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MOU; I have a Dream Foundation, Boulder Housing Partners; Healthy Together Grant; Exp 12/31/2019
7/31/2019 Contract Tracking>Thank You B ULDER L(CWORK STANDARD Contract Routing Cover Sheet �ICEBFt�iEc�n��T9�� Please print and attach to your document You can view the status of your contract using the Contract Tracking Status Page. AW f I ^A~ Routing Number 20190731-5722 - Originating Dept Parks &Recreation Contact Person Megann Lohman Phone Number 303-441-4427 Project Manager/ Contract Megann Lohman E-mail lohmanm@bouldercolorado.gov Administrator Counter Parties I Have a Dream Foundation, Boulder Housing Partners Contract Title / Type MOU Healthy Together Grant Number Description MOU outlines how parties (City of Boulder Parks and Recreation, I Have a Dream Foundation, and Boulder Housing Partners)agree to work together and who is responsible for what while implementing the Healthy Together Grant award via the Health Equity Fund. Special Instructions Third Party MOU Amount $91,910.00 Expense Type INCOMING i • ept. Head Signature NOTE; Originating Depa men . Identif with a check mark all areas document needs to be routed. • Purchasing • Budget • Sales Tom( AO // ity Manager/ _ _ • entral Records - 0 a, ootrac i e4ing Ho Ile &g'!aHLO e kllU,,.g -orr' I rl-,), r t'19ct S[3ws Updac Co _a S'aids https://work.bouldercolorado.gov/ContractTracking/sewlet/Controller 1/1 Memorandum of Understanding Between "I Have A Dream"Foundation of Boulder County and City of Boulder Parks and Recreation-Youth Services Initiative for the 2019 Dream Big:Healthy Together Grant PERIOD OF AGREEMENT: This Memorandum of Understanding is between "I Have A Dream" Foundation of Boulder County, Boulder Housing Partners and the City of Boulder - Parks and Recreation - Youth Services Initiative (YSI) specifically related to the 2019 Dream Big: Healthy Together grant fulfillment (January 1, 2019-December 31, 2019). It is effective starting January 1, 2019, and shall remain in effect until December 31, 2019.Any party can terminate this agreement, but must provide 30 days written notice prior to termination. PARTIES: "I Have A Dream" Foundation of Boulder County (hereinafter IHDF-BC) is a not-for-profit organization that provides academic and social-emotional support for low-income children in Boulder County from first grade through college. City of Boulder Parks and Recreation - Youth Services Initiative (hereinafter YSI) is a government agency providing physical activity and health information workshops to the target population. Boulder Housing Partners (hereinafter BHP) is the housing authority for the City of Boulder and provides support for families and partner organizations. COMMON OBJECTIVE:IHDF-BC, BHP and YSI have a common objective to close the opportunity and achievement gap for Low-income and minority youth in Boulder County by leveraging the City of Boulder's Health Equity funding (appendix) to support youth and families. The organizations are invested in assisting youth whose economic circumstances prevent them from achieving their full potential in the education system and eventually as productive members of the community. Supported by YSI contracted services, IHDF-BC will provide daily after-school. and summer programming, ensuring youth receive physical activity, healthy snacks, and integrated academic supports four days a week at BHP community centers or at Casey Middle School. In addition,adults in the housing communities will receive access to fitness classes and family health workshops. Four previously trained resident fitness instructors will continue their professional development to teach adult fitness classes at BHP and Boulder Parks and Recreation sites. Together, the partners will reach more than 267 unduplicated individuals (227 youth ages 5-18 and 40 adults), all of whom are low-income City of Boulder residents, most of whom are Latino (about 85%), and alt of whom, through their economic status, are part of a population that is the most vulnerable to barriers to healthy decision making and activity. DISTRIBUTION OF FUNCTIONS: In view of the common objective, IHDF-BC, BHP and YSI agree on the following distribution of functions per the Dream Big:Healthy Together grant: IHDF-BC wilt provide the following: • Qualified staff to plan, implement and manage the day-to-day and overall program structure and partnership for Healthy Together programming at all program sites. • Program Directors will attend quarterly Healthy Together planning meetings. • Vice President of Programs wilt attend and serve on the governing committee that meets 3 times a year. • Vice President of Programs will oversee and provide coordination and facilitation of the grant through supervision of the Healthy Together Grant Manager and Program Staff. • Oversight of the program across all sites, including budget management,fiscal agency,facilitation, and preparation of grant reports and reapplication in coordination with YSI. • Vehicles for transportation of youth,as needed,to and from the program sites. • Academic, Socio-Emotional and Life Skills,Leadership Development,Community Service, Mentoring and Tutoring,and College and Career Access programming support for students. • In coordination with BHP, identification and recruitment of youth to participate in the Healthy Together program,obtaining parental consent and release of information forms. 1 • In collaboration with YSI, facilitation of moderate to vigorous physical activities for at least 90 minutes weekly. • Case management, and whole-child support for youth enrolled in the program, including referrals to BHP staff for basic needs and family support. • Behavior management support of students for YSI staff during programming. • Six(6) health workshops at BHP sites. • Healthy snacks for youth during programming. • IHDF-BC and volunteers will review and agree on Community Center Agreement Use provided by BHP. • A signed BHP Partner Community Center Use Agreement that outlines expectations for keeping spaces clean, locked,and well maintained. • A signed BHP Key and Fob Agreement that stipulates that keys and fobs may not be shared and need to be returned to BHP when requested if center access is no longer necessary for programming. • Program Directors are responsible of requesting access to the centers along with keeping track of physical keys and electronic keys(FOBS)expedited to their staff and under BHP protocol. • Collection support and analysis of data for program participants, unless otherwise agreed upon with YSI, including: o Track time spent in moderate to vigorous physical activity(attendance) o Activity levels away from school(sports) o Analyze collected adult data from YSI ■ Track time spent in moderate to vigorous physical activity(attendance) ■ PACER ■ BMI ■ Change in confidence of health knowledge BHP will provide the following: • In coordination with IHDF-BC, identification and recruitment of youth to participate in the Healthy Together program,including parental consent and release of information. • Case management support for youth enrolled in the program, including staff to provide resources for basic needs and family support. • Staff and support for utilization of program spaces. • Parking for buses. • A liaison to attend quarterly Healthy Together planning meetings,and a representative on the governing committee that meets 3 times a year. • Resident Coordinators will attend quarterly Healthy Together planning meetings. • Director of Resident Services will attend and serve on the governing committee that meets 3 times a year. • Director of Resident Services will oversee and provide coordination and facilitation of the grant through supervision of the Healthy Together Grant Manager,and Program Staff. 2 • A BHP Partner Community Center Use Agreement that outlines expectations for keeping the spaces clean, locked,and well maintained for IHDF-BC and Boulder Parks and Recreation staff to sign. • A Key and Fob Agreement that stipulates that keys and fobs may not be shared and need to be returned to BHP when requested if center access is no Longer necessary for programming for IHDF-BC and Boulder Parks and Recreation staff to sign. YSI agrees to provide the following services for enrolled youth and adults during the grant period, including: • Training of program activities for designated IHDF-BC staff,AmeriCorps and volunteers. • Qualified staff to administer physical activities at designated Locations as agreed upon with IHDF-BC and BHP. • Access to Boulder Parks and Recreation buses when available for YSI to transport youth. • Facilitation of physical activity programming with youth 4 days a week at designated program Locations, including: Diagonal Court, Katmia, Casey Middle School, Broadway East and City of Boulder Parks and Rec facilities,parks or open space. • Collection of data and return to IHDF staff to analyze for all adult and youth fitness class participants, unless otherwise agreed upon with IHDF-BC, including: o Youth Fitness scores for PACER(work with IHDF to collect data) o Youth BMIs(working with YSI to collect data) o Track time spent in moderate to vigorous physical activity(attendance) o Fitness scores o PACER o BMI • Oversight of physical activity programming for youth and adults enrolled in the program. • Facilitation of 150 adult fitness classes for 40 adults Living in BHP communities. • Ongoing professional development for four BHP residents who became certified fitness trainers in 2018. • Six(6) health workshops for BHP residents. • A signed BHP Partner Community Center Use Agreement that outlines expectations for keeping spaces clean, Locked,and well maintained. • A signed BHP Key and Fob Agreement that stipulates that keys and fobs may not be shared and need to be returned to BHP when requested if center access is no Longer necessary for programming. • Program Implementers will attend quarterly H2G planning meetings. • Programs and Partnerships Manager who will attend and serve on the governing committee that meets three times a year. • Programs and Partnerships Manager who will oversee and provide coordination and facilitation of the grant through supervision of the Healthy Together Grant Manager,and Program Staff. 3 Evaluation -who tracks what/Where,who and what is measured • IHDF-BC responsible for collection and analysis of youth participant data • YSI in connection with Boulder Parks and Recreation responsible for collection of adult fitness classes participant data • IHDF-BC responsible for analysis of adult fitness classes participant data • IHDF-BC is responsible for collection of adult workshop participant data for the 6 workshops they oversee • Boulder Parks and Recreation is responsible for collection of adult workshop participant data for the 6 workshops they oversee • IHDF-BC is responsible for analysis of adult workshop participant data Finances -who spends what,when,who reports • YSI oversees funding for the services they are responsible for • Provides quarterly updates to IHAD on how funding is being spent- Invoices? • IHDF-BC oversees funding for the services they are responsible for • IHDF-BC reports to grant how funds are being spent • BHP provides in-kind support for regular maintenance of facilities COMMUNICATION: Periodic(and no less than quarterly)communications will be held between the Vice President of IHDF-BC's Programs, the Director of YSI and the BHP Director of Resident Services to review implementation of this agreement and to establish policy directives as appropriate. Regular (and no less than monthly) meetings will be held between the Healthy Together Program Manager,and the operational team for YSI and BHP to review program implementation and adjust programs as needed. Regular (and no less than monthly) site meetings will be held to include Program Directors, the Healthy Together Program Manager from IHDF-BC, the YSI Recreational Coordinator, and BHP site coordinators as necessary. Specific meetings pertaining to program planning,evaluation,and reporting will be held as needed. REPORTING/ RECORDKEEPING: IHDF-BC and YSI will maintain documentation of enrollment, participation, and individual health indicators for all youth and adult participants. • IHDF-BC responsible for storage and reporting of all collected participant data YSI staff agree to furnish client data for youth served by the program as requested by IHDF-BC including: Baseline Data for Each Youth Staff,numbers, Height,Waist, twice yearly-end of AC's/PD's/YSI/H2G grant Participant Including:Pacer, BMI measuring tape, Weight,Time spring semester& managers space to run end of fall semester Report average participant in Attendance Average hours Monthly IHDF-BC Healthy Together weekly physical activity per week Program Manager Report percentage change BMI Change in BMI Semi-Annually IHDF-BC Healthy Together percentage Program Manager Report on students who opt out Attendance Impact of regular Daily(at time of YSI of programming I participation program) Adult attendance (goal 8-10 per Attendance Attendance, Daily(at time of YSI class) for each resident-led class spreadsheet frequency of class) 4 attendance Report change in confidence in Survey Change in Administered after IHDF-BC Parent Engagement health knowledge among adult confidence each workshop and Evaluation Specialist participants at health workshops Number of adults completing Attendance in Fitness training Semi-Annually Boulder Parks and continual fitness employment fitness training Recreation Healthy Together training by June 2019(goal=4) Program Coordinator Number of fitness classes taught Classes ran Number of Semi-Annually YSI and Boulder Parks and by trained resident leaders by classes Recreation Healthy Together year end (goal= 150 classes) Program Coordinator YSI agrees to cooperate with the release of information requests of IHDF-BC regarding any pertinent information relative to their care as allowed through the releases of information. These requests will be for information about clients with respect to baseline and follow up health measures. IHDF-BC shall notify YSI of changes in client status or other matters relevant to provision of services in a timely manner(3 business days). In order to remain compliant with state and federal laws regarding sharing of information, identifiers will be removed when sensitive data is shared between organizations. Information provided by third-parties (eg. School District) must adhere to all sharing and privacy guidelines and may require additional agreement between YSI and such third-party entities as are relevant to the satisfactory performance of this agreement. COMPENSATION AND PAYMENT: IHDF-BC agrees to pay YSI a total of $91,910 for the 2019 Healthy Together program cycle on the following schedule,contingent on timely completion of deliverables and invoices: Youth Staff $59,840 Semi-Annual June 30 Adult Fitness Staff $8,795 Semi-Annual June 30 Adult Workshops $2,125 Semi-Annual June 30 Training/Certification $9,150 Semi-Annual June 30 Fleet/Transportation $3,000 Semi-Annual June 30 Equipment $6,000 Semi-Annual June 30 Admin/Office/Copies $3,000 Semi-Annual June 30 IHDF-BC will pay YSI $91,910 upon receipt of the Healthy Together grant funds. IHDF-BC will make two subsequent payments to YSI pending submission to IHDF-BC of an invoice showing program expenditures to date in May and November 2019. No later than December 1, 2019,YSI will submit an actuals report to IHDF-BC showing 1) unspent funds, 2) anticipated expenses through December 31, 2019, and 3) activity expenses to be carried over into 2020. No later than February 1, 2020,YSI will submit an actuals report to IHDF-BC for the full 2019 Healthy Together grant. YSI shall maintain records/receipts for all program-related expenses for 7 years after the conclusion of the grant cycle. CONFIDENTIALITY: IHDF-BC, BHP and YSI each shall safeguard the use of and access to information regarding individuals or families, to which any agency is providing or arranging for service. BHP, YSI and IHDF-BC agree not to use or release any reports, data, or other information identifying applicants or persons, except with the approval of such applicant or person served, in accordance with the rules and regulations of HIPAA and where applicable, federal and state laws and regulations. Such information shall be used only to assure proper administration, planning, coordination and monitoring of performance under this Agreement, and to permit the 5 transfer of client records between YSI, IHDF-BC and BHP for the purpose of continuing services,with appropriate release from the client or the client's guardian, and for research purposes. Each participant that engages in the services provided in this Agreement will sign a release of information allowing the parties to this agreement to share the data and information related to the services provided. Furthermore, any data or information shared will have a unique identifier in order to reasonably protect an individual's personal information. INSURANCE: "I Have A Dream Foundation"of Boulder County Please see Appendix for Insurance information. Boulder Parks and Recreation Contractor agrees to procure and maintain in force during the term of this Agreement, at its own cost, the following minimum coverages: I. Workers'Compensation and Employers'Liability A. State of Colorado: Statutory II. General Liability A. General Aggregate Limit: $2,000,000 B. Per Occurrence: $1,000,000 Coverage provided should be at least as broad as found in Insurance Services Office (ISO)form CG0001. III. Insurance shall: A. Provide primary coverage; B. Include the City of Boulder and its officials and employees as additional insureds as their interest may appear (except for Worker's Compensation and Professional Liability). Additional insured endorsement should be at least as broad as ISO form CG2010 for General Liability coverage and similar forms for auto liability; C. Include a waiver of subrogation for General Liability coverage; D. Issue from a company licensed to do business in Colorado having an AM Best rating of at Least A-VI;and E. Be procured and maintained in full force and effect for duration of work. IV. Certificates of Insurance evidencing the coverages described herein, shall be forwarded to the Program Manager. Certificate Holder shall be:City of Boulder, 1777 Broadway, Boulder, CO 80306. V. Within twenty one days after receiving insurer's notice of cancellation or reduction in coverage, Contractor, or its insurance broker, shall notify the City. In either such case, Contractor shall promptly obtain and submit proof of substitute insurance complying with the City's insurance requirements. IHFD-BC, BHP and BPR agree to indemnify and save harmless the City against any and all damages to property or injuries to or death of any person or persons arising from its performance of this Contract, including property and employees or agents of the City and shalt defend, indemnify and save harmless the City from any and all claims, demands, suits, actions or proceedings of any kind or nature, including without limitation Workers Compensation claims, of or by anyone whomsoever in any way resulting from or arising out of the Contractor's operations in connection with this Contract, including operations of sub-contractors and acts or admissions of employees or agents of the Contractor or its subcontractor. Notwithstanding any other provision of this Contract to the contrary, no term or condition of this Contract shall be construed or interpreted as a waiver,express or implied,of any of the immunities, rights, benefits, protection, or other provisions of the Colorado Governmental Immunity Act, Section 24-10-101 et seq., C.R.S., as now or hereafter amended. The parties understand and agree that liability for claims for injuries to persons or property arising out of negligence of the City, its departments, institutions, agencies, boards, officials and employees is controlled and Limited by the provisions of Section 24-10-101 et seq., C.R.S.,as now or hereafter amended. PUBLICITY:The parties mutually agree not to use the name of the other in publicity or non-service connections without permission. All press inquiries should be directed to Lori Canova, President and CEO of IHDF-BC, Megann Lohman, Programs and Partnerships Manager of Boulder Parks and Recreation, and Karin Stayton, Director of Resident Services at BHP. Only staff authorized by these designated representatives shall speak to the media regarding the Healthy Together program or its participants. PROCEDURE FOR RESOLVING DISPUTES: In the event of a dispute, difference of interpretation, or appeal of a decision regarding the terms and/or conditions of this agreement, settlement shall first be sought between the President and CEO of IHDF-BC, Programs and Partnerships Manager of Boulder Parks and Recreation, and the 6 Director of Resident Services at BHP. If settlement cannot be reached, the issue shall then be presented to the executives of the three agencies for joint resolution by them. AMENDMENT: This Memorandum of Understanding may be amended on the initiative of either party by submitting a proposed amendment in writing to the other party and agreement of that party to the amendment. The parties hereto have signed this Contract effective as of the day and year first written above. I Have a Dream �) By: co,ore► '�f v: IiA Title: C_ C- U STATE OF COLORADO ) ss. COUNTY OF BOULDER ) The foregoing instrument was acknowledged before me,a notary public,this Z`1 day of 204 by Lor; CASova as Cq"p of IvtvDreS� a Witness my hand and officia My commission expires: GARRETT WALSH Notary Public NOTARY PUBLIC Z/z}�z 6 z 3 STATE OF COLORADO (SEAL) NOTARY ID 20194008128 MY COMMISSION EXPIRES FEBRUARY 2'/202 Boulder Housing Partners By: Kc. Tinti. v O 7 Title: i rtaS��>P R dvu�$¢•v.'ceS STATE OF COLORADO ) )ss. COUNTY OF BOULDER ) / The foregoing instrument�w s ackngwledged before me,a notarUublic this IV tday of �I 20�by 6tJ i n 'JGLxq�,6" as treclvr VKfsl of rvi os Witness my hand and official s a M � ^O� f�/ / A O RE '> p( ��(/// Notary Public NOTARY PUBLIC STATE OF COLORADO (SETAWOTARY ID 20054033070 COMMISSION EXPIRES AUGUST 22,102 City of Boulder ATTEST:(-X^' —6 v eLcou -•- City Manager (/ ity C rrk APPROVED AS TO FORM: City Attorney's Office 7 prF a)1t?yaC� RK$ g <:i+€�lL1S C3�r` •lig} Appendix Grant Application Submission "I Have A Dream"Foundation of Boulder County- Healthy Together Program Narrative Please provide the following PROGRAM information. This narrative is required for EACH program applying for funds. If applying for more than one program,please go to the to the application overview page to create and associate a new program to this application. You can get to the overview page from the Switch Form menu in the upper right-hand corner of this page. Goals:Briefly outline the program's goals for 1019.'(984/1000 characters) The goal of Healthy Together(H2G) is to provide 267 Low-income, primarily Latino,youth and adults with year-round, intentional health and wellness programming,so that they have equitable, inclusive access to the opportunities and resources that Lead to a Long-term healthy Lifestyle.We will meet these goals through"I Have A Dream"(IHDF)and the City of Boulder Parks & Recreation's Youth Services Initiative(YSI)programming for Low-income residents from five Boulder Housing Partners'(BHP)communities(Broadway East, Diagonal Court, Kalmia, Iris Hawthorn,and Red Oak Park)and low-income students participating in IHDF's program at Casey Middle School.Youth will receive daily individualized,age-appropriate physical activity,enrichment, healthy snacks,and integrated academic supports.Adult residents will have increased access to healthy Living workshops and fitness classes,and resident trainers will receive ongoing training and be paid to teach fitness classes. Target Population:Briefly describe the specific population served by the program and how this population is experiencing health disparities.'(844/1000 characters) The individuals served by this program are those most vulnerable to barriers to healthy decision making and physical activity due to their ethnic and economic status. Recent data from the Healthy Kids Colorado Survey shows that 13% of Hispanic youth in Colorado are obese,compared to just 7%of their white peers,and low-income youth are twice as Likely to be inactive as their more weLL-resources peers nationwide.Across the state, Hispanic and Latino residents are nearly twice as likely to live in poverty,which is linked with lower activity Levels and poorer health outcomes. H2G will serve 40 adult BHP residents and 227 youth ages 6 to 18 Living in BHP's housing communities or participating in IHDF's program at Casey Middle School. 100%of these 267 unduplicated individuals are Low-income City of Boulder residents,93%are Latino. Program Description:Describe the specific services that the program will provide, and the anticipated health benefits that will result from the program.'(993/1000 characters) In 2019, H2G will provide 38 weeks of robust and intentional health and wellness programming for 227 youth including physical activities and enrichment, nutritional snacks,and integrated academic supports.Youth will have age-appropriate programming modeled on the Physical Education SPARK program and access to recreational or competitive sports clubs,or other specialized fitness groups, based on their individual interests and abilities. 12 healthy Living workshops and 150 fitness classes at BHP community centers or adjacent facilities will serve 40 adult residents.The four resident fitness trainers certified in 2018 will receive ongoing training,and be hired to teach classes.Through H2G programming,communities build a healthy Living culture,youth will see improved health outcomes including lower BMI, improved access to nutritious foods,and improved fitness scores.Adults will improve their knowledge of healthy behaviors and fitness class participants will Lower their BMI. Program Rationale:Describe the rationale for the program,including any evidence-based research or other factors used to determine the program goals and services.How do you know the program is likely to achieve its goals? (978/1000 characters) 8 The Journal of Pediatrics recommends youth participate in regular moderate to vigorous physical activity that is "developmentally appropriate,enjoyable,and involves a variety of activities"(2005). Integrating lessons from the first 18 months of programming, H2G will implement best-practice and research-based programs, leveraging IHDF's proven Long-term and holistic year-round model with YSI's expertise in the research-based SPARK curriculum,a national model for youth fitness,and other fitness activities.Youth will have access to age-appropriate community and school-based physical activities and clubs that help build a foundation for an active adult Lifestyle. Providing programming for adults ensures H2G is supporting two generations within these communities.ALL three program partners have built strong relationships and trust within these communities,which improve program buy-in and can help participants achieve lasting results in their health and wellness. Outreach and Engagement:Describe how the program reaches and serves people experiencing health disparities, and how the program will engage clients or participants in the design,implementation and evaluation of the program.' (922/1000 characters) This project will serve 267 individuals in 2019,of which 77%are currently being served in 2018 H2G programming and will continue to participate.ALL three partners have bilingual and bicultural staff, including several from within the community,who will work directly with current and additional youth and families to engage them in the program design and to ensure consistent participation through frequent communication.Ongoing feedback through focus groups, post-program surveys and parent meetings will help the partners tailor programming to the interests of individual participants and their housing community.Transportation will not be a barrier for youth or adults,as participants will be bussed by IHDF and YSI to other program sites as needed. BHP's dedicated residential support staff will work with IHDF staff to recruit adult participants,to participate in fitness classes and healthy living workshops. Evaluation:Describe the program evaluation process,including use of collected data or client feedback, and how the evaluation findings will be used to improve program outcomes."(973/1000 characters) The 2018 programming year yielded significant insights about how the partnership could best measure H2G's program effectiveness using both quantitative and qualitative data.The most feasible and relevant data that will continue to be collected by partners in 2019 include program attendance and select SPARK measures including time in moderate to vigorous physical activity(MVPA)and BMI.YSI will conduct pre-and post-testing of youth fitness scores and BMI to measure progress towards individual and program goals.Adult classes will be measured by attendance and BMI will be measured for adult participants four times a year. Professional development for resident fitness instructors will be tracked for each program they attend.Participants will complete surveys for each workshop they attend to measure their increased knowledge for that specific topic. Participation and health outcomes will be compared across sites twice a year to identify areas of improvement. Cost per Client or Unit of Service:Provide an estimated cost per client or unit of service for the program. Include how the estimate was determined.Explain any factors that affect the costs disproportionately. If the program does not track the cost per client,please indicate this and explain why not.'(20717000 characters) The average cost per individual served in 2019 will be$1,577. For youth,the cost is$1,634,and for adults,the cost is $1,250. Costs in the first two years of programming included significant start-up and equipment costs and 100%of program staff salaries. In 2019, IHDF staff will be providing more comprehensive academic and case management supports for youth and families,so a reduced percentage of staff salaries and benefits based on time spent specifically on H2G are included in the program budget. IHDF has begun fundraising to cover the balance of those staffs salaries,benefits,and costs not covered by HER A small portion of those other costs will be funded through the COB's Human Services Fund and YOAB grants. In addition, IHDF is increasing its cost-sharing for the 2019 H2G program. Provide any additional information about the program that might add context,background or relevant information for reviewers.(OPTIONAL and NOT SCORED)(906/1000 characters) IHDF's 28-year track record of serving Boulder's low-income, largely Latino youth to and through post-secondary—combined with YSI's focus on improving underserved youths'access to health and wellness services—will improve H2G's sustainability. IHDF is also working towards raising the additional funds needed to support post-secondary scholarships and full-time staffing to provide H2G youth with IHDF's Long-term academic and comprehensive programming. By making this commitment to students,the partners expect more frequent participation in H2G programming and increased health and weLLness benefits for participants.The HEF grant will continue to fund the core H2G programming. H2G partners are also collaborating with other HEF grant candidates 9 including Thorne's Nature Kids research and Boulder County Public Health's youth advocacy work to ensure alignment and prevent duplication of services. Program Demographics Please complete the following tables with the projected number of unduplicated clients that the program will serve in 2019 based on funding requested. The totals for each section auto-calculate and must match the total number of proposed program clients.Individual section totals will appear only after you select"Save My Work."After completing all your data entry,select"Save My Work and Mark as Completed"to prompt the system to review that all client totals match. Total Projected Clients Served by the Program Provide a projection of how many UNDUPLICATED clients the program proposes to serve, if funded. Refer to the Applicotion Guide in the Resource Center for a description and exam le o 'unduplicated clients." City of Boulder I Non-City of Boulder #of Unduplicated Clients 267 0 Total 267 0 Race and Ethnicity Provide race and ethnicity information for the proposed clients that the program will serve, if funded. City of Boulder Black/African American 0% Asian/Pacific Islander .56%or 1 White/Caucasian (Non-Latino) 2.84%or 5 Hispanic/Latino 93.75%or 167 Native American/Alaska Native 0% Mixed Race 0% Other 2.84%or 5 Unknown 0% Total 100%or 178 Gender Provide gender information for the proposed clients that the program will serve, if funded. City of Boulder Male 53%or 95 Female 47%or 84 Transgender 0% Unknown 0% Totat 100%or 178 10 Income Level Provide income information for the proposed clients that the program will serve if funded. These income guidelines are based on the U.S. Dept.of Housing and Urban Development FY 2017. Median Family Income or Boulder County is$98,200. City of Boulder Extremely Low-Income:Less than or equal to 30%AMI 68% Very Low-Income:31%- 50%AMI 26% Law-Income: 51%-80%AMI .057% Median Income:81%- 100%AM[ .0063% Not Low-Income:Above 100%of AMI Unknown Total Program Budget Narrative Please include any additional program budget information such as explanations for excess or shortfall of revenues and expenses and any additional information that will assist application reviewers'understanding of the program's budget. Changes in Funding Request:If applicable,explain why the program is asking for more or less funding than the prior year's request.(909/1000 characters) In 2019, H2G will serve 267 unduplicated low-income youth and adults, 23%more than were served in 2018. Program sites will be organized by age groups so that H2G programming can better meet the varying needs and interests of youth. One additional staff person,the H2G Manager,will support program expansion, provide oversight,collect and evaluate data,and work closely with partners to continuously improve.To enhance adult programming and participation in 2018,YSI will also add additional staff time and childcare for fitness classes to ensure higher attendance and timely outcome measurement. Red Oak Park will only be used for adult programming in 2019.Transportation will be provided for youth and adults to access age-specific programming at the different housing sites. Increased funds for healthy food and snacks will be vital for daily programming and workshops across H2G sites. If the program budget runs on a fiscal year other than January 1 -December 31,please state that and include the fiscal year time frame.(1000 characters) IHDF's fiscal year aligns with the annual calendar,January 1 to December 31. Scope of Work Goal 1: Activity:Provide 38 weeks of daily after-school and summer programming to low-income youth living in BHP housing communities or participating in IHDF's program at Casey Middle School, including daily individualized, age-appropriate physical activity,healthy snacks,enrichment activities,and integrated academic supports. Outputs:Anticipated 227 unduplicated low-income,largely Latino youth attend 75%of daily after-school and summer programming,with 75%of students achieving a minimum of 90 minutes of moderate to vigorous physical activity(MVPA)each week. Timeline:Programming will be held daily after-school for 2 hours from January-May 2019 and September-December 2019,and during the summer from June-July 2019. Partners:City of Boulder Parks & Recreation will provide SPARK training,staff,age-appropriate physical activities,equipment,and pre and post-testing. BHP will provide access to program sites and support outreach to families. Outcomes:Low-income,predominantly Latino youth have increased access to physical activities and healthy foods.The majority of youth participants achieve a healthy BMI and improved fitness scores. Measurement Tool:Program staff will track class participation with attendance sheets and conduct pre-and post-program tests for BMI and fitness scores. 11 Indicators:Actual total number of unduplicated low-income youth attending daily programming,and frequency of participation.Actual number of youth who report improved health outcomes, including healthy BMI and improved fitness scores. Goal 2: Activity:Provide ongoing professional development for four resident fitness trainers certified in 2018,and pay them to teach adult fitness classes at BHP and Boulder Parks & Recreation sites. Outputs:Anticipated four unduplicated low-income BHP adult residents will receive ongoing training in their fitness certification programs and teach classes. Timeline:Adult residents will participate in ongoing professional development training between January-December 2019,and begin teaching classes beginning January 2019. Partners:City of Boulder Parks & Recreation wilt provide professional development training for resident instructors,and compensate them for classes they teach. BHP wit[provide access to facilities for training as needed. Outcomes:Low-income adult BHP residents have increased access to employment training and employment opportunities. Measurement Tool:Program staff will track the number of certified resident fitness trainers participating in professional development courses,and the number of classes they each teach. Indicators:Actual total number of unduplicated resident trainers who participate in ongoing fitness training programs.Actual number of classes taught by each resident instructor. Goal 3: Activity: Provide 150 adult fitness classes with complimentary childcare at BHP community centers and adjacent Parks & Recreation facilities. Outputs:Anticipated 40 unduplicated low-income adult BHP residents participate in adult fitness classes. Timeline:1-hour classes will take place up to four days per week between January 1-December 31, 2019 at BHP community centers and adjacent Parks & Recreation facilities. Partners:City of Boulder Parks & Recreation wilt provide staffing, marketing materials,track attendance and pre-and post-testing for participants. BHP will support outreach and provide facilities for classes and childcare. Outcomes:Low-income adult residents have increased access to fitness classes in their community.50%of adult participants will reduce their BMI by 3-5%, reducing their risk for chronic illnesses. Measurement Tool:Program staff will track class participation with attendance sheets,and will measure participants' BMI four times a year.Staff will collect participant feedback on the quality and favorabi[ity of classes through informal surveys. Indicators:Actual total number of unduplicated BHP adult residents who attend classes,and frequency of participation in classes.Two or more actual BMI measures for each participant and change over time. Goal 4: Activity:Provide 12 healthy living workshops for low-income residents.Workshops will take place at BHP Community Centers or nearby City of Boulder Parks & Recreation facilities.Transportation will be provided for off-site workshops. Outputs:Anticipated 40 low-income H2G parents and BHP residents attend at least 4 of the 12 workshops. Timeline:Workshops will last approximately 1-2 hours,and take place monthly from January through December 2019. Partners:City of Boulder Parks & Recreation will track attendance, provide staff,workshop materials, transportation,and facilities for half of the workshops.They will also conduct post-participation surveys to measure increased knowledge of workshop themes among participants(IHDF will conduct the other 6 workshops). BHP will provide community outreach and facilities for select workshops. Outcomes:Low-income adult residents have increased access to health and wellness information and resources. 75%of workshop participants increased knowledge on program topics, including available programs and services. Measurement Tool:Program staff will track workshop participation with attendance sheets,and will conduct post-workshop participant surveys including questions about personal awareness and behavior change. Indicators:Actual total number of unduplicated low-income residents who participated in each workshop,and frequency of participation.Actual percentage of participants who reported increase knowledge related to workshop topics. 12 i•�'� IHAVEAD-02SALEE CERTIFICATE OF LIABILITY INSURANCE DATE o3r0612o19sr2 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer Fights to the certificate holder In Ileu of such endomemen s. PRODUCER License#0757776 HUB International Insurance Services(COL) PHONE FAX 112517th Street,Suite 900 Ne Eel: 303 893-0300 _ Ne: 866 243-0727 Denver,CO 80202 INSURER AFFORDING COVERAGE NAICS _ INSURER A:Memos ofNonpmabfor lmumnce,RukRatenaenGmp(ANI) 10023 INSURED INSURERS:Pinnacof Assurance Company 41190 I Have A Dream Foundation of Boulder County INSURER c: 5390 Manhattan Circle,Suite 200 INSURER D: Boulder,CO 80303 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY.PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. /NSR TYPE OF INSURANCE ADM SUER POLICY NUMBER POLICY EFF POLICY EXP TYM LIMITS A ToNINgERCIALGENERALLIABILDY 1,000,000 EACH OCCURRENCE S CLAIMS-MADE OCCUR X X 201940485 01/0612019 01/06/2020 DAMAGETO RENTEDf 500,000 PREMISES(Ea occurance)MED EXP(Any we arson 20,009 PERSONAL&ADV INJURY 5 1,000,000 GEH'LAGGR TELIMITAPPUESPER: GENERAL AGGREGATE 2,000,000 POLICY Yea II LOC PRODUCTS-COMP/OP AGG 3 2,009,000 OTHER: LIQUOR LIAR 110-00-10-00- A ,009,909A AUTOMOBILEUABRJTY COMBINED rmnSINGLE LIMB 1,00-0,000 X ANY AUTO 1940486 01/06/2019 01/0512020 BODILY INJURY(Per OWNED SCHEDULED ALTOS ONLY AUpTNOOSwNEo BODILY INJURY Per scdden 5 AUTOS ONLY AUTOS ONLY AOra E�RTYI GE UMBRELU LIAS OCCUR EACH OCCURRENCE S EXCESSLIAR CLAWS-MADE AGGREGATE DED I I RETENTIONS B WORKERS COMPENSATION I PER AND EMPLOYERS'LIABILITY EOR 100,006 PROPRIETORIPARTNER/ ECUTIVE YIN 2258902 11(9112016 11/91/2919 100,000 o.FIDEWMjmW)EXCLUDED? NIA E.L.EAEASE-CH EA ENT f 'M°nGabryln NN) E.L.DISEASE-EA EMPLOYE S 100'000 If yva describe under DESCRIPTION OFOPERATIONS b f. E.L IEA E-POLICY LIMB 5 SOO,000 A Misconduct/Abuse [2019-10485 019-10486 01/0512019 01105/2020 Limit: 1,000,OOD A Professional Ltab 01/05/2019 01105/2020 Limit: 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 181,AddWoml Remark,Schedule•may bo onached N men space Is miuhedl re: Boulder youth services provided Including In-school,afterachool and summer programming,comprehensive case management,and enrichment opportunities The City of Boulder is listed as Additional Insured Including Waiver of Subrogation for their Interest in General Liability. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City Of Boulder THE EXPIRATION DATE THEREOF NOTICE WILL BE DELIVERED IN 1777 Broadway ACCORDANCE WITH THE POLICY PROVISIONS. Boulder,CO 80302 AUTHORMED REPRESENTATIVE ACORD 25(2016/03) ®1988-2015 ACORD CORPORATION. All rights reserved. ALLIAPICE OF POLICY NUMBER: 2019-10485 FORM:ANI-RRG-E26 11 17 kVONPROFITS FOR NAMED INSURED: I Have A Dream Foundation of Boulder County = INSURANCE A Hmdf"tmum .A NwdJar Na WMftL THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANFER OF RIGHTS OF RECOVERY AGAINST OTHERS (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SOCIAL SERVICE PROFESSIONAL LIABILITY COVERAGE FORM Where you are so required In a written contract or agreement currently in effect or becoming effective during the term of this policy,we waive any right of recovery we may have against that person or organization because of payments we make for Injury or damage. ANI-RRG-E26 04 17 Page 1 of 1 POLICY NUMBER: 2019-10485 COMMERCIAL GENERAL LIABILITY Named Insured: I Have A Dream Foundation of Boulder County CG 20 26 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s)Or Organization(s): Any person or organization that you are required to add as an additional insured on this policy, under a written contract or agreement currently in effect, or becoming effective during the term of this policy.The additional insured status will not be afforded with respect to liability arising out of or related to your activities as a real estate manager for that person or organization. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II—Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following is added to organization(s)shown in the Schedule, but only Section III—Limits Of Insurance: With respect to liability for"bodily injury', "property damage"or"personal and advertising injury' If coverage provided to the additional insured is caused, in whole or in part, by your acts or required by a contract or agreement,the most we omissions or the acts or omissions of those acting will pay on behalf of the additional insured is the on your behalf: amount of insurance: 1. In the performance of your ongoing operations; 1. Required by the contract or agreement; or or 2. Available under the applicable Limits of 2. In connection with your premises owned by or Insurance shown in the Declarations; rented to you. whichever is less. However: This endorsement shall not increase the 1. The insurance afforded to such additional applicable Limits of Insurance shown in the insured only applies to the extent permitted by Declarations. law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. CG 20 26 04 13 ©insurance Services Office, Inc., 2012 Page 1 of 1