HomeMy WebLinkAbout1978-058RESOLUTION NO. 78-58
•
A RESOLUTION AUTHORIZING AND DIRECTING THE CHAIRMAN OF
THE BOARD OF COUNTY COMMISSIONERS, INDIAN RIVER COUNTY,
FLORIDA, TO SIGN AN AGREEMENT 141TH THE STATE OF FLORIDA
• DEPARTMENT OF COMMUNITY AFFAIRS UNDER THE FLORIDA FINANCIAI.
ASSISTANCE FOR COMMUNITY SERVICES ACT.
•• IT IS HEREBY RESOLVED BY THE COUNTY OF INDIAN RIVER,
FLORIDA AS FOLLOWS:
Section I. That the Chairman is hereby authorized and directed
to sign in the name and on behalf of the Board of County Commissioners
an Agreement between the Florida Department of Community Affairs and
Indian River County, under the Florida Financial Assistance for. Com-
munity Services Act, as per copy attached hereto and made part hereof.
SECTION II. That all funds necessary to meat the contract
obligations of the County and its delegate agencies (if applicable)
with the Department have been appropriated and said funds are un-
expended and unencumbered and are :available for payment as prescribed
in the contract. The 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 contributed by other source, i.e., con-
tributions, other agencies or or.gani_zarA on fund;.
PASSES AND ADOPTED THIS 6Lh DAY OF SFPTF",P*'.R, 1978,
APPROVED
Et • !i .
xam C. Wodtke,
Chairman
ATTEST:
��er � r r ��'i�f ., �%E
i
•
of
GRANT APPLICATION Page 1 of 7
(Type and Complete All Items)
Application for State Assistance Through the
COMMUNITY SERVICES TRUST FUND
PLY TO: SUBMIT FOUR (4) COPIES
PARTMENT OF COMMUNITY AFFAIRS (ONE MUST BE ORIGINAL)
VISION OF COMMUNITY SERVICES
71 EXECUTIVE CENTER CIRCLE, EAST
LLA)iASSEE, FLORIDA 32301
Local Governmental Unit Applying for Grant:
Name: jkMAy&pk D1rx 191 * 1�Telephone
name of t wn, city or county)
Address:
County:
. Delegate Agency(s):
I
9
Y
Person with over-all responsibility of grant: (Our Department will
contact this person should questions.
Name:: (�iG�r1C 'c r[lf Telephone: (i%5g
Address:
Signature: s / girl Jdi%tD�r7`� _
s
Due to legislative requirements, .all services must be certified by
the Department of Health and Pehabilitativ,: Services (HRS) District
Administrator as not bein3 duplicative. In order to accomplish this
requirement, all applicants must contact the District Administrator
prior to development of program proposals.
HRS person contact(d: ,CX,-,A$
(District Administrator)
Telephone: cys-) (S' I / /•�'3 _ Date: 157 7
Contacted by:_ '. /):f Telephone (JZ., �.JrC' �_
Following the completion of the grant application, formal approval of
the program propr_)s,al must be given by the 11R5 District Administrator.
Applications will not. be accepted unless, the, following statement is
completed by the: HRS District Administrator:
A�IZI
the/District HRS Administrator
for District f�( , hereby certify one of the following statements
of fact: 11L
-1_.. The particular services to be offered in the
signature) listed programs are not duplicative of HRS programs,
Although similar services may be available from
HRS, we cannot provide these particular services
to these clients without the use of this money.
GRANT APPLICATION PAGE 2 of 7
2. HRS has made maximum use of federal funds for the
signature) above listed program areas.
3. Funds for this program are available from fIR.S 4nd
the applicant will be eligible for funding during
the current grant period. The applicant should
Oontact Mr./Ms. for further infor-
mation.
ANSWER THE FOLLOWING QUESTIONS IN DETAIL BY ATTACHMENT.
V
6. What is the ohjec�t've of this program?
�0 .Q22LY2J rrtf
��Gl.. �,2t.o��-tl2,sry �{Z
7. Descri the p opo/sed pOro_gra;n
�,C¢, .Cct cte >���td n-l.ci oa C�'/+u t�i �! LG4�•t.�(y,lCl t� ,C%/tp•�r,�i,�,.�G11
8. Is the program currently operating? 1. ,
9. Whet is the current numLer of clients served? What is the current
number of ser/vice3 pro/vided?
Qf ('i.L�fl-lilli�f�sfl� L =✓ tit/ CIK�y
10. at is the proposed number of clients to be served? What is the
proposed number of services xo be provided?
er
L� �o �a, ,a+l6�•1�4 C {, Gi'^c �=cr �� lr�*1.�srt��/Yt�� ,.L�i/vG,
t-cf."iLfTfuctsQ4.cy .
11. How // does the proposed program differ from the eexis/ting/gone?
�.ict,.. 12e. a faea dt-P �� 4 i s�,.Q •r.� cswa-ca-r'r�' . �q p,cc e�� �fJQ�W .
. f
c
12. What are the exintinq sources and amount.^ of funds that sustain the
program?
GllJ 6x4.i:r 11cP; . e!t+curAt •^Ta r.o c� 3/, �i`o
CC1t1A1►-J
e-0-5 OC -Pr. C_1F t cvr4t
13. Identify all sources and amounts of funding for the proposed program.
GiA CF.'atvr Orli. o; Nc-A rY 4l krr/e0.4r,i U- - - -�?/. Deo
P.O r,. Qf►�. Cr= }IrAf,71iL jc'i TdRnp7cc.n� /o.
14. Have other. _,ounces of fundinq been solicited? Identify and explain
acceptance or refusal. QCi-.4 (='vujj%
OF-iA, )
15. Are there any program revenues anticipated? Explain disposition of
these. PO
16. Identify other services/programs that will be matte available as a
result of this program.
17. How will this program serve individuals who are either recipients or
potential recipients of public assistance? Xvur'
C/llt'�fi! ii'i� C2aat..+/c3x � �,�:ir-(�i,tli C--xN[tkc�t<J�
16 Alt3,o�l�y/ Z'Kctr Qt¢��Cu t�tv.rtZ j /'ccP�r�itf
18. Who will conduct the year end audit of theiprogram?G
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GRANT APPLICATION
Page 4 of 7
Rental .`ipactt
Equihm_nt
Name of Applicant:���,
Travel
28.
14
u
ij)li es
15.
C)ther (:,ecity^rn attachment) -
20. TOTAL
BUDGET
Total (lines 11 --___-----_.-----_
--- ,__
(Include figures from all
programs operated)
•
EXPENDITURES (line -17 ;ind lin(!-30)_
GRANTEE PRO;R;01 F:tiPF.:;SE:t;
18.
Salaries
REVENUE
19.
lie ntal._S-3acc'_
-----------
1.
State Grant
Travel -- - --
6
2.
Cash Match• (no -federal- dfuns, except_revenue�shaa,
-
-.,acn-- - - -_-
allow -ed) 7. •r?u:
22.
3.
4.
In -Ki --
In -Kind _ _ _ _
- - -
--- --- -- --'
- - - -- -- '-' "°- - - "- --- -- -- 7;L. cites
- - -
'Total (.1 .inUs 18 i.hrouq 22) - - - - - - - - - -
-- - - -- ---
TOTAL
L R
--------------_-----------
GRANTEE ADMINISTRATIVE EXPENSE
S. Salaries
6. Rental Sp -ace----------------- ...- --- - -- --
--
7. Trave 1-
8, s upJ)li c s
9. Other (specify on attachment)
10. Total (liner;_S-thr-Uah_9)
DELEGATE: ADM7,IISTRATIVE EXPENSE
11.
Salarien
------
---------------------------a-�-�',r-0d�
12.
Rental .`ipactt
Equihm_nt
13.
Travel
28.
14
u
ij)li es
15.
C)ther (:,ecity^rn attachment) -
16.
Total (lines 11 --___-----_.-----_
--- ,__
17.
TOTAL i1D,tIt:ISTF;.i..Tl�lt -CO ; S (lrnr_ 10-aiid-Z inc T6 _ - _
- - - F{J
EXPENDITURES (line -17 ;ind lin(!-30)_
GRANTEE PRO;R;01 F:tiPF.:;SE:t;
18.
Salaries
`ADPL IN 1 STRAT1VF AND SAVARY FXPI:::SE:S
19.
lie ntal._S-3acc'_
-----------
20.
Travel -- - --
_ --- --
21.
t _----------------- - --
- -- --
22.
- - - - - - - - - -
either (:;}>eciiy-on at.i.xchmentJ
- - - ---
23.
- - -
'Total (.1 .inUs 18 i.hrouq 22) - - - - - - - - - -
-- - - -- ---
DELEGATE PROGP.i.:•i
24. Salaries
25. Renkal . L)acc
26.
Travel
------
---------------------------a-�-�',r-0d�
---------- �. -
27.
Equihm_nt
e
28.
Other
(specity on att-achr,, _
29.
Total.
(lines_24 throuc-1 2llj-------------------_��'�f�'U
30.
TOTAL
PROMIAAI E\PI:;7;;i:S (line 23 and line
29)
31.
TOTAL
EXPENDITURES (line -17 ;ind lin(!-30)_
_ _ _ _ _ _ _ _ _ _/�c�y��i�d
32.
TOTAL
`ADPL IN 1 STRAT1VF AND SAVARY FXPI:::SE:S
(line- - -17,-18 & 2.4)
NOTE: TOTAL REVENUE MUST EQUAL TOTAL EXI'MIDITURES
*bine 32 May not exceed 152 of total budget.
40
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GRANT APPLICATION Page 6 of 7
Local Governmental Unit Applying: Ai
,
Town, County, or City)
13. CONTRACTUAL INFORMATION - Complete one for each Delegate Agency
General
Name of Delegate Agency: LZ1111 z
;.1 �t r• ' 1,
Address, zo- hr i.cr• � '�-
Contact Person:
Telephone: ( 300
Tax F;rempt Number _ _ 2._�
71t none, attach a copy of the certif-icatee o
incorporation)
DELEGATE AGENCY BUDGET FOR THIS PPOGIV,-M
ADMINISTRATIVE EXPE:SFS
1.
Salaries - - - -
2. Rr_ntt;l __-----------------.---
3. Travel - ____------ -----------------
4. Sup]_i.c�----------------- - - - - --
5. other fq). rif'y vn ntiach&,iTt-- - ------- - - - - --
—
6. TOTAF.. (l.a.;u:sl through -5j ___
__---- _----- - - - - -- -
PROGRAl EXPENSES
7. Salaries
S. -Space ---------`---------------
9.Tr<ivcl ----------------------------
10. F'c uimnnt - - - - - - - - -- - - - - - - - - - - - - - - --• - 7 sem. �,
11. Other . Z-- -h- on attach merit)) _ (J; -1"f )iI�1G_ _ _ r?•ytiy�ILp
12. TOTAL (lines
_7-tt----th_l-------------------�
13. TOTAL, EXPENSES (line --6-Sand-1 i ne 12 ) - - - - - - - - - - - yy,
14. *TOTAL SALARY_AND _AD:•1INI STRATIVF? I::{PF:2:SES_(lines 6 and 7)- - -
*TOTAI, GRANTEE AUC) DELEGATES) ADMINISTWNTIVE AND SALARY F.XPEl7SES
COMBINED MUST NOT EXCEED 15% OF TOTAL BUDGET.
THE.DELEGATE AGENCY 11PRPRY APPnOVES THIS APPLICATION AND WILL COMPLY
WITH ALL RULES, REGULATIONS AND CONTRACTS RELATING THERETO:
ROVED BY: Director
(Title)
TTESTED BY:
Title
(Signature)
Signature
71
••
GRANT P.FPLICAITION Page 7 of 7
LOCal Governmental Unit Applying: ,��,� /fc,u.at &We
14. THE APPLICANT CERTIFIES THAT THE DATA IN THIS APPLICATION AND
ITS VARIOUS SECTIONS INCLUDING BUDGET DATA, ARE TRUE AND CORRECT
TO THE BEST OF HIS OR HER KNOWLEDGE AND THAT THE FILING OF THIS
APPLICATION HAS BEEN DULY AUTHORIZED AND UNDERSTANDS THAT IT
WILL BECOME PART OF THE CONTRACT BETEIFEN THE DEPART,'dENT AND THE
APPLICANT. I'EIE BOARD OF COUNTY COFL'•tISSIONERS (OR THE CITY
COUNCIL) HAS PASSED RESOLUTION NUMBER 7$-5P WHICH
AUTHORIZES THE EXPENDITURE OF FUNDS FOR TETE SPECIFIED PROGRAMS.
IF FEES OR CONTRIBUTIONS ARE TO BE UTILIZED AS MATCHING FOR
THIS GRUNT, OR IF A DELEGATE AGENCY IS TO PROVIDE THE t-iATCHING
SHARE;, AND THESE FUNDS ARE; NOT FORTHCOMING, THIS RESOLUTIO:d
ALSO SPECIFIES THAT THE CITY OR COUNTY t1ILL PROVIDE THE NECES-
SARY MATCH.
THIS APPLICANJT FURTHER CERTIFIES, DUE TO NEW LEGISLATIVE INTENT
NOT TO DUPLICATE SERVICES AND THAT THESE. PARTICULAR SERVICES ARE
NOT BEING PROVIDED NOR ARE THEY AVAILABLE FROM M%'Y OTHER STATE
AGENCY. ALTHOUGH SI1-TILAR SERVICES KAY BE AVAILABL'c,, THIFF, APPLICANT
CERTIFIES THAT NO OTHE:P P.ESOURCE EXISTS TO P:J0VI0E; THESE. PARTI-
CULAR SERVICE.:; TO THESE; CLIENTS WITHOUT THE O E OF THIS XONE:Y.
William C. WodtPo, .JR.
Name tyPeii) Signature
Chairman, Board of County Ccrmissin rs, Indian Riwr County,Floricia
'
itle Mrayor. or Chairman of Board of County Cormissioners)
211+5 Mth Avenue, Vero Bach, Florida 32960
305 569-1940
'l'Qlcpttorlc��_ --- --
ATTESTED BY: Frech th-i£;ht
Name (typed)
Clerk -
Title --.—
Signature