Res No 136-10-13170 Children's Trust ContractOfficers /Executive Committee
Maria A. Alonso
October 6, 2010
Chair
Chet J. Zerlin
u
Vice Chair
Dr. Josee Gregoire
Secretary
Hector Mirabile
Hon. Isaac Salver
Treasurer
City Manager
City of South Miami
Isabel Afanador, Chair
6130 Sunset Drive
Program Services
South Miami, Florida 33143
Dr. Rosa Martin, Chair
Childhood Health and
Development
RE: Out -Of- School Programs
Dr, Gina Cortes- Suarez, Chair
Contracts # 1010 -5670
Human Resources
Hon. Barbara Jordan, At -Large
Dr. Miguel Balsera, At -Large
Dear Dr. Mirabile:
David Williams Jr., At -Large
Enclosed is the executed Out -of- School contract for your records. If
The Board of Directors
you need any further assistance please do not hesitate to contact me
Yvette Aleman
at your earliest convenience via email at donald @thechildrentust.org
Karen Aronowitz
or by telephone to 305 -571 -5700 ext. 255.
Donald I. Bierman
George M. Burgess
We appreciate your commitment and look forward to continuing to
Alberto M. Carvalho
Jacqui Colyer
work with you and your agency in providing much need services to
Bill Diggs
the families and children of this community.
Carolyn Donaldson
Dr. Thresia B. Gambon
Respectfully,
Luis A. Gazitua
Benjamin F. Gilbert,
Dr. Nora Hernandez_ H Hendrix
�.
Antoinette 7G Hill
Dr. Martin Karp
Donald P. LOUtSCh
Pamela Lillard
Carolyn Y. Nelson - Goedert
Contract Manager
Dr. William E. Pelham
Sheila Plana
Hon. Orlando A. Prescott
Dr. Isaac Prilleltensky
Rep. Julio Robaina
Attachment
Evelio Torres
David Lawrence Jr.
Founding Chair
Modesto E. Abety
President & CEO
County Attorney's Office
Legal Counsel
3150 SW 3rd Avenue, 8d' Floor, Miami, Florida 33129 • Tel: 305- 571 -5700 / Fax: 305 -857 -9592• www.thechildrenstrust.oro
FY 2010 -2011
CONTRACT NO. 1010 -5670
BETWEEN THE CHILDREN'S TRUST
AND CITY OF SOUTH MIAMI
FOR OUT -OF- SCHOOL FY 2010 -2011
THIS CONTRACT, between The Children's Trust whose address is 3150 S.W. 3rd Avenue, 8th Floor,
Miami, Florida 33129 and City of South Miami hereafter "Provider" whose address is 6130 Sunset
Drive, South Miami, Florida 33143, states the conditions and covenants for the rendering of services to
children and families for The Children's Trust.
In consideration of the mutual covenants herein, The Children's Trust and Provider (sometimes hereafter
referred to as "Parties ") agree as follows:
A. EFFECTIVE TERM
The effective term of this Contract shall be from August 1, 2010 through July 31, 2011, subject to
funding availability and Provider's performance.
B. TERMS OF RENEWAL, if applicable
In the sole discretion of The Children's Trust, this Contract may be renewed with the acknowledgement
of Provider. In considering the exercise of any contract renewal, and in accordance with the Request for
Proposal (RFP) and Board authorization, renewal may not exceed a term equal to the term of the initial
contract for a total maximum of three (3) terms. The Children's Trust in its sole discretion will consider,
but is not limited to, the following:
1. Provider meeting the performance requirements specified in this Contract.
2. Continued demonstrated and documented need for the services funded.
3. Program performance, fiscal performance, and compliance by Provider that is deemed
satisfactory in The Children's Trust's sole discretion.
4. The availability of funds. The Children's Trust is prohibited from creating obligations in
anticipation of budgeted revenues from one fiscal year to another without year to year extension
provisions in the contract.
S. If applicable, The Children's Trust in its sole discretion will initiate re- negotiation of this Contract
before the contract term expires.
C. SCOPE OF SERVICES
Provider agrees to render services in accordance with the Scope of Services, Attachment A,
hereafter "Services ", to this Contract. Provider shall implement the Services in a manner
deemed satisfactory to The Children's Trust. Any modification to the Services shall not be
effective until approved, in writing, by The Children's Trust and Provider.
The Services' activities and performance measures, as well as complete and accurate data and
programming information will be used in the evaluation of Provider's overall performance.
Provider agrees that all funding provided by The Children's Trust, pursuant to this Contract will
be used exclusively for services in and for the benefit of Miami -Dade County residents.
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Subject to the availability of funds, the maximum amount payable for Services rendered under this
Contract shall not exceed $112,585.00. The Parties agree that should available funding to The
Children's Trust be reduced, the amount payable under this Contract will be reduced at the sole option
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of The Children's Trust. Provider agrees to adhere to Other Fiscal Requirements, Budget and Method of
Payment outlined in Attachment B to this Contract.
E. FISCAL MANAGEMENT
1. Double Billing and Payments
Provider costs or earnings claimed under this Contract may not also be claimed under any other
contract or grant from The Children's Trust or, unless such claim is denied by The Children's
Trust, from any other agency. Any claim for double payment by Provider shall be a material
breach of this Contract.
2. No Supplanting of Existing Public Funds
The Children's Trust funding may not be used as a substitute for existing resources or for
resources that would otherwise be available for children's services, or to replace funding
previously provided by and currently available from local and state funding sources for the same
purpose. A violation of this section shall be considered a material breach of this Contract.
3. Capital Equipment
Capital equipment is included in the definition of "property" under Florida Statutes, Chapter 274,
and Florida Administrative Code, Section 69I- 73.001, and is defined as individual items with a
value of $1,000 or greater which have a life expectancy of more than one year. Provider is to
maintain proof of Property Coverage in accordance with the insurance requirements prescribed
in this Contract (see Section K. Insurance).
Capital equipment purchased with Trust funds by Provider become assets of The Children's
Trust; are intended for The Children's Trust funded programs; are owned by The Children's
Trust; and must be tagged at the time of purchase as an asset of The Children's Trust. The
Children's Trust will work with Provider to tag the asset and receive all information regarding the
capital equipment. Provider must maintain a record of any capital equipment purchased with
funds provided by The Children's Trust. When Provider is no longer funded by The Children's
Trust, the equipment will be returned to The Children's Trust unless it is fully depreciated.
Ownership of capital equipment will be transferred to Provider and removed from The Children's
Trust's fixed asset system if the capital equipment is fully depreciated and in the possession of
Provider. Provider can purchase the equipment at the depreciated cost with the approval of The
Children's Trust. If capital equipment is not purchased by Provider prior to the equipment being
fully depreciated, Provider must return such capital equipment to The Children's Trust before
submission of the final invoice.
In the event that property of The Children's Trust is either damaged, lost, or stolen, while in
Provider's possession, Provider is to perform the following: a) within 5 business days provide
written notification to The Children's Trust contract manager that the capital equipment has
been either damaged, lost or stolen; b) provide a police report for lost or stolen items; or
provide a written statement as to how the capital equipment was damaged; and c) reimburse
The Children's Trust for the value, as determined by The Children's Trust of the capital
equipment.
4. Assignments and Subcontracts
Provider shall not assign this Contract to another party. Provider shall not subcontract any
Services under this Contract without prior written approval of The Children's Trust. In any
subcontract, Provider shall incorporate appropriate language from this contract into each
subcontract and shall require each subcontractor providing services to be governed by the terms
and conditions of this contract. Provider shall submit to The Children's Trust a copy of each
subcontract to this Contract, within 30 days of its execution. All sub - contractors of Provider
must agree to be monitored by Provider and /or on behalf of The Children's Trust in the same
manner as Provider under the terms of this contract. Provider acknowledges and agrees that
The Children's Trust and any subcontractor to this Contract have authority to communicate and
exchange information about contract, program, and /or fiscal issues. Provider waives any and all
claims, demands, and /or legal action based upon any such communications.
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Provider shall be responsible for all Services performed, and all expenses incurred, under this
Contract, including services provided and expenses incurred by any and all subcontractors. The
Children's Trust shall not be liable to any subcontractor for any expenses or liabilities incurred
under any subcontract, and Provider shall be solely liable under any subcontract. Provider shall
hold harmless and defend, at Provider's expense, The Children's Trust against any claims,
demands or actions related to any subcontract.
The Children's Trust shall not provide funds to any subcontractor unless specifically agreed to in
writing by The Children's Trust with notification to the Provider. All payments to any contracted
subcontractor shall be paid directly by Provider to the subcontractor. The Children's Trust
reserves the right to require verification from Provider and /or subcontractor of payment due for
satisfactory work performed by the subcontractor.
Provider and any Subcontractor must be currently qualified to do business in the State of Florida
at the time that a subcontractor agreement is entered into and services are rendered.
5. Religious Purposes
Providers and /or their faith -based community partners shall not use any funds provided under
this Contract to support any inherently religious activities, including but not limited to, any
religious instruction, worship, prose lytization, publicity or marketing materials. Any such use by
Provider shall be a material breach of this Contract.
6. Lobbying
Provider shall not use any funds provided under this Contract or any other funds provided by
The Children's Trust for lobbying any federal, state or local government or legislators. Any such
use by Provider shall be a material breach of this Contract.
7. Adverse Action or Proceeding
Provider shall not use any funds under this Contract, or any other funds provided by The
Children's Trust, for any legal fees, or for any action or proceeding against The Children's Trust,
its agents, employees or officials. Any such use by Provider shall be a material breach of this
Contract.
F. INDEMNIFICATION BY PROVIDER
1. Government Entity
Subject to the limitations and sovereign immunity provisions of Florida Statute, Sec. 768.28,
Provider shall indemnify and hold harmless The Children's Trust and its officers, employees,
agents and instrumentalities from any and all liability, losses or damages, including attorneys'
fees and costs of defense, which its officers, employees, agents or instrumentalities may incur
as a result of claims, demands, suits, causes of actions or proceedings of any kind or nature
arising out of, relating to or resulting from the performance of this Contract by Provider or its
employees, agents, servants, partners, principals or subcontractors.
Subject to the limitations and sovereign immunity provisions of Florida Statutes, Sec. 768.28,
Provider shall pay all claims and losses in connection therewith and shall investigate and defend
all claims, suits or actions of any kind or nature in the name of The Children's Trust, where
applicable, including appellate proceedings, and shall pay all costs, judgments, and reasonable
attorney's fees which may issue thereon.
2. All Other Providers
Provider shall indemnify and hold harmless The Children's Trust and its officers, employees,
agents and instrumentalities from any and all liability, losses or damages, including reasonable
attorneys' fees and costs of defense, which The Children's Trust or its officers, employees,
agents or instrumentalities may incur as a result of claims, demands, suits, causes of action or
proceedings of any kind or nature arising out of, relating to or resulting from the performance of
this Contract by Provider or its employees, agents, servants, partners, principals or sub
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contractors, except to the extent arising from The Children's Trust's willful or wanton acts or
omissions.
To the extent arising from a liability that is covered by the foregoing indemnification, Provider
shall pay all claims and losses in connection therewith and shall investigate and defend all
claims, suits or actions of any kind or nature in the name of The Children's Trust, where
applicable, including appellate proceedings, and shall pay all costs, judgments, and reasonable
attorney's fees which may issue thereon. Provider agrees that any insurance protection required
by this Contract or otherwise provided by Provider shall in no way limit the responsibility to
indemnify, keep and save harmless and defend The Children's Trust or its officers, employees,
agents.
The provisions of this section on indemnification shall survive the expiration or termination of
this Contract.
G. COPYRIGHTS AND RIGHT TO DATA /MATERIALS
Where activities supported by this Contract produce original writing, data, sound recordings, pictorial
reproductions, drawings or other graphic representations and works of similar nature, The Children's
Trust has a license to reasonably use, duplicate and disclose such materials in whole or in part in a
manner consistent with the purposes and terms of this Contract, and to have others acting on behalf of
The Children's Trust to do so, provided that such use does not compromise the validity of any
copyright, trademark or patent. If the data /materials so developed are subject to copyright, trademark
or patent, legal title and every right, interest, claim or demand of any kind in and to any patent,
trademark or copyright, or application for the same, will vest in Provider or with any applicable third
party who has licensed or otherwise permitted Provider to use the same. Provider agrees to allow The
Children's Trust and others acting on behalf of The Children's Trust to have reasonable use of the same
consistent with the purposes and terms of this Contract, at no cost to The Children's Trust, provided
that such use does not compromise the validity of such copyright, trademark or patent.
H. OWNERSHIP AND LICENSING OF INTELLECTUAL PROPERTY
This Contract is subject to the provisions, limitations and exceptions of Chapter 119, Florida Statutes,
regarding public records. Accordingly to the extent permitted by Chapter 119, Florida Statutes, Provider
retains sole ownership of intellectual property developed under this Contract. Provider is responsible for
payment of required licensing fees if intellectual property owned by other parties is incorporated by
Provider into the services required under this Contract. Such licensing should be in the exclusive name
of Provider. Payment for any licensing fees or costs arising from the use of others' intellectual property
shall be at the sole expense of Provider.
As applicable for The Children's Trust under Fla. Stat. Section 768.28, and to the extent permitted by
and within the limitations of Fla. Stat. Section 768.28, the Parties shall indemnify and hold each other
harmless from liability of any nature or kind, including costs and expenses for or on account of third
party allegations that use of any intellectual property owned by the third party and provided,
manufactured or used by the indemnifying Party in the performance of this Contract violates the
intellectual property rights of that third party.
I. BREACH OF CONTRACT AND REMEDIES
1. Breach
A material breach by Provider shall have occurred under this Contract if Provider through action
or omission causes any of the following:
a. Fails to comply with Background Screening, as required under this Contract.
b. Fails to provide the Services outlined in the scope of services (Attachment A) within the
effective term of this Contract;
c. Fails to correct an imminent safety concern or take acceptable corrective action;
d. Ineffectively or improperly uses The Children's Trust funds allocated under this Contract;
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e. Does not furnish and maintain the certificates of insurance required by this Contract or as
determined by The Children's Trust;
f. Does not meet or satisfy the conditions of award required by this Contract;
g. Fails to submit or submits incorrect or incomplete proof of expenditures to support
disbursement requests or advance funding disbursements, or fails to submit or submits
incomplete or incorrect detailed reports of requests for payment, expenditures or final
expenditure reports;
h. Does not submit or submits incomplete or incorrect required reports pursuant to the scope
of Services in this Contract;
L Refuses to allow The Children's Trust access to records or refuses to allow The Children's
Trust to monitor, evaluate and review Provider's program, including required client data;
j. Fails to comply with child abuse and incident reporting requirements;
k. Attempts to meet its obligations under this Contract through fraud, misrepresentation or
material misstatement;
I. Fails to correct deficiencies found during a monitoring, evaluation or review within a
specified reasonable time;
m. Fails to meet the terms and conditions of any obligation or repayment schedule to The
Children's Trust or any of its agencies;
n. Fails to maintain the confidentiality of client files, pursuant to Florida and federal laws;
o. Fails to fulfill in a timely and proper manner any and all of its obligations, covenants,
contracts and stipulations in this Contract;
Waiver of breach of any provisions of this Contract shall not be deemed to be a waiver of any
other breach and shall not be construed to be a modification of the terms of this Contract.
2. Remedies
If Provider fails to cure any breach within thirty (30) days after receiving written notice from The
Children's Trust identifying the breach, The Children's Trust may pursue any or all of the
following remedies:
a. The Children's Trust may, at its sole discretion, enter into a written performance improvement
plan with Provider to cure any breach of this Contract as may be permissible under state or
federal law. (Attachment F, if applicable). Any such remedial plan shall be an addition to this
Contract and shall not affect or render void or voidable any other provision contained in this
Contract, costs, or any judgments entered by a court of appropriate jurisdiction.
b. The Children's Trust may suspend payment in whole or in part under this Contract by providing
written notice of suspension to Provider of such suspension and specifying the effective date of
suspension, at least five business days before the effective date of suspension. On the effective
date of suspension Provider may (but shall not be obligated to) continue to perform the Services
in this Contract, but Provider shall promptly cease using The Children's Trust's logo and any
other reference to The Children's Trust in connection with such Services. All payments to
Provider as of the date of suspension shall cease, except that The Children's Trust shall continue
to review and pay verifiable requests for payment for Services that were performed and /or for
deliverables that were substantially completed at the sole discretion of The Children's Trust,
prior to the effective date of such suspension. If payments are suspended, The Children's Trust
must specify in writing the actions that must be taken by Provider as condition precedent to
resumption of any payments and shall specify a reasonable date for Provider's compliance. The
Children's Trust may also suspend any payments in whole or in part under any other contracts
entered into between The Children's Trust and Provider by providing separate written notice to
Provider of each such suspension and specifying the effective date of suspension, which must be
at least five business days before the effective date of such suspension, in any event The
Children's Trust shall continue to review and pay verifiable requests for payment as provided for
in such other contracts for services that were performed and /or for deliverables that were
substantially completed at the sole discretion of The Children's Trust prior to the effective date
of such suspension. Provider shall be responsible for all direct and indirect costs associated with
such suspension including reasonable attorney's fees.
c. The Children's Trust may terminate this Contract by giving written notice to Provider of such
termination and specifying the date of termination at least five (5) business days before the
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effective date of termination. In the event of such termination, The Children's Trust may (a)
request Provider to deliver to The Children's Trust clear and legible copies of all finished or
unfinished documents, studies, surveys, reports prepared and secured by Provider with Trust
funds under this Contract subject to the rights of Provider as provided for in Paragraphs G and H
above; (b) seek reimbursement of any Trust funds which have been improperly paid to Provider
under this Contract; (c) terminate further payment of Trust funds to Provider under this
Contract, except that The Children's Trust shall continue to review and pay verifiable requests
for payment for services that were performed and /or deliverables that were substantially
completed at the sole discretion of The Children's Trust prior to the effective date of such
termination; and /or (d) terminate or cancel, without cause, any other contracts entered into
between The Children's Trust and Provider by providing separate written notice to Provider of
each such termination and specifying the effective date of termination, which must be at least
five business days before the effective date of such termination, in which event The Children's
Trust shall continue to review and pay verifiable requests for payment as provided for in such
other contracts for services that were performed and /or for deliverables that were substantially
completed at the sole discretion of The Children's Trust prior to the effective date of such
termination. Provider shall be responsible for all direct and indirect costs associated with such
termination, including reasonable attorney's fees.
d. The Children's Trust may seek enforcement of this Contract including but not limited to filing an
action with a court of appropriate jurisdiction. Provider shall be responsible for all direct and
indirect costs associated with such enforcement, including reasonable attorney's fees, costs, and
any judgments entered by a court of appropriate jurisdiction, including all direct and indirect
costs and reasonable attorneys' fees through conclusion of all appellate proceedings, and
including any final settlement or judgment.
e. The provisions of this Paragraph I shall survive the expiration or termination of this Contract.
3. TERMINATION BY EITHER PARTY
The parties agree that this Contract may be terminated by either party by written notice to the other
party of intent to terminate at least thirty (30) calendar days prior to the effective date of such
termination.
I'VE 4 FYnt7el 0 Caz 7x•1I)f- uzid.i "iC:
Provider shall have Provider's insurance agent(s) provide to The Children's Trust within 30 days of
contract execution, Certificates of Insurance or, if applicable, a letter of self - insurance indicating
coverage applicable to a Florida municipal corporation required under this section or as determined by
The Children's Trust, except as required by Florida law for government entities. Provider must comply
with this requirement; failure to comply is a material breach of this Contract.
The Children's Trust shall be named as an additional insured as their interest may appear on all
applicable policies, and all applicable policies shall be maintained in full force and effect for the term of
this Contract. The Children's Trust will not disburse any funds until The Children's Trust is provided with
the necessary Certificates of Insurance or letter of self- insurance and The Children's Trust has approved
such documents.
Provider will carry insurance policies in the amounts and with the requirements indicated
below:
1. Worker's Compensation Insurance covering all employees, non - incorporated independent
contractors or consultants, and incorporated independent contractors or consultants that do not
have worker's compensation coverage or a valid State of Florida exemption on file with the
Department of Labor, as required by Florida Statutes, Chapter 440. In the event that the
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Provider is no longer exempt from obtaining Worker's Compensation insurance, the Provider
must notify The Children's Trust and provide the necessary certificate of insurance upon the
termination of the exemption. The employer's liability portion will be
$500,000 /$500,000 /$500,000 as a minimum.
2. Comprehensive General Liability insurance, to include sexual molestation, in an amount not less
than $500,000 combined single limit per occurrence and $1,000,000 aggregate in a policy year.
Deductibles exceeding $1,000 are discouraged, unless Provider can provide financials to support
a higher deductible. The Children's Trust must be designated and shown as an "Additional
Insured as Their Interest May Appear" with respects to this coverage. The general liability policy
must contain coverage for the following:
a. Bodily Injury;
b. Property Damage;
c. No exclusions for Abuse, Molestation or Corporal Punishment;
d. No endorsement for premises only operations.
3. Automobile liability coverage for all owned and /or leased vehicles of Provider and non -owned
coverage for their employees and /or sub - contractors and transportation companies
transporting program participants. The amount of coverage is $1,000,000 combined single
limit per occurrence for bodily injury and property damage. The Children's Trust must be
designated and shown as an "Additional Insured as Their Interest May Appear" with respects to
this coverage. Coverage can be purchased as non -owned without hired auto coverage when the
cost is prohibitive for hired automobile coverage such as the case with the Florida Automobile
Joint Underwriting Association; but rental cars cannot be used in the course of Provider's regular
operations. Rental cars may be used for travel to attend conferences outside the tri- county area.
Transportation companies used by the Provider for the funded program must list The Children's
Trust as a certificate holder and as an additional insured.
4. Automobile liability coverage for all owned and /or leased vehicles of Provider and non -owned
coverage for their employees and /or sub - contractors not transporting program participants.
The minimum amount of coverage is $300,000 combined single limit per occurrence for bodily
injury and property damage. The Children's Trust must be designated and shown as an
"Additional Insured as Their Interest May Appear" with respects to this coverage. Coverage can
be purchased as non -owned without hired auto coverage when the cost is prohibitive for hired
automobile coverage such as the case with the Florida Automobile Joint Underwriting
Association; but rental cars cannot be used in the course of Provider's regular operations. Rental
cars may be used for travel to attend conferences outside the tri- county area.
If applicable, Special Events Coverage, as determined by The Children's Trust. The liability
coverage will be the same as the coverage and limits required for comprehensive general liability
and The Children's Trust must be designated and shown as "Additional Insured as Their Interest
May Appear." Special Events policies are for short term functions and not meant to replace
annual liability policies. The coverage is for the day or days of the event and must provide
coverage the day prior and the day following the event.
6. If applicable, Professional Liability insurance, as determined by The Children's Trust, with
coverage amounts determined by The Children's Trust but not less than $250,000 per claim and
in the aggregate. Defense costs may be inside the limits of liability and the policy can be written
on claims made form. The Children's Trust is not required to be named as an Additional Insured.
Professional liability insurance is generally required when the scope of services uses professional
services that require certification or license(s) to provide direct services to program participants.
Proof of Property Coverage is required when Provider has capital equipment owned by The
Children's Trust and said capital equipment is under the care custody and control of Provider.
The Children's Trust must be shown on the evidence of property coverage as a Loss Payee.
Property coverage shall survive the expiration or termination of this Contract until such time the
ownership of the capital equipment is transferred to Provider or such capital equipment is
returned to The Children's Trust.
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Certificate Holder
Certificate holder must read:
The Children's Trust
3150 SW 3'a Avenue, 8t" Floor
Miami, Florida 33129
Classification and Rating
All insurance policies required above shall be issued by companies authorized to do business under the
laws of the State of Florida, with the following qualifications:
The company must be rated no less than "B" as to management, and no less than 'Class
V" as the financial strength, by the latest edition of Best's Insurance Guide, published by
A.M. Best Company, Oldwick, New Jersey, or its equivalent, subject to the reasonable
approval of The Children's Trust.
Provider and or Provider's insurance agent, as applicable, shall notify The Children's Trust, in writing,
of any material changes in insurance coverage, including, but not limited, to any renewals of existing
insurance policies, not later than thirty (30) days prior to the effective date except for ten (10) days for
lack of payment changes. Provider shall be responsible for ensuring that all applicable insurances are
maintained and submitted to The Children's Trust for the duration of this Contract.
In the event of any change in Provider's Scope of Services, Attachment A, The Children's Trust may
increase, waive or modify, in writing any of the foregoing insurance requirements. Any request by a
Provider to decrease, waive or modify any of the foregoing insurance requirements shall be approved, in
writing, by The Children's Trust prior to any such decrease, waiver or modification.
In the event that an insurance policy is canceled during the effective period of this Contract, The
Children's Trust shall withhold all payments from Provider until a new Certificate of Insurance required
under this section is submitted and approved by The Children's Trust. The new insurance policy shall
cover the time period commencing from the date of cancellation of the prior insurance policy.
The Children's Trust may require Provider to furnish additional and different insurance coverage, or
both, as may be required from time to time under applicable federal or state laws or The Children's
Trust requirements. Provision of insurance by Provider, in no instance, shall be deemed to be a release,
limitation, or waiver of any claim, cause of action or assessment that The Children's Trust may have
against Provider for any liability of any nature related to performance under this Contract or otherwise.
All insurance required hereunder may be maintained by Provider pursuant to a master or blanket policy
or policies of insurance.
L. PROOF OF TAX STATUS
Provider is required to keep on file the following documentation for review by The Children's Trust.
• The Internal Revenue Service (I.R.S.) tax status determination letter;
• The most recent (two years) I.R.S. form 990 or applicable tax return filing within six (6) months
after Provider's fiscal year end or other appropriate filing period permitted by law;
• If required by applicable law to be filed by Provider, IRS 941 - quarterly federal tax return
reports within thirty -five (35) calendar days after the quarter ends and if applicable, state and
federal unemployment tax filings and if the 941 and unemployment tax filings reflects a tax
liability, proof of payment must be submitted within sixty (60) calendar days after the quarter
ends.
M. NOTICES
Written notices pursuant to this Contract shall be sent to the addresses for each Party appearing on the
first page of this Contract. Notices to The Children's Trust shall be marked to the attention of its
President /CEO. It is each Party's responsibility to advise the other Party in writing of any changes in
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responsible personnel for accepting Notices under this Contract; mailing address, and /or telephone
number.
N. AUTONOMY
The Parties agree that this Contract recognizes the autonomy of, and stipulates or implies no affiliation
between, the contracting parties. Provider is only a recipient of funding support and is not an employee,
agent or instrumentality of The Children's Trust, and Provider's agents and employees are not agents or
employees of The Children's Trust.
O. RECORDS, REPORTS, AUDITS AND MONITORING
The provisions of this section shall survive the expiration or termination of this Contract, consistent with
Florida laws.
1. Accounting records
Provider shall keep accounting records which conform to generally accepted accounting principles.
All such records will be retained by Provider for not less than five years beyond the last date that all
applicable terms of this Contract have been complied with and final payment has been received and
appropriate audits have been submitted to and accepted by the appropriate entity. However, if any
audit, claim, litigation, negotiation or other action involving this Contract or modification hereto has
commenced before the expiration of the retention period, the records shall be retained until
completion of the action and resolution of all issues which arise from it or until the end of the regular
retention period, which ever is later.
2. Financial audit and program specific audit
Within 180 days of the close of its fiscal year, Provider agrees to submit to The Children's Trust an
Annual Financial Audit, performed by an independent certified audit firm that is registered to do
business with the Florida State Department of Business Regulation, of all its corporate activities and
any accompanying management letter(s) or report(s) on other matters related to internal control,
for each year during which this Contract remains in force and until all funds expended from this
Contract have been audited. If no management letter or report or other matters related to internal
control is prepared by the independent audit firm, Provider must confirm in writing to The Children's
Trust that no such report was submitted to Provider. This audit shall be conducted in accordance
with auditing standards generally accepted in the United States of America and standards contained
in the Government Auditing Standards issued by the Comptroller General of the United States.
Providers that are required to have a single audit conducted under OMB Circular A -133, Audit of
States, Local Government and Non - Profit Organizations or the Florida Single Audit Act, Florida
Statutes 215.97 agree to submit the schedule of expenditures pertaining to awards, summary
schedule of prior audit findings, applicable auditor's reports and the corrective action plan. In the
event that the independent auditor does not disclose audit findings, Provider shall submit written
notification to The Children's Trust that an audit of Provider was conducted in accordance with
applicable laws and regulations and that the findings and questioned costs disclosed no audit
findings related to this Contract; and, that the summary schedule of prior audit findings did not
report on the status of any audit findings relating to awards that The Children's Trust provided.
Within 180 days of the close of its fiscal year, a Provider who is contracted for a combined total of
$300,000 or more from The Children's Trust from this or any other The Children's Trust contract(s),
related to the fiscal year under audit, Provider agrees to have a program- specific audit relating to
The Children's Trust contract(s), in addition to the annual financial audit. This program- specific audit
is to encompass an audit of The Children's Trust contract(s) as specified in Attachment D: Program
Specific Audit Requirements.
A provider that does not meet the program- specific audit threshold requirement will be exempt from
the program- specific audit requirement in the fiscal year that the audit threshold is not met.
Audit extensions may be granted in writing by The Children's Trust after proper approval has been
obtained from The Children's Trust's Finance Department, upon receipt in writing of such request
with appropriate justification by Provider. A copy of the engagement letter, along with the audit
completion date and any concerns from the auditing firm in relation to the audit, must accompany
the request. Approved extension requests allow for the continuation of payment until such time that
the extension expires.
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The financial audit and other financial information will be used in the evaluation of Provider's
performance and Provider's overall fiscal health.
3. Access to records
Provider shall provide access to all records including subcontractor(s) which relate to this Contract at
its place of business during regular business hours. Provider agrees to provide such assistance as
may be necessary to facilitate their review or audit by The Children's Trust to insure compliance with
applicable accounting, financial, and programmatic standards. This would include access by The
Children's Trust or its designee, to Provider's independent auditor's working papers for complying
with federal, state and local requirements. The Children's Trust reserves the right to require
Provider to submit to an audit by an auditor of The Children's Trust's choosing at The Children's
Trust's expense.
4. Monitoring
Provider agrees to permit The Children's Trust personnel or contracted agents to perform random
scheduled and /or unscheduled monitorings, reviews, and evaluations of the program which is the
subject of this Contract, including any subcontracts under this Contract, using The Children's Trust
approved monitoring tools. The Children's Trust or contracted agents shall monitor both
fiscal /administrative and programmatic compliance with all the terms and conditions of the Contract.
Provider shall permit The Children's Trust or contracted agents to conduct site visits, client
interviews, client assessment surveys, fiscal /administrative review and other techniques deemed
reasonably necessary in The Children's Trust's sole discretion to fulfill the monitoring function. A
report of monitoring findings will be delivered to Provider and Provider will rectify all deficiencies
cited within the period of time specified in the report.
S. Client Records
Pursuant to Florida Statute 119.071(5), The Children's Trust collects the social security numbers of
child participants of funded programs and services for the following purposes: (a) to research, track
and measure the impact of The Children's Trust funded programs and services in an effort to
maintain and improve such programs and services for the future (individual identifying information
will not be disclosed); (b) to identify and match individuals and data within and among various
systems and other agencies for research purposes. The Children's Trust does not collect social
security numbers for adult participants.
Provider shall maintain a separate file for each child /family served. This file shall include all
pertinent information regarding program enrollment and participation. At a minimum, the file will
contain enrollment information (including parent registration consents and child demographics),
service plans (as applicable), outcome measures (as set forth in Attachment A), and notes
documenting referrals, special needs, or incident reports. These files shall be subject to the
monitoring /review and inspection requirements under this Contract, subject to applicable
confidentiality requirements. All such records will be retained by Provider for not less than five
calendar years after the participant is no longer enrolled. Provider agrees to comply with all
applicable state and federal laws on privacy and confidentiality.
6. Internal Documentation/ Records Retention
Provider agrees to maintain and provide for inspection to The Children's Trust, during regular
business hours the following as may be applicable, subject to applicable confidentiality
requirements: (1) personnel files of employees which include hiring records, background screening
affidavits, job descriptions, verification of education, and evaluation procedures; (2) authorized time
sheets, records, and attendance sheets to document the staff time billed to provide Services
pursuant to this Contract; (3) daily activity logs and monthly calendars of the provision of Services
pursuant to this Contract; (4) training modules; (5) pre and post session questionnaires; (6) all
participant attendance records; (7) participant consent and information release forms; (8) agency
policies and procedures; and (9) such other information related to Service provision as described in
Attachment A and as required by this Contract; all upon request by The Children's Trust. Provider
shall retain all records for not less than five years beyond the last date that all applicable terms of
this Contract have been complied with and final payment has been received, and appropriate audits
have been submitted to and accepted by the appropriate entity.
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7. Confidentiality
Provider and The Children's Trust understand that during the course of performing the Services
hereunder, each party may have access to certain confidential and proprietary information and
materials of the other party in order to further performance of the Services. The Parties shall protect
confidential information and comply with applicable federal and state laws on confidentiality to
prevent unauthorized use, dissemination or publication of confidential information as each party
uses to protect its own confidential information in a like manner. The Parties shall not disclose the
confidential information to any third party (except that such information may be disclosed to such
Party's attorneys), or to any employee of such Party who does not have a need to know such
information, which need is related to performance of a responsibility hereunder. However, this
Contract imposes no obligation upon the Parties with respect to confidential information which (a)
was lawfully known to the receiving party before receipt from the other, (b) is or becomes a matter
of public knowledge through no fault of the receiving party, (c) is rightfully received by the receiving
party from a third party without restriction on disclosure, (d) is independently developed by or for
that party, (e) is disclosed under operation of law, (f) is disclosed by the receiving party with the
other party's prior written approval or (g) is subject to Chapter 119 of the Florida Statutes or is
otherwise required to be disclosed by law. The confidentiality provision of this Contract shall remain
in full force and effect after the termination of this Contract. Provider shall specifically require all
sub - contractors to comply with this paragraph.
8. Security Obligation
Provider shall maintain an appropriate level of data security for the information Provider is collecting
or using in the performance of this Contract. This includes, but is not limited to, approving and
tracking all Provider employees who request system or information access and ensuring that user
access has been removed from all terminated employees of Provider.
9. Withholding of payment
At the sole discretion of The Children's Trust, payment may be withheld for non - compliance of
contractual terms. The Children's Trust will provide payment upon satisfactory compliance of the
contractual terms as solely determined by The Children's Trust.
P. MODIFICATIONS
Any alterations, variations, modifications, extensions or waivers of provisions of this Contract including
but not limited to amount payable and effective term shall only be valid when they have been reduced
to writing, duly approved and signed by both Parties.
Q. GOVERNING LAW & VENUE
This Contract shall be interpreted and construed in accordance with and governed by the laws of the
State of Florida without regard to its conflicts of laws provisions. Any controversies or legal problems
arising out of the terms of this Contract and any action involving the enforcement or interpretation of
any rights hereunder shall be submitted to the jurisdiction of the state courts of the Eleventh Judicial
Circuit, in and for, Miami -Dade County, Florida.
R. BACKGROUND SCREENING
In accordance with Sections 943.0542, 984.01, Chapter 435, 402, 39.001, and 1012.465 Florida
Statutes, as applicable, employees, volunteers and subcontracted personnel who work in direct contact
with children or who come into direct contact with children must complete a satisfactory Level 2
background screening. Level 2 Background screenings must be completed through the Florida
Department of Law Enforcement (FDLE), VECHS (Volunteer & Employee Criminal History System)
Program. Satisfactory background screening documentation will be accepted for those agencies that
already conduct business with either the Department of Children and Families (DCF) or the Department
of Juvenile Justice (DJJ) or the Miami Dade County Public School System (MDCPS). A clearance letter
from MDCPS Office of Employment Standards indicating the person has successfully completed a Level 2
screening will be accepted.
If background screenings are completed with VECHS, then Provider shall complete an Attachment E:
"Affidavit for Level 2 Background Screenings" each for contract term. The Affidavit will cover
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employees, volunteers, or subcontractors performing services under this contract who are required to
complete a Level 2 background screening as defined in this section. Provider shall keep Attachment E:
"Affidavit for Level 2 Background Screenings" in Provider's personnel, volunteers, and /or sub - contractors
files.
An Attestation or Affidavit of Good Moral Character, as applicable, must be completed annually for each
employee, volunteer, and subcontracted personnel who work in direct contact with children. Provider
shall re- screen each employee, volunteer and /or subcontractor every five years.
S. CHILDREN WITH DISABILITIES AND THEIR FAMILIES
Provider understands that The Children's Trust expects Provider to meet the federal standards under the
Americans with Disabilities Act. By policy of The Children's Trust, providers must also implement
reasonable programmatic accommodations to include children with disabilities and their families,
whenever possible. Notwithstanding anything to the contrary, Provider shall not be required to make
any alteration to any public school building or other building or structure which is not owned by
Provider.
T. REGULATORY COMPLIANCE
1. Non - discrimination and Civil Rights
Provider shall not discriminate against an employee, volunteer, or client of Provider on the basis
of race, color, gender, pregnancy, marital status, familial status, sexual orientation, religion,
ancestry, national origin, disability, or age, except that programs may target services for specific
target groups as may be defined in the competitive solicitation.
Provider shall demonstrate that it has standards, policies, and practices necessary to render
services in a manner that respects the worth of the individual and protects and preserves the
dignity of people of diverse cultures, classes, races, religions, sexual orientation, and ethnic
backgrounds.
Provider agrees to abide by Chapter 11A of the Code of Miami -Dade County ( "County Code "), as
amended, which prohibits discrimination in employment, housing and public accommodations;
Title VII of the Civil Rights Act of 1968, as amended, which prohibits discrimination in
employment and public accommodation; the Age Discrimination Act of 1975, 42 U.S.C. Section
6101, as amended, which. prohibits discrimination in employment because of age; Section 504 of
the Rehabilitation Act of 1973, 29 U.S.C. § 794, as amended, which prohibits discrimination on
the basis of disability; and the Americans with Disabilities Act, 42 U.S.C. §12101 et seq., which
prohibits discrimination in employment and public accommodations because of disability.
It is expressly understood that upon receipt of evidence of discrimination under any of these
laws, The Children's Trust shall have the right to terminate all or any portion of this Contract. If
Provider or any owner, subsidiary, or other firm affiliated with or related to Provider, is found by
the responsible enforcement agency or the courts to be in violation of these laws, said violation
will be a material breach of this Contract and The Children's Trust will conduct no further
business with Provider.
2. Public Entities Crime Act
Provider will not violate the Public Entities Crimes Act (Section 287.133, Florida Statutes), which
essentially provides that a person or affiliate who is a Provider, consultant or other provider and
who has been placed on the convicted vendor list following a conviction for a Public Entity Crime
may not submit a bid on a contract to provide any goods or services to The Children's Trust,
may not submit a bid on a contract with The Children's Trust for the construction or repair of a
public building or public work, may not submit bids on leases of real property to The Children's
Trust, may not be awarded or perform work as a Provider supplier, sub Provider, or consultant
under a contract with The Children's Trust, and may not transact any business with The
Children's Trust in excess of the threshold amount provided in Section 287.017, Florida Statutes,
for category two purchases for a period of thirty -six (36) months from the date of being placed
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on the convicted vendor list. Violation of this section shall result in cancellation of this Contract
and recovery of all monies paid hereto, and may result in debarment from The Children's Trust's
competitive procurement activities.
3. Conflict of Interest
Provider represents that the execution of this Contract does not violate Miami Dade County's
Conflict of Interest and Code of Ethics Ordinance, www.miamidade.clov /ethics /library /Ethics-
Brochure- 2005.odf and Florida Statutes §112 as amended, which are incorporated herein by
reference as if fully set forth herein. Provider agrees to abide by and be governed by these
conflict of interest provisions throughout the course of this Contract and in connection with its
obligations hereunder..
4. Compliance with Sarbanes -Oxley Act of 2002
Provider shall comply with the following provisions of the Sarbanes -Oxley Act of 2002:
Provider agrees not to alter, cover up, falsify, or destroy any document that may be
relevant to an official investigation.
• Provider agrees not to punish whistleblowers or retaliate against any employee who
reports suspected cases of fraud or abuse.
S. Licensing
Provider (and subcontractor, as applicable,) shall obtain and maintain in full force and effect
during the term of this Contract any and all licenses, certifications, approvals, insurances,
permits and accreditations, required by the State of Florida, Miami -Dade County, relevant
municipalities, The Children's Trust or the federal government. Provider must be qualified and
registered to do business in the State of Florida both prior to and during the contract term with
The Children's Trust.
6. Incident Reporting
An incident is defined as any actual or alleged event or situation that creates a significant risk of
substantial or serious harm to the physical or mental health, safety or well being of a child
participating in the program. Reportable incidents include, but are not limited to, allegations of
abuse, neglect or exploitation of a child, injury of a participant, missing child or abandoned child,
loss of property use for the program, or destruction of property used in the program.
Provider shall immediately report knowledge or reasonable suspicion of abuse, neglect, or
abandonment of a child, aged person, or disabled adult to the Florida Abuse Hotline on the
statewide toll -free telephone number (1- 800 -96- ABUSE). As required by Chapters 39 and 415,
Florida Statutes, this is binding upon both Provider and its employees.
Provider shall notify the contract manager of any incident as defined within three (3) days after
Provider is informed of such incident. Provider shall provide written notification of the incident
together with a copy of the incident report. The report must contain the following:
(1)Name of reporter (person giving the notice)
(2) Name and address of victim and guardian
(3) Phone number where the reporter can be contacted
(4) Date, time, and location of incident
(5) Complete description of incident and injuries, if any
Police report and actions taken shall be submitted to The Children's Trust within fifteen (15)
days of the incident. Provider shall provide written notification to The Children's Trust, within
seven (7) days, of any legal action related to the incident.
7. Sexual Harassment
Provider shall complete an incident report in the event a program participant, client or employee
makes an allegation of sexual harassment, sexual misconduct or sexual assault by a Provider
employee, volunteer or anyone arising out of the performance of this Contract and Provider has
knowledge thereof. Provider shall provide written notification to The Children's Trust within
three (3) business days after Provider is informed of such an allegation. Provider shall provide
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written notification to The Children's Trust, within seven (7) business days, if any legal action
which is filed as a result of such an alleged incident.
S. Proof of Policies
Provider and subcontractor, as applicable, shall keep on file copies of its policies including but
not limited to confidentiality, incident reporting, sexual harassment, non - discrimination, equal
opportunity and /or affirmative action, Americans with Disabilities Act, and drug-free workplace.
U. CONSENT
Provider must obtain parental /legal guardian consent for all minor participants to participate and /or for
adult participants in the program for services; and to share information with The Children's Trust for
monitoring and evaluation purposes.
Provider will ask participants to sign a voluntary Consent to Photograph forma The form is available in
English, Spanish, and Creole and can be downloaded from www.thechildrenstrust.org. The signed
consent form for photography will be maintained at the program site, with a copy filed in the
participant's record. The consent shall be part of the participants' registration form, and signed by
parent /guardian before services commence or assessments are administered. Any refusal of consent
must be properly documented and signed by the parent or legal guardian on the consent form.
V. PROGRAMMATIC DATA REPORTING
Demographic and service information on program participants will be provided to The Children's Trust as
part of The Children's Trust's research mission. Provider agrees to comply and participate in any data
collection reporting, including participant data as required by The Children's Trust and described in
Attachment C to this contract, Programmatic Data and Reporting Requirements, subject to
confidentiality requirements. In addition, Provider agrees to furnish The Children's Trust with complete
and accurate reports in the timeframe and format to be reasonably specified by The Children's Trust,
and as described in Attachment C.
Provider must participate and provide agency (agency profile) and site(s) information to Switchboard of
Miami 2 -1 -1, The Children's Trust 24 hour helpline, as applicable and as defined in Attachment C:
Programmatic Data Reporting Requirements.
W. PUBLICITY
Provider agrees that activities, services and events funded by this Contract shall recognize The
Children's Trust as a funding source. Provider shall ensure that all publicity, public relations,
advertisements and signs within its control recognize The Children's Trust for the support of all
contracted activities. The use of the official Children's Trust logo is permissible.
Provider shall use its best efforts to ensure that all media representatives, when inquiring with Provider
about the activities funded by this Contract, are informed that The Children's Trust is a funding source.
Provider shall, if it possesses the appropriate technology, provide a link between the website and The
Children's Trust's website.
X. PUBLICATIONS
Provider agrees to supply The Children's Trust, without charge, up to three copies of any publication
developed in connection with implementation of programs addressed by this Contract. Such
publications will state that the program is supported by The Children's Trust. Provider agrees that The
Children's Trust will have use of copyrighted materials developed under this Contract to the extent
provided in, and subject to, the provisions of Paragraphs G and H above.
To the extent permitted by the applicable journal or other publication source, Provider shall include The
Children's Trust logo and the following paragraph in all materials featuring programs funded by The
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Children's Trust, including but not limited to newsletters, press releases, brochures, fliers, homepage of
websites or any other materials for dissemination to the media or general public:
English:
City of South Miami is funded by The Children's Trust. The Children's Trust is a
dedicated source of revenue established by voter referendum to improve the lives of
children and families in Miami -Dade County.
Espanol:
City of South Miami esta financiado por El Fidecomiso de los Ninos (The Children's
Trust). El Fidecomiso de los Ninos es una fuente de financiacibn, establecida por
referendum para mejorar las vidas de ninos y familias en el Condado de Miami -Dade.
Kreyol:
City of South Miami finanse pa "The Children's Trust ". Trust la, se yon sous lajan ke
gouvenman amerikin vote an referandom you ke' II investi byen nan pwogram kap
ameliore la Vi Ti Moun ak fanmi yo nan Myami Dade.
Note: In cases where funding by The Children's Trust represents only a percentage of Provider's overall
funding, the above language can be altered to read "The (organization) is funded in part by The
Children's Trust..."
Y. HEADINGS, USE OF SINGULAR AND GENDER
Paragraph headings are for convenience only and are not intended to expand or restrict the scope or
substance of the provisions of this Contract. Wherever used herein, the singular shall include the plural
and plural shall include the singular, and pronouns shall be read as masculine, feminine or neuter as the
context requires.
THE REMAINDER OF THIS PAGE IS INTENTIONALLY LEFT BLANK
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Contract #1010-5670,
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Z. TOTALITY OF CONTRACT /SEVERABILITY OF PROVISIONS
This Contract with its attachments as referenced below contains all the terms and conditions agreed
upon by the parties:
Attachment A: Scope of Services
Attachment B: Other Fiscal Requirements, Budget, and Method of Payment
Attachment C: Programmatic Data and Reporting Requirements
Attachment D: Program Specific Audit Requirements
Attachment E: Affidavit for Level 2 Background Screenings, if applicable
Attachment F: Performance Improvement Plan, if applicable
No other contract, oral or otherwise, regarding the subject matter of this Contract shall be deemed to
exist or bind the Parties. If any provision of this Contract is held invalid or void, the remainder of this
Contract shall not be affected thereby if such remainder would then continue to conform to the terms
and requirements of applicable law.
City of South Miami
MIAMI -DADE COUNTY, FLORIDA
Provider Federal I 59600 431�
By: �
(Signature of Au horized Representative)
hleeTre2 kli)2� Ie �h•l�-
Type or Print Name
C lk/ MAei'q 6C;e
(Type /Print Title)
Date: '1160110
THE CHILDREN'S TRUST
by:
Modesto E. Abety
President
� and CEO
Date( S G
Approve as form an g sufficiency
Date: Wd(%U
County Attorney
This contract is not valid until signed by both parties
City of South Miami Page 16 of 50
Contract #1010 -5670,
Resolution 2010 -62
ATTACHMENT A:
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Attachment A
Out -of- School Scope of Services
Contract No. 1010 -5670
Agency Name: City of South Miami
Program Name: After School and Summer Camp
1. Program Summary:
The City of South Miami and its After School House & Summer Camp Programs provides
students within the city limits and its surrounding communities between the ages of 5 to 18 a safe
environment to increase their educational and social skills in a fun - filled setting. Physical activity,
nutrition and family enrichment will also allow for enhanced, fully inclusive, and high - quality
programs. The program focuses heavily on literacy and improved academic output of all its
participants while working towards growth of each individual involved. The target population
consists primarily of children who come from single- parent homes residing within the South Miami
CRA and its immediately neighboring communities.
2. Contracted Services:
The Children's Trust expects that Provider will serve children with disabilities and will work
with the All Children Together Resource Network (ACT) to develop and implement appropriate
accommodations.
3. Performance Measures: Quantity — "How much will we do ?"
AFTER - SCHOOL— August 23, 2010 to June 10, 2011
39 weeks unless otherwise noted
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Contract #1010 -5670,
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Ater 54ir2`01011
. ` ::Su�mtnia�rr
Number of slots to be filled
GP:63
GP: 100
daily:
y
WD: 5
CWD: 5
Total:68
Total: 105
The Children's Trust expects that Provider will serve children with disabilities and will work
with the All Children Together Resource Network (ACT) to develop and implement appropriate
accommodations.
3. Performance Measures: Quantity — "How much will we do ?"
AFTER - SCHOOL— August 23, 2010 to June 10, 2011
39 weeks unless otherwise noted
City of South Miami Page 18 of 50
Contract #1010 -5670,
Resolution 2010 -62
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Homework Assistance: will be offered daily Monday through Thursday
4 times /wk
(Fridays as needed) when school is in session.
for 30 min
Per day.....__...
Additional Academic Activities: Thinking Skills Instruction will teach
5 times /wk
participants critical thinking and IQ building exercises, deductive
for 1/hr
reasoning skills, problem solving skills .creative._thmking.
per day
Field Trips: The University of Miami and The South Miami Library
2 times for
1hr per year
Literacy Facilitator (s): Certified Teacher
...........
Homework Assistance Facilitator(s) and Academic Activities
Facilitator(s):
Recreation Leaders Recreation Aides and Volunteers.
Fitness
Fitness Activities: Physical education, sports instruction and intramural
programming. Youth will participate in soccer, flag football, kickball
Daily
and basketball. Instructional jump rope classes help kids learn to jump
for 30min/
rope for competition and have fun while enhancing their physical
per day
fitness ....
.
Evidence Based Curriculum Used. SPARK
Accommodations for CWD Mainstream and accommodate each
.........
participant's, ability_.. ... ....
Field Trips: The University of Miami Athletic Department and visits to
Fuchs, Palmer, Dante Fascell parks for outdoor activities.
4 times/
2 hrs. each
Fitness Facilitator(s): Recreation Leaders and Recreation Aides.
Social Skills
Social Skills Activities: This includes hosting self- improvement classes
1 time /wk for
on anger management, bullying prevention, conflict resolution, team
30 min
building, self grooming, and shanng 1. .... .. .
.. ...
Curriculum Used: K -12 Giraffe Heroes Program, which consists of
...... _. ...
. ...__.
character development
Accommodations for CWD Mainstream and accommodate participant's
ability,
......... ..... ......
Field Trips: Miami Dade Fire Department Local Station visit and The
3 times/_ -per
City of South Miami Police Department
year for 1 - 2
hrs.
Social Skills Facilitator. Instructors, Recreation Leaders, Recreation
Aides and Volunteers.
Family Involvement
Family Involvement Activities: Family Night promotes parent
Quarterly 4
involvement. Planned activities include an Open House, Holiday Social,
times, 1 hr
Spring Social and End of the Year Program.
minimum
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Family Involvement Activity Facilitator(s): Senior Staff, Recreation
Leaders, Recreation Aides and Volunteers.
Enrichment Activities:
Enrichment Activities: Arts and crafts will engage the students in
drawing mini artistic projects and using brief lessons in art history.
1 time/wk for
Music will teach participants the importance of music, how to read
30 min
music, and make music. Drama will engage students in theatrical
_presentations. such as plays apq Story ......... . ... ..
Accommodations for CWD:
Mainstream and accommodate each participant's ability.
ivities� Instructors, Recreation Leaders,
Recreation Aides and Volunteers.
Supervised Free-Choice Activities
Supervised Free Choice Activities: Game play includes board games
Fridays for
and sports activities of the student's choice.
30 min when
not on field
Aides
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amity or South Miami Page 21 of 50
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lans,
1
Math instruction increases the level of learning between school years
S hour daily
including basic math skills and increased logic arithmetic thought
processes (include the use of the Math Explorer program).
........ ... ...._........... . ... ... ..... . .
Field Trips: South Miami Library and Museum of Science
2 times per
summer, 2
............... ........... ..............
hrs
Literacy Facilitator(s) and Academic Activities Facilitator(s):
Instructors, Recreation Leaders, Recreation Aides
Fitness
Fitness Activities: This includes physical education, sports instruction
and intramural programming. Youth will participate in soccer, flag
Daily
football, kickball and basketball. Instructional jump rope class kids
for 1 hr
learn to jump rope for competition and is fun while enhancing their
per day
Physical ,fitness Swlmminq.AN water- safety is also taug.ht,.,,, 11
..... ....._...
Evidence -Based Curriculum Used: SPARK
.... .....
. ... ..._ ..... .....................
......... ......... ..... _ ... ..... .........
Accommodations for CWD. Mainstream and accommodate
............. . ... .... ...
... ... ..... ......
participant's ability.
...........
Field Trips: A.D. Barnes and Tamiami Park for swimming and water
.......
_
safety instruction and South Miami Parks.
2 hr/ 1 day
per week
.. ... .......... ......... ......... ............. . . _...,... ..... ..........
Fitness Facilitator(s): Instructor, Recreational Leaders, Recreation
............ .........
.._ ......................
Aides.
Social Skills
Social Skills Activities: This includes hosting self - improvement classes
1 hr /2 days
on anger management, bullying prevention, conflict resolution, team
per week
b.uldmg, self grooming, and_shanng
Curriculum Used: K -12 Giraffe Heroes Program, which consists of
character development.
Accommodations for CWD (if a' pplicable"): Mainstream and
accommodate participant's ability.
Field Trips: The South Miami Library
2 times per
summer, 1
hour
Social Skills Facilitator. Instructors and Recreational Leaders.
Family Involvement
Family Involvement Activities:
Family members will be invited to a theatrical production in which
1 times per
students showcase what they have learned throughout the summer in
summer, 1 -2
their music and drama enrichment activities. Parents are encouraged
hours
to_- participate m the production.
Family involve- eni Activity Facilitator(s): Senior Staff, Recreational
amity or South Miami Page 21 of 50
Contract #1010 -5670,
Resolution 2010 -62
Leaders, and Recreation Aides.
Enrichment and/or Theme-based Activities
Enrichment Activities: Arts and crafts will engage the students in
3 times/wk
drawing mini artistic project and brief lessons in art history. Music will
for 30-60
teach participants the importance of music, how to read music, and
min
make music.
Drama will engage students in theatrical presentations such as plays
and story telling. Dance will include a mixture of modern and classical
2 times/wk
dance instruction.
for 60 min.
Brain builder/computer interactive program/computer lab is included.
30-60 min, 2
times a week
Music Instruction: Reading music, coral group, playing instruments
60 min, 3
times a week
Mainstream and accommodate each
Field Trips: Actors Playhouse, Miami River Boat Tour, Miami
for 2hrs
nrichment Activities Facilitator(si: Instructors, Recreation Leaders,
and Recreation Aides
Supervised Free-Choice Activities
Supervised Free Choice Activities: Game play which includes board
5 times/ wk
games and sports activities of the student's choice.
for 30 min
Supervised Free-Choice Facilitator: Recreation Leader and Recreation
Aides
Nutritious Food and Beverage Requirement: Provider will ensure that all children and
youth have a nutritious lunch and snack, at a minimum, during summer and full-day program
days and a snack during after-school and partial day program days. Weekly menus are to be
posted ina visible location at each service site.
City of South Miami Page ZZof50
Contract #1010-5670,
Resolution 2010-62
3. Performance Measures: Outcomes - Measuring "Is anyone better off ?"
Provider shall measure outcome achievement and report on a basis as outlined in Attachment
C of this contract.
Improve
Midpoint Performance:
1 Minute Oral Instructors will administer pre, mid
academic skills
85% of children will improve
Reading Fluency and post tests; Office Support will
and literacy
oral reading skills
enter data into The Trust's data
system; and Site Manager /Director
End -of -Year Performance:
will review data for accuracy and
90% of children will improve
analyze reports to assess and
oral reading skills
improve program performance.
Improve physical
Midpoint Performance:
PACER Multi -Stage Recreation Leaders will administer
health and fitness
75% of children will improve
Shuttle Run pre, mid and post tests; Office
fitness performance
Support will enter data into The
Trust's data system; and Site
End -of -Year Performance:
Manager/ Director will review data
85% of children will improve
for accuracy and analyze reports
fitness performance
to assess and improve program
Compliance, performance and outcome testing and reporting requirements are outlined in
Attachment C.
Improve
academic skills
and literacy
Improve physical
health and fitness
85% of children will improve 1 Minute Oral
or maintain oral reading skills Reading Fluency
85% of children will improve PACER Multi -
or maintain fitness Stage Shuttle Run
performance
Instructors will administer pre and
post tests; Office Support will
enter data into The Trust's data
system; and Site Manager/
Director will review data for
accuracy and analyze reports to
assess and improve program
Recreation Leader will administer
pre and post tests; Office Support
will enter data into data system
and Site Manager /Site Manager
will prepare the reports and
analyze the data for accuracy and
to assess and improve program
Compliance, performance and outcome testing and reporting requirements are outlined in
Attachment C.
City of South Miami Page 23 of 50
Contract #1010 -5670,
Resolution 2010 -62
RFP #2008 -01
4. Staff Qualifications:
Provider represents that all persons delivering the Services required by this Contract have the
knowledge and skills, either by training, experience, education, or a combination thereof, to
adequately and competently perform the duties, obligations, and Services set forth in the
Scope of Services (Attachment A) and to provide and perform such Services to The Children's
Trust's satisfaction. All persons delivering the services described herein must be included in
the Staffing Plan worksheet in the Budget (Attachment B).
5. Ratios:
School Year 2010/2011: 13 Children (Slots) per 1 Direct Service
Staff*
School Year for Children with Disabilities 13 Children (Slots) per 1 Direct Service
2010 /2011: Staff*
Summer 2011: 11 Children (Slots) per 1 Direct Service
Staff*
Summer for Children with Disabilities 2011: it Children (Slots) per 1 Direct Service
Staff*
*Volunteers may only be counted towards the staff: slot ratio if they are screened and trained
and their work days and times match what would be required for a paid staff member in the
position a volunteer occupies.
THIS SPACE IS LEFT BLANK INTENTIONALLY
City of South Miami Page 24 of 50
Contract #1010 -5670,
Resolution 2010 -62
RFP #2008 -01
Schedule of Activities
City of South Miami Page 25 of 50
Contract #1010 -5670,
Resolution 2010 -62
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Appendix i
Contract #1010 -567 -
Rosolotion #2010 -62 27 of 50
SUMMER CAMP ACADEMIC SCHEDULE 2611
Primary 1(K -1st)
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
8:00- 8:45(MS. Amy)
BreakfasUGame Play
BreakfastlGame Play
Breakfast/Game Play
BreakfasUGame Play
BreakfasUGame Play
8:45 -9:30 (Ms. Be)
Math
Mad Science
Math
Math
Math
9:30.10:15(MS. Arlesia)
Reading
Reading
Reading
Reading
Reading
10:15-11:00 (Ms. Kim)
Language Ads
Language Arts
Language Arts
Language Arts
Language Arts
1100- 11:45(Mr, Julio)
Science
Science
Science
Science
Science
11:45 -12:30
Lunch
Lunch
Lunch
Lunch
Lunch
123R1:00(Ms. Anderson)
Primary 2(2nd & 3rd)
8:00.8:45(Ms. Amy)
social Skills
BreakfastlGame Play
Social Skills
BreakfasUGame Play
Social Skills
BreakfasUGame Play
Social Skills
BreakfasUGame Play
Social SkillslField Trlp
BreakfasUGame Play
8:45-9:30 (Ms. Etta)
Science
Science
Science
Science
Science
9:3040:15(MS. Artesia)
Math
Math
Math
Math
Math
10: 15-11:00 (Ms. Kim)
Reading
Mad Science
Reading
Reading
Reading
11:00- 1145(Mr. Julio)
Language
Language
Language
Language
Language
11:45 -12:30
Lunch
Lunch
Lunch
Lunch
Lunch
12:30- 1:00(Ms. Anderson)
Intermediate 1(4th -5th)
8:00- 8:45(Ms.Amy)
Social Skills
Breakfast/Game Play
Social Skills
Breakfast/Game Play
Social Skills
Breakfast/Game Play
Social Skills
BreakfasUGame Play
Social SkillslField Trip
BreakfasUGame Play
8:45-9:30 (Ms. Etta)
Reading
Reading
Reading
Reading
Reading
9:3040d5(Ms. Arlesia)
Language Arts
Language Arta
Language Arts
Language Arts
Language Arts
10:15-11 no (Ms. Kim)
Science
Mad Science
Science
Science
Science
11:W41:45(Mr. Julio)
Math
Math
Math
Math
Math
11:45- 12:30(MS. Anderson)
Social Skills
Social Skills
Social Skills
Social Skills
Social Skills /Field Trip
12:304:00
Lunch
Lunch
Lunch
Lunch
Lunch
Intermediate 2 (6th -Up)
8:00.8:45(MS.Amy)
BreakfasUGame Play
BreakfasUGame Play
BreakfasUGame Play
BreakfasUGame Play
Breakfast/Game Play
8:45 -9:30 (Ms. Etta)
Language Arts
Language Arts
Language Arts
Language Arts
Language Arts
930 - 10:16(Ma Arlesia)
Science
Science
Selene
Science
Science
10:15 -11:00 (Ms. Kim)
Math
Mad,
Math
Mad,
Math
11:00- 11:45(Mr. Julio)
Reading
Reading
Reading
Reading
Reading
11:45 -12:30(Ms, Anderson)
Social Skills
Social Skills
Social Skills
Social Skills
Social Skills / Field Trip
12:30-1:00
Lunch
Lunch
Lunch
Lunch
Lunch
Appendix i
Contract #1010 -567 -
Rosolotion #2010 -62 27 of 50
Appendix 1
Contract #1010 -567
Resolution #2010 -62
28 of 50
SUMMER CAMP RECREATIONAL SCHEDULE 2011
Primary 1(K & 1st)
MONDAY
Tuesday
WEDNESDAY
THURSDAY
FUN FRIDAY
1:00-2:00
Pool
Inside Games
Music
Music
Field Trip
(Yvette)
(Group Counselors)
(Ms. Juanita)
(Ms. Juanita)
2:003:00
Pool /Physical Activity
Physical Activity Dance
Physical Activity
Physical Activity/Dance
Field Trip
Ms, Yvette
Mr. McGaheelMs. Tequila)
Me McGehee
Mc McGahee/Ms. Tequila)
3:004:00
Brain Building /Computer
Brain Building /Computer
Drama
Drama
Field Trip
(Group Counselors)(Ms. Lynn)
(Group Counselors)(Ms. Lynn)
(MS. Juanita)
(Ms. Juanita)
4:005:00
Snack(4:00 -4:30)
Snack(4:004:30)
Soack(4:00 -0:30)
Snack(4:00 -4:30)
Field Trip
/Arts & Craft Ms. Am
/Ms & Craft (Ms. Amy)
/Arts & Craft Ms. Am
/Ads & Craft Ms. Amy
5:006:00
Recreation
Recreation
Recreation
Recreation
Sports
Primary 2(2nd & 3rd )
1:00200
Physical Activity/Dance
Peol(Ms.Yvette)IPhysical Activity
Physical Activity/Dance
Physical Activity
Field Trip
(Mr. McGaheelMs. Tequila)
(Mr. McGehee)
(Mr. McGaheelMs. Tequila)
(Mr. McGahee)
2:00 -3:00
Brain Building
Pool
Drama
Drama
Field Tdp
(Group Counselors)
(Ms. Yvette)
(Ms. Juanita)
(Ms. Juanita)
3:00.4'90
Ads &Craft
Arts &Craft
Brain Building
Arts &Craft
Field Trip
(Ms. Amy)
I (Ms. Amy)
I (Group Counselors)
I (Ms. Amy)
4:005:00
Snack(4:00430)I
I Snack(4:00- 4:30)/
Snack(4:00 -0:30)/
Snack(4:004:30)/
Field Trip
Computer(Ms. Lynn)
I Computer(Ms, Lynn))
Music(Ms. Juanita)
Music(Ms. Juanita)
5:00 -6:00
Recreation
Recreation
Recreation
Recreation
Sports
Intermediate 1
(4th & 5th)
1:00.2:00
Music
Music
Pool
Arts & Craft
Field Trip
Ms. Juanita
Ms.Juanita)
Ms.Yvetle
Ms. Am
2:00 -3:00
Ads & Craft
Arts & Craft
Pool
Computer
Field Trip
(Ms. Amy)
(Ms. Amy)
(Ms.Yvetm)
(Ms. Lynn)
3:004:00
Drama
Drama
Computer(MS. Lynn)
Brain Building(Group Counselors)
Field Trip
(MS. Juanita)
(Ms. Juanita)
Snack(3:30-4:00)
Snack(3:30 -4:00)
4905:00
Physical Activif/Snack(4:30 -500)
.; Saaek(4000.4$0)
?' Physical AoUVity
-: Physical gchK!tyroance
Field Trip
(Mr McGaheej;
,'Physical AcG,itylDance
(Mr. McGahee)
j(Mr. McGahge(MSjegmla)
(MS.Tequda) ,
5:008:00
Recumtlon(4:30 -59))
Recreation
Recreation
Recreation
Sports
Intermediate 2
(6th & Up)
1:00 -2:00
Arts & Craft
AM & Craft
Arts & Craft
Pool
Field Trip
(Ms. Amy)
(Ms. Amy)
(Ms. Amy)
(Ms.Yvette)
2:00 -3:00
Drama
Drama
Dance
Pool
Field Trip
(Ms. Juanita)
(Ms. Juanita)
(Ms.Tequirq
(Ms.Yvette)
3:00.400
Physical Activity/Dance
Physical Activity/Dance
Physical Activity
Physical Activity
Field Trip
(Mr. McGaheelMs. Tequila)
Mr. McGaheelMs. Tequila)
Mr. McGehee
(Mr. McGehee
4:00 -5:00
Music(Ms.Juanita)
Music(Ms.Juanita)
Computer(Ms. Lynn)I
Computer(Me Lynn)/
Field Trip
/Snack(4:30.5:00)
ISnack(4:30.5:00)
Snack(4:30 5:00)
Snack(4:30.5:00)
5:006:00
Recumnlon(4:30 -5:00)
Recreation
Recreation
Recreation
Sports
Appendix 1
Contract #1010 -567
Resolution #2010 -62
28 of 50
0 ,
Program Service Operatin •
Table Site
City of South Miami Page 29 of 50
Contract #1010 -5670,
Resolution 2010 -62
RFP #2008 -01
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65
ATTACHMENT B:
Other Fiscal Requirements,
i • - . •
Method of Payment
City of South Miami Page 32 of 50
Contract #1010 -5670,
Resolution 2010 -62
RFP #2008 -01
ATTACHMENT B
OTHER FISCAL REQUIREMENTS, BUDGET and METHOD OF PAYMENT
Advance payment requests
The Children's Trust offers advance payments up to 15% of the total contract amount. Advance
requests shall be limited to governmental entities and not - for-profit corporations, in accordance with
subsection 216.181 (16) (b), F.S. The advance request is to include the amount requested and the
justification. Advance payment requests must be submitted using the designated form and must be
approved in writing by The Children's Trust's Contract Manager and Chief Financial Officer or their
designee(s).
Advanced funds if not used shall be invested by Provider in an insured interest bearing account, in
accordance with subsection 216.181 (16) (b), F.S. Interest earned on advanced funds shall be returned
to The Children's Trust on a quarterly basis or applied against the amount of the contract owed by The
Children's Trust.
Advance payment
Within 60 calendar days of receipt of an advance, Provider shall report the actual expenditures paid by
or charged to the advanced funds using the reporting "invoice" form provided by The Children's Trust. If
the "invoice" amount is less than the amount advanced, The Children's Trust will deduct the difference
from the next applicable monthly payment request. Provider may request, in writing, an extension of
the repayment of the advance. A fiscal need must be clearly demonstrated and substantiated by
Provider in order for an extension request to be considered by The Children's Trust.
Budget revisions
Budget revision(s) require prior written approval from the Contract Manager and The Children's Trust's
Chief Financial Officer or their designee(s). Request for budget revisions must be submitted to the
Contract Manager using the appropriate form, as determined by The Children's Trust. Provider must
request a budget revision to add, delete, and /or modify any line item(s). Budget revisions can not be
used to modify the total contracted amount nor can they be used to modify the Scope of Services. No
more than two (2) budget revisions may be approved during the contract term. Budget revision
requests must be submitted sixty (60) days prior to the expiration of Contract. Budget revisions will be
incorporated into the Contract.
Indirect Administrative Costs
In no event shall The Children's Trust fund indirect administrative costs in excess of ten (10 %) percent
of the total contract amount.
Cost Reimbursement Method of Payment
The parties agree that this is a cost reimbursement method of payment contract; Provider shall be paid
in accordance with the approved budget and /or approved budget revision as set forth in this
Attachment. Provider also agrees to timely pay its subcontractors, vendors, and employees for the
fulfillment of services provided in this Contract.
Invoice Requirements
Provider shall submit an original request for payment, in the format prescribed by The Children's Trust
and in accordance with the approved budget or approved budget revision(s). The request for payment is
due on or before the fifteenth (15th) day of the month following the month in which expenditures were
incurred (exclusive of legal holidays or weekends). The Children's Trust agrees to reimburse Provider on
a monthly billing basis. Every request by Provider for payment for services provided, work performed, or
costs incurred pursuant to this Contract, except for any advanced payments by The Trust, shall be
accompanied by a Request for Payment from The Children's Trust. If there are subcontractors to this
Contract, 'Subcontractor Verification of Payment' from subcontractors of Provider must be included if the
City of South Miami Page 33 of 50
Contract #1010 -5670,
Resolution 2010 -62
RFP #2008 -01
Request for Payment includes a request for reimbursement in relation to a payment made to a
subcontractor. These forms may be downloaded from The Trust's website. For the purpose of payment
only, a subcontractor is defined as an independent agency that has entered into agreement with
Provider to perform services pertaining to The Children's Trust funded programs identified in this
Contract.
The Children's Trust reserves the right to request any supporting documentation. A final request for
payment (last monthly invoice of the contract term) from Provider will be accepted by The Children's
Trust up to forty -five (45) days after the expiration of this Contract. If Provider fails to comply, all
rights to payment shall be forfeited.
If The Children's Trust determines that Provider has been paid funds not in accordance with this
Contract, and to which it is not entitled, Provider shall return such funds to The Children's Trust or
submit appropriate documentation to support the payment. The Children's Trust shall have the sole
discretion in determining if Provider is entitled to such funds in accordance with this Contract and The
Children's Trust's decision on this matter shall be binding.
In the event that Provider, its independent auditor or The Children's Trust discovers that an
overpayment has been made, Provider shall repay said overpayment within thirty (30) calendar days
without prior notification from The Children's Trust.
If Provider fails to serve the number of participants and /or fails to utilize the funds in accordance with
the Contract, The Children's Trust may amend the Contract to reduce the amount of dollars. Any delay
in amendment by The Children's Trust is not deemed a waiver of The Children's Trust's right to amend
or seek reimbursement for under - serving participants in accordance with the Contract.
In order for a request for payment to be deemed proper as defined by the Florida Prompt Payment Act,
all requests for payment must comply with the requirements set forth in this Contract and must be
submitted on the forms as prescribed by The Children's Trust. Requests for payment and /or
documentation returned to Provider for corrections may be cause for delay in receipt of payment. Late
submission may result in delay in receipt of payment. The Children's Trust shall pay Provider within
thirty (30) calendar days of receipt of Provider's properly submitted Request for Payment and /or other
required documentation.
The Children's Trust shall retain any payments due until all required reports or deliverables are
submitted and accepted by The Children's Trust.
Supporting Documentation Requirements
Provider shall maintain original records documenting actual expenditures and services provided
according to the approved budget and scope of services as required. Supporting documentation shall be
made available and provided to The Children's Trust upon request.
Provider shall keep accurate and complete records of any fees collected, reimbursement, or
compensation of any kind received from any client or other third party, for any Service covered by this
Contract, and shall make all such records available to The Children's Trust upon request. Provider shall
maintain a cost allocation methodology that it uses to allocate its costs. Provider shall use a cost
allocation methodology which assures that The Children's Trust is paying only its fair share of costs for
services, overhead, and staffing not solely devoted to the program funded by this Contract. Such
methodology shall be made available to The Children's Trust upon request.
City of South Miami Page 34 of 50
Contract #1010 -5670,
Resolution 2010 -62
RFP #2008-01
GENERAL INFOlk ATION,4
Organization Name:
Agency Fiscal Year:
Program Title:
Areas in Blue to be completed by the Agency
'EIJDGFT- FXPFNRFC
Ya -lance 0.00 0.00
Attachment B, Contract #1010 -5670, Resolution # 2010 -62 35 of 50 Rev 6/10
Program Expenses
Agency Expenses
Agency
Iota( Pro ram'Bud `et, -
..'542 638.92
542 638.92
39.9%
Total A enc Othert:Ex enses
818,483.081i
,361
60d%
Total BTid et - Ex senses'
542 638.92
1 122.00
1 100.0%
Ya -lance 0.00 0.00
Attachment B, Contract #1010 -5670, Resolution # 2010 -62 35 of 50 Rev 6/10
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City of South Miami
Staffing Plan
Staffing Plan must EXACTLY match the paid and in-kind staff, volunteers, consultants and sub-contractors described in
Attachment A and listed in the Program Budget. Add or delete rows and adjust links to the Program Budget as necessary.
Page www
Attachment B, Contract #1010-5670, Resolution# 2010-62 Rev, 6/10
List Full-Time Employees
Bachelor's Degree + Experience.
In-Kind Service. Responsible for
Responsible for direction and
oversight of the program
Parks & Program Dir.
ZA 'I
N
leadership of the entire program.
Oversees the entire operation
a
Bachelor's degree + Experience.
In-Kind Services. In charge of payroll,
Responsible for administrative
purchasing of materials, supplies, etc.
Admin. Assistant
operations of the program to
include payroll, purchasing and
Bachelor's Degree + Experience.
In-Kind Services. Oversees the
Recreation Site Manager
J
N
I
N
Responsible for direction and
Summer Camp and After-School
leadership of the entire program.
House Programs
In charge of Recreation
In-Kind Services, Manages the
programming for After School
recreational component of the After-
Recreation Leader
N
2
N
Program.'A minimum of a, high
School and Summer programs
school diploma and experience
are necessary to hold this
In charge of Recreation,
In-Kind Services. Manages the
Programming for After School
administrative details of the After-
Recreation Leader
N
I
N
Pro ram. A minimum of a high
School and Summer programs
school diploma and experience
are necessary to hold this
In charge of cordination and
Administer and monitor the guidelines
Grant Coordintator
I
W
I
N
policy Implementation while
that must be followed by funding
List Part-Time Seasonal
Employees
Teaching Certificate
Responsible for homework assistance
and literacy programs. They, oversee
Instructor
Y
I
N
the operation of the 12 America Reads
Program Tutors.
Teaching Certificate
Resp6nsible'for homework assistance
+Experience
and literacy programs, They oversee
Instructor
I
y
k 1
N
the operation of the 12 America Reads
Program Tutors.
High School Diploma +
In-Kind Services. Administer fitness
Experience
program, Responsible adminstering
PACERs to students. Will facilitate
entire physical fitness component.
X
High School Diploma +
Will assist students wilth Literacy,
PT Recreation Leader
I
y
?
R I
Y
Experience
Fitness, Social Skills, Field Trips, and
High School Diploma +
WlJJJ ss wilth Literacy,
PT Recreation Aide
y
I
Y
Experience
Fitness, Social Skills, Field Trips, and
Page www
Attachment B, Contract #1010-5670, Resolution# 2010-62 Rev, 6/10
City of South Miami
Staffing Plan
* # of Staff refers to the number of paid and in -kind staff, subcontractors, consultants and volunteers in each position Identified.
* *Volunteers may only be counted towards the staff: participant slot ratio if they are screened and trained and they work days and times
that match what would be required for a paid staff member in the position a volunteer occupies.
Page 40 of 50
Attachment B, Contract 4 1010 -5670, Resolution fl 2010 -62 Rev. 6 /10
After
School
3 Summer;.
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& 8xper4ence '+� ka
-r2a in 4}eq'hm�'ntd ,=� `
High School Diploma "+
Will assist students wilth Literacy,
PT Recreation Aide
1
Y
I
Y
Experience
FltnesS, Sgcial_Sk1lls, Field Trips, and.i
--
Enrichment activities.
High School Diploma +
Wili assist students wilth Literacy,
PT Recreation Aide - Seasonal
0
N;
`. 1
Y
Experience
Fitness, Social Skills, Field Trips, and `
Enrichment activities.
High School Diploma +
Will assist students wilth Literacy,
PT Recreation Aide - Seasonal
"0
N -
1
Y
Experience
Fitness; Social Skills, Field. Trips, and
Enrichment activities.
High School Diploma +
Will assist students wilth Literacy,
PT Recreation Aide - Seasonal
0
N
° 1 '
Y
Experience
Fitness, Social Skills, Field Trips; and
—
nrichment activities
"
High School Diploma +
Will assist students with Literacy,
PT Recreation Aide - Seasonal
` 0
N
1
Y
Experience
Fitness, Social Skills, Field Trips, and
Y y
.
Enrichment activities.
High School Diploma +
Will assist students, with Literacy,
PT Recreation Aide - Seasonal
'0
N -
1
Y
Experience
Fitness, Social Skills, Field Trips, and
En f i ent activities.
High School Diploma + _
Will assist studentswilth Literacy;
PT Recreation Aide - Seasonal
0
N
1,
Y-,
Experience
,
Fitness, Social Skills „Field Trips, and
—
Enrichment activities,
Enrolled at a Cgllege or .
Assist with homework assistance and '
PT Recreation Aide - Seasonal
,1,
N -:
I
Y
University, and apart of the
Literacy.
_
America Reads-Prooram.
List Professional Services /Independent
Contractors
k
In tru t r
Human Resources-
Ability to thorougly complete
Provide background checks of staff
Volunteer /Staff Recruitment &
FDLE background checks.
Background
`L
N
1
N
Checks /Clearances
Experience in Science education.
Will teachthedmportance of music, '
Music Instruction
1
N
1
- N
-
reading music,- coral; playing an
instrument
High School Diploma +
Will engage students in theatrical
Drama Instruction Services
"1
N 1
1'
N
Experience
presentations suchas plays story,
T.B.A. 40 Volunteers
-1
N
1
- N
No minimum qualifications ,
Assist with homework assistance and
re wired.
enerai r -o ram =operations.
* # of Staff refers to the number of paid and in -kind staff, subcontractors, consultants and volunteers in each position Identified.
* *Volunteers may only be counted towards the staff: participant slot ratio if they are screened and trained and they work days and times
that match what would be required for a paid staff member in the position a volunteer occupies.
Page 40 of 50
Attachment B, Contract 4 1010 -5670, Resolution fl 2010 -62 Rev. 6 /10
Programmatic Data and Reporting
Requirements
City of South Miami Page 41 of 50
Contract #1010 -5670,
Resolution 2010 -62
RFP #2008 -01
Attachment C
OUT -OF- SCHOOL
Programmatic Performance and Data Reporting Requirements
Contract No. 1010 -5670
Agency name: City of South Miami_
Program name: After School and Summer Camp
The Provider shall submit to The Children's Trust individual participant demographics,
attendance, and outcome data for all children participating in the program as noted in the
Scope of Service (Attachment A). Reporting includes electronic submission of information into
The Children's Trust web -based reporting system (Data Tracker), as well as outcome,
narrative, and satisfaction survey reports, as noted below. Provider's use of Data Tracker
requires mandatory training (provided by The Children's Trust) and a user login name.
Minimum standards for performance are described in the sections below. The Children's Trust
reserves the right to evaluate provider performance against the minimum standards and to
reward providers exceeding those standards and to impose remedies on providers performing
below the minimum standards. For mid and end of year performance reviews, the Provider is
awarded incremental credit for approaching the identified performance targets.
PARTICIPANTS
Eligibility - Children eligible for The Children's Trust funded out -of- school (OOS) programs
will be school -age children ages 5 to 18 years. In addition, children with disabilities ages
18 -22 who are enrolled in K -12 programs and have not achieved a standard diploma may
be served with Trust funding through the school year in which they turn 22.
Demographics - Children's demographics (including all the items noted below), shall be
entered into Data Tracker within seven (7) calendar days of each child's first day of
attendance. All children's demographics shall be updated on an ongoing basis if and when
new information is collected (i.e. new address, grade level, school).
Demographic information required for all children in attendance:
• Participant's Name (last, first, middle initial)
• Parent's name (last, first, middle initial)
• Street Address, City, and Zip Code
• Gender (male, female)
• Date of Birth
• Race (American Indian /Alaska Native, Asian, Black /African American, Pacific
Islander, White, Other)
• Ethnicity (Hispanic, Haitian, Other)
• English proficiency (yes /no)
• Other language(s) spoken (English, Spanish, Haitian Creole, None, Other)
• Child's Social Security #
• Child's Miami -Dade County Public Schools ID Number
• Child's Current Grade Level
• Child's Current School
• Does child have a Health Insurance? (yes /no)
• Does child have a disability? (yes /no)
• If disabled, what type? [Autism Spectrum Disorders, Chronic Medical Condition,
Developmental Delay, Emotional and /or Behavioral Disorder, Hearing
Impairment (or deaf), Intellectual Disability (or mental retardation), Learning
Disability, Physical Disability, Speech /Language Impairment, Visual Impairment
(or blind), Other]
• Documentation of disability (Individualized Family Service Plan, Individualized
Education Plan, Section 504 Plan, diagnosis from a medical doctor, state
certified or licensed professional; and /or disclosure by a parent /guardian); if
City of South Miami Page 42 of 50
Contract #1010-5670,
Resolution 2010 -62
RFP #2008 -01
child is noted as having a documented disability, a hard copy of the selected
documentation must be kept within the participant's file for monitoring
purposes.
Is participant (information to be reported in the Program Narrative Report):
• A child of a migrant farm worker (i.e., parent /caregiver crossed county
or state lines in search of temporary or seasonal farm work within the
past 36 months)
• Involved with the Dependency System (e.g., DCF, Our Kids, full case
management agencies, dependency and family courts)
• Involved with the Delinquency System (e.g., DJJ, Juvenile Services
Department, diversion /Civil Citation programs)
• Medical History and Authorization (including special needs and conditions)
• Emergency Contact Information
• Transportation and Pick -up Authorizations
• Confidentiality of Client Information
• Voluntary Consent for Video and Photography
• Signed release of information to The Children's Trust and authorization to
participate
Children with Disabilities - The Children's Trust expects that programs will serve children
with disabilities, regardless of disability type or level, provided they can be safely and
reasonably accommodated in accordance with the American Disabilities Act
(www.ada.gov).
Providers who may need assistance in determining whether they can safely and reasonably
accommodate children with disabilities must contact their assigned Inclusion Specialist
from the All Children Together (ACT) Resource Network. All children must be admitted into
programs unless the assigned Inclusion Specialist determines that reasonable
accommodations cannot be made.
ACTIVITIES
• A representative Daily Schedule of Activities for each period contracted is included as
Appendix - 1. The schedule shall reflect the activities, frequency, and intensity as
outlined in Attachment A. Provider may modify the schedule(s), however, any changes
that alter the type, frequency, intensity, and /or duration of the activities will require a
contract amendment. The approved Schedule of Activities is to be posted in a visible
location at each service site.
• Provider will ensure that approximately 75% of the program's operating hours are
accounted for in planned activities as indicated in Appendix 1.
PERFORMANCE MEASURES
Attendance - How much are you doing?
Attendance refers to the actual number of children (with at least one day of
attendance) participating in a program during a specific time frame. All children
must have their demographic information entered in Data Tracker before they
can be credited for attendance. Enrolled children are expected to regularly
attend after school days and /or summer camp days: During the school year,
only children attending after school days may participate in Full Days and /or
Saturdays. Children cannot enroll in a program and attend only Full Days
and /or Saturdays.
• Days of Service - Refers to the number of days contracted to be delivered by
City of South Miami Page 43 of 50
Contract #1010 -5670,
Resolution 2010 -62
RFP #2005 -01
providers during the school year and /or summer time. The Programmatic
Utilization Report in Data Tracker identifies this as, "Total offered sessions."
During the school year 180 after school days of service must be offered, and a
minimum of 6 consecutive weeks (29 days) must be offered during the
summer.
• Average Attendance Per Day - This reflects the average number of contracted
slots /seats that are filled on any given day at a program. The Children's Trust
recognizes that the number of children enrolled throughout the contract year
may be higher than the number of contracted slots filled on a daily basis, and
that not all children will attend their program every day. However, material
compliance with this contract requires that a minimum of 85% of slots
contracted for participating children will be occupied on a daily basis.
Engagement- How well are you doing?
• Engagement - Refers to the average number of after school days each child has
attended based on the child's first day of attendance through an end date. For
performance review purposes, providers will be evaluated based on
engagement at the midpoint and end of school year. Engagement will not be
evaluated during summer camp. Only children enrolled in the program for at
least 14 calendar days will be included in the school year engagement
calculation.
• Participants are expected to attend a minimum of 80% of program days offered
by the midpoint, and 70% by end of school year.
Utilization - How much are you doing?
• Output Utilization - Refers to the number of units served, or the total number
of days attended across all children. "Actual" utilization is calculated by
summing the total number of days attended by all children (with at least one
day of attendance). "Proposed" utilization is based on the total number of
proposed or contracted slots multiplied by the total number of proposed
sessions. The actual utilization during the selected time frame is then divided by
the proposed utilization.
• During any given time frame, The Trust requires that providers serve a
minimum of 85% of the units of service contracted (children x days) to be
served during that period.
Outcomes - Is anyone better off?
The purpose of evaluation is to promote improvements in outcome achievement and to
facilitate changes in program practices that result in improved outcome achievement.
To that end, we expect that all children will be evaluated and that all children (and
programs) can improve as result. All children attending COS programs will be tested
using the Oral Reading Fluency (ORF) assessment to evaluate oral reading skills, and
results must be entered in Data Tracker. If a fitness outcome is part of the contract,
the Progressive Aerobic Cardiovascular Endurance Run (PACER) must be used, and
results must be entered in Data Tracker.
• ORF /PACER Adaptations. The original format of ORF and PACER may not be
appropriate for all children. In these cases, providers must review approved
adaptation options for the ORF and /or PACER assessments. Currently, ORF has
two adaptation options: ORF passage alteration (letter - naming ORF Level K),
City of South Miami Page 44 of 50
Contract #1010 -5670,
Resolution 2010 -62
RFP #2008 -01
and an adaptation for visual impairment. PACER has one adaptation for children
with hearing impairments. For additional information or assistance with
implementing any of these adaptations, contact your Contract Manager. If one
of the adaptations does not meet the child's individual assessment needs, then
an alternate assessment must be administered.
• Alternates to ORF /PACER. Alternate assessments are conducted for children
who are not capable of responding or performing via the original or adapted
ORF and /or PACER assessment methods. Alternate assessments to ORF and
PACER are reserved for children with disabilities. Rather than exempting
children from assessments, The Children's Trust requires that providers
collaborate with Trust staff (as well as Project RISE and the ACT Resource
Network, if needed) to identify developmentally appropriate assessments for
every child. Alternate assessments will be identified during contract
negotiations, and if needed, alternate outcome indicators will be developed
based on previous performance levels. If it is determined that an alternate
assessment is needed after contract negotiation, contact your Contract Manager
immediately for further guidance. A contract amendment may not be needed if
less than 10% of children require the use of an alternate assessment.
• For each child who receives an alternate assessment to ORF or PACER,
the provider must indicate that an alternate assessment was
administered to each of those children on the ORF or PACER testing
roster in Data Tracker, and also submit additional information on the
assessment.
• Aggregate performance data for children receiving alternate
assessments to ORF or PACER will be reported as outlined under the
subsequent section, "Other Outcomes."
• Other Outcomes. Data for assessments other than ORF and PACER (such as
social skills assessments or alternate assessments) must be reported into Data
Tracker. Providers are required to enter this information directly into Data
Tracker in an outcomes reporting section. The data must be submitted
electronically to The Children's Trust by the applicable report due dates outlined
in this document.
Testing Compliance - For all outcomes contracted, test administration must be as
follows:
School Year
• Pre -test - 100% of children will be tested within 30 calendar days of their first
day of attendance, regardless of when enrollment occurs.
• Mid -point test - 100% of children with at least one day of attendance between
December 1st and January 15th must be tested within that timeframe,
regardless of when enrollment occurs.
• Post -test - 100% of children with at least one day of attendance between May 1
and June 9 must be tested within that timeframe, regardless of when
enrollment occurs. Post -tests are also to be administered to children who
withdraw from the program during the year when prior notice is given.
Summer
• Pre -test - 100% of children will be tested within 14 calendar days of their first
day of attendance, regardless of when enrollment occurs. Post -tests
administered in the after- school program may serve as pre -tests for returning
children if they were administered within 2 weeks of the child's starting date in
the summer camp program.
City of South Miami Page 45 of 50
Contract #1010 -5670,
Resolution 2010 -62
RFP #2008 -01
Post -test - 100% of children in attendance will be tested during the final 14
calendar days of the summer program or no later than July 31't if the Provider
will not be funded by The Children's Trust for Out -of- School services after that
date. All children in attendance for at least one day during the test
administration timeframe are required to be tested.
Matched Sets Compliance - Matched sets refer to those children with at least 2 tests
within a review period.
School Year
• 90% of children enrolled for 90+ days by January 15th will have been tested at
least twice (based on number of calendar days between the first day of
attendance through January 15, 2011).
• 95% of children enrolled for 90+ days by June 9th will have been tested at
least twice (based on number of calendar days between the first day of
attendance through June 9, 2011).
Summer
• 90% of children enrolled for 30+ days by the end of the program will have been
tested at least twice (based on number of calendar days between the first day
of attendance through the last day of the program)
Outcome Achievement - Providers are expected to meet the following performance
standards on the ORF for oral reading skills, PACER for fitness performance, and social
skills measures. Data for all children with matched sets will contribute towards these
performance goals:
School Year
• 85% of children will improve oral reading skills at the mid - point; 90% at end -
of -year
• 75% of children will improve fitness performance at the mid - point; 85% at end -
of -year (if contracted)
• 85% of children will improve social skills at the mid - point; 90% at end -of -year
(if contracted)
Summer
• 85% of children will improve or maintain oral reading skills
• 85% of children will improve or maintain fitness performance (if contracted)
• 85% of children will improve or maintain social skills (if contracted)
Satisfaction Surveys - How well are you doing?
Satisfaction surveys must be administered to 100% of children, youth, and their
parents once during the school year in March and once during the summer. Providers
have the option to administer the satisfaction surveys from The Children's Trust (which
can be found at The Children's Trust website) or to use a satisfaction survey of their
choosing. Providers may also choose to administer the surveys by distributing paper
copies of the surveys and asking respondents to complete them, or online through
Survey Monkey. If a provider chooses Survey Monkey, it must set up its own user
account. Providers will submit aggregate information on the survey results for the
school year through an online survey by April 15, 2011. Online survey responses for
summer camp surveys must be submitted by September 15, 2011.
QUARTERLY PROGRAM NARRATIVE REPORT
The Program Narrative Report captures a report of program's successes, challenges,
support needed, incidents, and volunteer participation. A standard Word document
City of South Miami Page 46 of 50
Contract #1010 -5670,
Resolution 2010 -62
RFP #2008 -01
format is provided and available in the Trust website for download. The report must be
submitted quarterly to The Trust.
TRAINING AND QUALITY IMPROVEMENT
The Children's Trust offers a variety of trainings on important topics to improve service
delivery and contract compliance, enhance administrative capacity, and support
program and employee development. The Provider is required to ensure attendance by
appropriate agency and /or program staff at the following trainings annually: Oral
Reading Fluency, Progressive Aerobic Cardiovascular Endurance (PACER), Data Tracker,
School -Age Care Environmental Rating Scale (SACERS), New and Renewal Contract
Development and Contract Management trainings, Quarterly Provider Meetings, and
other topical trainings offered throughout the contract year. Provider must attend a
minimum of one training regarding inclusion of children with disabilities during each
contract year. In addition, full participation is required with Project RISE, the All
Children Together (ACT) Resource Network, and other Trust - funded initiatives that may
be appropriate.
Project RISE (http://cps.nova . edu /proiectrise
The Children's Trust requires that Trust - funded out -of- school providers fully
participate with Project RISE (Research, Inspiration, Support, and Evaluation), a
quality improvement initiative offered to support and improve the services available
to Miami -Dade children and youth, with the ultimate goals of improving academic,
health /fitness, and socio - emotional /mental health outcomes of participants.
Providers (including all staff involved in test administration) are required to become
recertified in ORF and PACER administration annually.
All Children Together Resource Network (http: / /ccdh.org /act /about act/)
The Children's Trust requires that providers attend trainings to educate them about
the inclusion of children with disabilities during the contract year. Inclusion requires
that programs be appropriately adapted to meet the needs of all participating
children. The ACT Resource Network is a resource available to offer training,
technical assistance, mentoring, and consultation regarding provision of services to
children with disabilities.
REPORTING SUBMISSION AND DATA ENTRY
• Participant attendance for a given month shall be entered into Data Tracker by the
fifteenth (15th) of the following month, exclusive of legal holidays or weekends.
Data Entry Requirements - Scores for the ORF and PACER tests as well as aggregate
data for other assessments shall be entered in Data Tracker as follows. If the due
date falls on a weekend /holiday, then reports are due the following business day.
School Year
• Pre -test - By the fifteenth (15`h) day of the month following the month in which
the tests were administered
• Mid -test - By January 31, 2011
• Post -test - By June 15, 2011
Summer
• Pre -test - By the fifteenth (15th) day of the month following the month in
which the tests were administered
• Post -test - By September 15, 2011
City of South Miami Page 47 of 50
Contract #1010 -5670,
Resolution 2010 -62
RFP #2008 -01
*If the due date falls on a weekend/ holiday, then reports are due the following
business day.
Provider shall create and /or update agency and program profiles, and site(s) information in
the Community Resource Directory maintained by Switchboard of Miami. Provider shall
maintain accurate information for the duration of this Contract term to facilitate referrals.
Evidence that the profile(s) has been created or updated must be provided to the Contract
Manager within 30 days of execution of this Contract.
City of South Miami Page 48 of 50
Contract #1010 -5670,
Resolution 2010 -62
RFP #2008 -01
Rep�irC Due4Datet ,°
r.
?... .b .?i,.,
..? .C.rr?
October 15, 2010
1. Program Narrative Report (Word)
January 31, 2011
1. Program Narrative Report (Word)
School Year
2010 -2011
1. Program Narrative Report (Word)
April 15, 2011
survey requesting 2. Response to online
p Y q 9 a 9gregate
satisfaction survey responses
June 15, 2011
1. Program Narrative Report (Word)
UN
1. Summer Program Narrative report (Word)
Summer
September 15,
2. Response to online survey requesting aggregate
Camp 2011
2011
satisfaction survey responses
*If the due date falls on a weekend/ holiday, then reports are due the following
business day.
Provider shall create and /or update agency and program profiles, and site(s) information in
the Community Resource Directory maintained by Switchboard of Miami. Provider shall
maintain accurate information for the duration of this Contract term to facilitate referrals.
Evidence that the profile(s) has been created or updated must be provided to the Contract
Manager within 30 days of execution of this Contract.
City of South Miami Page 48 of 50
Contract #1010 -5670,
Resolution 2010 -62
RFP #2008 -01
Attachment D
Program Specific Audit Requirements
The Program Specific Audit is to encompass an audit of The Children's Trust contract(s) in
accordance with section N.2. Financial Audit and Program Specific Audit as follows (a sample
may be found on The Children's Trust website):
• Submission of: (a) schedule of budget to actual total expenditures by budget category,
reflecting expenditures during the audit period for each The Children's Trust contract by contract
number, (b) if applicable, audit of attendance if payment is based on attendance, or payment
as specified in Attachment B; (c) summary of schedule of prior audit findings, (d) disclosure of
any significant finding(s), (e) disclosure of all questioned costs and liabilities due to The
Children's Trust, with a reference to the contract number involved, and (f) a recommendation
for a corrective action plan on any finding;
• Report whether the schedule of expenditure(s) is fairly stated;
• Provide notes to the schedule of total budget to actual expenditures that describe the significant
accounting policies used in preparing the schedule;
• Report whether contractual matching requirements were met, if applicable;
• Report whether Provider has internal controls in place to provide reasonable assurance of
compliance with The Children's Trust applicable contractual requirements and on the reliability of
financial operations;
• The auditor must include in their testing: testing of the budget versus the actual expenditure,
double billing i.e. billing under The Children's Trust contract the same expenditure that is billed
under another contract and /or revenue source, testing for unallowable expenditures e.g. costs
not included in the approved budget or budget revision and unallowable costs identified in the
budget guidelines included on The Children's Trust website, testing for questioned costs, testing
that the Provider billed and was reimbursed by The Children's Trust in accordance with the
method of payment identified in the Contract and within the Contract period, testing that monies
used for the program were for eligible participants, testing for the supplanting of funds, testing
of match requirements, if applicable, testing of attendance or other unit if the method of
payment is other than a cost reimbursement payment method, and testing of the cost allocation
plan to verify that The Children's Trust is paying only its fair share of costs for services,
overhead and staffing.
The auditor's report shall state that the audit was conducted in accordance with the program specific
audit requirements listed in The Children's Trust contract and include the following:
An opinion (or disclaimer of opinion) as to whether the financial statement(s) of Provider is
presented fairly in all material respects in conformity with the stated accounting policies;
An opinion (or disclaimer of opinion) as to whether the schedule of total budget to actual
expenditures by budget category is presented fairly in all material respects in conformity with the
stated accounting policies;
A report on internal control related to The Children's Trust contract, which shall describe the scope
of testing of internal control and the results of the tests;
A report on compliance which includes an opinion (or disclaimer of opinion) as to whether the
auditee complied with laws, regulations, and the provisions of contract(s) with The Children's Trust
which could have a direct and material effect on the program; and
A schedule of findings and questioned costs for The Children's Trust contract that includes a
summary of the auditor's results relative to The Children's Trust and findings and questioned costs.
City of South Miami - Page 49 of 50
Contract #1010 -5670,
Resolution 2010 -62
RFP #2008 -01
ATTACHMENT E
Affidavit for Level 2 Background Screenings
Affidavit Affirming Compliance with
Background Screening for Provider Personnel
and /or Volunteers, Subcontracted Personnel, as applicable
In accordance with Sections 943.0542, 984.01, Chapter 435, 402, 39.001, and 1012.465
Florida Statutes, and pursuant to the requirements of Paragraph Q. Background Screening of
this Contract, the undersigned affiant makes the following statement under oath, under
penalty of perjury, which is a first degree misdemeanor, punishable by a definite term of
imprisonment not to exceed one year and /or a fine not to exceed $1,000, pursuant to
Sections 837.012 and 775.082, Florida Statutes.
STATE OF FLORIDA
COUNTY OF MIAMI -DADE
Before me, the undersigned authority, personally appeared (CEO /Executive Director)
Authorized Provider Representative
of (Provider Name) who being by me first duly sworn, deposes and
says:
Name of Contracted Provider
(Signature of CEO /Executive Director /HR Director) Date
I swear and affirm that the above -named contracted Provider is compliant with the
requirements for personnel background screening detailed in Sections 943.0542, 984.01,
Chapter 435, 402, 39.001, and 1012.465 Florida Statutes, as applicable, for all personnel having
direct contact with children.
Sworn to and subscribed before me at Miami -Dade County, Florida this day of
, 2009 by
Who is personally known to me
Who produced identification:
Type of identification
Signature of Notary Public
State of Florida at Large
Print, type or stamp name of notary public
My Commission Expires:
City of South Miami Page 50 of 50
Contract #1010 -5670,
Resolution 2010 -62
RFP #2008 -01