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Home My WebLink About2005-328l INDIAN RIVER COUNTY GRANT CONTRACT This Grant Contract ("Contract") entered into effective thiVat day of October 2005 , by and between Indian River County, a political subdivision of the of Florida ; 1840 25th Street , Vero Beach , Florida , 32960-3365 ; and St. Peters Human Services , Inc . , ( Recipient) , of: St . Peters Human Services , Inc . , 425038 th Avenue Vero Beach , Florida 32967 Village of Excellence Training Institute for Girls 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 - INDIAN RIVER COUNTY GRANT CONTRACT This Grant Contract ("Contract") entered into effective thiVat day of October 2005 , by and between Indian River County, a political subdivision of the of Florida ; 1840 25th Street , Vero Beach , Florida , 32960-3365 ; and St. Peters Human Services , Inc . , ( Recipient) , of: St . Peters Human Services , Inc . , 425038 th Avenue Vero Beach , Florida 32967 Village of Excellence Training Institute for Girls 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 - t i 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: si� 5 , l Thomas S . Lowther, Chairman BCC Approved : /D - =r Atte arton , Clerk oe � . _ ...ry _ Deputy Clerk Approved : Josep . Baird County Administrator ;Apprveto form and legal sufficiency: Ma ian E . Fell , &Sjs ttorney RECIPIE *Han By: S , Inc. - 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 - PROGRAM COVER PAGE Organization Name : Village of Excellence Training Institute for Girls Executive Director. Pastor Andrew Jefferson E-mail : stpetersschool Lwbellsouth . net Address : 4250 38th Avenue Telephone : 772-562-6863 Vero Beach FL 32967 Fax : 772-562 -8920 Program Director:_ Mrs, Doris Starling E-mail : Same as above Address :. Same as above Telephone : Same as above Fax : ` Program Tit lec.,Village of Excellence Training Institute for Girls q 1 �- Priority Need Area Addressed. To reduce iuvenile delinquency and crime Brief Description of the Program : The program seeks to provide for school age children and teens (746wears old) access to a weekend training_progMm that offers recreation academic supportself esteem, character buildingand community services experience The program also provides positive role models through investors to euip the girls with knowledge about substance abuse violence Pregnancy, use hygiene and anna activity SUMMARY REPORT — (Enter Information In The Black Cells Onl Amount Requested from Funder for 2005 /06 : $ 5 1 Total Proposed Program Budget for 2005 / 06 : $ 50 , 349 . 11 Percent of Total Program Budget : t 00 . 0 % Current Program Funding ( 2004 / 05 ) : $ 305000 Dollar increase /( decrease ) in request : $ 30 , 000 Percent increase /( decrease ) in request * * : 151 . 70//o Unduplicated Number of Children to be served Individually : 40 Unduplicated Number of-Adults to be served Individually : _ Unduplicated Number to be served via Group settings : 40 Total Program Cost per Client : 629 . 36 * *If request increased 5 % or more, briefly explain why : The program is requesting an additional ` $9,640. 00 for food as indicated in the variance section of the application 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 ). Andrew Jefferson Name of President/Chair of the Board Sign e LaM Ta for Name of Executive Director/CEO Si a 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: si� 5 , l Thomas S . Lowther, Chairman BCC Approved : /D - =r Atte arton , Clerk oe � . _ ...ry _ Deputy Clerk Approved : Josep . Baird County Administrator ;Apprveto form and legal sufficiency: Ma ian E . Fell , &Sjs ttorney RECIPIE *Han By: S , Inc. - 4 - ORGANIZATION: St. Peter' s Human Services PROGRAM: Village of Excellence Training Institute for Girls TABLE OF CONTENTS Please X" the parts of the grant application to indicate that they are included Also, please put the page number where the information can be located. X Section of the Proposal Page # X TABLE OF CONTENTS (check list) X COVER PAGE (with signatures) . . see 0000 . 3 X A. ORGANIZATION CAPABILITY (one page maximum) X . 1 . Mission and Vision of organization. . . . . . . . . . . . . . . . . . . . . . bass . . . . . . . . . . . . . . . . . . . . . . . . 4 X 2 . Summary of expertise, accomplishments, and population served . . . . . . . . . . . . . . . . 4 X Be PROGRAM NEED STATEMENT (one page maximum) X 1 . Program Need Statement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 X 2 . Programs that address need and gaps in service . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 X Co PROGRAM DESCRIPTION (two pages maximum) X L Funding priority . . . . . . . . . . . : . . : . . . . . . . . . . . . . . . . 1111 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 X 2 . Description of program activities ' . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 . . . . . . . . . . . 0 0 . . 1 . . . . . . . 6 X 3 . Evidence that program strategy will work . , sees 6 X 4. Staffing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0066 7 X 5 . Awareness of program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 X 6. Accessibility of program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 X D. MEASURABLE OUTCOMES (two pages maximum) , , , 0 011 , 9111 , see * ON & $ * . ON 9 X E. COLLABORATION (one page maximum) . . . . . . . . . . . . . . . . . . . . . . . . . . . sees . . . . . . . . . . 10 X F. PROGRAM EVALUATION (two pages maximum) X 1 . Demographics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 X 2 . Measures . . . . . . . . . . . . . . . . . . . . . . . . . 0 . . . . . . . 0 . . . . . . . . 0 . . . . . . . . . . 0 0 9 . 0 . . . . . . . . . . . . . . . . . . . . . . . 11 X 3 . Reporting . . . . , , , , , , , , , . , see Do . . . . sees . . . . . . . . . . . . . . . . . . . . . . . 11 X G. TIMETABLE (one page maximum) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I " , , , w e 13 X H. UNDUPLICATED CLIENT COUNT X 1 . Projections by Location . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 X 2 . Projections by Age Group . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 1 N H w z Ono H 004 A o� a ;X4 a w a iw r EXHIBIT A (Copy of complete Request for Proposal ) EXHIBIT - A - 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 '/z'_' X 11 " paper and number each page . These directions and the graphic boxes may be deleted if space is needed. A. QRGANIZATION CAPABILITY (Entire Section A not to exceed one page) 1 . Provide the mission statement and vision of your organization. Mission Statement: St. Peter' s Human Services, Inc . ' s mission is to increase the success rate of high risk students by providing educational support, drug awareness, and character education through operation of a public school of choice. The organization works cooperatively with established social programs to assist the targeted population of Indian River County in becoming self sufficient members of society. Vision : The St. Peter' s Human Services, Inc . is a non denominational organization in operation since December 1996 . The Agency ' s vision is to address social problems and needs in targeted areas of Indian River County, Florida. The agency is designed to provide short and long term services in the areas. of affordable quality child/daycare services, before and after school childcare, public school of choice for children with special needs who may not be successful in the regular school system, youth intervention programs, and assisted living care for certain targeted groups . FProvide a brief summary of your organization including areas of expertise, lishments, and population served. corporation, the agency has provided quality daycare services for families with es zero to five years of age . The center also serves children who are Title 20 and ALPI Certified. The agency has a chartered public school of choice, serving 90 to 100 "at-risk" students of Indian River County. The Agency has also successfully implemented a Boy ' s Development and Training Program for the targeted population, ages 7 to 16. The program ' s highlights include organized drills, academic support, self esteem/character building, and exploration and exposure to educational and recreational activities through field trips and workshops . The Program is the only one of its kind in Indian River Coun 4 i Be PROGRAM NEED STATEMENT (Entire Section B not to exceed one page) L a) What is the unacceptable condition requiring change? b) Who has the need ? c) Where do they live? d) Provide local, state, or national trend data, with reference source, that corroborates that this is an area of need. a. The unacceptable condition is juvenile delinquency that leads to further lives of crime, truancy, dropping out of school, pregnancy, sexual abuse, low self esteem, etc . because the approach has been only to lockup the offenders without changing the behaviors . b. The children in need are the at-risk females between the ages of 7 and 16 who are discouraged learners, have low self-esteem, stressful family conditions, and have exhibited problem behaviors, such as school disciplinary referrals, chronic school truancy, repeated school suspensions, poor academic performance, a history of alcohol, tobacco and other drugs , rebellion, running away, mental and emotional health issues and those with a history of delinquent behavior. C. In Indian River County, 90% of the at-risk females involved in the program are from the surrounding community. d. DJJ's fact sheet on female juvenile offenders quoted Bill Bankhead, "We have a growing problem with serious delinquency among girls . . . Girls need specialized attention and direction on dealing with issues like peer pressure, self image and goal setting. " There has been a 44 % increase in the number of girls arrested annually for committing crimes during the past 10 years . (Percentage of boys only rose 12. 5%) The number of girls arrested for violent felony offenses doubled over the past ten years — and it is expected to continue to climb . In the DJJ report, The Girls Initiative, it stated that girls have unique needs and problems, such as sexual and/or physical abuse, teen pregnancy, poor academic performance and mental health needs . The fact sheet on female offenders states, "The need for appropriate new programs for girls continues . What happens to girls in the system is critical not only because of their large numbers ; girls ' circumstances are different than boys. The relevant issues to girls include avoiding teen pregnancy, getting a good education, learning about health and hygiene, dealing with all kinds of abuse, acquiring parenting skills, developing self esteem and being mentored by a female adult. " (www. dij . state . fl . us/statsnresearch/factsheets/femaleoffenders html) 2a. Identify similar programs that are currently serving the needs of your targeted population; b) Explain how these existing programs are under-serving the targeted population of your program. There are two programs that serve the targeted population, however neither of the programs are structured to address the additional areas provided through the Girl ' s Training Institute. 1 a. Gifford Youth Activity Center provides a day program for all youth, not just females . 1 b . The program does not provide many of the services rendered by our program, i . e . mentoring, community services, Life Skills, Drug 'Awareness and Character Education, overnight stay on- site, meals, recreational, and academic support tracking the girls for six months after successful completion of the program through DJJ, schools and parents . 2a. Hope Academy provides an alternative day program for suspended students from public schools, while the Girl ' s Institute seeks to serve the social , emotional and academic needs of the child, ensuring that all areas are addressed. 5 PROGRAM COVER PAGE Organization Name : Village of Excellence Training Institute for Girls Executive Director. Pastor Andrew Jefferson E-mail : stpetersschool Lwbellsouth . net Address : 4250 38th Avenue Telephone : 772-562-6863 Vero Beach FL 32967 Fax : 772-562 -8920 Program Director:_ Mrs, Doris Starling E-mail : Same as above Address :. Same as above Telephone : Same as above Fax : ` Program Tit lec.,Village of Excellence Training Institute for Girls q 1 �- Priority Need Area Addressed. To reduce iuvenile delinquency and crime Brief Description of the Program : The program seeks to provide for school age children and teens (746wears old) access to a weekend training_progMm that offers recreation academic supportself esteem, character buildingand community services experience The program also provides positive role models through investors to euip the girls with knowledge about substance abuse violence Pregnancy, use hygiene and anna activity SUMMARY REPORT — (Enter Information In The Black Cells Onl Amount Requested from Funder for 2005 /06 : $ 5 1 Total Proposed Program Budget for 2005 / 06 : $ 50 , 349 . 11 Percent of Total Program Budget : t 00 . 0 % Current Program Funding ( 2004 / 05 ) : $ 305000 Dollar increase /( decrease ) in request : $ 30 , 000 Percent increase /( decrease ) in request * * : 151 . 70//o Unduplicated Number of Children to be served Individually : 40 Unduplicated Number of-Adults to be served Individually : _ Unduplicated Number to be served via Group settings : 40 Total Program Cost per Client : 629 . 36 * *If request increased 5 % or more, briefly explain why : The program is requesting an additional ` $9,640. 00 for food as indicated in the variance section of the application 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 ). Andrew Jefferson Name of President/Chair of the Board Sign e LaM Ta for Name of Executive Director/CEO Si a 3 C. PROGRAM DESCRIPTION (Entire Section C, 1 — 6, not to exceed two pages) 1 . List Priority Needs area addressed. To reduce juvenile delinquency and crimes . 2. Briefly describe program activities including location of services. Activities•; Results, and Program Requirements : The following services will be provided/required by the program : tutoring and academic instruction, counseling (rehabilitative, social , mental and emotional), drills for discipline training, character and self esteem building classes, conflict resolution and life skills and parenting classes, rap sessions to develop communication skills , recreational activities, field trips, mentoring, guest speakers, etc . Overall results : reduced juvenile delinquency and increased self esteem and responsibility. Process and Intended Outcomes — Client Involvement from start to finish: Referrals are made by schools, local churches , parents of enrolled girls and from other partnering agencies . The girl is accepted into the program and must participate on every level while attending . The girl ' s school attendance, records, etc . , are closely monitored and discussed during the duration of the program. Above is a list of those areas in which the girls will participate . Expected Outcomes and Changes : The outcomes generally include increased academic performance, decreased negative behavior, improved relationships among peers, increased community awareness and increased awareness of substance abuse addiction, pregnancy and HIV risk factors . The outcomes that would benefit the community include reduced juvenile delinquency, reduced crimes, increased responsibility as a citizen of the community, etc. Follow-up : After successful discharge, the girls are followed up on a monthly basis through DJJ for a total of six months . In addition, a concerned parent/school official is encouraged to contact the program director if there are any situations that arise that might be handled by the program director or counselors . The services are provided at St. Peter ' s Missionary Baptist Church, 4250 38h Avenue, Gifford/Vero Beach, FL 32967 . The hours of operation are from Friday, 4 : 30 p.m. through Saturday, 5 : 00 p1m, 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 Village of Excellence Training Institute addresses the need to reduce juvenile delinquency by providing a program for at-risk females who are affected by chemical addictions, violence, poor family environment, and lack of social and academic skills, poor self esteem and other areas in need of improvement in a female youth ' s life. The focus of this program centers on addressing these young female issues along the same line as DJJ, as indicated in the editorial written by the Secretary of DJJ, Bill Bankhead, where he stated (concerning the DJJ programs), "Individualized resources that meet the needs of the particular juvenile and his or her family are provided. These can include mental health counseling, substance abuse treatment and tutoring . . . to get everyone working together positively on issues and to give the kids a way up and out of failure . " When looking at the Girl ' s Institute, these areas have been addressed through a variety of mediums ; mentors, discipline training, academic accountability, tutoring, parental involvement, community involvement (which increases ties to the community), mental health assessment and counseling, 6 F - substance abuse awareness and referral (if necessary) , etc . The DJJ report on Community Involvement indicated that evidence shows that communities can deter juvenile crime by targeting the key risk factors of truancy, school failure, access to weapons, not enough positive activities to keep kids busy . It indicated that " . . . some of the same strategies that can prevent delinquency from ever. -happening in a child ' s life also can stop a juvenile offender from re- offending and recycling back into the delinquency system. " The articles closes with this statement: "No matter how good an individual juvenile justice program strives to be, a young person sponer or later returns to his home community. " St. Peter' s Girl ' s Program assists in diverting the girl ' s lives away from crimes in their communities . It is a community program that develops community attachments for the youth while addressing the needs that placed the child at risk in the first place. According to DJJ Secretary, Bill Bankhead, " . : . outreach must be done in the neighborhoods where juvenile crime is high. " Governor Bush said of the successful outreaches, " . . . they focus on preserving the unity and integrity of family and emphasizing parental responsibility in dealing with troubled youth. " (www. dii . state , fl . us/features/runawa sy html .) Delinquency prevention is paramount to DJJ ' s plan, which includes three elements : targeting the most at risk, cooperation between community- based programs working with the government to approach families, and accountability through data collection and measurement of program success. The Girl ' s Institute does all three and goes beyond in preventing or reversing the patterns and risk factors associated with delinquency while addressing specific female needs . 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), 1 — Administrator (PT, BA degree preferred, 2 yrs. experience working with at-risk kids .) Oversees the overall operation of the program, including data collection, quarterly reporting and financial management of the program. Supervise and oversee all staff including book-keeping, clerical, operations; must also meet with parents, teachers, and outside agency representatives regarding the program. . 1 — Program Operations Manager (PT, Minimum HS diploma/equivalency, training in child development, at least 2 years experience in working with at-risk children) . Responsible for overnight supervision of program. Will monitor institute teachers and trainers in addressing social and educational needs of the enrollees, ensuring a safe, nurturing environment. House parenting for the weekend and assisting with data collected from schools and teachers . Responsible for planning activities, working with institute staff, mentors and volunteers . 2 - Institute Teachers (Part time. Must have educational and experience in working with at-risk children.) Will teach appropriate educational programs and recreational activities during program hours including computer instruction and reading clinic ; will collect student data, monitor progress and maintain records. 1 — Institute Prevention Coordinator (BA degree in related field and/or 2 years of experience in social setting working with youth. Knowledge of children and teaching basic skills .) Recruitment and new referrals, handle data, planning, parent training, discipline, counseling and quarterly reporting, assist with data collection from schools including school visits on-site monitoring and coordination with teachers . 7 ORGANIZATION: St. Peter' s Human Services PROGRAM: Village of Excellence Training Institute for Girls TABLE OF CONTENTS Please X" the parts of the grant application to indicate that they are included Also, please put the page number where the information can be located. X Section of the Proposal Page # X TABLE OF CONTENTS (check list) X COVER PAGE (with signatures) . . see 0000 . 3 X A. ORGANIZATION CAPABILITY (one page maximum) X . 1 . Mission and Vision of organization. . . . . . . . . . . . . . . . . . . . . . bass . . . . . . . . . . . . . . . . . . . . . . . . 4 X 2 . Summary of expertise, accomplishments, and population served . . . . . . . . . . . . . . . . 4 X Be PROGRAM NEED STATEMENT (one page maximum) X 1 . Program Need Statement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 X 2 . Programs that address need and gaps in service . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 X Co PROGRAM DESCRIPTION (two pages maximum) X L Funding priority . . . . . . . . . . . : . . : . . . . . . . . . . . . . . . . 1111 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 X 2 . Description of program activities ' . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 . . . . . . . . . . . 0 0 . . 1 . . . . . . . 6 X 3 . Evidence that program strategy will work . , sees 6 X 4. Staffing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0066 7 X 5 . Awareness of program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 X 6. Accessibility of program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 X D. MEASURABLE OUTCOMES (two pages maximum) , , , 0 011 , 9111 , see * ON & $ * . ON 9 X E. COLLABORATION (one page maximum) . . . . . . . . . . . . . . . . . . . . . . . . . . . sees . . . . . . . . . . 10 X F. PROGRAM EVALUATION (two pages maximum) X 1 . Demographics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 X 2 . Measures . . . . . . . . . . . . . . . . . . . . . . . . . 0 . . . . . . . 0 . . . . . . . . 0 . . . . . . . . . . 0 0 9 . 0 . . . . . . . . . . . . . . . . . . . . . . . 11 X 3 . Reporting . . . . , , , , , , , , , . , see Do . . . . sees . . . . . . . . . . . . . . . . . . . . . . . 11 X G. TIMETABLE (one page maximum) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I " , , , w e 13 X H. UNDUPLICATED CLIENT COUNT X 1 . Projections by Location . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 X 2 . Projections by Age Group . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 1 N H w z Ono H 004 A o� a ;X4 a w a iw r 5. How will the target population be made aware of the program ? The program continues to provide awareness through wor&of-mouth, advertisement, flyers, local churches, parents of- enrolled girls and through our collaboration with our partnering agencies, { 6. How will the program be accessible to target population (i. e., location, transportation, hours of operation)? The St. Peter' s Village of Excellence Training Institute for girls is located in the heart of 90% of the targeted population. The address is St. Peter' s Missionary Baptist Church, 4250 38`h Avenue, Vero Beach, FL . Transportation is provided by the parents. The program is open from Friday, 4 : 30 p.m. to Saturday, 5 : 00 p.m. z i 8 D. MEASURABLE OUTCOMES (Entire Section D not to exceed two pages) OUTCOMES ACTIVITIES Add all of the elements for the Measurable Outcomes) Add the tasks to accomplish the Outcome(s) OBJECTIVE # 1 Improved academic Provide tutoring each week to enrolled girls performance. Seventy-five (75 %) of the including a designated study hour each week, program participants will increase their GPA Measuring tools — Brigance Comprehensive (grade point average) by a minimum of 25 % by Inventory of Basic Skills pre-post test, report the end of the school term each year, cards and progress reports . OJBECTIVE #2: Decreased Provide rap sessions for enrolled girls weekly. negative/disruptive behavior. Sixty-five Provide mentoring with positive role models percent (65%) of the participants will reduce on a weekly basis. Provide character/self the number of school behavior referrals for esteem training session, and conflict resolution, disruptive behavior, including bullying and Measuring tools : Entrance Behavior aggression toward peers and adults, as Description Report — reviewed beginning, mid measured by school disciplinary records and and end of year — collect and monitor school weekly parent behavior report forms. behavior and discipline forms . OBJECTIVE #3 : Raise awareness level of Invite guest speakers from the Substance chemical addictions, STD and HIV for enrolled Council, Indian River County Health girls, . Eighty-five percent of the girls will show Department, and other agencies. Training increased knowledge of drug abuse addictions sessions will be held by Substance Abuse and effects, STD, and HIV by the end of the Council, IRC Health Department, and other program each year as indicated in pre and post Agencies that will address alcohol, drug abuse, surveys and questionnaires. STD, HIV, abstinence, etc . Measuring tools : pre-post tests/questionnaire . The Institute will hold a minimum of four sessions per year. 9 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 '/z'_' X 11 " paper and number each page . These directions and the graphic boxes may be deleted if space is needed. A. QRGANIZATION CAPABILITY (Entire Section A not to exceed one page) 1 . Provide the mission statement and vision of your organization. Mission Statement: St. Peter' s Human Services, Inc . ' s mission is to increase the success rate of high risk students by providing educational support, drug awareness, and character education through operation of a public school of choice. The organization works cooperatively with established social programs to assist the targeted population of Indian River County in becoming self sufficient members of society. Vision : The St. Peter' s Human Services, Inc . is a non denominational organization in operation since December 1996 . The Agency ' s vision is to address social problems and needs in targeted areas of Indian River County, Florida. The agency is designed to provide short and long term services in the areas. of affordable quality child/daycare services, before and after school childcare, public school of choice for children with special needs who may not be successful in the regular school system, youth intervention programs, and assisted living care for certain targeted groups . FProvide a brief summary of your organization including areas of expertise, lishments, and population served. corporation, the agency has provided quality daycare services for families with es zero to five years of age . The center also serves children who are Title 20 and ALPI Certified. The agency has a chartered public school of choice, serving 90 to 100 "at-risk" students of Indian River County. The Agency has also successfully implemented a Boy ' s Development and Training Program for the targeted population, ages 7 to 16. The program ' s highlights include organized drills, academic support, self esteem/character building, and exploration and exposure to educational and recreational activities through field trips and workshops . The Program is the only one of its kind in Indian River Coun 4 i Be PROGRAM NEED STATEMENT (Entire Section B not to exceed one page) L a) What is the unacceptable condition requiring change? b) Who has the need ? c) Where do they live? d) Provide local, state, or national trend data, with reference source, that corroborates that this is an area of need. a. The unacceptable condition is juvenile delinquency that leads to further lives of crime, truancy, dropping out of school, pregnancy, sexual abuse, low self esteem, etc . because the approach has been only to lockup the offenders without changing the behaviors . b. The children in need are the at-risk females between the ages of 7 and 16 who are discouraged learners, have low self-esteem, stressful family conditions, and have exhibited problem behaviors, such as school disciplinary referrals, chronic school truancy, repeated school suspensions, poor academic performance, a history of alcohol, tobacco and other drugs , rebellion, running away, mental and emotional health issues and those with a history of delinquent behavior. C. In Indian River County, 90% of the at-risk females involved in the program are from the surrounding community. d. DJJ's fact sheet on female juvenile offenders quoted Bill Bankhead, "We have a growing problem with serious delinquency among girls . . . Girls need specialized attention and direction on dealing with issues like peer pressure, self image and goal setting. " There has been a 44 % increase in the number of girls arrested annually for committing crimes during the past 10 years . (Percentage of boys only rose 12. 5%) The number of girls arrested for violent felony offenses doubled over the past ten years — and it is expected to continue to climb . In the DJJ report, The Girls Initiative, it stated that girls have unique needs and problems, such as sexual and/or physical abuse, teen pregnancy, poor academic performance and mental health needs . The fact sheet on female offenders states, "The need for appropriate new programs for girls continues . What happens to girls in the system is critical not only because of their large numbers ; girls ' circumstances are different than boys. The relevant issues to girls include avoiding teen pregnancy, getting a good education, learning about health and hygiene, dealing with all kinds of abuse, acquiring parenting skills, developing self esteem and being mentored by a female adult. " (www. dij . state . fl . us/statsnresearch/factsheets/femaleoffenders html) 2a. Identify similar programs that are currently serving the needs of your targeted population; b) Explain how these existing programs are under-serving the targeted population of your program. There are two programs that serve the targeted population, however neither of the programs are structured to address the additional areas provided through the Girl ' s Training Institute. 1 a. Gifford Youth Activity Center provides a day program for all youth, not just females . 1 b . The program does not provide many of the services rendered by our program, i . e . mentoring, community services, Life Skills, Drug 'Awareness and Character Education, overnight stay on- site, meals, recreational, and academic support tracking the girls for six months after successful completion of the program through DJJ, schools and parents . 2a. Hope Academy provides an alternative day program for suspended students from public schools, while the Girl ' s Institute seeks to serve the social , emotional and academic needs of the child, ensuring that all areas are addressed. 5 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 Substance Abuse Council Drug Awareness Sheriff' s Department Scared Straight Jail Tour IRC Health Department Sexually Transmitted Diseases Gifford Youth Activity Center Seminar, "Raising Them Chaste" Black Faith-Based Organization, Inc . Basketball Tournament IRC Mental Health Center Referrals — Individual and Family Services L 10 F. PROGRAM EVALUATION (Entire Section F not to exceed two pages) FDEMOGRAPHICS : What information (data elements) will you need to collect in order rately describe your target population including demographics (age, gender, and background) -required by the funder in Section H ? What are the pieces of ation 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 information to be collected includes : name, age ethnic background, birth date and grade . To qualify for the target population, a prospective enrollee will be at-risk for at least two of the following conditions : At-risk females between the ages of 7 and 16 who have exhibited at least two of the problem behaviors as follows : school disciplinary referrals , chronic school truancy, repeated school suspensions, poor academic performance, a history of alcohol, tobacco and other drugs, rebellion, running away, mental and emotional health issues and those with a history of delinquent behavior. The unacceptable condition is juvenile delinquency and is documented through DJJ reports, school reports, parent reports, etc . This shall be documented and maintained through a database andspreadsheet programs. 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 ? Data will be collected from participants via progress reports/report cards on a nine week basis . Copies of schedules of activities listing the study hour, rap sessions and dates and times of guest speakers will be maintained on location. An entrance description of behaviors will be maintained and reviewed quarterly for improvement. Upon exiting a program, a summary of progress made while attending the program will be documented. Measurement items include grades, attendance sheets, progress reports, school conduct codes report, pre and post test reports, counselor reports, prevention activity attendance sheets, etc . The progress report/report cards will be collected every nine weeks and at the end of each semester. The schedule of activities will be collected on an on-going basis. The entrance and exit behavior description will be collected upon entering and exiting the program. Progress notes on behavior improvement will be documented quarterly or as needed. After successful discharge, there will be a monthly follow-up for six months via parents , school and DJJ. 11 C. PROGRAM DESCRIPTION (Entire Section C, 1 — 6, not to exceed two pages) 1 . List Priority Needs area addressed. To reduce juvenile delinquency and crimes . 2. Briefly describe program activities including location of services. Activities•; Results, and Program Requirements : The following services will be provided/required by the program : tutoring and academic instruction, counseling (rehabilitative, social , mental and emotional), drills for discipline training, character and self esteem building classes, conflict resolution and life skills and parenting classes, rap sessions to develop communication skills , recreational activities, field trips, mentoring, guest speakers, etc . Overall results : reduced juvenile delinquency and increased self esteem and responsibility. Process and Intended Outcomes — Client Involvement from start to finish: Referrals are made by schools, local churches , parents of enrolled girls and from other partnering agencies . The girl is accepted into the program and must participate on every level while attending . The girl ' s school attendance, records, etc . , are closely monitored and discussed during the duration of the program. Above is a list of those areas in which the girls will participate . Expected Outcomes and Changes : The outcomes generally include increased academic performance, decreased negative behavior, improved relationships among peers, increased community awareness and increased awareness of substance abuse addiction, pregnancy and HIV risk factors . The outcomes that would benefit the community include reduced juvenile delinquency, reduced crimes, increased responsibility as a citizen of the community, etc. Follow-up : After successful discharge, the girls are followed up on a monthly basis through DJJ for a total of six months . In addition, a concerned parent/school official is encouraged to contact the program director if there are any situations that arise that might be handled by the program director or counselors . The services are provided at St. Peter ' s Missionary Baptist Church, 4250 38h Avenue, Gifford/Vero Beach, FL 32967 . The hours of operation are from Friday, 4 : 30 p.m. through Saturday, 5 : 00 p1m, 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 Village of Excellence Training Institute addresses the need to reduce juvenile delinquency by providing a program for at-risk females who are affected by chemical addictions, violence, poor family environment, and lack of social and academic skills, poor self esteem and other areas in need of improvement in a female youth ' s life. The focus of this program centers on addressing these young female issues along the same line as DJJ, as indicated in the editorial written by the Secretary of DJJ, Bill Bankhead, where he stated (concerning the DJJ programs), "Individualized resources that meet the needs of the particular juvenile and his or her family are provided. These can include mental health counseling, substance abuse treatment and tutoring . . . to get everyone working together positively on issues and to give the kids a way up and out of failure . " When looking at the Girl ' s Institute, these areas have been addressed through a variety of mediums ; mentors, discipline training, academic accountability, tutoring, parental involvement, community involvement (which increases ties to the community), mental health assessment and counseling, 6 F - substance abuse awareness and referral (if necessary) , etc . The DJJ report on Community Involvement indicated that evidence shows that communities can deter juvenile crime by targeting the key risk factors of truancy, school failure, access to weapons, not enough positive activities to keep kids busy . It indicated that " . . . some of the same strategies that can prevent delinquency from ever. -happening in a child ' s life also can stop a juvenile offender from re- offending and recycling back into the delinquency system. " The articles closes with this statement: "No matter how good an individual juvenile justice program strives to be, a young person sponer or later returns to his home community. " St. Peter' s Girl ' s Program assists in diverting the girl ' s lives away from crimes in their communities . It is a community program that develops community attachments for the youth while addressing the needs that placed the child at risk in the first place. According to DJJ Secretary, Bill Bankhead, " . : . outreach must be done in the neighborhoods where juvenile crime is high. " Governor Bush said of the successful outreaches, " . . . they focus on preserving the unity and integrity of family and emphasizing parental responsibility in dealing with troubled youth. " (www. dii . state , fl . us/features/runawa sy html .) Delinquency prevention is paramount to DJJ ' s plan, which includes three elements : targeting the most at risk, cooperation between community- based programs working with the government to approach families, and accountability through data collection and measurement of program success. The Girl ' s Institute does all three and goes beyond in preventing or reversing the patterns and risk factors associated with delinquency while addressing specific female needs . 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), 1 — Administrator (PT, BA degree preferred, 2 yrs. experience working with at-risk kids .) Oversees the overall operation of the program, including data collection, quarterly reporting and financial management of the program. Supervise and oversee all staff including book-keeping, clerical, operations; must also meet with parents, teachers, and outside agency representatives regarding the program. . 1 — Program Operations Manager (PT, Minimum HS diploma/equivalency, training in child development, at least 2 years experience in working with at-risk children) . Responsible for overnight supervision of program. Will monitor institute teachers and trainers in addressing social and educational needs of the enrollees, ensuring a safe, nurturing environment. House parenting for the weekend and assisting with data collected from schools and teachers . Responsible for planning activities, working with institute staff, mentors and volunteers . 2 - Institute Teachers (Part time. Must have educational and experience in working with at-risk children.) Will teach appropriate educational programs and recreational activities during program hours including computer instruction and reading clinic ; will collect student data, monitor progress and maintain records. 1 — Institute Prevention Coordinator (BA degree in related field and/or 2 years of experience in social setting working with youth. Knowledge of children and teaching basic skills .) Recruitment and new referrals, handle data, planning, parent training, discipline, counseling and quarterly reporting, assist with data collection from schools including school visits on-site monitoring and coordination with teachers . 7 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? The data will be compiled in a notebook under each activity and also copies of the progress/report cards will be placed in each enrollee ' s file . The information will be provided upon request to any requesting agency, collaborative partners and the Human Service Board of Directors. In areas where the increase in a positive attribute is low or minimal, the program director and board will determine and research new ways to implement a more substantial increase in the positive attribute . 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Y. . r .,. , , .. . a s e., :. ,.. : , �. . . , �, , .. . . . .»... .: . .. -. . .. , .. _ .. „ s.. vr4 �.,.: ar� akt . , : , _:<. r 5 .3 . r , L Y „+. Z.. ^� - , i. . . , . _ ,., . .., . . ! K .. .n -.F1i4 n . e.. . . .,. en. r .( ., i ✓hv 5„ :G*., . tt, , >< tl ,e .F> . e . . .� 3 .. .9.. M. a .41 1 ,a. .. } , %s Y <.. .. c✓,k. Y., Off. , aA>.Ti....L, 3 .. .. If dL df, . . . e , ... . _ . .C , .. , . ". , . . . s.... TS d .,K .u.. ._. i . [x x, .W' :"t4N. , , M . [r . r ;. , n. ; ,> }... ... '9 £ r ':.... s . ., r.. r c' .. . ., S::uF".. If t }'dt: . ,. . .a . l .Y.. . R 6 4 t i ?,.r. ri . ._ I. � . , . ,. .1 a.. , ., . . . e .._ .L. t1 C.,..ri,t . ., e 'Y... i. . ., .. . "3 k. .. i .ar . d tqH. k.a :a p} f::. . _......._,. . ,:.. , ,. ." . . , ,. .., ., .. . . ( h . . ., . , .i i � 4 +.,E., �., n , : r"Sv _. t�'S . . $ i ,1 � b:. .: d _:� ...y: t 1 .:.. x .;;Y• f4 Y.. . 7 ..,..:.v: 4 Y,t ;: ' ".,,1 i to 4 . .,..:,,>y, x [ .+ f W }(z f. _ t. R ' Y : ) . . _ _ r,.::. . .,*':A t C , . . 'zF, C f>v v', r a d1 , r 5 X v �' S I� i' f w k Y°a 1> y . - J [- .k e +i a '.'v[ eo- o-3 .� Tt< _ , at .� ., .� ILI.45 �... a , :,t i t "'S'* rsw ; ; .tF. a "... .A ., v .. , ? v -:;:.. w .. . caa,. , a ..L � . , -en . n „ ,.t4 .,, i ., , . , " ,c .P " I jr. ' _ 5. How will the target population be made aware of the program ? The program continues to provide awareness through wor&of-mouth, advertisement, flyers, local churches, parents of- enrolled girls and through our collaboration with our partnering agencies, { 6. How will the program be accessible to target population (i. e., location, transportation, hours of operation)? The St. Peter' s Village of Excellence Training Institute for girls is located in the heart of 90% of the targeted population. The address is St. Peter' s Missionary Baptist Church, 4250 38`h Avenue, Vero Beach, FL . Transportation is provided by the parents. The program is open from Friday, 4 : 30 p.m. to Saturday, 5 : 00 p.m. z i 8 D. MEASURABLE OUTCOMES (Entire Section D not to exceed two pages) OUTCOMES ACTIVITIES Add all of the elements for the Measurable Outcomes) Add the tasks to accomplish the Outcome(s) OBJECTIVE # 1 Improved academic Provide tutoring each week to enrolled girls performance. Seventy-five (75 %) of the including a designated study hour each week, program participants will increase their GPA Measuring tools — Brigance Comprehensive (grade point average) by a minimum of 25 % by Inventory of Basic Skills pre-post test, report the end of the school term each year, cards and progress reports . OJBECTIVE #2: Decreased Provide rap sessions for enrolled girls weekly. negative/disruptive behavior. Sixty-five Provide mentoring with positive role models percent (65%) of the participants will reduce on a weekly basis. Provide character/self the number of school behavior referrals for esteem training session, and conflict resolution, disruptive behavior, including bullying and Measuring tools : Entrance Behavior aggression toward peers and adults, as Description Report — reviewed beginning, mid measured by school disciplinary records and and end of year — collect and monitor school weekly parent behavior report forms. behavior and discipline forms . OBJECTIVE #3 : Raise awareness level of Invite guest speakers from the Substance chemical addictions, STD and HIV for enrolled Council, Indian River County Health girls, . Eighty-five percent of the girls will show Department, and other agencies. Training increased knowledge of drug abuse addictions sessions will be held by Substance Abuse and effects, STD, and HIV by the end of the Council, IRC Health Department, and other program each year as indicated in pre and post Agencies that will address alcohol, drug abuse, surveys and questionnaires. STD, HIV, abstinence, etc . Measuring tools : pre-post tests/questionnaire . The Institute will hold a minimum of four sessions per year. 9 Type the Organization and Program Name k; National Conference (cost per staff) Training/Seminar (cost per staff) Other Trainings (cost of travel, lodging , registration , food) 29 Office Supplies Office supplies (monthly average x 12 months = estimated cost of office supplies based on present history. _ - 30 Telephone # Phone lines x average cost per month x 12 months = local phone cost • Average long distance calls x 12 months = r . Estimated cost of long distance j < 31 Postage/Shippi ig Quarterly Mailing of Newsletter x , Special events, eta I , - " Bulk mailings - appeals ' ' } w. 32 Utilities } 5uz... Electricity ($ x 12 months) Water/Sewer ($ x 12 months) "' F • Garbage ($ x 12 months) �3 Occupancy (Building S Grounds) v Mortgage/Rent ($ x 12 months) qi! .r a Janitorial ($ x 12 months) T • 'Grounds Maint. ($ x 12 months) Real Estate Taxes k 34 Printing & Publications Quarterly Newsletter ($ x 4) Will • Letterheads, Envelopes, etc. I � Fundraising materials " xs Other -35 Subscription/Dues/Memberships { Membership to National Organization Ats$ RI 3d - F • Dues G Y ' Subscriptions to Newspapers/magazines , MCI . 36 Insurance Directors/Officers Liab. r' •Commercial/General Insurance Bond Ins. Auto Insurance Equipment:Rental & Maintenance z ; Copier lease ($ x 12 months) " ' °' Meter lease {$ x 12 months) Copier Maintenance ($ x 12 months) Computer Maintenance ( $ x 12 months) Other Advertising 500.00 500. 00 500. 00 Newspaper ads z Fundraising ads/promotions F • Other (vacancies) 39 Equipment Purchases :Capital Expense = • Computer/monitor (# x $) € ;y • Laser Printer Professional Fees (Legal, Consulting ) cr - Legal advice ( estimated #hrs x $) t • Consultant fees Other i . 41 Books/Educational Materials 500.00 500 .00 500. 00 r , . • Books/videos ` Materials ($ x staff) .42 Food $ Nutrition 9,656.40 9,656.40 91656.40 srnaooe B-1 u:• r� ,ski C s . _ £ 3 2 it I" ly,'i„ a sx y + rs. �„'tY' sy" a ' y r ,. . x i` +,✓ Y u . .!: r -.:4d 'M.1'L :;ik 4 b ` �tfl t a,f "d prA '. 9"`.. :` r 1 ,. ' .r: r• ,:; € i;.;.,: *:�.r .F. . ..A : .::;r,. xir r 3 . ri: .r t gip');;: vp. 4^`�".d � k . 7 _:w . a „ -F ...i , • i'r. t � — .. . . ... . . ,.,:r ry ai 1:.: >ti ..F9M kyy *, „•. V , . � i r.0 .. Sh£ ::t, k ¢ bY` 'Y. , i t F . s. r Af 3 'MS [r-. r a. f .: ,., _ . . . r . . ..A ..: ,.:.+,e.ss . . , . a., r5'tfi. . . $ y.. r+r. .e 'o is r s,." i F . .:.. 'r a ,r- . s , ,< :. .: t „ .,.: . f .f r .b ...X. r` , . .. :. v i . ;ay.: . i ,u .x . ,.. w, vii . .;a w , .. -k . .j3 ra:.. _ 1 . , . .r.. ::� , , . .... .:4, i t .:.. . r , z . ,.. J .u. , 5:. 9 Wa.. b u. . . 1 .,n . �:`fl a lrk -,L. w �J' .r ,f. v . r. . l . S. o .. . , .. .. , n , t' ._o, � ,,. , , . t . .:, .>: a'Y.t nz r $ . � 4 ;r--.a. 1. .,a•t.3{. 'w'. ">33'"h:,. ..x4a ;7. rar v . a r . � ; . e'e(? , va : ,':' ! w ^i'3:f a "' .::. �, : . ri, .'A p i y Y.A .:l #:aµ;.:v" +' 'hl e y . ,. . ) s ,.', l ae y1 ,P i ra + !' Z c a *{ , +. I 1. 1ur 1 � r. " '. }:.: J , ` .>. •,,r., y 7 :;i a s 1 t si yy . r ' ':f k .! r c nl a s `. . Y 1 r o t` 1 4 t :y, r ' i �' p 8 ri, i .- 7 ;k " '� x , .y r r . i e �` 7 1 .S r :,�f i �°A ' f 9 , a t '. , i f ,k 1 t } i f r V G - 4 L rr ,t r t t , . . ib . , r t ` V : ,.�. ,� r : r 8rA, - 9. >_ ' rf I tt Cr eo m Q a OL CL C) CD OID � � to � ' ,� m m b' � Ln ,L L We 0Ly W N LI CL IL N O y a cx w o a40 g + ao A m r- a a 3c E; CD 2 Ho f c ii' R. a x N m dCL cn x I o F , e a ' r y QJ 'PL le CL v 0 3 z p m w J b 01 rW A t0 J J y 0 W J J 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 Substance Abuse Council Drug Awareness Sheriff' s Department Scared Straight Jail Tour IRC Health Department Sexually Transmitted Diseases Gifford Youth Activity Center Seminar, "Raising Them Chaste" Black Faith-Based Organization, Inc . Basketball Tournament IRC Mental Health Center Referrals — Individual and Family Services L 10 F. PROGRAM EVALUATION (Entire Section F not to exceed two pages) FDEMOGRAPHICS : What information (data elements) will you need to collect in order rately describe your target population including demographics (age, gender, and background) -required by the funder in Section H ? What are the pieces of ation 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 information to be collected includes : name, age ethnic background, birth date and grade . To qualify for the target population, a prospective enrollee will be at-risk for at least two of the following conditions : At-risk females between the ages of 7 and 16 who have exhibited at least two of the problem behaviors as follows : school disciplinary referrals , chronic school truancy, repeated school suspensions, poor academic performance, a history of alcohol, tobacco and other drugs, rebellion, running away, mental and emotional health issues and those with a history of delinquent behavior. The unacceptable condition is juvenile delinquency and is documented through DJJ reports, school reports, parent reports, etc . This shall be documented and maintained through a database andspreadsheet programs. 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 ? Data will be collected from participants via progress reports/report cards on a nine week basis . Copies of schedules of activities listing the study hour, rap sessions and dates and times of guest speakers will be maintained on location. An entrance description of behaviors will be maintained and reviewed quarterly for improvement. Upon exiting a program, a summary of progress made while attending the program will be documented. Measurement items include grades, attendance sheets, progress reports, school conduct codes report, pre and post test reports, counselor reports, prevention activity attendance sheets, etc . The progress report/report cards will be collected every nine weeks and at the end of each semester. The schedule of activities will be collected on an on-going basis. The entrance and exit behavior description will be collected upon entering and exiting the program. Progress notes on behavior improvement will be documented quarterly or as needed. After successful discharge, there will be a monthly follow-up for six months via parents , school and DJJ. 11 4'I Q O d' d o sIN rn rn �r � '� •� I I 1 t 1 i I 1 1 1 1 6 1 N r`-ti O ~ r i 3 hpwi Wa tf, o I {tvi.�•'1 FCi t i C��4 17 tVt J^!p} p ♦ 4 N N CN 00 .`-i PWAW H • , 11yy � I !¢ I r 1 I 1 1 1 1 • 1 I 1 1 0 F 0.1 • ^ U o UUU E ' A o " ^ 0CAI so ccC/�1CS04 1 1 00 C �, r~-y . .-r - -rLf r r - IF rM ir rrL . i M . ( jr" L4 � ( ` ♦ - '� 1 : qq . . . . .IF } , n n , .aief xw' ��rnv'fi .. •� �� , 8 .,n r. eF v : i oh v �- . . .1 . N K . : n F ♦ 1 I ' .. n v [ t Type the Organization and Program Name E , 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, AGENCYIPROGRAM NAME : Boy's Development & Training Institute FUNDER : Children 's Services Council . r . . . - • - - - - - • - - - • - - • - - - - - - - - . _ . . _ . . _ . . _ . . _ . . _ . . - - - - - - - - - - - - - - - - - - - - - - - - - - • - - - - . . _ . . _ . . _ . . - - - - - - - - • i CAUTION : Do not enter any figures where a cell is colored in dark blue - Formulas and/or links are in place. Gray areas should ILL be used for calculations and to write information only. I i REVENUES USE �Y Proposed Total Program Funder Specific Total Agency _` tSfpN0ETA1L Budget Budget Budget Children's Services Councll•St. Lucie 2 Children's Services Council-Martin 3 Advisory Committee-Indian River 50, 349. 11 501349. 11 50, 349. 11 4 United Wa •St. Lucie County 5 United Way-Martin County " zLit, T 6 United Way-Indian River County FItar 7 Deparhment of Children & Families ; . F . r t 8 County Funds fi h 9 Contributions-CashIt loom �fv 10 Program Fees - ;t Fnnd RAlsing Events-Net 12 Sales to Public - Net 13 Membership Dues • 14 Investment Income "` 15 MiscellaneousI art" 16 Legacies & Bequests . ' , 17 funds from Other Sources 18 Reserve Funds Used for Operating s , 19 In-Kind Donations (Not included in total) 20 TOTAL REVENUES ' (doesn't Include line 19) $50, 349. 11 $ 50,349. 11 $ 50 .349. 11 I ' LL . I _t m D EXPENDITURES WAY aFOR Proposed Total Program FundecSpecifc Total Agency ry,.� `( k+;:,0iLt, r °.—, .: sr -- AGENCY USE ONLY - I'LLrt : Iallow Budget Budget Bud et 21 Salaries - (must complete chart on next page 36, 872 . 00 36 , 872 . 00 36 , 872 . 00 a:> ir Salary Ll 22 FICA - Total salaries x 0. 0765 - 7.65% 2 ,820. 71 2 , 820 . 71 21820 .71 Retirement - Annual pension tor qua I ie 23 staff 0 . 00 — - Life/Health - e Ica en o - erm 24 Disab. 0 .00 Workers ompensation - # employees x 25 rate 0 . 00 on a Unemployment - projected > 26 employees x $7,000 x UCT-6 rate 0 . 00 A n POSITISALAROM UST/NG Gross Annual pori►ort of Salary on Proposed, C % of Gross Annual Salary Program Funder Specifl Budget, Salary Po3fdon Tftlel Tofa/ Hrsh�k {Agenc}1 -` Reques d C✓A) un c LL x . , IL ; '- 5117!2005 B-1 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? The data will be compiled in a notebook under each activity and also copies of the progress/report cards will be placed in each enrollee ' s file . The information will be provided upon request to any requesting agency, collaborative partners and the Human Service Board of Directors. In areas where the increase in a positive attribute is low or minimal, the program director and board will determine and research new ways to implement a more substantial increase in the positive attribute . It will also be utilized to determine what is working so that it can be continued. 12 o- edd o� o O O O p e 0 0 0 0 L CJ 1.0 V N 0 IdIdd 0 0 0 0 0 0 0 O r" O N O O p 0 0 0 0 0 0 0 0 0 U 0 0 0 0 0 TJ O [n O 0 0 0 0 0 0 0 0 �-- e- O M ^ M O O O O O O O O O O O O O O O p p O O O O O O O O O O O O O O O p e-- Q V .- V - > > > > > >` > > > > > > > > > >` °' u NVd C w O D D O D p d IL 0 Q � OD mm+� w O O O O O O O O O O O N O y COO 10'� (� N N C O r rn "� co � Q o CD Q Q [• to Cliff) d V .7 C d � Q N H oo V o w v a a m O O O O O O O O coo to CO N o C o to Z E C P v k o IIIIIIIIs C a+ _ d c 0 ^ o N o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 o y h N O O O O O O O o O O O 00 00 p O m ^ m 00 �rddddd M 4 0 0 0 0 O 0 0 0 0 0 0 0 0 0 0 O Q f( r N O 0 0 0 0 N(H Q Cl O O O O F- O O O (V O O O O O O Off" O O O O O O O O O O O o O O co LO Ice)O O Co e- N O O O O . 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National Conference (cost per staff) Training/Seminar (cost per staff) Other Trainings (cost of travel, lodging, registration, food) 29 Office Supplies Office supplies (monthly average x 12 months = estimated cost of office supplies . , based on present history. _ a 30 Telephone k • # Phone lines x average cost per month x =: 12 months = local phone cost Average long distance calls x 12 months = Estimated cost of long distance 31 Postage/Shipping Quarterly Mailing of Newsletter Special events, etc. ` , • Bulk mailings - appeals 32 Utilities Electricity ($ x 12 months) �, ' ,' P •Water/Sewer ($ x 12 months) � , , Garbage ($ x 12 months) � f 33 Occupancy (Building & Grounds) x` Mortgage/Rent ($ x 12 months) h , Janitorial ($ x 12 months) F • Grounds Maint ($ x 12 months) dddd ^ :Real Estate Taxes Printin & Publications ' 9 • : Quarterly Newsletter ($ x 4) k= • Letterheads, Envelopes, etc. ` • Fundraising materials Other 3 Subsciription/Dues/Memberships Membership to National Organization •. Dues • Subscriptions to Newspapers/magazines , etc. as 3t Insurance- Directors/Officers Liab. r Commercial/General Insurance • Bond Ins. r1r - • Auto Insurance K 37 Equipment: Rental & Maintenance -`Copier lease ($ x 12 months) = Meter lease ($ x 12 months) f k., q j �., „: , � :• Copier Maintenance ($ x 12 months) . yl Computer Maintenance ( $ x 12 months) . Other _ :r , r 38 Advertising 500.00 500. 00 500. 00 Newspaper ads Fundraising ads/promotions li Other (vacancies) 39 Equipment Purchases : Capital Expense H • Computer/monitor (# x $) E � Laser Printer , 40 Professional Fees (Legal, Consulting) s _ • Legal advice ( estimated #hrs x $) t , ; • Consultant fees • Other E4�uti " 41 Books/Educational Materials 500 .00 500 .00 500 . 00 u • Books/videos Materials ($ x staff) 42 Food & Nutrition 91656.40 9,656.40 9,656.40 5/172005 B-1 Type the Organization and Program Name k; National Conference (cost per staff) Training/Seminar (cost per staff) Other Trainings (cost of travel, lodging , registration , food) 29 Office Supplies Office supplies (monthly average x 12 months = estimated cost of office supplies based on present history. _ - 30 Telephone # Phone lines x average cost per month x 12 months = local phone cost • Average long distance calls x 12 months = r . Estimated cost of long distance j < 31 Postage/Shippi ig Quarterly Mailing of Newsletter x , Special events, eta I , - " Bulk mailings - appeals ' ' } w. 32 Utilities } 5uz... Electricity ($ x 12 months) Water/Sewer ($ x 12 months) "' F • Garbage ($ x 12 months) �3 Occupancy (Building S Grounds) v Mortgage/Rent ($ x 12 months) qi! .r a Janitorial ($ x 12 months) T • 'Grounds Maint. ($ x 12 months) Real Estate Taxes k 34 Printing & Publications Quarterly Newsletter ($ x 4) Will • Letterheads, Envelopes, etc. I � Fundraising materials " xs Other -35 Subscription/Dues/Memberships { Membership to National Organization Ats$ RI 3d - F • Dues G Y ' Subscriptions to Newspapers/magazines , MCI . 36 Insurance Directors/Officers Liab. r' •Commercial/General Insurance Bond Ins. Auto Insurance Equipment:Rental & Maintenance z ; Copier lease ($ x 12 months) " ' °' Meter lease {$ x 12 months) Copier Maintenance ($ x 12 months) Computer Maintenance ( $ x 12 months) Other Advertising 500.00 500. 00 500. 00 Newspaper ads z Fundraising ads/promotions F • Other (vacancies) 39 Equipment Purchases :Capital Expense = • Computer/monitor (# x $) € ;y • Laser Printer Professional Fees (Legal, Consulting ) cr - Legal advice ( estimated #hrs x $) t • Consultant fees Other i . 41 Books/Educational Materials 500.00 500 .00 500. 00 r , . • Books/videos ` Materials ($ x staff) .42 Food $ Nutrition 9,656.40 9,656.40 91656.40 srnaooe B-1 u:• r� ,ski C s . _ £ 3 2 it I" ly,'i„ a sx y + rs. �„'tY' sy" a ' y r ,. . x i` +,✓ Y u . .!: r -.:4d 'M.1'L :;ik 4 b ` �tfl t a,f "d prA '. 9"`.. :` r 1 ,. ' .r: r• ,:; € i;.;.,: *:�.r .F. . ..A : .::;r,. xir r 3 . ri: .r t gip');;: vp. 4^`�".d � k . 7 _:w . a „ -F ...i , • i'r. t � — .. . . ... . . ,.,:r ry ai 1:.: >ti ..F9M kyy *, „•. 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G r4. � a rvv, Ci . . ref , .v , , ... r+ a. . a , .:: ;Mk ,� at . . . n 3s� . 'skp , , 't/w , x. . .. + t i. a_. ,.. } L , ,., e:'. . , . . -s . _ . . , , . 0 .. o . -...,;. . , ,,.:. ., .. ,, .ir er v v. ,. .. f ,:. .: , , X � R„ 3 , iy; §. .,,.. ,"� ,. . . . . , s a R ,5,.: a ...,. ._ � :. s,:.. .. , s,. :r ae, . .€ . J A . � 4. , + ,# . v , se . � 'Sr'r .4.. . ,_;, ,. r, .% 1 r ..; M r +, r ._ ..._ >! f ,, . . .1. v'.. - .. .. v t, . b: f'! " � t y.....wt k '2'dV.. % k ,y, r . , h” ,,t: . ,r . ,. rl , g . ,::.: 'a" ;tla .n ' s' ._. r , 1mVn. � TYr?'rk'� :A:^� t� '-i?s�:� skp3 ktL � , >-r. ". . . . } :'. a > a ,'. ,1 `a ,7 �, x, b L4a . .. . , 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 - 4'I Q O d' d o sIN rn rn �r � '� •� I I 1 t 1 i I 1 1 1 1 6 1 N r`-ti O ~ r i 3 hpwi Wa tf, o I {tvi.�•'1 FCi t i C��4 17 tVt J^!p} p ♦ 4 N N CN 00 .`-i PWAW H • , 11yy � I !¢ I r 1 I 1 1 1 1 • 1 I 1 1 0 F 0.1 • ^ U o UUU E ' A o " ^ 0CAI so ccC/�1CS04 1 1 00 C �, r~-y . .-r - -rLf r r - IF rM ir rrL . i M . ( jr" L4 � ( ` ♦ - '� 1 : qq . . . . .IF } , n n , .aief xw' ��rnv'fi .. •� �� , 8 .,n r. eF v : i oh v �- . . .1 . N K . : n F ♦ 1 I ' .. n v [ 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 1h Street Vero Beach , Florida 32960-3365 Recipient : St. Peters Academy 4250 38th Avenue Vero Beach , Florida 32967 Pastor Andrew Jefferson , 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 - ACORD CERTIFICATE OF LIABILITY INSURANCE TOP to } „�07 ; e) �, _ TE. PRaOUCER THIS CERTIFICATE IS ISSUED AS A MA ITER OF INFORMATION O' NLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE { Hatcher Insurance , Inc . HOLDER, THIS C.F_RTIFICATE DOES NOT AMEND, EX FEND OR P . 0 . Box 540689 ALTER THE COVERAGE AFFORDED BY THE POLITIES BELOW, Orlando FL 32854 - 0689 Phone : 407 - 841 - 2686 Fax : 407 - 941 - 2589 INSURERS AFFORDING COVERAGE NAIL4 ---- __ - . _ _ __. -- INSURED — I1—INSURER A Fniledw Lui,. a Lr. aurm+ l:• :: oa - _ I I N .r IRE•P 8- :.a "MQ an.l St . Peters Academy Charter SCh I,J„l:nt_Rc St . Peters Human servlC9s , Inc ._. 4250 38th Avenue IFiSURER C ' Vero Beach FL 32967 - 1721 — ---- — ---- - '. INSURER E. COVERAGES THC POLICIES OF 145URd:NGE USIFD W-OW IIAVC 115 "" 1 «30EIDTO TH ,= 1.4 ,a1RPr, NAW.. -) A ,-) r FCR THE Pr:LICY PENIOD 'NDICATED NOT'W1TH� AN7114 [ ANY REQUIREMENT, TERM OR CVNQITION VP ANY CONTPAC" OR OTEirft OI%i.:,'MENT WITH RESPECT TO VV41C � THIS Cr_-F.'TIr ICATS VA`/ E-E I ;E5 'hC UG MAY PERTAIN. THE INSURANCE AFFORDED 13Y THE POLICIES OESCRIMD 11PR'EIN IS Wg.IE^-.T TO ALL ' I' E T[ PMS. F.X 111 IC:r AND CJNCn T1QF!P3 Or 11jr VCLICFS A::GRE�F3F Lih11YS 5HL' 'VVH NAV ! IA .iL CSFIJ Iit_EaR; '3C Li'i aA.!_ CLt :M1iS L .- P- 5�Y EFFF JR ?VOLICY POLICY NUMEER DATE MM ODFYY) DATE MMlOD/YY} , LIMITS LTR RiSRD TYPE Of INSURANCE_ _ —�- I GENERAL LIABILITY i I - Ef1V1i U:: C i:T2ipl'Jt. c `: 1000000 A X X IC1247MERCIALGENERALUARIUTY I PHPK7. 37211 09 / 17 / 05 I 09 / 17 / 06 P.=. �M13ESi. axa+ nnce} 3100000 I - -- -� JLiIMS !AaCE _;� +?:: ;VR t�lcL�_ F_�P`_nY�ae nNr;rni 3 5000 .. Educatorit PYO ` i PHrK137211 09 / 17 / 05 : 09 / 17 % 06 fF .RSU AL 1ADr N +LInY 11000000 i - i I: n I. sG � E • r: ? 000000 CE`J'l A(`.C:2 G_GATE LIM! T AEF^ E 1 'f= P: PF^9UI T , CC t .Pr^,P A Q 3 2000000 I -I PCL ; .. Y j I F _7 LOC I _ ~ AUTOMOH?LL LIADILMY - CO !d@INLD .;1FJ L c. ! I=CFt `I ANY ALTO LEa .ICCrtlenh I ALL OWNED AUTOS � tdOpl!. 5• L'; .i!iP ;: �' . SCitEGULr:v iUTO= osrPeison, I ' ti I I HIPPO AUTOS j - idOtJ-UV`'NEJ hL#TVS I IFer aGptleny PROPERTY 21AMP.CE 5 l GARAGE LIAGMITY AUTO ONLY - FA ACCIDENT t ' i C ANY AUTO OTHER iHAq f-ik n _ �S. _- 1 AUTO ONLY , AuU ( £ -----. . --------- _ - ---_--- -.- ,------ -.._._._._.... I - CXCCS /UMBRELLA LIAWLlrr 1000000 _ sAcl , ac +.+JFRuNcG s A X ' oc:c�JR Ell :LAIW; 0ADE. I PH :?j051459 09 / 17 / 05 09 { 1. 7 / 06 AC-- RscATE 51000000 i DeevcrreLE j ! t RETENTION $ 10000 1 5 WARKERO COMPENSATION AND J- t �We i 'IFA TS ; FF F.MPLOYERIV UASILm _. ... _. _ B , ANY PROPRIETOR+pAATNeR/EXECU7PJE I WC9306445 99 / 17 / 05 09 / 17 / 06 EL EACHA ;4QLz ! T i ; 100000 I OFFICERlMEMQER EXCLUIPE01 I = 1 L1 ;EA9H - E� EMP',O' ci 5_100000 —.., r. Yes, destnt* under SPECIAL PROVISIONS Ue10VI j E . L. C + EASE - POIICYLIMIT S500000 I OTHER I i DESCRIPTION OF OPERATIONS I LOCATIONS l VEHICLES F EXCLUSIONS ADDED CIY ENDORF,EMENT t aPFctAL PNOVISnN:: — Certificate holder is included as additional insured regarding general liability . LiabiJ- ity is limited to Loss or dramaye carising out of negligent acts of the insured , * Except as required by Florida Statute . CERTWICATE HOLDER CANCELLATION _ INDSKIv SHOULD ANY Qh THE ADOW DESCRIBED FOLICIE^, EIE CANCELLED BFFORE THE E:IPIRATION DATE THEREOF, THE If"MANO INSURER WILL ENDEAVOR TO MAIL 30 * _ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TU 1-HE LEFT, BUT FAILURF. TO DO 30 FMALL Indian River County , Florida IMPOSE NO OBLIGATION OR LIA34LITY OF ANY KIND UPON TRE INSURER, ITU AGENTS OR 2840 25th Street Vero Beach FL 32960 - 3365 RrPRF3FNTAnVF&- AUTH2SQP RrPRF w , ACORD 25 (2801108) iZ ACORD CORPORATION 1988 TOTAL P . 02 OCT 17 , 2005 09 : 57 407 841 2688 Page 2 t Type the Organization and Program Name E , 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, AGENCYIPROGRAM NAME : Boy's Development & Training Institute FUNDER : Children 's Services Council . r . . . - • - - - - - • - - - • - - • - - - - - - - - . _ . . _ . . _ . . _ . . _ . . _ . . - - - - - - - - - - - - - - - - - - - - - - - - - - • - - - - . . _ . . _ . . _ . . - - - - - - - - • i CAUTION : Do not enter any figures where a cell is colored in dark blue - Formulas and/or links are in place. Gray areas should ILL be used for calculations and to write information only. I i REVENUES USE �Y Proposed Total Program Funder Specific Total Agency _` tSfpN0ETA1L Budget Budget Budget Children's Services Councll•St. Lucie 2 Children's Services Council-Martin 3 Advisory Committee-Indian River 50, 349. 11 501349. 11 50, 349. 11 4 United Wa •St. Lucie County 5 United Way-Martin County " zLit, T 6 United Way-Indian River County FItar 7 Deparhment of Children & Families ; . F . r t 8 County Funds fi h 9 Contributions-CashIt loom �fv 10 Program Fees - ;t Fnnd RAlsing Events-Net 12 Sales to Public - Net 13 Membership Dues • 14 Investment Income "` 15 MiscellaneousI art" 16 Legacies & Bequests . ' , 17 funds from Other Sources 18 Reserve Funds Used for Operating s , 19 In-Kind Donations (Not included in total) 20 TOTAL REVENUES ' (doesn't Include line 19) $50, 349. 11 $ 50,349. 11 $ 50 .349. 11 I ' LL . I _t m D EXPENDITURES WAY aFOR Proposed Total Program FundecSpecifc Total Agency ry,.� `( k+;:,0iLt, r °.—, .: sr -- AGENCY USE ONLY - I'LLrt : Iallow Budget Budget Bud et 21 Salaries - (must complete chart on next page 36, 872 . 00 36 , 872 . 00 36 , 872 . 00 a:> ir Salary Ll 22 FICA - Total salaries x 0. 0765 - 7.65% 2 ,820. 71 2 , 820 . 71 21820 .71 Retirement - Annual pension tor qua I ie 23 staff 0 . 00 — - Life/Health - e Ica en o - erm 24 Disab. 0 .00 Workers ompensation - # employees x 25 rate 0 . 00 on a Unemployment - projected > 26 employees x $7,000 x UCT-6 rate 0 . 00 A n POSITISALAROM UST/NG Gross Annual pori►ort of Salary on Proposed, C % of Gross Annual Salary Program Funder Specifl Budget, Salary Po3fdon Tftlel Tofa/ Hrsh�k {Agenc}1 -` Reques d C✓A) un c LL x . , IL ; '- 5117!2005 B-1 r I IV, "'. wr a ` F ° .:x 4 1 1 r . a.. ., , ... 2 , u.: . f .rakkT � , •x, : .. . n 9. . .p � at\ z r t Y . .,, : ,. ,s«a a � r .!; � > I . , :y(., � I7F; A� 1.-\ : .. . . v_': 5 • � �73 ,r t yii•. a.: ,.r� / f,r V: . 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CD MSN , ` 1 Ngo =r = Co r N 0 0 0 0 0 0 0 0 .Na W (T co 15 W la CO Ul V O O O O O O N W VI Op O O O O O O O O O O O O N O O O N O O O O O co O o0 0 0 0 0 0 0Saab o I , 3 A to m bD N O � W (11 W N p O O O O O O O p O O C o ES CD A (P m ONM 0 3 0 o rn _ N _N W V, co H m N O O O Q O O O O � a 0 o g g o o g g o g o 0 0 0 0 0 not 0 0 0 0 0 0 0 0 0< < < < < < < < - - 0 0 0 0 0 0 0 V O O O O O O O O O O O O O N 00 0 O O O O O O O o O O O O N A n n f4C O O O O O O O O O O O O 0 O O O Nov - :i4 - 04 13 3 : 29p CERTIFICATE OF INSURANCE SUCH INSURANCE AS R SPECfS fHE INTEREST OF THE CERTIFICATE HOLDER WILL NOT BE CANCELED OR OTHERWISE K NITHOUT GIVING 10 DAYS PRIOR WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED BELOW, BUT IN NO THIS CERTIFICATE BE VALID MORE THAN 30 DAYS FROM THE DATE WRITTEN. THIS CERTIFICATE OF INSURANCE ANGE THE COVERAGE PROVIDED BY ANY POLICY DESCRIBED BELOW.t: ® STATE FARM Mlj:'i JAL AUTCMOBILE INSURANCE COMPANY of Blacmiigion. ! Ilinoss . cr .ATE FARM F! RE AND CASUA_"r COMPANY of Cloo, ringWri. 19incis harp cov5rage in force -or the foliowing ;Nemec Insured as shown below : Named onsurea St. Peter's 'Aissionary Baptist Ch ,irch Inc. Adc:ress of Named Insurea 4250 38 `N Avs . b'ero Beach . FL 32967 ap :i0y ntibtBcR 8402332C0955f QT 0534-A03.5 I " 9A I u73 5141 .327-59 1840 21!32•009. 59 EFFEC lVE DATE 0= 10,'09104.05109;'05 07f03/1441101105 08127.104.02127105 10r09104.04108105 j 1994 C'00GE 8350 VAN i 1981 INTEL BUS 11996 FORD ' 99A DODGE DESCRIPTICV OF ! E150 'JAN 8350 VAN VEHIC= ! LIZL1'Y COVERAGE SYEo ❑ NC L AYES ❑ NC '0YES ❑NO AYES ONO JWTS OF UA31LfT`.' -� - - '-- - — — 3. Bodily ; tiury I � "m Person I i e. BodiiyInjury Each Accident b. Prcper(y Camape i C. aadily .. niury & '. . . Froperty Damage S1 , D00 .000 . 00 31 000, D00.00 ( S1 , 000,000.00 S1 OOD, 000 .00 Single Lind Esr h 1 I ' Acc, dent _ = F,—`( SICAL DAMAGra �yES '--❑NG YES— —�NO 7- YES _ G ❑ NC AYES NQ t;OVERAGES $250 00 ocductibltr ! $23C .00 Deductible 1 $230 00 Deductible $250 00 De&0ble _ __ a. Comprbhrnsive _ _ __ � �x..IYES ❑ rio -� AYES ❑ NO i MYES ONO ( AYES No a. C�)[fsior! C500 • I;0 Deductible 600.0U Deductible I 500. 0 Deductible $500 -00 Deductible waft :MPLOYER'S CU COVERAGE ❑ Y =S y+J AYES EINC I ❑ YFS t1'0 ❑YES ANO HIRED CAR COVERAGE _jyes ONO oycES 'c NO UYES ONO Es Ager.: 2733 11104;'04 ignatu re of Au1~+orized Repr ntative TNotitle Ageni 's Cade Number ;Jets Name and Address of Cartificate Holder Name and Address of Agent David E . Hedges , Sia'-e Farm Insurance Agency Indian River County 2601 20" Street Suite 5 Vero Beach , FL 32960 Check Ka permanent Certificate cf insurance for liability .overage is needed : C; ieck if the Certificate Hotraei should be added as an Additional lasured: 71 18514 :!o C F.v.. h}3i r'.trrtd] In L + 1 Lgu�1=47 COMMERCE AND INDUSTRY INSURANCE COMPANY 15172 76119 - 0000 WC 930 - 64 - 4 : - -- - - - - - - -- - - - - - - - - -- - - -- - -- - -- - - - - - - - - - 013 - 82 - 0905 - 00 111 NEW YORK . ai . ST . PETER ' S ACADEMY CHARTER SCHOOL 4250 38TH AVEMember Companies of �� VERO BEACH , FL 32697 - 0000 American International Group EXECUTIVE OFFICES : SEE NAME AND ADDRESS SCHEDULE - WC990610 70 PINE STREET, NEW YORK, N . Y. 10270 I . D# 091045710 FL UI # : Hatcher Insurance Inc . PO Box 540689 WORKERS COMPENSATION AND EMPLOYERS Orlando , FL 322854 LIABILITY POLICY INFORMATION PAGE INSURED IS PREVIOUS POLICY NUMBER CORPORATION RENEWAL 007754294 OTHER WORKPLACES NOT SHOWN ABOVE: SEE NAME AND ADDRESS SCHEDULE - WC 0610 ITEM 2 POLICY PERIOD 12:01 A. M. standard time at the insured 's mailing address FROM 09 / 17 / 05 TO 09 / 17 / 06 ITEM 3 A. Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation Law of the states listed here: FL B. Employers Liability Insurance: Part Two of the policy applies to the work in each state listed in item 3 .A . The limits of our liability under Part Two are: Bodily Injury by Accident $ 100 , 000 each accident Bodily Injury by Disease $ _ 500 . 000 policy limit Bodily Injury by Disease $ 100 . 000 each employee C. Other States Insurance: Part Three of the policy applies to the states, if any, listed here: AK AL AR AZ CO CT DC DE GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC NE NH NJ NM NV NY OK OR PA RI SC SD TN TX UT VA VT WI ITEM 4 The premium for this policy will be determined by our Manuals of Rules , Classifications , Rates and Rating Plans . All information required below is subject to verification and change by audit. Estimated Total Rate Per Estimated Classifications Code Number Remuneration $ 100 OF Re- Premium Annual ❑ 3 Year muneration a Annual 3 Year SEE EXTENSION OF INFORMATION PAGE - WC7754 EXPENSE CONSTANT (EXCEPT WHERE APPLICABLE BY STATE) $ 2OO FL MINIMUM PREMIUM $ 1 r 000 FL TOTAL ESTIMATED PREMIUM $ 9 , 656 If indicated below, interim adjustments of premium shall be made . 11 Semi -Annually El Quarterly Monthly DEPOSIT PREMIUM ENDORSEMENTS ( FORM NUMBER ) SEE ATTACHED FORM SCHEDULE - WC990612 07 / 25 / 05 PARSIPPANY 82 Issue Date 39967 Issuing Office Authorized Representative wC 00 00 01 INSURED ' S COPY ; - i Type the Organization and Program Name . ,`. . National Conference (cost per staff) Training/Seminar (cost per staff) Other Trainings (cost of travel, lodging, registration, food) 29 Office Supplies Office supplies (monthly average x 12 months = estimated cost of office supplies . , based on present history. _ a 30 Telephone k • # Phone lines x average cost per month x =: 12 months = local phone cost Average long distance calls x 12 months = Estimated cost of long distance 31 Postage/Shipping Quarterly Mailing of Newsletter Special events, etc. ` , • Bulk mailings - appeals 32 Utilities Electricity ($ x 12 months) �, ' ,' P •Water/Sewer ($ x 12 months) � , , Garbage ($ x 12 months) � f 33 Occupancy (Building & Grounds) x` Mortgage/Rent ($ x 12 months) h , Janitorial ($ x 12 months) F • Grounds Maint ($ x 12 months) dddd ^ :Real Estate Taxes Printin & Publications ' 9 • : Quarterly Newsletter ($ x 4) k= • Letterheads, Envelopes, etc. ` • Fundraising materials Other 3 Subsciription/Dues/Memberships Membership to National Organization •. Dues • Subscriptions to Newspapers/magazines , etc. as 3t Insurance- Directors/Officers Liab. r Commercial/General Insurance • Bond Ins. r1r - • Auto Insurance K 37 Equipment: Rental & Maintenance -`Copier lease ($ x 12 months) = Meter lease ($ x 12 months) f k., q j �., „: , � :• Copier Maintenance ($ x 12 months) . yl Computer Maintenance ( $ x 12 months) . Other _ :r , r 38 Advertising 500.00 500. 00 500. 00 Newspaper ads Fundraising ads/promotions li Other (vacancies) 39 Equipment Purchases : Capital Expense H • Computer/monitor (# x $) E � Laser Printer , 40 Professional Fees (Legal, Consulting) s _ • Legal advice ( estimated #hrs x $) t , ; • Consultant fees • Other E4�uti " 41 Books/Educational Materials 500 .00 500 .00 500 . 00 u • Books/videos Materials ($ x staff) 42 Food & Nutrition 91656.40 9,656.40 9,656.40 5/172005 B-1 M O G Go r ' to r 64 V M O rn r r O M m to Z Q a el I of p� Life - f� - 5 of _ . . lle. y P` asi 3 lyr ':: f i FLeeA p 41 f ' ? OL _ rrr N _ K . .: .. 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". . . . } :'. a > a ,'. ,1 `a ,7 �, x, b L4a . .. . , 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 1h Street Vero Beach , Florida 32960-3365 Recipient : St. Peters Academy 4250 38th Avenue Vero Beach , Florida 32967 Pastor Andrew Jefferson , 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 - ACORD CERTIFICATE OF LIABILITY INSURANCE TOP to } „�07 ; e) �, _ TE. PRaOUCER THIS CERTIFICATE IS ISSUED AS A MA ITER OF INFORMATION O' NLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE { Hatcher Insurance , Inc . HOLDER, THIS C.F_RTIFICATE DOES NOT AMEND, EX FEND OR P . 0 . Box 540689 ALTER THE COVERAGE AFFORDED BY THE POLITIES BELOW, Orlando FL 32854 - 0689 Phone : 407 - 841 - 2686 Fax : 407 - 941 - 2589 INSURERS AFFORDING COVERAGE NAIL4 ---- __ - . _ _ __. -- INSURED — I1—INSURER A Fniledw Lui,. a Lr. aurm+ l:• :: oa - _ I I N .r IRE•P 8- :.a "MQ an.l St . Peters Academy Charter SCh I,J„l:nt_Rc St . Peters Human servlC9s , Inc ._. 4250 38th Avenue IFiSURER C ' Vero Beach FL 32967 - 1721 — ---- — ---- - '. INSURER E. COVERAGES THC POLICIES OF 145URd:NGE USIFD W-OW IIAVC 115 "" 1 «30EIDTO TH ,= 1.4 ,a1RPr, NAW.. -) A ,-) r FCR THE Pr:LICY PENIOD 'NDICATED NOT'W1TH� AN7114 [ ANY REQUIREMENT, TERM OR CVNQITION VP ANY CONTPAC" OR OTEirft OI%i.:,'MENT WITH RESPECT TO VV41C � THIS Cr_-F.'TIr ICATS VA`/ E-E I ;E5 'hC UG MAY PERTAIN. THE INSURANCE AFFORDED 13Y THE POLICIES OESCRIMD 11PR'EIN IS Wg.IE^-.T TO ALL ' I' E T[ PMS. F.X 111 IC:r AND CJNCn T1QF!P3 Or 11jr VCLICFS A::GRE�F3F Lih11YS 5HL' 'VVH NAV ! IA .iL CSFIJ Iit_EaR; '3C Li'i aA.!_ CLt :M1iS L .- P- 5�Y EFFF JR ?VOLICY POLICY NUMEER DATE MM ODFYY) DATE MMlOD/YY} , LIMITS LTR RiSRD TYPE Of INSURANCE_ _ —�- I GENERAL LIABILITY i I - Ef1V1i U:: C i:T2ipl'Jt. c `: 1000000 A X X IC1247MERCIALGENERALUARIUTY I PHPK7. 37211 09 / 17 / 05 I 09 / 17 / 06 P.=. �M13ESi. axa+ nnce} 3100000 I - -- -� JLiIMS !AaCE _;� +?:: ;VR t�lcL�_ F_�P`_nY�ae nNr;rni 3 5000 .. Educatorit PYO ` i PHrK137211 09 / 17 / 05 : 09 / 17 % 06 fF .RSU AL 1ADr N +LInY 11000000 i - i I: n I. sG � E • r: ? 000000 CE`J'l A(`.C:2 G_GATE LIM! T AEF^ E 1 'f= P: PF^9UI T , CC t .Pr^,P A Q 3 2000000 I -I PCL ; .. Y j I F _7 LOC I _ ~ AUTOMOH?LL LIADILMY - CO !d@INLD .;1FJ L c. ! I=CFt `I ANY ALTO LEa .ICCrtlenh I ALL OWNED AUTOS � tdOpl!. 5• L'; .i!iP ;: �' . SCitEGULr:v iUTO= osrPeison, I ' ti I I HIPPO AUTOS j - idOtJ-UV`'NEJ hL#TVS I IFer aGptleny PROPERTY 21AMP.CE 5 l GARAGE LIAGMITY AUTO ONLY - FA ACCIDENT t ' i C ANY AUTO OTHER iHAq f-ik n _ �S. _- 1 AUTO ONLY , AuU ( £ -----. . --------- _ - ---_--- -.- ,------ -.._._._._.... I - CXCCS /UMBRELLA LIAWLlrr 1000000 _ sAcl , ac +.+JFRuNcG s A X ' oc:c�JR Ell :LAIW; 0ADE. I PH :?j051459 09 / 17 / 05 09 { 1. 7 / 06 AC-- RscATE 51000000 i DeevcrreLE j ! t RETENTION $ 10000 1 5 WARKERO COMPENSATION AND J- t �We i 'IFA TS ; FF F.MPLOYERIV UASILm _. ... _. _ B , ANY PROPRIETOR+pAATNeR/EXECU7PJE I WC9306445 99 / 17 / 05 09 / 17 / 06 EL EACHA ;4QLz ! T i ; 100000 I OFFICERlMEMQER EXCLUIPE01 I = 1 L1 ;EA9H - E� EMP',O' ci 5_100000 —.., r. Yes, destnt* under SPECIAL PROVISIONS Ue10VI j E . L. C + EASE - POIICYLIMIT S500000 I OTHER I i DESCRIPTION OF OPERATIONS I LOCATIONS l VEHICLES F EXCLUSIONS ADDED CIY ENDORF,EMENT t aPFctAL PNOVISnN:: — Certificate holder is included as additional insured regarding general liability . LiabiJ- ity is limited to Loss or dramaye carising out of negligent acts of the insured , * Except as required by Florida Statute . CERTWICATE HOLDER CANCELLATION _ INDSKIv SHOULD ANY Qh THE ADOW DESCRIBED FOLICIE^, EIE CANCELLED BFFORE THE E:IPIRATION DATE THEREOF, THE If"MANO INSURER WILL ENDEAVOR TO MAIL 30 * _ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TU 1-HE LEFT, BUT FAILURF. TO DO 30 FMALL Indian River County , Florida IMPOSE NO OBLIGATION OR LIA34LITY OF ANY KIND UPON TRE INSURER, ITU AGENTS OR 2840 25th Street Vero Beach FL 32960 - 3365 RrPRF3FNTAnVF&- AUTH2SQP RrPRF w , ACORD 25 (2801108) iZ ACORD CORPORATION 1988 TOTAL P . 02 OCT 17 , 2005 09 : 57 407 841 2688 Page 2 Nov - :i4 - 04 13 3 : 29p CERTIFICATE OF INSURANCE SUCH INSURANCE AS R SPECfS fHE INTEREST OF THE CERTIFICATE HOLDER WILL NOT BE CANCELED OR OTHERWISE K NITHOUT GIVING 10 DAYS PRIOR WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED BELOW, BUT IN NO THIS CERTIFICATE BE VALID MORE THAN 30 DAYS FROM THE DATE WRITTEN. THIS CERTIFICATE OF INSURANCE ANGE THE COVERAGE PROVIDED BY ANY POLICY DESCRIBED BELOW.t: ® STATE FARM Mlj:'i JAL AUTCMOBILE INSURANCE COMPANY of Blacmiigion. ! Ilinoss . cr .ATE FARM F! RE AND CASUA_"r COMPANY of Cloo, ringWri. 19incis harp cov5rage in force -or the foliowing ;Nemec Insured as shown below : Named onsurea St. Peter's 'Aissionary Baptist Ch ,irch Inc. Adc:ress of Named Insurea 4250 38 `N Avs . b'ero Beach . FL 32967 ap :i0y ntibtBcR 8402332C0955f QT 0534-A03.5 I " 9A I u73 5141 .327-59 1840 21!32•009. 59 EFFEC lVE DATE 0= 10,'09104.05109;'05 07f03/1441101105 08127.104.02127105 10r09104.04108105 j 1994 C'00GE 8350 VAN i 1981 INTEL BUS 11996 FORD ' 99A DODGE DESCRIPTICV OF ! E150 'JAN 8350 VAN VEHIC= ! LIZL1'Y COVERAGE SYEo ❑ NC L AYES ❑ NC '0YES ❑NO AYES ONO JWTS OF UA31LfT`.' -� - - '-- - — — 3. Bodily ; tiury I � "m Person I i e. BodiiyInjury Each Accident b. Prcper(y Camape i C. aadily .. niury & '. . . Froperty Damage S1 , D00 .000 . 00 31 000, D00.00 ( S1 , 000,000.00 S1 OOD, 000 .00 Single Lind Esr h 1 I ' Acc, dent _ = F,—`( SICAL DAMAGra �yES '--❑NG YES— —�NO 7- YES _ G ❑ NC AYES NQ t;OVERAGES $250 00 ocductibltr ! $23C .00 Deductible 1 $230 00 Deductible $250 00 De&0ble _ __ a. Comprbhrnsive _ _ __ � �x..IYES ❑ rio -� AYES ❑ NO i MYES ONO ( AYES No a. C�)[fsior! C500 • I;0 Deductible 600.0U Deductible I 500. 0 Deductible $500 -00 Deductible waft :MPLOYER'S CU COVERAGE ❑ Y =S y+J AYES EINC I ❑ YFS t1'0 ❑YES ANO HIRED CAR COVERAGE _jyes ONO oycES 'c NO UYES ONO Es Ager.: 2733 11104;'04 ignatu re of Au1~+orized Repr ntative TNotitle Ageni 's Cade Number ;Jets Name and Address of Cartificate Holder Name and Address of Agent David E . Hedges , Sia'-e Farm Insurance Agency Indian River County 2601 20" Street Suite 5 Vero Beach , FL 32960 Check Ka permanent Certificate cf insurance for liability .overage is needed : C; ieck if the Certificate Hotraei should be added as an Additional lasured: 71 18514 :!o C F.v.. h}3i r'.trrtd] In L + 1 Lgu�1=47 COMMERCE AND INDUSTRY INSURANCE COMPANY 15172 76119 - 0000 WC 930 - 64 - 4 : - -- - - - - - - -- - - - - - - - - -- - - -- - -- - -- - - - - - - - - - 013 - 82 - 0905 - 00 111 NEW YORK . ai . ST . PETER ' S ACADEMY CHARTER SCHOOL 4250 38TH AVEMember Companies of �� VERO BEACH , FL 32697 - 0000 American International Group EXECUTIVE OFFICES : SEE NAME AND ADDRESS SCHEDULE - WC990610 70 PINE STREET, NEW YORK, N . Y. 10270 I . D# 091045710 FL UI # : Hatcher Insurance Inc . PO Box 540689 WORKERS COMPENSATION AND EMPLOYERS Orlando , FL 322854 LIABILITY POLICY INFORMATION PAGE INSURED IS PREVIOUS POLICY NUMBER CORPORATION RENEWAL 007754294 OTHER WORKPLACES NOT SHOWN ABOVE: SEE NAME AND ADDRESS SCHEDULE - WC 0610 ITEM 2 POLICY PERIOD 12:01 A. M. standard time at the insured 's mailing address FROM 09 / 17 / 05 TO 09 / 17 / 06 ITEM 3 A. Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation Law of the states listed here: FL B. Employers Liability Insurance: Part Two of the policy applies to the work in each state listed in item 3 .A . The limits of our liability under Part Two are: Bodily Injury by Accident $ 100 , 000 each accident Bodily Injury by Disease $ _ 500 . 000 policy limit Bodily Injury by Disease $ 100 . 000 each employee C. Other States Insurance: Part Three of the policy applies to the states, if any, listed here: AK AL AR AZ CO CT DC DE GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC NE NH NJ NM NV NY OK OR PA RI SC SD TN TX UT VA VT WI ITEM 4 The premium for this policy will be determined by our Manuals of Rules , Classifications , Rates and Rating Plans . All information required below is subject to verification and change by audit. Estimated Total Rate Per Estimated Classifications Code Number Remuneration $ 100 OF Re- Premium Annual ❑ 3 Year muneration a Annual 3 Year SEE EXTENSION OF INFORMATION PAGE - WC7754 EXPENSE CONSTANT (EXCEPT WHERE APPLICABLE BY STATE) $ 2OO FL MINIMUM PREMIUM $ 1 r 000 FL TOTAL ESTIMATED PREMIUM $ 9 , 656 If indicated below, interim adjustments of premium shall be made . 11 Semi -Annually El Quarterly Monthly DEPOSIT PREMIUM ENDORSEMENTS ( FORM NUMBER ) SEE ATTACHED FORM SCHEDULE - WC990612 07 / 25 / 05 PARSIPPANY 82 Issue Date 39967 Issuing Office Authorized Representative wC 00 00 01 INSURED ' S COPY