PROVIDE YOUTH SERVICES TO THOSE IN NEED
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AGREEMENT
This Funds Agreement is made and entered into between the City of Clearwater, hereinafter
referred to.as the City, and Boy Scouts of America - West Central Florida Council, hereinafter
referred to as the Agency.
WHEREAS, it has been detennined to be highly desirable and socially responsible to provide
youth services to those who would not otherwise have a means to fill these needs; and
WHEREAS, the City desires to help those in need by providing funding for the above services;
and
WHEREAS, the Agency provides such services and operates in the City;
NOW, THERFORE, the parties agree as follows:
ARTICLE I. TERM
The term of this agreement shall be for a period of 12 months commencing on the 1 st day of
October, 2000 and continuing through the 30th day of September, 2001 (the Termination Date)
unless earlier terminated under the terms of this agreement.
ARTICLE II. RESPONSIBILITIES OF THE AGENCY
1. Services to be Provided: The Agency shall provide the above stated service in
accordance with the proposal submitted by the Agency and approved by the City, which
is attached and 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 he 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 by October 31, 2001. Each report is to identify the
number of clients served, the costs of such service, and commentary on the viability,
effectiveness, results of measurable goals and objectives as set out in the agency's
proposal, and trends affecting the program. The agency will also provide a copy of its
most recent independent financial audit.
4. Use and Disposition of Funds Received: Funds received by the Agency from the City
shall be used to pay for the above services as further described in the grant proposal
submitted by the Agency to the City. Funds existing and not used for this purpose at the
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end 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 and maintain financial and accounting
records, books, documents, policies, practices, procedures and any information
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 representatives.
b) Use of Records: Agency shall produce such reports and analyses that may be
required by the City and other dilly 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 provisions 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, age, national origin, or
disability.
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, age, national origin, or disability.
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 evidenced
of a breach of any of the above non-discrimination covenants, the City shall have
the right to terminate this agreement.
7. Liability and Indemnification: The Agency shall act as an independent contractor and
agrees to assume all risks of providing the program activities and services herein agreed
and all liability therefore, and shall defend, indemnify, and hold harmless the City, its
officers, agents, and employees from and against any and all claims of loss, liability, and
damages of whatever nature, to persons and property, including, without limiting the
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generality of the foregoing, death of any person and loss of the use of any property, except
claims arising from the negligence or willful misconduct of the City or City's agents or
employees. This includes, but is not limited to matters arising out of or claimed to have
been caused by or in any manner related to the Agency's activities or those of any
approved or unapproved invitee, contractor, subcontractor, or other person approved,
authorized, or permitted by the Agency in or about its premises whether or not based on
negligence
ARTICLE III. RESPONSmILITIES OF THE CITY
1. Grant of Funds: The City agrees to provide a total grant of $6,700.00 to fund the
program in accordance with this agreement and subject to City Commission budget
approval.
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 subj ect hereof and may not
be changed, modified, or discharged except by written Amendment du1y 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 as determined by
the City shall constitute cause for termination. lbis agreement may by terminated with 5
days notice without any further obligation by City.
2. Disposition of Fund Monies: In the event of termination for any reason, monies made
available to the Agency but not expended in accordance with this agreement shall be
returned to the City.
ARTICLE VI. NOTICE
Any notice required or permitted to be given by the provisions of this agreement shall be
conclusively deemed to have been received by a party hereto on the date it is hand-delivered to
such party at the address indicated below (or at such other address as such party shall specify to
the other party in writing), or if sent by registered or certified mail (postage prepaid), on the fifth
(5th) business day after the day on which such notice is mailed and properly addressed.
1. If to City, addressed to Grants Coordinator, Human Relations Department, P.O Box 4748,
Clearwater, FL 33758
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2. If to Agency, addressed to Boy Scouts of America- West Central Florida Council,
11046 Johnson Blvd., Seminole, FL 33772.
ARTICLE VII. EFFECTIVE DATE
The effective date of this agreement shall be as of the fIrst day of October, 2000.
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.IN WITNESS WHEREOF, the parties hereto have set their hands and seals this
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--W--dayof
Countersigned:
Approved as to form:
JJ
Pamela K. Akin, City Attorney
Witnesses as to Agency:
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,2001.
CITY OF CLEARWATER, FLORIDA
_~"1r
orne II, Interim City Manager
Attest:
::~ PI W~ '1,-.
President f<vo(rA H LA. ,ii,s, J r -
Attest:
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C:ITY OF CLEARWATER
SOCIAL SERV:ICES GRANT
PROJECT APPL:I CAT:I ON FORM
Phone: (727) 562-4060 for assistance
Due: January 26, 2001
A. Application :Information
Applicant:
(Sponsor/Developer)
Boy ~ts of ~, west Cent:raJ. FJ.,otida
Council
Organization Name:
(If different)
City; State; Zip
11046 JohnsanBlvd.
Seminole ~. FL 33772
,(727) 391:"'3800
Address:
Telephone Number:
Contact Person:
~hhj p Siebenthal
Title:
Finance Director
Telephone Number:
(727) 39t-3800
Period for which funds
are being requested:
10/1100 to 9/30/0:1. (per guidelines of grant)
Jdm Cabeza
Board of Directors Chairperson
Date
NOTE:
The City of Clearwater reserves the right to fund applicants at a
level lower than requested.
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B. Activity (Check . One)
Adult Crime
Child Abuse
Elderly
Hunger
Juvenile Crime
physical Illness
Parenting
Adolescents
Substance Abuse
Unsupervised
Children
Youth Development
Other
(Describe Below)
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C. AMOUNT OF FUNDING CURRENTLY REt!UESTED:
(Not to exceed $10,000)
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D. . SPECIFICALLY FOR WHAT WILL THIS MONEY BE USED.
(Line item budget for this amount)
teacher supplies and student naterials $6,000
conference, meetings and trai..ninqs $2,200
portion of staff support salary. $1,800
E. BRIEF DESCIUPTION OF PROJECT YOU WISH TO FUND UTILIZING THIS
GRlWT .
IeaI:ning for LIfe is a character education prcy:rcau that is :cur.rently being
utilized by 10,000 middle', schooL students . 'lhe p.t:O:ILdIIlU5eS grade Specific lesson
plan, guest speakers and a recognition 1?L09;Lcuuto teach students the ilnportance of
strang character, values and norals. Topics include: respect, responsibility,
honesty/trust, fai:rness, perseverance, courage, self discipline and other life.. -
skills. ,In addition, a Q) :roM game takes real-life situations and shows the
consequences of their choices.
F. BRIEF DESCRIPTION OF YOUR OVERALL ORGANIZATION.
The missicm of the Boy Scouts is to instill values in young people that will
help them make ~ ethical choices thrcughout their lifetime. 'lhe WEst Central
Florida Council saves 19,000 ytIlth involved in CUb Sc:outs; Boy Scouts,
Venturing, Exploring and reaming for Life. These young people are served
through partnerships with nore than 250 ccmruni.ty organizations.
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G.
G.
NUMBER OF CLIENTS SERVED BY THIS PROGRAM.
Learning for LIfe' serves 10,000 students in .middle school
H. PERCENTAGE OF THESE CLIENTS WHO ARE CITIZENS OF CLEARWATER.
18%
I . CURRENT OVERALL ORGANIZATION BUDGET (PLEASE ATTACH) .
$1,778,612
J . IF THIS IS START UP OR HATCHING MONEY, SPECIFY THE DETAILS
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WHICH AGENCY OR ORGANIZATION WILL PROVIDE THE MATCH, THE
REQUIREMENTS AND THE AMOUNT OF THE MATCH.
The state of Florida allocated $.75,000 towards this tJ.LUl:3;LaIll. The Council
nust provide a $75,000 natch. '!1le requested funds would be used as:a:partial
natch:of the-State funds.
K. IS YOUR AGENCY A REGISTERED 501 (C) (3) NON-PROFIT AGENCY OR IN
THE PROCESS OF BECOKZNG ONE.
yes - registered
, L. DOES YOUR FACILITY HAVE OR IS IT IN THE PROCESS OF ACQUI:RING
THE APPROPRIATE LICENSURE FOR THE DELIVERY OF THE SERVICES
DESCRIBED J:N THIS APPLICATION.
Yes- Council has all reqJrired licenses.
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M. HAS YOUR ORGANJ:ZATJ:ON RECE:!VED OR J:S J:T EXPECT:tNG TO RECEIVE
FUND:tNG (WHETHER CASH OR IN -KJ:ND CONTRJ:BUTJ:ONS) FROM THE CJ:TY
OF CLEARWATER DOlUNG THE FJ:SCAL YEAR FROM OCTOBER 1, 2000
THROUGH SEPTEMBER 30, 20011
YES .-!..1expected)
NO
J:F YES, PLEASE EXPLAJ:N:
Through this grant application the ro.mcil hopes to secure funds for the
T~"";nQ for T.iTP p...(~::m1
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WEST CENTRAL FLORIDA COUNCIL, BSA
OPERATING BUDGET SUMMARY
2000 APPROVED 2001 APPROVED
INCOME SOURCES BUDGET BUDGET
Friends of Scouting $430,000 $439,000
Project Sales 25,000 25,480
Special Events 35,800 42,000
Legacies & Bequest 40,000 57,000
Other Direct 15,650 12,200
United Ways 250,500 260,169
Grants 127,500 123,000 .
Sale of Supplies 109,850 115,730
Product Sales 107,000 111 ,417
Investment Income 168,000 190,400
Gain/Loss on Investments 0 0
Camping Revenue 125,500 130,766
Activity Revenue 132,520 256,350
Other Revenue 14,701 15,100
Reclassification Net Assets 0
TOTAL INCOME $1,582,021 $1,n8,612
EXPENSE ITEMS
Salaries $749,089 $813,600
Employee Benefits 114,610 130,760
Payroll Taxes 74,160 80,300
Employee Related Expense 6,625 1,000
TOTAL EMPLOYEE
COMPENSATION $944,484 $1,025,660
Professional Fees $11,300 $11,577
Supplies 117 ,290 112,150
Telephone 18,450 21,950
Postage & Shipping 28,130 29,335
Occupancy 93,700 142,500
Equipment Maint. & Rental 30,575 33,470
Printing & Publications 9,050 9,370
Travel 93,024 154,200
Conferences & Meetings 23,200 24,360
Specific Asst. to Individuals 72,275 71,600
Recognition Awards 66,404 65.550
Interest Expense 0 0
Insurance 47,350 48,330
Other Expenses 9,275 9,760
Charter Fee 17,514 18,800
TOTAL OTHER EXPENSES $637,537 $752,952
TOTAL EXPENSES $1,582,021 $1,n8,612
Revenue vs Expenses $0 $0
Fund balance, Beginning
Transfers
Adjustments to Net Assets
Fund balance, Year end
1/25/0112:53 PM
Budget2001
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IIND.:tEJl.F'lJMHNG AP~UCA1lQN
To: (funder):City of Clearwater
For tUne period of: 10/1/00 to 9/30/01
Applicant Info17tU.ltion (print or we):
Legal Name of Organization: West Central Florida Cam~il _ Pq{ ~,+!=: "of :amcr;,..",
Complete Address: 11046. Johpsal, :B;l.vd.
Seminole, ~33772
,Phone (121 391-3800
Fu (72:1." 391~756
E-MaiJdsiebent@h.C:~;:l1n;::!i;or . ora
Federal Tu Identification Number: 59-063-7815
Contact. Penon: Debbie siebe1lthal Title: Finance Director
Organization Type: _Public _Private.1L Non-profit _ Other
Service Area: _ County _ City of
-!.. Other All of Pinellas Camtv and \'eSt Pasco
Agency currently funded by ( check aD that apply):
_ St. Petenburg _ Florida Dept.of Children & Families
Clearwater _ Florida Dept. of Justice
_ Largo _ PineDas County Foundation
_ Pinellas County _ Allegany Franciscan Foundation
_ Area Agency on Aging _ Eckerd Family Foundation
Juvenile Welfare Bd Other:
..!- United Way
Certific:atious: (1) If req~ to register for soBcitadon of funds, is the AgenCy currently
. registered.with the State? 1L Yes _ No The County? _ Yes _ No
(2) If incorporated, has the Agency Annual Report been filed with the Florida
SeeJ:etary of State? ..!... Yes _ No
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Name and Tide of AgenCy Representative submittiDg this funding request:
, Debbie Sieben'l:ha.l Finance Director
SigDatare of AgenCy Director (senior stBfr member) or Board Chair:
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Date:
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Received in fUDder's office by:
Date:
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BOARD OF D~CTORS -#reauired in Bv Laws =
NAME/OFFICER OCCUPATION AREA OF EXPERTISE RACE/GENDER
BOb' Willis, Jr. a~ Council President W/M
Rl:Jn Rasmussen retired Camcil Ccmnissianer W/M
SCott Moore accountant Council ,Treasurer W/M
Jared' Brown real estate Assist. Treasurer W/M
ScOtt Payne eye care Inccming President W/M
Jeff ShiIrer video product:ial Council VP Finance W/~
A1 Geiger retired VP District Operations W/M
I:'d SChatzman AAA VP Me!Ibershi.p W/M
Jim Powell attorney VP ~Laill W/r.1
George Eanagnoli GoverIment VP Prop!rties W/M
Kevin Bakewell PR VP Poblic Relations W/M
Calvin HaI:ris GoveJ:ment VP Ol:ban Emphasis B/M
Ted Schofner attorney VP~t W/M
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