PROVIDE PREGNANCY SERVICES AND CHILD CARE 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 Kimberly Home Pregnancy Center, hereinafter referred to as the
Agency.
WHEREAS, it has been determined to be highly desirable and socially responsible to provide
pregnancy services and child care 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 of this 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 ofrace, 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 $7,000.00 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 subj ect hereof and may not
be changed, modified, or discharged except by written Amendment duly executed by both
parties. No representations or warranties by either party shall be binding unless expressed herein
or in a duly executed Amendment hereof.
ARTICLE V. TERMINATION
1. For Cause: Failure to adhere to any of the provisions of this agreement as determined by
the City shall constitute cause for termination. This agreement may by terminated with 5
days notice without any further obligation by City.
2. Disposition of Fund Monies: In the event of termination for any reason, monies made
available to the Agency but not expended in accordance with this agreement shall be
returned to the City.
ARTICLE VI. NOTICE
Any notice required or permitted to be given by the provisions of this agreement shall be
conclusively deemed to have been received by a party hereto on the date it is hand-delivered to
such party at the address indicated below (or at such other address as such party shall specify to
the other party in writing), or if sent by registered or certified mail (postage prepaid), on the fifth
(5th) business day after the day on which such notice is mailed and properly addressed.
1. 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 Kimberly Home Pregnancy Center, 1189 NE Cleveland Street,
Clearwater, FL 33755.
ARTICLE VII. EFFECTIVE DATE
The effective date of this agreement shall be as of the first day of October, 2000.
.IN WITNESS WHEREOF, the parties hereto have set their hands and seals this
----LL day of , 2001.
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CITY OF CLEARWATER, FLORIDA
Countersigned:
jI.
Approved as to form:
~ AIdn, City Attorney
Attest:
AgeOC~ r ~~ (\
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President 1.\ L ~." '-. \ .1
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CITY OF CLEARWATER
SOCIAL SERVICES GRANT
PROJECT APPLICATION FORM
Phone:
(727) 562-4060 for assistance
Due: January 26, 2001
A. Application Information
Applicant:
(Sponsor/Developer)
Kimberly Heme Pregnancy Center
Organization Name:
(If different)
Address:
1189 N. E. Cleveland St.
City; State; Zip
Clem:water, Fl. 33755
Telephone Number:
(727) 443-0471
Contact Person:
Kate Kelly
Title:
Executive Director
Telephone Number:
(727) 443-0471
Period for which funds
are being requested:
Oct. 2000 to Sept. 2001
Signature uJ~~
William T. Trautwein
Board of Directors Chairperson
Date Jan. 26, 2001
NOTE:
The City of Clearwater reserves the right to fund applicants at a
level lower than requested.
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B. Activity (Check One)
Adult Crime
Child Abuse
Elderly
Hunger
Juvenile Crime
Physical Illness
Parenting
Adolescents
Substance Abuse
Unsupervised
Children
Youth Development
Other
(Describe Below)
'X
As part of its overall mission to aid women and teens in crisis pregnancies and to provide assistance
beyond the baby's arrival. Kimberly Home has constructed and opened an infant/toddler daycare
facility. This proiect came about as a direct result of the extreme shortage of available infant child care
for single mothers and low income families. Our program is run in cooperation with Coordinated
Childcare to offer infant/toddler daycare (2mos to 2 vrs.) to low income mothers and families.
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C. AMOUNT OF FUNDING CURRENTLY REQUESTED:
(Not to exceed $10,000)
SIO,OOO
D. SPECIFICALLY FOR WHAT WILL THIS MONEY BE USED.
(Line item budget for this amount)
These funds will assist us in hiring (2) part-time persons or one full time Derson to work the remainder
of the year. This will satisfy the ratio of care giver to infant requirements of the State and make it
possible for us to accept two (or three - depending on scheduling) more babies. This will also allow two
or three mothers to pursue work. training or schooling. At this time. we have 7 babies enrolled. but have
the capacity for 16 infants/toddlers. We are continuing efTorts to find fundin~ resources that will enable
us to hire the required number of staff for full enrollment.
Required ratio is: (Infants - ) care giver per 3) (Toddlers - 1 care giver per 5)
Request is based on two part-time @ S7.50 for 25hrs each for 28 weeks - (mid Mar.- Sept) S10.500
E. BRIEF DESCRIPTION OF PROJECT YOU WISH TO FUND UTILIZING THIS
GRANT.
Recognizing the desperate need within our community for quality infant/toddler daycare. last year the
City of Clearwater and private donors assisted us in constructing a center to care for up to 16 babies
(2mos to 2 yrs.). This program was developed for the specific Durpose of helping low income mothers
while they attend school or work by providing them a safe. nurturing and educational environment for
their infants as well as parenting classes and life skills counseling. Since opening. we have been able to
offer employment to two of our own clients. One is a new mother who's infant also attends our program
and the other is due this summer. This opDortunity allows us to empower them with the skills they need
to become self-sufficient. We welcome the opportunity to ofTer employment to more clients ifpossible.
F. BRIEF DESCRIPTION OF YOUR OVERALL ORGANIZATION.
Kimberly Home is a counseling and referral agency dedicated to serving women and teens in difficult
pregnancy situations. Located in Clearwater since 1983. our center provides pregnant women with
emotional support. practical solutions and long range nlanninJJ through a combination ofin-house
services and cooperation with other social service agencies in the community both public and private.
Our goal is to positively affect the health and self-sufficiency of women and their families. In house
services include: pregnancy testinf.!. counseling. community referrals. day care and material assistance
such as: cribs. strollers. infant & maternity clothing. high chairs. car seats. diapers. fonnula and a crisis
hot line. All services are free except for the daycare program.
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G. NUMBER OF CLIENTS SERVED BY THIS PROGRAM.
We are licensed for a capacity of 16. The totaJ number served per year depends on the length
of enrollment for each infant.
H. PERCENTAGE OF THESE CLIENTS WHO ARE CITIZENS OF CLEARWATER.
85%
I . CURRENT OVERALL ORGANIZATION BUDGET (PLEASE ATTACH) .
Attached
J. IF THIS IS START UP OR MATCHING MONEY, SPECIFY THE DETAILS
Le.:
WHICH AGENCY OR ORGANIZATION WILL PROVIDE THE MATCH, THE
REQUIREMENTS AND THE AMOUNT OF THE MATCH.
Although we opened in September 2000. we are still in the process of starting up. Due to many
unexpected costs associated with meeting specific health department requirements. replacement of our
hot water heater. the need for the addition of sinks. a fire and security system. and a decrease in the
amount of funding previously awarded to us by the County. we have experienced a shortfall of funds.
K. IS YOUR AGENCY A REGISTERED SOl(C) (3) NON-PROFIT AGENCY OR IN
THE PROCESS OF BECOMING ONE.
Yes, since 1983
L. DOES YOUR FACILITY HAVE OR IS IT IN THE PROCESS OF ACQUIRING
THE APPROPRIATE LICENSURE FOR THE DELIVERY OF THE SERVICES
DESCRIBED IN THIS APPLICATION.
Our Licensure includes:
A L!cense Pinellas County Licensing Board
A PmeJlas County Health Permit from the State of Florida Dept. of Health
An approved contract with Coordinated Childcare.
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M. HAS YOUR ORGANIZATION RECEIVED OR IS IT EXPECTING TO RECEIVE
FUNDING (WHETHER CASH OR IN-KIND CONTRIBUTIONS) FROM THE CITY
OF CLEARWATER DURING THE FISCAL YEAR FROM OCTOBER 1, 2000
THROUGH SEPTEMBER 30, 2001?
YES -..:i..-.
NO
IF YES, PLEASE EXPLAIN:
The City of Clearwater awarded us $18.000 and the County $8.000 to be used for salaries for this
proiect which we are using monthly for our 5 current employees ( I Director & 4 part time careeivers).
This has helped us tremendously to get on-the ground and enroll our first 7 infants. Average cost of
carine for each child is $ I 25 per week. Our anticipated budget for infant care salaries for 200 I is
$112.700. We need to employ a minimum of8 to 10 employees to cover full enrollment. We would
welcome and greatly appreciate any portion of the requested amount.
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;.. . 'nherly Home Budget -
Projected Revenue
Guardian Angels
I ndivid/Newsltr/Commem.
Churches
OrganizationS/Business
Special Events & Projects
Grants
Shelter
Infant Care
Circle of 100
Other
Intefest Income
Dividend Income
Infant Care Center Income
TOTAL INCOME
Projected Expenses
Salaries & Wages
FICA
Worker's Compo Insurance
Mortgage
. 'iHt
.~Brating Supplies & Expenses
Advertising & Newsletter
Special Events/Projects
Miscellaneous
Utilities & Phone
Insurance
Educ.Mater. ClientlTraining
Special Assistance
Property/Equip. Repair & Maintel
Mileage
Bank Charges
Computer Equip. & Services
Contractual Services
Conference/SeminarsfTravel
Shelter Renovation
TOTAL EXPENSES
--
2001
15,000
37,700
36,100
5,350
101.450
9.000
38,000
26,000
20,000
500
500
7,300
72,000
368,900
229,400
14,200
2,000
12,800
3,000
8,000
7,000
20.000
500
7,000
5.000
2,500
2,500
5,400
1,500
100
3,000
4,000
3,000
38,000
368,900
IlNUfJED FUNDING APPLICATION
To: (funder):
For time period of:
Applicant Information (orint or we):
Legal Name of Organization:
T h E' K I n"d~ (\ ~ DI'R( ,Tnc...
\ \ 6 q Ii F (' 1~.~..Jon~ _s+
Clecu-u)(l.Je,r . FL. ~~'(55
Complete Address:
Phone (7.n) LjJ.{,1"" J../'1I
Fax (7..17) '-I(d~. 93//?
E-Mail ."3 fa q (d KI,,;bl;-I'J hCl7(~ '(Y~J
Federal Tax Identification Number:
5'1- ,20 'l f ~08
(ka Ie )
Title: E:.i.l cut I ~ e.- /) / r'eL~'-
Contact Person:
Organization Type: _Public _Private ..:L. Non-profit _ Other.
Service Area: l County i City of .-C.I ea rtJ. X'd.!;' v-
Ot.her
Agency currently funded by ( check all that apply):
- St. Petersburg __ Florida Dept. of Children & Families
L Clearwater .l4'Jorida Dept. of Justice
- Largo ~ Pinellas County Foundation
-1..... Pinellas County _ Allegany Franciscan Found2tion
_ Area Agency on Aging. _ Eckerd Family Foundation .
_Juvenile Welfare Bd. _Other: 71~('lla') eOLI'1~J CovnmdfJ,l-.-d 1="oLl.ld
_ United Way
Certifications: (1) Ifrequire.<f to register for solicitation of funds, is the Agency currently
registered with the State? 1 Yes _ No The County? -L. Yes _ No
(2) If incorporated, has the Agency Annual Report been filed with the Florida
Secretarv of State? -L Yes _ No
Name and Title of Agency RepresentatJ~e/sl1bmitting this funding request:
tiu+h Iff" M ~ . Cue II ilur D, ~(A"r
Signature of Agency Director (senior staff member) or Board Chair:
,J{a-lllf.R/( QJ7.diP ~
Date:
I - dt./- 01
Received in funder's office by:
Date:
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BOARD OF DIRECTORS -# required in Bv Laws = - 5 +0' Zq
NAME/OFFICER
OCCUPA nON
AREA OF EXPERTISE
RACE/GENDER
William Trautwein Funeral Director Management/Counseling WIM
President Public Relations
Ronald Day Business Owner Management/Sales WIM
v. President Furniture/Retail
James McCasland Retired Business Management WIM
Treasurer Management
Patti Stough Architect Building Design WIF
Secretary Contractor
Mary Baralt Business owner Business Management WIF
Art Damon Retired Realtor Engineering WIM
Real Estate Sales
Jana Carpenter Registered Nurse Nursing WIF
Journalism
Amanda Zorovich Full Time Mom Interior Design WIF
Public Relations
James Hughes Licensed Co~orme~gement WIM
Counselor Counseling
Fr. Jacob Monteleone Pastor Administration WIM
Spiritual Director
John Schimer Insurance Corporate Management W/M
Sales
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