PROVIDE FOOD-SHELTER AND SOCIAL SERVICES TO THOSE IN NEED
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AGREEMENT
This Funds Agreement is made and entered into between the City of Clearwater, hereinafter
referred to as the City, and Quest Inn, Inc. hereinafter referred to as the Agency.
WHEREAS, it has been determined to be highly desirable and socially responsible to provide
food, shelter, and social services to those who would not otherwise have a means to fill these
needs; and
WHEREAS, the City desires to help those in need by providing funding for the above services;
and
WHEREAS, the Agency provides such services and operates in the City;
NOW, THERFORE, the parties agree as follows:
ARTICLE I. TERM
The term of this agreement shall be for a period of 12 months commencing on the 15t day of
October, 1999 and continuing through the 30th day of September, 2000 (the Termination Date)
unless earlier terminated under the terms of this agreement.
ARTICLE II. RESPONSIBILITIES OF THE AGENCY
1. Services to be Provided: The Agency shall provide the above stated service in
accordance with the proposal submitted by the Agency and approved by the City, which
is incorporated herein by reference.
2. Area to be Served: Services rendered through this agreement shall be provided within
the corporate limits of the City as it now exists and as its boundaries may be changed
during he term of this agreement.
3. Scheduled Reports of Agency Activities: The Agency shall furnish the City Human
Relations Department, Grants Coordinator, with an annual report of activities conducted
under the provisions of this agreement within sixty days of the end of the Agency's fiscal
year. Each report is to identify the number of clients served, the costs of such service,
and commentary on the viability, effectiveness, and trends affecting the program.
4. Use and Disposition of Funds Received: Funds received by the Agency from the City
shall be used to pay for the above services as further described in the grant proposal
submitted by the Agency to the City. Funds existing and not used for this purpose at the
end of lhis agreement term shall be deemed excess to the intended purpose and shall be
returned to the City.
5. Creation, Use, and Maintenance of Financial Records:
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a) Creation of Records: Agency shall create and maintain financial and accounting
records, books, documents, policies, practices, procedures and any information
necessary to reflect fully the financial activities of the Agency. Such records shall
be available and accessible at all times for inspection, review, or audit by
authorized City representatives.
b) Use of Records: Agency shall produce such reports and analyses that may be
required by the City and other duly authorized agencies to document the proper
and prudent stewardship and use of the monies received through this agreement.
c) Maintenance of Records: All records created hereby are to be retained and
maintained for a period not less than five (5) years from the termination of this
agreement.
6. Non-discrimination: Notwithstanding any other provisions of this agreement during the
term ofthis agreement, the Agency for itself, agents and representatives, as part of the
consideration for this agreement, does covenant and agree that:
a) No Exclusion from Use: No person shall be excluded from participation in,
denied the benefits of, or otherwise be subjected to discrimination in the operation
of this program on the grounds of race, color, religion, sex, age, national origin, or
disability.
b) No Exclusion from Hire: In the management, operation, or provision of the
program activities authorized and enabled by this agreement, no person shall be
excluded from participation in or denied the benefits of or otherwise be subject to
discrimination on the grounds of or otherwise be subjected to discrimination on
the grounds of race, color, religion, sex, age, national origin, or disability.
c) Inclusion in Subcontracts: The Agency agrees to include the requirement to
adhere to Title VI and Title VII of the Civil Rights Act of 1964 in all approved
sub-contracts.
d) Breach of Nondiscrimination Covenants: In the event of conclusive evidenced
of a breach of any of the above non-discrimination covenants, the City shall have
the right to terminate this agreement.
7. Liability and Indemnification: The Agency shall act as an independent contractor and
agrees to assume all risks of providing the program activities and services herein agreed
and all liability therefore, and shall defend, indemnify, and hold harmless the City, its
officers, agents, and employees from and against any and all claims of loss, liability, and
damages of whatever nature, to persons and property, including, without limiting the
generality of the foregoing, death of any person and loss of the use of any property,
except claims arising from the negligence or willful misconduct of the City or City's
agents or employees. This includes, but is not limited to matters arising out of or claimed
to have been caused by or in any manner related to the Agency's activities or those of any
approved or unapproved invitee, contractor, subcontractor, or other person approved,
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authorized, or permitted by the Agency in or about its premises whether or not based on
negligence
ARTICLE III. RESPONSIBILITIES OF THE CITY
1. Grant of Funds: The City agrees to provide a total grant of $6,014.00 to fund the
program in accordance with this agreement and subject to City Commission budget
approval.
2. Payments: The total amount requested will be paid by the City to the Agency within 30
days after execution of this agreement by the City and the Agency but no earlier than
October 1 of the budget year for which the funds are authorized.
ARTICLE IV. DISCLAIMER OF WARRANTIES
This Agreement constitutes the entire Agreement of the parties on the subj ect hereof and may not
be changed, modified, or discharged except by written Amendment duly executed by both
parties. No representations or warranties by either party shall be binding unless expressed herein
or in a duly executed Amendment hereof.
ARTICLE V. TERl'\1INATION
1. For Cause: Failure to adhere to any of the provisions of this agreement as determined by
the City shall constitute cause for termination. This agreement may by terminated with 5
days notice without any further obligation by City.
2. Disposition of Fund Monies: In the event of termination for any reason, monies made
available to the Agency but not expended in accordance with this agreement shall be
returned to the City.
ARTICLE VI. NOTICE
Any notice required or permitted to be given by the provisions of this agreement shall be
conclusively deemed to have been received by a party hereto on the date it is hand-delivered to
such party at the address indicated below (or at such other address as such party shall specify to
the other party in writing), or if sent by registered or certified mail (postage prepaid), on the fifth
(5th) business day after the day on which such notice is mailed and properly addressed.
1. If to City, addressed to Grants Coordinator, Human Relations Department, P.O Box 4748,
Clearwater, FL 33758
2.
If to Agency, addressed to
Suzanne Bissett
Quest Inn, Ine.
509 N. Ft. Harrison Ave.
Clearwater, FL. 33755
ARTICLE VII. EFFECTIVE DATE
The effective date of this agreement shall be as of the first day of October, 1999.
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ARTICLE VIII. CONTINGENCY
This agreement is contingent upon inclusion by the City Commission of funding for the Social
Services Grants Program in the City of Clearwater Fiscal Year 1999/2000 Operating Budget.
.IN WITNESS WHEREOF, the parties hereto have set their hands and seals this
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:;(9 dayof ()c.~ ,1999.
City of Clearwater, Florida
Countersigned:
CITY CLEARWATER, FLORIDA
By:
Michael Roberto, City Manager
Approved as to form:
Attest:
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/ President .
Witnesses as to Agency:
Attest:
'dlV'W Gxu ~ 1/ !.l
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CITY OF CLEARWATER
SOCIAL SERVICES GRANT
PROJECT APPLICATION FORM
Phone:
(727) 562-4060 for assistance
Due: June 7, 1999
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A. Application Information
Applicant:
(Sponsor/Developer)
OUEST INN, INC.
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QUEST INN, INC.
Organization Name:
(If different)
Address:
509 N. FT. HARRISON AVE.
City; State; Zip
CLEARWATER, FL. 33755
Telephone Number:
(727) 443-2067
Contact E-erson:
Suzanne Bissett
Title:
Proqrarn Director
Telephone Number:
(727) 443-2067
Period for which funds
are being requested:
Fiscal 1999-2000
Signature
Georgia Jensen
Date
June 1, 1999
NOTE:
The City of ClearNater reser~es the right ~~ :u~d applicants at a
level lower than requested.
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B. Activity (Check One)
Adult Crime
Child Abuse
Elderly
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Hunger
Juvenile Crime
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Physical Illness
Parenting
Adolescents
substance Abuse
Unsupervised
Children
Youth Development
Other
(Describe Below)
x
Community based
community funded self-helo program
for homeless adults.
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C. AMOUNT OF FUNDING CURRENTLY REQUESTED:
(Not to exceed $10,000)
$10,000.00
D. SPECIFICALLY FOR WHAT WILL THIS MONEY BE USED.
(Line item budget for this amount)
$2,000.00 Telephone
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$2,000.00
$4,870.00
$ 630.00
Food/consumables (cleaning supplies/personal hyqiene)
Maintenance & repair (buildinq, equipment,qrounds)
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Pest control
$ 500.00 Commercial fire protection (fire alarms & smoke det.)
E. BRIEF DESCRIPTION OF PROJECT YOU WISH TO FUND UTILIZING THIS
GRANT.
We are ~ community based - community funded self-help
program for adults, providinq shelter, food, personal hygiene
items, clothing, crisis intervention counselinq, help in finding
employment and referrals to other resources as needed. We house
both men and women in a safe, clean, druq free environment in
order for them to regain their self-sufficiency~
F. BRIEF DESCRIPTION OF YOUR OVERALL ORGANIZATION.
Quest Inn, Inc. is a 501(C3) non-profit. We have been ~roviding
shelter to the homeless for close to 30 years. We are an
umbrella program of Reliqious Community Services Inc. Our
governing Board of Directors is made UP of members of R.C.S.
member congregations and other interested community group~.
Our funding comes from R.C.S. and it's member congregations,
other private donations. The Emergency shelter grant program,
pinellas county Social Action funding and the City of Clearwater
Social Services program. (4)
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G. NUMBER OF CLIENTS SERVED BY THIS PROGRAM.
350 Annually
H. PERCENTAGE OF THESE CLIENTS WHO ARE CITIZENS OF CLEARWATER.
75 %
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I. CURRENT OVERALL ORGANIZATION BUDGET (PLEASE ATTACH) .
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J. IF THIS IS START UP OR MATCHING MONEY, SPECIFY THE DETAILS
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1.e.:
WHICH AGENCY OR ORGANIZATION WILL PROVIDE THE MATCH, THE
REQUIREMENTS AND THE AMOUNT OF THE MATCH.
N/A
K. IS YOUR AGENCY A REGISTERED 50~(C) (3) NON-PROFIT AGENCY OR IN
THE PROCESS OF BECOMING ONE.
Yes, we are registered.
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L. DOES YOUR FACILITY HAVE OR IS IT IN THE PROCESS OF ACQUIRING
THE APPROPRIATE LICENSURE FOR THE DELIVERY OF THE SERVICES
DESCRIBED IN THIS APPLICATION.
Yes
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M. HAS YOUR ORGANIZATION RECEIVED OR IS IT EXPECTING TO RECEIVE
FUNDING (WHETHER CASH OR IN-KIND CONTRIBUTIONS) FROM THE CITY
OF CLEARWATER DURING THE FISCAL YEAR FROM OCTOBER 1, 1999
THROUGH SEPTEMBER 30, 2000?
YES X
NO
IF YES, PLEASE EXPLAIN:
Fiscal 1998-1999 we received $4,986.00.
We are reauestina $10.000.00 Tor r;~~~' lqqq_?nnn
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Quest Inn, Inc.
Annual Budget
Fiscal Year 1998/1999
Income:
Contributions $35,654.00
Pinellas County Social Action Grant $20,000.00
Emergency Shelter Grant $17,000.00
Religious Community Services Grant $12,000.00
City of Clearwater Grant $5,000.00 ."f!1"-
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In-Kind Donations $4,000.00
House Pin Sales $200.00
Total $93,854.00 .; -'''''''
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~enditures:
Salaries $38,698.00
Payroll Tax $2,960.00
Retirement $2,000.00
Health Insurance $5,000.00
Direct Aid to Clients:
Emergency Shelter Grant - Food $5,400.00
Emergency Shelter Grant - Consumables $7,000.00
In-Kind Donations $4,000.00
Office Expenses:
Postage $200.00
Printing $100.00
Supplies $300.00
Employee Travel $200.00
Utilities:
City of Clearwater (water, sewage, garbage, gas) $8,200.00
Florida Power $5,000.00
Telephone $2,000.00
Maintenance & Repair
Building $2,500.00
Equipment $650.00
Grounds $100.00
Fire & Liability Insurance $2,600.00
Workers' Compensation $1,216.00
Dues $300.00
Contract Services:
Fire & Smoke Alarms $200.00
Pest Control $630.00
Miscellaneous $200.00
Capital Equipment $2,500.00
Audit (Letter of Review) $1,900.00
Total $93,854.00