CHARTING THE COURSE FOR YOUTH AGREEMENT
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AGREEMENT
Between
THE JUVENILE WELFARE BOARD
and
City of Clearwater, Florida.
Parks and Recreation Department
(Charting the Course for Youth)
I. PURPOSE
The Juvenile Welfare Board of Pinellas County, a Pinellas County special taxing district, whose
address is 6698 - 68th Avenue North, Pinellas Park, Florida 33781, hereinafter referred to as "JWB",
and the City of Clearwater, Florida, a municipal corporation of Florida, whose address is Post Office
Box 4748, Clearwater, Florida 33758-4748, hereinafter referred to as "Provider", enter into this
mutual Agreement, including all attachments referred to herein, for the period commencing October
1, 2001 and extending through September 30, 2002.
The parties to this contract each in consideration of the undertakings, promises and agreement on
the part of the other herein contained, do hereby undertake, promise and agree as follows:
II. STAFF
Provider agrees to employ staff, at its expense, to execute services provided in accordance with this
Agreement. Such individuals shall not be considered employees of JWB or the County of Pine lias,
and are subject to the supervision, personnel practices and policies of the provider. Unless
otherwise approved by JWB, all staff shall meet qualifications as stated in the application and any
approved revisions, which are submitted for fiscal year 00-01 funding.
III. SERVICES
Provider agrees to deliver services as stated in the currently approved program methodology on file
at JWB and to accomplish objectives stated in Attachment 2 in accordance with recognized child
welfare practices, as determined by JWB, in service areas stated in Attachment 3, and pursuant to
the General Conditions listed in Attachment 1, and any special conditions as stated in Section VIII of
this Agreement.
IV. FUNDS
The budget for both JWB and other funds (if any) for accomplishing the above stated services shall
be as set forth in Attachment 4. JWB agrees to reimburse up to $60,700 for Charting the Course
for Youth for actual costs incurred for services rendered pursuant to this Agreement.
V. METHOD OF PAYMENT
1. JWB issues reimbursements in accordance with the schedule listed on Attachment 5 (or on the
preceding working day in case of a holiday). The Provider may select to submit a request for
payment every other week or once a month. Request for payment must be accompanied by the
appropriate documentation as prescribed by JWB.
2. Requests for advance funds may be made, consistent with JWB policy.
Agency: City of Clearwater
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Section I
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VI. TERMINATION
1. It is the intent of the JWB to assure a consistent and orderly delivery of children's services. It
is the further intent of JWB to terminate Agreements only in those situations where such
action is essential to protection of its interests and the interests of children, as determined by
JWB.
2. Except as provided in subparagraphs 3 and 4 below, either party upon no less than thirty (30)
days notice may terminate this Agreement. Said notice shall be delivered by certified mail,
return receipt requested, or in person with proof of delivery.
3. In the event funds to finance this Agreement become unavailable, JWB may terminate the contract
upon no less than twenty-four (24) hours notice in writing to the Provider. Said notice shall be
delivered by certified mail, return receipt requested, or in person with proof of delivery. JWB shall
endeavor, whenever possible and consistent with its legal obligations and principles of
prudent management, to provide 30 days notice for Termination for Lack of Funds. JWB shall
be the final authority as to the availability of funds and extension of notice beyond the
minimum time herein stated.
4. In addition to the rights as set forth in paragraph VI., 2 above, this Agreement may be terminated
by JWB for any breach by Provider of the terms of this Agreement, including all attachments, upon
twenty-four (24) hours written notice. Said notice shall be delivered by certified mail, return receipt
requested, or in person with proof of delivery. JWB at its discretion may waive any breach by the
Provider in writing, but such waiver shall not constitute a waiver of any future breaches, including
breaches of the same type.
5. The above provisions shall not limit the Parties right to remedies at law or to damages.
VII. COMMENCEMENT OF PAYMENT
Unless specifically authorized by JWB, payment for services rendered under this Agreement
shall not commence prior to its effective date.
VIII. SPECIAL CONDITIONS
The following condition(s) apply to all listed programs within City of Clearwater.
1 . General Condition #3 (Audit and Management Letter) is waived.
2. General Condition #8 (Board Members and Meetings) is waived.
Agency: City of Clearwater
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Section I
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IX INDEMNIFICATION
The Parties recognize and agree to abide by the provisions of 9768.28, Fla. Stat.
IN WITNESS WHEREOF, the parties hereto have set their hands and seals this ~day
of Al'llf.-W1V1fJr ,2001.
Signed, sealed and delivered
In the presence of:
~s~re
Jt Name: A<1< y 11,,- '1
'tZcJ~ fi). OhAJ~
Witness Signature ~
Print Name: (J#;u I, 'I' -e 11. fit< / !PH{
JUVENILE WELFARE BOARD OF
PI ELLAS CG, ^
0c\j-.A--'..-' ' . l
Exe utive Director
DATE
IN WITNESS WHEREOF, the parties hereto have set their hands and seals this _day
of , 2001.
CITY OF CLEARWATER, FLORIDA
By:
Brian J. Aungst
Mayor-Commissioner
Attest:
e C. Hayman
Assistant City Attorney
~f!k&~~
f2rJ thia E. Gou eau =---r; .
1Y' City Clerk
Agency: City of Clearwater
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Section I
9/12/01 3:59 PM
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A IT ACHMENT 1
GENERAL CONDITIONS OF THE AGREEMENT
1. AQreement Revisions
This Agreement, and attachments 1 through 4, constitute the contractual relationship between the Provider and
JWB. No amendments to this Agreement or its attachments may be made without the prior written approval of
JWB and Provider, except as may be provided in General Condition #4.
2. Fiscal ResDonsibilitv - Provider agrees:
A. To maintain books, records and documents in accordance with generally accepted accounting
procedures and practices which accurately and appropriately reflect all expenditures of funds listed in
Attachment 4.
B. That all financial records and supporting documentation shall be subject at all times to inspection, review,
or audit by JWB personnel or its duly authorized agent.
C. To maintain and file with JWB in a timely fashion reports related to services provided under this
Agreement.
D. To retain all financial records, supporting documentation, statistical records, and any other documents
pertinent to this Agreement for a period of five (5) years after termination of this Agreement. If an audit
has been initiated and audit findings have not been resolved at the end of five (5) years, all records shall
be retained until resolution of audit findings.
3. Audit and ManaQement Letter
Within 120 days of the close of its fiscal year, Provider agrees to submit to JWB a certified independent fiscal
audit of all its corporate activities and any accompanying management letter(s). This audit shall be conducted
consistent with American Institute of Certified Public Accountants (AI CPA) Standards for Non Profit
Organizations or other mutually agreed upon standard. The audit will separately identify JWB revenues, fees
and donations, and expenditures by program.
4. Other Financial SUDDort
A. Within 30 days of the effective date of this Agreement, and at any subsequent time as a revision in the
budget may be reasonably anticipated, Provider will submit to JWBfor its approval a revised budget
which again includes all resources to be applied to the program funded under this Agreement. A written
justification will be made of any difference in the proposed budget revision and the approved budget.
Statements which reflect reductions in excess of 5% of total program funding or $5,000, whichever is
least, as reflected in the approved budget, or reduction in any amount which in the judgment of JWB
would significantly interfere with implementation of the program as originally approved, may be grounds
for breach of Agreement.
B. Provider will report any request to any other source for financial support relating to this program for this
fiscal year; and report any other financial support received which amounts to 10% of the total program
cost or $5,000, whichever is least, and an explanation of how such additional funds will be used. A full
copy of requests or applications for other financial support will be provided if requested by JWB.
C. JWB funds will not be used for expenditures also funded by other sources.
D. Generally, JWB encourages use of its funds as financial match for securing funds from other sources.
However, in such instances Provider is required to obtain prior approval from JWB.
Agency: City of ClealWater
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Section II
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5. Proaram Monitorina
Provider agrees to submit progress reports and other information in such format and at such times as may be
prescribed by JWB, and to cooperate in site visits and other on-site monitoring (including, but not limited to,
access to sites, staff, fiscal and client records, and logs and the provision of related information).
6. Board Members and Meetinas
Within 30 days of the effective date of this Agreement, Provider will submit to JWB a calendar of scheduled
Board meetings for the current fiscal year. Approved Board minutes and an updated list of Board Members
shall be submitted in accordance with JWB policy.
7. Nondiscrimination
Programs receiving funding from the Juvenile Welfare Board shall not discriminate against an employee,
volunteer, or participant of the provider on the basis of race, color, gender, religion, national origin, citizenship,
disability, marital status, or age except that programs may target services for specific participant groups as
defined in the application. Additionally, agencies receiving funds shall demonstrate the standards, policies, and
practices necessary to render services in a manner that respects the worth of the individual and protects and
preserves the dignity of people of diverse cultures, classes, races, religions, and ethnic backgrounds.
8. Publicizina of JWB Support
Provider agrees to identify JWB support on its letterhead, agency newsletter, and other printed materials, and
to utilize every reasonable opportunity to publicize the support received from JWB.
9. Publications
Provider agrees to supply JWB, without charge, up to three (3) copies of any publication developed in
connection with implementation of programs addressed by this Agreement. Such publications will state that the
program is supported by JWB. Provider agrees that JWB will have unlimited use of copyrighted materials
developed under this Agreement.
10. Assianments and Subcontracts
Provider shall not assign the responsibility of this Agreement to another party nor subcontract for any of the
work contemplated under this Agreement, unless so specified in Attachment 4, without prior written approval of
JWB. No such approval by JWB of any assignment or subcontract shall be deemed in any event or in any
manner to provide for the incurrence of any obligation by JWB in additon to the total dollar amount stated in this
Agreement. All such assignments or subcontracts shall be subject to the conditions of this Agreement and to
any conditions of approval that JWB shall deem necessary.
11. Confidential Information
Provider shall not use or disclose any information which specifically identifies a recipient of services under this
Agreement, with the following exceptions: a) such information may be revealed as may be necessary to
implement General Conditions 2 and 5; b) such information may be revealed as may be necessary pursuant to
applicable federal, state, or local law and related regulations; and c) such information may be revealed with the
written consent of the recipient, or the recipient's responsible parent or guardian, where authorized by law.
12. Return of Funds
Provider agrees to return to JWB any overpayment due to unearned funds or funds disallowed pursuant to the
terms of this Agreement that were disbursed to Provider by JWB, and such funds shall be considered JWB
funds and shall be refunded to JWB in accordance with its instructions.
Agency: City of Clearwater
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13. Special Situations
Provider agrees to inform JWB in a timely manner of any circumstances or events which may reasonably be
considered to jeopardize its capability to continue to meet its obligations under the terms of this Agreement.
14. Provider Staff Membership on Board
Provider agrees that provider staff shall not serve as members of the Provider's governing board.
15. Measurable Obiectives
A. Measurable objectives, objective levels and minimum service levels will be negotiated during the first
sixty days of the fiscal year and will be retroactive to October 1 st. The measurable objectives, objective
levels and minimum service levels of the previous fiscal year shall apply until they are renegotiated.
B. In instances when measurable objectives, objective levels and l11inimum service levels cannot be
mutually renegotiated between JWB and the provider, the matter will be referred to the Executive Director
of the Juvenile Welfare Board for resolution with the agency. If resolution is not reached at this level the
matter will be presented to the Juvenile Welfare Board at their January meeting for further action.
16. Waiver
JWB reserves the right to waive requirements of the above stated Agreement and General Conditions where
warranted by special circumstances.
Agency: City of Clearwater
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Attachment #2
City of Clearwater
Charting the Course for Youth
Measurable Objectives
FY 2000-2001
During the start up period of program implementation the staff will:
1. Recruit, screen and hire appropriate staff (Two Recreation Leaders) for
the two Teen centers: Ross Norton and Joe DiMaggio.
2. Establish and furbish the two Teen Centers: Identify space, furnish and
purchase necessary start-up supplies.
3. Purchase and setup computers in each Teen Center.
4. Ensure that staff responsible for submission of SAMIS data are trained
by September 30,2001.
5. Recruit, screen and select Teen Council participants for both Centers.
6. Establish operational procedures for Teen Center Programs: reporting
requirements, regular staff meetings, fiscal requirements, program
goals and objectives etc.
7. Administer the following assessments to all teen council members
when they enter the program (pre):
Youth Leadership Life Skills Development Scale
Atttitudes Toward Volunteerism Scale
School Commitment Scale
Minimum Service Levels - SAMIS Case Data Gatherer
40 Teen Council participants (20 per center)
Agency: City of Clearwater
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ATTACHMENT 3
GEOGRAPHICAL SERVICE AREA
Provider agrees whenever possible to maintain service sites which are accessible by public transportation and
convenient to the target client group. Provider will advise JWB of any changes made in service sites.
The geographical service area for this agreement is as follows:
Program Name
Service will be
provided
countywide
Services will be provided less
than countywide. Service will
be provided in the following zip
codes (list all zip codes of the
target area)
Charting the Course for Youth
33755,33756,33759,33761,33764,
33765,33767
Agency: City of Clearwater
Page 1 Of 1
Section IV
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ATTACHMENT 4
BUDGET(S)
The provider will deliver services according to the budget(s) following this page.
Revised budgets should be submitted by the provider in accordance with the provision of General Condition 4A as
found in Attachment 1 of this agreement.
Provider may make budget amendments during the fiscal year in accordance with JWB forms and procedures as
delineated in the budget amendment approval guidelines established on 7/19/00. Copies of these guidelines are
available from JWB upon request. In many instances, budget amendments require the approval of JWB staff.
However, there are instances when providers may amend the budget and then notify the contract manager. In such
instances, the following guidelines apply:
A. Funded programs shall make adjustments in accordance with forms and procedures as established
by JWB staff.
B. A change in an individual position salary or fringe expenditure shall be considered as separate line
items. The program may make transfers between individual salary and fringe lines, but such
transfers may not exceed 10% of individual salary and may not exceed the aggregate amount of
approved salary and fringe.
C. The program may make transfers between operating expense line items of the JWB Allocation not
exceeding $1,500 (except Administrative Cost) per line item, and not exceeding $3,000 in aggregate
per amendment.
D. In accordance with the budget amendment approval guidelines, the program may only amend the
budget twice per contract year without JWB approval. Additional budget amendment requests will
require the approval of the JWB as per the guidelines.
E. Any adjustments made by funded agencies which are not in accordance with JWB policy shall be
subject to reimbursement of JWB at the discretion of JWB.
No adjustment may be made after the budget amendment closing date in September.
Reimbursement on per diem contracts may not exceed one-fourth of the total annual JWB allocation in any quarter
of the fiscal year without prior JWB approval. Any unused per diem in one quarter may be carried over to a
subsequent quarter within the fiscal year given adequate justification and with the prior approval of JWB.
Agency: City of Clearwater
Page 1 Of 1
Section V
09112/01 3:40:28 PM
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FORM 2
CHARTING THE COURSE FOR YOUTH
CURRENT & PROPOSED OPERATING
(ROUND NUMBERS UP TO THE NEAREST DOLLAR)
(1) (2) (3) (4) (5) (6)
00-01 01-02 00-01 01-02
ACCT# TITLE
PROG. PROG. % JWB JWB %
BUDG. BUDG. CHG. ALLOC. ALLOC. CHG.
Salary Accounts:
569.120 Regular Salaries and Wages I $14,667 $64,635 341% $7,666 $34,012 344%
Total Salary :
$14,667
$64,635 341%
$7,666
$34,012 344%
Fringe Accounts:
569.210 FICA $146 $768 426% $112 $4941 341%
569.220 Retirement Contributions $1,026 $4,524 341% $536 $2,380 344%
569.230 Life and Health Insurance $2,274 $11,7681 418% $1,570 $7,620 385%
569.240 Workers Compensation $340 $1,756 416% $0 $1,140 I 100%
569.250 Unemployment Compensation $0 $0 0% $0 $0 0%
Total Fringe:
$3,786
$18,816 397%
$2,218
$11,634 425%
Operating Expense Accounts:
569.310 Professional Services $2,460 $5,100 107% $2,460 $5,100 107%
569.311 Professional ServicesIWorkshops $0 $0 0% $0 $0 0%
569.320 Accounting and Auditing $0 $0 0% $0 $0 0%
569.321 Bank Services $0 $0 0% $0 $0 0%
569.330 Court/Legal Services $0 $0 0% $0 $0 0%
569.340 Other Contractual Services $0 $0 0% $0 $0 0%
569.350 Investigations $0 $0 0% $0 $0 0%
569.400 Travel and Per Diem $0 $0 0% $0 $0 0%
569.401 Conference $0 $0 0% $0 $0 0%
Agency: City of Clearwater
Page 1 Of 3
Section VI
09/12/01 3:40:28 PM
If)
(1) (2) (3) (4) (5) (6)
00-01 01-02 00-01 01-02
ACCT# TITLE
PROG. PROG. % JWB JWB %
BUDG. BUDG. CHG. ALLOC. ALLOC. CHG.
569.402 Transportation $800 $800 0% $800 $800 0%
569.410 Communications-Telephone $0 $0 I 0% $0 $0 I 0%
569.411 Communications-Long Distance $0 $0 0% $0 $0 0%
569.412 Communications-Postage and $0 $0 0% $0 $0 0%
Shipping
569.413 Communication-Internet $0 $0 0% $0 $0 0%
569.430 Utility Services $0 $0 I 0% $0 $0 0%
569.431 Water/Sewer/Sanitation $0 $0 0% $0 $0 I 0%
569.440 Rentals & Leases (Building & Land) $0 $0 0% $0 $0 0%
569.441 Rentals & Leases - Equipment $0 $0 0% $0 $0 0%
569.450 Insurance $0 $0 I 0% $0 $0 0%
569.460 Repair & Maintenance Services. $0 $0 0% $0 $0 0%
Equipment
569.461 Repair & Maintenance Services - $0 $0 0% $0 $0 0%
Property
569.462 Repair & Maintenance Services. $0 $0 0% $0 $0 0%
Grounds
569.463 Vehicle Repair and Maintenance $0 $0 0% $0 $0 0%
Services
569.470 Printing & Binding $0 $0 0% $0 $0 0%
569.471 Copying & Binding $0 $0 0% $0 $0 0%
569.480 Promotional Activities $0 $0 0% $0 $0 0%
569.481 Advertising $0 $0 0% $0 $0 0%
569.493 Match $0 $0 0% $0 $0 0%
569.494 Administrative Cost $0 $0 0% $0 $0 0%
569.495 Residential Per Diem $0 $0 0% $0 $0 0%
569.496 Day Program Per Diem $0 $0 0% $0 $0 0%
Agency: City of Clearwater
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Section VI
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(1) (2) (3) (4) (5) (6)
ACCT# TITLE 00-01 01-02 00-01 01-02
PROG. PROG. % JWB JWB %
BUDG. BUDG. CHG. ALLOC. ALLoe. CHG.
569.497 Day Program Subsidy $0 $0 0% $0 $0 0%
569.498 Day Program Hourly Unit Cost $0 $0 0% $0 $0 I 0%
569.510 Office Supplies $0 $197 100% $0 $197 100%
569.515 Participant Expenses $0 $0 0% $0 $0 0%
569.520 Operating Supplies $13,166 $7,127 -46% $13,166 $7,127 -46%
569.521 Food & Nutrition $1,720 $1,650 -4% $1,720 $1,650 I -4%
569.540 Subscriptions $270 $180 -33% $270 $180 -33%
569.541 Books $0 $0 0% $0 $0 0%
569.542 Dues & Memberships $0 $0 0% $0 $0 0%
569.543 Educational Materials $0 $0 0% $0 $0 I 0%
569.544 Educational Training $0 $0 0% $0 $0 0%
569.590 Depreciation $0 $0 0% $0 $0 0%
569.600 OtherlMiscellaneous $0 $0 0% $0 $0 0%
569.640 Machinery & Equipment (Capital $10,100 $0 -100% $10,100 $0 -100%
Outlay)
569.660 Books, Publications, and Library $0 $0 0% $0 $0 0%
Materials (Capital)
Total Operating Expense:
$28,516
$15,054 -47%
$28,516
$15,054
-47%
Total Program Expenses:
$46,969
$98,505 110%
$38,400
$60,700
58%
Agency: City of Clearwater
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Section VI
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FORM 3
CHARTING THE COURSE FOR YOUTH
SALARY AND FRINGE PREPARATION
FISCAL 01-02
% Time Gross Salary Salary In Fringe In JWB Request JWB Request
Position Employee In Program Program For Salary For Fringe
01-02 01-02 01-02 01-02 01-02
Program Coordinator Clayton 1% $39,948 $399 $74 $0 $0
Program Coordinator LaTerza 2% $48,645 $973 $181 $0 $0
Programmer Lewis 20% $27,125 $5,425 $1,335 $0 $0
Recreation Leader Menchaca 50% $21,290 $10,645 $3,089 $0 $0
Recreation Leader New 100% $17,006 $17,006 $5,817 $17,006 $5,817
Recreation Leader New 100% $17,006 $17,006 $5,817 $17,006 $5,817
Supervisor Atherholt 5% $36,302 $1,815 $375 $0 $0
Supervisor Miller 30% $37,888 $11,366 $2,128 $0 $0
I TOTALS $245,210 $64,635 $18,816 $34,012 $11,634
Agency: City of ClealWater
Page 1 Of 1
Section VII
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FORM 4
CHARTING THE COURSE FOR YOUTH
SALARY AND FRINGE PREPARATION NARRATIVE
FISCAL YEAR 01-02
ACCOUNT #
ACCOUNT NAME
DERIVATION OF FIGURES AND
JUSTIFICATION OF
INCREASE/DECREASE OR OTHER
EXPLANATION AS NEEDED
LINE ITEM $
AMOUNT
PERCENT
INCREASE/
DECREASE
569.120 Regular Salaries and 0812012001 Budget includes in-kind support of $64,635 341%
Wages Coordinators, Supervisors, and Programmers. JWB
provides $100 support for Recreation Leaders.
569.210 FICA 0812012001 Municipal employees with a pension $768 426%
plan hired before 1986 do not pay FICA, those hired
after 1986 only pay FICA-Med at 1.45 percent of
annual salary.
569.220 Retirement 09/12/2001 $4,524 341%
Contributions City pension plan is calculated at 7% of annual
salary.
$65,635 x .07 = $4,524.
569.230 Life and Health 09/1212001 $11,768 418%
Insurance Full time employees receive medical insurance at no
cost to the employee; employer's cost is set by bid,
FY 00/01 = $3,800. Life insurance is $10 annually.
3.08 FTE's x $3800 = $11,704.
3.08 FTE's x $10 = $30.80
569.240 Workers Compensation 09/12/2001 $1,756 416%
The City of Clearwater pays $570 per full time
employee for Worker's Compensation.
3.08 FTE's x $570 = $1,756.
569.250 Unemployment $0 0%
Compensation
Agency: City of ClealWater
Page 1 Of 5
Section VIII
09/12/01 3:40:28 PM
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ACCOUNT #
ACCOUNT NAME
DERIVATION OF FIGURES AND
JUSTIFICATION OF
INCREASE/DECREASE OR OTHER
EXPLANATION AS NEEDED
LINE ITEM $
AMOUNT
PERCENT
INCREASE/
DECREASE
OPERATING EXPENSE BUDGET NARRATIVE
569.310 Professional Services 09/1212001 $5,100 107%
Ross Norton Instructors
Art-$20/hr x 3hrlwk x 50wk = $3,000
Martial Arts-$15/hr x 2hrlwk x SOwk = $1 ,500
Joe DiMaggio Instructors
Art-$20/hr x 20 hrs = $400
Teen Development-$20/hr x 10hrs = $200
569.311 Professional $0 0%
ServiceslWorkshops
569.320 Accounting and Auditing $0 0%
569.321 Bank Services $0 0%
569.330 Court/Legal Services $0 0%
569.340 Other Contractual $0 0%
Services
569.350 Investigations $0 0%
569.400 Travel and Per Diem $0 0%
569.401 Conference $0 0%
569.402 Transportation 09/1212001 $800 0%
Joe DiMaggkr10 Van Trips @$80 per trip
569.410 Communications- T eleph $0 0%
one
569.411 Communications-Long $0 0%
Distance
569.412 Communications-Postag $0 0%
e and Shipping
569.413 Communication-Intemet $0 0%
569.430 Utility Services $0 0%
Agency: City of Clearwater
Page 2 Of 5
Section VIII
09/12/01 3:40:28 PM
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DERIVATION OF FIGURES AND LINE ITEM $ PERCENT
JUSTIFICATION OF AMOUNT INCREASE/
ACCOUNT # ACCOUNT NAME INCREASElDECREASE OR OTHER DECREASE
EXPLANATION AS NEEDED
569.431 Water/Sewer/Sanitation $0 0%
569.440 Rentals & Leases $0 0%
(Building & Land)
569.441 Rentals & Leases - $0 0%
Equipment
569.450 Insurance $0 0%
569.460 Repair & Maintenance $0 0%
Services - Equipment
569.461 Repair & Maintenance $0 0%
Services - Property
569.462 Repair & Maintenance $0 0%
Services - Grounds
569.463 Vehicle Repair and $0 0%
Maintenance Services
569.470 Printing & Binding $0 0%
569.471 Copying & Binding $0 0%
569.480 Promotional Activities $0 0%
569.481 Advertising $0 0%
569.493 Match $0 0%
569.494 Administrative Cost $0 0%
569.495 Residential Per Diem $0 0%
569.496 Day Program Per Diem $0 0%
569.497 Day Program Subsidy $0 0%
Agency: City of Clearwater
Page 3 Of 5
Section VIII
09/12/01 3:40:28 PM
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DERIVATION OF FIGURES AND LINE ITEM $ PERCENT
JUSTIFICATION OF AMOUNT INCREASE/
ACCOUNT # ACCOUNT NAME INCREASE/DECREASE OR OTHER DECREASE
EXPLANATION AS NEEDED
569.498 Day Program Hourly $0 0%
Unit Cost
569.510 Office Supplies 09/1212001 $197 100%
Norton-Office supplies-pens, paper, etc
Joe DiMaggio-Office supplies
569.515 Participant Expenses $0 0%
569.520 Operating Supplies 09/1212001 $7,127 -46%
Ross Norton
Disposable Cameras (10 X $10) $100.00
Photo Processing (10 X $8) $80.00
Busch Gardens (15 X $38) $570.00
Adventure Island (15 X $26) $390.00
Disney (15 X $50) $750.00
Play Station Games (5 X $50) $250.00
Art supplies $160.00
Joe DiMaggio
Scanner $350
Video Games for Playstation $300
Folding 6ft and 8ft Tables $400
Trophies, Ribbons, Awards $627
Digital Camera $450
Prevention Videos $200
Trip to Islands of Adventure $1,000
Trip To Universal Studios (20 x $50) $1,000
Karaoke CD and graphic multi-pak $300
Portable CD/cassette player $200
569.521 Food & Nutrition 09/12/2001 $1,650 -4%
Ross Norton-
Pizza $200.00
Drinks $100.00
Cakes $50.00
Snacks $100.00
Joe DiMaggio-
Cookies, Pretzels, Snacks. Hot Dogs, Buns
$1,000
Pizza $200
569.540 Subscriptions 09/1212001 $180 -33%
Ross Norton
CD subscription c1ub-$180/yr
569.541 Books $0 0%
569.542 Dues & Memberships $0 0%
569.543 Educational Materials $0 0%
Agency: City of Clearwater
Page 4 Of 5
Section VIII
09/12/01 3:40:28 PM
M
DERIVATION OF FIGURES AND LINE ITEM $ PERCENT
JUSTIFICATION OF AMOUNT INCREASE/
ACCOUNT # ACCOUNT NAME INCREASE/DECREASE OR OTHER DECREASE
EXPLANATION AS NEEDED
569.544 Educational Training $0 0%
569.590 Depreciation $0 0%
569.600 OtherlMiscellaneous $0 0%
569.640 Machinery & Equipment $0 -100%
(Capital Outlay)
569.660 Books, Publications, and $0 0%
Library Materials
(Capital)
Agency: City of Clearwater
Page 5 Of 5
Section VIII
09/12/01 3:40:28 PM
.Ii)
FORM 5
Charting the Course for Youth
SOURCES OF REVENUE
99-00
Actual Revenue
00-01
Actual YTD As
of
09/12/01
00-01
Revenue
Projected Thru
End of Year
00-01
Total
01-02
Future Fiscal
Year Revenue
% Change
*Cash Forward From $0 $0 $0 $0 $0 0%
Fund Balance
*Fundraising $0 $0 $0 $0 $0 0%
*Participant Fees $0 $0 $0 $0 $0 0%
Insurance $0 $0 $0 $0 $0 0%
Reimbursements
Medicare/Medicaid $0 $0 $0 $0 $0 0%
United Way $0 $0 $0 $0 $0 0%
School Board In-kind $0 $0 $0 $0 $0 0%
Governmental $8,569 $0 $8,569 $8,569 $37,805 341%
Other $0 $0 $0 $0 $0 0%
SUBTOTAL $8,569 $0 $8,569 $8,569 $37,805 341%
JWB Continuation $0 $0 $0 $0 $60,700 0%
JWB Equip/Renovation $0 $0 $0 $0 $0 0%
JWB Other $0 $0 $0 $0 $0 0%
SUBTOTAL $0 $0 $0 $0 $60,700 0
TOTAL $8,569 $0 $8,569 $8,569 $98,505 1050%
CROSS CHECK ITEMS:
FUTURE FISCAL YEAR PROGRAM EXPENDITURES:
$98,505
*CASH FORWARD FROM FUND BALANCE: The amount of funds to be transferred forward from the agency's fund balance to the operation of
the program during this fiscal year.
*FUND RAISING: Any funds collected by the program of either a solicited or unsolicited nature (Donations) as well as memberships which do
not entiUe the donor to program services.
*FEES: Charges for services rendered. This may indude revenue from memberships when such memberships entitle the member to program
services.
Agency: City of Clearwater
Page 1 Of 1
Section IX
09/12/01 3:40:28 PM
~
FORM 6
Charting the Course for Youth
SOURCES OF REVENUE
NARRATIVE
Source Name
Narrative
Governmental
The City of Clearwater Parks and Recreation Department provides in kind staff
and revenue support for this program. The Department is funded by the general
fund which recieves most of its funding from Ad Valoren taxes.
JWB Continuation
JWB FY 2001-02 allocation.
Agency: City of Clearwater
Page 1 Of 1
Section X
09/12/013:40:28 PM
,1J(1
Agency: City of Clearwater
/Jb
END OF PROGRAM BUDGET FOR
Charting the Course for Youth
Page 1 Of 1
Section XI
09/12/01 3:40:28 PM
A IT ACHMENT 5
JWB REIMBURSEMENT SCHEDULE
01-02 Submission Reimbursement
Reimbursement Date Date
Schedule
1 10/05/01 10/12/01
2 10/19/01 10/26/01
3 11/02/01 11/09/01
4 11/16/01 11/23/01
5 11/30/01 12/07/01
6 12/14/01 12/21/01
7 12/28/01 01/04/02
8 01/11/02 01/18/02
9 01/25/02 02/01/02
10 02/08/02 02/15/02
11 02/22/02 03/01/02
12 03/08/02 03/15/02
13 03/22/02 03/29/02
14 04/05/02 04/12/02
15 04/19/02 04/26/02
16 05/03/02 05/10/02
17 05/17/02 OS/24/02
18 05/31/02 06/07/02
19 06/14/02 06/21/02
20 06/28/02 07/05/02
21 07/12/02 07/19/02
22 07/26/02 08/02/02
23 08/09/02 08/16/02
24 08/23/02 08/30/02
25 09/06/02 09/13/02
26 09/20/02 09/27/02
Agency: City of Clearwater
Page 1 Of 1
Section XII
09/12/013:40:28 PM
fJO