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Home My WebLink About2006-331V. Z { INDIAN RIVER COUNTY GRANT CONTRACT This Grant Contract ("Contract") entered into effective this day of October 2006, by and between Indian River County, a political subdivision of the S atf e' of Florida; 1840 25`h Street, Vero Beach , Florida, 32960-3365 ; and Substance Abuse Council of Indian River County (Recipient), of: Substance Abuse Council of Indian River County 1151 191h Street -- Vero Beach , Florida 32960 The Right Choice 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: NINETY THOUSAND , DOLLARS ($90,000 ) . 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 . IN WITNESS WHEREOF, County and Recipient have entered into this Contract on the date first above written . - 3 - INDIAN RIVER COUNTY. BOARD OF COMMISSIONERS By: (�CfAtoXr �- Gar3 = G Wbeeler ChpC an BCC Approved; Attest: J . K. BartoPxCbprK , 'I- c Deputy Clerk Approved : A ,C Jos ph A. Baird County Administrator Approved as to form and legal sufficiency: '"arn E. PellAssistant County A orney RECIPIENTBy : � d Substance Abuse ncil of Indian River County Fred ,Jonee, C'- Ila i rmo n - 4 - EXHIBIT A (Copy of complete Request for Proposal) EXHIBIT - A - Right Choice Program Substance Abuse Council of Indian River County Indian River County CSAC PROGRAM COVER PAGE Organization Name: Substance Abuse Council of Indian River County Executive Director: Colette Heid, MS Ed., CAPP E-mail: sacircna,bellsouth.net Address: 1151 19'hStreet Telephone: 772-7704811 Vero Beach, F132960 Fax : 772-770-4822 Program Director: same E-mail : Address: Telephone: Fax: Program Title: The Right Choice Program LX-65.800 Substance Abuse Counseling PriorityNeedAreaAddressed: Mental Wellness Issues Brief Description of the Program: The Right Choice program is a comprehensive 26 week education and counseling program that is targeted at reducing and preventing substance use/abuse among IRC youth This program is designed to change adolescent and parental perceptions of risk vs. benefits of ATOD use Parental use or parental attitudes towards use of ATOD also correlates with adolescent attitudes By impacting these factors, a reduction in drug use/abuse promotes increased mental health of the individual SUMMARY REPORT — (Enter Information In The Black Cells Only) Amount Requested from Funder for 2006 /07 : $ 100 , 766 . 00 Total Proposed Program Budget for 2005 /06 : $ 100 , 766 .00 Percent of Total Program Budget : 100 . 0 % Current Program Funding ( 2004/05 ) : $ 67 , 248 Dollar increase /(decrease ) in request : $ 33 , 518 Percent increase/(decrease ) in request * * : 49 . 8 % Unduplicated Number of Children to be served Individually : 300 Unduplicated Number of Adults to be served Individually : - Unduplicated Number to be served via Group settings : 300 Total Program Cost per Client : 167 . 94 "If request increased 5% or more, brief explain whv: The Council has seen a 37% increase in the number of youth served by this program in the current grant cycle FY05-06. We anticipate that the current demand for services will continue, if not increase. The increase in funding will be used to provide the additional program services. If these funds are being used to match another source, name the source and the $ amount: The Organization 's Board of Directors has approved this application on (date). 5/17/06 Fred Jones, Chairman Name of President/Chair of the Board store Colette M. Heid, MS Ed., CAPP Name of Executive Director/CEO Signature 3 Right Choice Propnau substance Abuse Council of Indian River County Indian River County CSAC PROPOSAL NARRATIVE A. ORGANIZATION CAPABILITY (Entire Section A not to exceed one page) 1. Provide the mission statement and vision of your organization. MISSION STATEMENT: The Substance Abuse Council is committed to preventing the use of illicit drugs and abuse of addictive, mind-altering substances. It is the Council 's vision to increase community awareness concerning the levels of drug use in Indian River County; empower the community with the belief that the level of substance and drug use/abuse is directly related to the level of community interaction with prevention activities; and to enlist the community 's participation in prevention related activities. The community needs to continue to place an emphasis on and dedicate resources to substance and drug prevention educational programs. We must strive to eradicate the negative social and economic impacts associated with substance and drug use/abuse. 2. Provide a brief summary of your organization including areas of expertise, accomplishments, and population served. The Substance Abuse Council is dedicated to prevention education. It was founded in 1989 and was incorporated as a not-for-profit agency in 1990. Services are provided for all residents of IRC regardless of age or race. The Council is the only agency focusing specifically on substance abuse prevention education. The Council is licensed by the Department of Children and Families to provide substance abuse information/referral, and universal, selective and indicated prevention services. The Council has administered the Federal Bryne Block Grant for Indian River County since 1990. The Council has kept abreast of the County' s constantly changing and emerging drug use problem and carries out its goals through a variety of programs. The following are a list of programs provided by the Council. • Community Education and Information and Referral • Drug-Free Workplace Education • PRIDE Survey Administration & Planning • Lending Library of videos, books & materials • Deep Impact- PREVENT Improv Troupe • Program Success After-School Programs in Indian River and St Lucie Counties • Right Choice Program • Life Skills Training Program • Tobacco Violators Education Classes • Changing Alcohol Norms (CAN) Program • Adult Court Ordered Community Service Coordination • Program AWARE • Drug Testing Program • Drug-Free Events, ie: Say Boo to Drugs, Red Ribbon, Brown Ribbon, Kick Butts Day • Administration of the Federal Byrne Anti-Drug Abuse Grant for Indian River County 4 Right Choice Program Substance Abuse Council of Indian River County Indian River County CSAC B. PROGRAM NEED STATEMENT (Entire Section B not to exceed one page) 1 . a) What is the unacceptable condition requiring change? b) Who has the need? c) Where do they live? d) Provide local, state, or national trend data, with reference source, that corroborates that this is an area of need. Indian River County has a continuing need for a program that addresses drug and alcohol offense committed by it's youth. Some of these youth are charged with misdemeanor drug or alcohol related charges. For others, their use is uncovered by a parent, without contact with law enforcement. This program was designed to reduce drug and alcohol use by youth by increasing protective factors thus reducing incidences of substance abuse and re-occurring juvenile offenses. Juvenile delinquency cases received in Indian River County within the six year period from FY99- 00 to FY04-05 decreased from 946 to 773 cases (a decrease of 28.24% from FY96-97 of 1 ,080 cases received). But during the same time FY99-00 to FY04-05 the number of Indian River County youth charged with misdemeanor drug and alcohol charges has decreased from 141 cases to 132 cases (but an increase of 26.08% from FY 96-97 of 92 cases). (These stats are based upon statistical data collected and reported in the 2004-05 Florida Yrojde of Defitpuency cares and Youths Referred Report by the Bureau of Data & Research, Din. These numbers only reflect the youth charged with misdemeanor offenses and not those identified by schools or family. The FYSA Survey provides scientifically sound information on the prevalence of ATOD use, risk and protective factors. Risk and protective factors are characteristics of the community, school, family, individual and peer characteristics that are known to predict alcohol and other drug use, delinquency, and gang involvement. Besides measuring risk and protective factors, the FYSAS also assesses the current prevalence of these problem behaviors in the community. The FYSAS (2004), an indicates that Indian River youth continue to exceeded the Florida State rate of youth reported drug use in their lifetimes. Even though Indian River County's youth prevalence drug rate have showed a decrease in the past five (5) years, the prevalence rates for all drug use in Indian River County youth have historically been elevated above the state and national rates. Based upon FYSAS (2004) Indian River County's youth prevalence rates for Binge drinking (defined as the consumption of five or more drinks in a row within the last two weeks) is more prevalent than past 30-day tobacco, marijuana and other illicit drug use. . The FYSAS 's findings illustrate the complexity of drug use and antisocial behavior among our youth and possible factors that may contribute to these activities. In addition the FYSA Survey (2004), IRC scored higher than the State and other like Counties in the following risk factors areas : • Poor Family Discipline • Early Initiation of Drug Use • Youth Attitude Favorable to ATOD use • Parental Attitude Favorable to Antisocial Behavior • Family History of Antisocial Behavior • Current ATOD use among youth • Perceived Risks of Drug Use • Friends Use of Drugs • Parental Attitude Favorable to ATOD use 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. New Horizons provides Student Support Specialist in the middle schools. DATA also provides services to youth. Both these agencies work with a very small indicated population of students and can not serve the entire indicated population of youth. These youth would receive no program services if the Right Choice Program was not available. Right Choice provides no duplication of services. 5 ` Right Choice Program Substmrce Abuse Council of Indian River County Indian River County CSAC C. PROGRAM DESCRIPTION (Entire Section C, 1 — 6, not to exceed two pages) List Priority Needs area addressed. Mental Wellness Issues 1 . Briefly describe program activities including location of services. The Right Choice program is designed to engage and involve at-risk youth and their parents so they may gain the needed skills to resist the negative temptations associated with drugs and alcohol. The primary objectives are to help youth to abstain from negative peer pressures through prevention information and build resiliency skills. The overall goal is to decrease the impact and propensity for involvement in substance use and juvenile crime. We propose to deter a multitude of high-risk behaviors by providing a structured and positive environment, enhanced with information and positive alternative choices. In an effort to identify the elements of a strength-based approach to healthy development, the Search Institute developed the framework of developmental assets. This framework identifies 40 critical factors for young people' s growth and development. These risk and protective factors offer a set of benchmarks for positive child and adolescent development. The Right Choice program is designed to reduce the level of drug and alcohol use by youth and also address the issue concerning re-occurring drug and alcohol offenses. This will be accomplished by: 1 . The juvenile will report to the Substance Abuse Council' s office for program registration for the Right Choice program. During this intake, all pertinent information will be collected; a psycho- social assessment with a licensed mental health counselor will be scheduled, the youth will also be informed of their responsibilities for completion of the educational component, where to register for community service and the sanctions that will be imposed if any component of the program is not completed. 2. Registrants will be required to attend the 26-week educational component. The educational program utilizes the Adolescent Recovery Plan by Hazelden and consist of a four phase plan : • Accepting Responsibility • Getting the Stink • Getting Honest • Out of My Mind • The Cost of Drugs • Successful Relationships • The Disease of Addiction • The Miracle of Forgiveness • Deciding to Make Change • Preventing Relapse • Upward Pathways • Bridging the Gulf of Relapse • Learning to Trust Again • My Plan against Relapse • I'm Not Perfect, So What? • Getting Real About How I Feel • Making Important Changes 3 . Parents will be asked to attend the 5 -week Parent to Parent educational component of the program. This will consist of: • Getting Started : How to Prevent Drug Abuse in Your Family • Setting Guidelines: Developing Healthy Beliefs and Clear Standards • Avoiding Trouble: How to Say No to Drugs • Managing Conflict: How to Control and Express Anger Involving Everyone : How to Strengthen Family Bonds On the FYSA Survey (2004), Indian River County scored higher than the State and other like Counties in the following risk factors areas: • Poor Family Discipline • Early Initiation of Drug Use • Youth Attitude Favorable to ATOD use • Parental Attitude Favorable to Antisocial Behavior 6 Right Choice Program substance Abuse Com it of Indian River County Indian River County CSAC • Family History of Antisocial Behavior • Current ATOD use among youth • Perceived Risks of Drug Use • Friends Use of Drugs • Parental Attitude Favorable to ATOD use 2. Briefly describe how your program addresses the stated need/problem. Describe how your program follows a recognized "best practice" (see definition on page 12 of the Instructions) and provide evidence that indicates proposed strategies are effective with target population. According to Center for Substance Abuse prevention (CSAP), Selected Findings In Prevention, A Decade of Results from the Center For Substance Abuse Prevention , 1997, the findings indicate that the proposed strategies above are effective with target population. They demonstrated repeated documentation that adolescent risk perceptions were favorably impacted by reducing favorable parental, peer and community attitudes towards ATOD. 3. 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 Right Choice program is currently staffed by two Council employees and one Licensed Mental Health Counselor. The Prevention Program Coordinator assumes primary responsibility for the Right Choice program. Ninety percent (90%) of this position is currently allocated to the program. An Information Specialist is also assigned to this program and currently dedicates 100% of her time to the program. The Prevention Program Coordinator has had eight (8) years of experience in the substance abuse prevention field with extensive background in administration. The Information Specialist has an extensive background in program coordination and evaluation. The Licensed Mental Health Counselor holds a Masters Degree in Mental Health and is licensed by the State of Florida as a Clinical Certif ed Forensics Counselor with a specialty in criminal offender counseling and youthful offender counseling 4. How will the target population be made aware of the program? The Right Choice program awareness was designed with the target population in mind. Many different marketing campaigns are utilized to make the community at large aware the services are available. The program is open to all residents of Indian River County. The Council promotes the use of the Right Choice program via it' s newsletters and brochures. Law enforcement, school personnel, probation officers, student support specialist have all been briefed on the Right Choice program. The Council also recommends the Right Choice program to parents. Juveniles can be referred to the Right Choice program. Each juvenile referred to the program must complete the 26-week education program in order to achieve successful completion. Juveniles may be referred to the program as follows : 1 ) Any Juvenile Justice Intake Counselor or Case Manager may include a recommendation to the State Attorney' s Office for the Right Choice program as part of a disposition report on a juvenile arrested for a first time misdemeanor offense of: • Misdemeanor non-marijuana drug • Possession of alcohol • Marijuana misdemeanor • Other Alcohol Offenses The jurisdiction of the court may sentence a juvenile to the Right Choice program, any law enforcement agency, any school personnel or any parent. How will the program be accessible to target population (i.e., location, transportation, hours of operation)? The Council attempts to be very accommodating in service offering times / hours for the community . Currently group sessions are held Monday through Thursday at 4: 30pm and 6 :00 pm. Times do vary throughout the year. Individual sessions are scheduled according to need, Monday through Saturday. 7 Right Choice Program Substance Abuse Comei] of Indian River County Indian River County CSAC D. MEASURABLE OUTCOMES (Description oflntent) Use the Measurable Outcomesform. This descr' tion paZe does not need to be included in the proposal. In order to show the impact that your program is having on the target population and the community, the funders are requiring measurable outcomes. Please review the examples and summaries below to insure your understanding of what is expected. OUTCOMES: Describes what you want to achieve with the target population. Indicates the results of the services you provide, not the services you provide. Outcomes utilize action words such as maintain, increase, decrease, reduce, improve, raise and lower. ACTIVITIES : Describes the tasks that will be accomplished in the program to achieve the results stated in the outcomes. Activities utilize action words such as complete, establish, create, provide, operate, and develop. The activities should reflect the services described in the PROGRAM DESCRIPTION (C2). Use the following elements to develop your outcomes. All elements must be included: • Direction of change • Time frame • Area of change • As measured by • Target population • Baseline: The number that you will be • Degree of chane measuring against Example 1 (Outcome): To decrease (direction of change) number of unexcused absences (area of change) of enrolled boys and girls (target population) by 75% (degree of change) in one year (time frame) as reported by the 2003 School Board attendance records (as measured by). Baseline: 2003 School Board attendance records for enrolled boys and girls. Example 1 (Activity): To provide anger management classes to enrolled boys and girls 2 times a week for 12 weeks. Example 2 (Outcome): 75 % (degree of change) of youth (target population) who have participated in the academic enrichment activities (as measured by) for 6 months or more (time frame), will improve (direction of change) their scores in one or more subject area (area of change). 25% of participants in academic enrichment activities will maintain the initial level of performance assessed at entry. Baseline: Pre-test scores from the academic enrichment test. Example 2 (Activity): 1 ) Provide pre and post-test exercises on the Advanced Learning System software; 2) Participants will go through the one lesson per week and be graded for 10 weeks. IMPORTANT NOTE: Keep in mind when developing your PROGRAM OUTCOMES, that if funded, this will be what you are held accountable to accomplish. Also, the PROGRAM OUTCOMES should reflect the information described in the PROGRAM NEED STATEMENT (B1 ). All Program Need Statements should flow from the Mission & Vision. Measurable Outcomes should be based on and measure program needs. Activities are the tasks you do that are going to influence the outcome and impact the unacceptable condition in your Program Need Statement. 8 Right Choice Program Substance Abuse Council of Indian River County Indian River County CSAC D, MEASURABLE OUTCOMES (Entire Section D not to exceed two pages) OUTCOMES ACTIVITIES Add all of the elements or the Measurable Ouicome(s) Add the tasks to accomplish the Outcome(s) 1 . To decrease the number of positive drug 1 . To provide Right Choice psycho-education group screens among enrolled Right Choice and individual sessions to youth. participants by 75% over a 26 weeks as We will provide a total of twenty six (26) weekly 1 r/2 reported by random drug screen. hour ongoing education sessions on various substance Baseline: Initial drug screening results prior to admission abuse and resiliency skills building topics. Session to Right Choice program. are based upon Adolescent Recovery Plan Program b Hazelton which focuses upon increasing protective factors and decreasing risk factors. b. Conduct weekly random sampling of program participants following four weeks in program. 2. To increase audience knowledge of program 2. To provide factual, current and up-to-date participants by 25% following educational information via on-going sessions concerning drugs presentation forums concerning drugs and their and their harmful effects. harmful effects as reported by self-disclosure on pre/ post testing will be conducted and rated to pre-testing. indicate a change in knowledge. (Baseline: Individual and group administered Pre-tests of forum participants.) 3 . To reduce self-reported high-risk behaviors responses reported by audience participants 3 .To provide factual, current and up-to-date I 20% following educational presentation forums. . rma6on via on-going sessions concerning high- (Baseline: Individual and group administered KABP risk behaviors and resulting harmful effects. [Knowledge, attitude, belief and practice] of forum ' Pre/post evaluations of the KABPs to indicate a participants.) change in participation in high-risk behaviors. 4. To decrease the past 30 day use of 4.To provide factual, current and up-to-date marijuana of Right Choice program information concerning drugs and their harmful participants by 50% as reported by self- effects. reported ATOD use surveys. (Baseline: ■ Pre/ testing and 30 day use surveys will be Individual and group administered Pre-tests of conducted and rated to indicate a change in ATOD program participants.) use. ■ Provide factual, current and up-to-date information concerning high-risk behaviors and resulting harmful effects. 9 Right Choice Progam Substance Abuse Council of Indian River County Indian River County CSAC OUTCOMES ACTIVITIES Add all o the elements or your Measurable Outcome(s) Add the tasks to accomplish the Outcome(s 5 . Reduce the re-offend rate for program 5.To create a system of substance abuse screening , completers to 10% for six (6) months assessment and intervention for youth involved in following the completion of the Right Choice the Right Choice Program. program. Baseline: Offender rate prior to Heighten the youth's awareness to: admittance into the Right Choice program ➢ The realities of drug use ➢ Victim awareness education ➢ Legal consequences of drug and alcohol use/possession Build external & internal protective factors of: ➢ Empowerment ➢ Boundaries & Expectations ➢ Positive values )0- Social competency Positive Identity 10 Right Choice Program Substance Abuse Council of Indian River County Indian River County CSAC 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 Agenep Resources provided to the program Juvenile Court Referrals to program Department of Juvenile Justice Referrals to program Case management of Client Progress Venue for presentation Indian River School District Referrals to program Mental Health Association Case management of Client Progress Children's Home Society Referrals to program Case management of Client Progress Vero Beach School Resource Venue for Presentations, volunteers as guest speakers and Officers instructors for program service delivery Sebastian Police Resource Officers IRC Clerk of Court Referral of clients IRC Sheriff's Office Program collaboration and support Boys and Girls Club Referral of clients Eckert Leadership Program Referral of clients I1 Right Choice Program Substance Abuse Council of Indian River County Indian River County CSAC 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 ? As a licensed substance abuse provider in the State of Florida, the Council is required to utilize the State of Florida, Department of Children and Families, MA-SA (Mental Health-Substance Abuse) Data Warehouse Database. Complete, detailed, but confidential information is complied an all clients who request services of the Council. The demographic information required includes but is not limited to: • Name • Living accommodations • Family composition • Address • Type of services provided • Frequency of Use • Type of services • Gender and ethnic • Length of Stay needed background • Age • Duration of services • SS # • Drug of Abuse • Age of onset In addition non-client specific data is also maintained. Time, duration, number of participants, location of service delivery and date are maintained. Client and non-client specific data are maintained in a confidential, password protected database. Additionally the Council maintains statistics on the Right Choice Program. Clients may access confidential Information and Referral services by the telephone, or in person. This additional information helps the Council to track new trends of use or abuse, types of drugs being used, types of services needed and provides information on the type of educational development and continuing education needed for both staff and community. The Council is also a part of the State of Florida, Florida Youth Initiative Evaluation program. The University of Miami conducts random, unannounced evaluation of both program process and content. Establishing performance targets for strategy goals and objectives is a very important part of prevention program implementation process. Ultimately they will also randomly sample our pre/post test and conduct evaluations on their rate of change and validity. 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? The collection of data elements will be collected as described in section F. 1 . Client demographic information is requested of clients upon the client intake. Each client is provided a client questionnaire. The Right Choice Program utilizes several short term indicators to measure the impact on achievement of this program' s goals. The evaluation tools used are as follows : • Pre and Post testing - Pre test are performed to measure the audience' s basal knowledge prior to the presentation. Following the presentation, post tests are conducted. 12 Right Choice Program Substance Abuse Council of Indian River County Indian River County CSAC It is possible to measure the increase in knowledge directly related to the educational presentation. Changes in attitudes, beliefs and practices take longer to manifest in the target population. It is for this reason that a KABP was designed. KABP - (Knowledge, Attitude, Beliefs and Practice) is administered prior to and again following presentations. This tool may be administered several times to the target population. This evaluation tool indicates if an impact has manifested itself into daily life, but no change in attitudes, beliefs or practices can be expected without the prevention education. 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? Data is complied via computer database programs. Each staff member is responsible for the collection of his or her confidential program data. Data and statistics are shared, as the law allows, with the appropriate concerned parties 13 Right Choice Program Substm� Abuse Council of Indian River County Indian River County CSAC 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 c mpleting the timetable, review information detailed in prior sections. Month/Period Activities October 2006- June Coordinate the Right Choice Program Schedule 2007 Coordinate delivery and implementation of the program Coordinate the collection of program statistical data for evaluation. Post testing on cohorts following program completion. Ongoing Instructor training and technical assistance. December 2006 Compilation and evaluation of data for the I ' quarterly report March 2007 Compilation and evaluation of data for the 2"d quarterly report June 2007 Compilation and evaluation of data for the 3rd quarterly report September 2007 Compilation and evaluation of data for the 4a' quarterly and annual report Ongoing collaboration with all collaborating agency on program progress, October 2006- obstacles and any other program responsibilities as they arise. September 2007 Address any additional program responsibilities 14 11 1 1 11 rfril M : 1 usI 1 1 11 I 11a :. '' eEz" 4e „i }I'1 $ fs Budget i 2W/W 11 RM 11 1 ✓. : 1 I /. 11 1 Y: : 1 I 1 1 W. : 1 1 LI1•�'� I -if M St, Lucie til Y:ill :.i� -•T171� 1 I 1 I 1 ' 1 1 I 1 . , OtherI V 1 1 Number ( nduplicatedClients1 1 Ir IW 11 i 41 �r ie�' i 1 • II ' I �` ; ; , ; t } { E I .b` � F jsl � .� Ei � si f a 11 1 I 1 at rig ~3 r (a . F � I».c,;.,:'��i'^ 1 11 " Edit this Header. Tyne the organization and progam name and the funder for whom it is being completed. The page p is already set at the bottom right of every page. I. BUDGET FORMS - To open the Budget Forms, please double-click on the icon below. z J51 "Core Budget Forms" 16 Substance Abuse Council Rgrn CWProgram Indian River County CSAC 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 :Substance Abuse Council of IRC FUNDER: Children Services Advisory Committee Right Choice Program • CAUTION : Do not enter any figures where a cell is colored in dark blue - Formulas and/or links are in place. Gray areas should Ibe used for calculations and to write information only. j REVENUES ^P.• Proposed Total Program Funder Specific Total Agency wceuirs� Budget Budget Budget 1 Children's Services Council-St. Lucie 0.00 0. 0.00 2 Children's Services Council-Martin 0.90 0. 0.00 3 AdvisoryCommittee-•ndlan River 100,766.00 100,766. 287,255.00 4 United SL Lucie County0.00 0. 0.00 5 United W martin County 0.00 0. 0.00 6 United Way-Indian River Coup 0.00 0. 43,000.00 7 Department of Children & Families 0.00 0-oc 0.00 8 County Funds 0.00 0. 0.00 9 Contributions-Cash 0.00 00, 40,000.00 10Program Fees 0.00 0.011 60, 100.00 11 Fund Raising Events-Net 0.00 0. 72.000.00 12 Sales to Public - Net 0.00 o. 0.00 13 Illembersho Dues 0.00 0. 6,500.00 14 Investment Income 0.00 0. 800.00 15 Miscellaneous 0.00 0. 9.09 16 Legacies 8 Bequests 0.00 0. 0.00 17 Funds from Other Sources 0.00 o. 257,811 .00 18 Reserve Funds Used for operating 0-ool 0. 0.00 19 In-Kind Donations (Not included in total) 0.00 0. 0.00 20 TOTAL REVENUES (doesn't include line 191 $100,766.00 $100,766. 767,466.00 A B C D EXPENDITURES GMYr r«t Proposed Total Program Funder Specific Total Agency ♦aeacr um ors_x rnror•rxceu Budget Budget Budget 21 Salaries - (must complete chart on next page) 64,260.00 64,260. 374, 144.0 Salary 700 22 FICA - Total salaries x 0.0765 7.65% 4,915.89 4,915.8 28,622. e remen - Annual pension for qualifM 23 staff 1 ,927.80 1 ,92T80 5,462.00 LiWHeafth - ica 24 Disab. 8,400.00 8,400.00 42,000.DG Workers Compensation - # employees x 25 rate 563.03 563.03 2,960.00 F-IondaUrtemp - Wiprojiected 26 employees x $7,000 x UCTS rate 0.001 0,001 0.00 SALARIES A D Gross Annual B C % of Gross Annual POSITION LISTING Gross Portion of salary on Proposed Funder specific Budget Salary Position Tide / Total Hrs/wk (Agency) program Requesred(C/A) E"rnple: Executive Olre 140hrs 70,000.00 10,000.00 5,000.00 7.14% 5/16fZOW s-1 Substance Abuse Council Rgrs chrome Program Indian River County CSAC Executive Director -40 hrsl wk 70,000.00 0.00 O.N 0. 00 Prevention Program Coordinator-40 hrs / wk 44,100. 39,690.00 39,690. 9000% Information Specialist- 35 hrs I wkJ $13.50 24,570. 24,570.00 24,570. 85 .23 PREVENT Program Coord-15 hrs / wk/$22.70 17,706.00 0.00 0. D .Do PREVENT Program Assist-W wk $14/20hrs/ 14,560. 0.00 0. 0MOX Community Hea0h Educator-33 hrs A*416.80 28,82&OC 0.00 0. 0, 00/ Lifeskills Educator (1 ) - 30 hrs / wk/$13.50 21 ,060.00 0.00 0. 0.00% Lifeskills Educator (2) -30 hrs 1 wk/$13.50 21 ,060. 0.00 0. D.00% Program Success Coordinator -40 hrs Iwk 28,000.00 0.00 0. D.Do% Program Success Assistant-20 hrs / wk/$14 14,560.00 0.00 0. 0.00% Program SuccSTL Coordinator -40 hrs / wk 32,500.00 0.00 0. O. 60% Program SuccSTL Assistant-20 tins I wk/$14 14,560.00 0.00 0. 0.00% CAN Coorinator 20 hrslwk/14 14,560.00 0.00 0. OM Drug Testing Program Coord4O hrs / wk 28,080.00 0.00 0. 0.00% Remaining positions throughtout the agency Total Salaries 374,144.00 $64,260.00 $64,260.0 100.00% FRINGE BENEFITS DETAIL A (Funder Specific Budget Funder B pension c D E tklemproyme row Frfrr9es Fenner Column C only, from line 22 to 27) �dk FICA 7.M fq gym' kis. C�ompen's• rd Cc„royrn specific PosHion Me / Total Hrs/wk Budget example: Caseiwawvwlmhm 5,000.00 392.5O 200.00 500.00 300.00 200.00 1t582.5O Executive Director -40 tvsl wk 0.00 0.00 0.00 0. '0.06 0.0 Prevention Program Coordinator40 his / wk 39,690-00. 3,036.29 1 ,190.70 4200.00 246.08. 0.00 8,673.0 Information Specialist- 35 hrs J wk/ $13.50 24,570-001 1 ,879.61 737.10 4,200.00 316.9 0. 7, 133.6 PREVENT Program Coord-15 his I wk/t22.70 0.001 0.00 0.00 OMI o. D.D PREVENT Program Assist4wsl wk $14r20tvs! 0.001 0.00 0.00 O.DC 0. 0.0 Community Health Educator-33 hrs /wk416.8O 0. 0.00 0.00 0.00 O.R 0. 0.0 Ldeskills Educator (1 ) - 30 tins / wk/$13.50 0.00 0.000.00 0.00 D. 0. 0.0 L'0eslci8s Educator (2) -30 hrs I wkl$13.5O 0.00 0.00 0.00 0.00 0. 0. D.D Program Success Coordinator 40 hrs I wk 0.00 0.00 0.00 0. 0. 0.0 Program Success Assistant-20 las / wk/$14 0.00 0.00 0.00 0.00 O.Oc 0.0 Program SuccSTL Coordinator 40 hrs / wk 0.00 0.00 0.00 0. O-DOI 0.0 Program SuccSTL Assistant-20 hrs / wk/$14 0.00 0.00 0.00 0. 0. 0.0 CAN Caodnalor 20 hrsM4c/14 0. 0.00 0.00 0. 0. 0,0( Drug Testing Program Coord40 hrs / wk 0.00 0.00 0.00 0. 0. 0.0 0.00 0.00 0. 0. 0.0 0.00 0.00 0.00 0. 0. D.D 0.00 0.00 0.00 0. 0. D.D 0.00 0.00 0.00 0. 0. 0.0 0.00 o.Do o. D. 0.0 0.00 0.00 0. 0. 0.0 Total FunderRequest Fringe Benefits $64,260.M S4,915.81 $i ,92Tliq $8,400.0 $563-01 $0.01 $15,806.7 A B C D EXPENDITURES GMYr FDR Proposed Total Program Funder Specific Total Agency •m¢r use orxr ro sxowserss Budget Budget Budget 27 Travel-Daily 1 ,200.00 1 ,200-00 15.000.00 # of Staff x average # of mileslwk x 50 wks x 0000 mom x 29=$1 ,015 $ = Estimated Daily Travel/Weage Reimb. SWAT 310 miles a month 28 Travel/ConferencesfTraining 0.00 O.DO 15,000 00 51162006 Substance Abuse Council RVM Cry Pmgram Indian River County CSAC National Conference (cost per staff) FADDA Training/Seminar (cost per staff) registration $250 Other Trainings (cost of haver, lodging, Hotel $150 per night x 3 nights = $450 $21 Per diem per day x 3 days = $63 registration, food) 250 miles x .29 = $72.50 29 ce up les 1 ,000.00 1 ,000. 15 ,00000 • Office supplies (monthly average x 12 $50 x 12 months for UW = months = estimated cost of Office supplies Other Programs $500 a month x 12 based on present history. months = $6000 0.00 30 Telephone 1 ,200.00 1 ,200. 12,319.95 • # Phone lines x average cost per month x x t2 months= E2688 12 months = local phone cost • Average long distance calfs x 12 months = Pager $12 x 12months x 3 employees x Estimated cost of long distance 12 distance outh e1�s E120 per moron 0.00 31 PostageMhippmg 0.00 0.00 5,000.00 • Quarterly Mailing of Newsletter 1020 • Special events, etc. Bulk Mail $ 200 per month x 12 • Bulk mailings - appeals months= Y400 0 32 Utilities 1 ,200.00 1 ,200. 6,000. 00 • Electricity ($ x 12 months) • Water/Sewer ($ x 12 months) Utilities $333 per month x 12 months+ • Garbage ($ x 12 months) $4000 0, 33 Occupancy (Building S Grounds) 6,000.00 6,000.0c 38,856.00 • Mortgage/Rent ($ x 12 months) LST 500 x 12 • Janitorial ($ x 12 months) • Grounds Maint ($ x 12 months) Prree 500 x12 Prev 590 x 12 • Real Estate Taxes DT 500 x 12 = 2040 0. 34 Printing & Publications 100.00 IDO.00 25, 000.00 • Quartedy Newsletter ($ x 4) • Letterheads, Envelopes, etc. Newsletters $300 x 4=1200 • Fundraising materials Letterhead,etc $1200 PRIDE Survey $9000 • Other Omer $30,000 0.00 35 Subscription/Dues/Memberships 0.00 0. 1 ,000.00 • Membership to National Organization • Dues FADDA $250 CADCA • Subscnpbons to Newspapers/magazines, $250 etc. Subscriptions $500 0. 36 Insurance 0.00 0. 12 ,000.00 • Directors/Otficers Liab. • Commercial/General Insurance Auto $7621 • Bond Ins. Commercial Liability $1750 • Auto Insurance Employee Bond $5DO 0. 37 EquipmentRental & Maintenance 0.00 0. 6,000.00 • opier lease x 1 Z months) • Meter lease ($ x 12 months) Copier Malo E150 x 12= 1600 E • Copier Maintenance ($ x 12 months) Computer Main $ 100 x 12 =1200 • Computer Maintenance ( $ x 12 months) Other (Vehicle) $200 per month x 12 • Other months-.2400 0. 0.0 3E Advertising 0.00 0.0c 14,000.00 • Newspaper ads Ads $250 x 10=2500 • Fundraising ads/promotions other $5011 • Omer (vacancies) Promotions $2000 Billboards $4000 0. 39 Equilonlent urc axes: ap nse 0.00 0. 5 ,000.00 • Computer/monitor (# x ) • Laser Punter 2 computer systems w/ monitors $1500 0.00 40 Professional Fees ( ega , onsu ng) 0.00 0.00 3.000 .00 • Legal advice ( estimated #hrs x ) • Consultant fees • Other Consulting Fees $2,000 0.00 41 Books/Educational rra 0.00 p. 30,000.00 • Books/videos Videos $200 each x 10 • Materials ($ x staff) Eucational materials $ 42602 0.00 Y16/1006 B-f L Substance Abuse Council Right Choim Program Indian River County CSAC • 42 Food b Nuthition 0.00 0. x, 195.00 • Meals ( # meals x clients x 5days x 50 wks) • Snacks Youth snacks $30 a week x 52 weeks 0, 43 Administrative Costs 0.00 0. 0.00 • Admin. Cost (% of total budget) 0 Audit: Expense 1 ,000.00 1 ,000. 9.000.00 • Independent Audit Review 9,000.00 45 Specific stance to mua 0. 1 ,000.00 • Medical assistance • Meals/Food • Rent Assistance • Other 0 .00 46 OffiedMisce4laneous 0.00 0.00 14.907.05 • Background check(dnrg test Drug Screens $38 x 5= 190 • Other Drug Screen Kids $500 per month x 0.00 47 OthedCondract 9,000.00 9,000-0c 80,000.00 • Sub-contract for program services sessions per week x 50 weeks = `Drug testing supplies $9,000 L desk4ls Trakwgs 5750 per 2 0.00 48 TOTAL EXPENSES 100,766.72 100,766.72 767,466.00 $0.00 0.00 5/ta/20g6 9-1 f'J S arae pD4u Ccunol R CM � Imian River CgyMyy c C UNIFORM GRANT APPLICATION TOTAL AGENCY BUDGET Substance Abuse Councll AGENCYIPROGRAM NAME : Right Choice Program FY OG05 FY OU06 FY W07 XINCREASE FYE_Sepl 30 FYE_Sepl30 FYE_Sepl30 CURRENT VS. NEXT FY BUDGET A B C D ACTUAL TOTAL PROPOSED ICM. Ci W. eMCw_ e REVENUES BUDGETED BUDGETED 1 Children's Services Council-St Lucie 0.00 0.00 0.00 0.00% 2 Children's Services Council-Martin 0.00 0.00 0.00 0.00% 3 Advisory Committee- ndian River 165 130.00 180,D80,00 287 255.00 59.52% 4 United Way-St Lucie County 0.00 0.00 0.00 0.00% 5 United Way-Martin County 0.00 0.00 0.00 0.D0% 6 United Way-Indian River County 38 750.00 41 500.00 43,000. 3.61 % 7 Department of Children & Families 0.00 0.00 0.00 0.009% a County Funds 0.00 0.00 0.00 0.00% 9 Contributions-Cash 62475.00 40000.00 40000.00 0.00% to Pr ram Fees 32 347.00 48p000.00 60 100.00 25.21% 11 Fund Raising Events-Jet 21772.00 25000.00 72000.00 188.00% 12 Sales to Public-Net 0.00 0.00 0.00 0.D0% 13 Membership Dues 0.00 6 500.00 6 500.00 0.00 14 investment Income 674.00 0.00 800.00 0.00% 15 Miscellaneous 56 903.00 0.00 0.00 0.000/0 16 Legacies 8 Bequests 0.00 0.00 0.00 0.00% 17 Funds from Other Sources 272 065.00 334 279.00 257 811.00 -22.88% to Reserve Funds Used for Operating 0.00 0.00 0.00 0.00 is In-Kind Donations that olaee lnmwl 0.00 0.00 0.00 0.00% 20 TOTAL 677 116.00 675 359.00 767 466.00 13.64% EXPENDITURES 21 Salaries 305 113.00 310s000,00 374 144.00 20.69% 22 FICA 23 341.00 23 715.00 26 62200 20.69% 23 Retirement 7438.00 7468.00 5462.00 -26.669/0 24 LifMieaNh 23 024.00 25 200.00 42 000.00 66.67% 25 Workers Com 3,935.00 400000 2 960.00 -26.00% 26 Florida Unern 0.00 0.00 0.00 0.00% n Travel-Dally 23,152001 21 380.00 15 000.00 -29.840/6 2a TraveUConferencesIrrminin 15081.00 16000.00 15000.00 -6.25% n Office�Supplm 41 950.00 26 600.00 15 000.00 .13.61% 30 Telephone 12t086.00 17 500.00 12 319.95 -8.74% 31 Postage/Shipping 2.343.00 4,220.00 5 000.00 18.48% 32 Utilities 4,230.00 4,D00,00 6,000,D0 50.00% 33 Occupancy Builth & Grounds 39 739.00 38t856.00 38 856.00 0.00% 34 Printing & Publications M4,272.00 9 000.00 25 000.00 177.78% 35 Subscri 'oNDuesll4embershi 1000.00 1000.00 0.00%361nsurence 1 000.00 12000.00 0.00°m E ul ment:Rental & Maintenance 6000.00 8000.00 33.333a Advertisin 10000.00 1400000 40.00% 39E ul nt Purchases:Ca ' Ex nae 3000.00 5000.00 66.67%40 Professional Fees I CorrsW i 3 000.00 3 000.00 0.00% 41 BookslEducational Materials 38000.00 30 000.00 -21 .05% 42 Food & Nutrition 4000.00 4195.00 4.88% 43 Administrable Costs . 0.00 0.00 0.00% 44 Audh Expense 81000.00 8000.00 9.000.00 0.00°/0 45 Specific Assistance to Individuals 2941.00 3000.00 1000.00 -66.67% 46 OthadMiscellanean 38 780.00 20 420.00 14 907.50 -27.000/6 47 OthedContractl Druag tea ting supplies 37 656.00 62 000.00 80 000.00 29.03% 48 De recialion 19 204.00 0.00 0.00 0.00% TOTAL 641 518.00 675 359.00 767 466.45 19 REVENUES OVER/ UNDER EXPENDITURES 31 598.00 0.001 0.00 su6eunm nnuse couml Ra.dliwoeP�� Indian Riva. Cwmly cs , UNIFORM GRANT APPLICATION TOTAL PROGRAM BUDGET AGENCY/PROGRAM NAME: Right Choice Program FY 04105 FY 05/06 FY 06-07 % INCREASE FYE_SePt30 FYE_Sept 30 FYE_SeplW CURRENT VS. NEXT FV BUDGET A B C D ACTUAL TOTAL PROPOSED Ica. Ccel BFcN. B REVENUES BUDGETED BUDGETED i Children's Services CouncilSt Lucie 0.00 0.00 0.00 #DIV/0! 2 Children's Services Council-Martin 0.00 0.00 0.00 #DIV/0! 3 AdvisoryCommittee-Indian River 65 000.00 67 248.00 100 766.00 49.84% 4 United Way-St Lucie Countv 0.00O.DO 0.00 #DIV/0! 5 United Way-Martin County 0.00 0.00 0.00 #DIV/0! 6 United Way-Indian River C=nty 0.00 0.00 0.00 #DIVIOI 7 Department of Children & Families 0.00 0.00 0.001 #DIVI01 6 County Funds 0.00 0.00 0.00 #DIV/O! 9 Contributiom-Cash 0.00 0.00 0.00 #DMO! 10 Program Fees 0.00 0.00 0.00 #DIV/0! 11 Fund Raising Events-Net 0.00 0.00 0.00 #DIV/01 12 Sales to Public-Not 0.00 0.00 0.00 #DIV/0! 13 Membership Dues 0.00 0.00 0.00 #DIV/0! 14 Investment Income 0.00 0.00 0.00 #DIV/0! 1s Miscellaneous 0.00 0.00 0.00 #DIV/01 is Legacies & Bequests 0.00 0.00 0.00 #DIV/0! 17 Funds from Other Sources 0.00 0.000.00 #DIV/01 16 Reserve Funds Used for Operating 0.00 0.00 O.DO #DIV/01 19 In-Kind Donations 1" ws9Med wrong 0.00 0.00 0.00 #DIV/01 20 TOTAL 65 000.00 67 248.00 100 766.00 49.84% EXPENDITURES 21 Salaries 37 095.00 38o642.00 64 260.00 68.92% 22 FICA 2,93T.00 1314.75 4,915.89 48,30% n Retirement 1112.00 . 1 .90 1 927.80 48.30% 24 Life/Health 5,3W.00 %300.00 8,400.00 33.33% Workers Compensation 478.00 558.96 563.03 0.73% 26 Florida Unemployment 0.00 0.00 0.00 #DIV/01 Travet-Dally 900.00 500.00 1200.00 140.00% Travel/Conferences/Traini 0.00 0.00 0.00 #DMO! 29 Office Su les 600.00 600.00 100000 66.67% 30 Telephom 1111.00 1113.00 1200.00 7.82% 31 Postage/ShIpping 608.00 0.00 0.00 #DIV101 32 Utilities 620.00 720.00 120000 66.67% 33 Occupancy Builth & Grounds 1600.00 4,800.00 6,000.00 25.00% 34 Printing & Publications 0.00 0.00 100.00 #DIV/OI 35 Subscription/Dues/Memberships 0.00 0.00 0.001 #DIV/01 36 Insurance 0.00 0.00 0.00 #DIVIDI 37 Equipment'Rental & Maintenance 500.00 0.00 0.00 #DIV/01 38 Advertising O.DOI 0.00 0.00 #DIV101 s Equipment Purchases:C I EXpense 0.00 0.00 0.00 #DIV101 40 Professional Fees 1 Consulting) 0.00 O.DD 0.00 #DMO! 41 BookslEducational Materials 500.00 250.00 0.00 -100.00% 42 Food & Nutrition 0.00 0.00 0.00 #DN/O! 43 Administrative Costs 0.00 0.00 0.00 #DIV101 44 Audit Expense 760.00 750.00 1000.00 33.33% 45 Specific Assistance to Individuals 0.00 0.00 0.00 #DIV/01 44 OthedMkcelkneolu 0.00 0.00 0.00 #DIVf01 47 OfhedContract 898700 8 000.00 91000.00 0.00% 48 TOTAL 66!000!001 - 67,248.61 100 766.72 49.8416 49 REVENUES OVERT UNDER EXPENDITURES -0.72 #DIV/01 snadds r� 1111111111111111011 $ubstance Abuse Council RgN C� Program Indian River CountY CSAC UNIFORM GRANT APPLICATION FUNDER SPECIFIC BUDGET PROGRAM EXPENSES AGENCY/PROGRAM NAME: Substance Abuse Council / Right Choice Program FUNDER: IRC CSAC A B c FY 06/07 FY 06107 % OF TOTAL FUNDER TOTAL VS. PROGRAM SPECIFIC FUNDER REQUEST BUDGET BUDGET col. B/col. A EXPENDITURES 21 Salaries 649260.00 645260.00 100.00% 22 FICA 4,915.89 4,915. 89 100.00% 23 Retirement 1 ,927.80 17927.80 100.00% 24 Life/Health 81400.00 89400.00 100.00% 25 Workers Compensation 563 .03 563.03 100.00% 26 Florida Unemployment 0.00 0.00 #DIV/01 27 Travel-Daily 11200.00 1 ,200.00 100.00% 28 Travel/Conferences/Training 0.00 0.00 #DIV/01 29 Office Supplies 1 ,000.00 10000.00 100.00% 30 Telephone 19200.00 1 ,200.00 100.00% 31 Postage/Shipping 0.00 0.00 #DIV/0! 32 Utilities 1 ,200.00 19200.00 100.00% 33 Occupancy (Building & Grounds 6000.00 6,000.00 100.00% 34 Printing & Publications 100.00 100.00 100.00% 35 Subscription/Dues/Memberships 0.00 0.00 #DIV/01 36 Insurance 0.00 0.00 #DIV/01 37 E ui ment:Rental & Maintenance 0.00 0.00 #DIV/01 38 Advertising 0.00 0.00 #DIV/0! 39 Equipment Purchases :Ca ital Expense 0.00 0.00 #DIV/01 40 Professional Fees al, Consulting) 0.00 0.00 #DIV/0! 41 Books/Educational Materials 0.00 0.00 #DIV/01 42 Food & Nutrition 0.00 0.00 #DIV/01 43 Administrative Costs 0.00 0.00 #DIV/O! 44 Audit Expense 100000 19000.00 100.00% 45 Specific Assistance to Individuals 0.00 0.00 #DIV/0 ! 46 Other/Miscellaneous 0.00 0.001 #DIV/01 47 Other/Contract 9,000.00 9,000.00 100.00% 48 TOTAL $100,766.72 $1009766.72 100 .00% s-Isrzoos ay � 3 Sm, MAW Cou,dl o MalanCoW,ry CSAC UNIFORM GRANT APPLICATION EXPLANATION FOR VARIANCES OF 15% OR MORE TOTAL PROGRAM BUDGET AGENCY/PROGRAM NAME: Substance Abuse Council of IRC I Right Choice Program * FUNDER: IRC CSAC aavro! #Mtol Advisow C Ift e4ndlan Rivet Increase die to increase services provided aavrol #Orvrol sDlvrol #M101 aorvro! xW101 lDrvrol A�N101 NDN101 dO1V101 1�Iv101 ADIVroI eDIV/01 ppVrol rol rol Mel #M10! ##101 #DNrol :MDIVroI #W101 ablvrol uo1Vro1 aDlVrol #DIV101 #D!Vro1 aolvrol worviol WIVrol rol #W101 #W101 #WMI SDIVIOT aorvrol SM101 aDry I #DIV101 #Drvrol #DIV101 #Drvrol r� Substence Abuse C ncil rzym Ci iCVPromm Wen River County CSAC UNIFORM GRANT APPLICATION EXPLANATION FOR VARIANCES OF 16% OR MORE FUNDER SPECIFIC BUDGET AGENCYIPROGRAM NAME: Substance Abuse Council of IRC I Right Choice Program FUNDER: IRC CSAC Salaries increase due to increase in staff time and services provided FICA Increase due to increase in staff time and services provided RedIncrease due to increase in staff time and services pmvided U18114eatlh Increase due to increase in staff time and serAces provided Workers Com oration Increase due to increase in staff time and seMces provided #Mfo! Travel-Dally Increase due to increase in staftfime and services provided ADIVroI Office SWDNes Increase due to increase in services provided Teleohone Increase due to increase in services provided rot utilities Increase due to increase in services provided Occu Builifina E Gmundsl Reflects ncrmeste in wst of rent Publications Increase due to increase in services promded 01 rot *DfVIOI rot #DlVrol rot NONAII Audit Exiernse Reflects prcigrarn share of audit ezpennnse 1 #W101 Odwd(Dpttract Increase due to increase in services provided s mo as 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: Substance Abuse Council of Indian River County 1151 191h 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 bath 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 - 11 / 0111 . 2006 16 : 41 77277 '14822 SUBTANCE_ABUSE_COUNC PAGE 02 _f .r at • ; tv EesA� _ .T_T^ ?&get 00. 1 ACORD CERTIFICATE OF LIABILITY INSURANCE � ,oizo t PRssuca! ( 772) 231 - 2828 eAX ( 772) 231-4413 THIS CERTIFICATE 4830U ED ASA MAT TER OF INFORMATIOti Felten B Assovate8 ONIY AND CONFERS NO RIGHTSUFON THE CEP,TiFICETE 2911 Cardinal Orive ( 32963) HOLDER. THIS CERTIFICATE 0068 NOT AMEND, EXTENC OR P . U . Box 3458 I ALTER THE COVERAGE AFFORD ,q BV THE POLIGE76E.OW. I Vero Beach , II,. 32964- 3488 INSURERS AFFORDING COVERAGE : NAIC0 Iktue6 Substance Abise.. Council Of Indian Rifler Co.mt Illl ,.er , Colony Insurance 0 0 90. 6450 L W,-' a Progressive Express 10193 Vero Beach , FL 32961 Ce"Wrce 6 Industry lnsuraoc�— I ['OYaRatES 'HE ROLIMESOE IMS:NtAVCFL!b EC 8ELOW44VE BEEN ISSUED TOM INSURED NAMED ASOvE FOR THE POLICY PERIOD IND'CATED. N07WIi+STANDING AMI REIjAIEMEN•, TERM OR CONDITION OF ANY CONTRA: OR OTHER DOCUMENT NITH RESPECT TO WH-CH THIS CERT;F.CATE MAY CE ISSUED OR MAY PERTAIPC TL E INSURANE:E AFFORDED BY THE PO'_IDE£ :IESCRIIIQ HEREIN IS WSB ECT -C ALL TME TLIMS, UC LU91ON5 AVO CON""IONS OF SIn:H POLIry, ES. AGGREGATE L M!TS SHOVN MAY HOVE DEFN REDUCED BY OATS CLAIMS. / 4 ¢ENEaR: ueelurr GL3303525A ' Ili /os/?006 71Kr5 / T ¢J '.. k a- - - 000 00 - INtR �DD'L F YFF!lCfIK F. TY.�Ns 'SPE Wb.SUMNCE ^. •ULIC•wyH_ad1 yTR nM�o¢wy[ e.Ter 000 Le: 'k , '..r, An. E l( 1 ^ ••r.: ME r r _ S 0 _.. » 5-.— ..EXCLUDED 21000 E :xOFElnL . w: e:. [.g: ' rA � :: x � s EXCLUDE -I - 7 — _.. I" IrurlM]RLE LMWr^' 044377468 03 /08/006 03/08/2007 crc. ., , ,: R : : _ t. , ..; 1 , 000 , 00 I00 ^00 _ :0000 _.. "TO z q . 6rCEl9AaRRaL4A LMa4T'-- --- MFj rr. -_r ,.Nr:�.,:F t •_•_•• I �t waRNERe D¢MrENaATI NANO 01.1811443 Ol/10/2006 � amu E01101.94" AGUTr e :F w Ir { _ -- 100000,. C .,I« - . 100 , 0DO e , 0000 §00 , 0 _ i] n ---s.-:— • F E m '000:0 O rNI eR 00 I I O•ECRI/TION 4FCRRAbCNlI LDct, r:Mi . veMlcmB exoZeI¢Ita AcmueY ANC¢RAEEEN1 : IF .1AI FIIdNi1GR Certificate holde - included as a0ditimal insured with respect to general liability policy listed above rARTIFICATP HAI D_CR — _ _ �_ -- - -- -� lNt.)UkDYfr D° Tri AaOw: ¢ElcRrEeC rCNtIE88F CANCELUiO AEF¢Re TNF CANCELLATION ClvaeIION DAne `HFAE' . TLE MRuno MAER WILL In,""JR T A wu. Indian River County , Florida1Q_ Dm "Ins, .WMe 'J THE ClA"ipxAT& MO'_OP 'wtet rn tH! 'LEOT. Beth Jordan eUT :Nk URF TO MAR NEI; N., Y#te aNA_L N $V FU baLNATt'JN Mi _ te,. 1V 1840 25th Street cr .mH'Ho�re>, THl ns.EeR 'n AiTTl �r a.rRaslvrmwF __ Vero Beach , FL 32960 - 33&S AATH0AJED ASTAINMTATME ACORO 25 (20DVD8) 4TACORD CORPORATION 1908 t t f tla ¢ Hi ;E 4r NOV 1 7 2006