Faith Based Security Application

Federal Nonprofit Security Grant Program
(CSNSGP) Application

Section I. Applicant Information

Legal Name of the Organization (as indicated on the Federal Employer Identification Number (FEIN) letter provided by the federal Internal Revenue Service)

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Physical Address of Project Location(s)

Telephone Number of the Organization

Website/URL of Organization

Mailing Address, if different

Email Address of the Organization

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Primary Point of Contact Name, Title/Role, Telephone Number, Email

Secondary Point of Contact Name, Title/Role, Telephone Number, Email

Provide a short description of the organization’s ideology, beliefs and mission.

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501(c)(3) Tax Exempt or 501(c)(3) tax exempt eligible as defined by the IRS: Section 501(c)(3) is the portion of the US Internal Revenue Code that allows for federal tax exemption of nonprofit organizations, specifically those that are considered public charities, private foundations or private operating foundations.

Yes
No
Eligible

Funding Requested (Maximum of $200,000)

Section I. Applicant Information (continued)

What is the primary organization type?

Ideology-based/Spiritual/Religous
Educational
Medical
Other

If "Other," please describe the type of organization. (500 characters max with spaces)

Please select the organization's primary affiliation:

If "Other," please describe affiliation. (500 characters max with spaces)

Section II. Background

Describe the symbolic value of the site as a highly recognized national or historic institution or significant institution within the community that renders the site as a possible target of violent attacks or hate crimes due to ideology, beliefs, or mission. (500 character max with spaces)

Describe any previous or existing role in responding to or recovering from violent attacks or hate crimes due to ideology, beliefs, or mission. (500 character max with spaces)

Section III. Risk

Risk is defined as the product of three principal variables: Threat, Vulnerability, and Consequences. In the space below, describe specific findings from previously conducted risk assessments, including A) Threats, B) Vulnerabilities, and C) Potential Consequences of an attack.

A) Threat: In considering threat, the applicant should discuss the identification and substantiation of specific threats or attacks against the nonprofit organization or closely related organization by a terrorist organization, network, or cell. The applicant should also discuss findings from risk assessments, police findings, and/or insurance claims specific to the location being applied for including dates and specific threats. (2,200 character max with spaces)

B) Vulnerabilities: In considering vulnerabilities, the applicant should discuss the organization’s susceptibility to destruction, incapacitation, or exploitation by a terrorist attack. These should be consistent with the Vulnerability/Security Assessment. (2,200 character max with spaces)

C) Potential Consequences: In considering potential consequences, the applicant should discuss potential negative effects on the organization’s assets, system, and/or network if damaged, destroyed, or disrupted by a terrorist attack. (2200 character max with spaces)

Section IV. Target Hardening

In this section, describe the proposed target hardening activity, including the total State funds requested, that addresses the identified threat or vulnerability. Allowable costs are focused on target hardening activities as well as planning-related costs, contracted security personnel, and security-related training courses and programs limited to the protection of critical infrastructure key resources, including physical and cyber-security, target hardening, and terrorism awareness/employee preparedness. Funding can also be used for the acquisition and installation of security equipment on real property (including buildings and improvements) owned or leased by the nonprofit organization, specifically in prevention of and/or in protection against the risk of a terrorist attack. (2,200 character max with spaces)

Target Hardening Equipment In this section, list all target hardening equipment being proposed. • Physical security enhancement equipment, including but not limited to reinforced doors and gates, and high-intensity lighting and alarms; • Inspection and screening Systems, and access control; • Any other security enhancement consistent with the purpose of the CSNSGP.

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Quantity and Description of item(s) to be purchased

Single Line Text

Vulnerability to be Addressed

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Funding Requested

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Section IV. Target Hardening (continued)

In this section, select Yes or No regarding applicable non-equipment related activities the
organization plans to expend with grant funds. Describe the activity and provide the cost
estimate related to physical security enhancements of the organization.

Construction or Renovation: Should be done in support of the target hardening activities
and is limited to only 15% of the total grant. (Equipment installation is not considered
construction or renovation).

Contracted Security Personnel: State the frequency/duration of guard service to be
contracted. Limited to 50% of the total Funding Requested in Section I.

NOTE: In regards to changes to scope of work, due to the competitive process, changes
to the scope of work may not be allowed without Cal OES prior written approval. Please
ensure the projects being proposed are well planned, as any funds that remain at the
end of the period of performance will be disencumbered.

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Activity

Training

Planning

Management & Administration

Construction

Contracted Security Personnel

Description

Cost

TOTAL COSTS Cost (This amount must match Funding Requested on Page 1)

Numbers

Section V. Milestones

Explain how the organization/facility will be safer at the end of the FY 2022 CSNSGP period of performance. (2,200 characters max with spaces)

Funding History

If the nonprofit organization has received NSGP and/or CSNSGP funding in the past, provide the funding source, funding amount, funding year, and the investment type.

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NSGP Funding in the Past?

Year(s) NSGP Funding Received

Total Funding Received

CSNSGP Funding in the Past?

Year(s) CSNSGP Funding Received

Total Funding Received

Additional Information

Applicant Certification Information

Check this box if the organization is willing to accept less than the full amount requested based on scoring and available funding. If the box is not checked, partial funding may not be given in the event that the full funding is not available for the project.

Please Check

Indicate minimum amount willing to accept:

I certify that I am an employee, a volunteer, or have been hired by the aforementioned nonprofit organization to apply on their behalf for the CSNSGP.

Please Check

Name, Title/Role, E-mail Address, Phone Number

Faith Based Security Application

Federal Nonprofit Security Grant Program
(CSNSGP) Application

Section I. Applicant Information (continued)

Section II. Background

Section III. Risk

Section IV. Target Hardening

Veteran Owned

Dunn’s Certified

Sam’s Certified

Fully Licensed (PPO: 120391)

Certified Los Angeles County Vendor

Faith Based Security Application

Federal Nonprofit Security Grant Program(CSNSGP) Application

Section I. Applicant Information (continued)

Section II. Background

Section III. Risk

Section IV. Target Hardening

Veteran Owned

Dunn’s Certified

Sam’s Certified

Fully Licensed (PPO: 120391)

Certified Los Angeles County Vendor

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Federal Nonprofit Security Grant Program
(CSNSGP) Application