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HomeMy WebLinkAbout2007-308D Indian River County Grant Contract This Grant Contract ("Contract" ) entered into effective this day of October 2007 b and between Indian River County, a political subdivision of the State of Florida , 1801 27 Street, Vero Beach FL , 32960 ("County") and Indian River County Healthy Start Coalition , Inc. ( Recipient) ; of: 1603 19th Avenue , Vero Beach , FL 32960 For: TLC 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"). - 1 - Indian River County Grant Contract This Grant Contract ("Contract" ) entered into effective this day of October 2007 b and between Indian River County, a political subdivision of the State of Florida , 1801 27 Street, Vero Beach FL , 32960 ("County") and Indian River County Healthy Start Coalition , Inc. ( Recipient) ; of: 1603 19th Avenue , Vero Beach , FL 32960 For: TLC 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"). - 1 - 3 . Term . The Recipient acknowledges and agrees that the Grant is limited to the fiscal year 2007/2008 ("Grant Period "). The Grant Period commences on October 1 , 2007 and ends on September 30 , 2008 . 4 . Grant Funds and Payment The approved Grant for the Grant Period is Twenty Five Thousand Dollars ($25,000) . 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, 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 . The Recipient acknowledges and agrees that the County reserves the right to conduct random and unannounced monitoring of the program' s performance throughout the Grant Period . 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 it' s 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. - 2 - 3 . Term . The Recipient acknowledges and agrees that the Grant is limited to the fiscal year 2007/2008 ("Grant Period "). The Grant Period commences on October 1 , 2007 and ends on September 30 , 2008 . 4 . Grant Funds and Payment The approved Grant for the Grant Period is Twenty Five Thousand Dollars ($25,000) . 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, 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 . The Recipient acknowledges and agrees that the County reserves the right to conduct random and unannounced monitoring of the program' s performance throughout the Grant Period . 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 it' s 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. - 2 - 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 the 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 damage , including coverage for premiseslope rations , 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 Employers 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 - 3 - 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 . INDIAN RIVER COONTY Attest: J . K. B on , Clerk BOARD OF COUNTf- COMMISSIONERS By DeputyClerlZ By Gary Wheeler,. Chairman BCC Approved: !h Q Approved : o 6-ph A. aird my Administrator ApproveA as to form and legal sufficiency: Marian E. Fell , Assistant County Attorney RECIPIENT : Bim = Indian River County Healthy Start Coalition , Inc. 4 - I I 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 the 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 damage , including coverage for premiseslope rations , 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 Employers 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 - 3 - EXHIBIT A [Copy of complete proposal/application] Indian River County Healthy Start Coalition, Inc. TLC Newborn Program Children's Services Advisory Committee Grant 2007-08 PROGRAM COVER PAGE S =.. Organization Name: Indian River County Healthv Start Coalition. Inc. � tj Executive Director: Leslie Spurlock E-mail :ls urlock irchealth st .or Address : 1603 10th Avenue, Telephone : 772-563 -9118 Vero Beach, FL 32960 Fax: 772-563 -9125 Program Director: Linda Roberts E-mail: Linda Roberts2 ,doh.state.fl.us Address : IRC Health Department Telephone: 772-794-7484 1900 27th Street Vero Beach, FL 32960 Fax: 772-794-7482 Program Title : _TLC Newborn (Touch, Love. Communicate) Priority Need Area Addressed: Parental support and education targets mothers: high risk and teens. Brief Description of the Program: TLC is a responsive. accessible, evidence based, non-jud mg ental parent assistance program providing a safety net of support and resources that assist new parents struggling to establish a healthy emotional physical and mental health environment during their baby' s first year of life. Taxonomies: PH-610 . 180 — Expectant/New Parent Assistance, which provides services and education for new parents to prepare them for emotional and practical aspects of parenting and to promote bonding_and nurturing of the newborn. PH-620. 150 — Communication Training - helps parents communicate with children health professionals, and other par'ent/infant interaction skills focusing on positive growth and development. SUMMARY REPORT — (Enter Information In The Black Cells Only) Amount Requested from Funder for 2007 / 08 : $ 353000 . 00 Total Proposed Program Budget for 2007 / 08 : $ 1055500 . 00 Percent of Total Program Budget : 33 . 2 % Current Program Funding ( 2006 /07 ) : $ 25 , 000 Dollar increase /( decrease ) in request : $ 10 , 000 Percent increase / ( decrease ) in request * * 40 . 0 % Unduplicated Number of Children to be served Individually : 15297 Unduplicated Number of Adults to be served Individually : 1 ,287 Unduplicated Number to be served via Group settings : - Total Program Cost per Client : 40 . 83 * *If request increased 5 % or more, briefly explain why: We have raised minimum hourly rate by $ 1 /hour. Overall line items for Salaries FICA ( 10%) Postage (2%) Printing (33%) Educational Materials ( 11 %) and Assistance to Individuals ( 100%) costs increased over last year. If these funds are being used to match another source, name the source and the ^$ amount: NA The Organization 's Board of Directors has approved this application on (date). ��dLf I ,��s rQC 07 Debbie True l i,'o er c L —A �i _� Name of President/Chair of the Board Signature.. T r _Leslie Spurlock Name of Executive Director/CPO tgna e 2 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 . INDIAN RIVER COONTY Attest: J . K. B on , Clerk BOARD OF COUNTf- COMMISSIONERS By DeputyClerlZ By Gary Wheeler,. Chairman BCC Approved: !h Q Approved : o 6-ph A. aird my Administrator ApproveA as to form and legal sufficiency: Marian E. Fell , Assistant County Attorney RECIPIENT : Bim = Indian River County Healthy Start Coalition , Inc. 4 - Indian River County Healthy Start Coalition, Inc. TLC Newborn Program Children's Services Advisory Committee Grant 2007-08 ORGANIZATION: Indian River County Healthy Start Coalition Inc PROGRAM: TLC Newborn (Touch, Love Communicate) 2007/2008 CORE APPLICATION TABLE OF CONTENTS "X" the parts ofgrant application to indicate inclusion. Also, please put page number where the information can be located. X Section of the Pro osalPa e # X TABLE OF CONTENTS (check list). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 X COVER PAGE (with signatures) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 A. ORGANIZATION CAPABILITY (one page maximum) X 1 . Mission and Vision of organization. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 X 2. Summary of expertise, accomplishments, and population served . . . . . . . . . . . . . . . . . . . . . . . . . .. 3 B. PROGRAM NEED STATEMENT (one page maximum) X1 . Program Need Statement. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . .. . .... . . 4 X 2 . Programs that address need and gaps in service . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 C. PROGRAM DESCRIPTION (two pages maximum) X1 . Funding priority. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 X 2 . Description of program activities. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 X 3 . Evidence that program strategy will work. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 X4. Staffing. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 X 5 . Awareness of program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 X 6. Accessibility of program. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 D, MEASURABLE OUTCOMES & ACTIVITIES MATRIX (Four outcomes Xmaximum) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .. . . . . . .. . . . . . .. . . . . . . .. . . . .. . . ... . . . . . . . . . . . . . . . . . . . . . .. .. . . . . . .. . . . . . .. . . . . . . . ... . . 7-9 X E. COLLABORATION (one page maximum) . . . . . . . . . ... . . . .. . . .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 F. UNDUPLICATED CLIENTS X 1 . Projections by Location . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 X 2 . Projections by Age Group . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . 11 G. BUDGET FORMS X 1 . Financial Budget Forms Pages BI-B9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... 12 X H. FUNDER SPECIFIC 05-06 Measurable Outcomes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 I. SUPPORTING DOCUMENTS Officers & Directors, Financial Audit, HRS 990, Balance Sheet & Budget, Staff Organizational Chart, 501 (c)3 IRS letter, Articles of Incorporation, Bylaws, Affirmative Action Plan, Nepotism Statement, Taxonomy Definition, Testing X Materials 1 Indian River County Healthy Start Coalition, Inc. TLC Newbom Program Children's Services Advisory Committee Grant 2007-08 PROPOSAL NARRATIVE A. ORGANIZATION CAPABILITY (Entire Section A not to exceed one page.) 1 . Provide the mission statement and vision of your organization. Our mission is to establish a system in Indian River County that guarantees all women access to prenatal care and all infants access to services that promote normal growth and development. Our vision is to provide every family the opportunity to maximize their child' s potential before, during and after birth. Our programs concentrate on reducing risks that impact the mother' s and caregivers' relationships with the child because this is the infant' s environment. A child ' s environment impacts their physical well being and their emotional/mental health for life. 2. Provide a brief summary of your organization including areas of expertise, accomplishments, and population served. The Coalition, incorporated in 1993 is a private not for profit established by Indian River County citizens interested in making local decisions for state dollars and developing the types of maternal child health programs needed for our community. Through state statute and grants the Coalition is a private-public organization authorized by the state to plan, develop, implement and evaluate maternal/child health programs and processes in Indian River County. Through contracts with the State of Florida the Coalition is the sub-recipient of federal and state MCH dollars. The Coalition' s Board develops and approves budgets for three programs funded by the state. The fourth program, TLC Newborn was developed by members of the Coalition in 1997 and is locally funded. The Coalition establishes collaboration among providers to promote and maximize access to services for pregnant women and infants up to age five . Since the Coalition' s inception, the county' s infant death rate has dropped from a rate of 12 . 04 in 1993 to 5. 1 in 2005 . Coalition staff members work with obstetric and pediatric providers and IRMC to bring families at risk into programs appropriate for their needs. All pregnant women have the opportunity to complete the Healthy Start prenatal and infant risk screens. Healthy Start focuses on reducing risks for pregnant women and teens, so a healthy baby is born. TLC Newborn serves as a helpline for all parents and safety net for high risk families (especially teens) who may not have completed the prenatal screening. Healthy Families' focus is on reducing risks associated with neglect and child abuse. Healthy Families models positive parent/child interaction using home visitors and a child development curriculum. The Coalition also administers MomCare, a Medicaid Choice Counseling program that is contracted out to the Health Department. Because the Coalition is the lead agency for four programs designed to reduce risk and optimize positive outcomes for pregnant women and infants, we are in a position to implement efficiencies, eliminate duplication among programs and provide a wide array of services to families as their risks are identified. The Indian River Healthy Start Coalition uniquely focuses on the child prior to birth and at the earliest stages of a child' s life. Positive experiences and positive parent/child bonding has a lifelong impact on a child' s life affecting school readiness and their mental, emotional and physical health as they grow into adulthood. 3 EXHIBIT A [Copy of complete proposal/application] Indian River County Healthy Start Coalition, Inc. TLC Newborn Program Children 's Services Advisory Committee Grant 2007-08 B. PROGRAM NEED STATEMENT (Entire Section B not to exceed one page.) 1 . a) What is the unacceptable condition requiring change? Upon arriving home within days of giving birth, mothers are thrust into monumental change, unexpected fatigue and relentless demands of a newborn infant. It is a critical time in the bonding experience, but confidence wanes over breastfeeding, sleep patterns, and family dynamics, especially if there is difficulty breastfeeding. Professional support is critical in the first few weeks post delivery ' . If she becomes unsure, she may feel guilty and desperate about being unable to cope. Without the necessary support that will nurture her and her baby, it may lead to feelings of loneliness, insecurity or depression; conditions that are unacceptable for a newborn' s mental, emotional and physical well being. Mothers, especially teens need accessible, accurate information given in a non-judgmental manner. b) Who has the need? Mothers, teen mothers, especially those attempting to breastfeed, and fathers of newborns because information and support that builds parent confidence are critical during this time period. If mothers, especially teens lack necessary support after childbirth there is risk to the child and his/her environment. c) Where do they live? Indian River County d) Provide local, state, or national trend data, with reference source, that corroborates that this is an area of need. New parents seek information from each other, their mothers and pediatricians. Physicians limit time with families and there is a significant gap in grandparents' knowledge about appropriate responses to a child' s needs. Many parents and grandparents are misinformed about the effects of not always responding to a baby's cry . Only one third of parents feel "very prepared" for parenthood even though 71 % of them understand infant brain development and experiences in the first years of life have a significant impact. Parents experiencing depression or anxiety can have a detrimental affect on the child' s development, yet 61 % of all adults and 55% of parents did not know young babies are affected by the moods of others . "How competent a parent feels can be a major factor in the parent' s sport of their child' s development"3 The need is met by responsive TLC associates who personally connect with parents and relay appropriate, research based support that will increase parental confidence, breastfeeding success, parenting skills and the child ' s environment. Support for breastfeeding is a critical health need as defined by Healthy Goals 2010. TLC provides personal guidance to mothers having problems with breastfeeding. Currently 82% of mothers seen by TLC are initiating breastfeeding in the hospital. 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. Healthy Start and Healthy Families serve a subset of pregnant women (33 %) and children ( 13 %) previously identified at risk for poor outcomes by the Healthy Start screenings. Although effective, risk is not always apparent and not all parents consent to screening for risk. By serving 86% of families in Indian River County, TLC provides an alternative method of screening for risks to children. No other program provides TLC ' s intensive breastfeeding support through certified lactation counselors. I Ryser FG. Breastfeeding attitudes, intention and initiation, Journal of Human Lactation 2004; 20(3):300-5 2 What Grown-L'vs Know About Child Development, a National Benchmark survey , www.zerotothree.org 3 DYG, Inc., What Grown-Ups Understand About Child Development. A National Benchmark Survey. Zero to Three. Executive Summary.July 2000 4 Indian River County Healthy Start Coalition, Inc. TLC Newborn Program Children's Services Advisory Committee Grant 2007-08 C. PROGRAM DESCRIPTION (Entire Section C, I — 6, not to exceed two pages. 1 . List Priority Needs area addressed. Parental Support and Education. By serving a majority of parents in the county (86% from 7/ 1 /06- 12/31 /06), TLC captures a high risk population of mothers and teen parents who have refused to be screened or assessed for other programs and services. These high risk parents will accept non-intrusive TLC services and are more likely to reveal risks and accept education from TLC family associates. 2. Briefly describe program activities including location of services. Parents are introduced to TLC at IRMC where a TLC family associate explains the program and explores their concerns and support system. IRMC personnel direct TLC associates to patients with breastfeeding needs. TLC provides education and guidance for proper positioning and reading the baby' s feeding cues. Moms are called within 1 -2 days after discharge to check on progress and to offset potential problems . Calls are made regularly based on need until the baby is six months of age. Parents, teen mothers and caregivers discuss their concerns with TLC associates. They are provided education about sleep patterns, breastfeeding, family dynamics, postpartum check ups, outside support, and emotional disposition as well as baby' s recognition of parents, bonding, discomforts experienced, vocalizing, check-ups, and immunizations. For the entire first year parents receive an age appropriate monthly newsletter. It describes and prepares parents for developmental milestones their baby will be achieving and has a special column for fathers. A private TLC Family Internet site has recently been implemented as a new outreach tool . It is available to parents 24/7. Teens are quick to identify with this method of posting questions and receiving answers to their problems. When critical needs are identified by TLC, (i.e. domestic violence, postpartum depression, or substance abuse) the family is referred to appropriate community resources . 3. 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. TLC provides a professional support and education system for parents and teen parents with newborns. Teens are especially ill prepared to respond to the needs of a newborn. Parents share their issues and readily accept best practice (research based) education and guidance from TLC on problems related to stress, depression, breastfeeding, family issues and child development. TLC improves parenting skills and builds confidence through education and support. During the first years of brain development, early child/parent experiences create patterns for lifelong learning, behaviors, and physical and mental health. When systems are put in place to monitor the development of all children continuously over time, problems that require attention can be identified early and appropriate responses can be made.4 Through conversation with TLC associates, families gain confidence to parent and breastfeed with appropriate responses to baby' s cries and physical needs. A parent ' s response to their baby' s cries can be a positive or negative environment for baby' s mental and emotional health. Currently (7/ 1 /06- 12/31 /06) 86% of families of newborns in Indian River County use TLC services. Confident parents armed with appropriate responses to their baby' s needs create a nurturing environment that is good 4 National Scientific Council on the Developing Child. The Science of Early Childhood Development. 2007 5 Indian River County Healthy Start Coalition, Inc. TLC Newborn Program Children's Services Advisory Committee Grant 2007-08 PROGRAM COVER PAGE S =.. Organization Name: Indian River County Healthv Start Coalition. Inc. � tj Executive Director: Leslie Spurlock E-mail :ls urlock irchealth st .or Address : 1603 10th Avenue, Telephone : 772-563 -9118 Vero Beach, FL 32960 Fax: 772-563 -9125 Program Director: Linda Roberts E-mail: Linda Roberts2 ,doh.state.fl.us Address : IRC Health Department Telephone: 772-794-7484 1900 27th Street Vero Beach, FL 32960 Fax: 772-794-7482 Program Title : _TLC Newborn (Touch, Love. Communicate) Priority Need Area Addressed: Parental support and education targets mothers: high risk and teens. Brief Description of the Program: TLC is a responsive. accessible, evidence based, non-jud mg ental parent assistance program providing a safety net of support and resources that assist new parents struggling to establish a healthy emotional physical and mental health environment during their baby' s first year of life. Taxonomies: PH-610 . 180 — Expectant/New Parent Assistance, which provides services and education for new parents to prepare them for emotional and practical aspects of parenting and to promote bonding_and nurturing of the newborn. PH-620. 150 — Communication Training - helps parents communicate with children health professionals, and other par'ent/infant interaction skills focusing on positive growth and development. SUMMARY REPORT — (Enter Information In The Black Cells Only) Amount Requested from Funder for 2007 / 08 : $ 353000 . 00 Total Proposed Program Budget for 2007 / 08 : $ 1055500 . 00 Percent of Total Program Budget : 33 . 2 % Current Program Funding ( 2006 /07 ) : $ 25 , 000 Dollar increase /( decrease ) in request : $ 10 , 000 Percent increase / ( decrease ) in request * * 40 . 0 % Unduplicated Number of Children to be served Individually : 15297 Unduplicated Number of Adults to be served Individually : 1 ,287 Unduplicated Number to be served via Group settings : - Total Program Cost per Client : 40 . 83 * *If request increased 5 % or more, briefly explain why: We have raised minimum hourly rate by $ 1 /hour. Overall line items for Salaries FICA ( 10%) Postage (2%) Printing (33%) Educational Materials ( 11 %) and Assistance to Individuals ( 100%) costs increased over last year. If these funds are being used to match another source, name the source and the ^$ amount: NA The Organization 's Board of Directors has approved this application on (date). ��dLf I ,��s rQC 07 Debbie True l i,'o er c L —A �i _� Name of President/Chair of the Board Signature.. T r _Leslie Spurlock Name of Executive Director/CPO tgna e 2 Indian River County Healthy Start Coalition, Inc. TLC Newborn Program Children's Services Advisory Committee Grant 2007-08 for the child' s mental and physical growth. TLC associates monitor the weight gain of breastfeeding babies and facilitate well baby check-ups and immunizations. Written information on topics specific to each family' s needs is mailed per request. TLC ' s age appropriate newsletter advises parents on what to look for in the next stage of child development. Educated parents are more likely to identify developmental delays at an early age. Early treatment may reduce or eliminate the impact of developmental delays. 4. List staffing needed for your program, including required experience and estimated hours per week in program for each staff member and/or volunteers). TLC Associates need certifications, degrees and years of experience with maternal/child education. Present certifications include doulas, a registered nurse, childbirth educators, sibling instructors, Lamaze assistants, and professional degrees including a masters in public health and certified lactation counselors. They must be highly motivated, professional and compassionate when supporting mothers and fathers who are striving to create a healthy and positive environment for their babies. Staffing currently includes a Program Manager 32hrs/week, Assistant Manager 20 hrs/week, and three Family Associates and one Clerical Assistant who each work 10 hours a week. In a recent staff retreat it was decided to expand the hours for clerk B since it has been difficult to find an additional clerk for 10 hours a week 5. How will the target population be made aware of the program? TLC initiates contact at the hospital after the birth of the baby to offer the program. IRMC personnel support TLC by recommending TLC as a resource. Pregnant women become aware of the program through word of mouth, obstetric or pediatric offices, the Healthy Start program, IR County Health Department, Care Net, Planned Parenthood, Healthy Families, and MomCare. TLC brochures describing program services are distributed through these providers. Although some births occur at home or in adjacent counties,TLC has been notified of an impending birth by the mother herself or by local physicians and midwives. Coalition and TLC personnel promote TLC Newborn by participating in community events and an annual fundraising event. In October of 2007 the Coalition is planning a community wide 10t1 Anniversary event. 6. How will the program be accessible to target population (Le., location, transportation, hours of operation)? Services are initiated in person at IRMC after the birth of the baby. TLC Family Associates adjust their schedules to visit moms in the hospital six out of seven days a week (including holidays, Saturdays and Sundays). They consult with IRMC staff every day of the week so the most number of deliveries can be accommodated. If moms are breastfeeding, one of TLC ' s three certified lactation counselors will respond to the mother' s needs . If the family has delivered somewhere else contact is made by phone or families come to the program office for assistance. Subsequent contacts are made by phone. A newly initiated Internet Group Site is accessible 2417 . Questions are posted at any time of day and are answered by TLC. 6 Indian River County Healthy Start Coalition, Inc. TLC Newborn Program Children's Services Advisory Committee Grant 2007-08 PROGRAM OUTCOMES AND ACTIVITIES MATRIX Outcome # 1 : Annually a minimum of 83 % of all Indian River families with newborns will utilize TLC Newborn services as measured by the TLC monitoring report and the number of resident births for Indian River County (State of FL vital statistics). Program Design Sr Task Management (Columns 1 -4) Evaluation Design & Data Collection �--- (Colwnns 5 -7) I - 2p 3 4 5 O 6 I—_.7_I Program Frequency ResponsibleI Parties Expected 1. Activities (how often Indicator ) (who) Outcomes/change a wh Dala Source Time of (what) g (why) Data (where) Measurement (when) (evidence) Families at IRMC One visit before TLC Newborn Families will be given the Number of completed Database will be visited after discharge. Family Associates opportunity to accept Quarterly. birth of baby and p intake forms. be offered TLC services, ask questions and services. receive evidence based guidance that will help them meet their baby's needs. 93 % of families at One visit before TLC Newborn Parent will accept TLC Number of completed Database IRMC will accept discharge. Family Associates. services. Quarterly. TLC services; calls, intake forms. breastfeeding counseling and/or the TLC newsletter. TLC Newborn Minimum of Coalition Staff, TLC Families not giving birth at Number of completed Database information will be Quarterly and as Program Manager. IRMC will be aware of the make forms for Quarterly. distributed to the needed . community, opportunity to receive TLC families not giving Physicians ' offices, services. birth at IRMC. maternal, child & health agencies and local support groups. 7 Indian River County Healthy Start Coalition, Inc. TLC Newborn Program Children's Services Advisory Committee Grant 2007-08 ORGANIZATION: Indian River County Healthy Start Coalition Inc PROGRAM: TLC Newborn (Touch, Love Communicate) 2007/2008 CORE APPLICATION TABLE OF CONTENTS "X" the parts ofgrant application to indicate inclusion. Also, please put page number where the information can be located. X Section of the Pro osalPa e # X TABLE OF CONTENTS (check list). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 X COVER PAGE (with signatures) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 A. ORGANIZATION CAPABILITY (one page maximum) X 1 . Mission and Vision of organization. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 X 2. Summary of expertise, accomplishments, and population served . . . . . . . . . . . . . . . . . . . . . . . . . .. 3 B. PROGRAM NEED STATEMENT (one page maximum) X1 . Program Need Statement. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . .. . .... . . 4 X 2 . Programs that address need and gaps in service . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 C. PROGRAM DESCRIPTION (two pages maximum) X1 . Funding priority. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 X 2 . Description of program activities. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 X 3 . Evidence that program strategy will work. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 X4. Staffing. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 X 5 . Awareness of program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 X 6. Accessibility of program. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 D, MEASURABLE OUTCOMES & ACTIVITIES MATRIX (Four outcomes Xmaximum) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .. . . . . . .. . . . . . .. . . . . . . .. . . . .. . . ... . . . . . . . . . . . . . . . . . . . . . .. .. . . . . . .. . . . . . .. . . . . . . . ... . . 7-9 X E. COLLABORATION (one page maximum) . . . . . . . . . ... . . . .. . . .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 F. UNDUPLICATED CLIENTS X 1 . Projections by Location . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 X 2 . Projections by Age Group . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . 11 G. BUDGET FORMS X 1 . Financial Budget Forms Pages BI-B9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... 12 X H. FUNDER SPECIFIC 05-06 Measurable Outcomes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 I. SUPPORTING DOCUMENTS Officers & Directors, Financial Audit, HRS 990, Balance Sheet & Budget, Staff Organizational Chart, 501 (c)3 IRS letter, Articles of Incorporation, Bylaws, Affirmative Action Plan, Nepotism Statement, Taxonomy Definition, Testing X Materials 1 Indian River County Healthy Start Coalition, Inc. TLC Newbom Program Children's Services Advisory Committee Grant 2007-08 PROPOSAL NARRATIVE A. ORGANIZATION CAPABILITY (Entire Section A not to exceed one page.) 1 . Provide the mission statement and vision of your organization. Our mission is to establish a system in Indian River County that guarantees all women access to prenatal care and all infants access to services that promote normal growth and development. Our vision is to provide every family the opportunity to maximize their child' s potential before, during and after birth. Our programs concentrate on reducing risks that impact the mother' s and caregivers' relationships with the child because this is the infant' s environment. A child ' s environment impacts their physical well being and their emotional/mental health for life. 2. Provide a brief summary of your organization including areas of expertise, accomplishments, and population served. The Coalition, incorporated in 1993 is a private not for profit established by Indian River County citizens interested in making local decisions for state dollars and developing the types of maternal child health programs needed for our community. Through state statute and grants the Coalition is a private-public organization authorized by the state to plan, develop, implement and evaluate maternal/child health programs and processes in Indian River County. Through contracts with the State of Florida the Coalition is the sub-recipient of federal and state MCH dollars. The Coalition' s Board develops and approves budgets for three programs funded by the state. The fourth program, TLC Newborn was developed by members of the Coalition in 1997 and is locally funded. The Coalition establishes collaboration among providers to promote and maximize access to services for pregnant women and infants up to age five . Since the Coalition' s inception, the county' s infant death rate has dropped from a rate of 12 . 04 in 1993 to 5. 1 in 2005 . Coalition staff members work with obstetric and pediatric providers and IRMC to bring families at risk into programs appropriate for their needs. All pregnant women have the opportunity to complete the Healthy Start prenatal and infant risk screens. Healthy Start focuses on reducing risks for pregnant women and teens, so a healthy baby is born. TLC Newborn serves as a helpline for all parents and safety net for high risk families (especially teens) who may not have completed the prenatal screening. Healthy Families' focus is on reducing risks associated with neglect and child abuse. Healthy Families models positive parent/child interaction using home visitors and a child development curriculum. The Coalition also administers MomCare, a Medicaid Choice Counseling program that is contracted out to the Health Department. Because the Coalition is the lead agency for four programs designed to reduce risk and optimize positive outcomes for pregnant women and infants, we are in a position to implement efficiencies, eliminate duplication among programs and provide a wide array of services to families as their risks are identified. The Indian River Healthy Start Coalition uniquely focuses on the child prior to birth and at the earliest stages of a child' s life. Positive experiences and positive parent/child bonding has a lifelong impact on a child' s life affecting school readiness and their mental, emotional and physical health as they grow into adulthood. 3 Indian River County Healthy Start Coalition, Inc. TLC Newborn Program Children's Services Advisory Committee Grant 2007.08 Outcome 4 2 : : Increase from 50 % to 80 % the percentage of families in TLC Newborn who report on the three month survey that they are better able to meet their baby's needs because of information received from TLC Newborn Family Associates. (Baseline of 86.5% in the first 6 months of FY 0607) Program Design & Task Management Evaluation Design & Data Collection (Columns 1 -4) Columns 5 -7) Pro ram Activities Frequency Responsible Ex ected ] 2aeatroerrments iData Source =surement g 9 Y p P (what) (how often) Parties (who) Outcomes/change (why) (where)dence _ Family Associates call Weekly, Family Associates. Families will be given the Chart notes. Chart. Quarterly. families to provide monthly until opportunity to ask guidance, address baby is 6 questions and receive questions and concerns months old or evidence based guidance and support parents with as needed , that will help them meet education and their baby' s needs. encouragement. Calls from TLC Newborn Daily as needed Family Associates. Families will be given the Chart notes . Chart. Quarterly. families will be answered per steeds of guidance, assurance, and and responded to quickly family. information as requested . with appropriate information. Evidence based age Monthly. Data Clerk, Families will be provided Newsletters Postal bulk mail Monthly. appropriate newsletter Assistant Program evidence based information mailed receipt. will be provided to all Manager and on developmental stages, monthly. families utilizing TLC Volunteers. toy safety, tips for Dads, Newborn, baby' s cries, stress relievers for parents, touch, love and communicating with baby. 8 Indian River County Healthy Start Coalition, Inc. TLC Newborn Program Children 's Services Advisory Committee Grant 2007-08 Outcome # 3 • 25% of families enrolled in TLC will make contact to request additional iuformation, validation or referrals. (Baseline 30% in first 6 months of FY 0607) Program Design & Task Management Evaluation Design & Data Collection (Columns 1 -4) (Columns 5-7) Program Activities Frequency Responsible Expected Indicator Data Source Time of ' (what) ( ow often) Parties (who) Outcomes/than a wh Outcomes/change (why) Measurements (where) Measurement (evidence) when The TLC Newborn phone Daily per need TLC Newborn Families will be given the Number of Database number magnet and Family Associates opportunity to contact TLC completed Quarterly. Internet site information and Data Clerk. with questions and intake forms. are distributed to all families contacted by concerns. TLC. Calls from TLC Newborn Daily as needed Family AssociatesFamilies will be given the Number of Call Log. uarterl families will be answered per needs of guidance, assurance, and calls logged . Q Y . and responded to quickly family. information as requested, with appropriate information. Emails from TLC Access 24 hours Family Associates. Families will be given the Newborn families using a day. Private Internet Private Group Site. Quar[erlY guidance, assurance, and Group Data. the TLC Private Internet information as requested Group will be answered through responses from and responded to quickly TLC or from a variety of with appropriate pre-selected links on the information. site. 9 Indian River County Healthy Start Coalition, Inc. TLC Newborn Program Children 's Services Advisory Committee Grant 2007-08 B. PROGRAM NEED STATEMENT (Entire Section B not to exceed one page.) 1 . a) What is the unacceptable condition requiring change? Upon arriving home within days of giving birth, mothers are thrust into monumental change, unexpected fatigue and relentless demands of a newborn infant. It is a critical time in the bonding experience, but confidence wanes over breastfeeding, sleep patterns, and family dynamics, especially if there is difficulty breastfeeding. Professional support is critical in the first few weeks post delivery ' . If she becomes unsure, she may feel guilty and desperate about being unable to cope. Without the necessary support that will nurture her and her baby, it may lead to feelings of loneliness, insecurity or depression; conditions that are unacceptable for a newborn' s mental, emotional and physical well being. Mothers, especially teens need accessible, accurate information given in a non-judgmental manner. b) Who has the need? Mothers, teen mothers, especially those attempting to breastfeed, and fathers of newborns because information and support that builds parent confidence are critical during this time period. If mothers, especially teens lack necessary support after childbirth there is risk to the child and his/her environment. c) Where do they live? Indian River County d) Provide local, state, or national trend data, with reference source, that corroborates that this is an area of need. New parents seek information from each other, their mothers and pediatricians. Physicians limit time with families and there is a significant gap in grandparents' knowledge about appropriate responses to a child' s needs. Many parents and grandparents are misinformed about the effects of not always responding to a baby's cry . Only one third of parents feel "very prepared" for parenthood even though 71 % of them understand infant brain development and experiences in the first years of life have a significant impact. Parents experiencing depression or anxiety can have a detrimental affect on the child' s development, yet 61 % of all adults and 55% of parents did not know young babies are affected by the moods of others . "How competent a parent feels can be a major factor in the parent' s sport of their child' s development"3 The need is met by responsive TLC associates who personally connect with parents and relay appropriate, research based support that will increase parental confidence, breastfeeding success, parenting skills and the child ' s environment. Support for breastfeeding is a critical health need as defined by Healthy Goals 2010. TLC provides personal guidance to mothers having problems with breastfeeding. Currently 82% of mothers seen by TLC are initiating breastfeeding in the hospital. 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. Healthy Start and Healthy Families serve a subset of pregnant women (33 %) and children ( 13 %) previously identified at risk for poor outcomes by the Healthy Start screenings. Although effective, risk is not always apparent and not all parents consent to screening for risk. By serving 86% of families in Indian River County, TLC provides an alternative method of screening for risks to children. No other program provides TLC ' s intensive breastfeeding support through certified lactation counselors. I Ryser FG. Breastfeeding attitudes, intention and initiation, Journal of Human Lactation 2004; 20(3):300-5 2 What Grown-L'vs Know About Child Development, a National Benchmark survey , www.zerotothree.org 3 DYG, Inc., What Grown-Ups Understand About Child Development. A National Benchmark Survey. Zero to Three. Executive Summary.July 2000 4 Indian River County Healthy Start Coalition, Inc. TLC Newborn Program Children's Services Advisory Committee Grant 2007-08 C. PROGRAM DESCRIPTION (Entire Section C, I — 6, not to exceed two pages. 1 . List Priority Needs area addressed. Parental Support and Education. By serving a majority of parents in the county (86% from 7/ 1 /06- 12/31 /06), TLC captures a high risk population of mothers and teen parents who have refused to be screened or assessed for other programs and services. These high risk parents will accept non-intrusive TLC services and are more likely to reveal risks and accept education from TLC family associates. 2. Briefly describe program activities including location of services. Parents are introduced to TLC at IRMC where a TLC family associate explains the program and explores their concerns and support system. IRMC personnel direct TLC associates to patients with breastfeeding needs. TLC provides education and guidance for proper positioning and reading the baby' s feeding cues. Moms are called within 1 -2 days after discharge to check on progress and to offset potential problems . Calls are made regularly based on need until the baby is six months of age. Parents, teen mothers and caregivers discuss their concerns with TLC associates. They are provided education about sleep patterns, breastfeeding, family dynamics, postpartum check ups, outside support, and emotional disposition as well as baby' s recognition of parents, bonding, discomforts experienced, vocalizing, check-ups, and immunizations. For the entire first year parents receive an age appropriate monthly newsletter. It describes and prepares parents for developmental milestones their baby will be achieving and has a special column for fathers. A private TLC Family Internet site has recently been implemented as a new outreach tool . It is available to parents 24/7. Teens are quick to identify with this method of posting questions and receiving answers to their problems. When critical needs are identified by TLC, (i.e. domestic violence, postpartum depression, or substance abuse) the family is referred to appropriate community resources . 3. 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. TLC provides a professional support and education system for parents and teen parents with newborns. Teens are especially ill prepared to respond to the needs of a newborn. Parents share their issues and readily accept best practice (research based) education and guidance from TLC on problems related to stress, depression, breastfeeding, family issues and child development. TLC improves parenting skills and builds confidence through education and support. During the first years of brain development, early child/parent experiences create patterns for lifelong learning, behaviors, and physical and mental health. When systems are put in place to monitor the development of all children continuously over time, problems that require attention can be identified early and appropriate responses can be made.4 Through conversation with TLC associates, families gain confidence to parent and breastfeed with appropriate responses to baby' s cries and physical needs. A parent ' s response to their baby' s cries can be a positive or negative environment for baby' s mental and emotional health. Currently (7/ 1 /06- 12/31 /06) 86% of families of newborns in Indian River County use TLC services. Confident parents armed with appropriate responses to their baby' s needs create a nurturing environment that is good 4 National Scientific Council on the Developing Child. The Science of Early Childhood Development. 2007 5 Indian River County Healthy Start Coalition, Inc. TLC Newborn Program Children's Services Advisory Committee Grant 2007-08 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 agreement letters.) Collaborative Ageng Resources provided to the program Indian River County Health IRCHD provides free personnel services, supervision, Department payroll services, storage space, cleaning, office space, All resources provided in-kind conference rooms, fax and phone service and access to without an administrative fee. office equipment for copying, printing and postage. Indian River County Healthy Start 1RHSC provides program development, training Coalition opportunities, integration and consistent communication among programs and the community, grant writing and All resources provided in-kind development, fundraising; PR, QA/QI, budgeting and without an administrative fee. fiscal accountability, marketing, presentations, and representation of TLC in the community. Indian River Medical Center Provides access to mothers with strict adherence to confidentiality guidelines; storage space for TLC All resources provided in-kind paperwork, manuals and references, positive promotion without an administrative fee. of TLC by hospital staff, access to labor and delivery staff, meeting rooms, and communication between medical providers and TLC staff. IRC Healthy Start Care Coordination Care coordinators raise awareness of TLC through Program contact with mothers of babies bom outside of IRC and coordinate services between TLC and Healthy Start depending on the family' s risk factors. For families at risk, Healthy Start will provide case management for up to three years if needed; serving families who are not capable of managing the risk themselves (i .e. teen moms, homeless, multiple births, medical needs, developmental delays, domestic violence, drug or alcohol abuse, postpartum depression). Healthy Start can provide mental health and nutrition counseling. IRC Healthy Families Program Family Support Workers begin during the prenatal period to link parents to TLC services and Wee Wisdom newsletter. They will provide parenting guidance through structured home visits; teach parents the Great Growing Kids curriculum, promote positive parent interaction and enhance parenting skills and the child' s development. MomCare Program The Maternity Care Advisor is aware of high risk mothers delivering outside of IRMC and encourages families to call TLC and is able to share contact information with client permission. 10 Indian River County Healthy Start Coalition, Inc. TLC Newborn Program Children's Services Advisory Committee Grant 2007-08 F. UNDUPLICATED CLIENTS Number of Unduplicated Clients by Location Last Fiscal Year Current Fiscal Year Next Fiscal Year Location Actual 2005/2006 Budget 2006/07 Projections 2007/08 Unduplicated Clients Unduplicated Clients Unduplicated Clients North Indian River Co. 2,591 23522 2,685 South Indian River Co. - - _ Indian River Co Total 2,591 2,522 2,685 Greater Stuart - Hobe Sound Indiantown - - Jensen Beach Palm City Martin County Total Fort Pierce Port Saint Lucie St. Lucie Co. Total _ Other Locations _ _ TOTAL SERVED 2,591 2,522 21685 Number of Unduplicated Clients by Age Last Fiscal Year Current Fiscal Year Next Fiscal Year Location Actual 2005/2006 Budget 2006/07 Projections 2007/08 Individuals Group Individual Group Individuah Group 0 to 4 - (Pre-school) 1 ,301 - 1 ,272 - 1,301 - 5 to 10 - (Elementary) - - - - 11 to 14 - (Middle) 7 - 2 - - - 15 to 18 - (High School) 108 - 73 - 87 Total Children 1 ,416 - 1 ,347 - 1 ,388 19 to 59 - (Adults) 11175 - 1 , 175 1 ,200 - 60 + (Seniors) - Total Adults 1, 175 - 1 , 175 1 ,200 TOTAL SERVED 21591 - 2,522 - 2,588 - 11 Indian River County Healthy Start Coalition, Inc. TLC Newborn Program Children's Services Advisory Committee Grant 2007-08 for the child' s mental and physical growth. TLC associates monitor the weight gain of breastfeeding babies and facilitate well baby check-ups and immunizations. Written information on topics specific to each family' s needs is mailed per request. TLC ' s age appropriate newsletter advises parents on what to look for in the next stage of child development. Educated parents are more likely to identify developmental delays at an early age. Early treatment may reduce or eliminate the impact of developmental delays. 4. List staffing needed for your program, including required experience and estimated hours per week in program for each staff member and/or volunteers). TLC Associates need certifications, degrees and years of experience with maternal/child education. Present certifications include doulas, a registered nurse, childbirth educators, sibling instructors, Lamaze assistants, and professional degrees including a masters in public health and certified lactation counselors. They must be highly motivated, professional and compassionate when supporting mothers and fathers who are striving to create a healthy and positive environment for their babies. Staffing currently includes a Program Manager 32hrs/week, Assistant Manager 20 hrs/week, and three Family Associates and one Clerical Assistant who each work 10 hours a week. In a recent staff retreat it was decided to expand the hours for clerk B since it has been difficult to find an additional clerk for 10 hours a week 5. How will the target population be made aware of the program? TLC initiates contact at the hospital after the birth of the baby to offer the program. IRMC personnel support TLC by recommending TLC as a resource. Pregnant women become aware of the program through word of mouth, obstetric or pediatric offices, the Healthy Start program, IR County Health Department, Care Net, Planned Parenthood, Healthy Families, and MomCare. TLC brochures describing program services are distributed through these providers. Although some births occur at home or in adjacent counties,TLC has been notified of an impending birth by the mother herself or by local physicians and midwives. Coalition and TLC personnel promote TLC Newborn by participating in community events and an annual fundraising event. In October of 2007 the Coalition is planning a community wide 10t1 Anniversary event. 6. How will the program be accessible to target population (Le., location, transportation, hours of operation)? Services are initiated in person at IRMC after the birth of the baby. TLC Family Associates adjust their schedules to visit moms in the hospital six out of seven days a week (including holidays, Saturdays and Sundays). They consult with IRMC staff every day of the week so the most number of deliveries can be accommodated. If moms are breastfeeding, one of TLC ' s three certified lactation counselors will respond to the mother' s needs . If the family has delivered somewhere else contact is made by phone or families come to the program office for assistance. Subsequent contacts are made by phone. A newly initiated Internet Group Site is accessible 2417 . Questions are posted at any time of day and are answered by TLC. 6 Indian River County Healthy Start Coalition, Inc. TLC Newborn Program Children's Services Advisory Committee Grant 2007-08 PROGRAM OUTCOMES AND ACTIVITIES MATRIX Outcome # 1 : Annually a minimum of 83 % of all Indian River families with newborns will utilize TLC Newborn services as measured by the TLC monitoring report and the number of resident births for Indian River County (State of FL vital statistics). Program Design Sr Task Management (Columns 1 -4) Evaluation Design & Data Collection �--- (Colwnns 5 -7) I - 2p 3 4 5 O 6 I—_.7_I Program Frequency ResponsibleI Parties Expected 1. Activities (how often Indicator ) (who) Outcomes/change a wh Dala Source Time of (what) g (why) Data (where) Measurement (when) (evidence) Families at IRMC One visit before TLC Newborn Families will be given the Number of completed Database will be visited after discharge. Family Associates opportunity to accept Quarterly. birth of baby and p intake forms. be offered TLC services, ask questions and services. receive evidence based guidance that will help them meet their baby's needs. 93 % of families at One visit before TLC Newborn Parent will accept TLC Number of completed Database IRMC will accept discharge. Family Associates. services. Quarterly. TLC services; calls, intake forms. breastfeeding counseling and/or the TLC newsletter. TLC Newborn Minimum of Coalition Staff, TLC Families not giving birth at Number of completed Database information will be Quarterly and as Program Manager. IRMC will be aware of the make forms for Quarterly. distributed to the needed . community, opportunity to receive TLC families not giving Physicians ' offices, services. birth at IRMC. maternal, child & health agencies and local support groups. 7 Indian River County Healthy Start Coalition, Inc. TLC Newborn Program Children 's Services Advisory Committee Grant 2007-08 G. BUDGET FORMS - To open the Budget Forms, please double-click on the icon below. In the Excel portion of this RFP you will find the following pages/tabs : 1 . Budget Narrative Worksheet (4 pages) 2. Total Agency Budget 3 . Total program Budget 4. Funder Specific Budget 5 . Explanation for Variances Make sure to print all the forms by going to each tab and selecting the Print icon. A note of explanation on the budgets : The budgets' `agency' figures reflect the program revenue and expenses . The Coalition, by state statute is prevented from using state funds designated for operating the Coalition on any direct service programs. We are also prevented from paying or employing staff with those dollars to provide maternal child services directly to participants. All programs that we administer are contracted out to other agencies that provide the services. We contract with Indian River County's Health Department to provide TLC Newborn services . Microsoft Office Excel Worksheet 12 Indian River County Healthy Start COALITION TLC Newborn Program 2007-2008 CORE 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. AGENCY/PROGRAM NAME : Indian River County Healthy Start Coalition , Inc . FUNDER : IRC Children's 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 be used for providing information and calculations only. REVENUES Proposed Tota! Program Budget Funder Speck Total AgencyBudget Budget 1 Children's Services Council-StLucie - - - - - -- - - -- - - 2 Children's Services Council-Martin 3 Advisory Committee-Indian River 35 ,000.00 35,000.00 35,000.00 4 United Way-St Lucie County 5 United Way-Martin County 6 United Way-Indian River County 50,000.00 50,000.00 50,000.00 7 Department of Children & Families 8 County Funds 9 Contributions-Cash 500.00 500.00 500.00 10 Program Fees 11 Fund Raising Events-Net 15,000.00 15,000.00 15,000.00 12 Sales to Public - Net 13 Membership Dues 14 Investment Income 15 Miscellaneous 16 Legacies & Bequests 17 Funds from Other Sources 1 5,000.00 5,000.00 5,000.00 181 Reserve Funds Used for Operating 19 In-Kind Donations (Not included in total) <^v T 11 REVENUES (doesnY include line 19) $ 105,500.00 $ 105 ,500.00 $105,500.00 B I EXPENDITURES Proposed Total Program Budget Funder Speck Total Agency Budget Budget 21 Salaries - (must complete chart on next page) 80,912 .00 32 ,512.00 80, 912 .00 22 FICA - Total salaries x 0.0765 6, 190. 00 2 ,487. 17 6, 190. 00 Retirement - Annual pension tor qua ie 23 staff l e ea - Medical/Dental/Short-term 24 Disab. Workers Compensation - # employees x 25 rate Florida nemp oymen - prolec e 26 employees x $7,000 x UCT-6 rate 5!112007 5-1 Indian River County Healthy Start Coalition, Inc. TLC Newborn Program Children's Services Advisory Committee Grant 2007.08 Outcome 4 2 : : Increase from 50 % to 80 % the percentage of families in TLC Newborn who report on the three month survey that they are better able to meet their baby's needs because of information received from TLC Newborn Family Associates. (Baseline of 86.5% in the first 6 months of FY 0607) Program Design & Task Management Evaluation Design & Data Collection (Columns 1 -4) Columns 5 -7) Pro ram Activities Frequency Responsible Ex ected ] 2aeatroerrments iData Source =surement g 9 Y p P (what) (how often) Parties (who) Outcomes/change (why) (where)dence _ Family Associates call Weekly, Family Associates. Families will be given the Chart notes. Chart. Quarterly. families to provide monthly until opportunity to ask guidance, address baby is 6 questions and receive questions and concerns months old or evidence based guidance and support parents with as needed , that will help them meet education and their baby' s needs. encouragement. Calls from TLC Newborn Daily as needed Family Associates. Families will be given the Chart notes . Chart. Quarterly. families will be answered per steeds of guidance, assurance, and and responded to quickly family. information as requested . with appropriate information. Evidence based age Monthly. Data Clerk, Families will be provided Newsletters Postal bulk mail Monthly. appropriate newsletter Assistant Program evidence based information mailed receipt. will be provided to all Manager and on developmental stages, monthly. families utilizing TLC Volunteers. toy safety, tips for Dads, Newborn, baby' s cries, stress relievers for parents, touch, love and communicating with baby. 8 Indian River County Healthy Start Coalition, Inc. TLC Newborn Program Children 's Services Advisory Committee Grant 2007-08 Outcome # 3 • 25% of families enrolled in TLC will make contact to request additional iuformation, validation or referrals. (Baseline 30% in first 6 months of FY 0607) Program Design & Task Management Evaluation Design & Data Collection (Columns 1 -4) (Columns 5-7) Program Activities Frequency Responsible Expected Indicator Data Source Time of ' (what) ( ow often) Parties (who) Outcomes/than a wh Outcomes/change (why) Measurements (where) Measurement (evidence) when The TLC Newborn phone Daily per need TLC Newborn Families will be given the Number of Database number magnet and Family Associates opportunity to contact TLC completed Quarterly. Internet site information and Data Clerk. with questions and intake forms. are distributed to all families contacted by concerns. TLC. Calls from TLC Newborn Daily as needed Family AssociatesFamilies will be given the Number of Call Log. uarterl families will be answered per needs of guidance, assurance, and calls logged . Q Y . and responded to quickly family. information as requested, with appropriate information. Emails from TLC Access 24 hours Family Associates. Families will be given the Newborn families using a day. Private Internet Private Group Site. Quar[erlY guidance, assurance, and Group Data. the TLC Private Internet information as requested Group will be answered through responses from and responded to quickly TLC or from a variety of with appropriate pre-selected links on the information. site. 9 Indian River County Healthy Start COALITION TLC Newbom Program SALARIES I Gross 11 IV POSITION LISTING Annual Salary Portion of Salary on Proposed !l! % os Gross Annual Position ride / Total Hrs/wk (Agency) Program Funder Specific Budget Salary Requested(CIA) Example: Execuff" Director/40 hrs 70,000.00 10,000.00 5,000.00 7. 14% Program Manager/32 hrs/wkx52x$ 18. 00/hr 29, 952.00 29,952.00 0. 00% Assistant Manager/20hrs/wkx52414.50/hr 15,080.00 15, 080.00 4, 000.00 26 . 53% Family Associate AMOhrs/wkx52x$11 .00/hr 5,720.00 5,720.00 5, 720.00 100. 00% Family Associate B/10hrs/wkx52x$ 11 . 00/hr 5, 720. 00 5,720.00 5,720.00 100 . 00% Family AssociateC/tOhrs/wkx52x$11 .00/hr 5, 720.00 5, 720.00 5 , 720.00 100.00% Clencal Assistant All Ohrs/wkx52x$11 .00/hr 5, 720.00 5,720.00 5, 720.00 100. 00% Clerical Assistant B/25hrs/wkx52x$10.00/hr 13,000.00 13 , 000.00 5,632.00 43.32% #DIV/0! #DIV/0 ! #DIV/0! #DIV/0 ! #DIV/0! #DIV/O ! #DIV/0! #DIVlOI #DIV/O ! #DIV/0! #DIV/0 ! #DIV/0! Remaining positions throughout the agency #DIV/0! Total Salaries $80, 912.00 $80, 912.00 $32,512.001 40. 18% FRINGE BENEFITS DETAIL (Funder Specific Budget I Funder I! Ill IV V yr W1 Column C only, from line 21 to 26) Speck Budget FICA 7,65% Pension Health Worker's tlnemployme Total Fringes Funder Position Title / Total Hrs/wk (Ax %) Ins. Compens. nt Compens. Specific Example: Case Manager/4ohrs 5,000.00 382.50 200.00 500.00 300.00 200.00 1,582.50 Program Manager/32 hrs/wkx52418.00/hr 0. 00 0.00 0.00 Assistant Manager/20hrs/wkx52x$14. 50/hr 41000 .00 306. 00 306. 0 Family Associate A/10hrs/wkx52x$l l . 00/hr 5, 720.00 437.58 437.58 ramp " y .,ssoaate Biiuivsiwkx52x$1 i .00Por 5, 720. 00 437.58 437. 58 Family Associate C110hrslwkx52x$11 . 00/hr 5,720.00 437. 58 437. 58 Clerical Assistant A/tohrs/wkx52x$11 .00/hr 5, 720.00 43T58 437.58 Clerical Assistant B/25hrs/wkx52x$10.00/hr 5,632. 00 430.85 430.85 0 0.00 0. 00 0. 00 0 0.00 0.00 0.00 0 0. 00 0.00 0.00 0 0 .00 0. 00 0. 00 0 0. 00 0. 00 0. 00 0 0. 00 0. 00 0 0.00 0.00 0. 00 0.00 0 0.00 0. 00 0.0 0 0. Of 00 0. 00 0 0.00 0.00 0.00 0.0o 0 0.00 0. 00 0 0. 0 a.00 0 0. 00 0. 00 0 0.00 0.00 0.0 Total Funder Request Fringe Benefits $32,512. 00 $2,487. 171 $0.00 $T001 $U.001 0. 0 $2,487. 1 srrl2007 8.1 Indian River County Healthy Start COALITION TLC Newborn Program A B C EXPENDITURES proposed Total program Budget Funder Specific Total Agency Budget Budget 27 Travel-Daily 7200.00 0.00 1 ,200. 00 # of Staff x average # of miles/wk x 50 wks x $ = Estimated Daily TraveVMileage Reimb. Approximately 10 mileshvk x 52 wks x 5 employees @ .445 cents a mile = 1200 28 TravellConferencestTraining 2,500.00 0.00 2,500. 00 • National Conference (cost per staff) • Training/Seminar (cost per staff) Annual Staff Development; Brevard Maternal Child Conference, Sharing Solutions MCH conference, Tampa or • Other Trainings (cost of travel, lodging, Orlando, National Lactation Conference, location TBA. One to 2 staff to attend each. Five to attend Brevard's registration , food) conf. 29 Office Supplies 800.001 0.00 800.00 • Offce supplies (monthly average x 12 months = estimated cost of office supplies based on present history. Office Supplies approximately $11 per month for 6 staff members 30 Telephone 0.00 0.00 0.00 . # Phone lines x average cost per month x 12 months = local phone cost Average long distance calls x 12 months = Estimated cost of long distance Provided in-kind from Indian River County Health Department 31 Postage/Shipping 5,970.00 0.00 5,970. 00 • Quarterly Mailing of Newsletter • Special events, etc. Annual postage account fees & annual mailing of 14,000 newsletters, 2,400 surveys, plus business reply for • Bulk mailings - appeals surveys 32 Utilities 0.00 0. 00 0.00 • Electricity ($ x 12 months) •Water/Sewer ($ x 12 months) • Garbage ($ x 12 months) Provided in-kind from Indian River County Health Department 33 Occupancy (Building & Grounds) 0.00 0.00 0.00 • Mortgage/Rent ($ x 12 months) . Janitorial ($ x 12 months) • Grounds Maint. ($ x 12 months) • Real Estate Taxes Provided in-kind from Indian River County Health Department 34rLette=rheads, Envelopes, & Publications 4,000.00 0.00 41000.00 rly Newsletter ($ x 4) ads, Envelopes, etc.sing materials Annual printing of monthly newsletters [baby's age 1 -12 months per family], program brochures, posters, program magnets. Design & type set for a revision of the newsletters that is being planned for 0708. 35tion/Dues/Membershlps0.00 0.00 0.00 bership to National Organization • Subscriptions to Newspapers/magazines, etc. None required. 36 Insurance 0.001 0.001 0.00 • Directors/Officers Liab. • Commerciai/General Insurance • Bond Ins. • Auto Insurance Provided in-kind from Indian River County Health Department 37 Equipment:Rental & Maintenance 0.00 0. o0j 0.00 • Copier lease ($ x 12 months) • Meter lease ($ x 12 months) • Copier Maintenance ($ x 12 months) • Computer Maintenance ( $ x 12 months) • Other None required. Repair provided in-kind from Indian River County Health Department 38 Advertising 800.00 0.00 800. 00 • Newspaper ads • Fundraising ads/promotions • Other (vacancies) Increased advertising for TLC's World Breastfeeding Week & event advertising; newspaper, vacancy ad 39 Equipment Purchases:Capital Expense 0.00 0.00 0 . 00 • Computer/monitor (# x $) • Laser Printer W12007 B-r "B- 3 Indian River County Healthy Start Coalition, Inc. TLC Newborn Program Children's Services Advisory Committee Grant 2007-08 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 agreement letters.) Collaborative Ageng Resources provided to the program Indian River County Health IRCHD provides free personnel services, supervision, Department payroll services, storage space, cleaning, office space, All resources provided in-kind conference rooms, fax and phone service and access to without an administrative fee. office equipment for copying, printing and postage. Indian River County Healthy Start 1RHSC provides program development, training Coalition opportunities, integration and consistent communication among programs and the community, grant writing and All resources provided in-kind development, fundraising; PR, QA/QI, budgeting and without an administrative fee. fiscal accountability, marketing, presentations, and representation of TLC in the community. Indian River Medical Center Provides access to mothers with strict adherence to confidentiality guidelines; storage space for TLC All resources provided in-kind paperwork, manuals and references, positive promotion without an administrative fee. of TLC by hospital staff, access to labor and delivery staff, meeting rooms, and communication between medical providers and TLC staff. IRC Healthy Start Care Coordination Care coordinators raise awareness of TLC through Program contact with mothers of babies bom outside of IRC and coordinate services between TLC and Healthy Start depending on the family' s risk factors. For families at risk, Healthy Start will provide case management for up to three years if needed; serving families who are not capable of managing the risk themselves (i .e. teen moms, homeless, multiple births, medical needs, developmental delays, domestic violence, drug or alcohol abuse, postpartum depression). Healthy Start can provide mental health and nutrition counseling. IRC Healthy Families Program Family Support Workers begin during the prenatal period to link parents to TLC services and Wee Wisdom newsletter. They will provide parenting guidance through structured home visits; teach parents the Great Growing Kids curriculum, promote positive parent interaction and enhance parenting skills and the child' s development. MomCare Program The Maternity Care Advisor is aware of high risk mothers delivering outside of IRMC and encourages families to call TLC and is able to share contact information with client permission. 10 Indian River County Healthy Start Coalition, Inc. TLC Newborn Program Children's Services Advisory Committee Grant 2007-08 F. UNDUPLICATED CLIENTS Number of Unduplicated Clients by Location Last Fiscal Year Current Fiscal Year Next Fiscal Year Location Actual 2005/2006 Budget 2006/07 Projections 2007/08 Unduplicated Clients Unduplicated Clients Unduplicated Clients North Indian River Co. 2,591 23522 2,685 South Indian River Co. - - _ Indian River Co Total 2,591 2,522 2,685 Greater Stuart - Hobe Sound Indiantown - - Jensen Beach Palm City Martin County Total Fort Pierce Port Saint Lucie St. Lucie Co. Total _ Other Locations _ _ TOTAL SERVED 2,591 2,522 21685 Number of Unduplicated Clients by Age Last Fiscal Year Current Fiscal Year Next Fiscal Year Location Actual 2005/2006 Budget 2006/07 Projections 2007/08 Individuals Group Individual Group Individuah Group 0 to 4 - (Pre-school) 1 ,301 - 1 ,272 - 1,301 - 5 to 10 - (Elementary) - - - - 11 to 14 - (Middle) 7 - 2 - - - 15 to 18 - (High School) 108 - 73 - 87 Total Children 1 ,416 - 1 ,347 - 1 ,388 19 to 59 - (Adults) 11175 - 1 , 175 1 ,200 - 60 + (Seniors) - Total Adults 1, 175 - 1 , 175 1 ,200 TOTAL SERVED 21591 - 2,522 - 2,588 - 11 Indian River County Healthy Start COALITION TLC Newborn Program 40 Professional Fees (Legal, Consulting) 1 ,028 . 00 0.00 1 , 028.D0 • Legal advice ( estimated #hrs x $) • Consultant fees • Other Database consultant $1028 to set up new database 41 Books/Educational Materials 1 ,000.001 0. 001 1 ,000.00 • Bookstvideos • Materials ($ x staff) Educational materials for clients @ .70 cents per family [approximately 1 ,440 families annually] 42 Food & Nutrition 0.001 0.00 O.DO • Meals ( # meals x clients x 5days x 50 wks) • Snacks 43 Administrative Costs 0.001 0.001 0.00 • Admin. Cost (% of total budget) Provided in-kind from Indian River County Healthy Start COALITION 44 Audit Expense 440-001 0.001 440.00 • Independent Audit Review 4% of $11 ,000 annual audit fee = $440 45 Specific Assistance to Individuals 528.001 0,001 528 .00 • Medical assistance •Meals/Food • Rent Assistance • Other Assistance for individual clients; breast pumps & supplies; approximately $40-$45 per month x 12 months. 46 Other/Miscellaneous 132.001 0.001 132.00 • Background check/drug test • Other Background checks for new employees 47 Other/Contract 0. 001 0.00 0.00 • Sub-contract for program services 48 TOTAL EXPENSES $105,500.00 $34,999. 17 $105,500.00 .S . 4, en20n7 a-1 Indian River County Heai Slad Coa4tlon, Inc. TLC NEWSoIn Program 2007-2008 CORE GRANT APPLICATION TOTAL AGENCY BUDGET AGENCYIPROGRAM NAME: IRC HealthyStart Coalition, Inc., TLC Newborn Program FY 05/06 FY 06/07 FY 07/08 % INCREASE FYEJ/1/05-6/30/06 FYE 711101 FYEJ/1107b/30/08 CURRENTVS. NEXT FY BUDGET A B C D ACTUAL TOTAL PROPOSED Icor. C. I. BKcol. B REVENUES BUDGETED BUDGETED 1 Children's Services Council-St Lucie 0.00 2 Children's Services Council-Martin 0.00 3 Advisory Committee-Indian River 20,000.00 25,000.00 35,000.00 40.00% 4 United Way-St Lucie Coun 0.00 5 United Way-Martin County0.00 6 United Wa -ntlian River County40,000.00 45,200.0015000.00 10.62% 7 De artment of Children & Families 0.00a Coun Funds 0.009 Contributions-Cash 00.00 10 Frogmen Fees 0.00 11 Fund Raisin Events-Net 10,956.00 15,000.00 15,000.00 0.00% 12 Sales to Public-Net 0.00 13 Membemhi Dues 0.00 14 Investment Income 0.00 - 15 Miscellaneous 0.00 16 Legacies & Bequests 0.00 17 Funds from Other Sources 5,000.00 10,000.00 51000.00 -50.00% 18 Reserve Funds Used for Operating 0.00 1s In-Kind Donations (Net included in twq 0.00 20 TOTAL 75956.00 95,200.00 105,500.00 10.82% EXPENDITURES 21 Salaries 51 ,606.00 73,528.00 80 912.00 10.04% 22 FICA 3,948.00 5,625.00 6,190.00 10.04% 23 Retirement 0.00 24 Life/Health 0.00 25 Workers Compensation 0.00 26 Florida Unemployment 0.00 27 Travel-Daily 950.00 1,200.00 1 ,200.001 0.00% 28 Trevel/Conferencesrrminin 1,360.00 2,500.00 2,500.00 0.00% 29 Office Supplies 697.00 780.00 800.00 2.561/6 39 Telephone 0.00 31 PostagefShipping 47730.00 5,850.00 5,970.00 2.05% 32 Utilities 0.00 33 Occu nc (Building & Grounds 0.00 34 Printing & Publications 4,104.00 3,000.00 4,000.00 33.33% 35 Subscription/Dues/Memberships 54.00 0.00 0.00 36 Insurance 0.00 37 ;7quIpment:Rental & Maintenance 0.00 38 Advertising 10.00 347.00 800.00 130.55% 39 Equipment Purchases:Ca ital Expense 1 ,6001 0.00 -100.00% as Professional Fees (Legal, Consulting) 111100.00 1 ,028.00 2.80% 41 Books/Educational Materials 958.00 900.00 1,000.00 11 . 11 % 42 Food & Nutrition 0.00 43 Administrative Coss 2,520.00 2,970.00 0.00 -100.00% 44 Audit Expense 0.00 400.00 440.00 10.00% 45Specific Assistance to Individuals 0.00 0.001 528.00 46 Other/Miscellaneous 0.00 0.00 132.00 47 Other/Contract 519.00 0.00 48 TOTAL 71 456.00 99 700.00 105 500.00 5.82% 49 REVENUES OVER/ UNDER EXPENDITURES 4,500.00 4,500.00 0.00 -100.00% 13 - 5 smmm lu Indian River County Healthy Start Coalition, Inc. TLC Newborn Program Children 's Services Advisory Committee Grant 2007-08 G. BUDGET FORMS - To open the Budget Forms, please double-click on the icon below. In the Excel portion of this RFP you will find the following pages/tabs : 1 . Budget Narrative Worksheet (4 pages) 2. Total Agency Budget 3 . Total program Budget 4. Funder Specific Budget 5 . Explanation for Variances Make sure to print all the forms by going to each tab and selecting the Print icon. A note of explanation on the budgets : The budgets' `agency' figures reflect the program revenue and expenses . The Coalition, by state statute is prevented from using state funds designated for operating the Coalition on any direct service programs. We are also prevented from paying or employing staff with those dollars to provide maternal child services directly to participants. All programs that we administer are contracted out to other agencies that provide the services. We contract with Indian River County's Health Department to provide TLC Newborn services . Microsoft Office Excel Worksheet 12 Indian River County Healthy Start COALITION TLC Newborn Program 2007-2008 CORE 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. AGENCY/PROGRAM NAME : Indian River County Healthy Start Coalition , Inc . FUNDER : IRC Children's 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 be used for providing information and calculations only. REVENUES Proposed Tota! Program Budget Funder Speck Total AgencyBudget Budget 1 Children's Services Council-StLucie - - - - - -- - - -- - - 2 Children's Services Council-Martin 3 Advisory Committee-Indian River 35 ,000.00 35,000.00 35,000.00 4 United Way-St Lucie County 5 United Way-Martin County 6 United Way-Indian River County 50,000.00 50,000.00 50,000.00 7 Department of Children & Families 8 County Funds 9 Contributions-Cash 500.00 500.00 500.00 10 Program Fees 11 Fund Raising Events-Net 15,000.00 15,000.00 15,000.00 12 Sales to Public - Net 13 Membership Dues 14 Investment Income 15 Miscellaneous 16 Legacies & Bequests 17 Funds from Other Sources 1 5,000.00 5,000.00 5,000.00 181 Reserve Funds Used for Operating 19 In-Kind Donations (Not included in total) <^v T 11 REVENUES (doesnY include line 19) $ 105,500.00 $ 105 ,500.00 $105,500.00 B I EXPENDITURES Proposed Total Program Budget Funder Speck Total Agency Budget Budget 21 Salaries - (must complete chart on next page) 80,912 .00 32 ,512.00 80, 912 .00 22 FICA - Total salaries x 0.0765 6, 190. 00 2 ,487. 17 6, 190. 00 Retirement - Annual pension tor qua ie 23 staff l e ea - Medical/Dental/Short-term 24 Disab. Workers Compensation - # employees x 25 rate Florida nemp oymen - prolec e 26 employees x $7,000 x UCT-6 rate 5!112007 5-1 Indian River County Heanity Sart Coalition, Inc. TLC Ne ebom Program 2007-2008 CORE GRANT APPLICATION TOTAL PROGRAM BUDGET AGENCYIPROGRAM NAME: IRC Healthy Start Coalition, Inc., TLC Newborn Program _ FY M106 FY 06107 F 07/08 % INCREASE FYE_7/1/056130/06 FYE_711106-6130107 FYE_7/1/073/30/08 CURRENT VS. NEXT FY BUDGET A B C D ACTUAL TOTAL PROPOSED (Col. c<ol. allcol. a REVENUES BUDGETED BUDGETED 1 Children's Services CouncilSt Lucie 0.00 2 Children's Services Council-Martin 0.00 a Advisory Committee-Indian River 20,000.00 25,000.00 35 000.00 40.00% 4 United Way-St Lucie County 0,00 s United Way-Martin County 0,00 6 United W Indian River County 40000.00 45,200.00 50,000.00 10.620/6 7 Department of Children & Families 0.00 8 CountyFunds 0.00 9 Contributions-Cash 500.00 10 Program Fees 0.00 11 Fund Raising Events-Net 10,956.00 15 000.00 15,000.00 0.00% 12 Sales to Public-Net 0.00 13 Members Dues 0,00 14 Investment Income 0,00 15 Miscellaneous 0.00 16 Legacies & Be uests 0.00 17 Funds from Other Sources 5,000.00 10,000.00 5 000.00 -50.00 18 Reserve Funds Used for Operating 0.00 19 In-Kind Donations (Nae Included in mai) 0.00 20 TOTAL 75,956.00 95,200.00 105500.00 10.82% EXPENDITURES 21 Salaries 51 606.00 73,528.00 80p912.00 10.0401. 22 FICA 3,948.00 5,625.00 6,190.00 10.04% 23 Retirement 0.00 24 Life/Health 0.00 25 Workers Compensation 0.00 26 Florida Unem to ment 0"00 27 Travel-Daily 950.00 1,200.00 1,200.00 0.00% 28 Travei/Conferences/Trainin 11360.00 2,500.00 2,500.00 0.00% 290ffice Su fes 697.00 780.00 800.00 2.56% 30 Telephone 0.00 31 Postage/Shipping 4,730.00 5,850.00 5,970.00 2.05% 32 Utilities 0.00 30 Occu anc (Building & GroundsM4,104.003 0.00 Printing & Publications 00 4,000.00 33.33% M Subscrition/Dues/Membershi s 00 0.00 36 Insurance 0.00 37 E ui mentRental & Maintenance0.0038 Advertisin 0 800.00 130.55% 39E ui ment Purchases:Ca ital Ex nse0 0.00 AX00% 40 Professional Fees Le al, Consultin0 1,028.00 280%41 Books/Educational Materials 0 1,000.00 11 .11 % 42 Food & Nutrition 0.00 43 Administrative Costs 2,520.00 22970.00 0.00 -100.00% 44 Audit Expense 400.00 440.00 10.00% 45 Specific Assistance to Individuals 528.00 46 Other/Miscellaneous 132.00 47 Other/Contract 519.00 0.00 48 TOTAL 71 ,456.00 99700.00 105,500.00i 5.82% 4s REVENUES OVER/ UNDER EXPENDITURES I 4,500.00 -4,500.00 0.00 Indian River County Healthy Start Coalition, Inc. TLC Newborn Program 2007-2008 CORE GRANT APPLICATION FUNDER SPECIFIC BUDGET PROGRAM EXPENSES AGENCY/PROGRAM NAME : IRC Healthy Start Coalition, Inc., TLC Newborn Program FUNDER: IRC Children's Services Advisory A B c FY 07108 FY 07/08 % OF TOTAL FUNDER TOTAL VS. PROGRAM SPECIFIC FUNDER REQUEST BUDGET BUDGET (col. B/col. A) EXPENDITURES 21 Salaries 809912. 00 32, 512.00 40.18% 22 FICA 6, 190.00 2 ,487. 17 40. 18% 23 Retirement 0.00 0.00 #DIV/0! 24 Life/Health 0.00 0.00 #DIV/0 ! 25 Workers Compensation 0.00 0.00 #DIV/0! 26 Florida Unemployment 0.00 0 .00 #DIV101 27 Travel-Daily 11200.00 0. 00 0.00% 28 Travel/Conferences/Training 21500.00 0.00 0.00% 29 Office Supplies 800 .00 0. 00 0.00% 30 Telephone 0.00 0 .00 #DIV/01 31 Posta e/S hipping 5,970.00 0.00 0.00% 32 Utilities 0.00 0.00 #DIV/01 33 Occupancy Buildin & Grounds 0.00 0.00 #DIV/01 34 lPrinting & Publications 4, 000 .00 0.00 0.00% 35 Subscription/Dues/Memberships 0. 00 0 .00 #DIV/O ! 36 Insurance 0.00 0.00 #DIV/01 37 E ui ment:Rental & Maintenance 0.00 0.00 #DIV/01 38 Advertising800.00 0.00 0.00% 39 Equipment Purchases:Ca ital Expense 0 .00 0.00 #DIV/01 40 Professional Fees (Legal, consulting) 11028.00 0.00 0.00% 41 Books/Educational Materials 1 ,000.00 0.00 0.00% 42 Food & Nutrition 0.00 0.00 #DIV/0 ! 43 Administrative Costs 0.00 0. 00 #DIVfO! 44 Audit Expense 440.00 0.00 0.00% 45 Specific Assistance to Individuals 528 .00 0.00 0.00% 46 Other/Miscellaneous 132.001 0.00 0 .00% 47 Other/Contract 0. 00 0.00 #DIV/O! 48 TOTAL $105,500.00 $34,999. 17 33.17% r(} 5FnW7 _ BA Indian River County Healthy Start COALITION TLC Newbom Program SALARIES I Gross 11 IV POSITION LISTING Annual Salary Portion of Salary on Proposed !l! % os Gross Annual Position ride / Total Hrs/wk (Agency) Program Funder Specific Budget Salary Requested(CIA) Example: Execuff" Director/40 hrs 70,000.00 10,000.00 5,000.00 7. 14% Program Manager/32 hrs/wkx52x$ 18. 00/hr 29, 952.00 29,952.00 0. 00% Assistant Manager/20hrs/wkx52414.50/hr 15,080.00 15, 080.00 4, 000.00 26 . 53% Family Associate AMOhrs/wkx52x$11 .00/hr 5,720.00 5,720.00 5, 720.00 100. 00% Family Associate B/10hrs/wkx52x$ 11 . 00/hr 5, 720. 00 5,720.00 5,720.00 100 . 00% Family AssociateC/tOhrs/wkx52x$11 .00/hr 5, 720.00 5, 720.00 5 , 720.00 100.00% Clencal Assistant All Ohrs/wkx52x$11 .00/hr 5, 720.00 5,720.00 5, 720.00 100. 00% Clerical Assistant B/25hrs/wkx52x$10.00/hr 13,000.00 13 , 000.00 5,632.00 43.32% #DIV/0! #DIV/0 ! #DIV/0! #DIV/0 ! #DIV/0! #DIV/O ! #DIV/0! #DIVlOI #DIV/O ! #DIV/0! #DIV/0 ! #DIV/0! Remaining positions throughout the agency #DIV/0! Total Salaries $80, 912.00 $80, 912.00 $32,512.001 40. 18% FRINGE BENEFITS DETAIL (Funder Specific Budget I Funder I! Ill IV V yr W1 Column C only, from line 21 to 26) Speck Budget FICA 7,65% Pension Health Worker's tlnemployme Total Fringes Funder Position Title / Total Hrs/wk (Ax %) Ins. Compens. nt Compens. Specific Example: Case Manager/4ohrs 5,000.00 382.50 200.00 500.00 300.00 200.00 1,582.50 Program Manager/32 hrs/wkx52418.00/hr 0. 00 0.00 0.00 Assistant Manager/20hrs/wkx52x$14. 50/hr 41000 .00 306. 00 306. 0 Family Associate A/10hrs/wkx52x$l l . 00/hr 5, 720.00 437.58 437.58 ramp " y .,ssoaate Biiuivsiwkx52x$1 i .00Por 5, 720. 00 437.58 437. 58 Family Associate C110hrslwkx52x$11 . 00/hr 5,720.00 437. 58 437. 58 Clerical Assistant A/tohrs/wkx52x$11 .00/hr 5, 720.00 43T58 437.58 Clerical Assistant B/25hrs/wkx52x$10.00/hr 5,632. 00 430.85 430.85 0 0.00 0. 00 0. 00 0 0.00 0.00 0.00 0 0. 00 0.00 0.00 0 0 .00 0. 00 0. 00 0 0. 00 0. 00 0. 00 0 0. 00 0. 00 0 0.00 0.00 0. 00 0.00 0 0.00 0. 00 0.0 0 0. Of 00 0. 00 0 0.00 0.00 0.00 0.0o 0 0.00 0. 00 0 0. 0 a.00 0 0. 00 0. 00 0 0.00 0.00 0.0 Total Funder Request Fringe Benefits $32,512. 00 $2,487. 171 $0.00 $T001 $U.001 0. 0 $2,487. 1 srrl2007 8.1 Indian River County Healthy Start COALITION TLC Newborn Program A B C EXPENDITURES proposed Total program Budget Funder Specific Total Agency Budget Budget 27 Travel-Daily 7200.00 0.00 1 ,200. 00 # of Staff x average # of miles/wk x 50 wks x $ = Estimated Daily TraveVMileage Reimb. Approximately 10 mileshvk x 52 wks x 5 employees @ .445 cents a mile = 1200 28 TravellConferencestTraining 2,500.00 0.00 2,500. 00 • National Conference (cost per staff) • Training/Seminar (cost per staff) Annual Staff Development; Brevard Maternal Child Conference, Sharing Solutions MCH conference, Tampa or • Other Trainings (cost of travel, lodging, Orlando, National Lactation Conference, location TBA. One to 2 staff to attend each. Five to attend Brevard's registration , food) conf. 29 Office Supplies 800.001 0.00 800.00 • Offce supplies (monthly average x 12 months = estimated cost of office supplies based on present history. Office Supplies approximately $11 per month for 6 staff members 30 Telephone 0.00 0.00 0.00 . # Phone lines x average cost per month x 12 months = local phone cost Average long distance calls x 12 months = Estimated cost of long distance Provided in-kind from Indian River County Health Department 31 Postage/Shipping 5,970.00 0.00 5,970. 00 • Quarterly Mailing of Newsletter • Special events, etc. Annual postage account fees & annual mailing of 14,000 newsletters, 2,400 surveys, plus business reply for • Bulk mailings - appeals surveys 32 Utilities 0.00 0. 00 0.00 • Electricity ($ x 12 months) •Water/Sewer ($ x 12 months) • Garbage ($ x 12 months) Provided in-kind from Indian River County Health Department 33 Occupancy (Building & Grounds) 0.00 0.00 0.00 • Mortgage/Rent ($ x 12 months) . Janitorial ($ x 12 months) • Grounds Maint. ($ x 12 months) • Real Estate Taxes Provided in-kind from Indian River County Health Department 34rLette=rheads, Envelopes, & Publications 4,000.00 0.00 41000.00 rly Newsletter ($ x 4) ads, Envelopes, etc.sing materials Annual printing of monthly newsletters [baby's age 1 -12 months per family], program brochures, posters, program magnets. Design & type set for a revision of the newsletters that is being planned for 0708. 35tion/Dues/Membershlps0.00 0.00 0.00 bership to National Organization • Subscriptions to Newspapers/magazines, etc. None required. 36 Insurance 0.001 0.001 0.00 • Directors/Officers Liab. • Commerciai/General Insurance • Bond Ins. • Auto Insurance Provided in-kind from Indian River County Health Department 37 Equipment:Rental & Maintenance 0.00 0. o0j 0.00 • Copier lease ($ x 12 months) • Meter lease ($ x 12 months) • Copier Maintenance ($ x 12 months) • Computer Maintenance ( $ x 12 months) • Other None required. Repair provided in-kind from Indian River County Health Department 38 Advertising 800.00 0.00 800. 00 • Newspaper ads • Fundraising ads/promotions • Other (vacancies) Increased advertising for TLC's World Breastfeeding Week & event advertising; newspaper, vacancy ad 39 Equipment Purchases:Capital Expense 0.00 0.00 0 . 00 • Computer/monitor (# x $) • Laser Printer W12007 B-r "B- 3 Indian River County Heathy Start Coalition, Inc, RC Newi om Pnogann 2007-2008 CORE GRANT APPLICATION EXPLANATION FOR VARIANCES OF 15% OR MORE TOTAL PROGRAM BUDGET AGENCY/PROGRAM NAME: Indian River County Healthy Start Coalition, Inc., TLC Newborn Program FUNDER: FUNDER: IRC Children's Services Advisory Committee LINE ITEM EXPLANATION FOR VARLANCE Children's Services Council-St Lucie Children's services Councll-Illartin Advisory Commifb?eandian River United Wary-St. Lucie CounrV United w -Martin Cowontv Department of Children B Families CountyFunds Contributions-Cash Preqrain Fees sales to Public-Net Mernbershito Dues InvestmeMlncome Miscellaneous Laaacies 8 Benuests Reserve Funds Used for Operatina In-Kind Donations Illot included in total Retirement LifelHealth Workers Compensation Florida Unemployment Telephone utilities Occu ncv (Buildinq 8 Grounds Printing & Publications Subscrition/Dues/hlembershi Insurance E ui irtentReMal B Maintenance Advertising Food 8 Nutrition Specific Assistance to Individuals OtherlMiscellaneous Other/Contract B - 8 B-, WrW7 Indian River Cwnty Heahhy Start Coalition, Inc. TLC Newborn Program 2007-2008 CORE GRANT APPLICATION EXPLANATION FOR VARIANCES OF 15% OR MORE FUNDER SPECIFIC BUDGET AGENCY/PROGRAM NAME: Indian River County Healthy Start Coalition, Inc„ TLC Newborn Program FUNDER: IRC Children's Services Advisory Committee LINE ITEM EXPLANATION FOR VARIANCE Salaries Additional positions are requested. Each Eusajon's hourly rate was increased by $1 . FICA Additional positions are requested. Each position's hourly rate was increased by $1 . #DIVIO! #DIV/O! #DN/01 #DIVIO! #DIVIO! #DN/O! #DIVIO! N/0! #DN/01 #DIVIO! #DIVIO! #DIVIO! #DIV/O! #DIV/OI sn¢mr V e.s Indian River County Healthy Start COALITION TLC Newborn Program 40 Professional Fees (Legal, Consulting) 1 ,028 . 00 0.00 1 , 028.D0 • Legal advice ( estimated #hrs x $) • Consultant fees • Other Database consultant $1028 to set up new database 41 Books/Educational Materials 1 ,000.001 0. 001 1 ,000.00 • Bookstvideos • Materials ($ x staff) Educational materials for clients @ .70 cents per family [approximately 1 ,440 families annually] 42 Food & Nutrition 0.001 0.00 O.DO • Meals ( # meals x clients x 5days x 50 wks) • Snacks 43 Administrative Costs 0.001 0.001 0.00 • Admin. Cost (% of total budget) Provided in-kind from Indian River County Healthy Start COALITION 44 Audit Expense 440-001 0.001 440.00 • Independent Audit Review 4% of $11 ,000 annual audit fee = $440 45 Specific Assistance to Individuals 528.001 0,001 528 .00 • Medical assistance •Meals/Food • Rent Assistance • Other Assistance for individual clients; breast pumps & supplies; approximately $40-$45 per month x 12 months. 46 Other/Miscellaneous 132.001 0.001 132.00 • Background check/drug test • Other Background checks for new employees 47 Other/Contract 0. 001 0.00 0.00 • Sub-contract for program services 48 TOTAL EXPENSES $105,500.00 $34,999. 17 $105,500.00 .S . 4, en20n7 a-1 Indian River County Heai Slad Coa4tlon, Inc. TLC NEWSoIn Program 2007-2008 CORE GRANT APPLICATION TOTAL AGENCY BUDGET AGENCYIPROGRAM NAME: IRC HealthyStart Coalition, Inc., TLC Newborn Program FY 05/06 FY 06/07 FY 07/08 % INCREASE FYEJ/1/05-6/30/06 FYE 711101 FYEJ/1107b/30/08 CURRENTVS. NEXT FY BUDGET A B C D ACTUAL TOTAL PROPOSED Icor. C. I. BKcol. B REVENUES BUDGETED BUDGETED 1 Children's Services Council-St Lucie 0.00 2 Children's Services Council-Martin 0.00 3 Advisory Committee-Indian River 20,000.00 25,000.00 35,000.00 40.00% 4 United Way-St Lucie Coun 0.00 5 United Way-Martin County0.00 6 United Wa -ntlian River County40,000.00 45,200.0015000.00 10.62% 7 De artment of Children & Families 0.00a Coun Funds 0.009 Contributions-Cash 00.00 10 Frogmen Fees 0.00 11 Fund Raisin Events-Net 10,956.00 15,000.00 15,000.00 0.00% 12 Sales to Public-Net 0.00 13 Membemhi Dues 0.00 14 Investment Income 0.00 - 15 Miscellaneous 0.00 16 Legacies & Bequests 0.00 17 Funds from Other Sources 5,000.00 10,000.00 51000.00 -50.00% 18 Reserve Funds Used for Operating 0.00 1s In-Kind Donations (Net included in twq 0.00 20 TOTAL 75956.00 95,200.00 105,500.00 10.82% EXPENDITURES 21 Salaries 51 ,606.00 73,528.00 80 912.00 10.04% 22 FICA 3,948.00 5,625.00 6,190.00 10.04% 23 Retirement 0.00 24 Life/Health 0.00 25 Workers Compensation 0.00 26 Florida Unemployment 0.00 27 Travel-Daily 950.00 1,200.00 1 ,200.001 0.00% 28 Trevel/Conferencesrrminin 1,360.00 2,500.00 2,500.00 0.00% 29 Office Supplies 697.00 780.00 800.00 2.561/6 39 Telephone 0.00 31 PostagefShipping 47730.00 5,850.00 5,970.00 2.05% 32 Utilities 0.00 33 Occu nc (Building & Grounds 0.00 34 Printing & Publications 4,104.00 3,000.00 4,000.00 33.33% 35 Subscription/Dues/Memberships 54.00 0.00 0.00 36 Insurance 0.00 37 ;7quIpment:Rental & Maintenance 0.00 38 Advertising 10.00 347.00 800.00 130.55% 39 Equipment Purchases:Ca ital Expense 1 ,6001 0.00 -100.00% as Professional Fees (Legal, Consulting) 111100.00 1 ,028.00 2.80% 41 Books/Educational Materials 958.00 900.00 1,000.00 11 . 11 % 42 Food & Nutrition 0.00 43 Administrative Coss 2,520.00 2,970.00 0.00 -100.00% 44 Audit Expense 0.00 400.00 440.00 10.00% 45Specific Assistance to Individuals 0.00 0.001 528.00 46 Other/Miscellaneous 0.00 0.00 132.00 47 Other/Contract 519.00 0.00 48 TOTAL 71 456.00 99 700.00 105 500.00 5.82% 49 REVENUES OVER/ UNDER EXPENDITURES 4,500.00 4,500.00 0.00 -100.00% 13 - 5 smmm lu Indian River County Healthy Start Coalition, Inc. TLC Newborn Program Children's Services Advisory Committee Grant 2007-08 H. FUNDER SPECIFIC REQUIREMENTS MEASURABLE OUTCOMES FOR LAST YEAR Note period outcomes/results reflect: Julv 1 , 2006 to December 31 , 2006 OUTCOMES RESULTS List all elements of last year 's measurable outcomes. List the results of the outcomes. Cut and pastefrotn last years application. 1 . GOAL : 93 % of mothers visited by TLC 1 . GOAL MET There were 313 mothers made Family Associates in the hospital will accept available to TLC Newborn staff of which 305 the invitation to participate in the TLC agreed to participate. This calculates into 97%, Newborn Program. which exceeds our goal of 93%. 2. GOAL: 15% of families enrolled in TLC 2. GOAL MET There were 305 families enrolled in TLC Newborn, and a total of 90 incoming calls will call to request additional information, were received. This calculates into 30%, which validation or referrals. exceeds our 15% goal. 3. GOAL : 80 % of TLC families responding 3. GOAL MET The surveys indicated that 98 % to the survey will agree that TLC Newborn of parents felt that TLC was a valuable resource . is a valuable resource for parents. This exceeds the goal of 80%. 4. GOAL: 50% of TLC families responding 4. GOAL MET The survey' s indicate that to the survey will report they are better able 86% of families report they are better able to meet to meet their baby's needs because of their baby' s needs because of information received information received from TLC. from TLC. 5. GOAL: 75 % of families calling to request 5. GOAL MET Of the 90 incoming calls additional information will report their regarding parenting issues, 89 clients responded that TLC helped to manage or resolve that issue resolved or managed by TLC's particular concern or question. This translates to response. 99 %, which exceeds the goal of 75 % I 6. GOAL: 7590 of TLC parents who wish to 6. GOAL MET Out of the 305 mothers who were breastfeed their infant will receive evidence seen by TLC Newborn staff 245 chose to BF(80%). based lactation education in the hospital 245 received evidence based lactation education from TLC Newborn staff. and information in the hospital from TLC. This calculates into 100%, which meets and exceeds the goal of 75% . 7. GOAL : 75 % of Indian River County 7.GOAL MET 100% of Indian River County maternal/child health practices will have a Pediatric and Obstetric practices (also the Health minimum of one staff person equipped with Department, WIC and IRMC) were visited and provided with the CDC Guide to Breastfeeding evidence based lactation information and Interventions and a Laminated Guide to Local best practices guidelines. Breastfeeding Resources. Exceeds goal of 75% . A quarterly Breastfeeding Task Force meeting was held, linking lactation counselors and maternal child health practitioners . Evidence based and best practices information was disseminated and discussed. 13 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 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 end (September 30"') 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 Indian River County Heanity Sart Coalition, Inc. TLC Ne ebom Program 2007-2008 CORE GRANT APPLICATION TOTAL PROGRAM BUDGET AGENCYIPROGRAM NAME: IRC Healthy Start Coalition, Inc., TLC Newborn Program _ FY M106 FY 06107 F 07/08 % INCREASE FYE_7/1/056130/06 FYE_711106-6130107 FYE_7/1/073/30/08 CURRENT VS. NEXT FY BUDGET A B C D ACTUAL TOTAL PROPOSED (Col. c<ol. allcol. a REVENUES BUDGETED BUDGETED 1 Children's Services CouncilSt Lucie 0.00 2 Children's Services Council-Martin 0.00 a Advisory Committee-Indian River 20,000.00 25,000.00 35 000.00 40.00% 4 United Way-St Lucie County 0,00 s United Way-Martin County 0,00 6 United W Indian River County 40000.00 45,200.00 50,000.00 10.620/6 7 Department of Children & Families 0.00 8 CountyFunds 0.00 9 Contributions-Cash 500.00 10 Program Fees 0.00 11 Fund Raising Events-Net 10,956.00 15 000.00 15,000.00 0.00% 12 Sales to Public-Net 0.00 13 Members Dues 0,00 14 Investment Income 0,00 15 Miscellaneous 0.00 16 Legacies & Be uests 0.00 17 Funds from Other Sources 5,000.00 10,000.00 5 000.00 -50.00 18 Reserve Funds Used for Operating 0.00 19 In-Kind Donations (Nae Included in mai) 0.00 20 TOTAL 75,956.00 95,200.00 105500.00 10.82% EXPENDITURES 21 Salaries 51 606.00 73,528.00 80p912.00 10.0401. 22 FICA 3,948.00 5,625.00 6,190.00 10.04% 23 Retirement 0.00 24 Life/Health 0.00 25 Workers Compensation 0.00 26 Florida Unem to ment 0"00 27 Travel-Daily 950.00 1,200.00 1,200.00 0.00% 28 Travei/Conferences/Trainin 11360.00 2,500.00 2,500.00 0.00% 290ffice Su fes 697.00 780.00 800.00 2.56% 30 Telephone 0.00 31 Postage/Shipping 4,730.00 5,850.00 5,970.00 2.05% 32 Utilities 0.00 30 Occu anc (Building & GroundsM4,104.003 0.00 Printing & Publications 00 4,000.00 33.33% M Subscrition/Dues/Membershi s 00 0.00 36 Insurance 0.00 37 E ui mentRental & Maintenance0.0038 Advertisin 0 800.00 130.55% 39E ui ment Purchases:Ca ital Ex nse0 0.00 AX00% 40 Professional Fees Le al, Consultin0 1,028.00 280%41 Books/Educational Materials 0 1,000.00 11 .11 % 42 Food & Nutrition 0.00 43 Administrative Costs 2,520.00 22970.00 0.00 -100.00% 44 Audit Expense 400.00 440.00 10.00% 45 Specific Assistance to Individuals 528.00 46 Other/Miscellaneous 132.00 47 Other/Contract 519.00 0.00 48 TOTAL 71 ,456.00 99700.00 105,500.00i 5.82% 4s REVENUES OVER/ UNDER EXPENDITURES I 4,500.00 -4,500.00 0.00 Indian River County Healthy Start Coalition, Inc. TLC Newborn Program 2007-2008 CORE GRANT APPLICATION FUNDER SPECIFIC BUDGET PROGRAM EXPENSES AGENCY/PROGRAM NAME : IRC Healthy Start Coalition, Inc., TLC Newborn Program FUNDER: IRC Children's Services Advisory A B c FY 07108 FY 07/08 % OF TOTAL FUNDER TOTAL VS. PROGRAM SPECIFIC FUNDER REQUEST BUDGET BUDGET (col. B/col. A) EXPENDITURES 21 Salaries 809912. 00 32, 512.00 40.18% 22 FICA 6, 190.00 2 ,487. 17 40. 18% 23 Retirement 0.00 0.00 #DIV/0! 24 Life/Health 0.00 0.00 #DIV/0 ! 25 Workers Compensation 0.00 0.00 #DIV/0! 26 Florida Unemployment 0.00 0 .00 #DIV101 27 Travel-Daily 11200.00 0. 00 0.00% 28 Travel/Conferences/Training 21500.00 0.00 0.00% 29 Office Supplies 800 .00 0. 00 0.00% 30 Telephone 0.00 0 .00 #DIV/01 31 Posta e/S hipping 5,970.00 0.00 0.00% 32 Utilities 0.00 0.00 #DIV/01 33 Occupancy Buildin & Grounds 0.00 0.00 #DIV/01 34 lPrinting & Publications 4, 000 .00 0.00 0.00% 35 Subscription/Dues/Memberships 0. 00 0 .00 #DIV/O ! 36 Insurance 0.00 0.00 #DIV/01 37 E ui ment:Rental & Maintenance 0.00 0.00 #DIV/01 38 Advertising800.00 0.00 0.00% 39 Equipment Purchases:Ca ital Expense 0 .00 0.00 #DIV/01 40 Professional Fees (Legal, consulting) 11028.00 0.00 0.00% 41 Books/Educational Materials 1 ,000.00 0.00 0.00% 42 Food & Nutrition 0.00 0.00 #DIV/0 ! 43 Administrative Costs 0.00 0. 00 #DIVfO! 44 Audit Expense 440.00 0.00 0.00% 45 Specific Assistance to Individuals 528 .00 0.00 0.00% 46 Other/Miscellaneous 132.001 0.00 0 .00% 47 Other/Contract 0. 00 0.00 #DIV/O! 48 TOTAL $105,500.00 $34,999. 17 33.17% r(} 5FnW7 _ BA 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, Indian River County Human Services Director 1801 27"' Street, Vero Beach , Florida 32960. Recipient: Indian River County Healthy Start Coalition , Inc. , 1603 10`h Avenue, Vero Beach , FL 32960 ; Attention : Leslie Spurlock , Director 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 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. 1 A CO ^D We Page : 002 �( .. CERTIFICATE OF LIABILITY INSURANCEDATE/1102 /20 7 PRODUCER (772) 231- 2828 FAX (772) 231 -4413 11/02/2007 Felten & Associates THIS IS ISSUED T AMATTER OF INFORMATION ONLYAND CONFERS NO RIGHTS UPON THE CERTIFICATE 2911 Cardinal Drive (32963 ) HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P . O . Box 3488 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Vero Beach , FL 32964 - 3488 INSURERS AFFORDING COVERAGE INSURED Kids Connected by Design , Inc . NAIL # INsuReRA Colony Insurance Company 117 Atlantic Avenue INSURER B: Westport Insurance Corp - Fort Pierce , FL 34950 INL`RERc: United States Liability Ins Co INS. 4 N D: INSURER E COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HOVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECTTO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAJMS. INSR Dl- LTR TYPE W NSURANCE POUCYNWBER POUCYEFFECITVE POLICYE%PIRAT10N GENERAL LIABILITY APS09497 07/25/2007 07/25/2008 EACH oc LPRENCE TE L%arts X COMMERCIAL GENERAL LIABILITY 1 1 , 000 , 00 X CLAIMS MADE DAMAGE TO RENTED j 50200 OCCUR MED EXP (MY ore petsonl 1 A Exclude PERSONAL & ADV W Y E 13000300 GENERAL AGGREGATE 1 1 , 000 , 00 GENL AGGREGATE LM41T APPLIES PER: POLICY PPRO. LOCPRODUCTS - CCMPAJPAGGJECT 01 j Include AUTOMOBIUE LIABILITY ANY AUTO (Ea 11 11 SINGLE LIMIT ALL OVYNEDAUTOs (Ea eccioent) 1 11000 , 00 A SCIEDU-ED AUTOS BODILY INJURY (Per person) j X HIRED AUTOS X NON-ONTEDAUTOS BODILY INJURY (Perwoa ) 1 PROPERTY DAMAGE (Per a=&N) 1 GARAGE LKS&M ANY AUTO AUTO OWY - EA ACCIDENT j OTHER THAN EA ACC $ AUTO OILY: AGG j E%CESSAJMBREI.LA LIABILITY OCCUR ❑ CLAIMS MADE EACH OCCURRENCE $ AGGREGATE DEDUCTIBLE j RETEM ON j j wORKERSCOMPENSATION AND WCXOOI 03405 10/03/2007 10 03 2008 X 1 EMPLOYERS' LIABILDY / / WC $rATLr OT)-F B NYPRORCR1VE M OFCERMEMEER EXCLUDED? E.L. EACHACC A1DO , DO If yes. desmbe U TKW E.L. DISEASE - EA EMPLOY S lOD , OO SPECIAL PROVISIONS Wm E.L. DISEASE - POLICY 1 S 500100 irreectors & Officers ND01048358B OS/26/2007 05/26/2008 1 , 000 , 000Occurrence C iability 1 , 000 , 000 Aggregate DESORPTION DF OPERATIONS (LOCATIONS lVEHCl.ESf EXOLUSIONS ADDED BYENpORSEMENTf SPECLLL PROVSIONS ertificate holder is named additional insured as respects General Liability SHOULD ANY DF THE ABOVE DESCR FED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING MSURER WILL ENDEAVOR TO MAL Indian River County lO DAn VVP rrEN NOTICE TO THE CCRWICATE HOLDER NAMED TO TIE LEFT, Board of County Commissioners BUT FAILURE TO MNL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 1801 27th St Vero Beach , FL 32960 OF ANY KIND UPON THE MUTER, ITS AGENTS OR REPRESENTATIVES. AU HORZI REPRESENTATIVE Kenneth D . Felten , ACORD 25 (2001/08) LUTCF/7At, W- ©ACORD CORPORATION 1988 Indian River County Heathy Start Coalition, Inc, RC Newi om Pnogann 2007-2008 CORE GRANT APPLICATION EXPLANATION FOR VARIANCES OF 15% OR MORE TOTAL PROGRAM BUDGET AGENCY/PROGRAM NAME: Indian River County Healthy Start Coalition, Inc., TLC Newborn Program FUNDER: FUNDER: IRC Children's Services Advisory Committee LINE ITEM EXPLANATION FOR VARLANCE Children's Services Council-St Lucie Children's services Councll-Illartin Advisory Commifb?eandian River United Wary-St. Lucie CounrV United w -Martin Cowontv Department of Children B Families CountyFunds Contributions-Cash Preqrain Fees sales to Public-Net Mernbershito Dues InvestmeMlncome Miscellaneous Laaacies 8 Benuests Reserve Funds Used for Operatina In-Kind Donations Illot included in total Retirement LifelHealth Workers Compensation Florida Unemployment Telephone utilities Occu ncv (Buildinq 8 Grounds Printing & Publications Subscrition/Dues/hlembershi Insurance E ui irtentReMal B Maintenance Advertising Food 8 Nutrition Specific Assistance to Individuals OtherlMiscellaneous Other/Contract B - 8 B-, WrW7 Indian River Cwnty Heahhy Start Coalition, Inc. TLC Newborn Program 2007-2008 CORE GRANT APPLICATION EXPLANATION FOR VARIANCES OF 15% OR MORE FUNDER SPECIFIC BUDGET AGENCY/PROGRAM NAME: Indian River County Healthy Start Coalition, Inc„ TLC Newborn Program FUNDER: IRC Children's Services Advisory Committee LINE ITEM EXPLANATION FOR VARIANCE Salaries Additional positions are requested. Each Eusajon's hourly rate was increased by $1 . FICA Additional positions are requested. Each position's hourly rate was increased by $1 . #DIVIO! #DIV/O! #DN/01 #DIVIO! #DIVIO! #DN/O! #DIVIO! N/0! #DN/01 #DIVIO! #DIVIO! #DIVIO! #DIV/O! #DIV/OI sn¢mr V e.s Page ; 004 Additional Coverages and Factors 11/02/2007 Line of Business Coverages for General Liability Coverage Limits Ded/Ded Type General Aggregate 12000 , 000 Rate Premium Factor Rate Products /Completed Ops Included Basis : Per Claim ; Applies : Both BI & PD Aggregate Personal & Advertising 10000 , 000 Injury Each Occurrence 11000 , 000 Fire Damage 50 000 Medical Expense Excluded Line of Business Coverages for Workers Compensation Coverage Limits - Ded/Ded Type WC & Employer ' s liability 1009000/500 , 000/ Rate Premium Factor Premium discount 100 , 000 Expense constant -194 . 00 Foreign Terrorism 200 . 00 Adist . to reconcile -exp 445 . 00 mod . premium 21270 . 00 1 . 23000 Indian River County Healthy Start Coalition, Inc. TLC Newborn Program Children's Services Advisory Committee Grant 2007-08 H. FUNDER SPECIFIC REQUIREMENTS MEASURABLE OUTCOMES FOR LAST YEAR Note period outcomes/results reflect: Julv 1 , 2006 to December 31 , 2006 OUTCOMES RESULTS List all elements of last year 's measurable outcomes. List the results of the outcomes. Cut and pastefrotn last years application. 1 . GOAL : 93 % of mothers visited by TLC 1 . GOAL MET There were 313 mothers made Family Associates in the hospital will accept available to TLC Newborn staff of which 305 the invitation to participate in the TLC agreed to participate. This calculates into 97%, Newborn Program. which exceeds our goal of 93%. 2. GOAL: 15% of families enrolled in TLC 2. GOAL MET There were 305 families enrolled in TLC Newborn, and a total of 90 incoming calls will call to request additional information, were received. This calculates into 30%, which validation or referrals. exceeds our 15% goal. 3. GOAL : 80 % of TLC families responding 3. GOAL MET The surveys indicated that 98 % to the survey will agree that TLC Newborn of parents felt that TLC was a valuable resource . is a valuable resource for parents. This exceeds the goal of 80%. 4. GOAL: 50% of TLC families responding 4. GOAL MET The survey' s indicate that to the survey will report they are better able 86% of families report they are better able to meet to meet their baby's needs because of their baby' s needs because of information received information received from TLC. from TLC. 5. GOAL: 75 % of families calling to request 5. GOAL MET Of the 90 incoming calls additional information will report their regarding parenting issues, 89 clients responded that TLC helped to manage or resolve that issue resolved or managed by TLC's particular concern or question. This translates to response. 99 %, which exceeds the goal of 75 % I 6. GOAL: 7590 of TLC parents who wish to 6. GOAL MET Out of the 305 mothers who were breastfeed their infant will receive evidence seen by TLC Newborn staff 245 chose to BF(80%). based lactation education in the hospital 245 received evidence based lactation education from TLC Newborn staff. and information in the hospital from TLC. This calculates into 100%, which meets and exceeds the goal of 75% . 7. GOAL : 75 % of Indian River County 7.GOAL MET 100% of Indian River County maternal/child health practices will have a Pediatric and Obstetric practices (also the Health minimum of one staff person equipped with Department, WIC and IRMC) were visited and provided with the CDC Guide to Breastfeeding evidence based lactation information and Interventions and a Laminated Guide to Local best practices guidelines. Breastfeeding Resources. Exceeds goal of 75% . A quarterly Breastfeeding Task Force meeting was held, linking lactation counselors and maternal child health practitioners . Evidence based and best practices information was disseminated and discussed. 13 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 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 end (September 30"') 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 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, Indian River County Human Services Director 1801 27"' Street, Vero Beach , Florida 32960. Recipient: Indian River County Healthy Start Coalition , Inc. , 1603 10`h Avenue, Vero Beach , FL 32960 ; Attention : Leslie Spurlock , Director 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 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. 1 A CO ^D We Page : 002 �( .. CERTIFICATE OF LIABILITY INSURANCEDATE/1102 /20 7 PRODUCER (772) 231- 2828 FAX (772) 231 -4413 11/02/2007 Felten & Associates THIS IS ISSUED T AMATTER OF INFORMATION ONLYAND CONFERS NO RIGHTS UPON THE CERTIFICATE 2911 Cardinal Drive (32963 ) HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P . O . Box 3488 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Vero Beach , FL 32964 - 3488 INSURERS AFFORDING COVERAGE INSURED Kids Connected by Design , Inc . NAIL # INsuReRA Colony Insurance Company 117 Atlantic Avenue INSURER B: Westport Insurance Corp - Fort Pierce , FL 34950 INL`RERc: United States Liability Ins Co INS. 4 N D: INSURER E COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HOVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECTTO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAJMS. INSR Dl- LTR TYPE W NSURANCE POUCYNWBER POUCYEFFECITVE POLICYE%PIRAT10N GENERAL LIABILITY APS09497 07/25/2007 07/25/2008 EACH oc LPRENCE TE L%arts X COMMERCIAL GENERAL LIABILITY 1 1 , 000 , 00 X CLAIMS MADE DAMAGE TO RENTED j 50200 OCCUR MED EXP (MY ore petsonl 1 A Exclude PERSONAL & ADV W Y E 13000300 GENERAL AGGREGATE 1 1 , 000 , 00 GENL AGGREGATE LM41T APPLIES PER: POLICY PPRO. LOCPRODUCTS - CCMPAJPAGGJECT 01 j Include AUTOMOBIUE LIABILITY ANY AUTO (Ea 11 11 SINGLE LIMIT ALL OVYNEDAUTOs (Ea eccioent) 1 11000 , 00 A SCIEDU-ED AUTOS BODILY INJURY (Per person) j X HIRED AUTOS X NON-ONTEDAUTOS BODILY INJURY (Perwoa ) 1 PROPERTY DAMAGE (Per a=&N) 1 GARAGE LKS&M ANY AUTO AUTO OWY - EA ACCIDENT j OTHER THAN EA ACC $ AUTO OILY: AGG j E%CESSAJMBREI.LA LIABILITY OCCUR ❑ CLAIMS MADE EACH OCCURRENCE $ AGGREGATE DEDUCTIBLE j RETEM ON j j wORKERSCOMPENSATION AND WCXOOI 03405 10/03/2007 10 03 2008 X 1 EMPLOYERS' LIABILDY / / WC $rATLr OT)-F B NYPRORCR1VE M OFCERMEMEER EXCLUDED? E.L. EACHACC A1DO , DO If yes. desmbe U TKW E.L. DISEASE - EA EMPLOY S lOD , OO SPECIAL PROVISIONS Wm E.L. DISEASE - POLICY 1 S 500100 irreectors & Officers ND01048358B OS/26/2007 05/26/2008 1 , 000 , 000Occurrence C iability 1 , 000 , 000 Aggregate DESORPTION DF OPERATIONS (LOCATIONS lVEHCl.ESf EXOLUSIONS ADDED BYENpORSEMENTf SPECLLL PROVSIONS ertificate holder is named additional insured as respects General Liability SHOULD ANY DF THE ABOVE DESCR FED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING MSURER WILL ENDEAVOR TO MAL Indian River County lO DAn VVP rrEN NOTICE TO THE CCRWICATE HOLDER NAMED TO TIE LEFT, Board of County Commissioners BUT FAILURE TO MNL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 1801 27th St Vero Beach , FL 32960 OF ANY KIND UPON THE MUTER, ITS AGENTS OR REPRESENTATIVES. AU HORZI REPRESENTATIVE Kenneth D . Felten , ACORD 25 (2001/08) LUTCF/7At, W- ©ACORD CORPORATION 1988 Page ; 004 Additional Coverages and Factors 11/02/2007 Line of Business Coverages for General Liability Coverage Limits Ded/Ded Type General Aggregate 12000 , 000 Rate Premium Factor Rate Products /Completed Ops Included Basis : Per Claim ; Applies : Both BI & PD Aggregate Personal & Advertising 10000 , 000 Injury Each Occurrence 11000 , 000 Fire Damage 50 000 Medical Expense Excluded Line of Business Coverages for Workers Compensation Coverage Limits - Ded/Ded Type WC & Employer ' s liability 1009000/500 , 000/ Rate Premium Factor Premium discount 100 , 000 Expense constant -194 . 00 Foreign Terrorism 200 . 00 Adist . to reconcile -exp 445 . 00 mod . premium 21270 . 00 1 . 23000