HomeMy WebLinkAbout2003-253S CHILDREN'S SERVICES ADVISORY COMMITTEE r 1
C/O Human Services / 1
1840 25'" Street �J
Vero Beach , Florida 32960-3394
Phone: 561 -567-8000 (Ext. 467 or 524)
Fax: 978- 1798
E-Mail : Jcadson@bcc.co. indian-dver.fl .us
Mmastersonabcc.co. indian-river.fl .us
To : Beth Jordan
From : Joyce Johnston-Carlson
Date : October 16 , 2003
Re : Grant Contracts 2003 - 04
The attached is a Children ' s Service Advisory Committee Grant Contract for :
Substance Abuse Council of IRC Dasie Hope Program
Please review the insurance certificate and verify that it is adequate by signing on the line
below . Contact me if you have any questions . Thank you .
j ll al) Beth Jordan Date
i
Indian River County Grant Contract
This Grant Contract (" Contract" ) entered into effective this 1st day of October 2003 by and between
Indian River County , a political subdivision of the State of Florida , 1840 25th Street, Vero Beach FL ,
32960 (" County" ) and Substance Abuse Council of IRC (" Recipient" ) ;
of: (Address)
Substance Abuse Council of IRC
2501 27th Avenue , Suite A-7
Vero Beach , Florida 32960
Right Choice Program
Background Recitals
A. The County has determined that it is in the public interest to promote healthy children in a
healthy community .
B . The County adopted Ordinance 99- 1 on January 19 , 1999 (" Ordinance" ) and established the
Children 's Services Advisory Committee to promote healthy children in a healthy community
and to provide a unified system of planning and delivery within which children 's needs can be
identified , targeted , evaluated and addressed .
C . The Children ' s Services Advisory Committee has issued a request for proposals from
individuals and entities that will assist the Children 's Services Advisory Committee in fulfilling
its purpose .
D . The proposals submitted to the Children ' s Services Advisory Committee and the
recommendation of the Children 's Services Advisory Committee have been reviewed by the
County .
E . The Recipient, by submitting a proposal to the Children ' s Services Advisory Committee , has
applied for a grant of money (" Grant" ) for the Grant Period (as such term is hereinafter
defined ) on the terms and conditions set forth herein .
F . The County has agreed to provide such Grant funds to the Recipient for the Grant Period ( as
such term is hereinafter defined ) on the terms and conditions set forth herein .
NOW THEREFORE , in consideration of the mutual covenants and promises herein contained , and
other good and valuable consideration , the receipt and adequacy of which are hereby acknowledged ,
the parties agree as follows :
1 . Background Recitals The background recitals are true and correct and form a material
part of this Contract.
2 . Purpose of Grant The Grant shall be used only for the purposes set forth in the
complete proposal submitted by the Recipient attached hereto as Exhibit "A" and
incorporated herein by this reference ( such purposes hereinafter referenced as " Grant
Purposes" ) .
3 . Term The Recipient acknowledges and agrees that the Grant is limited to the fiscal
year 2003/2004 (" Grant Period " ) . The Grant Period commences on October 1 , 2003
and ends on September 30 , 2004 .
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4 . Grant Funds and Payment The approved Grant for the Grant Period is Sixty Thousand
Dollars ($60 , 000 ) . The County agrees to reimburse the Recipient from such Grant
funds for actual documented costs incurred for Grant Purposes provided in
accordance with this Contract. Reimbursement requests may be made no more
frequently than monthly. Each reimbursement request shall contain the information , at
a minimum , that is set forth in Exhibit " B " attached hereto and incorporated herein by
this reference . All reimbursement requests are subject to audit by the County . In
addition , the County may require additional documentation of expenditures , as it
deems appropriate .
5 . Additional Obligations of Recipient.
5 . 1 Records . The Recipient shall maintain adequate internal controls in order to
safeguard the Grant. In addition , the Recipient shall maintain adequate records fully
to document the use of the Grant funds for at least three ( 3 ) years after the expiration
of the Grant Period . The County shall have access to all books , records , and
documents as required in this Section for the purpose of inspection or audit during
normal business hours at the County' s expense , upon five ( 5 ) days prior written
notice .
5 . 2 Compliance with Laws . The Recipient shall comply at all times with all applicable
federal , state , and local laws , rules , and regulations .
5 . 3 Quarterly Performance Reports . The Recipient shall submit Quarterly Performance
Reports to the Human Services Department of the County within fifteen ( 15 ) business
days following : December 31 , March 31 , June 30 , and September 30 .
5 . 4 Audit Requirements . If Recipient receives $25 , 000 or more in the aggregate from
all Indian River County government funding sources , the Recipient is required to have
an audit completed by an independent certified public accountant at the end of the
Recipient' s fiscal year. Within 120 days of the end of the Recipient' s fiscal year, the
Recipient shall submit the audit to the Indian River County Office of Management and
Budget. The fiscal year will be as reported on the application for funding , and the
Recipient agrees to notify the County prior to any change in the fiscal period of
Recipient. The Recipient acknowledges that the County may deny funding to any
Recipient if an audit required by this Contract for a prior fiscal year is past due and has
not been submitted by May 1 .
5 . 4 . 1 The Recipient further acknowledges that, promptly upon receipt of a
qualified opinion from its independent auditor, such qualified opinion shall
immediately be provided to the Indian River County Office of Management and
Budget . The qualified opinion shall thereupon be reported to the Board of
Commissioners and funding under this Contract will cease immediately . The
foregoing termination right is in addition to any other right of the County to
terminate this Contract .
5 . 4 . 2 The Indian River County Office of Management and Budget reserves
the right at any time to send a letter to the Recipient requesting clarification if
there are any questions regarding a part of the financial statements , audit
comments , or notes .
5 . 5 Insurance Requirements . Recipient shall , no later than September 23 , 2003 ,
provide to the Indian River County Risk Management Division a certificate or
certificates issued by an insurer or insurers authorized to conduct business in Florida
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that is rated not less than category A- : VII by A. M . Best, subject to approval by Indian
River County' s risk manager, of the following types and amounts of insurance :
( i ) Commercial General Liability Insurance in an amount not less than
$ 1 , 000 , 000 combined single limit for bodily injury and property damage ,
including coverage for premises/operations , products/completed operations ,
contractual liability, and independent contractors ;
( ii ) Business Auto Liability Insurance in an amount not less than $ 1 , 000 , 000
per occurrence combined single limit for bodily injury and property damage ,
including coverage for owned autos and other vehicles , hired autos and other
vehicles , non -owned autos and other vehicles ; and
( iii ) Workers' Compensation and Employer's Liability (current Florida statutory
limit)
5 . 6 Insurance Administration . The insurance certificates , evidencing all required
insurance coverages shall be fully acceptable to County in both form and content,
and shall provide and specify that the related insurance coverage shall not be
cancelled without at least thirty ( 30 ) calendar days prior written notice having been
given to the County . In addition , the County may request such other proofs and
assurances as it may reasonably require that the insurance is and at all times
remains in full force and effect. Recipient agrees that it is the Recipient' s sole
responsibility to coordinate activities among itself, the County , and the Recipient's
insurer( s ) so that the insurance certificates are acceptable to and accepted by
County within the time limits set forth in this Contract. The County shall be listed as
an additional insured on all insurance coverage required by this Contract, except
Workers ' Compensation insurance . The Recipient shall , upon ten ( 10 ) days' prior
written request from the County , deliver copies to the County , or make copies
available for the County' s inspection at Recipient' s place of business , of any and all
insurance policies that are required in this Contract. If the Recipient fails to deliver or
make copies of the policies available to the County ; fails to obtain replacement
insurance or have previous insurance policies reinstated or renewed upon
termination or cancellation of existing required coverages ; or fails in any other regard
to obtain coverages sufficient to meet the terms and conditions of this Contract, then
the County may , at its sole option , terminate this Contract.
5 . 7 Indemnification . The Recipient shall indemnify and save harmless the County , its
agents , officials , and employees from and against any and all claims , liabilities ,
losses , damage , or causes of action which may arise from any misconduct, negligent
act, or omissions of the Recipient, its agents , officers , or employees in connection
with the performance of this Contract .
5 . 8 Public Records . The Recipient agrees to comply with the provisions of Chapter
119 , Florida Statutes ( Public Records Law) in connection with this Contract.
6 . Termination . This Contract may be terminated by either party , without cause , upon
thirty ( 30 ) days prior written notice to the other party . In addition , the County may
terminate this Contract for convenience upon ten ( 10 ) days prior written notice to the
Recipient if the County determines that such termination is in the public interest.
7 . Availability of Funds . The obligations of the County under this Contract are subject
to the availability of funds lawfully appropriated for its purpose by the Board of
County Commissioners of Indian River County .
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8 . Standard Terms . This Contract is subject to the standard terms attached hereto as
Exhibit C and incorporated herein in its entirety by this reference .
IN WITNESS WHEREOF , County and Recipient have entered into this Contract on the date
first above written .
INDIAN RIVER COUNTY BOARD OF COUNTY
COMMISSI ERS
By:
ZZ
K nn t a t, Ch rma
Attest: J . K. Barton , Clerk
r
By.
Deputy Clerk
0 1 JOJ)
Approved ?mes
C andler, County Ad istr r
A ov as to form and legal sufficiency:
eari t Co
RECIPIENT:
Substance Abuse Council of IRC
2501 27th Avenue , Suite A-7
Vero Beach , Florida 32960
i
By :
Name
Title
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EXHIBIT A
[Copy of complete proposal/application ]
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Substance Abuse Council of Indian River County Right Choice Program Children Services Advisory Committee
PROGRAM COVER PAGE
Organization Name : Substance Abuse Council of IRC
Executive Director: Colette Heid, MS . Ed, CAPP Email : sacirc(a,bellsouth.net
Address : 2501 27th Avenue, Suite A-7 Telephone: (772) 770-4811
Vero Beach, F132960 Fax : (772) 770-4822
Program Director: Colette Heid Email : sacirc(a),bellsouth.net
Address : Telephone :
Fax :
Program Title : Right Choice Pro ram
Priority Need Area Addressed: Mental Wellness Issues / Substance Abuse Counseling
LX450. 800 (Accordine to the Taxonomy of Human Services) Proeram that provide individual. group. or family
therapy for individuals who abuse substances of any kind and or for their families to help them better understand the
nature of their physical and or psycholoeical dependency or impairment and to support their efforts to recover.
Brief Description of the Program : The Right Choice program is a comprehensive 26 week education
and counseling program that is targeted at reducing and preventing substance use/abuse among IRC
youth. This program is designed to change adolescent and parental perceptions of risk vs. benefits of
ATOD use Parental use or parental attitudes towards use of ATOD also correlates with adolescent
attitudes Byimpacting, these factors a reduction in drug use/abuse promotes increased mental health of
the individual.
Amount Requested from Funder for 2003 /04 : $ 60 , 000
Total Proposed Program Budget for 2003 /04 : $ 60 , 000
Percent of Total Program Budget : 100 . 0 %
Current Funding (2002 /03 ) : $ 45 , 000
Dollar increase/(decrease) in request : $ 155000
Percent increase/ (decrease) in request : 33 . 3 %
Unduplicated Number of Children to be served Individually : -
Unduplicated Number of Adults to be served Individually : -
Unduplicated Number to be served via Group settings : 200
Total Program Cost per Client : 300 . 00
Will these funds be used to match another source? NO
If yes , name the source :
Amount : $
The Organization 's Board of Directors has approved this application (date). y 220 2003
Name of President/Chair of the oardigna e
WeldLole & i, 4,
Name of Executive Director/CEO Signature
Substance Abuse Council of Indian River County Right Choice Program Children Services Advisory Committee
PROPOSAL NARRATIVE
A. ORGANIZATION CAPABILITY (Entire Section A not to exceed one page)
1 . Provide the mission statement and vision of your organization.
The Substance Abuse Council is committed to preventing the use of illicit drugs and abuse of
addictive, mind-altering substances.
It is the Council 's vision to increase community awareness concerning the levels of drug use in
Indian River County, empower the community with the belief that the level of substance and drug
use/abuse is directly related to the level of community interaction with prevention activities; and to
enlist the community 's participation inprevention related activities Unless the community' s
emphasis is directed to substance and drug prevention educational programs, we can expect
negative social and economic impacts associated with substance and drug uselabuse to continue
2. Provide a brief summary of your organization including areas of expertise,
accomplishments and population served.
The Substance Abuse Council is dedicated to prevention education. It was founded in 1989 and
was incorporated as a not-for-profit agency in 1990. Services are provided for all residents of IRC
regardless of age or race. The Council is the only agency focusing specifically on substance abuse
prevention education. The Council is licensed by the Department of Children and Families to
provide - substance abuse information/referral, and universal, selective and indicated prevention
services. The Council has administered the Federal Bryne Block Grant for Indian River County
since 1990. The Council has kept its pulse on the County' s constantly changing and emerging drug
use problem and carries out its goals through a variety of programs.
The following are a list of programs provided by the Council.
• Community Education and Information and Referral
• Drug-Free Workplace Education
• PRIDE Survey Administration & Planning
• Lending Library of videos, books & materials
• Deep Impact- PREVENT Improv Troupe
• Teen STEP After-School Program
• Right Choice Program
• Life Skills Training Program
• Tobacco Violators Education Classes
• HIV TARGET Program
• TIP ' S Truancy Program
• Dasie Hope Center
• Adult Court Ordered Community Service Coordination
• Program AWARE
• Drug Screening for Youth
• Drug-Free Events, ie: Say Boo to Drugs, Red Ribbon, Brown Ribbon,
Kick Butts Day
• Administration of the Federal Byrne Anti-Drug Abuse Grant for Indian River
County
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Substance Abuse Council of Indian River County Right Choice Program Children Services Advisory Committee
Be PROGRAM NEED STATEMENT (Entire Section B not to exceed one page)
1 . a) What is the unacceptable condition requiring change? b) Who has the need ?
c) Where do they live? d) Provide local, state or national trend data, with reference
source, that corroborates that this is an area of need.
Indian River County has a continuing need for a program that addresses drug and alcohol offense
committed by it' s youth. Some of these youth are charged with misdemeanor drug or alcohol
related charges. For others, their use is uncovered by a parent, without contact with law
enforcement. This program was designed to reduce drug and alcohol use by youth by increasing
protective factors thus reducing incidences of substance abuse and re-occurring juvenile offenses.
Juvenile delinquency cases received in Indian River County within the five year period from
FY96-97 to FY01 -02 decreased from 1 ,080 to 967 cases. But during the same time FY96-97 to
FY01 -02 the number of Indian River County youth charged with misdemeanor drug and alcohol
charges has increased by 55 % from 92 cases 142 cases. (These stats are based upon statistical data collected
and reported m the 2001 -02 Florida Profile ofDelinquency Cases and Youths Referred Report by the Bureau of Data
& Research, DJJ).
The FYSA Survey provides scientifically sound information on the prevalence of ATOD use, risk
and protective factors. Risk and protective factors are characteristics of the community, school,
family, individual and peer characteristics that are known to predict alcohol and other drug use,
delinquency, and gang involvement. Besides measuring risk and protective factors, the FYSAS also
assesses the current prevalence of these problem behaviors in the community. The FYSAS (2002), an
indicates that Indian River youth continue to exceeded the Florida State rate of youth reported alcohol
use in their lifetimes. A survey question relating to binge drinking, defined as consumption of five
or more drinks in one sitting within the past two weeks indicated that IRC, 22. 0% of surveyed
students reported binge drinking, with corresponding rates of I L9% among middle school students
and 29. 3% among high school students This represents higher rates of middle and high school binge
drinking compared to the state as a whole (8. 6%for middle school and 22. 3%for high school).
We can illustrate a similar story with data available for tobacco, marijuana, prescription and designer
drugs. The prevalence rates for all drug use in Indian RC have historically been elevated above the
state and national rates.
In addition the FYSA Survey (2002), IRC scored higher than the State and other like Counties in the
following risk factors areas:
• Poor Family Discipline • Youth Attitude Favorable to ATOD use
• Family History of Antisocial Behavior • Perceived Risks of Drug Use
• Parental Attitude Favorable to ATOD use • Early Initiation of Drug Use
• Parental Attitude Favorable to Antisocial • Current ATOD use among youth
Behavior
• Friends Use of Drugs
2. a) Identify similar programs that are currently serving the needs of your targeted
population; b) Explain how these existing programs are under-serving the targeted
population of your program.
New Horizons provides Student Support Specialist in the middle schools. DATA also provides
services to youth. Both these agencies work with a very small indicated population of students and
can not serve the entire indicated population of youth. These youth would receive no additional
program services if the Right Choice Program was not available. The Right Choice program
rovides no duplication of services.
Substance Abuse Council of Indian River County Right Choice Program Children Services Advisory Committee
CO PROGRAM DESCRIPTION (Entire Section C, I — 6, not to exceed two pages)
1 . List Priority Needs area addressed. Mental Wellness Issues
2. Briefly describe program activities including location of services.
The Right Choice program is designed to engage and involve at-risk youth and their parents so they may
gain the needed skills to resist the negative temptations associated with drugs and alcohol. The primary
objectives are to help youth to abstain from negative peer pressures through prevention information and
build resiliency skills.
The overall goal is to decrease the impact and propensity for involvement in substance use and juvenile
crime. We propose to deter a multitude of high-risk behaviors by providing a structured and positive
environment, enhanced with information and positive alternative choices.
In an effort to identify the elements of a strength-based approach to healthy development, the Search
Institute developed the framework of developmental assets. This framework identifies 40 critical factors
for young people' s growth and development. These risk and protective factors offer a set of benchmarks
for positive child and adolescent development. The Right Choice program is designed to reduce the level
of drug and alcohol use by youth and also address the issue concerning re-occurring drug and alcohol
offenses. This will be accomplished by:
1 . The juvenile will report to the Substance Abuse Council' s office for program registration for the
Right Choice program. During this intake, all pertinent information will be collected; a psycho-social
assessment with a licensed mental health counselor will be scheduled, the youth will also be
informed of their responsibilities for completion of the educational component, where to register for
community service and the sanctions that will be imposed if any component of the program is not
completed.
2. Registrants will be required to attend the 26-week educational component. The educational program
utilizes the Adolescent Recovery Plan by Hanley-Hazelden and consist of a four phase plan
• Accepting Responsibility • Getting Honest
• The Cost of Drugs • The Disease of Addiction
• Deciding to Make Change • Upward Pathways
• Learning to Trust Again • I' m Not Perfect, So What?
• Making Important Changes + Getting the Stink Out of My Mind
• Successful Relationships • The Miracle of Forgiveness
• Preventing Relapse • Bridging the Gulf of Relapse
• My Plan against Relapse • Getting Real About How I Feel
3 . Parents will be asked to attend the 5-week Parent to Parent educational component of the program.
This will consist of
• Getting Started : How to Prevent Drug Abuse in Your Family
• Setting Guidelines: Developing Healthy Beliefs and Clear Standards
• Avoiding Trouble: How to Say No to Drugs
• Managing Conflict: How to Control and Express Anger
• Involving Everyone: How to Strengthen Family Bonds
On the FYSA Survey (2002), Indian River County scored higher than the State and other like Counties
in the following risk factors areas :
• Poor Family Discipline • Youth Attitude Favorable to ATOD use
• Family History of Antisocial Behavior • Perceived Risks of Drug Use
• Parental Attitude Favorable to ATOD use • Early Initiation of Drug Use
• Parental Attitude Favorable to Antisocial Behavior • Current ATOD use among youth
• Friends Use of Drugs
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Substance Abuse Council of Indian River County Right Choice Program Children Services Advisory Committee
3. Briefly describe how your program intends to address the stated need/problem. Include
reference to any studies or evidence that indicate proposed strategies are effective with target
population.
According to Center for Substance Abuse prevention (CSAP), SelectedFindingsIn Prevention, A
Decade of Results from the Center For Substance Abuse Prevention , 1997, the findings indicate that
the proposed strategies above are effective with target population. They demonstrated repeated
documentation that adolescent risk perceptions were favorably impacted by reducing favorable parental,
peer and community attitudes towards ATOD.
4. List staffing needed for your program, including required experience and estimated hours
per week in program for each staff member and/or volunteers (This section should conform
with the information in the Position Listing on the Budget Narrative Worksheet).
The Right Choice program is currently staffed by two Council employees and one Licensed Mental
Health Counselor. The Prevention Program Coordinator assumes primary responsibility for the Right
Choice program. Fifty percent (50%) of this position is currently allocated to the program. An
Information Specialist is also assigned to this program and currently dedicates 33 % of her time to the
program. The Prevention Program Coordinator has had six (6) years of experience in the substance
abuse prevention field with extensive background in administration. The Information Specialist has an
extensive background in program coordination and evaluation. The Licensed Mental Health Counselor
holds a Masters Degree in Mental Health and is licensed by the State of Florida as a Clinical Certified
Forensics Counselor with a specialty in criminal offender counseling and youthful offender counseling
5. How will the target population be made aware of the program?
The Right Choice program awareness was designed with the target population in mind. Many different
marketing campaigns are utilized to make the community at large aware the services are available. The
program is open to all residents of Indian River County.
The Council promotes the use of the Right Choice program via it' s newsletters and brochures. Law
enforcement, school personnel, probation officers, student support specialist have all been briefed on
the Right Choice program. The Council also recommends the Right Choice program to parents. .
Juveniles can be referred to the Right Choice program. Each juvenile referred to the program must
complete the 10-week education program in order to achieve successful completion. Juveniles may be
referred to the program as follows :
1 ) Any Juvenile Justice Intake Counselor or Case Manager may include a recommendation to the State
Attorney' s Office for the Right Choice program as part of a disposition report on a juvenile arrested
for a first time misdemeanor offense of:
• Misdemeanor non-marijuana drug Marijuana misdemeanor
• Possession of alcohol Other Alcohol Offenses
The jurisdiction of the court may sentence a juvenile to the Right Choice program, any law
enforcement agency, any school personnel or any parent.
6. How will the program be accessible to target population (i.e. location, transportation, hours of
operation) ?
The Council attempts to be very accommodating in provisions of services in that are services for the
community. Right Choice Program services occur Monday through Thursday. Group sessions begin
either at 4 : 30 p . m. or 6 : 30 p.m. to accommodate work and travel schedules. The Council office is
located in Vero Beach and iso en from 8 a. m. to 5 p. m. Monday through Friday.
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Substance Abuse Council of Indian River County Right Choice Program Children Services Advisory Committee
D. MEASURABLE OUTCOMES (Entire Section D not to exceed two pages)
OUTCOMES ACTIVITIES
Add all the elements or the Measurable Outcomes Add the tasks to accom k0 the Outcome s
1 . To decrease the number of positive drug 1 a. To provide Right Choice psycho-education
screens among enrolled Right Choice group and individual sessions to youth.
participants by 75% over a 26 weeks as We will provide a total of twenty six (26)
reported by random drug screen. weekly 1 V2 hour ongoing education sessions on
Baseline: Initial drug screening results prior to admission various substance abuse and resiliency skills
to Right Choice program. building topics. Session are based upon
Adolescent Recovery Plan Program by
Hazelton which focuses upon increasing
protective factors and decreasing risk factors.
b. Conduct weekly random sampling of
program participants following four weeks in
program.
2. To increase audience knowledge of program 2. To provide factual, current and up to-date
participants by 25% following educational information via on-going sessions concerning
presentation forums concerning drugs and their drugs and their harmful effects.
harmful effects as reported by self-disclosure on Pre/ post testing will be conducted and rated
pre-testing, to indicate a change in knowledge.
(Baseline: Individual and group administered Pre-tests of
forum participants.)
3 . To reduce self-reported high-risk behaviors To provide factual, current and up-to-date
responses reported by audience participants by information via on-going sessions concerning
20% following educational presentation forums.
(Baseline: Individual and group administered K"P high-risk behaviors and resulting harmful
[Knowledge, attitude, belief and practice] of forum effects.
participants.) Prelpost evaluations of the KABPs to
indicate a change in participation in high-
risk behaviors.
4 . To decrease the past 30 day use of
marijuana of Right Choice program particpants To provide factual, current and up-to-date
by 50% as reported by self-reported ATOD use information concerning drugs and their harmful
surveys. (Baseline: Individual and group effects.
administered Pre-tests of program participants.) ■ Pre/ testing and 30 day use surveys will be
conducted and rated to indicate a change in
ATOD use.
■ Provide factual, current and up-to-date
information concerning high-risk behaviors
and resulting harmful effects.
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Substance Abuse Council of Indian River County Right Choice Program Children Services Advisory Committee
OUTCOMES ACTIVITIES
Add all the elements or our Measurable Outcomes Add the tasks to accomplish the Outcome(s
5 . Reduce the re-offend rate for program To create a system of substance abuse
completers to 10% for six (6) months screening , assessment and intervention for
following the completion of the Right Choice youth involved in the Right Choice Program.
program. Baseline: Offender rate prior to Heighten the youth' s awareness to:
admittance into the Right Choice program ➢ The realities of drug use
➢ Victim awareness education
➢ Legal consequences of drug and
alcohol uselpossession
Build external & internal protective factors of:
➢ Empowerment
➢ Boundaries & Expectations
➢ Positive values
➢ Social competency
➢ Positive Identity
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Substance Abuse Council of Indian River County Right Choice Program Children Services Advisory Committee
D. COLLABORATION (Entire Section E not to exceed one page)
1 . List your program' s collaborative partners and the resources they are providing to the
program beyond referrals and support. (See individual funder requirements for
inclusion of collaborative agreement letters.
Collaborative Agency Resources provided to the program
Juvenile Court Referrals to program
Department of Juvenile Justice Referrals to program
Case management of Client Progress
Venue for presentation
Indian River School District Referrals to program
Mental Health Association Case management of Client Progress
Children' s Home Society Referrals to program
Case management of Client Progress
Vero Beach School Resource Officers Venue for Presentations, volunteers as guest
Sebastian Police Resource Officers speakers and instructors for program service
delivery
IRC Clerk of Court Referral of clients
IRC Sheriffs Office Program collaboration and support
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Substance Abuse Council of Indian River County Right Choice Program Children Services Advisory Committee
F . PROGRAM EVALUATION (Entire Section F not to exceed two pages)
1 . DEMOGRAPHICS : What information (data elements) will you need to collect in order
to accurately describe your target population including demographics (age, gender and
ethnic background) required by the funder in Section H? What are the pieces of
information that qualify them for your target population? How do you document their
need for services or their "unacceptable condition requiring change" from Section B19.
As a licensed substance abuse provider in the State of Florida, the Council is required to utilize
the State of Florida, Department of Children and Families, MA-SA (Mental Health-Substance
Abuse) Data Warehouse Database. Complete, detailed, but confidential information is complied
an all clients who request services of the Council . The demographic information required
includes but is not limited to :
• Name • Family composition • Type of services needed
• Age • Living • Type of services provided
accommodations
• Gender and ethnic back ound • Drug of Abuse • Duration of services
• Address • Frequency of Use • Len of Stay
• SS # • e of onset •
In addition non-client specific data is also maintained. Time, duration, number of participants,
location of service delivery and date are maintained. Client and non-client specific data are
maintained in a confidential, password protected database.
Additionally the Council maintains statistics on the Right Choice Program. Clients may access
confidential Information and Referral services by the telephone, or in person. This additional
information helps the Council to track new trends of use or abuse, types of drugs being used,
types of services needed and provides information on the type of educational development and
continuing education needed for both staff and community.
The Council is also a part of the State of Florida, Florida Youth Initiative Evaluation program.
The University of Miami conducts random, unannounced evaluation of both program process
and content. Establishing performance targets for strategy goals and objectives is a very
important part of prevention program implementation process. Ultimately they will also
randomly sample our pre/post test and conduct evaluations on their rate of chane and validity,
2. MEASURES : What data elements will you need to collect to show that you have
achieved (or made progress toward) your Measurable Outcomes in Section D? What
tools or items are you using as measures (grades, survey scores, attendance, absences,
skill levels) for your program? Are you getting baseline information from a source on
your Collaboration List in Section E? Are there results from your Activities in Section
D that need to be documented? How often do you need to collect or follow-up on this
data?
The collection of data elements will be collected as described in section F. 1 .
Client demographic information is requested of clients upon the client intake. Each client is
provided a client questionnaire.
The Right Choice Program utilizes several short term indicators to measure the impact
on achievement of this program' s goals. The evaluation toolsfused are as follows :
• Pre and Post testing - Pre test are performed to measure the audience' s basal
knowledge prior to the presentation. Following the presentation, post tests are
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Substance Abuse Council of Indian River County Right Choice Program Children Services Advisory Committee
conducted.
It is possible to measure the increase in knowledge directly related to the educational
presentation. Changes in attitudes, beliefs and practices take longer to manifest in the
target population. It is for this reason that a KABP was designed.
• KABP - (Knowledge, Attitude, Beliefs and Practice) is administered prior to and
again following presentations. This tool may be administered several times to the
target population. This evaluation tool indicates if an impact has manifested itself into
daily life, but no change in attitudes, beliefs or practices can be expected without the
prevention education.
3. REPORTING: What will you do with this information to show that change has
occurred? How will you use or present these results to the consumer, the funder, the
program, and the community? How will you use this information to improve your
program?
Data is complied via computer database programs. Each staff member is responsible for the
collection of his or her confidential program data. Data and statistics are shared, as the law
allows, with the appropriate concerned parties.
3E
Substance Abuse Council of Indian River County Right Choice Program Children Services Advisory Committee
G. TUUETABLE (Section G not to exceed one page)
1 . List the major action steps, activities or cycles of events that will occur within the
program year. New programs should include any start-up planning that may occur
outside the funding year. In completing the timetable, review information detailed in
prior sections.
Month/Period Activities
October 2003 - June Coordinate the Right Choice Program Schedule
2004
Coordinate delivery and implementation of the program
Coordinate the collection of program statistical data for evaluation.
Post testing on cohorts following program completion.
Ongoing Instructor training and technical assistance.
December 2003 Compilation and evaluation of data for the 1st quarterly report
March 2004 Compilation and evaluation of data for the 2 d quarterly report
June 2004 Compilation and evaluation of data for the 3'd quarterly report
September 2004 Compilation and evaluation of data for the 4`b quarterly and annual
report
October 2003 - June Ongoing collaboration with all collaborating agency on program
2004 progress, obstacles and any other program responsibilities as they arise.
Address any additional program responsibilities
3
Iv � 1 1 1 II ' \ � ' 1 1 • 1 •J U Y • ' ' I / 1 1 1 '
Number1 1 1 1 1Clients- by Location
Current Fiscal Year
Budget ' ' 2/03
444444
11 1 1 t 11 1 1 I 11 1 1 1
IndianRiver County : 1 11
RM 11 .
I 1 1 ' / 1 1 • 1 / 11
M;
• 1 ' • 1
1 • 1
. II I 1 I � ■
{ '
lPort Saint Lucie
Co.Lucie I _-�
• / � ' {
i i • 1 11
Number of Undupficated Clients by Age
Budget 2002/03
p� I
ff ON mg a
Rim
on : : 1 1 { • � � � ' 1 1
Kill IF41 Mg 1,115 m 1 � � � • 1 1 1
Substance Abuse Council of IRC
ti
UNIFORM GRANT APPLICATION
BUDGET NARRATIVE WORKSHEET
IMPORTANT; The Budget Narrative should provide details to jus* the amount requested in each line item of the budget for
your program. From this worksheet, your figures will be linked to the Total Agency Budget, Total Program Budget and Funder
Specific Budget Forms.
AGENCY/PROGRAM NAME: Substance Abuse Council of IRC I Right Choice Program
FUNDER: Children Services Advisory Committee
CAUTION : Do not enter any figures where a cell is colored in dark blue - Formulas and/or links are in place, Gray areas should
abe used for calculations and to write information only.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- GRYMEASPOR 'a zs' r >- +r F x ¢.srsf ♦ {h "T ia � '_ .0 t4y�s , .� . ,
REM MES � cYuaeowx ' f •it> tP aft �1 i /C '. ] � :;' paowoErws
1 Children's Services CouncN-SL Lude 0.00 0.00 Children's Services Co ncii-Martin 0.00
0.00
3 Children's Services Council-Okeechobee 0.00 0.
4 Advisory Corms iteeandian River 603000.00 609000.00 1752000-00 United Way4L Lucie County 0.00
0.00
6 United Way-Martin County 0.00 OODI
7 United Way-Okeechobee County 0,00 0.00
E United Way4ndlan River County 0.00 W,000.00
9 Department of Children & Families 0.00 75x000.00
10 County Funds 0.00 11850.00
11 Contributions-Cash 0.00 50.000-00
12 Program Fees 0.00 212300.
13 fund Raising Events-Net 0.00 25,OOD.00
14 Sates to Public - Net 0.00 8rOW00 MembersMp Dues 0.00 69500.
16 investment hhcome 0.00 8W.00
17 Miscellaneous 0.00 0.00
18 Legacies & Bequests 0.00 0.00
19 Funds from Other Sources 0.00 334,279.00
20a Reserve Funds Used for Operating 0,00 0.00
20MM4(M Donations (Not included in total) 0,00 0.00
21 TOTAL REVENUES (doesn
include line 20b 50,000.00 $60,000,00 729-001
A t3
ACBICreSEgi7 � � � v2J1� r': + ,l J �
fBnORCIi -CMAMO"
22 Salaries - (must complete chart on next page) 24,730.00 24,730.00 402,470.00
Salary
23 FICA - Total salaries x 0.0765 T.65'fo 1 ,892.00 1 .892.00 3%789.00
24 Retirement - Annual pension for quaCfied staff 742.00 742.00 7,626.00
25 LifetHealth - Meftat/DentaUShort4erm Disab. 29988.00 2,988.00 29,400.00
26 Workers Compensation - 4 empbyees x rte 294.00 294.00 4.790.00
Horlda Unemployment
27 employeesx $7,000 x UCT-6 rate 0.00 0.00 5,000.00
5rssrzoo3
Substance Abuse Council of IRC
IES A
POOSS IRON LS77NG Gross Annual pion of Salm y on Proposed C Funder % of Gross Annual
Salary Pbsidon Tide / TotdHrjAvlr !9'el►cy) Program. SpecBudget R O� f�A)
Eka"pte, MalcudVeDfrector/40hrs Tg00000 10oouoo 4000:00 7t43L
Executive Director 40 hrs/ wk 54,724.00 0.00 0.00
Prevention Program Coordinator-40 hrs / wk 37,500.00 18,750.00 18,750.00 50.00°
LST Coordmator 35 hrs /wk!$16.5 309030. 0.00 0.00
PREVENT Program Coordinator40 his ! wk 28,000.00 0.00 0.00
Peer Educator- 30 hrs A Nk / $9 UvO40.00 0.001 0.00
LifeskiRs Educator (1 ) - 33 hrs / wkl$13.75 23,595.00 0.001 0.00
Lifeslugs Educator (2) 33 hrs / wkl$13.25 22,737.00 0.001 0.00°
aversion Specialist -40 hrs ! wk 27,500.00 0.00 0•OO°A
HIV Program CoorcrwWtor-40 hrs / wk 281500. 0.00
HIV Program Assistant 40 hrs / wk 25,500.00 0.00 0.00
Information SpecWist- 30 hrs / wW $11 .50 17,940.00 5,960.00 52980.00 23.45
HIV Peer Educator- 24hrs ! wk! $10 12,480.00 0,00 0.00
Case Manager - 24 hrs / wk $14.00 17,47200 0.00 0.00
Dasie Hope Coordiaritor - 4o hrs / wk 32,500.00 0.00 0.00^
Dasie Hope Assistart (1 ) - 32 hrs ! wW $9 14,976.00 0.00 0.00
Dasie Hope Assistant (2) - 32 hrs / wW $9 14,976.00 0.00 0.00%
0.00 0.00
Remaining posftm tixoughout the agency
Told Salaries $402,47O.Og $24.730.00 1 $24.730. 6. 14
FMNGE BENEFITS DETAIL
A
(Hinder SpecWWC Budget fynrder
G'aktn C Tdllru»dkr
fY, rrom Gllo 2Z tSD 27 l =T He tfr'lns < .
f AA Blit s Sp fa
Fbddbn, MIrowffm4v*
case: r�d ►,.� 6,0MOO : ;: Jllke►r o'oo Cdr) s; s
Executive Director -40 hrs/ wk 0.00 0.00 0.
Prevention Program Coordinator-40 hrs / wk 18,750.00 11434.00 563.00 11800.00 223.00 0.00 4,020.
LST Coordinator -35 hrs Mrk/$ 16.5 0.00 0.
PREVENT Program Coordinator-40 hrs / wk 0.00 0.00 0.
Peer Educator- 30 hrs !wk / $9 0.00 0.00 1 0.
Lifeskills Educator 1 - 33 hrs / wk/$ 13.75 0.00 0.
Lifeskills Educator (2) -33 hrs / wk/$13.25 0.00 0.00 0.
Diversion Specialist -40 hrs / wk 0.00 0.00 0.
HIV Program Coordinator-40 hrs / wk 0.00 0.00 0.
HIV Program Assistant -40 hrs / wk 0.00 0.00 0.
Information Specialist- 30 hrs / wk/ $ 11 .50 5,980.00 458.00 179.00 1 ,188.00 71 . 0.00 10896.
HIV Peer Educator- 24hrs / wk/ $ 10 0.00 0.00 0.
Case Manager - 24 hrs / wk $14.00 0.00 0.00 0.
Dasie Hope Coordiantor - 40 hrs / wk 0.00 0.00 0.
Dasie Hope Assistant (1 ) - 32 hrs / wk/ $9 0-24 0.00 0.
Dasie Hope Assistant (2) - 32 hrs / wk/ $9 0.001 0.00 0.
0.001
0 1 0.001 0.00 0.001
0 0.001 0.00 0.001
0 0.00 0-001 0.001
Total Funder Requesf rwnge BeneTiis 1 $24,730.001- $1 ,892.00 $742.oq $2,988.Oq $294.001 $O.Oq $5,916.
5/25/2M 39
Proposed . . Specific
BudgetBudget Budget
11
1 miles a month
LST :w
iDIV 300 miles a month
1 miles a month
Prevent 1 miles a month
IRC { miles a month = 1705 miles a
$5v933 Ex Director t . 1 mks a
month x 12 mordw-- ; ae
. I - _ . • — . rrrrrr - 1 ear $2W ,'er week
.. • .. Yi. F :`G , 11 X Ii • Ii
FADDA mo&afion SM Hotel
f per night x 3 nights = . i
$21 Per diem per clay x 3 days = K
ii2W i
! M
Other Program FADDA registration
WkIs of TC Conference 9 =$550
Hotel 1 per • nights
:rooms x 2--$5400 $21 Per diern per
G
:LK 100/.miles
r • !
7, 1797 ZT=07 i
$50 x 12 months
- n a . • ++ 77i rM • • a a : +Tu r
Other • i1 a month
UW
a - _ • months : 111
. .. • ♦ +� Y. . Y r t y 1 . 1
, Y 1
kkk
IL
mon
: 1
1 ' 1 . 12 monthw-- 2880
'Pagers
month
- - - • - . • +� 0 � • it
4,17
Bulk Mad $
YF • . . y
ai
/ 1 per month
ffxwdhs= 2400
$C' /
Post office Box Rental $200
! r ••
_ . month
months= $3W
YE rmonths)12
- I • a ` - x 12nxxths) t 1
! YY ' � • ' • " 111 111 1 11
• • it
r. .ti' K' 1 r . : . • • ..
•'1 r,
r
r ' r h •
Nevaletters 30 it
tl
• • / ctrl
GAP -
5
1 • , x / aa1
• _ r , . 1 - • r , 1 I t . 1 11 � 1' 11 1'1
1
IJ ar T 7A "1,7771 ff ce
• i A i aro r
e e
17
. -
Copier lease ($ x 12 morl
Meter lease ($ x 12 months)
Copii : da t
a . . . ' ,
1E : 11 •
Computeri , i is ri r - x 12 months) If it • , ` - r. -
• x it • . J7
• + 1 1 1i
• • Ir. • s r Lq . I I • x • • y ' i 1
• , . ! tl • + • all
•10"i =1 I ii W=l • , 1 t 1 1 / 1 11 / IY
asci . • r �� G a • IF
• r. • -
� ' I � • a Y l t l
i ] • • , • 1111 11 11 - J 11
"if
77 77
s . . 1 , • 1 11 1 11 ■ n . 1 11
rr �
' . • 7r , r . •. 1 11 i 11 / 1 /
• • ' 1 1 11 11 11 111 11
• ua e c • . ei - - • f tl it --�
• ' r +ter. « - • r • 111 111 Iit 1 /
! r a
I : / 1 1
[. ; ,777r
r «
111 11 11 M
1 per 24day
$3000
IY
Prevent 50 =� ichosocials x $60= 3000_
IJS
J ' '
TWe Pre Orgonabw a Progrm Nm°
UNIFORM GRANT APPLICATION
TOTAL AGENCY BUDGET
AGENCYIPROGRAM NAME: Substance Abuse Council
FY 01o2 FY 02M FY 03M % INCREASE
FYE Sept 30,2003 FYE Sept 30,2004 CURRENT VS.
NEXT FY BUDGET
A S C D
ACTUAL TOTAL PROPOSED (COL C-ca ByeoL a
REVENUES BUDGETED BUDGETED
1 Children's Services Council-St Lucie 0,001 0.00 0.00 0.00%
2 Children's Services Council-Martin 0.00 0.00 0.00 0.00%
3 Children's Services CounCil-0keechobee 0.00 0.00 0.00 0.00%
4 Advisory Committee-Indian River 75 000.00 110%000100 175 000.00 59.09%
United Way-St Lucie County 0.00 0.00 0.00 0.00%
6 United W County 0.00 0.00 0.00 0.00%
7 United Way-Okeechobee County 0.00 0.00 0.00 0.00%
8 United Waymindian River County 40 19.00 .00 86 000.00 38.71 %
s Deparbnent of Children & Families 75 .00 75 .00 75 000.00 0.00%
to County Funds 1r850.001 11850,0014 1850.00 0.00%
11 Contrilmdons-Cash 47m694.00 60 000.00 50 000.00 0.00%
12 Program Fees 45 754.00 16 000.00 21 300.00 42.00%
t3 Fund Ralsingi Events4W 352256.001 25t0001001 0 25 000.00 0.00%
14 Sales to PUbiiaNet 89071 ,00 82000,00 800000 0.00%
15 Membership Dues 6AW.00 6 600.00 61500.00 0.00%
16 Invesbnent 4rcome 0.00 800.00 800.00 0.00%
17 Miscellaneous 0.00 0.00 0.00 0.00%
16 Legacies a Bequests 0.00 0.00 0.00 0.00%
19 Funds from Odw Sources 282,848.00 314 19.00 334 279.00 6.38%
Zea Reserve Funds Used for 0.00 0.00 0.00 0.00%
In4GrW Donations P+a +,aj&dlnwaq 0.00 0.00 0.00 0.00°k
21 TOTAL 618192.00 668 00 783 729.00 17.26%
.77777 7.
EXPENDITURES
22 Salaries 320 .00 333A66.00 402 70.00 20.69%
23 FICA 27 .00 27 .00 30 789.00 10.25%
24 Retirement 6,831 .001 882.00 7 626.00 56.21 %
25 Life*fealth 209M ,00 43,200.00 2940000 31 .94%
26 Workers Conipensafion 3AI9.001 3 .00 49790.00 20.75%
27 Florida Uneinployment 0.00 12600.00 500000 233.33%
28 Travel 16162.00 15 028.00 21 380.00 42.27%
29 TravelAConfawmes/Traini 161"1 ,00 : 159566,00 24 566.00 67.82%
3o OfficeSupplies C778.00 61600.00 61600,00 0.00%
31 Telephone 10 968.00 97600.00 8j460.00 -11 .88%
32 POs 21699.00 31000.00 4j220,00 40.67%
33 UhTdies 3s629,00 31640,00 41000.001 9.89%
34 (Building & Grounds 23147.00 23t028,00 23 028.00 0.00%
35 Printing & Publications 189936.001 41 .00 41 400.00 0.00%
36 SubscripgonMuestMemberships 599.00 12000.00 15000,00 0.00%
37 Insurance 61698.00 69971 ,00 1007100 44.47%
39 EquipaymtRental & Maintenance 29276.00 5 .00 61000.00 11 .11 %
39 Advertisim 14y870.00 14 .00 14A19,00 0.13%
40 Egulimnent Purchases:Capital Expense 0.00 1500.00 39000,00 100.00
41 Professional Fees Consulting) 0.00 2,000.00 ZOOM 0.00%
42 BookslEducational Materials 50 18.00 51 AO 60 968.00 -1 .77%
43 Food & Nutrition 0.00 t.00 17660.001 0.00%
44 Administrative Costs 0.00 0.00 0.00 0.00%
45 Audit Expense 8 .008 000.00 9 000.00 12.50%
46 Specific Assistance to Individuals 4108.00 300000 69000.00 66.67%
470dwriDepreciationWscellaneous 16 1 .00 6 .00 6 350.00 0.00%
48 OthedContract 39120.00 28 .00 31500.00 10.53%
49 TOTAL 619 687.00 663 369.00 753 729.00 13.62%
50 REVENUES OVE UNDER EXPENDITURES -1495.00 57000.00 30 000.00 600.00%
V25r°°° 42
• � . , , M • r 1 1 1 M 1 I
1 ' 1 1 ilS IK i 1i '
.4 379
' 1 it ' 1 9fY • 1 11 M
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. . • . . • � 1 . . . .
101 TIT
- - - I 1 ' 1 1 11 1 11 '• • 1
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Le
I I 111 III 111 '� • 1
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int 111 .011 •, r - III •.- li : •_ 1 I ' 1 I 11 — 9 11 " • 1
1 11 1 11 111 11 '� • 1
, .. 11 .41 r « L . - . . I r. / •.- 1e-." ■ 1 1 ' 1 1 1 I I 11 '• 1 1
Nov 1 1 1 11 '1 ■ 1
1 1 . ' 1 1 1 I 19 1 11 '• ■ 1
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• 11 ' 1 11 1 ' 11 11 1 1 7 1 11
1 • • • 1 11 1 1 I 1 11 • ' • 1
Type the Organization and Program Name
UNIFORM GRANT APPLICATION
FUNDER SPECIFIC BUDGET
PROGRAM EXPENSES
AGENCY/PROGRAM NAME : Substance Abuse Council / LifeSkills Training Program
FUNDER: Children Services A B C
FY 03/04 FY 03/04 % INCREASE
TOTAL FUNDER TOTAL VS.
PROGRAM SPECIFIC FUNDER REQUEST
BUDGET BUDGET col. B/col. A
EXPENDITURES
22 Salaries 24,730.00 249730.00 100.00%
23 FICA 1 892.00 1 892.00 100.00%
24 Retirement 742.00 742.00 100 .00%
2s Life/Health 23988.00 21988.00 100.00%
2s Workers Compensation 294.00 294.00 100.00%
27 Florida Unemployment 0.00 0 .00 #DN/01
28 TraveWaily 870.00 870.00 100.00%
29 TravellConferences/Trainin 2 634.00 2 634.00 100.00%
30 Office Supplies 600.00 600.00 100.00%
31 Telephone 500.00 500.00 100.00%
32 Postage/Shipping 500.00 500.00 100.00%
33 Utilities 0.00 0.00 #DIV/Of
34 Occupancy (Building & Grounds 0.00 0.00 #DIV/Of
35 Printing & Publications 1400.O0 1 400.00 100.000/0
36 Subscription/Dues/Memberships 250.00 250.00 100.00%
37 Insurance 1 000.00 1000800 100.000/0
38 E ui ment: Rental & Maintenance 600.00 600.00 100.00%
39 Advertising 0.00 0.00 #DIV/Of
40 Equipment Purchases:Ca ital Expense 0.00 0.00 #DIV/01
41 Professional Fees (Legal, Consulting) 0.00 0.00 #DIV/01
42 Books/Educational Materials 19500600 12500.00 100.00%
43 Food & Nutrition 0.00 0.00 #DN/O1
44 Administrative Costs 0200 0.00 #DIV/01
45 Audit Expense 1 500.00 11500.00 100.00%
46 Specific Assistance to Individuals 0 .00 0.00 #DN/01
47 Other/Miscellaneous 0.00 0.00 #DIV/Of
48OthedContract 189000.00 18,000.00 100000%
49 TOTAL $60,000.00 $60,000.00 100.00%
a
ofgwftwm ww Prow= raw"
UNIFORM GRANT APPLICATION
FOR VARIANCES OF OR O .
TOTAL - eBUDGET
AGENCY[PROGRAM SubstanceAbuseCouncilRight Choice . 1
FUNDER:
FT�K ezc '�'r�k"-:d � � t s: '� .-�� Z> � �.a `.�� �"��''C'C.u '� �` '�� ---� nv ww -'• to a': � s. : -£d � tj'. -
E!'Y� F �' .�' '�.�ry: :i `"T �� �' '��F'�'�F+-`"s t .. +y-, i�.ki '��`$� `'iw
.,....»v��,�:..�a��, �-�3r°--sz,r��su���,�_.��..n .� vM�c?.<-,�_ �. ,-y,�.a_;.ac..���,�:��.�- :. ,."'�e�. .a. :s�x��. �:�-,..:&:t�`.�-ter .�.,y�._. �.� rrw� •3�.'
-r . -.��' �,�; � .��'�1
#01VAN
#DIVAN
r . ,
#DIVAX
r
XDIVAX
SWAN
#DIVAN
#DIVAH
ODIVAN
#DIVAH
#DIVAX
#DIVAN
#DIVAN
#DIVAN
#DFVAH
#DIVAN
#DIVAN
ke�drement Increased refiremerd due to addWonal program staff qualMng for retirement
#DIVAN
TraveUC*nfe�ralnfna Increase h TraffwV due to need W tram adddueJ pWmm staff
#DIVIW
Postage/Shipairw 1 • i'b - serAcesrequireaddffiomf maffing due to increase of program services
: DIVAN Yl
r
r ,
r 1
1 : •
#D1V101
x"101
Boolm/Mu=Ooml Maftftft • • 1 : IsWert - ' h ... i1 • . • • SP1 Wsupplies
D ,
#DIVAHAudit Expense,
Program • K IY ofaudit - UOQ
#DIVAN
#DIVAN
Ty" to OMWAZ~ ow pmwm
UNIFORM GRANT APPUCATION
EXPLANATION FOR VARIANCES OF 151/6 OR MORE
FUNDEDSPMRC BUDGET
AGENCYIPROGRAMSubstanceAbuse Council • 1 ' t ' Program
Salaries
Addffional stwlerdmreqLAre ' • > • hourty salaryexpensesand Miir=eaw
FICA AWdiorml student services reqWre inmeased hourly salary expenses and respecfw FICA
Retirement 1' i " studertreqtnre irweased Jsalaryapenses wA respeWm rebrunnerd
1.116114ealth AddftWml studert swAces requite ircreased hourly salary aperises and respecbm heath care
Workers Comp"—sMm Adddonal shxlervt sermes require wffeased hourly salary eppenses and respecrw WC
#W/W
TravelleonferencesiTrainina fraease in Training • - toneed 1 trainadcrffionalstaff
Office AdcrftiorWstudent ! Arequire supplies
Telephone
ostatg1/Sh I i 111 • • fatedsham of } • h • - irmase
#
MDIVIW
Subsci donilkxmWernberships Increase due to new membership in program alliance
hmrance Pro rated share or romance cost kcreaw
Y -J to cam irnrease costrNoWedw0i tedinologyrepaus
M"Illf
: / 1
r
: 1 Il
Audit Expense
r , 1
ProgramI K I J ofaudt expense
: r
r 1
I
t
EXHIBIT B
[ From policy adopted by Indian River County Board Of County Commissioners on February 19 ,
2002 ]
" D . Nonprofit Agency Responsibilities After Award of Funding
Indian River County provides funding to all nonprofit agencies on a reimbursement basis
only .
All reimbursable expenses must be documented by an invoice and/or a copy of the canceled
check. Any expense not documented properly to the satisfaction of the Office of Management &
Budget and/or the County Administrator may not be reimbursed .
If an agency repeatedly fails to provide adequate documentation , this may be reported to the
Board of Commissioners . In the event an agency provides inadequate documentation on a
consistent basis , funding may be discontinued immediately . Additionally , this may adversely
affect future funding requests .
Expenditures may only be reimbursed from the fiscal year for which funding was awarded . For
example , no expenditures prior to October V' may be reimbursed with funds from the following
year. Additionally, if any funds are unexpended at the end of a fiscal year, these funds are not
carried over to the next year unless expressly authorized by the Board of Commissioners .
All requests for reimbursement at fiscal year end ( September 30th) must be submitted on a timely
basis . Each year, the Office of Management & Budget will send a letter to all nonprofit agencies
advising of the deadline for reimbursement requests for the fiscal year. This deadline is typically early
to mid October, since the Finance Department does not process checks for the prior fiscal year
beyond that point.
Each reimbursement request must include a summary of expenses by type . These summaries
should be broken down into salaries , benefits , supplies , contractual services , etc. If Indian River
County is reimbursing an agency for only a portion of an expense ( e . g . salary of an employee ) , then
the method for this portion should be disclosed on the summary . The Office of Management &
Budget has summary forms available .
Indian River County will not reimburse certain types of expenditures . These expenditure types are
listed below.
a . Travel expenses for travel outside the County including but not limited to ; mileage reimbursement,
hotel rooms , meals , meal allowances , per Diem , and tolls . Mileage reimbursement for local travel
(within Indian River County) is allowable .
b . Sick or Vacation payments for employees . Since agencies may have various sick and vacation
pay policies , these must be provided from other sources .
c . Any expenses not associated with the provision of the program for which the County has awarded
funding .
d . Any expense not outlined in the agency' s funding application .
The County reserves the right to decline reimbursement for any expense as deemed necessary . "
- 1 -
Y
EXHIBIT C
STANDARD TERMS FOR GRANT CONTRACT
1 . Notices : Any notice , request , demand , consent , approval or other
communication required or permitted by this Contract shall be given or made
in writing , by any of the following methods : facsimile transmission ; hand
delivery to the other party ; delivery by commercial overnight courier service ;
or mailed by registered or certified mail ( postage prepaid ) , return receipt
requested at the addresses of the parties shown below:
County : Joyce Johnston -Carlson , Director
Indian River County Human Services
184025 th Street
Vero Beach , Florida 32960-3365
Recipient : Colette Heid , Director
Substance Abuse Council of IRC
2501 27th Avenue , Suite A-7
Vero Beach , Florida 32960
2 . Venue : Choice of Law : The validity , interpretation , construction , and effect
of this Contract shall be in accordance with and governed by the laws of the
State of Florida , only . The location for settlement of any and all claims ,
controversies , or disputes , arising out of or relating to any part of this
Contract , or any breach hereof, as well as any litigation between the
parties , shall be Indian River County , Florida for claims brought in state
court , and the Southern District of Florida for those claims justifiable in
federal court .
3 . . Entirety of Agreement : This Contract incorporates and includes all prior and
contemporaneous negotiations , correspondence , conversations ,
agreements , and understandings applicable to the matters contained herein
and the parties agree that there are no commitments , agreements , or
understandings concerning the subject matter of this Contract that are not
contained herein . Accordingly , it is agreed that no deviation from the terms
hereof shall be predicated upon any prior representations or agreements ,
whether oral or written . It is further agreed that no modification ,
amendment or alteration in the terms and conditions contained herein shall
be effective unless contained in a written document signed by both parties .
4 . Severability : In the event any provision of this Contract is determined to be
unenforceable or invalid , such unenforceability or invalidity shall not affect
the remaining provisions of this Contract , and every other term and
provision of this Contract shall be deemed valid and enforceable to the
extent permitted by law. To that extent , this Contract is deemed severable .
5 . Captions and Interpretations : Captions in this Contract are included for
convenience only and are not to be considered in any construction or
interpretation of this Contract or any of its provisions . Unless the context
indicates otherwise , words importing the singular number include the plural
— 1 —
i
number, and vice versa . Words of any gender include the correlative words
of the other genders , unless the sense indicates otherwise .
6 . Independent Contractor. The Recipient is and shall be an independent
contractor for all purposes under this Contract . The Recipient is not an
agent or employee of the County , and any and all persons engaged in any
of the services or activities funded in whole or in part performed pursuant to
this Contract shall at all times and in all places be subject to the Recipient' s
sole direction , supervision , and control .
7 . Assignment . This Contract may not be assigned by the Recipient without
the prior written consent of the County .
- 2 -
10 ' 09 ; 03 THU 08 : 59 FAX 7722314413 FELTEN & ASSOCIATES @1001
•B.CORD, CERTIFICATE OF LIABILITY INSURANCE 10/08/200
PRODUCER ( 772) Z31- 2828 FAX ( 772 ) 231 -4413 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Felten & Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER , THIS CERTIFICATE DOES NOT AMEND , EXTEND OR
2911 Cardinal Drive (32963 ) ALTER THE COVERAGE AFFORDS Y THE POLIC-IES BELOW.
P . O . Box 3488
Vero Beach , FL 32964 - 3488 INSURERS AFFORDING COVERAGE MAIC
INSURED Su stance Abuse Council— oF Indian River County INsuRERA: Colony Insurance
2501 27th Ave Ste A - 7 IN3URER5: Progressive Express 1019 °•
Vero Beach , FL 32960 IN3uREP C: Commerce & Industry Insurance
INSURER D:
I i !NISUREF E.-
L -- —
COVERAGES
THE POLICIES OF INSURANCE I-STE'a 13ELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTAiTHSTAND!Ni
ANY REQUIREA(ENT, TERGA OR CONDITION OF ANY CONTRk• T OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE. MAY 3E ISSUED OR
MAY PERTAt4j THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIDNS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REOU ;ED BY PAID CIAIMS • _
INSR DD' TYPe OF INSURANCE POLICY NUMBER POLItEY EFF6CTIYE POLICY EXPIRATION LIMITS �_ v
AAT_ lAiWFFE YYiDATE INIMMOnM
GENERAL UABILITY MP 714134 04/01/2003 04/01/2004 EACH OCCURRENCE 5 11000 , 00
X COMMERCIAL GENEP.AL LIABILITY DAMAGE TO %E.NTED 501000
_
c c r-
CLAIMS MADE a OCCUR MED EXP (Aq one person) S _ S , 00
A PER$ONAL & ADV INJURY S 190001000
GENERALAGviRFGATE S Z , OOO , OO
rjANOY
REGATEUr.11TAPPLtESPPRODUCTS - COW10PAGG 3 EXCLUDEICY JfiCJ L�EULEUABILITY CA044377463 02 /05 /2003 0x/05/2004 CCMBINEOSINGLELMIT
S
(Ee accidcr-1) 1 000 00 AUTO -- 1
AL!, OWNED AUTOS ECOILY INJURY S
X SCHEDULED AUTOS (Per FefSCni
B I HiREC AUTOS BODILY INJURY +—
!
ft'if BcpdE:At) I
MON-OWNED AUTOS
PROPERTY DAMAGE
(Per dCCJdent) S
GARAGE LABtLIYY AUTO ONLY • EA ACCIDENT j $
MOW
ANY AUTO OT)sERTHAN FA ACC S
Au'roonLv: AcG s
j EXCE+SRIMBRELI A LMAILITY EACH OCCURRENCE S
OCCUR CLAIMS MADE AGGREGATE s _
I S
1 DEDUCTIB.E FT I
RETENTION S _
WORIt&RS COMPENSATION AND WC3148705 01/10/2003 01/ 10/2004 nC STAT Us OTN•
EMPLOYERTUASILITY EI. EACHA�COENT S 7.0010 (
C ANY PROPPJETOMPARTwER)EXEC'JTIVE
OFFICERNAEMBER EXCLUVIM? j E.L. DISEASE , EA EMPLOYEES 100 , 00
D Yes, describe under
SPECIAL PROVISIONS Wow El . DISEAs: - POLICY LIMIT s 500 , 0
OTHER j
DdEMPTICN OF OPERATIONS I LOCATIONS I VEHICLES r EXCLUSIONS ADDED BY ENUORSPMENT J SPECIAL PROVISIONS
ERTIFICATE HOLDER NAMED BELOW IS LISTED AS ' ADDITIONAL INSURED ' AS RESPECTS TO GENERAL LIABILITY AND
UTOMOSILE LIABILITY POLICIES LISTED ABOVE .
= 30 days notice of cancellation applies to barkers Compensation only"
CERTIFIC&mEC- HOLDER CANCFLLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE•
EXPIRATION DATE THEREOF, THE ISSU;NG INSURER WILL ENDEAVOR TO MAIL
Indian River County , Florida 10' DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
Attn • Beth Jordan , Risk Manager Bur FAILURE TO MAJLSUCH NOTICE SMALL IMPOSE NO OBLIGATION OR LIABILITY
1840 25th Street OF ANY KIND UPON THE INSURE R, ITS AGENTS OR REPR�ESENIATWES,
Vero Beach , FL 32960 - 336S AUTrIORIZED P.EPRESENTATIVE
Kenneth D . Felten , LtITCF / LB /be f
ACORD 25 (2001108)
iDACORD CORPORATION 1988
INTERNAL REVENUE SERV ' r Of � TMENT OF THE TREASURY
DISTRICT DIRECTOR —
401 W . PEACHTREE ST . NW
ATLANTA , GA 30365
JAN 271995 Employer Identif- ication Number :
Dates 65 - 0202536
Case Number :
535009038
SUBSTANCE ABUSE COUNCIL OF INDIAN Contact Person :
RIVER COUNTY INC LORETTA HAMILTON
PO BOX 6460 Contact Telephone Number :
VERO BEACH , FL 32961 - 6460 ( 404 ) 331 - 0927
Our Letter Dated :
April 25 , 1991
Addendum Applies :
No
Dear- Appllca .nts
.. _ This modifies our letter of the above date in which we stated that you
would be treated as an organization that is not a .private foundation until the
expiration of your advance ruling period .
`.` Your exempt status under section 501 ( a ) of the Internal Revenue Code as an .
organization described in section 501 ( c ) ( 3 ) is still in effect . Eased on the
information you submitted , we have determined that you are not a private
foundation within the m6aning of section 509 ( a ) of the Code because you are an
organization of the type described in section _ 509 ( a ) ( 1 ) and 170 ( b ) ( 1 ) ( A ) ( vi ) .
Grantors and contributors may rely on this determination unless the
Internal Revenue Service publishes notice - to the contrary . However , if you
lose your section 509 ( a ) ( 1 ) status , a grantor or contributor may not rely on
this determination if he or she was in part responsible fur , or was aware of ,
the act or failure to act , or the substantial or material change on the part of
the organization that resulted in your loss of such status , or if he or she
acquired knowledge that the Internal Revenue Service had given notice that you
would no longer be classified as a section 509 ( a ) ( i ) worganization .
If we have Indicated in the heading of this letter that an addendum
applies , the addendum enclosed is an Integral part of this letter .
Because this letter could help resolve any questions about your private
foundation status , please keep It In ' your permanent records .
If you have any questions , please contact the person whose name and
telephone number are shown above .
Sincerely yours ,
C
Nelson A . Brooke
District Director