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Home My WebLink About2005-346C OCT 1 1 2005 INDIAN RIVER COUNTY t4 GRANT CONTRACT C) - � This Grant Contract ("Contract" ) entered into effective this 19 day of October 2005 , by and between Indian River County, a political subdivision of the State of Florida ; 1840 25th Street , Vero Beach , Florida , 32960-3365 ; and Big Brothers Big Sisters of Indian River County, ( Recipient) , of: Big Brothers Big Sisters of Indian River County 1836 14th Avenue Vero Beach , Florida 32960 Jump Into Reading Program Background Recitals A. The County has determined that is in the public interest to promote healthy children in a healthy community . B . The County adopted Ordinance 99- 1 on January 19 , 1999 ("Ordinance" ) , and established the Children 's Services Advisory Committee to promote healthy children in a healthy community, and to provide a unified system of planning and delivery within which children 's needs can be identified , targeted , evaluated and addressed . C . The Children 's Services Advisory Committee has issued a request for proposals from individuals and entities that will assist the Children 's Services Advisory Committee in fulfilling its purpose . D . The proposal submitted to the Children 's Services Advisory Committee and the recommendation of the Children 's Services Advisory Committee have been reviewed by the County. E . The Recipient, by submitting a proposal to the Children 's Services Advisory Committee , has applied for a grant of money ("Grant") for the Grant Period (as such term is hereinafter defined ) on the terms and conditions set forth herein . F . The County has agreed to provide such Grant funds to the Recipient for the Grant Period (such term is hereinafter defined ) on the terms and conditions set forth herein . NOW THEREFORE , in consideration of the mutual covenants and promises herein contained , and other good and valuable consideration , the receipt and adequacy of which are hereby acknowledged , the parties agree as follows : 1 . Background Recitals . The background recitals are true and correct and form a material part of this contract . 2 . Purpose of the Grant . The Grant shall be used only for the purposes set forth in the complete proposal submitted by the Recipient , attached hereto as Exhibit "A" and incorporated herein by this reference (such purposes hereinafter referenced as "Grant Purposes" ) . 3 . Term . The Recipient acknowledges and agrees that the Grant is limited to the fiscal year 2005/2006 ("Grant Period") . The Grant Period commences on October 1 , 2005 and ends on September 30 , 2006 . - 1 - OCT 1 1 2005 INDIAN RIVER COUNTY t4 GRANT CONTRACT C) - � This Grant Contract ("Contract" ) entered into effective this 19 day of October 2005 , by and between Indian River County, a political subdivision of the State of Florida ; 1840 25th Street , Vero Beach , Florida , 32960-3365 ; and Big Brothers Big Sisters of Indian River County, ( Recipient) , of: Big Brothers Big Sisters of Indian River County 1836 14th Avenue Vero Beach , Florida 32960 Jump Into Reading Program Background Recitals A. The County has determined that is in the public interest to promote healthy children in a healthy community . B . The County adopted Ordinance 99- 1 on January 19 , 1999 ("Ordinance" ) , and established the Children 's Services Advisory Committee to promote healthy children in a healthy community, and to provide a unified system of planning and delivery within which children 's needs can be identified , targeted , evaluated and addressed . C . The Children 's Services Advisory Committee has issued a request for proposals from individuals and entities that will assist the Children 's Services Advisory Committee in fulfilling its purpose . D . The proposal submitted to the Children 's Services Advisory Committee and the recommendation of the Children 's Services Advisory Committee have been reviewed by the County. E . The Recipient, by submitting a proposal to the Children 's Services Advisory Committee , has applied for a grant of money ("Grant") for the Grant Period (as such term is hereinafter defined ) on the terms and conditions set forth herein . F . The County has agreed to provide such Grant funds to the Recipient for the Grant Period (such term is hereinafter defined ) on the terms and conditions set forth herein . NOW THEREFORE , in consideration of the mutual covenants and promises herein contained , and other good and valuable consideration , the receipt and adequacy of which are hereby acknowledged , the parties agree as follows : 1 . Background Recitals . The background recitals are true and correct and form a material part of this contract . 2 . Purpose of the Grant . The Grant shall be used only for the purposes set forth in the complete proposal submitted by the Recipient , attached hereto as Exhibit "A" and incorporated herein by this reference (such purposes hereinafter referenced as "Grant Purposes" ) . 3 . Term . The Recipient acknowledges and agrees that the Grant is limited to the fiscal year 2005/2006 ("Grant Period") . The Grant Period commences on October 1 , 2005 and ends on September 30 , 2006 . - 1 - 4 . Grant Funds and Payment . The approved Grant for the Grant Period is : TWENTY SEVEN THOUSAND , EIGHTY DOLLARS ($27 , 080 . 00 ) . The County agrees to reimburse the Recipient from such Grant funds for actual documented costs incurred for the Grant Purposes provided in accordance with this Contract . Reimbursement requests may be made no more frequently than monthly. Each reimbursement request shall contain the information , at a minimum , that is set forth in Exhibit "B" , attached hereto and incorporated herein by this reference . All reimbursement requests are subject to audit by the County . In addition , the County may require additional documentation of expenditures , as it deems appropriate . 5 . Additional Obligation of Recipient . 5 . 1 . Records . The Recipient shall maintain adequate internal controls in order to safeguard the Grant . In addition , the Recipient shall maintain adequate records fully to document the use of the Grant funds for at least three (3 ) years after the expiration of the Grant Period . The County shall have access to all books , records , and documents as required in this Section for the purpose of inspection or audit during normal business hours at the County's expense , upon five (5) days prior to written notice . 5 . 2 . Compliance with Laws . The Recipient shall comply at all times with all applicable federal , state , and local laws and regulations . 5 . 3 . Quarterly Performance Reports . The Recipient shall submit quarterly, cumulative , Performance Reports to the Human Services Department of the County, within fifteen ( 15) business days following : December 31 , March 31 , June 30 and September 30 . 5 .4 . Audit Requirements . If Recipient receives $25 , 000 , or more in aggregate , from all Indian River County government funding sources , the Recipient is required to have an audit completed by an independent certified public accountant at the end of the Recipient's fiscal year. Within 120 days of the end of the Recipient's fiscal year, the Recipient shall submit the audit to the Indian River County Office of Management and Budget . The fiscal year will be as reported on the application for funding , and the Recipient agrees to notify the County prior to any change in the fiscal period of Recipient . The Recipient acknowledges that the County may deny funding to any Recipient if an audit required by this Contract for the prior fiscal year is past due and has not been submitted by May 1 . 5 . 4 . 1 . The Recipient further acknowledges that , promptly upon receipt of a qualified opinion from its independent auditor, such qualified opinion shall immediately be provided to the Indian River County Office of Management and Budget . The qualified opinion shall thereupon be reported to the Board of Commissioners and funding under this Contract will cease immediately. The foregoing termination right is in addition to any other right of the County to terminate the Contract . 5 .4 .2 . The Indian River County Office of Management and Budget reserves the right at any time to send a letter to the Recipient requesting clarification if there are any questions regarding a part of the financial statements , audit comments , or notes . 5 . 5 . Insurance Requirements . Recipient shall , no later than September 21 , 2005 provide to Indian River County Risk Management Division a certificate , or certificates , issued by an insurer, or insurers , authorized to conduct business in Florida that is rated not-less-than Category A- :VII by A. M . Best, subject to approval by Indian River County's Risk Manager, of the following types and amounts of insurance : (i ) Commercial General Liability Insurance in an amount not less than $ 1 , 000 , 000 combined single limit for bodily injury and property - 2 - 4 . Grant Funds and Payment . The approved Grant for the Grant Period is : TWENTY SEVEN THOUSAND , EIGHTY DOLLARS ($27 , 080 . 00 ) . The County agrees to reimburse the Recipient from such Grant funds for actual documented costs incurred for the Grant Purposes provided in accordance with this Contract . Reimbursement requests may be made no more frequently than monthly. Each reimbursement request shall contain the information , at a minimum , that is set forth in Exhibit "B" , attached hereto and incorporated herein by this reference . All reimbursement requests are subject to audit by the County . In addition , the County may require additional documentation of expenditures , as it deems appropriate . 5 . Additional Obligation of Recipient . 5 . 1 . Records . The Recipient shall maintain adequate internal controls in order to safeguard the Grant . In addition , the Recipient shall maintain adequate records fully to document the use of the Grant funds for at least three (3 ) years after the expiration of the Grant Period . The County shall have access to all books , records , and documents as required in this Section for the purpose of inspection or audit during normal business hours at the County's expense , upon five (5) days prior to written notice . 5 . 2 . Compliance with Laws . The Recipient shall comply at all times with all applicable federal , state , and local laws and regulations . 5 . 3 . Quarterly Performance Reports . The Recipient shall submit quarterly, cumulative , Performance Reports to the Human Services Department of the County, within fifteen ( 15) business days following : December 31 , March 31 , June 30 and September 30 . 5 .4 . Audit Requirements . If Recipient receives $25 , 000 , or more in aggregate , from all Indian River County government funding sources , the Recipient is required to have an audit completed by an independent certified public accountant at the end of the Recipient's fiscal year. Within 120 days of the end of the Recipient's fiscal year, the Recipient shall submit the audit to the Indian River County Office of Management and Budget . The fiscal year will be as reported on the application for funding , and the Recipient agrees to notify the County prior to any change in the fiscal period of Recipient . The Recipient acknowledges that the County may deny funding to any Recipient if an audit required by this Contract for the prior fiscal year is past due and has not been submitted by May 1 . 5 . 4 . 1 . The Recipient further acknowledges that , promptly upon receipt of a qualified opinion from its independent auditor, such qualified opinion shall immediately be provided to the Indian River County Office of Management and Budget . The qualified opinion shall thereupon be reported to the Board of Commissioners and funding under this Contract will cease immediately. The foregoing termination right is in addition to any other right of the County to terminate the Contract . 5 .4 .2 . The Indian River County Office of Management and Budget reserves the right at any time to send a letter to the Recipient requesting clarification if there are any questions regarding a part of the financial statements , audit comments , or notes . 5 . 5 . Insurance Requirements . Recipient shall , no later than September 21 , 2005 provide to Indian River County Risk Management Division a certificate , or certificates , issued by an insurer, or insurers , authorized to conduct business in Florida that is rated not-less-than Category A- :VII by A. M . Best, subject to approval by Indian River County's Risk Manager, of the following types and amounts of insurance : (i ) Commercial General Liability Insurance in an amount not less than $ 1 , 000 , 000 combined single limit for bodily injury and property - 2 - damage , including coverage for premises/operations , product/completed operations , contractual liability, and independent contractors ; ( ii ) Business Auto Liability Insurance in an amount not less than $ 1 , 000 , 000 per occurrence combined single limit for bodily injury and property damage , including coverage for owned autos and other vehicles , hired autos and other vehicles , non -owned autos and other vehicles ; and ( iii ) Worker's Compensation and Employer's Liability (current Florida statutory limit. ) . 5 . 6 . Insurance Administration . The insurance certificates , evidencing all required insurance coverages shall be fully acceptable to County in both form and content, and shall provide and specify that the related insurance coverage shall not be cancelled without at least thirty (30 ) calendar days prior written notice having been given the County. In addition , the County may request such other proofs and assurances as it may reasonable require that the insurance is and at all times remains in full force and effect. Recipient agrees that it is the Recipient's sole responsibility to coordinate activities among itself, the County, and the Recipient's insurer(s ) so that the insurance certificates are acceptable to and accepted by County within the time limits set forth in this Contract . The County shall be listed as an additional insured on all insurance coverage required by this Contract , except Worker's Compensation Insurance . The Recipient shall , upon ten ( 10 ) days prior written request from the County, deliver copies to the County, or make copies available for the County's inspection at Recipient's place of business , of any and all insurance policies that are required in this Contract . If the Recipient fails to deliver or make copies of the policies available to the County; fails to obtain replacement insurance or have previous insurance policies reinstated or renewed upon termination or cancellation of existing required coverages ; or fails in any other regard to obtain coverages sufficient to meet the terms and conditions of this Contract, then the County may, at its sole option , terminate this Contract . 5 . 7 . Indemnification . The Recipient shall indemnify and save harmless the County, its agents , officials , and employees from and against any and all claims , liabilities , losses , damage , or causes of action which may arise from any misconduct , negligent act , or omissions of the Recipient , its agents , officers , or employees in connection with the performance of this Contract . 5 . 8 . Public Records . The Recipient agrees to comply with the provisions of Chapter 119 , Florida Statutes ( Public Records Law) in connection with this Contract . 6 . Termination . This Contract may be terminated by either party, without cause , upon thirty (30 ) days prior written notice to the other party . In addition , the County may terminate this Contract for convenience upon ten ( 10 ) days prior written notice to the Recipient if the County determines that such termination is in the public interest . 7 . Availability of Funds . The obligations of the County under this contract are subject to the availability of funds lawfully appropriated for its purpose by the Board of County Commissioners of Indian River County. 8 . Standard Terms . This Contract is subject to the standard terms attached hereto as Exhibit C and incorporated herein in its entirety by this reference . - 3 - IN WITNESS WHEREOF , County and Recipient have entered into this Contract on the date first above written . INDIAN RIVER COUNTY BOARD OF COMMISSIONERS By : Ci J 5 a Lo� homas S . Lowther, Chairman BCC Approved : , C) - I/ 0,S _ r ti . . Y f g Attest : J . K . Barton , Clerk - ,f. � f M A) By. Deputy Clerk Approved : Josep A . B ird County Administrator Appr e s to form and legal sufficiency: Marian E . Fell , Assis ant Count ttorney RECIPIENT : By : /? Brothers Big Sisters of Indian River County - 4 - damage , including coverage for premises/operations , product/completed operations , contractual liability, and independent contractors ; ( ii ) Business Auto Liability Insurance in an amount not less than $ 1 , 000 , 000 per occurrence combined single limit for bodily injury and property damage , including coverage for owned autos and other vehicles , hired autos and other vehicles , non -owned autos and other vehicles ; and ( iii ) Worker's Compensation and Employer's Liability (current Florida statutory limit. ) . 5 . 6 . Insurance Administration . The insurance certificates , evidencing all required insurance coverages shall be fully acceptable to County in both form and content, and shall provide and specify that the related insurance coverage shall not be cancelled without at least thirty (30 ) calendar days prior written notice having been given the County. In addition , the County may request such other proofs and assurances as it may reasonable require that the insurance is and at all times remains in full force and effect. Recipient agrees that it is the Recipient's sole responsibility to coordinate activities among itself, the County, and the Recipient's insurer(s ) so that the insurance certificates are acceptable to and accepted by County within the time limits set forth in this Contract . The County shall be listed as an additional insured on all insurance coverage required by this Contract , except Worker's Compensation Insurance . The Recipient shall , upon ten ( 10 ) days prior written request from the County, deliver copies to the County, or make copies available for the County's inspection at Recipient's place of business , of any and all insurance policies that are required in this Contract . If the Recipient fails to deliver or make copies of the policies available to the County; fails to obtain replacement insurance or have previous insurance policies reinstated or renewed upon termination or cancellation of existing required coverages ; or fails in any other regard to obtain coverages sufficient to meet the terms and conditions of this Contract, then the County may, at its sole option , terminate this Contract . 5 . 7 . Indemnification . The Recipient shall indemnify and save harmless the County, its agents , officials , and employees from and against any and all claims , liabilities , losses , damage , or causes of action which may arise from any misconduct , negligent act , or omissions of the Recipient , its agents , officers , or employees in connection with the performance of this Contract . 5 . 8 . Public Records . The Recipient agrees to comply with the provisions of Chapter 119 , Florida Statutes ( Public Records Law) in connection with this Contract . 6 . Termination . This Contract may be terminated by either party, without cause , upon thirty (30 ) days prior written notice to the other party . In addition , the County may terminate this Contract for convenience upon ten ( 10 ) days prior written notice to the Recipient if the County determines that such termination is in the public interest . 7 . Availability of Funds . The obligations of the County under this contract are subject to the availability of funds lawfully appropriated for its purpose by the Board of County Commissioners of Indian River County. 8 . Standard Terms . This Contract is subject to the standard terms attached hereto as Exhibit C and incorporated herein in its entirety by this reference . - 3 - EXHIBIT A (Copy of complete Request for Proposal ) EXHIBIT - A - Big Brothers Big Sisters of Indian River County, CSAC "Jump into Reading" Program PROGRAM COVER PAGE � ��r✓,�LIZ /' ( �//°SA'Yj'1 Organization Name : Big Brothers Big Sisters of Indian River County _------- Executive Director: Judi Miller E-mail : miller'J@ stl ci�. us Address : 4131 South U. S . 1 , Bldg. 2, #4 Telephone: (772) 770-6000 Ft . Pierce, Fl 34982 Fax: (772) 466- 5951 i Program Director: Melodee Daniello E-mail : meldaniello@bellsouth. net Address : 4131 South U. S . 1 , Bldg 2, #4 Telephone: (772) 770-60 0 Ft. Pierce, Fl 34982 Fax: (772) 466-5951 Program Title : Error! Not a valid link. (To VVI Priority Need Area Addressed: Focus III-Chilecare Access a d Focus! II---Miental Wellness Issues Brief Description of the Program: : (Taxonomy # PH 150 . 500- 10)+ "Jump into R ading" increases mentoring and tutoring opportunities to build resiliency and literacy skills in young fthildren with the help of caring adult volunteers who become mentors and role models . The mentors encourage academic achievement, school success, enhanced emotional- social growth, schoo attendance and healthy behaviors to help boys and girls in Indian River County improve their capa ity to succeed to adulthood in a safe, healthy and productive manner. SUMMARY REPORT — (Enter Information In The Black Cells Onl Amount Requested from Funder for 2005 /06 : $ Total Proposed Program Budget for 2005 / 06 : $ 2 , 580 . 00 Percent of Total Program Budget : 49 . 4 % Current Program Funding ( 2004 /05 ) : $ 309000 Dollar increase / ( decrease ) in request : $ 900 Percent increase /( decrease ) in request * * : 3 . 0 % Unduplicated Number of Children to be served Individually : 75 Unduplicated Number of Adults to be served Individually : 75 Unduplicated Number to be served via Group settings : Total Program Cost per Client : - 417 . 20 * *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 da Allan Klotshe Name of 1 '` Vice President Signature Judi Miller Name of Executive Director/CEO i e 3 IN WITNESS WHEREOF , County and Recipient have entered into this Contract on the date first above written . INDIAN RIVER COUNTY BOARD OF COMMISSIONERS By : Ci J 5 a Lo� homas S . Lowther, Chairman BCC Approved : , C) - I/ 0,S _ r ti . . Y f g Attest : J . K . Barton , Clerk - ,f. � f M A) By. Deputy Clerk Approved : Josep A . B ird County Administrator Appr e s to form and legal sufficiency: Marian E . Fell , Assis ant Count ttorney RECIPIENT : By : /? Brothers Big Sisters of Indian River County - 4 - Big Brothers Big Sisters of Indian River County, CSAC "Jump into Reading" Program PROPOSAL NARRATIVE Please respond to each question in the allotted space for each section. In responding to each section of the proposal narrative, please retain the section-label and/or question that you are addressing . Type using 12 pt. font on 8 '/2" X 11 " paper and number each page . These directions and the graphic boxes may be deleted if space is needed . A. ORGANIZATION CAPABILITY (Entire Section ,4 not to exceed one page) 1 . Provide the mission statement and vision of your organization. The mission of Big Brothers Big Sisters of Indian River County (BBBS ) is to foster positive mentoring relationships and bonding with caring adult volunteers so that children grow to be capable , confident, productive, caring, responsible men and women who reach their full potential . The agency ' s vision is to achieve the promise of mentoring through school -based "matches" that build resiliency and literacy skills in children while combating risky behaviors resulting in early educational failure , increased drop-out rates, substance abuse, mental health issues, gang participation, early and persistent antisocial behavior, delinquency, truancy and teen pregnancy, 2. Provide a brief summary of your organization including areas of expertise, accomplishments, and population served. BBBS is a structured mentoring program intended to improve the capacity of children in Indian River County to succeed to adulthood in a safe, healthy and productive manner. It is based on the Social Development Strategy Model that is goal oriented toward the development of new learning skills, healthy beliefs, clear standards, bonding and social/emotional growth. Primary prevention services are provided through school-based mentoring. Expertise in volunteer recruitment, background screening, interviewing, assessment, training, matching, one-to-one mentoring, case management, program evaluation and family literacy enables the Agency to consistently achieve its goals and objectives . Volunteers undergo a careful screening process, orientation and training prior to being matched, followed by ongoing supervision and support. Matches meet weekly in two , thirty-minute sessions on school grounds , during the school day. Regular contact is maintained among the Case Managers, volunteers , schools and clients . Goals are set with the help of stakeholders . All aspects of the program are governed by Big Brothers Big Sisters of America (BBBSA) Standards of Service. These are nationally adopted, strict standards to ensure BBBS agencies are providing a quality, research-based mentoring service . BBBS is outcome-based and has been acknowledged for its ability to promote bonding, healthy beliefs, clear standards , positive attitudes and academic results by reputable researchers such as Public Private Ventures and CTC Prevention Strategies: A Research Guide to What Works. Big Brothers Big Sisters has a track record of local, state and national success . The Governor ' s Mentoring Initiative has just completed a statewide study of mentoring outcomes indicating that Florida BBBS school-based clients have shown marked improvement in reading, math and conduct as compared with non-mentored students (Grise , Florida State University ; 2003 , 2004) . Our target population includes Kindergarten, 1St and 2nd graders from varied ethnic backgrounds . Volunteers also come from diverse backgrounds relative to age, ethnicity and gender. 4 Big Brothers Big Sisters of Indian River County, CSAC "Jump into Reading" Program B. PROGRAM NEED STATEMENT (Entire Section B not to exceed one page) a) What is the unacceptable condition requiring change? Every child ' s future depends on his ability to read, write and build relationships . But too many children, in Indian River County, start school at a disadvantage, hindered by a lack of readiness skills and poor socialization skills . b) Who has the need ? The target population includes 75 students enrolled in Kindergarten, 1 't or 22 -grades . The schools have been selected by the Superintendent and the Director of Elementary Curriculum based on the number of students on Free & Reduced lunch, the percentage of children performing at Levels 1 & 2 on FCAT, absenteeism rates and the number of discipline referrals . Clients are referred by their teachers based on need and a mentor' s ability to make a positive impact . Teachers refer children when they begin demonstrating reading problems, early academic failure, low motivation for education and risk factors such as poor self- esteem, excessive absences and/or anti-social behavior. Despite their young age, children are already struggling academically and socially. Members of the target population are frequently eligible for free or reduced lunch. Eligibility guidelines are worded carefully to avoid duplication of services for clients who are already receiving assistance through Exceptional Education or Federal Programs. c) Where do they live? They live in neighborhoods characterized by economic and social deprivation such as areas in the 32948, 329602 32962, 32967 and 32968 zip codes. d) Provide local, state, or national trend data, with reference source, that corroborates that this is an area of need. Local statistics show that 43 % of Indian River County ' s school children are considered "economically needy . " However, rate of growth in the number of impoverished children in the county exceeds state and peer counties . Research reveals that students living in poverty are more likely to develop problems linked to school failure, delinquency and teen pregnancy (St. Lucie Hand4n Hand 14). A high percentage of the adults (24%) have very limited literacy skills leaving their children with minimal exposure to books, words and the support they need, at home, to help them read effectively. (Florida Adult Literacy Survey) . Data elicited confirms concerns over academic achievement in 2004-05 . Poverty, illiteracy and excessive absences have led to academic failure as confirmed by 25 % of the 3rd graders who score at level 2 or below on the FCAT thus indicating limited academic success. Of particular concern is the apparent achievement gap evident in minority students scoring at levels 1 or 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. Other mentoring programs, available in Indian River County, include : Youth Guidance, RSVP, Community Church, Gifford Youth Center and "Take Stock in Children. " We have also implemented an AmeriCorps Florida Reads Program and a BISS "Jump into Reading" program, funded by Department of Education and BBBSA. b) Explain how these existing programs are under-serving the targeted population of your program. Youth Guidance does no school-based mentoring and the other Indian River mentoring programs, including "Take Stock in Children" tend to target older elementary, middle and/or high school children. Despite the presence of 75 mentor relationships in the State funded Jump program and the 60 to be served by AmeriCorps next year, the school district has asked our agency to cover six schools in the 2004-05 year including Fellsmere, Thompson, Highlands, Vero Beach Elementary, Citrus and Dodgertown. This, along with the gap referenced in the Community Needs Assessment, indicates that we are currently underserving our target population. 5 EXHIBIT A (Copy of complete Request for Proposal ) EXHIBIT - A - Big Brothers Big Sisters of Indian River County, CSAC "Jump into Reading" Program C. PROGRAM DESCRIPTION (Entire Section C, I — 6, not to exceed two pages) 1 . List Priority Needs area addressed. Focus III- Childcare Access and Focus I-Mental Wellness Issues . 2 . Briefly describe program activities including location of services. (Taxonomy # PH 150 . 50040+) Big Brothers Big Sisters provides role models for young children in Indian River County who are at risk. The CSAC Jump into Reading mentoring program is school-based . It revolves around one-to-one reading mentoring to promote school success, improve literacy and increase socialization skills . Mentoring services are generally delivered in the media center; however, volunteers have the option of working in the classroom . Activities related to mentoring and family literacy services involve : client referral from teachers ; parent permission; client interview; pre-testing; volunteer recruitment ; background screening ; volunteer training to promote best practices in mentoring that support the social development strategy model ; one-to- one mentoring; case management with volunteers, clients, teachers and parents to promote school success and healthy lifestyles ; family literacy ; post-testing ; evaluation & assessment; reassessment of need; client satisfaction survey; case closure ; referral and follow-up . Intended outcomes revolve around on-grade level promotion, enhanced literacy skills, academic improvement, consistent school attendance, increased self-esteem, enhanced emotional-social skills and the ability to build positive relationships to promote healthy lifestyles and increased resiliency . 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. Mentors make a commitment to be a dependable, steady presence in a child ' s life . They meet with their student, one hour per week in two, 30 minute sessions and provide protective factors that help build resiliency and limit exposure to risks . Time together is spent building a relationship, reading aloud, responding appropriately to a child' s reading, promoting writing, praising efforts and making reading fun ! Mentors learn to build personal connections to books to promote academic success . They are urged to make stories come alive and share related experiences that can broaden the child ' s world of knowledge . Volunteers reinforce the association between oral and written language while emphasizing good attitudes about learning. Mentors utilize Book Buddies activities to reinforce phonemic awareness, phonics , fluency, vocabulary and comprehension. This source was designed for volunteer use and is based on a balanced reading approach adopted at the state level by Department of Education. Each match session includes work with familiar books , word study (word bank, alphabet basic phonics and phonemic awareness) , writing and new books . Keep-It Books are sent home with the student on a weekly basis . Parents are encouraged to read aloud with their children at home to reinforce reading skills . The Case Managers supervise and support matches ; assist in ongoing goal setting ; monitor school performance ; expedite other referrals when appropriate ; and act as a facilitator among key stakeholders . Follow-up continues on a bi- monthly basis for a period of 8 months after they have exited. Big Brothers Big Sisters (BBBS) is a structured mentoring program that has been acknowledged, as a "best practice", by such reputable independent researchers as Public Private Ventures ( 1994, 1996, 1999) and Communities That Care Prevention Strategies: A Research Guide to What Works, ( 1996) for its ability to promote healthy beliefs, clear standards and bonding. According to these resources, 6 Big Brothers Big Sisters of Indian River County, CSAC "Jump into Reading" Program BBBS mentors help fight risk factors such as early academic failure, lack of commitment to school, alienation, rebelliousness, early and persistent anti-social behavior and early initiation of problem behavior. Resiliency research — the study of youth who have "beaten the odds" — points to the presence of a caring adult as the pivotal reason why children who should have succumbed to deleterious life circumstances instead thrive as a result of mentoring (Public/Private Ventures, 1999) . Empirical reading research supports the use of Book Buddies, with volunteers, as significant improvement has been demonstrated with emergent and early readers (Morris, Shaw & Perney, 1990 ; Juel, 1991 & 1996 ; Invernizzi et al. , 1997; Wasik, 1997) . Studies indicate that the best results are achieved when students are identified early and enrolled in prevention programs in primary school before they have a chance to fail (Farrington, 1991 ). "Jump into Reading" places a strong emphasis on early prevention targeting Kindergarten through 2nd graders. 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). Staff includes an Executive Director (8 hrs), a Case Manager (40 hrs), a Volunteer Recruiter ( 15 hours), and a Program Manager (20 hrs) . Case Managers must have a minimum of a Bachelor' s Degree in Social Work (BSW) or related field with experience in social work or education. A Master' s Degree is preferred for the Executive Director. The Volunteer Recruiter must have a minimum of an Associates Degree with experience in public relations, marketing and sales. Program Manager must have a minimum of a Bachelor' s Degree and 3 years of experience, How will the target population be made aware of the program ? The target population includes teachers, children, parents and volunteers. Teachers are given an orientation in the Spring of each year as they are a critical part of the referral process. Outreach to new teachers is done at the start of school. Parents are informed about our program through a letter sent by the school . When necessary, there is follow-up by the teacher or a school social worker. Parents complete an application/release form and return it to the school. Contact is then initiated by the BBBS Case Manager. The children are interviewed on the school grounds by BBBS staff. Pre- testing is done just prior to matching. Volunteers are recruited through corporations, city and county government, small business, clubs, civic organizations, state agencies, fund raisers, churches, condo associations and retirement communities. Big Brothers Big Sisters also builds collaborative relationships with businesses and other non-profits such as RSVP to increase our visibility and help us better serve the target population. How will the program be accessible to target population (i.e., location, transportation, hours of operation)? Our program is highly accessible to the target population. Services will provided to Highlands, Vero Beach Elementary and Citrus through this funding source, based on need relative to FCAT results . Transportation is not an issue as mentoring is offered during the school day on campus. Client referral and scheduling are at the teacher' s discretion. This valuable tutorial/mentoring service is provided at no cost to the school or parent. Ease of accessibility, case manager support and capable, trained volunteers keep the referrals coming and the parents satisfied with the service. 7 Big Brothers Big Sisters of Indian River County, CSAC "Jump into Reading" Program PROGRAM COVER PAGE � ��r✓,�LIZ /' ( �//°SA'Yj'1 Organization Name : Big Brothers Big Sisters of Indian River County _------- Executive Director: Judi Miller E-mail : miller'J@ stl ci�. us Address : 4131 South U. S . 1 , Bldg. 2, #4 Telephone: (772) 770-6000 Ft . Pierce, Fl 34982 Fax: (772) 466- 5951 i Program Director: Melodee Daniello E-mail : meldaniello@bellsouth. net Address : 4131 South U. S . 1 , Bldg 2, #4 Telephone: (772) 770-60 0 Ft. Pierce, Fl 34982 Fax: (772) 466-5951 Program Title : Error! Not a valid link. (To VVI Priority Need Area Addressed: Focus III-Chilecare Access a d Focus! II---Miental Wellness Issues Brief Description of the Program: : (Taxonomy # PH 150 . 500- 10)+ "Jump into R ading" increases mentoring and tutoring opportunities to build resiliency and literacy skills in young fthildren with the help of caring adult volunteers who become mentors and role models . The mentors encourage academic achievement, school success, enhanced emotional- social growth, schoo attendance and healthy behaviors to help boys and girls in Indian River County improve their capa ity to succeed to adulthood in a safe, healthy and productive manner. SUMMARY REPORT — (Enter Information In The Black Cells Onl Amount Requested from Funder for 2005 /06 : $ Total Proposed Program Budget for 2005 / 06 : $ 2 , 580 . 00 Percent of Total Program Budget : 49 . 4 % Current Program Funding ( 2004 /05 ) : $ 309000 Dollar increase / ( decrease ) in request : $ 900 Percent increase /( decrease ) in request * * : 3 . 0 % Unduplicated Number of Children to be served Individually : 75 Unduplicated Number of Adults to be served Individually : 75 Unduplicated Number to be served via Group settings : Total Program Cost per Client : - 417 . 20 * *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 da Allan Klotshe Name of 1 '` Vice President Signature Judi Miller Name of Executive Director/CEO i e 3 Big Brothers Big Sisters of Indian River County, CSAC "Jump into Reading" Program D. MEASURABLE OUTCOMES (Description of Intent) Use the Measurable outcomesform. This descri tion pffe does not need to be included in the pMosal In order to show the impact that your program is having on the target population and the community, the funders are requiring measurable outcomes . Please review the examples and summaries below to insure your understanding of what is expected . OUTCOMES : Describes what you want to achieve with the target population . Indicates the results of the services you provide , not the services you provide . Outcomes utilize action words such as maintain, increase, decrease , reduce, improve, raise and lower. ACTIVITIES : Describes the tasks that will be accomplished in the program to achieve the results stated in the outcomes . Activities utilize action words such as complete, establish, create, provide, operate, and develop . The activities should reflect the services described in the PROGRAM DESCRIPTION (C2) . Use the following elements to develop your outcomes. All elements must be included: • Direction of change • Timeframe • Area of change • As measured by • Target population • Baseline : The number that you will be • Degree of chane measuring against Example 1 (Outcome) : To decrease (direction of change) number of unexcused absences (area of change) of enrolled boys and girls (target population) by 75% (degree of change) in one year (time frame) as reported by the 2003 School Board attendance records (as measured by). Baseline : 2003 School Board attendance records for enrolled boys and girls . Example 1 (Activity) : To provide anger management classes to enrolled boys and girls 2 times a week for 12 weeks . Example 2 (Outcome) : 75 % (degree of change) of youth (target population) who have participated in the academic enrichment activities (as measured by) for 6 months or more (time frame), will improve (direction of change) their scores in one or more subject area (area of change) . 25 % of participants in academic enrichment activities will maintain the initial level of performance assessed at entry. Baseline : Pre-test scores from the academic enrichment test. Example 2 (Activity) : 1 ) Provide pre and post-test exercises on the Advanced Learning System software ; 2) Participants will go through the one lesson per week and be graded for 10 weeks . IMPORTANT NOTE : Keep in mind when developing your PROGRAM OUTCOMES , that if funded, this will be what you are held accountable to accomplish. Also, the PROGRAM OUTCOMES should reflect the information described in the PROGRAM NEED STATEMENT (B 1 ) . All Program Need Statements should flow from the Mission & Vision. Measurable Outcomes should be based on and measure program needs . Activities are the tasks you do that are going to influence the outcome and impact the unacceptable condition in your Program Need Statement. 8 Big Brothers Big Sisters of Indian River County, CSAC "Jump into Reading" Program D. MEASURABLE OUTCOMES (Entire Section D not to exceed two pages) OUTCOMES ACTIVITIES Add all o the elements or the Measurable Outcome(s) Add the tasks to accomplish the Outcomes 1 . 85 % of the youth who have participated in To recruit qualified mentors . To complete reading mentor activities for 6 months or more background screening, interview and will be promoted to the next grade level by assessment. To obtain client referrals and June, 2006 . Baseline : 2005 -2006 IRC School parent permission . To interview and pre-test Board promotion/retention records for enrolled clients . To develop a case plan for each client boys and girls . documenting needs, goals and action plans to be reviewed on a quarterly basis . To match mentors and clients . To provide 1 to 1 mentoring sessions, one hour weekly in two , 30 minute intervals to 75 children. To utilize the social development strategy in emphasizing learning skills, healthy beliefs, clear standards and bonding. To review daily mentoring log to verify weekly visits with the mentor. To provide an initial 2 hour training block followed by quarterly training opportunities for volunteers . To complete match supervision calls regarding frequency and quality of the match relationships . To document progress of match in case notes . To collect all report card information through IRC Schools . To evaluate progress throughout the year and document promotion status . To document grades, conduct, attendance and promotion status . To conduct anonymous satisfaction surveys ; results reported to and discussed with staff and outside agencies . To close cases where students have achieved their goals and service is no longer necessary. To follow-up over a 9 month period with terminated clients to determine the long-term impacts of mentoring. 2 . 80% of the youth who have participated in To administer pre and post testing utilizing reading mentoring activities for 6 months or DIBLES (Dynamic Indicators of Basic Early more will improve reading performance in one Literacy Skills). Also see activities listed for or more areas of the DIBLES by June, 2006 , Outcome 1 . Baseline : pre-test scores from the reading achievement instrument for 2005 — 2006 school year. 9 Big Brothers Big Sisters of Indian River County, CSAC "Jump into Reading" Program PROPOSAL NARRATIVE Please respond to each question in the allotted space for each section. In responding to each section of the proposal narrative, please retain the section-label and/or question that you are addressing . Type using 12 pt. font on 8 '/2" X 11 " paper and number each page . These directions and the graphic boxes may be deleted if space is needed . A. ORGANIZATION CAPABILITY (Entire Section ,4 not to exceed one page) 1 . Provide the mission statement and vision of your organization. The mission of Big Brothers Big Sisters of Indian River County (BBBS ) is to foster positive mentoring relationships and bonding with caring adult volunteers so that children grow to be capable , confident, productive, caring, responsible men and women who reach their full potential . The agency ' s vision is to achieve the promise of mentoring through school -based "matches" that build resiliency and literacy skills in children while combating risky behaviors resulting in early educational failure , increased drop-out rates, substance abuse, mental health issues, gang participation, early and persistent antisocial behavior, delinquency, truancy and teen pregnancy, 2. Provide a brief summary of your organization including areas of expertise, accomplishments, and population served. BBBS is a structured mentoring program intended to improve the capacity of children in Indian River County to succeed to adulthood in a safe, healthy and productive manner. It is based on the Social Development Strategy Model that is goal oriented toward the development of new learning skills, healthy beliefs, clear standards, bonding and social/emotional growth. Primary prevention services are provided through school-based mentoring. Expertise in volunteer recruitment, background screening, interviewing, assessment, training, matching, one-to-one mentoring, case management, program evaluation and family literacy enables the Agency to consistently achieve its goals and objectives . Volunteers undergo a careful screening process, orientation and training prior to being matched, followed by ongoing supervision and support. Matches meet weekly in two , thirty-minute sessions on school grounds , during the school day. Regular contact is maintained among the Case Managers, volunteers , schools and clients . Goals are set with the help of stakeholders . All aspects of the program are governed by Big Brothers Big Sisters of America (BBBSA) Standards of Service. These are nationally adopted, strict standards to ensure BBBS agencies are providing a quality, research-based mentoring service . BBBS is outcome-based and has been acknowledged for its ability to promote bonding, healthy beliefs, clear standards , positive attitudes and academic results by reputable researchers such as Public Private Ventures and CTC Prevention Strategies: A Research Guide to What Works. Big Brothers Big Sisters has a track record of local, state and national success . The Governor ' s Mentoring Initiative has just completed a statewide study of mentoring outcomes indicating that Florida BBBS school-based clients have shown marked improvement in reading, math and conduct as compared with non-mentored students (Grise , Florida State University ; 2003 , 2004) . Our target population includes Kindergarten, 1St and 2nd graders from varied ethnic backgrounds . Volunteers also come from diverse backgrounds relative to age, ethnicity and gender. 4 Big Brothers Big Sisters of Indian River County, CSAC "Jump into Reading" Program B. PROGRAM NEED STATEMENT (Entire Section B not to exceed one page) a) What is the unacceptable condition requiring change? Every child ' s future depends on his ability to read, write and build relationships . But too many children, in Indian River County, start school at a disadvantage, hindered by a lack of readiness skills and poor socialization skills . b) Who has the need ? The target population includes 75 students enrolled in Kindergarten, 1 't or 22 -grades . The schools have been selected by the Superintendent and the Director of Elementary Curriculum based on the number of students on Free & Reduced lunch, the percentage of children performing at Levels 1 & 2 on FCAT, absenteeism rates and the number of discipline referrals . Clients are referred by their teachers based on need and a mentor' s ability to make a positive impact . Teachers refer children when they begin demonstrating reading problems, early academic failure, low motivation for education and risk factors such as poor self- esteem, excessive absences and/or anti-social behavior. Despite their young age, children are already struggling academically and socially. Members of the target population are frequently eligible for free or reduced lunch. Eligibility guidelines are worded carefully to avoid duplication of services for clients who are already receiving assistance through Exceptional Education or Federal Programs. c) Where do they live? They live in neighborhoods characterized by economic and social deprivation such as areas in the 32948, 329602 32962, 32967 and 32968 zip codes. d) Provide local, state, or national trend data, with reference source, that corroborates that this is an area of need. Local statistics show that 43 % of Indian River County ' s school children are considered "economically needy . " However, rate of growth in the number of impoverished children in the county exceeds state and peer counties . Research reveals that students living in poverty are more likely to develop problems linked to school failure, delinquency and teen pregnancy (St. Lucie Hand4n Hand 14). A high percentage of the adults (24%) have very limited literacy skills leaving their children with minimal exposure to books, words and the support they need, at home, to help them read effectively. (Florida Adult Literacy Survey) . Data elicited confirms concerns over academic achievement in 2004-05 . Poverty, illiteracy and excessive absences have led to academic failure as confirmed by 25 % of the 3rd graders who score at level 2 or below on the FCAT thus indicating limited academic success. Of particular concern is the apparent achievement gap evident in minority students scoring at levels 1 or 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. Other mentoring programs, available in Indian River County, include : Youth Guidance, RSVP, Community Church, Gifford Youth Center and "Take Stock in Children. " We have also implemented an AmeriCorps Florida Reads Program and a BISS "Jump into Reading" program, funded by Department of Education and BBBSA. b) Explain how these existing programs are under-serving the targeted population of your program. Youth Guidance does no school-based mentoring and the other Indian River mentoring programs, including "Take Stock in Children" tend to target older elementary, middle and/or high school children. Despite the presence of 75 mentor relationships in the State funded Jump program and the 60 to be served by AmeriCorps next year, the school district has asked our agency to cover six schools in the 2004-05 year including Fellsmere, Thompson, Highlands, Vero Beach Elementary, Citrus and Dodgertown. This, along with the gap referenced in the Community Needs Assessment, indicates that we are currently underserving our target population. 5 Big Brothers Big Sisters of Indian River County, CSAC "Jump into Reading" Program 3 . 85% of the youth who have participated in To complete the FOAR ( Florida Outcomes reading mentoring for 6 months or more Assessment Report) (pre and post survey) will improve performance in one or more assessing grades, attendance, discipline and areas of the Florida Outcome Assessment socialization skills with the assistance of the Report regarding grades (by a minimum of teachers, mentors, parents and children. Also one grade level), attendance (by a see activities listed for Outcome 1 . minimum of 15 % on unexcused absences), conduct and/or socialization skills (by a minimum of one grade level) by June, 2006. Baseline : FOAR pre-test scores for 2005 — 2006 school year. 10 Big Brothers Big Sisters of Indian River County, CSAC "Jump into Reading" Program E. COLLABORATION (Entire Section E not to exceed one page) 1 . List your program ' s collaborative partners and the resources that they are providing to the program beyond referrals and support. (See individual funder requirements for inclusion of collaborative agreement letters. Collaborative Agency Resources provided to the program Provides space for Advisory Board Meetings and Our Savior Lutheran Church Orientation sessions. Treasure Coast Builder' s Association Facilitates a year long campaign for mentors and money. School Board of Indian River County Provides space for mentors. Furnishes referrals and report card information on each client . Provides feedback on reading skills, behavior, attendance, and self-esteem. Produced TV cause related marketing commercials for John Kennedy our reading mentor programs . Retired Senior Volunteer Program Recruits mentors Has agreed to promote our literacy effort through one- Junior League day action projects. Literacy Services of Indian River Initiate planning for Family Literacy Coalition; joint County provision of family literacy workshops Incubator program is providing office space and United Way of Indian River County equipment for BBBS of Indian River County Vero Beach Police Department Provides release-time mentors Indian River Sheriff' s Department Provides release-time mentors 11 Big Brothers Big Sisters of Indian River County, CSAC "Jump into Reading" Program C. PROGRAM DESCRIPTION (Entire Section C, I — 6, not to exceed two pages) 1 . List Priority Needs area addressed. Focus III- Childcare Access and Focus I-Mental Wellness Issues . 2 . Briefly describe program activities including location of services. (Taxonomy # PH 150 . 50040+) Big Brothers Big Sisters provides role models for young children in Indian River County who are at risk. The CSAC Jump into Reading mentoring program is school-based . It revolves around one-to-one reading mentoring to promote school success, improve literacy and increase socialization skills . Mentoring services are generally delivered in the media center; however, volunteers have the option of working in the classroom . Activities related to mentoring and family literacy services involve : client referral from teachers ; parent permission; client interview; pre-testing; volunteer recruitment ; background screening ; volunteer training to promote best practices in mentoring that support the social development strategy model ; one-to- one mentoring; case management with volunteers, clients, teachers and parents to promote school success and healthy lifestyles ; family literacy ; post-testing ; evaluation & assessment; reassessment of need; client satisfaction survey; case closure ; referral and follow-up . Intended outcomes revolve around on-grade level promotion, enhanced literacy skills, academic improvement, consistent school attendance, increased self-esteem, enhanced emotional-social skills and the ability to build positive relationships to promote healthy lifestyles and increased resiliency . 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. Mentors make a commitment to be a dependable, steady presence in a child ' s life . They meet with their student, one hour per week in two, 30 minute sessions and provide protective factors that help build resiliency and limit exposure to risks . Time together is spent building a relationship, reading aloud, responding appropriately to a child' s reading, promoting writing, praising efforts and making reading fun ! Mentors learn to build personal connections to books to promote academic success . They are urged to make stories come alive and share related experiences that can broaden the child ' s world of knowledge . Volunteers reinforce the association between oral and written language while emphasizing good attitudes about learning. Mentors utilize Book Buddies activities to reinforce phonemic awareness, phonics , fluency, vocabulary and comprehension. This source was designed for volunteer use and is based on a balanced reading approach adopted at the state level by Department of Education. Each match session includes work with familiar books , word study (word bank, alphabet basic phonics and phonemic awareness) , writing and new books . Keep-It Books are sent home with the student on a weekly basis . Parents are encouraged to read aloud with their children at home to reinforce reading skills . The Case Managers supervise and support matches ; assist in ongoing goal setting ; monitor school performance ; expedite other referrals when appropriate ; and act as a facilitator among key stakeholders . Follow-up continues on a bi- monthly basis for a period of 8 months after they have exited. Big Brothers Big Sisters (BBBS) is a structured mentoring program that has been acknowledged, as a "best practice", by such reputable independent researchers as Public Private Ventures ( 1994, 1996, 1999) and Communities That Care Prevention Strategies: A Research Guide to What Works, ( 1996) for its ability to promote healthy beliefs, clear standards and bonding. According to these resources, 6 Big Brothers Big Sisters of Indian River County, CSAC "Jump into Reading" Program BBBS mentors help fight risk factors such as early academic failure, lack of commitment to school, alienation, rebelliousness, early and persistent anti-social behavior and early initiation of problem behavior. Resiliency research — the study of youth who have "beaten the odds" — points to the presence of a caring adult as the pivotal reason why children who should have succumbed to deleterious life circumstances instead thrive as a result of mentoring (Public/Private Ventures, 1999) . Empirical reading research supports the use of Book Buddies, with volunteers, as significant improvement has been demonstrated with emergent and early readers (Morris, Shaw & Perney, 1990 ; Juel, 1991 & 1996 ; Invernizzi et al. , 1997; Wasik, 1997) . Studies indicate that the best results are achieved when students are identified early and enrolled in prevention programs in primary school before they have a chance to fail (Farrington, 1991 ). "Jump into Reading" places a strong emphasis on early prevention targeting Kindergarten through 2nd graders. 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). Staff includes an Executive Director (8 hrs), a Case Manager (40 hrs), a Volunteer Recruiter ( 15 hours), and a Program Manager (20 hrs) . Case Managers must have a minimum of a Bachelor' s Degree in Social Work (BSW) or related field with experience in social work or education. A Master' s Degree is preferred for the Executive Director. The Volunteer Recruiter must have a minimum of an Associates Degree with experience in public relations, marketing and sales. Program Manager must have a minimum of a Bachelor' s Degree and 3 years of experience, How will the target population be made aware of the program ? The target population includes teachers, children, parents and volunteers. Teachers are given an orientation in the Spring of each year as they are a critical part of the referral process. Outreach to new teachers is done at the start of school. Parents are informed about our program through a letter sent by the school . When necessary, there is follow-up by the teacher or a school social worker. Parents complete an application/release form and return it to the school. Contact is then initiated by the BBBS Case Manager. The children are interviewed on the school grounds by BBBS staff. Pre- testing is done just prior to matching. Volunteers are recruited through corporations, city and county government, small business, clubs, civic organizations, state agencies, fund raisers, churches, condo associations and retirement communities. Big Brothers Big Sisters also builds collaborative relationships with businesses and other non-profits such as RSVP to increase our visibility and help us better serve the target population. How will the program be accessible to target population (i.e., location, transportation, hours of operation)? Our program is highly accessible to the target population. Services will provided to Highlands, Vero Beach Elementary and Citrus through this funding source, based on need relative to FCAT results . Transportation is not an issue as mentoring is offered during the school day on campus. Client referral and scheduling are at the teacher' s discretion. This valuable tutorial/mentoring service is provided at no cost to the school or parent. Ease of accessibility, case manager support and capable, trained volunteers keep the referrals coming and the parents satisfied with the service. 7 Big Brothers Big Sisters of Indian River County, CSAC "Jump into Reading" Program 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 ? The Case Manager will be responsible for gathering, entering and updating demographic data on a daily basis using an Excel spreadsheet . Data elements to be tracked include name; social security number; address ; zip code; telephone number; age; gender; ethnic background ; dates regarding inquiry, interview, match, and closure for every parent, child and volunteer. This will allow management to track quality issues such as volunteer yield rates, length of match, premature match closure rates, costs per match, match closure rates and processing time. Note : a separate database will be maintained on each reading mentor program to document unduplicated count. All participants will sign a CSC Release form granting permission for basic information to be used in program tracking. What are the pieces of information that qualify them for your target population ? Clients in Kindergarten through second grade are qualified to become a part of our target population based on reading difficulties, socialization issues and/or high absenteeism . The child ' s classroom teacher documents the need for service, in writing, on a referral form. The Case Manager records baseline data regarding grades, attendance, conduct, and socialization skills on the FOAR (Florida Outcome Assessment Report). She also completes an assessment, in the case file, that details need for service or the "unacceptable condition requiring change and goals for improvement . Any student seeking to participate in the Jump into Reading program for more than one year, must demonstrate progress but continue to show need when baseline data is compared to year end statistics on reading grades, attendance, conduct, socialization skills and pre and post diagnostic test results. 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? Pre and post testing, using the DIBLES (Dynamic Indicators of Basic Early Literacy Skills) will be completed by the Reading Specialist upon initiating a match and at year-end to evaluate reading progress. In schools where DIBLES is currently being used, scores will be shared as per signed agreement . This instrument helps Case Managers establish goals and monitor progress in reading growth. There are five measures that are administered including : initial sound fluency, letter naming fluency, phoneme segmentation fluency, nonsense word fluency and oral reading fluency . This evaluation tool is being utilized statewide at the recommendation of D . O . E. FOAR (Florida Outcome Assessment Report) is a statewide survey developed in cooperation with Big Brothers Big Sisters of Florida. The instrument is based on research provided by our National organization and the Search Institute. It measures outcomes in the areas of literacy, grades, attendance, behavior, promotion and socialization skills as rated by teacher, child and Case Manager oTinions . Information on grades, attendance and behavior is also collected at the end of the Is`, 2° , 3rd and 40' quarters via report cards. Data will be evaluated as a whole and then transferred to each child ' s individual case file. A satisfaction survey for Jump into Reading will also be distributed at ear-end as a 12 Big Brothers Big Sisters of Indian River County, CSAC "Jump into Reading" Program means of identifying programmatic strengths and/or concerns. After termination, each client will receive a 8-month follow-up call to determine the long-term impact of mentoring services . This information will be tracked on an Excel spread sheet and incorporated into the program evaluation report . Volunteer rematch rates will also be calculated to measure customer satisfaction. 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 ? Program goals and measurable outcomes have been established in order to determine the overall effectiveness of our program. A comprehensive assessment system has been designed to evaluate the extent to which outcomes related to promotion, reading skills, attendance, grades, behavior and socialization have been achieved. Children ' s reading skills are measured through the use of pre and post testing. Additional documentation on grades, attendance, behavior and socialization skills is gained from a pre and post survey completed with the help of the classroom teacher and volunteer. Data is analyzed using SPSS, a statistical analysis software package. Year-end statistics on every client are recorded and then compared with their baseline data to determine the effects of mentoring on academic success, truancy and socialization. Data is disaggregated by gender, ethnicity, age and family structure to determine the effects of mentoring unique to subgroups. The overall significance of the results is considered. Programmatic adjustments are made accordingly relative to feedback and outcome information. Satisfaction surveys are distributed to all stakeholders to determine the impact of service on our customers . Evaluative information is communicated internally to the Board, Advisory Board, program manager and staff. Externally it is shared with the appropriate stakeholders including all funders, public officials, schools, community leaders, volunteers, corporate partners, supporters, other community providers, and media. Big Brothers Big Sisters of America has committed to make a difference for children by helping their affiliated agencies become data-driven, research-based, coordinated and focused on outcomes. Their intent, like Children ' s Services Advisory Council, is to ensure that BBBS service reaches program goals and promotes meaningful changes in the lives of our clients. At the national level, they have completed an impact study utilizing nationally recognized, independent evaluators through Public Private Ventures to determine best practices in school and community-based mentoring. Evaluation findings have been integrated into local agency policy and procedures thereby developing opportunities for systemic improvement in program management and outcomes. National standards and procedures promote quality assurance through local program audit performed by the Board ' s Program Committee . This involves an annual review of record keeping. BBBSA also evaluates all their affiliates on an annual cycle. Case files are reviewed every 6 months by the Program Manager to verify that national standards of practice are being met regarding service, time spent with clients, and contacts with family. Signed consent forms are also reviewed along with other necessary documentation such as law enforcement checks, background checks, reference and releases. Personnel working in the program are professionals whose qualifications and experience afford them the best opportunity to impact our clients. Annual in-service training is required . Weekly program meetings and monthly staff meetings are held to focus on program development and quality assurance issues. Factors such as outcome data regarding client goals, coordination of service, level of client satisfaction and family participation are reviewed . Year end goals and outcomes have been attained in all school-based mentoring efforts over the past four years. 13 Big Brothers Big Sisters of Indian River County, CSAC "Jump into Reading" Program D. MEASURABLE OUTCOMES (Description of Intent) Use the Measurable outcomesform. This descri tion pffe does not need to be included in the pMosal In order to show the impact that your program is having on the target population and the community, the funders are requiring measurable outcomes . Please review the examples and summaries below to insure your understanding of what is expected . OUTCOMES : Describes what you want to achieve with the target population . Indicates the results of the services you provide , not the services you provide . Outcomes utilize action words such as maintain, increase, decrease , reduce, improve, raise and lower. ACTIVITIES : Describes the tasks that will be accomplished in the program to achieve the results stated in the outcomes . Activities utilize action words such as complete, establish, create, provide, operate, and develop . The activities should reflect the services described in the PROGRAM DESCRIPTION (C2) . Use the following elements to develop your outcomes. All elements must be included: • Direction of change • Timeframe • Area of change • As measured by • Target population • Baseline : The number that you will be • Degree of chane measuring against Example 1 (Outcome) : To decrease (direction of change) number of unexcused absences (area of change) of enrolled boys and girls (target population) by 75% (degree of change) in one year (time frame) as reported by the 2003 School Board attendance records (as measured by). Baseline : 2003 School Board attendance records for enrolled boys and girls . Example 1 (Activity) : To provide anger management classes to enrolled boys and girls 2 times a week for 12 weeks . Example 2 (Outcome) : 75 % (degree of change) of youth (target population) who have participated in the academic enrichment activities (as measured by) for 6 months or more (time frame), will improve (direction of change) their scores in one or more subject area (area of change) . 25 % of participants in academic enrichment activities will maintain the initial level of performance assessed at entry. Baseline : Pre-test scores from the academic enrichment test. Example 2 (Activity) : 1 ) Provide pre and post-test exercises on the Advanced Learning System software ; 2) Participants will go through the one lesson per week and be graded for 10 weeks . IMPORTANT NOTE : Keep in mind when developing your PROGRAM OUTCOMES , that if funded, this will be what you are held accountable to accomplish. Also, the PROGRAM OUTCOMES should reflect the information described in the PROGRAM NEED STATEMENT (B 1 ) . All Program Need Statements should flow from the Mission & Vision. Measurable Outcomes should be based on and measure program needs . Activities are the tasks you do that are going to influence the outcome and impact the unacceptable condition in your Program Need Statement. 8 Big Brothers Big Sisters of Indian River County, CSAC "Jump into Reading" Program D. MEASURABLE OUTCOMES (Entire Section D not to exceed two pages) OUTCOMES ACTIVITIES Add all o the elements or the Measurable Outcome(s) Add the tasks to accomplish the Outcomes 1 . 85 % of the youth who have participated in To recruit qualified mentors . To complete reading mentor activities for 6 months or more background screening, interview and will be promoted to the next grade level by assessment. To obtain client referrals and June, 2006 . Baseline : 2005 -2006 IRC School parent permission . To interview and pre-test Board promotion/retention records for enrolled clients . To develop a case plan for each client boys and girls . documenting needs, goals and action plans to be reviewed on a quarterly basis . To match mentors and clients . To provide 1 to 1 mentoring sessions, one hour weekly in two , 30 minute intervals to 75 children. To utilize the social development strategy in emphasizing learning skills, healthy beliefs, clear standards and bonding. To review daily mentoring log to verify weekly visits with the mentor. To provide an initial 2 hour training block followed by quarterly training opportunities for volunteers . To complete match supervision calls regarding frequency and quality of the match relationships . To document progress of match in case notes . To collect all report card information through IRC Schools . To evaluate progress throughout the year and document promotion status . To document grades, conduct, attendance and promotion status . To conduct anonymous satisfaction surveys ; results reported to and discussed with staff and outside agencies . To close cases where students have achieved their goals and service is no longer necessary. To follow-up over a 9 month period with terminated clients to determine the long-term impacts of mentoring. 2 . 80% of the youth who have participated in To administer pre and post testing utilizing reading mentoring activities for 6 months or DIBLES (Dynamic Indicators of Basic Early more will improve reading performance in one Literacy Skills). Also see activities listed for or more areas of the DIBLES by June, 2006 , Outcome 1 . Baseline : pre-test scores from the reading achievement instrument for 2005 — 2006 school year. 9 Big Brothers Big Sisters of Indian River County, CSAC "Jump into Reading" Program 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 . I " Week Inquiry calls are received from Volunteers and Parents . Orientation is scheduled . 2nd Week Orientation occurs . Volunteers fill out application and complete background screening . Simultaneously, the school selects students who need the service and sends home application/release forms to be signed and returned by parents . Weeks 3 — 5 Reference and background screening results are returned . Volunteers receive a volunteer interview. Preferences and schedules are determined . Simultaneously, the Parent applications/release forms are returned and the clients receive a child interview at the school as well as pre-testing . Assessments are completed, baseline data is recorded and decisions about potential matches are made . Week 5 Mentor and Reading Trainings are given. Case Manager completes a case plan with input from all parties . Week 6 The Mentor is invited to the school . The Case Manager reviews school rules and introduces the mentor to the child and his/her teacher. The Case Manager shows both parties materials and location they will meet. Case Manager reviews the goals in the case plan. The Case Manager spends the first thirty-minute session together with both match parties . Week 8 Within the 1s` two weeks of the match, the Case Manager contacts the mentor, child and teacher for the purposes of supervision and support. Thereafter, supervision is once per month if by telephone and a minimum of by-monthly if in person. Quarterly Assessment of grades and FOAR is completed. April Volunteer Appreciation Event is held. May Post-testing is done . Data is recorded and compared with baseline information . On-going 9 month follow-up is done with clients who have been terminated to determine long-range benefits of service 14 Big Brothers Big Sisters of Indian River County, CSAC "Jump into Reading" Program H. PROJECTIONS FOR UNDUPLICATED CLIENTS Number of Unduplicated Clients by Location Last Fiscal Year Current Fiscal Year Next Fiscal Year Location Actual 2003/2004 Budget 2004/05 Projections 2005/06 Unduplicated Clients Unduplicated Clients Unduplicated Clients N. Indian River County - 75 75 S. Indian River County - 75 75 Indian River Co. Total - 150 150 Greater Stuart Hobe Sound Indiattown Jensen Beach Palm City Martin County Total Fort Pierce Port Saint Lucie St. Lucie Co. Total Other Locations TOTAL SERVED - 1501 150 Number of Unduplicated Clients by e Last Fiscal Year Current Fiscal Year Next Fiscal Year Location Actual 2003/2004 Budget 2004/05 Projections 2005/06 Individuals Group Individuals Group Individuals Group 0 to 4 - (Pre-school) 5 to 10 - (Elementary) - - 75 - 75 - 11 to 14 - (Middle) 15 to 18 - (High School) Total Children - - 75 - 75 - 19 to 59 - (Adults) - - 35 - 35 - 60 + (Seniors) - - 40 - 40 Total Adults - - 75 - 75 TO SERVED - See - 150 - 150 - 15 Big Brothers Big Sisters of Indian River County, CSAC "Jump into Reading" Program 3 . 85% of the youth who have participated in To complete the FOAR ( Florida Outcomes reading mentoring for 6 months or more Assessment Report) (pre and post survey) will improve performance in one or more assessing grades, attendance, discipline and areas of the Florida Outcome Assessment socialization skills with the assistance of the Report regarding grades (by a minimum of teachers, mentors, parents and children. Also one grade level), attendance (by a see activities listed for Outcome 1 . minimum of 15 % on unexcused absences), conduct and/or socialization skills (by a minimum of one grade level) by June, 2006. Baseline : FOAR pre-test scores for 2005 — 2006 school year. 10 Big Brothers Big Sisters of Indian River County, CSAC "Jump into Reading" Program E. COLLABORATION (Entire Section E not to exceed one page) 1 . List your program ' s collaborative partners and the resources that they are providing to the program beyond referrals and support. (See individual funder requirements for inclusion of collaborative agreement letters. Collaborative Agency Resources provided to the program Provides space for Advisory Board Meetings and Our Savior Lutheran Church Orientation sessions. Treasure Coast Builder' s Association Facilitates a year long campaign for mentors and money. School Board of Indian River County Provides space for mentors. Furnishes referrals and report card information on each client . Provides feedback on reading skills, behavior, attendance, and self-esteem. Produced TV cause related marketing commercials for John Kennedy our reading mentor programs . Retired Senior Volunteer Program Recruits mentors Has agreed to promote our literacy effort through one- Junior League day action projects. Literacy Services of Indian River Initiate planning for Family Literacy Coalition; joint County provision of family literacy workshops Incubator program is providing office space and United Way of Indian River County equipment for BBBS of Indian River County Vero Beach Police Department Provides release-time mentors Indian River Sheriff' s Department Provides release-time mentors 11 Type the Organization and Program Name 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 : Big Brothers Big Sisters of Indian River County FUNDER : Children 's Services Advisory Coucil of Indian River County j CAUTI ON : Do not enter any figures where a cell is colored in dark blue - Formulas and/or links are in place. Gray areas should I Abe used for calculations and to write information only. a »= 5. A o, ', Proposed Total`Program ` Funde''r Sp�cc 1Totaf, Agenc}i n M REVENUES " " � p c e ISXOMf DETAIL -,'`•: ,� y x� s x_ .2` + ' . Budget a. � �W d dge�� . Bu 1 Children's Services Council-St Lucie 197 ,000.00 2 Children's Services Council-Martin �`F ' z 3 Advisory Committee-Indian River „ r> 30, 900. 00 30 ,900.00 30,900.00 4 United Way-St Lucie County x, = 93,500 .00 5 United Way-Martin County 6 United Way-Indian River County 7 Department of Children & Families M ; 8 County Funds . �-. . . . . . 9 Contributions-Cas20 , 000.00 10 Program Feesa 11 Fund Raising Events-Net 94,000. 00 < ; 12 Sales to Public - Net5w 13 Membership Dues ' 11500 . 00 14 Investment Income = s tx x 15 Miscellaneous . ,. 39000 . 00 16 Legacies & Bequests s 17 Funds from Other Sources 31 ,680. 00 393 ,871 .00 18 Reserve Funds Used for Operating 19 In -Kind Donations (Not included In total) Q ; 80,000. 00 20 TOTAL REVENUES �,JWZI� ' (doesn t include line 19) $62,580.00 $30 ,900.00 $ 8339771 .00 �_ �, '% 's'4� aY r 2.> w�.- t -,`a`,s � .y� � r "'�`,y` � F' r ✓ .i . : '�# dam` :yac 1a : .i" F =4,s Ar` ,' `` .' ,.� "I .. '" k " , y. -:1 ^#,:c � * :^"i4:. . ,w ,.a:! ,.:. ' ;x, •i. Fro ose 1'Q l„ garrl � Fttnep, �fi To�agency * EXPENDITURES '' s, I i iu49e m L �ge � _ a Pf/ t .r., Erh. .. ,' 5 �.v.:, , ute'.Su�' .-�• t, 's 1x� ., ° IOW'Gll}CUL.A 21 Salaries - (must complete chart on next page) 41 , 152 . 00 25,000.00 6189336.00 lr,ro *' v 7 ;: s. -, i . `�••... 3 „+,x S`! '.,3° „. „ „...t.;xk r ;� h r� x +4 + " .fiu x $'x ,t .a*. r v '3K 9 +✓J 77ss C 1 ? 8 ' "v'Mr• S t 3y rx^^' ; 3'D a SS ids .h's' y �,., �"?o- 33, x 22 FICA - Total salaries x 0.0765 r:65°yo 3 , 148. 00 11912 .50 47,302.70 Retirement - Annual pension tor qua I ie �f 23 staff 0 . 00 0. 00 0. 00 Life/Health - e Ica en a O - erm 24 Disab . �� ` 0. 00 0.00 0 . 00 or ers ompensa Ion - # em p oyees x 25 rate �� w Y. 613. 00 373.0018 , 162 . 30 on a Unemployment - projecteda 26 employees x $7, 000 x UCT-6 rate ' 0. 00 0.00 0 . 00 � SALARIES a � ;� i x , rx � � D f s Gross AnnuaF- 9 % of Gross AMual f Yh y dFi a! d f C POSITION LISTING `'- t Sala ' ; x Portion o salary orr Proosed r;jfunder. Speclflc Budget Salary �ry 2 +. Prgralll s h, t _ Pdsltlon 7WdlZTotal Hrs/wk` ;I (Agency) RequestIlled(;I. , y �k ,'. xt ` gtc+:�' x "t. " l ' -v 4 ` `5 �r -w y,- a, § { 4 •- ' '714% n : x,70 t�0.� „ Example`.' EzeeuNve plreciori 40 hrs , W 5 OOOAO f ' : :e �. .. ri 1 :"`ic+; 1 . . . *,�" �^, x tr 10tQf70.00 2 ,, .'':.. ' - O 5/16l2005 Type the Organization and Program Name Executive Director / 40 hrs 42, 436 . 00 5, 941 . 00 0.000/0 Program Manager / 40 hrs 33, 596 . 00 51711 .00 0.00% Case Manager / 40 hrs 25 , 000. 00 25,000. 00 25 ,000.00 100. 000/C Volunteer Recruiter / 40 hrs 259000. 00 3500.00 0. 000/c Clerical / Bookeeper/ 6 hrs 5 , 500. 00 19000 . 00 0 . 00% #DIV/0 ! #DIV/0 ! #DIV/0! #DIV/0 ! #DIV/0 ! #DIV/0 ! #DIV/0 ! #DIV/0 ! #DIV/0! #DIV/0 ! #DIV/0 ! #DIV/0 ! #DIV/0! #DIV/0! #DIV/0! , Remaining positions throughout theagency 486, 804. 00 Total Salaries 1 $618,336.001 $41 , 152 .00 $259000. 00 4.04% .;.. FRINGES BENEF S,QEu � � < *,+g-a , a p, ^w''*+. ?ar.� s ,^c .fi` r* ' ^a j .s ,a, c l s.: �` ,- .B' . ya':s.{i t u * +^. " �y..; .G X ,h _, F c "- ` . f�@� - eti:r. 7+& 3. Y ,*tE rssc . ['s�w� ?" •c„ '�-'pj u:... " `x� ; :,.. .r7 + #' .'=;g = 4 <-, a a , " a..;5^^t ; . ,o .` /1$1011- < `'' ' ^swQ @r'S :;. Vhe(J)pl0 e. r:7'Otel Fr/n eS.I=Ullder:: . �S ec>fa> FICA78{5e Heal ,Ins Colu{rin C ny;frolit�n_ _T22 ta ; T,� ,' ; , , Com ens'"k nt'Gom ens 3 ., 0 MA"Bupl et ^ f t k P 5 Jx , r sP s p Spee :. Pas/tion � "5$§"s. X^>, ",'�#" `i t A �'A ar- u T v "a2.. +w .ri " � „ •t 2 k� k {- -N x iEw p*a WAanager Phis ,`OR t SPOP .1 50 jZgv 100 �306efJb . , 30400 _ 200.00 , § 1;582.50 Executive Director / 40 hrs 0.00 0.00 0. 0 Program Manager / 40 hrs 0.00 0.00 0.0 Case Manager / 40 hrs 259000. 00 11912. 50 373 . 00 2 ,285. 5 Volunteer Recruiter / 40 hrs 0. 00 0.00 0. 0 Clerical / Bookeeper/ 6 hrs 0.001 0.00 0. 0 0 0.001 0.00 0.0 0 0.001 0.00 0.0 0 0.001 0.00 0.0 0 0. 001 0.00 0. 0 0 0.001 0.00 0. 0 0 0.001 0.00 0.0 0 0.001 0 .00 0 .0 0 0.001 0 .00 0 .00 0 0.001 0. 00 0. 0 0 0. 001 0.00 0 .0 0 0.001 0.00 0 .00 0 0.001 0.00 0.0 0 0.001 0. 001 1 0.0 0 0.001 0. 001 1 0.0 "0 0.001 0.00 0 .0 Total Funder Request Fringe Benerits $25 ,000.001 $ 1 , 912 .50 $0.00 $0.001 $373.001 $0. 00 $2 ,285.5 cv .t kq v ':.F h r Y' X1 ?? ,•1 s F'tid iii' 4 k l v s* i4 a .. ;. t&'� - EXPENDITTlRESProposed Tota[Program k Funder:Spec c; „ ` Tota/ Anenc AGENC USE ONLYTID ' x t, ; y^t s^ a c .' _ bSt.+r ., z� 3 ba,,.• .w. hyr...7 � 3 9' ,,5• Am, SNOW tlETAIt. ?. '+ Bud et 27 Travel-Daily, 1 ,332.00 1 ,000.00 14 ,000 .00 # of Staff x average # of miles/wk x 50 Wks x $ = Estimated Daily Travel/Mileage Reimb. ' Y X „ @29.. 52wksYxB5mues 281 Travel/conferences/Tralnin 90 .00 0.00 2 ,000 . 00 5/16/2005 17 Big Brothers Big Sisters of Indian River County, CSAC "Jump into Reading" Program 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 ? The Case Manager will be responsible for gathering, entering and updating demographic data on a daily basis using an Excel spreadsheet . Data elements to be tracked include name; social security number; address ; zip code; telephone number; age; gender; ethnic background ; dates regarding inquiry, interview, match, and closure for every parent, child and volunteer. This will allow management to track quality issues such as volunteer yield rates, length of match, premature match closure rates, costs per match, match closure rates and processing time. Note : a separate database will be maintained on each reading mentor program to document unduplicated count. All participants will sign a CSC Release form granting permission for basic information to be used in program tracking. What are the pieces of information that qualify them for your target population ? Clients in Kindergarten through second grade are qualified to become a part of our target population based on reading difficulties, socialization issues and/or high absenteeism . The child ' s classroom teacher documents the need for service, in writing, on a referral form. The Case Manager records baseline data regarding grades, attendance, conduct, and socialization skills on the FOAR (Florida Outcome Assessment Report). She also completes an assessment, in the case file, that details need for service or the "unacceptable condition requiring change and goals for improvement . Any student seeking to participate in the Jump into Reading program for more than one year, must demonstrate progress but continue to show need when baseline data is compared to year end statistics on reading grades, attendance, conduct, socialization skills and pre and post diagnostic test results. 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? Pre and post testing, using the DIBLES (Dynamic Indicators of Basic Early Literacy Skills) will be completed by the Reading Specialist upon initiating a match and at year-end to evaluate reading progress. In schools where DIBLES is currently being used, scores will be shared as per signed agreement . This instrument helps Case Managers establish goals and monitor progress in reading growth. There are five measures that are administered including : initial sound fluency, letter naming fluency, phoneme segmentation fluency, nonsense word fluency and oral reading fluency . This evaluation tool is being utilized statewide at the recommendation of D . O . E. FOAR (Florida Outcome Assessment Report) is a statewide survey developed in cooperation with Big Brothers Big Sisters of Florida. The instrument is based on research provided by our National organization and the Search Institute. It measures outcomes in the areas of literacy, grades, attendance, behavior, promotion and socialization skills as rated by teacher, child and Case Manager oTinions . Information on grades, attendance and behavior is also collected at the end of the Is`, 2° , 3rd and 40' quarters via report cards. Data will be evaluated as a whole and then transferred to each child ' s individual case file. A satisfaction survey for Jump into Reading will also be distributed at ear-end as a 12 Big Brothers Big Sisters of Indian River County, CSAC "Jump into Reading" Program means of identifying programmatic strengths and/or concerns. After termination, each client will receive a 8-month follow-up call to determine the long-term impact of mentoring services . This information will be tracked on an Excel spread sheet and incorporated into the program evaluation report . Volunteer rematch rates will also be calculated to measure customer satisfaction. 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 ? Program goals and measurable outcomes have been established in order to determine the overall effectiveness of our program. A comprehensive assessment system has been designed to evaluate the extent to which outcomes related to promotion, reading skills, attendance, grades, behavior and socialization have been achieved. Children ' s reading skills are measured through the use of pre and post testing. Additional documentation on grades, attendance, behavior and socialization skills is gained from a pre and post survey completed with the help of the classroom teacher and volunteer. Data is analyzed using SPSS, a statistical analysis software package. Year-end statistics on every client are recorded and then compared with their baseline data to determine the effects of mentoring on academic success, truancy and socialization. Data is disaggregated by gender, ethnicity, age and family structure to determine the effects of mentoring unique to subgroups. The overall significance of the results is considered. Programmatic adjustments are made accordingly relative to feedback and outcome information. Satisfaction surveys are distributed to all stakeholders to determine the impact of service on our customers . Evaluative information is communicated internally to the Board, Advisory Board, program manager and staff. Externally it is shared with the appropriate stakeholders including all funders, public officials, schools, community leaders, volunteers, corporate partners, supporters, other community providers, and media. Big Brothers Big Sisters of America has committed to make a difference for children by helping their affiliated agencies become data-driven, research-based, coordinated and focused on outcomes. Their intent, like Children ' s Services Advisory Council, is to ensure that BBBS service reaches program goals and promotes meaningful changes in the lives of our clients. At the national level, they have completed an impact study utilizing nationally recognized, independent evaluators through Public Private Ventures to determine best practices in school and community-based mentoring. Evaluation findings have been integrated into local agency policy and procedures thereby developing opportunities for systemic improvement in program management and outcomes. National standards and procedures promote quality assurance through local program audit performed by the Board ' s Program Committee . This involves an annual review of record keeping. BBBSA also evaluates all their affiliates on an annual cycle. Case files are reviewed every 6 months by the Program Manager to verify that national standards of practice are being met regarding service, time spent with clients, and contacts with family. Signed consent forms are also reviewed along with other necessary documentation such as law enforcement checks, background checks, reference and releases. Personnel working in the program are professionals whose qualifications and experience afford them the best opportunity to impact our clients. Annual in-service training is required . Weekly program meetings and monthly staff meetings are held to focus on program development and quality assurance issues. Factors such as outcome data regarding client goals, coordination of service, level of client satisfaction and family participation are reviewed . Year end goals and outcomes have been attained in all school-based mentoring efforts over the past four years. 13 Type the Organization and Program Name • National Conference (cost per staff) 11 it 11 ' • Training/Seminar (cost per staff) • Other Trainings (cost of travel , lodging , Or It 6 1 - registration , food) 29 Office Supplies 19500 .00 614. 50 14 , 000. 00 Office supplies (monthly average x 12 months = estimated cost of office supplies based on present history. $51 per mo: X 12 ino. 30 Telephone 650 .00 0. 00 56000 .00 # Phone lines x average cost per month x Or 12 months = local phone cost11 Ott Or - I Average long distance calls x 12 months = Or "011 Estimated cost of long distance '� ' ' 31 Postage/Shipping 500.00 0. 00 3,500 . 00 it• Quarterly Mailing of Newsletter �� ,� x E • Special events etc. �f10 OK £ �4 � t E d y ^Fts'[' L x ?+a , + f :"SQ" it 3 • Bulk mailings - appeals . . - � •f , . z . � v. . rt 32 Utilities '. 480. 00 0.00 2 , 500 . 00 Electricity ($ x 12 months) Water/Sewer ($ x 12 months) M u ' * a a ��¢ , ` Garbage ($ x 12 months) Orr r �n. : =. „ a . .. . h ," `? i '.° ' . S a- x r 33 Occupancy (Building & Grounds) y 11000.00 0.00 8 ,000.00 • Mortgage/Rent x 12 months * 1116 1 Or � kZW - a r ($ ) rax , x r } �+,'t_ ' `°*;+�. r a §T# ,'�-a.. x.�ixk t $$. � N 33rr.: ;'N" :• ..� • Janitorial ($ x 12 months) Y � � • Grounds Maint. ($ x 12 months) � � n „ a rr „ t rte '" .. f ""A ` ;'`' `>t.-` , : a • Real Estate Taxes �� u F . ,, � � . 4� ti 3 . F _ F �• s. ��Y „ � , �s ,, , , E it 34 Printing & Publications• 500 00 0 00 3 ,000. 00 Quarterly Newsletter ($ x 4) Or • Letterheads Envelopes etc. • ` a_.- * • Fundraising materialsOil Sir IA• Other • sx•:... - ` `x,; .:- '� -cdw h, ,,,c- �nt '.fw; k. >a;4 , ik s'u' , R`., ._ -'?s+�`, - . .:e .. x .. "1 > *' ,P,. L+'+,, s.., 35 Subscription/Dues/Memberships # ' 'O 1 500.00 13 437.00 Or I 17k r • Membership to National OrganizationON NO � a � � IRll Dues • Subscriptions to Newspapers/magazines, -r a� za;;' etc. •: _ fix .; , .F z k 36 Insurance #� �3 z 3,500 00 1 ,000 00 27 ,000.00 1";YIr ip t �'}W } s$iF• 2 C Y b - d £ .g Or � � - i 3A • Directors/Officers Liab. Vim � � • Commercial/General Insurance `° • Bond Ins. "Or *13 & 1 ab Ifti ,anon • Auto Insurance _ ?•tnsu 37 Equipment: Rental & Maintenance . �� 200.00 0.00 3 000 00 Y t hT tN P } • Copier lease ($ x 12 months) � �x uOr • Meter lease ($ x 12 months) �� • Copier Maintenance ($ x 12 months) a � q fi> • Computer Maintenance ( $ x 12 months) � 4 � � � ',� , Or 3 ti� 'r^ " '^}""kfy , • Other -.i. �i't , i.,, �'}�n .?w T�'t,' ,.SiyW § �� . ,`,�f:x. . ::'x s3.?tu� ..a. Ms,, . �,5 • , .z Y� :: ��"�� ?�: ;�':,�; � � Ky' '� ty, '' � ks +tir K'=� " 38 Advertising ' 5 250 .00 0.00 21500.00 '.ti.r .c {'""�, ' ^x 7'77 ai , ro i° ' r z 'a +1' s =t v>•+ ,' .d2+ n r4 Newspaper ads zy k EOil � . 'Ax ' a Or "tri _ # I'l ;� swIll • Fundraising ads/promotions � IV � ol n , A R Y0i "OR111 Oil (vacancies) sk 1 'es u• {s~ S . x5..6 'v�l kx � > -ri'S � 'S' ri r i'��.,. �'ia" 1 Ss"� � ,} �i*� z•'• '�`Oi �7 r f • Other VaCanCIBS t ? -� z. ° vt..xr _.w, ..x .. , t(' ,Rn .,. ..A- 12 +Af''h'Q. ,t .'ka: +l� Y' 1 39 Equipment Purchases: Capital Expense ' 0.00 0.00 19000. 00 • Computer/monitor (# x $) ' ` ' t , F � °� ; ,r M .r. r ^. s '' S �..� 'k.. x Or S s'= 0 s ,t t, � '. ^ " *. . > " 4r r�u ix, 'f �a src w ?; "a: '+; &.1., s., r ar " • Laser Printer < . .. � ' : a' ,,> ass ;: r 40 Professional Fees (Legal, Consulting) rM % 0.00 0.00 11000.00 • Legal advice ( estimated #hrs x $) �i « �' � �* y Consultant fees a AM • ..-'"' ^..Q {� x +4# �' �. �YNx A t a r .�'p - NZ Other R 41 Books/Educational Materials 800.00 0.00 4 ,000 .00 • Books/videos f `'SO , Orr z « ` i� f ` a<OrqOrriter • Materials ($ x staff) Over , IOr ll h x � kOr c Yn Z i v it,a i 42 Food & Nutrition � _ 0.00 T 0 .00 21000. 00 5/16/2005 !J Type the Organization and Program Name Meals { # meals x clients x 5days x 50 wks) Snacks 43 Administrative Costs 0.00 0.00 0 . 00 Admin . Cost (% of total budget) 44 Audit Expense 335 . 00 59033 . 00 Independent Audit Review 45 Specific Assistance to Individuals 61 0. 00 0.00 0 . 00 • Medical assistance • Meals/Food • Rent Assistance11 Ilk ' ` 5 • Other 46 Other/Miscellaneous 4,650.00 11000. 00 24,000 .00 • Background check/drug test • Other backgiound screening ,. 47 Other/Contracts 470.00 25, 000. 00 Sub-contract for program services 48 TOTAL EXPENSES $62 , 580. 00 $30 , 900. 00 $ 833, 771 .00 �. . . 5/16/2005 19 Big Brothers Big Sisters of Indian River County, CSAC "Jump into Reading" Program 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 . I " Week Inquiry calls are received from Volunteers and Parents . Orientation is scheduled . 2nd Week Orientation occurs . Volunteers fill out application and complete background screening . Simultaneously, the school selects students who need the service and sends home application/release forms to be signed and returned by parents . Weeks 3 — 5 Reference and background screening results are returned . Volunteers receive a volunteer interview. Preferences and schedules are determined . Simultaneously, the Parent applications/release forms are returned and the clients receive a child interview at the school as well as pre-testing . Assessments are completed, baseline data is recorded and decisions about potential matches are made . Week 5 Mentor and Reading Trainings are given. Case Manager completes a case plan with input from all parties . Week 6 The Mentor is invited to the school . The Case Manager reviews school rules and introduces the mentor to the child and his/her teacher. The Case Manager shows both parties materials and location they will meet. Case Manager reviews the goals in the case plan. The Case Manager spends the first thirty-minute session together with both match parties . Week 8 Within the 1s` two weeks of the match, the Case Manager contacts the mentor, child and teacher for the purposes of supervision and support. Thereafter, supervision is once per month if by telephone and a minimum of by-monthly if in person. Quarterly Assessment of grades and FOAR is completed. April Volunteer Appreciation Event is held. May Post-testing is done . Data is recorded and compared with baseline information . On-going 9 month follow-up is done with clients who have been terminated to determine long-range benefits of service 14 Big Brothers Big Sisters of Indian River County, CSAC "Jump into Reading" Program H. PROJECTIONS FOR UNDUPLICATED CLIENTS Number of Unduplicated Clients by Location Last Fiscal Year Current Fiscal Year Next Fiscal Year Location Actual 2003/2004 Budget 2004/05 Projections 2005/06 Unduplicated Clients Unduplicated Clients Unduplicated Clients N. Indian River County - 75 75 S. Indian River County - 75 75 Indian River Co. Total - 150 150 Greater Stuart Hobe Sound Indiattown Jensen Beach Palm City Martin County Total Fort Pierce Port Saint Lucie St. Lucie Co. Total Other Locations TOTAL SERVED - 1501 150 Number of Unduplicated Clients by e Last Fiscal Year Current Fiscal Year Next Fiscal Year Location Actual 2003/2004 Budget 2004/05 Projections 2005/06 Individuals Group Individuals Group Individuals Group 0 to 4 - (Pre-school) 5 to 10 - (Elementary) - - 75 - 75 - 11 to 14 - (Middle) 15 to 18 - (High School) Total Children - - 75 - 75 - 19 to 59 - (Adults) - - 35 - 35 - 60 + (Seniors) - - 40 - 40 Total Adults - - 75 - 75 TO SERVED - See - 150 - 150 - 15 Big &aBws Bp SWw* of kiem Riwr Cowty CSAC 'Jow Wk Rwdne UNIFORM GRANT APPLICATION TOTAL AGENCY BUDGET AGENCY/PROGRAM NAME : Big Brothers ig Sisters of Indian River Counbr FY 03104 FY 04/05 FY 05/06 % INCREASE FYE FYE FYE CURRENT VS. NEXT FY BUDGET A B C D ACTUAL TOTAL PROPOSED (col. Ctol. Bycol. e REVENUES BUDGETED BUDGETED 1 Children's Services Council-St. Lucie 168 434.00 197 000.00 16.96% 2 Children's Services Council-Martin 0.00 0.00 #DIV/01 3 Advisory Committee-Indian River 50 000.00 30 900.00 -38,20% 4 United Way-St, Lucie County 85 000.00 93 500.00 10.00% 5 United Way-Martin County 0.00 0.00 #DIV101 6 United Way-Indian River County 0.00 0.00 #DIV/01 7 Department of Children & Families 0.00 0.00 #DIV/01 8 County Funds 0.00 0.00 #DIV/01 9 Contributions-Cash 25 000.00 20 000.00 -20.00% 10 Program Fees 0.00 0.00 #DIV/01 11 Fund Raising Events-Net 80 000.00 94 000.00 17.50% 12 Sales to Public-Net 0.00 0.00 #DIV/01 13 Membership Dues 0.00 12500.001 #DIV/01 14 Investment Income 0.00 0.00 #DIV/01 15 Miscellaneous 1 0.00 3 000.00 #DIV/01 1s Legacies & Bequests 0.00 0.00 #DIV/01 17 Funds from Other Sources 267 000.00 393 871 .00 47.520/6 1s Reserve Funds Used for Operating 0.00 0.00 #DIV/01 19 In-Kind Donations (Not included In total) 0.00 #DIV/01 20 TOTAL 0.00 675 434.00 833 771 .00 23.440A EXPENDITURES 21 Salaries 497j204.001 618 336.00 24.36% 22 FICA 38 036.00 47 302.70 24.36% 23 Retirement 0.00 0.00 #DIV/01 24 Life/Health 0.00 0.00 #DIV/01 25 Workers Compensation 69464.00 8162.30 26.27% 26 Florida Unemployment 0.00 0.00 #DIV/01 27 Travel-Daily 13 650 .00 14 000.00 2.56% 28 Travel/Conferences/Training 11000.00 2000.00 100.00% 29 Office Supplies 12 000.00 14 000.00 16.67% 3o Telephone 5 000.00 50000.00 0.00% 31 Postage/Shipping 4,200.00 39600,00 46.67% 32 Utilities 3 6O0.00 21500,00 -30.56% 33 Occupancy (Building & Grounds 81000,0101 81000,001 0.00% 34 Printing & Publications 11000.00 3000,00 200.00% 35 Subscription/Dues/Memberships 13 451 .00 l31437,001 -0. 10% 36 Insurance 20 507.00 27 000.00 31 .66% 37 Equipment: Rental & Maintenance 4 5O0,00 3000.00 43.33% 38 Advertising 11500.00 29500.00 66.67% 39 Equipment Purchases : Capital Expense 8 500.00 1000,00 -88.240A 40 Professional Fees (Legal, Consulting) 11000,00 11000.00 0.00% 41 Books/Educational Materials 2 O00.00 4 O00.00 100.00% 42 Food & Nutrition 21000.001 2A00,00 0.00% 43 Administrative Costs 0.00 0.00 #DIV/01 44 Audit Expense 41500.00 51033.00 11 .84% 45 Specific Assistance to Individuals 0.00 0.00 #DIV/01 46 Other/Miscellaneous 9t294.00 24 000.00 158.23% 47 Other/Contract 18 028.00 25 000.00 38.67% 48 TOTAL0.00 675 434.00 833 771 .00 23.44% 49 REVENUES OVER/ UNDER EXPENDITURES 0.001 0.00 0.00 #DIV/01 S U200S TM IM OrgwnwWn nd PmWm Name UNIFORM GRANT APPLICATION TOTAL PROGRAM BUDGET AGENCY/PROGRAM NAME: Big Brothers Big Sisters of Indian River Coun FY 03/04 FY 04/05 FY 05/06 % INCREASE FYE FYE FYE CURRENT VS. NEXT FY BUDGET A B C D ACTUAL TOTAL PROPOSED (cot. c�col. BNcol. B REVENUES BUDGETED BUDGETED 1 Children's Services Council-St. Lucie 0.00 0. 00 #DIV/0! 2 Children's Services Council-Martin 0.00 0.00 #DIV/01 3 Advisory Committee-Indian River 50 000.00 30 900.00 -38.20% 4 United Way-St Lucie County 0.00 0.00 #DIV/01 5 United Way-Martin County 0.00 0.00 #DIV/01 6 United Way-Indian River County 0.00 0.00 #DIV/01 7 Department of Children & Families 0.00 0.00M#DIV/01 B CountyFunds 0.00 0.00 9 Contributions-Cash 0.00 0.00 10 Program Fees 0.00 0.0011 Fund Raisin Events-Net 0.00 0.00 12 Sales to Public-Net 0.00 0.00 #DIV/01 13 Membership Dues 0.00 0.00 #DIV/01 14 Investment Income 0.00 0.00 #DIV/01 15 Miscellaneous 0.00 0.00 #DIV/01 1s Legacies & Bequests 0.00 0.00 #DIV/01 17 Funds from Other Sources 65 000.00 319680._00 -51 .26% 18 Reserve Funds Used for Operating 0.00 #DIV/01 19 In-Kind Donations (Noe Included In total) 80 000.00 #DIV/01 20 TOTAL 0.00 115 000.00 62 580.00 -45.58% EXPENDITURES 21 Salaries 90 500.00 41 152.00 -54.53% 22 FICA 6t923.00 39148,00 -54.53% 23 Retirement 0.00 0.00 #DIV/01 24 Life/Health 0.00 0.00 #DIV/01 25 Workers Compensation 1v177.00 613.00 47.92% 26 Florida Unemployment 0.00 0.00 #DIV/01 27 Travel-Dally 1 w885.00 1 ,332.001 -29.34% 28 Travel/Conferences/Trainin 0.00 0.00 #DIV/01 29 Office Supplies 1 ,584.00 12500.00 -5.30% 30 Telephone 648.00 650.00 0.31 % 31 Postage/Shipping 500.00 500.00 0.00% 32 Utilities 480.00 480.00 0.00% 33 Occupancy (Building & Grounds l 056.00 100000 -5.30% 34 Printing & Publications 500.00 500.00 0.00% 35 Subscription/Dues/Memberships 1 t500.00 11500.00 0.00% 36 Insurance 1 29209.00 35500.00 58.44% 37 E ui ment:Rental & Maintenance 500.00 200.00 -60.00% 38 Advertising 350.00 250.00 -28.57% 39 Equipment Purchases:Ca ital Expense 0.00 0.00 #DIV/01 40 Professional Fees (Legal, Consulting) 0.00 0.00 #DIV/01 41 Books/Educational Materials 2 080.00 800.00 -61 .54% 42 Food & Nutrition 500.00 0.00 0100.00% 43 Administrative Costs 0.00 0.00 #DIV/01 44 Audit Expense 671 .00 335.00 40.07% 45 Specific Assistance to Individuals 0.00 0.00 #DIV/01 46 Other/Miscellaneous 1 ,482,00 46600. 0 213.77°k 47 Other/Contract 455.00 470.00 3.30% 48 TOTAL 0.00 115l000.00 62 580.00 -45.58% 49 REVENUES OVER/(UNDERI EXPENDITURES 0.00 0,001 0.00 #DIV/01 SWIMS 2. 1 Type the Organization and Program Name 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 : Big Brothers Big Sisters of Indian River County FUNDER : Children 's Services Advisory Coucil of Indian River County j CAUTI ON : Do not enter any figures where a cell is colored in dark blue - Formulas and/or links are in place. Gray areas should I Abe used for calculations and to write information only. a »= 5. A o, ', Proposed Total`Program ` Funde''r Sp�cc 1Totaf, Agenc}i n M REVENUES " " � p c e ISXOMf DETAIL -,'`•: ,� y x� s x_ .2` + ' . Budget a. � �W d dge�� . Bu 1 Children's Services Council-St Lucie 197 ,000.00 2 Children's Services Council-Martin �`F ' z 3 Advisory Committee-Indian River „ r> 30, 900. 00 30 ,900.00 30,900.00 4 United Way-St Lucie County x, = 93,500 .00 5 United Way-Martin County 6 United Way-Indian River County 7 Department of Children & Families M ; 8 County Funds . �-. . . . . . 9 Contributions-Cas20 , 000.00 10 Program Feesa 11 Fund Raising Events-Net 94,000. 00 < ; 12 Sales to Public - Net5w 13 Membership Dues ' 11500 . 00 14 Investment Income = s tx x 15 Miscellaneous . ,. 39000 . 00 16 Legacies & Bequests s 17 Funds from Other Sources 31 ,680. 00 393 ,871 .00 18 Reserve Funds Used for Operating 19 In -Kind Donations (Not included In total) Q ; 80,000. 00 20 TOTAL REVENUES �,JWZI� ' (doesn t include line 19) $62,580.00 $30 ,900.00 $ 8339771 .00 �_ �, '% 's'4� aY r 2.> w�.- t -,`a`,s � .y� � r "'�`,y` � F' r ✓ .i . : '�# dam` :yac 1a : .i" F =4,s Ar` ,' `` .' ,.� "I .. '" k " , y. -:1 ^#,:c � * :^"i4:. . ,w ,.a:! ,.:. ' ;x, •i. Fro ose 1'Q l„ garrl � Fttnep, �fi To�agency * EXPENDITURES '' s, I i iu49e m L �ge � _ a Pf/ t .r., Erh. .. ,' 5 �.v.:, , ute'.Su�' .-�• t, 's 1x� ., ° IOW'Gll}CUL.A 21 Salaries - (must complete chart on next page) 41 , 152 . 00 25,000.00 6189336.00 lr,ro *' v 7 ;: s. -, i . `�••... 3 „+,x S`! '.,3° „. „ „...t.;xk r ;� h r� x +4 + " .fiu x $'x ,t .a*. r v '3K 9 +✓J 77ss C 1 ? 8 ' "v'Mr• S t 3y rx^^' ; 3'D a SS ids .h's' y �,., �"?o- 33, x 22 FICA - Total salaries x 0.0765 r:65°yo 3 , 148. 00 11912 .50 47,302.70 Retirement - Annual pension tor qua I ie �f 23 staff 0 . 00 0. 00 0. 00 Life/Health - e Ica en a O - erm 24 Disab . �� ` 0. 00 0.00 0 . 00 or ers ompensa Ion - # em p oyees x 25 rate �� w Y. 613. 00 373.0018 , 162 . 30 on a Unemployment - projecteda 26 employees x $7, 000 x UCT-6 rate ' 0. 00 0.00 0 . 00 � SALARIES a � ;� i x , rx � � D f s Gross AnnuaF- 9 % of Gross AMual f Yh y dFi a! d f C POSITION LISTING `'- t Sala ' ; x Portion o salary orr Proosed r;jfunder. Speclflc Budget Salary �ry 2 +. Prgralll s h, t _ Pdsltlon 7WdlZTotal Hrs/wk` ;I (Agency) RequestIlled(;I. , y �k ,'. xt ` gtc+:�' x "t. " l ' -v 4 ` `5 �r -w y,- a, § { 4 •- ' '714% n : x,70 t�0.� „ Example`.' EzeeuNve plreciori 40 hrs , W 5 OOOAO f ' : :e �. .. ri 1 :"`ic+; 1 . . . *,�" �^, x tr 10tQf70.00 2 ,, .'':.. ' - O 5/16l2005 Type the Organization and Program Name Executive Director / 40 hrs 42, 436 . 00 5, 941 . 00 0.000/0 Program Manager / 40 hrs 33, 596 . 00 51711 .00 0.00% Case Manager / 40 hrs 25 , 000. 00 25,000. 00 25 ,000.00 100. 000/C Volunteer Recruiter / 40 hrs 259000. 00 3500.00 0. 000/c Clerical / Bookeeper/ 6 hrs 5 , 500. 00 19000 . 00 0 . 00% #DIV/0 ! #DIV/0 ! #DIV/0! #DIV/0 ! #DIV/0 ! #DIV/0 ! #DIV/0 ! #DIV/0 ! #DIV/0! #DIV/0 ! #DIV/0 ! #DIV/0 ! #DIV/0! #DIV/0! #DIV/0! , Remaining positions throughout theagency 486, 804. 00 Total Salaries 1 $618,336.001 $41 , 152 .00 $259000. 00 4.04% .;.. FRINGES BENEF S,QEu � � < *,+g-a , a p, ^w''*+. ?ar.� s ,^c .fi` r* ' ^a j .s ,a, c l s.: �` ,- .B' . ya':s.{i t u * +^. " �y..; .G X ,h _, F c "- ` . f�@� - eti:r. 7+& 3. Y ,*tE rssc . ['s�w� ?" •c„ '�-'pj u:... " `x� ; :,.. .r7 + #' .'=;g = 4 <-, a a , " a..;5^^t ; . ,o .` /1$1011- < `'' ' ^swQ @r'S :;. Vhe(J)pl0 e. r:7'Otel Fr/n eS.I=Ullder:: . �S ec>fa> FICA78{5e Heal ,Ins Colu{rin C ny;frolit�n_ _T22 ta ; T,� ,' ; , , Com ens'"k nt'Gom ens 3 ., 0 MA"Bupl et ^ f t k P 5 Jx , r sP s p Spee :. Pas/tion � "5$§"s. X^>, ",'�#" `i t A �'A ar- u T v "a2.. +w .ri " � „ •t 2 k� k {- -N x iEw p*a WAanager Phis ,`OR t SPOP .1 50 jZgv 100 �306efJb . , 30400 _ 200.00 , § 1;582.50 Executive Director / 40 hrs 0.00 0.00 0. 0 Program Manager / 40 hrs 0.00 0.00 0.0 Case Manager / 40 hrs 259000. 00 11912. 50 373 . 00 2 ,285. 5 Volunteer Recruiter / 40 hrs 0. 00 0.00 0. 0 Clerical / Bookeeper/ 6 hrs 0.001 0.00 0. 0 0 0.001 0.00 0.0 0 0.001 0.00 0.0 0 0.001 0.00 0.0 0 0. 001 0.00 0. 0 0 0.001 0.00 0. 0 0 0.001 0.00 0.0 0 0.001 0 .00 0 .0 0 0.001 0 .00 0 .00 0 0.001 0. 00 0. 0 0 0. 001 0.00 0 .0 0 0.001 0.00 0 .00 0 0.001 0.00 0.0 0 0.001 0. 001 1 0.0 0 0.001 0. 001 1 0.0 "0 0.001 0.00 0 .0 Total Funder Request Fringe Benerits $25 ,000.001 $ 1 , 912 .50 $0.00 $0.001 $373.001 $0. 00 $2 ,285.5 cv .t kq v ':.F h r Y' X1 ?? ,•1 s F'tid iii' 4 k l v s* i4 a .. ;. t&'� - EXPENDITTlRESProposed Tota[Program k Funder:Spec c; „ ` Tota/ Anenc AGENC USE ONLYTID ' x t, ; y^t s^ a c .' _ bSt.+r ., z� 3 ba,,.• .w. hyr...7 � 3 9' ,,5• Am, SNOW tlETAIt. ?. '+ Bud et 27 Travel-Daily, 1 ,332.00 1 ,000.00 14 ,000 .00 # of Staff x average # of miles/wk x 50 Wks x $ = Estimated Daily Travel/Mileage Reimb. ' Y X „ @29.. 52wksYxB5mues 281 Travel/conferences/Tralnin 90 .00 0.00 2 ,000 . 00 5/16/2005 17 Type the Organization and Program Name UNIFORM GRANT APPLICATION FUNDER SPECIFIC BUDGET PROGRAM EXPENSES AGENCY/PROGRAM NAME : Big Brothers Big Sisters of Indian River County FUNDER : CSAC A B C FY 04/05 FY 05/06 % OF TOTAL FUNDER TOTAL VS . PROGRAM SPECIFIC FUNDER REQUEST BUDGET BUDGET (col. B/col. A) EXPENDITURES 21 Salaries 419152.00 25 ,000.00 60 .75% 22 FICA 3 , 148.00 19912.50 60 .75% 23 Retirement 0.00 0 .00 #DIV/0 ! 24 Life/Health 0 . 00 0 .00 #DIV/01 25 Workers Compensation 613 . 00 373 .00 60 . 85% 26 Florida Unemployment 0.00 0. 00 #DIV/01 27 Travel-Dally 19332 .00 1 ,000 .00 75.08% 28 Travel/Conferences/Training 0. 00 0. 00 #DIV/01 29 Office Supplies 11500 . 00 614. 50 40. 97% 3o Telephone 650 . 00 0 .00 0 .00 % 31 Postage/Shipping 500. 00 0 .00 0 .00% 32 Utilities 480 . 00 0.00 0 .00% 33 Occupancy ( Building & Grounds 11000 .00 0 .00 0.00 % 34 Printing & Publications 500. 00 0.00 0 .00 % 35 Subscription/Dues/Memberships 10500 . 00 0.00 0 .00 % 36 Insurance 31500 .00 19000 .00 28.57% 37 Equipment: Rental & Maintenance 200.00 0.00 0 .00% 38 Advertising 250.00 0. 00 0 .00% 39 Equipment Purchases : Ca ital Expense 0.00 0. 00 #DIV/01 40 Professional Fees (Legal , Consulting ) 0.00 0 .00 #DIV/01 41 Books/Educational Materials 800.00 0 .00 0 .00% 42 Food & Nutrition 0 .00 0 .00 #DIV/01 43 Administrative Costs 0 . 00 0. 00 #DIV/01 44 Audit Expense 335.00 0. 00 0 .00% 45 Specific Assistance to Individuals 0.00 0.00 #DIV/01 46 Other/Miscellaneous 49650 .00 19000 .00 21 .51 % 47 Other/Contract 470 . 00 0 .00 0.00% 48 TOTAL $62 ,580 .00 $30 ,900 .00 49 . 38% 5/16/2005 2. 2 Type Me Organ¢abw and Program Name UNIFORM GRANT APPLICATION EXPLANATION FOR VARIANCES OF 15% OR MORE TOTAL PROGRAM BUDGET AGENCY/PROGRAM NAME : Big Brothers Big Sisters of Indian River County FUNDER: CSAC #v/01 ' iW1fA 'LYtNCE. #DN/0! #DIV/01 #DIV/01 #DIVI01 #DIV/01 #DIV/01 #DIV/01 #DIV/01 #DIV/01 #DIV/01 #DIV/01 #DIV/01 #DIV/01 #DIV/01 #DIV/01 #DIV/01 #DIV/01 #DIV/01 #DIV/01 #DIV/0I Big Brothers Big Sisters Insurance Costs, nationwide, are expected to rise as much as 26%. This is particularly related to liability Insurance insuance. #DIV/01 #DIV/01 #DIV/01 #DIV/01 Other/Miscellaneous The State Legislature has mandated a new level of background screening that has significantly increased costs ($62.00 perperson) 5/78¢005 23 Type the Organization and Program Name • National Conference (cost per staff) 11 it 11 ' • Training/Seminar (cost per staff) • Other Trainings (cost of travel , lodging , Or It 6 1 - registration , food) 29 Office Supplies 19500 .00 614. 50 14 , 000. 00 Office supplies (monthly average x 12 months = estimated cost of office supplies based on present history. $51 per mo: X 12 ino. 30 Telephone 650 .00 0. 00 56000 .00 # Phone lines x average cost per month x Or 12 months = local phone cost11 Ott Or - I Average long distance calls x 12 months = Or "011 Estimated cost of long distance '� ' ' 31 Postage/Shipping 500.00 0. 00 3,500 . 00 it• Quarterly Mailing of Newsletter �� ,� x E • Special events etc. �f10 OK £ �4 � t E d y ^Fts'[' L x ?+a , + f :"SQ" it 3 • Bulk mailings - appeals . . - � •f , . z . � v. . rt 32 Utilities '. 480. 00 0.00 2 , 500 . 00 Electricity ($ x 12 months) Water/Sewer ($ x 12 months) M u ' * a a ��¢ , ` Garbage ($ x 12 months) Orr r �n. : =. „ a . .. . h ," `? i '.° ' . S a- x r 33 Occupancy (Building & Grounds) y 11000.00 0.00 8 ,000.00 • Mortgage/Rent x 12 months * 1116 1 Or � kZW - a r ($ ) rax , x r } �+,'t_ ' `°*;+�. r a §T# ,'�-a.. x.�ixk t $$. � N 33rr.: ;'N" :• ..� • Janitorial ($ x 12 months) Y � � • Grounds Maint. ($ x 12 months) � � n „ a rr „ t rte '" .. f ""A ` ;'`' `>t.-` , : a • Real Estate Taxes �� u F . ,, � � . 4� ti 3 . F _ F �• s. ��Y „ � , �s ,, , , E it 34 Printing & Publications• 500 00 0 00 3 ,000. 00 Quarterly Newsletter ($ x 4) Or • Letterheads Envelopes etc. • ` a_.- * • Fundraising materialsOil Sir IA• Other • sx•:... - ` `x,; .:- '� -cdw h, ,,,c- �nt '.fw; k. >a;4 , ik s'u' , R`., ._ -'?s+�`, - . .:e .. x .. "1 > *' ,P,. L+'+,, s.., 35 Subscription/Dues/Memberships # ' 'O 1 500.00 13 437.00 Or I 17k r • Membership to National OrganizationON NO � a � � IRll Dues • Subscriptions to Newspapers/magazines, -r a� za;;' etc. •: _ fix .; , .F z k 36 Insurance #� �3 z 3,500 00 1 ,000 00 27 ,000.00 1";YIr ip t �'}W } s$iF• 2 C Y b - d £ .g Or � � - i 3A • Directors/Officers Liab. Vim � � • Commercial/General Insurance `° • Bond Ins. "Or *13 & 1 ab Ifti ,anon • Auto Insurance _ ?•tnsu 37 Equipment: Rental & Maintenance . �� 200.00 0.00 3 000 00 Y t hT tN P } • Copier lease ($ x 12 months) � �x uOr • Meter lease ($ x 12 months) �� • Copier Maintenance ($ x 12 months) a � q fi> • Computer Maintenance ( $ x 12 months) � 4 � � � ',� , Or 3 ti� 'r^ " '^}""kfy , • Other -.i. �i't , i.,, �'}�n .?w T�'t,' ,.SiyW § �� . ,`,�f:x. . ::'x s3.?tu� ..a. Ms,, . �,5 • , .z Y� :: ��"�� ?�: ;�':,�; � � Ky' '� ty, '' � ks +tir K'=� " 38 Advertising ' 5 250 .00 0.00 21500.00 '.ti.r .c {'""�, ' ^x 7'77 ai , ro i° ' r z 'a +1' s =t v>•+ ,' .d2+ n r4 Newspaper ads zy k EOil � . 'Ax ' a Or "tri _ # I'l ;� swIll • Fundraising ads/promotions � IV � ol n , A R Y0i "OR111 Oil (vacancies) sk 1 'es u• {s~ S . x5..6 'v�l kx � > -ri'S � 'S' ri r i'��.,. �'ia" 1 Ss"� � ,} �i*� z•'• '�`Oi �7 r f • Other VaCanCIBS t ? -� z. ° vt..xr _.w, ..x .. , t(' ,Rn .,. ..A- 12 +Af''h'Q. ,t .'ka: +l� Y' 1 39 Equipment Purchases: Capital Expense ' 0.00 0.00 19000. 00 • Computer/monitor (# x $) ' ` ' t , F � °� ; ,r M .r. r ^. s '' S �..� 'k.. x Or S s'= 0 s ,t t, � '. ^ " *. . > " 4r r�u ix, 'f �a src w ?; "a: '+; &.1., s., r ar " • Laser Printer < . .. � ' : a' ,,> ass ;: r 40 Professional Fees (Legal, Consulting) rM % 0.00 0.00 11000.00 • Legal advice ( estimated #hrs x $) �i « �' � �* y Consultant fees a AM • ..-'"' ^..Q {� x +4# �' �. �YNx A t a r .�'p - NZ Other R 41 Books/Educational Materials 800.00 0.00 4 ,000 .00 • Books/videos f `'SO , Orr z « ` i� f ` a<OrqOrriter • Materials ($ x staff) Over , IOr ll h x � kOr c Yn Z i v it,a i 42 Food & Nutrition � _ 0.00 T 0 .00 21000. 00 5/16/2005 !J Type the Organization and Program Name Meals { # meals x clients x 5days x 50 wks) Snacks 43 Administrative Costs 0.00 0.00 0 . 00 Admin . Cost (% of total budget) 44 Audit Expense 335 . 00 59033 . 00 Independent Audit Review 45 Specific Assistance to Individuals 61 0. 00 0.00 0 . 00 • Medical assistance • Meals/Food • Rent Assistance11 Ilk ' ` 5 • Other 46 Other/Miscellaneous 4,650.00 11000. 00 24,000 .00 • Background check/drug test • Other backgiound screening ,. 47 Other/Contracts 470.00 25, 000. 00 Sub-contract for program services 48 TOTAL EXPENSES $62 , 580. 00 $30 , 900. 00 $ 833, 771 .00 �. . . 5/16/2005 19 Typo Ow OrganizaWn and Program Name UNIFORM GRANT APPLICATION EXPLANATION FOR VARIANCES OF 15% OR MORE FUNDER SPECIFIC BUDGET AGENCY/PROGRAM NAME: FUNDER: Gfnr . , Pt:/A►t :RfEf NGw Does not include Amencorps funding which was requested last year as a part of the grant. Those expenses have been moved to Salaries another pogram therefore the decrease in salary One item Does not include AmedCorps funding which was requested last year as a part of the grant. Those expenses have been moved to FICA another pogram therefore the decrease in FICA line item #DIVIO ! #DIVIO ! Does not include AmeriCorps funding which was requested last year as a part of the grant. Those expenses have been moved to Workers Compensation another pogram therefore the decrease in workers comp. One Rem #DN/01 Does not include AmeriCorps funding which was requested last year as a part of the grant. Those expenses have been moved to Travel-Dalty another pogram therefore the decrease in travel One item #DIVIO ! Does not include AmeriCorps funding which was requested last year as a part of the grant. Those expenses have been moved to Office supplies another pogram therefore the decrease in office supplies line item Insurance Big Brothers Big Sisters Insurance Costs, nationwide, are expected to rise as much as 26°r6 #DNIO ! #DIV/0 ! #DN/01 #DN/01 #DNIOI Other/Miscellaneous The State Legislature has mandated a new level of background screening that has significantly increased costs ($62.00 perperson) 511&2005 24 EXHIBIT B ( From policy adopted by Indian River County Board of county Commissioners on February 19 , 2002 ) " D . Nonprofit Agency Responsibilities After Award Funding Indian River County provides funding to all nonprofit agencies on a reimbursement basis only. All reimbursable expenses must be documented by an invoice and/or a copy of the canceled check . Any expense not documented properly to the satisfaction of the Office of Management & Budget and/or the County Administrator may not be reimbursed . If an agency repeatedly fails to provide adequate documentation , this may be reported to the Board of Commissioners . In the event an agency provides inadequate documentation on a consistent basis , funding may be discontinued immediately. Additionally, this may adversely affect future funding requests . Expenditures may only be reimbursed from the fiscal year for which funding was awarded . For example , no expenditures prior to October 1St may be reimbursed with funds from the following year. Additionally, if any funds are unexpended at the end of a fiscal year, these funds are not carried over to the next year unless expressly authorized by the Board of Commissioners . All requests for reimbursement at fiscal year and (September 30th) must be submitted on a timely basis . Each year, the Office of Management and Budget will send a letter to all nonprofit agencies advising of the deadline for reimbursement requests for the fiscal year. This deadline is typically early to mid October, since the Finance Department does not process checks for the prior fiscal year beyond that point . Each reimbursement request must include a summary of expense by type . These summaries should be broken down into salaries , benefit, supplies , contractual services , etc . If Indian River County is reimbursing an agency for only a portion of an expense (e . g . salary of an employee ) , then the method for this portion should be disclosed on the summary. The Office of Management & Budget has summary forms available . Indian River County will not reimburse certain types of expenditures . These expenditure types are listed below. a) Travel expenses for travel outside the County including but not limited to : mileage reimbursement , hotel rooms , meals , meal allowances , per diem , and tolls . Mileage reimbursement for local travel (within Indian River County) is allowable . b ) Sick or Vacation payments for employees . Since agencies may have various sick and vacation pay policies , these must be provided from other sources . c) Any expenses not associated with the provision of the program for which the County has awarded funding . d ) Any expense not outlined in the agency's funding application . The County reserves the right to decline reimbursement for any expense as deemed necessary. " EXHIBIT - B - Big &aBws Bp SWw* of kiem Riwr Cowty CSAC 'Jow Wk Rwdne UNIFORM GRANT APPLICATION TOTAL AGENCY BUDGET AGENCY/PROGRAM NAME : Big Brothers ig Sisters of Indian River Counbr FY 03104 FY 04/05 FY 05/06 % INCREASE FYE FYE FYE CURRENT VS. NEXT FY BUDGET A B C D ACTUAL TOTAL PROPOSED (col. Ctol. Bycol. e REVENUES BUDGETED BUDGETED 1 Children's Services Council-St. Lucie 168 434.00 197 000.00 16.96% 2 Children's Services Council-Martin 0.00 0.00 #DIV/01 3 Advisory Committee-Indian River 50 000.00 30 900.00 -38,20% 4 United Way-St, Lucie County 85 000.00 93 500.00 10.00% 5 United Way-Martin County 0.00 0.00 #DIV101 6 United Way-Indian River County 0.00 0.00 #DIV/01 7 Department of Children & Families 0.00 0.00 #DIV/01 8 County Funds 0.00 0.00 #DIV/01 9 Contributions-Cash 25 000.00 20 000.00 -20.00% 10 Program Fees 0.00 0.00 #DIV/01 11 Fund Raising Events-Net 80 000.00 94 000.00 17.50% 12 Sales to Public-Net 0.00 0.00 #DIV/01 13 Membership Dues 0.00 12500.001 #DIV/01 14 Investment Income 0.00 0.00 #DIV/01 15 Miscellaneous 1 0.00 3 000.00 #DIV/01 1s Legacies & Bequests 0.00 0.00 #DIV/01 17 Funds from Other Sources 267 000.00 393 871 .00 47.520/6 1s Reserve Funds Used for Operating 0.00 0.00 #DIV/01 19 In-Kind Donations (Not included In total) 0.00 #DIV/01 20 TOTAL 0.00 675 434.00 833 771 .00 23.440A EXPENDITURES 21 Salaries 497j204.001 618 336.00 24.36% 22 FICA 38 036.00 47 302.70 24.36% 23 Retirement 0.00 0.00 #DIV/01 24 Life/Health 0.00 0.00 #DIV/01 25 Workers Compensation 69464.00 8162.30 26.27% 26 Florida Unemployment 0.00 0.00 #DIV/01 27 Travel-Daily 13 650 .00 14 000.00 2.56% 28 Travel/Conferences/Training 11000.00 2000.00 100.00% 29 Office Supplies 12 000.00 14 000.00 16.67% 3o Telephone 5 000.00 50000.00 0.00% 31 Postage/Shipping 4,200.00 39600,00 46.67% 32 Utilities 3 6O0.00 21500,00 -30.56% 33 Occupancy (Building & Grounds 81000,0101 81000,001 0.00% 34 Printing & Publications 11000.00 3000,00 200.00% 35 Subscription/Dues/Memberships 13 451 .00 l31437,001 -0. 10% 36 Insurance 20 507.00 27 000.00 31 .66% 37 Equipment: Rental & Maintenance 4 5O0,00 3000.00 43.33% 38 Advertising 11500.00 29500.00 66.67% 39 Equipment Purchases : Capital Expense 8 500.00 1000,00 -88.240A 40 Professional Fees (Legal, Consulting) 11000,00 11000.00 0.00% 41 Books/Educational Materials 2 O00.00 4 O00.00 100.00% 42 Food & Nutrition 21000.001 2A00,00 0.00% 43 Administrative Costs 0.00 0.00 #DIV/01 44 Audit Expense 41500.00 51033.00 11 .84% 45 Specific Assistance to Individuals 0.00 0.00 #DIV/01 46 Other/Miscellaneous 9t294.00 24 000.00 158.23% 47 Other/Contract 18 028.00 25 000.00 38.67% 48 TOTAL0.00 675 434.00 833 771 .00 23.44% 49 REVENUES OVER/ UNDER EXPENDITURES 0.001 0.00 0.00 #DIV/01 S U200S TM IM OrgwnwWn nd PmWm Name UNIFORM GRANT APPLICATION TOTAL PROGRAM BUDGET AGENCY/PROGRAM NAME: Big Brothers Big Sisters of Indian River Coun FY 03/04 FY 04/05 FY 05/06 % INCREASE FYE FYE FYE CURRENT VS. NEXT FY BUDGET A B C D ACTUAL TOTAL PROPOSED (cot. c�col. BNcol. B REVENUES BUDGETED BUDGETED 1 Children's Services Council-St. Lucie 0.00 0. 00 #DIV/0! 2 Children's Services Council-Martin 0.00 0.00 #DIV/01 3 Advisory Committee-Indian River 50 000.00 30 900.00 -38.20% 4 United Way-St Lucie County 0.00 0.00 #DIV/01 5 United Way-Martin County 0.00 0.00 #DIV/01 6 United Way-Indian River County 0.00 0.00 #DIV/01 7 Department of Children & Families 0.00 0.00M#DIV/01 B CountyFunds 0.00 0.00 9 Contributions-Cash 0.00 0.00 10 Program Fees 0.00 0.0011 Fund Raisin Events-Net 0.00 0.00 12 Sales to Public-Net 0.00 0.00 #DIV/01 13 Membership Dues 0.00 0.00 #DIV/01 14 Investment Income 0.00 0.00 #DIV/01 15 Miscellaneous 0.00 0.00 #DIV/01 1s Legacies & Bequests 0.00 0.00 #DIV/01 17 Funds from Other Sources 65 000.00 319680._00 -51 .26% 18 Reserve Funds Used for Operating 0.00 #DIV/01 19 In-Kind Donations (Noe Included In total) 80 000.00 #DIV/01 20 TOTAL 0.00 115 000.00 62 580.00 -45.58% EXPENDITURES 21 Salaries 90 500.00 41 152.00 -54.53% 22 FICA 6t923.00 39148,00 -54.53% 23 Retirement 0.00 0.00 #DIV/01 24 Life/Health 0.00 0.00 #DIV/01 25 Workers Compensation 1v177.00 613.00 47.92% 26 Florida Unemployment 0.00 0.00 #DIV/01 27 Travel-Dally 1 w885.00 1 ,332.001 -29.34% 28 Travel/Conferences/Trainin 0.00 0.00 #DIV/01 29 Office Supplies 1 ,584.00 12500.00 -5.30% 30 Telephone 648.00 650.00 0.31 % 31 Postage/Shipping 500.00 500.00 0.00% 32 Utilities 480.00 480.00 0.00% 33 Occupancy (Building & Grounds l 056.00 100000 -5.30% 34 Printing & Publications 500.00 500.00 0.00% 35 Subscription/Dues/Memberships 1 t500.00 11500.00 0.00% 36 Insurance 1 29209.00 35500.00 58.44% 37 E ui ment:Rental & Maintenance 500.00 200.00 -60.00% 38 Advertising 350.00 250.00 -28.57% 39 Equipment Purchases:Ca ital Expense 0.00 0.00 #DIV/01 40 Professional Fees (Legal, Consulting) 0.00 0.00 #DIV/01 41 Books/Educational Materials 2 080.00 800.00 -61 .54% 42 Food & Nutrition 500.00 0.00 0100.00% 43 Administrative Costs 0.00 0.00 #DIV/01 44 Audit Expense 671 .00 335.00 40.07% 45 Specific Assistance to Individuals 0.00 0.00 #DIV/01 46 Other/Miscellaneous 1 ,482,00 46600. 0 213.77°k 47 Other/Contract 455.00 470.00 3.30% 48 TOTAL 0.00 115l000.00 62 580.00 -45.58% 49 REVENUES OVER/(UNDERI EXPENDITURES 0.00 0,001 0.00 #DIV/01 SWIMS 2. 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 : Big Brothers Big Sisters of Indian River County 1836 14th Avenue Vero Beach , Florida 32960 Jump Into Reading Program 2 . Venue : Choice of Law . The validity, interpretation , construction , and effect of this Contract shall be in accordance with and governed by the laws of the State of Florida only. The location for settlement of any and all claims , controversies , or disputes , arising out of or relating to any part of this Contract , or any breach hereof, as well as any litigation between the parties , shall be Indian River county, Florida for claims brought in state court , and the Southern District of Florida for those claims justifiable in federal court . 3 . Entirety of Agreement . This Contract incorporates and includes all prior and contemporaneous negotiations , correspondence , conversations , agreements , and understandings applicable to the matters contained herein and the parties agree that there are no commitments , agreements , or understandings concerning the subject matter of this Contract that are not contained herein . Accordingly, it is agreed that no deviation from the terms hereof shall be predicated upon any prior representations or agreements , whether oral or written . It is further agreed that no modification , amendment or alteration in the terms and conditions contained herein shall be effective unless contained in a written document signed by both parties . 4 . Severability. In the event any provision of this Contract is determined to be unenforceable or invalid , such unenforceability or invalidity shall not affect the remaining provisions of this Contract, and every other provision and term of this Contract shall be deemed valid and enforceable to the extent permitted by law . To that extent, this Contract is deemed severable . 5 . Captions and Interpretations . Captions in this Contract are included for convenience only and are not to be considered in any construction or interpretation of this Contract or any of its provisions . Unless context indicates otherwise , words importing the singular number include the plural number, and vise versa . Words of any gender include the correlative words of the other genders , unless the sense indicates otherwise . 6 . Independent Contractor. The Recipient is and shall be an independent contractor for all purposes under this Contract. The Recipient is not an agent or employee of the County, and any and all persons engaged in any of the services or activities funded in whole or in part performed pursuant to this Contract shall at all times and in all places be subject to the Recipient's sole direction , supervision and control . 7 . Assignment . This Contract may not be assigned by the Recipient without the prior written consent of the County. EXHIBIT - C - OCT-- 28 - 305 14 � 37 HARBOR INSURANCE ? ";vim 7c3 �57 CORDW CERTIFICATE OF LIABILITY INSURANCE 10 1 DATE { MraDrYYy PRODUCER "—�" — _ _ 772 ) 335 ^ J445 FAX ( 772 ) 398 - 0674' THIS CFRTIf-ICATF If�A MATTER OF INFORMAITION_� —._ I2400 SE Mi ranClF Agency , Inc . HOLDER �HIS CERTIFICATE DOES NOT THE CERTIFICATE OR 240th Sf. !kidport Itd . , Suite 110 ALTER THE COVERAGE AFFORDED BY THF POLICIES BELOW. Port St . Lucie , FL 34952 --- - ------- _.- - Carolyn Lombardi INSURERS AFFORDING COVERAGE IIV5uRt0 BigBrot ers BIg esters a S 't . Lucie County , wsURtM� a Florida Retail ed� oll l erati 125 N Ind St: ret -- INSURER b Ft . Pierces FL $4950 INSURER C. INSURER o: I INSURER £ — - -- `TCOVERAM HE POLICIES Or INSURANCE LISTED BELOW HAVE BEEN ISSUFD TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD W0ICATED, N0TWITMSTAND ;NG� � ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT kMTH RESPECT TO WMICM TW & CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, 'THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED MEREW IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND COND17IONS OF SLI: ►H POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS . LTR TYPE OF INSURANCE VEI�IIe�N '"'""�^�`°""°""-^'•--. ---- ^•--�� - -- - _ DAT _ MM VY TE MMIDIDW 014irS GENERAL UAM7i1LITV EACH OGGURRENCE $ .. COMMERCIAL GENERAL ltAB14tTY FIRE DA&WGE (Any ena fro} Y I CLAIMS MADE �.._J OCCUR MED ( MED EXP (Nn�y�na po�yan) 9 — -^---W�- --- PERSONAL a MDV iN r(eFtY S — - GENFAALAGGR%CATf.: Orr.N'LAGGREGATE L10TAPPLIESPER: PRi70UC "S - COMPrOPACf; PvLICY PRO• ... AUTOMCMiLELIABILITY ,�•• — __..--.... _ .—.. „„_, ANY AUTO COMBINED SINGLE LIMIT I ALL OWNED AI, TOIf ^^----- - SCHEDULE) AUTOS J NODELY INJURY ' S (Pw pwa( r) "-CWNED AUTOS SOD&Y INJURY s � I Par acc�fent) PROPERTY DAMAGE x — GARAGE LLAaILITY AUTO ONLY • CA ACCiDEN7 x — ANY AUTO — pTHER THAN FA ACC i —_, -- AUTO ONLY: AGG EXCESS OAIIIIILi?V ~� p _.__ _ __ M iACM CCCURRENCE — e -- — —__ OCCUR CLAIMS MADE AC1GTtEGAT � � i j tl A x OEDUCTML6 RETENTION s - i-- WURiCERSCpkiPEN5ATICNAND^�..v.� 1477 0�� + ^^�� O�,f .� �2�Q �6,�� `2 � TOR.YLI41U- TH, EMPLi ri ERx' LlAiitLITY I A E.L +EACH ACCIDFNY x _ 100 , 000 I . III FL DIUAsk - EAFMPLOYET 11 � � 20110 Q E L:DISEASE - POLICY uulT x Soo OO OTHER ... I OESCRIPTMpN CAFOPflIATlONSJLO6ATlONS/V£ N1CLt:SS�EXCLL,,U$ppF{y ADDED R^r ENDCRS�MFNTN4P�t�S3Y.il PRGV"I�ilON$ ^L._"`"""'"""� "•_-.–��.–� _,._ Certificate holder iS listed as apditional insured CERTIFICATC HOLDER x 1aDDMIONRL INSYRED; INSURER LETTER: A CANCFLLATILIN P SHOULD ANYOF TME AIJOV11 4EjCRIt)ED pOLICIES of CANCELLED BffcRE THE E7PIRAYICN DrrTE THkRF�Yc, T N£ ISSU1NU COMPANY WILLENDFAVON TO MAIL ��..._ L?AY5 t+YRiTT'EN NC'MC..iC TQ THE G'EItTfFICATE HOLDER NAMED T't3 THE LEiT, Indian River County OUT FAILURE 'TO MAIL. SUCM NOTICE $HALL IMPOSE NO0*L*ArCN ON UAVLITY 1848 2 aS th Street OFANY KIND UPON THE COMPANY, ITa - AC WrS OR REPR&SINTAn�' eUrES- yero beach , FL 32960 _ �-- — - sIDcelXri3 �EnRE$BNT�ATdVE EDavi d Will Eau r,1CAROL. a6146 � ACORD 26•s (?w ) F.AY CACORD CORPORATION ease TOTE' . F , 01 Type the Organization and Program Name UNIFORM GRANT APPLICATION FUNDER SPECIFIC BUDGET PROGRAM EXPENSES AGENCY/PROGRAM NAME : Big Brothers Big Sisters of Indian River County FUNDER : CSAC A B C FY 04/05 FY 05/06 % OF TOTAL FUNDER TOTAL VS . PROGRAM SPECIFIC FUNDER REQUEST BUDGET BUDGET (col. B/col. A) EXPENDITURES 21 Salaries 419152.00 25 ,000.00 60 .75% 22 FICA 3 , 148.00 19912.50 60 .75% 23 Retirement 0.00 0 .00 #DIV/0 ! 24 Life/Health 0 . 00 0 .00 #DIV/01 25 Workers Compensation 613 . 00 373 .00 60 . 85% 26 Florida Unemployment 0.00 0. 00 #DIV/01 27 Travel-Dally 19332 .00 1 ,000 .00 75.08% 28 Travel/Conferences/Training 0. 00 0. 00 #DIV/01 29 Office Supplies 11500 . 00 614. 50 40. 97% 3o Telephone 650 . 00 0 .00 0 .00 % 31 Postage/Shipping 500. 00 0 .00 0 .00% 32 Utilities 480 . 00 0.00 0 .00% 33 Occupancy ( Building & Grounds 11000 .00 0 .00 0.00 % 34 Printing & Publications 500. 00 0.00 0 .00 % 35 Subscription/Dues/Memberships 10500 . 00 0.00 0 .00 % 36 Insurance 31500 .00 19000 .00 28.57% 37 Equipment: Rental & Maintenance 200.00 0.00 0 .00% 38 Advertising 250.00 0. 00 0 .00% 39 Equipment Purchases : Ca ital Expense 0.00 0. 00 #DIV/01 40 Professional Fees (Legal , Consulting ) 0.00 0 .00 #DIV/01 41 Books/Educational Materials 800.00 0 .00 0 .00% 42 Food & Nutrition 0 .00 0 .00 #DIV/01 43 Administrative Costs 0 . 00 0. 00 #DIV/01 44 Audit Expense 335.00 0. 00 0 .00% 45 Specific Assistance to Individuals 0.00 0.00 #DIV/01 46 Other/Miscellaneous 49650 .00 19000 .00 21 .51 % 47 Other/Contract 470 . 00 0 .00 0.00% 48 TOTAL $62 ,580 .00 $30 ,900 .00 49 . 38% 5/16/2005 2. 2 Type Me Organ¢abw and Program Name UNIFORM GRANT APPLICATION EXPLANATION FOR VARIANCES OF 15% OR MORE TOTAL PROGRAM BUDGET AGENCY/PROGRAM NAME : Big Brothers Big Sisters of Indian River County FUNDER: CSAC #v/01 ' iW1fA 'LYtNCE. #DN/0! #DIV/01 #DIV/01 #DIVI01 #DIV/01 #DIV/01 #DIV/01 #DIV/01 #DIV/01 #DIV/01 #DIV/01 #DIV/01 #DIV/01 #DIV/01 #DIV/01 #DIV/01 #DIV/01 #DIV/01 #DIV/01 #DIV/0I Big Brothers Big Sisters Insurance Costs, nationwide, are expected to rise as much as 26%. This is particularly related to liability Insurance insuance. #DIV/01 #DIV/01 #DIV/01 #DIV/01 Other/Miscellaneous The State Legislature has mandated a new level of background screening that has significantly increased costs ($62.00 perperson) 5/78¢005 23 _1111 111 WON DY . ., Uel L A , r :; y a Associates ine , 904 387 9270 ; NCV 10 - 05 3 : 40P41 , gaga 1 ! 1 AC0W CERTIFICATE OF LIABILITY INSURANCE Y"'r'o"f"t t j It MOW" A UnIrR OF NUVON Jona L , Ri rby a AUaeaaiaf: ae j OKV ANO Casvil" NO now$ UPON TNt C 4TIF 1 i10i merschel street /iOIM, VW& CONWATI00ls NOT Atlm, EXT"D Oil Jacksonville VL 12210 . 21 i 0 ALTO THE CO4ERA09 A15FQW O •T TNi s0►iC66s MLOW, 1ltvslet oo # - le7 - o � ot raxTfo � - 1ST - 9s � o I INsUMMS APPOROINO COVLRAOE MAIC 11 wwato " • . ANt•N "late ratWw. Co . iy sa �lht► s ai sifters as MO RS--- fi Uprf:� �0�1Qg1T{ t � trW SJiA C . 'IIIc . force tLD� 1 deet kdJ11tM0 : COVERAGES w. NO. 1: 1 OT WRIMIA4T i lTlO YRr O+1 4&.k IRTEh i %mo ri Twt "JUD W W&0 ASpve tCA TMC 1p, Cr w+a01i MIDI{:APSC NUTYMTM�rAN7Nlu ANvkfiNJ4oW&&kT TEAM nR C000TON O► Also v #:Ur11 VAC T � R t; TItCA DO: WNT CT ', i RS,ORI ..T Tr 'AWN T414 C-01OP It kAT N low w ail+ M4'r1iaETAn:, r. a .Nl11AAh" A"OsZOetrrfiOIXIFS 1ESipdEGMEkENadSuNtla fOALL •M "CIRA4 CNC.:IeIONdAl111COk0' TIGNaOFK.tk f'O. ',C ti ACONUATt MITI $P#004 MAY MAR STEM RODUCCO Sf' eA,O C kM4 r POP L _.� _, nrsgr 'awIdRANct . � rO .iCYNV10lR " a'r�tt ! Ltwrt L ' "rt w��J xe+w�cwcE 1 1 , 0001000 A X X r4t11OatG1AAGEvtRAlaArtllr ! OZ - LX - B � { 261 ! • 0 08110 / 05 Oa / 10108 E RR I ' R i�g�1 i too jr OOp cv wwe wAge C! nrG Ae WO LW iAeg aw ar•wa l rt+ettkA+ s AGv IY aullr 1 11000o. 000 �_ % ---- — -- OdNeAAt AO4WOATi 15240004000 GENT Atr4Mtva0Mi wr r l rry ►rK Ty • COy►p� AGG ' S l : O 01 coo r 0 �Ay, � ; ! l4NCr A LCC F ' AoJfOM0a4i LMIM4�TY � 71 ♦litA1JTn O2 • CI► • S2iL413 . 1 08 / 10 / 06 08 / 10 / 01 ' ilaseertRrt nr3Lt6 .tut t i 0000 , 000 Ala. ':W'RO :v. TUS _ . 7k. 'ft4AAtu ^40 � lae00p see ) 1t f II � wr� t X wMtip A. I•At L.... .. . . . . . x , � •?wwSC AJTC! � IFw rrrsraJ Y E �. . _ . .._ _.._�. . _ j ' a��'�a t*Rrle�t►i'AtiA4t i 1 f 1 �DANAQlLMWITY � AUP� C1MtV SA Al:^aOiMT 1 AW AI aTt} •��((JJ�� to ACC / . .•_ � A4T!SO► Y Aaa t - txct"A Ne11ELLA LaAauTY � � to wv:CuMYRNCt�� 1 _ CY't; i1M ^WAit WOE ' � r�ir+RenrrP! 1 �� NOON IroErr�T .�w. t t ' WWrKtIm COME Pamm" Aw EN1PWTttlt : 'TOn► Uti . : tic�JAi>•LITv j = i � Av ►ROr�Katro►t'ny�TNC +vC+IC .uTa r. , 94 1AWIA041MY = t OW.:IVA-MEUEltn CACW WON', . • .._ Irrf, COWHOV kimw t L ;A*A1t tA6AVLOl'EE VZEC At WFOvkilOw/ .ww. �+ - , T 1 MWAW 10CUCY LEWT , S HaM►Pill OF t iL *431 W190Irl MCLUFM AMD RY wTr A44itional Insured : Indian liver County as respect * to several liability as lhtadinq Grantoc . rax # 772 . 978 - 179e 08071/ICAT ! ►s4lDER CANCE ;.IATpN INDIA" E«uwoAwY or TME OMOW "OCO OPQLrA9* " 4AM6S►1.EDE,Enalu T w4111AP WIV10 OaTV TrORtot. TMS ISlWNO SYe4alR t11L4 *NKAVM TONAL 10 aAvi wNt i tM 1 kOT1C111 TO 7Mt CIatTIiCATb MplORla IYItlJ TO rMt LtTT , eJT T'A0. YRt TO DO 10 iwA► � Z U41 an s i ver COun ty 1111"6140 044010 OR L1"U" OF AW 10180 WON TMt NasUNA ITS A6101T1 OR 1840 26th street aa0/IILItNTAYtVed, _ '.'aro Reach ►l. 12040 JA,iwoaseTeRIN etinAT obn 51dai ACORO 25 {280iM41 t ACORO QPMPAtlow 1888 Typo Ow OrganizaWn and Program Name UNIFORM GRANT APPLICATION EXPLANATION FOR VARIANCES OF 15% OR MORE FUNDER SPECIFIC BUDGET AGENCY/PROGRAM NAME: FUNDER: Gfnr . , Pt:/A►t :RfEf NGw Does not include Amencorps funding which was requested last year as a part of the grant. Those expenses have been moved to Salaries another pogram therefore the decrease in salary One item Does not include AmedCorps funding which was requested last year as a part of the grant. Those expenses have been moved to FICA another pogram therefore the decrease in FICA line item #DIVIO ! #DIVIO ! Does not include AmeriCorps funding which was requested last year as a part of the grant. Those expenses have been moved to Workers Compensation another pogram therefore the decrease in workers comp. One Rem #DN/01 Does not include AmeriCorps funding which was requested last year as a part of the grant. Those expenses have been moved to Travel-Dalty another pogram therefore the decrease in travel One item #DIVIO ! Does not include AmeriCorps funding which was requested last year as a part of the grant. Those expenses have been moved to Office supplies another pogram therefore the decrease in office supplies line item Insurance Big Brothers Big Sisters Insurance Costs, nationwide, are expected to rise as much as 26°r6 #DNIO ! #DIV/0 ! #DN/01 #DN/01 #DNIOI Other/Miscellaneous The State Legislature has mandated a new level of background screening that has significantly increased costs ($62.00 perperson) 511&2005 24 EXHIBIT B ( From policy adopted by Indian River County Board of county Commissioners on February 19 , 2002 ) " D . Nonprofit Agency Responsibilities After Award Funding Indian River County provides funding to all nonprofit agencies on a reimbursement basis only. All reimbursable expenses must be documented by an invoice and/or a copy of the canceled check . Any expense not documented properly to the satisfaction of the Office of Management & Budget and/or the County Administrator may not be reimbursed . If an agency repeatedly fails to provide adequate documentation , this may be reported to the Board of Commissioners . In the event an agency provides inadequate documentation on a consistent basis , funding may be discontinued immediately. Additionally, this may adversely affect future funding requests . Expenditures may only be reimbursed from the fiscal year for which funding was awarded . For example , no expenditures prior to October 1St may be reimbursed with funds from the following year. Additionally, if any funds are unexpended at the end of a fiscal year, these funds are not carried over to the next year unless expressly authorized by the Board of Commissioners . All requests for reimbursement at fiscal year and (September 30th) must be submitted on a timely basis . Each year, the Office of Management and Budget will send a letter to all nonprofit agencies advising of the deadline for reimbursement requests for the fiscal year. This deadline is typically early to mid October, since the Finance Department does not process checks for the prior fiscal year beyond that point . Each reimbursement request must include a summary of expense by type . These summaries should be broken down into salaries , benefit, supplies , contractual services , etc . If Indian River County is reimbursing an agency for only a portion of an expense (e . g . salary of an employee ) , then the method for this portion should be disclosed on the summary. The Office of Management & Budget has summary forms available . Indian River County will not reimburse certain types of expenditures . These expenditure types are listed below. a) Travel expenses for travel outside the County including but not limited to : mileage reimbursement , hotel rooms , meals , meal allowances , per diem , and tolls . Mileage reimbursement for local travel (within Indian River County) is allowable . b ) Sick or Vacation payments for employees . Since agencies may have various sick and vacation pay policies , these must be provided from other sources . c) Any expenses not associated with the provision of the program for which the County has awarded funding . d ) Any expense not outlined in the agency's funding application . The County reserves the right to decline reimbursement for any expense as deemed necessary. " EXHIBIT - B - EXHIBIT C STANDARD TERMS FOR GRANT CONTRACT 1 . Notices . Any notice , request, demand , consent , approval , or other communication required or permitted by this Contract shall be given , or made in writing , by any of the following methods : facsimile transmission ; hand delivery to the other party; delivery by commercial overnight courier service ; or mailed by registered or certified mail ( postage prepaid ) , return receipt requested at the addresses of the parties shown below: County: Joyce Johnston -Carlson , Director Indian River County Human Services 184025 th Street Vero Beach , Florida 32960-3365 Recipient : Big Brothers Big Sisters of Indian River County 1836 14th Avenue Vero Beach , Florida 32960 Jump Into Reading Program 2 . Venue : Choice of Law . The validity, interpretation , construction , and effect of this Contract shall be in accordance with and governed by the laws of the State of Florida only. The location for settlement of any and all claims , controversies , or disputes , arising out of or relating to any part of this Contract , or any breach hereof, as well as any litigation between the parties , shall be Indian River county, Florida for claims brought in state court , and the Southern District of Florida for those claims justifiable in federal court . 3 . Entirety of Agreement . This Contract incorporates and includes all prior and contemporaneous negotiations , correspondence , conversations , agreements , and understandings applicable to the matters contained herein and the parties agree that there are no commitments , agreements , or understandings concerning the subject matter of this Contract that are not contained herein . Accordingly, it is agreed that no deviation from the terms hereof shall be predicated upon any prior representations or agreements , whether oral or written . It is further agreed that no modification , amendment or alteration in the terms and conditions contained herein shall be effective unless contained in a written document signed by both parties . 4 . Severability. In the event any provision of this Contract is determined to be unenforceable or invalid , such unenforceability or invalidity shall not affect the remaining provisions of this Contract, and every other provision and term of this Contract shall be deemed valid and enforceable to the extent permitted by law . To that extent, this Contract is deemed severable . 5 . Captions and Interpretations . Captions in this Contract are included for convenience only and are not to be considered in any construction or interpretation of this Contract or any of its provisions . Unless context indicates otherwise , words importing the singular number include the plural number, and vise versa . Words of any gender include the correlative words of the other genders , unless the sense indicates otherwise . 6 . Independent Contractor. The Recipient is and shall be an independent contractor for all purposes under this Contract. The Recipient is not an agent or employee of the County, and any and all persons engaged in any of the services or activities funded in whole or in part performed pursuant to this Contract shall at all times and in all places be subject to the Recipient's sole direction , supervision and control . 7 . Assignment . This Contract may not be assigned by the Recipient without the prior written consent of the County. EXHIBIT - C - OCT-- 28 - 305 14 � 37 HARBOR INSURANCE ? ";vim 7c3 �57 CORDW CERTIFICATE OF LIABILITY INSURANCE 10 1 DATE { MraDrYYy PRODUCER "—�" — _ _ 772 ) 335 ^ J445 FAX ( 772 ) 398 - 0674' THIS CFRTIf-ICATF If�A MATTER OF INFORMAITION_� —._ I2400 SE Mi ranClF Agency , Inc . HOLDER �HIS CERTIFICATE DOES NOT THE CERTIFICATE OR 240th Sf. !kidport Itd . , Suite 110 ALTER THE COVERAGE AFFORDED BY THF POLICIES BELOW. Port St . Lucie , FL 34952 --- - ------- _.- - Carolyn Lombardi INSURERS AFFORDING COVERAGE IIV5uRt0 BigBrot ers BIg esters a S 't . Lucie County , wsURtM� a Florida Retail ed� oll l erati 125 N Ind St: ret -- INSURER b Ft . Pierces FL $4950 INSURER C. INSURER o: I INSURER £ — - -- `TCOVERAM HE POLICIES Or INSURANCE LISTED BELOW HAVE BEEN ISSUFD TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD W0ICATED, N0TWITMSTAND ;NG� � ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT kMTH RESPECT TO WMICM TW & CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, 'THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED MEREW IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND COND17IONS OF SLI: ►H POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS . LTR TYPE OF INSURANCE VEI�IIe�N '"'""�^�`°""°""-^'•--. ---- ^•--�� - -- - _ DAT _ MM VY TE MMIDIDW 014irS GENERAL UAM7i1LITV EACH OGGURRENCE $ .. COMMERCIAL GENERAL ltAB14tTY FIRE DA&WGE (Any ena fro} Y I CLAIMS MADE �.._J OCCUR MED ( MED EXP (Nn�y�na po�yan) 9 — -^---W�- --- PERSONAL a MDV iN r(eFtY S — - GENFAALAGGR%CATf.: Orr.N'LAGGREGATE L10TAPPLIESPER: PRi70UC "S - COMPrOPACf; PvLICY PRO• ... AUTOMCMiLELIABILITY ,�•• — __..--.... _ .—.. „„_, ANY AUTO COMBINED SINGLE LIMIT I ALL OWNED AI, TOIf ^^----- - SCHEDULE) AUTOS J NODELY INJURY ' S (Pw pwa( r) "-CWNED AUTOS SOD&Y INJURY s � I Par acc�fent) PROPERTY DAMAGE x — GARAGE LLAaILITY AUTO ONLY • CA ACCiDEN7 x — ANY AUTO — pTHER THAN FA ACC i —_, -- AUTO ONLY: AGG EXCESS OAIIIIILi?V ~� p _.__ _ __ M iACM CCCURRENCE — e -- — —__ OCCUR CLAIMS MADE AC1GTtEGAT � � i j tl A x OEDUCTML6 RETENTION s - i-- WURiCERSCpkiPEN5ATICNAND^�..v.� 1477 0�� + ^^�� O�,f .� �2�Q �6,�� `2 � TOR.YLI41U- TH, EMPLi ri ERx' LlAiitLITY I A E.L +EACH ACCIDFNY x _ 100 , 000 I . III FL DIUAsk - EAFMPLOYET 11 � � 20110 Q E L:DISEASE - POLICY uulT x Soo OO OTHER ... I OESCRIPTMpN CAFOPflIATlONSJLO6ATlONS/V£ N1CLt:SS�EXCLL,,U$ppF{y ADDED R^r ENDCRS�MFNTN4P�t�S3Y.il PRGV"I�ilON$ ^L._"`"""'"""� "•_-.–��.–� _,._ Certificate holder iS listed as apditional insured CERTIFICATC HOLDER x 1aDDMIONRL INSYRED; INSURER LETTER: A CANCFLLATILIN P SHOULD ANYOF TME AIJOV11 4EjCRIt)ED pOLICIES of CANCELLED BffcRE THE E7PIRAYICN DrrTE THkRF�Yc, T N£ ISSU1NU COMPANY WILLENDFAVON TO MAIL ��..._ L?AY5 t+YRiTT'EN NC'MC..iC TQ THE G'EItTfFICATE HOLDER NAMED T't3 THE LEiT, Indian River County OUT FAILURE 'TO MAIL. SUCM NOTICE $HALL IMPOSE NO0*L*ArCN ON UAVLITY 1848 2 aS th Street OFANY KIND UPON THE COMPANY, ITa - AC WrS OR REPR&SINTAn�' eUrES- yero beach , FL 32960 _ �-- — - sIDcelXri3 �EnRE$BNT�ATdVE EDavi d Will Eau r,1CAROL. a6146 � ACORD 26•s (?w ) F.AY CACORD CORPORATION ease TOTE' . F , 01 _1111 111 WON DY . ., Uel L A , r :; y a Associates ine , 904 387 9270 ; NCV 10 - 05 3 : 40P41 , gaga 1 ! 1 AC0W CERTIFICATE OF LIABILITY INSURANCE Y"'r'o"f"t t j It MOW" A UnIrR OF NUVON Jona L , Ri rby a AUaeaaiaf: ae j OKV ANO Casvil" NO now$ UPON TNt C 4TIF 1 i10i merschel street /iOIM, VW& CONWATI00ls NOT Atlm, EXT"D Oil Jacksonville VL 12210 . 21 i 0 ALTO THE CO4ERA09 A15FQW O •T TNi s0►iC66s MLOW, 1ltvslet oo # - le7 - o � ot raxTfo � - 1ST - 9s � o I INsUMMS APPOROINO COVLRAOE MAIC 11 wwato " • . ANt•N "late ratWw. Co . iy sa �lht► s ai sifters as MO RS--- fi Uprf:� �0�1Qg1T{ t � trW SJiA C . 'IIIc . force tLD� 1 deet kdJ11tM0 : COVERAGES w. NO. 1: 1 OT WRIMIA4T i lTlO YRr O+1 4&.k IRTEh i %mo ri Twt "JUD W W&0 ASpve tCA TMC 1p, Cr w+a01i MIDI{:APSC NUTYMTM�rAN7Nlu ANvkfiNJ4oW&&kT TEAM nR C000TON O► Also v #:Ur11 VAC T � R t; TItCA DO: WNT CT ', i RS,ORI ..T Tr 'AWN T414 C-01OP It kAT N low w ail+ M4'r1iaETAn:, r. a .Nl11AAh" A"OsZOetrrfiOIXIFS 1ESipdEGMEkENadSuNtla fOALL •M "CIRA4 CNC.:IeIONdAl111COk0' TIGNaOFK.tk f'O. ',C ti ACONUATt MITI $P#004 MAY MAR STEM RODUCCO Sf' eA,O C kM4 r POP L _.� _, nrsgr 'awIdRANct . � rO .iCYNV10lR " a'r�tt ! Ltwrt L ' "rt w��J xe+w�cwcE 1 1 , 0001000 A X X r4t11OatG1AAGEvtRAlaArtllr ! 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TMS ISlWNO SYe4alR t11L4 *NKAVM TONAL 10 aAvi wNt i tM 1 kOT1C111 TO 7Mt CIatTIiCATb MplORla IYItlJ TO rMt LtTT , eJT T'A0. YRt TO DO 10 iwA► � Z U41 an s i ver COun ty 1111"6140 044010 OR L1"U" OF AW 10180 WON TMt NasUNA ITS A6101T1 OR 1840 26th street aa0/IILItNTAYtVed, _ '.'aro Reach ►l. 12040 JA,iwoaseTeRIN etinAT obn 51dai ACORO 25 {280iM41 t ACORO QPMPAtlow 1888