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0
/.OR15. RESOLUTION Gdi� b: 'ici5lrxhi NO.
A RESOLUTION OF T11E COUNCIL OF THE (CITY/
__ TY/
COUNTY),Indian River Country
AUT1i0RI7.ING ANll DI)i1 C:'i ING TU1 JAK► bR/CIiAIRMAN
OF THE BOARD) Chai.rman,_Board of Co3j Cnmmissioners
TO SIGN AN AGREEMENT WITH T11E STATE OF FLORIDA
DEPARTMENT OF COMMUNITY AFFAIRS UNDER THE FLORIDA
FINANCIAL ASSISTANCE FOR COMMUNITY SERVICES ACT.
IT IS HEREBY RESOLVED BY THE ViET t/COUNTY OF
Indian River ,OF Indian River
COUNTY, FLORIDA AS FOLLOWS:
Section I. That the Me,,or/Chairman is hereby author-
ized and directed to sign in the name and on behalf of the City
Commission or the Board of County Commissioners an Agreement
between the Florida Department of Coirununity Affairs and
Indian River County under the Florida Financial Assistance
name of city or county)
for Community Services Act, as per copy attached hereto and made
part hereof.
Section II. That all funds necessary to meet the contract
obligations of the city, or county and its delegate agencies (if
applicable) with the Department have been appropriated and said
funds are unexpended and unencumbered and are available for pay-
ment as prescribed in the contract. The city or county shall be
responsible for the funds for the local share notwithstanding the
fact that all or part of the local share is to be met or contri-
buted by other source, i.e., contributions, other agencies or
organization funds.
i
I PASSED AND ADOPTED THIS 9th DAY OF February_,1977
APPROVED:
pSa�y�y�;Chai rman of.ounty
Commissions William C, Wodtke, Jr
ATTEST:
Freda Wright, Cleir-1k
GRANT APPLICATION Page 1 of 7
(Type and Complete ALL Items) +
Application for State Assistance through the
Florida Financial Assistance for Community Services
Act of 1974, "Demonstration and Research" Phase.
(Community Services Trust Fund)
DEPARTMENT OF COMMUNITY AFFAIRS
S DIVISION OF COMMUNITY SERVICES This application must: be sub-
71 EXECUTIVE CENTER CIRCLE EAST matted in tripli.cate Taj—coluies.
TALLAHASSEE, FLORIDA 32301 Due Date: FEBRUARY' 157 1977'
1. Local Governmental Unit Applying for Grant:
Name: Indian River County Commission Telephone (305) 562-4180
Name o town, city or county
Address: Indian River County Courthouse, Vero Beach, Fla. 32960
;,County: Indian fiver
2. Date Submitted: February 11, 1.977
3. Official with over-all responsibility of grant: (Our Department will
contact this person should questions arise in the application process):
Name: Arlene S. Elmore _ Telephone (305) 562-41.77
Address: 1316 20th St., P. U. Box 2766, Vero Beach, Fla. 32960
Signature:
Title Administrative Assistant
4. Due to new legislative requirements, all services must be certified by
the Department of Health and Rehabilitative Services (HRS) District
Administrator as not being duplicative. In order to accomplish this
requirement, all applicants must contact the District Administrator
rp for to development of program proposals. Therefore, complete the
following:
HRS person contacted:` Pyl.lis_Roe __ _
(District Admin Sl trator)
Telephone: (305) 683-6603 Date: February 11, 1977
Contacted By: Arlene S. Elmore _ Telephone: ( 305) 562-41.77
5. Following the completion of the grant application, formal approval of
the program proposal must be given by the HRS District Administrator.
Applications will not )e-accej�tedunless the following statement: is
completed by the HRS District.Ainistrator:
I, _ _ , the Regional 1l RS Administrator
for Rc°gier,
District IX hereby certify one of the following statements of.
Y Y
fact:
1. The particular services to be offered in the
(signature— listed programs are not duplicative of 11R5 programs
Although similar services may be available from HRS
we cannot: provide these particular ser.vicvs to
these clients without the, use of this money.
2. HRS has made maximum use of federal funds for the
-—Zs�gnature r above listed proyram areas.
3. Funds for this program are available from HRS
Jsignatur� and the applicant. will be eligible for funding
during the onrrt�nt grant: period. The applicant
should contact Mr./Ms.
for further inf.ormaLion.4__..
GRANT APPLICATION Page 2 of 7
Local Governmental Unit Applying: Indian Ri.%,erCounty Commission
name o owncity or county, etc.
Answer these questions for each program. (Attach additional sheets if
necessary.)
6. Explain why this program is needed.
Since Indian River County is surrounded by water it is imperrative
that low-income children of all ages be given basic swimming
instruction. No such free program is available in the county.
This program would insure upon graduation that the participant
could swim without any aid or assistance.
7. Describe the financial status of persons to be served by this
program. How many persons will•.be served: Duplicated?
Unduplicate ?gip
Persons to be served will be all school age children grades one
through 12. The majority of these children will -meet or be below
federal porverty guidelines. We estimate this figure to be
approximately 80%.
B. How will this program be integrated with other programs serving
the same type of persons? What other social service agencies will
be contacted:
The program will be held at the YMCA pool and facilities. The
YMCA also operates basketball, soccer, football, and other recreat-
ional activities for low-imcome children during the year. It would
also be in conjunction with the Economic Opportunities Council of
Indian River County's after-school Day Care Recreational Program.
9. Explain how recipients of public assistance will benefit from
this program.
Benifit will be received by giving low-income children basic swimm-
ing skills. It will also give them outdoor recreational activity
and physical exercise.
(Applications will not be processed unless
ALL questions are answered in detail)
40
40
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Gi
GRAN!' APPLICATION Paye 4 of 7
Name of Applicant: Economic Opportunity Council
Fiscal Officer Responsihle for Grant:
- Name: Mrd, V.2.y�r►s `_
Address: P:O.Box 2 66 e_ro Beach. Florida 32960
Telephone: 305-562-4177
11, TOTAL BUDGET
(Include figures from all programs operated)
1. FF,VENUF.
1. State Grant_ _ - _ _ _ t;� 00 00
2. Can tch (no federal -funds, except seyenu�sharjr�, rad)- ._, 85000.
3. In-Ki_nc3Match 01---
-------------- - - - - -- 2.850,(0
4.• TOTAL-E-FNUE---------
------ - - - -- 11,400.00
rRANTEF ADMINISTRATIVE EXPYTISF.
5.- Salaries
6. ii p--_S-,ace----------------------
n -
al ----------------------
7. Trate
R. SuAnli-s - _----------'--'--------
9. Other Ts�__ecify on attachment)' - _ - - - - - - - - --
10. Total Tlines_5_throuah_9j _ _ _ _ _ _ _ _ _ --
DELEGATE ADMINISTRATIVE EXPENSF.
11. Salaries600.00
12. }dent ---al _ ace --------------------
13. Travel --------- - - - - -- - - - - -- --
14. Su�pl.(ies-----------------------
15. Other Specify_on attachment]
- - - - - - - - --- -
16. Total Tl- -s 11 thro(L
ugh 1'6) - - - - - - - - - --
17. TOTAL ADMINiSTRATIVE_COSTS* in __ e 10_and_Line
GRANTF,F. PROGRAM FXPFFNSE
18. salaries _ -`- _ _ _ _ $1,175.00 Inkind 1, 175.00 _
19. Rental -Space - - - - ---- - - -_ __3412-5-00
---- - - --_ __`
20. Travel- _ _$500.00_Inkind I3us Rerlta•1_ _ _ 2.OO(), ()O
21. Equipment - - -- - -
22. Other Ts�ecifv_ on attachment]- - - - - - -
T -
23. otal Tlinc-s 18 through 223- _ _ _- - - - - - - - - -
DFLFGATF PROGRAM EXPENSE
24. Salaries
25. Rental Siiace- _ - - - - ---------------- - -- _:f,1_00-00__.__
- - _ _ _ _ _ - _ _ _ _ Inking _
26. Travel - --
27. Tqu-ipment `------------------ - - -
- -- 49500 _
,_ _-
28. Other. TIin-s 2 on - _cj lmen_t) _ - _ Head- _
29. Total Tline.s 29 through 28) _ - ` - --
-- --------- -----------------6-45Qw_
30. TO'T'AL PROGRAM EXPENSES (Line 23 and line 29)
]•0 B09�Q_
31. TOTAL EXPENDITURES (Line_17 and line 30) -_ _ !.,4QQ.QQ-
NOTE: TOTAL REVENUE MUST EQUAL TOTAL EXPENDITURES 1
*May not exceed 158 of 2 times the state grant, i t
EXAMYLFi State Grant .10,000 r1
Cash Match 5,000
In -Kind Match 10,000
TOTAL REVENUE 25,0(10 ;
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•
GRANT APPLICATION Page 6 of 7
,ocal Governmental Unit Applying: Indian River County Commission
ruw; , comity, or cICYT-
.CONTRACTIIAT, INFORMATTON - Complete one for each Deleqate Agency
General
Name of. Deleaate Anency: Vero Beech YMCA
Address: 3705 16th Street, Vero Beach, Fla. 32960
Contact Person: Terrence D. Marr
Telephone: (10 ) 562-9 or 562 9037 — I
Tax Exempt Number.* 59-1321565 = Fed.# 05-00162-00-41 =State #
*If none, attach a copy of the certificate of incorporation
DELEGATE AGENCY BIIDGFT FOR THIS PROGRAM
ADMINISTPATTIIF FXPFNSFS
1. Salaries ___1 Secrg-t4ry-______---___ $ -5-0a,00-
2. Rental _Space _____________________
3. Travel ----------------------- --
9. -,unpliPs _------- - -_ - -
, --
5. Other (:enc ci.fy_attachment) - - - _ - - - - - - - - ---
6. *mOm'�L Tli.nes_1_thrnunh_5) _ _ _ _ _ _ _ _ _ - - - _ - 600.00
PRO( -,RAM T'YPFNSFS
7.
Salaries -4 -Instructors, 1 Maintenance, 1 Playground_ - 3,100.00
8. Rental_Snare---------------- - - - - -
—
9. Travel. _------------------------�+95.6(i
10. F:auiipme nt _
71
11. Ether Tspecifv-on attachment)
12.. TOTAL Tlines_7-thr0ugh-lI)__ - - - - _ - - - __ _ - - -
1.3. TOTAL EXPENSES -(line-6_and_line 12) _ _ _ _ _ _ _ _ _ 4,195.00
*May not exceed 15% of line 13.
THE DRLrGATF Arr"ICY HEPFgy APPROVES THIS APPLICATTON AND WILL COMPLY
1 -11TH ALL RULES, PFGIILATJONS AND CONTRACTS RELATING THERETO:
AnPR,nvFD Pv: Di.rector, YMCA
('j,itl(-)
tic
Signature)
5tgn:cture'-
1
GRANT APPLICATION P"cle 6 of 7
•Indian River County Corm i.ssion
.al governmental ),,it Applyinc}: .aii, c unt:y, or city
Delegate Agency
aNTRACTnAL INFOR1dATION - Complete one for each
r neral
.ame of. Delegate Anency: Economic 9ffoortuniLi_es Council__
Vero BeachFla. 32960
,ddress:
1316 20th St., P. 0. Box 27661�
Contact Person: Arlene S. Elmore -=-----
Telephone:56-7_4177 n_ -__r 567-E --
Tax Exempt Num attach p of the certifzcdte of incorporation
If none,
DELEGATE AGENCY BUDGET FOR THIS PROGRAM
AD}1IP7ISTRATI VE FXPFNSFS
1.
Salaries---__- ---- ----- ---- ��
2. itental Soace_------- _ _ -_
----
3. Travel_ _._._- ----- _ -
9. -<upnlies_ - - - - _--
5, Oth.r (sieZ-' _on attachment) •- - _ - _ _ -
6, *:MTAL ilines_1_thro�inh_5) _
P?20rR1�t.} F>:PFNSFS
�.
Salaries _ _ _ _ _ _ _ ._ _ - - - - _ - _ PooJ.._ _ _ - - +175.00 _
g, DentalSnace_ _ _ _ - - - - _ - - - - - _ - —1,500
9.-
10. f gui}�ment_ _ - - - - - llcat _ -- _ _ _ 1 :680-.00_ _
- _ _ _ -- - [� 35 5.00___
]1. Other (sPeci+Y nn attachment) - _ -- _ -
12. 'TOTAL (lines-7-throui1h_I ) - - - - -- - - - -. - - 4,355.00
13- TOTAL L-'XPF.NSES_(line -6_and_line 12) - - .--- -- - - - - - -`
-*may not exceed 158 of line 13.
T11T DrLr�+T•TF AGr.�1CV .BY. APPi2OVFS THIS APPLIC70'IOTI AND WILL COMPLY.
1•11TH ALL NULrS, P}GULATIONS XND CONT
ftAC']'S RELATING THERETO:
411'►t-4AO
ArPnnVFD nv: Aclnii,ni5tYat:-i.�te�.] Si<orlt -- �. lgnature) !
(' C— )
•
GRANT APPLICATION Page 7 of 7
Board of County Commissioners of
Local Governmental Unit Applying: Indian River County, Florida
14. THE APPLICANT CERTIFIES THAT THE DATA IN THIS APPLICATION AND
ITS VARIOUS SECTIONS INCLUDING BUDGET DATA, ARE TRUE AND CORRECT
TD THE BEST OF HIS OR HER KNOWLEDGP; AND THAT THE FILING OF THIS
APPLICATION HAS BEEN DULY AUTHORIZED AND IINDERSTANDS THAT IT
WILL BECOME PART OF THE CONTRACT BETWEEN THE DEPARTMENT AND THE
APPLICANT. THE BOARD OF COUNTY COMMISSIONERS (OR THE CITY
COUNCIL) HAS PASSED RESOLUTION NUMBER 77-15 _ WHICH
AUTHORIZES THE EXPENDITURI: OF FUNDS FOR THE SPECIFIED PROGRAMS.
IF FEES OR CONTRIBUTIONS ARE TO BE UTILIZED AS MATCHING FOR
THIS GRANT, OR IF A DELEGATE AGENCY IS TO PROVIDE THE MATCHING
SHAPE, ATJD THESE FUNDS ARE NOT FORTHCOMING, THIS RESOLUTION
ALSO SPECIFIES THAT THE CITY OR COUNTY WILL PROVIDE THE NECES-
SARY MATCH.
THE APPLICANT FURTHER CERTIFIES; DUE TO NEW LEGISLATIVE INTENT
NOT TO DUPLICATE SERVICES AND THAT THESE PARTICULAR SERVICES ARE
IJOT BEING PROVIDED NOR ARE THEY AVAILABLE FRO14 ANY OTHER STATE
AGENCY. ALTHOUGH SIMILAR SERVICES MAY BE AVAILABLE, THE APPLICANT
CERTIFIES THAT NO OTHER RESOURCE EXISTS TO PROVIDE THESE PARTI-
CULAR SXRV1%�F.S TO THESE CLIENTS WITHOUT THE USE OF THIS MONEY.
William C. Wodtke, Jr.—
Name (typed) Signature
Chairman, Board of County -Commissioners
Title (t•+ayor or Chairman of Board of County Conuni::sioners)
Indian River County Courthouse
2145 14th Avenue
Vero Beach, Florida 32960
Address
005) 569-1940
Telephone
ATTESTED BY: E_,_i eth F x ani 1 � �ICL�G� AGE>It�GG
N—ame ( tjwd) Sx . r afore
Secretary,
Board of County Commissioners
tle Attest/;
c
Ilk-
11re a zigTil:, Clerk
U