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Seminole County Day Camp Provider Agreement - 2010 04 27
DAY CAMP PROVIDER AGREEMENT THIS AGREEMENT is made and entered into this - 7 day of /' / , 2010, by and between SEMINOLE COUNTY, a political subdivision of the State of Florida, whose address is Seminole County Services Building, 1101 East First Street, Sanford, Florida 32771, hereinafter referred to as "COUNTY ", and the CITY OF WINTER SPRINGS, a Florida Municipal Corporation, whose address is 1126 East State Road 434, Winter Springs, Florida 32708, hereinafter referred to as "DAY CAMP PROVIDER ". W I T N E S S E T H: WHEREAS, COUNTY has received Community Services Block Grant American Recovery and Reinvestment Act grant funding in the amount of ONE HUNDRED TWENTY THOUSAND EIGHT HUNDRED EIGHTEEN AND NO /100 DOLLARS ($120,818.00), hereinafter referred to as the Grant, from the State of Florida Department of Community Affairs for day camp scholarships for eligible individuals residing in Seminole County, Florida; and WHEREAS, in response to the needs of these individuals, COUNTY may issue vouchers for day camp scholarships, hereinafter referred to as "Day Camp Scholarship Vouchers ", for income eligible individuals residing in Seminole County, Florida, hereinafter referred to as "Camper ", participating in a COUNTY program for payment of day camp tuition and other specified expenses for short -term day camp services provided by DAY CAMP PROVIDER; and WHEREAS, the purpose of this Agreement is to identify the COUNTY approved day camp programs to be delivered by the DAY CAMP PROVIDER; establish the costs associated with the approved day camp programs; Seminole County / City of Winter Springs Day Camp Provider Agreement Page 1 of 13 describe the processes and procedures that will be followed if an eligible Camper receives a Day Camp Scholarship Voucher from the COUNTY for enrollment in one of the DAY CAMP PROVIDER's approved day camp programs; and identify the operating procedures governing payment for the day camp programs; and WHEREAS, the COUNTY has statutory authority to disburse the Grant under this Agreement, NOW, THEREFORE, in consideration of the mutual understandings and covenants set forth herein, the receipt and sufficiency of which are hereby acknowledged, COUNTY and DAY CAMP PROVIDER agree as follows: Section 1. Term. The term of this Agreement is from January 1, 2010 through September 30, 2010, the date of signature by the parties notwithstanding, unless otherwise terminated pursuant to the terms of this Agreement. Section 2. Responsibilities. COUNTY and DAY CAMP PROVIDER hereby specifically agree to the following: (a) COUNTY shall solely determine whether Seminole County residents interested in day camp services are eligible for Day Camp Scholarship Vouchers in accordance with applicable Federal and State income eligibility and other program criteria, including the Scope of Services attached hereto and incorporated herein as Exhibit "A." Only those Campers determined eligible and in need of day camp services by COUNTY shall be issued a Day Camp Scholarship Voucher for day camp services; provided, however, sufficient funds are available, in COUNTY's determination, to cover the COUNTY portion of the day camp costs. All terms and conditions of this Agreement are subject to continued Grant fund availability. Seminole County / City of Winter Springs Day Camp Provider Agreement Page 2 of 13 (b) COUNTY shall not guarantee any referrals, set aside any day camp scholarships, or budget any funds whatsoever for any day camp programs offered by the DAY CAMP PROVIDER. All decisions regarding the issuance of a Day Camp Scholarship Voucher shall be made on a case by case basis by the COUNTY, taking into consideration the information available, including, but not limited to the assessed needs of the Camper and any additional costs to the Camper. The COUNTY shall, in its sole discretion, determine whether to issue a Day Camp Scholarship Voucher for any approved day camp program offered by a particular DAY CAMP PROVIDER. A matrix of approved day camp programs is attached hereto and incorporated herein as Exhibit "B ". (c) The DAY CAMP PROVIDER shall deliver the day camp program in accordance with the day camp program description in effect at the time the Camper enrolls in the particular day camp program. (d) The DAY CAMP PROVIDER shall immediately notify COUNTY in writing of any changes in the approved day camp program, including but not limited to the day camp description and program cost prior to the enrollment of any COUNTY sponsored Camper. (e) The DAY CAMP PROVIDER agrees to accept the Day Camp Scholarship Voucher and bill COUNTY for the agreed upon day camp costs at no more than the total of the Day Camp Scholarship Voucher or the total published cost of the specific day camp services for municipal residents, whichever is less. The amount of the Day Camp Scholarship Voucher shall be determined by the COUNTY up to a maximum amount of EIGHT HUNDRED TEN AND NO /100 DOLLARS ($810.00) of the cost of day camp tuition per Camper for a total of TWENTY -THREE THOUSAND FOUR HUNDRED NINETY AND NO /100 DOLLARS ($23,490.00) to the Day Camp Provider. COUNTY Seminole County / City of Winter Springs Day Camp Provider Agreement Page 3 of 13 shall pay no other costs or fees that are not specified in this Agreement and included on the Day Camp Scholarship Voucher. Payments for tuition and /or other approved costs will be made only for those Campers receiving a valid signed COUNTY Day Camp Scholarship Voucher. The Camper must be enrolled in and receiving day camp services designated on the Day Camp Scholarship Voucher before the COUNTY Day Camp Scholarship Voucher is considered valid. If the Camper does not begin day camp, the DAY CAMP PROVIDER shall immediately return the Day Camp Scholarship Voucher to the COUNTY. (f) The COUNTY Day Camp Scholarship Voucher shall be issued for a limited time frame not to exceed a nine (9) week period. (g) Campers receiving a Day Camp Scholarship Voucher from COUNTY shall be enrolled by the DAY CAMP PROVIDER only in the approved day camp program for the designated period of time specified on the COUNTY Day Camp Scholarship Voucher. At no time shall the DAY CAMP PROVIDER allow a COUNTY Camper to switch day camp programs or to extend his /her day camp services at COUNTY's cost. (h) The DAY CAMP PROVIDER shall provide COUNTY a record of completion of the day camp program by the Camper within ten (10) business days of said completion. This information shall be released to COUNTY based on Camper's authorization as outlined on the Day Camp Scholarship Voucher. The DAY CAMP PROVIDER shall provide COUNTY a completed Monthly Report within ten (10) days of the end of the month. A copy of the Monthly Report is attached hereto and incorporated herein as Exhibit "C ". (i) The DAY CAMP PROVIDER shall refer COUNTY Campers back to the COUNTY in the event that the Camper or the DAY CAMP PROVIDER is unable Seminole County / City of Winter Springs Day Camp Provider Agreement Page 4 of 13 to continue the day camp services specified in the Day Camp Scholarship Voucher. The DAY CAMP PROVIDER shall also notify COUNTY in writing of this occurrence. (j) The DAY CAMP PROVIDER agrees that each Camper receiving a Day Camp Scholarship Voucher for day camp services shall be evaluated by the DAY CAMP PROVIDER for all financial aid eligibility normally available to the DAY CAMP PROVIDER's Campers. A Camper eligible for assistance shall not be discriminated against in receipt of such financial aid solely due to his /her receipt of a COUNTY Day Camp Scholarship Voucher. (k) It is the responsibility of the DAY CAMP PROVIDER to provide sufficient oversight to prevent misapplication of funds that results in double payment of any charges or the utilization of Federal, State or COUNTY funds when other funds could have been used for the same purpose. Section 3. Payment. (a) The DAY CAMP PROVIDER shall submit to COUNTY a written invoice and all necessary supporting documentation for the approved day camp tuition and other identified and included costs once a Camper possessing a valid signed Day Camp Scholarship Voucher is enrolled in a day camp program. This invoice must be supported by a copy of the COUNTY Day Camp Scholarship Voucher and any receipts, as applicable. Each CAMPER shall be identified by name and costs associated with each Camper shall be itemized. The payment request shall be addressed to : Day Camp Provider Reimbursement Request Department of Community Services Seminole County 1101 East First Street Sanford, Florida 32771 Invoices accepted for payment shall be paid within thirty (30) days of receipt. Invoices not accepted for payment due to Seminole County / City of Winter Springs Day Camp Provider Agreement Page 5 of 13 inconsistencies, errors, or failure to submit supporting documentation, shall be returned to the DAY CAMP PROVIDER for correction and resubmission. (b) The COUNTY Day Camp Scholarship Voucher shall specify the expenses that will be paid for with funds administered by COUNTY. The DAY CAMP PROVIDER shall adhere to the plan of action established by the Day Camp Scholarship Voucher. Section 4. Refunds. (a) The DAY CAMP PROVIDER shall, in conformity with its established refund policies, refund such monies for day camp tuition and fees paid by COUNTY for Campers who enroll in and begin a day camp program, but drop out of day camp. Refunds due for tuition and fees paid under this Agreement shall be made payable to the COUNTY at the address provided in Section 6 herein. The DAY CAMP PROVIDER shall refund to the COUNTY any Grant funds used for ineligible purposes under the laws, rules and regulations governing the use of these Grant funds. A separate email advising COUNTY that a refund is being mailed shall be sent by the DAY CAMP PROVIDER to COUNTY at LLuttig @seminolecountyfl.gov. (b) In accordance with Section 215.34(2), Florida Statutes, if a check or other draft is returned to the COUNTY for collection, the DAY CAMP PROVIDER shall pay to COUNTY a service fee of FIFTEEN AND NO /100 DOLLARS ($15.00) or five percent (50) of the face amount of the returned check or draft, whichever is greater. Section 5. Access and Retention of Public Records. (a) The parties shall comply with the public records laws of the State of Florida and the non - confidential portions of all financial records, supporting documents, and any other documents pertinent to this Seminole County / City of Winter Springs Day Camp Provider Agreement Page 6 of 13 Agreement shall be available for inspection by any person in accordance with Chapter 119, Florida Statutes. The DAY CAMP PROVIDER shall comply with Federal and State law to ensure the confidentiality of personal information including name, Social Security Number, Social Security benefit data, date of birth, official State or government issued driver's license or identification number, alien registration number, government passport number, employer or taxpayer identification number, home address, phone number and medical information of each Camper receiving a COUNTY Day Camp Scholarship Voucher. (b) The DAY CAMP PROVIDER shall have in place an official process for investigating and reporting lost or stolen confidential information. Any infraction or potential infraction of State and /or Federal laws related to the loss or theft of confidential information shall immediately be reported to the COUNTY in writing. (c) The parties hereto shall retain all financial records, supporting documents, and any other documents pertinent to this Agreement for a period of five (5) years after the termination or expiration date, whichever is earlier, or such longer period as may be required by Federal or State law. Section 6. Notices. All notices, consents, approvals and required reports which any party shall be required or shall desire to make or give pursuant to this Agreement, shall be given in writing and delivered to the below designated persons by First Class United States mail or facsimile transmission, proof of delivery and receipt retained by the sending party: Seminole County / City of Winter Springs Day Camp Provider Agreement Page 7 of 13 For COUNTY: Seminole County Department of Community Services 1101 E. First Street Sanford, Florida 32771 For DAY CAMP PROVIDER: City Manager City of Winter Springs 1126 East State Road 434 Winter Springs, Florida 32708 Either of the parties may change, by written notice as provided above, the person or address for receipt of notice. Section 7. Termination. (a) This Agreement may be terminated for convenience at any time by either party with thirty (30) days written notice. In the event of such termination, there shall be no interruption in services for COUNTY sponsored Campers already enrolled in day camp through the period paid for by the Day Camp Scholarship Voucher issued and paid. The DAY CAMP PROVIDER has thirty (30) days after the effective date of the termination for convenience to bill for any payments due. The DAY CAMP PROVIDER shall be entitled to receive just and equitable compensation for any services performed hereunder through the date of termination. (b) Either party may terminate this Agreement in writing when it has been determined that the other party has failed to comply with any of the terms specified herein or has violated any stipulations of this Agreement. The obligation of COUNTY to make all payments due under this Agreement for all enrollments prior to the effective date of termination of this Agreement shall survive termination unless the DAY CAMP PROVIDER fails to perform. If the DAY CAMP PROVIDER fails to perform, in whole or in part, COUNTY may serve a termination notice that shall be Seminole County / City of Winter Springs Day Camp Provider Agreement Page 8 of 13 effective as provided in Section 6 herein. In the event of such termination, COUNTY shall be liable for payment only for services rendered prior to the effective date of termination. Final billing for payment must be received by COUNTY within thirty (30) days of termination date. Refunds due for any payments made for services that have not been provided must be received by the COUNTY within thirty (30) days of the termination date. The obligation of DAY CAMP PROVIDER to refund to COUNTY any payments made for services that have not been provided shall survive termination of this Agreement. Section 8. Indemnification. (a) Each party to this Agreement is responsible for all personal injury and property damage attributable to the negligent acts of omissions arising out of this Agreement of that party and the officers, employees and agents thereof. (b) The parties further agree that nothing contained herein shall be construed or interpreted as denying to any party any remedy or defense available to such parties under the laws of the State of Florida, nor as a waiver of sovereign immunity of the COUNTY and the DAY CAMP PROVIDER beyond the waiver provided for in Section 768.28, Florida Statutes. (c) The waiver of a provision herein by either party shall not constitute the further waiver of said provision or the waiver of any other provisions. Section 9. Assignment and Third Party Beneficiaries. Assignment of this Agreement by either party is expressly prohibited. There are no third party beneficiaries to this Agreement. Seminole County / City of Winter Springs Day Camp Provider Agreement Page 9 of 13 Section 10. Mandated Conditions. (a) Governing Law. This Agreement shall be governed by and construed in accordance with the laws of the State of Florida and the parties consent to venue in the Circuit Court in and for Seminole County, Florida, as to State actions and the United States District Court for the Middle District of Florida as to Federal actions. (b) Accuracy of Submittals. The validity of this Agreement is subject to the truth and accuracy of all the information, representations, and materials submitted or provided by the DAY CAMP PROVIDER in this Agreement, in any later submission or response to a COUNTY request, or in any submission or response to fulfill the requirements of this Agreement. All of said information, representations, and materials are incorporated by reference. The inaccuracy of the submissions or any material changes shall, at the option of the COUNTY and with thirty (30) days written notice to the DAY CAMP PROVIDER, cause the termination of this Agreement and the release of the COUNTY from all its obligations to the DAY CAMP PROVIDER. (c) Counterparts. This Agreement may be executed in any number of counterparts, any one of which may be taken as an original. (d) Other Regulations. The DAY CAMP PROVIDER agrees to comply with the Americans With Disabilities Act (Public Law 101 -336, 42 U.S.C. Section 12101 et seq.) and the Florida Civil Rights and Fair Housing Acts (Sections 760.01- 760.37, Florida Statutes), which prohibit discrimination by public and private entities on the basis of disability in employment, public accommodations, transportation, State and local government services, and telecommunications. Seminole County / City of Winter Springs Day Camp Provider Agreement Page 10 of 13 (e) Unauthorized Workers. The COUNTY will not intentionally award publicly- funded contracts to any contractor who knowingly employs unauthorized alien workers, constituting a violation of the employment provisions contained in 8 U.S.C. Section 1324a(e) [Section 274A(e) of the Immigration and Nationality Act ( "INA ")]. The COUNTY shall consider the employment by any contractor of unauthorized aliens a violation of Section 274A(e) of the INA. Such violation by the DAY CAMP PROVIDER of the employment provisions contained in Section 274A(e) of the INA shall be grounds for unilateral cancellation of this Agreement by the COUNTY. (f) Lobbying Prohibition. (1) No funds or other resources received from the COUNTY under this Agreement may be used directly or indirectly to influence legislation or any other official action by the Florida Legislature or any State agency. (2) The DAY CAMP PROVIDER certifies, by its signature to this Agreement, that to the best of his or her knowledge and belief: (A) No Federal appropriated funds have been paid or will be paid, by or on behalf of the DAY CAMP PROVIDER, to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment or modification of any Federal contract, grant, loan or cooperative agreement. Seminole County / City of Winter Springs Day Camp Provider Agreement Page 11 of 13 (B) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member -of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan or cooperative agreement, the DAY CAMP PROVIDER shall complete and submit Standard Form -LLL, "Disclosure Form to Report Lobbying ". (g) Incorporation of Laws, Rules, Regulations and Policies. (1) The DAY CAMP PROVIDER and the COUNTY shall be governed by applicable Federal and State laws, rules, regulations and policies. (2) The DAY CAMP PROVIDER shall comply with the State of Florida, Department of Community Affairs Federally Funded Subgrant Agreement, Community Services Block Grant ARRA Program entered by the COUNTY and the State of Florida Department of Community Affairs on July 1, 2009, attached hereto and incorporated herein as Exhibit "D." Section 11. Entire Agreement. This Agreement constitutes the entire agreement between the parties hereto with respect to the specific matters contained herein and supersedes all provisions discussions, understandings and agreements relating hereto and cannot be changed except in writing signed by each of the parties to this Agreement. IN WITNESS WHEREOF, the parties hereto have executed this Agreement on the dates set forth below the respective signatures. ATTST: _CITY OF WINTER SPRINGS i By: Y. � 2 ��� AND A LORENZO - LUACES, City Clerk F. N F. BUSH, Mayor I Date: March 22, 2010 Seminole County / City of Winter Springs Day Camp Provider Agreement Page 12 of 13 ATTEST: BOARD OF • TY - 0.. v ' STONERS SEMINO !•,! '` �' .0A �. «% �� By - - 49 MORSE BO: PALLARI, Chairman C -rk to the Board of County Commissioners of Date: '1/) ,)off& Seminole County, Florida. For the use and reliance As authorized for execution by the Board of Seminole County only. of County Commissioners at its 4 %/� 7 , Approved as to form and 2010, regular meeting. legal sufficiency. 4 ai „ / County Attorney SED /dre 03/03/10 Attachments: Exhibit "A” - Scope of Services Exhibit "B" - Day Camp Program Matrix Exhibit "C" - Monthly Report Exhibit "D" - State of Florida Department of Community Affairs Federally- Funded Subgrant Agreement Community Services Block Grant ARRA Program P: \Users \lkennedy \My Documents \Community Services \Day Camp Provider Agreement - Winter Springs.docx Seminole County / City of Winter Springs Day Camp Provider Agreement Page 13 of 13 EXHIBIT A SCOPE OF SERVICES Generally: The Community Services Block Grant - American Recovery and Reinvestment Act of 2009 (CSBG -R) includes a $378,321 appropriation for Seminole County through the Department of Community Affairs (DCA). Of this funding $120,818 has been approved for a Day Camp Scholarship Program. The purpose of the Day Camp Scholarship Program is to provide a safe environment for youth to enable working parents to maintain employment during the summer months. Additionally, this program will enable youth to avoid risk - taking behavior for a defined period of time. The funds under the program are intended to target families that meet the following criteria: • Household must reside in Seminole County; • Household's income must be at or below 200% of the Federal Poverty Limit (see chart below); and • At least one adult household member is employed. In addition, the household's child(ren) must meet the following criteria to be determined eligible: • Child(ren) must reside in Seminole County (at least 50% of the time); and • Child(ren) must be between the ages of six (6) and thirteen (13). 200 of Federal Poverty Limit 1 Person 2 Persons 3 Persons 4 Persons 5 Persons . 6 Persons 7 Persons 8 Persons $21,660 $29,140 $36,620 $44,100 $51,580 $59,060 $66,540 $74,020 {� Specific Obligations: 1. SUBRECIPIENT shall reserve the amount of spaces for eligible campers as specified in the Inter - Agency Day Camp Agreement, Exhibit B — Day Camp Provider Matrix. 2. The SUBRECIPIENT will provide services listed by their agency as outlined in the Inter - Agency Day Camp Agreement, Exhibit B - Day Camp Provider Matrix, for the equivalent of a Day Camp Scholarship. 3. COUNTY shall ensure that the households receiving assistance meet all of the following conditions: a. Household resides in Seminole County and the child(ren) receiving day camp scholarships reside in the household a minimum of 50% of the time. b. Household must be at or below 200 percent of the Federal Poverty Limit (see chart above). c. One adult household member is employed. d. Child(ren) receiving day camp scholarships are between the ages of six (6) and thirteen (13). 4. Administrative Costs. There will be no Administrative Cost reimbursements connected to this agreement. 1 5. No SUBRECJPIENT board member, employee or any related family member of either shall receive or obtain gain, profit, or benefit in the form of a commissions, fees, or payment for any other related product or service funded under this Agreement. 6. SUBRECIPIENT shall submit completed monthly reports for the months of June, July and August of 2010 in the form of Exhibit C to the Inter- Agency Agreement to the COUNTY by the fifth (5 day of July, August and September for the previous month. The following categories apply: a. Number of jobs created or retained. i. Tracks the jobs created or retained because of the receipt of CSBG -R Day Camp Scholarships. ii. Track the amount of hours each job (position) worked on a weekly basis. b. Number of campers receiving a Day Camp Scholarship for the month and how many completed the program. i. Measures program success in contributing to parent's maintaining employment and youth avoiding risk- taking behavior for a defined period of time. 2 Exhibit 6 - Day Camp Program Matrix Amount Number of Value of Camper • Agency Funded Scholarships Scholarships Scholarships Include Ages location Dates of Camp Camp flours Westmonte Recreation Center June 14, 2010 - 7:OOAM - City of Altamonte Springs 512,500.00 25 5500.00 Includes Youth Camp and field trips. 610 12 August 5, 2010 6:00PM r t ° f V '� m 1 ) ; Tfg 1 4.. June 14, 2010 - R:ODAM - I "54 " ,f"n'tfir !f firid K ' a `! D , ,' :« " i+SI7 " t r • .1'' z 1 ,',4 r 1 )` ' Includes Teen Cam and field trips. s. 13 Tea,ue Middle School August G, 2010 5:OOPM _,4 WL ca r. r Camp P P R June 14. 2010 - 7:OOAM - City of Casselberry $23,560.00 31 5760.00 Includes camp and field trips. , 6 to 12 Lyman High School August 6, 2010 G:ODPM June 14, 2010- 7:30AM - City of Longwood 57,200.00 10 5720.CD Includes camp and field trips. 6 to 17. Lyman High School August 6, 2010 G:DOPM J une 14, 2010- 1:30AM- City of Oviedo 523,400.00 20 51,170.00 Includes camp and field trips. G to 13 Riverside Park August 9, 2010 G:00PM June 21, 2010- 7:30AM- ' Cn of Sanford $4,800.00 10 1 5480.00 Includes camp. 6 to 12 River Walk Academy August 6, 2010 5:30PM June 14, 2010- 7:30AM - Clty of Winter Springs $23,490.00 29 5810.00 Includes camp and field trips. 6 to 12 Winter Springs Civic Center August 13, 2010 5 :30PM . �� • June 21, 2010- 7:30AM - Seminole County Leisure Services' 59,900.00 GO 5165.00 Includes nature camp & extended care. ; 7 to 13 Sed Bug lake Park June 25, 2010 G:00PM 7 to 13 Sylvan Lake Park 2, 2010 6:DOPM JRI e {jtiAgrY?b ti 31 f l4 i' �` r t rit { t c tr'' • June 28, 2010 - July 7:30AM - YtJ0 i. . 1 - 4' o-,'t.. h 7 . t 1 ? i 4,k'rl. 55 s,�irtr t , ,4, st r A t R t l - s f Yry Includes nature camp & extended care. i 0, h t 4 � tt t 1 ,i. +} a +( I 9,� r ' t 1 33n f ,}}� dr kAi,tii.410:ki, � xS " J _ o y t�S r parif 12 ¢ w 4 ' + h t t ' g t July 12, 2010 • luly 7:30AM - � f a� r " {� "'t ��( ' r ',, " ' y-fl- M � + `S. a 7 r Includes nature camp &extended rare. 7 to 13 Ed Yarborough Nature Center 1G, 2010 6:00PM pilt ri,J t14 .'F.. i'V' z ,j,1. lti t i, t 4 g , ' � E ta ? � , y rr 1 G } f ` +„ a , July 19, 2010 -July %30AM - tr 7x:11 u 1 "71 ; k�s i'x car � f C e '` r k � p r � t7 t �r � t �( 7 � {y �4i $ tt�2 (� JL J . � a I 4 P 'i4 ( l� s t �i� J1� ifi Includes nature camp &extended care. 7 to 13 Ed Yarborough Nature Center y 23, 2010 6:00PM 3}� l �.4rr$i +t1:'' aC mil rf• � �?� {� 4 i b . L. ,, ii i a 4 4 r ti ca t i Jul 26,7010 -July 7:30AM- «' . ( i. : i t x t s ' ri r i ei. ri ! 4 �1qU r ' 7 q' , . .. 3 y r '� 1 l if S 't1 y i 1� l ,f yam. lea w 7 * • k ti 4 `'., } i ¢ t t i ]u includes field biolo cam & extended care. 10 to 13 Ed Yarborou ;h Nature Center 30, 2010 5:00PM 7R r n nR ;� ff)r e ter 1) :2F f" !; h et 1 1 { ei BY P I August 2, 2010 - 7:30AM - o ia 1 ", [ u 3 ? �hx .e f t > n , A C r}i � i "t 1 1,4 ` Yi P i 1 1 h , Q � 4 n i5 ` ' /q1 ■ l r fl . h ( '9P.-17,;1` 3 ,4 d -t:i . Inc field biology camp & extended care. 10 to 13 Ed Yarborough Nature Center August 6, 2010 6:O0PM Tot CSDG•R runds' $104,850.00 ' a w t_ s ,, , f ,.� f , [: +Y' a ,7 " h Jt t � r F , u 3 Cimp ?� J i dN s ir, it fr'1 n t 5 r. iw a ^7 .,. r F'�F »,i ,r 7�i'(al r?��L.k. .m. _'",.Yc. rr r� ' 4J, ,:,L i ,� ,.,.,..i, nR,:.`tr .m f z -4 . r .E : .)4...ii ,._..,,..., Campers are eligIhle for multiple Day Camp Scholarships far Seminole County Leisure Services to create a one week camp or six week camp to fit their needs. -- I 1 i EXHIBIT "C" MONTHLY REPORT CSBG -R Day Camp Scholarship Program Report must be submitted to Seminole County Community Assistance Division by July 5f'i, August 5 and September 5n. Number of Jobs Created and Retained due to Day Camp Scholarships: Current Month: ' Job Created Initial Week 1 Week 2 Week 3 Week 4 Week 5 Employee Name Job Type or Retained Start Date Dates of Example: Smith, Joe Camp Created June 1, Week June_ 1 — 5 June 6 _12 June 13 -19 June 20_ 26 June 27 - 30 Counselor 2010 Hours Worked 32 40 40 40 24 Dates of Week Hours Worked Dates of Week Hours Worked Dales of Week Hours Worked _ Dates of Week Hours I I Worked II. Campers and Day Camp Scholarship Information: Number of Campers Receiving Day Number of Campers Completing Day Number of Campers Not Completing Reasons for Campers Not Completing Month Camp Scholarships Camp Day Camp Day Camp June 2010 July 2010 August 2010 1 Program Representative Signature: Date: CFDA 93.710 Contract Number: 10SB- 8B- 06 -69 -U -126 STATE OF FLORIDA DEPART:YENT OF CONINI - T - ITY AFFAIRS FEDERALLY - FUNDED SLr3GR ' T AGR3i,EMENT COMMUNITY SERVICES BLOCK GRANT ARR_a PROGRkM "MS AGREEMENT is entered into by the State of Florida Depart anent of Community AEI. :s, with heedquaners in Tall a^lssee, Florida (bcrei fter referred to as n.e "Department"), and Seminole Cou:, v (hereinafter referred to as the "Recipient "). THIS AGREEMENT IS ENTERED ERED LNTO BASED ON T. FOLLOWING REPRESENT; [IONS: A. The Recipient represents that it is fully qualif ed and eligible to receive these giant fund • :o provide the services identified herein; and B. The Department bas received these grant funds from the State of Florda, and has the au OL'i:y to subgrant these funds to the Recipient upon the terms and conditions below; ar:d C. The De-oarnnent has statutory authority to disburse the (rods under Lhs Aereernez!. TP.F.REPOR7 , the Dcpar ment and the Eecipicn: asuce to the following: (1) SCOPE OF WORK The Recipient s 'a i1 perform the work to accordance with the ; udget and Scope oI Work, n ;ion nt A of this .A ccem:nL (2) INCORPORATION OF LAWS, RULES. REGULATIONS AND POL1CIBS The Recipient and the L;cpar vent shall be governed by applicable State and Federal laws, ra s and ;cgulaacns, including those idcnt_f ed in Attachment B. (3) PERIOD DI' AGREEMENT This A= reer:lentshall begin noon execution by both panics or July 1, 2009, whichever is earl' r and shall end Scotetncer 30. 2010. unless terminated earlier in accordance with the provisions efPar a7h (12 • cf this A s`.rt:eni (0) MODI`rICATION OF CONTRACT Either party may request modi ioatioa of the provisions of his : Chances which ::j agreed upon shall be valid only 'when in writ -n_g, signed by each of the parties, acid attached to the original of this A.' rc;nent. (5) RECORDKEEPIN (a) As applicable, Re,c_pient's performance under this Ay eernent shall be subject to the feral "Common Rule: Uniform Administrative Requirements for State and Local Governments" (53 Federa register g034) or 0M3 Circular No. A-1:0, •"Grants and A sre.arneots With Instit rions of Higher Education, Ho ntals, and Ocher Nonprofit Organizations," and either OhIB Circular A-37, "Cost Principles for Stale and L.ec Governments," O\IB Circular No. A -21, "Cost Principles for Educatonal Institutions," or OMB Ci-cu1 No. A- 122, "Cost Pa nciple s fot Nonpaotit Organizations." If t±s Ag eernent is made with a coalmierzia1 (fos - •otit) organization on a cost - reimbursement basis, the Recipient shall be subject to Federal Acquisition Regui= ions 31.2 and 9312. • Rev 3/25/09 =c 1 EXHIBIT D Co) The Recipient shall retain stiff cient records to show is comoliance wvth the le' n of tlriis Amen:tent, and the conroliance of all subcontractors or consultants paid froth funds under - j221s A teerf:ent.. for a period of Eve years from the date the audit report is issued, and shall allow the Deparrmcnit o its • es:ante, the Stare Chief Fi Ofiicer or the State Auditor General access to the records upon. tequest. The Rec'. )ient shall ensure • that audit working papers are available to the upon request for a period of five years from the 1 the audit report is issued, unless extended in writing by the De The five year period may be. extended fc the 1'ol3owing, exceptions: • 1. i_lany litigaUon, claim or audit is started before the Eve yeas period ex and ex beyond Lhe five year period, the records shall be retained until all lir.; t..ation., clams or audit Endin involving the records have been resolved. • • 2. Records for the disposition of non-expead2.ble personal property valued at 5: ,000 or more at the time it is acquired shall be retained for five years after final disposition- 3. Records relating to real proprTy acquired shall be retained for aye ye-ars. aft , the closing on the •ansfer of title,. • (c) inc Recipient shall maintain all records for the Recipient and for all subcontract s or consul:al:1s to be paid ri funds p. under tlns As including documentation of all prog cost • in a fem._ sufficient to deter:Pine compliance. with the recuirerne,nts and obi ec-tives of the Budget and c 7,'•crl-t - Attachment A - 7.11( all other applicable laws and icoalzlionS. (d) The Recipient, its employees or aaetts, including all 5.ubcona or cc.. o be paid from funds provided under this Aereemcnt, shall allow access to its records at reasor.lable rimes to the Dc , :cfinatat, its employees, and agents. "Reasonable" shz11 ordinarily mean during normal business hours of 3:00 a :1. to 5:00 p.m., !Deal time, on Monday through Friday. "Agents" shall include, but not be limited to, auditors retain,' by the Depanment. (0) AI.JUIT REQUIRE MCFNTS (a) The Recipient azrees to maintain fin.ncial procedures and .support documents, in a. :ordanc.e with generally accepted accounting pr:nciples, to account for the receipt and ex of funds under E. ..kgeetr:ot. (b) These records shall be available at reasonabla rimes for inspection, review, or audit ■y state pe..r.sonne! and other personnel authorized by the Depat alien:, 'Reasonable" shall ordinarily mean no lal. hesucss hours of 8:00 a_m_ to 5:00 p.m., loc- time, Monday through Friday. (c) The Recipient sli211provide the Department with the records, reports or finaacial 51. nuents upon request for the purposes of auditing and monitoring the funds awarded under this A.2 (d) lfthe Recipient. is a State or local coverament or a non-profit organization as derme in 0M23 • Circular A-133, as revised, and in the event that the Recipient exp.cr.d.s S500,000 or more in Federal a Irds in is fiscal year, the Recipient ulust have a single or pro audit conducted in accordance vtb rl provisions of 0 Circular A-133, as revised. EXHI131 1 to this agreement shows the Federal resources awarC d through the Department by this Agreement. In determining the Federal awards expended in its fiscal year, the t' :cipient sbeJI consider all sources of Federal awards, including Federal resources received from the Depamnen; . The . _ Rev 3/25/09 Page 2 • determination of amour s of Federal a vaids exTenc_td should be in accordance with the truuidelin 7 established by O1v1B Circular A -133 as revised. An audit of the Recipient conduced by !lac Auditor General in ccorace with the p :ovrisions of OMB Circular A-133, as revised, ' ill meet the requirements of this narauaD . In connection with the audit re.;niremenn addressed u this Pal- 6 (d) above, the R- :iDient shall fulfill the r equi e ae=s Ior audItee res S s as provided in Subpart C of OMB Circular A-133, ass cvised. Lf the Recipient erpents less_ than S500,000 in Federal awards in its fiscal year, an audit )oducted in accordance .ritb provisions of O`'ft3 C A -133, as rev'sed, is not _egq.ired. In the event t- it to Re:. pier,: expends lass than 5500,000 in Federal awards in in t scnl year and chooses to have an audit condi ted in accordance with the provisions of OMB Circular A -133, as revised, tie cost of the audit must be r: id from non - Federal ` ds. (a) Seed cop_ts of reporting packaees fur audits conducted in accordance with Cl51-; Circular A -133, as revised, and required by subparagraph (d) above, :'ben requ -ed by Section .320 (d), OMB Circ ar A-133, as revised, by or on behalf of the Recipient to: The Department of Commu=ty Affairs at each cf i`e following addresses: Department of Cornmuniry Affairs Ofricc of Audit Services 2555 Shnmard Oa':r Boulevard Tallahassee, Florida 32399 -2100 also send an electronic copy to aurilla-parrish dca- state.ff.us] and Depanrnent of Community Affairs Comniunity Assistance Section Tall°hass° , ~lo da 32399 -2100 Send tie Singe .Audit reporting package and Forsn SF -SAC to ie Federal Audit Clearbshonse subanssiou online at lz.to attire seer. cersas .eovifacicoliecidaeirdex. nl And to any ouhct Fod :tal aaeocies and pass- hrou?b entities in accordance with Section .320 (e) an 'L), OMB Circular A -133, as reliscd. (5) Pursuant to Secdcn .320 (2), OMB Ci Ala: A -133 as revised, the Recipient shall r ❑d a copy of the reporting package described in Section .320 (c), OvB Circular A -133, as revised, and any roana: men t 'etrer issued by the auditor, to the IDenat tuient at the following addresses: Depar.:ten; o` ComrmLnity Affairs s Office of Aud.it Services 2555 Snumard Oak Boulevard Ta11a_hassee, Florida 32399 -2100 [also send an electronic copy to aurilla.parrishydca.state.d.us] and Depa^nent of Community Affairs Community Assistance Section Shnmard Oak Boulevard Tallahassee, Florida 32399 -2 100 Rev 312;09 Page 3 • (g) 3 the date due, send any repern, mina fervent letter, or other information :eT. red to be submitted to the Depuwentpursuant to this Agreement in. accordance with O`'.B Ci;cuiar A -13: Florida Statutes, and Chapters 10.550 (local governmental entities) or 10.650 (nonprofit and for -profit organizano t), Rules of to Auditor General, as applicable. (h) Recipients should state the date that the reporting package was delivered to the ; ecipient when submitting financial reporting packages to the Department for audits done in accordance with ON= ; Circular A -133 or Chapters 10.550 (local governmental entities) or 10.650 (nonprofit and for -profit organizations Rules of the • Auditor General. (i) lithe audit shows that all or any portion of the funds disbursed were not spent u iccordance with the conditions of this Agreement, the Recipient shall be held liable for reimbursement to the D 1)a a - rent of all funds not spent in accordance with these applicable regulations and Agreement provisions within thirty c ye after the Department has notified the Recipient of such non-compliance. (j) The Recipient shall have all audits co;r7leted by an independent cerrified public . ;r.ount_ant either a ce: tifed public accountant or a public accountant licensed under Chapter 473, Fla. Stat. T ; PA shall state that the audit complied with the applicable provisions noted above. The audit must be received by .e Dcna c rent no later than nine months from the end of the Recipient's fiscal yea;. (7) REPORTS (a) Th vide the De_ a_rtent with quarterly reports and close -oul opon. These iLecipient shall provide Y reports shill include the current status and progress by the Recipient and all subree:pients and s_bcc rapiers i. . - completing the work described in the Scope of } work and she expenditure of fend s under iris Agree rest in addition to any other In c.)rneadon requested by the Dcpar r..esn (b) Quarterly reports are due to the Dep a anent no later than six (6) calendar days aft( the end of each quarter of the program year and shall b` sem each quarter until submission of the ati_-nirisnativ ;lose -out report. The ending dates for each quarter of the program year are March 31, Tune 30 September 30 d December 31. (c) The close -out report is due 45 days after termination of this Agreement or 45 days : tee comnleton of the activities contained in this Ag,�`eerre_t, whichever first occurs. (6) if all reau.._Ted reports and copies are not sent to the Department or arc not con, lets in a raanner acceptable to the Deprnent, the Department may withhold further payments until they are complete: or may t_ ke other action as stated in Param?_ph (II) REMEDIES. 'Acceptable to the Department" means that the ork product was completed in accordance with the Budget and Scope of Work_. (e) The Recipient shall provide additional program updates or information that may be _ •tired by the DeparaneuL (f) The Recipient shall provide additional reports and in or ea on identified in Araclu ,. sr D. r 4 Rev 3(25109 • eqc (f) MONITORING The Recipient shall monitor its performance under this Agreement, as well as tl. I of its subcontractors and/or consultants who are paid from funds provided under this Agreement, to ensure that time schedules are being met, the Budget and Scope of Work are being accomplished 'Nil. in the specified time periods, and other performance goals are being achieved. A review shall be d. le for each function cr activity in Attachment L to this Agreement, and reported in the quarterly report. In addition to reviews of audits conducted in accordance with paragraph (6) abc e, monitoring procedures may include, but not be limited to, on -site visits by Department staff, mired scope audits, and/or other procedures. The Recipient asees to comply and cooperate with as monitoring procedures /processes deemed appropriate by the Department. In the event that the Department determines that a limited scope audit of the Recipient is appropriate, the Recipict agrees to comply with any additional instructions provided by the Department to the Recipient regardir. such audit. The Recipient further agrees to comply and cooperate with any inspections, reviews, investigations or audits deemed necessary by the Florida Chief Financial Officer or .Auditor C •neral. In addition, the Department will monitor the performance and financial management by the Rec dent throoahout the contract term to ensure timely completion of all tasks. (9) LIABILITY (a) Unless Recipient is a State agency or subdivision, as deemed in Section 761 18, Fla. Stitt., the Recipient is solely responsible to parties it deals with in cam'in out the terms of th Agreement, and shall hold the Department harmless against all claims of whatever nature by t ird pa: -ties arising from the work performance under this A_,r'eement. For purposes of this Agee:: env., Recipient agrees that it is not an employee or agent of the Depatunen:, but is an independent nttractor. (o) Any Recipient which is a state agency or subdivision, as defined in Section 6S?8, Fla. Stat., aiees to be fully responsible for its negligent or tortious acts or omissions which rt. cif in claims or suits against the Department, and agrees to be liable for any damages proximately c ised by Use acts or omissions to the extent set forth in Section 768.28, Fla. Stet. Nothing herein is int( ded to sere as a waiver of sovereign immunity by any Recipient to which sovereign immunity apple.:. Nothing herein shall be construed as consent by a state agency or subdivision of the State of F' irida to be sued by third panics in any matter arising out of any contract. (10) DEFAULT If any of the following events occur ( "Events of Default"), all obligations on the ; art ofthe Department to make further payment of funds shall, if the Department elects, terminate and th Department has the option to exercise any of its remedies set forth in Paragraph (I I). Howevt • the Department may make payments or partial payments after any Events of Default without wait i g the right to exercise such remedies, and without becoming liable to make any further payment. (a) If any warranty or representation made by the Recipient in this Agreement or ray sub_ant or contractual services with the Department is or becomes false or misleading in any aspect, or if the Recipient fails to keep or perform any of the obligations, terms or covenants in this Age; mono or • 5 any subgTant or contractual services with the Department and has not cured them in timely t: hicn, or is unable or unwilling to meet its obligations coder this Agreement; (b) If material adverse changes occur in the financial condition of the Recipici. at any time during the term of this Agreement, and the Recipient fails to cure this adverse change oo hin thirty • days from the date written notice is sent by the Department. (c) If any reports required by this Agreement have not been submitted to the L pal uuent or have been submirted with incorrect, incomplete or insufficient information; (d) if the Recipient has failed to perform and complete in timely fashion any o: its obligations under this Agreement. (1 I)REMEDIES If an Event of Default occurs, then the Department may, upon thirty calendar d: •_ s written notice to the Recipient and upon the Recipient's failure to cure within those thirty days, exert, ,e any one or more of the following remedies, either concurrently or consecutively: (a) Terminate this Agreement, provided that the Recipient is given at least thir days prior written notice of such termination. The notice shall be effective when placed in the Un • : :d States, first class mail, postage prepaid, by registered or certified mail -return receipt requested, to th address set forth in paragraph (1 ±) herein; (b) Begin an appropriate legal or equitable action to enforce performance O Ih A!'teement; (c) Withhold or suspend payment of all or any part of a request for payment; (2) Require that the Recipient refund to the Department any monies used for in igiblc purposes under the laws, rules and reaulatior,s govern the use of these funds. (e) Exercise any Corrective or remedial actions, to include but not be limited to 1. request additional information from the Recipient to determine the real as for or the ex of non-compliance or lack of performance, 2. issue a written warning to advise that more. serious measures may be to .n if the situation is not corrected, 3. advise the Recipient to suspend, discontinue, or refrain from incurring r fists for any activities in question, or 4. require the Recipient to reimburse the Department for the amount of co s incurred for any items determined to be ineligible. (i) Exercise any other rights or remedies sshich may be otherwise available r law. (g) Pursuing any of the above remedies will not keep the Depau u,,ent from purl ing any other remedies in this Agreement or provided at law or in equity. if the Department waives at - right or remedy in this Agreement or fails to insist on strict performance by the Recipient, it will not a ect, extend or waive any other right or remedy of the Deparurent, or affect the later exercise of thi same right or remedy by the Department for any other default by the Recipient. 6 (12) 1'ER JN TJON (a) The IDe atunent may terminate this Agreement - or ca use with thirty' days w itf : t notice. Cause can include misuse of funds, fraud, lack ofcompliance with applicable rules, laws and regulation failtce to perform in s. timely maamer, and refusal by the Recipient to permit public access to any document, paper, : tier, or other material subject to disclosure under Chapter 119, Fla. Stat., as amended (b) The Department may term rate this Ag eemont for convenience or when it date. limes, in its solo discretion, that continuirg the Agreement would not produce beneficial results in line with the On set experdir -'e of funds, by providing the Recipient with thiciy calendar days prior F'' -iten notice. (c) The parties may agree to tem inate this Agreement for their mutual convetlienct zougb a written amendment of this Agreement The amend. me :_'t shalt state the cf ecdve date of the termination ar . the procedures for proper closeout of the Agreement (d) 1^ the event that this Asreer:eat is terminated, the Recipient will not incur new ligation for the terminated portion of Me A reenent after the Recipient has received the notification of terminatio Tne Recipient will cancel as many outstanding obligation as possible. Costs incurred after receipt of the termini oa notice will be disallowed The Recipient shall not be relieved of liability to the Deparirnent because of any b_ ach of Agreement by the Recipient roe DepauLttent may, to the extent authorized by law, withhold pays, its to the amount of . n=e: the .. cc t from fill, tec:p. ien; ' Recipient for the purpose of set-off until the exact �. nit o.. d_3..__g_ _ eye .. determined. (13) NOTICE AND CON (a) All notices provided under or pursuit: to this A a eement shall be in wrung, eitht by hand delivery, or first class, certified mail, return receipt requested, to the representative idenr._eo .glow I the address set forth below and said notiflcaion attached to the on , =1 of this : \g eement_ (o) The name and address of fie Division coated manager for this Agrernent is: Paula Letrr^.o Department of Commnr-iy Af airs 2555 Shumard Oak Boulevard • Tallahassee, Florida 32399 -2100 Telephone: (850) 485 -7541 Fain (850) 488 -_488 Email: aaula.iemmotGdca.staie.fl.us (c) The name and address of the Representative of the Recipient to whom notices shot I be sent and who is responsible for the efuninistiation of this Aeree,rneut is identified in Artachmem K, Recipient i ,`orrr. auoa. (d) In the event that different :evtesentafives or addresses are d:si "h by either parr; after execution of this Agreement, notice of the name, title and address of the new representative •.;ill be pr :.-ided as stated in (13)(a) above, • • Rev 325/09 Pa 7 • (14) S1,BCONTRACTS lithe Recipient snbcontr ets a^y of the work required under this Agreement, a cop of the unsigned subcontract must be forwarded to the Departnient for ret^:ew and approval before it is executed b: the Recipient. The Recipient agrees to include in the 'jbconhact that (i) the subcontractor is bound by Eno term ; 3f this Agreement; • (ii) the subcontractor is bound by all applicable state and federal laws and regidations, and (iii) ti subcontractor shall hold the Department and Recipient harmless against all claims of whatever nature arsine or of the • subcontractor's performance- of work tinder this A eernent, to the extent allowed and required b. _w. The Recipient shall document in the quarterly' report the subccniractor's progress in performing its we under this Aareeme-nt For each subcontract, the Recipient shall provide a written statement to the Dens' r at as to whether that subcontractor is a minority vendor, as defined in Section 235. %03, Fla. Stat. (1..5) tR v!S AND CONDITIONS This A.grccro t contq;nl a ll than t is and cnr.ditons agreed upon by the parties. (16) ATTACH/v1EN S (a) All attachments to this Aarcement are incor?orated as if set out hLly, (b) In the event of any inconsistencies or conflict between the language of this Acre . cent and the attachments, the irog awe of the ar.c11n ects shall control, 'mat on to 'fie extent of the co4il:Ct or cnruistency. (c) This Agreement has the following attachments (check all that are applicable) Exhibit 1 - Funding Sources Aiachinent — B an d Scope of Work Attachment B - Prog am Statutes aid Rec1.1.iatioas Attachment C - Recordteening Attachment D - Reports .Attic rent F - Justification of Advance Attachment F - Warranties and Representations Attachment G - Certification Regarding Debarment Attachment V - Statement of Assurances Anach pent I -- Property Management and Procurement Attachment I - Ssaecial Conditions Attachment K - Recipient information At*-ich ntent L - `i'r orkpian and Quarterly Ramon Form Re: 3i2 dr09 Page S • • OC COLlry, Ft:rid-2 • (17) FUND INC3/CONSLD ERA T1ON (a) This is a cost-re irribursea Agr The Recipient shall be reimbursed for e; its incurred in the Sad-SfaCIOry performance of work hereunder in an amount not to exceed 6378321, subject to the ova : thiliry of :onds, The Recipient is authorized to incur casts in an amount not to exceed. 61169.160 unril further notillca to is received from • the Deparument. Changes to the costs the Recipient may incur will be accomplished by notice frcm Le Demarm to the Recipier,t, sent by cerrited ntail return receipt requested, to the Recipient's contact person :dent ed in Areachanent K, Recipient Informadom The terms of the Agreement shall he considered to have been modified to Llow the Recipient to incur additional costs upon the Recipient's receipt of the written nonce from the Department. (b) Any advance payment under this A areernent is subject to Section 215.161(16), Fla ;tat. and 58 contingent upon the Recipient's acceptance of the rights of the Department under Paragraph (12)(b) this Aueem-ect. The amount which may be advanced may not e; the expected cash needs of the Rr. - ni.ent within the font three (3) months of the contract term. .A.ny advance paymnent is a_lso subject to federal 01\4 'irculars A-87, A-110, A-122 and the Cash Management Luitrovernent Act of 1990. If an advance payment is reque ed below, the budget data on which the request is based and a jiltificarion statement shall be included in This Ag7e.,- cent as Attachment E. Ana..eliment E will specify the amount cf advance payment Tegnested and provide an :planation of the riene..ssit. for and proposed use of these fonda (c) After the initial advance, if any, payment shall be rrscee on a reimbursement basis a • needed. The • Recipient ageces to expend funds in accordance with the Budget and Scope of Anaclarnent A c ;Lis A are sent . if the necessary fonds are not avail-able to fond this Air-cement as a result of action by ft United States Coness the federal Office of Management and Budgeting, the Sate Chilef,Fhaancnal OfrOrer, r under subparagraph (19)(h) of this Agreement, all oblisalicas cc the pain of the Depar to :Italie L-Ty fir le: payrneat of funds shall terminate, and 'he Recipient shall submit its closeout re-port \ that y (30) days of r citing nonce from the Department. (IS) REPAYMENTS All refunds or repaynituts to 5s rolcit: to the Department under this Agretmer.: are to he tacte priya'D:e to the order of'Department of Community Affairs" and mailed directly to int Department at the folk , hip address: Depa,z of Connnunity Affairs Cashier Penance and Accounting, 2555 Shutnerd CaT Boulevard Tallahassee Pb 32399-2100 In accordance with Section 215.34(2), Fla, Stat. if s check or other draft is retumed to d Department for collection, Recipient shall pay to the Department a service fee of Fifteen Dollars (615.00) or Five: (5%) of the fact amowit of the returned check or draft, whichever is 2-reater. Page 9 • .• • (l9)YhANDA. i D CONDITIONS ( The validity of this Agreement is subject to the truth and accuracy of all the :rift) matzo representations, and materials sabruled or provided by the Recipient in this Agreement, in any 1: :r submission cc response to a Depatient request, at any sub or re - pone to tufill the requirements of t s Agreement. All of said info,nnarion, representations, and materials are incorporated by reference. The 'm accu.t y of the submissions or any material changes shall, at the option of the Deparrent and with thirty days . a. ten DOLce to the Recipient, cause the termination of this .Apseennent and the release of the Department from all its c'. ligatioas to the Recipient. (b) This A rc - cernent shall be construed under the laws of the State of Florida, and ve • to for any actions arising out of this Arereement shall be in the Circuit Co.`t of Leon County. If any prcvisio - of Agreement is in conflict with any applicable statute or rule, or is unenforceable, then the provision .:all be null and void to the extent of the cerslict, and shall be severable, but shall not invalidate any other provisicr if this .A ereement. (,•,) Any co s cr of approval or rii acprc al gtantcd to tun. Dcpairtatnent under the te;,.s ; this Agreement shall survive the lets of this Agreement. (d) This Agicoment may be executed in any nu: fiber of counterparts, any one of .v'a'c may be taken as an (a) "I e Recipient agrees to comply with the Americans With Disabilities Act (Public SW 101 -336, • 42 U.S.C. Section 12101 etr sea.) and the Florida Civil Rights and :air }musing Acts (sections 760.0 760 -37, Florida Statutes), which prohibit disc-Ft rion by public and private entitles on tare basis of LSabt:. .,1 employment, public accommodations, t =2 ?oration state and local government service :, and servo( tmun canons, (j A person or or=anizadon who has been placed on the convicted vendor list follo:v; , a conviction. for a public entity crime or on the discrirnir•rrory vendor L.-St may not submit a bk.' on a contact to pr ride any goods ar services to a public entity, may nor submit a bid on a convact with a public entity for t'bt cc ;t: act:oh or repair of a public building or public work, may not submit bids on leases circa] property to a public • tiny, m y not be awarded or perform work as a cone - actor, supplier, srbconunc'or, or consultant tender a contract _s h a public entity, and :nay not transact business with any public entity in excess of 525,000.00 for a period of 3( months from the date of being pieced on the convicted vendor list or on the disc lmaa ary vendor list. (g) Any Recipient which is not a local government or state agency, and which receives ' aids ttnder this Ar~eement from the federal gove-vment, verifies, to the bps: of its knowledge and belief, that it a i is principals: 1. are not presently debarred, suspended. proposed for debarment, declared inelIgi e, or voluntarily excluded from covered transactions by a federal depa_r :tent or agency; 2. have not, within a 5-year period preceding this proposal been convicted of or ha: a civil judgment rendered against them for corrsnission of fraud or a criminal offense in cornecdon with obta.2 leg, • attemating to obtain, or per ionising a public (federal, state or local) transaction or contract under public ransaction; Rev 3125 709 pace 10 • • violation of federal or state antitrust V.:abates or commission o embezzlement, theft, forgery, buD. 71, faliicatior or ikStillCtOn of records, mating false statements, or receiving stolen property; 3. are not presently indicted or otherwise criminally or civilly charged by a g vernmental entry (federal, state or local) with commission of any offenses er,L=erated in paragraph 19(g)2. of this ertification; and 4. have not within a. 5-year period preceding this Agreement had one or more :Lblic transactions (federal, state or local) terminated for cause or default, lithe Recipient is unable to certify to any of the statements in this eerrincatiort.. hen the Recent shall attach an ex-planation to this Am In addition, the Recipient shall send to the Department (by email or by facsimile tr; smission) the completed "Certification Regarding 'Debarment, Suspension, Ineligibility and Voluntary Er. usion" (Attachment G) for each intended subcontractor which Recipient plans to fund under this A reerneut. Such form must be received by the Department before the Recipient enters into a contract with at subcontramr... (h) The State o f Florida's performance and obligation to pay under this Agreement i contingent upon an annual appropriation by the Legislature, and subject to any roodif,oe.Pon in accordance with Ch tar 216; Fla. Stat. or the Florida Constitution. (i) ! bills for. fees or other compensation for services or expenses shall be sabmitt i an detail :niffIcient for a proper preauclit and poataudiz thereof. Any bills for travel expenses shall be submined an accordance with Section 1 l2.( Da. Stat. (1) The Department of Coimmunity Aff reserves the right to unilaterally cancel ii ApTe,ement if the Recipient refuses to allow public aCC.tES to all documents, papers, letters, or other material subji a to the provisions of Chapter 119, Fla. Stat., which the Recipient created or received under this A Ercemeal (1) If the Recipient is allowed to terrQorarily invest any advances of fends under ins ..greernent, any interest income shall either he returned to the Department or be applied against the Department's cii garlon to pay the contract amount. (or) The State of Florida will act intentionally award publicly-Laded contracts to an) Dna who knowingly employs imanthori2ed alien workers, constituting a violation of the employment provisic ; contained in U.S.C. Section 1324a(e) [Section 274A(e) oftise han and Nationality Act ("INA")]. The • opara shall consider the employment by any contractor of unauthorized aliens a violation of Section 274At . of the A. Such violation by the Recipient of the employment provisions contained in Section 274A(e) of the Ii I shall be grounds for unilateral cancellation of this A uecment by the Department. (a) The Recipient is subject to Florida's Government in the Sunshine Law (Section 28 011, Fla. • Stat.) with respect to. the meetings of the Recipient's governing board or the meetings of any subcom ttee making recomaread.adons to the governing board. All of these Illte62.2S shall be publicly noticed, open to di ; and the minutes of all Coe meetings shall be public records, available to the public in accordance with Cha • '..et 119, Fla. Slat_ • • • Rev 3./25t09 Page 11 • • (o) All un..m.nufactured and manafacrozed articles, materials, ar.,d supplies which a acqu:ned for public use under this Agreement must have been produced in the United States as required under 11 U.S.C. 10a, kmless it wonld out be M the public interest or unreasona'ole in cost. (120) LOBBYING PROHIBITION (a) No finds or other rescnrces received from the Department under this Agreesm .t may be used directly or indirectly to imluence leslaoc or any other official action by the Florida Legislator or any state agency. (o) The Recipient cer± by its sismararc to this A ueement, that to the best of h or her knowledge and belief: No Federal appropriated fends have been paid or will be paid, by or on beh. If of the Recipient, to any person for influencing or attempting to influence an officer or employee of any ;eocy, a Member of C.onzres'S, an officer or employee of Congress, or an employee of a Member of Congress in cot action v:ith the awarding of any Federal contract, the making of any Federal uant, the making of any Federal loa the entering into of any cooperative azreernent, and the e:stensior., continuation, renewal, aine.ndment or modificati t of any Federal contract, gram, loan or cooperative ageement. 2. If any fonds other than Federal appropriated funds have been paid or VCD bi said to any persoc for influencing or atte to infLUCP.CC an oil or employee of any agency, a Meatier f Congress, an officer cc employee of Congress, or an employee of a Member of Congress in connection with Ibis 'edet contract, gram, loan or cooperative agreement, the Recipient shall complete and submit Standard Form-LLI. "Disclosure Form to Report Lobbying." 3. The Recipient shall require that this cari be included in the award tic nments for all subawards (including subcontracts, subgrauts, and contracts under Trants, loans, and cooperative at ;ements) and that an subrecinients shall certify and disclose. This cer6fca6on is a material representation of fact upon which reliance was pia, d when tEss unnsaction was made Or entered into. Submission of this certification is a prerequisite for mainrig C. entering into this transaction imposed by Section 1352, Title 31, 'U.S. Code. Any person who fails to file the tee: . ,sed certification shall be subject to a civil penalty of not less than $10,000 and not more than S100000 r each such • faihre, (21) COPYRIGHT. PATENT A_ND TRADEMARK • ANY AND ALL PATENT RIGHTS ACCRIILNG UNDER ORLN CONNECTIC ; WITH THE • PERFORNIANC.E OF 'ITHS AGREEATENT ARE 13-.R.EBY RESERVED TO TEE STATE 0 • FLORIDA. ANY AND ALL COPYRIGHTS ACCRUING UNDER OR EN CONNECTION WITH THE PERFORMANCE OF THIS AGREEMENT ARE HEREBY TRANSFERRED BY THE RED • TENT TO 'HIE STATE OF FLORIDA. (a) If the Recipient has a pre-existing patent or copyright, the P.eci3ierlt shall retain al tints and entitlements to that pre-existing parent or copyright unless the Agreement provides otherwise. Rev 3/25/09 Page 12 (b) If ny discovery or invention is developed in the course of or as a result of _ ck or se . ices • per wormed under this Agreement, or in any way connected with it, the Recipient shall refer the d . eovery o: invention to the Department for a determination whether the State of Florida will seek patent pre ; •ction in its name. Any patent rights accruing under or in connecton with the performance of this Az cement ate re ed to the State of Florida- If any hook_, ;nulls, t 1ms, or other copyrieitable material are produced, , the R.ecip ns shall notify the Department. Any copyrights accruing under or in connection with the performance under this A. cement are transferred by the Recipient to the sate of Florida. (c) Wi thin thirty days of execution of this a r eernent, the Recipient shall diselos all intellectual • • properties relating to the performance of this Agreement which he or she knows or should know c uld give rise to a patent or copyright. The ?Recipient shall retain all rights and entitlements to any pnc -.exis` ng inlet ca,al property which is so disclosed. Failure to disclose will indicate that no such properly exists. The Depaittu it shall then, under Paragraph (b), have the right to all patents and copyrights which accrue during perforn nct )f the. Agreement. (22) LEGAL AUTHORIZATION The Recipient certifies that it has the legal authority to receive the funds under thin lgreement and that its governing body has authorized the execution and acceptance of this Agreement. The Recil ant also certifies that the undersigned person has the authority to legally execute and bind Recipient to the terms of is .Aaree^ rent. (2i ) The Recipient shall comely with any Statement of Assurances incorporated as Arta 'r nt tl. • • Rev 3125/09 Page 13 • STATE OF FLORIDA DEPARTMENT OF COMMUNITY AFFAIRS FEDERALLY FUNDED SUBGRANT AGREEMENT COMMUNITY SERVICES BLOCK GRANT ARRA PROGRAM SIGNATURE PAGE CoTract Nrd 2 OSB-SR-06-69-01-1 E- •: - 7, Vri-LEREOF, 1Lh e. paries ha‘,.:., :27 AETtenICEII by ±: :..hdly aut:-.c. z.2 c:rs Ca day. nrc cd y.:Ar sci forth btlow. RECITTI:.NT D OF C - - UN :v FAIRS 7D _".121 / 110 3y: Da idl- 3 , ' lk ,Allb : 21.2: I I DI Bch Dallari Jan: - Bo g, D',7t: (? Div: ion of F tlsDg an,i a :1 TnI:.: C Seminole COUllt:V Board of Colt:Icy Co7 59600 Ft.dc:al T:-. 2 ti DL'• 05783435S Dm a:::1Brads'd Date TSrdvr:rszliCdar.btring SyELZIM (DUNS) Ndrnlyzi Roy 3/25/09 PE • 14 .sl: aunty St mole c : ur:: -, FJc.rida EXHIBIT — 1 FOLLOVV!'vG FEDERAL RESOURCES ARE AWARDED TO TEE RECTIEiv T U DF. ; TEE AGREENENT: Separately list the following information ; `or each federal program from which the resources am; dad to the Recipient originate: Federal Program: Cammur :iv Serrces Block GE at American Rceov .ry and Reinvestment Act (AREA Df 2009 Federal agency: United States Department of ii. filth and Hurnast Services Catalog of Federal Domestic Assists ce thin: Co rnouniry Services Block CT: u Proggra n- A RA Carl of Fede ''Domestic Assistance T. 93.710 Award amouar 5375.321 THE FOLLOWING COD {PLIA\CE REQULR.EME\TS APPLY TO THE FEDERAL RESOUF ES AWARDED U1 THIS _AGREEMENT: : Program: CSBG -.RRA 2009_ Compliance Requirements 1. Eli Th! activities. services or corrnod ties: The Recipient Will use the CSBG -AREA funds for foe reduction of poverty, the rcita'_iz da. oflove _t:cot✓e comrttunitics, and the emeow_mcnt of low - income families and individuals in rural • td urban areas to become fully soli- suntcient Recipients are stiongly encouraged to sup_ o t employir it- related services and activities that create and Sus in economic growth. These funds will be expeode+. accordance with the Program S:a antes and Reg lac =on_, Attaclarnem B, Budget and Scope of • Attachment A and Workplan and Quarterly Report Form, Attachment L of this .? areement ac applicable OMB Circulars. 2. Elieibie recipient of the federal resources_ roe Recipient will comply with applicable OMB Circulars : nd elicibility requirements as set )rth in the U.S. Department ofldcalth and Human Services regulations c -od filed in Title 45 of the Co - : of Federal Re • NOTE: Fcr feder a•' included r_i:h 1 Section ,,,.D, O IB Circular A -t33. :s a1 p, - vb! L1J tL 41uUCU 311 1:..i lllul[ 1. JC�LrUU . -VVtd) U1 �T revised requires, and for state projects included in Exhibit 1, Section 215,97(5)(a), Florida SI: lute, requires the information in Exhibit 1 to be provided to the Recipient. Rev 3/25/09 age 13 1oi1 CSBG ATTACHMENT A -1 BUDGET SUMMARY Recipient: Seminole County Contract #t 1CSS-- 8B -05- 59- C1-126 BUDGET LINE CSB BUDGETED G -ARRA FUNDS ONLY AMOUNT ITEM 1 CSBG -ARRA Grant Funds 378,321.00 2 Cash Match 3 In -tend Match 4 TOTAL MATCH (Line 2 + Line 3) 5 TOTAL FUNDS (Line 1 + Line 4) ,�'ar ADMINISTRATIVE EXPENSES 6 RECIPIENT (Salaries '- Fringe. Rent, Utilities, Travel, Crther) 15,282.00 7 SUB - RECIPIENT (Salaries + Fringe, Rent, Utit'ries, Travel, Other) 0.00 8 TOTAL ADMINISTRATIVE (Line 6 + Line 7) 15,282.00 9 ADMINISTRATIVE EXPENSE PERCENT (Line S divided by Line 1) Cannot exceed 15% of CSBG allocation i 4.0%, line 1. PROGRAM EXPENSES RECIPIENT DIRECT CLIENT ASSISTANCE EXPENSES Subtotal - Recipient Direct Client Assistance Expenses tied to National Goals 1 an . I 356,818.00 iDa 2 (Add together all Goal 1 and 2 related expenses.) 10h Subtotal - Recipient Direct Client Assistance Expenses tied to National Goals 6. 0.00 10 RECIPIENT DIRECT CLIENT ASSISTANCE EXPENSES (10a + lab) 356,818.00 11 RECIPIENT OTHER EXPENSES 6,221.00 (Salaries Fringe, Rent, Utilities, Travel, Ether) 12 SUBTOTAL RECIPIENT PROGRAM EXPENSES (Line 10 + 11) 363,039.00 SUB- RECIPIENT DIRECT CLIENT ASSISTANCE EXPENSES — Subtotal - Sub - Recipient Direct Client Assistance Expenses tied to National Goals 0.00 13a and 2. (Add together all Goal 1 and 2 related expenses.) 13b Subtotal - Sub - Recipient Direct Client Assistance Expenses tied to National Goals 0.00 13 SUB - RECIPIENT DIRECT CLIENT ASSISTANCE EXPENSES (13a + 13b) 0,00 14 SUB - RECIPIENT OTHER EXPENSES I 0.00 (Salaries + Fringe, Rent. Utilities, Travel, Other) - — 15 SUBTOTAL SUB- RECIPIENT PROGRAM EXPENSES (Line la+ Line 14) 0.00 16 TOTAL PROGRAM EXPENSES (Line 12 + Line 15) 363,039.00 17 SECONDARY ADMINISTRATIVE EXPENSES 0.00 18 GRAND TOTAL EXPENSES (Line 8 + Line 15+ Line 17) 378,321.00 Total Recipient and Sub - recipient Direct Client Assistance Expenditures tied to National I 356,818.00 19 Goals 1 and 2. (Linel0a + 13a) - } 20 Percent of Funds Budgeted for Goal 1 and 2 Activities: Divide the Total Direct Client 94`! Assis :ance Expenses for Goal 1 and 2 by the CSBG -ARRA Grant Funds. (Line 19 divided by Lir 1) This amount must be equal to or greater than 3C`9. Page _,1 of CSL3G-A_RRA ATTACHMENT A -2 SUB- RECIPIENT INFO.R_MATION I # 1 Sub - Recipient Name: T Mailing Address: ` Street Address (If Different) (\ j Contact Person: Title= CEO: Amount of Sub - Agreement: Telephone ( ) Fax ( ) # 2 t Sub - Recipient Name: Mailing Address: -- - - -- _ -- - - - - - -- t Street Address (If Different) Contact Person: The: Telephone ( ) Fax ( ) 3 Sub- Recipient Name: Mailing Address: • _ Street Address (if Different) I Contact Person: Title: Telephone ( ) Fax ( ) # 4 Sub - Recipient Name: Malting Address: Street Address (If Different) Contact Person: Title: ` I Telephone ( ) Fax ( ) — # 5 Sub - Recipient. Name: Mailing Address: Street Address (If Different) . Contact Person: • Telephone ( ) • Fax ( ) age 17 p AG F 8 BUDGET DF,TATT, PAG loft CSBG ATTACHMENT A -3 BUDGET DETAIL CSDGAQRA FUNDS_ONLY : - RECIPJENT: !Seminole County CONTRACT °: ( ICSB- oB-0L-z4o'9 -71- 120 BUDGET , API I EXPENSE DESCRIPTION TrION I BUDGETED LINE ITEM AMOUNT ADMINISTRATIVEXPENSES 1 RECIPIENT ADMINISTRATIVE EXPENSES .,_;_». s _, Pro ,e separate I:st of posdiors 4'._ r L � v vr tr a'ories fitige and benefits -� es Salari + Fringe Benefits 11,214 00 :ten ed. Cost alicoalon i- A ene � r` - = v:or ;ham t slaou o include all >; 1-'". �- cos ors paid t4ILn :his oravi ii . E. - g 3 , . I Cc. _iic GOn f,orksF=_et s5culd ie'. x `--ems ;,558.00 Ind e all snared cosLs p =;d v. • ,.,r. . 3-hR Rent and utilities rit • 3^i . :�c U� i�t G CC.1T° .,�J�l Oi no • t"=" -T s_. -rF! %+"•1e SD: .v d irr'.'rCcI cost ice,., and M1 =r indirzct cost is t be 2pp�ed. .tea .x... — — — .� Audit Y x �-. =-4e; General Liability Insurance =n� Cam +1 -__ ._..__. _.._ -. _. .. ._.__._ _...___. _.._.__.._..__ .— _. _. - -... • _ ; • 4 Other Forms of Agency Insurance SP_city t J h.; k a postage, copyr,o, and - j . Office s Iies 25'? 00 otht corsumabia supp{ =s Do ' . t not PP at.,-....le equipment a -L ' - - - -- _ --- .- ----- ._..— __. - - --- ._.. -. _.. - ___ ...._-- - - ---- -- - _ _ Pro le eclanalkin and a y -�'' -"r - -. 250.0 ces p`. on o` any singe Be rt` u .r • rv' cos g cver 55D0. �E"'F E• i. l-JI t ,el nest oe directly re'ated r � i- to tt cantactand related '{ s - Travel _ViT ac:i es. PJI conference or _„r 5t r M . : 2,r g travvi cr out-of-state trove'. =� l . " F F m s .)e detaiied and itemaad. --- - : t . 24 5 : y 1 ' ti Pro ie ep'anation and '^' bra 7e, p on of any o'.her t ss- • r Other Any Hula de,n ccsti rig ever 55 0 s . �= -... ;_ must :se dealed. t .ice >r._z 6 ,4`_': -s:� �" TOTAL RECIPIENT ADMINISTRATIVE EXPENSES 15,282.00 . _ . r ■ 1 of 1 i BUDGET , II BUDGETED LINE NPI EXPENSE DESCRIPTI ©N AMOUNT ITEM =^_`` ' _'=' SUB - RECIPIENT'S NAME: i \ 4 Vi c.- l SUB- RECIPIENT ADMINISTRATIVE EXPENSES -v-- �. Salaries T Fringe + Benefits _ t . ;a� �.:.- .,, - ; ,;. : _Rent and utilities : iM� Indirect cost -.• _ Audit 7 .- General Liability lnsu��nca — va `r'. __ . • _ �. Other Forms of Agency Insurance - Specify 1 -----= - .as�F — ". ^ Office supplies 5 ':k st,",„„„.. �y� -� — z Office equipment O K. — - -. �. � ! Trave "r�•r � � ~•r ^ _ � �^" _.....s' _..r.' Qther it _ - 7 : TOTAL SUB - RECIPIENT ADMINISTRATIVE EXPENSES 0 .00 1 of 1 BUDGET EXPENSE DESCRIPTION LINE NPI I: 1DGETED AMOUNT ITEM laser, cri as many lines as you need under esoc NPI to desbe expenditures PROGRAM EXPENSES RECIPIENT DIRECT CLIENT ASSISTANCE EXPENSES 1.1 Employment 1.2 Employment Supports *a Provide funds for childcare payments to enable applicants with crul.orert to fine or maintain employment - $120,813.00 and Frov:de job training assistance funding for out of work 328,018.00 individuals to obtain skills for reemployment - 5207,200.00 1,3 (Economic Asset Enhancement and Utilization 21 Community Improvement and Revitalization ` ?? °- �.:�, -�*xa_ 10a 2.2 Community of Life and Assets t r =- 2.3 Community Engagement 114 2.4 Employment Growth from ARRA Funds Hire temporary caseworker to process and monitor ap ?licerds being assisted wah training funds to obtain skills for employment (Funding split between CSBG -R and the Homelessness 28,800.00 Prevention Rapid Re- Housing (HPRF) Grant) _ (Subtotal - Recipient Direct Client Assistance Expenses tied to National Goals 1 and 2. 356,818.00 (Add together all Goal 1 and Goal 2 related expenses.) Do you have any sub- recipient direct client assistance expenses? If no, complete the check below ' yes, skip the following check CHECK: Divide the Subtotal - Recipient Direct Client Assistance Expenses for Goal 1 and 2 by the total CSBG - ARRA Grant Funds. This amount must be equal to or greater than 30 %. 94.3 6.1 'Independent Living I 6.2 (Emergency Food ?, 6.3 Child and Family Development � : s.fte 74. off- 1 6.4 Family Support x. 5.5 Service Counts Subtotal - Recipient Direct Client Assistance Expenses tied to National Goals 6. 0.00 ! 10 RECIPIENT DIRECT CLIENT ASSISTANCE EXPENSES (Add together the Subtotal for GIs 1, 2, 356,818.00 and 6 Expenses.) CSBG -R Cost Allocation Summary Line 6 - Salary + Fringes + Benefits: 5% of Caseworker Supervisor's compensation - 53,789.` 1 Caseworker Supervisor's remaining compensation - 35% CSBG, 25% CDBG, 15% HPRP, and •0% County General Revenue Line 6 - Salary + Fringes + Benefits: 10% of Program Manager's compensation - $7,425.00 Program Manager's remaining compensation - 20% CDBG, 40% SHIP, and 3D% County Gene sl Revenue (County General Revenue includes in -kind contribution for the CSBG and HPRP programs) Line 6- Total Salary + Fringes + Benefits = $11,214.00 Line 6- Rent and Utilities: 2.258% rounded to 2.26% of Building Rent of $158,022 or 3,568 per allocation calculation based on 0.70 FTE for CSBG -R against a building total of 31 FTE. remaining rent and utilities (45.48% County General Revenue, 3.55% HOME, 18.71% CDBG, 7.74% H( ',P, 4.84% CSBG, and 17.42% SHIP) Line 10a - Salary + Fringes + Benefits: Case Manager (Temporary Position), S4°/ of c npensation will Le paid out of direct client assistance for case management services - $28,800.00 Case Manager (Temporary Position)'s remaining compensation - 14% SHIP. Line 11 - Salary + Fringes + Benefits: Case Manager, S% of compensation will be paid of of recipient other program expenses - $3,221.00. Case Manager's remaining compensation - 35% HPRP, 45% CDBG, 15% County General Reve , e. 1 cI1 UDGET NEI EXPENSE DESCRIPTION BUDGE ED LINE AMOUNT ITEM PROGRAM EXPENSES. RECIPIENT OTHER PROGRAM EXPENSE -- s. • 4 Yr _ . Provic a separate ra list of pcsiJins - �• +: ^ c - �.i,th s: :ri s, fringe ano to 'cn s s- '� t _ nge + ens �_7.D0 �';�+ • = -� Q _ SalG f F r i 3 nts i'iemizi Cost alluticn v: t i :igz,T-j.: .. .1 `: /o�:sl :l Sil^✓ll'd 4'iC;nd2 all it J ..— z' Icsil.c .p =:d to wthh :s gar 4 • `- x -- - - — - _ Cut a calion 'worksheet s! 0_11 . Rent un 1 sh_zd cn :s pa c la- _ ti .h _ e r'actricir ritemet ;� Y, -`-° '-'" Utilities _ 2c - s!. . Water, phone sr-rv.ce, etc. __ V - -, � r,Cuac o- t y e, c oy end F _,,, r r oaf wO usu pplies I other c is sablesuppis. Do t c ;.yy rei inc 1 e 1 a -r ,1_-&34.: — - - — cvd rp!U 2bor and lei- = a ' r . <` desert in of any singe item . � � tt ..� Offir equ!pmen• Icos`.rc vet SSCO. May {nso cc • • r} : -- Nutwha a, !eases, maintnr•c2 arid � 4 .. y I:epai:s — — — �' -�r�+� - -- --- -- .._..., _ (. I ev must be chreclty cared -° to th's 1 ;i : and acei.iti:s ..11 '"-1- _' ' ' Travel - ;•tileaoe tcdaina and food costa for the certified ROMA . +" DJ o6 coo ifcc.o ',a ortminirg P cut- ' trainer I•s:ed below I o +,!E - eve! most be n °!• :'Id a u' dJ - -_ -... p nofar � -,,�. ' ; Other • Cca to bring z certified ROYA trainer on -site to ,,,oxide 2 SGJ �, sin ,rem ces n r =50' -21.4.-- it •trining to Cocrri stn n` and CSSG Board Members must br iiei ll_d. 11 TOTAL RECIPIENT O T NER PROGRAM EXPENSE 6,221.00 E iu :+-�_ i ;typo have subre-clpients, you most cornp:ate the subrecipient worksheets. II you claim secondary administration expenses, you must complete the Secondary Admin v rsseet. If you have no subrecipients and you do not claim secondary administration experres, you are finished with the 'worksheets and ready to review and finalize the Budget Summar /. 1 oft • BUDGET BUDGETED LINE NPI EXPENSE DESCRIPTION AMOUNT . j \_ ITEFe1 1 t ` SECONDARYADMINtSTRATIVE EXPENSES RECIPIENT ADMINISTRATIVE EXPENSES I 0,00 P -�-- 7 Salaries + Fringe + Benefits r , _- Rent and utilities i sue ``. ,-,- ,,-- "w' c, ct In cost — — { T '' "- -- — -- "� GenerI Liability Insurance • _ sue � • .- ,: Outer Forms of Agency Insurance - Specify 4 •~ Office supplies ` g c. Office equipment sue. -} ---- _ ` Travel _.: • Other z `"-zr a 7'RS '-f- SUB- RECIPIENT satzu-ies+ Fran Refit, C.h� ( g > Frtics ? TOTAL SECONDARY ADMINISTRATIVE EXPENSES 0.00 17 'r _ • CSBG -ARRA ATTACHMENT A-4 SECONDARY ADMINISTRATIVE EXPENSES . Secondary Administrative Expense requested: Yea No Name of Recipient: S e R n o f C ° `r■ INSTRUCTIONS: If requesting Secondary Administrative Expanses, you must supply the following tnfon'notlon for each secondary program for which administrative expenses are being requested. A "aeoondttry program source' Is the non -CSBG program that will receive administrative support from CSI3G -ARRA funds. See Attachment H, Section (11) end the General Instructions for additional information. The secondary pragrem must be directly totaled to the anticipated outcomrm of CSSG -4RRA as described In the Budget Detail and Wo an. NAME OF NAME OF ME OF TOTAL OF SECONDARY SECONDARY SECONDARY ALL PROGRAM: PROGRAM: PROGRAM: PROGRAMS • BUDGET INFORMATION GRANT GRANT GRANT STAIN RATE: START DATE: START DATE: END DATE: END DATE: END DATE: 1. TVA cash budget for secondary program: w $ 'WW1), ' (t+ t 1+ j,' `f�, ' ; 2. Maximum percent administrative expense Including % �� at � " ii 1 Indirect cost allowed by secondary program :, ti: r ,, 3. Total administrative expense approved by secondary $ $ $ ‘l ' " I t. , 1• WW1'. program funding sources. r. - 4 1 .'',11 4 s ' , Tw + , A 4. 0880 secondary administrative expense requested' $ $ $ $ 5. Total administrative expense (Line 3 + Line 4): . 3 $ $ .f 14 a++.I- 7� il 6. Percent of total adminlatrath a expense to total ' 1 A ^ �t` � ? fi r? . 1, VI }.; .I 1 . budget (Line 6 divided by Line 1). This total cannot /L 9G °� I , ,y 10, Ic I,S h � exceed 15% of Line 1. ic,5ct�z:4t1 +t4 iN 7. National Performance indicator (NPI) supported by NPI: NPI: NPI: t;Ke.c.1Aj ;a' rLxjv;a lute l 404011.A 1,h� i ' i^r this secondary administrative funding. (From knit ii , Attachment L, Workplan and Quarts:riy Report Form) r trva ,. v s1,'riSi 1 •r;ri ica , .,.. secondary ' administrative expenses are" requested. For each secondary administration program, provide documentation of the maximum administrative limits of the secondary program and a copy of the contract budget detailing the amount of the contract and the administration funds provided by the secottdl4fy source. 2 You are required to provide budget detail in Attachment A-3 for the amount on line 4 for each program above. Roy 325/09 Pugs 19 CSBG -A.RR4 ATTACHMENT A -5 SCOPE OF WORK The Community Services Block Grant - American Recovery and Reinvestment Act (Reck my Act) of 2009 funds (CSBG -ARRA) will be used for the reduction of poverty, revitalization of low- income com: !unities, and empowerment of low - income families and individuals in rural and urban areas to become fully se .sufficient. Recipients are to use these funds to support employment- related services and activities that creme nd sustain economic growth_ To this end, Recipients will use at least 30 percent (30 %) of their CSBG -ARRj . budget for and job creation, retention, stabili7ation, placement or raining and other employment related activ tie ied to CSBG National Goals I and 2. The Recipient shall perform the work in accordance with Attachment A, ttddget and Scope of Work, and Attachment L, Workplace and Quarterly Report Form of this Agreement. Page 20 • CS B G -ARR.A ATTACIDIENT B PROGRAM STATUTES AND REGULATIOtiS A. LvCORPORATION OF LAWS, RULES, REGULATIONS AND POLICIES • Both the Recipient and the Depart rent shall be governed by applicable laws and local rules, i. ;luding, but not limited to the provisions of Malin Law 105 -285, Title II - Cornmunity Services Block Grant Pro.: Subtitle B - Corn n,ity Services Block Grant (CSBG) Program of the Co, -r_nry Sera. Block Grant Act, ie Americ Recovery and Reinvestment Act (ARRA), the provision of the entrant approved CSBG -,.RRA St: > Plan, including all approved ?n or revisions. adininis adve Rule Chanter 9B -22, Florida. Ad siniist=ativ.'. Cede, OMB [M -09 -10 and the Initial Irnole Den Guidance for the American Recovery and Reinvests at Act of 2009, Florida Chief F +inanciai Officer Me orandu: , No, 05 (200S-2069), American Recovery :nd Reinv : ;a'ient Act of 2009 (Public Law 1 1 1 -5), Federal Central Conactor ReaL - n - ion (htto:lh'•ww.c&r.00v/), and Titl 45 C.F. R Part 96. Department of Health and Human Services regulations codified in Title 45 of the Code of Fed al Regulations (CFR) are applicable: 1. Part 16 - Procedures of !he Dep:mn rat Grant Appeals Board: 2. Part 30 - Claims Collectioc; 3. Part 74 - Uniform Adminisnatnve Regliirements for Awards and strba'sa:ds to in .rations of higher education, hospitals, other nonprofit organizations, and commercial oraaa 'iton. Part 76 - Debarment and Suspension from Eligibility for Financial Assistance (Ni ..procurement); . Part 00 - tiondiscriz ii ation Ur_der Programs Receiving Fcd : ,l Assis ance thou; ! the Droar meat of Health and Human Services, Ef'iectua::on of Title VI of the Civil F . ?,stns Act of 196-4; • Pan SI - Practice and Procedure for Hearings Under Part 80 of this Title; 6. Part 84 - Non`sccrim'.Z.iioo on the }lasis of Handicap in Programs and Activities iceiv fig Federal Financial Assistance; • 7. Part 86 - Nondiscrimination on the -Basis of Sex in Education Programs and A_,.tiv i. as Receiving or Benefiting from Federal P1a=ncizl Assistance; 8, Part 87 - Equal Tteat for Fa;_ri -Basta Org rations; 9 Part 91 - N _-�ation on the Basis of Age us TIFI S ; I'OEfams or .Activiiics Ri et son Federal Financial Assistance; 10. Part 93 -New Restrictions on Lobbying; 1 l . Part 96 - Block Grants 12. Part 97 - Consolidation of Grants to the Insular Areas; 13. Part 100 - Intcrgovernrner,tal Review o f Dep r+yeot of ?nd Herman Serrate: 'rograms and • Acts ities. 14. Part 176 - Schedule of Expenditures of Federal Awards, ht financial reoorino /financinc.`. m Page 21 . _ CSBG-ARRA ATTA CI:WENT B PROGRAM STATUTES AND REGULATIONS • • B. FUNDENG A.VATLABII.ITY FOR EXPENDITURE. Funds are available for expenditure in accordance with Tide VI of 'Public Law 97-35 as amer. by P.L. 105- 277,45 C P art 96. For States, local gavel—am:eats and Indian Tribcs follow OMB Circular .A- hr cost principles (Relocated to 2 CFR, Part 225), OlieM Circular 102 for administrative requirements and ',MB Circular A- • 133 for audit requirements and the laws and procediare.s applicable- to the Community Services Bic Grant .• Prom L For Non-pro.fit orgarnzations follow ()NIB Circular .A-122 for cost principles (RelocateC. 'o 2 CFR, Part 230), DNS Circular A-HO for adn requirements, (Relocated to 2 C1- Part 215) and Cs. U3 Cir.zeilar A- 133 for audit requirements and the laws acd procedures -applicable to the Community Services Bic c Grant Program and the Single Audit Act of 1984, as amended_ The Community Services Block Grant nrog,ram is ithorized and funded through the United States Departai ent of Health and Hnrn Services. CSBG-A.RRA ibnin mist be accounted for separately horn regular CSBG fmadine and clearly identified with a separate CFDA .7 ember. C. IROJECTS OR PROGRAMS FUNDED TN WI OR PART VvTTH FEDERAL MONEY The Recipient assures, as stated in Section 505 of Public Law 103-333, 'When issuing staternE s, press releases, requests for proposals, bid solicita€.ons and othea documents describing orojects or prozm i funded in whole or in part with Federal money, all g-.,--,antees receiving Federal funds, including but not limiter o State and • local governments and recipients of Federal research gams, shall dearly state. (1) the percentage of the total costs of the prom or project which will be financed with Fedi 11 money, (2) the dollar amount of Federal funds for the project or piogram, and (3) percentage and dollar amount of the total costs of the project or program that will be finacr. I by non- governmental sources.' D. PROGRAM INCOlvF..t. Program income is gross income received that is directly generated by the federally-funded pro:. et dining the grant period. Tee recipient VIA'? y apply pro eNcluding Merest income, to meet rnalcin requirements, or may reprogram it for eligible proeram acriviries. The amount of proararn income and its dispositi, a must be reported to the Depart:Ea.-at on the monthly l',_PP status reports and at the dme of subrniion of C final close- out report, E. INTEREST FROM CASH ADVANCES_ Non-tirofit Recipients shall invest cash advances in compliance with sec .22 of OV_B Circuit A-110 as • revised. Local Governments shall invest cash advances in compliance with section .21 (h) (2) (i) of t Common Rule. All Recipients shall rriaintain advances of Federal funds in interest-beai accounts, unless th- following applies: • Page 22 CSRGARRt ATTACEMENT R PROGRAM STATUTES AND REGULATIONS • • (I) NON- PROFITS ONLY: • (a) The Recipient receives lass than S120,000 total from all federal awards per year. (b) The best reasonably available interest bearing account would not be expected to earn merest m excess of 5250 per ; =r en Federal cash balances from all Federal awards received each year. • (c) The depository would require an aver age or minimum balance so high that it would n be feasible vr•thin, the cxnected Federal and non - Federal cash resource. Interest earned off mash advances shat >e reflected on the mo r y financial >tatus report and the close -out repots. (2) LOCAL GOVEI_N f.E.NTS Except for interest earned on advance of _ids exec t under the Inteigovernmental Coopsrati •Action (31 U.S.C. 6501 et. seq.) and the Inelian Self-Determination Act (23 U.S.0 . 450), strastees and Tab t :es shall promptly, but at least quarterly, remit interest earned on advances to the Federal agency. The grant - ur sub - grantee may keep interest amounts up to 5:00 per year for ad ; nicnntii •e expenses for all interest =Ce^ed t vrn all federal _vz - s received. The interest maintained for administrative expenses must be proportionate to the osnam's conrnbatiou to the interest earned. F. MODIFICATIONS (1) The Department t shall not be obligated to reimburse the Recipient for outlays in excess of L funded amount of this : �ercement unless and until the Department officially approves such exTeediiures by •cecuting a written moctl to the original conrractual Agreement. (2) The fano Ring conditions will govern modifications to this arecment: (a) An 1 nlimited budgeted amount may be moved from any line item to the direct client as st_rce Inc item without wrinen departmental approval. These changes will become elective upon the Dcpartu 2t receiving and ac--cepMig an accurate amended budget summary, budget detail, work and workplan su .titian: reflecting these ch`..:,ees. (b) With the escendon eiven in (a) a bove, all requests for modifications to increase or deer: se any li=e ;tem by more than 20% must be submitted to the De for approval thirty (30) days prior to tier 'mndcipatcd Failure to meet this time frame may result in reimbursement delays. The Rec-ii Int must use a CSBG -,_PRA modiifica cc package, approved'cy the Department, which includes an mended budge budget detail, work plan and work plan summary. Changes which ties mutually agreed upon shael be . '!id only when reduce.i to writing, duly signed by each of the parries hereto, and attached to the original of this ..ereernent • Page 23 • CSBG —ARRA ATTACUMENT B PROGRAM STATUTES ..ND REGUL.ATTONS (c) Modifications to increase or decrease any line item by less than 20 percent, may be r • .de. without the Depart_-aent's written approval. These changes wi2.1 become effective upon the Depart neat receiv_ g and accepting as accurate an amended budget s.tmtnary, budget detail, work elan and wcrkplan sa reflect g these changes. (a) Only unobligated fonds may be uansfered. from one lint item to another lie item. (e) Budget changes must not result in over expenditure of the amounts stated in sec 7)(a) of this agreement nor the limits set for ar+mhnistrative or secondary ad?minisuativ'e expenses. G. CSBC3-ARRA CLIENT FLfel3ILIrY (1) The Reciriert shall ce> i y that each household rece;vinz CSBG -A.RRA funded services income eho ole. The sum of all countable income from all hog sehold members must be used in determining eligibi: ry. The total household income cannot exceed 200 Percent of the current C.)i -ce of Management and Budget Pc • ery Guidelines. A "household" is an individual or group of individuals livin together as one economic unit. The eo:pien t mast secure income docuaienw i on that is no more than one year old of all household income sources. n the welt tins! the applicant cannot provide inCOW: doe „ ^euttioa, 1`:e ,R.ccir ,._t shall require the applicant to n: nit d signed certification of eligibility to attest to the applicant's verbal deolaannon of total household income. his certification _ must spee11+ the reasons that no current documentation can be supplied by the a pi!cant and a <_t3 nezi Ot 4ow the applicant is providing for hillier basic needs. (2) Recinie:::s are required to have written applicant appeal precdures. Any applicant denii CSBG -A.RRA services must be provided a written notice of the denial which includes the appeals process and tr : reason(s) for the denial. In cases tivhere the denial is for lack of documentation, the agency must explain what spec. is donmicos are required in order for the applicant to reapply for services. R. NIONI ORLTrG (l) The Recipient shall allow the Dep tent to carry out monitoring, evaluation and techri . 1 assistance and shall ensure the cooperation of its employees, and of any snub- recipieu s with whom the Recipient one wens to carry out pro`rari acnvrt_es. (2) Trn' and technical assistance shall be provided by the Deparanent, within limits of s ' f: time and budget, upon request by the R a.;;d!orupo dete:nr =lion by the Department of Recipient : red. I. BONDING (1) Non -Prone Organiza The Recipient agrees to purchase a blanket fidelity bend coy:: ':fig all officers, • employees and agents of the Recipient holding a position of trust and authorized to handle funds r •.eived or disbursed under this Agreement. Individual bonds apart from the blanket bond are nor acceptable. The arnoutit of the bond must cover each officer, employee and agent up to an amount which is equal to at least c. e -half of the total CSBG -ARILA contract amount • P age 24 • CSBC ARR_? ATTACB M] NT B PROGRAM STATUTES AND REGULATIONS (2) Local Governments: Toe Recipient agrees to purchase a fidelity bond in accordance mitt lecEonl 13.07, Fla. Stat and/or Section 62.622 Fla, Stat. T fie fidelity bond must cover all officers, employees : d agents of .c Recipient holding a position of trust and authorized to handle funds received or disbursed under t Agreement. • Pag° 25 CSBG -ARRA ATTACHMENT C RECORDKEEPI,NG (7) The Recipient will maintain a separate record for each CSBG -ARRA client which ii 'odes at least the following data: name, address, sex, race, age, income amount and method of veriEcation for each ,ember of the client's household, date client was interviewed, services provided to the client and documentation f any denial of client services. AU CSBG -ARRA assistance applications must be signed by the client and by the ecipient's representative. (2) All records, correspondence, employee time sheets, board minutes, bo meeting nc e and other documents related to CSBG -ARRA funded activities shall be available for public inspection durin normal business hours. Page 26 • CSBG-ARRA .ATTACHMENT D REPORTS A. Annual rem_ orts (1) Within 45 days a fter the end of the Agreement, the Recipient shall submit the CSBG-AI LA Close-out Report, including the CSBG-ARR.A. Final Financial Report, a refund check for any unspent fund_!•, and the CSBG. ARRA Final Program Report. (2) Recipients will colete and submit the CSBG information System Survey. The Rectpt. it will be noticed M writing of the due date. (3) Agencies that are below the S500,000 threshold of Feder.dav,'ards in its fiscal year and t • is are exempt from the federal single audit act requirements, shall submit with their contract proposal a copy of 'air most recent IRS Form 990. B. Quarterly Reports The CSBG-ARRA quarterly program reports must be provided to the Department no later :ha the six (6) calendar days following the end of the last month of the cuarterly retorting period. C. Monthly tenons The CSBG-ARRA Monthly Financial Status Reports rrin.st be provided to the Department co art than the twenty-first (21st) day of each month following the end of the reporting period regardless of vibe t or not funds were exnended. D. Monitoring Report Responses A written response to all mmitoving It findings aiadjOT concerts must be providod to the I • parar...ent no later than 35 days from the date of the monitoring report. E. Cost _Allocation Plans 2 CFR Part 215, Subpart C, Section 215.21(6) requires that reci7, financial systems provid For a written procedures for determining the reasonableness, allocability, and allowability of costs in acorn-three ith the provisions of the applicable fede:al cost principles and ter= and conditions of the aware To do • cot this, Recipients must submit with copies of the written cost allocation plans to the Department with theft 'onn F. Central Contractor Regdstranon Recipient must maintain cm registrations in the Central Conn Registration (www.ocr.: .L,_)/ at all times during which they have active federal awards with ARRA funds. A Dun and Bradstreet Data Univt. ;al Number System (DUNS) number (wm.v.dnb.com) is one of the requirements for registering in the Central I. nn-actor Registration. G. Additional Data Reporting This award requires the recipient to complete projects activities which are fended under the ...R.RA and to report on use of ARRA funds provided through this award. As the details of the reporting require= ts are received from the U.S. Department of Health and Human Services, additional data reporting may be required (the Recipient. hi-q from these reports will be made available to the public. _.• Page 27 • CSBC-ARRA ATTACHMENT D REPORTS .• H. Additional Rgmrts Upon reasonable notice, the Recipient shell provide additional prop - am updates or informati i a_ may be for ;C. eoti in required by the Department, including supporting or source documentation. f o_ any re-.ports. al this section. • The reports shall be submitted to: Ms. Hilda Framer, Planning Manager Florida Department of Community Affairs Division of & Community Development 2555 Shumard Oak Boulevard Tallahassee, Florida 32399 -2100 • • Page 28 CSITC-ARRA ATTACEMENT g JUSTIFICATION OF ADVANCE PAYNICEXf RECIPIENTT: (tyiso here) • . Indicate by checking one of the holes below if you are regoestiag as advance. If as advanze ryment is requested, budget data an which the request is based roost be sabmited. Any advance pa . I eider this Agreement is subject to s.216.1g1(16), Florida Stew:les. The =mutt which may he advaneetl thall not exceed the expected cash needs of the Recipient within the initial three months of the Alp= M NO ADVANCE RSQUESTED D ADVANCE REQUESTED No astir pxyrant is requested Psyrit=rt 1 Advan= payment cd's U.00 is soldy on a rehab=ma bais. atialccal cqacd infonnalion rttpkeel_ Eels= Dip:ay/n=0 will be on a re:imbue.: ,reat bssis. These funds t-r..Detd=1 SG pay sta tuRrallyene:.' to cam; • duplicate limns and poraa= sran-up elppRes a : a/nip:merit - We timid nutbe able ta aprea prngron wi eat this • advance ADVANCE REQUEST WORKSHEET If you have previous contract history with department and are regale-ging an advance for the grm-ment, complete the folIowh' g vurisslatet (doable click on the table Wrrn' to activate the rinbcdded eI • spremisltent): Total • fr61 Contract AffocrWm Ft= 3 Months Cantina Ecp-:011 $OLO Av. Y -E-7 in First 3 Mattis list anec months in which lianas were =pcizzlcd. CALCULATION OF MAX/2110744 ADVANCE 0% X $0.110 DCA Award I. e. Arica • • (not fnctucEn9 any match) REQUEST FOR WAIVER OF CALL." — UEATtl) MAXIMITM . Clitck- the applicable beat o • Recipient has no previous DC.A eontreet history (Corriakae the EnmsZed Zepenzes chart 0 RI:tinier:ft hies exceptional cirenntsimaces dud require an ativenet greater time the fries;inn i Advance calculated above. (Ccerplese barb 1174 Estimarfai lkovars chart and re .Ecaionation cf.E.Tap ?nal CiraPaslarscies section' below) Page2O • CSBGARRA ATTACHMENT E JUSTIFICATION OF ADVANCE PAYMENT ESTIMATED EXPENSES (double click on the table below to activate the embedded Excel spr , 7dsheet) Antics aiAA Ey.penflira r: — BUDGET CATEGORY for First Three "Months of Co :tract ADMINISI'RATTYE COSTS (Include Secondary Administration) PROGRAM EXPENSES TOTAL EXPENSES $0.00 • EXPLANATION OF EXCEPTIONAL CIRCUMSTANCES: • • Pa,e 30 CSB GARRA • AT`t'ACHN FNT F • 1 4i'?,RR &NITS AND REPRESENT.-kTIONS • Financial -Management • Recipient's financial management system must include the following: (I) Accurate, current and corn corqolete disclosure of the fin ° racial results of this project or p :erara. (2) Records that identify the source and use of fund; for an activities. These records sh:. t contain in oenahon pertaining to cant awards, authorizations, obligation, unobligated bald - .'es, assets, outlays, income and interest. (3) Effective control over and accountability for all funds, property and other assets. Rcc rent shall • safeguard all assets and assure that they are used solely for authorized purposes. (4) Comparison of expenditures with budget amounts for each Request For Payment, never • appropriate, &uncial information should be related to performance and unit cost datto (5) Written procedures to dete.m+ne whether. costs are allowed and reasonable under the ovisions of the • applicable OMB cost principles and the terms and conditions of this AE,cement_ 15) Cost accounting records that are supported by backup documentation. Cornne ti don • All procurement trorcactions shall be done in a manner to provide open and wee cow petrtion. The 1' ?cipient shall be alert to conflicts of interest as well as noncompetitive practices among contractors that may restrict eliminate cornaetition or otherwise restrain trade. In order to ensure excellent contractor performance and elz: nate unfair con etitve advantage, contractors that develop or draft toecificatiers, requirements, statements of ork, invi radon for bids and/or requests for proposals shall be excluded from competing for such procurements. Ave. •ds shall be made to the bcIdt -t or offeror whose bid or offer is responsive to the solicitation and is most advanta :ou to the Recipient, considering the price, quality and other actors. Solicitations shall clearly set forth all rec, siemens that the bidder or offeror must fulfill in order for the bid or offer to be evaluated by the Recipient. Any a : i ail bids or • offers may be rejected when it is in the Recipient's interest to do so. Codes of Conduct Tae Recipient shall maintain written standards of conduct governing the perfor:>rnee of its employe • , ;engaged in the award ,.-,d cd.r.i issaion of contracts. No employee, are r, or agent shall participate in the sole : ion, award, or administration of a contact supported by public granr funds if a real or apparent conflict of interest v • uld be involved. Such a conflict would arise when the employee, officer, or agent, any member of his or her nmcdiate • family, his or her partner, or an organization which ernploys or is about to employ any of the parties i: heated, has a financial or other interest in the firm selected for an award. The officers, employees, and agents of the i.ecipient shall neither solicit nor accept gratuities, favors, or anything of monetary value from contractors or pa: ies to • subcontracts. The standards of conduct shall provide for disciplinary actions to be applied for v iolatit s of the • standards by officers, employees, or agents of the Recipient_ Pace 31 • • • CSBGARRA DOCUMEN'TIATTACHMENT F WARRANTIES AND RI PRESENTATIONS • Business Hours The Recipient shall have its offices open for business, with the entrance door open to the pub? and at least one employee on site, from , 8:00 am to 5:00 Iltp_ _ (times and days of w=k) Monday through Friday Licensing and Permitting All subcontractors or employe hired by the Recipient shall have all current licenses and pee its required for all of the particular work for which they are hired by the Recipient Page 32 • glerV le g. --K iv/ I . 1 .1 . ,„ , ",,,49#. ,,, 4 - .p. g .s . 1 �� V a E .1 ti 1 g CSBG-ARRA AT AtELvIENT STATEMENT OF ASSURANCES A Interest of Certain Federal Officials No member of or delegate to the Congress of the lini:ed States, and no Resident Com.nissior r, shall be admitted to any slue or part of this Agreement or to any benefit to arise from the asme. • B. Interest of Members. Officers. or Employees of Recipient Members of Local Governine Br- : 7. or Other Public Officials No member, pincer, or employee of the Recipient, or its delegates or agents, no member of t _ : governing body of the locality in which the program is situated, and no other public official of such locality or loci .ties who exercises any fa. ctions or responsibilities with respect to the program during his tenure or for one ear hereafter, shall have any interest direct or indirect, in any contract, subrecipienr azreerncnt or subcontract, or 1e proceeds thereof, for work to be performed irk connection with the program assisted under this Agreement - 1 no Recipient shall incorporate or cause to be incorporated in all such Agreements, a provision prohibiting such i crest pursuant • to the purposes of this subsection. No board member, officer or emrloyes will be perrnitt°3 to tees cc any ree m eeration or gin. in any amount. ni. Board members may receive travel expenses in accordance w s. 112.051, Florida Statutes. C. Nepotism i ne Recipient agrees to abide by the provisions of s.112.3135, Florida Statutes, pertaining to a tousm in their performance under this s:reel D. CSBG -ARRA Assurances • The Recipient hereby assures and certifies as a condi of receipt. of CSBG -ARRA funds, tha'..t and its st'-brecipients will comply with the applicable requirements of Federal and State laws, rules, regular as, and guidelies. As part of its acceptance and use of CSBG-ARRA funds, the Recipient assures and cett ':cs that: (1 The Recipient possesses the legal authority to apply for the ant, and that the contract pro-, • ,sal has been approved by the Recipient's governing body, including all assurances contained herein. • (2) The Re,- ip ient will me all CSBG -ARRA funds to provide services and activities having a n . asurable and potentially major iumact on causes of poverty in the community ' with employment b n a major co, :o_cur. At least 30 percent (3D %) of the Recipient's CSBG -ARRA budget must be used for employment, job ca . kwon., job retention job stabilization, placement or job training activities. These activities must be tied to CSB : • National • Goals I and 2. All funds not used during the contract period will be returned to the Department of Communit Tars with the • close -out report on or before the due date. All unspent funds will be returned to the U.S. Department f Health and • Human Services. There will be no carry -over of unspent CSBG -ARRA f • • • • Pa 34 CSBG-ARRA • ATTACEENIENT H STATEMENT OF ASSURANCES • (3) The recipient assures and provides documentation that the Cc •,., unity Services Block Cr. nt board is .• administered throunla a ti-partite board that meets the rectMerrlents of 9B-22.001, F.A.C. and 42 '..S.C.9910, Section 676B. The CSEG board will fully participate in the development, niprning, irnplementad 1, and evaluation of the CSBG-ARRA program to serve low-income communities. (4) The Recipient will provide for coordination among anti-poverty programs in each commt ity. (5) The Recipient possesses the sound fiscal controls and fund accounting procedures comas 7 o adequate/y safeguard the assets of the agency, check the accuracy and reliabiliry of accounting data, promote :crating efficiency and imi compliance with audit procedures and prescribed management policies of a agency. (6) The Recipient will permit and cooperate with Federal and State investigations designed tc valuate compliance with the law. The Recipient will noti fy the Department in widting immt.-,diately of any legations or acts pertaining to fraud or the misuse of CSBO-ARRA. funds. (7) The Recipient will give the Deparament, the Auditor General or any authorized represent?. "e curnple: access to examine all records, books, papers or documents related to all fiscal and pro operations of the grant, including those of any sub-recipient. (8) The Recipient will comply with non-discrimination provisions, in accordance with Honda tatutes; section - - 678(F)(e)(1) of Public Law 97-35, as amended; Titles VI and "N.11 of the. Civil Rights Act of 1954; a 145 C.T.R. Parts 84, 86 and 90. (9) The Recipient will corr7ly with section 678 of Public Law 97-35, as amended, whir prohibits use of CSBG-ARRA funds for purchase or iliTTOveinent of land or the purchase, consmuction, or perrr lent • i... of any building or other facility. (10) CSBG-ARRA adl expenses stv> not exceed 15 percent of the total final 0813(3 LRRA expenditures at close-out. Any amount in excess of this limit shall be 1"C-funded to the Department at .me of contract 4. (11) If secondazy a-im;rlisn expenses are requested, the following conditions roust be men. (a) CSBG-ARRA Budget, Attachment A and Workplan and Quarterly Report Form, Artr amentL must dccurnent how these expenses will be 1.15N1 so support eligfele CSBG-ARRA Community Action P1st icnvities. (b) The adrrinismative expenses of the secondary grant source ramt be fully utilized prior using CSBG-ARRA funds for secondary acinainisn expenses. (c) CSBG-ARRA. funds may not be used to increase administrative expenses for a se,cond .. y pant • source above 15 percent of the secondary grant source's total grant amount. (d) Only the Recipient is eligible for these funds. Secondary administration nn not be cl:: died or used .• • by th-recipients. (e) All calm and fiscal expense documentation related to the rant sources for which at • azdary admiaistation is claimed must be made available to s.:ne Department upon request- • ?age 35 CSBG-.ARRA ATTACIENIENT H STATEMENT OF ASSURANCES • • (I) Audit costs; travel and association dues are not allowable secondary acirrinismve e: eases. (g) Under no circumstances shall secondary administrative capenses be approved for cat - already covered .• by the CSBG secondary grant source or any other administrative costs exceeding foe total of 15 pt. ;et of the totel secondary grant source budget. (12) lithe Recipient aerninisters a trar_sporthrion program, it will coaly with Chapter 427, F. • ride Statutes, so that it will coordinate with the appropriate U (13) The CSBG-ARRA application and all its attachments, Including budg,et data, are true and orrect. • (14) In accordance with section 678F(b)(1)(2) of Public Law 97-35, as amended, the P_ecioiem vill prohibit any political. activities by the Recipient or employees in accordance with the Hatch Act restrictions on t lineal activity (15) in accordance with section 678(G)(a) of Pubbc La,v 97-35, as amended, the Recipient ma. condact drug testing on CSBG-ARRA program pardeirtams. lithe Recipient does so, it roust inform participants 7.tho test yi,ositive, and refer theist to hicatn-ent (16) In accorrInce with section 6750 b)ofPablio Law 97-35, as amended, the Recipient asset : , that it will inform custodial parents in single parent homes who participate in CSI3G-ARRA funded progams t out the availability of c....n1d-support services and refer them to the appropriate state and local child support t (17) Ln accordar.c;..- with section 676(b)(11) and section 676( of Public Law 97-35, as amer, 4. tine Recipient must provide the Department with an agency Community Ac don Plan that consists of the .flowing: (a) A cotoi,uinity needs assessment for the community served; (b) A description of the service-deli:very system targeted to low-income individuals and milies in the service area with an emphasis on eloyment and job creation sod retention; (c) A description of how lin will be developed to rill identified gaps in services tin information, referral, case management, and follow-up con.sultati:on to support ARRA efforts and air I duplication of services; (d) A description of how finding under this Act will be coordinated with other public an, rivate resourr- and (a) A de.sc of outcome measures to 'cc used to success in promoting self-st family stability, and community revitalization. (IS) The Recipient assures that the V./or/Tian and Quarterly Report Form, Attachment L to Mis a; eernent I consistent with the most current Community Ac Plan offIcially adopted by the Recipient's board c directors. (19) The Recipient agrees to comply with Part C of Public Law 103-227, the "PRO-KIDS Act of )94" (Act), which requires that smoku:ne, may not he permitted in any portion of any indoor facility owned or regal. - ly used for the provision of health, day care, education, or library services to children under the age of 18, if the se, /ices are funded by Federal programs either directly or through State or local governments, Federal programs it Jude grants, cooperative ac-,eerneuts, loans or Joan guarantees, and contracts. The law does not apply to children's rvices Page 35 • • CSI3G -ARRA ATTACILNMt°T • STATEMENT OF ASSURANCES provided in private residences, facilities funded solely by ti:edicsre or Medicaid funds, and po:tol. of facilities used for in- patient drug and alcohol treatment. (20) The Imo' ecipient assures that the above language contained in Se %`lion (19) oI A.tachnten :i of this Agreement will be included in any sub-contacts which contain provisions for children's services a: d that all sub - Recipients shall certify compliance accordingly. Failure to comoly with the provisions of this law ; `ay result in the imposition of a civil Monetary penalty of up to 51000 per day. • (2 l) The Recipient assures, as stated in Sec ion 507 of Public Law :03 -333 'Purchase of L. erican-Made Equipment and Products ", that to the greatest extent practicable, all equipment and products purch id with funds made available in this Act should be American -made. • (22) The Recipient assures that no sub-awards under this program shall be used to support El ;trendy religious activities such as religious instruction. workshop, or proselytization. Organizations roust he steps to separate, in time or location, their inherently religious activities from the services funded this progr.•. a Regulations pertaining to the prohibition of Federal lends for inherently relfaicus activities can be found on the cited States laepar ect of Hearin and Human Services (HflS) weasite at: h#io: /byww.os.dhhs.cov /fbcMaisc te21.ocif. (23) Each Recipient : eceiviae an allotment for a fiscal year shall adhere to the Application • l Plan asst r.. nc' set foth in section 676 of Public Law 97-35, as amended. (24) This Agreement has been approved by the Recipient's goverrling body by official actor nd for public agencies, the Recipient's Community Action Board, and the officer who signs it is duly authorized t do so. (25) The Recipient shall secure and maintain an interne: computer service and non ' the Der . rancor of their e -mail address. (26) The Recipient shall develop a Memorandum ofL'nderstnding with all Work Force Fier a, • incort o Mted boards in their service. area. The Memorandum of Understanding shall detail cooperati..: cork. once training and e,_uuldyrnent efforts and shall describe the actions that will be taken by both parties to as : re the coordination and partnership of the CSBG ARR.A program and Work Force Florida, incorporated "C e- Stop" delivery system, services and information. (27) When providing rental or mortgage assistance with CSBG -ARRA finds, the Recipient ss I secure either a re pease ameement or mortgage documentation and place a copy of the documentation in the cli it's file. (28) The Recipient will budget for and have appropriate Safi attend r sessions as deters ned by the Department to covet CSBG -ARRA policies and procedures. (29) The Recipient will participate in the Results Orientated Management and Accountability t • This includes management, staff and Community Action Board members amending ROMA training pz _vided by a • certified ROMA instructor, • Page 37 • CSBG -.ARRA ATTACBMEN I PROPERTY MAI'L&GEA3ENT AND EROCUREy1ENT Recipient sal comply with property m =nagement sta ,d:.rds for non- expendable property : uivalent, at a ninintmr o OMB Circular A -102, revised or OMB Circular A -110, revised, Subpart C, Post A: • rd Requirements, and the awarding federal agency's "Cornrnon Rule." • Page 38 • CS B G-ARRA ATT/CEMET J • SPECI.A_L CONDITIONS A. The Recipiea: audits sub-recipients 7, 'Le foo s conditions: None. B. Failure of the Recipient_ or its sub-recipients to comply with the special condidons omdei iis • Aueernent shall be cause for the immediate a's of pa'yrnents, and may be cause r the iirraedia:e , .e.runnation of this Agreement. P2 39 • CSBC -ARRA ATTACHMENT K • RECIPIENT L\FOPMATION 1. RECIPIENT: Seminole County 2. COUNTIES TO BE SERVED WITH THESE FUNDS: 1 Seminole County 3. GENERAL ADMINISTRATIVE INFORMATION • A. Agency Head (Executive Director or Chief Department Administrator) • Name: Michele Saunders Title: Decartment Director Street Address: 534 W. Lake Mary Blvd County: Seminole City: Sanford, Fl Zip Code:32773 Telephone (407) 665 -2301 Fax (407) 665 -2309 E- Iviail:msaunders(cJseminolecou : vfl.cov MAILING ADDRESS (IF DIFFERENT FROM ABOVE) Address: City: , Fl Zip Code: B. Chief Elected Official for Local Governments or President/Chair of Board for f mprofits • (Home or business address other than agency address.) Name: Bob Dalian Title:Chairman Street Address: 1101 E. First Street County: Seminole City: Seminole, Ft Zip Code: 32771 Telephone (407) 655-7215 Fax (407) 655 -7958 E- Mail .bdai!arifseminolecountYfl. �y C. FOR PUBLIC AGENCIES: Chair of Community Action Board (Home or business address other than agency address.) Name: Sara Reece Title: CSBG Board Chairman Street Address. 225 Newburvoort Avenue Count;: Seminole City: Altamonte Sorincs, Fl Zip Code 32701 Telephone () Fax () E- Mail :sara(c?orhs.ora D. RECIPIENT CONTACT PERSONS /PROGRAM COORDINATOR Name: Carmen Hall Title: Housinc Program Manaeer Street Address: 5.34 VV. Lake Mary Blvd County: Seminole City: Sanford, Fl Zip Code:32773 Telephone ( 407 ) 665 -2394 Fax ( 407) 665 -2358 E- Mail :chell03,Csemino!ecount■ .eov E. WARRANT OFFICER (OFFICIAL TO RECEIVE STATE WARRANT) Name: Maryanne Morse Title: Clerk of Court Street Address: 301 N. Park Avenue (Street address) City: Sanford, Fl Zip Code: 32771 Telephone (407) 665 -4330 Fax (407) 330 -7193 E -Mei!: F. FINANCIAL CONTACT PERSON Name: Leo Lu` a Title: Business Ivianaoer Street Address: 534 W. Lake Mary Blvd County: Seminole City: Sanford, Fl Zip Code:32773 Telephone (407) 665 -2393 Fax (407) 655 -2309 E -M ail :lluttic @seminolecountvfl.eo•_ G. PERSON(S) AUTHORIZED TO SIGN FISCAL REPORTS 1. Name: Leo Luttig Title: Business Manager 2. Name: Susie Montgomery Title: Project Coordinator • 4. SUB - RECIPIENT INFORMATION These funds will be transferred to one or more Sub - Recipients: Yes No X For each Sub- Recipient, attach a copy of Attachment B -2, Sub- Recipient Information 5. AUDIT: Recipient Fiscal Year: October 1, 2009 to September 30, 2010 Audit is due nine months from the end of the recipient's fiscai year: • Pate '40 CSBG —ARRA ATTACE'YfENT L ;;'O, KPLAN AND QUARTERLY REPORT Page 4 Community Services Block Grant (CSBG) ATTACHMENT L WORKPLAN and FOCAS (Quarterly) Report Agency: Seminole County Contract: Community Services Block Grant - AltRA Quarter: Period: July 1, 2000 - Sept 30, 2010 Contact: Shirley Davis -Boyce Title: _ Division Manager Email: ::;Ogycc a peminolecouf ty I_,liov Phone: (407) 665 -2363 .. r RP PORTS \ 2010 GSM; W kpdnn and FOCAS Tuini to • ATTACHMENT L - Workplan and Quarterly Report Form Community Action Goal 1 (Family) -- Low - Income People Become More Self - Sufficient Agency Name: Seminole County FOCAS Outcomes Catalog A, B. I C. D. Goal 1: Low - Income People Become More Solt- Sufficient WORKPLAN National Performance Indicators: Number of Number of Number of Percentage 1.1 Employment Participants Participants Participants Achieving 1.2 Employment Supports Expected to Enrolled in Achieving Outcome 1.3 Economic Asset Enhancement and Utilization Achieve Program Outcome Outcome All agencies must report 011 at least one NP/ in Goal 1. Results reported In columns B and C are life to date from the beginning of this contract. (Target) _ (Actual) (C/A = D j NPI 1.1: EMPLOYMENT - The number and percentage of low - income participants in Community Action employment initiatives who get a Job or become self - employed as measured by one or snore of the following: (Pgs 13 -18) A. Unemployed and obtained a job. (Unduplicated count) (Pg 16) 3 B. Employed and maintained a job for at least 90 days. (Pg 17) �) j • C. Employed and obtained an increase in employment income and /or benefits (Pg 17) (� Achieved 'living wage" employment and /or benefits (Pg 18) ( "Living Wage must be a locally adopted rate as identified by a government or formal coalition.]) In the rows below, p lease include any additional indicators that were no/ captured above • - } 4 Narrative Comments: We anticipate that 10% of the clients that enrolled in training will complete the training and either obtain a job or obtain an increase in employment by September 30, 2010. 1 t ATTACHMENT L - Workplan and Quarterly Report Form FY 2009 -2010 Florida Outcomes for Community Action system (FOCAS) Community Action Goal 1 (Family) - Low - income People Become Moro Self- Sulflclent Agoncy Namo: Seminole County rOCAS Outcomes Cntelop _ A. El. C. D. cool 1: Low - Income Pooplo I3eeorno Moro Self- Sufficient WORI(1'LnU Number of NuIk)nel Porlolmonco Inrlicntors rnrticgpnnl: Number of Nunbor of Pomentege 1.1 Employment ['hotted to hnruclpm,ls Penlapnols Achieving 1,2 Employment Supports Achlnve Swelled In Achieving Outcome 1.3 Economic Asset Enhancomonl and Utilization Oulcomn Progrnm(s) Outcome Alt nponclw mull report on at (oust ono NP) in Goo( 1. Results rgpoded In columns B and C me life to dale from the boflmning of This contract_ ) (Tema] NPI 1.2: EMPLOYMENT SUPPORTS - Tho number of low - Income participants for wllonr bnrrlors to Inllloi or continuous omploymont oro raduccd or ollminatod through assistance from Community Action manourod by ono or more of tho followin : P 11 -24 _ A. Obtained skills/competencies required for employment (r'7) 21) i 1 13. Conlplotod AOEiGED urrd rccoived certificate or diplonln (P7) 21) ;, - -- C. Completed post - secondary achlca0On p10111011 rind obtained cenlficoleldlplornu (F7) 21) {11111111111 D. Enrolled c)ildron in before or alter school programs (P7) 22) '.• i E. Obtain cam for child or orhur dependent (P7) 22) - - -, - -- ------ F. Obtain access to roliablo transportation and/or driver's license (Pp 22) =MI G. OMonied health core services for themselves or a !amity member (Po 23) H. Obtained safe nndnllordniec housing (PO 2.1) L 1. Obtained food t'3013lanee (Pr! 23) I, J. Obtolncd non- emergency LItIEAP unary assistance (Pa 24) K; Obtnlned non- arllargency WX energy nssisl0nco 0 24) L ,. Oblained other non-emorgency energy assistance (P7) 24) 1 0 1 otnlollocnlf rivals enc programs. DO NOT inch r (`- P AY I g .ado LII - IL 'AP or WX) - - In Imo rows below. please rnUvdo any oaJdrfional Indicators that wen, not enpflMc nbovo. - M Obtained Idonhfcabon of work pOrrnit documentation for employment (nodal security curd, work I�ermil, legal immiamlion papers. mc) -_ —_ - -_ L I assistance to qualified Individuals for training program tuition 000 necessary training mntorinls, La. hooks. Wo are anticipating training programs 777 local nccradltud ochootc. Once the Veining la completod the Instituto shot provided the training will foetid/do Job placamont. Program participants will he Idontltiod through referrals from oxlarilal 0genclos such as, non- profit agencies, Workforce Control Florida, Seminole Salto Collage and Community Assistance Programs. This number Is based on an avarage of $4,000 per cbont- 1.2E - Tho funds that will ho spont on childcare are being tnrgotoll towards day tome programs for the summer. Some of rho local providers aro local cities anal rho YMCA. Wo nro targeting school aged children botwo0n tiro 07)00 010 - 12 Illat oro enrolled In school during rho school year. Customers will ho Identified though individuals thot are unable to receive assistance through 4C, whom are currently on their waiting list. Wo anticipate on serving appronte ntaly Ono. hundred (100) children, which is over half of tho children on their writing list. Wo will provide financial asslslnnca to the providers. It Is on area of need becnuen families need thnir chlldron to ho nnrollad In tiny 7.001(70 In tho summer months to mntntaln omploymont. 1.2L - Wo pion on assisting 31 households through EHEAP (FEMA funds) with utility assistanco. Wo plan on assisting 120 housohu)ds with utility dopos((s( pnymonts through HPRP. f1UClime 0nn11 Pne ! ul 4 1 l i I ATTACHMENT L - Workplan and Quarterly Report Form FY 2.009 -2010 Florida Outcomes for Community Action system (FOCAS) Community Action Goat 1 (Family) -- Low- Income Poople Become More Self- Sufficient • Agency Name: Seminole County FOCAS Outcomes CalnI09 A. 0 C. D. E. Goal 1: Low Poople Become Moro Self - Sufficient WORKMAN Notional Performance Indicators: • Number of Number of Number of Percentage Aggregated 1.1 Employment Partfcipunls I'orucipants I'urllclpsmis Achieving Dollar 12 Emptoymont Supports l- xpnclod to Enrolled In Achleving Outcome Amounts 1.3 Economic Asset Enhancement and Utilization Achlavo Proprnar Outcome (Payments, Outcome Credits or Alf agencies roust report on at Mast ono NP! in Goal 1. Savings) Results reportod In columns 0 and C nro lite to date from the bet Inning of this contract _ (Target) ,nctuta) j C / A = 0 1 • t4PMM1 -3i ECONOMIC ASSET ENHAN 1rM,PNT ANO UTILIZATION: -=The iiurnhor andtaircetitnpe of low,li o ti ouseliolds achieve rn in fltian f tssoL.ondior financ(al s as il resu of Community Actfori assistance :ind.theangrogat d nmoun thoSR t S a l r o $ o u rces for 4 1i partictparit liahic'vlitp;tho outcome, as measured'Uy'onolor morn of ttte tollowing,.,((J5, 2G_ -2 -29) ' '•" •ll . p p ' A. Enhancement I'llll ll�ai _. lII(h Il fa VII II Il��ll lil!' I, V II 1111 gill In I'.l�IIIJj�, lirlilt 1. Number and porcont of pnicpunls In tux propel programs who _ punlIfind for any typo nl Fodersl or .:Auto tax crorlli and ere expected pepragnled dollar amount of credits. (P9 27 ) _ 2. 4lunrtJar and percent of trarlict;�ants w(•,a cleaned cone r donut chitd — support payments and the expected annual aggregated dollar amount of payments. (Pg 27) ____ 3. Number and percent of participants who worn enrolled In tnluphono lifeline and/or energy discounts with the assistance of the agoncy and the expected aggregated dollar amount of savings. (Pg 27) ._- 1n the raw; below, ploasa include any additional indreplors that wore not captured porova. t I Nnrral iron C:nmmor. r-- Anacfvnonl L • Goal 1 Pnyo 3 of .1 1 l t ATTACHMENT L - Workplan and Quarterly Report Form FY 2009 -2010 Florida Outcomes for Community Action system (FOCAS) Community Action Goal 1 (Family) -- Low- lncomo People Become More Self- Sufflclent Agency Name: Seminole County FOCAS Outcorr'on Gutolee A fe c. 0. E. Goal 1: Low - Income Poople Become Moro Solt- Sullicirint WORKPLAN Notional Performance )ndlculor;: 14umber of Number 01 Number of Percentage Aggregated 1.1 Employment Participanto Participants Participant; Achieving Dollar 1.2 Employment Supports Expected to Enrolled in Achlovinq Outcome Amounts 1.3 Economic Asset Enhanctrnent and Utilization Achluva Program Outcome (Payments. Outcome Credits or All ugoncies must roport on of (cast ono NPI in Goal 1. Savings) Results reported in columns 0 and C aro Ilte to data from the beginning of this contract. L (Tor(eL t) ,)Actual) t C I A = D t NR11 3t'GFONOMIC.ASS T 1„N)IANCLMENT ANt)I'UTILIZATION. — The numbgr and percentage. of low- incogto 11ot{roholds UntaclduVq 4mineTooi a In flnanrlallmai0 andier firo.p(ahyk as'a renldt of.,Gomrriunity Action act lettuce; and tIlu .iygra jilitotl aI t1110il1(tritup a asola a roaourcos for all peirlielpr(,jl$ - ' chlhv)hgthotbhlcomo ,late moavufodi(iyl!nelof' more of the toll nwiny l (P a 25 29 1 i. , : D. utilization I�i ; t , r 111 i u>IDI ' � 1 ,1 1 It 111 I ` I ill t { f ii 114iS1' 11�11jL lI ∎ {, Irlll ' lil i t 1 g l 'I c�' Ii�1 � �( I u I 't � 1 1 !fq � i 1 � t I I il 1. Number and percent of particlpanls demonstrating ability to complete - --�• 1 ���,... III' a�l r.11ll I�) and maintain a aud9ot for over 9l1 days. (Pg 27) 1I IIII)�I�l IiJiiiii{i;h't 2. Number and p01009101 utici rats o nm, an Individual Development I II lli 1•i! pa pt f Q i c i ,I G 1g� {,' Account (IDA) or other savings account . (09 29) _ l I' I � �i +'ll �'• I M1111_ I 3 Number and percent oI parbcJpan!s who Increased their savings nvouyh DA nr other savings account; and the aggregated amount of savings. (Pg 211) l - p J_ a. Of participants in a Comrnunity Action assets ekwel (>mcnl program pDA or others): — ri !,II' "r !i :[,PARIIM:11 lti .; Ll il, 1 l(i 11 +u 11.91r 111 r hrll I i ri I I ! u) Number and percent of participants capitalizing a small businoss with accumulated savings (Pg 20) 0) Number and percent of participants pursuing post - secondary education with accumulated savings. (Pg 20) ______ c) Number and percent n1 participants purchasing a home with accumulated savings. (Pg 29) _ __ __ _ _ _____ lig :I Numbor and percent of participants purchasing other closets I with accumulated savings. (Pg 29) I —_ l —__ in the rows below, Moose include any additional indicator flud ware not captured above. —_ -, ] i . —_— Brae ®_ Narrative Comments: Attachment L- Goal 1 Pnan 4 of 4 ( ( ATTACHMENT L - Workplan and Quarterly Report Form FY 2009 -2010 Florida Outcomes for Community Action system (FOCAS) Community Action Goal 2 (Community) -- The Conditions in Which Lovr-jncome People Live are Improved Agency Name: _ Seminole County — FOCAS Outcome!: Catnlnfi 2 1 3 4 ___1______L__ ' Goal 2: Tile Conditions In Which Low - Income People Live are Improved Number DI Opponunitier National Performance Indicators: Numbnt of tholepin anchor Cotnh,unity Ruooun:en 2.1 Community improvement end Rovltnihalion or Iniliato/co Preserved or Increnoed 2.2 Community Duality of Lilo and Asslsts 2.3 Community Enongnmonl NEW INDICATOR WORHPLAN WORKPLAN 2.4 Employment Growth from ARRA Funds NEW INDICATOR Expected to Achieved Expected to Achieved All agencies roust report on nt least one NPI In Goal 2. At:Nevu Achieve Results roportnd In columns 3 arid 5 aro Ilia to date from tho buvtnning of this contract. NPI 2.1: COMMUNITY IMPROVEMENT AND REVITALIZATION -• Increase ht, or safeguarding ot, threatened opportunities and community resources or trotViCee for tow-Income people in the community as a result pf Community Action projects, Initiatives or advocacy with other public and private a encles 09 measured by one or more of the foflowinp: ( P 11 s 30.36) ------ A. Jobs created, or saved, from roductlon or olimination in tho community (Pp 32) 3 31 p Accosslbla "living wage "' Jobs crontod or saved from reduction or elimination in tho 1 community. (Soo footnote) (Pg 32) _ 0. Sato and ntfordablo housing units orotund In life community. (Pg 33) 3 128 D Salo & affordablo housing units in the community presorved or Improved through construction, waalhorizatlon or rehabilitation nchlovr,d by Community Action nctivlty or advocacy. (Pp 33) __ Accosslblo, safe and affordable hoalth Caro sorvice atielllties for low - Income people created or E. suvod from reduction or elimination (Pg 33) _ ^~ _ _ F Accesslbie, safe and alrordable child care or child development placement oppurnutllles Ior — 1 low - Ineomo talnllioa crontod, or saved from reduction or elimination. (Pg 34) 1 Accessible bolero- school and after- school program placement oppmtunillos for low- Income G. families emoted. or uavod from roductlon or elimination. (Pt) 34) _— Acccoslblc now or oxpandod transportation resources, or those that are saved from reduction ct I H. elimination, that 010 available to lowdncorne people, including publiclpriveto transportation. (Py 34) Acc000lblo or Incronuod educational & training pincomont opportunitleo, or thouo that aro saved I. from reduction Of nllmination, that urn available for low-Income peoptn In the community. Including vocational, Illurocy. and Ilfo skill training, AnEIGED and post education. (Pp 35) In rho rows bulvw, please In_:ludu any ojdilon;,1 irdbutors 111;)1 worn not caplurud trory r "Living warm" maul bo a locally adopted rote ao Identified by a local povornment or funnel coalition. Narrative Comments: 2.1A - These are the number of Jobs anticpated to be directly saved or created due to CDBG -R, CSBG -R and HPRP (ARRA funds), 2.1C - We plan on assisting 12B households maintain or attain rental units through HPRP funded projects (JFS /CBC1Community Assistance). Ale,cNmonl L . Gael 2 ring, 1 et 4 • i , i ATTACHMENT L - Workplan and Quarterly Report Form FY 2009 -2010 Florida Outcomes for Community Action system (FOCAS) Community Action Goal 2 (Community) -- The Conditions in Which Low - Income People Live are Improved Agency Name: Seminole County FOCAS Outcomes Catotoo 2 3 4 5 Goal 2: The Conditions in Which Low - Income People Live are Improved Number of Program Initiatives or Number of Community National Performance Indicators: Advocacy Efforts Assets, Services or Facilities 2.1 Community Improvement and Revitalization Preserved or Increased 2.2 Community Quality of Life and Assists 2.3 Community Engagement NEW INDICATOR " "' "'" WORKPLAN WORKPLAN 2.4 Employment Growth from ARRA Funds " "* INDICATOR Expected to Achieved Expected to Achieved Al) agencies must report on at least one NPI in Goal 2. Achieve Achieve Results reported in columns 3 and 5 are life to date from the beginninct of this contract. NPI 2.2: COMMUNITY QUALITY OF LIFE AND ASSETS -- The quality of life and assets in low- income neighborhoods are improved by Community Action initiatives or advocacy, as measured by one or more of the following: (Pgs 36 -39) A Increases in community assets as a result of a change in law, regulation or policy, which results hi improvements in quality of life and assets. (Pg 37) i II. Increase in the availability or preservation of community facilities (Pg 38) 1 , iii C Increase in the availability or preservation of community services to improve public health 3 i 23 I and safety. (Pg 38) . _ I - D. Increase in the availability or preservation of commercial services within low-Income j neighborhoods. (Pp 38) E. Increase In, or preservation of, neighborhood quality -of -lice resources. (Pg 39) In the rows below, please include any additional indlcalors that were not captured above. E"'"'"'"'' , . 77-7— . . 1 1 tiosammagereagazonJ 1 Narrative Comments: 2.2C - CDBG -R funds will be utilized for three projects luminary, sewer and street paving. Twenty three jobs are anticipated to be temporarily created by the projects. Attnr;hrnerd L - Goal 2 Page 2 of 4 1 i ATTACHMENT L - Workplan and Quarterly Report Form FY 2009 -2010 Florida Outcomes for Community Action system (FOCAS) Community Action Goal 2 (Community) -- The Conditions in Which Low - Income People Live are Improved Agency Name: Seminole County FOCAS Outcomes Catalog 2 3 Goal 2: The Conditions 111 Which Low-Income Poople Live are Improved National Perlormanco Indicators: WORKPLAN 2.1 Community improvement and Revitalization Toted 2.2 Community Quality of Life and Assists Number ContrIbution by 2.3 Community Engagement NEW INDICATOR FKpocted Contain 2.4 Employment Growth from ARRA Funds NEW INDICATOR' to Achieve Achieved A11 agencies must report on at lensf one NPI In Goal 2. , Results reported in columns 3 and 5 are life to date from the bacjinnin© of this conlr NP1 2.3: COMMUNITY ENGAGEMENT -- The number of community mombars working with Community Action to improve conditions In the community. (Pgs 40 A Nurnber of community mornbers mobilized by Comnurnity Action that participate in . community revitalization and anti- poverty initiatives. (Pe 41) Number of volunteer hours donated to the agency. (Pg Al) Mieso rolls will nutomolicly till once items 1 and 2 below aro cornplolod.l 0 0 I lours donated by low Incorno people taking parr in one or more of the following: a) Serve on the CAA honed of Direclors b) Servo on Hood Start Policy Councils c) Serve on Family Ccnler I Parent Councils • d) Serve on other CAA Advisory Gourds, councils, or committees 1. e) Serve on other community advisory or governing boards or committees as a representative of the CAA — 0 f) A9sial w•b program acliv111es and legit-Mtn g) Participate In advocacy to moot agency and community goals © :. Participate In advocacy to Influence the policies and practices of government and/or privnte entities so that they are responsive to rho needs 11) of low - income people. 1) Other CM clients or low.incomo persons volunteer with lho agency. • Total volunteer hours from low- income people 0 0 Hours donated by non - tow rncorne persons lo your agency or agency supported activities from one of tho following groups: a) General Public 0 b) CAA non -low Income board members 0 ul, d) Business Community 0) Other (Please Identify in Nnrrntivo Comments below.) Total volunteer hours from non low - income people (1 0 Narrative Comments: Volunteer hours are reported with the CSBG Workplan and Focus. Atinchmont 1 - Goal 2 Pnaa 3 of 4 ATTACHMENT L - Workplan and Quarterly Report Form FY 2009 -2010 Florida Outcomes for Community Action system (FOCAS) Community Action Goal 2 (Community) -- The Conditions in Which Low - Income People Live are Improved Agency Name: Seminole County FOCAS Outcomes Catalog 2 3 Goal 2: The Conditions In Which Low - Income People Live are Improved • • National Performance Indicators: WORKPLAN 2.1 Community Improvement and Revitalization Number of Jobs Number of 2.2 Community Quality of Life and Assists Expected to Jobs 2.3 Community Engagement " " "“NEW INDICATOR ""*" Achieve Achieved 2.4 Employment Growth from ARRA Funds *"*" "NEW INDICATOR" Ail agencies must report on at least one NPI in Goal 2. Results reported in column 3 is life to date from the beginning of this contract. NPl 2.4: EMPLOYMENT GROWTH FROM ARRA FUNDS -- The total number of jobs created or saved, at least in part by ARRA funds, in the community. (Pgs 4243) .��_...._. .._ ..._. A.; Jobs created at least in part by ARRA Funds (Pg 43) 2 B. Jobs saved at least in part by ARRA Funds (Pg 43) Narrative Comments: 2.4 A- One position created by CSBG -R funds and one position created by HPRP funds. - cai iu . n aa■ a \'•• vubv 1r1caua9V■ a, VaSc JUVCI VtSVr o(11U 1 YnuUSIIt j Program Manager) Attachment L - Goal 2 Page 4 of 4 1 ATTACHMENT L - Workplan and Quarterly Report Form FY 2009 - 2010 Florida Outcomes for Community Action system (FOCAS) Community Action Goal 3 (Community) -- Low - Income People Own a Stake in their Community Agency Name: Seminole County FOCAS Outcomes Catalog 2 3 _ Goal 3: Low - Income People Own a Stake in their Community WORKPLAN National Performance Indicators: Number of Number of 3.1 Community Enhancement through Maximum Feasible Participation — "NEW INDICATOR " " " Volunteer Hours Volunteer Hours 3.2 Community Empowerment through Maximum Feasible Participation Expected to Achieve Achlevod All agencies must report on at least one NP1 3.1. NPI 3.1: COMMUNITY ENHANCEMENT THROUGH MAXIMUM FEASIBLE PARTICIPATION -- The number of volunteer hours donated to Community Action agency or agency supported activities. (Pg 44) Total number of volunteer hours donated by low - income individuals to Community Action. (Pg 44) 0 0 (This is ONLY the number of volunteer hours from individuals who are low- income.) ` These fields will autorna fill from NPl 2.3. In the rows below. please Include any additional indicators that were not captured nbovo. (Narrative Comments: nitachmont L - Cord 3 Pogo 1 of 2 i 1 ATTACHMENT L - Workplan and Quarterly Report Form FY 2009 -2010 Florida Outcomes for Community Action system (FOCAS) Community Action Goal 3 (Community) -- Low - Income People Own a.Stako in their Community Agency Name: Seminole County FOCAS Outcomes Catalog _ 2 3 Goal 3: Low - Incomo Pooplo Own a Stake In thoir Community WORKPLAN National Performance Indicators: Number of Number of 3.1 Community Enhancement through iJaxirnum Feasible Participation "••NEW INDICATOR -- Low - Income row- Income 3.2 Community Empowerment through Maximum Feasible Participation People. People Who Expected to Participate PnrtIcipntod All agenclos must report on at least one NPI 3.1. Results reported in column 3 is life to date from the beginning of this contract. NPI 3.2; COMMUNITY EMPOWERMENT THROUGH MAXiMUM FEASIBLE PARTICIPATION -- Tito number of low - incomo pooplo mobilized as a direct result of Community Action initiative to engage in activities that support and promote their own woll -being and that of their community as measured by one or moro of the following: (Pge 45-47) Number of low-income people participating in formal community organizations, government, A. boards or councils that provide input to decision - making and policy - setting through Community U Action efforts. (Pg 4G) B Number of low- income people acquiring businesses in their community as a result of Community Action Assistance. (Pg 47) l o Number of low- income people purchasing their own home in their community as a result of Community Action assistance. (Pg 47) Numbor of low- incomo people ongagod in non- governance community activities or groups created or D. supported by Community Action. (Pg 47) In !ho rows below, plonso include any additional indicators Vita were not captured above. _ . L -- J Narrative Comments: P.t•.nchmonr 'L - Gon1 3 Pnt)o 2 of 2 • ATTACHMENT L - Workplan and Quarterly Report Form FY 2009 -2010 Florida Outcomes for Community Action system (FOCAS) Community Action Goal 4 (Agency) — Partnerships Among Supporters and Providers of Services to Low - income People Are Achieved Agency Name: Seminole C FOCAS Outcomes Catalog 2 7 Oonl 4: Partnerships Among Supporters end Providers of Services to Low - Income People aro Achieved WORI(PLAN ACTUAL Notional Performance Indlcotoro: Number of 4 1 Expanding OI rionunitlea through Community -WIde Portnel shlpu organizeriarori Nurnuur u( Pnnnnrshlpa O,aonitanonnl All agoncloa mull report on NPI 4. Expected to Portrmrshipc Achlovn Outcomo Achlavod Results reported In column 3 Is II(e to date from the becllnning of this contract. NPI 4.1: EXPANDING OPPORTUNITIES THROUGH COMMUNITY -WIDE PARTNERSHIPS — The number of organizations, both public and private, that Community Action actively works with to expand resources and opportunities In order to achieve family and community outcomes. (Pgs 40 60) A. Non - Profit 3 B. Fallh Based C. Locol Guvumment D Stoto Government E. Federal Governmonl F. For- Profit l3uoinaso or Corpornton t 1 G Conoortlums/Collaborotion Houning Cnncoltlum JCullaboruton School Dlolrlcla I j;!j. lrml1uliono of post secondary educottor>llrnlnlnp 1 4 Flnonclal /Danklnp InrltUllona Health Sorvco Institution° Stoto wkle associations or collaborollono in Om rows bolow, please odd °Thar typos of partners with winch your CAA hus formed relationships (ho! Nem not captured nbovn. Pions° dcxalbu //also partnerships in NLrrnt w y Comvanfs below. • The total number of organizations CAAs work with to promote family and community 5 0 • outcomes (A parinorship or coltaboralion is dofmod as o formal rolatlonship documanfod by a written agro°mont such as a Momorandum of Understanding or service contract, a final ogroarnont, informal v,orlcing mlationshfps or elllancos boMrxm fha CAP and ono or morn puffic or privafo organl1011ons to foster rSRr sonic 1 Narretluo Comments: Those porInors are ones that are working directly with ARRA funds and are not reported as CSSO portnors. Non•Proflts - Community Based Cara (CBC), Jawlsh Family Services (JFO) and 4C Corporation - Workforce Central Florida, Inc. Education - Bernina lo State Collogo NlxdmoA l • Gael 4 PWO 1 of 1 ATl ACHMENT L - UVurkplan am Quarterly Report Form rY 20DJ -2010 Florida Outcomes for Community Action system (FOCAS) Community Action Goal 5 (A)cncy) -- Agencies Increase Their Capacity to Achieve Results Afloncy Narno: Shm)noln Courtly . Tnblo 1 - AOonctos Ioverngn Eatornnl nncourr.9 MCo Tncrnnnn 7hnlr Co_rndtY 10 Snrvc Low - toccata 1'n0plu _FOCAS Calm:Hos Catalog 7 -- - - = 1 4 5 CUmmun.ly Acllun hone 5' A9nncluo Inrrrn ca) ho•r Cnpncity I1/ Achln vO na4tlll5 tlTrtiorml pnitoonanar In0iCtnaln. 116r. 1s n T9orrdn lrxlic )L,t and Uoes (101110 dirouly to o IJOI Punianp Amn;lp;rino Nvldpalud Achml nrosanNne Inn Rof onus, nest -- Thr number of 00 0,00■,e) by c0nrmuni y neon. firtntverl ny r1/0d10)) try Inernnln Or fundinll by (AU e,Krr -l., wi , conn`rrlr fir MIA, nry In r Goat l Con.pleir rnrirr rl.rrl r.v 11,,, ,,lo, rnr their, , - Ot If C. In Sfnern In t)nr,nocn In S(Mlrc0 in infuurIon% tee lnfounn•Inn Srnrm Sun • Insu,0 00 /, (an I' tircncn r.) 20011 - 2005 20(79 - 2010 Dn0ms 20 I' 00n0>1 Sow cos • - A. Cmmmwntty Selvlcos Uln0lt 011001 (CSISG) _ I [I 378,321 378,321 0. Fodor& Govornmcnt RecourcOS - Other Illnn 0500 ^ 1_ _ _ n Woa)ttoriznliun Assictnnce program footled by DOE IhrMill DGA _ _ , - -__ b) UNCAP - Furl Asslstnncu (11115) I -. - -� c) 1.0 - )LAP - Woulhcrirn1Ion (1718) - d) fiend Start (1 _ , o) Enrly Head Start (1185) - _ 1 I) Older Amorlcans Aci (NHS) 0) SSDG (1)11)) IF to) 1)e0k:arcl1Jmdlcaid (1111'3) _ - 1 I) Temporary Assislnnco to Needy Families (1ANFi _ __ 1) ChIld Coro Davnlopmeot Mock Grant from (CCDOG) - 011ror FIIIS Rusourcos (I.Int In Order of rbo Glyn tilt*, ncuna of eta 1101/100 and Iho Cr DA n1lrlbnl. k) Do not tam nhbrovlatlonn. A11111-15 CPDlm ctan with 713 -) 2) - I __ — _ _ 4) l) YJOmon, )11001 rind Chlldrun )'A1C2 l(J ;ii71) _ _ _ In) USDA non-food proyrnms (c.fl. Waal devcicpmonl) _ 1 -._ II) All other USDA Food Proprnms 0) CMG 10dernl, clnlo or local �- (1 648,202 048,202 9) Nwslnj Pr funded by t Il10 _ - - 0 - 1) senor, 0 _ 2) Sucllon 202 t _ _ • 3) liontn Icnan) Rased assistance _ 4 ) 11050 for 1-1ammnwnnrs Program (11411). __ -�— —� _ _ _ __ — _ - 5 ) Emcrpency Shoilor Grant Program )LSF1') 1 0 ) Continuo' of Cure WCOIC) q) All other NUD programs IncluUrt1 nonlulrms prOdranm 0 - 001 001,180 - - _ r) Employment and Ttnn/no Proyrarnr. (115 001 ) s) Olncr US DOL proryims _ -- u _ u) [DOA - (1 14,400 14,400 v) Transportation USDOI) _ • w) Doportnlonl of Educullorl (EDU} — __ V — — — - _. x) Department of ,lusticv(DOJ) - _ 1 Y) Deportment of Troosury _ -__ - _ 7) Other 1 Odcr01 Gourco5: 1 nt by nnmc Of nlnUin2 11/1/1rn. D n ufla nhbravleliuns, , 2) 4) TOTAL: NON -CSDG FEDERAL RESOURCES _ t 0 _ — 1,553,7IlZ__ 1,053,7112_ 0 _ A1lnlvn9N L - rani L Page, 1 of 7 ATTACHMENT L - Workplan and Quarterly Deport Forrn FY 2009 -2010 Florida Outcomes for Community Action system (FOCAS) . Community Action Goal 5 (Agency) -- Agenclos Increase Their Capacity to Achieve Results Agency Name: Seminole Cnquty •:::•Tablo 1:- Agunclu9 Lever ?io Externni Resources.to incroaso ThelrCupaclty to Servo •Low lncomnPOO{ilo ...r - - FOGS Oultornot Calalc21) - -� 1 2 _ - ' 1 1 ''.--_ -- Community Action Goal 5: Agencies increase - I heir Capacity to Achieve I4:nulls Notional Periormnnco indicators: Tills Is a Florida Indicator and (1000 not lie dlroctly lo a NPI. I I undluq Anlielnaled Anticipated Acluol Oroouunlno Inn Roc ammo Onto –1, (.umber of dvd:ac inooiltzed te• commmn�ly ocllon. Rccohvd by FuntLnD by Increase or 1' ending by (All agencler moor oo, pkcra all roblcr under Ounl T, Cmnpictc tntitr (brut rnr W utkpl:n Nor ILO d1,., Source in Source In Decrease 111 Source In instn.dinns, sta lnronnntiur �Systou. 3ovcy fm.ovdi_nn Purl 1, Scuba P.) - :'.OIA- �� • 2009 - 201 Dollorn m 2039 -2010 r undinll Sources ( .1 �� II �.r I l � -11 Iw�l I � i I.I I� III �� �' Pi 1 i 1� 1 , G C. State Ruanurco5 ( Non- fodural, mete- appropriated funds) a ; VW JII 1 ' I; I 1 i P ��II' iii l I II 1 = +r Ili �• �I Slate a ro rioted logo used for t1 r tt r l 111 I^ !�� 1' i 1 y 1 f �j 1 PP P UV -. R6n',!i ptfr•]e °c :tti Ir.(lefnl CSCtG fnt1U� tit � 1 ,!I�qf` 1 �iPn �.1!il�l jlllll�ilt �ii:l�illl j 11 r �iiil�71� Iwl I ?V �I j �I� I II I i b Stale Homing and Homcicnx Prgrorns (including housing tax credits) _ c Stale Nutrition Pr tram! _ d) State Day Care nod En y Childhood Programs - - - - - -�_ -- -- 0) State EnergtProtirams -- -_. - -_ — — f) Slate Health Program: -- - - -_ - -- ,_ -- Slain Youth Development Pro p arms - _ IA Slide Employrnent and Truining Pro {)rams _ _ - � t} 51aio For ad 51nr1 Prolifarns --- - - -- - -_ • J) Stale Senior Services - k) Sate Transportation Pr yanms _ ______ _. I) State Education Programs _ _ __ -_ ml Slain Community, Rural and Economic Development Programs nl State Family Oe tilopmcnl Prncramn _ f 1r� � o) Other Stele Funded programs: I_Ist by name of funding source. Do not u o ahbrcviallons. I } III�Iiiillll '�iFAITL!�Il iliidilt l Illti;i {i 'iii ,i) Il1 tit _n 1) -- 2} - - -- ' 3 ) - - - I h) __ 7. TOTAI-:; RESOURCES -: - . - 0 � 0 — 0 ' • 0 f� I I a it ii III "RII ''N IJ !i g u I pqI D. Local Govoromant Ronources _ 4 ie i lull 1,1L.t,�. � I kilo ' J •• . 1( (. G , t � Ulll� A' x', 4.1, l 3) Amount of unrestrcted toed~ appropriated by local gnvormnent -_ h Amount of resiriciecl ftlnd>: ;rppraplaled by loc.1_11 governinent I, - _ 0) Vnluc of Contract SerVic _ ' • ' l j iP n n Inn �� lC N IA �� tiRH e) Other Local Government Reaources: Give description or norm) of program. Do NOT abute p l iiI 1 , i n9N)' , t:kp y_...... WtL) 33$31 ' •,' , A , ; — 1) — — .. — — — 2) - - - - -- 3) — — — — — — 4) - TOTADtpLOCAL GOVERNMENT fIESOUfCES .. . _ ---0_ _ 0 _ -- 0- ___. 0 AIIufmai0 L – God L Pop. 2 ur 7 • I ATTACHMENT L - Worlcplan and Quarterly Report Form FY 2009 -2010 Florida Outcomes for Community Action system (FOCAS) community Action Goal 5 (Agency) -- Agencies Increase 'Moir Capacity to Achieve Result, Agency Name: Semiole] Calmly 'rabfo 1 - Agancier: Laver:INo E:dornnl Resources to Inca/ono Their Ca pacily to Serve Low- Incomo !'ooplo fOCAS Oulcomnc Cacdo� 2 3 4 5 Community Action Goal li: Agenclrs loccuasc 1 l h.(tr Ca1:o 0 to Adel wu Rtr..ula � Funding Anticipator A nllcipolod Actuol Notionnl I'erronnnnco Indicators: 711it. is 0 I'Iorldn Ind c 40f and dons not tie dirmaly 10 a NNI. licco'rvrh by funding by Incrn0xa or Funding by 'Dmuurv,lnr no,o,ecn 11,00, —1110 uunb,v 01,1ollnrc nluulllruil by COMM LNty nran,n Sourer= In Sours(' In Doer01!lu In Sourer. In rli(urrrcirr rnmj,Irrer oil TcrAlr u mJ,60,1 3. Grapier r.rtln chorrjor I Pu.Apt,1 200(1-7009 7000 -2010 130)00)1 7000.2010 Fundlnri Sources I! bill lll�I III I'' L•T!I "IIi1 ill � ,li; t l 1 i�(! i Ale' G'�G (' P 1 '1 ■ ∎ NI r I Ii ;I; E_PrivateSector I • _ ; —�� +ill lili ! �I!IAl,ll�l: ll i l l11 i;�1; lial(II h 1 • `I I 11 Il'IIU,. to Funds from Foundations, Co,onitlonr., Ul1ite Inl,tiy, enact non -,GIs _ L. � _ _ - b) Other donated funds c) Value o(danated !tents, food, clothing. furniture, rte_ - _� _ - d) Value of in -kind oo vices received from buslncoscs o) Payments by clients for services __ _- -- _ ___ — ___� 1) Pnyments� private entitles for goods or ten4cer, for low - income cliontc_or_ communities — _ • _— — 11) O!hcr Privotc Sector Resources 2) — - 3) 4) i ? TOTKLi•PR)VATE - -- I_- 9 !_ (1 i _ 0 -. TOTAL : ALL'N0i3 C BO SaG RE000RCES.(N n C Fpdcr r1 )1. uurccn SWta fte,lourcca 9 0 1 ,,S.1 ,7112 1,tiG1,7C2 I 0 1- 6eal'Oovummont Ret:oilman +'1 rivoto So alnr Au uoprr,cnL _ - _ — ctiuG UNb9 FROid LINT. 1 ! i 0 370,321 3'10,327 0 TatarAOUncy 0.11 dynt Of 0111 nntfrum Abet aorta qt n11 110)1 csUU no aurora nlu ■l (200, 1 : ! 0 2,032,103 7.,032,103 0 huubi; rav1dn, i nn rla . . P r nnHrni bnlnly) ;,;; � l ,, . -.. .. l Abbrovlatlonn: CNCS -- Corptxuliun for 140!ional nad Gu S,crv!cu prlr,alns 08A - Bootle] Dennyt eat 0 Gommtrnlly A1(ain: 11118 -- ll. S. Depar of Health and Human ,Services DEA - Florida Dcpuitrncnt of Cldcr Affairs !IUD - U. S. Department of Hcucln© and Urban Development DOE - U. S. Department of Enercry 1115 - intorno! Revenue Scrvlce DOJ - U. S. Department of Justice J1PA -.lob Training and Ptulnorship Act DC1L - U. S. Department of Labor 1_11-IEAP - Low- Income Honlo Fnelgy Ass101nncO flgltarn DC7T - U. S. Uepnrllnbgtt cf - 1 ranr,pOnotion SSA - Soda) Security Administration EDU - U. S. Departrncl7t of Educuiion ;car, -- er - C- ...,l.,rn I-II,,• r- err ...... . �;,u,. -- u. o. ueyarunum or Apncupurc WAP - Wcidholiration Assislunco Program For further instructions, 1)00 Information tiys(onr Survey Instructions, Putt 1: Scctiun F. Norrotivo Cornmontn: All;rra meet l - C'nul 5 1 'ago 11 of / i ATTACI =NT L - Wori(plan and Quarterly Report Forrn FY 2000 -2010 Florida Outcomes for Community Action system (FOCAS) Community Action Gool 5 (Agency) -- Agenc Increase Their Capacity fo Achi RosuUs Agency Nonto: Seminole County ^ •1nbiq 2 AAgorlclgn IncreannTI lfiCbpo y to Achieve Resell] TThrou51 Training •.' C,I . rorAS C1uUnm Cnlafo,, - 1 4 - CummunC! Acbon Goal 5: !p md,u lucrouoo lhclr Capacity 10 Arhlovo Rot ullo 1 Nuliomd Pu Indicators: TM!: Is n Florida Inrinnlor and door. not tlo oirorily lo a NPI. i, I ,rc or Po„ph•. Term tJUmlwr 111 l iiiioor M People TWA Nun bor of Agency Stall Improves Their Copndty le Achiovu Result : Win Will Roca Iva (:In r0nm I lours, Vlhu Recollect] Classroom Flours of Tralnlup During nl Training l During Troining Complutod (AI av init., um tl a ropIttu 01 Tama•. ogee, (IUUI1. Goli Iola Sop n r Ana 1 lo 'Nor i.plrn) thin Contract Pinannd (rile Contract Reaulh repotted in columoti 4 and 5 aro life to date (Torn Ihu boginning of Ihln contact. Stall who work wall customers In sell program recave Irulring a(:d(ic to A. caso mtln0gemenl 1 5 2U 13 Staff ■vho work with cLi lontora in self - sufficiency program rrOcelve training spedfil to - - I famliy development. l _ r- 0 51a11 who work with prams or contract nrtnanement recl:ivp training cpecil Ic to oxpanil, V (i 2. uSrla(a or 055 acre ltmi5 6k4ds. D. Fiscal stall nllendlnp training on OMB Clrculars cr outfit compliance. 1 16 t i �� E. Fiteal staff receive accounting, data coiloctlon or ma015crnonl training, — 1` - -- 1 11 F Program stall receive dab: colloc(fon or mangomenl (mining. G. Stall er management nicelvo ROMA training Isom n trained ROMA (miner . G � 48 —~ 11. 01hcr training received by stall or management. -- - -- -- - – - – — Total Staff and Management Trulnlnq_ (Totals for A tlnu I above) 14 1(10 0 0 1. Hoerr) mernbors re501011 Training related to melt roles and rospcnsg illiies. K. lloar4 members rear WO RONA (raining fmrn a certified ROMA trainer. 5 40 L. Olhor training receivee by CAA DuJN 1numbers. 'TOTAL 130ARD MEMBER TRAINING (T otal 01 J through l.. 5 r 40 0 0 Nolo: Thaterrn "clnsaronrh" Isuoed In n vory Mond sense. This may hrctudo.)n -olfco trdlilnp,)iroyWud by a. contrpctgrcuctt 1111 data systmn . tralnlrig or oilier forms of am(ilo J('volopu mgt; ntln,ndl j n claw, or realtar.(], completing web -llama or otter ue(F dlrect Strrictiu1, and • - atlending a conference or vimkshop, - :Tlpt trdoing shnvlrhbo•eb ur:(ured and luriiral. Manager, 0 limas n each; 5 1 i151n 2.5 1 (Ju51norrs Manager 1G horns IraInlnr) ; 5 Table 2-5 4 M4nr Supervisor and 1 Ifouslnp Prugrtm Manager, 13 hour; each: 5 Tattle 2 -K 5 5556 Gourd M1lembers, 11 baurn each /dlnd nne ni L -- (; 001 5 ('000 4 or • • i ATTACHMENT L - Workplan and Quarterly Report Form FY 2009 -2010 Florida Outcomes for Community Action system (FOCAS) Community Action Goal 5 (Agency) -- Agencies Increase Their Capacity to Achieve Results Agency Name: Setninufe County Table •3 - e rf,os Increase Stiff Ca _acit to Achievc`R'e5u1t - Throuc li Trainin "" ' FOCAS Outcnrnes Catalog _ - 2 3 Community Action Goal 5: Agencies Increase Thoir Capacity to nchicve Results WORKPLAN National Perfoimance Indicators 5.1 -- Agency lJevolopmont Expoctod Number of Actual Number of Agency Stuff obtains Credential. That Improve Their Capacity lo Achieve Rosultc, ftosources In Agency Resources in Agency at the e,id of (A 1! agencies must corgple,e all rabies under Goal ). (r.7uu,plele onurc chart fur 1!'orkplun. Per Iurthc: THIS Contract Year instructions, sec lnfonnruinn System Survey lunlructiouv, Pan 1: Stettin F ) - (Iii (In Results reported in column 3 is llte to date from the beginning of this contract. 5 .1 AGENC - Tho nitmberlof human capitai - resources avallaple'to Community :Acition that intxo'ase agoncy.capacl to achfcve family,,-\ni.coinlnunity cutcomo - rs rneasurecl by - one or ntoro ot.the,.follcwircd (Pgs 51: ----- ----- I a Number of C-CAPs - ,1• Number of Certified ROMA Trainers p I, ", Number of ce ti{ied Family Development Trainers 1,4 Number of certified Child Development Trainers -- — — ',11,I, :ii Agency staff obtained oilier credential that increase their capacity to achieve results (explain 1 :Ill in narrative) __ _ __ __ r i rl Air r f. 1y �n l a' r. �' ` p �LL . 'the numbers below ill'automallcly fill,once you.havo completed Goal 5, Table 2 f 4 Efd{1�), - '�{ iIkd, r !i� lige,, 0- ,i ,1 trl;I;Ij Number of staff and management attcndin¢ tr,.inlnes -- — 14 _ l 0 1; Number of board members attending trainin is — � _ I 1 1, rl: (l O 0 �'hl Hours of staff and rnanavmenl trainings I ` .1 Hours of board members in training ( _ In the rows below, include additional indicators that were not captured above. Describe the measure In ff)e attv rrae omments section below. • Narrative Comments: , Attachment 1. - - Goal ■ raze 5 ut 7 ATTACHMENT L - Workplan and Quarterly Report Form FY 2009 -2D10 Florida Outcomes for Community Action system (FOCAS) Community Action Goal 5 (Agency) -- Agencies Increase Their Capacity to Achieve Results Agency Name: Seminole County Table 4 — Agency Organizes and Operates Its Programs, Services, and Activities Toward Accomplishing Family and Community outcomes. Agency has tho Capacity to Measure and Track CllentiCustomer Progress Towards SeitSufilclency. FOCAS Outcornos Catalog 2 3 4 Community Action Goal 6: Agencies Increase Their Capacity to Achieve Results Workplan Agoncy'c Agency has the Capacity to Measure Client Progress toward Self- Sufficiency. Agoncy's Planned Agency'n Straus as of Status at tho Currant National Porformanoe indicators: This is a Florida Indicator and does not do dlroctiy to a NPI. 9/30/2009 End of this Status (All agencies must complete at Tnblos under Go& 5. Complete Columns 2 and 3 for Wcrkplan.) Contract CAAs are organized In different ways depending on their configuration of programs and services. Please Identity with an "X" the ONE statement In A) and B) below that BEST describes how your agency is organized. CLIENT INTAKE PROCESS 1. A common In-take process and common IDU Is usod for all clionts of tho CAA. X X A. 2. A common intake process and common IG1r Is usod for some clients of the CAA 3. A separate In - lako process and/or soparatn IDU Is usod for each program administered by the CAA. CLIENT /CUSTOMER MEASURE OF PROGRESS 1. Agency utlllzos a database for nil cllonts of tho agency for use In In -take, assossmont, and provision of sorvIcos. 2. Agency utlllzos a database for some cllonts of the agency for use in In -take, assossmont, and provision of services. 1 X X 3 Agency utillzoa a databaisa for 1 cllonts of tho agency for use In In -tako, assessment, provision of sarvicos and measurement of outcomes. 4. Agency utlllzos a databalsa for some cilonta of tho agency for use In In -tnko, assossmont, provision of se vices and moasuromont of outcomes. — COMPUTER PROGRAM(S) USED TO MANAGE AND TRACK CLIENT INFORMATION/PROGRESS t, CA System Access Database ." 3 Narrative Comments: Altuchrnenl L -- Goal 5 Page G of 7 ATTACHMENT L - Workptan and Quarterly Report Form FY 2009 -2010 Florida Outcomes for Community Action system (FOCAS) Community Action Goal 5 (Agency) -- Agencies Increase Their Capacity to Achieve Results Agency Name: Seminole County Table 5 - Agency Organizes and Operates its Programs, Services. and Activities Toward AccontpllshIng Family and Community Outcomes FOCAS Outcomes Cut°log 2 3 4 Community Action Goal 5: Agencies Increase Their Capnclty to Achieve Results Workpinn National Performance indicators: Thin Is a Florida indicator and Moos not Ilo dimcfly to n NPI. A Agency has the Capacity to Roped Cllonl Progress Toward Self - Sufficiency. Agoncy'a Apanc's Agency's 13. Agoncy has Provided Rosults- Oriontod Monegoment end Accountability Trnlning. Slays IM of Planned Current C. Agency Programs Achieved Accreditation Domonnlmling Program Moots or Excouds Notionally Rocognlzud Standards. 9130!21709 Statue el iho Status D. Agency Is Implementing ROMA tools and management erections. End of thin Contrncl (All npencios must complto nil Tobias ardor Goat 5. Complotn Columns 2 and 3 for Worhplon.) Agency has the Capacity to Report Client/Customer Progress Toward Self-Sufficiency. (Answer Yes or No for each.) 1 Agency cnn report outcomos That Measure progrosn towards soli- suflicioncy without lino of nn outcomo scalp. Yes Y06 (Expinln method °nod In the Nnrrntivn Comments encllon holow.) A 2 Agency ulllizns outcome" scalos to measure client movemeni toward wolf- oulltcioncy. (If yen, intact) a copy of No No the scat° with tho Workpinn submission.) 3, Agency lino cuenchy to derive unit cost statistics for olticloncy; cost per corvico dolivorod or cost of sorvlcu par client. YOS Yes 4. Agency hos cnpacliy to dorly° unit cost statistics for offoc(tvunoss: cunt par nulcomo delivered. Yes Yes J Agency has Provided Results - Oriented Management and Accountability Training within the past 2 years by a certified ROMA trainer. (Answer Yes or No for each.) 1. At least half of trio Agency board has rocuivad ROMA fmining. NO N 6. 2. Agency menapamnnl staff has rocalvod ROMA training No No 3. Agoncy euporvisory sluff hos rocolvod ROMA training. j Yes Yes 4. Agency line staff has resolved ROMA training. No No Agency Programs Achieved Accreditation Demonstrating lien Progrnm T4etn or Exceeds Nationally Recognized Standards. (Answer Yen or No Tor each,) 0 . 1. Early childhood Caro and oducolion silos roculvo NAEYC Of other roccgntzod form of accreditation. No No 2. Programs echlovu oftmr form ni recognized occrodllntion. (Plans° doscribu In the Narrative Comments bulow.) NO No Agency Is Implementing ROMA tools and management practices. (Answer Yes or No for each.) 1. Agency his aduprod one impinrnuraao logic m0U01(1 for nay pragnanU HIM nuuvun, :.. .vu 1%.. D. 2. Agency program;; and activities nro ovnluniod lining ROMA principals. No No FOCAS and Information System Survey Reports are provided to, reviewed and discussed with C5 130 Yes Yes hoard members et leant quarterly. • Narrative Comments: Armament C - Gonl 5 r 'nga 1 of 7 ATTACHMENT L - Workplan and Quarterly Report Form FY 2009 -2010 Florida Outcomes for Community Action system (FOCAS) Community Action Goal 6 (Family) -- Low- Income People, Especially vulnerable populations, Achieve Their Potential by Strengthening of Family and Other Supportive Environments Agency Name: Seminole, County FOCAS Outcomes Catalog - 2 3 1 4 Community Action Goal 6: Low - Income People, Especially Volunerable Populations, Achieve Their WORKPLAN Number of People Their Potential by Strengthening Family and Other Supportive Systems National Performance Indicators: Total Number of Number Number of 6.1 Independent Living Vulnerable of Individuals Vulnerable 6.2 Emergency Assistance Individuals Received Individuals 6.3 Child and Family Development Expected to Services Living 6.4 Family Supports """ "'"NEW INDICATOR remain Living Independently 6.5 Service Counts NEW INDICATOR"^ " ~^ Independently All agencies must report on at least one NPl in Goal 6. Results reported in columns 3 and 4 are life to date from the beginning of this contract. NPl 8.1: JNDEPENDENT LIVING —The number of vulnerable individuals receiving services from Community Action who maintain an independent living situation as a result of those services. (Psis 53 -55) (Seniors con bo ruportod twico, onto undor "Smdor Clllzunn" and ngoln If !buy A. Senior Citizens (Pg 55) tiro dInnbIod undor "Individuals wtlli DlunblIllIns ", ngos 55 -Ovor) Individuals with Disabilities (Pg 55) ;i1,; Ages: 0 17 r r l) 1 � 0 "" B. a Ages: 18 - 54 . .1 1 h c;w` .: :.,:f :) :::. e 1 Ages: 55 - Over S t� rr',Siw`�r'y 6` �'i. In the rows below, please lncludo any additional Indicators that woro not capturod above. Narrative Comments: To avoid duplication of count, reported on regular CSBG Workplan Allurbmmrt L — Gonl 6 Pngo 1 of 5 ATTACHMENT L - Workplan and Quarterly Report Form FY 2009 -2010 Florida Outcomes for Community Action system (FOCAS) Community Action Goal 8 (Family) -- Low- Income People, Especially vulnerable populations, Achieve Their Potential by Strengthening of Family and Other Supportive Environments Agency Name: Set nnic County ftOCAS Outcerees Catalog f• Community Action Goal G: Low.inLumu Pauplu, Lunociagy Vutunorahlo r'onulntlonr„ Achh' o Their WORKPLAN – Number el People Potanhol by Slrn ngt honlrle rurally and Othur Supporll /o 5ya1a mu Naltonel Performance Indicators: Number of Number of Number of 6.1 Independent Living ndividuals' Individuals' Individunir•' 6.2 Emergency Assistance Expected In Seeking Rocolving 0.3 Chlid and Family Development Receive Assislancn Assisltln Ce 6.4 Family Supports NEW INDICATOR Asslslnnce 0.5 Service Counts NEW INDICATOR Results reported In columns 3 rind 4 aro lire to date from the beginning of this contract. All agencies must roper( on et least ono NP1 In Goal G. _ 99 ((I) ,(14) NP) :5:2?. cr RGENCY ASSISTANCE - Tbo•nurhbor of Its Iilcome Inillviduals sorvoct by Connrlunity Action wlto &ought oglorlf!inCy necloLnnco ant! Ibo numbclr. of thoo-lndlvalc for whom'nseitlnco w in 1 fovlcicd, Ipi Ilidlhg worv)cot uch as: • (PU G7 ('2) A. Emorgency Food (Pg S9) B. Emergency fuel or utility p :iymonts tended by Lil-IEAP or other public and private funding tources (Pg 50) .b,!I Emergency Rent ur Murlg%Ipu Assistance (Pg 50) I Emergency Car or Horne Repair (I.e. structural, appliance, boating systole, etc. ) (Pg 55) -. -- E. Emergency Temporary Sheller (Pg 60) F. Emergency Ivindlwl Cate (Pg 60) ---- - - -_ - -- — __ -- - - -- — G. Emergency Preloc0icn item \nolerco (Po 5D) H. Emergency Legal Assistance (Pg G I) I. Emergency Transportation (Pg 01) J. Emergency Disaster Relief (Pg 61) — i K. Emergency Clothing (Pg I3) — _ L Provide Irensiatlon assistance in order to receive emergency servicnt: •----.-1 1n d roa'a °brow. Noose 1nc1W0 any nadillonnl in11c:rto/l Haar ,,pro not coplurud nbnv,. •Nr1Tp. In.liu lrin,d� ..i r -, .,l r,,, r..,, . –u .. _...i _ -- .. , -- _. __ —J • tlanetI- o Comments: To avoid duplication 01 count, reported on regular CSEIG Worlyalnn Atinchmnrl L — 6 Pau° 2 of L • ' 1 ATTACHMENT L - VVorkplan and Quarleriy Repo Form FY 2009 -2010 Florida Outcornes for Community Action system (FOCAS) Community Action ). o:II 6 (Family -- Low- Income People, Espocielly vulnerable popul1;Aons, Achieve Thor Potential by Strengthening of Family and Other Supportive Environment; AgencyNatne: Seminole Connly F6' ;A1.; (?ulcumen Cata115 !, 11 C t D Cummunity Action Gunl 1: LOW Income People, E,pncla:ly VUlnaroLlo 1'orolnnnns, l,chlcoe Their Putuni1,1 WORKPLAN by StrenuihrnlnO Family and 0110 s1, ikollwe .Syyrelnn Nnllonnl Podulmnncn Indt.nlnm Ntdollm NUml>ei of Actual Pcicenlaov 6.1 Independent LIvk16 Panlclpants Palecipantn NUIohcl of I Achleveinp 6 2 Emcigoncy AccIstanco Expected to Ere°lied In t'ad lciponln Outcome 6.3 Cllild and Family Development Actduvc Plp;,rnls) Achieving 6 •1 Family Supports NEW INDICATOR Outcome Oulcone 6 5 Sorvlce Count NEW INDICATOR Results repelled in column(' 13 and 0 are li to date Iron The beg11,1'10g 01 111is cortfout- (TOI(lol) (Actual) (G I A = 0) NP) 0.3: CHILD AND FAMILY DEVELOPMENT _ -Tito number of all Into nls, children, youth, parents, and other adults participating In deVelopmental or enrichment programs that aahleve program opals. 1,s measured by one of IPOLII et the 10110w1113. (POs 03.09) Infant and Child (P 031 1. Infants and children 0011(10 ((C appropriate nununi::nttons. medical n.id dente( care. A. 2. Infant and child health and phyrdcal devclufinenl arc Improved nu a Irs11l1 01 adequate nuuidull. ,,,....•affil :1 Children part lelpat0 111 pre c chuol adMllnS lo devetop 0(1101,1 rradlonns n.kllln Chtldten Who pa111clpaie In pre- actn>ol 01(151tam are developmentally toady to enter Klndor)uucn 01 I - IF( G eat,. Youth (Pg 63) 1. Yount improve- ilchl15 a phye•Icul devolobncnt - -- .. �. u......., 2. Youth Improve go1ialienlollonnl develufrtnrnl. 3. Youth avoid risk•laking behavior for 0 defiled period oltiMn. 100 d. Yount have (educed InV0l'erllerll wllh etimllkal jUnIkr system( 1 . 3. Yount t110(01se acndetr.itt, n@llcac or 10:0;(1 011110 nor r:dlnol Facce15 Adult IP0 (33) .. , - C. 1 Pofenllt and other 1,111,114 101111 nu(1 o.lbhll nnprovcd P: + ,nliny akds l _ `- - - - -_ 2 Palenln and elites adulir, learn and er11611 rnprovml 1 11111y hlncbunina (,kills In fnc lA nkile IR•UI /. l,rr s l O(AIL. , j n•hldhrn•rl Ir.J.::n fur. 11 ;1,f 1. n ,r, c tipttrinl uArin rn l n ll/ IAnancu (•.por.iet our onnrl Narrative Comments: Anticipate 100 children to receive clllldulre during the Suminer months to enable their 0000(11, r to malntnln employment while their child is safe and not partaking In risk - taking behavior. _ 1 �lsclu 1,,, l — Genl 11 pave 1 of I ' ATTACHMENT L - Workplan ar rd Quarterly Report Form FY 2009 -2010 Florida Outcornes for Community Action system (FOCAS) Community Action Goal 6 (Family) -- Low income People, Especially vulnerable populations, Achieve Their Potential by Strengthening of Family and Other Supportive Environments Agency Name: Scarinulo County -- TOGAS Outcomes Catalog - A d 1 c Con Action Goal 6: Lovr.ln come People, Esp ncla lly Vulnnrn b In Popu lalienu, Ac6Invu Their ( WORK PLAN Potential by Strengthening Family and Other Sapportivc System.: 1 National Performance Indicator.; Nurnbur of Number of Number of GI Independent Living Participants Pcrrllripnnts Participants 6.2 Emergency Assistance Expected in Enrolled in Achieving ' G.3 Child and Family Devotopment Achieve Progrmn(s) Outcome G.4 Family Supports (Seniors, De;aUlud and Caregivers) NEW INDICATOR Outcome 6.5 Service CouniG NEW INDICATOR Results reported In columns ii end C are life lo date from the becginni3,) of this contract. (Target) V\ clue() _- NPI G ' FAMILY SUPPORTS -= I:ow- Incoinolpuoplo who n(trl o okte_to worktiustx clally s eniors, ndults;with- dinhthUris and,catogivors, tarwho bii'rilorsito rarrili stabilit are'I'dlicod or'ollmfnated'as rnoasirtetl'b 'ono dr_ntoro ofaho folloWlp 7b 74 "' 3' _ I ' Enrollee children in before or alter school programs (Pg 72) ' Obtained care for cl$Id or other clopnrdnnl (Pr 72) - i. hit II I' • Obtained access to reliable transpodulion and /or driver's license (F'g 72) Obtained hoalih taro sorices for ihcroselvca or family member (Pg 73) I l Obtained safe and affordable housing (Pg 73) nor,. — - Vint!,; Oblatnod : food e stnnon (Pp 73) ,pa !';cli Obtained non - emergency I.IHEAP energy assistance (P9 73) 1it -- - { -------- ---- I I Obtaine non - emergency WX energy assistance (Pg 74) if 11 Obtained other non - emergency clergy assistance (Pg 74) i' 7( (Sinlerlocal /private energy programs. DO NOT include LIH tP or V4X) _ - - j In Me rurxs hrlrrvs, please Include a +rdddloml indicators lied auto no/ cap lorod above. _T____1_ _______ Nerrattvo Comments: To avoid duplication of count, reported on regular CSBG Workplan I lau,dhmcut l .. Geer 6 Pape •1 or s ATTACHMENT L - Workplan and Quarterly Report Form FY 2009 -2010 Florida Outcomes for Community Action system (FOCAS) Community Action Goal 6 (Family) -- Low - Income People, Especially vulnerable populations, Achieve Their Potential by Strengthening of Family and Other Supportive Environments Agency Name: Seminole Comity FOCAS Outcomes Catalog — A Community Action Goal 6: Low - Income Peeplo, Espuclally Vulnerable Populations, Achieve Their WORKPLAN Potontial by Strengthonin© Family and Other Supportive Systems Notional Performance Indicators Numbor of Number of 6.1 Independent Living Participants Participants 6.2 Emergency Assistance Expected to Achieving 6.3 Child and Family Development Achieve Outcome (3.4 Family Supports (Senior;, Disabled and Caregivers) NEW INDICATOR Outcome 6.5 Sorvlce Counts NEW tNDtCPTOR Results reported in columns E3 and C aro life to date from the beginning of thls contract. - (Target) (Actual) , 1P16:5 SERVIC ~ 'COUNTS Th numborof services provided toilow- Income indliilduals irndlvr (ntilf as rnctisured •by ono or mole:of the toilowinq.; {Pgs.75 -761,' (> t Food Boxes (Pg 76) It II' Pounds of Food (Pg 7 11;,I Units of Ctothing (Pg 77) Rides Provided (Pg 77) llEt, I Information and Referral Calls (Pg 78) In rho rows hnlow, please tnduda any cdditlone t Indir:alor� Mat rvore not captor above. -- ------- ---- -- i.wulu Vtl ..Unnnvrus. Allnchrnenl L -- Goal it Pegr. 5 of 5