85-56
. ,
.,, c
~ i""
-'. 4.' \ >' _.__, .
". ','
"
, "
. ,
.'
, ~. i
, "
.' .'>,' ,
, '
, ,
(,' I I '~
.. . ..!"."1
t I",'.' ',i
, ,
. 1.'
. . . ,
",'c. }
" .,:" ...... '.
, . ". I
:: . ~: ! -. . ~ .,
I',". ',' :/:,';' ,i ~:,:, f.
'f. ;. +" .:: . ' ~ . 'c \~
C \ "e, '.
. I. I
\11:: .':. <. .: : . ".';
; ::>... : '. ',1,.) -:.i'; ',~,
V:", I;" tl ",' U
i:;<} ,;,:. ,':;(;i:,
r . ." ,: i: ~,:', ;:" ':~:'
1..
. ,
.
o
o
RESOLUTION
No. 85 - 56
A RESOLUTION OF THE CITY OF CLEP~RWATER,
FLORIDA, AUTHORIZING THE EXECUTION ANp
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 Clearwater desires to submit such a grant
application; and
WHEREAS, such grant applications must be filed on or before
County;
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 authorized and
directed to execute and file a grant application under the Florida
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 unexpended 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 10th day
...- '- .' ~ I ~
I r . . ~.~ .. ~ (
"....., /', .'" r
. r, "w.
. J,
. .f"..
, ,.
, I'L- :,' " :.~, ...../
. \ "~_;; \,..., ,,~" ~~. r ..".. ./.::.~ .~
At~. '".-
t. c c li~-~ '":0"'& II
{} , . ~.(....,~. . ...:.
. \' ~f.. _ '. ,~~:;;..;
- C ' C~f:'","';":--"\'-'-"--
J. ty ~J.crh, ','
RES.,
.~
~ +... ~
,
"
.'
7118/85
, "'::'~'~~@~~~~~Virr~:;"~,
,I
c '..~ T ;
~~~.
....~.
..;1 )
, '\
. l;
., ~
\'
'< l!'
f' ..,
" '
'.
. ,,'
"
\ ,
, :.~ , . ,
...~. ~~,.' :..~ _. .
, -..' .
, I
. .. '..~ ~) >, .
"
"
,. ;I~,
,. ,
"
. >. I
, r' <
<I, ...
I '
:,}.~:,::,;",'< ,:' ::;,: '~','
. .' ..:,....'.
,I
.. ;
, ,
. ~
. " '~;
.::.~:... "':':,'r,: ';:,/:::.'i,~"!~:
. l.. '" / . < ::: ~, : I . ~
~ ': . ,<.' ' ", ~ >
, . . ~ . '( ,I I L~' . ~(
: ':~":.:' ,l..', " I ,-;t! ,
\ ~." .... '. t'. .",
,
.
. ~ .
"
" ,
.
,
o
'.
, .
o
Page 1 of 7
FOR DCA USE ONLY
Postmark 1:iote:
Date received:
Contract no:
Allocation amount: $
Date approved:
FLORIDA FINANCIAL ASSISTANCE FOR COMMUNITY SERVICES ACT OF 1974
FLORIDA DEPAR1l1ENT OF COMMUNITY AFFAIRS
CO~lMUNlTY SERVICES TRUST FUND GRANT APPLICATION
See general instructions for information on how to properly complete this
application. THIS APPLICATION MUST BE POSTMARKED ON OR BEFORE AUGUST 1.
1985 TO BE CONSIDERED FOR FUNDING.
1. Local governmental unit applying for grant:
Name: City of Clearwater, Florida
(name of townt city or county)
Telephone: Cs13) 462-6880
Sun com 751-6880
Address:
P. O. Box 4749
County:
Pinelhl.s
33518
City: Clearwater
Zip:
2.
Person to he contacted by the Department of Community Affairs should
questions arise:
Name: Joseph R. McFate II Telephone: (813) 462-6880
Suncom 751-6880
Title: Director, Planning & Urban Development Dept.
Address: P. O. Box 4748
C1eanla ter, Florida
Zip:
33518
3.
Name and address of person authorized to receive funds. If this
application is funded. checks viII be mailed to this person. All
checks will be made payable to the local government.
Name: Daniel Deignan, Finance Director Telephone: (813_ 462-6930
Suncom 751-6930
Address: P.O. Box 4 748
Clearwater, Florida
Zip: 33518
4.
Are there any delegate agencies covered in this application?
Yes--K- No_,
List below the name of each delegate agency included in this
application.
Religious Community Services, Inc.
Neighborly Senior services, Inc.
.'
,.
I: ~ .~..Jt~..~-,t~.~ . .Iot..- ... _ .',
, :w:>....."',~~~''Ui>...v..~,~_~~~~k..~..,~-
. .
" \.
~. .
"'"
" .. ~.,-.,'~~.~ .;.'~ ...-,- ...'" :~~""""'f~~",:'1;......tl' . ~.~. . 'oJ. ..
,.' ~ '-''':''''r ..._'(';:;,'l:";J~ .",.,1/""';''''' ~~ .....v.:w;... ~:,\r~... ~ ~, . '~.....'c. . ,'. '';:'' . ~f '.
.... .... ...,~.';f~~~]~!,;?~<;>;, ..' ,'T~(J'ji*V:"';:::j'
---'~'~.-..
" ,
,
8
CD
"j .1
Page 2 of 7
\'
~) <
CSTF GRANT APPLICATION
t,
.
Complete B separate pBge 2 for each individual program/delegate. Use an
attachment page(s) if necessary.
" .
.' ,"
GRANTEE/DELEGATE:
NAME OF PROGRAM:
Religious Community Services, Inc.
Emergency Housing Program
"
,; \" "
i '."
'.
f. ;",:
1.
Give a brief overview of the proposed program, identifying the unmet
human service need that this program will address and the specific
target group to be served (handicapped, elderly, low-income, etc.)
Specify the number of unduplicated clients to be served and the number
of services to be provided.
. ',",:..,.
Program provides funding assistance for operational costs,
such as utilities, for temporary emergency housing to
displaced and homeless low-income persons, particularly those
. who are potential recipients or current recipients of
public financial assistance. There is an emphasis on
'providing services to families with young childre~.
Eight hundred sixty unduplicated residents will be
provided shelter, along with supporting food, clothing,
and counseling. (~ne basic service with three supporting
services.)
,',
( .."
. '"1
-, ;.1,
; ,
" ,
, .
.~.... ~''': -... .
"
','
\ .
"
, ~
2. Will this program be coordinated with any other program or services?
Identify all linkages and how coordination of services viII be
accomplished. Explain how duplication will be avoided.
, '.
...
:1
, "
There is an on-going referral relationship from the program
to Pinellas County Social services and to tile Florida
Department of Health and Rehabilitative Services (Public
Assistance, Food Stamps), as well as to various local
employers and other local resources. There is an on-qoinq
referral to the proqram from Pinellas County Social Services,
Florida DHRS, area churches, and other sources. Most
contact is by telephone.
,-:
<:/;i:, . :.'::::,' :",'" "',:,"
, "
',{>?:' .,'i' :;/-~ ~
.~ :~ ' ,i:, . J"': . f f ::
. . ~ .
Duplication not an issue due to the basic nature of the
.. ,.proqram".people "can only live at one place at any one time.
.. . .., . ' . ..'~'.'
." :;: '~: I' <0 d........ -.<
~. . :'.).' .:' ,~. ~. '. ~:
~,~,!,.:'D;' ,::. i':\
. . :.. " ~' .
c{.' ::.,. -:.: .C'..:~' _'. "
. ,~: . '. : . '.;:, t .
it r ~',: . I..
i~;ti!~', {::\\/
lc.1"1 j' \;t . . \. \'~ :
\,~"r.". :..,,'.j ~"
N~~);:" .':':~:::"i~~
:(k:f\) ('.. r
"<',?:~ ~ ';" ,,~tlI "
~,
3. Will these grant funds be used to match a federal or other grant?
Yes No --X..X If yes, identify the type and acount.
'J
~ . '; ~,!;' . I
. "
,....~,~ :
, '.
" ,
I.----od
..
"... <._.'. '~..J,
f .. ,'~.
"
e
-
" .
Page 2 of 7
\\ "
CSTF GRANT APPLICATION
, . .\,
, "
Complete B separate page 2 for each individual program/delegate. Use an
attachment puge(s) if necessary.
, , ,
'.'
, ~
~ ,
GRANTEE/DELEGATE :
NAME OF PROGRAM:
Neighborlv Senior Services, Inc.
Nutrition Progr~
1.
Give a brief overview of the propos~d program. identifying the unmet
human service need that this program will address and the specific
target group to be served (handicapped.. elderly. low-income. ete.)
Specify the number of ' un duplicated clients 'to be served and the number
of services to be provided.
"
"', i
~ ," .
" ,
, , '
\
Provide nutritious meals to low-income elderly in the
Clearwater area, through the Older Americans Act
Nutri~ion Program
Five hundred fifty unduplicated participants will be
served nutritious meals, along with being provided
supporting recreation and counseling. (ODe basic
service with two major supporting services.)
: ;',' , ., '
.: ~" .~.. .....
','
k.- ,
i,
, "
~ I' .
I . ~ .... .
Will this program be coordinated with any other program or services?
Identify all linkages and how coordination of services will be
accomplished. Explain how duplication will be avoided.
2.
. > > , ~ ~
" ,
"
C" .
" ,
" '1
. I
.," '..'
.~. ...t ~
,
,I: " ' ~
c',' <,,'
.' ":,:,""\:i> "~
r . ' ~ I _ I' r
, .:', ~r I'~:~' /
This program is coordinated by referrals, funding, and
monitoring relationships with the Florida Department of
Health and Rehabilitative Services and the Area Agency
on Aging, as well as through mututal referrals with the
Family Counseling Center Homemaker Services, and other
local resources including other services of the Delegate
Agency through the Florida Community Care for the Elderly
Act.
, . I > .:.,. .' ~:.: :.c' '.
t;i)\:':'Fj.:; .
)\;~:': !,' ,;':':':i;,;~';
~'..:j(',.,> ::.; .<:. :c"' .::.'::.:' . ;"
F;,'"" ,. " \I,! )'. '.'~
. \ ~~'~ .{ :.' 'I;'\~~ IrJ.i :,'
\l":; ',. / :,:"r.J '\
}~'~'l:~'~'.~,' .'<, ;:.'.:t~:~:\;r.'.
", . "" ',,' I'" '.
~.<'~~'..' :,:' ":I.~~\..',:.'
I ,j I . . '. ~. I I
:?i'" .. "i:'!( :.:
\ ' . ~
,Duplication is not an issue due to this program being the
sole source of,'governmentally supported dining program in
'the area.
"
3. ' ,Will these grant funds be used to match a federal or other grant?
Yes XX No If yest identify the type and amount.
.'
Title III of Older Americans Act
\'
.,t.
. . t,
;;....;.~;(."'!hJ.~\.~:..r~~#;-fo-:i\~ :~ '4;".\:~, : ~..:).~ ':. ;\/, .'!l::;.......:,..........~.~\'.;..~:,..J"\::~fot.....:..;.,~..~~., .~.~...~~ ~..'i..~~.
- ~
, )
\
. I'
\ ,
, .'
.,
','> ,
. l. ~ .
;..>:.,,:'t':...~ ..... ," if
':'
\ "
.'
; .,
.. . ~
" . ~ I ~
.. I c.,
", ,;
'. ,~ . ~..
.~. '. I
, . ..: . i ~ ~ (
.c "". ,I "
1 t . _. "+' Iq ,. i
It . J!',.'
. I i 1. ,
,:~'. ".4 + '+1 ".~.' ;.:':'>'.~
i:
. ", ,!,:"C,,' ':."
+':' c'
".',
~ /- \ " :
. . ~.: . . ~ ". . ~ ~
: ,r. ,': .~. ~ "'. ~ . :.:
."; ":.; ..... '. I -,::J.'
i ,: "/l' '.,:~'.:,',: ';:~, :::",{'
. , r ~ .
.~ ... J.:- ~:""~'
, .. . i . '.'; ~. '.~ .: '.: i .~
,;~,~"rf:(}i!:;~J(J
t;.;., y ", - \ "I \
i~t?"':,{;:}~;i{jl
.1,: :' .,1-' I 'il.' .'"~:~:
'c',
, ,
,II
,
..
,
,'~
\' ~,
,\
, ,
. .
.....
.....
o
C"I
Q.l
CO
~
""'
S
CD
W
till
o
...
Q.
.c
U
ZCD
<GJ
..3
Q.....
o
~CW
D::
Or-.
;3: Q.l
till
CD
2: C.
o
I-llU
5e
t-Ial
..:10.
c..Cll
J:1o ' CD
<
III
~
:z: lU,
<1.1
=41
t:l~
~6
~8
<<l
,to _
'r-! GJ
~ e
o CD
~ C
~ >.
.u
"'rl
~ U
.B
<<l
~
<<l
Q)
~
CJ
w
o
c
:a
o
.&.I
>;~
IJ.l .., ~
o 30
o~Q;'
l'r ~ Il4 ...
'" b'l1lI
CJ s:: U
oM>.
111 III
::S-O
o
= QJ
~
~ ft"
s:: CD
QJ )C
b'lGJ
~-
Q)
e
fa:l
co
c
.,.,
>t.
,...l
C.
0.
CD
.&.I
....
C
:s
~
lIS
.u
C
Cl)
E
c
...
GJ
>'
o
co
.-4
CD
U
oS
e
.....
o ell
o~
N,u
o
co
..
In
II
+
.c
U
.&.I
C m
c E
. -
r-lai
c al
O'IU
C"l
+
C 4o'r
~t:..
:;~
0'\
C"l
EI
III
'"
co
o
...
c.
.... '
0'
Q.l
EI
III
Z
>.
.u
'rl
>
....
.u
U
113
e
CD
1-0
co
o
""
0-
/IJ
opt
.c
.u
1-0
o
....
.u
Cl,J
CIO
"C
=
.D
,..,
III
.u
~
"
e
.
~-
.-l .....
.... .....10.0
= U :aal
10 ./-I .
>.. -= ll.I L.o . tn In
'W~ >Cll
..-I """'::: U1 Ul ~ t:
.l.I ~ ./-I C" t: t: 0 0
c a u 0 0 U1 tn
Cl .:: aI.c tn Ul ~ ~
='Ul"""'U .. ~ J.l lU QJ
cr .em "" ..
...., Oal lXl QJ \D QJ \0 ~ ~
. ..... ~ a:1 a, a) \0
~lD'="Q ,...l ..... ..... LO OJ In
~Ual ('") In - III 0 r-t ..... r-4
;.J C ell-= ..... ..... ('") r-t C""I N 0 N
:IQJalUl N N ..... N ..... ('")
- r-. \0 .....
~ e "I"i Q) C' Q)
-,cI.L.l..-l
D:IDOC. 10..1 Q) '.&.4 III 1.1-1 tn m
.... B 0 UJ 0 C/l 0 :;J .... :::J
O.-4CO ::s :::J 0 0 0
(:J c.. 0 U 111 0 111 0 UI ~ :t:
Z5..-1U < :x:: < ::II -< III
%O./-lll;l -<
<UIo.o
~UOCll
c.. = Co..Q
.
to)
.c
u
.&.l
III
e
"'::l
c
....
.Yo
,
C
TI
""'
Ul co-..
':""'::lUl
tzJalQl
E-olo.o>
Ul"l"i~
c:::::,u
::::a C" \J
en CIl CII
... ...,
c:::::. ..0
:z: al 0
<: ..Q
Ql
t1) ..-l .c
C:J~~
H .....
E-:J.c
H III
>U1..-l
...... Co.-l
E-oCVQ.
u.ue
-=: OJ 0
1.1
0::.&.11.1
o aI c:I
~.c
<3 0
:E:-.&.I
.
co
""'
c-
.l.I
...-iU
.-4 113
-l ...
ffi:a~
:> 1lI 0
,~~ 1.1
~ ~~-
;d"iu
0..-1
--=
xc.co
<5=
C::Oo
Co.' U 1-0
CJu.c
C::llIAo1
~
~'D
I:IJ04.l
..J .,.., >
=1lI4.l
~e:E
::;:IAoIU
en C, lD
'~5 GJ
::z: -,Q
.
..c
.,.
b'I t:
~ 'n
..-1
Sol 4.l
t:.: ::s en
'r-! tn 0 t::'r-! .
IlJ 1lI t: 1lI'r-! III ~
.&.J ..-1..-1 UJ Ul t:
t: 4.l .u <<l'r-!
.t-j ,.-I 4.l t: tII Ul
~ r-t tn..-I'f'i rQ ::l
e..-I'.-{ (IJ a 0
t) UJ 4.l en ill.t:
'tllUtntnfd
ij ~ 1l3'@ ...J e
tJl .. UJ r-l t: Ql
.. s:: UJ IlJ III Ql 4J
~ 't;{ ~ .. ~ s, ~
ltl::JllI'tj::;lOQl
c:o'OoO..-ttn
rU .l:1'.-I 0 0 04 I::
e UJ~ E 0
~ CLJ .. Ql r-l
.. 0 J.t tJ\ lJl
1UC: t:s::tnb\
:;: ~ -g 11 :a .~ .~
:>1-l1U::S-4-l'tl"C\
Olll..-tOOI::S::
Sol e 1lI QJ.-j -r-! .r-!
Il4lUtIlmOlHtl-l
..
UJ III
c: QJ
~~ :tl
>. Sol tIl 4.l 'r-!
I-l (!) lIS 0 r-4 0
I\J ~ t) 1lI'r! +J
I-l ' k..."
o 0 ..-t'r-! ::s E
~\D Il3 'U jrj
mcogA~~
4-J1-l..-t4.l 0
o 'r-! -'= ~
lJl~ 'd 3 u 04
.~ b'I ~ +I ; Ql
'd c: 1IJ.t:
'.-1.,4 rn.r! .. +I
>m'O,IIJ4J
O::tS::OJIIlIQ
I-lO::SllSOG)
~..c:: 'H u.....
..-t 11....
.~ ~~~ ~tn t: ~
Q .:oJ- QlO
+J Gl E-I" 'r-!
UJlJl t.t:lIlS,d-IJ
""~U)o,.,ou
Ul 91 J ~ 8,:; a
:2Q1-aO:l~
.~_~ :.~.-:t~~i~~~~~~:;'I;~t.:i~.;~\;iT::1
" ,
, .
e
: . i ~.~
. " ' - \"
.
, ' ,
~ ,~
,
,
., <
I,
"
. '
I'
.
.
OJ en 0) (I]
r-4 ..... .... r-t
IU lU III lIS
QJ Q) <II QJ
......-.. a IS e IS
....t ~ .
..... ....... 0) OJ III OJ
m ~ ~ al ::f ::l ::J ::f
'10 w 0 0 0 0
>..= C1l ...
tl-I :r: > m ..... ..... "... ".-I
~ .... ~ ~ -1-1 4..1 -1-1
,&J ):6.JC" '.-I -Pi "... -Pi
c:: o u 11 "" 11 ""
m.r: C1l-C -1-1 ,J.J
::l en ...., U U"I ::f ::f ::f ::J
C' .em l:: - a ~ l::
...... Oal co \0 \0
. ...... co (;) co ~
tI'1lD'::"'O ..... (;) ..... ..... 0 co (;)
E-!~Ual ('I"l (;) ..... (;) 0 (;) ...... 0
~ C al':: ...... 0 C'"l 0 r') 0 0 (;)
;:J CI) C1l a:I N .. ...... .. ...... .. C"l ..
ffi E .... ..... an M III \0 tl1 ...... an
.r:~"'" r-4 r-4 r-4 0\ r-4
txm 00. ....., 'W 'W
..... e 0 0 QJ 0 ~
c..... ~: 0 QJ aI 0 OJ
C:J Q.ou en "C CD '0 OJ 'tI "C
2 E ..-f U < ",.f < '.-1 -< "~ III '.-1
2: Qum > > > -< >
-< U \.0 0 0 0 0
...J U o al ~ "" ~ ""
c.. CD c..e ",. p., PI p."
.
CJ
'.
, ;
,. .
:
.....
, l.c. .....
....., (;) al
0 0 J..J
C"l . 0
, N .u
.. " ! C1l tl1
" co a\
. al ..
0.. (;)
r-I
.
.-
..e
" U
: .u
,,1' m
E
> . ~ . . -c
" ,
-. . ~"~'" -".. '. C
, 'TI
0 ..:.:
I
c
q -rI
..,' +
. .
'..' . .
',". .
'" .
, . I'
"
~. . c '., .
. . . . ~ .
'I, .
, ,
-
tI) c-
c.. -c ID
i:= CU 11)
..c: ... >
U U)'TITf
0 .u c:l ::I .u
0 III ;:l a' U
Ei CIJ 1lI CI)
IU_ \0 .......,
..c: c .0
'tl CU ..... III :ZGlO
..... E ~ III < ..c
~ III .. U CI)
o C III tI) ...... .c
.-I>. w.......u
~""rl
lkl,&J ;J:..e
-rI H ID
.. U + > UlTf
~ H 0..-1
iI "" B~ C-
o -j
It! < Ul 0
~ c:: U
::I 4o'T ex .u U
0 0 0 III CD
It! ..L.I 0 tz. -, ..c:
QJ . E-o <3 0
r-I - \D ~ ::E:_.u
() >. .....
- ,&J
E c ~ .
III ~ ::l .. a:l
"" 0 0 - III
ClO U 11)'
0 .J.I.....~ ""
... C\J -
c.. ..-f J.l U >- c-
01-1 ,u
.c U tn ~ ..-4 ...... U
U 0 III > .-l III
:z: m ~ -c ..-4 ..... ...
-c 1lI PI 01-1 gj::l ,u
..J co - u c
. n..P-o ... 'c' .~ II) " a:J "> Gl 0
0 .... o~ H .LJ U
::0.: ...... ' >- E ~c
ex ...... "~ E lD CII III
OC""l CI. +. CD ... - E.,.(
, :z: QI c. '01 ~ co- ;;3--
al 11~ 0 m~
co "'" 0.....
CD .LJ ;:J Co .-I.c
, :z: c.. ....., Z x: 0. ClO
0 C a2 <6::1
"~ III ::l ..... tli:ClO
,u .c 8 u...
-c III ,..... .LJ u..c:
CJ "" CD D:::CD,u
~ III .LJ ... c..
c.. c:: S 0 ...-c
a., QI al a:l ....., J:zJ Cl CI)
c.. ell E ,'"' ,...'J "-'!'>
< C co .LJ CQCll 1lI
- , III ... 0 QJ <e....
~ QJ ... ClO D::: ..e
:z: III > Q, 'CI ;:JoI-IU
<4.1 0 :::I cnmlD
D::llJ co ~ .c < ..c:
t,:l..... 0 "tzJ~QI
,0. r-f r-f ::E: _..c
~6 a:s III CD
U e .LJ
~B .9 1Il ~ .
:z: <
, .. ~
I'. "
.,
o'
:p."
~ .. . :~. ;" . '
, "II
" .
. ~ ::, (~~
I ';..,.
,,:~. c~.\ _..,
. , .'
" " . ~ ~ . '.
. IT~' . > L. .~'"
Ie ".1-.;'
'J;,.~,!! ':\.:::<',., ~',:,:':
. \ '; ~
r~. '. ; . ~..' '. f
i::!'~\}~),r[,;
- f", ' , ..' ~
. it 1':-
~~ ,,:\'"< I . " '': :.-
1 ,-' ::.'. f I , l
t~i,;": ',';,~';::'t
'~io'.'~ "', ;'~':F:' ~. .
'10. :
":.'1' .
, ..
'".
b1
C. lJl
s:: ON ~ "C
o 't:I ~ -Pi QJ
'.-I ~ ~ 't:I >t
tll IU """,.f ~
"r-i ~ 0 >.,.f
>>'lJl~Ol::
OkOo..k::l .
kQJ""::Jp,e~
Ol>~Ul eo
'r-i QJ 0 ,:C
"r-I r-4 k Ul U
.r:QJItSQJO >.
0'ljs::.r:.c:1U.-I
ItS 0 ~..qJ 'tJ $.I
QJ tJ'l'r-i 0 -,.f QJ
kS::+J tll""'tS
+J-r-i I'lS 't:lltl 0 r-l
::S'ljQJS:: .-Irq
O::S""nj.s::lkl
~o 0 OJ
4.l 0 OJ ..::f QJ .c:
~.~ k tn tll :5 ~
P! ..-~ Ul ""
"N rc:I QJ.-I QJ.c: 0
U 0 0 QJ tJ lJl4-l
,,.., O"r-i U1'.-I ::f
.J.I44>l::>OOJ
k k::fk~k
",~QJOQJ..c:1'lS
PfOtllUtll+JO
OJ IIJ.-I
't:I QJ 'r-i
'.-I <II ~<<l.
· Ill> 'tJ Id>>.
>. .s:: OJ 0 "r-i IIJ r-4
r-fIllOk k> "" ....
klO""Pl <110 OJOJOJ
QJ O::f OJ 'tJ.... +J ..-PO
't:I 0 r-4 .c: r-l IJ! Id <<l .-t
Or-4.-tU1r-4~O O~QJQJ
o OJ ItS QJ 'r-i r-4 +J I-J e
o Ok~OC1Jr-4 '" OJ
.. Q) 0 .fJ :5'M III QJ tn IS
:; :S ~ ~ ij1.c: ~ ~ 8.~ 8
'tj.s::ao~.c:ClJ ~s::
tJlO S::~ C1J+J 00 Ei Q,llUor-i
~.J.IldOtnllJ .,.., .c:SI
'tS to In.c: III e ~i~.J.I ~~'
'..I r-4 't:I +J Q)""" ~ 0 s:: o.-t
> lIS S::'r-i .J.I It! tn ..,.-I '01
o CD ::s ~ lIS k 0 +J +J llb-'
k IS ~ tn QJ k O..-f 0J'r-i IlJ
n. lJl OJ 't:I tll ,:C "" +J tll 0
lIl-a......Q,I -iJS::1lI0
a:s .OOJ4-lHlO::f<<l.c:......
'Pi 01'&4.-1"0 I H ij a PIP!
-&J:;:e-: "'OJ SH 00'8 ij.B
lI).... ..c:.r: C QJ.Pi 0 .,.f
..-f J.4 lJ1 0 4J r-4 k 0 +J.c: OJ
III -iJ . +J lIP .JJ OJ .. ~ +J r-4
to ::J U 1U.4-I (;) -,.., e 0 IU or-i .Q
< a-a 0r-4E-l,:C1D o..:l <<l
, '
,.
I' -.
~ .'. . '
~. --: <
, .
~ !
0' I,
I I..,
, '
I. >'"
, ,
(
....
.
. ,,'
I ~ . .
. ",1\ <.} . . ; '~
~" ';",' .: .(
. _,:>,1
I,'.' .
. '
.1 . ..
Q
CSTF TRUST FlND TOTAL Bl.IlXiET
e
Holme 0'
PJlPL s'CAHr I City
Jl!VDiUI
of Clearwater, Florida
. "tl~ II'.Ud!
(Col. t) (C4I. z)
OEPARnl!HT usr QtlLV .
1. CSTF Gt"alIC ~as1:
%. e.uJI HaC=
3. In Xtnd )-laCe:.
~. Toea I I\I'C= (1ln~ 2.+-3) 100 =
J. Tce.al ~Yen~ l1r~u r..i, ,.~
A. Include figures %rom ell delegcte cgency budgets (p. G)
B. ' Explain br att~ch~ent all expenditures 2~r 5500~OO E![ !!~~ !~~!~
C. All ,expend,itures ..in. the line ite. "ot.her" ,!~st ~ g!E!~!!!!!s! ';!!9~~~i!~
D. C~sh .etcb !y~~ E~ ct, 1~~2S en!=h9!i of the state grant request.
E. The c~sb and in-kind .etch combinpd !y~t ggy~! the statB srant.
F. Use 2n!l ~Q!la~! = U2 S~D~!~ Round off all figurea to the nearest whole dollar.
G. Ho iedarcl ~und$. except %sderal revenue sharin9 %unds. .ey be used for _etch.
CSTF FUNDED PROGRAMS ONLY..
: .1
eo f r.==l 4- c=rt::n 5 CQ r \:::d , Co, r t.::ID" T
CS'IT CASH IH ICIND .
lUHD!' ,1I,AiO( ,>>.A, toi i01"At.
I I I
, f f
~ t J
I I I
I I I
I I . I
I , I
r t I
I I I
I I I
GRANTEE ADMINI STRAT 1 V ~ EXPENSES
6.
7.
8.
9.
Salaries includiIlg tringe
?ent and Utilities
T=e.ve~
Other
10. Total. (li::1es 6-9) .
DE::Lr:GA'I'E ( s) ADMINIS'!RATIVE EXPENSES
U. Salaries induding :t'r-!le;e
12. Rent and Utilities
13. ':=a.vel
14. Other
15. '!'otaJ. (Hnes U-14)
16. TOTAL ADMINlSTRAf.rIVE ~SES
(lines 10 and'15)
11. ~ CSTF .ADMINISTRATIVE
E}G-.:li ::it; ?EaCEN'l'.AG E
Note: Co~u::m 7, liDe J.6, !::aVO oat
exceed 15% of 2 ti:es :U.ne L '"
.
J I I
I t I
I I f
, J t
I I 1
I 1 I
I 2 901 I 0 I 5,802
I J I
5,476 t 5,476 , 0 , 10,952
8,377 I 8,377 t 0 .I 16,754
8,377 I 8,377 0 I 16,754
8,377 I 8,377 0 I 16,754
GRAnTEE PR9GRAM ~SE.:S
lB. Sala.ri.es incJ.uding t'::!..nge
19. Rent lUld Utilities
20. T:'a.vel
22. otber
22. Total. (llDes 1S-2J.)
DEL..:.UA~(S) aOGRAM u..:-::.!lSES
23. Sela.:.-ies :lIlc.1uding r=i=1ge
24. Rent ~d Uti2ities
25. T:'avel
26. Otber
27. Total (lines 23-26)
28. 'l'O'r.AL PROGRAM EX?:E:'lS:::S
(liDes 22 and 21)
29. TOTAL EX?ENDITli'RES
(lines 16 + 28)
: I
"
..... . \ ~ . ~
.. . ~ ..
..' 'I'
. \',
~. \ 1
.
, '
,
e
,. , .
CSTF GRANT APPLICATION
_
"
Local Governmental Unit ~pplyin91
city of Clearwater, Florida
i
" 1
..
\ :
CASH AND IN-KDm MATCH
I. Cash Hatch Cno federal. funds allowed except ~ederal revenue sharing)
1.
City of Clearwater
General Revenue
Source Amount
1.
8,377.00 ..
2.
... ~ :
3.
4.
. .
I. 'l'O'I'AL CASH MA'l'CB
, .'
1:1. In-nnd Salaries incl,
Benefits-Position Title
Hourly
Rate
..... ...... .
$
$
$
$
S
$
$
$
S
I:I. '!'OrAL SALARIES
"\ ,.--!"
. .
1:17. other In-lCind
OescriDtion & Source
Unit
Cost
, "
.' ".,.,.
$
".';' ,
"
~ ~ ~
, . '
s
. '
'. ~ ~T t ~ .
<. .~ :c'.
:. :. ':. .1 . ,J ~ :.
$
" ,
: \.. .:..:i
$
~'. ., ,
. ,,' . .
, :.. _ ~'., ' . ::, '
$
, ..~' . ~~ r
$
",5!.i.,'~~ 'Fir:;;::'
I...,J,..;' .... \ 1 j '''. ;
~'.:l'>~~ ~..+' :,.I~:rl\i:
\' ',' ," \' "( ~'
/~:'~':: .:: "<: .:f<~~l~\{.i
I . . ~ . '. .;.'.' ;\....~ iI ~ :
';.\:', '!.':~'.i~~//:,~::'
..',..t:j.';I."1 '
-"t':::. ';'
$
_$
i
$
"
.
111. TOTAL arHER
"
_, ~ ,l
. "
I ~
"
2.
3.
4.
8,377.00
Bouxly
Worked
X
X
X
X
X.
X
X
X
X
Total
""
-
-
.'
-
-
-
-
-
-
Number Total
Units
:J: -
X -
X ..
X -
X ...
X -
X -
X -
X -
'.
"
1, T
'r
,'.
< .
" l.< .
...: ... . .1.:--. .
:... ',<
, I: '
".. .:f'
.....Il... ,
. '. .!, ~ i': (
: .' L.. 'J.' , '
'. '
. '
,.,
. '
~. : . .
, ,
< ..
'I, ..,.
.' ",' ','
l : ~ .
, '
, ':: '/': ,::"~ :.:'" '!. :,' ~
, "
\)':' ,;'.;'I/J!J
.~ . ",:,.
:: '
.,,:., \
; I,
, ,
\
"\ :
CD
. · L'
cat Page 6 of 7
......' ".l'I-'_..~""__') "-. .............-..,.,,_.',oy ....._.......~..~..-..:..~ 10-40111-......1.. l-t ......b,........._...... ~ ..,-...!',."-.i.....", ~'....._. ~~...-V-~- ...- .---........-..T... ~ ., ...."... "'- ,,_ . .. .. "
"-, :;~~~~~~~;. ~~~---~":""'O""::-r7, ~,.~:=. ../. ...~.~....;.,
"': '~:~.f;?:;~[i~f$~t~::\.<- e,'>. .. ,.'.; ~ , ',"":",:~~':,t;~.:i.\, .;\
CSTF DELEGATE BUrGET
Complete a separate pase 6 for each delegate (private non-profit) agency.
NAME OF GRANTEE:
City of Clearw~ter, Florida
Religious 'col1ununity Services, Inc.
Emergency Housing Program
',I
.
NAME OF DELEGATE:
PROGRAM NAME:
ADDRESS:
1125 Holt Avenue
"
Clearwater, Florida
ZIP CODE: 33515
CONTACT PERSON:
. Pat Davis
TITLE: Emergency nousing. Manager
.TELEPHONE:'. 813/ 446-5964
FEDERAL E.~LOYER ID NUMBER: 59-13091-86
(if none. ac~ach a copy of the ce4cificaee of inco~poration)
EXPLAIN BY ATIACHNENT ANY UNE ITFM OVER 5500 AND ALL E..1PENSFS UNDER THE LINE
ITEM "OTHER". (Do not include cents. round off co the nearest: ",hole dollar).
The following line ;tems correspond to the CSTF Total Budget, page 4 of 7.
DELEGATE ADMINISTRATIVE
EXPENSE
IN-KIND
MATCH
TOTAL
CSTF
FUN'DS
CASH
MATCH
11. Salaries including
fringe benefits
I
I
I
12. Rent and Utilities
13. Travel
14. Other
15. Total (lines 11-14)
DELEGATE PROGRAM ~~PENSE
23. Salaries including
fringe benefits
I
I
I
I-
I
5 B02
...
24. Rene and Utilities
2,901
2,901
o
5 802
25. Travel
26. Other
,. .
I
I. 21901
27. Total (lines 23-26)
2,901
2 901
o
5 B02
TOTAL DELEGATE EXPENSES
(lines 15 and 27)
2,901
o
THE DELEGATE AGENCY HEREBY CEnIHS IT'WILL CO~,tPLY \nTH ALL RULES. REGULATIONS
ANjj CONTRAcr5 RELATING TO TIiE CSTF GRANT:
APPROVED BY: Fred Korosy
( Ty ped .~ar.le) \
( Signaturej
President
(Title)
ArrESTED BY:
(Typed Name)
(Sisnature)
. I'
,
"
.' -~.....
, ,
;,I,..:,:..{~~ \~..f.\.'
'1..~ ~ { ,.' I'.. .~.
::~.i,,' ^. ',,'~:' \';~'.
. '.. ' . .'. ~ ~
.,: , . ' . . ~, J
D. ,"
, ,
. \'
., ;
,
"
,+ ..
"
~ ,'>
~.. "
, . ,
... .. i" _...
'.
J
;,~
:~
,l~
:,
~
," J
"
, , I j"
", . '"
, ..
~,~ . .
I I"
. ~
L.
. ,
"
... . ," :.
"CD
CSTF DELEGATE BUDGET
Complete a separate page 6 for each delegate (private non-profit) agency.
CD Page 6 of 7
,
.
NAME OF GRANTEE:
NAME OF DELEGATE:
PROGRAM RAKE:
ADDRESS:
City of Clearwater, Florida
Neighborly Senior Services, Inc.
'Nutrition Program
13650 Stoneybrook Drive
Clearwater, Florida
CONTACT,PERSON:
TITI.E:
TELEPHONE:'
ZIP CODE:
33520
FEDERAL EMPLOYER ID NUMBER: 59-1218100
(if none, attach a copy of the cer~ificate of 1nco~poration)
I
EXPLAIN BY ATIACHNENT ANY LINE ITIli OVER 5500 AND ALL EXPENSES UNDER THE LINE
ITEM ftQTHER". (Do not include cents. rOWld off co the nearest whole dollar).
The following line ~~ems correspond to the CSTF Total Budget, page 4 of 7.
DELEGATE ADMINISTRATIVE
EXPENSE
CASH
MATCH
CSTF
FUNDS
it
11. Salaries including
fringe benefies
12. Rene and Utilities
13. Travel
14. Other
IS. Total (lines 11-14)
DELEGATE PROGRAM EXPENSE
23. Salaries including
fringe benefits
24. Rent and Utilities
I
I
I
I
I.
5,476
25. Travel
I
5,476 I
I.
I
26. Other
5,476
27. Total (lines 23-26)
5',476
5,476
TOTAL DELEGATE EXPE:~SES
(lines 15 and 27)
5,476
IN-KIND
MATCH
TOTAL
THE DELEGATE AGENCY HEREBY CERTIFIES, IT" WILL COf1PLY WITH ALL RULFS. REGULATIONS
ANii CONTRACI'S RELATING TO TIlE CSTF GRANT:
APPROVED BY:
(Typed'NaJile)
(Title)
ATTESTED BY:
.. (Typed Name)
-~-"r~.~"""""""''''''''~-......-tlW~-tfJ.~;(..:'1I''
o
10 952
"
'" >-'- --- - " . -" --~ .~. '/:~~i~r;":'-7~'7""~:',!7t~ 'if;\~
o
10,952
o
10,952
(Signaturej
(Signature)
" '..'.
"
~\~.f ~. :
, ,
't'.
, ,
,
0,
I
~. .'
i,
, ...."
, ,
. ~ '
I' ,
\,
"
, , ~
, c. .'
~~ ,~.: ..\
;,
,"
\ ,
r <(' I ~ .
., ~ ~.
:' . ,
. ',1 <.
,.
'. ,,' t...... ....
,'.,' "
~. .f . .'
n ..j "".'
. );
, l.~
It \
, \. ',~ -tl t
. ' '. ~ '.
" ;,
.' ,~ . ~ . ,
. :.~: ";:'./ ,~ : , \.~; ... . t
,j I ,'"
. .
. i.... ~ ,
, ~:
" .
.v.~'.::" ':':, ~'.
'!:' ~::<,;~?<:',' , :
!~,~:-~: :,;::,: ,",: '~,'i.,j }~'(;/
\" :' ' ,',' . ; I" : ,,} ;\
:;\:-.' :,:,i.:'~,~,:, .~;: !,~
I.';; , . . - 1-" \' I
~~\' ;;';:~7.;\%1
,i /.
";',
. " ~ '
T ~. . '.: " '-._
~. . . " '
. .
""..", ..
_. 0
. . ..~.. ...
"
e
, .
Pag8 7 of 7
CSTF GRANT AP~LlCATION
Local governmental unit applying:
City of Clearwater, Florida
(name of city or county)
The applicant certifies that the data in this application and its vadous
sections, including budget data, are true and correct to the best of
hisJher knowledge. The .applicant further certifies that:
8. the filing of this application has been duly authorizedr
b. should this proposal he funded, this application ,,'ill become part of
the contract between the Department of Community' Affairs and, the
applicant;
c. the Board of county Cottmlissioners or the City Council has passed an
appropriate resolution authorizing the expenditure of funds for the
specified programsr
d. if fees or contributions are to be used rlS matching for this grant,
or if a delegate agency is to provide the matching share, and these
funds are not forthcoming, this resolution also specifies' that the
city or county will provide the necessary match;
e. services to be provided "through this contract do not duplicate any
other currently existing services, and that the proposed services are
no~ being provided nor are they available from any other state agency.
f. if similar services are available, that no resource exists to provide
these partic~lar services to these clients without the use of this
money.
Kathleen F. Kelly
Name (typed)
Signature
Mayor-Commissioner
Title: Mayor, Chairman of Board of County COllUllissioners, etc.
(8l~ 462-6700
Telephone
Date
ATTESTED BY:
Name (typed)
Signatura
\. ' I ~
'-, '
, .' ".':::, :':~/;~: ~~".'~.,~~f'
t. 01 ~ _ ~ . ...-..:.."' , ' ,
.'.. " ~..,
- ..:..- ~'-4I.' "'__~~_