HomeMy WebLinkAbout2005-144 TREASURE COAST HOMELESS SERVICES COUNCIL, INC.
2525 ST. LUCIE AVENUE
VERO BEACH, FL 32960
772 - 567- 7790 www.tchelpsgot. org irhsclh *,aol. com
Indian River County Board of County Commissioners
County Administration Building
1840 25th Street
Vero Beach, FL 32960
Project Number : FL2911409002
Dear Commissioners : April 20 , 2005
This is a request that you vote to allow Commissioner Tom Lowther, as Chair of the
Board of County Commissioners, to sign the Technical Application transmitted by the
US Department of Housing and Urban Development for his signature .
The Technical submission represents a successful application to HUD by the Treasure
Coast Homeless Services Council, Inc . for a one year renewal of an existing grant which
you have previously approved and signed for a Homeless Management Information
System .
The Grant renewal is for $ 36 , 177 . 00 to be provided by HUD . The cash match for this
grant is $9 , 044 . 25 to be provided by the Treasure Coast Homeless Services Council , Inc .
The County is not required to provide any cash match for this project .
Thank you for allowing the Treasure Coast Homeless Services Council to secure this
valuable resource to track clients and services for our community .
If you have any questions, please feel free to contact me a 772- 567 -7790 .
Since ,
ouise Hubbard
Executive Director
TREASURE COAST HOMELESS SERVICES COUNCIL , INC. CONTINUUM OF CARE
U. S. Department of Housing and Urban Development
Office of Community Planning and Development
OMB Approval No . 2506-0112 (exp. 8/31/2006)
2004 Technical Submission
for the
Supportive Housing Program
FL29B409002
Dedicated CoC-wide HMIS
1
i
• TREASURE COAST HOMELESS SERVICES COUNCIL , INC. CONTINUUM OF CARE
THIS SECTION FOR
RENEWAL PROJECTS
ONLY
2
TREASURE COAST HOMELESS SERVICES COUNCIL , INC . CONTINUUM OF CARE
Technical Project Number _ FL2911409002
Submission Project Identifier — FL 13167
(RENEWALS ONLY)
Recipient' s Name : HUD Project Number:
Indian River County Board of County Commissioners FL2911409002
Check the program component/type that classifies your project :
❑ Transitional Housing (TH)
❑ Permanent Housing for Homeless Persons with Disabilities (PH)
❑ Supportive Services Only (SSO)
❑ Safe Haven/Transitional Housing (SHfI'H) — Characteristics of TH/participant not required to execute a lease
❑ Safe Haven/Permanent Housing (SH/PH) — Characteristics of PH/participant required to execute a lease
® Homeless Management Information System (HMIS)
❑ Innovative Supportive Housing (ISH)
Table Of Contents
(Enter the page number for each Exhibit in the space provided below . )
4 Exhibit 1 Project Summary
— 6 Exhibit 2 Real Property Leasing, Supportive Services, FMS and Operating
Budget
Certification :
Name & Title of the Person who can answer questions about this document : Phone (include area code) :
Louise Hubbard, Executive Director, Treasure Coast Homeless Services Council, 772 -567 -7790
Inc.
Address :
2525 St. Lucie Avenue
Vero Beach, FL 32960
I hereby certify that all the information stated herein is true and accurate.
Warning: HUD will prosecute false claims and statements . Conviction may result in criminal and/or civil
penalties. ( 18 U . S . C . 1001 , 1010, 1012 ; 31 U. S . C . 3729 , 3802)
Name & Title of Authorized Official : S * e & Date : 'N' , �f
Thomas S . Lowther 7'
1//, , N'
Chairman May 3 , 2005
3
TREASURE COAST HOMELESS SERVICES COUNCIL , INC* CONTINUUM OF CARE
Project Number _ FL2911409002
Technical Project Identifier— FL 13167
Submission Exhibit 1 : Project Summary
(cont . ) (RENEWALS ONLY)
A. Selectee, and Sponsor Information - Fill in the information requested below . For HMIS projects fill
in the HMIS Lead. When the selectee is the same organization as the project sponsor, complete only the
selectee information.
Selectee Name Indian River County Board of County Sponsor Name Treasure Coast Homeless Services
Commissioners Council, Inc.
Contact Person Joyce Johnston Carlson Contact Person Louise Hubbard
Phone 1 -772-567-8000x1467 Phone 1 -772-567-7790
FAX Number 1 -772 -978- 1798 FAX Number 1 -772 -567 -5991
E-Mail Address jcarlsonn,irc ov . com E-Mail Address irhsclh(a,aol . com
Street Address 1840 25`b Street Street Address 2525 St. Lucie Avenue
City, State, Zip Vero Beach, FL 32960 City, State, Zip Vero Beach, FL 32960
HMIS Lead Treasure Coast Homeless Services Contact Person Louise Hubbard
Council, Inc.
Street Address 2525 St. Lucie Avenue Phone 772-567 -7790
Ci , State,
11p Vero Beach, FL 32960 E-Mail Address irhsclh aol . com
B. Project Budget - This section must be completed by all renewal selectees .
1 . Chart 1 - Summary Project Budget
To complete Chart 1 , Summary Project Budget, enter the amount of SHP funds requested by line-item in
the first column. For leasing, supportive services, operations, and HMIS, the amount entered should be
for the SHP grant term selected. In the second column, enter the amount of other cash that will be
contributed to the project. This amount plus the SHP request must equal the total budget amount for the
project. Note that match requirements for supportive services, operating costs and HMIS apply to
renewal projects . The amounts you enter are for all structures in your project. Each line item amount in
this chart should match the amounts shown in your original application as a0roved or Exhibits 3 , 4 , 5
and 6 .
Requested grant term (1 , 2 , or 3 years) : _1
Chart 1 - Summary Project Budget
Total Project
SHP Applicant Budget
Request Cash
1 . Real Pro a Leasin
2 Supportive Services*
3 . rations* *
4 . HMIS* 36 , 1777 9 ,044 . 25 45 ,221 . 25
5 , SHP Request (subtotal lines 1 thru 4)
6 . Administration* * * (up to 5% of line 5)
7 . Total SHP Request (total lines 5 and 6) 36, 1777
*By law, SHP can pay no more than 80% of the total supportive services or total HMIS budget.
* *By law, SHP can pay no more than 75% of the total operating budget.
***By law, SHP can pay no more than 5% of the total SHP request.
4
TREASURE COAST HOMELESS SERVICES COUNCIL , INC. CONTINUUM OF CARE
Project Number _ FL29B409002_
Technical Project Identifier— FL 13167
Submission Exhibit 1 : Project Summary
(RENEWALS ONLY)
C . Program Goals - The goals for SEP are to help program participants (a) obtain and remain in permanent
housing, (b) increase their skills and/or income, and (c) achieve greater self-determination. In order to meet
these program goals, each project should develop specific performance measures. Performance measures have
three major components. First, they must relate to the outcomes (e.g. , the program participant will
successfully complete substance abuse treatment), rather than inputs (e . g. , the program participant will attend
25 substance abuse sessions) . Second, they must have a time frame for achievement and, third, they must have
a percentage/number indicating a level of achievement.
In a separate narrative which should be submitted as an attachment to this exhibit. please describe the
performance measures that will be used for each of the SEP goals and how success in meeting each of the
goals will be measured Please include both housing and services in your discussion. At least one
performance measure for the skills/income goal must address accessing mainstream health and human
service programs. You will be reporting on your success in meeting the performance measures in your
Annual Progress Report.
Examples of performance measures for each of the SHP goals are :
Goal: Obtain and remain in permanent housing
70% of those families entering the program will receive Section 8 certificates when exiting the program.
Goal: Increase skills and income
• 80% of the participants who receive no benefits upon entry will receive entitlement benefits within 6 months.
Goal: Achieve greater self-determination
• 85% of clients will meet at least one goal on their Individual Service Plan.
D . Number of Beds, Participants and Supportive Services - These charts need to be included only if
they were incomplete, inaccurate or blank at the time of the original application submission. Please complete
these charts if your local HUD field office has notified you that they are required. Submit only those that
apply. The charts can be found on page 17 of the New Projects Section of the Technical Submission.
N/A
5
TREASURE COAST HOMELESS SERVICES COUNCIL , INC. CONTINUUM OF CARE
Project Number _ FLM409002
Technical Project Identifier — FL 13167
Submission Exhibit 2 . Real Property Leasing, Supportive
Services, Operations and HMIS (RENEWALS ONLY)
This exhibit covers Real Property Leasing, Supportive Services, Operations, HMIS as it pertains to Site
Control, Match Documentation and other applicable Certifications . Please refer to the narrative under the
New Projects Section of the Technical Submission for a more detailed explanation of each of the exhibits .
Other sections in this exhibit may need to be completed if required by your local HUD Field Office .
ALL RENEWAL GRANTEES/PROJECT SPONSORS MUST COMPLETE SITE CONTROL, MATCH DOCUMENTATION AND JOB
AND ADMINISTRATION CERTIFICATIONS.
If you are required to resubmit or complete real property leasing, supportive services, operations or HMIS ,
pull the charts from the pages of the New Projects Section of this technical submission that apply . For
leasing use pages 21 -24 , supportive services pages 25 -28 , operations pages 29-32 and HMIS pages 33 -36
of the New Projects Section. You do not have to complete the leveraging and administration exhibits for
renewals .
A. Site Control — N/A — Remote Hosted HMIS
Check the appropriate box(es)
Leasing ❑ Supportive Services ❑ Operations ❑
A project sponsor requesting renewal funding for an existing SHP project must complete the certification
below. No other site documentation is required for renewal projects .
As a recipient of SHP funds, the
(sponsor organization) certifies that it currently has an executed lease agreement, or
a deed or other proof of ownership for the property(ies) in use to house and/or provide services to
homeless persons under HUD ' s existing grant number. In addition, sponsor organizations using SHP
funds for leasing activities further certify that the (project sponsor, the conditional grantee or their parent
organizations -fill in the appropriate one-) do not own these leased site(s) . This includes organizations
that are members of a general partnership where the general partnership owns the structure(s) , both
parties are parts of the same governmental unit or the governmental unit creates an authority or similar
entity to acquire and lease the facilities to the governmental unit and other parties, and no operating grant
funds will be used for the payment of utilities, maintenance and repairs, or management fees associated
with the site(s) , under HUD ' s existing grant number
Signature of authorized representative
Name
Title Date
6
TREASURE COAST HOMELESS SERVICES COUNCIL , INC . CONTINUUM OF CARE
Technical Project Number - FL29B409002
Submission Project Identifier— FL 13167
Exhibit 2. Real Property Leasing,
Supportive Services, Operations and HMIS
(RENEWALS ONLY)
A. Documentation of Match for Year 1 - Please See Attached
Supportive Services ❑ Operations ❑ HMIS
A selectee must currently have firm commitments for its cash resources for Year Ifor supportive services,
operating costs and HMIS and must submit documentation of those resources as an attachment to this Exhibit.
These firm commitments must be documented on letterhead stationery, signed and dated by an authorized
representative, and attached to this Exhibit. Each letter must, at a minimum, contain the following elements :
1 . The name of the organization providing the cash resource;
2 . The amount;
3 . The type of activity for which the funds will be used (e. g. , case management, child care, education) ;
4 . The name of the project sponsor organization to which the cash will be contributed and/or the name of the
project; and
5 . The date the funds will be available .
C. Certification of Match for Year 2 and Year 3, if applicable (Not Applicable)
Supportive Services ❑ Operations ❑ HMIS ❑
The following certification must be completed for Year 2 , and Year 3 if applicable, of your grant term to
certify that non-SHP cash resources will be used to meet your supportive services, operations and HMIS match
requirement in each of these years .
The amount specified in this certification for supportive services must match the amount shown on line 4 of
the Supportive Services Chart submitted with your original application OR Line 11 of the Supportive Services
Budget from Exhibit 4 of the New Projects Section. No other documentation regarding the supportive
services match requirement for Year 2 and Year 3 of your grant term is required at this time. However, match
commitment for Years 2 and 3 will be identified at time of submission of Annual Progress Reports for those
years.
The amount specified in this certification for operations costs must match the amount shown on line 1 I of the
Operations Cost Chart submitted with your original application OR Line 13 of the Operations Budget from
Exhibit 5 of the New Project Section. No other documentation regarding the operations match requirement for
Year 2 and Year 3 of your grant term is required at this time . However, match commitment for Years 2 and 3
will be identified at time of submission of Annual Progress Reports for those years.
The amount specified in this certification for HMIS must match the amount shown on the " Selectee ' s Match"
on the last line of the HMIS Chart submitted with your original application OR the last line of the HMIS
Budget from Exhibit 6 of the New Projects Section. No other documentation regarding the HMIS match
requirement for Year 2 and Year 3 of your grant term is required at this time . However, match commitment
for Years 2 and 3 will be identified at time of submission of Annual Progress Reports for those years .
7
TREASURE COAST HOMELESS SERVICES COUNCIL , INC. CONTINUUM OF CARE
Technical Project Number - FL29B409002
Submission Project Identifier— FL 13167
Exhibit 2 . Real Property Leasing,
Supportive Services, Operations and HMIS
(RENEWALS ONLY)
B. Documentation of Match for Year 1 - One Year Renewal
Supportive Services ❑ Operations ❑ HMIS
A selectee must currently have firm commitments for its cash resources for Year Ifor supportive services,
operating costs and FMS and must submit documentation of those resources as an attachment to this Exhibit.
These firm commitments must be documented on letterhead stationery, signed and dated by an authorized
representative, and attached to this Exhibit. Each letter must, at a minimum, contain the following elements :
1 . The name of the organization providing the cash resource;
The Treasure Coast Homeless Services Council, Inc. is providing the cash resources. Funds in the
amount of $9,044.25 are currently in a dedicated match account.
2 . The amount;
The amount of funds escrowed for match is $9,044. 25
3 . The type of activity for which the funds will be used (e. g. , case management, child care, education) ;
Funds will be used for the ongoing technical assistance, licensure and hardware for the CoGwide
Homeless Management Information System, Service Point.
4 . The name of the project sponsor organization to which the cash will be contributed and/or the name
of the project;
Treasure Coast Homeless Services Council, Inc. CoGwide HMIS
1 . The date the funds will be available.
Funds are available now and will be in use upon execution of this grant award.
8
TREASURE COAST HOMELESS SERVICES COUNCIL , INC. CONTINUUM OF CARE
Technical Project Number . FL2913409002
Submission Project Identifier— FL 13167
Exhibit 2 . Real Property Leasing,
Supportive Services, Operations and HMIS
(RENEWALS ONLY)
C. Match Certification (continued)
The Treasure Coast Homeless Services Council, Inc. (project sponsor) certifies that it will provide cash
resources in the amount of $ 9 ,044 . 25 from non-SHP funding sources for Year(s)_4 of this grant
term to be used to provide HNIIS, services and/or for operating costs of housing for homeless persons
under HUD ' s grant number _FL29B 109003
Signature of authorized representative i 6tz_ � - '�
% d
Name Louise Hubbard, Executive115irector, _(and)
Title Executive Vice President of TCHSC, Inc. _
Date
D . Job Description Certification
The Treasure Coast Homeless Services Council. Inc . (project sponsor ) certifies that the job
responsibilities of each position as it relates to the project have not changed since the previous technical
submission. If the position or responsibilities have changed, submit a new position description for the
new or added position.
Signature of authorized representativ
Name Louise Hubbard
Title Exec . Di ctor, E ec . Vice President
Date 2 27 � S'
E . Administration Certification
The N/A (no administrative funds)_ (selectee organization) certifies that funds are being
used for eligible administrative costs . If the Distribution of Funds is not the same, a new/revised plan is
submitted.
Signature of authorized representative
Name
Title
Date
9
TREASURE COAST HOMELESS SERVICES COUNCIL , INC. CONTINUUM OF CARE
Project Number_FL29B409002
Technical Project Identifier _FL 13167
Submission Exhibit 6 : HMIS Dedicated Projects
SHP funds may be used to pay for up to 80% of the total HMIS budget for each year of the grant term. This means
that the selectee must make a cash payment for 20% of the project ' s total HMIS budget annually. For Year 1 of
your grant term, documentation of firm commitments of the cash resources must be submitted as an attachment to
this Exhibit. The format and requirements for these commitments are explained in Section B of this Exhibit. For
Years 2 and 3 , if applicable, a selectee needs only to certify that cash resources will be provided using the
certification in Section C of this Exhibit. This certification must be completed and submitted as an attachment to
this Exhibit. Please note that, although selectees are not required to have the firm commitment for the cash
resources for Years 2 and 3 at this time, the cash match requirement for Years 2 and 3 must be met by the
end of each of those years.
The 2001 HUD Appropriations Act added homeless management information systems as a new eligible activity.
Section 423 (a)(7) of the McKinney—Vento Act provides that HUD may make . . . . ..a grant for the costs of
implementing and operating management information systems for purposes of collecting unduplicated counts of
homeless people and analyzing patterns of use of assistance funded under this Act. " The Technical Submission
breaks these costs into 5 major cost categories : Equipment, Software, Services, Personnel, and Space/Operations .
If a project sponsor' s staff will perform an HNIIS function, only the staff time directly related to the delivery of that
HMIS function for the project is eligible for SHP funding. For example, the project sponsor - Harmony House -
will use 25% of 1 FTE staff for a HMIS task and the remainder of the staff' s time will be spent conducting non-
IMS tasks . Using this example, only 25% of the staff' s salary may be paid for with SHP HMIS funds . Likewise,
where the HMIS system serves non-homeless clients and provides reporting on those clients, a proration of costs
must be made .
A. HMIS Dedicated Project : Narratives and Budget Chart
1 . List of Continuum of Care Shelter Resources and Schedule for Participation
List by category all emergency and transitional shelters and McKinney-Vento-assisted permanent housing
projects that were identified in the 2004 Exhibit 1 Continuum of Care Plan. Shelters not included in the
Continuum of Care Plan may also be included. Indicate next to each shelter or site :
1 . Their beds/unit capacity.
2 . Schedule of participation in the HMIS . If shelter or site is currently participating, list as (C) , if planned
enter (P-4 /05), or if it does not plan on entering the system use (NP) and state the reason.
Please see attached page.
10
TREASURE COAST HOMELESS SERVICES COUNCIL , INC . CONTINUUM OF CARE
Project Number FL29B409002
Technical Project Identifier _FL13167
Submission Exhibit 6 : HMIS Dedicated Project
2. HMIS Software
List the name/vendor of the software program, system type (i . e. , web based client/server, other), and types of
activities that can be performed. Potential types of activities include : Intake and Exit (IE); Assessment and
Goals Setting (AS); Service Planning (SP) ; Tracking Supportive Services and Outcomes (TS) ; Information &
Referral (IR) ; Outreach (OU) .
Y The Vendor of the Software Program is Bowman Internet Systems .
➢ The Name of the Software Program is Service Point, Version 7 . 08 .
➢ Service Point is a web based application which is hosted by Bowman Servers in Shreveport,
Louisiana .
➢ To date all activities listed above (IE, AS , SP , TS , IR, OU) can be performed using this
version of Service Point . In addition, custom report writer is available to all licensed end users
who are interested in more sophisticated and customized outcome reporting .
Service Point also contains an APR reporting feature, a quick-call-call log feature, and an associated
community guide website which is designed to allow the general public to search through programs in
the continuum which may meet their needs .
11
TREASURE COAST HOMELESS SERVICES COUNCIL , INC. CONTINUUM OF CARE
Project Number_FL29B409002
Technical Project Identifier _FL13167
Submission Exhibit 6 : HNHS Dedicated Project
Please complete the HMIS Budget Chart on the next page for your project' s total FMS budget. Include both
SBP funds and Selectee ' s Match when completing FMS Budget.
In the first column, fill in the BMIS expenses (Cost Item) that apply to your project. In the Year 1 column,
enter the amount needed to pay for the FMS in the first year. If the grant is multi-year, enter the funds
needed for Year 2 , and if applicable, Year 3 . In the last column, total the amount of funds needed for the full
grant term Please ensure that the Total SHP Request from the chart on the next page is equal to the
amount entered in the project' s Summary Budget in Exhibit 1 on page 15 for new projects and page 8
for renewal projects. (Identified by * * in both charts.)
Please note that the selectee Is match for the first year of the grant term must be documented as described in the
introduction to this Exhibit; for projects with grant terms exceeding one year, the certification at Section C of
this Exhibit must be completed for Year 2 and Year 3 of the grant term. N/A
PLEASE SEE ATTACHED PAGE
12
TREASURE COAST HOMELESS SERVICES COUNCIL , INC . CONTINUUM OF CARE
Technical Project Number_ FL29B409002
Submission Project Identifier_ FL13167
Exhibit 6 : HMIS Dedicated and Shared Projects
HMIS BUDGET
Equipment
Central Server(s)
Personal Computers and Printers 2 , 100
Networking
Security
Subtotal 29100
Software
Software / User Licensing 11 , 502 . 25
Software Installation
Support and Maintenance
Supporting Software Tools
A. 119502. 25
Subtotal
Services
Training by Third Parties 3 ,000
Hosting / Technical Services 6, 933
Programming: Customization
Programming : System Interface
Programming: Data Conversion
Security Assessment and Setup
On-line Connectivity (Internet Access)
Facilitation
Disaster and Recovery
Subtotal 9 ,933.00
Personnel
Project Management / Coordination
Data Analysis
Programming
Technical Assistance and Training 21 ,676
Administrative Support Staff
Subtotal 21 ,676
HMIS Space and Operations
Space Costs
Operational Costs
Subtotal
Total HMIS Budget 45,221 .25
SHP Request 369177, 00 **
Selectee ' s Match 9 ,044.25
13
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ADMINISTRATIVE PERSONNEL AM- 806 . 1 01 24 95
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MANUAL SUBJECT PAGE
# * CONFLICTS OF INTEREST ETHICS CODE 1 F
Ref : Indian River County Ordinance 94 - 21
Indian River County Ordinance 95 - 02
Id_This Code of Ethics is in addition to the requirements of Chapter 112 ,
Florida Statutes . Where there is a conflict between Chapter 112 , F . S . and
this code the more stringent requirement shall apply .
_This code shall apply to county commissioners and county employees .
The term " person " includes commissioners and county employees . Written
requests for interpretative rulings concerning the applicability of this
code may be submitted to the county attorney for written reply ,
3 . Information concerning any incident or situation in which it appears
that a board appointed county employee or county commissioner may have
engaged in conduct contrary to this code should be forwarded by complaint
affidavit to the state attorney for the Nineteenth Judicial District for
his investigation and appropriate action .
gs_A person shall avoid any action , whether or not specifically
prohibited by this section , which might result in :
a ) using public office for private gain ;
b ) giving preferential treatment to any person ; or
c ) making a government decision outside official channels ,
5 . ( a ) Except as provided in paragraph ( b ) and ( c ) of this subsection ,
a person shall not solicit or accept , directly or indirectly , any gift ,
gratuity , favor , entertainment , loan , or any other thing of monetary
value , from anyone who :
1 ) has , or is seeking to obtain , contractual or other business or
financial relations with the county ,
2 ) conducts operation or activities that are regulated by the county ; or
3 ) has interests that may be substantially affected by the performance or
nonperformance of the person ' s official duty ; or
4 ) is in any way attempting to affect the person ' s official actions at the
county .
5 ) is offering anything of monetary value , including food and
refreshments , to an employee because of the person ' s official position .
64 ! 20 ! 2005 L0 : 13 5617705331 FINANCE DEPARTMENT PAVE e �
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+1 POLICY
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* CONFLICTS OF INTEREST ETHICS CODE 2 OF 4
so ( b ) The prohibitions enumerated in paragraph ( a ) and ( c ) of this
section do not apply in the situations enumerated below :
1 ) where obvious family ( such as those between the parents , children , or
spouse of the person ) or other personal relationships make it clear that
it is those relationships rather than the business of the persons
concerned which are the motivating factors .
2 ) Food and refreshments : Under Chapter 112 , F . S . , the word " gift " is
defined to exclude " Food or beverage consumed at a single sitting or
event " . Pursuant to Section 112 . 326 , F . S . , it is the purpose of this code
to require more stringent county disclosure requirements than provided for
in Chapter 112 , F . S . Therefore , and notwithstanding any other section to
the contrary , county commissioners , and county employees may accept food
or beverage consumed at a single sitting or event only if the cost for
said food or beverage does not exceed the Chapter 112 , F . S . , rate for the
appropriate per diem allowance for said meal . If , under circumstances
beyond the control of the donee , the cost exceeds the per diem rate then
within five ( 5 ) working days of the acceptance , the donee shall file a
written disclosure statement with the executive aide to the commission on
a form provided by said aide . In addition , food or beverage may be
accepted when ( i ) offered free in the course of a meeting or other group
function not connected with an inspection or investigation , at which
attendance is desirable because it will assist the person in performing
his or her official duties ; or ( ii ) provided to all panelists or speakers
when a person is participating as a panelist or speaker in a program ,
seminar or educational conference .
3 ) Loans may be obtained from banks or other financial institutions on
customary terms to finance proper and usual activities of persons such as
home mortgage loans .
4 ) Unsolicited advertising or promotional material such as pens , pencils ,
note pads , calendars and other items of nominal intrinsic value may be
accepted , as well as job related literature .
5 ) Gifts given for participation in a program , seminar or educational
conference may be accepted only when such gifts are ( i ) of nominal
intrinsic value ( ii ) in the nature of a remembrance traditional to the
particular sponsoring entity and ( iii ) provided to all participants in the
program .
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POLICY
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* * CONFLICTS OF ZN
�LORtDA
6 ) Contributions or expenditures reported pursuant to Chapter 106 , F . S . ,
campaign - related personal services provided without compensation by
I
ndividuals volunteering their time , or any other contribution or
expenditure by a political party .
NOTE : Exclusions 7 ) through 11 ) were added 1 - 24 - 95 by Ordinance 95 - 02 ,
7 ) Awards of nominal value , plaques and dinners given by a civic or
business organization to honor individual or groups for meritorious
service , acts of heroism , and similar conduct .
8 ) Local outings offered to all county employees or with prior approval
of the Board of County Commissioners , units of county employees .
9 ) Acceptance of invitations given by organizations as at ceremonial
gesture with prior approval of the Board of County Commissioners needed
for events outside the county .
10 ) Discounts and other inducements offered by various theme parks and
other entertainment interests for all county or state employees .
11 ) Free flu shots offered to all county employees .
5 . ( c ) A person shall not solicit a contribution from another person for
agift to an official superior , make a donation as a gift to an official
superior , or accept a gift from a person receiving less pay than himself ,
However , this paragraph does not prohibit a voluntary gift of nominal
value or donation in a nominal amount made on a special occasion such as
marriage , illness , or retirement ,
6 . No county employee may engage in outside employment or other outside
activity , with or without compensation , which is in conflict with or
otherwise not compatible with the full and proper discharge of his duties
and responsibilities to Indian River County . Incompatible activities
include but are not limited to :
1 ) acceptance of a fee , compensation , gift , payment of expenses , or any
other thing of monetary value in circumstances in which acceptance may
result in a conflict of interest situation , or
Q4 / 20 / 2005 20 : 13 5617705331 FINANCE DEPARTMENT PAGE 05
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pie MANUAL SUBJECT PAGE
* * CONFLICTS OF INTEREST ETHICS CODE 4 OF 4
'�joRro�'
2 ) outside employment which tends to impair his mental or physical
capacity to perform his duties and responsibilities in an acceptable
manner , or
3 ) outside employment or activities ( excluding the publication of
articles ) which reasonably might be regarded as official actions of the
county or which might bring discredit upon the county .
7_ It shall be the duty of each commissioner , board appointed county
employee , department head and professional staff member to become familiar
with the code of ethics for public officers and employees .
DISCLOSURE OF LOBBYING ACTIVITIES Approved by OMB
Complete this form to disclose lobbying activities pursuant to 31 U . S . C . 1352 0348-0046
( See reverse for public burden disclosure . )
1 . Type of Federal Action : 2. Status of Federal Action : 3 . Report Type :
[ b l a . contract ( b la . bid/offer/application f b 1 a . initial filing
L J b . grant t Ia .
initial award ` J b . material change
c . cooperative agreement c . post-award For Material Change Only : -
d . loan year quarter
e , loan guarantee date of last report
f. loan insurance
4. Name and Address of Reporting Entity : 5. ff Reporting Entity in No . 4 is a Subawardee, Enter Name
0 Prime ❑ Subawardee and Address of Prime :
Tier if known : .
COUNTY DOES NOT ENGAGE IN LOBBYING ACTIVITY
Congressional District , if known : Congressional District, if known :
6. Federal Department/Agency: 7 . Federal Program Name/Description :
CFDA Number, if applicable :
8 . Federal Action Number, if known : 19, Award Amount, if known :
10 . a. Name and Address of Lobbying Registrant b. Individuals Performing Services ( including address if
( if individual, last name, first name, Ml ) : different from No. 10a )
( last name, first name, M/ ) :
NONE
NONE
11 , Information requested through this form is authorized by tide 31 U.S.C_ section Signature :
1352. This disclosure of lobbying activities is a material representation of fact
upon which . reliance was placed by the tier above when this transaction was made COMMISSIONER TOM LOWTHER
or entered into. This disclosure is required pursuant to 31 U.S.C. 1352. This Print Name :
information will be available for public inspection. Any person who fails to file the INDIAN RIVER CO . BOARD OF COUNTY COMMISSIONERS
required disclosure shall be subject to a civil penalty of not less than $10,000 and Title :
not more than $100,0DO for each such failure.
Telephone No . : 772-567-8000 Date: S / 3 J 2 n n 5
Federal Use Only: Authorized for Local Reproduction
Standard Form LLL (Rev. 7-97)
TREASURE COAST HOMELESS SERVICES COUNCIL , INC. CONTINUUM OF CARE
U. S. Department of Housing and Urban Development
OfI•ice of Community Planning and Development
OMB Approval No. 2506-0112 (exp. 8/31/2006)
2004 Technical Submission
for the
Supportive Housing Program
FL29B409002
Dedicated CoGwide HMIS
1
I
TREASURE COAST HOMELESS SERVICES COUNCIL , INC. CONTINUUM OF CARE
41
THIS SECTION FOR
RENEWAL PROJECTS
ONLY
2
TREASURE COAST HOMELESS SERVICES COUNCIL , INC. CONTINUUM OF CARE
Technical Project Number _ FL2913409002
Submission Project Identifier — FL 13167
(RENEWALS ONLY)
Recipient ' s Name : HUD Project Number :
Indian River County Board of County Commissioners FL2913409002
Check the program component/type that classifies your project:
❑ Transitional Housing (TH)
❑ Permanent Housing for Homeless Persons with Disabilities (PH)
❑ Supportive Services Only (SSO)
❑ Safe Haven/Transitional Housing (SH/TH) — Characteristics of TH/participant not required to execute a lease
❑ Safe Haven/Permanent Housing (SH/PH) — Characteristics of PH/participant required to execute a lease
® Homeless Management Information System (IMS)
❑ Innovative Supportive Housing (ISH)
Table Of Contents
(Enter the page number for each Exhibit in the space provided below . )
_4_ Exhibit 1 Project Summary
_ 6_ Exhibit 2 Real Property Leasing, Supportive Services, BMS and Operating
Budget
Certification .
Name & Title of the Person who can answer questions about this document: Phone (include area code) :
Louise Hubbard, Executive Director, Treasure Coast Homeless Services Council, 772 -567-7790
Inc.
Address :
2525 St. Lucie Avenue
Vero Beach, FL 32960
I hereby certify that all the information stated herein is true and accurate.
Warning : HUD will prosecute false claims and statements . Conviction may result in criminal and/or civil
penalties . ( 18 U. S . C. 1001 , 1010 , 1012 ; 31 U. S . C. 3729, 3802)
Name & Title of Authorized Official : Signature & Date :
3
TREASURE COAST HOMELESS SERVICES COUNCIL , INC. CONTINUUM OF CARE
Project Number _ FL29B409002
Technical Project Identifier— FL 13167
Submission Exhibit 1 : Project Summary
(cont . ) (RENEWALS ONLY)
A. Selectee, and Sponsor Information - Fill in the information requested below. For HMIS projects fill
in the HMIS Lead. When the selectee is the same organization as the project sponsor, complete only the
selectee information.
Selectee Name Indian River County Board of County Sponsor Name Treasure Coast Homeless Services
Commissioners Council, Inc.
Contact Person Jo qe Johnston Carlson Contact Person Louise Hubbard
Phone 1 -772-567-8000x1467 Phone 1 -772-567-7790
FAX Number 1 -772 -978- 1798 FAX Number 1 -772-567-5991
E-Mail Address ' carlson nirc ov . com E-Mail Address irhsclh aol . com
Street Address 1840 25 Street Street Address 2525 St. Lucie Avenue
City, State, Zip Vero Beach, FL 32960 City, State, Zip Vero Beach, FL 32960
HMIS Lead Treasure Coast Homeless Services Contact Person Louise Hubbard
Council, Inc.
Street Address 1 2525 St. Lucie Avenue Phone 772-567-7790
City, State, Zip I Vero Beach, FL 32960 E-Mail Address irhsclh aol. com
B. Project Budget - This section must be completed by all renewal selectees .
1 Chart 1 - Summary Project Budget
To complete Chart 1 , Summary Project Budget, enter the amount of SHP funds requested by line-item in
the first column. For leasing, supportive services, operations, and HMIS, the amount entered should be
for the SHP grant term selected. In the second column, enter the amount of other cash that will be
contributed to the project. This amount plus the SHP request must equal the total budget amount for the
project. Note that match requirements for supportive services, operating costs and HMIS apply to
renewal projects. The amounts you enter are for all structures in your project. Each line item amount in
this chart should match the amounts shown in your original application as approved or Exhibits 3 , 4, 5
and 6 .
Requested grant term (1 , 2, or 3 years) : _1
Chart 1 - Summary Project Bud et
Total Project
SEP Applicant Budget
Request Cash
1 . Real Property Leasing
2 Supportive Services*
3 . Operations"
4 . HMIS* 36 , 177 9 , 044 . 25 45 ,221 . 25
5 . SHP Request (subtotal lines 1 thru 4)
6 . Administration* * * (up to 5% of line 5)
7 . Total SHP Request (total lines 5 and 6) 36, 177
*By law, SHP can pay no more than 80% of the total supportive services or total HMIS budget.
* *By law, SHP can pay no more than 756/o of the total operating budget.
***By law, SHP can pay no more than 5% of the total SHP request.
4
TREASURE COAST HOMELESS SERVICES COUNCIL , INC. CONTINUUM OF CARE,
Project Number _ FL2911409002_
Technical Project Identifier— FL 13167
Submission Exhibit 1 : Project Summary
(RENEWALS ONLY)
C. Program Goals - The goals for SHP are to help program participants (a) obtain and remain in permanent
housing, (b) increase their skills and/or income, and (c) achieve greater self-determination. In order to meet
these program goals, each project should develop specific performance measures. Performance measures have
three major components. First, they must relate to the outcomes (e. g. , the program participant will
successfully complete substance abuse treatment) , rather than inputs (e . g. , the program participant will attend
25 substance abuse sessions) . Second, they must have a time frame for achievement and, third, they must have
a percentage/number indicating a level of achievement.
In a separate narrative, which should be submitted as an attachment to this exhibit, please describe the
performance measures that will be used for each of the SBP goals and how success in meeting each of the
goals will be measured. Please include both housing and services in your discussion. At least one
performance measure for the skills/income goal must address accessing mainstream health and human
service programs. You will be reporting on your success in meeting the performance measures in your
Annual Progress Report.
Examples of performance measures for each of the SBP goals are :
Goal: Obtain and remain in permanent housing
• 70% of those families entering the program will receive Section 8 certificates when exiting the program.
Goal: Increase skills and income
• 80% of the participants who receive no benefits upon entry will receive entitlement benefits within 6 months.
Goal: Achieve greater self-determination
• 85% of clients will meet at least one goal on their Individual Service Plan.
D. Number of Beds, Participants and Supportive Services - These charts need to be included only if
they were incomplete, inaccurate or blank at the time of the original application submission. Please complete
these charts if your local HUD field office has notified you that they are required. Submit only those that
apply. The charts can be found on page 17 of the New Projects Section of the Technical Submission.
N/A
5
TREASURE COAST HOMELESS SERVICES COUNCIL , INC. CONTINUUM OF CARE
Project Number — FL2913409002
Technical Project Identifier — FL 13167
Submission Exhibit 2. Real Property Leasing, Supportive
Services, Operations and HMIS (RENEWALS ONLY)
This exhibit covers Real Property Leasing, Supportive Services , Operations, HMS as it pertains to Site
Control, Match Documentation and other applicable Certifications . Please refer to the narrative under the
New Projects Section of the Technical Submission for a more detailed explanation of each of the exhibits .
Other sections in this exhibit may need to be completed if required by your local HUD Field Office.
ALL RENEWAL GRANTEES/PROJECT SPONSORS MUST COMPLETE SITE CONTROL, MATCH DOCUMENTATION AND JOB
AND ADMINISTRATION CERTIFICATIONS.
If you are required to resubmit or complete real property leasing, supportive services, operations or HMIS ,
pull the charts from the pages of the New Projects Section of this technical submission that apply. For
leasing use pages 21 -24, supportive services pages 25 -28 , operations pages 29-32 and HMIS pages 33 -36
of the New Projects Section . You do not have to complete the leveraging and administration exhibits for
renewals .
A. Site Control — N/A — Remote Hosted HMIS
Check the appropriate box(es)
Leasing ❑ Supportive Services ❑ Operations ❑
A project sponsor requesting renewal funding for an existing SBP project must complete the certification
below. No other site documentation is required for renewal projects .
As a recipient of SBP funds, the
(sponsor organization) certifies that it currently has an executed lease agreement, or
a deed or other proof of ownership for the property(ies) in use to house and/or provide services to
homeless persons under HUD ' s existing grant number. In addition, sponsor organizations using SBP
funds for leasing activities further certify that the (project sponsor, the conditional grantee, or their parent
organizations -fill in the appropriate one-) do not own these leased site(s) . This includes organizations
that are members of a general partnership where the general partnership owns the structure(s), both
parties are parts of the same governmental unit or the governmental unit creates an authority or similar
entity to acquire and lease the facilities to the governmental unit and other parties, and no operating grant
funds will be used for the payment of utilities, maintenance and repairs, or management fees associated
with the site(s), under HUD ' s existing grant number
Signature of authorized representative
Name
Title Date
6
TREASURE COAST HOMELESS SERVICES COUNCIL , INC. CONTINUUM OF CARE
Technical Project Number - FL29B409002
Submission Project Identifier— FL 13167
Exhibit 2. Real Property Leasing,
Supportive Services, Operations and HMIS
(RENEWALS ONLY)
A. Documentation of Match for Year 1 - Please See Attached
Supportive Services ❑ Operations ❑ HMIS
A selectee must currently have firm commitments for its cash resources for Year lfor supportive services,
operating costs and HMIS and must submit documentation of those resources as an attachment to this Exhibit.
These firm commitments must be documented on letterhead stationery, signed and dated by an authorized
representative, and attached to this Exhibit. Each letter must, at a minimum, contain the following elements :
1 . The name of the organization providing the cash resource;
2 . The amount;
3 . The type of activity for which the funds will be used (e. g. , case management, child care, education);
4 . The name of the project sponsor organization to which the cash will be contributed and/or the name of the
project; and
5 . The date the funds will be available .
C. Certification of Match for Year 2 and Year 3 , if applicable (Not Applicable)
Supportive Services ❑ Operations ❑ HMIS ❑
The following certification must be completed for Year 2 , and Year 3 if applicable, of your grant term to
certify that non-SIP cash resources will be used to meet your supportive services, operations and HMIS match
requirement in each of these years .
The amount specified in this certification for supportive services must match the amount shown on line 4 of
the Supportive Services Chart submitted with your original application OR Line 11 of the Supportive Services
Budget from Exhibif 4 of the New Projects Section. No other documentation regarding the supportive
services match requirement for Year 2 and Year 3 of your grant term is required at this time . However, match
commitment for Years 2 and 3 will be identified at time of submission of Annual Progress Reports for those
years.
The amount specified in this certification for operations costs must match the amount shown on line 11 of the
Operations Cost Chart submitted with your original application OR Line 13 of the Operations Budget from
Exhibit 5 of the New Project Section. No other documentation regarding the operations match requirement for
Year 2 and Year 3 of your grant term is required at this time . However, match commitment for Years 2 and 3
will be identified at time of submission of Annual Progress Reports for those years .
The amount specified in this certification for HMIS must match the amount shown on the " Selectee ' s Match"
on the last line of the HMIS Chart submitted with your original application OR the last line of the HMIS
Budget from Exhibit 6 of the New Projects Section. No other documentation regarding the HMIS match
requirement for Year 2 and Year 3 of your grant term is required at this time . However, match commitment
for Years 2 and 3 will be identified at time of submission of Annual Progress Reports for those years .
7
TREASURE COAST HOMELESS SERVICES COUNCIL , INC. CONTINUUM OF CARE
Technical Project Number - FL29B409002
Submission Project Identifier— FL 13167
Exhibit 2. Real Property Leasing,
Supportive Services, Operations and HMIS
(RENEWALS ONLY)
B . Documentation of Match for Year 1 - One Year Renewal
Supportive Services ❑ Operations ❑ HIVIIS
A selectee must currently have firm commitments for its cash resources for Year Ifor supportive services,
operating costs and HMIS and must submit documentation of those resources as an attachment to this Exhibit.
These firm commitments must be documented on letterhead stationery, signed and dated by an authorized
representative, and attached to this Exhibit. Each letter must, at a minimum, contain the following elements :
1 . The name of the organization providing the cash resource;
The Treasure Coast Homeless Services Council, Inc. is providing the cash resources. Funds in the
amount of $9,044.25 are currently in a dedicated match account.
2 . The amount;
The amount of funds escrowed for match is $9,044. 25
3 . The type of activity for which the funds will be used (e. g. , case management, child care, education) ;
Funds will be used for the ongoing technical assistance, licensure and hardware for the CoC-wide
Homeless Management Information System, Service Point.
4 . The name of the project sponsor organization to which the cash will be contributed and/or the name
of the project;
Treasure Coast Homeless Services Council, Inc. CoC-wide HMIS
1 . The date the funds will be available.
Funds are available now and will be in use upon execution of this grant award.
8
TREASURE COAST HOMELESS SERVICES COUNCIL, INC. CONTINUUM OF CARE
Technical Project Number _ FL29B409002
Submission Project Identifier— FL 13167
Exhibit 2 . Real Property Leasing,
Supportive Services, Operations and R IIS
(RENEWALS ONLY)
C. Match Certification (continued)
The _Treasure Coast Homeless Services Council, Inc . (project sponsor) certifies that it will provide cash
resources in the amount of $ 9 .044 . 25 from non-SHP funding sources for Year(s)_4 of this grant
term to be used to provide HMIS , services and/or for operating costs of housing for homeless persons
under HUD ' s grant number FL29B109003
Signature of authorized representative
Name Louise Hubbard, Executive Director, _(and)
Title Executive Vice President of TCHSC, Inc._
Date
D. Job Description Certification
The Treasure Coast Homeless Services Council, Inc . (project sponsor ) certifies that the job
responsibilities of each position as it relates to the project have not changed since the previous technical
submission. If the position or responsibilities have changed, submit a new position description for the
new or added position.
Signature of authorized representative
Name Louise Hubbard
Title Exec. Director, Exec. Vice President
Date
E. Administration Certification
The N/A (no administrative funds)_ (selectee organization) certifies that funds are being
used for eligible administrative costs . If the Distribution of Funds is not the same, a new/revised plan is
submitted.
Signature of authorized representative
Name
Title
Date
9
TREASURE COAST HOMELESS SERVICES COUNCIL , INC. CONTINUUM OF CARE
Project Number_FL29B409002
Technical Project Identifier _FL 13167
Submission Exhibit 6 : HMIS Dedicated Projects
SHP funds may be used to pay for up to 80% of the total HMIS budget for each year of the grant term. This means
that the selectee must make a cash payment for 20% of the project ' s total HMIS budget annually. For Year 1 of
your grant term, documentation of firm commitments of the cash resources must be submitted as an attachment to
this Exhibit. The format and requirements for these commitments are explained in Section B of this Exhibit. For
Years 2 and 3 ; if applicable, a selectee needs only to certify that cash resources will be provided using the
certification in Section C of this Exhibit. This certification must be completed and submitted as an attachment to
this Exhibit. Please note that, although selectees are not required to have the firm commitment for the cash
resources for Years 2 and 3 at this time, the cash match requirement for Years 2 and 3 must be met by the
end of each of those years .
The 2001 HUD Appropriations Act added homeless management information systems as a new eligible activity.
Section 423 (a)(7) of the McKinney—Vento Act provides that HUD may make . . . . "a grant for the costs of
implementing and operating management information systems for purposes of collecting unduplicated counts of
homeless people and analyzing patterns of use of assistance funded under this Act. " The Technical Submission
breaks these costs into 5 major cost categories : Equipment, Software, Services, Personnel, and Space/Operations .
If a project sponsor' s staff will perform an EMS function, only the staff time directly related to the delivery of that
HMIS function for the project is eligible for SHP funding. For example, the project sponsor - Harmony House -
will use 25 % of 1 FTE staff for a HMIS task and the remainder of the staff' s time will be spent conducting non"
HMIS tasks. Using this example, only 25 % of the staff' s salary may be paid for with SHP HIvIIS funds. Likewise,
where the HMIS system serves non-homeless clients and provides reporting on those clients, a proration of costs
must be made.
A. HMIS Dedicated Project: Narratives and Budget Chart
1 . List of Continuum of Care Shelter Resources and Schedule for Participation
List by category all emergency and transitional shelters and McKinney-Vento-assisted permanent housing
projects that were identified in the 2004 Exhibit 1 Continuum of Care Plan. Shelters not included in the
Continuum of Care Plan may also be included. Indicate next to each shelter or site :
1 . Their beds/unit capacity.
2 . Schedule of participation in the HMIS . If shelter or site is currently participating, list as (C), if planned
enter (P-- 1/05), or if it does not plan on entering the system use (NP) and state the reason.
Please see attached page.
10
TREASURE COAST HOMELESS SERVICES COUNCIL , INC. CONTINUUM OF CARE
Project Number_FL29B409002
Technical Project Identifier _FL13167
Submission Exhibit 6 : HMIS Dedicated Project
2 . HMIS Software
List the name/vendor of the software program, system type (i. e. , web based client/server, other), and types of
activities that can be performed. Potential types of activities include : Intake and Exit (IE); Assessment and
Goals Setting (AS) ; Service Planning (SP) ; Tracking Supportive Services and Outcomes (TS) ; Information &
Referral (IR) ; Outreach (OU) .
➢ The Vendor of the Software Program is Bowman Internet Systems .
➢ The Name of the Software Program is Service Point, Version 7 . 08 .
➢ Service Point is a web based application which is hosted by Bowman Servers in Shreveport,
Louisiana.
➢ To date all activities listed above (IE, AS , SP , TS , IF, OU) can be performed using this
version of Service Point. In addition, custom report writer is available to all licensed end users
who are interested in more sophisticated and customized outcome reporting .
Service Point also contains an APR reporting feature, a quick-call-call log feature, and an associated
community guide website which is designed to allow the general public to search through programs in
the continuum which may meet their needs .
11
TREASURE COAST HOMELESS SERVICES COUNCIL , INC. CONTINUUM OF CARE
Project Number FL29B409002
Technical Project Identifier _FL13167
Submission Exhibit 6 : HNIIS Dedicated Project
Please complete the FMS Budget Chart on the next page for your project' s total HMIS budget. Include both
SBP funds and Selectee ' s Match when completing BMIS Budget.
In the first column, fill in the HMIS expenses (Cost Item) that apply to your project. In the Year 1 column,
enter the amount needed to pay for the HMIS in the first year. If the grant is multi-year, enter the funds
needed for Year 2 , and if applicable, Year 3 . In the last column, total the amount of funds needed for the full
grant term. Please ensure that the Total SHP Request from the chart on the next page is equal to the
amount entered in the project' s Summary Budget in Exhibit 1 on page 15 for new projects and page 8
for renewal projects. (Identified by * * in both charts.)
Please note that the selectee ' s match for the first year of the grant term must be documented as described in the
introduction to this Exhibit; for projects withgrant terms exceeding one year, the certification at Section C of
this Exhibit must be completed for Year 2 and Year 3 of the grant term. N/A
PLEASE SEE ATTACHED PAGE
12
TREASURE COAST HOMELESS SERVICES COUNCIL , INC. CONTINUUM OF CARE
Technical Project Number_ FL2913409002
Submission Project Identifier FL13167
Exhibit 6 : HMIS Dedicated and Shared Projects
HMIS BUDGET
E ui meat
Central Server(s)
Personal Computers and Printers 2 , 100
Networldng
Security
Subtotal 2,100
Software
Software / User Licensing 11 , 502 . 25
Software Installation
Support and Maintenance -
Supporting Software Tools
A. 119502. 25
Subtotal
Services
Training by Third Parties 3 ,000 -
Hosting / Technical Services 6, 933
Programming: Customization
Programming: System Interface
Programming: Data Conversion
Security Assessment and Setup
On-line Connectivity (Internet Access)
Facilitation
Disaster and Recovery
Subtotal 9 ,933. 00
Personnel
Project Management / Coordination
Data Analysis
Programming
Technical Assistance and Training 21 ,676
Administrative Support Staff
Subtotal 219676
HMIS Space, and O erations
Space Costs
Operational Costs
Subtotal
Total EMUS Budget 459221.25
SHP Request 369177. 00
Selectee' s Match 99044.25
13
�1YER
SECTION NUMBER DATE EFFECTIVE
ADMINISTRATIVE PERSONNEL AM- 806 . 1 01 - 24 - 95
POLICY
MANUAL SUBJECT PAGE
� , r` � CONFLICTS OF INTEREST ETHICS CODE 1 F
Ref : Indian River County Ordinance 94 - 21
Indian River County Ordinance 95 - 02
1 . This Code of Ethics is in addition to the requirements of Chapter 112 ,
Florida Statutes . Where there is a conflict between Chapter 112 , F . S . and
this code the more stringent requirement shall apply .
This code shall apply to county commissioners and county employees .
The term " person " includes commissioners and county employees . Written
requests for interpretative rulings concerning the applicability of this
code may be submitted to the county attorney for written reply ,
3 ._ Information concerning any incident or situation in which it appears
that a board appointed county employee or county commissioner may have
engaged in conduct contrary to this code should be forwarded by complainti
affidavit to the state attorney dor the Nineteenth Judicial District for
his investigation and appropriate action .
4_A person shall avoid any action , whether or not specifically
prohibited by this section , urhich might result in :
a ) using public office for private gain ;
b ) giving preferential treatment to any person ; or
c ) making a government decision outside official channels .
5 . ( a } Except as provided in paragraph ( b ) and ( c ) of this subsection ,
a person shall not solicit or accept , directly or indirectly , any gift ,
gratuity , favor , entertainment , loan , or any other thing of monetary
value , from anyone who %
1 ) has , or is seeking to obtain , contractual or other business or
financial relations with the county ;
2 ) conducts operation or activities that are regulated by the county ; or
3 ) has interests that may be substantially affected by the performance or
nonperformance of the person ' s official duty ; or
4 ) is in any way attempting to affect the person ' s official actions at the
county .
5 ) is offering anything of monetary value , including food and
refreshments , to an employee because of the person ' s official position .
FINANCE DEPARTMENT
04 / 20 / 2005 20 : 13 5617705331 .
NUMBER DATE EFFECTIVE
ER SECTION aM- 606 . 1 O1 - 24 - 95
ADMINISTRATIVE pERBONNEL PAGE
POLICY SUBJECT
+t MANUAL CONFLICTS OF INTEREST
Z ETHICS CODE 4 OF 4
air his mental or physical
which tends to ionsibilities in an acceptable
2 ) outside employment duties and resp
capacity to perform
Manner ; or
excluding the publication of
employment or activities ( excluding
official actions of the
3 ) outside might be regarded
which reasonably on the county •
articles ) ht bring discredit upon
county or which might _ board appointed county
the duty of each com.^� issioner ►
It shall . be t head and professional star member
wp oyes become familiar
,mpl department ublic officers
employee , ethics for p
with the code of
uti / amu / � uuJ LCJ . 1J JU1 ,J -.
SECTION NUMBER DATE EFFECTIVE
ADMINISTRATIVE
POLICY PERSONNEL AM- 806 . 1 01 - 2495
wit MANUAL SUBJECT PAGE
` * * CONFLICTS OF IN
6 ) Contributions or expenditures reported pursuant to Chapter 106 , F . S . ,
campaign - related personal services provided without compensation by
individuals volunteering their time , or any other contribution or
expenditure by a political party .
NOTE ; Exclusions 7 ) through 11 ) were added 1 - 24 - 95 by ordinance 95 - 02 .
7 ) Awards of nominal value , plaque & and dinners given by a civic or
business organization to donor . individual or groups for meritorious
service , acts of heroism , and similar conduct .
8 ) Local outings offered to all county employees or with prior approval
of the Board of County Commissioners , units of county employees .
9 ) Acceptance of invitations given by organizations as a ceremonial
gesture with prior approval of the Board of County Commissioners needed
for events outside the county .
10 ) Discounts and other inducements offered by various theme parks and
other entertainment interests for all county or state employees .
11 ) Free flu shots offered to all county employees .
5 . ( c ) A person shall not solicit a contribution from another person for
agift to an official superior , mane a donation as a gift to an official
superior , or accept a gift from a person receiving less pay than himself .
However , this paragraph does not prohibit a voluntary gift of nominal
value or donation in a nominal amount made on a special occasion such as
marriage , illness , or retirement .
6 . No county employee may engage in outside employment or other outside
activity , with or without compensation , which is in conflict with or
otherwise not compatible with the full and proper discharge of his duties
and responsibilities to Indian River County . Incompatible activities
include but are not limited to :
1 ) acceptance of a fee , compensation , gift , payment of expenses , or any
other thing of monetary value in circumstances in which acceptance may
result in a conflict of interest situation , or
Q. SECTION NUMBER DATE EFFECTIVE
Y�
ADMINISTRATIVE pERSONNEL AM- 806 . 1 01 - 24 - 95
POLICY
MANUAL SUBJECT PAGE
* CONFLICTS OF INTEREST ETHICS CODEI 2 OF 4
( b ) The prohibitions enumerated in paragraph ( a ) and ( c ) of this
section do not apply in the situations enumerated below :
1 ) where obvious family ( such as those between the parents , children , or
spouse of the person ) or other personal relationships make it clear that
it is those relationships rather than the business of the persons
concerned which are the motivating factors .
2 ) Food and refreshments : Under Chapter 112 , F . S . , the word " gift " is
defined to exclude " Food or beverage consumed at a single sitting or
event " . Pursuant to Section 112 . 326 , F . S . , it is the purpose of this code
to require more stringent county disclosure requirements than provided for
in Chapter 112 , F . S . Therefore , and notwithstanding any other section to
the contrary , county commissioners , and county employees may accept food
or beverage consumed at a single sitting or event only if the cont for
said food or beverage does not exceed the Chapter 112 , F . S . , rate for the
appropriate per diem allowance for said meal . If , under circumstances
beyond the control of the donee , the cost exceeds the per diem rate then
within five ( 5 ) working days of the acceptance , the donee shall file a
written disclosure statement with the executive aide to the commission on
a form provided by said aide . in addition , food or beverage may be
accepted when ( i ) offered free in the course of a meeting or other group
function not connected with an inspection or investigation , at which
attendance is desirable because it will assist the person in performing
his or her official duties , or ( ii ) provided to all panelists or speakers
when a person is participating as a panelist or speaker in a program
seminar or educational conference .
3 ) Loans may be obtained from banks or other financial institutions on
customary terms to finance proper and usual activities of persons such as
home mortgage loans .
4 ) Unsolicited advertising or promotional material such as pens , pencils ,
note pads , calendars and other items of nominal intrinsic value may be
accepted , as well as job related literature .
5 ) Gifts given for participation in a program , seminar or educational
conference may be accepted only when such gifts are ( i ) of nominal
intrinsic value ( ii ) in the nature of a remembrance traditional to the
particular sponsoring entity and ( iii ) provided to all participants in the
program .
DISCLOSURE OF LOBBYING ACTIVITIES Approved by OMB
Complete this form to disclose lobbying activities pursuant to 31 U .S . C . 1352 0348-0046
(See reverse for public burden disclosure .
1 . Type of Federal Action : 2 . Status of Federal Action : 3 . Report Type :
f b J a . contract [ b ] a . bid/offer/application f b J a . initial filing
l 1 b . grant b . initial award l J b . material change
c . cooperative agreement c . post-award For Material Change Only : -
d . loan year quarter
e . loan guarantee date of last report
f. loan insurance
4. Name and Address of Reporting Entity : 5, If Reporting Entity in No . 4 is a Subawardee, Enter Name
Q Prime ❑ subawardee and Address of Prime:
Tier if known : .
COUNTY DOES NOT ENGAGE IN LOBBYING ACTIVITY
Congressional District, if known : Congressional District , if known :
6. Federal Department/Agency , 7 . Federal Program Name/Description :
CFDA Number, if applicable :
8 . Federal Action Number, if known : 9 . Award Amount, if known :
$
10 . a. Name and Address of Lobbying Registrant b . Individuals Performing Services ( including address if
( if individual, last name, first name, Ml ) : different from No. 10a )
( last name, first name, M/ ) :
NONE
NONE
11 , Information requested through this form is authorized by title 31 U.S.C. section Signature :
1352. This disclosure of lobbying activities is a material representation of fact r
upon which reliance was placed by the tier above when this transaction was made Print Name : COMMISSIONER TOM LOWTHER
or entered into. This disclosure is required pursuant to 31 U.S.C. 1352. This
information will be available for public inspection_ Any person who fails to file the INDIAN RIVER CO. BOARD OF COUNTY COMMISSIONERS
required disclosure shall be subject to a civil penalty of not less than $10,000 and Title :
not more than $100.000 for each such failure. 772 -567-8000 5 / 3 / 2005
Telephone No . : Date:
Federal Use Only: Authorized for Local Reproduction
Standard Form LLL (Rev. 7-97)
i