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2006-331L.
I INDIAN RIVER COUNTY GRANT CONTRACT This Grant Contract ("Contract") entered into effective this _QSff day of October 2006, by and between Indian River County, a political subdivision of the State of Florida; 1840 25`" Street, Vero Beach , Florida , 32960-3365; and Hibiscus Children's Center. (Recipient), of: Hibiscus Children's Center P .O . Box 305 Jensen Beach , Florida 34958 Crisis Nursery Program Background Recitals A. The County has determined that 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 proposal 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 (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 the 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 2006/2007 ("Grant Period") . The Grant Period commences on October 1 , 2006 and ends on September 30, 2007. - 1 - 4 . Grant Funds and Payment. The approved Grant for the Grant Period is: TWENTY THOUSAND, DOLLARS ($20,000). The County agrees to reimburse the Recipient from such Grant funds for actual documented costs incurred for the 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 Obligation 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 to written notice. 5 .2 . Compliance with Laws The Recipient shall comply at all times with all applicable federal , state, and local laws and regulations . 5 . 3 . Quarterly Performance Reports. The Recipient shall submit quarterly, cumulative, Performance Reports to the Human Services Department of the County, within fifteen ( 15) business days following: December 31 , March 31 , June 30 and September 30 . 5 .4. Audit Requirements . If Recipient receives $25 ,000, or more in 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 the 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 its 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 the 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 October 21 , 2006 provide to Indian River County Risk Management Division a certificate, or certificates , issued by an insurer, or insurers, authorized to conduct business in Florida that is rated not-less-than Category A-:VII by A. M . Best, subject to approval by Indian River County's Risk Manager, of the following types and amounts of insurance: (i) Commercial General Liability Insurance in an amount not less than $1 ,000 ,000 combined single limit for bodily injury and property - 2 - damage , including coverage for premises/operations , product/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) Worker's 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 the County. In addition , the County may request such other proofs and assurances as it may reasonable 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 Worker's 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 . OJ J11r , INDIAN RIVER COUNTY BOARD OF. EbMMIS ERS w' "ate n By: Arthur R . Neuberger, Chigi 3 n BCC Approved : Attest: J . K. Barton, Clerk By: SCt� ( C1LY� Deputy Clerk Approved : Joseph A. Baird County Administrator Apprg4d as t orm and legal sufficiency: B�: - � " Marian E . Fell , Assistant Coftorry6y RECIPIE T: By: Hibiscus Children's Cen r - 4 - EXHIBIT A (Copy of complete Request for Proposal ) EXHIBIT - A - ` Hibiscus Children's Center Crisis Nursery Program Children 's Services Advisory Committee PROGRAM COVER PAGE Organization Name: Hibiscus Children' s Center Executive Director: Jan S . Huffert, M. S .W. , A.C. S .W. E-mail : ishuffert(a hcc4kids.org Address: Post Office Box 305 Telephone: 772-334-9311x101 Jensen Beach FL 34958 Fax: 772-334- 1991 Program Director: Kathryn Garbowski E-mail : kgarbowskinhcc4kids .org Address : Post Office Box 305 Telephone: 772-334-9311x801 Jensen Beach, FL 34958 Fax: 772-334- 1991 Taxonomy FN-150. 190-15 Program Title: Crisis Nursery Program.— Priority Need Area Addressed: Parental Support and Education Brief Description of the Program: The Crisis Nursery Program is a primary prevention program that has received local, state, and national recognition as a leader in child welfare services. It has been replicated in Florida and throughout the nation. The model utilizes a team of paraprofessionals that works in partnership with families to provide concrete in-home and respite services to prevent child abuse and neglect. It' s primarypumose is to promote family resiliency and child safety and is a proven cost effective intervention! SUMMARY REPORT — (Enter Information In The Black Cells Only) Amount Requested from Funder for 2006 /07 : $ 201000 . 00 Total Proposed Program Budget for 2006 /07 : $ 4745168 . 00 Percent of Total Program Budget : 4 . 2 % Current Program Funding ( 2005 /06 ) : $ 20 , 000 Dollar increase /( decrease ) in request : $ - Percent increase /( decrease ) in request * * : 0 . 0 % Unduplicated Number of Children to be served Individually : 1 , 183 Unduplicated Number of Adults to be served Individually : 638 Unduplicated Number to be served via Group settings : - Total Program Cost per Client : 260 . 39 * *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 Organization 's Board of Directors has approved this napplication \`oAn (date). January 25, 2006 Beth EatonR Name of President/Chair of the Board Signature (� Jan Huffert Name of Executive Director/CEO Signature 2 Hibiscus Children's Center Crisis Nursery Program Children's services Advisory Committee ORGANIZATION: Hibiscus Children's Center PROGRAM : Crisis Nursery Proeram 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 Page 9 X TABLE OF CONTENTS (check list) 1 X COVER PAGE (with signatures). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 X A. ORGANIZATION CAPABILITY (one page maximum) X 1 . Mission and Vision of organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 X 2 . Summary of expertise, accomplishments, and population served. . . . . . . . . . . . . . . . 3 X B. PROGRAM NEED STATEMENT (one page maximum) X 1 . Program Need Statement. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 X 2 . Programs that address need and gaps in service . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 X C. PROGRAM DESCRIPTION (two pages maximum) X1 . Funding priority . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 X 2. Description of program activities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 X 3 . Evidence that program strategy will work. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 X4. Staffing. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 X 5 . Awareness of program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 X 6. Accessibility of program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 X D. MEASURABLE OUTCOMES (two pages maximum) . . . . . . . . . . . . . . . . . . . . . . . . . 7 X E. COLLABORATION (one page maximum) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 X F. PROGRAM EVALUATION (two pages maximum) X1 . Demographics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 X2. Measures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 X3 . Reporting. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 X G. TIMETABLE (one page maximum) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 H. UNDUPLICATED CLIENT COUNT X 1 . Projections by Location . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 X 2. Projections by Age Group . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 X I. BUDGET FORMS 1 . Financial Budget Forms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B1 -135 X J. FUNDER SPECIFIC/ADDITIONAL SHEETS J1434 X K APPENDIX XI-XV 1 Hibiscus Children's Center Crisis Nursery Program Children's Services Advisory Committee PROPOSAL NARRATIVE A. ORGANIZATION CAPABILITY (Entire Section A not to exceed one page) 1 . Provide the mission statement and vision of your organization. The mission of Hibiscus Children ' s Center is to prevent and reduce child abuse and neglect. Hibiscus provides a comprehensive continuum of services that meet identified needs of children and families in our community. From primary prevention to the most intrusive interventions, the vision of Hibiscus Children' s Center is to identify strengths and capacity that are innate in all family systems, work in partnership to build family resiliency, and ensure children grow up free of abuse and neglect with the ability to reach their highest potential. Hibiscus Children ' s Center is a quality service provider that maximizes funding streams from multiple sources and is a shining example of community based care at its finest. Hibiscus Children ' s Center works together with state and local funders to meet program operations and raises approximately 30- 35% of its overall budget through private donations and fundraising activities. Child abuse, neglect and abandonment are the result of community problems . . . and Hibiscus understands that solutions are based on the commitment and investment of the community as a whole. 2 . Provide a brief summary of your organization including areas of expertise, accomplishments, and population served. Hibiscus Crisis Nursery is a primary prevention program that families in crisis seek voluntarily. The program enables families to reduce the impact of poverty, unemployment, domestic violence, behavior management, and other stressful situations that can precipitate child abuse. By providing family support and respite services . . . we can help families prevent problems from escalating into abuse and neglect. Hibiscus Foster Care provides recruitment, training, licensure, and relicensure of foster parents and their homes to increase capacity in Martin, St. Lucie, Indian River, and Okeechobee counties. Hibiscus HOPE is a diversionary program that works with families whose children are at imminent risk of removal due to allegations of abuse and neglect. The program also works to safely reunify children with their family of origin. Hibiscus Children' s Shelter is a 24 hour awake emergency shelter for children ages birth to 12 and their siblings who have been removed from their homes due to egregious abuse and neglect. Hibiscus Children' s Village opened in April 2004 increasing capacity and providing thousands of nights of safety to hundreds of children ages birth to 12 and their siblings in a home-like setting. Hibiscus embarked on a $5 . 1 million capital campaign "Building Hope . . . Mending Lives " which was completed in 2005 , gamering a prestigious Kresge Foundation Grant for $500,000, and allowing it to open its doors debt free. Hibiscus Treasure House provides thrift store resources to children and families in program services and in need in the community. It also provides a source of revenue for program operations . Hibiscus Volunteers & Guild work tirelessly on behalf of the children and families we serve bringing over 33,000 hours of volunteerism each year in a variety of functions, in addition to raising millions of dollars to meet community identified needs for our most vulnerable children and families . Hibiscus strives to be a valuable resource for the community in the field of child abuse and neglect. Hibiscus actively works to remain at the forefront of best practices in child welfare through our membership in the Child Welfare League of America, Florida Coalition for Children, and being accredited through Council On Accreditation For Children and Family Services . 3 Hibiscus Children's Center Crisis Nursery Program Children's Services Advisory Conunittee B. PROGRAM NEED STATEMENT Entire Section B not to exceed one page) 1 . a) What is the unacceptable condition requiring change? The abuse, neglect, or abandonment of children. Sadly, the devastating effects of child abuse go far beyond its immediate physical and emotional impact on the child. The impact permeates throughout the child' s entire life cycle. Abused children show higher rates of school delinquency and failure, drug and alcohol abuse, teen pregnancy, early entry into the criminal justice system, and domestic violence. b) Who has the need? Families and children, birth to 17, who are at risk of maltreatment due to a crisis and who need a wide array of intervention and support services in order to keep the family intact and the children safe. c) Where do they live? Services are provided to children and families in Martin, St. Lucie, Indian River and Okeechobee counties. The program encompasses all socio-economic boundaries since families of every ethnicity, community, and social class can experience a crisis that places their family at risk. d) Provide local, state, or national trend data, with reference source, that corroborates that this is an area of need. ❖ According to the Annie Casey Foundation, 8 out of every 1 ,000 children will at some point enter the child welfare system. (Kids Count Databook 2004) ❖ Florida ranks 34th in the nation in terms of children' s issues (Kids Count Databook 2004) ❖ Florida has a higher rate than the national average of children living in poverty, low birth weight infants, births to unwed mothers, divorce rate, teen birth rate, school dropout rate, and child death rate. (Florida Needs Assessment 2003/2004) 8• 1 ,996 children under the supervision of DCF, 323 of these children are from Indian River County. (UFF Report to Alliance, January 2006) ❖ According to the Florida' s Children Needs Assessment 2003/2004, Indian River County ranked below the state average in the following categories a percentage of kindergarten children ready to learn, percentage of children on waiting list for subsidized childcare, substance exposed newborns rate, percent of two-parent households and percent of adults using alcohol. Since its inception in 1994, Crisis Nursery has served over 14,411 children and families, with an average success rate of 98%. 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. The Crisis Nursery program is a nationally recognized primary prevention program for families who seek help voluntarily helping to prevent the need to enter into the child welfare system. As a program, Crisis Nursery fills a unique void in the Treasure Coast community of providers. As of this writing there are no other identified programs offering the specific services of primary prevention offered through this very successful program of primary prevention services. Crisis Nursery does augment, supplement and/or compliment other community programs such as Strengthening Families, Healthy Families, Healthy Start, etc . For example, the Crisis Nursery program provides respite services for Healthy Families case management and collaborates in St. Lucie County with CASTLE, New Horizons, and Family Preservation with each program providing a unique array services that compliment and meet identified family needs. 4 Hibiscus Children's Center Crisis Nursery Program Children's Services Advisory Committee C. PROGRAM DESCRIPTION (Entire Section C, 1 — 6, not to exceed two pages) 1 . List Priority Needs area addressed. Parental Support and Education 2. Briefly describe program activities including location of services. Crisis Nursery services are voluntary and available 24 hours a day, 7 days a week. When a family requests services, Family Advocates complete an initial intake and assessment to determine eligibility. This intake can be done at the family' s convenience - in the home, at the office, or a mutually determined location. After eligibility is established, the Program Supervisor assigns the case based on the family' s needs and case openings. A Family Support Plan, which drives all services provided, is then developed with the family served. The family clearly determines the services to be provided and when the plan is completed, unless other issues occur, the case will close. The services are short term, lasting 4 —6 weeks for most families. Clear and measurable goals and objectives establish what occurs between the family and the program. Services include identification of problematic areas and solutions, formal and informal support systems, resources available within the community, need for further services, and possibly respite services. All services are aimed at stabilizing family crisis, providing tools for family self-sufficiency, and identifying resources within the family and community to enhance and improve family functioning. This program promotes self-determination, resilience, and is built on family strengths. From assessment to case planning and family goal setting, the program is driven by consumer choice. Coordinated family support services assist families in accessing a wide variety of services including medical and mental health services, parenting education and information, substance abuse assessment and treatment, employment assistance, housing, food, clothing, and transportation. Respite services, where parents voluntarily place their children at Hibiscus Children' s Shelter for short periods of time, provide children all of their basic needs, including, but not limited to therapy and counseling, medical care, educational assessments, and a wide variety of other services as needed. Special conditions have been developed to work collaboratively with law enforcement, health care providers, schools, and a myriad of providers to serve parents in crisis. This approach works hand in hand to resolve the immediate crisis as quickly as possible in a way that is least intrusive and disruptive to the family. Helping families identify not only problems, but solutions, combine to enhance and increase family functioning, working in partnership to assist them in reaching their highest potential. In turn, families learn to resolve their own situations and are better prepared to face the future and every aspect of what it may hold. 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. The Crisis Nursery Program is a nationally recognized program, providing relevant child abuse prevention services in our community . National and state data, media attention, and recognition from the state and federal government support the success of its methodology. It has been cited as a best practice in child abuse prevention. Since October 1994, Hibiscus Crisis Nursery has served over 14,411 children and families with an average of 98% success in keeping families out of the child welfare system. Services provided within or outside of the child' s home are intended to enable the family to stay together and to keep the child living in the child' s home and community, reducing the risk of future crisis and abuse/neglect for children. 5 Hibiscus Children's Center Crisis Nursery Program Children's Services 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). The staff positions for the program consist of: • Program Director (.25) provides administrative oversight. A minimum of 12 hours per week is designated toward the oversight of this program. The Program Director is required to have a Bachelor' s Degree, with a preference for a Master' s Degree in social services or a related field and requires a minimum of three years supervisory and child abuse and related experience. • Program Manager (. 5) provides a high level of supervision to staff members, data collection, billing, as well as liaison to community agencies including UFF, DCF, and other community partners. Approximately 20 hours per week are designated to Crisis Nursery. The position requires a Bachelor' s degree, with a preference for a Master' s Degree, in social services or a related field and three years of child abuse and related experience. • Behavior Specialist (1 ) provide direct services to families. This is a pilot project funded by Exchange Club CASTLE & St. Lucie County Children's Services Council for Strengthening Families. This is a full time position. • Family Advocates (4) provide direct services to families. These are para-professional positions that require a minimum of a high school diploma or GED. Two years of related experience is preferred. These are full time positions. • Administrative Assistant (.25) provides clerical and data entry support for the program in order to maximize staffs' time spent directly with the family. Two years of related experience is preferred. Approximately 30 hours per week are designated to the program. ■ Child Care Workers and Child Care Supervisors provide direct supervision to the children placed in the Shelter for Respite. When children are in respite, awake supervision is provided 24 hours a day. As defined in the budget narrative, we estimate that this equates to the equivalent of 3 .4 child care workers working 40 hours per week throughout the year. A high school diploma or GED is required and 2 years of experience for Supervisors. 5. How will the target population be made aware of the program? In addition to enjoying statewide and national recognition, the Crisis Nursery Program is well established on the Treasure Coast and has been highlighted in the media, including newsprint and television coverage. The primary referral source for the past five years has been self- referral, which demonstrates the widespread community awareness, acceptance, and need of these valuable services. In addition, Hibiscus Children's Center utilizes an extensive marketing plan to build awareness for all of its programs . Public Service Announcements are aired across a wide variety of local cable stations and staff participates in TV interviews, newspaper articles, and presentations to church and civic groups. Most of the clients who utilize this service hear about it from a friend or family member who has been helped by the program. 6. How will the program be accessible to target population (i.e., location, transportation, hours of operation) ? This program is available 24 hours a day, seven days a week. Services are provided in the homes of families or at mutually determined locations. The program is readily available through an on- call system that puts program services in the hands of families in need around the clock. Transportation services are also provided to overcome the obstacles to services many families face due to a lack of public transportation, especially after hours and on weekends. 6 Hibiscus Children's Center Crisis Nursery Prog un 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 . At least 95% of active families will have no la. Maintain list of families served. verified reports of abuse or neglect during lb. Provide a list of families served to UFF for service provision as measured by UFF . identification of families with verified cases of abuse or neglect. 1 c. Receive data back from UFF and determine percentages. 1 d. Review the families with verified cases and determine strategies to prevent further occurrences. 2. Maintain at least 95% of families, 2a. Administer and score AAPI as part of completing services successfully showing initial assessment course of action for each improvement in one domain of their family and include in family case planning. parenting abilities through the use of the 2b. Administer and score AAPI as part of post Adult Adolescent Parenting inventory test for families successfully completing (AAPI) as a pre and post test 45+ days after services. services being implemented. 2c. Individual data is to be maintained in the client files and entered into the quarterly peer record reports . 2d. If percentages are not met a corrective action plan will be developed in response to the quarterly peer review and monitored through the next peer review. 2e. Data will be trended using an established data management system. 3 . For Clients who successfully complete the 3a. Families will be given a satisfaction survey program 95% of client satisfaction surveys by family advocate upon completion of will indicate a satisfactory or better rating. services. 3b. Satisfaction surveys will be analyzed on a quarterly basis for CQI purposes. 3c. Data will be trended using an established data management system. 4 . 95% of families completing the Crisis 4a. The family advocate with assistance from Nursery Program will demonstrate the family will create a discharge plan with knowledge and competency in accessing the phone numbers names and directions community resources on their own by on making a self referral upon closure of identifying three relevant resources for their case. their family with the resources name and 4b . Data will be trended using an established instructions on how to make a self referral. data management system. 7 Hibiscus Children's Center Crisis Nursery Program 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 a reement letters.) Collaborative Azencv Resources provided to the program Big Lakes Mission Outreach School supplies, personal items, food, clothing, household items Caring Children/Clothing Children Clothing and shoes, referrals for case management and Inc. respite Exchange Club CASTLE Parenting and prevention of duel enrollment; HCC provides respite Healthy Families — St. Lucie County HF -Case management, parenting for pregnant mothers and mothers of newborns; HCC - respite Martin County School District Head Preschool education and support services for children Start Program and families; HCC provides respite & case mgmt. Indiantown Non-Profit Housing Provide program space for HCC to provide parenting skills and case management as needed Helping People Succeed Baby Steps HPS provides developmental assessments & mental And Children' s Mental Health health services; HCC provides case mgmt & respite Homeless Family Center Inc. Accept referrals for housing assistance services, including assisting with determining family eligibility for services; HCC provides respite & case mgmt. Salvation Army Food, utility and rent assistance; provide referrals for case management and respite to HCC Society of St. Vincent de Paul Clothing, furniture, appliances, donations, financial assistance for utility bill payment ALPI Head Start Referrals to HCC for respite or case management; accept HCC clients children for Head Start Treasure Coast Homeless Services Reciprocal services, referrals for respite care or case management Tykes and Teens, Inc. Provide mental health services for HCC clients at reduced and sliding scale rate New Horizons Referrals to HCC for respite or case management Department of Children & Families Referrals to HCC for home support services and respite. Data on family involvement in the child welfare system. 8 Hibiscus Children's Center Crisis Nursery Progazn 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 Bl ? The Crisis Nursery Program collects client data in many different ways, in order to meet a variety of funder requirements . Client data including age, gender, race, economic level, education level, parenting situation (i. e. single, dual, grandparents, guardian etc.) is collected on every family served. The information is compiled on a monthly basis and put into a data spreadsheet that is used for reporting to funders. Monthly, quarterly, and year-end reports are provided upon request based on the specific requirements of each funder. All families complete an intake/assessment process to determine the level of their crisis and the ability of the Crisis Nursery Program to assist the family in meeting the need. The need for services is clearly documented on the intake form and incorporated into the Family Support Plan. The Crisis Nursery Program is a primary prevention program providing services before abuse or neglect takes place. The one universal qualification that would make a family ineligible is verified abuse and/or neglect prior to service implementation based on the UFF background screening. 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? Outcomes (abuse histories) are measured through United for Families (UFF), our collaborative partner, client information system. UFF conducts an initial review of the family prior to Hibiscus accepting the family into services . Annually, UFF monitors the Crisis Nursery Program and reports one year follow-up information on whether or not abuse occurred during services or within one year post services . In addition, the Crisis Nursery Program completes an AAPI pre-test on all families and a post- test on families who receive services for over 45 days. The AAPI is a valid and reliable tool that measures improvement in family functioning, in particular in parenting, empathy, corporal punishment, role reversal, and understanding development stages. The results are reported to our internal Continuous Quality Improvement (CQI) committees including Peer Record Review and Risk Management. Another data element that is collected in the Crisis Nursery Program is a discharge plan which is created with each family upon closure of their case. This is maintained in the client file and trended with an established data management system on a quarterly basis . Satisfaction surveys 9 Hibiscus Children's Center Crisis Nursery Program Children's Services Advisory Committee are also given to each family that successfully completes the Crisis Nursery Program . The satisfaction surveys are analyzed on a quarterly basis for CQI purposes . 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? Quarterly data from the 4 measurable objectives will be trended each quarter to identify: • Positive trends will continue to be supported. • Negative trends will be analyzed for contributing factors leading to less than agreed upon objective measurements. • Interventions for negative trends will be identified, implemented and monitored for improvement back to the agreed upon objective measurements. • Results, both positive and negative, will be shared with staff, administration, funders, and the community. Risk Management and Peer Review, based on Council on Accreditation (COA) standards, are completed and reviewed by Standing Committees of the Operating Board of Directors to ensure continuous quality improvement and identification of program risk indicators . In the development and implementation of individual Family Support Plans, families are an integral part of all service provision from the intake process to case closure and completion of satisfaction surveys. DCF, UFF, Children' s Services Councils, United Ways, and other funding entities set benchmarks and performance outcomes that are monitored monthly and/or quarterly. 10 Hibiscus Children's Center Crisis Nursery Program 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 Ongoing • Families are screened for eligibility for services • Families are assessed and support plans are developed with the family to meet their identified needs. • Services and interventions are provided as identified on plan • Cases are closed as needs are addressed and risk level to family and child is diminished. Weekly • Cases are staffed with supervisor to ensure appropriate level of intervention to meet the needs of the family. Monthly Risk Management Committee reviews any significant events that occurred during the month involving the program and/or individuals served. • Records are reviewed as part of internal Peer Record Review to Quarterly ensure compliance with funder, Council On Accreditation, and "best practice" standards Annually • Monitoring occurs by Department of Children and Families to determine if any verified incidents of abuse or neglect occurred during service provision or within one year of completion of services. 11 Hibiscus Children's Center Crisis Nursery Program I Children's services Advisory Committee H. PROJECTIONS FOR UNDUPLICATED CLIENTS Number of Undu licated Clients by Location LastIyscalfeAf` Current Fiscal Year Location Acfua120()¢12005 >' Budget 2005/06 Unduplicated Clients Unduplicated Clients Unduplicated Clients N. Indian River County 30 40 35 S. Indian River County 119 120 140 Indian River Co. Total 149 160 175 Greater Stuart 177 190 215 Hobe Sound 71 70 55 Indiantown 11 12 18 Jensen Beach 51 44 47 Palm City 11 20 30 Martin County Total 321 336 365 Fort Pierce 640 747 735 Port Saint Lucie 344 403 490 St. Lucie Co. Total 984 1 , 150 1 ,225 Other Locations 67 1 67 55 TOTAL SERVED 13521 19713 1 ,820 Number of Unduplicated Clients by Age 3 PI3 a Lt Fiscal Year s. Current Fiscal Year Neat Fiscal Year Locationciiai 2000 Budget 2005/06tri Jechons 2006/Q7 IWIM a x s Iitd t u a Coup , ; Individual Group Individual group t 0 to 4 - (Pre-school) 4021 446 500 - 5 to 10 - (Elementary) 285 312 - 335 11 to 14 - (Middle) 239 278 - 290 - 15 to 18 - (High School) 82 - 79 - 58 Total Children 1 ,008 - 1 , 115 - 15183 - 19 to 59 - (Adults) 510 - 593 630 60 + ( Seniors) 3 - 5 - 7 - Total Adults 1 5131 598 - 637 TOTAL SERVED 19521 - 19713 - 19820 - 12 Hibiscus Children's Center Crisis Nursery Program Children's Services Advisory Committee I. BUDGET FORMS - To open the Budget Forms, please double-click on the icon below. Core Budget FormAs 13 Hibiscus Children's Center, Inc./Cdsis Nursery UNIFORM GRANT APPLICATION BUDGET NARRATIVE WORKSHEET IMPORTANT: The Budget Narrative should provide details to justify the amount requested in each line Rem 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 : Hibiscus Children's Center, Inc./Crisis Nursery FUNDER: Children's Services Advisory Committee of Indian River County F . . . . . . . . . . . . . . . . . . . . . . . . . . - . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . - . . . . . . . . . . . _ . . . . . . . . . . . . . . . . . . . . i CAUTION : Do not enter any figures where a cell is colored in dark blue - Formulas and/or links are in place. Gray areas should be used for calculations and towrite information only. OMY NIFAS FO„ Proposed Total Program Funder Specific Total Agency REVENUES oErnaicucuy Budget Budget Budget 1 Children's Services Council-St. Lucie 142,634 .0 194.488.0 2 Children's Services Council-Martin 381000.0 59,326.0 3 Advisory Committee-Indian River 20,000.00 20,000.0 29,593.0 4 United Way-St. Lucie County 20,382.00 24,988.0 5 United Way-Martin County 209000 .0 20,000.0 6 United Way-Indian River County 4,304.0 4,304 .0 7 Department of Children & Families 589,535.0 8 County Funds 9 Contributions-Cash 10 Program Fees 11 Fund Raising Events-Net 12 Sales to Public - Net 300,000.0 13 Membership Dues 6,000.0 14 Investment Income - 2,370.0 15 Miscellaneous 16 Legacies & Bequests Children's Services Council of Okeechobee County; Strengthing Families; United 17 Funds from Other Sources for Families 228$848.00 5,006,085.0 18 Reserve Funds Used for Operating 19 In-Kind Donations (Not included in total 36,000.0 400,000.0 20 TOTAL REVENUES (doesn't include line 19) 1 $474,168.00 $20,000.00 $6,236,690.00 A B C D EXPENDITURES p�kYM�oOa Proposed Total Program Funder Specific Total Agency lsxowcucuunorvst Budget Budget Bud et 21 Salaries - (must complete chart on next page) 275,924.0 18,578.7 4,004,319.0 to Salary 22 FICA - Total salaries x 0.0765 7.65% 219108.0 1 ,421 .2 306,330 . 3 Retirement - Annualpension or qualified 23 staff 0.50% 11394.0 0.0c 90925.6 Life/Health - Medical/Dental/Short-term 24 Disab. 12.52% 349557.0 0.0 346,838.0 Workers Compensation - # employees x 25 rate 2.48% 6,842.0 0.0 111 ,794 .0 Florida Unemployment - # projected 26 employees x $7,000 x UCT-6 rate 1 0.38% 1 ,054.001 o.oq 25 , 342.0 511612006 B-1 Hibisms Children's Center, InciCrisis Nursery SALARIES A Gross B D POSITION LISTING Annual Salary Portion of Salary on Proposed C Funder y, of Gross Annual (Agency) Program Specific Budget Salary Position Title / Total Hrs/wk Requested(CIA) Example. Executive Director140hrs 70,000.00 10,000.00 5,000.00 7. 14% Program Manager/40 Hours 39,085 .00 19,542.00 4,650.0 1 .90 Program Director/40 Hours 64,890 .00 16 ,222.00 0 .00 Lead Advocate/40 Hours 29,378 .0 29 ,378.00 2,402.7 8. 18% Family Advocate/ 40 Hours 24,370 .0 24,370.00 6,400.0 26 .26/ Behavior Specialists/40 Hours 47,500 .0 47,500.00 0 .00 i Family Advocate/ 40 Hours 24,736 .0 24 , 736.00 0 .00% Family Advocate/ 40 Hours 25,854 .0 25,854.00 2,364. 9. 14X Assistant/40 Hours 22,336 .0 5,584.00 0.00/ Child Care Worker Supervisor/40 Hours 24,360 . 0 24 ,360.00 0.00 Child Care Worker Fill Supervisor/40 Hours 269480 .0 26 ,480.00 2,762.0 10.43 Child Care Worker/40 Hours 23s566.00 16 ,496.00 0.00% Child Care Worker/40 Hours 22,002.00 15,402.00 0.00 #DIV/D! #DIV/0! #DIV101 #DIV10! #DIV/0! #DIV/0! #DIV/0! #DIV/0! Remaining positions throughout the agency 3,629,762.00 Total Salaries $4,004,319-Og $275,924.00 $18,578.73 0.460/ FRINGE BENEFITS DETAIL (Funder Specific Budget A Funder B D Workers Unemployme TotalFrngesFunder Column C only, from line 22 to 27) Specific Budget FICA 7.65% (A X /)pension Health Ins. Compens. nt Compens. Specific Position Title / Total Hrslwk Example: Case Manager140 hrs 5,000.00 382.50 200.00 500.00 300.00 200.00 1,582.50 Program Manager/40 Hours 4,650.00 355.73 355.7 Program Director/40 Hours 0.00. 0.00 0.0 Lead Advocate140 Hours 2,402.70 183.81 1 183.81 Family Advocate/ 40 Hours 6,400.0 489.60 488.6 Behavior Specialists/40 Hours 0.0 0.00 0 .0 Family Advocate/ 40 Hours 0.01 0.00 0.0 Family Advocate/ 40 Hours 2,364.0 180.85 180.8 Assistant/40 Hours 0.0 0.00 D.0 Child Care Worker Supervisor/40 Hours 0.0c 0.00 0.0 Child Care Worker Fill Supervisor/40 Hours 2,762.0 211 .29 2112 Child Care Worker/40 Hours 0.0 0.00 0.0 Child Care Worker/40 Hours 0.0c 0.00 0.0 0 0.01 0.00 0.0 0 0.0c 0.00 0.0 0 0.0 0.00 0.0 0 0.0 0.00 0 .0 0 0.0 0.00 0.0 0 0.0 0.00 0.0 0 0.0 0.00 0.0 0 0.0A 0.00 0.0 Total Funder Request Fringe Benefits $18,578.71 $1 ,421 .21 $0.0q $0.0q $0.0q $0.01 $1 ,421 .27 5/1612006 B"1 Hibiscus Children's Cenler, InclCrisis Nursery A B C D EXPENDITURES GMYARe6RFOR Proposed Total Program Funder Specific Total Agency AGENCYMEONLYTO SNOW DETML Budget Budget Budget 27 Travel-Daily 9,460 .00 0.00 71 ,638 . 0 # of Staff x average # of miles/wk x 50 wks x $ = Estimated Daily Travel/Mileage Reimb. 109 miles per week @.29 for 5.75 people 28 Travel/Conferences/Training 1 ,304.011 0.001 22, 190 .0 • National Conference (cost per staff) • Training/Seminar (cost per staff) • Other Trainings (cost of travel, lodging, registration, food ) Family Support Training for 6 people @ $217.33 per person 29 Office Supplies 1 ,646.01 0.00 33 , 318 .0 • Office supplies (monthly average x 12 months = estimated cost of office supplies based on present history. $137.17 per month average for 12 moths 30 Telephone 81048.0 0.001 78,045.0 • # Phone lines x average cost per month x 12 months = local phone cost • Average long distance calls x 12 months = Bell South - $351 .33 per month average/Cell Phones - $191 .50 per month average/Long Estimated cost of long distance Distance - $93.66 per month average/ Data Communications $34.17 per month average. 31 PostagelShipping 50.00 0.00 5,620.0 • Quarterly Mailing of Newsletter • Special events, etc. • Bulk mailings - appeals Postage meter average usage of $4.17per month 32 Utilities 4,408.0 O.Ool 95, 179 .010 • Electricity ($ x 12 months) • Water/Sewer ($ x 12 months) Electric - $290. 19 per month averagetWater/Sewer - $33.06 per month average/Garbage - • Garbage ($ x 12 months) $44.08 per month average 33 Occupancy ( Building & Grounds) 11 ,406.011 0.00 73 , 649.0 • Mortgage/Rent IS x 12 months) • Janitorial ($ x 12 months) • Grounds Maint. ($ x 12 months) Rent - $675.50 per month/Janitorial - $108.33 per month/Grounds Maintenance - $166.67 per • Real Estate Taxes month 34 Printing & Publications 350.0 0 .001 1 ,910.0 • Quarterly Newsletter ($ x 4) • Letterheads, Envelopes, etc. • Fundraising materials • Other Letterhead, Envelopes and MISC. printing $29.17 per month average 35 Subscription/Dues/Memberships 3,000 .0 0.001 20,356.012 • Membership to National Organization Dues to Child Welfare League - $100 per month/Florida Coalition for Children - $100 per • Dues month/Council on Accrediatation - $10.11 per month/Dues for TC Coord. Council - $2.53 per • Subscriptions to Newspapers/magazines, month/Subscriptions for newspapers and trade magazines - $12.67/Chamber of Commerces - etc. $24.69 per month. 361nsurance 5,688.0 0.0q 113 ,297.0 • Directors/Officers Liab. • Commercial/General Insurance • Bond Ins. Property Insurance - $179.25.per monUdGeneral Liability Insurance $93.OB per • Auto Insurance monthlProfessional Liabilaity - $22' .67per month 37 Equipment: Rental & Maintenance 6,65 .0 0.001 97,733.0 • Copier lease ($ x 12 months) • Meter lease ($ x 12 months) • Copier Maintenance ($ x 12 months) • Computer Maintenance ( $ x 12 months) Copier Lease - $136 per month/Copier and Computer maintenance - $313 per month/Software • Other Support - $ 105.50 per month 38 Advertising 69200T 0.001 16,740 . 0 • Newspaper ads • Fundraising ads/promotions • Other (vacancies ) Newspaper ads as needed 39 Equipment Purchases: Capital Expense 0.001 0.001 147 ,580.0 • Computer/monitor (# x $) • Laser Printer 40 Professional Fees (Legal , Consulting) 1 ,028.0 0.00 47 ,447.0 5/1672006 B-1 Hibiscus Children's Center, IncJCnsts Nursery • Legal advice ( estimated #hrs x $) • Consultant fees - • Other ADP payroll service 41 Books/Educational Materials 0 .001 0.001 5,495.00 • Books/videos • Materials ($ x staff) 42 Food & Nutrition 3,080.01A 0.001 190,523 .0 • Meals ( # meals x clients x 5days x 50 wks) • Snacks 1 $3.29 per week 3 meals a day for 6 children per 52 weeks 43 Administrative Costs 43, 106 .0 0 .001 317,374 . 0 Accountant - - 20% - Salary.- $90D9 - Fringes - $1 ,8021 COO - 20% - Salary - $ 16,000 - Fringes - - Admin. Cost (% of total budget) $3,200/IT Manager - 25% - Salary - $11 ,750 - Fringes - $1 ,345 44 Audit Expense 29115.0 0 .001 11 ,617 . 0 • Independent Audit Review Independent audit review 45 Specific Assistance to Individuals 30,000.01 0.001 60,535 .0 • Medical assistance • Meals/Food • Rent Assistance • Other Rent/Living Assistance - $2, 122 per month averagelUtilily Assistance - $378 per month average 46 Other/Miscellaneous 1 ,25404- ,2540 0.001 21 ,895.0 • Background check/drug test • Other Background Checks/Drug Testing 47 Other/Contract 0.00 • Sub-contract for program services 48 TOTAL EXPENSES $474,168.00 $20,000.00 $6,236,690.00 5/1612006 6-1 UNIFORM GRANT APPLICATION TOTAL AGENCY BUDGET AGENCYIPROGRAM NAME: Hibiscus Children's Center, Inc./Crisis Nurser r FY 04/05 FY 05106 FY 06/07 % INCREASE FYE 06/30/05 FYE_6130106 FYE_06130/07 CURRENTVS. NEXT FY BUDGET A B C D ACTUAL TOTAL PROPOSED Ica- occl. Bpcol. e REVENUES BUDGETED BUDGETED 1 Children's Services Council-St. Lucie 142;325.35 151 855.00 194 489.00 28.08% 2 Children's Services Council-Martin 41828.82 25750.00 59326.00 130.39% 3 Advisory Committee-Indian River 20 062.53 20 000.00 29 593.00 47.97% 4 United Way-St. Lucie County 20000.00 2000.00 24988.00 1149.40% 5 United Way-Martin County 20000.00 15000.00 20000.00 33.33% 6 United Way-Indian River County 0.00 4304.00 #DIV/01 7Department of Children & Families 250015.94 589535.00 589535.00 0.00% 8 County Funds 0.00 #DIV/01 9 Contributions-Cash 151 619.52 0.00 #DIVI01 10 Pro ram Fees 0.00 #DIVI01 11 Fund Raising Events-Net 0.00 #DIV/01 12 Sales to Public-Net 257 434.26 300 000.00 300 000.00 0.00% 13 Membershi Dues 4900.00 6000.00 6000.00 0.00% 14 Investment Income 4176.61 237000 2p370.00 0.00% 15 Miscellaneous 179.13 0.00 #DNI01 16 Laical & Bequests 0.00 #DIVI01 17 Funds from Other Sources 3640 089.30 5 091 790.00 51006,085.00 -1 .68 18 Reserve Funds Used for Operating 0.00 WIV101 19 In-Kind Donations Not iadoaad in total) 515 500.00 400 000.00 400 000.00 0.00% 20 TOTAL 4.552.631 .36 6 204 300.00 6,236,690.00 0.52% EXPENDITURES 21 Salaries 2662111 .82 3925531 .00 4004319.00 2.01019 22 FICA 192774.67 300305.00 306330.33 2.01% 23 Retirement 6594.74 9810.00 9925.67 1.18% 24 Life/Health 170 843.12 345 875.00 346 838.00 0.28% 25 Workers Compensation 68962.39 111676.00 111794.00 0.11% 26 Florida Unemployment 18 792.24 25 309.00 25 342.00 0.13% 27 Travel-Dally 72178.65 72138.00 71 638.00 -0.69% 28 Travel/Conferencesrrrainin 30 472.57 22 190.00 22 190.00 0.00% 29 Office Su lies 42j550.46 33 318.00 33 318.00 0.00% 30 Telephone 73371 .02 79045.00 76045.00 -1 .27% 31 PostagelShipping 5543.46 5620.00 5620.00 0.00% 32 Utilities 70 582.88 95179.00 95179.00 O.OD% 33 Occupancy Buildin & Grounds) 95102.67 100329.00 73649.00 -26.59% 34 Printing & Publications 1 .734.58 1,910.00 1 ,910.00 0.00% 35 Subscription/Dues/Memberships 19162.21 20406.00 20356.00 -0.25% 36 Insurance 85544.64 109254.00 113297.00 3.70% 37 E ui ment:Rental & Maintenance 125159.51 85 061.00 97 733.00 14.90% 38 Advertising 18 691.56 16 740.00 18 740.00 0.00% 39 Equipment Purchases:Ca Ital Expense 149 736.27 162 000.00 147 580.00 -8.900/0 40 Professional Fees (Legal, Consulting) 31415.00 46947.00 47447.00 1 .07% 41 Books/Educational Materials 6560.81 5885.00 5495.00 -6.63% 42 Food & Nutrition 65 670.41 190 523.00 190 523.00 0.00% 43 Administrative Costs 292 172.00 316112.00 317 374.00 0.40% 44 Audit Expense 20 454.73 11 617.00 11 617.00 0.00% 45Specific Assistance to Individuals 111771 .58 88635.00 60535.00 32.46% 46 Other/Miscellaneous 28215.01 21 885.00 21 895.00 0.05% 47 Other/Contract 0.00 #DIV/01 4e TOTAL 4,464,169.00 6 204 300.00 6,236,690.00 0.52% 49 REVENUES OVERJ(UNFERI EXPENDITURES 88 462.36 0.00 0.00 #DIVI01 Be 916n006 wee oiw.„� Cmb. IMJCi sN . UNIFORM GRANT APPLICATION TOTAL PROGRAM BUDGET AGENCYIPROGRAM NAME: Hibiscus Children's Center, InCJCrIsIS Nurser r FY 04105 FY 05106 FY 06/07 % INCREASE FYE 6130105 FYE 6130/06 FYE 6130107 CURRENTVS. NEXT FY BUDGET A B C D ACTUAL TOTAL PROPOSED (col. C-col. 8)mnl. B REVENUES BUDGETED BUDGETED 1 Children's Services CouncilSt. Lucie 92 982.52 100 000.00 142 634.00 42.63% 2 Children's Services Council-Martin 24 823.24 25 750.00 38 000.00 47.57% 3 Advisory Committee-Indian River 20 062.53 20000.00 20 000.00 0.00% 4 United Wa St. Lucie County 5,000.00 2 000.00 20 382.00 919.10% s United Way-Martin Count 15000.00 15000.00 20000.00 33.33% 5 United Way-Indian River County 4304.00 #DIVI01 7 Department of Children & Families 687.85 0.00 #DIVI01 6 County Funds 0.00 #DIV/01 9 Contributions-Cash 21 ,724.04 0.00 #DIV/01 to Program Fees 0.00 #DN/01 it Fund Raising Events-Net O.OD #DIVIOI 12 Sales to Public-Net 0.00 #DIV101 13 Membership Dues 0.00 #DIVIOI 14 Investment Income 0.00 0.00 #DIVIOI 15 Miscellaneous 0.00 #DIV101 16 Legacies & Bequests 0.00 #DIV/01 17 Funds from Other Sources 199465.97 244207.00 228 948.00 .6.290/9 la Reserve Funds Used for Operating 0.00 #DIV101 191n-Kind Donations (Not Included in eeu,0 45000.OD 36000.00 38000.00 0.001. 20 TOTAL 379 746.15 406 957.00 474J68.00 16.521. EXPENDITURES 21 Salaries 230442.64 226610.00 275924.00 21 .761. 22 FICA 16242.62 17336.00 21108.00 21 .76% 23 Retirement 467.33 1 300.00 1394.00 7.23% 24 Life/Health 14932.91 22836.00 34557.00 51 .33% 25 Workers Compensation 5,969.21 6453.00 6842.00 6.03% 26 Florida Unemployment 821 .90 1 ,350.00 1,054.00 41.93% 27 Travel-Daily 81877.49 9,280.00 9460.00 1.94% 28 Travel/Conferences/Trainin 11155.10 1 160.00 1 .304.00 12.41 % 29 Office supplies 1 ,809.32 3 010.00 1 646.00 45.32% 3o Telephone 7,506.46 7,510.00 8048.00 7.16% 31 Posta e1Shi in 186.69 100.00 50.00 -50.00% 32 Utilities 4230.00 4406.00 4408.00 0.00% 33 Occupancy (Building & Grounds 4553.00 12981.00 11406.00 .12.13% 34 Printing & Publications 392.51 400.00 350.00 -12.50% 35 Subscri tion/Dues/Membershi s 475.08 2700.00 3000.00 11.11% 36 Insurance 4910.55 5418.00 5688.00 4.98% 37 E ui ment:Rental & Maintenance 62716.28 51800.00 62654.00 14.72% 3a Advertising 813.38 690.00 692.00 0.29% 39 Equipment Purchases:Ca ital Expense 6,72350 0.00 #DIV101 40 Professional Fees (Legal, Consulting) 135.00 900.00 1 028.00 14.22% 41 Books/Educational Materials 0.00 #DIV/01 42 Food & Nutrition 3,066.16 3,080.00 308000 0.00% 43 Administrative Costs 35300.02 40,695.001 43106.00 5.92% as Audit Expense 1 ,825.56 1 840.00 2115.00 14.95% 45 Specific Assistance to Individuals 29 950.61 3000000 3000000MWIV/01 46 Other/Miscellaneous 4850.54 1100.00 1254.00 47 Other/Contract 0.00 46 TOTAL 392353.86 406957.00 474168.00 49 REVENUES OVER/ UNDER EXPENDITURES -12 607.71 0.00 0.00 scauue Hibiscus Children's Center, InclCnsis Nursery UNIFORM GRANT APPLICATION FUNDER SPECIFIC BUDGET PROGRAM EXPENSES AGENCY/PROGRAM NAME : Hibiscus Children's Center, Inc./Crisis Nursery FUNDER : Children's Services Advisory Cor A B c FY 06/07 FY 06/07 % OF TOTAL FUNDER TOTAL VS. PROGRAM SPECIFIC FUNDER REQUEST BUDGET BUDGET col. B/col. A EXPENDITURES 21 Salaries 275,924.00 18,578.73 6.73% 22 FICA 21 ,108.00 1 ,421 .27 6.73% 23 Retirement 19394.00 0.00 0.00% 24 Life/Health 34,557.00 0.00 0.00% 25 Workers Compensation 6,842.00 0.00 0.00% 26 Florida Unemployment 11054.00 0.00 0.00% 27 Travel-Daily 92460.00 0.00 0.00% 28 Travel/Conferences/Training 1 ,304.00 0.00 0.00% 29 Office Supplies 19646.00 0.00 0.00% 30 Telephone 81048.00 0.00 0.00% 31 Postage/Shipping 50.00 0.00 0.00% 32 Utilities 4,408.00 0.00 0.00% 33 Occupancy (Building & Grounds 11 ,406.00 0.00 0.00% 34 Printing & Publications 350.00 0.00 0.00% 35 Subs cri tion/Dues/Membershi s 3,000.00 0.00 0.00% 36 Insurance 5,688.00 0.00 0.00% 37 Equipment: Rental & Maintenance 6,654.00 0.00 0.00% 38 Advertising 692 .00 0.00 0.00% 39 Equipment Purchases : Capita I Expense 0.00 0.00 #DIV/O! 40 Professional Fees (Legal , Consulting) 13028 .00 0.00 0.00% 41 Books/Educational Materials 0. 00 0.00 #DIV101 42 Food & Nutrition 3,080 .00 0.00 0.00% 43 Administrative Costs 439106 .00 0.00 0.00% 44 Audit Expense 21115.00 0.00 0.00% 45 Specific Assistance to Individuals 30, 000.00 0.00 0.00% 46 Other/Miscellaneous 1 ,254. 001 0.001 0.00% 47 Other/Contract 0.00 0.001 #DIV/01 48 TOTAL $4749168.00 $20,000.00 4.22% &1612006 61 Miss Himcm CnNlmk Cmlen Iml itm Wme UNIFORM GRANT APPLICATION EXPLANATION FOR VARIANCES OF 15% OR MORE TOTAL PROGRAM BUDGET AGENCYIPROGRAM NAME: Hibiscus Children's Center, Inc./Crisis Nursery FUNDER: Children's Services Advisory Committee of Indian River County !.Rill h ,,.. lt�il},=�`11NE ITEM r � � ;:=EXPLANgT/01{I FORMARIAMCE ;.. I Children's Services Council-St. Lucie Addition of positions: Behavior Specialist and Family Advocate. Based on where clients served. Children's Services Council-Martin Addition of positions: Behavior Specialist and Family Advocate. Based on where clients served. No increase in funding in many years. United Wa SL Lucie County Addition of positions: Behavior Specialist and Family Advocate. Based on where clients served. United Nay-Martin County Addition of positions: Behavior Specialist and Family Advocate. Based on where clients served. #DIVI01 #DIV/OI #DIV/01 #DN/01 #DN101 #DN/01 #DIVI01 #DIV/01 #DIVI01 #DIVI01 #DIV/01 #DN/01 Salaries Addition of positions: Behavior Specialist and Family Advocate. FICA Addition of positions: Behavior Specialist and Family Advocate. Addition of positions: Behavior Specialist and Family Advocate. Substantial increases in insurance rates over last number of years. Life/Health More employees eligible for insurance coverage. #DN/01 #DIV/01 #DIV/01 Yl82rA6 &5 W so GMms QnMr, Irc.IGisu Nms UNIFORM GRANT APPLICATION EXPLANATION FOR VARIANCES OF 15% OR MORE FUNDER SPECIFIC BUDGET AGENCY/PROGRAM NAME: Hibiscus Children's Center, Inc./Crisis Nursery FUNDER: Children's Services Advisory Committee of Indian River County 41 1 LIZ. 1 1, LINE-ITEM = EXPLANATION PQR'VARIANCRt I #DN/01 #DIV101 #DN/01 as Y18r1W6 EXHIBIT B ( From policy adopted by Indian River County Board of county Commissioners on February 19, 2002) " D . Nonprofit Agency Responsibilities After Award 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 1s` 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 and (September 30`") must be submitted on a timely basis. Each year, the Office of Management and 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 expense by type . These summaries should be broken down into salaries, benefit, 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." EXHIBIT - B - EXHIBIT C STANDARD TERMS FOR GRANT CONTRACT 1 . Notices . Any notice, request, demand , consent, approval , or other communication required or permitted by this Contract shall be given , or made in writing , by any of the following methods: facsimile transmission ; hand delivery to the other party; delivery by commercial overnight courier service; or mailed by registered or certified mail (postage prepaid), return receipt requested at the addresses of the parties shown below: County: Brad E. Bernauer, Director Indian River County Human Services 184025 1h Street Vero Beach , Florida 32960-3365 Recipient: Hibiscus Children's Center P. O. Box 305 Jensen Beach , Florida 34958 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 provision and term 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 context indicates otherwise, words importing the singular number include the plural number, and vise 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. EXHIBIT - C - HIBISCUS CHILDREN ' S CENTER CORE PROGRAM SERVICE MANUAL HUMAN RESOURCE DEVELOPMENT ALL PROGRAMS 1 . 16 AGENCY VEHICLE USE POLICY To establish guidelines for ensuring the safe operation of Hibiscus Children' s Center vehicles and the security of the passengers that are being transported . Agency vehicles will be the primary source of transportation of HCC clients . Any use of personal vehicles to transport clients is prohibited . GENERAL POLICY The safety and security of Hibiscus Children's Center residents and employees while being transported in a Hibiscus Children 's Center owned or leased vehicle is of the utmost priority. Hibiscus Children 's Center feels the same considerations apply for employees who drive their personal vehicles while conducting Hibiscus Children's Center business . DRIVER REQUIREMENTS — HIBISCUS CHILDREN ' S CENTER VEHICLES A. Approved Hibiscus Children ' s Center Drivers Hibiscus Children's Center requires employees to be approved as a Hibiscus Children 's Center driver by the Human Resources Department prior to driving on Hibiscus Children ' s Center business . Employees must meet the following qualifications: 1 . Possess a valid Florida driver's license for at least three years regardless of age; 2 . Be approved by the Agency's Insurance carrier. B . Unacceptable Drivers 1 . A driver with any one of the listed "Serious Violations" committed within three years ; 2 . A driver with more than two "Serious Violations' committed between three years and eight years ago; *Any driver with a past history, from 3-8 years old , with two to three "serious violations" will be considered marginal . See Section B1 on monitoring marginal drivers. 3 . A driver with any combination of accidents ( regardless of fault) and other moving violations which total three during the previous three years; *Any driver with a combination of two will be considered marginal . See Section B1 on monitoring marginal drivers. 4 . A driver with an international or foreign driver's license ; 5 . A driver licensed less than three years regardless of age; 6 . Florida law may require drivers to be re-licensed within a certain time frame (e.g . 30 days ) of their move to the state . Any driver who is not licensed in the state where they reside within the required time is an unacceptable driver. Approved by the Operating Board of Directors 8/24/05; 7/26/06 Jan Swink Huffert, M.S. W., A. C.S. W., Chief Executive Officer HIBISCUS CHILDREN ' S CENTER CORE PROGRAM SERVICE MANUAL HUMAN RESOURCE DEVELOPMENT ALL PROGRAMS Serious Violations : (a ) DUI/DWI — Drugs or Alcohol ; ( b) Hit and Run ; (c) Failure to report an accident; (d ) Negligent homicide using a motor vehicle ; (e) Driving while license is suspended or revoked ; (f) Using a motor vehicle of the commission of a felony; (g ) Operating a motor vehicle in the commission of a felony; ( h ) Permitting an unlicensed to drive ; ( i ) Reckless driving ; Q ) Speed contest ; (k) Illegal passing of a school bus ; ( 1 ) Other violations considered serious by state law. B1 . Monitoring Drivers A. A Motor Vehicle Records (MVR) check will be done on all drivers at least annually. B . A driver's motor vehicle record may become unacceptable during the course of employment . If the employee is required in job descriptions to transport client or operate agency vehicles, employment will be terminated . C . Marginal drivers , including any driver 21 tears of age or younger, will have MVR checks at least twice a year. C . Personal Vehicles Hibiscus Children 's Center requires employees who drive their personal vehicles for business to meet the following qualifications for safety and liability purposes: 1 . Be an approved Hibiscus Children 's Center driver; 2 . Abide by any and all restrictions listed on the employee's driver's license ; 3 . Submit a copy of proof of, at least $ 10, 000 personal injury protection and property damage land $20 , 000 bodily injury liability insurance coverage to Human Resources . 4 . Wear seat belts at all times during operation of vehicle; 5 . Obey all traffic laws while operating the vehicle ; 6 . Assure that their personal vehicle is properly maintained and in safe operating condition ; 7 . Maintain a satisfactory motor vehicle driver's record ; 8 . Carry documentation of driver's eligibility while operating the vehicle. This includes valid Florida driver's license and statement of insurance coverage ; 9 . Employees may not operate his/her personal vehicle for Hibiscus Children 's Center business while under the influence of drugs or alcohol , including prescribed and over-the-counter medications which may induce drowsiness or affect driving ability; 10 . In the event of a traffic accident while driving a personal vehicle for Hibiscus Children ' s Center business , the following procedures shall be followed : Approved by the Operating Board of Directors 8/24105; 7/26/06 Jan Swink Huffed, M.S. W., A. C.S. W., Chief Executive Officer HIBISCUS CHILDREN ' S CENTER CORE PROGRAM SERVICE MANUAL HUMAN RESOURCE DEVELOPMENT ALL PROGRAMS (a ) The employee is required to report an accident to the Human Resources Director immediately ; (b ) The employee is required to report to an approved drug testing facility as instructed by the Chief Executive Officer or designee for a drug screening test; ( c) The Employee may be asked to provide documentation of his/her travel departure and destination locations at the time of the accident; (d ) Employees who seek medical treatment following a traffic accident shall advise healthcare providers that the injury is a work related accident. D . Passenger Vans ( 15 passengers or less ) Hibiscus Children 's Center requires drivers of all Hibiscus Children 's Center owned or leased passenger vans to meet a standard of qualifications for safety and liability purposes . The following summarizes the minimum qualifications: 1 . Possess a valid Florida driver's license ; 2 . Can read and speak English fluently; 3 . At least three years driving experience; 4 . Be an approved Hibiscus Children 's Center driver; 5 . Abide by any and all restrictions listed on the employee ' s driver' s license ; 6 . Wear seat belt at all times during operation of vehicle ; 7 . Obey all traffic laws while operating the vehicle ; 8 . Maintain a satisfactory motor vehicle driver' s record ; 9 . Report immediately to the Human Resources Director any charge of moving violation , suspensions , or failure to renew a valid driver's license ; 10 . Carry documentation of driver's eligibility while operating the vehicle . This includes valid driver's license and statement of insurance coverage; 11 . Employees may not operate a Hibiscus Children's Center owned or leased passenger van while under the influence of drugs or alcohol , including prescribed and over-the- counter medications which may induce drowsiness or affect driving ability. E . Truck ( Class D ) The United States Department of Transportation , Federal Highway Administration requires drivers of trucks to meet strict standards of qualifications . The following summarizes the minimum qualification as well as Hibiscus Children 's Center requirement: 1 . Possess a valid Class D Florida Driver's License ; 2 . Can read and speak English fluently; 3 . At least two years experience as a truck driver; 4 . Be an approved Hibiscus Children's Center driver; 5 . Abide by any and all restrictions listed on the employee 's driver' s license ; 6 . Obey all traffic laws while operating the vehicle ; 7 . Wear seat belt at all times during operation of vehicle ; 8 . Maintain a satisfactory motor vehicle driver's record ; Approved 6y the Operating Board of Directors 8/24105; 7/26/06 Jan Swink Huffert, M.S. W., A. C.S. W., Chief Executive Officer HIBISCUS CHILDREN 'S CENTER CORE PROGRAM SERVICE MANUAL HUMAN RESOURCE DEVELOPMENT ALL PROGRAMS 9 . Report immediately to the Human Resources Director any charge of moving violation , suspensions , or failure to renew a valid driver's license ; 10 . Carry documentation of driver's eligibility while operating the vehicle . This includes valid driver's license and statement of insurance coverage; 11 . Drivers are required to pull to the side of the road and stop the vehicle prior to using a cellular telephone ; 12 . Employees may not operate a Hibiscus Children's Center owned or leased truck while under the influence of drugs or alcohol , including prescribed and over-the- counter medications which may include drowsiness or affect driving ability. OPERATION OF VEHICLES A. Vehicle Inspections Drivers of Hibiscus Children 's Center owned or leased vehicles are required to perform the following : 1 . Perform daily vehicle inspections prior to , and following operation of the vehicle . This will include, but not be limited to , the following : (a) thorough examination of vehicle (interior and exterior); (b) inspection of all safety equipment including condition of seat belts ; (c) a check of the first aid kit, county map , valid registration form ; proof of insurance coverage , accident reporting procedures , road hazardous kits and other supplies; 2 . Recording mileage before leaving and again upon returning in the mileage log ; 3. Filling the gas tank when the gauge registers 1/4 tank or less ; 4. Advise the Human Resources Director of irregular vehicle maintenance concerns ; 5 . Report any vehicle damage to the Human Resources Director immediately . Under no circumstances will an unsafe vehicle be used to transport passengers . Drivers must report any vehicle safety concerns immediately to the Human Resources Director or Program Administrator or Director of Operations for Residential Services. B . Operating Guidelines The following guidelines must be followed during operation of any Hibiscus Children 's Center vehicle : 1 . Drivers must have a cellular telephone with them and turned on at all times while operating a Hibiscus Children's Center vehicle ; 2. Drivers are required to pull to the side of the road and stop the vehicle prior to using a cellular telephone; 3 . Drivers and passengers of Hibiscus Children 's Center vehicles that contain seat belts are required to have them fastened at all times while in the vehicle . Anyone who refuses to wear a seat belt when applicable , will not be transported by Hibiscus Children ' s Center staff; Approved by the Operating Board of Directors 8/24/05; 7/26/06 Jan Swink Huffert, M.S. W., A. C.S. W, Chief Executive Officer A00 CERTIFICATE OF LIABILITY INSURANCE C DATE (mmrOD HIBISIS -2 10 / 05 / 06/ 06 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE R . V . Johnson { GSM } HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 2041 E Ocean Blvd ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Stuart FL 34996 Phone : 772 -287 - 3366 Fax : 772 -287 - 4255 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: National Indemnity Co . INSURER B. Markel International Hibiscus Childress Center Inc . ers Ins .INSURER C: Brid efield Employers fiHibiscus Childress Foundation g P Y P 0 BOX 305 INSURER D Jensen Beach FL 34958 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 MAYBE 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 CLAIMSJi ADD I . LTR INSR TYPE OF INSURANCE POLICY NUMBER P EFfDD E DDfN N DATT Y E MFECTY DATE EXPIRATI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 170001, 000 $ X COMMERCIAL GENERAL LIABILITY 3602SS255610 - 3 07 / 12 / 06 07 / 12 / 07 PREMISES (Ea occttrence) $ 2001000 CLAIMS MADE OCCUR MED EXP (Any one person) $ 15000 PERSONAL B ADV INJURY $ 11, 0001000 X ABUSE /MOLES $ IM/ $ GENERAL AGGREGATE $ 31 OOO , OOO GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 31, 0001000 X POLICY JE° 7 LOC ! Emp Ben . $ 1M/ $ 3M AUTOMOBILE LIABILITY A X ANYAUTO BINDER #43766 07 / 12 / 06 07 / 12 / 07icOMBwEosINGLEUMIT . $ 1 , 000 , 000 (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) X HIREDAUTOS BODILY INJURY $ X NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ —,' ANY AUTO OTHEEAACC $ AUTO ON THAN ' AUTO ONLY: qGG $ EXCESSAIMBRELLA LIABILITY EACH OCCURRENCE 62 / 000 / 000 BIX OCCUR CLAIMSMADE 4602SS255623 -2 07 / 12 / 06 07 / 12 / 07 AGGREGATE s 2 / 000 / 000 ' 8 DEDUCTIBLE $ X RETENTION $ 10000 $ WORKERS COMPENSATION AND TORY LIMITS X UE R C EMP LOYERS' LIABB-RY 0830 - 28580 02 / 22 / 06 02 /22 / 07 E. L. EACHACCIDENT ! s500000 ANY PROPRIETOR/EXCLUDED?OFFICER/MEMBER EXCLUDED9 E . DISEASE - EA EMPLOYEE' $ 50 00 00 If yes, describe under I SPECIAL PROVISIONS below iDISEASE - POLICY LIMIT $ 500000 OTNER DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS 30 days notice of cancellation for workers compensation coverage . Companies have the option to cancel 10 days for non-payment . Certificate holder is added as additional insured . CERTIFICATE HOLDER CANCELLATION INDIA02 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 * DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Indian River County IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 1840 25th Street REPRESENTATIVES. Vero Beach FL 32960 AUTHO D PRESENTp]IVE ACORD 25 (2001108) ' © ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED , the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy , certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s) . DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s) , authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend , extend or alter the coverage afforded by the policies listed thereon . ACORD 25 (2001108) CHILDREN 'S SERVICES ADVISORY COMMITTEE C/O Human Services 1840 25" Street Vero Beach, Florida 32960-3394 Phone: 561 -567-8000 (Ext. 1467 or 1524) Fax: 978- 1798 E-Mail Mmasterson(&ircgov. com To: Beth Jordan Risk Management From: Marion Masterson '7V1 VVl Department Head : 13 (F� _ Date: November 2, 2006 Re: Contracts for 2005/06 Funding Year — Hibiscus — Crisis Nursery Program Hibiscus HOPE Program i Attached are two copies of the contract and Proof of Insurance for each of the programs . Please let me know if this is not the case; and as always, if acceptable , circulate. Thank you . This is not an agenda item . Indian River Appro Date Administrator Legal Budget Department Risk z� /� ' 3 c� F:\Human SmicesNarionNy Documents\RFP 2006061 2006-07NEMO TO RISK MANAGEMENT.doc