HomeMy WebLinkAbout2006-331O INDIAN RIVER COUNTY
GRANT CONTRACT
This Grant Contract ("Contract") entered into effective this r✓ d of October 2006, by and
between Indian River County, a political subdivision of the S to 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 19'h Street
Vero Beach , Florida 32960
Life Skills Training 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 .
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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
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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 .
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INDIAN RIVER COUN71�PAI�P OF COMMISSIONERS
By:
4Gary,p.�Wl kler , . Chairman=
BCC Approved :
Attest: J . K. Barton , Clerk
By:
Deputy Clerk
Approved :
Jos h A. Baird
County Administrator
Approve as to form and legal sufficiency:
By: o�
Marian E . Fell , ACsigtant County Attorney
RECIPIENT:
By:
Substance Abus . u licn of Indian River County
rreci Jones; . Ctiu irMC40
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EXHIBIT A
(Copy of complete Request for Proposal)
EXHIBIT - A -
LifeSkills Training 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, Ex. Dir. , CAPP E-mail : sacircna,bellsouth.net
Address: 1151 19s' Street Telephone: (772) 7704811
Vero Beach, Florida 32960 Fax: (772) 7704822
Program Director: Colette Heid E-mail:
Address: Telephone:
Program Title: Life Skills Training Program (LST)
Priority Need Area Addressed: Mental Wellness Issues
Substance Abuse Education/Prevention LX-825 (According to the Taxonomy of Human Services)
Brief Description of the Program: It is the LST program' s intent to provide a comprehensive, research
based proven effective substance abuse prevention program. LST is targeted at reducing and preventing
substance use/abuse among IRC muddle school youth. There is a direct correlation between changing
adolescent perceptions of the benefits vs. the risks of Alcohol, Tobacco and other Drugs (ATOD) to
delaying the age of onset of initial use. By increasing protective factors and changing attitudes towards
ATOD, the age of initial use can be delayed or put off completely.
SUMMARY REPORT — (Enter Information In The Black Cells Only)
Amount Requested from Funder for 2006 /07 : S 100 ,075 . 00
Total Proposed Program Budget for 2006 / 07 : $ 100 ,075 . 00
Percent of Total Program Budget : 100 . 0 %
Current Program Funding (2005 /06 ) : S 56 ,416
Dollar increase /( decrease ) in request : $ 437659
Percent increase /( decrease ) in request * ` : 77 . 4 %
Unduplicated Number of Children to be served Individually : -
Unduplicated Number of Adults to be served Individually : -
Unduplicated Number to be served via Group settings : 51400
Total Program Cost per Client: 18 . 53
**If request increased 5% or more, briefly explain why : Increase reflects the addition of one full time
instructor to help to address the demand in services for the program and the cost of program services.
This will result in a 38% increase in the number of youth served. 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). 517106
Fred Jones, Chairman
Name of President/Chair of the Board /�Stgnature
Colette Heid, MS Ed., CAPP
Name of Executive Director/CEO Signature
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LifeSkills Training Progant 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.
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. Unless the community' s emphasis is directed to
substance and drug prevention educational programs, we can expect negative social and economic impacts
associated with substance and drug use/abuse to continue.
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
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LifeSkills Training Program Substance Abuse Council of Indian River County Indian River County CSAC
B. PROGRAM NEED STATEMENT (Entire Section B not to exceed one age)
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.
According to the Florida Youth Substance Abuse (FYSA) and PRIDE Surveys, TRC youth exhibit above
average risk factors and levels of drug usage. These survey reveals the extent of substance abuse occurring
amongst our young. Even though there has been a downward pattern in drug use trends over the past few
years, IRC youth are still reporting drug use and delinquent behavior that will negatively affect their lives
and our society.
IRC youth key Drug-Use Trends from the FYSA Survey 2000 to the 2005 reflect the same observed pattern
of reduced ATOD use as in the statewide survey.
• The "past-30-day use of alcohol" by surveyed 9a' grade students declined from 39.3 % to 34.4%.
• "Past-30-day use " of marijuana by surveyed 9`h grade students declined from 17.2% in 2000 to 11 .2 %
in 05 (down from 12.6% in 04.)
• Cigarette use among students declined sharply in the past years. In 2000, 22. 7% of surveyed students
reported some use of cigarettes over the "past 30 days ", compared to 18 .4% in 2005 , but this is up from
14. 1 % in 2002.
Attitudes toward Drug Use
• Sixty four % of surveyed students reported that daily use of cigarettes poses a "great risk" of harm.
• Fear of marijuana use declines as students get older, while the fear of cigarette use actually appears to
increase. While 69.6% of surveyed middle school students (up from 67.3% in 04) believe regular
marijuana use poses a "great risk" of harm, this number drops to 54.6 % ( up from 49.3% in 04) among
high school students. In contrast, perceptions of harm associated with daily use of cigarettes rise from
62.4% among middle school students (up from 56.8% in 04) to 66.5% (down from 67.4% in 04) among
high school students.
• Disapproval of substance use appears to decline as students get older. For instance, disapproval of
alcohol use 79. 1 % in middle school and 59.7% in high school (up from 76.2% in middle school and
52.2% in high school in 04), disapproval of cigarette use 89.2% in middle school and 72. 1 % in high
school and disapproval of marijuana use (91 . 1 % in middle school and 74.01/o in high school) all decline
between middle school and high school.
Risk and Protective Factors
• Surveyed students reported higher scores on the Transitions and Mobility (63) and Favorable Attitudes
toward Antisocial Behavior (55) risk factor scales, compared to the national average of 50. This means
that students in IRC are at greater risk for involvement in drug use and other antisocial behaviors due to a
lack of long-term neighborhood connection, and due to students' acceptance of antisocial behaviors.
Parental use/parental attitude towards ATOD/use also correlate with adolescent attitudes towards/use.
These key findings illustrate the complexity of drug use and antisocial behavior among IBC's youth and the
possible factors that may contribute to these activities. While some of the findings compare favorably to the
national findings, Indian River County youth are still reporting drug use and delinquent behavior that will
negatively affect their lives and exceed state and national averages.
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.
Local Law enforcement provides the DARE program to all 5a' grade students. No specific substance abuse
prevention programs are directed at the middle schools. Additionally, New Horizons and DATA provide
Student Support Specialist and services in the public middle schools. These agencies work with a very small,
indicated population of students and do not serve the entire population. This remaining youth would receive
no additional program services if the LST program were not available. Collaboration is a part of the services
provided to universal populations. The LST program provides no duplication of services.
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LifeSkills Training Program substance Abuse Council of Indian River County Indian River County CSAC
C. PROGRAM DESCRIPTION (Entire Section C, I — 6, not to exceed two a es)
1. List Priority Needs area addressed.
Mental Wellness Issues
2. Briefly describe program activities including location of services.
The LST program is a three year prevention program designed to be conducted in school classrooms.
Based on Theoretical framework, the LST program was developed to impact drug-related knowledge,
attitudes and norms; teach skills for resisting social influences to use drugs and promote the development
of general personal self-management skills and social skills. Consistent with this, the LST program can be
best conceptualized as consisting of management skills. The second component focuses on teaching
general social skills. The third component includes information and skills that are specifically related to
the problem drug abuse. The first two components are designed to enhance overall personal competence
and decrease both the motivations to use drugs and vulnerability to drug related social influences. The
problem specific component is designed to provide students with materials relating directly to drug abuse
(drug resistance skills, anti-drug attitudes, and anti-drug norms). Services are provided in Indian River
County Middle Schools. This year we propose to serve high school students also.
The LST program is a primary prevention program that targets individuals who have not yet developed
drug abuse problems. The goal of the program is to prevent the use of gateway substance use among
adolescents by making an impact on risk and protective factors associated with tobacco, alcohol, and
marijuana use, particularly occasional and experimental use.
Simultaneously a systematic community awareness campaign is conducted. It is designed to impact
community norms and educate the community regarding the incidence of substance abuse. On the FYSA
Survey, Indian River County scored higher than the State and other like Counties in the following risk
factors areas:
• Poor Family Supervision • Poor Family Discipline
• Family History of Antisocial Behavior • Parental Attitude Favorable to ATOD use
• Parental Attitude Favorable to Antisocial • Friends Use of Drugs
Behavior
• Peer Rewards for Antisocial Behavior • Youth Attitude Favorable to ATOD use
• Youth Attitude Favorable to Antisocial • Perceived Risks of Drug Use
Behavior
• Early Initiation of Drug Use • Sensation Seeking
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 this target population. They demonstrated repeated documentation that
adolescent risk perceptions were favorably impacted by reducing favorable parental, peer and community
attitudes towards ATOD.
We must take these facts and information and as with all knowledge, empower ourselves and educate our
youth and community. The LST program is a research based, proven effective curriculum in the reduction
of adolescent drug usage and has been endorsed by the Center for Disease Control (CDC). The LST
program was selected by the Center for the Study and Prevention of Violence (CSPV), University of
Colorado at Boulder as a Blueprint 2000 program and OJJDP selected the LST program for replication
nation-wide and is 1 of only 11 programs that is considered "exemplary" by all program evaluators.
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LifeSkills Training Program Substance Abuse Council of Indian River County Indian River County CSAC
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 LST program is based on Theoretical framework. The LST program was developed to impact
• drug-related knowledge
• attitudes and norms
• teach skills for resisting social influences to use drugs
• promote the development of general personal self-management skills and social skills.
Since all of these skills are directly related and positively impact Drug Use Trends; Attitudes towards Drug
Use and Risk and Protective Factors, the continuation of the LST program and it' s protective skill building
framework should continue to contribute to the:
• Decline in Drug Use Trends
• Increase in perceived risk or harm of substances
• Decrease risk factors such as Favorable attitudes to ATOD use
• Delay the age of onset for early initiation of drug use
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 LST program is currently staffed by two Council employees. The LST Coordinator assumes primary
responsibility for the LST program. One hundred percent (33 hours per week) of this position is currently
allocated to the program. One additional LST instructor (30 hours per week) is also assigned to this
program and currently dedicated 100% of the position. The need now exists the need to increase staffing
to three full time instructors help continue to implement the program to the incoming 0, 7s' and 8d' grades
and high school grades in the fall of 2007.
During year 3 , all 86' graders will continue with LST booster instruction, while we concurrently implement
the I ' and 2id year classes to the 6`h & 7a' grades. Each year an estimated total of 5,400 students will
receive
• 15 sessions in the 6s' grade
With on going LST booster sessions, instruction will continue with
• 10 sessions in the 7a' grade
• 5 sessions in the 8m grade
The LST Coordinator has had 7 years of experience in the substance abuse prevention field. The other two
LST instructors require a BA. All LST instructors are nationally certified to teach the LST curriculum.
5. How will the target population be made aware of the program?
The LST program has been offered to all middle schools in Indian River County. In order to qualify as an
OJJDP site all middle schools had to agree to allow the Substance Abuse Council to implement the LST
program in a classroom period. The remaining private schools were also invited to receive services from
the Substance Abuse Council. They were made aware of the program by letter with a follow-up face to
face meeting.
6. How will the program be accessible to target population (i.e., location, transportation, hours of
operation)?
As previously stated, LST program is implemented during the school day in all Indian River County
Middle and High Schools. Instructors render themselves to the individual school sites.
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. LifeSkills Training Program Substance Abuse Council oflndimi River County Wim River County CSAC
D. MEASURABLE OUTCOMES (Description oflntent)
Use the Measurable Outcomesform. This description Pare does not need to be inchided in them,posal.
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. AU eletnents tit be included:
• Direction of change • Time frame
• Area of change • As measured by
• Target population • Baseline: The number that you will be measuring
• Degree of chane against
Example 1 (Outcome):
To decrease (direction of change) number of unexcused absences (area of change) of enrolled boys and
girls (target population) by 75% (degree of change) in one year (timeframe) as reported by the 2003
School Board attendance records (as measured by). Baseline :, 2003 School Board attendance records for
enrolled boys and girls.
Example 1 (Activity):
To provide anger management classes to enrolled boys and girls 2 times a week for 12 weeks.
Example 2 (Outcome):
75% (degree of change) of youth (target population) who have participated in the academic enrichment
activities (as measured by) for 6 months or more (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 (Bl ).
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.
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LifeSkills Training 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 Outcome(s) Add the tasks to accom duh the Outcomes
1 . To decrease by 5% the "first use" numbers of 1 . To provide 5,400 youth weekly LST group sessions
drug and alcohol use among middle school (6'b, to youth according to the following schedule:
7a', 8'h grade) students over a period of one year • 15 sessions in the 6h grade
as reported by the 2006 FYSAS survey. • 10 sessions in the 7a'
(Baseline 2004 FYSAS Survey) • 5 sessions in the 8thS.
It is important to note that the initial
age onset of substance abuse use has
increase from :
• Alcohol from 123 years in
2000 to 12.7 years in 2005.
• Tobacco from 12.0 years in
2000 to 12.4 years in 2005.
• Mariivana from 13.2 years in
2000 to 13.6 years in 2005.
This equates to a 33.33 % increase in
the initial age of onset over the past 5
years
2. To reduce by 2% the incidences of sixth gradc 2• To provide a total of fifteen ( 15) weekly ongoing
adolescents reporting the use of tobacco, alcohol education sessions to sixth grade students on the various
and marijuana following the first year of LST substance abuse and resiliency skills building topics
Program as reported by the 2006 FYSAS
survey (Baseline 2004 FYSAS Survey)
3 . To reduce by 2% the incidences of seventh
grade adolescents reporting the use of tobacco, 3. We will provide a total of ten (10) weekly ongoing
alcohol, and marijuana following the second booster education sessions to seventh grade students on
year of LST program as reported by the 2006 the various substance abuse and resiliency skills building
FYSAS survey (Baseline 2004 FYSAS Survey) topics
4 . To reduce by 1 % the incidences of eight
grade adolescents reporting the use of 4. We will provide a total of five (5) weekly ongoing
tobacco, alcohol, and marijuana following booster education sessions to seventh grade students on
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LifeSkills Training Program Substance Abuse Council of Indian River County Indian River County CSAC
the third year of LST program as reported the various substance abuse and resiliency skills building
by the 2006 FYSAS survey (Baseline 2004 topics
FYSAS Survey)
5. To increase audience knowledge by 25%
following educational presentation forums 5. Provide factual, current and up-to-date information
concerning drugs and their harmful effects concerning drugs and their harmful effects.
as reported by self-disclosure on pre-testing. Pre/ post testing will be conducted and rated to
(Baseline: Individual and group indicate a change in knowledge.
administered Pre-tests of forum
participants.)
6. To reduce by 20% self-reported high-risk 6. Provide factual, current and up-to-date information
behaviors responses reported by audience concerning high-risk behaviors and resulting harmful
participants following educational effects.
presentation forums. (Baseline : Individual Pre/post evaluations of the KABPs to indicate a change
and group administered KABP [Knowledge, in participation in high-risk behaviors
attitude, belief and practice] of forum
participants.)
It is important to note that the initial
age onset of substance abuse use has
increase from :
• Alcohol from 123 years in
2000 to 12.7 years in 2005.
• Tobacco from 12.0 years in
2000 to 12.4 years in 2005.
• Mariivana from 13.2 years in
2000 to 13 .6 years in 2005.
This equates to a 3333 % increase in
the initial age of onset over the past 5
years ,
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LifeSkills Training Program Substance Abuse Council of Indian River County Indian River County CSAC
D. COLLABORATION (Entire Section E not to exceed one page)
1 . List your program's collaborative partners and the resources that they are providing to the
program beyond referrals and support. (See individual funder requirements for inclusion of
collaborative agreement letters.
Collaborative Agency Resources provided to the program
Venue for program delivery,
School Board of IRC Encourage teacher training
Venue for on-going teacher training
University of Miami Provide technical assistance for program evaluation
Provide technical assistance in student progress evaluations
Office of Juvenile Justice Provide Technical assistance for program implementation
Delinquency Prevention Provide curriculum for student population receiving LST
instruction
Center for Violence Prevention, Provide Technical assistance for fidelity of program delivery
University of Boulder
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LifeSkills Training Program Substance Abuse Council of Indian River County Indian River County CSAC
F, PROGRAM EVALUATION (Entire Section F not to exceed two pages)
I . 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 B1 ?
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 • Family composition and status
• Age • Living accommodation
• Gender and ethnic background • Drug of Abuse
• Address • Frequency of use
• Social Security number • Age of onset
• Type of services needed • Type of services provided
• Duration of services • Length of stay
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 LST program 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.
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 LST 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.
• Pride Survey
• Florida Youth Substance Abuse Survey (FYSA)
12
� � 7
LifeSlalls Training Program Substance Abuse Council of Indian River County Indian River County CSAC
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?
Pre test are administered to the entire population of cohorts simultaneously, prior to instruction. Post
testing is conducted following the completion of instruction. These pre and post test are evaluated by the
University of Miami to establish achievement of measurable outcomes. Other program data elements such
as program delivery and maintaining program fidelity are collected on a weekly basis and sent to the
University of Colorado for evaluation. Required demographic data is complied and reported to the State
of Florida monthly. PRIDE and FYSA Surveys are conducted alternating every other year. The 2007
PRIDE Survey results are due in the summer of 2007 and the FYSA Survey is due in the Fall of 2006.
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?
Establishing performance targets for strategy goals and objectives is a very important part of prevention
program implementation process. These performance measures indicate the success of the LST program
by establishing the rate of change in perceived hams, level of drug use and the validity of the program
implantation.
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 the community and its staff.
All program data is complied via computer database programs. All program data and statistics are shared
with the community, funders and concerned parties, as the law allows.
13
/'� 0
LifeSkills Training program Substance 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
completing the timetable, review information detailed in prior sections.
Month/Period Activities
August 2006 Pre grant year request operations of coordination of school, classroom and
teacher LST schedules for instruction.
September 2006 Implementation of all pre-testing on all cohorts simultaneously.
October 2006- June Implementation of classroom instruction per coordinated schedules.
2007
December 2006 Compilation and evaluation of data for the 1 ac quarterly report
March 2007 Compilation and evaluation of data for the 2"d quarterly report
June 2007 Post testing on all cohorts simultaneQusly.
Compilation and evaluation of data for the 3rd quarterly report
July- August 2007 Ongoing Instructor training and technical assistance.
September 2007 Compilation and evaluation of data for the 40' quarterly and annual report
October 2006- Ongoing collaboration with all collaborating agency on program progress,
September 2007 obstacles and any other program responsibilities as they arise
14
4)
pp
1 ' 1 II 1 H WMI EN 1 il1 I1 11
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.` Of MinORIM�_1 1 ► . 1 1
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1 I 1
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11
St, Lucie : 1 Total -�
1! 1 1 W11
IM 1
NumberI Unduplicated Clients1
� � r � k � �, I � x ti C al t � ✓y
e ry s u
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Edit this Header. TM the organization and program name and the funder for whom it is being completed. The page H is already set at the bottom tight
of every page.
I. BUDGET FORMS - To open the Budget Forms, please double-click on the icon below.
" Core Budget Forms "
16
/.'�?3
Substance Abuse Council LffesMl natrd.,a progr 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 Speck
Budget Forms.
AGENCYIPROGRAM NAME :Substance Abuse Council of IRC
FUNDER: Children Services Advisory Committee LifeSkills Training Program
r _ . . . . . . . . . . . . . . . . . . . . - . . . . . . . . . . . . . . . . . . . . . . . . . . . . . - . . . . . . . . . . . . . . . . . . . - - t
• CAUTION : Do not enter any figures where a cell is colored in dark blue - Formulas and/or links are in place. Gray areas should
The used for calculations and to write information only,
ew,ras aoe
REVENUES Proposed Total Program Funder Specific Total Agency
oe .t. guest gadget Budget
cvax.,awn
1 Children's Services Council-St. Lucie 0.00 0. 0.06
2 chddrsn's Services Counci�artin 0.00 0. 0.00
3 Advisory CotMkIBeandian River. 100,075.110 100,075-001 287,255.00
4 United St Lucia County 0.00 0-210.00
5 United -Martin County 0.00 0-D01 0.00
6 United Vby4ndian Rim County 0.00 0.0Cq 43,000.00
7 Department of Children d FumTies 0.000. 0.00
8 County Funds 0.00 0. 0 .00
9 Contributions-Cash 0.00 0.21 40,000.00
10 P ram Fara 0.00 0. 60, 100.00
11 Fund Events-Net 0.00 0. 72,000.00
12 Sales to Public - Net 0.00 0. 0.00
13 Membership Dues 0.00 0-0016,500M14 hlveabllent Income 0.00 0.01 800.00
1s Miscellaneous 0.00 WX 0.00
16 Legacies & Bequests0.00 0tX 0.00
17 Funds horn Odwr Sources 0.00 0. 257,611 .00
18 Reserve Funds Usad forno 0.00 0. o-oo
19 In-Hind Dotatiorus luot ;ouuaea m total) 0.00
20 TOTAL REVENUES
(0oesnY incluee line 19) $100,075.00 $100,075. 767,466.00
A B C D
EXPENDITURES Proposed Total Program Fonder Specific Total Agency
rsr� = .w Budget Budget Budget
21 Salaries - (must complete chart on next page) 705a8.0o 70,94700 374, 144.0C
Salary
22 FICA - Total salaries x 0.0765 7.66% 5,427.52 5,427.5 28,622.
e remen - nus pension orq
00
23 staff 864.84 864.84 5,462.
ca n rm
24 Disab. 12,600.00 12,600.00 42,000.
Wockers Compensation - yees x
25 rate 915.23 915.23 2,960.
I-ionda
26 employees x $7,000 x UCT-6 rate O.D01 0001 0.
DC
SALARIES A B D
POSITION LISTING Gross Annual Portion of Salary on Proposed C % of Gross Annual
Salary Forder Specific Budget salary
Position Tide r Total Hralwk tAgencyt Program
Example: Executive Director740 hn 70,000.00 10.000.00 5,000.00 7.144.
1G/2000 a-t
' Substance Abuse Council LBeskllls Tmning Program Indian River County CSAC
Executive Director -40 hrs/ wk 70,000.00 0.00 0. o .aos
Prevention Program Coordinator-40 hrs / wk 44, 100.00 0.00 0. 0.00
Information Specialist- 35 hrs / wk/ $13.50 24,570. 0.00 0. 0.0o i
PREVENT Program Coord-15 hrs / wk/$22.70 17,706.00 0.00 0. 0. 0o°,c
PREVENT Program Assist-hrs/ wk $14I20hrs/ 14,560.60- 0.00 0. o.00/
Community Health Educator-33 hrs hvk/$16.80 28,828.00 28,828.00 28,828. 100.00 i
Lifeskills Educator (1 ) - 30 hrs Iwk/$13.50 21 ,060-00 21 ,060.00 21 ,060. 100.00%
Lifeskills Educator (2) -30 hrs / wk/$13.50 21 ,060.00 21 ,060.00 21 ,060. 100 .00/
Program Success Coordinator -40 hrs / wk 28,000. 0.00 0. 0 .00%
Program Success Assistant-20 his / wk/$14 14,560.00 0.00 0. 0. 00°/
Program Succ-STL Coordinator -40 hrs / wk 32,500.00 0.00 0. 0. 00%
Program SuccSTL Assistant-20 hrs / wk/$14 14,560.00 0.00 0. 0.00°/
CAN Coonnetor 20 hrs/wk/14 14,560.00 0.00 0.01 0.00%
Drug Testing Program Coord-40 hrs / wk 28,080.00 0.00 0. '0.00%
Remaining positions throughout the agency
TOUT Salaries 374, 144.00 $70,948.00 $70,948.00 100. 00%
FRINGE BENEFITS DETAIL A
(Funder Speclflc Budget Funder B c n E F c
Column C only, from line 22 to 27 �d10 RCA 7.65% Permlon uealtlr �• Worker's Uaemployme row Fringes Funder
Budgeg y ) Ax Y) conwelm mcompem; SpecHk
Positron Title / Total HrsJwk
Examrp/e: Casatlanagar/Nms 500000 382.50 200A0 `' 100.00 300.00 200.00 1,582.50
Executive Director -40 hrsl wk 0.00 0.00 0.00 0.00 0.00 0.0
Prevention Program Coordinator-40 firs / wk 0.00 0.00 0.00 0.00 0.00 0.0
Information Specialist- 35 hrs / wk/ $13.50 O.Oq 0.00 0.001 0. o. 0.0
PREVENT Program Coord-15him / wk/M2.70 0.001 0.00 0.00 0-01 0. 0.0
PREVENT Program AssisHxs/ wk $14/201xs/ 0.00 0.00 0.00 O.Oq 0. 0.0
Community Health Educator-33 firs hvk/$18.80 28,B28.00 2,205.34 864.84 4,200.00 371 . 0. 7.642.0
UteskiNS Educator (1 ) - 30 hrs / wk/$13.50 21 ,060.60- 1 ,611 .o9 0.00 4,200.00 271 .6 0. 6, 082 .7
Ldeskies Educator (2) -30 bra / wk/$13.50 21 ,060.00 1 ,611 .09 0.00 42W.00 271 .6 0. 6,082.7
Program Success Coordinator -40 hrs / wk 0.00 0.00 0.00 0. 0. 0.0
Program Success Assistant-201xs Iwk/$14 0.00 0.00 0.00 0. 0. 0.0
Program SuccSTL Coordinator -40 hrs / wk 0.00 0.00 0.00 0. 0. 0.0
Program SuCGSTL Assistant-2o his / wk/$14 0.00 0.00 0.00 0. 0. 0.0
CAN Cooinator 20 hrshW14 0.00 0.00 0.00 0. 0. 0.0
Drug Testing Program Coad-40 hrs / wk 0.00 0.00 0.00 0. 0. - 0.0(
0.00 0.00 0.01 0. 0.0
0.00 0.00 0.00 0. 0. 0.0
0.00 0.00 0.00 0. 0. 0.0
0.00 0.00 0.00 0. 0. 0.0
0.00 0.00 0. 0. 001
0.001 0.00 0-001 0.001 0.0
Total Funder Request FrhW Beneft I $70,948.Oq $5,427.51 $8641.841 $12,600.01 $915.21 $0.0 $19,807.5
A 8 C D
EXPENDITURES awv� Proposed Total Program Funder Specific Total Agency
Budget Budget Budget
27 Travel-Daily 1 ,470.00 1 ,470.00 15,000.00
# of Staff x average # of miles/wk x 50 wks x x .291 ,015
$ = Estimated Daily Travel/Mileage Reirnb. SWAT 310 miles a month
28 Travel/Conferences/Training 250.00 250.00 15,000.00
SI1N2iN1G 9-1
� a5�
Substance Abuse Council Linbs fls halnm FWam Indian River County CSAC
National Conference (cost per staff) FADDA registration Y250
Training/Seminar (cost per staff) Hotel $150 per night x 3 nights = $450
• Other Trainings (cost of travel, lodging, $21 Per diem per day x 3 days = $63
registration, food) 250 miles x .29 = $72.50
29 Office Supplies 500.00 500. 15,000.00
• Office supplies (monthly average x 12
$50 x Pr months for a =
months = estimated cost of office supplies Other
based on present history. months $60000 $500 a month x 12 0
e one 0.00 0. 12, 319. 95
• # Phone lines x average cost per month x x 12 months= $2688
12 months = local phone cost
Average long distance ells x 12 months = Pager $12 x 12months x 3 employees
Estimated cost of Long distance charges $120 per month _
long distance x 12 months=-1440 0.00
31 Postage/Shipping 0.00 O-DO 5, 000.00
• Quarterly Mailing of Newsletter 1020
• Special events, etc. Buys Mail $ 200 per month x 12
• Bulk mailings - appeals momhs= 2400 0.
32 Utilities 0.00 WX 6,000.00
• Electricity ($ x 12 months)
• Water/Sewer ($ x 12 months) Utilities $333 per month x 12 montls+
• Garbage ($ x 12 months) 54000 0.
33 Occupancy (Building b Grounds) 6,000.00 6,000.00 38 ,856.00
• Mortgage/Rent ($ x 12 months) RON
ST 500 x n
L12
• Janitorial ($ x 12 months) S 500 x12
• Grounds Main. ($ x 12 months) Prev 540 x 12
• Real Estate Taxes DT 500 x 12 = 2040 0.010
34 Printing b PubFications 100.00 100.010 25,000.00
• Quarterly Newsletter ($ x 4)
• Letterheads, Envelopes, etc. Newsletters $300 x 4=1200
• Fundraising materials Letterthead,etc $1200
Other Other
Survey $9000
• Other $30,010 0.00
35 SubscriptionlDuvesllMenrberships 0.00 0.010 1 ,000.00
• Membership to National Organization
• Dues FADDA $250 CADCA
• Subscriptions to Newspapers/magazines, $260
etc. Subso ipliors $500 0.
34 Insurance 0.00 0AX 12,000.00
• DirectorsfOfficers Liab.
• Commercial/General Insurance Auto $7821
• Bond ins. Commercial Liability $1750
• Auto Insurance Employee Bond $500 0.
37 EquipmentRental & Maintenance
0.00 0.0c 0000.00
• ogler lease x mon
• Meter lease ($ x 12 months)
• Copier Maintenance ($ x 12 monttrs) Copier Mab $150 x 12= 1800 $
• Computer Maintenance ( $ x 12 months) Computer Mab $ 100 x 12 =1200
Other (Vehicle) $200 per month x 12
• Other months=2400 0. 0.0
38 Adverfising 0.00 0. 14,000.00
• Newspaper ads Ads $250 x 10=2500
• Fundraising ads/promotions other $500
• Other (vacancies) Promotions $2000 BMxwds $4000 0.
39 EquipawritPurchases:iffipda se 0.00 0. 5,000.00
• Computer/monitor (# z )
• Laser Printer 2 computer systems wl monitors $1500 0.
40 Profesmionwil seSBga , rrsulbng 0.00 0. 3,000.00
• Legal advice ( estimated #hrs x $)
• Consultant fees
• Other Consulting Fees $2,000 0.
41 uCaflOrla Materials 0.00 0.0c 30,000.00
• Books/videos Videos $200 each x 10
• Materials ($ x staff) Eucational materials $ 22602 0.
s+srzdos s-1
� a �
Substance Abuse Council ft T�nvq P� Indian River County CSAC
42 Food & NutdWn 0.D0 0.01 4. 195.00
• Meals ( # meals x dients x 5days x 50 wks)
• Snacks Youth snacks $30 a week x 52 weeks 0.
43 rrMnistratrve Costs 0.00 0. 0.00
• Admin. Cost total get) 0_
44 Audit Expense 1 •000-00 1 .� 9.000.00
Independent Audit Review 9,000.00
45 Specific Ishnce to nW 0. 1 ,000.00
• Medical assistance
• MeaWFood
• Rent Assistance
. Other 0.
44 X118 0.00 0.0c 14,907.50
• Background check/drug test Drug Screens $38 x 5= 190
• Other Drug Screen Kits $500 per month x O-OC
47 OthedContract 0.00 0.001 80,000.00
• Subcontract for program services sessions per week x 50 weeks =
'Drug testing supplies $9,000 L fesk*s Trawags $750 per 2 0.00
48 TOTAL EXPENSES 100,075.59 100,075.59 767,466.45
($0.45)
0.45
s162006 a-1
Mass EM
Type tln CYq+vtlion eM PmG Nm
UNIFORM GRANT APPLICATION
TOTAL AGENCY BUDGET
Substa : Abuse Co mlj
AGENCYIPROGRAM NAME: Laeak0ls TmiakV Pro mm
FY 01/05 FY 05/06 FY D6107 % INCREASE
FYE_Sept 30 FYE_Sepn 30 FYE_Sep130 CURRENT VS.
NEXT FY BUDGET
A B C D
ACTUAL TOTAL PROPOSED (ml. ocei. B)1<oi. B
REVENUES BUDGETED BUDGETED
1 Children's Services Council-St Lucle 0.00 0.00 0.00M#E)IVIO!
2 Children's Services Council-Martin 0.00 0.00 0.00
AdvisoryCommittee4ndian River 185 130.00 180 080.00 287 255.00
4 United Way-St. Lucie County0.00 0.00 0.005 United Wa -Martin Coun 0.00 0.00 0.006 United Wa -Indian River Coun 38 750.00
41 500.00 43 000007 De rtnnent of Children E Families 0.00 0.00 0.00
8 County Funds 0.00 0.00 0.00 #DIV/01
9 Contributions-Cash 6 475.00 40 000.00 40 000.00 0.07%
10 Pmqmm Fees 32 347.00 48 000.00 60.100-00 25.21%
11 Fund Ralsina Events-Net 21772.00 25j000.00 72 000.00
12 Sales to PublicWet 0.00 0.00 0.00
1 MembershipDues 0.00 6,500.00 6,500.00
141nvestmeM Income 674.00 0.00 800.00
is Miscellaneous 56 903.00 0.00 0.00
is cies 6 uests 0.00 0.00 0.00
17 Funds from Other Sources 272 065.00 334 279.00 T57,811 .00
14 Reserve Funds Used for Operating 0.00 0.00 0.00
7 In4Gnd Donation Pia 9ycee1el In laNl 0.00 0.00 O.DO
20 TOTAL 67 116.00 675 359.00 767.466.00M1164%
EXPENDITURES
21 Salaries 305113.00 310 000.00 374144.00 20.69%
22 FICA 23 341 .00 23 715.00 28 622.00 20.69%
23 RCtirenwrnt 7438.00 7468.00 5462.00 -26.86%
LXefNealth 23 024.00 25.2W.00 42 000.00 66.67%
25 Workers Com 31936.00 000.00 2,960.00 -26.004A
26 Florida Unemployment 0.00 0.00 0.00 #DIV/OI
zy Travet-Dally 23152.00 2L380,00 15 000.00 -29.64%
28 TraveUConferencea/fminin 15081.00 16000.00 15000.DO -6.25%
29 Office Su les 41 950.00 26 600.00 15 000.00 -43.61%
30 Telephone 1 086.00 13,600.00 12 319.95 -8.74%
31 Postage/Shippina Z343.00 41220.00 5,000.00 18.487
32 Utilities 1230.00 4000.00 6000.00 50.00%
33 Occupancy (Building R Grounds 39 739.00 38 856.00 38 856.00 0.001/0
34 Printing E Publications 272.00 91000.00 25 000.00 177.78%
35 Subscription/DuesMeimberships 555.00 1000.00 1000 DO D.00%
36 Insurance 11998.00 12000.00 12000.00 0.D0%
37 iguIpmentRental 6 Mairdenance 12 542.00 61000.00 8,000.00 33.33%
38 Advertising 0.00 10 000.00 14 000.00 40.00%
i ment PurchaseeXapical ExDens,s 0.00 3000.00 5000.00 66.67%
40 Professional Fees f Corsuiti 2.924.00 3 000.00 3.000.00 0.00%
41 Books/Educational Materials 1214.00 38 000.00 30,G00,00 -21 .05%
42 Food 8 Nutrition 0.00 1000.00 4,195.00 4.88%
43 Administrative Costs 0.00 0.00 O.DO #DIV/01
44 Audit EApeme 8,000.00 900000 9.000.00 0.00%
45 S Bic Assistance to IndMduals 2,941.00 3 000.00 1,000.00 .66.67%
46 Other/Miscellaneous 38780.00 20420.00 14907.50 -27.000/6
47 Other/Colnraclf Druaq tes tinst Supplies 37 656.00 62 000.00 $0,000m 29.03%
De 19 .00 0.00 0.00 0.D0%
TOTAL
;;l !!18.00 675 359A0 767 466.45
49
REVENUES OVER/ UNDER EXPENDITURES 31 ,598.001 0.001 0.00
/l� U
sns-mos �
ilRTepP�AN Pmlan Hove
UNIFORM GRANT APPLICATION
TOTAL PROGRAM BUDGET
AGENCY/PROGRAM NAME: Lire Sac TnimW suem A Cance
FY 0405 FY 05106 FY M-07 % INCREASE
FYE_Sept 30 FYE_Sep130 FYE_Sept 30 CURRENT VS.
NEXT FY BUDGET
A B C D
ACTUAL TOTAL PROPOSED pa. Ccni. BWCa8
REVENUES BUDGETED BUDGETED
1 Children's Services CounctlSt Lucie 0.00 0.00 MV/O!
2 Children's Services Counctl-Martin 0.00 0.00 #DIV/01
3 Advisory Committee-Indian River 60 000.00 56 416.00 100,075,G0 77.39%
4 United Way-St Lucie County 0.00 0.00 0.00 #DIV101
5 United Wa -Martin County 0.00 0.00 0.00 #DIV/0!
6 United Wa 4ndian River County 0.00 0.00 0.00 #DIV/0!
7 [)apartment of Children & Families 0.00 0.00 0.00 #DIV/01
8 County Funds 0.00 0.00 0.00 #DIV/O!
9 Contributions-Cash 0.00 0.00 O.G01 #DIV101
10 Program Fees 0.00 0.00 0.00 #DIV/0!
11 Fund Raising Events-Net 0.00 0.00 0.00 #DIV/Of
12 Saks to Public-Net 0.00 0.00 0.00 #DIV/01
13 Membership Dues ( .OD 0.00 0.00 #DIV/0!
14 Investment Income 0.00 0.00 0.00 #DIV/01
15 Miscellaneous 0.00 0.00 0.00 #DIVIO!
18 Leqacies 6 Bequests 0.00 0.00 0.00 #DIV/01
17 Funds from Odw Sources 0.00 0.00 0.00 #DIV/01
18 Reserve Funds Used for Operating 0.00 0.00 0.001 #DIV/01
is In-Kind Donations (Na x wets % tow 0.00 0.00 0.00 #DIV/O!
m TOTAL 60 000.00 56o416.00 100 075.00 77.39%
EXPENDITURES
21 Salaries 37095.00 44023.00 70948.00 61 .160/0
22 FICA Z83T.00 3 .00 5,427.52 42.60%
23 Retirement 1112.00 x1492.00 864.84 -42.03%
24 LlfeMeatth 5,300.00 2.100.00 12 600.00 500.00%
25 Workers Cornpensation 478.00 641.00 915.23 42.78%
26 Florida UnernDloymant 0.00 0.DO 0.00 #DIV/01
27 Travet-Daity 900.00 500.00 1470.00 194.00%
20 TraveVCotderencesiTrairli 0.00 0.00 250.00 #DIV/01
29 3W;;SUpp1M 600.00 200.00 500.00 150.00%
30 Telephone 1113.00 0.00 0.00 #DIV101
31 Postage/Shipping 608.00 50.00 0.00 -100.000/0
32 Utilities 620.00 0.00 0.00 #DIV/01
33 Occupancy Buildin 6 Grounds 360000 2,854.00 600000 110.23%
34 Printing & Publications 0.00 0.00 100.00 #DIV/01
35 Subscd 'onOues/Membershl 0.00 0.00 0.00 #DIV/0!
36 Insurance 0.00 0.00 0.00 #DIV/01
37 E ui m ntRemal3 Maintenance 500.00 0.00 0.00 #DIV/DI
35 Advertising 0.00 0.00 0.00 #DN/01
se Equipment Purchases:Capltal Expense 0.00 0.00 0.00 #DIV/DI
40 Professional Fees 1 Consulti0.00 0.00 0.00 #DIV/01
41 Books/Educational Materials 4487.00 250.00 0.00 -100.000A
42 Food & Nutrition 0.00 0.00 0.00 #DIV/0!
43 Administrative Costs 0.00 0.00 0.001 #DIV/0!
44 Audit Ex rise 750.00 500.00 100000 100.00%
45 Specific Assistance to Individuals 0.00 0.00 0.00 #DIVfO!
46 OtheNMiscellaneous 0.00 0.00 0.00
47 OtheNContrect 0.00 0.00 0.00 ttDIVlO!
48 TOTAL 60 000.00 5641600 100 075.59 77.39%
49 REVENUES OVER/ UNDER EXPENDITURES -059
#DIVfO!
.roemaa��.ma .wnw.m xaM
UNIFORM GRANT APPLICATION
EXPLANATION FOR VARIANCES OF 15% OR MORE
TOTAL PROGRAM BUDGET
AGENCY/PROGRAM NAME: Substance Abuse Council of IRC I LST Program
FUNDER: IRC CSAC
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UNIFORM GRANT APPLICATION
EXPLANATION FOR VARIANCES OF 15% OR MORE
FUNDER SPECIFIC BUDGET
AGENCYIPROGRAM NAME:
FUNDER:
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Type Cie @ga flw aw P,oaiem Name
UNIFORM GRANT APPLICATION
FUNDER SPECIFIC BUDGET
PROGRAM EXPENSES
AGENCY/PROGRAM NAME: Substance Ab , Coon1l i LST Program
FUNDER: IRC CSAC A e 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 70p948.00 709948.00 100.00%
22 FICA 5,427.52 5,427.52 100.00%
23 Retirement 864.84 864.84 100 .00%
24 Life/Health 12,600.00 12 600.00 100.00%
26 Workers Compensation 915.23 915.23 100.00%
26 Florida Unemployment 0.00 0.00 #DIV/0!
27 Travel-Dail 11470.00 147000 100.00%
28 Travel/Conferences/Trainin 250.00 250.00 100.00%
29 Office Supplies 500.00 500.00 100.00%
30 Telephone 0.00 0.00 #DIV10!
31 Postage/Shipping 0.00 0.00 #DIV/0!
32 Utilities 0.00 0.00 #DIV/O!
33 Occupancy (Building & Grounds 6,000.00 69000.00 100.00%
34 Printing & Publications 100.00 100.00 100.00%
35 Subscrition/Dues/Membershi s 0 .00 0.00 #DIV101
36 Insurance 0.00 0.00 #DIV/O!
37 E ui ment:Rental & Maintenance 0.00 0.00 #DIVIO!
38 Advertising 0.00 0.00 #DIVIO!
39 Equipment Purchases :Ca ital Expense 0.00 0.00 #DIV/0!
40 Professional Fees (Legal, Consulting) 0.00 0.00 #DIV/0!
41 Books/Educational Materials 0.00 0.00 #DIV/0!
42 Food & Nutrition 0.00 0.00 #DIV/01
43 Administrative Costs 0.00 0.00 #DIV/01
44 Audit Expense 11000.00 1 ,000.00 100.00%
45 Specific Assistance to Individuals 0.00 0.00 #DIV101
46 Other/Miscellaneous 0.001 0.00 #DIV/0!
47 Other/Contract 0.00 0 .00 #DIV/O!
48 TOTAL $100 ,075.59 $100,075.59 100.00%
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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 1 " 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 30th) 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 19`h Street
Vero Beach , Florida 32960
2. Venue; Choice of Law. The validity, interpretation , construction , and effect of this
Contract shall be in accordance with and governed by the laws of the State of Florida
only. The location for settlement of any and all claims , controversies , or disputes, arising
out of or relating to any part of this Contract, or any breach hereof, as well as any
litigation between the parties , shall be Indian River county, Florida for claims brought in
state court, and the Southern District of Florida for those claims justifiable in federal court.
3. Entirety of Agreement. This Contract incorporates and includes all prior and
contemporaneous negotiations, correspondence, conversations , agreements, and
understandings applicable to the matters contained herein and the parties agree that
there are no commitments , agreements, or understandings concerning the subject matter
of this Contract that are not contained herein . Accordingly, it is agreed that no deviation
from the terms hereof shall be predicated upon any prior representations or agreements,
whether oral or written . It is further agreed that no modification , amendment or alteration
in the terms and conditions contained herein shall be effective unless contained in a
written document signed by both parties .
4 . Severability. In the event any provision of this Contract is determined to be
unenforceable or invalid , such unenforceability or invalidity shall not affect the remaining
provisions of this Contract, and every other 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 -
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