TRANSITIONAL LIVING SERVICES AGREEMENT
I
I
AGREEMENT
This Funds Agreement is made and entered into this ,c,'tI- day of ~'vi;;..bS /CJq7 between
the City of Clearwater, hereinafter referred to as the City, and REL IOU COMMUNITY
SERVICES, INC. - THE HAVEN TRANSmONAL LIVING PROGRAM hereinafter referred to
as the Agency.
WHEREAS, it has been determined to be highly desirable and socially responsible to provide
transitional living services to those who would not otherwise have such services; and
WHEREAS, the City desires to help those in need of transitional living services by providing
funding for such services; and
WHEREAS, the Agency provides transitional living services and operates in the City;
NOW, THEREFORE, the parties agree as follows:
ARTICLE I. TERM
The term of this agreement shall be for a period of 12 months commencing on the 1st day
of October, 1997, and continuing through the 30th day of September, 1998, (the
Termination Date), unless earlier terminated under the terms of this agreement.
ARTICLE ll. RESPONSffiILITIFS OF THE AGENCY
1. Services to be Provided. The Agency shall provide transitional living services 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 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 transitional living services. Funds existing 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.
1
lv' -, ! /'),/ :::,: -- ,,-,
v ,: .........
! ~')
/ .,J
I
I
5. Creation, Use and Maintenance of Financial 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 dilly 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 tennination 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 vn 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
2
I
I
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 manBer 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 ill. RESPONSffiILITIFS OF THE CITY
1. Grant of Funds. The City agrees to provide a total grant of $10,000.00 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 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 dilly executed
by both parties. No representations or warranties by either party shall be binding unless
expressed herein or in a dilly 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
3
I
I
prepaid), on the fifth (5th) business day after the day on which such notice is mailed and
properly addressed.
1. If to Agency, addressed to:
The HhLJr;/V lRANSJ,I/)/V'AL ).../ ~1/1lJ6 PttiJtI2M1
Gjo t+A-R,~jETr. CH-itNl>L6R.
P,19. e>6'1 ~ub Q;ft-D!2./Dfl -:2; '3 7~-7
cl e~Y /;UtL-..e1'j
2. If to City, addressed to:
Grants Coordinator
Human Relations Department
P.O. Box 4748
Clearwater, FL 34618-4748
ARTICLE VU. EFFECTIVE DATE
The effective date of this agreement shall be as of the first day of October, 1997.
IN WITNESS WHEREOF, the parties hereto have set their hands and seals 'this
""-
IC( dayof~~._ ,1997.
~ed:
Mayor-Commissioner
CITY OF CLEARWATER, 'FLORIDA
BY:_~-
City Manager
Approved as to form and legal sufficiency:
Attest:
<::;;7 ~
John Carassas, Assistant City Attorney
~31
~ 41le~~
By:-Rc~. ~
President
Attest:
fPM~
I
I
CITY OF CLEARWATER
SOCIAL SERVICES GRANT
PROJECT APPLICATION FORM
Phone: (813) 562-4060 for assistance,
Due: May 29, 1997
A. Application Information
Applicant: ......,,_.,
(Sponsor/Developer)
Reliqious Community Service~, Inc.
organization Name:
(If different)
The Haven of RCS/Transitional Living
Program
Address:
Post Office Box 10594
city; state; Zip
Clearwater. FL 34617
Telephone Number:
(813)447-6759
contact Person:
Linda D. Amidei
Title:
Director
Telephone Number:
Period for which funds
are being requested:
(813)442-4128
10/97 - 9/98
!
I
t
I
t
I
I
Signature Q~~~ ~~
Date ~/~/77
NOTE:
The City of Clearwater reserves the right to fund applicants at a
level lower than requested.
2
B. Activity (Check One)
Adul t Crime X
Child Abuse
Elderly
Hunger
Juvenile Crime
Physical Illness
Parenting
Adolescents
Substance Abuse
Unsupervised
Children
Youth Development
Other
(Describe Below)
I
I
1
l
J
I
I
I
1,
l
I
1
a
I
3
I-
I
I
I
I
I
I
I
I
I
I
,I
I
I
I
t
I
I
I
r
I
I
C. AMOUNT OF FUNDING CURRENTLY REQUESTED:
(Not to exceed $10,000)
$10,000.
D. SPECIFICALLY FOR WHAT WILL THIS MONEY BE USED.
CLine item budget for this amount)
Funds from this grant would be used for utilities and to provide matching funds for federal
money for an ~ 1 unit transitional living facility. The program is funded by HUe for 50% and
requires a 50% match of local funds. ~
"""". .......
E. BRIEF DESCRIPTION OF PROJECT YOU WISH TO FUND UTILIZING THIS
GRANT.
Transitional Living Program is for victims of domestic violence. The only transitional living
program of its type currently In operation in Pinellas County, the program offers an affordable
safe place to live and support services for up to 24 months, tor women and their children after
leaving a domestic violEtnce shelter. The goal is for women to become independent and be
able to support themselves and their children. The program is carried out by four full-time and
two part-time staff members, supported by staff from the Haven of RCS domestic violence
shelter and volunteers. The program includes individual and group counseling for adults and
children. Groups are held for life skills training, parenting, self esteem, career choices, etc.
There is a tutoring program for those attending school. Monetary assistance is given for certain
expenses including child care and other necessary living costs. The program pays up to $75.
per month for each client's electric costs, 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 ORGANIZATION.
Religious Community Services, Inc., is a not-tor-profit organization established in 1967 with the
goal of eliminating hunger, homelestmess 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.
4
"
It.
L.
~
)
l
1
I
I
I
I
1
1
I
I
1
l
1
l
1
a
I
I
I
G.
IlUHBER OF CLIENTS SERVED BY THIS PROGRAK.
47 during the year ended December 31, 1996
B.
PERCEN'1'AGB OF '.rHBSB CLIBN'1'S no ARE CITIZENS OF CLEARWATER.
94%
I.
CURRENT OVERALL ORGAHI~ATIOH BUDGE'!' (PLEASB ATTACH).
$204,596 .
J.
IF THIS IS START UP OR DTCJaRG HONEY, SPECIn '.rHE DETAILS ie:
WHICH AGENCY OR ORGAHIZATIOJl 1aLL PROVJ:DB TBB HATCH, '.rIlE
ugUIRBHDr.rS un ~ AHOUft 01' DB HATCH.
50% of budget, up to $199,844, will be funded by 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- - $9,000 for utilities and $1,000 for telephone expense.
IS YOUR AGDCY A RBGISTBIlBD 501(C) (3) ROR-PROFIT AGENCY OR IR
THE PROCBSS 01' BBCOKDfG OJIB.
-
Yes. Religious Community Services, Inc., is a registered
501 (c) 3 non-profit agency _. ~.......~\ ~..
DOBS YOUR FACILITY BAVE OR IS IT IN TBB PROCBSS 01' ACgUIRING
THE APPROPlUATB LICDS1J1lB POR THE DELIVERY OF TBB SERnCBS
DBSCIUBBD DJ '.rHIS APPLICATIOH.
Yes. Has appropriate license
5
RELIGIOUS COMMU'lITY SERVICES, INC.- TriE HAVEN TLP
FY1997 BUDGET
....
,
HAVEN TLP I COC-8OC. HALL fON. HRS.f=FV1 HRS~F HUD.()pER. PCCF UN.WAY VOCA UNREBTR'O. TOTAL
INCOME I 8000 8135 18801 29000 99922 1000 5838 1645 61375 204598
~SESjm~ -
P-'~tWEHSES''''''''''''''':'
. ,~ ' ": u" ' . . :mmmmmii
SALARIES 5358 29000 52897 5499 1383 121-'8 106081
FICA 332 3287 3040 80 2579 6608
MEDICARE 78 765 802 1445
WORKMAN COt.AP .INS. 64 1352 12n 2693
RETIREJ.CENT I 161 1318 1333 2810
STATE UNEMP.TAX 144 8n 338 1154
HEALTH 04597 192 04719 9508
DENTAL 0478 654 1030
LIFE 310 2042 552
CHRISTMAS GIFTS , 244 244
mTA1lil'AiROt~'"'''''''' -... 0
8135 0 29000 85452 0 5838 1645 2040304 132105
9.f~Mn~~.f::~=_..,
ADVERTISlNGlPER~EL 50 50 100
CASUAL lABOR 150 150 ~
CASUALTY INSUAANCE 3550 3550 7100
CHILD CARE 2345 2345 4e9O
CLIENT ASSISTANCE 1250 1250 2500
CONFERENCE 750 750 1500
EDUCATION 1 750 750 1500
FOOD 1 750 750 1500
LICENSES AND TAXES 101 108 217
LIFE SKlLLsailLDREN 750 760 1500
MAlNT .AND REPAIR 3500 1000 2500 7000
MISCelLANEOUS 100 100 200
MORTGAGE INTEREST 280 280
MOTOR VEHICLES 300 300 eoo
OFFICE SUPPLIES 1000 1000 2000
OPERATING SUPPLIES 750 760 1500
PEST CONTROL 0450 0450 900
POSTAGE I 250 250 500
PRINTING I 350 350 700
PROFESSiONAl FEES 3000 3000
PROMOTIONIPUBlICITY 100 100
SECURITY I 880 NO 1m
SUBSCRIPTIONSIDUES 150 150 300
TELEPHONE I 1880 1509 3189
TOOLS AAD EQUIPMENT 2327 2328 4855
TRAVEL I 0450 0450 900
i.~*~-'-:""'''''' BOOO 9500 1500 19000
8000 0 1680 0 31950 1000 01 0 24821 57~1
MORTGAGE PRINCIPAL - 2520 2520 50040
[gf~~~~mT.~j~~~~~ 0 0 0 0 2520 0 0 0 2520 5040
TOTAL EXPENSES I 8000 8135 16801 29000 89922 1000 58391 1645 513751 204598
II"'W
.'
p.g. 1
----
-
-
~ -
-
-
-
.-.
.....
- ~
~