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HomeMy WebLinkAbout2004-229H i� o y 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 ("Countyl and Homeless Family Center (HFC) , ("Recipient") , of: �Tillty�2Yrter{+iFG) 15 4th Place Vero Beach, FL 32962 s°Btt�respr�acA, 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 Us 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 Fifteen Thousand Dollars ($ 15, 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 "Bn 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 Boar! 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 Reguirements Recipient shall , no later than September 21 , 2004, 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 $12000, 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, Chal 1'6a ' r BCC Approved `4 40 Attest: J.K. Barg "Clow i n , By: Deputy: Jerk Approved : 0 CAY\ % A(Cl*k Jose h A. Baird County Administrator Ap ed s to forrn and le ienc an , Assists A omey RECIPIENT: By: Homeless Family Center (HFC) 4 - EXHIBIT A [Copy of complete proposal/application] - 1 - Homeless Family Center A.stets Build Futures Indian River Advisory Committee PROGRAM COVER PAGE Qrgai>»ati e. one ess; a C n Executive Director: Sue Rux E-mail : suerux hac@bellsouth. net Address: 715 41. h Place Telephone: . (772) 567-2766 Vero Beach. .FL. 32962 . . Fax: .(772) .56.7- 1 .4.54 Program. Director. ; Sue . Rux, E-mail : (Same) 4ddress: f Same) Telephone: Fax: Priority Need Area Addressed: Mental Wellness Issues and Parental Support & Education Brief Description of the Program : To provide art therapy (RB-050), child development classes CPH-610. 519) and Darenting skills development (PH-610 680) for children of homeless families residing in a homeless shelter BH- 180 850) and family transitional unit BY 180. 950) which focuses on building a positive identity for and with their children An art teacher provides art instruction and focuses on building self-estem through art expression The child development specialist provids parenting skills training and self —esteem training to homeless children and their parents with a focus on building assets in children S AgIL ,} s }�{O t■wei;Inffo�nrm ation In The Black Cells Only) ■ri■ (�i'y II{l? M0 „ x � MM� � r'�� Y.. eo V'0 x t ' Tota roposed Program Budget for 2004 /05 : 232580 . 00 Percent of Total Program Budget : 6306 % Current Program Funding (2003 /04 ) : $ 15 , 000 Dollar increase/(decrease) in request : $ Percent increase/(decrease ) in request * * : 0 , 0 % Unduplicated Number of Children to be served Individually : _ Unduplicated Number of Adults to be served Individually : 6 Unduplicated Number to be served via Group settings : 82 Total Program Cost per Client : 267 . 95 * *If request increased 5% or more, briefly explain why : If these funds are being used to match another source, name the source and the $ amount: The O zation 's B ar fDirectors has ap roved this applicati on (date). 4/27/04 r� Name of dead o the oard Signature Sum q/ y-X Name of Executive Director/CE0 Si at= 3 Homeless Family Center Assets Build Futures Indian River Advisory Committee 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 '/2" X 11 " paper and number each page. These directions and the graphic boxes may be deleted if space is needed . A. ORGANIZATION CAPABII.ITY (Entire Section A not to exceed one page) 1 . Provide the mission statement and vision of your organization. The mission of the Homeless Family Center, Inc. (BFC) is to provide opportunities for homeless families and individuals to end homelessness by achieving self- sufficiency through education, living wages, and permanent housing. The vision is that each homeless family will achieve their short-term and long-term goals and be able to obtain and maintain stability and resources to end homelessness. 2. Provide a brief summary of your organization including areas of expertise, accomplishments, and population served. The Homeless Family Center has developed from a grassroots organization incorporated in 1992, to an organization, which provides short-term (emergency), and long-term (transitional) housing for homeless families and individuals. The following highlight the organization accomplishments during the last fiscal year. • June, 2003 , opened the transitional housing facility for homeless families making available a total of 15 family bedrooms allowing increased capacity from 26 beds to 60 beds. • Provided emergency shelter to 38 families (including 89 children and 52 parents), 98 single adults for a total of 239 homeless housed. • Provided homeless prevention services through a rental assistance grant to 50 families (including 132 children 70 parents). • Expanded services to include an Employment Program. 4 Homeless Family Center Assets Build Futures Indian River Advisory Committee Be 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 . It is estimated there are over a million children homeless in America. In Indian River County, it is estimated there are over 450 homeless daily of which 45 % are families . More than 25 % of homeless children have experienced homelessness more than once. Families are the fastest growing population of homeless nationally and locally. According to a 1999 study of "Homeless in America : A Children' s Story" conducted by The Institute for Children & Poverty, homelessness for children is often an extended period of time in their young He which is fraught with educational and emotional setbacks that lasts for years. Nationwide, 1 in 5 homeless school aged children repeat classes. Their educational levels are lowered due to excessive school transfers, high absenteeism, under educated parents, and chronic homelessness. Approximately 47% suffer depression, anxiety, display aggressive behaviors and are taunted by their peers for being homeless. The 2000 "Homeless Education Program", sponsored by the Broward County School District and funded by the McKinney Homeless Assistance Act of 1990 identified for educators the visible symptoms and behaviors of homeless students. The program documents that such children display low self-esteem; are either withdrawn and listless, or hostile and aggressive; are emotionally needy; are old beyond their years; feel unsafe in their environments; and feel shame at where they live. In addition to educational setbacks there are developmental delays which augment feelings of failure. The experiences of "fractured families" consumed with the family stress of poverty, living in a homeless center, unemployment and/or low wages, and the uncertainty of the future also causes hopelessness, fear, insecurity, and anxiety in children. Families often do not have the energy nor resources to nurture their children or provide positive reinforcement and developmental experiences which builds self-esteem and resiliency. 5 Homeless Family Center Assets Build Futures Indian River Advisory Committee 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 . Other local programs providing services to homeless families include the Samaritan Center, a local transitional housing program and Safe Space, a shelter for victims of domestic violence . However, studies on homelessness, conducted by the Treasure Coast Homeless Services Council , verifies that the need for services for these children and their families is far greater than the availability of services to meet their needs . HFC programs provide more capacity for services . 6 Homeless Family Center Assets Build Futures Indian River Advisory Committee co PROGRAM DESCUPTION (Entire Section C, 1 — 6, not to exceed two pages) 1 . List Priority Needs area addressed . Mental Wellness Issues and Parental Support & Education 2. Briefly describe program activities including location of services . 65 hours of art therapy will be provided in small group settings. Activities will focus on visual art activities of various art forums such asL drawing, sculptures, painting, craft progjects, puppetry, etc. , which focus on self-expression . Art therapy classes focus on socialization and positive reinforcement for individual art expression. 500 hours of services provided by the child development specialist will include parenting groups, individual family consultation, and educational groups for elementary age, middle school and teens. Sessions will be focused on: building mutual respect; managing difficult behaviors; developing boundaries ; reinforcement focused on building self-esteem; communication; and developing positive parent/child relationships. Activities will occur at the residential facilities. Follow-up is provided to families residing in the transitional housing program; family consultations will continue as needs arise and children may continue to participate in activities. 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. Since 1990, the Search Institute has focused on the development of "healthy communities, healthy youth" through their research and implementation of programs which promote the 40 developmental assets of children. These assets, which include building external assets (support, empowerment, boundaries & expectations, constructive use of time) and internal assets (commitment to learning, positive values, social competencies, positive identity) are the building blocks of healthy development of young people to grow up healthy, caring and responsible. The HFC proposed program for homeless families is designed to impact the internal asset of developing a positive identity in children through achieving personal power, self-esteem, a sense of purpose and a positive view of one ' s future. 7 Homeless Family Center Assets Build Futures Indian River Advisory Committee 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). Staffing required for program implementation include: Debbie Fox, an art instructor, who is an art teacher in the Indian River School District, she has experience in teaching special needs children. The child development specialist, Beverly Whitely, has a Ph. D in Education and has extensive experience in conducting mental health groups . Sue Rux, MSW, the Executive Direct/Program Director, will provide on-going supervision to the staff and program activities. 5. How will the target population be made aware of the program ? Homeless families are referred to HFC either through self-referral or local community agencies. Families entering the program meet eligibility criteria, complete a comprehensive assessment and individual case plan, which identifies specific goals and objectives based on the family needs. Common need areas identified include: employment, mental health, substance abuse, debt, legal issues, transportation, family support and housing. Additional areas of concern include: parenting issues, special needs of children, school and relationships within the family. As families enter residential programs, they will be made aware of, and required to participate in the available family programs such as identified in this proposal. Families will receive an orientation to these programs as a part of their assessment and plan development process. b. How will the program be accessible to target population (i. e., location, transportation , hours of operation)? Homeless families reside at the facility where the program will be conducted . Group activities for children are available after school, parent activities are available on evenings, weekends and throughout the day as scheduled . No transportation is required for this program. 8 Homeless Family Center Assets Build Futures Indian River Advisory Committee D. MEASURABLE OUTCOMES (Description of Intent) Use the A.feasurable Outcomes form. This dmWP4qn ggge does not need to be included in the pLoposal. 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 • Time frame • 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 I (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 (time frame), 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 (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 that are going to influence the outcome and impact the unacceptable condition in your Program Need Statement. 9 Homeless Family Center Assets Build Futures Indian River Advisory Committee D . MEASURABLE OUTCOMES (Entire Section D not to exceed two pages) OUTCOMES ACTIVITIES Add all o the elements or the Measurable Outcome(s) Add the tasks to -accomplish the Outcomes 1 . Increase knowledge of parenting techniques • Participation in weekly parenting skills for 42 parents residing at the Homeless Family training classes conducted by the Child Center by 75% during the grant period as Development Specialist measure by the parenting skills pre-test/post- • Provide individual family consultation and test, counseling services to parents and their children regarding identified family specific parenting and/or behavior issues in the family unit. 2. Improve knowledge of positive behaviors • Weekly art therapy classes utilizing a and coping skills which promote self-esteem variety of art techniques to facilitate for 46 homeless children ages 5 to 18 residing positive self-expression with youth 5 - 14 . at the Homeless Family Center by 75% during . youth ages 540, 1144, and 15 - 18 will the grant period as measured by the "About participate in age appropriate Me" pre-test/post-test. groups focused on communication skills, conflict resolution, empowerment and related topics which focus on self-esteem building. 10 Homeless Family Center Assets Build Futures Indian River Advisory Conuatee E. COLLABORATION Entire Section E not to exceed one page) 1 . List 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 agreement letters. Collaborative Agency Resources provided to the program Through the school liaison for homelessness, they Indian River County School District provide school supplies, assistance with school enrollments or transfers, assist with obtaining free and/or reduced lunch programs, provide transportation and serve as a resource for solving other problems which arise with homeless children in the school. Provides food and snacks for children and families at the Treasure Coast Food Bank Center. Share a management information system (MIS), Treasure Coast Homeless Services collaborate on grant projects the annual needs Council assessment process for the homeless 11 Homeless Family Center Assets Build Futures Indian River Advisory Committee F. PROGRAM EVALUATION (Entire Section Fnot 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 Bl ? Program experience during the last year has demonstrated that nearly every child residing in the homeless shelter environment displays some of the emotional and/or behavioral issues previously discussed in section B . Parents appear to welcome any support and guidance staff can offer regarding parenting issues. * * * * See #2 (Below) for data collection * * * * 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? ITEM MEASURES FREQUENCY Child name, age, sex, race Enrollment Forms Upon intake Gender, school, county Parenting Skills Development Pre-Post Test Beginning & End of Groups Problem Behavior(s) Behavior Issues Checklist I " week in residence Behavior Management Observations &Progress Weekly Notes Art Class Outcomes Art Therapy Logs Weekly Participation Levels Attendance Logs Each class meetings Self-esteem issues "About Me" Assessment Beginning & End Groups 12 I Homeless Family Center Assets Build Futures Indian River Advisory Committee I 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 ? Results of the program will be shared with the funder, through the monitoring and reporting process. A final report will be shared with the staff and Board of Directors which shows the results and outcomes learned from grant implementation . On-going information is shared with parents as part of their involvement in the process . The experiences and results of the program will be use to continue to develop and/or improve services of the program to homeless children and their families during their stay in residence. It is the hope that some lasting results will be gained by parents and their children which will improve the overall health, strength and functioning of the family as a support system. 13 Homeless Family Center Assets Build Futures Indian River Advisory Committee 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. Mouth/Period Activities October-December Series # 1 — Parenting Skills & Child Development Classes Parent/Child Assessment completed with needs identified Pre-Test Administered for Parenting Classes "About Me" Assessments with Children On-going weekly art-classes Post-Tests January — March Series #2 — Parenting Skills & Child Development Classes Parent/Child Assessment completed with needs identified Pre-Test Administered for Parenting Classes "About Me" Assessments with Children On-going weekly art-classes Post-Tests April — June Series # 3— Parenting Skills & Child Development Classes Parent/Child Assessment completed with needs identified Pre-Test Administered for Parenting Classes "About Me" Assessments with Children On-going weekly art-classes Post-Tests July — September Series #4— Parenting Skills & Child Development Classes Parent/Child Assessment completed with needs identified Pre-Test Administered for Parenting Classes "About Me" Assessments with Children On-going weekly art-classes Post-Tests 14 M-711 l ' 111 e* iCunxnt Budget 1 1 1 1 v t 11 IT i ;Zwpf us I 1 1 I If 1 IM, M. 0101iii�llii 1 1 1 I 1 I 1 f. v/ 1 . 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J�i S8 // 8 jr r V 40, ell r /� // l r /` / �•// %% R' �• r7 ;7 Iv IX / rr l r / r r ✓: . / / /1r /fir://l ✓ / 1/ i � /� // ' : .; LU 4� LL ) X K 40z Yf � o C p 8 a o N eL L C C W C E SN bb 5�y�i C` t� m _ . m � � it TY the QgatiLe90n aN Rola'n rbim UNIFORM GRANT APPLICATION TOTAL AGENCY BUDGET AGENCYIPROGRAM NAME: Homeless FamilyCenter - Assets Build Futures FY 02103 FY 0=4 FY 04105 % INCREASE FYE MAW FYE 9130104 FYE9PAW CURRENT VS. NEXT FY BUDGET A B C D ACTUAL TOTAL PROPOSED Iod. CcoL ByeoL 6 REVENUES BUDGETED BUDGETED 1 Children's Services CouncilSt Lucie 0.00 #DNrot 2 Children's Services Council-Martin 0.00 #DIVrot 3 Advisory Committee4ndian River 137703.58 15,000.00 15,000.00 0.00% 4 United Way-St Lucie County 501000100 #DNIO! 5 United Way-Martin County 0.00 #DN/01 s United Way-Iridian River County0.00 #DN/0! Department of Children & Families 61 103.04 0.00 0.00 #DIVro! Coun Funds 619105.25 559336.00 550000.00 0,61 % Contributions-Cash 357,727.53 402 700.00 400 000.00 10.670A 10 Program Fees 662.25 0.00 #DIVro! 11 Fund Raising Events-Net 7846.72 25,000.00 209000.00 -20.00% 12 Sales to Public-Net 0.00 #DNro! 13 Membership Dues 0.00 #DN/0t 14 Investment Income 0.00 #DNlO! 15 Miscellaneous 999.11 0.00 #DIV/01 16 L atlas & Bequests 21 ,925.00 0.00 #DIV/oI 17 Funds from Other Sources 23,039.87 19 632.00 18,000.00 -8o31 % 18 Reserve Funds Used for Operating 112,168.00 113,412.00 19 In4Qnd Donations pwndwm°dn �I 0.00 #DIVro! 20 TOTAL 548112 35 629 836.00 s71 12A0 EXPENDITURES 21 Salaries 254,674.07 319 847.00 431 ,707.00 34.9722 FICA 20701 .38 24,468.00 31 ,005.00 26.72% 23 Retirement 3 AO 3XMM 4,500.00 28.57% 24 LifdHealth 28,471 .80 38,431 .00 48,500.00 26.20% 25 Workers Compensation 21 ,475.00 10,800.00 13,600.00 25.000, 26 Florida Unemployment 20.67 0.00 #DNro! 27 Travel-Dai 2v28622 3,000.00 900.00 -70.00° 28 TraveUConferences/1 rainin 11600.00 #tlNlOI 28 Office Supplies 2 688.44 21800.00 3,000.00 7.14% 30 Telephone 12,192.80 10,000.00 10,000.00 0.00% 31 Posta dShi 1 .16 3,800.00 3,800.00 0,00% 32 Utilities 22,875.39 26 000.00 241 0,00 -7.6996 33 Builth & Grounds 12,147.69 12 000.00 12,000.00 GAO% 34 Prirtfi & Publications 69000.00 #DNroI 36 Subscri bon/Dues/Membershi 624.69 1 000.001 ,000.00 0,00% 36 Insurance 9102.83 17 632.00 180000.00 2.09% 37 E ui mentRental & Maintenance 460.00 3,500.00 3,500.00 0.0094 38 Advertisi 61763,911 4,600A0 41000.00 41 .11 % Equipritent Purchases:Ca 'tal Expense 0.00 0.00 #DIV/O! 40 Professional Fees (Legal, Consulting) 13091 .16 106 820.00 12 600.00 -88,09% 41 Books/Educational Materials 8,438.00 0.00 400.006A 42 Food & Nutrition 6,361 .76 81500.00 10,600.00 23.63% 43 Adminlstrative Costs OAo #DNro! Audit Expensep7 .00 10 800.00 10 800.00 0.00% 45 Specific Assistance to Individuals 68,522.60 0.00 0.00 #D11N01 46 Other/Miscellaneous 16,000.00 8,500.00 43.33% 47 Other/Contract12,100.00 #DN/O! 48 TOTAL 494,658.57 629,836.00 671 All 2.00 6.60% REVENUES OVER/ UNDER EXPENDITURES 53Aw.781 0.00 0,001 #DNro! es Type IN aya.zakm ml Proal= Nate UNIFORM GRANT APPLICATION TOTAL PROGRAM BUDGET AGENCYIPROGRAM NAME: Homeless FamilyCenter/Assets Build Futures FY 02103 FY 03104 FY 04/05 a/o INCREASE FYE 9130103 FYE 9/30104 FYE MOMS CURRENT VS. NEXT FY BUDGET A B C D ACTUAL TOTAL PROPOSED (ad. t:-coL Bycal e REVENUES BUDGETED BUDGETED 1 Children's Services Council,St Lucie 0.00 #DN/0! 2 Children's Services Council-Martin 0.00 #D!V/01 3 Advisory Committee-Indian River 13,703.58 159000.00 15 000.00 0.00% 4 United Wa St Lucie County0.00 #DIV/01 United Way-Martin County 0.00 #DIVi01 United Way-Indian River County 0.00 #DIV/01 7 Department of Children & Families 0.00 #DN/01 a County Funds 0.00 #DIV/01 9 Contributions-Cash 89664.561 8,580.00 -0.86% 10 Program Fees0.00 #DIV/01 11 Fund Raising Events-Net 0.00 #DIV/01 12 Sales to Public-Net 0.00 #DIVJ01 13 MembershipDues 0.00 #DN/O! 1 Investment Income 0.00 #DIV/01 15 Miscellaneous 0.00 #DIV/01 le 'Legacies & Bequests 0.00 #DIV/01 17 Funds from Other Sources 0.00 #DNIO! is Reserve Funds Used for Operating 0.00 #DIV/O! 19 In-Kind Donations (ria kXk1ded in total) 0.00 #DIV/O! TOTAL 13,703.58 23,654.66 231680.00 -0.32% EXPENDITURES 21 Salaries 41000.00 400000 4,000.00 0.00% 22 FICA 0,00 #DIVJO! 23 Retirement 0.00 #DN/01 24LifeJHealth 0.00 #DIVro! 25 Workers Compensation 0.00 #DN/01 26 Florida Unemployment 0000 ! #DIV/O! 27 Travel4:)aily0.00NJOI 29 Travel/Conferences/Training 0.00 #Divlol 29 Office Supplies 216.08 224.00 240.00 7.14% 30 Telephone 969.62 800.00 800.00 0.00% 31 Postage/Shipping0.00 #DNlOt 32 UtilitiesMM 1 ,830.03 2,080.00 11920.00 -7.69% 33 Occupancy (Building & Grounds 971 .82 960.00 960.00 0.00% 34 Printing & Publications 0.00 #DNJOI 35 Subscri tion/DuesJMembershi s 0.00 #DIV10! 36 Insurance 728.23 1v410.56 1 ,440.00 2.09% 37 E ui ment Rental & Maintenance 36.00 280.00 280.00 0.00% 38 Advertising0.00 #DIV/0I 39 Equipment Purchases:Ca ital Ex nse 0,00 #DIV/01 Professional Fees (Legal, Consulting) 0.00 #DNJO! 41 Books/Educational Materials 0.00 0.00 #DIV/01 42 Food & Nutrition 508.88 800.00 840.00 5.00•x6 43Administrative- Costs 0.00 #DIV/0144 Audit Expense 0.00 #DIV/01 45 Specific Assistance to Individuals46 0.00 #DNJOf Other/Miscellaneous 17000.00 11000.00 0.00% 47 Other/Contract4,443.93 12,100.00 12,100.00 0.0006 48 TOTAL 13 703.68 23,654.66 230580.00 -0,32% 49 REVENUES OVERJ UNDER EXPENDITURES 0.00 0.001 0.00 #DNJ01 erdm Ba • TYPe the OFWnira*m ane Program Name UNIFORM GRANT APPLICATION FUNDER SPECIFIC BUDGET PROGRAM EXPENSES AGENCY/PROGRAM NAME : Homeless Family Center /Assets Build Futures FUNDER : Indian River County Advisory A B C FY 04/05 FY 04/05 % OF TOTAL FUNDER TOTAL VS, PROGRAM SPECIFIC FUNDER REQUEST BUDGET BUDGET col. B/col. A EXPENDITURES 21 Salaries 4,000.00 0.00 0.00% 22 FICA 0.00 0 .00 #DIV/O! 23 Retirement 0.00 0.00 #DN/0! 24 Life/Health 0.00 0.00 #DN/4! 25 Workers Compensation 0.00 D.00 #DN/O ! 26 Florida Unemployment 0.00 O.00 #DN/01 27 Travel-Dail 0.00 0.00 #DN/01 28 Travel/Conferences/Training0.00 0.04 #DN/01 29 Office Supplies 240.00 0.00 0,00% 30 Telephone 800.00 0.00 0.00% 31 Postage/Shipping O.00 0.00 #DIV/O! 32 Utilities 1920.O01 1 ,040.00 52.08% 33 Occupancy ( Building & Grounds) 960.00 50OQO 52.08% 34 Printinq & Publications 0.00 0 .00 #DN/OI 35 Subscription/Dues/Memberships 0.00 0.00 #DN/O ! 36 Insurance 1 ,440.00 400.00 27.78% 37 Equipment: Rental & Maintenance 280.00 0.00 0.00% 38 Advertising0.00 0.00 #DI1//01 39 Equipment Purchases : Ca ital Expense O.OD O.00 #D!V/01 4o Professional Fees (Legal, Consulting) 0.00 0.00 #DN/0! 41 Books/Educational Materials 0.00 0.40 #DIVIOI 42 Food & Nutrition 840.00 0.00 0.00% 43 Administrative Costs 0.00 0.00 #DN/O! 44 Audit Expense 0.00 0 .00 #DN/O! 45 Specific Assistance to Individuals 0 .00 0.00 #DIV/01 46 Other/Miscellaneous 1 004.00 13000.00 100.00°1° 47 Other/Contract 12, 104.00 1210040 100.00% 48 TOTAL $239580.00 $ 15,000-00 63.61 % &12r2Wa E" Type IM orpenbWW wo Pmgn Ng" UNIFORM GRANT APPLICATION EXPLANATION FOR VARIANCES OF 15% OR MORE FUNDER SPECIFIC BUDGET AGENCY/PROGRAM NAME : Homeless Family Center - Assets Build Futures FUNDER: Indian River County Advisory Committee #DIV/0 0 #D #DI 0 #DIV 0 #01v/01 #DIV 0 #D[V/01 Utilities Occupancy (Build I & G s 8% of the total location is used s ecificall for this ro eet therefore, 8°% of the ex nses where attributed to this ram. #01v/01 =V101 Insu 8 °% of the total location is used specifically for this project, therefore, 8°% of the ex nses where attributed to this program. ;7DIV101 1 #Dt 0 MIMI #DI LQjyLQj #DI otherinlFsceligneous iMaterialswillbe needed for the Art Program Oth tC tract he indi 1 uals provl ing the program services (art therapy and chid development) are prowding time ust r this program envloa 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 301) 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 - Y 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: Homeless Family Center (HFC) 715 4" Place Vero Beach , FL 32962 Attention : Sue Rux 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. Severabilifir: 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 — r � Internal Revenue Service Department of the Treasury P. O. Box 2508 Cincinnati, OH 45201 Date : August 2, 2001 Person to Contact : Ms. Dalton 31 -07425 Homeless Assistance Center Inc Customer Service Representative Toll Free Telephone Number: 2525 Saint Lucie AVE 9:00 a.m. to 9 :30 p.m. EST Vero Beach , FL 32960-3385 877-829-5500 Fax Number: 513-263-3756 Federal Identification Number: 59-3129752 Dear -Sir or Madam: This letter is in response to the amendment to your organization 's Articles of Incorporation filed with the state on July 18 , 2001 . We have updated our records to reflect the name change as indicated above . Our records indicate that a determination letter issued in August 1992 granted your organization exemption from federal income tax under section 501 (c) (3) of the Internal Revenue Code . That letter is still in effect. Based on information subsequently submitted, we classified your organization as one that is not a private foundation within the meaning of section 509 (a) of the Code because it is an organization described in section 509 (a)(1 ) & 170(b) (1 )(A)(v) . This classification was based on the assumption that your organization's operations would continue as stated in the application . If your organization's sources of support, or its character, method of operations , or purposes have changed , please let tis know so we can consider the effect of the change on the exempt status and foundation status of your organization . Your organization is required to file Form 990, Return of Organization Exempt from Income Tax, only if its gross receipts each year are normally more than $25 , 000. If a return is required , it must be filed by the 15th day of the fifth month after the end of - the organization's annual accounting period. The law imposes a penalty of $20 a day, up to a ma. 5d of $ 10, 000, when a return is- filed late; unless there is reasonable cause for the -delay. All exempt organizations (unless specifically excluded) are liable for taxes under the Federal Insurance Contributions Act (social security taxes) on remuneration of $ 100 or more paid to each employee during a calendar year. Your organization is not liable for the tax imposed under the Federal Unemployment Tax Act (FUTA). Organizations that are not private foundations are not subject to the excise taxes under Chapter 42 of the Code . However, these organizations are not automatically exempt from other federal excise taxes . Donors may deduct contributions to your organization as provided in section 170 of the Code. Bequests , legacies , devises , transfers , or gifts to your organization or for its use are deductible for federal estate and gift tax purposes if they meet the applicable provisions of sections 2055 , 2106 , and 2522 of the Code . -2- Homeless Assistance Center Inc 59-3129752 Your organization is not required to file federal income tax returns unless it is subject to the tax on unrelated business income under section 511 of the Code. If your organization is subject to this tax, it must file an income tax return on the Form 990-T, Exempt Organization Business Income Tax Return . In this letter, we are not determining whether any of your organization's present or proposed activities are unrelated trade or business as defined in section 513 of the Code. The law requires you to make your organization's annual return available for public inspection without charge for three . years after the due date of the return. You are also required to make available for public inspection a copy of your organization's exemption application , any supporting documents and the exemption letter to any individual who requests such documents in person or in writing . You can charge only a reasonable fee for reproduction and actual postage costs for the copied materials . The law does not require you to provide copies of public inspection documents that are widely available , such as by posting them on the Intemet (World Wide Web) . You may be liable for a penalty of $20 a day for each day you do not make these documents available for public inspection (up to a maximum of $ 10 , 000 in the case of an annual return) . Because this letter could help resolve any questions about your organization's exempt status and foundation status, you should keep it with the organization's permanent records. If you have any questions , please call us at the telephone number shown in the heading of this letter. This letter affirms your organization's exempt status . Sincerely, John E. Ricketts , Director, TE/GE Customer Account Services Date : 11 / 4 / 2000 Tithe . 2 : 07 PM To : R 587 - 8024 • Page : 001 ~ 00w' CEIRTIFICATE OF LIABILITY INSURANCE �°A� °�"004 ( 771) 5b7- 11*a F !� /Zoo4 AX (772) 77;:i - 1426 THIS CERTIFICATE ISSUED A8 A MATTER OF INFORMATION SCFiLITT T hXClt SERVTCE:S rNC ONLY AND CONFER$ NO RIGHTS UPON THECER71FICATE 173.7 INDIM RIVER BLVD HOLDE17. TNIS CCRTII'ICATC DOC$ NOT AIRGND, CMNO OR 531YTE 300 ALI THE COVERAGE AFFOR007 BY THE POLfC S BELOW- VEKV BEAM FL $1960 INSURERS AFFORDING COVERAGE MAIC 0 JNsu( NOtee9ess FamilyCeTv er, Inc . -- iF7R%N'rRpR FWC3l1k 715 4th N'iate Vere Beach , FL. 32962 '. THE POLICIES f 1RANCE LISTED a@LOW MAVE BM ISSUEDTO ; HE iNSUR£D NAMED ABOVE FOR TME POLICY PERIODINDICAYED . NOTWITHVIANOINC ANY REWREMEN1 , TERM OR CONDMON OF ANY CORTK4CT OR OTHER DOCUMENT WITH RESPECT TO 1111141011 THIS CERTIFICATE MAY BE kz;UX ! OR MAY PERTAIN, THE INSURANCE WORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDf IONS OF Su .4 POLICIES. At'313IQEGATE LIM" SHOWN MAY NAVE NEM REDUCED SY PAI® CLAIMS. �dSR TME OF +w4I E . , ,.. , . - — PD= NLOMER AYE'F— ECTIVE—I F7Uunpu70N — -` -- ----- M1 E.RA1I C1A111JTY LIAMS i EACH OCCURRENCE CONINERGAL. 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VEHICLES,. / ECCLVWNVA'ww9Y6MommENTJSPECULPmomsmL aural � n euvrunx sanvcncarveeFn wr ra.alac ra�rra 1 Gn Rr>Frn>e t� EXINVAII'M U11IE TWIRECIF, THE WKW4rx HMO—?WILL eWE.AVMTO WA „�Q„ DAV$i{YRlYTl3+ NOMU TD T41E CEJZ'11PTCfiT� rKADCR NAMED TO TidE LEFT. Ind I 'm I. 9Vpr County our Kara.em8 lfo wA. Wk," wYIVY SK&Le vx"E Nn er3L, Av?N CW LaAsnm� 1840 1Sth Street OFAriYKIM WMrltE 11VACOIY9 (AnFIR NTATM, Veru Beach , FL 31.966 r3ol; DRJ7EORr fFNTAT1vE fre Sehi ixr . 29MLIAR 1kCORD 25 (2001hD8) Oa ACORD CORPORATION 1968 Dat e : 011 / 4. / 2004 Time : 1 : 27 PM Tome IN bei ! — bVzi Pages 001002 A �>a CBR11FIC,ATE OF 'LIABILITY INSURANCE 10/04/` MXVffM � 2004 PROWLER (772) 567 1188 FAX (772 ) 778 - 1416 THIS CERTW4CATE IS ISSUED AS A MATTER OF INFORMATION SCHLITT INSUKAKE SERVICES INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. TH13 CERYWICATE DOES NOT AMEND, EXTEND OR 1717 INDIAN 9 VER BLVD ALTER THIE COVERAGE AFFORDED BY THE POLICIES BELOW. SUITE 300 VERSO BEACH , FL 32960 INSURERS AFFORDING COVUWE: NAJC M foucfro QiOiis FamilyCenter , Inc , wLF4m t Royal Insurance Co . 71S 4th Place 1usLp R E Vero Beatcht FL 32962 Qc tt5U1�EN il 119.1RER E: YHE POLICES Of INSURANCE USTEO BELOW HAVE OEtW ISSUED TO I AE INSURED NAMEO ABOVE FOR 7NE POLICY PERIOD INDICATED. NQTW"5TA44DINQ ANY REQUIREIAWT, TERM OR CONDITION OF ANY CQN; RACT OR 0 H-A DOCUMENT WrM RESFECTTO LVMICH IMS CERTIFICATE MAYBE ISSUED OR MAY PERTAK THE MURANCE AFFORDED LYY INE POLICIES DESCRIOLD HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITi0N3 Of SUCH POLtt:IES. AC GREGATE LIMITS SHOV*4 MAYK'kVE BEET► REDUCED BY PAID (.I AIMS. Yi8 _.. . ,...T YK S E _ •-' pO11CYNlDt10ER POLICYEFFECTME POUCYEXPIRATMNWSW LA4aT8 GUREM LPZAJTY R12ST291361I 01/09/2004 01/09/2005 EACMWjaA>1ENc•� t I Q00 , X , Cd1E(� Ihl GEA1t RAL LNBLlI1' aF LN s. . ...._.. . .... ti19f1 , - MAW. MArw OCCUt IdE17 C><fi lA.•Kaa D M; f S , A X II rERSONAL & ADV RJF. Wy f 1 . 000 , l I i Oe CM& Arr;?FJ�A7F C 3 I100 CUM .WCMCOAWIrp+�TT APPU6; PER PROOUCTS • COW/OP ACG f INCL Ptxcw . : LCC Au"WeLeL"RJTY r,CM1too+Cr V4eACLMT f —� i (fr McinnrJ AM' AUR; ALL (WtDA'JTCr4 , BODILYRATt( f tirr .OlA Fil AUI OS I tPer Ger m) H'iEDAUr(rb C-0myt"FAY f M•- ! (PW 9CCidB1%1 � IxN•Km*tOaUicr`.: MOM.1re DAIAACE S WAZELUO"Y ALR0 "4XY . EAACCK:*W S ANY A4TO TNAi1 ALITOOKY: ACG • f £XCESSAA+IIIIREUALUUKJTY EACHOGC'UiFEPX:E S CrCLF C,I.AIMS MADE At9MMAW S T _ nETEM)ON f p � S Tl'OIO m C0"mmTIONAND - - i - T MtTS � .R EWLCYEIt4' LNBLITY E.L. E " AOMENT If AW PROFRE'fWAR1 tIWq xECUnVE y OFFKERft%CN f.RFY010EV0 i CL . CAEMPtNmc t . fi.Pfit:U�L�FZ VT kwstmkw CL. Dt'.�CJ' 15L - POLIGYIJI�MC f - o7Nrgg R25T291362 01/09/2)04 01/09/2005 Aggregate : a006 A roTessional F..�h ['1 aim S 7 , M , flW lability WACO"ON Or QftPAP." I LOC,ABONS IVEACLES 1 EXCule " AWEO DY EN00"EMEW I SKCIAL PROVISIONS UpAse and Molestation Coverage A99tv"ate $ 100 , 000 , each occiurreme $ 100 , 000 rfiticate Holder is Additional Insured for Liability rwANCELLAMN *MDMA Mil' OF TW. rV00VC; OC"RAMCO PoVeMl QC 0AMCQL"= WOW r0C EXPBtATtOMOMTHEAEOF. THEI3JG !l4llitATALL 94DFAVORTOMM 10- 0AY$WR VNOT= TD74CM11FICATE14OLDERNAMEDTUTNGLEFT, Ind 1 art River County twrrAxur T'O Mrs 8U0mHo4neC: qKML IMPOCE Ito osuCAM" ORLMMUrr 1940 25th Street nF ANY iOND UPON THE tNSUR6R rt3 AGt3f1S ortRErleBsENtATT1 E5. Vero Beach , FL 32960 9)TH0=D PJ7WA TATN6 3effrcy Schl itt , CPC !/LAR ACORO 25 (2001106) OACORD CORPORATION 1486 4 Sa fa Date.. : 9 / Z3 / 2003 Time : 10 : 33 AM To , G 587 - 1954 Pa ze : 002 - 002 __ Homel Uss Wl st ; nce Center , Inc . Supplement to Certificate of Property Insurance Certificate ID# Prop & WC 091231ZU03 SCH LITT INSURANCE SERVICES INC Property List - - . —._ _ -- - Loc # Bldg A Address , County , city , SLalc Zig, 00001 00001 715 4th Place Vero Reach , FL 32962 Covered Property Valuation Causes of Loss Limits Deductible Coins . R wi nPrt Personal Prope RC Special ( ( ncluding Chef 250000 80 Building NV Special (Including thef 140 , 000 80 Loc 9 Bldg 9 address , County , City , State Zip 00002 00002 720 4th street Vero Beach , Indian River , FL 32982 Covered Property Valuation Causes of Loss Limits Deductible Coins . % Building RC Special ( Including theft 470 , 572 1 , 000 so $usiness Porronnl Pra{iQ Special ( lncludirio thef 409000 11000 so