FY16 Smart Start Raising a Reader applicationT
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• NEW HANOVEti COUNTY-
Smart Start of New Hanover County
Application Cover Sheet
Activity Title: Smart Start Raising A Reader
Agency Legal Name: New Hanover County Public Library
Mailing Address: 201 Chestnut Street
Street Address:
City: Wilmington New Hanover County, NC
Phone: 910 - 798 -6308 Fax: 910 - 798 -6312
Email: aread @nhegov.com Website: nhelibrary.org
Program Contact Person
Name: Amy Read Title: Program Manager
Phone /Fax: 910 - 798 - 6364/6312 Email: aread @nhcgov.com
Person Responsible for Fiscal Accounting /Audit Reporting of Activity
Name: Teresa Hewett Title: Grants and Project Analyst
Phone /Fax: 910 - 798 -7408 Email: the" rett4�nhcay.com
Person Authorized to Sign Contract
Name: Timothy C. Burgess
Phone /Fax: 910- 798 -7184
Title: Assistant County Manager
Email: tburgessC nhcgov.com
Tax Status: ( )For Profit (x )Public ( )Tax- Exempt Organization
Federal Tax ID Number: 56- 6000324
Total Project Budget: $ 123,200.00
Total Request for Smart Start Funding: $ 108,750.00
Other Funding Source Total: $ 14,450.00
Funding Requested ftonz Smart Start of New Hanover County
Year (2015 -2016) $ 108,750.00
Total Request $108,750.00
Signatures indicate completeness and accuracy of proposal packet.
Zip: 28401
1 4
1 10 M,
*NEON HANOVER COUNTY*
Smart Start of New Hanover County
Application Agreentents Signature Sheet
With this application agreentent and per- the signatures belmr, the aj)j,)Iieant organk cation jally
understands and ensures that:
Smart Start funds Nvill be utilized solely to support the approved components of the
specific activities as described in the final, approved activity- description;
any variations or changes to the activity as approved Nvill not be implemented
without prior approval from Stuart Start; and,
all Stuart Start activities focus on building capacity within the community to
provide the services and supports necessary to assure that all voting children and
their families have what they need to be prepared for success.
By submitting an application for funding and signing below, the applicant also agrees to
signing
address one or more Performance -Based Incentive System goal(s) and/or other
area(s) of focus identified by the local Partnership in the scope of the approved activity;
• be familiar with and adhere to the Smart Start of Hanover County Cost Principles,
0 submit fully-documented monthly requests for rcirnbursci-rients;
• track and account for Smart Start-funded staff time and activities and assure the
appropriate usage thereof,
implementing ev iden ce- based /ev i dence- informed pro gram n-i ing according to approved
criteria,
• submit programmatic data as specified by Smart Start,
• work in conjunction \v'Ith designated Smart Start staff to create fiscal and program
processes and tools for providing required data and other information,
• track and complete all cash and non-cash grant component requirements:,
• comply with the items in the Service Cornmum cations Agreement of the contract to
publicize the approved activity and disseminate infbri-nation about early childhood issues
throughout the commumtv.
Date
Date
Attachment # 1
Projected Line Item Planning Budget for Direct Services Provider Activity
Partnership: Smart Start of New Hanover County Fiscal Year: 2015 -16
Direct Service Provider: NHCPL
Column 1
Column 2
Column 3
Column 4
Activity Name: Smart Start Raising A Reader
Smart
Start
Funds
In -Kind
Funds
Amount
Cash
Match
Amount
Total
Funds
Amount
Contract #:
Purpose Service Code: 5512
11) Personnel
$93,000.00
$2,000.00
$0.00
$95,000.00
12) Contracted Professional Services
$0.00
13) Total Personnel /Contracted Services
$93,000.00
$2,000.00
$0.00
$95,000.00
14) Office Supplies & Materials
$250.00
$200.00
$0.00
$450.00
15) Service - Related Supplies & Materials
$10,000.00
$10,000.00
16) Total Supplies & Materials
$10,250.00
$200.00
$0.00
$10,450.00
17) Travel
$1,200.00
$900.00
$2,100.00
18) Communications & Postage
$0.00
19) Utilities
$0.00
20) Printing & Binding
$100.00
$200.00
$300.00
21) Repair & Maintenance
$0.00
22) Meeting /Conference Expense
$150.00
$150.00
23) Employee Training (no travel)
$0.00
24) Advertising & Outreach
$0.00
$0.00
26) Total Non -Fixed Operating Expenses
$1,300.00
$1,250.00
$0.00
$2,550.00
27) Office Rent (Land, Buildings, etc.)
$11,000.00
$11,000.00
28) Furniture Rental
$0.00
29) Equipment Rental (Phone, Computer, etc.)
$0.00
30) Vehicle Rental
$0.00
31) Dues, Subscriptions, & Fees
$0.00
32) Insurance & Bonding
$0.00
33) Books /Library Reference Materials
$0.00
$0.00
$0.00
36) Total Fixed Charges & Other Expenses
$0.00
$11,000.00
$11,000.00
$0.00
$0.00
39) Furniture /Non- Computer Eqpt., $500+ per item
$0.00
40) Computer Equipment/Printers, $500+ per item
$0.00
41) Furniture /Eqpt., under $500 per item
$0.00
42) Total Property & Equipment Outlay
$0.00
$0.00
$0.00
43) Purchases of Services
$0.00
- ..
$0.00
45) Stipends /Scholarships
$0.00
46) Cash Grants and Awards
$0.00
47) Non -Cash Grants and Awards
$4,200.00
$4,200.00
48) Total Services /Stipends /Grants
$4,200.00
$0.00
$0.00
$4,200.00
50 Total Budgeted Expenditures
108,750.00
14,450.00
1 so-767o,
123,200.00
Local Partnership Name: SMART START OF NEW HANOVER COUNTY Attachment #2
Fiscal Year: 2015 -2016
_ Direct Service Provider: New Hanover County Public Library
Activity Title: Smart Start Raising A Reader
-NEVI HANOVEk COUNTY Purpose Service Code:
SMART START BUDGET NARRATIVE
Use to record explanations for all funds requested from Smart Start as BUDGET AMT
indicated in Column 1 of the Projected Budget in Attachment #1.
1 Program Manager /Coordinator @ 32 hours /week. Duties to include all $93,000
program management & administration, maintenance of program documents,
develop & implement training curriculums for participants and families, provide
on -site consultation to participants, direct support for Family Literacy Events. 1
Literacy Consultant/Coordinator @ up to 30 hours /week. Duties include on -site
consultation, demonstration of classroom activities, maintain support materials,
provide training and consultations.
11) Personnel
12) Contracted Professional Services
13) Total Personnel /Contracted Services $93,000.00
-.- ..-
14) Office Suoolies and Materials general office supplies $250
39) Furniture /Non- computer Egpt.,$500+ per item
40) Computer Equipment /Printers,$500+ per item
41) Furniture /Eqpt., under $500 per item
42) Total Property and Equipment Outlay $0.00
Special Conditions 9/29106
Purchase additional sets of RAR materials to continue to expand infant/toddler
$10,000
classes and replace loss and damage from FY15. Purchase materials to use
during consultations, trainings, demonstrations. These may include; music (i-
15) Service - Related Supplies & Materials
tunes), resource books /materials, etc.
16) Total Supplies & Materials
$10,250.00
-.... .. . ...
_. - ..
17) Travel
travel to artici atin sites
1200
18) Communications & Postage
19) Utilities
20) Printing and Binding
materials for training and family literacy events
100
21) Repair and Maintenance
22) Meeting /Conference Expense
23) Employee Training (no travel)
24) Advertising & Outreach
26) Total Non -Fixed Operating Expenses
$1,300.00
... .
27) Office Rent (Land, Buildings, etc.)
28) Furniture Rental
29) Equipment Rental (Phone, Computer, etc.)
30) Vehicle Rental
31) Dues, Subscriptions, & Fees
32) Insurance & Bonding
33) Books /Library Reference Materials
................ ... ................
.................................................... ............................... .................
36) Total Fixed Charges & Other Expenses
$0.00
39) Furniture /Non- computer Egpt.,$500+ per item
40) Computer Equipment /Printers,$500+ per item
41) Furniture /Eqpt., under $500 per item
42) Total Property and Equipment Outlay $0.00
Special Conditions 9/29106
Attachment #3
Local Partnership Name: SMART START OF NEW HANOVER COUNTY
Fiscal Year: 2015 -16
Direct Service Provider: New Hanover County Public Library
'E " Activity Title: Smart Start Raising A Reader
-NEW HANOVER COUNTY- -
DSP SMART START IN -KIND BUDGET NARRATIVE
Use to record all anticipated actual /estimated in -kind services, volunteer hours,
cash and non -cash donations, and /or other supports as indicated in Columns 2 BUDGET AMT
and 3 of the Projected Budget in Attachment #1
11) Personnel
Additional staff support for program activities
$2,000
12) Contracted Professional Services
13 Total Personnel /Contracted Services
$2,000
.... _.
_.,:
.::::
14) Office Supplies and Materials
general office supplies
$200
15) Service - Related Supplies
16) Total Supplies & Materials
$200
17 Travel
Parking for 2 staff in parking deck
900
18) Communications & Postage
19) Utilities
20) Printing and Binding
copies on NHCPL copier
200
21) Repair and Maintenance
22) Meeting /Conference Expense
meeting rooms, equipment rental
$150
23) Employee Training (no travel)
24) Advertising & Outreach
i' 1 -i(
26) Total Non -Fixed Operating Expenses
$1,250
..:.
27) Office Rent (Land, Buildings, etc.)
office space and storage
11000
28) Furniture Rental
29) Equipment Rental (Phone, Computer, etc.)
30) Vehicle Rental
31) Dues, Subscriptions, & Fees
32) Insurance & Bonding
33) Books / Library Reference Materials
36) Total Fixed Charges & Other Expenses
$11,000
39) Furniture /Non- computer Egpt.,$500+ per item
40) Computer Equipment/Printers,$500+ per item
41) Furniture /Eqpt., under $500 per item
42) Total Property and Equipment Outlay
$0
43) Purchase of Services
a !:c. E aolc lof L¢.c
45) Stipends /Scholarships
46) Cash Grants and Awards
47) Non -Cash Grants and Awards
48) Total Services /Stipends /Gras
............................ ...............................
50) Total Budgeted Expenditure:
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Grant Document Routing
52
Start date: 2/12/2015
From: Teresa Hewett, Finance Department (7408)
Signatures required:
�" Tim Burgess, Assistant County Manager
Return to Teresa Hewett, Finance Department (7408)
Type(s) of documents attached:
1 original (2 individual signature pages) — Library Smart Start Raising a Reader FYI 6
grant application
Explanation of document(s):
Attached is a grant application for Smart Start of New Hanover County for the FYI Library
Raising a Reader program. This is a recurring grant that will be included in the FY16 requested
budget. Please let me know if you have any questions. Thank you, Teresa
Print Name & Date
Signature