84-67
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RES 0 L UTI 0 N
No. 84 - 67
A RESOLUTION OF THE CITY OF CLEARWATER, FLORIDA,
AUTHORIZING THE EXECUTION AND FILING OF A GRANT
APPLICATION UNDER THE FLORIDA FINANCIAL ASSISTANCE
FOR COMMUNITY SERVICES ACT WITH THE STATE OF
FLORIDA DEPARTMENT OF COMMUNITY AFFAIRS.
WHEREAS, local governments are eligible to submit applications
for funding under the Florida Financial Assistance for community Services
Act administered by the Florida Department of Community Affairs: and
WHEREAS, the City of Cl~arwater desires to submit such a grant
application; and
WHEREAS, such grant applications must be filed on or before
~ugust 1, 1984; and
WHEREAS, each County has been allocated a share of this money and
any local governmental unit may apply for the funds available within its
Count:y:
NOW, THEREFORE, BE IT RESOLVED BY THE CITY COMMISSION OF THE
CITY OF CLEARWATER, FLORIDA, IN SESSION DULY AND REGULARLY
ASSEMBLED, AS FOLLOWS:
1. That the appropriate officials are hereby authoriz~d and
directed to exacute and file a grant application under the ~lorida
Financial Assistance for community Services Act with the Florida Department
of Community Affairs, as per copy attached hereto and made a part hereof,
and to furnish all information and data necessary to complete said grant
application.
2. That all funds necessary to meet the contract obligations of
the City with the Department have been appropriated and said funds are un-
eupended and unencumbered and are available for payment as prescribed in
the application.
3.
That this resolution shall become effective immediately upon
its adoption.
PASSED AND ADOPTED this 19th day of July, A.D., 19 4.
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Attest: c '_' . , .
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FLORIDA FINANCIAL ASSISTANCE FOR COMMUNITY SERVICES ACT OF 1974
FLORIDA DEPARTNENT OF COMMUNITY AFFAIRS
COMMUNITY SERVICES TRUST FUND GRANT APPLICTION
---------------- ----------------- ----------------- -..------ ---- -----.------
See General Instructions for
information on how to properly
complete this application.
THIS APPLICATION MUST BE POST-
MARXED ON OR DEFORE AUGUST 1. 1984
TO BE CONSIDERED FOR FUNDING.
FOR DCA USE ONLY
Postmark Date:
Date Received:
Contract No:
Allocation Amcunt:$
Date Approved:
-----------------------------------.----------------------------------------
1. Local Governmental Unit Applying for Grant:
Name: CITY OF' CLEARWATER. FLORIDA
(name of town, city or county)
Telephone(Bl3) 462-6~!J9 '
Address: P. O. Box 4748
..
County: Pine11as
Clearwater
Zip: 3351B
City:
2. Person with overall responsibility of grant. Our Department will contect
this person should questions arise:
.' .
.'
Name: Joseph R. McFate II
Telephone: ~ 462-6880
" .~ -. ,
Title: community Deve1opm8nt"Oirector'~
Address:
P. O. Box 4748
. .,.1,
Clearwat~r, Florida
33518
Zip:
J. Name~9nd address of person authorized to receive funds. If this
application is funded. checks will be mailed to this person. All checks
will be made payable to the local government.
Name: oanie 1 Deignan, Finance Director. Telephone: (813) 462-6930
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Address: P. O. Box 4748
Clearwater, Florida
Zip: 33518
______.____~__~~___________~____._____________________________w_
4..
Are there any delegate agencies covered in this application? Yes-1L-No_____
. .
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List below the name of each delegate agency included in this application.
': : ~
Religious community Services, Inc.
Neighborly Senior Servi.ces, Inc.
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CSTF GRANT APPLICATION
" Po ge '2 0 f 7
Complete a separate page 2 for each individual program/delegate. Use nn
attachment page(s) if necessary.
Name of Program
1) Give a brief overview of the proposed program.
NUTRITIONAL PROGRAM
Provide nutritious menls to the elderly lower-income population of
northern pinellas County and particularly those who are recipients or
potential recipients of public welfare through the operation of
congregate dining facilities within the City of Clearwater.
2) Identify the unmet human service need that this program will address.
The need far adequate nutrition for the lower-income elderly.
.
3) What impact will this program have on the unmet need?
It will provide nutritious meals to many of the target population in
need thereof.
4)
Is this program currently operating? ~ Yes No
If yas. what changes, if any, will these funds provide for?
No specific changes will be provided.
5) Identify the specific target population that this program will serve
(elderly, low-income, handicapped, etc.,). Use numbers.
Those elderly persons within Clearwater whose income is below the
poverty level.
6) How large is the program target population? Use num~.
The low-income elderly in need of adequate nutritiohis estimated to be
2,200 persons.
7) How many of the target population will be served by the program?
yrovide numbers
It is anticipated that nutritious meals will be provided to 550
unduplicated persons. (25\ of the specific target population~1
8) Will this program be coordinated with any other program or services?
Identify them and explain the coordination of services.
Yes, through referral to Homemaking Services, HRS and other social agencies.
t
9) Will these grant funds be used to match a federal or other grant? If
yes, identify che type and amount.
.~_..--
Yes, Title ill of the Older Americans Act and MAN/AS Title VII funds. .
10)
What funds will sustain this program after the expiration of this gra.~t?
Ulllmown, it is hoped that successful continued operation will encourage
other private and pUblic contributions.
H)
Who (by title or firm name) will do the audit of the program? The audit
can he completed by a CPA firm, city/county auditor. or clerk of the
COllrt. If this contract is for less than $10,000.00, the Chief Financial
Officer of the city/county may complete the audi~.
Internal. audit staff of the City and an independent certified public
. accountant who performs the annual City audit. The delegate agency is
~equired to furnish an independent CPA audit report to the City as
well. City audit to be performed by p~ice, Waterhouse, Tampa,
Florida.
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CSTf GRANT APPLICATlON
~
V Page 2Aof 7
Complete a sepal'ate page 2 for each individual prognlm/delegate. Use an
attachment poge(s) if necessary. '
Name of Program EMERGENCY nOUSING PROGRAM
1) Give a brief overview of the proposed program.
Provide emergency housing facilities on a temporary basis to displaced
and homeless persons, and particularly those who are recipients or
potential recipients of public welfare.
2) Identify the unmet human service need that this program will address.
The need for adequate emergency housing facilities to accommodate those
temporarily homeless.
3} What impact will this program have on the unmet need?
It will prOvide fuhding tm assist in the operational costs (payment of
utilities) for an emergency transitional housing facility in Clearwater.
4) Is this program currently operating? ~ Yes No
If yes, what changes, if any, will these funds provide for?
No significant changes, but this grant will permit continued operation at
a consistent level.
. .
.. \.~,...... . .
5) Identify the specific target population that this program will serve
(elderly, low-income, handicapped, etc..). Use numbers.
Those individuals and families within the Cle~rwater area whose income is
below thQ poverty level and who are in need of emergency transitional
housing.
6) How lar~e is the program target population? Use numbers.
Curr~ntly estimated to be 3,000 persons.
7} How many of the target popUlation will be served by the program?
Frovide numbers
920 persons (31% of the specific target population).
8)
Will this program be coordinated with any other program or services?
Identify them and explain the coordination of services.
Yes, through referral and transportation by the delegate agencies, it will
provide access to HRS and other social agencies providing assistance to
the recipients.
9)
Will these grant funds be used to match a federal or other grant?
yes, identify the type and amount.
If
...----
No. (They will encourage contribution of funds by private and other public
sources to the delegate agencies.)
10)
What funds will sustain this program after the expiration of this gr~~t?
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Unknown; successful program operation should encourage other private or
public contributions upon grant expiration.
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~'ho (by title or Urm name) will do the audit of the program? The audit
can be completed by a CPA firm, city/county auditor. or clerk of the
COllrt. If this contract is for le~s than $10,000.00, the Chief finanCial
Officer of the city/county cay complete the audit.
Intornal audit staff of the City and ind~pendent certified public
accountants who perform the annual City audit. Delegate agencies are
required to furnish independent CPA audit reports to the City. City
audit to be performed by Price, Waterhouse, Tampa, Florida.
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~ '" CSTF TRUST FUND TOTAl. Blll:GET
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PlfCAAT: CITY
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;~ff' AGE 4 OF 7
FaD~AAL fMP~aYER I. . NUMB~ :
59-6000-289 '
. Tou I Jomounu ,otPAA7l1E:HT. USE' OHL Y
(Col. J)
J. CSTF l:rUl~ "~.ft
1. Cuh H.a~d1
3. In Klnd Mu=
.. Toul ~t= (Un., ~+3)
S. To~at A.venu. (fr~.s ~i)
A. Include figures from all delegate agency budgets (pps.6).
B. Expltdn by a.ttachment all expenditures over $500 'Oer line item.
C. ill. eXllenditures ;n the line item "other" must be explained in detail.
D. Ca.sh match must be at lea.st one half of the state grant request.
E. !'he cash a.ndiIi-kind match combined 'II!U5t eaual tbe. state grant.
F. Use onlY dollars - No cents. Round off to the nearest vhole dollar all figures.
G. No federal funds may by used for ma.tch, except federal revenue sharing funds.
Co h:z:n -4 Co J t=n 5 ~Jt.;:ll;t & .l r:.: r l.:lm 7
CSTF FUlmEn PROGRAMS ONLY CSTF . ClSH IN lC21UJ
n1HD! AA'Tar .w.A 7CJ TOTAL .
GRANTEE ADMINISTRATIVE EXPENSES I' I
6. Salaries, including .fringe
7. Rent and Utilities I
8. Tra.vel t
9. otl.her I J
10. Total. (lines 6-9) . I I
DELEGATE ( s) ADMINISTRATIVE EXPENSES t
11. Salaries including fringe
12. Rent and Utilities I
13. Travel :
14. Other
15. Total (lines 11-14 )
16. TOTAL ADMINISTRATIVE EXPENSES
(linep 10 and ~5)
~7. TOTAL CSTF ADMINISTRATIVE Note: Column 7 I line 16. may not
EXPENSE PERCENTAGE exceed 15% of 2 times line L %
GRANTEE PR/?GRAM EXPENSES J I
18. Salaries including fringe
., 19. Rent and Utilities I ,
. \ 20. Tra.vel. I I
I 2L other I
,
; . 22. Total. (lines 16-21) I I f
, ,
DELEGATEe s) PROGRAM EXPENSES I I I
1'1 , 23. Salaries including fringe
'j 24. Rent and Utilities I I I
$.2,901. 00 $2.901.00 -0- $5,802.00
25. Travel. I I I
26. Otber 5,400.00 I 5,400.00 f -O- J 10,800.00
27. Total. (lines 23-26) 8,301.00 I 8 301. 00 l -D- . t 16 602.00
28. TOTAL PROGRAM EXPENSES I I 1$16,602.00
(lines 22 and 21) $8,301. 00 $8,301.00 -0-
o' I
29. TOTAL EXPENDITURES I
(li.nes 16 + 28) $8,301. 00 $8,301. 00 -0- $16,602.00
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tW
CSTF GRAnT APPI.ICATION
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-. Applvinq' I CITY OF CLEARWATER, FLORIDA
LOcal Governmental Ou.. t "
CASH AND IN-KINO MATCH
I.
11 d except fedora1 revenue sharing)
Casb Match {no federa1 fWlds a owe
Source
Amount
,.
1. City of Clearwater - General Funt;l_
2.
.'
3.
4.
I. 'l'OT AL CAS H MA'l'CH
II. In-JCind Salaries inc.
Benefits-Position Title
'Sourly
Rate
$
$
$
$
...
$
$
$
,$
$
II. TOTAL SAIARIES
; I
Unit Number Total
lZr. Other In-lCind Unito
Description & Source Cost
$ X IIll
$ X -
$ X -
-$ X ...
X ..
$
X -
$
X -
$
$ X -
_S_ X ..
-
III. TOTAL OTHER
. I
~ -__12-8y-Ct7
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CSTF DELEGATE BUDGET
page 6 for each delegate (private
Complete a
NAME OF GRANTEE:
CITY OF CLE~RW~TER, FLORIDA
NAME OF DELEGATE: Neighborly Senior Services, Inc.
PROGRAM NAME: Nutritional Program
ADDRESS: 13650 stoneybrook Drive
Clearwater, Florida
ZIP CODE: 33520
CONTACT PERSON: Fredric Buchholtz
"
TITLE: Executive Oirector
TELEPHONE: 813 I 576-9444
FEDERAL EMPLOYER 10 NUMBER: 06-01089015-62
(if none. attach a copy of the certificate of incorporation)
EXPLAIN BY ATTACH~ffiNT ANY LINE ITEM OVER $500 AND ALL EXPENSES UNDER THE LINE
ITEM "OTHER". (Do not include cents, round off to the nearest ~hole dollar).
. .The following line items correspond to the CSTF Total Budget. page 4 of 7.
DELEGATE' ADtlINISTRATIVE
EXPENSE
CSTF.
FUNDS
IN-KIND
MATCH
TOTAL
CASH
MATCH
11.- Salaries -including" .-
fringe benefits
12. Rent and Utilities
13. Travel
14. Other
. .
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15. Total (lines 11-14)
DELEGATE PROGRAM EXPENSE
23. Salaries including
fringe benefits
24. Rent and Utilities
25. Travel
26. Other ~5,400
(Purchase of food supplies)
-0-
~10,BOO
~5,400
27. Total (lines 23-26)
5,400
-0-
10,800
5,400
TOTAL DELEGATE EXPENSES
(lines 15 and 27)
~5,400
$5,400
-0-
~10,800
THE DELEGATE AGENCY HEREBY CERTIFIES IT WILL COMPLY WITH ALL RULES, REGULATIONS
ANii CONTRACTS RELATING TO THE CSTF GRANT:
'APPROVED BY:
(Typed Name)
(Signaturej
(Ti tlC)
ATI'ESTED BY:
(Typed Name)
(Signature)
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CSTf DELEGATE BUDGET
page 6 for each del~gate (private
Complete
NAME OF GRANTEE: CITY OF CLEARWI\TER, FLORIDA
NAHE OF DELEGATE: Religious community Sel.'vices, Inc.
PROGRAM NAYJE: Emergency Housing Program
ADDRESS: P.o. Box 964
Clearwater, Florida
_ZIP CODE:
33515
CONTACT PERSON:
TITLE:
TELEPH011E: 813 I 446-5964
FEDERAL EMPLOYER ID NUMBER: 59-13091-86
(if none. attach a copy of the certificate of incorporation)
EXPLAIN BY ATIACmtENT ANY LINE ITEM OVER $500 AND ALL EXPENSES UNDER THE LINE
ITEM "UfBER". (Do not include cents, round off to the nearest. whole dollar).
- - .The follo~ing line ,items correspond to the CSTF Total Budget. page 4 of 7.
DELEGATE'ADMINISTRATIVE CSTF
EXPENSE FUNDS
ll.- Salaries -incTuding -
fringe benefits
12. Rent and Utilities
13. Travel
14. Other
..
'"
15. Total (lines 11-14)
DELEGATE PROGRAM EXPENSE
23. Salaries including
fringe benefits
24. Rent and Utilities $2,901
(Electric Servlc-a Only)
25. Travel
26. Other
27. Total (lines 23-26) 2,901
TOTAL DELEGATE EXPENSES $2,901
(lines 15 and 27)
IN-KIND
MATCH
TOTAL
CASH
MATCH
,.
...-
!?2,901
-0-
!?5.B02
-0-
5,802
2,901
-0-
!?5,B02
!?2,901
.j
THE DELEGATE AGENCY HEREBY CERTIFIES IT WILL CO}WLY WITH ALL RULES. REGl~TJONS
ANii CONTRACfS RELATING TO TIlE CSTF GRANT:
APPROVED BY:
(Typed Narne)
(Signature)
(Title) "
ArrESTED BY:
(Typed Name)
(Signature)
-10-
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L;.JTf lIRANl' APPLlCATlON
Local Governmental Unit Applying:
CITY OF CLE~RWATER, FLORIDA
(NAME OF CITY OR COUNTY) .
THE APPLICANT CERTIFIES TIlAT TIlE DATA IN TIllS APPLICATION AND ITS VARIOUS
SECTIONS. INCLUDING BUDGET DATA. ARE TRUE AND CORRECT TO TIlE BEST OF illS
OR HER KNOWLEDGE AND ntAT TIlE FILING OF nus APPLICATION HAS BEEN DULY
AUTIfORIZED AND UNDERSTANDS 11IAT IT WILL BECOME PART OF THE CONTRACT
BETWEEN 1liE DEPARTMENT AND THE APPLICANT. THE BOARD OF COUNTY
COMMISSIONERS OR THE CITY COUNCIL HAS PASSED AN APPROPRIATE RESOLlITION
WHICH AUTIlORIZES ruE EXPENDITURE OF FlJNDS FOR THE SPECIFIED PROGRAMS. IF
FEES OR CONTRIBUTIONS ARE TO BE UTILIZED AS MATCHING FOR nus GRANT. OR IF
A DELEGATE AGENCY IS TO PROVIDE TIlE MATCHING SHARE. AND ntESE FUNDS ARE
NOT FORTHCOMING. THIS RESOLUTION ALSO SPECIFIES THAT THE CITY OR COUNTY
WILL PROVIDE THF. NECESSARY MATCH.
THIS APPLICANT FURTHER CERTIFIES. DUE TO TIlE LEGISLATIVE INTENT t Nor TO
DUPLICATE. SERVICES AND THAT THESE PARTICULAR SERVICES ARE Nor BEING
PROVIDED NOR ARE THEY AVAILABLE FROM ANY OTHER STATE AGENCY. ALTHOUGH
SIMILAR 'SERVICES MAY BE AVAILABLE. THE APPLICANT CERTIFIES THAT NO OTIiER
RESOURCE EXISTS TO PROVIDE THESE PARTICULAR SERVICES TO TIfESE CLIENTS
WlTIIOUT THE USE OF THIS MONEY.
Anthony L. Shoemaker
Nalde (typed)
Signature
city Managor
Title: Mayor t Chairman of Board of County Commissioners. etc. t
(813) 462-6700
Telephone
Date
Countersigned:
Kathleen F. Kelly,
l>Iayor-Commissioner
signature
A'ITESTED BY: Luci.lle williams
Name (typed)
APPROVED AS TO FORM AND CORRECTNESS:
Signature
Thomas A. Bustin
City Attorney
Signature
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