PROVIDE HOMEMAKER SERVICES FOR THOSE IN NEED
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AGREEMENT
This Funds Agreement is made and entered into between the City of Clearwater, hereinafter
referred to as the City, and Gulf Coast Community Care hereinafter referred to as the Agency.
WHEREAS, it has been determined to be highly desirable and socially responsible to provide
homemaker services to those who would not otherwise have a means to fill this need; 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 I st day of
October, 1998 and continuing through the 30th day of September, 1999 (the Termination Date)
unless earlier terminated under the terms of this agreement.
ARTICLE II. RESPONSmILITIES 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
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 within sixty days of the end of the Agency's fiscal
year. Each report is to identify the number of clients served, the costs of such service, and
commentary on the viability, effectiveness, and trends affecting the program.
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.
5. Creation, Use, and Maintenance of Financial Records:
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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 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
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
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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 ill. RESPONSmILITIES OF THE CITY
1. Grant of Funds: The City agrees to provide a total grant of$ 9,377.00 to fund the
program in accordance with this agreement.
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 in material
respect shall constitute cause for termination. This agreement may by terminated with 30
days notice.
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 c'ertified 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. 0 Box
4748, Clearwater, FL 33758
2. If to Agency, addressed to Gulf Coast Community Care, Michael Bernstein,
President/CEO, 14041 Icot Boulevard, Clearwater, FL 33760.
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ARTICLE VII. EFFECTIVE DATE
The effective date of this agreement shall be as ofthe first day of October, 1998.
.IN WITNESS WHEREOF, the parties hereto have set their hands and seals this
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7 dayof Orlo'~ ,1998.
City of Clearwater, Florida
Countersigned:
CITY OF CLEARWATER, FLORIDA
By: ~
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Michael Roberto, City Manager
Approved as to form and legal sufficiency:
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Attest:
John Carassas, Assistant City Attorney
Witnesses as to Agency:
Attest:
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CITY OF CLEARWATER
SOCIAL SERVIC~S GRANT
Phone:
PROJECT APPLICATION FORM
(813) 562-4060 for assistance Due: May 4, 1998
A. Applicant Information
Applicant:
(Sponsor/Developer)
Gulf Coast Community Care
Organization Name:
If different)
Address:
14041 Icot Blvd.
City; State; Zip
Clearwater. FL 33760
Telephone Number:
538-7460
Contact Person:
Michael Bernstein
Title:
President/CEO
Telephone Number:
538-7460
Period for which funds
are being requested:
Fiscal Year 1998-99
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Signature/ , l~ I. i
Date April 30, 1998
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o . hael A. Bernstein. PresidentJCEO*
Board of Directors Chairperson
NOTE:
The City of Clearwater reserves the right to fund applicants at a
level lower than requested.
* Special Note: Gulf Coast's Board of Directors has given the President/CEO the
authority to sign all contracts and grants as specified in the agency's
Constitution and Bylaws.
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B. Acti vi ty (Check One)
Adult Crime
Child Abuse
Elderly
Hunger
Juvenile Crime
Physical Illness
Parenting
Adolescents
Substance Abuse
Unsupervised
Children
Youth
Development
Other
(Describe Below)
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C. AMOUNT OF FUNDING CURRENTLY REQUESTED:
(Not to exceed $10,000)
$10.000
D. SPECIFICALLY FOR WHAT WILL THIS MONEY BE USED.
(Line item budget for this amount)
Funding equal to 625 hours of care will be applied toward homemaker services for low income
frail elders and catastrophically disabled adults living in Clearwater. In-home assistance with
basic tasks such as cooking, shopping and cleaning enable frail elders and seriously disabled
adults to remain in their own homes rather than be forced to move into more costly and
restrictive settings, usually at taxpayers' expense. Clients typically receive three to four hours
a week of homemaker services. These services, which are funded by the Dept. of Children
and Families, and the Area Agency on Aging, require a 10% local match,
E.' BRIEF DESCRIPTION OF THE PROJECT YOU WISH TO FUND UTILIZING
THIS GRANT.
Gulf Coast has been providing in-home services to catastrophically disabled adults (e.g.,
quadriplegia, paraplegia, Muscular Dystrophy, Cerebral Palsy, stroke) since the early 1980's
and to frail elders under the Older American's Act Title III Homemaker Services program since
1987. The goal of both programs is to enable the elderly and catastrophically disabled adults
to remain in the least restrictive setting possible through access to in-home services such as
cleaning, cooking and shopping. Homemaker services have a direct, positive impact on clients
lives by meeting their physical needs and maintaining a healthy environment, and preventing
them from entering nursing homes or assisted living facilities.
F. BRIEF DESCRIPTION OF YOUR OVERALL ORGANIZATION.
Gulf Coast Community Care is the major division of Gulf Coast Jewish Family and Mental
Health Services, Inc., a 50 1 (c)(3) nonsectarian, human services agency which has been serving
Pinellas County for 38 years. The agency offers a range of services for children, adults and
seniors in serious physical, mental, social, and financial need, enabling them to remain in the
community with their families and loved ones instead of being forced into more costly and
restrictive institutional settings. Gulf Coast has been the lead agency providing in-home
services for low-income, disabled adults in the Tampa Bay area since the mid-1980's, and since
1987 has been providing in-home care for frail elders. The agency employs 50 homemakers
providing in-home services, and 3 homemaker supervisors. Results of monitorings by the
Dept. of Elder Affairs, the Area Agency on Aging and the Dept. of Children and Families,
consistently note the agency is in full compliance with aU program and funding requirements.
Theagency's main office and service location is in Clearwater (Icot Blvd.), as is a second office
(Arcturas Ave.) providing HIV/AIDS, mental health and employment services.
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G. NUMBER OF CLIENTS SERVED BY THIS PROGRAM.
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446 currently active clients -- 96 frail elders from Pinellas County, and 350 disabled adults
from Pinellas and Pasco Counties.
H. PERCENTAGE OF THESE CLIENTS WHO ARE CITIZENS OF CLEARWATER.
12.8% (57 of 446) from Clearwater -- 11.4% (40) disabled adults; 17.7% (17) frail elders).
There are II individuals from Clearwater on the waiting list for services
I. CURRENT OVERALL ORGANIZATION BUDGET (PLEASE ATTACH.)
Please see attached.
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.
There is a 10% local matching requirement for these funds, per our contracts with the Area
Agency on Aging (Title III Homemaker for elders) and the Dept. of Children and Families
(Community Care for Disabled Adults).
K. IS YOUR AGENCY A REGISTERED 501 (C) (3) NON-PROFIT AGENCY OR IN
THE PROCESS OF BECOMING ONE.
Gulf Coast is a 50 I ( c )(3) nonprofit agency
L. DOES YOUR FACILITY HAVE OR IS IT IN THE PROCESS OF ACQUIRING
THE APPROPRIATE LICENSURE FOR THE DELIVERY OF THE SERVICES
DESCRIBED IN THE APPLICATION.
We have all proper licenses and authorizations to deliver homemaker services.
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M.
HAS YOUR ORGANIZATION
FUNDING (WHETHER CASH
OF CLEARWATER DURING
THROUGH SEPTEMBER 30,
YES
IF YES, PLEASE EXPLAIN:
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RECEIVED OR IS IT EXPECTING TO RECEIVE
OF IN-KIND CONTRIBUTIONS) FROM THE CITY
THE FISCAL YEAR FROM OCTOBER 1, 1997
1998?
NO
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H:\USERS\SHARED\PROF\GRANT\PROPOSAL \AGENCY\SOCIALAC\CLRWSOC.598
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Gulf Coast Community Care I
Agency Budget
FY 98 - 99
REVENUE
State Funding
Other Government Funding
First and Third Party
Medicare
Donations/Fund Raising
, United Way of Pasco County
United Way of Pinellas County
Pinellas Mental Health Foundation
Homeless Coalition
Interest Income
Other
In-Kind
TOTAL ALL FUND AND REVENUE
EXPENDITURES
Salaries
Fringe Benefits
Total Personnel
Building Occupancy
Professional Services
Travel
Equipment Expense
Food
Medical & Pharmacy
Subcontracted
Insurance
Interest
Operating Supplies and Expense
Other
In-Kind Donated Items
Total Expenses
Direct Support
Administrative Expense
TOTAL EXPENDITURES
. ,;"
3,214,774
6,170,672
721,646
40,749
627,625
20,000
67,929
23,255
3,200
1 ,108
167,560
73,584
11,132,102
5,099,162
765,409
5,864,571
613,949
369,296
268,676
161,253
282,247
46,842
65,294
245,556
167,701
713,513
73,584
3,007,911
381,956
1,842,925
11,097,363
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Gulf Coast Community Care
Frail Elders and Disabled Adults
FY 98 - 99
REVENUE
State Funding
City of Clearwater and City of Saint Petersburg
Donations - Fund Raising
United Wa~ of Pinellas County
TOTAL ALL FUND AND REVENUE
EXPENDITURES
Salaries
Fringe Benefits
Total Personnel
Building Occupancy
Professional. Services
Travel
Equipment Expense
Food
Medical & Pharmacy
Subcontracted
Insurance
Interest
Operating Supplies and Expense
Other
In-Kind Donated Items
Total Expenses
Direct Support
Administrative Expense
TOTAL EXPENDITURES
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1,281,175
15,000
575
26,566
1,323,316
722,739
108,413
831,152
21,869
63,334
9,134
10
743
27,810
37,297
9,435
10,940
180,572
43,919
236,672
1,292,315