HomeMy WebLinkAbout2006-331X. INDIAN RIVER COUNTY
GRANT CONTRACT
This Grant Contract ("Contract") entered into effective this _24�' day of October 2006 , by and
between Indian River County, a political subdivision of the State of Florida; 1840 25th Street, Vero
Beach , Florida , 32960-3365; and Boys & Girls Clubs of Indian River County, Inc. , ( Recipient), of:
Boys & Girls Clubs of Indian River County, Inc.
P .O. Box 643068
Vero Beach , Florida 32964
Sebastian Branch
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 : THIRTYFIVE
THOUSAND , DOLLARS ($35,000). 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, COUNTY BOARD OF COMMISSIONERS
By Hr;hur R��le' r Chair n
BCC Apprived. . , , Q
Attest: J . K. Balton; Clerk
By: rye c aXCX++
Deputy Clerk
Approved :`` ? \ .
Jose oh A. Baird
County Administrator
Approved as to form and legal sufficiency:
B
an E. Fell, Assi nt County Attorney
iV
RECIPIENT: \\\�
By;
Boys & Girls Clubs of Indian River County, Inc.
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EXHIBIT A
(Copy of complete Request for Proposal )
EXHIBIT - A -
Boys & Girls Club of Indian River County, Inc. — Sebastian Branch
Grant Application to the Children 's Services Advisory Committee
ORGANIZATION: Boys & Girls Clubs of Indian River County, Inc.
PROGRAM: Sebastian Branch
TABLE OF CONTENTS for 2006-2007
X Section of the Proposal Pa e #
X COVER PAGE (with signatures). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I
X TABLE OF CONTENTS (check list) . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
A. ORGANIZATION CAPABILITY (one page maximum)
X 1 . Mission and Vision of organization. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
X 2. Summary of expertise, accomplishments, and population served . . . . . . . . . . . . . . . . 4
B. PROGRAM NEED STATEMENT (one page maximum)
X 1 . Program Need Statement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . 5
X 2 . Programs that address need and gaps in service . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
C. PROGRAM DESCRIPTION (two pages maximum)
X1 . Funding priority . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . 6
X 2. Description of program activities. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
X 3 . Evidence that program strategy will work. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
X4 . Staffing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . 7
X 5 . Awareness of program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7
X 6. Accessibility of program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
X D. MEASURABLE OUTCOMES (two pages maximum) . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
X E. COLLABORATION (one page maximum) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
F. PROGRAM EVALUATION (two pages maximum)
X1 . Demographics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . 11
X2 . Measures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . 11
X3 . Reporting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . 12
X G. TIMETABLE (one page maximum) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
H. UNDUPLICATED CLIENT COUNT
X 1 . Projections by Location . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . 14
X 2. Projections by Age Group . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. 14
I. BUDGET FORMS
X 1 . Financial Budget Forms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . 15
2
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Boys & Girls Club of Indian River County, Inc. — Sebastian Branch
Grant Application to the Children's Services Advisory Committee
J. FUNDER SPECIFIC/ADDITIONAL SHEETS (On White Paper)
X 1 . List of current officers and directors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . J- 1
2 . Latest Financial Audit Report & Management Letter that conforms with the J-2
X AICPA Audit Guide . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . .
X 3 . Most recent IRS Form 990, Including all schedules . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . J- 14
4. Most recent Internal Financial Statement (i .e. : Balance Sheet and Operating
XBudget) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . J-39
X 5 . Staff Organizational Chart . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . J-44
X 6. Most recent Annual Report. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . J-45
X 7. 501 (C)(3) IRS Exemption Letter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . J-79
X 8 . Articles of Incorporation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . J-80
X 9. Agency's Bylaws . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . J-94
X 10. Agency' s written policy regarding Affirmative Action . . . . . . . . . . . . . . . . . . . . . . . . . . . . . J- 104
X 11 . Parent & Member Surveys for all programs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . J- 105
X 12. Taxonomy Definitions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . J- 119
K. APPENDIX: Supporting Documentation
X 1 . Not for profit agency certification. . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 . . . . . . . . . . . . . . . . . . . . . . . . .
I
X 2. Indian River County Authorization for Release of Information . . . . . . . . . . . . . . . . . . . . II
X3 . Swom Statement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . V
X 4 . Proof of Liability & Worker' s Compensation Insurance . . . . . . . . . . . . . . . . . . . . . . . . . . . XV
3
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Boys & Girls Club of Indian River County, Inc. — Sebastian Branch
Grant Application to the Children's Services Advisory Committee
PROPOSAL NARRATIVE
A, ORGANIZATION CAPABILITY (Entire Section A not to exceed one page)
1 . Provide the mission statement and vision of your organization.
Mission Statement: To enable all young people, especially those who need us most, to reach
their full potential as productive, caring, responsible citizens.
Vision: To accomplish our mission by establishing neighborhood clubs and outreach services in
Indian River County with quality programs and staff.
2. Provide a brief summary of your organization including areas of expertise,
accomplishments, and population served.
The Boys & Girls Club of Indian River County offers a diverse, affordable program to kids in a
positive atmosphere. Our daily after-school and summer programs, offered through our
"Clubhouse" locations and our outreach services that are provided through our Youth Volunteer
Corps, allow us to provide valuable services to the children of Indian River County. These
program activities attract and sustain young people, ages 6 through 18, who pay a nominal
annual membership fee of $35 .00 (which includes a free Boys & Girls Club t-shirt) and a
summer program fee which varies by location. In cases of financial hardship, no kid is turned
away because we have established a scholarship fund. Youth Volunteer Corps members do not
pay any fees.
Nowhere in the Indian River County area can kids or parents find such valuable services offered
in multiple locations so inexpensively. While our method of program delivery may change with
seasonal activities, or school related endeavors, the core of what and how we conduct daily
activities remains much the same. The overall Boys & Girls Club program structure can be
divided into "Five Core Service Areas". Together, these core service areas provide a diverse
base of activities designed to meet the needs and interests of every member. The following Five
Core program areas represent the Club' s service offerings to its membership :
• Education and Career Development . . . enables youth to become proficient in basic
educational disciplines, apply learning to everyday situations and embrace technology to
achieve success in a career and life in general.
• Character and Leadership Develooment. . . empowers youth to support and influence their
Club and community, sustain meaningful relationships with others, develop a positive self-
image, participate in the democratic process and respect their own and others ' cultural
identities.
• Health and Life Skills . . . develops young people ' s capacity to engage in positive behaviors
that nurture their own well-being, set personal goals and live successfully as self-sufficient
adults.
• The Arts . . . enables youth to develop their creativity and cultural awareness through
knowledge and appreciation of the visual arts, crafts, performing arts and creative writing.
• Sports, Fitness and Recreation . . . develops fitness, positive use of leisure time, skills for stress
management, appreciation for the environment and social skills.
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Boys & Girls Club of Indian River County, Inc. — Sebastian Branch
Grant Application to the Children's Services Advisory Committee
B. PROGRAM NEED STATEMENT (Entire Section B not to exceed one page)
toe
1 . a) What is the unacceptable condition requiring change? b) Who has the need?
c) Where do they live? d) Provide local, state, or national trend data, with reference
source, that corroborates that this is an area of need.
a. Limited access to affordable after school and summer programs for children 6 — 18 years of age, low
economics, juvenile crime and below average academic achievement is the condition requiring change.
b. We define those in need as children between the ages of 6 years old that have completed kindergarten
through 18 years of age, with a special interest in working with disadvantaged youth. We define
disadvantaged youth as children from low economic status, one-parent families and latch key kids.
c. Through our Sebastian Branch, located at 1415 Friendship Lane., we mainly serve children who live
within close proximity or who attend Sebastian Elementary, Pelican Island Elementary, Sebastian River
Middle, Sebastian Charter Junior High and Sebastian River High School.
d. According to the Florida Department of Education of the 16,619 children who attend Indian River
County public schools, 6,618 or over 39% receive free or reduced lunches (which is an indicator of
economic hardship). Additionally, Feilsmere Elementary and Sebastian River High School are rated as
"C" Schools and Sebastian River Middle School is rated as a "B" School according to the School
District of Indian River County. Finally, Indian River County statistics from the FL Department of
Juvenile Justice Bureau of Data and research conclude that 6% of all 10- 17 year olds have been referred
to the juvenile justice system during 2003-2004.
2. a) Identify similar programs that are currently serving the needs of your targeted
population ; b) Explain how these existing programs are under-serving the targeted
population of your program.
a. The Boys & Girls Clubs of Indian River County is the only county-wide, facility based,
youth development organization that provides programming every day after school and all
day during the summer. For every child the Boys & Girls Clubs serves, our youth
development activities are designed to build the following traits :
• Positive self-identity. A healthy self-concept, a strong belief in one ' s self-worth, and a
sense of hope about one ' s future.
• Educational, employment, social, emotional and cultural competencies . The knowledge,
skills, strategies and attitudes necessary to have a positive foundation for success.
• Community and civic involvement. A sense of belonging to community, family and/or
group; willingness to take civic responsibility.
• Health and well-being . Living a healthy lifestyle, taking part in regular fitness activities,
able to access health care resources and engage in positive behaviors.
• Moral compass. Youth have values enabling them to develop positive relationships with
others.
b . Our target population is underserved by other programs for the following reasons :
affordability, accessibility and scope of services.
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Boys & Girls Club of Indian River County, Inc. — Sebastian Branch
Grant Application to the Children's Services Advisory Committee
C. PROGRAM DESCRIPTION (Entire Section C, I — 6, not to exceed two pages)
1 . List Priority Needs area addressed.
Mental Wellness Issues and Childcare Access
2. Briefly describe program activities including location of services.
Boys & Girls Club programs are designed to meet members' needs and provide them with a diverse range
of activities that spark their interests, offering attractive alternatives to getting into trouble. They increase
educational achievement, develop tolerance and build character. The programs are carefully researched,
designed and field-tested. They are continually assessed and evaluated so we know that they are working.
Daily drop in hours are provided through our Sebastian Branch located at 1415 Friendship Lane
Monday — Friday after school until 8 p.m and during winter, spring and summer breaks from 8 am. to 6
p.m. Specific scheduled programs are offered in each of our five core area as follows:
• CHARACTER AND LEADERSHIP DEVELOPMENT: Youth of the Year, TEENSupreme®
Keystone Clubs and Torch Clubs
• EDUCATION AND CAREER DEVELOPMENT: Project Learn: The Educational Enhancement
Program, Goals for Graduation, POWER HOUR, The Ultimate Journey, JOB READY! , Goals for
Growth, Junior Staff Career Development, CareerLaunch, Skill Tech: A Club Tech Basic Skills
Program
• HEALTH AND LIFE SKILLS: SMART Moves (Skills Mastery and Resistance Training), SMART
Leaders, Family Advocacy Network (FAN Club, SMART Girls, Passport to Manhood, Act SMART
and Child Safety and Protection
• THE ARTS: Fine Arts Exhibit Program, ImageMakers: National Photography Program
• SPORTS, FITNESS AND RECREATION: FITNESS AUTHORITY®
• SPECIALIZED PROGRAM INITIATIVES: The Diversity Initiative & Family Support
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.
After-school programs keep kids safe, help working families and improve students' academic achievement
by providing critical opportunities for youth to learn and grow.
• Students in quality after-school programs have better academic performance, behavior and school
attendance and greater expectations for the future (US Departments of Education and Justice, 2000).
• Students who spend 1 - 4 hours per week in extracurricular activities are 51 percent less likely to have
used drugs (Department of Health and Human Services. Adolescent Time Use, Risky Behavior and
Outcomes: An Analysis of National Data Washington D.C., 1995).
• After-school programs in high crime areas can cut the high school student's risk of becoming involved
in crime by as much as three quarters. Additionally after school supervision cuts in half the risk that
middle school kids who will smoke, drink, or abuse drugs, and reduces teen pregnancy as well.
(National Center for Juvenile Justice, OJJDP, Wash., D.C. 1997.)
• The effectiveness of Boys & Girls Clubs has been proven repeatedly. A Louis Harris survey of Club
alumni concluded that Clubs help young people grow into productive citizens. The survey revealed the
firm conviction on the part of alumni that Club membership had a positive effect on their lives, provided
`+ the skills necessary for leadership, improved their relationships with others and influenced success in
later life.
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Boys & Girls Club of Indian River County, Inc. — Sebastian Branch
Grant Application to the Children's Services Advisory Committee
• The Carnegie Corporation's report, A Matter of Time: Risk and Opportunity in the Non-School Hours,
underscores the importance of community environment and institutions in contributing to the
development of young people. The report emphasizes that the opportunity to make a positive
contribution arises largely outside the structural Lural academic environment. The report concludes that
community-based youth development organizations such as Boys & Girls Clubs represent a valuable
national resource with considerable untapped potential.
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 to the information in the Position Listing on the Budget Narrative
Worksheet).
1 fill-time President & CEO — with a Bachelors Degree with a minimum of three years working in the non
profit sector, dedicating 10 hours per week of his/her time in program support, evaluation and stafftrairrmg.
I full-time Director of Finance — with a Bachelors Degree with a minim mn of three years working in the
non profit sector, dedicating 10 hours per week of his/her time in supplemental program support, planning
and facility management.
I full-time Branch Director — with a Bachelors Degree with a nvnimum of three years experience working
with youth, dedicating 40 hours per week of his/her time in planning, coordinating and directing the daily
program at the Club as well as facility and personnel management.
1 full-time Pro=n Director — with an Associates Degree or equivalent with a minimum of three years
experience working with youth, dedicating 40 hours per week of his/her time in planning, coordinating and
implementing the daily program at the Club.
5 part-time Prog �u�Specialists — with a High School Diploma, working towards a college degree with
( demonstrated capability in working positively with youth, dedicating 24 hours per week of his/her time in
providing onsite supervision of Club members.
2 part-time Program Specialists - with a High School Diploma, working towards a college degree with
demonstrated capability in working positively with youth, dedicating 40 hours per week for 10 weeks
during the summer of his/her time in providing onsite supervision of Club members.
Volunteers - Demonstrated capability in working positively with youth. As many as we can get, dedicating
specialized program opportunities for Club members.
5. How will the target population be made aware of the program ?
Since opening the doors of our Clubs we have had waiting lists in the hundreds. Word of mouth from Club
members and their parents is our biggest method of informing our target audience about our program. As a
means to attract the teen population, our staff distributes flyers and gives presentations throughout the
middle and high schools to promote involvement in the Club program.
6. How will the program be accessible to target population (i.e., location, transportation,
hours of operation) ?
Boys & Girls Clubs provides access to its members by locating Clubhouse facilities within walking or bike
riding distance. Also, through our collaboration with the School District of Indian River County
Transportation Department bus transportation from most schools to our Clubhouses is provided during the
school year. Our school year hours are Monday — Friday immediately after school (usually 2:30 p.m.) until
8 :00 p.m. During the summer and non-school days, we are open from 8 am. until 6 p.m.
7
Boys & Girls Club of Indian River County, Inc. — Sebastian Branch
Giant Application to the Children's Services Advisory Committee
D. MEASURABLE OUTCOMES - PROPOSED. (Section D not to exceed two pages)
OUTCOMES ACTIVITIES
List all gf the elements for the Measurable Outcome(s) List the tasks to accomplish the Outcome(s)
1 . To increase the average daily attendance of Club • Distribute Membership Recruitment Flyers in
members 12.5% (from 100 to 125) as reported the schools to announce after school program in
by the 2006-2007 year end average daily the beginning of the school year and summer
attendance totals. Baseline: 2005-2006 average programs at end of the school year.
daily attendance totals. • Offer an annual membership fee of$35.00.
• Provide transportation after school through
Indian River County School District to the Boys
& Girls Club.
2 . To maintain juvenile crime rates of enrolled • Provide daily diversion activities at the Club to
10 - 17 year old Club Members to less than channel youth energies into a positive direction.
2% compared to non-club members which is Games room tournaments and outdoor
6% as reported by the 2003 -2004 juvenile playground activities will be offered initially to
arrests. Baseline: 2003 -2004 Indian River spark members' interest. Once a rapport is built
County statistics from the FL Department of with our members, staff will encourage
Juvenile Justice Bureau Data. (6% of all 10- participation within our five core program
17 year olds referred to the juvenile justice service area.
system) • Nominate eligible, deserving 14 year olds as
4 Youth of the Month. Nominees will be
fiW requested to complete a nomination form to be
judged to determine the organizations Youth of
the Year.
• Continue/Enhance a Keystone Club for
members 14 — 18 years that will meet a
minimum of once a month.
• Continue/Enhance a Torch Club for 11 - 13 year
olds that will meet a minimum of once a month.
• Create a Passport to Manhood program for 11
year old boys & up that will meet once a week
for 8 weeks.
• ContinueTnhance the SMART Moves program
for all age groups that will be offered on a
weekly basis.
• ContinuoEnhance a SMART Girls program
that will be offered weekly, for girls ages 10-15.
The program is designed to encourage healthy
attitudes that will enable early adolescent girls to
develop to their fiill potential.
• Implement a violence prevention program that
meets once a week for 12 weeks in collaboration
with Safe Space. (Pending availability of Safe
Space staff
8
Boys & Girls Club of Indian River County, Inc. — Sebastian Branch
Grant Application to the Children's Services Advisory Committee
t • Implement an anger management and conflict
� W resolution program that meets once a week for 8
weeks in collaboration with Safe Space.
Tending availability ofSafe Space
3 . Improve/Maintain grade and skill levels of • Provide daily Homework Help, Reading &
no less than 65% of Club members Math skills enhancement activities, One-On-
participating in its Power Hour programs by One and Group Tutoring, POWER Pages and
grants end September 30, 2007 . Baseline: POWER Point activities during the school year.
I st quarter school grades compared to 40 • Maintain good grades parties quarterly to
quarter grades. ' celebrate improvements in school performance.
• Meet with school officials to identify those
members who are f ldlnrg and provide additional
homework and tutoring support.
• Continue/Enhance a peer leader homework and
tutoring program 5 days a week during the
school year.
• Maintain a Goals for Graduation program that
meets one a week for 12 weeks.
• Maintain a Goals for Growth program that
meets once a week for 8 weeks.
• Maintain a Job Ready program that will be
offered during the summer.
• Maintain a Career Launch program that will be
offered year round to teenagers accessing the
web at the Boys & Girls Club.
• Provide daily access to computers to improve
technology competency levels.
4. Maintain 100% parent involvement of Club • Maintain a Family Support program, which is
members (225) as reported by the 2006- designed to provide seasonal activities, events
2007 Parent attendance at Club events. and services designed to strengthen family
Baseline: 2005 -2006 Parents attendance at relations through informal social support.
Club. • Maintain a Family Advisory Network (FAN
Club) that will meet 4 times a year.
• Distribute Parent Surveys once a year to
evaluate quality of program and determine other
service areas to offer.
9
Boys & Girls Club of Indian River County, Inc. — Sebastian Branch
Grant Application to the Children's Services Advisory Committee
E. COLLABORATION (Entire Section E not to exceed one page)
1 . List your program's collaborative partners and the resources that they are providing to
the program beyond referrals and support.
Collaborative Agency Resources provided to the program
Indian River County School District Transportation after school from area schools to the
Boys & Girls Club. After school snacks and summer
lunch program.
Homeless Family Center Offer scholarships to children of homeless families, provide
computer lab access to children (through programs offered to
Club members) and parents/guardians (in the evenings to
teach computer skills and help with resumes and job
placement services).
Center for the Arts Art instruction, supplies, place to host exhibits and
museum in the basket series.
Youth Guidance Coordinate mentoring opportunities and encourage
Youth Guidance participants to become members of the
Boys & Girls Club and promote Mentor and Mentees to
meet at the Boys & Girls Club.
�+ Homeless Family Assistance Center We offer scholarships to child residents to participate in
our programs and computer lab time/help to parents.
Samaritan Center We offer scholarships to child residents to participate in
our programs.
Safe Space Provide instructors to conduct conflict resolution,
domestic violence and anger management sessions.
Boy Scouts Volunteers to conduct troops at the B&G Club once a
week.
Girl Scouts Volunteers to conduct troops at the B&G Club once a
week.
Big Brothers Big Sisters of the They provide volunteers to implement a
Treasure Coast tennis/mentoring program with our members.
10
Boys & Girls Club of Indian River County, Inc. — Sebastian Branch
Grant Application to the Children's Services Advisory Committee
F. PROGRAM EVALUATION (Entire Section F not to exceed two pages)
1 . DEMOGRAPHICS : What information (data elements) will you need to collect in order
to accurately describe your target population including demographics (age, gender, and
ethnic background) required by the funder in Section H? What are the pieces of
information that qualify them for your target population? How do you document their
need for services or their "unacceptable condition requiring change" from Section Bl ?
Each participant will be required to fill out a membership application that is manually entered
into a computer software program called "Member Tracking". This program allows us to
electronically maintain a database on each member that includes demographic, age, gender, race,
family economics, daily attendance, and activities in which they participated.
Our target population is tracked by age. We are able to track our special interest in serving
disadvantaged youth by asking and collecting the following:
• Does your child receive free or reduced lunch? (Asked to determine low economics).
• Who does your child live with? (Asked to determine single parent family status) .
• We collect report grades on a quarterly basis .
• We submit our membership list to the Department of Juvenile Justice to determine any
Juvenile arrests of members.
Limited access to affordable after school programs for children 6 — 18 years of age, low
economics, juvenile crime and below average academic achievement is the condition requiring
Ise change.
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?
• Membership Applications are collected upon registering for the program. Membership
renewal applications are updated continuously throughout the year, with the bulk
registering at the beginning of the school year.
• Daily average attendance is collected by recording the number of members that attend
daily divided by the numbers of days of service . Results are maintained and available on
a monthly basis.
• Club Activities are collected daily to track members' participation in the various
activities that are offered throughout the day.
• Pre and Post Surveys are distributed prior to all drug, alcohol and teen pregnancy
prevention programs to measure the knowledge gained through participation in our
SMART Moves programs.
• Juvenile Crime Rates will be collected by providing the Department of Juvenile Justice
with the names of all children enrolled in the program; they will then notify us regarding
the number of members arrested. Comparisons can be run on a quarterly basis .
• School Achievement will be measured by collecting report card data and providing a
11
Boys & Girls Club of Indian River County, Inc. — Sebastian Branch
Grant Application to the Children's Services Advisory Committee
comparison of grades from quarter to quarter. A baseline will be established the 151
quarter of each year and compared to results at the end of the year.
• Parent & Member Surveys will be distributed to each parent & member in April to
evaluate services being delivered.
• B&GCA Outcome Measurements Tool every member is encouraged to enter a baseline
survey upon registering for the program. Ongoing surveys are administered each year.
I . REPORTING : What will you do with this information to show that change has
occurred ? How will you use or present these results to the consumer, the funder, the
program, and the community? How will you use this information to improve your
program?
Public trust and accountability are our top priority. Our core promise to our members is to
provide a safe positive place and have a positive impact on their lives. We accomplish this by
upholding high ethical standards in all areas, especially in overseeing our finances, providing
accurate membership data, being good stewards of the donor dollar and representing ourselves to
the public.
We plan on presenting an organizational annual report in 2007, which will showcase the
outcome of our core promise to our members, funders and the community.
Finally, all of the information we gather as a result of our measures will enable us to
continuously update and improve our program to ensure it meets the needs of our members and
the community.
12
Boys & Girls Club of Indian River County, Inc. — Sebastian Branch
Grant Application to the Children's Services Advisory Committee
G. TIMETABLE (Section G not to exceed one page)
1 . List the major action steps, activities or cycles of events that will occur within the program
year. New programs should include any start-up planning that may occur outside the
funding year. In completing the timetable, review information detailed in prior sections.
Month/Period Activities
January 2006 Develop Program Budget for February Approval
March 2006 Write and Prepare United Way Grant
May 2006 Develop Summer Program Schedule that incorporates
all the National Programs mentioned in section C3 .
May 2006 Write, Prepare and Submit Children' s Services
Advisory Committee Grant
May 17 — 22, 2006 Summer staff training & Building Maintenance
May 23 , 2006 1s Day of Summer Program offers hours Monday —
Friday 8 a.m. — 6 p.m.
August 2006 Distribute Parent & Members Surveys
August 2006 Develop School Year 2005 -2006 Program Schedule
that incorporates all the National Programs
mentioned in section C3 .
August 21 — 25 , 2006 School Year Staff training and Building Maintenance
November, February, May, August. Evaluate Boys & Girls Club Program utilizing
Commitment to Quality 4 times a year.
13
1 .
Number1 UnduplicatedClients11 1
' a 1 0 rte" s'a' ti
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1 ' -
81 46
1 • i 1 of
1
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1
Port Saint Lucie
DIEM
I
Number 1 1 1MatedClientsby Age
�4 z 4 ' vim
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/ I IID - - � ' 1 ® 11 �® • 1
/ /
Boys & Girls Clubs of Inciian River County, Inc.
Sebastlm Branch
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 : Boys & Girls Clubs of Indian River County, Inc./Sebastian
FUNDER : Children's Services Advisory Committee
, . _ . . _ . . . . . . . . . . . . . . . . . . . . . . . _ . . . . . . . . . . . . . . - . . . . . . . . . . . . . . . . . - . . _ . . _ . . _ - - - . . _ . . - - - - - - - - -
- - - - - -
CAUTION : Do not enter any figures where a cell is colored in dark blue - Formulas and/or links are in place. Gray areas should :
! be used for providing information and calculations only.
I WN
KN
1 Children's Services Council-St Lucie 0.00 0.00 0.00
2 Children's Services Council-Martin 0.00 0.00 0.00
3 Advisory Committee-Indian River 35 ,000.00 35,000.00 105,000.00
4 United Wa St Lucie County 0.00 0.00 0.00
5 United Way-Martin County 0.00 0.00 0.00
6 United Way-Indian River County 55,000.00 0.0 160,000.00
7 Department of Children & Families 0.00 0.0 0.00
8lCounty Funds 0.00 0.00 0.00
9 Contributions-Cash 2,500.00 0.00 236, 194.00
10Proram Fees 39,000.00 0.00 58,000.00
td Raising Events-Net 0.00 0.00 108,000.00
1 Wes to Public - Net 0.00 0.00 0.00
13 Membership Dues 10,000.00 0.00 20,000.00
14 Investment Income 0.00 0.00 1 ,600.00
15 Miscellaneous 0.00 0.00 0.00
16 Legacies & Bequests 0.00 0.00 0.00
17 Funds from Other Sources 93,389.00 0.00 241 , 121 .34
18 Reserve Funds Used for Operating 0.00 0.00 0.00
19 In-Kind Donations (Hot Included in total 0.00 0.00 12,000.0
20 TOTAL REVENUES
(doesn't include line 19 $234,889.00 $35,000.00 $929,915.34
C p ,C1fi `lml'
rir z it r i t a s ,, �Agei�Y '
-` r
21 Salaries - (must complete chart on next page) n 170,433. 75 30,205.00 512,025.00
22 FICA - Total salaries x 0.0765 13,038 . 18 2,295.00 360358.00
Retirement - Annual pension tor qualified
23 staff 6, 199.00 0.00 30,784.00
l e ea - e Ica ria o - erm
24 Disab. 81376.00 2,500.00 41 ,000.00
or ere ompensa on - employees x
25 rate 31590.00 0.00 12,737.00
Irlori a unemployment - Wprolecte
26 employees x $7,000 x UCT-6 rate' 11890.00 0.00 4,347.00
5123/2006 15
MENOMONIE
Boys 8 Girls Clubs of Indian River County, Inc.
Bebaslisn Branch
r ini it ,., � ,
1 IN . I t , k
AN
14
, ¢�L £ f'= 1 #' v „` _ 93'. „IZE-
3
rDirector
& CEO/40 hrs 103,320.00 25,830.00 0.00 f Finance/40 hrs 42,527.00 10,631 .75 0.00 0.00%
Branch Director/40 firs 35,213.00 35,213.00 30,205.001 85. 78%
Program Director/40 hrs 28,299.00 28,299.00 0.00 0.00%
Program S ecialisU24 hrs 13,440.00 13,440.00 0.00 0.00%
Program SpecialisU24 hrs 13, 120.00 13, 120.00 0.00 0.00%
Program SpecialisU24 hrs 11 ,370.00 11 ,370.00 0.00 0.00%
Program S ecialisU24 hrs 11 ,206.001 11 ,206.00 0.00 0.00%
Program Scialist/24hrs 11 ,424.00 11 ,424.00 0.00 0.00%
Summer Program Specialist/20 hrs/10 wks 19700.00 1 ,700.00 0.00 0.00%
Summer Program SpecialisU20 hrs/10 wks 11700.00 11700.00 0.00 0.00%
Maintenance/12.5 hrs 61500.00 60500.00 0.00 0.00%
Remaining positions throughout theagency 232,206.00
Total Salaries $512,025. 00 $170,433.75 $30,205. 00 5.90%
?lht@6 �Tb�Jt
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President & CEO/40 hrs
Director of Finanoe/40 hrs
Branch Director/40 hrs 30,205.00 2,295.00 0.00 2,500.00 0.00 0.00 4,795.0
Program Director/40 hrs
Program Specialistl24 hrs
Program Specialist/24 hrs
Program SpecialisV24 hrs
Program S ecialisU24 hrs
Program SpecialisU24 hrs
Summer Program SpecialisU20 hrs/10 wks
Summer Program S ecialisU20 hrs/10 wks
Maintenance/12.5 hrs
Total Funder Request Fringe Benefits 1 $30,205.001 $2,295.00 0 $2.500-01 $0.001 $0.0015.
5/2312006 16
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UNIFORM GRANT APPLICATION
TOTAL AGENCY BUDGET
AGENCY/PROGRAM NAME: Sop & Girls Clubs of Indian River County, Inc.JSebastian
FY 04/05 . FY 05/06 FY 06/07 % INCREASE
FYE June 30 FYE June 30 FYE June 30 CURRENT V5.
NEXT FY BUDGET
A B C D
ACTUAL TOTAL PROPOSED (col. cc01. aycol. a
REVENUES BUDGETED BUDGETED
1 Children's Services Council-St Lucie 0.00 D.00 0.00 #DIV/01
2 Children's Services Council-Martin 0.00 0.00 0.00 #DIV/01
3 Advisory Committee-Indian River 108 308.47 91 200.00 105 000.00 15.13%
4 United Wa SG Lucie County 0.00 0.00 0.00 lil
5 United Way-Martin County 0.00 0.00 0.00 #DN/01
6 United Way-Indian River County 132 533.29 140 000.00 160 000.00 14.29%
7 Department of Children & Families 0.00 0.00 0.00 #DIV/01
e County Funds 0.00 0.00 0.00 #DIV/01
9 Contributions-Cash 194787.37 221694.00 236194.00 6.541A
t9 Program Fees 7 453.76 1800000 58 000.00 222.22•/0
11 Fund Raising Events-Net 98950.22 104500.00 106000.00 3.35%
12 Sales to Public-Net 0.00 0.00 0.00 #DIV/01
13 Membership Dues 11745.00 18000.00 20000.00 11.11%
14 Investment Income Z389.06 160000 1 800.00 0.009/0
15 Miscellaneous 0.00 0.00 0.00 #DIV/01
i6 Legacies & Bequests 0.00 0.00 0.00 #DIV/01
17 Funds from Other Sources 101,Z74.18 259 698.00 241 121 .34 -7.15%
1s Reserve Funds Used for Operating 0.00 0.00 0.00 #DIV/01
191n-Kind Donati0n (Nounclu4e4 ln1abl) 61205.50 12000.00 12000.00 0.00%
29 TOTAL 657 421.35 854 692.00 929 915.34 8.80%
EXPENDITURES
21 Salaries 374 219.52 465 503.00 572 025.00 9.99%
22 FICA 28 963.68 36 855.00 36 358.00 -1 .35%
23 Retirement 25 511 .89 29o515,00 30 794.00 4.30%
24 Life/Health 32074.20 41 ODD 00 41000.00 0.00%
25 Workers Compensation 8191.28 73162.00 12737.00 -3.23%
26 Florida Unemployment 1392.48 1701 .00 4347.00 155.56%
27 7M"I-Dally 3,899.01 5 ODD 00 S 000.00 0.000/0
26 TraveOConferences/Trainin 9298.49 8000.00 12000.00 50.001/6
29 Office Su lies 5,595.69 6,650.00 6 65O.00 BAD%
30 Telephone 1 180.19 14 940.00 13 588.34 .9.05%
31 PostagetShIpping 2433.82 3000.00 3000.00 0.00%
32 Utilities 10 941 .92 16 500.00 20 000.00 21.21%
33 Occupancy Buildin & Grounds 71110.21 86177.00 92557.00 7.40%
34 Printing & Publications 16 669.71 21,1100.001 21,100.00 0.00%
35 Subscription/Dues/Memberships 10 552.17 17 720.00 13 413.60 14.45%
31 Insurance 22663.33 32841.00 37D80.00 12.91%
37 E ui ment:Rental & Maintenance 73 363.63 15 798.00 16 298.00 3.16%
38 Adverfisinq 0.00 0.00 0.00 #DIV/01
39 Equipment Purchases:Ca ital Expense 0.00 0.00 0.00 #DIV/01
40 Professional Fees (Legal, Consulting) 0.00 0.00 0.00 #DIVl01
41 Books/Educational Materials 10 347 .83 8 691.00 10 500.00 20.81%
42 Food & Nutrition 2,669.13 3.564.00 3,554.00, 0.00%
43 Administrative Costs 4,044.00 5 000.00 4 786.40 4.27%
44 Audit Expense 8,635.00 760000 8,000.00 6.67%
45 Specific Assistance to Individuals 0.00 0.00 0.00 #DIV/01
46 Other/Miscellaneous 32 403.94 20 485.00 25137.00 22.71%
47 Other/Contract 8,177.69 0.00 0.00 #DIV/01
4s TOTAL 715 233.01 854 692.00 929 915.34 8.80%
4s REVENUES OVER/ UNDER EXPENDITURES -67,811.66 , 0.00 0.00 ill
Rv Ore
19
dew= s cn. cee.a wen w,.uwr, irc.
UNIFORM GRANT APPLICATION
TOTAL PROGRAM BUDGET
AGENCYIPROGRAM NAME: Bos & Girls Clubs of Indian River County, Inc./Sebastian
FY 04/05 FY 05106 FY 06107 % INCREASE
FYE June 30 FYE June 30 FYE Jwre 30 CURRENT VS.
NEXT FY BUDGET
A B C D
ACTUAL TOTAL PROPOSED Ica. csor. Bycoi. B
REVENUES BUDGETED BUDGETED
1 Children's Services Council-St Lucie 0.00 0.00 0.00 #DIVIOI
2 Children's Services Council-Martin 0.00 0.00 0.00 #DIV/01
3 Advisory Committee-Indian River 3283111 2880000 3500000 21.53%
4United Way-St Lucie County 0.00 0.00 0.00 #DIVIOI
5 United Way-Martin County 0.00 0.00 0.00 #DIV/01
6 United Way-Indian River County 45 000.00 50 000.00 55 000.00 10.00%
7 Department of Children & Families 0.00 0.00 0.00 #DIV/DI
8 County Funds 0.00 0.00 0.00 #DIVl01
9 Contributions-Cash 615.00 2 SOO.00 2500.00 0.00%
10 Program Fees 3,095.00 1003000 38 DOD.00 288.83%
i1 Fund Ralsirm Events-Net 35.00 3 750.00 0.00 -100.00%
12 Sales to Public-Net 0.00 0.00 0.00 #DIV/01
13 Membership Dues 5352.00 9500.00 10,000.001 5.266A
14 Investment Income 0.00 0.00 O.DOI #DIVIOI
15 Miscellaneous 0.00 0.00 0.00 #DIVIOI
16 Legacies; & Bequests 0.00 0.00 0.00 #DIVI01
17 Funds from Other Sources 2427889 113 981 .00 93 389.00 -18.07%
is Reserve Funds Used for Operating O.DO 0.000.00 #DIV/01
is ln-Nind Donations (Na Included In teed) 2733.75 O.OD 0.00 #DIV/01
20 TOTAL 111 207.00 218 561.00 234 889.00 7.47%
EXPENDITURES
21 Salaries 111267.60 142621.50 170.433.751 19.50%
22 FICA 8,598.23 11 210.00 13 038.18 16.31%
23 Retirement 1676.26 3057.DO 6199.00 102.78%
24 5fa/Heaith 5 652.22 7 345.00 8 376.00 14.040A
25 Workers Compensation 2157.24 3,053.00 3 59O.D0 17.596A
26 Florida Unemployment 268.03 378.00 1 890.00 400.00%
27 Travel-Dally 381.36 700.00 700.00 0.00%
23 Travel/Conferences/Training 1459.50 2,750.00 3 5DO.DO 27.27%
29 OMea Su lies 806.42 1.000.00 1 .000.00 0.00%
so Telephone 2 953.97 294000 2,940.00 0.D07
31 Postage/Shipping 177.92 200.00 200.00 O.DO°%
32 Utilities 6408.06 9300.00 12500.00 34.41%
33 Occupancy (Building & Grounds 38 828.37 50 597.00 56j677.00 11 .82%
34 Printing & Publications 2544.59 1750.00 1750.00 0.00%
35 Subscrl tioNDueslMembershi s 2,225.7S 2,625.00 3,075.00 17.14%
36 Insurance 4,970.78 843800 979300 16.064A
37 Equipment-.Rental & Maintenance 1,629.33 2.643.00 2,743.00 3.78%
38 Advertising 0.00 0.00 O.DO #DIVIOI
39 Equipment Purchases:Ca Ital Expense 0.00 0.00 0.00 #DIVIOI
40 Professional Fees (Legal, Consulting) O.DO 0.00 0.00 #DIVI01
41 Books/Educational Materials 41 241.22 4100.00 41500.00 9.76%
42 Food & Nutrition 926.67 1,600.00 1 600.00 11.00%
43 Administrative Costs 105.64 325.00 261 .40 -19.57%
44 Audit Expense 2133.75 1 ,875.00 2,000.00 6.67%
45 Specific Assistance to Individuals 0.00 0.00 0.00 #DIVIOI
46 OfherlMlscelianeous ';,'57732 '8,370 00 991183,00 8.52%
47 Other/Contract 2,695.07 0.00 0.00 #DIV/01
4a TOTAL 211 686.30 266.8T7 50 315 749.33 18.31%
49 REVENUES OVERT UNDER EXPENDITURES -100 479.30 48 316.50 -80 660.33 67.362H
20
Boys & Guts Clubs of Indian River County, Inc.
Sebasuan Branch
UNIFORM GRANT APPLICATION
FUNDER SPECIFIC BUDGET
Ise PROGRAM EXPENSES
AGENCY/PROGRAM NAME : Boys & Girls Clubs of Indian River County/Sebastian Branch
FUNDER : ChlldMn's Services Advisory Commkfee A B C
FY 06107 FY 06/07 % OF
TOTAL FUNDER TOTAL VS.
PROGRAM SPECIFIC FUNDER REQUEST
BUDGET BUDGET col. B/col. A
EXPENDITURES
21 Salaries 170,433.75 30,205.0017.720%
22 FICA 13p038.18 2,295.00 17.60%
23 Retirement 6,199.00 0.00 0.00%
24 Life/Health 81376.00 21500.00 29.85%
25 Workers Compensation 31590.00 0.00 0.00%
26 Florida Unemployment 1 ,890.00 0.00 0.00%
27 Travel-Daily 700.00 0.00 0.00%
26 Travel/Conferences/Training 3,500.00 0.00 0.00%
29 Office Supplies 1 ,000.00 0.001 0.00%
c 30 Telephone 2,940.00 0.00 0.00%
31 Postage/Shipping 200.00 0.00 0.00%
32 Utilities 122500.00 0.00 0.00%
33 Occupancy (Building & Grounds 56,577.00 0.00 0.00%
34 Printing & Publications 1 ,750.00 0.00 0.00%
35 Subscription/Dues/Memberships 31075.00 0.001 0.00%
36 Insurance 9,793.00 0.00 0.00%
37 Equipment: Rental & Maintenance 2,743.00 0.00 0.00%
36 Advertising0.00 0.00 #DIV/O!
39 Equipment Purchases:Ca !tal Expense 0.00 0.00 #DIV/01
40 Professional Fees (Legal , Consulting) 0.00 0.00 #DIV/01
41 Books/Educational Materials 4,500.00 0.00 0.00%
42 Food & Nutrition 1 ,600.00 0.00 0.00%
43 Administrative Costs 261 .40 0.00 0.00%
44 Audit Expense 2,000.00 0.00 0.00%
45 Specific Assistance to Individuals 0.00 0.00 #DIV/O!
46 Other/Miscellaneous 9 083.00 0.00 0.00%
47 Other/Contract 0.00 0.00 #DIV/01
�46 TOTAL $315,749.33 $35,000.00 11 .08%
5232006 21
Boy¢ 6 Ghk Qui W Indm RWx CWiry, Inc.
Sep nBwO
UNIFORM GRANT APPLICATION
EXPLANATION FOR VARIANCES OF 15% OR MORE
TOTAL PROGRAM BUDGET
IIIII1111KENCY/PROGRAM NAME: Boys & Gins Clubs of Indian River County/Sebastian Branch
FUNDER: Children's Services Advisory Committee
;YON! 1
#DN101
Advisory Commidesandien River We are requesting the same funding that the CSAC recommended that we be granted last year, prior to the bud cuts.
#DIV/01
#D 101
;B—Niol
#DIVIOI
Pronim Fees Based on the antidpated number of kids registering for the program m well as charging a weekly fee dudng the summer.
#DN/01
MIMI
#DIV/ol
#DNI01
;7=15i
#DNI01
SalariesAdditional start is needed to be able to serve mom kids per day.
FICA Additional staff is needed to be able to serve more kids per day.
Retirement Additional staff members eligible for the pension plan.
VWorkers Cornoensafigin Additional staff is needed to be able to serve more kids per day.
Florida Unem Io em Additional staff is needed to be able to serve more kids per day.
Travrel/Conferencesf`rralnlnq Increased due to the need to train additional staff.
rtes Anticipating an increase in utifity expense due to the 26% increase in bulding size.
Subscription/DuesMombershlbe BGCA due increase based on number of We served and budget size.
Insurance Annual increasestaddkion of bus to insure.
NDN/01
#DN/01
#DIV/01
#DNI01
#DN/01
Rv aan 22
eopa care Cwe. a hs RMF County, hc.
sem Ranh
UNIFORM GRANT APPLICATION
EXPLANATION FOR VARIANCES OF 15% OR MORE
FUNDER SPECIFIC BUDGET
ENCY/PROGRAM NAME: Boys & Girls Clubs of Indian River County/Sebastian Branch
FUNDER: Children's Services Advisory Committee
Isom
Our request is for the funding part of our Branch Directors salary/benaPos for which the portion of this line item charged off to this gram
I s would be 17.72% of the line hem'sbud et.
Our request is for the funding part of our Branch Director's salary/benefas for which the portion of this line item charged off to this grant
FICA would be 17.60% of the line Rem's budget.
Our request Is for the funding part of our Branch Directors salary/benegts for which the portion of this fine Kern charged off to this grant
Life/Heafth would be 29.85% of the line Rem's budget
AIDIVIIIII
Al
f/DNI01
i5V/01
NDN/01
&2sQ 8 23
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 18` 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 301h) 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
1840 25`h Street
Vero Beach , Florida 32960-3365
Recipient: Boys & Girls Clubs of Indian River County, Inc.
P.O. Box 643068
Vero Beach , Florida 32964
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 Aqreement. 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 -
ace : lv / es/ evvu Timet 4 : 27 PM To : ® 299 - 3840 Paget 005
A ORD, CERTIFICATE OF LIABILITY INSURANCE OAT/ 23 /2006
PRODUCER (772 ) 231- 2828 FAX ( 772 ) 231 - 4413 THI & CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION06
Felten & Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
2911 Cardinal Drive (32963 ) HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P . O . Box 3488
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Vero Beach , FL 32964- 3488 INSURERS AFFORDING COVERAGE NAIC #
INSURED Boys & Girls Club of Indian River County , Inc . INSRERA Philadelphia Indemnity Ins Co
P . O . Box 3068 INSURERBI Florida Retail Federation
Vero Beach , FL 32964- 3068 INSURER C
INSURER D'
INSURER E'.
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR N RL TYPE OF INSURANCE POLICYNUMBER POLICYEFFECTNE POLICYEXPIRATION
LIMBS
GENERAL LIABILITY PHPK190417 09/13 /2006 09/13 /2007 EACH OCCURRENCE $ 1 , 000 , 00
X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 100 , 00
A CLAIMS MADE T OCCUR MED EXP (Any one person) $ 53000
PERSONAL 8 ADV INJURY $ 130002000
GENERAL AGGREGATE $ 31000 , 00
GEN'L AGGREGATE LIMITAPPLIES PER. PRODUCTS AS $
POLICYPEo- Loc 3 , 000 , 00
AUTOMOBILE LIABILITY
ANY AUTO _ COMBINED SINGLE LIMIT
(Ea accident) $
ALL OWNED AUTOS
SCHEDULED AUTOS BODILY INJURY $
(Par person)
HIRED AUTOS
NO OWNED AUTOS BODILY INJURY $
(Per accident)
PROPERTY DAMAGE
(Per accident) $
GARAGE LIABILITY ACRO ONLY - EA ACCIDENT $
ANY AUTO
OTHER THAN EA ACC $
ALTO ONLY. AGO $
EXCESSNMBRELLA LIABILITY EACH OCCURRENCE $
OCCUR ❑ CLAIMS IMDE AGGREGATE $
DEDUCTIBLE
RETENTION $
S
WORKERS COMPENSATION AND 520- 25864 09/13/2006 09/13 /2007 WC STATU- X DTI+
EMPLOYERS' LABILITY
B ANY PROPRIETORIPARTNER/EXECUTIVE E.L EACH ACCIDENT $ 500 , 000
OFFICER/MEMBER EXCLUDED?
If yes desctlbe order E.L. DISEASE - EA EMPLOYEE $ 5005000
SPECIAL PROVISIONS bebw E . DISEASE - POLICY LIMIT $ 500 , 0D
OTH PHPKI90417 09/13/2006 09 13 / 2007
ro essional Liability / $ 1 , 000 , 000 Occurrence
A
$ 3 , 000 , 000 Aggregate
DESCRIPTION OF OPERATIONS I LOCATIONS !VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENTI SPECIAL PROVISIONS
ertificate holder is named additional insured
CERTIFICATE HOLDER NCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER HALL ENDEAVOR TO MAIL
Indian River County Board 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
Of County Commissioners BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
1840 25th St OF ANY KIND UPON THE INSURER ITS AGENTS OR REPRESENTATIVES.
Vero Beach , FL 32960 AUTHORIZED REPRESENTATIVE ��/',�/ .
Kenneth D . Felten LUTCF JAh/L"' •' V ---
ACORD 25 (2001108) OOACORD CORPORATION 1988
vi a .a� avvo e : s : el Yp '1'O : 14 1y9 - Stl4U
Page : 006
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may
require an endorsement. A statement on this certificate does not confer rights to the certificate
holder in lieu of such endorsement(s).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon .
ACORD 25 (2001108)
o � � � avia3iao � o -uwao s : ai rn TO : a " Y - JU40
Pager 007
Additional Coverages and Factors 10/23/2006
Line of Business Coverages for General Liability
Coverage Limits Ded/Ded Type Rate Premium Factor
General Aggregate 390009000
Products /Completed Ops 31000 , 000
Aggregate
Personal & Advertising 1 , 0009000
Injury
Each Occurrence 110009000
Fire Damage 1009000
Medical Expense 55000
Abuse/Molestation/Occur 1 , 0009000
Abuse/Molestation/Aggr 190009000
Employee Benefits 1 , 0005000