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HomeMy WebLinkAbout2007-308U Indian River County Grant Contract This Grant Contract ("Contract") entered into effective thi *th &t`a�te y of October 2007 bh and between Indian River County, a political subdivision o of Florida , 1801 27 n Street , Vero Beach FL , 32960 ("County") and Boys & Girls Club of Indian River County, ( Recipient); of: P . O . Box 643068 Vero Beach , Florida , 32964 For: Vero Beach Branch (f/k/a South County) Program Background Recitals A . The County has determined that it 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 proposals 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 (as 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 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"). - 1 - Indian River County Grant Contract This Grant Contract ("Contract") entered into effective thi *th &t`a�te y of October 2007 bh and between Indian River County, a political subdivision o of Florida , 1801 27 n Street , Vero Beach FL , 32960 ("County") and Boys & Girls Club of Indian River County, ( Recipient); of: P . O . Box 643068 Vero Beach , Florida , 32964 For: Vero Beach Branch (f/k/a South County) Program Background Recitals A . The County has determined that it 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 proposals 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 (as 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 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"). - 1 - 3 . Term . The Recipient acknowledges and agrees that the Grant is limited to the fiscal year 2007/2008 ("Grant Period ") . The Grant Period commences on October 1 , 2007 and ends on September 30 , 2008 . 4 . Grant Funds and Payment The approved Grant for the Grant Period is Thirty Thousand Dollars ($30,000) . The County agrees to reimburse the Recipient from such Grant funds for actual documented costs incurred for 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 Obligations 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 written notice. 5 . 2 Compliance with Laws . The Recipient shall comply at all times with all applicable federal , state , and local laws , rules , 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 . The Recipient acknowledges and agrees that the County reserves the right to conduct random and unannounced monitoring of the program' s performance throughout the Grant Period . 5.4 Audit Requirements . If Recipient receives $25,000 or more in the 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 a 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 it's 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 this Contract. - 2 - 3 . Term . The Recipient acknowledges and agrees that the Grant is limited to the fiscal year 2007/2008 ("Grant Period ") . The Grant Period commences on October 1 , 2007 and ends on September 30 , 2008 . 4 . Grant Funds and Payment The approved Grant for the Grant Period is Thirty Thousand Dollars ($30,000) . The County agrees to reimburse the Recipient from such Grant funds for actual documented costs incurred for 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 Obligations 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 written notice. 5 . 2 Compliance with Laws . The Recipient shall comply at all times with all applicable federal , state , and local laws , rules , 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 . The Recipient acknowledges and agrees that the County reserves the right to conduct random and unannounced monitoring of the program' s performance throughout the Grant Period . 5.4 Audit Requirements . If Recipient receives $25,000 or more in the 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 a 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 it's 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 this Contract. - 2 - 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 the 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 damage, including coverage for premises/operations , products/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) Workers' 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 to the County. In addition , the County may request such other proofs and assurances as it may reasonably 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 Workers' 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 - 3 - 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 the 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 damage, including coverage for premises/operations , products/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) Workers' 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 to the County. In addition , the County may request such other proofs and assurances as it may reasonably 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 Workers' 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 - 3 - 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 . INDIAN RIVER COUNTY Attest: J . K. Barton , Clerk BOARD OF COUNTY COMMISSIONERS By Deputy Clerk By A4,o C � GnrVC . Wheeler, Chairman. BCC Approved : 9 - tiF - ro5 "1 Approved : 1 1 ) seph A. Baird ounty Administrator rp oedas to form and legal sufficiency: Marian E . Fell , ssistant 6ounty Attorney Byc \ BOYS & GIRLS CLUBS OF INDIAN RIVER COUNTY - 4 - 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 . INDIAN RIVER COUNTY Attest: J . K. Barton , Clerk BOARD OF COUNTY COMMISSIONERS By Deputy Clerk By A4,o C � GnrVC . Wheeler, Chairman. BCC Approved : 9 - tiF - ro5 "1 Approved : 1 1 ) seph A. Baird ounty Administrator rp oedas to form and legal sufficiency: Marian E . Fell , ssistant 6ounty Attorney Byc \ BOYS & GIRLS CLUBS OF INDIAN RIVER COUNTY - 4 - EXHIBIT A [Copy of complete proposal/application] EXHIBIT A [Copy of complete proposal/application] Boys & Girls Club of Indian River County Vero Beach Branch Grant Application to the Children's Services Advisory Committee PROGRAM COVER PAGE tht Organization Name: Boys & Girls Clubs of Indian River County. Inc. President & CEO : Ronnie Hewett E mail :RonnieHewetta.BGCIRC.org Address: P. O . Box 643068 . Telephone : , 772-299-7449 Vero Beach, Florida 32964 Faxr: 772-299-3840 Director of Operations: Jay Bumgarner E-mail : JayBum¢amer@BGCIRC . org Address : P. O. Box 643068 Telephoner 772-299-7449 Vero Beach, Florida 32964 Fax : 772-299-3940 Program Title: Vero Beach Branch (formally South County) Priority Need Area Addressed: Support the creation of after-school programs that enrich a child' s learning environment, by offering a curriculum that includes, homework assistance tutoring life skills training, and other enrichment programs. Brief Description of the Program : Taxonomy Definition PS-980 . 100 :. Programs that provide a wide range of supervised recreational activities and delinquency prevention services for children and Youth of all ages and backgrounds, but particularly for disadvantaged youth, through membership in boys and/or girls; clubs . Club members are entitled to use recreational facilities and may have access to counseling, tutorial services, employment assistance, gang programs drug abuse and alcoholism prevention and other activities and services that direct their energies toward positive social goals and facilitate healthy personality development; ` SUMMARY REPORT — Enter Information In The Black Cells Only) Amount Requested from Funder for 2007 /08 : $ 35 , 000 . 00 Total Proposed Program Budget for 2007 /08 : S 252 ; 8 Percent of Total Program Budget : 13 . 8 % Current Program Funding ( 2006107 ) : $ 303000 Dollar increase / ( decrease ) in request : $ _ - 5; 000 - Percent increase / (decrease ) in. request 16 . 7 % _ Unduplicated : Number of Children to be served Individually : - 495 Unduplicated Number of Adults to beservedIndividually : " - =. 215 Unduplicated Number to be served via Group settings , 125 . Total Program Cost per Client : 302 . 82 * *If request increased 5 % or more, briefly explain why : We have added new part-time positions as well as raised part-time hourly wages to aid in recruitment and retention of quality staff. 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). February 26 2007 Jay McNamara Name of President/Chair of the Board Signature Ronnie Hewett - Name of Executive Director/CEO Signature - l Boys & Girls Club of Indian River County Vero Beach Branch Grant Application to the Children's Services Advisory Committee PROGRAM COVER PAGE tht Organization Name: Boys & Girls Clubs of Indian River County. Inc. President & CEO : Ronnie Hewett E mail :RonnieHewetta.BGCIRC.org Address: P. O . Box 643068 . Telephone : , 772-299-7449 Vero Beach, Florida 32964 Faxr: 772-299-3840 Director of Operations: Jay Bumgarner E-mail : JayBum¢amer@BGCIRC . org Address : P. O. Box 643068 Telephoner 772-299-7449 Vero Beach, Florida 32964 Fax : 772-299-3940 Program Title: Vero Beach Branch (formally South County) Priority Need Area Addressed: Support the creation of after-school programs that enrich a child' s learning environment, by offering a curriculum that includes, homework assistance tutoring life skills training, and other enrichment programs. Brief Description of the Program : Taxonomy Definition PS-980 . 100 :. Programs that provide a wide range of supervised recreational activities and delinquency prevention services for children and Youth of all ages and backgrounds, but particularly for disadvantaged youth, through membership in boys and/or girls; clubs . Club members are entitled to use recreational facilities and may have access to counseling, tutorial services, employment assistance, gang programs drug abuse and alcoholism prevention and other activities and services that direct their energies toward positive social goals and facilitate healthy personality development; ` SUMMARY REPORT — Enter Information In The Black Cells Only) Amount Requested from Funder for 2007 /08 : $ 35 , 000 . 00 Total Proposed Program Budget for 2007 /08 : S 252 ; 8 Percent of Total Program Budget : 13 . 8 % Current Program Funding ( 2006107 ) : $ 303000 Dollar increase / ( decrease ) in request : $ _ - 5; 000 - Percent increase / (decrease ) in. request 16 . 7 % _ Unduplicated : Number of Children to be served Individually : - 495 Unduplicated Number of Adults to beservedIndividually : " - =. 215 Unduplicated Number to be served via Group settings , 125 . Total Program Cost per Client : 302 . 82 * *If request increased 5 % or more, briefly explain why : We have added new part-time positions as well as raised part-time hourly wages to aid in recruitment and retention of quality staff. 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). February 26 2007 Jay McNamara Name of President/Chair of the Board Signature Ronnie Hewett - Name of Executive Director/CEO Signature - l Boys & Girls Club of Indian River County Vero Beach Branch Grant Application to the Children's. Services Advisory Committee - ORGANIZATION : Bovis & Girls Clubsof Indian River County PROGRAM: Vero Beach Branch 2007/2008 CORE APPLICATION TABLE OF CONTENTS "X" the parts ofgrant application to indicate inclusion. Also, please put page number where the information can be located. - X Section of the Proposal �Pa e 4 X COVER PAGE (with signatures) . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . .. . . . . . . . 1 X TABLE OF CONTENTS (check list) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 A. ORGANIZATION CAPABILITY (one page maximum)_ X 1 . Mission and Vision of organization. . . . . . . . i . . . . . . . . . . . . . . . . 3 X , 2 . Summary of expertise, accomplishments; and population served . . . . . . . : . . . . . . . . . . . . . . . 3 B. PROGRAM NEED STATEMENT (one page maximum) . X 1 , Program Need Statement. . . . . . . : : : : . . : . : . 4 X : 2 . Programs that address need and gaps in service . . : . . . . . . . . . . . . . . . . , . 4 C. PROGRAM DESCRIPTION (two pages maximum) X A , Funding priority. . . . . . . . . . . . . . . . . . . . . . . 4 . . . . . . . : . . . . . . . . . . . . . _ . . . . . . 5 X 2 . Description of program activities . : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : . . . . . . . . . . . . . . . . 5 X 3 . Evidence that program strategy will work . . . : : . . . . X . 4 . Staffing . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 X . 5 . Awareness of program . . . . . . . . . . 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 X 6. Accessibility of program . . . : : . . . . . . . . 6 D. MEASURABLE OUTCOMES & 'ACTIVITIES DIATRIX (Four outcomes X maximum). 4 . . . . . . : . . . . . . : : : . . . . . . . . . . . . . . . :: . . . . . . . . . . . . . . . . . 711 X , E. COLLABORATION (one page maximum) . . . . . . . . . . . . . . . . . . .... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 F. UNDUPLICATED CLIENTS X L Projections by Location . . . . . . . . . . . . . . . . . . . . . _ . - :, . . . . . . 13 X 2. Projections by Age Group . . . . . . . . . . . : . . . . . . . .i . . . . . . . .. . . . . . . . .. . . . . . . . 13 G. BUDGET FORMS X I . Financial Budget Forms . . . . . : . . . . . . : : . . . . . . . . . 14-22 X 13. FUNDER SPECIFIC REQUIREMENTS . . . . . . . . . . . . . . . . . . . . . . . : 23 -24 I. ADDENDUM FOR UWIRC X 1 . Supporting Documents Checklist. .. . . . . . . . . . . . . . . . . . . . . .. . . . . . . . : . . . . 25 2 Boys & Girls Club of Indian River County Vero Beach Branch Grant Application to the Children's. Services Advisory Committee - ORGANIZATION : Bovis & Girls Clubsof Indian River County PROGRAM: Vero Beach Branch 2007/2008 CORE APPLICATION TABLE OF CONTENTS "X" the parts ofgrant application to indicate inclusion. Also, please put page number where the information can be located. - X Section of the Proposal �Pa e 4 X COVER PAGE (with signatures) . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . .. . . . . . . . 1 X TABLE OF CONTENTS (check list) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 A. ORGANIZATION CAPABILITY (one page maximum)_ X 1 . Mission and Vision of organization. . . . . . . . i . . . . . . . . . . . . . . . . 3 X , 2 . Summary of expertise, accomplishments; and population served . . . . . . . : . . . . . . . . . . . . . . . 3 B. PROGRAM NEED STATEMENT (one page maximum) . X 1 , Program Need Statement. . . . . . . : : : : . . : . : . 4 X : 2 . Programs that address need and gaps in service . . : . . . . . . . . . . . . . . . . , . 4 C. PROGRAM DESCRIPTION (two pages maximum) X A , Funding priority. . . . . . . . . . . . . . . . . . . . . . . 4 . . . . . . . : . . . . . . . . . . . . . _ . . . . . . 5 X 2 . Description of program activities . : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : . . . . . . . . . . . . . . . . 5 X 3 . Evidence that program strategy will work . . . : : . . . . X . 4 . Staffing . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 X . 5 . Awareness of program . . . . . . . . . . 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 X 6. Accessibility of program . . . : : . . . . . . . . 6 D. MEASURABLE OUTCOMES & 'ACTIVITIES DIATRIX (Four outcomes X maximum). 4 . . . . . . : . . . . . . : : : . . . . . . . . . . . . . . . :: . . . . . . . . . . . . . . . . . 711 X , E. COLLABORATION (one page maximum) . . . . . . . . . . . . . . . . . . .... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 F. UNDUPLICATED CLIENTS X L Projections by Location . . . . . . . . . . . . . . . . . . . . . _ . - :, . . . . . . 13 X 2. Projections by Age Group . . . . . . . . . . . : . . . . . . . .i . . . . . . . .. . . . . . . . .. . . . . . . . 13 G. BUDGET FORMS X I . Financial Budget Forms . . . . . : . . . . . . : : . . . . . . . . . 14-22 X 13. FUNDER SPECIFIC REQUIREMENTS . . . . . . . . . . . . . . . . . . . . . . . : 23 -24 I. ADDENDUM FOR UWIRC X 1 . Supporting Documents Checklist. .. . . . . . . . . . . . . . . . . . . . . .. . . . . . . . : . . . . 25 2 Boys & Girls Club of Indian River County Vero Beach 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 inspire and enable all young people, especially those who need us the most, to realize their full potential, as productive, responsible and caring 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 Clubs 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 provided through our Youth Volunteer Corps, allow us to provide services to children throughout 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). We also charge a small weekly summer fee, due to increased operation costs and the perceptions that if the program is free it cannot be worthwhile . 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 Clubprogram 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 Service 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 school, a career. ands life in general . • Character and Leadership Developtr ent. . . 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 . 4 ' 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 . Additionally, we offer comprehensive prevention programs which help young people resist alcohol, tobacco and other drug use, as well as premature sexual activity. • 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. 3 Boys & Girls Club of Indian River County Vero Beach 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 inspire and enable all young people, especially those who need us the most, to realize their full potential, as productive, responsible and caring 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 Clubs 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 provided through our Youth Volunteer Corps, allow us to provide services to children throughout 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). We also charge a small weekly summer fee, due to increased operation costs and the perceptions that if the program is free it cannot be worthwhile . 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 Clubprogram 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 Service 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 school, a career. ands life in general . • Character and Leadership Developtr ent. . . 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 . 4 ' 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 . Additionally, we offer comprehensive prevention programs which help young people resist alcohol, tobacco and other drug use, as well as premature sexual activity. • 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. 3 Boys & Girls Club of Indian River County ' Vero Beach Brarch Grant Application to the Children's Services Advisory Committee B. PROGRAM NEED STATEMENT (Entire Section B not to exceed one page ) L 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 Vero Beach Branch, at 683 27 b Avenue SW, we mainly serve children who live within close proximity or who attend Thompson Elementary; Highlands Elementary, Oslo Middle and Vero Beach High School. d. According to the most current Florida Department of Education statistics of the 17,233 children wha attend Indian River County public schools; 6,788 or over 39% receive free or reduced lunches (which is an indicator of economic hardship). Additionally, according to the School District of Indian River County, Fellsmere, Vero Beach, and Thompson Elementary schools and Indian River Charter, Sebastian River and Vero Beach High Schools are rated as "C Schools. Pelican Island and Dodgertown Elementary are rated as "B" Schools. Finally, Indian River County statistics from the FL Department of Juvenile Justice Bureau of Data and research conclude that over 6% of all 10 17 year olds have been referred to the juvenile justice system during 2004 2005 . 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'apositivefoundation for success. ; • Communityand 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. 4 Boys & Girls Club of Indian River County ' Vero Beach Brarch Grant Application to the Children's Services Advisory Committee B. PROGRAM NEED STATEMENT (Entire Section B not to exceed one page ) L 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 Vero Beach Branch, at 683 27 b Avenue SW, we mainly serve children who live within close proximity or who attend Thompson Elementary; Highlands Elementary, Oslo Middle and Vero Beach High School. d. According to the most current Florida Department of Education statistics of the 17,233 children wha attend Indian River County public schools; 6,788 or over 39% receive free or reduced lunches (which is an indicator of economic hardship). Additionally, according to the School District of Indian River County, Fellsmere, Vero Beach, and Thompson Elementary schools and Indian River Charter, Sebastian River and Vero Beach High Schools are rated as "C Schools. Pelican Island and Dodgertown Elementary are rated as "B" Schools. Finally, Indian River County statistics from the FL Department of Juvenile Justice Bureau of Data and research conclude that over 6% of all 10 17 year olds have been referred to the juvenile justice system during 2004 2005 . 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'apositivefoundation for success. ; • Communityand 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. 4 Boys & Girls Club of Indian River County Vero Beach Branch Grant Applicatidh to. tie Children's Services Advisory Committee - C. PROGRAM DESCRIPTION (Entire Section C. 1 6, not to exceed two pages ) 1 . ' List Priority Needs area addressed. Support the creation of after-school programs that enrich a child' s learning environment, by offering a curriculum that includes : homework assistance, tutoring, life skills training, and other enrichment programs. 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 Vero Beach Branch located at 683 27"' Avenue SW, . ' Monday Friday after school until 7 p.m. and during winter, spring and summer breaks from 7 a.m. 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, Keystone Clubs and Torch Clubs • EDUCATION AND CAREER DEVELOPMENT: Project Leam: 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_Triple Play • SPECIALIZED PROGRAM INITIATIVES : The Diversity Initiative & Family Support program. 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 Ieam 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). • Programs that teach basic life skills help youth with coping, assertiveness and problem solving; by feeling competent and productive, youth often have better school performance, improved emotional well-being, and reduced involvement with risk behaviors (National Research Council, 2002, Committee on Community-Level Program for Youth). • Supportive relationships with non-parental adults are considered to be among the key developmental assets predicting positive youth outcomes (Rhodes & Roffman, 2003, Developmental Assets and asset- building communities: Implications for research, policy and practice). • The effectiveness of Boys & Girls Clubs has been proven repeatedly. A Louis Hams 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 5 Boys & Girls Club of Indian River County Vero Beach Branch Grant Applicatidh to. tie Children's Services Advisory Committee - C. PROGRAM DESCRIPTION (Entire Section C. 1 6, not to exceed two pages ) 1 . ' List Priority Needs area addressed. Support the creation of after-school programs that enrich a child' s learning environment, by offering a curriculum that includes : homework assistance, tutoring, life skills training, and other enrichment programs. 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 Vero Beach Branch located at 683 27"' Avenue SW, . ' Monday Friday after school until 7 p.m. and during winter, spring and summer breaks from 7 a.m. 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, Keystone Clubs and Torch Clubs • EDUCATION AND CAREER DEVELOPMENT: Project Leam: 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_Triple Play • SPECIALIZED PROGRAM INITIATIVES : The Diversity Initiative & Family Support program. 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 Ieam 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). • Programs that teach basic life skills help youth with coping, assertiveness and problem solving; by feeling competent and productive, youth often have better school performance, improved emotional well-being, and reduced involvement with risk behaviors (National Research Council, 2002, Committee on Community-Level Program for Youth). • Supportive relationships with non-parental adults are considered to be among the key developmental assets predicting positive youth outcomes (Rhodes & Roffman, 2003, Developmental Assets and asset- building communities: Implications for research, policy and practice). • The effectiveness of Boys & Girls Clubs has been proven repeatedly. A Louis Hams 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 5 Boys & Girls Club oflndian River County '; Vero Beach Branch Grant Application to the Children's Semces Advisory Committee later life ' The Carnegie Corporation's report A ltferoj7ime: Riskand Opportunity in theNon School Hours, underscores.the importance of community environment and institutionsin ebntributirig to the development of young people.The report emphasizes that the opportunity to make a positive contribution arises largely outside the structural academic environment_ The report concludes that - community-based youth developmen 'orgamzatiorig such as Boys & Gids 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 )i. I full-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 staff training. I full-time Director of Operations 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 supplemental program support, planning and facility management. I full-time Branch Director with a Bachelors Degree with a minimum 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 Promm 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. ' ` Education Direeto`r 24 hrs/wk. Education Asst 10/ hrs/wk_ Teen Director 30 hrs/wk Art Director 24 hrs/wk, Athletic Director 24 hrs/wk, Gameroom Director 24 hrs/wk - with a High School Diploma, working towards a college degree with demonstrated, capability in working positively with youth, dedicating his/her time to provide onsite supervision of Club members. 2 part-time Summer Staff with a High School Diploma, working towards a college degree with . demonstrated capability in working positively-with youth, dedicating 40 hours per week for I 1 weeks during the summer ofItis/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 Win' the target population be made aware of the program? Since opening the doors of our Clubs we have had waiting lists for membership in our Clubs. 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 distgbutes 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 provide 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 7:00 p.m. During the summer and non-school days, we are open from 7 a.m. until 6 pm. 6 Boys & Girls Club oflndian River County '; Vero Beach Branch Grant Application to the Children's Semces Advisory Committee later life ' The Carnegie Corporation's report A ltferoj7ime: Riskand Opportunity in theNon School Hours, underscores.the importance of community environment and institutionsin ebntributirig to the development of young people.The report emphasizes that the opportunity to make a positive contribution arises largely outside the structural academic environment_ The report concludes that - community-based youth developmen 'orgamzatiorig such as Boys & Gids 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 )i. I full-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 staff training. I full-time Director of Operations 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 supplemental program support, planning and facility management. I full-time Branch Director with a Bachelors Degree with a minimum 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 Promm 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. ' ` Education Direeto`r 24 hrs/wk. Education Asst 10/ hrs/wk_ Teen Director 30 hrs/wk Art Director 24 hrs/wk, Athletic Director 24 hrs/wk, Gameroom Director 24 hrs/wk - with a High School Diploma, working towards a college degree with demonstrated, capability in working positively with youth, dedicating his/her time to provide onsite supervision of Club members. 2 part-time Summer Staff with a High School Diploma, working towards a college degree with . demonstrated capability in working positively-with youth, dedicating 40 hours per week for I 1 weeks during the summer ofItis/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 Win' the target population be made aware of the program? Since opening the doors of our Clubs we have had waiting lists for membership in our Clubs. 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 distgbutes 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 provide 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 7:00 p.m. During the summer and non-school days, we are open from 7 a.m. until 6 pm. 6 Boys & Gi, Jib of Indian River County Vero Beach Branch Grant Application to the Children 's Serviecs Advisory Committee - D . PROGRAM OUTCOMES AND ACTIVITIES MATRIX Outcome # 1 : By 6/30/2008 85% of Program Participants (a minimum of 75) will reject alcohol, tobacco illicit drug use and pre- mature sexual activity. Baseline: Pre & Post surveys and feedback from parents staff and peers ` Program Design & Task Mana2emeot Evaluation Design & Data Collection (Columns 1 -4) " (Columns 5-7) � f 3�-1 a 7 ' Program Frequency ' Responsible Expected Indicator Data Source Time of Activities {how often) . Parties (who) Outcomes/change (why) Measurements (where) Measurement (when) (what) (evidence) SMART Moves Once perweek Program Director Members will learn health Pre & Post survey Kept on file At the end of each,-6' for 6 weeks s , and Program and life skills and tools results feedbackfrom week session (multiple Specialists which will enable them to parents, staff and peers sessions) avoid peer pressure - SMART Girls Delivered in 3 Program Director Girls will develop and Pre & Post-tests; An Kept on file At the end of each 12 parts over a 12 and Program ' adopt a healthy attitude environmental scan week session week period ` Specialists and lifestyle, as well as checklist which will (multiple acquire and maintain a help determine sessions) positive self-concept, program effectiveness sound decision-making and measure skills and mentor knowledge and/or ` relationships ' skills participants it acquire Passport to Once per week Program Directpr Boys will learn how to Pre & Post survey Kept on file At the end of each 8 Manhood for 8 weeks and Program deal with becoming men results; Feedback from week session (multiple Specialists, and the responsibilities parents, staff and peers sessions) therein SMART Parents 4 weekly sessions Branch Director Parents will become Pre & Post survey Kept in program Upon, completion of ` (multiple part nersin.prevention results; Participationfile each session sessions) Records; Feedback from parentsand staff 7 Boys & Gi, Jib of Indian River County Vero Beach Branch Grant Application to the Children 's Serviecs Advisory Committee - D . PROGRAM OUTCOMES AND ACTIVITIES MATRIX Outcome # 1 : By 6/30/2008 85% of Program Participants (a minimum of 75) will reject alcohol, tobacco illicit drug use and pre- mature sexual activity. Baseline: Pre & Post surveys and feedback from parents staff and peers ` Program Design & Task Mana2emeot Evaluation Design & Data Collection (Columns 1 -4) " (Columns 5-7) � f 3�-1 a 7 ' Program Frequency ' Responsible Expected Indicator Data Source Time of Activities {how often) . Parties (who) Outcomes/change (why) Measurements (where) Measurement (when) (what) (evidence) SMART Moves Once perweek Program Director Members will learn health Pre & Post survey Kept on file At the end of each,-6' for 6 weeks s , and Program and life skills and tools results feedbackfrom week session (multiple Specialists which will enable them to parents, staff and peers sessions) avoid peer pressure - SMART Girls Delivered in 3 Program Director Girls will develop and Pre & Post-tests; An Kept on file At the end of each 12 parts over a 12 and Program ' adopt a healthy attitude environmental scan week session week period ` Specialists and lifestyle, as well as checklist which will (multiple acquire and maintain a help determine sessions) positive self-concept, program effectiveness sound decision-making and measure skills and mentor knowledge and/or ` relationships ' skills participants it acquire Passport to Once per week Program Directpr Boys will learn how to Pre & Post survey Kept on file At the end of each 8 Manhood for 8 weeks and Program deal with becoming men results; Feedback from week session (multiple Specialists, and the responsibilities parents, staff and peers sessions) therein SMART Parents 4 weekly sessions Branch Director Parents will become Pre & Post survey Kept in program Upon, completion of ` (multiple part nersin.prevention results; Participationfile each session sessions) Records; Feedback from parentsand staff 7 13oys & Girls �wb of Indian River County — Vero Beach Branch Grant Application to the Children's :Services Advisory Committee. Outcome # 2 : By 6/30/2008 iuvenile crime rates of enrolled 10 - 17 year old Chub Members will be less than 2 % compared to non club members which is 6 % . Baseline: 2004-2005 Indian River County statistics from the FL Department of Juvenile Justice Bureau Data. (6 % of all 10-17 year olds referred to the juvenile justice system} , . 4 6 7 Program Activities Frequency Responsible Pxpected Indicator Data Source Time of (what) (how often) ' es (wm ho) Outeoes Parti /change Measurements (where) Measurement (why) (evidence) (when) . Diversion activities (such :Daily Program Duector Members will Program Tracked in our At the end of the as games room andProgram actively participate participation Member Tracking rant cycle tournaments and outdoor Specialists in our core service records program activities) area programs Youth of the month/year Monthly andian Prggram Director MorE members will The number of Observed by staff Monthly for one year program annual and Program meet the criteria to members wha'will ' and peers celebration Specialists become eligible qualify; Program . nominees participation > records Passport to Manhood Once per week Program Director Boys will learn bow Pre & Post survey Kept in each At the end pf each 8 for 8 weeks and Program to deal with results; Feedback participants ' file _week session (mulLple Specialists becoming men and from parents, staff sessions) the responsibilities and peers therein SMART Moves Once per week Program Director. Members will learn Pre & Post survey Kept on file At the end of each 6 for 6 weeks and Program health and life skills results; Feedback w%eek 'session (multiple Specialists. ' and t Is whichwill from parents, staff sessions) enable them to avoid and peers eer ressure SMART Girls Delivered in 3 Program Director Girls will develop Pre & Post-tests, Kept on file At the end of each, , parts over 12 and :Program and' adopt a healthy An environmental 12 week session week period Specialists attitude and lifestyle, scan checklist (multiple „ as well as acquire which will help sessions) and maintain a determine program positive self-concept, . effectiveness and sound decision- ` measure making skills and knowledge and/or mentor relationships skills participants ._. ac. 8 13oys & Girls �wb of Indian River County — Vero Beach Branch Grant Application to the Children's :Services Advisory Committee. Outcome # 2 : By 6/30/2008 iuvenile crime rates of enrolled 10 - 17 year old Chub Members will be less than 2 % compared to non club members which is 6 % . Baseline: 2004-2005 Indian River County statistics from the FL Department of Juvenile Justice Bureau Data. (6 % of all 10-17 year olds referred to the juvenile justice system} , . 4 6 7 Program Activities Frequency Responsible Pxpected Indicator Data Source Time of (what) (how often) ' es (wm ho) Outeoes Parti /change Measurements (where) Measurement (why) (evidence) (when) . Diversion activities (such :Daily Program Duector Members will Program Tracked in our At the end of the as games room andProgram actively participate participation Member Tracking rant cycle tournaments and outdoor Specialists in our core service records program activities) area programs Youth of the month/year Monthly andian Prggram Director MorE members will The number of Observed by staff Monthly for one year program annual and Program meet the criteria to members wha'will ' and peers celebration Specialists become eligible qualify; Program . nominees participation > records Passport to Manhood Once per week Program Director Boys will learn bow Pre & Post survey Kept in each At the end pf each 8 for 8 weeks and Program to deal with results; Feedback participants ' file _week session (mulLple Specialists becoming men and from parents, staff sessions) the responsibilities and peers therein SMART Moves Once per week Program Director. Members will learn Pre & Post survey Kept on file At the end of each 6 for 6 weeks and Program health and life skills results; Feedback w%eek 'session (multiple Specialists. ' and t Is whichwill from parents, staff sessions) enable them to avoid and peers eer ressure SMART Girls Delivered in 3 Program Director Girls will develop Pre & Post-tests, Kept on file At the end of each, , parts over 12 and :Program and' adopt a healthy An environmental 12 week session week period Specialists attitude and lifestyle, scan checklist (multiple „ as well as acquire which will help sessions) and maintain a determine program positive self-concept, . effectiveness and sound decision- ` measure making skills and knowledge and/or mentor relationships skills participants ._. ac. 8 Boys k Girls .,mb of Indian River County Vero Bcach Branch Grant Application to the Children 's Services. Advisory Committee Keystone Club/Torch Once per week Program Director Members will learn Keystone Clubs Observed. by staff At end of each Club year round and Program the process of will be chartered and tracked meeting and/or Specialists electing officers to with Boys & Girls participation activity forma Club where Clubs of America they participate in and meet their productive activities annual like running a Club requirements store. or community volunteerism 9 Boys k Girls .,mb of Indian River County Vero Bcach Branch Grant Application to the Children 's Services. Advisory Committee Keystone Club/Torch Once per week Program Director Members will learn Keystone Clubs Observed. by staff At end of each Club year round and Program the process of will be chartered and tracked meeting and/or Specialists electing officers to with Boys & Girls participation activity forma Club where Clubs of America they participate in and meet their productive activities annual like running a Club requirements store. or community volunteerism 9 Boys & Gin„ .,Iub of Indian River County Vero Beach Branch , Grant Application to the Children's Services Advisory.Comimtlee (Boxes will expand as you ty e.) Outcome #3 : By 6/30/2008 a minimum of 80% of C'luh members Parficiuiatin2 in our honnework/tutoring program will maintain or improve their grade and skilhlevel' Baseline 2nd quarter school grades compared to 3r or 4" quarter grades Program Activities Frequency Responsible " ExpectedI—ndicato 'r —J Data Source Time of - (what) (how often) Parties (who) outcomes/change Measurements (where) Measurement (why) (evidence) (when) Project Learn/Power Hour Daily during the Program Director, Members will bridge Members ' Comparing 2" Tabulated and school year; Education Director knowledge and skill performance on quarter grades to 3`d reported once per Periodically gaps by participating progress reports or 4`h quarter grades* year; progress is during the in fun, educational and report cards, monitored daily summer activities throughout Parent and teacher club programs and feedback develop members' academic, laehavioral and social skills through homework completion and S ectal tutoring ' Goals for Graduation Once per week Prpgram Director, Members develop, Rate of retention; Member Tracking Tabulated and for 12 weeks Education Director set and achieve' volunteerism;'' Software; contact reported once per . (Multiple appropriate academic Feedback from with schools; year; progress is ' sessions) goals and further schools; Feedback surveys of monitored daily their success in from participants; participants school Number of goals achieved. Goals for Growth Once per week Program Director, Young members will Rate of retention; Member Tracking Tabulated and for 10 weeks Education D rector learn how to set and volunteerism Software; contact reported once per (Multiple achieve goals Feedback from with schools; year; progress is sessions) schools; Feedback surveys of monitored daily from participants; participants Number of goals achieved. * Due to the nature of our programa, running in sessions, one during the school year gild one during the summer, some of our school year members do not attend our summer program, and therefore we are unable to obtain their 4th quarter report cards, In those cases we use their 3rd quarter results to determine outcome results '; 10 Boys & Gin„ .,Iub of Indian River County Vero Beach Branch , Grant Application to the Children's Services Advisory.Comimtlee (Boxes will expand as you ty e.) Outcome #3 : By 6/30/2008 a minimum of 80% of C'luh members Parficiuiatin2 in our honnework/tutoring program will maintain or improve their grade and skilhlevel' Baseline 2nd quarter school grades compared to 3r or 4" quarter grades Program Activities Frequency Responsible " ExpectedI—ndicato 'r —J Data Source Time of - (what) (how often) Parties (who) outcomes/change Measurements (where) Measurement (why) (evidence) (when) Project Learn/Power Hour Daily during the Program Director, Members will bridge Members ' Comparing 2" Tabulated and school year; Education Director knowledge and skill performance on quarter grades to 3`d reported once per Periodically gaps by participating progress reports or 4`h quarter grades* year; progress is during the in fun, educational and report cards, monitored daily summer activities throughout Parent and teacher club programs and feedback develop members' academic, laehavioral and social skills through homework completion and S ectal tutoring ' Goals for Graduation Once per week Prpgram Director, Members develop, Rate of retention; Member Tracking Tabulated and for 12 weeks Education Director set and achieve' volunteerism;'' Software; contact reported once per . (Multiple appropriate academic Feedback from with schools; year; progress is ' sessions) goals and further schools; Feedback surveys of monitored daily their success in from participants; participants school Number of goals achieved. Goals for Growth Once per week Program Director, Young members will Rate of retention; Member Tracking Tabulated and for 10 weeks Education D rector learn how to set and volunteerism Software; contact reported once per (Multiple achieve goals Feedback from with schools; year; progress is sessions) schools; Feedback surveys of monitored daily from participants; participants Number of goals achieved. * Due to the nature of our programa, running in sessions, one during the school year gild one during the summer, some of our school year members do not attend our summer program, and therefore we are unable to obtain their 4th quarter report cards, In those cases we use their 3rd quarter results to determine outcome results '; 10 Boys & GiII- _ , ub of Indian River Co4nly 7 Vero Beach Branch Grant Ap,pI [cation tothe Children's Seryices Advisory',;Coinmtttee . (Boxes will expand as you 0 e ) Outcome 94 : By 6/30/2008 75 % of our Club member' s parents/guardians will take an active role in their child ' s activities 1t the Club . -Baseline : 20062007 rparent/guardian attendance/participation at Club events Program Design & Task Management Evaluation Design & Data Collection (Columns 174) (Columns 5 -7) Program Activities Frequency Responsible Expected Indicator Data Source Time of (what) {how often} Parties (who) Outcomes/change Measurements (where) . Measurement (why) (evidence) (when) Family Advisory.: Once per month Branch Director : Parents will be Parent '.Kept on file by Annually Network (FAN Club) year round empowered andparticipation program families records strengthened by creating a bond between youth and their parents Family Support Initiative 4 component! Branch Director Clubs will forme Parent Kept on file by Annually program; each better collaborations participation ; program component ran with families/ records twice per year caregivers as partners in the development of their children SMART Parents 4 weekly Branch Director Parents will become Pre-tests and post- Kept on file by Upon completion of sessions partners in tests; Parent program each session (multiple prevention. participation sessions) records 11 Boys & GiII- _ , ub of Indian River Co4nly 7 Vero Beach Branch Grant Ap,pI [cation tothe Children's Seryices Advisory',;Coinmtttee . (Boxes will expand as you 0 e ) Outcome 94 : By 6/30/2008 75 % of our Club member' s parents/guardians will take an active role in their child ' s activities 1t the Club . -Baseline : 20062007 rparent/guardian attendance/participation at Club events Program Design & Task Management Evaluation Design & Data Collection (Columns 174) (Columns 5 -7) Program Activities Frequency Responsible Expected Indicator Data Source Time of (what) {how often} Parties (who) Outcomes/change Measurements (where) . Measurement (why) (evidence) (when) Family Advisory.: Once per month Branch Director : Parents will be Parent '.Kept on file by Annually Network (FAN Club) year round empowered andparticipation program families records strengthened by creating a bond between youth and their parents Family Support Initiative 4 component! Branch Director Clubs will forme Parent Kept on file by Annually program; each better collaborations participation ; program component ran with families/ records twice per year caregivers as partners in the development of their children SMART Parents 4 weekly Branch Director Parents will become Pre-tests and post- Kept on file by Upon completion of sessions partners in tests; Parent program each session (multiple prevention. participation sessions) records 11 Boys & Girls Club of Indian River County Vero Beach Branch Grant Application to the Children's. Services Advisory Committee E. = COLLABORATION (Entire Sectipn 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. ' CollaborativpA enc Resources provided to the program Indian River County School District Transportation after school from Thompson Elementary and Oslo Middle School as well as Sebastian 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 andjob placement services). Vero Beach Museum Art instruction, supplies, place to host exhibits. Youth Guidance Coordinate mentoring opportunities and encourage Youth Guidance participants to become members of the Boys & GirIs 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. Girl ScoutsVolunteers to conduct troops at the B&G Club once a week. Boys Scouts Volunteers, to conduct troops at the B&G Club once a week. Big Brothers Big Sisters Tennis mentoring program. 12 Boys & Girls Club of Indian River County Vero Beach Branch Grant Application to the Children's. Services Advisory Committee E. = COLLABORATION (Entire Sectipn 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. ' CollaborativpA enc Resources provided to the program Indian River County School District Transportation after school from Thompson Elementary and Oslo Middle School as well as Sebastian 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 andjob placement services). Vero Beach Museum Art instruction, supplies, place to host exhibits. Youth Guidance Coordinate mentoring opportunities and encourage Youth Guidance participants to become members of the Boys & GirIs 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. Girl ScoutsVolunteers to conduct troops at the B&G Club once a week. Boys Scouts Volunteers, to conduct troops at the B&G Club once a week. Big Brothers Big Sisters Tennis mentoring program. 12 Boys & Girls Club of Indian River County Vero Beach Branch - Grant Application to OieChi]dren's Services ,Advisory Committee F. UNDUPLICATED CLIENTS Number of Unduplicated Clients by Location Current Fiscal Year Location 01, Budget 2006/07LE w� 8 Unduplicated Clients Unduplicated Clients Unduplicated Clients North Indian River Co. - - _ South Indian River Co. 761 715 835 Indian River Co Total 761 715 835 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 761 715 835 Number of Unduplicated, Clients by Age Current Fiscal Year Location Budget 2006/07 0 Individual Group 0 to 47 (Pre-school) - 2 - 40 5 to 10 - (Elementary) 210 20 164 1 1 35 210 25 I I to, 14 - (Middle) 208 17 . 162 25 210 25 15 to 18 - (High School) 72 10 135 10 75 25 Total Children 490 49 361 110 495 75 19 to 59 - (Adults) 212 - 204 40 215 25 60 + (Seniors) IOF 25 TotalAdults 212 10 204 40 215 50 TOTAL SERVED 702 59 565 150 710 125 13 Boys & Girls Club of Indian River County Vero Beach Branch - Grant Application to OieChi]dren's Services ,Advisory Committee F. UNDUPLICATED CLIENTS Number of Unduplicated Clients by Location Current Fiscal Year Location 01, Budget 2006/07LE w� 8 Unduplicated Clients Unduplicated Clients Unduplicated Clients North Indian River Co. - - _ South Indian River Co. 761 715 835 Indian River Co Total 761 715 835 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 761 715 835 Number of Unduplicated, Clients by Age Current Fiscal Year Location Budget 2006/07 0 Individual Group 0 to 47 (Pre-school) - 2 - 40 5 to 10 - (Elementary) 210 20 164 1 1 35 210 25 I I to, 14 - (Middle) 208 17 . 162 25 210 25 15 to 18 - (High School) 72 10 135 10 75 25 Total Children 490 49 361 110 495 75 19 to 59 - (Adults) 212 - 204 40 215 25 60 + (Seniors) IOF 25 TotalAdults 212 10 204 40 215 50 TOTAL SERVED 702 59 565 150 710 125 13 _ Boys & Girls Clubs of Indian River County. _ Vero Beath Branch 2007-2008 CORE 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 IRCNero Beach Branch 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. filfN � � _ os a a Bud e �eMSPec J T oto/Rn NgpBudget 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 "141 ,0.00.00 4 United Way-St Lucie Court 0.00 X 0.00 b.00 5 United Way-Martin County, 0.00 . 0.00 0.00 6 United Way-Indian River County - 47 500.00 - 0.00 150,000:00 7 Department of Children & Families 0.00 0.00 0.00 8CountyFunds 000 ' 0. 00 < 0.00 - 9 ContFibutions-Cash - 2 500 00 0.00 29o,a0o.00 10ProgramFees , :. : 24,250.OD ` . 0.00 82,00000 ' 1 ' ind Raising Events-Net 10.00 229,355.00 jes to Public - Net - 0.00 0. 00 0.00 13 MembershipDues - 81500. 00 r 0.00 20,000.00 . 14 Investment Income - 0.00 ` ' r-0.00 1 600.00 15 Miscellaneous 0.00 _ 0.00.00 . 16 Legacies & 0 . Bequests 0.00 ? 0.01) 17 Funds from Other Sources 80,759.00 0.00 24264800 18 Reserve Funds Used for Operating 0.00 0.00 0.00 19 In-Kind Donations (Not in in total) 7,OOD.00 :> 000 > 24000.00 '- 20 TOTAL REVENUES �' - (doesnYincludeude•. 19) ' $ 198,509.00 $35,000.00 $ 1 127,003 00 c ' fa '�sY -., � � � t � ` .�'.5�e>ti``S �-n4 rm�Fis e � •'"� ¢ C' ,_._ "'^' em b 1� Fo 5 X $ 0014 nNa i a piTr FtiIalAZjircy r - . 21 Salaries - (must complete chart on next page) - 134,419 32 32,512 77 634 985 00 22 FICA - Total salaries 075 qual lB = 11115.402,487.2346,661 . 00 ❑ pe ,e Vemer - ' 23 staff 21474.00 0,00 36,842.00 I e eat - e Ica enta ort-term 24 Disab_. 1 11 2,512.00 0 . 00 - 42 ,582.00 or ers ompensation emp ogees x , 25 rate - - 3, 123.00 0.00 16,347. 00 on a nemp oymen - pr le ee 26 employees x $7, 000 x UCT-6` rate - - 1 ,620 . 00 0, 00 5 , 666.00 14 56rz00] _ - _ Boys & Girls Clubs of Indian River County. _ Vero Beath Branch 2007-2008 CORE 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 IRCNero Beach Branch 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. filfN � � _ os a a Bud e �eMSPec J T oto/Rn NgpBudget 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 "141 ,0.00.00 4 United Way-St Lucie Court 0.00 X 0.00 b.00 5 United Way-Martin County, 0.00 . 0.00 0.00 6 United Way-Indian River County - 47 500.00 - 0.00 150,000:00 7 Department of Children & Families 0.00 0.00 0.00 8CountyFunds 000 ' 0. 00 < 0.00 - 9 ContFibutions-Cash - 2 500 00 0.00 29o,a0o.00 10ProgramFees , :. : 24,250.OD ` . 0.00 82,00000 ' 1 ' ind Raising Events-Net 10.00 229,355.00 jes to Public - Net - 0.00 0. 00 0.00 13 MembershipDues - 81500. 00 r 0.00 20,000.00 . 14 Investment Income - 0.00 ` ' r-0.00 1 600.00 15 Miscellaneous 0.00 _ 0.00.00 . 16 Legacies & 0 . Bequests 0.00 ? 0.01) 17 Funds from Other Sources 80,759.00 0.00 24264800 18 Reserve Funds Used for Operating 0.00 0.00 0.00 19 In-Kind Donations (Not in in total) 7,OOD.00 :> 000 > 24000.00 '- 20 TOTAL REVENUES �' - (doesnYincludeude•. 19) ' $ 198,509.00 $35,000.00 $ 1 127,003 00 c ' fa '�sY -., � � � t � ` .�'.5�e>ti``S �-n4 rm�Fis e � •'"� ¢ C' ,_._ "'^' em b 1� Fo 5 X $ 0014 nNa i a piTr FtiIalAZjircy r - . 21 Salaries - (must complete chart on next page) - 134,419 32 32,512 77 634 985 00 22 FICA - Total salaries 075 qual lB = 11115.402,487.2346,661 . 00 ❑ pe ,e Vemer - ' 23 staff 21474.00 0,00 36,842.00 I e eat - e Ica enta ort-term 24 Disab_. 1 11 2,512.00 0 . 00 - 42 ,582.00 or ers ompensation emp ogees x , 25 rate - - 3, 123.00 0.00 16,347. 00 on a nemp oymen - pr le ee 26 employees x $7, 000 x UCT-6` rate - - 1 ,620 . 00 0, 00 5 , 666.00 14 56rz00] _ - 0 0 0 0 0 0 0 o 0 0 cn ,[� D 9 -� m m W o' m m m m w o v m o 3 p n m n' a y C�� x�. 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O �. � f 9if ai rS t ( H11 fit ' I i�. 0 rp7{^ad9v .� ' tom t r,5i y; &�{iino- �` • ,rt ¢'4ad., d a 8 ' Ak A a fi �4.I v wifk im x t'k i i }¢ 51877 f'dyf S� 4A i� { l "IP, Veu� i.w9 rm � JII 7 s vo y rro; a a zw �` V S:o- t { x` � t , t �Ptw ' ,q a;Y ;vrt.�i 9. rt"„"t t 1, Ifn` y '^ i "fan 3y t .i �. . 1i It ... .. 3 w ry k .0 rneC • 6r 'o' tai '� clf silit ,- 1MP u m 4x Zf Y �}., C x yrihao- if fI .;i n sIt h U }?s lI w ' ;i m t ,ern '� "!a� w m� � if lit l w 3'll � 'ttff o .i 1 �, W J t u w wif IfIN ,`Oy� yN t0 N U U Q ll°7 C U i$ 12 • �iJ -�' p ! tG O[ N N N b O YL Y C H �. o i m a �, •�' 2 -. h U, a vQ " ofm+. t m a c m W m 'm m % c kLY. N0. O O n c o m n°tiy 'L, m Wit:, nE yvl e E W ¢ m ,I if w 0 "0 o �� o ' v' tc: E ,b 9 a m ' h o _ � . if ti o ; ro C4 I If i - t.. flit, ILI It iI p � Ofoi, l O fj If pIt LO � O f, fill N d4 �� t CI- t, ,vra Cq W [ 111121 t 9 4 If till IJ I I S C to ipi,� 41f- I ILi piF T O 't k$r 1[ O t 0 s O a b O t x t o ' I a; oo "m �a'4�yti N tO� O 3 n M , O , 7 Oif � 'i� � std qJ t Y 'us O ,gniYq §'; n r� lig�iyV I It rt t rt N , f .�h, N ti � III v � a N 4I51-l " [ " nt wr t G a co m iyv " If ' m Ifl l ^' If m 4 u t nit w;e lmPl 3 of = fly y). i. `n o tM '. f bI ' llO y 1 . 4' t aj It 1' P Of q f fV TIj 'Y` f OM fif 5ak� � v714 ° htiir ; ns + [ Y "��t` '�o i r M N iY N { li � '�' C 9� 4 . O �. � f 9if ai rS t ( H11 fit ' I i�. 0 rp7{^ad9v .� ' tom t r,5i y; &�{iino- �` • ,rt ¢'4ad., d a 8 ' Ak A a fi �4.I v wifk im x t'k i i }¢ 51877 f'dyf S� 4A i� { l "IP, Veu� i.w9 rm � JII 7 s vo y rro; a a zw �` V S:o- t { x` � t , t �Ptw ' ,q a;Y ;vrt.�i 9. rt"„"t t 1, Ifn` y '^ i "fan 3y t .i �. . 1i It ... .. 3 w ry k .0 rneC • 6r 'o' tai '� clf silit ,- 1MP u m 4x Zf Y �}., C x yrihao- if fI .;i n sIt h U }?s lI w ' ;i m t ,ern '� "!a� w m� � if lit l w 3'll � 'ttff o .i 1 �, W J t u w wif IfIN ,`Oy� yN t0 N U U Q ll°7 C U i$ 12 • �iJ -�' p ! tG O[ N N N b O YL Y C H �. o i m a �, •�' 2 -. h U, a vQ " ofm+. t m a c m W m 'm m % c kLY. N0. O O n c o m n°tiy 'L, m Wit:, nE yvl e E W ¢ m ,I if w 0 "0 o �� o ' v' tc: E ,b 9 a m ' h o _ � . if ti Ev/a 6G CW If AwcmM Vw Bea S.gmN- 2007-2008 CORE GRANT APPLICATION TOTAL AGENCY BUDGET AGENCYIPROGRAM NAME: Boys & Girls Clubs of IRCNero Beach Branch FY05106 - FY 06/07 > "FY 07108 % INCREASE FYE June 30 HE June 30 FYE June 30 CURRENT VS. - NEXT FY BUDGET - ACTUAL TOTAL ' PROPOSED IC01. Ccni. Elycole REVENUES_ BUDGETED BUDGETED 1 Children'sServices CcunalS[. Lucie 0.00 ( 0.00 ". 0.00 2 Children's Services Council Martin ' 0.00 0.00 0.00 a Adviso `. Committee-Indian River - 99 655.61 . < 101 ,D00.00 111,000.00 9,90% -4 United Way-St. Lucie County - 0.00 0.00 0.00 5 United Way`-Martin County 0.00 `. 0.00 0.00 6 United Wa -Indian River County 140,000.04 142,500.00 150,000.00 5.26 7 De "artment of Children & Families 0.00 0.00 0.00 8 ounty Funds 0.00 O.OD 0.00 9 Contributions-Cash 255,568.63 264;737.110 290,400.00 . 9.69% - - 1rocinam Fees 54,894.94 83,999.00 82,000.00 ' -2.38% - - 11 Fund Raising Events-Net 179 391.07 134p377.00 229,355.00 70.66% 12 Sales to Public-Net --: 0.00 - 0.00 0.00 13 Membership Dues 16905.00 20,000.0020,000.00 0.00% 14 Investment Income 1,526.39 1600.00 . 1;600.00 0.00% 15 Miscellaneous 0.00 , 0.00 -.. 0.00 16 Legacies & Bequests ' 0.00 0.0 ', " 0.00 - 17Funds from Other Sources 223,213.45 -254,605.00 242,648.00 -4.70% " 18 Reserve Funds Used for Operating 0.00 0.00 "0.00 19[FICA -Kind Donations lNonndudedmtomq 22424.28 24000.00 24,000.00 20TAL - 971,155.13 I.0021 00 1,127,003.00 4595.85% H- 3rt'�. `4'.�.: 'Cz s 7 F T .`#A_. na . . i4 i ;lrr' V EXPENDITURES21laries 469439.11 542856.00 634985.00 16.97%22 35227.77 395800046 661.00 17.89% z3brement3i028.76 14877 00 3684200 147.64% 24e/Health4189838 36`473.00 42582.00 16.75% " 25 Workers Compensation ` 9201.08 ' . 9000.00 16,347.00 81.63% zs Florida Unem to ment - ' - 6,892,67 ' 5. 588.00 5,666.00 1 .40% 27 TravelZaily 4628.43 5500.0D . 4,500.00 -18.18% 28 Travel/Conference s/Trainin 12 097.02 12, 000.00 . . 14,000.00 16.67% 29 Office Supplies 9,272.50 " 8,060.00 8,000.00 0.00% 3C Telephone 9 317.70 9" 180.00 " : 10,000.00 8.93 3t Posta a/Shi in 4,401.13 " 3,000.00 3,000.00 0.00% 32 Utilities - ' 24452.90 25664.00 27260.00 6.22% 33 Occupancy (Building $ Grounds 103,318.041 103,307.00 ' . 61 ,120.00 -40.84% - " 34 Printing S: Publications 11,87D.311 25000.00 L 25.000.00t 0.00% 35 Subscri tlonlDues/Membershi s 14694.40 18500.00 20;000.00 - 8-116/0 36 In`surance - 36,296.441 50-087.00 67 450.D0 34.67% 37 E ui menhRental B Maintenance' 24574.16 24390.00 - 25 590.00 4.07% 38 Advertisin 50.00 ::; 0,00 0.00 39 E c ui ment Purchases;Ca ital Ex ense ' 0.00 -:` 0.00 ; 0.00 r 4c Professional Fees Le al, 'Consultin 0.00 , x: 0.00 4.00 41 Books/Educational Materials 13,,703.551 19400.00 22,000.00 15:79% 42 Food 8 Nutrition s 2 621.54 : , 3 554.00 2000.00 -43.73% a? Administrative Costs 4338.75 7000.00 ' 700000 0:00% 44 Audit Expense 71825.0 -- 8000.00 9.000-00 12.50% " 45 Specific Assistance to Individuals 0.00 ` . ;" 0.00 0.00 46 Other/Miscellaneous - 28 328.75 32 062.00 <' 38,000.00 18.52% 47 Other/Contract 15,340:70 <_ 000 0.00 ds TOTAL 920 819.09 : 1,002 818.00 _ 1 127,003.00 1238% r . .. . E2 x �ss < kC '" 'k Y. a" - ss REVENUES OVER/ UNDER EXPENDITURES 50,336.04 ' `. 0.00 0.DO 18 Wo 7 Ev/a 6G CW If AwcmM Vw Bea S.gmN- 2007-2008 CORE GRANT APPLICATION TOTAL AGENCY BUDGET AGENCYIPROGRAM NAME: Boys & Girls Clubs of IRCNero Beach Branch FY05106 - FY 06/07 > "FY 07108 % INCREASE FYE June 30 HE June 30 FYE June 30 CURRENT VS. - NEXT FY BUDGET - ACTUAL TOTAL ' PROPOSED IC01. Ccni. Elycole REVENUES_ BUDGETED BUDGETED 1 Children'sServices CcunalS[. Lucie 0.00 ( 0.00 ". 0.00 2 Children's Services Council Martin ' 0.00 0.00 0.00 a Adviso `. Committee-Indian River - 99 655.61 . < 101 ,D00.00 111,000.00 9,90% -4 United Way-St. Lucie County - 0.00 0.00 0.00 5 United Way`-Martin County 0.00 `. 0.00 0.00 6 United Wa -Indian River County 140,000.04 142,500.00 150,000.00 5.26 7 De "artment of Children & Families 0.00 0.00 0.00 8 ounty Funds 0.00 O.OD 0.00 9 Contributions-Cash 255,568.63 264;737.110 290,400.00 . 9.69% - - 1rocinam Fees 54,894.94 83,999.00 82,000.00 ' -2.38% - - 11 Fund Raising Events-Net 179 391.07 134p377.00 229,355.00 70.66% 12 Sales to Public-Net --: 0.00 - 0.00 0.00 13 Membership Dues 16905.00 20,000.0020,000.00 0.00% 14 Investment Income 1,526.39 1600.00 . 1;600.00 0.00% 15 Miscellaneous 0.00 , 0.00 -.. 0.00 16 Legacies & Bequests ' 0.00 0.0 ', " 0.00 - 17Funds from Other Sources 223,213.45 -254,605.00 242,648.00 -4.70% " 18 Reserve Funds Used for Operating 0.00 0.00 "0.00 19[FICA -Kind Donations lNonndudedmtomq 22424.28 24000.00 24,000.00 20TAL - 971,155.13 I.0021 00 1,127,003.00 4595.85% H- 3rt'�. `4'.�.: 'Cz s 7 F T .`#A_. na . . i4 i ;lrr' V EXPENDITURES21laries 469439.11 542856.00 634985.00 16.97%22 35227.77 395800046 661.00 17.89% z3brement3i028.76 14877 00 3684200 147.64% 24e/Health4189838 36`473.00 42582.00 16.75% " 25 Workers Compensation ` 9201.08 ' . 9000.00 16,347.00 81.63% zs Florida Unem to ment - ' - 6,892,67 ' 5. 588.00 5,666.00 1 .40% 27 TravelZaily 4628.43 5500.0D . 4,500.00 -18.18% 28 Travel/Conference s/Trainin 12 097.02 12, 000.00 . . 14,000.00 16.67% 29 Office Supplies 9,272.50 " 8,060.00 8,000.00 0.00% 3C Telephone 9 317.70 9" 180.00 " : 10,000.00 8.93 3t Posta a/Shi in 4,401.13 " 3,000.00 3,000.00 0.00% 32 Utilities - ' 24452.90 25664.00 27260.00 6.22% 33 Occupancy (Building $ Grounds 103,318.041 103,307.00 ' . 61 ,120.00 -40.84% - " 34 Printing S: Publications 11,87D.311 25000.00 L 25.000.00t 0.00% 35 Subscri tlonlDues/Membershi s 14694.40 18500.00 20;000.00 - 8-116/0 36 In`surance - 36,296.441 50-087.00 67 450.D0 34.67% 37 E ui menhRental B Maintenance' 24574.16 24390.00 - 25 590.00 4.07% 38 Advertisin 50.00 ::; 0,00 0.00 39 E c ui ment Purchases;Ca ital Ex ense ' 0.00 -:` 0.00 ; 0.00 r 4c Professional Fees Le al, 'Consultin 0.00 , x: 0.00 4.00 41 Books/Educational Materials 13,,703.551 19400.00 22,000.00 15:79% 42 Food 8 Nutrition s 2 621.54 : , 3 554.00 2000.00 -43.73% a? Administrative Costs 4338.75 7000.00 ' 700000 0:00% 44 Audit Expense 71825.0 -- 8000.00 9.000-00 12.50% " 45 Specific Assistance to Individuals 0.00 ` . ;" 0.00 0.00 46 Other/Miscellaneous - 28 328.75 32 062.00 <' 38,000.00 18.52% 47 Other/Contract 15,340:70 <_ 000 0.00 ds TOTAL 920 819.09 : 1,002 818.00 _ 1 127,003.00 1238% r . .. . E2 x �ss < kC '" 'k Y. a" - ss REVENUES OVER/ UNDER EXPENDITURES 50,336.04 ' `. 0.00 0.DO 18 Wo 7 3 avuesw cemaln�� owar ` , _ � � - - >.. Veo BezA 9nrcF. ' 2007-2008 CORE GRANT APPLICATION TOTAL PROGRAM BUDGET AGENCYlPROGRAM. NAME: Bo `s & Girls Clubs of IRCNero Beach Branch ' - FY 05106 FY 06/07 FY 07/D8 % INCREASE FYE June 30 "- FYEJune3D '- ' FYE June 30 - CURRENTVS. ' - NEXT FY BUDGET - A B C D ACTUAL TOTALPROPOSED ' (Col. c<m. sLcoi. B - REVENUES - BUDGETED BUDGETED -1 Children's Services Council-St. Lucie 000O.DO 0.00 2 Children's Services CouncilMartin ` . = 0.00 77' z 0.0p . 0.00 3 Advisory Committee-Indian River 38,766.16 . ` 30,000.00 35,000.00 - 16.67% 4 United Way-St. Lucie County 0.00 0.00 0.00 ` - - 5 United Way Martin County0.00 0.00 000 - - - 6United Way-Indian River County . 39999.96 47500.00 47,500.00 ' . - O.Op% 7 Department of Children & Families 0.00 .. . O.DO 0.00 a County Funds 0.00 0.00 - - 0.00 - 9 Contributions-Cash - 61899.69 0.00 2,500.00 . 10 Program Fees 15,051 .90 24250.00 - 24,250.00 0.00% 11 Fund Raising Events-Net . 819.00 O.OD 0.00 12 Sales to Public-Net 0.00 0.00 O.OD 13 Membership Dues 4770.00 8500.00 8,500.00 0.00% - . ' 14 Investment Income - 0.00 0.130 - 0.130 is MiscellaneousO:DO 0.00 0.00 : 16 Legacies & Bequests 0.00 0.00 0.00 - - 17 Funds from Other Sources 2842.38 - 75 000.00 ". 80,759.00 - ` 7.680A -19 Reserve Funds Used for Operating 0001 000 - 0.00 19 In-Kind Donations INoi inavaca to loml - 3p879-00 -7 000.00 7,000.00 0.00 - . zD TOTAL '- 109149.09 - 185250.DO 198509.00 . :. . 7.16% EXPENDITURES 21 Salaries 85721.80 94580.00 134419.32 42.12% `. xz FICA " 6 568.28 - 7 235.00 11j115.40 53.63% M Retirement 4,514.67 3080.00 2,474.00 ' -.19.68% 24 Lire/Health - 835817 -2,973.001 2,512.00 -15.51 25 Workers Compensation =' -- 11748.20 ' .1-021 .00 3,123.00 205.88% 26 Florida Unemployment 1 ,587.4h 1,719.001 1 620.00 -576% - 27 Travel Dail- : 155.23 500.001 500.00 :> - 0.00% 26 Travel/Conferences/Training 2648:44 : = 250600 350000 40.00% - 29 Office Supplies - 1,422.35 . 1400.00 800.00 42.86% 30 Telephone 1801.84 - 2020.00 r 180000 10.89% 61 Postage/Shipping673.02 ' --..0.00 ' 0.00 32 Utilities 7246.60 '6690.00 7140.00 , 6.73% 133 Occupancy Building & Grounds 32,886.28 " 28520.00 39,480.00 -. 38143% - 34 Printing & Publications '- 537.38 - ' ".1,500.00 1 ,500.001 - , 0.00% - 35 Subscription/Dues/Memberships 3121,10 ' _ . .4250.00 - 4083.00 > -3.93% 36 Insurance 6800.02 -' _' `, 6175.00 8013.00 29.77% 37E ui menbRental & Maintenance 5,814.14 ! 3!379.00 5,770.00 70.96% 36 Advertism `- _ - 0.00 10.00 0-00 - 35Equipment Purchases:Ca ital Ex onse 0.00 ' 0.06 ,700 46 Professional Fees (Legal, Consulting) ' 0.00p ., - 0.00 0.00 41 BookaJEducational Materials 3264:13 '• 8220.00 8450.00 3.050/6 ' 42 Food & Nutrition - 1p47120 " 1600.00 750.00 `. -53.13% 43 Administrative Costs 0.00 - '. 333.00 - 333.00 . 0.00% -Audit Expense 1 ,95655 ; - - ' 2000.00 2250100 .; ' . 12.50% a5 Specific Assistance to Individuals 0.00 r: 5b.00 0.00 46 Other/Miscellaneous 9027.76 : - 7500.00 13,225.00 76.33% 47 Other/Contract 0.00 " - 0.00 0.00 - ' 48TOTAL 187332.34 187171.00 252,857.72 35.09% 49 REVENUES OVER! UNDER EXPENDITURES -78,183.25 -1 ,921.00 -54,348.72 19 3 avuesw cemaln�� owar ` , _ � � - - >.. Veo BezA 9nrcF. ' 2007-2008 CORE GRANT APPLICATION TOTAL PROGRAM BUDGET AGENCYlPROGRAM. NAME: Bo `s & Girls Clubs of IRCNero Beach Branch ' - FY 05106 FY 06/07 FY 07/D8 % INCREASE FYE June 30 "- FYEJune3D '- ' FYE June 30 - CURRENTVS. ' - NEXT FY BUDGET - A B C D ACTUAL TOTALPROPOSED ' (Col. c<m. sLcoi. B - REVENUES - BUDGETED BUDGETED -1 Children's Services Council-St. Lucie 000O.DO 0.00 2 Children's Services CouncilMartin ` . = 0.00 77' z 0.0p . 0.00 3 Advisory Committee-Indian River 38,766.16 . ` 30,000.00 35,000.00 - 16.67% 4 United Way-St. Lucie County 0.00 0.00 0.00 ` - - 5 United Way Martin County0.00 0.00 000 - - - 6United Way-Indian River County . 39999.96 47500.00 47,500.00 ' . - O.Op% 7 Department of Children & Families 0.00 .. . O.DO 0.00 a County Funds 0.00 0.00 - - 0.00 - 9 Contributions-Cash - 61899.69 0.00 2,500.00 . 10 Program Fees 15,051 .90 24250.00 - 24,250.00 0.00% 11 Fund Raising Events-Net . 819.00 O.OD 0.00 12 Sales to Public-Net 0.00 0.00 O.OD 13 Membership Dues 4770.00 8500.00 8,500.00 0.00% - . ' 14 Investment Income - 0.00 0.130 - 0.130 is MiscellaneousO:DO 0.00 0.00 : 16 Legacies & Bequests 0.00 0.00 0.00 - - 17 Funds from Other Sources 2842.38 - 75 000.00 ". 80,759.00 - ` 7.680A -19 Reserve Funds Used for Operating 0001 000 - 0.00 19 In-Kind Donations INoi inavaca to loml - 3p879-00 -7 000.00 7,000.00 0.00 - . zD TOTAL '- 109149.09 - 185250.DO 198509.00 . :. . 7.16% EXPENDITURES 21 Salaries 85721.80 94580.00 134419.32 42.12% `. xz FICA " 6 568.28 - 7 235.00 11j115.40 53.63% M Retirement 4,514.67 3080.00 2,474.00 ' -.19.68% 24 Lire/Health - 835817 -2,973.001 2,512.00 -15.51 25 Workers Compensation =' -- 11748.20 ' .1-021 .00 3,123.00 205.88% 26 Florida Unemployment 1 ,587.4h 1,719.001 1 620.00 -576% - 27 Travel Dail- : 155.23 500.001 500.00 :> - 0.00% 26 Travel/Conferences/Training 2648:44 : = 250600 350000 40.00% - 29 Office Supplies - 1,422.35 . 1400.00 800.00 42.86% 30 Telephone 1801.84 - 2020.00 r 180000 10.89% 61 Postage/Shipping673.02 ' --..0.00 ' 0.00 32 Utilities 7246.60 '6690.00 7140.00 , 6.73% 133 Occupancy Building & Grounds 32,886.28 " 28520.00 39,480.00 -. 38143% - 34 Printing & Publications '- 537.38 - ' ".1,500.00 1 ,500.001 - , 0.00% - 35 Subscription/Dues/Memberships 3121,10 ' _ . .4250.00 - 4083.00 > -3.93% 36 Insurance 6800.02 -' _' `, 6175.00 8013.00 29.77% 37E ui menbRental & Maintenance 5,814.14 ! 3!379.00 5,770.00 70.96% 36 Advertism `- _ - 0.00 10.00 0-00 - 35Equipment Purchases:Ca ital Ex onse 0.00 ' 0.06 ,700 46 Professional Fees (Legal, Consulting) ' 0.00p ., - 0.00 0.00 41 BookaJEducational Materials 3264:13 '• 8220.00 8450.00 3.050/6 ' 42 Food & Nutrition - 1p47120 " 1600.00 750.00 `. -53.13% 43 Administrative Costs 0.00 - '. 333.00 - 333.00 . 0.00% -Audit Expense 1 ,95655 ; - - ' 2000.00 2250100 .; ' . 12.50% a5 Specific Assistance to Individuals 0.00 r: 5b.00 0.00 46 Other/Miscellaneous 9027.76 : - 7500.00 13,225.00 76.33% 47 Other/Contract 0.00 " - 0.00 0.00 - ' 48TOTAL 187332.34 187171.00 252,857.72 35.09% 49 REVENUES OVER! UNDER EXPENDITURES -78,183.25 -1 ,921.00 -54,348.72 19 Boys 8 GMs Clubs of Intl an Myer County Vero Beach l ands - 2007-2008 CORE GRANT APPLICATION FUNDER SPECIFIC BUDGET PROGRAM EXPENSES AGENCY/PROGRAM NAME : Boys & Girls Clubs of IRCNero Beach Branch FUNDER : Children's Services Advisory Committee . A B ' C FY 07/08 FY 07108 % OF TOTAL FUNDER . - TOTAL VS. PROGRAM - SPECIFIC - FUNDER REQUEST BUDGET BUDGET (Col. B/col . A) EXPENDITURES 21 Salaries 134,419.32 32,512.77 24. 19% 22 FICA 11 , 115.40 2,487.23 122. 38% 23 Retirement ` 2,474..00 0100 0.00% 24 Life/Health 2,512:00 0.00 0.00% 25 Workers Compensation 3,123.00 0.00 0. 00% 28 Florida Unemployment 19620.00 0.00 0.00% 27 Travel-Daily 500.00 0.00 0 .00% 28 Travel/ConferenceslTranin 31500.00 0.00 0.00% 29 Office Supplies 800.00 0.00 0. 00% ' 30 Telephone 1 ,800.00 0.00 0.00% 31 Postage/Shipping 0.00 0.00 #DIV/0! 32 Utilities 7,140.00 0.00 0.00% 33 Occupancy (Building & Grounds 39,480,00 0.00 0. 00% 34 Printing & Publications 1 ,500.00 0,00 0.00% 35 Subscription/Dues/Memberships 4,083.00 0.00 0.00% 36 Insurance 8,013.00 0.00 0.00% 37 E ul ment: Rental & Maintenance 5,770.00 0.00 0.00°/a 38 Advertising0.00 . 1 10. 00 #DIV/0 ! 39 Equipment Purchases:Ca LLital Expense . 0.00 0.00 #DIV/0! 4o Professional Fees Le al, Consulting ) 0.00 . 0.00 #DMO[ 41 Books/Educational Materials ' 8,450.00 0.00 0.00% 42 Food- & Nutrition 750.60 0.00 0.00% 43 Administrative Costs 333.00 0.00 0.00%e 44 Audit Expense 2,250.00 0.00 0. 00% 45 S ecific Assistance to Individuals 0:00 0.00 #DIV/O ! 46 Other/Miscellaneous 13.225.001 0.00 0.00% 47 Other/Contract 0..001 0.00 #DIV/01 48 TOTAL $252,857.72 $35,000.00 13. 840%/o _ 20 5)712007. - Boys 8 GMs Clubs of Intl an Myer County Vero Beach l ands - 2007-2008 CORE GRANT APPLICATION FUNDER SPECIFIC BUDGET PROGRAM EXPENSES AGENCY/PROGRAM NAME : Boys & Girls Clubs of IRCNero Beach Branch FUNDER : Children's Services Advisory Committee . A B ' C FY 07/08 FY 07108 % OF TOTAL FUNDER . - TOTAL VS. PROGRAM - SPECIFIC - FUNDER REQUEST BUDGET BUDGET (Col. B/col . A) EXPENDITURES 21 Salaries 134,419.32 32,512.77 24. 19% 22 FICA 11 , 115.40 2,487.23 122. 38% 23 Retirement ` 2,474..00 0100 0.00% 24 Life/Health 2,512:00 0.00 0.00% 25 Workers Compensation 3,123.00 0.00 0. 00% 28 Florida Unemployment 19620.00 0.00 0.00% 27 Travel-Daily 500.00 0.00 0 .00% 28 Travel/ConferenceslTranin 31500.00 0.00 0.00% 29 Office Supplies 800.00 0.00 0. 00% ' 30 Telephone 1 ,800.00 0.00 0.00% 31 Postage/Shipping 0.00 0.00 #DIV/0! 32 Utilities 7,140.00 0.00 0.00% 33 Occupancy (Building & Grounds 39,480,00 0.00 0. 00% 34 Printing & Publications 1 ,500.00 0,00 0.00% 35 Subscription/Dues/Memberships 4,083.00 0.00 0.00% 36 Insurance 8,013.00 0.00 0.00% 37 E ul ment: Rental & Maintenance 5,770.00 0.00 0.00°/a 38 Advertising0.00 . 1 10. 00 #DIV/0 ! 39 Equipment Purchases:Ca LLital Expense . 0.00 0.00 #DIV/0! 4o Professional Fees Le al, Consulting ) 0.00 . 0.00 #DMO[ 41 Books/Educational Materials ' 8,450.00 0.00 0.00% 42 Food- & Nutrition 750.60 0.00 0.00% 43 Administrative Costs 333.00 0.00 0.00%e 44 Audit Expense 2,250.00 0.00 0. 00% 45 S ecific Assistance to Individuals 0:00 0.00 #DIV/O ! 46 Other/Miscellaneous 13.225.001 0.00 0.00% 47 Other/Contract 0..001 0.00 #DIV/01 48 TOTAL $252,857.72 $35,000.00 13. 840%/o _ 20 5)712007. - eonaam. cu4 of YBran grvercau„y " eo B®cp Branch 2007-2008 CORE GRANT APPLICATION - EXPLANATION FOR VARIANCES OF IS% OR MORE: TOTAL PROGRAM BUDGET AGENCY/PROGRAM NAME: Boys & Girls Clubs of IRCfVero- Beach Branch FUNDER: Children's Services Advisory Committee - We are requesting atld11, i d funds to help offset the vests of adding new part-time positrons to each Club as well as raising partlime Advisory Committee-Indian Rider hourly wages to aid in recruitment and retention of quality staff: We have atlded new part-time positions to each Club as well as raised part-time hourly wages to aW m recmHment and - Salaries - -. quaretention oflity staff? We have added new part-time positions to each Club as well as raised part-lime hourly wages to aid in recruitment and retention of FICA quality slat(. We have added new part-time positions to each Club as well Yorkers Compensation quality staff. as raised part-time hourly wages to aid in recruitment and retention of ' Tradel/ConferenceslTramin We have significantly increased ourtraming budget to ensure quality training opportunities for current and new staff, - Occu ' anc Buildin & Grounds Added lanitonal services Insurance - When we researched the market, insurance costs for the next year for our type of program are expected to increase about this much E ui mentRental & Maintenance Entered new cop�erlease. Other/Miscellaneous We have increased allocations for Ctu6 speGafevent, stat€ recruNng, eic 21 =¢nom eonaam. cu4 of YBran grvercau„y " eo B®cp Branch 2007-2008 CORE GRANT APPLICATION - EXPLANATION FOR VARIANCES OF IS% OR MORE: TOTAL PROGRAM BUDGET AGENCY/PROGRAM NAME: Boys & Girls Clubs of IRCfVero- Beach Branch FUNDER: Children's Services Advisory Committee - We are requesting atld11, i d funds to help offset the vests of adding new part-time positrons to each Club as well as raising partlime Advisory Committee-Indian Rider hourly wages to aid in recruitment and retention of quality staff: We have atlded new part-time positions to each Club as well as raised part-time hourly wages to aW m recmHment and - Salaries - -. quaretention oflity staff? We have added new part-time positions to each Club as well as raised part-lime hourly wages to aid in recruitment and retention of FICA quality slat(. We have added new part-time positions to each Club as well Yorkers Compensation quality staff. as raised part-time hourly wages to aid in recruitment and retention of ' Tradel/ConferenceslTramin We have significantly increased ourtraming budget to ensure quality training opportunities for current and new staff, - Occu ' anc Buildin & Grounds Added lanitonal services Insurance - When we researched the market, insurance costs for the next year for our type of program are expected to increase about this much E ui mentRental & Maintenance Entered new cop�erlease. Other/Miscellaneous We have increased allocations for Ctu6 speGafevent, stat€ recruNng, eic 21 =¢nom 9,546 QM Clu% If1 rz RIW County Vemaeacil &5ncp 2007-2008 CORE GRANT APPLICATION EXPLANATION FOR VARIANCES OF 15% OR MORE - ' FUNDER SPECIFIC BUDGET - - .GENCYIPROGRAM NAME: Boys & Girls Clubs of IRCNero Beach Branch FUNDER: Children's Services Advisory Committee . . _ `` ..3�. . r Salaries Our request is for the funding pad of our Branch Director and Education Director's salary/benefits for which ine porton of this line Item - charged off to this grant would be 22.38% of the line Hem's budget. Our request is for thefuntling part of our Branch Director and Education Directors salaryfbenefas for which the portion of this line Item FICA charged off to this grant would be 22.38% of the !in, hem's budget. - #DIV/O! . ' #DIV/0I #DNf01 #DIV/0! #DIV/01 - 22 9,546 QM Clu% If1 rz RIW County Vemaeacil &5ncp 2007-2008 CORE GRANT APPLICATION EXPLANATION FOR VARIANCES OF 15% OR MORE - ' FUNDER SPECIFIC BUDGET - - .GENCYIPROGRAM NAME: Boys & Girls Clubs of IRCNero Beach Branch FUNDER: Children's Services Advisory Committee . . _ `` ..3�. . r Salaries Our request is for the funding pad of our Branch Director and Education Director's salary/benefits for which ine porton of this line Item - charged off to this grant would be 22.38% of the line Hem's budget. Our request is for thefuntling part of our Branch Director and Education Directors salaryfbenefas for which the portion of this line Item FICA charged off to this grant would be 22.38% of the !in, hem's budget. - #DIV/O! . ' #DIV/0I #DNf01 #DIV/0! #DIV/01 - 22 Boys & Girls Club of Indian River County Vero Beach Branch - Grant Application to.the Children's Services Advisory Committee H. FUNDER SPECIFIC REQUIREMENTS MEASURABLE OUTCOMES FOR LAST YEAR. ( This section not to exceed two pages) Note period outcomes/results reflect:. October 1, 2005 — September 30, 2006. FY005-06 OUTCOMES Program Results 1 . To increase average daily attendance of • We consistently had a waiting list South County Branch club members by at this Club, therefore we did not 6% (from 70-75) as reported by the distribute flyers . 2005 -2006 year end average daily • $35 . 00 annual membership fee attendance totals . Baseline : 2004-2005 offered. average daily attendance totals . . Transportation provided by Indian Goal Met - Average Daily River County School District. , Attendance from October 15t through September 30th was 80 . 8 . 2. To maintain juvenile crime rates of • Daily diversion activities offered at enrolled 10 - 17 year old Club Members Clubs each day. Include indoor n/o to less than 3compared to non club and outdoor games, arts and crafts members which is 10% as reported by activities, and teen room activities . the 2001 -2002 juvenile arrests Eligible, deserving 14 year olds Baseline: 2001 -2002 Indian River nominated for youth of the Month, County statistics from the FL beginning nomination process for Department of Juvenile Justice Bureau Youth of the Year. Data. ( 10% of all 10- 17 year olds) i Keystone Club implemented on a referred to the juvenile justice system. regular basis during the school' year. Goal Met - Less than 1 % of • Torch Club implemented on a South County Club members regular basis during the school were involved in juvenile crime. year. (This statistic does not include Passport to Manhood Program members who were referred to conducted. us by the juvenile justice system SMART Moyes program offered in in the last year and became Club weekly sessions. members upon referral .) SMART Girls Program offered over 10 weekly sessions. Elements of several of our national programs fulfill this requirement. • Safe Space eliminated the position of the person who used to run this program; we are currently seeking out alternatives. • Safe Space eliminated the position of the person who used to run this program; we are currently seeking 23 Boys & Girls Club of Indian River County Vero Beach Branch - Grant Application to.the Children's Services Advisory Committee H. FUNDER SPECIFIC REQUIREMENTS MEASURABLE OUTCOMES FOR LAST YEAR. ( This section not to exceed two pages) Note period outcomes/results reflect:. October 1, 2005 — September 30, 2006. FY005-06 OUTCOMES Program Results 1 . To increase average daily attendance of • We consistently had a waiting list South County Branch club members by at this Club, therefore we did not 6% (from 70-75) as reported by the distribute flyers . 2005 -2006 year end average daily • $35 . 00 annual membership fee attendance totals . Baseline : 2004-2005 offered. average daily attendance totals . . Transportation provided by Indian Goal Met - Average Daily River County School District. , Attendance from October 15t through September 30th was 80 . 8 . 2. To maintain juvenile crime rates of • Daily diversion activities offered at enrolled 10 - 17 year old Club Members Clubs each day. Include indoor n/o to less than 3compared to non club and outdoor games, arts and crafts members which is 10% as reported by activities, and teen room activities . the 2001 -2002 juvenile arrests Eligible, deserving 14 year olds Baseline: 2001 -2002 Indian River nominated for youth of the Month, County statistics from the FL beginning nomination process for Department of Juvenile Justice Bureau Youth of the Year. Data. ( 10% of all 10- 17 year olds) i Keystone Club implemented on a referred to the juvenile justice system. regular basis during the school' year. Goal Met - Less than 1 % of • Torch Club implemented on a South County Club members regular basis during the school were involved in juvenile crime. year. (This statistic does not include Passport to Manhood Program members who were referred to conducted. us by the juvenile justice system SMART Moyes program offered in in the last year and became Club weekly sessions. members upon referral .) SMART Girls Program offered over 10 weekly sessions. Elements of several of our national programs fulfill this requirement. • Safe Space eliminated the position of the person who used to run this program; we are currently seeking out alternatives. • Safe Space eliminated the position of the person who used to run this program; we are currently seeking 23 Boys &Girls Club of Indian River County Verb Beach Branch . - Grant Appli=ion to Me Children's services Advisory Committee out. alternatives. 3 . Increase/improve grade and skill levelsProvided daily homework help. of no less than 25 % of Club members Provided good grade party to participating in the South County celebrate school performance Branch Power Hour program by June improvements. 305 2005- Baseline : 1st quarter school Kept in contact with teachers of grades compared to 4th quarter grades. students identified as having _ Goal Met- 75 % of members who trouble (by parents and teachers) participated in our Power Hour and additional supports was program 3 o more times per week initiated. increased/ maintained their • Implemented a peer leader tirade/skill level . homework and tutoring program 5 days a week during the school year. • Goals for Graduation program continued; teaching members with goal-setting sessions, to create an action plan with daily and weekly goals, and to learn to make short and long term goals. • Goals for Growth program continued throughout the school year. • Job Ready was continued during the summer • Career Launch program continued throughout the school year. Daily access to computers improved technology competency. 4 . Maintain 100% parent involvement of • Seasonal activities, events and services Cluh members in the South County were provided throughout the year. - Branch (195) as reported by the 2005- e Implemented aFAN Club of 6-8 2006 , Parent attendance at Club events . parents which met 8 times during the Baseline: 2004-2005 Parents attendance , grant year. at Club. Surveyed the parents, tallied the results and used their feedback to help plan for the coming year' s programs. Goal Met - 100% ofparents/ households participated in at least one activity/event/ orientation during the grant year. 24 Boys &Girls Club of Indian River County Verb Beach Branch . - Grant Appli=ion to Me Children's services Advisory Committee out. alternatives. 3 . Increase/improve grade and skill levelsProvided daily homework help. of no less than 25 % of Club members Provided good grade party to participating in the South County celebrate school performance Branch Power Hour program by June improvements. 305 2005- Baseline : 1st quarter school Kept in contact with teachers of grades compared to 4th quarter grades. students identified as having _ Goal Met- 75 % of members who trouble (by parents and teachers) participated in our Power Hour and additional supports was program 3 o more times per week initiated. increased/ maintained their • Implemented a peer leader tirade/skill level . homework and tutoring program 5 days a week during the school year. • Goals for Graduation program continued; teaching members with goal-setting sessions, to create an action plan with daily and weekly goals, and to learn to make short and long term goals. • Goals for Growth program continued throughout the school year. • Job Ready was continued during the summer • Career Launch program continued throughout the school year. Daily access to computers improved technology competency. 4 . Maintain 100% parent involvement of • Seasonal activities, events and services Cluh members in the South County were provided throughout the year. - Branch (195) as reported by the 2005- e Implemented aFAN Club of 6-8 2006 , Parent attendance at Club events . parents which met 8 times during the Baseline: 2004-2005 Parents attendance , grant year. at Club. Surveyed the parents, tallied the results and used their feedback to help plan for the coming year' s programs. Goal Met - 100% ofparents/ households participated in at least one activity/event/ orientation during the grant year. 24 Boys &Girls Club of Indian River County VerpBeach Branch Grant Application to the Children's Services-Advisory Committee SUPPORTING DOCUMENTS CHECKLIST RFP 2007043 ✓ Cover Page ✓ Application List of current officers and directors ✓ Latest Financial Audit Report & Management Letter that conforms with the AICPA Audit Guide ✓ Most recent IRS Form 990, including all schedules ✓ Most recent Internal Financial Statement (i . e . : Balance Sheet and Operating Budget ✓ Staff Organizational Chart ✓ Most Recent Annual Report (if available) ✓ 501 (C) (3) IRS Exemption Letter ✓ Articles of Incorporation ✓ r Agency's Bylaws ✓ ` Agency' s written policy regarding Affirmative Action ✓ Agency's survey/testing materials ✓ Nepotism Statement for Agency ✓ 'I Taxonomy Definition for each program 25 Boys &Girls Club of Indian River County VerpBeach Branch Grant Application to the Children's Services-Advisory Committee SUPPORTING DOCUMENTS CHECKLIST RFP 2007043 ✓ Cover Page ✓ Application List of current officers and directors ✓ Latest Financial Audit Report & Management Letter that conforms with the AICPA Audit Guide ✓ Most recent IRS Form 990, including all schedules ✓ Most recent Internal Financial Statement (i . e . : Balance Sheet and Operating Budget ✓ Staff Organizational Chart ✓ Most Recent Annual Report (if available) ✓ 501 (C) (3) IRS Exemption Letter ✓ Articles of Incorporation ✓ r Agency's Bylaws ✓ ` Agency' s written policy regarding Affirmative Action ✓ Agency's survey/testing materials ✓ Nepotism Statement for Agency ✓ 'I Taxonomy Definition for each program 25 EXHIBIT B [From policy adopted by Indian River County Board of County Commissioners on February 19 , 2002] " D. Nonprofit Agency Responsibilities After Award of Funding Indian River County provides funding to all nonprofit agencies on a reimbursement basis only. All reimbursable expenses must be documented by an invoice and/or a copy of the canceled check. Any expense not documented properly to the satisfaction of the Office of Management & Budget and/or the County Administrator may not be reimbursed . If an agency repeatedly fails to provide adequate documentation , this may be reported to the Board of Commissioners . In the event an agency provides inadequate documentation on a consistent basis , funding may be discontinued immediately. Additionally, this may adversely affect future funding requests. Expenditures may only be reimbursed from the fiscal year for which funding was awarded . For example, no expenditures prior to October 1s` may be reimbursed with funds from the following year. Additionally, if any funds are unexpended at the end of a fiscal year, these funds are not carried over to the next year unless expressly authorized by the Board of Commissioners . All requests for reimbursement at fiscal year end (September 30`") must be submitted on a timely basis. Each year, the Office of Management & 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 expenses by type . These summaries should be broken down into salaries, benefits , 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." 1 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, Indian River County Human Services Director 1801 27'" Street, Vero Beach , Florida 32960. Recipient: Boys & Girls Clubs of Indian River County P . O . Box 643068 , Vero Beach , Florida 32964 ; Attention : Ronnie Hewett, Director 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 term and provision 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 the context indicates otherwise, words importing the singular number include the plural number, and vice 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. 1 EXHIBIT B [From policy adopted by Indian River County Board of County Commissioners on February 19 , 2002] " D. Nonprofit Agency Responsibilities After Award of Funding Indian River County provides funding to all nonprofit agencies on a reimbursement basis only. All reimbursable expenses must be documented by an invoice and/or a copy of the canceled check. Any expense not documented properly to the satisfaction of the Office of Management & Budget and/or the County Administrator may not be reimbursed . If an agency repeatedly fails to provide adequate documentation , this may be reported to the Board of Commissioners . In the event an agency provides inadequate documentation on a consistent basis , funding may be discontinued immediately. Additionally, this may adversely affect future funding requests. Expenditures may only be reimbursed from the fiscal year for which funding was awarded . For example, no expenditures prior to October 1s` may be reimbursed with funds from the following year. Additionally, if any funds are unexpended at the end of a fiscal year, these funds are not carried over to the next year unless expressly authorized by the Board of Commissioners . All requests for reimbursement at fiscal year end (September 30`") must be submitted on a timely basis. Each year, the Office of Management & 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 expenses by type . These summaries should be broken down into salaries, benefits , 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." 1 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, Indian River County Human Services Director 1801 27'" Street, Vero Beach , Florida 32960. Recipient: Boys & Girls Clubs of Indian River County P . O . Box 643068 , Vero Beach , Florida 32964 ; Attention : Ronnie Hewett, Director 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 term and provision 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 the context indicates otherwise, words importing the singular number include the plural number, and vice 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. 1 ACORDM CERTIFICATE OF LIABILITY INSURANCE io/`23/20 7I PRODUCER (772 ) 231 - 2828 FAX (772) 231 - 4413 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Felten & Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 2911 Cardinal Drive (32963) ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P . O . Box 3488 Vero Beach , FL 32964 - 3488 INSURERS AFFORDING COVERAGE NAIC # INSURED Boys & Girls Club of Indian River County , Inc . INSURER A. Philadelphia Indemnity Ins Co P . O . Box 3068 INSURERS. Florida Retail Federation _ Vero Beach , FL 32964 - 3068 INSURER C. INSURERD'. INI 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 B1 EN REDUCED BY PAID CLAIMS. INSR DD' DATE (Mi TYRE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE fMMI LIMITS GENERAL LIABILITY PHPK206195 09/13/2007 09/13/ 2006 EACH OCCURRENCE S 19000900 X COMMERCIALGENERALLIABILITY DAMAGE TO RENTEDS 169966 PRFMINFR UFA re ry4 GLA MS MADE FX] OCCUR MED EXP (Any one person) S 5 , 00 A PERSONAL & ADVINJURY $ 19000900 GENERAL AGGREGATE S 39000900 GE NT ASGREGFTE _IMIT APPI. IEi PER-. PRODUCTS - CCMPIOP AGO S 3 , 966 , 66 i10 Cr PRO- LOC _LCT AUTOMOBILE LIABILITY COMBINED S.NGLE UVIT ANYAUTO (Ea accident) S ALL O W NEU ALTOS BODILY I N-JRY SCHEDULED AUTOS (Per person) S HIRED AUTOS BODILY IN. JRY NON-OVr'NFi) AUTOS (Per accident) S _ PROPERTY DAMAGE S -- (Per accident) GARAGE LIABILITY AUTOONLY - EAACCIUENT $ ANYAUTO OTHER THAN EA ACC $ - - AUTO ON'_'I AGO S E%CESSIUMBRELLA LIABILITY EACH OCCURRENCE 5 OCCUR ❑ ' AIMS MADE AGGREGATE 5 DEDUCTIBLE S RE TLNTION S S WORKERS COMPENSATION AND 520 - 25964 09/13/ 2907 09/13/2009 VJC STA?LI- X OTH- EMPLOYERS' LIABILITY B ANY PROPR FTDRPARTNERIEXFCUT VF EL. EACH ACCIDENT 8 $99 , 69 OFFICERIML MBER EXCLUDEDn ELDISEASE - EAEMPLOYE $ $00509 II yes, dedcr be under SPECIAL PROVISIONS below I ELDISEASE - POLICY LIMIT I $ $09 , 99 OTHER PHPK206195 09/13/2007 09 /13/2008 51 , 000 , 000 Occurrence rofessional Liability p $3 , 000 , 000 Aggregate DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS 'ertificate Holder is Named Additional Insured CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Indian River County Board of County Commissioners BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 1840 - 25th Street OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. Vero Beach , FL 32960 AUTHORIZED REPRESENTATIVE Kenneth D . Felten , LUTCF ACORD 25 (2001108) ©ACORD CORPORATION 1988 PDF created with FinePrint pdfFactory Pro trial version http : //www . pdffactory . com 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 she 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) PDF created with FinePrint pdfFactory Pro trial version http : //www . pdffactory . com ACORDM CERTIFICATE OF LIABILITY INSURANCE io/`23/20 7I PRODUCER (772 ) 231 - 2828 FAX (772) 231 - 4413 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Felten & Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 2911 Cardinal Drive (32963) ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P . O . Box 3488 Vero Beach , FL 32964 - 3488 INSURERS AFFORDING COVERAGE NAIC # INSURED Boys & Girls Club of Indian River County , Inc . INSURER A. Philadelphia Indemnity Ins Co P . O . Box 3068 INSURERS. Florida Retail Federation _ Vero Beach , FL 32964 - 3068 INSURER C. INSURERD'. INI 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 B1 EN REDUCED BY PAID CLAIMS. INSR DD' DATE (Mi TYRE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE fMMI LIMITS GENERAL LIABILITY PHPK206195 09/13/2007 09/13/ 2006 EACH OCCURRENCE S 19000900 X COMMERCIALGENERALLIABILITY DAMAGE TO RENTEDS 169966 PRFMINFR UFA re ry4 GLA MS MADE FX] OCCUR MED EXP (Any one person) S 5 , 00 A PERSONAL & ADVINJURY $ 19000900 GENERAL AGGREGATE S 39000900 GE NT ASGREGFTE _IMIT APPI. IEi PER-. PRODUCTS - CCMPIOP AGO S 3 , 966 , 66 i10 Cr PRO- LOC _LCT AUTOMOBILE LIABILITY COMBINED S.NGLE UVIT ANYAUTO (Ea accident) S ALL O W NEU ALTOS BODILY I N-JRY SCHEDULED AUTOS (Per person) S HIRED AUTOS BODILY IN. JRY NON-OVr'NFi) AUTOS (Per accident) S _ PROPERTY DAMAGE S -- (Per accident) GARAGE LIABILITY AUTOONLY - EAACCIUENT $ ANYAUTO OTHER THAN EA ACC $ - - AUTO ON'_'I AGO S E%CESSIUMBRELLA LIABILITY EACH OCCURRENCE 5 OCCUR ❑ ' AIMS MADE AGGREGATE 5 DEDUCTIBLE S RE TLNTION S S WORKERS COMPENSATION AND 520 - 25964 09/13/ 2907 09/13/2009 VJC STA?LI- X OTH- EMPLOYERS' LIABILITY B ANY PROPR FTDRPARTNERIEXFCUT VF EL. EACH ACCIDENT 8 $99 , 69 OFFICERIML MBER EXCLUDEDn ELDISEASE - EAEMPLOYE $ $00509 II yes, dedcr be under SPECIAL PROVISIONS below I ELDISEASE - POLICY LIMIT I $ $09 , 99 OTHER PHPK206195 09/13/2007 09 /13/2008 51 , 000 , 000 Occurrence rofessional Liability p $3 , 000 , 000 Aggregate DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS 'ertificate Holder is Named Additional Insured CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Indian River County Board of County Commissioners BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 1840 - 25th Street OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. Vero Beach , FL 32960 AUTHORIZED REPRESENTATIVE Kenneth D . Felten , LUTCF ACORD 25 (2001108) ©ACORD CORPORATION 1988 PDF created with FinePrint pdfFactory Pro trial version http : //www . pdffactory . com 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 she 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) PDF created with FinePrint pdfFactory Pro trial version http : //www . pdffactory . com