MIDDLE SCHOOL-AGED SUMMER SCHOLARSHIP PROGRAM - CHARTING THE COURSE FOR YOUTH
.
,
AGREEMENT
Between
THE JUVENILE WELFARE BOARD
and
City of Clearwater Florida Parks and Recreation Department
(Middle School-Aged Summer Scholarship Program)
(Charting the Course for Youth)
I. PURPOSE
The Juvenile Welfare Board of Pinellas County, hereinafter referred to as "JWB" , and City of
Clearwater Florida Parks and Recreation Department, hereinafter referred to as "Provider", enter into
this mutual Agreement, including all attachments referred to herein, for the period commencing October
1, 2005 and extending through September 30, 2006.
II. STAFF
Provider agrees to employ staff, at its expense, to execute services provided in accordance with this
Agreement. Such individuals shall not be considered employees of JWB or the County of Pinellas,
and are subject to the supervision, personnel practices and policies of the provider. Unless otherwise
approved by JWB, all staff shall meet qualifications as stated in the application and any approved
revisions which are submitted for fiscal year 05-06 funding.
III. SERVICES
Provider agrees to deliver services as stated in the currently approved program methodology on file at
JWB and to accomplish objectives stated in Attachment 2 in accordance with recognized child welfare
practices, as determined by JWB, in service areas stated in Attachment 3, and pursuant to the
General Conditions listed in Attachment 1, and any special conditions as stated in Section VIII of this
Agreement.
IV. FUNDS
The budget for both JWB and other funds (if any) for accomplishing the above stated services shall be
as set forth in Attachment 4. JWB agrees to reimburse up to $111,055 for Middle School-Aged
Summer Scholarship Program for services rendered; $108,784 for Charting the Course for Youth for
actual costs incurred pursuant to this Agreement.
V. METHOD OF PAYMENT
1. JWB issues reimbursements in accordance with the schedule listed on Attachment V (or on the
preceding working day in case of a holiday). The Provider may select to submit a request for
payment every other week or once a month. Request for payment must be accompanied by the
appropriate documentation as prescribed by JWB.
2. Requests for advance funds may be made, consistent with JWB policy.
VI. TERMINATION
1. It is the intent of the JWB to assure a consistent and orderly delivery of children's services. It is
the further intent of JWB to terminate Agreements only in those situations where such action is
essential to protection of its interests and the interests of children, as determined by JWB.
2. Except as provided in subparagraphs 3 and 4 below, this Agreement may be terminated by either
party upon no less than thirty (30) days notice. Said notice shall be delivered by certified mail,
return receipt requested, or in person with proof of delivery.
Agency: City of Clearwater
Page 1 of 3
Section I
091191051:23:29 PM
3. In the event funds to finance this Agreement become unavailable, JWB may terminate the
contract upon no less than twenty-four (24) hours notice in writing to the Provider. Said notice
shall be delivered by certified mail, return receipt requested, or in person with proof of delivery.
JWB shall endeavor, whenever possible and consistent with its legal obligations and principles of
prudent management to provide 30 days notice for Termination for lack of Funds. JWB shall be
the final authority as to the availability of funds and extension of notice beyond the minimum time
herein stated.
4. In addition to the rights as set forth in paragraph VI., 2 above, this Agreement may be terminated
by JWB for any breach by Provider of the terms of this Agreement, including all attachments,
upon twenty-four (24) hours written notice. Said notice shall be delivered by certified mail, return
receipt requested, or in person with proof of delivery. JWB at its discretion may waive any breach
by the Provider in writing, but such waiver shall not constitute a waiver of any future breaches,
including breaches of the same type.
5. The above provisions shall not limit JWB's right to remedies at law or to damages.
VII. COMMENCEMENT OF PAYMENT
Unless specifically authorized by JWB, payment for services rendered under this Agreement shall not
commence prior to its effective date.
VIII. SPECIAL CONDITIONS
The following condition(s) apply to all listed programs within City of Clearwater.
1. General Condition #3 (Audit and Management letter) is waived.
2. General Condition #6 (Board Members and Meetings) is waived.
Agency: City of Clearwater
Page 2 of 3
Section I
09/19/051:23:29 PM
IX". INDEMNIFICATION
The Parties recognize and agree to abide by the provisions of ~ 768.28, Fla. Stat.
IN WITNESS WHEREOF, the parties hereto have set their hands and seal this J. 3 day of
NOl/efYI.ber, 2005.
Ch. 7.~
o
Witness Signature
JUVENILE WELFARE BOARD OF
PINELLAS C7 :
vvf~
Signed, sealed and delivered
I n the presence of:
Print Name: 44'-1 t.., ~ + (y
j~m~
Witness Signature
Print Name: ~ v /. ~ l &i!P.r~
Print Name: Jo-t.4..e.s E. H,lls
J / ) :;'3ks
I I
Date
IN WITNESS WHEREOF, the parties hereto have set their hands and seal this
,2005.
day of
Cou ntersig ned:
.~~
--...../
Frank Hibbard
CITY OF CLEARWATER, FLORIDA
By:~M~~~.~-rr
William B. Horne, II
Approved as to form:
La~
Ass~tant City Attorney
Attest:
fc~~~~nL
City Clerk ;,..---. .""" .. --"-
. . -
- -
~ .. - . ~ - - .
Agency: City of Clearwater
Page 3 of 3
6/1i2005 12:~1-2:58 PM
Section I
, .
ATTACHMENT 1
GENERAL CONDITIONS OF THE AGREEMENT
1. Agreement Revisions
This Agreement. and attachments 1 through 4, constitute the contractual relationship between the Provider and
JWB. No amendments to this Agreement or its attachments may be made without the prior written approval of
JWB and Provider, except as may be provided in General Condition #4.
2. Fiscal Responsibilitv - Provider agrees:
A. To maintain books. records and documents in accordance with generally accepted accounting
procedures and practices which accurately and appropriately reflect all expenditures of funds listed in
Attachment 4.
B. That all financial records and supporting documentation shall be subject at all times to inspection, review,
or audit by JWB personnel or its duly authorized agent.
C. To maintain and file with JWB in a timely fashion reports related to services provided under this
Agreement.
D. To retain all financial records, supporting documentation, statistical records. and any other documents
pertinent to this Agreement for a period of five (5) years after termination of this Agreement. If an audit
has been initiated and audit findings have not been resolved at the end of five (5) years. all records shall
be retained until resolution of audit findings.
3. Audit and Management Letter
Within 120 days of the close of its fiscal year. Provider agrees to submit to JWB an independent audit of the
financial statements of the entity in its entirety and any accompanying management letter(s). The audit must
be performed by a firm licensed to perform audits in the State of Florida and conducted in accordance with
generally accepted auditing standards and standards established by the American Institute of Certified Public
Accountants. The audit will separately identify JWB revenues. fees and donations, and expenditures by
program.
4. Other Financial Support
A. Within 30 days of the effective date of this Agreement, and at any subsequent time as a revision in the
budget may be reasonably anticipated. Provider will submit to JWB for its approval a revised budget
which again includes all resources to be applied to the program funded under this Agreement. A written
justification will be made of any difference in the proposed budget revision and the approved budget.
Statements which reflect reductions in excess of 5% of total program funding or $5,000, whichever is
least. as reflected in the approved budget. or reduction in any amount which in the judgment of JWB
would significantly interfere with implementation of the program as originally approved. may be grounds
for breach of Agreement.
B. Provider will report any request to any other source for financial support relating to this program for this
fiscal year; and report any other financial support received which amounts to 10% of the total program
cost or $5,000, whichever is least, and an explanation of how such additional funds will be used. A full
copy of requests or applications for other financial support will be provided if requested by JWB.
C. JWB funds will not be used for expenditures also funded by other sources.
D. Generally, JWB encourages use of its funds as financial match for securing funds from other sources.
However. in such instances Provider is required to obtain prior approval from JWB.
Agency: City of Clearwater
Page 1 Of3
Section II
09/19/051:23:29 PM
,. ,r
5. Proaram Monitorina
Provider agrees to submit progress reports and other information in such format and at such times as may be
prescribed by JWB (including SAMIS and A.S.S.E.T.), and to cooperate in site visits and other on-site
monitoring (including, but not limited to, access to sites, staff, fiscal and client records, and logs and the
provision of related information).
6. Board Members and Meetinas
Within 30 days of the effective date of this Agreement, Provider will submit to JWB a calendar of scheduled
Board meetings for the current fiscal year. Approved Board minutes and an updated list of Board Members
shall be submitted in accordance with JWB policy.
7. Nondiscrimination
Programs receiving funding from the Juvenile Welfare Board shall not discriminate against an employee,
volunteer, or participant of the provider on the basis of race, color, gender, religion, national origin, citizenship,
disability, marital status, or age except that programs may target services for specific participant groups as
defined in the application. Additionally, agencies receiving funds shall demonstrate the standards, policies, and
practices necessary to render services in a manner that respects the worth of the individual and protects and
preserves the dignity of people of diverse cultures, classes, races, religions, and ethnic backgrounds.
8. Publicizina of JWB Support
Provider agrees to identify JWB support on its letterhead, agency newsletter, and other printed materials, and
to utilize every reasonable opportunity to publicize the support received from JWB.
9. Publications
Provider agrees to supply JWB, without charge, up to three (3) copies of any publication developed in
connection with implementation of programs addressed by this Agreement. Such publications will state that the
program is supported by JWB. Provider agrees that JWB will have unlimited use of copyrighted materials
developed under this Agreement.
10. Assianments and Subcontracts
Provider shall not assign the responsibility of this Agreement to another party nor subcontract for any of the
work contemplated under this Agreement, unless so specified in Attachment 4, without prior written approval of
JWB. No such approval by JWB of any assignment or subcontract shall be deemed in any event or in any
manner to provide for the incurrence of any obligation by JWB in addition to the total dollar amount stated in
this Agreement. All such assignments or subcontracts shall be subject to the conditions of this Agreement and
to any conditions of approval that JWB shall deem necessary.
11. Confidential Information
Provider shall not use or disclose any information which specifically identifies a recipient of services under this
Agreement, with the following exceptions: a) such information may be revealed as may be necessary to
implement General Conditions 2 and 5; b) such information may be revealed as may be necessary pursuant to
applicable federal, state, or local law and related regulations; and c) such information may be revealed with the
written consent (authorization) of the recipient, or the recipient's responsible parent or guardian, where
authorized by law. The provider is responsible to adopt appropriate policies, notifications, authorizations, and
other relevant information that allows for the sharing of confidential information.
12. Return of Funds
Provider agrees to return to JWB any overpayment due to unearned funds or funds disallowed pursuant to the
terms of this Agreement that were disbursed to Provider by JWB, and such funds shall be considered JWB
funds and shall be refunded to JWB in accordance with its instructions.
Agency: City of Clearwater
Page 2 Of3
Section II
09/19/051:23:29 PM
13. Special Situations
Provider agrees to inform JWB in a timely manner of any circumstances or events which may reasonably be
considered to jeopardize its capability to continue to meet its obligations under the terms of this Agreement.
14. Provider Staff Membership on Board
Provider agrees that provider staff shall not serve as members of the Provider's governing board.
15. Measurable Obiectives
Provider agrees to negotiate measurable outcomes for services covered by this contract consistent with
established JWB policies and procedures.
16. Waiver
JWB reserves the right to waive requirements of the above stated Agreement and General Conditions where
warranted by special circumstances.
17. Aaencv & Proaram Data Maintained In 2-1-1 Database
Provider agrees to maintain accurate and up-to-date agency and program data in the 2-1-1 Tampa Bay Cares
database. The Provider will review and update (as necessary) this data at least once annually. The Provider
will list data for newly funded program(s) within thirty (30) calendar days of the date that JWB funds the
program.
Agency: City of Clearwater
Page 3 Of3
Section II
09/19/051:23:29 PM
ATTACHMENT 2
City of Clearwater
Middle School-Aged Summer Scholarship Program
MEASURABLE OBJECTIVES
FY05-06
Client Level Measurable Objectives (CDG)
All Primary Participants will be measured through the Measurable Objective reporting module in SAMIS
within a twelve month period.
Service Component: Summer Camp
Objective ID Objective Description
2498 Eighty percent (80%) of primary youth, in conjunction with a staff member, will establish two
personal development goals related to MSASS activities and will achieve satisfactory attainment
of each goal as measured by a 4 or 5 on the Goal Writing Worksheet. Staff will rate each youth's
progress on each goal on the Goal Writing Worksheet during the ninth week of the summer camp
program. Staff will enter data into SAMIS by the final day of the program (post). (CDG Summary)
2499 Eighty percent (80%) of primary youth will show improvement in their interpersonal skills by the
end of the summer camp program as measured by an increase of at least three points from pre to
post on the Interpersonal Assessment Scale. Program staff will complete the Interpersonal
Assessment Scale by the end of the first week of the summer camp program (pre) and during the
final week of the summer camp program (post). Staff will enter data into SAMIS by the final day of
the program. (CDG Summary)
Contracted Service Levels
Client Level Minimum Service Levels (CDG)
Primary Participants
Contracted Primary Youth: 140
Contracted Primary Adults: 0
Total Contracted Primary Youth and Adults: 140
Secondary Participants
Estimated Secondary Youth: 0
Estimated Secondary Adults: 0
Total Secondary Youth and Adults:O
Group Level Minimum Service Levels (Group Activity)
Section I: Minimum Service Levels for Group Activities
Contracted Youth: 0
Contracted Adults: 0
Total Contracted Youth and Adults: 0
Section II: Number of Activities
Activity Type
Agency: City of Clearwater
Quantity
Page10f2
Section III
09/19/051:23:29 PM
Status: Submitted
Section III: Number of Youth and Adults per Activity
Activity Type Youth
Adults
Agency: City of Clearwater
Page20f2
Section III
09/19/051:23:29 PM
Status: Submitted
ATTACHMENT 2
City of Clearwater
Charting the Course for Youth
MEASURABLE OBJECTIVES
FY05-06
Client Level Measurable Objectives (CDG)
All Primary Participants will be measured through the Measurable Objective reporting module in SAMIS
within a twelve month period.
Service Component: General Youth Services
Objective ID
2417
2451
Objective Description
Ninety percent (90%) of primary youth will improve interpersonal skills measured by at least a nine
(9) point increase in scores from pre to post on the Interpersonal Assessment Scale. Program
staff will complete the Interpersonal Assessment Scale when the youth enter the program (pre)
and the six (6) month anniversary date of enrollment, the twelve (12) month anniversary date of
enrollment, the twenty-four (24) month anniversary date of enrollment, the thirty-six (36) month
anniversary date of enrollment, the forty-eight (48) month anniversary date of enrollment, the sixty
(60) month anniversary date of enrollment, and the seventy-two (72) month anniversary date of
enrollment, or at case closure, whichever occurs first (post). (COG-Summary)
Ninety percent (90%) of primary youth will express satisfaction with the program as indicated by a
score of at least 49 points on the Youth Satisfaction Survey. Program staff will administer the
self-report Youth Satisfaction Survey at the twelve (12) month anniversary date of enrollment, the
twenty-four (24) month anniversary date of enrollment, the thirty-six (36) month anniversary date
of enrollment, the forty-eight (48) month anniversary date of enrollment, the sixty (60) month
anniversary date of enrollment, and the seventy-two (72) month anniversary date of enrollment, or
at case closure, whichever occurs first (post). Data will be entered into SAMIS as it is collected.
(COG - Summary)
Manual Measurable Objectives
Objective ID Objective Description
MMO-327 Program will document all community activities and events sponsored in the SAMIS Group Data
Module.
Contracted Service Levels
Client Level Minimum Service Levels (CDG)
Primary Participants
Contracted Primary Youth: 108
Contracted Primary Adults: 0
Total Contracted Primary Youth and Adults: 108
Secondary Participants
Estimated Secondary Youth: 0
Estimated Secondary Adults: 0
Total Secondary Youth and Adults:O
Group Level Minimum Service Levels (Group Activity)
Page10f2
Section III
09/19/051:23:29 PM
Status: Submitted
Agency: City of Clearwater
Section I: Minimum Service Levels for Group Activities
Contracted Youth: 0
Contracted Adults: 0
Total Contracted Youth and Adults: 0
Section II: Number of Activities
Activity Type
Quantity
Section III: Number of Youth and Adults per Activity
Activity Type Youth
Adults
Agency: City of Clearwater
Page20f2
Section III
09/19/051:23:29 PM
Status: Submitted
ATTACHMENT 3
GEOGRAPHICAL SERVICE AREA
Provider agrees whenever possible to maintain service sites which are accessible by public transportation and
convenient to the target client group. Provider will advise JWB of any changes made in service sites.
The geographical service area for this agreement is as follows:
Program Name
Service will be
provided
countywide
Services will be provided less
than countywide. Service will
be provided in the following zip
codes (list all zip codes of the
target area)
Middle School-Aged Summer Scholarship Program
33755,33756
Charting the Course for Youth
33755,33756,33759
Agency: City of Clearwater
Page 1 Of 1
Section IV
09/19/051:23:29 PM
ATTACHMENT 4
BUDGET(S)
The provider will deliver services according to the budget(s) following this page.
Revised budgets should be submitted by the provider in accordance with the provision of General Condition 4A as
found in Attachment 1 of this agreement.
Provider may make budget amendments during the fiscal year in accordance with JWB forms and procedures as
delineated in the budget amendment approval guidelines established on 10/05/00. Copies of these guidelines are
available from JWB upon request. In all instances, budget amendments require electronic approval in SAMIS by
JWB staff. For all amendments, the following guidelines apply:
A. Funded programs shall make adjustments in accordance with forms and procedures as established
by JWB staff.
B. A change in an individual position salary or fringe expenditure shall be considered as separate line
items. The program may make transfers between individual salary and fringe lines, but such
transfers may not exceed 10% of individual salary and may not exceed the aggregate amount of
approved salary and fringe.
C. Any adjustments made by funded agencies which are not in accordance with JWB policy shall be
subject to reimbursement of JWB at the discretion of JWB.
No adjustment may be made after the budget amendment closing date in September.
Reimbursement on per diem contracts may not exceed one-fourth of the total annual JWB allocation in any quarter
of the fiscal year without prior JWB approval. Any unused per diem in one quarter may be carried over to a
subsequent quarter within the fiscal year given adequate justification and with the prior approval of JWB.
Agency: City of Clearwater
Page 1 Of 1
Section V
09/19/051:23:29 PM
Agency: City of Clearwater
Page1 Of3
Section VI
09/19/051:23:29 PM
Status: Submitted
(1) (2) (3) (4) (5) (6)
04-05 05-06 04-05 05-06
ACCT# TITLE
PROG. PROG. % JWB JWB %
BUDG. BUDG. CHG. ALLOC. ALLOC. CHG.
569.402 Transportation $10,315 $10,315 0% $0 $0 0%
569.410 Communications-Telephone $0 $0 0% $0 $0 0%
569.411 Communications-Long Distance $0 $0 0% $0 $0 0%
569.412 Communications-Postage and $0 $0 0% $0 $0 0%
Shipping
569.413 Commu nication-Internet $0 $0 0% $0 $0 0%
569.430 Utility Services $0 $0 0% $0 $0 0%
569.431 Water/Sewer/Sanitation $0 $0 0% $0 $0 0%
569.440 Rentals & Leases (Building & Land) $0 $0 0% $0 $0 0%
569.441 Rentals & Leases - Equipment $0 $0 0% $0 $0 0%
569.450 Insurance $0 $0 0% $0 $0 0%
569.460 Repair & Maintenance Services - $0 $0 0% $0 $0 0%
Equipment
569.461 Repair & Maintenance Services - $0 $0 0% $0 $0 0%
Property
569.462 Repair & Maintenance Services - $0 $0 0% $0 $0 0%
Grounds
569.463 Vehicle Repair and Maintenance $0 $0 0% $0 $0 0%
Services
569.470 Printing & Binding $0 $0 0% $0 $0 0%
569.471 Copying & Binding $0 $0 0% $0 $0 0%
569.480 Promotional Activities $0 $0 0% $0 $0 0%
569.481 Advertising $0 $0 0% $0 $0 0%
569.493 Match $0 $0 0% $0 $0 0%
569.494 Administrative Cost $0 $0 0% $0 $0 0%
569.495 Residential Per Diem $0 $0 0% $0 $0 0%
569.496 Day Program Per Diem $0 $0 0% $118,320 $111,055 -6%
Agency: City of Clearwater Page2 Of3 09/19/051:23:29 PM
Section VI Status: Submitted
(1) (2) (3) (4) (5) (6)
04-05 05-06 04-05 05-06
ACCT# TITLE
PROG. PROG. % JWB JWB %
BUDG. BUDG. CHG. ALLOC. ALLOC. CHG.
569.497 Day Program Subsidy $0 $0 0% $0 $0 0%
569.498 Day Program Hourly Unit Cost $0 $0 0% $0 $0 0%
569.510 Office Supplies $700 $700 0% $0 $0 0%
569.515 Participant Expenses $30,268 $29,026 -4% $0 $0 0%
569.520 Operating Supplies $9,050 $7,222 -20% $0 $0 0%
569.521 Food & Nutrition $5,250 $5,250 0% $0 $0 0%
569.540 Subscriptions $0 $0 0% $0 $0 0%
569.541 Books $0 $0 0% $0 $0 0%
569.542 Dues & Memberships $0 $0 0% $0 $0 0%
569.543 Educational Materials $2,820 $0 -100% $0 $0 0%
569.544 Educational Training $0 $0 0% $0 $0 0%
569.590 Depreciation $0 $0 0% $0 $0 0%
569.600 Other/Miscellaneous $0 $0 0% $0 $0 0%
569.640 Machinery & Equipment (Capital $0 $0 0% $0 $0 0%
Outlay)
569.660 Books, Publications, and Library $0 $0 0% $0 $0 0%
Materials (Capital)
Total Operating Expense: $101,553 $92,863 -9% $118,320 $111,055 -6%
Total Program Expenses: $160,130 $167,239 4% $118,320 $111,055 -6%
Agency: City of Clearwater
Page3 Of3
Section VI
091191051:23:29 PM
Status: Submitted
FORM 3
MIDDLE SCHOOL-AGED SUMMER SCHOLARSHIP PROGRAM
SALARY AND FRINGE PREPARATION
FISCAL YEAR 05-06
Gross Salary In Fringe In JWB Request JWB Request Salary
Position Employee % Time Salary Program Program For Salary For Fringe Funding %
In
05-06 05-06 05-06 05-06 05-06
coordinator laterza 15% $56,684 $8,503 $2,279 $0 $0 0.00%
Programmer Cone 25% $22,659 $5,665 $2,657 $0 $0 0.00%
Rec Leader TBD 100% $4,333 $4,333 $332 $0 $0 0.00%
Rec Leader TBD 100% $4,333 $4,333 $332 $0 $0 0.00%
Rec Leader TBD 100% $4,333 $4,333 $332 $0 $0 0.00%
Rec Leader TBD 100% $4,333 $4,333 $332 $0 $0 0.00%
Rec Leader TBD 100% $4,333 $4,333 $332 $0 $0 0.00%
Rec Leader tbd 100% $4,333 $4,333 $332 $0 $0 0.00%
Rec Leader-LW TBD 50% $4,549 $2,275 $174 $0 $0 0.00%
Rec Leader-LW TBD 100% $4,549 $4,549 $348 $0 $0 0.00%
Specialist Miller 25% $44,158 $11,040 $3,243 $0 $0 0.00%
Supervisor Richardson 5% $43,429 $2,171 $653 $0 $0 0.00%
Supervisor Sowada 5% $43,495 $2,175 $654 $0 $0 0.00%
Agency: City of Clearwater
Page10f2
Section VII
09/19/051:23:29 PM
Status: Submitted
Position
Employee
Agency: City of Clearwater
% Time
In
TOTALS
Gross
Salary
05-06
$245,521
Page20f2
Section VII
Salary In
Program
05-06
$62,376
Fringe In JWB Request JWB Request Salary
Program For Salary For Fringe Funding %
05-06
$12,000
05-06
05-06
$0
$0
0.00%
09/19/051:23:29 PM
Status: Submitted
FORM 4
MIDDLE SCHOOL-AGED SUMMER SCHOLARSHIP PROGRAM
SALARY AND FRINGE PREPARATION NARRATIVE
FISCAL YEAR 05-06
ACCOUNT #
ACCOUNT NAME
DERIVATION OF FIGURES AND
JUSTIFICATION OF
INCREASE/DECREASE OR OTHER
EXPLANATION AS NEEDED
LINE ITEM $
AMOUNT
PERCENT
INCREASE/
DECREASE
569.120
Regular Salaries and
Wages
$62,376
22%
9/8/2005 The City of Clearwater provides in kind
program supervision support.
569.210
FICA
$2,782
8%
9/8/2005 Municipal employees with a pension plan
hired before 1986 do not pay FICA, those hired atter
1986 only pay FICA-Med at 1.45 percent of annual
salary.
4 of 5 employees pay FICA med and Miller does not
pay any FICA per IRS rules.
Summer staff pay 7.65%.
569.220
Retirement
Contributions
$2,954
120%
9/15/2005 9/15/2005 9/8/2005 City pension plan is
calculated at 10% of annual salary. This figure
increased due to the state of the economy and the
fund requires more contributions to ensure enough
money is available for payments. Full time
employees are elegible for the pension plan.
850+217+1104+217+566
569.230
Life and Health
Insurance
$5,046
52%
9/8/2005 Full time employees receive medical
insurance at no cost to the employee; employer's
cost is set by bid, FY 05/06= $6,400.5 employees
receive Group Life insurance at $10 annually. 2
employees receive additional life insurance at 1 % of
employee's base salary. 4 employees receive
additional management level life insurance.
569.240 Workers Compensation $1,218 100%
9/8/2005 The City of Clearwater pays $1625 per full
time employee for Worker's Compensation for City
paid program employees Worker's Comp is set per
Department depending on the number and cost of
claims made previously. Summer staff is not
included in worker's compensation calculations.
244+81+406+81+406
569.250 Unemployment $0 0%
Compensation
Agency: City of Clearwater
Page 1 Of 7
Section VIII
09/19/051:23:29 PM
Status: Submitted
ACCOUNT #
ACCOUNT NAME
DERIVATION OF FIGURES AND
JUSTIFICATION OF
INCREASE/DECREASE OR OTHER
EXPLANATION AS NEEDED
LINE ITEM $
AMOUNT
PERCENT
INCREASE/
DECREASE
OPERATING EXPENSE BUDGET NARRATIVE
569.310 Professional Services $40,350 -6%
9/16/20059/16/2005 Youth Arts Corp will be hired to
provide the educational component.
Administrative meetings 6 artists@$22/hr x 25 hrs
=$3300 plus 1 teacher @$22/hr x 25 hrs=$550
Materials-$1,300
Program costs
certified teacher- $22/hrx5hr/day x 3 dayslwk x 10
weeks=$3,300
Curriculum development-$550
NG artists
4@$22/hr x 5hr/day x 3dayslwk x 10wks =
$13,200
Planning hrs 100 x $221hr = $2,200
Supplies-$3,500
RN artists
2 @ $22/hr x 5hr/day x 3 days x 10 wks = $6,600
Planning 50hr x $221hr = $1,100
Supplies-$1,760
8% administration = $2,990
Expenses requested were decreased to cover the
additional salary required.
Original Budget Calculation
=3300+1300+550+3300+550+13200+2200+
3500+6600+1100+1760+2990
569.311 Professional $0 0%
ServiceslWorkshops
Original Budget Calculation
=0+0
569.320 Accounting and Auditing $0 0%
Original Budget Calculation
=0+0
569.321 Bank Services $0 0%
Original Budget Calculation
=0+0
569.330 Court/Legal Services $0 0%
Original Budget Calculation
=0+0
569.340 Other Contractual $0 0%
Services
Original Budget Calculation
=0+0
569.350 Investigations $0 0%
Original Budget Calculation
=0+0
Agency: City of Clearwater
Page 2 Of 7
Section VIII
09/19/051:23:29 PM
Status: Submitted
DERIVATION OF FIGURES AND LINE ITEM $ PERCENT
JUSTIFICATION OF AMOUNT INCREASE/
ACCOUNT # ACCOUNT NAME INCREASE/DECREASE OR OTHER DECREASE
EXPLANATION AS NEEDED
569.400 Travel and Per Diem $0 0%
Original Budget Calculation
=0+0
569.401 Conference $0 0%
Original Budget Calculation
=0+0
569.402 Transportation $10,315 0%
9/15/2005 9/8/2005 RN school buses
4 7hr trips $2400
57.5 hr trips $3500
1 4 hr trip $450
1 6.5 hr trip $550
210 hr trips $1800
NG school buses
Parking 3 @ $20 = $60
Skating $180
Phillippe Park $175
Treasure Island Center $150
Adventure Island $225
Laser Xtreme $175
Lithia Springs $225
Bowling $125
MOSI $200
Clw Marine Aquarium $100
Original Budget Calculation
=2400+3500+450+550+1800+60+180+175+
150+225+175+225+125+200+100
569.410 Communications-Teleph $0 0%
one
Original Budget Calculation
=0+0
569.411 Communications-Long $0 0%
Distance
Original Budget Calculation
=0+0
569.412 Comm unications-Postag $0 0%
e and Shipping
Original Budget Calculation
=0+0
569.413 Communication-Internet $0 0%
Original Budget Calculation
=0+0
569.430 Utility Services $0 0%
Original Budget Calculation
=0+0
Agency: City of Clearwater
Page 3 Of 7
Section VIII
09/19/051:23:29 PM
Status: Submitted
DERIVATION OF FIGURES AND LINE ITEM $ PERCENT
JUSTIFICATION OF AMOUNT INCREASE/
ACCOUNT # ACCOUNT NAME INCREASE/DECREASE OR OTHER DECREASE
EXPLANATION AS NEEDED
569.431 Water/Sewer/Sanitation $0 0%
Original Budget Calculation
=0+0
569.440 Rentals & Leases $0 0%
(Building & Land)
Original Budget Calculation
=0+0
569.441 Rentals & Leases - $0 0%
Equipment
Original Budget Calculation
=0+0
569.450 Insurance $0 0%
Original Budget Calculation
=0+0
569.460 Repair & Maintenance $0 0%
Services - Equipment
Original Budget Calculation
=0+0
569.461 Repair & Maintenance $0 0%
Services - Property
Original Budget Calculation
=0+0
569.462 Repair & Maintenance $0 0%
Services - Grounds
Original Budget Calculation
=0+0
569.463 Vehicle Repair and $0 0%
Maintenance Services
Original Budget Calculation
=0+0
569.470 Printing & Binding $0 0%
Original Budget Calculation
=0+0
569.471 Copying & Binding $0 0%
Original Budget Calculation
=0+0
569.480 Promotional Activities $0 0%
Original Budget Calculation
=0+0
569.481 Advertising $0 0%
Original Budget Calculation
=0+0
Agency: City of Clearwater
Page 4 Of 7
Section VIII
09/19/051:23:29 PM
Status: Submitted
DERIVATION OF FIGURES AND LINE ITEM $ PERCENT
JUSTIFICATION OF AMOUNT INCREASEI
ACCOUNT # ACCOUNT NAME INCREASE/DECREASE OR OTHER DECREASE
EXPLANATION AS NEEDED
569.493 Match $0 0%
Original Budget Calculation
=0+0
569.494 Administrative Cost $0 0%
Original Budget Calculation
=0+0
569.495 Residential Per Diem $0 0%
Original Budget Calculation
=0+0
569.496 Day Program Per Diem $0 0%
9/15/2005 140 teens to be served at a cost of about
$15.87 each per day.
Original Budget Calculation
=0+0
569.497 Day Program Subsidy $0 0%
Original Budget Calculation
=0+0
569.498 Day Program Hourly $0 0%
Unit Cost
Original Budget Calculation
=0+0
569.510 Office Supplies $700 0%
9/8/2005 NG
Pens, paper, markers $500
RN
Pens, paper, markers $200
Expenses requested were decreased to cover the
additional salary required. Office supplies will be
provided from the City's in kind contribution.
Original Budget Calculation
=500+200
Agency: City of Clearwater
Page 5 Of 7
Section VIII
09/19/051:23:29 PM
Status: Submitted
ACCOUNT #
ACCOUNT NAME
569.515
Participant Expenses
569.520
Operating Supplies
Agency: City of Clearwater
DERIVATION OF FIGURES AND
JUSTIFICATION OF
INCREASE/DECREASE OR OTHER
EXPLANATION AS NEEDED
9/15/2005 9/8/2005 9/8/2005 NG Field Trips
Bowling $540
Movies $677
Busch Gardens/Adventure Island + meals $7910
4 Museums $2712
Celebration Station $1921
Islands of Adventure + meals $4971
Disney World + meals $7345
RN Field Trips
Ice Skating $300
Treasure Island Center $200
Advenure Island $1300
Laser Xtreme $550
Lithia Springs $50
Bowling $250
Clw Marine Aquarium $300
Expenses requested were decreased to cover the
additional salary required.
Original Budget Calculation
=540+677+7910+2712+1921+4971+7345+3
00+200+1300+550+50+250+300
9/15/20059/8/2005 NG
175 shirts $875
games $900
Trophies $700
Sports equipment $800
Film, video tape $600
Whistles, laynard $60
Card holders $35
DVD movies $200
Goggles $199
RN
T shirts $350
Games & equipment $500
Sports equipment $330
Video games $401
Fishing equipment $500
Goggles and fins $500
Movies $272
Expenses requested were decreased to cover the
additional salary required.
Original Budget Calculation
=875+900+700+800+600+60+35+200+199+
350+500+330+401+500+272+500
Page 6 Of 7
Section VIII
LINE ITEM $
AMOUNT
$29,026
$7,222
PERCENT
INCREASE/
DECREASE
-4%
-20%
09/19/051:23:29 PM
Status: Submitted
DERIVATION OF FIGURES AND LINE ITEM $ PERCENT
JUSTIFICATION OF AMOUNT INCREASE/
ACCOUNT # ACCOUNT NAME INCREASE/DECREASE OR OTHER DECREASE
EXPLANATION AS NEEDED
569.521 Food & Nutrition $5,250 0%
9/15/20059/8/2005 NG
3 pizza parties $720
2 cookouts $1000
Powerade drink mix $750
Chips $370
Freeze pops $10
RN
Snacks $1000
Lunch 14 days of no school lunch $1400
Original Budget Calculation
=720+1000+750+370+10+1000+1400
569.540 Subscriptions $0 0%
Original Budget Calculation
=0+0
569.541 Books $0 0%
Original Budget Calculation
=0+0
569.542 Dues & Memberships $0 0%
Original Budget Calculation
=0+0
569.543 Educational Materials $0 -100%
Original Budget Calculation
=0+0
569.544 Educational Training $0 0%
Original Budget Calculation
=0+0
569.590 Depreciation $0 0%
Original Budget Calculation
=0+0
569.600 Other/Miscellaneous $0 0%
Original Budget Calculation
=0+0
569.640 Machinery & Equipment $0 0%
(Capital Outlay)
Original Budget Calculation
=0+0
569.660 Books, Publications, and $0 0%
Library Materials
(Capital)
Original Budget Calculation
=0+0
Agency: City of Clearwater
Page 7 Of 7
Section VIII
09/19/051:23:29 PM
Status: Submitted
FORM 5
Middle School-Aged Summer Scholarship Program
SOURCES OF REVENUE
03-04 04-05 04-05 04-05 05-06 05-06 05-06 Percent
Funder Type/Funder Total Budget Amend Total Budget Amend Total Increase/
Decrease
Government - Local
(City/County)
City of Clearwater $0 $35,857 $0 $35,857 $56,184 $0 $56,184 57%
$0 $35,857 $0 $35,857 $56,184 $0 $56,184 57%
Other/M iscellaneous
Miscellaneous Funding $0 $1,753 $0 $1,753 $0 $0 $0 -100%
$0 $1,753 $0 $1,753 $0 $0 $0 -100%
Program Revenue
Fees for Service $0 $4,200 $0 $4,200 $0 $0 $0 -100%
$0 $4,200 $0 $4,200 $0 $0 $0 -100%
Grand Total $0 $41,810 $0 $41,810 $56,184 $0 $56,184 34%
FY 05-06 Totals
Total Program Revenue $167,239
Total Program Budget $167,239
Difference $0
Total CSC Allocation $111,055
Agency: City of Clearwater
Page10f1
Section IX
09/19/051:23:29 PM
Status: Submitted
Funder Type/Funder
Government. Local (City/County)
City of Clearwater
Agency: City of Clearwater
FORM 6
Middle School-Aged Summer Scholarship Program
SOURCES OF REVENUE
NARRATIVE
FY 05-06 Total
Narrative
$56,184
The City of Clearwater Parks and Recreation Department provides in
kind staff and revenue support for this program. The Department is
funded by the general fund which recieves most of its funding from Ad
Valorem taxes.
Page10f1
Section X
09/19/051:23:29 PM
Status: Submitted
END OF PROGRAM BUDGET FOR
Middle School-Aged Summer Scholarship Program
Agency: City of Clearwater
Page10f1
Section XI
09/19/051:23:29 PM
FORM 2
CHARTING THE COURSE FOR YOUTH
CURRENT & PROPOSED OPERATING BUDGET
(ROUND NUMBERS UP TO THE NEAREST DOLLAR)
(1 ) (2) (3) (4) (5) (6)
04-05 05-06 04-05 05-06
ACCT# TITLE
PROG. PROG. % JWB JWB %
BUDG. BUDG. CHG. ALLOC. ALLOC. CHG.
Salary Accounts:
569.120 Regular Salaries and Wages $122,184 $115,496 -5% $70,489 $71,865 2%
Total Salary : $122,184 $115,496 -5% $70,489 $71,865 2%
Fringe Accounts:
569.210 FICA $1,528 $1,513 -1% $1,022 $1,041 2%
569.220 Retirement Contributions $8,556 $11,550 35% $4,935 $7,187 46%
569.230 Life and Health Insurance $27,037 $26,054 -4% $18,636 $19,690 6%
569.240 Workers Compensation $3,884 $3,430 -12% $1,770 $1,887 7%
569.250 Unemployment Compensation $0 $0 0% $0 $0 0%
Total Fringe: $41,005 $42,547 4% $26,363 $29,805 13%
Operating Expense Accounts:
569.310 Professional Services $1,350 $450 -67% $1,350 $450 -67%
569.311 Professional ServiceslWorkshops $0 $0 0% $0 $0 0%
569.320 Accounting and Auditing $0 $0 0% $0 $0 0%
569.321 Bank Services $0 $0 0% $0 $0 0%
569.330 Court/Legal Services $0 $0 0% $0 $0 0%
569.340 Other Contractual Services $0 $0 0% $0 $0 0%
569.350 Investigations $0 $0 0% $0 $0 0%
569.400 Travel and Per Diem $0 $0 0% $0 $0 0%
569.401 Conference $0 $0 0% $0 $0 0%
Agency: City of Clearwater
Page1 Of3
Section VI
09/19/051:23:29 PM
Status: Submitted
(1) (2) (3) (4) (5) (6)
04-05 05-06 04-05 05-06
ACCT# TITLE
PROG. PROG. % JWB JWB %
BUDG. BUDG. CHG. ALLOC. ALLOC. CHG.
569.402 Transportation $0 $0 0% $0 $0 0%
569.410 Communications-Telephone $0 $0 0% $0 $0 0%
569.411 Communications-Long Distance $0 $0 0% $0 $0 0%
569.412 Communications-Postage and $0 $0 0% $0 $0 0%
Shipping
569.413 Comm unication-Internet $0 $0 0% $0 $0 0%
569.430 Utility Services $0 $0 0% $0 $0 0%
569.431 Water/Sewer/Sanitation $0 $0 0% $0 $0 0%
569.440 Rentals & Leases (Building & Land) $0 $0 0% $0 $0 0%
569.441 Rentals & Leases - Equipment $0 $0 0% $0 $0 0%
569.450 Insurance $0 $0 0% $0 $0 0%
569.460 Repair & Maintenance Services - $0 $0 0% $0 $0 0%
Equipment
569.461 Repair & Maintenance Services - $0 $0 0% $0 $0 0%
Property
569.462 Repair & Maintenance Services - $0 $0 0% $0 $0 0%
Grounds
569.463 Vehicle Repair and Maintenance $0 $0 0% $0 $0 0%
Services
569.470 Printing & Binding $0 $0 0% $0 $0 0%
569.471 Copying & Binding $0 $0 0% $0 $0 0%
569.480 Promotional Activities $0 $0 0% $0 $0 0%
569.481 Advertising $0 $0 0% $0 $0 0%
569.493 Match $0 $0 0% $0 $0 0%
569.494 Administrative Cost $0 $0 0% $0 $0 0%
569.495 Residential Per Diem $0 $0 0% $0 $0 0%
569.496 Day Program Per Diem $0 $0 0% $0 $0 0%
Agency: City of Clearwater Page2 Of3 09/19/051:23:29 PM
Section VI Status: Submitted
(1) (2) (3) (4) (5) (6)
04-05 05-06 04-05 05-06
ACCT# TITLE
PROG. PROG. % JWB JWB %
BUDG. BUDG. CHG. ALLOC. ALLOC. CHG.
569.497 Day Program Subsidy $0 $0 0% $0 $0 0%
569.498 Day Program Hourly Unit Cost $0 $0 0% $0 $0 0%
569.510 Office Supplies $184 $200 9% $184 $0 -100%
569.515 Participant Expenses $2,250 $1,684 -25% $2,250 $1,684 -25%
569.520 Operating Supplies $2,100 $2,100 0% $2,100 $2,100 0%
569.521 Food & Nutrition $2,880 $2,880 0% $2,880 $2,880 0%
569.540 Subscriptions $0 $0 0% $0 $0 0%
569.541 Books $0 $0 0% $0 $0 0%
569.542 Dues & Memberships $0 $0 0% $0 $0 0%
569.543 Educational Materials $0 $0 0% $0 $0 0%
569.544 Educational Training $0 $0 0% $0 $0 0%
569.590 Depreciation $0 $0 0% $0 $0 0%
569.600 Other/Miscellaneous $0 $0 0% $0 $0 0%
569.640 Machinery & Equipment (Capital $0 $0 0% $0 $0 0%
Outlay)
569.660 Books, Publications, and Library $0 $0 0% $0 $0 0%
Materials (Capital)
Total Operating Expense: $8,764 $7,314 -17% $8,764 $7,114 -19%
Total Program Expenses: $171,953 $165,357 -4% $105,616 $108,784 3%
Agency: City of Clearwater
Page3 Of3
Section VI
09/19/051:23:29 PM
Status: Submitted
FORM 3
CHARTING THE COURSE FOR YOUTH
SALARY AND FRINGE PREPARATION
FISCAL YEAR 05-06
Gross Salary In Fringe In JWB Request JWB Request Salary
Position Employee 0/0 Time Salary Program Program For Salary For Fringe Funding 0/0
In
05-06 05-06 05-06 05-06 05-06
Program Coordinator Clayton 5% $47,140 $2,357 $676 $0 $0 0.00%
Program Coordinator LaTerza 15% $56,684 $8,503 $2,279 $0 $0 0.00%
Rec Programmer F Dixon 100% $25,475 $25,475 $10,211 $25,475 $10,211 100.00%
Recreation Leader A Menchaca 100% $25,878 $25,878 $10,002 $25,878 $10,002 100.00%
Recreation Leader S. Buchanan 100% $20,512 $20,512 $9,592 $20,512 $9,592 100.00%
Specialist Miller 25% $44,158 $11,040 $3,243 $0 $0 0.00%
Supervisor II Richardson 25% $43,429 $10,857 $3,271 $0 $0 0.00%
Supervisor II Sowada 25% $43,495 $10,874 $3,273 $0 $0 0.00%
TOTALS
$306,771
$115,496
$42,547
$71,865
$29,805 62.220/0
Agency: City of Clearwater
Page10f1
Section VII
09/19/051:23:29 PM
Status: Submitted
FORM 4
CHARTING THE COURSE FOR YOUTH
SALARY AND FRINGE PREPARATION NARRATIVE
FISCAL YEAR 05-06
ACCOUNT #
ACCOUNT NAME
DERIVATION OF FIGURES AND
JUSTIFICATION OF
INCREASE/DECREASE OR OTHER
EXPLANATION AS NEEDED
LINE ITEM $
AMOUNT
PERCENT
INCREASE/
DECREASE
569.120 Regular Salaries and $115,496 -5%
Wages 8/1/2005 Budget includes in-kind support of
Coordinators, Supervisors, and Programmers. JWB
provides 100% support for Recreation Leaders and
a Programmer.
569.210 FICA $1,513 -1%
9/8/2005 8/1/2005 Municipal employees with a
pension plan hired before 1986 do not pay FICA,
those hired after 1986 only pay FICA-Med at 1.45
percent of annual salary.
7 of 8 employees pay FICA med and Miller does not
pay any FICA per IRS rules.
375+297+123+34+158+369+157
569.220 Retirement $11,550 35%
Contributions 8/22/2005 City pension plan is calculated at 10% of
annual salary. This percentage increased from 7% in
years past due to the state of the economy. The
increase is needed to keep the account fiscally
viable. There has been a decrease in the
percentage of interest made by the account. All
grant employees are elegible for the pension plan.
569.230
Life and Health
Insurance
$26,054
-4%
8/8/2005 Full time employees receive medical
insurance at no cost to the employee; employer's
cost is set by bid, FY 05/06= $6,400. All employees
receive Group Life insurance at $10 annually. All
employees may receive additional life insurance at
1% of employee's base salary, but LaTerza, Miller,
Dixon, and Buchanan are the only employees in the
program who have chosen to. Coordinators
Supervisors, and Specialists receive additional
management level life insurance.
569.240
Workers Compensation
$3,430
-12%
9/8/2005 8/8/2005 The City of Clearwater pays
$1625 per full time employee for Worker's
Compensation for City paid program employees (5)
and $629 for grant paid employees-Dixon,
Menchaca, and Buchanan. Worker's Comp is set per
Department depending on the number and cost of
claims made previously. The grant paid employees
are in a separate category (special programs) and
therefore are not charged the same rate as the City
paid P&R staff.
(629 x 3)+ 244 + 81 + (406 x 3)
Agency: City of Clearwater
Page 1 Of 8
Section VIII
09/19/051:23:29 PM
Status: Submitted
ACCOUNT #
569.250
ACCOUNT NAME
Unemployment
Compensation
Agency: City of Clearwater
DERIVATION OF FIGURES AND
JUSTIFICATION OF
INCREASE/DECREASE OR OTHER
EXPLANATION AS NEEDED
LINE ITEM $
AMOUNT
$0
Page 2 Of 8
Section VIII
PERCENT
INCREASE/
DECREASE
0%
09/19/051:23:29 PM
Status: Submitted
ACCOUNT #
ACCOUNT NAME
DERIVATION OF FIGURES AND
JUSTIFICATION OF
INCREASE/DECREASE OR OTHER
EXPLANATION AS NEEDED
LINE ITEM $
AMOUNT
PERCENT
INCREASE/
DECREASE
OPERATING EXPENSE BUDGET NARRATIVE
569.310 Professional Services $450 -67%
9/7/20059/7/20059/7/20058/1/2005 Ross Norton
Instructors
Speakers $100
Workshop-$50
Wood Valley Instructors
Speakers $100
Workshop-$50
N. Greenwood
Speakers $100
Workshop-$50
Expenses requested were decreased to cover the
additional fringe required. Professional services will
be provided at no charge from the GAPP abstinence
program.
Original Budget Calculation
=100+50+100+50+100+50
569.311 Professional $0 0%
ServiceslWorkshops
Original Budget Calculation
=0+0
569.320 Accounting and Auditing $0 0%
Original Budget Calculation
=0+0
569.321 Bank Services $0 0%
Original Budget Calculation
=0+0
569.330 Court/Legal Services $0 0%
Original Budget Calculation
=0+0
569.340 Other Contractual $0 0%
Services
Original Budget Calculation
=0+0
569.350 Investigations $0 0%
Original Budget Calculation
=0+0
569.400 Travel and Per Diem $0 0%
Original Budget Calculation
=0+0
569.401 Conference $0 0%
Original Budget Calculation
=0+0
Agency: City of Clearwater Page 3 Of 8 09/19/051:23:29 PM
Section VIII Status: Submitted
DERIVATION OF FIGURES AND LINE ITEM $ PERCENT
JUSTIFICATION OF AMOUNT INCREASE/
ACCOUNT # ACCOUNT NAME INCREASE/DECREASE OR OTHER DECREASE
EXPLANATION AS NEEDED
569.402 Transportation 08/07/20030 $0 0%
Original Budget Calculation
=0
569.410 Communications- T eleph $0 0%
one
Original Budget Calculation
=0+0
569.411 Communications-Long $0 0%
Distance
Original Budget Calculation
=0+0
569.412 Communications-Postag $0 0%
e and Shipping
Original Budget Calculation
=0+0
569.413 Communication-Internet $0 0%
Original Budget Calculation
=0+0
569.430 Utility Services $0 0%
Original Budget Calculation
=0+0
569.431 Water/Sewer/Sanitation $0 0%
Original Budget Calculation
=0+0
569.440 Rentals & Leases $0 0%
(Building & Land)
Original Budget Calculation
=0+0
569.441 Rentals & Leases - $0 0%
Equipment
Original Budget Calculation
=0+0
569.450 Insurance $0 0%
Original Budget Calculation
=0+0
569.460 Repair & Maintenance $0 0%
Services - Equipment
Original Budget Calculation
=0+0
Agency: City of Clearwater
Page 4 Of 8
Section VIII
09/19/051:23:29 PM
Status: Submitted
DERIVATION OF FIGURES AND LINE ITEM $ PERCENT
JUSTIFICATION OF AMOUNT INCREASE!
ACCOUNT # ACCOUNT NAME INCREASE/DECREASE OR OTHER DECREASE
EXPLANATION AS NEEDED
569.461 Repair & Maintenance $0 0%
Services - Property
Original Budget Calculation
=0+0
569.462 Repair & Maintenance $0 0%
Services - Grounds
Original Budget Calculation
=0+0
569.463 Vehicle Repair and $0 0%
Maintenance Services
Original Budget Calculation
=0+0
569.470 Printing & Binding $0 0%
Original Budget Calculation
=0+0
569.471 Copying & Binding $0 0%
Original Budget Calculation
=0+0
569.480 Promotional Activities $0 0%
Original Budget Calculation
=0+0
569.481 Advertising $0 0%
Original Budget Calculation
=0+0
569.493 Match $0 0%
Original Budget Calculation
=0+0
569.494 Administrative Cost $0 0%
Original Budget Calculation
=0+0
569.495 Residential Per Diem $0 0%
Original Budget Calculation
=0+0
569.496 Day Program Per Diem $0 0%
Original Budget Calculation
=0+0
569.497 Day Program Subsidy $0 0%
Original Budget Calculation
=0+0
Agency: City of Clearwater
Page 5 Of 8
Section VIII
09/19/051:23:29 PM
Status: Submitted
DERIVATION OF FIGURES AND LINE ITEM $ PERCENT
JUSTIFICATION OF AMOUNT INCREASE/
ACCOUNT # ACCOUNT NAME INCREASE/DECREASE OR OTHER DECREASE
EXPLANATION AS NEEDED
569.498 Day Program Hourly $0 0%
Unit Cost
Original Budget Calculation
=0+0
569.510 Office Supplies $200 9%
9/7/2005 9/7/2005 8/22/2005 8/5/2004 Norton-Office
=$50
Wood Valley-$50
N. Greenwood-$100
Expenses requested were decreased to cover the
additional fringe required. Office supplies will be
provided from the City's in kind contribution.
Original Budget Calculation
50+50+100
569.515 Participant Expenses $1,684 -25%
9/7/20059/7/20059/7/2005 Ross Norton Field trips
$561
Wood Valley Field trips $561
N. Greenwood Field trips $562
Trips include destinations such as Busch Gardens
Hallowscream, Sporting Events, Florida State Fair,
Movies, MOS!.
Expenses requested were decreased to cover the
additional fringe required. Decrease in Participant
expenses from last year will be covered by
fund raisers.
Original Budget Calculation
=561+561+562
569.520 Operating Supplies $2,100 0%
8/5/2004 8/5/2004 8/5/2004 Ross Norton
Video games $300
Art supplies $200
Board Games $50
Decorations $50
Film, Blank CDs $100
Wood Valley
Video games $300
Art supplies $200
Board Games $50
Decorations $50
Film, Blank CDs $100
N. Greenwood
Video games $300
Art supplies $200
Board Games $50
Decorations $50
Film, Blank CDs $100
Original Budget Calculation
=300+200+50+50+100+300+200+50+50+10
0+300+200+50+50+100
Agency: City of Clearwater
Page 6 Of 8
Section VIII
09/19/051:23:29 PM
Status: Submitted
ACCOUNT #
ACCOUNT NAME
DERIVATION OF FIGURES AND
JUSTIFICATION OF
INCREASE/DECREASE OR OTHER
EXPLANATION AS NEEDED
LINE ITEM $
AMOUNT
PERCENT
INCREASE/
DECREASE
569.521
Food & Nutrition
$2,880
0%
8/1/2005 Ross Norton-
Snacks $200.00
Meals-$300
Pizza $460
Wood Valley
Snacks $200.00
Meals-$300
Pizza $460
N. Greenwood
Snacks $200.00
Meals-$300
Pizza $460
Original Budget Calculation
=200+300+460+200+300+460+200+300+46
0
569.540 Subscriptions $0 0%
8/16/2004 not used.
Original Budget Calculation
=0
569.541 Books $0 0%
Original Budget Calculation
=0+0
569.542 Dues & Memberships $0 0%
Original Budget Calculation
=0+0
569.543 Educational Materials $0 0%
Original Budget Calculation
=0+0
569.544 Educational Training $0 0%
Original Budget Calculation
=0+0
569.590 Depreciation $0 0%
Original Budget Calculation
=0+0
569.600 Other/Miscellaneous $0 0%
Original Budget Calculation
=0+0
569.640 Machinery & Equipment $0 0%
(Capital Outlay)
Original Budget Calculation
=0+0
Agency: City of Clearwater
Page 7 Of 8
Section VIII
09/19/051:23:29 PM
Status: Submitted
ACCOUNT #
569.660
ACCOUNT NAME
Books, Publications, and
Library Materials
(Capital)
Agency: City of Clearwater
DERIVATION OF FIGURES AND
JUSTIFICATION OF
INCREASE/DECREASE OR OTHER
EXPLANATION AS NEEDED
LINE ITEM $
AMOUNT
$0
Original Budget Calculation
=0+0
Page 8 Of 8
Section VIII
PERCENT
INCREASE/
DECREASE
0%
09/19/051:23:29 PM
Status: Submitted
Funder Type/Funder
Government. Local
(City/County)
City of Clearwater
Grand Total
FY 05-06 Totals
Total Program Revenue
Total Program Budget
Difference
Total CSC Allocation
Agency: City of Clearwater
FORM 5
Charting the Course for Youth
SOURCES OF REVENUE
03-04 04-05 04-05 04-05 05-06 05-06 05-06 Percent
Total Budget Amend Total Budget Amend Total Increase/
Decrease
$64,999 $66,337 $0 $66,337 $56,573 $0 $56,573 -15%
$64,999 $66,337 $0 $66,337 $56,573 $0 $56,573 -15%
$64,999 $66,337 $0 $66,337 $56,573 $0 $56,573 -15%
$165,357
$165,357
$0
$108,784
Page10f1
Section IX
09/19/051:23:29 PM
Status: Submitted
FORM 6
Charting the Course for Youth
SOURCES OF REVENUE
NARRATIVE
FunderTyp~Funder
FY 05-06 Total
Narrative
Government - Local (City/County)
City of Clearwater
$56.573
The City of Clearwater Parks and Recreation Department provides in
kind staff and revenue support for this program. The Department is
funded by the general fund which recieves most of its funding from Ad
Valorem taxes. Salaries have increased by 4%.
Agency: City of Clearwater
Page10f1
Section X
09/19/051:23:29 PM
Status: Submitted
Agency: City of Clearwater
END OF PROGRAM BUDGET FOR
Charting the Course for Youth
Page10f1
Section XI
09/19/051:23:29 PM
. , .
ATTACHMENT 5
JWB REIMBURSEMENT SCHEDULE
05-06 Submission Reimbursement
Reimbursement Date Date
Schedule
1 09/30/05 10/07/05
2 10/14/05 10/21/05
3 10/28/05 11/04/05
4 11/11/05 11/18/05
5 11/25/05 12/02/05
6 12/09/05 12/16/05
7 12/23/05 12/30/05
8 01/06/06 01/13/06
9 01/20/06 01/27/06
10 02/03/06 02/10/06
11 02/17/06 02/24/06
12 03/03/06 03/10/06
13 03/17/06 03/24/06
14 03/31/06 04/07/06
15 04/14/06 04/21/06
16 04/28/06 05/05/06
17 05/12/06 05/19/06
18 OS/26/06 06/02/06
19 06/09/06 06/16/06
20 06/23/06 06/30/06
21 07/07/06 07/14/06
22 07/21/06 07/28/06
23 08/04/06 08/11/06
24 08/18/06 08/25/06
25 09/01/06 09/08/06
26 09/15/06 09/22/06
Agency: City of Clearwater
Page10f1
Section XII
09/19/051:23:29 PM