Res 60-79 RESOLUTION NO. 60-79
A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF DELRAY
BEACH, FLORIDA, AUTHORIZING AND DIRECTING THE MAYOR TO
EXECUTE AN AGREEMENT WITH THE STATE OF FLORIDA DEPART-
MENT OF COMMUNITY AFFAIRS UNDER THE FLORIDA FINANCIAL
ASSISTANCE FOR COMMUNITY SERVICES ACT; PROVIDING THAT
THE CITY OF DELRAY BEACH WILL BE RESPONSIBLE FOR THE
LOCAL MATCH REQUIRED UNDER PROVISIONS OF SAID ACT.
NOW, THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY
OF DELRAY BEACH, FLORIDA, AS FOLLOWS:
Section 1. That the City hereby authorizes, confirms and
approves the filing of the application of Planned Parenthood, Palm Beach
Area, Inc. for grant funds under the Florida Financial Assistance and
Community Services Act. The application being for the fiscal year
October 1, 1979 through September 30, 1980 requesting state grant funds
in the amount of $50,000.
Section 2. That the Mayor is hereby authorized and directed to
sign in the name and on behalf of the City an Agreement between the
Florida Department of Community Affairs and the City of Delray Beach,
Florida, under the Florida Financial Assistance for Community Services
Act, endorsing the program of Planned Parenthood - Palm Beach Area, Inc.
A copy of the Agreement is attached hereto and made a part hereof.
Section 3. That Planned Parenthood, Palm Beach Area, Inc. will
be the delegate agency and subcontractor of the City of Delray Beach in
connection with this grant.
Section 4. That the City will be financially responsible for
the local share of the grant as required pursuant to the provisions of
Florida Statute Chap. 409, notwithstanding the fact that all or part of
the local share is to be met or contributed by other source, i.e., con-
tributions, other agencies or organization funds.
PASSED AND ADOPTED in regular session on this the 13th day of
August, 1979.
LEON M. WEEKES
ATTEST:
Clerk
FLORIDA FINANCIAL ASSISTANCE FOR CO~UNITY SERVICES ACT OF 1974
(COMMUNITY SERVICES TRUST FUND)
GI~tNT APPLICATION Page 1 of 7
REPLY TO: * SUBMIT FOUR (4) COPIES
DEPARTMENT OF CO~.LMUNITY AFFAIRS (ONE MUST BE ORIGINAL)
DIVISION OF COMMUNITY SERVICES
2571 EXECUTIVE CENTER CIRCLE, EAST * PLEASE TYPE - ANS;'.qiR ALL
TALLAHASSEE, FLORIDA 32301 QUESTIONS
1. Local Governmental Unit Applying for Grant:
Name: City of Delray Beach. Florida Telephone: (305) 278-2841
(name of town, city or county)
Address: 100 N. W. 1st Avenue, Delray Beach, Fla. zip: 33444
o County: Palm Beach County ,
2. Delegate Agency(s): Planned Parenthood -- South County
3. Person with over-all responsibility of grant: (Our Department will
contact this person should questions arise)
Name: Shirley Mirow Telephone: (30~) 368-1023
Address: Planned Parenthood -- South County, 160 N.W. 4th St., Boca Raton,
Fla 33432 7~./z~/_
Signature: f/~ ~.i~/~
4. Name and address of person authorized to receive funds. If this aP-
plication is funded, checks will be mailed to this person. All checks
will be made payable to the local government.
Name: Thomas W~ber
Address: Finance p~partment~ City o~ D~]r~y B~h, ]DO N_ w. ~s~ Ave.,
Delray Beach, Fla.. zip: 33444
GRANT APPLICATION Page 2 of 7
(use attachment page if necessary)
1. Give a brief overview of the proposed program.
2. Identify the problem this program will address.
'3. Specify the target population in your program service area af-
fected by this problem. How large is the target population?
4. What is the severity of the problem among the target population.
Provide quantifiable numbers/percentages, etc.
5. How will this program address the problem?
6. How many and what percentage of the target population will be served?
7. Will this program provide direct access or availability of other
services? If yes, identify them.
8. Is the program operating now? If yes, explain what changes this
grant will provide for.
9. Will the grant funds be used as ma'tch to obtain other funds?
If yes, what other funds?
10. What funds will sustain the program after this grant expires?
11. Who will do the audit of the program?
1. GIVE A BRIEF O%~RVIEW OF THE PROPOSED PROGRam'[.
As a result of a Planned Parenthood sponsored research project,
completed in 1979 by a Florida Atlantic University student in
Health Administration, a working relationship has developed
between Planned Parenthood -- South County and the Cobb Sickle
Cell Center, West Atlantic Avenue, Delray Beach. At several
meetings involving staff and Board members of both agencies
the possibility of Planned Parenthood -- South County initiating
sickle cell screening as part of its patient services has been
discussed. The Cobb Sickle Cell Center has offered to set aside
a counseling room for use by Planned Parenthood in its new
West Atlantic Avenue Center. The proposed program would develop
these pgssibilities: institute free sickle cell screening at
Planned Parenthood and set up an auxiliary Planned Parenthood
counseling and referral center in Delray (all Planned Parenthood
counseling and referral is free of charge), while increasing the
total complement of back-up medical, counseling and educational
services in family planning at the Chapter Center in Boca Raton.
Planned Parenthood and the Cobb Sickle Cell Center are both
committed to freedom of choice in dealing with Sickle Cell Trait
and reproductive capacity. Sickle Cell counseling is provided at
the Cobb Center by an R.N. trained in genetic counseling and
includes fertility control as 'One option.
By having a Planned Parenthood counseling center in the seine
facility, smckle cell clments and otheV persons in the community
who wish further information on fertility control and services
could receive this specialized counseling within their own
community.
The Planned Parenthood Chapter Center mn Boca Raton will increase
its provision of contraceptive services~, counseling and education
to all persons without regard to age, sex, background or ability
to pay. Low-income residents, of South County will continue to
receive services at no cost under Title XX or with funding from
other sources. (Fifty-fiv~ percent of South County clients have
NO income or incomes less than $4,000 per year.)
Contraceptive services are:provided at.the South County Planned
Parenthood clinic: a free-standing, 1800 square foot modern
building located in the civic center area of Boca Raton. The
clinic is in a "downtown" location readily accessible by car
and public transportation. Clinic sessions are staffed by local
OB-GYNs, nurse practitioners, R.Nos and trained counselors, many
of them volunteers. Medical services include social and medical
history,'height, weight, blood pressure, hemoglobin, VDRL, urine
albumin,and sugar, pregnancy testing, information (written and
group instruction) on birth control methods (pill, IUD, diaphragm,
foam, condom, natural family planning), breast check, heart, lung
and thyroid check, and pelvic examinations including pap smear
and GC chlture. Birth control methods are prescribed and supplied
by the clinic. Clients are followed for contraceptive and
medical problems and notified of annual exam.
Counseling services include birth control, VD., sterilization and
problem Pregnancy counseling. The agency has a wide variety of
referral resources in both Palm Beach and Broward Counties.
Birth control counseling and sterilization counseling involve
education about methods, risk-benefits, cost, resources, etc.
Problem pregnancy counseling involves examination of all options
ope~ to a woman with an unplanned pregnancy: resources for
assistance if the pregnancy is to be full-term, adoption, foster
care, abortion. Planned Parenthood is the ONLY AGENCY providing
pregnancy testing and problem pregnancy couns~ihg in Palm Beach
County where all options are given, where birth control methods
are explained, contraceptive problems are dealt with and f~llow-
up appointments for contraceptive services are made as a part of
the counseling service. Planned Parenthood is the ONLY SOUTH -
CO~TY CLI>~IC offering morning and evening clinics. The Health
Department in Delray Beach offers afternoon clinics only.
Educational services are provided both on and off site. Education
and decision making about sexuality, health care, family life and
responsibility are an integral part of on site clinic and counseling
services. A board-certified sex educator (AASECT) is involved in
the sex education programs in both public and private schools.
Youth and church groups and local agencies also use the educational
services of Planned Parenthood. Nursing and counseling students
from local colleges and universities are trained in family planning
at Planned Parenthood. Workshops for professionals such as public
health nurses, school counselors, HRS employees and ministers are
· offered at Planned Parenthood. The proposed program would continue
medical services at an increased rate with the addition of trained
medical and counseling staff.
2. IDENTIFY THE PROBLEM THIS PROG~qM WILL ADDRESS.
The primary problems to be addressed by this program are the
problems of the high rate of teenage pregnancy and illegitimacy,
and the need for sickle cell trait persons to be identified·
and completely informed as to their options. Unplan~ed teenage
pregnancy, resulting in an unplanned birth or an abortion,
contributes to the emotional, financial, medical and social
problems seen in the unprotected sexual%y active teenager.
Illegitimacy among non-whites has remained at a high level over
the past four years; illegitimacy among whites has increased
during.~the same period.1
One in ten black Americans and a significant number of others
whose R~cestors come from the Mediterranean area, the Caribbean
and parts of South, Central and North A~erica, the Middle East
and parks of India, may have Sickle Cell trait or other hemoglo-
binopathies.2 All persons deserve the~opportunity to avail
themselves of free screening'for these'genetic diseases so they
can plan for a healthy family.
Additio'nally, this program will aid in'the detection of venereal
diseasgland cancer. Venereal disease is a significant heTalth
probleM'in the State of Florida, since~,only Georgia has ~ higher
syphilis rate and only seven states haYe higher gonorrhea rates.
Cancer [detection -- breast and cervicai -- remain of primary
zmporta~ce in female health care. BreJst cancer remains.at a
high rate, affecting one in thirteen American women. The inci-
dence of cervical cancer is increasingidue to the increase of
the Herpes II virus, increased sexual activity at an early age
among adolescents and the effect of DES in millions of American
women a~d their daughters.3 Both VD and cancer cures dePend
on earl~y detection and treatment.
While these problems are present in all segments of society,
low-incOme persons (increasing in number because of inflation)
are mor~ often th~ victims of lack of medical care. Planned
Parenthood will continue to see marginal and low income persons,
regardless of ability to pay.
1B~roau of Vita] SlaL:i~;t.£c.~;, T;~llah~s:;c~e, l"].()rida.
2Cobb Sickle Cell Center, Delray Beach, Florida.
3Am~I'lc~nl Ca~Cc, L' Sociuty pul~Llcatiu,~;.
3. SPECIFY THE TARGET POPULATION IN YOUR PROGP~\H SERVICE AREA
AFFECTED BY THIS
The South County Center sees any person, regardless of age, sex
or residence. (A small, but significant number of our clients
are teens and young adults who are without a true permanent
residence.) However, these itinerant teens plus the Palm Beach
and nearby Broward County pre-teens and teenagers are the persons
most at risk of unplanned pregnancies and the high incidence of
venereal disease. Teenagers in general are more fearful of and
less able to pay for medical services within traditional settings.
· HOW LARGE IS THE TARGET POPULATION?
A population explosion has occurred in both Palm Beach and Broward
Counties with a mass migration of individuals and families from
northern cities to the "Sun Belt." Since 1970 Palm Beach County
has experienced a 46.9% population increase compared with a 28.5%
increase for the total State of Florida. There were 505,605
Palm Beach County residents in 1977: 10,233 were 0-14 years
and 73,880 were 15-24 years old. It was estimated at a recent
United Way planning meeting that the population of Wegt Boca Raton,
now at 17,000, will number 55,000 by 1980. Broward County has
gro~.m from a population of 620,100 in 1970 to 902,543 residepts
in 1977: 176,551 were 0-14 years old and 126-342 were 15-24.~
The South County Center is primarily concerned with population
growth in nearby Broward communities such as Deerfield, Pompano
and Coral Springs whose population has more than doubled in the
last seven years. '
Approximately 10% of Broward and Palm Beach County residents are
non-white. No information is available as to the ancestral
make-up of the white population. It is not known how many
persons in the areas of Palm Beach and Broward communities near
South County Center would be candidates for sickle cell screening.
4. WHAT IS THE SEVERITY OF THE PROBLEM AMONG THE TARGET POPULATION?
Palm Beach and Broward Counties both have high rates of teenage
pregnancy, consistent with high rates found in the rest of the
United States. In Palm Beach County births to non-white women
under 16 years of age was considered to be one of the major
health problems of the county.5 In Palm Beach County 26% of
non-white births and in Broward County 27% of non-white births
were to teenagers. Although exact abortion statistics are not
available, The Allen Guttmacher Institute reports 1/3 of the
1.3 million abortions in 1978 were to teenagers. Illegitimate
birth rates in both Broward and Palm Beach Counties remains high,
at approximately 64% of all births for non-whites and 11% for
whites.
Although teen-age pregnancy is medically high-risk by definition,
nearly half of pregnant teenagers receive no prenatal care in
their first trimester. The death rate from complications of
pregnancy and childbirth is 13% greater for 15-19 year olds and
60% greater for teenagers 14 or younger compared with women in
their early 20's.
Early childbearing poses serious social and economic consequences
for teenage mothers and their children. Teenage mothers are
often forced to leave school and to forgo job training and other
opportunities for economic advancement. Unmarried mothers may
face social disapproval, financial hardship and difficulty in
finding work and child care facilities. They may be forced to
turn to welfare for support. A recent New York City survey, for
example, reports 727, of molhor~ who f~rsl- ~tave bir~-h between 15-
problems than others of same age and socio-economic status.
Women who have their first child in their teen years tend to
have more children in quicker succession than their peers.
The health risk to babies born to teenagers is enormous. They
are two to three times more likely to die in their first year
than babies born to women in their early 20s. Babies born to
teenagers are often born too small, or premature, with the
associated problems of mental retardation and congenital
malformations.6 Nine percent (9%) of total live births in 1976
were infants weighing less than 2,500 grams.
According to the Florida Inventory of Services for Adolescents
· HRS, the percentage of females aged 15-19 at risk of unintended
pregnancy who are living in families below 200% of the federal
poverty index are 45% in Palm Beach County and 37% in Broward
County. In Palm Beach County 55% of females at risk aged 15-19
are not served by organized family planning programs; in
Broward the number exceeds 76% (one of the highest in the State
of Florida).
Sexually transmitted diseases -- syphilis, gonorrhea and herpes
simplex II°-- continue to plague persons of all ages4 and economic
strata. Teenagers tend to be' the most frequent victims and
young persons under 25 are usually half the reported cases.
Broward County reports syphilis to be the third leading communicable
disease in that County, with a 59% increase between 1973 and 1975.
The Health Planning and Development Council for Broward County
reports the total United States incidence rate for gonorrhea
increased by 57.7% from 1970 to 1975. · Durin$ the same time period
the total rate in Florida increased 117%. Palm Beach CoUnty
Health Department reports 265 cases of syphilis and 2680 cases
of gonorrhea in 1978. ~
No statistics on sickle cell screening are available for either
Palm Beach County or Broward.Counties, The March of Dimes in
Palm Beach County provided genetic counseling to 83 persons in
1978. Sickle cell, a genetically inherited disease, is prevalent
among Blacks; it has been estimated that it affects one in every
ten Black Americans (2~ million persons) in the trait form and
one in every 400 Black Americans as the severe or actual sickle
disease.
4Fiorida Statistical Abstracts, 1977.
5Health Planning Council.
~ 6March of Dimes.
5. HOW WILL THIS PROGRAM ADDRESS THE PROBLEM?
The objective of all Planned Parenthood Affiliates and Chapters
is to achieve the virtual elimination of unwanted pregnancies,
abortions and births through voluntary fertility control. At
the same time Planned Parenthood provides broad-based general
health screening for anemia, hypertension, diabetes, disease of
kidney and bladder, cancer, venereal disease and sickle cell.
1.. By restructuring contraceptive clinics, no client
w~ll have to wait longer than two weeks for an appointment
o~ longer than two hours to see the doctor or nurse
p~ctitioner. The number of clinic sessions will be
increased from 3 to 5 per week, ~ncluding an additional
evening and morning clinic to accomodate the large ~influx
of population in the Boca-Delray! area.
2~ Increase the number of clien'ts able to receive
gynecological services and information by hiring an addi-
tional RN-counselor and increasing the hours of an all-
ready.-employed Florida State Certified Family Planning
Nurse Practitioner. 0
3~ Increase the number of women~able to receive p~egnancy
testing and counseling services by training additional
volunteer counselors. The training w~ll be supervised by
ah ASSECT (American Association 6f Sex Educators, ~Counselors
a~d Therapists) member and the Family Planning Nurse
Pr'actitioner. Ii '
4~.~ Increase the number of educational contacts to~3,000
yearly by training additional volunteer outreach workers.
Educational contacts include group instruction in sex
education in public and private schools, clinics, civic
groups and teen organizations. '~
~..- 5. .Increase the number of ~nformational outreach through
-~ ~. .' TV, radio and newspapers by working to coordinate media
~ presentations with other local Planned Parenthoods in
Dade and Broward Counties and in West Palm Beach. ,
6. Continue the successful South County Center Lamaze
Program, involving young pregnant mothers and their
husbands in preparation for natural childbirth -- encouraging
men to feel comfortable at the Planned Parenthood Center.
7. Institute Sickle Cell screening as part of the clinic
visit -- encouraging non-whites to feel comfortable at the
P~anned Parenthood clinic and providing a needed medical
s~rvice in the community.
8~. Developing a satellite counseling center and outreach
p~bgram in West Delray to make family planning information
more readily accessible to a high-risk population by
o~ganizing FAU Delta Sorority members o.r other civic
groups in West Delray to actively participate in Planned
P~renthood activities.
6. HOW ?[~NY AND WHAT PERCENTAGE OF THE TARGET POPULATION WILL
BE SERVED?
The current number of medical and counseling clients served at
the South County Center is approximately 300 per month. The
proposed program will allow for an increase of 100 monthly for
a total of 4,800 yearly.
At present, off-site encounters, which include sex education
programs, TV, radio, newspapers , number approximately 35,000.
The addition of trained volunteers in this position will allow
53 ,000 such contacts to be made.
7. WILL THIS PROGRAM PROVIDE DIRECT ACCESS OR AVAILABILITY OF
OTHER SERVICES? IF YES, IDENTIFY THEM.
The program will provide access to the following services:
1 Contraceptive medical services.
2 Counseling services.
3 Referrals, including medical.
' 4 Educational services.
· 5 Student training services.
6 VD and cancer testing, education and follow-up.
.,:..:_~.. 7 Broad-based health screening for diabetes, hyper-
.-.:.--:L'~..- . tension, anemia, kidney and bladder disease,
-- " , diseases of heart lung and thyroid.
· ·:-.?:?- ~'~ · ~.- ~.. 8. Lamaze instruction for prepared childbirth.
~-.¥~-'~..'~.; ~ -.-,- ~ . Sickle cell screening. ....
· -~'7.- .... ~.. 8. IS THE PROG~ OPE~TING NOW?
-~ :'~-:.-- Yes -- the South County Center of Planned Parenthood began as a
-:...: '"... counseling and referral agency using volunteers only in one room
.'..' of the local Unitarian Universalist Church in June 1975. By
~'..~i.' December 1976 clinic services began using the Sunday School rooms
~.._-. of the Church. In January 1978, with 2~ employees and 25
],~'.::.j...~ -::.,:~ volunteers, a local building was selected, purchased and renovated
into a family planning clinic (CBS 1800 square feet)
In the year and one-half of services in the new center, the
. ~.~.... building has been completely paid for by private contributions
and the case load.has almost tripled.' The South County Center
now has six employees including a part-time Family Planning
~: "~ Nurse Practitioner, forty volunteers and three contracted local
"~ OB-GYNs helping provide clinic services.
EXPLAIN ~AT GlaNCES THIS GRANT WILL PROVIDE FOR.
By increasing the staff at the South County Center, the waiting
"' time for clinic and counseling appointments can be reduced, an
'"-. ' .....important factor when dealing with a young, transient population,
':~ Increasing clinics will allow for a greater number of clients
. .~'~ to receive family planning services -- a projected 40% increase
~.~..~ in the next year. The addition of more clinics in the morning
· ~.~:~ .~ ~- and evening will allow teens and working mothers (many who work
:~',~ '' ~ ~T ~ .~f ~'~ ~.~ ~ ~ . ~ . ' '~ ' - ' '?~' ~..7~'."i'~ ~. 7"'".~ .~/i,~"-, '.~¥~.
evenings as waitresses, etc.) to be able to use the clinic
facilities at a time when they are free to do so. In a
recent client survey equal numbers of clients said they could
use the clinic mornings, afternoons and evenings.
The sickle cell screening and satellite counseling cente~ in
West Delray will encourage involvement of the Black community
in family planning activities. The addition of these services
will allow for the participation of Black churches, civic
groups and organizations in Planned Parenthood functions.
The long range projection of Planned Parenthood working together
with the Cobb Sickle Cell Center can include the planning for
other broad-based screening and counseling services in the areas
of Tay-Sachs and other genetic diseases. (Cobb Sickle Cell
Center projects testing and counseling for other genetic diseases
in the future.)
Additionally, the area of health education in local schools and
colleges will be reinforced. In the past three years significant
changes have occurred in local acceptance of the need for these'
programs. Planned Parenthood has been able to provide materials,
teacher and counselor education, and professional speakers for
the classrcrom. This grant will allow for the continuation and
expansion of this in the South County.
9. WILL THE GRANT FUNDS BE USED TO OBTAIN OTHER FUNDS?
~' ~-'. No. South County currently receives funding from Title XX from
Palm Beach and Broward Counties, and from United Way of Greater
-".. Boca Raton. Other funds anticipated are gene~rated from private
foundations, contributions and patient fees.
10. WI-IAT FUNDS WILL SUSTAIN PROGRAM AFTER THIS GRANT EXPIRES?
"~'~ .......... ~nited Way - Boca Raton 12 000 -
'7: ~'''~'' ~ ' Title ~ - Palm Beach and Broward 20 000
~-.~ .... '-~' Medicaid 1 000
'--~'::"" Patient fees 20 000
· .. Contraceptive sales 10,000
:- Other income : 2,000
': Investment income 1,000
-:~i'. -'- . . Presentations (training workshops) 1,000
11. ~0 WILL DO THE AUDIT OF THE PROG~? .
~.,-. Ernst and ~inney (fo~erly Carpenter, May, ~renner)
....; Certified Public Accountants
-"'.'-: West Palm Beach, Florida :':'. '-
0 0 ~
, ,, . ,, ~ ,, ~
GRANT APPLICATION Page 4 of 7
Name of Applicant: Planned parenthood -- South County
TOTAL BUDGET
1, Include figures from all delegate agency budgets.
2. Explain by attachment all expenditures over $200 per li'ne item.
REVENUE
1. State Grant 50.000
'2. Cas_h_Match (no federal funds, except revenue sharing, allowed) 25,.000
3. In-Kind Match
4. TOTAL REVENUE 100.000
..... GRANTEE ADMINISTRATIVE EXPENSE CASH -IN-KIND
- 5. Salaries
6. Rental Space
7. Travel
8. SuRplies
· 9. Other (specify on attachment)
,/~." 10. Total (lines 5 through 9) ....
.... DELEGATE ADMINISTRATIVE EXPENSE
~' 11. Sa!aries '~ 3,750 00
.'.'~ 12. ~e~ta~ Space
· '*"t'i."i!~/i'"i'3. ',-. Trave~ 310 00
-~14. Suppl les
j:.}i::~ 15 Otherli(specify on attachment)
'J[.{~i{"i'Ji:~:16. T6tal~ (lines 11 through 16) ,~
· .~?i-'*.;~ 17. TOTAL ADMINISTRATIVE COSTS ,(l~nes 10 . 310 00 3 ?q0 00
:..'.:.~:?y3-... ?-. .... , ....... . ........... __ . _. .... i-.-=-'!?;%
'c,¢~!"~ ~ --- ~ ~,~ -. - . ~ , -'~ . ~ '3 . '~ . . -. ' .. ' ~.~- '
1,9. r% ~entall Space .. ']~ "-" : ' ,.',-~-"~ .;.~ ' ~ ' , ~ · "'".' "~.
:'-. ". '-l:-' - ' .- , ,, .... - - "
"::.-/:~:'"20,: "Travel -::"'--..' ...... - '" ~' "-:::-'.~, ,:' ·.' '
-:,"Y?'- 21 ' Equipment
~:.,-'-~".::22. .Other (specify on attachment) - "'" - -
:i,?];~i'.23. ' Total (lines 18 through 22) :::~'}::"-
· :~:~:'.:': -:"',i-DELEGATE PROGRAM EXPENSE ' .i,,~ '." ~.- : :"
?~'i}:!:~'2'4 .i :' Sa 1 ar ie s 41,800.00
>./;;.,:,~t25. . Rental Space 14 00
,, 26 Travel ~. 1,340 00 ':' · '
::~'~,:':27." Equipment i - -- ': ' ' ' 9,000 00 -,
-.~.!;'~;'....-,,, .. -: ;': .... ~ '
~c'..{. 28, Other',(spec±~.y or~ attachment) _22~550.00__
,;,' "'
.-."..,.:. 29...Total. (lines 24 through '28) -.-': '
..-..-,.::?.'30, TOTAL PROGRAM EXPENSES (lines 23 and 74,690.00 ~:' - .....
i TOTAL EXPENDITURES (cash and in-kind) 75,000.00 '" 2_5._~_0.00.00_ _
',' ,-,,. ,....-. .;:.,,.: .- .~.
· Line 17 must not exceed 15% of two times line 1. .... ,. .... .,.,-L'~-:.':..... :- .... .-'.~-
~'':-''r ", ~ :~ ~-. , .
.-~'~}-~,,~..,, 'cz.L,. ~'-= .'-:~., -'t : ....-.- " '.,~ .... - -, .,, ;% : , · . ~ - t'.,~,~
-'%-~4~:~1~'~=-t' :,~;'iy-.:~ :-- '-~,.-=: t :-:,- ~3 ':"~". '~',5: ,~: t-' ,-' ,-.,~,~- ' ,:- ~ ,- .. t~,.'-"-~-~:~'~ -'~i--Z~
m:~%'~ ~; ~ .C~.~*.· ~,-~.~ ,t'.:~ ~-..r~ ":~-- '~ ,.~ '--~ .-'-%',,~-..---~ .~-~ . ',': '~-'.].'. :.'~ ;.' c' ~--~'- ,~. . ~.~.~
GP~NT A=..'~zC.~,zIO.~ Page 6 of 7
Local Governmental Unit Applying: City of Delray Beach, Florida
(Town, County, or C±ty)
Delegate Agency Budget - Complete one for each Delegate Agen.cy
Pro,ram Name: Family Planning
Name of Deleuate Agency: Planned Parenthood -- South County
Address: 160 N. W. 4th St., Boca Raton, Fla. zip: 33432
Contact Person: Shirley Mirow, Chapter Director
T~lephone: ~0D 368-1023 or 737-7455 (Boynton Line)
Tax Exempt Number: 06-01086-0060
(i= none, attach a copy of the certi~-icat'~
incorporation)
~Di[INIo~.,ATIJE EXPENSES CASH IN-~,IND
1. Salaries . 3,7.50
2. Rental
3. Travel 310
4. Supplies
5. Other (specify_on attachment)
6-. TOTAL (lines 1 through 5) 310 ~3~750
PROGRAM EXPENSES
,~ 7. Salarie~ . 41,800 ~. 6 ~ 850
8. Rental Space 14,400
9. Trave 1 1,340
10. ' EquiPmek_t ............... 9,000
11. Other (specify_on attachment) 22,550
12. TOTAL (lines 7 throuq_h 11) 74,690
13. TOTAL EXPENSES (line 6 and line 12) 75~000 25~000
THE DELEGATE AGENCY HEREBY APPROVES THIS APPL/I-~TION AND WILL COMPLY
GUr. IO S CO T=CT ·
APPROVED BY: The Rev. Robert W. Switz , /~'~'"'-'~-"~~'(
President of Board l--~(Signature)
.
ATTESTED BY: Shirley Mirow >~~.,
Name (Signature/
Chapter Director
Title
i77 '.'ARiOL'S SEUT!ONS INCLUDING BUDGET DATA, APE T'FL'E AXD CORF. ECT
T,2 T~{E BEST OF !{iS OR [{ER KNOWLEDGE AZ:D TiiAT THE FiLI~;G 'Df T~fiE
.;Ji'L!CATiCN HAS BEEN DULY AUTHORIZED AND UNDERST;C:DS THAT
WiLL ~:ECOME PART OF THE CONTRACT BET'.gEEN THE DEPARTMENT /d[3 THE
.:,i'?LiCAX7. THE BOARD OF COUNTY CO}t'dISSIONERS {OR THE CiTY
JCL'XCiL'. HAS PASSED RESOLUTION NUMBER
AUTH2RiiES THE EXPENDITURE OF FUNDS FOR THE SPECIFIED
iF F!ES 3F. CSUTRIBUTiONS ARE TO BE UTILIZED AS MATCH!}:G
iS{!S SFJ,]{7, OR ~F A DELEGATE AGENCY IS TO PROVIDE THE
SiL'.....E, AXE THESE FUNDS A~ NOT FORTHCOMING, THIS PESOLUTiO};
ALSO S?ECIFIES THAT THE CITY OR COUNTY WILL PROVIDE THE I:ECES-
SART MATCH.
Tf{[S APPLICANT FURTtfER CERTIFIES, DUE TO NEW LEGfSLATiVE iNTENT
NOT TO DUPLICATE SERVICES AND '['tIA'F TfIESE t'Af<TICULAP SERVICES AP~
NOT i~EiNG PROVIDED NOR ARE THEY AVAILABLE FROM ;C4Y OTHER STATE
AGEXCY. ~THOUGH SIMILAR SERVICES MAY BE AVAILABLE, THE /~PLICANT
CERiiEiES THAT NO OTHER RESOURCE EXISTS TO PROVIDE THESE PAP, TI-
CULAR SERVICES TO THESE CLIENTS WITHOUT THE USE OF THiS MONEY.
Leon ?-1. Weekes
.'; .~ .-.c .,t':':.:ei~ Signature
100 N. W. 1st Avenue, Delray Be. ach, Florida 33444
Aidrcss
{305) 275-25~!
Telephone
Chapt:o~_- D{r'oCLOL'':; Adr~i_ni_~':t:rati_ve '.~Ul~er-vi:;ion
'e ~/.50 per hour x 500 hou~':~ 3,750
(based on annual salary of $15,000.00)
Delegate Program Expenses
Line 24 Salaries
Chapter Director's Program Involvement
~ $7.50 per hour x 500 hour:;
(based on annual salary of $15,000.00) 3,750.00
10 volunteer nurses and counselors
~¢orking 620 hours ~8 $5.00 per hour 3,100.00
6,850.00
Line 25 Rental Space
iS00 square .feet CBS free-standing building
o~ed by Planned Parenthood.
Located in Civic Center area of Boca Raton.
Completely furnished as family planning
Clinic @ $8.00 sq. ft. 14,400.00
z
Dirt,c-trot':; Traw,[ lo [)olrav [;each
per miLv) 3~0.00
Delegate Program Expense
Line 24 Salaries
(Annual-Fulltime)
Family Planning Nurse Practitioner 13,000.00
Registered Nurse 11,000.00
Counselor 10,000.00
Office Coordinator 7,800.00
41,S00.00
Line 26 Travel
Chapter Director and/or community educator's
travel to schools, churches, youth groups,
etc.
300 miles per month x 12 months x 15¢ per mile 540.00
Workshop and conference travel:
$ 35.00 per diem x 3 105.00
265.00 roundtrip airfare 265.00
Parking, tolls, limo. 30.00
400.00
Times 2 persons 800.00
1,340.00
Line 27 Equipment
Satellite counseling center in Delray
(space contributed by Cobb 'Sickle Cell Center)
2 desks @ $250.00 500.00
2 steno chairs @ $60.00 120 00
1 typewriter 780 00
2 file cabinets @ $100.00 200 00
1 typing stand 60 00
4 office chair.; ~ $50.00 200 00
2 bookcases ¢! $1.50.00 300 O0
'2,160.00 2,160.00
L£ne 27 Equipment (cont£nued from
Sout:h Councv Center £n Boca [[mt:on
I filing "boollcase" 280.00
1 large refrigerator 600·00
1 tv:oewriter (IBM Selectric) 960.00
1 bond copier 5,000.00
6,840.00 6,840.00
9,000.00
Line 28 Other
Physicians Fees
$500.00 month x 12 months = 6,000.00
Telephone 3,550.00
Hedical Supplies ~reen soa~, drape sheets
disposable gloves, autoclave paper and
tape, exam table covers, swabs, prescription
pads) 3,000.00
Contraceptive Supplies (Pills, IUDs, Diaphragms,
Foam, Condoms) 3,000.00
Laboratory Expenses (pregnancy tests, Bio-
medical lab work, cancer screening tests,
VDRL tubes, needles, syringes, cotton balls,
alcohol) 3,000.00
Educational Supplies'(brochures, books, films,
filmstrips~ for schools and patient education) 2,000.00
Office Supplies (file folders, calenders,
envelopes, stationary, pencils, pens) 2,000.00
22,550.00