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BID # ESC-0367-15

Request for Application Jacksonville Children’s Commission

Summer Camp Programs 2015

The Jacksonville Children’s Commission (JCC) is proud to announce the Request for Applications (RFA) for Summer Camp 2015.

Grant funds will be allocated to summer camp program providers for this competitive RFA. The Summer Camp grant dollars will serve over 800 youth. Grant dollars are being allocated to support quality and meaningful summer camp experiences for low-income or special needs children at risk of academic failure and crime.

Purpose:Historically, low-income students are less likely to participate in adult-supervised summer activities that provide opportunities for cognitive and social development. This presents an academic challenge and perpetuates an achievement gap, according to researchers at Johns Hopkins University, who have found that “summer learning loss” can be blamed for roughly two-thirds of the achievement gap separating income groups.

Research also reveals that youth are more likely to engage in risky behaviors, including serious crimes, when they are left unsupervised, become bored or exposed to on-going criminal activities in their neighborhoods. Summer provides the perfect opportunity for at risk children to get into serious trouble when left to their own devices.

Children living in poverty or low-income single parent households do not have the same opportunities to attend summer camp programs. JCC summer camps are focused on low-income neighborhoods. To address this important issue, JCC provides youth with five (5) weeks of summer camp. These neighborhood-based camps offer a mix of high-quality activities focused on learning, recreation and culture.

Read the Children’s Commission Grant Application Instructions Packet first (attached) and then proceed to completing the grant application. Provide all mandatory attachments. Failing to provide these items may render your application as ineligible.

Important Requirements:

1. Agencies are to submit only one summer camp grant application, even though they may be proposing to sponsor multiple sites. However, the exact addresses of all summer camp sites and the number of children to be served at each site must be provided on the grant application.

2. Competing agencies must utilize the JCC Summer Camp Grant Application to request funds. Agencies that do not use this grant application or that submit grants in an alternate format will be considered as non-responsive and will not be reviewed. The grant application must be typed, using a font size of 10 or above. Applications must be one sided.

3. All camp site facilities must be approved by JCC. This approach is being taken to assure that the accommodations, and the utilization of the space is safe and appropriate for the usage of summer camp. In line with this, camp sites must not exceed the occupant capacity as prescribed by the Fire Marshall. (A copy of the occupant capacity certificate must be included with application, except for public school buildings.)

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4. Providers may request a minimum of 35 seats per site and up to a maximum of 200 seats per agency. (See Attachments). Also, funded agencies are expected to hire some youth counselors and/or peer-counselors to enhance youth employment opportunities. However, all staff that supervises a group of children must be adults, and at least 18 years of age to be included in the staff to child ratio. There will be no exceptions to this requirement.

5. All personnel working with children, including volunteers working 10 hours or more a month, cannot be hired until the results of the Level 2 background screening clears them to work. There will be no exceptions to this mandate.

6. Summer sessions are anticipated to run for the following 5 weeks: (Other time intervals will need approval.)

a. June 08 - July 10b. June 15 - July 17 orc. June 22 - July 24

7. Please Note… All camp sites must operate a total of no less than 24 days within the allowable five (5) week summer camp session. Saturday, July 4, 2015 is a National Holiday and all camp sites may choose to be non-operational on Friday, July 3, 2015; however, any additional dates of closure will result in $15.00 per seat being deducted from the agency’s rate of funding for any additional dates of closure. This deduction will be in addition to the attendance/seat policy deduction.

8. As mandated by the City of Jacksonville (City), agencies must have or obtain the appropriate insurance coverage before the start of summer camp. Agencies may still submit a grant application while in process of obtaining mandated insurance coverage. Contracts will not be provided to agencies without adequate insurance; see Attachment D.

9. All agencies that are chosen to receive summer camp funds will be required to attend summer camp training, as mandated by JCC.

Grant Review: Grants will be scored by a grant review committee. This committee may be comprised of board members of the JCC and JCC staff. It is anticipated that grant awards will be announced in March 2015. This is a competitive bid.

Grant Providers can score as high as 110 with additional bonus points. However, no grant application will be considered for funding if they score below 75. Please note that funding for summer camp will be disbursed starting from the highest score and moving downward until all dollars have been allocated. Therefore, it is important to point out that depending upon the number of successful grant applications received, some Providers scoring 75 or higher may not be provided funding, in that all dollars maybe allocated before reaching this benchmark.

Target population: Youth who are 5 years old by September 1st, and entering kindergarten through rising 9th graders, or up to 15 years of age, and live in Duval County and (1) have an Individual Education Plan, or other verification that the child is eligible or receives special education services or (2) provide verification that family income is at or below 185% of the Federal Poverty Level. See Attachment A.

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Funding: Agencies will receive funds equivalent to $375.00 per seat for a total of five (5) weeks, equating to $75 per week. If the child withdraws early, the funding can be transferred to another eligible child for the remainder of the five (5) week period. It is important for agencies to think of these funds as supporting seats, versus supporting a specific student/child.

JCC encourages agencies to charge a small parental fee not to exceed $10 per week. Agencies also have the right to waive this fee if the family is homeless or in financial crisis. This strategy of securing some financial support has proven to help with engaging parents in the summer camp program.

However, all programs operating at a Duval County Public School cannot charge any fees unless the fees are passed through the school’s bookkeeper and processed through the Internal Accounts of the schools. Agencies must make these financial arrangements with the school, prior to collecting dollars.

Funded seats cannot be moved from one agency site to another site without prior approval by JCC. A request to relocate any seat from one site to another must be in writing, and received by JCC no later than the second week of summer camp and the reasons for the request must be clearly outlined. JCC is under no obligation to approve any relocation of a seat and may do so at its own discretion.

The JCC receives dollars through the City budgeting process to provide quality summer camp programs for children living in Duval County (5 years old by September 1st and entering kindergarten through rising 9th graders or up to 15 years of age). These dollars are allocated to fund summer camp programs exclusively. They are not intended to fund daycare/child care centers.

Program Content:Summer camps must be structured, balanced and provide adult supervision from 8:00am to 5:00pm, Monday through Friday for five (5) weeks.

Providers must provide an academic component as well as enrichment activities. Literacy and math must be core to curricula; however, Providers may also provide courses or learning activities in science, vocational training, geography, poetry, the arts, dance and/or other academic enrichment. Lesson plans should be provided with the required summer camp weekly schedule.

Learning should be interactive and fun, while appealing to different skill sets. Providers are discouraged from relying heavily on worksheets and other Xeroxed self-learning applications. JCC supports creative, interactive and fun learning opportunities for quality summer camp experiences.

Who can apply:JCC encourages grass roots organizations, community, or faith based agencies to partner with JCC after-school providers that also operate a summer camp program. Grass roots organizations that participated as a 2014 summer camp provider, and expended at least 95% of their funding, and scored a minimum of 95% on both the competitive grant application, and the site monitoring may also qualify as a mentor. By securing an agency mentor, with a letter of agreement or understanding, a smaller agency can receive up to an additional five (5) points on their grant application.

In addition, the smaller agency mentee must be a first-time recipient to qualify for the additional five (5) bonus points. In line with this, the agency that agrees to provide oversight, peer guidance, or consultation to the smaller agency must also meet the above requirements and will likewise, receive an additional five (5) points on its grant application. However, these letters of understanding must state specifically how the

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agency will be mentoring the grass roots agency. For example, will they be providing fiscal oversight, helping with administrative duties, etc.

The JCC uses its five (5) week Summer Camp Program as a capacity building opportunity for smaller community faith-based and grass roots organizations. We support and promote diversity.

As many agencies are aware, the JCC contracts directly with individual summer camp providers to fund a specific number of summer camp slots for special needs and low income children and no longer provides individual camp vouchers to parents.

Outcomes:All Summer Camp Programs are expected to reach the following goals:

95% of youth attending the camp will remain free from physical harm/impairment and arrests during camp hours

100% of youth attending will have access to academic and enrichment activities Monday through Friday

90% of youth will receive a nutritious snack, via USDA 85% of youth attending camps will not participate in or provoke a physical or verbal

confrontation during camp hours. 100% of camps will seek and obtain community/corporate donations to enhance camp

activities/services 90% of youth will be provided recreational/enrichment activities, such as field trips every 2

weeks. 90% of camp seats will be occupied at least 3 days per week.

Application Process:This RFA Packet provides a step-by-step explanation of how to apply for summer camp funds. You will also find a 3-page Summer Camp Grant Application enclosed (pages A1-A4). All efforts were made to ensure this grant application process is simple and direct; however, agencies need to read the RFA packet thoroughly, as well as attend one of the pre-bid conferences before completing the grant application.

Mandatory Pre-bid Conferences: Providers are required to attend one of the mandatory pre-bid conferences below. The Procurement Division and JCC staff will review important documents and information in the grant application and answer any questions during the conferences. Two dates and times (morning and afternoon) have been scheduled for your convenience:

When: Thursday, January 22, 2015 from 9:00 a.m. to 12:00 p.m. Friday, January 23, 2015 from 2:00 p.m. to 5:00 p.m.

Where: Jacksonville Children’s Commission Campus1095 A. Philip Randolph Boulevard, Jacksonville, Florida 32206

Seating for the first pre-bid conference is limited to 40, first come, first served. ALL others must attend the second meeting on January 23, 2015. Please email your RSVP to the contact person:

Annette Burney Purchasing [email protected] 904.255.8810

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Questions: All questions must be directed to the City of Jacksonville Procurement Division, to the contact person, Annette Burney at 255-8810 or [email protected]. No contact should be made to the Jacksonville Children’s Commission prior to the bid opening deadline or during the evaluation phase. Submission of Application:Your application must clearly bear the RFA number (ESC-0367-15) and must be received at the address below no later than 2:00 p.m., Wednesday, February 4, 2015:

City of JacksonvilleProcurement Division214 N. Hogan Street, Ste. 105Jacksonville, FL 32202

Providers must deliver one (1) original grant application and five (5) grant application copies, along with a pdf version on CD or flashdrive. Late applications will not be considered for funding.

All copies are to be placed in a sealed package. The outside must be marked with (i) the RFP title and number, and (ii) Contractor’s name, address, contact person, and telephone number.

It is the sole responsibility of each Applicant to assure all copies are EXACT duplicates of the original response. Photocopies or CD copies will be used for the purpose of evaluating the Responses. Any information contained in the original grant application which has not been transferred to the CD or photocopies will NOT be considered. The original document will be used solely for official record keeping and auditing purposes.

Public Bid Opening:All responses received shall be publicly announced and recorded at 2:00 p.m. at the address listed above in Room 110.

IT IS STRONGLY ADVISED THAT YOU READ THE ENTIRE RFA PACKET BEFORE YOU COMPLETE THE GRANT APPLICATION AND THAT YOU ATTEND ONE OF THE MANDATORY PRE-BID CONFERENCE.

Providers who attend one of the mandatory pre-bid conferences will be allowed to attend an optional question and answer session on Monday, February 2, 2015 at 10:30 a.m. at the Procurement Division address listed above in Room 851.

PLEASE NOTE THAT HANDWRITTEN APPLICATIONS WILL NOT BE ACCEPTED. The RFA Application Packet Includes:

Request for Applications Grant Instruction Packet

o Terms and Conditionso Detailed Minimum Standards o Grant Application Key Termso Attachments

Attachment A – Eligibility Qualifications Attachment B – Background Screening Policy Attachment C – Indemnification Agreement Attachment D – Insurance Requirements

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Attachment E – Attendance Policy Attachment F – Parent Fee Information Attachment G – Curriculum Model Summary Outline Attachment H – Incident Reporting Instructions Attachment I – Incident Report Attachment J – Experience Trip Permission Form Attachment K – Summer Camp 2015 Goals Attachment L – Scoring Grant Application and Evaluation Tool

Grant Application and Check List

Also you should keep a copy of your grant application for your future reference.

Good luck with your efforts. JCC looks forward to seeing you at one of the pre-bid conferences.

(Remainder of page intentionally left blank.)

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Summer Camp Grant ApplicationInstructions

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Summer Camp Grant Application Instructions

Read your grant application packet completely, including all attachments.

Answer each question or address each issue noted on your grant application. Do not leave blank spaces on the grant application. All sections must be answered.

The application must be typed. Make five (5) copies and ensure that the person signing the grant application has the authority to bind the agency to contractual agreements.

If you plan to have a summer camp program in a school, you must first get the endorsement of the school principal and appropriate school administrators. You must also provide a letter of agreement from the school’s principal.

Answer each component of the short grant application form and review the scoring tool matrix as you answer each section. This will assist you in understanding the weight or numerical value of each section.

Page 1 of Summer Camp Grant Application: Fill out all information on the cover sheet. Use the legal name of your agency. Do not abbreviate your agency’s name and always list a contact person. Question 2: Please elaborate about your history operating successful summer camp programs. Focus upon what makes your camp unique.

Question 3: Describe your curriculum model. Be sure to explain the length of time devoted to learning and how this academic model has been successful and how it incorporates fun learning while appealing to different skill sets. Literacy and math components are mandatory. Other enhancement components may include science, history, or vocational skills.

Question 4: Be sure to describe the target age of your students and make certain that they are within the eligible years (5 by September 1st to 15 years of age). Address quality issues such as staff to child ratio. List other enhancement services, such as volunteers or corporate sponsorships or mentoring activities.

Question 5: How will you recruit low-income or special needs children? Describe your agency’s history working with this target group. Discuss transportation.

Eligible participants are low-income or special needs children, see Attachment A for eligibility qualifications.

Question 6: Describe the agency’s partnerships and sources of funding used to off-set the difference between the Children’s Commission funding and actual costs. Address sources of other funding, any in-kind resources, and the expected expense of the camp

Questions 7-12: These are required attachments. Provide weekly schedules, insurance information, 501 (c) (3) status and other attachments noted.

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Terms & Conditions

The Jacksonville Children's Commission and the City of Jacksonville, in an effort to provide a set standard of quality for children receiving services from summer camp providers:

I. Are issuing a Request for Applications (RFA) that funds slots/seats for children who live in Duval County and are 5 years old by September 1st , and entering kindergarten through rising 9th graders, or up to 15 years of age.

II. Reserve the right to award any, all or none of the slots of each of the responders to this RFA.

III. Reserves the right to award camp services on the basis of geographic need and/or historic data of need. This includes but is not limited to awards that ensure geographic diversity as well as awards that guarantee individual neighborhoods’/communities’ needs are met.

IV. Reserve the right to award any other government entity outside of the RFA process.

V. Expects any and all camp providers, when granting these funds and acceptance to potential campers, to abide by Title VII of the Civil Rights Act of 1964 and the Americans with Disabilities Act and not discriminate on the basis of race, sex, age, national origin, religion, ethnicity or disability.


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Detailed Minimum Standards (Failure to meet constitutes denial of grant funds)

Upon approval and verification of funding, the Jacksonville Children's Commission expects camp providers will:

I. Receive funds equivalent to $375 per seat for a total of five (5) weeks, equating to $75 per week. If the child withdraws early, the funding can be transferred to another eligible child for the remainder of the five -week period. These monies represent a significant portion, but are not intended to be the sole source of funding. All agencies are encouraged to develop other partnerships and sources of funding to off-set the difference between the Commission’s funding and actual costs.

II. Submit a typed and legible Grant Application.

III. Return unused funds to the Jacksonville Children's Commission.

IV. Offer funded seats to youth who are 5 years old by September, and entering kindergarten through rising 9th graders, or up to 15 years of age, and live in Duval County and (1) have an Individual Education Plan, or other verification that the child is eligible or receives special education services or (2) Provide other verification that family income is at or below 185% of the Federal Poverty Level. See Attachment A.

V. Offer camp from 8:00 am to 5:00 pm at a minimum, Monday-Friday for five (5) weeks. Extended day is optional, and may be included in camp fee or paid separately by the parent at the camp provider’s discretion.

VI. Not currently be or ever have been involved in litigation pertaining to child welfare or fiscal responsibility; or to anyone who has ever been denied federal, state or local funds because of litigation, child welfare or fiscal responsibility issues.

VII. Have current 501(c) (3) status, or provide proof that camp is partnered with an agency that has a current 501(c) (3) status. All non-profit organizations must have an active status, and be registered with the Florida Department of State Division of Corporations.

VIII. Ensure all staff will pass a DCF Level II annual background screening before the start of summer camp. In addition, the annual background screening will remain current and will not lapse prior to the end of summer camp. See Attachment B.

IX. Have a minimum of insurance as outlined in Attachment D, before the start of summer camp.

X. Adhere to the Jacksonville Children's Commission summer camp attendance policy. See Attachment E.

XI. Assess a nominal parent fee, taking into account the circumstances of the children being served must be charged to all Providers receiving funded seats (not to exceed $10 per week). See Attachment F.

XII. Ensure all staff will attend summer camp training as mandated by the Commission.

XIII. Ensure the paid staff to child ratio does not exceed 1:20 (All staff that supervises a group of children must be at least 18 years of age to be included in the mandated staff to child ratio).

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XIV. Adapt, merge and/or utilize a curriculum model built on an experiential learning mode of learning and includes the following components:

* Literacy enrichment* Math & science enrichment* Career exposure/workforce development enrichment

Cultural enrichment* Service learning/youth leadership enrichment

See Attachment G.

XV. Provide at least one experience (field) trip bi-weekly; to include at least one trip to the neighborhood library. The cost of these may be included in the parent fee; however, parents must be given the option to pay for all field trips separate from the parent fee. In addition, the cost can also be absorbed by the camp. The Commission also expects camp transportation to and from experience trips to be safe, reliable and lawful. The camp will provide alternative appropriate activities for children who might not be able to afford field trip fees, if they are assessed. See Attachment F.

XVI. Cooperate and collaborate with the Commission to monitor and support implementation of the curriculum model, other training information, and allow for random survey gathering.

XVII. Update the camp client database daily. The Commission will provide a client database or spreadsheet to the camp provider. At the end of the summer camp program, the camp provider must provide the Jacksonville Children's Commission a copy of the client database.

XVIII. Submit an incident report for any substantial or news worthy incidents. Incident reports should be submitted as soon as such incidents occur but in no case later than forty-eight (48) hours of occurrence. See Attachments H and I.

XIX. Shall ensure that all parents/guardians complete a permission form prior to the field trip. See Example J.

XX. Provide a welcoming hospitable environment for parents or caregivers when they come to apply for funded seats and/or camp placement and throughout the 5 week camp period.

XXI. Maintain separate bank demand and/or time deposit accounts and deposit the Commission funds received and no other funds in the accounts and/or maintain a separate budgetary accounting system so that the receipt and disbursement of Commission funds can be accurately and adequately determined by reference to the books of accounts of the Recipient.

XXII. Monies will be presented in the form of a check. Half payment will be made in advance, upon contract acceptance. The remaining balance will be sent upon reconciliation of attendance and services provided after the 5 week summer camp period.


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Grant Application Key Terms

These terms should help you with your application.

Assets - 40 concrete positive experiences and qualities that have a tremendous impact on the success of young people.

Curriculum model - A method of organizing and implementing curriculum, developing and creating activities or projects and providing structure and support for staff.

Enrichment - Addition or increase of a desirable quality, attribute, or knowledge to a subject or topic. This is a way to take traditional subjects and make them more fun to increase popularity of learning; and a way to take traditional games, songs and activities and make them more educational to increase knowledge gained.

Experiential Learning - Learning by doing. Learning through experiences. Using experiences to convey a subject, idea or skill.

Services - Resources, knowledge or goods TO or FOR young people.

Opportunities - Activities, roles, responsibilities taken on or done BY young people. These can include chances to explore, express, earn, belong and influence.

Supports - Things done WITH young people. These can include interpersonal relationships addressed by expectations, guidance and boundaries.

Youth Development - An ongoing process where those working with young people base goals on the strengths and developmental needs of the young people they are working with; and one in which young people are engaged in building the skills, attitudes, knowledge and experiences that prepare them for the present and the future.


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BID # ESC-0367-15Attachment A

Eligibility Qualifications

The Jacksonville Children's Commission provides summer camp opportunities to low-income and special needs children.

In order to be eligible for seats, children must be: 5 years old by September 1st and entering kindergarten through rising 9th graders or up to 15

years of age, a Duval County resident,

AND either:

Special Needs/Special Education: Form from school with current date (school year). A current diagnosis report from Nemours or other medical/psychological evaluation verifying

the child would require an IEP if enrolled in public schools. McKay Scholarship, (letter or form with child’s name and current date).

OR

If the student is enrolled in one of DCPS schools that are participating in the National School Lunch and School Breakfast Programs called the Community Eligibility Option (CEO) that are classified 100% Free/Reduce Lunch for School Year 2013-2014, the agency will be required to obtain a student report card to document eligibility.

OR

Family Income at or below 185% of the Federal Poverty Level: A current copy of their Heroes or Step Up For Students Scholarship letter Documentation of Temporary Assistance for Needy Families, WIC and/or Medicaid, or Verification household family income does not exceed 185% of the Federal Poverty Level.

(See chart below)

185% of Federal Poverty GuidelinesNumber of People in Household

Family's Income must be at or below:

1 $21,589.502 $29,100.503 $36,611.504 $44,122.505 $51,633.506 $59,144.507 $66,655.508 $74,166.50

For family units exceeding 8 members, add $4,060 for each additional member

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BID # ESC-0367-15Attachment B

Background Screening Policy

Florida Law requires all summer camp owners, operators, employees and volunteers that assist more than 10 hours per month comply with Level 2 Background Screening. Although summer camps are exempt from State licensure, the Department of Children and Families is responsible for ensuring the background screening requirements are met.

To process your Level 2 Background Screening for owners, employees and volunteers of your camp, agencies will need to register with the Florida Department of Children & Families (DCF) as a provider in their system.

Once registered, your agency will receive an e-mail verifying registration and will be provided a DCF Agency Identifier called an ORI and a DCF Provider number called an OCA. These two numbers must be used to process background screens for your program.

Once your program is registered, you may have your employees and volunteers fingerprinted at any of the LiveScan Vendors listed on the DCF website.

If you have already registered your summer camp program, you do not need to register again. You can find LiveScan Vendors and other helpful information on the Background Screening website: www.dcfbackgroundscreening.com

If awarded grant dollars, more information can be obtained by calling DCF directly at (850) 717-4454.

Background screening results are divided into three (3) categories:1. Green (indicating nothing to bar participation on the screening), 2. Yellow (indicating some area of concerns on the applicant’s background screening), and 3. Red (indicating there are convictions or other issues that eliminate this person from

consideration in participating with the program).

The Commission will not be able to award any funding to any agency that hires persons with a “red indicator”.

Further, the list of disqualifications from employment is found in Section 435.04 F.S.1. They include:

a. Anyone arrested for and awaiting final disposition of prohibited offense, regardless of adjudication;

b. Anyone who has entered a plea of nolo contendere or guilty to a prohibited offense;c. Any case in which the record of committing a prohibited offense has not been sealed or

expunged.

The Commission also insists that agencies/providers use their best discretion when hiring those individuals who have a “yellow indicator.” While receiving a “yellow indicator” should not automatically disqualify a potential employee, the Commission does ask agencies/providers to take into account several issues, such as:

1) nature of incident2) date of incident3) personal references

Staff under eighteen (18) years of age, and who are not eligible to be background screened should sign an Affidavit of Good Moral Character. This form is available at the Florida, Department of Children and Families (DCF) website: http://www.dcf.state.fl.us/publications/eforms/1649.pdf

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Attachment CIndemnification Agreement

Indemnification. CONTRACTOR and its subsidiaries (collectively the “Indemnifying Parties”), shall (and shall require all subcontractors of any tier to) hold harmless, indemnify, and defend City and City’s members, officers, officials, employees and agents (collectively the “Indemnified Parties”) from and against, without limitation, any and all claims, suits, actions, losses, damages, injuries, liabilities, fines, penalties, costs and expenses of whatsoever kind or nature (including, but not limited to, court, investigation and defense costs, and reasonable expert and attorney’s fees), which may be incurred by, charged to or recovered from any of the foregoing Indemnified Parties for:

(a) General Tort Liability, for any negligent act, error or omission, recklessness or intentionally wrongful conduct on the part of the Indemnifying Parties that causes injury (whether mental or corporeal) to persons (including death) or damage to property, whether arising out of or incidental to the Indemnifying Parties’ performance of the Contract, operations, services or work performed hereunder; and

(b) Violation of Laws Liability, arising from or based upon the violation of any federal, state, or municipal laws, statutes, resolutions, rules or regulations, by the Indemnifying Parties or those under their control; and

(c) Breach of Representations, Warranties and Obligations, arising directly or indirectly out of any breach of any representation, warranty, covenant or obligation set forth in the Contract or made by the Indemnifying Parties in connection with the Contract or in any certificate, document, writing or other instrument delivered by the Indemnifying Party; and

(d) to the extent this Contract contemplates environmental exposures, Environmental Liability, arising from or in connection with any environmental, health and safety liabilities, claims, citations, clean-up or damages whether arising out of or relating to the operation or other activities performed in connection with the Contract; and

(e) to the extent this Contract contemplates intellectual property exposures, Intellectual Property Liability, arising directly or indirectly out of any allegation that the Services, any product generated by the Services, or any part of the Services as contemplated in this Contract, constitutes an infringement of any copyright, patent, trade secret or any other intellectual property right. If in any suit or proceeding, the Services, or any product generated by the Services, is held to constitute an infringement and its use is permanently enjoined, the Indemnifying Parties shall, immediately, make every reasonable effort to secure within 60 days, for the Indemnified Parties a license, authorizing the continued use of the Service or product. If the Indemnifying Parties fail to secure such a license for the Indemnified Parties, then the Indemnifying Parties shall replace the Service or product with a non-infringing Service or product or modify such Service or product in a way satisfactory to Buyer, so that the Service or product is non-infringing.

The scope and terms of the indemnity obligations herein described are separate and apart from, and shall not be limited by any insurance provided pursuant to the Contract or otherwise. Such terms of indemnity shall survive the expiration or termination of the Contract. In the event that any portion of

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ESC-0367-15the scope or terms of this indemnity is in derogation of Section 725.06 or 725.08 of the Florida Statutes, all other terms of this indemnity shall remain in full force and effect and any term which offends Section 725.06 or 725.08 of the Florida Statutes may, subject to the sole discretion of the Indemnified Party, be modified to comply with said statutes.

If an Indemnified Party exercises its rights under this Contract, the Indemnified Party will (1) provide reasonable notice to Indemnifying Parties of the applicable claim or liability, and (2) allow Indemnifying Parties, at their own expense, to participate in the litigation of such claim or liability to protect their interests.


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Attachment D

Insurance. Without limiting its liability under this Contract, Provider shall at all times during the term of this Contract procure prior to commencement of work and maintain at its sole expense during the life of this Contract (and Contractor shall require its of any tier to provide, as applicable), insurance of the types and in the amounts not less than stated below, and prior to work commencement provide a certificate (with applicable endorsements) on a form that is acceptable to the City’s Division of Insurance and Risk Management evidencing the following required coverages to the City:

Schedule Limits

Worker’s Compensation/Employers Liability

Worker’s Compensation Florida Statutory CoverageEmployer’s Liability $ 100,000 Each Accident

$ 500,000 Disease Policy Limit$ 100,000 Each Employee/Disease

This insurance shall cover the Provider (and to the extent its contractors, subcontractors and sub-subcontractors of any tier are not otherwise insured, its contractor, subcontractors, and sub-subcontractors of any tier) for those sources of liability which would be covered by the latest edition of the standard Workers’ Compensation policy, as filed for use in the State of Florida by the National Council on Compensation Insurance (NCCI), without any restrictive endorsements other than the Florida Employers Liability Coverage Endorsement (NCCI Form WC 09 03), those which are required by the State of Florida, or any restrictive NCCI endorsements which, under an NCCI filing, must be attached to the policy (i.e., mandatory endorsements). In addition to coverage for the Florida Workers’ Compensation Act, where appropriate, coverage is to be included for the Federal Employers’ Liability Act, USL&H and Jones, and any other applicable federal or state law.

Commercial General Liability - (Form CG0001)

Such insurance shall be no more restrictive than that provided by the most recent version of the standard Commercial General Liability Form (ISO Form CG 00 01) as filed for use in the State of Florida without any restrictive endorsements other than those approved by the City’s Office of Insurance and Risk Management.

$2,000,000 General Aggregate$2,000,000 Products & Completed Ops Aggregate$1,000,000 Personal/Advertising Injury$1,000,000 Each Occurrence$ 50,000 Fire Damage $ 5,000 Medical Expenses

Automobile Liability

$1,000,000 Each Occurrence – Bodily Injury and Property Damage Combined

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ESC-0367-15(Coverage for all automobiles, owned, hired or non-owned used in performance of the Services)

ISO Form CA0001 as filed for use in the State of Florida without any restrictive endorsements other than those which are required by the State of Florida, or equivalent manuscript form, must be attached to the policy equivalent endorsement as filed with ISO (i.e., mandatory endorsement).

Professional Liability $1,000,000 Per Claim $2,000,000 Aggregate

(Professional Liability coverage will be provided on an Occurrence Form or a Claims Made Form with a retroactive date to at least the first date of this Contract. If provided on a Claim Made Form, the coverages must respond to all claims reported within three years following the period for which coverage is required and which would have been covered had the coverage been on an occurrence basis.)

Sexual Molestation $1,000,000 Per Claim$2,000,000 Aggregate

(Only if program includes direct supervision of children, special needs, and/or senior citizens)

(Sexual Molestation Liability coverage will be provided on an Occurrence Form or a Claims Made Form with a retroactive date to at least the first date of this Contract. If provided on a Claim Made Form, - the coverages must respond to all claims reported within three years following the period for which coverage is required and which would have been covered had the coverage been on an occurrence basis

Accident Medical, Dismemberment and Death $15,000 Per Participant

A. Waiver of Subrogation. All insurance shall be endorsed to provide for a waiver of underwriter’s rights of subrogation in favor of the City of Jacksonville and the City’s members, officials, officers and employees and agents.

B. Additional Insured: All insurance except Worker’s Compensation, Accidental Death and Dismemberment, and Professional Liability shall be endorsed to name the City of Jacksonville and City’s members, officials, officers and employees. Additional Insured for General Liability shall be in a form no more restrictive than CG2010 and Automobile Liability CA2048; endorsements will be provided to, reviewed, and approved by the City’s Division of Insurance and Risk Management prior to commencement of work.

C. Provider’s Insurance Primary. The insurance provided by the Provider shall apply on a primary basis to, and shall not require contribution from, any other insurance or self-insurance maintained by the City or any City members, officials, officers, employees and agents.

D. Deductible or Self-Insured Retention Provisions. Except as authorized in this Contract, the insurance maintained by the Provider shall apply on a first dollar basis without application of a self-insurance, deductible or self-insured retention. Except as authorized specifically in this Contract, no self-insurance, deductible or self-insured retention for any required insurance provided by Provider pursuant to this Contract will be allowed. If there is any self-insurance, deductible or self-insured retention for any required insurance, the Provider shall be responsible for paying on behalf of the City (and any other person or organization Provider has, in this Contract, agreed to include as an insured for the required insurance) any self-insurance, deductible, or self-insured retention allowed under this paragraph. The City will not be responsible for any self-insurance, deductibles, or self-insured retentions under this Contract.

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ESC-0367-15

E. Provider’s Insurance Additional Remedy. Compliance with the insurance requirements of this Contract shall not limit the liability of the Provider or its contractors, subcontractors or Sub-subcontractors of any tier, employees, or agent to the City or others. Any remedy provided to City or City’s members, officials, officers, employees, or agents shall be in addition to and not in lieu of any other remedy available under this Contract or otherwise.

F. No Waiver by City Approval/Disapproval. Neither approval by City nor failure to disapprove the insurance furnished by Provider shall relieve Provider of Provider’s full responsibility to provide insurance as required under this Contract.

G. Each policy shall be written by an insurer holding a current certificate of authority pursuant to chapter 624, Florida Statutes or a company that is declared as an approved Surplus Lines carrier under Chapter 626 Florida Statutes. Such insurance shall be endorsed to provide for a waiver of underwriter’s rights of subrogation in favor of the City. Such Insurance shall be written by an insurer with an A.M. Best Rating of A-VII or better. Prior to commencing any Services, Certificates of Insurance approved by City’s Division of Insurance & Risk Management demonstrating the maintenance of said insurance shall be furnished to City. The Provider shall provide an endorsement issued by the insurer to provide the City thirty (30) days prior written notice of any change in the above insurance coverage limits or cancellation, including expiration or non-renewal. In the event the Provider is unable to obtain such endorsement, the Provider agrees to provide the City the notice directly. Until such time as the insurance is no longer required to be maintained by Provider, Provider shall provide the City with renewal or replacement evidence of insurance with the above minimum requirements no less than 30 days before the expiration or termination of the insurance for which previous evidence of insurance has been provided.

H. Notwithstanding the prior submission of a Certificate of Insurance, copies of endorsements, or other evidence initially acceptable to City’s Division of Insurance and Risk Management, if requested to do so by the City, the Provider shall, within thirty (30) days after receipt of a written request from the City, provide the City with a certified, complete copy of the policies of insurance providing the coverage required herein.

I. Anything to the contrary notwithstanding, the liabilities of the Provider under this Contract shall survive and not be terminated, reduced or otherwise limited by any expiration or termination of insurance coverage. Neither approval of, nor failure to disapprove, insurance furnished by the Provider shall relieve the Provider or its sub-contractors of any tier from responsibility to provide insurance as required by the Contract.

J. Depending upon the nature of any aspect of any project and its accompanying exposures and liabilities, the City may, at its sole option require additional insurance coverages in amounts responsive to those liabilities, which may or may not require that the CITY also be named as an additional insured.

K. Shall Provider fail to maintain required insurance; Provider will not be eligible for funds.


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BID # ESC-0367-15

Attachment EAttendance Policy

Campers are expected to attend camp every day of the funding period.

Parents should be made aware of the attendance policy at the time of applying for

Commission assistance.

Campers may not miss more than five (5) consecutive days from camp.

If a camper misses five (5) days of camp they are to be withdrawn from Commission funding.

The camper may be entered on a waiting list, but should not take precedent over other

potential campers that may already be on the agency’s waiting list.

All contracted seats must be occupied at least three (3) days per week to be considered for

reimbursement. If a seat is vacant for three (3) days or more per week, it will result in $75.00

being deducted from the agency’s balance of funding

There are to be no exceptions to this policy and it is the burden of the agency to track

attendance, maintain a waiting list and keep the contracted seats filled on a weekly basis.


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BID # ESC-0367-15Attachment F

Parent Fee Information

A Parent fee must be assessed. The total amount a camp can charge a parent (excluding experience trips or extended day) cannot

exceed $10 per week for the summer.o This fee may be less than $10 per week, but may not be more.o This fee can be charged at one time, in installments or weekly. The camp may decide

how to assess the fee. Registration fees, enrollment fees, parent fees, weekly fees and any other types of fees (excluding

experience trip fees and extended day fees) will all be considered the same; these fees, regardless of name cannot exceed the equivalent of $10 per week for the summer.

These fee requirements only apply to the weeks the camp is contracted to provide summer camp services. However, parents must be told up front if their fees will change if they choose to go to the camp beyond the contracted period. Camps must give the parents the option of not participating past the contracted period if the parent chooses.

Camps may charge parents an extended day fee separate from the parent fee. o Camps cannot require extended day attendance if the parents are paying a separate fee

Camps must charge experience trip fees separate from the parent fee. o The experience trip fee may be charged weekly or assessed at the beginning of camp.o A schedule and cost of each experience trip must be provided to parents. o Parents must never be denied enrollment or attendance due to the inability to pay for an

experience trip.o The camp should offer some experience trips that are of no to little cost.

If a Commission funded camper or parent cannot pay the experience trip fee, the camp must make other arrangements for those children/youth. They may be paid for by the camp, paid for through experience trip scholarships or allowed to stay at camp. However, activities should be planned for any campers staying behind as well as supervision.


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BID # ESC-0367-15

Attachment GCurriculum Model Summary Outline

This model is not intended to supplant any current curriculum; only to enhance and enrich and guarantee a set standard of content and quality for summer camp providers.)

GOALS: To expose youth to career education through experiential learning. To promote experience in real world situations and workforce development. To create excitement and sense of ownership for the youth’s education and future.

3 GUIDING PRINCIPLES: Staff is trained on program and goal. Program needs to be different (more informal, more flexible) from the traditional school

day. Common, clear communicated goals.

COMPONENTS: Literacy Enrichment Math & Science Enrichment Workforce Development Enrichment Cultural Enrichment Service Leadership Enrichment

OBJECTIVES: Encourage youth to begin discussion and to begin thinking about career opportunities. Assist youth in obtaining necessary skills to be productive and successful in the career of

their choice. Allow youth to learn in an experiential way by enhancing and enriching summer camp

programs.

STRATEGIES:Literacy Enrichment Ideas:

Book Clubs Story-Telling Journaling Drop Everything and Read Time Research Projects and Presentations Creative Writing Workshop Journalism Club Book-Making Read-Aloud Story Time Camp Songs and Chant Time Other ideas generated by camp provider and staff

Math & Science Enrichment Ideas:

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ESC-0367-15 Science Experiments Data Collections Math Games Measure Your World Word Problems Graph-Making Nature Observations Puzzles Geometry Club Smart Shopper Club Stock Trade Club Junior Achievement Financial Literacy Program 4-H Money Matters Program 4-H Biological Science Program 4-H Physical Science Program 4-H Nutrition Program Other ideas generated by camp provider and staff

Career Education/Workforce Development Enrichment Ideas: Experience Trips to Businesses Career Day/ Career Fair Guest Speakers Career-Themed Weeks College Day/ College Fair Computer Skills 4-H Clothing Sense Program 4-H Sewing Program Junior Achievement Financial Literacy Activities 4-H Money Matters Program 4-H Physical Science Program Other ideas generated by camp provider and staff

Cultural Enrichment Ideas: Visual Arts Performing Arts Music Education and/or Band Chorus Current Events Free Play Structured Physical Education Stepping/Dance/Tae Kwon Do/ etc . . . 4-H Social Studies Activities Program Other ideas generated by camp provider and staff

Service Learning/Youth Leadership Enrichment Ideas: Neighborhood Park Clean-Up Community Book Drive

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Setting & Adjusting

Goals

Experiential Learning

Wheel

Thinking,Planning &

Experimenting

Decision Making

Action

Reviewing,Reflecting &Observing

Decision Making

ESC-0367-15 Clothing, Food, Recyclables, etc. drive(s) Community Building Project Community Fix-it Project Community Clean-up Project Political Action Adopt-an-Elder Tutoring/ Mentoring Non-profit Volunteerism 4-H Leadership Program Other ideas generated by camp provider and staff

MODEL OF LEARNING:

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BID # ESC-0367-15Attachment H

INCIDENT REPORTING

The COMMISSION requires reporting of incidents, occurrences or events within funded programs which:

a. Place campers or employees at riskb. Result in serious injury to campers or employeesc. Require the direct intervention of program or agency management staffd. Could generate favorable or negative public reaction or media attention.

Reportable incidents include, but are not limited to, the following examples: Notable camper achievement(s) Abduction/kidnapping of a client Auto accident resulting in injury Bomb threat Employee misconduct including law violations Epidemic or other public health emergency Fire, flood or other disaster Injury to client or employee requiring medical attention Media coverage – actual or potential Missing client/runaway

Any incidents or Allegations of Abuse, Neglect or Exploitation:Incidents or allegations must be reported immediately to the Abuse Registry at 1-800-96-ABUSE, as well as to the COMMISSION within 48 hours.

Reporting ProceduresThe RECIPIENT is to establish procedures within the program to facilitate reporting of incidents to program management and to the COMMISSION.

The RECIPIENT will notify the COMMISSION’S Project Coordinator via telephone and/or fax immediately upon learning of an out-of-the-ordinary incident and after being assured that any remaining hazards have been eliminated and any necessary emergency assistance has been obtained. After such notification, the RECIPIENT will submit the required written report as required under Attachment D and in the format attached.


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ESC-0367-15

Attachment IJACKSONVILLE CHILDREN’S COMMISSION

INCIDENT REPORT

1. Provider’s Name:____________________________________________________________

2. Camp Name: _____________________________________________________________

3. Type of Incident (Check all Applicable):

__________Media Coverage (actual or potential) _________ Notable Client Achievement(s)

__________Program Awards __________Auto Accident

__________Injury to Client __________Injury to Employee __________Illness __________Behavior Requiring

Disciplinary Action__________Missing Client/Runaway

Other: ____________________________________________________________________

4. Location of Incident: __________________________________________________________(Address) __________________________________________________________

5. Date and Time of Incident: _____________________________________________________

6. Supervisor/Staff on Duty: ______________________________________________________

7. Name & Age of Children Involved: ______________________________________________

_______________________________________________________________________________

8. Report was made to Abuse Hotline? Yes: ________ No: ________

If Yes, date and time of report: ________________________________________________

9. On a separate sheet, describe the incident. (What took place, how the incident evolved, staff response, assistance

obtained, the outcome, etc.). Include any additional official reports pertaining to the incident (i.e. JSO, Fire and

Rescue, Child Protective Services).

10. Person Completing Report: __________________________ ______________________ ________ Print Name Signature Date

Contact Information: Phone_________________ Email Address: ____________________________

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ESC-0367-15

Attachment JExperience Trip Permission Form

Camp Name ________________________________________________

Camper’s Name______________________________________________

List of Experience trips and dates:

I ______________________ the parent or guardian of _________________________ give my permission for my child to attend the experience trips outlined above. I understand my child will be under supervision by camp staff and is expected to comply with all experience trip rules of the camp and any destination. My child has permission to be transported to and from the above experience trip by the camp providers.

_________________________________ ______________________Parent Signature Date

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ESC-0367-15

Attachment KSummer Camp 2015 Goals

All Jacksonville Children’s Commission Summer Camp Programs are expected to reach the following goals:

95% of youth attending the camp will remain free from physical harm/impairment and arrests during camp hours

100% of youth attending will have access to academic and enrichment activities Monday through Friday

90% of youth will receive a nutritious snack, via USDA 85% of youth attending camps will not participate in or provoke a physical or verbal

confrontation during camp hours. 100% of camps will seek and obtain community/corporate donations to enhance camp

activities/services 90% of youth will be provided recreational/enrichment activities, such as field trips every 2

weeks. 90% of camp seats will be occupied at least 3 days per week


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ESC-0367-15

Attachment L

Scoring of Grant Applications:

Grants will be scored by a grant review committee. This committee may be comprised of Board Members of JCC and JCC staff.

It is anticipated that grant awards will be announced in late March, 2015.

Grants may receive scores as high as 110 points, if they also receive Bonus Points explained below:

Bonus Points for Partnerships: 5 Points for Grass Roots Agencies with Letter or Memorandum of Understanding from an approved organization.

Bonus Points for Partnerships: 5 Points for approved Organizations that are mentoring smaller grass roots or faith based organizations.

Bonus Points for Additional Weeks for Summer CampOne (1) additional week of camp – 2 PointsThree (3)+ additional weeks of camp – 5 Points

All Grant applications must be typed. Hand written applications or those that are submitted in an alternate format will be considered non-responsive and will not be scored. Please contact the Purchasing Analyst, Annette Burney ([email protected]) to request a copy of the application in Microsoft Word format.

The Jacksonville Children’s Commission and the City of Jacksonville reserve the right to award any, all or none of the slots of each of the responders to this RFA. The Jacksonville Children’s Commission and the City of Jacksonville also reserve the right to award camp services on the basis of geographic need and/or historic data of need, if indicated. This includes but is not limited to awards that ensure geographic diversity, as well as awards that guarantee individual neighborhoods’/communities’ needs are met.


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ESC-0367-15

Jacksonville Children’s Commission Evaluation of Summer Camp Grant Applications for FY 2015-16

Program Name: Location: Agency: Contact Person

I. Agency History and Unique Features of Camp: (Up to 25 Points) History of agency delivering quality youth and summer camp programs. Ability of agency to describe how their summer camp is innovative and unique compared to others; capacity of agency to adhere to contract requirements. Agency’s experience in providing programs for at risk youth and families.

Rating Points Comments

Superior - Very thorough and specific; Agency has a strong record or legacy providing unique summer programs and narrative leaves rater with no questions.

25

Above Average - Addresses all information with a few details and specifics; leaves rater with few questions.

20

Average - Addresses most information; lacks detail and specificity; and leaves rater with many questions.

15

Below Average - Does not provide all information or is unclear. 10

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ESC-0367-15

II. PROGRAM DESIGN (Up to 25 points): Does the Agency explain how literacy and math will be core to the participants learning experience? Extent that the Program designs and incorporates a “Learning is Fun Model” and utilizes experiential Learning. Does the program identify best practices and/or successful models? Did the applicant describe where; when, and type of experiential learning are to be offered and the length of time of learning? Extent that program identifies operating hours and days per week that program is offered.


Superior - Very thorough, specific, innovative, clearly outlines program design/ Literacy objective and all other supportive elements of program design; Describes best practices and/or successful models, and addresses the where, when and type of experiential learning are to be offered, the length of time of learning and leaves rater with no questions.

25

Above Average – Briefly Addresses all information; provides many details and specifics; however, leaves rater with a few questions.

20


15

Below Average – Does not provide all information or is not clear. 10

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ESC-0367-15

III. Target Population, staff to child ratio and additional supports: (Up to 15 Points): Did applicant identify the correct target population as well as describe the number of children to be served? Did program adequately address the staff to child ratio? Is program providing a more intense ratio rather than 1:20? Extent that program will be providing other services and supports.


Superior – Addresses all information; very specific in describing target population and other services, opportunities and supports that will be provided this summer. Leaves rater with no questions.

15

Above Average - Addresses all information but additional information would provide a much clearer indication of the services and supports provided. Leaves rater with few questions.

10

Average – Addresses most information; lacks detail and specificity; and leaves rater with many questions.

5


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ESC-0367-15

IV. Outreach to low-income/special needs children; transportation and fees: (Up to 20 Points): Did agency describe method or strategy to reach low-income children? Does the agency have a track record in identifying and providing services to at risk children? Does the agency address transportation arrangements and parent fees?


Superior – Very thorough in addressing outreach efforts, transportation and fees.

20

Above Average - Addresses all information with few details and specifics; leaves rater with few questions.

15


10


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ESC-0367-15

V. Additional Revenue (Up to 15 Points): Did the agency describe additional funding sources, and how the additional funding will off-set the Commission funding? Does the agency address partnerships, in-kind resources, and expected revenue?


Superior – Addresses all information; very specific in describing the additional funding sources and indicates how the additional funding will off-set the Commission funding. Leaves rater with no questions.

15

Above Average - Addresses all information; provides some detail; and leaves rater with few questions.

10


5

Below Average - Does not indicate additional sources of funding. 0

Bonus Points for Partnerships: 5 Points for Grass Roots Agencies with Letter or Memorandum of Understanding with a Larger Organization for Mentoring Support.

Bonus Points for Partnerships: 5 Points for Larger Organizations that are mentoring smaller grass roots or faith based organizations.

Bonus Points for Additional Weeks for Summer Camp1additional week of camp – 2 Points3+ additional weeks of camp – 5 Points

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ESC-0367-15

Jacksonville Children’s Commission (JCC)Three – Page Application for Summer Camp Program 2015

Agency____ Program Name ______ _______ Address__ _______ Zip Code__ *E-mail_____ _____ _ Telephone Number_______ Fax___ URL___ Contact Person___

* Email: Mandatory Requirement

ALL APPLICATIONS SHOULD BE TYPED Please make 5 copies of this three-page application. You do not need to provide additional copies of the attachments.

NARRATIVES EXCEEDING THREE (3) PAGES WILL NOT BE ACCEPTED(Not including documentation attachments or budget) (DO NOT USE FONT SIZES UNDER 10 POINT)

Please list the location of all camp sites and include the name, address, zip code, telephone number, operational dates, and the number of seats at each camp site location. Please List that information:

LOCATION NAME ADDRESS with Zip Telephone Operational Dates Number of Seats Requested

AGENCY TOTAL:The total number of seats requested can range from 35 per site to 200 per agency; however, the actual number of seats awarded will be decided by JCC and each seat assigned will be funded for $375 for a 5 week period. Also, the seats requested must agree with the occupant capacity certificate; a copy of the certificate must be submitted with the application.

See attached Terms & Conditions for details, weights and narratives. ALL SUMMER CAMP APPLICATIONS MUST INCLUDE A LITERACY OBJECTIVE

1. Describe your agency’s history operating Summer Camp and youth development programs; describe agency capacity to adhere to the JCC’s contract requirements; explain what makes your Summer Camp Program unique. (25 points)

2. Describe the degree that your program designs and incorporates a Curriculum Model built on an experiential learning mode. Define how literacy and math will be core to your academic model. Illustrate where, when, length of time of learning; and type of curricula offered. Identify best practices and/or successful models, and the operating hours and days per week that program is offered. List Summer Camp Outcome Objectives. (25 points)

3. Identify the age range of your camp’s target population; as well as describe the number of children to be served. Address the staff to child ratio and the other services, opportunities and supports that will be provided this summer. (15 points)

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ESC-0367-15

4. Describe the agency’s method or strategy to reach low-income or special needs children. Explain the agency’s history or track record in identifying services for at risk children. Address transportation arrangements for field trips, and parent fees. A program requirement is that the parents pay a nominal fee. Describe the method your agency will use to assess nominal parent fees. (20 points)

5. The $375.00 for a five week period represents a significant amount to operate a quality summer camp; however, it is not intended to be the sole source of funding. Describe the agency’s partnerships and sources of funding to include additional revenue and in kind resources that will off-set the difference between the JCC funding and actual costs. (15 points)

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ESC-0367-15

Required Attachments

Failure to provide any or all of the required attachments may result in your grant submission being deemed as non-responsive; i.e., not eligible for funding.

6. Attach a brief description of camp daily or weekly schedule. Include hours, days and weeks of operation, address, zip code, and telephone number. Attach preliminary lesson plans.

7. If you are proposing to host a Summer Camp in a school building or facility, provide a signed letter from the principal on school letterhead.

8. Attach current proof of 501(c) (3).

9. A signed copy of the completed checklist (the last page of this application) Please keep a copy for your records.

10. Attach a copy of the occupant capacity certificate for each site location, excluding school sites.

11. Name and title of authorized person to sign contracts:

_____________________ ______________________Name Title

_________________________________ __________________________Signature and Title Date

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ESC-0367-15

Helpful ChecklistPlease keep a copy for your records.

_____ All Terms & Conditions and Detailed Minimum Standards and examples and other information have been read and understood.

_____ All information is typed.

_____ Agency/Camp information completely filled out. Any and all camp sites are listed with all information accurate and complete. If more than three (3) camp sites, make sure to list each camp site separately in the same format.

_____ Application questions are complete and accurate. Answers do not fill up more than three (3) pages.

_____ Five (5) copies of all application questions are included.

_____ A brief description of camp daily or weekly schedule, including hours, days and weeks of operation.

_____ Five (5) copies of camp schedule are included.

_____ A current, detailed proof of liability insurance as outlined in Attachment D.

_____ Copy of current proof of 501(c) (3) status.

_____ A signed and notarized letter stating the agency/camp’s intent to: * Background screen;

* Attend, complete and implement information and models as mandated by the JCC_____ Signed Bid Form

_____ Conflict of Interest Certificate

_____ Return any issued addenda (Check the Procurement Website prior to submission to make sure you have all issued addenda)

_____ This checklist is completed, signed and a copy has been made for the camp’s records.

________________________________________________ _________________________________Signature and Title Date

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Documents

kidshopealliance.orgkidshopealliance.org/wp...CAMP-2015-SPECS-FINAL-3.docx · Web viewRequest for Application . Jacksonville Children’s Commission. Summer Camp Programs. 2015