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FY16 SRC General Purpose application'A Area Agency On ASing Cale Fern- Coluicil of Goveninzents IMPORTANT INFORMATION!! TO: Region O Lead Agency Directors Jim Fish, BSRI Amanda Harrelson, Columbus County DOA Amber Smith, New Hanover County Senior Resource Center Wes Davis, Pender Adult Services, Inc. FROM: Jane Jones, Region O AAA Director DATE: November 6, 2015 RE: Senior Center General Purpose Funding Allocation & Proposal The NC Division of Aging and Adult Services recently notified the AAA and Senior Centers of the allocations for Senior Center General Purpose Funding. The funding amounts are based on the number of Centers of Excellence, Centers of Merit, and Uncertified Centers. I have attached the Administration Letter 15-13, including the list of Certified and Uncertified Centers. Please note that the Administrative Letter requires that "projected June expenditures must be reported with May services reported in June ". For SFY 15/16 the amounts for Region O Centers are as follows: Each Noncertified Center listed as follows will receive 53,800 with a required match of $1,267 for a total of $5,067: Brunswick County: Leland, Shallotte, & Southport Columbus County: Whiteville, Bolton, Bug Hill, Chadbourn, East Columbus, Fair Bluff, and Tabor City. Each Certified Center of Excellence listed as follows will receive $11,397 with a required match of $3,799 for a total of $15,196: • New Hanover County Senior Resource Center • Pender County: Heritage Place and Topsail Center Please complete the enclosed proposal(s) and return to the AAA by Monday, December 7, 2015. No money will be appropriated in ARMS until your Proposal Packet is received and approved. Please call if you have questions. Attachments (2) DOA Administrative Letter 15 -13 Senior Center General Purpose Funding Proposal CC: Ginny Brinson County Managers (Letter only) Brunswick Columbus. New Hanover and Pender Counties 1480 Harbour Drive • Wilmington, NC 28401 • (910) 395 -4553 • (800) 218 -6575 • Fax: (910) 395 -2684 www.capefoorcog.org A^ Fq K�I OVpo I— !V /A`hamafw Ac— /ADA Empbye,jP,g- 2 1- North Carolina Department of Health and Human Services Pat McCrory Governor ADMINISTRATIVE LETTER NO: 15 -13 TO: Area Agencies on Aging and Senior Centers FROM: Suzanne P. Merrill, Division Director DATE: October 14, 2015 0 RE: 2015 -2016 Senior Center General Purpose Funding Richard O. Brajer Secretary Suzanne P. Merrill, Director Division of Aging and Adult Services This year the state total for the Senior Center General Purpose funding is $1,265,316 with a local match of $421,772 for a grand total of $1,687,088. The local match will remain at 25% and can be cash or in -kind. Based on this requirement, the breakout is as follows: State Local Total Senior Center General Purpose $1,265,316 $421,772 $1,687,088 The General Purpose funding will be allocated to the Area Agencies on Aging for distribution to the centers within the regions which the AAAs have determined provide full -time programs or will utilize this funding to develop full -time programs. The centers receiving these allocations must be listed in the Division's Senior Center Directory [which is attached with this letter or can be located on the Division's website]. The senior center certification process has increased the base funding for those who have successfully completed this process. This ensures that funding is being well spent on readily identifiable programs and services and provides an incentive for centers that make investments to meet the certification requirements. Therefore, in order to provide an incentive to work toward certification, and to reward those who achieve it, the Division is again funding senior centers, equally, based on their certification status. The objectives for this year as in years past are to: • Allocate funding equally to every center, based upon certification status; • Require documentation and accountability for the use of funding, and; • Provide incentives for centers to improve themselves through certification. www.ncdhhs.gov Tel 919 - 855 -3400 • Fax 919 - 733 -0043 Ac Location: Taylor Hall, 693 Palmer Drive • Raleigh, NC 27603 Mailing Address: 2101 Mail Service Center • Raleigh, NC 27699 -2101 An Equal Opportunity / Affirmative Action Employer 0 Page 2 of 6 FY 2015 -2016 GP Allocations October 14, 2015 The annual appropriation will again be divided into shares based on the total number of senior centers as determined by Area Agencies on Aging plus _ extra portions for each senior center which has been certified through July 1, 2015. As of July 1, 2015 the total number of senior centers is 163. Noncertified, identified centers will receive one share equal to $3,800. Centers of Merit will receive two sharesequal to $7,600 and Centers of Excellence will receive three sharesequal to $11,400 (78) and $11,397 (3). The allocation distribution per center is as follows: [The total represents the addition of local match]. The 25% matching resources for this funding must not be used to match any other state or federal funding that the agency may receive. The local match maybe in the form of cash and/or in- kind and must directly support the purpose for which the funds are being used. Senior Center networks receiving funding for more than one [1] center are expected to expend funds designated at each center, unless a different expenditure arrangement is approved by the Division. The eighty -one f811 Centers of Excellence are as follows: Number State Local Total Noncertified Centers (74) $ 3,800 $1,267 $ 5,067 Centers of Merit (8) $ 7,600 $2,533 $10,133 Centers of Excellence (53) $11,400 $3,800 $15,200 Centers of Excellence (28) $11,397 $3,799 $15,196 The 25% matching resources for this funding must not be used to match any other state or federal funding that the agency may receive. The local match maybe in the form of cash and/or in- kind and must directly support the purpose for which the funds are being used. Senior Center networks receiving funding for more than one [1] center are expected to expend funds designated at each center, unless a different expenditure arrangement is approved by the Division. The eighty -one f811 Centers of Excellence are as follows: Number County Senior Center city 1 Alamance John Robert Kernodle Activities Center Burlington 2 Ashe Ashe Services for Aging Senior Center, Inc. West Jefferson 3 Avery Avery Senior Services Newland 4 Beaufort Grace Martin Harwell Senior Center Washington 5 Beaufort Senior's Center - Belhaven Belhaven 6 Bladen ! Bladen County Senior Center Elizabethtown 7 Buncombe Lakeview Senior Center Black Mountain 8 Burke East Burke Senior Center Hildebran 9 Burke Morganton -Burke Senior Center Morganton 10 Cabarrus Cabarrus County Senior Center Concord 11 Caldwell Caldwell Senior Center, Inc. Lenoir 12 Carteret Leon Mann Jr. Enrichment Center Morehead City 13 Chatham Eastern Chatham County Senior Center Pittsboro 14 Chatham Western Chatham Senior Center Siler City 15 Chowan Chowan Senior Center Edenton 16 Clay Clay County Senior Center Ha esville 17 Cleveland Cleveland Council on Aging/Senior Center Shelby ,18 Cleveland H. Lawrence Patrick Senior Center Kings Mountain www.ncdhhs.gov Tel 919- 855 -3400 • Fax 919- 733 -0043 Location: Taylor Hall, 693 Palmer Drive • Raleigh, NC 27603 Mailing Address: 2101 Mail Service Center • Raleigh, NC 27699 -2101 An Equal Opportunity / Affirmative Action Employer Page 3 of 6 FY 2015 -2016 GP Allocations October 14, 2015 19 Dare Dare County Senior Center Manteo 20 Davidson Lexington/Davidson County Senior Center Lexington 21 Davidson Thomasville Senior Center Thomasville 22 Davie Davie County Senior Services Mocksville 23 Durham Durham Center for Senior Life Durham 24 Ed ecombe Rocky Mount Senior Center Rocky Mount 25 Forsyth Kernersville Senior Enrichment Center Kernersville 26 Forsyth Shepherd's Center of Greater Winston- Salem Winston -Salem 27 Franklin Franklinton Senior Center Franklinton 28 Franklin Louisburg Senior Center Louisburg 29 Gaston Gaston County Senior Center Gastonia 30 Granville Granville County Senior Services Oxford 31 Greene Greene County Senior Services Snow Hill 32 Guildford Mabel Smith Senior Center Greensboro 33 Guilford Greensboro Senior Center Greensboro 34 Guilford Roy B. Culler, Jr. Senior Center High Point 35 Halifax Scotland Neck Senior Center Scotland Neck 36 Halifax Jo Story Senior Center Roanoke Rapids 37 Hertford Hertford County Office on Aging /Senior Center Winton 38 Iredell Iredell County Council on Aging /Senior Center Statesville 39 Iredell South Iredell Senior Center Mooresville 40 Jackson Senior Center of Jackson County S Iva 41 Johnston Clayton Center for Active Aging Clayton 42 Lee _ Enrichment Center of Lee County Sanford 43 Lenoir Lenoir COA /Geor e T. Skimmer Center Kinston 44 McDowell McDowell County Senior Center Marion 45 Mecklenburg Shamrock Senior Center of Charlotte- Mecklenburg SCs Charlotte 46 Mecklenburg Tyvola Senior Center of Charlotte- Charlotte Mecklenburg SCs 47 Montgomery Troy-Montgomery Senior Center Troy 48 Moore Moore County Enrichment Center West End 49 Nash The NASH New Ageless Senior Haven) Nashville 50 New Hanover New Hanover County Senior Center Wilmington 51 Northampton J.W. Faison Senior Center Jackson 52 Onslow Onslow County Senior Services Jacksonville 53 Pamlico Pamlico County Senior Center Alliance 54 Pender Pender County Adult Services, Heritage Place Burgaw 55 Pender Pender County Topsail Senior Center Hampstead www.ncdhhs.gov Tel 919- 855 -3400 - Fax 919 - 733 -0043 J Location: Taylor Hall, 693 Palmer Drive - Raleigh, NC 27603 q Mailing Address: 2101 Mail Service Center - Raleigh, NC 27699 -2101 An Equal Opportunity / Affirmative Action Employer Page 4 of 6 FY 2015 -2016 GP Allocations October 14, 2015 56 Person Person County Council on Aging /Senior Center Roxboro 57 Pitt Pitt County Council on Aging /Senior Center Greenville 58 Randolph Roy C. Reitzel Senior Center (Liberty SC Liberty 59 Randolph Asheboro Senior Center Asheboro 60 Richmond East Rockingham Rockingham 61 Rockingham Reidsville Senior Center Reidsville 62 Rockingham Center for Active Retirement Wentworth 63 Rowan Ru - Holmes Senior Center Salisbury 64 Rutherford Rutherford County Dept. of Aging /Senior Center Spindale 65 Sampson Garland Senior Center Clinton 66 Stanly Stanly County Senior Center Albemarle 67 Stokes Walnut Cove Senior Center Walnut Cove 68 Surry Surry County Senior Center Mount Airy 69 Transylvania Silvermont Senior Center Brevard 70 Vance Vance County Senior Center Henderson 71 Wake Northern Wake Senior Center Wake Forest 72 Wake Cary Senior Center Cary 73 Wake Garner Senior Center Garner 74 Warren Warren County Senior Center Warrenton 75 Washington Washington County Senior Center Plymouth 76 Watauga L.E. Harrill Senior Center Boone 77 Wayne Wayne County Senior Center Goldsboro 78 Wilson Gee Corbett Senior Center Wilson 79 Yadkin East Bend Senior Center East Bend 80 Yadkin Yadkin County Senior Center Yadkinville 81 1 Yadkin Yadkin Valley Senior Center Jonesville The eight r81 Centers of Merit are as follows: Number County Senior Center clity 1 Craven Havelock Senior Center Havelock 2 Randolph Archdale Senior Center Archdale 3 Randolph Randleman Senior Center Randleman 4 Robeson Pine Street Senior Center Lumberton 5 Stokes City of King Senior Center Kin 6 Wake Eastern Wake Senior Center Wendell 7 Wilson Wilson County Senior Center Wilson 8 Rockingham Madison - Mayodan Senior Center Ma odan www.ncdhhs.gov Tel 919 - 855 -3400 • Fax 919 - 733 -0043 J�_�_ � '� Location: Taylor Hall, 693 Palmer Drive • Raleigh, NC 27603 �i 1�1 Mailing Address: 2101 Mail Service Center • Raleigh, NC 27699 -2101 d? An Equal Opportunity / Affirmative Action Employer Page 5 of 6 FY 2015 -2016 GP Allocations October 14, 2015 Regional totals are listed on the accompanying chart. No state funds can be dispersed after the close of the fiscal year. Projected June expenditures must be reported with May services reported in June. If you have any questions, please call Melvinna Adams, Leslee Breen or Steve Freedman at the Division, 919 - 855 -3400. Thank you. www.ncdhhs.gov Tel 919- 855 -3400 • Fax 919- 733 -0043 Location: Taylor Hall, 693 Palmer Drive • Raleigh, NC 27603 Mailing Address: 2101 Mail Service Center • Raleigh, NC 27699 -2101 An Equal Opportunity / Affirmative Action Employer Page 6 of 6 FY 2015 -2016 GP Allocations October 14, 2015 2015 -2016 General Purpose Funding by Region REGION TOTAL REGIONAL ALLOCATION A $45,600 B $38,000 C $49,400 D $53,200 E $41,800 F $117,800 G $258,400 3 $136,800 K $75,991 L $79,782 M $34,197 N $53,194 0 $72,191 P $87,382 Q $56,988 R $64,591 TOTAL $1,265,316 www.ncdhhs.gov Tel 919- 855 -3400 • Fax 919 - 733 -0043 Location: Taylor Hall, 693 Palmer Drive • Raleigh, NC 27603 Mailing Address: 2101 Mail Service Center • Raleigh, NC 27699 -2101 An Equal Opportunity / Affirmative Action Employer STATE APPROPRIATION FOR SENIOR CENTERS THROUGH THE 2015 SESSION OF THE NC GENERAL ASSEMBLY SENIOR CENTER GENERAL PURPOSE FUNDING FY 2015 -2016 APPLICATION PACKET CAPE FEAR AREA AGENCY ON AGING 1480 Harbour Drive Wilmington, NC 28401 New Hanover County Senior Resource Center 2222 South College Road Wilmington, NC 28403 The Cape Fear Area Agency reserves the right to request additional information, references, to accept or reject any or all proposals to waive technicalities, to accept proposals in whole or in part, and to award a contract(s) which, in the opinion of the grantee, best serves the older adults. SENIOR CENTER GENERAL PURPOSE FUNDING Introduction and Instructions The Cape Fear Area Agency is pleased to announce the availability of funds for use by senior centers to support and develop programming and general operations or to construct, renovate, or maintain senior center facilities. $1,265,316 in general purpose funding was allocated for senior centers for the current fiscal year. This funding is allocated to the Area Agencies on Aging for distribution to the centers within the region which provide full time programs or will utilize the funding to develop full time programs. Across the state, 163 senior centers or developing senior centers will be funded. The Division of Aging and Adult Services has worked hard to enhance and expand the statewide certification process for senior centers with standards that encourage centers across the state to strive for levels of'merit' or excellence'. An intent of the certification process has been to increase base funding for those who have successfully completed the process. This ensures that funding is being well spent on readily identifiable programs and services and provides an incentive for centers that make investments to meet certification requirements. Therefore in order to provide an incentive to work toward certification, and to reward those who achieve it, the Division has decided to fund senior centers equally, based upon their certification status. Centers of Merit will receive two shares of the funding of non - certified centers and Centers of Excellence will receive three times the funding of non - certified centers. The objectives for this year are to: ➢ Allocate funding equally to every center, based upon certification status; ➢ Require documentation and accountability for the use of funding, and; ➢ Provide incentives for centers to improve themselves through certification. Again this year it has been decided to divide the annual appropriation into shares based on the total number of senior centers as determined by the Area Agencies on Aging plus extra shares for each senior center which meets certification status. Uncertified, identified centers will receive one share. For FY 2015 -2016, total funding available to the counties in Region O will amount to $72,191. Effective period: July 1, 2015 -June 30, 2016. Your center is eligible to receive: FY 15 -16 Senior Center General Purpose Funding$ 11,397 Local Match (25 %) $ 3,799 TOTAL $ 15,196 It is the responsibility of the applicant to certify the availability of the local match. The funds require a 25% local match. The funds must be spent first before reimbursed and before June 30, 2016. Therefore, projected June expenditures must be reported with May services reported in June otherwise the unutilized portion of your allocation will revert to the state. Application submissions should include (1) A completed description of proposed activities (add additional pages as needed). (2) Certification of the availability of local match. (3) A budget for senior center general purpose activities. APPLICATION FOR SENIOR CENTER GENERAL PURPOSE FUNDING Applicant Information Date: l2 D Project Name: New Hanover County Senior Resource Center Name of Proje�[:i_ Director: iYtbe,, SmtI-h Telephone Number: 9 /0- 79g -&9L/D FAX: q10- 79g- (o�fll E -Mail: d<trli CdhhegOV,COm Name and Address of A/HC Sehibr /2esot^rce CentC✓ Applicant: W hhi/VLarq -03 Type of Agency Applying: Private - Non -Profit Public ifwni Crave nment Location of Project: A)eK/ HLanhVer (county) ASSURANCES NPl SEht o r- RPsmt-ce C eh hr(hereinafter referred to as "Subgrantee ") HEREBY AGREES THAT it will comply with all Federal statutes relating to nondiscrimination. These include but are not limited to: (a) Title VI of the Civil Rights Act of 1964 (P.L. 88 -352) which prohibits discrimination on the basis of race, color or national origin; (b) Title IX of the Education Amendments of 1972, as amended (20 U.S.C. 1681 -1683, and 1685 - 1686), which prohibits discrimination on the basis of sex; and (c) Section 504 of the Rehabilitation Act of 1973, as amended (29 U.S.C. 794), which prohibits discrimination on the basis of handicaps. 'S—igna ure and Title of Authorized Official Date [e.g., Director, Board Chairman] CERTIFICATION OF THE AVAILABILITY OF REQUIRED NON - FEDERAL MATCH FOR SENIOR CENTER GENERAL PURPOSE FUNDING It is understood that the following required 25 percent non - federal match will be used to match Senior Center General Purpose funds in FY 15 -16 and will not be used to match any other federal or state funds during the contract period. The provider shall expend the award in keeping with the attached project description indicating how funding will be utilized. Funding will not be disbursed until this application is received and approved by the Area Agency on Aging. The contractor shall make a final report indicating how funding was utilized in a format provided by the Area Agency on Aging. FY 15 -16 Example only: Budget Request $ 3q7 non certified center: $4,069 Required 25% Match $ , 77q divided by .75=$5,425 [Total projected budget] Total FY 15 -16 $5,425 minus $4,069= Projected Budget $ $1,356 [local match] (up to the amount of the grant) Authorized Signature: j1 1 -r Title: ��IC�1 i'1\ �inc�eri �e� lb�ir\�� VV^A�na�,e� SENIOR CENTER GENERAL PURPOSE PROJECT DESCRIPTION 1. Senior Center to receive funding: New Hanover County Senior Resource Center 2. Amount of funding: $ �3 /9 (v (�1� 3`f7 jim 3� 799 rl'hAl -CA) 3. Area served by Senior Center: Ne w 1 fig o ver (,o un ff 4. Describe how the funding will be spent: T-emporx, y Svvl&hboa-rd Operachr5 /z) spl, f -ShifF (ow ayl jncom)r Calls Wi4+ �Yiagv fi appropt -�;tt- b�►'I ;111 Cotes 1y a5 ch -'74/( -- SZh l ors SaVl and rfcp-vlr Uejed a+l j ho+ s�cc �h -h �ru5 hor aid h Trj Kf wrong ao �� . 6 STATE APPROPRIATIOINS FOR SENIOR CENTER BUDGET INFORMATION STATE FISCAL YEAR 2015 -16 Organization Name: Ntw ay\t r Cnia -L �wior Q6puru, QV-kr Senior Center Name: New Hanover County Senior Resource Center Address: IPQP, minqfDY1 , NC a�6 '" Period Covered:,Tv t, D I i �D l6 _jyhL �D J I Date Prepared: I I OBJECTS OF EXPENDITURE AMOUNT Salary and Fringe Benefits $ 11' � 1i7gq MfiL4tk Supplies /Other Operating Costs Equipment Capital Outlay (Real Estate, Construction, Renovation) Other TOTAL BUDGET (Including local match)$��yl� (Up to grant amount, only) Each organization that receives, uses or expends any state funds shall use or expend the funds only for the purposes for which they were appropriated by the General Assembly or collected by the State. State funds include federal funds that flow through the state. If the contractor is a governmental entity, such entity is subject to the provisions of the requirements of OMB Circular A -133 and the NC Single Audit Implementations Act of 1987. If the Contractor is a non- governmental entity, such entity is subject to the provisions of G.S. 143 -6.2. Additionally, any non - governmental entity except a for - profit corporation is subject to the provisions of OMB Circular A -133. AUTHORIZED SIGTikTURF: P'VnI A, N(rder TITLE: \)gr.,W DATE: i f ��� i j 5 (A a�3 041P rib, (Dq jj.-e�j a-a3 Object Project Description 2016 FRevised Budget 805 =0 6100,30 G0�312 SALARIES AND'l.k.AGES ? r CONTR SEn rfS ti _ 106 , ' _ ,315 i 0 G0012 GRANT - STATE„ 302250 GD312 GRANT - FEDERAL -STATE REV GRANT _ 6 1000 10012 SALARIES AND IVAGES 68 720 611500 10012 CASUAL PART THE SALARIES 15,57 : 3D D 8 7 2 J 6521€00 10012 SOCIAL SECURITY TAXES � {+� _ ': 622000, G00, 12 RETIREMENT-- CAL GOV' EMPLaYE.E -1c 30 4 EDICAL INSURANCE EXP =P <LZ _ 626000 G0012 LONG TERM DISABILITY INSURANCE _ _ 302.250 CA012 GRANT-FEDERAL-S . ATE REV GR kN` ' l 173300 610000 G0012 SALARIES AND WAGES >6 '1073300 6115410 G0012 CASUAL PART TIME SALARIES 11073300 621000 G0012 SOCLA SECURITY TAXES 1373300 62.00t? 10012 RETIRE fiENT -_ ":ALGO %7EMPLOY`EE 0..00 =1073300 625000 G0012 MEDICAL ". _ -.'�CE EXPENSE 0 -00 73300 626000 G0012 LONG TER! D SABILITY INSURLAN C'E 3 30 w w 30 , 302250 G0012 GRANT-FEDERAL-STAT E RE) GRANT 0.00 j 5 (A a�3 041P rib, (Dq jj.-e�j a-a3