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Home My WebLink About2007-308E r , 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 h Street, Vero Beach FL , 32960 ("County" ) and Indian River County Healthy Start Coalition , Inc. ( Recipient) ; of: 1603 19th Avenue , Vero Beach , FL 32960 For: Healthy Families 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 - r , 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 h Street, Vero Beach FL , 32960 ("County" ) and Indian River County Healthy Start Coalition , Inc. ( Recipient) ; of: 1603 19th Avenue , Vero Beach , FL 32960 For: Healthy Families 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 Fifty Five Thousand Dollars ($55,000). 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 Fifty Five Thousand Dollars ($55,000). 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 premises/operations , products/completed operations , contractual liability, and independent contractors; ( ii ) Business Auto Liability Insurance in an amount not less than $ 1 ,000 , 000 per occurrence combined single limit for bodily injury and property damage, including coverage for owned autos and other vehicles , hired autos and other vehicles , non-owned autos and other vehicles ; and (iii ) Workers' Compensation and Employer's Liability (current Florida statutory limit) 5 .6 Insurance Administration . The insurance certificates, evidencing all required insurance coverages shall be fully acceptable to County in both form and content , and shall provide and specify that the related insurance coverage shall not be cancelled without at least thirty (30) calendar days prior written notice having been given to the County. In addition , the County may request such other proofs and assurances as it may reasonably require that the insurance is and at all times remains in full force and effect. Recipient agrees that it is the Recipient's sole responsibility to coordinate activities among itself, the County, and the Recipient's insurer(s) so that the insurance certificates are acceptable to and accepted by County within the time limits set forth in this Contract. The County shall be listed as an additional insured on all insurance coverage required by this Contract, except Workers' Compensation insurance . The Recipient shall , upon ten ( 10) days' prior written request from the County, deliver copies to the County, or make copies available for the County's inspection at Recipient's place of business , of any and all insurance policies that are required in this Contract. If the Recipient fails to deliver or make copies of the policies available to the County; fails to obtain replacement insurance or have previous insurance policies reinstated or renewed upon termination or cancellation of existing required coverages ; or fails in any other regard to obtain coverages sufficient to meet the terms and conditions of this Contract, then the County may, at its sole option , terminate this Contract. 5 . 7 Indemnification . The Recipient shall indemnify and save harmless the County, its agents, officials , and employees from and against any and all claims , liabilities , losses, damage , or causes of action which may arise from any misconduct, negligent act, or - 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 COUNTY Attest: d . aCt B 1#oh; Cferk BOARD OF COUNTY COMMISSIONERS By '.. Gc� Deputy Clerk By Gary C Vheeler, Chairman BCC Approved : < rb Approved : Jp+ph A. Baird Co my Administrator App o ed as to form and legal sufficiency: M REC TENT: rian E . Fell , Assistant County Attorney By: Indian River County Healthy Start Coalition , Inc. 4 - 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 premises/operations , products/completed operations , contractual liability, and independent contractors; ( ii ) Business Auto Liability Insurance in an amount not less than $ 1 ,000 , 000 per occurrence combined single limit for bodily injury and property damage, including coverage for owned autos and other vehicles , hired autos and other vehicles , non-owned autos and other vehicles ; and (iii ) Workers' Compensation and Employer's Liability (current Florida statutory limit) 5 .6 Insurance Administration . The insurance certificates, evidencing all required insurance coverages shall be fully acceptable to County in both form and content , and shall provide and specify that the related insurance coverage shall not be cancelled without at least thirty (30) calendar days prior written notice having been given to the County. In addition , the County may request such other proofs and assurances as it may reasonably require that the insurance is and at all times remains in full force and effect. Recipient agrees that it is the Recipient's sole responsibility to coordinate activities among itself, the County, and the Recipient's insurer(s) so that the insurance certificates are acceptable to and accepted by County within the time limits set forth in this Contract. The County shall be listed as an additional insured on all insurance coverage required by this Contract, except Workers' Compensation insurance . The Recipient shall , upon ten ( 10) days' prior written request from the County, deliver copies to the County, or make copies available for the County's inspection at Recipient's place of business , of any and all insurance policies that are required in this Contract. If the Recipient fails to deliver or make copies of the policies available to the County; fails to obtain replacement insurance or have previous insurance policies reinstated or renewed upon termination or cancellation of existing required coverages ; or fails in any other regard to obtain coverages sufficient to meet the terms and conditions of this Contract, then the County may, at its sole option , terminate this Contract. 5 . 7 Indemnification . The Recipient shall indemnify and save harmless the County, its agents, officials , and employees from and against any and all claims , liabilities , losses, damage , or causes of action which may arise from any misconduct, negligent act, or - 3 - EXHIBIT A [Copy of complete proposal/application] ` Indian River County Healthy Start Coalition, Inc. Healthy Families IRC Program Children's Services Advisory Committee Grant 2007-08 PROGRAM COVERPAGEO �Uq �� { � n Organization Name: Indian River County Healthy Start Coalition, Inc. J� Executive Director: Leslie Spurlock E-mail : Ispurlockna,irchealth s�. org Address: 1603 10th Avenue Telephone : 772-563 -9118 Vero Beach, FL 32960 Fax: 772-563 -9125 Program Director: Dina Kramer E-mail: dkramer ,hfrrc.org Address: 1603 10th Avenue Telephone: 772-778 - 1405 Vero Beach, FL 32960 Fax : 772-778- 1029 Program Title : Healthy Families IRC •�� Priority Need Area Addressed: Parental Support and Education targeting high risk pregnant women and new mothers especially teens to increase the likelihood of positive health and emotional outcomes Brief Description of the Program: Healthy Families—IRC is a voluntary home visitationrp ogram designed to prevent child abuse by promoting positive parent-child interaction. Parents are taught with a curriculum of goals and activities that improves a child' s opportunity to grow u hp ealthy safe and nurtured. Services are designed to promote and support healthy development of families and help them resolve problems in the pre-crisis stage before child abuse takes place Mental health and wellness are key components of one on one counseling. SUMMARY REPORT — (Enter Information In The Black Cells Only) Amount Requested from Funder for 2007 / 08 : $ 64 , 751 . 50 Total Proposed Program Budget for 2007 /08 : $ 5093423 . 65 Percent of Total Program Budget : 12 . 7 % Current Program Funding (2006 / 07 ) : $ 55 , 000 Dollar increase /( decrease ) in request : $ 91752 Percent increase / ( decrease ) in request * * : 17 , 7 % Unduplicated Number of Children to be served Individually : 221 Unduplicated Number of Adults to be served Individually : 188 Unduplicated Number to be served via Group settings : - Total Program Cost per Client : 1245 . 53 * *If request increased 5 % or more, briefly explain why: Retention of highly trained and valuable staff whose presence has increased the number of children and adults served this year by + 11 If these funds are being used to match another source, name the source and the $ amount: The Ounce of Prevention/DCF $443 ,985 match of 25% is needed locally, $ 110 996 The Organization 's Board of Directors has approved this application on (date). ' P "' t 23t 2CxT7 tDebb ; e71-u� �fxf � NameofPresident/Chair of the Board Sig&9-� ( R �atw l urtDCL. Nbrife bf Executiv6 Dir ctor/CPO Ski atiu gn e ' I 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 COUNTY Attest: d . aCt B 1#oh; Cferk BOARD OF COUNTY COMMISSIONERS By '.. Gc� Deputy Clerk By Gary C Vheeler, Chairman BCC Approved : < rb Approved : Jp+ph A. Baird Co my Administrator App o ed as to form and legal sufficiency: M REC TENT: rian E . Fell , Assistant County Attorney By: Indian River County Healthy Start Coalition , Inc. 4 - Indian River County Healthy Start Coalition, Inc. Healthy Families IRC Program Children's Services Advisory Committee Grant 2007-08 ORGANIZATION: Indian River County Healthy Start Coalition, Inc. PROGRAM : Healthv Families IRC 2007/2008 CORE APPLICATION TABLE OF CONTENTS Y' the parts ofgrant application to indicate inclusion Also, please put page number where the information can be located. X Section of the Proposal Pa 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) XI . Funding priority . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 X 2 . Description of program activities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 X 3 . Evidence that program strategy will work. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 X4 . Staffing. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 X 5 . Awareness of program. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 X 6. Accessibility of program. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 D. MEASURABLE OUTCOMES do 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 B- I through B-9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 X H. FUNDER SPECIFIC MEASURABLE OUTCOMES 2005-06 . . . . . . . . . . . . . . . . . . . . . . . . . 13 X HEALTHY FAMILIES TAXONOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 Agency Supporting Documents included with TLC packet Behind Officers & Directors, Financial Audit, IRS 990, Balance Sheet & Budget, Staff TLC Organizational Chart, 501 (c)3 IRS letter, Articles of Incorporation, Bylaws, Affirmative Grant X Action Plan, Nepotism Statement, Taxonomy Definition, Testing Materials 1 Indian River County Healthy Start Coalition, Inc. Healthy Famifies IRC 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 children 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. Healthy Families IRC 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? Pregnancy and raising a child places many new or additional burdens and stressors on a family, including financial, emotional and even physical stress. Families at risk require support and education to reduce incidences of child maltreatment, neglect and abuse. HF focuses on families with risk factors for child abuse by teaching parenting components that improve parent/child interactions, increases literacy and enhances overall brain development. b) Who has the need ? Factors associated with increased risk for child abuse, poor birth outcomes and poor infant/child growth and development include : marital status, age of mother, moving three times in one year, alcohol or substance use, high stress level, not wanting the pregnancy, depression, history of mental health counseling, and partner being unemployed. These risk factors are more prevalent in teens and low income families . There were 1360 births to Indian River County residents in 2005 . In 2005 nearly half, or 47 .6% of all births are covered under Medicaid or indigent funding. Of all the births in 2005 , 41 . 3 % of babies born were to unwed mothers, with black unwed births at 76 .4%. In terms of education status of the newborn' s mother, 28.4% of the mothers did not have a 12a' grade education or GED. c) Where do they live? Healthy Families — IRC serves families from the entire county, with 61 % served from south county, and 39% from the north county area. d) Provide local, state, or national trend data, with reference source, that corroborates that this is an area of need. All Healthy Families Florida programs are modeled after the highly successful national HF America initiative and are recognized by Abuse America/Healthy Families America as providers of high quality home visitation services. Critical program elements have been defined by over 20 years of research and represent best practices in home visitation. There is 20% less maltreatment of children in families participating in Healthy Families than all families in the target area. 1 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 Care Coordination provides case management to high-risk pregnant women and infants and focuses on a healthy birth outcome. Healthy Families IRC is designed to begin before or shortly after birth and continues until parents complete program goals or the child reaches age five. TLC Newborn also focuses on interaction, but is not a home visiting program and is not curriculum based. Healthy Families requires low caseloads be maintained at an average of 20 families per worker, but no more than 25 . Healthy Start has case loads of 50 or more and does not make weekly contact. Healthy Families participants receive weekly visitation and must demonstrate improved knowledge to move to less visitation. Healthy Start' s highest level of service requires twice monthly visitation. The low caseloads and the extended duration of services greatly enhance the opportunity to positively impact families. Healthy Families-IRC is the only program in Indian River designed to serve families for up to five years. r Healthy Families Evaluation Report 1999-2003 Executive Summary. Williams, Stem & Associates. V. 4 Indian River County Healthy Start Coalition, Inc. Healthy Families IRC Program Children 's Services Advisory Committee Grant 2007-08 C. PROGRAM DESCRIPTION (Entire Section C, 1 — 6, not to exceed two pages) 1 . List Priority Needs area addressed. Parental support and education. Targets high risk pregnant women and new mothers including teens. Education increases positive parent/child interaction, outcomes, literacy, and employment. 2. Briefly describe program activities including location of services. HF Florida and the Florida Department of Health developed a Universal Prenatal Screen that assesses risk for both Healthy Families and Healthy Start programs. HF—IRC receives screens of at risk families from the Healthy Start program office and makes contact with all pregnant mothers who have a positive screen. Once a positive screen is received, a face-to-face two-hour comprehensive assessment is made to determine if she is eligible for HF IRC services. Services can be initiated two weeks before or after birth of the target child. Healthy Families is a voluntary, intensive home visitation program that occurs on a weekly basis . Caseloads are designed to be kept to fewer than 25 families to ensure the intensity of weekly home visitation is both manageable and effective . Intensity and frequency decrease over time as a result of the parents ' achievement of goals. Services take place in the home. Family Support Workers (FSW) are highly trained and supervised paraprofessionals who teach parents to interact in a positive manner by modeling appropriate behavior. Curriculum and services focus on parent/child bonding, infant/child growth and development, well baby care and immunization compliance. Families are empowered to set and achieve goals including employment. Born to Read Books and literature is provided. Literacy and reading to children is stressed. Families graduate after achieving goals. The average time it takes to graduate from the program is three years. 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. HF works with families at risk for child abuse by addressing and modeling parenting behavior that will improve parentichild interactions. Education increases positive outcomes, parent and child literacy, and stresses achieving employment. .The HF program is modeled after the highly successful national HF America; an initiative that is based on critical program elements that have been defined by over 20 years of research and represent best practices in home visitation. HF Florida, which is the state-based administrator of all HF programs, contracted with a research and evaluation firm to conduct overall program evaluation. In a report presented in April 2002, it found that 98% of all children who participated in HF had no finding of child maltreatment or substantiated child abuse . The national HF initiative has many years of research and has demonstrated the success of the Healthy Families' model as an effective means of promoting positive family functioning and preventing child maltreatment. 4. List staffing needed for your program, including required experience and estimated hours per week in program for each staff member and/or volunteers (this section should conform to the information in the Position Listing on the Budget Narrative Worksheet). ( 1 Full Time Equivalent - FTE) - Masters degree in social work, psychology, or a related field (or BA with 2 additional years of experience in the field), and/or 2 years experience in direct service delivery and supervision. The primary role is to provide leadership, direction and overall program supervision for all HF IRC staff. Supervisors ( 1 . 5 FTE' s) - Masters degree in social 5 ` Indian River County Healthy Start Coalition, Inc. Healthy Families IRC Program Children's Services Advisory Committee Grant 2007-08 PROGRAM COVERPAGEO �Uq �� { � n Organization Name: Indian River County Healthy Start Coalition, Inc. J� Executive Director: Leslie Spurlock E-mail : Ispurlockna,irchealth s�. org Address: 1603 10th Avenue Telephone : 772-563 -9118 Vero Beach, FL 32960 Fax: 772-563 -9125 Program Director: Dina Kramer E-mail: dkramer ,hfrrc.org Address: 1603 10th Avenue Telephone: 772-778 - 1405 Vero Beach, FL 32960 Fax : 772-778- 1029 Program Title : Healthy Families IRC •�� Priority Need Area Addressed: Parental Support and Education targeting high risk pregnant women and new mothers especially teens to increase the likelihood of positive health and emotional outcomes Brief Description of the Program: Healthy Families—IRC is a voluntary home visitationrp ogram designed to prevent child abuse by promoting positive parent-child interaction. Parents are taught with a curriculum of goals and activities that improves a child' s opportunity to grow u hp ealthy safe and nurtured. Services are designed to promote and support healthy development of families and help them resolve problems in the pre-crisis stage before child abuse takes place Mental health and wellness are key components of one on one counseling. SUMMARY REPORT — (Enter Information In The Black Cells Only) Amount Requested from Funder for 2007 / 08 : $ 64 , 751 . 50 Total Proposed Program Budget for 2007 /08 : $ 5093423 . 65 Percent of Total Program Budget : 12 . 7 % Current Program Funding (2006 / 07 ) : $ 55 , 000 Dollar increase /( decrease ) in request : $ 91752 Percent increase / ( decrease ) in request * * : 17 , 7 % Unduplicated Number of Children to be served Individually : 221 Unduplicated Number of Adults to be served Individually : 188 Unduplicated Number to be served via Group settings : - Total Program Cost per Client : 1245 . 53 * *If request increased 5 % or more, briefly explain why: Retention of highly trained and valuable staff whose presence has increased the number of children and adults served this year by + 11 If these funds are being used to match another source, name the source and the $ amount: The Ounce of Prevention/DCF $443 ,985 match of 25% is needed locally, $ 110 996 The Organization 's Board of Directors has approved this application on (date). ' P "' t 23t 2CxT7 tDebb ; e71-u� �fxf � NameofPresident/Chair of the Board Sig&9-� ( R �atw l urtDCL. Nbrife bf Executiv6 Dir ctor/CPO Ski atiu gn e ' I 2 Indian River County Healthy Start Coalition, Inc. Healthy Families IAC Program Children's services Advisory Committee Grant 2007-08 work, psychology, or a related field (or BA with 2 additional years of experience in the field), and 2 years experience in direct service delivery and supervision. Duties are to report to Program Manager, provide direct supervision of FSW' s and to review caseloads of HF IRC staff. Family Assessment Worker ( 1 .5 - FTE' s) - One-year college credit in a related field, with two years of experience delivering services to children and families. Duties are to review referrals made by OB providers or other sources in the community and to interview/conduct assessments using the eligibility tool with parents to determine eligibility for HE Family Support Worker (8 FTE' s) - One-year college credit in a related field, with two years of experience delivering services to children and families. Responsible for initiating and maintaining regular (at least weekly) and long-term contact/support with families. Data Entry Clerk—Admin. Asst. ( 1 FTE) - Accurate and timely information processing; experience with data entry computer systems. Duties include the review of master copies of documents; updates HF IRC database. 5. How will the target population be made aware of the program ? Identification of potential HF clients is accomplished through universal HS/HF screening of pregnant women at all OB providers' offices. Partners in Women' s Health is the primary obstetric Medicaid provider in this county, who has the highest number of patients eligible for Healthy Families. At Partner' s a midwife provides information to pregnant women during a weekly orientation about the provider and community programs, including a short video about Healthy Families. As the lead agency for HF IRC, awareness is created through Coalition networking and our other programs; MomCare, Healthy Start Care Coordination and TLC Newborn. The Coalition promotes the program through its website, public presentations, quarterly Coalition meetings and newsletters, at health fairs and other public events. 6. How will the program be accessible to target population (i.e., location, transportation, hours of operation)? HF IRC serves the entire county. Since HF IRC is a home visitation program, there are few barriers to program participation. Transportation for HF services is not an issue. All Family Support Workers have flexible hours and work evenings or weekends in order to visit families at the family' s convenience. Although home is the primary site of visitation, staff and families can arrange visitation at OB or pediatric provider offices, WIC or any other location that the family identifies as convenient. 6 Indian River County Healthy Start Coalition, Inc. Healthy Families IAC Program Children's Services Advisory Committee Grant 2007-08 D. PROGRAM OUTCOMES AND ACTIVITIES MATRIX. One matrix table per outcome. Each matrix table must not exceed two (2) ppages. Outcome # 1 : 90% of target children will be up-to-date with well baby check-ups and immunizations. Program Design & Task Management Evaluation Design & Data Collection (Columns 1 -4) (Columns 5-7) 001 3 4 5 7 Program Frequency Responsible Parties Expected Indicator Data Source Time of Activities (how often) (who) Outcomes/change (why) Measurements (where) Measurement (when) (what) (evidence) Family Support At each visit until FSW and parent Parent will establish a Documentation from HFF Data Quarterly Workers will the child is medical home for the child. FSW entered into HFF System encourage selection scheduled Child' s health will be Data System of a pediatrician, checked by a physician and discuss the immunizations will be importance of administered having their child immunized and where they can have child immunized Family Support At each visit until FSW and parent Child will receive Documentation from HFF Data Quarterly Workers will the child has been appropriate follow-up for FSW entered into HFF System educate parents on seen and is on health and developmental Data System the importance of schedule with growth regular check-ups, immunizations address immunization schedules with family and record compliance Family Support Intervals per FSW and parent Child will be followed by a Documentation from HFF Data Quarterly Workers monitor AAP, American pediatrician to ensure FSW entered into HFF System child ' s health and Academy of positive health and Data System immunizations. Pediatrics. developmental growth. 7 Indian River County Healthy Start Coalition, Inc. Healthy Families IRC Program Children's Services Advisory Committee Grant 2007-08 ORGANIZATION: Indian River County Healthy Start Coalition, Inc. PROGRAM : Healthv Families IRC 2007/2008 CORE APPLICATION TABLE OF CONTENTS Y' the parts ofgrant application to indicate inclusion Also, please put page number where the information can be located. X Section of the Proposal Pa 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) XI . Funding priority . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 X 2 . Description of program activities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 X 3 . Evidence that program strategy will work. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 X4 . Staffing. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 X 5 . Awareness of program. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 X 6. Accessibility of program. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 D. MEASURABLE OUTCOMES do 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 B- I through B-9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 X H. FUNDER SPECIFIC MEASURABLE OUTCOMES 2005-06 . . . . . . . . . . . . . . . . . . . . . . . . . 13 X HEALTHY FAMILIES TAXONOMY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 Agency Supporting Documents included with TLC packet Behind Officers & Directors, Financial Audit, IRS 990, Balance Sheet & Budget, Staff TLC Organizational Chart, 501 (c)3 IRS letter, Articles of Incorporation, Bylaws, Affirmative Grant X Action Plan, Nepotism Statement, Taxonomy Definition, Testing Materials 1 Indian River County Healthy Start Coalition, Inc. Healthy Famifies IRC 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 children 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. Healthy Families IRC Program Children's Services Advisory Committee Grant 2007-08 Outcome # 2 : 90% of participating families will complete the Parenting Stress Index according to HFF scheduled intervals; baseline at three weeks, six months later, and at twelve months of participation. Program Design & Task Management Evaluation Design & Data Collection (Columns 1 -4) (Columns 5 -7) I � 3 4 5 J 6 7 Program Activities Frequency Responsible Expected Indicator Data Source Time of (what) (how often) Parties (who) Outcomes/change Measurements (where) Measurement (why) (evidence) (when) The Parenting Stress When the child Family Support Parents will identify Completed PSI at HFF System Report Quarterly Index will be is three weeks Worker and parent feelings that cause three weeks administered by the FSW old, six months stress entered into and completed by the later, and 12 system parent months later Family Support Worker On completion Family Support Family Support PSI scored and HFF System Report Quarterly will review the completed of each Worker Worker will identify entered into PSI for high stress scheduled PSI what is causing system indicators parents the most _ stress. _ Family Support Worker On completion Ffamily Support Parent stress will Support Family record Weekly FSW will review the PSI with of each Worker and parent decrease. documented. supervision the parent and provide scheduled PSI Competence will support and education increase. 8 Indian River County Healthy Start Coalition, Inc. Healthy Families IRC Program Children's Services Advisory Committee Grant 2007-08 Outcome 43 : 90 % of the children in families participating for more than six months shall have no findings of some indication or verified child maltreatment during their participation. Program Design & Task Management Evaluation Design & Data Collection (Columns 1 -4) (Columns 5-7) I -100 -4 IO 6 ji 7 I Program Activities Frequency Responsible Expected Indicator Data Source Time of (what) (how often) Parties (who) Outcomes/change Measurements (where) Measurement (why) (evidence) (when) Family Support Workers Each home visit FSW and parents Family will learn No maltreatment Healthy Families Annually will educate the family on appropriate behavior. reported Florida Maltreatment parent interaction skills Report by using the intensive Growing Great Kids curriculum, handouts, and videos. Family Support Workers Each home visit FSW and parents Family will be No maltreatment Healthy Families Annually will make appropriate as needs are supported by reported Florida Maltreatment referrals to other agencies identified community resources Report that may assist them with and experience less other needs: food, stress housing, physicians, school, and cash assistance. Family Support Workers Each home visit FSW and parents Problems and stress No maltreatment Healthy Families Annually will watch for suspicious reducing behaviors reported Florida Maltreatment behavior and behavior will be discussed and Report changes and address them maltreatment accordingly. prevented through education 9 Indian River County Healthy Start Coalition, Inc. Healthy Families IRC 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? Pregnancy and raising a child places many new or additional burdens and stressors on a family, including financial, emotional and even physical stress. Families at risk require support and education to reduce incidences of child maltreatment, neglect and abuse. HF focuses on families with risk factors for child abuse by teaching parenting components that improve parent/child interactions, increases literacy and enhances overall brain development. b) Who has the need ? Factors associated with increased risk for child abuse, poor birth outcomes and poor infant/child growth and development include : marital status, age of mother, moving three times in one year, alcohol or substance use, high stress level, not wanting the pregnancy, depression, history of mental health counseling, and partner being unemployed. These risk factors are more prevalent in teens and low income families . There were 1360 births to Indian River County residents in 2005 . In 2005 nearly half, or 47 .6% of all births are covered under Medicaid or indigent funding. Of all the births in 2005 , 41 . 3 % of babies born were to unwed mothers, with black unwed births at 76 .4%. In terms of education status of the newborn' s mother, 28.4% of the mothers did not have a 12a' grade education or GED. c) Where do they live? Healthy Families — IRC serves families from the entire county, with 61 % served from south county, and 39% from the north county area. d) Provide local, state, or national trend data, with reference source, that corroborates that this is an area of need. All Healthy Families Florida programs are modeled after the highly successful national HF America initiative and are recognized by Abuse America/Healthy Families America as providers of high quality home visitation services. Critical program elements have been defined by over 20 years of research and represent best practices in home visitation. There is 20% less maltreatment of children in families participating in Healthy Families than all families in the target area. 1 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 Care Coordination provides case management to high-risk pregnant women and infants and focuses on a healthy birth outcome. Healthy Families IRC is designed to begin before or shortly after birth and continues until parents complete program goals or the child reaches age five. TLC Newborn also focuses on interaction, but is not a home visiting program and is not curriculum based. Healthy Families requires low caseloads be maintained at an average of 20 families per worker, but no more than 25 . Healthy Start has case loads of 50 or more and does not make weekly contact. Healthy Families participants receive weekly visitation and must demonstrate improved knowledge to move to less visitation. Healthy Start' s highest level of service requires twice monthly visitation. The low caseloads and the extended duration of services greatly enhance the opportunity to positively impact families. Healthy Families-IRC is the only program in Indian River designed to serve families for up to five years. r Healthy Families Evaluation Report 1999-2003 Executive Summary. Williams, Stem & Associates. V. 4 Indian River County Healthy Start Coalition, Inc. Healthy Families IRC Program Children 's Services Advisory Committee Grant 2007-08 C. PROGRAM DESCRIPTION (Entire Section C, 1 — 6, not to exceed two pages) 1 . List Priority Needs area addressed. Parental support and education. Targets high risk pregnant women and new mothers including teens. Education increases positive parent/child interaction, outcomes, literacy, and employment. 2. Briefly describe program activities including location of services. HF Florida and the Florida Department of Health developed a Universal Prenatal Screen that assesses risk for both Healthy Families and Healthy Start programs. HF—IRC receives screens of at risk families from the Healthy Start program office and makes contact with all pregnant mothers who have a positive screen. Once a positive screen is received, a face-to-face two-hour comprehensive assessment is made to determine if she is eligible for HF IRC services. Services can be initiated two weeks before or after birth of the target child. Healthy Families is a voluntary, intensive home visitation program that occurs on a weekly basis . Caseloads are designed to be kept to fewer than 25 families to ensure the intensity of weekly home visitation is both manageable and effective . Intensity and frequency decrease over time as a result of the parents ' achievement of goals. Services take place in the home. Family Support Workers (FSW) are highly trained and supervised paraprofessionals who teach parents to interact in a positive manner by modeling appropriate behavior. Curriculum and services focus on parent/child bonding, infant/child growth and development, well baby care and immunization compliance. Families are empowered to set and achieve goals including employment. Born to Read Books and literature is provided. Literacy and reading to children is stressed. Families graduate after achieving goals. The average time it takes to graduate from the program is three years. 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. HF works with families at risk for child abuse by addressing and modeling parenting behavior that will improve parentichild interactions. Education increases positive outcomes, parent and child literacy, and stresses achieving employment. .The HF program is modeled after the highly successful national HF America; an initiative that is based on critical program elements that have been defined by over 20 years of research and represent best practices in home visitation. HF Florida, which is the state-based administrator of all HF programs, contracted with a research and evaluation firm to conduct overall program evaluation. In a report presented in April 2002, it found that 98% of all children who participated in HF had no finding of child maltreatment or substantiated child abuse . The national HF initiative has many years of research and has demonstrated the success of the Healthy Families' model as an effective means of promoting positive family functioning and preventing child maltreatment. 4. List staffing needed for your program, including required experience and estimated hours per week in program for each staff member and/or volunteers (this section should conform to the information in the Position Listing on the Budget Narrative Worksheet). ( 1 Full Time Equivalent - FTE) - Masters degree in social work, psychology, or a related field (or BA with 2 additional years of experience in the field), and/or 2 years experience in direct service delivery and supervision. The primary role is to provide leadership, direction and overall program supervision for all HF IRC staff. Supervisors ( 1 . 5 FTE' s) - Masters degree in social 5 Indian River County Healthy Start Coalition, Inc. Healthy Families IRC 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 bevond referrals and support. (See individual funder requirements for inclusion of collaborative a reement letters.) Collaborative Agency Resources provided to the program Indian River County Health • Provides coordination of HS/HF prenatal screen. Department • Communication on potential HF client' s status. Services are provided in-kind. • Medical/nursing based services for HF client on an "as-needed" basis. • WIC and needed health care services at CHD clinics . Indian River Memorial Hospital • The hospital works with the Healthy Start Services are provided in-kind. Screening Liaison to facilitate the Universal Screen, provides space and a computer. IRC Library — Born to Read • Provides two books and a book-bag to families Program with a newborn who participate in HF IRC . HF Services are provided in-kind. IRC emphasizes the importance of reading to their infant to enhance brain development. Partners in Women' s Health • Primary site for Healthy Families referrals. Services are provided in-kind. Partner' s employees provide HF IRC orientation, education, and processing of the Universal Healthy Start Screen. Indian River County Healthy Start • Overall program development, integration and Coalition communication within all IRCHSC programs. • Office Space at no cost to HF IRC. The Coalition provides in-kind • PR and marketing of HF IRC Program support to the HF IRC program • QA/QI oversight. • Accounting, fiscal reporting and audit preparation. • HF IRC representation at public events. • Development and presentation of HF IRC grants . Storage Solutions • Provides confidential document storage Services are provided in-kind. Martha's Circle • Volunteers for family graduation and provides Community Church holiday gifts for children and cash assistance for participants. 10 Indian River County Healthy Start Coalition, Inc. Healthy Families IAC Program Children's Services Advisory Committee Chant 2007-08 F. UNDUPLICATED CLIENTS Number of Unduplicated Clients by Location Last Fiscal Year Current Fiscal Year Neat Fiscal Year Location Actual 2005/2006 Budget 2006/07 Projections 2007/08 Unduplicated Clients Unduplicated Clients Unduplicated Clients North Indian River Co. 142 86 94 South Indian River Co. 223 319 315 Indian River Co Total 365 405 409 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 365 405 1 409 Last Fiscal Year Current Fiscal Year Neat Fiscal Year Location Actual 2005/2006 Budget 2006/07 Projections 2007/08 Individual Group Individuals Group Individuals Group 0 to 4 - (Pre-school) 93 - 158 160 - 5 to 10 - (Elementary) 28 - 47 - 45 - 11 to 14 - (Middle) 10 13 - 8 - 15 to 18 - (High School) 10 - 11 - 8 - Total Children 141 229 221 - 19 to 59 - (Adults) 224 - 176 - 188 60 + (Seniors) - Total Adults 224 176 188 - TOTAL SERVED 365 - 405 - 409 - 11 Indian River County Healthy Start Coalition, Inc. Healthy Families IAC Program Children's services Advisory Committee Grant 2007-08 work, psychology, or a related field (or BA with 2 additional years of experience in the field), and 2 years experience in direct service delivery and supervision. Duties are to report to Program Manager, provide direct supervision of FSW' s and to review caseloads of HF IRC staff. Family Assessment Worker ( 1 .5 - FTE' s) - One-year college credit in a related field, with two years of experience delivering services to children and families. Duties are to review referrals made by OB providers or other sources in the community and to interview/conduct assessments using the eligibility tool with parents to determine eligibility for HE Family Support Worker (8 FTE' s) - One-year college credit in a related field, with two years of experience delivering services to children and families. Responsible for initiating and maintaining regular (at least weekly) and long-term contact/support with families. Data Entry Clerk—Admin. Asst. ( 1 FTE) - Accurate and timely information processing; experience with data entry computer systems. Duties include the review of master copies of documents; updates HF IRC database. 5. How will the target population be made aware of the program ? Identification of potential HF clients is accomplished through universal HS/HF screening of pregnant women at all OB providers' offices. Partners in Women' s Health is the primary obstetric Medicaid provider in this county, who has the highest number of patients eligible for Healthy Families. At Partner' s a midwife provides information to pregnant women during a weekly orientation about the provider and community programs, including a short video about Healthy Families. As the lead agency for HF IRC, awareness is created through Coalition networking and our other programs; MomCare, Healthy Start Care Coordination and TLC Newborn. The Coalition promotes the program through its website, public presentations, quarterly Coalition meetings and newsletters, at health fairs and other public events. 6. How will the program be accessible to target population (i.e., location, transportation, hours of operation)? HF IRC serves the entire county. Since HF IRC is a home visitation program, there are few barriers to program participation. Transportation for HF services is not an issue. All Family Support Workers have flexible hours and work evenings or weekends in order to visit families at the family' s convenience. Although home is the primary site of visitation, staff and families can arrange visitation at OB or pediatric provider offices, WIC or any other location that the family identifies as convenient. 6 Indian River County Healthy Start Coalition, Inc. Healthy Families IAC Program Children's Services Advisory Committee Grant 2007-08 D. PROGRAM OUTCOMES AND ACTIVITIES MATRIX. One matrix table per outcome. Each matrix table must not exceed two (2) ppages. Outcome # 1 : 90% of target children will be up-to-date with well baby check-ups and immunizations. Program Design & Task Management Evaluation Design & Data Collection (Columns 1 -4) (Columns 5-7) 001 3 4 5 7 Program Frequency Responsible Parties Expected Indicator Data Source Time of Activities (how often) (who) Outcomes/change (why) Measurements (where) Measurement (when) (what) (evidence) Family Support At each visit until FSW and parent Parent will establish a Documentation from HFF Data Quarterly Workers will the child is medical home for the child. FSW entered into HFF System encourage selection scheduled Child' s health will be Data System of a pediatrician, checked by a physician and discuss the immunizations will be importance of administered having their child immunized and where they can have child immunized Family Support At each visit until FSW and parent Child will receive Documentation from HFF Data Quarterly Workers will the child has been appropriate follow-up for FSW entered into HFF System educate parents on seen and is on health and developmental Data System the importance of schedule with growth regular check-ups, immunizations address immunization schedules with family and record compliance Family Support Intervals per FSW and parent Child will be followed by a Documentation from HFF Data Quarterly Workers monitor AAP, American pediatrician to ensure FSW entered into HFF System child ' s health and Academy of positive health and Data System immunizations. Pediatrics. developmental growth. 7 Indian River County Healthy Start Coalition, Inc. Healthy Families IRC 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. Microsoft Office Excel Worksheet 12 Indian River County Healthy Stan Coalition, Inc. Healthy Families IRC 2007 -2008 CORE APPLICATION BUDGET NARRATIVE WORKSHEET IMPORTANT: The Budget Narrative should provide details to justify the amount requested in each line dem 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/Healthy Families IRC FUNDER : Children's Advisory Committee IRC : CAUTION : Do not enter any figures where a cell is colored in dark blue - Formulas and/or links are in place. Gray areas should be used for providing information and calculations only. REVENUES Proposed Total Program Budget Funder Specific Total AgencyBudget Budget 1 Children's Services CouncikSt Lucie 2 Children's Services Council-Martin 3 Advisory Committee-Indian River 64,751 .50 64,751 .50 64,751 . 50 4 United Way-St Lucie County 5 United Way-Martin County 6 United Way-Indian River County 7 Department of Children & Families 443,985.00 443,985. 00 8 County Funds 9 Contributions-Cash 500 .00 0.00 500.00 10 Program Fees 11 Fund Raising Events-Net 12 Sales to Public - Net 13 Membership Dues 14 Investment Income 15 Miscellaneous 16 Legacies & Bequests 17 Funds from Other Sources 18 Reserve Funds Used for Operating 19 In-Kind Donations INcot included in total) 57, 156 .00 0.00 57,156.00 20 TOTAL REVENUES (doesnY include line 19) $509, 236.50 $64,751 .50 $509,236.50 8 C EXPENDITURES Proposed Total Program Budget Funder Specific Total Agency Budget Budget 21 Salaries - (must complete chart on next page: 314,772.00 59,000. 00 314, 772.00 22 FICA - Total salaries x 0.0765 24,080. 06 4,513. 50 24,080.06 Retirement - Annual pension tor qua le 23 staff 0. 00 0. 00 0.00 Life/Health - e Ica en a ort-term 24 Disab. 66,732. 12 0.00 66,732. 12 or ers ompensation -—6-74-e-- 66,732. 12 oyees x 25 rate 13x.0207 6,515.79 1 ,238 .00 6,515 . 79 on a Unemployment - projected 26 employees x $7,000x U( rate 582.40 0.00 582 .40 � - I 5912007 B-1 Indian River County Healthy Start Coalition, Inc. Healthy Families IRC Program Children's Services Advisory Committee Grant 2007-08 Outcome # 2 : 90% of participating families will complete the Parenting Stress Index according to HFF scheduled intervals; baseline at three weeks, six months later, and at twelve months of participation. Program Design & Task Management Evaluation Design & Data Collection (Columns 1 -4) (Columns 5 -7) I � 3 4 5 J 6 7 Program Activities Frequency Responsible Expected Indicator Data Source Time of (what) (how often) Parties (who) Outcomes/change Measurements (where) Measurement (why) (evidence) (when) The Parenting Stress When the child Family Support Parents will identify Completed PSI at HFF System Report Quarterly Index will be is three weeks Worker and parent feelings that cause three weeks administered by the FSW old, six months stress entered into and completed by the later, and 12 system parent months later Family Support Worker On completion Family Support Family Support PSI scored and HFF System Report Quarterly will review the completed of each Worker Worker will identify entered into PSI for high stress scheduled PSI what is causing system indicators parents the most _ stress. _ Family Support Worker On completion Ffamily Support Parent stress will Support Family record Weekly FSW will review the PSI with of each Worker and parent decrease. documented. supervision the parent and provide scheduled PSI Competence will support and education increase. 8 Indian River County Healthy Start Coalition, Inc. Healthy Families IRC Program Children's Services Advisory Committee Grant 2007-08 Outcome 43 : 90 % of the children in families participating for more than six months shall have no findings of some indication or verified child maltreatment during their participation. Program Design & Task Management Evaluation Design & Data Collection (Columns 1 -4) (Columns 5-7) I -100 -4 IO 6 ji 7 I Program Activities Frequency Responsible Expected Indicator Data Source Time of (what) (how often) Parties (who) Outcomes/change Measurements (where) Measurement (why) (evidence) (when) Family Support Workers Each home visit FSW and parents Family will learn No maltreatment Healthy Families Annually will educate the family on appropriate behavior. reported Florida Maltreatment parent interaction skills Report by using the intensive Growing Great Kids curriculum, handouts, and videos. Family Support Workers Each home visit FSW and parents Family will be No maltreatment Healthy Families Annually will make appropriate as needs are supported by reported Florida Maltreatment referrals to other agencies identified community resources Report that may assist them with and experience less other needs: food, stress housing, physicians, school, and cash assistance. Family Support Workers Each home visit FSW and parents Problems and stress No maltreatment Healthy Families Annually will watch for suspicious reducing behaviors reported Florida Maltreatment behavior and behavior will be discussed and Report changes and address them maltreatment accordingly. prevented through education 9 Indian River County Healthy Start Coalition, Inc. Healthy Families IRC SALARIES I Gross n IV POSITION LISTING Annual Salary Portion of Salary on Proposed /it % of Gross Annual Position Title / Total Hrs/wk (Agency) Program Funder Specific Budget Salary Requesteal Example: Executive Director140hM 70,000.00 10,000.00 5,000.00 7. 16% Program Manager 1 FTE 45,516.00 45,516.00 0. 000/0 Supervisor 1 FTE 31 ,616.00 31 ,616.00 0. 000/0 Supervisor/FAW 1 FTE 27,560. 00 27,560.00 0.000/C FAW (family assessment worker) 1 FTE 24, 128.00 24, 128.00 0.00% Family Support Workers 8 FTE 169,728.00 169,728. 00 59,000.00 34.76% Data Entry Operator .75 FTE 16 ,224.00 16,224. 00 0.00°/n #DIV/0! #DIV/0 ! #DIV/0 ! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0 ! #DIV/0 ! #DIV/0! #DIV/0! #DIV/0! #DIV/0! Remaining positions throughout the agency Total Salaries 1 $314,772 .001 $314,772.00 $59,000.00 18.74% FRINGE BENEFITS DETAIL (Funder Specific Budget I Funder II f0 ^r V w vh Column C only, from line 21 to 26) Specific Budget FICA 7.65% Pension Health Worker's Unemployme Total Fringes Funder Position Title / Total Hrs/wk (Ax %) ins. Compens. nt Compens. Specific Example: Case Manager140hrs 5,000.00 382.50 200.00 500.00 300.00 200.00 12582.50 Program Manager 1 FTE 0.00 0.00 0.00 Supervisor 1 FTE 0.000. 00 0.00 Supervisor/FAW 1 FTE 0.00 0. 00 0.0 FAW (family assessment worker) 1 FTE 0.00 0.00 0.0 Family Support Workers 8 FTE 59,000.00 4,513.50 4 ,513.5 Data Entry Operator .75 FTE 0.00 17.00 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 o D.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 O.OD 0.0 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 D 0. 00 D.Do a.00 0 0.00 0.001 10.00 Total Funder Request Fringe Benefits $5 .000.00 ,513.50 $0.00 $0.00 $0.00 $0.001 $4, 5 L_J _ Q. 5RI2007 s-t Indian River County Healthy Stan Coalition, Inc. Healthy Families IRC EXPEND/TURES A B C Proposed Total program Budget Funder S e 27 Travel-Daily P cific Tofat Agency # of Staff x average # oftmiBudge les/wk x 50 wks x Budget 29,260.00 $ = Estimated Daily Travel/Mileage Reimb. 0.00 29,260.0( 28 Travel/Conferences/Training $221 (approximately 497 miles x .445 cents per mile) per month x 11 home visitors • National Conference (cost per staff) • Training/Seminar P 6,500. 00 (cost per 0. 00 6,500. 00 • Other Trainings (Cost Of travel, lodging, registration, food) 29 Office Supplies • Office supplies (monthly average x 12 months = estimated cost of office su3,000. 00 based on present history. PPlies 0.00 3,000.00 30 Telephone • # Phone lines x average cost per month x 12 months = local phone cost 7.000.00 • Average Ion distance 0.00 7,040.00 Estimated cost of long distance 12 months = 31 Postage/Shipping • Quarterly Mailing of Newsletter • Special events, etc. 150.00 • Bulk mailingsa 0. 00 - appeals 150.00 32 utilities • Electricity ($ x 12 months) • Water/Sewer ($ x 12 months) 600.00 • ($ x 12 onths) Garbage 0.00 600. 00 m 33 Occupancy (Building & Grounds) • Mortgage/Rent ($ x 12 months) • Janitorial ($ x 12 months) 1 ,604. 00 • Grounds Maint. ($ x 12 months) 0.00 1 ,604. 00 • Real Estate Taxes 34 Printing & Publications Bldg Maintenance $1o0; rent $100; Storage of Equip & supplies $ 1404 • Quarterly Newsletter ($ x 4) • Letterheads, Envelopes, etc. 100. 00 • Fundraising materials 0. 00 100.00 • Other 35 Subscription/Dues/Memberships Print work changes to brochure • Membership to National Organization • Dues 275.00 • Subscriptions to Newspapers/magazines, 0.00 275.00 etc. 36 Insurance Prevent Child Abuse America dues $275 • Directors/Officers Liab. • Commercial/General Insurance 0-00 0.00 • Bond Ins. 0.00 • Auto Insurance 37 Equipment: Rental & Maintenance Covered by KCBD and Coalition's Board of Directors • Copier lease ($ x 12 months) • Meter lease ($ x 12 months) 864.00 0. 00 • Copier Maintenance ($ x 12 months) 864.00 • Computer Maintenance ( $ x 12 months) • Other 8 Advertising $72 x 12 for copier maintenance • Newspaper ads • Fundraising ads/promotions 400.00 • Other (vacancies) 17.00 400.00 Equipment Purchases:CapffaI Expense Classified advertising for staff vacancies • Computer/monitor (# x $) • Laser Printer 0. 00 5nrzom 0.00 0.00 Indian River County Healthy Start Coalition, Inc. Healthy Families IRC 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 bevond referrals and support. (See individual funder requirements for inclusion of collaborative a reement letters.) Collaborative Agency Resources provided to the program Indian River County Health • Provides coordination of HS/HF prenatal screen. Department • Communication on potential HF client' s status. Services are provided in-kind. • Medical/nursing based services for HF client on an "as-needed" basis. • WIC and needed health care services at CHD clinics . Indian River Memorial Hospital • The hospital works with the Healthy Start Services are provided in-kind. Screening Liaison to facilitate the Universal Screen, provides space and a computer. IRC Library — Born to Read • Provides two books and a book-bag to families Program with a newborn who participate in HF IRC . HF Services are provided in-kind. IRC emphasizes the importance of reading to their infant to enhance brain development. Partners in Women' s Health • Primary site for Healthy Families referrals. Services are provided in-kind. Partner' s employees provide HF IRC orientation, education, and processing of the Universal Healthy Start Screen. Indian River County Healthy Start • Overall program development, integration and Coalition communication within all IRCHSC programs. • Office Space at no cost to HF IRC. The Coalition provides in-kind • PR and marketing of HF IRC Program support to the HF IRC program • QA/QI oversight. • Accounting, fiscal reporting and audit preparation. • HF IRC representation at public events. • Development and presentation of HF IRC grants . Storage Solutions • Provides confidential document storage Services are provided in-kind. Martha's Circle • Volunteers for family graduation and provides Community Church holiday gifts for children and cash assistance for participants. 10 Indian River County Healthy Start Coalition, Inc. Healthy Families IAC Program Children's Services Advisory Committee Chant 2007-08 F. UNDUPLICATED CLIENTS Number of Unduplicated Clients by Location Last Fiscal Year Current Fiscal Year Neat Fiscal Year Location Actual 2005/2006 Budget 2006/07 Projections 2007/08 Unduplicated Clients Unduplicated Clients Unduplicated Clients North Indian River Co. 142 86 94 South Indian River Co. 223 319 315 Indian River Co Total 365 405 409 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 365 405 1 409 Last Fiscal Year Current Fiscal Year Neat Fiscal Year Location Actual 2005/2006 Budget 2006/07 Projections 2007/08 Individual Group Individuals Group Individuals Group 0 to 4 - (Pre-school) 93 - 158 160 - 5 to 10 - (Elementary) 28 - 47 - 45 - 11 to 14 - (Middle) 10 13 - 8 - 15 to 18 - (High School) 10 - 11 - 8 - Total Children 141 229 221 - 19 to 59 - (Adults) 224 - 176 - 188 60 + (Seniors) - Total Adults 224 176 188 - TOTAL SERVED 365 - 405 - 409 - 11 Indian River County Healthy Start Coalition.. Inc Healthy Families IRC 40 Professional Fees (Legal, Consulting) 0.001 0.001 0.00 • Legal advice ( estimated #hrs x $) • Consultant fees • Other 41 Books/Educational Materials 100.00 0. 00 100.00 • Books/videos • Materials ($ x staff) Participant educational materials 42 Food & Nutrition 0.00 0.001 0.00 • Meals ( # meals x clients x 5days x 50 wks) • Snacks 43 Administrative Costs 44,038.28 44,038.28 • Admin. Cost (% of total budget) 44 Audit Expense 2,000.00 0.00 2 ,000.00 • Independent Audit Review 19% of audit fee 45 Specific Assistance to Individuals 500.00 0.00 500.00 • Medical assistance • Meals/Food • Rent Assistance • Other Cash contribution to assist individual participants from community supporters 46 Other/Miscellaneous 350.001 0. 001 350 .00 • Background check/drug test • Other $350 background checks 5 @ $70 per check 47 OtherlContract • Sub-contract for program services 48 TOTAL EXPENSES $509,423 .65 $64,751 .50 $509,423.65 5912007 B-1 iMan flhw GwIrXmNy Spn Cmlib, irc i�flYFemties lqL 2007-2008 CORE GRANT APPLICATION TOTAL AGENCY BUDGET AGENCYIPROGRAM NAME: Indian River Coun Healthy Start Coalition/Health Families IRC FY 05106 FY 06107 FY 07/08 FYE 7/1105-6130/06 FYE ]H/06-6f30/07 FYE 717/07.6138 % INCREASE CURRENT VS. A B C NEXT FY BUDGET REVENUES ACTUAL TOTAL PROPOSED D 1 Children's Services CouncilSt Lucie BUDGETED BUDGETEDIC°�' liO�' aN°O� a 2 Children's Services Council-Martin 0.00 3 Adviso Committee-Indian River 0.00 4 United We St Lucie Coun 55 000.00 55 000.00 64,751.50 17.73 5 United We -Martin Coun 0.00 6 Unted We -Indian River Coun 0.00 7 De rtment of Children & Families 0.00 8 Coun Funds 443,985.00 453,985.00 443 985.00 2.20 s Contributions-Cash 0.00 10 Pro ram Fees 1,000.00 500.00 500.00 11 F 0.00 Fund Raisin Events-Net 0.00% 72Sales to Public-Net 0.00 13 Membershi Dues 0.00 14 Investment Income 0.00 15 Miscellaneous 0.00 16 Le acies & Be uests 0.00 17 Funds from Other Sources 0.00 18 Reserve Funds Used for O tin 0.00 19 1n-Kind Donations Not induced w 1 c0 0.00 20 TOTAL 57,156.00 499 985.00 509 485.00 509 236.50 EXPENDITURES -0.05 2t Salaries 22 FICA 292277.00 312,386.00 314,772.00 22359.00 23,932.00 0.76% 23 Retirement 24,080.06 24 Life/Health 0.00 0.62% 3, 174.00 0.00 53,416.00 63,060.00 -100.00% zs Workers Com ensation 66 732.12 5.820/c 26 Florida Unem to ment 4'846'75 5,680.00 6,515.79 632.37 1 ,200.00 14.71 oYc 27 Travel-0ail 582.40 -51 .47% 29 Travel/Conferences?linin 21 021 .00 28,260.00 29,260.00 2,872.00 6,500.00 0.00% 29 Office Su lies 6,500.00 30 Tele hone 6,351.00 3000.000.00% 3,000.00 31 Posta e/Shi in 9,024.00 7,000.00 7,000.00 0.00% 157.00 0-00% 32 Utilities 160.00 150.00 -6.25% 33 Occu anc Buildin & Grounds 1,757.00 2400.00 600.00 34 Printin 8 Publications 9 516.00 2,860.00 1 ,604. -75.00% 00 -43.92% 35 Subscri tion/Dues/Membershi 1 `5W.00 100.00 100.00 36 Insurance 273.00 _ 275.00 275.00 0.00% 37 E ui meM:Rental & Maintenance 0.00 0.00 0-00 0.00% 38Advertisin 1.078.00 1 500.00 864.00 496.00 42.40 39 E ui ment Purchases:Ca ital Ex rise 400.00 400.00 0.00% w Professional Fees Le al, Consultin 0.00 0.00 0.00 41 BOoks/Educational Materials 3500.00 0.00 0.00 42 Food & Nutrition 500.00 100.00 100.00 43 Administrative tive Costs 0.00 0.00 0.00% 44 Audit Ex nae 48,315.00 44 398.00 44,038.28 45 S ecific Assistance to Individuals 9'520.00 2,000.00 200 -0.81 .00 p.pp% as Other/Miscellaneous 5 996'00 100.00 500.00 47 OtherfContract 682.00 0.00 350.0 400.00% 235.00 0 48 TOTAL 0.00 0.00 491414.12 509485.00 509,423.65 49 REVENUES OVER/ UNDER EXPENDITURES 8 5)0.88 0.00 -187.15 � � 1 rg 5 Indian River County Healthy Start Coalition, Inc. Healthy Families IRC 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. Microsoft Office Excel Worksheet 12 Indian River County Healthy Stan Coalition, Inc. Healthy Families IRC 2007 -2008 CORE APPLICATION BUDGET NARRATIVE WORKSHEET IMPORTANT: The Budget Narrative should provide details to justify the amount requested in each line dem 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/Healthy Families IRC FUNDER : Children's Advisory Committee IRC : CAUTION : Do not enter any figures where a cell is colored in dark blue - Formulas and/or links are in place. Gray areas should be used for providing information and calculations only. REVENUES Proposed Total Program Budget Funder Specific Total AgencyBudget Budget 1 Children's Services CouncikSt Lucie 2 Children's Services Council-Martin 3 Advisory Committee-Indian River 64,751 .50 64,751 .50 64,751 . 50 4 United Way-St Lucie County 5 United Way-Martin County 6 United Way-Indian River County 7 Department of Children & Families 443,985.00 443,985. 00 8 County Funds 9 Contributions-Cash 500 .00 0.00 500.00 10 Program Fees 11 Fund Raising Events-Net 12 Sales to Public - Net 13 Membership Dues 14 Investment Income 15 Miscellaneous 16 Legacies & Bequests 17 Funds from Other Sources 18 Reserve Funds Used for Operating 19 In-Kind Donations INcot included in total) 57, 156 .00 0.00 57,156.00 20 TOTAL REVENUES (doesnY include line 19) $509, 236.50 $64,751 .50 $509,236.50 8 C EXPENDITURES Proposed Total Program Budget Funder Specific Total Agency Budget Budget 21 Salaries - (must complete chart on next page: 314,772.00 59,000. 00 314, 772.00 22 FICA - Total salaries x 0.0765 24,080. 06 4,513. 50 24,080.06 Retirement - Annual pension tor qua le 23 staff 0. 00 0. 00 0.00 Life/Health - e Ica en a ort-term 24 Disab. 66,732. 12 0.00 66,732. 12 or ers ompensation -—6-74-e-- 66,732. 12 oyees x 25 rate 13x.0207 6,515.79 1 ,238 .00 6,515 . 79 on a Unemployment - projected 26 employees x $7,000x U( rate 582.40 0.00 582 .40 � - I 5912007 B-1 vtien Ri Co W y501 C,,kM, b.:. Wally Fm Sue IRC 2007-2008 CORE GRANT APPLICATION TOTAL PROGRAM BUDGET AGENCYIPROGRAM NAME: Indian River County HealthyStart Coalition/Healthy Families IRC FY 05106 FY 06107 FY 07/08 % INCREASE FYE FYE FYE CURRENTVS. NEXT FY BUDGET A B C D ACTUAL TOTAL PROPOSED Icol. Cc 1. BNCd. a 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 55000.00 55,000.00 64,751 .50 17.73% 4 United Way-St. Lucie County 0.00 5 United Way-Martin County 0.00 6 United Way-Indian River County 0.00 7 Department of Children & Families 443,985.00 453,985.00 443,985.00 -2.20% 8 County Funds 0.00 9 Contributions-Cash 1 ,000.00 500.00 500.00 0.00% 10 Program Fees 0.00 11 Fund Raising Events-Net 0.00 12 Sales to Public-Net 0.00 13 Membershi Dues 0.00 14 Investment Income 0.00 15 Miscellaneous 0.00 16 Le acies & Bequests 0.00 17 Funds from Other Sources 0.00 to Reserve Funds Used for Operating O.DO 19 In-Kind Donations INw Included In arz0 57 156.00 29 TOTAL 499,985.00 509,485.00 509,236.50 -0.05% EXPENDITURES 21 Salaries 292 277.00 312 386.00 314,772.00 0.76% 22 FICA 22,359.00 23932.00 24,080.06 0.62% 23 Retirement 0.00 3,174.00 0.00 -100.00% 24 Life/Health 53416.00 63,060.00 66,732.12 5.82% 25 Workers Compensation 4,846.75 5,680.00 6,515.79 14.71% 2s Florida Unemployment 632.37 1,200.00 582.40 -51 .47% 27 Travel-Daily 21 ,021 .00 29260.00 29,260.00 0.00% 28 Travel/Conferences/Training 2,872.00 6,500.00 6,500.00 0.00% a Office Supplies 6,351 .00 3.000.001 3,000.00 0.000/0 30 Telephone 9024.OD 7,000.00 7,1100.00 0.00% 31 Postage/Shipping 157.00 160.00 150.00 -6.25% 32 Utilities 1 ,757.00 2400.00 600.00 -75.00% 33 Occupancy (Building & Grounds 9.516.00 2,860.00 1 ,604.00 43.92% 34 Printing & Publications 1 ,580.00 100.00 100.00 0.00% 35 Subscription/Dues/Memberships 273.00 275.00 275.00 0.000/c 36 Insurance - 0.00 0D 0.00 37 E ui ment:Rental & Maintenance 1,078.00 1,500.00 864.00 42.40 3s Advertising 496.00M44,398.0044�, 400.00 0.00% 39 Equipment Purchases:Ca hal Ex nse 0.000.00 40 Professional Fees (Legal, Consulting) 3,500.000.00 41 Books/Educational Materials 500.00100.00 0.00% 42 Food & Nutrition 0.000.00 43 Administrative Costs 48,315.00 ,038.28 -0.81 %44 Audit Ex ne 9,520.002,000.0000%45 S ific Assistance to Individuals 996.00500.00 400.00% 46 OthedMiscellaneous 692.00 0.00 350.00 47 Other/Contract 235.00 0.00 0.00 48 TOTAL 491 ,414.12 509,485.00 509,423.65 -0.01 % 49 REVENUES OVER! UNDER EXPENDITURES 8,570.88 0.00 A87.15 W snmr ea Indian River County Healthy Stan Coalition. Inc. Healthy Families IRC 2007-2008 CORE GRANT APPLICATION FUNDER SPECIFIC BUDGET PROGRAM EXPENSES AGENCY/PROGRAM NAME : Indian River County Healthy Start Coalition/Healthy Families IRC FUNDER: Children's Advisory Committee II A B C FY 07/08 FY 07108 % OF TOTAL FUNDER TOTAL VS. PROGRAM SPECIFIC FUNDER REQUEST BUDGET BUDGET (col. Blcol. A) EXPENDITURES 21 Salaries 314,772.00 591000.00 18 .74% 22 FICA 0.00 41513.50 #DIV/0 ! 23 Retirement 0.00 0 .00 #DIV/O! 24 Life/Health 0 .00 0.00 #DIV/0! 25 Workers Compensation 0 .00 1 ,238.00 #DIV10! 26 Florida Unem to ment 0 .00 0.00 #DIV/0 ! 27 Travel-Dail 0.00 0.00 #DIV10 ! 28 Travel/Conferences/Training 0.00 0.00 #DIV/0 ! 29 Office Supplies 0.00 0.00 #DIV/0 ! 3o Telephone 0.00 0.00 #DIVIO ! 31 Postage/Shipping 0.00 0.00 #DIVIO! 32 Utilities 0.00 0.00 #DIV10! 33 Occupancy (Building & Grounds 0.00 0 .00 #DIV/01 34 Printing & Publications 0.00 0 .00 #DIVIO! 35 Subscription/Dues/Memberships 0.00 0.00 #DIV/0! 36 Insurance 0.00 . 0.00 #DIV/0! 37 E ui ment: Rental & Maintenance 0 .00 0.00 #DIV/01 38 Advertising 0 .00 0.00 #DIV101 39 Equipment Purchases :Ca ital Expense 0.00 0.00 #DIV/0 ! 40 Professional Fees Le al, Consulting) 0.00 0.00 #DIV10! 41 Books/Educational Materials 0.00 0.00 #DIVIO! 42 Food & Nutrition 0.00 0 .00 #DIVIO! 43 Administrative Costs 0.00 0 .00 #DIV/01 44 Audit Expense 0.00 0 .00 #DIV10! 45 Specific Assistance to Individuals 0.00 0.00 #DIV/0 ! 46 Other/Miscellaneous 0 .001 0.00l #DIVIO ! 47 Other/Contract 0 .00 0.00 #DIV10 ! 48 TOTAL $314,772.00 $641751 .50 20 .57% snrzao� s� Indian River County Healthy Start Coalition, Inc. Healthy Families IRC SALARIES I Gross n IV POSITION LISTING Annual Salary Portion of Salary on Proposed /it % of Gross Annual Position Title / Total Hrs/wk (Agency) Program Funder Specific Budget Salary Requesteal Example: Executive Director140hM 70,000.00 10,000.00 5,000.00 7. 16% Program Manager 1 FTE 45,516.00 45,516.00 0. 000/0 Supervisor 1 FTE 31 ,616.00 31 ,616.00 0. 000/0 Supervisor/FAW 1 FTE 27,560. 00 27,560.00 0.000/C FAW (family assessment worker) 1 FTE 24, 128.00 24, 128.00 0.00% Family Support Workers 8 FTE 169,728.00 169,728. 00 59,000.00 34.76% Data Entry Operator .75 FTE 16 ,224.00 16,224. 00 0.00°/n #DIV/0! #DIV/0 ! #DIV/0 ! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0 ! #DIV/0 ! #DIV/0! #DIV/0! #DIV/0! #DIV/0! Remaining positions throughout the agency Total Salaries 1 $314,772 .001 $314,772.00 $59,000.00 18.74% FRINGE BENEFITS DETAIL (Funder Specific Budget I Funder II f0 ^r V w vh Column C only, from line 21 to 26) Specific Budget FICA 7.65% Pension Health Worker's Unemployme Total Fringes Funder Position Title / Total Hrs/wk (Ax %) ins. Compens. nt Compens. Specific Example: Case Manager140hrs 5,000.00 382.50 200.00 500.00 300.00 200.00 12582.50 Program Manager 1 FTE 0.00 0.00 0.00 Supervisor 1 FTE 0.000. 00 0.00 Supervisor/FAW 1 FTE 0.00 0. 00 0.0 FAW (family assessment worker) 1 FTE 0.00 0.00 0.0 Family Support Workers 8 FTE 59,000.00 4,513.50 4 ,513.5 Data Entry Operator .75 FTE 0.00 17.00 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 o D.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 O.OD 0.0 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 D 0. 00 D.Do a.00 0 0.00 0.001 10.00 Total Funder Request Fringe Benefits $5 .000.00 ,513.50 $0.00 $0.00 $0.00 $0.001 $4, 5 L_J _ Q. 5RI2007 s-t Indian River County Healthy Stan Coalition, Inc. Healthy Families IRC EXPEND/TURES A B C Proposed Total program Budget Funder S e 27 Travel-Daily P cific Tofat Agency # of Staff x average # oftmiBudge les/wk x 50 wks x Budget 29,260.00 $ = Estimated Daily Travel/Mileage Reimb. 0.00 29,260.0( 28 Travel/Conferences/Training $221 (approximately 497 miles x .445 cents per mile) per month x 11 home visitors • National Conference (cost per staff) • Training/Seminar P 6,500. 00 (cost per 0. 00 6,500. 00 • Other Trainings (Cost Of travel, lodging, registration, food) 29 Office Supplies • Office supplies (monthly average x 12 months = estimated cost of office su3,000. 00 based on present history. PPlies 0.00 3,000.00 30 Telephone • # Phone lines x average cost per month x 12 months = local phone cost 7.000.00 • Average Ion distance 0.00 7,040.00 Estimated cost of long distance 12 months = 31 Postage/Shipping • Quarterly Mailing of Newsletter • Special events, etc. 150.00 • Bulk mailingsa 0. 00 - appeals 150.00 32 utilities • Electricity ($ x 12 months) • Water/Sewer ($ x 12 months) 600.00 • ($ x 12 onths) Garbage 0.00 600. 00 m 33 Occupancy (Building & Grounds) • Mortgage/Rent ($ x 12 months) • Janitorial ($ x 12 months) 1 ,604. 00 • Grounds Maint. ($ x 12 months) 0.00 1 ,604. 00 • Real Estate Taxes 34 Printing & Publications Bldg Maintenance $1o0; rent $100; Storage of Equip & supplies $ 1404 • Quarterly Newsletter ($ x 4) • Letterheads, Envelopes, etc. 100. 00 • Fundraising materials 0. 00 100.00 • Other 35 Subscription/Dues/Memberships Print work changes to brochure • Membership to National Organization • Dues 275.00 • Subscriptions to Newspapers/magazines, 0.00 275.00 etc. 36 Insurance Prevent Child Abuse America dues $275 • Directors/Officers Liab. • Commercial/General Insurance 0-00 0.00 • Bond Ins. 0.00 • Auto Insurance 37 Equipment: Rental & Maintenance Covered by KCBD and Coalition's Board of Directors • Copier lease ($ x 12 months) • Meter lease ($ x 12 months) 864.00 0. 00 • Copier Maintenance ($ x 12 months) 864.00 • Computer Maintenance ( $ x 12 months) • Other 8 Advertising $72 x 12 for copier maintenance • Newspaper ads • Fundraising ads/promotions 400.00 • Other (vacancies) 17.00 400.00 Equipment Purchases:CapffaI Expense Classified advertising for staff vacancies • Computer/monitor (# x $) • Laser Printer 0. 00 5nrzom 0.00 0.00 WOMEN Indian River County Heafthy Stan Coalition, Inc Healthy Families IRC 2007-2008 CORE GRANT APPLICATION EXPLANATION FOR VARIANCES OF 15% OR MORE TOTAL PROGRAM BUDGET AGENCY/PROGRAM NAME : Indian River County Healthy Start Coalition/Healthy Families IRC FUNDER: Children's Advisory Committee IRC LINE ITEM EXPLANATION FOR VARIANCE Children's Services Council-St Lucie Children's Services Council-Martin Adviso Committee-Indian River Revenue is based on the need to retain trained employees. United Way-St. Lucie Coun United Way-Martin County United Way-Indian River Count; County Funds Program Fees Fund RaWng Events-Net Sales to Public-Net Membership Dues Investment Income Miscellaneous Legacies & Bequests Funds from Other Sources Reserve Funds Used for Operating In-Kind Donations Not included in total Insurance Equipment Pumhases:Ca ital Extuanse Professional Fees (Local. Consuftingil Food & Nutrition Specific Assistance to Individuals Other/Miscellaneous Other/Contract snrzao; es Indian Rivt County Healthy Stan Coalition, Inc. Realty Families IRC 2007=2008 CORE GRANT APPLICATION EXPLANATION FOR VARIANCES OF 15% OR MORE FUNDER SPECIFIC BUDGET AGENCYIPROGRAM NAME: FUNDER: LINE rrEM EXPLANATION FOR VARIANCE Staff turnover was 31% in 05-06. Seven of twelve current staff have not had an increase in their hourly wage in 2-3 years. Highly trained Salaries and valuable employees take months to replace. Family retention declines and families suffer when employees leave. #DN/O! #Orv/0! #Drvro! #Drvro! #Drvro! #DIV101 #Drv/01 =11101 #Drvro! #Drvro! #M101 #Drvro! #DIV/0! #DN/O! #Dlvro! #Drvro! #Drvro! #Drv/0! #DNIO! #Drv10! #DN/01 #DIV/0! #DN/01 #DIV/01 #DIV/0! #DIV/O! b _ 9 5FrzW as Indian River County Healthy Start Coalition.. Inc Healthy Families IRC 40 Professional Fees (Legal, Consulting) 0.001 0.001 0.00 • Legal advice ( estimated #hrs x $) • Consultant fees • Other 41 Books/Educational Materials 100.00 0. 00 100.00 • Books/videos • Materials ($ x staff) Participant educational materials 42 Food & Nutrition 0.00 0.001 0.00 • Meals ( # meals x clients x 5days x 50 wks) • Snacks 43 Administrative Costs 44,038.28 44,038.28 • Admin. Cost (% of total budget) 44 Audit Expense 2,000.00 0.00 2 ,000.00 • Independent Audit Review 19% of audit fee 45 Specific Assistance to Individuals 500.00 0.00 500.00 • Medical assistance • Meals/Food • Rent Assistance • Other Cash contribution to assist individual participants from community supporters 46 Other/Miscellaneous 350.001 0. 001 350 .00 • Background check/drug test • Other $350 background checks 5 @ $70 per check 47 OtherlContract • Sub-contract for program services 48 TOTAL EXPENSES $509,423 .65 $64,751 .50 $509,423.65 5912007 B-1 iMan flhw GwIrXmNy Spn Cmlib, irc i�flYFemties lqL 2007-2008 CORE GRANT APPLICATION TOTAL AGENCY BUDGET AGENCYIPROGRAM NAME: Indian River Coun Healthy Start Coalition/Health Families IRC FY 05106 FY 06107 FY 07/08 FYE 7/1105-6130/06 FYE ]H/06-6f30/07 FYE 717/07.6138 % INCREASE CURRENT VS. A B C NEXT FY BUDGET REVENUES ACTUAL TOTAL PROPOSED D 1 Children's Services CouncilSt Lucie BUDGETED BUDGETEDIC°�' liO�' aN°O� a 2 Children's Services Council-Martin 0.00 3 Adviso Committee-Indian River 0.00 4 United We St Lucie Coun 55 000.00 55 000.00 64,751.50 17.73 5 United We -Martin Coun 0.00 6 Unted We -Indian River Coun 0.00 7 De rtment of Children & Families 0.00 8 Coun Funds 443,985.00 453,985.00 443 985.00 2.20 s Contributions-Cash 0.00 10 Pro ram Fees 1,000.00 500.00 500.00 11 F 0.00 Fund Raisin Events-Net 0.00% 72Sales to Public-Net 0.00 13 Membershi Dues 0.00 14 Investment Income 0.00 15 Miscellaneous 0.00 16 Le acies & Be uests 0.00 17 Funds from Other Sources 0.00 18 Reserve Funds Used for O tin 0.00 19 1n-Kind Donations Not induced w 1 c0 0.00 20 TOTAL 57,156.00 499 985.00 509 485.00 509 236.50 EXPENDITURES -0.05 2t Salaries 22 FICA 292277.00 312,386.00 314,772.00 22359.00 23,932.00 0.76% 23 Retirement 24,080.06 24 Life/Health 0.00 0.62% 3, 174.00 0.00 53,416.00 63,060.00 -100.00% zs Workers Com ensation 66 732.12 5.820/c 26 Florida Unem to ment 4'846'75 5,680.00 6,515.79 632.37 1 ,200.00 14.71 oYc 27 Travel-0ail 582.40 -51 .47% 29 Travel/Conferences?linin 21 021 .00 28,260.00 29,260.00 2,872.00 6,500.00 0.00% 29 Office Su lies 6,500.00 30 Tele hone 6,351.00 3000.000.00% 3,000.00 31 Posta e/Shi in 9,024.00 7,000.00 7,000.00 0.00% 157.00 0-00% 32 Utilities 160.00 150.00 -6.25% 33 Occu anc Buildin & Grounds 1,757.00 2400.00 600.00 34 Printin 8 Publications 9 516.00 2,860.00 1 ,604. -75.00% 00 -43.92% 35 Subscri tion/Dues/Membershi 1 `5W.00 100.00 100.00 36 Insurance 273.00 _ 275.00 275.00 0.00% 37 E ui meM:Rental & Maintenance 0.00 0.00 0-00 0.00% 38Advertisin 1.078.00 1 500.00 864.00 496.00 42.40 39 E ui ment Purchases:Ca ital Ex rise 400.00 400.00 0.00% w Professional Fees Le al, Consultin 0.00 0.00 0.00 41 BOoks/Educational Materials 3500.00 0.00 0.00 42 Food & Nutrition 500.00 100.00 100.00 43 Administrative tive Costs 0.00 0.00 0.00% 44 Audit Ex nae 48,315.00 44 398.00 44,038.28 45 S ecific Assistance to Individuals 9'520.00 2,000.00 200 -0.81 .00 p.pp% as Other/Miscellaneous 5 996'00 100.00 500.00 47 OtherfContract 682.00 0.00 350.0 400.00% 235.00 0 48 TOTAL 0.00 0.00 491414.12 509485.00 509,423.65 49 REVENUES OVER/ UNDER EXPENDITURES 8 5)0.88 0.00 -187.15 � � 1 rg 5 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 1 " 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`h) 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 27th Street, Vero Beach , Florida 32960. Recipient: Indian River County Healthy Start Coalition , Inc. , 1603 10th 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 vtien Ri Co W y501 C,,kM, b.:. Wally Fm Sue IRC 2007-2008 CORE GRANT APPLICATION TOTAL PROGRAM BUDGET AGENCYIPROGRAM NAME: Indian River County HealthyStart Coalition/Healthy Families IRC FY 05106 FY 06107 FY 07/08 % INCREASE FYE FYE FYE CURRENTVS. NEXT FY BUDGET A B C D ACTUAL TOTAL PROPOSED Icol. Cc 1. BNCd. a 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 55000.00 55,000.00 64,751 .50 17.73% 4 United Way-St. Lucie County 0.00 5 United Way-Martin County 0.00 6 United Way-Indian River County 0.00 7 Department of Children & Families 443,985.00 453,985.00 443,985.00 -2.20% 8 County Funds 0.00 9 Contributions-Cash 1 ,000.00 500.00 500.00 0.00% 10 Program Fees 0.00 11 Fund Raising Events-Net 0.00 12 Sales to Public-Net 0.00 13 Membershi Dues 0.00 14 Investment Income 0.00 15 Miscellaneous 0.00 16 Le acies & Bequests 0.00 17 Funds from Other Sources 0.00 to Reserve Funds Used for Operating O.DO 19 In-Kind Donations INw Included In arz0 57 156.00 29 TOTAL 499,985.00 509,485.00 509,236.50 -0.05% EXPENDITURES 21 Salaries 292 277.00 312 386.00 314,772.00 0.76% 22 FICA 22,359.00 23932.00 24,080.06 0.62% 23 Retirement 0.00 3,174.00 0.00 -100.00% 24 Life/Health 53416.00 63,060.00 66,732.12 5.82% 25 Workers Compensation 4,846.75 5,680.00 6,515.79 14.71% 2s Florida Unemployment 632.37 1,200.00 582.40 -51 .47% 27 Travel-Daily 21 ,021 .00 29260.00 29,260.00 0.00% 28 Travel/Conferences/Training 2,872.00 6,500.00 6,500.00 0.00% a Office Supplies 6,351 .00 3.000.001 3,000.00 0.000/0 30 Telephone 9024.OD 7,000.00 7,1100.00 0.00% 31 Postage/Shipping 157.00 160.00 150.00 -6.25% 32 Utilities 1 ,757.00 2400.00 600.00 -75.00% 33 Occupancy (Building & Grounds 9.516.00 2,860.00 1 ,604.00 43.92% 34 Printing & Publications 1 ,580.00 100.00 100.00 0.00% 35 Subscription/Dues/Memberships 273.00 275.00 275.00 0.000/c 36 Insurance - 0.00 0D 0.00 37 E ui ment:Rental & Maintenance 1,078.00 1,500.00 864.00 42.40 3s Advertising 496.00M44,398.0044�, 400.00 0.00% 39 Equipment Purchases:Ca hal Ex nse 0.000.00 40 Professional Fees (Legal, Consulting) 3,500.000.00 41 Books/Educational Materials 500.00100.00 0.00% 42 Food & Nutrition 0.000.00 43 Administrative Costs 48,315.00 ,038.28 -0.81 %44 Audit Ex ne 9,520.002,000.0000%45 S ific Assistance to Individuals 996.00500.00 400.00% 46 OthedMiscellaneous 692.00 0.00 350.00 47 Other/Contract 235.00 0.00 0.00 48 TOTAL 491 ,414.12 509,485.00 509,423.65 -0.01 % 49 REVENUES OVER! UNDER EXPENDITURES 8,570.88 0.00 A87.15 W snmr ea Indian River County Healthy Stan Coalition. Inc. Healthy Families IRC 2007-2008 CORE GRANT APPLICATION FUNDER SPECIFIC BUDGET PROGRAM EXPENSES AGENCY/PROGRAM NAME : Indian River County Healthy Start Coalition/Healthy Families IRC FUNDER: Children's Advisory Committee II A B C FY 07/08 FY 07108 % OF TOTAL FUNDER TOTAL VS. PROGRAM SPECIFIC FUNDER REQUEST BUDGET BUDGET (col. Blcol. A) EXPENDITURES 21 Salaries 314,772.00 591000.00 18 .74% 22 FICA 0.00 41513.50 #DIV/0 ! 23 Retirement 0.00 0 .00 #DIV/O! 24 Life/Health 0 .00 0.00 #DIV/0! 25 Workers Compensation 0 .00 1 ,238.00 #DIV10! 26 Florida Unem to ment 0 .00 0.00 #DIV/0 ! 27 Travel-Dail 0.00 0.00 #DIV10 ! 28 Travel/Conferences/Training 0.00 0.00 #DIV/0 ! 29 Office Supplies 0.00 0.00 #DIV/0 ! 3o Telephone 0.00 0.00 #DIVIO ! 31 Postage/Shipping 0.00 0.00 #DIVIO! 32 Utilities 0.00 0.00 #DIV10! 33 Occupancy (Building & Grounds 0.00 0 .00 #DIV/01 34 Printing & Publications 0.00 0 .00 #DIVIO! 35 Subscription/Dues/Memberships 0.00 0.00 #DIV/0! 36 Insurance 0.00 . 0.00 #DIV/0! 37 E ui ment: Rental & Maintenance 0 .00 0.00 #DIV/01 38 Advertising 0 .00 0.00 #DIV101 39 Equipment Purchases :Ca ital Expense 0.00 0.00 #DIV/0 ! 40 Professional Fees Le al, Consulting) 0.00 0.00 #DIV10! 41 Books/Educational Materials 0.00 0.00 #DIVIO! 42 Food & Nutrition 0.00 0 .00 #DIVIO! 43 Administrative Costs 0.00 0 .00 #DIV/01 44 Audit Expense 0.00 0 .00 #DIV10! 45 Specific Assistance to Individuals 0.00 0.00 #DIV/0 ! 46 Other/Miscellaneous 0 .001 0.00l #DIVIO ! 47 Other/Contract 0 .00 0.00 #DIV10 ! 48 TOTAL $314,772.00 $641751 .50 20 .57% snrzao� s� mvuv 0 D 2007 ACORD CERTIFICATE OF LIABILITY INSURANCE 1105/2007 TM. PHILBRODUCER Phone: OB SS2OF Fmc FLORIDA, INC. 6 =HE RTIFICATE IS ISSUED AS A MATTER OF INFORMATION 2046 14TH 8 HOBBS OF IDA, INC. • VERO BEACHD CONFERS NO RIGHTS UPON THE CERTIFICATE 204514TH AVE. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P O BOX 130 COVERAGE AFFORDED BY THE POLICIES BELOW. VERO BEACH FL 32961 INSURERS AFFORDING COVERAGE ! NAIC # INSURED INSURER A: HARTFORD UNDERWRITERS INSURANCE COMPANY INDIAN RIVER COUNTY HEALTHY START, INC. ( INSURER B: AUTO-OWNERS INSURANCE COMPANY 1615 10TH AVE. VERO BEACH FL 32960 INSURER C: INSURER D: NSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICYPERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO 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 CLAIMS. (NSR TYPE OF INSURANCE LTR INS POLICY NUMBERP TE EFPECTME PODAM ( XNRATpry LIMBS GENERAL LJABLLITY 93-211-127-00 03/10107 03/10/08 EACH OCCURRENCE s 11000,000 X COMMERCIAL GENERAL LIABILmon MAGE TORENTED CLAIMS MADE PREMISES (Ea eo:urencel $ 500000 X OCCUR I L_- �I I I B MEQ LAP (Any one person) , $ 5,000 IIPERSONAL & ADV INJURY S included �YES GEN'L AGGREGATE LIMIT .APPI Irc pEo. GENERAL AGGREGATE $ 1FOOD,000 Lt I" POLICY PRO PRODUCTS-COMP/OP AGG. I $ 1 ,000,000 JECT LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS � I (Per person) S HIRED AUTOS BODILY INJURY ' NON-OWNED AUTOS (Psrawi eM) E PROPERTY DAMAGE E GARAGE LIABILITY (Per accident) 77 ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EAACC $ . AUTO ONLY: AR S EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR E CLAIMS MADE I AGGREGATE $ S DEDUCTIBLE RETENTION E WORKERE EMPLOY RSOMPBILITY ON AND 21WEC GD7700 Tc STATLL ETSPLOYERs• uABam 05/03(07 05103/08 TDBr Lns OTHER A I MIYPP-OPRIETOR MTNERIE;ECUTNE ! E.I, EACH ACCIDENT $ 100,000 OFFICERr1AEMBER UCLUO®p -_ If ns, aeacriee sad<r E.L. DISEASE-EA EMPLOYEE '$ 1003000 SPECMLPROYISIONS EeIwa E.L. DISEASE-POLICY LIMIT S 500,000 77�: DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION - - SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILLENDEAVORTO MAIL10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE SHALLTO DO SO REPRESENTATIVESIMPOSE NO , OR LIABILITY OF ANY KIND UPON THE INSURER, INDIAN RIVER COUNTY TS AGENTS R 1801 27TH STREET VERO BEACH, FL. 32960 AUTHORIZED REPRESENTATIVE Attention: Michae ACORD 25 (2001108) Certificate 9 109422 © ACORD CORPORATION 1988 POLICY NUMBER : 93-21 T127-00 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ THIS CAREFULLY ADDITIONAL INSURED PRIMARY COVERAGE This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART This insurance is primary for the person or organization shown in the schedule, but only with respect to liability arising out of your work or that insured by or for you. Other insurance afforded to that insured will apply as excess and not contribute as primary to the insurance afforded by this endorsement. All other endorsement provisions, conditions and exclusions of this insurance shall remain unchanged and apply to the additional insured and described below. SCHEDULE ADDITIONAL INSURED CONTRACT/PROJECT INDIAN RIVER COUNTY 1801 27TH STREET VERO BEACH, FL. 32960 NAMED INSURED INDIAN RIVER COUNTY HEALTHY START, INC. 1615 10TH AVE. VERO BEACH FL 32960 Certificate # 109422 WOMEN Indian River County Heafthy Stan Coalition, Inc Healthy Families IRC 2007-2008 CORE GRANT APPLICATION EXPLANATION FOR VARIANCES OF 15% OR MORE TOTAL PROGRAM BUDGET AGENCY/PROGRAM NAME : Indian River County Healthy Start Coalition/Healthy Families IRC FUNDER: Children's Advisory Committee IRC LINE ITEM EXPLANATION FOR VARIANCE Children's Services Council-St Lucie Children's Services Council-Martin Adviso Committee-Indian River Revenue is based on the need to retain trained employees. United Way-St. Lucie Coun United Way-Martin County United Way-Indian River Count; County Funds Program Fees Fund RaWng Events-Net Sales to Public-Net Membership Dues Investment Income Miscellaneous Legacies & Bequests Funds from Other Sources Reserve Funds Used for Operating In-Kind Donations Not included in total Insurance Equipment Pumhases:Ca ital Extuanse Professional Fees (Local. Consuftingil Food & Nutrition Specific Assistance to Individuals Other/Miscellaneous Other/Contract snrzao; es Indian Rivt County Healthy Stan Coalition, Inc. Realty Families IRC 2007=2008 CORE GRANT APPLICATION EXPLANATION FOR VARIANCES OF 15% OR MORE FUNDER SPECIFIC BUDGET AGENCYIPROGRAM NAME: FUNDER: LINE rrEM EXPLANATION FOR VARIANCE Staff turnover was 31% in 05-06. Seven of twelve current staff have not had an increase in their hourly wage in 2-3 years. Highly trained Salaries and valuable employees take months to replace. Family retention declines and families suffer when employees leave. #DN/O! #Orv/0! #Drvro! #Drvro! #Drvro! #DIV101 #Drv/01 =11101 #Drvro! #Drvro! #M101 #Drvro! #DIV/0! #DN/O! #Dlvro! #Drvro! #Drvro! #Drv/0! #DNIO! #Drv10! #DN/01 #DIV/0! #DN/01 #DIV/01 #DIV/0! #DIV/O! b _ 9 5FrzW as 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 1 " 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`h) 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 27th Street, Vero Beach , Florida 32960. Recipient: Indian River County Healthy Start Coalition , Inc. , 1603 10th 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 mvuv 0 D 2007 ACORD CERTIFICATE OF LIABILITY INSURANCE 1105/2007 TM. PHILBRODUCER Phone: OB SS2OF Fmc FLORIDA, INC. 6 =HE RTIFICATE IS ISSUED AS A MATTER OF INFORMATION 2046 14TH 8 HOBBS OF IDA, INC. • VERO BEACHD CONFERS NO RIGHTS UPON THE CERTIFICATE 204514TH AVE. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P O BOX 130 COVERAGE AFFORDED BY THE POLICIES BELOW. VERO BEACH FL 32961 INSURERS AFFORDING COVERAGE ! NAIC # INSURED INSURER A: HARTFORD UNDERWRITERS INSURANCE COMPANY INDIAN RIVER COUNTY HEALTHY START, INC. ( INSURER B: AUTO-OWNERS INSURANCE COMPANY 1615 10TH AVE. VERO BEACH FL 32960 INSURER C: INSURER D: NSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICYPERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO 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 CLAIMS. (NSR TYPE OF INSURANCE LTR INS POLICY NUMBERP TE EFPECTME PODAM ( XNRATpry LIMBS GENERAL LJABLLITY 93-211-127-00 03/10107 03/10/08 EACH OCCURRENCE s 11000,000 X COMMERCIAL GENERAL LIABILmon MAGE TORENTED CLAIMS MADE PREMISES (Ea eo:urencel $ 500000 X OCCUR I L_- �I I I B MEQ LAP (Any one person) , $ 5,000 IIPERSONAL & ADV INJURY S included �YES GEN'L AGGREGATE LIMIT .APPI Irc pEo. GENERAL AGGREGATE $ 1FOOD,000 Lt I" POLICY PRO PRODUCTS-COMP/OP AGG. I $ 1 ,000,000 JECT LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS � I (Per person) S HIRED AUTOS BODILY INJURY ' NON-OWNED AUTOS (Psrawi eM) E PROPERTY DAMAGE E GARAGE LIABILITY (Per accident) 77 ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EAACC $ . AUTO ONLY: AR S EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR E CLAIMS MADE I AGGREGATE $ S DEDUCTIBLE RETENTION E WORKERE EMPLOY RSOMPBILITY ON AND 21WEC GD7700 Tc STATLL ETSPLOYERs• uABam 05/03(07 05103/08 TDBr Lns OTHER A I MIYPP-OPRIETOR MTNERIE;ECUTNE ! E.I, EACH ACCIDENT $ 100,000 OFFICERr1AEMBER UCLUO®p -_ If ns, aeacriee sad<r E.L. DISEASE-EA EMPLOYEE '$ 1003000 SPECMLPROYISIONS EeIwa E.L. DISEASE-POLICY LIMIT S 500,000 77�: DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION - - SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILLENDEAVORTO MAIL10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE SHALLTO DO SO REPRESENTATIVESIMPOSE NO , OR LIABILITY OF ANY KIND UPON THE INSURER, INDIAN RIVER COUNTY TS AGENTS R 1801 27TH STREET VERO BEACH, FL. 32960 AUTHORIZED REPRESENTATIVE Attention: Michae ACORD 25 (2001108) Certificate 9 109422 © ACORD CORPORATION 1988 POLICY NUMBER : 93-21 T127-00 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ THIS CAREFULLY ADDITIONAL INSURED PRIMARY COVERAGE This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART This insurance is primary for the person or organization shown in the schedule, but only with respect to liability arising out of your work or that insured by or for you. Other insurance afforded to that insured will apply as excess and not contribute as primary to the insurance afforded by this endorsement. All other endorsement provisions, conditions and exclusions of this insurance shall remain unchanged and apply to the additional insured and described below. SCHEDULE ADDITIONAL INSURED CONTRACT/PROJECT INDIAN RIVER COUNTY 1801 27TH STREET VERO BEACH, FL. 32960 NAMED INSURED INDIAN RIVER COUNTY HEALTHY START, INC. 1615 10TH AVE. VERO BEACH FL 32960 Certificate # 109422