AGREEMENT-PROVIDE IN HOME SIGN LANGUAGE TRAINING
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AGREEMENT
This Funds Agreement is made and entered into between the City of Clearwater, hereinafter
referred to as the City, and Friends ofthe Deaf Service Center, Inc. hereinafter referred to as the
Agency.
WHEREAS, it has been determined to be highly desirable and socially responsible to provide
in-home sign language training to families with deaf and hard-of-hearing family members to
those families who would not otherwise have a means to fill this need; and
WHEREAS, the City desires to help those in need by providing funding for the above services;
and
WHEREAS, the Agency provides such services and operates in the City;
NOW, THERFORE, the parties agree as follows:
ARTICLE I. TERM
The term ofthis agreement shall be for a period of 12 months commencing on the 15t day of
October, 1999 and continuing through the 30th day of September, 2000 (the Termination Date)
unless earlier terminated under the terms of this agreement.
ARTICLE II. RESPONSIBILITIES OF THE AGENCY
1. Services to be Provided: The Agency shall provide the above stated service in
accordance with the proposal submitted by the Agency and approved by the City, which
is incorporated herein by reference.
2. Area to be Served: Services rendered through this agreement shall be provided within
the corporate limits of the City as it now exists and as its boundaries may be changed
during he term of this agreement.
3. Scheduled Reports of Agency Activities: The Agency shall furnish the City Human
Relations Department, Grants Coordinator, with an annual report of activities conducted
under the provisions of this agreement within sixty days of the end of the Agency's fiscal
year. Each report is to identify the number of clients served, the costs of such service,
and commentary on the viability, effectiveness, and trends affecting the program.
4. Use and Disposition of Funds Received: Funds received by the Agency from the City
shall be used to pay for the above services as further described in the grant proposal
submitted by the Agency to the City. Funds existing and not used for this purpose at the
end of this agreement term shall be deemed excess to the intended purpose and shall be
returned to the City.
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5. Creation, Use, and Maintenance of Financial Records:
a) Creation of Records: Agency shall create and maintain financial and accounting
records, books, documents, policies, practices, procedures and any information
necessary to reflect fully the financial activities of the Agency. Such records shall
be available and accessible at all times for inspection, review, or audit by
authorized City representatives.
b) Use of Records: Agency shall produce such reports and analyses that may be
required by the City and other duly authorized agencies to document the proper
and prudent stewardship and use of the monies received through this agreement.
c) Maintenance of Records: All records created hereby are to be retained and
maintained for a period not less than five (5) years from the termination of this
agreement.
6. Non-discrimination: Notwithstanding any other provisions of this agreement during the
term of this agreement, the Agency for itself, agents and representatives, as part of the
consideration for this agreement, does covenant and agree that:
a) No Exclusion from Use: No person shall be excluded from participation in,
denied the benefits of, or otherwise be subjected to discrimination in the operation
of this program on the grounds of race, color, religion, sex, age, national origin, or
disability.
b) No Exclusion from Hire: In the management, operation, or provision of the
program activities authorized and enabled by this agreement, no person shall be
excluded from participation in or denied the benefits of or otherwise be subject to
discrimination on the grounds of or otherwise be subjected to discrimination on
the grounds of race, color, religion, sex, age, national origin, or disability.
c) Inclusion in Subcontracts: The Agency agrees to include the requirement to
adhere to Title VI and Title VII of the Civil Rights Act of 1964 in all approved
sub-contracts.
d) Breach of Nondiscrimination Covenants: In the event of conclusive evidenced
of a breach of any of the above non-discrimination covenants, the City shall have
the right to terminate this agreement.
7. Liability and Indemnification: The Agency shall act as an independent contractor and
agrees to assume all risks of providing the program activities and services herein agreed
and all liability therefore, and shall defend, indemnify, and hold harmless the City, its
officers, agents, and employees from and against any and all claims ofloss, liability, and
damages of whatever nature, to persons and property, including, without limiting the
generality of the foregoing, death of any person and loss of the use of any property,
except claims arising from the negligence or willful misconduct of the City or City's
agents or employees. This includes, but is not limited to matters arising out of or claimed
to have been caused by or in any manner related to the Agency's activities or those of any
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approved or unapproved invitee, contractor, subcontractor, or other person approved,
authorized, or permitted by the Agency in or about its premises whether or not based on
negligence
ARTICLE III. RESPONSIBILITIES OF THE CITY
1. Grant of Funds: The City agrees to provide a total grant of$I,523.00 to fund the
program in accordance with this agreement and subject to City Commission budget
approval.
2. Payments: The total amount requested will be paid by the City to the Agency within 30
days after execution ofthis agreement by the City and the Agency but no earlier than
October 1 of the budget year for which the funds are authorized.
ARTICLE IV. DISCLAIMER OF WARRANTIES
This Agreement constitutes the entire Agreement of the parties on the subj ect hereof and may not
be changed, modified, or discharged except by written Amendment duly executed by both
parties. No representations or warranties by either party shall be binding unless expressed herein
or in a duly executed Amendment hereof.
ARTICLE V. TERMINATION
1. For Cause: Failure to adhere to any of the provisions of this agreement as determined by
the City shall constitute cause for termination. This agreement may by terminated with 5
days notice without any further obligation by City.
2. Disposition of Fund Monies: In the event of termination for any reason, monies made
available to the Agency but not expended in accordance with this agreement shall be
returned to the City.
ARTICLE VI. NOTICE
Any notice required or permitted to be given by the provisions of this agreement shall be
conclusively deemed to have been received by a party hereto on the date it is hand-delivered to
such party at the address indicated below (or at such other address as such party shall specify to
the other party in writing), or if sent by registered or certified mail (postage prepaid), on the fifth
(5th) business day after the day on which such notice is mailed and properly addressed.
1.
If to City, addressed to Grants Coordinator, Human Relations Department, P.O Box 4748,
Clearwater, FL 33758
If to Agency, addressed to'](uends df !he j)eaf Serv'ice Cenlei; ]nC. )
~S-Lf~- ~3RD St. 7>. ) 5efYlflJo!e/ FL 33777.
2.
The effective date ofthis agreement shall be as of the first day of October, 1999.
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TEL:727-541-3051 Oct 08 99 13:16 NO.002 P.05
ThiSIl[Veement ill. COl1lil1t\el1lupon il1Clulion by the City Commiuion or tun4ns for the Social
Servlcea.l1n\nLli 'Program in th_~ City otClf~anvatcr Fiscal Year 19~/.2000 operating Budget.
.IN WTTNESS WHER.EOF, the parties bereto have set their haDds and seals this
~9~ aayof Oc~~ ,1999.
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CITY OF CLEARWATER
SOCIAL SERVICES GRANT
PROJECT APPLICATION FORM
Phone:
(727 )
562-4060 for assistance
Due: June 7, 1999
A. Application Information
Applicant: Friends of the Deaf Service Center, Inc.
(Sponsor/Developer)
0rganization Name:
(If different)
Address:
P.O. Box 2730
City; State; Zip
Pinellas Park,
Telephone Number:
727-541-4488
Contact Person:
Title:
Telephone Number:
727-541-4488
Period for which funds
are being requested:
Oct. 1. 1999 - Sept. 30, 1999
Signature
QrdO
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Directors Chairper
Date
NOTE:
The City of Clearwater reserves
level lower than requested.
right to fund applicants at a
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B. Activity (Check One)
Adult Crime
Child' Abuse
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Elderly'" :
Hunger
Juvenile Crime
Physical Illness
Parenting
Adolescents
Substance Abuse
Youth Development
other
(Describe Below)
x
Services to Deaf and Hard of Hearina residents and their families
not provided bv any other agency in Pinellas County.
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C. AMOUNT OF FUNDING CURRENTLY REQUESTED:
(Not to exceed $10,000)
$ 5,000
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D. SPECIFICALLY FOR WHAT WILL THIS MONEY BE USED.
To orovide in-home sign language instruction to Clearwater
families with deaf or hard of hearing members. Funds will
be used to supplement the teacher's salary, pay for
curriculum, mileage and incidental expenses related to. the
provision of this necessarv service.
E. BRIEF DESCRIPTION OF PROJE~T YOU WISH TO FUND UTILIZING THIS
GRANT.
The in-home sign language oroj ect provides instruction. to
empower family members as effective communicators and allow
the deaf or hard of hearincr member full participation in the
family. Sessions are scheduled in the clients homes and
focus on the development of American Sign Language skills at
the soecific level for each familv.
F. BRIEF DESCRIPTION OF YOUR OVERALL ORGANIZATION:
The orcranization serves both hearing and deaf residents of
Pinellas and Hillsborough counties by providing services
that make it oossible for both to communicate with each
other. Services include: interpreting, hearincr aid testincr,
sales and service, assisti ve device sales, repair and
distribution, advocacy and education, case management,
counseling, referral and social/recreational opportunities.
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G. NUMBER OF CLIENTS SERVED BY THIS PROGRAM.
55 - Waiting list includes an additional 41 clients
F. PERCENTAGE OF THESE CLIENTS WHO ARE CITIZENS OF CLEARWATER.
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32%
I. CURRENT OVERALL ORGANIZATION BUDGET (PLEASE ATTACH) .
J. IF THIS IS STAR.T UP OR MATCHING MONEY, SPECIFY THE DETAILS
i.e.:
WHICH AGENCY OR ORGANIZATION WILL PROVIDE THE MATCH, THE
REQUIREMENTS Al'-l"'D THE AMOUNT OF THE MATCH.
K. IS YOUR AGENCY A REGISTERED 501 (C) (3) NON-PROFIT AGENCY OR
IN THE PROCESS OF BECOMING ONE.
Yes
L. DOES YOUR FACILITY HAVE OR IS IT IN THE PROCESS OF ACQUIRING
THE APPROPRIATE LICENSURE FOR THE DELIVERY OF THE SERVICES
DESCRIBED IN THIS APPLICATION.
Yes
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M. HAS YOUR ORGANIZATION RECE IVED OR IS IT EXPECTING TO RECE IVE
FUNDING (WHETHER CASH OR IN-KIND CONTRIBUTIONS) FROM THE
CITY OF CLEARWATER DURING THE FISCAL YEAR FROM OCTOBER 1,
1999.THROUGH SEPTEMBER 30, 2000.
, .
. YES ',. ,'.
NO
X
IF YES, PLEASE EXPLAIN:
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'Agency Name:
Friends of the Dear Service Center, Inc,
'~upport & Revenue
'1, Fundraising & Contributions
:2, Foundations
;Government Funding
b, Federal
14. State
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is. County
;6. Local
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7. United Way or Pinellas Allocation
:8. Other United Wa Fundin
9, Program Service Fees
110. Investment Income
ill. Miscellaneous Revenue
i Total Revenue
! Ex/1J11lH$.
'12. Salaries
i 13. Employee Benefits
14. Payroll Taxes
I Sub-Total Salaries & Benefits
! 15. Professional Fees
116. Occupancy
17. Travelrrransportation
i 18, Utilities (Gas/Water/Power/Phone)
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'19. Office Expenses (Supplies/Printin )
120. Membership Fees & Dues
,21, Specific Assistance to Individuals
i 22. Miscellaneous Expenses
Total Expenses
ExcessJ (Denclt)
UWPC Allocation as % or Budget
01 iV4/99
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Total Agency Budget
2a i 2b
Jul '97 to
Jun '98
Actual
5201 ,301 ;
I
$5,OOJ :
I
52,790 !
$48,267
$2,500
,
5155,2961
$99,7981
541,500 ,
$1,034,256
I
510,019!
$10.0701
$1,610,797,
i
$778,1901
528,7441
568,1941
i
S875,128,
I
$58,401,
,
$275,419i
r
$32.698 ;
1
$116,707,
563,1561
,
S306,7341
$75,8611
$1,804,1041
($193.307]
6.2%1
Jul '98 to
Jun'OO
Budget
$219,191 :
525,00J .
I
!
,
$5,OOJ :
$49,OOJ :
,
$3,500 I
I
$183,8311
564,7981
541,500:
,
$1,178.2691
513,OOJ!
$25,OOJ !
51,808,OEl9I
I
SOl
5n2,144:
547,310 !
$69,192:
I
$888,6461
I
549,4561
$269,0441
$21,735 !
$1oa,686~
"
$59,815:
$3,310!
$320,812:
I
$33,4201
i
$1,754,9241
$53,165
3.6%
Change
98-99 minus 97-98
Percent
$17,800
52O,OOJ
!
$2,210:
$733:
$1,OOJ'
528,535 :
I
(S35,OOJ)
SO:
$144,013:
$2,981 !
$14,930:
r
5197,292 ,
(56,046)
518,566 :
$998:
513,518i
I
(S8,945J
(56,375)
510,963)
($8,021 )
($3,341 )
$3,310:
514,078
I
(542,441 )
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($49,180)
,
$246.4i2 ;
-2.6%
8.9%
400.0%
79.2%
1.5%
40.0%
18.4%
-35,1 %
0,0%
13.9%
29,8%
148.3%
12.2%
-0.8%
64.6%
1.5%
1.5%
-15.3%
-2.3%
..:33.5%
~.9%
-5.3%
0,0%
4,6%
-55.9%
-2.7%
-127.5%
-42.2%
2c
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3a
Jul '00 to
Jun '00
Budget
5220,300
5-'" ,OOJ
I
$5,OOJ I
547,800 !
,
$6,500 i
,
5197,6991
I
$64,798 I
,
S50,OCO'
I
$1,184,358 ;
,
515,OCOI
515,OCOI
,
51,8...'=6,515 i
I
I
S810.0c0 i
535,4831
,
$i2,C88 i
5917,5711
552.9181
5204,425 i
52O,OOJ !
$88.9OO!
,
$65,OCO I
$3,5001
S325,OCO :
,
535,00J I
51,712,314i
,
$144,201 ;
I
3.5%'
3b
17
3c
Change
9.:?-00 minus 98-99
Percent
SI,IC9
52S,OOJ
so'
(51,140)
,
$3,OCO i
$13,868 '
,
SO'
sa,5CO 1
56,089'
52,00J '
(510;00J)
$48.426
$37,856 :
(511,827]
52,896 '
528,925 ;
$3,462 i
I
(564,619)
I
(51,735]
(519,786)
$5,185:
5100'
$4,188
51,580:
(542.610)
591,036
-0.1%:
I
0.5% I
100.0% I
~
0.0%
-2,3%
85.7%
7,5%
0.0% I
:~5: ~
15.4%
.-..-;
-40.0%
2.7%
4.9%
-25.0%
4.2% l
3.3%
7.0% I
-24,0% l
-8,0%
-18.2%
8.7%
5.7%
1.3%
4.7%
-2.4%
171.2%
-2.6%
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