AGREEMENT - FOOD ASSISTANCE PROGRAMS, " �
AGRE�M�NT
This Funds Agreement is made and entered into this �„� day of (�,.,,,�� between
the City of Clearwater, hereinafter referred to as the Ci.ry, and Religious Comrriunity Services,
Inc. (Food Pantry), hereinafter referred to as the Agency.
WHEREAS, it has been determined to be highly desirable and socially responsible to provide
the Agency's services to those whose need for such services would not otherwise be met; and
WHEREAS, the City desires to help those in need of the foregoing by providing funding for the
aforementioned service; and
WHEREAS, the Agency provides its services and operates in the City;
NOW, THEREF�RE, the parties agree as follows:
ARTICLE I. TERM
The term of this agreement shall be for a period of approximately 12 months
commencing October 2, 1996 and continuing through the 30th day of September, 1997,
(the Tern�in.arion Date), unless earlier terminated under the terms of this agreement.
ARTTCLE II. RESPONSIBILITIES OF THE AGENCY
1. Services to be Provided. The Agency shall provide services in accordance with the
proposal submittecl 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 the 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 conducled
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 ar�d Disposition of Funds Received. Funds received by the Agency from the City
shall be used to pay for services as delineated by the Agency in the aforementioned
proposal. Punds existing and not used for this purpose at tl�e end of the term of this
agreement shall be deemed excess to the intended purpose and shall be returned to t:he
City.
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5. Creation, Use and Maintenance of Financiai Records.
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a. Creafion of Records. Agency shall create, maintain and make accessible to
authorized City representatives such financial and accounting records, books,
documents, policies, practices, and procedures 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 personnel.
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 iive (5) years from the termination of this
agreement.
6. Non-discrimination. Notwithstanding any other provision 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 beneiits of, or otherwise be subjected to discrimination in the operation
of this program on the grounds of race, color, religion, sex, handicap, age, or
national origin.
b. No Exclusion from Hire. In the managernent, 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, handicap,age, or national origin.
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 evidence
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.
ARTTCLE III. RFSPONSIBII,ITIFS OF THE CTTY
1. Grant of Funds. The City agrees to provide a total grant of Three Thousand Seven
Hundred Ten Dollars ($3,710.00) to fund the program in accordance with this agreement.
2. Payments. The total amount requested will be paid by the City to the Agency within
30 days after execution of tl�is agreement by the City and the Agency but no earlier than
October 1 of the budget year for which the funds are authorized.
ARTICLE N. 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 wari•anties 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 in material
respect shall constitute cause for termination. This agreement may be terminated with 30
day notice.
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 (Sth) business day after the day on which such notice is
mailed and properly addressed.
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1. If to Agency, addressed to
2. If to City, addressed to
(Type or print Agency address here.)
Grants Coordinator
Human Relations Department
P.O. Box 4748
Clearwater, FL 34618-4748
ARTICLE VII. EFFECT'IVE DATE
The effective date of this agreement shall be as of the second day of October, 1996.
IN WITNF.SS WHEREOF, the parties hereto have set their hands and seals this
a��`day of �l�iv�lo..� , 1996.
Co si ned:
ayor-Commissioner
Approved as to form and legal sufficiency:
CITY OF CLEARWATER, FLORIDA
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Attest:
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Leslie Douga -'des, Assistant City Attorney Cy hia E. G���eau, City Clerk
Witnesses as to Agency:
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By: � �,
President
Attest: .
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CITY OF CLEARWATBIt
80CIAL BERVIC88 GRAl�1'1'
PROJBCT APPLICATIO�1 FOR1d
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' Phone: (813) 462-6884 for ass stance Due:
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A. Appliaatfon information
Applicant:
(Sponsor/Developer)
Organization Name:
(If different)
Address:
City; State; Zip
Telephone Number:
Contact Person:
Title:
Telephone Number:
Period for which funds
are being requested:
iSignature�' d
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Date Ot,�i1; ���. 19'Q l�
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Religious Community Services
Inc. Food Pantry
Religious Community Services Inc.
210 Ewing Ave. S.
Clearwater FL 34616
813-443-4031
Reginald Braswell
Director
813 443 4031
FY 96-97
SGbint kORoS � -�si d�Pin�
Board of Direct rs Chairperson
NOTE:
The City of Clearwater reserves the riqht to fund applicants at a
level lower than requested.
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B.
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Aativity (Cheak oae)
Adult Crime
Child Abuse
Elderly
Hunger X
Juvenile crime
Physical Illness
Parenting
Adolescents
Substance Abuse
Unsupervised
Children
Youth Development
Other
(Describe Below)
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AMOVNT OF,FIINDI�iG CORAENTLY REQIIEBTBDs
(Not to exceed $10,000)
$3,710.00
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SPBCIFICALLY FOR WBAT 1PILL TBIB MON$Y B$ D88D.
(Line item budqet for this amount)
Grant assistance will be used specifically for the purchase of
6 flat carts, 30 X 60", which will facilitate the packing and
distribution of boxes of foods for Food Pantry clients. Grant
monies will also be used in the purchase of 8 assorted sized
s�ainless steel tables which will better enable the Food Pantry
to meet health code guidelines in the preparation and dispensa-
tion of food products and supplies
HAIEF DESCRIPTION OF P�OJECT YOII WIBH TO FOND IITILISING THIB
GRANT.
The Religious Community Services Food Pantry has seven varied
food assistance programs providing assistance to a daily average of:a5
of our areas needy families. Annually this equates to an aaprox-
imate 104,000 persons who will benefit through our abilitv to
assist in their time of need. Our food resources enable healthy
beginnings for young infants, children and sustainabile health for
our older clier�ts.
BRIEF D$BCRIPTION OF YO�R OVERALL ORGANISATTON.
Having been incepted into the Religious Community Services
�um.brella of programs in 1982 the Religious Community Service Food
Pantry's mission is one of eliminating the degree of hunger and
poor nutrition, while providing as best possible, nutrionally
valued food products. We rely largely on volunteer mAnpower
(100 plus), contributions and grant assistance in continually
enabling us to provide and enhance this much needed service
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to our areas poor and needy residents.
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G� : NQMBER OF CLIENTB BERVED BY THIB PROGRAM.
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103,436
pERCENTAGB OF THE68 CLIENTB WSO ARE CITI8EN8 OF CLEARWATffit.
71�
CIIRRENT OVERALL ORGAI�TIZATION BtTDGET (PLEAS$ ATTACH).
$904,678.00
J. Ig THIB I8 BTART.IIP OR MATCHING MONEY, SPECIFY THE DETAILS ie:
WSICH AGENCY OR ORGANZZATION WILL PROVID$ THE MATCH� THB
REQIIIRElsENTB A1�TD T8S AMOIINT Ol� THE MATCH.
1C.
No
IS YOIIR AGENCY A REGZBTERED 501(C)(3) NON—PROFIT AGENCY OR IN
T8E PROCESB OF BECOMING ONE.
Yes
L. DOEB YOOIt FACILITY HAVE OR I8 IT IN THE PROCESB OF ACQIIIItING
T8E APPROPRIATE LICENSIIRE FOR THE DELIVERY OF THE BERVICEB
DESCRIHBD IN THIB APPLICATION.
Yes
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� FROM : IQ� I G I OUS ��J I TY SERIJ I CES PFiOhIE h�. : 584 3840
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INCOME
CONTRiBUTIONS-CASH
HRS GRANT UfiDA FOOD HAND
PC6A
FEMA
INTEREST . MERRlLL LYNCH
UN1iED 1NAY �
FUND RAI8ING
TOTAL REVENUE
CONTRIBUTIONS-FOOD
U8DA FnOD
U80A FOOD BK/SOUP KITCH
TOTAL 1NCLUDING FOOD
EXPENSES
sA�Ries
EMPLOYEE BENEFITS
BONU&E&
I�AYRQLL TAXES
�rR�Menrr Pu►nt
AUTOM081LE EXPENSES
CABUAL LAgOR
CONFERENCE EXPENBEg
FOOD PURCHASEp
INSURANCE
LIGEN3E8 b TAXES
MI6CLLLANEpU3
OFFlCE BUPPLIES ,
OPERATING SUPP�IES
PE8T CONTR�L !
P08TACiL
PRINTINQ
PROFE8810NA�. FEE8
RENT EXPENSE
REPAIRS a Mq�NTENANCE
s�cuRmr
TEI.EPH4NE . .
n�►vE�
U7ILITIEB
TOTAL FJCPENS�B
, VALUE OF QONATED FOOD
U8DA FOOD
� TOTAL EXPENS�S AND F04D
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FOOD PqNTRY
19�8 BUDpET
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118,342.00
17,262.00
10,0OO.OQ
e,000.oa
1,OOO.oO
23,295.00
5.000.00
1a2,ez8.00
435.857.00
80�3Y4.Q0
205�688.00
s soa,g�e.00
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77.333.00
��000,00
225.0�
s,�o�.00
2,�0.00
2,300.00
�,soo.00
800.00
4S�Q00.00
1��000.00
,�o.00
10A.00
2.00a.00
i,S00.00
�80.00
600.00
eoo.00
$�73A.00
a,�o.00
�o.00
soo.00
z,7oo.00
�as.00
B�OOQ.00
98Z,a�.OQ
485�967.00
286��92.Q0
804�678.00
0
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B N Z,�,CK I11TC.
� M ing Yw lvck - GaJI 8en Zaek
3201 EAS# 5{�yENThI AVE. TAMPA, F1 �3605
PHONE: �813j,2d8��2722 • FAX: j813) 248-6�7
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Mr. Regln ld Braswe�l
RCS Foo antry �
C�earwa�e , Fla �
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FAX (813) 443--6$74
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8'3 248 6447 P.01
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YouR ei� No. phone Req .
ae,t�: Apri1 23 � 1996
PAGE 1 (o£ two pages)
, #1 6 each Rba�d�Number 4466-86 Stand�xd Platform Truck
3" x 60" 1,000 lb capacity. 6" x 2" Rubber
; c sters. Two crossbar'Handles, .,.,,,,,,�,,,��
tI: Freight from factory to Clearwater
Alt�e:nate: Number 4461 Utility Platform Truck
, �(�" x 60" SQ4 1bs capacity. 5" x 16" �:ubber
, c�sters. One crossbar.handle
I Freight from �actory to�Clearwatier�...,
� NOT�: �
, AboFoitrucks are construct�d of Sturdy Stru�tiura�
,__ , ��m construction.- won,t rust, dent or splinter
`'�-- --- __ u�7�ilce some metal and wbod.
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PRtCE
FpR EACH Yd�� p��
4i7.77 2.SO6.Gz
108.00
� 323.33
1�939.98
96.00