CHARTING THE COURSE FOR YOUTH
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AGREEMENT
Between
THE JUVENILE WELFARE BOARD
And
City of Clearwater, Florida
Parks and Recreation Department
(Charting the Course for Youth)
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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, 2002 and extending through September 30, 2003.
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 Pinellas,
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 02-03 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 $61,914 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
Page 1 of 3
Section I
9/24/02
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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 #6 (Board Members and Meetings) is waived.
Agency: City of Clearwater
Page 2 of 3
Section I
9/24/02
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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 seal this ~day
of-MfV1~~ ,2001.
Signed, sealed and delivered
I n the presence of:
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Witn s Signatur
Print Name: "''"-''1 .(.. ~~'t
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Print Name: /?,,,, /.~".t. 11. 1t4/1ory
RE BOARD OF
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DATE
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IN WITNESS WHEREOF, the parties hereto have set their hands and seal this _day
of
,2001.
Brian . Aungst
Mayor-Commissio r
Agency: City of Clearwater
Page 3 of 3
Section I
~ CLEARWATER, FLORIDA
By: "itVJ~-:U:
William B. Horne, II
City Manager
Attest:
M~tk~/k~
~ynthi . Goudeau ·
V -city Clerk
9/24/02
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ATTACHMENT 1
GENERAL CONDITIONS OF THE AGREEMENT
1. Aareement 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 Responsibility - 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 Manaaement 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 (AICPA) 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 Support
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 JWB for 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 Clearwater
Page 1 Of 3
Section II
09/13/02 10:45:43 AM
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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
Page 2 Of 3
Section II
09/13/02 10:45:43 AM
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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 minimum 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
Page 3 Of 3
Section II
09/13/02 10:45:43 AM
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Attachment #2
City of Clearwater
Charting The Course For Youth
Measurable Objectives
FY 2002-2003
Measurable Objectives will be negotiated during the first 60 days of the fiscal year
and will be retroactive to October 1, 2002.
Agency: City of Clearwater
Page 1 of 1
Section III
9/23/02
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
33756,33765
Agency: City of Clearwater
Page 1 Of 1
Section IV
09/13/0210:45:43 AM
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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
09/13/02 10:45:43 AM
FORM 2
CHARTING THE COURSE FOR YOUTH
CURRENT & PROPOSED OPERATING BUDGET
(ROUND NUMBERS UP TO THE NEAREST DOLLAR)
(1 ) (2) (3) (4) (5) (6)
01-02 02-03 01-02 02-03
ACCT# TITLE
PROG. PROG. % JWB JWB %
BUDG. BUDG. CHG. ALLOC. ALLOC. CHG.
Salary Accounts:
569.120 Regular Salaries and Wages $64,635 $68,3381 6% $34,012 $37,715 11%
Total Salary : $64,635 $68,338 6% $34,012 $37,715 11%
Fringe Accounts:
569.210 FICA $768 $991 1 29% $494 $5471 11%
569.220 Retirement Contributions $4,524 $4,7841 6% $2,380 $2,640 11%
569.230 Life and Health Insurance $11,768 $13,3491 13% $7,620 $9,201 21%
569.240 Workers Compensation $1,756 $1,756\ 0% $1 ,140 $1 ,140 0%
569.250 Unemployment Compensation $0 $01 0% $0 $01 0%
Total Fringe:
$18,816
$20,880
11%
$11,634
$13,528
16%
Operating Expense Accounts:
569.310 Professional Services $5,100 $2,100 -59% $5,100 $2,100 -59%
569.311 Professional Services/Workshops $0 $0 0% $0 $0 I 0%
569.320 Accounting and Auditing $0 $0 0% $0 $0 0%
569.321 Bank Services $0 $0 0% $0 $01 0%
569.330 Court/Legal Services $0 $01 0% $0 $0 I 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 $01 0% $0 $0 I 0%
Agency: City of Clearwater
Page 1 Of 3
Section VI
09/24/02 10: 51 : 39 AM
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(1) (2) (3) (4) (5) (6)
01-02 02-03 01-02 02-03
ACCT# TITLE
PROG. PROG. % JWB JWB %
BUDG. BUDG. CHG. ALLOC. ALLOC. CHG.
569.402 Transportation $800 $400 -50% $800 $400 -50%
569.410 Communications-Telephone $0 $01 0% $0 $0 0%
569.411 Communications-Long Distance $0 $01 0% $0 $0 0%
569.412 Communications-Postage and $0 $01 0% $0 $0 0%
Shipping
569.413 Communication-Internet $0 $0 0% $0 $0 0%
569.430 Utility Services $0 $0 0% $0 $0 0%
569.431 Water/Sewer/Sanitation $0 $0 0% $0 $0 0%
569.440 Rentals & Leases (Building & Land) $0 $01 0% $0 $0 I 0%
569.441 Rentals & Leases - Equipment $0 $0 0% $0 $0 I 0%
569.450 Insurance $0 $0 0% $0 $0 0%
569.460 Repair & Maintenance Services - $0 $01 0% $0 $0 0%
Equipment
569.461 Repair & Maintenance Services - $0 $01 0% $0 $0 I 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 $01 0%
569.480 Promotional Activities $0 $0 0% $0 $0 0%
569.481 Advertising $0 $0 0% $0 $0 I 0%
569.493 Match $0 $0 0% $0 $0 0%
569.494 Administrative Cost $0 $01 0% $0 $0 I 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
Page 2 Of 3
Section VI
09/24/0210:51:39 AM
'. .
(1) (2) (3) (4) (5) (6)
ACCT# TITLE 01-02 02-03 01-02 02-03
PROG. PROG. % JWB JWB %
BUDG. BUDG. CHG. ALLOC. ALLOC. CHG.
569.497 Day Program Subsidy $0 $0 0% $0 $0 0%
569.498 Day Program Hourly Unit Cost $0 $0 0% $0 $0 0%
569.510 Office Supplies $197 $197 0% $197 $197 0%
569.515 Participant Expenses $0 $01 0% $0 $01 0%
569.520 Operating Supplies $7,127 $6,084 -15% $7,127 $6,084 -15%
569.521 Food & Nutrition $1,650 $1,650 0% $1,650 $1,650 0%
569.540 Subscriptions $180 $240 33% $180 $240 33%
569.541 Books $0 $01 0% $0 $01 0%
569.542 Dues & Memberships $0 $0 0% $0 $0 0%
569.543 Educational Materials $0 $0 0% $0 $0 0%
569.544 Educational Training $0 $0 0% $0 $0 0%
569.590 Depreciation $0 $01 0% $0 $0 I 0%
569.600 Other/Miscellaneous $0 $O[ 0% $0 $0 0%
569.640 Machinery & Equipment (Capital $0 $0 0% $0 $0 0%
Outlay)
569.660 Books, Publications, and Library $0 $0 0% $0 $0 0%
Materials (Capital)
Total Operating Expense:
$15,054
$10,671 -29%
$15,054
$10,671 -29%
Total Program Expenses:
$98,505
$99,889 1%
$60,700
$61,914 2%
Agency: City of Clearwater
Page 3 Of 3
Section VI
09/24/02 10: 51 : 39 AM
FORM 3
CHARTING THE COURSE FOR YOUTH
SALARY AND FRINGE PREPARATION
FISCAL YEAR 02-03
Gross Salary In Fringe In JWB Request JWB Request Salary
Position Employee % Time Salary Program Program For Salary For Fringe Funding %
In
02-03 02-03 02-03 02.Q3 02.Q3
Program Coordinator Clayton 1% $39,948 $399 $79 $0 $0 0.00%
Program Coordinator LaTerza 2% $48,645 $973 $181 $0 $0 0.00%
Programmer Lewis 20% $27,125 $5,425 $1,335 $0 $0 0.00%
Recreation Leader D. Thompson 100% $17,048 $17,048 $6,593 $17,048 $6,593 100.00%
Recreation Leader Menchaca 50% $21,290 $10,645 $3,089 $0 $0 0.00%
Recreation Leader T. Catio 100% $20,667 $20,667 $6,935 $20,667 $6,935 100.00%
Supervisor Atherholt 5% $36,302 $1,815 $375 $0 $0 0.00%
Supervisor Miller 30% $37,888 $11,366 $2,293 $0 $0 0.00%
I TOTALS $248,913 $68,338 $20,880 $37,715 $13,528 55.19%
Agency: City of Clearwater Page 1 Of 1 09/24/02 10: 51 : 39 AM
Section VII
FORM 4
CHARTING THE COURSE FOR YOUTH
SALARY AND FRINGE PREPARATION NARRATIVE
FISCAL YEAR 02-03
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 09/16/2002 $68,338 6%
Wages Budget includes in-kind support of Coordinators,
Supervisors, and Programmers. JWB provides
100% support for Recreation Leaders.
569.210 FICA 09/24/2002 $991 29%
Municipal employees with a pension plan hired
before 1986 do not pay FICA, those hired after 1986
only pay FICA-Med at 1.45 percent of annual salary.
$68,338 x .0145 = $991
569.220 Retirement 09/16/2002 $4,784 6%
Contributions City pension plan is calculated at 7% of annual
salary.
$68,338 x .07 = $4784.
569.230
Life and Health
Insurance
09/16/2002
Full time employees receive medical insurance at no
cost to the employee; employer's cost is set by bid,
FY 02103= $4,400. Group Life insurance is $11
annually and additional life insurance is 1 % of
employee's base salary.
$13,349
13%
569.240
Workers Compensation
09/16/2002
The City of Clearwater pays $570 per full time
employee for Worker's Compensation. Persentage
of total salaries approximately 2.569%.
$1,756
0%
569.250
Unemployment
Compensation
$0
0%
Agency: City of Clearwater
Page 1 Of 5
Section VIII
09/24/02 10: 51 : 39 AM
" .
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 09/10/2002 $2,100 -59%
Ross Norton Instructors
Pottery-$20/hr x 25 hr = $500
Drumming-$20/hr x 25 hr = $500
Cooking-$20/hr x 15 hr = $300
Facial care-$200
Joe DiMaggio Instructors
Art-$20/hr x 20 hrs = $400
Teen Development-$20Ihr x 10hrs = $200
569.311 Professional $0 0%
ServiceslWorkshops
569.320 Accounting and Auditing $0 0%
569.321 Bank Services $0 0%
569.330 CourVLegal 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 09/10/2002 $400 -50%
Joe DiMaggio
4 Van Trips @ $100 per trip
569.410 Communications- Teleph $0 0%
one
569.411 Communications-Long $0 0%
Distance
569.412 Communications-Postag $0 0%
e and Shipping
Agency: City of Clearwater
Page 2 Of 5
Section VIII
09/24/0210:51:39 AM
~ -, 't
DERIVATION OF FIGURES AND LINE ITEM $ PERCENT
JUSTIFICATION OF AMOUNT INCREASEI
ACCOUNT # ACCOUNT NAME INCREASE/DECREASE OR OTHER DECREASE
EXPLANATION AS NEEDED
569.413 Communication-Internet $0 0%
569.430 Utility Services $0 0%
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%
Agency: City of Clearwater
Page 3 Of 5
Section VIII
09/24/02 10:51 :39 AM
ACCOUNT #
ACCOUNT NAME
DERIVATION OF FIGURES AND
JUSTIFICATION OF
INCREASE/DECREASE OR OTHER
EXPLANATION AS NEEDED
LINE ITEM $
AMOUNT
PERCENT
INCREASE/
DECREASE
569.496
Day Program Per Diem
$0
0%
569.497
Day Program Subsidy
$0
0%
569.498
Day Program Hourly
Unit Cost
$0
0%
569.510
Office Supplies
09/10/2002
Norton-Office supplies-pens, paper, etc
Joe DiMaggio-Office supplies
$197
0%
569.515
Participant Expenses
$0
0%
569.520
Operating Supplies
09/10/2002
Ross Norton
VCR tapes $100.00
Adventure Island (20 X $25) $500.00
Disney Quest(20 X $20) $400.00
Play Station Games (5 X $25) $125.00
Art supplies $175.00
Awards $100.00
Decorations $75.00
Music for DJ service $350.00
Music Concert trip (20 x $20) $400.00
Movies $75.00
State fair $200.00
Skating/bowling $200.00
Educational materials $350.00
$6,084
-15%
Joe DiMaggio
Video Games for Playstation $300
Adventure Island (20 X $25) $500.00
Art supplies $175.00
Trophies, Ribbons, Awards $500
Universal Studios (20 x $50)$1,000
Movies $175.00
State fair $200.00
Board games $184.00
Agency: City of Clearwater
Page 4 Of 5
Section VIII
09/24/0210:51:39 AM
100, .. 1 l .f'
ACCOUNT #
ACCOUNT NAME
DERIVATION OF FIGURES AND
JUSTIFICATION OF
INCREASE/DECREASE OR OTHER
EXPLANATION AS NEEDED
LINE ITEM $
AMOUNT
PERCENT
INCREASE/
DECREASE
569.521
Food & Nutrition
09/10/2002
Ross Norton-
Pizza $200.00
Drinks $100.00
Cakes $50.00
Snacks $100.00
$1,650
0%
Joe DiMaggio-
Cookies, Pretzels, Snacks, Hot Dogs, Buns
$1,000
Pizza $200
569.540 Subscriptions 09/10/2002 $240 33%
Ross Norton
CD subscription club-$150/yr
Magazines @ 3x$30=90
569.541 Books $0 0%
569.542 Dues & Memberships $0 0%
569.543 Educational Materials $0 0%
569.544 Educational Training $0 0%
569.590 Depreciation $0 0%
569.600 Other/Miscellaneous $0 0%
569.640 Machinery & Equipment $0 0%
(Capital Outlay)
569.660 Books, Publications, and $0 0%
Library Materials
(Capital)
Agency: City of ClealWater
Page 5 Of 5
Section VIII
09/24/0210:51:39 AM
-.,'.. '
I'..,..
FORM 5
Charting the Course for Youth
SOURCES OF REVENUE
00-01 01-02 01-02 01-02 02-03
Actual Revenue Actual YTD As Revenue Total Future Fiscal % Change
of Projected Thru Year Revenue
09/24/02 End of Year
*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 $40,760 $20,380 $20,380 $40,760 $37,975 -7%
Other $0 $0 $0 $0 $0 0%
SUBTOTAL $40,760 $20,380 $20,380 $40,760 $37,975 -7%
CSC Continuation $0 $30,350 $30,350 $60,700 $0 0%
CSC Equip/Renovation $0 $0 $0 $0 $0 0%
CSC Other $0 $0 $0 $0 $61,914 0%
SUBTOTAL $0 $30,350 $30,350 $60,700 $61,914 2%
TOTAL $40,760 $50,730 $50,730 $101,460 $99,889 -2%
CROSS CHECK ITEMS:
FUTURE FISCAL YEAR PROGRAM EXPENDITURES:
$99,889
*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 entitle 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
09/24/0210:51:39 AM
Section IX
....' ! , .f ~~" .
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.
CSC Other
JWB FY 02/03 allocation.
Agency: City of Clearwater
Page 1 Of 1
09/24/0210:51:39 AM
Section X
"'....:---~. ,II ,. .1.' t
Agency: City of Clearwater
END OF PROGRAM BUDGET FOR
Charting the Course for Youth
Page 1 Of 1
Section XI
09/13/02 10:45:43
,.. ~,..~ .: ,- -!-oV' .
ATTACHMENT 5
JWB REIMBURSEMENT SCHEDULE
02-03 Submission Reimbursement
Reimbursement Date Date
Schedule
1 1 0/04/02 10/11/02
2 10/18/02 10/25/02
3 11/01/02 11/08/02
4 11/15/02 11/22/02
5 11/29/02 12/06/02
6 12/13/02 12/20/02
7 12/27/02 01/03/03
8 01/10/03 01/17/03
9 01/24/03 01/31/03
10 02/07/03 02/14/03
11 02/21/03 02/28/03
12 03/07/03 03/14/03
13 03/21/03 03/28/03
14 04/04/03 04/11/03
15 04/18/03 04/25/03
16 05/02/03 05/09/03
17 05/16/03 OS/23/03
18 05/30/03 06/06/03
19 06/13/03 06/20/03
20 06/27/03 07/03/03
21 07/11/03 07/18/03
22 07/25/03 08/01/03
23 08/08/03 08/15/03
24 08/22/03 08/29/03
25 09/05/03 09/12/03
26 09/19/03 09/26/03
Agency: City of Clearwater
Page 1 Of 1
Section XII
09/13/0210:45:43 AM