PROVIDE CHILD CARE AND DEVELOPMENT SERVICES
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AGREEMENT
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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.
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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
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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 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
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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:
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John Carassas, Assistant City Attorney
E. Gg\ldeau, City Clerk
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President
Attest:
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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)
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
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Date
NOTE:
The City of Clearwater reserves the right to fund applicants at a
level lower than requested.
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B. Activity (c~eck One)
Adult crime
Child Abuse
Elderly
Hunger
Juvenile crime
physical Illness
parenting
Adolescents
substance Abuse
Unsupervised
Children
Youth Development
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other
(Describe BeloW)
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Head Start Child Develonment and Familv Services.
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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
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$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.
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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.
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Donors may deduct contributions to you as proYided in section
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purposes if they meet tbe. applicable provisions of sections 2055. .
2l06. and 252~ of the Code.'
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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.
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;'.~. . 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.
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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.
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, :': :::all correspondence with the Internal Ravonue Sorvico..
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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.
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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...."..
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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
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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.
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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:
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NEDERAL RE~OU
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SF 42..1. I....' Paqe 2
P,uc:"~ by o...e c;..,,,,U1' .1.-102
Authorized for Local Reproduction
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