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HomeMy WebLinkAbout2004-229M ld , )a0 �� r t 7z Indian River County Grant Contract This Grant Contract ("Contract") entered into effective this 1st day of October 2004 by and between Indian River County, a political subdivision of the State of Florida , 1840 25th Street, Vero Beach FL , 32960 ("County') and H . O . P . E . Academy, (" Recipient") ; of: 454538 th Avenue Vero Beach , Florida 32967 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") . 3 . Term The Recipient acknowledges and agrees that the Grant is limited to the fiscal year 2004/2005 ("Grant Period" ) . The Grant Period commences on October 1 , 2004 and ends on September 30 , 2005 . - 1 - 4 . Grant Funds and Payment The approved Grant for the Grant Period is One Hundred Thousand Dollars ($ 100 ,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 Performance Reports to the Human Services Department of the County within fifteen ( 15) business days following : December 31 , March 31 , June 30 , and September 30 . 5 .4 Audit Requirements . If Recipient receives $25 , 000 or more in 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. 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 September 21 , 20049 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 2 - 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 omissions of the Recipient, its agents , officers , or employees in connection with the performance of this Contract. 5 . 8 Public Records . The Recipient agrees to comply with the provisions of Chapter 119 , Florida Statutes ( Public Records Law) in connection with this Contract . 6 . Termination . This Contract may be terminated by either party, without cause , upon thirty (30 ) days prior written notice to the other party. In addition , the County may terminate this Contract for convenience upon ten ( 10 ) days prior written notice to the Recipient if the County determines that such termination is in the public interest . 7 . Availability of Funds . The obligations of the County under this Contract are subject to the availability of funds lawfully appropriated for its purpose by the Board of County Commissioners of Indian River County. 3 - 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 BOARD OF COUNTY COMMISSIONERS By : Caroline D . Ginn , ChairM rug fSG,. BCC Approved : " / Attest: J . K. Barton4 clerk " By: VV Deputy `Clerk Approved : - � l� Jos ph A. Bair County Administrator A Ve o form an ie j' M i . F6TI , stent ou ttorney RECIPIEN By: H . O . P . E . ACADEMY - 4 - EXHIBIT A [Copy of complete proposal/application] - 1 - Edit this Header. Type the organization and program name and the funder for whom it is being completed . The page # is already set at the bottom right of every page. Y. rF PROGRAM COVERAGE RWRTyf '4 z w�.. ^ i p x, `�." 'y1 ; i * •'. ' 1 rry M "tY 1 ! AM,,' orl lVol a va >< p �n4� �M ,sr ; � ibkl's'.QirLr Y✓R. -PR�.rF,i4.!!' ha..*M. xl r w.7i Fr«::'u •y,K,,.iw:. . ..... a Executive Director: Henry Burson, Jr. Email : Brotherpreach@aol . com Address : 4545 38th Ave Telephone : 772 -770- 5759 Vero Beach, Fl 32967 Fax : 772- 562- 6965 Program Director: Hallicurtis W . Burson E-mail : hope- cad@bellsouth . net Address : 4545 38th Avenue Telephone : 772 - 562 -4325 Vero Beach, Florida 32967 Fax : 772- 562- 6965 Nat i ,...._ Fr �791Ne'±!ma+C Y :, • a _ s '� .. Sys • Hort ' Need Area Addressed: Paren al Support and education Brief Description of the Program : CSC Taxonomy Code HD - 050 HOPE Academy focuses on treating special problem for children ages 7 - 18 . We also have a Family component ; a monthly 2hr. seminar that address parental empowerment . i iff B1ff1!k`Ce11sOn1 r f, . _ .e w.ter:'Az :x,*�..., o a Vroposed Program Budget for 2004 / 05 : $ 201 , 590 . 32 Percent of Total Program Budget : 64 . 0 % Current Program Funding ( 2003 / 04 ) : $ 100 , 000 Dollar increase / ( decrease ) in request : $ 28 , 976 Percent increase / ( decrease ) in request * * : 29 . 0 % Unduplicated Number of Children to be served Individually : 482 Unduplicated Number of Adults to be served Individually : - Unduplicated Number to be served via Group settings : 212 Total Program Cost per Client : 290 . 48 * *If request increased 5 % or more, briefly explain why: We are serving more clients each year. This years total is up over last. If form holds true , we will see at least an additional 100 clients this Year 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 application on 2002004 _Henry Burson, Jr. k Name of President/Chair of the Board Sign _Hallicurtis W . Burson Name of Executive Director/CEO Sj, n ture . 3 Edit this Header. Tyne the organization and program name and the funder for whom it is being completed . The page # is already set at the bottom right of every page. PROPOSAL NARRATIVE Please respond to each question in the allotted space for each section. In responding to each section of the proposal narrative, please retain the section-label and/or question that you are addressing . Type using 12 pt. font on 8 %" X 11 " paper and number each page. These directions and the graphic boxes may be deleted if space is needed . A. ORGANIZATION CAPABILITY (Entire Section A not to exceed one page) 1 . Provide the mission statement and vision of your organization . H. O.P.E. seek to revive moral and social values . Also ; to help build self-esteem and empower the community with skills that will help to achieve, succeed, and excel ; focusing primarily on suspended students . The acronym H. O. P.E . (Helping Other People Excel) and our motto is expressed through our slogan , "Instilling the Desire to Aspire. " 2 . Provide a brief summary of your organization including areas of expertise, accomplishments, and population served. As an alternative program to out-of-school suspension, H. O .P.E . provides for these at-risk youth a safe, peaceful and structured setting while suspended from school. They receive one-on-one tutoring with their regular class assignments , taught behavior modification techniques, and management skills . We provide and opportunity for the students to have their suspended days reduced or exonerated altogether with I. R. C . Mental Health Association as our partner, they coordinate our group discussions designed to bolster self- esteem and life skills that instills " a desire to aspire. " We are open for any of the 16, 00 students who may end up being suspended from school. Each year we have increased our Attendance and this year have initiated an on- campus program that provides additional counseling for our middle school students . 4 Edit this Header. Tyne the organization and program name and the funder for whom it is being completed . The page # is already set at the bottom right of every page. 5 Edit this Header. Type the organization and program name and the funder for whom it is being completed . The page # is already set at the bottom right of every page. B . PROGRAM NEED STATEMENT (Entire Section B not to exceed one page) 1 . a) What is the unacceptable condition requiring change ? b) Who has the need ? C) Where do they live ? d) Provide local, state, or national trend data, with reference source, that corroborates that this is an area of need. t� # 1 Students that are suspended from school and are left at home with no adult supervision become at-risk. With additional unaccounted time they are subject to engage in , promiscuity, drug, alcohol, or juvenile crime. #2 Practically all of suspended students return to school with incomplete or no assignments done at all. #3 students are penalized because of a bad choice, yet the return to school with no instructions on behavior modification or coping skills . #4 suspensions are unexcused absentees. Too many absentees led to an automatic grade reduction. When unexcused absentees are reported to the state, allocated funds to the School District are reduced. Family dynamic are a major factor in improving the behavior or children. Most parents of suspended student need additional knowledge on coping skills and effective parenting methods . b) Over 1 ,484 Indian River County students were suspended last year according to data collected from our District Informational Service Department. Although 1484 students were suspended, there were 1534 suspensions. Many of these student, if left home alone, are prone to engage in additional deviant behavior. 2. a) Identify similar programs that are currently serving the needs of your targeted population ; b) Explain how these existing programs are under-serving the targeted population of your program. There Aren ' t any other program similar to ours . We are the only program for suspended students in this county. 6 Edit this Header. Type the organization and program name and the funder for whom it is being completed . The page # is already set at the bottom right of every page. ti 7 Edit this Header. Type the organization and program name and the funder for whom it is being completed . The page # is already set at the bottom right of every page. C . PROGRAM DESCRIPTION (Entire Section C, 1 — 6, not to exceed two pages) 1 . List Priority Needs area addressed. Parental Support & Education Error ! Not a valid link. r, 2 . Briefly describe program activities including location of services . After being registered into H . O . P. E . by the parent, the student is assigned to a class by the Program Director who supervised the enrollment. Our main campus is at the Gifford Youth Activity Center. After student is assigned the teacher diligently assist the student in completing assignment brought to HOPE. Train Counselors conduct daily "Rap Sessions" designed to provide the students with coping skills so ; the student returns to his regular school pace with fellow classmates and with a modified behavior. Their instructor mails motivational letters to all former students and each student behavior record is reviewed at the end of the year. 3 . Briefly describe how your program addresses the stated need/problem. Describe how your program follows a recognized "best practice" (see definition on page 12 of the . Instructions) and provide evidence that indicates proposed strategies are effective with target population . Just by having a student a HOPE we reduce the risk of that student engaging in additional deviant behavior due to unsupervised time. Our last year' s status proves that a student attending H. O .P.E . was less likely to be resuspended. The 2002 Tennessee Art Commission defines an " at-risk" youth as any child or youth at risk of delinquency or engaging in any other problem behaviors , such as : substance abuse, teen pregnancy, crime, and drop- out. The things H . O . P.E . students acknowledge the most in their (exist essay" is that they complete more academic assignments by coming to H . O . P .E . According to District Informational Services 77 % of our students were not re-suspended ; Up 7 % over 2002- 2003 . By involving more parents in our parental workshop breakfast and C- POSS . (Concern Parents of Suspended Students) . We will aim to maintain a low level of recidivism. 8 Edit this Header. Type the organization and program name and the funder for whom it is being completed . The page # is already set at the bottom right of every page. 4 . List staffing needed for your program, including required experience and estimated hours per week in program for each staff member and/or volunteers (this section should conform with the information in the. Position Listing on the Budget Narrative Worksheet). 1 ) Administrative Director must be a qualified instructor with administrative skills and experience ; working 40hrs . plus . 2) Administrative/ Staff Assistant must have supervisory skills, type, data entry, form statistical reports and work with both office staff & students . This person will work at least 40hrs./wk. 3) Clerical/staff assistant must have office skills and some bookkeeping knowledge. They will assist instructors and work up to 40hrs . / wks. 4) Two instructors ; one for each class, they must be qualified with BA. Degree and work 40 hrs. / wk. There position will be salaried. 5 . How will the target population be made aware of the program? Students and parents are given a Hope brochure at the time of their suspension . We will have T.V. and newspaper announcements . Posters placed on Middle and High School campuses . The Administration of HOPE will speck a PTA, SAC meetings, open house and School Orientation. 9 Edit this Header. Type the organization and program name and the funder for whom it is being completed . The page # is already set at the bottom right of every page. 6 . How will the program be accessible to target population (i. e .. , location , transportation , hours of operation) ? The parents are the primary source of transportation . Since we are located in the central region of the district, transportation is provided by the school district when parents are unable to transport the child . Since our hours are synchronized with regular school part/ school scheduling incur minimum disruptions . 10 Edit this Header. Type the organization and program name and the funder for whom it is being completed . The page # is already set at the bottom right of every page. D . MEASURABLE OUTCOMES (Description of Intent) Use the Measurable Outcomesform. This description page does not need to be included in the proposal. In order to show the impact that your program is having on the target population and the community, the funders are requiring measurable outcomes . Please review the examples and summaries below to insure your understanding of what is expected . OUTCOMES : Describes what you want to achieve with the target population. Indicates the results of the services you provide, not the services you provide. Outcomes utilize action words such as maintain, increase , decrease, reduce, improve, raise and lower. ACTIVITIES : Describes the tasks that will be accomplished in the program to achieve the results stated in the outcomes . Activities utilize action words such as complete, establish, create, provide, operate, and develop . The activities should reflect the services described in the PROGRAM DESCRIPTION (C2) . Use the following elements to develop your outcomes. All elements must be included: • Direction of change • Timeframe • Area of change As measured by • Target population • Baseline: The number that you will be • Degree of chane measuring against Example 1 (Outcome) : To decrease (direction of change) number of unexcused absences (area of change) of enrolled boys and girls (target population) by 75 % (degree of change) in one year (timeframe) as reported by the 2003 School Board attendance records (as measured by) . Baseline : 2003 School Board attendance records for enrolled boys and girls . Example 1 (Activity) : To provide anger management classes to enrolled boys and girls 2 times a week for 12 weeks . Example 2 (Outcome) : 75 % (degree of change) of youth (target population) who have participated in the academic enrichment activities (as measured by) for 6 months or more (timeframe), will improve (direction of change) their scores in one or more subject area (area of change) . 25 % of participants in academic enrichment activities will maintain the initial level of performance assessed at entry. Baseline : Pre-test scores from the academic enrichment test . Example 2 (Activity) : 1 ) Provide pre and post-test exercises on the Advanced Learning System software ; 2) Participants will go through the one lesson per week and be graded for 10 weeks . IMPORTANT NOTE : Keep in mind when developing your PROGRAM OUTCOMES , that if funded, this will be what you are held accountable to accomplish. Also , the PROGRAM OUTCOMES should reflect the information described in the PROGRAM NEED STATEMENT (131 ) . All Program Need Statements should flow from the Mission & Vision . Measurable Outcomes should be based on and measure program needs . Activities are the tasks you do that are going to influence the outcome and impact the unacceptable condition in your Program Need Statement . 11 Edit this Header. Tyne the organization and program name and the funder for whom it is being completed . The page # is already set at the bottom right of every page. D . MEASURABLE OUTCOMES (Entire Section D not to exceed two pages) OUTCOMES ACTIVITIES Add all of the elements or the Measurable Outcome(s) Add the tasks to accomplish the Outcome(s) OUTCOME # 1 ACTIVITY #1 We will increase our 2002 -2003 enrollments of This year we will continue with two 125 students by 60% for school year 2003 - classrooms ; each accommodating up to 10 - 12 t 2004 as reported by the School District students . Also , we will increase our attendance Informational Service , by having the school administration give a brochure about HOPE to each suspended student ' s parent, education P . T . A. and targeting high school SAC teams . We will also ask to be a part of school ' s orientation. OUTCOME #2 ACTIVITY #2 85 % of the students attending H . O . P . E . for Teachers will log all assignments brought by school year 2004-2005 will return to School student to H . O .P . E . and daily supervised each with their assignments completed. student to assure assignments are completed . At the end of their suspension the Administrative Director will review assignments and document the percentage of assignments completed ( 50%400%) . The student and parent will sign the document be fore student exit the program . OUTCOME #3 ACTIVITY #3 70% of H. O .P . E . students will return to school We will provide a pre-test administered with improved anger managements skills immediately following their enrollment . Our during our 2004 -2005 school year. license counselor will conduct daily Rap Sessions . These sessions will address issues related to behavior modification and life management skills . On the final day we will administer a post test to determine the OUTCOME #4 student ' s knowledge of anger management We will keep our recidivism (re-suspension) bind conflict resolution improved or not. We rate less than 30% for the 2004-2005 school will recruit more students for the H . O . P . E , year; documented by data provided by School Continue Program . District statistician. ACTIVITY #4 We will place more emphasis on anger management during our daily Rap Sessions and have Mental Health Work with our students in our after- school on campus program , H . O . P . E . Continues . OUTCOME #5 We will increase our 2002-2003 projection for ACTIVITY #5 parents attending our breakfast workshop by One a month we will conduct a "Parent 12 Edit this Header. Tyne the organization and program name and the funder for whom it is being completed . The page # is already set at the bottom right of every page. 25 % . Base line our final enrollment numbers Breakfast Workshop . " Each parent will be Submitted to the District Attendance Office at required to enroll . Mental Health Association the end of school year 2003 and 2004 . Will facilitate a 2 hr. presentation on a specific phase of effective parenting . Parents will be expected to attend at least one session and students will be encouraged to come as well . Personal counseling will be given to families upon request. OUTCOMES ACTIVITIES Add all of the elements or our Measurable Outcome(s) Add the tasks to accomplish the Outcome(s) 1 13 Y Edit this Header. Type the organization and program name and the funder for whom it is being completed . The page # is already set at the bottom right of every page. E . COLLABORATION (Entire Section E not to exceed one page) 1 . ist your program ' s collaborative partners and the resources thata they are providing to the program beyond referrals and support. (See individual funder requirements for inclusion of collaborative a reement letters . Collaborative Agency Resources provided to the program Providing classroom, office and recreation space at a ( 1 ) Gifford Youth Activity Center reduce rate. Subsidize teacher salaries provides transportation as (2) Indian River City School District needed, meals and advertising tri - folds Provides counselors for our Rap Session and HOPE (3 ) Mental Health Association of IRC continues program . Provides weekly education and counseling on sexual (4) IRC Health Department transmitted diseases and updated HIV statistic . Provides printing for H . O . P . E . 5 Indian River Community College 6 Northside Agape' Ministries Clerical/ Printing 15 . w Edit this Header. Type the organization and program name and the funder for whom it is being completed . The page # is already set at the bottom right of every page. F. PROGRAM EVALUATION (Entire Section F not to exceed two pages) 1 . DEMOGRAPHICS : What information (data elements) will you need to collect in order to accurately describe your target population including demographics (age, gender, and ethnic background) required by the funder in Section H ? What are the pieces of information that qualify them for your target population ? How do you document their need for services or their "unacceptable condition requiring change" from Section B19 Our District Informational Service records the data on every suspended student; all the demographics required by funder and information needed by our program to recognize our target population . Information such as : number of suspended students , why they were suspended, how many times they have been & will be suspended and what ever additional disciplinary behavior infractions our target population received . We also have access to most of the information through terms , a district software system that ' s secured and only made available to a "select group" of school administrators & staff. 2 . MEASURES : What data elements will you need to collect to show that you have achieved (or made progress toward) your Measurable Outcomes in Section D ? What tools or items are you using as measures (grades , survey scores , attendance, absences , skill levels) for your program ? Are you getting baseline information from a source on your Collaboration List in Section E ? Are there results from your Activities in Section D that need to be documented ? How often do you need to collect or follow-up on this data? 3 . REPORTING : What will you do with this information to show that change has occurred ? How will you use or present these results to the consumer, the funder, the program, and the community? How will you use this information to improve your program? Most of this information will be compiled and printed in " THE SCOPE ON HOPE . " Origin, history and achievements . This will be one of our marketing tools . This information will periodically be review by our Director ' s Board & Advisor Board and Administrative Staff to 16 • Edit this Header. Type the organization and program name and the funder for whom it is being completed . The page # is already set at the bottom right of every page. evaluate what ' s working, what ' s not working, and how may what ' s not working can be modified to work better. . 17 Edit this Header. Type the organization and program name and the funder for whom it is being completed . The page # is already set at the bottom right of every page. G. TIMETABLE (Section G not to exceed one page) 1 . List the major action steps , activities , or cycles of events that will occur within the program year. New programs should include any start-up planning that may occur outside the funding year. In completing the timetable, review information detailed in prior sections . Month/Period Activities • Preparation for Staff Development Orientation Workshop August • Staff Development Orientation Workshop • Classes Begin • Monthly Board of Directors Meetings Resume September . Open House (District Administrators, Principals , Teacher) • Advisory Board Meeting • Monthly Parental Breakfast Resume • Quarter Evaluation Resume October Staff Developmental Workshop • Fund Raising Mail Out • Annual Fund Raising Drive December • Christmas Break • Advisory Board Meeting January • School Resume • Appeal to Parents March • Advisory Board Meeting • Donor ' s Appreciation Banquet June • Classes end • End of Year Inventory • Preliminary Planning for 2003 -2004 July • Re-Evaluation of Preliminary Plan 18 Edit this Header. Type the organization and program name and the funder for whom it is being completed . The page # is already set at the bottom right of every page. 19 Edit this Header. Type the organization and program name and the funder for whom it is being completed . The page # is already set at the bottom right of every page. H. PROJECTIONS FOR UNDUPLICATED CLIENTS Number of Unduplicated Clients by Location Current Fiscal Year � � ext" calYi��ax �i-oLocation Budget 2003/04 '9V OJ . �ns2U4/0 � Unduplicated Clients Unduplicated Clients Unduplicated Clients N. Indian River County S . Indian River County 419 582 694 Indian River Co. Total 419 582 694 Greater Stuart Hobe Sound Indiantown - - Jensen Beach - - Palm City - - Martin County Total - - Fort Pierce - - - Port Saint Lucie - - - St. Lucie Co. Total - - - Other Locations - - - TOTAL SERVED - 419 582 694 Number of Unduplicated Clients by Age Al sc � Current Fiscal Year ex is yea Location 2 22 Budget 2003/04 ro ' e tons5 x J . W " Individual GroupWvwwx i 0 to 4 - (Pre-school) - - - - 5 to 10 - (Elementary) 19 - 17 - 20 - 11 to 14 - (Middle) 126 - 177 - 212 - 15 to 18 - (High School) 199 - 218 - 250 - Total Children 344 - 412 - 482 - 19 to 59 - (Adults) - 75 - 170 - 212 60 + (Seniors) - - - - - - Total Adults - 75 - 170 - 212 TOTAL SERVED 1 344 75 412 170 482 212 20 Edit this Header. Type the organization and program name and the funder for whom it is being completed . The page # is already set at the bottom right of every page. I . BUDGET FORMS - To open the Budget Forms , please double- click on the icon below . 9f " Core Budget Forms " 21 Type the Organization and Program Name UNIFORM GRANT APPLICATION BUDGET NARRATIVE WORKSHEET IMPORTANT: The Budget Narrative should provide details to justify the amount requested in each line item of the budget for your program. From this worksheet, your figures will be linked to the Total Agency Budget, Total Program Budget and Funder Specific Budget Forms. AGENCY/PROGRAM NAME : PROJECT HOPE , INC . / HOPE ACADEMY FUNDER : Avisory Committee - Indian River 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 I Abe used for calculations and to write information only. GRA UE FOR AProposed Total Program Funder Specific Total Agency (SHOW USE ONLY (SNHOWOWCY DETAIL CALCULATIONS)) g Budget Budget Budget 1 Children's Services Council -St. Lucie 2 Children's Services Council -Martin 3 Advisory Committee-Indian River 128 ,795 . 50 1289795 .50 128,795. 50 4 United WaySt. Lucie County 5 United Way-Martin County 6 United Way-Indian River County 0 .00 7 Department of Children & Families 8 County Funds 9 Contributions-Cash 469000 .00 46,000.00 10 Program Fees 11 Fund Raising Events-Net 50000.00 51000 . 00 12 Sales to Public • Net 13 Membership Dues 14 Investment Income 15 Miscellaneous 16 Legacies & Bequests/ IRC School 38 ,000 .00 38,000 . 00 17 Funds from Other Sources 4 ,000 .00 4 ,000.00 18 Reserve Funds Used for Operating 50000. 00 5 ,000.00 19 In-Kind Donations IRCS & GYAC (Not included In total) 15,250. 00 151250 . 00 20 TOTAL REVENUES (doesn't include line 19) $226 ,795. 50 $ 1280795 .50 $226 , 795 .50 A B C D EXPENDITURES GRAY AREAS FOR Proposed Total Program Funder Specific Total Agency AGENCY USE ONLY (SNOW CALCULATIONS) Budget Budget i Budget 21 Salaries - ( must complete chart on next page) 144 ,886 . 00 97 , 000.00 1441886 . 00 • Salary 22 FICA - Total salaries x 0.0765 7. 65% 11 , 389. 32 79420.50 11 ,389. 32 Retirement - Annual pension tor qualified 23 staff 1 , 500.00 19500.00 1 , 500 .00 Life/Health - Medical/Dental/Short-term 24 Disab, 0 .00 0 .00 or ers Compensation - # employees x 25 rate 1o710 . 001 11710.00 1 ,710.00 Florida a nemp oymen - # pro)ec fe 26 employees x $7,000 x UCT-6 rate 945.00 945.00 945 .00 A D POSITRON LISTING Gross Annual e C % of. Gross Annual Salary Portion of Salary Proposed Funder Specific BudgetSalary Position Title / Total Hrs/wk (Agency) Program Requested(CIA) Example: Executive Director / 40 hrs 70, 000.00 101000. 00 51000. 00 7. 14 % 5/262004 9-1 . • • . 1 • 11 • 11 11111 • • - . . 1 ` 111 11 11111 : 111 11 11 ' . Clerical / . 1 • / 1 11 • 11 11 111 11 StaffiTeacher #1 . , • 1 1 1 • 1 1 1 1 1 1 'iTeacher #2 40hrs . : 11 : 11 11111 - . • 1 • fl 1 • f) 1 • f) 1 Total : : • If : • 11 • X111 11 SpecificFRINGE BENEFITS DETAIL A (Funder Specific Budget Funder C E Pension • . . . . - BudgetColumn C only, from line 22 to 27) 1 (A x Compens. Specific Position r III I I 1 11 I I 1 11 1 Administrative Director 40hrs. Plus Administrative Assistant . 040hrs . Plus 11 -- - 11 WMM MWINE M Totalr Request • Benefits '. • 1 1 1 1 1 1 1 1 1 1 1 '. 1 1 1 1 1 1 ' -1 1 1 BudgetEXPENDITURES Proposed Total Program I Funder Specific Total Agency • • Budget 7 • . 1 11 1 f 1 1 11 • • 111 11 off f l l 11 11 • Type the Organization and Program Name • National Conference (cost per staff) • Training/Seminar (cost per staff) • Other Trainings (cast of travel , lodging , registration , food) 29 Office Supplies 6 , 500 .00 61500.00 6 . 500 . 00 • Office supplies (monthly average x 12 months = estimated cost of office supplies based on present history. 30 Telephone 3 , 500.00 3 ,500 .00 3 , 500 . 00 1111 • # phone lines x average cost per month x 12 months = local phone cost • Average long distance calls x 12 months = Estimated cost of long distance 31 Postage/Shipping 800 .00 500 .00 800 .00 • Quarterly Mailing of Newsletter • Special events , etc. • Bulk mailings - appeals 32 Utilities 0.00 0.00 0.00 • Electricity ($ x 12 months) • Water/Sewer ($ x 12 months) • Garbage ($ x 12 months) 33 Occupancy ( Building & Grounds) 91740 .00 0.00 99740.00 • Mortgage/Rent ($ x 12 months) • Janitorial ($ x 12 months) • Grounds Maint. ($ x 12 months) • Real Estate Taxes 34 Printing & Publications 1 ,200.00 600.00 11200 . 00 Quarterly Newsletter ($ x 4) Letterheads, Envelopes , etc. Fundraising materials Other 35 Subscription/Dues/Memberships 0.00 0.00 0 .00 • Membership to National Organization • Dues • Subscriptions to Newspapers/magazines , etc. 36 Insurance 31000 .00 21200.00 31000 . 00 • Directors/Officers Liab. • Commercial/General Insurance • Bond Ins. • Auto Insurance 37 Equipment: Rental & Maintenance 21420 .00 1 ,800.00 2 ,420 .00 • Copier lease ($ x 12 months) • Meter lease ($ x 12 months) Copier Maintenance ($ x 12 months) Computer Maintenance ( $ x 12 months) Other 38 Advertising 600 .00 500.00 600 .00 • Newspaper ads • Fundraising ads/promotions • Other (vacancies) 39 Equipment Purchases : Capital Expense 500.00 0.00 500 .00 • Computer/monitor (# x $) • Laser Printer 40 Professional Fees (Legal , Consulting) 41000.00 0. 00 41000 .00 • Legal advice ( estimated #hrs x $) • Consultant fees • Other 41 Books/Educational Materials 29000 .00 800. 00 2 .000 .00 • Books/videos • Materials ($ x staff) 42 Food & Nutrition 0.00 0.00 0 . 00 5/2612004 B•1 Type the Organization and Program Name • Meals ( # meals x clients x 5days x 50 Wks) • Snacks 43 Administrative Costs 0 . 00 0 .00 0 . 00 • Admin. Cost (% of total budget) 44 Audit Expense 4 ,000.00 3 ,700 . 00 4 , 000 .00 • Independent Audit Review 45 Specific Assistance to Individuals 300 . 00 300 .00 300 .00 • Medical assistance • Meals/Food • Rent Assistance • Other Student Incentives 46 Other/Miscellaneous 11000 .00 0 . 00 1 ,000 .00 • Background check/drug test • Other 47 Other/Contract - Casual Labor 600 .00 0 .00 600 .00 Sub-contract for program services 48 TOTAL EXPENSES $201 ,590 . 32 $ 128,975.50 $201 ,590. 32 5/2612004 B•1 T" M Cwg lzN " Prw" Nr UNIFORM GRANT APPLICATION TOTAL AGENCY BUDGET AGENCY/PROGRAM NAME : Project Ho e , Inc./ Hope Academ FY 02/03 FY 03/04 FY 04/05 % INCREASE FYE FYE FYE CURRENT VS. NEXT FY BUDGET A B C D ACTUAL TOTAL PROPOSED (col. C-col. B)/col. B REVENUES BUDGETED BUDGETED 1 Children's Services Council-St, Lucie 10.00 #DIV/01 2 Children's Services Council-Martin 0.00 #DIV/01 3 Advisory Committee-Indian River 102 867.24 100 000.00 128 795.50 28 .80% n 4 United Way-St. Lucie County 0. 00 #DIV/01 5 United Way-Martin County 0.00 #DIV/01 6 United Way-Indian River County 25 000.00 0. 00 0.00 #DIV/01 7 Department of Children & Families 0.00 #DIV/01 e County Funds 0.00 #DIV/01 9 Contributions-Cash 11 850.00 2500100 4600000 84.00% tB Program Fees 200.00 0.00 -100.00% 11 Fund Raising Events-Net 10 000.00 51000.00 -50.00% 12 Sales to Public-Net 0.00 #DIV/01 13 Membership Dues 0.00 #DIV/01 14 Investment Income 0.00 #DIV/01 15 Miscellaneous 31000.00 420000 0.00 -100. 00% 16 Le acies & Bequests 19815.80 37 500.00 38 000.00 1 .33% 17 Funds from Other Sources 34 745.27 41 000.00 41000.00 -90. 24% 18 Reserve Funds Used for Operating 5$000,00 #DIV/01 19 In-Kind Donations (Not Included In total 15 250.00 #DIV/01 20 TOTAL 179 278.31 217 900.00 226 795.50 4.08% EXPENDITURES 21 Salaries 105 605.14 148 392.00 g1441886j,00 -2.36% 22 FICA 8 385.02 11 437.00 -0.42% 23 Retirement 0.00 1 200.00 25.00% 24 Life/Health 0.00 10 000.00 -100.00% 25 Workers Compensation 11268.75 11400.00 1 710.00 22. 14% 26 Florida Unemployment 1 ,082.98 945.00 945.00 0. 00% 27 Travel-Daily 0.00 0.00 0.00 #DIV/01 28 Travel/Conferences/Trainin 0.00 0.00 1 000.00 #DIV/01 29 Office Supplies 61495. 17 61500,00 61500.00 0.00% 3o Telephone 3 544.87 39000.00 31500.00 16. 67% 31 Postage/Shipping 563. 65 800.00 800.00 . 0.00% 32 Utilities 0.00 0.00 0.00 #DIV/01 33 Occupancy Buildin & Grounds 51599.27 91079. 91740. 00 7. 28% 34 Printing & Publications 0.00 0.00 11200.00 #DIV/01 35 Subscription/Dues/Memberships 0.00 0. 00 . 0.00 #DIV/01 36 Insurance 21400,25 29500.00 3000,00 20.00% 37 Eg ui ment: Rental & Maintenance 2 096. 14 21300,00 21420.00 5.22% 38 Advertisina 874.71 600.00 600.00 0.00% 39 Equipment Purchases:Ca itai Expense 661 .09 19000.00 500.00 -50.00%, 40 Professional Fees (Legal , Consulting) 31844.67 41900.00 43000.00 -18 .37% 41 Books/Educational Materials 11230,68 19100. 00 22000.00 81 .82% 42 Food & Nutrition 0.00 0.00 0.00 #DIV/01 43 Administrative Costs/ Staff Development 929. 00 650.00 0.00 0100. 00% 44 Audit Expense 3,000.00 21255.001 4 000.00 77.38% 45 Specific Assistance to Individuals 288 . 17 31000.00 300.00 -90. 00% 46 Other/Miscellaneous 395.94 500.00 11000.00 100.00% 47 Other/Contract/ Casual Labor 11205,70 11100.00 600.00 -45.45% 48 TOTAL 149 471 .20 212 658 .00 201 590.32 -5.20% 49 REVENUES OVER/ UNDER EXPENDITURES 29 807. 11 51242. 00 250205. 18 380.83% vevzoa °-' Type M Or°WxNbn rtl Fxgrn Nrrr UNIFORM GRANT APPLICATION TOTAL PROGRAM BUDGET AGENCY/PROGRAM NAME : Project Ho e, Incl Ho a Academ FY 02/03 FY 03/04 FY 04/05 % INCREASE FYE FYE FYE CURRENT VS. NEXT FY BUDGET A B C D ACTUAL TOTAL PROPOSED (col. C- 01. B)leol. B REVENUES BUDGETED BUDGETED 1 Children's Services Council-St Lucie 0.00 0.00 0.00 #DIVI01 2 Children's Services Council-Martin 0.00 0. 00 0.00 #DIV/01 3 Advisory Committee-Indian River 102 867.24 100 000.00 128 795. 50 28.80% 4 United Way-St. Lucie County 0. 00 0.00 0.00 #DIV/01 s United Way-Martin County 0.00 0.00 0.00 #DIV/01 6 United Way-Indian River County 25 000.00 0. 00 0.00 #DIV/01 7 Department of Children & Families 0.00 0. 00 0.00 #DIV/01 6 CountyFunds 0.00 0. 00 0.00 #DIV/01 9 Contributions-Cash 11 850.00 25 000.00 46 000.00 84.00% 10 Program Fees 0.00 200. 00 0.00 -100.00% 11 Fund Raising Events-Net 0.00 10 000.00 5,000.00 -50.00% 12 Sales to Public-Net 0.00 0.00 0.00 #DIV/01 13 Membership Dues 0.00 0.00 0.00 #DIV/01 14 Investment Income 0.00 0.00 0.00 #DIV/01 15 Miscellaneous/Mental Health 31000. 00 41200.00 0.00 -100.00% 16 Legacies & Beguests IRC School 1 815.80 37 500. 00 38 000. 00 1 .330/c 17 Funds from Other Sources 34 745.27 41 000.00 4000,00 90.24% 16 Reserve Funds Used for Operating 0.00 0:00 57000.001 #DIV/01 19 In-Kind Donations (Not Included In total 0.00 0.00 15 250.00 #DIV/01 20 TOTAL 179 278.31 217 900.00 226 795.50 4.08% EXPENDITURES 21 Salaries 105 605.14 148 392.00 144 886.00 -2.36% 22 FICA 81385.02 1143700 11 389.32 -0.42% 23 Retirement 0.00 11200.00 1500.00 25.00% 2a Life/Health F 0.00 10t000,00 0.00 -100.00% zs Workers Com ensation 19268.75 11400,00 11710.00 22. 14% 26 lorida Unemployment 11082.98 945.00 945.00 0.00% 27 Travel -Dail 0.00 0.00 0.00 #DIV/01 28 Travel/Conferences/Trainin 0.00 0.00 17000.00 #DIV/01 29 Office Supplies 61495. 17 61500,00 61500. 00 0.00% 3B Telephone 3v544.88 31000.00 3j500,00 16.67% 31 Postage/Shipping 563.65 800. 00 800. 00 0.00% 32 Utilities 0. 00 0. 00 0.00 #DIV/01 33 occupancy (Building & Grounds 5P599.27 91079.00 91740.00 7.28% 34 Printing & Publications 0.00 0.00 19200.00 #DIV/01 35 Subscription/Dues/Memberships 0.00 0.00 0.00 #DIV/01 36 Insurance 21400,001 2 500.00 31000.00dM 20.00% 37 Eq ui ment: Rental & Maintenance 2096.00 21300.00 21420.00 5.22% 38 Advertisina 874.71 600.00 600.00 0.00% 39 E ui ment Purchases:Ca ital Expense 661 .09 11000. 00 500.00 -50.00% 40 Professional Fees (Legal , Consultin 3,844.67 49900,00 4t000. 00 -18 .37% 41 Books/Educational Materials 11230.68 19100.00 21000, 00 81 .82% 42 Food & Nutrition 0. 00 0.00 0.00 #DIV/01 43 Administrative Costs 929.00 650.00 0.00 -100.00% 44 Audit Expense 31000.00 2 255.00 41000. 00 77.38% 45 Specific Assistance to Individuals 288. 17 300.00 300.00 0.00% 46 Other/Miscellaneous 395.94 500.00 19000. 001 100.00% 47 Other/Contract 11205.70 11100.00 600. 00 -45.45% 48 TOTAL 149 470.82 209 958 .00 201 590.32 -3.99% 49 REVENUES OVER/ UNDER EXPENDITURES 29 807.49 79942. 00 251205. 18 217.37% ea srx°rma r � Type the Organization and Program Name UNIFORM GRANT APPLICATION FUNDER SPECIFIC BUDGET PROGRAM EXPENSES PROJECT HOPE INC . CHIDLREN SERVIECS =INDIAN RIVER A B C FY 04/05 FY 04/05 % OF n TOTAL FUNDER TOTAL VS . PROGRAM SPECIFIC FUNDER REQUEST BUDGET BUDGET (col . B/col . A) EXPENDITURES 21 Salaries 144Y886w00 97 ,000 .00 66 . 95% 22 FICA 11 ,389 . 32 7 ,420 . 50 65 . 15% 23 Retirement 19500 .00 19500 . 00 100 . 00% 24 Life/Health 0 . 00 0 . 00 #DIV/0 ! 25 Workers Compensation 19710 . 00 1 ,710 . 00 100 . 00 % 26 Florida Unemployment 945 , 00 945 .00 100 . 00 % 27 Travel -Dail 0 . 00 0 . 00 #DIV/01 28 Travel/Conferences/Training 19000 . 00 0 .00 0 .00% 29 Office Supplies 61500 . 00 61500 .00 100 : 00 % 3o Telephone 3 ,500 . 00 39500 . 00 100 . 00 % 31 Postage/Shipping 800 . 00 500 .00 62 . 50 % 32 Utilities 0 . 00 0 . 00 # DIV/0 ! 33 Occu anc ( Building & Grounds 91740 . 00 0 . 00 0 . 00 % 34 Printin & Publications 19200 . 00 600 . 00 50 . 00 % 35 Subscription/Dues/Memberships 0 . 00 0 . 00 #DIV/0 ! 361nsurance 39000 . 00 21200 . 00 73 . 33 % 37 E ui ment : Rental & Maintenance 29420 . 00 17800 . 00 74. 38 % 38 Advertising 600 . 00 500 . 00 83 . 33 % 39 Equipment Purchases : Ca ital Expense 500 . 00 0 . 00 0 . 00 % 40 Professional Fees ( Legal , Consulting ) 49000 . 00 0 . 00 0 . 00 % 41 Books/Educational Materials 2 , 000 . 00 800 . 00 40 . 00 % 42 Food & Nutrition 0 . 00 0 . 00 #DIV/01 43 Administrative Costs 0 , 00 0 . 00 #DIV/o ! 44 Audit Expense 41000 . 00 39700 . 00 92 . 50 % 45 Specific Assistance to Individuals 300 . 00 300 . 00 100 .00 % 46 Other/Miscellaneous 19000 . 00 0 . 00 0 . 00 °/0 47 Other/Contract 600 . 00 0 . 00 0 . 00 % 48 TOTAL $ 2019590 . 32 $ 128 ,975 . 50 63. 98 % 52612004 s-4 y � Type the Organization and Program Name UNIFORM GRANT APPLICATION EXPLANATION FOR VARIANCES OF 15% OR MORE TOTAL PROGRAM BUDGET AGENCY/PROGRAM NAME : Project HOPE, Inc ./ H .O. P .E . Academy FUNDER: IRC Advisory Committee yfMI Y ,: EXL:Q1V/ TlO RIAfI(L✓E #DIV/01 #DIV/01 Advisory Committee-Indian River Each year the number of clients have increased and the cost of the services has increased inspite of keeping the staff the same. #DIV/01 #DIV/01 #DIV/01 #DIV/01 #DIV101 We have combined individual donations with the funds we are expecting to receive from foundations and other grants we plan to apply Contributions-Cash for. #D-[V/01 #DIV/01 #DIVlOI #DIV/Ol #DIV/01 Retirement We have delayed this for four years, this rate will not bring it up to where R should be. Workers Compensation This is what k adually cost us. #DN/Ol #DN/el Telephone Providing service for our computers. #DIV/01 #DIV/01 #DI m Insurance Books/Educational Materials increase in numbers increases the cost. #DIV/01 Audit Expense As our business increase, the audit takes longer. Other/Miscellaneous This is to provide insurance for unforseen emergencies. 93 WW00e Type the Organization and Program Name UNIFORM GRANT APPLICATION EXPLANATION FOR VARIANCES OF 15% OR MORE FUNDER SPECIFIC BUDGET AGENCY/PROGRAM NAME : FUNDER: L� fEI,TEM , gar= ,` ¢ yrs „ .,- EXP,.,,LANATOM fDR: V �, AR/A11fCE =:< Salaries We are only asking fora portion of the salaries. FICA This is just to cover the portion fo the salaries requested. Retirement #DIV 01 Workers Compensation We have to pay on entire salaries of our employees. Florida Unemployment Same holds true as workman compensation. #DIV/0I Office supplies This is the average cost incurred. Supplies are costing more. Telephone Providing service for computers and the need for a second line. Posta a/Shi in We Ian to increase our mail out for fund raisin and marketing. #DIV/OI Printin & Publications We will market H.O.P.E. more. Postingsigns in Oslo and Wabasso. #DIV/01 Insurance This cost is becoming more competitive. -E ui ment:Rental & Maintenance We have to get storage space. AdvertisingAs stated before, we are doingto push to et more students in the program. Books/Educational Materials The more clients we serve the more books we need. #DIV/01 #DIVIOI Audit Expense Specific Assistance to Individuals Students Incentives. s-s w6r20oe 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 1St 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 - J A 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: Joyce Johnston-Carlson , Director Indian River County Human Services 184025 th Street Vero Beach , Florida 32960-3365 Recipient : : Reverend Henry Burson H . O . P . E . Academy 4545 38th Avenue Vero Beach , Florida 32967 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 - CORDDATE TM. CERTIFICATE OF LIABILITY INSURANCE OCT 1804 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION SID BANACK INS ./A HILB ROGAL 8r HOBBS CO. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 2045 14TH 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 INSURER A: AUTO OWNERS INSURANCE PROJECT H .O. P . E. , INC . INSURER B : HARBOR SPECIALTY INS CO _ 4545 38TH AVENUE VERO BEACH FL 32967 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. INSR ADD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR NSR DATE MMIDDIYY DATE MM/DD/YY GENERAL LIABILITY 002312-20591732-04 SEP 6 04 SEP 6 05 EACH OCCURRENCE $ 1 ,000 , 000 X COMMERCIAL GENERAL LIABILI DAMAGE TO RENTED $ 50 ,000 PRFMIRF.0, (FA -- -- CLAIMS MADE ' OCCUR MED. EXP (Any one person) $ 59000 --- — - PERSONAL & ADV INJURY i $ . 11000 ,000 - GENERAL AGGREGATE $ 11000, 000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG. $ 1 ,000, 000 POLICY F PROJECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY ( Per person) $ SCHEDULED AUTOS HIRED AUTOS BODILY INJURY -- NON-OWNED AUTOS (Per accident) $ j ! PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: $ EXCESS / UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ WC STATU- OTHER WORKERS COMPENSATION AND 009000005492204 APR 29 04 APR 29 05 EMPLOYERS' LIABILITY ( mav I IMITS E. L. EACH ACCIDENT $ 100 ,000 B ANY PROPRIETORIPARTNERIEXECUTIVE -- OFFICER/MEMBER EXCLUDED? E. L. DISEASE-EA EMPLOYEE $ 1009000 If yes, describe under -- - --- -_ - _ SPECIAL PROVISIONS below E. L. DISEASE-POLICY CY LIMIT $ 500, 00 00 OTHER : i DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS CERTIFICATE HOLDER IS ALSO AN ADDITIONAL INSURED WITH RESPECTS TO COMMERCIAL GENERAL LIABILITY. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 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 SCHOOL DISTRICT OF INDIAN RIVER COUNTY INSURER, IT'S AGENTS OR REPRESENTATIVES. 1990 25TH STREET AUTHORIZED REPRESENTATIVE VERO BEACH , FL. 32960 Attention : Idney M a a� /` ACORD 25 ( 2001 /08) Certificate # 81348 © ACORD CORPORATION 1988 H . O . P . E . ACADEMY An Alternative Program for Suspended Students Gifford Youth Activities Center 4875 43rd Avenue • Vero Beach , FL 32967 ® Telephone : ( 772 ) 562=4325 . Fax : ( 772 ) 562=6965 Hallicurtis W. Burson , Executive Director • Henry Burson , Jr. , Founder October 18 , 2004 To Whom It May Concern : This is to inform you that H.O.P.E Academy does not transport students . However transportation is provided by the School District of Indian River County, department transportation. Transportation is predicated upon individual need. If further information is necessary please call 5624325 . Sincerely, Hallicurtis W. Burson Executive Director HWB/sm Funded by the Board of County Commissioners - Indian River County HELPING OTHER PEOPLE EXCEL - O cwt 28 04 08r13a � lNTERNAL REVENUE; SERVXCF: P . O . BOX 2508 CINCINNATI , Ofi 45201 DEPARTMENT Oh' xHE TREASUR '; J U L ? 3 zCO2 , employer Idonrification Number . S ' 37396g3 MOJF.; CT HOPE; I (VC 9 OL CiO MARSHA P WIKF•ORS 202199124 979 BEACHLANC BLVD contact P . or VERO SCAC FL 32 I� t^' AXNE WHYTE , 96 .3 Contact Telephone Number : IDN 75907 ( 877 ) 829 - 5500 Accou :ltinq Period Ending : December 31 Form 990 Rrquj, rc. d : Addendum Applies : N / A Dear Applicant : Il ;� c: oQ on 1. nfOrmation supplied stated i. n your app ,licatian and assuming you ;• F ' far rr. co o - rati. ort _s You ten exc_ m�, t from lecicr , gnition of c� xr.mpt .ion Itrv (; �Za (' code, r ; � l incem(; L' .ix undo ,• , w ( . h . tvc% r s <: ction � ; } o : t. . dc• tcrrni. n ( d � ci oxc� ri. niza " fort described in sFctaon SOI. { c } ( 3 ' e internal W ' ha v ) tuz' thr� r. d < : rerrnii: cd that you :tr (% not a the, met ;tn .i. r; r� oi' :: ecti. or) 509 , a. ) of the Code , bect� u ,; n de :: crj. bctt in sec: tiora3 509 yo var (% Lounclation within ( a ) ( 11 and 17U b You mar (` ,gin org ;jni, za #— ( ) ( 1 ) ( n ) ( ✓ i. ) .. zf your sourcery of . , , opt ration charge , pleaseOu 'U fortf know s or Your Purpose . , character. , ox method of change' on your, cxcmpG s: t .a1_ u • ° ^'<� can cone; idc: r. th (. c : i' 1 r,. Lt of . tho n , (� nt to n + nd foundation status . In the case of an amend - Your organizational document ox bylaws , amended document orb laws , . p Y Al , o , please send u r a copy of, the Warne Uz , .rddreryou should in Dorm u ;: of chane ._• ;; in , � your AN o > January a Insurance Cont ' 19 � A , you are ,liable roe• Care :: und ( � r I , trit utirns Ace , rocise : e . rrit the. r d ( ra .. or more yn1t pay to each of ,your emplcyees Burin , a ) c � lFndzznyear. . Yrtru arm not Ziablt*. ra ion of s10U for the tax imposed under the Fedora I. Unemployment: 'l' , tx Trc: t ( FUTA ) . in (: e you are not t ,axcs> wn a private foundation , . you arc not subject to tato cxc .is (: cc r. Chapter 42 of. the Code , tiowevex , i. t k> en �: ti t. trans ,; tier. , that tran , .action mi ht bra you aro involved in :, n cxce r: s ( ction 4958 , A ' di ticnal, l � g � uhject to Che excise taxes of federal e :ccise taxes . If y ' You are not autorcatical1y exem r cther. fe (je •• you have. any que ; tion :r about exci �( tt� m dtttcr � • `� )' t `� x " , PlQauo contact your kCy di `SCr1C L' O { lice , p .loymon . , or Grantors r and contributors may rely on this d0tnrmin ;xtxon un3. re : , � Lttc IntcrYn �t ]. Rcycnur. ^ r. • rvic- c: publjshrz! , notice to the conr_ rax lo . , e your. Slction S09 ( a ) ( l ) status , a y • However , if you on this determination if he or shn was grantor or contributor may of , thn in pant responsiblf) for , yornot wa Yrely arr� .:ret cr. f ,- ,. kure t: o ..ret , or tJtc: subSContid ! or matP. r � dl change on the 7 ( •) 3 ( p Ir / / Letter 9 .17 ( DO / CG ) p0ott 28 04 09 : 14a p . 2 PROJECT HOPE TNC Part oz the she organization that resulted acquired knowledg ,; that the in Intc. rn ,� i Ryour 'Loss ofY YOU WO ulll no .l. on such ; t ,-ttu ^ . or if ti . gc r be cla :; ; ifir� d it ;: a S (- rvi. c. r) h .ad given n e or section 509 ( a ) ( 1 ) or • lice that donor ' may deduct contrib ;� l• ion ;s ganiz ,� tioz , Code . Bequo ;; ts , le arc= d �' ductible for fod � � ` , devise , ., transfers ,' or in :: c.+ ction 170 oF" the, aPPli. cable r .� l estate and r gifts to YOU or for provi ., xona of CodcA <. , 9ift tax Purpot, r. ,., Your u :, e ction :, 2055 0 p i ' t Qy m <^ rpt Lho 2106 , and 2522 . Contribution deduct ons �trc� their contributions allowable t' o donors only to tate ch ,� sar are gift with no cone) forzti. on r.ce <- xtr • and sirti. l ,tr P :tymGnts in eon ' nL that. nece .; sar. il � txnct _ on with fundi%%;) isinv � eVc, „ T .i. c ;cet pur - Stances ,. Y qualify ac- drducti. ble contribut: iun ;; , g may not See Revnr• ue.. RuJ. inq 61 - 246 , > dcf> end .in :t the • ` n F' ago J. 04 , pu .� li„_ . yc� c i. n Curnulcct .ive , cLrc. um r, .abte Which Set' s forth guidelines reg0d t .. - ) 0d Bul .. etin contriou ' ion , g thE: decYucti . b ; liC 1967 . 2 . p3 rticin .:ttion in o ` Payments made by taxp .iyerS for ,ad�t .i :: :: ;. c� n t: oyoriathc rz z ' undra .i. ^ i. ng ;1c; tiViti (-: .; for. <*h. rity , In the he:: ad � , ng of this letter wo have in ;l .ic ;tt: c� d whc thcr. '� 90 , Kl'. ttt n "jpf :fir. :. - •.. ' . ttt� r. cr <luired t " ' " ''' � ' � t .ion l: x <, rnX� t from Inc� ort � Y awtt f,' ilc : [sorra a L' ilr Form 99U only if. our „ x `ax ' I1' yor.: i. s ind Gated rcrmaLly Y , you more than ,". 7. 5 , 000 , t{oweve� r. gross aecei, pt : each yea m:ti : Plc� ,:tsc.: Li. l � if. yc, tt rocai. vr. ;t term ct) x •ire r f tltct return <Nvr� n i f you <Jo not eh VQ el the ., P `. tc: k4? gc: i. r1 the You ttrc not required to 1iJ, c , silrp'ly attach ; , box in gross receipts ho , t the heading to ircd .ic ;atc• th �it your �innt , . ltne .. abe .; ^ 525 , 000 e : nrovi, d , d , check t ani :; ire thc� r <> tur :a . qro : -, r. r. <. ccipt: , . tro normally It a return is ro month after the c aqui " ed , it roust bc� f :i .lr. d by thc� J. !, th d .ty of the: fifth in chargoc! . erio hen :tnrdeturnois :annt. ;al arcountin the delay . filed late , unlessthere n Penalty of $ 20 a day l tiowover , the maximum , is rc • a •; onablc cause: for S percent. of your p <, n �.ilt ,r ch <ixnc. d cannot excac: d 1 U00 or <Jr0 t ;; r (! ^. e2 ,L? C .1 for org ,:tnir. ations with _gross raceipts exceodin < isr , whichever is is S100 leas . For Per day per return urtic� ^ ,^ J $ 1 , OOO , 000 in anN. Tho maximum there is rc ;e , on ,abla c :1uc ` y1r � thrtanlPYn ' ' J. ty " " 000 , 000 :111all noticxceedo $ 50 , 000rlon w ^ th r <J o •js rc� c .yi. pts exceeding return is not cotnplotro ; o be ;; urc This penalty may E. Yoe • r re turn .i .; c Y `il � o b <. charg . d if ornp lr. l c . b t.'oro you file .i t . You tre Zc= quired to make Your Form 990 -- E � ! ar annual • information return , Form 930 or. Of available L' or public insPctctaon for tlii' c: r, year.- f; � F r m the l ,atr. x the due d,� tc of the rc� tur, n or the d , atc} return to make ; vailtable for the return is filtEed . You are also any supporting documents public ,inspect: ion your oxmmptzon appl , c ._, tion , documents ,1z �, and Your. c: x <zrnption Zc. ttr r . Cop ,ie :: of tho : ; c :u .t :ro rc ui. r, ed to t > e r Berton re ut, ,. r t P . ovidcd to an , cI � _ wzthout char9c othn Y indiviuual, upon written or in Postage , Xcu may fulfill thin: requirement rea ;lonable fees for copying ' and Internet , Fcrta , tir Lr rnn ca r g < mc� nt. by til „ tint thrac <3oc. +.unc n . :• Y b imJO .; ed for failure to comply with these # requir, , pt s . Additional informati .• Tax - Exempt Status for Xo „ on i � avai. lab10 i, n Publication 557 , Organization , or yota may call our. to ). J. ± rr. <� ntilmk> e r ;shown .ibovc . � / Z a� .7 Letter 947 ( DO / CG ) y M ! PRC .,7:CT NC ' You are not required to fS : o fo ubjo. ct to the der. al income Zf- , ou t ,ax on unr ;tl. :ztod bud ' , z tax return , unless are arc subject to this tc� x mess ir. co �iN under section SlI Y° u 99 (1 - T , Exem t you must file an iner of the not dct. P nz'aa. r ization Businen tax roturn lode , erminin �, wil , th4tr any Income T4x Return . In this On Form " tact trade or bus ;i .z ;,� ss � y of Your present or ro osed lettC r we are as Cetined in section 523 0 ° the Cod ,, are unKe . You neOq at� Cddr_ . zf an ern to �� c. mF, loyer identification �' Y - r identifi. cztiOn numbor w � c nurnber even i1 you havr,• number will be iAssillrle, d to not entered on r. 0 employees . number Un, ,ily rl ` tllrns YUU 1f1C You Will be �J yO1J ' '� n� i �. ^ iAtlOn , J you f .i. lc zdVi ., ,id ot� it , Plra4• e use RC" tlenlrt? Service , and in all corres that porndenc. e with the Internal IP we h ,avr., indicated applie �; , a. n the h �: �ai, n the enG2osed c1daendum , ar y of thi aettor that an udcie� nctum ` irltogral part of thi, a 2 � r_ ttr , �3i� c13" c' this; totter. cOk1j , 7 e r status aa (( 'oundati. gn = tutu ; 1p esolve any questions about , You should keep it i 1 Your s. xc mpt W your pc� rm, lncr� t r: acoxc� s . Your powerVofyaC � rrneopy' ci the let- ter to your xeprosc, ntar, ivt ._As it ( d . c . a , . cd i . n hone n ber any qu4st � c ns , please contact the t0l `= t' n i ember axe shown ir , t ! < , 2ic :xd , vti th Verson whose: name anC ingsincerely yours , Lois C. Lerner Director , Exempt Qrganiz ,atior. :; Ilad � ( ' W. '.� p � Letter 947 ( DO / CGi