HomeMy WebLinkAbout2007-308I Indian River County Grant Contract o " I
This Grant Contract ("Contract") entered into effective this 2�_day of October 2007 b
and between Indian River County, a political subdivision of the State of Florida , 1801 27
Street, Vero Beach FL , 32960 ("County' ) and Dasie Bridgewater Hope Center, Inc. ,
( Recipient); of:
8445 64`h Avenue, Vero Beach , FI . 32970
For: Dasie Hope Center Tutorial 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" ).
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Indian River County Grant Contract o " I
This Grant Contract ("Contract") entered into effective this 2�_day of October 2007 b
and between Indian River County, a political subdivision of the State of Florida , 1801 27
Street, Vero Beach FL , 32960 ("County' ) and Dasie Bridgewater Hope Center, Inc. ,
( Recipient); of:
8445 64`h Avenue, Vero Beach , FI . 32970
For: Dasie Hope Center Tutorial 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" ).
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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 Sixty Three
Thousand Dollars ($63 , 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.
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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 Sixty Three
Thousand Dollars ($63 , 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.
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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
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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: J . K. Bar n , Clerk BOARD OF COUNTY COMMISSIONERS
By
Deputy rk By �' � ce rte✓ . '..
Gar/)r. Wheeler, Chairman ` '
<-:
BCC Approved :
Approved :
oseph A. Baird
County Administrator
Appr d as to �form and legal sufficiency:
rian E . Fell , AssistWiftio6nty Attorney
REIPI NT:
By:
DASIE BRIDGEW jROPE CENTER , INC .
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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
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Dasie Bridgewater Hope Center, Inc. — Dasie Hope After School Program - Children' s Advisory Committee/Indian River Coun
PROGRAM COVER PAGE
Organization Name: Dasie Bridgewater Hope Center, Inc. ` J , 6
Executive Director: Verna Wright E-mail: vwright772na aol.com
Address: 8445 64n' Ave Telephone: 772-589-3535
P.O. Box 701483 Wabasso. FL 32970 Fax : 772-589-4688
Program Director: E-mail:
Address: Telephone:
Fax:
Program Title : Dasie Hope Center Tutorial Program
Priority Need Area Addressed: The prevention of treatme tt of special programs of at-risk children
ages 5- 18.
Brief Description of the Program: JR820.650-45 — See Attached Sheet
SUMMARY REPORT — (Enter Information In The Black Cells Only)
Amount Requested from Funder for 2007 /08 : $ 75 , 000 . 00
Total Proposed Program Budget for 2007 /08 : $ 75 , 000 . 00
Percent of Total Program Budget : 100 . 0 %
Current Program Funding (2006 /07 ) : $ 63 ,400
Dollar increase / (decrease ) in request : $ 11 , 600
Percent increase /( decrease ) in request * 18 . 3 %
Unduplicated Number of Children to be served Individually : 125
Unduplicated Number of Adults to be served Individually :
Unduplicated Number to be served via Group settings :
Total Program Cost per Client : 600 . 00
* *If request increased 5% or more, briefly explain why: We are currently serving more kids and we
additional needed space our operating costs has increased.
If these funds are being used to match another source, name the source and the $ amount: No
The Organization 's Board of Directors has approved this application on (date). _03116107
Barry V. Branton r
Name of President/Chair of the Board *ignature
Vema M. Wrieht
Name of Executive Director/CPO
2
Dasie Bridgewater Hope Center, Inc. — Dasie Hope Tutorial Program — Children's Advisory
Committee/Indian River County
PROPOSAL NARRATIVE
A, ORGANIZATION CAPABILITY (Entire Section A not to exceed one page
1. Provide the mission statement and vision of your organization.
Mission Statement: Offering a nurturing environment where youth and adults can learn, dream
and aspire by developing their self-esteem and learning life survival skills.
Vision: Through a dedicated commitment from the community, become the agency that inspire
youth and residents to grow by improving their employability skills, academic performance and
filling them with a sense of self-worth and pride.
2. Provide a brief summary of your organization including areas of expertise,
accomplishments, and population served.
The Dasie Bridgewater Hope Center was established on September 5, 2001 in memory of Dasie
Bridgewater (a lifelong resident of Wabasso). Ms. Bridgewater gave back to the community by
providing food, clothing and shelter to those in need. The Center is committed to providing a
sense of community pride for Wabasso youth and residents by providing the youth a safe place to
live and learn. The Center is dedicated to providing Indian River County residents with the
opportunity to acquire educational and marketable employment skills, with special emphasis on
an after school program specially designed for children 5 to 18. The areas of expertise assigned
to the after school program include:
• After-School Tutoring/Summer Reading-Recreational Program
• Computer Training
• Interpersonal Skills Development (etiquette, professional demeanor, leadership skills)
• Peer Shadowing/Mentoring
• Reading Buddies Club
• Art classes
• School of Business College Program
• Basic financial skills/Dasieville Mall
• Life Skills Training program (culinary classes, baking classes)
• Girl Scouts/Girls Club
• Kids Cafe (culinary skills)
• Young Professionals (business shadowing and social skills)
• Kidz Kloset
The population to be served includes all of the Wabasso community which is North Indian River
County.
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: J . K. Bar n , Clerk BOARD OF COUNTY COMMISSIONERS
By
Deputy rk By �' � ce rte✓ . '..
Gar/)r. Wheeler, Chairman ` '
<-:
BCC Approved :
Approved :
oseph A. Baird
County Administrator
Appr d as to �form and legal sufficiency:
rian E . Fell , AssistWiftio6nty Attorney
REIPI NT:
By:
DASIE BRIDGEW jROPE CENTER , INC .
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Dasie Bridgewater Hope Center, Inc. — Dasie Hope Tutorial Program — Children's Advisory
Committeetludian River County
B. PROGRAM NEED STATEMENT (Entire Section B not to exceed one page.
1 , a) What is the unacceptable condition requiring change? b) Who has the need?
c) Where do they live? d) Provide local, state, or national trend data, with reference
source, that corroborates that this is an area of need.
Research shows youth without structured, supervised activities in the after-school hours, are at
greater risk of being victims of crime, or participating in anti-social behaviors. In fact, juveniles
are at the highest risk of being a victim of violence between 2 p.m. and 6 p.m. And the peak
hour for juvenile crime is from 3 p.m. to 4 p.m., the fust hour that most students are dismissed
from school (After-School Programs : Keeping Children Safe and Smart 2004). The total number
of persons living below the poverty level in Indian River County is comprise of over 11 .2%
( 12,650 individuals) of the of the county' s total population. A total of 20.3% of Indian River
County youth live below the poverty level. A higher portion ( 11 .5%) of those persons living
below the poverty level live within the Wabasso community. Many of the households include
youth who also fall below the poverty level. Additionally, a lack of publictransportation is a
major issue for the Wabasso community. Access to locations that provide services are
unavailable to Wabasso residents due to a lack of transportation.
Community services are lacking with in the Wabasso community. The vision of the Dasie Hope
Center is to provide a sense of community pride by providing the youth a safe place to live and
learn. The Dasie Hope Center will address, meet and hopefully revitalize the needs of the
Wabasso community by providing localized community services.
US Census Bureau Statistics 2004* for Indian River County are as follows :
Population: 124, 114 (Over 27% increase)
Persons under 18 : 19.2%
High School Grads: 51 ,000 (About 50%)
College Grads : ' 23 . 1 %
Households w/ persons under 18 : 24.3%
Persons below poverty level: 11 .2%
Children below poverty level: 20.3 %
*Takenfrom quickfacts. census.gov
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.
Similar programs are: •Gifford Youth Activity Center •The Boys and Girls Club of Sebastian
Many of the youth who live in the Wabasso community do not have the necessary transportation
to travel to Sebastian or Gifford after school. Thus the youth are unable to acquire services from
the above mentioned programs. Majority of the youth who utilize Dasie Hope Center' s services
are latchkey kids. These youth are forced to return to an unsupervised, empty home after school
if not for Dasie Hope Center. Our Center is within walking distance for most residents of f
Wabasso and has become an official school bus stop in the Wabasso community.
4
Dasie Bridgewater Hope Center, Inc. — Dasie Hope Tutorial Program — Children's Advisory
Committee/Indian River County
C. PROGRAM DESCRIPTION (Entire Section C, I - 6, not to exceed two pages.
1 . List Priority Needs area addressed.
The prevention or treatment of special problems of children.
2. Briefly describe program activities including location of services.
The Dasie Hope Center is located at 8445-64th Ave., Wabasso, Florida 32970. Due to its central
location, youth receive services directly following school at the Center. Therefore, allowing
children to come safely and directly to the Center after school.
Youth services are provided on site at the Center via the after-school program. The youth arrive
at the Center at 2 : 30 p.m. and remain until 6:30 p.m. The following program activities are carried
out throughout the week, with numerous services occurring daily.
After-School Tutoring- Several teachers and volunteers provide one-on-one tutoring.
• Computer Training classes - Youth are instructed in basic and advance computer training
• Interpersonal Development Skill -(Etiquette, Professionalism, Leadership) - An adult
volunteer teaches Interpersonal Skill Development classes.
• Art classes- Youth travel to Vero Beach Museum for weekly art classes.
• Basic financial skills class/SBI Peer Institute- An adult volunteer teaches Basic Financial
Skills classes; along with a partnership in business from FL A & M University.
• Dasieville Mall- Skills in savings and banking are taught weekly.
• Girl Scouts- Volunteer troop leaders conduct troop activities every other Tuesday
• Mentoring- Volunteers provide services to youth on a monthly basis.
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.
Studies have shown that in urban and low-income areas after-school programs have been called
"a key"component. . . in efforts to raise standards and improve educational outcomes for all
students." It has also been stated that "there is a critical need for after-school programs in many
communities . . . most in need come from disadvantaged areas characterized by high
unemployment and high crime rates. Youngsters in these settings often lack opportunities to
socialize in a safe environment, receive effective academic support, or participate in sports or
recreational activities (After-School Programs: Keeping Children Safe & Smart 2004).
Dasie Hope Center' s programs are designed to improve academic performance, teach violence
prevention through improved conflict resolution skills, reducing incidents of violence both in and
out of school . The curriculum is modeled after the structure of national programs which include
the following areas of study:
Literacy Skills: Reading Buddies Club is designed to increase literacy and language skills
5
Dasie Bridgewater Hope Center, Inc. — Dasie Hope After School Program - Children' s Advisory Committee/Indian River Coun
PROGRAM COVER PAGE
Organization Name: Dasie Bridgewater Hope Center, Inc. ` J , 6
Executive Director: Verna Wright E-mail: vwright772na aol.com
Address: 8445 64n' Ave Telephone: 772-589-3535
P.O. Box 701483 Wabasso. FL 32970 Fax : 772-589-4688
Program Director: E-mail:
Address: Telephone:
Fax:
Program Title : Dasie Hope Center Tutorial Program
Priority Need Area Addressed: The prevention of treatme tt of special programs of at-risk children
ages 5- 18.
Brief Description of the Program: JR820.650-45 — See Attached Sheet
SUMMARY REPORT — (Enter Information In The Black Cells Only)
Amount Requested from Funder for 2007 /08 : $ 75 , 000 . 00
Total Proposed Program Budget for 2007 /08 : $ 75 , 000 . 00
Percent of Total Program Budget : 100 . 0 %
Current Program Funding (2006 /07 ) : $ 63 ,400
Dollar increase / (decrease ) in request : $ 11 , 600
Percent increase /( decrease ) in request * 18 . 3 %
Unduplicated Number of Children to be served Individually : 125
Unduplicated Number of Adults to be served Individually :
Unduplicated Number to be served via Group settings :
Total Program Cost per Client : 600 . 00
* *If request increased 5% or more, briefly explain why: We are currently serving more kids and we
additional needed space our operating costs has increased.
If these funds are being used to match another source, name the source and the $ amount: No
The Organization 's Board of Directors has approved this application on (date). _03116107
Barry V. Branton r
Name of President/Chair of the Board *ignature
Vema M. Wrieht
Name of Executive Director/CPO
2
Dasie Bridgewater Hope Center, Inc. — Dasie Hope Tutorial Program — Children's Advisory
Committee/Indian River County
Study Skills : After School tutoring is designed for at-risk students whose lack of study
and comprehension skills may hamper their academic achievement
Academic Subjects : Computer training is designed to teach basic computer skills
Tutoring: Students will participate in one-on-one literacy training sessions
Community Based: Youth are encouraged to participate in community activities to help them
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).
Position One - Director (40 hours per week)
The Board of Directors approved Verna Wright to be the Center' s Director. Ms. Wright worked
for the Indian River County School District for 19 years and served as a Program Director and
Coordinator at the Gifford Youth Activity Center.
Director 40 hours weekly
Asst. Director/Program Coordinator 40 hours weekly
Receptionist/Office Manager 40 hours weekly
Class Teachers (4) 40 hours weekly
Part-time Cook 20 hours weekly
8 Volunteers are utilized to provide all program services in the areas of. recreation (basketball,
tennis), computer lab, Dasie Bakers, Girls Club and academic tutoring.
5. How will the target population be made aware of the program?
The target population is made aware of program services via newsletters, church announcements,
flyers posted in schools & in community, parent support group presentations, civic/club league
presentations, radio, TV, door-to-door recruitment and referrals. Dasie Hope Center' s most
valuable resource has been word-of -mouth.
6. How will the program be accessible to target population (i.e., location, transportation,
hours of operation)?
The Center is centrally located, 8445-64`h Ave., Wabasso, FL 32970 and within walking distance
of many residents and youth of the targeted population. The Center hours are 9 : 30 a.m. — 6:30
p.m. Monday — Thursday.
6
Dasie Bridgewater Hope Center, Inc. — Dasie Hope Tutorial Program — Children 's Advisory Committee/Indian River County
Outcome # 1 : Increase academic performance of enrolled youth by at least 40% during the 2nd semester following program participation
during the 2006-2007 academic year. Baseline: Students 2005-2006 academic record
Program Design & Task Management t Evaluation Design & Data Collection
- -� �(Columns 1 -4) (Columns 5 -7)
3 ji 4 5 7
Program Frequency Responsible Parties Expected Indicator rData Source Time of
Activities (how often) (who) Outcomes/change (why) Measurements (where) Measurement (when)
(what) (evidence)
Improve 4 days a wk. for I Tutors Increased academic skills School grades Report cards Every 9 weeks
participants hr. per' day
academic
achievement
enthusiasm for
learning
Provide assistance 4 days a wk. for 1 Tutors Increase academic School grades Every 9 weeks
with homework hr. per day responsibility
Progress reports
Increase confidence in Academic confidence
academic abili
8
Dasie Bridgewater Hope Center, Inc. — Dasie Hope Tutorial Program — Children's Advisory
Committee/Indian River County
PROPOSAL NARRATIVE
A, ORGANIZATION CAPABILITY (Entire Section A not to exceed one page
1. Provide the mission statement and vision of your organization.
Mission Statement: Offering a nurturing environment where youth and adults can learn, dream
and aspire by developing their self-esteem and learning life survival skills.
Vision: Through a dedicated commitment from the community, become the agency that inspire
youth and residents to grow by improving their employability skills, academic performance and
filling them with a sense of self-worth and pride.
2. Provide a brief summary of your organization including areas of expertise,
accomplishments, and population served.
The Dasie Bridgewater Hope Center was established on September 5, 2001 in memory of Dasie
Bridgewater (a lifelong resident of Wabasso). Ms. Bridgewater gave back to the community by
providing food, clothing and shelter to those in need. The Center is committed to providing a
sense of community pride for Wabasso youth and residents by providing the youth a safe place to
live and learn. The Center is dedicated to providing Indian River County residents with the
opportunity to acquire educational and marketable employment skills, with special emphasis on
an after school program specially designed for children 5 to 18. The areas of expertise assigned
to the after school program include:
• After-School Tutoring/Summer Reading-Recreational Program
• Computer Training
• Interpersonal Skills Development (etiquette, professional demeanor, leadership skills)
• Peer Shadowing/Mentoring
• Reading Buddies Club
• Art classes
• School of Business College Program
• Basic financial skills/Dasieville Mall
• Life Skills Training program (culinary classes, baking classes)
• Girl Scouts/Girls Club
• Kids Cafe (culinary skills)
• Young Professionals (business shadowing and social skills)
• Kidz Kloset
The population to be served includes all of the Wabasso community which is North Indian River
County.
3
Dasie Bridgewater Hope Center, Inc. — Dasie Hope Tutorial Program — Children's Advisory
Committeetludian River County
B. PROGRAM NEED STATEMENT (Entire Section B not to exceed one page.
1 , a) What is the unacceptable condition requiring change? b) Who has the need?
c) Where do they live? d) Provide local, state, or national trend data, with reference
source, that corroborates that this is an area of need.
Research shows youth without structured, supervised activities in the after-school hours, are at
greater risk of being victims of crime, or participating in anti-social behaviors. In fact, juveniles
are at the highest risk of being a victim of violence between 2 p.m. and 6 p.m. And the peak
hour for juvenile crime is from 3 p.m. to 4 p.m., the fust hour that most students are dismissed
from school (After-School Programs : Keeping Children Safe and Smart 2004). The total number
of persons living below the poverty level in Indian River County is comprise of over 11 .2%
( 12,650 individuals) of the of the county' s total population. A total of 20.3% of Indian River
County youth live below the poverty level. A higher portion ( 11 .5%) of those persons living
below the poverty level live within the Wabasso community. Many of the households include
youth who also fall below the poverty level. Additionally, a lack of publictransportation is a
major issue for the Wabasso community. Access to locations that provide services are
unavailable to Wabasso residents due to a lack of transportation.
Community services are lacking with in the Wabasso community. The vision of the Dasie Hope
Center is to provide a sense of community pride by providing the youth a safe place to live and
learn. The Dasie Hope Center will address, meet and hopefully revitalize the needs of the
Wabasso community by providing localized community services.
US Census Bureau Statistics 2004* for Indian River County are as follows :
Population: 124, 114 (Over 27% increase)
Persons under 18 : 19.2%
High School Grads: 51 ,000 (About 50%)
College Grads : ' 23 . 1 %
Households w/ persons under 18 : 24.3%
Persons below poverty level: 11 .2%
Children below poverty level: 20.3 %
*Takenfrom quickfacts. census.gov
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.
Similar programs are: •Gifford Youth Activity Center •The Boys and Girls Club of Sebastian
Many of the youth who live in the Wabasso community do not have the necessary transportation
to travel to Sebastian or Gifford after school. Thus the youth are unable to acquire services from
the above mentioned programs. Majority of the youth who utilize Dasie Hope Center' s services
are latchkey kids. These youth are forced to return to an unsupervised, empty home after school
if not for Dasie Hope Center. Our Center is within walking distance for most residents of f
Wabasso and has become an official school bus stop in the Wabasso community.
4
Dasie Bridgewater Hope Center, Inc. — Dasie Hope Tutorial Program — Children's Advisory Committee/Indian River County
Outcome # 2 : Decrease the number of disciplinary referrals of enrolled youth at least 60% during the 2nd semester following program
participation during the 2006-2007 academic year, Disciplinary reports generated from within IRC School District. Baseline: Students
2005-2006
Program Design & Task Manaeement Evaluation Design & Data Collection
(Columns 1 -4) (Columns 5 -7)
Program Activities Frequency Responsible Expected =1indicatorData Source Time of
(what) (how often) Parties (who) Outcomes/change (where) Measurement
(why) (when)
Provide anger 1 time a weekCertified Increase self control Completion of Client/Psychologist Weekly
management sessions for 30 minutes psychologist during angry periods pre/post test files (Observation)
Staff observation
Provide sooial skills2 times a week Program Maintain active Completion of Client files Weekly
for two(2) hours coordinator participation in pre/post test (Observation)
program for
improvement Staff Observation
Provide participant Monthly Staff class teacher Decrease number of Behavior changes School disciplinary Weekly
incentives for improved incentives and suspension and reports (Observation)
academic progress recognition disciplinary actions
provided
9
Dasie Bridgewater Hope Center, Inc. — Dasie Hope Tutorial Program — Children 's Advisory Committee/Indian River County
Outcome #3 : Decrease the number of positive drug screens of enrolled youth by at least 65% during the 1 " semester following program
participation during the 2006-2007 school year. Baseline: Status of youth upon entering program.
Program Design_ & Task Management Evaluation Design & Data Collection
---(,Columns 1 --4) (Columns 5-7)
7
Program Activities Frequency Responsible Expected Indicator Data Source Time of
(what) (how often) Parties (who) Outcomes/change Measurements (where) Measurement
(why) (evidence) (when)
Provide voluntary drug Once upon Parent request Decrease drug usage Voluntarily Off-site (S.A.C.) A parents request
testing pazents request at school, Center, complete test
and home
10
Dasie Bridgewater Hope Center, Inc. — Dasie Hope Tutorial Program — Children's Advisory
Committee/Indian River County
C. PROGRAM DESCRIPTION (Entire Section C, I - 6, not to exceed two pages.
1 . List Priority Needs area addressed.
The prevention or treatment of special problems of children.
2. Briefly describe program activities including location of services.
The Dasie Hope Center is located at 8445-64th Ave., Wabasso, Florida 32970. Due to its central
location, youth receive services directly following school at the Center. Therefore, allowing
children to come safely and directly to the Center after school.
Youth services are provided on site at the Center via the after-school program. The youth arrive
at the Center at 2 : 30 p.m. and remain until 6:30 p.m. The following program activities are carried
out throughout the week, with numerous services occurring daily.
After-School Tutoring- Several teachers and volunteers provide one-on-one tutoring.
• Computer Training classes - Youth are instructed in basic and advance computer training
• Interpersonal Development Skill -(Etiquette, Professionalism, Leadership) - An adult
volunteer teaches Interpersonal Skill Development classes.
• Art classes- Youth travel to Vero Beach Museum for weekly art classes.
• Basic financial skills class/SBI Peer Institute- An adult volunteer teaches Basic Financial
Skills classes; along with a partnership in business from FL A & M University.
• Dasieville Mall- Skills in savings and banking are taught weekly.
• Girl Scouts- Volunteer troop leaders conduct troop activities every other Tuesday
• Mentoring- Volunteers provide services to youth on a monthly basis.
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.
Studies have shown that in urban and low-income areas after-school programs have been called
"a key"component. . . in efforts to raise standards and improve educational outcomes for all
students." It has also been stated that "there is a critical need for after-school programs in many
communities . . . most in need come from disadvantaged areas characterized by high
unemployment and high crime rates. Youngsters in these settings often lack opportunities to
socialize in a safe environment, receive effective academic support, or participate in sports or
recreational activities (After-School Programs: Keeping Children Safe & Smart 2004).
Dasie Hope Center' s programs are designed to improve academic performance, teach violence
prevention through improved conflict resolution skills, reducing incidents of violence both in and
out of school . The curriculum is modeled after the structure of national programs which include
the following areas of study:
Literacy Skills: Reading Buddies Club is designed to increase literacy and language skills
5
Dasie Bridgewater Hope Center, Inc. — Dasie Hope Tutorial Program — Children's Advisory
Committee/Indian River County
Study Skills : After School tutoring is designed for at-risk students whose lack of study
and comprehension skills may hamper their academic achievement
Academic Subjects : Computer training is designed to teach basic computer skills
Tutoring: Students will participate in one-on-one literacy training sessions
Community Based: Youth are encouraged to participate in community activities to help them
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).
Position One - Director (40 hours per week)
The Board of Directors approved Verna Wright to be the Center' s Director. Ms. Wright worked
for the Indian River County School District for 19 years and served as a Program Director and
Coordinator at the Gifford Youth Activity Center.
Director 40 hours weekly
Asst. Director/Program Coordinator 40 hours weekly
Receptionist/Office Manager 40 hours weekly
Class Teachers (4) 40 hours weekly
Part-time Cook 20 hours weekly
8 Volunteers are utilized to provide all program services in the areas of. recreation (basketball,
tennis), computer lab, Dasie Bakers, Girls Club and academic tutoring.
5. How will the target population be made aware of the program?
The target population is made aware of program services via newsletters, church announcements,
flyers posted in schools & in community, parent support group presentations, civic/club league
presentations, radio, TV, door-to-door recruitment and referrals. Dasie Hope Center' s most
valuable resource has been word-of -mouth.
6. How will the program be accessible to target population (i.e., location, transportation,
hours of operation)?
The Center is centrally located, 8445-64`h Ave., Wabasso, FL 32970 and within walking distance
of many residents and youth of the targeted population. The Center hours are 9 : 30 a.m. — 6:30
p.m. Monday — Thursday.
6
Dasie Bridgewater Hope Center, Inc. — Dasie Hope Tutorial Program — Children 's Advisory Committee/Indian River County
(Boxes will expand as you e)
Outcome #4: 1
Program Design & Task Management Evaluation Design & Data Collection
(Columns
— 11 -4) (Columns 5-7)
6 9
Program Activities Frequency Responsible Expected Indicator Data Source Time of
(what) (how often) Parties (who) Outcomes/change Measurements (where) Measurement
(why) (evidence) (when)
11
Dasie Bridgewater Hope Center, Inc. — Dasie Hope Tutorial Program — Children's Advisory
CommitteeAndian River County
E. COLLABORATION (Entire Section E not to exceed one page)
1. List your program's collaborative partners and the resources that they are providing to
the program beyond referrals and support (See individual funder requirements for
inclusion of collaborative agreement letters.)
Collaborative Agency Resources provided to the program
Grant to provide buying power from Treasure Coast
ConAgra/Second Harvest Food Bank
Christmas toys for all youth, reading buddies, youth
Disney Resort of Vero Beach tours, onsorship, volunteerism at Dasie Hope Center
Summer Reading Program and materials
Indian River County School District
Computers, software and guest speakers (for business
Rossway, Taylor & Moore class), and volunteerism
Supply of books (to create in-house library) monthly
Orchid Island Rotary Club
Food to Dasie Hope Center Kids Cafe
Treasure Coast Food Bank
Building space
IR County Building & Grounds
Referrals into summer recreation program
Youth Guidance
Capital funding project (additional space to be added),
Warren & Virginia Schwerin mentoring youth and volunteerism
Foundation
Provided business attire for SBI students and clothing
Stein Mart of Vero Beach for other youth four times a year through Dignity U
Wear
Tennis lessons and clinic to youth
Sea Oaks
Publix Supermarket Provide volunteers, discounted store items
Provides gently used clothes to youth
Kidz Kloset- Vero Beach
12
Dasie Bridgewater Hope Center, Inc. — Dasie Hope Tutorial Program — Children 's Advisory Committee/Indian River County
Outcome # 1 : Increase academic performance of enrolled youth by at least 40% during the 2nd semester following program participation
during the 2006-2007 academic year. Baseline: Students 2005-2006 academic record
Program Design & Task Management t Evaluation Design & Data Collection
- -� �(Columns 1 -4) (Columns 5 -7)
3 ji 4 5 7
Program Frequency Responsible Parties Expected Indicator rData Source Time of
Activities (how often) (who) Outcomes/change (why) Measurements (where) Measurement (when)
(what) (evidence)
Improve 4 days a wk. for I Tutors Increased academic skills School grades Report cards Every 9 weeks
participants hr. per' day
academic
achievement
enthusiasm for
learning
Provide assistance 4 days a wk. for 1 Tutors Increase academic School grades Every 9 weeks
with homework hr. per day responsibility
Progress reports
Increase confidence in Academic confidence
academic abili
8
Dasie Bridgewater Hope Center, Inc. — Dasie Hope Tutorial Program — Children's Advisory Committee/Indian River County
Outcome # 2 : Decrease the number of disciplinary referrals of enrolled youth at least 60% during the 2nd semester following program
participation during the 2006-2007 academic year, Disciplinary reports generated from within IRC School District. Baseline: Students
2005-2006
Program Design & Task Manaeement Evaluation Design & Data Collection
(Columns 1 -4) (Columns 5 -7)
Program Activities Frequency Responsible Expected =1indicatorData Source Time of
(what) (how often) Parties (who) Outcomes/change (where) Measurement
(why) (when)
Provide anger 1 time a weekCertified Increase self control Completion of Client/Psychologist Weekly
management sessions for 30 minutes psychologist during angry periods pre/post test files (Observation)
Staff observation
Provide sooial skills2 times a week Program Maintain active Completion of Client files Weekly
for two(2) hours coordinator participation in pre/post test (Observation)
program for
improvement Staff Observation
Provide participant Monthly Staff class teacher Decrease number of Behavior changes School disciplinary Weekly
incentives for improved incentives and suspension and reports (Observation)
academic progress recognition disciplinary actions
provided
9
Dasie Bridgewater Hope Center, Inc. — Dasie Hope Tutorial Program — Children's Advisory
Committee/Indian River County
F. UNDUPLICATED CLIENTS
Number of Unduplicated Clients by Location
Last FSscalYear• Current Fiscal Year ' ,,`Next Fiscal Year
LocationAcijaI 2005/200f, Budget 2006/07 t'rojeetions'2007/08
Unduplicated Clients Unduplicated Clients Unduplicated Clients
North Indian River Co. 90 100 135
South Indian River Co.
Indian River Co Total 90 100 135
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 901 100 135
Number of Unduplicated Clients by Age
Fiscal Year Current Fiscal Year Next Fiscal Year ,
Location Actual 2005/2006 Budget 2006/07 Projection , 2007/08
Iudivduals ` Group- - Individuals Group Individual Group
0 to 4 - (Pre-school) -
5 to 10 - (Elementary) 50 - 62 - 70 -
11 to 14 - (Middle) 35 - 40 - 47 -
15 to 18 - (High School) 15 - 18 - 18 -
Total Children 100 - 120 - 135
19 to 59 - (Adults)
60 + (Seniors)
Total Adults
TOTAL SERVED 100 - 12011 135 -
13
Dasie Bridgewater Hope Center, Inc. — Dasie Hope Tutorial Program — Children's Advisory
Committee/Indian River County
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
Excei Worksheet
14
Dasie Bridgewater Hope Center, Inc. — Dasie Hope Tutorial Program — Children 's Advisory Committee/Indian River County
Outcome #3 : Decrease the number of positive drug screens of enrolled youth by at least 65% during the 1 " semester following program
participation during the 2006-2007 school year. Baseline: Status of youth upon entering program.
Program Design_ & Task Management Evaluation Design & Data Collection
---(,Columns 1 --4) (Columns 5-7)
7
Program Activities Frequency Responsible Expected Indicator Data Source Time of
(what) (how often) Parties (who) Outcomes/change Measurements (where) Measurement
(why) (evidence) (when)
Provide voluntary drug Once upon Parent request Decrease drug usage Voluntarily Off-site (S.A.C.) A parents request
testing pazents request at school, Center, complete test
and home
10
Dasie Bridgewater Hope Center, Inc. — Dasie Hope Tutorial Program — Children 's Advisory Committee/Indian River County
(Boxes will expand as you e)
Outcome #4: 1
Program Design & Task Management Evaluation Design & Data Collection
(Columns
— 11 -4) (Columns 5-7)
6 9
Program Activities Frequency Responsible Expected Indicator Data Source Time of
(what) (how often) Parties (who) Outcomes/change Measurements (where) Measurement
(why) (evidence) (when)
11
Dasie Bridgewater Hope Center, Inc. — Dasie Hope Tutorial Program — Children's Advisory
Committee/Indian River County
H. FUNDER SPECIFIC REQUIREMENTS
MEASURABLE OUTCOMES FOR LAST YEAR (This section not to exceed two pages)
Note period outcomes/results reflect: September 2006 to June 2007,
OUTCOMES RESULTS
List all elements of last year 's measurable outcomes. List the results of the outcomes.
Cut and astefrom last years application
1 . To increase academic performance of 1 . Conduct one-on-one tutoring sessions in all
enrolled youth by at least 40% during the 2nd academics subjects 4x' s per week.
semester following program participation Reading/FCAT will be major focus of tutoring
during the 2006-2007 academic year. with all students. Pre & Post reading tests will
Baseline: Students 2006 academic record be administered to determine youth' s reading
levels and improvements.
2. To decrease the number of disciplinary 2. Conduct social skills, peer shadowing and
referrals of enrolled youth by at least 65% anger management classes for enrolled
during the 2nd semester following program youth 4x per week for 12 weeks.
participation during the 2006-2007 academic Professionals from within IRC will be matched
year. Disciplinary reports generated from with enrolled youth to develop leadership and
within IRC School District. social skills. An incentive system will be
Baseline: Students 2006-2007 disciplinary attached to this program to encourage youth to
records perform and progress to their highest level of
excellence.
3 . To decrease the number of positive drug
screens of enrolled youth by at least 65 % 3 . Random drug screen will be conducted on
during the I 't semester following program middle and high school enrolled youth. A
participation during the 2006-2007 school year. Certified Psychologist meet with youth one-on-
one for counseling on a regular basis as needed
or requested by parent(s).
15
Type the Organization and Program Name
2007-2008 CORE APPLICATION
BUDGET NARRATIVE WORKSHEET
IMPORTANT. The Budget Narrative should provide details to justify the amount requested in each line item of the budget for your
program. From this worksheet, your figures will be linked to the Total Agency Budget, Total Program Budget and Funder Specific
Budget Forms.
AGENCY/PROGRAM NAME : DASIE BRIDGEWATER HOPE CENTER, INC .
FUNDER: ADVISORY COMMITTEE - INDIAN RIVER
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 Council-St. Lucie
2 Children's Services Council-Martin
3 Advisory Committee-Indian River 75 ,000.00 75,000.00 75,000.00
4 United Way-St. Lucie County
5 United Way-Martin County
6 United Way-Indian River County 75 ,000.00 75,000.00
7 Department of Children & Families
8 County Funds
9 Contributions-Cash 134 , 120.00 134, 120. 00
10 Program Fees 10,600.00 10,600. 00
11 Fund Raising Events-Net 82150.00 8,150.00
12 Sales to Public - Net
13 Membership Dues
14 Investment Income 2,000.00 2,000.00
15 Miscellaneous
16 Legacies & Bequests
17 Funds from Other Sources 6,000.00 6,000.00
18 Reserve Funds Used for Operating
19 In-Kind Donations (Not included in total) 35,665.00 35,665.00
20 TOTAL REVENUES
(doesn't include line 19) $310 ,870.00 $75,000 .00 $310 , 870.00
B L.
EXPENDITURES A Funder Specific Total Agency
Proposed Total Program Budget Budget Budget
21 Salaries - (must complete chart on next page) 172,000 .00 30,000 .00 1722000.00
22 FICA - Total salaries x 0.0765 13 , 158 . 00 2,295.00 132158.00
Retirement - Annual pension tor qua le
23 staff
i e eat - e ica enta ort-term
24 Disab. 3,000.00 1 ,405.00 3,000 .00
or ers ompensatlon - emp oyees x
25 rate 3,339 .00 800.00 3,339 .00
ori a unemployment - ff unemployment- projected
26 employees x $7,000 x UCT-6 rate 102.00 102 . 00
5/4/2007
8-1
Dasie Bridgewater Hope Center, Inc. — Dasie Hope Tutorial Program — Children's Advisory
CommitteeAndian River County
E. COLLABORATION (Entire Section E not to exceed one page)
1. List your program's collaborative partners and the resources that they are providing to
the program beyond referrals and support (See individual funder requirements for
inclusion of collaborative agreement letters.)
Collaborative Agency Resources provided to the program
Grant to provide buying power from Treasure Coast
ConAgra/Second Harvest Food Bank
Christmas toys for all youth, reading buddies, youth
Disney Resort of Vero Beach tours, onsorship, volunteerism at Dasie Hope Center
Summer Reading Program and materials
Indian River County School District
Computers, software and guest speakers (for business
Rossway, Taylor & Moore class), and volunteerism
Supply of books (to create in-house library) monthly
Orchid Island Rotary Club
Food to Dasie Hope Center Kids Cafe
Treasure Coast Food Bank
Building space
IR County Building & Grounds
Referrals into summer recreation program
Youth Guidance
Capital funding project (additional space to be added),
Warren & Virginia Schwerin mentoring youth and volunteerism
Foundation
Provided business attire for SBI students and clothing
Stein Mart of Vero Beach for other youth four times a year through Dignity U
Wear
Tennis lessons and clinic to youth
Sea Oaks
Publix Supermarket Provide volunteers, discounted store items
Provides gently used clothes to youth
Kidz Kloset- Vero Beach
12
Dasie Bridgewater Hope Center, Inc. — Dasie Hope Tutorial Program — Children's Advisory
Committee/Indian River County
F. UNDUPLICATED CLIENTS
Number of Unduplicated Clients by Location
Last FSscalYear• Current Fiscal Year ' ,,`Next Fiscal Year
LocationAcijaI 2005/200f, Budget 2006/07 t'rojeetions'2007/08
Unduplicated Clients Unduplicated Clients Unduplicated Clients
North Indian River Co. 90 100 135
South Indian River Co.
Indian River Co Total 90 100 135
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 901 100 135
Number of Unduplicated Clients by Age
Fiscal Year Current Fiscal Year Next Fiscal Year ,
Location Actual 2005/2006 Budget 2006/07 Projection , 2007/08
Iudivduals ` Group- - Individuals Group Individual Group
0 to 4 - (Pre-school) -
5 to 10 - (Elementary) 50 - 62 - 70 -
11 to 14 - (Middle) 35 - 40 - 47 -
15 to 18 - (High School) 15 - 18 - 18 -
Total Children 100 - 120 - 135
19 to 59 - (Adults)
60 + (Seniors)
Total Adults
TOTAL SERVED 100 - 12011 135 -
13
Type the Organization and Program Name
SALARIES I Gross 11 IV
POSITION LISTING Annual Salary Portion of Salary on Proposed !!! % of Gross Annual
Position Title / Total Hrs/wk (Agency) Program Funder Specific Budget Salary
Requested(CIA)
Example: Executive Director/40 hrs 70,000.00 10,000.00 51000.00 7.14%
Executive Director/40hrs 50,000.00 50 , 000.00 25 ,000 .00 50 .00%
Administrative Assistant/Teacher 35,000 .00 35 ,000.00 0 .00%
Secretary 23,000.001 23,000.00 5 ,000.00 21 . 74%
Nutritionist 6,000.00 6,000.00 0.00%
Teachers (4) 58,000.00 58,000.00 0.00%
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0 !
#DIV/0 !
#DIV/0 !
#DIV/0 !
#DIV/01
#DIV/01
#DIV/01
#DIV/0 !
#DIV/0 !
Remaining positions throughout the agency
TotalSa/arles $ 172,000.001 $172 ,000.00 $30,000.00 17.44%
FRINGE BENEFITS DETAIL
(Funder Specific Budget I Funder ll III IV V N Vll
Specific Budget FICA 7.65% Pension Health Worker's Unemployme Total Fringes Funder
Column only, from line 21 to 26) (Ax %) Ins. Compens. nt Compens. Specific
Position Title / Tota! Hrs/wk
Example: Case Manager/40hrs 5,000.00 382.50 200.00 500.00 300.00 200.00 1,582.50
Executive Director/40hrs 25,000.00 1 ,912.50 1 ,912.50
Administrative Assistant/Teacher 0 .00 0.00 0.00
Secretary 5,000.00 382.50 382.50
Nutritionist 0.00 0.00 0.00
Teachers (4) 0.00 0.00 0 .00
0 0.00 0.00 0.00
0 0.00 0.00 0.00
0 0.000.0o 0.00
0 0.00 0.00 0.00
0 0.00 0.00 0.00
0 0.00 0.00 0.00
0 0.00 0.00 0.00
0 0.00 0.00 0.00
0 0.00 0.00 0.00
0 0.00 0.00 0.00
0 0.00 0.00 0.00
0 0.00 0.00 0.00
0 0.00 0.00 0.00
0 0.00 0.00 0.00
0 0.00 0.00 0.00
Tota! Funder Request Fringe Benefits $30,000.00 $2 ,295.001 $0.001 -- 0 0.00 0.00 ,295.00
5!412007 -
a•t
Type the Organization and Program Name
A B C
EXPENDITURES Funder Proposed Total Program Budget Budget Budget To Budget cy
27 Travel-Daily 7,800 .00 5 ,000.00 7,800 .00
# of Staff x average # of miles/wk x 50 wks x
$ = Estimated Daily Travel/Mileage Reimb.
28 Travel/ConferencesFrraining 1 ,200.001 400.001 11200.00
• National Conference (cost per staff)
• Training/Seminar (cost per staff)
• Other Trainings (cost of travel, lodging,
registration, food)
29 Office Supplies 6,000 ,001 3 ,000 .001 6,000 .00
• Office supplies (monthly average x 12
months = estimated cost of office supplies -
based on present history.
30 Telephone 6,700.001 3 , 000.001 6 ,700.00
• # Phone lines x average cost per month x
12 months = local phone cost
Average long distance calls x 12 months =
Estimated cost of long distance
31 Postage/Shipping 600.00 200 .001 600 .00
• Quarterly Mailing of Newsletter
• Special events , etc.
• Bulk mailings - appeals
32 Utilities 9,600.001 4 ,800.001 9,600.00
• Electricity ($ x 12 months)
• Water/Sewer ($ x 12 months)
• Garbage ($ x 12 months)
33 Occupancy (Building & Grounds) 7,350.001 4,000 .001 7 ,350.00
• Mortgage/Rent ($ x 12 months)
• Janitorial ($ x 12 months)
• Grounds Maint. ($ x 12 months)
• Real Estate Taxes
34 Printing & Publications 1 ,500 .001 1 , 500.001 1 ,500 .00
• Quarterly Newsletter ($ x 4) .
• Letterheads, Envelopes, etc.
• Fundraising materials
• Other
35 Subscription/Dues/Memberships 600.00 600.00 600.00
• Membership to National Organization
• Dues
• Subscriptions to Newspapers/magazines,
etc.
36 Insurance 11 , 161 .001 7 ,000.001 11 , 161 .00
• Directors/Officers Liab.
• Commercial/General Insurance
• Bond Ins.
• Auto Insurance
37 Equipment: Rental & Maintenance 1 ,000.001 1 ,000 .001 11000 .00
• Copier lease ($ x 12 months)
• Meter lease ($ x 12 months)
• Copier Maintenance ($ x 12 months)
• Computer Maintenance ( $ x 12 months)
• Other
38 Advertising 135.001 135.00
• Newspaper ads
• Fundraising ads/promotions
• Other (vacancies)
39 Equipment Purchases:Capital Expense
• Computer/monitor (# x $)
• Laser Printer
5/4/2007 a-7
Dasie Bridgewater Hope Center, Inc. — Dasie Hope Tutorial Program — Children's Advisory
Committee/Indian River County
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
Excei Worksheet
14
Dasie Bridgewater Hope Center, Inc. — Dasie Hope Tutorial Program — Children's Advisory
Committee/Indian River County
H. FUNDER SPECIFIC REQUIREMENTS
MEASURABLE OUTCOMES FOR LAST YEAR (This section not to exceed two pages)
Note period outcomes/results reflect: September 2006 to June 2007,
OUTCOMES RESULTS
List all elements of last year 's measurable outcomes. List the results of the outcomes.
Cut and astefrom last years application
1 . To increase academic performance of 1 . Conduct one-on-one tutoring sessions in all
enrolled youth by at least 40% during the 2nd academics subjects 4x' s per week.
semester following program participation Reading/FCAT will be major focus of tutoring
during the 2006-2007 academic year. with all students. Pre & Post reading tests will
Baseline: Students 2006 academic record be administered to determine youth' s reading
levels and improvements.
2. To decrease the number of disciplinary 2. Conduct social skills, peer shadowing and
referrals of enrolled youth by at least 65% anger management classes for enrolled
during the 2nd semester following program youth 4x per week for 12 weeks.
participation during the 2006-2007 academic Professionals from within IRC will be matched
year. Disciplinary reports generated from with enrolled youth to develop leadership and
within IRC School District. social skills. An incentive system will be
Baseline: Students 2006-2007 disciplinary attached to this program to encourage youth to
records perform and progress to their highest level of
excellence.
3 . To decrease the number of positive drug
screens of enrolled youth by at least 65 % 3 . Random drug screen will be conducted on
during the I 't semester following program middle and high school enrolled youth. A
participation during the 2006-2007 school year. Certified Psychologist meet with youth one-on-
one for counseling on a regular basis as needed
or requested by parent(s).
15
Type the Organization and Program Name
40 Professional Fees (Legal, Consulting) 6 ,000.00 3 ,000.00 6,000.00
• Legal advice ( estimated #hrs x $)
• Consultant fees
• Other
41 Books/Educational Materials 600.001 600. 00
• Books/videos
• Materials ($ x staff)
42 Food & Nutrition 7,200 .001 7 ,200.00
• Meals ( # meals x clients x 5days x 50 wks)
• Snacks
43 Administrative Costs
• Admin. Cost (% of total budget)
44 Audit Expense 31000.00 2,000.00 31000 .00
• Independent Audit Review
45 Specific Assistance to Individuals 31680.00 3 ,680 .00
• Medical assistance
• Meals/Food
• Rent Assistance
• Other
46 Other/Miscellaneous 9V480 .001 52000.00 9480.00
• Background check/drug test
• Other
47 Other/Contract
• Sub-contract for program services
48 TOTAL EXPENSES $275,205.00 $75,000 .00 $275,205.00
514M07
s-t
EXHIBIT A
[Copy of complete proposal/application]
Type the Organization and Program Name
2007-2008 CORE APPLICATION
BUDGET NARRATIVE WORKSHEET
IMPORTANT. The Budget Narrative should provide details to justify the amount requested in each line item of the budget for your
program. From this worksheet, your figures will be linked to the Total Agency Budget, Total Program Budget and Funder Specific
Budget Forms.
AGENCY/PROGRAM NAME : DASIE BRIDGEWATER HOPE CENTER, INC .
FUNDER: ADVISORY COMMITTEE - INDIAN RIVER
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 Council-St. Lucie
2 Children's Services Council-Martin
3 Advisory Committee-Indian River 75 ,000.00 75,000.00 75,000.00
4 United Way-St. Lucie County
5 United Way-Martin County
6 United Way-Indian River County 75 ,000.00 75,000.00
7 Department of Children & Families
8 County Funds
9 Contributions-Cash 134 , 120.00 134, 120. 00
10 Program Fees 10,600.00 10,600. 00
11 Fund Raising Events-Net 82150.00 8,150.00
12 Sales to Public - Net
13 Membership Dues
14 Investment Income 2,000.00 2,000.00
15 Miscellaneous
16 Legacies & Bequests
17 Funds from Other Sources 6,000.00 6,000.00
18 Reserve Funds Used for Operating
19 In-Kind Donations (Not included in total) 35,665.00 35,665.00
20 TOTAL REVENUES
(doesn't include line 19) $310 ,870.00 $75,000 .00 $310 , 870.00
B L.
EXPENDITURES A Funder Specific Total Agency
Proposed Total Program Budget Budget Budget
21 Salaries - (must complete chart on next page) 172,000 .00 30,000 .00 1722000.00
22 FICA - Total salaries x 0.0765 13 , 158 . 00 2,295.00 132158.00
Retirement - Annual pension tor qua le
23 staff
i e eat - e ica enta ort-term
24 Disab. 3,000.00 1 ,405.00 3,000 .00
or ers ompensatlon - emp oyees x
25 rate 3,339 .00 800.00 3,339 .00
ori a unemployment - ff unemployment- projected
26 employees x $7,000 x UCT-6 rate 102.00 102 . 00
5/4/2007
8-1
Type the Organization and Program Name
SALARIES I Gross 11 IV
POSITION LISTING Annual Salary Portion of Salary on Proposed !!! % of Gross Annual
Position Title / Total Hrs/wk (Agency) Program Funder Specific Budget Salary
Requested(CIA)
Example: Executive Director/40 hrs 70,000.00 10,000.00 51000.00 7.14%
Executive Director/40hrs 50,000.00 50 , 000.00 25 ,000 .00 50 .00%
Administrative Assistant/Teacher 35,000 .00 35 ,000.00 0 .00%
Secretary 23,000.001 23,000.00 5 ,000.00 21 . 74%
Nutritionist 6,000.00 6,000.00 0.00%
Teachers (4) 58,000.00 58,000.00 0.00%
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0 !
#DIV/0 !
#DIV/0 !
#DIV/0 !
#DIV/01
#DIV/01
#DIV/01
#DIV/0 !
#DIV/0 !
Remaining positions throughout the agency
TotalSa/arles $ 172,000.001 $172 ,000.00 $30,000.00 17.44%
FRINGE BENEFITS DETAIL
(Funder Specific Budget I Funder ll III IV V N Vll
Specific Budget FICA 7.65% Pension Health Worker's Unemployme Total Fringes Funder
Column only, from line 21 to 26) (Ax %) Ins. Compens. nt Compens. Specific
Position Title / Tota! Hrs/wk
Example: Case Manager/40hrs 5,000.00 382.50 200.00 500.00 300.00 200.00 1,582.50
Executive Director/40hrs 25,000.00 1 ,912.50 1 ,912.50
Administrative Assistant/Teacher 0 .00 0.00 0.00
Secretary 5,000.00 382.50 382.50
Nutritionist 0.00 0.00 0.00
Teachers (4) 0.00 0.00 0 .00
0 0.00 0.00 0.00
0 0.00 0.00 0.00
0 0.000.0o 0.00
0 0.00 0.00 0.00
0 0.00 0.00 0.00
0 0.00 0.00 0.00
0 0.00 0.00 0.00
0 0.00 0.00 0.00
0 0.00 0.00 0.00
0 0.00 0.00 0.00
0 0.00 0.00 0.00
0 0.00 0.00 0.00
0 0.00 0.00 0.00
0 0.00 0.00 0.00
0 0.00 0.00 0.00
Tota! Funder Request Fringe Benefits $30,000.00 $2 ,295.001 $0.001 -- 0 0.00 0.00 ,295.00
5!412007 -
a•t
EXHIBIT B
[From policy adopted by Indian River County Board of County Commissioners on February 19,
2002]
" D. Nonprofit Agency Responsibilities After Award of Funding
Indian River County provides funding to all nonprofit agencies on a reimbursement basis only.
All reimbursable expenses must be documented by an invoice and/or a copy of the canceled
check. Any expense not documented properly to the satisfaction of the Office of Management &
Budget and/or the County Administrator may not be reimbursed .
If an agency repeatedly fails to provide adequate documentation , this may be reported to the Board
of Commissioners . In the event an agency provides inadequate documentation on a consistent
basis , funding may be discontinued immediately. Additionally, this may adversely affect future
funding requests .
Expenditures may only be reimbursed from the fiscal year for which funding was awarded . For
example , no expenditures prior to October 15S 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 301h) must be submitted on a timely
basis. Each year, the Office of Management & Budget will send a letter to all nonprofit agencies
advising of the deadline for reimbursement requests for the fiscal year. This deadline is typically
early to mid October, since the Finance Department does not process checks for the prior fiscal
year beyond that point.
Each reimbursement request must include a summary of expenses by type . These summaries
should be broken down into salaries, benefits, supplies, contractual services, etc. If Indian River
County is reimbursing an agency for only a portion of an expense (e. g . salary of an employee) ,
then the method for this portion should be disclosed on the summary. The Office of Management
& Budget has summary forms available .
Indian River County will not reimburse certain types of expenditures. These expenditure types are
listed below.
a. Travel expenses for travel outside the County including but not limited to; mileage
reimbursement, hotel rooms , meals , meal allowances, per Diem , and tolls. Mileage reimbursement
for local travel (within Indian River County) is allowable.
b . Sick or Vacation payments for employees. Since agencies may have various sick and vacation
pay policies, these must be provided from other sources .
c. Any expenses not associated with the provision of the program for which the County has
awarded funding .
d . Any expense not outlined in the agency's funding application .
The County reserves the right to decline reimbursement for any expense as deemed necessary. "
1
EXHIBIT C
STANDARD TERMS FOR GRANT CONTRACT
1 . Notices : Any notice , request, demand , consent, approval or other communication required or
permitted by this Contract shall be given or made in writing , by any of the following methods :
facsimile transmission ; hand delivery to the other party; delivery by commercial overnight courier
service; or mailed by registered or certified mail (postage prepaid) , return receipt requested at the
addresses of the parties shown below:
County: Brad E . Bernauer, Indian River County Human Services Director
1801 27`" Street , Vero Beach , Florida 32960 .
Recipient: Dasie Bridgewater Hope Center, Inc.
844554 th Avenue , Vero Beach , FL 32970; Verna Wright , 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
Type the Organization and Program Name
A B C
EXPENDITURES Funder Proposed Total Program Budget Budget Budget To Budget cy
27 Travel-Daily 7,800 .00 5 ,000.00 7,800 .00
# of Staff x average # of miles/wk x 50 wks x
$ = Estimated Daily Travel/Mileage Reimb.
28 Travel/ConferencesFrraining 1 ,200.001 400.001 11200.00
• National Conference (cost per staff)
• Training/Seminar (cost per staff)
• Other Trainings (cost of travel, lodging,
registration, food)
29 Office Supplies 6,000 ,001 3 ,000 .001 6,000 .00
• Office supplies (monthly average x 12
months = estimated cost of office supplies -
based on present history.
30 Telephone 6,700.001 3 , 000.001 6 ,700.00
• # Phone lines x average cost per month x
12 months = local phone cost
Average long distance calls x 12 months =
Estimated cost of long distance
31 Postage/Shipping 600.00 200 .001 600 .00
• Quarterly Mailing of Newsletter
• Special events , etc.
• Bulk mailings - appeals
32 Utilities 9,600.001 4 ,800.001 9,600.00
• Electricity ($ x 12 months)
• Water/Sewer ($ x 12 months)
• Garbage ($ x 12 months)
33 Occupancy (Building & Grounds) 7,350.001 4,000 .001 7 ,350.00
• Mortgage/Rent ($ x 12 months)
• Janitorial ($ x 12 months)
• Grounds Maint. ($ x 12 months)
• Real Estate Taxes
34 Printing & Publications 1 ,500 .001 1 , 500.001 1 ,500 .00
• Quarterly Newsletter ($ x 4) .
• Letterheads, Envelopes, etc.
• Fundraising materials
• Other
35 Subscription/Dues/Memberships 600.00 600.00 600.00
• Membership to National Organization
• Dues
• Subscriptions to Newspapers/magazines,
etc.
36 Insurance 11 , 161 .001 7 ,000.001 11 , 161 .00
• Directors/Officers Liab.
• Commercial/General Insurance
• Bond Ins.
• Auto Insurance
37 Equipment: Rental & Maintenance 1 ,000.001 1 ,000 .001 11000 .00
• Copier lease ($ x 12 months)
• Meter lease ($ x 12 months)
• Copier Maintenance ($ x 12 months)
• Computer Maintenance ( $ x 12 months)
• Other
38 Advertising 135.001 135.00
• Newspaper ads
• Fundraising ads/promotions
• Other (vacancies)
39 Equipment Purchases:Capital Expense
• Computer/monitor (# x $)
• Laser Printer
5/4/2007 a-7
Type the Organization and Program Name
40 Professional Fees (Legal, Consulting) 6 ,000.00 3 ,000.00 6,000.00
• Legal advice ( estimated #hrs x $)
• Consultant fees
• Other
41 Books/Educational Materials 600.001 600. 00
• Books/videos
• Materials ($ x staff)
42 Food & Nutrition 7,200 .001 7 ,200.00
• Meals ( # meals x clients x 5days x 50 wks)
• Snacks
43 Administrative Costs
• Admin. Cost (% of total budget)
44 Audit Expense 31000.00 2,000.00 31000 .00
• Independent Audit Review
45 Specific Assistance to Individuals 31680.00 3 ,680 .00
• Medical assistance
• Meals/Food
• Rent Assistance
• Other
46 Other/Miscellaneous 9V480 .001 52000.00 9480.00
• Background check/drug test
• Other
47 Other/Contract
• Sub-contract for program services
48 TOTAL EXPENSES $275,205.00 $75,000 .00 $275,205.00
514M07
s-t
Nov 28 07 12: 55p Dasie Hope Center 1 -772-589-4688 p .3
A GazaTM DATE (MA000 YVTY)
li !1 CERTIFICATE OF LIABILITY INSURANCE lir=2007
PRODUCER RV : (Tn) S6&3369 Fa (n21SB2JC66 THIS CERTIFICATE IS ISSUED AS A MATTER OF IFORNATIOH
HILI ROGAL & HOBBS OF FLORIDA, INC. - VERO BEACH ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
204514TH AYE. HOLDER VAM CIIiTFlCATE DOES NOT AMEND, EXTEND OR
P 0 BOX 170 A1,70 THE COVERAGE AFFORDED BY THE POLICIE3 SELOW.
VERO BEACH FL 32001
INSURERS AFFORDING COVERAGE NAIC N
INSURED H3URFRJI LDximgton lTLsuTance Company ' _
DAS1E BRIDGEWATER HOPE CENTER, INC. INSiRERB: Progre5e3Me Smuthimstem _ 3W04 -
9"S BATH AVE INSURER C: FIGTide RBrLMI FedvD;6Gn
VERO BEACH FL 32907-2861 IMSURERCK _
NSURERE:
COVERAGES
THE POLICES OF INSURANCE LISTED BELOW HAVE SEEN r95UED TO THE INSURED I1ANED ASDVE FOR THE POLICYPERIOD WDLCATEO, HOTWTIHSTNIDING
AMI REDURENENT, TERN OR CONORION OF ANY CONTRACT OR OTHER DOCUEBVT NNITH RESPECT TO V I CH THIS CERPT
TIFICE MY BE ISSUED OR
NAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICES DESCRIBED HEREIN IS SUBJECT TO ALL THE TANKS, F.CU1SIOVS MD CONDMOR3 OP SUCH
POLICIES. AGGRECAW U MS SHOW+ MAY KAI BEEN REDUCED BY PAID CLAW
TYPE OEIIISIOlATICE POLICY NUMBER P %WV 01M=11101 all LINTS
LTR mw PLSE 0
G6KAn I_uumLmv 41LX6263936DDDO 11/71107 1123108 EACH OCCURRENCE 'i 1 ,000,900
XyI COMMERCIAL GEIEML UABILMY i (Ea 250,000
A X COUMs "I OCCURWED. EW I"ry Pd ) ]IS
io,00DXPROFESSIONAL UAB-CwIM3PER3ONAL 8AOV INJURr 1 ,000,000
GENEPAL AGGREGATE 3 310DD1000
IIGENLA6G QATELPBTAPPIEBffR: pRODVCT3caMFmP AGO. f 7,000000
POLICY � LOCI
AUTOMOBAE LIABILITY 032NI0032.1 ! 1V02fo7 TilOL109 COMBINED SINGLE LNO s
ANY AUTO IFa aFY�mq - —
ALL OWNED AUTUS SOOAY' NIU RY
iPerPNBnI S 1 ,000000
SCHEDULED AUTDS
B X NIR.EOAUTOS wa INAIRY
f IPw 3celeval z
x, NON-0WNED AUTOS
_ PROPERTY OANiGE 3
1 tPn
GARAGE LMMLTTr AUTOOPLY - EAACCIDENT S _ _
ANYAUTO OTHER THAN GAAM 3 ..
I WTO 01 ACG s
QCESS/ BOBPLLe LVYAl11Y EACH OC NRENCE %
OCCUR CLAIMS MADE AGGREGATE 3
3 s
I DEDUCTIBLE . ._
3 RETENn9146 =
WOBOTHER
WDRHNH
ERSwariusATANO BINDER INH 1565 1121107 W24M7 IraArTATVuRnR ,.
EMPLOYERS' UMEITY EL EACH ACCIDENT 9 500.000
C MITIRHPeTG'Id•AFIIIEl4FJRQIGYE
wrmBUBMW3t LRRLmERT EL OLVATEFA EMPLOYEE 7 500000
iE fw. s..HB.u.r EL CISEASEPOLICYUMIT E 500,000
'iSABCIALRDPR1oNP MMw
OT4ER:
DESCRIPI OF OPERATN]NSA-OCATIONSIVEHICLESFEXCLUSIONS ADDED BY ENDORSEMENTf SPECUIL PROVISIONS
CERTIFICATE HOLDER IS INCLUDED AS ADDITIONAL INSURED UNDER THE GENERAL LIA9ILITY POLICY SUOL)EcT TO POLICY
PROVISIONS.
CERTIFICATE HOLDER CANCELLATION
SHOIAO Id JY OF T!E ABOVE DESCRIBED POLICIES BE CANCELLED SEFORETHE
EVIRATION DATE THEREOF, TME WONG ANSWER Y ENOEAYORTO NMI. 10 DAYS
WRmTFN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THC LEFT. BUT FAILURE
TO DO SO SHALL INPD5E NO OSI CA LLA6ILNY OF ANY KIND UPON TNG I.NBUNER.
INDIAN RIVER COUNTY BOARD OF TTS ADeNTSOR REPRESIINTATIVER
COUNTY COMMISSIONERS PUTHORf ZEDREPRERNTATNR!
1800 27TH STREET
VERO BEACH, FL 32960
Atter10am: BETH MARTIN e - T}
ACORD 25 (2001) IBI Certificate S 109953 0ACORD CORPORATION 1909
Nov 28 07 12; 55p Dasie Hope Center 1 -772-589-4688 p .4
l Llz0JLVUf 1L : Ll IA6 IIc Juz J400 nnn r1 %B u zzaln WVV4
DTE DAM
AUG INSURANCE BINDER 11128!2007
PA00 INSURERS AFFORDING COVERAGE
IRWIN SIEGEL AGENCY, INC.
25 LAKE LOUtSE MARIE ROAD uavaERA: L"NGTON INSURANCE CO.
ROCK HILL, NY 12775-0309 Ns Rae e.
INSURED INSURER R
Dasie Bridgewater Hope Center, Inc. INSURER D:
P.O. Box 701483
Wabasso, FL 32970 Ne
EFFECTNE DATE EXPIRATION DATE
COVERAGES 11 r23200712:01 A.M. 12123/2 712:01 A_N..
THIS BINDER IS A SUMMATION OF THE umrrS. TERGA. COVERAGES AND CONDRIONS ALL OF WHICH ARE
SUPERCEDED BY THE ACTUAL POLICY IE WHEN ISSUED-
INS C04ERF�TEIF02yG u WTs
LTp TYPE OF INSIIRANf.£ PaICY MUMMER
PROP9t1Y WVSTS OF L039 aW:PNGS0U5N@� PPSOIML TOTAL PROPER' LIMB SNIA
0S c ❑ DROAD SPECIAL PpOP£RfY. PH4WNLL gN]PERtt OF pgppFRTY O®WTISLE $
DTIgiE MID BV�AS PERT16 TIEROEOOCiBIE s
OIY.+IMG$S NCDME WIEETiLhE�ENEE STATEUEMr OF VALUESON FhF YATII IME
COMI'AI1Y. TOTAL SYEE INAR $
[IOF.ER AEOUPhENTSNfA%OOVIN iOThL DOLER4F30UIP UNIT $
ACCOUNTS RSGEIVAELE $ WA
IMLANDMIRINE
❑ h UNTS PFCENABLE EDPEOUWNENT f
❑ McomPUesm D P� OTHER $
0 oTHEN
LbMNERDIU LTRELO995USTANEO mw=EE THEFT $ WA
CRIME Foft IS VTS.RGO. NOTE_ ON PROMISES FORGH IALTMRATION S
❑ EMPLOYEETNEFT TN DFNONIESANDSECURRIEBM W510E T1EFf S 1
OF ERY OR ALTERATION BICLUDGiF VNfN01TIlE PROPERTY
0N61OE PREMLSESTNEET DF N BS S1:CTNDNMRUPTDAMUNUM7. 018IOERC®ORNI $
O NUDE PREM Rowe OR WE 9LF10 OWSLDE PREMISES §
13 OUTSIDE THE PREMISES flN11E DTAuGfaLE S COMPUTEN FNMA $
OCOMPUTERFRAA FUNDS TRAMPER FRAUD $
0FUi1SMNWERFRALLO NONEYOROFfttCWNTCNFhT $
❑ MONEY OROFDLSAWNRERFET( OILIER $
❑ OTHEF
C WILERCYL LUV11Ll1Y 411)(S2S39C1a0000 LiL-EAQrpGCWRENOE S 1 ,000000
A ® OOMM1IEOCML GEUQUOURRJTY FEN? ONMAGE CANYONSFNN:I $ 250000
® CWMStMOE ❑ OCf]RRDN:E NED FJtF IANY ONE PERiON $ 10,000
RETNO COTE 11*3rz a P9t90NPLdAOV IrLIWY $ 1,000.000
PDLCY AGGRESS E $ 3.000.000
® EMPLOYEE BENEPL0Y
B CLAIMS M46 C MDl:CUC11RRENGE SRL - EAfJ10CCURR@1GE $ 1 .000000
RETRODATE 11 f3 DD7.
FROFUMIGNALLI LIMY
® CLNNSMAGE OOCCURIENCE pflpf _ EACH DLGURRENCE $ 1,00DA00
iN:NIODATE: '11123=04 P ICYA=EG E f3,DODA00
0 sEAVA1A9USEA ATaESTAnan RUSE - EACH DCCURRENCE S5D,0W
NCLAMS� 71/232 ! GENERALAGCAEGATE CIO $ 100,000
❑ OMEF
hUTDMONLE UA9,LRY TTtS STRpNR.T RECOMMENDER CpNBINED3NN#E IDEM` $ NMA
0 Aiw AII'O f. N04
YlR3 M\YE CtRRPI>' MEfTJL PAYIENrE $
0 ALLONNFuM m 2 ETR' oYEFS TIUIT VSETM.AI OVM PER.IONAL THARLY fTiOT. f
0 SoI 0"VDA705 VEIIIGESCARRYMNNMJM 11MlT5 UNl64R® MOTOWSTS f
❑ MRGO AUT09 aF lL1NMTOF f7WJAP UNDENINEMfiFOMOfOftC513 $
>7 RpFYJWIED hN05 OT1ER $
GAFy,OE LLARIUIY
❑ GwtLG9QEfER9 LEGAL
AumNeLS Cl AC.TUMCASITYAUE
OOOLUSgN � E $ p SCNEOUIID VEHICLES O 07ATEDAMOWa f WA
ODTHERTHMCOM.7
: f
IXE53UAC90tt EACH D( NCE $ NIA
p UMORG FORM /tElRO [RATE FON CLAW L1h0e � AGGLffGAT S
❑ DIFERTIWY UMNRELLAFaRN SELrw5ufEDRE1ENnON $
Page 1 of 2
EXHIBIT A
[Copy of complete proposal/application]
Nov 28 07 12: 56p Dasie Hope Center 1 -772-589-4688 p . 5
err cvi cvvr a4. . 41 rnn Arc .rvG w'vu nM rJA • WlV =An n WJVVD
mo8 ,s [OwrFroxv" ❑ s7niur0eY arms SNIA
MID L4GMACCrDEW b
EYWLDYERT LL4mTv ULSE0.5E-POLICY UMn
OlSEJSF- EACr aMPLOYEE 'S
olaracronssortcEasufarur ism SNIA
DEDUCT Q S
SpECiRL CO 90MMa1OTi COVERKM
THIS INSURANCE IS ISSUED PURSUANT TO THE FLORIDA SURPLUS LINES LAW. PERSONS INSUR® BY
SURPLUS LINES CARRIERS DO NOT HAVE THE PROTECTION OF THE FLORIDA INSURANCE GUARANTY ACT
TO THE EXTENT OF ANY RIGHT OF RECOVERY FOR THE OBLIGATION OF AN INSOLVENT UNLICENSED
INSURER.
E) MORTGAGEE ❑ ADDITIONA_ INSURED
❑ LOSS PAYEE ❑ O'RIER _
LUAM r
American Inlemabonal Group, Inc.
CONDITIONS
This Company binds the Mnd(s) of insurance stipulated on this document. The insurance is subjectto the terms, conditions and
fire Utiorns of the policy(ies) in currenl use by the Company.
This binder may be cancelled by the Insured by surrender of this binder or by written notice to the Company slating when cancellation
will be effective. This binder may be cancelled by the Company by notkv to the Insured in accordance with the po'14 conditions. This
Under may be rance)ted when replaced by a policy. if this binder is not replaced by a policy, the Company Is entitled to charge a
premium for the binder according to the Rules and fetes in use by the Company.
Applicable in California
When this form is used to provide insurance in the amount of one mllllon dollars ($1 ,000,000) or more . the tide of this lore is changed
from 'Insurance Hinder" to "Cover Note
Applicable in Delaware
The mortgagee cr Obligee of any mortgage or other instrument given for the purpose of creating a lien on real property shall accept as
evidence of insurance awriten binder issued by an aufhoraed insureror Its agent lithe tender includes a is accompanied by. the
name and address of the borrower: the name and address of the lender as foss payee; a description of the insured real property: a
provision that the tinder may not be canceled within the term Of the binder unless the lender and the insured borrower receive written
notice of ft cancelladon at leasttah (10) days prior 10 the Ganoerlatim ; except in the case of a renewal of a policy subsequent 10 the
closing of the loan, a paid receipt of the full amount of the applicable premium, and the amount of insurance m erage.
Chapter 21 Titla 25 Paragraph 2119
Applicable in Florida
Except ler Auto insurance coverage, no notice of cancellation or nonrenewal of a binder is required unless the duration of the binder
exceeds 60 days. For auto insu encs, the insurer must give 5 days prior notice, unless the binder is replaced by a policy or another
yinder in the Some company.
Applimble in Nevada
Any persarh who refuses to accept a binder which provides coverage of less than $1 ,000,000.00 when proof is required (A) Shall be
fined not more than 5500 .00, and (B) is Fable to the party presenting the binder as proof of insurance foractual damages sustained
therefrom.
Page 2 of 2
Nov 28 07 12: 54p Dasie Hope Center 1 -772-589-4688 p . 2
, i . ° ° . cuul Le : eo r'AA I / G 004 4400 UKU rLA YCKU ULAI.n I[IUUC
ACORDDATE (N`�DD"'�"
TML CERTIFICATE OF LIABILITY INSURANCE 11129=T
�R PM V12) 5621 Fs< IT72) IIIII a THIS CMTIRMTE IS ISSUED As A MATTER OF IIFORYATION
HILA ROI d HOBBS OF FLORIDA, INC. -VERO BEACH qLY AND CONFERS NO RW MS UPON THE CERTIFICATE
204514TH AVE. HOLDER TKIS CERTIFICATE DOES NOT ATIENO, EXTEND OR
P 0 BOX 130 ALTER THE COVERAGE AFFORDED BY THE POI BELOW.
VERO BEACH FL 32961
INSURERS AFFORDING COVERAGE MAIC B
INSURED DMSURERA: Letingmn IRSUraIIm CA PRRy .
CAME 13RIDGEWATER HDPE CENTER, INC. INSURER e: ProgS0utheastem 38184
8646 64TH AVE INSURER C: PkmUa Retail FedaralieR _
VERO BEACH FL 32981.2941 INSURER D:
INSURER £:
COVERAGES
TIQ POLCIES QF INSURANCE 1_14170 EELOW WIVE B N ISSUEDTO THE NSUREO N G ABOVE FOR THE POLICY PERIOD INDICATED,, NRTITIN187 HONG
AM' REgUIRfT1ENT* TT3TN OR CINNOITICN OF ANY CONSNACF OR 0T/(ER DOLIAENr W N VMr TO WHICH TH13 t4RPt0ATE WY BE 133UE0 OR
My PEATAN, THE INAMNR A awtD BV THE POLICIES DESCRBE3 NETR3N B S WSCT TO ALLTHE T~. EXCLUSIONS ANO CONgR10N8 OF SACH
POUCIES. AGGREGATE LZR15 SHOM MY HAVE BEEN REDUCED 9Y PATO CLARE. _
IwaS�Aovl TTPEOFVMRANCE —101_11_1 NINBER IM Pwro" ala racTII
m�RAlM1I La1Re
lm :wv.R ]alE YAR
GEXNERAL LWBIUTY a1LX82GMGU000 11123FDT i1/23ADE FACH �CCURRIiN4E _ s 1 .000,000
I(COININ L GENERAL LIABuI p MI y�ml _ E 250,090
TnEO. EXP (AM mo Pc'lR6 s 10,000
X ', CLARE +NOEu OCCUR PERSONALSAOVPINRY s i3OD0,D00
A 1 X PROFT3SIONAL UASCtAIMS - - -
._ 65MEPALAGGKGAM s 3.000.000
OEHLAGGREGIIM LOOT APPLIES FERC Wi0O11CTS-COMI AGM S 3.TMI0,000
PI I LOC
FOLIC
AVT "W"' UABIHTY 032W032-1 1l102ID7 N102A8 coos NFA ANGLE LJNR s
X MYAUTO IEeaxidwW
r ALLOWEDAUTOS BQOLY INAIRY
lFapwsen) s 1,000,000
B FX HREOAVTOs DOOLYNJURY
mr NWuxI s
NO
N-0IYNEOO AU1p3 -- _ '
PROPETTry OYAAGE i
GARAGE
(Pa a=
WAFJTY AUTO ONLY - EA AC= r L
ANYAIRO OTHER THAN EA ACC B
AUTOOKY' AEG i
E—YC1E� lYARR0.LAllA9LRY EACH =10mEME S
( OCCUR nOAWS MADE 1 AOGREOATE
I
f
OEOUO09LE - --
RETEMBN i =
WOWt9i' COIOEN&BT n+D BINDER /0€7665 11121107 11121107
WPLOYETS TIABRBY EL FAO( ACCIDENTs 5001000
C QIT � EL. DIs7ASEt6F1LLPLgr1E 1 SOD.D00
11vR 3uuRevoe EL OISFA9EPOLICYLIMYI ! - 500.000
`sFELM.Pfm.6IGfC..y..
OTHER:
DESCRIPTION OF OPERATIONSILOCAMONSPICHICLESIEXCLUSIONS ADDED BY ENDORSEMENT( SPECIAL PROVISIONS
CANCELLATION
CERTIFICATE HOLDER
SHOULD ARY OF THE ABOVE DESCRIBED POI BE CANC7LIL0 WFOIIE THE
�NNTDN DATE THERPOF. TME ISSUMG ENSURER MOLL ENDEAVOR TO 1&1 13 DAYS
WRITTEN NOTICE TO THE EERTIRC m HOLDER VARIED TO THE LSP, BUT FAILURE
TO 00 SO SKN L MINUSE NO OeUDATDN OR GABILRY OP AM HIND WON THE INSURER
INDIAN RIVER COUNTY SCHOOL BOARD Trs AGlHIS OR REPRESENTATIVE&
192025TH STREET AVMORI2ED PaWM NTATIVE
VERO BEACH, FL. 32980
Athmtm: OARLAJACKSON a . Th'
ACORD 26 (2061108) Cedffic B 9 109954 0 ACORD CORPORATION 1968
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 15S 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 301h) must be submitted on a timely
basis. Each year, the Office of Management & Budget will send a letter to all nonprofit agencies
advising of the deadline for reimbursement requests for the fiscal year. This deadline is typically
early to mid October, since the Finance Department does not process checks for the prior fiscal
year beyond that point.
Each reimbursement request must include a summary of expenses by type . These summaries
should be broken down into salaries, benefits, supplies, contractual services, etc. If Indian River
County is reimbursing an agency for only a portion of an expense (e. g . salary of an employee) ,
then the method for this portion should be disclosed on the summary. The Office of Management
& Budget has summary forms available .
Indian River County will not reimburse certain types of expenditures. These expenditure types are
listed below.
a. Travel expenses for travel outside the County including but not limited to; mileage
reimbursement, hotel rooms , meals , meal allowances, per Diem , and tolls. Mileage reimbursement
for local travel (within Indian River County) is allowable.
b . Sick or Vacation payments for employees. Since agencies may have various sick and vacation
pay policies, these must be provided from other sources .
c. Any expenses not associated with the provision of the program for which the County has
awarded funding .
d . Any expense not outlined in the agency's funding application .
The County reserves the right to decline reimbursement for any expense as deemed necessary. "
1
EXHIBIT C
STANDARD TERMS FOR GRANT CONTRACT
1 . Notices : Any notice , request, demand , consent, approval or other communication required or
permitted by this Contract shall be given or made in writing , by any of the following methods :
facsimile transmission ; hand delivery to the other party; delivery by commercial overnight courier
service; or mailed by registered or certified mail (postage prepaid) , return receipt requested at the
addresses of the parties shown below:
County: Brad E . Bernauer, Indian River County Human Services Director
1801 27`" Street , Vero Beach , Florida 32960 .
Recipient: Dasie Bridgewater Hope Center, Inc.
844554 th Avenue , Vero Beach , FL 32970; Verna Wright , 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
Nov 28 07 12: 55p Dasie Hope Center 1 -772-589-4688 p .3
A GazaTM DATE (MA000 YVTY)
li !1 CERTIFICATE OF LIABILITY INSURANCE lir=2007
PRODUCER RV : (Tn) S6&3369 Fa (n21SB2JC66 THIS CERTIFICATE IS ISSUED AS A MATTER OF IFORNATIOH
HILI ROGAL & HOBBS OF FLORIDA, INC. - VERO BEACH ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
204514TH AYE. HOLDER VAM CIIiTFlCATE DOES NOT AMEND, EXTEND OR
P 0 BOX 170 A1,70 THE COVERAGE AFFORDED BY THE POLICIE3 SELOW.
VERO BEACH FL 32001
INSURERS AFFORDING COVERAGE NAIC N
INSURED H3URFRJI LDximgton lTLsuTance Company ' _
DAS1E BRIDGEWATER HOPE CENTER, INC. INSiRERB: Progre5e3Me Smuthimstem _ 3W04 -
9"S BATH AVE INSURER C: FIGTide RBrLMI FedvD;6Gn
VERO BEACH FL 32907-2861 IMSURERCK _
NSURERE:
COVERAGES
THE POLICES OF INSURANCE LISTED BELOW HAVE SEEN r95UED TO THE INSURED I1ANED ASDVE FOR THE POLICYPERIOD WDLCATEO, HOTWTIHSTNIDING
AMI REDURENENT, TERN OR CONORION OF ANY CONTRACT OR OTHER DOCUEBVT NNITH RESPECT TO V I CH THIS CERPT
TIFICE MY BE ISSUED OR
NAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICES DESCRIBED HEREIN IS SUBJECT TO ALL THE TANKS, F.CU1SIOVS MD CONDMOR3 OP SUCH
POLICIES. AGGRECAW U MS SHOW+ MAY KAI BEEN REDUCED BY PAID CLAW
TYPE OEIIISIOlATICE POLICY NUMBER P %WV 01M=11101 all LINTS
LTR mw PLSE 0
G6KAn I_uumLmv 41LX6263936DDDO 11/71107 1123108 EACH OCCURRENCE 'i 1 ,000,900
XyI COMMERCIAL GEIEML UABILMY i (Ea 250,000
A X COUMs "I OCCURWED. EW I"ry Pd ) ]IS
io,00DXPROFESSIONAL UAB-CwIM3PER3ONAL 8AOV INJURr 1 ,000,000
GENEPAL AGGREGATE 3 310DD1000
IIGENLA6G QATELPBTAPPIEBffR: pRODVCT3caMFmP AGO. f 7,000000
POLICY � LOCI
AUTOMOBAE LIABILITY 032NI0032.1 ! 1V02fo7 TilOL109 COMBINED SINGLE LNO s
ANY AUTO IFa aFY�mq - —
ALL OWNED AUTUS SOOAY' NIU RY
iPerPNBnI S 1 ,000000
SCHEDULED AUTDS
B X NIR.EOAUTOS wa INAIRY
f IPw 3celeval z
x, NON-0WNED AUTOS
_ PROPERTY OANiGE 3
1 tPn
GARAGE LMMLTTr AUTOOPLY - EAACCIDENT S _ _
ANYAUTO OTHER THAN GAAM 3 ..
I WTO 01 ACG s
QCESS/ BOBPLLe LVYAl11Y EACH OC NRENCE %
OCCUR CLAIMS MADE AGGREGATE 3
3 s
I DEDUCTIBLE . ._
3 RETENn9146 =
WOBOTHER
WDRHNH
ERSwariusATANO BINDER INH 1565 1121107 W24M7 IraArTATVuRnR ,.
EMPLOYERS' UMEITY EL EACH ACCIDENT 9 500.000
C MITIRHPeTG'Id•AFIIIEl4FJRQIGYE
wrmBUBMW3t LRRLmERT EL OLVATEFA EMPLOYEE 7 500000
iE fw. s..HB.u.r EL CISEASEPOLICYUMIT E 500,000
'iSABCIALRDPR1oNP MMw
OT4ER:
DESCRIPI OF OPERATN]NSA-OCATIONSIVEHICLESFEXCLUSIONS ADDED BY ENDORSEMENTf SPECUIL PROVISIONS
CERTIFICATE HOLDER IS INCLUDED AS ADDITIONAL INSURED UNDER THE GENERAL LIA9ILITY POLICY SUOL)EcT TO POLICY
PROVISIONS.
CERTIFICATE HOLDER CANCELLATION
SHOIAO Id JY OF T!E ABOVE DESCRIBED POLICIES BE CANCELLED SEFORETHE
EVIRATION DATE THEREOF, TME WONG ANSWER Y ENOEAYORTO NMI. 10 DAYS
WRmTFN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THC LEFT. BUT FAILURE
TO DO SO SHALL INPD5E NO OSI CA LLA6ILNY OF ANY KIND UPON TNG I.NBUNER.
INDIAN RIVER COUNTY BOARD OF TTS ADeNTSOR REPRESIINTATIVER
COUNTY COMMISSIONERS PUTHORf ZEDREPRERNTATNR!
1800 27TH STREET
VERO BEACH, FL 32960
Atter10am: BETH MARTIN e - T}
ACORD 25 (2001) IBI Certificate S 109953 0ACORD CORPORATION 1909
Nov 28 07 12; 55p Dasie Hope Center 1 -772-589-4688 p .4
l Llz0JLVUf 1L : Ll IA6 IIc Juz J400 nnn r1 %B u zzaln WVV4
DTE DAM
AUG INSURANCE BINDER 11128!2007
PA00 INSURERS AFFORDING COVERAGE
IRWIN SIEGEL AGENCY, INC.
25 LAKE LOUtSE MARIE ROAD uavaERA: L"NGTON INSURANCE CO.
ROCK HILL, NY 12775-0309 Ns Rae e.
INSURED INSURER R
Dasie Bridgewater Hope Center, Inc. INSURER D:
P.O. Box 701483
Wabasso, FL 32970 Ne
EFFECTNE DATE EXPIRATION DATE
COVERAGES 11 r23200712:01 A.M. 12123/2 712:01 A_N..
THIS BINDER IS A SUMMATION OF THE umrrS. TERGA. COVERAGES AND CONDRIONS ALL OF WHICH ARE
SUPERCEDED BY THE ACTUAL POLICY IE WHEN ISSUED-
INS C04ERF�TEIF02yG u WTs
LTp TYPE OF INSIIRANf.£ PaICY MUMMER
PROP9t1Y WVSTS OF L039 aW:PNGS0U5N@� PPSOIML TOTAL PROPER' LIMB SNIA
0S c ❑ DROAD SPECIAL PpOP£RfY. PH4WNLL gN]PERtt OF pgppFRTY O®WTISLE $
DTIgiE MID BV�AS PERT16 TIEROEOOCiBIE s
OIY.+IMG$S NCDME WIEETiLhE�ENEE STATEUEMr OF VALUESON FhF YATII IME
COMI'AI1Y. TOTAL SYEE INAR $
[IOF.ER AEOUPhENTSNfA%OOVIN iOThL DOLER4F30UIP UNIT $
ACCOUNTS RSGEIVAELE $ WA
IMLANDMIRINE
❑ h UNTS PFCENABLE EDPEOUWNENT f
❑ McomPUesm D P� OTHER $
0 oTHEN
LbMNERDIU LTRELO995USTANEO mw=EE THEFT $ WA
CRIME Foft IS VTS.RGO. NOTE_ ON PROMISES FORGH IALTMRATION S
❑ EMPLOYEETNEFT TN DFNONIESANDSECURRIEBM W510E T1EFf S 1
OF ERY OR ALTERATION BICLUDGiF VNfN01TIlE PROPERTY
0N61OE PREMLSESTNEET DF N BS S1:CTNDNMRUPTDAMUNUM7. 018IOERC®ORNI $
O NUDE PREM Rowe OR WE 9LF10 OWSLDE PREMISES §
13 OUTSIDE THE PREMISES flN11E DTAuGfaLE S COMPUTEN FNMA $
OCOMPUTERFRAA FUNDS TRAMPER FRAUD $
0FUi1SMNWERFRALLO NONEYOROFfttCWNTCNFhT $
❑ MONEY OROFDLSAWNRERFET( OILIER $
❑ OTHEF
C WILERCYL LUV11Ll1Y 411)(S2S39C1a0000 LiL-EAQrpGCWRENOE S 1 ,000000
A ® OOMM1IEOCML GEUQUOURRJTY FEN? ONMAGE CANYONSFNN:I $ 250000
® CWMStMOE ❑ OCf]RRDN:E NED FJtF IANY ONE PERiON $ 10,000
RETNO COTE 11*3rz a P9t90NPLdAOV IrLIWY $ 1,000.000
PDLCY AGGRESS E $ 3.000.000
® EMPLOYEE BENEPL0Y
B CLAIMS M46 C MDl:CUC11RRENGE SRL - EAfJ10CCURR@1GE $ 1 .000000
RETRODATE 11 f3 DD7.
FROFUMIGNALLI LIMY
® CLNNSMAGE OOCCURIENCE pflpf _ EACH DLGURRENCE $ 1,00DA00
iN:NIODATE: '11123=04 P ICYA=EG E f3,DODA00
0 sEAVA1A9USEA ATaESTAnan RUSE - EACH DCCURRENCE S5D,0W
NCLAMS� 71/232 ! GENERALAGCAEGATE CIO $ 100,000
❑ OMEF
hUTDMONLE UA9,LRY TTtS STRpNR.T RECOMMENDER CpNBINED3NN#E IDEM` $ NMA
0 Aiw AII'O f. N04
YlR3 M\YE CtRRPI>' MEfTJL PAYIENrE $
0 ALLONNFuM m 2 ETR' oYEFS TIUIT VSETM.AI OVM PER.IONAL THARLY fTiOT. f
0 SoI 0"VDA705 VEIIIGESCARRYMNNMJM 11MlT5 UNl64R® MOTOWSTS f
❑ MRGO AUT09 aF lL1NMTOF f7WJAP UNDENINEMfiFOMOfOftC513 $
>7 RpFYJWIED hN05 OT1ER $
GAFy,OE LLARIUIY
❑ GwtLG9QEfER9 LEGAL
AumNeLS Cl AC.TUMCASITYAUE
OOOLUSgN � E $ p SCNEOUIID VEHICLES O 07ATEDAMOWa f WA
ODTHERTHMCOM.7
: f
IXE53UAC90tt EACH D( NCE $ NIA
p UMORG FORM /tElRO [RATE FON CLAW L1h0e � AGGLffGAT S
❑ DIFERTIWY UMNRELLAFaRN SELrw5ufEDRE1ENnON $
Page 1 of 2
Nov 28 07 12: 56p Dasie Hope Center 1 -772-589-4688 p . 5
err cvi cvvr a4. . 41 rnn Arc .rvG w'vu nM rJA • WlV =An n WJVVD
mo8 ,s [OwrFroxv" ❑ s7niur0eY arms SNIA
MID L4GMACCrDEW b
EYWLDYERT LL4mTv ULSE0.5E-POLICY UMn
OlSEJSF- EACr aMPLOYEE 'S
olaracronssortcEasufarur ism SNIA
DEDUCT Q S
SpECiRL CO 90MMa1OTi COVERKM
THIS INSURANCE IS ISSUED PURSUANT TO THE FLORIDA SURPLUS LINES LAW. PERSONS INSUR® BY
SURPLUS LINES CARRIERS DO NOT HAVE THE PROTECTION OF THE FLORIDA INSURANCE GUARANTY ACT
TO THE EXTENT OF ANY RIGHT OF RECOVERY FOR THE OBLIGATION OF AN INSOLVENT UNLICENSED
INSURER.
E) MORTGAGEE ❑ ADDITIONA_ INSURED
❑ LOSS PAYEE ❑ O'RIER _
LUAM r
American Inlemabonal Group, Inc.
CONDITIONS
This Company binds the Mnd(s) of insurance stipulated on this document. The insurance is subjectto the terms, conditions and
fire Utiorns of the policy(ies) in currenl use by the Company.
This binder may be cancelled by the Insured by surrender of this binder or by written notice to the Company slating when cancellation
will be effective. This binder may be cancelled by the Company by notkv to the Insured in accordance with the po'14 conditions. This
Under may be rance)ted when replaced by a policy. if this binder is not replaced by a policy, the Company Is entitled to charge a
premium for the binder according to the Rules and fetes in use by the Company.
Applicable in California
When this form is used to provide insurance in the amount of one mllllon dollars ($1 ,000,000) or more . the tide of this lore is changed
from 'Insurance Hinder" to "Cover Note
Applicable in Delaware
The mortgagee cr Obligee of any mortgage or other instrument given for the purpose of creating a lien on real property shall accept as
evidence of insurance awriten binder issued by an aufhoraed insureror Its agent lithe tender includes a is accompanied by. the
name and address of the borrower: the name and address of the lender as foss payee; a description of the insured real property: a
provision that the tinder may not be canceled within the term Of the binder unless the lender and the insured borrower receive written
notice of ft cancelladon at leasttah (10) days prior 10 the Ganoerlatim ; except in the case of a renewal of a policy subsequent 10 the
closing of the loan, a paid receipt of the full amount of the applicable premium, and the amount of insurance m erage.
Chapter 21 Titla 25 Paragraph 2119
Applicable in Florida
Except ler Auto insurance coverage, no notice of cancellation or nonrenewal of a binder is required unless the duration of the binder
exceeds 60 days. For auto insu encs, the insurer must give 5 days prior notice, unless the binder is replaced by a policy or another
yinder in the Some company.
Applimble in Nevada
Any persarh who refuses to accept a binder which provides coverage of less than $1 ,000,000.00 when proof is required (A) Shall be
fined not more than 5500 .00, and (B) is Fable to the party presenting the binder as proof of insurance foractual damages sustained
therefrom.
Page 2 of 2
Nov 28 07 12: 54p Dasie Hope Center 1 -772-589-4688 p . 2
, i . ° ° . cuul Le : eo r'AA I / G 004 4400 UKU rLA YCKU ULAI.n I[IUUC
ACORDDATE (N`�DD"'�"
TML CERTIFICATE OF LIABILITY INSURANCE 11129=T
�R PM V12) 5621 Fs< IT72) IIIII a THIS CMTIRMTE IS ISSUED As A MATTER OF IIFORYATION
HILA ROI d HOBBS OF FLORIDA, INC. -VERO BEACH qLY AND CONFERS NO RW MS UPON THE CERTIFICATE
204514TH AVE. HOLDER TKIS CERTIFICATE DOES NOT ATIENO, EXTEND OR
P 0 BOX 130 ALTER THE COVERAGE AFFORDED BY THE POI BELOW.
VERO BEACH FL 32961
INSURERS AFFORDING COVERAGE MAIC B
INSURED DMSURERA: Letingmn IRSUraIIm CA PRRy .
CAME 13RIDGEWATER HDPE CENTER, INC. INSURER e: ProgS0utheastem 38184
8646 64TH AVE INSURER C: PkmUa Retail FedaralieR _
VERO BEACH FL 32981.2941 INSURER D:
INSURER £:
COVERAGES
TIQ POLCIES QF INSURANCE 1_14170 EELOW WIVE B N ISSUEDTO THE NSUREO N G ABOVE FOR THE POLICY PERIOD INDICATED,, NRTITIN187 HONG
AM' REgUIRfT1ENT* TT3TN OR CINNOITICN OF ANY CONSNACF OR 0T/(ER DOLIAENr W N VMr TO WHICH TH13 t4RPt0ATE WY BE 133UE0 OR
My PEATAN, THE INAMNR A awtD BV THE POLICIES DESCRBE3 NETR3N B S WSCT TO ALLTHE T~. EXCLUSIONS ANO CONgR10N8 OF SACH
POUCIES. AGGREGATE LZR15 SHOM MY HAVE BEEN REDUCED 9Y PATO CLARE. _
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GEXNERAL LWBIUTY a1LX82GMGU000 11123FDT i1/23ADE FACH �CCURRIiN4E _ s 1 .000,000
I(COININ L GENERAL LIABuI p MI y�ml _ E 250,090
TnEO. EXP (AM mo Pc'lR6 s 10,000
X ', CLARE +NOEu OCCUR PERSONALSAOVPINRY s i3OD0,D00
A 1 X PROFT3SIONAL UASCtAIMS - - -
._ 65MEPALAGGKGAM s 3.000.000
OEHLAGGREGIIM LOOT APPLIES FERC Wi0O11CTS-COMI AGM S 3.TMI0,000
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WOWt9i' COIOEN&BT n+D BINDER /0€7665 11121107 11121107
WPLOYETS TIABRBY EL FAO( ACCIDENTs 5001000
C QIT � EL. DIs7ASEt6F1LLPLgr1E 1 SOD.D00
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OTHER:
DESCRIPTION OF OPERATIONSILOCAMONSPICHICLESIEXCLUSIONS ADDED BY ENDORSEMENT( SPECIAL PROVISIONS
CANCELLATION
CERTIFICATE HOLDER
SHOULD ARY OF THE ABOVE DESCRIBED POI BE CANC7LIL0 WFOIIE THE
�NNTDN DATE THERPOF. TME ISSUMG ENSURER MOLL ENDEAVOR TO 1&1 13 DAYS
WRITTEN NOTICE TO THE EERTIRC m HOLDER VARIED TO THE LSP, BUT FAILURE
TO 00 SO SKN L MINUSE NO OeUDATDN OR GABILRY OP AM HIND WON THE INSURER
INDIAN RIVER COUNTY SCHOOL BOARD Trs AGlHIS OR REPRESENTATIVE&
192025TH STREET AVMORI2ED PaWM NTATIVE
VERO BEACH, FL. 32980
Athmtm: OARLAJACKSON a . Th'
ACORD 26 (2061108) Cedffic B 9 109954 0 ACORD CORPORATION 1968