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PROVIDE COMPUTER TRAINING /j) AGREEMENT This Funds Agreement is made and entered into between the City of Clearwater, hereinafter referred to as the City, and Streams of Life Ministries, hereinafter referred to as the Agency, WHEREAS, it has been determined to be highly desirable and socially responsible to provide computer training 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 1 st 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 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 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 end of this agreement term shall be deemed excess to the intended purpose and shall be returned to the City. j()---ol.. 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 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 ofthe City or City's agents or q) 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 $4,350.00 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 subj ect 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, Hwnan Relations Department, P.D Box 4748, Clearwater, FL 33758 2. If to Agency, addressed to Streams of Life Ministries, 302 S. Jupiter, Clearwater, FL 33755 dJ. 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 c.J(,... rr day of ~~ , 2001. CITY OF CLEARWATER, FLORIDA Countersigned: BY:~~ :a. William B. Home II, InterimCity Manager issioner Attest: APP[ "to fonn: Pamela K. Akin, City Attorney Witnesses as to Agency: ~- Presi ~ / / IYJ CITY OF CLEARWATER SOCIAL SERVICES GRANT PROJECT APPLICATION FORM Phone: (727) 562-4060 for assistance Due: January 26, 2001 A. Application Infor.mation Applicant: (Sponsor/Developer) S~EAM.! o {J;; L, F If. Pit'" (.r;;~, 61 Organization Name: (If different) S/~~AMI 0/. L'~/= (. t~,atL ()/,-~~_ Telephone Number: 3D2. S.Ju...(). ( iii( C1tE.4A..WJffizA F{' 137..f.) / :l 1./11- Y2V7 ..u, BEeN i I/; I4;t-tJ 9AS~~ (727)Ul{Z -4!J7k " Address: City; State; Zip Contact Person: Title: Telephone Number: Period for which funds are being requested: 2C<Vt Jt6b/ I ";-1 seA ( LJ tfi:M ( Signature~ Date i - "2& - 0 I 'JA.t;O^ &/=~I V - ~/ IIi/AM {' Board of Directors Chairperson NOTE: The City of Clearwater reserves the right to fund applicants at a level lower than requested. 2 fiJ 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) ',J ~ .J' , '--rc ~c.tvt. t: Eo..v:.\PHlz.^(~ /j ~ Sli_1 u.P A 6:,,:, P "-. (,'T;,z ~ t'l ~ "A.Jlv...ui: - ~ ..uJ~ ~ 'iN 1.-M e ( 'BA-1'K C. oNP!i~ '-!;'KIILf 7D ~ f! ",;f , '-, 'i1h {D JI1.I'1A.-t;"/I! 7 ~ ~ uJ/ ? (YfJ'>if=! ~ SJ-(, , I s f)! - (.., r-- "I 11 ,-~ t..r ()l.J~ r''''III14~ ,40J1. /J 10 J'Vt'lh~ (..()~r~;,,~:_/'- 1//i..M~ I J.{ 7l€ L i)",,~,w / "7 '7' If-! P If c ,-""It';? Ir:v /l C;W h ~ j,;o.. ~()J /...AvE It ~M.;1"-1~ ~r J..t,""P.:. . ;/l-';7 A,,/ ttJ~tk. To dA.-/f. l~4-Pt.{fr' ;zt~tu/t, l~tllll4/(:, lilt '?4h.. i-GJA ()~' ~L'~,4lt._M/21' /P 3 E. F. I.t'l c. AMOUNT OF FUNDING C'D'lmENTLY REQUESTED: (Not to exceed $10,000) df/q (JOO' / D. SPECIFICALLY FOR WHAT WILL THIS MONEY BE USED. (Line item budget for this amount) .: /.J -. P e/.4..( .- ~. ;4.J.7EJo...l.1)O. ,~, "; '':: toINt~. tJ2t- , . .~A ' - -,/ /U "1 ... - .. ~,.; - ~A. ,r;;;; ~ .' KMJiO .f~; ,Q4I~Y.t~. . . '.,-.Id CF~lLd./t{.S' __..' __."_ .~A~ /t;DI'1 ttfJ~Mo,f. :. _F7- tV A-/2.e . . , ~ CJ . DO ( gt)~:dO__ IIOlft!. opt) ?CltJ . au BRIEF DESCRIPTION OF PROJECT YOU WISH TO FOND UTILIZING THIS GRANT. &f{OIlA'i~ ~ u,." 14/~ 1-1 to,M-;"-JC<..~~ iA-.6 ~4/94A I/C e,t: AtldM,~,~I7;.v t:.. A~ I~~-- /2 /J i {' . '1t./S wd/ ~7 ~ //1////#1 I'LJM/U-~4".J /tJ g~ IA-in<J J "I 0v: 1~:t7. ~ Ui~/A;.fiwtf Wilt! Ji[ A-J/AiIMII1 10 A~1JHI~ .~IJ;,-w u"t//A/ .uJk~ /J rJ . '17 ,,- IAI 1- tr/dt (hi: A~e!'" ~ '1M/NINe 1" 1I1J1I't~~k . BRIEF DESCRIPTION OF YOUR OVERALL ORGANIZATION. ~ ..-t l.L~ t It ~" '""7O.v AI-~I ~ A;;~ - i1/ I /'~ ctM. t~(L' t)~ ~ IJ..I tI4t/~L4-A/() '/;;~~i(Ji.'f&~. ~ 1/ 11M / l '[0 ,~vI 4.,-;- uA/ ~ o./-/-/z"t!. 1/ f.I. u.nA ~ d /- SfA,tL ivtA-I/I(,,,U" Ii) ;M W/l1~~"'~Y)" lkdl'hJ.w.4!7 w;E A~1i A flo,<,/ d-l! /;u' t M ?~M.d /F '-, ;; /~ .. / 4 ~. G. NUMBER OF CLIENTS SERVED BY THIS PROGRAM. 1.Ht';"',.A-1 f.l~-< f,7 /:. If .tfK/JE'/~/) 'il, tt/f 211 . H. PERCENTAGE OF THESE CLIENTS WHO ARE CITIZENS OF CLEARWATER. I ^t1 % I. CURRENT OVERALL ORGANIZATION BUDGET (PLEASE ATTACH) . J. IF THIS IS START UP OR MATCHING MONEY, SPECIFY THE DETAILS i.e.: WHICH AGENCY OR ORGANIZATION WILL PROVIDE THE MATCH, THE REQUIREMENTS AND THE AMOUNT OF THE MATCH. - .-- L0.E ~IE c.uA.1 !iAIC. I tJ e./)m~uf;;~ A.u~ fJ- ""t() //J^"~ ." "7 IS M (OA-1. />.4 6J. A..u' /\ 67Z~(( '/'0 ~I\ fA- ~ ~ It~ l ' -I /l'1I7~/;:r ~ iAI '/2.t,1t '"tC ~/1 _ -:tJ,.,/ !.t/Lt/' ~/1.tliJ/~4 /A/J9ut/= K. IS YOUR AGENCY A REGISTERED 501 (C) (3) NON-PROFIT AGENCY OR IN THE PROCESS OF BECOMING ONE. S'/~M~ t'/~ U"c~ /1' 11 ~7/-~ ,rv~ -,f).4V.;':/'I /E,../7i Ty . 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. If ~I II /lLh{rJJf~ A/1I'() ~'f..tlu/~~1./j w.~ IAJd( M iT., 5 4) M. HAS YOUR ORGANJ:ZAT:ION RECE:IVED OR :IS :IT EXPECT:ING TO RECE:IVE FUND:ING (WHETHER CASH OR IN-K:IND CON'l'R:IBUT:IONS) FROM THE C:ITY OF CLEARWATER DUR:ING THE F:ISCAL YEAR FROM OCTOBER 1, 2000 THROUGH SEPTEMBER 30, 2001? YES NO / :IF YES, PLEASE &~LA:IN: 6 STREAMS OF LIFE MINISTRIES 304 Jupiter Ave Clearwater Fl 33755 PROPOSED BUDGET FOR 2001-2002 COMPUTER LITERACY PROGRAM: 12 Computers.... .......... I Cannon Copier........... 1 Photosmart printer. . . . . .. Computer lab upgrade. _ ..._ Software................... .. Overhead.,............... ... 20,400.00 800.00 300.00 1,000.00 900.00 1,800.00 25,200.00 FUNDING SOURCE: City of Clearwater:...... .... I.B.M.........(4 computers) Compaq _.. ( 4 computers) Fundraising Drive... .. . . . .. ) 0,000.00 6,800.00 6~800.00 ) ~600.00 25~OO.00 To: (funder): trl y ( IlNDJED FUND..lNG ~CATION (J' c[.f N..u!Jf;:?~ For time period of: 2 otJ (j /2 Db I I Phone (7#') I.tt/-- ~ ~? Fax ( ) E-Mail Federal Tax Identification Number: , 593 Si f & 9 /) CODtaetPenoD:~l/- ~~ "J11t~ Title: ;J~ . Organization Type: _Public _Private _ Non-profit V Other Service Area: _ County _ City of cUlb(!JV/f!;U Other Agency currently funded by ( check all that apply): _ St. Petenburg _ Florida Dept. of Children & Families Clearwater _ Florida Dept. of Justice _ Largo _ PiDellas County Foundation _ Pinellas County _ Allegany Franciscan Foundation _ Area Agency on Aging _ Eckerd Family Foundation Juvenile Welfare Bd. Other: - - _ United Way ~o ~ Ii Certifications: (1) Hrequired to register for solicitation offDDcIs, is the Agency currently registered with the State? L Yes ~ No The CODDty? :/ Yes _ No (2) H incorporated, has the Agency Annual Report been filed with the Florida Secretary of State? V Yes _ No Name and Title of Agency Representative submitting this funding request: ~ ' f>14.~ll,r tI~ "Jlil,~ P~f.... ..... irec or (senior st8frmember) or Board Chair: " o. Date: I - 2- ~ ' 0 Received in funder's office by: Date: UFAl tiJ BOARD OF DIRECTORS -# reauired in Bv Laws = NAME/OFFICER OCCUPATION AREA OF EXPERTISE RACE/GENDER Rill, &~nolGT JtIIt~ rARfo,! t.-t'uf0\4. ~ ~7~7' tw t.f/w. ~ /I4J5r 61~1.t ! ~M'/y~ w.s' fU/1 \jJioMJ hU1(yt;uM-- ~I 11M/' M!(~ tv A:'l'" I ~.., C4 V Af~' C' U .t,,-,", p leI M ",,.,,.JI),/ tlt.kPf UFAZ .JIJ ~ !M /JjM if/- /JHNt~+P IW2AAI / r