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PROVIDE EMERGENCY HOUSING 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. Grace House, hereinafter referred to as the Agency. WHEREAS, it has been determined to be highly desirable and socially responsible to provide emergency housing 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 15t 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 I. 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 Human 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 number 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 ri /0- ('/3' /. /'> v-(. (3.. 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 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 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 ofloss, liability, and damages of whatever nature, to persons and property, including, without limiting the ,GfJ l~ 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 $3,771.00 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 /jQ 2. If to Agency, addressed to RCS Grace House 1552 S. Myrtle Avenue, Clearwater, FL 33756. 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 . ~ J;). I ,"." , day of ~ttQ,~ ,2001. CITY OF CLEARWATER, FLORIDA Countersigned: ~ Approved as to form: JilL Pamela K. Akin,'City Attorney Attest: Witnesses as to Agency: Agt\nltY\ BY:W President tv,';!. am 7: Th11~-fwe, J., ~a~ I I.tf.k.. 1I..s rl1 ; I J ) ~ Attest: ~/Z. .". ~.. . D4/~ fYI. }"'de CJ?"/ll{,<'~-C~ 1ft' 6~c('a.... .- r: ef)/~ CITY OF CLEARWATER SOCIAL SERVICES GRANT PROJECT APPLICATION FORM Phone: (727) 562-4060 for assistance Due: January 26, 2001 A. Application Information Jl.pplicant: (Sponsor/Developer) Grace House Religious Community Services Organization Name: (If different) City; State; Zip 1552 S. Myrtle Av. Clearwater, F1 33756 Address: Telephone Number: (727) 446-5964 Contact Person: Lisa Hughes Title: Program Director Telephone Number: same as above Period for which funds are being requested: 10-1-00 - 9-30-01 ~ William T. Trautwein Board President WL~~.:- Board of Directors Chairperson Signature Date 1-16-01 NOTE: The City of Clearwater reserves the right to fund applicants at a level lower than requested. 2 tft ~ .. , B. Acth'jt)' (Check One) Adult Crime Child Abuse Elderly Hunger Ju\'enile Crime Physical Dlness Parenting Adolesc.ents Substanc.es Abuse 17nsuperyi sed Children Youth Deyelopment Other (Describe Below) X .... . Homeless families with children. ~OTE: The RCS Grace House Dro~m he]Ds to arrest or prevent manv oflhe social oroblems listed aho,'e i., our cJient families bv imDro,'im~ their abilitv to co e \1,ith difficult "Clarentim! issues and bv showin2 them how to become and remain self-sufficient. ,. '. I ;1d .. ~ C. AMOUNT OF FUNDING CURRENTLY REQUESTED: (Not to exceed $10,000) $7,000.00 D. SPECIFICALLY FOR WHAT WILL THIS MONEY BE USED. (Line item budget for this amount) Maintenance and repair expenses. Maintenance and reoair exoenses including pest control maintenance and re air of a liances s oves and refrigerators), lawn maintenance, general maintenance and upkeep of apartments ,grounds, office etc.. includinq supplies necessary. Projected cost of expense:$7,000.00 E. BRIEF DESCRIPTION OF PROJECT YOU WISH TO FUND UTILIZING THIS GRANT. (See proqram discription below). Maintenancp- and repajr expenses F. BRIEF DESCRIPTION OF YOUR OVERALL ORGANcrZATION. RCS Grace House is the first step in upper Pinellas County's continuum of services to the homeless_ Grace House is an 8-week program that has provided services to homeless families with children since 1972. The program provides almost every- thing the families need during their stay-no cost shelter and utilities, food, personal and dental hygiene items, baby items, toiletries, cleaning supplies, bus passes, etc. By providing 4 4> F. BRIEF DESCRIPTION OF OVERALL ORGINAZATION (cont.) for their immediate needs of shelter, essential support services and supplies this program allows families to accumulate earnings for their move into permanent housing, thus allowing them to quickly and easily return to self-sufficiency. 4. (a) ~ .' G. NUMBER OF CLIENTS SERVED BY THIS PROGRAM. 400 or more adults and children per year. H. PERCENTAGE OF THESE CLIENTS WHO ARE CITIZENS OF CLEARWATER. 50% I. CURRENT OVERALL ORGANIZATION BUDGET (PLEASE ATTACH) . See ATTACHMENT 1 J. IF THIS IS START UP OR MATCHING MONEY, SPECIFY THE DETAILS i.e.: WHICH AGENCY OR ORGANIZATION WILL PROVIDE THE MATCH, THE REQt71:REMENTS AND THE AMOUNT OP THE MATCH. N/A K. IS YOUR AGENCY A REGISTERED 501 (C) (3) NON-PROFIT AGENCY OR IN THE PROCESS OF BECOMING ONE. Yes, registered. 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. N/A 5 A.d 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-. IF YES, PLEASE EXPLAIN: NO Res Grace House win. submit an aDDlication for fundinq from the City of Clearwater Housing Division Community Development Block ~rant_ 6 It(} Religious Community Senrices Grace House Program Measurable Objective FY 2000 - 2001 1. Ninety percent (90%) of families who remain in the program for eight weeks will have secured housing by the time of program completion as measured by case records. Case records shall be reviewed at the end of the fiscal year for all families completing service during the fiscal year. 1,)0 9/30100 Religious Community Services, Inc.-Grace House FYE 9130101 Operating Budget Grace House Total COC DOE FEMA JWB PC-ESG PCSA Unresfd. end Revenue ResIrlc:t8d SUo. & Rev. Citv of CIwr. ConsoHdated Plan 12000 12000 DOE-Milk 500 500 FEMA 10787 10787 JWB 42574 42574 Pinellas County - ESG 19000 19000 PCSA 25000 25000 Total Resfd. Sup. & Rev. 109861 12000 500 10787 42574 19000 25000 0 Unl'8lltricted Suo.. & Rev. Contributions 25000 25000 Fundraising Proiects 0 0 Neumann- Investment Income 15000 15000 Neumann-ODeratina Reserve 30000 30000 RCS G&A Allocation 26388 26388 RCS Program Support A1loc. 27643 27643 Total UMlSfd. SUp. & Rev. 124031 0 0 0 0 0 0 124031 Total SUpport & Revenue 233892 12000 500 10787 42574 19000 25000 124031 Exoenses Pavroll Salaries 117638 22500 2??oo 75136 FICA 7293 1395 1240 4858 Medicare 1706 326 290 1090 Workman Como. Ins. 1541 295 262 984 Retirement 2804 508 450 1848 State Unemolovrnent Tax 161 32 32 97 Health Ins. 10915 2183 2183 8549 Dental Ins. 1421 284 284 853 Ufe Ins. 594 119 119 358 Subtotal Payroll Expenses 144071 0 0 0 27640 0 24860 91571 Payroll Transfer from TS 2906 2906 Payroll Transfar to SS (26178) (26176) Total Payroll Expenses 120801 0 0 0 27640 0 24860 6~gs Ooeratl lIS Casual Labor 100 100 Casualtv Ins. 9003 9003 0 Child Care 12000 12000 0 Client Assistance 2000 2000 0 Conference 400 400 Education 250 250 Food 8000 500 7500 Ucenses and Taxes 100 100 Maintenance and Reoairs 12000 12000 0 Miscellaneous 900 900 Motor Vehicle 500 500 Office SuoDlies 500 500 Ooeratina Exoenses 2000 1784 216 Personnel Recruitina 300 300 Pest Control 300 300 Postaae 300 300 Printina 200 200 ProfessionalFeea 2000 2000 Public Awareness 0 0 ReS G&A Allocation 26388 26388 SecuritY 2800 2800 Teleohone 3000 3000 Tools and Eauioment 750 750 Travel 300 300 Utilities 24500 19000 5500 Total Operating Expenses 108591 12000 500 10787 14000 19000 0 52304 Capital Additions to Prooertv & EQuID. 4500 4500 Reserve for Equip.Replacement 0 0 Total Capital Expenses 4500 0 0 0 0 0 0 4500 Total Expenses 233892 12000 500 10787 41640 19000 24860 122199 Budget Reservel(Deficlt) 0 0 0 0 934 0 140 1832 MEMO: Depreciation 28000 0 0 0 0 0 0 28000 Approved by Executive Committee September 12. 2000 . ' :JlKlFIED_FUNDING AfPLICA TmN To: (fuDder)~i ty of Clearwater Social Services Applicant Information (print or II'De): For time period of: October 1, 2000 to September 30, 2001 Legal Name of Organization: Reliqious Canmuni tv Services, Inc. Complete Address: 1855 Highland Avenue SOUth Clearwater, FL 33756 Phone ( )727-584-3528 Fax ( ) 727-587-7747 ""Mail ~ rcs-inc@mindsprina.cam Federal Tax IdentificatioD Number: 59-1309186 Contact Person: Ron Dickman Tide: Executive Director Organization Type: _Public _Private..!.. Non-profit _ Other Senice Area: .i.. County _ City of Other Agency currently funded by ( check aD that apply): _ St. Petersburg -2L Florida Dept. of Children & Families ~ Clearwater -2L Florida Dept. of Justice ..X- Largo ~ PineDas County Foundation (pending) .lL Pinellas County -L ADegany Franciscan Foundation _ Area Agency on Aging ~ Eckerd Family Foundation -x- Juvenile Welfare Bd. ...L Other: HUn. u_~_n A. - n (") R .1L United Way Certifications: (1) U required to register lor solicitation ol fDDds, is the Agency currently registered with the State? l Yes _ No The County? .1L Yes _ No (2) U incorporated, has the AgencyADDual Report been IDed with the Florida Secretary of State? ..,jL Yes _No Name and Title of Agency Representative submitting this lDDding request: Lisa Hughes Program Director - Grace House of RCS , ,J. . of Agency Director (senior stBfrmember) or Board Chair: (Executive Director) Received in lunder's office by: :Date: UFAl !Xl .. , -'Ie - ".. ~:. BOARD OF DmECTORS -# required in Bv Laws = UP to 21 NAME/OffiCER OCCUP A nON 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 e:eneral business, public relations WhiteIMale Charles Stiers, Health Care health care administrator WhitelMale Vice President Administrator Earl Mease, Retired financia~ managerial WhiteIMale Past President Ambrose Marsh, Retired, accounting WhiteIMale Treasurer Joel Kurtz, Banker finance, general business WhitelMale Associate Treasurer Becky Cole, Office Manager management, community involvement WhiteIFema1e Secretanr Carra Best Retired retail and fundraisin2 WhiteIF emale I Sherwood Coleman Attorney lepl council WhitelMale : Ernest Hogan Retired chW'Ch and community volunteer WhiteIMale William Stephan Retired or . . and analvzine: WhitelMale Naomi Williams Coll~ ReRistrar public education BJacklFemale Roberta McIntosh Retired Social Worker WhiteIFemale Fredd Hinson Management city manaR~ent BlackIMale Scott Spencer Investment Planner investment advisor WhiteIMale Donald Harris Retired investment advisor, WhiteIMale community volunteer Marty Lev Bank Branch ManaRer bankin2 WhitelMale Marie Gage Retired educator, nursing, WhiteIFemale community volunteer David Quinty Financial financial management & WhiteIMale financial plannin2 , .,. . 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