HomeMy WebLinkAbout2005-328u /r
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INDIAN RIVER COUNTY
GRANT CONTRACT
This Grant Contract ("Contract") entered into effective this day of October 2005 , by and
between Indian River County, a political subdivision of the a of Florida ; 1840 25th Street , Vero
Beach , Florida , 32960-3365 ; and H . O . P . E . Academy. ( Recipient) , of:
H . O . P . E . Academy
4875 43`d Avenue
Vero Beach , Florida 32967
H . O . P . E . Academy 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 .
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4 . Grant Funds and Payment. The approved Grant for the Grant Period is : NINETY
THOUSAND , TWO HUNDRED SIXTY FIVE DOLLARS ($90 , 265 . 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 :
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' (i) Commercial General Liability Insurance in an amount not less than
$ 1 , 000 , 000 combined single limit for bodily injury and property
damage, including coverage for premises/operations ,
product/completed operations , contractual liability, and
independent contractors ;
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
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 1191
Florida Statutes ( Public Records Law) in connection with this Contract.
6 . Termination . This Contract may be terminated by either party, without cause, upon thirty
(30) days prior written notice to the other party. In addition , the County may terminate this
Contract for convenience upon ten ( 10 ) days prior written notice to the Recipient if the County
determines that such termination is in the public interest .
7 . Availability of Funds The obligations of the County under this contract are subject to the
availability of funds lawfully appropriated for its purpose by the Board of County
Commissioners of Indian River County.
8 . Standard Terms . This Contract is subject to the standard terms attached hereto as Exhibit C
and incorporated herein in its entirety by this reference .
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IN WITNESS WHEREOF , County and Recipient have entered into this Contract on the date
first above written .
INDIAN RIVER COUNTY BOARD OF COMMISSIONERS
By: Q /"� <�; . ( '."J"
Thomas S . Lowther, Chairman
BCC Approved : � d '"
Attest : J . K. Barton , Clerk
By:
Deputy Clerk
Approved '
`. Jos ph A . Baird
> County Administratq� � d � '' �
Appro d a form and legal %�tTkiel%py:
•r ' :i
By.
arian E Fell , Assistant County' ey; '
RECIPI
By: ----- —
H . O . P . E . Academy
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. EXHIBIT A
(Copy of complete Request for Proposal )
EXHIBIT - A -
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PROGRAM COVER PAGE
Organization Name : H. O .P .E . Academy
Executive Director: Hallicurtis W. Burson . E-mail : Brotherpreach@aol . com
Address : 4875 43rd' Avenue Telephone : (772) 770-5759 L0
Vero Beach , FL 32967 Fax : (772) 562-6965 66 e
Interim Program Director : Shekina Michelle E-mail : hone-cad@bellsouth . net �
Address : 4875 43rd' Avenue Telephone : (772) 562 -4325 �
Vero Beach , FL 32967 Fax : (772) 562-6965
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00
Program Title : H. O .P .E Academy
Priori Need Area Addressed: Parental Support and Education
h' PP
Brief Description of the Program : CSC Taxonomy Code HD-050
H . O . P .E . Academy focuses on treating special problems for children ages 7 - 18 . We also have a
family component ; a monthly 2 hr. seminar that addresses parental empowerment .
SUMMARY REPORT — Enter Information In The Black Cells Only)
Amount Requested from Funder for 2005 / 06 : $ 9 5 . 00
Total Proposed Program Budget for 2005 / 06 : $ 869447 . 50
Percent of Total Program Budget : 53 . 6 %
Current Program Funding ( 2004 / 05 ) : $ 1009000
Dollar increase / ( decrease ) in request : $ ( 35 )
Percent increase / ( decrease ) in request * * : 0 . 0 %
Unduplicated Number of Children to be served Individually : 482
Unduplicated Number of Adults to be served Individually : -
Unduplicated Number to be served via Group settings : 200
Total Program Cost per Client : 273 . 38
* * 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 : N/A
The Organization 's Board of Directors has approved this application on (date). 5/17/05
Henry Burson, Jr
Name of President/Chair of the Board Signature
Name of Executive Director/CEO Signature
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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 81/z" X 11 " paper and number each page . These directions and the graphic boxes
may be deleted if space is needed.
A. ORGANIZATION CAPABILITY (Entire Section A not to exceed one page)
1 . Provide the mission statement and vision of your organization.
H.O.P.E. Academy seeks to revive moral and social values. Also, to help build self-
esteem and empower the community with skills that will help them to achieve, succeed,
and excel ; focusing primanly on suspended students. The acronym H.O .P.E. stands for
Helping Other People Excel and our motto is expressed through our slogan, "Instilling
the Desire to Aspire."
2. Provide a brief summary of your organization including areas of expertise,
accomplishments, and population served.
As an alternative program to out-of-school suspension, H.O.P.& Academy provides
these at-risk youth a safe, peaceful and structured setting while suspended form school.
They receive one-on-one tutoring with their regular class assignments, taught behavior
modification techniques and management skills. We provide an opportunity for the
students to have . their suspended days reduced or exonerated altogether. With Indian
River County Mental Health Association as our partner, they coordinate our group
discussions designed to bolster self-esteem and life skills that instills "a desire to
aspire." We are . open for any of the 1,600 students who may end up being suspended
from school.
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Be PROGRAM NEED STATEMENT (Entire Section B not to exceed one page)
1. a) What is the unacceptable condition requiring change? b) Who has the need?
c) Where do they live? d) Provide local, state, or national trend data, with reference
source, that corroborates that this is an area of need.
A) Students that are suspended form school and are left at home with no adult
supervision become at-risk. With additional unaccounted time they are subject to
engage in promiscuity, drug, alcohol, or juvenile crime. Practically all of suspended
students return to school with few if any assignments completed at all. They return
to school with no instructions on behavior modification or coping skills.
Suspensions are unexcused absentees and are reported to the state. Allocated funds
to the School District are reduced. , Family dynamics are a major factor in
improving the behavior of children. Most parents of suspended students need
additional knowledge on coping skills and effective parenting methods.
B) According to School District's Informational Service Departments, across the state,
10 — 12 % of their student body is suspended from school annually. In the majority
of these districts the suspended student is left unsupervised during daily school
hours. All data has proven that unsupervised youth are prone to engage in
additional deviant behavior.
C) Our services are offered to all students living in Indian River County.
D) See attachment 1 and 7
2. a) Identify similar programs that are currently serving the needs of your targeted
populations b) Explain how these existing programs are under-serving the targeted
population of your program.
A) There are currently no other programs similar to H.O .P.E. Academy. We are the
only alternative program to suspension in this county.
B) N/A
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C. PROGRAM DESCRIPTION (Entire Section C, I — 6, not to exceed two pages)
1. List Priority Needs area addressed.
Parental Support and Education
2. Briefly describe program activities including location of services.
After being registered into H.O.P.E. Academy by the parent, the student is assigned to a
class by the Program Director who supervised the enrollment. Our main campus is at the
Gifford Youth Activity Center. After the student is assigned to a class, the teacher
diligently assists the student in completing assignments brought to H.O.P.E. Academy.
Counselors conduct daily "Rap Sessions" designed to provide the students with coping
skills so the student returns to his regular school on pace with fellow classmates and with a
modified behavior. Within the month of any student completing H.O.P.E., instructors mail
a motivational letter to the student.
Each student behavior record is reviewed at the end of the year.
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.
The 2002 Tennessee Art Commission defines an "at-risk" youth as any children or
youth at risk of delinquency or engaging in any other problem behaviors, such as :
Substance abuse, teen pregnancy, crime, and drop-out.
Just by having a student at H.O.P.E. Academy, we reduce the risk of that student
Engaging in crime or additional deviant _ behavior due to unsupervised time. Last
year's and recent statistics proved that a student attending H.O .P.E. Academy was less-
likely to be re- suspended (review attachment 2).
The thing our students acknowledge most is that they complete more assignments by
coming to H.O.P.E. than remaining at home. This is stated in the majority of our
students exit essay (attachment 3).
4. List staffing needed for your program, including required experience and estimated
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hours per week in program for each staff member and/or volunteers (this section
should conform to the information in the Position listing on the Budget Narrative
Worksheet),
1) Administrative Director must be a qualified instructor with , at least a college degree,
administration skills and experience ; working 40hrs/week plus. Position is salary
based.
2) Administrative/Staff Assistant must have supervisory skills, typing skills, data entry
skills, the ability to form statistical reports and work with both office staff and
students. This person will work at least 40hrs/week.
3) Clerical/staff assistant must have office skills and some bookkeeping knowledge.
This person will assist instructors when needed and work up to 40hrs/week.
4) Two instructors ; that must be qualified with a Bachelors Degree and have special
skills to work with at-risk students. They would have a 40 hrs. work week and the
position is salary based.
5. How will the target population be made aware of the program?
At the time of their suspension, students and parents are given an H.O.P.E. Academy
brochure. We will continue to have Television and newspaper announcements. Posters are
placed at Middle and High School campuses. At the beginning of the school year, the
Administration staff will speak at PTA and SAC meetings, Open House and School
Orientations.
For the first time we plan to mail information about HOPE Academy to the Middle and
High School parents at the beginning of the year.
6. How will the program be accessible to target population (i.e., location, transportation,
and hours of operation) ?
Parents of the students are the primary source of transportation. Since H.O .P.E. Academy
is located in the central region of the district, transportation is provided by the school
district when parents are unable to transport their child. Our hours of operation are
synchronized with the regular school day which causes minimum disruptions in the
family 's daily routine.
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D. MEASURABLE OUTCOMES (Description of Intent)
Use the Measurable Outcomes .form. This description nage does not need to be included in the proposal.
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 I (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 (timeframe), 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 (B1 ) .
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.
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D. MEASURABLE OUTCOMES (Entire Section D not to exceed two pages)
OUTCOMES ACTIVITIES
Add all of the elements or the Measurable Outcome(s) Add the tasks to accomplish the Outcome(s)
OUTCOME #1 ACTIVITY #1
Increase our 2003 -2004 enrollment of 344 H . O . P .E. Academy will increase attendance by
students by 40% for the 2005 -2006 school year having the school administration give a
and documented by the School District brochure about H . O .P . E. Academy to each
Informational Services . suspended student ' s parent, give presentations
at PTA and SAC meetings and at Student
Orientation days . In addition H . O . P .E .
Academy will have a mass mail out of
brochures or "Just in Case" letters to Indian
River County parents . We will continue with
two classrooms ; each accommodating up to
10- 12 students .
OUTCOME #2 ACTIVITY #2
In 05 -06 school year 87 % of students attending Teachers will log all assignments brought by
H. O .P.E . Academy for the 2005 -2006 school the student to H . O .P .E . Academy and
year will return to school with their supervise each student to assure assignments
assignments completed. are completed. At the end of the student ' s
suspension the Administrative Director will
review assignments and document the
percentage of assignments completed (50 % -
100%) . The student and parent will sign the
document before the student exits the program
(see attachment 4) .
OUTCOME #3 ACTIVITY #3
65 % of students will return to school with H . O . P.E. Academy will provide a pre-test
improved anger management skills for the administered immediately following their
2005 -2006 . enrollment. A License counselor will conduct
daily Rap Sessions to address issues related to
behavior modification and life management
skills . On the student ' s final day a post test
will be administered to determine the student ' s
knowledge of anger management and conflict
resolution skills (see attachment 5 ) .
OUTCOME #4 ACTIVITY #4
Maintain the recidivism (re-suspension) rate at Students will attend class Rap Sessions that
less than 25 % % for the 2005 -2006 school year focuses on Anger Management , Good Choices
as recorded by the School District vs . Bad Choices and Conflict Resolution Skills
Informational Services . (see attachment 2) .
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OUTCOMES ACTIVITIES
Add all of the elements or your Measurable Outcome(s) Add the tasks to accomplish the Outcome(s)
OUTCOME #5 ACTIVITY #5
Increase 05-06 number of parents attending Conduct a monthly Parent Breakfast
HOPE monthly Parenting Class Breakfast Workshop . The Mental Health Association
Workshops by 25 % of 03 -04 end of the year will facilitate a 2hr presentation on a specific
enrollment of 170, as documented by singed phase of effective parenting. Parents will be
enrollment form expected to attend at least one session . Parents
will receive a reminder notice in the mail and
periodically a phone call reminding them of
their commitment to attend. Every person
signing the attendance form (see attachment 6) .
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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 classroom, office and recreational space at a
( 1 ) Gifford Youth Activity Center reduced rate
Subsidizes teacher salaries , provides transportation
(2) School District of I. R . C . . when needed, meals and brochures .
(3 ) Mental Health Association of IRC Provides counselors for Parent Breakfast Workshops
Provides weekly education and counseling on sexual
(4) IRC Health Department transmitted diseases and updated HVI statistics
( 5 ) Northside Agape ' Ministries Northside provides clerical and printing ,
(6) Christine J . Pawloski , Inc . Tax Provides quarterly and end of the year tax services at no
Service cost
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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 B19
The statistics and reports on suspensions are our primary source of knowing our target
population.
The Districts Informational Service Department records the data on a very suspended
student and distributes it to us. We are also being connected with the general computer
service (TERMS) by which we are able to identify our target population. Most of the
necessary demographics are accessible through TERMS . Information such as : number
of suspended students, why they were suspended, how many times they are suspended
are provided by the School District Head Statistician
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 .9
1) The Acknowledgement of Completion Sheet (attachment 4) is used to determine the
amount of assignments completed. The Director checks to see that assignments are
complete.
2) The pre and post test for Conflict Resolution is used to determine behavior
modification (attachment 5).
3) Yes, we do get base= line information from a collaborative partner, IRC School
District. The collaboration with the School District is used to provide the
information needed for the recidivism rates and general suspension data.
4) Some of the documentation data is processed bi-weekly, some every quarter and
some annually. We are required to make reports to the School District supervisor
of Alternative Programs.
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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?
Important information such as the origin, history and achievements will be compiled
and printed in "The Scope on H.O.P.E.", which is also a marketing tool. This
information will periodically be reviewed by the Director's Board, Advisory Board and
Administrative Staff to evaluate what's working, what's not working and how to
improve in such areas.
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G. TIMETABLE (Section G not to exceed one page)
1. List the major action steps, activities, or cycles of events that will occur within the
program year. New programs should include any start-up planning that may occur
outside the funding year. In completing the timetable, review information detailed in
prior sections.
Month/Period Activities
■ Preparation for Staff Development Orientation Workshop
AUGUST ■ Staff Development Orientation Workshop
■ Classes Begin
■ Monthly Board of Director ' s Meetings Resume
■ Open House for District Administrators , Principals and Teachers
SEPTEMBER ■ Advisory Board Meeting
■ Monthly Parental Breakfast Resume
■ Quarterly Evaluation Resume
OCTOBER ■ Staff Development Workshop
■ Fund Raising Mail Out
■ Annual Fund Raising Drive
DECEMBER ■ Christmas Break
■ Advisory Board Meeting
JANUARY ■ School Resume
■ Appeal to Parents
MARCH ■ Advisory Board Meeting
■ Donor' s Appreciation Banquet
JUNE ■ Classes End
■ End of the Year Inventory
■ Preliminary Planning for next school year
JULY ■ Re-Evaluation of Preliminary Plan
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Number Of Unduplicated Clients 1 Location
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Fiscal
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. 0
Total Adults
® � • . � �
• �N%fj 01 1
Edit this Header. Tvve the organization and program name and the funder for whom it is being completed. The page # is already set at the bottom
right
of every page.
I. BUDGET FORMS - To open the Budget Forms, please double-click on the icon below.
" Core Budget Forms "
__ - - 16
Type the Organisation and Program Name
UNIFORM GRANT APPLICATION
BUDGET NARRATIVE WORKSHEET
WPORTANT: 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.
PROJECT HOPE INC. / HOPE ACADEMY
Advisory Committee-Indian River
Mal
CAUTION : Do not enter any figures where a cell is colored in dark blue - Formulas and/or links are in place. Gray areas should
be used for calculations and to write information only.
GMT AM"" 071
R
"° 11 NE 0"" Proposed Total Program Funder Specific Total Agency
REVENUES -
p"MWTa.. a Budget Budget Budget
cx.cu,wtwMq
1 Children's Services Council-St. Lucie
2 Children's Services Council-
Martin
3 Advisory Committee-Indian River 99,965.00 99,965.00 99,965.00
4 United WayaSt, Lucie County
5 United Way-Martin County
6 United Wa 4ndian River County 0.00
7 Department of Children b Families 0.00
a County Funds
9 Contribudons-Cash 12,865.00 12,865.00
10 Program Fees 0.00
11 Fund Raising Events-Net 10,000.00 100000.00
12 Safes to Public - Net
13 Membership Dues
14 investment income
15 Miscellaneous
16 School District of IRC 41 ,079.00 41 ,079.00
17 Grants 1 Foundations 20250.00 209250.00
13 Reserve Funds Used for Operating 52000.00 59000.00
IRC
District &
Powbsme
19 1n4(ind Donatlons (Not included in total) jAccowtant 1 81463.20 81463.00
20 TOTAL REVENUES
(doesn't include line 19) $189, 159.00 $99,965.0 $$189, 159.00
A B C . D
EXPENDITURES G►• AVOM FOR Proposed Total Program Funder Specific Total Ag/�enc
A08MY mei OWT . D -
pxowrxcuu► Budget Budget Budget
WMEMMIM MMMMMMMI
21 Salaries - (must complete chart on next page) 59,000.00 80,000.00 139,000.00
EMMMMMMMM
Salary
22 FICA - Total salaries x 0.0765 7.657. 39972.80 6, 120.00 10,638.50
23 Retirement - Annual pension for qualified staff 1 ,200.00 0. 00 1 ,200.00
24 LHe/Heaith - Medk al/DentaUShort4erm Disab. 0.00 0.00
25 Workers Compensation - # employees x rate 5 employees 2,500.00 0.00 2.500.00
lnkmwa Unemployment - # projected
26 employees x $7,000 x UCT-6 rate 945.00 0. 00 945.00
5/180005 �1
Type the Organ¢abon and Program Name
SALARIES A B
POSMON US77NG Gams Annual Portlon of salary on Proposed C Funder D
% of Gross Annual
Po>r16on TWO / Total HrsM�K (Agency) P^D ' apecflic Budgetsalary Requested(VA)
Example: Exeeuliw Dkwtorl4O re 70,00000. 10100000 5fOw'wj 7. 14%
Exetxrtive Mellor. 40 hrs. phis 42?000.001 12.000.00 X000-001 71 .43%
Amort: 40 hrs. phis 22vO00.001 100000.00 12,000.001 54.550
Clerical Staff Assistarrt 40 hrs. 17,000.00 7.000.00 10.000.00 58.82%
Iraturt� #1 / 40 hrs. Salary 29,000, 15.000.00 14.000.00 48.28°6
Instructor #2140 hrs. Salary 29,000.00 15,000.00 14.000. 48.28%
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
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#DIV/0!
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#DIV/0!
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#DIV/0!
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R8 P ftou9hout the agency #Div/o!
Total Salaries 5139,000.00
$59,000.00 $80t000.001 57.55%
FRINGE BENERTS DETAIL A
(Funder pedffia;,Budget Funder e C v E' F G
11 Pension WOMWS Phemployme Total Fringes Funder
Coh�mn C only, from line 22 to 27) - c FJC4 T @% Health ins.
Poston Tide! Total Hrbi/wk
Budd N x %) Comperes. in Comperes specific
C*" MA firs 5,000 00 38250 2000D 500 00 30000 ?00 00 1,582.50
Er
e Director: 40 hrs. plus 30,000.00 2,295.00 2 ,295.
00
rative Assistant: 40 hrs. plus 12,000.00 918.00918.00
ClStaff Assistant 40 hrs . 10,000.00 765.00 765
I .001
nsturctor #1 / 40hrs. Salary 14 ,000.00 1 ,071 .00 1 ,071
kInstructor *2140hrs. Salary 14,000.00 1 ,071 ,00 1 ,071 .001
0.00 0.00 0. 0010.00 0.0000.00 0.00 . 001
0. 0010.00 0.000. 001
0.00 0.000. 001
0.00 0.00 0. 001
0.00 0.00
0.
0.00 0.00 0.
0.00 0.00 0.001
0.00 0.00 0.0010.00 0.00
0. 001 0.00 0.00000 0.00 0.000.
0.00 0.00 0
� 0.00 0.00 0_
Rl Funder Request Fringe Benefits $80,000-22-L $6. 120.00 $0.00 $0.00 $0.00 $0.00 $6, 120.
sntv2aos
B-1
Type the Organisation and Program Name
A B C D
EXPENDITURES OKAYA WAOr R Proposed Tota/ Program Funder Specift TOWAgency
�.D"w TO Budget Budget Budget
27 Travel4kft 0.00 0.00 0.00
8 of Staff x average 8 of mdes/wk x 50 wks x $
= Estimated Daily Travel/Mileage Reimb.
28 TravellConferences/Training 500.00 0.00 500.00
• National Conference (cost per staff)
• Training/Seminar (cost per staff)
• Other Trai Ings (cost of travel, lodging,
registration, food)
29 Office Supplies 49500.00 3.500.00 4.500.00
• Office supplies (monthly average x 12 months
= estimated cost of office supplies based on
present history.
30 Telephone 3,500.00 21000.00 39500.00
• 8 Phone lutes x average cost per month x 12
months = local phone cost
Average long distance calls x 12 months =
Estimated cost of long distance
31 Postage/Shipping 700.00 500.00 700.00
• Quartedy Mailing of NewsletterMor" Mailing"
• Special events, etc. Sptfciat Ever"
• BcrUc mailings ^ appeals ewc appeals'
32 Utilities 0.00 0.00 0.00
• Electricity ($ x 12 months)
• WatedSewer ($ x 12 monft)
• Garbage (; x 12 months)
33 Occupancy (Building 8, Grounds) Rent for °� 10.364.00 0.00 10.364.00
• Mortgage/Rent ($ x 12 months) GMAC faciditea
• Janitorial ($ x 12 months) Sctisp1RC
wd l3strict f -
• Grounds Maint. ($ x 12 months) Warehouse by
• Real Estate Taxes Program "
34 PrlrrtMg is Publications 1 .000.00 400.00 1 ,000.00
• Quarterly Newsletter ($ x 4)
• Letterheads, Envelopes, etc.
• Fundraising materials
• Other3S SubscripdonlDuesiMemberships 0.00 0.00 0.00
• Membership to National Organ¢etion
• Dues
• Subscriptions to Newspapershnagazines, etc.
36 insurance 2. 100.00 1 ,000.00 2, 100.00
Liab.
• Commercial/General Insurance Diredore
• Bond Ins. Insurance and'
• Auto Insurance Liability/Auto
37 Equipment:Rental & Maintenance 29200.00 1 ,000.00 29200.00
• Copier lease (a x 12 months)
• Meter lease ($ x 12 months)
• Copier Maintenance ($ x 12 morths) copier
• Computer Maintenance ( $ x 12 months) Leasa►Computer
Other Repair 00
38 Advertising 5 .00 0.00 500.00
• Newspaper ads
• Fundraising ads/promodons
• Other (yes)
39 Equipment Purchases :Capital Expense 200. 0.00 200.00
• Computerhnonitor (a x $)
Laser Printer
8 8 8g
Q Q
75 Ki o 0 8 8 _ Q ,. . .. ... .
w
Q tb
ul
g 8 8 8 8 w I
r
S
i
5�qp�
�4
Vol
x
v � hL
Type M OrOWW MsW ROOM NOW
UNIFORM GRANT APPLICATION
TOTAL AGENCY BUDGET
AGENCYIPROGRAM NAME:
FY 0304 FY 04105 FY 06106 % INCREASE
FYE FYE FYE CURRENT VS.
NEXT FY BUDGET
A B C D
ACTUAL TOTAL PROPOSED tea c.cat eyed
REVENUES BUDGETED BUDGETED
1 Children's Services Council-St Lucie 0.00 #DIV/01
2 Children's Services Council-Martin 0.00 #DN/O!
a Advisory Committee-Indian River 101 15.80 100 000.00 99 965.00 0.04%
4 United Way4t, Lucie County 0.00 #DIV/0!
5 United Way-Martin County 0.00 #DIV/0!
s United Mfppindlan River County 1vS46,01 0.00 #DIV/O!
7 Department of Children & Families 0.00 #DIV10!
s County Funds 0.00 #DIV/01
s ContributionsmCash 12 .00 11 000.00 12 865.00 16.95%
to Program Fees 0.00 #DIV/0!
11 Fund Raising Everts-Wet 410.00 89000100 10 000.00 25.00%
12 Sales to Public4fet 0.00 #DMO!
13 Membership Dues 0.00 #DIV/o!
14 Investment Income 0.00 #DIV/01
15 Mental MeaHh 3500,00 0.00 0.00 #DIV/0!
1s School District of IRC 32 969.00 37 740.00 41 079.00 8.85%
17 Grants/Foundations etc. 27 50.0028 000.00 20 250.00 -27.68%
16 Reserve Funds Used for Operating 5000,00 59000000 5 000.00 0.00%
19 In4(ind Donations (Nw :okwed into" 7 .00 8 663.00 8463.00 -2.31 %
20 TOTAL 193 .81 189 740.00 189159.00 -0.31 %
EXPENDITURES
21 Salaries 133 037.67 139 640.00 139 000.00 -0A6%
22 FICA 8 33OA4 99709.61 10 638.50 9.57%
23 Retirement 0.00 11500,00 11200.00 -20.00%
24 Life/MeaHh 0.00 OAO 0.00 #DIV/0!
25 Workers Compensation 19750,00 1 AW,00 29500.00 78.57%
26 Florida Unempkr
Irment 11287,38 845100 945.00 11 .83%
27 TraveWaily 181 .74 0.00 0.00 #DIV/01
2e TravelfConferences/Traini 611 .68 650,00 500.00 -23.08%
29 Office SuWies 49345,84 6 600.00 41500.00 31 .82%
30 Telephone 398"," 39500,00 31500.00 0.00%
31 PostagelShipping 516.61 800.00 700.00 -12.50%
32 Utilities 0.00 0.90 0.00 #DIVIO!
33 Occupancy Buildi & Grounds 1093",00 10 364.00 10 364.00 0.00%
34 Printing & Publications 238.00 0.00 11000,00 #DN/0!
35 Su embershi 0.00 0100 0.00 #DIV/01
3s Insurance IA05,001 1 ,00 29100.00 40.00%
37 EquipmentRental & Maintenance 2155.72 1j384,00 27200.00 58.96%
36 Advertising 200.38 19000,00 500.00 150.00%
39 Eguhmmd Purchases:Caphal Expense 11700.00 500.00 200.00 •60.00%
4o Professional Fees Consulting) 19655.00 31000,00 2,000.00 33.33%
M Books/Educadonal Materials 242.12 500.00 200.00 -60.00%
42 Food & Nutrition 0.00 0.00 0.00 #DIV/0!
43 Administrative Costs 0.00 0.00 0.00 #DIV/01
44 Audit Expense 3AW.00 31700,00 31700,00 0.00%
45 Specific Assistance to Individuals 288.17 300,99 200.00 #VALUE!
4s Other/Miscellaneous 606.88 600.00 500.00 46.67%
47 OtherlContract 7789251 1 000.00 900.0-0 #VALUE!
4s TOTAL 176 261 .37 188192.61 186 447.50 -0.93%
49 REVENUES OVER/ UNDER EXPENDITURES 16,947 19547.39 21711 ,50 75.23%
S1&20D5 0.T
TYRO h Oigsh4i ad RW= Wro
UNIFORM GRANT APPLICATION
TOTAL PROGRAM BUDGET
AGENCYIPROGRAM NAME:
FY0304 FY04M FY05M % INCREASE
FYE FYE FYE CURRENT VS.
NEXT FY BUDGET
A 8 C D
ACTUAL TOTAL PROPOSED led c-ca sye or. e
REVENUES BUDGETED BUDGETED
1 Children's Services CouncaSt Lucie 0.00 #DIV/01
Children's Services Council-Martin 0.00 #DN/0!
3 Advisory Committee4ndian River 101 15.00 100 000.00 99 965.00 -0.04%
4 United WaymSt Lucie County 0.00 #DN/01
United WaywMartin County 0.00 #DIV101
United Way4ndian River County 1 ,646.01 0.00 0.00 #DN/0!
7 Department of Children S Families 0.00 #DIV/0!
9 County Furls 0.00 #DIV/0!
Contributions-Cash 12 .00 11000.00 12V866.00 16.95%
ia Program Fees 0.00 #DIV/01
11 Fund Raising Events-Net 410.00 8W000,00 10 000.00 25.00%
12 Sales to Public-Net 0.00 #DIV/0!
13 Membership Dues 0.00 #DIV/01
14 Investment Income 0.00 #DIV/0!
is Grants / Foundations 271250,00 28j000,00 0.00 -100.00%
16 School Board of IRC 32 59.00 37 740.00 41 079.00 8.85%
17 Mental Health of RC 3 .00 0.00 20 250.00 #DIV/0!
is Reserve Furls Used for Operating 5 .00 50000,00 61000.00 0.00%
iq In4QW Donations putt rwrm.a in mu4 7 .20 8 633.00 89"3.20 -1 .97%
TOTAL 193 .21 189 740.00 189159.00 -0.31 %
EXPENDITURES
21 Salaries 133 037.67 138840.00 59 000.00 -07.75%
22 FICA 8 A4 8 709.61 39972.80 59.08%
23 Retirement 0.00 IAWAO 1200.00 -20.00%
24 LifelHeahh 0.00 0.00 0.00 #D(V/01
25 Workers Compensation 12750.00 1 AOO,00 21500.00 78.57%
Florida Unemployment 11287M 845.00 945.00 11 .83%
27 TraveWaily 181 .74 0.00 0.00 #DIV/0!
TraveUConferences/Tr . " 611 .58 650.00 500.00 -23.08%
29 Office Supplies 4A415,84 60600.00 41500.00 -31 .82%
30 Telephone 3A44,64 3"0,00 31500.001 0.00%
31 516981 800.00 700.00 -12.50%
32 Utilities 0.00 0.00 0.00 #DIV/01
33 Occupancy Builth & Grounds 10A".00 10 364.00 10 364.00 0.00%
34 Printhy & Publications 238.00 0.00 19000.00 #DIV/01
35 SUbSCFjeg22R=Memberships 0.00 0.00 0100 #DN/0!
36 Insurance 11405,00 1IM100 2100.00 40.00%
37 EquipmentRental & Maintenance 2156972 1 .00 21200.00 58.96%
as Advertising 200.38 1000.00 500.00 50.00%
39 Equipment Purchases:Capkal Expense 19700,00 600.00 200.00 -60.00%
40 Professional Fees (Legal, Consulting) 11656.00 3AW,00 21000.00 33 .33%
41 BookslEducational Materials 242.12 600.00 200.00 -60.00%
42 Food & Nutrition 0.00 0.00 0.00 #DIV/01
43 Aamlr�:tativeCosts 0.00 0.00 0.00 #DIV/O!
44 Audit Expense 32500.00 31700,00 39700.00 0.00%
45 Specific Assistance to Individuals 288.17 300.00 200.00 33.33%
46 Other/Miscellaneous 606,88 600,00 500.00 -16.67%
47 Odw)Conbact 778.25 17000,00 900 .00 -10.00%
TOTAL 174,367,09 188A92,61 11006681 .80 46.59%
49 REVENUES OVER/ UNDER EXPENDITURES 18 1 .12 1 7.39 88 77.20 6992.99%
memos N
Type tie Orgar9r dm and Rogan Name
UNIFORM GRANT APPLICATION
FUNDER SPECIFIC BUDGET
PROGRAM EXPENSES
AGENCY/PROGRAM NAME .
FUNDER: A B C
FY 05/06 FY 05/06 % OF
TOTAL FUNDER TOTAL VS.
PROGRAM SPECIFIC FUNDER REQUEST
BUDGET BUDGET col. B/COI. A
EXPENDITURES
21 Salaries 591000a00 80 000 .00 135.59%
22 FICA 39972 .80 69120 .00 154.05%
23 Retirement 19200 .00 0 .00 0 .00%
24 Life/Health 0 .00 0 .00 #DIV/01
25 Workers Compensation 29500 .00 0 .00 0 .00%
26 Florida Unemployment 945.00 0.00 0 .00%
27 Travelowl3aily 0 .00 0 .00 #DN/01
28 Travel/Conferences/Training 500 .00 0.00 0 .00%
29 Office Supplies 47500000 3 500 .00 77 .78%
30 Telephone 3 500.00 29000w00 57. 14%
31 Postage/Shipping 700 .00 500 .00 71 .43%
32 Utilities 0 .00 0 .00 #DN/01
33 Occupancy (Building & Grounds 109364.00 0 .00 0 .00%
34 Printing & Publications 19000800 400 .00 40 .00%
35 Subscription/Dues/Memberships 0.00 0 .00 #DIV/01
36lnsurance 2100 .00 1000 .00 47 .62%
37 E ui ment: Rental & Maintenance 21200 .00 19000900 45.45%
38 Advertising 500 .00 0 .00 0 .00%
39 Equipment Purchases : Ca ital Expense 200 .00 0 .00 0 .00%
40 Professional Fees (Legal, Consulting) 29000 .00 19000 .00 50 .00%
41 Books/Educational Materials 200 .00 200.00 100 .00%
42 Food & Nutrition 0 .00 0 .00 #DIV/01
43 Administrative Costs 0 .00 0 .00 #DN/01
44 Audit Expense 31700 .00 2100 .00 #VALUE!
45 Specific Assistance to Individuals 200 .00 200 .00 100 .00%
46 Other/Miscellaneous 500 .00 100 .00 20w00%
47 Other/Contract 900 .00 0 .00 0 .00%
48 TOTAL $ 1001681 .80 $969020 .00 E95.370%]o
,army E"
TVs *= orgeekn .m P ogm Nw
UNIFORM GRANT APPLICATION
EXPLANATION FOR VARIANCES OF 15% OR MORE
TOTAL PROGRAM BUDGET
AGENCY/PROGRAM NAME:
FUNDER:
ISAI
}. '�, r -, ,.`'�`L7If1C7J GlR . . . � � e . {P�3. .. _ :`""H a 4 "SE e. f' i § T .-.i-.: a. z .;ti: l• �OIrA/V/'flt
" na "`>. 1 T ,£S .''-- Mca L. X`:.'ra i +"x- .
#DIV/IH
#=lowt
# IxV1yO�!
�/Of
#DIVM!
#DIVIM
#DIVIOf
Taking a dose look at the current budget and the propose budget, you can see it just slightly over 15%.=banidngterContributions Cash weather
and donors who em or former em matches ther donation. We lost several thisf/DIV/0t
We had the best fund raiser ever this past year. Taking into consideration that we started less than a mok
Fund RaMna Events-Net placet wefigure d we start earlier next year, it should emceed this past year.
#DIVIO!
INDIVAN
f1DIVm
#DIV/0!
rI'DIVl17! - our previous carrier went out of the Work Comp. business and due to having a premium under $5,070.00 no other conventional
Workers Compensation carrier would pick us Lip. As a resuk we had to purchase Comp from the State. It literally doubled.
#D1V/O!
#DIVJ(1!
#DIV/C!
Insurance
Our equipment rental was budgeted a little lower than what it should had been. Due to excessive copying, we had to upgrade.
ui Rental A Maintenance Needless to say, upgrading always cost morehowever, In the run it pays
#DIV/0I
#DIVIO!
a
memos �y
roe to OryW&OW ad PMFM No"
UNIFORM GRANT APPLICATION
EXPLANATION FOR VARIANCES OF 151/6 OR MORE
FUNDER SPECIFIC BUDGET
AGENCYIPROGRAM NAME:
FUNDER:
LINE ITEM EXPLANATION FORVARIANCE < :;
We concentrated on our crucial areas to make sure we have adequate funding. This is why we request most of our salaries from
salaries Children Services.
FSA The same holds true for our FICA. This is another ":must need" to be paid category.
#134V101
MD[V/01
Office supplies Exceeded only by our payroll expense, office supplies are always our second or third largest expense. They are needed to
operate.
Our telephone expense is virtually the same. We hope to save by going to DSL at the expense of GYAC. Yet, we need you to help
Telephone us keep the telephone on.
Our postage is bound to increase this year for several reason. We will not only expand our fund raising appeal, but we will be mailing
P *ae/Shippina out letters to the parents of Middle and High School students informing them about HOPE Academy.
tl'DIV/01
Not to be redundant, NA printing is vital to our operations marketing and daily keeping in contact with the parents that are responsi
PrIndna 8 Publications for attending the monthly Parent Breakfast Workshops
i/OFV/01
Insurance Insurance is gong up and we have to have it to get Grants and protect us against liabilities.
ui ment:ftental & Maintenance As 1 said before we upgrade our copier. Along with thK we have found that it is expensive to maintain our
computers.
In all actuallity, we are asking for less assistance with the legal affairs than we have in time past. Fees for everything is constanty
Professional Fees al Consuldnal going up. Yet we are asking less from CS.
Books/Educational Materials
tWeave cut backon purchasing txx� and have appeal to the Schools for current texts and work books. However, we must yet
s w/01 ase videos that aid in our behavorial modification sessions.
01DIV/01#VALUEI
und out that when you fifer some sort of sentive approach to young people some respond very favorable; and are motivated to
S ific Assistance to IndivWuais n from ettin into trouble.
Other/Miscellaneous
sntrmoa 1'8
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 301h) 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 : H . O . P . E . Academy
487543 rd Avenue
Vero Beach , Florida 32967
H . Burson , Executive Director
2 . Venue : Choice of Law. The validity, interpretation , construction , and effect of this
Contract shall be in accordance with and governed by the laws of the State of Florida
only. The location for settlement of any and all claims , controversies , or disputes , arising
out of or relating to any part of this Contract, or any breach hereof, as well as any
litigation between the parties , shall be Indian River county, Florida for claims brought in
state court, and the Southern District of Florida for those claims justifiable in federal court .
3 . Entirety of Agreement. This Contract incorporates and includes all prior and
contemporaneous negotiations , correspondence , conversations , agreements , and
understandings applicable to the matters contained herein and the parties agree that
there are no commitments , agreements , or understandings concerning the subject matter
of this Contract that are not contained herein . Accordingly, it is agreed that no deviation
from the terms hereof shall be predicated upon any prior representations or agreements ,
whether oral or written . It is further agreed that no modification , amendment or alteration
in the terms and conditions contained herein shall be effective unless contained in a
written document signed by both parties .
4 . Severability. In the event any provision of this Contract is determined to be
unenforceable or invalid , such unenforceability or invalidity shall not affect the remaining
provisions of this Contract, and every other 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 -
11 H . O . P . E . ACADEMY
' An Alternative Program for Suspended Students
Gifford Youth Activities Center
4875 43rd Avenue . Vero Beach , FL 32967
® Telephone : ( 772 ) 562 =4325 • Fax : ( 772 ) 562=6965
Hallicurtis W. Burson , Executive Director . Henry Burson , Jr. , Founder
October 28 , 2005
Indian River County Human Services
1840 25th Street
Vero Beach, FL 32960- 3365
Dear Board of County Commissioners :
H . O . P . E Academy parents are primarily responsible for providing transportation for their
children. H. O .P . E currently does not provide transportation for its students .
Respectfully Submitted,
r
Shekina Burson
Executive Director
Funded by the Board of County Commissioners - Indian River County
HELPING OTHER PEOPLE EXCEL
11 / 02 / 2005 X39 : 2 " 77 _' 5699595 PAGE 01
A FORD DATE f1+, ocii'Y (YY)
----r-- TIS CERTIFICATE OF LIABILITY INSURANCE OCT 3106
CERT11FICATE 13OF
NIDI ROGAL i HOBBS OF FLA, INCJSIO BANACK INS , THISONLYAND CONFERS OURIGHTS VI*ONAS AT HTER E CERTIFICATEINFORMATION
2043 14TH AVE. MOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P O ®OX 130 ALTER THE COVERAGE AFFQRDEQ DY THE POLICIES
VERO BEACH FL 32"1
INSURERS AFFORDING COVERAGE MAIC 4
ASURED _ .... .._. _ INSVIREE}R A: AUTO OWNERS INSURANCE
PROJECT H . O. P . E. , INC . ___ ._.. .._._.... ..._.....__ _...__..._ . _.._._ _._,._ ,..
45 A5 38TH AVENUEINSURER B. Fiprldi_W1 1. Companaatlar>I JUA, Inc.
VERO BEACH FL 32967 IN_SURER C:
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INSURER Lt:
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INSURER E'
COVERAGES
THE POLICIES OF iNSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE. POLICY PERIOD INDICATED, NOTWITHSTANOING
ANY REQUIREMENT . TERM OR CONDITION OF ANY CONTRACT OR OTiAER DOCUMENT WITH RESPECT TO WH:H THIS CERTIF (CATF„ MAY BE ISSUED OR
MAY PERTAIN . THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS 3U5JECT TO ALL THE TERMS, EXCLUSIONS AND CONDiTiCN3 OF
SUCH
PO . I ^ IES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS .
IlkRlS,q ACOS . . .BYRANCE PPOl1CY FifECTIYE POLICY EXPFUTION LIMITS .... . .
T C10R TYPE OF INOLICY NUMBER .T ._._. .._.. .
X COMMERCIAL GENERAL LIASILI I + T-04-Krill
O qE RaNCE
G+QNERAL LUMLITY 002312-2059'1732-05 SEP 6 05 I gEp 8 � I EACH OCCV ) J 1 , 000.000
Nrao ; 60 000
I j .. I enEeelsea cee ar�,o.l {
CLAIMS MApEi X OCCUR , MED. EXP rhnY ar pwsor•) B 5,000
A PERSONAL & A DV INJURY .:. ..1 000000
_ _. GENERAL. AGGRE„ATE is 110001000
GEN L ACGREGATE LIMIT APPLIES P&R ! I PRODUCTS.-COMPICP .AGG . I I 1 ,000 ,000
POLICY ILOG
AUTOIACBILE LIABILITY j f
ANY aUTO
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RETENTIONS I . . . _ i ._ .. . _
WORKERS COMPENSATION AND 16FR13U942119694.05 APR. 29 06 APR 29 06wC aTATU- OTHER
EMPLOYt2Rlb' LNINLtYY . ' _oarluza. I
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DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEIIAENT/ SPECIAL PROVISIONS
CERTIFICATE HOLDER IS ALSO AN ADDITIONAL INSURED.
CERTIFICATE HOL ANC&LATIgg
SHOULD ANY OP THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Tr1E
ENPIRATON DATE THEREOF. THE ISSUING COMPANY WILL ENOEAVORTO MAIL 10
DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT
FAILURE TO DO SO SHALL IMPOSE NO OBL:GATIOk OR LIABILITY OF ANY KIND UPON THE
INDIAN RIVER COUNTY INSURER, ITS AGENTS OR REPRESENTATIVE$ .
184(1 26TH STREET
VERO BEACH FL 32960 AUTHORIZED REPRESENTATIyE yy
Attonlion ; MARION FAX# 978_1793
Idney ►v1�"el�l�
ACORD 25 ( 2001 /08) Cenifleate 0 90653 CACORD CORPORATION 1988
FW A FLORIDA WORKERS' COMPENSATION
JOINT UNDERWRITING ASSOCIATION, INC.
WORKERS COMPENSATION
AND
EMPLOYERS LIABILITY POLICY
TYPE AR INFORMATION PAGE WC 00 00 01 ( A)
POLICY NUMBER : ( GFR1 3UB - 421 1 B59 - 0 - 05 )
NEW - 05
INSURER : FLORIDA W . C . JUA
16 NCCI CO CODE : 80179
INSURED : PRODUCER :
PROJECT HOPE INC HILB ROGAL & HOBBS OF VB
4545 38 AVE 2045 14TH AVE
VERO BEACH FL 32967 PO BOX 130
VERO BEACH FL 32961 - 0130
Insured is A CORPORATION
Other work places and identification numbers are shown in the schedule (s) attached .
2 . The policy period is from 04 - 29 - 05 t0 04 - 29 - 06 12 : 01 A . M . at the insured 's mailing address .
3 . A . WORKERS COMPENSATION INSURANCE : Part One of the policy applies to the Workers
Compensation Law of the state (s) listed here :
FL
B . EMPLOYERS LIABILITY INSURANCE : Part Two of the policy applies to work In each state listed In
�= item 3 .A. The limits of our liability under Part Two are :
Bodily Injury by Accident : $ 100000 Each Accident
Bodily Injury by Disease : $ 500000 Policy Limit
Bodily Injury by Disease : $ 100000 Each Employee
a= C . OTHER STATES INSURANCE : Part Three of the policy applies to the states , if any, listed here :
SEE ENDORSEMENT FWCJUA 03 01
D . This policy Includes these endorsements and schedules :
SEE LISTING OF ENDORSEMENTS - EXTENSION OF INFO PAGE
4 . The premium for this policy will be determined by our Manuals of Rules , Classifications , Rates and Rating
Plans . All required Information is subject to verification and change by audit to be made ANNUALLY ,
DATE OF ISSUE : 06 - 10 - 05 RM ST ASSIGN : FL
OFFICE : FLORIDA WC JUA 821
PRODUCER : HILB ROGAL & HOBBS OF VB 2577C
009379
A FLORIDA WORKERS' COMPENSATION
JOINT UNDERWRITING ASSOCIATION, INC. WORKERS COMPENSATION
AND
EMPLOYERS LIABILITY POLICY
EXTENSION OF INFO PAGE — SCHEDULE WC 00 00 01 ( A )
POLICY NUMBER : ( 6FR1 3UB - 421 1 B59 - 0 - 05 )
INSURER : FLORIDA W . C . JUA
80179 — FL
INSURED ' S NAME : PROJECT HOPE INC
PREMIUM BASIS
ESTIMATED RATES ESTIMATED
TOTAL ANNUAL PER $ 100 OF ANNUAL
CLASSIFICATION CODE REMUNERATION REMUNERATION PREMIUM
LOCATION 001 01
FEIN 593449353 ENTITY CD 001
PROJECT HOPE INC
3790 45TH ST
VERO BEACH , FL 32967
COLLEGE OR SCHOOL :
PROFESSIONAL EMPLOYEES &
CLERICAL 8868 136000 1 . 00 1360
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0
0
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--
. . . . . . . . . .
EXPERIENCE MODIFICATION : NONE MODIFIED PREMIUM $ NONE
0 TOTAL ESTIMATED ANNUAL STANDARD PREMIUM 1360
TIER 1 SURCHARGE 400
EXPENSE CONSTANT ( 0900 ) 200
TERRORISM RISK INS ACT 2002 ( 9740 ) 41
• ASSIGNED RISK FLAT SURCHARGE ( 9601 ) 475
FWCJUA MANDATORY DEPOSIT 1238
TOTAL ESTIMATED PREMIUM 3714
DEPOSIT AMOUNT DUE 3714
DATE OF ISSUE : 06 - 10 - 05 RM ST ASSIGN : FL SCHEDULE NO : 1 OF LAST
009380
GFW A FLORIDA WORKERS COMPENSATION
JOINT UNDERWRITHC ASSOCIATION. INC. WORKERS COMPENSATION
AND
EMPLOYERS LIABILITY POLICY
ENDORSEMENT WC 00 00 01 (A )
POLICY NUMBER : ( 6FR1 3UB - 421 1 B59 - 0 - 05 )
LISTING OF ENDORSEMENTS
EXTENSION OF INFO PAGE
We agree that the following listed endorsements form a part of this policy on its effective date .
WC 00 00 01 A - 001 INFORMATION PAGE
WC 00 00 01 A - 001 INFORMATION PAGE 2
WC 00 00 01 A - 001 EXTENSION OF INFORMATION PAGE - SCHEDULE
WC 00 00 01 A - 001 ENDORSEMENT LISTING
FW CO UA 03 01 - 001 FL JUA LIMITED OTHER STATES ENDT ,
WC 00 04 14 00 - 001 NOTIFICATION OF CHANGE IN OWNERSHIP ENDT
WC 00 01 12 00 - 001 NOTICE OF PENDING LAW CHANGE TO TRIA
WC 00 04 20 00 - 001 TERRORISM RISK INS ACT ENDT
WC 09 06 06 001 - 001 FL EMPLOYMENT AND WAGE INFORMATION REL .
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DATE OF ISSUE : 06 - 10 - 05 ST ASSIGN : FL Page 1 of LAST
009381