HomeMy WebLinkAboutExhibit 14Attachment 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 duly
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
r}j:Document Final Approved contract.12.2005.sxw
Attachment F: Provider's Response to the Request
for Proposals
rj}:Document Final Approved contract,12.20,05.sxw
Application for Funding for
Out of School Programs
Continuation and Enhancement
submitted by
City of Miami
Department of Parks and Recreation
The Children's Trust
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): El Corporation
❑ Private -for -profit
❑ Private -not -for -profit
❑ Federal government
❑ State government
❑ County government
El City government
❑ Other (specify):
Licensed to do business in
Florida? (dick one box) OYES
ENO
B. Finances and Insurance
Agency Fiscal Year.Begins:.,
Amount Requested (fills
automatically from budget):
Other/Matching Funds (fills
automatically from budget):
Total Program Value (fills
automatically from budget):
State: Florida Zip Code: 33130
Fax Number: 305-416-2151
Qcto.ber Lst_to. ,September 30th
Insurance Coverages:
*Comprehensive Coverage/
General Liability On file with Trust
Workers' Compensation On file with Trust
Automobile On file with Trust
$1,200,000
$763,050
$2,031,930
Phone: 305-250-5400
Phone: 305-416-1009
Phone: 305-416-1320
Phone: 305-416-1532
Fax: 305-416-2151
Amount of Coverage Expiration Date 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 Pa
42-144
If YES, has Agency previously submitted the current version of each of the following documents?*
Financial audit 0 YES -Period of Audit:
❑ NO
Unaudited financial
statement ❑ YES -Fiscal Period:
El NO
Current board of directors
E) 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 Cover Page 3
Grant Application Forms
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 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 ❑ After -school Only D Year -Round Programs
CHECK ALL THAT APPLY: [j Program Enhancement ❑ Program Expansion
:Promotion & Prevention (refer to RFP for definitions of approaches)
CHECK ALL THAT APPLY: ❑Universal ❑ Selected ❑ Outreach/Advocacy
❑Resource Network (CHECK ONE program focus area below)
DVlaternal/Infant/Child Health & Development ❑ SafetyNiolence Prevention
❑Children with Disabilities ❑ Adolescent Risk Reduction
❑Other (briefly specify):
EService 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:
O NO
Does the proposed program include a health component?
L: 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
El 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)
❑ YES -include copy in Supporting Documents section, in order indicated in Table of Contents
0 NO
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.
ri NOT APPLICABLE _
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 filingof this application(s) has been authorized bythe contractingentityand I have 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. 1 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.). 1 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:
—175 i
Enter Applicant Agency Name in Footer Section
2/25/2005
Page 1 of 1
4
The Children's Trust
Table of Contents
Cover Paps
Certifications Page
1-3
4
Table of Contents
5-6
Program Summaries
7-8
Organizational Capability
Primary Population
Collaborations
9-11
15-16
12
Site Locations Details
13-14
Goals Worksheet
17-19
Outcomes Worksheet
20-25
Activities Descriptions
Process Worksheet
26-30
31-37
Agency and Program Budget
Budget Summary for Proposed Program
Budget Justification
38-39
40-43
44-46
Budget by Site Location
Daily Unit Cost
47-50
51-52
Acknowledgment of Addendum
53
SUPPORTING. DOCUMENTS
(submit original plus 6 tjtitt
ontinued
• A
Sanctions, Violations, and/or Litigation Documentation, if applicable
N/A
Organizational Chart(s)
54
Evidence of Past Success, if applicable (monitoring 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
--VA
-Consultant.Agreement-Letters — . --- - - ..-- -- - - • • -- •- ... —
'
Verification of Agency's Indirect Cost Rate .
129-134
Cover Pages (from Application Forms) -write l'FISCALJPOLICY 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
FISCAURQUCYMATERIALS:(Ohtitkied)::;iii/*.0;:p:i:.E:4; g.:•,.•,..:::.i::,;.E:.,:;:;i:,E::]:,,!,:,:iii,:,,.::1:::::::i.,;]•];',g.:;:!,,j:i':•;:iVi•!%:.i:.:•;'; age.:#'s
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
Table of Contents
`fl rpJihB'Payment if Tax Liability Existed
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 polio
Background Screening policy, including employees and volunteers
Enter Applicant Agency Name in Footer Section
2/28/2005
Page 2 of 2
The Children's Trust
Program Summaries
r
General Forrnatti.ng Notes:
how hergt t should autorriatrcall.y expand with to
Alrgnmenitab under Format Ge1l to make si re'1
.start a few Irn� rn the sam+~?ceN tr � a space a eer! paragrap
icr;b:realc apart Text, with .i,ndiyrdu; l par `graptr$ rp separate cell$, ;:
the
ui
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. I
is typically more effective to write this section after completing the other narrative portions of the gran
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.
t
t
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
Pagel -.of 3-3
The Children's Trust Program Summaries
f�tincreP aseNcudrt operation 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. Bath
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 of 53
The Children's Trust Organizational Capability
Grant Application Forms
A. Agency Description (2 pages maximum, not including attachments)
Provide a clear description of the Agency, including its mission, history, and particular qualifications a
related to the current bid solicitation. include a listing and description of agency acr.reditations
licensure relevant to the field, if applicable (Le., accrediting or licensing body, le"p'
accreditationliicensure, etc.).
CURRENT OR PAST PROVIDERS OF THE CHILDREN'c T: ;,r5 i ARE NOT REQUIRED TO COMPLETE THIS
7'rr?n., r,! - n. Tt-o7v WISH TO PPnsi'-'..,ATED OR CHANGED INFORMATION.
Describe Agency's overall approach to ensuring cultural competence in its current organization, as welt
as the plan to ensure cultural competence in implementing the proposed project.
CURRENT OR PAST PROVIDERS OF THE CHILDREN'S TRUST ARE NOT REQUIRED TO COMPLETE THIS
SECTION, UNLESS THEY WISH TO PROVIDE UPDATED OR CHANGED INFORMATION.
N/A
Attach the Agency's organizational charts) that clearly indicate the current fiscal, administrative, and
programmatic reporting structures, as well as how the proposed program will fit within the larger
organization. Include document(s) in the Supporting Documents section, in the order indicated in the
Table of Contents.
CURRENT OR PAST PROVIDERS OF THE CHILDREN'S TRUST ARE NOT REQUIRED TO RESUBMIT THE
ORGANIZATIONAL CHART IF THE MOST CURRENT VERSION IS ALREADY ON FILE AND NOTED AS
SUCH ON THE COVER PAGE 2. ONLY THE ORGANIZATIONAL CHART FOR THE PROPOSED PROGRAM
IS REQUIRED WITH THIS APPLICATION.
If explanation is needed, include a narrative description of the organizational charts) below:
N/A
Attach the Agency's 2004 financial audit and related management letter. If the Agency's fiscal year
ends after June 30, 2004—and the audit of 2004 financial statements has not been completed, the
Agency may provide the audited financial statements for its 2003 fiscal year. If in business for less than
18 months, or if Agency total budget is less than $300,000, attach a copy of the most recent un-audited
financial statements. Either must be completed by a registered CPA and conducted in accordance with
generally accepted accounting principles. include documents in the Fiscal/Policy Materials section, in
the order indicated in the Table of Contents.
CURRENT OR PAST PROVIDERS OF THE CHILDREN'S TRUST ARE NOT REQUIRED TO RESUBMIT
AUDITS/FINANCIAL STATEMENTS IF THE 2004 VERSION IS ALREADY ON FILE AND NOTED AS SUCH ON
THE COVER PAGE 2.
If explanation is needed, include a narrative description of the audit/financial statements and findings
below:
N/A
City of Miami Parks and Recreation
2/28/2005
Page 9 of 53
The Children's Trust
ion Forms
Organizational Capability
B. Experience (2 pages maximum, not including attachments)
Did the proposed program operate prior to current funding request?
YES
ONO
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 CHILDREN'S TRUST ARE NOT REQUIRED TO COMPLETE THIS
SECTION, UNLESS THEY WISH TO PROVIDE UPDATED OR CHANGED INFORMATION,
The Children's Trust - $500,000 current funding
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 THE CHILDREN'S TRUST ARE NOT REQUIRED TO COMPLETE THIS
SECTION, UNLESS THEY WISH TO PROVIDE UPDATED OR CHANGED INFORMATION.
Please see attached letters of support from parents whose children attend the current Heart of Our
Parks program, as well as from the Mayor of the City of Miami, Congresswoman Ileana Ros-Lehtinen
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
Organizational Capability
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 titles, names, salaries, percent efforts, and credentials,
such a detailed breakdown is NOT required in this section). Out -of -school programs are strongly
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,
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
The Children's Trust Primary Worksheet
Grant Application Forms
lultiple Site Instructions: If different service delivery sites serve different primary populations, list each participant group on a separate line and note
RIMARY POPULATION HOW MANY •
xpected to participate in the are expected
rogram (e.g., children, parents, to participate
amities, teachers, other
ommunity members)
outh
'arents/Family 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
350 We will serve youth ages 5 to 17 of both
genders, predominantly African -
American and Hispanic, from low-income
households in neighborhoods throughout
the City of Miami including Allapattah,
Coral Way, Model City, and Overtown,
from feeder schools that are in the
Superintendent's Zone in need of
improvement
100
Parents and families of youth in the
Heart of Our Parks program
Following a successful model used at
one of the current park sites, we will
create flyers and go to the feeder
schools, make presentations, educate
the youth and families about the free
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
;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 "NIA" here.
In the school feeder pattern for the
participating parks
Parents and family members of
youth in the school feeder pattern for
the participating parks
_--y OTM am arks anTRecreation
2/28/2005-------
Page 15 of 53
The Children's Trust
Grant Application Forms
2R1MARY POPULATION THOW MANY
?xpected to participate in the ?are expected
program (e.g., children, parents, Ito participate
amities, teachers, other
:omunity 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 "NIA" here.
City of Miami Parks and Recreation
2/28/2005
Page 16 of 53
The Children's Trust
Grant Application Forms
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 from 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.
I(Miami 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.
Collaborations
11
FOCAL
FOCAL is a non-profit organization that provides tutoring in acaademic subjects including reading
and mathematics, as well as computer technology programs.
Greater Miami Tennis Foundation
Tne 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 Site Locations Details
Grant Application Forms
Service Delivery Site Locations:
nstructions for applicants with more than one service delivery site location:
f any information within the remaining sections of the Application Forms varies across site locations, specify within each section this variation by
-toting the applicable sites. If all details are identical across sites, there is no need to reference specific sites throughout the worksheet narratives.
Site #1
Juan Pablo Duarte Park
Site Name:
Site Contact Person:
Contact Person E-mail: Phone Number:
Is this a school -based site? ❑ YES 1=INO Days of Operation:
❑ Summer Only ❑After -school Only 0 Year -Round Program
Total Number of Unduplicated
Participants to be Served:
Estimated Numbers to be Served by Population Tyre (total should equal total number listed above): •
60
Children with Disabilities At -Risk Participants
60
Street Address:
City:
305-635-2710
2800 NW 17 Avenue
5
Miami
Fax Number:
Hours of Operation:
Zip Code:
lam-10pm
Start Date:
From age
(in years):
06/01/05
5
End Date: 05/31/06
Up to age
(in years):
General Population
17
Site #2
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:
African Square Park
Olinda Alexis, Facility Supervisor
Street Address:
City:
1466 NW 62 Street
Miami
Zip Code:
33150
❑ YES LINO
❑After -school Only
60
Phone Number:
Days of Operation:
El Year -Round Program
305-416-1320
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 60
Fax Number:
Hours of Operation:
06/01 /05
5
lam-10pm
End Date: 05/31/06
Up to age
(in years):
General Population
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)
❑ YES ONO
❑After -school Only
30
Phone Number:
Days of Operation:
0 Year -Round Program
Street Address:
City:
305-579-6978
1717 NW 5 Avenue
5
Start Date:
From age
(in years):
Estimated Numbers to be Served by Population Type (total should equal total number listed above):
Children with Disabilities 1 At -Risk Participants 130
Miami
Fax Number:
Hours of Operation:
06/01/05
Zip Code:
33136
5
lam-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
Site Locations Details
The Children's Trust
Grant Application Forms
Moore Park
Kim Sands, Park Manager
❑ YES LI NO
❑After#school Only
100
Street Address:
City:
305-633-2089
756 NW 36 Street
5
Ste rt 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 80
Site #5
Miami
Fax Number:
Hours of Operation:
06/01/05
Zip Code:
33150
End Date:
Up to age
(in years):
General Population
05131 /06
17
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:
Site #4
Site Name:
Site Contact Person:
Contact Person E-mail:
Is this a school -based site?
D Summer Only
Total Number of Unduplicated
Participants to be Served:
Shenandoah Park
Adina Diaz & Gabriel Rojas. Park Managers
adiaz(�ci.miamLfl.us
❑ YES NO
❑After -school Only
100
Street Address:
- City:
305-856-9551
1800 SW 21 Avenue
5
Start Date:
From age
(in years):
Estimated Numbers to be Served by Population Type (total should equal total number listed above):
Children with Disabilities I At -Risk Participants 80
Site #6
Miami
Fax Number:
Hours of Operation:
06/01/05
Zip Code:
33145
7
lam-10pm
End Date: 05/31/06
Up to age
(in years):
17
General Population 120
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:
❑ YES ❑ NO
Phone Number:
Days of Operation:
Year -Round Program
Phone Number:
Days of Operation:
Year -Round Program
Street Address:
City:
Start Date:
From age
(in years):
Estimated Numbers to be Served by Population Type (total should equal total number listed above):
Children with Disabilities At -Risk Participants
['After -school Only
City of Miami Parks and Recreation
Phone Number:
Days of Operation:
❑ Year -Round Program
Miami
Fax Number:
Hours of Operation:
Zip Code: 1
End Date:
Up to age
(in years):
General Population
2/28/2005
Page 14 of 53
The Children's Trust Goals Worksheet
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 ail 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 cl
4 The programs 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.
Best Practices, Life Skills
2. 90% of children will rate interactions between Life Skills
staff/children satisfactorily.
3. 90% of children attending regularly will
demonstrate appropriate or improvement of
inappropriate social 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 Worksheet
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
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 'Outdoor Program Requirement
children and youth to be independent and creative,
as rated by NSACA standards.
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 Children will improve physical functioning 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. Youth will remain safe
9. Children will be carefully supervised to
maintain safety
City of Miami Parks and Recreation
8. 100% of children will not experience a serious
injury (requiring emergency room attention) or Safety
abuse while participating in program
Participant Supervision/Safety, Water
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 are statements of purpose or specific
aims, outlining what the program expects to
accomplish in broad terms
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 oor with participants to achieve the outcomes.
program participation List/name activities briefly in this column. as they wilt
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
lave varying outcome
Measures, list each one on a
separate line and note
:he sites to which each applies.
If all sites collect the same
autcome 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
Evaluator.
three months, thereafter.
the Program Evaluator.
City of Miami Parks and Recreation
2/28/2005
Page 20 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
filled with the outcomes listed on
the Goals Worksheet)
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.
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)
1. Child Satisfaction Survey
2. Youth Satisfaction Survey
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
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.
Outcomes Worksheet
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.)
Completed three months into the
program and every three months,
thereafter_
STAFF position
responsible for the
collection of each
indicator measure
Park Manager will collect
surveys and present to
the Program Evaluator.
4. The indoor space allows children
and youth to take initiative and
explore their interests, as rated by
NSACA standards.
Mt Social Competence
M3 Survey for Prosocial
Behaviors of Children
NAA Observation of Indoor
Environment Rating Tool
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
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
UTCOMES are the realistic,
reasurable expected changes and
?nefits for the people served as a
:suit of program participation and
could be related to the described
)pulation characteristics and risks
pis column will beautomatically
led with the outcomes listed on
e Goals Worksheet)
The outdoor play area and
luipment allows children and
iuth to be independent and
eative, as rated by NSACA
3ndards.
90% of children will participate in
variety of engaging reading and
ademic activities tailored to
.propriate age and ability levels
90% of children who attend
lularly will have the opportunity to
i physical activities that increase
:ir strength, endurance and/or
cibility
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 Presidents Challenge
City of Miami Parks and Recreation
Outcomes Worksheet
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
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.
Individual child evaluation
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.
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 a ;calculated at the beginning
and of the program.
Pre -test at program
enrollment/intake and post-test at
program conclusion or termination.
Assessed individually and in group
settings
STAFF position
responsible for the
collection of each
indicator measure
Evaluator
Teacher Performed with
copies to Program
Evaluator
Certified Physical
Education Teacher with
copies to Evaluator
2/28/2005
Page 22 of 53
The Children's Trust
Grant Application Forms
COMES are the realistic,
surable expected changes and
!fits for the people served as a
It of program participation and
Id be related to the described
elation characteristics and risks
column will be automatically
with the outcomes listed on
3oals Worksheet)
o% of children will not
rience a serious injury
wring emergency room
tion) or abuse while
:ipating in program
)% of children will be
rented when they arrive,
they leave, and with whom
eave.
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)
1. Incident/Accident Reports
2. Staff Background Checks
3. Drug Screening Test
4. Staff Training Certificates
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
Outcomes Worksheet
TIME OF MEASUREMENTS
indicates when measures will be
obtained (e.g., every 3 months, at
programcompletion, 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
Program Sign -in and Sign -out
Form
City of Miami Parks and Recreation
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
Authorized person to sign in and
sign out participant while observed
by staff.
1. Incident/Accident Reports
ongoing as needed and kept in
park Meg: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.
Upon arrival and departure of
participant
Park Manager
Miami Police Dept.
Human Resources Dept.
Evaluator
Park Manager
2/28/2005
Page 23 of 53
The Children's Trust
Grant Application Forms
FCOMES are the realistic,
3surable expected changes and
efits for the people served as a
At of program participation and
uid be related to the described
ulation characteristics and risks
column will be automatically
with the outcomes listed on
Goals Worksheet)
100% of children wilt be offered
ropriate lunches and snacks
meet USDA guidelines.
100% of children will be
essed at beginning of the
dram with activities developed to
?t the individual needs of each
i through linkages with other
imunity partners
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)
1. Attendance Rosters
2_ Monthly Summary from Food
Provider
Outcomes Worksheet
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
1. Participant.Activity
Questionaire 2. Registration
Form 3_ M1
& M3 Social Competence
4. Reading Interest Survey
5. President's Challenge
Assessments
City of Miami Parks and Recreation
1. Park Manager/Group Leader
Observation via approved
attendance records
2. Greater Miami Caterering
reporting forms.
1-2 Snacks / Meats are provided to
children on a daily basis.
Attendance is updated on a daily
basis. Greater Miami Catering
Provided rosters of food delivered
to each park. Vendor monthly
summary delivered to agency.
Park Manager , Program
Manager, and Evaluator
1. Individual child evaluation
2. Parent intake
3. Staff observation
4-5. Individual child evaluation
1. Pre -Tests at program
enrollment/intake 2. Individual on
site by bark staff/Park Manager 3.
Group administered individual
assessment. 4-5. Group
administered individual child
assessment
Park Manager and
Evaluator
2/28/2005
Page 24 of 53
The Children's Trust
Grant Application Forms
II -COMES are the realistic,
:asurable expected changes and
refits for the people served as a
ult of program participation and
could be related to the described
)ulation characteristics and risks
s 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.
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)
Referral Logs
Referral Forms
City of Miami Parks and Recreation
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
Staff observation of child's needs
and/or parental request.
Outcomes Worksheet
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.)
Referral documentation forms
completed as needed and Referral
Log maintained on -going to track
follow-up.
STAFF position
responsible for the
collection of each
indicator measure
Park Manager/Youth-At-
Risk Coordinator and
Evaluator
2/28/2005
Page 25 of 53
The Children's Trust
Activities Descriptions
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
fly show up
in the
Activities
column
below.
ACTIVITIES
are what the
program
staff will
actually do
for, to or
with
participants
(e•9-,
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 ail 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
Le
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 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.
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 of_iife skills 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.
350
350
Heart of Our Parks also complies with the National After School Association (NAA) standards and
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.
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
are what the
program
staff will
actually do
for, to or
with
participants
Physical
Fitness,
Recreation
Participant
Supervision/
Participant
Supervision/
Safety
Nutrition
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 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
35e The American Red Cross provides Learn -To -Swim classes and: water safety instruction.
Program requires all staff to have current certification in CPR/First Aide. Background checks and
.35o 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.
350 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
Referrals,
Cultural
Arts,
Science
Children
and Family
Outreach
and Adult
Literacy
NUMBER
expected to
receive
each activity
350+ Family
Members
350+
Parents and
Family
Members
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
assessedl: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.
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 creativ e movement. Like LA'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.
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 ID.
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 Application Forms
ACTIVITIES
are what the
program
staff will
actually do
for, to or
with
participants
�e•g-,
Best
Practices,
Life Skills
NUMBER
expected to
receive
.each activity
350
Activities Descriptions
ACTIVITY DESCRIPTION includes the details for each program activity, including the approach or modes 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.
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, iamong others, Established in 1988, L.A_'s BEST also was a model for 1997 state and federal
legislatior3 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
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)
Best Practices, Life Skills
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.)
Staff will be trained by the Program
Manager at a mandatory Program
Training Workshop prior to the start of
the Program. All 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.
PLANNED
INTENSITY of
how long each
activity session
will last (e.g., 15
minute check -in,
2 hour class,
etc.)
Prior to the start
of the program
City of Miami Parks and Recreation
4 hrs
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 direct
products and evidence of
service delivery and the work of
the program, including the
volume of work accomplished
(i.e., # participants, attendance,
# classes offered, # brochures
distributed, etc.)
1 time
This is a 4-hour training
session for full-time Park
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.
2/28/2005
Page 31 of 53
The Children'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)
Life Skills
Indoor Program Requirement
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
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.
PLANNED
FREQUENCY of
how often the
activity will be
delivered (e.g.,
daily, once a
week, 3 times a
year, etc.)
Daily
Participant supervision and adherence
to safety standards
City of Miami Parks and Recreation
Daily
PLANNED
INTENSITY of
how long eaci
activity session
will last (e.g., 15
minute check -in,
2 hour class,
etc.)
30-55 mins
each
component
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)_
All 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
(i.e., # participants, attendance,
# classes offered, # brochures
distributed, etc.)
Pre- and Post Assessments
using M1 Social Competence
and M2 Survey for Prosocial
Behaviors of Children. The
Park Manager, PE Teacher,
Certified teacher and staff will
observe students daily.
Throughout the
day
All year
NAA Observation of Indoor
Environment Rating Tool
2/28/2005
Page 32 of 53
The Chiidren's Trust
--A-A--
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)
Outdoor Program Requirement
}
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
Park Manager, Park Staff, Certified
Teacher, Museum of Science,
Education -Based Field Trips.
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.)
City of Miami Parks and Recreation
Daily with
scheduled field
trips and
community
events
All day
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!
All year, field
trips will be
scheduled during
winter and spring
breaks, teacher
workdays and
once a week
during the
summer.
Process Worksheet
OUTPUTS are the direct
products and evidence of
service delivery and the work of
the program, including the
volume of work accomplished
(i.e., # participants, attendance,
# classes offered, # brochures
distributed, etc.)
350 Participants wilt enjoy
education -based field trips once
a week during the 9-week
summer program, 5 teacher
workdays, and once a week
during the winter and spring
breaks. 350 Participants and up
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.
2/28/2005
Page 33 of 53
The Children'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)
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
Reading for Recreation, Homework
Assistance, Mathematics
Physical Fitness, Recreation
Certified Teacher and staff support
PLANNED
FREQUENCY of
how often the
activity will be
delivered (e.g.,
daily, once a
week, 3 times a
year, etc.)
PE Teacher, Coaches, Support Staff
City of Miami Parks and Recreation
Daily
PLANNED
INTENSITY of
how long each
activity session
will last (e.g., 15
minute check -in,
2 hour class, -
etc.)
55 minutes for
each group
PLANNED
DURATION
includes the total
time frame within
which
participants will
be i9volved in the
activity (e.g.,1-
time only, 6
weeks, all school
year)
Throughout the
year
Daily
30-minutes
instruction
60 minutes
physical activity
for each group
All 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
(i.e., # participants, attendance,
# classes offered, # brochures
distributed, etc.)
Certified Teachers will conduct
2 classes daily 4 days a week
for 350 students in
Reading/Mathematics/Homewo
rk Assistance. Educational
Materials related to theme
projects will be used by
students to make learning fun.
Teachers will be assisted by
support staff.
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.
2/28/2005
Page 34 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 cf
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.)
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 transported byl
bus, approved by MDCPS to
participate in our Learn -To -
-
Swim program_ 3 Life Guards
and 6 Water Safety Instructors
will teach participants how to
swim in 10 weeks. Participants
who successfully complete the
program will receive
certificates.
Participant Supervision/Safety
Program Identifiable T-Shirts for Park
Manager, Staff, Parents, Participants.
Daily
All day
,
Throughout the
year
350 participants will be closely
supervised by Park Manager
and staff. The participants will
be issued 4 program T-Shirts
for easy identificantion by staff.
Staff will carry Walkie-Talkies
when out on the field for added
safety_
City of Miami Parks and Recreation
2/28/2005
Page 35 of 53
The Children's Trust
al A
•
•
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-ii,
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 direct
products and evidence of
service delivery and the work of
the program, including the
volume of work accomplished
(i.e_, # participants, attendance,
# classes offered, # brochures
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
a week
-
Children will wash their hands
before eating and the teachers
will give instruction regarding
healthy eating habits. Posters,
magazines, books and art
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
scheduled two •
days per week
classes per day
supplies are provided per
contractual agreement.
•erforming art.
__
City of Miami Parks and Recreation
2/28/2005
Page 36 of 53
The Children'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 (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
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.)
60 minutes each
class
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)
Throughout the
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
(i.e_, # 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
A f EAp ppiication Forms
Organization Name:
Address:
Contact Person:
Telephone:
B) AGENCY BUDGET
Agency Source of Funding
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
The Children's Trust Requested Grant Amount for Program
Child Development Services Funds
Miami -Dade County Grants(Local)'
Human Services Coalition ;.
Federal Grants (Sped Source)
Dept of Education
Agency Fiscal Year Begins:
Fax: 305-416-2154
October lst
Funding/Grant Period
June 1.2005-May31,2006::
E-mail: pquintana(a�ci.miami.fi.us
Program Budget
1,200,000.00
0.00
6.00
: 0,00
0.00
Agency Budget
0.00
0.00
0.00
To 00
0.00
0.00
State Grants (Specify Source)
Dept of Agriculture ,;:
Dept of Education
:Augost.2005-Junc2006
rlunc 2005 Augusk 2005.
Foundations/Charitable Funds (SpecSource)
Cash/Fees/Other Revenue (Specify Source).
In -Kind Contributions
Salaries .
Fringes
•
0A0
0.00
0.00
0:00
0.00
0.00
•0.00
0.00
•. 0.00
- 0.00
0.00
0.0a
0 0a
29,610.00
39,270.00
0.00
0.00
0.00
0.00
0.00
0.00
0-00
Electric • . .
Water
une 1,-2005- My3.1,-2005
June-1, 2005-: May 31.,2006 ::-
Juiee:1 2005= May 31, 2006 •:
-. 0.00
0.00
0,00
416,771.28
Telephone
Pre -Program Staff Workshop
Workshop Supplies
Drrrg Screening - ,._;
•
June 1;`2005- May.31; 2006,
June i;200S=1v1ay31, 2006.:
0.00
0.00
112,444.89
153,156.70
• 70,349.78
C) BUDGET SUMMARY FOR PROPOSED PROJECT/PROGRAM
!CATEGORY
Personnel •
Enter Agency Name in Footer
May-D5
' r; Apr-May.2005 F
TOTAL BUDGET
REQUESTED AMOUNT
DESCRIPTION
0.00
0.00
0.00
0.00
S 1,200,000.00
723,797.80
Salaries
7,087.65
. 0.00
1 080.00
. 2,160.00
0.00
• 0:00
$831,930.30
2/28/2005
Page 38 of 53
The Chitdren's Trust
Fringe Benefits::
Operating
indirect/Administrative Costs •
Enter Agency Name in Footer
TOTAL REQUESTED
69.846.49 Fringes. _.
332,743.200All Other Costs.- .:
73.612.511•
Agency and Program Budget
$1,200,000.00I
2/28/2005
Page 39 of 53
The Chiitiren's Trust
Grant Application Forms
Budget Summary for Proposed Pro
Period:
06/01/2005 to 05/31/2006
NAME OF FUNDING SOURCE:
SALARIES:
List Full -Time Employees
Position
Project Manager
Site Administrator -
Park Manager'
SiteeAdministraior f
Site Administrator
Site Administrator
Silo Administrator
Park Maintenance SP
Park Maintenance DP
Park Maintenance AFP.:-
Recreation Specialist
Recreation Specialist- lviP -:
List Part -Time Employees
Clerk Temp
Shenandoah
Group, Leader.,
Grouti Leader. .
Group 1-,eider''
Group Leader'
Group L.eader
Support Staff -:
Support Start /35
Support Staif/35
Support Staff/35
Weight &Game Rooms''
A'erobics/DanceCoach;.-'
Cheerleading Coacn
Soccer Coach ':
PE Teacher :"
Certified Teaches r a =
Certified Teacher
Facility/PoolMatntenantc...
A. Square,Group Leader :-
Group Leader.=
GroupL ader;
Support Statfl35
Suppon Staff/ 33
Support Staff135
Support,Supponi, Staff
Name
rPat Quintana'
`�.din$.Iiiaz
Gabrielle Rojas:
� TOfE MlI ler
MannyPelaez
Kim Sands,
iO1inda Alexis'
Alberto -Gonzalez~'.
_Jacabo Carmona "'
ranroeur Antnrii
nma:Offord
1Jendall,Ward
Full -Time Total
Z Evangelista'
::David-Salletti -_
Diego Caro-
%AlexFernand
oseniary, Fernando;
enin Euceda " _•
JennrferMunoz'
Raul Sardines..
TBA--Summer=
3A $simmer t
3A- Summer . _
• ., • ,o Sagrc ry
urarnt i opez`'
Nekesha Pryni
Facundo Par la:
Karel Salazar,;
Annual Salary
• Y 38,340'43
37,535,89
7 535,89
45 69373
59;733.86
43;543.76
24 08012.
744.80
2 929:30
35 744:1N
x 17 941.25
941:25
: A16;771.28
6;64000
5 460.00
32 740.00
12 40:00
J. 12 740.00
; 12 740M
1.2 740-00
740.00
740:00
36800
189;00
,374;00
2b 0c 0. 4 :
_• 1040U:00
10 400,00
412 74k00
,740:00
,740D0
2 74010
- I2 740.00
12,740.00
.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
'0.00
0.00
-0.00
0,00
0.00
12,740.00
4,368.00
-8,189.00
`16;374100
26,000,90
10,400.00
10,400,00
12,740.00
12,740,00
;12,740.00
;12,740,00
i2,740.06
'12,740.00
12,740.00
Areas in Blue to be completed by the Agency
Other Funding Requested or Received
Amount
0.00
0.00
0.00
..•D.00
• 0.00
0.00
0.00
0.00
0.00.
0.00.
0.00
% Amouhi
0.00
0.00
0.00
0.00
0.00
0.00
0.00
000
0.00-
0.00'
0.00
0.00 0.
Amount
Matching Funds
Total
Amount
0.00 100% 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
0.00 100% 43,543.76
0.00 • _ 100% 24,086.82
0.00 100% 35,744.80
0.00 100% 22,929.30
' 0.00 100%' 35,744.80
0.00 100% 17 941.25
100% 17,941.25
0.00 12.00 . 416, 771.28
0.00
%
100%
100%
100%
100%
100%
100%
- 100%
100%
100%
100%
. 100%
100%
12.00
100%
100%
100%-
1 00%
100%
100%
1 00%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%-
100%
100%
100%
100%
100%
100%
Amount
38,340.43
37.535.89
37,535.99
45,693.23
59,733.96
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
12,740.00
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
Enter Agency Name in looter
2/28/2005
Page 40 of 53
The Children's Trust
Grant Application Forms
PE Teacher ..:<;
Certified Teacher
Auarte =.Sr„Group
Group Leader/. 35
Groupleadcrl35`'
Grotty I.rader / 35:¢
Group Leadu I.35, E
Group Leader /30 =
Support"Stafff35;';
Support.Staff / 35
PE Teacher -
Cethfiod,Teacher:
Mourn - Grtwp Leader;
Group leader
Group Leader 135
Groap .,esderl35
Group-Lesderf35-: A,
Support Staff
Stipportistaff
Support Staff/•30:
Support Staff'/3O
Support:Staffl30:�
Tennis Ins(ruclor ='
Park. 4aintenance.
PE Teacher's:r
Certified Teacher::':_..;"
Williams -Group Lead
Group Leader/35:'.
Group
Group Leader /3$'..
Group I cadet / 35`
Support, Staff 1:30'
Support:Staff'/30 .'
Park Maintenance„r
Certified Teacher
FRINGE BENEFITS
Fica/Mica
W-Comp's
Unemploy
Health Ms.
Life Inc.
Retirement
Other
Life/Health Ias£tty Pail
TOTAL F'rEs/SALARIES
Rate: 7.65%
Rate: '2.
Rate::.
Cast per Staff
Cost per Staff
Rate ID_00%
Specify do provide calculations
Rate: 7,33
Rate:
Rate
• ' .26,000.00
".10,400.00
:16,380.00
500°(d; ":..12,740.00
crL007o__::' 12,740.00
1.2,740.00
• 12,740.00
. 10,920.00
100% .2,205.00
• :. 2,205.00
26,1300.00
00% ' 10,400,00
16,380.00
▪ ' ;' 12,740.00
12,740,00
.12,740.00
12,740.00
"1s(1'/. - 10,920.00
'..--10,920.00
10,920.00
IOOti" � : ,10•,920.00
, - 10,920.00
0.00
` 06% : _ . 16,078.40
::26,000.00
14,300.00
16,380.00
12,740.00
5 :1 W.%: i . ::, ,12,740.00
'12,740.00
-:=e100°!.'' - '_+ 12,740.00
0.00
16,078.40
Z6,000.00
10400,00
723,797.80
62.00 5723,797.80
Budget Summary for Proposed Pro
.00 S0.00 .00 50.00 .00 50.00
0.00
12.00 S416,771,28
100% 26,000.(
100% 10,400.(
100% 16,380.(
100% 12,740.{
100% 12,740.0
100% 12,7401
100% 12,7401
100% 10,920.0
00% 2,205.0
100% 2,205.0
I00% 26,000.0
100% 10,400.0
100% 16 380.0
100% 12,740.0
100% • 12,740.0
100% 12,740.0
100% 12,740.0
100% 10,920.0
100% /0,920.0
100% 10,920.0
100% 10,920.0
I00% 10 920.0
100% 0.0
100°/. 16078.4,
100% 26,000.0'
100% 14,300.0(
100%. 16,3800i
100% 12,740.0i
100% 12,740.01
100% 12340.01
100% 12,740.01
100% 0.0(
100%, 0.01
100% 16,078.41
100% 26,000.01
100% 10,400.0(
62.00 723,797.81
74.00 51,140,569.0t
55;370.53 • 0.00
0.00 • 14,475.96. 0.00 3l,883.00
0.00 •� 87,253-5'
:.0.00 0.00 0.00 8,335.43
4.00 0.00- 0.00 0.00 22,811.3f
0.00 0.00 o_oo
0.00 '`0:00 0.ii0 0.00 OC
U.00 0.00 0 00 0.00 0 0 O.00
41,677.13 41 077.13
0.00 A.00
0 00 0 00 0.00 30,549.33
0.00 0 0.00 30,549.33
0.00 o as . '' (i_o(i o.oa 0 00 o.oc
Q00 00{
Enter Agency Name in Footer
2/28/2005
Page 41 of 53
The Children's Trust
Grant Application Forms
Rate
TOTAL FRINGE BENEFITS
Areas in Blue to be completed by the Agency
NAME OF FUNDING SOURCE:
OPERATING EXPENSES:
Travel (other than clients)
Local mileage, tolls, parking
Out-of-town
Travel (clients) •
Bus pass/tokens
Field trips/Buses/Vans
Meals (clients) .•
Snacks (after school)
Meals (full days)
Space '
S69,846.49
Requested Funding
Children's Trust
Amount
0.00
S0.00
0.0Q
S0.00
Budget Summary for Proposed Pro
0.00
S0.00
Other Funding Requested or Received
Amount
r- Dept ofAgrtculture.:-' -.
Amount
Dept of Education
Amoum
0.00
• 0.00
• 0.00
29,610.00
0.00
8112,444.89
0-00I
SI82,291.38
Matching Funds Total
Amount °/. Amount
0.00 0% 0.00
0.00 0% 0.00
0.00 0% 0.00
0.00 100% 21,82320
0.00 100% 39,270.00
0.00 100% 29 610.00
Enter Agency Name in Footer
2/28/2005
Page 42 of 53
The Children's Trust
Grant Application Forms
Lease/Rent
Maintenance (water)
Electricity
Communications
Supplies " •
Office Supplies
Program Supplies
Printing/reproduction
Shipping/Postage
Non -Capital Equipment (<S750) (List each
50 Tables arid 400 Chairs
Books -
Sue Administrattvg Computer
Routrs and wireless routers and wireiesscard:
Fax Machines
Printers
Physical ?ilness/Sports Equip -
Software'
Walkie-Talkies
Capital. Equipment (>5750) (List each
Professional Services (List each
Program',Eyaluatar.: _'
Arts4l:earoing
Museum of Science
Shake A -Leg
Education Cunsnita_ ni
Other. (List each)
Community/Family Events
T-Shrris t
Field Tnps:
Pre -Program StafrWorksho
Workshop Supplies
Prograta.StatTHackground.and Drug Screeni
TOTAL OPERATING
Administrativellndirtct Costs
(Can not exceed 10%)
12,000 00
,200.00
,000.00
J.500.00
..1:.200:6o
20,000.00
000:00
500.00
•
t4 589 00
T3B:U0
8',473 00
080:00
00
35140.00
1,0so:oo
2060.00
• ;. 0.00
•0 00
0.00
2,000.00
'r100%• _ 500.00
L00%; . 12,000.00
100%.
1,200.00
0.00
•.0.00
0.00
100/.-..;' ,24,589.00
00%., 44,738.00
-00%1 - _--.68,473.00
0-00
20080.00
•
100°/q_- 50,000.00
`I00'/• :7,000.00
s 100% 35,140.00
S332,743.20
Budget Summary for Proposed Pro
0.00 . .0.00
0.00
0-00
0.00 0.00
o.0a
.0.00 0.00
0.00 0.00 • 0.00
0.00
0.00
.0.00
0.00 -;0% •
0.00
0.00
0.00
0.00
0.00 . 0% 0.00 r 0% , 0.00
0% 0.00 . 0�/q:. 0.00 ..0% 0-00
.0 0.00 0%.: 0.00 •--.-0%-` 0.00
0'/. -•0.00 h ' 0 . 0.00. 0%.. 0.00
: 0 - 0.00:',0%.-0.00 0% 0.00
' 0.00 0%, 0.00 0/ T. 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
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0%. 0.00
0.00
000
0.00
100% 70 349.78
• 100% 153,156.70
100% 7 087.65
. 0%
0.00
0.00
0.00
0.00
0% 0.00
o% 0.00
0% 0.00
0% 0.00
o% o.00
0.00
• .0% 0.00
. 0,00
0.00
0.00
o% 0.00
°. o% 0.00
0°/.. 0.00
.".o% 0.00
` 0% 0.00
0.00
000
• i00%. 0.00
.100% 1,080.00
100% 2,160.00
S233,834.13
0.00
0% 0.0C
100% 70,349.78
100% 153,156,70
100% 7,087,65
100% 3,000.00
100% 15 000.00
100% 2,000_00
100%. S0D.00
100% 12 000-00
100% 0.00
100% 1,200.00
100% 1,000.00
100% 1,500.00
! 00% 1,200.00
100% 1,500.00
0% . 0.00
0% 0.00
0% 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
S635,457.33
73612.51
52,031,930.30
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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
Site Administrator
Areas in Blue to be completed by the Agency
Name Amount - % Detailed Justification for Each Line Item
Pat Quintana
Adina Diaz
Site Administrator
Site Administrator
Site Administrator
Gabrielle Rojas
Tyrone Miller
Manny Pelaez
38340.43
37535.89
37535.89
45693.23
59733.86
Kim Sands
Olinda Alexis
Park Maintenance -SP
Alberto Gonzalez
Park Maintenance -DP
Park Maintenance- AFP
Jacabo Carmona
Recreation Specialist- MP
Recreation Specialist- MP
Francoeur Antonio
43543.76
24086.82
35744.8
22929.3
35744.8
Emma Offord
Wendall Ward
17941.25
List Part -Time Employees
Clerk Temp
Shenandoah -Group Leader
Full -Time Total
17941.25
0.00
0% Project Administration / Reporting / Oversees Program at Administration Level'.
0% Site Administration Schednleing Personnel, Prepare Reports, Collect Daia, OverseesProgram at Park level „'
0% Site Administration Schedulemg Personnel, Prepare Reports; Collect Data, OverseesProgram-at Park level ..
0%.Sete Administration Scheduleing Personnel; Prepare Reports, Coiled Data, OverseeaProgramat Park_ level
0% Site Administration Scheduleing Personnel, Prepare Reppors, GoI lest Data, OverseesProgram at Park level
0°/ Site Administration' Scheduleing"Personncl, Prepare Reports; Collect Data; OverseesProgram at Park level - --. - _--`-.--
0% Site Administration; Schedulcing Personnel, Prepare Reports; Collect Data, OverseesProgram at Park level
0'/ Park Grounds Maintenance • - - - - ---- - .
0% Park Grounds Maintenance •
0%.Park Grounds Maintenance-
0°/b Assist.Site-Administrator
0% Assist Site Administrator <.
0.00
Z. Evangelista
Group Leader
Group Leader
Group Leader
Group Leader
David Balletti
1664
Diego Caro
Alex Femandez
Rosemary Fernandez
Lenin Euceda
Group Leader
Support Staff
Support Staff /35
Support Staff/35
Support Staff/35
Weight & Game Rooms
Jennifer Munoz
Raul Sardina
TBA - Summer
TBA - Summer
5460
12740
12740
12740
12740
Clerk:Temp inputs data -answers telephone office procedures direct link to Site Administrators. Works 40hrs wkly
100% aQ 58, x 52 weeks :
100% Group Leader: working 15. hours wkly @ 57 /hr x 52 weeks
100% Group Leader•35 hours wkly @ S71hr x 52 weeks
100% Group 35 hours. wkly@ S7'/hr'x52 weeks
100% Group Leader .working .35 hours ,wkly @ 57 /hr x.52 weeks
100%Soccer.Coach` .35 firs wklyx 57 /hr.x 52 weeks
100/ Group Leader'working 35 hair -ea. wkly`@ $7/hr x 52.weeks
t00%Grow
P Leader working 35. hours- wkly Qu $1 /he x SZ weeks
100% Support Staff`to.Group Leaders' working 351iours, ivkly@ 57 /fir x 9 weeks'-
100% Support Staff to Group Leaders.workin 35hoiirs:.wk h@S7hr.x
9weeks.
100%SupportStaftoGroup'Leaders°working35hours.wkly@S7 /hr x9,weeks
100% Group Leader working 35 hours'.: wkly @ $7 /hr x 52 weeks
100°/b Aerobics/Dance Instructor works 12 hrs weekly @ 57 /hr x 52 wee__
100% Cheerleading Coaclrworking 17.,5.hrs weekly @ 59 hrly x 52 weeks
100% Soccer Coaeh: - 28.5 his wkly x 57. /fir x 52
100%PETeacher for: Physical Fitness/Sports/Coach Ski1115 BuildrnglNutritton 525/hr x4hrs. daily x 5 days wkly x 52 wks
12740
12740
2205
0
Aerobics/Dance Coach
Cheerteading Coach.
Soccer Coach
PE Teacher
TBA - Summer
0
Norberto Sagre
Swami Lopez
Nekesha Prymus
Facundo Parade
Karel Salazar
Certified Teacher
Certified Teacher
Facility/Pool Maintenance
A. Square - Group Leader
Group Leader
Group Leader
Support Staff/ 35
12740
436&
8189
10374
26000
TBA
TBA
Carlos Garcia
Yaldrina Matheis
Micheal Jean
Tia Ellis
SBA - Year round
Support Staff / 35
Support Staff/ 35.
Support Staff/ 35
PE Teacher
TBA - Year round
TBA - Year round
TBA - Summer
TBA
10400
1040(}
Credentials -describe staff
education
training and key experience
100% Certified TeacherforMath-and Reading 2ha daily x4 daysx 52 weeks:
100%
Certified Teacher- 'forMath• and Reading 2hrs-daily x 4. days x 52 weeks
12740 100% Maintenanceworker.w. orks 35hrwkly.x S7 hrly:x-52 weeks
12740 100% Group f eader.working:35.hours wkly.@ $7 /hr tt 522;weeks
127411 100%Group Leader-workrng:35 hours-,wkly @ $711irx 52 weeks
I274 100% Group I eadcr swrluiig 75 hours wkiy @ 37/fir it 52 wet
12740 100%Group Leader;workta$ 35 hours .wkly @ S7Ihrx 52
wee
12740 100% Grouplaeader waiking35 hours 'wkly'�a $7,/hr.x`52'wecks
12740 100% Qroup•Leaderworktng 35 hours:_.vvkl5i (07 57-/hrx-52.weeks
2205 100% Group',L eadcr-working"35: hours wkiy [a3 S7.I1ir x 9 weeks
26000 100% PE Teacher for Physical` Fitness/SportslCoach SkilllsBuilding 525/hr x4hrs daily x 5-days wkly x 52 wks ..
Enter Agency Name in Footer
2/28/2005
Page 44 of 53
rrrc vrnrur�r�, rtt.tJL
Grant Application Forms
Budget Justification
Certified Teacher
Duarte - Sr. Group Leader
Group Leader / 35
Group Leader 135
TBA
Elvira Reyes
Joi Wright
10400 100% Certified Teacher for Math and Reading 2hrg daily k 4 days x 52 weeks -=
16380 100% Sr Group Leader' 35 hrs'weekly®; S9./hrl x 52 weeks -`.
12740 L00%Group Leader ivprkmg _35 hours: ivkty'@ S7 lhr x52'weeks
Group Leader / 35
Group Leader 135
Group Leader / 30
Support Staff /35
Denise Lopez
Miguel Cisneros
12740 100°/a, Group Leader. working 35 hours :wkly @ $ lhr x 52.wceks
12740 100°/aGroup Leader.work ng35 horirs-:wkly @a $7 _/hr x 52'weeks
12740 100%f roup Leader `.working 35 hours wkly @ S7 /hr x 52 .Weeks
Eusebio Vasquez
Ian Wright
Support Staff / 35
PE Teacher
Certified Teacher
TBA
10920 100% Group. -Leader working30 hours 'wk1y @ $7 /hr x 52 weeks
a
2205 100% Supper Staff to Group Leaders .working 35 hours'::wkly.® $7 /hCx 9 weeks
•
IOTA
2205 !00/a SupportStaffto Group Leaders•worktng35. hours wkly@ S7/hr x`9 weeks
26000 100°/. PE Teachu for Physical Fittiess/Slwrts/CoachSkdlls Building $25/hr x4hrs daily x 5days wkl 52 ks
10400
TBA
Moore - Group Leader
Group Leader / 35
Group Leader / 35
Group Leader / 35
Carl Prime
100°/acertlfted Teacher for Mattr and Reading.2lirs daily x 47. u+
days x 5eeks Y w
Group Leader / 35
Support Staff130
Support Staff/ 30
Support Staff/ 30
Support Staff/ 30
Support Staff / 30
Tennis Instructor
PE Teacher
16380 100/ Si. Group Leader working 35 hours 'wkly(@ S9 /fir x.52 weeks
Martha Sherill
Julius Gagni
Ricky Hudson
Tasha Hester
Ditonya Bailey
Priscilla Banks
Leon Cobbs
12740 100/a Group Leader working 35 hours ,:wkbi $7 /hr x .52 Weeks
12740 100°/. GroueIeader-working 3S hours iwk1y,($77hr x 52 weeks
•
12 100 /a Group Leader work 35
hours .ivkly @ $7 At x 52 weeks
1274D, 100%Group'Leader working35.hours-,wk1y.@ $7Jhrx 52.weeks
10920 100%Support Stafi'to'Crroup Leaders working 30 hours _wkly'La7,$7 /hr ix,52 weeks:'. .
10920 100%Support Staffto Group Leaders -Working 30 hours•:wkly g$7 /hr x 52 weeks
10920 1001ipport5taftoGro upbead
ors working30 hours: vrkly@ TI /hr-x"52 weeks
Certified Teacher
Williams- Group Leader
Group Leader /35
Group Leader /35
Group Leader /35
Group Leader / 35
Support Staff/ 30
Support Staff/ 30
PE Teacher
Certified Teacher
Kendedrick Simmons
Liani Torres
TBA - Summer
TBA
10920 100 /.Support Staff to-Graupi eaders working 30 hours wkly,'c3 S7 A1r iK 52 weeps'_.
a
30920 100% Support Staff to Grroup Leaders working:30 hours': Wkly.@ $7 jhc x 52 weeks
100%will roYide stru� ed
0
P .. ctur tennis-mstruclwon 5 da ys @ $25:ILrrlY7i 2.h:rs dailyio� 9 weeks
26000 100 /o PE Trach4r for Physical Fitness/$parts/Coach Skiliis Build mg $25lhr x4hrs.daily x 5 days wkly iS 52 wks
14300 !00%Catdied Teacher. for Math'and Reading 2hrs daily x 4 days x 52 weeks and 3hrs on Saturdays'x 52 weeks:16380 100%Sr Gcroup Leader working 35hours wkly@:59 /hr.x 52 weeks — —
a —
Anthony Graham
Kim Sheriff
Kalvin Kemp
Terrence Williams
Laroyce Walker
Qansheka Berry
TBA - Summer
TBA - Summer
TBA
TOTAL
TOTAL FRINGE BENEFITS
TBA
Part -Time Total
12740 I OD /. Group Leader 'Working 35 hours wkly.'@S3 lhrx 52:weeks
12740 100%Group Leader working 35 hours wkly@ $7 /1ir x 52 weeks
12740 100% Group Leader- writing 35 hours wkly 0'7 /tir;it 32.rveeks
•
12740 100% Group L ader.worktng 35: hours. wkly- @ S7 /hr x 52. weeks
0 100%Support Staff to Group Leaders working 30: hiouis wkly.@ $7 /hr x 9-weeks
0 100% Support Staff to Group Leaders working 30 hours wkly @ $7 /hr x 9weeks :
E 0400
26000 100% PE Teacher far Physical Filness/$poris/Coach Skillts Buildrng $25lhr xy x 4hrs•dail5 days wkty x 52 wks
100% Certified Teacher; for Math and Reading 2hri dailyx 4 days X. 52 wee lrs
723,797.801 60.00 _ s
S723,797.80
OPERATING EXPENSES
Travel (other than clients)
Local mileage, tolls, parking
Out-of-town
Travel (clients)
Bus pass/tokens
569,846.49 '
0.00
0.00
Field trips/BusesNans
Meals (clients)
Snacks (after school)
0.00 =°r'
Bits trans oJta0otLfor350 participants during the summer;
21.823.20 r inseam:of'Stent�- •
er work days 8nd.cchool breaks nd parents for'family day at the
0.00
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2/28/2005
Page 45 of 53
The Children's Trust
Grant Application Forms
Budget Justification
Meals (full days)
Space =
Lease/Rent
Maintenance (water) .
Electricity. .
Communications -'
Supplies
0.00
0.00
0.00
0.00
Office Supplies
Program Supplies-
Printing/reproduction
Shipping/Postage
Non -Capital Equipment (Q750) (List each
50 Tables and 400 Chairs
Books
Site Administrative Computer
Routrs and wireless routers and wireless cards
Fax Machines
Printers
Physical Fitness/Sports Equip
Software
1Walkie-Talkies
0
0
0
Professional Services (List each
Program Evaluator
Arts4Learning
Museum of Science
Shake -A -Leg
Education Consultant
Other (List each)
Community/Family Events
T-Shirts
Field Trips
Pre -Program Staff Workshop
Workshop Supplies
Program Staff Background and Drug Screening
TOTAL OPERATING EXPENSES:
Administrative/Iadireet Costs
(Can not exceed 10%)
TOTAL BUDGET
3,000,00
15,000.00
2,000.00
500.00
12,000.00
0.00
1,200.00
1,000.00
1,5
1,200.00
20,000.00
2.0
1,50
Pens, Pencils; Staples; piper clips;=copy paper,
Jotimals Writing paper,' pencils, crayons, art supplies erasers etc.
Printer and. Fax: ink cartridges etc
Mailings to Parcnts:asneeded
Tables and chairs Tor use by participantsfor various coniponentsof the program
For Nutrition Component for 5 parks'. -^--_� T
(1) administrative computer at each -of the two ne.w program sites-
sites",- - - -
Op.00{5) Fait machines for submitting daily attendance and other records to m PrograAdministrator for data input
(2) laser Jet printers at eacfi of the new programsttes (I) for administrative use and (1) for participani use.-
Physical Fitness. exercise equtpment'spotts equipnient,riets exercise mats, etc
00-00 Software for the (2) newadintnistrative computersthat ,will be connected to City IT System
0.00 On stte:and offsite communiat cion betweenstaff for'safety measures 6 walkie talkies@ 550 per set x 5 parks
0,00
0.00
0.00
24,589.00
44,738.00
68,473.00
20,080.00
50,060.00
7,000.00
35,140.00
0.00
.0.00
0.00
S332,743.20
73,612.51
51,200,000.60
•
Programevaluationperfoirnedby'.contract'for.5parks
Vtsual and Performing Asic for 350•participants - contractual.agreement
ult
Family i omponent and.Science
Education Consing Services to develop and supervise thematic units as provided by cont - trac
. 1- -----
FiveMultt-Cultural Community Events with amusements,. games; resource area, food area; music, tents etc.-'
5 TTShirts each for 350 participants -'
Education Based/Physi al Fitness Based Field Trips for 350 participants one day a weekduring the summer and school breaks, .
and on Teapher work days Miami Ice_Arena, Museum of Science; Actor's Playhouse, Mtccousukee Reserv_, Cloverleaf Bowling
Lanesvignkeyiungle PatiotJungleSeaquariiim.
PayroiF;-ar:counting
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2/28/2005
Page 46 of 53
The Chifdren's Trust
Grant Application Forms
06/01/2005 to 05/31/2006
1200.0%
months
NAME OF SITE LOCATION:
SALARIES:
List Full Time Employees
Position Name
Project Manager Pat Quintana
Site Administrator Adina 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 Cannons
Park Maintenance- Francoeur Antonio
Recreation Specialist Emma Offord
Recreation Specialist Wendall Ward
Full -Time Total
List Part -Time Ernp
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/Dante
Cheerieading Coach
Soccer Coach
PE Teacher
Certified Teacher
Certified Teacher
Facility/Pool
A. Square - Group
Group Leader
Group Leader
Support Stafr/ 35
Support Staff/ 35
Support Staff / 35
Support Staff/ 35
PE Teacher
Certified Teacher
oyees
Z. Evangelista
David Balletti
Diego Caro
Alex Fernandez
Rosemary Fernandez
Lenin Euceda
Jennifer Munoz
Raul Sardina
TBA - Summer
TBA - Summer
TBA - Summer
Norberto Sagre
Surami Lopez
Nekesha Prymus
Facundo Parada
Karel Salazar
TBA
TBA
Carlos Garcia
Yaldrina Matheis
Micheal lean
Tia Ellis
TBA - Year round
TBA - Year round
TBA - Year round
TBA - Summer
TBA
TBA
1
Annual Salary
38340.43
37535.89
37535.89-
45693.23
59733.86 1
43543.76
24086.82 _
35744.8
22929,3
35744.8-
17941.25
17941.25=
416,771.28
16640
5460 W.
12740 _
12740
12740
12740
_12740
12740
0
0�
0
12740-_
4368
8189--
10374 -
26000
10400
10400
12740-
Site
Location 1
-.;.A£rican:Squire Park =•
Amount
• -.3,328.00
12740- 100.0%a 12,740.00
12740 20Q.0°/ ': 12,740.00
12740 100 0% 12,740.00
12740 I00.01 ::. 12,740:00
12740 ;:100_4%. • 12,740.00
12740 ioo.o% + -.12,740.00
0- : 00,0% 1: -: 10.00
26000 100 0% .. '26,000.00
10400Y 100.0% 10.400.00
Site
Lion 2
Amount --
Site Location 3
Moore Park:
.4
Amount
Budget By Site Locatic'n
completed
P byhe
Agency
Areas in Blue to be
1Site
Site Location 4
Location 5
Total
. Shenandoah Park -: ::
Williams Park '
%I Amouni
. .
1.4
Amount
_ %I
_ - Amoutu
1
1
_
0.00
_
0.00
0% 0.00
000
0.00
0% 0-00
0.00
0.00
0% 0_00
0.00
0% 0.00
0.00
0% 0.00
..
0% 0.00
0% 0.00
0.00
0% 0.00
0% 0 00
0% 0.00
.. -
0% 0.00
-'`-
).00
0% 0.00
0.00
0.00 0.00
0.00 0.00
': 20%_-'
3,328.00
20%. 3,328.00
100% 16,640-06
100%
.T 100%
5,460.00
12,740.00
100% 5,460.00
100 % 12,740.00
"1 J0%
12 740.00
100% 12.740.00
.1301.
12,74Q 00
100% 12,740.00
_100% :.'..
_ 12,740.00
!00% 12,740-00
_ 100%
12,740.00
T
100% 12740,00
_ ._:.100°/a.
-. 12,740-00
100% . 12 740.00
l00%a
A00
..
100° 0.00
' ' 100%
1.00%
0 00
.. • • 0 00
100% 0.00
100'/. 0.00
.,=100%
' - 12,740.00
100% 12,740.00
100°
4,368.00
.-
100% 4,368.00
100%
8,189.00
100% 8,189.00
,-. 100% :..
' 10,374 00
100% 10,374.00
' 100%_
26,000.00
1.00% 26,000.00
''1001.
•
10,400.00
100% 10400_00
-100%
10,400.00
100% 10,400.00
'100%
1274000
_-1
100% 12,74000
100% 12740-00
100% 12,740.00
_.
100% 12,740.00
100% 12 740.00
100% 12,740.00
10D% 12,740.00
_
_ 100% 0.00
100% 26,000.00
100% 10 400-00
Enter Agency Name in Footer
2/28/2005
Page 47 of 53
The C
Grant
Duarte - Sr. Group
Group Leader / 35
Group Leader / 35
Group Leader/ 35
Group Leader / 35
Group Leader/30
Support Staff/35
Support Staff / 35
PE Teacher
Certified Teacher
Moore - Group
Group Leader / 35
Group Leader/35
Group Leader /35
Group Leader / 35
Support Staff / 30
Support Staff/ 30
Support Staff130
Support Staff130
Support Staff / 30
Tennis Instructor
Park Maintenance
PE Teacher
Certified Teacher
Williams - Group
Group Leader /35
Group Leader 135
Group Leader /35
Group Leader / 35
Support Staff / 30
Support Stafrl 30
Park Maintenance
PE Teacher
Certified Teacher
hildren's Trust
Application Forms
FRINGE BENEFITS
FicafMica
W-Comp's
Unemploy
Health Ins.
Life Inc.
Elvira Reyes
Joi Wright
Denise Lopez
Miguel Cisneros
Eusebio Vasquez
Ian Wright
TBA
TBA
Carl Prime
Martha Sherill
Julius Gagni
Ricky Hudson
Tasha Hester
Ditonya Bailey
Priscilla Banks
Leon Cobbs
Kendedrick
Liani Torres
T'BA - Summer
Julius Sams
TBA
Anthony Graham
Kim Sheriff
Kalvin Kemp
Terrence Williams
Larnyce Walker
Qonsheka Berry
TBA - Summer
T13A - Summer
Tajuan Alison
TBA
TBA
Part -Tim a Total •.
16380
12740
12740
12740
12740
10920
2205 2205 _
26000
10400 16380_
12740
12740
12740-'
12740
10920
10920
10920
I0920�
10920-
0
16078.4
26000
E4300�
16380
12740
12740
12740
12740
0-
0
16078.4 -
26000 -
10400
723,797.80
TOTAL FT£s/SALARIES
Rate: 7.65%
Rate: 2.00%
Rate: .00°/.
Cost per Staff 300.00
Cost per Staff 0.00
Retirement Rate: 0.10
Other Lpecify & provide cslculztions
Life/Health ins -City Rate: 0.0733
0 Rate: 0
0 Rate: 0
0 Rate:
TOTAL FRINGE BENEFITS
1
9.20
l 16168.00
920.00/. 5116,168.00
100:0%::. . 16 380.00
_`-,100.0% .: .12,740.00
100.0%' 12,740.00
71-00.0% : , 12,740.00
100,0%. 12,740.00
:100:0%, 10,920.00
`:_ _100.0% :'. : 2,205.00
c 100.0°l. 2,205.00
....100.0% ' 26,000 00
10,400.00
1020.0% •:. 122398.00
1020.0% 5122,398.00
8,886.85
2,323..36 ----
.0.00
0.00
t
9,363.45
7,447.96 -
-:' 0.00
0.00
•0.00
0.00
0.00
0.00
0.00
•
0.00
S11,B11.41
100%: .16,380.00
. 12 740.00
:100% . 12,740.00
100% .12,740.00
/2,740.00
1DOy4t 10,920.00
100%. '. 10,92000
100% 10,920,00
100% 10,920.D0
100%` . 14 920.00
.100.. 0.00
p:-E00%.' :16,078.40
100% .: _-26,000.00
100%- 14,300,00
14.20 ' 181,646.40
14.20 S181,646.40
13,895.95
3,632.93
•..0.00
0.00
. 0.00
19.20 S180,439.00
0.00
13,803.58
3,608 78
0.00
0.00
0.00
0.00
' 0.00
• 0.00--
0.00-
0.00
S 17,412-36
Budget By Site Location
100%
100%
100%
• 100%.
100%.
100%
100%
:• 100%
100%
100%
- 10.20
16,380.00
12,740.00
12,740-00
12,740-00
! 2,740.00
0.00
0.00
16,078.40
26,000 00
30,400.00
123,146.40
10.20 S123,146.40
9,420.70
2,462.93
0.00
0.00
0.00
0.00
100% 16,380,00
I00% 12,740.00
100% 12,740.00
100% 12,740-00
100% 12,740.00
100%. 10 920.00
E11052 205-00
100% 2,205.00
100% 26,000.00
100% 10,400.00
100% 16,380.00
12,740.00
100% 12,740-00
100% 12,740-00
100% 1 2,740.00
100% 10 920-00
100% 10,920,00
100% 10,920 00
100% 10,920.00
100% 10,920.00
100% 0,00
100% 16,078.40
100% 26,000.00
100% 14,300.00
100% 16,380.00
100% 12,7413.00
100% 12,740.00
100%. 12,740.00
100% 12,740.00
t 00% 0-00
100%. 0.00
100% 16,078.40
100% 26,000.00
100% 10,400.00
62.00 723,797.80,
62-00
S723 797.80
55,370-53
1 4,475.96
0.00
0.00
0.00
0.00
0.00 0.00
0.00 000
0.00 0.00
0.00T 000
511,883.63 S69,846.49
Enter Agency Name in Footer
2/28/2005
Rage 48 of 53
The Children's Trust
Grant Application Forms
Budget By Site Location
I I
I
l
I
I
I
Areas in Blue to be completed by the agency. L.
Site Location 1
Site Location 2
Site Location 3
Site Location 4
Site Location 5
Total
NAME OF SITE LOCATION:
. £African Square Park . _
.. i)itarte'Park
Moore Park
__-
- _
Shenandoah Park:
. • .
Williams Park
%
Amount
%
Amount
%
Amount
%
Amount
%1 Amuunc
- - --.... _ .
%
-_
Amowu
_._
OPERATING EXPENSES:
Annual Cost
it
-_
-
Travel (other than clients) -
Local, talks, parking 0.00
0.00
_
• r' .04
_
0.00
•
T
0.00
0.00
0%
0.00
Out-of-town 0.00
-
' 0.00
'. , ,.: .00
•- 0.00
0 00
0.00
0%
0.00
travel (client.)' - - -
- -
-
-
-
Bus pass/tokens 0.00
0.00
0_00
_
0.00
0,00
0.00
0%
0-00
Field trips/Buses/Vans 21• 823.20
-
17.1% 3;731.77
I7.11% - • 3,731.77
28.6% _.6,241
44
28.66
6.241,44
• 8.6% 1,876.80
100%21,823.20
Meals (clients).
-
Snacks (after school) 39,270-00
-
' • 0.00
t
0.00
'
_
:.._0.00
-
0.00
0.00
0%
0.00
Meals (full days) 29,61000
Space
-
0.00
-
0 00
-
0.00
0.00
0.00
0%
0.00
Lease/Rent 0.00
-
T. - _ 0,00
_
-•, 0.D0
-
0.00
_
0.00
0,00
0%
0.00
Maintenance 70,349.78
Q.OQ
• 0.00
0.00
0.00
0.00
0%.
0 00
Electricity 153,156.70
`
0:00
-
D.00
0.00
_
' 0.00
0-00
0%
0.00
Communications 7087,65
-
' 0.00
0.001
.0.04
0.00
0-00
0%.
000
Supplies
Office 3,000.00
'
171% . 513,00
^
- 17-1%. - • 513.00
28.67,
858.00
28.6'/ , -
858.00
.. 8.6% 258_00
100%
3,000.00
Program Supplies 15 00000
_
17 1%. - 2,565A0
17.1 /° ' _2,565.00
28;6 /0.'
4,290.00
-.26:6°/a'
4,29400
8-6% 1,290.00
l00'/°
15 D00.00
Printing/reproduction 2,000.00
171°!e ' '- 342.00
17:15' .342-00
_ • 28.6/'..+
'572.00
_ 28,6%
572.00
8.6% ' - 172.00
100%
2,000_00
Shipping/Postage _ 500.00
17:14 85.50
; 17:1°/. 85,50
` 28.6%
143.00
, 28,6.4 •' •
143.00
. 8.6% 43.00
100%.
500.00
Non -Capital Egnipineni (6750) (List
-
each)
-
-
-
-
50 Tables and 400 Chairs 12,000.00-
171. 2,052,00
17;1/:',:. 2,052. 00
28.6%.:
-
•
3,432.00
.28.6'0':_ -
3432.00
-8.6% 1032-00
1001
12,000.00
Books 0.00
17 1 / 0-00
17.14 -- - . 0.00
T_28.6 /
0.00
: 28:6%_ ' .
0-00
8.6% 0-00
100'/°
0.00
Site Administrative Computer 1,200.00
50:0%T. . -600;00
ar.50.0°!.
0:06 :._ .0.00
-::0.0%
.
.:0,00
';0% ' _
0,00
-; 50% 600.00
100Y°
1,200.00
Routrs and wireless routers and wireless 1000.00-
_: 50000
'0.0% 0.00
0.0'/
-
.1 0-00
0 °
0.00
50%° 500.00
100/
1,000_00
Fax Machines 1,500.00
2017/. 300.00
20..0%.: 300.00
20"0%
300,00
20.. -
300.00
-• 20/ 300.00
100%
1,500.00
Printers 1,200.00
-'
_
`500'/.. . '.600.00
_
0,0/. [0.00
A 00Y°
0.00-
::.0/ •- .
0.00
50%s 600,00
100/.
1,200.00
Physical Fitness/Sports Equip 20,000.00
17.1% ' •3 420.00
17:1 6 3,420.00
28;6'4
5,720.00
28.64t.' "
5,720.00
: 8.6'/. 1,720.00
100%
20,000.00
Software 2,000,00
-
20 0°/ 400-00
20 0-400.00
°/.
_ If 20.0°/
` '400.00
,`-20^/e.':
• . 400-00
20%400.00
100%
2,000-00
Walkie-Talkies
Capital Equipment•
•1,500.00
-
20.0%.-300.00
-
200'/. _ •• 300.00
28..
300.00
- _'•20% '
• 300.00
20% 300.00
100%
1,500-00
(>5750) (List each)
I
0 0-00.-,
k 0.00
0.00
0.00
0.00
0.00
0°/.
0.00
0 0.00
0.00
0.00
0.00
0.00
0 00
0%
0.00
0 0.00
- . 0.00
-
0.00
0.00
-
0.00
0.00
. 0%
0.00
Professional Services (List each)
-
-
-
--
Program Evaluator 24,589.00
^
a- 20,0% ' ::4 917.80
_
> 20 0%. 4,917.80
,20.0%
-
•
: 4,917,80
, i:20%.. •
4,917.80
: 20% 4,917.80
100%
24,589.00
Arts/ earning 44,738.00
20.05/ '. 8,947.60
_'20 0% - ': 8,94740
20,13
^_
.
; 11,947.60
. 20'!
-
8,947.60
70'! 8,947.60
100%
44,738.00
Museum of Science 68,473.00
20 0% :'' 13,694 60
_
` -20 05' '. -' 13 694.60
-.20; 0°/
13,694.60
20'!
13,694.60
2. 0% 13,694.60
100%
68 473.00
., 20 0% :-. 0.00
_
,. 20 0'/. - - 0.00
_ 20:0 /.
�. ', 0.00
20% -
I - 0.00
20% 0.00
100%
0.00
Education Consultant 20,080.00
1
-
0 0%80.0024 016:00
- 20 05' - 4 016,00
- 20.0'!.
-.4,016.00
-20°/ ''.
4,016.00
20% 4016-00
100%
20,080.00
Other (List each) -.
•
:':
-
Com-Munity/Family Events 50,000.00
_
0`l. '10 000 00
c 20 0% :.10 000.00
20.0°/.
.10 000.00
20'�
10,000.M
. 20% 10,000.00
100%
50,000.00
T-Shirts 7,000.00
_
17;1J. 1.197,00
`I71°/. :, 1,197.00
28E6°/
-:
2002.00
_ 286/q
2,002.00
-' 8.6%. 602-00
100%
7,000.00
Field Trips 35,140.00
17 1'/ .' 6,008,94
' 17 1% ... ' .' 6,008.94
:28.6%
`
10,050.64
28.6t `:
10 050.04
:' 8.6% 3,022.04
100%
35,140.00
W Pre -Program StalTorkshop 0.00
_
Workshop Supplies 1,080.00
-
Enter Agency Name in Footer
2/28/2005
Page 49 of 53
The Chiidren'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
. 564,191.21
$204,157.16
S209,288.35
Budget By Site Location
575,884.48
21,053.18J
$75.884.48
28-6% 2053.181
5296,112.93 S294,789.02
554,291.114 5312,743.20
8.6% - 6330.68
0.00
5195.652.54 51,200,000.00
Enter Agency Name in Footer
2/28/2005
Page 50 of 53
The Chiidren's Trust
Grant Application Forms
Overall Program
Daily Unit Cost
Areas in Blue to be completed by the agency.
Unit Cost.(per youth).;'General Population
Unit Cost (per youth) - Children with disabilities
Service Name ` . '
: -# or
. students"
# of days
Total ..
`. hours .•
....Unit Cost .
Total •: ' •
Service Name
tl of
students
# of days
Total
hours
Unit Cost
Total
Summer Camp
r,`297
= '147
'S54
$1-39
$13.10
$4.10
$0.72
$39.72
-:: $233,525.99
Summer Camp
$0.00
Summer After -School
S0.00
Summer After -School
$0.00
Legal Holiday
r
$0,00
Legal Holidays
50.00
Teacher Planning
; 297
- _ 5
-rt 60
. ";$233 525.99
-
Teacher Planning
$0-00
Thanksgiving/Winter/Spring Breaks
: --297
16
, 4 - 92
• .. $233 525.99
:-:.-S233,525.99
Thanksgiving/Winter/Spring Breaks
$0.00
$0.00
After School Days
z` 297
s 183
'` .1098
After School Days
Saturdays
_: 40
, ; . 49
:` `,;. 147
_ .S233,525.99
Saturdays
$000
Total
' SI,167,629.95
Total
SO.U0
Site Location 1
African Square
Unit Cog (per :youth) ---General Population ..:: :..: .::. .'
Unit Cost (per youth) Clildren with disabilities ._..
_._.. __
Total
Service Nan ie: '
students
- 8 of days
' hours .
.- Unit Cost '
... 'Total .. :
Service Name
• # of
students
# of days
Total
hours
•
Cost
Summer Camp
,= 51
' 47
r'.� _ 564
$1 77
' , 7.:S51,039.29
Summer Camp
_Unit
Summer After -School
4.:.i
- 's'
: - 50.00
Summer After -School
_
__$0.00
$0.00
Legal Holidayr
ga
=T
f
54 , -_
;':50.00
Legal Holidays
-
-
$0.00
Teacher Planning
: 51
_ '- x :5
';< } ::fit}
5.ii16:58
: .$51,039.29
Teacher Planning
-
$0.00
Thanksgiving/Winter/Spring Breaks
51
41 i 16
. ,', r, 442
r- . s;,$5 21
'`: S51,039.29
Thanksgiving/Winter/Spring Breaks
-
a_0.00
$0.00
After School Days
51
;"183
i,r1098
Y -i$091
+ :: $51,639.29
After School Days
Saturdays
.
.t rr.
, - ". =x
. - _-
Saturdays
$o.00
Total
'' -S198,916.34
Total
___
50.00
Site Location 2
Duarte Park
Unit Cost (per youth) - General. Population
Unit Cost (peryouth) - Children with disabilities •
_
Service Name
. # of -
students:
: # of days.
Total-;"
hours -.
" Unit Cost
v = ". Total :
_
Service Name
-; .# of :.
students
# of days
Total
hours
Unit Cost
-
Total
Summer Camp
51
47
. 564
s .c-j $1-.82
'-' . S52,322.09
Summer Camp
-
50.00
Summer After -School
_t _ -..,, y
:
Summer After -School
0.00
Legal Holiday
l
a.r
-
. ,
Legal Holidays
50.00
Teacher Planning -
-� L51
. - 5
60
;-F,5i7 10
:$52;322.09
Teacher Planning
•
--$0.00
Thanksgiving/Winter/SpringBreaks
51
- = F afi
:> . <_592
1-4,1 S5.34
": ==-.S52,322:09
Thanksgiving/winter/Spring Breaks
$0.00
After School Days
S1
i83
.A;-.1098
':' -" ;-5093
. -- $52,322.09
After School Days
$0.00
Saturdays
'?.
.
Saturdays
S0.00
8f0
Enter Agency Name in Footer
$209,288.35
Total
50.00
51,167,629.95
S 198,916.34
S209,288.35
Areas in Blue to be completed by the agency.
2/28/2005
Page 51 of 53
The Children's Trust
Grant Application Forms
Site Location 3 Moore Park
Daily Unit Cost
Unit Cost (per youth):- General Population :
Unit Cost (per youth) - Children with disabilities
Total
Service Name
# of
students
-
# of days
Total...
. hours . •
Unit Cost
-_
Tot*l " ..
Service Name ' :
# of
students
# of days
—Total-
hours
Uoit Cost
Summer Camp
.85
: -47
�564
.. -:'$I:24
•. :$59,222.59
Summer Camp
$0.00
Summer After -School
Summer After -School
$0.00
Legal Holiday
Legal Holidays
---
$0 00
Teacher Planning
• 85.
_ -`- 5
= :60
. SI 1 61-
_ $59,222.59
Teacher Planning
—
$0.00
50.00
Thanksgiving/Winter/Spring Breaks
•85
: :16
: t, ,-:192
g- $3,63
-'
$59,222.59
Thanksgiving/Winter/Spring Breaks
T
After School Days
85
_ ; -.183
,_ . .: +1098
.:.50.63
"
." • . $59,222.59
After School Days
$0.00
Saturdays
. . -• 40
; •49
- : ;147
' ; .510.07,'
• $59,222:59
Saturdays
— — —
$0-00
SO,go
Total
5
5296,I12.93
Tolal ___,L
Site Location 4
Shenandoah Park
.- Unit Cost (per youth)General Population ::. `.: -::
Unit Cost (per youth) — Children with disabilities.
Service Name ' . -
._. -# of. .
students'
# of days
` Totat.
hours :
Unit Cost .
- . 'Total
Service Name
# of
students
# of days
Total
- hours
Unit Cost_
--
T Total
$0.00
Summer Camp
85
47.
' -564
$1.54
•- -: • $73,697.26
Summer Camp
Summer After -School
+;
Summer After -School
_
$0.00
50.00
Legal Holiday
Legal Holidays
Teacher Planning
S5
, : ' v.. 5
' k a �.60
'°.-=514 45
.. . $73,697.26
Teacher Planning
$0.00
Thanksgiving/Winter/Spring Breaks
85
, . __ 16
: 192
54.52
,r `- $73,697.26
Thanksgiving/Winter/Spring Breaks
_
SO-00
After School Days
85
:.183.
: U)98
r� $0 79
:.: ...$73,697.26
After School Days
$0.00
Saturdays
' `r. .-
Saturdays
-
-
50.00
Total
S294,789.02
_
Total
50.00
Site Location 5
Williams Park
Unit Cost (per youth)" -:-General Population '=-
Unit•Cost (per youth) -.Children with disabilities -
Service Name:
# of
students .
# of days
".:Total
. _ - hours
:Unit Cost-.
- Total ,.. -
Service Name
ii of .
students
4 of days
Total
hours
Unit Cost
Total
Summer Camp
• . 25
- 47
, :i.564
.,: 53.47-
:.- S48,913;14
Summer Camp
S0.00_
s0.00
Summer After -School
t
Summer After -School
Legal Holiday
-
Legal Holidays
50,00
Teacher Planning
25
`-5
'
532 6I
_.:. $48,913.14
Teacher Planning
$0.00
Thanksgiving/Winter/Spring Breaks
•.` '-:...::::.:,'25
: tit16
01192
01Q`19
:. ::.:548,913.14
Thanksgiving/Winter/Spring Breaks
$0.00
After School Days
- 25
, :-;. 183
i y:1D98
=' .S 78
- :.: •„ S48,913.14
After School Days
50.00
Saturdays
Saturdays
S0.00
Total
Enter Agency Name in Footer
S195,652.5
Total
S296,112.93
5294.789.02
SO.00] S195,652.5z
2/28/2005
Page 52 of 53
The Children's Trust
Acknowledgement of Addendum
Instructions: Complete Part I or Part If, whichever is applicable.
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 listed above,
or to certify that no Addenda were re r ed.
Authorized Signature:
Print Name: Robert Ruano
Title: Grants Administrator
Date: 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
Page 5-3of 61
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
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