MIDDLE SCHOOL-AGE SUMMER SCHOLARSHIP PROGRAM
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RECEIVED
MAY ~7i001
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AGREEMENT
Between
THE JUVENILE WELFARE BOARD
and
City of Clearwater Parks and Recreation Department
(Middle School-Age Summer Scholarship Program)
.
I. PURPOSE
The Juvenile Welfare Board of Pine lias 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 February
8, 2001 and extending through September 30, 2001.
II. STAFF
Provider agrees to employ staff, at its expense, to execute services provided in accordance with this
Agreement. Such inqii.viduals 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 00-01 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 $72,955 for Middle School-Age Summer
Scholarship Program 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.
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
Agency: City of Clearwater
Page 1 of 3
Section I
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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'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.
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.
The following condition applies to the following program(s):
--- Middle School-Age Summer Scholarship Program
The provider must provide stand-alone programs for the 10-11 year old age group and the 12-14 year
old age group.
Agency: City of Clearwater
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Section I
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IX. SIGNATURES
Date
5( q /-z"oo I
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Approved as to form:
hn Carassas
ssistant City Attorney
Agency: City of Clearwater
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Page 3 of 3
Section I
City of Clearwater, Florida
BA~.._~fk-
William B. Horne
Interim City Manager
Attest:
03/22/01 10:52.:35 AM
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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 ResDonsibilitv - 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 SUDDort
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
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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
Provider agrees that no person shall, on the grounds of race, sex, handicap, national origin, religion, marital
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. Publicizina of JWB SUDDort
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
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: 13. Soecial 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 Membershio 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
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ATTACHMENT 2
City of Clearwater
Middle School-Age Summer Scholarship Program
MEASURABLE OBJECTIVES
FY 00-01
Measurable Objectives for this contact are in the process of
being developed with assistance from the JWB Department of
Quality Management & Evaluation. They will be finalized prior
to the implementation of the Teen Camps (June 11, 2001).
Agency: City of Clearwater
Page 1 Of 1
Section III
03/22/01 1 :58:05 PM
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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)
Middle School-Age Summer Scholarship Program
33755
Agency: City of Clearwater
Page 1 Of 1
Section IV
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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
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FORM 2
MIDDLE SCHOOL-AGE SUMMER SCHOLARSHIP PROGRAM
CURRENT & PROPOSED OPERATING BUDGET
(ROUND NUMBERS UP TO THE NEAREST DOLLAR)
569.120
Regular Salaries and Wages
(1 ) (2) (3) (4) (5) (6)
99-00 00-01 99-00 00-01
PROG. PROG. % JWB JWB %
BUDG. BUDG. CHG. ALLOC. ALLOC. CHG.
$12,202 $47,888 $3,758 $0 -100%
$12,202 $47,888 292% $3,758 $0 -100%
ACCT# TITLE
Salary Accounts:
Total Salary :
Fringe Accounts:
569.210 FICA $1,014 $3,669 262% $288 $0 -100%
569.220 Retirement Contributions $0 $0 0% $0 $0 0%
569.230 Life and Health Insurance $0 $0 0% $0 $0 0%
569.240 Workers Compensation $181 $487 169% $181 $0 -1 00%
569.250 Unemployment Compensation $0 $0 0% $0 $0 0%
Total Fringe:
$1,195
$4,156
248%
$469
$0
-100%
Operating Expense Accounts:
569.310 Professional Services $1,300 $4,500 246% $1,300 $0 -100%
569.311 Professional ServicesJWorkshops $0 $0 0% $0 $0 0%
569.320 Accounting and Auditing $0 $0 0% $0 $0 0%
569.321 Bank Services $0 $0 0% $0 $0 0%
569.330 Court/Legal Services $0 $0 0% $0 $0 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 $0 0% $0 $0 0%
Agency: City of Clearwater
Page 1 Of 3
Section VI
03/23/01 8:52:01 AM
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(1) (2) (3) (4) (5) (6)
99-00 00-01 99-00 00-01
ACCT# TITLE
PROG. PROG. 0/0 JW6 ,JWB %
BUDG. BUDG. CHG. ALLoe. ALLOC. CHG.
569.402 Transportation $2,717 $18,420 578% $2,717 $0 -100%
569.410 Communications-Telephone $0 $0 0% $0 $0 0%
569.411 Communications-Long Distance $0 $0 0% $0 $0 0%
569.412 Communications-Postage and $0 $0 0% $0 $0 0%
Shipping
569.413 Commun ication-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 $0 0% $0 $0 0%
569.441 Rentals & Leases - Equipment $0 $0 0% $0 $0 0%
569.450 Insurance $0 $0 0% $0 $0 0%
569.460 Repair & Maintenance Services - $0 $0 0% $0 $0 0%
Equipment
569.461 Repair & Maintenance Services - $0 $0 0% $0 $0 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 $0 0%
569.480 Promotional Activities $0 $0 0% $0 $0 0%
569.481 Advertising $0 $0 0% $0 $0 0%
569.493 Match $0 $0 0% $0 $0 0%
569.494 Administrative Cost $0 $0 0% $0 $0 0%
569.495 Residential Per Diem $0 $0 0% $0 $0 0%
569.496 Day Program Per Diem $0 $0 0% $0 $72,955 100%
Agency: City of Clearwater
Page 2 Of 3
Section VI
03/23/01 8:52:01 AM
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(1) (2) (3) (4) (5) (6)
99-00 00-01 99-00 00-01
ACCT# TITLE
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 $0 $0 0% $0 $0 0%
569.515 Participant Expenses $0 $0 0% $0 $0 0%
569.520 Operating Supplies $4,382 $32,082 632% $4,382 $0 -100%
569.521 Food & Nutrition .. $280 $3,861 1279% $280 $0 -100%
569.540 Subscriptions $0 $0 0% $0 $0 0%
569.541 Books $0 $0 0% $0 $0 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 $20 $20 0% $20 $0 -100%
569.590 Depreciation $0 $0 0% $0 $0 0%
569.600 Other/Miscellaneous $0 $0 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:
$8,699
$58,883
577%
$8,699
$72,955
739%
Total Program Expenses:
$22,096
$110,927
402%
$12,926
$72,955
464%
Agency: City of Clearwater
Page 3 Of 3
Section VI
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FORM 3
MIDDLE SCHOOL-AGE SUMMER SCHOLARSHIP PROGRAM
SALARY AND FRINGE PREPARATION
FISCAL YEAR 00-01
% Time Gross Salary Salary In Fringe In JWB Request JWB Request
Position Employee In Program Program For Salary For Fringe
00-01 00-01 00-01 00-01 00-01
New New 100% $3,194 $3,194 $386 $0 $0
Recreation Coordinator Clayton 2% $39,948 $799 $61 $0 $0
Recreation Coordinator Laterza . 2% $48,645 $973 $74 $0 $0
Recreation Leader Ppt Whitter 10% $15,000 $1,500 $115 $0 $0
Recreation Programmer Henry 25% $32,990 $8,248 $631 $0 $0
Recreation Programmer Lewis 10% $27,125 $2,713 $208 $0 $0
Recreation Programmer Lightfoot 10% $35,318 $3,539 $271 $0 $0
Recreation Supervisor Atherholt 4% $36,302 $3,630 $278 $0 $0
Recreation Supervisor Hinson 2% $49,013 $980 $75 $0 $0
TBH TBH 100% $319 $319 $39 $0 $0
TBH TBH 2 100% $3,617 $3,617 $278 $0 $0
TBH TBH 3 100% $3,513 $3,513 $425 $0 $0
TBH TBH4 100% $3,354 $3,354 $398 $0 $0
TBH TBH 4 sup 100% $797 $797 $95 $0 $0
TBH TBH 5 100% $3,513 $3,513 $269 $0 $0
Agency: City of Clearwater
Page 1 Of 2
Section VII
03/23/01 8:52:01 AM
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% Time Gross Salary Salary In Fringe In JWB Request JWB Request
Position Employee In Program Program For Salary For Fringe
00-01 00-01 00-01 00-01 00-01
TBH TBH6 100% $3,513 $3,513 $269 $0 $0
TBH TBH 7 100% $3,513 $3,513 $269 $0 $0
TBH Pool Guard P. Guard 1 100% $86 $87 $7 $0 $0
TBH Pool Guard P. Guard 2 100% $86 $86 $7 $0 $0
I TOTALS $309,845 $47,888 $4.155 $0 $0
Agency: City of Clearwater
Page 2 Of 2
Section VII
03/23/01 8:52:01 AM
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FORM 4
MIDDLE SCHOOL-AGE SUMMER SCHOLARSHIP PROGRAM
SALARY AND FRINGE PREPARATION NARRATIVE
FISCAL YEAR 00.01
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 03/22/2001 03/21/2001 03/20/2001 The Seasonal $47,888 292%
Wages Recreation Leader at MLK is a leadworker due to
the size of the program and number of employees in
the program. TBH #3 is the leadworker position; her
salary is $8.38 per hour. All other Seasonal Rec
Leaders make $7.985 per hour.
569.210 FICA 03/22/2001 FICA = Salary x 7.65% $3,669 262%
569.220 Retirement $0 0%
Contributions
569.230 Life and Health $0 0%
Insurance
569.240 Workers Compensation 03/22/2001 The City of Clearwater pays $736 per $487 169%
full time employee for Workers Compensation. $736
divided by 2080 hours (annual full time equivilant)=
$.353 per hour. To calculate workers compensation
for part time or seasonal employees, multiply total
annual number of hours times $.353.
569.250 Unemployment $0 0%
Compensation
Agency: City of Clearwater
Page 1 Of 7
Section VIII
03/23/01 8:52:01 AM
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. ACCOUNT #
ACCOUNT NAME
DERIVATION OF FIGURES AND
JUSTIFICATION OF
INCREASE/DECREASE OR OTHER
EXPLANATION AS NEEDED
LINE ITEM $
AMOUNT
PERCENT
INCREASE!
DECREASE
OPERA TING EXPENSE BUDGET NARRATIVE
569.310 Professional Services 03/22/2001 Kings Hwy Program: $4,500 246%
Art Classes @$500.00
Epress Diversity ($20.00 per hr x 10 hrs.)$200.00
Environmental Science Class $1,000.00
Program Subtotal: $1700.00
Ross Norton Program:
Tennis Lesson: 2 grp (10 kids)x 1 hr x1 0 wks @ $15
= $300
Art Lesson: 2 grp (10 kids)x 1.5 hr x4 wks @ $75 =
$600
Magic Lesson: 2 grp (10 kids)x 1 hr x4 wks @ $50 =
$400
Program subtotal: $1,300.00
Martin Luther King Program:
Art Lesson - 3 grps. of 10,2 x week for 10 wks., @
$25.00 per 1 hr. = $500.00
Cultural Crafts - 3 grps. of 10,2 x week for 10 wks.,
@ 25.00 per hr. = $500.00
Drama Program - 2 grps. of 10, 2 x week for 10 wks
@ $25.00 per hr. = $500.00
Program subtotal: $1,500.00
569.311 Professional $0 0%
ServiceslWorkshops
569.320 Accounting and Auditing $0 0%
569.321 Bank Services $0 0%
569.330 Court/Legal Services $0 0%
569.340 Other Contractual 3/22/2001 $0 0%
Services
569.350 Investigations $0 0%
569.400 Travel and Per Diem $0 0%
569.401 Conference $0 0%
Agency: City of Clearwater
Page 2 Of 7
Section VIII
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DERIVATION OF FIGURES AND LINE ITEM $ PERCENT
JUSTIFICATION OF AMOUNT INCREASE/
. ACCOUNT # ACCOUNT NAME INCREASE/DECREASE OR OTHER DECREASE
EXPLANATION AS NEEDED
.
569.402 Transportation 03/2212001 $18,420 578%
Kings Hwy Program:
24 Van Trips @ $80 per trip = $1920
Ross Norton Program:
City: Half Bus service 20 trips x $300= $6000.00/2 =
$3000.00
JWB: Half Bus service 20 trips x $300= $6000.00/2
= $3000.00
Martin Luther King Program:
Astro Skate Bus Service (7 hr. trip) - 27 trips x 9
wks. @ $500.00 = $13,500.00
569.410 Communications-Teleph $0 0%
one
569.411 Communications-Long $0 0%
Distance
569.412 Communications-Postag $0 0%
e and Shipping
569.413 Commu n ication-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
Agency: City of Clearwater
Page 3 Of 7
Section VIII
03/23/01 8:52:01 AM
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DERIVATION OF FIGU~ES AND LINE ITEM $ PE~eEt.lT
JUSTIFICATION OF AMOUNT INCREASEJ
.ACCOUNT# ACCOUNT NAME INCREASE/DECREASE OR OTHER DECREASE
EXPLANATION AS NEEDED
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 3/23/2001 $0 0%
569.495 Residential Per Diem $0 0%
l' c:
569.496 Day Program Per Diem /I~ i4- "'r $0 0%
03/23/2001 Teen camp scholarships-:LeO youtli x
$50 per wk x 10 wks = $57,500
Start-up Cost, salary and operating costs to cover
program before camp starts = $15,455
569.497 Day Program Subsidy $0 0%
569.498 Day Program Hourly $0 0%
Unit Cost
569.510 Office Supplies $0 0%
569.515 Participant Expenses $0 0%
Agency: City of Clearwater
Page 4 Of 7
Section VIII
03/23/01 8:52:01 AM
, '
DERIVATION OF FIGURES AND LINE ITEM $ PERCENT
JUSTIFICATION OF AMOUNT INCREASE/
. ACCOUNT # ACCOUNT NAME INCREASE/DECREASE OR OTHER DECREASE
EXPLANATION AS NEEDED
569.520 Operating Supplies 03/22/2001 Kings Hwy Start up $32,082 632%
I-shirts 60 @$4.50=$270
Board Games = $100
Video Games for Playstation = $200
Volleyballs, Kickballs, Footballs, Soccer Balls = $200
Gameroom supplies = $100
Science Materials = $300
Assorted Recreation Supplies = $100
Arts/Crafts supplies =$1 ,500
Cups/Paper goods=$200
Trophies, Ribbons, Awards = $1,000
Start up subtotal: $3970.00
Kings Highway Program:
Field Trip to Busch Gardens(20 @ $40 ea)w/lunch
= $800
Field Trip to Adventure Island (20 @ $25 ea)w/
lunch = $500
Field Trip to Great Explorations(20 @ $4 ea)= $80
Field Trip to Boyd Hill Nature Park(20 @ $1 ea)=
$20
Field Trip to Lowry Park Zoo (22 @ $6 ea)= $132
Field Trip to Rainbow Skate (20 @ $4 ea)= $80
Field Trip to St Pete Marine Aquarium (20 @ $10
ea)= $200
Program Subtotal: $1812.00
King's Highway Total: $5,782.00
Ross Norton Start Up
24 t-shirts @ $5.00 ea = $120.00
24 pairs of swim goggles @ $3.00 ea = $72.00
Arts & Craft supplies = $500.00
4 Irg. bottles of sun screen @ $8.00 = $32.00
1 set of Flag-football flags = $140.00
3 mush balls @ $13.50 = $40.50
6 chess games @ $5.50 = $33.00
3 horseshoe sets @ $21.95 = $65.85
12 twelve inches cones @ $4.75 = $57.00
2 cases paper cups @ $25.00 = $50.00
Assorted strategy and word board games = $500.00
24 tennis racquets @ $18.00 = $432.00
1 case tennis balls @ $70.00 = $70.00
1 tennis ball hopper @ $20.00 = $20.00
2 dz hula hoops @ $30.00 = $60.00
2 sets of discs for frisbee golf = $120.00 = $240.00
Assorted pool toys (dive rings, etc.) = $116.27
Start up subtotal:2548.62
Ross Norton Program:
Field trip admissions (23 @ $73.90) = $ 1699.70
Program Subtotal:$1699.70
Ross Norton Total: $4248.32
Martin Luther King Startup:
150 t-shirts@ $6.00 ea = $900.00
Arts & Crafts Supplies @ $2,000.00
Archery Equipment @ $20.50 for 20 dz = $410.00
30 dz Arm Guards @ $3.65 ea = $109.50
Bow Gloves 30 dz @ $2.95 ea = $88.50
Game Equipment for 75 participants = $500.00
Substance Abuse Video and Games = $200.00
Start up subtotal: $4208.00
Martin Luther King Program:
Field trip Busch Gardens/Adventure Island Field
Trip. 75 children & 4 staff @ $73.90 = $5838.10
Field trip to Astro Skate, 75 @ $8.00 for 9 wks =
$5,400.00
Agency: City .of Clearwater Page 5 Of 7 03/23/01 8:52:01 AM
Section VIII
<<J
, .
\ .
:4.CCOUNT #
ACCOUNT NAME
DERIVATION OF FIGURES AND
JUSTIFICATION OF
INCREASE/DECREASE OR OTHER
EXPLANATION AS NEEDED
LINE ITEM $
AMOUNT
PERCENT
INCREASE
DECREASE
Field trip Educational Museums, 75 @ $8,00 for 9
wks= $5,400,00
One gallon Sun Screen @ $130,00
Snorkel Swim Program (swim gear: snorkels,
masks, fins)= $475,00
Aquatic Game Equipment(life jackets, float belts,
water polo/basketball, etc,) = $600,00
Program Subtotal: $17843,10
MLK Total= $22,051,10
569,521 Food & Nutrition 03/22/2001 King's Highway Start up: $3,861 1279%
Gatorade Powder Drink Mix $200
Cookies, Pretzels, Snacks, Hot Dogs, Buns $1000
Breakfast Foods $452
Start-up subtotal:$1652,00
King's Highway Program:
Cookies, Pretzels, Snacks, Hot Dogs, Buns $289
Program subtotal: $289
Ross Norton Start up:
20 bags Powerade Drink Mix @ $7,00 = $140,00
Snacks $300,00
Start up subtotal: $440,00
Martin Luther King Start up:
Sports drink mix $9,00 (8 gallon mix) X 20 days =
$180,00
Start up subtotal: $180,00
Martin Luther King Program:
Ice Cream Party, 75 children @ $6,00 a gallon =
$200,00
Pizza Party, 75 children @ $8,00 a pizza = $350,00
Picnic Party, 75 children @ $10,00 = $750,00
Program subtotal: $1300,00
569,540 Subscriptions $0 0%
569,541 Books $0 0%
569,542 Dues & Memberships $0 0%
569,543 Educational Materials $0 0%
Agency: City of Clearwater
Page 6 Of 7
Section VIII
03/23/01 8:52:01 AM
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DERIVATION OF FIGURES AND LINE ITEM $ PERCENT
JUSTIFICATION OF AMOUNT INCREASE/
. ACCOUNT # ACCOUNT NAME INCREASE/DECREASE OR OTHER DECREASE
EXPLANATION AS NEEDED (
569.544 Educational Training 03/22/2001 Kings Highway Start up: $20 0%
1 staff JWB training @ $20 ea = $20.00
Ross Norton Start up:
City: 2 seasonal recreation leaders JWB training @
$10.00 ea = $20.00
Martin Luther King Start up:
City: 4 seasonal rec. leaders JWB training @ $10.00
ea = $40.00
Staff Training hrs CPR, First aid, Background
checks @ $737.94
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 Clearwater
Page 7 Of 7
Section VIII
03/23/01 8:52:01 AM
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. .
FORM 5
Middle School-Age Summer Scholarship Program
SOURCES OF REVENUE
98-99
Actual Revenue
99-00
Actual YTD As
of
03/23/01
99-00
Revenue
Projected Thru
End of Year
99-00
Total
00-01
Future Fiscal
Year Revenue
% Change
*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 $0 $0 $0 $0 $37,972 0%
Other $0 $0 $0 $0 $0 0%
SUBTOTAL $0 $0 $0 $0 $37,972 0
JWB Continuation $0 $0 $0 $0 $0 0%
JWB Equip/Renovation $0 $0 $0 $0 $0 0%
JWB Other $0 $0 $0 $0 $72,955 0%
SUBTOTAL $0 $0 $0 $0 $72,955 0
TOTAL $0 $0 $0 $0 $110,927 0
CROSS CHECK ITEMS:
FUTURE FISCAL YEAR PROGRAM EXPENDITURES:
$110,927
*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.
Agency:
City of Clearwater
Page 1 Of 1
Section IX
03/23/01 8:52:01 AM
fJ
I'
FORM 6
Middle School-Age Summer Scholarship Program
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.
JWB Other
FY 00-01 JWB allocation
Agency: City of Clearwater
Page 1 Of 1
Section X
03/23/01 8:52:01 AM
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-'. I..
END OF PROGRAM BUDGET FOR
Middle School-Age Summer Scholarship Program
Agency: City of Clearwater
Page 1 Of 1
Section XI
03/23/01 8:52:01 AM
. i !
".
,.
.
. ATTACHMENT 5
JWB REIMBURSEMENT SCHEDULE
00-01 Submission Reimbursement
Reimbursement Date Date
Schedule
1 09/22/00 09/29/00
I 2 10/06/00 I 10/13/00 I
3 10/20/00 10/27/00 I
4 11/03/00 11/10/00 I
5 11/17/00 11/24/00 I
6 12/01/00 12/08/00 I
7 12/15/00 12/22/00 I
8 12/29/00 01/05/01 I
9 01/12/01 01/19/01 I
10 01/26/01 I 02/02/01 I
11 02/09/01 I 02/16/01 I
12 02/23/01 I 03/02/01 I
13 03/09/01 I 03/16/01 I
14 03/23/01 I 03/30/01 I
15 04/06/01 I 04/13/01 I
16 04/20/01 I 04/27/01 I
17 05/04/01 I 05/11/01 I
18 I 05/18/01 I OS/25/01 I
19 06/01/01 I 06/08/01 I
20 06/15/01 I 06/22/01 I
21 06/29/01 I 07/06/01 I
22 07/13/01 I 07/20/01 I
23 07/27/01 I 08/03/01 I
24 08/10/01 I 08/17/01 I
25 08/24/01 I 08/31/01 I
26 09/07/01 I 09/14/01 I
Agency: City of Clearwater Page 1 Of 1 03/23/01 8:52:01 AM
Section XII
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