HomeMy WebLinkAboutWest Valley Community Services 08/01/25MEMORANDUM
To: rDianza
ea/Kristen
From:
of - CA,y,
City of Campbell
City Manager's Office
ARCH PRE•
Subject: Social Service Subgrant Program Agreement
Date: October 6, 2025
Please find attached the Social Service Subgrant Program Agreement between the
City of Campbell and West Valley Community Services effective August 1, 2025.
SOCIAL SERVICE SUBGRANT PROGRAM
SUBRECIPIENT AGREEMENT
BETWEEN THE CITY OF
CAMPBELL AND WEST VALLEY
COMMUNITY SERVICES
THIS SOCIAL SERVICE SUBGRANT PROGRAM AGREEMENT ("Agreement")
is entered into as of August 1, 2025 (the "Effective Date") by and between the CITY OF
CAMPBELL, a California municipal corporation ("City") and West Valley Community
Services ("Subrecipient").
RECITALS
A. WHEREAS the City's Civic Improvement Commission ("CIC") is responsible for
making recommendations to the City Council on allocating funding under the City's Social
Service Subgrant Program ("Program") to qualified non-profit agencies that provide social
service programs to members of the community; and
B. WHEREAS the CIC's recommendations follow a competitive application process
whereby the CIC reviews Program applications, holds public hearings, and votes on
funding recommendations to be made to the City Council; and
C. WHEREAS the City Council, in turn, reviews the CIC's recommendations and votes
whether to approve the recommended Program funding allocations; and
D. WHEREAS the CIC has recommended and the City Council has approved the
issuance of grant funds to Subrecipient; and
E. WHEREAS Subrecipient desires to use these grant funds to perform duties and
render services which are determined by the CIC to fulfill a critical need that is not already
being provided by the City through an existing program or service.
NOW, THEREFORE, the parties hereto agree as follows:
1.0 TERM OF AGREEMENT
This Agreement shall commence on the Effective Date and continue in force and effect until
June 30, 2026.
2.0 SUBRECIPIENT OBLIGATIONS
2.1 Representation and Warranties
Subrecipient hereby represents and warrants to the City as follows:
a. Subrecipient is a nonprofit organization or public agency;
b. Subrecipient shall use the aforementioned grant funds towards
services established in the Subrecipient's CITY OF CAMPBELL
SOCIAL: SERVICES SUBGRANT APPLICATION FORM
-1-
("Application") attached hereto as Exhibit A and incorporated herein
by reference.
2.2 Compliance with Law
Subrecipient shall perform the services established in Exhibit A in accordance with all
ordinances, resolutions, statutes, rules, and regulations of the City and any Federal, State,
or local governmental agency, having jurisdiction in effect at the time service is rendered.
3.0 DISBURSEMENT OF FUNDS
3.1 Amount of Funds
The amount of funds to be provided to Subrecipient, as determined by recommendation of
the CIC and adoption of the City Council, shall be FIVE THOUSAND ONE HUNDRED
TWENTY-FIVE ($5,125.00)
3.2 Method of Payment- Funds
Unless otherwise specified in writing, Subrecipient shall receive funds in the form of a
check at the beginning of the fiscal year.
4.0 PERFORMANCE SCHEDULE
4.1 Schedule of Performance
Subrecipient shall commence providing the services within the time periods established in
Exhibit A.
5.0 COORDINATION OF WORK
5.1 Subcontracting or Assignment
Neither this Agreement nor any interest herein may be transferred, assigned, conveyed,
hypothecated or encumbered voluntarily or by operation of law, whether for the benefit of
creditors or otherwise, without the prior written approval of City. No approved transfer shall
release the Subrecipient or any surety of Subrecipient of any liability hereunder without the
express consent of City.
6.0 ADMINISTRATIVE REQUIREMENTS
6.1 Documentation and Record -Keeping
a. Records to be Maintained
The Subrecipient shall maintain all records that are pertinent to the
services to be provided under this Agreement. Such records shall
include but not be limited to:
(1) Records providing a full description of each activity undertaken.
b. Retention
The Subrecipient shall retain all records pertinent to expenditures
-2-
incurred under this Agreement for a period of two (2) years after the
termination of all activities funded under this Agreement.
6.2 Client Data
The Subrecipient shall maintain client data for services provided. Such data shall include,
but not be limited to, geographic area served, target population, total number of
unduplicated clients, and clients located'in the city of Campbell. Such information shall be
made available to the City upon City's request.
7.0 _ ENFORCEMENT OF CONTRACT
7.1 Applicable Law
This Agreement shall be construed and interpreted both as to validity and to performance
of the parties in accordance with the laws of the State of California and the United States,
as applicable. Legal actions concerning any dispute, claim or matter arising out of or in
relation to this Agreement shall be instituted in the Superior Court of the County of Santa
Clara, State of California, the United States District Court for the Northern District of
California, or any other appropriate court in Santa Clara County, and Subrecipient
covenants and agrees to submit to the personal jurisdiction of such court in the event of
such action.
8.0 CITY OFFICERS AND EMPLOYEES
8.1 Relationship to City
The Subrecipient (and its employees, agents and representatives), in the performance of
this Agreement, shall act in an independent capacity and not as officers or officials or
employees or agents of the City. The City shall not direct the work and means for
accomplishment of the services and work to be performed hereunder. The City, however,
retains the right to require that work performed by Subrecipient meets specific standards
consistent with the requirements of this Agreement without regard to the manner and
means of accomplishment thereof. Subrecipient shall assume all of the rights, obligations
and liabilities applicable to it as an independent entity hereunder.
8.2 Indemnify and Hold Harmless
Subrecipient agrees to indemnify, defend, and hold the City, its councilmembers, officials,
officers, directors, employees, representatives, volunteers, and agents harmless from and
against any and all liability, claims, losses, damages, demands, suits, actions, causes of
actions, judgments, or costs and expenses (including attorney's fees) arising out of, or
alleged to arise out of the acts or omissions of Subrecipient, its employees, agents,
subcontractors, or vendors in any way related to the obligations or in the performance of
the services under this Agreement, including but not limited to the violation of any Federal,
State, or municipal law or ordinance, except where caused by the sole negligence or willful
misconduct of the City. This provision shall expressly apply to, but is not limited to any and
all liability, claims, losses, damages, suits, actions, causes of actions for bodily injury,
personal injury, property damage, or infringement of any property rights, including but not
limited to intellectual property rights. This provision is intended to fully allocate all risk
between the parties for liability to third parties; and Subrecipient shall have no rights
-3
against City for indemnity, contribution, or defense as to any matter covered by this
provision. The defense and indemnity provisions obligations of this Agreement shall not in
any way be limited by the insurance obligations contained in this Agreement.
8.3 Indemnify and Hold Harmless
Unless specifically waived or modified in writing by the City, Subrecipient shall maintain a
Commercial General Liability insurance policy with limits of no less than $1,000,000 for
the duration of this Agreement and two years following its termination. Any deductibles or
self -insured retention must be declared to and approved by the City, and shall not reduce
the limits of liability. The City, its agents, officers, attorneys, employees, officials and
volunteers are to be covered as additional insureds as respects: liability arising out of this
Agreement performed by or on behalf of the Subrecipient, products and completed
operations of the Subrecipient, premises owned, occupied or used by the Subrecipient, or
automobiles owned, leased, hired or borrowed by the Subrecipient. It is a requirement of
this Agreement that any available insurance proceeds broader than or in excess of the
specified minimum insurance coverage requirements and/or limits set forth in this
Agreement shall be available to the City as an additional insured. Furthermore, the
requirements for coverage and limits shall be (1) the minimum coverage limits specified in
this Agreement, or (2) the broader coverage and maximum limits of coverage of any
insurance policy or proceeds available to the named insured, whichever is affords greater
coverage. Subrecipient's insurance coverage shall be primary insurance as respects the
City, its agents, officers, attorneys, employees, officials and volunteers. Any insurance or
self-insurance maintained by the City, its agents, officers, attorneys, employees, officials
and volunteers shall be excess of the Subrecipient's insurance and shall not contribute
with it.
Unless specifically waived or modified in writing by the City, Subrecipient shall also
maintain at all times, a policy of Workers' Compensation and Employer Liability coverage
with limits as required by the Labor Code of the State of California and Employer's
Liability. The Worker's Compensation policy must be endorsed with a waiver of
subrogation in favor of the City for all work performed by the Subrecipient and its
employees.
The policies of insurance required pursuant to this Section 8.3 are to be issued by an
issuer who is authorized to transact business in the State of California, unless otherwise
approved in writing by the City.
Subrecipient shall furnish the City with endorsements and certificates of insurance
evidencing coverage required by this clause. The certificates for each insurance policy are
to be signed by a person authorized by that insurer to bind coverage on its behalf. The
certificates are to be on forms acceptable to the City. Where required by statue, forms
approved by the Insurance Commissioner are to be submitted. All certificates are to be
received and approved by the City before the services covered by the grant funding
commence.
The provisions set forth in this Section 8.3 shall survive the termination of this Agreement;
and approval of any insurance coverage does not, in any way, relieve Subrecipient of its
indemnity obligations.
-4-
9.0 MISCELLANEOUS PROVISIONS
9.1 Notice
Any notice, demand, request, document, consent, approval, or communication either party
desires or is required to give to the other party or any other person shall be in writing and
either served personally or sent by prepaid first-class mail at the address noted below.
Notice shall be deemed communicated at the time personally delivered or in seventy-two
(72) hours from the time of mailing if mailed as provided in this Section.
To the City: City of Campbell
70 N. First Street,
Campbell, CA 95008
Attn:City Manager's Office
To the Subrecipient: West Valley Community Services
10104 Vista Drive Cupertino CA
95014
Attn: Executive Director
Sujatha Venkatraman
9.2 Interpretation
The terms of this Agreement shall be construed in accordance with the meaning of the
language used and shall not be construed for or against either party by reason of the
authorship of this Agreement or any other rule of construction which might otherwise apply.
9.3 Severability
In the event that any one or more of the phrases, sentences, clauses, paragraphs, or
sections contained in this Agreement shall be declared invalid or unenforceable by a valid
judgment or decree of a court of competent jurisdiction, such invalidity or unenforceability
shall not affect any of the remaining phrases, sentences, clauses, paragraphs, or sections
of this Agreement that are hereby declared as severable and shall be interpreted to carry
out the intent of the parties hereunder unless the invalid provision is so material that its
invalidity deprives either party of the basic benefit of their bargain or renders this
Agreement meaningless.
9.4 Corporate Authority
The persons executing this Agreement on behalf of the parties hereby warrant that such
party is (1) duly organized and existing, (ii) duly authorized to execute and deliver this
Agreement on behalf of said party, (iii) formally bound to the provisions of this Agreement,
and, (iv) that this Agreement does not violate any provision of any other agreement to which
said party is bound.
-5-
CITY OF CAMPBELL
(�:� . I.-- �-�
Brian Loventhal, Ci y Manager
Approved as to Form:
r iam` .e ig' an ity Attorney
SUBRECIPIENT
By: Sujatha Venkatraman
Title: Executive Director
M
C,`1M4 CITY OF CAMPBELL Exhibit "A"
SOCIAL SERVICES SUBGRANT
r APPLICATION FORM
FY 2025/26 and FY 2026/27
.elRCHAAo C.
Applications Due: Monday, March 17, 2025 by 5:00 p.m.
E-Mail Submission: cmoflice2campbellca.gov
Mailed to: 70 N. First Street, Campbell, CA 95008
Postmarked by due date
NAME OF ORGANIZATION: West Valley Community Services
PROGRAM ADDRESS: 10104 Vista Drive Cupertino CA 95014
PHONE: ( 408 ) 956.6113
E-MAIL: suiathav@wvcommunityservices.org
WEB SITE: www.wvcommun itvservices.org
PROGRAM TITLE: Communitv Access to Resources and Education
PROGRAM MANAGER: Suiatha Venkatraman. Executive Director
SUMMARY STATEMENT OF PROPOSED
SERVICE OR PROJECT:
The Community Access to Resources and Education (CARE) program seeks to ensure that households living in poverty have easy access to public benefits, supportive services,
and education resources that help families build financial and household stability.
CARE services through our Park -it market, which operates in two community colleges, four public schools, and two atfordable housing complexes in Campbell. Saratoga and Los
Gatos. West Valley Community is the only social services agency providing critical needs services to these communities.
Park -It Market is a 29 feet customized mobile food market which provides fresh produce, dairy, meat and other staples to those who are struggling with economic hardship in West
Valley region.
GEOGRAPHIC AREA TO BE
SERVED: Campbell, Cupertino, west San Jose, Saratoga Los Gatos, Monte Sereno, and the unincorporated mountain region
TARGET POPULATION: Low income families, seniors. and unhoused who are in the 275% of the Federal Poverty level
Renewal Request[ ] New Request [ x ]
REQUESTED: CITY OF CAMPBELL: FY 25/26: $ so,000 FY 26/27: $ 5o,000
ALL OTHERS: $ 350,000 $ 350,0m
TIME FRAME OF PROGRAM: This is ongoing right now and will continue,
Social Service Subgrant Application
FY 2025/26 and FY 2026127
Page 2
COMMUNITY NEED:
Describe the community need or problem to be addressed by the proposed project,
program or service, and how, and by whom it was identified. Provide substantiating
data from such sources as published surveys, census data, and needs assessment
reports, (include data source used). If possible, relate this issue to a specific problem
or need for the City of Campbell.
Many families and individuals living in the West Valley struggle to put food on the table and pay their not in the wake of staggering increases in gas, food, and electricity, stagnant wages, high rents,
and a tight affordable bAusing market. Aemrding to the San Jose State University2024 pain index, 216,400 people in Santa Clam County live in poverty, with 12.5% orchildma in poverty, using the
California Poverty Measure. S2,708 is the median monthly rent in the San Jose-Suanyvale-Santa Clam metro area, making it the most expensive metro area to rent in the US. According to the San
Jose Pain Index, to be self-suRrient in Santa Clam County needs to make S59 in afford rent and [be cost of living. Families living on minimum wage and seniors on fixed incomes reel the rent burden
more and eet evicted faster in Santa Clam County. Poverty creates further barriers to accessine critical services, idcludine health services, nutritious food, and other necessities, conhibutine to poor
West Valley Community Services is a nonprofit organ[xatian [hat has provided safety net services to low-income and homeless individuals and families in the Wet Veltey region of Santa Clan County for
more than 50 years. Its mission is to unite the community to fight hunger and homelessness. Our work is guided by the vision or community where every person has food on their table and a roof over
their head.
Food Is essential for human survival. The ability to find and afford healthy and nutritious rood that is culturally resonant end meets dietary and health needs directly impacts health, cognitive function,
longevity, and household stability. According to the book, "How the Other Half Eats: The Untold Story of Food and Inequality in America" by Priya Fielding -Singh, Ph.D., "Unhealthy eating causes more
than half a million deaths per year and is linked to multiple chronic diseases including cardiovascular disease, high blood pressure, several types orcancer, and type 2 diabetes. Today, no unhealthy diet is
a leading contributor to mortality in the United States." The bank also reporls broad health disparities that "disproportionately halms individuals already marginalised in American society -low income
and curial and ethnic minatities."
The Park -it Market currently serves out of the Moreland School District and Rosemary Elementary school. We are serving approximately 50 households from Campbell.
2. List any other private or government agencies which are now, or will be addressing the
need or problem described above. How do these services meet the need of the target
population defined above? Explain how your service or project supplements, or
compliments the services of these agencies without duplicating or overlapping them.
WVCS has a 50-year history of collaborative work with community entities. As a United Way agency and
safety -net provider participant in the County's Emergency Assistance Network (EAN), WVCS shares
knowledge and best practices with other EAN partners, locally and nationally. WVCS partners with
several faith, civic, and community service agencies that help to provide outreach to isolated individuals.
WVCS works closely with United Way Bay Area, County -wide Safety Net Coalition, SCC Homeless
Collaborative, Emergency Assistance Network, and Silicon Valley Council of Nonprofits.
3. List:
Actual Projected Proposed Proposed
FY 2023/24 FY 2024/25 FY 2025/26 FY 2026/27
Total
Unduplicated 350 400 500 520
Clients
City of
Campbell 50 5n 100 120
Clients
fin XCivic Improv,:ment Commission
SuL-grant i l,pphcaticn FY 25-26 ihr.l F r" 23-27
Social Service Subgrant Application
FY 2025/26 and FY 2026127
Page 3
PROGRAM INFORMATION:
4. Describe the service, program or project to be provided to the Campbell community.
CARE bring,,erka.ndn,.orer.elv,crIo thei.rget pnpubdou,c^-,anllnalingmbl.nae inhrtull: andnmrrrally and helping IonKn�orrc Jlioanlc+.f milia narlg+lrpublic trcn,itfe«.Im,ebr.adtf m,ePmlee o.Ica p.dkip.lefin.
hmtar,uppnrti,c.enkra.mcrcd by our.g,nq•, including nerr,.ln that dnurkel,rm.#g yr:oei.l...he.oerto pm'mlhomrtr+.nn.,lmu.in:rtc.uem uld Rfrnl. and wher,.ewurcr,-.W aflhc.'.rni:+...r pm,idrd hreof
du,ge.
CARE will be prodding the blloalog senkn to C.mphdl community:
v{hR Fo,l marl.ct.wVegnpenen•MabiW foal,oarArta Nh nmr,.crtJyH Icon.ivC.mQh.tl, West S.n ]orc„r,cntura. lira. C.w I .r o»d.Ie f.mOkr .,di J-il 1. nilfi lrn.poAnim dr.0.uta-r Drj,rod,th,�.fm.l..
mrbik food iao.l;al LL'r.t v.ney Cnmmunily Breslin h mulJnx f<nd m.r}u,f wn «r„Olk Ia a0 store m „fiere Ihr!'-r.r. F lk. ree g trr•. Qm'L1!J b;-S�nd 11+ t 4t6i*.n ti'aDr. .nd hem J -t d 1 I.r I t r. and
purdrasd by WVCS 11y pros'IdhgwQplavu,lalfwd,We.lV.Ik7'Communiy'Senicv pmrnhhungrn imp,o.'n hr41,+ 1nuiriwn..nd eneG4.<Ikml,la.pmd rmnte nfthar M,n�6:1 m•,ul<e+wi h»u•mg;Inn.pon t ,mrJ;ulcon.,
.nd other life avcnll.h
Cue rA n.gement.nd Referral, WVCS pmvido inithidual'ved wppod to help the ee—Ity'.¢—1tible rvourm farohicl, The) nuy I,eedlgible. Stdraupport diem. to n ig.lc the grlrm Io rind the rvou.av they need Ia acquire
wihble hosing, lam .bawl puhlk ber.erl., of marr hc.11hilr, co er he.lth— rap -.%and mach come
Em,txaney Room =d Utility Aul.1—A. a p.d of the County". Ranreteemeu IYsunfian 5yitun to p.rlraM ip with Dcdieullon Rome. W VC5 proddn shad-term—eM-.y Gnmc41 auhWee to p—t e.irnam ..it utility av Wf,
%VVC5 al.. oMn helpfor trxnlpnttalian, ekthing, and other baste need. hud on 11gikility.nd mil.blity of rv,unev
W.rWhop..nd ClWeii Mot, p.didp.lhrgho the CARE programvn.are.v.de..f—eltnie and ed—tion appertuillim brdudmg rooking cl— held, Lin, Job tsim eaume writ gdusa,. nd rmre.
a) List eligibility criteria for program services (residency, age, etc.):
All households applying for services at West Valley Community Services are asked to provide the following documents:
Intake form to collect demographic information
Proofof services area residency by PG&E bill or other utility bills.
Proof of income (entire household) to understand where the client's income falls within the HUD income guidelines. This helps case managers to connect them to various public benefits.
Provide ID for all adults in the household and birth certificales for all children,
Proofof emergency for any financial assistance. Also, the client most provide proof that with the requested assistance, they will be able to pay the following month's expenses.
Proof or rental agreement.
b) If fees are required or requested, describe amount, how levied and use of
revenue.
W VCS only charges fee for the RYDE program that operates in Campbell- affordable curb to curb transportation for aenion. West Valley Community Servims provides programs and services free
of charge. The only exception is the RYDE Senior Transportation Program, where clients pay a certain amount based on the mileage of a one-way, ride. Individuals living in poverty, however, arc
eligible for significant cost reductions, with prices starting at.90 for a four -mile ride for individuals that fall in the 200 % poverty range.
All other servicesarefree of cast
5. What are the objectives of your service, program or project? How will your program
meet these objectives?
The goal of Community Access to Resources and Education is to:
Ensure low-income and homeless families in the west valley have easy access to basic needs, public benefits and education resources that promote financial and household stability.
Our success in achieving this goal will be measured as follows:
The number of clients participating in food program (goal: 90 % indicates the food program helps them to prevent hunger and saves money)
Improvements in a client's self-sufficiency scare. All clients are assessed by case managers using a selfsulLcienq matrix tool. This tool rates Individual self-sufficiency over multiple domains, including
income, food access, credit, and health. The analysis is done to track impmvemenss across domains to measure participants' movement toward stability.
The numberof families who remained housed and were able to prevent eviction by accessing our services ( goal: 9o% of famdtes remained housed for more than six months after receiving services)
Feedback on the annual client experience survey (goal: 00 % al -clients express high satisfaction with agency programs and services)
6. Please indicate if the proposed -service is a new activity, an expansion of an existing
program or a proposal for current service levels.
This proposal is for current services. We have been offering CARE services through our'Park-it Market to Campbell residents. This Is the first time we an applying for funding.
(.In. !;Civic Improvement Commission
SuU -grant Application FY 25-26 tnru FY 26 2
Social Service Subgrant Application
FY 2025/26 and FY 2026127
Page 4
7. What measurable benefits will result if this proposal is granted? In particular, please
describe results, products, etc.
Community Access to Resources and Education (CARE) program seeks to ensure that households living in poverty have easy access to public benefits,
supportive services, and education resources that help families build financial and household stability.
By providing case management, information, and referrals, West Valley Community Services is helping clients find the resources they need to acquire
suitable housing, learn about public benefits, eat more healthily, cover healthcare expenses, and much more. Last year, we case -managed 350
households.
By providing access to a mobile food market, West Valley Community Services is making food market service accessible to all close to where they live.
The mobile food market has several locations in West San Jose, Saratoga, and Los Gatos. Last year, we provided individuals with weekly groceries to
1,500 families facing hunger and helped provide 188,104 meals.
By providing emergency rental and utility assistance, West Valley Community Services prevents clients from eviction and homelessness. This helps
prevent clients from entering the downward spiral that can make returning to stability difficult or impossible. Last year, we supported 341 households
for $1.067.000.
8. If your organization received funding in FY 2023/24 and FY 2024/25, please quantify
the measurable benefits provided.
Not applicable
I
}
9. How would your client group meet the needs you defined, if your program or project did
not exist?
WVCS continues to seek funding from other sources to meet the needs of the clients we serve:
f/n: J/Civic Improvement Commission
Sub -grant Application FY 25-26 thru FY 26-27
Social Service Subgrant Application
FY 2026126 and FY 2026/27
Page 5
10. How will you measure effectiveness of your program and how will you use this
information in making management decisions (i.e., address issues such as unit costs,
volunteer involvement, qualitative and quantitative evaluation, etc.)?
The goal of Community Access to Resources and Education is to:
Ensure low-income and homeless families in the West Valley have easy access to public benefits and education resources that promote financial and household stability.
Our success in achieving this goal will be measured as follows:
The number of clients participating in henerits clinics (goal: 90 % participation rate, predictive metric)
Improvements in a client's self-sufficiency score. Case managers assess all clients using a self-sufficiency matrix tool. This tool rates individual self-sufficiency across multiple
domains, including income, food access, credit, and health. The analysis tracks improvements across domains to measure participants' movement toward stability.
The number of families who remained housed and were able to prevent eviction by accessing our services ( goal: 90 % of families remained housed for more than six months after
receiving services)
Feedback on the annual client experience survey (goal: 80 % of clients express high satisfaction with agency programs and services)
FUNDING INFORMATION:
11. If your program has provided services in the past, what funding sources have been
utilized?
We have leveraged the County funding to support the work we are doing in Campbell. With the demand for food increasing
and WVCS having to buy food to support our food services this is impacting our budget.
12. How do you specifically foresee City funds coordinating with your other funding
sources to complete your total budget?
WVCS continues to seek additional funding through foundation and other grant making process to meet the increasing
demand for your services.
fln J/Civic Improvement CCmn11SSlOn
Sub -,grant Application FY 25-26 thru FY 26-27
Social Service Subgrant Application
FY 2026/26 and FY 2026/27
Page 6
13. If your organization is not requesting funds from sources other than the City of
Campbell, please explain.
WVCS is seeking funds from other sources.
14. What is your alternative funding plan if City funds either are not awarded or are
provided at a reduced level?
WVCS will continue to seek other funding to support the expenses incurred in serving Campbell residents.
15. How often are financial records audited and by whom?
Financial Records are audited annually by Hood and Strong
16. Is your organization:
• INCORPORATED
NON-PROFIT
® TAX EXEMPT
YES [ ]
No [ ]
YES[ x ]
No [ ]
YES[ X ]
No [ ]
17. In order to receive City funds, your organization must execute a grant agreement with
the City. A sample grant agreement is attached to this application. Please confirm that
you have reviewed and agree with the terms and conditions of the sample agreement
below.
f/m YCivic Improvement Commission
Sub grant Application FY 25-26 thru FY 26-27
Social Service Subgrant Application
FY 2025126 and FY 2026127
Page 7
We have reviewed the sample grant agreement and agree with the terms and
conditions.
YES[ X ] No [ ]
ORGANIZATIONAL INFORMATION:
18. Organizational Chart: (Attach)
Attached
Un: J/Civic Improvement Commission
Sub -grant .Application FY 25-26 thru FY 26-27
Social Service Subgrant Application
FY 2025/26 and FY 2026127
Page 8
19. Budget Data:
BUDGET DATA
(Round to nearest dollar)
ACTUAL
2023124
CURRENT
YEAR
BUDGET
2024125
PROPOSED
BUDGET
2026126
PROPOSED
BUDGET
2026127
SOURCES OF INCOME
A.
Citv of Camobell
$ U
$ 50,000_
$ so.noo
$ 50-oop
Other Cities
(b,UUU
75,000
7.5 000
713 000
County
17r nnn
1.76.000
176,000
State
Federal
United Way
Fees and Services
I—
Fundraisinq, Donations
Reserve/Contingency Fund
All Other (List Below)
WIGS General Furida
50,000
TOTAL INCOME
I $ -.ini non
$
I.EXPENSES
B,
Salaries
$ 301,000
5
,ini nnri
$
Employee Benefits
R-r) ?9n
.;t .j.�2n
1 66Y20
Sub -Total
$
$
Insurance (Property & Liability)
s 4,000
S A000
$ -4000
S 4000
Communications (Telephone, Etc.)
Consultant Services
Office Supplies
Office & Equipment Rental
Equipment Maintenance
4,000
4000
4,000
4.000
Utilities
1.000
1,000
1 I;UUU
1,00—
Trave[ and Conferences
Contracts
Transportation
3000
3.000
3,UUU
3,000
Other vice Expenses (List Below)
Sub -Total
S 12,000
$ 1 2,00U
$ 12,000
1 $ 12.000
Capital Outlay. - Buildings/Construction
$
s
Capital Outlav - Equipment
Sub -Total
$
$
TOTAL EXPENSES
$ 313.000
$ 313000
$ 313noo
$ 000,
EMPLOYEES
C.
Number Full Time Paid Employees
3
3
3
Number Part Time Paid Employees
I
Equivalent Full Time Volunteers
1
3
I , 'n r I I a 0�-*!-,!C�
Social Service Subgrant Application
FY 2025126 and FY 2026/27
Page 9
We, the Board of Directors of West Valley Community Services do
hereby resolve that on March 11th , 20 25 , the Board reviewed
this application and furthermore, the Board in a proper motion and vote, approved this
application for submission.
To the best of our knowledge, all information presented herein is correct and complete.
Dated: _ March 12 th 20 25
Agency Name: West Valley Community Services
By: Janet Farbauqh ` a-ief Fa e-br-.uy1 03/12/2025 PDT
Signer ID: TEUHM4YH10...
President of the Board, on behalf of the Board of Directors named above
This application and the information contained herein are true and correct and
complete to the best of my knowledge.
Executive Director Date
f/n: XCivic I nproversent Commission
Sub -grant Application FY 25-26 thru FY 26-27
rl ,.-tin.h(hAl1f1A77'197hgrfltgoal.7gAvf/fhlhA1F17gf1dA"l�ln7AC.voari.lydhf7'I7lrl.7
Signature Certificate
f,..
0
Envelope Ref:39305fa5b36d442.bae4d8ab69cdOb4a2c81f9Od4
Sujatha Venkatrarnan :n D. !:-: 12 Mar 2025, 10:36:54, PDT 12 Mar 2025, 11:42:35, PDT
Document Details:
Document Signed By:
hclil;fi:
Document History:
En1,-,cg gyp;; ,rented
lnvi`,;:a'ian Sent
In-vitaticm Ac—e-pted
Signed by Janet Farbamcjh
f_xee:utis:i
Sk,M!O i L�CCtlnl:'I?i`
Signcd Doc:unlcnt s}
•i<'zr.: 2982_001
De.:- ff"Amt' e-f: bfbdd0933222b8cfll99a678fbd76b7bdl5l380497afe785aaaddc4bf7l3
6c62
Leo :a!n s nt Toial 0-"1-i _.. 1
Janet Farbaugh
janetfC&wvcommunityservices.org
24.23.218.157
SUNNYVALE, CA (US)
12 Mar 2025, 11:42:35, PDT
eSignature Consent Accepted
Email
Jb-,7et Fcuba iccJA
Signer ID: TEUHM4YH10...
Sujatha Venkatraman created this envelope on 12 Mar 2025, 10:36:54, PDT
Invitation sent to Janet Farbaugh on 12 Mar 2025, 10:37:38, PDT
Invitation accepted by Janet Farbaugh on 12 Mar 2025, 11:42:17, PDT
Janet Farbaugh signed this Envelope on 12 Mar 2025, 11:42:35, PDT
Document(s) successfully executed on 12 Mar 2025, 11:42:35, PDT
Link emailed to janetf@wvcommunityservices.org
Link emailed to sujathavCwvcommunityservices.org
3112125. 5:03 PM
VWCS organization Chart 3-14-2024 - no-names.docx-,Google.Docs
West Valley Community Services Organization
• _
Wks. Board of
••
•
...
Directors
ewuli* Usv§vtp'
.
•
-
SChief
Director Client
i Firnnm
of
g Deve:oPmenl S ( t Sermes
•
Consullam
#S} Communications, -
'
Cip('fatiafs
hi—ager of
hlnn,•r�M of F-wd
.
ittln:iij+`r`nl Olen!
S*.•r ice:
-
Alanager
Volunteer
Panay CkG )rl}an=
-
•
Serv+ces
17—
°
Ass stanl
Assistant
Assistant
AsslslJnl
Reside l
n
Assistant
Ass3st;;rn t
Prd�ram
7.trutager
U[agrnm Manage,
Manager Mobile
Mar>aGer or
Alartayer
raft As..cutt'.-an
e
tvlara er FiYOE
P[ rant hianarta
v"
• CAftE
-HPS
Operations
Public Polio
Fundraising 8
Program
Coordinat
r
HTH Pram
09
HPS Pr ram'
°9
a9•
HPS Pr rnm
'
'
Community
Fcx][riorti:m;1
Event
Davetapmcnt
;n+mounicaiiant
Coordinalort
Caord'malcr
Coordrnulor
' OrganrZer
Coordinate
Coatdmilor
Coordlnnlnr
Coardlnalor
(Temp)
'
-
PJrk l Markel -
Front Desk
Markel
' Food '
Operations
f2
-
Sr. Program
G'd�EPra.�tarr.
Client Services
HPS Intake
_ Pssaciat —
..^_ �.. —_.�
---
it3bcC+A'G
`
—_.
Ac-.�:i:rto-jP.:u� — •c__.....e..
H53U'mM1ta
�_
lr�ait
-`Ai=- _L".:;.rr_
time)
rsnet
,
14 March 2024
1/4
https://does.google.com/documented/1qd-bNBkVaPm TIKOCVYiCa,,YgSCRYIBi/edit