Loading...
PROVIDE CHILD CARE AND DEVELOPMENT SERVICES ~... ..... - --~1' 1 I AGREEMENT ~ This Funds Agreement is made and entered into this I q day of S K ~u::? between the City of Clearwater, hereinafter referred to as the City, and PINEL AS CO Y HEAD START hereinafter referred to as the Agency. WHEREAS, it has been determined to be highly desirable and socially responsible to provide child care and development services to those who would not otherwise have such services; and WHEREAS, the City desires to help those in need of child care and development services by providing funding for such services; and WHEREAS, the Agency provides child care and development services and operates in the City; NOW, THEREFORE, 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 TermiTllJtion Date), unless earlier terminated under the terms of this agreement. ARTICLE n. RESPONSmll.JTIFS OF TIlE AGENCY 1. Services to be Provided. The Agency shall provide child care and development 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 child care and development services. 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. 1 II) -tJ:J / -,Oc? Cr) ~'. I... 1 I 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 2 .~ '. 1 I 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 pennitted by the Agency in or about its premises whether or not based on negligence. ARTICLE ill. RESPONSffiillTIF.S OF TIlE CITY 1. Grant of Funds. The City agrees to provide a total grant of $10,000.00 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 tenninated with 30 day notice. 2. Disposition of Fund Monies. In the event of tennination 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 pennitted 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 3 ;- I.... J I properly addressed. 1. If to Agency, addressed to: Ed Dickey, Training Coordinator Pinellas County Head Start 6698 68th Avenue North, Suite D Pinellas Park, Florida 33781 2. If to City, addressed to: Grants Coordinator Human Relations Department P.O. Box 4748 Clearwater, FL 34618-4748 ARTICLE VU. EFFECTIVE DATE The effective date of this agreement shall be as of the first day of October, 1997. IN WITNFSS WHEREOF, the parties hereto have set their hands and seals this l~'4f-daYOfT~^- ,1997. CITY ~WATER' ~RIDA By: City Manager Approved as to form and legal sufficiency: Attest: ~ John Carassas, Assistant City Attorney E. Gg\ldeau, City Clerk ./ ' Wi~~S~)O Agency: 1ft! !x/(~{A/U7 / r L-.4m (/ BY:~ q~ President Attest: &' ~ ~~ -"..,..-",i'__"_,,,~ _I - "' U i' nl 1 rr I n rntII ~ ln~rml~.-l i I I J 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) Pine11ao County Head Start Organization Name: (If different) :>ame Address: bb9H 68th Avenue North, Suite D City; state: Zip Tel~phone Number: ! Pinellao Park, Florida 33701 (813) 547-5952 Contact Person: Ed Dickey Title: Training Coordinator Telephone Number: (813) 547-5952 Period for which funds are being requested: 10-97 through 9-98 Sig ~rSC>') Date NOTE: The City of Clearwater reserves the right to fund applicants at a level lower than requested. 2 [---..- .: ~'.:^-==:: ~"-. - --: ~_:'":."'. ,'::".':~,""' .... '-,": - . -. .:' .;"..~,,:,::::._-,;;':~'-; .. "._ '.' ,,-, u,,~_.,_ ~~~___ J B. Activity (c~eck One) Adult crime Child Abuse Elderly Hunger Juvenile crime physical Illness parenting Adolescents substance Abuse Unsupervised Children Youth Development l other (Describe BeloW) .,l.,U.ID.lIL -~~-'.._"... I Head Start Child Develonment and Familv Services. ., .. :' I I C. AMOUNT OF FUNDING CURRENTLY REQUESTED: (Not to exceed $10,000) $lU,OOU.OO D. SPECIFICALLY FOR WHAT WILL THIS MoNEY BE USED. (Line item budget for this amount) Salary for n Floatinp" Sut,stiluLe Teacher: Salary $lLL.l?1 Workers Compo @ .U260 Unemployment Compo @ .054 Uealth Insurance @ 167.00 Life Insurance @ 2.50 367 763 2004 JU $17.,287 TOTAL Uead Start will providc matching funds of epartment 0 Hea th and Human Services. 7,287 federal funds from E. BRIEF DESCRIPTION OF PROJECT YOU WISH TO FUND UTILIZING THIS . GRANT. Thei funds will be used to va, the ~nlnry of ~ Floatine Subatitute T~a~h~r to fill in when Tcachcrs arc abscnt from centcrs in Clearwater. F. BRIEF DESCRIPTION OF YOUR OVERALL ORGANIZATION. Pinellas Countv Head Start is a federally funded child and family services prORram. Head Start provides education. health 'services. nutrition, social scrviccs. mcntal "cnlth. pnrent involvement and other services to 3 and 4 year old children and their families. 4 I I G. NUMBER OF CLIENTS SERVED BY THIS PROGRAM. 32U in the city of Clearwater H. PERCENTAGE OF THESE CLIENTS WHO ARE CITIZENS OF CLEARWATER. 100% I. CURRENT OVERALL ORGANIZATION BUDGET (PLEASE ATTACH) . 6.978.525 J. IF THIS IS START UP OR MATCHING MONEY, SPECIFY THE DETAILS ie: WHICH AGENCY OR ORGANIZATION WILL PROVIDE THE MATCH, THE REQUIREMENTS AND THE AMOUNT OF THE MATCH. The total agency budget is 6.978.525 and the local match is 20% or 1.395.705. This match is required bv the Federal Department of Health and Human Services (HHS) Yes - documentation is enclosed. We have six (6) centers located in Clearwater K. . IS YOUR AGENCY A REGISTERED 501 (C) (3) NON-PROFIT AGENCY OR IN THE PROCESS OF BECOMING ONE. Yes - document is enclosed. 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. All of Head Start's centers are licensed bv tbe Pinellas County License Board. 5 ';""""_'.'0-"' ~- ~ " t:"-..... , ~.\., _ oJ ...~. "'~ .... ;.'.. "'J I .'~~'_~J.. ... .' . .:..&-.~.. . -- - '. ~".. @)00U(7fi~ IIDU((@@U@U' ' . .'.~ ;; . .... ; Intornal Reuenue Seroic() ~ '~'" , ~. ~>>,.: FEn 0 9 '197"1 \ "".~ ~_la:. .~.l 72Q'" Z! 'Flll:'lc~ ~ .' . (90r.) 191-263& : . I ;. .. . .'~.. . :.~: ~ }load SC'ar.t. Otild Dev.~~o~t. & FtJ\\tly '. ,... .Servic(:~ ):nc. " .:'. . ~.' . '. .. ,;.. . ." . l2 351 - i:.v. tl1 Avo"'''' 11o;l1i:' .' ~ :;,f ." " " '.' .... ", " ;'..:,' ..~. " . .' Largo, }'lorJ,eta 33540.. <. .:. '. . ..;:J~ .' . . . :. .,' ..' ~.' . I ' " ., .. .. '. . . .,....;. .' . .:..' '. . 'c:'~ ::. .' .' t':': . ,'':: . ;:", . . . ." .' , .. .,:: :H.: __ .:: ,.;,:)::. .': '::'~ ,::.:'~: ~ ';.(jt .< ': ~!';~~~~~;: ~ :~ ~ '~~f , ..A I .. ... . '.'~' .:.'{...J~.,>~ . ' ;,::;.:/. . .', '. ' "'" . . ';:2 D A Ii t . . , . " :" . ',' , .. -'~' . ... .;. '_". ;.,. ear pp can: "..",,, . '. '.:" .,.,..,;.. .": .... '.; . ' , ' . . . " ' _. " . . ._ ..' .. :,':,..: 9. 9," ._.... I" ..",.'::.,."....;.',.... -.' . ..".. . '.' . .t <." ' .....:.. . .; .',c. .: .'," . '''', . , ,..c.: :> ',~,':~}f.~'ii'; . Il..soet on lnforlllation supplioet. and assuminl: your oporations . "Ill.' . .;, . :,.: . '.: ?~.,,: ~ 11 ba as .. ta toet in your a pplica t ion for rocognl.tion t>f exomp t.i Dn. ,.... -'. '. ..., . _.. ......~.;.? hav" doterlllined you ar.. exempt from Fedoral in co.... 1.ax \mder seotl;'" .. I '. ..,~:;'. < ~Oll c)(3) o~ the :Inte mal Revenue . code.' .,,'.' ,:..: ,<;". .- ';.: ....;.:~: :. ,':; ;;.'~ ,-:,'. ." .:.. . .,.., ;.. \: '. . '. .' . .:.'..'. . . '.' . .' . .' ~,_:: 'i';'~,: " ': We hav.. further de temine d you a re not a prl.va 1.0 foundation.. Ubin .'. . : :.,. . :.:~,; 7...the Illeaninr; 0 f section 509 (a) 0 f the Codo. be ca US" :you ft r....n . .. .J.: . ,,' .' ., .orr;anization describacr-in' section 5091 a )(1) 101.10 (1) ) (~HA)( vi) " ,. '. ., .,: . ' ..- ". '. .... . ." "", ....,.. . .' ..' . . .,'" :" ., .. '." . .' ',.. _ ... . . ,'. ..:... You' are 'not liabl e 'fo'r so oial s e CU r i ty (rICf. ) -wxes 1m} es;," y"" ". ..-;.','.. < fil;, a. 'liai ve r o'f' OXIl11lP tion ce rtifica teas P rov i ded in tho Federal' . : . . ;.;,ei:Insurance ..Contributions Act. You are not liable. ft>X;: tl)e ta""" lmp<>:<ed .' '. ....., '. under: the Feetaral Unemplolflllent Tax Act {FUTA}. ..,_.,' :: ...' I "i. ;;. " . .. ..< '. ,......' ...,' .;~' .' . ...... . . ;"". . ::-.:.'.'f.. . .... ,:" :,:. '/. . :. silic.. you are' no t a private f ounda lion. YOII o.ro no l ,,,,bj ..ct to .' ,..... . , :,; .':'., the exoise taxos undor Chapter 42 of the 'Code. However. yon ar.. not I .f, .'\:0, . , ....: ;:';\lutomaUcally exelllpt from other F~deral oxcis.. taxes. :If lICon have any ..', .,': '; ,',;.que..Uons about axcis... elDplolflllent. or other Federal 1.axes. please . . ".,' .:" .:'let us know. .... . . .. · '. . . : . ,:.\.:." ." , ' . " -:r " '{ ,~ '. ~ . ~~~ 'f '" '. . Donors may deduct contributions to you as proYided in section 170 of the Code. Bequests. legacies. devises. traasfer$. or r;ifts to . " you or for your US~ are deductible for Federal csl.at.e and gi:Ct.' t.ax . purposes if they meet tbe. applicable provisions of sections 2055. . 2l06. and 252~ of the Code.' " -. . . :If your purposes. characte", or Dethod of oper<1tion is chanr;ed. please let us know so we can consider the effect or the change on your sxalllpt status. Also. you.shoUld inronn us of all chonr;os In your name or address. . . F'orml-l78 (R~ (ov...) . ~.:..~~..,..: ,~;:: . ,. - '::>, : . ."~}~,::i.:{ Plea~e ltoep this determination ieltor in yonr permanont. rocords. . : : ;/:J~:,t~;::~: ..:.; \. t. .. -, ., .:,.:."..-..,..~:,-~';:j..:.>~:::~..:.., ":.~.;. :..... .' '. ,.,... {'. - .. :".. ,,', . '" .: . .'. . . ,.!..r- '''','. '. ," . "\ . . , ". .~ 00.. . ";'; :~:~~.:-~.. .. '. .. .. . I .. . ';., ,,:' "'. ~ . '. ~ . '. . .: ';~~t;:;:. .,": .- . . . ''-'.. . ~'.~ ~\;:~:.~::, ' .. ,', . . ':'. .~, ~""'7':' :.,1', ........ .: ".:: .:....-. .. .' .&~." . . ~. . ". .~ . . ...".....::,:':..::...." ~..'." ",. ,..:.., . ,.... ..... I I ,I I:.' " . . .' ;'.~. . It you:~~ro3s f.~cJiPts ~~ch year'~~~ normally mo~ than 55.000. you are requirod to file Form 990, Return of Organization Exempt From Income Tax. by the 15th day of the fifth month after the end of your annual accounting period. The law ilnposc9 It penalty of SIO a day, up to a maximum of ~5, 000. for failuro 1.0 fila a return on tiLe. , , .. " . . You 'are 'not required to file Federal incoiilo tax returns unless you are subj ect to the tax on unrelated, busln<:ss inCCIl1D under section 511 of the Code. If you are subject to this tax. you ~ust file an incom~ tax r'eturn 'on Form 990-T. In this lettol' \YO a1'o nelt. determining whether any 9f your present or proposed activitios aro unrolated trade or business as de tined in section 513 of the Codo. . "::'.:, I'. You, need an employer identif~cation number oven 11" you havo n,l>" 'employoes., .;Ct. an employer identification nUliIbor \'{etS not ontoroc1 on . . . your application.' a nUmber will be assi&nod to ~'O\\ l\ud' you wIll b& . " .: " , ;' advised at it. Please use that number on all roturns you r110 C\Ild in. , :': :::all correspondence with the Internal Ravonue Sorvico.. -, " . . ;! . ...:: .: . .. .. - . ... ~._- .' .. J ..... - " eo . ,__ " . '. .... " . '. "0 ~.. , SinCOl'oly yours,. ,:e-P~~ U. Jjt~cCt-' - .r..: '~. - '. .. .. .0 ~ . , .. .... ~ "0' " 1 .. ..... ," District Uirector -r .. , . . o .. .or . .; ",". . 'r . " : ~. . " .'. t:. .- . .." ..... 7 I" . "0 . . .' .<,... . . 0 eo,:'- , . ,~,:,,:~....::.~' :;". I ..0', . .~ ", . I'" . ..-". . . I . .,' - ... .. " '. . ::" '. ~. . . ". ~. ,_:. to. ... " .... J. . . '. o. 'oi':';.. o ~ . , ~,. ~ . . ," ..... ~ .... , . . II' . . .' ..f". ." , o . . .. .' . ; .,~': ~,. ~.r.. ;. . :. - . . ..-1 0" ' . .', ,,0, ,...... . '. . .. . '';~ ,.... :-0": -' . .... ..... . . . . . ..... ~ '... "~' I' --,.....-..--: _. .' \.; :....: , . .- ...." .' 0, C' '~. ..~' .. .; .- .-........ ...-..... . ..' ro . I . . .... .' . 't. '.' ...., " .. " ~ ~ '\ " .' Form L 178 tReY: 8-7~ N -NO .F RCES '. (a' Gran. Proor.m fbl Apollunl 1c:1 sue. rdl oa-..r Sou~," : 1.1 TOTA13 A-22 S S S 1,507,100. 5 1,507,100. ~ aT ALS (~um of hn~s B .and 11) 5 5 s 1,507,100. 5 1,507,100. SECTION D - FORECASTED CASH NEEDS - Tot.' tOf' '" 'Y.., hI 0...."., 2f'd OU...., ,... OU..... 4'" 0....".. C'<H,.I S 6,028,311. s 1,507,078 S 1,386,512. S 1,326,228. S '1,808,493. 'onfe-<kral 1,507,100. 376,775. 346 ,633 . 331,562. 452,130. aT AL (\Um of Ion~\ 1] and 14) S 7,535,411. S 1,883,853.. s 1,733,145. s 1,657,790. S 2,260,623. SECTION E. BUDGET EsnMA TES OF FEDERAL FUNDS NEEDED FOR BALANCE OF THE PROJECT (a) r~nl PrQ9r11m 'lIl\Ial ruaooaC "1lIO~ l'Y..,.j IblJl'i"1 Ie) Second (dl Third (~l Fout1h . A-22 S 5,977,952. s 6,276,850. s 6,590,693. s 6,920,228. A-20 50,359. 52,877. 55;521. 58,297. - OTALS hum of Iones 16.19) I 6,028,311- I 6,329,727. S 6,646,214. I 6,978,525. SECTION F. OTHER BUDGET INFORMATION (Atuch .ddltlon.1 SheeU if NectS~ry) .ireC't Chargu: 122. Indirect Ch,r9<<s: ema'IS . - < ~Ecno C NEDERAL RE~OU / \ '. SF 42..1. I....' Paqe 2 P,uc:"~ by o...e c;..,,,,U1' .1.-102 Authorized for Local Reproduction - -.