Common use of Agency Eligibility Clause in Contracts

Agency Eligibility. Private Nonprofit* 1. Identify which of the following categories best describe the applicant agency. If the agency is a not for profit, provide the not for profit status documentation. Describe Other: Campus Organizations Only: (choose one from the drop-down menu) Describe Other: Non-profit Organization Only: (choose one from the drop-down menu) 2. Law Enforcement 3. Subgrantee Agency Service Area(s): (List the counties that cover the service area of your organization) All 67 counties of the State of Florida 4. List the total population of the counties to be served : 20,610,000 Mixed 5. Describe the geographic characteristics of the service area: (choose one from the drop-down menu) 6. Describe the purpose of the GR subaward: (choose one from the drop-down menu) Continue a GR funded victim project funded in a previous year 7. Funds will primarily be used to: (choose one from the drop-down menu) Expand services into a new geographic area 8. Is the applicant organization faith-based?: (choose one from the drop-down menu) NO 9. Include the address of the location(s) victim services will be provided: NA 10. Provide the agency's website address: xxx.xxxxxxxxxx.xxx Yes 11. Does the agency have a Board of Directors? If yes, provide a listing of the current Board Members with the application. The project proposal should clearly outline what will be done and by whom. The project proposal pertains only to the services related to the funding provided by the Florida Legislature. 1. Describe services to be provided. (Provide response in the text box below.) A portion of the funds ($75,000) will be paid to a contracted position(s) that will serve to coordinate CIT training for law enforcement agencies. This coordinator will assist in bringing the mental health providers to consult with law enforcement to deliver the 40-hour CIT training program. The remaining funds ($725,000) will be used to cover administrative expenses, host CIT trainings, and to pay for personnel to attend the 40-hour CIT training program. The funds would only go to an agency after a certificate of completion has been submitted to the Department of Legal Affairs. See attached pages for more detail. A. Provide a related Scope of Work and a related Deliverable as described in your project proposal. The Document Support and Financial Consequences will be completed by the Office of the Attorney General. B. Each Scope of Work must clearly establish the task the subrecipient is required to perform. C. Each project deliverable must be described in quantifiable units. Each deliverable must be directly related to the Scope of Work and specify the required minimum level of services to be performed. Each deliverable must be maintained on a monthly basis and provided in accordance with the General Revenue agreement; the data will be required with each invoice. Deliverables must be submitted in a format that includes a monthly and cumulative total in accordance with the General Revenue agreement. If applicable, a project timeline will need to be included as part of the deliverables. (Provide response in the text box below.)

Appears in 1 contract

Samples: Grant Agreement

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Agency Eligibility. Private Nonprofit* 1. Identify which of the following categories best describe the applicant agency. If the agency is a not for profit, provide the not for profit status documentation. Describe Other: 2. Describe the type of implementing agency: Campus Organizations Only: (Choose only one category) Government Agencies Only (choose one from the drop-down menu) Describe Other: Non-profit Describe Other: Child Abuse Service Organization Only: (choose one from the drop-down menue.g. child advocacy center) 2. Law Enforcement 3. Subgrantee Agency Service Area(s): (List the counties that cover the service area of your organization) All 67 counties of the State of FloridaAlachua, Xxxxx, Bay, Bradford, Brevard, Broward, Xxxxxx, Xxxxxxxxx, Citrus, Clay, Collier, 4. List the total population of the counties to be served : 20,610,000 Total population for Counties is 18,630,383. Total children under 18 are 3,741,279. Mixed 5. Describe the geographic characteristics of the service area: (choose one from the drop-down menu) 6. Describe the purpose of the GR subaward: (choose one from the drop-down menu) Continue a GR funded victim project funded in a previous year 7. Funds will primarily be used to: (choose one from the drop-down menu) Expand Continue existing services into a new geographic areato crime victims 8. Is the applicant organization faith-based?: (choose one from the drop-down menu) NO 9. Include the address of the location(s) victim services will be provided: NAFNCAC Office: 0000 X. Xxxx Xxx, Xxxxx 0X, Xxxxxxxxxxx, XX 00000; CAC Offices: See 10. Provide the agency's website address: xxx.xxxxxxxxxx.xxx xxx.xxxxx.xxx Yes 11. Does the agency have a Board of Directors? If yes, provide a listing of the current Board Members with the application. The project proposal should clearly outline what will be done and by whom. The project proposal pertains only to the services related to the funding provided by the Florida Legislature. 1. Describe services to be provided. (Provide response in the text box below.) A portion of the funds ($75,000) will be paid to a contracted position(s) that will serve to coordinate CIT training for law enforcement agencies. This coordinator will assist in bringing the mental health providers to consult with law enforcement to deliver the 40-hour CIT training program. The remaining funds ($725,000) will be used to cover administrative expenses, host CIT trainings, and to pay for personnel to attend the 40-hour CIT training program. The funds would only go to an agency after a certificate of completion has been submitted to the Department of Legal Affairs. See attached pages for more detail. A. Provide a related Scope of Work and a related Deliverable as described in your project proposal. The Document Support and Financial Consequences will be completed by the Office of the Attorney General. B. Each Scope of Work must clearly establish the task the subrecipient is required to perform. C. Each project deliverable must be described in quantifiable units. Each deliverable must be directly related to the Scope of Work and specify the required minimum level of services to be performed. Each deliverable must be maintained on a monthly basis and provided in accordance with the General Revenue agreement; the data will be required with each invoice. Deliverables must be submitted in a format that includes a monthly and cumulative total in accordance with the General Revenue agreement. If applicable, a project timeline will need to be included as part of the deliverables. (Provide response in the text box below.)

Appears in 1 contract

Samples: Grant Agreement

Agency Eligibility. Private Nonprofit* 1. Identify which of the following categories best describe the applicant agency. If the agency is a not for profit, provide the not for profit status documentationdocumentation (attach the most recent IRS 990). Government Agencies Only (choose one from the drop-down menu) Describe Other: Campus Organizations Only: (choose one from the drop-down menu) Describe Other: Non-profit Organization Only: (choose one from the drop-down menu) 2. Law EnforcementDescribe the type of implementing agency: (Choose only one category) Describe Other: Domestic Violence and Sexual Assault Center 3. Subgrantee Agency Service Area(s): (List the counties that cover the service area of your organization) All 67 counties of the State of FloridaClay County, FL 4. List the total population of the counties to be served : 20,610,000 219,252 Mixed 5. Describe the geographic characteristics of the service area: (choose one from the drop-down menu) 6. Describe the purpose of the GR subaward: (choose one from the drop-down menu) Continue a GR funded victim project funded in a previous year 7. Funds will primarily be used to: (choose one from the drop-down menu) Expand Continue existing services into a new geographic areato crime victims 8. Is the applicant organization faith-based?: (choose one from the drop-down menu) NO 9. Include the address of the location(s) victim services will be provided: NA0000 XX Xxxxxxx 00 X, Xxxxx Xxxx Xxxxxxx, XX 00000 10. Provide the agency's website address: xxx.xxxxxxxxxx.xxx xxx.XxxxxxxXxxxx.xxx Yes 11. Does the agency have a Board of Directors? If yes, provide a listing of the current Board Members with the application. The project proposal should clearly outline what will be done and by whom. The project proposal pertains only to the services related to the funding provided by the Florida Legislature. 1. Describe services to be provided. (Provide response in the text box below.) A portion For 32 years we have provided domestic violence services, including shelter, for adults and their children. We have provided sexual assault services for 22 years. Xxxxxxx House is the certified domestic violence and sexual assault center serving Clay County, FL. During 2020-2021, we provided shelter and wrap around support services to approximately 300 women, men, and children combined. We provided over 550 outreach program participants through our combined outreach programs. During 2020-2021, we served a total of 937 individuals. We estimate, based on the number of participants served last year, we will serve approximately 900 participants next year. We feel this number is appropriate because of the funds ($75,000) current need in our community. We hope through our virtual community education program we will be paid to a contracted position(s) that will serve to coordinate CIT training for law enforcement agencies. This coordinator will assist in bringing increase visibility and meet the mental health providers to consult with law enforcement to deliver the 40-hour CIT training programneeds of those seeking services. The remaining funds ($725,000) will be used to cover administrative expensesshelter, host CIT trainingshotline, and on-call sexual assault response operate 24 hours a day, 365 days a year. Xxxxxxx House educates, equips and empowers survivors to pay live a life free of violence. We provide hotline services, crisis intervention, crisis counseling, outreach counseling, shelter and outreach support groups, shelter services for personnel participants, safety planning, personal advocacy, child assessments, information and referral services, crisis counseling and case management, legal support and legal advocacy, emergency financial assistance, emergency legal advocacy, and assisting with filing for victims compensation. We teach survivors of the dynamics of domestic violence and sexual assault to attend the 40create safety and financial self-hour CIT training sufficiency. Services also include courthouse advocacy, an Injunction for protection legal program, economic justice services, sexual assault forensic exams and accompaniments, community education, and prevention. We help create safety for survivors and their families to reduce violence in Clay County. During 2020-2021, Xxxxxxx House provided a total of 13,646 services to survivors of domestic violence and sexual assault in Clay County. Our goal for 2021-2022 is to provide a total of 13,000 services to survivors in Clay County. We will continue to provide quality services and education to survivors of domestic and sexual violence. 1. The funds would only go provider will operate a 24x7 crisis hotline and Advocates will provide victim services to an agency after a certificate of completion has been submitted to the Department of Legal Affairs. See attached pages for more detail. A. Provide a related Scope of Work and a related Deliverable as described in your project proposal600 callers from July 1, 2021- June 30, 2022. The Document Support and Financial Consequences provider will be completed by the Office field an average of the Attorney General. B. Each Scope 50 crisis hotline calls per month for a total of Work must clearly establish the task the subrecipient is required to perform. C. Each project deliverable must be described in quantifiable units. Each deliverable must be directly related to the Scope of Work and specify the required minimum level of services to be performed. Each deliverable must be maintained on a monthly basis and provided 600 crisis hotline calls per year through Advocates assisting victims in accordance with the General Revenue agreement; Scope of the data Work. Monthly sign-in sheets will be required with each invoiceprovided. Deliverables must be submitted in a format that includes a If the PROVIDER fails to achieve the minimum monthly and cumulative total deliverable in accordance with the General Revenue agreement, the PROVIDER will be assessed a financial consequence in the amount of 3% of the total monthly reimbursement request. 2. The provider will provide services to victims in crisis through Advocates providing: crisis counseling, crisis intervention and safety planning, and on scene crisis response. Advocates will provide 600 crisis services to victims from July 1, 2021-June 30, 2022 The provider will provide an average of 50 crisis services per month for a total of 600 crisis services per year through assisting victims in accordance with the Scope of the Work. Monthly sign-in sheets will be provided. If applicablethe PROVIDER fails to achieve the minimum monthly deliverable in accordance with the agreement, the PROVIDER will be assessed a project timeline will need to be included as part financial consequence in the amount of 3% of the deliverablestotal monthly reimbursement request. 3. (Provide response The provider will assist program participants through service plans and goal setting with Advocates providing 360 case management services from July 1, 2021-June 30, 2022. The provider will provide an average of 30 case management services per month for a total of 360 case management services per year through Advocates assisting program participants in accordance with the Scope of the Work. Monthly sign-in sheets will be provided. If the PROVIDER fails to achieve the minimum monthly deliverable in accordance with the agreement, the PROVIDER will be assessed a financial consequence in the text box belowamount of 3% of the total monthly reimbursement request.) 4. The provider will assist program participants through Outreach counseling services by Advocates providing 336 individual counseling sessions from July 1, 2021-June 30, 2022. The provider will provide an average of 28 individual counseling sessions per month for a total of 336 individual counseling sessions per year through Advocates assisting program participants in accordance with the Scope of the Work. Monthly sign-in sheets will be provided. If the PROVIDER fails to achieve the minimum monthly deliverable in accordance with the agreement, the PROVIDER will be assessed a financial consequence in the amount of 3% of the total monthly reimbursement request.

Appears in 1 contract

Samples: Grant Agreement

Agency Eligibility. Private Nonprofit* 1. Identify which of the following categories best describe the applicant agency. If the agency is a not for profit, provide the not for profit status documentation. Describe Other: Campus Organizations Only: (choose one from the drop-down menu) Describe Other: Non-profit Organization Only: (choose one from the drop-down menu) 2. Law EnforcementOther 3. Subgrantee Agency Service Area(s): (List the counties that cover the service area of your organization) All 67 counties of the State of Florida Duval, Clay, St. Xxxxx, Flagler, Putnam, Volusia, Orange, Lake, Sumter, Seminole, 4. List the total population of the counties to be served : 20,610,000 12,323,564 Mixed 5. Describe the geographic characteristics of the service area: (choose one from the drop-down menu) 6. Describe the purpose of the GR subaward: (choose one from the drop-down menu) Continue a GR funded victim project funded in a previous year 7. Funds will primarily be used to: (choose one from the drop-down menu) Expand Continue existing services into a new geographic areato crime victims 8. Is the applicant organization faith-based?: (choose one from the drop-down menu) NO 9. Include the address of the location(s) victim services will be provided: NAMore Too Life (Suncoast) - 0000 00xx Xxxxxx Xxxx X. Xxxxxxxx, XX 00000. One More 10. Provide the agency's website address: xxx.xxxxxxxxxx.xxx xxx.xxxxxxxxxxxxxxxx.xxx Yes 11. Does the agency have a Board of Directors? If yes, provide a listing of the current Board Members with the application. The project proposal should clearly outline what will be done and by whom. The project proposal pertains only to the services related to the funding provided by the Florida Legislature. 1. Describe services to be provided. (Provide response in the text box below.) A portion Supports the administration and coordination of the funds Open Doors Outreach Network, serving victims of commercial sexual exploitation ($75,000CSE) will be paid to a contracted position(s) that will serve to coordinate CIT training and sex trafficking age 10-24. As the backbone organization, Voices for law enforcement agenciesFlorida ensures standard services and protocols within existing service regions. This coordinator will assist includes implementation, compliance, audit, financial disbursements, monitoring, public awareness, data collection and evaluation. VOCA funds have been received in bringing the mental health providers 2019-2020 to consult with law enforcement support direct services of ODON to deliver the 40-hour CIT training programvictims and our 2020- 2021 application has been submitted. The remaining GR and VOCA funds ($725,000) will be used are assigned to cover administrative expenses, host CIT trainings, specific deliverables and to pay for personnel to attend all expenses are consistent with legislatively approved GR expenditures and the 40-hour CIT training program. The funds would only go to an agency after a certificate of completion has been submitted to the Department of Legal Affairs. See attached pages for more detailVOCA grant requirements. A. Provide a related Scope of Work and a related Deliverable as described in your project proposal. The Document Support and Financial Consequences will be completed by the Office of the Attorney General. B. Each Scope of Work must clearly establish the task the subrecipient is required to perform. C. Each project deliverable must be described in quantifiable units. Each deliverable must be directly related to the Scope of Work and specify the required minimum level of services to be performed. Each deliverable must be maintained on a monthly basis and provided in accordance with the General Revenue agreement; the data will be required with each invoice. Deliverables must be submitted in a format that includes a monthly and cumulative total in accordance with the General Revenue agreement. If applicable, a project timeline will need to be included as part of the deliverables. (Provide response in the text box below.)

Appears in 1 contract

Samples: Grant Agreement

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Agency Eligibility. Private Nonprofit* 1. Identify which of the following categories best describe the applicant agency. If the agency is a not for profit, provide the not for profit status documentation. Describe Other: Campus Organizations Only: (choose one from the drop-down menu) Describe Other: Non-profit Organization Only: (choose one from the drop-down menu) 2. Law EnforcementOther 3. Subgrantee Agency Service Area(s): (List the counties that cover the service area of your organization) All 67 counties of the State of FloridaClay County 4. List the total population of the counties to be served : 20,610,000 212,230 Mixed 5. Describe the geographic characteristics of the service area: (choose one from the drop-down menu) 6. Describe the purpose of the GR subaward: (choose one from the drop-down menu) Continue a GR funded victim project funded in a previous year 7. Funds will primarily be used to: (choose one from the drop-down menu) Expand Continue existing services into a new geographic areato crime victims 8. Is the applicant organization faith-based?: (choose one from the drop-down menu) NO 9. Include the address of the location(s) victim services will be provided: NA0000 X.X. Xxx 00 Xxxxx Xxxx Xxxxxxx, XX 00000; 0000 Xxxxxx Xx. Xxxxx Xxxx Springs, 10. Provide the agency's website address: xxx.xxxxxxxxxx.xxx xxxx://xxx.xxxxxxxxxxxx.xxx/ Yes 11. Does the agency have a Board of Directors? If yes, provide a listing of the current Board Members with the application. The project proposal should clearly outline what will be done and by whom. The project proposal pertains only to the services related to the funding provided by the Florida Legislature. 1. Describe services to be provided. (Provide response in the text box below.) A portion Xxxxxxx House has provided victims of domestic violence and their children safe shelter and services for 31 years and served survivors of sexual assault for 21 years. Xxxxxxx House is the funds ($75,000) will be paid only certified domestic violence and sexual assault program in Clay County. Each year, we provide shelter and wrap around support services to a contracted position(s) that will serve to coordinate CIT training for law enforcement agenciesapprox. This coordinator will assist in bringing the mental health providers to consult with law enforcement to deliver the 40-hour CIT training program230 women, men, and children combined and over 500 served through Outreach programs. The remaining funds ($725,000) will be used to cover administrative expensesshelter, host CIT trainingshotline, and on-call sexual assault counseling operate 24 hours a day, 365 days a year. Xxxxxxx House advocates use an empowerment model to pay help survivors gain control over their lives. Through individual and group counseling, information and referral services, and case management, we help victims understand the dynamics of domestic violence as they work toward self-sufficiency. Services also include courthouse advocacy, an Injunction for personnel Protection Legal program, economic justice, forensic exams and accompaniment, community education, and prevention. We strive to attend help victims break the 40-hour CIT training programcycle of violence and abuse that is negatively affecting them and their families. The funds would only go It is our goal to an agency after a certificate of completion has been submitted empower survivors to the Department of Legal Affairs. See attached pages for more detailheal, hope, and thrive in our community. A. Provide a related Scope of Work and a related Deliverable as described in your project proposal. The Document Support and Financial Consequences will be completed by the Office of the Attorney General. B. Each Scope of Work must clearly establish the task the subrecipient is required to perform. C. Each project deliverable must be described in quantifiable units. Each deliverable must be directly related to the Scope of Work and specify the required minimum level of services to be performed. Each deliverable must be maintained on a monthly basis and provided in accordance with the General Revenue agreement; the data will be required with each invoice. Deliverables must be submitted in a format that includes a monthly and cumulative total in accordance with the General Revenue agreement. If applicable, a project timeline will need to be included as part of the deliverables. (Provide response in the text box below.)

Appears in 1 contract

Samples: Grant Agreement

Agency Eligibility. Private Nonprofit* 1. Identify which of the following categories best describe the applicant agency. If the agency is a not for profit, provide the not for profit status documentationdocumentation (attach the most recent IRS 990). Describe Other: 2. Describe the type of implementing agency: (Choose only one category) Government Agencies Only (choose one from the drop-down menu) Campus Organizations Only: (choose one from the drop-down menu) Describe Other: Non-profit Organization Only: (choose one from the drop-down menu) 2. Law Enforcement) Describe Other: Human Services Organization 3. Subgrantee Agency Service Area(s): (List the counties that cover the service area of your organization) All 67 counties of the State of FloridaBeach, Pasco, Pinellas, Polk, Sarasota, St Xxxxx. , , , , , , , , , 40. List the total population of the counties to be served : 20,610,000 13,959,213 Mixed 5. Describe the geographic characteristics of the service area: (choose one from the drop-drop- down menu) 6. Describe the purpose of the GR subaward: (choose one from the drop-down menu) Continue a GR funded victim project funded in a previous year 7. Funds will primarily be used to: (choose one from the drop-down menu) Expand Continue existing services into a new geographic areato crime victims 8. Is the applicant organization faith-based?: (choose one from the drop-down menu) NOYES 9. Include the address of the location(s) victim services will be provided: NAWithin the Communities in the Counties listed in #3 and at Selah Freedom, Inc's 10. Provide the agency's website address: xxx.xxxxxxxxxx.xxx xxx.xxxxxxxxxxxx.xxx Yes 11. Does the agency have a Board of Directors? If yes, provide a listing of the current Board Members with the application. The project proposal should clearly outline what will be done and by whom. The project proposal pertains only to the services related to the funding provided by the Florida Legislature. 1. Describe services to be provided. (Provide response in the text box below.) A portion Selah Freedom, Inc is a national anti-human trafficking organization made up of four Programs: Awareness, Prevention, Outreach and Residential Safe Housing. Each Program encompasses the funds mission and vision of Selah Freedom which is to end sex trafficking and bring freedom to the exploited. In 2020-21, Selah Freedom projected to serve over 8052 victims of human trafficking and at risk individuals by providing over 3476 units of service. For victims living in the community, Outreach staff provides weekly support groups ($75,000) healthy boundaries, codependency,healthy relationships), legal support, distribution of personal care items, transportation and case management . Within the Residential Safe Housing, victims receive intense personal and therapeutic services including trauma resolution therapy, holistic life coaching, academic support, medical/dental care, legal support and career development. Selah Freedom estimates a minimum of 2370 of victims of a crime and at risk individuals will be paid to a contracted position(s) that will serve to coordinate CIT training for law enforcement agencies. This coordinator will assist provided with 2966 units of service in bringing the mental health providers to consult with law enforcement to deliver the 402021-hour CIT training program. The remaining funds ($725,000) will be used to cover administrative expenses, host CIT trainings, and to pay for personnel to attend the 40-hour CIT training program. The funds would only go to an agency after a certificate of completion has been submitted to the Department of Legal Affairs. See attached pages for more detail22. A. Provide a related Scope of Work and a related Deliverable as described in your project proposal. The Document Support and Financial Consequences will be completed by the Office of the Attorney General. B. Each Scope of Work must clearly establish the task the subrecipient is required to perform. C. Each project deliverable must be described in quantifiable units. Each deliverable must be directly related to the Scope of Work and specify the required minimum level of services to be performed. Each deliverable must be maintained on a monthly basis and provided in accordance with the General Revenue agreement; the data will be required with each invoice. Deliverables must be submitted in a format that includes a monthly and cumulative total in accordance with the General Revenue agreement. If applicable, a project timeline will need to be included as part of the deliverables. (Provide response in the text box below.)

Appears in 1 contract

Samples: Grant Agreement

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