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Community Development Block Grant Program CDBG/ESG Quarterly Monitoring Report City of Bridgeport Central Grants and Community

Development 999 Broad Street, Bridgeport CT 06604


Current quarter: (circle one) July/Sept. Agency Name: Program/Project Name: Contact Person: Change in Address (if any): Telephone Number: Fax Number: Email Address: Please list the annual amounts and types (if any) of Non-CDBG funding leveraged for this project. Other federal funds: State/local funds: Oct./Dec. Jan./March Apr./June

Other (please specify): Private funds: _________________________________________________________________________________________ Does this CDBG-funded project earn program income: If YES, please list the amount for the current year: $ Executive Summary of Project (150 words or less): YES NO

Please provide us with the budget for your project listing the expenditures that you have made so far this year. Budget Summary Table:

CATEGORY

AMOUNT AWARDED

AMOUNT EXPENDED

TOTAL

CLIENT DATA: Race/Ethnicity RACE White/Non-Hispanic White/Hispanic African American/ Non-Hispanic African American/ Hispanic Asian Other NUMBER TOTAL CUMULATIVE TOTAL

INCOME LEVEL: These totals must equal the totals listed for Race/Ethnicity. INCOME LEVEL TOTALS FOR THIS PERIOD CUMULATIVE TOTALS

Extremely Low (30% Income Limits) Very Low (50% Income Limits) Low/Moderate Income (80% Income Limits)

NARRATIVE QUESTIONS: 1. Please list in order the original goals and intended outcomes of the grant (as contained in your organizations workplan. Describe progress to date in attaining each goal/outcome.

2.

In what ways, if any, has the actual project varied from your initial plans? Describe how and why? Do you anticipate further variance before the end of the grant period? If yes, explain.

3.

What difference has the grant made to your organization, in the community and for the population you are serving?

4. Describe any unanticipated benefits or challenges encountered with this project?

5. If possible, provide a human interest story that illustrates a success of the project.

6. If applicable, please attach any materials that have been produced as it relates to the funded project: marketing materials, press releases and/or newspaper articles, etc.

OTHER QUESTIONS: The following questions are for those agencies that receive funding from the Emergency Shelter Grant. Indicate the type of project(s) and services: emergency shelter facilities vouchers for shelters drop in center food pantry mental health alcohol/drug problem child care other (please list) transitional housing outreach soup kitchen/meal distribution health care HIV/AIDS services employment homeless prevention

Number of Female-headed households

Number of People Served for each activity: Non-Residential Services: Number of adults served this quarter Number of adults served to date Number of children served this quarter Number of children served to date The following information is to be provided by those agencies that offer residential services only: Unaccompanied 18 and over Unaccompanied 18 and over Unaccompanied 18 and over Unaccompanied 18 and over male this quarter male to date female this quarter female do date 4

Families with children headed by: Single 18 and over male Single 18 and over female Youth 18 and under Two parents 18 and over Two parents under 18 Families with no children this quarter this quarter Single 18 and over male Single 18 and over female Youth 18 and under Two parents 18 and over Two parents under 18 Families with no children to date to date to date to date to date to date

this quarter this quarter this quarter this quarter

Please indicate the number of persons housed at any given time in each shelter type funded through the ESG program: Shelter type and number of persons housed Barracks this quarter to date to date to date to date to date

Group/large house Scattered site apartment

this quarter this quarter

Single family detached house Single room occupancy Hotel/motel Other (describe) this quarter this quarter

this quarter this quarter to date to date.