AGREEMENT-PROVIDE INTERGENERATIONAL ACTIVITIES TO THOSE WHO WOULD NOT OTHERWISE HAVE SUCH SERVICES
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AGREEMENT
This Funds Agreement is made and entered into this (Cf \.I-. day of ~ ~~~ (117 between
the City of Clearwater, hereinafter referred to as the City, and INELLAS A,., ANIMAL
FOUNDATION, INC. hereinafter referred to as the Age1l0'. '\;OUNTY
WHEREAS, it has been determined to be highly desirable and socially responsible to provide
intergenerational activities to those who would not otherwise have such services; and
WHEREAS, the City desires to help those in need of such services by providing funding for them;
and
WHEREAS, the Agency provides intergenerational services and operates in the City;
NOW, TIIEREFORE, the parties agree as follows:
ARTICLE I. TERM
The term of this agreement shall be for a period of 12 months commencing on the 1st day
of October, 1997, and continuing through the 30th day of September, 1998, (the
Termination Date), unless earlier terminated under the terms of this agreement.
ARTICLE II. RESPONSffiILITIES OF THE AGENCY
1. Services to be Provided. The Agency shall provide intergenerational activities in
accordance with the proposal submitted by the Agency and approved by the City, which is
incorporated herein by reference.
2. Area to be Served. Services rendered through this agreement shall be provided within
the corporate limits of the City as it now exists and as its boundaries may be changed during
the term of this agreement.
3. Scheduled Reports of Agency Activities. The Agency shall furnish the City Human
Relations Department, Grants Coordinator, with an annual report of activities conducted
under the provisions of this agreement within sixty days of the end of the Agency's fiscal
year. Each report is to identify the number of clients served, the costs of such service, and
commentary on the viability, effectiveness, and trends affecting the program.
4. Use and Disposition of Funds Received. Funds received by the Agency from the City
shall be used to pay for intergenerational activities. Funds existing and not used for this
purpose at the end of the term of this agreement term shall be deemed excess to the intended
purpose and shall be returned to the City.
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5. Creation, Use and Maintenance of Financial Records.
a. Creation of Records. Agency shall create, maintain and make accessible to
authorized City representatives such financial and accounting records, books,
documents, policies, practices, and procedures 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 personnel.
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 provision of this agreement, during the
term of this agreement, the Agency for itself, agents and representatives, as part of the
consideration for this agreement, does covenant and agree that:
a. No Exclusion from Use. No person shall be excluded from participation in,
denied the benefits of, or otherwise be subjected to discrimination in the operation
of this program on the grounds of race, color, religion, sex, handicap, age, or
national origin.
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, handicap,age, or national origin.
c. Inclusion in Subcontracts. The Agency agrees to include the requirement to
adhere to Title VI and Title vn of the Civil Rights Act of 1964 in all approved sub-
contracts.
d. Breach of Nondiscrimination Covenants. In the event of conclusive evidence
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
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all liability therefore, and shall defend, indemnify, and hold harmless the City, its officers,
agents, and " employees from and against any and all claims of loss, liability, and damages of
whatever nature, to persons and property, including, without limiting the generality of the
foregoing, death of any person and loss of the use of any property, except claims arising
from the negligence or willful misconduct of the City or City's agents or employees. This
includes, but is not limited to, matters arising out of or claimed to have been caused by or
in any manner related to the Agency's activities or those of any approved or unapproved
invitee, contractor, subcontractor, or other person approved, authorized, or permitted by the
Agency in or about its premises whether or not based on negligence.
ARTICLE ill. RESPONSffiILITIES OF THE CITY
1. Grant of Funds. The City agrees to provide a total grant of $7,178.00 to fund the
program in accordance with this agreement.
2. Payments. The total amount requested will be paid by the City to the Agency within 30
days after execution of this agreement by the City and the Agency but no earlier than
October 1 of the budget year for which the funds are authorized.
ARTICLE IV. DISCLAIMER OF WARRANTIES
This Agreement constitutes the entire Agreement of the parties on the subject hereof and
may not be changed, modified or discharged except by written Amendment dilly executed
by both parties. No representations or warranties by either party shall be binding unless
expressed herein or in a duly executed Amendment hereof.
ARTICLE V. TERMINATION
1. For Cause. Failure to adhere to any of the provisions of this agreement in material
respect shall constitute cause for termination. This agreement may be terminated with 30
day notice.
2. Disposition of Fund Monies. In the event of termination for any reason, monies made
available to the Agency but not expended in accordance with this agreement shall be
returned to the City.
ARTICLE VI. NOTICE
Any notice required or permitted to be given by the provisions of this agreement shall be
conclusively deemed to have been received by a party hereto on the date it is hand-delivered
to such party at the address indicated below (or at such other address as such party shall
specify to the other party in writing), or if sent by registered or certified mail (postage
prepaid), on the fifth (5th) business day after the day on which such notice is mailed and
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properly addressed.
1. If to Agency, addressed to:
?"'.l WA-S (:w,(Y\fH- ~1>fWot
/08 Z~- 0~frJIJVOL~ ~LU)J
A--? j"_
S&'f)tf\ioct::( ~ 33778
2. If to City, addressed to:
Grants Coordinator
Human Relations Department
P.O. Box 4748
Clearwater, FL 34618-4748
ARTICLE VII. EFFECTIVE DATE
The effective date of this agreement shall be as of the first day of October, 1997.
~ IN WITNESS WHEREOF, the parties hereto have set their hands and seals this
fC'f day of~-t;;:..~ __ , 1997.
CITY [F CLEARWATER, FWRIDA
By:
City Manager
Approved as to form and legal sufficiency:
Attest:
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John Carassas, Assistant City Attorney
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E. Goudd\ll, City Clerk
Witnesses as to Agency:
'r$!l))4 'fLff~
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By: f%t. Ll jJ~
President
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fJrUA-l L fHJ L 2:...
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CITY OF CLEARWATER
SOCIAL SERVICES GRANT
PROJECT APPLICATION FORM
Phone: (813) 562-4060 for assistance
Due: May 29, 1997
A. Application Information
Applicant:
(Sponsor/Developer)
Organization Name:
(If different)
Address:
City; State; Zip
Telephone Number:
Contact Person:
Title:
Telephone Number:
Period for which funds
are being requested:
,
Signature~~
c "
Joan Marzi, Executive Director
Date MHY ?R, 199,7"
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NOTE :
Pinellas Animal Foundation, Inc.
Same
10825 Seminole Blvd.. Unit A-J
Seminole,Fl J3778
(8lJ) 347-7387
Joan.Marzi
F.xecutiv~ pirector
(813) 347-7387
October 1, 1997- September 30, 1998
7)~ p~, 5),ViJ{,
Board of Directors Chairperson
Mike Peltier, DVM Treasurer
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
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Hunger
Juvenile Crime
Physical Illness
Parenting
Adolescents
Substance Abuse
Unsupervised
Children
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Youth Development
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other
(Describe Below)
Intergenerational/Prevention Program
Children from Condon Gardens Complex (Boys and Gi~ 'Club and Girls, Inc'i
are transported by Clearwater Police (AmeriCorps Pinellas-Proiect NUCOP~
to visit the seniors at Clearwater's Barbee Towers Complex (owned I
by Clearwater Housing Authority), The Pinellas Animal Founation
prov~des a teacher and senior coordinator as well as the anima1s which I
are the focus for the interaction between the two generationR.
This program began in 1991 and is currently funded by J'.'lB. " Th~ childreJ
and seniors form a "grandparent" type bond. The children look forward I
to the visits as much as the seniors do. The Eeniors make "goodies"
for the children's weekly visits. They pair off naturally and listen I
to the program of the day. We have had a numbe~ of organizations
visit - example: Southeastern Guide Dogs. Field trips are also taken~ I
example: Clearwater Marine 3 Science Center.
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MAY-29-97 THU 02:27 PM PIN ANIMAL FOUND
813 3477387
P.02
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C. AMOUNT OF FUNDING CURRENTLY REQUESTED:
'(Not to exceed $10,000)
$8758 NOTE: JWB will only fund an ~nt~rgenerationBl Program for
. two years. We end the'second funning year 9-)0-<)7.
D. SPECIFICALLY FOR WHAT WILL THIS MONEY BE USED.
(Line item budget for this amount)
$h? h 1
J
lOBS
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. h05
3..Postage - one roll
4.Insurance ($1;05 x )1% designated as bud~et eXpp.nAp.
for this program)
5. Copying (program materials. crafts. etc.)
6.EQucational Mater.ials (animalrelated books, magazines, videos. etc.)
1 50
205
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oenior
F.
The Pinella9 Animal Foundation is nn educationa] not-~or-proflt
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organization, sponsored by over 80 veterinary hospitals, private
donations and ~rants. Our lnr~est program is known as the PET
PROFESSOR Pro~ram t tha most refluflsted Tlro~ram j n thr. Pi ,n/11 ~aB
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Public School System-accordim~ to their Snp-aker' s Dm"fH\lJ. This
Program has taught Responsible Pet Ownership to appr~xlmate1y
30,000 K-)rd gr.aders. since 1985.
(annually) 4
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NUMBER OF CLIENTS SERVED BY THIS PROGRAM.
)0 Children - Boys and Girls Club - Condon Gardens
)0 Children - Girls Inc. - Condon Gardens, Clearwater
40 Seniors - Barbee Towers Complex, Clearwater
Total 100
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PERCENTAGE OF THESE CLIENTS WHO ARE CITIZENS OF CLEARWATER.
100%
CURRENT OVERALL ORGANIZATION BUDGET (PLEASE ATTACH) .
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See Prevention Pro~ram%$" t727 - ~h;~ does not include InKind
value of collaborative staff's time. Proposed budget for fUnding
year is $1),758. . The increase is from supplies, books, sUbscriPticl
and increase in liability insurance. InKinD_L~~Qt-1ncluded.
IF THIS IS START UP OR MATCHING MONEY, SPECIFY THE DETAILS 1e:
WHICH AGENCY OR ORGANIZATION WILL PROVIDE THE MATCH I THE
REQUIREMENTS AND THE AMOUNT OF THE MATCH.
N/A
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K.
IS YOUR AGENCY A REGISTERED 501 (C) (3) NON-PROFIT AGENCY OR IN
THE PROCESS OF BECOMING ONE.
c Yes - Pinellas Animal Foundation is a '501(c) (1) ore:anization.
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.
Pinellas Animal Foundation is not required to hold a license
for this program.
We do, however, hold all appropriate
Federal, state and County linenses for a not-for-profit
chari table organization. ' I' '
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PAJi' Budget: 10-1-96 to 9-30-97
Expenses:
Total ProgramAdm Fund Check *
" .
PPEP Stickers 2000 2000 0 0 2000},. .t I
'PPEP Bookmarks 2000 2000., 0 0 2000 1-2
Kindergarten Materials 10.60 1000' - 0 () 1000 3
1st Grade Materials 700 700 0 0 700 2
2nd Or-ute Materials 1000 1000 0 () 1000 1
3n.l Grade Materials 1000 1000 0 0 1000 1
Liability/Officelns 1200 900 150 150 1200
'Postage " 2000 1500 250 250 2000
~O BoxlBulk Mail 150 114 18 18 150
PCVMS-Newslcllcr 300 300 0 0 300
DhonesNellow?-&lges 22(X) 1650 275 275 2200
'Exec. Director ' 29184 21888 3648 3648 29184
"A ssociatc 4080 4'080 0 0 4080
-EmployceTaxcs ' 2600'" 0 2600 O. 2600
'" :\Milenge , l5QO ,~ '1126 187 187 1500
'Pcl Loss Coord 3500 3500 0 0 3500 .4.,(' "
ASK-A-VETWrilcr 1500 1500 Q 0 1500 5
~~~~tfFj{~:8~'.
'Billboards _ 1500 . 1126 187 187 1500 7
Tlun1conc Brochurcs 3500 3500 0 0 3500 8
PR A words/Leaves sOO 380 60 60 . 500
l)rinling/Misc. 1500 1126, 187 187 1500 9
Audit 3500 0 3500 0 3500
Bookkeeping 1000 0 1000 0 1000
AAT-l-Iospicc/ACP 2000 2000 0 0 2000 10
;Conferences 1200 1200 0 0 1200
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Totnls: 83841 .~81 12311 5149 83841
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RESTRICTED ACChUN-TS
blllldlng FlInd: AmS()uth 11
eORier: sUPFilics 300 180 60 60 300
Of ice Supp ics 620 516 52 52 620
Florida Power 1200 ,900 ISO 150 1200
Condo-Monthly 1700 ill2 .1.l1 212 1700
Subtotals: 3820 2872 474 474 3820
AAT Minus '11 -1280 1000 140 140 1280
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Total: 2540 1872 334 334 2540 12 ,
North County Pet Professor: $10 x 40 x 47wecks 13
Tcuchcr 18800 18800 0 d 18800
Fica 1400 1400 0 0 1400
Hospitnli711lion 2400 2400 0 0 2400
CoonJination** 2400 Q ~ Q 2400
*.Exee Dir. lIospilaliz1\lion
Totnl: 25000 22600 2400 o 25000
Total Expenses 112,661 --(}l) ~
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Interoffice Correspondence Sheet
To:
From:
John Carassas, Assistant City Attorney
Eleanor Breland, Human Relations Directog_~.o: tI-..- ~
CC:
Date:
September 16, 1997
RE:
Pine lias Animal Foundation
Per your request, we checked with Pinellas Animal Foundation re its corporate
status. The foundation's director, Joan Marzi, stated that the corporate name is
actually Pinellas County Animal Foundation, Inc. I have enclosed a copy of the
organization's 1997 corporate annual report which Ms. Marzi provided.
If any further information is needed, please give me a call at extension 4065.
Thank you for your assistance in this matter.
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SEP-16-97 TUE 02:18 PM PIN ANIMAL FOUND
P.01
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FilE NOW: filiNG FEE IS $61.25
NONPROFIT
CORPORATION
ANNUAL REPORT
1997
DOCUMENT #
1. Corporalion Name
PINELlAs"COUNTY ANiMAl FOUNDATION, INC
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813 3477387
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FLORIDA DEPARTMENT OF STATE
Sandra B. Mortham
Secretary of State
DIVISION OF CORPORATIONS
Post-Ite Fax Note
To
7671
1111111111111
Principal Place 01 Buslnoss
1~5 SEMINOLE BlVO.
BLOO A- UNIT 3
SEMINOLE FL 34648
US
Mailing Addro
10825 SEMINa
BLOG A. UNll
SEMINOLE FL
us
(
,
Counlry
25 29
Name and Address of Current Reglslered Agenl
MARZI, JOAN
11830 77TH ST. NORTH
lARGO FL 34643
Co.
Phone It
Fax #
3. Dale10?i7/1a98~r QlIali":l"~aW~471aWE
4. FEt Number ~
59-2624204 NOI I
$8.75 Ado
Fee Req\
5. Certificate of StatuI< DUl;irod
o
6~ t 1"(.luII ,. 11'111 III III I II' If" 11"1 $5.00 M
In"II':".I' ,...,,1. I . 0 Addod'o
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Country
8. ThiS corporation hHll hlll)lhly Inr Irlla"lJlhl,., lat UI1CI'" ,; !
Florida Statutes 0 Yos 0 No
10. Name and Address 01 New RegiSlered A-genl-.
30
81 Name
82 Street Address (P.O. Box Numbor is Nol Aecoptohlo)
83
------- ---rJ' ~.
84 City FL 8" 1.11' c.,
11. Pursuanl to the provisions of Sections 617 0502 and 617.1508, Flollda SIalulos, the above-namod corporatIOn submIts Ihill slalemrml fOI Ihn pu'pnso 01 c;hall\,llnU'1s-i
olfice or registered agent, or bolh, In the State 01 Florida. Such change was authorized by the cor raUon's board of diroctors. I hnrALJy acer'pl 1110 appointmenl 118 rr!
SIG::~:~~ am lami' nd acceplthe ob' aUons ~r. SecUon 6F.0503. Fiori 'Slalu os. ___ . u ___ _._ _.uS :-- d7 _.- 9
11.\11
12.
TITLE
P
BROWN, DR. MARK
4800 19TH ST. NORTH
ST. PETERSBURG Fl33714
T
CONRAD,DR.KEVlN
2572 SUNSET POINT ROAD
CLEARWATER FL 34625
S
BRUTUS. DR. RICHARD
2572 SUNSET POINT ROAD
CLEARWATER FL 34625
o
BRYAN, DR. STEVE
5362 CENTRAl AVE.
ST. PETERSBURG Fl
o
BARNElT, DR. CUFF
11375 PARK BLVD.
SEMINOLE fL
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GOOFFEY DR E.
8490 49TH ST. NORTH
cny-sT-Zlp PINEUAS PARK FL 64 CIIY-SJ.lIP
14. I do horeby certify thatlhe Inlormation supplied with this filing does not qua~ry tor Ihe exemption staled in Seellon 119.07(3)(1). {io1ida SIHllIl,,5:ii;;;Ij;;)r l.P-rllly IlollI II.
information indicated on this annual reporl or supplemental annual report is true and accurate and that my signature shall have Ihe S8111e Inq.ll cllllel as I'~"' (ie IIncl'.
I am an ollicer or director of the corporalion or lhe receiver or trustee empowered to execute thiS reporl as required by Chaplor 61 7. F lomhi Slatlltes: llllrl 'aU"Y4'Ji
appears in Block 12 or Block 13 If changed. flJr on an aUachmenl with an address. c; cv ') ,
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!=;tGNATlJRF: / r'^"~.n'~~ ,bl.v.ll1.~ ,~-,..-:l7--. .) I
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