SOCIAL SERVICES GRANT
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AGREEMENT
This Funds Agreement is made and entered into this a.S~' day of 1\~~, 1'1'7(; between
the City of Clearwater, hereinafter referred to as the City, and Pinellas County Head Start,
hereinafter referred to as the Agency,
WHEREAS, it has been determined to be highly desirable and socially responsible to provide
the Agency's services to those whose need for such services would not otherwise be met; and
WHEREAS, the City desires to help those in need of the foregoing by providing funding for the
aforementioned service; and
WHEREAS, the Agency provides its services and operates in the City;
NOW, THEREFORE, the parties agree as follows:
ARTICLE L TERM
The term of this agreement shall be for a period of approximately 12 months
commencing October 2, 1996 and continuing through the 30th day of September, 1997,
(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 services 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 services as delineated by the Agency in the aforementioned
proposal. Funds existing and not used for this purpose at the end of the term of this
agreement 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 VII 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 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
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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 m. RESPONSIBILITIES OF THE CITY
1. Grant of Funds. The City agrees to provide a total grant of Seven Thousand Dollars
($7,000.00) 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 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 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 properly addressed.
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1. If to Agency, addressed to:
2. If to City, addressed to:
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(Type or print Agency address here.)
Grants Coordinator
Human Relations Department
P.O. Box 4748
Clearwater, FL 34618-4748
ARTICLE VIT. EFFECTIVE DATE
The effective date of this agreement shall be as of the second day of October, 1996.
IN WITNESS WHEREOF, the parties hereto have set their hands and seals this
6?s~day of l\ow""'-~ , 1996.
Approved as to form and legal sufficiency:
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CITY OF CLEARWATER, FLORIDA
By: #~
Cit.. . na er
A ttes t:
~
ia E. Goudeau, City Clerk
BY:~~~
President
Attest:
lfr---l~~k1~ -
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CITY 01' CLBARWATBR
SOCIAL SERVICES GRABT
PROJECT APPLICATIOB PORK
Phone: (8l3) 462-6884 for assistance
Due:
A. Applica~ioD Informa~ioD
Applicant:
(Sponsor/Developer)
Pinellas Countv Head Start
Organization Name:
(If different)
Same
Address:
6698 68th Avenue North. Suite D
City; state; Zip
Telephone Number:
Pinellas Park. FL 34665
(813) 547-5952
Contact Person:
Ed Dickev
Title:
Trainin~ Coordinator
Telephone Number:
Period for which funds
are being requested:
(813) 547-5952
10-96 through 9-97
Signature
{!.~
Board of D1rectors
Date
q-;lfp - 9~
ROTE:
The City of Clearwater reserves the right to fund applicants at a
level lower than requested.
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B. Activity (Cbeck One)
Adult Crime
Child Abuse
Elderly
Hunqer
Juvenile crime
Physical Illness
Parenting
Adolescents
Substance Abuse
Unsupervised
Children
Youth Development
Other
(Describe Below)
Head Start Child Develooment and Family Services.
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C.
AMOUNT OF FUNDING CURRENTLY REQUESTED:
(Not to exceed $10,000)
$lO~OOO.OO
SPECIFICALLY POR WHAT WILL TBIS HONEY BE USED.
(Line item budget for this amount)
Salary for a Floatin~ Substitute Teacher:
Salary
$llL J 1 7"t
Workers Compo @ .0260
Unemployment Compo @ .054
Health Insurance @ 167.00
Life Insurance @ 2.50
367
763
2004
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TOTAL
$17. ~287
Head Start
epartment
of 7 287 federal funds from
and Human Services.
BRIEF DESCRIPTION OF PROJECT YOU WISH TO FUND UTILIZING THIS
GRANT.
The funds will be used to pay the salary of a Floatin2 Substitute Tea~h~r
to fill in when Teachers are absent from centers in Clearwater.
BRIEF DESCRIPTION OF YOUR OVERALL ORGANIZATION.
Pinellas County Head Start is a federal Iv funded child and family
services pro~ram. Head Start provides education. health services.
nutrition. social services. mental health. Darent involvement and
other services to 3 and 4 vear old children and their families.
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G.
NUKBER OF CLIDTS SERVED BY TIllS PROGRAM.
320 in the city of Clearwater.
B.
PERCENTAGB 01' TBESB CLIDTS no ARB CITIZENS OF CLBARWATER.
IOU'%.
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CURRENT OVERALL ORGANIZATION BUDGET (PLEASE ATTACH).
86.916.289
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II' TBIS IS START UP OR MATCHING MONEY, SPECIFY TBE DETAILS ie:
WHICH AGENCY OR ORGAlfIZATION WILL PROVIDB THE MATCH, TBE
REQUIREKENTS A1ID THE AKOUN'l' 01' THE MATCH.
The total a~encv bud~et is $6.916.289 and the local match is 20'%.
or 1,383,258. This match is required by the federal Department
of Health And Human Services (BHS).
Yes- Documentation is enclosed.
We have six centers located in Clearwater
It.
IS YOUR AGENCY A REGISTERED 501 (C) (3) NON-PROFIT AGENCY OR IN
TBE PROCESS OF BECOMING ONE.
Yes - documentation is enclosed.
L.
DOES YOUR FACILITY HAVE OR IS IT IN THE PROCESS 01' ACQUIRING
THE APPROPRIATE LICENSURE FOR THE DELIVERY OF THE SERVICES
DESCRIBED IN TBIS APPLICATION.
All of Head Start's Centers are licensed by the Pinellas County
License Board.
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- -'.. - - - _CTl_. N~DE"ES"ES _ ..
.._ Grant Proaram Ibt ADDUcent 'el S.... Idl Other Soure.. I.' TOTALS -
PA - 22 s s s 1,493,638 s l,493,638
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. TOTALS (sum of hnes 8 and 11) , S s 1,493,638 s 1,493,638
SECTION D. FORECASTED CASH NEEDS
To'a' 'or tal Y.ar 1 al auart.r 2nd auart.r :tfd auart.r 4'" Quart.
, II
S 5,974,551 ' 1,493,638 ' 1,373,848 '1,314,289 '1,792,776 . -
Nonle.r.' 1,493,638 373,409 343,462 328,572 448,195
TOTAL (sum of hn., 1] and 14) , 7,468,189 ' 1,867,047 51,717,310 51,642,861 '2,240,971
SECTION E. BUDGET ESnMATES OF FEDERAL FUNDS NEEDED FOR BALANCE OF THE PROJECT
(.) Gr.nt Program fUN.. 'UNDlNG '..'ODS IV....'
lbt Flral Cd Second Cd) Third Ce) Fourth
PA - 22 S 5,928,345 '6,224,762 '6,536,000 '6,862,800
PA - 20 46,206 48,516 50,942 53,489
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I. TOTALS (sum of lines 16.19) 5 5,974,551 56,273,278 '6,586,942 \:i.9l6.289
SEcnON F . OTHER BUDGET INFORMA nON
(Attach additional Sheets if Necessary)
I. Oirect Charges: I ZZ. Indirect Charges:
I. Rem.rlls
SF 424A 14,881 PlMJtI 2
Prescllbed by QUB CllculClr A,I02
Authorized for Local Reproduction
BUDGET INFORMATION - Non-Construdion Programs
OMI Approv.' No. OUl-G0c4
Gr.nt "Glr.m
Function
or Activity
(a)
c.t.1og of Feder.'
Domestic Assisbnce
Number
(b)
SECTION A - IUDGET SUMMARY
Estlm.ted UnobIlg.ted Funcls
New or Revised ludget
Feder.1
(c)
Non-feder.'
(d)
Feder.'
(e)
S
5,928,345
46,206
Non-'eder.'
(f)
S
1,482,086
Tot.,
(g)
s 7,410,431
1. PA-22
2. PA-20
93.600
93.600
s
s
11,552
57,758
J,
.,
, . TOTALS
., 'ersonnel
s s s \,493,638 --
5,974,551 s
7,468,189
SECTION I - IUDGET CATEGORIES
GIlAHT PROGRAM. FUifCTION OR ACTIVnv
(1) PA 22 (2) PA 20 (3) (4) Tot.1
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S S S S s
3,502,483 3,502,483
1,148,544 1,148,544
44,822 44,822
90,000 90,000
159,764 2,000 161,764
38,970 9,020 47,990
6 Ob;ect CI.II C.tegories
b. Fringe lenefits
c. Travel
d, Equipment
e. Supplies
f. Contractu. I
t. Construction
f. ",..'
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943 762
35 186
46,206
978,948
5,974,551
I. Tot.1 Direct Ch.rge. (sum of 6. .6h)
5,928,345
,. Indirect Charge.
k. TOTALS (sum of 6i and 6,)
s
s
s
s
"GI,am Income
5,928,345 46,206
Authorized for local Reproduction
s
5,974,551
Slatldard Form .2.A '.,881
Pr9!Crobed ~ QUe Crrcular A.102
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I". '. '~.j'iInsura1ice .Contributions Act. You are not liablo t'oo<;: tl)o taxes imposed . :r.:~#
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. . If your purposes. character.. or method or operntion is changed,
please let us know so we can consider the effect or the change on
your e~empt status. Also. you.should infonn us or all chnngos in yoar
name or address.
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Form l-l78 (R"', s-:
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',,:' It your'gross E~eipts each year' are normally mtre than 85.000.
..' you are required to f!.:J.e Form 990, Return of Organizltion Exempt
From Income Tax. by the l5th day of the fifth month atter the end
ot your annual accounting period. The law itnposes a penalty of" $10
a day. up t~ a maximum ot $5,000, for failuro to filo a return on time.
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you are subject to the tax on unrelated,bllsinc:ss income under section
511 ot the Code. It you are subj ect to this tax, you must file an incoD\f3J
tax return 'on Form 990-T. In this letter \YO aro JlClt determining whether
~ ~t your present or proposed activities ara unrelated trade or
business as detined in section 513 ot th& Coda.
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. :': :::al1 correspondence with the Internal Revenue Sorvico..
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Form 1.-178 (R.r.. s-~
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I W1LUAM S. FILLMORE. JR.. Execufule Director
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HEAD START
Child Development & Family Services, Inc.
Program of Excellence
6698 68TH AVENUE N. . SUITE 0
PINELLAS PARK. FL 33781
PHONE (813) 547-5900 FAX (813) 547-5908
April 26, 1996
Grants Coordinator
City Of Clearwater
Human Relations Department
P.O. Box 4748
Clearwater, Florida 34618
Dear Grants Coordinator:
Enclosed is Head start's Application for Social Services funds in
the amount of $lO,OOO to provide match for federal funds and a
floating substitute teacher for our six centers in Clearwater.
Your cooperation in this matter will be greatly appreciated and if
you have any questions, please contact Ed Dickey at 547-5952.
Sincerely,
~, ~r.
Executive Director
A Communtty Actton Program under Health & Human Servtces & Ptnellas Opportuntty Council, Inc.