AGREEMENT - FOOD PANTRYAGP:EII��ENT
This Funds Agreement is made and entered into this �`j`_ day of between
the City of Clearwater, hereinafter referred to as the City, and RELI IOUS COI�IlVIUI�TITY
SERVICFS, IlVC. - FOOD PANTRY hereinafter referred to as the Agency.
WHEREAS, it has been determined to be highly desirable and socially responsible to provide
nourishing food to those who would not otherwise have enough to eat; and
VvH�REAS, the City desires to help those in need of food by providing funding for food
assistance; and
WI�REAS, the Agency provides food to citizens and operates in the City;
NOW, 1�REFORE, the parties agree as follows:
ARTICLE I. TERM
The term of this agreement shall be for a period of 12 months commencing on the lst day
of October, I997, and continuing through the 30th day of September, 1998, (the
Termination Date), unless earlier terminated under the terms of this agreement.
ARTICLE II. RESPONSIBILITIFS OF THE AGENCY
1. Services to be Provided. The Agency shall provide food to citizens 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
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 conducted
under the provisions of this agreement within sucty 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 �nds Received. Funds received by the Agency from the City
shall be used to pay for food for needy citizens. Funds e�sting and not used for this
purpose at the end of the term of this agreement term shall be deemed excess to the intended
purpose and shall be returned to the City.
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5. Creation, Use and Maintenance of F'inancial Records.
a. Creation 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 five (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 benefits 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 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, 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
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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, 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 �nds. The City agrees to provide a total grant of $8,419.00 to fund the
program in accordance with tlus agreement.
2. Fayments. 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. DISCLAi1��IIIt OF W
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 �rty shall be binding unless
expressed herein or in a duly executed Amendment hereof.
ARTICLE V. TERNIINATION
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 �nd 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 requirad 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
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properly addressed.
1. If to Agency, addressed to:
The Food Pantry
210 S. �aing
Clearwater, FL 33756
2. If to City, addressed to:
Grants Coordinator
Human Relations Department
P.O. Box 4748
Clearwater, FL, 34618-4748
ARTICLE VII. EFFECTIVE DATE
The effective date of this agreement shall be as of the first day of October, 1997.
�IN V'VITNESS WHEREOF, the parties hereto have set their hands and seals this
� R day of , 1997.
Co rsign :
Mayor-Commissioner
Approved as to form and legal sufficiency:
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John Carassas, Assistant City Attorney
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CTTY OF CLEARWATER, FLORIDA
By:
City Manager
Attest:
C ' E. G6'udeau, City Clerk
By: � � �
President
Attest:
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CITY OF CLEARWATER
SOCIAL SERVICES GRANT
PROJECT APPLICATION FORM
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Phone: (813) 562-4060 for assistance Due: May 29, 1997
A. Application Inforniation
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:
-0
Food Pantry.of Religious Cor�munity 5ervices
P.�ligious Community S�rvic�s Inc.
210 Ewing Ave. S
Clearwater FL 34516
813-443-4031
� Reginald Braswell
Director
813-443-4031
1997-1998
/l �
Signature t�- �
Boar o Directors Chairperson
Date S �Z�' � 9 i
NOTE:
The City of Clearwater reserves the right to fund applicants at a
level lower than requested.
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8. Activity (Check One)
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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C AMOUNT OF FUNDING CURRENTLY REQUE3TED: �
� (Not to exceed $10, 000)
$1 D�, 000 . 00
D. BPECIFICALLY FOR WHAT WILL THI8 NlONEY BE U3ED.
(Line item budget for this amount)
The Food Pantry presents a request for $10,000.00 for the specific
purchase of two supplemental food items, eggs and milk. These food-
stuffs will enhance already existing food supplies by providing a
diet requirement for all of the age groups requesting food assistance
of.' this feeding program.
E. BRIEF DESCRIPTION OF PR�O�7ECT YOU WISH TO FUND UTILIZING THIS
G�ItANT .
The Food Pantry of Religious Community Services Inc. is one of the
major food providers to low to mid-income residents of the North Pinellas
' area. The Food Pantry provides emergency/supplemental foods, USDA Govern-
i ment Commodities, special diet supplemental foods, baby foods, formula,
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�cereals, juices and speciel homeless �ood packages to�an approximate 100,Q00
' plus persons within the fiscal year. These food supplies are a source of
assistance uring perio s o crisis eg. unemp oymen , i ness, an icipated
� receipt of Food Stamps, employment checks etc.......
F. HRIEF DESCRIPTION OF YOUR �VER�,I.L ORGANIZATION.
Religious Community Services Inc. is one of the more recognized providers
of Social Service assistance in the Pinellas Count.y area and even moreso
within the areas of Clearwater. We thrive on public support, grants as
well as congregrational support from a 79 member support base. 41e place
strong emphasis on volunteers in helping us to deliver these various
services to our different programs. This in turn enables us to work from
within a comparable low to moderate budget.
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G. N[7i�ER OF CLIENT3 SERVED HY THIS PROGFiAM.
'�100,000 plus
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H. PERCENT�GE OF THEBE CLIENTS WHO �1itE CITiZEN3 OF CLEARWATER.
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I. CURRENT OVERALL ORGANIZATION SUDGET (PLEA3E ATTACH).
see attached
J. IF THIS I9 3TART UP OR MATCHING MONEY, 3PECIFY THE D�TAIL3 ie:
WHICH AGENCY OR ORGANIZATION WILL PRaVIDE THE MATCH, THE
REQUIREI�NTB AND THE AMO[1NT OF THE MATCH .
No
K. I8 YOUR AGE2�1Cy A REGI3TERED 501(C) (3) NON-PRiOFIT AGENCY OR IN
THE PRi0CE88 OF HECOMIN(3 ONE .
yes
L. DOE8 YOUR FAiCILITY yAVE OR I3 IT IN THE PROCE83 OF J4CQUIRING
T� �'�pRIATE LICENSURE FOR THE DELIVERY OF THE SERVICEB
DESCRIHED IN THIB APPLICATION.
Yes �
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RELIGIOUS COMMUNITY SERVICES, INC: FOOD PANTRY
� FY1997 BUDGET
Page 1
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5�28197
RELIGIO�S COMMUNfTY SERVICES, INC.-FOOD P�TRY
FY1997 IN-K1ND DONATIONS
Page 1
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�'�" R IGIOU8 COMMUNITY 3ERVICES, INC. �
FY1997 BUDGET
....... ... .................
RC-100 FP- 0 BH 0 6 0 6• 00 .A00 • DO C MBI EO
NGQA1�!;i;i;i! �!! . . . .
a�srwci��b,;p�N[,�!;;;;:;ii
CMITIIL CAMPAION FUND ]0551 10000 �5000 83551
CITY OF CLWR•SOC.SVCS. 8600 0000 .16500
CITY OF CLWR•CDBG p
CITY OF lMG4CDB0 IOJ�O 107J0
CITY OF LM6o-UTILITIES 16000 16000
DOE•MILK 600 600
O�P 60000 00000
FEMA 6000 7000 �800 1586 17)B6
HALL FOUNDATION 1000 GiJS 71�5
HRS EMERO.SHELTER 1��50 14/yp
HRS FFV 187�8 1680 201]B
HRS MLFTF 7�577 29000 IO�S17
NUPOPEMTINO gggyy 99972
HUO-ADMIN.OVERIiFJ1D 999t ggg2
JWB 2�782 J7615 62852 115149
PCCF �000 1000 6000
PCSA 12000 10000 5000 1l000 2000 IB000
PINEllAS CO. CDBO � � � BJSO � 8�50
�TED WAY 2J690 �1J46 6�700 SB�9 13/2S5
USDA 17000 fl000
�� 16606 1616 �8161
�107ALfiEBT'IiIC'f�Dl$EV r'l': 66J20 9690 9816 11 76 BOt/ 000 16 1 1 8 779
uNneSTNG1'�U' �NU�ill
DEOUESTS . �0000 76235 1008� 66]�B
CONTRIBUTIONS 205000 1JB6JB 25000 iB000 D6000 �200 12500 �J877B
fUND RAISING PROJECTS - J000 11�00 � 1600 16000
INTEREST � � 2000 1000 J000
UUNORY WCOME �500 2100 6900
OTMER INCOME•STIPENDS ' �000 �00 4�00
.RENTAL INCOME JSS00 IIS00 60000
SUPPORTALLOCATION -116212 �8000 ?�NB 16000 1B8T2 999t 0
'T1i711L'11NF1ESTICp�'i�'iV:il;;;i BB 11 BDB 000 2 0 7 681 76
I
OTAL INCOME��������������������� ! 0 2 6 tIJ6 6
�Jfp6N3Yc$Illill
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n�raaLU eMPGN&�S.il!Ili;i!I;i!H
SALAIiIES 81207 02»6 T2��7 707M ]70796 5566 106061 T021B4
FICA E106 0120 1606 4102 1fY06 J/T 6608 1]672
MEDICME t�SJ 1197 10S] 1029 �E56 B1 1115 10011
WORKMIW COMP.INS. 1109 4626 1'J1S 12ST �516 6W 269� 1SJB0
RETIREMENT - • 1196 2170 21]� tO�S 7NT 167 2810 201�8
STATE UN@MP.TAX 722 106{ 7S6 e�6 ' 2E2B 1151 7J60
HEAI.TH 6tB0 8J7{ � 6280 NB1 26963 9508 61591
DENTAL , 693 1/ST 826 i91 2J7S 10J0 6871
LIFE �72 671 - 196 �72 1]16 652 � J6iB
CHRISTMAS GIFTS 10B � 214 � 217 �17 76! 27 iN 1816
T07AI:'PAYRCLIs'EXpR•::;;';;`:i;ii�� 11J422 107 09 90J66 ese� �69N 6 Si J2f0 877670
dP..RR/lipVG;�7IPEN6EG;� ;;I�:�.•
11DVERTISINOIPERSONNEL . 600 100 700 100 900
CASUAL LABOR 960 3000 600 7000 �00 � 11760
CASUALTY NJSUfWJCE 21�6 10000 96�e 6000 t200 2722 7100 IJ0T6
CHRD CME 11Sr4 �000 �690 ZJ2H
CLIENTASSISTIWCE Ib0 1200 4600 �140
CONFERENCE 600 100 �SO �00 ��60 1600 6110
EDUCATION 1000 1000 t00 1000 1500 �600
FOOD 51000 1300 , 200 6300 � 1300 60700
LICENSES AND TA7IES iS0 100 100 p0 1S 217 1717
LIFE SNILLS/CF0.DftEN 1600 � 1500
MAINT/WD REPNR 2100 !00 �600 i600 l500 J00 7000 49800
MISCELLANEOUS 500 700 600 600 S00 100 200 J000
MORTaAOE INTEREST 10000 1�0 4B0 10710
MOTOR VEHICLES �000 !00 1000 /500 600 7800
orrice suPr��es �000 ttoo t�oo wo �eoo too z000 t�ooa
orerurwo surr��es �000 t�oo �eoo uoo �000 �eoo t��oo
PEST CONTROL 2�0 �000 !SO 2000 6/0 800 63]0
POSTAOE 2500 600 200 �60 �000 600 0250
PRINTINO 2500 100 100 100 2000 T00 6600
PROFESSIONAL FEES 2500 �700 IS00 1600 i1tB 7�J ]000 7p117
PROMOTIOWPUBUCITY 6�00 100 6100
G.�EST INN ALLOCATIONS tI000 . 17000
RENT Oi10 2�00 �2]6 11766
SECUftITY S00 1600 �W 1720 �1N
SUBSCRIPTIONSIDUES �00 !0 600 �00 1280
TELEPMONE • 7J50 2i00 2700 7f00 8500 650 �tE9 2]OB9
TOOIS /W0 E0UIPMENT 600 600' 1000 1000 1e00 600 �66� 10/�5
TRAVEL 1000 1300 �26 200 I200 900 7725
ADDITIONSPROPIEOUIP, �0]]0 16000 8S�J0
MORTOAOE PRINCIPAL ti200 6�11 60/0 2716�
WOfIKINO CM.RESENVE JIB6! -i621 �700 -161! •�9!! 11l69
�1'pTAL;Ci1�►it'�V;sI�Xp'E�t5E�;i • o ao
TOTA� HX�ENSES 1 1 0 B 1 1 01 � 0169 1�J666
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