AGREEMENT-FOOD PANTRY
I
I
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./Food Pantry, hereinafter referred
to as the Agency,
WHEREAS, it has been determined to be highly desirable and socially responsible to provide
food to those who would not otherwise have a means to fill this need; 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 18t day of
October, 1998 and continuing through the 30th day of September, 1999 (the Termination Date)
unless earlier terminated under the terms of this agreement
ARTICLE II. RESPONSmILITIES 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 this agreement term shall be deemed excess to the intended purpose and shall be
returned to the City,
/0 cO /-::; --() ,
(;1)
I
I
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 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 ofthis 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
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
I
I
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 ID. RESPONSffiILITIES OF THE CITY
1. Grant of Funds: The City agrees to provide a total grant of$ 7,501.00 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 I 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 in material
respect shall constitute cause for termination, This agreement may by terminated with 30
days 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
(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. 0 Box
4748, Clearwater, FL 33758
2. If to Agency, addressed to Reginald Braswell, Director, Religious Community Services,
Inc,/Food Pantry, 210 Ewing Avenue, Clearwater, FL 33756,
I
I
ARTICLE VU. EFFECTIVE DATE
The effective date of this agreement shall be as ofthe first day of October, 1998.
.IN WITNESS WHEREOF, the parties hereto have set their hands and seals this
'*'- ~n ~-
7 day of L/~ue~ ,1998,
City of Clearwater, Florida
Countersigned:
Byl-
Michael Roberto, City Manager
Attest:
Approved as to form and legal sufficiency:
~~
John Carassas, Assistant City Attorney
~
-
Witnesses as to Agency:
R.E. /J1y~rs.
~~ ~.d~L
D(O-t'\.f\O-- Kess e {
~tl~
Be+!e /f. SjJr~i//
Attest:
9fgt06tJ~
/
!/ '
I
I
~~'~')' '--,i~~----~..,_u
Lr; {(~ "....;; , ,
n .' "..~, . m a TI7 fr: I i I
, ~ I
,1., {
~!i MAY. 4/990 /.1 ~i.
L - U 1l~j
( " '-i;"T{Or.'C~"'E"~";' - .~J . f
' m'..,:} fit', /-,;:; ',:: I~..jjl L11
"--'-~'~_''') L,'.J,::,'''ir'Ir I
_h_":'~..~_...--1
CITY OF CLEARWATER
SOCIAL SERVICES GRANT
PROJE;CT APPLICATION FORM
Phone: (813) 562-4060 for assistance
Due: May 4, 1998
I
A. Application Information
Applicant:
(Sponsor/Developer)
RELIGIOUS COMMUNITY SERVICES INC.
Organization Name:
(If different)
RELIGIOUS COMMUNITY SERVICES INC., FOOD PANTI
Address:
City; State; Zip
,
210 Ewing Ave.
Clearwater, FL 33756
'felephone Number:
813-443-4031
Contact Person:
Reginald Braswell
Title:
Director
Telephone Nwnber:
813-443-4031
Period for which funds
are being requested:
FY 98-99
r--.. 7~
Signatu~ ~~
Ron Dickman Exec. Dir.
Board of Directors Chairperson
Date
~JCf J<)f
I I
NOTE:
The City of Clearwater reserves the right to fund applicants at a
level lower than requested.
2
I
B. Activity (Check One)
Adult Crime
Child Abuse
Elderly
Hunger
Juvenile Crime
Physical Illness
Parenting
Adolescents
Substance Abuse
Unsupervised
Children
Youth Development
other
(Describe Below)
I
x
/()
'd\00
. '\ ~r\,
3
I
I
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)
The Food Pantry of Religious Community Services presents a request of
~10,000.00, to be used specifically for the purchase,of two supplemental
food items, eggs and milk. These two products will greatly enhance the diets
of all age groups requesting assistance of this feeding program.
~.
E. BRIEF DESCRIPTION OF PROJECT YOU WISH TO FUND UTILIZING THIS
GRANT.
The Food Pantry of Religious Community Services is recognized as one of the
three major food providers of the Pinellas County Area.
Provisions of food
items such as breads, pastry, eggs, mil k, fresh vegetables, canned goods,
dry goods, government commodities, baby foods and formula are dispensed to
85 to 100 plus families daily.
F. BRIEF DESCRIPTION OF YOUR OVERALL ORGANIZATION.
Religious Community Services Inc. is one of the more recognized providers
of Social Service assistance in the Pinellas County area and even more so ,
within the areas of Clearwater. .We thrive on public support, grants as
well as congregrational support !from a 88 member'~support base~ .We place .,:
strong emphasis on volumteers in helping us to deliver these various
service~ to our different programs. This in turn enables us to work from
within a comparable low to moderate budget.
4
I
I
G.
G.
NUMBER OF CLIENTS SERVED BY THIS PROGRAM.
100,00n r1lJc;
H. PERCENTAGE OF THESE CLIENTS WHO ARE CITIZENS OF CLEARWATER.
69%
I. CURRENT OVERALL ORGANIZATION BUDGET (PLEASE ATTACH) .
See Attached
$1:041,372.00
J. IF THIS IS START UP OR MATCHING MONEY, SPECIFY THE DETAILS
Le.: ,
WHICH AGENCY OR ORGANIZATION WILL PROVIDE THE MATCH, THE
REQUIREMENTS AND THE AMOUNT OF THE MATCH.
No
K. IS YOUR AGENCY A REGISTERED 501 (C) (3) NON-PROFIT AGENCY OR IN
THE PROCESS OF BECOMING ONE.
Yes
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
5
,.
I
I
M. HAS YOUR ORGANIZATION RECEIVED OR IS IT EXPECTING TO RECEIVE
FUNDING (WHETHER CASH OR IN-KIND CQNTRIBUTIONS) FROM THE CITY OF
CLEARWATER DURING THE FISCAL YEAR FROM OCTOBER 1,1997 THROUGH
SEPTEMBER 30, 1998?
YES X
NO
IF YES, PLEASE EXPLAIN:
1'"
The Food Pantry received Social Action Funding assistance for the purchase of
eyy~ dlld milk .111 Lhe c1I11UUlIL uF $.841~.e>O rUI I"Y '37-'38.
6
12/16/97
RELIGIOUS COMMUNITY SERVICES, INC.-FOOD PANTRY
REVilED FY1998 OPERATING BUDGETI
FOOD PANTRY I TOTAL COC-SS FEMA PCSA UN,WAY USDA UNREST
I~' i::j. :O~'ti'&\H~:v.e~l;JJ:f~l:\~i:;::;
. .".,.I~:"kf.c~' bf"':/!.:'.&' . \'J;~;,;.: ...... '.
. :IJll..,~J.i.. ~$,/rIJT<', .9t;v...~.1 ----,_ .
CITY OF CLWR,SOC.6VCS. 8419 8419
FEMA' .' '--. 11"957 ... . ',..... --1'1iI-57 - ,.,
P-CSA---.. 16000 - -16000
uNi'rEDWAy.... . .-- ~j8j4 --. .. '-27874
DsbA' '.. 31160 . '''. .--- -"
~~1!i'~..~~BJ/i;~~!J.~'l&~3~;~. 9~400 6419 11957 16000 27874
.~~~l:$Jia'D,(~,I:1.,.Rr;y.'^~.:\>'.: ~---'t--.., ,....,.,---f---.........
CONTRIBUTIONS '140000
~~~lSINGPROJE~T.~= -400~
Res G&A ALLOCATION 31757
RCl:;-PRbQ..sUp).l[6c~'...'........ 0 '. ,-..
\r~1-'1<\l.wa~l3~m~~~~i~J3~~ 175757
TOTALSUP.&REV. L 271157
~. '~,l;" ~a.i:t~. .11'!7tf\11"~"1/""""'1l1l:'''''''''' '..', ,.... .
,,,Ij" ~;l~f~:;:'::'Jkt'{;:'t':~;'t~':,<:~, . ." '.. ...
. ,.:,' O~~5~~.i~~H\~::.,..., '..m
SALARIES 90400
FiCA.... ...-- --6163
MEDICAHc'. 1441 . ow..
WORKMAN COMP,ING. -... ----5239
RETIREMENT .. ""-2020
STATE UNEMf.',TAX .... ---5f5
--.--- .... . . ..
HEALTH 8976
DEN1"Al -_.~.. '..... ........-1.010 '0_.___', ......- '0-- -...... 0- .. ..... .0.. ..,. ..
LIFE 646
jr~~.~.'~;~~. .VtlQi I '~;eXP.:\t~,):\!~;},~ 123921
'OJ '~I.,l~?j;/S'~~.\dl!~~}.qQ.'
,,110 .'. ~41,. .},,~~U:'!t.I~~..HI'.;'I;br-_"" ____
CASUAL \.ABOR 3000
CASUAL.T'{'INGURANCl; , 8500
CO.N.FERENCE-....._.............. ........ , ........ '000 .'_. ...... --. ........-.---- -- ---- .~.--.-........
FOOD ,"... . 5s:f19 ,..- """t)~f1'9 '.-1-fo57 -"-fo-ooo ---..--.-.
LICeNsES'ANO'rAAES."'''-u, ........--fso -...--.... - --.......
MAINT.AND REPAiR-~---" --;-500 ...--
MISC"EUANEOUS 1000 .., '........ ..--......-- ....... .'
MOTo'R'\/EHicLES '..., .... '....., 'sotio _U__ ...-.. ,--
. '..'.....,-.'----- - ,....- ..
OFFI.~~ S~Pf'L.IES _,.. ,_._ _._,2,000 ., '........,_,_._,_____ __ ,....
'(jPERATINCi SUPPLIES 1500
PES'(cON1:iklc--n .,. 0 .,..--.... ..
---."
POSTAGE 600
iiRINTING .. ....1000
PROFESsioNAL"FEES--"--- 3700. ...____
Res G&A ALLOCAtiON 31757
RENT --. "-:... _..._.. '8571
SECURITY 500
TELEPHONe.... --.". 2800
TOOLS ANtH~'Q[jjPMENT 5000
fRA VEl. 500
utiLITIES ".-..,..-- f--Tooo
T.p.9r~~~'~~;;B.. ,~~tijA~q I;~~ . :~E<.~~~: 143097
AI1. .1 10 S Ii rI Ji:1 ,,,,!\t...,,
WORKiNG CAP:'Ri::ERve ""L41'39 .'
X6}j'f..]P^~Jt~ir;x.e.5N~E~fi 4139
TOTAL EXPENSES I 271157
.. ".---
I
MEMb.i(NONCASH)bEP.~ECY 11076
o
8419
o
11957
o
16000
o
27874
,;
I:
i
t
J'
I':
. ..",.
. '.......-
..' .. _.
3'1150 ;:1
311~0 0 ;Ir
o
31150
140000
4000
31757
175757
175757
27874 18930'"
1174
..... ...'.....276
1121
571
123
1909
214
~_. - ---'---'-' ............'.;6
o 21874 24434
----- .--.....
o
u
.:..----.........
1400
".-..- ..=.--.- ...'..-... --..~~-'600
1000
2258
317/)7
.., 1800 --'-67'il'
I...,. .. .. '-."500
2600
5000
226
5200
100005
...-.-,-1---
6419
16000
11957
o
8419
o
11957
o
16000
o
27874
o
2'74
-"'-1"800 .-..
6716
52605
4989
...- "1'165
4118
2049
392
5069
790
430
11613
3000
7100
800
22043
150
1500
1000
5000
200P
1500
1442
I
'I
.. ... '--4130
o 4139
31150 175757
t
IJ
I
-KIND DONATIONS TOTAL USDA UNAEST'D
FOoD" .... . ..-
VALUE-USDA D"ONATED-FOOD .$202,OOO~OO $i~2~~00.OO ~,.._---
VALUE-PUBLIc DONATED FC)OO- $425,118.00 $4i5~118:00 -
TOTAL FOOD 27,118,00 $202,000.00 25,116,00
I
J
I
. j
j
Pago 1