HomeMy WebLinkAbout2006-331S. a l •`
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INDIAN RIVER COUNTY
GRANT CONTRACT 11
This Grant Contract ("Contract") entered into effective this a � day of October 2006 by and
between Indian River County, a political subdivision of the State of Florida ; 1840 25`h Street, Vero
Beach , Florida, 32960-3365; and Dasie Bridgewater Hope Center (Recipient), of:
Dasie Bridgewater Hope Center
P.O . Box 701483
Wabasso, Florida 32970
Dasie Hope Center After School Program
Background Recitals
A. The County has determined that 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 proposal 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
(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 the 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
2006/2007 ("Grant Period"). The Grant Period commences on October 1 , 2006 and ends on
September 30, 2007.
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4. Grant Funds and Payment. The approved Grant for the Grant Period is : SIXTY THREE
THOUSAND , FOUR HUNDRED DOLLARS ($63,400). The County agrees to reimburse the
Recipient from such Grant funds for actual documented costs incurred for the 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 Oblioation 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 to written notice.
5 .2 . Compliance with Laws The Recipient shall comply at all times with all applicable
federal , state, and local laws and regulations .
5 . 3 . Quarterly Performance Reports The Recipient shall submit quarterly, cumulative,
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 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 the 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 the 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 October 21 , 2006 provide to
Indian River County Risk Management Division a certificate, or certificates , issued by an
insurer, or insurers, authorized to conduct business in Florida 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
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damage, including coverage for premises/operations,
product/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 ) Worker's 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 the County. In
addition , the County may request such other proofs and assurances as it may
reasonable 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 Worker's 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.
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.
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INDIAN RIVER COUNTY BOARD OF CQMMISSIONERS
By:
Gary, / / Wheeler , Chairman
BCC Approved : l b — OG
Attest: J . K. Barton , Clerk
By: V „
Deputy Clerk
Approve
Jo"Administrator
County
Appr d s to form and legal sufficiency:
By
g
avian , Assista C y ttor ey
REC11PI /NhT :- `
By:
Dasie Bridgewater Hope enter
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EXHIBIT A
(Copy of complete Request for Proposal )
EXHIBIT - A -
Dasie Bridgewater Hope Center, Inc.
PROGRAM COVER PAGE
Organization Name: Error! Not a valid link.
Executive Director: Verna Wright E-mail: _ vwri htg 772kaol.com
Address: 8445 -64`h Ave Telephone : 772-5 89-3 53 5
P.O . Box 701483 Wabasso, FL 32970 Fax: 772-589-4688
Program Director: Verna Wright E-mail : vwri ht772La aol .com
Address: 8445-64d' Ave Telephone: 772-589-3535
P. O. Box 701483 Wabasso, FL 32970 Fax : 772-589-4688
Program Title: Dasie Hope Center Tutorial Program
Priority Need Area Addressed: LatchkeyafetvPrograms
Brief Description of the Program: This program is designed to help educate and ensure the safetv of
Youngsters who normally would have to stay unsupervised in their homes after school or throu hout
the day because their parents are working and child-care is unavailable
SUMMARY REPORT — Enter Information In The Black Cells Only)
Amount Requested from Funder for 2006/07 : $ 805000 . 00
Total Proposed Program Budget for 2006 /07 : $ 80 . 000 . 00
Percent of Total Program Budget : i 00 . 000
Current Program Funding (2005 /06 ) : $ 57 , 000
Dollar increase /(decrease ) in request : % 23 . 000
Percent increase / ( decrease ) in request * * 40 . 44%
Unduplicated Number of Children to be served Individually : 100
Unduplicated Number of Adults to be served Individually : _
Unduplicated Number to be served via Group settings : -
Total Program Cost per Client : 800 . 00
* *If request increased 5% or more, briefly explain why: More staff is needed to accommodate the
increase in student po ulation
If these funds are being used to match another source, name the source and the $ amount: None
The Organization 's Board of Directors has approved this appiignature
ation on date). Mav 9, 2006
Barry V. Broxton r
Name of President/Chair of the Board e
Verna Wright
Name of Executive Director/CEO
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Dnie Bridgewmer Hope Center, Inc.
PROPOSAL NARRATIVE
A. ORGANIZATION CAPABILITY (Entire Section A not to exceed one page)
1 . Provide the mission statement and vision of your organization.
Mission Statement- Offering a nurturing environment where youth and adults can develop
their self-esteem and learn life survival skills.
Vision Statement- Through dedication and a committed community, become an agency that
is inspiring residents to grow by improving their employability skills, and fill them with a
sense of self-worth and pride.
2. Provide a brief summary of your organization including areas of expertise,
accomplishments, and population served.
DBHCI is an after school tutorial program for low-income at risk youth within the Wabasso area.
Out of a dire need for youth services. DHC was established in Sept. 2001 , and provides the
following programs ; Girl Scouts, Girl ' s Club Computer Training, SBI program, homework
tutoring, reading buddies/superstars, Kid' s Cafe, Dasie Baker' s (cooking class) and educational
field trips.
Accomplishments
-Every third-grader passed 2006 FCAT (second year)
- An overall 72% of improvement in youth grades this year
- A "Kid' s Cafd " program sponsored by (food grant) ConAgra at DHC. The only one in Indian
River County.
-SBI class recognized at NYSE for their business performance skills
Selected by Stein Mart' s parent company Dignity U Wear to receive new clothing for all youth
in 2006
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Dwie Bridgewater Hope Center, Inc.
B. 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.
A) Within the Wabasso community youths today face many unacceptable conditions such as;
teen pregnancy, drop-out rate, poor health, low self-esteem, poor hygiene and mal-nutrition,
alcohol and drug related issues are all unacceptable.
B) & C) Youths living around the surrounding Wabasso area who are faced with these issues
stated above (A) on a daily basis are in dire need of our program. With a safe, well supervised
environment students can engage in quality programs that promote high self- esteem, improved
academic performance and respectable behavior.
D) Studies show "that students involved in after school programs get better grades, attend school
more have improved behavior. They also express greater hopes for the future and are more
interested in school" ( www. afterschoolalliance.org) From education experts, law enforcement
officers, parents and grandparents Americans agree that after school programs just make sense.
After school programs help to keep kids safe, help balance working parents schedules as well as
improve youth individual academic achievement.
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.
A) A similar program currently serving the needs of our targeted population who also offer after
school programs is The Boys & Girls Club (Sebastian-32958) in North County.
B) This existing program is under-serving our targeted population for our program by not
catering to their specific geographical needs. The Boys & Girls Club (Sebastian-32958) is
located approximately 8 - 10 miles av:ay from DHC, which means transportation is a majnt
problem for youth from the Wabasso community. Many grandparents who no longer drive are
responsible for the youth of our after school program. The location of DHC is a major positive
aspect of our program and the population we are targeting. DHC is located within walking
distance to most youth in Wabasso which makes it very accessible to our projected youth. The
multiple programs offered at DHC which meet the needs of the community and youth are our
mentoring program, Girl ' s Club and Kid' s Cafe. These different programs help to promote
growth from our youth both professionally and personally in their everyday lives.
"Teens who do not participate in after school programs and nearly three times more likely to
skip classes than the teens who participate. They are also three times more likely to use
marijuana, drink alcohol, smoke cigarettes and engage in sexual activities". (Public Opinions &
Attitudes on outdoor Recreation. Feb . 2004) Without accessible transportation this forces youth
to become latchkey kids without quality supervised activities.
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. Dwie Bridgewater Hope Center, Inc.
C. PROGRAM DESCRIPTION (Entire Section C, I — 6, not to exceed two pages)
1 . Briefly describe program activities including location of services.
We currently have eight community volunteers and two staff members who tutor various grade
levels (3- 12) in all core subjects from surrounding schools (Pelican Island, Sebastian River
Middle, SRHS and Liberty Magnet). Youth are tutored for two hours in a classroom environment
at DHC four afternoons a week during the existing school year academic calendar.
Activities Service Result
Tutoring(homework) Qualified staff(volunteer give An increase in academic grades
assistance with homework)
Reading Superstars Youth read, discuss, and write synopsis Reading/ Comprehension
of book selection skills are improved
Kid 's Cafe/ Dasie Bakers Youth learn to prepare healthy meals Math & Behavioral skills are
in a normal kitchen setting improved in a group setting
SBI Prep Program Youth learn business skills and visit local Knowledge of operating
businesses while getting hands on experience a real life organization
2. Briefly describe how your program addresses the stated need/problem. Describe how
your program follows a recognized "best practice" (see definition on page 12 of the
Instructions) and provide evidence that indicates proposed strategies are effective with
target population.
Research shows that after school programs are a good investment. Youth who participate in
these programs have been shown to perform better in school and have greater expectations for
the future, while children who are unsupervised during afternoon hours are at greater risk of
becoming invcs:cu «pith crime, subsiance abuse and teenage pregnancy.
Every weekday in the United States during the school year, millions of children leave school
without adult-supervised awaiting them. The growth of after school programs has begun to offer
parent alternatives- safe and educational programs, where children are under the watchful eye of
caring adults. These after school programs play an increasingly important role in the African
American community (aftersehoolalliance.org/). Dasie Hope Center offers a safe nurturing
environment so youth can learn, achieve and set goals for the future .
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3. 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).
Staff Experience Estimated hour per week
Director 4 + years 40 hrs. per wk.
Asst. Dir./Program Coord. 4+ years 40 hrs. per wk.
Receptionist/Case Mgr. 2+ years 40 hrs. per wk
Reading Teacher 4+ years 8 hrs . per wk.
Custodian 2+ years 40 hrs. per wk.
Volunteer Experience Estimated hour per week
Reading Teacher 1 -2 years 2 hrs. per wk
Math Teacher 1 -2 years 2 hrs. per wk
Mentor 1 -2 years 2 hrs . per wk.
4. How will the target population be made aware of the program?
We envision valuable partnerships to continue growing with all districts North County schools.
Our physical efforts are as follows : Newsletters, brochures, business contacts, health
professionals, restaurants, flyers, church announcements, parent support groups, civic league
presentations, clubs/organizations presentations, TV, local magazines, United Way e-mail listing,
and County (Human Resources) e-mail listing to notify other partnering agencies .
Word-of-mouth is also a very powerful tool for awareness of our program. The number of our
growing participants in our program each year is continuing to grow steadily due to our success
within the community. We coined the success of our word-of mouth feature "please one, tell
one". Every individual we satisfy at our program we expect that individual to tell another. We
use this tool effectively through our parent groups, which has become very successful.
5. How will the program be accessible to target population (i.e., location, transportation,
hours of operation)?
Dasie Hope Center is located at 8445-64th Ave. — Wabasso, FL 32970 in Northern Indian River
County. Centrally located across the street from a bus stop servicing four different North County
schools drop-off locations. The Dasie Hope Center is easily accessible and allows children to
come safely and to the Center immediately after school is dismissed. The Dasie Hope Center
business hours are Monday thru Friday from 10 :OOam- 6 :00 pm. Twenty-six percent of the
youth that attend Dasie Hope Center live below poverty level and fifty- three percent are on the
free lunch program at school. The Dasie Hope Center serves low-income at risk youth, who are
now making the choice to set effective goals for a brighter future.
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• Dwe Bridgewater Hope Center, Inc.
D. MEASURABLE OUTCOMES (Description oflntent)
Use the Measurable Outcomesform- This desc ' tion pqgge does not need to be included in the ro os 1.
In order to show the impact that your program is having on the target population and the
community, the funders are requiring measurable outcomes. Please review the examples and
summaries below to insure your understanding of what is expected.
OUTCOMES : Describes what you want to achieve with the target population. Indicates the
results of the services you provide, not the services you provide. Outcomes utilize action words
such as maintain, increase, decrease, reduce, improve, raise and lower.
ACTIVITIES: Describes the tasks that will be accomplished in the program to achieve the
results stated in the outcomes. Activities utilize action words such as complete, establish, create,
provide, operate, and develop. The activities should reflect the services described in the
PROGRAM DESCRIPTION (C2) .
Use the following elements to develop your outcomes. All elements must be included
• Direction of change • Time frame
• Area of change • As measured by
• Target population • Baseline: The number that you will be
• Degree o chane measuring against
Example 1 (Outcome):
To decrease (direction of change) number of unexcused absences (area of change) of enrolled
boys and girls (target population) by 75% (degree of change) in one year (timeframe) as
reported by the 2003 School Board attendance records (as measured by). Baseline: 2003 School
Board attendance records for enrolled boys and girls.
Example 1 (Activity):
To provide anger management classes to enrolled boys and girls 2 times a week for 12 weeks.
Example 2 (Outcome) :
75 % (degree of change) of youth (target population) who have participated in the academic
enrichment activities (as measured by) for 6 months or more (time frame), will improve
(direction of change) their scores in one or more subject area (area of change) . 25 % of
participants in academic enrichment activities will maintain the initial level of performance
assessed at entry. Baseline : Pre-test scores from the academic enrichment test.
Example 2 (Activity) :
1 ) Provide pre and post-test exercises on the Advanced Learning System software; 2)
Participants will go through the one lesson per week and be graded for 10 weeks.
IMPORTANT NOTE:
Keep in mind when developing your PROGRAM OUTCOMES , that if funded, this will be what
you are held accountable to accomplish. Also, the PROGRAM OUTCOMES should reflect the
information described in the PROGRAM NEED STATEMENT (B1 ).
All Program Need Statements should flow from the Mission & Vision. Measurable Outcomes
should be based on and measure program needs. Activities are the tasks you do that are going to
influence the outcome and impact the unacceptable condition in your Program Need Statement.
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Duie Bridgewater Hope Center, ]nc.
D. MEASURABLE OUTCOMES (Entire Section D not to exceed two pages)
OUTCOMES ACTIVITIES
Add all of the elements or the Measurable Outcome(s) Add the tasks to accomplish the Outcome(s)
1 . To decrease (direction of change) 1 . Anger management, behavior control, self-
disciplinary reports (area of change) of esteem, team building skills will all be
enrolled youth (target population) by at least conducted along with jail tours, courthouse
55% (degree of change) during the 2006-2007 tours and court observations tours will take
academic year (timeframe). Students 2006 place 3x' s per week for 16 weeks.
academic records will be compared to their
2007 records (measure by).
Baseline: Students 2006 disciplinary records
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2 . To increase (direction of change) academic 2. Conduct group and one-on-one tutorial
performance (area of change) of enrolled sessions with enrolled youth 4x ' s per week for
youth (target population) by at least 25% 36 weeks. Evaluation of current academic
(degree of change) during the 2006-2007 performance, develop a self profile
academic year (timeframe) . Students 2006 performance growth record to show
academic records will be compared to their improvement, which will also serve as a
2007 academic records (measure by). tracking measurement tool.
Baseline: Students 2006 academic records
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3 . To increase (direction of change) life 3 . Pre/Post test are administered. Conduct life
management skills (area of change) of enrolled management skills, etiquette skills, financial
youth (target population) by at least 55% skills, entrepreneurial skills, culinary skills and
(degree of change) during the 2006-2007 professional development skills, 2x ' s per week
academic year (timeframe). Students 2006 for 30 weeks. College prep skills for high
academic records will be compared to their school youth will be conducted once a week
2007 records (measure by) for 12 weeks, which include, college
application, scholarship applications,
Baseline : Students 2006 Life Management SAT/ACT preparation.
Skills record
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• Dwie Bridgewater Hope Center, Inc.
OUTCOMES ACTIVITIES
Add all of the elements for your Measurable Outcome(s) Add the tasks to accomplish the Outcome(s)
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Dasie Bridgewater Hope Center, Inc.
E. COLLABORATION (Entire Section E not to exceed one page)
1. List your program 's collaborative partners and the resources that they are providing to
the program beyond referrals and support. (See individual funder requirements for
inclusion of collaborative a reement letters.
Collaborative Agency Resources provided to the program
Playground equipment, cool points supplies, spring
New Canaan Congregational Church volunteers
Special event sponsors, board volunteer
Oak Point Development
Building space
Indian River County Commissioners
Volunteers, Christmas toys, books for library
Community Church of Vero Beach
Event sponsors, Girl Scouts volunteers, Fundraising
The Hill Group event
Volunteer w/Girl Scouts, Board volunteer, Event
Charlotte Terry Real Estate Agency sponsor
Volunteers, Summer recreation sponsor
� Orchid Island Rotary Club
Crime Prevention/Drug Awareness programs, Jail tours,
Indian River County Sheriff Courthouse tours and Courthouse observation tours
Department
Sponsor of SBI Business program, volunteers
Grand Harbor Giving Foundation
Reading material, 2 part-time reading teachers, FCAT
Indian River County School District material, guestspeakers
Volunteers, Event sponsors, Sponsors Christmas for
Disney Resort of Vero Beach youth @ DHC
Feed at risk youth into our summer recreation program
Youth Guidance
Landscaping, sprinkler system, plants, volunteers,
John' s Island Garden Club gardening supplies and teacher
Volunteers, adopt —a — family, mentoring, event
Jr. League of Vero Beach sponsors
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. Dasie Bridgewater Hope Center, Inc.
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 131 ?
An initial application is taken before entering Dasie Hope Center, which lists, name, age, gender,
ethnic background, school lunch (free or reduced), and general parent information (such as,
employment, guardianship). Daily sign-in attendance is taken, academic performance is tracked
through report cards and progress reports via Indian River County School District.
86% of youth are on free lunch program, 14% of youth are on reduced lunch program. This
information is furnished from parent or school district, which qualifies youth for services at
Dasie Hope Center. Latch-key, low-income, free/reduced lunch program, failing grades,
attendance problems are the key pieces for qualifying for Dasie Hope Center Afterschool
Program.
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?
A pre/post test is given at the entry/ending of a non-academic activity. Achievement in computer
classes, business class and cooking classes are all reflected in our youth report cards. During the
past 2006 academic school year, there has been a significant improvement of 6% in math grades
among 6b — 12`h grade participants. Youth are learning and retaining fractions and percentages
skills in a fun and creative way, which has reflected in their improved grades.
Reports, attendance reports, progress reports and disciplinary reports are furnished through
Indian River County School District (per signed permission slips from parents/guardians) .
Contacts with school district teachers and administers has made this process an easy way to track
youth performances and make home visits if necessary .
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Dwie Bridgewater Hope Center, Inc.
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?
Quarterly reports and mid-year presentations are given to board members and the Children' s
Service Advisory Committee to show the occurred change. Collected data and information is put
into a newsletter and shared with funders, potential funders, parents, youth, clubs, and the IRC
school district. An award ceremony is held at the end of the school to praise and encourage
youth to continue their success and set higher goals each year.
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Dasic Bridgewater Hope Center, Inc.
G. TIMETABLE (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
June Report cards are reviewed(for placement into appropriate reading &
math for summer program). Reading & Math included in summer camp
3x' s a week. Recreation/educational field trips. Life skills & table
manners begin.
Julv Summer camp continues. End of camp awards & picnic planned.
August Summer camp over. Back-to-school supplies given out.
Parents/guardian invited to sign-up kids, meet staff and volunteers.
September Mentoring and computer programs begin. New student one-on-one
interviews begin. Business class "orientation night", parents/guardian
and sponsors are invited to meet each other. Youth paint coffee cups at
Vero Beach Museum (to sell in Nov)
October Progress reports reviewed. Youth start producing year-end calendars.
Parent Support group begin. Can drive starts for Thanksgiving.
November Thanksgiving baskets given to the elderly. Thanksgiving dinner
prepared at Center by youth. Youth sell hand-painted coffee cups .
December Wabasso Everyday Hero fundraiser (honoring deserving community
residents). Disney Resort Christmas party @DHC for youth, Youth
complete calendars
January Semester exam study sessions start weekly (3x' s a week for middle-
high school). FCAT tutoring begins. Calendars go on sell .
February FCAT tutoring continues. Report cards are reviewed (appropriate steps
for improvement are taken if necessary). Black History play presented
at Volunteer/Donor event. Summer calendar planning starts .
March Business student visit a college. FCAT testing in school. Dasie Hope
(practice) FCAT testing. Crabfest fundraiser. College car wash(fixnds
go to high school graduate
April Carwash continues.
May FCAT results in. All reports cards reviewed. End year award events.
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a
Dme Bridgewater Hope Center. Inc.
H. PROJECTIONS FOR UNDUPLICATED CLIENTS
Number of U sated Clients by Location
Last Fiscal Year Current Fiscal Year Next Fiscal Year
Location Actual 200412005 Budget 2005% Projections2006/07
Unduplicated Clients Unduplicated Clients Unduplicated Clients
N. Indian River County 88 100
S. Indian Rive' Cotuity
Indian River Co. Total 88 100
Greater Stuart _
Hobe Sound
Indiantovm _
Jensen Beach
Palm City
Martin County Total
Fat Pierce
Pat Saint Lucie
St. Lucie Co. Total
Other Locations
TOTAL SERVED
881 100
Number of Unduplicated Clients by Age
Last Fiscal Year Current Fiscal Year Next Fiscal Year
Location Actual 2004/2005 Budget 2005/06 Projections 2006/07
Individuals Group Individuals Group Individuals Group
0 to 4 - (Pre-school)
5 to 10 - (Elementary) - - 34 36 -
11 to 14 - (Middle) 39 - 46
15 to 18 - (High School) - 15 - 18 -
Total Children 88 100
19 to 59 - (Adults)
60 + (Seniors)
Told Adults
TOTAL SERVED - 88 - 100 -
15
Edit this Header. Type the organization and program name and the funder for whom it is being completed. The page # is already set at the bottom right
of every page.
I. BUDGET FORMS - To open the Budget Forms, please double-click on the icon below.
"Core Budget Forms"
16
Type the Organization and Program Name
UNIFORM GRANT APPLICATION
BUDGET NARRATIVE WORKSHEET
IMPORTANT: The Budget Narrative should provide details to justify 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.
DASIE BRIDGEWATER HOPE CENTER, INC .
CHILDRENS ADVISORY COUNCIL
CAUTION : Do not enter any figures where a cell is colored in dark blue Formulas and/or links are in place. Gray areas should
be used for providing information and calculations only.
REVENUES Proposed Total Program Budget Funder Specific Total Agency
Budget Budget
1 Children's Services Council-St. Lucie
2 Children's Services Council-Martin
3 Advisory Committee-Indian River 80,000.00 80,000.00 80,000.00
4 United Way-St. Lucie County
5 United Way-Martin County
6 United Way-Indian River County 57 ,000.00 0.00 57,000.00
7 Department of Children & Families
8 County Funds
9 Contributions-Cash 68 ,500.00 68,500.00
10 Program Fees 3,800.00 3,800.00
11 Fund Raising Events-Net 10 ,000.00 10,000.00
12 Sales to Public - Net
13 Membership Dues
14 Investment Income
15 Miscellaneous
16 Legacies & Bequests
17 Funds from Other Sources
18 Reserve Funds Used for Operating
19 In-Kind Donations (Not included in total) 35,665.00
20 TOTAL REVENUES
(doesnt include line 19) $219,300.00 $80,000. 00 $219, 300.00
B C
EXPENDITURES A Funder Specific Proposed Total Program Budget P Total Agency
Budget Budget
21 Salaries - (must complete chart on next page) 150,000.00 47,750.00 150,000.00
22 FICA - Total salaries x 0.0765 11 ,475.00 2,352 .00 11 ,475.00
Retirement - Annual pension tor qua to
23 staff
l e eat - e ica enta ort-term
24 Disab.
Workers Compensation - emp oyees x
25 rate 1 ,418.00 450.00 11418.00
Florida Unemployment - It projected
26 employees x $7,000 x UCT-6 rate 1 ,906.00 459.00 11906 .00
5M/20M
e-t
Type the Organintion and Program Name
SALARIES I Gross 11 IV
Annual Sala Portion of Sala on Proposed III % of Gross Annual
POSITION LISTING Salary Salary P
Position Title / Total Hrs/wk (Agency) Program Funder Speck Budget Salary
Requested(CIA)
Example: Executive Director/40hrs 70,000.00 10,000.00 5,000.00 7.14%
EXECUTIVE DIRECTOR (40 HRS) 43,500.00 43 ,500.00 21 ,750.00 50.00%
SECRETARY (40 HRS) 18,375 .00 18 ,375.00 9,000.00 48.98%
ADMINISTRATIVE ASSISTANT 30,000 .00 30 ,000.00 0.00%
TUTORS (3) 20,225.00 20 ,225.00 12,000.00 59.33%
SUMMER PROGRAM (5) 16,000.00 16,000.00 0.00%
NUTRITIONIST 7,500.00 7,500.00 0 .00%
CUSTODIAN/GROUNDS 14,400 .00 1T,400.00 5,000.00 34.72%
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
Remaining positions throughout the agency
Total Salaries $150,000.001 $150,000 .00 $47,750.00 31 .83%
FRINGE BENEFITS DETAIL
(Funder Specific Budget 1 Funder 11 111 IV V VI wl
Specific Budget FICA 7.65%. Pension Health Workers Unemployme Total Fringes Funder
Position only, from line 21 to 26) (Ax %) Ins. Compens. of Compens. Specific
Position Title / Tota! Hrs/wk
Example: Case Manager/40 hm 5,000.00 382.50 200.00 500.00 300.00 200.00 11582.50
EXECUTIVE DIRECTOR (40 HRS) 21 ,750.00 1 ,663.88 1 ,663.8
SECRETARY (40 HRS) 9,000.00 688.50 688.50
ADMINISTRATIVE ASSISTANT 0.00 0.00 0.00
TUTORS (3) 12,000.00 918.00 918.00
SUMMER PROGRAM (5) 0.00 0.00 0.00
NUTRITIONIST 0.00 - 0.00 0.00
CUSTODIAN/GROUNDS 5,000.00 382.50 382.50
0 0.00 0.00 0.00
0 0.00 0.00 0.00
0 0.00 0.00 1 0.00
0 0.00 0.00 0.00
0 0.00 0.00 0.06
0 0.00 0.00 0.0
0 0.00 0.00 0.0
0 0.00 0.00 0.0
0 0.00 0.00 0.0
0 0.00 0.00 0.0
0 0.00 0.00 1 0.00
0 0.001 0.00 0.00
D 1 0.001 0.00 0.0
Total Funder Request Fringe Benefits 7,750. 3,65 .881 $0.001 $0.0010.00 0. 881
s 2312006
e-i
Type the Organization ai Program Name
B C
EXPENDITURES Proposed Total Program Budget Funder Specific Tota! Agency
Budget Budget
27 Travel-Daily 22250.00 1 ,000,00F 2,250 .00
# of Staff x average # of miles/wk x 50 wks x
$ = Estimated Daily Travel/Mileage Reimb.
28 Travel/Conferencesrrraining
• National Conference (cost per staff)
• Training/Seminar (cost per staff)
• Other Trainings (cost of travel, lodging ,
registration, food)
29 Office Supplies 4,000.001 1 ,500.001 4,000 .00
• Office supplies (monthly average x 12
months = estimated cost of office supplies
based on present history.
30 Telephone 4,800.00 2,400.00 4,800 .00
• # Phone lines x average cost per month x
12 months = local phone cost
Average long distance calls x 12 months =
Estimated cost of long distance
31 Postage/Shipping 200.001 150.001 200.00
• Quarterly Mailing of Newsletter
• Special events, etc.
• Bulk mailings - appeals
32 Utilities 4,800.001 4,800.00
• Electricity ($ x 12 months)
• Water/Sewer ($ x 12 months)
• Garbage ($ x 12 months)
33 Occupancy (Building & Grounds) 6 ,000.001 3 ,000.001 6,000.00
• Mortgage/Rent ($ x 12 months)
• Janitorial ($ x 12 months)
• Grounds Maint. ($ x 12 months)
• Real Estate Taxes
34 Printing & Publications 1 ,500.001 1 ,000.001 1 ,500.00
• Quarterly Newsletter ($ x 4)
• Letterheads, Envelopes, etc.
• Fundraising materials
• Other
35 Subscription/Dues/Memberships 275.001 150 .00F 275.00
• Membership to National Organization
• Dues
• Subscriptions to Newspapers/magazines,
etc.
36 Insurance 13,500 .001 6,750.001 13,500 .00
• Directors/Officers Liab.
• CommerciallGeneral Insurance
- Bond Ins.
• Auto Insurance
37 Equipment:Rental & Maintenance 500.001 1 500.00
• Copier lease ($ x 12 months)
• Meter lease ($ x 12 months)
• Copier Maintenance ($ x 12 months)
• Computer Maintenance ( $ x 12 months)
• Other
38 Advertising 200.00 200 .00
• Newspaper ads
• Fundraising ads/promotions
• Other (vacancies)
39 Equipment Purchases :Capital Expense
• Computer/monitor (# x $)
• Laser Printer
stzanoos
_t
Type the Organization and Program Name
40 Professional Fees (Legal, Consulting) 3,600.00 1 ,800 .001 3 ,600.00
• Legal advice ( estimated #hrs x $)
• Consultant fees
• Other
41 Books/Educational Materials 1 ,200.001 0.001 1 ,200.00
• Bookstvideos
• Materials ($ x staff)
42 Food & Nutrition 3,000.00 1 ,839.00 3,000 . 00
• Meals ( # meals x clients x 5days x 50 wks)
• Snacks
43 Administrative Costs
• Admin. Cost (% of total budget)
44 Audit Expense 51000.00 3,500.00 5,000.00
• Independent Audit Review
45 Specific Assistance to Individuals
• Medical assistance
• Meals/Food
• Rent Assistance
• Other
46 OtherlMiscellaneous 3,500 .001 3,500.001 31500.00
• Background checkidrug test
• Other
47 Other/Contract
• Sub-contract for program services
46 TOTAL EXPENSES $219 , 124.00 $80,000.00 $219, 124.00
5/23!2006
B-0
' Tp he aq� r m " RWme
UNIFORM GRANT APPLICATION
TOTAL AGENCY BUDGET
AGENCY/PROGRAM NAME: DAISE BRIDGEWATER HOPE CENTER INC
FY 04105 FY 05/D6 FV 06/D7 % INCREASE
Dec. 31 31-Dec FYE_DEC 31 CURRENT VS.
2005 2005 2006 NEXT FY BUDGET
A B C D
TOTAL ACTUAL PROPOSED (col. C<d. B)kol. e
REVENUES BUDGETED BUDGETED
1 Children's Services Council-St Lucie 0.00 #DIV/01
2 Children's Services Council-Martin 0.00 #DIV/01
3 Advisory Committee-Indian River 100 000.00 65 431.00 80 000.00 22.27%
4 United Way-St Lucie County 0.001 #DIV/OI
5 United Way-Martin County 0.00 #DIV101
6 United Wa 4ndian River County 60 000.00 60 000.00 57 000.00 -5.DO%
7 Department of Children & Families 0.00 #DIV101
8 County Funds 0.00 #DIV101
9 Contributions-Cash 10 000.00 43 515.00 68 500.00 57.42%
10 Program Fees 31662.00 3800.00 3.77%
11 Fund Raising Events-Net 15 000.00 2,168.00 10 000.00 361 .25%
12 Sales to Public-Net 0.00 11
13 Membership Dues 0.00 #DIVI01
14 Investment Income 380.00 0.00 -100.00%
15 Miscellaneous 0.00 #DIV/DI
16 Legacies & Bequests 0.00 #DIV101
17 Funds from Other Sources 51663.00 0.00 -100.00%
18 Reserve Funds Used for Operating 0.00 #DIVIDI
is In-Kind Donations (NW iMWea lntwD 35590.00 0.00 AD0.00%
20 TOTAL 185 000.00 180r819.00 219 300.00 21 .28%
EXPENDITURES
21 Salaries 102 500.00 150 119.00 150 000.00 -0.08%
22 FICA 7841 .00 11484.00 11475.00 -0.08%
23 Retirement 0.00 #DIV101
24 Life/Health 0.00 #DIV101
25 Workers Compensation 1219.00 1418.00 1418.00 0.00%
26 Florida Unemployment 756.00 2t575.00 1 906.00 -25.98%
27 Travel-Dally 3,900.001 5175.00 2250.00 -56.52%
28 Travel/ConferenceSITrainin 1.000.001 0.00 #DIV/01
29 Office�Supplles 51000.00 3s326.00 4 000.00 20.26%
30 Telephone 2500.00 5294.D0 4800.00 -9.33%
31 Postage/Shipping 1 500.00 275.00 2DO.00 -27.27%
32 Utilities 5000.00 4250.D0 4800.00 12.94%
33 Occupancy (Building & Grounds 500.00 6702.00 6000.00 -10.47%
34 Printing & Publications 2000.00 1500.00 #DIV101
35 Subscrl tion/DueslMembershi s 500.00 311 .00 275.00 -11.58%
36 Insurance 8,000.00 1202500 13 500.00 12.27%
37 E ui ment:Rental & Maintenance 1,500.00 134.00 500.00 273.13%
38 Advertising 2000.00 197.00 200.00 1 .52%
39 Equipment Purchases:Ca ital Ex ense 15;000.00 0.00 #DIV101
40 Professional Fees (Legal, Consultin 6,000.00 4,950.00 3 600.00 -27.27%
41 Books/Educational Materials 7,000.00 132.00 1 ,200.00 809.09%
42 Food & Nutrition 4.000.00 2 044.OD 3.000.00 46.77%
43 Administrative Costs 1850.00 0.00 #DIV101
44 Audit Expense 4,500.00 32000.00 5 000.00 66.670A
45 Specific Assistance to Individuals 250.00 4 300.00 0.00 -100.00%
46 Other/Miscellaneous 684.00 4957.00 350000 -29.39%
47 OthedContract 0.00 #DIV/01
4a TOTAL 185 000.00 222 668.00 219 124.00 -1.59%
4s REVENUES OVER! UNDER EXPENDITURES 0.D0 41 ,849.00 176.00 -100.42%
Tm
UNIFORM GRANT APPLICATION
TOTAL PROGRAM BUDGET
AGENCY/PROGRAM NAME: DASIE BRIDGEWATER HOPE CENTER, INC.
FY 04/05 FY 05/D6 FY 06107 %. INCREASE
FYE FYE FYE CURRENT VS.
NEXT FY BUDGET
A 8 C D
ACTUAL TOTAL PROPOSED (col. C<ol. BIIcd. B
REVENUES BUDGETED BUDGETED
1 Children's Services Council-St. Lucie 0.00 #DIV/01
2 Children's Services Council-Martin 0.00 #DIV101
3 Advisory Committee-Indian River 65 431 .00 100 000.00 80 000.00 •20.00%
4 United Way-St. Lucie County 0.00 #DIV101
5 United Way-Martin County 0.00 #DIV101
6 United Wa -Indian River County60 000.00 60 000.00 57 000.00 •5.00%
7 Department of Children & Families 0.00 #DIV/01
6 County Funds 0.00 #DIV/01
9 Contributions-Cash 43 515.00 10 000.00 66 500.00 585.00%
to Pro ram Fees 3662.00 3800.D0 #DIV/01
11 Fund Raising Events-Net 2168.00 15000.00 10000.00 •33.33%
12 Sales to Public-Net 0.00 #DIV/01
13 Membership Dues 0.00 #71V101
14 Investment Income 380.00 0.D0 #DIV101
i5 Miscellaneous 0.00 #DIV101
16 Legacies & Bequests 0.00 #DIVl01
17 Funds from Other Sources 5 663.00 0.00 #DIV101
i9 Reserve Funds Used for Operating 0.00 #DIV101
is In-Kind Donations (Nu inclu4 inmlz0 35590.00 35 fi65.00 #DIV101
2D TOTAL 180 819.00 185 000.00 219 300.00 18.54%
EXPENDITURES
21 Salaries 150 119.00 102 500.00 150 000.00 46.34
22 FICA 11 484.00 7 841.00 11 475.00 46.35%
23 Retirement 0.110 #DIV/01
24 Life/Health 0.00 #DIV/01
25 Workers Compensation 1418.00 1 ,219.00 1418.00 16.32%
26 Florida Unemployment 2,575.00 756.00 1 ,906.001 152.12%
27 Travel-Dally 5175.00 3900.00 2250.00 -42.31 %
26 Travel/Conferencesrrrainin 1 ;000,00 0.00 •100.00%
29 3F" Su lies 3t326.00 59000.00 4 000.00 •20.00%
30 Telephone 5 294.00 2,500.00 4 8D0.00 92.00%
31 Postage/Shipping 275.00 1 ,500.00 200.00 -86.67%
32 Utilities 4250.00 5000.00 4800.00 4.00%
33 Occupancy (Building & Grounds 6702.00 500.00 6000.110 1100.00%
34 Printing & Publications 2000.00 1500.00 -25.00%
35 Subscri tionlDues/Membershi s 311 .00 500.00 275.00 -45.00%
36 Insurance 12025.00 8000.00 13500.00 68.75%
37 Fquipmenta Rental & Maintenance 134.00 1 500.00 500.00 766.67%
36 Advertising 197.00 2,000-00 200.00 -90.00%
39 Equipment Purchases:Ca ital Expense 15 D00.00 0.00 -100.00%
40 Professional Fees (Legal, Consulting) 4,950.00 6,000.00 3 600.00 -40.00%
4t Books/Educational Materials 132.00 7 000.00 120000 -82.86%
42 Food & Nutrition 2,044.00 4.000.00 3.000.00 -25.00%
43 Administrative Costs 12860.00 0.00 -100.00%
a4 Audit Expense 3,000.00 4,500.00 5,000.00 11 .11%
45 Specific Assistance to Individuals 41300.00 250.00 0.00 -100.00%
46 Other/Miscellaneous 4,957.00 684.00 350000 411 .70%
47 Other/Contract 0.00 #DIVl01
46 TOTAL 222 668.00 185 000.00 219p124.00 18.450/6
49 REVENUES OVER/ UNDER EXPENDITURES 41 849.00 0.00 176.00 #DIVI01
LE•ANM 6�
UNIFORM GRANT APPLICATION
FUNDER SPECIFIC BUDGET
PROGRAM EXPENSES
AGENCY/PROGRAM NAME : DASIE BRIDGEWATER HOPE CENTER, INC .
FUNDER : CHILDREN 'S
ADVISORY SERVICES A B C
FY 05106 FY 05/06 % OF
TOTAL FUNDER TOTAL VS.
PROGRAM SPECIFIC FUNDER REQUEST
BUDGET BUDGET (col. B/col. A)
EXPENDITURES
21 Salaries 150,000 .00 47 , 750 .00 31 .83%
22 FICA 119475.00 21352 . 00 20.50%
23 Retirement 0.001 0.00 #DIV/0 !
24 Life/Health 0.00 0.00 #DIV/01
25 Workers Compensation 15418.00 450 . 00 31 .73%
26 Florida Unemployment 15906.00 459. 00 24.08%
27 TravelwDaily 21250 .00 11000 . 00 44.44%
28 Travel/Conferences/Training 0.00 0.00 #DIV/0 !
29 Office Supplies 4, 000 .00 1 , 500. 00 37 . 50%
3o Telephone 41800 .00 29400. 00 50. 00%
31 Postage/Shipping 200 . 00 150 .00 75.00%
32 Utilities 41800 .00 29400. 00 50.00%
33 Occupancy (Building & Grounds 61000 . 00 3 ,000.00 50.00%
34 Printing & Publications 17500 . 00 11000. 00 66.67 %
35 Subscription/Dues/Memberships 275.001 150.00 54.55%
361nsurance 13, 500 .00 69750.00 50.00%
37 Equipment: Rental & Maintenance 500.00 0 .00 0.00%
38 Advertising 200.00 0 .00 0.00%
39 Equipment Purchases : Capital Ex en 0.00 0 . 00 #DIV/01
40 Professional Fees (Legal , Consult! n 32600.00 11800 . 00 50.00%
41 Books/Educational Materials 11200.00 0 . 00 0.00%
42 Food & Nutrition 31000.00 19839. 00 61 .30%
43 Administrative Costs 0 .00 0. 00 #DIV/0 !
44 Audit Expense 51000.00 3 ,500 .00 70.00%
45 Specific Assistance to Individuals 0. 00 0.00 #DIV/01
46 Other/Miscellaneous 31500 .00 31500 . 00 100 .00%
47 Other/Contract 0.00 0. 00 #DIV/01
48 TOTAL $219 , 124. 00 $80,000 .00 1 36.51 °/
Tr ft Oryav m " POram Name
UNIFORM GRANT APPLICATION
EXPLANATION FOR VARIANCES OF 15% OR MORE
TOTAL PROGRAM BUDGET
AGENCYIPROGRAM NAME: DASIE BRIDGEWATER HOPE CENTER, INC.
FUNDER: CHILDRENS ADVISORY SERVICES
t . '. . >t '•?k; = -. „I..^'EXPLi4A1AiTION:PORYAR/ANCE == :,. : . -. mss ::, I , -
#DIV101
#DIV101
#DIV101
#DIVIO!
#DIV101
Contributions-Cash Agency did not receive funds expected from County s0 had to look t0 outside sources.
#DIV/01
#DIV101
#DIV/DI
#0111101
#DIV/01
#DI11101
#DIV101
#DIV10!
#DIV101
Salaries Hired nutri0onist part time, hired maintenance worker as opposed to subcontracting, placed tutors on payroll, raises.
FICA due to increase in payroll
#DIV101
#DIV/01
Workers Compensation due to increase in payroll
Florida Unemployment due to increase in payroll
Telephone Internet access and cell phone amounts m!sbudgeted
Occupancy (Building & Grounds addition of play9found with associated work included - alarm monitoring included
Insurance liability and vehicle insurance increases received from agent
combination of various items instead of breaking down to, printing & publications, postage, office supplies, bank charges, general
Other/Miscellaneous su lies.
#DIV/01
S w2CCM BS
Trw N�
UNIFORM GRANT APPLICATION
EXPLANATION FOR VARIANCES OF 15% OR MORE
FUNDER SPECIFIC BUDGET
AGENCY/PROGRAM NAME:
FUNDER:
EXPLANATION`FOIiVARIANCE ' � �
Salaries
#DN/01
#DN101
#DIV101
#DIV/01
#DIVIDI
#DIwD!
#DIVIDI
#DIVIDI
#DIVIDI
#DIV/O!
#DIVIDI
#DIV/D!
#DIV101
#DIVIDI
#DIV/D!
#DIw01
#DIV/O!
#DIV101
#DIVIDI
#DIwD!
#DIVIDI
#DIVI01
#DIV101
#DIVIDI
#DIVI01
#DIVI01
s MKG
B-5
EXHIBIT B
(From policy adopted by Indian River County Board of county Commissioners on February 19 ,
2002)
"D. Nonprofit Agency Responsibilities After Award 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 1s' 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 and (September 30'") must be submitted on a timely
basis . Each year, the Office of Management and 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 expense by type . These summaries
should be broken down into salaries , benefit, 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."
EXHIBIT - B -
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: Brad E. Bernauer, Director
Indian River County Human Services
184025 th Street
Vero Beach , Florida 32960-3365
Recipient: Dasie Bridgewater Hope Center
P . O. Box 701483
Wabasso, Florida 32970
Dasie Hope Center After School Program
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 provision and term 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 context indicates otherwise, words importing the singular number
include the plural number, and vise 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.
EXHIBIT - C -
Nov 28 06 01 : 05p Dasie Hope Center 772 - 589 - 4688 P . 2
Data : 11/ 22/ 2006 Time : 11131 AN To : a 5094689 - Pagel 001
-AC-QW. CERTIFICATE OF LIABILITY INSURANCE `"'�"-�'^' 1
_ 31/22/2006
PRg0.CER (772) 231-2928 FAX (772) 231-4413 TRW CERTIFICATE 15 ISSUED ASA MATTER OF INFORMATION
Felten d Associates ONLYANO CONFERS NO RIGHTS UPON THE CEP nFICATE
2911 Cardinal Drive (32963) HOLDER. THIS CERTIFICATE DOES Nor AMEND, EXTEND OR
ALTER_ THE COVERAGE AFFORDED ST THE POLICIES BELOW.
P . O. Boz 3488 - — �—
Vero Beach , FL 32964-3498 '3 INSURERS AFFORDING COVERAGE J _ NAKN
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P . O . Box 701483 �L vsxlme Progressive Express —I1L193
L Rabass0, FL 32970 xecc Florida Retail Federation—
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COVERAGES
THE POLICIES OF '4SORANCE LISTED BELOW rfAVE SEEN ISSIm TO THE NSURED IMMEO ABOVE FOR THE POLICY PERIOD INDICATED. N0 rmTHm %VDN6
My REWIREMENT, TERN OR CONDTION OF AMYCONTRACT OR OTHER DOCAENT WITH RESPECT TO WHICH THIS CERTIFICATt. MAY BE ISSUED ( R
MAY PERTAIN. THE INSURANCE AFFORDED BY THE POUCIES DESCRIBED HEREIN IS SUBJECTTO ALL THE TERMS. FXCLUSIONS AND CONDITIONS OF :<LCH
POLICIES. AGGREGATE LIMITS SROM MAY HAVE BEEN REDUCED BY PAW CLAIMS.
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CERTIFICATE HOLDER CANCELLATION
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ERMTION Wf 1HF1%OF. TE msU MIJURW6i RD9AVOaTC MLIL
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Indian River Cwnty Board of Commissioners &lfiAA(RE 19 M1k 94KM NOIILE 9HKL Wo9E ND OBLRMTNNFR LIA9aNY
1840 25th Street wAnN NOw I►eRra: rwNe. l*s Al"BR9 Ml&Ilf9EMATNE9.
Vero Beach , FL 32960-3365 NAHAelEDR 11414JfATNE
Kenneth D. Felten LUTCF 3CAw
ACORD 25 (2002104) OACORO CORPORATION 1YBB