PROVIDE HOME HEALTH AND HOMEMAKING 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 Gulf Coast Community Care, hereinafter referred to as the Agency.
WHEREAS, it has been determined to be highly desirable and socially responsible to provide
home health and homemaking 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 operates in the City;
NOW, THERFORE, the parties agree as follows:
ARTICLE I. TERM
The term ofthis agreement shall be for a period of 12 months commencing on the 1 st day of
October, 2000 and continuing through the 30th day of September, 2001 (the Termination Date)
unless earlier terminated under the terms of this agreement.
ARTICLE II. RESPONSIBILITIES OF THE AGENCY
1. Services to be Provided: The Agency shall provide the above stated service in
accordance with the proposal submitted by the Agency and approved by the City, which
is attached and incorporated herein by reference.
2. Area to be Served: Services rendered through this agreement shall be provided within
the corporate limits of the City as it now exists and as its boundaries may be changed
during he term of this agreement.
3. Scheduled Reports of Agency Activities: The Agency shall furnish the City Human
Relations Department, Grants Coordinator, with an annual report of activities conducted
under the provisions of this agreement by October 31, 2001. Each report is to identify the
number of clients served, the costs of such service, and commentary on the viability,
effectiveness, results of measurable goals and objectives as set out in the agency's
proposal, and trends affecting the program. The agency will also provide a copy of its
most recent independent financial audit.
4. Use and Disposition of Funds Received: Funds received by the Agency from the City
shall be used to pay for the above services as further described in the grant proposal
submitted by the Agency to the City. Funds existing and not used for this purpose at the
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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:
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 ofthis 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
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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
approved or unapproved invitee, contractor, subcontractor, or other person approved,
authorized, or permitted by the Agency in or about its premises whether or not based on
negligence
ARTICLE III. RESPONSIBILITIES OF THE CITY
1. Grant of Funds: The City agrees to provide a total grant of $4,950.00 to fund the
program in accordance with this agreement and subject to City Commission budget
approval.
2. Payments: The total amount requested will be paid by the City to the Agency within 30
days after execution of this agreement by the City and the Agency but no earlier than
October 1 of the budget year for which the funds are authorized.
ARTICLE IV. DISCLAIMER OF WARRANTIES
This Agreement constitutes the entire Agreement of the parties on the 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 ofthe provisions of this agreement as determined by
the City shall constitute cause for termination. This agreement may by terminated with 5
days notice without any further obligation by City.
2. Disposition of Fund Monies: In the event of termination for any reason, monies made
available to the Agency but not expended in accordance with this agreement shall be
returned to the City.
ARTICLE VI. NOTICE
Any notice required or permitted to be given by the provisions of this agreement shall be
conclusively deemed to have been received by a party hereto on the date it is hand-delivered to
such party at the address indicated below (or at such other address as such party shall specify to
the other party in writing), or if sent by registered or certified mail (postage prepaid), on the fifth
(5th) business day after the day on which such notice is mailed and properly addressed.
1. If to City, addressed to Grants Coordinator, Human Relations Department, P.O Box 4748,
Clearwater, FL 33758
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2. If to Agency, addressed to Gulf Coast Community Care, 14041 Icot Boulevard,
Clearwater, FL 33760.
ARTICLE VII. EFFECTIVE DATE
The effective date ofthis agreement shall be as of the first day of October, 2000.
.IN WITNESS WHEREOF, the parties hereto have set their hands and seals this
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, 2001.
CITY OF CLEARWATER, FLORIDA
Countersigned:
BY~:'~~~
William B. Home II, Interim City Manager
Approved as to form:
Jl&ldn, City Attorney
Attest:
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Witnesses as to Agency:
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CITY OF CLEARWATER
SOCIAL SERVICES GRANT
Phone:
PROJECT APPLICATION FORM
(727) 562-4060 for assistance Due: January 26,2001
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 2000/200 I
Signatur~. IJJ. ~MiChael A Bernstein. President/CEO'
Board of Directors Chairperson
Date
Januarv 25, 2001
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
x
Hunger
Juvenile Crime
Physical Illness
(Xl
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)
$7.500
D. SPECIFICALLY FOR WHAT WILL THIS MONEY BE USED.
(Line item budget for this amount)
Funding equal to 450 hours of care will be applied toward homemaker services for low income
frail elders and catastrophically disabled adults living in Clearwater, which will benefit 87
individuals. 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 S"e1"Vices 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 501 (c )(3) nonsectarian, human services agency which has been serving
Pinellas County for over 40 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 costlv 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 39 homemakers
providing in-home services, and 3 homemaker supervisors. Results of monitoring by the Dept.
of Elder Affairs, the Area Agency on Aging and the Dept. of Children and Families, consistently
note the agency is in compliance with program and funding requirements. The agency's main
office and service location is in Clearwater (Icot Blvd.), as is a second office (Arcturas Ave.)
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providing IllV/AIDS, employment and refugee services.
G. NUMBER OF CLIENTS SERVED BY THIS PROGRAM.
124 frail elders and 333 disabled adults are served in Pinellas County.
H. PERCENTAGE OF THESE CLIENTS WHO ARE CITIZENS OF CLEARWATER.
23% or (75 of333) severely disabled adults reside in Clearwater, and 10% (12 of 124) frail
elders reside in Clearwater. There are approximately 74 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 100./0 local matching requirement for these funds, per our contracts with the Area
Agency on Aging (Title ill 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 501(c)(3) nonv.ofit agencv
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 RECEIVED OR IS IT EXPECTING TO RECEIVE
FUNDING (WHETHER CASH OF IN-KIND CONTRIBUTIONS) FROM THE CITY
OF CLEARWATER DURING THE FISCAL YEAR FROM OCTOBER 1, 2000
THROUGH SEPTEMBER 30, 2001?
YES
NO
X
IF YES, PLEASE EXPLAIN:
N. Measurable Objective for the Program:
95% of Clients will maintain or improve their quality of life by
remaininq independent in their own homes rather than movina to a
nursina home or Assisted Livina Facility.
H:\BARB\CLRWSOC.wpd
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UNIFIED FUNDING APPLICATION
To: (fonder): City of Clearwater
For time period of: October 1. 2000 - September 30. 2000
Applicant Information (print or tvDe):
Legal Name of Organization Gulf Coast Jewish Familv Services/d/b/a Gulf Coast Community Care
Complete Address: 14041 loot Boulevard
Clearwater. FL 33760
Phone (727) 538-7460
Fax (727) 535-4474
E-Mail rnbernsteinuv.2cifs.ore
Federal Tax Identification Number: 59-1229354
Contact Person: Michael Bernstein Title: President/CEO
Organization Type: _Public_Private.lNon-Profrt_ Other
Service Area:.l County_City of
Other
Agency Currently funded by (check all that apply):
.l St. Petersburg
.l Clearwater
_ Largo
.l PineIlas County
.l Area Agency on Aging
.l Juvenile Welfare Bd.
.l United Way
.lFlorida Dept. of Children & Families
_Florida Dept. of Justice
. _PineIlas County Foundation
_Allegany Franciscan Foundation
_Eckerd Family Foundation
--X- Other: PineIIas Countv School Board
PineIIas Workforce Board
Certifications: (1) If required to register for solicitation of funds, is the Agency currently
registered with the state? -X-Yes _ No The County?..LYes _No
(2) If incorporated, has the Agency Annual Report been flied with the Florida
Secretary of State? .l Yes _ No
Name and Title of Agency Representative submitting this funding request:
Harvev Landress.
Vice-President for Plannine
2001
Received in funder's office by:
Date:
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BOARD OF DIRECTORS -# required in By Laws = 33 (Maximum)
NAME/OFFICER OCCUPATION AREA OF EXPERTISE RACE/GENDER
Myron Mensh, Esq. Lawyer Law White Male
(Chairman)
Barbara Bernstein Fundraising White Female
(Vice Chairman)
June Gelbart Fundraising White Female
(Vice Chairman)
Rabbi Gary Klein Rabbi Religion White Male
(Treasurer)
Gladys Schutz Philanthropy White Female
(Secretary)
David A. Bernstein, M.D. Physician Health Care White Male
(Immediate Past Chairman)
Eleanor Abbo Fundraising - _ White Female
~ardAmeer, Ph.D. Retired Health Care & White Male
Management Consulting
Tammy Bobo Homemaker V olunteerism & Advocacy White Female
Nancy Bomstein Businesswoman Business White Female
Dorothy Cohen Retired Business White Female
Gertrude Debowsky Retired Education White Female
Ruth Dikman V olunteerism White Female
Syd Entel Businesswoman Business White Female
Marjorie Eskenas Mental Health Advocacy White Female
Florence L. Fayer Retired Education White Female
Steven J. Gilbert Financial Planner Finance & Accounting While Male
SHen Glassman Congressional Aide Government Relations White Female
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BOARD OF DIRECTORS
. ,\ME/OFFICER OCCUP AnON AREA OF EXPERTISE RACE/GENDER
Elizabeth Goodman, Esq. Lawyer Law and White Female
Government Relations
David Greene Businessman Construction White Male
William Israel Managemmt Management & Planning White Male
Consultant
Karl K. Jacobson, Esq. Lawyer Law White Female
Walter Loebenberg Businessman Business and Health Care White Male
Ronald Oxman Retired Businessman Philanthropy White Male
Annette Raymund Social Work and White Female
Volunteerism .
Leslie A. Rubin Businessman Property Management White Male
and Business
Ronald Sakal Retired Health Care and Business -- White Male
james H. Shimberg, Jr., Esq. Lawyer Law and Government White Male
Relations
Joseph B. Sterensis Businessman Business and Health Care White Male
Earnest Williams Businessman Insurance and Government Black Male
Relations
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GULF COAST COMMUNITY CARE
Frail Elders and Disabled Adults
FY 00-0 I
Revenue
Other State Funding
City of Clearwater
City of St Petersburg
United Way Pine lIas
United Way of Pasco
Medicaid
First & Third Party
Other
Total Revenue
543,739
7,500
3,000
58,000
7,500
778,000
690
600
1,399,029
Expenses
Salaries
Fringe
Building Occupancy
Professional Services
Travel
Equipment Costs
Medical & Pharmacy
Subcontract Service
Insurance
Interest
Operating Supp. & Expenses
Direct Support
Total Direct Expenses
793,467
89,569
19,251
25,800
49,917
9;6'11
176
93,284
31,904
11,315
29,374
37,584
1,191,252
Administrative Support
185,764
Total Expenditures
1,377,016
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GULF COAST COMMUNITY CARE
CONSOLIDA TED AGENCY
FY 00-01
Revenue
State ADM
Other State Funding
City of Clearwater
Pinellas County
City of St. Petersburg
United Way of Pine lias County
United Way of Pasco County
United Way of Polk County
Local Government
Federal Grants
Medicare
Medicaid
First & Third Party
Donations
Other
In-Kind
3,228,230
2,947,184
7,500
43,888
3,000
103,220
30,000
35,300
646,313
149,799
53,675
4,051,912
648,337
70,950
460,636
559,603
13,039,547
Total Revenue
Expenses
Salaries
Fringe
Building Occupancy
Professional Services
Travel
Equipment Costs
Food Service
Medical & Pharmacy
Subcontract Service
Insurance
Interest
Operating Supp. & Expenses
Other
In-Kind
Direct Support
Total Direct Expenses
6,287,001
820,753
614,427
325,309
328,21 1
156,095
291,088
36,217
II 1,284
229,276
168,686
852,071
100
559,603
326,710
11,106,831
Administrative Support
1,645,707
Total Expenditures
12,752,538
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