tgm 2019 grant application - oregon city of port… · transportation and growth management program...
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TGM 2019 Grant ApplicationTransportation and Growth Management Program grant application for the year 2019.
Be sure to download and review the 2019 application packet before filling out this grant application. Additional resources and examples of successful applications can be found on the TGM planning grants page.
You can save your progress by clicking the "Save" button at the bottom of the form.
Type of grantCategory 2: Integrated Land Use & Transportation Planning
ODOT region (1-5):1
Primary applicant jurisdiction:City of Portland
Project title:Parkrose Neighborhood Center
Mailing address:1900 SW 4th, Suite 7100, Portland, Oregon 97201
Contact person name:Leslie Lum
Contact person title:East Portland District Planner
Contact phone:(503) 823-7896
Contact email:[email protected]
List other local jurisdictions providing match:City of Portland staff match:Bureau of Planning & Sustainability 1 full time equivalentPortland Bureau of Transportation .25 full time equivalentBureau of Environmental Services .15 full time equivalentPortland Housing Bureau .15 full time equivalentPortland Bureau of Emergency Management as needed
Summary description of project:The Parkrose neighborhood is one of the most diverse parts in Portland, with 65% more people of color living in the area than citywide average. United States Highway 30 was once the heart of the community and is now a hodge podge of local serving businesses and vacant lots. Sandy Blvd now serves many needs to varying degrees effectively. Transportation challenges include general safety concerns; a lack of multi-modal options; a car dominated streetscape; unimproved cross streets; and few crossings. Other community concerns include the displacement of families, disaster preparedness, the need for more living wage job opportunities for students and their parents, incomplete goods and services on the Sandy main street corridor, and few green elements to ease the harsh conditions. Some of the issues above are being addressed through separate community projects. This proposal seeks to integrate and elevate these projects and include additional elements to create a holistic land use plan.
Project cost tableTGM funds requested
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Consultant: $ Consultant40,000
Local reimbursement: $ Local Reimbursement75,000
Total TGM funds requested $ Total TGM Funds Requested115,000
Local match12% minimum (calculated) $ 12% Minimum
15,682
Match to be providedLabor, supplies and services during project: $ Labor, supplies and services
during project15,000
Payment when Intergovernmental Agreement is signed:
$ Check at time of IGA signing15,682
CertificationsThis application was prepared by staff of the primary applicant or staff of one of the involved jurisdictions.
Consultant name (if applicable):n/a
UntitledBy checking this box, I certify that my organization listed above supports the proposed project, has the legal authority to pledge matching funds, and has the legal authority to apply for Transportation and Growth Management funds. I further certify that matching funds are available or will be available for the proposed project. I understand that all State of Oregon rules for contracting, auditing, underwriting (where applicable), and payment will apply to this project.
Date6/6/2019
Eligibility requirements
The following three eligibility requirements are reviewed on a pass/fail basis. Applications found to not meet each of these requirements will not be scored against the award criteria and will not be awarded a grant.
1. Clear transportation relationship
A proposed project must have a clear transportation relationship and produce transportation benefits. A
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project must entail analysis, evaluation and selection of alternatives, development of implementation actions, and public involvement that results in a long range transportation plan, land use plan, or other product that addresses a transportation problem, need, opportunity, or issue of local or regional importance.
1. Clear Transportation RelationshipWith frequent evening automobile street racing and daytime congestion at signals resulting in illegal turns and speeding through intersections, Sandy Blvd warrants more study. Coordinating transportation improvements on adjacent and local corridors and greenways to ensure safer means of multi-modal travel, along with land use changes will be of paramount importance. Deepening and coordinating ongoing conversations through this project will help to align regional, Citywide transportation system plan, the East Portland Arterial Streets Strategy (a transportation project to help establish the relationship between arterial streets), and local transportation strategies in the event of a natural disaster. The project will evaluate travel on the corridor and in the area, generate programmatic community based solutions to address traffic concerns, work with stakeholders to adjust zoning as necessary and test different transportation options upon the aftermath of an earthquake.
2. Adoption of products to meet project objectives
A proposed project must include preparation of an adoption-ready product or products that lead to a local policy decision and that directly address the project objectives, such as a transportation system plan, comprehensive plan amendment, land use plan, code amendment, implementation program, or intergovernmental agreement. Projects are expected to include adoption hearings (or equivalent) by the governing body or to prepare products which will be adopted as part of a larger project.
2. Adoption of Products to Meet Project ObjectivesBuilding on and leveraging ongoing community building efforts that the non-profit Historic Parkrose Neighborhood Prosperity Initiative (Historic Parkrose) and other groups have been undertaking, BPS will ensure this project: 1. Links green infrastructure, emergency management, housing policy, workforce development, and land use and transportation needs to create a holistic neighborhood plan with broad policy implications. 2. Results in transportation, housing, zoning, and other policy changes as necessary, ending with City Council adoption by summer 2021. 3. Creates five-year incremental implementation actions, collaborating with different organizations. 4. Provides a foundational plan for Historic Parkrose to advocate for implementation funding
3. Support of local officials
A proposed project must clearly demonstrate that local officials, both the primary applicant and any co-applicants, understand the purpose of the grant application and support the project objectives. A resolution of support, meeting minutes, or authorized letter from the governing body of all applicants (e.g. City Council, Board of Commissioners, or Transit Board) must be submitted with the application to meet this requirement.
Upload your resolution, minutes or authorized letter from governing body of applying jurisdiction(s) here:Ordinance 189536.pdf
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Award criteriaApplications will be scored on the following criteria. Instructions for responding to these criteria can be found in the application packet.
TGM may award up to 10 bonus points for innovation.
1. Proposed project addresses a need and supports TGM objectives (up to 40 points)
The project clearly and effectively addresses a local or regional transportation or transportation-related land use issue, problem, need, or opportunity and will achieve one or more of the TGM objectives.
1. Proposed project addresses a need and supports TGM objectives (up to 40 points)Sandy Blvd (major truck street), from the Interstate 205 highway to NE 122nd (priority truck street), is a mini urban renewal area. NE Sandy Blvd, from 82nd to Killingsworth, has average daily trip volumes from 14,000-17,000 (City of Portland Bureau of Transportation (PBOT), 2018). Due to the volume of traffic on this state highway with Washington state residents traveling on Sandy to access the I-205 interchange on the west end and limited traffic signals, it is hard for local and regional users to travel safely and efficiently. Additionally, Sandy Blvd lacks trees, does not have much green infrastructure, and consequently has a high urban heat island effect (please see attached urban heat island map). All these conditions make travel for pedestrians harsh and unsafe.
Objective1- This proposal would allow Portland to narrow in on a more intimate scale to neighborhood needs in the Parkrose commercial center. The City can implement equity on a very local scale with historically underserved communities to adjust transportation, economic, and land use policy appropriately. The community is working at varying capacity to improve conditions in the area in the following ways. This project will coordinate all activities and ensure there are enough resources to see work to completion. • Historic Parkrose Neighborhood Prosperity Initiative is stabilizing and growing the existing businesses, while attracting new businesses to the area • Historic Parkrose and the local Parkrose Neighborhood Emergency Team are both working to support neighbors in the event of a natural emergency • Masters of Urban and Regional Planning students at Portland State University are working with community, and Portland Bureau of Transportation to create a transportation plan for folks to navigate the area in the event of a natural disaster • Historic Parkrose, along with local businesses, the Columbia Slough Watershed Council, and the Portland Bureau of Environmental Services (BES) are working together to create more connections to nature through the Columbia Slough • Parkrose School District (PSD), along with East Portland school districts are tackling the displacement of students and their families in the area through the creation of new policies and programs. • The Bureau of Planning and Sustainability (BPS) engaged Parkrose High School youth in 2018 about the City’s public trash program and the City of Portland Parkrose-Argay Development Study. The students are interested in continuing to deepen the conversations about land use and transportation planning • Historic Parkrose is working with BES to increase education about green infrastructure on Sandy Blvd • Historic Parkrose and BPS have been discussing ways to unite the efforts listed above, along with other community initiatives. Together, these efforts offer a vehicle to deepen community building and resiliency to create a community plan
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Objective 1.1 This proposal would provide multiple transportation choices to support communities with balanced and interconnected transportation networks necessary for mobility, equity, and economic growth. There are a variety of diverse needs Sandy Blvd must serve to ensure a good quality of life for all community members.
Objective 1.2 By identifying alternative routes and means of travel through and along the corridor, this project seeks to improve built conditions. In the event of a natural or manmade disaster, road conditions will make travel more challenging. Incorporating an emergency management and transportation plan to address such an event would create more options overall. Community conversations on transportation challenges could also help identify programmatic neighborhood measures to help ease the conditions.
Objective 1.3 This proposal would prioritize siting of multi-modal, green infrastructure improvements and wayfinding measures that will support the movement of goods and services. Some property owners have cut down street trees which has negatively impacted the streetscape for pedestrians and increased the urban heat island effect, making it less comfortable for pedestrians. Directly south of the site is a large concentration of underserved communities of color living in apartment buildings. These conditions and motorists speeding through red signals (PBOT Traffic Safety Department 2019) are intimidating for pedestrians, especially for residents needing to access services on the north side of the corridor, such as Grocery Outlet and Morrison Family Services.
Objective 1.4 Ultimately, coordination and eventual implementation will create a safer environment for people of all abilities and demographics to efficiently walk and roll through the district, resulting in better access to critical basic services, along with a healthier, more active lifestyle.
Objective 2.1 There is a wide range of zones unique to the area. Industrial, living wage jobs are to the north of Sandy Blvd and both single family and multi-family residences fall to the south, with mixed use zoning on Sandy (please see attached Zoning map). This proposal can refine zoning to accommodate different scales of needs and uses in the neighborhood, and align transportation and land use needs. There are 9 vacant lots and most of the lots along the twenty-block corridor are underutilized (please see attached Vacant and Underutilized Lots map). Property owners have expressed a need for support to develop their properties to meet community needs, support and grow existing local businesses, while also ensuring that gentrification does not occur at the cost of displacing long-time small businesses.
Objective 2.2 The neighborhood is vibrant with diverse households speaking more than 45 different languages but, with few options to travel safely around the area and limited community-serving businesses, many constraints prevent this neighborhood center from reaching its full potential. With many vacant and underutilized commercial lots on Sandy, residents are ready for improvements (such as public gathering spaces) on the corridor. Objective 2.3 In addition to the items listed above and with the application of street trees and swales, a more appealing environment responding to the diverse cultural, social, and health needs can be created. Objective 3.1 The Parkrose Neighborhood Center has the zoning to support future growth. However, conversations with neighbors and property owners about the most desirable uses may require fine tuning of the zoning to different scales to ensure that appropriate types of development occurs over the next 20 years. Historic Parkrose offers workforce services to help place individuals looking for employment. In addition, the organization supports the approximate 100 businesses in the area with everything from storefront improvement grants to assistance in growing businesses (Venture Portland 2018).
Objective 3.2 Historic Parkrose and Parkrose School District have an interest in matching graduating seniors at Parkrose High School with living wage employers. Parkrose has historically had some of the highest high school graduation rates and high two-year college graduation rates, it has also had lower
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numbers of individuals continuing on to four-year colleges. This situation illustrates a bigger need for living wage, industrial type jobs. A stronger relationship between the two entities and the industrial job corridor is necessary. The Columbia Corridor is just north of the site and provides approximately 1,726 acres of industrial land and employs 14,000 people in living-wage jobs. (BPS Industrial Districts Atlas) Due to increasing traffic on Airport Way (where much industrial goods movement occurs), some long-term businesses have started relocating out of the City. A deeper look at how to improve transportation options throughout the area would also be useful as only one bus line reaches into the industrial area. It is imperative that partners focus on improving conditions in the area to ensure there is no more leakage of living-wage jobs in the area.
Objective 3.3 From 2013 to 2017, the population in the Parkrose area rose by approximately 14%, versus the citywide amount of 6% (USCB). With the continued influx of residents into the district and increasing job opportunities, more housing will be needed to accommodate additional neighbors. Examining the types and exact location of growth will help ensure the neighborhood grows in a way that the community most desires. Resources for this project will support outreach with the diverse population living in the area to help grow the many home-based businesses in the area.
Objective 4.1 There is a careful balance of land uses to ensure the City has enough land supply for the next twenty years. Coordination of transportation, economic, environmental, housing, and land use needs will save public and private costs. Comprehensive conversations touching upon all the above issues will help ensure that all stakeholders plan accordingly, at the necessary scale.
Objective 4.2 Improving mobility options and green infrastructure on Sandy Blvd will accommodate population changes in the area. Objective 5.1 Historic Parkrose has been working with BES and adjacent businesses to the Columbia Slough to create a better connection to nature. As there are no parks in the immediate area, this space could offer recreation opportunities and a place to convene with nature. This interaction with the Slough could increase neighbor’s desires to promote environmental stewardship. Reaching out to property owners and other neighbors with BES to educate the community about environmental stewardship and benefits of trees and other green elements would also sustain the long-term health of adding new green elements in the neighborhood. In addition, BPS could work with local businesses to increase energy efficiency in the workplace.
2. Proposed project is timely and urgent (up to 25 points)
The application demonstrates timeliness and urgency. The project is needed now to:
address pressing local transportation and land use issues
make amendments to local plans or regulations necessitated by changes in federal regulations, state requirements, or regional plans
make amendments to local plans or regulations necessitated by changes that were not anticipated in previous plans including growth or lack of growth, changes in land use patterns, or changes in available funding
build on, complement, or take a necessary step toward completing or implementing other high-priority community initiatives, including supporting a Governor's Regional Solutions team priority
resolve transportation or land-use-related issues affecting the project readiness of local, regional or state transportation projects for which funding is expected to be obligated within the near future.
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2. Proposed project is timely and urgent (up to 25 points)All of the elements of this proposal are high-priority community initiatives.
The City of Portland is moving from a working class to middle class community, with historically underserved communities of color being quickly displaced from their homes. This is especially troubling as families are experiencing second or even third waves of displacement within the city. With this proposal, PSD, Portland Housing Bureau (PHB), BPS, Historic Parkrose, and other partners can work together to support these families return to their chosen communities.
A houseless community lives near the one road that connects to the Columbia Slough at NE 112th. BES, Columbia Slough Watershed Council, and Historic Parkrose have been working with the property owners adjacent to the potential put in to provide site access to the larger community. However, the property owners are fearful that if they open the site to all community members, the houseless community will move to the site and block access for neighbors. It would be advantageous to engage the houseless community and local churches to see if there are resources and services for these individuals. With summer approaching, many families nearby, and very few parks within walking distance, the slough offers recreational opportunities.
Additionally, this project will explore avenues on how to retain, grow, and attract more living wage job opportunities, so that families will have more flexibility in job choices. PSD, Columbia Corridor Association, East Portland Action Plan Economic Development Committee, Historic Parkrose, BPS, and others can work together to create a pipeline from high school to living wage, industrial jobs in the Columbia Corridor (which would additionally help us meet our climate goals). Historic Parkrose, along with an existing Neighborhood Emergency Team is forming an emergency preparedness effort with the community. As we await the Cascadia earthquake, Historic Parkrose and Portland Bureau of Emergency Management has the wherewithal to begin making inroads to prepare the community, especially the most vulnerable communities to grapple with this imminent disaster. These opportunities, along with transportation challenges are all interconnected and must be addressed alongside one another. We have little time to waste, but we do have many community and institutional partnerships on the ground to make formidable progress.
Lastly, local refinements to the citywide 2035 Comprehensive Plan are necessary for an area that has not received much City attention. The last neighborhood plan was for the general area was in 1986, more than 33 years ago.
3. Proposed project approach is reasonable (up to 20 points)
The application demonstrates a clear approach to achieving the expected outcome and includes consideration for adoption. Where substantial coordination with other local, regional, and state planning efforts will need to occur, the mechanisms and responsibilities for the coordination are clear.
3. Proposed project approach is reasonable (up to 20 points)Proposed project timeline:
a) Collect background materialsb) Convene partners for project launch to discuss scope and leads for different elements of planc) Create Inter-Governmental Agreements and Memos of Understanding as necessaryd) Create project calendar and timelines for each taske) Produce initial maps and materials for community meetings: transportation and green infrastructure, housing, employment, emergency management, zoning, Columbia Sloughf) Meet with consultant
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g) Conduct community visioning meetingh) Conduct ongoing smaller community meetings to refine plans for elements in 'e' aboveh) Prepare zoning code changes, as appropriatei) Present action items for elements in 'e' above to community for input and confirmationj) Wrap all elements in 'e' above to present to various governing bodies in Policy Recommendationsk) Continue on to legislative process for zoning changes, as necessary
4. Proposed project has community support (up to 5 points)
The application demonstrates that there is local support for project objectives, a commitment to participate, and a desire to implement the expected outcome.
4. Proposed project has community support (up to 5 points)The Historic Parkrose, Parkrose Neighborhood Association, and Parkrose School District are fully in support of this proposal, as they have been addressing different aspects of this proposal already. Their attached letters of support demonstrates their desire to form a multi-agency partnership. All partners are awaiting a venue and formal process to fully embark on this effort. Additionally, city bureaus are committed to supporting these groups in these efforts. Because of the limited staff capacity, resources, and technical knowledge of these organizations, City support and involvement will ensure the realization of community goals.
Upload letters of support from stakeholders here:SupportLetters_ODOT_TGM_Parkrose_2019.pdf
5. Proposed project sponsor readiness and capacity (up to 10 points)
The application demonstrates that the local government is ready and able to begin the project within the TGM timetable and that there is local commitment and capability to manage and complete the project. The application demonstrates, if applicable, successful performance on previous TGM projects.
5. Proposed project sponsor readiness and capacity (up to 10 points)The City of Portland has successfully completed many Transportation Growth Management grants over the years. BPS is prepared to lead the project, with the support of various city bureaus. Please note below the city staff time that will be devoted to this project.
BPS will lead and coordinate project, with in-kind 1 FTE PBOT will lead transportation element at .25 FTE BES will provide food and refreshments for meetings and in-kind staff support up to .15 FTE PHB will provide in-kind staff support up to .15 FTE PBEM will participate in an as needed basis
Upload supplemental application materialsProject area map (optional):Maps.pdf
Title VI: Racial & Ethnic Impact Statement formRacial-Ethnic-Impact-Statement_BPS.pdf
Download the Racial & Ethnic Impact Statement here
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If you encounter any issues with the submittal process, please contact:
Abigail EricksonPlanning Section Web [email protected]
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PARKROSE SCHOOL DISTRICT 10636 Northeast Prescott Street
Portland, OR 97220 t: 503-408-2135 f: 503-408-2140
www.parkrose.k12.or.us
Michael Lopes Serrao Superintendent
May 29, 2019
To Whom it May Concern,
It is with great pleasure that I write this letter on behalf of the Parkrose School District in support of the Bureau of
Planning and Sustainability’s planning proposal to improve safety and traffic conditions in the Historic Parkrose District of
Sandy Blvd. This work would build off of several stakeholder collaborations, and would result in more accessible and
vibrant business district.
We are a small district in outer northeast Multnomah County, an area where poverty has migrated but services have not
kept pace. The majority of our 3,300 students attending Parkrose schools qualify for Free and Reduced Lunch, 70% are
children of color, and over 45 languages spoken. Our High School is the most diverse high school in Oregon. We serve
predominantly families from historically marginalized groups.
Our district has witnessed the displacement of 300 families over five years due to increased housing costs. We are
working with other school districts in East Portland to create affordable pathways for displaced families to return to the
neighborhood. This proposal would provide the venue to coordinate with Portland Housing Bureau to create this
re-housing program.
The City of Portland is moving from a working class to middle class community, with historically underserved
communities of color being quickly displaced from their homes. This is especially troubling as families are experiencing
second or even third waves of displacement within the city. With this proposal, PSD, PHB, BPS, Historic Parkrose, and
other partners can work together to support these families return to their chosen communities.
We recognize that Sandy Blvd. along the Historic Parkrose corridor needs pedestrian improvements, as well as enhanced
green infrastructure, to help activate the business district, and make it more accessible to the diverse population that
lives nearby. We would be delighted to be included as stakeholders in any future planning process. Parkrose School
District fully supports this planning effort.
Sincerely,
Michael Lopes Serrao
Superintendent
Every child reads, thinks critically, and graduates ready for college and career.
Parkrose School District is an equal opportunity educator and employer.
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LegendParkrose Center
Historic Parkrose (NPI)
Heat IndexCoolest
Hottest
City of Portland - Heat Index
City of Portland, OregonBureau of Planning & SustainabilityGeographic Information System
²
Document Path: E:\DropBox\Dropbox (BPS Tech Services)\BPS Tech Services Team Folder\gis\projects\District_Liaisons\East_District\Maps\8.5x11Citywide_HeatIndex190605.mxd
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Historic Parkrose& ParkroseCenter
Historic Parkrose(NPI) Only
Parkrose CenterOnly
BuildingFootprintsselection 2
Parksmajorwaterbodies
TSP: TrafficRegionalTrafficwayRegionalTrafficway &Major City TrafficStreetMajor City TrafficStreetDistrict CollectorStreetNeighborhoodCollector StreetTraffic AccessStreet (CCTMPonly)Local ServiceTraffic Street²
Parkrose Neighborhood Center City of Portland, OregonBureau of Planning & SustainabilityGeographic Information Systems
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NE SKIDM ORE
ST
NE 11
2TH
AVE NE
115T
H AV
E
NE 92
NDAV
E
N E10
1ST
A VE
NE FAILING ST
NE 10
9TH
AVE
NE CAMPAIGNST
NE 11
6TH
AVE
NE MAYWOOD PL
NE 11
5TH
AVE
NE 11
4TH
AVE
NE 11
3TH
AVE
NE 92
ND D
R
NE 95
TH A
VE NE WYGANT ST
NE SHAVER ST
NE SKIDMORE ST
NE 10
1ST
AVE
NE 11
6TH
AVE
NE 11
3TH
PL
NE 96
THAV
E
NE SHAVERST
NE SIMPSON ST
NE 11
1TH
AVE
NE MARX PL
NE 96
TH A
VE
NE 11
0TH
AVE
NE121STAVE
NE 92
ND A
VE
NE 11
9TH
AVE
NE CAMPAIGN ST
NE 10
8TH
AVE
NE MASON ST
NE 10
7TH
AVE
NE KILLINGSWORTH ST
NE 10
6TH
AVE
NE 97
TH A
VE
NE 10
2ND
AVE
NE SHAVER ST
NE 10
4TH
AVE
NE 98
TH A
VE
NE 99
TH A
VE
NE 10
3RD
AVE
NE 10
0TH
AVE
NE MASON ST
NE SKIDMORE ST
NE 11
8TH
AVE
NE GLASS PLANT RD
NE MARX ST
NE 10
9TH
AVE
NE SUMNER ST
NE SANDY BLVD
NE 10
5TH
AVE
NE12
2ND
AVE
NE 12
1ST P
L
NE KILLINGSWORTH ST
NE PRESCOTT ST
NE 10
2ND
AVE
NE SKIDMORE ST
NE 11
2TH
AVE
NE SHAVER ST
NE ROCKY BUTTE RD
NE AINSWORTH CIRLegend
vacant"underutilized"lotsnon-vacant"underutilized"lotsHistoric Parkrose& ParkroseCenterHistoric Parkrose(NPI) Only
Parkrose CenterOnly
BuildingFootprintsTaxlots
Parkrose Neighborhood Center- Vacant & Underdeveloped Lots City of Portland, OregonBureau of Planning & SustainabilityGeographic Information Systems
Document Path: E:\DropBox\Dropbox (BPS Tech Services)\BPS Tech Services Team Folder\gis\projects\District_Liaisons\East_District\Maps\Parkrose_BLI_190524.mxd
²1 in = 500 ft
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RACIAL AND ETHNIC IMPACT STATEMENT This form is used for informational purposes only and must be included with the grant application.
Chapter 600 of the 2013 Oregon Laws require applicants to include with each grant application a racial and ethnic impact statement. The statement provides information as to the disproportionate or unique impact the proposed policies or programs may have on minority persons1 in the State of Oregon if the grant is awarded to a corporation or other legal entity other than natural persons.
1. The proposed grant project policies or programs could have a disproportionate or unique positive impact onthe following minority persons:
Indicate all that apply:
Women Asians or Pacific Islanders Persons with Disabilities American Indians African-Americans Alaskan Natives Hispanics
2. The proposed grant project policies or programs could have a disproportionate or unique negative impact onthe following minority persons:
Indicate all that apply:
Women Asians or Pacific Islanders Persons with Disabilities American Indians African-Americans Alaskan Natives Hispanics
3. The proposed grant project policies or programs will have no disproportionate or unique impact on minoritypersons.
If you checked numbers 1 or 2 above, please provide below the rationale for the existence of policies or programs having a disproportionate or unique impact on minority persons in this state. Further provide evidence of consultation with representative(s) of the affected minority persons.
By checking this box, I hereby certify the information contained on this Dated: form is true, complete, and accurate to the best of my knowledge.
Printed Name: Title:
Agency Name:
1 “Minority person” are defined in SB 463 (2013 Regular Session) as women, persons with disabilities (as defined in ORS 174.107), African Americans, Hispanics, Asians, or Pacific Islanders, American Indians and Alaskan Natives.