HomeMy WebLinkAbout2007-308V . '10
I
Indian River County Grant Contract
cl /61 ,�- lam
This Grant Contract ("Contract" ) entered into effective this day of S�ete;er 2007 by
and between Indian River County, a political subdivision of The State of Florida , 1801 27th
Street, Vero Beach FL , 32960 ("County" ) and Hibiscus Children 's Center, (Recipient) ; of:
P . O . Box 305 , Jensen Beach , FL 34958 r
For: ( Hibiscus) HOPE 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") .
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 .
- 1 -
. '10
I
Indian River County Grant Contract
cl /61 ,�- lam
This Grant Contract ("Contract" ) entered into effective this day of S�ete;er 2007 by
and between Indian River County, a political subdivision of The State of Florida , 1801 27th
Street, Vero Beach FL , 32960 ("County" ) and Hibiscus Children 's Center, (Recipient) ; of:
P . O . Box 305 , Jensen Beach , FL 34958 r
For: ( Hibiscus) HOPE 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") .
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 .
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4 . Grant Funds and Payment The approved Grant for the Grant Period is Nine Thousand ,
Six Hundred Dollars ($9,600) . 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.
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4 . Grant Funds and Payment The approved Grant for the Grant Period is Nine Thousand ,
Six Hundred Dollars ($9,600) . 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
omissions of the Recipient, its agents , officers , or employees in connection with the
performance of this Contract.
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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. Barto Clerk BOARD OF COUNTYtOMM MONERS
By :.
Deputy CrerkZ By
Gary . Wheeler, Chdirma}n -
BCC Approved : fY
pproved :
seph Baird
ounty Administrator
r ed alto form and legal sufficiency:
Marian E . Fell , Assistafft County Attorney
RECIPIEEN�T:
By: —e '
0:5 0
HIBISCUS CHILDREN ' S CENTERI
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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
omissions of the Recipient, its agents , officers , or employees in connection with the
performance of this Contract.
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EXHIBIT A
[Copy of complete proposal/application]
` Hibiscus Children's Center — HOPE Program (Healthy Opportunities for Parenting Excellence)
Indian River County Children's services Advisory Committee
PROGRAM COVER PAGE
�J �
Organization Name: Hibiscus Children' s Center
Executive Director: Cliff Whitehill E-mail: lwynne(a)hcc4kids .org
Address: Post Office Box 305 Telephone : 772-334-9311x101
Jensen Beach, FL 34958 Fax: 772-334- 1991
Program Director: Kathryn Garbowski E-mail: kgarbowski@bcc4kids .org
Address: Post Office Box 305 Telephone: 772-334-9311x801
Jensen Beach, FL 34958 Fax: 772-334- 1991
Taxonomy FN-150. 190-15
Program Title: _ HOPE Program (Healthy pportunities for Parenting Excellence)_
Priority Need Area Addressed: Mental Health, Parental Support & Education
Brief Description of the Program: The HOPE Program is an intensive in-home family preservation
program for families referred through the child dependency system. HOPE targets families who are in
the process of high risk reunification of children with their families of origin. By working with
parents and children in their own environment HOPE helps them resolve the crisis that has led to
abuse — and keep them together safely as a family. The goal of the HOPE program is to help remove
the risk in the family and not the child from the family making reunification successful.
SUMMARY REPORT — (Enter Information In The Black Cells Only)
Amount Requested from Funder for 2007 /08 : $ 95984 . 00
Total Proposed Program Budget for 2007 /08 : $ 301 , 667 . 00
Percent of Total Program Budget : 3 . 3 %
Current Program Funding ( 2006 / 07 ) : $ 9 , 600
Dollar increase /( decrease ) in request : $ 384
Percent increase /( decrease ) in request * * ' 4 . 0 %
Unduplicated Number of Children to be served Individually : 188
Unduplicated Number of Adults to be served Individually : 155
Unduplicated Number to be served via Group settings : -
Total Program Cost per Client : 879 . 50
**If request increased 5 % or more, briefly explain why:
If these funds are being used to match another source, name the source and the $ amount:
The Organization 's Board of Directors has approved this application on (date). January 3] 2007 l� ,
Lorie Shekailo W
Name of President/Chair of the Board ignaturre
Cliff whitehill 04/
Name of Executive Director/CPO Signature
2
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. Barto Clerk BOARD OF COUNTYtOMM MONERS
By :.
Deputy CrerkZ By
Gary . Wheeler, Chdirma}n -
BCC Approved : fY
pproved :
seph Baird
ounty Administrator
r ed alto form and legal sufficiency:
Marian E . Fell , Assistafft County Attorney
RECIPIEEN�T:
By: —e '
0:5 0
HIBISCUS CHILDREN ' S CENTERI
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Hibiscus Children's Center — HOPE Program (Healthy Opportunities for Parenting Excellence)
Indian River County Children's Services Advisory Committee
ORGANIZATION: Hibiscus Children's Center
PROGRAM: HOPE Program (Healthy Opportunities for Parenting Excellence)
2007/2008 CORE APPLICATION TABLE OF CONTENTS
Y' the parts ofgrant application to indicate inclusion. Also, please putpage number where the information can be located.
X Section of the Proposal Page 4
�C TABLE OF CONTENTS (check list) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
�C COVER PAGE (with signatures) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2
A. ORGANIZATION CAPABILITY (one page maximum)
1 . Mission and Vision of organization. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
— 2 . Summary of expertise, accomplishments, and population served. . . . . . . . . . . . . . . . . . . . . . . . . . . 3
B. PROGRAM NEED STATEMENT (one page maximum)
1 . Program Need Statement. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . .
. . . . .. . . . 4
2 . Programs that address need and gaps in service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
C. PROGRAM DESCRIPTION (two pages maximum)
�C 1 . Funding priority . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . .. 5
2. Description of program activities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . 5
A, 3 . Evidence that program strategy will work. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
�C 4 . Staffing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . 5
�C 5 . Awareness of program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . .. 5
6. Accessibility of program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .. . 5
D. MEASURABLE OUTCOMES & ACTIVITIES MATRIX (Four outcomes
... . . . . .. .. . . .. .. . . . .. . . . .. . . .. . . . . . . . . . ... . . . . . .. . . . . . . . .. .. . . . .. .. . . . . . 6- 10
E. COLLABORATION (one page maximum) . . . . . . . . . . .. . . . .. . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
F. UNDUPLICATED CLIENTS
1 . Projections by Location. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . 12
2. Projections by Age Group . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...
12
G. BUDGET FORMS
1 . Financial Budget Forms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . 8 "
H. FUNDER SPECIFIC REQUIREMENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 14 � 31
1
Hibiscus Children's Center — HOPE Program (Healthy Opportunities for Parenting Excellence)
Indian River County Children's Services Advisory Committee
PROPOSAL NARRATIVE
A. ORGANIZATION CAPABILITY (Entire Section A not to exceed one page.l
1 . Provide the mission statement and vision of your organization.
The mission of Hibiscus Children' s Center is to prevent and reduce child abuse and neglect. .
Hibiscus provides a comprehensive continuum of services that meet identified needs of children
and families in our community. From primary prevention to the most intrusive interventions, the
paramount goal of Hibiscus Children' s Center is to identify strengths and capacity that are innate
in all family systems, work in partnership to build family resiliency, and ensure children grow up
free of abuse and neglect with the ability to reach their highest potential. Hibiscus Children' s
Center is a quality service provider that maximizes funding streams from multiple sources and is
a shining example of community based care at its finest. Hibiscus Children' s Center works
together with state and local funders to meet program operations and raises approximately 30-
35 % of its overall budget through private donations and fundraising activities . Child abuse,
neglect and abandonment are the result of community problems . . . and Hibiscus understands that
solutions are based on the commitment and investment of the community as a whole.
2. Provide a brief summary of your organization including areas of expertise,
accomplishments, and population served.
Hibiscus HOPE is a reunification program that works with families whose children have been
removed due to allegations of abuse and neglect and are identified as high risk in reunifying
children safely with their family of origin.
Hibiscus Crisis Nursery is a primary prevention program that families in crisis seek voluntarily.
The program enables families to reduce the impact of poverty, unemployment, domestic
violence, behavior management, and other stressful situations that can precipitate child abuse.
By providing family support and respite services . . . we can help families prevent problems from
escalating into abuse and neglect.
Hibiscus Foster Care provides recruitment, training, licensure, and re-licensure of foster parents
and their homes to increase capacity in our four county areas.
Hibiscus Children' s Shelter is a 24 hour awake emergency shelter for children ages birth to 12
and their siblings who have been removed from their homes due to egregious abuse and neglect.
Since 1989, we've provided over 157,330 safe nights for children.
Hibiscus Children' s Village opened in April 2004 increasing capacity and providing thousands
of nights of safety to hundreds of children birth to 12 and their siblings a home like setting.
Hibiscus embarked on a $5 . 1 million capital campaign "Building Hope . . . Mending Lives "
which was completed in 2005 , garnering a prestigious Kresge Foundation Grant for $500,000,
and allowing it to open its doors debt free.
Hibiscus Treasure House provides thrift store resources to children and families in program
services and in need in the community. It also provides a source of revenue for program
operations.
Hibiscus Volunteers & Guild work tirelessly on behalf of the children and families we serve
bringing over 33 ,000 hours of volunteerism each year in a variety of functions, in addition to
raising millions of dollars to meet community identified needs for our most vulnerable children
and families.
Hibiscus strives to be a valuable resource for the community in the field of child abuse and
neglect. Hibiscus actively works to remain at the forefront of best practices in child welfare
through our membership in the Child Welfare League of America, Florida Coalition for Children
and being accredited through Council On Accreditation For Children and Family Services.
3
EXHIBIT A
[Copy of complete proposal/application]
Hibiscus Children's Center — HOPE Prograrn (Healthy Opportunities for Parenting Excellence)
Indian River County Children's Services Advisory Committee -
B. PROGRAM NEED STATEMENT (Entire Section B not to exceed one page.)
1 . a) What is the unacceptable condition requiring change? b) Who has the need?
c) Where do they live? d) Provide local, state, or national trend data, with reference
source, that corroborates that this is an area of need.
1 . a) What is the unacceptable condition requiring change?
The abuse, neglect, or abandonment of children. Sadly, the devastating effects of child abuse go
far beyond its immediate physical and emotional impact on the child. The impact permeates
throughout the child' s entire life cycle. Abused children show higher rates of school
delinquency and failure, drug and alcohol abuse, teen pregnancy, early entry into the criminal
justice system, and domestic violence.
b) Who has the need?
Families who have children, birth - 17, removed from their home due to child abuse and/or
neglect and are identified as high risk in the process of reuniting children with their families of
origin.
c) Where do they live?
Services are provided to children and families in Martin, St. Lucie, Indian River and Okeechobee
counties. The program works with families from all demographic backgrounds.
d) Provide local, state, or national trend data, with reference source, that corroborates that
this is an area of need.
➢ The numbers of children in the care of the child-welfare system has continued to grow, from
260,000 children in out-of-home care in the 1980s to more than 500,000 in recent years.
(Annie E. Casey Kids Count Data Book 2006)
➢ Of the children exiting out-of-home care in the United States in 2003 , 54% were reunited
with their parents or other family members. (Child Welfare League of America, National
Fact Sheet 2006)
➢ Overall, Florida ranks 33rd in the nation in terms of child well-being. (Annie E. Casey Kids
Count Data Book 2006)
➢ There are currently 1 ,944 children under the supervision of United For Families on the
Treasure Coast; 296 of these children are from Indian River County of which 172 are in out
of home placements . The out of home average length of stay is 11 .2 months. (UFF Report to
the Alliance, January 2007).
➢ According to the Florida' s Children Needs Assessment 2003 /2004, Indian River County
ranked higher than the state average in substance exposed newborns rate, lower percent of
two-parent households and higher percent of adults using alcohol.
➢ Since February 1993 , Hibiscus HOPE Program has served 1 ,947 families in Martin, St.
Lucie, Indian River and Okeechobee counties with an average success rate of 90%.
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.
There are no other programs in the district whose primary goal is to provide services to expedite
the process of high risk family reunification for children.
4
Hibiscus Children's Center — HOPE Program (Healthy Opportunities for Parenting Excellence)
Indian River County Children's Services Advisory Committee
C. PROGRAM DESCRIPTION (Entire Section C, 1 — 6, not to exceed two pages.)
1 . List Priority Needs area addressed.
Mental Health Parental Support & Education
2. Briefly describe program activities including location of services.
HOPE counselors work with parents and children in their own environment to help them resolve
the crisis that had led to abuse — and reunite them together safely as a family. A HOPE
Counselor meets with the family immediately upon receipt of a referral for services. A Family
Support Plan is created outlining goals for the family which include timelines and specific
service provisions. Concrete needs are identified including housing, employment, education,
household management, budgeting, behavior management, substance abuse concerns, and mental
health. The plan also identifies any therapeutic issues and services that are to be provided. A
typical intervention ranges from 90 to 120 days and consists of an average of 4-6 hours face to
face contact with the family per week. This provides contact with the family an average of 16-24
visits per month as opposed to one visit per month by case management. HOPE counselors
serve a maximum of 6 families allowing their intervention to be intensive and individually
designed to meet the families identified needs.
Recommendations are made in partnership with the family, DCF, UFF, and the court regarding
all aspects of service provision. The full team from family members, counselors, to all
community partners and the court system is fully informed at all times and weekly staffings and
continuing court appearances ensure that all parties are working cohesively to ensure the success.
HOPE provides comprehensive services which reduce duplication and enable families to access
multiple services to address their needs. Provision of services in the family' s home reduces
barriers such as transportation, waiting lists for mental health and substance abuse services,
accessing affordable housing and child care, acquiring employment, and other issues so evident
in our community. Concrete needs are not only addressed, but a plan is devised to increase
family functioning and self sufficiency and in the case of reunification, ensure a safe and timely
reunification process . Barriers to successful reunification are reduced or eliminated by providing
the HOPE umbrella of services. Completion of the HOPE program is accomplished as the goals
of the Family Support Plan are reached. Recent follow up of our HOPE program by the DCF
and UFF indicated that 100% of the families served had no verifiable incidents of child abuse or
neglect during service provision.
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.
Families involved in the chaos and trauma of a child removal are at risk of re-abuse of their
children if intervention services are not engaged in a timely and intensive manner. Working with
the family in their home on average of 4-6 hours per week creates a strong bond between the
HOPE counselor and the family. The development of the support plan with the family (family
centered practice) and the immediate attention given to the accomplishment of tasks in the plan
keeps the family on track towards their goal. The HOPE counselor works hand in hand with the
family in completing the necessary tasks to accomplish their goal successfully. HOPE services
are comprehensive in nature and enable families to access multiple services by providing a
plethora of services under one roof, which research has proven is most effective and efficient in
working with vulnerable families in a family centered, strength based model. A HOPE
5
` Hibiscus Children's Center — HOPE Program (Healthy Opportunities for Parenting Excellence)
Indian River County Children's services Advisory Committee
PROGRAM COVER PAGE
�J �
Organization Name: Hibiscus Children' s Center
Executive Director: Cliff Whitehill E-mail: lwynne(a)hcc4kids .org
Address: Post Office Box 305 Telephone : 772-334-9311x101
Jensen Beach, FL 34958 Fax: 772-334- 1991
Program Director: Kathryn Garbowski E-mail: kgarbowski@bcc4kids .org
Address: Post Office Box 305 Telephone: 772-334-9311x801
Jensen Beach, FL 34958 Fax: 772-334- 1991
Taxonomy FN-150. 190-15
Program Title: _ HOPE Program (Healthy pportunities for Parenting Excellence)_
Priority Need Area Addressed: Mental Health, Parental Support & Education
Brief Description of the Program: The HOPE Program is an intensive in-home family preservation
program for families referred through the child dependency system. HOPE targets families who are in
the process of high risk reunification of children with their families of origin. By working with
parents and children in their own environment HOPE helps them resolve the crisis that has led to
abuse — and keep them together safely as a family. The goal of the HOPE program is to help remove
the risk in the family and not the child from the family making reunification successful.
SUMMARY REPORT — (Enter Information In The Black Cells Only)
Amount Requested from Funder for 2007 /08 : $ 95984 . 00
Total Proposed Program Budget for 2007 /08 : $ 301 , 667 . 00
Percent of Total Program Budget : 3 . 3 %
Current Program Funding ( 2006 / 07 ) : $ 9 , 600
Dollar increase /( decrease ) in request : $ 384
Percent increase /( decrease ) in request * * ' 4 . 0 %
Unduplicated Number of Children to be served Individually : 188
Unduplicated Number of Adults to be served Individually : 155
Unduplicated Number to be served via Group settings : -
Total Program Cost per Client : 879 . 50
**If request increased 5 % or more, briefly explain why:
If these funds are being used to match another source, name the source and the $ amount:
The Organization 's Board of Directors has approved this application on (date). January 3] 2007 l� ,
Lorie Shekailo W
Name of President/Chair of the Board ignaturre
Cliff whitehill 04/
Name of Executive Director/CPO Signature
2
Hibiscus Children's Center — HOPE Program (Healthy Opportunities for Parenting Excellence)
Indian River County Children's services Advisory Committee
counselor in the family' s home reduces barriers such as transportation, waiting lists (for mental
health and substance abuse), accessing/negotiating affordable housing and child care, acquiring
employment and other issues. The family' s needs are addressed in a plan developed with the
family to increase their functioning and self sufficiency and ensure a safe supportive
environment. Utilizing family centered, strength-based services, and the Developmental Assets
model, HOPE embraces principles of inclusion of family caring and love; support; positive
communications; appropriate boundaries; responsibilities; appropriate expectations and
successful community involvement. The HOPE program philosophy is based on the strengths of
all individuals and the family in addressing and helping them become successful.
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).
Program Director (.25) program oversight. A minimum of 12 hours per week is designated
toward the oversight of this program. The Program Director is required to have a Bachelor' s
Degree, with a preference for a Master' s Degree, in social services or a related field and
requires a minimum of three years supervisory and child abuse and related experience.
Program Manager (.5) provides a high level of supervision to staff members, data collection,
billing, as well as liaison to community agencies including UFF, DCF, and other community
partners. Approximately 20 hours per week are designated to management of this program.
The position requires a Bachelor' s degree, with a preference for a Master' s Degree, in social
services or a related field and three years of child abuse and related experience.
Family Counselor (4) provides direct services. The counselor will have a minimum of a
bachelor' s degree, and two years experience providing direct services to children and families.
These positions are full time exempt positions.
Administrative Assistant (25) provides clerical and data entry support for the program in order
to maximize staffs' time spent directly with the family. Two years of related experience is
referred. Approximately 10 hours per week are designated to the program.
5. How will the target population be made aware of the program?
Referrals for the HOPE program will be made through Children' s Home Society and Family
Preservation case managers referring high risk reunification cases. In addition, Hibiscus
continues to work with Judge Levin and the Dependency Drug Court to ensure timely referrals to
serve families whose children are in the process of reunifying with their families . Eligible
families are deemed appropriate for services as they will require more than the standard case
management, linkage and referral offered by the dependency system. The HOPE program will
be able to provide more intensive interactions with the families (averaging 4-6 hours per week)
and more hands on education and skill building to teach and reinforce appropriate parenting,
positive communication, supportive relationship building and conflict resolution. Referrals can
be accepted and families contacted within two hours !
6. How will the program be accessible to target population (i.e., location, transportation,
hours of operation)?
Counselors are available 24 hours a day, seven days a week. Services are provided in the homes
of families or at mutually determined locations.
6
Hibiscus Children's Center — HOPE Program (Healthy Opportunities for Parenting Excellence)
Indian River County Children's Services Advisory Committee
D. PROGRAM OUTCOMES AND ACTIVITIES MATRIX.
Outcome # 1 : At least 95% of active families will have no verified reports of abuse or neglect during service provision as measured
by United For Families (UFF) . Baseline : Most recent UFF monitoring reported 100% of families served had no verified reports of
abuse or neglect during service provision.
Program Design & Task Management Evaluation Design & Data Collection
(Columns 1 -4) (Columns 5 -7)
Program Frequency Responsible Expected Indicator Data Source Time of
Activities (how often) Parties (who) Outcomes/change (why) Measurements (where) Measurement (when)
(what) (evidence)
Child Abuse Once HCC Staff Identify Patterns of Abuse Registry UFF Intake and
History UFF Staff Abuse/Neglect Additionally
Screening as Indicated
Case A minimum of HCC Staff Increase family' s self- Case Progress Notes Client File Weekly
Coordination — weekly Family sufficiency
Identification of
Family Needs
and Obtaining
Resources
Respite As Needed — HCC Staff Ensure Child Safety Admission/Discharge Shelter Entry and Exit
Services A Maximum Family While Parents Address Log and/or from Respite
of 30 days per Systemic Issues Assessment
calendar ear Center
7
Hibiscus Children's Center — HOPE Program (Healthy Opportunities for Parenting Excellence)
Indian River County Children's Services Advisory Committee
ORGANIZATION: Hibiscus Children's Center
PROGRAM: HOPE Program (Healthy Opportunities for Parenting Excellence)
2007/2008 CORE APPLICATION TABLE OF CONTENTS
Y' the parts ofgrant application to indicate inclusion. Also, please putpage number where the information can be located.
X Section of the Proposal Page 4
�C TABLE OF CONTENTS (check list) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
�C COVER PAGE (with signatures) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2
A. ORGANIZATION CAPABILITY (one page maximum)
1 . Mission and Vision of organization. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
— 2 . Summary of expertise, accomplishments, and population served. . . . . . . . . . . . . . . . . . . . . . . . . . . 3
B. PROGRAM NEED STATEMENT (one page maximum)
1 . Program Need Statement. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . .
. . . . .. . . . 4
2 . Programs that address need and gaps in service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
C. PROGRAM DESCRIPTION (two pages maximum)
�C 1 . Funding priority . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . .. 5
2. Description of program activities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . 5
A, 3 . Evidence that program strategy will work. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
�C 4 . Staffing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . 5
�C 5 . Awareness of program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . .. 5
6. Accessibility of program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .. . 5
D. MEASURABLE OUTCOMES & ACTIVITIES MATRIX (Four outcomes
... . . . . .. .. . . .. .. . . . .. . . . .. . . .. . . . . . . . . . ... . . . . . .. . . . . . . . .. .. . . . .. .. . . . . . 6- 10
E. COLLABORATION (one page maximum) . . . . . . . . . . .. . . . .. . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
F. UNDUPLICATED CLIENTS
1 . Projections by Location. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . 12
2. Projections by Age Group . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...
12
G. BUDGET FORMS
1 . Financial Budget Forms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . 8 "
H. FUNDER SPECIFIC REQUIREMENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 14 � 31
1
Hibiscus Children's Center — HOPE Program (Healthy Opportunities for Parenting Excellence)
Indian River County Children's Services Advisory Committee
PROPOSAL NARRATIVE
A. ORGANIZATION CAPABILITY (Entire Section A not to exceed one page.l
1 . Provide the mission statement and vision of your organization.
The mission of Hibiscus Children' s Center is to prevent and reduce child abuse and neglect. .
Hibiscus provides a comprehensive continuum of services that meet identified needs of children
and families in our community. From primary prevention to the most intrusive interventions, the
paramount goal of Hibiscus Children' s Center is to identify strengths and capacity that are innate
in all family systems, work in partnership to build family resiliency, and ensure children grow up
free of abuse and neglect with the ability to reach their highest potential. Hibiscus Children' s
Center is a quality service provider that maximizes funding streams from multiple sources and is
a shining example of community based care at its finest. Hibiscus Children' s Center works
together with state and local funders to meet program operations and raises approximately 30-
35 % of its overall budget through private donations and fundraising activities . Child abuse,
neglect and abandonment are the result of community problems . . . and Hibiscus understands that
solutions are based on the commitment and investment of the community as a whole.
2. Provide a brief summary of your organization including areas of expertise,
accomplishments, and population served.
Hibiscus HOPE is a reunification program that works with families whose children have been
removed due to allegations of abuse and neglect and are identified as high risk in reunifying
children safely with their family of origin.
Hibiscus Crisis Nursery is a primary prevention program that families in crisis seek voluntarily.
The program enables families to reduce the impact of poverty, unemployment, domestic
violence, behavior management, and other stressful situations that can precipitate child abuse.
By providing family support and respite services . . . we can help families prevent problems from
escalating into abuse and neglect.
Hibiscus Foster Care provides recruitment, training, licensure, and re-licensure of foster parents
and their homes to increase capacity in our four county areas.
Hibiscus Children' s Shelter is a 24 hour awake emergency shelter for children ages birth to 12
and their siblings who have been removed from their homes due to egregious abuse and neglect.
Since 1989, we've provided over 157,330 safe nights for children.
Hibiscus Children' s Village opened in April 2004 increasing capacity and providing thousands
of nights of safety to hundreds of children birth to 12 and their siblings a home like setting.
Hibiscus embarked on a $5 . 1 million capital campaign "Building Hope . . . Mending Lives "
which was completed in 2005 , garnering a prestigious Kresge Foundation Grant for $500,000,
and allowing it to open its doors debt free.
Hibiscus Treasure House provides thrift store resources to children and families in program
services and in need in the community. It also provides a source of revenue for program
operations.
Hibiscus Volunteers & Guild work tirelessly on behalf of the children and families we serve
bringing over 33 ,000 hours of volunteerism each year in a variety of functions, in addition to
raising millions of dollars to meet community identified needs for our most vulnerable children
and families.
Hibiscus strives to be a valuable resource for the community in the field of child abuse and
neglect. Hibiscus actively works to remain at the forefront of best practices in child welfare
through our membership in the Child Welfare League of America, Florida Coalition for Children
and being accredited through Council On Accreditation For Children and Family Services.
3
Hibiscus Children's Center — HOPE Program (Healthy Opportunities for Parenting Excellence)
Indian River County Children's Services Advisory Committee
Boxes will expand as you e.
Outcome # 2 : Maintain at least 95 % of families, completing services successfully showing improvement in one domain of their parenting
abilities through the use of the Adult Adolescent Parenting Inventory (AAPI) as a pre and post test 45+ days after services being
implemented. Baseline : Most recent analysis of data indicates 100% of families demonstrated improvement in at least one domain of the
AAPI.
Program Design & Task Management Evaluation Desien & Data Collection
(Columns 1 -4)-4) — — (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)
AAPI Twice HCC Staf£ Measure Scores on Client File Admission and
Parenting Beliefs AAPI A and B Discharge
Parenting Education As Needed HCC Staff Improved AAPI Scores Client File Throughout
Family Parenting Skills Progress Notes Services
Flex Funds As Needed HCC Staff Adequate Flex Fund Log Client Record Throughout
and Family Resources to Services
Available Ensure Family
Stability
8
Hibiscus Children's Center — HOPE Program (Healthy Opportunities for Parenting Excellence)
Indian River County Children's Services Advisory Committee
Boxes will expand asyou e.
Outcome #3 : For those clients who successfully complete the program 95 % of client satisfaction surveys will indicate a satisfactory or
better rating. Baseline: Most recent analysis of data indicates 90% on client satisfaction surveys of a satisfactory or better rating.
Program Design & Task Management Evaluation Design & Data Collection
(Columns 1 -4) (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)
Families will be Upon closure HCC Staff Measure Client Client File Completed
given a satisfaction of their case. Family satisfaction of Satisfaction Program
survey by their program services Survey Discharge
HOPE counselor
upon
completion of
services.
Satisfaction surveys Quarterly HCC Staff Program Quarterly Quarterly Completed
will be reviewed and Improvement Satisfaction Satisfaction Program
analyzed quarterly as Program Program Report Discharge
part of the CQI Report
Process.
Data will be trended Quarterly HCC Staff Service Quarterly data An established Completed
using SAMIS Improvement analysis Report data management Program
trending software. system Discharge
9
Hibiscus Children's Center — HOPE Prograrn (Healthy Opportunities for Parenting Excellence)
Indian River County Children's Services Advisory Committee -
B. PROGRAM NEED STATEMENT (Entire Section B not to exceed one page.)
1 . a) What is the unacceptable condition requiring change? b) Who has the need?
c) Where do they live? d) Provide local, state, or national trend data, with reference
source, that corroborates that this is an area of need.
1 . a) What is the unacceptable condition requiring change?
The abuse, neglect, or abandonment of children. Sadly, the devastating effects of child abuse go
far beyond its immediate physical and emotional impact on the child. The impact permeates
throughout the child' s entire life cycle. Abused children show higher rates of school
delinquency and failure, drug and alcohol abuse, teen pregnancy, early entry into the criminal
justice system, and domestic violence.
b) Who has the need?
Families who have children, birth - 17, removed from their home due to child abuse and/or
neglect and are identified as high risk in the process of reuniting children with their families of
origin.
c) Where do they live?
Services are provided to children and families in Martin, St. Lucie, Indian River and Okeechobee
counties. The program works with families from all demographic backgrounds.
d) Provide local, state, or national trend data, with reference source, that corroborates that
this is an area of need.
➢ The numbers of children in the care of the child-welfare system has continued to grow, from
260,000 children in out-of-home care in the 1980s to more than 500,000 in recent years.
(Annie E. Casey Kids Count Data Book 2006)
➢ Of the children exiting out-of-home care in the United States in 2003 , 54% were reunited
with their parents or other family members. (Child Welfare League of America, National
Fact Sheet 2006)
➢ Overall, Florida ranks 33rd in the nation in terms of child well-being. (Annie E. Casey Kids
Count Data Book 2006)
➢ There are currently 1 ,944 children under the supervision of United For Families on the
Treasure Coast; 296 of these children are from Indian River County of which 172 are in out
of home placements . The out of home average length of stay is 11 .2 months. (UFF Report to
the Alliance, January 2007).
➢ According to the Florida' s Children Needs Assessment 2003 /2004, Indian River County
ranked higher than the state average in substance exposed newborns rate, lower percent of
two-parent households and higher percent of adults using alcohol.
➢ Since February 1993 , Hibiscus HOPE Program has served 1 ,947 families in Martin, St.
Lucie, Indian River and Okeechobee counties with an average success rate of 90%.
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.
There are no other programs in the district whose primary goal is to provide services to expedite
the process of high risk family reunification for children.
4
Hibiscus Children's Center — HOPE Program (Healthy Opportunities for Parenting Excellence)
Indian River County Children's Services Advisory Committee
C. PROGRAM DESCRIPTION (Entire Section C, 1 — 6, not to exceed two pages.)
1 . List Priority Needs area addressed.
Mental Health Parental Support & Education
2. Briefly describe program activities including location of services.
HOPE counselors work with parents and children in their own environment to help them resolve
the crisis that had led to abuse — and reunite them together safely as a family. A HOPE
Counselor meets with the family immediately upon receipt of a referral for services. A Family
Support Plan is created outlining goals for the family which include timelines and specific
service provisions. Concrete needs are identified including housing, employment, education,
household management, budgeting, behavior management, substance abuse concerns, and mental
health. The plan also identifies any therapeutic issues and services that are to be provided. A
typical intervention ranges from 90 to 120 days and consists of an average of 4-6 hours face to
face contact with the family per week. This provides contact with the family an average of 16-24
visits per month as opposed to one visit per month by case management. HOPE counselors
serve a maximum of 6 families allowing their intervention to be intensive and individually
designed to meet the families identified needs.
Recommendations are made in partnership with the family, DCF, UFF, and the court regarding
all aspects of service provision. The full team from family members, counselors, to all
community partners and the court system is fully informed at all times and weekly staffings and
continuing court appearances ensure that all parties are working cohesively to ensure the success.
HOPE provides comprehensive services which reduce duplication and enable families to access
multiple services to address their needs. Provision of services in the family' s home reduces
barriers such as transportation, waiting lists for mental health and substance abuse services,
accessing affordable housing and child care, acquiring employment, and other issues so evident
in our community. Concrete needs are not only addressed, but a plan is devised to increase
family functioning and self sufficiency and in the case of reunification, ensure a safe and timely
reunification process . Barriers to successful reunification are reduced or eliminated by providing
the HOPE umbrella of services. Completion of the HOPE program is accomplished as the goals
of the Family Support Plan are reached. Recent follow up of our HOPE program by the DCF
and UFF indicated that 100% of the families served had no verifiable incidents of child abuse or
neglect during service provision.
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.
Families involved in the chaos and trauma of a child removal are at risk of re-abuse of their
children if intervention services are not engaged in a timely and intensive manner. Working with
the family in their home on average of 4-6 hours per week creates a strong bond between the
HOPE counselor and the family. The development of the support plan with the family (family
centered practice) and the immediate attention given to the accomplishment of tasks in the plan
keeps the family on track towards their goal. The HOPE counselor works hand in hand with the
family in completing the necessary tasks to accomplish their goal successfully. HOPE services
are comprehensive in nature and enable families to access multiple services by providing a
plethora of services under one roof, which research has proven is most effective and efficient in
working with vulnerable families in a family centered, strength based model. A HOPE
5
Hibiscus Children's Center — HOPE Program (Healthy Opportunities for Parenting Excellence)
Indian River County Children's Services Advisory Committee
Boxes will ex and as you e.
Outcome #4 : 95% of families completing the HOPE Program will demonstrate knowledge and competency in accessing community
resources on their own by identifying three relevant resources for their family with the resources name and instructions on how to make a
self referral . The Baseline is to be established this year as this is a new outcome .
Program Design & Task Management Evaluation Design & Data Collection
(Columns 1�-4) (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)
The HOPE counselor Upon closure HCC Staff Increase family' s Name, address, Client file Completed
together with the of each Family self sufficiency and phone Program
client family will family' s case and number of Discharge
develop a discharge independence three possible
plan community
inclusive of resources for
community family self
resources, phone sufficiency
numbers, names and
directions on making
a self referral for
future assistance.
Data will be trended Quarterly HCC Staff Track the ability Written Client File Completed
using an established of family to documentation Program
data management access resources provided by Discharge
system. independentlyTamil
10
Hibiscus Children's Center — HOPE Program (Healthy Opportunities for Parenting Excellence)
Indian River County Children's services Advisory Committee
E. COLLABORATION (Entire Section E not to exceed one page)
I ist your program' s collaborative partners and the resources that they are providing to
the program beyond referrals and support. (See individual funder requirements for
inclusion of collaborative agreement letters.)
Collaborative Agency Resources provided to the program
211 Refer appropriate callers to Hibiscus Children' s Center,
be available to clients 24 hours a day, be available to
staff for information about referrals and community
resources.
Big Brothers/Big Sisters Mentoring.
Big Lake Mission Outreach School supplies, personal items, food, clothing,
household items, provide referrals for case mgmt &
respite.
Dunbar Center, Inc. Refer to Dunbar for childcare and special needs child
care.
Florida Community Healthcare Referrals for respite care or case management.
Centers
Gertrude Walden Referrals, mentoring, parenting skills, workshops and
placement.
Habitat for Humanity Referrals and advertising amongst the homeowners.
Healthy Families Referrals for respite care, case management, and
parenting education.
Helping People Succeed Baby Steps Provide developmental assessments and mental health
and Children' s Mental Health services; provide referrals for case mgmt & respite
Homeless Family Center Inc. Assistance with referral for benefits and housing
assistance services; provide referrals for case mgmt &
respite
Indiantown Non-profit Housing Provide program space for parenting skills and case
management as needed; provide referrals for case mgmt
& respite
Martin County School District Head Preschool education and support services for children
Start Program and families; provide referrals for case mgmt & respite
Martha' s House Counseling services or emergency shelter for women
and children.
Society of St. Vincent de Paul Clothing, furniture, appliance, etc. donations, utility bill
payment; provide referrals for case mgmt & respite
Children' s Home Society Provide referrals for reunification services
Family Preservation Refer families for reunification services & coordinate
services provided
Department of Children and Families Provide referrals for diversion services
Tykes and Teens Provide mental health services, provide referrals for case
mgmt and respite
United For Families Provide referrals for reunification services
11
Hibiscus Children's Center — HOPE Program (Healthy Opportunities for Parenting Excellence)
Indian River County Children's services Advisory Committee
counselor in the family' s home reduces barriers such as transportation, waiting lists (for mental
health and substance abuse), accessing/negotiating affordable housing and child care, acquiring
employment and other issues. The family' s needs are addressed in a plan developed with the
family to increase their functioning and self sufficiency and ensure a safe supportive
environment. Utilizing family centered, strength-based services, and the Developmental Assets
model, HOPE embraces principles of inclusion of family caring and love; support; positive
communications; appropriate boundaries; responsibilities; appropriate expectations and
successful community involvement. The HOPE program philosophy is based on the strengths of
all individuals and the family in addressing and helping them become successful.
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).
Program Director (.25) program oversight. A minimum of 12 hours per week is designated
toward the oversight of this program. The Program Director is required to have a Bachelor' s
Degree, with a preference for a Master' s Degree, in social services or a related field and
requires a minimum of three years supervisory and child abuse and related experience.
Program Manager (.5) provides a high level of supervision to staff members, data collection,
billing, as well as liaison to community agencies including UFF, DCF, and other community
partners. Approximately 20 hours per week are designated to management of this program.
The position requires a Bachelor' s degree, with a preference for a Master' s Degree, in social
services or a related field and three years of child abuse and related experience.
Family Counselor (4) provides direct services. The counselor will have a minimum of a
bachelor' s degree, and two years experience providing direct services to children and families.
These positions are full time exempt positions.
Administrative Assistant (25) provides clerical and data entry support for the program in order
to maximize staffs' time spent directly with the family. Two years of related experience is
referred. Approximately 10 hours per week are designated to the program.
5. How will the target population be made aware of the program?
Referrals for the HOPE program will be made through Children' s Home Society and Family
Preservation case managers referring high risk reunification cases. In addition, Hibiscus
continues to work with Judge Levin and the Dependency Drug Court to ensure timely referrals to
serve families whose children are in the process of reunifying with their families . Eligible
families are deemed appropriate for services as they will require more than the standard case
management, linkage and referral offered by the dependency system. The HOPE program will
be able to provide more intensive interactions with the families (averaging 4-6 hours per week)
and more hands on education and skill building to teach and reinforce appropriate parenting,
positive communication, supportive relationship building and conflict resolution. Referrals can
be accepted and families contacted within two hours !
6. How will the program be accessible to target population (i.e., location, transportation,
hours of operation)?
Counselors are available 24 hours a day, seven days a week. Services are provided in the homes
of families or at mutually determined locations.
6
Hibiscus Children's Center — HOPE Program (Healthy Opportunities for Parenting Excellence)
Indian River County Children's Services Advisory Committee
D. PROGRAM OUTCOMES AND ACTIVITIES MATRIX.
Outcome # 1 : At least 95% of active families will have no verified reports of abuse or neglect during service provision as measured
by United For Families (UFF) . Baseline : Most recent UFF monitoring reported 100% of families served had no verified reports of
abuse or neglect during service provision.
Program Design & Task Management Evaluation Design & Data Collection
(Columns 1 -4) (Columns 5 -7)
Program Frequency Responsible Expected Indicator Data Source Time of
Activities (how often) Parties (who) Outcomes/change (why) Measurements (where) Measurement (when)
(what) (evidence)
Child Abuse Once HCC Staff Identify Patterns of Abuse Registry UFF Intake and
History UFF Staff Abuse/Neglect Additionally
Screening as Indicated
Case A minimum of HCC Staff Increase family' s self- Case Progress Notes Client File Weekly
Coordination — weekly Family sufficiency
Identification of
Family Needs
and Obtaining
Resources
Respite As Needed — HCC Staff Ensure Child Safety Admission/Discharge Shelter Entry and Exit
Services A Maximum Family While Parents Address Log and/or from Respite
of 30 days per Systemic Issues Assessment
calendar ear Center
7
Hibiscus Children's Center — HOPE Program (Healthy Opportunities for Parenting Excellence)
Indian River County Children's services Advisory Committee
F, UNDUPLICATED CLIENTS
Number of Unduplicated Clients by Location
Current Fiscal Year
Loc a *on Budget 2006/07
Unduplicated Clients Unduplicated Clients Unduplicated Clients
North Indian River Co. 19 10 19
South Indian River Co. 69 27 69
Indian River Co Total 88 37 88
Greater Stuart 40 28 40
Hobe Sound 6 -
Indiantown 10 6 10
Jensen Beach 10 5 10
Palm City 25 5 25
Martin County Total 85 50 85
Fort Pierce 89 95 89
Port Saint Lucie 32 53 32
St. Lucie Co. Total 121 148 121
Other Locations 49 50 49
TOTAL SERVED 343 285 343
Current Fiscal Year
Location Budget 2006/07
Individuals Group
0 to 4 - (Pre-school) 63 150 63 -
5 to 10 - (Elementary) 75 - 34 - 75
11 to 14 - (Middle) 35 - 12 - 35
15 to 18 - (High School) 15 - 8 - 15
Total Children 188 - 204 - 188 -
19 to 59 - (Adults) 152 1 77 - 152 -
60 + (Seniors) 3 - 4 - 3 -
Total Adults 155 - 81 155 -
TOTAL SERVED 343 - 285 - 343 -
12
Hibiscus Children's Center — HOPE Program (Healthy Opportunities for Parenting Excellence)
Indian River County Children's Services Advisory Committee
G. BUDGET FORMS - To open the Budget Forms, please double-click on the icon below.
In the Excel portion of this RFP you will find the following pages/tabs :
1 . Budget Narrative Worksheet (4 pages)
2 . Total Agency Budget
3 . Total program Budget
4. Funder Specific Budget
S . Explanation for Variances
Make sure to print all the forms by going to each tab and selecting the Print icon.
• 1•akN:��. . i •q
In ,�• fin.
Microsoft Office
Excel Worksheet
13
Hibiscus Children's Center — HOPE Program (Healthy Opportunities for Parenting Excellence)
Indian River County Children's Services Advisory Committee
Boxes will expand as you e.
Outcome # 2 : Maintain at least 95 % of families, completing services successfully showing improvement in one domain of their parenting
abilities through the use of the Adult Adolescent Parenting Inventory (AAPI) as a pre and post test 45+ days after services being
implemented. Baseline : Most recent analysis of data indicates 100% of families demonstrated improvement in at least one domain of the
AAPI.
Program Design & Task Management Evaluation Desien & Data Collection
(Columns 1 -4)-4) — — (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)
AAPI Twice HCC Staf£ Measure Scores on Client File Admission and
Parenting Beliefs AAPI A and B Discharge
Parenting Education As Needed HCC Staff Improved AAPI Scores Client File Throughout
Family Parenting Skills Progress Notes Services
Flex Funds As Needed HCC Staff Adequate Flex Fund Log Client Record Throughout
and Family Resources to Services
Available Ensure Family
Stability
8
Hibiscus Children's Center — HOPE Program (Healthy Opportunities for Parenting Excellence)
Indian River County Children's Services Advisory Committee
Boxes will expand asyou e.
Outcome #3 : For those clients who successfully complete the program 95 % of client satisfaction surveys will indicate a satisfactory or
better rating. Baseline: Most recent analysis of data indicates 90% on client satisfaction surveys of a satisfactory or better rating.
Program Design & Task Management Evaluation Design & Data Collection
(Columns 1 -4) (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)
Families will be Upon closure HCC Staff Measure Client Client File Completed
given a satisfaction of their case. Family satisfaction of Satisfaction Program
survey by their program services Survey Discharge
HOPE counselor
upon
completion of
services.
Satisfaction surveys Quarterly HCC Staff Program Quarterly Quarterly Completed
will be reviewed and Improvement Satisfaction Satisfaction Program
analyzed quarterly as Program Program Report Discharge
part of the CQI Report
Process.
Data will be trended Quarterly HCC Staff Service Quarterly data An established Completed
using SAMIS Improvement analysis Report data management Program
trending software. system Discharge
9
Hibiscus Children's center, Inc(HOPE
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.
AGENCYIPROGRAM NAME : Hibiscus Children 's Center, Inc./HOPE
FUNDER: Children 's Services Advisory Committee of Indian River County
CAUTION : Do not enter any figures where a cell is colored in dark blue - Formulas and/or links are in place. Gray areas should
• be used for providing information and calculations only.
+i$��"°- ` ` � � t � , -•' .- ="Funder Specflc ,� -`{c7ofa/ .4genc
to B1YYU
1 Children's Services Council-St Lucie 44,765. 00 169,116.00
2 Children's Services Council-Martin 39,520.00
3 Advisory Committee-Indian River 9,984.00 9,984.00 30,784.00
4 United Way-St Lucie County 4,000.00 14,000.00
5 United Way-Martin County 4,000.00 18,815.00
6 United Way-Indian River County 10,000.00
7 Department of Children & Families 589,535.00
8 County Funds
9 Contributions-Cash 29,000.00
10 Program Fees
11 Fund Raising Events-Net
12 Sales to Public - Net 300,000.00
13 Membership Dues 6,000.00
14 Investment Income 2,370.00
15 Miscellaneous
16 Legacies & Bequests
17 Funds from Other Sources 243,302.00 5,010,691 .00
18 Reserve Funds Used for Operating
19 In-Kind Donations (Nor included in total) 43,000.00 400,000.00
20 TOTAL REVENUES
(doesnl include line 191 $3062051 .00 $9,984.00 $6,239,831 .00
" ,. �al ' � .s - t +
it EKPENDTIJRF ��, � � P pas�at o�a]�Figrar7+ $udye�� �� FunderSp�0f6�1IT
Tafa/dyency��;
" s
_. `� � =: ? .xx ,� ' . . ., .,z N �5 -�SolY9e ,l`` " ,,.1,.
21 Salaries - (must complete chart on next page' 159, 929.00 8, 127.00 4,004, 100.00
22 FICA - Total salaries x 0.0765 12,235 .00 621 .72 3061890.00
e remen - Annual pension tor qualified
23 staff @.75% 1 , 177.00 0.00 9,810.00
l e ea - e lca enta ort-term
24 Disab.@3.7% 5 ,800.00 980. 78 345,875 .00
Workers Compensation - # employees x
25 rate of $2.05 4, 176.00 151 .60 111 ,676. 00
on a Unemployment - # projected
26 employees x $7,000 x UCT-6 rate .0147 664 .00 102.90 25,309.00
V712007 3-1
Hibiscus Children's Center, Inc./HOPE
- i -S .cL '�L as `6 § ....
Ell
.;..-= ' o nfTiro55vAnnuai
AhnuaWE
Salary on bfSalary bn proposed r. p g t, + ,
FtinderS eclfic Bud ef.2 Sad
POSrl07r`1t10 „ fitdi Nfi _ a -' 1'Agen � `�,� )grog"€-- `sn F >' ».,i ` ' '. u a ' }?equesfd{f.JA)+'lg'
VMWill
. gg
T),00000 - . � �, _ 5000'DO. +.
Program Manager/40 Hours 45,423.00 221712.00 0.00%
Program Director/40 Hours 66,837.00 22,056.00 0.00%
HOPE Counselor/40 Hours 40, 102-001 40, 102.00 0.00%
HOPE Counselor/40 Hours 34,608.00 34,608 .00 8, 127.00 23 .48%
HOPE Counselor/40 Hours 32,445.00 34,445.00 0.00%
Assistant/40 Hours 24,024.00 6,006.00 0.00%
#DIV/0!
#DIV/O !
#DIV/D!
#DIV/O !
#DIV/O !
#DIV/O !
#DIV/O !
#DIV/0!
#DIV/0!
#DIV/O!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0 !
Remaining positions throughout the agency 3,760,661 .00
Total Salaries $4,004, 100 .00 $159,929.00 $8, 127.001 0.20%
w sw .. n�� -Z
FTG NEF4 DE7AIL 7 s �. t K01, w + "MrIl LEE -�.. � "
11 a {3,"r, l0 , R Vl i 'r 5r VY `
sig, a ensr4n Rewfh -Worker 3lrrempioyme Tofal ranges Fun er
+, i
Eolutn n ro erne 2� to s) � � ` s S c E q Ins comyens nlcoupens Spec fc
;tsU
amp e.d0a5eiNa'nage5l4D hrs ; � ,'. • F `-'," ' ; �A,00000 - ry'.�. 38250_ 4f 200.DO . 50000 . „ 0000 =*200.00 ,, ,+_ 'si _�±. N;582t30
Program Manager/40 Hours 0.00 0.00 0.00
Program Director/40 Hours 0.00 0.00 0 .00
HOPE Counselor/40 Hours 0.00 0.00 0.00
HOPE Counselor/40 Hours 8, 127.00 621 .72 980.78 151 .60 102.90 1 ,857.00
HOPE Counselor140 Hours 0.00 0.00 0.00
Assistant/40 Hours 0.00 0.00 0.00
0
0.00 0.00 0.00
0 0.00 0.00 0.00
0 0.00 0. 00 0.00
0
0.00 0. 00 0.0
0
0.00 0. 00 0.00
0
ODD O.oO 0.00
0
0.00 0.00 0.00
0
0.00 0.00 0.00
0 0.00 0.00 O.00
0
0.00 0.00 0.00
0
0.00 0.00 0.00
0 0.00 0.00 0 .00
D
0.00 0. 00 0.0
0 0.00 0.00 o.00
Total Funder Request Fringe Benefits $8, 127.00 $621 .721 $0.001980.78 $151 .60 $102.90 $1 ,857.00
5nrz007
- L
Hibiscus Children's Center — HOPE Program (Healthy Opportunities for Parenting Excellence)
Indian River County Children's Services Advisory Committee
Boxes will ex and as you e.
Outcome #4 : 95% of families completing the HOPE Program will demonstrate knowledge and competency in accessing community
resources on their own by identifying three relevant resources for their family with the resources name and instructions on how to make a
self referral . The Baseline is to be established this year as this is a new outcome .
Program Design & Task Management Evaluation Design & Data Collection
(Columns 1�-4) (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)
The HOPE counselor Upon closure HCC Staff Increase family' s Name, address, Client file Completed
together with the of each Family self sufficiency and phone Program
client family will family' s case and number of Discharge
develop a discharge independence three possible
plan community
inclusive of resources for
community family self
resources, phone sufficiency
numbers, names and
directions on making
a self referral for
future assistance.
Data will be trended Quarterly HCC Staff Track the ability Written Client File Completed
using an established of family to documentation Program
data management access resources provided by Discharge
system. independentlyTamil
10
Hibiscus Children's Center — HOPE Program (Healthy Opportunities for Parenting Excellence)
Indian River County Children's services Advisory Committee
E. COLLABORATION (Entire Section E not to exceed one page)
I ist your program' s collaborative partners and the resources that they are providing to
the program beyond referrals and support. (See individual funder requirements for
inclusion of collaborative agreement letters.)
Collaborative Agency Resources provided to the program
211 Refer appropriate callers to Hibiscus Children' s Center,
be available to clients 24 hours a day, be available to
staff for information about referrals and community
resources.
Big Brothers/Big Sisters Mentoring.
Big Lake Mission Outreach School supplies, personal items, food, clothing,
household items, provide referrals for case mgmt &
respite.
Dunbar Center, Inc. Refer to Dunbar for childcare and special needs child
care.
Florida Community Healthcare Referrals for respite care or case management.
Centers
Gertrude Walden Referrals, mentoring, parenting skills, workshops and
placement.
Habitat for Humanity Referrals and advertising amongst the homeowners.
Healthy Families Referrals for respite care, case management, and
parenting education.
Helping People Succeed Baby Steps Provide developmental assessments and mental health
and Children' s Mental Health services; provide referrals for case mgmt & respite
Homeless Family Center Inc. Assistance with referral for benefits and housing
assistance services; provide referrals for case mgmt &
respite
Indiantown Non-profit Housing Provide program space for parenting skills and case
management as needed; provide referrals for case mgmt
& respite
Martin County School District Head Preschool education and support services for children
Start Program and families; provide referrals for case mgmt & respite
Martha' s House Counseling services or emergency shelter for women
and children.
Society of St. Vincent de Paul Clothing, furniture, appliance, etc. donations, utility bill
payment; provide referrals for case mgmt & respite
Children' s Home Society Provide referrals for reunification services
Family Preservation Refer families for reunification services & coordinate
services provided
Department of Children and Families Provide referrals for diversion services
Tykes and Teens Provide mental health services, provide referrals for case
mgmt and respite
United For Families Provide referrals for reunification services
11
Hiblsms Children's Center, Inc MOPE
- :'St� r .. F. ;7' PlOposed ki ts' - `r «z g ,"x stdIl
C r
NIB
` + , + ' . funder ecLfr
FYENDDD -UREA .: '7ntafProgram BudgeE „ : , .�. RT-0tai4yency
Ill
_ ' .. a- ra x;r r .. r� UE ' - = a $=lidgC};'
27 Travel-Daily 15,838 .00 0.00 71 ,638.00
VII-#sof=:S[aff ;ave age# olesr)v7x8ttwksx . .i `' - -', - # ,-
.: t
�;Es matgri Dally;,'�1a9etlhQFleage`Rerzq �. 1r57mllg§ per5veek @ 29 fors[ 08 penpYe,* - . -; . .. .. _ .
28 Travel/Conferences/Training 2,348 . D0 0 .01)1 22 , 190.00
Jat1011al Co7YCerepcecost per staff "` rsa -�' r x. .. e _ I+a- rr _ gra ,
Tti�n�irl9iSeRlulal' C.hOstprBl ,s` ff� i � °t 3 ".r { ` }` '� t`.,k { '�'
' �Auet"3-3a7n61gSC4St4taYef iOdglIDg,F Wit,.. vim„'-t ., P� '� � "yt� -a , �€'
F-ami(5'-aupaiRingo{A= 0 'PP9prt= 759 P�,rgers'onr -
29 Office Supplies 4 , 802.00 0.00 33,318 .00
O? e supplies msznt#a1 2VE6aga"X 32In
,'� F `. n I .-. 'sY 't.
PROW' 'z,'. "tiries-z.•` Y 3 V P i
mgntlltS ���eS}Im'dted'CnSIQt'O Ce>Sn(lptle54 ` ` 1 'i '� y 5 �ikF +23 4
basgdon preserptasfol , s;; , . $400:1'b per ;month`averAg Oat iZ`mopthq , ; ,`.. _ - _
30 Telephone 11 ,533.00 0.001 78,045.00
# P�°one 6r[esae'rage' ostpermonthxf .� ik ` I� "` � �""- ...,. ` i " s'" - is ; +
12- the `IocafIeIpboriaur5t 2 ' ' ,� + + " - r '� 'v. :
Ay-^reTar�009 distand ca3lc if mori2N ge0 gpth y4�4 er {tdn0l av gGfCell. or{ea $34642, er mortUl average/�qng htsta3ce $t 73 5$�1er
mss- . trh , .
Es'``ter tedF,t'af Jong r�+stance;"` � , 1.;,, monthaverageltJata.,Cofnmunicatiq $ di25 per,month average ±- tea. : `' ts+- ,,, €,
r+ .
31 Postage/Shipping 207.00 0_001 51620.00
QuarterlyMadmf Newsl tJg + _ r s� Fr'a' '` a, r
Sp` ct If e-Vel'135 RE' F .g6szsi
, Bt/�I LfAa ]in gs �appea $7-01-4-: . KN32s,.r
32 Utilities 1 ,782 .001 95, 179.00
�`E{eefriclh' X :2 onfbs w , { fi :� kIIII .... r ;
`'t+ifateLlSewer #$�]r`�2 �,rlontf7,�y `�s�`•y `a � ` ' g t� j �� . � ��.' i �: "` � e`.`t � `' � a,Yy'�r �� r
{
�arb2gP,�$�JF�37d7nrudths�.'., ! , t: . � r -�:: . £Iestrtc++ $117.31 Pe{month,ave'rage7 WafeA�Gver $ t3.37� per manth`averagelGadiage.r;t7_82 pe"5xnootb
, , �r
33 Occupancy (Building & Grounds) 7,579. D01 0.001 73 ,649.00
fJlartageVfien}: r '2toiSth§j� + ,9 �
t " , a
aw}ana,r �1- ionfhs` s- i r
.+ G;rq nds ida>q'$ 1'i +oafhs " s �. k ' '. z -
13ea1`-Esta}y �{-yQ' "�F*. IN 5
"_ ',„ " Rei[t'-'$291 67-pei FpontlU 3an'i wal�, $.i.S6 6T-permonthBrntlnds_Maintenance $173 25 permonU'i r
34 Printing & Publications 100.001 0 .001 1 ,910 .00
,3�ua[!e{lyTlepislelteL $x �f � +... .:, ,w 5 i
ieitgF7eadsnvetope ec a
t,� to=", ° .. e , a'
Rtindrat m ..iota} aa`is s„ 1( c "
r rt, x .,= r - ''= -..,'' �a:,�.. - ' tr
{$1fEC: a t .. . , Lot}erhea3, £nvedpesandIvli'scp5ntrg'@$933 permonth ;average `?° ` 1f , 1 . , ;;
35 Subscription/Dues/Memberships 2 , 998.001 0.001 20,356 . 00
Ilk
RAembefsh!pftU' NaLoilJ YtLgatl.IzatsPra I'z.
'r " i ' sL` � F i ' i)ues dChdd Welfiare Leaguo $'T6 Sb-prsmonl[WC=londa Cpa7+Lon- r-GhBdren X795 60`per,monfh7CounGl on
_Subscnyhons'S VOv(5 ers7maga�nes A cTIaiaaon. ,Sd 1. 9 Permo )fljDues for�LCfiogrd Comicl $395 ontlalS"ubscnpLonslbr goaspapers
. _ -
> .=-�,, ,� - s`` ..:. . .,: � h� .- . , '` . . , , . agdtTae aLfa9awios- $7_$8perpaontd '.f)ot tb be forided..tiy l3mted"Vyay; P
. _ . . _.: . . _ � �,. : -
36 Insurance 40885.00 0.001 113,297.00
-. I 7
Pre r , 3nstvanu '� 6'7 y $ "p ,
H
gQe [y �$1 perinlmth9General Laa6�hf tnsura> 4002$ et` mgrfthfPmtessronat Ltabi$ 3242 er mpntfi
t t
37 Equipment Rental & Maintenance 8, 157.00 0.00 97, 733.00
�.'Df3 et•, aSe '�f.12 mdnthS + r . � r n• : ,<,. a a + . s t *
tV19feL1easeS1mO �ibS3 tt K
`Ceipze>;.1iGam�enance $ xi'L.mo2ths)
�Ik'.glnptlet`i)+1 cr-, $-x.'{2 rpgM¢s} Cgpierease $t4 `75 peimonYh/CopieLand t ••.ompu[ermalntenance ° 21'( t'i7 per monttJSotlware Suppgr}
S32�.331Per`mgn#b,'�
38 Advertising 538 .001 0.001 16,740.00
N ad
Frlpap,F.-itltS B isttlff ;tiff "p tion . I I ZlIRmay,
Othgr {i/a6arGleS;l � ` -} „..: , NewSpsperadsasx�"reeded ' r= s- a" ' . -5XI
39 Equipment Purchases :Capital Expense 0.00 0.00 147,580.00
ortr�}uteL,lrpofidgy1
;LaserPrm'ter, n 02-a „u . . a .. �, , .• ,:
5!712007
� -3
Hibisws Children's Center, Inc)HOPE
40 Professional Fees (Legal, Consulting) 905.001 00
11
Legal dNCey Ed�Stlma H EM' v c
Cor3sant fees - -.. . - € m? )
e.a *rte xrt I^-� 0. `" -4 ' ' . > ri t, ` ��'- r ,
CNFlY � .x h'✓iY as. - _ /,SDP-:p3yrON sbfv&O,.. 4 , . , mom, »�- _ a Ip
:v'r-
,.,
41 BookslEducational Materials 0.001 0.001 5,495.00
BoU1fCl$/vuleo `s ;.�' .� a �ae�- gid# k 0�:, �� ' '�. ..;y' `�-
_. Atlalgrial,5.( "'xTsaf(J *"" .`z' - i" " ' - ;- >'
. _-a. .. re . ima ... n _' 'M^
42 Food & Nutrition 0.001 O.ODI 190,523 00
VV' II* ' is h+ tet- '� '` *r a.;s. �. ' r � ' ar { � Iai� ? i f -
r
Meals ( meaisScxL " y '-x 5ffwks) ) �,a. ,t i t, r z �. „
as + , I - ^{- {
a- r)" : z3 _ .. .. . ' , , . . .
43 Administrative Costs 27,723.001 0. 001 6317, 374 .00
: +. 'ham ' ':-N .i3VZ
k ,.x -s r ° ew'a,.: ..
S�drrpga Cost °lonf lata eget} , �, Accogn ant 25 �a1_ary $17267 tinges' $ 52/CYS 1 �"J m Salary x$93 60A, Fn ges X226 = u
44 Audit Expense 2,841 .001 0.001 11 ,617.00
e ... ; „ s 3 d=;t ' x ,fx :�, d i rte, r. a `> " x iIV
:. z
, Vw - 2 s '- t -' { BVI � � � n `''- rrz .�
3(l nefifAuditRv..!E4�A, .x. _ _ rte 7gdepenf3entaucClr�jneWP . •;; , •.. _ .. _ t
45 Specific Assistance to Individuals 29,000 .001 0.001 64,535 00
�� �,` �-� � � `� Ar nVLrving A`ssi'stance $1,768,33 pef.tndhth aY'era'g�l.Cl#ilfry, Assist�ce''`.'�4834�eT:nSontfi average-z . _ .. ;I
46 Other/Miscellaneous 834.00 0. 00 21 ,895.00
� 9aackg u' n&che-c1UdrmIg' test
;tav�u!erf t C� r.�'. _• Bad(grot�nd`Chec$57preg 7esti48== .,,x ._ , <. 4 . , . _ _ _„ u > ,. a- - =' :
47 Other/Contract0.00 0.00 0.00
. � . m rr 't- r� ,.. r . 2f
„r
. -duh-coA�act for-pr9gramservlce5 = 't :w. � < VI
48 TOTAL EXPENSES $306 ,051 .00 $9,984.00 $6 , 239 ,831 .00
5m20D7
✓' l
Hibiscus Children's Center — HOPE Program (Healthy Opportunities for Parenting Excellence)
Indian River County Children's services Advisory Committee
F, UNDUPLICATED CLIENTS
Number of Unduplicated Clients by Location
Current Fiscal Year
Loc a *on Budget 2006/07
Unduplicated Clients Unduplicated Clients Unduplicated Clients
North Indian River Co. 19 10 19
South Indian River Co. 69 27 69
Indian River Co Total 88 37 88
Greater Stuart 40 28 40
Hobe Sound 6 -
Indiantown 10 6 10
Jensen Beach 10 5 10
Palm City 25 5 25
Martin County Total 85 50 85
Fort Pierce 89 95 89
Port Saint Lucie 32 53 32
St. Lucie Co. Total 121 148 121
Other Locations 49 50 49
TOTAL SERVED 343 285 343
Current Fiscal Year
Location Budget 2006/07
Individuals Group
0 to 4 - (Pre-school) 63 150 63 -
5 to 10 - (Elementary) 75 - 34 - 75
11 to 14 - (Middle) 35 - 12 - 35
15 to 18 - (High School) 15 - 8 - 15
Total Children 188 - 204 - 188 -
19 to 59 - (Adults) 152 1 77 - 152 -
60 + (Seniors) 3 - 4 - 3 -
Total Adults 155 - 81 155 -
TOTAL SERVED 343 - 285 - 343 -
12
Hibiscus Children's Center — HOPE Program (Healthy Opportunities for Parenting Excellence)
Indian River County Children's Services Advisory Committee
G. BUDGET FORMS - To open the Budget Forms, please double-click on the icon below.
In the Excel portion of this RFP you will find the following pages/tabs :
1 . Budget Narrative Worksheet (4 pages)
2 . Total Agency Budget
3 . Total program Budget
4. Funder Specific Budget
S . Explanation for Variances
Make sure to print all the forms by going to each tab and selecting the Print icon.
• 1•akN:��. . i •q
In ,�• fin.
Microsoft Office
Excel Worksheet
13
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 yearend (September 30th) 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 27th Street, Vero Beach , Florida 32960.
Recipient: Hibiscus Children's Center, Post Office Box 305 , Jensen Beach , FL ,
Attention : Cliff Whitehill , 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
Hibiscus Children's center, Inc(HOPE
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.
AGENCYIPROGRAM NAME : Hibiscus Children 's Center, Inc./HOPE
FUNDER: Children 's Services Advisory Committee of Indian River County
CAUTION : Do not enter any figures where a cell is colored in dark blue - Formulas and/or links are in place. Gray areas should
• be used for providing information and calculations only.
+i$��"°- ` ` � � t � , -•' .- ="Funder Specflc ,� -`{c7ofa/ .4genc
to B1YYU
1 Children's Services Council-St Lucie 44,765. 00 169,116.00
2 Children's Services Council-Martin 39,520.00
3 Advisory Committee-Indian River 9,984.00 9,984.00 30,784.00
4 United Way-St Lucie County 4,000.00 14,000.00
5 United Way-Martin County 4,000.00 18,815.00
6 United Way-Indian River County 10,000.00
7 Department of Children & Families 589,535.00
8 County Funds
9 Contributions-Cash 29,000.00
10 Program Fees
11 Fund Raising Events-Net
12 Sales to Public - Net 300,000.00
13 Membership Dues 6,000.00
14 Investment Income 2,370.00
15 Miscellaneous
16 Legacies & Bequests
17 Funds from Other Sources 243,302.00 5,010,691 .00
18 Reserve Funds Used for Operating
19 In-Kind Donations (Nor included in total) 43,000.00 400,000.00
20 TOTAL REVENUES
(doesnl include line 191 $3062051 .00 $9,984.00 $6,239,831 .00
" ,. �al ' � .s - t +
it EKPENDTIJRF ��, � � P pas�at o�a]�Figrar7+ $udye�� �� FunderSp�0f6�1IT
Tafa/dyency��;
" s
_. `� � =: ? .xx ,� ' . . ., .,z N �5 -�SolY9e ,l`` " ,,.1,.
21 Salaries - (must complete chart on next page' 159, 929.00 8, 127.00 4,004, 100.00
22 FICA - Total salaries x 0.0765 12,235 .00 621 .72 3061890.00
e remen - Annual pension tor qualified
23 staff @.75% 1 , 177.00 0.00 9,810.00
l e ea - e lca enta ort-term
24 Disab.@3.7% 5 ,800.00 980. 78 345,875 .00
Workers Compensation - # employees x
25 rate of $2.05 4, 176.00 151 .60 111 ,676. 00
on a Unemployment - # projected
26 employees x $7,000 x UCT-6 rate .0147 664 .00 102.90 25,309.00
V712007 3-1
Hibiscus Children's Center, Inc./HOPE
- i -S .cL '�L as `6 § ....
Ell
.;..-= ' o nfTiro55vAnnuai
AhnuaWE
Salary on bfSalary bn proposed r. p g t, + ,
FtinderS eclfic Bud ef.2 Sad
POSrl07r`1t10 „ fitdi Nfi _ a -' 1'Agen � `�,� )grog"€-- `sn F >' ».,i ` ' '. u a ' }?equesfd{f.JA)+'lg'
VMWill
. gg
T),00000 - . � �, _ 5000'DO. +.
Program Manager/40 Hours 45,423.00 221712.00 0.00%
Program Director/40 Hours 66,837.00 22,056.00 0.00%
HOPE Counselor/40 Hours 40, 102-001 40, 102.00 0.00%
HOPE Counselor/40 Hours 34,608.00 34,608 .00 8, 127.00 23 .48%
HOPE Counselor/40 Hours 32,445.00 34,445.00 0.00%
Assistant/40 Hours 24,024.00 6,006.00 0.00%
#DIV/0!
#DIV/O !
#DIV/D!
#DIV/O !
#DIV/O !
#DIV/O !
#DIV/O !
#DIV/0!
#DIV/0!
#DIV/O!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0 !
Remaining positions throughout the agency 3,760,661 .00
Total Salaries $4,004, 100 .00 $159,929.00 $8, 127.001 0.20%
w sw .. n�� -Z
FTG NEF4 DE7AIL 7 s �. t K01, w + "MrIl LEE -�.. � "
11 a {3,"r, l0 , R Vl i 'r 5r VY `
sig, a ensr4n Rewfh -Worker 3lrrempioyme Tofal ranges Fun er
+, i
Eolutn n ro erne 2� to s) � � ` s S c E q Ins comyens nlcoupens Spec fc
;tsU
amp e.d0a5eiNa'nage5l4D hrs ; � ,'. • F `-'," ' ; �A,00000 - ry'.�. 38250_ 4f 200.DO . 50000 . „ 0000 =*200.00 ,, ,+_ 'si _�±. N;582t30
Program Manager/40 Hours 0.00 0.00 0.00
Program Director/40 Hours 0.00 0.00 0 .00
HOPE Counselor/40 Hours 0.00 0.00 0.00
HOPE Counselor/40 Hours 8, 127.00 621 .72 980.78 151 .60 102.90 1 ,857.00
HOPE Counselor140 Hours 0.00 0.00 0.00
Assistant/40 Hours 0.00 0.00 0.00
0
0.00 0.00 0.00
0 0.00 0.00 0.00
0 0.00 0. 00 0.00
0
0.00 0. 00 0.0
0
0.00 0. 00 0.00
0
ODD O.oO 0.00
0
0.00 0.00 0.00
0
0.00 0.00 0.00
0 0.00 0.00 O.00
0
0.00 0.00 0.00
0
0.00 0.00 0.00
0 0.00 0.00 0 .00
D
0.00 0. 00 0.0
0 0.00 0.00 o.00
Total Funder Request Fringe Benefits $8, 127.00 $621 .721 $0.001980.78 $151 .60 $102.90 $1 ,857.00
5nrz007
- L
ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID DATE (MM ODM ri)
HIBIS -2 11/28 /07
PRODUCER THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
A . V . Johnson (GSM} HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
2041 E Ocean Blvd ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Stuart rL 34996
Phone : 772 -287 -3366 rax : 772 -287 -4439 INSURERS AFFORDING COVERAGE NAIL #
INSURED INSURER A'. Admiral Insurance Co .
INSURER B'. Ameritrust Insurance Corp
Hibiscus Childrens Center Inc . INSURER c:
&Hibiscus Childress Foundation
P 0 Box 305 INSURER D,
Jensen Beach FL 34958
INSURER E.
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE PO' ICY PERIOD INDICATED. NOTWITHSTANDING
MY REOUIREME . TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSLED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LTR NSR1 TYPE OF INSURANCE POUCYNUMBER DAMfMMIDDIYY) DATE (MM0DNY) LIMBS
GENERAL LMBILTY EACH OCCURRENCE $ 2 , 000 , 000
A X COMMERCIAL GENERAL LIABILITY COOOOOOO90301 07 / 12 /07 07 /12 /08 PREMISEESE occurence) $ none
$ CLAIMS MADE ❑ OCCUR MED EXP (Any one person) $ none
X Sexual Molestatio $100 , 000 /$ 300 , 000 07 / 12 /07 07 /12 /08 PERSONAL B ADV INJURY $ 2 , 000 , 000
X Prof Liab Includ GENERAL AGGREGATE $ 4 , 000 , 000
GENL AGGREGATE LI MT APPLIES PER: PRODUCTS - COMPIOP AGG $ 41000 , 000
POLICY F71 ,JR4 F---11 LOC
i AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
ANY ALITO - (Ee eccitl .) $
Ste' SYPAYAIR CCQTIIIGIY
ALL OWNED AUTOS BODILY INJURY
SCHEDULEDAUTOS {Per person) $
HIRED AUTOS
BODILY INJURY $
NON-OWNEDNJTOS - (Per emoent)
PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILm AUTO ONLY - EA ACCIDENT $
ANY ALTO NOT COVERED GTEn THiM EAACC $
AUTOONI AGG $
EXCESSNMBRELLA LIABILITY EACH OCCURRENCE $
OCCUR CI-AIMS MADE NOT COVERED AGGREGATE $
$
DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND ITORY LIM;TS X1 ER
B EMPLOYERS' LIABILm WC0336251 02 /22 / 07 02 /22/08 EL. EAOHACCIDENT E500000
PNP PROPRIETO BILTYNERIE%ECUTIVE
OFFICER/MEMBER EXCLUDED? E . DISEASE - EA EMPLOYEE I E SO OOOO
If yes, dsscnbe and
SPECIAL PROVISIONS belay E.L. DISEASE - POLICY LIMIT 5506000
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES f EXCLUSIONS ADDED BY ENDORSEMENT l SPECML PROVISIONS
CERTIFICATE HOLDER CANCELLATION
INDIA01 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER HALL ENDEAVOR TO MAIL lot DAYSWRTTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAS.URE TO DO SO SHALL
Indian River County IMPOSE NO OBLIGATION OR UI TTY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
1800 27th Street REPRESENTATIVES-
Vero Beach FL 32960 ALTTN R RESErrr97RrE
ie
G'.
ACORD 25 (2001/08) ® ACORD CORPORATION 7988
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed . A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may
require an endorsement. A statement on this certificate does not confer rights to the certificate
holder in lieu of such endorsement(s).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.
ACORD 25 (2001108)
Hiblsms Children's Center, Inc MOPE
- :'St� r .. F. ;7' PlOposed ki ts' - `r «z g ,"x stdIl
C r
NIB
` + , + ' . funder ecLfr
FYENDDD -UREA .: '7ntafProgram BudgeE „ : , .�. RT-0tai4yency
Ill
_ ' .. a- ra x;r r .. r� UE ' - = a $=lidgC};'
27 Travel-Daily 15,838 .00 0.00 71 ,638.00
VII-#sof=:S[aff ;ave age# olesr)v7x8ttwksx . .i `' - -', - # ,-
.: t
�;Es matgri Dally;,'�1a9etlhQFleage`Rerzq �. 1r57mllg§ per5veek @ 29 fors[ 08 penpYe,* - . -; . .. .. _ .
28 Travel/Conferences/Training 2,348 . D0 0 .01)1 22 , 190.00
Jat1011al Co7YCerepcecost per staff "` rsa -�' r x. .. e _ I+a- rr _ gra ,
Tti�n�irl9iSeRlulal' C.hOstprBl ,s` ff� i � °t 3 ".r { ` }` '� t`.,k { '�'
' �Auet"3-3a7n61gSC4St4taYef iOdglIDg,F Wit,.. vim„'-t ., P� '� � "yt� -a , �€'
F-ami(5'-aupaiRingo{A= 0 'PP9prt= 759 P�,rgers'onr -
29 Office Supplies 4 , 802.00 0.00 33,318 .00
O? e supplies msznt#a1 2VE6aga"X 32In
,'� F `. n I .-. 'sY 't.
PROW' 'z,'. "tiries-z.•` Y 3 V P i
mgntlltS ���eS}Im'dted'CnSIQt'O Ce>Sn(lptle54 ` ` 1 'i '� y 5 �ikF +23 4
basgdon preserptasfol , s;; , . $400:1'b per ;month`averAg Oat iZ`mopthq , ; ,`.. _ - _
30 Telephone 11 ,533.00 0.001 78,045.00
# P�°one 6r[esae'rage' ostpermonthxf .� ik ` I� "` � �""- ...,. ` i " s'" - is ; +
12- the `IocafIeIpboriaur5t 2 ' ' ,� + + " - r '� 'v. :
Ay-^reTar�009 distand ca3lc if mori2N ge0 gpth y4�4 er {tdn0l av gGfCell. or{ea $34642, er mortUl average/�qng htsta3ce $t 73 5$�1er
mss- . trh , .
Es'``ter tedF,t'af Jong r�+stance;"` � , 1.;,, monthaverageltJata.,Cofnmunicatiq $ di25 per,month average ±- tea. : `' ts+- ,,, €,
r+ .
31 Postage/Shipping 207.00 0_001 51620.00
QuarterlyMadmf Newsl tJg + _ r s� Fr'a' '` a, r
Sp` ct If e-Vel'135 RE' F .g6szsi
, Bt/�I LfAa ]in gs �appea $7-01-4-: . KN32s,.r
32 Utilities 1 ,782 .001 95, 179.00
�`E{eefriclh' X :2 onfbs w , { fi :� kIIII .... r ;
`'t+ifateLlSewer #$�]r`�2 �,rlontf7,�y `�s�`•y `a � ` ' g t� j �� . � ��.' i �: "` � e`.`t � `' � a,Yy'�r �� r
{
�arb2gP,�$�JF�37d7nrudths�.'., ! , t: . � r -�:: . £Iestrtc++ $117.31 Pe{month,ave'rage7 WafeA�Gver $ t3.37� per manth`averagelGadiage.r;t7_82 pe"5xnootb
, , �r
33 Occupancy (Building & Grounds) 7,579. D01 0.001 73 ,649.00
fJlartageVfien}: r '2toiSth§j� + ,9 �
t " , a
aw}ana,r �1- ionfhs` s- i r
.+ G;rq nds ida>q'$ 1'i +oafhs " s �. k ' '. z -
13ea1`-Esta}y �{-yQ' "�F*. IN 5
"_ ',„ " Rei[t'-'$291 67-pei FpontlU 3an'i wal�, $.i.S6 6T-permonthBrntlnds_Maintenance $173 25 permonU'i r
34 Printing & Publications 100.001 0 .001 1 ,910 .00
,3�ua[!e{lyTlepislelteL $x �f � +... .:, ,w 5 i
ieitgF7eadsnvetope ec a
t,� to=", ° .. e , a'
Rtindrat m ..iota} aa`is s„ 1( c "
r rt, x .,= r - ''= -..,'' �a:,�.. - ' tr
{$1fEC: a t .. . , Lot}erhea3, £nvedpesandIvli'scp5ntrg'@$933 permonth ;average `?° ` 1f , 1 . , ;;
35 Subscription/Dues/Memberships 2 , 998.001 0.001 20,356 . 00
Ilk
RAembefsh!pftU' NaLoilJ YtLgatl.IzatsPra I'z.
'r " i ' sL` � F i ' i)ues dChdd Welfiare Leaguo $'T6 Sb-prsmonl[WC=londa Cpa7+Lon- r-GhBdren X795 60`per,monfh7CounGl on
_Subscnyhons'S VOv(5 ers7maga�nes A cTIaiaaon. ,Sd 1. 9 Permo )fljDues for�LCfiogrd Comicl $395 ontlalS"ubscnpLonslbr goaspapers
. _ -
> .=-�,, ,� - s`` ..:. . .,: � h� .- . , '` . . , , . agdtTae aLfa9awios- $7_$8perpaontd '.f)ot tb be forided..tiy l3mted"Vyay; P
. _ . . _.: . . _ � �,. : -
36 Insurance 40885.00 0.001 113,297.00
-. I 7
Pre r , 3nstvanu '� 6'7 y $ "p ,
H
gQe [y �$1 perinlmth9General Laa6�hf tnsura> 4002$ et` mgrfthfPmtessronat Ltabi$ 3242 er mpntfi
t t
37 Equipment Rental & Maintenance 8, 157.00 0.00 97, 733.00
�.'Df3 et•, aSe '�f.12 mdnthS + r . � r n• : ,<,. a a + . s t *
tV19feL1easeS1mO �ibS3 tt K
`Ceipze>;.1iGam�enance $ xi'L.mo2ths)
�Ik'.glnptlet`i)+1 cr-, $-x.'{2 rpgM¢s} Cgpierease $t4 `75 peimonYh/CopieLand t ••.ompu[ermalntenance ° 21'( t'i7 per monttJSotlware Suppgr}
S32�.331Per`mgn#b,'�
38 Advertising 538 .001 0.001 16,740.00
N ad
Frlpap,F.-itltS B isttlff ;tiff "p tion . I I ZlIRmay,
Othgr {i/a6arGleS;l � ` -} „..: , NewSpsperadsasx�"reeded ' r= s- a" ' . -5XI
39 Equipment Purchases :Capital Expense 0.00 0.00 147,580.00
ortr�}uteL,lrpofidgy1
;LaserPrm'ter, n 02-a „u . . a .. �, , .• ,:
5!712007
� -3
Hibisws Children's Center, Inc)HOPE
40 Professional Fees (Legal, Consulting) 905.001 00
11
Legal dNCey Ed�Stlma H EM' v c
Cor3sant fees - -.. . - € m? )
e.a *rte xrt I^-� 0. `" -4 ' ' . > ri t, ` ��'- r ,
CNFlY � .x h'✓iY as. - _ /,SDP-:p3yrON sbfv&O,.. 4 , . , mom, »�- _ a Ip
:v'r-
,.,
41 BookslEducational Materials 0.001 0.001 5,495.00
BoU1fCl$/vuleo `s ;.�' .� a �ae�- gid# k 0�:, �� ' '�. ..;y' `�-
_. Atlalgrial,5.( "'xTsaf(J *"" .`z' - i" " ' - ;- >'
. _-a. .. re . ima ... n _' 'M^
42 Food & Nutrition 0.001 O.ODI 190,523 00
VV' II* ' is h+ tet- '� '` *r a.;s. �. ' r � ' ar { � Iai� ? i f -
r
Meals ( meaisScxL " y '-x 5ffwks) ) �,a. ,t i t, r z �. „
as + , I - ^{- {
a- r)" : z3 _ .. .. . ' , , . . .
43 Administrative Costs 27,723.001 0. 001 6317, 374 .00
: +. 'ham ' ':-N .i3VZ
k ,.x -s r ° ew'a,.: ..
S�drrpga Cost °lonf lata eget} , �, Accogn ant 25 �a1_ary $17267 tinges' $ 52/CYS 1 �"J m Salary x$93 60A, Fn ges X226 = u
44 Audit Expense 2,841 .001 0.001 11 ,617.00
e ... ; „ s 3 d=;t ' x ,fx :�, d i rte, r. a `> " x iIV
:. z
, Vw - 2 s '- t -' { BVI � � � n `''- rrz .�
3(l nefifAuditRv..!E4�A, .x. _ _ rte 7gdepenf3entaucClr�jneWP . •;; , •.. _ .. _ t
45 Specific Assistance to Individuals 29,000 .001 0.001 64,535 00
�� �,` �-� � � `� Ar nVLrving A`ssi'stance $1,768,33 pef.tndhth aY'era'g�l.Cl#ilfry, Assist�ce''`.'�4834�eT:nSontfi average-z . _ .. ;I
46 Other/Miscellaneous 834.00 0. 00 21 ,895.00
� 9aackg u' n&che-c1UdrmIg' test
;tav�u!erf t C� r.�'. _• Bad(grot�nd`Chec$57preg 7esti48== .,,x ._ , <. 4 . , . _ _ _„ u > ,. a- - =' :
47 Other/Contract0.00 0.00 0.00
. � . m rr 't- r� ,.. r . 2f
„r
. -duh-coA�act for-pr9gramservlce5 = 't :w. � < VI
48 TOTAL EXPENSES $306 ,051 .00 $9,984.00 $6 , 239 ,831 .00
5m20D7
✓' l
rrom: "IIY Johnson At: RV Johnson Agency, Inc. FaxID: To: Marion Masterson Date: 11292007 11 :07 AM Page: 2 of 2
Certificate of insurance NATIONAL INDEMNITY COMPANY OF THE SOUTH
3024 Harney Street • Omaha, Nebraska 68131 -358D
This certificale of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policies listed herein.
Notwithstanding any requirement, term or condition of any contract or otherdocument with respect to which this cerfificate 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 which may
substantially limit coverage. Where reference is made to an Aggregate Limit, those limits are Company's maximum liability under the Policy for the
entire policy period regardless of the number of insureds, claimants or occurrences.
Name of Insured HIBISCUS CHILDRENS CENTER, INC.
PO Box 305
JENSEN BEACH, FL 34958
Policy Number 74 APS 008503
Effective Dates 11102/2007 8:55 AM to 07/12/200812:01 AM
Automobile Liability
Bodily Injury Each Person S
Each Accident $
Property Damage Each Accident $
Bodily Injury and Property Damage Combined Single Limit S 7,000,000
Year, Make, Madel VIN
19991SUZU PICK UP JALB4B142X7004092
2001 DODGE VAN 265M36Y811(543707
2003FORD VAN 1FSSS311.23HS62302
1997FORD VAN 1FBJS31L2VHA59551
2002HONDA ODYSSEY 5FNRL18002BC23300
20DGMAZDA VAN JN1XW28AS60561101
2006MAZDA VAN 1MXW28A06060833
2005FORD VAN 1FBSS31L5SHA88635
2001 CHRYSLER TOWN CAR 2C4GP44G91R193524
Ir. the event o` any material change in or cancellation or said policies, the COMPANY intends to, but is no! obligated to, notify the parry to whom this
Certificate is ztldressed of such change or cancella!ion, aiM COMPANY undertakes no responsibility by reason of any failure to do so.
This Certificate issued t0:
INDIAN RIVER COUNTY
1801 27th Street
Vero Beach, FL 32960
By
M4579 (2195) CB • 11I06J2D67
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 yearend (September 30th) 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 27th Street, Vero Beach , Florida 32960.
Recipient: Hibiscus Children's Center, Post Office Box 305 , Jensen Beach , FL ,
Attention : Cliff Whitehill , 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
ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID DATE (MM ODM ri)
HIBIS -2 11/28 /07
PRODUCER THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
A . V . Johnson (GSM} HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
2041 E Ocean Blvd ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Stuart rL 34996
Phone : 772 -287 -3366 rax : 772 -287 -4439 INSURERS AFFORDING COVERAGE NAIL #
INSURED INSURER A'. Admiral Insurance Co .
INSURER B'. Ameritrust Insurance Corp
Hibiscus Childrens Center Inc . INSURER c:
&Hibiscus Childress Foundation
P 0 Box 305 INSURER D,
Jensen Beach FL 34958
INSURER E.
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE PO' ICY PERIOD INDICATED. NOTWITHSTANDING
MY REOUIREME . TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSLED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LTR NSR1 TYPE OF INSURANCE POUCYNUMBER DAMfMMIDDIYY) DATE (MM0DNY) LIMBS
GENERAL LMBILTY EACH OCCURRENCE $ 2 , 000 , 000
A X COMMERCIAL GENERAL LIABILITY COOOOOOO90301 07 / 12 /07 07 /12 /08 PREMISEESE occurence) $ none
$ CLAIMS MADE ❑ OCCUR MED EXP (Any one person) $ none
X Sexual Molestatio $100 , 000 /$ 300 , 000 07 / 12 /07 07 /12 /08 PERSONAL B ADV INJURY $ 2 , 000 , 000
X Prof Liab Includ GENERAL AGGREGATE $ 4 , 000 , 000
GENL AGGREGATE LI MT APPLIES PER: PRODUCTS - COMPIOP AGG $ 41000 , 000
POLICY F71 ,JR4 F---11 LOC
i AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
ANY ALITO - (Ee eccitl .) $
Ste' SYPAYAIR CCQTIIIGIY
ALL OWNED AUTOS BODILY INJURY
SCHEDULEDAUTOS {Per person) $
HIRED AUTOS
BODILY INJURY $
NON-OWNEDNJTOS - (Per emoent)
PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILm AUTO ONLY - EA ACCIDENT $
ANY ALTO NOT COVERED GTEn THiM EAACC $
AUTOONI AGG $
EXCESSNMBRELLA LIABILITY EACH OCCURRENCE $
OCCUR CI-AIMS MADE NOT COVERED AGGREGATE $
$
DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND ITORY LIM;TS X1 ER
B EMPLOYERS' LIABILm WC0336251 02 /22 / 07 02 /22/08 EL. EAOHACCIDENT E500000
PNP PROPRIETO BILTYNERIE%ECUTIVE
OFFICER/MEMBER EXCLUDED? E . DISEASE - EA EMPLOYEE I E SO OOOO
If yes, dsscnbe and
SPECIAL PROVISIONS belay E.L. DISEASE - POLICY LIMIT 5506000
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES f EXCLUSIONS ADDED BY ENDORSEMENT l SPECML PROVISIONS
CERTIFICATE HOLDER CANCELLATION
INDIA01 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER HALL ENDEAVOR TO MAIL lot DAYSWRTTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAS.URE TO DO SO SHALL
Indian River County IMPOSE NO OBLIGATION OR UI TTY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
1800 27th Street REPRESENTATIVES-
Vero Beach FL 32960 ALTTN R RESErrr97RrE
ie
G'.
ACORD 25 (2001/08) ® ACORD CORPORATION 7988
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed . A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may
require an endorsement. A statement on this certificate does not confer rights to the certificate
holder in lieu of such endorsement(s).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.
ACORD 25 (2001108)
rrom: "IIY Johnson At: RV Johnson Agency, Inc. FaxID: To: Marion Masterson Date: 11292007 11 :07 AM Page: 2 of 2
Certificate of insurance NATIONAL INDEMNITY COMPANY OF THE SOUTH
3024 Harney Street • Omaha, Nebraska 68131 -358D
This certificale of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policies listed herein.
Notwithstanding any requirement, term or condition of any contract or otherdocument with respect to which this cerfificate 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 which may
substantially limit coverage. Where reference is made to an Aggregate Limit, those limits are Company's maximum liability under the Policy for the
entire policy period regardless of the number of insureds, claimants or occurrences.
Name of Insured HIBISCUS CHILDRENS CENTER, INC.
PO Box 305
JENSEN BEACH, FL 34958
Policy Number 74 APS 008503
Effective Dates 11102/2007 8:55 AM to 07/12/200812:01 AM
Automobile Liability
Bodily Injury Each Person S
Each Accident $
Property Damage Each Accident $
Bodily Injury and Property Damage Combined Single Limit S 7,000,000
Year, Make, Madel VIN
19991SUZU PICK UP JALB4B142X7004092
2001 DODGE VAN 265M36Y811(543707
2003FORD VAN 1FSSS311.23HS62302
1997FORD VAN 1FBJS31L2VHA59551
2002HONDA ODYSSEY 5FNRL18002BC23300
20DGMAZDA VAN JN1XW28AS60561101
2006MAZDA VAN 1MXW28A06060833
2005FORD VAN 1FBSS31L5SHA88635
2001 CHRYSLER TOWN CAR 2C4GP44G91R193524
Ir. the event o` any material change in or cancellation or said policies, the COMPANY intends to, but is no! obligated to, notify the parry to whom this
Certificate is ztldressed of such change or cancella!ion, aiM COMPANY undertakes no responsibility by reason of any failure to do so.
This Certificate issued t0:
INDIAN RIVER COUNTY
1801 27th Street
Vero Beach, FL 32960
By
M4579 (2195) CB • 11I06J2D67