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HomeMy WebLinkAbout2004-229D (2) b L4 Indian River County Grant Contract This Grant Contract ("Contract") entered into effective this 1st day of October 2004 by and between Indian River County, a political subdivision of the State of Florida , 1840 25th Street, Vero Beach FL , 32960 ("County') and Exchange Club Castle , (" Recipient") ; of: Exchange Club Castle P . O . Box 12908 Fort Pierce , Florida 34979 Valued Visits 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 2004/2005 ("Grant Period") . The Grant Period commences on October 1 , 2004 and ends on September 30 , 2005 . - 1 - • 4 . Grant Funds and Payment The approved Grant for the Grant Period is Thirty Fifteen - Thousand Dollars ($ 15, 000) . The County agrees to reimburse the Recipient from such Grant funds for actual documented costs incurred for Grant Purposes provided in accordance with this Contract . Reimbursement requests may be made no more frequently than monthly. Each reimbursement request shall contain the information , at a minimum , that is set forth in Exhibit "B" attached hereto and incorporated herein by this reference . All reimbursement requests are subject to audit by the County. In addition , the County may require additional documentation of expenditures , as it deems appropriate . 5 . Additional Obligations of Recipient 5 . 1 Records . The Recipient shall maintain adequate internal controls in order to safeguard the Grant. In addition , the Recipient shall maintain adequate records fully to document the use of the Grant funds for at least three (3 ) years after the expiration of the Grant Period . The County shall have access to all books , records , and documents as required in this Section for the purpose of inspection or audit during normal business hours at the County's expense , upon five (5) days prior written notice . 5 . 2 Compliance with Laws The Recipient shall comply at all times with all applicable federal , state , and local laws , rules , and regulations . 5 . 3 Quarterly Performance Reports . The Recipient shall submit Quarterly Performance Reports to the Human Services Department of the County within fifteen ( 15 ) business days following : December 31 , March 31 , June 30 , and September 30 . 5 .4 Audit Requirements . If Recipient receives $25 , 000 or more in 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 . 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 September 21 , 2004 , 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 : 2 - (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. 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 . 3 - IN WITNESS WHEREOF, County and Recipient have entered into this Contract on the date first above written . INDIAN RIVER COUNTY BOARD OF COUNTY COMMISSIONERS By: Caroline D . Ginn , C airman BCC Approved : IdI Att Barton , Clerk Deputy Clerk PATRICIA SII . RIOGELY Approved : Jos ph A. Baird County Administrator Morm and legal s ic•enCy Assista ou tt rney RECIPIEN By: Exchange ub Castle - 4 - EXHIBIT A [Copy of complete proposal/application] - 1 - Organization : Exchange Club CASTLE Program : Valued Visits Funder: Children ' s Services Advisory Committee RFP # 6067 PROGRAM COVER PAGE Organization Name : `Exchange Club CASTLt Executive Director : Theresa Garbarino -Maw_ Email : tgarbarino-may cr exchangecastle org Address : P . O . Box 12908 Telephone : 772 -465 - 6011 Fort Pierce FL 34979 Fax : 772 -465 - 6013 Program Director : Cherie Huttman Email : chuttmanOex chan gee astle . org Address : 673 US 1 Telephone : 772 - 567- 5700 Vero Beach FL 32960 Fax : 772 -567- 7133 x R xogra rt1e Valued VisiYsl Priority Need Area Addressed: Focus Area II : Parental Support and Education Brief Description of the Program : Taxonomy # PH600 (Parent visitation monitoringcram) Valued Visits is a supervised visitation center that provides a safe and nurturing place for children to visit a parent who has hurt them when these visits are court ordered Court ordered supervision occurs when there is an ongoing risk of harm due to child abuse and/or domestic violence , rrloun quos" ed' from"Fun`defora2004/05 ` N45"1605 Total Proposed Program Budget for 2004 /05 : $ 104 , 010 Percent of Total Program Budget : 15 . 0 % Current Funding ( 2003 / 04 ) : $ 15 , 000 Dollar increase / ( decrease ) in request : $ 605 Percent increase /( decrease ) in request : 4 , 0 % Unduplicated Number of Children to be served Individually : 58 Unduplicated Number of Adults to be served Individually : 52 Unduplicated Number to be served via Group settings : Total Program Cost per Client : 946 . 00 If these funds are being used to match another source, name the source and $ amount: Junior League of Indian River County $ 31 ,400 United for Families $ 7 , 000 The Organization ' s Board of Directors has approved this Ic do o _Al Fort 1 Name of President/Chair of the Boa rd ignature _Theresa-Garbarino-May Name of Executive Director/CEO Signa e 3 • organization : Exchange Club CASTLE Program : Valued Visits . Funder: Children ' s Services Advisory Committee RFP # 6067 PROPOSAL NARRATIVE A. ORGANIZATION CAPABILITY (Entire Section A not to exceed one page) F rovide the mission statement and vision of your organization . mission of the Exchange Club CASTLE is to improve the quality of family life while nting child abuse and neglect, by providing community education, support and resources for families in need of assistance . The CASTLE envisions a community where each child is allowed to grow to his or her full potential , free from abuse and neglect, and families have access to the supports they need to create healthy living and learning environments for children . 2 . Provide a brief summary of your organization including areas of expertise, accomplishments and population served . The CASTLE began in 1981 , and now serves as the model for a national network of child abuse prevention centers that span 107 locations in 27 states . With an involved, active Board of Directors , and an Executive Director, Theresa Garbarino -May, who is beginning her 181h year at the helm of the agency, the CASTLE is known for its steady leadership and quality programs . The CASTLE received national accreditation this year from the Council on Accreditation . This distinction ensures that the CASTLE "meets the highest national standards for professional practice " in its programs and services . The CASTLE also received recognition for its Valued Visits program, which was selected to be the featured program at the Violence Against Women ' s Office conference this year in Duluth, Minnesota, The CASTLE offers an array of services designed to prevent child abuse, and cultivate the parent- child relationship . Our core program Safe Families , offers long term , home based, parenting skills development . Other programs offered by the CASTLE include : Families First, a training seminar for divorcing parents ; High Hopes for Kids , offering support to children whose parents have divorced ; Positive Parenting, a support group for parents facing difficulties raising their children ; Healthy Families , providing home based services to pregnant women and newborns ; Valued Visits , a supervised visitation center, and our newest program , Co- Parenting, a support group aimed at helping divorced parents reduce conflict surrounding shared custody. CASTLE services utilize best practices , and a continuous quality improvement model . The population served is : families who are at risk for abusing or neglecting their children; families who have had a reported incident of abuse or neglect, but who , with support and education, can eliminate further episodes of abuse ; families with children 0- 18 ; and families who live within Indian River . County. This year ' s demographics indicate that 44% of enrolled families are single mothers or fathers, 60 % are White, 19 % are Hispanic and 21 %o are Black. 73 % of enrolled parents are under 40 years old . 4 Organization : Exchange Club CASTLE Program : Valued Visits Funder: Children ' s_ Services Advisory Committee RFP # 6067 Be 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 . What : The unacceptable condition requiring change is contact between a parent and child that puts the child at risk . The child is at risk for abuse, at risk of witnessing domestic violence between parents , and at risk of being used in a manipulative manner by estranged parents . Following Florida law, visitation rights are often ordered between a parent and child, even if the parent poses a risk to that child, or has hurt that child in the past. It is unacceptable that these visits take place in the community, without supervision, placing the child, the ex - spouse, and the general community in jeopardy. Who : Children who are at risk of abuse, or are from homes where domestic violence is present . Where : Last year, parents were served in all parts of Indian River County Provide Data : In Indian River County, in 2002 -2003 , there were 121 children who came under the supervision of the Department of Children and Families . There were a total of 479 domestic violence crimes . There were 1 , 039 abuse reports . These children are eligible for Valued Visits , should visiting a parent pose a risk . Valued Visits has operated at capacity since shortly after opening in 2000 . There is generally a 2 -3 family waiting list . F2 . a) dentify similar programs that are currently serving the needs of your targetedulation ; b) Explain how these existing programs are under- serving the targetedulation of your program. e no other supervised visitation centers in Indian River County. Before Valued Visits opened, supervised visit occurred in the offices of Department of Children and Family caseworkers , the homes of relatives, at fast food restaurants , or in police station lobbies . Visits in these locations were often poorly supervised, and inadequately secure . Research shows that the majority of visits scheduled under these conditions were cancelled and did not occur as scheduled, which does not allow the parent/child relationship to mend . 5 • Organization : Exchange Club CASTLE Program : Valued Visits Funder: Children 's Services Advisory Committee RFP # 6067 C . PROGRAM DESCRIPTION (Entire Section C, I — 6, not to exceed two pages) 1 . List Priority Needs area addressed . Focus area II : Parental Support and Education 2 . Briefly describe program activities including location of services . The purpose of Valued Visits is to provide a location for visiting parents to meet with their children in a safe, supervised manner. The participants in the program are referred by the courts due to contentious divorces or domestic violence, or by the Department of Children and Families because of the risk of child abuse or neglect . All referred families are screened for the appropriateness of Valued Visits, and given a date for a program orientation . Both parents and/or caretakers must complete orientation . Following successful completion of orientation, families are given a visitation schedule . The hour- and date agreed upon for the family will be consistent on a weekly basis , until such time as visits are no longer needed . The visits occur in a recreation room type setting, to enhance the programs attractiveness to children, and to ensure a comfortable setting that encourages a positive, interactive visit . Age appropriate games and activities are provided for children from ages 0- 18 . Valued Visits is open for visits on Thursday and Friday evenings from 5 : 30 to 8 : 30pm , on Saturdays , from 8 : 30 to 1 : 30pm, and on Sunday from 1 : 00pm to 5 . 00pm each week. We are fortunate to have volunteers (Junior League members) to help monitor visits . The volunteers augment paid staff, and allow the program to increase its capacity. The services offered at Valued Visits include : Monitored Exchange - Supervised exchange of children between the residential and non- residential parent . Supervised Visitation — Supervised visits between a non-residential parent and a child . The visit is observed at all times by a monitor. The visit occurs on- site, at Valued Visits , and follows strict guidelines as to what can be said and done during the visit . Unless rules are violated, the monitor does not interact with the parent or child. Therapeutic Supervision — Supervised visits between the non- residential parent and a child . In this case, the visit monitor is a licensed mental health counselor, and takes an active role in the visit, working with the parent and child to improve the relationship . Parenting Classes — Non -residential parents are offered parent education classes before and after each visit. Services are provided at the CASTLE office at 673 US 1 , in Vero Beach . 3 . Briefly describe how your program intends to address the stated need/problem . Describe how your program follows a recognized " best practice " (see definition on page 12 of the instructions) and provide evidence that indicates proposed strategies are effective with target population . The stated need or problem is unsupervised visits or contact between a child and a parent that puts that child at risk. Valued Visits addresses this need by offering a safe, enriched setting in 6 Organization : Exchange Club CASTLE Program: Valued Visits Funder: Children 's Services Advisory Committee RFP # 6067 F pervise this contact. Valued Visits also fosters boundary and limit setting, holds ountable for their behavior, and enrolls non-residential parents in a parenting lass . In some cases , therapeutic intervention is offered when ordered by the court . The policies and procedures of Valued Visits follow the guidelines recommended by the Florida Clearinghouse on Supervised Visitation, and the Minimum Standards for Supervised Visitation programs issued by the Florida Supreme Court . Following theses standards ensures that Valued Visits adheres to " best practices" as defined by statewide leaders in the field of supervised visitation . Evidence that that supervised visitation works comes from both in-house statistics (there have been no instances of abuse, or witnessing of domestic violence by a child since the programs inception, during visits by families) and external statistics : • Only 17 % of families using supervised visitation centers missed their appointments, compared with 71 % of families who use Department of Children and Families caseworkers to supervise visits . • Families using visitation centers were likely to have 10 or more visits, about 3 times more than if caseworkers supervised visits . • 50 % of children who had regular family visits were in foster care for less than one year, while only 10 % of children who had infrequent visits were in foster care for less than one year. • Children who use visitation centers have their court cases resolved sooner than children who use caseworkers to supervise family visits . 4 . List staffing needed for your program, including required experience and estimated hours per week in program for each staff member and/or volunteers (This section should conform with the information in the Position Listing on the Budget Narrative Worksheet) . One program manager ( 100% of time) Required credentials/experience : BA/5 years Four visit monitors ( 100% of time) Required credentials/experience : High SchooUl yr. Secretary (25 % of time) Required credentials/experience : High School/ 1 yr. One site supervisor ( 100 % of time) Required credentials/experience : High School/2yrs . 12 Volunteers ( 100 % of time) Required credentials/experience : High School/ 1 yr. 5. How will the target population be made aware of the program ? All families using Valued Visits are court ordered to do so . Families are made aware of the program through the judge presiding at their court appearance, or in dependency cases , through their DCF caseworker. Program enrollment begins when a family provides a copy of the court order to the CASTLE . [6. How will the program be accessible to target population (i. e. location , transportation , hours of operation) ? alued Visits is open in the evenings and on weekends , ensuring accessibility to working milies . The program office is located on a major thoroughfare in South Vero Beach . Enrolled families provide their own transportation , 7 Organization : Exchange Club CASTLE Program : Valued Visits Funder: Children ' s Services Advisory Committee RFP # 6067 D . MEASURABLE OUTCOMES (Entire Section D not to exceed two pages) rl UTCOMES71 , ACTIVITIES e elements or the Measurable Outhe tasks to accomplish the Outcomes) re that visits occurring at ValProvide each adult participant in the essful, in that the visit will ngram with orientation training prior to theted for a rules violation (i . e . at visit, and monitor each adult participant atriate touch, spousal alienatiotimes during the scheduled visit .of the visits occurring at the red by case notes, and significant ports . Baseline is 100% . 2 . Ensure the learning of parenting skills in 2 . Non-residential parents will be offered non-residential parents for 85 % of enrolled parenting education classes while on site at parents, as measured by competency based Valued Visits . After each class , the parent questions (a post test) after each parenting will be given questions to answer that deal class session, during enrollment in Valued directly with that session ' s topic . The Visits . Baseline is 90 % . parenting instructor will review all questions answered incorrectly with the enrolled parents , until competency is achieved . 3 . 90 % of custodial parents will express satisfaction with the program services as 3 . Administer a satisfaction survey to measured by the results of a satisfaction survey custodial parents . The survey will emphasize given prior to the end of services . Baseline is enrollment procedures , safety, and changes in 0 4 /o . their child ' s behavior as a result of attending Valued Visits, 4 . Maintain at 20 % the number of families 4 . Interviews, in person or by phone, will be who receive follow- up contact to ensure that conducted regarding the success of any any service linkages provided were successful , linkages with other services made by visitation as measured by a follow up survey delivered center staff. within 90 days of the service linkage . Baseline : 20 % families received follow- up surveys . 8 Organization : Exchange Club CASTLE Program: Valued Visits Funder: Children 's Services Advisory Committee RFP # 6067 E . COLLABORATION (Entire Section E not to exceed one age) I . List your program ' s collaborative partners and the resources they are providing to the program beyond referrals and support. (See individual funder requirements for inclusion of collaborative agreement letters .) Collaborative A enc Resources provided to the rogram Junior League of Indian River Core funding for the program , assistance in securing foundation funding, volunteers for the program , serve on advisory board . Indian River County Sheriff' s Provide security to Valued Visits during all operating Department hours . 50% of services will be donated . Department of Children and Families Cooperation on d :: ependency cases, access to Cali sharing of information . 19t Judicial Circuit Use of Valued Visits for court ordered supervised visitation, support of program . 9 Organization : Exchange Club CASTLE . Program : Valued Visits Funder: Children 's Services Advisory Committee RFP # 6067 F. PROGRAM EVALUATION (Entire Section F not to exceed two pages) 1 . DEMOGRAPHICS : What information (data elements) will you need to collect in order to accurately describe your target population including demographics (age, gender and ethnic background) required by the funder in Section H ? What are the pieces of information that qualify them for your target population ? How do you document their need for services or their " unacceptable condition requiring change" from Section B1 ? Age, gender, ethnicity, marital status , and address are collected upon intake . Eligibility for the program requires that a judge has deemed that contact between a child and a non- residential parent poses a risk of harm to that child . Intake and eligibility are further assessed during the intake and orientation sessions required by Valued Visits . 2 . MEASURES : What data elements will you need to collect to show that you have achieved (or made progress toward) your Measurable Outcomes in Section D ? What tools or items are you using as measures (grades, survey scores , attendance, absences , skill levels) for your program ? Are you getting baseline information from a source on your Collaboration List in Section E ? Are there results from your Activities in Section D that need to be documented ? How often do you need to collect or follow- up on this data ? Outcome 1 (successful visits) is measured by visit monitor notes and significant event reports which track the number of visits terminated for a rules violation . Visit monitor notes are reviewed weekly; significant events are reviewed immediately, and again quarterly at the Risk Management committee meeting. Outcome 2 (learning parenting skills ) is measured with competency-based tests (post- tests) given after each parenting class . Participants must get all answers correct, or remediation is done by the group facilitator. Tests are collected after every parenting class . Outcome 3 (satisfaction survey) is measured with a survey that is administered prior to the case closing. Results are collated quarterly and reported to the Service Delivery committee . Outcome 4 (follow-up contact) is performed with families who have been give a service linkage contact. Contact is made by phone if the family is no longer enrolled in the program, and in person, if the family is still enrolled . Results are tabulated quarterly, and reported to the service delivery committee . 3 . REPORTING : What will you do with this information to show that change has occurred ? How will you use or present these results to the consumer, the funder, the program, and the community ? How will you use this information to improve your program ? Information collected is reported to funders on a regular bases , through monthly, quarterly or semi- annual reports . Staff, board members , employees and other stakeholders are made aware of results through the CASTLE Continuous Quality Improvement process , and feedback at all -team and Board meetings . Recommendations for program improvement are developed through this CQI process . The community is made aware of results through an annual report . 10 Organization : Exchange Club CASTLE Program: Valued Visits Funder: Children 's_ Services Advisory Committee RFP # 6067 G. TIMETABLE (Section G not to exceed one page) 1 . List the major action steps , activities or cycles of events that will occur within the program year. New programs should include any start- up planning that may occur outside the funding year. In completing the timetable, review information detailed in prior sections . Month/Period Activities 10/ 1 /2004 — 9/30/2005 Valued Visits is a continuing program and will be fully staffed and in full operation at the start the contract year. Regarding the program operation : 1 . A court order is received for supervised visitation . 2 . The family is given 10 days to contact the CASTLE , and set up orientation. 3 . Each parent receives orientation, reviewing the rules and guidelines for participation in the program (orientations are done on separate nights for each parent) . Orientations are scheduled every week . 4 . Visits begin and continue until there is no longer a risk of harm to the child . 5 . Prior to and after each visit, the visiting parent participates in parent education classes . 11 organization : Exchange Club CASTLE Program : Valued Visits Funder: Children ' s Services Advisory Committee REP # 6067 H . PROJECTIONS FOR UNDUPLICATED CLIENTS Number of Unduplicated Clients by Location 'Las s a Y- ea Current Fiscal Year I IN, ext� seal ar Location zA�ctua1200 X2 Budget 2003/04 ': b Prolecfionsa2004/0� .' . . Unduplicated Clients Unduplicated Clients Unduplicated Clients N. Indian River County 26 45 45 S . Indian River County 45 65 65 Indian River Co . Total 71 110 110 Greater Stuart Hobe Sound _ - Indiantown _ Jensen Beach _ Palm City Martin County Total Fort Pierce Port Saint Lucie St. Lucie Co . Total _ Okeechobee County Palm Beach County _ TOTAL SERVED 71 110 110 Number of Un11 du licated Clients by A e "as c e t• Location Current Fiscal Year Next Fid tai= 2 Bud et 2003 /04 ��ro `°eetipns ;0�( ° 0 Ind i���aia Gou : Individual Group v dw% ua rou 0 to 4 - (Pre -school ) 8 - 15 - 15 - 5 to 10 - (Elementary) 14 - 25 - 25 - 11 to 14 - (Middle) 8 - 11 - 11 15 to 18 - (High School) 2 - 7 - 7 19 to 59 - (Adults ) 33 - 44 - 44 60 + (Seniors) 6 8 - 8 TOTAL SERVED 71 - 110 12 Organization: Exchange Club Castle Program: Valued Visits UNIFORM GRANT APPLICATION BUDGET NARRATIVE WORKSHEET IMPORTANT: The Budget Narrative should provide details to justify the amount requested in each line item of the budget for your program. From this worksheet, your figures will be linked to the Total Agency Budget, Total Program Budget and Funder Specific Budget Forms. AGENCY/ PROGRAM NAME : Exchange Club CASTLE - Valued Visits - Indian River County FUNDER : Children 's Services Advisory Committee @I CAUTION : Do not enter any figures where a cell is colored in dark blue - Formulas andlor links are in place. Gray areas should j be used for calculations and to write information only. Nis : ORAX MEAS FOR "�: x _ ell REVENUES RCENcrise'or,�r Proposed TotalProgram � !'urider. Secific `; 11 (sHowoE7a� s p °, Totat4ency cA�cuwrioes( " ' Budget r Budget Budgef 1 Children 's Services Council-St. Lucie 2 Children 's Services Council -Martin 179 , 114 . 49 3 Advisory Committee -Indian River 1379673 . 41 15 , 605 . 00 15 , 605 . 00 659509 . 50 4 United Way-St, Lucie County 5 United Way-Martin County 57, 280 . 09 6 United Wa -Indian River County 469588 . 29 7 United for Families (DCF) 109, 719 . 637 , 000.00 8 Court Funds 397, 876. 00 9 Contributions-Cashell le : 30, 000 . 00 10 Pro ram Fees 42 , 186. 30 17500 . 00 40 ,000 . 00 11 Fund Raising Events -Net 8 , 105. 18 12 Sales to Public - Net 180 , 000 . 00 13 Membership Dues 0 . 00 14 Investment Income 15 Miscellaneous5 , 000 . 00 16 Legacies & Bequests 21000 . 00 17 Funds from Other Sources 0. 00 41 , 800 . 00 18 Reserve Funds 684 , 340 . 45 Used for Operating 19 In -Kind Donations (Not included in total) 50, 000 . 00 20 TOTAL REVENUES (doesn't include line 19) $ 104 , 010. 18 $ 15 , 605 . 00 $ 19997 , 288 . 16 A B CD . EXPEND/TURES aRArAREAS FOR Proposed Total Program Funder S ecific . ACENCYOSE ONLY p 'Total Agen Cy -. . (S404 CALCULATIONS) 'stBudget9 . " ' >Budget / '- Bud et 6 . 21 Salaries (must complete chart on next page) 54 , 769 . 00 11 t689 . 00 9882024 . 00 Sala ry . 22 FICA - Total salaries x 0. 07657. 65% 2, 365. 00 e firemen - nnua pension or qua I le 894. 21 95 , 578 . 00 staff 23 �" e eat - e Ica enta ort-term ' 11000. 00 0. 00 42 , 000 . 00 24 Disab. lee or ers ompensatlon - emp oyees x 11505 . 00 400 . 00 61 , 200 . 00 25 rate on a nemp oymen - pro) ec a 495 . 00 168. 00 179991 . 00 26 employees x $7, 000 x UCT-6 rate 0. 00 0. 00 5 , 000 . 00 5/25/2004 13 iSAL . - ' • POSITIONSalary Proposedon of Salary on Position Title / Total HrsAvk (Agency) Program Example: Executive DirectorlI I 1 1 I I Cherie Hutt J= W 10, 000. 00 :®� 11I 10 �� : : 11 . : • 11 • • • • • hours • / 1 1 • ' • ' C . Colon/Monitor/Monitor/ 10 hours 11 1 11 1 11 ' , : T Foster/Supervisor/20 hours of 1 • 11 • • � , 11 1 / 1 ' • • • 1 hours1 11 1 11 t 1 1N . Win ate/Monitor/lb -�-o—urs Receptionist IRC : 1 11 • t 1 � 1 Remaining Positions thr • • • . • " s • • / / "+ m''"'z z{' s G a'a-,�,� 3 fa' r e a wr r „ F cs a : *•° X f a , 1 .,, N .• f:`-`4t6� �i�'t; rua F �x rT. Total • : : I 11 , ea Compens. ' • III I I f I J I / I I I I I I I I I I I J • • • • • hours —�— C . 1 1 / • • • • • • I ho rs / / 1 / 1 / ---�■ 1 1 1 Foster/Supervisor/20 • 1 1 1 1 11 ---■ 1 1 1 / Owens/Monitor/ 10 • / 1 / 1 1 1 ---■ I 1 / • • • 1 hours; Receptionist I R 1 111 111 _- 1 111 111 1 111 ®_— 11 1 11 1 11 1 1 / / 1 11 1 11 '4ti w. „"f„ r . .i $ .. ' �{ ..�. . � F• a ,, . -'. >� .3j ..�,. �:' � a"Z 3.�a, a a tfi .ir ' a •a F � 11 .�u ) S LS- -fix 1—�— 1 1 .._ • 1 1 1 • 1 1 1 1 �� r • : 11 1 11■ Organization: Exchange Club Castle Program: Valued Visits A _ B ' C 0 EXPENDITURES GRAY AREAS FOR Proposed Total Program Funder Specific Total Agency AGENCY USE ONLY TO g Y , SNOW DETAIL Budget Budget Budget 27 Travel-Daily 1 , 275 . 00 40 , 000 . 00 # of Staff x average # of miles/wk x 50 wks x $ = Estimated Daily Travel/Mileage Reimb . General. Mileage Reimbursement @ S. 29/mile 28 Travel/Conferences/Trnining 19000 . 00 26 , 854 . 00 • National Conference (cost per staff) • Training/Seminar (cost per staff) •• Other Trainings (cost of travel , lodging , Na registration , Conference, CORE registration , food ) Professional & Competancy Training 29 Office Supplies 250 . 00 • Office supplies (monthly average x 12 22 , 000 . 00 months = estimated cost of office supplies based on present history. General Office Supplies & Copier 30 Telephone Paper 600. 00 25 , 000 . 00 # Phone lines x average cost per month x 12 months = local phone cost Average long distance calls x 12 months = ` Estimated cost of long distance Telephone, Cell Phone, Pagers , Internet . 31 Postage/Shipping 300 . 00 • Quarterly Mailing of Newsletter 91474 . 00 • Special events , etc. General & Program Correspondence, • Bulk mailings - appeals = Bulk Mailings, Newsletters orideeys 32 Utilities 600.( 0 • Electricity ($ x 12 months) 17 , 060 . 00 • Water/Sewer ($ x 12 months) Garbage ($ x 12 months ) Wafer, ash" E16 _6 6 - 33 Occupancy ( Building & Grounds ) 6 , 000 . 00 • Mortgage/Rent ($ x - 12 months) 1 . 1% %j. 1 , 200. 00 90, 344 . 00 In • Janitorial ($ x 12 months) I IV . • Grounds Maint. ($ x 12 months) IRG Office General Maintenance, Grounds, Gleaning & Building Repairs • Real Estate Taxes (minor}- " 34 Printing & Publications ' 500 . 00 25, 100. 00 • Quarterly Newsletter ($ x 4) • Letterheads, Envelopes , etc. ZV Fundraising materials Letterhead, Brochures Newsletters, e Other , Surveys: 35 Subscription/Dues/Memberships 100. 00 Membership to National Organization 3 , 500. 00 a= Dues Subscriptions to Newspapers/magazines , ` ` etc. Local Chambers , 'Prevenbon Organization, Newspaper " ! 36 Insurance 1 , 000. 00 10b . 00 13 , 050. 00 Directors/Officers Liab. Commercial/General Insurance Bond Ins . General Liabilit D&O,= Professional Auto Insurance y • - Liability;& Hazardilnsurance'° 37 Equipment: Rental & Maintenance 500. 00 Copier lease ($ x 12 months) 46 , 810. 00 Meter lease ($ x 12 months) Copier Maintenance ($ x 12 months ) Computer Maintenance ( $ x 12 months) Postage Meter, CopierMalntenance, Other Computer & Network Maintenance 38 Advertising 200 . 00 • Newspaper ads1 . 81007 . 00 • Fundraising ads/promotionsI VI • Other (vacancies) Help "Wanted & Program Ads : 39 Equipment Purchases : Capital Expense Computer/monitor (# x $) I VI 0 00 Laser Printer 5252004 15 Organization: Exchange Club Castle Program: Valued Visits 40 Professional Fees ( Legal, Consulting ) • Legal advice ( estimated #hrs x $) 0 . 00 • Consultant fees Other 41 Books/Educational Materials • Books/videos 200 . 00 200 . 00 21 , 120. 00 • Materials ($ x staff) Child/Parent Books, Educational 42 Food & Nutrition Materials , Tapes & Videos • Meals ( # meals x clients x 5days x 50 wks) __ 0. 00 0 . 00 • Snacks 43 Administrative Costs • Admin . Cost ( % of total budget) 12' 773 ' 18 287, 751 . 00 44 Audit Expense Independent Audit Review 19078. 00 953 . 79 17, 500. 00 45 Specific Assistance to Individuals Audit ' & Retirement Programs Medical assistance 150. 00 5 , 710. 00 • Meals/Food • Rent Assistance • Other Food Bank & Individual is Needs 46 Other/Miscellaneous • Background check/drug test 350 . 00 58 , 215 . 16 Ale • Other Background , Drug FBI Checks 47 Other/Contract Sub-contract for program services 17 , 000. 00 70 , 000. 00 Security, marketing & promotions 48 TOTAL EXPENSES $ 104 , 010 . 18 $ 15 , 605. 00 $ 1 , 997, 288 . 16 5/251.2004 16 Organizahon: Exchange Club Castle Program: Valued Visit UNIFORM GRANT APPLICATION TOTAL AGENCY BUDGET AGENCY/PROGRAM NAME : Exchange Club CASTLE -Valued Visits -Indian River County FY 02/03 FY 03/04 FY 04/05 ET EASE FYE Sept 2003 FYE Sept 30, 2004 FYE Sept 30, 2005 CVS . NEUDGET A B C D ACTUAL TOTAL PROPOSED (c01. C-col. B)/COL B REVENUES BUDGETED BUDGETED 1 Children 's Services Council -St. Lucie 162 , 202, 001 1789100. 00 179 , 114.49 z Children 's Services Council-Martin 0 ' 57 % 74 , 353 . 00 136 , 696 . 00 137 , 673.41 0 . 72% 3 Advisory Committee-Indian River 50,103 ,001 50 , 000 .00 65 , 509. 501 31 . 02% a United Way-St. Lucie County57, 600 ,001 55 , 000, 001 57, 280. 09 5 United Way-Martin County4' 15% 39 , 140 .00 36 , 002. 00 46 , 588. 29 29 .40% 6 United Way-Indian River County96 000 . 00 96 000.00 109 , 719.63 7 Department of Children & Families 14. 29% 289,792 . 00 354 , 021 .00 397, 876 . 00 12 . 39 % 8 CountyFunds 0 .00 0 . 00 0 .00 # DIV/0 ! 9 Contributions -Cash 637935 .00 96 , 500 . 00 42, 186 .30 56 , 28 % 10 Program Fees 429910 . 00 70,000 . 00 40 , 000 .00 -42 . 86 % 11 Fund Raising Events -Net 104 , 058 .00 180 ,000. 00 180 . 000.00 1 0 . 00% 12 Sales to Public-Net 0 . 00 0.00 0 . 00 #DIV/0 ! 13 MembershipDues 0 . 00 0 . 00 #VALUE ! 14 Investment Income 129988 .00 7y500 , 001 51000 . 00 -33 . 33 % 15 Miscellaneous 21900 . 00 2t000 . 001 2, 000. 00 16 Legacies & Bequests 0 . 00 % 0 . 00 0. 0010 . 00 #DIV/0 ! 17 Funds from Other Sources 447 , 815. 00 628 ,462.00 684 , 340.45 18 Reserve Funds Used for Operating 8 . 89% 0 . 00 759000 .00 50 , 000.00 33 . 33% 19 In -Kind Donations (Not included m Maxi) 7, 123 . 00 19 , 009 .00 0.00 20 TOTAL -100 . 00 % 11450 , 919 . 00 1 , 965 , 281 . 00 1 ,997 , 288 . 16 1 . 63% EXPENDITURES 21 Salaries 7179692 . 00 1 .013 , 073 .001 988 024. 00 2 ,47% 22 FICA 72 698 . 00 92 , 534 . 00 95 , 578 . 00 3 . 29 % 23 Retirement 39 660 . 00 40 , 000 . 00 42 , 00000 24 Life/Health . 5 . 00 % 587295 ,001 61 , 200 .001 61 , 200. 001 0. 00 % 25 Workers Compensation 16 , 829 . 001 179418 .001 17, 991 . 00 3. 29 % zs Florida Unemployment a 7q181 . 001 8 , 000 . 001 5, 000 . 00 -37. 50% 27 Travel - Daily45 , 856 . 001 59 060 .0040 , 000 . 00 _32,27% 28 Travel/Conferences/Training43 ,371 , 001 13 ,000 .001 269854.00 106 . 57% 29 Office Supplies 65 , 264 . 00 209500 . 00 22 , 000. 00 7 , 32% 30 Telephone 23 , 663 . 00 29 196. 00 255000 . 00 -14. 37 % 31 Prostage/Shipping79624. 00 9005.00 9 ,474.00 5.21 % 32 Utilities 12 ,427 . 00 159024 .00 177060.00 13 . 55% 33 Occupancy-( Building & Grounds 489134 . 00 8.19053. 00 90 , 344 . 00 ' 11 .46 % 34 Printing & Publications 89622 . 00 22 , 600. 00 25, 100. 00 11 . 06 % 35 Subscription/Dues/Memberships 31007 . 00 4 000.00 39500. 00 -12. 50% 36 Insurance 119834 . 00 11 850 . 00 13 , 050. 00 10 . 13% 37 E ui ment: Rental & Maintenance 24 , 393 . 00 36 160 . 00 46 , 810. 00 29 .45% 38 Advertisin 71186 .00 79500 . 00 87007. 00 6 .76 % 39 Equipment Purchases : Ca ital Expense 27 , 308 . 00 45 , 750. 00 0 . 00 100 . 00 % 40 Professional Fees ( Legal, Consulting ) 0 . 00 209500.00 0 .00 100 . 00 % 41 Books/Educational Materials 77969 . 00 30 , 190 . 001 21 , 120.00 -30. 04% 42 Food & Nutrition 0 . 0010. 001 0 . 00 #DIV/O ! 43 Administrative Costs 107 567. 00 196 ,528 . 00 287, 751 .00 46 .42 % 4a Audit Expense 14 873 . 00 20 000.00 179500. 00 -12. 50% 45 Specific Assistance to Individuals 97610 , 00 7 020 . 00 51710 . 00 -18 . 66 % 46 Other/Miscellaneous 67640 . 00 50 576. 00 58 215. 16L15 . 10% 47 Other/Contract 63 216 . 00 53 544.00 70 , 000.00 30. 73 % 48 TOTAL 1 ,450 , 919 . 00 11965, 281 , 00 1 , 997, 288 . 16 1 . 63 % w , _ , , 49 REVENUES OVER/ UNDER EXPENDITURES 0 .00 0. 00 10 , 00 #DIV/01 5/25!2004 _ 17 Organization: Exchange Club Castle Program. Valued Visits UNIFORM GRANT APPLICATION TOTAL PROGRAM BUDGET AGENCY/PROGRAM NAME : Exchange Club CASTLE -Valued Visits -Indian River County FY 02/03 FY 03/04 FY 04/05 % INCREASE FYE Sept 30 , 2003 FYE Sept 30 , 2004 FYE Sept 30, 2005 CURRENT VS . NEXT FY BUDGET A B C D ACTUAL TOTAL PROPOSED (col. C-col. Bycol. B REVENUES BUDGETED BUDGETED 1 Children's Services Council-St. Lucie #VALUE ! 2 Children 's Services Council-Martin 0 . 00 # DIV/01 3 Advisory Committee-Indian River 12, 125. 80 15 , 000 . 00 157605 . 00 4 .03 % 4 11�United Way-St Lucie County #VALUEI s United Way-Martin County #VALUE ! 6 United Way-Indian River County #VALUE ! Junior League 48 , 764 . 66 31 , 850 . 00 31 ,400 . 00 -1 .41 % 8 County Funds #VALUEI 9 Contributions-Cash 30, 000. 001 a 309000 . 00 30000 . 00 0 . 00 % 10 Program Fees 17500 . 00 1 , 500. 001 , 500 . 00 0 . 00 % 11 Fund Raisin Events-Net 3 , 000. 00 37000. 00 8 , 105. 18 170 . 17% 12 Sales to Public-Net #VALUE ! 13 MembershipDues #VALUE ! 14 Investment Income #VALUE ! 1s Miscellaneous 71000 . 00 # DIV/0 ! 16 Legacies & Becluests 0 . 00 # DIV/O ! 17 Funds from Other Sources 101400 . 00 # DIV/O ! 18 Reserve Funds Used for Operating 0 . 00 # DIV/O ! 1g In-Kind Donations (Not Included In total) 0 . 00 # DIV/0 ! 20 TOTAL 95 , 390 .46 819350 . 00 1 104, 010 . 18 27 . 86 % EXPENDITURES 21 Salaries 53, 238 . 04 39 089. 00 541769 . 00 40 . 11 % 22 FICA 4 072 . 70 31637.00 21365. 00 -34. 97% 23 Retirement 806 . 81 544. 50 17000 . 00 83 . 65% za Life/Health 31423 . 81 1 ,469. 00 1 , 505 . 00 2 .45% zs Workers Compensation 412. 31 0. 00 495. 00 # DIV/0 ! 26 Florida Unemployment 0 . 00 683 . 000 . 00 100 . 00 % 27 Travel-Daily 753 . 90 11200. 00 19275 . 00 6 . 25% 28 Travel/Conferences/Train In 152 . 17 1 ,000. 00 1 ,000 . 00 0 . 00% 29 Office Supplies 278 . 51 550. 00 250 . 00 54 . 55% 30 Telephone 11181 ,431 600. 00 600 . 00 0 . 00 % 31 Postage/Shipping 128 . 51 300. 00 300 . 00 0 . 00 % 32 Utilities 0. 00 600. 00 600 . 001 0 . 00 % 33 Occupancy ( Building & Grounds 41575. 22 3 , 600.00 61000 . 00 66 . 67 % 34 Printing & Publications 188 . 21 250. 00 500. 00 100 . 00% 35 Subscription/Dues/Memberships 18 . 021 160. 00 100. 00 37 . 50% 36 Insurance 320. 37 1000. 00 1 , 000. 00 0 . 00 % 37 Equipment: Rental & Maintenance 373 . 63500. 00 500. 00 0 . 00 % 38 Advertising 319. 87 600 . 00 200. 00 -66 . 67 % 39 Equipment Purchases : Ca ital Expense 0. 00 0 . 00 0. 00 # DIV/01 40 Professional Fees ( Legal , Consulting) 0 . 00 500 . 00 0. 00 -100. 00 % 41 Books/Educational Materials 0 . 00 0 . 00 200. 00 # DIV/01 42 Food & Nutrition 153 .47 0 . 00 0. 00 # DIV/0 ! 43 Administrative Costs 11 713 . 81 9 642 . 50 12 , 773 . 18 32. 47% as Audit Expense 390 . 85 125 . 00 1 , 078 . 00 762. 40% 45 Specific Assistance to Individuals 6. 34 0 . 00 150 . 00 # DIV/0 ! 46 Other/Miscellaneous 1 , 305.49 300 .00 350 . 00 16 . 67% 47 Other/Contract 11 576. 99 151000 ,001 17 000 . 00 13 . 33% 48 TOTAL 95 , 390.46 81 350.00 104, 010. 18 27. 86% 49 REVENUES OVER/ UNDER EXPENDITURES 0. 00 .0 .00 0.00 #DIV/01 &M004 18 • Organization: Exchange Club Castle Program: Valued Visits UNIFORM GRANT APPLICATION Children ' s Advisory Committee SPECIFIC BUDGET PROGRAM EXPENSES AGENCY/ PROGRAM NAME : Exchange Club CASTLE4alued Visits -Indian River County FUNDER : Children 's Advisory Committee A B c FY 04/05 FY 04/05 % OF TOTAL FUNDER TOTAL VS . PROGRAM SPECIFIC FUNDER REQUEST BUDGET BUDGET ( col . B/col . A ) EXPENDITURES 21 Salaries 547769 . 00 119689 . 00 21 . 34 % 22 FICA 2 , 365 . 00 894 . 21 37 , 81 % 23 Retirement 11000 . 00 0 . 00 0 . 00 % 24 Life/Health 1 , 505 . 00 400 . 00 26 . 58 % 25 Workers Compensation 495 . 00 168 . 00 33 . 94 % 26 Florida Unem to ment0 . 00 0 . 00 # DIV/0 ! 27 Travel - Dail 11275 . 00 0 . 00 0 . 00 % 28 Travel/Conferences/Training11000 . 00 0 . 00 0 . 00 % 29 Office Supplies 250 . 00 0 . 00 0 . 00 % 30 Telephone 600 . 00 0 . 00 0 . 00 % 31 Postage/Shipping300 . 00 0 . 00 0 . 00 % 32 Utilities 600 . 00 0 . 00 0 . 00 % 33 Occupancy ( Building & Grounds 61000 . 00 11200 . 00 20 . 00 % 34 Printing & Publications 500 . 00 0 . 00 0 . 00 % 35 Subscription/Dues/Memberships 100 . 00 0 . 00 0 . 00 % 36 Insurance 12000 . 00 100 . 00 10 . 00 % 37 E ui ment : Rental & Maintenance 500 . 00 0 . 00 0 . 00 % 38 Advertising _ 200 . 00 0 . 00 0 . 00 % 39 Equipment Purchases : Ca ital Expense 0 . 00 0 . 00 # DIV/0 ! 40 Professional Fees ( Legal , Consulting ) 0 . 00 0 . 00 # DIV/01 41 Books/Educational Materials 200 . 00 200 . 00 100 . 00 % 42 Food & Nutrition 0 . 00 0 . 00 # DIV/0 ! 43 Administrative Costs 12 , 773 . 18 0 .00 0 . 00 % 44 Audit Expense 19078 . 00 953 .79 88 . 48 % 45 Specific Assistance to Individuals 150 . 00 0 . 00 0 . 00 % 46 Other/Miscellaneous 350 . 00 0 . 00 0 . 00 % 47 Other/Contract 17 , 000 . 00 0 .00 0 . 00 % 48 TOTAL $ 104 , 010 . 18 $ 15 , 605 . 00 15 . 00 % 5Q&*20o4 19 Organeatm Enhange Club Castle ProgramValued Vnts UNIFORM GRANT APPLICATION EXPLANATION FOR VARIANCES OF 15% OR MORE TOTAL PROGRAM BUDGET AGENCY/PROGRAM NAME : Exchange Club CASTLE-Valued Visits - Indian River County FUNDER : Children 's Advisory Committee - Indian River County" ? 'LJNE1TEM-i%W, ; )pt, .m . _ z �� EXPLANATIONFOR ,VARIANCE . #VALUE . #DIV/01 #VALUEI #VALUE ! #VALUEI #VALUEI Fund Raising Events -Net Increase our support for the program #VALUE ! #VALUE ! #VALUEI #DIV/01 #DIV/O ! #DIV/o ! #DIV/01 #DIV/01 Salaries Additional staffing Retirement Benefit for additional staffing #DIV/Ol occupancy (Building & Grounds Increase of rent due to 1arrwee facilit Printing 8 Publications Additional printing of newsletters #DIV/01 #DIV/01 #DIV/Ot Administrative Costs Reclassification of salaries to administration Audit Expense Increase of cost of audit #DIV/01 Other/Miscellaneous Increase of costs of back round checks srzsrzoa 20 • OrganuationExchange Club Caslle Program. Valued Vols UNIFORM GRANT APPLICATION EXPLANATION FOR VARIANCES OF 15% OR MORE FUNDER SPECIFIC BUDGET AGENCY/PROGRAM NAME : FUNDER : [INEITEM a . €mss. . m, . A4, ax � *�;�,� , xa�� � 3 'EXPLANATIOMfOR`. VARIANCE =W ..R; Salaries Additional staffing ' FICA Increase related to increase in salaries Life/Health Increase related to increase in salaries Workers compensation Increase related to increase in salaries #DIV/01 Occupancy ( Building 8 Grounds Increase of rent for larger facility #DIV/0 ! #DIV/01 Books/Educational Materials Additional materials for program #DIV/0! Audit Ex ense Inrease in cost of audit s2saoa 21 Organization : Exchange Club CASTLE Program: Valued Visits Funder: Children ' s Services Advisory Committee RFP # 6067 ORGANIZATION : _ Exchange Club CASTLE PROGRAM : Valued Visits TABLE OF CONTENTS Please "X 91 the parts of the grant application to indicate they are included. Also, please put the page number where the information can be located. X Section of the Pro osal Pa e # X TABLE OF CONTENTS (Check list) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 X COVER PAGE (with signatures) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 A. ORGANIZATION CAPABILITY (one page maximum) X 1 . Mission and Vision of organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 X 2 . Summary of expertise, accomplishments , and population served . . . . . . . . . . . 4 Be PROGRAM NEED STATEMENT (one page maximum) X 1 . Program Need Statement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 X 2 . Programs that address need and gaps in service . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 C . PROGRAM DESCRIPTION (two pages maximum) X 1 . Funding priority " , . . , , , . , , , 0 . * 6 X 2 . Description of program activities . I Ile I I I I . . . . . . . . . . . . . . 6 X 3 . Evidence that program strategy will work Ile . . . . . 11 . . 11 . . . . . . . . . . . . . . . . . . . . . . . . . 6 X4 . Staffing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 X 5 . Awareness of program . . I I I I I I 1 1 . 1 1 go . I I I . . . I . , . . . I . . . . . . . . . . . . . . . . . . . . I 1 7 X 6 . Accessibility of program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . . . 7 X D . MEASURABLE OUTCOMES (two pages maximum) . , . 8 X E . COLLABORATION (one page maximum) . 9 F. PROGRAM EVALUATION (two pages maximum) X 1 . Demographics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : . . . . . . logo . . . . . . . . . 10 X 2 . Measures . , 10 logo . , . . . . . . . . . . . . . 10 X3 . Reporting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 10 X G . TIMETABLE (one page maximum) . . . . . . . . . . . 11 H. UNDUPLICATED CLIENT COUNT X 1 . Projections by Location . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 X 2 . Projections by Age Group . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 1 Organization : Exchange Club CASTLE Program : Valued Visits Funder. Children ' s Services Advisory Committee RFP # 6067 I . BUDGET FORMS X 1 . Budget Narrative Worksheet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 X 2 . Total Agency Budget , . . . I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 X 3 . Total Program Budget . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 X 4 . Funder Specific Budget , . . I I . . 0 * . . # . . 0 - - I . . . I . . . . . . . . . . . . . . . . . .. . . . 19 X 5 . Explanation for Variances — Total Program Budget . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 X 6 . Explanation for Variances - Funder Specific Budget . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 J. FUNDER SPECIFIC/ADDITIONAL SHEETS K. APPENDIX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 1 EXHIBIT B [From policy adopted by Indian River County Board Of County Commissioners on February 19 , 2002] " D . Nonprofit Agency Responsibilities After Award of Funding Indian River County provides funding to all nonprofit agencies on a reimbursement basis only. All reimbursable expenses must be documented by an invoice and/or a copy of the canceled check . Any expense not documented properly to the satisfaction of the Office of Management & Budget and/or the County Administrator may not be reimbursed . If an agency repeatedly fails to provide adequate documentation , this may be reported to the Board of Commissioners . In the event an agency provides inadequate documentation on a consistent basis , funding may be discontinued immediately. Additionally, this may adversely affect future funding requests . Expenditures may only be reimbursed from the fiscal year for which funding was awarded . For example , no expenditures prior to October 1st may be reimbursed with funds from the following year. Additionally, if any funds are unexpended at the end of a fiscal year, these funds are not carried over to the next year unless expressly authorized by the Board of Commissioners . All requests for reimbursement at fiscal year end (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: Joyce Johnston-Carlson , Director Indian River County Human Services 184025 th Street Vero Beach , Florida 32960-3365 Recipient : Exchange Club Castle P . O . Box 12908 Fort Pierce , Florida 34979 Attention : Theresa Garbarino-May, Executive 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 - ' '� `- "= ` ' � � � � u11 \U1JI \ II YJUI �I iI I ..L 1IUL-1 7l. l 11G. '-'IUU LJ1J I • � ( / 1C OP ID DATE (MMIDDIYYYY) ACORU� CERTIFICATE OF LIABILITY INSURANCE EXCHA_ 1 05 / 1a / 04 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HARBOR INSURANCE AGENCY HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 2122 Colonial Road , Suite 100 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, Pierce FTI 34950 - 5309 's _.�ne : 772 - 467. - 6040 Fax : 772 - 460 - 2315 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A; Philadelphia Indemnity Ina Co The Exchange Club Centex - fo the Prevention of INSURER B: Hartford Ins Co of the Midwest Chld Abuse DHA Vxchange Club C . A . S . T . L . E . INSURER C : _ PO Box 12908 Ft Pierce FTI 34979 INSURER 0: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL T14F TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INS Y POLICY NUMBER ETCYEFFECT TTCYEXPIRATId J LIMITS LTR NSR - TYPE OF INSURANCE DATE MWOD DATE MMIDOM GENERAL LIABILITY EACH OCCURRENCE $ 1F000 , 000 A X X COMMERCIAL GENERAL LIABILITY PHPK071434 03 / 26 / 04 03 / 26 / 05 PREMISES (Ea occurenco ) 51000000 CLAIMS MADE L �_J OCCUR MED EXP (Any one person) r $ 51000 A . X Sexual /Molestatio PERSONAL & ADV INJURY $ 1 , 00_0 000 GENERAL AGGREGATE_ S 2 . 0 0 0 , 0 0 0 GEN L AGGREGATE LIMIT APPLIES PER; PRODUCTS COMP/OP AGG $ 2 , O 0 0 / 0 O O POLICY 0 PRO• LOC JCC T AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S ANY AUTO (Ea Acddent) ALL OWNED AUTOS BODILY INJURY S SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY x $ NON-OWNED AUTOS (For Baddent) �. PROPERTY DAMAGE 5 (PoracddcnI) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT S ANVAUTO 0THE RTHA N [A ACC $ AUTO ONLY: AGG 6 i EX_CESSNMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR U CLAIMS MADE AGGREGATE S -+ S DEDUCTIBLE S RETENTION S - - WUSIAIIJ, $ WORKERS COMPENSATION AND TORY LIMITS X ER EMPLOYERS' LIABILITY B I ANY PROPRIETORIPARTNERIEXECUTIVE 21WBDII9 5 6 7 12 / 01 / 03 12 / 01 / 04 E.L. EACH ACCIDENT $ 5 0 0 , OFFICEWMEMBEREXCLUDED? E-L. DISEASE - EA EMPLOYEE1 S 500 000 Ifms dascrlue under SPECIAL PROVISIONS bHow E.L. DISEASE - POLICY LIMIT S 500 00 0 OTHER A Professional Liab PHPK071434 03 / 26 / 04 03 / 26 / 05 Occurrenc $ 1 , 0001000 Aggregate $ 2000000 oESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Company A : Employee Dishonesty , Policy # PHPK071434 , 03 / 26 / 04 - 03 / 26 / 05 , $ 100 , 000 Blanket Sorin A . Certificate holder is an additional inured for general liability with respects to Safe Families & Valued Visite Programs . * 10 days non - payment of premium . ; ERTIFICATE HOLDER CANCELLATION INDIA - 2 SHOULD ANYOF THEABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVORTO MAIL 30 * DAYS WRITTEN Indian River County NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 184Commissioners025 2 5 th Street 1840 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURM ITS AGENTS OR Vero Beach FL 32960 REPRESENTATIVES. AUTHORIZED REPRESENTATNE ICindy McCall % CORD 25 (2001108 ) © AC RD CORPORATION 1988 .Internal Revenue Service District Director Department of the Treasury ' MAR 01 Person to Contact : Ann Pricelj.iai ' Telephone Number: ( 404 ) 221 - 4516 I's Exchange Club Center for the Prevention of ChildAbuse r 72Refe6i * AP 6f the Treasure Coast , Inc . EO 2414 Nebraska Avenue 1 . AP Fort Pierce , FL 33450 Employee Identification 59 -2094472 Number : File Folder Number : 580014494 Dear Sir or Madam : Date of Ezemptlon. February 3 , 1981 Internal Revenue Code Section. 5p1 (c) C3) Gentlemen : - Thank you for submittin it a part of your file . g the information shown below , we have made The changes indicated do not adversel and the exemption letter issued to y affect you continues inyeffect �mpt status Please let us know about any Purpose , method of future change in the char operation , name or address e acter , Your organization . This is a requirement for retaining your exempt status . Thank you for your cooperation . Sincerely yours , A71 ,61OeDirecto Item Chanced Name From— To SCAN America of the Treasure Shown Above Coast Inc . 275 Peachtree Street, N . E„ Atlanta , GA 30043 . Letter 976 ( DO ) ( 7 -776) i Internal Revenue Service District Director Department of the Treasury . t Date^ t G JAN 2 91982 'EmPtoYer (dentillc4on Number L 59 =2o94472 - Accountlpg Period: Ertiifinr, ' Septeinber - 30 - rouriditlon Status Classlficatlon: p Scan America of the Treasure 509 ( a ) ( 1 ) & 170 (b ) ( l Coast , Inc ; Advance Ruling Period Ends: : : , 241'4 Nebrasl�a Avenue "September 30; : 1983 ' Fort pierce , Florida 33450 mon to Contact: Y e" Buirle son/eb Contact Telephone Number. ( 904 ) 791-2636 FFN : S80014494 , Dear Applicant : " Based on information supplied , and assuming in your application for recognition of etated xemption , yOuf we havdrdtiohs Wilbe as -determinedlYou `aresexenipt �' from FederM . al income tax under section 501 ( c ) ( 3 ) of the Internal Revenue Code .- < . x ' • Because you are a newly - �• t: ecrdated organization , we are ' not now making $' final determination of Your foundation status under section 509 ( a ) or the Code. : `Howev.er , • we - have determined that you can reasonably be expected to be a publicly supported organization" described in :section 170 (ti) ( 1 ) ( p ) tw1: ) & ) � )509 ( a i , u Accdrdingly , you will ' be treated as a publicly * su t * supported or � ~ , . - • - as a private foundation * *, during an advance ••rifling " pdri d , ThiS •' ad an erulin . p not begins on the date of your incepiiontand ends ori the date shown above . ; ; g ; period Within 90 days after the end of your' advance ' riiling.:period ; °you ' 'must '�submit to tis information 'needed to determine whether you have met the: • requirements of=:!Hier : • applicable • support test during the advance ruling uort - period . If yoit ' establish � •that you have been a publicly sppedorganization , you will be classified as a section ' Z • . • 509 ( a ) ( 1 ) or 509 ( a ) ( 2 ) organization as. long as you continue to meet the requirements of the . applicable support test . If you do • not meet the during the advance ruling period Public support requirements future periods . Also ; if you are lcla sifiedbas �a private foundation , youassified - as U private foundationil :for treated as a private foundation from -the date of your inception for purposes 'of sections 507 ( d ) and 4940 , Grantors and donors may rely on the determination that you are not a private foundation until 90 days after the end of your advance ruling the required information within the 90 days , grantors onrs Period .ay oIf n you submit tinurely on the advance determination until the Servicemakes afim naldetermination oof Your foundation status . However , if notice that you will no longer be treated as a section 509 ( a ) ( 1 ) organization is published in the Internal Revenue Bulletin , gr4ntors and donors may not rely on this determination after the date of such publication . Also , a grantor or donor may not rely on this determination if he or she was in part responsible for , or was aware of , the act or failure to act that resulted in your loss of section 509 ( a ) ( 1 ) the Internal Revenue Service had g$ iven notice thats you w or acquired knowledge that classification as a section 509 ( a ) ( 1 ) you would be removed from organization . 275 Peachtree Street , N . E. , Atlanta GA 30043 coven rifer 1 (146 ( 00 ) (6 -77) If your sources . * of Support , or of 0 change , please let us know so we . canyconsour iderothe , effectcof rtherchangedon yourration exempt status and foundation status . Also , you should inform us of all chang83 in Your name or address . Generally , you -are. not , liable for social securit . a waiver of exegPtion . certificate as Y ( FICA ) taxes unless you file Act . If you have . paid FICA taxes withoutfilingthewaiveral e ' Irfsurance Contributions are not liable . for the . ,t.a g , you should call us . You imposed ) under the Federal Unemployment Tax Act ( FUTA . Organizati. ons: .that are not private foundations are not subject to the excise taxes under •%Chapter : 42 :of : the Code . ' However other Federal excise taxes . If You are not automatically exempt from other Federal taxes You have any questions about excise , employment , or Please let us know . Donors may deduct contributions to you as Provided Bequests , legacies , .. devises , transfers , or gifts deductible ror Federal toin section 170 of the Code . estate and gift tax u You or for your use are Purposes if provisions of sections 2055 , 2106 , - and 2522of thesCodethey meet the applicable Tou are . required to: file Form, 990 , . Return . of Organization Exem t from I Tax , only if your .gross receipts each year are normally more than $10 , 000 . I f a P Income return is required-, jit must be filed by the 15th day of the fifth month * after the end of your annual accounting period . The law imposes a penalty of $ 10 a day , a maximum of .85 * 000 , Pwhen a return is filed lateup to , unless there is reasonable cause for the delay . You are not required to file Federal income tax returns unless ,you thew . tax on unrelated business income under section ' 5il of the Code �uxfre subject subject to this tax , you must file an . income tax return on Form ,990-T . In you * are letter , we : are not determining whether any of . his are unrelated trade . : or business as * defined in section e513tofrtheoCodea activities You need an employer identification number even if you have nd employees . If an employer identification number was not entered on your application , • a number will be assigned to . you andease use that number on all . you will be advised of it . Pl returns. you file and in all correspondence with the Internal Revenue Service Because this letter could help resolve an and -foundation status , you should ke Y questions about your exempt status ep it in your, permanent . . records . If You have any questions , please contact the , number- are shown in the heading of this letter . person whose name and telephone Sincerely yours , r t) Ist c Uirec ( o cc ; Euvene J . O ' Neill 0 , ., Acrno ) lF -77 ) h r . d Child Abuse Services , Training & Life Enrichment October 20 , 2004 Joyce Johnston- Carlson, Director Indian l,Ziver County Human Services 1840 25 `" Street, Vero Beach, FL 32960-3365 Dear Joyce, Enclosed are the contracts for the 2004 -2005 fiscal year for the Valued Visits and Safe Families programs . Also included are the requested insurance certifications, and 501 (c) 3 documentation . The CASTLE does not transport clients in Indian River County. Please let us know if there is anything further you need . Sincerely, There a Garbarino -May Executive Director EXCHANGE CLUB CASTLE Mailing Address : P. O . Box 12908 • Fort Pierce, F1 34979 Office: 3525 SW Midway Road • Fort Pierce, FL 34981 Voice: 772 .465 . 6011 • Fax: 772 . 465 . 6013 • Email : tgarbarino-may@exchangecastle . org Sponsored in part by Exchange Clubs, the State of Florida, United for Families, United Way of Indian River, Martin , St. Lucie and Okeechobee Counties, Children's Services Councils of Martin and St. Lucie Counties and CSN of Indian River County. CHILDREN'S SERVICES ADVISORY COMMITTEE C/O Human Services 1840 2e Street Vero Beach , Florida 32960-3394 Phone: 561 -567-8000 (Ext. 467 or 524) Fax: 978-1798 E-Mail : karlsonObcc.co. indian-river.fl . us MmastersonObcc.co. indian-river.fl .us To : Beth Jordan Risk Management From : Joyce Johnston-Carlso Date : October 28 , 2004 Re : Contracts — Children ' s Services Advisory Committee ' Grant EXCHANGE CLUB CASTLE — VALUED VISITS PROGRAM EXCHANGE CLUB CASTLE — SAFE FAMILIES PROGRAM Attached is the signed contract for the 2004-05 -grant year, along with the necessary insurance certificates . Please contact me if there are any changes necessary. Otherwise, please circulate . Thank you for your help . Risk Management : 1a,,p,[p'w YO -.29 -Oy CHILDREN'S SERVICES ADVISORY COMMITTEE C/O Human Services 1840 25'" Street Vero Beach , Florida 32960-3394 Phone: 561 -567-8000 (Ext. 467 or 524) Fax: 978-1798 E-Mail : Jeadsonabcc.co.indian-dver.fl .us MmastersonObcc.co. indian-dver.fl . us To : Beth Jordan Risk Management From : Joyce Johnston-Carlson Date : November 3 , 2004 Re : Workman ' s Comp Certificate for Children ' s Services Advisory Committee Grant Contract, Exchange Club Castle Attached is the workman ' s compensation insurance certificate to be attached to the contract for the 2004-05 -grant year. Thank you for your help . Risk Management : 1 S r r • / a ' 1 ♦ 1 . 11 1 • r . ♦ ■ 1 s ■ R r r r • •. 1 1 1 1 ' ` 1 1 1 • • f . • ' f �► . � • 1 ' 11 1 f f l / 4 JIM " 31 ' r i ' 1 1 • . i . t : f