PROVIDE YOUTH SERVICES 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 Girls Incorporated of Pinellas, hereinafter referred to as the Agency.
WHEREAS, it has been determined to be highly desirable and socially responsible to provide
youth services 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 operafes 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 the30th day of September, 2001 (the Termination Date)
unless earlier terminated und~r 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.
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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 (51 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, agen~ and representatives, as part of the
consideration for this agreement, does covenant and agree that:
a) No Exclusion from Use: No person shall be excluded from participation in,
denied the benefits of, or otherwise be subjected to discrimination in the operation
of this program on the grounds of race, color, religion, sex, age, national origin, or
disability.
b) No Exclusion from Hire: In the management, operation, or provision of the
program activities authorized and enabled by this agreement, no person shall be
excluded from participation in or denied the benefits of or otherwise be subject to
discrimination on the grounds of or otherwise be subjected to discrimination on
the grounds of race, color, religion, sex, age, national origin, or disability.
c) Inclusion in Subcontracts: The Agency agrees to include the requirement to
adhere to Title VI and Title VII of the Civil Rights Act of 1964 in all approved
sub-contracts.
d) Breach of Nondiscrimination Covenants: In the event of conclusive evidenced
of a breach of any of the above non-discrimination covenants, the City shall have
the right to terminate this agreement.
7. Liability and Indemnification: The Agency shall act as an independent contractor and
agrees to assume all risks of providing the program activities and services herein agreed
and all liability therefore, and shall defend, indemnify, and hold harmless the City, its
officers, agents, and employees from and against any and all claims of loss, liability, and
damages of whatever nature, to persons and property, including, without limiting the
generality of the foregoing, death of any person and loss of the use of any property, except
claims arising from the negligence or willful misconduct of the City or City's agents or
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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 $2,850.00 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 alld the Agency but no earlier than
October 1 of the budget year for which the funds are authorized.
ARTICLE IV. DISCLAIMER OF WARRANTIES
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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. Ifto City, addressed to Grants Coordinator, Human Relations Department, P.O Box 4748,
Clearwater, FL 33758
2. If to Agency, addressed to Girls Incorporated of Pin ell as, 7700 - 61 st Street North,
Pinellas Park, FL 33781.
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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/~ day of , 2001.
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Countersigned:
Approved as to form:
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Pamela K. Akin, City Attorney
Witnesses as to Agency:
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CITy.,eF CLEARWATER, FLORIDA
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illiam B. Home II, Interim City Manager
Attest:
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E. Goudeau, City Clerk
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President
Attest:
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E.D.
UNIFIED FUNDING APPLICATION
To:(funde~: City of Clearwater
For time period of: 1 0/01 /00 - 09/30/01
Applicant Information (print or type):
Legal Name of Organization: Girls Incorpori'ltpn of Pi npll ;:Ie;
Complete Address: 7700 61 st street North
Pinellas Park, FL 33781
Phone (l2y" 544-6230
Fax ~2y' 545-5575
E-Mail
Federal Tax Identification Number: 59- 0 9 70201
Contact Person: l;red CA..- b,~ O-D.. Title~ Cenkv 0, ;te+Vr - CI ean.J Ylft r
Organization Type: _Public _Private _ Non-pro!it..!.- Other
Service Area: _ County ~ City of Clearwater
Other
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Agency currently funded by ( check all that apply):
-X St. Petersburg _ Florida Dept. of Children & Families
Cleanvater _ Florida Dept. of Justice
Largo Pinellas County Foundation
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_ Pinellas County _ Allegany Franciscan Foundation
_ Area Agency on Aging _ Eckerd Family Foundation
-X.. Juvenile Welfare Bd. Other:
~ United Way
Certifications: (1) If required to register for solicitation of funds, is the Agency currently
registered with the State? .:L- Yes _ No The County? L Yes _ No
(2) If incorporated, has the Agency Annual Report been filed with the Florida
Secretary of State? X Yes No
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Name and Title of Agency Representative submitting this funding request:
yr ell!--- {J, k Qt1 (ie. ni l Y ()/l((>},;,~. . (11 ea nJJt1.1 ( Y
Signature of Agency Director (senior" staff member) or Board Chair:
('~ ~ Date: 1- ;}..z.{-O/
Received in funder's office by:
Date:
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CITY OF CLEARWATER
SOCIAL SERVICES GRANT
PROJECT APPLICATION FORM
Due: January 26,
2001
Phone: (727) 562-4060 for assistance
A. Application Information
Applicant:
(Sponsor/Developer)
Organization Name:
(If different)
Address:
City; State; Zip
Telephone Number:
Contact Person:
Title:
Telephone Number:
Period for which funds
are being requested:
Signalure~~
Date 1-;)... 'f - 0 1
Note:
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Girls IncOl:porated of Pinellas
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7700 61 sl Street North
Pinellas Park. FL 33781
(727) 544-6230
Fpd to-. i:J/ X 0 n
C~11 fer"'/Jr,rfCfov - (J/fQ.ruxth'v
(727) 544-6230
10/1100 - 09/30/01
Anthony Capella
Board of Directors Chairperson
The City of Clearwater reserves the right to fund applicants at a level lower than requested.
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B. Activity (Check One)
Adult Crime
Child Abuse
Elderly
Hunger
Juvenile Crime
Physical Illness
Parenting
Adolescents
substance Abuse
unsupervised
Children
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Youth Development
Other
(Describe Below)
TPis project addresses truancy and drop-out prevention.
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C. AMOUNT OF FUNDING CURRENTLY REQUESTED:
(Not to exceed $10,000)
$5.000.00
D. SPECIFICALL Y FOR WHAT WILL THIS MONEY BE USED.
(Line item budget for this amount)
Salary - Tutor(s)
Fringe (11.95%)
$4.460.00
$ 540.00
Total: $5.000.00
A minimum of ten hours of tutorial services per week at $10.00 per hour (for school
year). with some additional hours during school holidays.
E. BRIEF DESCRIPTION OF PROJECT YOU WISHTO FUND UTILIZING THIS
GRANT.
girls Inc~rporated of Pine lias would like to [e-establish the tutorial program at our
ondon ardens Center. When tutoring services are not provided. 70% of the girls
attending historically perform below grade level. and resume their previous poor
study habits and poor grades. The tutor assesses areas of academic weakness.
develops plans to improve deficits and poor study habits and attempts to instill
motivatio~. pride and career goals in the girls. Each small success is rewarded so
that the girls can build confidence in their academic ability. Drop-out and truancy
are. therefore. discouraged.
F. BRIEF DESCRIPTION OF YOUR OVERALL ORGANIZA nON.
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G. NUMBER OF CLIENTS SERVED BY THIS PROGRAM.
100
H. PERCENTAGE OF THESE CLIENTS WHO ARE CITIZENS OF CLEAR WATER.
98%
I. CURRENT OVERALL ORGANIZATION BUDGET (PLEASE A IT ACH).
Please refer to Attachment A.
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.
No match money has been established for this proiect.
K. IS YOUR AGENCY A REGISTERED 501 (C) (3) NON-PROFIT AGENCY OR
IN THE PROCESS OF BECOMING ONE.
Girls Incor:porated of Pinellas has been a registered 50 1 (c) (3) since 1961.
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.
Girls Incor:porated of Pinellas, - Pinellas Park Center is licensed by the Pinellas
County License Board.
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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 -2L
NO
IF YES, PLEASE EXPLAIN:
Girls IncOl:porated of Pine lIas is currently receiving funding from the Community
Development Block Grant for $8.000.00.
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Budaet 2000-2001 ,
Suooort and Revenue: Exoenses:
JWB $304 690 Salaries $535.828 i
United Way $157930 Grouo Insurance $29 700 : .--
CDBG $10348 FICA $40.991
City Pinellas Park $35 000 Unemolovment Tax $7,770
St Pete - Soc. Action $8 000 Workman's Como $13664 .-
Misc Grants Accountin CJ $9.000
Businesses $16 500 Food $3.000
Civic & Other $10000 Office $3 000 i
Foundations $7.300 Proarams $14.000 i
Individuals $8 500 Summer Activities $16.000
Imani $500 Other SUDDlies $100 !
In Kind $0 GasDarilla $40:
Gasoarilla $45 000 Crafts in Park $125
Crafts in Park $4 000 Lawn Sales $60
Haunted House $6 000 Haunted House $1.000
Concerts $15000 Concerts $10.000
Other Fund Raisina $7 273 Other - Adm $.1 000
Lawn Sales $1 500 Other - WF $1.000 -
MembershiD Dues $13000 ProDertv Ins. $5 900
Weeklv Fees $156.775-c Electricitv $16200 .- - ,
Summer Act. $17 000 Water & Sewer $6150 I
Club Funds $10.00a - Janitorial $2 000 =..:.
Interest I $1 000 ProD ReDairs & Maint $3 000 ' ---
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Vendina I $275 Grounds Reoair $4 000 ~-
Misc Revenue $1 200 Licenses & Permits $1.200 :.:-r
I Security $2 440
GROSS INCOME $836 79t Rent $996 -
-.- Gas & Oil $10000 ---
Mileaae $4.000 -
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Vehicle Maint. $9.000 -
Vehicle Lic & Rea $140 ...
Vehicle Ins. $17.607
ReaionaVNational $3 700 - .
Staff Trainina $2.500 -. .-
TeleDhone $7.395
Postaae $1.000
EauiD. Maint $13.700 -
FidelitY Ins. $128
Interest ExD $12 500
Dues I $7 000
Liabilitv I $10958
Advertisina $9 000 - -
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TOTAL EXPENSES : ~.
I $836 791 -
NET INCOME . :
I $0
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