SURF AND SAFARI SUMMER CAMP 03-09-00 - 09-30-00
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AGREEMENT
Between
THE JUVENILE WELFARE BOARD
And
City of Clearwater
Parks and Recreation Department
(Surf and Safari Summer Camp)
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I.
PURPOSE
The Juvenile Welfare Board of Pinellas County, hereinafter referred to
as "JWB", and City of Clearwater
Parks and Recreation Department, hereinafter referred to as "Provider",
enter into this mutual Agreement, including all attachments referred to
herein, for the period commencing March 09, 2000 and extending through
September 30, 2000.
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 Pinel las, and are
subj ect 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 were submitted for fiscal year 1999-00 funding.
III. SERVICES
Provider agrees to deliver services to accomplish objectives stated in
~ctachment 2 in accordance with recognized child welfare practices, as
ietermined 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 $44,028 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 V (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.
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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, this
Agreement may be terminated by either party upon no less than
thirty (30) days notice. 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 JWB I S 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.
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VIII.SPECIAL CONDITIONS
General Condition
General Condition #6
#3 (Audit and Management Letter) is
(Board Members and Meetings) is waived.
waived.
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Date
Countersigned:
City f Clearwater, Florida
1 J, Roberto
Manager
Approved as to form:
Attest:
e~
~ssistant City Attorney
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ATTACHMENT #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 ResDonsibility-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 indeperc€nt fs':~ c_cit 0' ail its corporate activities and any accompanying management letter(s). This
- ,-" <"-:2:-: \\i:'i A"Tlerican Institute of Certified Public Accountants (AICPA) Standards for
",-, ilLdtiOnS or other mutually agrE:ec; u;:,on 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
bud!"'c' !"\18V be re,"~"::'abiy er,ticipated, Provider will submit to JWB for its approval a revised budget which
,0: ai: resources to be applied to the program funded under this Agreement. A written
llfication 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,
5. Proqram Monitorinq-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
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(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 Meetings-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 JW8 policy.
7. Nondiscrimination-Provider agrees that no person shall, on the grounds of race, sex, handicap, national origin,
religion, martial status or political belief, be excluded from participation in, denied the benefit(s) of, or be otherwise
discriminated against as an employee, volunteer, or client of the provider, except that programs may designate
services for specific client groups as defined in the application. Provider agrees to maintain reasonable access to
handicapped persons.
8. Publicizinq of JWB Support -Provider agrees to identify JW8 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 JW8, 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 JW8 will have unlimited use of copyrighted materials
developed under this Agreement.
10. Assiqnments 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 JW8. 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 addition 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
servj~,?s ,.:",.1"" this ^C1reement with the fol'')wing exceptions: a) such j-',')rrra:Gl may be revealed as may be
- -"': ~" ,.... ". may be revealed as may be necessary
,ClIions; and c) such information may be revealed
witn tne wntten consent of the reclplem, or the reCipients 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,
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.
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Attachment #2
City of Clearwater
Parks and Recreation Department
(Surf and Safari Summer Camp)
Measurable Objectives
FY 1999-00
Measurable objectives for this contract are in the process of being
developed with assistance from the Quality Management & Evaluation
Department. They will be finalized by May 22,2000.
4/10/00+
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ATTACHMENT 3
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 ill! zip codes of the
target area)
Surf and Safari Summer Camp
33755
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ATTACHMENT 4
BUDGETlS)
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 and the budget amendment approval process published on 4/16/96, Additional copies are
available from JWB upon request. In most 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 5% 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 $1,000 or 20% whichever is larger (except Administrative Cost),
but not exceeding $5,000 in aggregate per amendment.
d, No single line item may be adjusted more than twice each fiscal year without prior JWB
approval.
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
;;;.;IY 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,
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FORM 2
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Program: Surf and Safari Summer Camp
Agency: City of Clearwater
Date Created:ApriI11, 2000
(1) (2) (3) (4) (5) (6)
98-99 99-00 98-99 99-00
ACCT # TITLE
PROG. PROG. % JWB JWB 0/0
BUDG. BUDG. CHG. ALLOC. ALLOC. CHG.
SALARY AND FRINGE ACCOUNTS
569,120 Regular Salaries and Wages $14,189.00 $15,065.00 6,17% $3,946.00 $3,946,00 0,00%
569,210 FICA $878.00 $1,213.00 38.15% $302.00 $302.00 0,00%
569.220 Retirement Contributions $235.00 $0.00 -100.00% $0,00 $0.00 0,00%
569.230 Life and Health Insurance $310.00 $0,00 -100.00% $0.00 $0,00 0,00%
569.240 Workers Compensation $605.00 $181.00 -70.08% $180,00 $181.00 0,56%
569.250 Unemployment $0.00 $0.00 0,00% $0.00 $0.00 0.00%
Compensation
PROGRAM
CURRENT & PROPOSED OPERATING BUDGET
(ROUND NUMBERS UP TO THE NEAREST DOLLAR)
Total Salary and Fringe:
$16,217.00
$16,459.00
1.49%
$4,428.00
$4,429.00
0.02%
OPERATING EXPENSE ACCOUNTS
569.310 Professional Services $0.00 $5,750.00 100,00% $0,00 $5,750.00 0,00%
569,311 Professional $0.00 $0.00 0,00% $0.00 $0,00 0.00%
ServiceslWorkshops
569.320 Accounting and Auditing $0.00 $0.00 0,00% $0.00 $0.00 0.00%
569,321 Bank Services $0,00 $0,00 0.00% $0,00 $0,00 0,00%
569,330 Court/Legal Services $0.00 $0.00 0.00% $0.00 $0.00 0.00%
569.340 Other Contractual Services $17,210.00 $0,00 -100.00% $17,210,00 $0.00 -100,00%
569.350 Investigations $0.00 $0.00 0.00% $0.00 $0.00 0.00%
569.400 Travel and Per Diem $0.00 $0.00 0.00% $0.00 $0.00 0,00%
569.401 Conference $0,00 $0.00 0,00% $0.00 $0.00 0.00%
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569.402 Transportation $8,505,00 $10,800.00 26.98% $8,505.00 $10,800,00 26.98%
569.410 Communications-Telephone $0.00 $0,00 0.00% $0.00 $0.00 0.00%
569.411 Communications-Long $0,00 $0.00 0.00% $0.00 $0.00 0.00%
Distance
569.412 Communications-Postage $0,00 $0.00 0.00% $0.00 $0.00 0,00%
and Shipping
569.413 Communication-Internet $0.00 $0.00 0.00% $0.00 $0.00 0.00%
569.430 Utility Services $0,00 $0,00 0,00% $0.00 $0.00 0.00%
569.431 Water/Sewer/Sanitation $0.00 $0.00 0.00% $0.00 $0.00 0,00%
569.440 Rentals & Leases (Building $0.00 $0.00 0.00% $0.00 $0,00 0,00%
& Land)
569.441 Rentals & Leases - $0.00 $0.00 0.00% $0,00 $0,00 0,00%
Equipment
569.450 Insurance $0,00 $0.00 0.00% $0.00 $0.00 0,00%
569.460 Repair & Maintenance $0.00 $0.00 0.00% $0.00 $0.00 0.00%
Services - Equipment
569.461 Repair & Maintenance $0,00 $0,00 0.00% $0.00 $0.00 0.00%
Services - Property
569.462 Repair & Maintenance $0.00 SO.OO 0,00% $0.00 $0.00 0.00%
Services - Grounds
569.463 Vehicle Repair and $0.00 $0.00 0.00% $0.00 $0.00 0.00%
Maintenance Services
569,470 Printing & Binding $0.00 $0.00 0.00% $0.00 $0.00 0,00%
569.471 Copying & Binding $0,00 $0.00 0.00% $0.00 $0.00 0,00%
569.480 Promotional Activities $0.00 $0.00 0.00% $0.00 $0.00 0.00%
569.481 Advertising $0.00 $0.00 0.00% $0.00 $0.00 0.00%
569.493 Match $0.00 $0.00 0.00% $0,00 $0,00 0,00%
569.494 Administrative Cost $0.00 $0.00 0,00% $0.00 $0.00 0.00%
569.495 Residential Per Diem $0.00 $0.00 0.00% $0.00 $0,00 0.00%
569.496 Day Program Per Diem $0,00 $0.00 0.00% $0.00 $0.00 0.00%
569.497 Day Program Subsidy $0,00 $0.00 0.00% $0.00 $0.00 0.00%
569.498 Day Program Hourly Unit $0.00 $0.00 0.00% $0.00 $0.00 0,00%
Cost
569.510 Office Supplies $0.00 $0.00 0,00% $0.00 $0.00 0,00%
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569.515 Participant Expenses $0.00 $0.00 0.00% $0,00 $0.00 0,00%
569.520 Operating Supplies $10,966.00 $22,704,00 107,04% $10,966,00 $22,704.00 107.04%
569.521 Food & Nutrition $140.00 $325.00 132.14% $140.00 $325,00 132.14%
569.540 Subscriptions $0.00 $0.00 0,00% $0.00 $0.00 0,00%
569.541 Books $0.00 $0,00 0.00% SO.OO $0.00 0.00%
569.542 Dues & Memberships $0.00 $0,00 0.00% $0,00 $0,00 0,00%
569.543 Educational Materials $0.00 $0.00 0.00% $0.00 $0.00 0.00%
569.544 Educational Training $30.00 $20.00 -33.33% $0.00 $20.00 0.00%
569,590 Depreciation $0,00 $0.00 0.00% $0.00 $0.00 0.00%
569.600 Other/Miscellaneous $0.00 $0.00 0.00% $0.00 $0.00 0.00%
569.640 Machinery & Equipment $0,00 $0.00 0.00% $0,00 $0.00 0,00%
(Capital Outlay)
569,660 Books, Publications, and $0.00 $0.00 0.00% $0.00 $0.00 0.00%
Library Materials (Capital)
Total Operating Expenses:
Total Program Expenses:
$36,851.00
$53,068.00
$39,599.00
$56,058.00
7.46%
5.63%
$36,821.00
$41,249.00
$39,599,00
$44,028.00
7,54%
6.74%
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, FORM 3
Pr02ram: Surf and Safari Summer Camp
A2ency: City of Clearwater
Date Created: April 11, 2000
PROGRAM
SALARY AND FRINGE PREPARATION
FISCAL YEAR 99-00
Salary In Fringe In : JWB JWB Request
% Time Gross Salary Program Program ' Request For For Fringe
Position Employee In Salary
99-00 99-00 99-00 99-00 99-00
i Community Center New 0.00 $39,502.00 $3,331.00 $302.00 $0,00 $0,00
, Supervisor
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I Seasonal Recreation TBH 0.00 $3,444,00 $3,444.00 $264.00 $0.00 $0,00
i Leader
i Seasonal Recreation TBH 0.00 $3,444.00 $3,444.00 $264.00 $0,00 $0,00
i Leader
: Seasonal Recreation Bannis 100.00 $3,946,00 $3,946,00 $483.00 I $3,946.00 $483.00
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I Leader-Leadworker
Program Coordinator New 0.00 $52,502.00 $900.00 581.00 $0,00 $0,00
,-~ ~,~ 51J65.00 51,394.00 $3,946.00 $483,00
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FORM 4
Program: Surf and Safari Summer Camp
Agency: City of Clearwater
Date Created: Aprilll, 2000
PROGRAM
SALARY AND FRINGE PREPARATION NARRATIVE
FISCAL YEAR 99-00
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
Wages
04/10/2000 One Seasonal Recreation
Leader-Leadworker @ 400 regular + 80
start-up hours. 100% of 480 @
$8.2199/hour = $3946 (R).
$15,065.00
6,17%
569.210 FICA
04/03/2000 ,0765 x $3946 = $302 (R).
$1,213,00
$0.00
38.15%
569.220 Retirement
Contributions
New
-100.00%
569.230 Life and Health
Insurance
New
$0.00
-100.00%
569.240 Workers Compensation
04/03/2000 Full-time worker's rate of
$781.10/2080 hours = .376 x part-time
workers hours @ 480 = $181,00 (R).
$181.00
-70.08%
" .',smployment
_,~'inpensation
New
$0.00
0,00%
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OPERATING EXPENSE BUDGET NARRATIVE
DERIVATION OF FIGURES AND LINE ITEM $ PERCENT
JUSTIFICATION OF
INCREASE/DECREASE OR OTHER AMOUNT INCREASE/DECREASE
ACCOUNT # ACCOUNT NAME EXPLANATION AS NEEDED
569.310 Professional Services 04/03/2000 Art lessons: $50/hr x 1.5 $5,750.00 0,00%
hrs/wklgroup x 10 wks x 3 groups = $2250.
Magic lessons: $50/hr x 1 hr/group x 10
wks x 2 groups = $1000.
Tennis lessons: $50/hr x 1 hr/group x 10
wks x 3 groups = $1500.
Drama program: $50/hr x 1 hr/group x 3
groups x 10 wks =$1000.
569.311 Professional New $0.00 0.00%
ServiceslWorkshops
569,320 Accounting and New $0.00 0.00%
Auditing
569.321 Bank Services New $0,00 0.00%
569,330 Court/Legal Services New $0.00 0.00%
569.340 Other Contractual New $0.00 -100.00%
Services
569,350 Investigations New $0.00 0,00%
569.400 Travel and Per Diem New $0,00 0.00%
';69.401 Conference New $0.00 0.00%
569.402 Transportation 04/03/2000 Astro skate bus service: Three $10.800.00 26,98%
(3) trips a week for 9 weeks = 27 trips x
$400 = $10,800,
569.410 Communications- New $0,00 0,00%
Telephone
569.411 Communications-Long New $0.00 0,00%
Distance
569.412 Communications- New $0.00 0.00%
Postage and Shipping
569.413 Communication- New $0.00 0,00%
Internet
569.430 Utility Services New $0.00 0.00%
569.431 Water/Sewer/Sanitation New $0.00 0.00%
569.440 Rentals & Leases New $0.00 0.00%
(Building & Land)
569.441 Rentals & Leases - New $0.00 0,00%
Equipment
569.450 Insurance New $0.00 0.00%
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569.460 Repair & Maintenance New $0.00 0.00%
Services - Equipment
569.461 Repair & Maintenance New $0.00 0,00%
Services - Property
569.462 Repair & Maintenance New $0,00 0.00%
Services - Grounds
569.463 Vehicle Repair and New $0.00 0.00%
Maintenance Services
569.470 Printing & Binding New $0.00 0.00%
569.471 Copying & Binding New $0,00 0.00%
569.480 Promotional Activities New $0.00 0.00%
569.481 Advertising New $0.00 0,00%
569.493 Match New $0.00 0,00%
569.494 Administrative Cost New $0.00 0.00%
569.495 Residential Per Diem New $0,00 0.00%
569.496 Day Program Per Diem New $0.00 0,00%
~,'J7 Day Program Subsidy New $0,00 0.00%
569.498 Day Program Hourly New $0.00 0.00%
Unit Cost
569,510 Office Supplies New $0.00 0.00%
569.515 Participant Expenses New $0,00 0.00%
569.520 Operating Supplies 03/27/2000 Start up supplies: $22.704,00 107.04%
T-shirts: 150 x $5 = $750.
Sunscreen: 1 gal = $135.
Arts and Crafts Supplies: $2000
Tennis balls: 10 cs x $50.40 = $504.
Tennis racquets: 30 x $50 = $1500.
Magic equipment: $500
Substance abuse Video and Games: $200.
Operating:
Field trips:
79 Busch Gardens/Adventure Island passes
x $109.95 = $8864.95
Astro Skate: 75 x $6 x 9wks = $4050,
Educational Museums: 75 x $7 X 9wks =
$4200
569.521 Food & Nutrition 03/27/2000 Sports drink mix: 20 bags x $9 $325,00 132.14%
= $180.-start-up
Ice cream party: $145
569.540 Subscriptions New $0.00 0.00%
569,541 Books New $0.00 0,00%
569.542 Dues & Memberships New $0.00 0.00%
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569.543 Educational Materials New $0.00 0,00%
569.544 Educational Training 03/27/2000 Camp director to attend JWB $20.00 -33.33%
training "Activities and Games that Educate
and Motivate Upper Elementary and Teen
Youth".
569.590 Depreciation New $0.00 0.00%
569.600 Other/Miscellaneous New $0,00 0.00%
569.640 Machinery & New $0,00 0.00%
Equipment (Capital
Outlay)
569,660 Books, Publications, New $0.00 0.00%
and Library Materials
(Capital)
4/11/002:26:08 AM
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Page 16 of 19
I
I
FORM 5
Program: Surf and Safari Summer Camp
Agency: City of Clearwater
Date Created:
April 11, 2000
PROGRAM
SOURCES OF REVENUE
98-99 98-99
Actual Y-T-D Revenue 99-00
97 -98 As of Projected Thru 98-99 Future Fiscal
i Actual Revenue 4/11/00 End Of Year Total Year Revenue % Change
I .
*Cash Forward From I
I
Fund Balance $0.00 $0.00 $0.00 I $0.00 $0,00 0,00%
I
*Fundraising $0.00 $0.00 $0.00 $0.00 $0.00 0.00%
.
*Participant Fees $0.00 $0,00 $0.00 $0.00 $0.00 0,00%
Insurance i
Reimbursements $0.00 $0.00 $0.00 $0.00 $0.00 0.00%
I I
. $0.00 $0.00 $0.00 $0.00 $0,00 0.00%
Medicare I Medicaid
United Way $0,00 $0.00 $0.00 $0,00 $0.00 0,00%
School Boad In-kind $0.00 $0.00 $0.00 $0.00 $0.00 0.00%
Governmental $0.00 $0.00 $11,817.00 $11,817.00 $12,030,00 1.80%
,
, ~"'~,~r $0,00 $0.00 $0.00 $0.00 $0.00 0,00%
-- - -~. . ., - .
.. 3:.:,~ $0.00 $11,817.00 $11,817.00 $12,030.00 1.80%
I
JWB Continuation $0.00 $0.00 I $0,00 $0.00 $0,00 0.00%
, I
JWB Equip/Renovation $0.00 $0,00 $0.00 $0.00 $0.00 0.00%
JWB Other $0.00 $0.00 $41,250,00 $41.250.00 $44,028,00 6.73%
TOTAL $0.00 $0.00 $53,067.00 $53,067.00 $56,058,00 5.64%
CROSS CHECK ITEMS:
FUTURE FISCAL YEAR PROGRAM EXPENDITURES:
$56,058,00
.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 include revenue from memberships when such memberships entitle the member to program
services.
4/11/002:26:08 AM
Page 17 of 19
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I
I
FORM 6
Program: Surf and Safari Summer Camp
Agency: City of Clearwater
Date Created: April 11, 2000
PROGRAM
SOURCES OF REVENUE
NARRATIVE
Source Name
Narrative
Cash Forward From
Fund Balance
EMPTY
Fundraising
EMPTY
Participant Fees
EMPTY
Insurance
Reimbursements
EMPTY
Medicare/Medicaid
EMPTY
United Way
EMPTY
School Boad In-kind
EMPTY
,.-,..._.........~ ....4....,
The City of Clearwater Parks and Recreation Department provides in-kind staff
3"d reven'.,:e support for this program, The Clearwater Parks and Recreation
...,,0",' i~ 'J:oded by the City of Clearwater General Fund which receives
,; :c~'r" Ad Valoren taxes.
Other
EMPTY
JWB Continuation Funding
EMPTY
JWB Equip/Renovation Funding EMPTY
JWB Other Funding
The JWB Board approved funding of $44,028 for the Surf & Surfari Summer
Camp on 3/9/00.
4/11/002:26:08 AM
rP
Page 18 of 19
, .
ATTACHMENT V
I
JWB REIMBURSEMENT SCHEDULE
II
1999/2000 SUBMISSION DATE REIMBURSEMENT
REIMBURSEMENT DATE
SCHEDULE
1 09/24/99 1 % 1/99
2 10/08/99 10/15/99
3 10/22/99 10/29/99
4 11/05/99 11/12/99
5 11/19/99 11/26/99
6 12/03/99 12/10/99
7 12/17/99 12/24/99
8 12/31/99 01/07/00
9 01/14/00 01/21/00
10 01/28/00 02/04/00
11 02/11/00 02/18/00
12 02/25/00 03/03/00
13 03/10/00 03/17/00
14 03/24/00 03/31/00
15 04/07/00 04/14/00
16 04/21/00 04/28/00
17 05/05/00 05/12/00
18 05/19/00 OS/26/00
19 06/02/00 06/09/00
20 06/16/00 06/23/00
21 06/30/00 07/07/00
22 07/14/00 07/21/00
23 07/28/00 08/04/00
24 08111/00 08/18/00
25 08/25/00 09/01/00
26 09/08/00 09/15/00
PC'ge 19 of 19
~