CHARTING THE COURSE FOR YOUTH AGREEMENT (4) DocuSign Envelope ID:8E48F709-5A05-4F85-9240-7E205DA5EF33
AGREEMENT
Between
THE JUVENILE WELFARE BOARD
And
City of Clearwater
Charting the Course for Youth
I. PURPOSE
The Juvenile Welfare Board of Pinellas County, hereinafter referred to as "JWB", and City of Clearwater,
hereinafter referred to as "Provider", enter into this mutual Agreement, including all attachments referred to
herein, for the period commencing October 1, 2021 and extending through September 30, 2022. This
Agreement does not take effect and JWB has no responsibility for any of its obligations hereunder until this
Agreement is executed by all parties to this Agreement.
II. STAFF
Provider agrees to employ staff, at its own expense,to execute services provided in accordance with this
Agreement. Such individuals shall not be considered employees of JWB, and are subject to the supervision,
personnel practices and policies of the Provider. Unless otherwise approved by JWB, all Provider staff shall
meet qualifications as stated in the approved position profile on file at JWB and any approved revisions which
are submitted for FY22 funding.
III. SERVICES
Provider offers after school and summer programs for elementary, middle and high school aged children in
north Pinellas County at the Ross Norton and North Greenwood Recreation Complexes. The program
incorporates enrichment activities that promote school success and healthy lifestyles, improve social skills,
increase athletic abilities, and develop leadership skills. Lessons on positive character development, academics,
and obesity prevention are incorporated into weekly activity planning. At North Greenwood, high school
participants are exposed to career and college pathways and lessons on job readiness.
Provider agrees to deliver services as stated in the currently approved program methodology on file at JWB and
to accomplish performance measures stated in Attachment 5, as determined by JWB, according to service areas
stated in Attachment 2, and pursuant to the General Conditions stated in Section VIII and Special Conditions
listed in Attachment 1. A program methodology update,or certification that no updates are needed, is due for
submission thirty(30)calendar days after the effective date of this Agreement (see Attachment 4 for an outline
of all document submittals). The Provider shall cooperate with JWB on the process for approval of program
methodology updates by no later than January 31, 2022. Any proposed changes in service delivery after January
31, 2022 must be approved in writing by JWB in advance of making those changes and program methodologies
shall subsequently be updated within thirty(30)calendar days of that approval. Costs associated with any
unapproved changes in service delivery may not be reimbursed.
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IV. FUNDS
The program budget for both JWB and other funds (if any) for accomplishing the above stated services must be
approved in the JWB data system or other designated format before payment will commence. JWB agrees to
reimburse up to $394,095 for services rendered pursuant to this Agreement.
V. METHOD OF PAYMENT
1. JWB issues reimbursements in accordance with the schedule listed on Attachment 3 (or on the preceding
working day in case of a holiday). The Provider shall submit a request for payment at a minimum of
once a month. Reimbursements shall be made on pace throughout the fiscal year in order to allow for a
consistent and orderly delivery of services. Reimbursement requests shall be submitted timely and only
for amounts actually incurred that should properly be reimbursed per this Agreement within reasonably
needed amounts based on the budget and other funding sources. Request for payment must be
accompanied by the appropriate documentation as prescribed by JWB.
2. Requests for advance funds may be made, consistent with JWB policy.
VI. TERMINATION
1. It is the intent of JWB to ensure a consistent and orderly delivery of services. It is the further intent of
JWB to terminate Agreements in those situations where such action is essential to the protection of its
interests and the interests of children and families served by JWB, as determined solely by JWB.
2. In the event funds to finance this Agreement become unavailable, JWB may terminate the Agreement
upon no less than twenty-four(24)hours'notice in writing to the Provider. Said notice shall be delivered
in person, or by email, regular mail or delivery service.
3. JWB shall endeavor, whenever possible and consistent with its legal obligations and principles of
prudent management,to provide thirty(30) days'notice for termination due to lack of funds. JWB shall
be the final authority as to the availability of funds and extension of notice beyond the minimum time
herein stated.
4. In addition to the rights as set forth in paragraph VI. 2 above,this Agreement may be terminated by
JWB for any reason whatsoever upon twenty-four(24) hours'written notice. Said notice shall be
delivered in person, or by email, regular mail or delivery service.
5. Provider shall only be compensated for services performed prior to the termination date. Provider may
only terminate this Agreement upon thirty(30) calendar days'written notice to JWB delivered in person,
or by email, regular mail or delivery service.
6. The above provisions shall not limit JWB's right to remedies at law or to damages.
VII. COMMENCEMENT OF PAYMENT
Unless specifically authorized by JWB,payment shall not be made for services rendered prior to the effective
date of this Agreement.
VIII. GENERAL CONDITIONS
1. Agreement Revisions
This Agreement and its attachments constitute the contractual relationship between the Provider and JWB. If
there is any discrepancy between program-related documents,this Agreement preempts all other documents.No
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amendment to this Agreement or its attachments may be made without the prior written approval of JWB and
Provider, except as may be provided in General Condition#4.
2. Fiscal Responsibility
a. Provider agrees to maintain books,records,and documents in accordance with generally accepted
accounting principles and practices which accurately and appropriately reflect all expenditures of funds
listed in the approved budget on file at JWB.
b. Provider agrees to submit Program Statement of Financial Activities reports within thirty(30) calendar
days following the end of each quarter of JWB's fiscal year(see Attachment 4 for an outline of all
document submittals).
c. Provider agrees that all fmancial records and supporting documentation shall be subject at all times to
inspection, review, or audit by JWB personnel or its duly authorized agent.
d. Provider agrees to maintain and file with JWB in a timely fashion reports related to services provided
under this Agreement.
e. Provider agrees to retain all financial records, supporting documentation, statistical records, and any
other documents pertinent to this Agreement for a period of five (5) years after termination of this
Agreement. If an audit has been initiated and audit findings have not been resolved at the end of five (5)
years, all records shall be retained until resolution of audit findings.
f. Payments during Disaster Recovery: JWB agrees to support funded programs that are unable to provide
normal services for a period of at least sixty(60)calendar days after a disaster has been declared,
provided the program agrees to comply with requests of JWB and Recover Pinellas. This period may be
extended at the discretion of the Board upon recommendation of the Chief Executive Officer. Provider
must file insurance and may file FEMA claims or apply for other federal funding and shall reimburse
JWB for any amounts received from these sources that have previously been funded by JWB. The
Provider must submit to JWB a copy of the Provider's Continuity of Operations Plan within thirty(30)
calendar days of the effective date of this Agreement.
g. Provider shall provide supporting documentation(board meeting minutes, etc.)for all salary
adjustments. JWB shall not reimburse more than two (2)weeks of accrued leave for terminating
employees. JWB shall not reimburse expenses not previously approved by JWB.
3. Audit and Management Letter
The Provider agrees to submit to JWB an independent audit of the financial statements of the entity in its
entirety and any accompanying management letter(s) immediately upon receipt by the Provider's board, but
within a period not to exceed one hundred and eighty(180)calendar days of the close of the Provider's fiscal
year. The audit must be performed by a firm licensed to perform audits in the State of Florida and conducted in
accordance with generally accepted auditing standards and standards established by the American Institute of
Certified Public Accountants.
The Provider's auditor must comply with the Independence Rule and comply with the General Requirements for
Performing Nonattest Services and Documentation Requirements When Providing Nonattest Services. Such
nonattest services include:
(1) financial statement preparation; (2)cash to accrual conversions; (3) reconciliations; (4) advisory services;
(5) appraisal, valuation and actuarial services; (6)benefit plan administration; (7)bookkeeping, payroll and
other disbursements including proposed standard, adjusting or correcting journal entries; (8)preparation of
depreciation schedules;(9)business risk consulting; (10)corporate finance consulting(11) executive or
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employee recruiting;(12) forensic accounting; (13) hosting services; (14) information systems design,
implementation or integration; (15) internal audit; (16) investment advisory or management; (17)tax services.
The Provider is required to engage an audit firm that follows Government/Non-Profit Audit Standards when
conducting the financial audit and that shows evidence of a peer review report completed every three (3)years.
4. Other Financial Support
a. Provider shall report within ninety(90) calendar days any major changes in non-JWB revenue which
would impact targeted service levels in JWB funded programs during the fiscal year.
b. JWB funds shall not be used for expenditures also funded by other sources. JWB funds shall not be used
to supplant other sources of revenue.
c. Generally, JWB encourages use of its funds as financial match for securing funds from other sources.
However, in such instances, Provider is required to obtain prior written approval to submit an
application with JWB committed funds.
d. Revenues earned in a JWB funded program must remain in that program as a condition of funding.
e. Programs charging a fee for services supported by JWB funding must forward a copy of the fee schedule
to JWB within thirty(30)calendar days of the effective date of this agreement and upon making changes
to the fee schedule.
5. Program Monitoring and Data Quality
Provider agrees to submit monitoring, site visit, accreditation, and licensing reports supplied by funding,
accreditation, and licensing entities, as applicable,to JWB no more than thirty(30)calendar days following
Provider receipt. Provider agrees to submit progress reports and other information in such format and at such
times as may be prescribed by JWB (including JWB Databases, JWB Secure Portals, and Provider specific data
collection systems), and to cooperate in monitoring activities including, but not limited to, access to sites, staff,
fiscal and participant records, logs,participant rights and responsibilities policies,participant handbooks,
grievance and complaint procedures,and the provision of related participant and participant rights information.
Provider shall maintain and have available for audit inspection participant records for five (5)years post
termination of services. Provider agrees to abide by the JWB Board Policy Section IV:JWB Funded Program
Monitoring.
Provider agrees to provide JWB representatives access, without presence of the Provider supervisor,to staff or
program participants during any monitoring with or without advance notice. Youth participants will only be
interviewed in group settings or with staff present unless parental consent is obtained.
Provider staff shall adhere to JWB's Data Quality Manual and JWB's Financial Policies and Procedures for
Funded Programs, and all staff who have any responsibility(supervisory or direct) for data entry shall be trained
within thirty(30)calendar days of hire. The Provider is responsible for maintaining written policies and
procedures for providing data to JWB in a timely manner. The Provider is responsible for reviewing JWB
Database and JWB Secure Portal User Access to ensure that all users are active employees with access to
appropriate data systems and modules. The Provider is responsible for implementing appropriate procedures
into their data policies to protect data and prevent accidental or malicious disclosure of participant information.
The Provider is responsible for maintaining fiscal access and workflow approval throughout the fiscal year.
Provider shall notify JWB no less than ninety(90) days prior to implementation of data system(s)used for
participant and/or financial information that are used to share data with JWB.
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6. Board Members and Training
Within thirty(30) calendar days of approval or a change of board composition, Provider shall submit to JWB an
updated list of board members to include the start date of all members and, for board chair only, the email and
physical address, phone number, and place of employment.
Orientation of new board members shall occur within two (2) months of the member joining the board and
evidence of this orientation maintained in Provider files. Training of new board members by an external trainer
is required within six(6) months of joining the Provider board. Evidence of training must be provided to JWB
within 30 days of the training. Training must consist of the following topics: nonprofit governance, fiduciary
risks, and liabilities. Documentation of this training shall include an outline of topics covered,the board
members in attendance, date the board member joined the board, and who provided the training. Providers that
are governmental entities, higher education institutions, and hospitals are exempt from this training requirement.
7. Nondiscrimination
Providers receiving funding from JWB shall not discriminate against an employee, volunteer, or participant of
the Provider on the basis of race, color, gender, religion, national origin, citizenship, disability, marital status,
age, veteran status, sexual orientation,pregnancy, and genetic information, or any other legally protected
category except that programs may target services for specific participant groups as defined in the application.
Additionally, Providers receiving funds shall demonstrate the standards,policies, and practices necessary to
render services in a manner that respects the worth of the individual and protects and preserves the dignity of
people of diverse cultures, classes, races, religions, and ethnic backgrounds.
8. Publicizing of JWB Support-Endorsements
Requests for endorsements that require a commitment of JWB resources shall be submitted to the JWB Board
for its consideration. However, endorsements, which do not require JWB resources may be given to those
Providers that support the focus and priorities of the JWB Board,at the discretion of the JWB Chief Executive
Officer. JWB's logo must be visible at Provider's administrative and program sites, be featured on the Provider's
website, and be present on the following Provider materials as an acknowledgement of support:
• Annual report
• Program brochures and marketing materials
• Program stationery
JWB's logo may not be used on any other publications requiring JWB resources without JWB approval.
However, if a publication does not require a monetary commitment or indicate sponsorship, use of the JWB
logo may be authorized at the sole discretion of the JWB Chief Executive Officer.
9. Not Used
10. Assignments and Subcontracts
Provider shall not assign the responsibility of this Agreement to another party nor subcontract for any of the
work contemplated under this Agreement, including transportation of participants, without prior written
approval of JWB through an approved budget or other written approval on file at JWB.No such approval by
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JWB of any assignment or subcontract shall be deemed in any event or in any manner to provide for the
incurrence of any obligation by JWB in addition to the total dollar amount stated in this Agreement. JWB shall
have the right to require the Provider to replace any Subcontractor found, in the reasonable judgment of JWB, to
be unacceptable.
All such assignments or subcontracts shall be subject as applicable to the terms and General Conditions of this
Agreement and to any conditions of approval that JWB shall deem necessary. Subcontracts for program service
delivery described in the approved program methodology must be reviewed according to the Subcontract
Assessment found at https://www.jwbpinellas.org/wp-content/uploads/2019/11/Subcontract-Assessment-
Form.pdf. The assessment outlines elements that must be included in subcontracts. Subcontracts and the
corresponding Subcontract Assessment shall be submitted to JWB within thirty(30) calendar days of the
effective date of this Agreement and upon revision, amendment and execution of the subcontract thereafter.
Provider shall have full responsibility for the successful performance and completion of all subcontracted duties
under this Agreement to the same extent as if the Provider performed such duties. The Provider shall be the sole
point of contact for subcontracts with regard to all matters under this Agreement. Provider is responsible for
monitoring subcontracts of JWB funded programs unless otherwise specified in a Special Condition of this
Agreement. Documentation of monitoring of subcontracts shall be submitted to JWB no more than thirty(30)
calendar days following completion of the monitoring activities.
11. Confidential Information
Provider must follow all laws regarding confidentiality of information including, but not limited to,HIPAA.
Provider shall not use or disclose any information which specifically identifies a recipient of services under this
Agreement, and shall adopt appropriate procedures for employees'handling of confidential data with the
following exceptions: a) such information may be revealed as may be necessary to conform to Fiscal
Responsibility and Program Monitoring requirements as stated in the General Conditions of this Agreement; b)
such information may be revealed as may be necessary pursuant to applicable federal, state,or local law and
related regulations; and c) such information may be revealed with the written consent(authorization) of the
recipient,or the recipient's responsible parent or guardian, where authorized by law. Provider is responsible to
adopt appropriate policies, notifications, authorizations, and other relevant information that allows for the
sharing of confidential information with JWB.
The Provider shall also maintain in participant files a completed copy of a JWB-approved form for authorizing
client consent to release information for each participant receiving services. As allowed by law and Provider
policy, the Provider shall add JWB to consent forms including HIPAA consent forms to facilitate data sharing
and implement the Fiscal Responsibility and Program Monitoring requirements as stated in the General
Conditions of this Agreement and advise JWB within two (2) business days if a participant has withdrawn
consent to share data and note this withdrawal of consent in the case file. JWB has full discretion as to the use
of data and JWB owns all data once transferred to JWB.
Provider shall obtain permission and license for the use of any and all photographs, videotaping, audio
recordings, or written interviews/stories of participants,to include use of name, image and other identifiable
information in connection with a press release, news story,testimonial, or story that may be viewed by the
general public, and that the participant will not receive compensation for participation in the use of this
information. For youth under the age of eighteen(18), Providers will obtain the signature of a parent or legal
guardian.
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In no event should participant identifying information ever be emailed or faxed to JWB.
In the event of an improper disclosure of participant information by Provider, Provider shall inform JWB of the
improper disclosure and extent thereof within two(2) business days of becoming aware of the improper
disclosure. Provider shall cooperate fully with JWB and take all necessary steps to correct and remedy any
damage caused by the Provider's improper disclosure and to prevent future improper disclosure. Provider shall
defend, indemnify and hold harmless JWB from any and all damages caused by the improper disclosure of any
confidential information as defined by law including, but not limited to, Protected Health Information under
HIPAA and any and all costs associated with remedying the disclosure. Provider shall defend, indemnify and
hold harmless JWB from any and all damages caused by the improper disclosure as defined by law of any
information including but not limited to personally identifiable information(PII)and protected health
information(PHI) as required under HIPAA, HITECH and FIPA regulations or other information that is
confidential and/or exempt from disclosure per F.S. 119. This provision shall survive the termination of this
Agreement.
Likewise, in the event of an improper disclosure of Provider's participant information by JWB, JWB shall
inform Provider of the improper disclosure and extent thereof within two (2)business days of becoming aware
of the improper disclosure. JWB shall cooperate fully with Provider and take all necessary steps to correct and
remedy any damage caused by JWB's improper disclosure and to prevent future improper disclosure. JWB shall
defend, indemnify and hold harmless Provider from any and all damages caused by JWB's improper disclosure
and any and all costs associated with remedying the disclosure subject to the doctrine of sovereign immunity
and limitations set forth in F.S. 768.28.
12. Public Records
JWB is a public entity subject to Florida's Public Records Law, which includes provisions relating to records
retention,production, and confidentiality. For purposes of this section, Provider is also referred to as Contractor.
Provider subcontracts that arise out of this Agreement must apply the entirety of this public records condition to
the Subcontractor.
IF THE CONTRACTOR HAS QUESTIONS REGARDING THE APPLICATION OF CHAPTER 119,
FLORIDA STATUTES,TO THE CONTRACTOR'S DUTY TO PROVIDE PUBLIC RECORDS
RELATING TO THIS CONTRACT, CONTACT THE CUSTODIAN OF PUBLIC RECORDS AT:
Juvenile Welfare Board of Pinellas County
14155 58th St. No.,Ste. 100
Clearwater, FL 33760
(727) 453-5600
communications@jwbpinellas.org
Contractors acting on behalf of JWB must comply with 119.0701 and must:
a. Keep and maintain public records required by JWB to perform the service.
b. Upon request from JWB's custodian of public records, provide JWB with a copy of the requested
records or allow the records to be inspected or copied within a reasonable time at a cost that does not
exceed the cost provided in F.S. 119 or as otherwise provided by law.
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c. Ensure that public records that are exempt or confidential and exempt from public records disclosure
requirements are not disclosed except as authorized by law for the duration of the contract term and
following completion of the contract if the contractor does not transfer the records to the public agency.
d. Upon completion of the contract,transfer, at no cost,to JWB all public records in possession of
Contractor or keep and maintain public records required by JWB to perform the service. If the
Contractor transfers all public records to JWB upon completion of the contract, Contractor shall destroy
any duplicate public records that are exempt or confidential and exempt from public records disclosure
requirements. If Contractor keeps and maintains public records upon completion of the contract,the
Contractor shall meet all applicable requirements for retaining public records. All records stored
electronically must be provided to JWB, upon request from JWB's custodian of public records, in a
format that is compatible with the information technology systems of JWB.
In addition, Contractors should be aware that Social Security numbers are confidential and exempt from
disclosure (119.071(5))and personal identifying information of a child or the parent or guardian of the child
held by JWB or service provider under contract with JWB is exempt from disclosure(125.901(11)).There are
many other exemptions in the law that Provider should be cognizant exist. However, for all Providers, any and
all contracts between JWB and Provider,program methodology, budgets, requests for reimbursements, emails,
other written correspondence and any other documents exchanged between the Provider and JWB are generally
public records and will be disclosed in the sole discretion of JWB and must be retained in accordance with
Florida's record retention policy. Providers should not provide any documents to JWB containing Trade Secrets,
as defined by F.S. 812.08,or exempt or confidential and exempt information to JWB without specifically
marking such document. By submitting any documents or information whatsoever to JWB, Provider agrees that
JWB may use and disclose all information and documents submitted for any purpose JWB sees fit and that it is
within JWB's sole discretion to determine if any information submitted is exempt from disclosure.
Any Provider who receives a public records request for records pertaining to JWB or services funded by JWB,
must advise JWB within two (2) business days of the records request and JWB and Provider will work together
to respond to any such request. This provision shall survive termination of this Agreement.
13. Return of Funds
Provider agrees to return to JWB any overpayment due to costs not incurred or costs disallowed pursuant to the
terms of this Agreement and such funds shall be considered JWB funds and shall be refunded to JWB in
accordance with its instructions. Should Provider fail to return said funds, Provider shall be responsible for all
costs and fees of collection incurred by JWB - including, but not limited to, attorney fees and court costs
including any pre-suit collections fees and costs. This provision survives termination of this Agreement and
return of funds for overpayment or disallowance will be required even if the overpayment or disallowance is
discovered after this Agreement is terminated.
14. Special Situations and Incidents
Provider agrees to inform JWB within one (1) business day of any circumstances or events which may
reasonably be considered to jeopardize its capability to continue to meet its obligations under the terms of this
Agreement. Participant incidents are required to be reported for situations that occur only while under the
Provider's care and includes anything that may reflect negatively or critically upon JWB.
Certain personnel are mandated by law to report their suspicions of child abuse, neglect, or abandonment to the
Florida Abuse Hotline(1-800-96-ABUSE). All concerns regarding suspected abuse, neglect,or abandonment of
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a child or vulnerable adult by the Provider shall first be reported to the Florida Abuse Hotline and then reported
to JWB. Incident reporting does not preclude mandated reporting requirements.
Critical Incidents are defined as follows:
Abduction- An incident in which an individual who does not have care and custody of a child has taken the
child. Concerns of child abductions shall immediately be reported to the appropriate law enforcement personnel.
Abuse or Neglect -Reasonable cause to suspect that a child has been harmed or is believed to be threatened
with harm while in the Provider's care.
Breach of Information- Sensitive, protected or confidential data has potentially been viewed, stolen or used by
an individual unauthorized to do so.
Elopement- When a minor participant leaves a setting without permission or authorization.
Employee Arrest -Employee conduct or activity that results in potential liability to the Provider or JWB, death
or harm to a participant,or results in a law violation, including falsification of official records. If an arrest is
made for a potentially disqualifying offense under Level 2 background screening requirements, or if the arrest
occurred while in the performance of an employee's official duties,the incident should be reported immediately.
Investigation or Lawsuit -Any formal investigation or legal action brought against Provider which relates to the
services funded by JWB or which may reasonably be considered to jeopardize its capability to continue to meet
its obligations under the terms of this Agreement.
Media Coverage or Public Inquiry- Media coverage or public reaction that may have an impact on the Provider
or JWB's ability to protect and serve its participants, or other significant effect on the Provider or JWB.
Participant Death- The death of any participant receiving JWB services, regardless if the death occurred while
under Provider's care.
Participant Illness - An illness of a participant requiring a response by Emergency Medical Services AND
transport to a medical facility due to the severity of the illness while participant is attending the program.
Participant Injury-A medical condition of a participant requiring a response by Emergency Medical Services
AND transport to the hospital due to the severity of the medical condition or injury while the participant is
attending the program.
Note in both instances of Participant Illness and Participant Injury the parents may use Emergency Medical
Services as transportation to the hospital- if it is used solely for this purpose an incident report is not required.
In the event that the participant leaves the program and requires emergency care due to an injury or illness
incurred at the program, an incident report should be completed when the program becomes aware.
Sexual Battery-An allegation of sexual battery involving a participant or employee as evidenced by medical
evidence or law enforcement involvement. Sexual battery includes participant on participant incidents,
employee, agent or volunteer on participant, and participant on employee, agent or volunteer.
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Suicide Attempt -An act which clearly reflects the physical attempt by an active participant to cause his or her
own death, which results in bodily injury requiring medical treatment by a licensed health care professional.
In addition, the Provider shall notify JWB immediately upon knowledge of any action or incident involving
Provider staff or volunteers that could potentially jeopardize the terms of this Agreement which includes
misconduct, malfeasance during working hours,or any conduct that results in the arrest of a staff member or
volunteer after hours.
Within one (1) business day, the Provider must submit electronically a completed Incident Report to
IRreviewteam@jwbpinellas.org with full details and disposition of the incident, excluding identifying
information such as name, date of birth, and address. In the event of a participant death please contact by phone
the JWB Chief Program Officer within three(3)hours of knowledge of the incident.
All email communications made or received by JWB members or staff are considered public records and are
retained and, upon request, made available to the public and media in accordance with Chapter 119, Florida
Statutes.
Provider must adhere to the reporting requirements hereunder after the termination of this Agreement if
Provider becomes aware of a Critical Incident after the termination of the Agreement if the Critical Incident
occurred during the term of the Agreement and/or relates to the services funded by JWB.
15. Provider Staff Membership on Board
Provider agrees that Provider staff shall not serve as voting members of the Provider's governing board.
16. Waiver
JWB reserves the right to waive requirements of this Agreement and General Conditions where warranted by
special circumstances. Any waiver shall be in writing and signed by JWB.
17. Provider& Program Data Maintained In 2-1-1 Database
Provider agrees to maintain accurate and up-to-date Provider and program data in the 2-1-1 Tampa Bay Cares
database. The Provider will review and update(as necessary)this data at least once annually. The Provider will
list data for newly funded program(s)within thirty(30) calendar days of the date that JWB funds the program.
This requirement applies to all programs accepting 2-1-1 referrals.
18. Provider Staff Background Checks
All program staff and Provider staff(including employees, independent contractors, and staff of
subcontractors),volunteers and those who may have access to youth participants are required to undergo and
pass a national Level 2 background check that complies with the standards set forth in F.S. 435. Those
individuals must have no disqualifying offenses listed in F.S. 435.04. for which they have not received an
exemption in accordance with Florida law. All staff and volunteers must continue to qualify to pass a Level 2
screening at all times and must notify their employer if at any time they no longer qualify to pass a Level 2
screening. Proof of Level 2 background clearance, including current executed affidavits/attestations of good
moral character, must be maintained at all times in the appropriate files and the screening repeated every five
(5)years or more often in accordance with law or as requested by JWB. This requirement applies to employees
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regardless of the funder supporting the position and all volunteers and subcontractors who may have access to
youth. Volunteers and subcontractors who assist on an intermittent basis for less than ten(10) hours per month
do not have to be screened if a person who meets the screening requirement of this section is always present and
has the volunteer and subcontractor within his or her line of sight. The Provider is required to clearly document
which volunteers meet the criteria for a Level 2 background screening and affidavits of good moral character,
and which are exempt according to the terms of this Agreement. The Provider's policy and practice for
background screening must provide for adequate protection and must comply with all applicable laws and
implementing regulations including, but not limited to F.S. 435.
The Florida Department of Children and Families provides an exemption process under this statute. JWB does
not provide an exemption or waiver process.
Should a Provider not be statutorily authorized to receive a national Level 2 background check in accordance
with F.S. 435,the Provider must still comply with the standards set forth in F.S. 435 through VECHS
background screening. Only in the event the Provider does not qualify to receive a national Level 2 background
check in accordance with F.S. 435 and is not eligible to participate in VECHS, then the Provider must engage a
third-party vendor to conduct a national background check and must comply with the standards as set forth in
F.S. 435.
Providers using VECHS, or any other third-party vendor which does not allow the release of background
screening results to JWB, must sign and provide to JWB an affidavit which ensures compliance with the
entirety of this section. This affidavit must be renewed annually by the Provider's Executive Director or
equivalent and submitted within thirty(30) calendar days of the effective date of this Agreement and upon
change of staff in this position. Provider must also provide a written procedure within thirty(30) calendar days
of the effective date of this Agreement which outlines the process by which compliance is ensured with the
entirety of this section, including the person responsible for conducting verification between results of VECHS
information and the disqualifying offenses according to F.S 435. Personnel and volunteer files shall reflect who
verified whether the employee or volunteer candidate passed the background screening according to F.S.
435.04.
Provider agrees to submit to monitoring of personnel and volunteer files and other required documents to ensure
compliance with this section. Monitoring will include, but not be limited to,review of training logs,position
descriptions, applications, resumes and Provider verification of staff credentials. Providers shall not release PHI
to JWB and shall keep this information separated from personnel and volunteer files. Parental consent for JWB
monitoring activities must be evident in the personnel and volunteer files of minor children.
19. Attendance
Provider is required to keep attendance records. If Attachment 5 requires a program to track participant
attendance, attendance may be tracked in the JWB Database or other approved data system.
20. Link to JWB's Website
Provider website shall include the JWB logo that links to the JWB website(www.jwbpinellas.org).
21. Drug-Free Workplace
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The Provider shall have and enforce a Drug and Alcohol Free Workplace Policy. This policy shall be submitted
to JWB within thirty(30)calendar days of the execution of this Agreement.
22. Public Entity Crimes
Per Section 287.133, F.S., a person or affiliate who has been placed on the convicted vendor list following a
conviction for a public entity crime may not submit a bid on a contract to provide any goods or services to a
public entity, may not submit a bid on a contract with a public entity for the construction or repair of a public
building or public work,may not submit bids on leases of real property to a public entity, may not be awarded
or perform work as a contractor, supplier, subcontractor, or consultant under a contract with a public entity, and
may not transact business with a public entity in excess of the threshold amount provided in Section 287.017,
for CATEGORY TWO for a period of thirty-six(36)months from the date of being placed on the convicted
vendor list.
23. JWB Policies and Procedures
Provider agrees to follow all JWB policies and procedures which can be located on the JWB website at
www.jwbpinellas.org and which are incorporated into this Agreement in their entirety. Said policies include, but
are not limited to, all Board policies, funding policies, JWB Financial Policies and Procedures for Funded
Programs, research policies, security policies, JWB Data Quality Manual, and policies that may be promulgated
by JWB within its sole discretion from time to time. JWB reserves the right to change these policies from time
to time within its sole discretion. JWB will provide a minimum of thirty(30) calendar days' notice to the
Provider and it is the responsibility of the Provider to be in compliance with all policies and procedures at all
times.
Provider is encouraged to provide certification of current accreditation by a recognized national accrediting
body appropriate to the programming funded by JWB.
Regardless of accreditation,the Provider must meet the highest professional standards established through its
specific field.
24. Conflict of Interest
The Provider must have no interest and shall acquire no interest, either direct or indirect,which would conflict
in any manner with the performance or services required hereunder. The Provider further represents that no
person having any such interest shall be employed or subcontracted by the Provider during the Agreement term
and any extensions.
The Provider shall promptly notify JWB, in person, or by email,regular mail or delivery service, of all potential
conflicts of interest for any prospective business association, interest, or other circumstance, which may
influence or appear to influence the Providers judgment or quality of services being provided hereunder. Such
written notification shall identify the prospective business association, interest or circumstance,the nature of
work that the Provider may undertake and request an opinion of the JWB Chief Executive Officer as to whether
the association, interest or circumstance would, in the opinion of JWB, constitute a conflict of interest if entered
into by the Provider. JWB agrees to notify the Provider of its opinion, in person, or by email, regular mail or
delivery service,within thirty(30) days of receipt of notification by the Provider.
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25. Insurance Requirements - Basic Provisions
The Provider will procure,pay for, and maintain,throughout the period of this Agreement, on behalf of the
Provider and JWB, the following MINIMUM limits of basic insurance coverage with responsible companies,
eligible to do business in the State of Florida, which maintain a rating of A-(IX)or higher with A.M. Best.
a. Workers' Compensation
Part One: "Statutory"
Part Two:Each Accident $500,000
Disease -Policy Limit $500,000
Disease -Each Employee $500,000
Such insurance shall be no more restrictive than that provided by the latest edition of the standard Workers'
Compensation Policy, as filed for use in Florida by the National Council on Compensation Insurance (NCCI),
without any restrictive endorsements other than any endorsements required by NCCI or the State of Florida. In
addition to coverage for the Florida Workers'Compensation Act, where appropriate, coverage is to be included
for the Federal Employer's Liability Act and any other applicable Federal or State law.
b. Commercial General Liability
General Aggregate $3,000,000
Products/Completed Operations Aggregate $3,000,000
Personal and Advertising Injury $3,000,000
Each Occurrence $3,000,000
Such insurance shall be no more restrictive than that provided by the latest edition of the standard Commercial
General Liability Form(Form CG 00 01) as filed for use in the State of Florida by the Insurance Services Office
(ISO)without any restrictive endorsements other than any endorsements specifically required by ISO or the
State of Florida.
JWB and JWB's Board members, employees, volunteers, and agents shall be included as an "Additional
Insured" on the Commercial General Liability coverage a form no more restrictive than ISO form CG 20 10
(Additional Insured - Owners, Lessees, or Provider).
c. Automobile
Combined single limit- (Vehicles transporting JWB $5,000,000
Participants)
Combined single limit - (All other vehicles used in the N/A
performance of work under this Agreement)
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[The determination of which of the Provider's vehicles will be subject to the limit stated above for "Vehicles
transporting JWB Participants" and will be based upon the responses given by the Provider in the most recent
JWB Insurance Survey.]
Such insurance shall be no more restrictive than that provided by Section II (Liability Coverage)of the most
recent version of the standard Business Auto Policy(ISO Form CA 00 01)without any restrictive
endorsements, including coverage for liability contractually assumed, and shall cover all owned, non-owned,
and hired autos used in the performance of the work under this Agreement.
Providers that transport JWB Participants will be required to insure any vehicle used for such Participant
transportation in the amount shown in the Participant Transportation section of the Automobile Insurance
Requirements matrix. Such amount shall be determined by JWB based upon the maximum number of
passengers per vehicle (including driver) in the vehicle being utilized. All other Provider vehicles are required
to be insured in the amount shown in the matrix which corresponds to the rest of the Providers operations,
excluding participant transportation. The applicable limits can be found at https://www.jwbpinellas.org/wp-
content/uploads/2021/04/Automobile-Insurance-Requirements-l.pdf.
Providers that hire participant transportation services shall be required to maintain verification of transportation
vendor's automobile liability insurance limits in the same amount that the Provider would be required to
maintain if Provider were providing the transportation services directly. Such amount shall be determined by
JWB based upon the maximum number of passengers per vehicle (including driver) in the vehicle being
utilized. The applicable limits can be found at https://www.jwbpinellas.org/wp-
content/uploads/2021/04/Automobile-Insurance-Requirements-l.pdf.
d. Excess or Umbrella Insurance:
All required limits of insurance may be satisfied by the use of any combination of primary and excess/umbrella
liability insurance coverages. All Certificates of Insurance for umbrella and excess liability policies should
clearly indicate which underlying policies such excess or umbrella liability policies are applicable to on an
excess basis.
e. Evidence of Insurance:
Provider shall not commence work until the required insurance is in force and evidence of insurance meeting all
of the requirements set forth herein has been provided to JWB.
JWB at all times reserves the right to request such additional documentation and evidence of insurance as in its
sole discretion it may require and the Provider hereby agrees to provide same. An appropriate Certificate of
Insurance signed by an authorized representative of the insurer shall be satisfactory evidence of insurance. With
respect to the Commercial General Liability, an appropriate Certificate of Insurance signed by an authorized
representative of the insurer, and copies of the actual additional insured endorsement(s) as issued on the
policy(ies), shall be satisfactory evidence of such insurance.
The evidence of insurance provided by Provider must include a disclosure of the amount(s)of all deductibles or
self-insured retentions applicable to any policy of insurance required under this section.
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Until such insurance is no longer required by this Agreement, Provider shall provide JWB with renewal or
replacement evidence of insurance at least fifteen(15) calendar days prior to the expiration or termination of
such insurance.
Notwithstanding the prior submission of a Certificate of Insurance, copies of endorsements, or other evidence
initially acceptable to JWB, if requested by JWB, Provider shall, within thirty(30) calendar days after receipt of
a written request from JWB, provide JWB with a certified copy(ies) of the policy(ies)providing the coverage
required herein. Provider may redact or omit, or cause to be redacted or omitted,those provisions of the policy
or policies which are not relevant to the insurance required herein.
f. Notice of Cancellation:
All required policies must be endorsed to provide JWB with thirty(30) calendar days'prior notice of
cancellation.
g. Primary and Non-Contributory:
The insurance provided by the Provider shall apply on a primary basis to and shall not require contribution
from, any insurance maintained by JWB. Any insurance or self-insurance maintained by JWB shall be in excess
of, and shall not contribute with,the insurance provided by Provider.
h. Deductibles/Self-Insured Retentions:
Except as otherwise specifically authorized in this Agreement, no deductible or self-insured retention for any
insurance required of Provider pursuant to this Agreement will be allowed. To the extent any required insurance
is subject to any deductible or self-insured retention(whether with or without prior approval of JWB), Provider
shall be solely responsible for paying any such deductible or self-insured retention.
Non-Waiver/Remedies: Compliance with these insurance requirements shall not limit the liability of Provider,
its subcontractors, sub-subcontractors,employees or agents. Any remedy provided to JWB or JWB's Board
members, employees, volunteers, and agents by the insurance provided by Provider shall be in addition to and
not in lieu of any other remedy(including, but not limited to, as an indemnitee of Provider)available to JWB
under this Agreement or otherwise.
Neither approval nor failure to disapprove insurance furnished by Provider shall relieve Provider from the
responsibility to provide insurance as required by this Agreement.
Provider shall provide JWB with renewal or replacement evidence of insurance at least fifteen(15)calendar
days prior to the expiration or termination of such insurance.
26. Insurance Requirements -Additional Coverages
The Provider will procure, pay for, and maintain,throughout the period of this Agreement,on behalf of the
Provider and JWB,the following MINIMUM limits of additional insurance coverage with responsible
companies, eligible to do business in the State of Florida, which maintain a rating of A-(IX)or higher with
A.M. Best.
a. Professional Liability
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Each Claim $1,000,000
Annual Aggregate $1,000,000
Maximum Deductible or Maximum Self-Insured Retention $25,000
Such insurance shall be on a form acceptable to JWB and shall cover Provider for those sources of liability
arising out of the rendering or failure to render professional services in the performance of the services required
in the Agreement including any hold harmless and/or indemnification agreement.
If the Professional Liability is provided on a Claims Made Form,the retroactive date must be no later than the
first date of this Agreement and such claims-made coverage must respond to all claims reported within three (3)
years following the period for which coverage is required.
b. Cyber Liability
Each Claim $500,000
Annual Aggregate $500,000
Maximum Deductible or Maximum Self-Insured Retention $25,000
The Cyber Liability insurance shall be on a form acceptable to JWB and shall cover Security&Privacy
Liability and Breach Response Coverage, including Notification Expenses.
If the Cyber Liability is provided on a Claims Made Form, the retroactive date must be no later than the first
date of this Agreement and such claims-made coverage must respond to all claims reported within three (3)
years following the period for which coverage is required.
The required Cyber Liability coverage may be included as part of the Professional Liability coverage and limits
required above.
c. Abuse and Molestation Liability
Each Claim $1,000,000
Annual Aggregate $1,000,000
Maximum Deductible or Maximum Self-Insured Retention $25,000
Such insurance shall be on a form acceptable to JWB and shall cover Provider and its employees for liability
arising out of any occurrence of abuse or molestation in relation to the work provided by Provider under the
Agreement.
If the Abuse and Molestation coverage is provided on a Claims Made Form,the retroactive date must be no
later than the first date of this Agreement and such claims-made coverage must respond to all claims reported
within three (3)years following the period for which coverage is required.
d. Directors and Officers/Emoloyment Practices Liability
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Each Claim $1,000,000
Annual Aggregate $1,000,000
Maximum Deductible or Maximum Self-Insured Retention $25,000
Such insurance shall be on a form acceptable to JWB and shall cover Provider and its directors,officers and
employees for liability arising out of"Wrongful Acts" in the performance of their duties as directors,officers
and employees of Provider. In addition, coverage shall be included for"Wrongful Acts" of Provider arising out
of Provider's employment practices.
If the coverage is provided on a Claims Made Form, the retroactive date must be no later than the first date of
this Agreement and such claims-made coverage must respond to all claims reported within three (3)years
following the period for which coverage is required.
e. Crime Insurance
Such insurance shall be on a form acceptable to JWB and shall provide the following coverages in the following
amounts:
Employee Dishonesty: $300,000
Forgery or Alteration: $300,000
Robbery(on or off premises): $300,000
Computer Fraud: $300,000
Funds Transfer Fraud: $300,000
Maximum Deductible or Maximum Self-Insured Retention $25,000
f. Watercraft Liability
To the extent watercraft are utilized,Provider shall purchase and maintain insurance which shall, at a minimum,
cover Provider for injuries or damage arising out of the use of all owned, non-owned, and hired watercraft.
The insurance shall include JWB and JWB's Board members, employees, volunteers, and agents as additional
insureds.
The limits applicable to watercraft liability shall be:
Each Occurrence/Annual Aggregate $300,000
g. Pollution Legal Liability
Such insurance shall cover Provider for liability resulting from pollution or other environmental impairment
arising out of, or in connection with,work performed under this Agreement,or which arises out of, or in
connection with this Agreement, including coverage for cleanup of pollution conditions and third party bodily
injury and property damage claims arising from pollution conditions. Such insurance shall also include
transportation coverage and non-owned disposal site coverage.
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Coverage must either be on an occurrence basis;or, if on a claims-made basis, the coverage must respond to all
claims reported within three(3) years following the period for which coverage is required and which would
have been covered had the coverage been on an occurrence basis.
The minimum limits(inclusive of any amounts provided by an umbrella or excess policy) shall be:
Each Claim $500,000
Annual Aggregate $500,000
Maximum Deductible or Maximum Self-Insured Retention $25,000
JWB and JWB's Board members, employees, volunteers, and agents shall be included as an"Additional
Insureds" on the policy.
27. Indemnification
Provider shall defend, indemnify, and hold harmless JWB, its agents, and employees from and against any and
all liabilities, claims,judgments, or actions including, but not limited to, attorney's fees and all costs that may
hereafter at any time be made or brought by any person or entity on account of any claim including but not
limited to,personal injury,property damage, loss of monies, civil rights violation, or discrimination allegedly
caused in whole or part by any act or omission, including but not limited to, breach of contract, negligent act,
wrongful act, intentional act,omission, and any acts of fraud or defalcation, of the Provider, its agents,
employees, or subcontractors, arising out of or relating to its performance of this Agreement or for Provider's
improper disclosure of confidential and/or exempt information, or failure to comply with F.S. 119 or any other
applicable law, rule or regulation. In no event will the Provider be liable for or have any obligation to defend
JWB against such liability, claims,judgments,or actions, including costs and attorney's fees, arising out of the
sole negligent acts of JWB. This provision survives termination of the Agreement.
28. Certification that Provider is legally able to contract with JWB
In compliance with F.S. 287.135(a), a Provider is ineligible to and may not enter into a contract with JWB if the
Provider is on the Scrutinized Companies that Boycott Israel List, created pursuant to s. 215.4725 or is engaged
in a boycott of Israel. In compliance with F.S. 287.135(b), for contracts of$1 million or more, a Provider is
ineligible to and may not enter into a contract with JWB if the Provider(1) is on the Scrutinized Companies
with Activities in Sudan List or the Scrutinized Companies with Activities in the Iran Petroleum Energy Section
List, created pursuant to s.215.473 or, (2) is engaged in business operations in Cuba or Syria. By entering into
this Agreement, you are certifying that you are eligible to contract with JWB and are not participating in a
boycott of Israel, are not on the Scrutinized Companies with Activities in Sudan List, are not on the Scrutinized
Companies with Activities in the Iran Petroleum Energy Sector List and that you do not have business
operations in Cuba or Syria. In addition, this Agreement may be terminated if Provider(1) has found to have
submitted a false certification, (2) has been placed on the Scrutinized Companies that Boycott Israel List, or is
engaged in a boycott of Israel, (3) has been placed on the Scrutinized Companies with Activities In Sudan List
or the Scrutinized Companies with Activities in The Iran Petroleum Energy Sector List;or(4) has been engaged
in business operations in Cuba or Syria.
29. E-Verify
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In accordance with F. S. 448.095, no later than the first date of the term Agreement, Provider must register with
and use the U.S. Department of Homeland Security's E-Verify system, https://e-verify.uscis.gov/emp, to verify
the work authorization status of all employees hired on or after the first date of the term Agreement and during
the remainder of the term of this Agreement. Evidence may consist of, but is not limited to, providing notice of
your E-Verify number. The link for instructions on how to provide proof of participation/E-Verify enrollment is
https://www.e-verify.gov/faq/how-do-i-provide-proof-of-my-part icipationenro llment-in-e-verify.
The statute also applies to subcontractors performing work under this Agreement. The subcontractor must use
the E-Verify system for any employees it may hire during the term of this Agreement. The Subcontractors must
provide affidavits stating the subcontractor does not employ, contract with, or subcontract with an unauthorized
alien, as defined by F. S. §448.095(k). Subcontractors are defined in Florida Statute as both individuals and
legal entities. Provider must maintain copies of all subcontractor affidavits for the duration of the JWB
Agreement and these affidavits shall be subject at all times to inspection, review, or audit by JWB personnel or
its duly authorized agent.
Notwithstanding any other terms of this Agreement, if JWB has a good faith be lief that you have knowingly hired,
recruited or referred an alien who is not duly authorized to work by the immigration laws or the Attorney General
of the United States, JWB shall terminate this Agreement. Provider may be liable for all costs associated with
JWB securing the same services, inclusive, but not limited to, higher costs for the same services and rebidding
costs(if necessary). Any challenge to termination under this provision must be filed in the Circuit Court no later
than 20 calendar days after the date of termination. If this Agreement is terminated for a violation of the statute,
Provider may not be awarded a public contract for a period of one (1) year after the date of termination.
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IX. SIGNATURES
Chief Executive Officer: Juvenile Welfare Board
of Pinellas County
Beth A. Houghton
8/25/2021 1 12:55 PM EDT
Date
Countersigned: CITY OF CLEARWATER, FLORIDA
jp V
144- t'd'.- By:
Frank V. Hibbard Micas • axwell
Mayor I erim City Manager
Approved as to form: Attest: t,,
App �.� rp,
„LA/La,.
•,,
Owen Kohler Rosemarie Call •CP
Assistant City Attorney City Clerk 16,0
ABUSNEO�q�h
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DocuSign Envelope ID:8E48F709-5A05-4F85-9240-7E205DA5EF33
Attachment 1
Special Conditions of the Agreement
The following condition(s) applies to the program(s):
Charting the Course for Youth
Provider approved COST program shall adhere to the JWB approved Program Service Matrix Model Program
Components for Out of School Time Programming.
The Provider will work with the assigned JWB Evaluator to implement the Florida Afterschool Network
Quality Self-Assessment. The provider must identify a self-assessment coordinator who will work with the
JWB Evaluator to conduct the self-assessment. The self-assessment must be completed and associated
performance improvement plan(as appropriate) must be established by the end of the fiscal year.
The Provider and all facilities legally required to be licensed must maintain valid licensure. Facilities not
required to be licensed must maintain a Certificate of Substantial Compliance issued by the Pinellas County
License Board(PCLB). Should any Provider or facility's license or certification be revoked, not renewed, or
suspended during the time services are being provided hereunder,the Provider must immediately notify JWB
within twenty-four(24)hours in writing and said Provider or facility is no longer qualified to provide services
to the Recipients under the terms of this Agreement. Provider or facility's license must be considered in Good
Standing, which is defined as having no probationary license status within the preceding twelve (12)months.
Provider authorizes JWB to speak with PCLB and any other entity regulating the Provider about anything
relevant to Provider's child care license, history of providing care or anything else deemed relevant by JWB.
General Condition#18 - Provider is waived from personnel file monitoring with JWB wherein the Provider has
no non-compliances on PCLB's most recent monitoring report/inspection checklist/complaint investigation in
the area of Personnel and at the time of JWB monitoring is in full compliance with all PCLB regulations
pertaining to Personnel, including, but not limited to, personnel records and background screening. JWB
reserves the right to monitor personnel files at any time, including if a non-compliance is noted during PCLB's
monitoring/inspection/investigation and at any time JWB deems necessary. Provider will give JWB staff access
to all PCLB monitoring reports/inspection checklist/complaint investigations. All other provisions of the
Condition remain.
The following condition(s) applies to the Provider:
City of Clearwater
General Condition#2f- The last sentence is waived: Provider is not required to submit a Continuity of
Operations Plan to JWB.
General Condition#6 -Board Members and Training is waived.
General Condition#10 -Assignments and Subcontracts—The last sentence of paragraph two and of paragraph
three in this section are waived: Provider is exempted from submitting Subcontracts, Subcontract Assessments
and Subcontract monitoring documentation for individual(not incorporated)providers of overlay services and
tutoring services if said individuals of those services are not left alone with children. All other terms of General
Condition#10 shall remain the same.
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General Condition#11 - Confidential Information-paragraph 4,the sentence that states, "Provider shall defend,
indemnify and hold harmless JWB from any and all damages caused by the improper disclosure of any
confidential information as defined by law including, but not limited to, Protected Health Information under
HIPAA and any and all costs associated with remedying the disclosure." is stricken and replaced with the
following: "Provider shall defend, indemnify, and hold harmless JWB from any and all damages caused by the
provider's improper disclosure of any information including, but not limited to, Protected Health Information
under HIPAA and any and all costs associated with remedying the disclosure subject to the doctrine of
sovereign immunity and limitations set forth in F.S. 768.28."
General Conditions#25 and#26- Insurance Requirements are waived wherein the Provider maintains
responsibility for the delivery of services. Should the Provider assign or subcontract any of the work
contemplated under this Agreement to a non-governmental entity, or to a non-Florida governmental entity,this
Insurance Requirements waiver is not applicable to the subcontracted services portion of the contract.
Nongovernmental subcontractors and non-Florida governmental subcontractors must demonstrate compliance
with the insurance requirements for all subcontracted services performed for Provider for JWB-funded
programs. Provider is solely responsible for ensuring subcontractors of the Agreement are in compliance with
the minimum insurance requirements as described in General Conditions#25 and#26.
General Condition#27 -Indemnification is replaced with "The Provider agrees to be fully responsible for all
claims arising out of its own acts of negligence or its respective employees'acts of negligence when acting
within the scope of their employment and agrees to be liable for any damages proximately caused thereby;
provided, however,that the Provider's liability is subject to the monetary limitations and defenses imposed by
section 768.28, F.S.Nothing herein is intended to serve as a waiver of sovereign immunity by the Provider, nor
shall anything herein be construed as consent by the Provider to be sued by any third party for any cause or
matter arising out of or related to this Agreement except to the extent provided by 768.28, F.S."
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Attachment 2
Geographical Service Area
Provider agrees whenever possible to maintain service sites which are accessible by public transportation and
convenient to the target participant group. Provider will advise JWB of any changes made in service sites.
The geographical service area for this agreement is as follows:
Participants Participants are eligible who reside in Participants are eligible from the
Program Name are eligible ,
Countywide
the following ZIP codes: following service areas:
Participants will primarily reside in zip
Charting the codes 33755 and 33756. In addition,
Course for participants can reside in the following
Youth zip codes: 33763, 33764, 33765, 33770,
33778, 34677, 34695 and 34698.
Page 23 of 30
DocuSign Envelope ID:8E48F709-5A05-4F85-9240-7E205DA5EF33
•jwb
`.► Juvenile Welfare Board
labially in dalarea Strelytherong ow community
'ATTACHMENT 3
` A ;ACCOii-NTTS PAYABLESCHED E=t FY2O22
Pav# Submission nue Date Reimbursement Date
1 09/24/21 10/01/21
2 10/08/21 10/15/21
3 10/22/21 10/29/21
4 ., 11/05/21 11/12/21
5 11/19/21 11/26/21
6 12/03/21 12/10/21
7 12/17/21 12/24/21
8 12/31/21 01/07/22
9 01/14/22 01/21/22
10 01/28/22 02/04/22
11 02/11/22 02/18/22
12 02/25/22 03/04/22
13 03/11/22 03/18/22
14 03/25/22 04/01/22
15 04/08/22 04/15/22
16 04/22/22 04/29/22
17 05/06/22 05/13/22
18 05/20/22 05/27/22
19 06/03/22 06/10/22
20 06/17/22 06/24/22
21 07/01/22 07/08/22
22 07/15/22 07/22/22
23 07/29/22 08/05/22
24 08/12/22 08/19/22
25 08/26/22 09/02/22
26 09/09/22 09/16/22
27 09/23/22 09/30/22
28 10/07/22 10/13/2022 (September business)
29 10/21/22 10/27/2022 (September business)
30 11/04/22 11/10/2022 (September business)
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Attachment 4
Document Submittal Chart
This chart is intended as a guide. Submittals required in the General and Special Conditions of
the A reement su,ersede this •uide.
Provider Document Time Frame Submit To
Program methodology update or Within thirty(30) calendar days of Agency Specific JWB Secure
certification that no updates are effective date of Agreement Portal Site
needed.
Agency Specific JWB Secure
Approved program methodology January 31, 2022 Portal Site
COOP - WAIVED Within thirty(30) calendar days of Agency Specific JWB Secure
effective date of Agreement Portal Site
If applicable, then prior to budget Agency Specific JWB Secure
Salary Adjustment Approval
submission or subsequent amendment Portal Site
Within thirty(30) calendar days AgencySpecific JWB Secure
Quarterly Program Statement of following the end of each quarter of
Financial ActivitiesPortal Site
JWB's fiscal year
Immediately upon receipt by the
Most Recent Audit Provider's board or not to exceed 180 Agency Specific JWB Secure
days of the close of the Provider's Portal Site
fiscal year
Within thirty(30) calendar days of the
Fee Schedules effective date of this agreement and Agency Specific JWB Secure
upon making changes to the fee Portal Site
schedule
Monitoring, Site Visit, No more than thirty(30) calendar days Agency Specific JWB Secure
Accreditation and Licensing following Provider receipt Portal Site
Reports
Notification of Change in Within ninety(90)calendar days in Email to JWB Chief Executive
Participant and/or Finance Data advance of any changes Officer
Base
Within thirty(30)calendar days of Agency Specific JWB Secure
Board Member List—WAIVED approval or a change of board Portal Site
composition
Board Training(Outline of topics, Within six(6) months of joining the
members in attendance, and who Provider board,evidence of training Agency Specific JWB Secure
provided training)—WAIVED new board members must be provided Portal Site
to JWB within 30 days of the training.
Subcontracts—Waived in the Within thirty(30)calendar days of the
case of independent providers of effective date of this Agreement and Agency Specific JWB Secure
tutoring and overlay providers upon revision, amendment and Portal Site
execution thereafter.
Page 25 of 30
DocuSign Envelope ID:8E48F709-5A05-4F85-9240-7E205DA5EF33
Subcontract Assessment -Waived Within thirty(30) calendar days of the
in the case of independent effective date of this Agreement and Agency Specific JWB Secure
providers of tutoring and upon revision, amendment and Portal Site
overlay providers execution thereafter.
Subcontract Monitoring No more than thirty(30)calendar days
Documentation- Waived in the Agency Specific JWB Secure
following completion of the
case of independent providers of Portal Site
tutoring and overlay providers monitoring activities.
Incident Reports Within one(1)business day of IRreviewteam@jwbpinellas.org
occurrence
Executive Director Affidavit Within thirty(30) calendar days of the Agency Specific JWB Secure
(Providers using VECHS)—Not effective date of this Agreement and Portal Site
applicable upon change of staff in this position
Procedure for General Condition
#18 -Provider Staff Background Within thirty(30)calendar days of the Agency Specific JWB Secure
Checks(Providers using VECHS) effective date of this Agreement Portal Site
—Not applicable
Within thirty(30)calendar days of
effective date of Agreement and upon Agency Specific JWB Secure
Drug-Free Workplace policy
revision and approval by the Provider's Portal Site
board
Throughout the period of the
Insurance Documentation— Agreement and with renewal or Agency Specific JWB Secure
WAIVED—Unless services are replacement at least fifteen(15) Portal Site
Subcontracted calendar days prior to the expiration or
termination of such insurance.
Page 26 of 30
DocuSign Envelope ID:8E48F709-5A05-4F85-9240-7E205DA5EF33
Attachment 5
City of Clearwater (AGN274)
Charting the Course for Youth (PROG478)
Performance Measurement
FY22
Participant Level Performance Measurements
Targets Information for PROG478
Target (Measurable): FSA Learning Gains - English Language Arts
TargetV2Definitionld 3000
ShortTargetTitle FSA Learning Gains - English Language Arts
TargetText Percent of eligible youth participants that demonstrate learning gains on the
FSA English Language Arts.
TargetType Milestone Data
Projected Value 17%
ProjectedStartDate 10/01/2021
ProjectedEndDate 09/30/2022
Learning gains are defined by Pinellas County Schools in accordance with
guidelines from the Florida Department of Education. An eligible participant
Notes will be in grades 4 and higher, have two years' worth of FSA data, and be
enrolled in the program before January. Measured by PCS, and analyzed by
JWB. A program-wide milestone will be entered into GEMS after JWB reports
performance to the provider.
Target (Measurable): FSA Learning Gains - Mathematics
TargetV2Definitionld 2999
ShortTargetTitle FSA Learning Gains-Mathematics
TargetText Percent of eligible youth participants that demonstrate learning gains on the
FSA Mathematics.
TargetType Milestone Data
Projected Value 35%
ProjectedStartDate 10/01/2021
ProjectedEndDate 09/30/2022
Learning gains are defined by Pinellas County Schools in accordance with
Notes guidelines from the Florida Department of Education. An eligible participant
will be in grades 4 and higher, have two years' worth of FSA data, and be
Agency:City of Clearwater(AGN274) 07/13/2021 12:10:40 PM
Page 27 of 30
DocuSign Envelope ID:8E48F709-5A05-4F85-9240-7E205DA5EF33
enrolled in the program before January. Measured by PCS, and analyzed by
JWB. A program-wide milestone will be entered into GEMS after JWB reports
performance to the provider.
Target (Measurable): Program Satisfaction
TargetV2Definitionld 3050
ShortTargetTitle Percent of eligible that indicate satisfaction on the OST survey
TargetText Percent of eligible participants will indicate satisfaction in all applicable
_domains in the program's OST survey
TargetType Milestone Data
Projected Value 90
The survey assesses participant opinions about satisfaction in the program,
including in the domains of program engagement, SEL, leadership, academics,
STEAM, and healthy decision making. Eligibility is defined as being enrolled
Notes in grades 3 or higher, enrolled before January, and active during the
administration period(May). The denominator includes all participants who are
eligible, while the numerator counts the number of people, out of those eligible,
who took the survey. All domains are applicable.
Target (Measurable): TRGT1211: Annual participation - child
TargetV2Definitionld 1297
ShortTargetTitle TRGT1211: Annual participation- child
TargetText Percent of Participants who continue in the afterschool program for more than
one year.
TargetType Roster Data
Projected Value 65
ProjectedStartDate 10/01/2021
ProjectedEndDate 09/30/2022
Notes Measures participants who are served by the provider in more than one fiscal
year.
Target (Measurable): TRGT1360: Percent of days attended
TargetV2Definitionld 2549
ShortTargetTitle TRGT1360: Percent of days attended
TargetText Percent of youth attend 70%of the program days tracked on a monthly basis as
demonstrated by JWB database attendance report.
TargetType Milestone Data
Projected Value 70
ProjectedStartDate 10/01/2021
Agency:City of Clearwater(AGN274) 07/13/2021 12:10:40 PM
Page 28 of 30
DocuSign Envelope ID:8E48F709-5A05-4F85-9240-7E205DA5EF33
ProjectedEndDate 09/30/2022
This measure speaks to the dosage of programming. It is measured by the
Notes actual number of days in attendance by the number of days the participant
could have potentially attended the program.
Target (Measurable): TRGT1519: Less than 10% of school days unattended
TargetV2Definitionld 2636
ShortTargetTitle TRGT1519: Less than 10%of school days unattended
TargetText Percent of students who miss less than 10%of unexcused school days.
TargetType Milestone Data
Projected Value 95
ProjectedStartDate 10/01/2021
ProjectedEndDate 09/30/2022
Percent of participants who have less than approximately 18 unexcused
Notes absences from school. Measured by the school year, and analyzed by JWB. A
program-wide milestone will be entered into GEMS after JWB reports
performance to the provider.
Agency:City of Clearwater(AGN274) 07/13/2021 12:10:40 PM
Page 29 of 30
DocuSign Envelope ID:8E48F709-5A05-4F85-9240-7E205DA5EF33
Agency:City of Clearwater(AGN274) 07/13/2021 12:10:40 PM
Page 30 of 30
DocuSign Envelope ID:8E48F709-5A05-4F85-9240-7E205DA5EF33
.411Wb
Ikifrr Juvenile Welfare Board
Investing in children.Strengthening our community.
PROGRAM CONTRACT/AMENDMENT REVIEW AND APPROVAL FORM
Agency Name: City of Clearwater
Program Name: Charting the Course for Youth
Type of Document: FY22 Agreement
Annualized
Contract Amount: $394,095
Brief Explanation: FY22 Agreement for Charting the Course for Youth Program
INSTRUCTIONS
1. The contract/amendment referenced above is attached and submitted for review and comment.
2. If you have suggested edits or concerns, please contact Karen Woods at kwoods@jwbpinellas.org to discuss.
3. Contract/amendment will be routed for signature via DocuSign workflow.
4. Administrative Specialist will archive review form and contract/amendment.
Program Administration Mgr.
K. Woods A,, 8/25/2021 1 11:11 AM EDT
Program Evaluation Mgr.
(if applicable) Vacant
Program Finance Mgr. N/A
(if applicable) L. Lewis
Chief Program Officer
K.Boggess L_,r,. �Q,,VSS 8/25/2021 1 12:17 PM EDT
Chief Financial Officer �=a��.w iJ�
L.Krueger Brock 4.4. 73.0,4 8/25/2021 1 12:42 PM EDT
Chief Evaluation&Innovation
Officer
B.Morrison-Rodriguez Vie. j)O.Y'Gara ( OYV(SDln.-4t 8/25/2021 1 12:44 PM EDT