HomeMy WebLinkAboutSAFE HOMES FUNDING AGREEMENT $10,000 1/01/08 TO 12/31/08
Fundin re uest from Outside A
Agency:
Budget Time Frame: 1/1/08 to 12/31/08
Submitted by:_Safe Homes
This AGREEMENT made and entered this 4th day of January, 2008, between Augusta,
Georgia, acting by and through the Augusta-Richmond County Commission, a political
subdivision of the State of Georgia (hereinafter referred to as "Augusta" or "County"), and the
Safe Homes (hereinafter referred to as the "Organization" or "AGENCY"); WITNESSETH:
WHEREAS, the Augusta-Richmond County Commission desires to contract
with the above named Organization to PROVIDE FUNDS FOR THE OPERATIONS OF
THE AGENCY
Whereas the amount of $1 0,000 are now available for use by AGENCY., according to
the GENERAL FUND BUDGET ADOPTED ON DECEMBER 6, 2007;
NOW, THEREFORE, for and in consideration of the mutual covenants and
agreements between the parties, it is agreed as follows:
The County agrees to appropriate the following sums to the Organization for the
purpose of: Operating Expenses $10,000
The Organization agrees to use such funds that it may receive, pursuant to this
Agreement, solely and exclusively for the above described Project; said Project, including the
Project Budget, is more specifically described at "Exhibits" attached hereto and incorporated
herein.
In consideration of the disbursement of said funds, AGENCY shall observe all
conditions that the law imposes on the use of said funds, which shall include, but not be
limited to, the following
1. The agency shall provide the county with a narrative description of the program and a
detailed program budget. The budget should include all funding sources that the
agency anticipates receiving.
2. The Agency shall provide the following information as part of the narrative:
a. Mission Statement
b. Performance Budget Overview
c. Budget Request
d. Summary
3. The Agency shall complete the following forms as part of the budgeting process:
a. Budget Preparation Checklist
b. Agency / Joint Funding Budget Request (Form AJ)
c. Agency / Joint Funding Budget Request Payroll Costs (Form AJ-l)
d. Copy of Agencies most recent financial statements.
4. The agency shall have an annual audit performed by an independent CPA Firm. The
Agency should specify the County as a funding source. The agency shall provide the
County a copy ofthe audited financial statements within 30 days of delivery of the
audit by the contractor. Said reports shall be delivered to Augusta Finance
Department, Municipal Building Augusta, GA 30911 to the attention of Ms. Donna
Williams, Finance Director or her Designee.
5. The agency shall also submit a completed form W-9 to Augusta Finance Department.
AUGUSTA-RICHMOND COUNTY COMMISSION
By: CJ2J(~-~
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Mayor ;,:f'~'
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11..... Clerk of Commission ~t~~ ~0~a.,...,,;:~~:~,," ;-j::l
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ORGANIZATION:
AGENCY
By:
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Narrative Description of Services Offered by SafeHomes of Augusta
SafeHomes provides a 24-Hour toll free Crisis Line, 16 bed emergency safe house
which provides protection for women facing immediate violence, 4 Social Worker
Advocates who service our 10 county areas by providing case management, resources,
referrals, safety plan options and financial assistance. For clients who live in our rural
service areas, issues of transportation and scarce resources can prove to be stumbling
blocks to their survival. In these cases, through our Outreach Program, we bring our
services to them. We have an advocate in each of our service counties at least one day a
week. A Temporary Assistance to Needy Families (TANF) Assessor who is a liaison
between the Department of Family and Children Services (DFCS) and our victims to
offer advocacy for those who need waivers. Waivers allow victims to receive state
funding while waiving them of eligibility requirements due to their dangerous situations.
Legal Advocacy is provided to assist women with obtaining Temporary Protective
Orders, to provide assistance with obtaining divorces and a support system as they appear
in court. SafeHomes provides weekly adult and children support groups, Life Skills
Program, and Parenting Class. A Volunteer Coordinator who recruits and maintains
volunteers to assist with services to our clients including training, job-hunting, and
fundraising events, as well as provides Community Education to school aged young
adults, churches and service clubs about the signs of domestic violence. SafeHomes also
transport victims into Augusta if they need shelter or services that are not available in
their community. Our desire is to answer the call of any victim who needs us with
compassion and professionalism. All programs and services are focused on helping
victims of domestic violence become self-sufficient, confident women who can enter the
workforce and provide a safe environment for themselves and their families. There is no
charge for any of our services and all are available to both resident and non-resident
clients.
BUDGET PREPARATION CHECKLIST
The following checklist is provided to assist you in preparing the required budget documentation and
must be included as part of your department's budget submittal. The Department Director must sign
the "statement of compliance" at the end of this checklist prior to budget submission.
1. You have received all information related to your entire department. If not
contact your Budget Analyst immediately.
2. MISSION STATEMENT
a. Departmental Goals and Objectives
b. Performance Measures/Managing for Results
c. Function Charts
3. ORGANIZATIONS CHART(s)
4. SUMMARY OF MAJOR ISSUES
a. Major issues identified
b. Brief description of each issue
5. PROGRAM AND SERVICE INVENTORY FORMS
a. Program and Service Inventory fams are included for all current
servIces
b. Program and Service Inventory fams are included for each Request
for Additional Funding
6. EXPENSES
a. Expense Budget input (Budget Forms)
b. Input Data has been checked for accuracy
c. Supplementary Expense sheets included
7. POSITION CONTROL - review all position control information
a. Verified position information
b. Updated pay information as needed
c. Included vacant positions projected to be filled in FY2007
d. Included budget for seasonal and temporary positions
e. Positions Summaries have been completed according to instructions
f. The Position Summary and the Personnel Report agree as to the number
and classification of positions
YES NO
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BUDGET PREPARATION CHECKLIST
YES NO
8. CAPITAL BUDGET
a. Capital Budget Request previously submitted
b. Relationship to General Fund Highlighted
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STATEMENT OF COMPLIANCE
The budget submittal for the Department of J
compliance with the guidelines as set forth by the
checked and verified against the above checklist.
is in
s contents have been
~ <tn. rrtJ.-U--
Director
3/~1Iot
Date
I FUND:
DEPARTMENT
AUGUSTA, GEORGIA
FY 2008 BUDGET
I SafeHomesofAugusta
MISSION STATEMENT
The mission of Safe Homes of Augusta is to provide comprehensive services to victims of
domestic violence and their children and to educate the community about the effects in order
to break the cycle of violence.
The goal of SafeHomes is to provide services to victims that will enable them to become self
sufficient members of our community. SafeHomes currently has a 16 bed shelter to provide
safety for those in immediate danger. We provide Life Skills classes that teach how to obtain
a job, interviewing, and job etiquette. SafeHomes provides fmancial assistance to victims for
transportation, rental/utility deposits to help the victim secure a new living situation as well as
past due rent/utilities to prevent homelessness. It is important to educate the community about
the dynamics of domestic violence and to educate the community about SafeHomes of
Augusta if such abuse occurs. It is our goal to build collaborations within the community so
that victims have the benefit of services from other agencies. It is our goal to help a victim to
break the cycle of abuse and not return to the abuser.
As each client receives services from SafeHomes of Augusta, they are given a questionnaire
about what needs they have. As the services are completed a survey is given to the client to
complete so that SafeHomes can assess the services given and to make sure that all the client's
needs were met.
BUDGET GOALS FY 2008:
SafeHomes of Augusta is funded by government grants, non-government grants, foundations and
community support through donations and in-kind giving. Additionally, SafeHomes is a member
of the Georgia Center for Non-Profits which publishes newsletters with different grant and
funding opportunities. SafeHomes will continue to seek such funding via the aforementioned
sources and research of additional sources of support.
While government grants are a major source of our funding, SafeHomes is striving to establish
new and creative methods of fundraising to gain more community support. In 2006-07,
SafeHomes of Augusta held its First Annual Celebrity Dinner as a fundraiser to raise funds for
on-going programs and programs for victims of domestic violence, raising over $4000.00.
Additionally, for the 2007-2008 fiscal year SafeHomes is conducting A Donor Appreciation Day,
our "Second Annual Celebrity Dinner", the SafeHomes Annual Dinner and our annual Christmas
drive that allows the community to adopt a family and provide gifts to families who have been
affected by domestic violence. Through such events the community is being educated about
domestic violence and being given the opportunity to support SafeHomes.
We will plan a specific campaign to solicit support from prospective employers to develop a
continuing funding base.
It is the mission of SafeHomes to continue to broaden our programs so that victims of domestic
violence have the opportunity to succeed in an independent, self-sufficient lifestyle.
2006 2007 2008 2008
ACTUAL BUDGET REQUEST BUDGET
SUMMARY OF EXPENDITURES
AND APPROPRIATIONS $307,495.00 $268,528.00 $10,000.00 $296,142.00
TOTAL AUTHORIZED
POSITIONS $475,308.00 $586,172.00 $444,989.00
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Summary of Major Issues
While SafeHomes receives Federal and State money, obtaining efficient funding for
single women without children is an issue. SafeHomes depends on donations of the
community and Foundations to support services such as transportation, homeless
prevention and medical attention.
Another issue that SafeHomes encounters is lack of funding for operational expenses.
While most shelters are equipped to have the administrations offices adjoined with the
shelter, SafeHomes hasn't been able to accommodate a building to satisfy that need. We
are in the preliminary stages of beginning to seek for additional space to expand our
number of beds and to house both administrative offices with the shelter.
.
Augusta, Georgia
Agency / Joint Funding Budget Request
Payroll Costs
2008 Budget Worksheet
Form
(AJ-l)
Fund No:
Department No. & Name:
Account No.:
I I 2006 2007 2008 Increase CJ
Employee Name / Position Actual Budget Request (Decrease)
I
4/A
I
Total
Present GROSS ANNUAL SALARY regardless of funding source
Augusta, Georgia
Agency / Joint Funding Budget Request
2008 Budget Worksheet
Form (AJ)
Fund No:
Department No. & Name: .". 5c~ ~ Q.,~
Account No.:
I I 2006 2007 2008 Increase [J
Expenditures Actual Budget Request (Decrease)
Salaries & Wages (Sch. B-2) -
Personnel Services
-
Support Services -
Repairs & Maintenance -
Materials & Supplies -
Public Works
-
Other Charges -
Capital Equipment -
Other: -
-
-
-
-
-
Total Expenditures -
Source of Revenue
-
Augusta 31,500 2-q ()X) ~ 10) ~"Iq. 00 2-7'/.
I -
United Way 100, 0rX) ~.OOO Cl1,OOCO 5a..rn e.. -
State of Georgia "3to1} 2-31 30\. ~lq 30\, <0\9 Same. -
I
U.S. Government! Agencies -
Other '-' t:e..d ~o...l. 11.03634- ~ [6'+, 0tX) (II; l5=3Y,m) '1.0 '/.
-
-
-
-
Total Revenues lolp ~ Z/D5, fjl1?j 16~ 6O,2..2.\g jCf:??Db )
-
Revenue Over Expenditures -
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Safe Homes of Augusta
Revenue
CATEGORY
GOVERNMENT GRANTS
DCA
VOCA/CJCC
VA W A/CJCC
DHRIf ANF Assessor
RICHMOND CTY -CDBC services
ESG - Local
TOTAL GOVERNMENT GRANTS
NON GOVERNMENT GRANTS
United Way
Church of the Good Shepherd
Exchange Club
Indo-American Association
Macy's
International Paper
Bank of America
Food Lion
FEMA
Richmond County 2007
Community Foundation
TOTAL NON GOVERNMENT GRANTS
TOTAL ACTUAL GRANT REVENUE
PROJECTED PENDING GRANTS
Columbia County
Wachovia Bank
Buttolph Foundation (Children's Program)
Boston Foundation (undesignated funds)
Widow's Home
TOTAL PENDING GRANTS
TOTAL GRANT FUNDING
IN HOUSE FUNDS GENERATED
TOTAL IN HOUSE FUNDS (Donations)
Annual Appeal
TOTAL IN HOUSE FUNDS
OTHER INCOME SOURCES
Fund Raising/Special Events
Golf Toumament
Annual Dinner
Misc.
Augusta Lynx
Celebrity Dinner
TOTAL FUND RAISING
OrnER INCOME SOURCES
bank interest
TOTAL PROJECTED REVENUE
DEFICT
TOTALS
Match
$ 9,000
$ 123,612 $30,903
$ 20,300
$ 267,252 $11,344
$ 12,000 Calender year grant
$ 17,599 Calender year grant
$ 449,763 $42,247
$ 97,000
$ 3,000
$ 3,500
$ 1,000
$ 3,000
$ 2,473
$ 2,000
$ 1,000
$ 7,375
$ 10,000
$ 15,000
$ 145,348
$ 595,111
$ 3,000
\$ 5,000
$ 2,500
$ 1,000
$ 4,000
$ 15,500
$610,611
$ 60,000
$ 10,000
$ 70,000
$ 20,000
$ 10,000
$ 10,000
$ 11,000
$ 5,000
$ 56,000
$ 1,000
$ 737,611
I $741,1311
$ 3,520
FaIn w.g
Request for Taxpayer
I.dentification Number and Certification
Give form to the
niquuter. Do not
nndto the IRS.
lAW. Odatlir 2CIJ1)
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C111lClo: IIIpInprlDl>> b:l:1: 0 hd~~pq:rt;IXIr Id" CcqIOrDllm 0 f'II1nQllHp
o U11l5d btlll'f CillTIpmy. EllI<< thD 1u ~ LD-d~ ;rtly, Co.o:ltprallC:l'\ p..pll1na-rtl~ .. _______
o Otllr(Hllll'llln.lltord)..
Adtnlll~, sInlilt, ancI apt Dr!IU1Ill nD.)
qot\- 0\e.(I S<k'e.e..:r
CIty, n:l21f' code
S-\-a. GA- 30ClO
Ult IEiCOU1t rurtl;r(sl h_ (of:l:l:f1~
r Ickmtification Numb9l'
DEUnpt
fAll'"'
Raep;a1l1"'l__1Il:Id1tiClS (of:l:l:f1~
Enter )tIur TIN In 1he BfIpropnata box. ilia TIN pl1Jl'ldad must match 1l11HIllm!! qven on Una 1 to ItlOld
t:e::k1.p'll1ll1hOI::lrg. For IndMdualS, 1tl1s Is )'CUr ao::lBl securtty nUllbsr (.8BN). ~r. for a ralIGllnt
allan, we JmJ:f1etcr, cr dlsn!gilTOad entlly, see 1he PllTt 11'1stru::t1om. on page a. For ether des, 'ttls
)till' ernpbyer 1O!Intm::atoo nUlltlsr IEI~. 1f)'CU do not lllMl arurnber, sea HrJ.f to gar a TIN on p.aga a.
Note. If the ErJ:ount IS In more tnan one l'I!IIIVI, Bee1te Chl'fi: on page 4 fa- !JlI:lEllnBa en Mlose
nurrt:Er to eniB".
CMtifiICation
UrJ:ler penalt1~ Ofpequl)', I oarllfy 1l1at:
1. iba nUlltler llhl7Nn cn1l11s fcfm II> ~ correct im:payer IOenlmc:allonrulllber (or I ern wutl'1g fer a nurrt:Er tab!! issued to 11l3), BJ1d
2. I ern rot SUlr4e::t to backup wrttnadlng BIIU83: {B} I am 1!I!.Elfl1X from bEklJp W1thl1:lldl'1g, or ~)I tlaW not tlEEflnaimEd by 1he Internal
Rirl'enue sal'lloa (IRS) that I am llUbjactm t:e::~ w1lhhOIdI'll as. Il resut or a faJlJre 1D replrt BlllnlEr&:rt a- C2'i1derds:, or (c) 1te IRS hI1s
IXltlnaO me tnat I am no kl'ller SUbject 1D ba::k1.p 'II1II1hol::lrg. ~d
9. I ern Il U,s. citizen or olI1er U.S. p6lllOn (detl1!ld balali)
certlrt::attOCllni1ructloni. You must CIC6Ii out Itsm 2llb:7ie II )'01.1 l"ilrI'eb!!enno1lfl1ld by 1he lR81l1at )'CUaTe currenttj SUl:iect to baOl:up
wtthl1:lldl'1g bl!C!1lJiS )till l"ilrI'e falEd to rep:xt allntarsst S1d dJv1O!ln:ls en )'CUrto. em. Rlr 1&31 es:lilla tl81sa.c1lCC1B,ttEm 2 doas not ~tt.
Fcrnxxtgage Intenlllt IDd, acquisition or abllndtmmEOt Of securEd propl!d'f,ll!IJ'DilllallOn Of debt COnlltxltlCC1E 1D an 1rJ:llVt:iJaI rsIlrsm!!nt
Bllil'g:l'llent (IRA(I, and 9'f1era1lj',pa)'l1l3ntll ether !turn 1nlEr&:rt an:IllMl1elllE, )'CU ars not r~lrEd to S1!J11he c-eruncsb::f1" but )tIu must
plO'itCle your OOITElct TIN. Bee 1te IllS1ru:lIons CC1 page 4-
~'-of ~ 2f
HMo U.11I, pmion .. Q.l.L
Genera I Instructions
Section ref\1f81'lCf:6 are to thelrt8TlalRsvertle Code une.
o1hetwiae ooted.
Purpose of Form
It. penliIlI1' who i& ~red lD fill 111 inforrnwoo relurn with the
IRSITIlI!lt cb1ain )!OUf COlf'&.'lI tsJq:layer idefttificstion, number (n~
to fe!Xlrt. rortllUll1:\P!e, in:oll18 paid to ~u. reel elll8te
tlSlSllCtiona. lI'lCfIgsge _est~'QU paid" acgusinon or
abendllnment of &ael.l'ed proPBflY. cenc.sll&ilian of debt. or
con1libliliolB you rntde to an 1M.
llalll Form WJJ only if youarsa Us. pEl'BOll Ondutiillll a
reeida,' 'ntaien). to pl'OVid& your o:xrEd TIN to the person
rsquae1fng it Itha requestEij and, when awlicable. to:
'I. Certify lhBt tlwl TIN ~ 61", .ee '9, ,,' iving is correct (cryoo n
waiting for a number lD be is&uedj.
2. Certify that you, S'fII'lC)t!Ubjecl to ~ wilbhoklifJd, a-
3. Claim QX8mptilln. from baclwp witliiold' if you are a VA
exempt pll)eB.lf_ieable, you, ElBa
Us. pereon. )WI ilIOCi1b1e sham itcome from
Q U.s. trade or bU9itllll& is not ding tmt on
foreign psrtnar&' share d effecWelj' oonl'l!iCted incOll'B.
Nota, If a mquaster givllll you a form 01hef than Form W..q 1D
ll!qUllst ~l TIN. you must uae the requeste(e form if it i&
llUbetantildy similar to thi& FonT! W-9.
oa" ,~/2~-lo~
I f
Defmition of a u.s. pBnlOJ'l. RX fedaral tax. pulpOli!l$. you are
eo~ a VA pElIlOO:if)'Ou to:
. M indiVidual who in UB. emn or U.s. [!llIidentsien.
"It. ~ip. eorpoll1lion. COOIpany, a- alll!OCial:ion CJ'8illU!dor
orglllm in the United Stlltee a- undir the iaws of the United
SlSIee.,
. M sgfs!e (other 1hs.n II foreign es1llte). or
" A OOrneetic 1nIBt(aa defined in I<<lguat~ section
3Ot.1701-1),
Special RIles for par.tnerrAUps. Pa1l'1anlhipa tllst o:lI1ducta
trada or btranEfi 1fl1l1e United 8tstellll'll gen&rsIIy ~ired 1D
pay a witIi1oldi'll' tmtonany fcre~n perlnelB' ahars of illCOlTl9
from soohbuaineea. Fuither, in OI8ftsin case& wtlera II Rxm WJJ
hEIB oot been meEived, a pertnerBhip if! reqWi!d to prIllIUm& that
apml'lef i& a folllign pweoo, BJXl pay the withhokii~ tSL
Th~ if }OO 81&. a Us.. pIlf9:lI'I' tIm is II partner tl a
psrtn.ers/'ip condlJ:tng II ~ or buainall8 in tlwl UnltedStstea,
proW:lll fOrm W..q to the pmnerBhip to estlibliah yoor u.s.
e:tBlUs BJXl /lIlotd wlthld:ing on )'011' ahara of partnelBnp
income.
The penon:=;, who iI'SB Form WJJ to the partn;ll8hip for
porpoeea of, .. i1& UA statUi andln'Oklilg withOOlding
on lIB a/l.ocsble share . Tl9t itcome from 1I1e pmnefllhip
cOBctinga lra'Jeor buaineea in the United Stste& if! in 1118
fo11owi'll eases:
. The UA OWIlllr of II diirsgardad entity 8'ld not the entity,
Cat No. ltll21X
FDITII W..Q [Rw.10-2007)