HomeMy WebLinkAbout2006-331C. INDIAN RIVER COUNTY
GRANT CONTRACT
This Grant Contract ("Contract") entered into effective this day of October 2006, by and
between Indian River County, a political subdivision of the S to of Florida ; 1840 251h Street, Vero
Beach , Florida, 32960-3365; and Catholic Charities of the Diocese of Palm Beach , Inc . ,
( Recipient), of:
Catholic Charities of the Diocese of Palm Beach , Inc. ,
P.O . Box 109650
Palm Beach Gardens, Florida 33410-9650
Samaritan Center
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 'W' 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 : FORTY
THOUSAND , DOLLARS ($40 ,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.
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IN WITNESS WHEREOF, County and Recipient have entered into this Contract on the date
first above written .
INDIAN RIVER COUNTY BOARD OF COMMISSIONERS
J� lCit
By:
Arthur.ft. Neube el•,. hairman
BCC Approval :
Attest: J . K:B'arton Elerlt
By:
Deputy Clerk
Approved\ �� r
Jose h A. Baird
County Administrator
Approved as to form and legal sufficiency:
By:
rian E . Fell, Assistant County Attorney
RECIPIEN
By: .(y LA
Z. P� i
Catholic Charities of the Diocese of Palm Beach , Inc.
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EXHIBIT A
(Copy of complete Request for Proposal)
EXHIBIT - A -
Catholic Charities of the Diocese of Palm Beach
Samaritan Center for homeless families
PROGRAM COVER PAGE
Organization Name: Catholic Charities
Executive Director: Dr. Thomas Bila E-mail: tbila(@bellsouth.net
Address : P.O. Box 109650 Telephone: 561775-9560
Palm Beach Gardens, FL 33410 Fax: 561625-5906
Program Director: Julia T. Keenan E-mail: samcenterl (a)bellsouth.net
Address: 3650 419t Street Vero Beach, FL. 32967 Telephone : 772 770-3039
Fax : 772 567-0812
Program Title: The Samaritan Center for homeless families
Priority Need Area Addressed: 1) Mental Wellness Issues 2) Parental Support and Education
Brief Description of the Program: Taxonomy: Homeless Shelter BH-180.850 — Program that
Provides a temporary place to stav for people who have no permanent housing. Child Abuse
Prevention — FN- protect children from physical, sexual and/or emotional abuse or exploitation
through a variety of educational interventions which may focus on children of various ages,
parents, people who work with children and/ or parents regarding ways of avoiding or handling
an abusive situation and/or information about the indicators and incidence of abuse,
requirement for reporting abuse and community resources that are available to children who
have been abused and to their families.
SUMMARY REPORT — (Enter Information In The Black Cells Only)
Amount Requested from Funder for 2006 /07 : $ 51 , 811 . 00
Total Proposed Program Budget for 2006 /07 : $ 794 ,435 . 00
Percent of Total Program Budget : 6 . 5 %
Current Program Funding (2005 /06 ) : $ 36 , 106
Dollar increase/(decrease) in request : $ 153705
Percent increase/(decrease) in request * * : 43 . 5 %
Unduplicated Number of Children to be served Individually : 38
Unduplicated Number of Adults to be served Individually : 23
Unduplicated Number to be served via Group settings :
Total Program Cost per Client : 13023 . 52
**If request increased 5% or more, briefly explain why: The employees weekly hours increased
from last year to current year, additionally we anticipate an annual increase of 3 % for all employees.
If these funds are being used to match another source, name the source and the $ amount: N/A
The Organization 's Board of Directors has approved this application on (date). April 27. 2006
Mary Cleary-Ierardi / %/ :l� ✓ " 22
Name of President/Chair of the Board Sigriature
!
Thomas A. BilaL-
Name of Executive Director/CEO Signature s
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Catholic Charities of the Diocese of Palm Beach
Samaritan Center for homeless families
ORGANIZATION: Catholic Charities of the Diocese of Palm Beach
PROGRAM: Samaritan Center for homeless families
TABLE OF CONTENTS
Please "Y" tie parrs ojthe gmnrapplimtiai to indicate drar tier are included. Also, please pin the page nrtniber irhere the injonuariai
can be locared.
X I Section of the Proposal Pa e #
X TABLE OF CONTENTS (check list ) 1 -2
X COVER PAGE (with signatures). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
A. ORGANIZATION CAPABILITY (one page maximum)
X 1 . Mission and Vision of organization. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
X 2. Summary of expertise, accomplishments, and population served. . . . . . . . . . . . . . . . 4
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) . . . . . . . . . . . . . . . . . . . . . . . . . 9- 10
X E. COLLABORATION (one page maximum) . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . 11
F. PROGRAM EVALUATION (two pages maximum)
X1 . Demographics. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . 12
X2. Measures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . 12- 13
X3 . Reporting. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . 13
X G. TIMETABLE (one page maximum) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
H. UNDUPLICATED CLIENT COUNT
X 1 . Projections by Location . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . 16
X 2. Projections by Age Group . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . 16
L BUDGET FORMS
X 1 . Financial Budget Forms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . 17+
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Catholic Charities of the Diocese of Palm Beach
Samaritan Center for homeless families
X L FUNDER SPECIFIC/ADDITIONAL SHEETS (Attached)
X K APPENDIX (Attached)
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Catholic Charities of the Diocese of Palm Beach
Samaritan Center for homeless families
PROPOSAL NARRATIVE
Please respond to each question in the allotted space for each section. In responding to each section of
the proposal narrative, please retain the section-label and/or question that you are addressing. Type
using 12 pt. font on 8 '/2" X 11" paper and number each page. These directions and the graphic boxes
may be deleted if space is needed.
A. ORGANIZATION CAPABILITY (Entire Section A not to exceed one page)
1. Provide the mission statement and vision of your organization.
Mission Statement:
Catholic Charities of the Diocese of Palm Beach, inspired by God's love for all, serves
people of all faiths in need, advocates for justice in social structures, and collaborates with
others to build just compassionate communities.
Vision:
Catholic Charities provides a wide range of professional social services to those in need
within the five counties comprising the Diocese of Palm Beach (Palm Beach, Martin, St.
Lucie, Okeechobee and Indian River). We are accredited by the Council on Accreditation
for Families and Children, which assures that we meet the highest standard of practice and
management. Our priority is to serve the "poorest of the poor", and we attempt to develop
our programs to meet the most current and pressing needs of the communities we serve.
2. Provide a brief summary of your organization including areas of expertise,
accomplishments, and population served.
Catholic Charities is a multi-service agency serving the total community. We provide
Adoption/Foster Care, pregnancy services, abstinence education, counseling, four out-of-
school programs, services to the elderly including case management and guardianship,
refugee resettlement, legal immigration services, three group homes for the
developmentally challenged, three HUD 202 senior housing facilities, with another
scheduled to open this year, a transitional residence for homeless families, emergency
assistance (FEMA), and empowerment program for the Glades area in-home
counseling/early intervention program in Riviera Beach.
The services of Catholic Charities are available to any resident of our service area who
qualifies for the particular program, Catholic Charities does not discriminate based on a
client's religion, nor on any other classification protected under applicable federal , state or
local discrimination law.
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Catholic Charities of the Diocese of Palm Beach
Samaritan Center for homeless families
B. PROGRAM NEED STATEMENT (Entire Section B not to exceed onepage)
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) The unacceptable condition requiring change is that of homelessness, a lack of higher
education, vocational skills training and parenting skills. In addition, there are typically
problems of substance abuse, physical and emotional abuse, financial problems, legal
issues, transportation difficulties, mental health issues, and a general lack of adaptive life
problem solving skills.
b) The need is realized by families that are homeless or living in unacceptable living
conditions. Families must consist of at least one adult age 18+ with at least one child age
0- 17 or a pregnant female 18 years or older.
c) They must be residents of Indian River County. Most are in the process of being
evicted. Some have already been evicted and are living in cars, tents or on someone' s
porch for a limited time. In some cases the court mandates that a parent come into our
program in order to be reunified with their child/children.
Data: The National Mental Health Association reports some facts about families and children
who are homeless: 1/Families are now the fastest growing segment of the homeless population
and account for almost 40 percent of the nation's homelessness. On any given night, 1 . 2 million
children are homeless; 2/Most children become homeless because their mothers and fathers are
unable to find affordable housing. Traumatic events such as unemployment, illness, accidents,
or violence and abuse further limit their ability to secure decent housing; 3/The average homeless
family is composed of a young, single mother and two children under the age of six; 4/ While
one in five school aged children have a major mental disorder, children between the ages of six
and 17 years old who are homeless struggle with higher rates of mental health problems; a)
Almost half of children who are homeless have anxiety, depression or withdrawal; b) And more
than one in three children who are homeless manifest delinquent and aggressive behavior; 5/
Homeless children are hungry more than twice as often as other children, and 2/3 worry that they
won't have enough to eat; 6/ Homeless children are more often in fair or poor health, are four
times likely to have asthma, and are four times more likely to have a low birth weight and need
special care right after birth compared to children who are not homeless.
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 only local program similar to ours is the Homeless Family Center. They served 33
families consisting of 73 children during the last year. In addition, they turned 30
families away.
b) Underserving the targeted population is shown by the number of people turned away
by HAC & Samaritan Center. Our records indicated that 120 families applied for
residency at S .C. during the last calendar year. This consists of 141 adults, 206 children
and 21 unborn children. Of these, one family was not an I.R.C. resident; therefore, not
eligible for our program.
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Catholic Charities of the Diocese of Palm Beach
Samaritan Center for homeless families
C. PROGRAM DESCRIPTION (Entire Section C I — 6, not to exceed two es
1. List Priority Needs area addressed.
The promotion & development of family values and family structure.
2. Briefly describe program activities including location of services.
The program activities and services are provided through a Four Tiered Level Program that has been
designed to assist residents in moving progressively forward in their life skills development. Very
specific objective skills criteria are associated with each level. The goal is for the resident to complete
each level before moving to the next. Adequate completion of all four levels maximizes the chances for
successful independent community living after leaving our program. It is expected that most will enter
the top Level IV approximately 8 months into the program. Included in each training level are such skill
areas as: responsible parenting, conflict resolution, money management, organizational training,
domestic skills, role modeling, short and long goal planning. Services are provided at the Samaritan
Center.
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.
Those families that come into our program and actively participate in our four-tiered level system do
reduce the barriers that were described under program need and have become our best practice.
Although many families are ready to leave the program while in Level 3 and are able to maintain
independence, the families that remain in the program and graduate after completing Level 4 are the most
successful when they resume independent living in the community.
Level I is the period of adjustment requiring completion of admission packet/assignments, the
completion of a short-term case plan with objectives, a family history and medical information and a
completion of physicals and T.B. test. These are usually completed the first 30 days.
Level II requirements are regular attendance at weekly parenting classes, regular attendance at weekly
counseling sessions, attendance at weekly resident meeting that include conflict resolution, attendance at
special educational opportunities, both in house and in community. In addition, they must be actively
performing P.I.P. hours (Personal Inventory Program, developing and progression with long-term plans
and objectives, complete a Domestic Violence evaluation, open a savings account if receiving income &
engaged in employment or enrolled in educational program. Level III is the development Level with the
purpose of implementation of what has been taught in Level H. The requirements include the
continuation of attendance at parenting classes, the weekly counseling sessions that we have recently
added as a mandatory educational opportunity. In addition, there are increased P. I.P. responsibilities and
privileges. Level IV is the Maintenance Level that prepares resident family towards graduation from the
Center. While in this level, they are given the opportunity to maintain their own financial record keeping
and banking. They have increased leadership responsibilities, positive role modeling among peers, and
special project assistance to staff. They develop with the guidance of the case manager a plan with goals
and objectives for living outside the Center. In addition, they continue to attend all of the weekly classes,
counseling and educational opportunities as mandated by the Center.
In addition, a 24/7 staff provides direct parenting assistance, supervision and intervention. Age
appropriate children participate in weekly programs covering `Health and Safety", "Self-Esteem", and
"Character Values". A comprehensive After Care Program is available to all residents upon leaving
Samaritan Center. To participate in our After Care Program residents must sign up either prior to
departure or shortly thereafter. The After Care Contract is a commitment to the program. It requires
regular follow up contacts from the resident and by our Case Management staff. These contacts allow us
to know how each family is progressing, to see if they are using skills taught to them while in our
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Catholic Charities of the Diocese of Palm Beach
Samaritan Center for homeless families
program and to offer helpful advice/ 'dance as needed.
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).
Samaritan Center Maintains a 24 hour, 7 day per week staffing pattern. While it is desired that all staff
have residential experience, this is not always possible. All staff receive a comprehensive formal training
at the site level and at the Diocesan level and receive ongoing staff development opportunities. Senior
support staff provide 5 shifts of training to all new support employees before they begin working solo.
Professional Positions Support Positions
One p/t Division Director 4. 5 hr/wk One f/t Adm. Asst./Vol. Coord. 40 hr/wk
One Ft Administrator 37. 5 hr/wk One f/t Clerical Asst. 40 hr/wk
One 17t Case Manager 37. 5 hr/wk One ph Children' s Coord. 40 hr/wk
One IN Resident Manager 37. 5 hr/wk
One On Line Community Coord. 37. 5 hr/wk
Support Positions Support Positions
Two f/t Support Staff 40 hr/wk Two p/t Support 16 hr/wk
Four f/t Support Staff 32 hr/wk Substitutes as needed approx. 8- 16 firs. wk.
5. How will the target population be made aware of the program?
The target group is made aware of the program through a wide variety of opportunities as follows:
a. Presentations to community civic and church groups
b. Participation / networking with other social service organizations
c. Presentations and bulletin announcements to Churches
d. Law Enforcement agencies
e. Current and former resident word of mouth
f. Labor Force
g. Annual mailings to Churches and Service Providers regarding services provided.
Media opportunities including newspaper article, quarterly Samaritan Newsletter, distribution of
brochures, fundraising activities, radio & TV talk shows.
6. How will the program be accessible to target population (ie., location, transportation, hours of
operation)?
Samaritan Center holds an orientation/screening for those families seeking shelter. This includes drug
testing and background checks for all family members over the age of 18. This must be completed prior
to a family moving into the facility and these are done by appointment. These families are usually able
to transport themselves or secure transportation through a family member, friend, etc. On the rare
occasion that they are unable to reach us on their own, we will provide transportation via the Center Van.
Once a family has moved into the Center, if they do not have their own vehicle, we encourage them to be
resourceful in attempts to find transportation through the community bus, or family/friends. If they are
unsuccessful, we do provide transportation to their case related appointments (ex. Medical, employment,
school, court, off premises educational workshops and Samaritan Center planned Social Activities). We
do not provide transport for personal outings. We are very fortunate to periodically have vehicles donated
to our program. We in tum, donate the vehicle to a resident that is without transportation to their
employment, necessary appointments, groceries, etc. .
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Catholic Charities of the Diocese of Palm Beach
Samaritan Center for homeless families
D. MEASURABLE OUTCOMES (Description of Intent)
Use the Measurable Outcomes orm. This dawrWw Pare does not need to be included in the proposaf
In order to show the impact that your program is having on the target population and the
community, the funders are requiring measurable outcomes. Please review the examples and
summaries below to insure your understanding of what is expected.
OUTCOMES: Describes what you want to achieve with the target population. Indicates the
results of the services you provide, not the services you provide. Outcomes utilize action words
such as maintain, increase, decrease, reduce, improve, raise and lower.
ACTIVITIES: Describes the tasks that will be accomplished in the program to achieve the
results stated in the outcomes. Activities utilize action words such as complete, establish, create,
provide, operate, and develop. The activities should reflect the services described in the
PROGRAM DESCRIPTION (C2).
Use the following elements to develop your outcomes. All elements must be included.
• Direction of change • Time frame
• Area of change • As measured by
• Target population • Baseline: The number that you will be
• Degree of chane measuring against
Example I (Outcome)*
To decrease (direction of change) number of unexcused absences (area of change) of enrolled
boys and girls (target population) by 75% (degree of change) in one year (time frame) as
reported by the 2003 School Board attendance records (as measured by). Baseline: 2003 School
Board attendance records for enrolled boys and girls.
Example 1 (Activity):
To provide anger management classes to enrolled boys and girls 2 times a week for 12 weeks.
Example 2 (Outcome):
75% (degree of change) of youth (target population) who have participated in the academic
enrichment activities (as measured by) for 6 months or more (time frame), will improve
(direction of change) their scores in one or more subject area (area of change). 25% of
participants in academic enrichment activities will maintain the initial level of performance
assessed at entry. Baseline : Pre-test scores from the academic enrichment test.
Example 2 (Activity):
1 ) Provide pre and post-test exercises on the Advanced Learning System software; 2)
Participants will go through the one lesson per week and be graded for 10 weeks.
IMPORTANT NOTE:
Keep in mind when developing your PROGRAM OUTCOMES, that if funded, this will be what
you are held accountable to accomplish. Also, the PROGRAM OUTCOMES should reflect the
information described in the PROGRAM NEED STATEMENT (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.
8
Catholic Charities of the Diocese of Palm Beach
Samaritan Center for homeless families
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 lish the Outcomes)
1 ) Resident children who are age 4 and over 1 ) Age appropriate children will participate in
will increase their self esteem by showing an the weekly self-esteem module. In addition, 24
overage of 5- 10% increase on the self-esteem hour guidance and encouragement is provided
pre & post tests given at the beginning and end to parents to utilize the skills that they are
of each 8 week session. As measured by total taught in the weekly parenting classes. By
number of age related children entering the constant reinforcement of "positive
program during the 2006-2007 fiscal year. parenting," the children exhibit increased self-
Baseline: 2005-2006 resident children who are esteem and improved behaviors.
4 years old through 17 years.
2) Resident children who are age 4 and over 2) Age appropriate children will participate in
will demonstrate a 10- 15% increase on their the weekly Character Values Program.
knowledge of character values pre & post tests Children' s Coordinator will use video,
given at the beginning and end of each 8 week handouts and role play to form positive
session. As measured by total number of age character values.
related children entering the program during
the 2006-2007 fiscal year. Baseline: 2005-
2006 resident children who are 4 years old
through 17 years.
3) Resident children who are age 4 and over 3) Age appropriate children will learn
will demonstrate a 5- 10% increase on their appropriate behaviors through the Character
behaviors measurement form that will be given Values and Self-Esteem Programs. The
at the beginning and end of each 8 week Children' s Coordinator will use a measurement
session. As measured by the total number of form that will measure behaviors learned, as
age related children entering the program well as meet with parents on a weekly basis to
during the 2006-2007 fiscal year. Baseline: discuss positive behaviors.
2005-2006 resident children who are 4 years
old through 17 years.
4) Adult residents will increase their 4) Adult residents will participate in an eight
knowledge and skills in the area of health and week session on health and safety using video
safety for children by a minimum of 5- 10% as and pamphlet worksheets to learn positive
evidence through a health and safety pre & ways to keep their family healthy and safe.
post test given at the beginning and end of the
8 week parenting classes. As measured by
total number of parents entering the program
during the 2006-2007 fiscal year. Baseline:
Test results on total number of parents entering
the program during the 05-06 fiscal year.
9
Catholic Charities of the Diocese of Palm Beach
Samaritan Center for homeless families
5) Adult residents will increase their 5) Adult residents will participate in a three
knowledge and skills in the area of positive week positive discipline session using video
discipline for children by a minimum of 5- 10% and role play exercises to team positive ways
as evidence through a health and safety pre& to discipline their children. The Case Manager
post test given at the beginning and end of the will work one on one with parents on positive
8 week positive discipline classes. As ways to discipline during case management
measured by total number of parents entering sessions as needed.
the program during the 2006-2007 fiscal year.
Baseline: Test results on total number of
parents entering the program during the 05-06
fiscal year.
10
Catholic Charities of the Diocese of Palm Beach
Samaritan Center for homeless families
E. COLLABORATION (Entire Section E not to exceed one page)
1. List your program's collaborative partners and the resources that they are providing to
the program beyond referrals and support. (See individual funder requirements for
inclusion of collaborative a reement letters.
Collaborative Agency Resources pmsided to the program
The Mental Health Association and The Child Witness Program, a 12 week session held at
Exchange Club ofI.RC . S. C. & conducted by a M.H. A. Counselor, is designed
for children having witnessed domestic violence. For
adults, a weekly support group is offered offsite that
resident adults may attend.
Substance Abuse Council The SAC provides our teenage residents with the
opportunity to attend Program Success an anger
management and drug use prevention program offered
twice weekly.
Boy's & Girls Club The Boys & Girls Club offers our resident children the
opportunity to participate in their after school programs.
Counseling and Recover Center CRC offers outpatient drug and alcohol treatment and
(CRC) assists them with getting into the program promptly.
Counselors work closely with our Case Management
Staff.
New Horizons of the Treasure Coast New Horizons of the Treasure Coast provide additional
counseling, psychiatric and substance abuse treatment to
our residents who are in need of these services. New
Horizons works closely with our Case Management
Staff to set weekly goals.
Childcare Resources Childcare Resources provides subsidized child care
services for our residents.
Habitat for Humanity A representative from Habitat comes to S. C. to present
the requirements for acquiring a Habitat home. They
also work with interested families on financial guidance.
Carenet Pregnancy Center Workshops covering abstinence and STD prevention are
held onsite for our adult and teen residents.
Gifford Youth Activities Center A 9 week parenting class, facilitated by GYAC staff is
held on-site.
Healthy Start Coalition / Healthy Residents may receive formula, diapers, baby food
Families vouchers and other needs for babies and young children.
Parenting support is also provided.
Indian River National Bank IRNB facilitates a six week finance and budget seminar
for all adult residents.
11
Catholic Charities of the Diocese of Palm Beach
Samaritan Center for homeless families
F. PROGRAM EVALUATION (Entire Section F not to exceed two pages)
1. DEMOGRAPHICS: What information (data elements) will you need to collect in order
to accurately describe your target population including demographics (age, gender, and
ethnic background) required by the funder in Section H? What are the pieces of
information that qualify them for your target population? How do you document their
need for services or their "unacceptable condition requiring change" from Section Bl ?
The Data elements collected for our target population are on our "Program Beneficiary
Statistic" form. The information collected is 1 ) Unduplicated count of program beneficiaries;
2) Age group; 3) Sex; 4) Ethnic background; S) Program beneficiary characteristics (ex. Single
parent, w/o GED or diploma, Veteran, Victim of rape/incest/domestic violence; physically
disabled); 6) Income level; 7) Geographic residence in IRC; 8) Unit of service including census
days, special programs, transportation, legal & miscellaneous; 9) Religion.
In addition, a monthly census form is kept by day on families that are in residence. This
information is carried over to the above form at the end of each month. This information is
collected and entered into the data form once they enter the program.
The pieces of information that qualify them for our target population and their need is
documented before entering the program. A telephone intake is the first step in assessing
their need. If it appears that they qualify for our program, an appointment is scheduled to fully
explain the program to them and to have them complete the following forms: 1 ) Samaritan
Center Personal Inventory that is designed to obtain information about a wide range of possible
problems areas; 2) Subjective questionnaire (personal information including behaviors, mental
health issues, druglalcohol issues, etc.) 3) A Statement regarding reason(s) or homelessness;
4) Written assignment (why they think they are a good candidate for the program; goals that they
would like to accomplish and personal description of self.
Once this information has been completed, a determination can be made if this family fits into
our target population, and the depth of their need.
2. MEASURES: What data elements will you need to collect to show that you have
achieved (or made progress toward) your Measurable Outcomes in Section D? What
tools or items are you using as measures (grades, survey scores, attendance, absences,
skill levels) for your program? Are you getting baseline information from a source on
your Collaboration List in Section E? Are there results from your Activities in Section
D that need to be documented? How often do you need to collect or follow-up on this
data?
The data elements needed to collect to show achievements/progress toward Measurable
Outcomes are located in our "Master Stats" which include: the information in above form in
addition to dates each family achieved a new Level, Level at time of exit, discharge information,
forwarding address, phone and contact, 6 month contact information, 12 months contact
information, rent/own home and whether employed.
The toolstitems used are pre-post test, school grades, school attendance, counseling & parenting
class attendance and the Levels stem.
12
Catholic Charities of the Diocese of Palm Beach
Samaritan Center for homeless families
We have requested baseline information from one of our collaborative sources but have not
received it. We will be requesting baseline information from all those sources who conduct
workshops for our clients.
All activities are documented.
Information is turned into our Resident Manager who inputs the statistical information. This
information is kept current and entered as clients enter a new Level and as test results are
completed.
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?
The data is collected as described in the above sections. The information becomes a permanent
part of our records and is shared with those funding sources that seek that information.
The "Program Beneficiary Statistical' form is the standard form that is required by Catholic
Charities. This report is sent to them on a monthly basis. The outcomes are sent to Catholic
Charities for review and to evaluate how our program is doing.
Some of the outcomes are shared in the community when making presentations and occasionally
have been used in our newsletter that is mailed to approximately 4500 area residents and
businesses.
We always strive to improve our program and the outcomes are used when our treatment team
meets for regular evaluation of clients and the program as a whole.
13
Catholic Charities of the Diocese of Palm Beach
Samaritan Center for homeless families
G. TEKETABLE (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
CHILDREN
Ongoing year round Monday evening activity night — sports, arts & crafts, music, movies,
etc. To teach children how to spend quality time at home without
spending money.
Quarterly 1) Ages 4- 17 one session per week for 8 weeks of Self-Esteem
Classes.
2) Ages 4- 17 one session per week for 8 weeks of Character
Values.
3) Between the above sessions — classes on Health & Safety
are conducted by the Children' s Coordinator.
Monthly Family outings that are staff supervised are held to teach and ensure
quality time between parents and child(ren). Events are held at the
Brevard Zoo, North County Pool, Riverside Children's Theatre, Vero
Beach Dodgers, area recreational parks, Royal Palm Fountain, local
beaches, etc.
As new children (age A 12 week Domestic Violence Program is conducted by the Mental
appropriate) enter the Health Association.
program
ADULTS
Quarterly 1 ) Eight week Health & Safety sessions are conducted by Case
Manager
2) Eight week Positive Discipline sessions are conducted by Case
Manager
In between Parenting An eight week session on Domestic Violence is conducted by the
Classes Mental Health Association.
As time allows Various classes on Budget & Financial planning, Anger Management
and other education opportunities are offered.
As needed Individual parenting education is provided through case management.
14
Catholic Charities of the Diocese of Palm Beach
Samaritan Center for homeless families
H. PROJECTIONS FOR UNDUPLICATED CLIENTS
Number of Undu licated Clients by Location
Last Fiscal Year Current Fiscal Year Neat Fiscal Year
Location Actual 200412W Budget 2005/06 projections2006/07
Unduplicated Clients Unduplicated Clients Undupficated Clients
N. Indian River County
S. Indian River County
Indian River Co Total 35 60 61
Greater Stuart
Hobe Sound
Indiantown
Jensen Beach
Palm City
Martin County Total _
Fort Pierce
Port Saint Lucie
St. Lucie Co. Total
Other Locations _
TOTAL SERVED 35 601 61
Last Fiscal Year Current Fiscal Year Neat Fiscal Year
Location Actual 2004/2005 Budget 2005/06 Projections 2006!07
In(rwidualc Group Individuals Group Individuals Group
0 to 4 - (Pre-school) 9 - 25 - 21 -
5 to 10 - (Elementary) 6 - 10 - 10
11 to 14 - (Middle) 7 - 5 - 7 -
15 to 18 - (High School ) 2 - 2 - 3 _
Total Chrldrea _24 42 41 -
18 to 59 - (Adults) 11 - 18 - 20 -
60 + (Seniors)
Tofal .adnhs
TOTAL SERVED 35 - 60 - 61 -
16
Flit this Header. Tyve the organization wad program name and the funder for whom it is being completed The page # is already set at the bottom right
of every page.
L BUDGET FORMS - To open the Budget Forms, please double-click on the icon below.
III
"Core Budget Forms"
17
CadmW Ch w & DOPE, ft. f SammMw Center
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 : Catholic Charities of DOPB., Inc. X Samaritan Center
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.
- - - - - - - - - - - -
RE1+ENtlES Proposer) TotaX Piagnlm Bulfget Arntfer Spec/Hc Btldget tofalAgency
Budget.
1 Children's Services Council-SL Lucie 0 0.00 239,984.0
2 Children's Services Council-Martin 0 0.00 0.0
3 Advisory Committee-Indian River 51 ,811 51 ,811 .00 51 ,811 .0
4 United Way-St Lucie County 0 0.00 0.00
5 United Way-Martin County 0 0.00 20,000.00
6 United Way-Indian River County 85,000 0.00 85,000.00
7 Department of Children 14 Families 0 0.00 0.0
8 County Funds 0 0.0q 25,000.0
9 Contributions-Cash 225,000 O.ODI 580,000.0
10 Program Fees 1 ,300 O.W 580,000.
11 Fund Raising Events-Net 202,000 0.00 440,DOO.001
12 Sales to Public - Net 0 0.00 0.0
13 Membership Dues 0 0.00 0.0
14 Investment Income 12,000 0.00 160,000.0
15 Miscellaneous 0 0.00.0
16 Legacies 8 Bequests 0 0.00 180,000.0
17 Funds from Other Sources 217,324 0.00 5,684,287.0
18 Reserve Funds Used for Operating 0 0.00 30,000.0
19 In-Kind Donations (NM Included In tmaq 45, 182 0.00 253,000.0
20 TOTAL REVENUES
doean% Include line is $794435 $51 ,811 .00 $8,076082.00
R Proposed B
C
EQ(PENOfT!lIES TotafProgram Budget FunderSptacJJfc Budget : Total Agency
21 Salaries - (must complete chart on next page 342, 157.00 51 ,811 .00 3,708,688.00
22 FICA - Total salaries - $342,157. x 0.0765 26, 175.00 0.00 283,715.00
Retirement - Total Salaries -
23 .0725 = 24,806.00 268,880.00
LtWHealth - ica n a -tens
24 Disab. $566.39 per mo. X 8.12 employees x 55,189.001 820,485.00
Workers Compensation - Total salaries x
25 rate - $342,157. X .015 = 5, 132.00 55,631 .00
Florida nemp oymen - a sa acres x
26 rate - $342,157. X .015 = 5, 132.00 55,630.00
SAJ.AItES l r Gross q Rortlon ur Fandd ro
f 2 % afGro" Annual
`., Wilk,�lude0i
40MV 7;r4%
Division Director E. Bland 4.5hrsAmk 45,835.00 5,500.00 0.00 0.00%
Program Administrator J. Keenan 37.5hrsAvk 43,260.0 43,260.00 0.00 0.00%
Case Manager J. Trottter 37.5 hrsAvk 29,417.0 29,417.00 19,611 .00 66.67%
Resident Man er T. Niebel 37.5 hrstwk 29,355.00 29,355.00 19,570.00 66.67%
Sup Staff M. Rabuck 40 hrs/wk 1 23,595.001 23,595.001 0.001 0.00%
Support Staff A. Moore 40 hrsAvk 1 20$674.001 20,674.00 0.00 0.000/0
wli2 6-1
NOW
Ca Nic Chances & COM Inc. I SamarNan Cerner
Support Staff W. Gent-Bell 32 hrsAvk 15,854.00 15,854.00 0.00 0.00%
Support Staff C. Phinizee 32 hrshvk 15,854.00 15,854.00 0.00 O.00ek
Support Staff L. Rigging 32 hmhvk 15,854.00 15,854.00 0.00 0.00%
Support Staff C. Nelson 32 hrshvk 18,476.00 18,476.00 0.00 0.00%
Admin. Asst.Nol. Coor C. Utter 40 hrs/wk 30,529.00 30,529.00 0.00 0.00%
Clerical Asst. P.F. Staton 40 hrslwk 23,138.00 23, 138.00 0.00 0.00
Children' Coor. T. Craig 40 hrslwk 25,259.00 25,259.00 12,630.00 50.00%
Support Staff P N. Sequin 16hrshvk 71696.00 7,696.00 0.00 0.00%
Substitutes 16 hrshvk 7,696.001 7,696.00 O.DO 0.00%
On Line Community Coor. (Vacant) 37.5 hrs 30,000.00 30,000.00 0.00 0.00%
Remaining positions throughout thea en
Total sa/ades $382,492.00 $342, 157.00 $51 ,811 .00 13. 55%
IFtNfIG B€NEF1i7E{r41L17
ITiMder Spt:eqt Budget r ruodir rr fa pensron ; . . N V h 1nr
S ` o9t�et FICA fix Health Ars Rr0/kar's UnenW%w ¢ TolafFNnges Fwrder'
Column Ic only, truer pre 2f to 28). : nacm compens. at ownpa»ai SpecMc
Pbsilion TTNet�"otal,lfiaCwl+C�
i9ranrpre: Casa-lYmYpeFrM#S 5109000 3oz5a 100oo 500.00 . 300.00 200.00 r,582.50
Division Director E. Bland 4.5hrshw 0.00 0.00 0.0
Program Administrator J. Keenan 37.5hrshvk 0.00 0.00 0.00
Case Manager J. Troller 37.5 hrshvk 19,611 .001 0.001 0.00
Resident Manager T. Nisbet 37.5 hrshvk 19,570.00 0.00 0.00
Support Staff M. Rabuck 40 hrshvk 0.00 0.00 0.00
Support Staff A. Moore 40 hr✓wk 0.00 0.00 0.00
Support Staff W. Gent-Bell 32 hrshvk 0.00 0.00 0.0
Support Staff C. Phinizee 32 hrs/wk 0.00 0.00 0.0
Support Staff L. Riggins 32 hrshvk 0.00 0.00 0.00
Support Staff C. Nelson 32 hrshvk 0.00 0.00 0.0
Admin. Asst.Nol. Coor C. Utter 40 hrs/wk 0.00 0.00 0.00
Clerical Asst. P.F. Staton 40 hmtwk 0.00 0.00 0.00
Children' Coor. T. Craig 40 hrs/wk 12,630.00 0.00 0.00
Support Staff (PT) N. Sequin 16hrshvk 0.00 0.00 0.0
Substitutes 16 hrshvk 0.00 0.00 0.
On Line Community Coor. acent) 37.5 hrs 0.00 0.00 0.0
0 0.00 0.00 0.0
0 0.00 0.00 0.0
0 0.00 0.00 0.
0 0.0 0.00 - o.
Total Funder Request Fringe Benefits $51 ,811 .00 $0. $0. $0.00 $0.00 $0.00 $0.
C
EXAEf11MlF7RES 4 . Proposed B ToitalAgency
Total Program Betttget ] under Specific Budget .
Budget '
27 Travel-Dally 7,200.001 0.001 106,053. 00
$2,6704 + gas and repairs for van ttruck
approx. $4,530. Annually.
28 TraveUConfereneeelTrelning 21500.00 0.001 401000.00
• National Conference, Training/Seminar, -
Other Trainings (cost of travel, lodging, _
registration, food) - approx $416.67 annually _
x 6 staff positions x 12 mos.= $2,500.
29 Office Supplies 4,500.00 0.001 66,000.00
• Office supplies - approx. $375. Per mo x 12
mos. = S4,500-
30 Telephone 10,500.001 0.001 100,000.00
5111aooe e-1
Catlwrc Charities of WPB, Inc l SemeriEan Center
• # Phone lines x average Cost per month x
12 months = local phone cost $7,200. _
Annually, • Average long distance $1 ,800.
Annually, & cell phones $1 ,060. Annually.(
average total monthly costs of approx.
$875.00 x 12 mos. = $10,500.) - -
31 Postege/Shipping 6,000.001 o.00l 22,000AO
• Quarterly Mailing of Newsletter, Special
events, etc., & Bulk mailings - appeals -
approx. $500. Per mo. X 12 mos. _ $6,000.
32 ut8ltles 22,000.001 O.D01 86,000.00
• Electricity ($ x 12 months)
• Water/Sewer ($ x 12 months)
• Garbage ($ x 12 months)
33 Occupancy (Building & Grounds) 74,400.001 0.001 670,000.00
• Rent $45,000. Annuay, Janitorial $7,200, &
Grounds Maint./ depredation $22,200
34 Printing & Publications 10,000.001 0.001 35,000.00
Quarterly Newsletter, Letterheads,
Envelopes, etc. , &• Fundraising materials -
approx. $833.33 per mo. X 12 mos. _
$10,000.00 'y
35 SubscriptiordDueslMemberships 500-601 o.001 10,000.00
• Membership to National Organization
$100.00, Dues $150.00, Subscriptions to
Newspapers/magazines, etc.$250.00
36 Insurance 6,000.001 0.001 80,000.00
• Directors/OlOcers Liab. ,
Commerdal/General Insurance, Bond Ins., &
Auto Insurance - approx. $500. Per mo. X 12
mos. = $6,000.
37 EquipmentRental & Maintenance 6,000.001 0.001 54,000.00
• Copier lease, Meter lease, Copier
Maintenance, & Computer Maintenance, &
- approx. $500. Per mo. X 12 mos = $6,000 _
38 Advertising 55,D00.001 0.001 150,000.00
• Newspaper ads, Fundraising
ads/promotions, & • Other (vacancies)
approx. $4,583.33 per mo. X 12 mos.
$55,000.
39 Equipment Purohases:Capital Expense 0.00 0.00 60,000.00
• Computer/monitor (# x $)
• Laser Printer
40 Professional Fees (Legal, Consulting) 24,000.001 0.001 156,500.00
. _. . . . .
Legal advice - approx $2,500, Annually,
Consultant fees approx. $21 ,500. annually
Total $24,000.
41 BooksfEducational Materials 10,000.00 0.001 80,000.00
supplies for the children' - approx. $833.33
per mo x 12 mos = $10,000.
42 Food & Nutrition 21 ,000.001 0.001 130,000.00
per day x 41 clients x 365 days per year =
approx. $21 ,000.00
43 Administrative Costs 66,244.001 0.001 500,000.00
program cost of $728, 191 x .091 % = approx -
$66,244. annually
44 Audit Expense 500.001 0.001 23,50000
• Independent Audit Review - one time cost of
$500.00
Specific Assistance to Indivitluals 71500.00 0.001 504.000.0011
vt vmos e.1
Ca o is Charibes M DOPe, Inc I Samaritan Cerner
• Medical assistance $500.00 , MealslFood
$3,500., & Rent Assistance $3,500. Direct
assistance to clients (application process will
he utilize)
46 Otherlhliscollanoous 2,650.60f 0.001 10,000.00
volunteers - approx. $166.67 per mo. X 12
mos. = $2,000.
47 OthorlContract y _ :.: . .0-001 0.001 0.00
• Sub-contract for program services
48 TOTAL EXPENSES $794,435. 00 $51 ,811 .00 $8,076,082.00
S 1f1006 9-1
5 cwulccivN.e NOaB., irc.�s.l.r. cw.,
UNIFORM GRANT APPLICATION
TOTAL AGENCY BUDGET
AGENCY/PROGRAM NAME: Catholic Charities of DOPE., Inc. I Samaritan Center
FY Was FY 05M FY 06107 % INCREASE
FYE FYE FYE CURRENTVS.
NEXT FY BUDGET
A B C D
ACTUAL TOTAL PROPOSED few. Ccol. syml. e
REVENUES BUDGETED BUDGETED
1 Children's Services Council-St Lucie 136 364.00 226 400.00 239 984.00 6.00%
2 Children's Services Counci4Martin 0.00 0.00 0.00 #DIVIOI
3 Advisory Committee-Indian River 50 000.00 36 106.00 51 ,811,00 . 43.50%
4 United Way-St Lucie County 0.00 0.00 0.001 #DIVI01
5 United W -Martin County 12 000.00 15 ODO,OO 20 000.00 33.33%
6 United Way-Indian River County 69 000.00 69 000.00 85 000.00 23.19%
7 DeDartment of Children & Families 0.00 0.00 0.00 #DIVIOI
8 County Funds 0.00 25000.00 25000.00 0.00%
9 Contributions-Cash 516 949.00 560 000.00 580 000.00 3.57%
10 Program Fees 666 392.00 580 000.00 580 000.00 0.00%
11 Fund Raising Events-Net 460 419.00 440 000.00 440 000.00 0.00%
12 Sales to Public-Net 0.00 0.00 0.00 #DIVI01
13 Membership Dues 0.00 0.00 0.00 #DIVI01
14 Investment Income 171 154.00 160 000.00 160 000.00 0.001/4
18 Miscellaneous 0.00 0.00 0.00 #6I701
16 reffacies 8 oasts 747113.00 160 000.00 180 000.00 0.00%
17 Funds from Other Sources 2 064177.011 548687500 5 684 287.00 3.60%
16 Reserve Funds Used Tor 7perating 1 ,740,162 00 30 000.00 30 000.00 0.00%
is In-Kind Donations (Nm ftiu m mm0 240 232.00 253 000.00 253,000.001 0.007
20 TOTAL 6,875.962.00 7 808 381.00 8.076,082.001 3.43%
Y EXPENDITURES
21 Salaries 2 986 564.00 3,769,678.00 3 708 688.00 -1.36%
22 FICA 219 926.00 287 615.00 283 715.00 -1.36%
23 Retirement 215 754 OO 270 697.00 268t880.00 -0.67%
LifelFlealth 497 084.00 835 351 .00 820 485.00 778%
25 Workers Compensation 29 966.00 37 597.00 55 631.00 47.97%
26 Florida Unemployment 59 806.00 37 597.00 55 630.00 47.96%
27 Travel-Dai 61 435.00 829 000.00 106 053.00 29.33%
2 TraveUConferencesfTrainin 4 048.00 40 000.00 40 000.00 0.00%
29 OrBCe Supplies 77 6"'00 64 000.00 66 000.00 3.13%
30 Telephone 111 801.00 98 000.00 100$000,00 2.04%
31 Postage/Shipping2 611.00 21 000.00 22 OOO,O0 4.76%
32 UOIb{es 69 098.00 75 000.00 86 000.00 14.67%
33 Occupancy (Building & Grounds 566187.00 586 008.00 670 000.00 14.33%
34 Printing & Publications 29 592.00 25 000.00 35 000.00 40.00%
35 SubscritionlDuearMemberehi 6,971.00 15 000.00 10 000.00 43.33%
36 Insurance 25 075.00 40 000.00 80 000.00 100.00%
37 EquipmentRental & Maintenance 36 430.00 39 000.00 54 000.00 38.46%
w Advertising 161 632.00 148 000.00 150 000.00 1.35%
39Equipment Purchases:Ca Ital Expense 287820.00 90000.00 60000.00 43.33%
4a Professional Fees (Legal, Consulting) 142 843.00 142 338.00 156 500.00 9.95%
41 Books/Educational Materials 101610.00 70000.00 80000.00 14.29%
42 Food & Nutrition 90 064.00 73 000.00 130 000.00 78.08%
43 Administrative Costs 464176.00 464 000.00 500 000.00 7.76%
44 Audit Expense 22 500.00 22 500.00 23 500.00 4.44%
45 Specific Assistance to Individuals 537 938.00 475 000.00 504 000.00 6.11%
46 OMer/hUscellaneous 9,407.00 1000000 1000000 0.00%
47 OthedCordract 0.00 0.00 0.00 #DIVI01
4s TOTAL 6875 982.00 780838100 8 076 082.00 3.43%
4qiREVENUES OVERT UNDER EXPENDITURES 0.00 0.00 0.00 #DNIO!
si,a�oe ea
uuaecn.n.a�ove..mc,s.�a ,c.+.
UNIFORM GRANT APPLICATION
TOTAL PROGRAM BUDGET
AGENCY/PROGRAM NAME:Catholic Charities of DOPB., Inc. / Samaritan Center
FY 04105 FY 05/06 FY OW07 % INCREASE
FYE FYE FYE CURRENT VS.
NEXT FY BUDGET
A e C D
ACTUAL TOTAL PROPOSED Icw. C 1. Byca e
REVENUES BUDGETED BUDGETED
1 Children's Services Council-St Lucie 0.00 0.00 0.00 #DIV/01
2 Children's Services Council-Martin 0.00 0.00 0.00 #DIVI01
3 Advisory CommBtee-Indian River 50 000.00 38106.00 57 811.00 43.50%
4 United Way-St. Lucie County 0.00 0.00 0.00 #DIVI01
United Way-Martin County 0.00 0.00 0.00 #DIV/01
a United W -Indian River County 69000.00 69000.00 85000.00 23.19%
7 Department of Children & Families 0.00 0.00 0.DO #DIV1O1
s CountyFunds 0.00 0.00 0.00 #DIVI01
9 Contributions-Cash 142 954.00 100P955.00 225 000.00 122.87%
IQ Program Fees 1 ,480.00 100000 1 300.00 30.00%
11 Fund Raising Events Net 154669.00 100000.00 20 000.00 102.00%
12 Sales to Public-Net 0.00 0.00 0.00 #DIVIo1
13 Membership Dues 0.00 0.00 0.00 #DIVI01
14 Investment Income 16 458.00 10 000.00 12 000.00 20.00%
15 Miscellaneous 0.00 0.00 0.00 #DIVI01
16 Leglacles & Bequests 19220.00 1 500.00 0.00 -100.00%
17 Funds from Other Sources 188 224.00 2K,223.00 217 324.00 -23.54%
1s Reserve Funds Used for Operating 32 288.00 0.00 0.00 #DIV/01
is In-Kind Donations lila imnaw in mr.0 45614.00 49745.00 45182.00 -9.17%
20 TOTAL 656 293.00 602 784.00 794 435.00 31 .79%
EXPENDITURES
21 Salaries 292 163.00 288 071.00 342157.00 18.78%
22 FICA 22 473.00 22 037.00 26175.00 18.78%
23 Retirement 21 037.00 20 165.00 806.00 23.02%
24 Ufe0iealth 52486.00 56987.00 55189.00 -3.16%
25 Workers Compensation 292200 2981.00 5.132.00 78.13%
26 Florida Unemployment 2922.00 1563.00 5132.00 228.34%
27 7791-Dally 6,093.00 3,069.00 7 200,D0 134.60%
2t TraveOConferencesfTminin 1846.00 1200.00 2500.00 108.33%
29 Office Supplies 4729.00 4500.00 4500.00 0.00%
30 Telephone 7164.00 71500.00 10 500.00 40.000/a
31 PostagelShipping 885300 400000 600000 50.00%
32 Utilities 18 097.00 17 600.00 2 000.00 25.71%
33 Omu n (Building & Grounds 69869.00 59845.00 74400.00 24.32%
34 Printing & Publications 4285.00 4,250.00 10 000.00 135.29%
35 Subscrion(Dues/Membershi 2620.00 1000.00 500.00 -50.00%
36 Insurance 6025.00 1800.00 6DD0.00 233.330A
37 E ui ment:Rentel & Maintenance 7,558.00 4 500.00 6 000.00 33.33%
38 Adverfisinq 24 953.00 2,700.00 55 000.00 1937.040A
39Equipment Pumhases:Ca ital Expense 0.00 4,5DO.D0 0.00 -100.00%
40 Professional Fees Le al Consulting) 13 230.00 13 846.00 24 000.00 73.34%
41 BookslEducational Materials 8689.00 4500.00 10000.00 122.22%
42 Food & Nutrition 13 718.00 15 000.00 21 IODO.00 40.00%
43 Administrative Costs 53 366.00 57 020.00 66 244.00 16.18%
44 Audit Expetale 666.00 750.00500.00 -33.33%
45 S ific Assistance to Individuals 6r362.00 500.00 7 500.00 1400.00%
46 Other/Miscellarleous 4142.00 3100.00 000.00 -35.48%
47 Other/Contract 0.00 0.00 0.00 #DIVI01
48 TOTAL 656 293.00 602 784.00 794 435.00 31.79%
49 REVENUES OVER/ UNDER EXPENDITURES 1 0.001 0.00 0.00 #DIVI01
snvsos na
Ca m Chanties of DOM. Im ! Semelitan Ce w
UNIFORM GRANT APPLICATION
FUNDER SPECIFIC BUDGET
PROGRAM EXPENSES
AGENCY/PROGRAM NAME :Catholic Charities of DOPB., Inc. / Samaritan Center
FUNDER:Children's Services Advisory Con A B C
FY 06107 FY 06/07 % OF
TOTAL FUNDER TOTAL VS.
PROGRAM SPECIFIC FUNDER REQUEST
BUDGET BUDGET col. B1col. A
EXPENDITURES
21 Salaries 342,157.00 51 ,811 .00 15.14%
22 FICA 0.00 0.00 #DIV/01
23 Retirement 0.00 0.00 #DIV/O!
24 Life/Health 0.00 0.00 #DIV/01
25 Workers Compensation 0.00 0.00 #DIV/0!
26 Florida Unemployment 0.00 0.00 #DIV101
27 Travel-Dail 0.00 0.00 #DIV/01
28 Travel/Conferences/Training 0.00 0.00 #DIV/0!
29 Office Supplies 0.00 0.00 #DIV/O!
30 Telephone 0.00 0.00 #DIV/0!
31 Postage/Shipping 0.00 0.00 #DIV/0!
32 Utilities 0.00 0.00 #DIV/O!
33 Occupancy (Building & Grounds 0.00 0.00 #DIV/O!
34 Printing & Publications 0.00 0.00 #DIV/O!
35 Subscription/Dues/Memberships 0.00 0.00 #DIV/01
36 Insurance 0.00 0.00 #DIV/0!
37 Equipment: Rental & Maintenance 0.00 0.00 #DIV/01
36 Advertising 0.00 0.00 #DIV/01
39 Equipment Purchases:Ca ital Expense 0.00 0.00 #DIV/01
40 Professional Fees (Legal, Consulting) 0.00 0.00 #DIV/O!
41 Books/Educational Materials 0.00 0.00 #DIV/01
42 Food & Nutrition 0.00 0.00 #DIV/0!
43 Administrative Costs 0.00 0.00 #DIV/0!
44 Audit Expense 0.00 0.00 #DIV/01
45 Specific Assistance to Individuals 0.00 0.00 #DIV/O!
46 Other/Miscellaneous 0.00 0.001 #DIV/01
47 Other/Contract 0.00 0.00 #DIV10l
48 TOTAL $342,157.00 $51 ,811 .00 15.14%
5/112008 84
. C � . -
United Iffew-Indlan River Cou ' Additional funds reqatited to
suyirt an additional position. (On fine Community Goordinatoo
Pmjection based on market, hovlever mark" could change
Increase in the number of fuH time wj!yees/ added Neer programs.
5 IV This rim Rom increase as "IM.
Function of sill " wl� This line Rom increase as well.
���Funcfion of lizary wpense. This line Ram increase as "Il.
Function of salary expense. This Ow Rem increase as well.
Added rim programs I hurricane activity hall increased the cost of services
Occupanl (Buildina & Grounds) Added rim programs / humicame acbrift has increased the cost of sawices
Printing & Publications Added rim programs I fund rasing expenses WIN increase war last year.
11
Program materials provided direc4to the children's' program
Catholic Chi efforts to rovide direct assistance to our clents on behalf of our funder.
Administrative cost is based on our Weral indirect cost rate. The approved rate is 11 5%
irgFMf77,Trx 7,j r, mr m3-� Gatholic Charities efforts to provide direct assistance to our cllen�behaff of our funder-
UNIFORM GRANT APPLICATION
EXPLANATION FOR VARIANCES OF 75% OR MORE
FUNDER SPECIFIC BUDGET
AGENCYIPROGRAM NAME:
FUNDER:Children's Services Advisory Committee
Salaifes Increase in the number of hours for fuA fine empbyees.
tirtivial
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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 1st may be reimbursed with funds from the following
year. Additionally, if any funds are unexpended at the end of a fiscal year, these funds are not
carried over to the next year unless expressly authorized by the Board of Commissioners.
All requests for reimbursement at fiscal year and (September 301") 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: Catholic Charities of the Diocese of Palm Beach , Inc. ,
P .O . Box 109650
Palm Beach Gardens, Florida 33410-9650
Samaritan Center
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. Caotions 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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A ehur d - u I A3TzAY Riaz alanneerort service ,. ONLY AND CONFERS NO RIGHTS UPON THE CER IFICATE
' Althur a iiia �eL R cu . ( Flnr Lda) HOLCER. THIS CERTIFICATE DO=S NOT AMEND , EXTEND GR
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Powered BYCaryfxatnrNew'N
CHILDREN 'S SERVICES ADVISORY COMMITTEE
C/O Human Services
184025 Ih Street
Vero Beach , Florida 32960-3394
Phone: 561 -567-8000 (Ext. 1467 or 1524)
Fax: 978-1798
E-Mail Mmasterson(@.ircgov. com
To: Beth Jordan
Risk Management
From : Marion Masterson_�/V /))
Department Head : P.vvlu ct�
Date: October 25 , 2006
Re: Contracts for 2005/06 Funding Year — Samaritan Center — Catholic Charities
Attached are two copies of the contract and Proof of Insurance for each of the programs.
Please let me know if this is not the case ; and as always , if acceptable, circulate .
Thank you .
This is not an agenda item .
Indian River Appro Date
Administrator
Legal It ZZ/1
Budget c
At
Department
Risk isI p
F:\Human Semces\Marlon\My Documents\RFP 2006061 2006-07\MEMO TO RISK MANAGEMENT.doc