neighborhood & Business Development use only
(Date)
Grant Administrator (Signature)
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
D. Current Cumulative
Expenditures
(Date)
(Phone Number)
Certification Language: I certify that this report and all information provided is true, correct, and complete and made in accordance with the specifications of the
contract for this project.
Grant Administrator (Print)
Title of Grant Administrator
(NBD Representative)
Review of FCR
RE
FY 2016-2018
UNSAAC Grant Application
________________________________________________________________________________________________________
Appendix:
The following forms are for reference and are to be filled out only if an organization is
funded. These forms will be provided to awardees in excel format:
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UNSAAC Grant Application
FY 2016-2018
________________________________________________________________________________________________________
UNSAAC - Summary of Expenses
1. Grantee
5. Contract Amount
2. Grant Administrator
6. FCR's covered to date:
3. Program Title
4. Contract Period
Vendor
Purchase Information
Invoice #
Date on Invoice
Date Paid
Invoice #
Date on Invoice
Date Paid
Invoice #
Date on Invoice
Date Paid
Invoice #
Date on Invoice
Date Paid
Invoice #
Date on Invoice
Date Paid
Invoice #
Date on Invoice
Date Paid
Invoice #
Date on Invoice
Date Paid
Invoice #
Date on Invoice
Date Paid
Invoice #
Date on Invoice
Date Paid
Invoice #
Date on Invoice
Date Paid
Invoice #
Date on Invoice
Date Paid
Invoice #
Date on Invoice
Date Paid
Invoice #
Date on Invoice
Date Paid
Invoice #
Date on Invoice
Date Paid
Invoice #
Date on Invoice
Date Paid
Invoice #
Date on Invoice
Date Paid
Invoice #
Date on Invoice
Date Paid
Certifications
Description of Charges (Including Category from FCR)
Amount
RE
FE
RE
N
FCR
CE
Send To:
I certi fy tha t the i nforma ti on i n thi s form i s
correct a nd wi l l be veri fi a bl e ba s ed on the
ba ckup documenta ti on provi ded. I
unders ta nd tha t i f funds a re returned by
rei mburs ement a nd a ny i ncons i s tenci es i n
thi s form wi l l be ca us e for wi thhol di ng
rei mburs ement
Total Expenditures
NBD Use Only
$0.00
Grant Administrator (Print)
(Reviewer)
Grant Administrator (Signature)
(Date)
Approved / Rejected
(Date)
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UNSAAC Grant Application
FY 2016-2018
RE
FE
RE
N
CE
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