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HomeMy WebLinkAbout2005-328i INDIAN RIVER COUNTY GRANT CONTRACT This Grant Contract ("Contract") entered into effective thiWatof day of October 2005 , by and between Indian River County, a political subdivision of the Florida ; 1840 25thStreet , Vero Beach , Florida , 32960-3365 ; and Boys & Girls Clubs of Indian River County, Inc . , ( Recipient) , of: Boys & Girls Clubs of Indian River County, Inc . P . O . Box 643068 Vero Beach , Florida 32964 Youth Volunteer Corps Background Recitals als 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") , andstablished the Children 's Services Advisory Committee to promote healthy children i a healthy community, and to provide a unified system of planning and delivery w thin 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 Advisoryommittee , has applied for a grant of money ("Grant") for the Grant Period (as su C ch 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 ontained , and other good and valuable consideration , the receipt and adequacy of which ae 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 omplete proposal submitted by the Recipient , attached hereto as Exhibit "A" and incorporate 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 rear 2005/2006 ("Grant Period") , The Grant Period commences on October 1 , 2005 and lends on September 30 , 2006 . INDIAN RIVER COUNTY GRANT CONTRACT This Grant Contract ("Contract") entered into effective thiWatof day of October 2005 , by and between Indian River County, a political subdivision of the Florida ; 1840 25thStreet , Vero Beach , Florida , 32960-3365 ; and Boys & Girls Clubs of Indian River County, Inc . , ( Recipient) , of: Boys & Girls Clubs of Indian River County, Inc . P . O . Box 643068 Vero Beach , Florida 32964 Youth Volunteer Corps Background Recitals als 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") , andstablished the Children 's Services Advisory Committee to promote healthy children i a healthy community, and to provide a unified system of planning and delivery w thin 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 Advisoryommittee , has applied for a grant of money ("Grant") for the Grant Period (as su C ch 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 ontained , and other good and valuable consideration , the receipt and adequacy of which ae 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 omplete proposal submitted by the Recipient , attached hereto as Exhibit "A" and incorporate 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 rear 2005/2006 ("Grant Period") , The Grant Period commences on October 1 , 2005 and lends on September 30 , 2006 . 4 . Grant Funds and Payment . The approved Grant for the Grant Period is : THIRTY SIX THOUSAND , ONE HUNDRED SIX DOLLARS ($36 , 106 . 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 - r � 4 . Grant Funds and Payment . The approved Grant for the Grant Period is : THIRTY SIX THOUSAND , ONE HUNDRED SIX DOLLARS ($36 , 106 . 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 ; 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: Thomas S . Lowther, Chairman BCC Approved : /© 'y_ p Attest: J . K . Barton , Clerk p �v /, , Deputy Clerk ' ° . . ,?�r Approved : ' Jose h A. Baird a ; County Administrator 3 ` L qse n Appr o form and legal sufficiency: B Marian E . Fell , Assis t County Attorney R BY: Boys & Girls Clubs of Indian River County, Inc . - 4 - I � damage , including coverage for premises/operations , product/completed operations , contractual liability, and independent contractors ; Business Auto Liability Insurance in an amount not less than $ 1 , 000 , 000 per occurrence combined single limit for bodily injury and property damage , including coverage for owned autos and other vehicles , hired autos and other vehicles , non -owned autos and other vehicles ; and (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 - Boys & Girls Club of Indian River County, Inc. — Youth Volunteer Corps Grant Application to the Children's Services Advisory Committee PROGRAM COVER PAGE for 2005-2006 Organization Name : Boys & Girls Clubs of Indian River County Inc. President & CEO : Ronnie Hewett E-mail : RHewett BGCkhotmail . com Address : P . O . Box 643068 Telephone : 772-299 -7449 Vero Beach, Florida 32964 Fax : 772-299-3840 Director of Operations : Parris Westbrook E-mail : ParrisBGCIRCkmsn . com Address : P . O . Box 643068 Telephone : 772-299-7449 Vero Beach, Florida 32964 Fax : 772-299-3840 pr gram Title Youth Volunteer Corpse Priority Need Area Addressed: Mental Wellness Issues & Childcare Access Brief Description of the Program : Juvenile Delinquency Prevention — FN 150 . 360 YVC Programs offer a variety of activities for youth who are at risk for behavior which is likely to involve them in the juvenile Justice system with the objective of assisting them to improve self-esteem to become aware of alternative ways of dealing with feelings and leisure time, and to take responsibility for the consequences of their actions . Included may be counseling rap and discussion groups , tutoring companionship programs, alternative peer group experiences and supervised recreational activities . SUMMARY REPORT — (Enter Information In The Black Cells Only) Amount Requested from Funder for 2005 / 06 : $ 40 , 000 . 00 Total Proposed Program Budget for 2005 / 06 : $ 172 , 465 . 25 Percent of Total Program Budget : 23 . 2 % Current Funding ( 2004 / 05 ) : $ 35 , 000 . 00 Dollar increase / ( decrease ) in request : $ 5 , 000 . 00 Percent increase / ( decrease ) in request * * : 14 . 3 % Un up tcate Number o Children to a serve Individually : 13600 Unduplicated Number of Adults to be served Individually : 141 Unduplicated Number to be served via Group settings : 195 Total Program Cost per Client : $ 89 . 08 * * If request increased 5 % or more, briefly explain why : We have secured a facility to house the YVC program which will enable us to serve additional youth as well as eland services to teens . While we anticipate gaining use of the facility free of charge there will be increased costs for staff, insurance and utilities . If these funds are being used to match another source, name the source and the $ amount : N/A The Organization 's Board of Directors has approved this applicatt n o (date). April 20, 2005 Jay McNamara Name of President/Chair of the Board a e Ronnie Hewett Name of Executive Director/CEO Signature 1 IN WITNESS WHEREOF , County and Recipient have entered into this Contract on the date first above written . INDIAN RIVER COUNTY BOARD OF COMMISSIONERS By: Thomas S . Lowther, Chairman BCC Approved : /© 'y_ p Attest: J . K . Barton , Clerk p �v /, , Deputy Clerk ' ° . . ,?�r Approved : ' Jose h A. Baird a ; County Administrator 3 ` L qse n Appr o form and legal sufficiency: B Marian E . Fell , Assis t County Attorney R BY: Boys & Girls Clubs of Indian River County, Inc . - 4 - Boys & Girls Club of Indian River County, Inc. — Youth Volunteer Corps Grant Application to the Children 's Services Advisory Committee ORGANIZATION : Boys & Girls Clubs of Indian River County, Inc. PROGRAM : Youth Volunteer Corns TABLE OF CONTENTS for 2005-2006 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 I Section of the Proposal -Page # X COVER PAGE (with signatures) . 1 X TABLE OF CONTENTS (checklist) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 A. ORGANIZATION CAPABILITY (one page maximum) X 1 . Mission and Vision of organization . . . 00 , to a 0 * 10 Is , I 1 4 X 2 . Summary of expertise, accomplishments, and population served . . 0 1 1 6 0 0 a a 1 4 B . PROGRAM NEED STATEMENT (one page maximum) X 1 . Program Need Statement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 X 2 . Programs that address need and gaps in service . . . . . , . , . , . . . . . . . . . . . . . . . . . . . . . . . . . . 5 C. PROGRAM DESCRIPTION (two pages maximum) X 1 . Funding priority . . . . , , " , ' , , . . . . . . . . . a 0 0 0 . . . . 0 . . . . . . . . . . . . . . . . . . . . . . . . . 6 X 2 . Description of program activities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 X 3 . Evidence that program strategy will work . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 X4 . Staffing , . . . . . . . . . . . . . . . 0 1 0 1 1 1 1 1 1 a I I # a 0 so 0 a a * a 0 , 0 a I I a 0 6 0 a 0 0 * a 1 4 0 1 a * go 7 X 5 . Awareness of program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 X 6 . Accessibility of program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 7 X D. MEASURABLE OUTCOMES (two pages maximum) 8 X E. COLLABORATION (one page maximum) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 F. PROGRAM EVALUATION (two pages maximum) X 1 . Demographics . . 10 X2 . Measures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 X3 . Reporting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I 1 0 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 X G. TIMETABLE (one page maximum) . . . . . . . . . . . . . . . . . 12 H. UNDUPLICATED CLIENT COUNT X 1 . Projections by Location . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 X 2 . Projections by Age Group , . . . , . 011 . 1 . . . . . . . . . . . . . . . . . . . . . . 13 I. BUDGET FORMS X 1 . Financial Budget Forms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 2 Boys & Girls Club of Indian River County, Inc. — Youth Volunteer Corps Grant Application to the Children's Services Advisory Committee J. FUNDER SPECIFIC/ADDITIONAL SHEETS (On White Paper) X 1 . List of current officers and directors . . . a 0 0 9 0 0 1 0 0 1 1 1 * 0 . . . . . . J- 1 2 . Latest Financial Audit Report & Management Letter that conforms with the X AICPA Audit Guide . . . . . . . . . . . . . . . . . . . . . . . . . . J-2 X 3 . Most recent IRS Form 990, Including all schedules . . " . , J- 13 4 . Most recent Internal Financial Statement (i . e . : Balance Sheet and Operating XBudget) . . , If 9 00 , 01011 , WN0008 If@ If@ @ * a If , I ' ll 60 " 1 a , * * * $ 00 0 * go 111 0 be . . . . . . . 0 " 00 0 . . . . . . . . . . J-36 X 5 . Staff Organizational Chart . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . J-39 X 6 . 501 (C)(3 ) IRS Exemption Letter . . . . . . . . . . . . . 0 0 & . . . J40 X 7 . Articles of Incorporation , . , . , . . , . . " . . . . . . . I I I I I I I I I I I I I I J41 X8 . Agency ' s Bylaws . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 . . . . . . . . . J-50 X 9. Agency' s written policy regarding Affirmative Action . J-64 X 10 . Parent & Member Surveys for South County and Sebastian . J-65 X 11 . Parent & Member Surveys for YVC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . J- 74 X 12 . Most Recent Annual Report. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9111 . . J- 79 K. APPENDIX : Supporting Documentation X 1 . Not for profit agency certification . . . K- 1 X 2 . Indian River County Authorization for Release of Information . , K-2 X 3 . Sworn Statement . . . K- 5 X 4 . Proof of Liability & Worker' s Compensation Insurance . . . . . . . . . . . . . . . . . . . . . . . . . . . K- 14 3 EXHIBIT A (Copy of complete Request for Proposal ) EXHIBIT - A - Boys & Girls Club of Indian River County, Inc. — Youth Volunteer Corps Grant Application to the Children ' s Services Advisory Committee PROPOSAL NARRATIVE A. ORGANIZATION CAPABILITY (Entire Section A not to exceed one page) 1 . Provide the mission statement and vision of your organization . Mission Statement : To inspire and enable all young people , especially those from disadvantaged circumstances to realize their full potential , as productive, responsible and caring citizens . Vision : To accomplish our mission by establishing neighborhood clubs and outreach services in Indian River County with quality programs and staff. 2. Provide a brief summary of your organization including areas of expertise, accomplishments, and population served. The Boys & Girls Clubs of Indian River County offers a diverse, affordable program to kids in a positive atmosphere . Our daily after-school and summer programs offered through our "Club" house locations and our outreach services provided through our Youth Volunteer Corps program allows us to provide services to children throughout Indian River County . These program activities attract and sustain young people, ages 6 through 18 , who pay a nominal annual membership fee of $ 35 . 00 (which includes a free Boys & Girls Club t-shirt) . Nowhere in Indian River County can kids or parents find such valuable services offered so inexpensively. While our method of program delivery may change with seasonal activities , or school related endeavors , the core of what and how we conduct daily activities remains much the same . The overall Boys & Girls Club program structure can be divided into "Five Core Service Areas" . Together, these core service areas provide a diverse base of activities designed to meet the needs and interests of every member. The following Five Core program areas represent the Club ' s service offerings to its membership : • Education and Career Development . . . enables youth to become proficient in basic educational disciplines, apply learning to everyday situations and embrace technology to achieve success in a career and life in general . • Character and Leadership Development . . . empowers youth to support and influence their Club and community, sustain meaningful relationships with others, develop a positive self- image, participate in the democratic process and respect their own and others ' cultural identities . • Health and Life Skills . . . develops young people ' s capacity to engage in positive behaviors that nurture their own well-being, set personal goals and live successfully as self-sufficient adults . • The Arts . . . enables youth to develop their creativity and cultural awareness through knowledge and appreciation of the visual arts, crafts , performing arts and creative writing . • worts Fitness and Recreation . . . develops fitness, positive use of leisure time, skills for stress management, appreciation for the environment and social skills . 4 Boys & Girls Club of Indian River County, Inc. — Youth Volunteer Corps Grant Application to the Children's Services Advisory Committee Be PROGRAM NEED STATEMENT (Entire Section B not to exceed one page) 1 . a) What is the unacceptable condition requiring change? b) Who has the need ? c) Where do they live ? d) Provide local, state, or national trend data, with reference source, that corroborates that this is an area of need. a. ) Limited access to affordable after school and weekend programs for children 11 — 18 years of age, low economics , juvenile crime and below average academic achievement is the condition requiring change . b . & c . ) We define those who have a need as children between the ages of 11 to 18 years of age , with a special interest in working with disadvantaged youth. We define disadvantaged youth as children from low economic status , one-parent families and latch key kids . The Youth Volunteer Corps is a community wide outreach program that provides daily opportunities for kids to participate in community service projects throughout Indian River County . d. ) Area of need : • Based on the 2000 Census, 19 . 2% of the total population or 21 , 685 youth are under 18 in Indian River County. • Based on the 2001 Kids Count Data Book, funded by the Annie E . Casey Foundation, 30% or 6 , 505 of those youth are living in a single parent home, 82% of a student' s time is spent outside of school • All Indian River County students are released from school early on Wednesday afternoons which adds additional time onto a student ' s out of school hours • Based on the 1998 report from Carnegie Council on Adolescent Development, youth ages 12- 17 are unsupervised for 12 or more hours per week. 65 % of youth involved in criminal activities, sexual activity and substance and alcohol abuse participated in those activities between the hours of 3 : 00 pm. to 6 : 00 pm on weekdays . 2. a) Identify similar programs that are currently serving the needs of your targeted population ; b) Explain how these existing programs are under-serving the targeted population of your program. a. No other program in Indian River County offers a dedicated youth facility, like the Boys & Girls Club, for children 6- 18 years of age with year round drop in services Monday — Friday . For every child the Boys & Girls Clubs serves, our youth development activities are designed to build the following traits : • Positive self-identity. A healthy self-concept, a strong belief in one ' s self-worth, and a sense of hope about one ' s future . • Educational, employment, social , emotional and cultural competencies . The knowledge , skills , strategies and attitudes necessary to have a positive foundation for success . • Community and civic involvement. A sense of belonging to community, family and/or group ; willingness to take civic responsibility . • Health and well-being. Living a healthy lifestyle, taking part in regular fitness activities , able to access health care resources and engage in positive behaviors . • Moral compass . Youth have values enabling them to develop positive relationships with others . b . Our target population is underserved by other programs for the following reasons : affordability, accessibility and scope of services . 5 Boys & Girls Club of Indian River County, Inc. — Youth Volunteer Corps Grant Application to the Children's Services Advisory Committee PROGRAM COVER PAGE for 2005-2006 Organization Name : Boys & Girls Clubs of Indian River County Inc. President & CEO : Ronnie Hewett E-mail : RHewett BGCkhotmail . com Address : P . O . Box 643068 Telephone : 772-299 -7449 Vero Beach, Florida 32964 Fax : 772-299-3840 Director of Operations : Parris Westbrook E-mail : ParrisBGCIRCkmsn . com Address : P . O . Box 643068 Telephone : 772-299-7449 Vero Beach, Florida 32964 Fax : 772-299-3840 pr gram Title Youth Volunteer Corpse Priority Need Area Addressed: Mental Wellness Issues & Childcare Access Brief Description of the Program : Juvenile Delinquency Prevention — FN 150 . 360 YVC Programs offer a variety of activities for youth who are at risk for behavior which is likely to involve them in the juvenile Justice system with the objective of assisting them to improve self-esteem to become aware of alternative ways of dealing with feelings and leisure time, and to take responsibility for the consequences of their actions . Included may be counseling rap and discussion groups , tutoring companionship programs, alternative peer group experiences and supervised recreational activities . SUMMARY REPORT — (Enter Information In The Black Cells Only) Amount Requested from Funder for 2005 / 06 : $ 40 , 000 . 00 Total Proposed Program Budget for 2005 / 06 : $ 172 , 465 . 25 Percent of Total Program Budget : 23 . 2 % Current Funding ( 2004 / 05 ) : $ 35 , 000 . 00 Dollar increase / ( decrease ) in request : $ 5 , 000 . 00 Percent increase / ( decrease ) in request * * : 14 . 3 % Un up tcate Number o Children to a serve Individually : 13600 Unduplicated Number of Adults to be served Individually : 141 Unduplicated Number to be served via Group settings : 195 Total Program Cost per Client : $ 89 . 08 * * If request increased 5 % or more, briefly explain why : We have secured a facility to house the YVC program which will enable us to serve additional youth as well as eland services to teens . While we anticipate gaining use of the facility free of charge there will be increased costs for staff, insurance and utilities . If these funds are being used to match another source, name the source and the $ amount : N/A The Organization 's Board of Directors has approved this applicatt n o (date). April 20, 2005 Jay McNamara Name of President/Chair of the Board a e Ronnie Hewett Name of Executive Director/CEO Signature 1 Boys & Girls Club of Indian River County, Inc. — Youth Volunteer Corps Grant Application to the Children 's Services Advisory Committee C. PROGRAM DESCRIPTION (Entire Section C, I — 6, not to exceed two pages) 1 . List Priority Needs area addressed. Metal Wellness Issues & Childcare Access 2 . Briefly describe program activities including location of services . The Youth Volunteer Corps ' services focus on education, skill building, and leadership development while providing ongoing positive activities for youth outside of school hours, everyday after school , during the weekends and throughout the summer. The following is a list of programs offered to youth throughout Indian River County in the YVC program: a VIP PROGRAMS (Volunteers in Partnership) Weekend Service Projects throughout Indian River County . a YVC Summer Program : Service projects are provided daily throughout the summer for teams of Youth Volunteers which are led by YVC Staff Team Leaders . a PALS ("Pupils Assisting Learning in Schools ') After School Tutoring Program : Youth Volunteers work in teams under the leadership of an YVC Staff Team Leader in a structured tutoring program in elementary after school programs . a Exploring Your Community Through the Scientific Method : The Youth Volunteer Corps, provides service activities to replace required Science Fair projects in FLC ' s Biology classes . a Youth Volunteer Corps Advisory Council : Youth Volunteers who have shown consistency in participation, exemplary behavior, and leadership skills, are chosen to represent the members of the YVC in a monthly youth driven council . 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. Most youth programs reinforce the disconnection that young people feel in our society by treating them as clients rather than contributors . The youth volunteer is the primary focus of the YVC program, but youth in this program are given the responsibility as the contributors of service . The Youth Volunteer Corps places these young people into an environment of meeting the needs others . Studies have linked adverse youth behavior with low self esteem. Treating youth as resources and putting them in responsible, serving roles builds self esteem . Search Institute ' s study of 46 , 000 young people, described in The Troubled Journey, found that youth who serve others are less likely to be involved in negative behaviors . The study showed that participating in "helping behavior" lowered adolescents ' involvement in substance abuse, dropping out of school , teen pregnancy , and other negative behaviors . 6 Boys & Girls Club of Indian River County, Inc. — Youth Volunteer Corps Grant Application to the Children 's Services Advisory Committee 4. List staffing needed for your program, including required experience and estimated hours per week in program for each staff member and/or volunteers (this section should conform to the information in the Position Listing on the Budget Narrative Worksheet). 1 full-time Director of Operations — with a Bachelors Degree with a minimum of three years working in the non profit sector, dedicating 10 hours per week of his/her time in program support, evaluation and staff training, 1 full-time Director of Finance — with a Bachelors Degree with a minimum of three years working in the non profit sector, dedicating 10 hours per week of his/her time in supplemental program support, planning and facility management. 1 full-time YVC Director — with a Bachelors Degree with a minimum of three years experience working with youth, dedicating 40 hours per week of his/her time in planning, coordinating and directing the daily program at the YVC Teen Center and outreach services as well as facility and personnel management . 5 part-time Team Leaders — with a High School Diploma, working towards a college degree with demonstrated capability in working positively with youth, dedicating 24 hours per week of his/her time in providing onsite supervision of YVC projects. Volunteers - Demonstrated capability in working positively with youth. As many as we can get, dedicating specialized program opportunities for YVC members. 5. How will the target population be made aware of the program ? • School : Service Learning projects and clubs, bulletin board, announcements , distribution of calendars and flyers • Newsletter : YVC Volunteer Newsletter/Calendars , mailings, Junior League Wavelengths monthly newsletter • Court Ordered : Individuals ordered by probation to do community service • Newspaper : Press Journal and Vero Beach Forum Volunteer Watch column or articles • Family/Friend : Word of mouth • Service Projects : Recruitment source during weekend and after school projects • Phone Book • Presentations are given to schools and service organizations . 6. How will the program be accessible to target population (i.e. , location, transportation , hours of operation) ? The key factor in reaching the clients of the Youth Volunteer Corps is through the efforts of the Team Leaders . Each team leader is assigned to a number of schools and specific projects . They are responsible for recruiting, marketing, and "reaching out" to the community to ensure participation and interest. Each team leader has a regional area to saturate with flyers, calendars, sign up sheets , and announcements . They are also responsible for arranging transportation , if needed , organizing car pools, recruiting adult volunteers for transport and supervisory purposes , and for calling and following up on those who didn ' t make it to a project. There is a complex and intricate system of molding many forms of communication together to bring a project to a successful level . This system of "outreach" is significantly dependant on the dedication and efficiency of the YVC staff and the Team Leaders promoting the projects . Now that YVC will have its own facility it will not only provide community service projects almost every day during the year, but it will also be open every day after school for facility based programming as well . 7 Boys & Girls Club of Indian River County, Inc. — Youth Volunteer Corps Grant Application to the Children 's Services Advisory Committee ORGANIZATION : Boys & Girls Clubs of Indian River County, Inc. PROGRAM : Youth Volunteer Corns TABLE OF CONTENTS for 2005-2006 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 I Section of the Proposal -Page # X COVER PAGE (with signatures) . 1 X TABLE OF CONTENTS (checklist) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 A. ORGANIZATION CAPABILITY (one page maximum) X 1 . Mission and Vision of organization . . . 00 , to a 0 * 10 Is , I 1 4 X 2 . Summary of expertise, accomplishments, and population served . . 0 1 1 6 0 0 a a 1 4 B . PROGRAM NEED STATEMENT (one page maximum) X 1 . Program Need Statement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 X 2 . Programs that address need and gaps in service . . . . . , . , . , . . . . . . . . . . . . . . . . . . . . . . . . . . 5 C. PROGRAM DESCRIPTION (two pages maximum) X 1 . Funding priority . . . . , , " , ' , , . . . . . . . . . a 0 0 0 . . . . 0 . . . . . . . . . . . . . . . . . . . . . . . . . 6 X 2 . Description of program activities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 X 3 . Evidence that program strategy will work . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 X4 . Staffing , . . . . . . . . . . . . . . . 0 1 0 1 1 1 1 1 1 a I I # a 0 so 0 a a * a 0 , 0 a I I a 0 6 0 a 0 0 * a 1 4 0 1 a * go 7 X 5 . Awareness of program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 X 6 . Accessibility of program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 7 X D. MEASURABLE OUTCOMES (two pages maximum) 8 X E. COLLABORATION (one page maximum) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 F. PROGRAM EVALUATION (two pages maximum) X 1 . Demographics . . 10 X2 . Measures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 X3 . Reporting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I 1 0 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 X G. TIMETABLE (one page maximum) . . . . . . . . . . . . . . . . . 12 H. UNDUPLICATED CLIENT COUNT X 1 . Projections by Location . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 X 2 . Projections by Age Group , . . . , . 011 . 1 . . . . . . . . . . . . . . . . . . . . . . 13 I. BUDGET FORMS X 1 . Financial Budget Forms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 2 Boys & Girls Club of Indian River County, Inc. — Youth Volunteer Corps Grant Application to the Children's Services Advisory Committee J. FUNDER SPECIFIC/ADDITIONAL SHEETS (On White Paper) X 1 . List of current officers and directors . . . a 0 0 9 0 0 1 0 0 1 1 1 * 0 . . . . . . J- 1 2 . Latest Financial Audit Report & Management Letter that conforms with the X AICPA Audit Guide . . . . . . . . . . . . . . . . . . . . . . . . . . J-2 X 3 . Most recent IRS Form 990, Including all schedules . . " . , J- 13 4 . Most recent Internal Financial Statement (i . e . : Balance Sheet and Operating XBudget) . . , If 9 00 , 01011 , WN0008 If@ If@ @ * a If , I ' ll 60 " 1 a , * * * $ 00 0 * go 111 0 be . . . . . . . 0 " 00 0 . . . . . . . . . . J-36 X 5 . Staff Organizational Chart . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . J-39 X 6 . 501 (C)(3 ) IRS Exemption Letter . . . . . . . . . . . . . 0 0 & . . . J40 X 7 . Articles of Incorporation , . , . , . . , . . " . . . . . . . I I I I I I I I I I I I I I J41 X8 . Agency ' s Bylaws . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 . . . . . . . . . J-50 X 9. Agency' s written policy regarding Affirmative Action . J-64 X 10 . Parent & Member Surveys for South County and Sebastian . J-65 X 11 . Parent & Member Surveys for YVC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . J- 74 X 12 . Most Recent Annual Report. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9111 . . J- 79 K. APPENDIX : Supporting Documentation X 1 . Not for profit agency certification . . . K- 1 X 2 . Indian River County Authorization for Release of Information . , K-2 X 3 . Sworn Statement . . . K- 5 X 4 . Proof of Liability & Worker' s Compensation Insurance . . . . . . . . . . . . . . . . . . . . . . . . . . . K- 14 3 Boys & Girls Club of Indian River County, Inc. — Youth Volunteer Corps Grant Application to the Children' s Services Advisory Committee D. MEASURABLE OUTCOMES (Section D not to exceed two pages) OUTCOMES ACTIVITIES List all o the elements or the Measurable Outcomes List the tasks to accomplish the Outcome(s) 1 . To increase registered YVC members Provide weekend projects every weekend and 45 . 5 % ( 1 , 100 to 1600) as reported by the after school and during every school vacation. 2005 -2006 year end YVC registered Provide full time summer programs with all day member totals . Baseline : 2004-2005 service projects for youth to participate in as registered member totals . contributors of service under the guided leadership of YVC staff and community partners . 2 . To maintain YVC service projects 100% Provide projects to YVC members which are (200) with service to 50 agencies as ongoing which teach about special needs children reported by the 2005 -2006 year end YVC and adults on weekends nights (Aktion Kiwanis) service projects totals . Baseline : 2004- and on weekend days (Sun Up) 2005 service project totals . Provide weekend and ongoing senior companionship projects (Clare Bridge Cottage, Atlantic Health Care) 3 . Establish an average daily attendance of 25 teens per day participating in activities Provide after-school mentoring/tutoring projects to YVC members for after school service provided at the YVC Teen Center. opportunities. Baseline : To establish baseline after one Maintain programs, which are appealing to youth funding cycle . on all levels such monitored by the YVC Advisory Council (made up of WC members). 4 . Establish that YVC members ' cumulative Provide 5t' graders an introduction to YVC volunteer hours will exceed 20 ,000 hours , projects and service through PATHWAYS in Baseline : To establish baseline after one elementary schools. funding cycle . Providing service activities to every 9t' grade student at the Freshman Learning Center as extra 5 . 75 % of youth who have .participated in credit in class or as a required grade for Biology YVC for 50 hours or more, will increase class. their self awareness that teenagers can have Open new teen center within walking distance of an impact on the community . Baseline : Vero Beach High School and the Freshmen Pre/Post survey scores from the YVC Learning Center. personal perspective impact on to their Implement the SMART Moves program that will community. Question : Do you think be offered on a weekly basis. teenagers can have a genuine impact on the Nominate eligible, deserving 14 year olds as community? Youth of the Month. Nominees will be requested to complete a nomination form to be judged to determine the organizations Youth of the Year. ■ Implement a Keystone Club for members 14 — 18 years that will meet a minimum of twice a month. • Create a Job Ready program that will be offered during the summer. • Create a Career Launch program that will be offered year round to teenagers accessing the web at the Boys & Girls Club. • Provide daily access to computers to improve technology competency levels. 8 Boys & Girls Club of Indian River County, Inc. — Youth Volunteer Corps Grant Application to the Children 's Services Advisory Committee 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. Collaborative Agency Resources provided to the program Promotion of YVC programs in middle and high Indian River School District schools, implementing YVC Clubs at schools , partnering with school service clubs to implement joint service projects, assisting teachers in service learning activities, PALS After school tutoring program, Exploring Your Community Program at FLC Reciprocal recruitment source, implement joint service The Substance Abuse Council projects, work together in Tobacco Program, Right Choice Program, and Teen Plus Program Youth in our diversion program work with court Juvenile Justice Department counselors and probation officers and the YVC Director and Team Leaders to strengthen our goal to divert youth from the system by placing them into Youth Volunteer Corps projects . Promotion of the Youth Volunteer Corp within the Youth Guidance Youth Guidance program. Supply service opportunities for the Youth Volunteer Corp . Children ' s Home Society Promotion of the Youth Volunteer Corp amongst the group home ' s residents . 9 Boys & Girls Club of Indian River County, Inc. — Youth Volunteer Corps Grant Application to the Children ' s Services Advisory Committee PROPOSAL NARRATIVE A. ORGANIZATION CAPABILITY (Entire Section A not to exceed one page) 1 . Provide the mission statement and vision of your organization . Mission Statement : To inspire and enable all young people , especially those from disadvantaged circumstances to realize their full potential , as productive, responsible and caring citizens . Vision : To accomplish our mission by establishing neighborhood clubs and outreach services in Indian River County with quality programs and staff. 2. Provide a brief summary of your organization including areas of expertise, accomplishments, and population served. The Boys & Girls Clubs of Indian River County offers a diverse, affordable program to kids in a positive atmosphere . Our daily after-school and summer programs offered through our "Club" house locations and our outreach services provided through our Youth Volunteer Corps program allows us to provide services to children throughout Indian River County . These program activities attract and sustain young people, ages 6 through 18 , who pay a nominal annual membership fee of $ 35 . 00 (which includes a free Boys & Girls Club t-shirt) . Nowhere in Indian River County can kids or parents find such valuable services offered so inexpensively. While our method of program delivery may change with seasonal activities , or school related endeavors , the core of what and how we conduct daily activities remains much the same . The overall Boys & Girls Club program structure can be divided into "Five Core Service Areas" . Together, these core service areas provide a diverse base of activities designed to meet the needs and interests of every member. The following Five Core program areas represent the Club ' s service offerings to its membership : • Education and Career Development . . . enables youth to become proficient in basic educational disciplines, apply learning to everyday situations and embrace technology to achieve success in a career and life in general . • Character and Leadership Development . . . empowers youth to support and influence their Club and community, sustain meaningful relationships with others, develop a positive self- image, participate in the democratic process and respect their own and others ' cultural identities . • Health and Life Skills . . . develops young people ' s capacity to engage in positive behaviors that nurture their own well-being, set personal goals and live successfully as self-sufficient adults . • The Arts . . . enables youth to develop their creativity and cultural awareness through knowledge and appreciation of the visual arts, crafts , performing arts and creative writing . • worts Fitness and Recreation . . . develops fitness, positive use of leisure time, skills for stress management, appreciation for the environment and social skills . 4 Boys & Girls Club of Indian River County, Inc. — Youth Volunteer Corps Grant Application to the Children's Services Advisory Committee Be PROGRAM NEED STATEMENT (Entire Section B not to exceed one page) 1 . a) What is the unacceptable condition requiring change? b) Who has the need ? c) Where do they live ? d) Provide local, state, or national trend data, with reference source, that corroborates that this is an area of need. a. ) Limited access to affordable after school and weekend programs for children 11 — 18 years of age, low economics , juvenile crime and below average academic achievement is the condition requiring change . b . & c . ) We define those who have a need as children between the ages of 11 to 18 years of age , with a special interest in working with disadvantaged youth. We define disadvantaged youth as children from low economic status , one-parent families and latch key kids . The Youth Volunteer Corps is a community wide outreach program that provides daily opportunities for kids to participate in community service projects throughout Indian River County . d. ) Area of need : • Based on the 2000 Census, 19 . 2% of the total population or 21 , 685 youth are under 18 in Indian River County. • Based on the 2001 Kids Count Data Book, funded by the Annie E . Casey Foundation, 30% or 6 , 505 of those youth are living in a single parent home, 82% of a student' s time is spent outside of school • All Indian River County students are released from school early on Wednesday afternoons which adds additional time onto a student ' s out of school hours • Based on the 1998 report from Carnegie Council on Adolescent Development, youth ages 12- 17 are unsupervised for 12 or more hours per week. 65 % of youth involved in criminal activities, sexual activity and substance and alcohol abuse participated in those activities between the hours of 3 : 00 pm. to 6 : 00 pm on weekdays . 2. a) Identify similar programs that are currently serving the needs of your targeted population ; b) Explain how these existing programs are under-serving the targeted population of your program. a. No other program in Indian River County offers a dedicated youth facility, like the Boys & Girls Club, for children 6- 18 years of age with year round drop in services Monday — Friday . For every child the Boys & Girls Clubs serves, our youth development activities are designed to build the following traits : • Positive self-identity. A healthy self-concept, a strong belief in one ' s self-worth, and a sense of hope about one ' s future . • Educational, employment, social , emotional and cultural competencies . The knowledge , skills , strategies and attitudes necessary to have a positive foundation for success . • Community and civic involvement. A sense of belonging to community, family and/or group ; willingness to take civic responsibility . • Health and well-being. Living a healthy lifestyle, taking part in regular fitness activities , able to access health care resources and engage in positive behaviors . • Moral compass . Youth have values enabling them to develop positive relationships with others . b . Our target population is underserved by other programs for the following reasons : affordability, accessibility and scope of services . 5 Boys & Girls Club of Indian River County, Inc. — Youth Volunteer Corps Grant Application to the Children's Services Advisory Committee F. PROGRAM EVALUATION (Entire Section F not to exceed two pages) 1 . DEMOGRAPHICS : What information (data elements) will you need to collect in order to accurately describe your target population including demographics (age, gender, and ethnic background) required by the funder in Section H ? What are the pieces of information that qualify them for your target population ? How do you document their need for services or their " unacceptable condition requiring change" from Section B19 Each participant will be required to fill out a membership application that is manually entered into a computer software program called "Member Tracking" , which allows us to electronically maintain a database on each member that includes demographic, age, gender, race, family economics , daily attendance, and activities in which they participated. Our target population is tracked by age. We are able to track our special interest in serving disadvantaged youth by asking and collecting the following : • Does your child receive free or reduced lunch? (Asked to determine low economics) . • Who does your child live with? (Asked to determine single parent family status) . Limited access to affordable after school programs for children 6 — 18 years of age, low economics , juvenile crime and below average academic achievement is the condition requiring change . 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? Structured Reflective Process : the Team Leader documents collected thoughts and /or collects written documentation from each Youth Volunteer. This information is retained for evaluation and tracking purposes . YVC Staff Evaluation : After each project each Team Leader present completes an evaluation . This document measures the impact and effectiveness of the youth volunteers and evaluates positive and negative elements of the project. After each PALS site, the YVC Team Leader completes a weekly evaluation of the existing program listing the level of participation, journal documentation, problems and success . The Tutees and Tutors journals are held by each YVC Team Leader for long-range tracking and analysis . After each week of the Summer Program, the Team Leader completes weekly evaluations from their sites . The youth volunteers ' reflection paperwork is held by each Team Leader for long-range tracking and analysis . Pre/Post- Survey : After selected projects , a pre and post survey is given to youth volunteers to measure personal growth and their learning experience . Parent Evaluations : After the summer program, a program evaluation is sent home to receive feedback from the parents of the youth volunteers to gain insight in ways to improve or change the program in the future . 10 Boys & Girls Club of Indian River County, Inc. — Youth Volunteer Corps Grant Application to the Children ' s Services Advisory Committee Agency Evaluations : After the Youth Volunteer Corps has done a project at any agency, an evaluation is sent to receive feedback from the staff and supervisors of that agency. This is to measure effectiveness of the YVC ' s presence at their site and honestly evaluate the program . YVC Staff/ Team Leader Weekly Activity Sheets : This form is required by the YVC Director to evaluate the productivity and effectiveness of each YVC Staff Team Leader. Journals : In the PALS program, the tutor and the tutee is required to place a daily entry into their journals . This is used to track the impact on both parties from the experience and to measure personal and academic growth . Even if the Tutee is not able to write, single drawings or words learned can serve as an effective tool of measurement. Youth Volunteer Corps Advisory Council : This group is made up of 12 adult members of the community who represent the spectrum of socioeconomic backgrounds that are representative in the Indian River County area. Much time is spent in both the evaluation process and the project planning process . 1 . 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 ? Data elements will be collected : • Team Leaders will track daily attendance and number of volunteer hours completed at community service projects . • The YVC Director will compile daily data collected by Team Leaders . • The Director of Operations monitor the data collected monthly. • The President & CEO will receive quarterly and annual reports . • All data collected will be compiled and presented to all funders and contributors in order to present our agencies positive impact on the community. We will use the information gathered as a result of our measures to continuously update and improve our program to ensure it meets the needs of our members . 11 Boys & Girls Club of Indian River County, Inc. — Youth Volunteer Corps Grant Application to the Children 's Services Advisory Committee C. PROGRAM DESCRIPTION (Entire Section C, I — 6, not to exceed two pages) 1 . List Priority Needs area addressed. Metal Wellness Issues & Childcare Access 2 . Briefly describe program activities including location of services . The Youth Volunteer Corps ' services focus on education, skill building, and leadership development while providing ongoing positive activities for youth outside of school hours, everyday after school , during the weekends and throughout the summer. The following is a list of programs offered to youth throughout Indian River County in the YVC program: a VIP PROGRAMS (Volunteers in Partnership) Weekend Service Projects throughout Indian River County . a YVC Summer Program : Service projects are provided daily throughout the summer for teams of Youth Volunteers which are led by YVC Staff Team Leaders . a PALS ("Pupils Assisting Learning in Schools ') After School Tutoring Program : Youth Volunteers work in teams under the leadership of an YVC Staff Team Leader in a structured tutoring program in elementary after school programs . a Exploring Your Community Through the Scientific Method : The Youth Volunteer Corps, provides service activities to replace required Science Fair projects in FLC ' s Biology classes . a Youth Volunteer Corps Advisory Council : Youth Volunteers who have shown consistency in participation, exemplary behavior, and leadership skills, are chosen to represent the members of the YVC in a monthly youth driven council . 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. Most youth programs reinforce the disconnection that young people feel in our society by treating them as clients rather than contributors . The youth volunteer is the primary focus of the YVC program, but youth in this program are given the responsibility as the contributors of service . The Youth Volunteer Corps places these young people into an environment of meeting the needs others . Studies have linked adverse youth behavior with low self esteem. Treating youth as resources and putting them in responsible, serving roles builds self esteem . Search Institute ' s study of 46 , 000 young people, described in The Troubled Journey, found that youth who serve others are less likely to be involved in negative behaviors . The study showed that participating in "helping behavior" lowered adolescents ' involvement in substance abuse, dropping out of school , teen pregnancy , and other negative behaviors . 6 Boys & Girls Club of Indian River County, Inc. — Youth Volunteer Corps Grant Application to the Children 's Services Advisory Committee 4. List staffing needed for your program, including required experience and estimated hours per week in program for each staff member and/or volunteers (this section should conform to the information in the Position Listing on the Budget Narrative Worksheet). 1 full-time Director of Operations — with a Bachelors Degree with a minimum of three years working in the non profit sector, dedicating 10 hours per week of his/her time in program support, evaluation and staff training, 1 full-time Director of Finance — with a Bachelors Degree with a minimum of three years working in the non profit sector, dedicating 10 hours per week of his/her time in supplemental program support, planning and facility management. 1 full-time YVC Director — with a Bachelors Degree with a minimum of three years experience working with youth, dedicating 40 hours per week of his/her time in planning, coordinating and directing the daily program at the YVC Teen Center and outreach services as well as facility and personnel management . 5 part-time Team Leaders — with a High School Diploma, working towards a college degree with demonstrated capability in working positively with youth, dedicating 24 hours per week of his/her time in providing onsite supervision of YVC projects. Volunteers - Demonstrated capability in working positively with youth. As many as we can get, dedicating specialized program opportunities for YVC members. 5. How will the target population be made aware of the program ? • School : Service Learning projects and clubs, bulletin board, announcements , distribution of calendars and flyers • Newsletter : YVC Volunteer Newsletter/Calendars , mailings, Junior League Wavelengths monthly newsletter • Court Ordered : Individuals ordered by probation to do community service • Newspaper : Press Journal and Vero Beach Forum Volunteer Watch column or articles • Family/Friend : Word of mouth • Service Projects : Recruitment source during weekend and after school projects • Phone Book • Presentations are given to schools and service organizations . 6. How will the program be accessible to target population (i.e. , location, transportation , hours of operation) ? The key factor in reaching the clients of the Youth Volunteer Corps is through the efforts of the Team Leaders . Each team leader is assigned to a number of schools and specific projects . They are responsible for recruiting, marketing, and "reaching out" to the community to ensure participation and interest. Each team leader has a regional area to saturate with flyers, calendars, sign up sheets , and announcements . They are also responsible for arranging transportation , if needed , organizing car pools, recruiting adult volunteers for transport and supervisory purposes , and for calling and following up on those who didn ' t make it to a project. There is a complex and intricate system of molding many forms of communication together to bring a project to a successful level . This system of "outreach" is significantly dependant on the dedication and efficiency of the YVC staff and the Team Leaders promoting the projects . Now that YVC will have its own facility it will not only provide community service projects almost every day during the year, but it will also be open every day after school for facility based programming as well . 7 Boys & Girls Club of Indian River County, Inc. — Youth Volunteer Corps Grant Application to the Children's Services Advisory Committee G. TIMETABLE (Section G not to exceed one page) 1 . List the major action steps , activities or cycles of events that will occur within the program year. New programs should include any start-up planning that may occur outside the funding year. In completing the timetable, review information detailed in prior sections . Month/Period Activities January 2005 Develop Program Budget for February Approval March 2005 Write and Prepare grants for next fiscal year April 2005 Implement PATHWAYS program May 2005 Close PALS program May 2005 Register Summer Program Participants May 2005 Hire Summer Team Leaders/Interns June 2005 Close YVC School Year Activities June 2005 Train YVC Summer Staff June 2005 Train Summer YVC Program Participants September 2005 — December 2005 School Presentations September - November 2005 Train YVC participants and PALS members September 2005 PALS Program begins November, February, May, August Evaluation of YVC Programs 12 Number I I 1 1 Olvients by Location Current Fiscal Year Location oil Budget 2004/051 Q � f1 1 1 1a ferrinn, MIT milralm, 1 1 I ' 1 • . - We � • � ' 1 • CountyMartin t Port Sahit Lucie �a ■ ■�■ Co.St. Lucie Total Other Locations TOTALSERVED • Number of UndClients by Age uplicated rPf4ZVI Current Fiscal Year , Y/ F i w Location � . ,� � � �� ��� � �� �4�� �, i 1 � 1 I • I � � �" f�� `fie � � � � a ;,pi�f£��`s.�n rtt a.� w T lfis�y- 5 �7 vr't SxylLsi P� F z - . aw e�� r a x e'•y; gz , ' _ to t (Elementary) � � � � • ' 111 M111MILRIMIN11 - ® ® ® � I Fox • •qMm I no is W mons • I ' Total Children • to • (Adults) 60 ( Seniors) ® © ' • Total Adults TOTALSERVED ■ ' i 1 1 1 ® ® ® Boys & Girls Club of Indian River County, Inc. — Youth Volunteer Corps Grant Application to the Children' s Services Advisory Committee D. MEASURABLE OUTCOMES (Section D not to exceed two pages) OUTCOMES ACTIVITIES List all o the elements or the Measurable Outcomes List the tasks to accomplish the Outcome(s) 1 . To increase registered YVC members Provide weekend projects every weekend and 45 . 5 % ( 1 , 100 to 1600) as reported by the after school and during every school vacation. 2005 -2006 year end YVC registered Provide full time summer programs with all day member totals . Baseline : 2004-2005 service projects for youth to participate in as registered member totals . contributors of service under the guided leadership of YVC staff and community partners . 2 . To maintain YVC service projects 100% Provide projects to YVC members which are (200) with service to 50 agencies as ongoing which teach about special needs children reported by the 2005 -2006 year end YVC and adults on weekends nights (Aktion Kiwanis) service projects totals . Baseline : 2004- and on weekend days (Sun Up) 2005 service project totals . Provide weekend and ongoing senior companionship projects (Clare Bridge Cottage, Atlantic Health Care) 3 . Establish an average daily attendance of 25 teens per day participating in activities Provide after-school mentoring/tutoring projects to YVC members for after school service provided at the YVC Teen Center. opportunities. Baseline : To establish baseline after one Maintain programs, which are appealing to youth funding cycle . on all levels such monitored by the YVC Advisory Council (made up of WC members). 4 . Establish that YVC members ' cumulative Provide 5t' graders an introduction to YVC volunteer hours will exceed 20 ,000 hours , projects and service through PATHWAYS in Baseline : To establish baseline after one elementary schools. funding cycle . Providing service activities to every 9t' grade student at the Freshman Learning Center as extra 5 . 75 % of youth who have .participated in credit in class or as a required grade for Biology YVC for 50 hours or more, will increase class. their self awareness that teenagers can have Open new teen center within walking distance of an impact on the community . Baseline : Vero Beach High School and the Freshmen Pre/Post survey scores from the YVC Learning Center. personal perspective impact on to their Implement the SMART Moves program that will community. Question : Do you think be offered on a weekly basis. teenagers can have a genuine impact on the Nominate eligible, deserving 14 year olds as community? Youth of the Month. Nominees will be requested to complete a nomination form to be judged to determine the organizations Youth of the Year. ■ Implement a Keystone Club for members 14 — 18 years that will meet a minimum of twice a month. • Create a Job Ready program that will be offered during the summer. • Create a Career Launch program that will be offered year round to teenagers accessing the web at the Boys & Girls Club. • Provide daily access to computers to improve technology competency levels. 8 Boys & Girls Club of Indian River County, Inc. — Youth Volunteer Corps Grant Application to the Children 's Services Advisory Committee 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. Collaborative Agency Resources provided to the program Promotion of YVC programs in middle and high Indian River School District schools, implementing YVC Clubs at schools , partnering with school service clubs to implement joint service projects, assisting teachers in service learning activities, PALS After school tutoring program, Exploring Your Community Program at FLC Reciprocal recruitment source, implement joint service The Substance Abuse Council projects, work together in Tobacco Program, Right Choice Program, and Teen Plus Program Youth in our diversion program work with court Juvenile Justice Department counselors and probation officers and the YVC Director and Team Leaders to strengthen our goal to divert youth from the system by placing them into Youth Volunteer Corps projects . Promotion of the Youth Volunteer Corp within the Youth Guidance Youth Guidance program. Supply service opportunities for the Youth Volunteer Corp . Children ' s Home Society Promotion of the Youth Volunteer Corp amongst the group home ' s residents . 9 Boys & Girls Clubs of Indian River County, Inc. - Youth Volunteer Corps Grant Application to the Children's Services Advisory Committee UNIFORM GRANT APPLICATION BUDGET NARRATIVE WORKSHEET IMPORTANT: The Budget Narrative should provide details to justify the amount requested in each line item of the budget for your program. From this worksheet, your figures will be linked to the Total Agency Budget, Total Program Budget and Funder Specific Budget Forms. AGENCY/PROGRAM NAME : Boys & Girls Clubs of Indian River County, Inc . - YVC FUNDER : Children 's Services Advisory Committee CAUTION Do not enter any figures where a cell is colored in dark blue - Formulas and/or links are in place. Gray areas should be used for providing information and calculations only. ; f P �r ti ;aTs �t e , e4-'p" -�. ze- € Ea,,.�" 1 > �ui7 .�.b 1 Children's Services Council-St. Lucie 0 .00 0 . 00 2 Children's Services Council-Martin 0 .00 0 . 00 3 Advisory Committee-Indian River 40, 000 .00 40,000. 00 105 , 000. 00 4 United Way-St Lucie County 0 .00 0 . 00 5 United Way-Martin County 0 . 00 0 .00 6 United Way-Indian River County 55 , 000 . 00 150 , 000 .00 7 Department of Children & Families 0 . 00 0 . 00 8 County Funds 0 .00 0 .00 9 Contributions-Cash 0.00 283 , 875 . 00 10 Program Fees 0 . 00 81000 . 00 11 Fund Raising Events-Net 0 . 00 117, 900 . 00 12 Sales to Public - Net 0 .00 0 . 00 13 Membership Dues 0 . 00 18 , 000 .00 14 Investment Income 0 . 00 0 . 00 15 Miscellaneous 0 . 00 0 . 00 16 Ce acies & Bequests 0 . 00 0 . 00 17 Funds from Other Sources 75 , 000.00 207 , 684 .00 18 Reserve Funds Used for Operating 0.00 0 .00 19 In-Kind Donations (Not Included in total) 0 . 00 12 , 000 . 00 20 TOTAL REVENUES doesn't Include line 19) $ 170 ,000 . 00 $40, 000 . 00 $890 ,459 . 00 h _ 4r lf € rrerl�Y. IS IN 21 Salaries - (must complete chart on next page) 104 , 731 . 25 32 , 106 . 25 495 , 838 . 00 22 FICA - Total salaries x 0. 0765 81012 . 00 21456 . 13 37 , 932 . 00 Retirement - Annual pension for qualified 23 staff 51106 . 00 0 .00 26 , 250 . 00 Lffe/Health - e Ica en a o -term 24 Disab. 51377 . 00 51437 . 62 42 , 989 . 00 Workers Compensation - # employees x 25 rate 21807 . 00 0 . 00 13 , 288 . 00 Florida Unemployment - # projected 26 employees x $7 , 000 x UCT-6 rate 11290 . 00 0 . 00 31969 . 00 5/16/2005 14 0 (D O O 000000 O O O O O O O ifi O O Lo 0 0 0 0 0 d IA O to O O O coo O O O O O O O O O Cl O € O O N O O O O O a, lY O LC) 00 000 0 0 0 0 0 0 000000. 00 0 0 t O LoN 00000 (6 Ap CA O kq lo f W 7 , {�' b N h 000000000000 u � � CV Cn en �ai4A. y�yyy .Q.�yy yQyyy yQyyy y�y�� y�yyy yQy�� y�yyy y0yyy y�yyy y0yyy �' V l E . . 3(¢ `- l� 1F 1F TF K lr TF 1F lF lF K �! �P f iL }M t r60to000000 to • ON000000 N q , v"h 0 0 0 666 0 0 O 0 6 , O �p O N ^ �E( eeZ s tJ,l4 S! em . ,n✓tu¢ ., c,. �Fc+E'SSF .54 OLo000000 N xEONOOOOOO ? 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C N N N N N sSO LL O J J J J J Ll t `• "� ' ' i O Ly O J J J J J = O O N CO l0 N f0 C6 C {�"rdi '�' ^'� O O d LL, CN N N U U ( ) UUU j ! ?U ?U ?U 0 u� �€ O O T T W e 4 ' "Z- .± Q,rE ;, s.. ' E D D r T T T' r 0 O 0 0.10 O 0 0 0 0 0 O Boys & Girls Club of Indian River County, Inc. — Youth Volunteer Corps Grant Application to the Children's Services Advisory Committee F. PROGRAM EVALUATION (Entire Section F not to exceed two pages) 1 . DEMOGRAPHICS : What information (data elements) will you need to collect in order to accurately describe your target population including demographics (age, gender, and ethnic background) required by the funder in Section H ? What are the pieces of information that qualify them for your target population ? How do you document their need for services or their " unacceptable condition requiring change" from Section B19 Each participant will be required to fill out a membership application that is manually entered into a computer software program called "Member Tracking" , which allows us to electronically maintain a database on each member that includes demographic, age, gender, race, family economics , daily attendance, and activities in which they participated. Our target population is tracked by age. We are able to track our special interest in serving disadvantaged youth by asking and collecting the following : • Does your child receive free or reduced lunch? (Asked to determine low economics) . • Who does your child live with? (Asked to determine single parent family status) . Limited access to affordable after school programs for children 6 — 18 years of age, low economics , juvenile crime and below average academic achievement is the condition requiring change . 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? Structured Reflective Process : the Team Leader documents collected thoughts and /or collects written documentation from each Youth Volunteer. This information is retained for evaluation and tracking purposes . YVC Staff Evaluation : After each project each Team Leader present completes an evaluation . This document measures the impact and effectiveness of the youth volunteers and evaluates positive and negative elements of the project. After each PALS site, the YVC Team Leader completes a weekly evaluation of the existing program listing the level of participation, journal documentation, problems and success . The Tutees and Tutors journals are held by each YVC Team Leader for long-range tracking and analysis . After each week of the Summer Program, the Team Leader completes weekly evaluations from their sites . The youth volunteers ' reflection paperwork is held by each Team Leader for long-range tracking and analysis . Pre/Post- Survey : After selected projects , a pre and post survey is given to youth volunteers to measure personal growth and their learning experience . Parent Evaluations : After the summer program, a program evaluation is sent home to receive feedback from the parents of the youth volunteers to gain insight in ways to improve or change the program in the future . 10 Boys & Girls Club of Indian River County, Inc. — Youth Volunteer Corps Grant Application to the Children ' s Services Advisory Committee Agency Evaluations : After the Youth Volunteer Corps has done a project at any agency, an evaluation is sent to receive feedback from the staff and supervisors of that agency. This is to measure effectiveness of the YVC ' s presence at their site and honestly evaluate the program . YVC Staff/ Team Leader Weekly Activity Sheets : This form is required by the YVC Director to evaluate the productivity and effectiveness of each YVC Staff Team Leader. Journals : In the PALS program, the tutor and the tutee is required to place a daily entry into their journals . This is used to track the impact on both parties from the experience and to measure personal and academic growth . Even if the Tutee is not able to write, single drawings or words learned can serve as an effective tool of measurement. Youth Volunteer Corps Advisory Council : This group is made up of 12 adult members of the community who represent the spectrum of socioeconomic backgrounds that are representative in the Indian River County area. Much time is spent in both the evaluation process and the project planning process . 1 . 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 ? Data elements will be collected : • Team Leaders will track daily attendance and number of volunteer hours completed at community service projects . • The YVC Director will compile daily data collected by Team Leaders . • The Director of Operations monitor the data collected monthly. • The President & CEO will receive quarterly and annual reports . • All data collected will be compiled and presented to all funders and contributors in order to present our agencies positive impact on the community. We will use the information gathered as a result of our measures to continuously update and improve our program to ensure it meets the needs of our members . 11 O O O O O O O O O O O 0 O O O 0 O O O O O O O - O O O ' O O O n (D O U) O t0 ' O i O V M M st M , t� O M O W O �` � • 00 O O O O LO 6 00 - OD to (O u"'I _ r -cam - ems- .- ti O ! 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'I !s1� t C ,'r yb� �" €Itk' C :3 .f€tL O ,, f a. rt R" Q d O Sel�e we LL 1 O f �� f r V �, � � � d w {0 �✓ C�1 EEOIh , p ° .nIleVeer E M C ���, 7 f+ �,""c 7 � � �� �- � O a 5 t fA Z HJukr C �o W F ♦+ d � ��� �' f� O f f f `" .C 1 y 8 y .c LU C V 0 O dk Le 0 0 go * *rte V 3 d d d Boys & Girls Club of Indian River County, Inc. — Youth Volunteer Corps Grant Application to the Children's Services Advisory Committee G. TIMETABLE (Section G not to exceed one page) 1 . List the major action steps , activities or cycles of events that will occur within the program year. New programs should include any start-up planning that may occur outside the funding year. In completing the timetable, review information detailed in prior sections . Month/Period Activities January 2005 Develop Program Budget for February Approval March 2005 Write and Prepare grants for next fiscal year April 2005 Implement PATHWAYS program May 2005 Close PALS program May 2005 Register Summer Program Participants May 2005 Hire Summer Team Leaders/Interns June 2005 Close YVC School Year Activities June 2005 Train YVC Summer Staff June 2005 Train Summer YVC Program Participants September 2005 — December 2005 School Presentations September - November 2005 Train YVC participants and PALS members September 2005 PALS Program begins November, February, May, August Evaluation of YVC Programs 12 Number I I 1 1 Olvients by Location Current Fiscal Year Location oil Budget 2004/051 Q � f1 1 1 1a ferrinn, MIT milralm, 1 1 I ' 1 • . - We � • � ' 1 • CountyMartin t Port Sahit Lucie �a ■ ■�■ Co.St. Lucie Total Other Locations TOTALSERVED • Number of UndClients by Age uplicated rPf4ZVI Current Fiscal Year , Y/ F i w Location � . ,� � � �� ��� � �� �4�� �, i 1 � 1 I • I � � �" f�� `fie � � � � a ;,pi�f£��`s.�n rtt a.� w T lfis�y- 5 �7 vr't SxylLsi P� F z - . aw e�� r a x e'•y; gz , ' _ to t (Elementary) � � � � • ' 111 M111MILRIMIN11 - ® ® ® � I Fox • •qMm I no is W mons • I ' Total Children • to • (Adults) 60 ( Seniors) ® © ' • Total Adults TOTALSERVED ■ ' i 1 1 1 ® ® ® Boys 6 Gth CMAs of Indw Riw Couray. Mn. - YaM Volu°aar Cop° Gran) AWkadm W tle CNbanti SarvMaa M~y CmwM" UNIFORM GRANT APPLICATION TOTAL AGENCY BUDGET ' AGENCY/PROGRAM NAME: Bos & Girls Clubs of Indian River County, Inc. - YVC FY 03/04 FY 04/05 FY 05/06 % INCREASE FYE June 30 FYE June 30 FYE June 30 CURRENT VS. NEXT FY BUDGET A B C D ACTUAL TOTAL PROPOSED (col. atof. Bycol. B REVENUES BUDGETED BUDGETED 1 Children's Services Council-St. Lucie 0.00 0.00 0.00 #DIV/01 2 Children's Services Council-Martin 0.00 0.00 0.00 #DIV/Ol 3 Advisory Committee-Indian River 100 474.08 9554000 105 000.00 9.90% 4 United Way-St Lucie County 0.00 0.00 0.00 #DIV/01 5 United Way-Martin County 0.00 0.00 0.00 #DIV/01 6 United Way-Indian River County 125p999.88 131 000.00 150 000.00 14.50% 7 Department of Children & Families 0.00 0.00 0.00 #DIV/01 8 County Funds 0.00 0.00 0.00 #DIV/01 9 Contributions-Cash 186 072.79 291 550.00 283 875.00 -2.63% to Program Fees 4 065.56 3 400.00 8000.00 135.29% 11 Fund Raising Events-Net 181 684.00 104 625.00 117 900.00 12.69% 12 Sales to Public-Net 0.00 0.00 0.00 #DIV/01 13 Membership Dues 72699,00 79699,00 18 000.00 133.80% 14 Investment Income 1 j333.911 0.00 0.00 #DIV/01 15 Miscellaneous 21096,00 0.00 0.00 #DIV/01 1s Legacies & Bequests 0.00 0.00 0.00 #DIV/01 17 Funds from Other Sources 127 995.96 84 874.00 207 684.00 144.70% t8 Reserve Funds Used for Operating 0.00 0.00 0.00 #DIV/01 19 In-Kind Donations (Not included in total) 22 394.82 12 000.00 1200000 0.00% 20 TOTAL 759 816.00 718 688.00 890 459.00 23.90% 1 =3d" EXPENDITURES 21 Salaries 350 360.94 403 287.00 495 838.00 22.95% 22 FICA 26 769.53 30 851 .00 37 932.00 22.95% 23 Retirement 11 1985.051 19 674.00 26t250.001 33.42% 24 LifeMealth 19 327.52 28 290.00 4298900 51 .96% 25 Workers Compensation 8,792.38 12 082.00 13 288.00 9.98% 26 Florida Unemployment 804.77 21802.00 396900 41 .65% 27 Travel-Daily 11416.86 550000 11 130.00 102.36% 28 Travel/Conferences/Training 61056.99 20163.00 19 834.00 -1 .63% 29 Office Supplies 69199.781 30654,00 4150.00 13.57% 30 Telephone 11 ,810,75 12 060.00 14 940.00 23.88% 31 Postage/Shipping 1 498.51 1 169.00 1j937,00 65.70% 32 Utilities 14160.17 16 500.00 79676.00 -53.48% 33 Occupancy (Building & Grounds 90p311 ,61 8298800 106 055.00 27.80% 34 Printing & Publications 15 348.62 16 500.00 20 500.00 24.24% 35 Subscription/Dues/Memberships 8 924.88 91835,00 983500 0.00% 36 Insurance 18 943.78 22 642.00 29 890.00 32.01 % 37 Equipment: Rental & Maintenance 13 007.00 886300 11 588.00 30.75% 38 Advertising 415.00 600.00 600.00 0.00% 39 Equipment Purchases :Ca ital Expense 0.00 0.00 0.00 #DIV/01 4o Professional Fees Le al Consulting) 51673. 14 0.00 0.00 #DIV/01 41 Books/Educational Materials 9166.31 10 721 .00 11 R492.00 7.19% 42 Food & Nutrition 342.73 400.00 3 84O,00 860.00% 43 Administrative Costs 21692,24 40500,00 49500.00 0.00% 44 Audit Expense 7,360,00 79000,00 71500,00 7. 14% 45 Specific Assistance to Individuals 0.00 0.00 0.00 #DIV/01 46 Other/Miscellaneous 41t116, 13 10 067.00 16 723.00 66. 12% 47 Other/Contract 0.00 0.00 0.00 #DIV/01 48 TOTAL 672 484.69 730 148.00 902A56.00 23.60% _ . z..: 49 REVENUES OVER/ UNDER EXPENDITURES 1 87 331 .31 -11 .460.001 -11 997.00 4.69% 18 5n62DW Boys & Gkb CMbs of hi6sn Rim Cwly. Inc. - YaM VdLwdw Caps Grw Rpplaborr to to Chydwnl Ssnirns MWay Cannes UNIFORM GRANT APPLICATION TOTAL PROGRAM BUDGET AGENCY/PROGRAM NAME : Bos & Girls Clubs of Indian River County, Inc. - YVC FY 03104 FY 04/05 FY 05/06 % INCREASE FYE June 30 FYE June 30 FYE June 30 CURRENT VS. NEXT FY BUDGET A B C D ACTUAL TOTAL PROPOSED (col. C-col. Bycol. B REVENUES BUDGETED BUDGETED 1 Children's Services Council-St. Lucie 0.00 0.00 0.00 #DIV/01 2 Children's Services Council-Martin 0.00 0.00 0.00 #DIV/01 3 Advisory Committee-Indian River 40 896.66 3554000 4000000 12. 55% 4 United Way-St Lucie County 0.00 0.00 0.00 #DIV/01 5 United Way-Martin County 0.00 0.00 0.00 #DIV/01 6 United Way-Indian River County 45 999.96 46 000.00 55 000.00 19.57% 7 Department of Children & Families 0.00 0.00 0.00 #DIV/01 a County Funds 0.00 0.00 0.00 #DIV/01 9 Contributions-Cash 11450.00 39000.00 0.00 -100.00% 10 Program Fees 916.40 460.00 0.00 -100.00% 11 Fund Raising Events-Net 0.00 200.00 0.00 -100.00% 12 Sales to Public-Net 0.00 0.00 0.00 #DIV101 13 Membership Dues 0.00 0.00 0.00 #DIV/01 14 Investment Income 0.00 0.00 0.00 #DIV/01 15 Miscellaneous 0.00 0.00 0.00 #DIV/01 16 Legacies & Bequests 0.00 0.00 0.00 #DIV/01 17 Funds from Other Sources 37t266.21 20 000.00 75 000.00 275.00% 16 Reserve Funds Used for Operating 0.00 0.00 0.00 #DIV/01 19 In-Kind Donations (Noe Included In total) 5,856M 6,000.00 0.00 -100.00% 20 TOTAL 132 385.84 105 200.00 170 000.00 61 .60% EXPENDITURES 21 Salaries 76v922,891 76 523.00 104 731 .25 36.86% 22 FICA 51897.41 5t854.00 8 012�MNAZM .00 36.86% 23 Retirement 3 335.002 768.00 5 106.00 84.47% 24 Life/Health 21412.34 3l825.00 51377.00 40.58% 25 Workers Compensation 19669.23 332400 29807.00 -15.55% 26 Florida Unemployment 0.00 638.00 11290.00 ; 102. 19% 27 Travel-Daily 631 .81 31125.00 312500 0.00% 28 Travel/Conferences/Training 328.00 416100 5040.00 21 . 12% 29 Office Supplies 11095,18 394.00 550.00 39.59% 30 Telephone 3 474.583 880.00 4 470.00 15.21 % 31 Postage/Shipping 371 .38 0.00 560.00 #DIV/01 32 Utilities 0.00 0.00 1 200.00 #DIV/01 33 Occupancy (Building & Grounds 21 639.51 6r100.00 1 ,725,00 -71 .72% 34 Printing & Publications 39498,96 6t250,00 61500.00 4.00% 35 Subscri tion/Dues/Membershi s 11816. 14 160000 166600 4. 13% 36 Insurance 3301 .10 6,032,00 7j552.00 25.20% 37 E ui ment:Rental & Maintenance 1 379. 12 162100 229600 41 .64% 38 Advertising 0.00 0.00 0.00 #DIV/01 39 Equipment Purchases :Ca ital Expense 0.00 0.00 0.00 #DIV/01 40 Professional Fees (Legal, Consulting) 11759.38 0.00 0.00 #DIV/01 41 Books/Educational Materials 1534,79 2j801 .00 2j801 .00 0.000% 42 Food & Nutrition 54.36 0.00 0.00 #DIV/01 43 Administrative Costs 0.00 200.00 200.00 0.00% 44 Audit Expense 1p840,00 1 ,750.00 19875.00 7. 14% 45 Specific Assistance to Individuals 0.00 0.00 0.00 #DIV/01 46 Other/Miscellaneous 61948.80 4o597,00 59582.00 21 .43% 47 Other/Contract 0.00 0.00 0.00 #DIV/01 46 TOTAL 139 909.98 135 443.00 172 465.25 27.33% 49 REVENUES OVER/ UNDER EXPENDITURES .7y524.14 -309243.00 -2y465.25 -91 .85% s ierzooe 19 Boys & Girls Clubs of Indian River County, Inc. - Youth Volunteer Corps Grant Application to the Children's Services Advisory Committee UNIFORM GRANT APPLICATION BUDGET NARRATIVE WORKSHEET IMPORTANT: The Budget Narrative should provide details to justify the amount requested in each line item of the budget for your program. From this worksheet, your figures will be linked to the Total Agency Budget, Total Program Budget and Funder Specific Budget Forms. AGENCY/PROGRAM NAME : Boys & Girls Clubs of Indian River County, Inc . - YVC FUNDER : Children 's Services Advisory Committee CAUTION Do not enter any figures where a cell is colored in dark blue - Formulas and/or links are in place. Gray areas should be used for providing information and calculations only. ; f P �r ti ;aTs �t e , e4-'p" -�. ze- € Ea,,.�" 1 > �ui7 .�.b 1 Children's Services Council-St. Lucie 0 .00 0 . 00 2 Children's Services Council-Martin 0 .00 0 . 00 3 Advisory Committee-Indian River 40, 000 .00 40,000. 00 105 , 000. 00 4 United Way-St Lucie County 0 .00 0 . 00 5 United Way-Martin County 0 . 00 0 .00 6 United Way-Indian River County 55 , 000 . 00 150 , 000 .00 7 Department of Children & Families 0 . 00 0 . 00 8 County Funds 0 .00 0 .00 9 Contributions-Cash 0.00 283 , 875 . 00 10 Program Fees 0 . 00 81000 . 00 11 Fund Raising Events-Net 0 . 00 117, 900 . 00 12 Sales to Public - Net 0 .00 0 . 00 13 Membership Dues 0 . 00 18 , 000 .00 14 Investment Income 0 . 00 0 . 00 15 Miscellaneous 0 . 00 0 . 00 16 Ce acies & Bequests 0 . 00 0 . 00 17 Funds from Other Sources 75 , 000.00 207 , 684 .00 18 Reserve Funds Used for Operating 0.00 0 .00 19 In-Kind Donations (Not Included in total) 0 . 00 12 , 000 . 00 20 TOTAL REVENUES doesn't Include line 19) $ 170 ,000 . 00 $40, 000 . 00 $890 ,459 . 00 h _ 4r lf € rrerl�Y. IS IN 21 Salaries - (must complete chart on next page) 104 , 731 . 25 32 , 106 . 25 495 , 838 . 00 22 FICA - Total salaries x 0. 0765 81012 . 00 21456 . 13 37 , 932 . 00 Retirement - Annual pension for qualified 23 staff 51106 . 00 0 .00 26 , 250 . 00 Lffe/Health - e Ica en a o -term 24 Disab. 51377 . 00 51437 . 62 42 , 989 . 00 Workers Compensation - # employees x 25 rate 21807 . 00 0 . 00 13 , 288 . 00 Florida Unemployment - # projected 26 employees x $7 , 000 x UCT-6 rate 11290 . 00 0 . 00 31969 . 00 5/16/2005 14 0 (D O O 000000 O O O O O O O ifi O O Lo 0 0 0 0 0 d IA O to O O O coo O O O O O O O O O Cl O € O O N O O O O O a, lY O LC) 00 000 0 0 0 0 0 0 000000. 00 0 0 t O LoN 00000 (6 Ap CA O kq lo f W 7 , {�' b N h 000000000000 u � � CV Cn en �ai4A. y�yyy .Q.�yy yQyyy yQyyy y�y�� y�yyy yQy�� y�yyy y0yyy y�yyy y0yyy �' V l E . . 3(¢ `- l� 1F 1F TF K lr TF 1F lF lF K �! �P f iL }M t r60to000000 to • ON000000 N q , v"h 0 0 0 666 0 0 O 0 6 , O �p O N ^ �E( eeZ s tJ,l4 S! em . ,n✓tu¢ ., c,. �Fc+E'SSF .54 OLo000000 N xEONOOOOOO ? O � Eg E SraEt t « eE l 4� ,y.}§td ,1 t co O (O O Lo Lo Lo to Lo N " yea` € CN u) rni CN Eo E tia €� _ '€ �r �_ 0 ti ti £t tco m co `'xl�lr ' ., � O tri p v k^ £ Y3 + O O O O O O O O > �' 'S - _ €� fir CO n ell, E C`u 4 jo E O O O O O O O O O O O O O O O 00 O O + e t . 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 O O O O O O O O O O O O O O V �tE� n � t • t4 «A_. 4E��F � xy �� r I fd tYt ` � sjt 0 0 0 0 O O O U) 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 O O E '! �' f d ' O N 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 + O sof O f`o 6ti ro ho 6h 0 p0 i § O OO O O ON Lo M m M M c` ) M 0 N co s0 r O r ti N 0 0 0 0 0 0 0 N Co 0 `t 'Y ` u r '� r€ �a€' N � a r .v � N co v s as r �,it tm IS,'�'v` aj«�p Eft Nsx:. Sa3 H '.�� ' - ' w C, pg p NPNOLL E2 E2 E2 NNN�. N N C t •-, s � L NL Nt LN NNN L L a O O N d G� 41 Os � . i N L N N N d N C r , % N CO O N N t0 l0 f0 ~ C O "O 'D 'O 'O w t1 C N N N N N O �' Op. C N N N N N sSO LL O J J J J J Ll t `• "� ' ' i O Ly O J J J J J = O O N CO l0 N f0 C6 C {�"rdi '�' ^'� O O d LL, CN N N U U ( ) UUU j ! ?U ?U ?U 0 u� �€ O O T T W e 4 ' "Z- .± Q,rE ;, s.. ' E D D r T T T' r 0 O 0 0.10 O 0 0 0 0 0 O Boys & Girls Clubs of Indian River County, Inc. - Youth Volunteer Corps Grant Application to the Children's Services Advisory Committee UNIFORM GRANT APPLICATION FUNDER SPECIFIC BUDGET PROGRAM EXPENSES AGENCY/PROGRAM NAME : Boys & Girls Clubs of Indian River County, Inc . - YVC FUNDER : Children's services Advisory Committee A B C FY 05/06 FY 05/06 % OF TOTAL FUNDER TOTAL VS . PROGRAM SPECIFIC FUNDER REQUEST BUDGET BUDGET col . B/col . A EXPENDITURES 21 Salaries 104, 731 .25 32 106 .25 30 .66% 22 FICA 0.00 2 ,456 . 13 #DIV/O ! 23 Retirement 0. 00 0 .00 #DIV/01 24 Life/Health 0 .00 51437 .62 #DIV/0 ! 25 Workers Compensation 0 .00 0 .00 #DIV/0 ! 26 Florida Unemployment 0 .00 0. 00 #DIV/01 27 TravelwDaily 0.00 0 .00 #DIV/0 ! 28 Travel/Conferences/Training0 .00 0 .00 #DIV/01 29 Office Su 0 Supplies .00 0 . 00 #DIV/0 ! 3o Telephone 0. 00 0 .00 #DIV/0 ! 31 Postage/Shipping 0 .00 0.00 #DIV/0 ! 32 Utilities 0 .00 0. 00 #DIV/0 ! 33 Occu anc (Building & Grounds 0200 0. 00 #DIV/O ! 34 Printing & Publications 0 .00 0 .00 #DIV/01 35 Subscription/Dues/Memberships 0 .00 0 .00 #DIV/01 36 Insurance 0 .00 0. 00 #DIV/0 ! 37 Equipment: Rental & Maintenance 0 . 00 0. 00 #DIV/01 38 Advertisina 0 .00 0 .00 #DIV/O ! 39 Equipment Purchases : Capital Expense Ell OAO 0 .00 #DIV/01 40 Professional Fees (Legal , Consulting ) 0. 00 0. 00 #DIV/01 41 Books/Educational Materials 0 .00 0 .00 #DIV/01 42 Food & Nutrition 0. 00 0.00 #DIV/01 43 Administrative Costs 0 . 00 0.00 #DIV/01 44 Audit Expense 0 .00 0.00 #DIV/01 45 Specific Assistance to Individuals 0 .00 0 .00 #DIV/O ! 46 Other/Miscellaneous 0 .00 0 . 00 #DIV/01 47 Other/Contract 0 .00 0. 00 #DIV/01 48 TOTAL $ 104, 731 .25 1 $40 , 000 . 00 JE 38 . 19% 5/16/2005 20 Boys 6 Got Clubs of Indian River County, Inc. - Youth Volunteer Corps Grant Application to the Chid=% Services Advisory Committee UNIFORM GRANT APPLICATION EXPLANATION FOR VARIANCES OF 15% OR MORE TOTAL PROGRAM BUDGET AGENCY/PROGRAM NAME : Boys & Girls Clubs of Indian River County, Inc- = YVC FUNDER: Children's Services Advisory Committee Z . #DIVI01 #DN/01 #DIVI01 #DIV/01 Requesting additional funding because we are opening a facility based teen center within walking distance to Vero Beach High School. This will allow us to serve additional kids through the program. Increased costs will occur in staff salaries and building maintenance United Way-Indian River County costs. #DIV/01 #DIVIOI #DIV/01 #DIVI01 #DIV/01 #DIV/01 #DIVI01 Funds from Other Sources Since we are securing a facility for YVC to be based out of, we applied for a OJP start up grant in the amount of $65,000. #DIV/01 Salaries We will be employing additional staff Not through Americorps) to enable us to serve additional kids. FICA We will be employing additional staff (Not through Americorps) to enable us to serve additional kids. Retirement We will be employing additional staff (Not through Americorps) to enable us to serve additional kids. Life/Health We will be employing additional staff (Not through Americorps) to enable us to serve additional kids. Florida Unem to ment We will be employing additional staff (Not through Americorps) to enable us to serve additional kids. Travel/ConferencesfTraininq We base our traininghravel budget on 5% of theprogram's salary budget, so when that increases so does this line Rem . Office Su lies More staff/serving more kids. Telephone Telephone costs will increase with YVC moving into their own facility. #DIV/01 #DIV/01 Insurance Annual increases/addition of another shuttle bus to insure. E ui ment:Rental & Maintenance We will have to add a copier to our current lease for the new YVC facility. #DN/OI #DN/01 #DIV/01 #DIV/01 #DN/Ol Member field trips/travel is included in this line Rem and all programs are always seeking out new and exciting trips to take using funds Other/Miscellaneous raised by their Advisory Councils. #DIV/OI 5n62005 21 O O O O O O O O O O O 0 O O O 0 O O O O O O O - O O O ' O O O n (D O U) O t0 ' O i O V M M st M , t� O M O W O �` � • 00 O O O O LO 6 00 - OD to (O u"'I _ r -cam - ems- .- ti O ! 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'I !s1� t C ,'r yb� �" €Itk' C :3 .f€tL O ,, f a. rt R" Q d O Sel�e we LL 1 O f �� f r V �, � � � d w {0 �✓ C�1 EEOIh , p ° .nIleVeer E M C ���, 7 f+ �,""c 7 � � �� �- � O a 5 t fA Z HJukr C �o W F ♦+ d � ��� �' f� O f f f `" .C 1 y 8 y .c LU C V 0 O dk Le 0 0 go * *rte V 3 d d d Boys d Girls Clubs of Indian Mm County, Inc. - Youth VOWntaer Co" Grant Appiedon to Bre Children's SOMces Advisory Commetae UNIFORM GRANT APPLICATION EXPLANATION FOR VARIANCES OF 15% OR MORE FUNDER SPECIFIC BUDGET AGENCYIPROGRAM NAME: Boys & Girls Clubs of Indian River County, Inc. = YVC FUNDER: Children's Services Advisory Committee IR Our request is for the partial funding of our YVC and Finance Directors' Salary/Benefits for which the portion charged off to this grant Salaries would be 38 . 19% of the program's budget. #DIV/01 #DIVI01 #DIV101 #DIV/01 #DIVIOI #DIVI01 #DIVl01 #DIV/01 #DIVI01 #DN/01 #DIVI01 #DN/OI #DIV/01 #DIV/01 #DIVI01 #DIVI01 #DIVI01 #DIVI01 #DNIOI #DNI01 #DNIOI #DN/01 #DNI01 #DIVIOI #DNI01 #DIVIOI 51182005 22 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 - Boys 6 Gth CMAs of Indw Riw Couray. Mn. - YaM Volu°aar Cop° Gran) AWkadm W tle CNbanti SarvMaa M~y CmwM" UNIFORM GRANT APPLICATION TOTAL AGENCY BUDGET ' AGENCY/PROGRAM NAME: Bos & Girls Clubs of Indian River County, Inc. - YVC FY 03/04 FY 04/05 FY 05/06 % INCREASE FYE June 30 FYE June 30 FYE June 30 CURRENT VS. NEXT FY BUDGET A B C D ACTUAL TOTAL PROPOSED (col. atof. Bycol. B REVENUES BUDGETED BUDGETED 1 Children's Services Council-St. Lucie 0.00 0.00 0.00 #DIV/01 2 Children's Services Council-Martin 0.00 0.00 0.00 #DIV/Ol 3 Advisory Committee-Indian River 100 474.08 9554000 105 000.00 9.90% 4 United Way-St Lucie County 0.00 0.00 0.00 #DIV/01 5 United Way-Martin County 0.00 0.00 0.00 #DIV/01 6 United Way-Indian River County 125p999.88 131 000.00 150 000.00 14.50% 7 Department of Children & Families 0.00 0.00 0.00 #DIV/01 8 County Funds 0.00 0.00 0.00 #DIV/01 9 Contributions-Cash 186 072.79 291 550.00 283 875.00 -2.63% to Program Fees 4 065.56 3 400.00 8000.00 135.29% 11 Fund Raising Events-Net 181 684.00 104 625.00 117 900.00 12.69% 12 Sales to Public-Net 0.00 0.00 0.00 #DIV/01 13 Membership Dues 72699,00 79699,00 18 000.00 133.80% 14 Investment Income 1 j333.911 0.00 0.00 #DIV/01 15 Miscellaneous 21096,00 0.00 0.00 #DIV/01 1s Legacies & Bequests 0.00 0.00 0.00 #DIV/01 17 Funds from Other Sources 127 995.96 84 874.00 207 684.00 144.70% t8 Reserve Funds Used for Operating 0.00 0.00 0.00 #DIV/01 19 In-Kind Donations (Not included in total) 22 394.82 12 000.00 1200000 0.00% 20 TOTAL 759 816.00 718 688.00 890 459.00 23.90% 1 =3d" EXPENDITURES 21 Salaries 350 360.94 403 287.00 495 838.00 22.95% 22 FICA 26 769.53 30 851 .00 37 932.00 22.95% 23 Retirement 11 1985.051 19 674.00 26t250.001 33.42% 24 LifeMealth 19 327.52 28 290.00 4298900 51 .96% 25 Workers Compensation 8,792.38 12 082.00 13 288.00 9.98% 26 Florida Unemployment 804.77 21802.00 396900 41 .65% 27 Travel-Daily 11416.86 550000 11 130.00 102.36% 28 Travel/Conferences/Training 61056.99 20163.00 19 834.00 -1 .63% 29 Office Supplies 69199.781 30654,00 4150.00 13.57% 30 Telephone 11 ,810,75 12 060.00 14 940.00 23.88% 31 Postage/Shipping 1 498.51 1 169.00 1j937,00 65.70% 32 Utilities 14160.17 16 500.00 79676.00 -53.48% 33 Occupancy (Building & Grounds 90p311 ,61 8298800 106 055.00 27.80% 34 Printing & Publications 15 348.62 16 500.00 20 500.00 24.24% 35 Subscription/Dues/Memberships 8 924.88 91835,00 983500 0.00% 36 Insurance 18 943.78 22 642.00 29 890.00 32.01 % 37 Equipment: Rental & Maintenance 13 007.00 886300 11 588.00 30.75% 38 Advertising 415.00 600.00 600.00 0.00% 39 Equipment Purchases :Ca ital Expense 0.00 0.00 0.00 #DIV/01 4o Professional Fees Le al Consulting) 51673. 14 0.00 0.00 #DIV/01 41 Books/Educational Materials 9166.31 10 721 .00 11 R492.00 7.19% 42 Food & Nutrition 342.73 400.00 3 84O,00 860.00% 43 Administrative Costs 21692,24 40500,00 49500.00 0.00% 44 Audit Expense 7,360,00 79000,00 71500,00 7. 14% 45 Specific Assistance to Individuals 0.00 0.00 0.00 #DIV/01 46 Other/Miscellaneous 41t116, 13 10 067.00 16 723.00 66. 12% 47 Other/Contract 0.00 0.00 0.00 #DIV/01 48 TOTAL 672 484.69 730 148.00 902A56.00 23.60% _ . z..: 49 REVENUES OVER/ UNDER EXPENDITURES 1 87 331 .31 -11 .460.001 -11 997.00 4.69% 18 5n62DW Boys & Gkb CMbs of hi6sn Rim Cwly. Inc. - YaM VdLwdw Caps Grw Rpplaborr to to Chydwnl Ssnirns MWay Cannes UNIFORM GRANT APPLICATION TOTAL PROGRAM BUDGET AGENCY/PROGRAM NAME : Bos & Girls Clubs of Indian River County, Inc. - YVC FY 03104 FY 04/05 FY 05/06 % INCREASE FYE June 30 FYE June 30 FYE June 30 CURRENT VS. NEXT FY BUDGET A B C D ACTUAL TOTAL PROPOSED (col. C-col. Bycol. B REVENUES BUDGETED BUDGETED 1 Children's Services Council-St. Lucie 0.00 0.00 0.00 #DIV/01 2 Children's Services Council-Martin 0.00 0.00 0.00 #DIV/01 3 Advisory Committee-Indian River 40 896.66 3554000 4000000 12. 55% 4 United Way-St Lucie County 0.00 0.00 0.00 #DIV/01 5 United Way-Martin County 0.00 0.00 0.00 #DIV/01 6 United Way-Indian River County 45 999.96 46 000.00 55 000.00 19.57% 7 Department of Children & Families 0.00 0.00 0.00 #DIV/01 a County Funds 0.00 0.00 0.00 #DIV/01 9 Contributions-Cash 11450.00 39000.00 0.00 -100.00% 10 Program Fees 916.40 460.00 0.00 -100.00% 11 Fund Raising Events-Net 0.00 200.00 0.00 -100.00% 12 Sales to Public-Net 0.00 0.00 0.00 #DIV101 13 Membership Dues 0.00 0.00 0.00 #DIV/01 14 Investment Income 0.00 0.00 0.00 #DIV/01 15 Miscellaneous 0.00 0.00 0.00 #DIV/01 16 Legacies & Bequests 0.00 0.00 0.00 #DIV/01 17 Funds from Other Sources 37t266.21 20 000.00 75 000.00 275.00% 16 Reserve Funds Used for Operating 0.00 0.00 0.00 #DIV/01 19 In-Kind Donations (Noe Included In total) 5,856M 6,000.00 0.00 -100.00% 20 TOTAL 132 385.84 105 200.00 170 000.00 61 .60% EXPENDITURES 21 Salaries 76v922,891 76 523.00 104 731 .25 36.86% 22 FICA 51897.41 5t854.00 8 012�MNAZM .00 36.86% 23 Retirement 3 335.002 768.00 5 106.00 84.47% 24 Life/Health 21412.34 3l825.00 51377.00 40.58% 25 Workers Compensation 19669.23 332400 29807.00 -15.55% 26 Florida Unemployment 0.00 638.00 11290.00 ; 102. 19% 27 Travel-Daily 631 .81 31125.00 312500 0.00% 28 Travel/Conferences/Training 328.00 416100 5040.00 21 . 12% 29 Office Supplies 11095,18 394.00 550.00 39.59% 30 Telephone 3 474.583 880.00 4 470.00 15.21 % 31 Postage/Shipping 371 .38 0.00 560.00 #DIV/01 32 Utilities 0.00 0.00 1 200.00 #DIV/01 33 Occupancy (Building & Grounds 21 639.51 6r100.00 1 ,725,00 -71 .72% 34 Printing & Publications 39498,96 6t250,00 61500.00 4.00% 35 Subscri tion/Dues/Membershi s 11816. 14 160000 166600 4. 13% 36 Insurance 3301 .10 6,032,00 7j552.00 25.20% 37 E ui ment:Rental & Maintenance 1 379. 12 162100 229600 41 .64% 38 Advertising 0.00 0.00 0.00 #DIV/01 39 Equipment Purchases :Ca ital Expense 0.00 0.00 0.00 #DIV/01 40 Professional Fees (Legal, Consulting) 11759.38 0.00 0.00 #DIV/01 41 Books/Educational Materials 1534,79 2j801 .00 2j801 .00 0.000% 42 Food & Nutrition 54.36 0.00 0.00 #DIV/01 43 Administrative Costs 0.00 200.00 200.00 0.00% 44 Audit Expense 1p840,00 1 ,750.00 19875.00 7. 14% 45 Specific Assistance to Individuals 0.00 0.00 0.00 #DIV/01 46 Other/Miscellaneous 61948.80 4o597,00 59582.00 21 .43% 47 Other/Contract 0.00 0.00 0.00 #DIV/01 46 TOTAL 139 909.98 135 443.00 172 465.25 27.33% 49 REVENUES OVER/ UNDER EXPENDITURES .7y524.14 -309243.00 -2y465.25 -91 .85% s ierzooe 19 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 1840 25th Street Vero Beach , Florida 32960-3365 Recipient : Boys & Girls Clubs of Indian River County P . O . Box 643068 Vero Beach , Florida 32964 Attention : Ronnie Hewett, President, CEO 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 - ACORgR, CERTIFICATE OF INSURANCE ISSUE DATE (MM/DD/YY) 09- 26-2005 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS Markel Insurance Company NO RIGHTS UPON THE CERTIFICATE HOLDER . THIS CERTIFICATE DOES NOT AMEND , P. O . BOX 3870 EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, Glen Allen , VA 23058-3870 COMPANIES AFFORDING COVERAGE COMPANY CODE SUB-CODE LETTER A MARKEL INSURANCE COMPANY COMPANY INSURED LETTER B Boys & Girls Club of Indian River County, Inc . COMPANY C PO BOX 3068 LETTER Vero Beach, FL 32964 COMPANY D LETTER COMPANY LETTER E COVERALiES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED , NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN , THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED H�AID CLAIM EREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES . LIMITS SHOWN MAY HAVE BEEN REDUCED BY 0 TYPE OF INSURANCE POLICY EFFECTIVE POLICY EXPIRATION TR POLICY NUMBER DATE (MM/DD/YY) DATE (MM/DD/YY) LIMITS A GENERAL LIABILITY 9 3, 000, 000 GENERAL AGGREGATE X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OPS AGGREGATE $ 110000000 CLAIMS MADEa OCCUR. PERSONAL & ADVERTISING INJURY $ 1 , 000, 000 8502CY220128- 5 09- 13- 2005 09- 13-2006 OWNERS & CONTRACTOR'S PROT. EACH OCCURRENCE $ 1 ,000, 000 FIRE DAMAGE (Any one fire) $ 100,000 MEDICAL EXPENSE (Any one person) S 5 , 000 A AUTOMOBILE LIABILITY COMBINED SINGLE X ANY AUTO LIMIT S 10000,000 X ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per Person) EET X HIRED AUTOS 8502CY220128- 5 09- 13 -2005 09- 13-2006 BODILY INJURY X NON-OWNED AUTOS (Per accident) GARAGE LIABILITY PROPERTY DAMAGE g EXCESS LIABILITY EACH OCCURRENCE S UMBRELLA FORM AGGREGATE g OTHER THAN UMBRELLA FORM �„ �. - ' 510 WORKER 'S COMPENSATION STATUTORY LIMITS AND EACH ACCIDENT $ EMPLOYERS' LIABILITY DISEASE - POLICY LI44 q 1 7 37t$ � DISEASE - EACH YEE A OTHER e Irwr Inland Marine Property 8502CY220128- 5 09- 13 - 2005 09- 13 - 2006CID DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS Certificate holder is included as additional insured for operations conducted by the named insured . r% ��l�Dl6l0� L� CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO Indian River County MAIL_ __lQ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION Board of County Commissioners OR LIABILITY OF ANY KIND UPON THE COMPANY , ITS AGENTS OR 1840 25th Street REPRESENTATIVES , Vero Beach , FL 32960 AUTHORIZED REPRESENTATIVE Bruce A . Kay JPO ACORD 25-S( 7/90) (c) CORD CORPORATION 1990 Boys & Girls Clubs of Indian River County, Inc. - Youth Volunteer Corps Grant Application to the Children's Services Advisory Committee UNIFORM GRANT APPLICATION FUNDER SPECIFIC BUDGET PROGRAM EXPENSES AGENCY/PROGRAM NAME : Boys & Girls Clubs of Indian River County, Inc . - YVC FUNDER : Children's services Advisory Committee A B C FY 05/06 FY 05/06 % OF TOTAL FUNDER TOTAL VS . PROGRAM SPECIFIC FUNDER REQUEST BUDGET BUDGET col . B/col . A EXPENDITURES 21 Salaries 104, 731 .25 32 106 .25 30 .66% 22 FICA 0.00 2 ,456 . 13 #DIV/O ! 23 Retirement 0. 00 0 .00 #DIV/01 24 Life/Health 0 .00 51437 .62 #DIV/0 ! 25 Workers Compensation 0 .00 0 .00 #DIV/0 ! 26 Florida Unemployment 0 .00 0. 00 #DIV/01 27 TravelwDaily 0.00 0 .00 #DIV/0 ! 28 Travel/Conferences/Training0 .00 0 .00 #DIV/01 29 Office Su 0 Supplies .00 0 . 00 #DIV/0 ! 3o Telephone 0. 00 0 .00 #DIV/0 ! 31 Postage/Shipping 0 .00 0.00 #DIV/0 ! 32 Utilities 0 .00 0. 00 #DIV/0 ! 33 Occu anc (Building & Grounds 0200 0. 00 #DIV/O ! 34 Printing & Publications 0 .00 0 .00 #DIV/01 35 Subscription/Dues/Memberships 0 .00 0 .00 #DIV/01 36 Insurance 0 .00 0. 00 #DIV/0 ! 37 Equipment: Rental & Maintenance 0 . 00 0. 00 #DIV/01 38 Advertisina 0 .00 0 .00 #DIV/O ! 39 Equipment Purchases : Capital Expense Ell OAO 0 .00 #DIV/01 40 Professional Fees (Legal , Consulting ) 0. 00 0. 00 #DIV/01 41 Books/Educational Materials 0 .00 0 .00 #DIV/01 42 Food & Nutrition 0. 00 0.00 #DIV/01 43 Administrative Costs 0 . 00 0.00 #DIV/01 44 Audit Expense 0 .00 0.00 #DIV/01 45 Specific Assistance to Individuals 0 .00 0 .00 #DIV/O ! 46 Other/Miscellaneous 0 .00 0 . 00 #DIV/01 47 Other/Contract 0 .00 0. 00 #DIV/01 48 TOTAL $ 104, 731 .25 1 $40 , 000 . 00 JE 38 . 19% 5/16/2005 20 Boys 6 Got Clubs of Indian River County, Inc. - Youth Volunteer Corps Grant Application to the Chid=% Services Advisory Committee UNIFORM GRANT APPLICATION EXPLANATION FOR VARIANCES OF 15% OR MORE TOTAL PROGRAM BUDGET AGENCY/PROGRAM NAME : Boys & Girls Clubs of Indian River County, Inc- = YVC FUNDER: Children's Services Advisory Committee Z . #DIVI01 #DN/01 #DIVI01 #DIV/01 Requesting additional funding because we are opening a facility based teen center within walking distance to Vero Beach High School. This will allow us to serve additional kids through the program. Increased costs will occur in staff salaries and building maintenance United Way-Indian River County costs. #DIV/01 #DIVIOI #DIV/01 #DIVI01 #DIV/01 #DIV/01 #DIVI01 Funds from Other Sources Since we are securing a facility for YVC to be based out of, we applied for a OJP start up grant in the amount of $65,000. #DIV/01 Salaries We will be employing additional staff Not through Americorps) to enable us to serve additional kids. FICA We will be employing additional staff (Not through Americorps) to enable us to serve additional kids. Retirement We will be employing additional staff (Not through Americorps) to enable us to serve additional kids. Life/Health We will be employing additional staff (Not through Americorps) to enable us to serve additional kids. Florida Unem to ment We will be employing additional staff (Not through Americorps) to enable us to serve additional kids. Travel/ConferencesfTraininq We base our traininghravel budget on 5% of theprogram's salary budget, so when that increases so does this line Rem . Office Su lies More staff/serving more kids. Telephone Telephone costs will increase with YVC moving into their own facility. #DIV/01 #DIV/01 Insurance Annual increases/addition of another shuttle bus to insure. E ui ment:Rental & Maintenance We will have to add a copier to our current lease for the new YVC facility. #DN/OI #DN/01 #DIV/01 #DIV/01 #DN/Ol Member field trips/travel is included in this line Rem and all programs are always seeking out new and exciting trips to take using funds Other/Miscellaneous raised by their Advisory Councils. #DIV/OI 5n62005 21 OCT- 17 - 2005 MON 02144 PM WM , DAY , INC . FAX NO , 772 546 5772 P , 04 Florida Retail Federation RoartlorTrusrees Self Insurers W. " e CCundrat, C 'huirnrnn (;targge Sandcfcr, Vice C'buiruunv FJohn i ). 1 LIWi lJ11nn ArAnini�'rrrrdAp5rrr,rnob .,Jrrcr 1979 Nis ( 1i , scn 1',O. Dk)%x 94 • L.akt hnd , 1. 1. 33802 . 0988 • Tholwla S . Pctco (I TcicpLnne ( 863 ) 66 '5- 6060 or 1 -800-M ,7649 • F'ax ( 863) 666- 1958 C'htu'lcs H . Wintz Certificate of lnsurance RE : 0520 - 25 £364 ISSUED 'TO ' Indian River CoLnty Board of county commissioners 1840 25th 5t Vero Beach , FL 32960 - 3365 This is to certify that aoy & irl _G.li! b of .Indian R-jve _County , IIPO., Eli c�306 $ N. _Cga ach ,.11., 3296 } , being subject to the provisions of the Florida Workers ' Compensation Law , has secured the payment of any workers ' compensation benefits due by insuring their risk with the Florida Retail Federation Self Insurers Fund . POLICY NUMBER : 0524_25664 Statutory Limits - - Stake of Florida Employers Liability EFFECTIVE DAI-E : Sep tuber.X .3._2005 $ 500 , 000 ( l=ath Accident) $ 500 , 000 ( Disease - - Each Employee ) EXPIRATION DATE : geptgrrl.ber 1. 3 , 2006 $ 500 , 000 ( Disease - - Policy Limit) This certificate is not a policy and of Itself does not afford any insurance . Nothing contained in this certificate shall be construed as amending , extending , or altering coverage not afforded by the policy shown above or affording lnsuranco to any Insured not earned above . 'The policy of insurance listed above has been issued to the named insured for the policy period indicated . Notwithstanding any requirement , term or condition of any contract or other document to which this certificate may pertain , the Insurance made available by the described policy in this certificate is subject to only the terms , exclusions and conditions of such policy . Paid claims may have reduced the shown limits , If the policy described above is cancelled before the expiration date indicated , the Issuing company will attempt to mail 30 days ' written notice to the certificate holder named above , although if cancellation is for nonpayment of premium , then the issuinca company will attempt to mail 10 days ' written notice to the certificate holder . In any event, the issuing company, its L and representatives accept no obligation or liability of any kind for failure to mail such notice . Date 10/ 17/ 2005 1� Summit, Adininisti-ator _ . l' loricla IZelail Federation Self Insurers Fond Boys d Girls Clubs of Indian Mm County, Inc. - Youth VOWntaer Co" Grant Appiedon to Bre Children's SOMces Advisory Commetae UNIFORM GRANT APPLICATION EXPLANATION FOR VARIANCES OF 15% OR MORE FUNDER SPECIFIC BUDGET AGENCYIPROGRAM NAME: Boys & Girls Clubs of Indian River County, Inc. = YVC FUNDER: Children's Services Advisory Committee IR Our request is for the partial funding of our YVC and Finance Directors' Salary/Benefits for which the portion charged off to this grant Salaries would be 38 . 19% of the program's budget. #DIV/01 #DIVI01 #DIV101 #DIV/01 #DIVIOI #DIVI01 #DIVl01 #DIV/01 #DIVI01 #DN/01 #DIVI01 #DN/OI #DIV/01 #DIV/01 #DIVI01 #DIVI01 #DIVI01 #DIVI01 #DNIOI #DNI01 #DNIOI #DN/01 #DNI01 #DIVIOI #DNI01 #DIVIOI 51182005 22 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 1840 25th Street Vero Beach , Florida 32960-3365 Recipient : Boys & Girls Clubs of Indian River County P . O . Box 643068 Vero Beach , Florida 32964 Attention : Ronnie Hewett, President, CEO 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 - ACORgR, CERTIFICATE OF INSURANCE ISSUE DATE (MM/DD/YY) 09- 26-2005 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS Markel Insurance Company NO RIGHTS UPON THE CERTIFICATE HOLDER . THIS CERTIFICATE DOES NOT AMEND , P. O . BOX 3870 EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, Glen Allen , VA 23058-3870 COMPANIES AFFORDING COVERAGE COMPANY CODE SUB-CODE LETTER A MARKEL INSURANCE COMPANY COMPANY INSURED LETTER B Boys & Girls Club of Indian River County, Inc . COMPANY C PO BOX 3068 LETTER Vero Beach, FL 32964 COMPANY D LETTER COMPANY LETTER E COVERALiES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED , NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN , THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED H�AID CLAIM EREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES . LIMITS SHOWN MAY HAVE BEEN REDUCED BY 0 TYPE OF INSURANCE POLICY EFFECTIVE POLICY EXPIRATION TR POLICY NUMBER DATE (MM/DD/YY) DATE (MM/DD/YY) LIMITS A GENERAL LIABILITY 9 3, 000, 000 GENERAL AGGREGATE X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OPS AGGREGATE $ 110000000 CLAIMS MADEa OCCUR. PERSONAL & ADVERTISING INJURY $ 1 , 000, 000 8502CY220128- 5 09- 13- 2005 09- 13-2006 OWNERS & CONTRACTOR'S PROT. EACH OCCURRENCE $ 1 ,000, 000 FIRE DAMAGE (Any one fire) $ 100,000 MEDICAL EXPENSE (Any one person) S 5 , 000 A AUTOMOBILE LIABILITY COMBINED SINGLE X ANY AUTO LIMIT S 10000,000 X ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per Person) EET X HIRED AUTOS 8502CY220128- 5 09- 13 -2005 09- 13-2006 BODILY INJURY X NON-OWNED AUTOS (Per accident) GARAGE LIABILITY PROPERTY DAMAGE g EXCESS LIABILITY EACH OCCURRENCE S UMBRELLA FORM AGGREGATE g OTHER THAN UMBRELLA FORM �„ �. - ' 510 WORKER 'S COMPENSATION STATUTORY LIMITS AND EACH ACCIDENT $ EMPLOYERS' LIABILITY DISEASE - POLICY LI44 q 1 7 37t$ � DISEASE - EACH YEE A OTHER e Irwr Inland Marine Property 8502CY220128- 5 09- 13 - 2005 09- 13 - 2006CID DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS Certificate holder is included as additional insured for operations conducted by the named insured . r% ��l�Dl6l0� L� CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO Indian River County MAIL_ __lQ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION Board of County Commissioners OR LIABILITY OF ANY KIND UPON THE COMPANY , ITS AGENTS OR 1840 25th Street REPRESENTATIVES , Vero Beach , FL 32960 AUTHORIZED REPRESENTATIVE Bruce A . Kay JPO ACORD 25-S( 7/90) (c) CORD CORPORATION 1990 OCT- 17 - 2005 MON 02144 PM WM , DAY , INC . FAX NO , 772 546 5772 P , 04 Florida Retail Federation RoartlorTrusrees Self Insurers W. " e CCundrat, C 'huirnrnn (;targge Sandcfcr, Vice C'buiruunv FJohn i ). 1 LIWi lJ11nn ArAnini�'rrrrdAp5rrr,rnob .,Jrrcr 1979 Nis ( 1i , scn 1',O. Dk)%x 94 • L.akt hnd , 1. 1. 33802 . 0988 • Tholwla S . Pctco (I TcicpLnne ( 863 ) 66 '5- 6060 or 1 -800-M ,7649 • F'ax ( 863) 666- 1958 C'htu'lcs H . Wintz Certificate of lnsurance RE : 0520 - 25 £364 ISSUED 'TO ' Indian River CoLnty Board of county commissioners 1840 25th 5t Vero Beach , FL 32960 - 3365 This is to certify that aoy & irl _G.li! b of .Indian R-jve _County , IIPO., Eli c�306 $ N. _Cga ach ,.11., 3296 } , being subject to the provisions of the Florida Workers ' Compensation Law , has secured the payment of any workers ' compensation benefits due by insuring their risk with the Florida Retail Federation Self Insurers Fund . POLICY NUMBER : 0524_25664 Statutory Limits - - Stake of Florida Employers Liability EFFECTIVE DAI-E : Sep tuber.X .3._2005 $ 500 , 000 ( l=ath Accident) $ 500 , 000 ( Disease - - Each Employee ) EXPIRATION DATE : geptgrrl.ber 1. 3 , 2006 $ 500 , 000 ( Disease - - Policy Limit) This certificate is not a policy and of Itself does not afford any insurance . Nothing contained in this certificate shall be construed as amending , extending , or altering coverage not afforded by the policy shown above or affording lnsuranco to any Insured not earned above . 'The policy of insurance listed above has been issued to the named insured for the policy period indicated . Notwithstanding any requirement , term or condition of any contract or other document to which this certificate may pertain , the Insurance made available by the described policy in this certificate is subject to only the terms , exclusions and conditions of such policy . Paid claims may have reduced the shown limits , If the policy described above is cancelled before the expiration date indicated , the Issuing company will attempt to mail 30 days ' written notice to the certificate holder named above , although if cancellation is for nonpayment of premium , then the issuinca company will attempt to mail 10 days ' written notice to the certificate holder . In any event, the issuing company, its L and representatives accept no obligation or liability of any kind for failure to mail such notice . Date 10/ 17/ 2005 1� Summit, Adininisti-ator _ . l' loricla IZelail Federation Self Insurers Fond