HomeMy WebLinkAbout2004-229 pie
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CHILDREN'S SERVICES ADVISORY COMMITTEE
C/O Human Services
1840 25'" Street C
Vero Beach , Florida 32960-3394 0422- 1
Phone: 561 -567-8000 (Ext. 467 or 524)
Fax: 978-1798
E-Mail : Jcadson0bcc.co.indian-river.fl .us
Mmastersonabcc.co. indian-dver.fl .us
To : Beth Jordan
Risk Management
From : Joyce Johnston-Carlson
Date : October 20 , 2004
Re : Contracts — Children ' s Services Advisory .Committee Grant
Attached is the signed contract for the 2004-05 -gran ear, along with the necessary
insurance certificates .
Please contact me if there are any changes necessary. Othe ise, please circulate .
Thank you for your help . �-i-
Indian River County Approved Date
Administrator
Legal
Bud et
Department
Risk Management .1! o (I
ORIGINAL
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 Community Child Care Resources , (CCCR) , ( Recipient) , of:
Community Child Care Resources , (CCCR)
1801 24th Street
Vero Beach , Florida 32960
Childcare Slots for Children Program
Background Recitals
A. The County has determined that it is in the public interest to promote healthy children in a
healthy community.
B . The County adopted Ordinance 99- 1 on January 19 , 1999 ("Ordinance") and established the
Children 's Services Advisory Committee to promote healthy children in a healthy community
and to provide a unified system of planning and delivery within which children 's needs can be
identified , targeted , evaluated and addressed .
C . The Children 's Services Advisory Committee has issued a request for proposals from
individuals and entities that will assist the Children 's Services Advisory Committee in fulfilling
its purpose .
D . The proposals submitted to the Children 's Services Advisory Committee and the
recommendation of the Children 's Services Advisory Committee have been reviewed by the
County.
E . The Recipient, by submitting a proposal to the Children 's Services Advisory Committee , has
applied for a grant of money ("Grant") for the Grant Period (as such term is hereinafter
defined ) on the terms and conditions set forth herein .
F . The County has agreed to provide such Grant funds to the Recipient for the Grant Period (as
such term is hereinafter defined ) on the terms and conditions set forth herein .
NOW THEREFORE , in consideration of the mutual covenants and promises herein contained , and
other good and valuable consideration , the receipt and adequacy of which are hereby acknowledged ,
the parties agree as follows :
1 . Background Recitals The background recitals are true and correct and form a material
part of this Contract .
2 . Purpose of Grant The Grant shall be used only for the purposes set forth in the
complete proposal submitted by the Recipient attached hereto as Exhibit "A" and
incorporated herein by this reference (such purposes hereinafter referenced as "Grant
Purposes") .
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 Two Hundred
Thousand Dollars ($200 , 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 , 20041
provide to the Indian River County Risk Management Division a certificate or
certificates issued by an insurer or insurers authorized to conduct business in Florida
that is rated not less than category A- : VII by A. M . Best, subject to approval by Indian
River County's risk manager, of the following types and amounts of insurance :
2 -
(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.
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 .
- 3 -
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: 2 x 2i
Caroline D . Ginn , Chairma
A
BCC Approved :
ay
Attest : J . K. Barton , Clerk ,
By.
Deputy Clerk
Approved :
0 Jose A. Baird
County Administrator
r d/a�t�o form and legaNsuffi '
Xx/
Marian Fell , Assist a n rney
RECIPIENT :
By: W
Community Child Ca Resources , Inc .
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V 1191HX3
Community Child Care Resources, Inc. Children in Centers Children's Services Advisory Committee
PROGRAM COVER PAGE
Organization Name: Community Child- Care Resources Inc
Executive Director: _ Abby Walters Y E-mail : cccrvero@aol . com
Address : 1801 24th Street Telephone: 567-3202
Vero Beach, Florida 32960 Fax : 567- 1136
Program Director: Same as above E-mail :
Program Tit1e. ,' Children In Centers ' ;
Priority Need Area Addressed: CHILD CARE ACCESS : Increase the availability of affordable
quality childcare . PARENTAL SUPPORT AND EDUCATION: 1 ) Promoting programs that focus
on "individual" parenting programs. MENTAL HEALTH WELLNESS : Increasing programs that
promote enhanced emotional-social skills .
Brief Description of the Program : CCCR funds quality childcare for lower-income working families
in Indian River County. CCCR maintains and encourages improvements of quality in centers with
which it contracts through teacher training, classroom support, and equitable tuition to maintain its
standards. The overall program includes parent education and psychological services to support the
well-being of families and children.
SUMMARY REPORT — (Enter Information In The Black Cells Only)
A�iiaunfwRe:q`ueste^d from° Funder for 2004 /05 , . ; . `,;,
$ . : : 2207000 . 00. 1 �
Total Proposed Program Budget for 2004 / 05 : $ 5445874 . 00
Percent of Total Program Budget : 40 . 4 %
Current Program Funding ( 2003 / 04 ) : $ 180 , 000
Dollar increase / ( decrease ) in request : $ 402000
Percent increase / ( decrease ) in request * * : 22 . 2 %
Unduplicated Number of Children to be served Individually : 85
Unduplicated Number of Adults to be served Individually :
Unduplicated Number to be served via Group settings : _
Total Program Cost per Client : 6410 . 28
* *If request increased 5% or more, briefly explain why: Centers have not received an increase in daily
rates in nine years . To retain high quality care, childcare centers need to receive commensurate
compensation. '
If these funds are being used to match another source, name the source and the $ amount:
United Way, Success by Six : $ 179.954
Organization 's Board of Directors has approved this application on (date). May 4, 2004
Lisa Kahle, President/Chair of the Board Aa
e
.� lkb
Abby Walters, ExecVfive Director/CEO Signa
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Application for 2004-2005 service period 3
g1VE�
Indian River County
Purchasing Division Z
262519 Avenue
Vero Beach, FL 32960 -3335
Phone (772) 567 - 8000 Fax (772) 770 -5140
ADDENDUM NO . 1
Date . April 22, 2004
Project Name: RFP for Children Services Advisory Committee
RFP Number : 6067
Bid Opening Date : May 26 , 2004 at 2 : 00 pm
The original letter stated that the Applicant ' s Orientation Conference was
scheduled for Thursday , April 30 , 2004 , the corrected letter states that the
Applicant ' s Orientation Conference is scheduled for Friday , April 30 , 2004 .
* * * * * * * * * * * * * * This Addendum MUST be returned with your Bid* * * * * * * * * * * * * *
All Bids must be received in the Purchasing Division office located at 2625 19th Avenue ,
Vero Beach , FL 32960 -3335 Prior to the Date and Time shown above . Late bids will be
returned unopened .
Company Name (20411 M U ii , c� cz �eSou ✓ ce S
Name : AIOh � Title : 9x (fc " v-e,, I)l fec- 6c
(Ty e / Printed)
Authorized Signature : C l� Ja,&i P Date a'�)?[Ct. �
Telephone : r7 � a2 � 7 - 3 a� � Fax : 56 r7 - 113 6 -
Page 1 of 1
SUPPORTING DOCUMENTS CHECKLIST
RFP 6067
Cover Page
Addendum No . 1
V Application
t/ List of current officers and directors
y Latest Financial Audit Report & Management Letter that conforms with the
AICPA Audit Guide
V/ Most recent IRS Form 990, including all schedules
V/ Most recent Internal Financial Statement (i . e. : Balance Sheet and Operating
Budget
Staff Organizational Chart
Most Recent Annual Report (if available)
501 (C)(3 ) IRS Exemption Letter
Articles of Incorporation
Agency' s Bylaws
Agency' s written policy regarding Affirmative Action
Nepotism Statement
✓ Non-profit Anti-Nepotism Rule
Letter stating Agency does not transport
Proof of Workers Compensation Insurance
V/ Proof of employer' s liability insurance
(with Indian River County as additional insured)
Not for Profit Certification
Employee Authorizations for Release of Information
XV
Community Child Care Resources, Inc. Children in Centers Children's services Advisory Committee
ORGANIZATION: Community Child Care Resources, Inc.
PROGRAM : Children in Centers
TABLE OF CONTENTS
Please "X" the parts of the grant application to indicate that they are included. Also, please put the page number where the information
can be located.
X Section of the Proposal TPage #
X TABLE OF CONTENTS (check list) 1
X COVER PAGE (with signatures). 3
A. ORGANIZATION CAPABILITY (one page maximum)
X 1 . Mission and Vision of organization . . . . . . . . . . . . . . . . . . . : . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . 4
X 2 . Summary of expertise, accomplishments, and population served . . . . . . . . . . . . . . . . 4
Be PROGRAM NEED STATEMENT (one page maximum)
X 1 . Program Need Statement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . 5
X 2 . Programs that address need and gaps in service , . 0 6 . 0 0 . 0006 . . 5
Co PROGRAM DESCRIPTION (two pages maximum)
X1 . Funding priority . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
X 2 . Description of program activities . . . . 0 0 1 1 0 0 1 1 1 W 0 1 0 1 1 0 a a 0 & a 0 * a 0 0 0 a 0 a a 0
6 6 6 a 0 0 a we 0 6
X 3 . Evidence that program strategy will work . , , 1 . , 01 , 104 , 14 00 * 0 * 0 * a 0 0 a 0 a ' . . . . . . . .
. . . . . . 6
X4 . Staffing , . . . 0 6 , 0 , * , # , # . . . . . 1 0 0 1 1 0 0 a 0 , 6 0 0 0 , , 0 , a a , 0 a 0 0 11 1
0 0 0 a 1 0 0 1 0 1 1 a 0 0 0 0 0 0 q a . . . . . . 7
X 5 . Awareness of program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . 7
X 6 . Accessibility of program . . . . . . . . . . . . . . . . _ . . . . . . . . . . . . . . : . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . 7
X D. MEASURABLE OUTCOMES (two pages maximum), . . . . . . . . . . . . . . . . . . . . . . . . 8
X E. COLLABORATION (one page maximum) 10
F. PROGRAM EVALUATION (two pages maximum)
X 1 . Demographics , , . a * * * 006 * 00000 " a 11
X2 . Measures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
X 3 . Reporting , . . * * , 0 00 * 000 60 * * * * * * 1 " * 000 , 0101 , 09 6 * 110 * 12
X G. TIMETABLE (one page maximum) . . . . . . . . . . . . . . . . . . . . . . . 13
H. UNDUPLICATED CLIENT COUNT
X 1 . Projections by Location . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . 14
X 2 . Projections by Age Group . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . : . . . . . . . . . 14
I. BUDGET FORMS
Application for 2004-2005 service period 1
• Community Child Care Resources, Inc. Children in Centers Children 's Services Advisory Committee
X 1 . Financial Budget Forms . . . 15
J. FUNDER SPECIFIC/ADDITIONAL SHEETS
K. APPENDIX
Application for 20042005 service period 2
Community Child Care Resources, Inc. Children in Centers Children 's Services 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 %" X 11 "
paper and number each page.
A. ORGANIZATION CAPABILITY (Entire Section A not to exceed one page)
1 . Provide the mission statement and vision of your organization.
Mission statement: CCCR will ensure the availability of high quality early childhood development
and family support programs to lower-income, working families of Indian River County.
The vision of CCCR is for childcare to be available and affordable for all children who qualify, and
that the quality of childcare in Indian River County will be enhanced. In addition, parents will be
able to work secure in the knowledge their children are thriving. Families will be strengthened and
better able to nurture their children into responsible adulthood. CCCR envisions a community that
embraces the mission and recognizes that community-wide support will improve the quality of life
for all citizens .
2 . Provide a brief summary of your organization including areas of expertise,
accomplishments, and population served.
CCCR contracts with six local childcare centers located on eight sites, to deliver quality childcare
programs for children from birth to kindergarten. CCCR serves working families who meet income
eligibilityguidelines .
Centers must meet CCCR standards of quality. A team of early childhood professionals are
involved in the process of choosing and assessing centers . Once accepted as a new provider, a
center has provisional status for a period of at least one year. Centers receive unannounced weekly
monitoring visits. Staffs receive training and support, and center directors meet bi-monthly with
CCCR staff to discuss issues that affect the delivery of a quality program . The criteria for
contracting include : a program which. is both age and individually appropriate; specifically trained
and adequately compensated teachers; low adult to child ratios ( 1 : 10 for preschool) ( 1 : 8 for 2 yr.
olds) ( 1 : 6 for toddlers) ( 1 :4 for infants); close ties with families and meaningful parental
involvement; and access to comprehensive services. They are reimbursed at a rate to support the
required standards.
CCCR' s program places emphasis upon a strong family support and education component,
including parenting workshops, parent/child interactive Saturday programs, parent support groups,
mentoring, resource and referral, and professional psychological clinical support. Children ' s
progress is monitored and documented. There is parental choice among centers. Parents sign a
contract committing to a sliding fee scale, and mandatory participations in orientations,
parent/teacher conferences and parent education programs throughout the year. CCCR conducts
fundraising and promotes public awareness, which are vital to the support, sustainability, and
delivery of the program.
Application for 2004-2005 service period 4
. Community Child Care Resources, Inc. Children in Centers Children's services 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 .
a. Working families whose incomes are below 200% of poverty cannot find the dollars for
childcare without sacrificing essentials such as food, shelter and clothing. The quality of the care in
which young children spend a large part of the day is of vital importance to their ability to acquire
school readiness skills, and ultimately to succeed in life. This quality of care is neither available nor
affordable to low-income families unless subsidized in some way. In addition, parents with minimal
income, education and/or lack of positive life experiences face much higher levels of financial and
emotional stress creating a barrier to them effectively parenting their children.
b . From current School Readiness Coalition, Head Start, Redlands, and CCCR wait lists :
School Readiness Services 455 * Redland' s Christian Migrant 96
Head Start 85 CCCR 99
Total Wait List (birth-5yrs.) 735 * includes Pre-K Early Intervention
Of those 735 waiting, 405 are infants and toddlers . It is important to remember that Head Start and
Pre-K Early Intervention do not provide services for infants/toddlers, which is in critical shortage in
Indian River County.
c. The targeted population appears to be spread evenly throughout the County mainland .
d . There are 735 children on the combined wait lists ; however, this represents only the people who
have called for help . It does not reflect the number of people needing assistance. Based on
information from the Indian River School District Food Service Program, 52% of kindergarten and
elementary students are eligible for free or reduced school lunch. Free/reduced lunch is based on
185 % of poverty. The Indian River County birth rate has held steady at about 1 ,000 births per year.
Therefore, we can extrapolate that 2,575 children from birth to age 5 are income-eligible for the
CCCR program at 185 % of the poverty level . Beyond that, we have no way to determine the
number of families that fall within the 185 %-200% poverty level, and would be eligible only for
CCCR' s childcare subsidy. We also know that 52% of all babies born in Indian River County are
Medicaid eligible, or at the 185 % of poverty level identified by the federal government.
The Children' s Services Advisory Committee 2002-2005 Community Assessment and Plan lists
Indian River County' s subsidized/assisted pay childcare services ' capacity (infant-preschool) at
489 . According to these statistics, 2,086 children do not have the opportunity for early childhood
education.
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.
a. Head Start, Subsidized Care (ALPI) through the School Readiness Coalition, Redlands Christian
Migrant, and Pre-K Early Intervention are similar programs that serve part of the CCCR targeted
population.
b. CCCR' s income eligibility cap is 25 % higher than those programs; therefore, 25 % of CCCR' s
targeted population is not served by the other programs. The population is severely underserved,
demonstrated by a wait list of 735 eligible children age five and under, with ALPI, Head Start,
Redland' s, Pre-K, and CCCR serving at capacity. In 2002-2003 , 90 slots existed for children, while
85 currently exist in 2003 -2004. ALPI funds have decreased due to attrition.
Application for 2004-2005 service period 5
Community Child Care Resources, Inc. Children in Centers Children's Services Advisory Committee
Co PROGRAM DESCRIPTION (Entire Section C, I 6, not to exceed two pages)
1 . List Priority Needs area addressed.
a. Child Care Access — increasing the availability of quality childcare.
b. Parent Support and Education — promoting programs that focus on "individual" parenting
programs.
c. Mental Health Wellness — increasing programs that promote enhanced emotional-social skills .
2. Briefly describe program activities including location of services.
a. Quality Child Care: CCCR contracts with 6 centers on 8 sites : Community Preschool (central Vero),
Nanny' s (central Vero), Learning Nest/ Tiny Treasures (Sebastian), Maitland Farm (south county), Sun Coast
Primary School (central Vero) , and Turner' s 1 and 2 (Gifford) . The CCCR Family Resources Coordinator
(FRC) closely monitors the quality by unannounced weekly site visits. The FRC looks closely at student :
teacher ratios and at developmentally appropriate curriculum. There is parental choice among centers. Children
attend the centers five days a week, up to ten hours a day. Parents are responsible for transporting their
children to centers. Families qualify on a first come, first served basis as application data is completed and
verified. Once accepted, parents sign a contract with CCCR committing to a sliding fee scale for tuition,
participation in orientations and parent/teacher conferences, and a minimum of 3 parent education programs.
CCCR tracks children after they leave to determine their promotion or retention to third grade .
For nine years, CCCR has paid centers $20 . 00 per day for preschool age children and $25 . 15 for infants and
toddlers . Centers need an increase in per diem to continue providing quality care at a rate to support CCCR
required standards. In the next year, CCCR wants to raise rates 1043 % (to $27. 65 for infants and $22. 50 for
preschoolers), with a subsequent increase in three years to match the Consumer Product Index. Centers have
expressed the need for additional famds to retain staff and maintain high quality curriculum and care.
b. Center Quality: Program services require that each contracting center sets and maintains CCCR' s Standards
of Quality, including appropriate teacher to student ratios, low staff turnover, adequate teacher compensation,
teacher certifications, meaningful teacher in-service training, and center accreditation.
c. Parent Education : CCCR offers approximately 30 parent education opportunities throughout the year, alone
and in collaborations with other agencies. Opportunities include : Re-Directing Children' s Behavior course,
Parent/child interactive Saturday programs, Family Health and Safety, Creating Cooperative Children, Ready to
Read at Home, Family Fun on a Budget, and Communicating Family Style. Individual centers also offer a
variety of programs throughout the year for their families . In January 2004, a Parent Advisory Board was
established to obtain feedback from parents and learn about other needed support and education CCCR.
d. Resource and Referral : CCCR provides in-house mentoring, identification of needs and problems with the
famil and/or at the center, and refers its families to other local agencies and resources.
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.
Provides financial support for childcare, and families therefore have added income for other goods and
services necessary for the safe and healthy development of their children, such as nutritional needs. In some
cases, parents are now able to provide housing that is more adequate for the number of family members under
one roof and/or move the family to a safer neighborhood.
CCCR also provides the necessary resource to allow both parents to be in the work force. Providing
childcare allows parents to work, achieve and improve their economic situation. Most importantly, for the
majority of parents, CCCR provides the first opportunityfor their children to be in quality childcare. Most
children coming into the CCCR program transfer from centers that are far from CCCR Standards of Quality.
This is painfully clear in the area of teacher: student ratios . Some of our children come to us from centers
where they were one of twenty children with a single teacher. Parents consistently remark about how behavior
Application for 2004-2005 service period 6
Community Child Care Resources, Inc. Children in Centers Children's services Advisory Committee
and sleeping patterns improve both at home and in school . As the CCCR child transitions into kindergarten,
he/she has the school readiness skills necessary for school success. The post-testing on the Speed
Dial
cognitive screening tool and the Kindergarten transition form evidences this. The High/Scope Educational
Foundation' s 27 year longitudinal study; Perry Preschool study, clearly shows that children with high quality
preschool experiences are less likely to be involved in crime, violence, teen pregnancy, and more likely
to
succeed in school, graduate and find employment. The study further points out, for every $1. 00 spent now on
quality preschool $ 7. 00 is saved in future judicial costs. Ina follow-up of arrest records conducted when the
children had reached the age of 27, the group that received quality preschool averaged half the number
of
arrests.
The Journal of the American Medical Association published research focused on disadvantaged children in
quality childcare. Those in a quality childcare program were 33 % less likely to be arrested and 41 % less
likely to be arrested for a violent crime (University of Wisconsin) .
This year' s report on promotion rates within the CCCR population is further evidence that the program
strategies are working. The combined average promotion for CCCR children was 90%. Research indicates that
children entering kindergarten without having had a quality preschool experience have an average 20%
retention rate throughout the primary grades .
4. List staffmg 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).
Professional Staff:
Executive Director: ( 1 ) 28 hrs/wk devoted to the administration and funding of Children in Centers program.
Expertise and experience in the day-to-day agency operations, supervision and evaluation of staff, budget,
fundraising and grant writing.
Family Resource Coordinator: ( 1 ) 30 hrs/wk spent directly serving the Children in Centers program .
Expertise and experience in the areas of family counseling, early childhood education, and resource and
referral. The Family Resource Coordinator (FRC) is responsible for intake and enrollment, center staff training,
and parent education. Both the FRC and Executive Director monitor centers for compliance of quality. The
FRC is expected to effectively collaborate with other agencies .
Support Staff: Secretary/Bookkeeper : ( 1 ) 30 hrs/wk devoted to the Children in Centers program . Expertise in
coin uter skills and programs, full charge bookkeeping, oral and written communications .
5. How will the target population be made aware of the program ?
CCCR continues to be visible in the community: newspaper notice/articles ; brochure, poster; newsletter; other
agencies ; public school personnel and other child care centers; word of mouth; centrally located office; and
high profile participation in community events . The toll-free resource and referral staff give information about
CCCR. CCCR enrolls families through participation in the United Way' s Employee Giving Campaign. CCCR
has a draft of a video for use in presentations to local groups. CCCR has applications available throughout the
county where potential clients are likely to exist. CCCR centers refer private-paying parents they believe to be
eligible for CCCR services.
How will the program be accessible to target population (i.e., location, transportation, hours of
operation)? CCCR centers are located in all parts of the County, making parent choice convenient to work or
home . Centers are open five days a week up to ten hours a day. Parents are responsible for transporting their
children to and from the centers . CCCR has plans in the next year to conduct an outreach campaign by
increased communication with local pediatricians.
Application for 2004-2005 service period 7
Community Child Care Resources, Inc. Children in Centers Children's Services Advisory Committee
D. MEASURABLE OUTCOMES (Entire Section D not to exceed two pages)
OUTCOMES ACTIVITIES
Add all of the elements or the Measurable Outcomes Add the tasks to accomplish the Outcome(s)
1 . 85% of children enrolled in the CCCR program 1 . The center will provide and maintain the
a minimum of one year, will enter Kindergarten appropriate equipment and supplies,
having acquired school readiness skills, as 2 . The teacher will implement the CCCR
measured by: Speed Dial R, and Devereux Early approved curriculum.
Childhood Assessment (DECA) post-tests, 3 . The Speed Dial R and DECA screening
Kindergarten Transition Form, and promotion rates instruments will be administered to all pre-
through 3rd grade. Baseline : Speed Dial R, DECA school children in the fall of 2004 and spring of
pre-tests and Ages and Stages. 2005 . The Speed Dial R measures cognitive
development; the DECA measures
Note : CCCR Program Committee decided to social/emotional development. The "Ages and
screen 3 year-olds with Ages and Stages, rather Stages" Developmental Assessment will be
than Speed Dial since it was believed that more administered to infant and toddlers early fall of
information would be yielded using this tool and 2004 . They will be re-assessed every 9 months,
teachers could include areas for children' s growth or at the time they transition into the preschool
in their curriculum. The FRC held a workshop program, whichever comes first.
9/30/03 for those unfamiliar with the new 4. Children' s promotion rates will be tracked
assessment tool. through 3rd grade.
5 . The Pre-Kindergarten Transition Form will be
completed by center teachers, and given to the
CCCR Family Resource Coordinator (FRC) .
2 . To maintain program quality in CCCR centers 1 . Teacher to student ratios will be : 1 :4 (birth- 12
during the 2004-2005 school year as measured by: months), 1 : 6 ( 13 -24 months), 1 : 8 (25 -36
teacher: student ratios, staff salary, staff turnover, months), and 1 : 10 (37months-Kindergarten) .
and staff in-service training hours, teacher Ratios will be monitored the Family Resource
certifications and center accreditation . Baseline : Coordinator through unannounced site visits .
2003 -2004 teacher: student ratios, staff salary, staff 2 . Center Directors will provide in writing to the
turnover and staff in-service hours ' charts. Present Executive Director the hourly wage of each
certifications and accreditations. teacher on staff, and staff turnover, prior to the
start of the funding year.
3 . CCCR will provide at least three training
opportunities for center staff. Center Directors
will provide a minimum of two training
opportunities for their staff .
4 . All center teachers will obtain the 40-hour
certificate in early childhood education before
working in the classroom. All lead teachers
will obtain their CDA certificate before
working in the classroom. CCCR will be
rovided co ies of all certificates from Center
Application for 2004-2005 service period 8
Community Child Care Resources, me. Children in Centers Children's Services Advisory Committee
Directors prior to the start of the funding year.
5 . Community Preschool, Learning Nest, Tiny .
Treasures, Nanny' s, Turner' s II, and Sun Coast
are NAEYC accredited. Both Turner' s I and
Maitland Farm are in the process of their 3 -year
re-certification.
3 . CCCR parents will maintain 100% compliance 1 . All parents will attend a fall CCCR orientation,
in all areas of required parent participation during and their respective center orientation .
the 2004-2005 school year as measured by the 2 . All pre-school parents will attend fall and
parent participation log. Baseline : 2004-2005 spring parent/teacher conferences ,
parent participation log. Infant/toddler teachers will communicate on a
daily basis to parents through a written daily
report and personally with the parent at pick-up.
A formal parent/teacher conference will be held
when a toddler is transitioned into the pre-
school program.
3 . All parents will attend a minimum of three
parent education programs sponsored by:
CCCR, another collaborating agency, or CCCR
center. Parents will have at least 30
opportunities from which to choose.
4 . Centers will submit documentation of parent
participations on a form provided by the FRC .
Application for 2004-2005 service period 9
Community Child Care Resources, Inc. Children in Centers Children's Services Advisory Committee
E. COLLABORATION (Entire Section E not to exceed one page)
1 . List your program 's collaborative partners and the resources that they are providing to
the program beyond referrals and support. (See individual funder requirements for
inclusion of collaborative agreement letters.
Collaborative Agency Resources provided to the ro ram
Parent/Teacher Education Partnership 1 . Parent education classes are offered to families in
of Indian River County, consisting of: participating agencies and to the community at large.
ALPI, CCCR, FDLRS (Florida Combined resources allow PTEP to bring in quality
Diagnostic & Learning Resources presenters of national standing.
System), Florida First Start, Gifford
Youth Activities Center, Head Start, 2 . PTEP provides a forum in which members share
Healthy Families, Healthy Start, pertinent information regarding families moving from
I.R. C . Public Health, Pre-K Early program to program within the partnership . Early
Intervention Program, Pre-K childhood research, innovative new programs, etc . are
Exceptional Student Education, also shared.
Redland ' s Christian Migrant
Association. 3 . PTEP is a liaison between the county ' s childcare
providers, helping centers remain abreast of "best
practices" in early childhood education.
Community Church Partner' s CCCR and the Partner' s Program work in collaboration
Program to assist families in setting and attaining family goals for
a period of six months to a year.
Community Church Community Church provides CCCR with classroom
space, audiovisual equipment, and custodial services for
a 4-week parenting program Re-directing Children 's
Behavior. Spaces may be reserved for Community
Church parents.
Indian River School System The school system tracks CCCR children through their
database in terms of promotion rate. This helps CCCR
document that the centers are preparing the children for
kindergarten,
Family Court CCCR makes course slots available to the Family Court
at no cost to families or the court for Redirecting
Children 's Behavior.
Retired and Senior Volunteer Recruits senior volunteers to assist CCCR.
Program
Indian River School Readiness FRC serves on the Assessment Committee to develop a
Coalition new tool for Center monitoring and quality control .
Economic Opportunities Council CCCR and EOC work together to develop additional
family support strategies .
Application for 2004-2005 service period 10
Community Child Care Resources, Inc. Children in Centers Children's Services Advisory Committee
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 111 ?
Data Elements Needed to Describe Target Population
1 . Families with children 0-5 years old
2 . Residence in Indian River County
3 . Income no greater than 200% of the Federal Poverty Guideline
4. Employment and/or school no less than 30 hours per week
5 . Participation in required parent programs
6. Payment of tuition on a sliding fee scale
Qualifying Documentation;
1 . Driver' s License
2 . Social Security for parents and child, or green card for non-citizens.
3 . Six weeks of pay stubs
4 . Most current W-2 Form
5 . Court order child support payments
6. Proof of paid college registration and number of semester credits
7 . Immunization Record
8 . Birth Certificate of enrolling child
CCCR uses Quick Books Pro and ProCare software programs to document and track the above. Each
child has a folder with application, copies of qualifying documentation, and parent
contract/permissions. Employment and income status is spot checked throughout the year.
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?
Measurement Elements: Goal l (To acquire school readiness skills,)
a. Ages and Stages developmental screening tool for infants/toddlers, administered fall and spring.
b. Speed Dial R developmental assessment for preschoolers, administered fall and spring.
c. DECA assessment for (emotional/social), ages 2-4 years, administered fall, spring and as needed.
d. Kindergarten Transition Form, completed spring prior to kindergarten.
e. Tracking CCCR children through the school system (see collaboration list) fall of kindergarten.
Measurement Elements: Goal 2 (Program Quaho)
a. Standards of Quality Report, submitted quarterly by CCCR directors documenting staff turnover,
teacher salaries, student: teacher ratios, and staff in-service hours .
b. Copies of center accreditation, licensing, Director' s credentials, Gold Seal , and liability insurance
kept on file in the CCCR office.
Application for 2004-2005 service period 11
Community Child Care Resources, Inc. Children in Centers Children 's Services Advisory Committee
Measurement Elements: Goal 3 ,(Parent Education)
a. Parent Participation Master Log compiled by the Family Resource Coordinator (FRC). On going.
b. Parent Participation Attendance Sheets faxed from collaborative and center-based parent programs
the morning after the event to the CCCR office. Reviewed twice each year.
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 ?
Reporting Change: Goal 1 (To acquire school readiness Skills)
a. Fall and Spring assessment scores are compared. This will document the percentage of children
developmentally on course in acquiring social, behavioral and school readiness skills by
Kindergarten.
b . Kindergarten Transition Form documents the preschool teacher' s assessment of school readiness .
It is used along with screening comparisons to document the percentage of CCCR children entering
Kindergarten social, behavioral and school readiness skills .
c . Tracking Number allows school system to report the number of CCCR children being promoted in
grades K-3 .
Reporting Change: Goal 2 (Proeram Quality)
a. Standards of Quality Report is used to measure outcome success in the areas of staff turnover,
staff salary, staff in-service hours and student: teacher ratios.
b . Center accreditation copies ensure centers remain in compliance with that quality requirement.
Reporting Change: Goal 3 (Parent Education)
a. Parent Participation Master Log documents that parents have met orientation, and parent-teacher
conference requirements, and have participated in a minimum of 3 parent education programs. This
data is used to determine 100% compliance .
b. Attendance sheets help ensure that parents get "credit" for program attendance .
Sharing Results
With the Consumer: Assessment results are shared with parents during conferences, helping them
better understand their child ' s development. With permission, results are shared with other agencies
providing service, giving them additional resource. CCCR shares results on center quality with
parents, helping them feel more secure about having to leave their child each day.
With the Funder: Results are used to show progress and measure outcome success . Generally
presented in chart form, they document that the program is satisfactorily delivering the services for
which it is being funded.
With the Program: Results are used by Board and staff to validate that the mission is being carried
forward. Evaluative information helps target areas for improvement and/or growth.
With the Community: Sharing measurable results about your program leads to community awareness
that in turn may lead to new sources
Application for 2004-2005 service period 12
Community Child Care Resources, Inc. Children in Centers Children's Services 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.
Month/Period Activities
Quality Child Care
1 . April-May/ongoing 1 . Intake/enrollment
2 . August — September 2 . Center and CCCR orientations
3 . Fall and Spring 3 . Parent/teacher conferences
4. October and May 4 . Pre and Post Developmental Screenings
5 . On-going 5 . Center visitations/ monitoring
6 . May 6 . Kindergarten Transition Forms
7 . September 7 . Tracking Promotion Rates
Center Quality
I . September / November / 1 . Center Director Meetings
January / March / May 2 . Staff in-service workshops
2 . On-going 3 . Center documentation
3a. September/ December/ a. In-service hours
March / June b . Teacher salary/staff turnover
3b. September c . Teacher certification documentation
3c. September d. Center accreditation documentation
3d. When received / 4. Center monitoring
recertification included
Parent Education
1 . On-going 1 . Parent programs
2 . On-going 2 . Parent counseling
3 . September/ December / 3 . Parent participation documentation :
March / June
Application for 20042005 service period 13
Community Child Care Resources, Inc. Children in Centers Children's Services Advisory Committee
H. PROJECTIONS FOR UNDUPLICATED CLIENTS
Number of Unduplicated Clients by Location
Last Fiiscal Year Current Fiscal Year Next Fiscal Year
Location Actual 200212003 Budget 2003/04 Projections 2004/05
Unduplicated Clients Unduplicated Clients Unduplicated Clients
N. Indian River Comity 45 41 41
S . Indian River Comt
y 46 44 44
Indian River Co. Total 91 85 85
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 911 85 1 85
Number of Unduplicated Clients by Age
Last Fiscal Year . Current Fiscal Year Next Fiscal Year
Location Actual 2002/2003 Budget 2003/04 Projections 2004/05
Individuals Group ' Individuals Group Individuals Group
0 to 4 - (Pre-school) 91 - 85 - 85 -
5 to 10 - lemen
11 to 14 - ' ddle
15 to 18 - School
Total Children 91 - 85 - 85 -
19 to 59 - Adults
60 + Seniors
Total Adults
TOTAL SERVED 91 - 851 85 -
Application for 2004-2005 service period 14
Community Child Care Resources, Inc. Children in Centers Children's Services Advisory Committee
I. BUDGET FORMS " To open the Budget Forms, please double-click on the icon below.
" Core Budget Forms "
15
Community Child Care Resources, Inc. Children in Centers Children's Services Advisory Committee
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 :
FUNDER :
CAUTION : Do not enter any figures where a cell is colored in dark blue - Formulas and/or links are in place. Gray areas should
be used for calculations and to write information only. j
L _ -
A t Funder Sp
acific Total Agency
REVENUES pro ram
„ Budget Budget Budget
I Children's Services Council-St Lucie
2 Children's Services Council-Martin
3 Advisory Committee-Indian River 220,000.00 220,000.00 228 ,500.00
4 United Wa 4t, Lucie County 0.
00
5 United Way-Martin County0.00
6 United Way-Indian River County 1790954.00 183 , 954,00
7 Department of Children & Families 0.0
8 County Funds
0.00
9 Contributions-Cash 62,520.00 103,200.00
10 Program Fees 58,200.00 65,804.00
11 Fund Raising Events-Net 15,600.00 25 ,000.00
12 Sales to . Public - Net 0.00
13 Membership Dues 0.0
14 Investment Income 500.00 800.00
15 Miscellaneous 0.00
16 Legacies & Bequests 0.0
17 Funds from Other Sources ALPI 8, 100.00 81100.00
18 Reserve Funds Used for Operating Sharaja Found
19 In-Kind . Donations (Not Included In total) 51000.00
000
20 TOTAL REVENUES
(doesn`t Include line 19) $544,874.00 $220, 000.00 $6200358 .00
A B C D
EXPENDITURES GRAY Baa ron Proposed Total Program Funder Specific
AGENCY USE ONLY Total Agency
(SNOW CALC#"TKM) Budget Budget Budget
21 Salaries - (must complete chart on next page) 75,834.57 0.00 103,312 .76
Salary
22 FICA - Total salaries x 0.0765 7.65% 5,801 .34 0. 00 89248 .0
e remen - Annual pension tor qualified
23 staff 0.00 0 .00 0.00
t ea - Ica en a o -term
24 Disab. 0.00 0 . 00 0.0
Workers Compensation - amp oyees x
25 rate 689.41 0 . 00 971 .00
Honda unemployment - projected
26 employees x $7,000 x UCT-6 rate 0.00 0. 00 0.0
SALARIES A B D
POSITION LISTING Gross Annual Portion of Salary on Proposed C % of Gross Annual
Salary Prom Funder Speclflc Budget Salary
Position True / Total Hrs/ivk (Agency) Requested(CIA)
6rample: ExecubwDirsctor/ 40hra 70,000.00 10,000.00 5,000.00 7. 14%
a-t -16
Community Child Care Resources, Inc. Children in Centers Children's Services Advisory Committee
Executive Director / 40 hrs 40,000.00 28,350.00 0.00 0.00°/
Family Resource Coord / 40 hrs 10 mos 37,312.76 27, 984.57 0.00 0.00°/
Bookkeeper / 40 hrs 26tOOO.00 19,500.00 0. 0.00%
0.00 #DIV/0 !
0.00 #DIV/0 !
0.00 #DIV/0!
0.00 #DIV/0!
0.00 #DIV/0 !
0.00 #DIV/0 !
0,00 #DIV/0!
0.00 #DIV/0 !
0.00 #DIV/0 !
0.00 #DIV/0!
0.00 #DIV/0 !
0.00 #DIV/0!
0.00 #DIV/0 !
0.00 #DIV/0!
0. #DIV/0!
0.00 #DIV/0 !
0.00 #DIV/0 !
Remaining positions throughout agency
en
Total Salaries $ 103,312.7q $75,834.57 $0 .0
FRINGE BENEFITS DETAIL A
(Funder Specific Budget Funder B D E p ym
Specific FICA 7.65Y Health Ins* Worker's Unem to a Total Fringes Funder
Column C only, from line 22 to 2T) (A x %) Compens. nt Compens. Spec>Tc
Position Title / Total Hrs/wk Budget
Example, Ca" MenewI40hrz 51000.00 382.50 200.00 500.00 300.00 200.00 1,582.50
Executive Director / 40 hrs 0.00 0 .00 0.00 0 . 0
Family Resource Coord / 40 hrs 10 mos 0.00 0.00 0.00 0. 0
Bookkeeper / 40 hrs 0 . 00 0.00 0.00 0.0
0 P 0.00 0 .00 0.00 0 . 0
0 0. 00 0.00 0.00 0 . 0
0 0.00 0. 00 0.00 0. 0
0 0 .00 0 .00 0.00 0.0
0 0. 00 0.00 0.00 0. 0
0 0 .00 0.00 0.00 0.0
0 0.00 0. 00 0.001 0.0
0 0.00 0 .00 0.00 0. 0
0 0.00 0.00 0.00 0.0
0 0. 00 0. 00 0.00 0 . 0
0 0.00 0 . 00 0.00 0.0
0 0.00 0.00 0.00 0.0
0 0.00 0.00 0.00 0. 0
0 0.00 0.00 0.00 0.0
0 0.00 0 .00 0.00 0. 0
0 0.00 0.00 O.001 0. 0
0 0 .001 0. 001 0.00 0 .001
Total Funder Request Fringe Benefits $ 0.00 - - $WO-O-f�$0 .001 $0 . 00 $ 0. 001 $0. 001 $0. 0
A B C D
EXPENDITURES / CMAY � Proposed Total Program Funder Specific Total Agency
8"OW oerex Budget Budget Budget
27 TraveWaily 760.00 0.00 1 ,520.00
# of Staff x average # of miles/wk x 50 wks x
$ = Estimated Daily Travel/Mileage Reimb.
28 Travel/Conferences/Training 100.001 0.00 1 .000.0
5rzo/o4
e-1 17
,
Community Child Care Resources, Inc. Children in Centers Children's Services Advisory Committee
National Conference (cost per staff)
• Training/Seminar (cost per staff)
Other Trainings (cost of travel, lodging,
registration, food)
29 Office Supplies 21451 . 0.00 3,750.0
Office supplies (monthly average x 12
months = estimated cost of office supplies
based on present history.
30 Telephone
2 ,200.00 0.00 3,000.
00
# Phone lines x average cost per month x
12 months = local phone cost
• Average long distance calls x 12 months =
Estimated cost of long distance
31 Postage/Shipping 19400.0 0.00 21690.00
• Quarterly Mailing of Newsletter
• Special events, etc.
• Bulk mailings - appeals
32 Utilities
• Electricity ($ x 12 months) 4,750.0 0.0 71000.00
• Water/Sewer ($ x 12 months)
• Garbage ($ x 12 months)
33 Occupancy (Building & Grounds) lotlog.000 .00 13,953.00
• Mortgage/Rent ($ x 12 months)
• Janitorial ($ x 12 months)
• Grounds Maint ($ x 12 months)
• Real Estate Taxes
34 Printing $ Publications 2,976.68 0.00 61000.00
• Quarterly Newsletter ($ x 4)
• Letterheads, Envelopes, etc.
• Fundraising materials
• Other
35 Subscription/Dues/Memberships 350.00 0.00 750.00
• Membership to National Organization
• Dues
• Subscriptions to Newspapers/magazines,
etc.
36 Insurance 2500. 0.00 4,000.00
Directors/officers Liab.
• Commercial/General Insurance
Bond Ins.
Auto Insurance
37 Equipment:Rental $ Maintenance 600.00 0.00 750.00
• Copier lease ($ x 12 months)
• Meter lease ($ x 12 months)
. Copier Maintenance ($ x 12 months)
• Computer Maintenance ( $ x 12 months)
• Other
38 Advertising 110.00 0.00 600.00
• Newspaper ads
• Fundfaising ads/promotions
• Other (vacancies)
39 Equipment Purchases:Capital Expense 350.00 0.00 500.00
• Computer/monitor (# x $)
• Laser Printer
40 Professional Fees (Legal, Consulting) 2, 725.00 0. 00 15,500.00
• Legal advice ( estimated #hrs x $)
• Consultant fees
• Other
41 Books/Educational Materials 1t500.00 0.00 3 ,050.0
• Books/videos
• Materials ($ x staff)
42 Food & Nutrition
675,00 0.00 900.0
5=104
sa 18
•
Community Child Care Resources, Inc. Children in Centers Children's Services Advisory Committee
• Meals ( # meals x clients x 5days x 50 wks)
• Snacks
43 Administrative Costs 3, 150.00 0.00 00.00
• Admin. Cost (% of total budget)
44 Audit Expense 5t000.00 0.00 e,500.
Independent Audit Review
45 Specific Assistance to Individuals 11000.0 0.00 2000.00
• Medical assistance
• Meals/Food
• Rent Assistance
• Other
46 Other/Miscellaneous 0.00 50000.00
• Background check/drug test Building
• Other renovation
47 Other/Contract 41 %842.00 2207000.00 419,842.0
Sub-contract for program services
48 TOTAL EXPENSES $544 ,874.00 $2200000.0 $615 ,336.7
M20''04 84 19
Coff m W Chid Care Resomm, Im. Children in Carders ChtldmWs Serviees Advisory CommM"
UNIFORM GRANT APPLICATION
TOTAL AGENCY BUDGET
AGENCY/PROGRAM NAME: Commurdty Chad Care Resomm, hlc.
FY 02/03 FY 03/04 FY 04/05 % INCREASE
FYE FYE FYE CURRENT VS,
Ju 1June 30 Ju 1- June 30 Ju 1 - June 30 NEXT FY BUDGET
A B C D
ACTUAL TOTAL PROPOSED Icer. C.ca. 6yeo1. a
REVENUES BUDGETED BUDGETED
1 Children's Services Council-St Lucie 0.00 #DIV/01
2 Children's Services Council-Martin 0.00 #DIV/0!
3 Advisory Committee - Indian River 167 000.00 188 500.00 228 500.00 21 .22%
United Way-St. Lucie County 0.00 #DIV/0 !
S United Way-Martin Cou2u 0 .00 #DIV/01
6 United Way-Indian River County 180 328.72 183 954.00 183 954.00 0.00%
Deparbnent of Children & Families 0. 00 #DIV/01
County Funds 0.00 #DIV/01
Contributions " Cash 101 331 .00 100 000.00 103 200.00 3.20%
to Program Fees 66 333.22 64 969.00 65 804.00 1 .29%
11 Fund Raising Events-Net 14w261 .00 15 000.00 25 000.00 66.67%
12 Sales to Public-Net 0.00 #DIV/0!
13 Membership Dues0.00 #DIV/0!
14 Investment Income 2196.83 1 501 .00 800.00 -46.70%
15 Miscellaneous 0. 00 #DIV/01
16 Legacies & Bequests 0.00 #DIV/0!
17 Funds from Other Sources ALPI 56.375.12 : 14302.00 810000 43.36%
18 Reserve Funds Used for Operating 2000000 10 000.00 5000.00 -50.00%
19 In-Kind Donations (Not wdeded in ww) 0.00 #DIV/0!
20 TOTAL 606 825.89 578 226.00 620 356. 00 7.29%
EXPENDITURES
21 Salaries 103 276.00 96 225.00 103 312. 76 7.37%
22 FICA 89328.00 71635,00 87248 .00 8.03%
23 Retirement 0 .00 #DIV/Ol
24 Lrfe/Health 0.00 #DIV/01
25 Workers Compensation 891 .00 894.00 971 .00 8.61 %
26 Florida Unemployment - 0. 00 #DIV/0!
27 Travel-Daily 673.00 1 ,710.00 11520.000 520.00 11 . 11 %
28 Travel/Conferencesrrrainin 1017.00 900.00 1000.00 11 . 11 %
29 Office Supplies 31560.75 375000 3 , 750.00 0.00%
30 Telephone 3 940.00 41000.00 3,000.00 -25.00%
31 Postage/Shipping 2t520,11 21500,001 2 690.00 7.60%
32 Utilities 4 649.00 41900.00 71000.00 42.86%
33 Occu nc (Building & Grounds 12 573.98 1692700 13 953 .00 -12.39%
34 Printing & Publications 11820.001 6 000.00 61000.00 0.00%
35 Subscription/Dues/Memberships 11607.931 1 000.00 750.00 -25.00%
38 Insurance
23450,00 4 000.00 400000 0.00%
37 E ui mentRental & Maintenance 1 244.00 19300.00'
750.00 42.31 %
38 Advertising 22380,00 600.00 -74.79%
39 Equipment Purchases :Ca ital Expense 1 500.00 500.00 -66.67%
4o Professional Fees (Legal, Consulting) 81270.00 15 500.00 15, 500 .00 0.00%
41 Books/Educational Materials 2 000.00 3 000.00 31050.00 1 .67%
42 Food & Nutrition 1 413.00 12200.00 900. 00 -25.00%
43 Administrative Costs 4 M59 357500 47500. 00 25.87%
Audit Expense 69165,001 6 400.00 69500.00 1 .56%
45 Specific Assistance to Individuals 2 O00.00 21000.00 2,000.00 0.00%
46 Other/Miscellaneous 10 000.00 5000.00 -50.00%
47 Other/Contract 394t593,53 371 930.00 419 842.00 12.88%
48 TOTAL 567 730.89 568 226.00 6151336-.76 8.29%
49 REVENUES OVER/ UNDER EXPENDITURES 39 , 095 On 10,000.00 51021 . 24 49.79%
s�mor es 20
Commurdy Child Care Resources, Inc. Children in Centers ChRdrW$ Se rices Advisory Committee
UNIFORM GRANT APPLICATION
TOTAL PROGRAM BUDGET
AGENCYIPROGRAM NAME, Community Chive Care Resources, hw.
FY 02/03 FY 03/04 FY 04105 % INCREASE
FYE FYE FYE CURRENT VS.
July 1 - June 30 Juty 1 - June 30 July 1 - Jun* 30 NEXT FY BUDGET
ACTUAL B C D
ACTUAL TOTAL PROPOSED Ica C-eoL B". B
REVENUES BUDGETED BUDGETED
1 Children's Services Council-St Lucie
0.00 #DIV/01
Children's Services Council-Martin 0.00 #DIV/01
3 Advisory Committee-Indian River 160 000.00 180 000.00 220 000.00 22. 22%
United Way-St Lucie County 0.00 #DIV/01
5 United Way-Martin County 0.00 #DIV/0!
6 United Way-Indian River County 175 359.65 179 954.00 179 954.00 0.00%
Department of Children & Families 0.00 #DIV/0!
a County Funds 0.00 #DIV/01
9 Contributions-Cash 57104.8855 800.00 62 520.00 12.04%
10 Program Fees 56t632,001 = 51 726.00 58 200.00 12.52%
11 Fund Raising Events-Net 71562.001 w 8 250.00 15 600.00 89.09%
12 Sales to Public-Net 0.00 #DIV/0 !
13 Membership Dues #VALUE!
14 Investment Income 750.00 750.00 500.00 -33.33%
15 Miscellaneous 0.00 #DIV/01
16 Legacies & Bequests 0.00 #DIV/0!
17 Funds from Other Sources 55 374.00 14 302.00 89100.00 -43.36%
18 Reserve Funds Used for Operating
0.00 #DIV/01
19 In- Kind Donations (" hxwdedinwuq 0.00 #DIV/0!
20 TOTAL 512p782,53 490 782.00 544 874.00 11 .02%
EXPENDITURES
21 Salaries 75 392.00 70,245.00 ! 75 834.57 7.96%
22 FICA 50809,00 5 374.005 801 . 34 7.95%
23 Retirement
0.00 #DIV/0 !
24 LhWHealtfi
0.00 #DIVlO !
25 Workers Compensation 651 .00 653.00689.41 5.58%
26 Florida Unemployment wa 0.00 #DIV/01
27 Travel-Daily 578.00 748.00 760.00 1 .60%
28 Travel/Conferences/Training 100.00 100.00 100 .00 0.00%
29 Office Supplies 21670.00 21475.00 21451 .00 -0. 97%
30 Telephone 2 780.00 29720.00 29200.00 -19. 12%
31 Postage/Shipping 1 890.D0 1 300.00 11400.00 7.69%
32 Utilities 3s637.00 3 430.00 4750.00 38.48%
33 Occupancy (Building & Grounds 79493.00 8647.00 10 109.00 18. 28%
34 Printing & Publications 1j201 ,00 270000
21976.68 10.250/0
35 Subscription/Dues/Memberships . 19205.00 530.00 350.00 -33 .96%
36 Insurance 1 ,838.001 3 000.00 2 500 .00 -16. 67%
37 E ui ment:Rental & Maintenance 933,00 962.00 600.00 -37. 63%
39 Advertise 950.00 110.00 -88 .42%
39 Equipment Purchases:Ca ital Expense 19125.00 350.00 -68.89%
40 Professional Fees (Legal, Consulting) 200.00 2905.00 21725.00 6 .20%
41 Books/Educational Materials 1j500.001 11450-00 12500.00 3.45%
42 Food & Nutrition 11000.00 900.00 675.00 -25.00%
43 Administrative Costs 31312.00 2 738.00 31150.00 15.05%
44 Audit Expense 59000.00 5 o00.00 5000 .00 0.00%
45 Specific Assistance to Individuals 11000.00 1 000.00 1 000.00 0.00%
46 Other/M!scellaneous 0.00 #DIV/01
47 Other/Contract 394 593.53 371 930.00 419 842.00 12.88%
48 TOTAL 512j782.531 490 782.00 544 874.00 11 . 02%
49 REVENUES OVER! UNDER EXPENDITURES 0.00 0.001 0 . 00 #DIV/0f
hrtpos
u 21
Community Child Care Resources, Inc. Children in Centers Children's Services Advisory Committee
UNIFORM GRANT APPLICATION
FUNDER SPECIFIC BUDGET
PROGRAM EXPENSES
AGENCY/PROGRAM NAME :
FUNDER : 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 75 , 834. 57 0 . 00 0 . 00 %
22 FICA 59801 . 34 0 . 00 0 . 00 %
23 Retirement 0 . 00 0 . 00 # DIV/0 !
24 Life/Health 0 . 00 0 . 00 # DIV/0 !
25 Workers Compensation 689 .41 0 . 00 0 . 00 %
26 Florida Unemployment -
0400 0 . 00 # DIV/0 !
27 Travel-Daily760 . 00 0 . 00 0 . 00 %
28 Travel/Conferences/Train Ing 100 . 00 0 . 00 0 . 00 %
29 Office Supplies 21451 . 00 0 . 00 0 . 00 %
30 Telephone 2 200 . 00 0 . 00 0 . 00 %
31 Postage/Shipping 1 ,400 . 00 0 . 00 0 . 00%
32 Utilities 41750 . 00 0 . 00 0 . 00 %
33 Occupancy (Building & Grounds ) 10 , 109 . 00 0 . 00 0 . 00 %
34 Printing & Publications 21976 . 68 0 . 00 0 . 00%
35 Subscription/Dues/Memberships 350 . 00 0 . 00 0 . 00 %
36 Insurance 2 , 500 . 00 0 . 00 0 . 00 %
37 Eg ui ment: Rental $ Maintenance 600 . 00 0 . 00 0 . 00 %
38 Advertising110 . 00 0 . 00 0 . 00 %
39 Equipment Purchases : Ca ital Expense - . 350 . 00 0 . 00 0 . 00%
40 Professional Fees (Legal , Consulting ) 21725 . 00 0 . 00 0 . 00 %
41 Books/Educational Materials 11500 . 00 0 . 00 0 . 00 %
42 Food $ Nutrition 675 . 00 0 . 00 0 . 00 %
43 Administrative Costs 3 , 150 . 00 0 . 00 0 . 00 %
44 Audit Expense 51000 . 00 0 . 00 0 . 00 %
45 Specific Assistance to Individuals 17000 , 00 0 . 00 0 . 00 %
46 Other/Miscellaneous 0 . 00 0 . 00 # DIV/0 !
47 Other/Contract 419 ,842 . 00 220 ,000 . 00 52 .40 %
48 TOTAL $ 5442874. 00 $ 220 ,000 . 00 40 . 38 %
W004 B4 22
Community Child Caro Resources. Inc. Chkiren in Centers
Children's Services Advraary Committee
UNIFORM GRANT APPLICATION
EXPLANATION FOR VARIANCES OF 16% OR MORE
TOTAL PROGRAM BUDGET
AGENCY/PROGRAM NAME:
FUNDER:
EXPI:ANA770*FOR VARIANCE�.x;* ,, .
N 01
#DN/01
CCCR has never increased per diem for Centers. We need to increase per diem rate for child care to keep the quality consistent with
Advisory Co mittee-lndtan River CCCR standards. CCCR would like to increase the rates by 10-12%.
#DIV/01
#DN101
#DIV/01
#DN I
Fund Raising Events-Not We anticipate hosting more fundraisers in the cumin r
#D rol
ALU 1
MV101
#QFV/01
!01
#DIVl01
#Dn/rol
#DNlOt
#DfV/01
utlThe utilities are higher since the purchase of the building at 1801 24th Street and will be higher after renovations are complete and
I' s s ace is in use.
CCCR purchased a building during this year. The purchase of the building brought with it taxes and other expenses that did not exist
Occupancy (Building 3 Grounds when the agency was renting an office.
In 2003-2004 vacanaes in 2 staff positions made the salary One Item fall below normal. In 20042005, these positions filled and
Administrative Costs retumed to normal levels of funding
#DNro1
s2=4
es 23
Community Child Care Resources, Ina Children In Centers ChI~3 Services Advisory Committee
UNIFORM GRANT APPLICATION
EXPLANATION FOR VARIANCES OF 15% OR MORE
FUNDER SPECIFIC BUDGET
AGENCYIPROGRAM NAME:
FUNDER:
v zWLANATION++FOR VARIANCE
#DN/01
#DIV/01
1101
#131101
CCCR requests $40,000 increase over last year for care. In nine years, CCCR has never increased per diem for care. The $40,000
12129220= increase over 20032004 funding of $1 $0,000 is to raise per diem for childcare centers to keep quality commensurate with standards.
scoro�
e4 24
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 -
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 : Abby Walters , Executive Director/CEO
Community Child Care Resources , Inc . (CCCR)
1801 24" Street
Vero Beach , Florida 32960
2 . Venue : Choice of Law: The validity, interpretation , construction , and effect of this Contract shall
be in accordance with and governed by the laws of the State of Florida , only. The location for
settlement of any and all claims , controversies , or disputes , arising out of or relating to any part of
this Contract, or any breach hereof, as well as any litigation between the parties , shall be Indian
River County, Florida for claims brought in state court, and the Southern District of Florida for
those claims justifiable in federal court.
3 . Entirety of Agreement: This Contract incorporates and includes all prior and contemporaneous
negotiations , correspondence , conversations , agreements , and understandings applicable to the
matters contained herein and the parties agree that there are no commitments , agreements , or
understandings concerning the subject matter of this Contract that are not contained herein .
Accordingly, it is agreed that no deviation from the terms hereof shall be predicated upon any prior
representations or agreements , whether oral or written . It is further agreed that no modification ,
amendment or alteration in the terms and conditions contained herein shall be effective unless
contained in a written document signed by both parties .
4 . Severability: In the event any provision of this Contract is determined to be unenforceable or
invalid , such unenforceability or invalidity shall not affect the remaining provisions of this Contract ,
and every other term and provision of this Contract shall be deemed valid and enforceable to the
extent permitted by law. To that extent, this Contract is deemed severable .
5 . Captions and Interpretations : Captions in this Contract are included for convenience only and are
not to be considered in any construction or interpretation of this Contract or any of its provisions .
Unless the context indicates otherwise , words importing the singular number include the plural
number, and vice versa . Words of any gender include the correlative words of the other genders ,
unless the sense indicates otherwise .
6 . Independent Contractor. The Recipient is and shall be an independent contractor for all purposes
under this Contract . The Recipient is not an agent or employee of the County, and any and all
persons engaged in any of the services or activities funded in whole or in part performed pursuant
to this Contract shall at all times and in all places be subject to the Recipient's sole direction
,
supervision , and control .
7 . Assignment. This Contract may not be assigned by the Recipient without the prior written consent
of the County.
- 1 -
ACORD. CERTIFICATE OF LIABILITY INSURANCE SRHDATE
uo22 09 - 09 - 2004
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
SID BANACK INSURANCE ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER , THIS CERTIFICATE DOES NOT AMEND , EXTEND OR
222809 P : ( 772 ) 562 - 3369 F : ( 772 ) 562 - 3466 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW .
2045 14TH AVENUE
VERO BEACH FL 32961 INSURERS AFFORDING COVERAGE
INSURED INSURERA: Hartford Underwriters Ins Co
INSURER B:
COMMUNITY CHILD CARE RESOURCES , INC INSURER C :
1801 24TH STREET INSURER D :
VERO BEACH FL 32960 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 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION
LTR DATE MM/DD/YY DATE MM/DD/YY - LIMITS
GENERAL LIABILITY EACH OCCURRENCE $
COMMERCIAL GENERAL LIABILITY I FIRE DAMAGE (Any one fire) $
CLAIMS MADE U OCCUR MED EXP (Any one person) $
PERSONAL & ADV INJURY $
GENERAL AGGREGATE $
GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $
POLICY JEC LOC
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT $
ANY AUTO ( Ea accident)
ALL OWNED AUTOS
BODILY INJURY $
SCHEDULED AUTOS (Per person)
HIRED AUTOS
BODILY INJURY $
NON-OWNED AUTOS (Per accident)
PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
ANY AUTO
OTHER THAN EA ACC $
AUTO ONLY : AGG $
EXCESS LIABILITY EACH OCCURRENCE $
OCCUR u CLAIMS MADE AGGREGATE $
$
DEDUCTIBLE
$
RETENTION $ $
WORKERS COMPENSATION AND WC STATU- OTH-
EMPLOYERSLIABILITY'
TORY LIMI S X ER
A 21 WEC DQ8422 110 / 14 / 04 10 / 14 / 05 E .L . EACH ACCIDENT s500 , 000
I
E .L . DISEASE - EA EMPLOYEE s5 0 0 , O O O
DISEASE - POLICY LIMIT $ 500 , 000
OTHER
i
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTlSPECIAL PROVISIONS
Those usual to the Insured ' s Operations . Indian River County is also an
Additional Insured per the Business Liability Coverage Form SS0008 .
CERTIFICATE HOLDER i X I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
30 DAYS WRITTEN NOTICE ( 10 DAYS FOR NON- PAYMENT) TO THE CERTIFICATE
Indian River County HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO
184 O 25th Street OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPRESENTAME
ACORD 25-S ( 7/97) ® ACORD CORPORATION 1988
I
ACORDTM CERTIFICATE OF LIABILITY INSURANCE U022I 09 - 0DATE
9 - 2004
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
SID BANACK INSURANCE / PHS ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER , THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
, 227667 P : ( 866 ) 467 - 8730 F : ( 877 ) 538 - 8526 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW .
P . 0 , BOX 29611
CHARLOTTE NC 28229 INSURERS AFFORDING COVERAGE
1NS1RED INSURERA : Hartford Ins Co of the Southeast
INSURER B:
COMMUNITY CHILD CARE RESOURCES , INC INSURER C :
1801 24TH STREET INSURER D :
VERO BEACH FL 32960 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.
ILTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION I LIMITS
DATE MM/DD/YY DATE MM/DD/YY
GENERAL LIABILITY EACH OCCURRENCE I sit 0001000
A COMMERCIAL GENERAL LIABILITY 21 SBA FP5 9 73 10 / 14 / 04 10 / 14 / 05 FIRE DAMAGE (Any one fire) s3 0 0 , 000
CLAIMS MADE U OCCUR MED EXP (Any one person) $ 10 , 000
X Business Liab I PERSONAL & ADV INJURY sl , 000 , 000
GENERAL AGGREGATE I s2 , 000 , 000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG s2 , 000 , 000
POLICY I I JECT I X I LOC
AUTOMOBILE LIABILITY
A ANY AUTO 21 SBA FP5 9 7 3 10 / 14 / 04 10 / 14 / 05 COMBINED SINGLE LIMIT(Ea
$ 1 000 , 000
(Ea accident)
ALL OWNED AUTOS
BODILY INJURY $
SCHEDULED AUTOS (Per person)
X HIRED AUTOS
BODILY INJURY
X NON-OWNED AUTOS (Per accident) $
PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
ANY AUTO
OTHER THAN EA ACC $
AUTO ONLY : AGG $
EXCESS LIABILITY EACH OCCURRENCE $
OCCUR u CLAIMS MADE AGGREGATE $
$
DEDUCTIBLE
$
RETENTION $ I $
WORKERS COMPENSATION AND WC STATU- OTH-
EMPLOYERS ' LIABILITY
TORY IMITS R
E . L . EACH ACCIDENT $
E .L . DISEASE - EA EMPLOYEE $
OTHER E .L. DISEASE - POLICY LIMIT $
I
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
Those usual to the Insured ' s Operations , Indian River County is also an
Additional Insured per the Business Liability Coverage Form SS0008 ,
I
CERTIFICATE HOLDER 1 X I ADDITIONAL INSURED; INSURER LETTER: A CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
30 DAYS WRITTEN NOTICE ( 10 DAYS FOR NON-PAYMENT) TO THE CERTIFICATE
Indian River County HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO
1840 25th Street ROBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
eac AUTHORIZED REPRESENT E
ACORD 25- S ( 7/97) ° ACORD CORPORATION 1988
INTERNAL REVENUE SERVICE DEPARTMENT OF THE TREASURY
DISTRICT DIRECTOR
401 W . PEACHTREE ST . NW
ATLANTAv GA 30365
Emp l oyer Idei : t if j ,: : a1 j _: ii P! uniber :
Dates 05 - 0F :I1 �
Fri t� - -� n Case Number :
C014MUN _TT1V GHI •_ D CARE RESOURCES INC Contact Pere ,,,
3150 CARDINAL DRIVE SUITE 200
tiOBERTP. i? Pd METER
VERO BEACH , FL 32963 Contact Telel:, ho101 Number "
333 .1. - 0105,
Account inq r' riod Endjsig :
June 30
Foundat i on m� : atus C• l as < ; i f i c- at i c: n -
509 ( a ) ( 1 )
Advance Rul , r, r Per : „ d E' egin ;; ,
Jury i5u X9 +; 4
Advance RuI iii ; I-' _ -r : c, d Fr, ds :
June 30 + 16/
- - Addendum Applies :
Yes
Dear APP ijcant :
Based on infcir oration You StippI iced ? and a � sum :ngo y _, I.lr : ,, ; rdtl ,:3n5 ! l1 I I be as
stated i n your app I i cat i on f or recogn i t i on of exempt i on s ! e i-iave determ i ned y ,ju
are exempt from federal income tax under section 501 ( a ) of the Internal Revenue
Code as an organization described in section 501 ( c ) f3 ) -
Because you are a newly created organizatson > !-% e ars' nc• 't no rflakinq a
final determination of your foundation status under sect ;: ,.-In 15109 ( a ) of th (--.% Code .
Hos•rever , we have determined that you cap reasonably exPect t ,:, be a pub I i c y
supported organizatiC, n described in sections 509 ( a ) ( 1 ) ., i: d 170 ( b ) ( 1 ) ( A ) ( vi )
Accordingly , during an advance ruling period you treated as a
publicly supported organizations and not as a private foundation , This advance
ruling period begins and ends on the dates shown above ,
Within 90 days after the end of your advance ruling per- ic, di yc, u must
send us the information needed to determine s ; hether yc, ; t: a ; e , r
- t the reaui r :_ —
nients of the appIicable support test during the adt; ance ruIjn Peric, d . 1 ` you
estab I i sh that you have been a pub l i c l y supported ,organ i zat i ono � s sa i l l c
l <; . s i
—
fy you as a Section 509 ( a ) ( 1 ) or 509 ( a ) ( 2 ) organ i _ ! tion as I ,::, no as you. cc, n: tinue
t - nieet the requirements of the app I i cab I e support test ., It •>• ou do rot meet
the pub is support requirements during the advance ruling periods ;-ie I-; i 11
Classify you as a private foundation for futureeric, d � ., Also i
P _ t" s•re classify
you as a private foundations we s•ri I I treat you as a private lounda - i , ri fr " III
your beginning date for purposes of section 507 ( d ) and 4940 .
Grantors and contributors may rely on our determination that You are not a
private foundation until 90 days after the end of your advance ruiisig , period .
If you send us the required informati =an within the 90 days ! grantors and
contributors may continue to rely on the advance d :_• termination until we make
a final determination of your foundation status .
If �� -
- -
I... etter 1045 ( DOiCli
COMMUNITY CHILD CASE RESOURCES INC
sr i 1 i nc i onger treat you as a pub I i c I y supported or gan i zat i on 7 granters anti
contributors may not rely on this determination after the date H-e Publish the
notice . In addition , if YOU lose your status as a publicly supported organ i -
zat i on 7 and a grantor or contributor etas responsible for ? c: raware of , the
act or failure to act , that restIted in your loss of such status7 that person
may not rely on this determination from the date of the act or failure to act .
Alsci7 if a granter or contributi.-ir learned that we hadi iven nc
g - tics-• that y :iu
would be removed from classification as a publicly supported organi -7ation , then
that person may not rely on this detcermination as (if thO date he or she
acquired such knowledge ,
If vnu change your sourCes of supporti your purposes , cttar' a � t r : .. r rtiethod
Of operatirjn7 please let us know so s-ce cap consider the effect .: f the change Cin
Your exeMpt status and foundation status . If you amend your organigat: ionaI
document .. r by l a ► cs7 please send us a copy of the amended document- _ r by l as-ci--
Aisoi let us ' now all changes i. n your name or address .
As of January 1 ? 19545 you are liable for social security taxes undcs-
the Federal Insurance Contributions Act on amounts of $ 100 or niort: you pay to
each of Your employees during a calendar year . You are not IiabI e for the tax
i mposed under the = edera l Unemp l oyment Tax Act ( FUTAO .
Organizations that are ncit private foundations are not subject -L-o the pri -
vate foundation excise tares under Chapter 42 of the Internal Revenue Code .
Howeveri, you are not automatically exempt from other federal excise ta )ces . If
you have any questions about excise , employment , or i:ether fedrraI taxes , please
let us knob: .
Donors may deduct contributions to you as provided in sect i ol, 170 � f the
Internal Revenue Code . Bequests ? Iegacles7 devises ? transfers7 or gifts ti:, ;RC1
or for your use are deductible for Federal estate and gift taxpurposes i = they
meet the applicable provisions of sections 20557 21067 and 2022 of the Codc
Donors may deduct contributions to you only to the extent that their
contribut- ions are gifts , igith no cons ; deration received ,, Ticket purchases aiid
similar payments i n conjunct i 'in ►l i th f undra i s i ng events may not nece ; sar i i v
qualify as deductible contributions7 depending on the circumstances . R = venue
Ruling 6 % - 246 ? published in Cumulative Bulletin 1967 - 27 .. n page 1014 , gives
guidelines regarding when taxpayers may deduct payments for admission tol car
Other participation in7 fundraising activities for charity .
You are not - required to file Form 9907 Return of Organization Exempt Frc-111.1
Income Tax , i = your gross receipts each year are normally $ 25 000 or less . If
you receive a Form 990 package in the mai lei simply attach the label provided ?
check the box in the heading to indicate that your' annual gross receipts are
normally $ 257000 or lessi and sign the return .
If you are required i red to file a return you must file it by the lath day of
the fifth month after the end of your annual accounting period . We charge a
� �' Itz1 . of $ tO a 0@11 �.�+h-�^ _-+a r�tiW : _ c ; � _ a i _
_ e --
Letter 104E ( rjoiCG
COMMUNITY CHILLI CARE RESOURCES INC
cause for the delay . However , the maximum penalty 1-; e charge canniit exceed
$ 5v0100 or 5 percent if your gross receipts for the y _ ar ; thi' r- iEV = ' jti I �+
may also charge this penalty if return: is not complete . S1; s p 11:_ ase be sure
your return is complete before you f i ! e i t .
You are not requ i red te. f i l e federa l i ncome tax returns unless you are
subject to the tar, On unrelated b us i nes _ income under sk- ct 1 _ln 511 Of the C _ode .
If you are subject to this tax , you must file an income tar, retur' )i cin Farm
940 — T , Exempt Organization Business Income Tax Return . In this I ,:- tter we are
not; determ i n i ng whether any of your present or proposed activities are unre —
lated
nre —
Iaced trade ctr business as def i ned in section 513 of the Codc.& >
Yclu need ar employer identification n�lmber even if vou ( lave 'r1Cl emp l ayees .
If an employer identification number Igas not entered On your app l i cat i cin , we
1-1l ll assign a number to eyou and advise you of It . Please usc: this_ number- in
a ': I returns you file rind in a I I • corr .:, spcindence with the Inte ;ena I ltieven ue
Service „
If we said in the heading of this letter that an addendum applies , the
addendum enclosed is an integral part of this letter .
Because this letter could help us resolve any questions about your exempt
status and foundation status , you should keep it in your permanent records .
If you have any questir.� ns , please contact the person: whcisc:' n :; rile and
telephone number are shown in the heading _If this totter .
Sincerely yours ,
Nelson A . Brciok e
District Director-
Enc Iosure ( s ) :
Addendum
Form 87 '2 - C
Letter 1045 ( DO / C131 "
- 4 -
COl*MUNITY CHILD CARE RESOURCES INC
You are required to make your annual return available. fc.lr pul , i is inspection
for three vears after the return is due . You are also required ti-I make
available a ropy of your exemption app I i cat i =_gin , and supp �art i ng dreuments , and
this e :; empticin letter . Failure to slake these documents available for public
i :lspect- iOn may subject you to a p := na I 45y of $ 10 per day for each day there is
f a i I ure to camp I y ( lip to a n: ax if mum n tl-l :- case if an annua I return ) .
See Internal Revenue Service Notice ^ ^ - 1u0 , 19c" C . B . 45 ? , _ r additional
information .
If your _organ i zat i on conducts f ural - raising events such as benefit: dinners ,
auctions , membership drives , etc . , ;there s :• mething of value is received in
return for contributions , you can heli your donors avoid diff icuitipc sgith
their income tax returns by ass i st i n cl therm in determining t her• pr _iper tax
treatment of their contributions. . T _• d _: th i = y0u i: hou l d = in advance of th61
event , determine the fair market value of the benefit race i ve • d and state it
in your fund -- raising materials such as sol icitations , ticket ! :. , and receipts
in such a way that your donors can determine how much is deductibi _ and how
much is not . To assist you in this , the Service has issued Publication 15917
Deductibility of Payments Made to Charities Conducting Fund -- Raising Events .
You may obtain c •• p : es of F' ub I i cat i _ n 1391 from your local IRS Office ,
Guidelines fol- deductible amounts are also set forth in Revenue Ruling 67 - 246 ,
1967 C . E . 104 and Revenue Procedure 90 - 12 , 1990 - 1 C . 1:: „ 471 and Revenue
Procedure 9 .2 49i 199ZI - 26 I . R . B . 18 .