Resolution 254-1980RESOLUTION NO. 254- 1980
RESOLUTION AUTHORIZING THE CHAIRMAN OF THE
BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY,
FLORIDA, TO EXECUTE A CONTRACT BETWEEN THE AREA
AGENCY ON AGING FOR DADE AND MONROE COUNTIES /
UNITED WAY OF DADE COUNTY, INC. AND THE MONROE
COUNTY BOARD OF COUNTY COMMISSIONERS FOR NON-
RECURRING FUNDS FOR THE NUTRITION PROGRAM.
BE IT RESOLVED BY THE BOARD OF COUNTY COMMISSIONERS OF
MONROE COUNTY, FLORIDA, as follows:
That the Chairman of the Board of County Commissioners
of Monroe County, Florida, is hereby authorized to execute
a Contract by and between the Area Agency on. Aging for Dade
and Monroe Counties/United Way of Dade County, Inc. and the
Board of County Commissioners of Monroe County, Florida,
copy of same being attached hereto, for non -recurring funds
for the Nutrition Program.
Passed and adopted at a regular meeting held on the 6th
day of October, 1980.
(SEAL)
Attest:
� 9
i
ler
BOARD OF COUNTY COMMISSIONERS
OF MONROE OUNTY, FLORIDA
By
C airman
77,
8 6
COZNTF,'�CT BETWEEN
EP 1.080
AIZI:A AGENCY ON AGI'N1G.FOR DADE NROE COUNTIE UNITED WAY OF DADE COU'L1;TY, INC.-
AND
L: j t
MONROE COUNTY Mil-iD OF CGU11TY CG1-11`!1!-.'0`I0N_'T_JS 023-8
THIS CONTRACT is entered into between the AIZEA
. AGENCY ON AGING FOR DADE & IMONROE COUNTIES UNITED WAY OF
IN h Y,
DADE COUNTY) hereinafter referred to as the AREA AGENCY,
and .1-101,MUL' CC;UNITY BOARD OF COUNTY COLT-111S,"I012RS
he reinafter referred to as the "PROVIDER".
The Parties agree:
I. -The PROVIDER agrees.. -
A.. To provide services according to the conditions
specified in Attachment.l.
B.- Federal and State Laws -and Regulations.
1. To comply with Title VI and VII,'Civil
Rights Act of 1964.
2. To comply with all the provisions.of
SeCt+on 504 of.the Rehabilitation Act of 1973,
Nondiscrimination Against the Handicapped as
amended (45 CFR, Part 84)".
3. It'is expressly understood that upon
receipt of substantial evidence of such.discrim-
ination, the AREA AGENCY shall have the right to
terminate this contract for breach.
4. To. -comply ' with the provisions sions of 45 CFR,
Part 74.
5. -To comply with allapplicable -standards,
orders', or regulations issued pursuant -to the
Clean Air Act.as amended (42 USC 1857 et- seq.)
and the Federal. Water pollution Control Act -as
amended (33 USC 1251 et seq.).
C. Audits and Records.
1. To maintain books, records and documents
in accordance with accounting procedures and practices
which sufficiently and properly reflect all expenditures
of funds provided by the AREA AGENCY under this contract.
2. To assure that these records shall be subject
at all times to inspection, review, or audit by AREA
AGENCY and Department of Health and Rehabilitative
Services, State of Florida, personnel and other
personnel duly authorized by the Department, as well
as by Federal personnel.
3. To maintain and file with the AREA AGENCY
such progress, fiscal, inventory and other reports
as the AREA AGENCY may require within the period of
this contract.
D. Retention of Records.
1. To retain all financial records, supporting
documents, statistical records, and any other documents
pertinent to this contract for a period of three (3)
years after termination of this contract, or if an
audit has been initiated and audit findings have not
been resolved at the end of three (3) years, the
records shall be retained until resolution of the
audit findings.
2. Pursuant to 45 CFR, Part 74.24(a), (b),
and (c), Federal auditors and persons duly
authorized by the AREA AGENCY shall have full
access to, and the right to examine any of said
materials during said period.
E. Monitoring.
1. To provide periodic progress reports,
including data reporting requirements requested
from the AREA AGENCY and/or Federal agencies. These
reports will be used for monitoring progress or
performance to determine conformity with intended ,
program purposes.
2. s0
2. To provide access to and to furnish
whatever information is necessary to effect this
monitoring.
3. To permit the AREA AGENCY to monitor the
aforementioned service program operated by the
PROVIDER according to applicable regulations of
the Federal and State governments.
F . Indemnification.
The PROVIDER shall be liable, and agrees to be liable
for, and shall indemnify, defend, and hold the AREA AGENCY
harmless from all claims, suits, judgments or damages, including
court costs and attorneys fees, arising out of the PROVIDER'S
negligent acts or omissions in the course of the operation
of this contract.
G. Insurance.
The responsibility for providing adequate liability
insurance coverage on a comprehensive basis shall be that of
the PROVIDER and shall be provided at all times during the
existence of this contract. Upon the execution of this
contract, the PROVIDER shall furnish the AREA AGENCY with
written verification of the existence of such insurance
coverage.
H. Safeguarding Information.
Pursuant to 45 CFR, Part 205.50, the PROVIDER shall
not use or disclose any information concerning a recipient
of services under this contract for any purpose not in
conformity with the Federal and State regulations except on
written consent of the recipient, or his responsible parent
or guardian when authorized by law.
I. Client Information.
The PROVIDER shall submit to the AREA AGENCY manage-
ment and program data, including client identifiable data,
as deemed essential by the AREA AGENCY for inclusion in
the Client Information System.
3.
61
i Assignments of Contracts.
The PROVIDER shall not assign the responsibility of
this con tact to another party without prior written approval
of the AREA AGENCY.
K. Financial Reports.
To provide periodic.financial reports to the AREA
AGENCY as specified in Section III, Paragraph G. A final
expenditure report will be made to the AREA AGENCY within
thirty (30) days after the termination of this contract.
L. Return of Funds.
Any funds paid'by the AREA AGENCY and not expended
for the contracted services shall be considered AREA AGENCY
funds, and shall be returned to the AREA AGENCY. Any funds
expended in violation of this contract shall be refunded in
full to the AREA AGENCY, or if this contract is still in force,
shall be withheld by the AREA AGENCY from any subsequent
reimbursement request.
II. The AREA AGENCY agrees:
To pay for contracted services according to the
conditions of Attachment l in an amount not to exceed
$ 93000.00
III. The PROVIDER and AREA AGENCY mutually agree:
A. Effective Date.
1. This contract shall
begin
on May
1, 1980
or the
date
on which
the
contract has been signed by both parties, whichever
is later.
2. This contract shall end on i'Iareh 31, 1981
B. Termination.
1. Termination.
This contract may be terminated by either party
upon no less than thirty (30) days notice pursuant
to the procedures outlined by the Older Americans
Act. Notice shall be delivered by certified mail,
4.
return receipt requested, or in person with
proof of delivery.
2. Termination Because of Lack of Funds.
In the event funds to finance this contract
become unavailable, the AREA AGENCY may terminate
the contract upon reasonable notice in writing
to the PROVIDER. Said notice shall be delivered
by certified mail, return receipt requested, or in
person with proof of delivery. The AREA AGENCY
shall be the final authority as to the availability
of funds. t
3. Termination for Breach..
Unless the PROVIDER'S breach is excused, the
AREA AGENCY may, by written notice of breach to
the PROVIDER, terminate the contract. Termination
shall be upon no less than twenty-four (24) hours
notice in writing delivered by certified mail,
return receipt requested, or in person with
proof of delivery. Waiver of breach of any pro-
vision of this contract shall not be deemed to be
a waiver of any other breach and shall not be
construed to be a modification of the terms of
the contract.
C. Notice and Contact.
The Contract Manager for the AREA AGENCY for this
contract is Luis E. Borges The
representative of the PROVIDER responsible for the adminis-
tration of the program under this contract' is Don Schloesser
-Chairman of the Board In the event that different
representatives are designated by either party after
execution of this contract, notice of the name and address
of the new representative will be rendered in writing to the
other party and said notification attached to originals of
this contract.
5.
6.3
D. Renegotiation or Modification
Modifications of provisions of this contract shall only be
valid when they have been reduced to writing and duly signed. The
parties agree to renegotiate this contract if Federal and/or State
revision of any applicable laws or regulations makes changes in this
contract necessary.
E. Name and Address of Payee
The name and address of the official payee to whom the pay-
ment -shall be made: Monroe County Board. of County Commissioners
i'ey 'rles t $ ,4 10 L 0 0 F. All Terms and Conditions Included.
This contract and its attachments as referenced,
ttachrnent I
), contain all the terms and con-
ditions agreed upon by the parties.
G. Modification to Applicable Law.
Any provisions contained herein which are not in accordance
with applicable State or Federal law and regulation are modified in
accordance with said law or regulation.
H. Special Provisions.
6.
IN WITNESS WHEREOF, the parties hereto have caused this
8 page contract to be executed by their undersigned official
as duly authorized.
DATED: 0
PROVIDER: ii0I'itC ceu!'.T`.0
G1 �i. I,,: 1C.12
By:
Lon mac- oe ser
Title: Ct.•_;ire. n of t1:f3 Hoard
Date:
Attest: —�--�
a
re
AREA AGENCY ON AGING FOR DADE
� 'MONROE COUNTIES - UNITED WAY
OF DADE COUNTY, INC.
By.
LUIS M. BORGES
Title: DIRECTOR
Date: l.a L 1 _Qc 0
10 MW
7. '
A1�1MWA
Attorney's Office
ATTACHMENT I
A.
Services to be rendered:
The attached Application for Title III Funding, (Exhibit No.2)
1.
and any revisions thereto approved by the AREA AGENCY, by physical attach-
ment to this contract, is a part of this legal agreement and prescribes the
services to be rendered by the PROVIDER.
B. Manner of service provision:
1. The services will be provided in a manner consistent with and
as described in the Application for Title III Funding, (Exhibit No. 2).
C. Method of payment:
1. Payment shall be on an advance or reimbursement basis as pre-
scribed by HRS Manual 55-1, Title III and VII of the Older Americans Act;
(financial management) and any revisions thereto.
2. The PROVIDER agrees to carry out the Application for Title III
Fundina, (Exhibit No.2) according to the distribution of funds as detailed
in the Application for Title III Fundinq, Budget Summary,(Exhibit No. 1).
D. Non -expendable Property:
1. Non -expendable property is property which costs $100.00 or more
per unit and whose life is expected to be in excess of one year.
2. All such property shall be listed on the property record by
description, manufacturer's model number, serial number, date of acquisition
and unit cost. Such property shall be inventoried annually, and an inventory.
report shall be submitted to the AREA AGENCY annually with updates as property
is obtained. Disposition of non -expendable property shall be in conformance
with 45 CFR, Part 74.139 (a) and (b).
3. At no time shall the PROVIDER dispose of non -expendable property
except with the permission of and in accordance with instructions by the AREA
AGENCY.
4. Upon termination of this contract, the said property shall be
disposed of in a manner consistent with both Federal and State regulations.
Special Provisions:
1. The PROVIDER and the AREA AGENCY agree to perform the services
of this contract in accordance with all Federal, State and local laws, rules
regulations and policies that pertain to Older American Act funds.
2. The PROVIDER agrees to assess or collect no fees from eligible
clients without prior approval of the AREA AGENCY.
�s
1. TITLE OF PROJECT:,
Monroe County Nutrition. Program
IDENTIFYING NUMBER
a
2. TYPE OF APPLICATION: NEW CONTINUATION X REVISION SUPPLEMENTAL
04 1 01 t 80 THROUGH 0 3 1 31 1 81
PROPOSED PROJECT PERIOD: BEGINNING DATE (Mo.). (Day) (Yr.) (Mo.) (Day) (Yr.)
4. PRIMARY SERVICES PROVIDED BY PROJECT:
t Meals 6.
2 7.
3. 8.
10.
5. APPLICANT A MNCY ItNI(.:O
FO ATION:
onrA. Name Board of County Commissioner
B. Address P. 0. B o X 1680
C. city Key West
D. zip Code 33040
E. Phone Number 2 94-464 1
6. PROJECT INFORMATION (if different than =5):
Address
Phone Number
TYPE OF ORGANIZATION
lXi PUBLIC (MERIT SYSTEM APPROVED BY IPPD)
X YES NO
PRIVATE NON-PROFIT, CHARITABLE (INCORPORATED)
t'FS DATE NO
I
11. BUDGET SUMMARY (from BUDGET SUMMARY page):
8. DATA ON AGENCY OFFICIAL AUTHORIZEu iU SiGN THIS Ear-
PLICATION:
Name
Title
Don Schloesser
Chairman of the Board
Signature Date
P.O. Box 1680, Key West, Fi
Business address
Phone Number 2 9 4— 4 6 41
9. DATA ON PROJECT DIRECTOR:
Name Sandi East Trosset
Business Address Public Service Bldg.
Business Phone 294-8468 , EXT 157
Emergency Contact Number
10. PAYMENT DATA (Location where checks will be sent):
Same as #8 1i or #9o r
Name _
Address
Phone Number
Tlrle 111.17-1 Title III-C-2
r c of ry
%ot
%of
%of IJJ'
Amount Net Cost III
Amount
Net Con I
Amount
Net Cost
Amount
Net Cost it Total
1. Gross Cast i
10 0 0 0. 0
i
1
2. Less Pto,ect Income
3. Less Value of Donated Food I
100%
100%
II
100%
100% II
�
4. Less Cash in Lieu of
Donated Food
)
( )
I( )
Ik0, 000. Q
( 1001
( )
I
I
s. (=' N-1 coy:
( )
(
1 _
-
I
Less Non•tederal Snare
-
L7
j Local Match)(—)
( )
4),((
lA. State)I
)L(
I
( )�(1,000.0
( 10%1Il
( )
II
(B.Local)
I ( )
(
II
_) Feo, Amount
I
I 9' 0 0 0. 0C
Regwr i. o
-
12. TERNS NZ) C^NDITIONS: It is understood and agreed by the undersigned that: 11 funds awarded as a result of this reauett are to R^
eccende:. ` r the ouroose set forth herein and in accordance with all applicable laws, regulations, policies, and procedures of this ttate and the
cede" any proposed changes in the proposal as approved will be submitted in writing by the applicant and upon nouficatjon cf
a; =•ova 7. '^e rite agency shall be deemed incorporated into and become a pert of this agreement; 3) the attached Assurance of Compliance
._41: w.t❑ :he Debarment of Neaitn, Edv cation and Welfare Regulations issued pursuant to Title VI of the Civil Rights Act of 14c-
-^s .cJ n.i Dronosal as eporoved, and a) funds Awarded by the State agency may, be terminated at any time f01 vtOlatlOnt of a^ r 'cant a'd
•.-�•e^�tnap} :1,t agr •emenL u oy
IV. ABSTRACT
The Mnroe County Nutrition Program for Senior Citizens,
Title III C I, is requesting an addendum to the April 1980 through
March 1981 application requesting additional funds.
The purpose of these funds is to purchase shelf -stable foods
packaged for participants' consumption in emergency situations.
We will store these meals in a prearranged storage area located in
the Public Service Building on Stock Island.
In case of emergency situations, such as hurricanes or other
situations where the food supply to the Keys is cut off, we would be
able to feed 260 Senior Citizens one hot meal a day for 14 days.
The Florida Keys are a series of islands connected by bridges
covering an area of 150 miles. If for any reason one of more of
these bridges are destroyed, the possibility of a food and water
shortage is very high. In such as case, the Nutrition Program
would be well prepared to care for the participants enrolled in our
program for 14 days.
PIiASE OUT PLAN
The following narrative sets forth the strategy the project
will institute to phase out Title III funded services. This
explanation includes a clear, concise description of how the
services will be.continued with alternate funding or decreased
to a continuous operation level without disruption or detri-
ment to the participants. It covers both the funding periods
April 1, 1980 through iMarch 31, 1981 and January 1, 1931
through December 31, 1931, if appropriate.
Mewls purchased with Title III CI non -recurring funds
will be a one time only purchase.
MAJOI? ACTION STEPS: Discreet steps to be taken toward the
acHievement of the above and estimated dates of co;apletion
are as follows:
Action Stej)s Estimated
Date of
Completion
Step 1 Purchase and store meals 10-80
DB/stj
1/16/:30
STAMMENT OF OBJECTIVE
Title III B&C, XX
(� :a..C-Ent: of Objective (who, what)
j\ To provide 260 Senior. Citizens over the age of 60 a meal during
emergency situations for a period of 14 days.
` how: The Nutrition Program will purchase shelf -stable meals to feed 260
Senior Citizens for a period of 14 days in case of an emergency.
were: The shelf -stable meals will be stored on County property in a secur
area until such time as they are needed. I i
When: , In case of an emergency which would cut off food and water supplies)
to the Florida Keys, these meals would be distributed to Senior Citizens
for a period of 14 days.
Why: To provide at least one meal a day to Senior Citizens when an
emergency situation arises.
;,'hat Stai will be responsible and percentage of time to be spent:
Volunteers: 100%
itle T_II-3
sti.ated Output
,nduo Units
F----=0 FFY
Title
III-C-1
Estimated Output
Undup
Units
FFY I
R-01 FFY
2601
260 3640
Title III-C-2
Estimated Output
Undup Units
FFY MO FFY
Major Action Steps to Achieve Objective:
Step 1 Purchase meals
Title XX
Estimated Output
Undup Units
FFY I MO FFY
S=zP 2 Store meals in a secure but accessible area
jduring emergency
step = Inform all participants of the availability
of such meals
Other (CETA,etc)
Estimated Output
Undup Units
FFY I MO i FFY
Estimated Date of
Completion
10-80
10-80
Major Action Steps to Achieve Objective: f Estimated Date of
f Completion
Step 4 - Inform all participants of the procedure
to obtain these meals in case of emergency 10-80
Step 5 - Inform all volunteers of the procedure to
distribute these meals in case of emergency 10-80
Page 1 of 2
N
W
ESTIMATED PROGRAM OUTPUT
1. Total Number of 60+ in Service Area
2. Total Number of Minority 60+
3. Percentage of Minority to Total
4, Total Number of Unduplicated Persons to be Served During Project Period
5. Total Number of Unduplicated Lora -Income Persons to be Served During
Project Period
6. Number of Unduplicated Volunteers to be Used During Project Period
(60+ 3 ) (Other )--------------------- Total
7. ETHNIC BREAKDOWN OF FIGURE FROM #4
Negro----------------------------------------------------
American Indian ------------------------------------------
Spanish Surname ------------------------------------------
AllOther -------------------------------------------------
TOTAL---------------------------------------------
8. GEOGRAPHIC DATA:
Project is Rural /-f Urban /Xl and serves:
Neighborhood
City /-7
County / X/
Multi -County /%
12,000
6,600
75%
260
260
3
PERCENT
NUMBER
35%
91
30%
78
35%
91
100%
260
f
ESTIMATED PROGRAM OUTPUT
9. UNDUPLICATED PURSOIJS SERVED AND UNITS OF SERVICE BY SERVICE CATEGORY
1;NLUPLICATED
i OF PERSONS
SERVED BY YEAR
UNITS OF SERVICE BY MONTH & YEAR
T"I7
TITLE TITLE T1TI.E
_
TITLE
III-C-1
III-C-2
RX _ OT_H_Ek _TOTAL
III-8
III-_C-1 III-C-2 _XX OT IEk
TU"CAI
YEl, k
YEAR
YEAR
YEAR YEAR YEAR
MO F'FY
MO FFY 1.10 FFY MO FFY MO FFY
Mo
A
CHORE
260
260
364
3640
3640
3640
_MEALS ----
D
COU`:SELINC
--
---
E
DAY CARE
-
SERVICE
H i ESCGit^I:IG
1 n
ION
..£CAL SERVICES
—"
}
O:TR::.,CH
- -1
---
0 F.EC: ZATION
--'
-
I
U .K:,,;sp03r.,TION
---
—
V CTr.FR
_..—_L_P`_CIFY
H
j
A . SUMMARY BUDGET FOR TITLE III.
For Proposed Project Period From 4/1/80_To 3L31i8m
Program am FundInZ_ Components
'I'1CIc 11I-B Title III-C-1 _Title _—III-_C_-2 TitleXX _ _ Other
--- ------ Non -Recurring
Amount Amount Amount Amount — Amount
Cnvt_ c;atc •ur —__ -- ------ ----
1. Personnel $_— $ 1,000.00 $ $ $
0
2. Travel
3. Buildin;• Space 0
4. Couurunication & Utilities
S. Printing & SuIjlies
6. Equipment
7. Raw Food
8. Consultants
9. k,ther
10. Sub -Total
11. Indirect Cost (Rate )
12. Gross Cost $
13 Less Project Income
1 e of donated foods
0
0
0
9,000.00
0
0
10,000.00
$1U,000.UU
0
14. Less va u
Less value of cash-in-lieu-
15. of- donated foods 1 , 565 . 20 _
- —� Pct. Pct. Pct. •
16. Net Cost 100% 100% 100%
17. Less Non-federal Share ---_ 1,000.00
'-
18. Federal Amount Requested ---- $ ---- $ 7 , 434 . 80 ----$_
Pct.
100%
---Amount_
Pct.
100%
9-
— �""� :;lli'lUlCl'ii.: ItUh,E1' 5CItt.UIII.Ii Tlll.: 11I-C /��
)
VROC tAM ACTIVITIC;1 `
--- --- TOTAL
i •'
1f::ALS
SUI'i'01C1'IY.0
lur,U.--SUII
_ _
5111'I'nil'I'IIlC :;LItVICI:5 hY ACTI.VI'IY ----
C):;I:;
..1"t
Ot CCL.
IIQI i'
ADHI:i-
Nllllll'1'Ip:!
-
—
CA;t 'AY
(1)
CO:,c;dLCAI't:
(2)
Ut:LIVi:ftF.0
(3)
Col.. b-14
(4)
IS'1NA'lION
(S)
1'1111CA'I'IUN
(6)
011'1'ltl'.ACII
(7)
(12)
(13)
(I'•)
2. 3, .. �.
011)
—
(I t�•mi,,�,
r
Site Aides $1 000.00
i
i
$1 , 0 0 0, tl':
101 tii= - ---- -- -
-
--
--
-
- ---
---
----
--- -
- --- -
---
- ----
1'KSONN,LI $1 , 000. 0 C
-
$1 000. Ott
;u;.'.I.
,
NOTE: The only Social Services that can be funded after September 30, 1980,are Nutrition E'ducatiou and Outreach
SUPPORTING BUDGET SCHEDULE Title III-C 1 `
PROGRAM ACTIVITIES
Ti`hL5
SUPPORTING
SUPPORTING SERUCES BY ACTIVITY
SERVICES
BGLCET
HOME
TOTAL --SUM
ADMIN- NUTRITIO;i
_
CATEG3RY
(1)
CONCREGATS
(2)
DELIVERED
(3)
COL, 6-14
(4)
ISTRATION EDUCATION OUTREACH
(5) (6) (7)
(B)
(9)
(10)
(11)
(12)
(13)
7. Raw Food
260 deals
9,000.0
7'U'1'AL
RAW UOOD
CUSPS
9, 0 0 0. 0
E. Cunsultaii
1'0'i'A1,
CUNSUI:C�1Ml'
CUsTs
TOLA!-
CJ�T5
1; U `1
of CiiL.
2, 3, ,
(14)
9,000:
�9,000_00
PROGIU M ACTIVITIES
BJV,ET
CAT%:.•i3Y
(1)
:'-:_uS
SUPPORTINZ
SERVICES
TOTAL --SUM
COL. 6-14
(4)
SUPI'0)l'rING Si•:RVICFS by ACTIVITY
of, C(;L.
2' 3' �
ADMIN-
ISTRATION
(5)
WrRITIO:i
EDUCITION
(6)
OUTREACH
(7)
(8)
(9)
(10)
(11)
.(12)
(13)
CC60REGATE
(2)
HOME
DELIVERED
(3)
9. Oti(e.r
CUSCS
TO,r.II. OTHER
c:OSrS
-------- ----
-
-
-
—
— -
-
A7-TomI-
— -
„fR�:c; cows
o�000.o
---
_ _
f,. *i:,DIl`,ECT
COSTS
p
--
—
--- -- --
-- - 0 - - -
_ _
C. TUTAT, PRO-
JECCOSTS
I'
0,000.0
—
_—
10,000.
D. LESS PRO-
JECT 1:;CO`fE
p
—
---
-- -- --
E. LESS LIGNATi
r 00DS VALUE
1, 5 6 5. 0
1, 5-- 5. 0
c ..—PROJECT
� F.,r cusr;;
8,434.80
--
------ —
- ' 4 --�
_
tiO::—Fr:DERAI.
FUti1)S
1 , 000.00
---
—
—
--
-- ----
- 1 , 000. I
_
H- Ds
7, 4 3 4.80
y--l—
-- ---
-----
-7 ,434. E
*'MADE THOSE. AREAS WHERE INDIRECT COSTS ARE NOT APPLICABLE
PERSONNEL:
In -Kind
Site
Aide -
9
hours
a month
at
$3.10
an hour
Site
Aide -
9
hours
a month
at
$3.10
an hour
Site
Aide -
8
hours
a month
at
$3.10
an hour
RAW FOOD:
260 meals X 14 days X $2.47 per meal
$335.00
$335.00
$330.00
$1,000.00
$9,000.00
'Y
BUDGET SUMMARY TITLE III C 1
NON -RECURRING
Personnel $1,000.00
Raw Food 9,000.00
Total: $10,000.00
t *3
For Pru p o.';L: (I Pco-jcct r I o, I v'ro..i to_11_3,�_U
T it I Ti L 1, 11 I-C-2 'title XX TOTAI. AXOUNT
Site Aides $ 1,000.00
51,000.00
� , 000 . 00 $ $
0 1- 2 100 141 ////NA//// %
COMMITME`IT OF IN -KIND
CONTRIBUTION OF STAFF ScRVICES
TO: Monroe County Nutrition Program
(project name
FROM' R. S. V. P.
(aonor- name)
Public Service Bldg.Wing III Key West Monroe
(street accress) (clay) (county)
The below -described personal services are committed for use by your project
for tie period: 4-1-80 3-31-81
(rrom) (until)
0esc_ictior, or Positicns
Hourly Ra .e or
Posi_icn Title Annual Saiary
1) Site Aide
2) Site Aide
3) Site Aide
4)
5)
6)
$3.10
$3.10
$3.10
-Hrs . 'r)or�ced
Value to
Project*
9 $335.00
9
v
To to 1
*Value to pro-ject = (= or hours provided) x (Hourly rate of
Annuai Saiary )
2080
$335.00
$330.00
$1000.00
It is car_>> ied that the tine devoted to tte project will be perm „ed during
nom, al wcrki nc hours.
These services are not included as contributions for any other federally assisted
program or any federal contract and are not borne by the federal covenment
directly or indirectly under any federal grant or contract except as oravided
or under (c'=e tee auttiori7ine federal re^_ulation or law).
_.. - IrMIL911
Donor Sionature
R. S. V. P. Director
i2,-/�- _
5-30-80