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HomeMy WebLinkAboutExhibit 13Attachment G: Form of Acknowledgement of Children's Trust Contract by Not -for -Profit Organizations providing services indicated in Attachment A above WHEREAS, , a Florida not -for -profit corporation whose principal address is is entering into an agreement with the City Of Miami for the purposes of providing services in connection with the Contract between The Children's Trust and the City of Miami for , dated , 2005, for the period effective from August 1, 2005 through July 31, 2006 (the "Children's Trust Contract"); and WHEREAS, the Board of Directors of at a duty held not -for -profit corporate meeting on , 2005 has considered the matter in accordance with the articles and by-laws of the not - for -profit corporation, and has authorized and directed as Chairperson/President, as Not -For -Profit Corporate Secretary, and as Executive Director and as the are to undertake any and all such matters contemplated by said agreement with the City of Miami on behalf of as a Florida not -for -profit corporation. rjj:Document Final Approved contract.12.20.05,sxw NOW, THEREFORE, on behalf of , we the undersigned authorized representatives hereby acknowledge that we have reviewed a copy of, agree to, and shall comply with the terms and conditions of the Children's Trust Contract as applicable to the scope of services to be provided by as indicated in Attachment A to the Children's Trust Contract. Dated this day of , 2005. Name of Not -For -Profit: By: Name: Title: Chairperson/President of the Board of Directors SEAL/ATTEST: By: Name: Title: Not -For -Profit Corporate Secretary rjj:Document Final Approved contract.12.20.05.sxw Attachment F: Provider's Response to the Request for Proposals rjj:Document Final Approved contract.12.20.05.sxw Application for Funding for Out of School Programs Continuation and Enhancement submitted by CityofMiami Department of Parks and Recreation �O� i ne Lnnaren's I rust Grant Application Forms Cover Page 1 The Trust RFP/ITN Number: The Trust RFPIITN Title: Proposed Project Title: A. Agency Information Applicant Agency Legal Name: City of Miami Department of Parks and Recreation Federal Identification Number: 59-6000375 Contact Street Address: 444 SW 2nd Avenue City: Miami Telephone Number: 305-416-1532 CEO/Executive Officer: Joe Arriola Chief Financial Officer: Linda Haskins Public Relations Contact: Ernest Burkeen Application Contact Person: Robert Ruano Contact Person E-mail: rruano@ci.miami.fl.us Type of Entity (click one box): ❑ Corporation ❑ Private -for -profit ❑ Private -not -for -profit ❑ Federal government ❑ State government ❑ County government D City government ❑ Other (specify): Licensed to do business in Florida? (click one box) DYES ❑NO State: Florida Zip Code: 33130 Fax Number: 305-416-2151 B. Finances and Insurance Agency Fiscal Year Begins: October lst to September 30th 1 Amount Requested (fills automatically from budget): Other/Matching Funds (fills automatically from budget): Total Program Value (fills automatically from budget): $1,200,000 $763,050 $2,031,930 Insurance Coverages: Amount of Coverage Expiration Date *Comprehensive Coverage/ General Lability On file with Trust Workers' Compensation On file with Trust Automobile On file with Trust Phone: 305-250-5400 Phone: 305-416-1009 Phone: 305-416-1320 Phone: 305-416-1532 Fax: 305-416-2151 Agency does not carry "Note: If General Liability coverage amount is less than $500,000, Agency must agree to purchase A minimum of $500,000 Comprehensive General Liability insurance prior to contract execution City of Miami Parks and Recreation 2/28/2005 Page 1 of 53 The Children's Trust Grant Application Forms Cover Page 2 C. Relationship with The'Children's Trust Has Agency ever held a contract with The Children's Trust? D YES if YES, List most recent contract number(s) (up to 3): NO o to Cover Pau e If YES, has Agency previously submitted the current version of each of the following documents?* Financial audit D YES -Period of Audit: ❑ NO Unaudited financial statement ❑ YES -Fiscal Period: DNO Current board of directors D YES ❑ NO Oct 2003- September 2004 *If previously submitted documents are valid and time periods current for this application, items do not need to be resubmitted; just check YES above for each item currently on file City of Miami Parks and Recreation 2/28/2005 Page 2 of 53 The Children's Trust Grant Application Forms Cover Page 3 D. Proposed Number to be Served Total Number of Unduplicated Participants to be Served: 350 From age (in years): 5 Up to age (in years): 17 Estimated Numbers to be Served b A•e Ran (total should equal total number listed above): Birth to 2 years 11-13 years 3-5 years 14-18 years 6-10 years 210 Adult Parents/Caregivers Estimated Numbers to be Served b Population T •e (total should equal total number listed above): Children with Disabilities At -Risk Participants General Population 80 60 E. Service Delivery Categories and Descriptions Strategic Funding Categories (select one, and complete requested information): DOut-of-School Programs (refer to RFP for definitions of enhancement and expansion) CHECK ONE: ❑ Summer Only 0 After -school Only 0 Year -Round Programs CHECK ALL THAT APPLY: Program Enhancement ❑ Program Expansion ❑Promotion & Prevention (refer to RFP for definitions of approaches) CHECK ALL THAT APPLY: ❑Universal ❑ Selected • 0 Outreach/Advocacy ❑Resource Network (CHECK ONE program focus area below) Dvlaternal/lnfantiChild Health & Development ❑ SafetyNiolence Prevention ❑Children with Disabilities ❑ Adolescent Risk Reduction ❑Other (briefly specify): ❑Service Partnership (describe specific population/neighborhood on Primary Population Worksheet) CHECK ONE: ❑Population -based ❑Neighborhood -based ❑Other (specify RFP/ITN): Will any fees be charged/collected for the proposed services? ❑ YES -Briefly explain: • NO Does the proposed program include a health component? Cl YES -please identify and fully describe this on the Activities Description Worksheet ❑ NO Does program include participant transportation? ❑ YES -transportation is available to/from all standard services ID YES -transportation is provided for special services only (e.g., field trips) ❑ NO -transportation is not provided Number of youth workers (age 16-22) proposed program will utilize: Number of volunteers proposed program will utilize: Expected number of volunteer hours to be contributed: 10 5 30 each City of Miami Parks and Recreation 2/28/2005 Page 3 of 53 The Children's Trust Grant Application Forms Certifications Page • Official Certifications Has the Agency been sanctioned for non-compliance with any contract, government law or regulation related to the operational program proposed with this application within the past three years, or has your agency had any violations under the public entity crimes statute? (click one box) 0 YES -include copy in Supporting Documents section, in order indicated in Table of Contents El N0 Please describe in a separate attachment any litigation or regulatory action filed against the Agency in the last three years related to the operational program proposed with this application, including case name, court name, and current status. Include document(s) in the Supporting Documents section, in order indicated in the Table of Contents. If none has been filed, acknowledge this by checking below, 0 NOT APPLICABLE __ .. I do hereby certify that all facts, figures, and representations made in the application(s) are true and correct. Furthermore, all applicable statutes, terms, conditions, regulations and procedures for program compliance and fiscal control, including but not limited to, those contained in the Bid Solicitation and Core Contract, will be implemented to ensure proper accountability of contracts. I certify that the funds requested in this application(s) will not supplant funds that would otherwise be used for the purposes set forth in this project(s) and are a true estimate of the amount needed to operate the proposed program(s). The filing of this application(s) has been authorized by the contracting entity and l have•been duly authorized to act as the representative of the agency in connection with this application(s), I also agree to follow all terms, conditions, and applicable federal and state statutes. Further, I understand that it is the responsibility of the agency head to obtain from its governing body the authorization for the submission of this application. Evidence of this authorization must be provided within 21 days of notice of award. I further understand that such contract award may be rescinded for failure to provide such documentation. This bid process is subject to a "Cone of Silence" and the state conflict of interest laws (S. 112.311, et.seg. F.S.). I further state that to the best of my knowledge, submission of this proposal is in compliance with the state and county conflict of interest laws. Lastly, I hereby attest that all work contained within this proposal is the unique and original product of the agency I represent, and has not been plagiarized or duplicated in any way from another agency's work product. Print Authorized Official's Name: Robert Ruano Authorized Official's Title: Grants Administrator Date of Signature: February 25, 2005 Authorized Official's Si ture in BLU INK: i Enter Applicant Agency Name in Footer Section 2/25/2005 Page 1 of 1 4 The Children's Trust Table of Contents frerIt a Cover Pages 1-3 Certifications Page 4 Table of Contents 5-6 Program Summaries 7-8 Organizational Capability 9-11 Primary Population 15-16 Collaborations 12 Site Locations Details 13-14 Goals Worksheet 17-19 Outcomes Worksheet 20-25 Activities Descriptions 26-30 Process Worksheet 31-37, Agency and Program Budget 38-39 Budget Summary for Proposed Program 40-43 Budget Justification • 44-46 Budget by Site Location 47-50 Daily Unit Cost 51-52 Acknowledgment of Addendum 53. • igt“:p1441.mP,N::y1•,,,:14...4ip y P1 !m:::‘,750.411"plipmy:11.;ir yt.1.11..1:migi:]i:Mi::.i:ai:.:i::::i!i7ii:in,aii:g;i0.: R:!T!•,i..I.:74g.V.::-I. Sanctions, Violations, and/or Litigation Documentation, if applicable N/A Organizational Chart(s) 54 Evidence of Past Success, if applicable (monitorin_9 reports, letters of support, etc.) 55-66 Staff Resumes • 67-76 Job Descriptions . 77-99 Collaborative Letters of Agreement, Memoranda of Understanding, if applicable - 100-103 Outcome Tests and Measures 104-123 Schedule of Daily Activities and Field Trips, if applicable . 124-128 Documentation of Cash or In -kind Matching Funds N/A Consultant Agreement Letters • N/A r Verification of Agency's Indirect Cost Rate 129-134 Cover Pales_(from Application Forms) -write "FISCAUPOLICY MATERIALS" on top 1-3 Certifications Page 4 Table of Contents 5-6 Financial Audit/Unaudited Financial Statements 7-147 Documentation of General Liability Insurance Documentation of Workers' Compensation Insurance Documentation of Automobile Insurance Internal Revenue Service (IRS) Tax Determination Letter MATERIALS :•.::!,:,,i.:!;i::;::,;,q;::.?!;,:m:,.;";:::: :::,],,..,-;.:,::.:;:;.".::i'.::';iiT:.;i.!.i;:!!.:::i:::!g ;:..:i:i:1;.:::.'..':.;.:,.:.:..,!,::f:::;.;:]!,,:i';,;;::tL:Page:,#"0 Current Corporate Status Certificate/Letter of Good Standing from State of Florida IRS Tax Form (990 or other appropriate form) -past 2 years , Enter Applicant Agency Name in Footer Section 2/28/2005 Page 1 of 2 The Children's Trust cM4Vc4449-412nDPR:fiftfPayment if Tax Liability Existed Table of Contents Board of Directors List Current Board of Directors' Meeting Schedule Certified Minority Business Enterprise, if applicable Americans with Disabilities Act policy Non-discrimination policy, including Client Non-discrimination Drug -free Workplace Certification Equal Employment Opportunity/Affirmative Action policy Background Screening policy, including employees and volunteers Enter Applicant Agency Name in Footer Section 2/28/2005 Page 2 of 2 Program Summaries The Children's Trust { r r General Formatting lsidie 25-Word Publicity Description: If fun.':ed, this description will be posted on The Children's Trust website to. publicize available programs to parents/caregivers, youth and the community regarding services offered. Write this description in present tense, as if the program was funded. 50-Word Program Description: This description will be used in the documents submitted to The Children's Trust Board of Directors when funding recommendations are released. This should be a brief version of the full Program Summary. PROGRAM SUMMARY (1-2 pages maximum): This description is used by reviewers. Include a summary of the proposal that clearly describes the organizational capability; proposed participants; collaborative partnerships; and overall program goals, activities, and expected outcomes and benefits. It is typically more effective to write this section after completing the other narrative portions of the grant application forms. The City. of Miami has been providing quality out -of -school time services to its residents for decades. The Heart of Our Parks initiative is the outgrowth of experience in the field of student services and the desire to nurture those who represent the heart of the parks, and the heart of the City: our children. The target population is elementary and middle school students in some of the most underserved neighborhoods in Miami -Dade County, We hope to offer these youth an array of opportunities —to read, to paint, to dance, to swim, to run, and to learn a little bit about the world around them, and the cultures right next door. With a dedicated Parks staff, Certified Teachers and partners including the Miami Museum of Science & Planetarium, Arts for Learning, and FOCAL, we are confident that the Heart of Our Parks will become a model of exceptional out -of -school programs. The City will contract an independent evaluator to assess the efficacy and refine the methodology of the program. The Department of Public Welfare has served City of Miami residents since 1896, when the City was incorporated. In 1986, the name was changed to the Department of Parks and Recreation. Today it is one of the largest parks departments in the nation with more than 100 park properties and direct services including daycare programming, the "Miami Love" program for youth at risk, and a division dedicated to persons with disabilities. In 2003, we launched the Heart of Our Parks, a summertime initiative that involves children in reading, homework completion, visual and performing arts, physical education, sports leagues and a monthly neighborhood music series to promote family and community pride. The goal of the Department of Parks and Recreation is to serve all City residents by providing safe and nurturing recreational, educational and cultural activities in order to promote a sense of community. Our mission is to provide comprehensive academic and cultural enrichment programs that provide an environment for individual growth by teaching discipline, building self-esteem and providing guidance in the pursuit of excellence. We seek to promote the physical, intellectual, emotional and social development of youth in our community. Enter Applicant Agency Name in Footer Section 2/28/2005 Page' -=of 5-3 The Children's Trust Program Summaries PentNIRKitiRafd2rtgfoperation of all City parks and pools every day year-round, comprehensive recreation, art, music, and education programs; cultural activities; and leisure opportunities for all age groups. Special services include child day care, preschool centers, summer camps, programs for the disabled, senior citizen programs, educational summer programs, after school technology programs and a music and film series. The City if Miami Parks and Recreation Department is not accredited. However, accreditation by the NAA is desired and the Department will pursue accreditation in the future. The City of Miami Parks 'and Recreation Department is licensed by the Florida Department of Children and Families, Child Care Licensing Division at Shenandoah Park and Moore Park, pending receipt. Both licenses expire June 2005. Additionally, the City has received a waiver of licensing for Williams Park, Duarte Park and African Square Park from the Florida Department of Children and Families, Child Care Licensing Division. The City of Miami Department of Parks and Recreation has not had monitoring reports for out -of -school services in the past two years. City of Miami Parks and Recreation has a long-standing reputation for providing high -quality out -of -school programming at multiple park facilities. Since 1986, we have provided an array of free or low-cost recreational activities to tens of thousands of youth and families with the greatest needs and fewest resources. City of Miami Parks provide a safe, supervised and fun place to go after school. Heart of Our Parks is a holistic program, which includes services to at -risk students in underserved communities with reading, homework assistance, math, science, life skills, visual and performing arts, physical fitness, recreation and cultural events. Due to the popularity of this program, we are enhancing the Heart of Our Parks model to serve students during out -of -school time at 5 parks throughout the entire year to include a Children and Family Outreach Component. Through a collaboration with M-DCPS Adult Education we will be affording opportunities to parents and family members to improve their quality of life through their enrollment to program classes i.e. GED Preparation, Workforce Readiness, Adult Literacy, Citizenship, and ESOL, Parks and Recreation demonstrates cultural and linguistic competency to meet the needs of our target population. Park Managers and staff are culturally and linguistically diverse, and responsive to the needs of the population in the park where they work. We provide services in English, Creole and Spanish. Enter Applicant Agency Name in Footer Section 2/28/2005 Page f of 53 The Children's Trust Grant Application Forms A. Agency Description (2 pages maximum, not including attachments) Provide a clear description of the Agency, including its mission, his o cripton of ageny, and cyar a qurdificat e s as related to the current bid solicitation. listing accrediting or licensing body, keti`p'.::.,.. Ucensure relevant to the field, if applicable (i.e.,ac accreditationllicensure, etc.). r,,s .Ja ARE IJOTREQUIRED TO COMPLETE THIS CURRENT OR PAST PROVIDERS OF THE CHILDRE T ri„ / ryn -n r-IFY WISH TO PPf"'-"" -MTED OR CHANGED INFORMATION. 1 Organizational Capability Describe Agency's overall approach to ensuring cultural competence in itrrent organization, as well as the plan to ensure cultural competence in implementing the proposed project. CURRENT OR PAST PROVIDERS OF THE CHILDRE'S TRUST ARE NOT OR CHANGED REQUIRED TO COMPLETE THIS SECTION, UNLESS THEY WISH TO PROVIDE UPDATED N/A Attach the Agency's organizational chart(s) that clearly indicatethe urrenn pfiscal, fadtw ministrativethla and programmatic reporting structures, as well as how the proposedpro9 rger organization. Include document(s) in the Supporting Documents section, in the order indicated in the Table of Contents. NOT CURRENT OR PAST PROVIDERS OF THE CHILDREN'S TRUST �READY ON LEQUIRED E AND NOTED ASTHE ORGANIZATIONAL CHART IF THE MOST CURRENT VERS ON IS A SUCH ON THE COVER PAGE 2. ONLY THE ORGANIZATIONAL CHART FOR THE PROPOSED PROGRAM IS REQUIRED WITH THIS APPLICATION. If ex•lanation is needed, include a narrative description of the organizational chart s below: N/A Attach the Agency's 2004 financial audit and related management gestatementsletter. If noeb Agennc 's fiscal yea ends after June 30, 2004 and the audit of 2004 financial he Agency may provide the audited financial statements for its a0 achr accopy of the mostal year. If in ) recentouneaud -audited 18 months, or if Agency total budget is less than $300,000, financial statements. Either must be completed by a registered rCPtA Fiscal/Policy Materialsd conducted in r section, within generally accepted accounting principles. Include documents j the order indicated in the Table of Contents.NOT CURRENT OR PAST PROVIDERS OF THE CHILDRFILOE AND NOTED AS SUCH ON AUDITS/FINANCIAL STATEMENTS IF THE 2004 VERSION l5 ALREADY ON THE COVER PAGE 2. is needed, include a narrative ,___,;�{;of +,,p„ditlfinancial statements and findings If explanation description below: N/A 2/28/2005 Page 9 of 53 City of Miami Parks and Recreation The Children's Trust Grant Application Forms B. Experience (2 pages maximum, not including attachments} Did the proposed program operate prior to current funding request? OYES ENO If YES, list funding source(s), dollar amount(s), time period(s), and current status of each, for the past three (3) years, as shown in these examples: Alliance for Human Services, $45,000, 7/1/03-6/30/04, project completed/not renewed Center for Substance Abuse Prevention, $200, 000, 10/1/04-9/30/07, project currently ongoing CURRENT OR PAST PROVIDERS OF THE ILDREN'S TRUST ARE NOT REQUIRED TO UPDATED OR CHANGED INFORMATION. COMPLETE THIS SECTION, UNLESS THEY WISH TO PROVIDE The Children's Trust - $500,000 current funding Organizational Capability Describe the Agency's relevant experiences and successes in conducting services related to the current bid solicitation and proposal. Summarize organizational qualifications and accomplishments, including the scope of work conducted, a description of related funded work conducted within the past three years, and performance measures achieved. CURRENT OR PAST PROVIDERS OF THf UPDATED OR CHANGED INFORMIAEONO COMPLETE THIS SECTION, UNLESS THEY WISH TO PROVIDE Please see attached letters of support from pthe parents whose Miami, Congresswodren attend he current Heart of man lleana Ros-LeOir+ren Parks program, as well as from the Mayor City and Congressman Kendrick Meek. Attach any relevant documentation or evidence of past successes achieved, such as funder monitoring reports, program evaluation summaries, general letters of support or endorsement, publications, work samples, etc. These should be described in the narrative response above. Include document(s) in the Supporting Documents section, in the order indicated in the Table of Contents, City of Miami Parks and Recreation 2/28/2005 Page 10 of 53 The Children's Trust Grant Application Forms C. Staffing (1 page maximum, not including attachments) Describe how the project will be appropriately staffed, including employees, subcontractors, consultants, and volunteers. Explain the staffing plan for how primary activities will be conducted, including responsibilities for specific activities and deliverables (i.e., a brief summary of the detailed job descriptions). Provide a narrative description of the number and types of positions and the staff experiences and credentials required, using the same title labels as in budget worksheets (note that since the Budget Justification includes all staff intitles, names, this section). ala4ut-ofpercent effort, -s Out -of -school prog5amsdare strongly such a detailed breakdown is NOT required encouraged to employ at least one licensed or certified education professional. Also, briefly describe the Agency's approach to staff training and orientation required for working within the proposed program. Organizational Capability Staffing includes full-time and part-time employees at the five City parks, including a Program Manager, 5 Park Managers, 6 Certified Teachers, 4 Physical Education Teachers, 5 coaches (tennis, soccer, dance, cheerleading, weightlifting), 2 Recreation Specialists, 5 Park Maintenance Personnel, 20 Group Leaders, and 13 Support Staff. Experience requirements and credentials are listed in the attached job descriptions. and all staff must pass a background screeing and drug test. Staff training and orientation will include City of Miami orientation sessions and required classes in Professionalism & Ethics, Customer Service and Sexual Harassment & Diversity. All program staff will be trained in a Pre-program Staff Workshop to explain all of the requirements of compliance with the Children's Trust grant and the project deliverables that need to be met and worked towards on a daily basis. Based on the proposed staffing plan and number of participants to be served,, what is the maximum ratio of participants -to -staff? Maximum of 15 children/youth for every one adult. Attach Staff Resumes for the project director and other key personnel (including consultants) to indicate relevant experience of each person to the professional team. These should be summarized in the narrative response above. Include document(s) in the Supporting Documents section, in the order indicated in the Table of Contents, Attach Job Descriptions for the project director and other key personnel (including consultants) to indicate the specific duties and contributions of each person to the professional team. These should be summarized in the narrative response above. Include document(s) in the Supporting Documents section, in the order indicated in the Table of Contents. City of Miami Parks and Recreation 2/28/2005 Page 11 of 53 Primary worKsneet The Children`s Trust Grant Application Forms Multiple Site Instructions: If different service delivery sites serve different primary populations, list each participant group on a separate line and note N CRITERIA are factors PRIMARY POPULATION ;HOW MANY CHARACTERISTICS of expectedrace activities thaEw t be used to ormused to sNT strategies and creen participant eligibility :expected to participate in the tare expected :participants, including age, gender, '' land engage the described participants for participation (e.g., attendance at ;program (e.g., children, parents, !to participate } families, teachers, other h I performance, and other risk into the program income :community members) Youth ;ethnicity, income level, neighborhood, . i a particular school, residence in a ;sc asp;particular neighborhood, !factors that will be used to guide below poverty level). If program is open to anyone, put "NIA" here. I In the school feeder pattern for the participating parks 'recruitment efforts. If serving children ;with disabilities, specify types. 350 We will serve youth ages 5 to 17 of both Following a successful model use a genders, predominantly African- one American and Hispanic, from low-income create flyers and go to the feeder households in neighborhoods throughout schools, make presentations, educate t e City of Miami including Allapattah, the youth and families about the free oral Way, Model City, and Overtown, from feeder schools that are in the Superintendents Zone in need of improvement Parents/Family Members 100 Parents and families of youth in the Heart of Our Parks program of the current park sites, we will program and servcies available to both - children and families Families will be informed when picking up their child, through community flyers, and telephone calls as needed Parents and family members of youth in the school feeder pattern for the participating parks 2/28/20O5------ City of Mi mi Parks and Recreation - - page-15 of 53 The Children's Trust Grant Application Forms PRIMARY POPULATION 1HOW MANY expected to participate in the are expected program (e.g., children, parents, =to participate families, teachers, other community members) 'CHARACTERISTICS of expected participants, including age, gender, race, 'ethnicity, income level, neighborhood, school performance, and other risk factors that will be used to guide recruitment efforts. If serving children with disabilities, specify types. RECRUITMENT strategies and activities that will be used to inform and engage the described participants into the program Primary Worksheet SELECTION CRITERIA are factors .used to screen participant eligibility .for participation (e.g., attendance at .a particular school, residence in a -particular neighborhood, income below poverty level). If program is open to anyone, put "N/A" here. nr City of Miami Parks and Recreation 2/28/2005 Page 16 of 53 The Children's Trust Grant Application Forms Collaborations Collaborative Partnerships (2 pages maximum, not including attachments) Describe any collaborative partnerships with other organizations in the community that are directly related to the proposed program. Include for each partner a brief description of the agency, the role that partner is expected to play, as well as the specific resources and commitments they will bring to the proposed program. For applicants using multi -site collaboratives for service delivery, individual agency sites may be briefly described within this section if desired (in addition to the completion of the Site Location Details worksheet). Attach collaborative Letters of Agreement and/or formal Memorandum of Understanding affirming commitments. These should be described in the narrative response below. For any sites based in a school, applicants must submit a Letter of Agreement frorn the current school principal at each of the proposed schools. Include document(s) in the Supporting Documents section, in the order indicated in the Table of Contents. Arts for Learning Our collaboration with Arts for Learning enhances cultural development by bringing visual and performing arts to the children. Children will participate in twice -weekly classes at the parks. The Arts Program Manager will coordinate activities of all the Artists and Artist Assistants. Visual art programs will concentrate on exploring visual media to interpret and communicate individual perceptions of nature. In dance classes, children will learn about safe techniques for warming up and strengthening the body, learn basic dance steps and practice creative movement. Students will have an opportunity to participate in a year-end Dramatic Production, Talent Show and Art Fair. 1IMiami Museum of Science and Planetarium The Museum draws upon decades of experience in science enrichment programming and youth development. The Program Coordinator will oversee program implementation at all park sites, The Museum will 1) build the capacity of City Parks staff to deliver integrated after -school programming in the areas of reading, mathematics and science; 2) develop a cadre of youth and college mentors to provide technical support, direct service, and serve as role models to students; and 3) deliver Wildlife Outreach demonstrations at each park, providing opportunities for children to interact with live animals, and 4) enrich participant and family member experiences through an ongoing series of Family Days hosted at the Museum on Saturdays. FOCAL FOCAL is a non-profit organization that provides tutoring in acaademic subjects including reading and mathematics, as welt as computer technology programs. Greater Miami Tennis Foundation The Greater Miami Tennis Foundation organizes and tunds youth tennis programs at public parks and schools in Miami -Dade County, Florida with an emphasis on economically and socially disadvantaged youngsters.The Foundation is committed to developing the whole person, using tennis as a vehicle to develop character, self-esteem and discipline. City of Miami Parks and Recreation 2/28/2005 Page 12 of 53 The Children's Trust Grant Application Forms Site Locations Details Site Name: Service Delivery Site Locations: Instructions for applicants with more than one service delivery site location: If any information within the remaining sections of the Application Forms varies across site locations, specify within each section this variation by noting the applicable sites. If all details are identical across sites, there is no need to reference specific sites throughout the worksheet narratives. Site #1 Site Name: Site Contact Person: Contact Person E-mail: • Is this a school -based site? ❑ Summer Only Total Number of Unduplicated Participants to be Served: Estimated Numbers to be Served Children with Disabilities Juan Pablo Duarte Park ❑ YES NO ❑After -school Only Phone Number: Days of Operation: El Year -Round Program Street Address: City: 305-635-2710 5 Start Date: From age (in years): by Population Type (total should equal total number listed above): l At -Risk Participants - 60 Miami 2800 NW 17 Avenue Zip Code: I Fax Number: Hours of Operation: 06/01/05 5 J lam-10pm End Date: 05/31/06 Up to age (in years): 17 General Population Site #2 Site Contact Person:1Olinda Alexis, Facility Supervisor Contact Person E-mail: Phone Number: 305-416-1320 Is this a school -based site? ❑ YES ONO Days of Operation: 5 El Summer Only ❑After -school Only El Year -Round Program Start Date: Total Number of Unduplicated From age Participants to be Served: 60 (in years): Estimated Numbers to be Served by Population Tye (total should equal total number listed above): Children with Disabilities' At -Risk Participants 1466 NW 62 Street African Square Park 60 Street Address: City: Miami Fax Number: Hours of Operation: 06/01/05 Zip Code: 33150 5 7am-10pm End Date: Up to age (in years): General Population 05/31/06 17 Site #3 Site Name: Site Contact Person: Contact Person E-mail: Is this a school -based site? ❑ Summer Only Total Number of Unduplicated Participants to be Served: Williams Park Tyrone Miller, Park Manager (in process) Phone Number: ❑ YES 0 NO Days of Operation: ❑After -school Only El Year -Round Program 30 Street Address: City: 305-579-6978 1717 NW 5 Avenue 5 Start Date: From age (in years): Estimated Numbers to be Served by Population Tye (total should equal total number listed above): Children with Disabilities At -Risk Participants 130 Miami Fax Number: Hours of Operation: 06/01/05 Zip Code:133136 5 7am-10pm End Date: Up to age (in years): General Population 05/31/06 17 City of Miami Parks and Recreation 2/28/2005 Page 13 of 53 The Children's Trust Site Locations Details Grant Application Forms Site #4 Site Name: Moore Park Street Address: Site Contact Person: Kim Sands, Park Manager City: Contact Person E-mail: Phone Number: Is this a school -based site? El YES ONO Days of Operation: ❑ Summer Only ❑Afterrschool Only ❑ Year -Round Program Total Number of Unduplicated Participants to be Served: Estimated Numbers to be Served by Population Tye (total should equal total number listed above): Children with Disabilities 1 At -Risk Participants 100 80 305-633-2089 756 NW 36 Street 5 Start Date: From age (in years): Miami Fax Number: Hours of Operation: 06/01/05 Zip Code: 33150 5 End Date: Up to age (in years): General Population 05/31/06 17 Site #5 Site Name: Site Contact Person: Contact Person E-mail: Is this a school -based site? ❑ Summer Only Total Number of Unduplicated Participants to be Served: Shenandoah Park Adina Diaz & Gabriel Rojas, Park Managers adiaz(c ci_miamijLus ❑ YES E] NO ❑After -school Only 100 Phone Number: Days of Operation: 0 Year -Round Program Street Address: City: 305-856-9551 1800 SW 21 Avenue 5 Miami Fax Number: Hours of Operation: Zip Code: 33145 lam-10pm Start Date: From age (in years): 06/01/05 7 Estimated Numbers to be Served by Population Tye (total should equal total number listed above): Children with Disabilities At -Risk Participants I80 J End Date: 05/31/06 Up to age (in years): General Population 17 20 Site #6 Site Name: Site Contact Person: Contact Person E-mail: Is this a school -based site? El Summer Only Total Number of Unduplicated Participants to be Served: Street Address: City: Miami Zip Code: Phone Number: ❑ YES ❑ NO Days of Operation: ElAfter-school Only ❑ Year -Round Program Fax Number: Hours of Operation: Start Date: From age (in years): Estimated Numbers to be Served by Population Tye (total should equal total number listed above): Children with Disabilities At -Risk Participants I City of Miami Parks and Recreation End Date: Up to age (in years): General Population 2/28/2005 Page 14 of 53 The Children's Trust Goals Worksheet A. w_�ax_�a:�� Multiple Site Instructions: If different service delivery sites have varying program goals, outcomes or activities, list each one on a separate line and note the sites to which each applies. If all sites follow the same goals, outcomes and activities, there is no need to reference specific sites on this worksheet_ GOALS are statements of purpose or specific aims, outlining what the program expects to accomplish in broad terms 1. Staff and families interact with each other in positive ways 2. Staff and children interact with each other in positive ways 3 Children will improve social skills 4 The program's indoor space meets the needs of children and youth City of Miami Parks and Recreation OUTCOMES are the realistic, measurable expected ACTIVITIES are what the staff will actually do for, to changes and benefits for the people served as a result of or with participants to achieve the outcomes. program participation List/name activities briefly in this column, as they will be described in more detail in a later section. Required Program Components are noted below. 1. 90% of families will rate interactions between staff/parents satisfactorily. 2. 90% of children will rate interactions between staff/children satisfactorily. 3. 90% of children attending regularly will demonstrate appropriate or improvement of inappropriate social skills. Best Practices, Life Skills Life Skills Life Skills 4. The indoor space allows children and youth to 'Indoor Program Requirement take initiative and explore their interests, as rated by NSACA standards. 2/28/2005 Page 17 of 53 The Children's Trust GOALS are statements of purpose or specific aims, outlining what the program expects to accomplish in broad terms 5. The outdoor play area meets the needs of children and youth 6 Children will increase the amount of reading 7 Children will improve physical functioning 8. Youth will remain safe 9. Children will be carefully supervised to maintain safety City of Miami Parks and Recreation Goals Worksheet OUTCOMES are the realistic, measurable expected ACTIVITIES are what the staff will actually do for, to changes and benefits for the people served as a result of or with participants to achieve the outcomes. program participation List/name activities briefly in this column, as they will be described in more detail in a later section. Required Program Components are noted below. 5. The outdoor play area and equipment allows children and youth to be independent and creative, as rated by NSACA standards. Outdoor Program Requirement 6. 90% of children will participate in a.variety of Reading for Recreation, Homework engaging reading and academic activities tailored to Assistance, Mathematics appropriate age and ability levels 7. 90% of children who attend regularly will have the Physical Fitness, Recreation opportunity to join physical activities that increase their strength, endurance and/or flexibility 8. 100% of children will not experience a serious Participant Supervision/Safety, Water injury (requiring emergency room attention) or Safety abuse while participating in program 9. 100% of children will be documented when they Participant Supervision/Safety arrive, when they leave, and with whom they leave. 1 2/28/2005 Page 18 of 53 The Children's Trust Goals Worksheet GOALS are statements of purpose or specific aims, outlining what the program expects to accomplish in broad terms OUTCOMES are the realistic, measurable expected ACTIVITIES are what the staff will actually do for, to changes and benefits for the people served as a result of or with participants to achieve the outcomes. program participation Listlname activities briefly in this column, as they will be described in more detail in a later section. Required Program Components are noted below. 10. Lunch and snacks served will meet the 10. 100% of children will be offered appropriate nutritional needs of children lunches and snacks that meet USDA guidelines. 11. The individual needs of children and youth are addressed with relevant links to the community Nutrition 11. 100% of children will be assessed at beginning Referrals, Cultural Arts, Science of the program with activities developed to meet the individual needs of each child through linkages with other community partners 12. Children and families needs are 12. Children and families are referred and/or linked Children and Family Outreach and Adult addressed and linked to resource providers to services in the community, as needed. Literacy in the community. City of Miami Parks and Recreation 2/28/2005 Page 19 of 53 The Children`s Trust Grant Application Forms Multiple Site Instructions: If different service delivery sites have varying outcome measures, list each one on a separate line and note the sites to which each applies. If all sites collect the same outcome measures, there is no need to reference specific sites on this worksheet. Outcomes Worksheet OUTCOMES are the realistic, measurable expected changes and INDICATOR MEASUREMENTS are the tools, tests and measures DATA SOURCES & METHODS indicate where and how TIME OF MEASUREMENTS indicates when measures will be STAFF position responsible for the benefits for the people served as a result of program participation and that will be used to specify the evidence to be collected to information will be collected (e.g., observations'by staff, school obtained (e.g., every 3 months, at program completion, 6 weeks after collection of each indicator measure should be related to the described population characteristics and risks measure how well a program is achieving its outcomes (Attach system data, self -report surveys, etc.), managed, stored and the program, etc.) & WITH WHOM indicates who will complete each (this column will be automatically filled with the outcomes listed on the Goals Worksheet) copies of the proposed measures in the Supporting Documents section, in the order indicated in analyzed measure (e.g., parent, child, teacher, staff, etc.) . Table of Contents) 1. 90% of families will rate Parent Satisfaction Surveys Self Administered (self -report Completed by the parent three Park Manager will collect interactions between staff/parents surveys)_ Each will be collected months into the program and every surveys and present to satisfactorily. and analyzed by the Program three months, thereafter. the Program Evaluator. Evaluator. City of Miami Parks and Recreation 2/26/2005 Page 20 of 53 The Children's Trust Grant Application Forms Outcomes Worksheet OUTCOMES are the realistic, measurable expected changes and benefits for the people served as a result of program participation and should be related to the described population characteristics and risks (this column will be automatically filled with the outcomes listed on the Goals Worksheet) INDICATOR MEASUREMENTS are the tools, tests and measures that will be used to specify the evidence to be collected to measure how well a program is achieving its outcomes (Attach copies of the proposed measures in the Supporting Documents section, in the order indicated in Table of Contents) DATA SOURCES & METHODS indicate where and how information will be collected (e.g., observations by staff, school system data, self -report surveys, etc.), managed, stored and analyzed TIME OF MEASUREMENTS indicates when measures will be obtained (e.g., every 3 months, at program completion, 6 weeks after the program, etc.) & WITH WHOM indicates who will complete each measure (e.g_, parent, child, teacher, staff, etc.) l STAFF position responsible for the collection of each indicator measure 2. 90% of children will rate interactions between staff/children satisfactorily. 1. Child Satisfaction Survey 2. Youth Satisfaction Survey Self Administered for children 6 years and older (self -report surveys). Park Manager will assist children under 6 years of age. Each will be collected and analyzed by the Program. Evaluator. Completed three months into the program and every three months, thereafter. Park Manager will collect surveys and present to the Program Evaluator. 3. 90% of children attending regularly will demonstrate appropriate or improvement of inappropriate social skills. M1 Social Competence M3 Survey for Prosocial Behaviors of Children Teacher and Park Manager Observation Group administered during the course of the Program in November and May Park Manager or Certified Teacher with copies to Evaluator 4. The indoor space allows children and youth to take initiative and explore their interests, as rated by NSACA standards. NAA Observation of Indoor Environment Rating Tool Observation of indoor setting qualities and characteristics Pre-program inspection during or prior to first week of operation and quarterly thereafter. Evaluator City of Miami Parks and Recreation 2/28/2005 Page 21 of 53 The Children's Trust Grant Application Forms OUTCOMES are the realistic, measurable expected changes and benefits for the people served as a result of program participation and should be related to the described population characteristics and risks (this column will be automatically filed with the outcomes listed on the Goals Worksheet) 5. The outdoor play area and equipment allows children and youth to be independent and creative, as rated by NSACA standards. 6. 90% of children will participate in a variety of engaging reading and academic activities tailored to appropriate age and ability levels Outcomes Worksheet 7. 90% of children who attend regularly will have the opportunity to join physical activities that increase their strength, endurance and/or flexibility INDICATOR MEASUREMENTS are the tools, tests and measures that will be used to specify the evidence to be collected to measure how well a program is achieving its outcomes (Attach copies of the proposed measures in the Supporting Documents section, in the order indicated in Table of Contents) NAA Observation of Outdoor Environment Rating Tool Reading Interest Survey, Reflections from teachers and children on monthly theme projects will include reports on time spent on reading and types of reading activities. Physical Fitness Tool Adapted from the President's Challenge DATA SOURCES & METHODS indicate where and how information will be collected (e.g., observations by staff, school system data, self -report surveys, etc.), managed, stored and analyzed Observation of outdoor setting qualities and characteristics TIME OF MEASUREMENTS indicates when measures will be obtained (e.g., every 3 months, at program completion, 6 weeks after the program, etc.) & WITH WHOM indicates who will complete each measure (e.g., parent, child, teacher, staff, etc.) Pre-program inspection during or prior to first week of operation and quarterly thereafter. STAFF position responsible for the collection of each indicator measure Evaluator Reading Interest Surveys will be administered by Certified Teachers. Reflections on Monthly theme projects will be collected, managed, and stored by Certified Teachers. Reflections will be analyzed by Educational Consultant. Reading Interest Survey will be collected at program enrollment/intake and at program conclusion or termination. Administered by Teacher individually and in groups. Results will be calculated at the beginning and end of the program. Teacher Performed with copies to Program Evaluator Individual child evaluation Pre -test at program enrollment/intake and post-test at program conclusion or termination. Assessed individually and in group settings Certified Physical Education Teacher with copies to Evaluator City of Miami Parks and Recreation 2/28/2005 Page 22 of 53 The Chtldren's Trust Grant Application Forms Outcomes 3 'crorksheet ITCOMES are the realistic, !asurable expected changes and refits for the people served as a ;ult of program participation and )uld be related to the described 3ulation characteristics and risks is column will be automatically :d with the outcomes listed on Goals Worksheet) INDICATOR MEASUREMENTS are the tools, tests and measures that will be used to specify the evidence to be .collected to measure how well a program is achieving its outcomes (Attach copies of the proposed measures in the Supporting Documents section, in the order indicated in Table of Contents) DATA SOURCES & METHODS indicate where and how information will be collected (e.g., observations by staff, school system data, self -report surveys, etc.), managed, stored and analyzed TIME OF MEASUREMENTS indicates when measures will be obtained (e.g., every 3 months, at program completion, 6 weeks after the program, etc.) & WITH WHOM indicates who will complete each measure (e.g., parent, child, teacher, staff, etc.) STAFF position responsible for the collection of each indicator measure 100% of children will not aerience a serious injury quiring emergency room ention) or abuse while rticipating in program 1. Incident/Accident Reports 2. Staff Background Checks 3. Drug Screening Test 4. Staff Training Certificates 1. Completed by supervisory and administrative staff 2. Miami Police Department 3. Contracted Medical Services as part of pre -employment 4. CPR and First Aide Certification Trainings 1. Incident/Accident Reports ongoing as needed and kept in park files. 2. Background checks completed before hiring of staff and start of program. 3. Drug screenings completed prior to hiring of staff and program start. 4. Staff Training Certificates to be included in personnel files_ Park Manager Miami Police Dept. Human Resources Dept. Evaluator 100% of children will be ;umented when they arrive, en they leave, and with whom y leave. Program Sign -in and Sign -out Form Authorized person to sign in and sign out participant while observed by staff. Upon ai-iival and departure of participant City of Miami Parks and Recreation Park Man- The Children's Trust Grant Application Forms Outcomes Worksheet COMES are the realistic, curable expected changes and fits for the people served as a t of program participation and Id be related to the described lation characteristics and risks column will be automatically with the outcomes listed on foals Worksheet) INDICATOR MEASUREMENTS are the tools, tests and measures that will be used to specify the evidence to be collected to measure how well a program is achieving its outcomes (Attach - copies of the proposed measures in the Supporting Documents section, in the order indicated in - Table of Contents) • DATA SOURCES & METHODS indicate where and how information will be collected (e.g., observations by staff, school system data, self -report surveys, etc.), managed, stored and analyzed • TIME OF MEASUREMENTS indicates when measures will be obtained (e.g., every 3 months, at program completion, 6 weeks after the program, etc.) & WITH WHOM indicates who will complete each measure (e.g., parent, child, teacher, staff, etc.) STAFF position responsible for the collection of each indicator measure 00% of children will be offered 1. Attendance Rosters 1. Park Manager/Group Leader 1-2 Snacks / Meals are provided to Park Manager , Program )priate lunches and snacks 2. Monthly Summary from Food Observation via approved children on a daily basis. Manager, and Evaluator neet USDA guidelines. Provider attendance records 2. Greater Miami Caterering reporting forms. Attendance is updated on a daily basis. Greater Miami Catering Provided rosters of food delivered to each park. Vendor monthly summary delivered to agency. )0% of children will be 1. Participant Activity 1. Individual child evaluation 1. Pre -Tests at program Park Manager and ;sad at beginning of the Questionaire •2. Registration 2. Parent intake enrollment/intake 2. Individual on Evaluator am with activities developed to Form 3. M1 3. Staff observation site by park staff/Park Manager 3. the individual needs of each & M3 Social Competence 4-5. Individual child evaluation Group administered individual through linkages with other 4. Reading Interest Survey _ assessment. 4-5. Group unity partners 5. President's Challenge Assessments administered individual child assessment City of Miami Parks and Recreation 2/28/2005 Page 24 of 53 The Children's Trust Grant Application Forms JTCOMES are the realistic, :asurable expected changes and nefits for the people served as a stilt of program participation and Auld be related to the described Dulation characteristics and risks is column will be automatically !d with the outcomes listed on Goals Worksheet) Children and families are . rred and/or linked to services in community,as needed. Outcomes Worksheet INDICATOR MEASUREMENTS are the tools, tests and measures that will be used to specify the evidence to be collected to measure how well a program is achieving its outcomes (Attach copies of the proposed measures in the Supporting Documents section, in the order indicated in Table of Conterjts) DATA SOURCES & METHODS indicate where and how information will be collected (e.g., observations by staff, school system data, self -report surveys, etc.), managed, stored and analyzed TIME OF MEASUREMENTS indicates when measures will be obtained (e.g.i, every 3 months, at program completion, 6 weeks after the program, etc.) & WITH WHOM indicates who will complete each measure. (e.g., parent, child, teacher, staff, etc.) STAFF position responsible for the collection of each indicator measure Referral Logs Referral Forms Staff observation of child's needs and/or parental request. Referral documentation forms completed as needed and Referral Log maintained on -going to track follow-up. Park Manager/Youth-At- Risk Coordinator and Evaluator City of Miami Parks and Recreation 2/28/2005 Page 25 of 53 The Children's Trust Grant Application Forms Multiple Site Instruction s: If different service delivery sites have varying activity component s this should be noted within the Goals worksheet, and will automatica ily show up in the Activities column below. ACTIVITIES are what the program staff will actually do for, to or with participants (e.q Activities Descriptions NUMBER expected to receive each activity ACTIVITY DESCRIPTION includes the details for each program activity, including the approach or model being used (referencing evidence-based/best practices when applicable), how the activity will be provided in an engaging manner, the materials to be used, how materials will be selected, and how participants will be assessed to ensure activities are tailored to the appropriate ability levels. Activities should include all required components stated within the bid solicitation. Rows will expand with text to allow sufficient space to describe all activities. ATTACH a Schedule of Daily Activities (and Field Trips if applicable) that details when activities will be conducted. Include document(s) in the Supporting Documents section, in order indicated by Table of Contents. City of Miami Parks and Recreation 2/28/2005 Page 26 of 53 The Children`s Trust Grant Application Forms ACTIVITIES are what the program staff will actually do for, to or with participants (e.g-. Life Skills Indoor Program Requiremen Outdoor Program Requiremen Reading for Recreation, Homework Assistance, Mathematic s NUMBER expected to receive - each activity Activities Descriptions ACTIVITY DESCRIPTION includes the details for each program activity, including the approach or model being used (referencing evidence-based/best practices when applicable), how the activity will be provided in an engaging manner, the materials to be used; how materials will be selected, and how participants will be assessed to ensure activities are tailored to the appropriate ability levels. Activities should include all required components stated within the bid solicitation. Rows will expand with text to allow sufficient space to describe MI activities, ATTACH a Schedule of Daily Activities (and Field Trips if applicable) that details when activities will be conducted. Include document(s) in the Supporting Documents section, in order indicated by Table of Contents. Life Skills: A specialist will conduct training for City of Miami Parks staff, teachers, and students on conflict resolution, anger management, leadership, problem solving, and respect. The goal is to have risky behavior addressed promptly and effectively to insure that children's self-esteem and the ability to communicate well with others are increased. Workshops for parents and family members will give 350 them an opportunity to learn how to best deal with problems children face and develop their interpersonal skills. L.A.'s BEST model focuses on "allowing children to have a safe place to express and to work with their emotion...through self-esteem activities, open-ended questions, and analysis of conflict situations." The ongoing development oflifeskills will be noticed in every component of the Out -Of -School Time Program. Heart of Our Parks also complies with the National After School Association (NAA) standards and 350 the National Institute on Out -of -School Time (NIOST) recommendations for non -school programs. Heart of Our Parks also complies with the National After School Association (NAA) standards and 350 the National Institute on Out -of -School Time (NIOST) recommendations for non -school programs. Reading and Math - Students will participate in enrichment activities that will involve reading, math, social studies, and science skills. Each park will have a curriculum developed based upon the needs of the students and community. The curriculum will include experiences such as dramatic expression, role playing, research projects, educational games, and community service activities. 350 The theme related projects will be integrated with the work of the different componets of the program, so as to assure cohesiveness in programming services_ City of Miami Parks and Recreation 2/28/2005 Page 28 of 53 The Children`s Trust Grant Application Forms Activities Descriptions ACTIVITIES are what the program staff will actually do for, to or with participants (e•q•, Physical Fitness, Recreation Participant Supervision/ NUMBER expected to receive each activity ACTIVITY DESCRIPTION includes the details for each program activity, including the approach or model being used (referencing evidence-based/best practices when applicable), how the activity will be provided in an engaging manner, the materials to be used, how materials will be selected, and how participants will be assessed to ensure activities are tailored to the appropriate ability levels. Activities should include all required components stated within the bid solicitation. Rows will expand with text to allow sufficient space to describe all activities. ATTACH a Schedule of Daily Activities (and Field Trips if applicable) that details when activities will be conducted. Include document(s) in the Supporting Documents section, in order indicated by Table of Contents. Homework Assistance: Students will complete their homework when they arrive at the park, before continuing to other activities. Assistance will be available from the Certified Teacher on all subjects as needed. Our recreation programming includes aerobic activities, indoor/outdoor games, organized sports, leagues, and tournaments (best practice). These activities allow for student choice, while helping reduce the obesity epidemic, following the L.A.'s BEST model. Certified Physical Education Teachers will follow the Presidential Fitness format. Students will be evaluated at the beginning, 350 middle, and end of the program to determine improvements in physical fitness. Activities include jump rope test, run and walk race, and relay race. Sportsmanship will be emphasized. Field trips on teacher workdays to educational locales, musical events, performing and visual arts, sports events, and recreational and holiday special events with a focus on family and community involvement 350 The American Red Cross provides Learn -To -Swim classes and water safety instruction. Participant Supervision/ Safety Nutrition 350 350 Program requires all staff to have current certification in CPR/First Aide. Background checks and drug screening is a prerequite to employment with the City of Miami. Participants will wear program identifiable T-Shirts while attending the program and during field trips. Students will receive nutritious snacks, plus education in healthy eating habits. City of Miami Parks and Recreation 2/28/2005 Page 29 of 53 The Children's Trust Grant Application Forms ACTIVITIES are what the program staff will actually do for, to or with participants (e.g., Referrals, Cultural Arts, Science Activities Descriptions NUMBER expected to receive each activity 350+ Family Members Children and Family Outreach and Adult Literacy ACTIVITY DESCRIPTION includes the details for each program activity, including the approach or model being used (referencing evidence-based/best practices when applicable), how the activity will be provided in an engaging manner, the materials to be used, how materials will be selected, and how participants will Vie assessedito ensure activities are tailored to the appropriate ability levels.- Activities should include all required components stated within the bid solicitation_ Rows will expand with text to allow sufficient space to describe all activities. ATTACH a Schedule of Daily Activities (and Field Trips if applicable) that details when activities wilt be conducted. Include document(s) in the Supporting Documents section, in order indicated by Table of Contents. Our collaboration with Arts for Learning enhances cultural development by bringing visual and performing arts to the children. Children will participate in twice -weekly classes at the parks. The Arts Program Manager will coordinate activities of all the Artists and Artist Assistants. Visual art programs will concentrate on exploring visual media to interpret and communicate individual perceptions of nature. In dance classes, children will learn about safe techniques for warming up and strengthening the body, learn basic dance steps and practice creative movement. Like L_A.'s BEST, students will have an opportunity to participate in a year-end Dramatic Production, Talent Show and Art Fair. The Miami Museum of Science & Planetarium (the Museum) draws upon decades of experience in science enrichment programming and youth development. The YES Coordinator will oversee program implementation at all park sites. The Museum will 1) build the capacity of City Parks staff to deliver integrated after -school programming in the areas of reading, mathematics and science; 2) develop a cadre of youth and college mentors (best practice) to provide technical support, direct service, and serve as role models to students; and 3) deliver Wildlife Outreach demonstrations at each park, providing opportunities for children to interact with live animals, and 4) enrich participant and family member experiences through an ongoing series of Family Days hosted at the Museum on Saturdays. The American Red Cross provides Learn -To -Swim classes and water safety instruction. 350+ Parents and Family Members Students and their family members will have access to a minimum of three computers and the Internet through a DSL connection at each park site. Students will have access to Riverdeep software (interactive instruction in reading, math and science) by logging in with their student 1D. Future programming will include a technology education component and Citywide e-parks initiative. Children and Parents will be referred to resource provider agencies' as needed or requested. Through collaborating with the Miami -Dade Public Schools Adult Education Department we will provide programs for Adult Literacy, Workforce Readiness, Citizenship Classes, ESOL and GED Preparation classes. City of Miami Parks and Recreation 2/28/2005 Page 30 of 53 The Children's Trust Grant Activities Descriptions P►ppncauon rorms ACTIVITIES are what the program staff will actually do for, to or with participants (_eg, NUMBER expected to receive each activity 350 ACTIVITY DESCRIPTION includes the details for each program activity, including the approach or model being used (referencing evidence-based/best practices when applicable), how the activity will be provided in an engaging manner, the materials to be used, how materials will be selected, and how participants will be assessed to ensure activities are tailored to the appropriate ability levels.- Activities should include all required components stated within the bid solicitation. Rows will expand with text to allow sufficient space to describe all activities. ATTACH a Schedule of Daily Activities (and Field Trips if applicable) that details when activities will be conducted. Include document(s) in the Supporting Documents section, in order indicated by Table of Contents. The best practice model to be replicated is L.A.'s BEST (Los Angeles' Better Educated Students for Tomorrow). This innovative program was created to address the rise in gangs, dropouts and drug use during the critical after school hours. The philosophy of L.A.'s BEST is to approach vulnerable youth as "resources to be developed rather than problems to be solved." The program focuses on daily enrichment activities including Reading for Recreation , homework assistance, theater and visual arts, science and computer activities, sports and field trips. Best Practices, Life Skills L.A.'s BEST has received recognition for excellence from the Carnegie Corporation, U.S Conference of Mayors, the National League of Cities, the Children's Defense. Fund, CNN, CBS, and the Christian Science Monitor, ' mong others. Established in 1988, L.A.'s BEST also was a model for 1997 state and federal Iegislatioi for after school programs_ L.A.'s BEST provides an online implementation manual with comprehensive information on replicating their programming and tools to measure, among other things, program fidelity and parent satisfaction. City of Miami Parks and Recreation 2/28/2005 Page 27 of 53 The Children's Trust # ____ Process Worksheet Multiple Site Instructions: If different service delivery sites have varying activity components this should be noted within the Goals worksheet, and will automatically show up in the Activities column below. ACTIVITIES are what the program INPUTS & RESOURCES required to PLANNED PLANNED PLANNED OUTPUTS are the direct staff will actually do for, to or with fully accomplish activities and FREQUENCY of INTENSITY of DURATION products and evidence of participants (e.g., providing events, interventions, etc_) to achieve each outcome for program participants (this column will automatically be filled by the activities listed on the outcomes, including staffing (i.e., responsible parties) and other financial, organizational, and community resources (e.g., training, space, equipment, etc.), as should be reflected how often the activity will be delivered (e.g., daily, once a week, 3 times a how long each activity session will last (e.g., 15 minute check -in, 2 hour class, includes the total time frame within which participants will be involved in the service delivery and the work of the program, including the volume of work accomplished (i.e., # participants, attendance, # classes offered, # brochures Goals Worksheet) within the program budget year, etc.) etc.) activity (e.g.,1- time only. 6 weeks, all school year) distributed, etc.) Best Practices, Life Skills Staff will be trained by the Program Manager at a mandatory Program Prior to the -start of the program 4 hrs . 1 time This is a 4-hour training session for full-time Park Training Workshop prior to the start of the Program. Ail forms used in the program, policies and procedures, components descriptions and expectations will be included in the training. Conflict Resolution Training will be included in the workshop, as well as at each of the park sites. Managers and Recreation Specialist Park Managers will train their part-time staff. Sixty - eight Policy and Procedures Manuals and notebooks will be distributed to all staff. City of Miami Parks and Recreation 2/28/2005 Page 31 of 53 The Children's Trust Process Worksheet ACTIVITIES are what the program staff will actually do for, to or with participants (e.g., providing events, interventions, etc.) to achieve each outcome for program participants (this column will automatically be filled by the activities listed on the Goals Worksheet) INPUTS & RESOURCES required to fully accomplish activities and outcomes, including staffing (i.e., responsible parties) and other financial, organizational, and community resources (e.g., training, space, equipment, etc.), as should be reflected within the program budget PLANNED FREQUENCY of how often the activity will be delivered (e.g., daily, once a week, 3 times a year, etc.) PLANNED INTENSITY of how long each activity session will last (e.g., 15 minute check -in, 2 hour class, etc.) PLANNED DURATION includes the total time frame within which participants will be involved in the activity (e.g_,1- time only, 6 weeks, all school OUTPUTS an products and service deliver the program, i volume of wor (i.e_, # particip # classes offe distributed, et( Life Skills Park Manager, Teachers, Staff, Parks Department Youth At -Risk Coordinator: Social skills development is a process of learning to cooperate with others, learning to share, being a good sport, learning to communicate with others, etc_ These are skills that are developed throughout the day in all components of the program. Daily 30-55 mins each component All year Pre- and Post using M1 Soci and M2 Surve Behaviors of ( Park Manager Certified teact observe stude IAA Observal Environment F Indoor Program Requirement Participant supervision and adherence to safety standards Daily Throughout the day All year City of Miami Parks and Recreation the direct evidence of ry and the work of ncluding the k accomplished ants, attendance, red, # brochures Assessments al Competence y for Prosocial hildren. The PE Teacher, er and staff will nts daily. ion of Indoor ating Tool 2/28/2005 Page32of53 The Children's Trust • Process Worksheet ACTIVITIES are what the program INPUTS & RESOURCES required to PLANNED PLANNED PLANNED OUTPUTS are the direct staff will actually do for, to or with fully accomplish activities and FREQUENCY of INTENSITrof DURATION products and evidence of participants (e.g., providing events, interventions, etc.) to achieve each outcome for program participants (this column will automatically be filled by the activities listed on the outcomes, including staffing (i.e., responsible parties) and other financial, organizational, and community resources (e.g., training, space, equipment, etc.), as should be reflected how often the activity will be delivered (e.g., daily, once a week, 3 times a how long each activity session will last (e.g., 15 minute check -in, 2 hour class, includes the total time frame within which participants will be involved in the service delivery and the work c the program, including the volume of work accomplished (i.e., # participants, attendance # classes offered, # brochures Goals Worksheet) within the program budget year, etc.) etc.) activity (e.g.,1- time only, 6 weeks, all school year) distributed, etc.) Outdoor Program Requirement Park Manager, Park Staff, Certified Daily with All day All year, Feld _ _ 350 Participants will enjoy Teacher, Museum of Science, Education -Based Field Trips. • scheduled field trips and community events trips will be scheduled during winter and spring breaks, teacher workdays and once a week during the summer. education -based field trips one a week during the 9-week summer program, 5 teacher workdays, and once a week during the winter and spring breaks_ 350 Participants and ul to 3 Parents and Siblings will enjoy a family day at the Museum of Science. They will be accompanied by Park Manager, Group Leaders and Support Staff on a 1 : 10 ratio. Transportation will be a 66- person bus approved by the MDCPS. City of Miami Parks and Recreation 2/28/2005 Page 33 of 53 The Children's Trust • Process Worksheet ACTIVITIES are what the program INPUTS & RESOURCES required to PLANNED PLANNED PLANNED OUTPUTS are the direct staff will actually do for, to or with fully accomplish activities and FREQUENCY of INTENSITY of DURATION products and evidence of participants (e.g., providing events, interventions, etc) to achieve each outcome for program participants (this column will automatically be filled by the activities listed on the outcomes, including staffing (i.e., . responsible parties) and other financial, organizational, and community resources (e.g., training, space, equipment, etc.), as should be reflected how often the activity will be delivered (e.g., daily, once a week, 3 times a how long each activity session will last (e.g., 15 minute check -in, 2 hour class, includes the total time frame within which participants will be involved in the service delivery and the work of the program, including the volume of work accomplished (i.e_, # participants, attendance, # classes offered, # brochures Goals Worksheet) within the program budget year, etc.) etc.) activity (e.g_,1- time only, 6 weeks, all school year) distributed, etc.) Reading for Recreation, Homework Certified Teacher and staff support Daily 55 minutes for Throughout the Certified Teachers will conduct Assistance, Mathematics l l each group . year 2 classes daily 4 days a week for 350 students in - Reading/M athematic slHomewo rk Assistance. Educational Materials related to theme projects will be used by students to make learning fun. Teachers will be assisted by support staff. Physical Fitness, Recreation PE Teacher, Coaches, Support Staff Daily 30-minutes ' instruction 60 minutes physical activity for each group All year PE Teachers develop curriculum. Daily/weekly plans with program manuals by seasonal sport. Physical Fitness and Nutrition Education Curriculum will be developed by, the PE Teacher. The P.E. Teachers at each park will teach the Nutrition Component. - Various sports equipment and assessment tools will be used, as well as books, posters, magazines and art materials. Support staff will assist. City of Miami Parks and Recreation 2/28/2005 Page 34 of 53 The Chiidren's Trust Process Worksheet ACTIVITIES are what the program staff will actually do for, to or with participants (e.g., providing events, interventions, etc.) to achieve each outcome for program participants (this column will automatically be filled by the activities fisted on the Goals Worksheet) INPUTS & RESOURCES required to fully accomplish activities and outcomes, including staffing (i.e., responsible parties) and other financial, organizational, and community resources (e.g., training, space, equipment, etc.), as should be reflected within the program budget • PLANNED FREQUENCY of how often the activity will be delivered (e.g., daily, once a week, 3 times a year, etc.) PLANNED INTENSITY of how long each activity session will last (e.g., 15 minute check -in, 2 hour class, etc.) PLANNED DURATION includes the total time frame within which participants will be involved in the activity (e.g.,1- time only, 6 weeks, all school year) OUTPUTS are the direc products and evidence c service delivery and the the program, including tl volume of work accomp. (Le., # participants, atter # classes offered, # broc distributed, etc.) Participant Supervision/Safety, Water Safety Life Guards, Water Safety instructors, Staff. Once a week for each park - 55 minutes 10-week course __ 200 youth will be transpc bus, approved by MDCF participate in our Learn-. Swim program. 3 Life G and 6 Water Safety Insti will teach participants he swim in 10 weeks. Partic who successfully complc program will receive certificates. Participant Supervision/Safety Program Identifiable T-Shirts for Park Manager, Staff, Parents, Participants. Daily All day Thrroughout the year 350 participants will be c supervised by Park Man and staff. The participai be issued 4 program T-: for easy identificantion b Staff will carry Walkie-T; when out on the field for safety. City of Miami Parks and Recreation work of ie lished dance, :hures rted by S to o- �ards uctors w to ipants ate the losely ager its will ihirts y staff. ikies added 2/28/2005 Page 35 of 53 The Children's Trust Process Worksheet M. ACTIVITIES are what the program INPUTS & RESOURCES required to PLANNED PLANNED PLANNED OUTPUTS are the direct staff will actually do for, to or with fully accomplish activities and FREQUENCY of INTENSITY of DURATION products and evidence of participants (e.g_, providing events, interventions, etc.) to achieve each outcome for program participants (this column will automatically be filled by the activities listed on the outcomes, including staffing (i.e., responsible parties) and other financial, organizational, and community resources (e.g., training, space, equipment, etc.), as should be reflected how often the activity will be delivered (e.g_, daily, once a week, 3 times a how long each activity session will last (e.g., 15 minute check -in, 2 hour class, includes the total time frame within which participants will be involved in the service delivery and the work of the program, including the volume of work accomplished (i.e_, # participants, attendance, # classes offered, # brochures Goals Worksheet) within the program budget - year, etc.) etc.) activity (e.g.,1- time only, 6 weeks, all school yeaft distributed, etc.) Nutrition Park Manager and Staff will serve Lunch is served 60 minutes and All year Lunches will be served at 12__ lunches and snacks. Certified Teacher and PE teacher will give instruction once a day, snacks are 30 minutes noon and snacks will be served at 3 to 4 pm each day. related to nutrition education. served once a day and instruction will be 30 minutes each two times - Children will wash their hands before eating and the teachers will give instruction regarding healthy eating habits. Posters, magazines, books and art a week - - supplies will be used to make learning about healthy lifestyles a fun -filled experience. Teachers will be assisted by Support Staff. Referrals, Cultural Arts, Science Arts for Learning and the Museum of Each is Two 60 minutes All year Teacher and Mentor, and all Science have collaborated with the parks to provide the fun learning modules about science and visual and performing art. scheduled two days per week classes per day supplies are provided per contractual agreement. City of Miami Parks and Recreation 2/28/2005 Page 36 of 53 The Chiidren's Trust .• ACTIVITIES are what the program staff will actually do for, to or with participants (e.g., providing events, interventions, etc.) to achieve each outcome for program participants (this column will automatically be filled by the activities listed on the Goals Worksheet) Children and Family Outreach and Adult Literacy INPUTS & RESOURCES required to fully accomplish activities and outcomes, including staffing (Le., responsible parties) and other financial, organizational, and community resources (e.g., training, space, equipment, etc.), as should be reflected within the program budget MDCPS Adult Education Teacher, Park Manager, Staff, Teachers. PLANNED FREQUENCY of how often the activity will be delivered (e.g., daily, once a week, 3 times a year, etc.) Once per week PLANNED INTENSITY of how long each activity session will last (e.g., 15 minute check -in, 2 hour class, etc.) PLANNED DURATION includes the total time frame within which participants will be involved in the activity (e.g.,1- time only, 6 weeks, all school year) 60 minutes each Throughout the class year Process Worksheet OUTPUTS are the direct products and evidence of service delivery and the work of the program, including the volume of work accomplished (Le., # participants, attendance, # classes offered, # brochures distributed, etc.) Parents will have the opportunity to earn their GED, enroll in an Adult Literacy, ESOL, Citizenship or • Workforce Readiness Programs held at the park site and/or at a nearby MDCPS school. We will promote this component via flyers and MDCPS Adult Education Department will provide brochures of classes and location of the classes being offered. City of Miami Parks and Recreation 2/28/2005 Page 37 of 53 The Children's Trust AREApplioation Forms Organization Name: Address: Contact Person: Telephone: B) AGENCY BUDGET City of Miami Department of Parks and Recreation Agency and Program Budget Ardas in Blue to be completed by the Agency 444 SW 2nd Avenue, 8th Floor, Miami, Florida 33130 Pat Quintana 305-416-1326 Agency Fiscal Year Begins: October 1s: Fax: 305-416-2154 E-mail: pquintanaCa�ci.miami.fl.us Agency Source of Funding Funding Grant Period Program Budget Agency Budget The Children's Trust Requested Grant Amount for Program :kJunc 1,2005-May3t,200b''.; 1,200,000.00 Child Development Services Funds 0.00 0.00 0.00' Miami -Dade County Grants(Local) Human Services Coalition 0.00 0.00 0.00 0.00 0.00 0.00 Federal Grams (Specify Source) Dept of Education 0.00 0.00 0.00 . 0.00 0.00 . 0.00 State Grants (Specify Source Dept of Agriculture s`August.2005 Junti2006?. ..0.00 29,610.00 Dept of Education • . °June2005 August 2005 -.. . :0.00 39,270-00- 0.00 Foundations/Charitable Funds (Sped Source _ 0.00 0.00 : 0.00 0.00 0.00 0.00 Cash/Fees/Other Revenue (Sped Source). 0.00 0.00 0.00 0.00 0.00 0.00 In -Kind Contributions Salaries Fringes Etcctric ` une' 1, 2005-'May.31, Junc.1;2005-,May 31;2006=<_:== - _ June, Y, 2005=- May.3l; 2006 :: 0.00 0.00 0.00 416 771.28 112,444.89 153,156.70 Water :. .• -June 14:2005= May:31; 2006::- 0.00 Telephone . Pre -Program Staff Workshop ::<'<:Junc 1,:2005 May31;.2006 ay-05:= 0.00 • - 0.00 70,349.78 7,087 Workshop. Supplies.: Drug Screening -. .. ..,-May-05 :Apr-May:2005 TOTAL BUDGET 0.00 0.00 0.00 S 1,200,000.00 . 0.00 1,080.00 2,160.0(1 0.001 0.00 $831,930.30 C) BUDGET SUMMARY FOR PROPOSED PROJECT/PROGRAM 1CATEGORYREQUESTED AIMIOUNT Personnel.; • 723,797.80 Enter Agency Name in Footer Salaries = DESCRIPTION 2/28/2005 Page 38 of 53 The Children's Trust Fringe Benefits:: _ • Operating 69.846.49 Indirect/Administrative Costs 332,743.20 TOTAL REQUESTED Enter Agency Name in Footer Fringes':_.-". _. .. All Other Coss Agency and Program Budget 73,612.51 $1,200,000.00 2/28/2005 Page 39 of 53 rind_ The Children's Trust Grant Application Forms 06/01 /2005 to 05/31 /2006 kW OF FUNDING SOURCE: .1.ARIES: st Full -Time Employees siliort ojeuMaliagcr n Administrator' rk Manager., Ad nin strator.:., e`Admtniitralor c dtmstlstralor''-: e.Adrnuustrator~ rk Maintenanc4 -SP rk Maintenance -DP rk Maintenance=.AFP; creation Specialist; creation Specialist- ;t Part -Time Employees itTemp enaodoeh -Group oup..Leader oup Leader.: oup Leader: oup' Leader: oup.Leader. pport Staff - pport Staff l3 S. peon Siatrl3s _ ; pport 5taf 135 tight & Gante.Rooms robics/Dance:Coach _- eerleading Coach xer Coach . a Teacher rtified Teache nitiied Teacher' :ility/Pool Maintenance $quare Group Ikea )up Leader !: iitp.Leader spot[ Slatil35 7pcn1 Stott'/ 35 )part Staff/ 35. sport.Sta11f35 -' Name Pat Quinton AdinaDtaz • -Gabrielle Rojas' Tyrone Milers •Manny Pelae;?, Kim Sands .' 'OlindaAlexis ' bertaConzalcz' 'lavabo Carmona Francoeur Aatcuuo FliiunaOfiord Wendall Ward,-. 'Full -Time Total -Z1 vaagelisla Davad Ballets Diego Caro s _ .- . ;`Alex Fernandez _Rosemary Fernandez l;enio Euceda ;.Jennifer Munoz_' _Maul Sardma :4 Suriima A -Summer 3A.- Suir mer. ; asberto Sagi-4 iurami Lopez ekesha Prymus acundo Parada- 2. el H.4' A o. Garcia' ldrtna Mothers.' Micheal Jean Tia Ellis TBA Year.rop TSA Year coon A Year`roun Arsurnmer-- Annual Salary 38;340:43 37,535, 89 Y, 7,535.89 • 45,693.23 59,733;g6 .;.i43;543.76 4,086 82 5,744.80 ,929 30 5,744:.80 7 941.25 ._17 94i;15 416;771.28 1664000 5,460.00 -12, 740.00 '44 740'.00 7 740.00 2 740_00 2,740,00 12 740!)0 740.40 368A0 8 18900 0,374.00 6,000,00 10 400.00 i o.400.00 2 746.00 ..12,740.00 1:2 740,00 12 740:00 2 740,00 ,740.00 740.00 12 months Requested Funding Children's Trust %. Amount 0.00 0.00 0.00 - 0.00 0-00 .. - 0.00 0.00 0.00 0.00 • 0:00 0.0o 16,640.00 5,460,00 12,740.00 l00°rq .12,740.00 12,740.00 100°ra 12,740.00 I00%. 12,740.00 100% 12,74.0.00 •Ji-. 100'(r_ .-iotria...: `:.0,00 ".0.00 ::12,740.00 J. 4,368.00 8:189.00 10,374:00 ':.26,000.00 10,460.00 10,400.00 l00°l`' 127ao-00 100°!a, 12,7.40.00 I00"l„ 12,740.00 00°kf. !2,740.00 12.740.00 '12,740.00 .12,740 00 0.00 Budget Summary for Proposed Pro Areas in Blue to be completed by the Agency Other Funding Requested or Received Amount Amount Amount Matching Funds °o A1rr0unr 0.00 I00% 38,340.43 0.00 .. 100% 37,535.89 0.00 - • -100% • 37,535.89 • 0.00 100% 45 693.23 • 0.00 100% . 59,733.86 .0.00 1100% 43,543.76 0.00 100% 24,086.82 0.00 " 100% 35,744.80 0.00 I: 100'r, ' 22,929.30 0.00 ; 100% 35,744.80 0.00 , 100%. 17,94125 ... 100%. 17 941.25 0.00 12.00 . 416,771.28 0.00 0.00 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 12.00 100% 100% l00% 100% 100%. 100%. 100% 100%, 100'/. 100% 100% 100% 100% 100% 100'/. 100% 100% 100% 100% 100% ' 100% 100% 100% 100% 100% 100% Total Arnoun[ 38,340.43 37,535.89 37,535.89 45,693.23 59,733.86 43.543.76 24 086.82 35,744.80 22,929.30 35,744.80 17,941.25 17,941.25 416,771.28 16,640:00 5,460.00 12,740.00 12,740.00 12,740.00 12,74000 12,740.00 12,740 O0 0.00 0,00 0.00 12,740.00 4,368.00 8,189.00 10,374.00 26,000.00 10,400 00 10,400 00 12,740-00 12,740.00 12,740 00 12.740,00 12.740.00 12,740.00 12,740-00 0.00 Enter Agency Name in Footer 2/28/2005 Panty Aft rtif S'4 The Children's Trust Grant Application Forms PE Teacher' Certified Teacher` Duarte; :Sr. Cionp L Grotty L:caderl. 35 Group.Leaderl.35. Group Leader. / 35' Groupieadei Group Leaded, 3O' Support: Stafi /35; .: Support Staff/ PE Teacher, Certified;Tcacltcr Moore -,Group Lead Group' .Leader GroupLeaderf 35. Group Group Leader-/ 3 5c_;s " Suppoii Staff/ 30 '„ Support _Stafff 3D Support Staf / 30. Support Staff/ 30'. SupPorr Staff'./ 39 Tcnnis:lnstructor ParL.Maintenance,' PE Teachci ::'_i" Certified Teacher._. j Willianir'..tz,ioup L Group Leader /35 r Group Leader/35 CrroupLcrder/35' GroupLeader:./ 35f Support, Staf£L:30 .'_' Support. Staff/ 30: Parke Maintenance PE Teaekier •:3s_. Certified =Teach FRINGE BENEFITS Fica/Mica W.Comp's Unemploy Health Ins. Life Inc. Retirement Other Life/Health Ins City`Paid TOTAL FCEs,SALARIES Cost per Staff Cost per Staff Rate: Specify & provide calculations Rate: Rate: Rate: :_ ..26,000.00 ..10,400.00 s."' 16,380,00 :12,740.00 12,740_00 1.2,740.00 12,740.00 10,920.00 rI00V.'. ,-.2,205.00 :.. 2,205.00 �_;I00°/.';'-.: , :: 26,000.00 100%, 10,400.00 LOOT' 16,380.00 • "12740.00 12,740.00 12,740.00 QO% :..I2,740_00 10,920_00 : _ : 10,920.00 1'00% " `.40,920.00 - ,: 100%' 10,920.00 f00Y. - 0.00 - 16,078,40 • -`26,000.00 l00% ' 14,300.00 30 - 16,3.80A0 12,740.00 12,740.00 '12,740.00 12,740.00 ..0.00 0.00 100Y;.= 16,078.40 26,000.00 _-Ioo^!' '.:10400.00 62.00 ', - 723,797.80 62,00 S723,797.80 55;370.53: 14,475.96. 0.00 0.00 •:0.00 .00 0.00 0.00- .00 S0.00 ,00 0.00 0.00 • 0.00 S0.00 o.00 " o.OD 0-00- : 0.00 :0.00 0.00 .00 Budget Summary for Proposed Pro 50.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 . 0.00 0.00 0.00 12.00 S416,771.28 31,883.00 8,335.43 0.00 0.00 0.00 41,677.13 30,549.33 0.00 0.00 100% 100% I00% 100% I00% 100% 100% 100% 100% 100% 100°4 100% 100% . 100% 100% 100% 100% 100% 100% 100% 100% 100% 100'!. 100% 100% 100% 100%, 100% 100% 10D% I00% l00% 100% 100% 100'/. 100% 26,000.00 .10,400.00 16,380.00 12,740.00 12,740.00 12,740.00 12,740.00 10,920.00 2,205.00 2,205.00 26,000.00 • 10,400.00 16 380.00 12,740.00 12,740.00 1 2,740-00 12,740.00 10,920.00 10,920.00 10,920.00 10,920.00 10,920.00 0-00 16,078.40 26,000.00 14,300.00 • 16,380.00 12,740-00 12 740.00 12740.00 12,740-00 0.00 0.00 16,078.40 26,000.00 10,400.00 62.00 723,797.80 74.00 51,140,569.08 87 253.53 22,811.38 0.00 0.00 0.00 41,677.13 30,549, 33 000 0.00 Enter Agency Name in Footer 2/28/2005 Page 41 of 53 The Children's Trust Grant Application Forms Rate: . TOTAL FRINGE BENEFITS :as in Blue to be completed by the Agency .ME OF FUNDING SOURCE: ERATING EXPENSES: ivel (other than clients) ^ :al mileage, tolls, parking :-of-town tvel (clients) • pass/tokens d trips/Buses/Vans als (clients) cks (after school) sis (full days) CC Annual Cost 569,846.49 Requested Funding Children's Trust Amount 0.00 0.00 ..21,823.20 0.00 0.00 50.00 0.00 50.00 Budget Summary for Proposed Pro 0.00 50.00 Other Funding Requested or Received -' Dentin( Agriculture.; .• Dept of Education'.. Y•' Amount % Amount '/• Amount • 0.00 5112,444.89 Matching Funds 0.00� 5182,291.38 Total �• Amount Y• Amount 0.00 0% . 0.00 0.00 0% 0.00 0.00 0% 0.00 0.00 100% 71,823.20 0-00 100% 39,270.00 0.00 100% 29 610.00 Enter Agency Name in Footer 2/28/2005 Panes 47 of $Z The Chifdren's Trust Grant Application Forms £ease/ltent e-� ,laintenance (water) 7(Q,49 78 Electricity• y i 53 156 70 :ommunications } 7 087,55 ;Apples - )f6ce Supplies 'rogram Supplies 'ri nti ng/reproduct ion ;hipping/Postage Ion -Capital Equipment (<$750) (List each) 0 Tables and 400 Chairs looks: tte Administrative Computer ;otitis'and wireless routers and wireless car. ix Machines rrnters 'hysical Frtness/Spgrts oftware. ` Nalkie Talkies"' ^ - :apitai Equipment (' $750) (List each) 'rolessional Services (List cacti).. 'rogran-Evaluator. •24 589:-00 uts4Learutn S 44... . 1useum of Science 48,473,00 .hake -A -Leg t :duc.4ionConsu1tant ' i 2008000 )thee (Last each) . :ommunity/Family Even ts -:; 54 009.04 '-Shins; 7.poost0 ieI4 Trips r .35 140.00 ' •re-ProgramStaffWQrkshop.' 'orkshop Supplies i 080.00 roil= SiafrBackgrnind.and DrugScreentng': ?' - :160.00 'OTAL OPERATING EXPENSES: .dministrative/Indirect Costs ;an not exceed 10%) 24,589.00 • 44,738.00 68,473.00 0.00 .20,080.00 I00"lo; • 50,000.00 400%.:` .7000.00 100°1. 35,140.00 S332,743.20 -^ -73 612:Si Budget Summary for Proposed Pro - : 0.00 i - , 0.00 ' - 0.00 - 0.00 0,00 0.00 0.00 -. 0.00 's 0.00 0.00 D00 0.00 • 0.00 : .. • 0.00 - 0.00 :-.0.00 .0.00 0.00 0.00' 0.00 0.00 .0.00 0%r.'' . 0.00 0'/• 0.00 0.130 ` . 0%. 0.00 - 0%. j 0.00 0.00 0%: 0.00 0% 0.00 0.00 :0'/.', : 0.00 a: 0% ` • 0.00 0.00 0%.- - 0-00 :', 0% - 0.00 /' 0 00 0 : 0.00 ::_0 4 . 0.00 000 x0%. . 0.00 ; 0/ 0.00 0.00 . 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0°/r . 0.00 0.00 . -1-.1.% :. 0.00 0.00 0•/. 0.00 0.00 -0.a.00 ' 0.00 ' ¢% 0.00 4.0D _ 0.00 $39,270.00 0.00 100/. 70,349.78 100•/. L53,156.70 - 100% 7,087.65 0.00 0.00 0.00 0.00 0%, 0.00 0% 0.00 0%_ 0,00 0% 0.00 0% 0.00 0% 0,00 ` 0% 0.00 0.00 0.00 000 .0% •0.00 0% 0.00 0% 0.00 0% a.00 '0% 0.00 100% ..100% 100% 0.00 0.00 0.00 1,080.00 2,160.00 S29,610.00 S233834.13 0°/. 0.00 100% . 70,349.78 100% 153,156.70 100% 7,087.65 100% 3,000-00 l00% ' -• 15,000.00 100% 2,000.00 100% 500.00 100% 12,000.00 100% 0.00 100% 1,20000 100% 1,000.00 100% 1,500.00 100• 1,200.00 100% 1,500.00 0% . 0.00 0% 0.00 0.00 100% 24,589.00 100% 44,738.00 100% 68,473.00 100% 0.00 100% 20,080.00 100% 50,000-00 100% - 7,000.00 100% 35,140.00 Enter Agency Name in Footer 2/28/2005 Page 43 of 53 The Children's Trust Grant Application Forms Budget Justification 06/01/2005 to 05/31/2006 SALARIES: Position List Full -Time Employees Project Manager Site Administrator Park Manager Pat Quintana Adina Diaz Areas in Blue to be completed by the Agency Name Automat 1/. Detailed Justification for Each Line Item - Gabrielle Rojas Site Administrator Site Administrator Tyrone Miller Site Administrator Site Administrator Park Maintenance -SP Park Maintenance -DP Park Maintenance- AFP Manny Pelaez Kim Sands Olinda Alexis Alberto Gonzalez Jacabo Carmona Francoeur Antonio Recreation Specialist- MP Emma Offord Recreation Specialist- MP List Part -Time Employees Clerk Temp Shenandoah -Group Leader Group Leader Wendell Ward Full -Time Total 38340.43 37535.89 37535.89 45693.23 59733.86 43543.76 24086.82 35744.8 22929.3 35744.8 17941.25 0% Project.Admintstration / Reporting / Oversees Program at Administration Level 0% Site Administration, Scheduleing Personnel, Prepare Reports, Collccl Da(a,..OverseesProgram at Park level 0%Site Administration: Scheduleing Personnel, Prepare Reports;.Collect Data; OverseesProgram at Park level 0%SiteAdmiiustratron, Syhedulcing Personnel, Prepare Reports, Collect Data, Oversees Program at Park level 0°/ Site Admiotstratton` Schcduleing Personnel, Prepare Reports; Collect Data, OverseesProgratn at Park level : 0°/ Si* Adrnirtsuanon;.Setiedulcing.Personnel,'Prepare Reports; Collect Data, OversecsP(ogram at Parklevel -- 0°/ Sue Adminurranon;.Schcduking Personnel, Prepare Reports; Collect Data' OverseesPragrarn at Park level �..------�-_------ 0%Park Grounds Maintenance:.: 0%F Park Grounds Maintenance 17941.25 0.00 Assist.Sitc Administrator 0°/ AssisrrSite Administrator _ . `: 0.00 Z. Evangelista 16640 David Balletti Diego Caro Group Leader Alex Fernandez Group Leader - 1Rosemary Fernandez Group Leader Lenin Euceda Group Leader Support Staff Support Staff/35 Support Staff/35 Jennifer Munoz Raul Sardina 5460 12740 12740 12740 12740 12740 TBA - Summer TBA Summer Support Staff/35 TBA - Summer Weight & Game Rooms Aerobics/Dance Coach Z heedeading Coach Soccer Coach ?E Teacher Norberto Sagre Swami Lopez Nekesha Prymus Facundo Parade Karel Salazar 2ertified Teacher 12740 2205 0 0 12740 436& 8189 10374 26000 Clerk Temp Inputs data answers telephone office procedures, direct link to Site Administrators. Works 40hrs wkly 100?6@58 x52weeks ' 100% Group Leader working-.15 hours 'wkty Qa 57 /ht x 52 weeks ::.. 100% Group. Leader working 35 hours wkly ®`$7 Ihr 1< 52 weeks 100% Group Leader working 35 hours p kly ®S7 /fir x 52 weeks .:. 100% Group Leader. Working 35 hours ® S7 /hr x 52 weeks 100% Soccer:Coach . -35 hrs wkly x S7 /hr x-52 weeks - 100% Group Leader wniking35 hours Y ® $7 /hr x 52 weeks" 100% Group. Leader' working35hours` wkly Q —�-T-- S71hr. x 52 weeks > -• 100% Suppon Staff to Group Leaders:working 35hours wkty.®:S7dhr x 9 weeks 1009' Support Staff to Group f rl.rs working 35hours wkly ®57 /hr- x 9 weeks 100% Support Staff to Group Leaders-working'35hours: wkly Q T7 /hr x 9.weeks 100% Group Leader working 35 hours wkly (a 57 fir x 52 -weeks';'..; 100% Aerobtcs/DDance lnsuuctor works 12 hrs.weekly (a a7 /lu x 52-weeks 100"/ Checrieading Coacti working 17,5 lus-weekly Q $9 hrly.x 52 weeks - 100% Soccer Coach.... 28.5 his wkly'x S7, Ihr x 52 weeks i00%PETeacher for Physical I itncss/Sporls/CoachSktllls Building/Nutrit on.,525/ clays -"— 100% Certified- Teacherfor Math.and Reading 2hrs dailyx 4 days x 52 weeks' 100% Certified Teacher for Math avid Reading 2hrs daily x 4 days x 52 weekse 100% Maintenance Worker;: works 35hr.wkly x 57 hrly;x ST weeks 100%Group Leader working 35 hours: wkly_@ S7 /hr z. 52, weeks 100% Group Leader working35 hours-,wkly i T7 /hr x 52- 100% Group leader workieg'35 hour wkly ®ST/hr x.52- • " 100% Group ieader-workiirg35 hours:: wkly (a) S7 /hrx 52 wee 100% Group Leader working:35 burrs ;wk1y,®57 /hr, x : wee 100%Group Leader working 35 hours"v kiy'1 57 /hrx 5252 .wee 100% Group Leader working35 hours" wily {a� 57 /fir x'9` " TBA .ertitied Teacher =acility/Pool Maintenance A. Square - Group Leader 3roup Leader 3roup Leader support Staff/ 35 TBA Carlos Garcia Yaldrina Matheis Micheal Jean Tia Ellis :10400 10400 12740 12740 12740 12740 TBA - Year round support Staff/ 35 support Staff/ 35 support Staff/ 35 TBA - Year round TBA - 'fear round TBA - Summer 'E Teacher TBA 12740 12740 12740 2205 26000 Credentials -describe staff education training and key experience • 100% PE Teacher for Pttysical'Firness/SPorts/Coach Skitlfs-.Building 525/hr t4his daily x 5 days wkly x 52 wks Enter Agency Name in Footer 2/28/2005 Page 44 of 53 The Children's Trust Grant Application Forms Budget Justification trtified Teacher lane - Sr. Group Leader 'oup Leader/35 oup Leader/ 35 oup 1 earirr 135 oup Leader / 35 oup Leader/ 30 TBA 10400 pport Staff/35 pport Staff/ 35 :_Teacher nailed Teacher )ore - Group Leader oup Leader /35 oup Leader / 35 oup Leader/35 oup Leader/ 35 pport Staff/ 30 pport Staff / 30 pport Staff / 30 Elvira Reyes Joi Wright Denise Lopez Miguel Cisneros 16380 12740 12740 12740 Eusehio Vasquez Ian Wright TBA TBA Carl Prime Martha Sherill Julius Gagni 'Ricky Hudson Tasha Hester 12740 10920 2205 2205 26000 10400 16380 Ditonya Bailey Priscilla Banks Leon Cobbs pport Staff/ 30 pport Staff/ 30 Ina Instructor Kendedrick Simmons Liani Torres -� TBA - Summer Teacher tified Teacher Iliams - Group Leader rup Leader/35 rup Leader /35 nip Leader /35 TBA Anthony Graham Kim Sheriff' Kalvin Kemp Terrence Williams Laroyce Walker rup Leader / 35 Qonsheka Berry port Staff / 30 TBA - Summer port Staff/ 30 TBA - Summer Teacher titled Teacher TBA TOTAL TAL FRINGE BENEFITS 3RATING EXPENSES .' . vcl(ether Man clients) al mileage, tolls, parking -of-town vet (clients) TBA Part -Time Total 12740 100% Certified_Teacher_for Math and Reading 2hrs daily x 4,days.x 52 wee 100%Si,G up Leader'35 hrs weekly.(a�- S911u1 x.S we ks , .y 100% Group jxader working 35 hours 4ly:(41.$7 /hr x:52•weeks 100% Groupi Bader working)5 hours `wkly®.j1 /hr it. 52 yrocks L00°t° group f Baader working 35 hotus;'wkly ®5Tlhr i :52 weeks 100% Group Leader.working 35 hours'.wk1y-0.,$7 AUX. ,Weeks:. 100°/ Group:Leader►yorking 30 hqurrs:;wkly.. 57 lhr.x SZ weeks 100% •-r-e:-.P.P0rt Stairtn.Group leaders;.workmg 5: hours -wily'®$7 /ht x 9 weeks -- I0o°/ Support Staff to Group Leaders. working 35 hours .wkly ® 57 /hr x'9 v eks 100°/ PE_Teaeher' fgFphysical Fitness/Sports/Coach Skrllls'Bulldur;25/i xGhrs dailyx 5 days wily z 52 wks 1 00/ ° CerttriedTeacher for.Math and Reading-'2hrs-daily x 4 days52 weeks' 100°/ Sr..'.Group Leader. working 3$ haius S9. /lir z 52,weeks '' 00 1 Group Leadcr.workrng 35 hours;wkly (¢� $7 /hr x 52weeks i00°/ 12740 C,toup Leader work ng 35 hours .wkl S7/hr x 52-weeks': 12740 100°/ 5 Group Leader working 35 hours wkly.Q S7lttrx32:wegks 12740 100°/ Group Leader working 35. hours wkly.Qa S7./1u ir'52' weeks 10920 100V Support:StafF o Group Leaders Working 30 hours' wily {a� S7 /hr ..52 weeks 0 100/ Su rCStaff G 1 920 ° S pPo , to rou Leaders workE p itg 30 boric.; wkly.®'S7 /hr'ic 52 weeks 10920 100/ SuppatStafrte Group Leaders working 3Q hours :wil:,@ S7/hr 'x•52.Weeks 10920 100% Support StafT_lq Clrnup� eeders wgrkmg 30'hours. ivkly.�.S71tir x 52 weeks 10920 100% Support Staff foGroup-Leaders �working30 hours Ywk1y�(n�'SI Iltr x S2 weeks - . - 0 100°/.will `troutde structured teruru uishuCtutan 'days Q $2S /hdy:x 2 hrs daily Cor 9 weeks - 26000 14300 63$0 100% Ce�ed.Teacher for Math and Reading 2hrs daily x:4 days x 52 weep and 3hrs'on Saturdays x 52 weeks 1100% Sr. Group.Leader:working3$hoursrwkl -t--- y:®;9/ltr-x52 weeks.:; >..--..� _a-.- 100% PF T h .r rorPhysical Flneas/Sports/Coach Sktllls'Butldmg 525/hr x4hrs.daily 12740 100%iQroup Leader working 35 hourg, ivklyQS7Ihrx 52: weeks Y 12740 100% Group Leaderworking 35 hours fivklyr'@a $7 /hrx 52wee ks 12740 100% Group L tadei wotkmg35 hours -'.wily [ 57 lltr 5 - Weeks 12740 100%Group fradsr-worktng 35 hours wily aQ $7. /hr at_52'weeks 0 100% S ipport StafTto Group Leaders. working 30 hours ,wkly (� 57 /br x 9 weeks 0 100% Support Staff to Group Leaders-Working-30 'hpur : wkly (irk $7 /hr. 9weeks 26000 100% PE Teacher for.' Physical Funess/Sports/Coach Skrllls Binldnrg 525/hr x4hFs daily if' 5,days wily x 52 wks 10400 100% Certified Teacher for Math and Reading 2hr¢ daily x 4 days a'32 week., 723,797.80 60 00 S723,797.80 60.00 S69,846.49 0-00 0.00 s:y pass/tokens • 3 trips/BusesfVat rls (clients) :ks (after school) 0.00 Bus transportattok:for 350 partrcipantsdtutng; the summer _ teacher work days and schooll break parents for family day at the 21,823.20 musqutt of$ctenc 0.00" Enter Agency Name in Footer 2/28/2005 pane. 4c of Fit The Children's Trust Grant Application Forms Budget Justification Meals (full days) • Space. 0.00 .. - .. Lease/Rent Maintenance (water) Electricity 0.00 0.00 Communications Supplies 0.00 Office Supplies . Program Supplies 0.00 Printing/reproduction Shipping/Postage =. . . Non -Capital Equipment (4750) (List each) • . 50 Tables and 400 Chairs Books Site Administrative Computer Routrs and wireless routers and wireless cards Fax Machines 3,000.00 Pens; Pencils; Staples; paper clips; copy paper 15.000-00 Jairmals,: writing paper, pencils; crayons; art suppiies-erasers, etc: 2,000.00 Printer arid Fair' ink Cartridges, etc 500.00 Maifings t "Parents; as tt 12,000.00 Tables and chairs for use icipants for various components tif the program 0.00 For Nurritiun Component for'5 parks 1,200 00 (1) administrative computer -at-each-of the two new program siies- Printers Physical Fitness/Sports Equip Software Walkie-Talkies 1,000.00 Sites a 1,500.00 (5)`Fax machines for submitting daily attendance and other records to Program Administrator for data input 1,200 00 (2) laser jet pctntcrs.at.each of the -new program sites. (1) for administrative use and (1) for participant use 20,000 00 Physical Fitness exercise equrpme itsspotfs equipment nets, exercise mats, etc 2,000 00 Software for.the (2) new admmislratrve computers that will be connected to Crty.IT System 1.500.00 Orr Site and dif iile'conimunrcation between staff forsafety measures 6. walkie IzlkiGs @ S50 per set x 5 parks 0 0 0.00 0.00 Professional Services (List each) Program Evaluator Arts4l.earning Museum of Science Shake -A -Leg Education Consultant Other (List each) 0.00 N/C 24 589.00 Program evaluation performed by con[taci for 5 'parks..= 44,738.00 Visual and PerformtngArts for:350'participants contraclual.agreerrtent 68,473.00 Family Component and:Sc.ente " Community/Family Events T•Shirts Field Trips Pre -Program Staff Workshop Workshop Supplies Program Staff Background and TOTAL OPERATING EXPENSES: Administrativeandirect Costs (Can not exceed 10%) TOTAL BUDGET Drug Screening 20,080 00 Education Consulting Services to develop and supervise thetnatie units as provided by contralti 50,000 00 Five Multtfiultural Community Events with amusements garner resource area food area, music tents; etc: 7,000 00 5 T'Shuts each for:350'participants Education Based/physical Fitness Based Field Trip,Sfor 350 participants one day a week duririg the summer and school breaks, and on Teacher work days Miami Ice Arena, Museum of Science Actor's Playh-use Mrccousukee Rcserv:, Cloverleaf Bowling 35,140 00 Ganes, Monkcq Jungle�.Parroi iutigte Seageiartum = {0.00 0,00 0 00 r ;; 5332,743.20 73,612.51 51,200,000.00 Payiol#,-accoiiiitingetG` Enter Agency Name in Footer 2/28/2005 Page 46 of 53 List Part -Time Ern Clerk Temp Shenandoah -Group Group Leader Group Leader Group Leader Group Leader Group Leader Support Staff Support Staff/35 Support Staff/35 Support Staff/35 Weight & Game Aerobics/Dance Cheerleading Coach Soccer Coach PE Teacher Certified Teacher Certified Teacher Facility/Pool A. Square - Group Group Leader Group Leader Support Staff / 35 Support Staff/ 35 iuppart Staff/ 35 iupport Staff/ 35 'E Teacher :ertified Teacher The Children's Trust Grant Application Forms 06/G1/2005 to 05/31/2006 1200.0% months NAME OF SITE LOCATION: SALARIES: List Full -Time Employees Position Name Project Manager Paz Quintana Site Administrator Adine Diaz Park Manager Gabrielle Rojas Site Administrator Tyrone Miller Site Administrator Manny Pelaez Site Administrator Kim Sands Site Administrator Olinda Alexis Park Maintenance - Alberto Gonzalez Park Maintenance - Jacabo Carmona Park Maintenance- Francoeur Antonio Recreation Specialist Emma Offord Recreation Specialist Wanda Ward . Full -Time Total p oyar Z. Evangelista David Balletti Diego Caro Alex Fernandez Rosemary Fernandez Lenin Euceda Jennifer Munoz Raul Satdina TBA - Summer TBA - Summer TBA - Summer Norberto Sagre Surami Lopez Nekesha Prymus Facundo Parada Karel Salazar TBA TBA Carlos Garcia Yaldrina Matheis Micheal Jean Tia Ellis TBA - Year round TBA - Year round TBA - Year round TBA - Summer TBA TBA Annual Salary I 38340.43 37535.89 _ 37535.89 - 45693.23 59733.86 43543.76 _ 24086.82 35744.8-- 22929.3 - 35744.8J 17941-25 17941.25 • 416,771.28 Enter Agency Name in Footer 16640 5460 12740: 12740 12740-_ -12740-- 12740 0 0- 0 12740_ 4368 8189 10374 26000 10400- '0400 12740 12740- tnOrwy 12,740.00 12740 .•:' 10�! 0°�': 12,740.00 - 127404 :. ;100.0yd; 12,740:00 _ 12740` _i0p.Q% ;.. "- .12,740.00 _ 12740- . ;300.0% .. '' :.12,740,00 12740 ;100 0% .= ,:12,740.00 0 ', a000%.` .: aoo - 26000' . `'100`0!/0`: ; : 26,000.00 10400 's:100.0% 10;400:00 - Site Location 1 :.A11ican:Squarc Par1c ' %. Amount 0.00 :3,328.00 Site Location 3 Moore Park:';::• . Amount Site Location 2 % Amount '0.00 0.00 Budget By Site Location L1_ _1 Areas in Blue to be completed by the Agency Site Location 4 3henaidoah Park %I Amours 0.00 0.00 0.00 0.00 0.00 200/. - . 3,328.00 ``- IGO% 5,460.00 ice`• - ., 12,740.00 ;• .'100% - 12,74000 " • 00%1 12,740.00 100%.` ' 12,740.00 12,740.00 100%:. 12,740.00 100% - . 0.00 0.00 100% 0.00 100%.- 100%'' ;:: 100%.;, ` 100%: 100% ;,!-100° -- 106% 12,740.00 4,368.00 8,189.00 10,374.00 26,000.00 10,400.00 10,400.00 12,740.00 Site Location 5 Williams Park _ . Antoum 0.00 0-00 0.00 0-00 0.00 0.00 0.00 Total 0°/s 0% 0% - 0% . 0% 0% 0% 0% 0% 0% 0% 0% 0.00 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% Amount 0.00 0-00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16,640 00 5,460.00 12,740.00 12,740.00 12,740.00 12,740-00 12,740.00 12,740.00 0.00 0.00 0.00 12,740.00 4,368.00 8,189.00 10,374.00 26,000.00 10,400.00 10,400.00 12.740.00 12.740.00 12..740.00 12,740.00 12,740.00 12,740.00 12,740-00 0.00 26.000.00 10,400.00 2/28/2005 Paae 47 of 51 The Children's Trust Grant Application Forms Duane - Sr. Group Group Leader/35 Group Leader / 35 Group Leader/35 Group Leader 135 Group Leader l30 Support Staff/35 Support Stab/ 35 PE Teacher Certified Teacher Moore - Group Group Leader 135 Group Leader / 35 Group Leader / 35 Group Leader/35 Support Staff / 30 Support Staff / 30 Support Staff / 30 Support Staff/ 30 Support Staff / 30 Tennis Instructor Park Maintenance PE Teacher Certified Teacher Williams - Group Group J radio /35 Group Leader /35 Group Leader/35 Group Leader / 35 Support Staff/ 30 Support Staff/ 30 Park Maintenance PE Teacher Certified Teacher Elvira Reyes loi Wright Denise Lopez Miguel Cisneros Eusebio Vasquez Fart Wright TBA TBA Carl Prime Martha Sherrill Julius Gagni Ricky Hudson Tasha Hester Ditonya Bailey Priscilla Banks Leon Cobbs Kendedrick Liani Torres TBA - Summer Julius Sams TBA Anthony Graham Kim Sheriff Katvin Kemp Terrence Williams Laroyce Walker Qonsheka Berry TBA - Summer TBA - Summer Tajuan Alison TBA TBA Part -Time Total 16380 12740 12740- ". 12740 12740 10920- 2205 2205 26000 10400 16380 12740 12740 12740- 12740 - 10920 10920- 10920- 10920- 10920-- 16078.4 26000 14300 16380-7 12740 12740 12740 12740- 0 0 16078.4 26000 10400 4 ... : 723;797;80 _ - 9_20/16;168.00 - TOTAL FTEs/SALARIES 920.0% FRINGE BENEFITS Fica/Mica W-Comp's Unemploy Health Ins. Life Inc. Retirement Other 5116,168.00 .0'/, .,_ ..16,380.00 Oa Oz:' 12,740.00 100,0X.. ; '. 12,740.00 :700:0?4 -..- 12,740,00 12,740.00 i00.0% ; : '.10,920.00 00.0%.: 2205.00 =100.0%, 2,205.00 26,000.00 10,400.00 1020.0•/-..122,398.00 1020.0% S 122,398.00 100'/.. I6,380.110 100% .. 12,740.00 .::100Y. 12,740.00 ':.100% 12,740.00 100% -12,740.00 100%' : " 10,920.00 100%, 10,920.00 10,920,00 -.1100% - 10,920.00 100%'.-, 10,920.00 100% 0.00 "i 100'/.: 16,078.40 s;''.._100•/.:'._ 26,000.00 1._ 100% 14,300,00 14.20 181,646.40 14.20 5181,646.40 18.20 18.20 180,439.00 S 1.80,439.00 Rate: 7.65% Rate. 2.00% Rate: .00% Cost per Staff 300.00 Cost per Staff 0.00 Rate: 0.10 Specify do provide calculations Life/Health las-City Rate: 0 Rate: 0 Rate: 0 Rare: TOTAL FRINGE BENEFITS Enter Agency Name in Footer L 0.0733 0 0 a 8,886.85 2,323.36 -- - 'QM 00 9.00 0.90 ;0.00 511,2I0.21 L. 9,363.45 2,447.96.� 0.00 0.t10 0.00� 0.00 0.00 0.00 0 00 0.00 511,811.41 I .'13,895.95 3,632 93 000 0.00 0.00. 0.00 0.00.- 0.00 0.00 _ 0.00 517,528.88 13,803.58 • 3,608.78 0.00 Budget By Site Location 100% - 16,380.00 100% " - 12,740.00 100'/. 12,740.00 100% 12.740.00 100% 12,740 00 100% . 0.00 100% . 0.00 • ' 100% 16,078.40 100% 26 000.00 100% 10,400.00 10.20 • 123,146.40 10.20 5123,146.40 9,420.70 2,462.03 0_00 0.00 0,00 0.00 _ 0.00 0.00 � 0.00 0.00 •-0.00 • 0.00 517.412.36 100% 100'/. 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 62.00 16,380.00 12,740.00 12,740.00 . 12,740.00 12,740.00 10,920.00 2,205.00 2 205.00 26,000.00 10,400.00 16 380.00 12,740.00 12,740.00 12,740.00 12,740.00 10,920.00 10,920.00 10,920.00 10 920.00 10,920.00 0.00 16,078.40 26,000.00 14,300.00 16,380.00 12,749.00 12,740.00 12,740.00 12,740.00 0.00 0.00 16 078.40 26,000.00 10,400.00 723,797.80 62.00 5723,797.80 55,370.53 14,475.96 0.00 0.00 0.00 0.00 0.00 0.00 0.001 0.00 0.00 0.00 0.00 - 0.00 511,883.63 569,846.49 1 2/28/2005 Page 48 of 53 The Children's Trust Grant Application Forms ens in Blue 10 be completed by the agency. '.ME OF SITE LOCATION: 'ERATING EXPENSES: live! (other than clients) cal, tolls, parking Q.00 it -of -town 0.00 •svel (etienta) is pass/tokens 0.00 Ad trips/Buses/Vans 21,823.20 eals (clients) racks (after school) 39,270.00 cats (full days) 29,610.00 pace - - - Annual Cost ase/Rent 0.00 ainteuance 70 349.78 ectricity 153,156.70 rmmunications 7,087.65 ipplies .Tice 3,000.00 ogram Supplies 15,000.00 inling/reproduction 2,000.00 lipping/Postage 500.00 - 3n-Capita1Equipment (<5750) (List Tables and 400 Chairs roles to Administrative Computer mutts and wireless routers and wireless x Machines inters iysical Fitness/Sports Equip iftware 'alkie-Talkies apital Equipment • 5750) (List each) I 0 0 12,000.00 0.00 1,200.00 1,000.00 1,500.00 1,200.00 20,000.00 2,000.00 1,500.130 0.00 0.00 -ofessionai Services (Litt each) ogram Evaluator 24,589.00 ts4Learning 44,738.00 useum of Science 68,473 00 location Consultant 20,080_00 then (List each) : mmntaoity/Family Events 50,000.00 Shirts 7,00018) eld Trips 35,140.00 e-Program StafrWorkshop 0.00 orkshop Supplies 1,060.00 Site Location 1 Budget By Site Location .,:.:AfricarrSquire Park=:; t "5'20.Q4/° . 4,917:80 ;'zOQ•6 .8,947.60 20 O f 13,694.60 "aa •200%1' • 20 0•/ ' - -. 10,000.00 -1,'197,00 .6.008.94 Site Location 2 % Amount 0.00 3,7111.77 0.00 0.013 • 0.00 0.00 . • 0.00 0.00 .t%- • 513.00 17 IYa. _2,565.00 7 1%: . 342.130 17 194 85.50• 1711 :• 2,052.00 171y 0.00 0:0% 0 00 `0:0%d- 0.00 20.O.4.••300.00 O,Q9'o i0.00 171% 3,420.00 0.0%. -• 400.00 300.00 . 0.00 0.00 .. _0.00 0.0%a' 7 4 917.80 20 0° .. '. 8,947 60 20.0% 13 694.60 • 20 OY.: 4,016.00 = .10,000.00 17 1Y 171% 6,008.94 Site Location 3 •/. Amman y28.6%. - 858.00 28,6•!°'' 4,290.00 57200 Y,•28.6%-- 143.00 -'' 28.6%.. 3,432.00 :.. 0.00 0.00 0.00 300,00 00% .0.00 8 6 / 5,720.00 .400.00 •20,0% •: 500.00 - 0.00 0.00 0.00 4,917.80 8,947.60 •.'; 20.0'/• .. 13,694.60 10 OYy- 0.00 20 0° • 4 016.00 286'/._: .i0,050.04 L Site Locat In 4 Shenandoah Park.:.::.. Alnoun! 0.00 0.00 " 0.00 • -0.00 858.00 4,290.00 ' 572.00 143.00 ::'2$:494 •3,432.00 28 6'4 .` .: 0.00 0Y_ '. 0.00 :3:U'/.•;..' 0.00 120" 300.00 0.00 ▪ 5,720.00 201'. • . 400.00 n 300.00 000 0.00 0.00 20•. ' .. 4,917.80 20% • 8 947.60 20% ' 13 694• .60 20•/ 0.00 20% 4.016.00 2,002.00 10,050.04 Site Location 5 Williams Park Total Amount 0.00 0.00 0.00 . • .8,6% 1,876.80 8.6% 8-6% 8.6% 8.6% 0.00 0.00 0.00 0.00 0.00 0,00 258.00 1,290.00 • 172.00 43.00 8.6% 1,032.00 86% 0.00 50% 600.00 • ;50% 500.00 2CI% 300.00 50% 600,00 8.6% ' 1,720.00 :.20% 400.00 • 20% 300.00 0.00 0.00 0.00 20'/° 4 917.80 •20% 8,947.60 = 20% 13,694.60 20% 0.00 20%4 016.00 :. 20% • 10,000 00 • 8.6% 602.00 . 3,022.04 0% 0% Amouiu 0.00 0-00 0% 0.00 100% 21,823.20 0% 000 054 0.00 0% 0.00 0% 0.00 0% 0.00 0% 0.00 100% 3.000.00 100% 15,000.00 100% • 2,000.00 100% 500.00 100% 12,000.00 100% 0-00 l00% 1,200.00 100% 1,000.00 1005. 1,500.00 100% 1,200.00 100% 20,000.00 100% 2,000.00 100% 1,500.00 0% 0.00 0% 0.00 0•i 0.00 100% 24,589.00 100% 44,738.00 100% 68,473.00 100% 0.00 100% 20,080.00 100% 50,000.00 100•!• 7,000.00 l00% . 35,140.00 Enter Agency Name in Rioter 2/29/2005 Page 49 of 53 The Children's Trust Grant Application Forms Program Staff Background and Drug TOTAL OPERATING EXPENSES: Administrative/Indirect Cots • . • - (Can not exceed 10%) 2,160.00 TOTAL BUDGET Budget By Site Location •• = ,564,191.21 s': l7aY. 12 587.74 S204,157.16 1. -562,491.21 12.587.74 5209,288.35 575,884.48 €28:6•14 21.053.18 5296, I 12.93 - $75,884.48 554,291.84 5294,789.02 8.6% . 6330.68 519S,652.54 5332,743.20 0.00 S 1,200,000.00 Enter Agency Name in Footer 2/28/2005 Page 50 of 53 The Children's Trust. Grant Application Forms Overall Pro ram Unit. Cost (per youth).. General Population:.- . Service Name =- .# of ' , students N of days •:,Total..... -- hours - Sumner Camp ==} ",^•''==297 . - :5.47 -F � 564 Summer After -School ;1 Legal Holiday I: x Teacher Planning - - `:-297 : 5 60 Thanksgiving/Wintcr/SpringBreaks ;297 ;; I6 :i:;92 After School Days 1297 t '_-183 =-10911 '-.: ;1147 Saturdays ;:40 :.49 Total Site Location 1 African Square Unit Cost (per youth) _.Genera! Population` Service Name : Summer Camp Summer After -School Legal Holiday Teacher Planning Thanksgiving/Winter/Spring Breaks After School Days Saturdays Total Site Location 2 Unit 'Cost -(per. youth) General Population students._ of days -- 51 47 183 Service Name. Summer Camp Summer After -School Legal Holiday Teacher Planning Thanksgiving/Winter/Spring Breaks After School Days Saturdays Total Duarte Park id students: Total 564 t# of days houis - Unit Colt S1.39 513.10 54.10 50-72 539.72 Uah Cost SFt� Unit Cost r_ -te•a -5k:82 Total -S233,525-99 $233,525.99 •- . S233,525.99 .: • 1233,525.99 $233,525.99 S1,167,629.95 `Total .:` S51,039.29 50:00 $51,039.29 551,039.29 $51,639.29 . 5198,916.34 Total S52,322.09 '. S52 322.09 S52,322,09 183 4O98 -�=. -f`SQ=43 $52,322.09 Enter Agency Name in Footer S209,288_35 Daily Unit Cost Areas in Blue to be completed by the agency. Unit Cost per youth) ,Children with disabilities Service Name Summer Camp Summer. After -School Legal Holidays Teacher Planning /t of 'students Thanksgiving/Winter/Spring Breaks After School Days Saturdays Total it of days is-..'=. Unit Cost (per youth) •L Children with disabilities tf of Total Service Naine students it of days hours Total hours Uoii Cost Summer Camp Summer After -School Legal Holidays Unit Cost Teacher Planning Thanksgiving/Winter/Spring Breaks After School Days Saturdays Total Unit Cost (per youth) - Children with disabilities Service Name . .4 of .: students Summer Camp Total # of days hours Summer After -School Legal Holidays Teacher Planning Thanksgiving/Winter/Spring Breaks After School Days Total s0.00 r- $OAO so.00 50.0a $0.00 $0-00 50.00 $0.00 S1,167,629.95 Total 50.00 50.00 50.00 30.00 50.00 50.00 soon So.00 Unit Cost Total $0.00 50.00 r -- $0-00 $0.00 50.00 Saturdays Total $0.00 S0.00_ 50.00 S198,916.34 S209,288,35 Areas in Blue to be completed by the agency - 2/28/2005 Page 51 of 53 The Children's Trust Grant Application Forms Site Location 3 Moore Park Unit Cost (per youth) - General fopiilatiOnl. Nof Service Name students N of days Summer Camp f 85 .47 Summer After -School Legal Holiday Teacher Planning Thanksgiving/Winter/Spring Breaks After School Days [Saturdays Total Site Location 4 =. 85 -. 85 Shenandoah Park Unit Cost (per youth)- General Population_ . Service Name Summer Camp Summer After -School Legal Holiday Nof students • :85 N of days -Total. hours Unit Cost I24 •:Total • :$59,222.59 559,222.59 Unit Cost (per youth) .- Children with disabilities• - of - Total Service Name Summer Camp Summer After -School Legal Holidays • students q of days hours Daily Unit Cost Unit Cost Teacher Planning S59,222.59 Thanksgiving/Winter/Spring Breaks S59,222.59 After School Days $59,222:59 Saturdays S296,112.93 Total hours . Unit Cost . -Total . $73,697.26 Teacher Planning Thanksgiving/Winter/Spring Breaks After School Days Saturdays Total 183 1 Site Location 5 Williams Park Unit.Cost (per youth)" -.General Population Service Name - Summer Camp Summer After -School Legal Holiday Teacher Planning Thanksgiving/Winter/Spring Breaks After School Days Saturdays Total students`: --y .25 •_•.25 Enter Agency Name in Footer N of days I6 •<!83 Total :.st4:45 54.52 x, 50.79 Umt Cost.. S73,697.26 . $73,697.26 573,697.26 S294,789.02 Total :548,913.14 • $32;6i .=$48,913.14 ::$48,913=14 tri. fa • •= $195,652_541 Total I Unit Cost (per youth) - Children with disabilities. Service Name Summer Camp Summer After -School Legal Holidays Teacher Planning Thanksgiving/Winter/Spring Breaks After School Days Saturdays Total of students it of days Total hours Total $0.00 $0.00 $0.00 . $0.00 50.00 50-00 - 50.00 s0.0o Unit Cost Unit Cost (per youth) .Children with disabilities Service Name students Summer Camp Summer After -School Legal Holidays Teacher Planning Thanksgiving/Winter/Spring Breaks After School Days Saturdays Total . Total it of days hours Total SO-00 So.0O $0.00 aa.00 50 00 50.00 s0.00 $0.00 Unit Cost Total 50.00 $0.00 So-00 $0.00 S296,112.93 $294,789.02 S 195,652.54 2/28/2005 Page 52 of 53 Instructions: Complete Part I or Part II, whichever is applicable. The Children's Trust Acknowledgement of Addendum PART I: Listed below are the dates of issue for each Addendum received in connection with the bid solicitation for the current proposal. Note, there may be fewer than 5 addenda; list only those that were published on The Trust's website. Addendum #1, Dated: Addendum #2, Dated: Addendum #3, Dated: Addendum #4, Dated: Addendum #5, Dated: 02/09/05 02/15/05 PART II: Check here if no Addendum was received in connection with the bid solicitation. Sign below to acknowledge receipt of the Addenda fisted above, or to certify that no Addenda were rerjied. Authorized Signature: Print Name: Robert Ruano Title: Grants Administrator Date: I 2/25/2005 Organization Name: City of Miami - Department of Parks and Recreation Federal Identification Number: 59-6000375 Street Address: 444 SW 2nd Avenue City: Miami State: Florida Zip Code: 33130 Enter Applicant Agency Name in Footer Section 2/25/2005 Page573of 517 City of Miami Parks and Recreation Department List of OFF -SITE ADVENTURES and Field Trips Actors' Playhouse at the Miracle Theater Museum of Science and Planetarium Miami Metrozoo Miami Seaquarium Monkey Jungle Parrot Jungle Island Cloverleaf Bowling Lanes Miami Ice Arena at Kendall Miccousukee Indian Reserv. Shake -A -Leg Learn -to -Swim Program PLUS: Social Saturdays - Community Events hosted in City parks, including, Book Fairs, Talent Shows, and other family -friendly events 1 of 1 128