Loading...
HomeMy WebLinkAbout2007-308N Indian River County Grant Contract _LT This Grant Contract ("Contract") entered into effective this . , � day of October 2007 b and between Indian River County, a political subdivision of' he State of Florida , 1801 27 Street, V ro Beach FL, 32960 ("County") and Substance Abuse Council of Indian River Coun4Akecipient) ; of: 1151 19th Street, Vero Beach , FL . 32960 For: Prevent! Prooram Background Recitals A. The County has determined that it is in the public interest to promote healthy children in a healthy community. B . The County adopted Ordinance 99- 1 on January 19 , 1999 ("Ordinance") and established the Children 's Services Advisory Committee to promote healthy children in a healthy community and to provide a unified system of planning and delivery within which children's needs can be identified , targeted , evaluated and addressed . C . The Children 's Services Advisory Committee has issued a request for proposals from individuals and entities that will assist the Children 's Services Advisory Committee in fulfilling its purpose. D . The proposals submitted to the Children 's Services Advisory Committee and the recommendation of the Children 's Services Advisory Committee have been reviewed by the County. E . The Recipient, by submitting a proposal to the Children ' s Services Advisory Committee, has applied for a grant of money ("Grant") for the Grant Period (as such term is hereinafter defined ) on the terms and conditions set forth herein . F . The County has agreed to provide such Grant funds to the Recipient for the Grant Period (as such term is hereinafter defined ) on the terms and conditions set forth herein . NOW THEREFORE , in consideration of the mutual covenants and promises herein contained , and other good and valuable consideration , the receipt and adequacy of which are hereby acknowledged , the parties agree as follows : 1 . Background Recitals . The background recitals are true and correct and form a material part of this Contract. 2 . Purpose of Grant. The Grant shall be used only for the purposes set forth in the complete proposal submitted by the Recipient attached hereto as Exhibit "A" and incorporated herein by this reference (such purposes hereinafter referenced as "Grant Purposes") . - 1 - Indian River County Grant Contract _LT This Grant Contract ("Contract") entered into effective this . , � day of October 2007 b and between Indian River County, a political subdivision of' he State of Florida , 1801 27 Street, V ro Beach FL, 32960 ("County") and Substance Abuse Council of Indian River Coun4Akecipient) ; of: 1151 19th Street, Vero Beach , FL . 32960 For: Prevent! Prooram Background Recitals A. The County has determined that it is in the public interest to promote healthy children in a healthy community. B . The County adopted Ordinance 99- 1 on January 19 , 1999 ("Ordinance") and established the Children 's Services Advisory Committee to promote healthy children in a healthy community and to provide a unified system of planning and delivery within which children's needs can be identified , targeted , evaluated and addressed . C . The Children 's Services Advisory Committee has issued a request for proposals from individuals and entities that will assist the Children 's Services Advisory Committee in fulfilling its purpose. D . The proposals submitted to the Children 's Services Advisory Committee and the recommendation of the Children 's Services Advisory Committee have been reviewed by the County. E . The Recipient, by submitting a proposal to the Children ' s Services Advisory Committee, has applied for a grant of money ("Grant") for the Grant Period (as such term is hereinafter defined ) on the terms and conditions set forth herein . F . The County has agreed to provide such Grant funds to the Recipient for the Grant Period (as such term is hereinafter defined ) on the terms and conditions set forth herein . NOW THEREFORE , in consideration of the mutual covenants and promises herein contained , and other good and valuable consideration , the receipt and adequacy of which are hereby acknowledged , the parties agree as follows : 1 . Background Recitals . The background recitals are true and correct and form a material part of this Contract. 2 . Purpose of Grant. The Grant shall be used only for the purposes set forth in the complete proposal submitted by the Recipient attached hereto as Exhibit "A" and incorporated herein by this reference (such purposes hereinafter referenced as "Grant Purposes") . - 1 - 3 . Term . The Recipient acknowledges and agrees that the Grant is limited to the fiscal year 2007/2008 ("Grant Period "). The Grant Period commences on October 1 , 2007 and ends on September 30 , 2008 . 4 . Grant Funds and Payment The approved Grant for the Grant Period is Eighty Thousand Dollars ($80 , 000). The County agrees to reimburse the Recipient from such Grant funds for actual documented costs incurred for Grant Purposes provided in accordance with this Contract. Reimbursement requests may be made no more frequently than monthly. Each reimbursement request shall contain the information , at a minimum , that is set forth in Exhibit 'B" attached hereto and incorporated herein by this reference . All reimbursement requests are subject to audit by the County. In addition , the County may require additional documentation of expenditures , as it deems appropriate . 5. Additional Obligations of Recipient 5 . 1 Records . The Recipient shall maintain adequate internal controls in order to safeguard the Grant. In addition , the Recipient shall maintain adequate records fully to document the use of the Grant funds for at least three (3 ) years after the expiration of the Grant Period . The County shall have access to all books , records , and documents as required in this Section for the purpose of inspection or audit during normal business hours at the County's expense , upon five (5) days prior written notice . 5 .2 Compliance with Laws. The Recipient shall comply at all times with all applicable federal , state , and local laws , rules, and regulations. 5 . 3 Quarterly Performance Reports . The Recipient shall submit quarterly, cumulative, Performance Reports to the Human Services Department of the County within fifteen ( 15 ) business days following : December 31 , March 31 , June 30 , and September 30 . The Recipient acknowledges and agrees that the County reserves the right to conduct random and unannounced monitoring of the program 's performance throughout the Grant Period . 5.4 Audit Requirements . If Recipient receives $25 , 000 or more in the aggregate from all Indian River County government funding sources , the Recipient is required to have an audit completed by an independent certified public accountant at the end of the Recipient's fiscal year. Within 120 days of the end of the Recipient' s fiscal year, the Recipient shall submit the audit to the Indian River County Office of Management and Budget. The fiscal year will be as reported on the application for funding , and the Recipient agrees to notify the County prior to any change in the fiscal period of Recipient. The Recipient acknowledges that the County may deny funding to any Recipient if an audit required by this Contract for a prior fiscal year is past due and has not been submitted by May 1 . 5 .4 . 1 The Recipient further acknowledges that, promptly upon receipt of a qualified opinion from it's independent auditor, such qualified opinion shall immediately be provided to the Indian River County Office of Management and Budget. The qualified opinion shall thereupon be reported to the Board of Commissioners and funding under this Contract will cease immediately. The foregoing termination right is in addition to any other right of the County to terminate this Contract. - 2 - r 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 Eighty Thousand Dollars ($80 , 000). The County agrees to reimburse the Recipient from such Grant funds for actual documented costs incurred for Grant Purposes provided in accordance with this Contract. Reimbursement requests may be made no more frequently than monthly. Each reimbursement request shall contain the information , at a minimum , that is set forth in Exhibit 'B" attached hereto and incorporated herein by this reference . All reimbursement requests are subject to audit by the County. In addition , the County may require additional documentation of expenditures , as it deems appropriate . 5. Additional Obligations of Recipient 5 . 1 Records . The Recipient shall maintain adequate internal controls in order to safeguard the Grant. In addition , the Recipient shall maintain adequate records fully to document the use of the Grant funds for at least three (3 ) years after the expiration of the Grant Period . The County shall have access to all books , records , and documents as required in this Section for the purpose of inspection or audit during normal business hours at the County's expense , upon five (5) days prior written notice . 5 .2 Compliance with Laws. The Recipient shall comply at all times with all applicable federal , state , and local laws , rules, and regulations. 5 . 3 Quarterly Performance Reports . The Recipient shall submit quarterly, cumulative, Performance Reports to the Human Services Department of the County within fifteen ( 15 ) business days following : December 31 , March 31 , June 30 , and September 30 . The Recipient acknowledges and agrees that the County reserves the right to conduct random and unannounced monitoring of the program 's performance throughout the Grant Period . 5.4 Audit Requirements . If Recipient receives $25 , 000 or more in the aggregate from all Indian River County government funding sources , the Recipient is required to have an audit completed by an independent certified public accountant at the end of the Recipient's fiscal year. Within 120 days of the end of the Recipient' s fiscal year, the Recipient shall submit the audit to the Indian River County Office of Management and Budget. The fiscal year will be as reported on the application for funding , and the Recipient agrees to notify the County prior to any change in the fiscal period of Recipient. The Recipient acknowledges that the County may deny funding to any Recipient if an audit required by this Contract for a prior fiscal year is past due and has not been submitted by May 1 . 5 .4 . 1 The Recipient further acknowledges that, promptly upon receipt of a qualified opinion from it's independent auditor, such qualified opinion shall immediately be provided to the Indian River County Office of Management and Budget. The qualified opinion shall thereupon be reported to the Board of Commissioners and funding under this Contract will cease immediately. The foregoing termination right is in addition to any other right of the County to terminate this Contract. - 2 - 5 .4 .2 The Indian River County Office of Management and Budget reserves the right at any time to send a letter to the Recipient requesting clarification if there are any questions regarding a part of the financial statements , audit comments, or notes . 5. 5 Insurance Requirements . Recipient shall , no later than October 21 , 2006 , provide to the Indian River County Risk Management Division a certificate or certificates issued by an insurer or insurers authorized to conduct business in Florida that is rated not less than category A-: VII by A. M . Best, subject to approval by Indian River County's risk manager, of the following types and amounts of insurance : (i ) Commercial General Liability Insurance in an amount not less than $ 1 ,000 , 000 combined single limit for bodily injury and property damage , including coverage for premises/operations , products/completed operations , contractual liability, and independent contractors ; (ii) Business Auto Liability Insurance in an amount not less than $ 1 ,000 , 000 per occurrence combined single limit for bodily injury and property damage , including coverage for owned autos and other vehicles , hired autos and other vehicles , non-owned autos and other vehicles ; and (iii) Workers' Compensation and Employer's Liability (current Florida statutory limit) 5 . 6 Insurance Administration . The insurance certificates , evidencing all required insurance coverages shall be fully acceptable to County in both form and content, and shall provide and specify that the related insurance coverage shall not be cancelled without at least thirty (30) calendar days prior written notice having been given to the County. In addition , the County may request such other proofs and assurances as it may reasonably require that the insurance is and at all times remains in full force and effect. Recipient agrees that it is the Recipient's sole responsibility to coordinate activities among itself, the County, and the Recipient's insurer(s) so that the insurance certificates are acceptable to and accepted by County within the time limits set forth in this Contract. The County shall be listed as an additional insured on all insurance coverage required by this Contract, except Workers' Compensation insurance . The Recipient shall , upon ten ( 10) days' prior written request from the County, deliver copies to the County, or make copies available for the County's inspection at Recipient' s place of business , of any and all insurance policies that are required in this Contract. If the Recipient fails to deliver or make copies of the policies available to the County; fails to obtain replacement insurance or have previous insurance policies reinstated or renewed upon termination or cancellation of existing required coverages ; or fails in any other regard to obtain coverages sufficient to meet the terms and conditions of this Contract, then the County may, at its sole option , terminate this Contract. 5 . 7 Indemnification . The Recipient shall indemnify and save harmless the County, its agents , officials , and employees from and against any and all claims , liabilities , losses, damage , or causes of action which may arise from any misconduct , negligent act, or - 3 - omissions of the Recipient, its agents , officers , or employees in connection with the performance of this Contract. 5 . 8 Public Records . The Recipient agrees to comply with the provisions of Chapter 1191 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: VKB,, ,�,'I, ClerkBOARD OF COUNTY COMMISSIONERS BY DeputyCler ByF� � / Gary , Wheeler, Chairman BCC Approved; 2EV l&T',' — proved : p : seph A . 03aird unty Administrator 7n ved to form and legal sufficiency: RECIPIENT: Ma an E . Fell , Assistant my Attorney By: ::Rne__Bvrj'on , Chairpersor) SUBSTANCE ABUSE COUNCIL OF INDIAN RIVER COUNTY / . ` - 4 - 5 .4 .2 The Indian River County Office of Management and Budget reserves the right at any time to send a letter to the Recipient requesting clarification if there are any questions regarding a part of the financial statements , audit comments, or notes . 5. 5 Insurance Requirements . Recipient shall , no later than October 21 , 2006 , provide to the Indian River County Risk Management Division a certificate or certificates issued by an insurer or insurers authorized to conduct business in Florida that is rated not less than category A-: VII by A. M . Best, subject to approval by Indian River County's risk manager, of the following types and amounts of insurance : (i ) Commercial General Liability Insurance in an amount not less than $ 1 ,000 , 000 combined single limit for bodily injury and property damage , including coverage for premises/operations , products/completed operations , contractual liability, and independent contractors ; (ii) Business Auto Liability Insurance in an amount not less than $ 1 ,000 , 000 per occurrence combined single limit for bodily injury and property damage , including coverage for owned autos and other vehicles , hired autos and other vehicles , non-owned autos and other vehicles ; and (iii) Workers' Compensation and Employer's Liability (current Florida statutory limit) 5 . 6 Insurance Administration . The insurance certificates , evidencing all required insurance coverages shall be fully acceptable to County in both form and content, and shall provide and specify that the related insurance coverage shall not be cancelled without at least thirty (30) calendar days prior written notice having been given to the County. In addition , the County may request such other proofs and assurances as it may reasonably require that the insurance is and at all times remains in full force and effect. Recipient agrees that it is the Recipient's sole responsibility to coordinate activities among itself, the County, and the Recipient's insurer(s) so that the insurance certificates are acceptable to and accepted by County within the time limits set forth in this Contract. The County shall be listed as an additional insured on all insurance coverage required by this Contract, except Workers' Compensation insurance . The Recipient shall , upon ten ( 10) days' prior written request from the County, deliver copies to the County, or make copies available for the County's inspection at Recipient' s place of business , of any and all insurance policies that are required in this Contract. If the Recipient fails to deliver or make copies of the policies available to the County; fails to obtain replacement insurance or have previous insurance policies reinstated or renewed upon termination or cancellation of existing required coverages ; or fails in any other regard to obtain coverages sufficient to meet the terms and conditions of this Contract, then the County may, at its sole option , terminate this Contract. 5 . 7 Indemnification . The Recipient shall indemnify and save harmless the County, its agents , officials , and employees from and against any and all claims , liabilities , losses, damage , or causes of action which may arise from any misconduct , negligent act, or - 3 - EXHIBIT A [Copy of complete proposal/application] Substance Abuse Council of Indian River County PREVENT ! Program s C PROGRAM COVER PAGE � 6 Organization Name: Substance Abuse Council of Indian River County " J / � �Y�1 Executive Director : Colette Heid E-mail : sacirc(a, ellsouth.net I^ Address : 1151 19th Street Telephone:772-770-4811 Vero Beach, Florida 32960 Fax : 772-770-4822 Program Director: Colette Heid E-mail : sacirc(a)bellsouth.net Address : 1151 19`h Street Telephone: 772-770-4811 Vero Be Fax : 772-770-4822 Program Title: ( Prevent! Program Priority Need Are dressed: DRUG ABUSE PREVENTION- RP-450. 050 PB-183, LX-825, LX-040 (According to the Taxonomy ofHuman Services) Brief Description of the Program :The PREVENT ! program is a 10 week individual and group counseling program that is targeted at reducing and preventing substance use/abuse among IRC youth. This program is designed to change adolescent and parental perceptions of risk vs benefits of ATOD use Additionally, this program provides community wide prevention education via the DEEP Impact- TARGET troupe. SUMMARY REPORT — (Enter Information In The Black Cells Only) Amount Requested from Funder for 2007 /08 : $ 90 , 000 . 00 Total Proposed Program Budget for 2007 /08 : $ 907000 . 00 Percent of Total Program Budget : 100 . 0 % Current Program Funding ( 2006 / 07 ) : $ 80 , 000 Dollar increase /( decrease ) in request : $ 10 , 000 Percent increase /( decrease) in request * * : 12 . 5 % Unduplicated Number of Children to be served Individually : 130 Unduplicated Number of Adults to be served Individually : 55 Unduplicated Number to be served via Group settings : 81445 Total Program Cost per Client: 10 . 43 * * If request increased 5% or more, briefly explain why: The Council continues to see demand for program services Additional classes have been added for recipients of program services. This increase resulted in a 12% increase in number of youth served. The increase in funding will be used to provide additional program services. If these funds are being used to match another source, name the source and the $ amount: The Organization 's Board of Directors has approved this ap %'ononte). - -2007 Fred Jones Name of President/Chair of the Board Colette Heid 9 Name of Executive Director/CPO Stgnahue 2 omissions of the Recipient, its agents , officers , or employees in connection with the performance of this Contract. 5 . 8 Public Records . The Recipient agrees to comply with the provisions of Chapter 1191 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: VKB,, ,�,'I, ClerkBOARD OF COUNTY COMMISSIONERS BY DeputyCler ByF� � / Gary , Wheeler, Chairman BCC Approved; 2EV l&T',' — proved : p : seph A . 03aird unty Administrator 7n ved to form and legal sufficiency: RECIPIENT: Ma an E . Fell , Assistant my Attorney By: ::Rne__Bvrj'on , Chairpersor) SUBSTANCE ABUSE COUNCIL OF INDIAN RIVER COUNTY / . ` - 4 - Substance Abuse Council of Indian River County PREVENT 1 Program CSAC of IRC ORGANIZATION : Substance Abuse Council of Indian River Countv PROGRAM: PREVENT ! Program 2007/2008 CORE APPLICATION TABLE OF CONTENTS "X` the parts ofgrant application to indicate inclusion. Also, please put page number where the information can be located. X Section of the Proposal Page # TABLE OF CONTENTS (check list) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . COVER PAGE (with signatures) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 A. ORGANIZATION CAPABILITY (one page maximum) 1 . Mission and Vision of organization. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 2. Summary of expertise, accomplishments, and population served. . . . . . . . . . . . . . . . . . . . . . . . . . . 18 B. PROGRAM NEED STATEMENT (one page maximum) 1 . Program Need Statement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . 19 2. Programs that address need and gaps in service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 C. PROGRAM DESCRIPTION (two pages maximum) _ 1 . Funding priority. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 2. Description of program activities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 _ 3 . Evidence that program strategy will work. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : . . . . . . . . . . . . . 21 4. Staffing. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 _ 5 . Awareness of program. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 6. Accessibility of program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 D. MEASURABLE OUTCOMES & ACTIVITIES MATRIX (Four outcomes maximum) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . .. . . . . .. . . 22-27 E. COLLABORATION (one page maximum) . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28 F. UNDUPLICATED CLIENTS _ 1 . Projections by Location. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29 2. Projections by Age Group . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 29 G. BUDGET FORMS 1 . Financial Budget Forms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30 H. FUNDER SPECIFIC REQUIREMENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31 -33 1114 Substance Abuse Council of Indian River County PREVENT ! Program CSAC of IRC 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: The Substance Abuse Council is committed to preventing the use of illicit drugs and abuse of addictive, mind-altering substances . It is the Council 's vision to increase community awareness concerning the levels of drug use in Indian River County; empower the community with the belief that the level of substance and drug use/abuse is directly related to the level of community interaction with prevention activities; and to enlist the community 's participation in prevention related activities. The community needs to continue to place an emphasis on and dedicate resources to substance and drug prevention educational programs. We must strive to eradicate the negative social and economic impacts associated with substance and drug use/abuse. 2. Provide a brief summary of your organization including areas of expertise, accomplishments, and population served. The Substance Abuse Council is dedicated to prevention education. It was founded in 1989 and was incorporated as a not-for-profit agency in 1990. Services are provided for all residents of IRC regardless of age or race. The Council is the only agency focusing specifically on substance abuse prevention education. The Council is licensed by the Department of Children and Families to provide substance abuse information/referral, Level 1 /Level 2 prevention services and Intensive Outpatient and Outpatient services for adults and youth. The Council has administered the Federal Bryne-JAG Grant for Indian River County since 1990. The Council has kept abreast of the County' s constantly changing and emerging drug use problem and carries out its goals through a variety of programs. The following is a list of programs provided by the Council. • Community Education and Information and Referral • Drug-Free Workplace Education • PRIDE Survey Administration & Planning • Lending Library of videos, books & materials • Deep Impact- PREVENT Improv Troupe • Program Success After-School Programs in Indian River and St Lucie Counties • Right Choice Program • Life Skills Training Program • Tobacco Violators Education Classes • Changing Alcohol Norms (CAN) Program • Adult Court Ordered Community Service Coordination • Program AWARE • Drug Testing Program • Drug-Free Events, ie: Say Boo to Drugs, Red Ribbon, Brown Ribbon, Kick Butts Day • Administration of the Federal Byme Anti-Drug Abuse Grant for Indian River County EXHIBIT A [Copy of complete proposal/application] Substance Abuse Council of Indian River County PREVENT ! Program CSAC of IRC B. PROGRAM NEED STATEMENT (Entire Section B not to exceed one page. 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. Alcohol and drug abuse continues to be the number one problem facing the youth of America. The use of mind altering chemicals has proven to be especially harmful to the adolescent growth and development process. Psychoactive drugs interfere with physical, social and emotional growth during the critical years of adolescent development. An adolescent who uses intoxicants is not only at high risk of becoming drug dependent, but is also at an increased risk of dropping out of school, getting involved in crime, attempting suicide, or becoming involved in an assortment of dangerous behaviors . The prevention of adolescent drug and alcohol abuse is most likely to occur when parents, teachers, and other individuals in the community who are part of the youth' s circle : ➢ are well informed of the harmful effects of drugs ➢ recognize behavioral changes that accompany drug use ➢ understand how drug use is encouraged and accepted in the social world of a youth. According to the 2006 FYSA Survey of Indian River County students, IRC students continue to have incidences of substance abuse that are above national averages. Over the 7 years of data gathered, we have seen significant changes in youth usage, but our youth continue to report a high level of availability for alcohol, marijuana and other illegal drugs. Of 9th through 12th graders, 37 . 5% also reported a "perceived great risk of harm if one or more drinks , (of alcohol) every day ", but continue to use alcohol at a rate of 73 . 2%. (FYSAS 2006) . When comparing the PRIDE Survey to the Florida Substance Abuse Survey (FSAS), we see comparable rates within Indian River County. Reporting levels indicate that Indian River County youth are at the highest category for Binge Drinking, Alcohol use in the past 30 days and Marijuana use in the past 30 days . (FYSAS 2006) All of this combined have made it increasingly more important for efforts to focus on behavior strategies and intervention for youth by promoting behavioral change including healthy lifestyles. (i .e., not using drugs, alcohol, tobacco ; practicing abstinence; participating in school ; anger control with focus on alternatives to violence) With substance use/abuse intertwined with so many other high risk behaviors, early intervention must be available to specifically target the prevention education needs . 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. Local The Substance Abuse Council ' s program is the only program that provides comprehensive community based prevention education within Indian River County. Suncoast Mental Health and the Mental Health Association do provide crisis intervention services, but are not specifically substance abuse related and not for youth. New Horizons provides Student Support Specialists in the middle schools. DATA also provides services to youth. Both these agencies work with a very small indicated population of students and can not serve the entire indicated population of youth. These youth would receive no additional program services if the PREVENT! Program was not available. The PREVENT ! program provides no duplication of services. N Substance Abuse Council of Indian River County PREVENT ! Program CSAC of IRC B. PROGRAM DESCRIPTION (Entire Section C, 1 — 6, not to exceed two pages. List Priority Needs area addressed. DRUG ABUSE PREVENTION 1 . Briefly describe program activities including location of services. PREVENT ! combines outreach and group support to reach economically disadvantaged youth. These youth are ages 13 - 18 ; • who have repeated failure in school and/or little commitment to school • do not have a supportive environment and • whose lack of decision making skills may lead them to abuse tobacco, alcohol and other drugs. The Substance Abuse Council, is a substance abuse prevention agency, proposes to continue the PREVENT ! program through a comprehensive range of substance abuse and educational activities for males and females with substance abuse issues. Daily program services are provided by a full time program coordinator, assistant coordinator and a licensed mental health counselor. Two different components will constitute the PREVENT ! program. The components are as follows : • Crisis Intervention and Counseling • Deep Impact-TARGET Troupe participation The first component of the PREVENT program will be comprised of Crisis Intervention/ Counseling. ✓ A total of 130 individuals will receive Crisis Intervention or counseling services. The program will be cyclical in nature, servicing approximately 15 individuals per cycle. Each treatment and education cycle will last for ten ( 10) weeks. ✓ A total of 27 families will be provided with comprehensive assessments. Evaluation of adolescents identified via psycho-socials comprehensive evaluations will be conducted. Adolescents selected from this population will also be assigned to the Crisis Intervention and Counseling component. ✓ On-going, frequent drug screening will be conducted to provide IRC juveniles and families with objective and accurate drug testing. An accurate testing program is the most objective and efficient way to establish a framework for accountability and to gauge each participant's progress. Modern technology offers highly reliable testing to determine if an individual has recently used specific drugs Substance abuse counseling and education will consist of a group therapy or individual sessions once a week, and one aftercare session weekly focused on relapse prevention. There will also be family workshops conducted at SAC for family members during the treatment cycle. Once the ten week cycle is completed, Aftercare will be conducted weekly. The Aftercare component is structured to focus on relapse prevention and life skills development. Behavioral Therapy for adolescents incorporates the principle that unwanted behavior can be changed by clear demonstration of the desired behavior and consistent reward of incremental steps towards achieving it. Therapeutic activities include fulfilling specific assignments, rehearsing desired behaviors, and recording and reviewing progress, with praise and privileges given for meeting assigned goals. Urine samples are collected regularly to monitor drug use. The program aims to equip the individual to gain three types of control : ✓ Stimulus Control- helps individual avoid situations associated with drug use and learn to spend more time in activities incompatible with drug use ✓ Urge Control- helps individual recognize and change thoughts, feelings, and plans that lead to drug use. ✓ Social Control- involves family members and other people important in helping individuals avoid drugs. A parent or significant other attends program sessions when possible and assists with assignments and reinforcing desired behavior. According to research studies, these types of services help adolescents become drug free and increase their ability to remain drug free after the program ends. Adolescents also show improvement in za Substance Abuse Council of Indian River County PREVENT ! Program s C PROGRAM COVER PAGE � 6 Organization Name: Substance Abuse Council of Indian River County " J / � �Y�1 Executive Director : Colette Heid E-mail : sacirc(a, ellsouth.net I^ Address : 1151 19th Street Telephone:772-770-4811 Vero Beach, Florida 32960 Fax : 772-770-4822 Program Director: Colette Heid E-mail : sacirc(a)bellsouth.net Address : 1151 19`h Street Telephone: 772-770-4811 Vero Be Fax : 772-770-4822 Program Title: ( Prevent! Program Priority Need Are dressed: DRUG ABUSE PREVENTION- RP-450. 050 PB-183, LX-825, LX-040 (According to the Taxonomy ofHuman Services) Brief Description of the Program :The PREVENT ! program is a 10 week individual and group counseling program that is targeted at reducing and preventing substance use/abuse among IRC youth. This program is designed to change adolescent and parental perceptions of risk vs benefits of ATOD use Additionally, this program provides community wide prevention education via the DEEP Impact- TARGET troupe. SUMMARY REPORT — (Enter Information In The Black Cells Only) Amount Requested from Funder for 2007 /08 : $ 90 , 000 . 00 Total Proposed Program Budget for 2007 /08 : $ 907000 . 00 Percent of Total Program Budget : 100 . 0 % Current Program Funding ( 2006 / 07 ) : $ 80 , 000 Dollar increase /( decrease ) in request : $ 10 , 000 Percent increase /( decrease) in request * * : 12 . 5 % Unduplicated Number of Children to be served Individually : 130 Unduplicated Number of Adults to be served Individually : 55 Unduplicated Number to be served via Group settings : 81445 Total Program Cost per Client: 10 . 43 * * If request increased 5% or more, briefly explain why: The Council continues to see demand for program services Additional classes have been added for recipients of program services. This increase resulted in a 12% increase in number of youth served. The increase in funding will be used to provide additional program services. If these funds are being used to match another source, name the source and the $ amount: The Organization 's Board of Directors has approved this ap %'ononte). - -2007 Fred Jones Name of President/Chair of the Board Colette Heid 9 Name of Executive Director/CPO Stgnahue 2 Substance Abuse Council of Indian River County PREVENT ! Program CSAC of IRC several other areas—employmentischool attendance, family relationships, depression, institutionalization, and alcohol use. Such favorable results are attributed largely to including family members in services and rewarding drug abstinence as verified by urinalysis . The second component will be Deep Impact- TARGET troupe. The Deep Impact- TARGET troupe actively develops innovative and high energy skits related to life issues they and their peers are facing. The troupe has created a collection of 35 different skits for performances . The troupe continues to develop skits dealing with issues on substance abuse/use, dieting (anorexia and bulimia), HIV/AIDS , pregnancy and violence and will reach approximately 8,000 individuals. The Deep Impact- TARGET troupe members are mentors to other youth, as well as friends, family and neighbors within the community. Participants in the Deep Impact-TARGET troupe need not have any previous acting experience, just a desire to participate. In many cases, we find that high risk youth become the best performers . Their presentations via improvisation is not acting, but is real and from the heart. 80% of the youth participating in the troupe have never had any formal training in acting. 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. According to Center for Substance Abuse prevention (CSAP), Selected Findings In Prevention, A Decade of Results from the Center For Substance Abuse Prevention , 1997, the findings indicate that the proposed strategies above are effective with target population. They demonstrated repeated documentation that adolescent risk perceptions were favorably impacted by reducing favorable parental, peer and community attitudes towards ATOD. The National Institute in Drug Abuse (NIDA) indicates that three decades of scientific research and clinical practice have yielded a variety of approaches to prevent drug addiction. The PREVENT ! Program incorporates those approaches into its program design. 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). The PREVENT program will be staffed by two Council employees and one Licensed Mental Health Counselor. The Program Coordinator assumes primary responsibility for the PREVENT ! program. A Program Assistant is also assigned to this program and will dedicate 100% of the position' s time to the program . Both have five (6) years experience and have extensive backgrounds in program coordination and evaluation. The Licensed Mental Health Counselor holds a Masters Degree in Mental Health and is licensed by the State of Florida as a Clinical Certified Forensics Counselor with a specialty in criminal offender counseling and youthful offender counseling. 2. How will the target population be made aware of the program? The PREVENT.! program awareness was designed with the target population in mind. Many different marketing campaigns are utilized to make the community at large aware the services are available. The program is open to all residents of Indian River County. The Council promotes the use of the PREVENT! program via it' s newsletters and brochures . Law enforcement, school personnel, probation officers, student support specialists have all been briefed on the PREVENT! program. The Council also recommends the PREVENT.! program to parents . Youth and families can be referred to the PREVENT.! program. How will the program be accessible to target population (i.e., location, transportation, hours of operation)?The Council attempts to be very accommodating in service offering times / hours for the community, including weekends and evenings. . The PREVENT! Program services occur Monday through Friday. Group sessions begin either at 4: 30 p.m. or 6 : 30 p .m. to accommodate work and travel schedules. Individual appointments accommodate the individual schedules. The Council office is located in Vero Beach and is open from 8 : 30 a.m . to 5 : 30 p .m . � l Substance Abuse Council of Indian River County PREVENT ! Program CSAC of IRC D . PROGRAM OUTCOMES AND ACTIVITIES MATRIX. 3 - 4 program outcomes only. One matrix table per outcome. Each matrix table must not exceed two (2) pages. (NOTE: Boxes for Outcomes and cells in Matrix tables will expand as you type.) Do natideit73 �Cab#rprearC3rd ;2!fmr� cF Outcomes : In general, a program should have 3 -4 program outcomes. The Outcome indicates the measurable impact or change the program will have on the clients its serves. The outcome should detail the results of the services provided, not the services provided. Outcomes utilize action words such as maintain, increase, decrease, reduce, improve, raise and lower. Please incorporate the following into the outcome description : * Direction of change * Time frame * Area of change * As measured by * Target population * Baseline: the number you will be measuring against * Degree of change Example Outcome: To decrease (direction of change) number of unexcused absences (area of change) of enrolled boys and girls (targetpopulation) by 75% (degree of change) in one year (timeframe) as reported by the 2006-2007 School Board attendance records (as measured by). Baseline : 2005-06 School Board attendance records for enrolled boys and girls . Activities Matrix : The matrix is designed to identify specific activities the program will provide to achieve the stated outcomes . The matrix identifies : 1 ) the specific activity; 2) how often the service/activity is provided; 3) who, by position, is responsible to deliver the service/activity; and 4) expected change in client from providing service/activity. In addition, the matrix is designed to capture the evaluation of services provided : 5) indicator or measurement of change; 6) source of measurement; and 7) how frequently it is measured. A separate PROGRAM OUTCOMES AND ACTIVITIES MATRIX needs to be completed for each outcome. Use a separate row for each activity and group activities under their related outcomes. To add more rows, if needed, simply locate the cursor at the last cell in the last row and press the "TAB" button on the keyboard. See examples provided in the instructions. IMPORTANT NOTE : Keep in mind when developing PROGRAM OUTCOMES that, if funded, these will be what you are accountable to accomplish. Also, the PROGRAM OUTCOMES should reflect the information described in the PROGRAM NEED STATEMENT (B . 1 .) . All PROGRAM NEED STATEMENTS should flow from the MISSION & VISION. MEASURABLE OUTCOMES should be based on and measure program needs. Activities are the tasks you do to influence the outcome and impact the unacceptable condition in your PROGRAM NEED STATEMENT. (B . 1 .) . Substance Abuse Council of Indian River County PREVENT 1 Program CSAC of IRC ORGANIZATION : Substance Abuse Council of Indian River Countv PROGRAM: PREVENT ! Program 2007/2008 CORE APPLICATION TABLE OF CONTENTS "X` the parts ofgrant application to indicate inclusion. Also, please put page number where the information can be located. X Section of the Proposal Page # TABLE OF CONTENTS (check list) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . COVER PAGE (with signatures) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 A. ORGANIZATION CAPABILITY (one page maximum) 1 . Mission and Vision of organization. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 2. Summary of expertise, accomplishments, and population served. . . . . . . . . . . . . . . . . . . . . . . . . . . 18 B. PROGRAM NEED STATEMENT (one page maximum) 1 . Program Need Statement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . 19 2. Programs that address need and gaps in service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 C. PROGRAM DESCRIPTION (two pages maximum) _ 1 . Funding priority. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 2. Description of program activities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 _ 3 . Evidence that program strategy will work. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : . . . . . . . . . . . . . 21 4. Staffing. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 _ 5 . Awareness of program. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 6. Accessibility of program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 D. MEASURABLE OUTCOMES & ACTIVITIES MATRIX (Four outcomes maximum) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . .. . . . . .. . . 22-27 E. COLLABORATION (one page maximum) . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28 F. UNDUPLICATED CLIENTS _ 1 . Projections by Location. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29 2. Projections by Age Group . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 29 G. BUDGET FORMS 1 . Financial Budget Forms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30 H. FUNDER SPECIFIC REQUIREMENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31 -33 1114 Substance Abuse Council of Indian River County PREVENT ! Program CSAC of IRC 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: The Substance Abuse Council is committed to preventing the use of illicit drugs and abuse of addictive, mind-altering substances . It is the Council 's vision to increase community awareness concerning the levels of drug use in Indian River County; empower the community with the belief that the level of substance and drug use/abuse is directly related to the level of community interaction with prevention activities; and to enlist the community 's participation in prevention related activities. The community needs to continue to place an emphasis on and dedicate resources to substance and drug prevention educational programs. We must strive to eradicate the negative social and economic impacts associated with substance and drug use/abuse. 2. Provide a brief summary of your organization including areas of expertise, accomplishments, and population served. The Substance Abuse Council is dedicated to prevention education. It was founded in 1989 and was incorporated as a not-for-profit agency in 1990. Services are provided for all residents of IRC regardless of age or race. The Council is the only agency focusing specifically on substance abuse prevention education. The Council is licensed by the Department of Children and Families to provide substance abuse information/referral, Level 1 /Level 2 prevention services and Intensive Outpatient and Outpatient services for adults and youth. The Council has administered the Federal Bryne-JAG Grant for Indian River County since 1990. The Council has kept abreast of the County' s constantly changing and emerging drug use problem and carries out its goals through a variety of programs. The following is a list of programs provided by the Council. • Community Education and Information and Referral • Drug-Free Workplace Education • PRIDE Survey Administration & Planning • Lending Library of videos, books & materials • Deep Impact- PREVENT Improv Troupe • Program Success After-School Programs in Indian River and St Lucie Counties • Right Choice Program • Life Skills Training Program • Tobacco Violators Education Classes • Changing Alcohol Norms (CAN) Program • Adult Court Ordered Community Service Coordination • Program AWARE • Drug Testing Program • Drug-Free Events, ie: Say Boo to Drugs, Red Ribbon, Brown Ribbon, Kick Butts Day • Administration of the Federal Byme Anti-Drug Abuse Grant for Indian River County Substance Abuse Council of Indian River County PREVENT ! Program CSAC of IRC (Boxes will expand as you type.) Outcome # 1 : To decrease the number of positive drug screens among enrolled PREVENT ! participants by 91% over a 10 weeks as reported by random drug screen. Baseline: Initial drug screening results prior to admission to Prevent program. Program Design & Task Management Evaluation Design & Data Collection (Columns 1 -4) (Columns 5-7) I 2 5 Program Activities Frequency Responsible Expected Indicator Data Source Time of (what) (how often) Parties Outcomes/change Measurements (where) Measurement (who) (why) (evidence) (when) To provide PREVENT ! We will provide a total of ten PREVENT! Increase in As reported by the Initial Pre and post 10 weeks individual sessions to ( 10) weekly 1 hour individual Program Social Skills baseline drug screening test , drug Coordinator, results. screens and individual and families sessions on various substance Program and a decrease individual abuse and resiliency skills Assistant in Favorable and parental building topics. and LMHC attitudes disclosure. towards antisocial behavior, Favorable attitudes in ATOD use and Poor Family management. Ll To provide PREVENT ! We will provide a total of ten PREVENT ! Increase in As reported by the Initial Pre and post 10 weeks group sessions to ( 10) weekly 1 hour group Program Social Skills intake evaluation. test , Coordinator, individual individual and families sessions on various substance Program and a decrease and parental abuse and resiliency skills Assistant in Favorable disclosure. building topics. Sessions are and LMHC attitudes based upon the Behavioral towards JITherapy for Adolescent antisocial Program which focuses upon behavior, 23 Substance Abuse Council of Indian River County PREVENT ! Program CSAC of IRC increasing protective factors, Favorable decreasing risk factors, stimulus attitudes in control, urge control and social ATOD use and control. Poor Family mana ement. Provide factual, current Weekly group sessions PREVENT! Increase in As reported by the Initial Pre and post 10 weeks and up-to-date information ProgramSocial Skills intake evaluation. test , concerning drugs and their Coordinator, and a decrease individual Program and parental harmful effects. Assistant in Favorable disclosure. and LMHC attitudes towards antisocial behavior, Favorable attitudes in ATOD use and Poor Family management. Conduct weekly random Randon and weekly PREVENT! Decrease by As reported by the Initial Pre and post 10 weeks Program o positive baseline drug screening reening test , drug sampling of program participants following four Coordinator, �g screen results. screens and Program individual weeks in program. Assistant results of and parental and LMHC program disclosure. participants. Substance Abuse Council of Indian River County PREVENT ! Program CSAC of IRC B. PROGRAM NEED STATEMENT (Entire Section B not to exceed one page. 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. Alcohol and drug abuse continues to be the number one problem facing the youth of America. The use of mind altering chemicals has proven to be especially harmful to the adolescent growth and development process. Psychoactive drugs interfere with physical, social and emotional growth during the critical years of adolescent development. An adolescent who uses intoxicants is not only at high risk of becoming drug dependent, but is also at an increased risk of dropping out of school, getting involved in crime, attempting suicide, or becoming involved in an assortment of dangerous behaviors . The prevention of adolescent drug and alcohol abuse is most likely to occur when parents, teachers, and other individuals in the community who are part of the youth' s circle : ➢ are well informed of the harmful effects of drugs ➢ recognize behavioral changes that accompany drug use ➢ understand how drug use is encouraged and accepted in the social world of a youth. According to the 2006 FYSA Survey of Indian River County students, IRC students continue to have incidences of substance abuse that are above national averages. Over the 7 years of data gathered, we have seen significant changes in youth usage, but our youth continue to report a high level of availability for alcohol, marijuana and other illegal drugs. Of 9th through 12th graders, 37 . 5% also reported a "perceived great risk of harm if one or more drinks , (of alcohol) every day ", but continue to use alcohol at a rate of 73 . 2%. (FYSAS 2006) . When comparing the PRIDE Survey to the Florida Substance Abuse Survey (FSAS), we see comparable rates within Indian River County. Reporting levels indicate that Indian River County youth are at the highest category for Binge Drinking, Alcohol use in the past 30 days and Marijuana use in the past 30 days . (FYSAS 2006) All of this combined have made it increasingly more important for efforts to focus on behavior strategies and intervention for youth by promoting behavioral change including healthy lifestyles. (i .e., not using drugs, alcohol, tobacco ; practicing abstinence; participating in school ; anger control with focus on alternatives to violence) With substance use/abuse intertwined with so many other high risk behaviors, early intervention must be available to specifically target the prevention education needs . 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. Local The Substance Abuse Council ' s program is the only program that provides comprehensive community based prevention education within Indian River County. Suncoast Mental Health and the Mental Health Association do provide crisis intervention services, but are not specifically substance abuse related and not for youth. New Horizons provides Student Support Specialists in the middle schools. DATA also provides services to youth. Both these agencies work with a very small indicated population of students and can not serve the entire indicated population of youth. These youth would receive no additional program services if the PREVENT! Program was not available. The PREVENT ! program provides no duplication of services. N Substance Abuse Council of Indian River County PREVENT ! Program CSAC of IRC B. PROGRAM DESCRIPTION (Entire Section C, 1 — 6, not to exceed two pages. List Priority Needs area addressed. DRUG ABUSE PREVENTION 1 . Briefly describe program activities including location of services. PREVENT ! combines outreach and group support to reach economically disadvantaged youth. These youth are ages 13 - 18 ; • who have repeated failure in school and/or little commitment to school • do not have a supportive environment and • whose lack of decision making skills may lead them to abuse tobacco, alcohol and other drugs. The Substance Abuse Council, is a substance abuse prevention agency, proposes to continue the PREVENT ! program through a comprehensive range of substance abuse and educational activities for males and females with substance abuse issues. Daily program services are provided by a full time program coordinator, assistant coordinator and a licensed mental health counselor. Two different components will constitute the PREVENT ! program. The components are as follows : • Crisis Intervention and Counseling • Deep Impact-TARGET Troupe participation The first component of the PREVENT program will be comprised of Crisis Intervention/ Counseling. ✓ A total of 130 individuals will receive Crisis Intervention or counseling services. The program will be cyclical in nature, servicing approximately 15 individuals per cycle. Each treatment and education cycle will last for ten ( 10) weeks. ✓ A total of 27 families will be provided with comprehensive assessments. Evaluation of adolescents identified via psycho-socials comprehensive evaluations will be conducted. Adolescents selected from this population will also be assigned to the Crisis Intervention and Counseling component. ✓ On-going, frequent drug screening will be conducted to provide IRC juveniles and families with objective and accurate drug testing. An accurate testing program is the most objective and efficient way to establish a framework for accountability and to gauge each participant's progress. Modern technology offers highly reliable testing to determine if an individual has recently used specific drugs Substance abuse counseling and education will consist of a group therapy or individual sessions once a week, and one aftercare session weekly focused on relapse prevention. There will also be family workshops conducted at SAC for family members during the treatment cycle. Once the ten week cycle is completed, Aftercare will be conducted weekly. The Aftercare component is structured to focus on relapse prevention and life skills development. Behavioral Therapy for adolescents incorporates the principle that unwanted behavior can be changed by clear demonstration of the desired behavior and consistent reward of incremental steps towards achieving it. Therapeutic activities include fulfilling specific assignments, rehearsing desired behaviors, and recording and reviewing progress, with praise and privileges given for meeting assigned goals. Urine samples are collected regularly to monitor drug use. The program aims to equip the individual to gain three types of control : ✓ Stimulus Control- helps individual avoid situations associated with drug use and learn to spend more time in activities incompatible with drug use ✓ Urge Control- helps individual recognize and change thoughts, feelings, and plans that lead to drug use. ✓ Social Control- involves family members and other people important in helping individuals avoid drugs. A parent or significant other attends program sessions when possible and assists with assignments and reinforcing desired behavior. According to research studies, these types of services help adolescents become drug free and increase their ability to remain drug free after the program ends. Adolescents also show improvement in za Substance Abuse Council of Indian River County PREVENT ! Program CSAC of IRC (Boxes will expand as you type.) Outcome # 2 : To increase knowledge of program participants concerning drugs and their harmful effects . (Baseline: Individual and group administered Pre-tests of participants.) Program Design & Task Management Evaluation Design & Data Collection (Columns 1 -4) �(Columns 5-7) Program Activities Frequency Responsible Expected Indicator Data Source Time of (what) (how often) Parties (who) Outcomes/change Measurements (where) Measurement (why) (evidence) (when) To provide factual, Ongoing presentations PREVENT! Increase in knowledge A 25% Pre/ post Pre and post throughout the community Program of harmful effects of increase in testingwill through program current and up-to-date of various lengths. Coordinator, information via on- g substance use and knowledge be conducted participation. Program impact the protective following and rated to going sessions Assistant and concerning drugs and LMHC factor Social a Skills thus resulting inongoing indicate a risk decrease in the their harmful effects . sk presentations change in Ldisclosure. ledge factor of Favorable attitude ofATOD use elf- and a reduction in use. 25 Substance Abuse Council of Indian River County PREVENT ! Program CSAC of IRC (Boxes will expand as you type.) Outcome #3 : To reduce self-reported high-risk behavior responses reported by audience participants by 20%._ (Baseline: Individual and group administered KABP [Knowledge, attitude, belief and practice] of participants.) Program Design & Task Management Evaluation Design & Data Collection (Columns 1 -4) (Columns 5-7) �--� F-7777I 2 �� 4 t��J © 7 Program Activities Frequency Responsible Expected Outcomes/change Indicator Data Source Time of (what) (how often) Parties (why) Measurements (where) Measurement (who) (evidence) (when) We will provide We will provide a PREVENT! Increase in knowledge of A 20% Pre/ post Pre and post ongoing group minimum of 48 Program harmful effects of decrease in KABP testing through Coordinator, substance use and impact will be program presentations ongoing group participation Program the protective factor of participation. throughout the presentations of Assistant , P in high-risk conducted and Social Skills thus resulting behavior rated to community on various lengths . Deep idik various substance IMPACT n a decrease n the riskresponses indicate a abuse and Troupe and factors of Favorable following change in LMHC attitude ofATOD use and resiliency skills a reduction in use and group knowledge building topics. Favorable attitude to presentation. and self- Antisocial Behavior. . disclosure. Provide an avenue We will provide PREVENT! Increase in knowledge of A 20% Pre/ post Pre and post Program harmful effects of decrease in KABP testing through for individuals to total of 130 g Coordinator, substance use and impact will be program be reported to and individuals Crisis participation to Crisis Intervention/ Program the protective factor of in high-risk conducted and Participation. Assistant , Social Skills thus resulting intervention/ Counseling and LMHC behavior rated to in a decrease in the risk res onses indicate a Counseling services . p factors of Favorable followin chan e in services. attitude ofATOD use and g g a reduction in use and group knowledge Favorable attitude to presentation. and self- Antisocial Behavior. disclosure. 26 Substance Abuse Council of Indian River County PREVENT ! Program CSAC of IRC several other areas—employmentischool attendance, family relationships, depression, institutionalization, and alcohol use. Such favorable results are attributed largely to including family members in services and rewarding drug abstinence as verified by urinalysis . The second component will be Deep Impact- TARGET troupe. The Deep Impact- TARGET troupe actively develops innovative and high energy skits related to life issues they and their peers are facing. The troupe has created a collection of 35 different skits for performances . The troupe continues to develop skits dealing with issues on substance abuse/use, dieting (anorexia and bulimia), HIV/AIDS , pregnancy and violence and will reach approximately 8,000 individuals. The Deep Impact- TARGET troupe members are mentors to other youth, as well as friends, family and neighbors within the community. Participants in the Deep Impact-TARGET troupe need not have any previous acting experience, just a desire to participate. In many cases, we find that high risk youth become the best performers . Their presentations via improvisation is not acting, but is real and from the heart. 80% of the youth participating in the troupe have never had any formal training in acting. 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. According to Center for Substance Abuse prevention (CSAP), Selected Findings In Prevention, A Decade of Results from the Center For Substance Abuse Prevention , 1997, the findings indicate that the proposed strategies above are effective with target population. They demonstrated repeated documentation that adolescent risk perceptions were favorably impacted by reducing favorable parental, peer and community attitudes towards ATOD. The National Institute in Drug Abuse (NIDA) indicates that three decades of scientific research and clinical practice have yielded a variety of approaches to prevent drug addiction. The PREVENT ! Program incorporates those approaches into its program design. 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). The PREVENT program will be staffed by two Council employees and one Licensed Mental Health Counselor. The Program Coordinator assumes primary responsibility for the PREVENT ! program. A Program Assistant is also assigned to this program and will dedicate 100% of the position' s time to the program . Both have five (6) years experience and have extensive backgrounds in program coordination and evaluation. The Licensed Mental Health Counselor holds a Masters Degree in Mental Health and is licensed by the State of Florida as a Clinical Certified Forensics Counselor with a specialty in criminal offender counseling and youthful offender counseling. 2. How will the target population be made aware of the program? The PREVENT.! program awareness was designed with the target population in mind. Many different marketing campaigns are utilized to make the community at large aware the services are available. The program is open to all residents of Indian River County. The Council promotes the use of the PREVENT! program via it' s newsletters and brochures . Law enforcement, school personnel, probation officers, student support specialists have all been briefed on the PREVENT! program. The Council also recommends the PREVENT.! program to parents . Youth and families can be referred to the PREVENT.! program. How will the program be accessible to target population (i.e., location, transportation, hours of operation)?The Council attempts to be very accommodating in service offering times / hours for the community, including weekends and evenings. . The PREVENT! Program services occur Monday through Friday. Group sessions begin either at 4: 30 p.m. or 6 : 30 p .m. to accommodate work and travel schedules. Individual appointments accommodate the individual schedules. The Council office is located in Vero Beach and is open from 8 : 30 a.m . to 5 : 30 p .m . � l Substance Abuse Council of Indian River County PREVENT ! Program CSAC of IRC D . PROGRAM OUTCOMES AND ACTIVITIES MATRIX. 3 - 4 program outcomes only. One matrix table per outcome. Each matrix table must not exceed two (2) pages. (NOTE: Boxes for Outcomes and cells in Matrix tables will expand as you type.) Do natideit73 �Cab#rprearC3rd ;2!fmr� cF Outcomes : In general, a program should have 3 -4 program outcomes. The Outcome indicates the measurable impact or change the program will have on the clients its serves. The outcome should detail the results of the services provided, not the services provided. Outcomes utilize action words such as maintain, increase, decrease, reduce, improve, raise and lower. Please incorporate the following into the outcome description : * Direction of change * Time frame * Area of change * As measured by * Target population * Baseline: the number you will be measuring against * Degree of change Example Outcome: To decrease (direction of change) number of unexcused absences (area of change) of enrolled boys and girls (targetpopulation) by 75% (degree of change) in one year (timeframe) as reported by the 2006-2007 School Board attendance records (as measured by). Baseline : 2005-06 School Board attendance records for enrolled boys and girls . Activities Matrix : The matrix is designed to identify specific activities the program will provide to achieve the stated outcomes . The matrix identifies : 1 ) the specific activity; 2) how often the service/activity is provided; 3) who, by position, is responsible to deliver the service/activity; and 4) expected change in client from providing service/activity. In addition, the matrix is designed to capture the evaluation of services provided : 5) indicator or measurement of change; 6) source of measurement; and 7) how frequently it is measured. A separate PROGRAM OUTCOMES AND ACTIVITIES MATRIX needs to be completed for each outcome. Use a separate row for each activity and group activities under their related outcomes. To add more rows, if needed, simply locate the cursor at the last cell in the last row and press the "TAB" button on the keyboard. See examples provided in the instructions. IMPORTANT NOTE : Keep in mind when developing PROGRAM OUTCOMES that, if funded, these will be what you are accountable to accomplish. Also, the PROGRAM OUTCOMES should reflect the information described in the PROGRAM NEED STATEMENT (B . 1 .) . All PROGRAM NEED STATEMENTS should flow from the MISSION & VISION. MEASURABLE OUTCOMES should be based on and measure program needs. Activities are the tasks you do to influence the outcome and impact the unacceptable condition in your PROGRAM NEED STATEMENT. (B . 1 .) . Substance Abuse Council of Indian River County PREVENT ! Program CSAC of IRC Provide an avenue We will provide PREVENT! Identification of mental An increase Pre/ post Throughout Program health or substance abuse in families KABP testingthe program' s for individuals to total of 27 families Coordinator, receive comprehensive related issues that will receiving will be duration. Program require more intense help and conducted and comprehensive assessment Assistant , p assessment evaluations. . and LMxC services that the facilitation in rated to PREVENT ! program can obtainingindicate a evaluations . provide. The program will help to facilitate the appropriate change in admission into a more services. knowledge intense service program, and such as as inpatient disclosure. treatment. z7 Substance Abuse Council of Indian River County PREVENT ! Program CSAC of IRC 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 Indian River School District Referrals to program Case management of Client Progress Venue for presentation Vero Beach Police Department Referrals to program Sebastian Police Department Indian River County - Sheriffs office Venue for presentation School Resource Officers Mental Health Association Referrals to program Case management of Client Progress Venue for presentation Children's Home Society Referrals to program Cins/Fins Case management of Client Progress Venue for presentation Catholic Charities Referrals to program Venue for presentation Indian River Memorial Hospital Referrals to program Venue for presentation Sebastian River Memorial Hospital Referrals to program Venue for presentation Gifford Youth Activity Center Referrals to program Venue for presentation Dasie Hope Center Referrals to program Venue for presentation Referrals to program St. Helen' s Church Venue for presentation City of Vero Beach Referrals to program Venue for presentation z� Substance Abuse Council of Indian River County PREVENT ! Program CSAC of IRC (Boxes will expand as you type.) Outcome # 1 : To decrease the number of positive drug screens among enrolled PREVENT ! participants by 91% over a 10 weeks as reported by random drug screen. Baseline: Initial drug screening results prior to admission to Prevent program. Program Design & Task Management Evaluation Design & Data Collection (Columns 1 -4) (Columns 5-7) I 2 5 Program Activities Frequency Responsible Expected Indicator Data Source Time of (what) (how often) Parties Outcomes/change Measurements (where) Measurement (who) (why) (evidence) (when) To provide PREVENT ! We will provide a total of ten PREVENT! Increase in As reported by the Initial Pre and post 10 weeks individual sessions to ( 10) weekly 1 hour individual Program Social Skills baseline drug screening test , drug Coordinator, results. screens and individual and families sessions on various substance Program and a decrease individual abuse and resiliency skills Assistant in Favorable and parental building topics. and LMHC attitudes disclosure. towards antisocial behavior, Favorable attitudes in ATOD use and Poor Family management. Ll To provide PREVENT ! We will provide a total of ten PREVENT ! Increase in As reported by the Initial Pre and post 10 weeks group sessions to ( 10) weekly 1 hour group Program Social Skills intake evaluation. test , Coordinator, individual individual and families sessions on various substance Program and a decrease and parental abuse and resiliency skills Assistant in Favorable disclosure. building topics. Sessions are and LMHC attitudes based upon the Behavioral towards JITherapy for Adolescent antisocial Program which focuses upon behavior, 23 Substance Abuse Council of Indian River County PREVENT ! Program CSAC of IRC increasing protective factors, Favorable decreasing risk factors, stimulus attitudes in control, urge control and social ATOD use and control. Poor Family mana ement. Provide factual, current Weekly group sessions PREVENT! Increase in As reported by the Initial Pre and post 10 weeks and up-to-date information ProgramSocial Skills intake evaluation. test , concerning drugs and their Coordinator, and a decrease individual Program and parental harmful effects. Assistant in Favorable disclosure. and LMHC attitudes towards antisocial behavior, Favorable attitudes in ATOD use and Poor Family management. Conduct weekly random Randon and weekly PREVENT! Decrease by As reported by the Initial Pre and post 10 weeks Program o positive baseline drug screening reening test , drug sampling of program participants following four Coordinator, �g screen results. screens and Program individual weeks in program. Assistant results of and parental and LMHC program disclosure. participants. Substance Abuse Council of Indian River County PREVENT ! Program CSAC of IRC F. UNDUPLICATED CLIENTS Number of Unduplicated Clients by Location Current Fiscal Year c Location Budget 2006/07 ] �r Unduplicated Clients Unduplicated Clients Unduplicated Clients North Indian River Co. 33062 3 ,062 35562 South Indian River Co. 45063 55068 5 ,068 Indian River Co Total 7, 125 81130 8,630 Greater Stuart - - Hobe Sound - - Ihdiantown - - - Jensen Beach - - Palm City - Martin County Total Fort Pierce - Port Saint Lucie - - St. Lucie Co. Total - Other Locations - TOTAL SERVED 1 7, 125 8J301 85630 Number of Unduplicated Clients by Age Current Fiscal Year ' Location Budget 2006/07 Individuals Group 0 to 4 - (Pre-school) - - - - 5 to 10 - (Elementary) - - - 11 to 14 - (Middle) 37 4,000 45 43500 45 4,700 15 to 18 - (High School) 38 3 ,000 85 3 ,500 85 3 ,745 Total Children 75 7 ,000 130 8 ,000 130 85445 19 to 59 - (Adults) 50 55 - 55 60 + (Seniors) - - - Total Adults 50 - 55 - 55 - TOTAL SERVED 125 7,000 185 8,000 185 8,445 a9 Substance Abuse Council of Indian River County PREVENT ! Program CSAC of IRC 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. LJ Microsoft Office Excel Worksheet 3o Substance Abuse Council of Indian River County PREVENT ! Program CSAC of IRC (Boxes will expand as you type.) Outcome # 2 : To increase knowledge of program participants concerning drugs and their harmful effects . (Baseline: Individual and group administered Pre-tests of participants.) Program Design & Task Management Evaluation Design & Data Collection (Columns 1 -4) �(Columns 5-7) Program Activities Frequency Responsible Expected Indicator Data Source Time of (what) (how often) Parties (who) Outcomes/change Measurements (where) Measurement (why) (evidence) (when) To provide factual, Ongoing presentations PREVENT! Increase in knowledge A 25% Pre/ post Pre and post throughout the community Program of harmful effects of increase in testingwill through program current and up-to-date of various lengths. Coordinator, information via on- g substance use and knowledge be conducted participation. Program impact the protective following and rated to going sessions Assistant and concerning drugs and LMHC factor Social a Skills thus resulting inongoing indicate a risk decrease in the their harmful effects . sk presentations change in Ldisclosure. ledge factor of Favorable attitude ofATOD use elf- and a reduction in use. 25 Substance Abuse Council of Indian River County PREVENT ! Program CSAC of IRC (Boxes will expand as you type.) Outcome #3 : To reduce self-reported high-risk behavior responses reported by audience participants by 20%._ (Baseline: Individual and group administered KABP [Knowledge, attitude, belief and practice] of participants.) Program Design & Task Management Evaluation Design & Data Collection (Columns 1 -4) (Columns 5-7) �--� F-7777I 2 �� 4 t��J © 7 Program Activities Frequency Responsible Expected Outcomes/change Indicator Data Source Time of (what) (how often) Parties (why) Measurements (where) Measurement (who) (evidence) (when) We will provide We will provide a PREVENT! Increase in knowledge of A 20% Pre/ post Pre and post ongoing group minimum of 48 Program harmful effects of decrease in KABP testing through Coordinator, substance use and impact will be program presentations ongoing group participation Program the protective factor of participation. throughout the presentations of Assistant , P in high-risk conducted and Social Skills thus resulting behavior rated to community on various lengths . Deep idik various substance IMPACT n a decrease n the riskresponses indicate a abuse and Troupe and factors of Favorable following change in LMHC attitude ofATOD use and resiliency skills a reduction in use and group knowledge building topics. Favorable attitude to presentation. and self- Antisocial Behavior. . disclosure. Provide an avenue We will provide PREVENT! Increase in knowledge of A 20% Pre/ post Pre and post Program harmful effects of decrease in KABP testing through for individuals to total of 130 g Coordinator, substance use and impact will be program be reported to and individuals Crisis participation to Crisis Intervention/ Program the protective factor of in high-risk conducted and Participation. Assistant , Social Skills thus resulting intervention/ Counseling and LMHC behavior rated to in a decrease in the risk res onses indicate a Counseling services . p factors of Favorable followin chan e in services. attitude ofATOD use and g g a reduction in use and group knowledge Favorable attitude to presentation. and self- Antisocial Behavior. disclosure. 26 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 : Substance Abuse Council of IRC / PREVENT ! Program FUNDER: CSAC of IRC . . . . . . . . . . . . . . . . . . . . . . . . . . - - - . . _ . . _ . . _ . . _ . . _ . . _ . . _ . I 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 I Lused for providing information and calculations only. REVENUES Proposed Total Prograrn Budget Funder Specific Budget Total Agency Budget 1 Children's Services CouncilSt. Lucie 0.00 0.00 2 Children's Services Council-Martin 0.00 3 Advisory Committee-Indian River 90,000.00 90,000.00 296, 000. 00 4 United Way-St. Lucie County 0.00 0.00 5 United Way-Martin County 0.00 0.00 6 United Way-Indian River County 0.00 0.00 437000.00 7 Department of Children 8 Families 0.00 902000.00 8 County Funds 0.0 0.00 9 Contributions-Cash 0. 00 259000.00 10 Program Fees 0.00 76,400 .00 11 Fund Raising Events-Net 0. 00 25,000.00 12 Sales to Public - Net 0.00 0.00 13 Membership Dues 0. 00 301000.00 14 Investment Income 0.00 200. 00 15 Miscellaneous 0.00 0.00 16 Legacies 8 Bequests 0.00 0.00 17 Funds from Other Sources 0.00 2415561 .00 18 Reserve Funds Used for Operating 0.00 0.00 19 In-Kind Donations (Not included in tota9 0.00 0.00 20 TOTAL REVENUE doesn't include line 19 $90,000.00 $90,000.0c $827, 161 .00 C - EXPENDITURES A . Propos B TotalAgency Total Program Budget Funder Specific Budget ,Bud " et- 21 Salaries - must complete chart on next page 46,834.00 46,834.00 383,576.00 22 FICA - Total salaries x 0.0765 3,582.80 3,582.80 29,343.56 Retirement - Annual pension for qualified 23 staff 655.00 655.00 5,21226 Life/Health - Medical/Dental/Short-term 24 Disab. 420.00 420.00 42,000.00 Workers Compensation - # employees x 25 rate 730.61 730.61 5,983.7 Honda nempoymem - # projected 26 em to ees x $7,000 x UCT-6 rate 0.00 0.0 0.00 30A 561207 a'1 Type the Organization and Program Name N SALARIES I Gross II Ill Funder % of Gross Annual POSITION LISTING Annual Salary Portion of Salary on Proposed Program Specific Budget Salary Position Title / Total Hrshvk (Agency) Requested(CIA) Example. Executive DIrwwr/40 hr; 70,000.00 10,000.00 5,000.00 7.14% Executive Director 75,000.00 0.00 0.00% Prevention Program Coordiantor 45,000.0 0.00 0.00 0.00% Information Specialist $13.5 x 35 /w x 52wk 24,570. 00 0.00 0.00 0.00% Prevention Program Coordiantor $22-71xi5hi 17,714.OQ 17,714.00 17,714.00 100.00% Prevent Program Assistant $14 x 40hrlwk x 5 29,120.00 29, 120.00 29, 120.00 100.00% LST Program Coord $17 x 33 fw x52 wk 29,172.0 0.00 0.00 0.00% LST Educator 1 $ 14x 30hr /w x 52 21 ,840.00 0.00 0.00 0.00% LST Educator 2 $ 14x 30hr p1w x 52 21 ,840. 0.00 0.00 0.00% Pro r am Success Coord STLucie 30,000.00 0. 00% Program Success IRC Coord IRC 28,000.00 0. 00% Program Success IRC $14x 20hr /w x 52 14,560.00 0.00% Program SuccessSt Lucie $14x 20hr plw x 5 14,560.00 0.00% Drug Testing Pro Coord CMA 25,000.00 0.00% JJCRISP Coord 7,200.00 0.00% #VALUE! #DIV/e! #DIV/0! #DIV/0! #DIV/0! #DIV/0! Remaining positions throw hout thea en Total Salaries $383,576.0 $46,834.00 $46,834.001 12.21 % FRINGE BENEFITS DETAIL V w V11(Funder Specific Budget I Funder II 111 N Worker's Uneloyme To Pension Total Fringes Funder Sperdlc Budget FICA 7.65% Health Ins. ColumnConly, from' 1ine2ito. 26E) _ (Ax %) Compens. ntCompens. Speafic - Posidon Title / Total Hrs/wk - Example. Case Manager/40hm 5,00000 382.50 200.00 50000 300.00 200.00 ( . - 1,582.50 Executive Director 0.00 0.00 0.00 0.00 0-00 0.00 0.0 Prevention Program Ccordiantor 0.00 0.00 0.00 0.00 0.00 0.00 0.0 Information S edalist $13.5 x 35 x 52wk 0.00 0.00 0.00 0.00 0.00 0.00 000 Prevention Pr ram Coordiantor $22.71xl5hi 17,714.00 1 ,355.12 0.00 420.001 276.34 0.00 2,051 .46 Prevent Program Assistant $14 x 40hrlwk x 5 29,120.00 2,227.68 655.00 0.00 454.27 0.00 3,336.95 LST Pr ram Coord $17 x II fw x52 wk 0.0 0.00 0.00 0.00 0.00 0.00 0.00 LST Educator 1 $14x 30hr /w x 52 0.00 0.00 0.00 0.00 0.00 0.00 0.0 LST Educator 2 $14x 30hr p1w x 52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Pro r am Success Coord STLucie 0.00 0.00 0.00 Pro ram Success IRC Coord IRC 0.00 0.00 0.00 Pro ram Success IRC $14x 20hr ptw x 52 0.00 0.00 0.00 Program SuccessSt Lucie $14x 20hr Iw x 5 0.00 0.00 0.00 Drug Testing Pro Coord CMA 0.00 0.00 - 0.00 JJCRISP Coord 0.001 0.00 0,001 0.001 0.00 0.001 0 0.00 0.00 O.D 0 0.00 0.00 0.00 0 0.0 0.00 0.00 0 0.0 0.00 0.0 0 0.0 0.00 0.00 Total Funder Request Fringe Benefik Z�4b,UJ4UUJ $730-611 $0.00 $5,388A1 C EXPENDITURESA Proposed Bc Total Agency Total Program Budget Funder Specific Budget Budget 27 Travel-Daily 1 ,200.001 1 ,200.001 15,000.00 # of Staff x average # of mileslwk x 50 wks x $ = Estimated Daily Travel/Mileage Reimb. 28 Travel/CDnferencesfTraink 0.00 0.00 15,000.0 i na on ere a COSE per stall ) Training/Seminar (cost per staff) Other Trainings (cost of travel, lodging, registration, food 29 Office Supplies 3,000.001 3,000.00 15,000.00 5onom R-1 30B Substance Abuse Council of Indian River County PREVENT ! Program CSAC of IRC Provide an avenue We will provide PREVENT! Identification of mental An increase Pre/ post Throughout Program health or substance abuse in families KABP testingthe program' s for individuals to total of 27 families Coordinator, receive comprehensive related issues that will receiving will be duration. Program require more intense help and conducted and comprehensive assessment Assistant , p assessment evaluations. . and LMxC services that the facilitation in rated to PREVENT ! program can obtainingindicate a evaluations . provide. The program will help to facilitate the appropriate change in admission into a more services. knowledge intense service program, and such as as inpatient disclosure. treatment. z7 Substance Abuse Council of Indian River County PREVENT ! Program CSAC of IRC 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 Indian River School District Referrals to program Case management of Client Progress Venue for presentation Vero Beach Police Department Referrals to program Sebastian Police Department Indian River County - Sheriffs office Venue for presentation School Resource Officers Mental Health Association Referrals to program Case management of Client Progress Venue for presentation Children's Home Society Referrals to program Cins/Fins Case management of Client Progress Venue for presentation Catholic Charities Referrals to program Venue for presentation Indian River Memorial Hospital Referrals to program Venue for presentation Sebastian River Memorial Hospital Referrals to program Venue for presentation Gifford Youth Activity Center Referrals to program Venue for presentation Dasie Hope Center Referrals to program Venue for presentation Referrals to program St. Helen' s Church Venue for presentation City of Vero Beach Referrals to program Venue for presentation z� Type me Organization and Progam Name ce supplies moot y average x 2 months = estimated cost of office supplies based on present history. 30 Tele hone 1 ,200.00 1 ,200.00 12,319.00 one Ines x average cos per mon x 12 months = local phone cost Average long distance calls x 12 months = Estimated cost of long distance 31 Posta e1Shi in 2,000.0 2,000.0 5, 000.00 ua ery aimgo ewse er Special events, etc. • Bulk mailin a - appeals: 32 Utilities 1 ,200.00 1 ,200.00 6,000.00 ecInci x 12 mon s Water/Sewer ($ x 12 months) - Garbage $ x 12 months) 33 Occu anc Buiidin & Grounds 8,400.00 8,400.0 38,856.0 • Janitorial ($ x 12 months) - • Grounds Mainl. ($x 12 months) _ • Real Estate Taxes 34 Printin & Publications 1 ,000.00T,1 ,000 00 25,000. 00 • Letterheads, Envelopes, etc. • Fundraising materials - • Other 35 Subscri Bon/Dues/Memberships 0.001 0.001 1 ,000.0 • Membership to National Organization . .Dues • Subscriptions to Newspapers/magazines,etc. 0 . - 361nsurance 0.00 0-001 12,000.00 • Commercial/General Insurance' • Bond Ins. . +Auto Insurance - 37 E ui ment:Rental 8& Maintenanc[ 0.00 0. 0 8,000.00 • Copier lease z- 12 months • Meter lease ($ x 12 months) - • Copier Maintenance ($ x 12 months) - • Computer Maintenance ( $ x 12 months) • Other 38 Advertising 5, 000.ON 5,000.001 25,000.00 • ewspapera s • Fundraising ads/promotions . • Other: vacancies 39 E ui ment Purchases:Ca ital Ex enSE 0.00 0.00 5,000.00 • Computer monitor * X • Laser Printer 40 Professional Fees Le al, Consulting0.00 0.00 30,000.00 • Le advice es nila a rsx - • Consultant fees - • Other 364 41 Books/Educational Materials 4,778.0 4,778-001 30,000.00 • Bookslvideos • Materials $,x staff) 42 Food & Nutrition 0.00 0.00 5,000.00 • Meals ( # meals x clients x 5days x 50 wks) - • Snacks 4 Administrative Costs 0. 00 0.00 0.00 • Admin. Cost % of total budget) 44 Audit Expense 1 ,00o.00l 1 ,000. 0 9,000.00 Independent Audit Review 45 S ecific sista Asnce to Individuals 0. 00 0.00 2,000.00 as • Meals/Food • Rent Assistance • Other 5mzam B-1 3o - G ' Type me Organization and Program Name 46 Other/Miscellaneous 0.00 0.00 28,410.00 • Background check/drug test • Other 47 Other/Contract 9,000.00 9,000.001 60,000.00 • Sub-contract for program services LMHC 46 TOTAL EXPENSES $90,000.41 $90, 000.41 $813,700.61 5R 2007 a-r �D Substance Abuse Council of Indian River County PREVENT ! Program CSAC of IRC F. UNDUPLICATED CLIENTS Number of Unduplicated Clients by Location Current Fiscal Year c Location Budget 2006/07 ] �r Unduplicated Clients Unduplicated Clients Unduplicated Clients North Indian River Co. 33062 3 ,062 35562 South Indian River Co. 45063 55068 5 ,068 Indian River Co Total 7, 125 81130 8,630 Greater Stuart - - Hobe Sound - - Ihdiantown - - - Jensen Beach - - Palm City - Martin County Total Fort Pierce - Port Saint Lucie - - St. Lucie Co. Total - Other Locations - TOTAL SERVED 1 7, 125 8J301 85630 Number of Unduplicated Clients by Age Current Fiscal Year ' Location Budget 2006/07 Individuals Group 0 to 4 - (Pre-school) - - - - 5 to 10 - (Elementary) - - - 11 to 14 - (Middle) 37 4,000 45 43500 45 4,700 15 to 18 - (High School) 38 3 ,000 85 3 ,500 85 3 ,745 Total Children 75 7 ,000 130 8 ,000 130 85445 19 to 59 - (Adults) 50 55 - 55 60 + (Seniors) - - - Total Adults 50 - 55 - 55 - TOTAL SERVED 125 7,000 185 8,000 185 8,445 a9 Substance Abuse Council of Indian River County PREVENT ! Program CSAC of IRC 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. LJ Microsoft Office Excel Worksheet 3o � M �'AP�11NI. 2007-2008 CORE GRANT APPLICATION TOTAL AGENCY BUDGET AGENCYIPROGRAM NAME: Substance Abuse Council FY 05106 FY D6l07 FY 07108 % INCREASE FYE FYE_9/30/07 FYE 9130/08 CURREW VB. NEXT FY BUDGET A B C D ACTUAL TOTAL PROPOSED (col. CK01. BYmL B REVENUES BUDGETED BUDGETED 1 Children's Services Councl"t. Lucie 0.00 0.00 0.00 2 Children's Services Council-Martin 0.00 0.00 0.00 3 AdvisoryCommittee-Indian River 260,000.00 260,000.00 296,000.00 13.85 4 United Way-St. Lucie County0.00 0.00 0.00 5 United Way-Martin County 0.00 0.00 0.00 6 United Way-Indian River County 41,000.00 41,000.00 43.000.00 4.88% 7 Department of Children & Families 0.00 30,000.00 90,000.00 200.00% 6 CountyFunds 0.00 0.00 0.00 9 Contributions-Cash 25,000.00 25,000.00 25,000.00 0.00% 10 Pro ram Fees 126,308.00 67,000.00 76,400.00 14.03% 11 Fund Raisin Events-Net 51,729.00 - 25,000.00 25,000.00 0.00% 12 Sales to Public-Net 0.00 0.00 0.00 13 Membership Dues 3,265.00 3,000.00 30,000.00 900.00% 14 Investment Income 0.00 500.00 200.00 -60.00% 15 Miscellaneous 18,000.00 0.00 0.00 16 Legacies & Bequests 0.00 0.00 0.00 17 Funds from Other Sources 181 ,134.00 243,082.00 241 ,561 .00 -0.63% 18 Reserve Funds Used for O eratin 0.00 0.00 191n-Kind Donations JNm lnr &d lntoaq 0.00 0.00 20 TOTAL 706,436.00 694,582.00 827,161 .00 19.09% EXPENDITURES 21 Salaries 323,913.00 351 ,696.00 383,576.00 9.06% 22 FICA 24,779.00 26,904.00 29,343.56 9.07% 23 Retirement 4,858.00 5,566.00 5,212.26 -6.36% 24 Life/Health 23,821 .00 37,800.00 42,000.00 11 .11 % 25 Workers Compensation 4,178.00 5,486.00 5,983.79 9.07% 26 Florida Unemployment 0.00 0.00 0.00 ' 27 Travel-Daily 12,020.00 23,500.00 15,000.00 36.17% 28 Travel/Conferencesrrrainin 28,088.00 24,000.00 15,000.00 37.50% 29 Office Supplies 14,000.00 7,832.00 15,000.00 91 .52% 3o Telephone 14,858.00 13,000.00 12,319.00 -5.24% 31 Postage/Shipping 3,804.00 2,500.00 5,000.00 100.00% 32 Utilities 7,924.00 9,000.00 6,000.00 33.33% 33 Occupancy (Building & Grounds 52,437.00 42,000.00 38,856.00 -7.49% 3a Printing & Publications 6,500.00 5,000.00 25,000.00 400.00% 35 Subscri tion/Dues/Membershi s 1 ,051 .00 750.00 1,000.00 33.33% 36 Insurance 3,956.00 6,000.00 iz000AO 100.00% 37 E ui ment:Rental & Maintenance 8,509.00 13,000.00 8,000.00 38.460/6 38 Advertising 7,841 .00 7,500.00 25,000.00 233.33% 39 Equipment Pumhases:Ca ital Expense 0.00 0.00 5,000.00 4a Professional Fees (Legal, Consulting) 2,898.00 3,000.00 30,000.00 900.00% 41 Books/Educational Materials 15,799.00 10,000.00 30,000.00 200.00% 42 Food & Nutrition 0.00 0.00 5,000.00 43 Administrative Costs 0.00 0.00 0.00 a4 Audit Expense 9,000.00 9,000.00 9,000.00 0.0071. 45 Specific Assistance to Individuals 500.00 3,500.00 2,000.00 -42.86% 46 Other/Miscellaneous 104,509.00 30,549.00 28,410.00 -7.00% 47 Other/Contract 43,235.00 50,000.00 60,000.00 20 AO% 48 TOTAL 718,478.00 687,593.00 813,700.61 18.34% 49 REVENUES OVER/ UNDER EXPENDITURES -12,042.00 6,999.00 13,460.39 92.32% 30 E 2007.2008 CORE GRANT APPLICATION TOTAL PROGRAM BUDGET AGENCYIPROGRAM NAME: Substance Abuse Council of IRC I PREVENT ! Program FY 05/06 FY 06107 FY 07108 % INCREASE FYE_9130106 FYE_9130107 FYE 9/30108 CURRENTVS. NEXT FY BUDGET A B C D ACTUAL TOTAL PROPOSED (col. cc01. e)icdl. e REVENUES BUDGETED BUDGETED 1 Children's Services Council-St. Lucie 0.00 0.00 0.00 2 Children's Services Council- Martin 0.00 0.00 0.00 3 Advisory Committee-Indian River 56,416.00 8500.00 90,000.00 '12.50% 4 United Way-St. Lucie County 0.00 0.00 0.00 5 United Way-Martin County 0.00 0.00 0.00 6 United Way-Indian River County 0.00 0.00 0.00 7 Department of Children & Families 0.00 0.00 0.00 8 County Funds - 0.00 0.00 0.00 9 Contributions-Cash 0.00 0.00 0.00 10 Program Fees 0.00 0.00 30,000.00 11 Fund Raisin Even"et 0.00 0.00 0.00 12 Sales to Public-Net 0.00 0.00 0.00 13 Membership Dues 0.00 0.00 0.00 14 Investment Income 0.00 0.00 0.00 15 Miscellaneous 0.00 0.00 0.00 16 Legacies & Bequests 0.00 0.00 0.00 17 Funds from Other Sources 0.00 0.00 0.00 to Reserve Funds Used for Operating 0.00 0.00 0.00 is In-Kind Donations /Nutmccwdedlntdwl 0.00 0.00 0.00 zo TOTAL 56,416.00 80,000.00 120,000.00 50.00% EXPENDITURES 21 Salaries 31 ,331 .00 32,266.00 46,834.00 45.15% 22 FICA 2,671 .00 2,468.00 3,582.80 45.17% 23 Retirement 1 ,047.00 0.00 655.00 24 LifelNealth 2,100.00 8,400.00 420.00 -95.00% 25 Workers Compensation 450.00 200.00 730.61 265.31% 26 Florida Unemployment 0.00 0.00 0.00 27 Travel-Daily 500.00 1 ,200.00 1,200.00 0.00% 28 Travel/Conferences/Training 0.00 0.00 0.00 29 Office Supplies 500.00 3,000.00 3,0D0.00 0.00% 30 Telephone 0.00 1 ,200.00 1,200-D01 0.00% 31 Postage/Shipping 100.00 2,000.00 2,000.00 0.00% 32 Utilities 0.00 1 ,200.00 1,200.00 0.00% 33 Occupancy (Building & Grounds 6,480.00 6,480.00 8,400.00 29.63% 34 Printing & Publications 0.00 1 ,000.00 1,000.00 0.00% 35 Subscri tion/DueslMembershi s 0.00 0.00 0.00 36 Insurance 0.00 0.00 0.00 37 E ui ment:Rental & Maintenance 0.00 0.00 0.00 38 Advertising 500.00 5,0W00 5,000.00 0.00°x, 39 Equipment Purchases:Ca ital Expense 0.00 0.00 0.00 40 Professional Fees (Legal, ConsulUn 0.00 0.00 O.DO 41 Books/Educational Materials 737.00 5,586.00 4,778.00 -14.46% 42 Food & Nutrition 0.00 0.00 0.00 43 Administrative Costs 0.00 0.00 0.00 ab Audit Expense 1,000.00 1,000.00 1,000.DO 0.00% 45 Specific Assistance to Individuals 0.00 0.00 0.00 46 Other/Miscellaneous 0.00r, .00 0.00 0.00 47 Other/Contract 9,000.00 9,000.00 9,000.00 0.00% 46 TOTAL 56,416.00 80,000.00 90,000.41 12.50% 49 REVENUES OVER/(UN EREXPENDITURES 1 0.001 0.001 29,999.59 3o F 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 : Substance Abuse Council of IRC / PREVENT ! Program FUNDER: CSAC of IRC . . . . . . . . . . . . . . . . . . . . . . . . . . - - - . . _ . . _ . . _ . . _ . . _ . . _ . . _ . I 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 I Lused for providing information and calculations only. REVENUES Proposed Total Prograrn Budget Funder Specific Budget Total Agency Budget 1 Children's Services CouncilSt. Lucie 0.00 0.00 2 Children's Services Council-Martin 0.00 3 Advisory Committee-Indian River 90,000.00 90,000.00 296, 000. 00 4 United Way-St. Lucie County 0.00 0.00 5 United Way-Martin County 0.00 0.00 6 United Way-Indian River County 0.00 0.00 437000.00 7 Department of Children 8 Families 0.00 902000.00 8 County Funds 0.0 0.00 9 Contributions-Cash 0. 00 259000.00 10 Program Fees 0.00 76,400 .00 11 Fund Raising Events-Net 0. 00 25,000.00 12 Sales to Public - Net 0.00 0.00 13 Membership Dues 0. 00 301000.00 14 Investment Income 0.00 200. 00 15 Miscellaneous 0.00 0.00 16 Legacies 8 Bequests 0.00 0.00 17 Funds from Other Sources 0.00 2415561 .00 18 Reserve Funds Used for Operating 0.00 0.00 19 In-Kind Donations (Not included in tota9 0.00 0.00 20 TOTAL REVENUE doesn't include line 19 $90,000.00 $90,000.0c $827, 161 .00 C - EXPENDITURES A . Propos B TotalAgency Total Program Budget Funder Specific Budget ,Bud " et- 21 Salaries - must complete chart on next page 46,834.00 46,834.00 383,576.00 22 FICA - Total salaries x 0.0765 3,582.80 3,582.80 29,343.56 Retirement - Annual pension for qualified 23 staff 655.00 655.00 5,21226 Life/Health - Medical/Dental/Short-term 24 Disab. 420.00 420.00 42,000.00 Workers Compensation - # employees x 25 rate 730.61 730.61 5,983.7 Honda nempoymem - # projected 26 em to ees x $7,000 x UCT-6 rate 0.00 0.0 0.00 30A 561207 a'1 Type the Organization and Program Name N SALARIES I Gross II Ill Funder % of Gross Annual POSITION LISTING Annual Salary Portion of Salary on Proposed Program Specific Budget Salary Position Title / Total Hrshvk (Agency) Requested(CIA) Example. Executive DIrwwr/40 hr; 70,000.00 10,000.00 5,000.00 7.14% Executive Director 75,000.00 0.00 0.00% Prevention Program Coordiantor 45,000.0 0.00 0.00 0.00% Information Specialist $13.5 x 35 /w x 52wk 24,570. 00 0.00 0.00 0.00% Prevention Program Coordiantor $22-71xi5hi 17,714.OQ 17,714.00 17,714.00 100.00% Prevent Program Assistant $14 x 40hrlwk x 5 29,120.00 29, 120.00 29, 120.00 100.00% LST Program Coord $17 x 33 fw x52 wk 29,172.0 0.00 0.00 0.00% LST Educator 1 $ 14x 30hr /w x 52 21 ,840.00 0.00 0.00 0.00% LST Educator 2 $ 14x 30hr p1w x 52 21 ,840. 0.00 0.00 0.00% Pro r am Success Coord STLucie 30,000.00 0. 00% Program Success IRC Coord IRC 28,000.00 0. 00% Program Success IRC $14x 20hr /w x 52 14,560.00 0.00% Program SuccessSt Lucie $14x 20hr plw x 5 14,560.00 0.00% Drug Testing Pro Coord CMA 25,000.00 0.00% JJCRISP Coord 7,200.00 0.00% #VALUE! #DIV/e! #DIV/0! #DIV/0! #DIV/0! #DIV/0! Remaining positions throw hout thea en Total Salaries $383,576.0 $46,834.00 $46,834.001 12.21 % FRINGE BENEFITS DETAIL V w V11(Funder Specific Budget I Funder II 111 N Worker's Uneloyme To Pension Total Fringes Funder Sperdlc Budget FICA 7.65% Health Ins. ColumnConly, from' 1ine2ito. 26E) _ (Ax %) Compens. ntCompens. Speafic - Posidon Title / Total Hrs/wk - Example. Case Manager/40hm 5,00000 382.50 200.00 50000 300.00 200.00 ( . - 1,582.50 Executive Director 0.00 0.00 0.00 0.00 0-00 0.00 0.0 Prevention Program Ccordiantor 0.00 0.00 0.00 0.00 0.00 0.00 0.0 Information S edalist $13.5 x 35 x 52wk 0.00 0.00 0.00 0.00 0.00 0.00 000 Prevention Pr ram Coordiantor $22.71xl5hi 17,714.00 1 ,355.12 0.00 420.001 276.34 0.00 2,051 .46 Prevent Program Assistant $14 x 40hrlwk x 5 29,120.00 2,227.68 655.00 0.00 454.27 0.00 3,336.95 LST Pr ram Coord $17 x II fw x52 wk 0.0 0.00 0.00 0.00 0.00 0.00 0.00 LST Educator 1 $14x 30hr /w x 52 0.00 0.00 0.00 0.00 0.00 0.00 0.0 LST Educator 2 $14x 30hr p1w x 52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Pro r am Success Coord STLucie 0.00 0.00 0.00 Pro ram Success IRC Coord IRC 0.00 0.00 0.00 Pro ram Success IRC $14x 20hr ptw x 52 0.00 0.00 0.00 Program SuccessSt Lucie $14x 20hr Iw x 5 0.00 0.00 0.00 Drug Testing Pro Coord CMA 0.00 0.00 - 0.00 JJCRISP Coord 0.001 0.00 0,001 0.001 0.00 0.001 0 0.00 0.00 O.D 0 0.00 0.00 0.00 0 0.0 0.00 0.00 0 0.0 0.00 0.0 0 0.0 0.00 0.00 Total Funder Request Fringe Benefik Z�4b,UJ4UUJ $730-611 $0.00 $5,388A1 C EXPENDITURESA Proposed Bc Total Agency Total Program Budget Funder Specific Budget Budget 27 Travel-Daily 1 ,200.001 1 ,200.001 15,000.00 # of Staff x average # of mileslwk x 50 wks x $ = Estimated Daily Travel/Mileage Reimb. 28 Travel/CDnferencesfTraink 0.00 0.00 15,000.0 i na on ere a COSE per stall ) Training/Seminar (cost per staff) Other Trainings (cost of travel, lodging, registration, food 29 Office Supplies 3,000.001 3,000.00 15,000.00 5onom R-1 30B Type the Organaation and Program Name 2007-2008 CORE GRANT APPLICATION FUNDER SPECIFIC BUDGET PROGRAM EXPENSES AGENCY/PROGRAM NAME : Substance Abuse Council I PREVENT ! Program FUNDER : A B c FY 07108 FY 07108 % OF TOTAL FUNDER TOTAL VS. PROGRAM SPECIFIC FUNDER REQUEST BUDGET BUDGET (col. Blcol. A) EXPENDITURES 21 Salaries 46,834.00 46,834.00 100.00% 22 FICA 31582.80 3, 582. 80 100.00% 23 Retirement 655.00 655.00 100 .00% 24 Life/Health 420.00 420.00 100.00% 25 Workers Compensation 730.61 730.61 100.00% 26 Florida Unemployment 0.00 0. 00 #DIV/O! 27 Travel-Daily 15200.00 1 ,200.00 100.00% 28 Travel/Conferences[Trainin 0.00 0.00 #DIV/O! 29 Office Supplies 31000.00 3,000 .00 100.00% 3o Telephone 11200 .00 1 ,200.00 100.00% 31 Postage/Shipping 2,000.00 21000.00 100.00% 32 Utilities 1 ,200.00 1 ,200.00 100.00% 33 Occupant (Building & Grounds 8,400 .00 81400 .00 100. 00% 34 Printing & Publications 11000.00 15000.00 100.00% 35 Subscription/Dues/Memberships 0.00 0.00 #DIV/0! 36 Insurance 0.00 0.00 #DIV/O! 37 Equipment: Rental & Maintenance 0.00 0.00 #DIV10 ! 38 Advertising 55000.00 51000.00 100.00% 39 Equipment Purchases:Ca ital Expense 0.00 0.00 #DIV/0! 40 Professional Fees ( Legal, Consulting) 0 .00 0.00 #DIV/0 ! 41 Books/Educational Materials 4,778.00 4,778.00 100.00% 42 Food & Nutrition 0.00 0.00 #DIV/01 43 Administrative Costs 0.00 0 .00 #DIV/01 44 Audit Expense 19000.00 15000.00 100.00% 45 Specific Assistance to Individuals 0.00 0.00 #DIV/01 46 Other/Miscellaneous 0.00 0.00 #DIVIO! 47 Other/Contract 91000.00 93000.00 100.00% 4al TOTAL $90,000 .41 1 $909000.41 100.00% Ba 517M07 30 - G 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 It may be reimbursed with funds from the following year. Additionally, if any funds are unexpended at the end of a fiscal year, these funds are not carried over to the next year unless expressly authorized by the Board of Commissioners . All requests for reimbursement at fiscal year end (September 30th) must be submitted on a timely basis. Each year, the Office of Management & Budget will send a letter to all nonprofit agencies advising of the deadline for reimbursement requests for the fiscal year. This deadline is typically early to mid October, since the Finance Department does not process checks for the prior fiscal year beyond that point. Each reimbursement request must include a summary of expenses by type. These summaries should be broken down into salaries, benefits, supplies , contractual services , etc. If Indian River County is reimbursing an agency for only a portion of an expense (e. g . salary of an employee), then the method for this portion should be disclosed on the summary. The Office of Management & Budget has summary forms available . Indian River County will not reimburse certain types of expenditures . These expenditure types are listed below. a . Travel expenses for travel outside the County including but not limited to; mileage reimbursement, hotel rooms, meals , meal allowances, per Diem, and tolls. Mileage reimbursement for local travel (within Indian River County) is allowable. b. Sick or Vacation payments for employees . Since agencies may have various sick and vacation pay policies, these must be provided from other sources. c. Any expenses not associated with the provision of the program for which the County has awarded funding . d . Any expense not outlined in the agency's funding application . The County reserves the right to decline reimbursement for any expense as deemed necessary. " 1 Type me Organization and Progam Name ce supplies moot y average x 2 months = estimated cost of office supplies based on present history. 30 Tele hone 1 ,200.00 1 ,200.00 12,319.00 one Ines x average cos per mon x 12 months = local phone cost Average long distance calls x 12 months = Estimated cost of long distance 31 Posta e1Shi in 2,000.0 2,000.0 5, 000.00 ua ery aimgo ewse er Special events, etc. • Bulk mailin a - appeals: 32 Utilities 1 ,200.00 1 ,200.00 6,000.00 ecInci x 12 mon s Water/Sewer ($ x 12 months) - Garbage $ x 12 months) 33 Occu anc Buiidin & Grounds 8,400.00 8,400.0 38,856.0 • Janitorial ($ x 12 months) - • Grounds Mainl. ($x 12 months) _ • Real Estate Taxes 34 Printin & Publications 1 ,000.00T,1 ,000 00 25,000. 00 • Letterheads, Envelopes, etc. • Fundraising materials - • Other 35 Subscri Bon/Dues/Memberships 0.001 0.001 1 ,000.0 • Membership to National Organization . .Dues • Subscriptions to Newspapers/magazines,etc. 0 . - 361nsurance 0.00 0-001 12,000.00 • Commercial/General Insurance' • Bond Ins. . +Auto Insurance - 37 E ui ment:Rental 8& Maintenanc[ 0.00 0. 0 8,000.00 • Copier lease z- 12 months • Meter lease ($ x 12 months) - • Copier Maintenance ($ x 12 months) - • Computer Maintenance ( $ x 12 months) • Other 38 Advertising 5, 000.ON 5,000.001 25,000.00 • ewspapera s • Fundraising ads/promotions . • Other: vacancies 39 E ui ment Purchases:Ca ital Ex enSE 0.00 0.00 5,000.00 • Computer monitor * X • Laser Printer 40 Professional Fees Le al, Consulting0.00 0.00 30,000.00 • Le advice es nila a rsx - • Consultant fees - • Other 364 41 Books/Educational Materials 4,778.0 4,778-001 30,000.00 • Bookslvideos • Materials $,x staff) 42 Food & Nutrition 0.00 0.00 5,000.00 • Meals ( # meals x clients x 5days x 50 wks) - • Snacks 4 Administrative Costs 0. 00 0.00 0.00 • Admin. Cost % of total budget) 44 Audit Expense 1 ,00o.00l 1 ,000. 0 9,000.00 Independent Audit Review 45 S ecific sista Asnce to Individuals 0. 00 0.00 2,000.00 as • Meals/Food • Rent Assistance • Other 5mzam B-1 3o - G ' Type me Organization and Program Name 46 Other/Miscellaneous 0.00 0.00 28,410.00 • Background check/drug test • Other 47 Other/Contract 9,000.00 9,000.001 60,000.00 • Sub-contract for program services LMHC 46 TOTAL EXPENSES $90,000.41 $90, 000.41 $813,700.61 5R 2007 a-r �D 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: Substance Abuse Council of Indian River County, 1151 19"' Street, Vero Beach , FL 32960 ; Attention : Colette Heid , 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 ACORD CERTIFICATE OF LIABILITY INSURANCE DATE 124/2007 Mi TM. � 70124@007 PRODUCER Phone (772) 562-3369 Fee: (772) 562-3466 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION HILB ROGAL & HOBBS OF FLORIDA, INC. - VERO BEACH ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 204514TH AVE. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P O BOX 130 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. VERO BEACH FL 32961 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURERA Gua_re Be Insurance Co SUBSTANCE ABUSE COUNCIL OF INDIAN RIVER COUNTY, INC. INSURER B. P.O. BOX 6460 - _ _- - - . - - - - -- — VERO BEACH FL 32960 '' INSURER C'. , INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. - r " _-- -- DAM INR TYPE OF INSURANCE POLICY NUMBER PDucv EFFECTIVE PEXPIRATION LIMITS LTR INSRQ SRD DFMMIDDIW DATE DATE IMMIDDfIY I GENERAL LIABILITY EACH OCCURRENCE $ Ea occre COMMERCIAL GENERAL LIABILITY DAMAGEPREMISESS E(Ea RENTED $ nw) QQDGR _ CLAIMS MADE '. MED. EXP (Anyone Person) $ _ .. - PERSONAL & ADV INJ URY $ I GENERAL AGGREGATE 8 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG. '. 8 PRO- POLICY JECT 1 LOC 1 1 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO Liamident) $ — _ - ALL OWNED AUTOS BODILY INJURY 1 - - - (Per Person) $ , - -�- -� - SCHEDULED AUTOS HIRED AUTOS BODILY INJURY NON-OWNED AUTOS : Per accident) ' $ SSSS ', PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY IAUTO ONLY - FAACCIDENT IS ANY AUTO OTHER THAN EAACC $ '- '- AUTO ONLY: AGG $ EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE S OCCUR CLAIMS MADE AGGREGATE ', 8 ' r — DEDUCTIBLE $ RETENTION $ $ WCSTU­ WORKERS COMPENSATION AND GWGC100002483-107 01/10/07 1 01 /10/06 ( TORY UMTS � OTHER EMPLOYERS' LIABILITY EL EACH ACCIDENT ' $ 100,000 A OFFICEANY FEMBER EXCLUDED? -$ — '� OFFILEPIMEMHERE%CUIDEDi EL. DISEASE-EA EMPLOYEE $ 100,000 It yea, describe under E.L. DISEASE-POLICY LIMIT 'i $ SQQ,000 , SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 1D DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, INDIAN RIVER COUNTY - BOARD OF COUNTY ITS AGENTS OR REPRESENTATIVES. COMMISSIONERS AUTHORIZED REPRESENTATIVE 1801 27TH STREET ']•�/\. �( VERO BEACH, FL 32960 ` Attention: Robert s ACORD 25 (2001108) Certificate # 109167 0 ACORD CORPORATION 1988 � M �'AP�11NI. 2007-2008 CORE GRANT APPLICATION TOTAL AGENCY BUDGET AGENCYIPROGRAM NAME: Substance Abuse Council FY 05106 FY D6l07 FY 07108 % INCREASE FYE FYE_9/30/07 FYE 9130/08 CURREW VB. NEXT FY BUDGET A B C D ACTUAL TOTAL PROPOSED (col. CK01. BYmL B REVENUES BUDGETED BUDGETED 1 Children's Services Councl"t. Lucie 0.00 0.00 0.00 2 Children's Services Council-Martin 0.00 0.00 0.00 3 AdvisoryCommittee-Indian River 260,000.00 260,000.00 296,000.00 13.85 4 United Way-St. Lucie County0.00 0.00 0.00 5 United Way-Martin County 0.00 0.00 0.00 6 United Way-Indian River County 41,000.00 41,000.00 43.000.00 4.88% 7 Department of Children & Families 0.00 30,000.00 90,000.00 200.00% 6 CountyFunds 0.00 0.00 0.00 9 Contributions-Cash 25,000.00 25,000.00 25,000.00 0.00% 10 Pro ram Fees 126,308.00 67,000.00 76,400.00 14.03% 11 Fund Raisin Events-Net 51,729.00 - 25,000.00 25,000.00 0.00% 12 Sales to Public-Net 0.00 0.00 0.00 13 Membership Dues 3,265.00 3,000.00 30,000.00 900.00% 14 Investment Income 0.00 500.00 200.00 -60.00% 15 Miscellaneous 18,000.00 0.00 0.00 16 Legacies & Bequests 0.00 0.00 0.00 17 Funds from Other Sources 181 ,134.00 243,082.00 241 ,561 .00 -0.63% 18 Reserve Funds Used for O eratin 0.00 0.00 191n-Kind Donations JNm lnr &d lntoaq 0.00 0.00 20 TOTAL 706,436.00 694,582.00 827,161 .00 19.09% EXPENDITURES 21 Salaries 323,913.00 351 ,696.00 383,576.00 9.06% 22 FICA 24,779.00 26,904.00 29,343.56 9.07% 23 Retirement 4,858.00 5,566.00 5,212.26 -6.36% 24 Life/Health 23,821 .00 37,800.00 42,000.00 11 .11 % 25 Workers Compensation 4,178.00 5,486.00 5,983.79 9.07% 26 Florida Unemployment 0.00 0.00 0.00 ' 27 Travel-Daily 12,020.00 23,500.00 15,000.00 36.17% 28 Travel/Conferencesrrrainin 28,088.00 24,000.00 15,000.00 37.50% 29 Office Supplies 14,000.00 7,832.00 15,000.00 91 .52% 3o Telephone 14,858.00 13,000.00 12,319.00 -5.24% 31 Postage/Shipping 3,804.00 2,500.00 5,000.00 100.00% 32 Utilities 7,924.00 9,000.00 6,000.00 33.33% 33 Occupancy (Building & Grounds 52,437.00 42,000.00 38,856.00 -7.49% 3a Printing & Publications 6,500.00 5,000.00 25,000.00 400.00% 35 Subscri tion/Dues/Membershi s 1 ,051 .00 750.00 1,000.00 33.33% 36 Insurance 3,956.00 6,000.00 iz000AO 100.00% 37 E ui ment:Rental & Maintenance 8,509.00 13,000.00 8,000.00 38.460/6 38 Advertising 7,841 .00 7,500.00 25,000.00 233.33% 39 Equipment Pumhases:Ca ital Expense 0.00 0.00 5,000.00 4a Professional Fees (Legal, Consulting) 2,898.00 3,000.00 30,000.00 900.00% 41 Books/Educational Materials 15,799.00 10,000.00 30,000.00 200.00% 42 Food & Nutrition 0.00 0.00 5,000.00 43 Administrative Costs 0.00 0.00 0.00 a4 Audit Expense 9,000.00 9,000.00 9,000.00 0.0071. 45 Specific Assistance to Individuals 500.00 3,500.00 2,000.00 -42.86% 46 Other/Miscellaneous 104,509.00 30,549.00 28,410.00 -7.00% 47 Other/Contract 43,235.00 50,000.00 60,000.00 20 AO% 48 TOTAL 718,478.00 687,593.00 813,700.61 18.34% 49 REVENUES OVER/ UNDER EXPENDITURES -12,042.00 6,999.00 13,460.39 92.32% 30 E 2007.2008 CORE GRANT APPLICATION TOTAL PROGRAM BUDGET AGENCYIPROGRAM NAME: Substance Abuse Council of IRC I PREVENT ! Program FY 05/06 FY 06107 FY 07108 % INCREASE FYE_9130106 FYE_9130107 FYE 9/30108 CURRENTVS. NEXT FY BUDGET A B C D ACTUAL TOTAL PROPOSED (col. cc01. e)icdl. e REVENUES BUDGETED BUDGETED 1 Children's Services Council-St. Lucie 0.00 0.00 0.00 2 Children's Services Council- Martin 0.00 0.00 0.00 3 Advisory Committee-Indian River 56,416.00 8500.00 90,000.00 '12.50% 4 United Way-St. Lucie County 0.00 0.00 0.00 5 United Way-Martin County 0.00 0.00 0.00 6 United Way-Indian River County 0.00 0.00 0.00 7 Department of Children & Families 0.00 0.00 0.00 8 County Funds - 0.00 0.00 0.00 9 Contributions-Cash 0.00 0.00 0.00 10 Program Fees 0.00 0.00 30,000.00 11 Fund Raisin Even"et 0.00 0.00 0.00 12 Sales to Public-Net 0.00 0.00 0.00 13 Membership Dues 0.00 0.00 0.00 14 Investment Income 0.00 0.00 0.00 15 Miscellaneous 0.00 0.00 0.00 16 Legacies & Bequests 0.00 0.00 0.00 17 Funds from Other Sources 0.00 0.00 0.00 to Reserve Funds Used for Operating 0.00 0.00 0.00 is In-Kind Donations /Nutmccwdedlntdwl 0.00 0.00 0.00 zo TOTAL 56,416.00 80,000.00 120,000.00 50.00% EXPENDITURES 21 Salaries 31 ,331 .00 32,266.00 46,834.00 45.15% 22 FICA 2,671 .00 2,468.00 3,582.80 45.17% 23 Retirement 1 ,047.00 0.00 655.00 24 LifelNealth 2,100.00 8,400.00 420.00 -95.00% 25 Workers Compensation 450.00 200.00 730.61 265.31% 26 Florida Unemployment 0.00 0.00 0.00 27 Travel-Daily 500.00 1 ,200.00 1,200.00 0.00% 28 Travel/Conferences/Training 0.00 0.00 0.00 29 Office Supplies 500.00 3,000.00 3,0D0.00 0.00% 30 Telephone 0.00 1 ,200.00 1,200-D01 0.00% 31 Postage/Shipping 100.00 2,000.00 2,000.00 0.00% 32 Utilities 0.00 1 ,200.00 1,200.00 0.00% 33 Occupancy (Building & Grounds 6,480.00 6,480.00 8,400.00 29.63% 34 Printing & Publications 0.00 1 ,000.00 1,000.00 0.00% 35 Subscri tion/DueslMembershi s 0.00 0.00 0.00 36 Insurance 0.00 0.00 0.00 37 E ui ment:Rental & Maintenance 0.00 0.00 0.00 38 Advertising 500.00 5,0W00 5,000.00 0.00°x, 39 Equipment Purchases:Ca ital Expense 0.00 0.00 0.00 40 Professional Fees (Legal, ConsulUn 0.00 0.00 O.DO 41 Books/Educational Materials 737.00 5,586.00 4,778.00 -14.46% 42 Food & Nutrition 0.00 0.00 0.00 43 Administrative Costs 0.00 0.00 0.00 ab Audit Expense 1,000.00 1,000.00 1,000.DO 0.00% 45 Specific Assistance to Individuals 0.00 0.00 0.00 46 Other/Miscellaneous 0.00r, .00 0.00 0.00 47 Other/Contract 9,000.00 9,000.00 9,000.00 0.00% 46 TOTAL 56,416.00 80,000.00 90,000.41 12.50% 49 REVENUES OVER/(UN EREXPENDITURES 1 0.001 0.001 29,999.59 3o F • 1 _ 1 1 WA " a all Is MN 1 . I of • ••O. • " • I • . •. • ' • .• • • • • Z. • • " • • ! fit • • • 1 ! • • • •• m :•. .. .. 1 e wGUS31 i, IJ 1 I1 : ' .r 4.♦ r :. . it I 111 ■ � 111 111 ME r �� . .WS dawr •1 -,. •• • • • yL! _ 11. � 1•!l 0 - 0 1 _ : 1 : 1 o ' 1 r / I Additional Coverages and Factors 04/09/2007 Line of Business Coverages for General Liability Coverage Limits Ded/Ded Type Rate Premium Factor Each Occurrence 1 , 000 , 000 Medical Expense 51000 Personal & Advertising EXCLUDED Injury Basis : Per Claim General Aggregate 29000 , 000 500 Basis : Per Claim ; Applies : Both BI & PD Fire Damage 50 , 000 Basis : Per Claim Products/Completed Ops EXCLUDED Aggregate Basis : Per Claim Professional liability EXCLUDED Basis : Per Claim Type the Organaation and Program Name 2007-2008 CORE GRANT APPLICATION FUNDER SPECIFIC BUDGET PROGRAM EXPENSES AGENCY/PROGRAM NAME : Substance Abuse Council I PREVENT ! Program FUNDER : A B c FY 07108 FY 07108 % OF TOTAL FUNDER TOTAL VS. PROGRAM SPECIFIC FUNDER REQUEST BUDGET BUDGET (col. Blcol. A) EXPENDITURES 21 Salaries 46,834.00 46,834.00 100.00% 22 FICA 31582.80 3, 582. 80 100.00% 23 Retirement 655.00 655.00 100 .00% 24 Life/Health 420.00 420.00 100.00% 25 Workers Compensation 730.61 730.61 100.00% 26 Florida Unemployment 0.00 0. 00 #DIV/O! 27 Travel-Daily 15200.00 1 ,200.00 100.00% 28 Travel/Conferences[Trainin 0.00 0.00 #DIV/O! 29 Office Supplies 31000.00 3,000 .00 100.00% 3o Telephone 11200 .00 1 ,200.00 100.00% 31 Postage/Shipping 2,000.00 21000.00 100.00% 32 Utilities 1 ,200.00 1 ,200.00 100.00% 33 Occupant (Building & Grounds 8,400 .00 81400 .00 100. 00% 34 Printing & Publications 11000.00 15000.00 100.00% 35 Subscription/Dues/Memberships 0.00 0.00 #DIV/0! 36 Insurance 0.00 0.00 #DIV/O! 37 Equipment: Rental & Maintenance 0.00 0.00 #DIV10 ! 38 Advertising 55000.00 51000.00 100.00% 39 Equipment Purchases:Ca ital Expense 0.00 0.00 #DIV/0! 40 Professional Fees ( Legal, Consulting) 0 .00 0.00 #DIV/0 ! 41 Books/Educational Materials 4,778.00 4,778.00 100.00% 42 Food & Nutrition 0.00 0.00 #DIV/01 43 Administrative Costs 0.00 0 .00 #DIV/01 44 Audit Expense 19000.00 15000.00 100.00% 45 Specific Assistance to Individuals 0.00 0.00 #DIV/01 46 Other/Miscellaneous 0.00 0.00 #DIVIO! 47 Other/Contract 91000.00 93000.00 100.00% 4al TOTAL $90,000 .41 1 $909000.41 100.00% Ba 517M07 30 - G 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 It may be reimbursed with funds from the following year. Additionally, if any funds are unexpended at the end of a fiscal year, these funds are not carried over to the next year unless expressly authorized by the Board of Commissioners . All requests for reimbursement at fiscal year end (September 30th) must be submitted on a timely basis. Each year, the Office of Management & Budget will send a letter to all nonprofit agencies advising of the deadline for reimbursement requests for the fiscal year. This deadline is typically early to mid October, since the Finance Department does not process checks for the prior fiscal year beyond that point. Each reimbursement request must include a summary of expenses by type. These summaries should be broken down into salaries, benefits, supplies , contractual services , etc. If Indian River County is reimbursing an agency for only a portion of an expense (e. g . salary of an employee), then the method for this portion should be disclosed on the summary. The Office of Management & Budget has summary forms available . Indian River County will not reimburse certain types of expenditures . These expenditure types are listed below. a . Travel expenses for travel outside the County including but not limited to; mileage reimbursement, hotel rooms, meals , meal allowances, per Diem, and tolls. Mileage reimbursement for local travel (within Indian River County) is allowable. b. Sick or Vacation payments for employees . Since agencies may have various sick and vacation pay policies, these must be provided from other sources. c. Any expenses not associated with the provision of the program for which the County has awarded funding . d . Any expense not outlined in the agency's funding application . The County reserves the right to decline reimbursement for any expense as deemed necessary. " 1 QCT. 2 ;. 2G07 1 : 48PM NATE CITY INSURANCE N0. 735 P . 2 NATIONk07820T STYINs drLm, 6076tomIL , W VERO BEACH, Ft 32966 772-569-2626 Policy number: 05662632.0 Undemvinen by: PROGRESSIVE EXPRESS INS CC)MFANY October 25, 2007 Page 1 of t Certificate of Insurance CMlRcate Holder Insured . ... . :..... ... ........ . .. . .. AddmOnal Insured . . . . 5U65TANCE ABUSE COUNCIL . he& . W .. ... . .... .. . . . IRC BRD OF CO COMM NATIONAL CITY INS "" '" " " " " " " " " " 1801 27TH ST 1151 19TH STREET 6078 20TH ST VERO BEACH, FL 32960 VERO BEACH, FL 32960 VERO BEACH, FL32966 This document certifies that insurance poRdes iderdfied below have been issued by the designated Insurer to the insured named above for the Pedod(s) indicated. This Certificate is issued for Information purposes only, ft confers no fights upon the certificate holder and does rot change, alter, modify, or extend the Coverages afforded by the niers n listed below. The coverages afforded by the polities listed below are subject to all the terms, exd oris, lithe policies endorsements, and conditions of these policies, ........I..... .. .... .. . Policy Effective Date; Mar 1, 2007 Policy i " Po6 ration .. . .. . .. . ... ...... ... . . .. . . . .. . . .. . . ... ry Expi Date; Mar 1 , 2008 Imindoee .. .. , ?W..I ... . . ... . .. . .. . .. . ... .. ...... .. .. . . ... . . ..L,°ta' . . . BODILY IWURY/PROPERTY DAMAGE . 51 ,000,000 COMBINED SINGLE UMTT UNIN . ........ . ... ... ..... . .. . ... .... ....... ... . ...... I .. .. . ...... .. .. ... . ,. ., .. . . UNINSURED MOTORIST . .. ... . .. ..... . .... ..... . . ........... ..... .... . .. . .. . .. . .. ... . .. . ... . .. .. . . .. . .... . ... . . .... . ... . . .. . . . .... . ... .. ...... ...... S1 ,Otb,000 CSL NON-STACKED PERSONAL INJURY PROTECTION ""0,6W""" '"' S10,000W/$0 DED -• Mpf,1ED INS UAED ONLY ... . .. .... Doscription of Location/Vehicles/Special Items Scheduled autos only 1 1999 FORD [CON E350 SUPR FBS531 szxHa 1695 . . .. .. . .. .... . . . . . . . . . ... ..... ......... . ... .. I... .. . .. ...... . . . . MEDICAL PAYMENTS SS0000 " ' Stated Amount 420,000 COMPREHENSIVE $ 1 ,000 DED COLLISION $ T,000 DED Certificate number 29807NET632 Please be advised that additional insureds and loss payees Will be notified In the event of a midterm _ _ eanceliation. Fant 5241 (14W) "� r v azr e � � • cacao . z . aa ucam . v rry zoc . cuyo . vo : Additional Coverages and Factors 04/09/2007 Line of Business Coverages for General Liability Coverage Limits Ded/Ded Type Rate Premium Factor Each Occurrence 1 , 000 , 000 Medical Expense 51000 Personal & Advertising EXCLUDED Injury Basis : Per Claim General Aggregate 210009000 500 Fire Damage 50 , 000 Basis : Per Claim ; Applies : Both BI & PD Products /Completed Ops EXCLUDED Basis : Per Claim Aggregate Professional liability EXCLUDED Basis : Per Claim Basis : Per Claim 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: Substance Abuse Council of Indian River County, 1151 19"' Street, Vero Beach , FL 32960 ; Attention : Colette Heid , 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 ACORD CERTIFICATE OF LIABILITY INSURANCE DATE 124/2007 Mi TM. � 70124@007 PRODUCER Phone (772) 562-3369 Fee: (772) 562-3466 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION HILB ROGAL & HOBBS OF FLORIDA, INC. - VERO BEACH ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 204514TH AVE. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P O BOX 130 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. VERO BEACH FL 32961 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURERA Gua_re Be Insurance Co SUBSTANCE ABUSE COUNCIL OF INDIAN RIVER COUNTY, INC. INSURER B. P.O. BOX 6460 - _ _- - - . - - - - -- — VERO BEACH FL 32960 '' INSURER C'. , INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. - r " _-- -- DAM INR TYPE OF INSURANCE POLICY NUMBER PDucv EFFECTIVE PEXPIRATION LIMITS LTR INSRQ SRD DFMMIDDIW DATE DATE IMMIDDfIY I GENERAL LIABILITY EACH OCCURRENCE $ Ea occre COMMERCIAL GENERAL LIABILITY DAMAGEPREMISESS E(Ea RENTED $ nw) QQDGR _ CLAIMS MADE '. MED. EXP (Anyone Person) $ _ .. - PERSONAL & ADV INJ URY $ I GENERAL AGGREGATE 8 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG. '. 8 PRO- POLICY JECT 1 LOC 1 1 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO Liamident) $ — _ - ALL OWNED AUTOS BODILY INJURY 1 - - - (Per Person) $ , - -�- -� - SCHEDULED AUTOS HIRED AUTOS BODILY INJURY NON-OWNED AUTOS : Per accident) ' $ SSSS ', PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY IAUTO ONLY - FAACCIDENT IS ANY AUTO OTHER THAN EAACC $ '- '- AUTO ONLY: AGG $ EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE S OCCUR CLAIMS MADE AGGREGATE ', 8 ' r — DEDUCTIBLE $ RETENTION $ $ WCSTU­ WORKERS COMPENSATION AND GWGC100002483-107 01/10/07 1 01 /10/06 ( TORY UMTS � OTHER EMPLOYERS' LIABILITY EL EACH ACCIDENT ' $ 100,000 A OFFICEANY FEMBER EXCLUDED? -$ — '� OFFILEPIMEMHERE%CUIDEDi EL. DISEASE-EA EMPLOYEE $ 100,000 It yea, describe under E.L. DISEASE-POLICY LIMIT 'i $ SQQ,000 , SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 1D DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, INDIAN RIVER COUNTY - BOARD OF COUNTY ITS AGENTS OR REPRESENTATIVES. COMMISSIONERS AUTHORIZED REPRESENTATIVE 1801 27TH STREET ']•�/\. �( VERO BEACH, FL 32960 ` Attention: Robert s ACORD 25 (2001108) Certificate # 109167 0 ACORD CORPORATION 1988 • 1 _ 1 1 WA " a all Is MN 1 . I of • ••O. • " • I • . •. • ' • .• • • • • Z. • • " • • ! fit • • • 1 ! • • • •• m :•. .. .. 1 e wGUS31 i, IJ 1 I1 : ' .r 4.♦ r :. . it I 111 ■ � 111 111 ME r �� . .WS dawr •1 -,. •• • • • yL! _ 11. � 1•!l 0 - 0 1 _ : 1 : 1 o ' 1 r / I Additional Coverages and Factors 04/09/2007 Line of Business Coverages for General Liability Coverage Limits Ded/Ded Type Rate Premium Factor Each Occurrence 1 , 000 , 000 Medical Expense 51000 Personal & Advertising EXCLUDED Injury Basis : Per Claim General Aggregate 29000 , 000 500 Basis : Per Claim ; Applies : Both BI & PD Fire Damage 50 , 000 Basis : Per Claim Products/Completed Ops EXCLUDED Aggregate Basis : Per Claim Professional liability EXCLUDED Basis : Per Claim QCT. 2 ;. 2G07 1 : 48PM NATE CITY INSURANCE N0. 735 P . 2 NATIONk07820T STYINs drLm, 6076tomIL , W VERO BEACH, Ft 32966 772-569-2626 Policy number: 05662632.0 Undemvinen by: PROGRESSIVE EXPRESS INS CC)MFANY October 25, 2007 Page 1 of t Certificate of Insurance CMlRcate Holder Insured . ... . :..... ... ........ . .. . .. AddmOnal Insured . . . . 5U65TANCE ABUSE COUNCIL . he& . W .. ... . .... .. . . . IRC BRD OF CO COMM NATIONAL CITY INS "" '" " " " " " " " " " 1801 27TH ST 1151 19TH STREET 6078 20TH ST VERO BEACH, FL 32960 VERO BEACH, FL 32960 VERO BEACH, FL32966 This document certifies that insurance poRdes iderdfied below have been issued by the designated Insurer to the insured named above for the Pedod(s) indicated. This Certificate is issued for Information purposes only, ft confers no fights upon the certificate holder and does rot change, alter, modify, or extend the Coverages afforded by the niers n listed below. The coverages afforded by the polities listed below are subject to all the terms, exd oris, lithe policies endorsements, and conditions of these policies, ........I..... .. .... .. . Policy Effective Date; Mar 1, 2007 Policy i " Po6 ration .. . .. . .. . ... ...... ... . . .. . . . .. . . .. . . ... ry Expi Date; Mar 1 , 2008 Imindoee .. .. , ?W..I ... . . ... . .. . .. . .. . ... .. ...... .. .. . . ... . . ..L,°ta' . . . BODILY IWURY/PROPERTY DAMAGE . 51 ,000,000 COMBINED SINGLE UMTT UNIN . ........ . ... ... ..... . .. . ... .... ....... ... . ...... I .. .. . ...... .. .. ... . ,. ., .. . . UNINSURED MOTORIST . .. ... . .. ..... . .... ..... . . ........... ..... .... . .. . .. . .. . .. ... . .. . ... . .. .. . . .. . .... . ... . . .... . ... . . .. . . . .... . ... .. ...... ...... S1 ,Otb,000 CSL NON-STACKED PERSONAL INJURY PROTECTION ""0,6W""" '"' S10,000W/$0 DED -• Mpf,1ED INS UAED ONLY ... . .. .... Doscription of Location/Vehicles/Special Items Scheduled autos only 1 1999 FORD [CON E350 SUPR FBS531 szxHa 1695 . . .. .. . .. .... . . . . . . . . . ... ..... ......... . ... .. I... .. . .. ...... . . . . MEDICAL PAYMENTS SS0000 " ' Stated Amount 420,000 COMPREHENSIVE $ 1 ,000 DED COLLISION $ T,000 DED Certificate number 29807NET632 Please be advised that additional insureds and loss payees Will be notified In the event of a midterm _ _ eanceliation. Fant 5241 (14W) "� r v azr e � � • cacao . z . aa ucam . v rry zoc . cuyo . vo : Additional Coverages and Factors 04/09/2007 Line of Business Coverages for General Liability Coverage Limits Ded/Ded Type Rate Premium Factor Each Occurrence 1 , 000 , 000 Medical Expense 51000 Personal & Advertising EXCLUDED Injury Basis : Per Claim General Aggregate 210009000 500 Fire Damage 50 , 000 Basis : Per Claim ; Applies : Both BI & PD Products /Completed Ops EXCLUDED Basis : Per Claim Aggregate Professional liability EXCLUDED Basis : Per Claim Basis : Per Claim