PROVIDE TRANSITIONAL LIVING PROGRAM TO THOSE IN NEED
-',
AGREEMENT
This Funds Agreement is made and entered into between the City of Clearwater, hereinafter
referred to as the City, and Religious community Services, Inc. - The Haven of RCS/Transitional
Living Program, hereinafter referred to as the Agency.
WHEREAS, it has been determined to be highly desirable and socially responsible to provide a
transitional living program 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 1 st day of
October, 2000 and continuing through the 30th day of September, 2001 (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 attached and 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 Hwnan
Relations Department, Grants Coordinator, with an annual report of activities conducted
under the provisions of this agreement by October 31, 2001. Each report is to identify the
nwnber of clients served, the costs of such service, and commentary on the viability,
effectiveness, results of measurable goals and objectives as set out in the agency's
proposal, and trends affecting the program. The agency will also provide a copy of its
most recent independent financial audit.
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
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end of this 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:
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 du1y authorized agencies to document the proper
and prudent stewardship and use of the monies received through this agreement.
c) Maintenance of Records: All records created hereby are to be retained and
maintained for a period not less than five (5) years from the termination of this
agreement.
6. Non-discrimination: Notwithstanding any other provisions of this agreement during the
term of this agreement, the Agency for itself, agents and representatives, as part of the
consideration for this agreement, does covenant and agree that:
a) No Exclusion from Use: No person shall be excluded from participation in,
denied the benefits of, or otherwise be subjected to discrimination in the operation
of this program on the grounds of race, color, religion, sex, age, national origin, or
disability.
b) No Exclusion from Hire: In the management, operation, or provision of the
program activities authorized and enabled by this agreement, no person shall"be
excluded from participation in or denied the benefits of or otherwise be subject to
discrimination on the grounds of or otherwise be subjected to discrimination on
the grounds of race, color, religion, sex, age, national origin, or disability.
c) Inclusion in Subcontracts: The Agency agrees to include the requirement to
adhere to Title VI and Title VII of the Civil Rights Act of 1964 in all approved
sub-contracts.
d) Breach of Nondiscrimination Covenants: In the event of conclusive evidenced
of a breach of any of the above non-discrimination covenants, the City shall have
the right to terminate this agreement.
7. Liability and Indemnification: The Agency shall act as an independent contractor and
agrees to assume all risks of providing the program activities and services herein agreed
and all liability therefore, and shall defend, indemnify, and hold harmless the City, its
officers, agents, and employees from and against any and all claims of loss, liability, and
damages of whatever nature, to persons and property, including, without limiting the
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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,
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 $7,000.00 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 subject hereof and may not
be changed, modified, or discharged except by written Amendment duly executed by both
parties. No representations or warranties by either party shall be binding unless expressed herein
or in a duly executed Amendment hereof.
ARTICLE V. TERMINATION
1. For Cause: Failure to adhere to any of the provisions of this agreement as determined by
the City shall constitute cause for termination. This agreement may by terminated with 5
days notice without any further obligation by City.
2. Disposition of Fund Monies: In the event of termination for any reason, monies made
available to the Agency but not expended in accordance with this agreement shall be
returned to the City.
ARTICLE VI. NOTICE
Any notice required or permitted to be given by the provisions of this agreement shall be
conclusively deemed to have been received by a party hereto on the date it is hand-delivered to
such party at the address indicated below (or at such other address as such party shall specify to
the other party in writing), or if sent by registered or certified mail (postage prepaid), on the fifth
(5th) business day after the day on which such notice is mailed and properly addressed.
1. If to City, addressed to Grants Coordinator, Human Relations Department, P.O Box 4748,
Clearwater, FL 33758
2. If to Agency, addressed to The Haven ofRCS, PO Box 10594, Clearwater, FL 33757.
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ARTICLE VII. EFFECTIVE DATE
The effective date of this agreement shall be as of the first day of October, 2000.
.IN WITNESS WHEREOF, the parties hereto have set their hands and seals this
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I day of ,2001.
r
City of Clearwater, Florida
Countersigned:
CITY OF CLEARWATER, FLORIDA
B~~-:zr
William B. Home II, InterimCity Manager
Approved as to form:
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Attest:
Pamela K. Akin, City Attorney
Witnesses as to Agency:
ByW~j:~
President
WIL.,","I~M ,. "T~un-J~".J
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j)~~ P?~ '5/+/9-D6
Attest:
GZb(!~G? c,e.
/?e b~cc.e:z.. P, Cole...
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CITY OF CLEARWATER
SOCIAL SERVICES GRANT
PROJECT APPLICATION FORM
Phone: (727) 562-4060 for assistance
Due: January 26, 2001
A. Application Infor.mation
Applicant:
(Sponsor/Developer)
Religious Community Services, Inc.
Organization Name:
(If different)
The Haven of RCS/Transitional Living
Program
Address:
Post Office Box 10594
City; State; Zip
Clearwater, FL 33757
Telephone Number:
(727) 447-6759
Contact Person:
Linda D. Amidei
Title:
Director
Telephone Number:
(727) 442-4128
Period for which funds
are being requested:
10/2000 - 9/2001
SignatureW ~""""~
4~O\
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\A...) tLU~ \. ~'rGt~
Board of Directors Chairperson
Date
NOTE:
The City of Clearwater reserves the right to fund applicants at a
level lower than requested.
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B. Activity (Check One)
Adult Crime
x
Child Abuse
Elderly
Hunger
Juvenile Crime
Physical Illness
Parenting
Adolescents
Substance Abuse
Unsupervised
Children
Youth Development
Other
(Describe Below)
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C. AMOUNT OF FtJND:tNG CURRENTLY REQUESTED:
(Not to exceed $10,000)
$ 10,000.
D. SPECIFICALLY FOR WHAT WILL THIS HONEY BE USED.
(Line item budget for this amount)
Funds from this grant would be used for utilities and to provide matching funds for federal
money for an 11 unit transitional living facility. The program is funded by HUe for 50% and
requires 50% match of local funds.
E. BRIEF DESCRIPTION OF PROJECT YOU WZSH TO POND UTILIZING THIS
GRANT.
The Haven of RCS Transitional Living Program offers an affordable safe place to live for
victims of domestic violence. The program is for women and children, leaving an
emergency shelter, and offers support services for up to 24 months. The goal is for 90%
women completing the program, to be independent and able to support themselves and
their children and that remain in permanent housing for at least a year. The program is
carried out by five full-time and one part-time staff members, and is supported by staff from
The Haven of RCS domestic violence emergency shelter and outreach programs and by
volunteers. The program includes case management, individual and group counseling for
adults and children. Groups are held for parenting, life skills training I career choices, self-
esteem, etc. Monetary assistance is given for certain expenses including childcareand
other necessary living expenses. The program pays up to $80. per month for each client's
electric costs as well as the electric cost of the activities center where the children's program
is held, and the management and counseling offices.
F. BRIEF DESCRIPTION OF YOUR OVERALL ORGANJ:ZATION.
Religious Community Services I Inc., is a not-for-proflt organization established in 1967 with
the goal of eliminating hunger, homelessness and domestic violence. The Haven of
Religious Community Services is dedicated to the prevention of domestic violence. We
have a continuum of services for victims of domestic violence including a 20 bed emergency
shelter, outreach support and advocacy services and a transitional living program. We have
provided ongoing services to victims of domestic violence since 1980.
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G. NUMBER OF CLIENTS SERVED BY THIS PROGRAM.
70 for year ended December 31, 1999
H. PERCENTAGE OF THESE CLIENTS WHO ARE CITIZENS OF CLEARWATER.
86%
I. CURRENT OVERALL ORGANIZATION BUDGET (PLEASE ATTACH) .
$256,763.
J. IF THIS IS START UP OR MATCHING MONEY, SPECIFY THE DETAILS
i.e.:
WHICH AGENCY OR ORGANIZATION WILL PROVIDE THE MATCH, THE
REQUIREMENTS AND THE AMOUNT OF THE MATCH.
50% of FY 2001 budqet (up to $214,033.) will be funded bv
HUD if there is a 50% match from local funds. $10.000. from
the city of Clearwater will allow us to draw down $10.000.
from HUD.
K. IS YOUR AGENCY A REGISTERED 501 (C) (3) NON-PROFIT AGENCY OR IN
THE PROCESS OF BECOMING ONE.
Yes. Religious Community Services, Inc., is a reqistered
501(c)3 non-profit agency.
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. Has appropriate license.
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.o't
Haven TLP Total COC-SS DVTF FFVPS GEN HUD-OP HUD-SS JWB-C JWB-P PCCF TANF Un.Wav VOCA Unresfd
. -----. -.-------.---
S~P_p_ort !!'!~ Reve~ue -.-- 1--____ -
~~~!!Icted ~~~Rev.
Ci~ ot CIwr. Social Services 7000 7000
P'!TE{CHIF) 0 0
----
FP{PS{CHIF) 0 0
-- -- -
G~!leral_~~venu!{~H~l_ 0 ----
~._- ---- ---- ---- ._~._---- ---- ------ -----.------.. --
HU~~Q~~~njJ______._ 60967 60967
--- -------- - ---- c------.---- -------_.- .'..._n._____ -------- _______.u -.~._- --~-- -------- ----. f------ '-----
Hl!~~~~~rtive Services __ 46050 46050
----- ----- ~-_. ---.--- ---- ------ ------- ~---
JWB-Continuation 0 0
JWB-Peacemaker 0 0
PCCF 0
T~~F(CHIF) 0
l!nited Way 0 0
VOCA 0 0
Rev,TrsUrom Haven(TLP Exp.) 42651 2000 2000 38851
Subtotal Resrd.Sup.&Rev. 156668 7000 0 2000 0 60967 46050 0 0 2000 38651 0 0 0
Rev.Trst.from Haven(HA Exp.) 36420 19606 0 2170 2211 11419 1014 0
Total Rest'd. Sup. & Rev. 193088 7000 19606 2000 0 60967 46050 2170 2211 2000 38851 11419 1014 0
~~restrlcted Sup. & Rev.
~~guests 0 0
Contributions 4000 4000
f ~~draising 1400 1400
I-If!ven .10 TLP Support Alice. 0 0
Lf!~_~!ry Fees 1700 ---- 1700
Other 2000 2000
ReS G&A Allocation 29422 29422
'--,,--- 11258
I ,0',)1..1 01 ~;lIllpOl t AII'-l(; II;~:..J
RE!,,~~~!!.'!l Fees 12800 12800
Subtotal Unrest'd.Sup.&Rev. 62580 0 0 0 0 0 0 0 0 0 0 0 0 62580
Rev-'-frsf.tfom Haven(HA Exp.) 1095 1095
To~!~!"rest'd. Sup. & Rev. 63675 0 0 0 0 0 0 0 0 0 0 0 0 63675
Total Support & Revenue 256763 7000 19606 2000 0 60967 46050 2170 2211 2000 38651 11419 1014 63675
Religious Community Services, Inc.-Haven TLP
FYE 9/30/01 Operating Budget
Approved by Executive Committee September 12, 2000
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Haven TLP Total COC-SS DVTF FFVPS GEN HUD-OP HUD-SS JWB-C JWB-P PCCF TANF Un.Wav VOCA Unresfd
- -- ---. ---..--------------
Qeera~g Ex~ns~!_ -------- - - - -
Casual Labor 0 0
CasuallY Ins. 5260 5260
Child Care 4500 4500
Client Assistance 3000 3000
Conference BOO BOO
~-----
Education BOO 800
Food 1000 1000
Licenses and Taxes 220 220
life Skills 100 100
---
Maintenance and Repairs 7000 5000 2000
Motor Vehicle 1700 ----- ---- 56 -- 1644
~ce Su~!es ________ 1500 1500
------ ------~- - ------------. .- --'---,.- -_. --..--...--... -~---- ---_..---- ---- ----- 1----- ------
qe~rating E~ses 2000 -- 2000
--- --
p'ersonnel Recruiting 200 200
Pest Control 750 750
f>ostage 400 400
I=l~_nting 300 -- 300 --
--
Professional Fees 2500 2500
Public Awareness 100 100
RCS G&A Allocation 29422 29422
Security 0 0
-
Telephone 2000 2000 0
100ls and Equipment 1000 1000
Travel BOO BOO
Utilities 1BOOO 7000 11000
~otal Operating Expenses B3352 7000 0 2000 0 31130 7656 0 0 2000 0 0 0 33566
Capital Expenses --- ---- -
~dditio!'!s to Pro~ & Equip, 1000 1000 0
Reserve for Equip,Replacement 0 0
!~!~~~~eltal Expel'!ses 1000 0 0 0 0 1000 0 0 0 0 0 0 0 0
"!"~!~~~~eense~ 256763 7000 19606 2000 0 59152 48082 2170 2211 2000 38651 11419 1014 63458
-- -- .-..- --------.----------- -- -.-_._-- ~------,_... - -------.--..- ---------- ---------.-.- ---1816- (2032' _._-----.- ~--_. n_ ________.___ ------ -~-,--
B~d~~! ~!~~~!'~~~!I~!!L____ 0 0 0 0 0 0 0 0 0 0 0 217
_ ____uoo_________________ -0024000 ----~-- ------.- - --.- ~----- f------- -.---.--- -- -----. ----0 ----
MEMO: Depreciation 0 0 o 0 0 0 0 0 0 0 0 24000
Religious Community Services, Inc.-Haven TLP
FYE 9/30/01 Operating Budget
Approved by Executive Committee September 12,2000
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Haven TLP Total COC-55 DVTF FFYP5 GEN HUD-OP HUD-55 JWB-C JWB-P PCCF TANF Un.Wav VOCA Unresfd
. ---.-----
E:~p_enses - f..----- --
~ayroll Expenses
Salaries 108264 21797 32335 33380 20752
FICA 6712 1351 2005 1520 1836
Medicare 1570 316 469 315 470
Workman Comp, Ins, 2121 286 775 131 929
Retirement 3106 654 899 719 834
~!~!~ Unemployment Tax 193 32 64 0 97
Health Ins, 10914 2183 3274 2183 3274
Dental Ins, 1422 -- --- --- ----- _ 2a.t __~27 284 427
u;e-ins:------- --594- 119 178 119 178
Subtotal payroU Expenses 134896 0 0 0 0 27022 40426 0 0 0 38651 0 0 28797
payroU Transfer from Haven 37515 0 19606 0 0 2170 2211 0 11419 1014 1095
Total Payroll Expenses 172411 0 19606 0 0 27022 40426 2170 2211 0 38651 11419 1014 29892
Religious Community Services, Inc.-Haven TLP
FYE 9/30/01 Operating Budget
Approved by Executive Committee September 12,2000
. .
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, 2000
THROUGH SEPTEMBER 30, 2001?
YES
x
NO
IF YES, PLEASE EXPLAIN:
The Haven of RCS received $200,000. CDBG funds from the Citv of
Clearwater for the building fund for the new emergency shelter.
These funds have no impact on th~ trang;tinn~l l;"inq prnqr~m
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To: (fUDder): City of Clearwater
Social Services
Applicant Information (print or ~e):
For time period of: October 1, 2000 to
September 30, 2001
Legal Name of Organization: Religious Canmunity Services, Inc.
Complete Address: 1855 Highland Avenue South
Clearwater, FL 33756
Phone ( )727-584-3528
Fax ( )727-587-7747
E-Mail rcs-inc(amindsprina.com
Federal Tax Identification Number: 59-1309186
Contact Person: Ron Dickman
TItle: Executive Director
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Organization Type: _Public _Private..!... Non-profit ...:...- Other
Northern Pinellas County
Senrice Area: ...1l County _ City of
Other
Agency currently fUDded by ( check all that apply):
_ St. Petersburg ~ Florida Dept. of Children & Families
....x.. Ceanvater -L Florida Dept. of Justice
.2S. Largo ~ Pinellas County Foundation (pending)
...x- PineDas COUDty .....2L Allegany Franciscan Foundation
_ Area Agency on Aging _ Eckerd Family Foundation
x Juvenile Welfare Bd. x Other: HUD, U'.;S.D.A., D.O.E.
- -
-X... United Way
Certifications: (1) If required to register for solicitatioD of fODds, is the AgeDcy curreDtly
registered with the State? ...!.. Yes _ No The COODty? ...!.. Yes _ No
(2) If iDcorporated, has the AgeDcy Amaaal Report beeD mecl with the Florida
Secretary ol State? ...!. Yes _ No
Name aDd Title ol AgeDcy RepreseDtative submitting this lODdiDg request:
Linda D. Amidei
Proqrarn Director - '!he Haven of ReS
. Si~t1lre ol AgeDcy Director (seDior stadrmemlier) or Board Chair: 0 0 ,
~"'"'- 0~ ~ Date: !JIVO I
(Executive Director)
Received iD lUDder's office by:
Date:
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BOARD OF DIRECTORS -# reauired in Bv Laws = up to 21
NAME/OFFICER
OCcuPA TION
AREA OF EXPERTISE
RACE/GENDER
RELIGIOUS COMMUNITY SERVICES
2001-02 BOARD OF DIRECTORS
NAME/OFFICER OCCUPATION AREA OF EXPERTISE RACE/GENDER
Bill Trautwein, President Funeral Director szeneral business, public relations WhitelMale
Charles Stiers, Health Care health care administrator White/Male
Vice President Administrator
Earl Mease, Retired financial, managerial White/Male
Past President
Ambrose Marsh, Retired. accounting WhitelMale
Treasurer
Joel Kurtz, Banker finance, general business WhitelMale
Associate Treasurer
Becky Cole, Office Manager management, community involvement WhitelFemale
Seeretarv
Carra Best Retired retail and fundraisinR WhitelFemale
. 'iherwood Coleman Attorney lepl council WhitelMale
~mest Howm Retired church and community volunteer WhitelMale
William Stephan Retired . . and analWlR WhiteJMale
0
Naomi Williams Colles!e R public education BlackIFemale
Roberta Mcintosh Retired Social Worker WhitelFemale
Fredd Hinson ManaRement CiLY ent BlackIMale
Scott Spencer Investment Planner investment advisor WhitelMale
Donald Harris Retired investment advisor, WhiteJMale
community volunteer
Martv Lev Bank Branch Manager bankinR WhiteJMale
Marie Gage Retired educator, nursing, WhitelFemale
community volunteer
David Quinty Financial financial management & WhiteJMale
financial planninR
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