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CITY OF SOUTH MIAMI , I
OFFICE OF THE CITY MANAGER
INTER - OFFICE MEMORANDUM 2001
The Honorable Mayor & Members of the Cit om ' sion
Roger M. Carlton, Acting City Manager
Carol er M. Aubrun. Grants Writer /Administrator
Date: January 14, 2010
Agenda Item No.:
Subject: A RESOLUTION OF THE MAYOR AND CITY COMMISSION OF THE CITY OF
SOUTH MIAMI, FLORIDA, AUTHORIZING THE ACTING CITY MANAGER TO
EXECUTE FISCAL YEAR 2010 GRANT AGREEMENT WITH MIAMI -DADE
COUNTY'S DEPARTMENT OF HOUSING AND COMMUNITY
DEVELOPMENT (DHCD) FOR CITY OF SOUTH MIAMI COMMUNITY
DEVELOPMENT AREA STREET LIGHTING IMPROVEMENTS IN THE
AMOUNT OF $120,000; AND PROVIDING FOR AN EFFECTIVE DATE.
Request: To authorize the Acting City Manager to execute a grant agreement with Miami -
Dade County's Department of Housing and Community Development for
Implementation of City of South Miami Community Redevelopment Area Street
Lighting Improvements, Phase I.
Background: Last year during a series of South Miami Community Redevelopment
Agency ( SMCRA) Meetings (regular meeting, budget workshop and
budget hearing), the SMCRA Board authorized development of a Street
Lighting Master Plan. The Master Plan highlighted four priority city street
locations (attached), which were incorporated into the City's Capital
Improvement Plan.
After submitting an application through the most recent grant process, the
City is being awarded funding in the amount of $120,000 for two (2)
priority areas (I. SW 66th Street from SW 61" Court to SW 58th Avenue;
and Il. SW 68'h Street from SW 591h Place to SW 58th Place & SW 61st
Drive /Court from SW 591h Place to SW 66" Street). The proposed street
lights will resemble enhanced street lighting previously installed along SW
59th Place (Church Street). Florida Power and Light (FPL) is the sole
source agency providing engineering design plans and installation of
decorative street lighting. Therefore, the Public Works Department will
consult with FPL for energy efficiency as part of the installation, lease and
maintenance agreement. The South Miami Community Redevelopment
Agency has also budgeted FY 2009 -2010 funds in the amount of
$60,000.00 as a funding contribution towards these City initiated street
lighting improvements. Therefore, the total project cost is estimated to be
$180,000.00 The attached resolution will allow the Acting City Manager
to execute the grant agreement with Miami -Dade County's Department of
Housing and Community Development for SMCRA Street Lighting
Improvements for a total grant amount of $120,000.
Cost: N/A
Funding Source: Department of Housing and Community Development
Backup Documentation:
❑ Proposed Resolution
❑ Letter and Required Contract Development Documents
❑ SMCRA Street Lighting Master Plan Priority Areas
❑ CIP insert
Page 2 of 2
RESOLUTION NO.:
A RESOLUTION OF THE MAYOR AND CITY COMMISSION OF THE CITY OF SOUTH MIAMI,
FLORIDA, AUTHORIZING THE ACTING CITY MANAGER TO EXECUTE FISCAL YEAR 2010
GRANT AGREEMENT WITH MIAMI -DADE COUNTY'S DEPARTMENT OF HOUSING AND
COMMUNITY DEVELOPMENT (DHCD) FOR CITY OF SOUTH MIAMI COMMUNITY DEVELOPMENT
AREA STREET LIGHTING IN THE AMOUNT OF $120,000; AND PROVIDING FOR AN EFFECTIVE
DATE.
WHEREAS, the City of South Miami has been awarded a grant for City of South Miami
Community Redevelopment Area Street Lighting in the amount of $120,000.00 from Miami -Dade
County's Department of Housing and Community Development; and
WHEREAS, the Mayor and City Commission wish to accept the grant agreement with Miami -
Dade County's Department of Housing and Community Development; and
WHEREAS, the Mayor and City Commission authorize the Acting City Manager to execute the
grant agreement with Miami -Dade County Department of Housing and Community Development for City
of South Miami Community Redevelopment Area Street Lighting Improvements, Phase I in the amount of
$120,000.
NOW, THEREFORE, BE IT RESOLVED BY THE MAYOR AND CITY COMMISSION OF THE
CITY OF SOUTH MIAMI, FLORIDA THAT:
Section 1: The Mayor and City Commission authorize the Acting City, Manager to execute the
grant agreement with Miami -Dade County's Department of Housing and Community Development for
City of South Miami Community Redevelopment Area Street Lighting in the amount of $120,000.
Section 2: The attached exhibit is incorporated by reference into this resolution.
PASSED AND ADOPTED this
ATTEST:
CITY CLERK
READ AND APPROVED AS TO FORM
CITY ATTORNEY
Include File Name and Path
day of .12010.
u= •C
COMMISSION VOTE:
Mayor Feliu:
Vice Mayor Beasley:
Commissioner Newman:
Commissioner Palmer
Commissioner Sellars:
h �
Carlos Alvarez, Mayor
December 28, 2009
Mr. Roger M. Carlton
Acting City Manager
'City of South Miami
6130 Sunset Drive
South Miami, FL 3314
Re: Contract Development Meeting
Dear Mr. Carlton:
Community & Economic Development
701, N.W. 1 st Court • 14th Floor
Miami, Florida 33136
T 786 - 469 -2100 F 786- 469 -2170
miamidade.gov
Your organization has been awarded FY 2010 Community Development Block Grant (CDBG) funds. The
Departi ent of Housing and Community Development (DHCD) is in the process of developing a contract
for those funds.. As a part of that process you must complete and submit the following enclosed affidavits
and required documents:
• Agency Board Resolution (all board members must be listed and their votes)
• Authorized Signature Form
• Miami -Dade County Affidavits
• Affidavit of Financial & Conflicts of Interest
• Related Parties Disclosure Statement
• State of Florida Public Entity Crimes Affidavit
• Code of Business Ethics Affidavit
• Fair Subcontracting Policies (with copy of procurement policies attached)
• Miami -Dade County Living Wage Affidavit
• Collusion Affidavit
• Certificate Regarding Lobbying
You must submit the completed documents to DHCD by January 11, 2010. A meeting date has been set
for December 29, 2009 at 1:30 p.m. to be held at Murray Park, 5800 SW 66'" Street, South Miami,
Florida to discuss the contract development and project plan for your funded activity, A copy of the
meeting agenda is also enclosed.
If you have any questions or concerns please contact me at 786- 469 -2220.
Sincerely, \
ron .L� �Jon
Project Manager
Project Management Unit
LSG:Ig
Enclosure (12)
i
c: Carol Aubrun, CSM, Grants Administrator
Sonia Colon, Team Leader, PM Unit, DHCD
Central File: City of South Miami -FY 2010 CDBG (Murray Park Swimming Pool — Construction
Phase) and FY 2010 CDBG (South Miami CRA Street Lighting)
LIST OF REQUIRED DOCUMENTS FOR CONTRACT DEVELOPMENT
SAMPLE OF BOARD OF DIRECTOR'S RESOLUTION APPROVING THE FUNDED
AMOUNT AND AUTHORIZING EXECUTION OF THE CONTRACT WITH DHCD
AUTHORIZED SIGNATURE FORM
MIAMI -DADE COUNTY AFFIDAVITS
. AFFIDAVIT OF FINANCIAL AND CONFLICTS OF INTEREST
RELATED PARTIES DISCLOSURE STATEMENT
STATE OF FLORIDA PUBLIC ENTITY CRIMES AFFIDAVIT
CODE OF BUSINESS ETHICS AFFIDAVIT
FAIR SUBCONTRACTING POLICIES
MIAMI -DADE COUNTY LIVING WAGE AFFIDAVIT
COLLUSION AFFIDAVIT
CERTIFICATE REGARDING LOBBYING
OTHER REQUIRED DOCUMENTS
1. MOST CURRENT ARTICLES OF INCORPORATION
2, MOST CURRENT BYLAWS
3. MOST CURRENT BOARD OF DIRECTOR'S ROSTER
4. MOST CURRENT IRS TAX EXEMPT STATUS DETERMINATION LETTER
5. MOST CURRENT IRS FORM 990
6. MOST CURRENT STATE OF FLORIDA CORPORATE CERTIFICATE
7. CERTIFICATE OF GOOD STANDING FROM DEPARTMENT OF STATE
SAMPLE
RESOLUTION AUTHORIZING EXECUTION OF A CONTRACT WITH
1 IIAMI -DADS CVUINITai AND
FOR THE PROVISION
WHEREAS, this Board desires to accomplish the objectives as outlined in the scope of
service of the contract with Miami -Dade County.
NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF DIRECTORS of
with Miami -Dade County for the maximum amount of $
the provision of
authorizes
to execute same for and on behalf of
The foregoing resolution was offered by
adoption, the motion was seconded by
upon being put to a vote was as follows:
approves one (1) contract
for
services for the Fiscal Year 2010 and
lE
who moved its
and
The Chairperson /President thereupon declared this resolution duly passed and adopted
this
day of
Signature - Chairperson or Secretary
Agency Seal
AUTHORIZING SIGNATURES
CONTRACTOR:
DATE:
This form certifies the names, titles and signatures of individuals authorized by the contractor's by -laws or
board resolution to sign contracts, checks, budget revision requests, payment requests and any other
requests, (e.g. purchase requisitions, purchase orders, receiving reports, direct bills) that are required by
the Department of Housing and Community Development (DHCD) for disbursement of funds.
NAME TITLE SIGNATURE
(Type or Print) (Type or Print)
I. Prime Contracts.Subcontracts
il. Checks (List Amount Limits)
III. Budget Revision Requests
NAME TITLE SIGNATURE
(Type or Print) ( i ype or Print)
IV Payment Requests
V. Other Administrative Matters
(e.g. Status Reports, Purchase Orders, Travel Requests)
* These signatures authorized are retained by DHCD for auditing purposes.
* You are required to submit updates to this list as it becomes necessary.
MIAMI -DADE COUNTY AFFIDAVITS
The contracting individual or entity (government or otherwise) shall indicate by an "X" all affidavits that pertain
to this contract and shall indicate by an "N /A" all atfidavlts that do not pertain to this contract. Ail blank spaces
must be filled.
The MIAMI -DADE COUNTY OWNERSHIP DISCLOSURE AFFIDAVIT; MIAMI -DADE COUNTY
EMPLOYMENT DISCLOSURE AFFIDAVIT; MIAMI -DADE CRIMINAL RECORD AFFIDAVIT; DISABILITY
NON -DISCRIMINATION AFFIDAVIT; and the PROJECT FRESH START AFFIDAVIT shall not pertain to
contracts with the United States or any of its departments or agencies thereof, the' State or any political
subdivision or agency thereof; it shall however, pertain to municipalities of the State of Florida. All other
contracting entities or individuals shall read carefully each affidavit to determine whether or not it pertains to
this contract.
j , being first duly sworn zsiaie:
Affiant
The full legal name and business address of the person(s) or entity contraction or transacting business with
Miami -Dade County are (Post Office addresses are not acceptable):
Federal Employer Identification Number (if none, Social Security)
Name of Entity, Individual(s), Partners, or Corporation
Doing Business As (If same as above, leave blank)
Street Address City State Zip Code
I. MIAMI -DADE COUNTY OWNERSHIP DISCLOSURE AFFIDAVIT (Sec. 2 -8.1 of the County Code)
If the contract or business transaction is with a corporation, the full legal name and business address
shall be provided for each officer and director and each stockholder who holds directly or indirectly five
percent (5 %) or more of the corporation's stock. If the contract or business transaction is with a
partnership, the foregoing information shall be provided for each partner. It the contract or business
transaction is with a trust, the full legal name and address shall be provided for each trustee and each
beneficiary. The forgoing requirements shall not pertain to contracts with publicly- traded corporations or
to contracts with the United States or any department or names and addresses are (Post Offices
addresses are not acceptable):
Full Legal Name Address ownership
Page 1 of 5
2. The full legal names and business address of any other individual (other than subcontractors, material
men, supplies, laborers, or lenders) who have, or will have, any interest (legal, equitable beneficial or
otherwise) in the contract or business transaction with Dade County are (Post Office addresses are not
arrentable):
3. Any person who willfully fails to disclose the information required herein, or who knowingly discloses
false information in this regard, shall be punished by a fine of up to five hundred dollars ($500.00) or
imprisonment in the County jail for up to sixty (60) days or both.
11. MIAMI -DADE COUNTY EMPLOYMENT DISCLOSURE AFFIDAVIT (County Ordinance No. 90 -133,
amending Sec. 2.8 -1; Subsection (d)(2) of the County Code).
Except where precluded by federal or State laws or regulations, each contract or business transaction or
renewal thereof which involves the expenditure of ten thousand dollar ($10,000) or more shall require the
entity contracting or transacting business to disclose the following information. The foregoing disclosure
requirements do not apply to contracts with the United States or any department or agency thereof, the
State or any political subdivision or agency or any municipality of this State.
1. Does your firm have a collective bargaining agreement with its employees?
Yes No
2. Does your firm provide paid health dare benefits for its employees?
Yes No
3. Provide a current breakdown (number of persons) of your firm's work force and ownership as to race,
national origin and gender.
White: Males
Females
Black: Males
Females
Hispanics: Males
Females
Males
Females
Asian:
Males
Females
American Indian:
Males
Females
Aleut (Eskimo):
Males
Females
Males
Females
111. AFFIRMATIVE ACTION /NON - DISCRIMINATION OF EMPLOYMENT, PROMOTION AND
PROCUREMENT PRACTICES (County Ordinances 98 -30 codified at 2 -8.1.5 of the County Code)
In accordance with County Ordinance No. 98 -30, entities with annual gross revenues in excess of
$5,000,obo seeking to contract with the County shall, as condition receiving a County contract, have 1) a
written affirmative action plan which sets forth the procedures the entity utilizes to assure that it does not
discriminate in its employment and promotion practices; and ii) a written procurement policy which sets
forth the procedures the entity utilizes to assure that it does not discriminate against minority and women -
owned businesses in its own procurement of goods, supplies and services. Such affirmatives action plans
and procurement policies shall provide for periodic review to determine their effectiveness in assuring the
entity does not discriminate in its employment, promotion and procurement practices. The foregoing
notwithstanding, corporate entities whose boards of directors are representatives of the population make-
up of the nation shall be presumed to have non - discriminatory employment and procurement policies, and
shall not be required to have written affirmative action plans and procurement policies in order to receive a
County contract. The foregoing presumption may be rebutted.
The requirements of County Ordinance No. 98 -30 may be waived upon the writtenxecommendation of the
County Manager that it is in the best interest of the County to do so and upon approval of the Board of
County Commissioners by majority vote of the members present.
Page 2 of 5
The firm does not have annual gross revenues in excess of $5,000,000.
The firm does have annual revenues in excess of $5,000,000; however, its Board of Directors
is renreeenfotivo �f the .,.,ni ilatinn maka.:� -1 of the nation and .. - ci ihmittad a �nrrittan detailed
listing of its Board of Directors, including the race of ethnicity of each board member, to the
County's Department of Business Development, 175 NW 15` Avenue, 28`" Floor, Miami,
Florida 33128.
The firm has annual gross revenues in excess of $5,000,000 and the firm does have a written
affirmative action plan and procurement policy as described above, which includes periodic
review to determine effectiveness, and has submitted the plan and policy to the County's
Department of Business Development, 175 NW 15` Avenue, 28`" Floor, Miami, Florida 33128.
The firm does not have an affirmative action plan and/or a procurement policy as described
ahnve, but has been granted a waiver.
IV. MIAMI -DADE COUNTY CRIMINAL RECORD AFFIDAVIT (Section 2 -8.6 of the County Code)
The individual or entity entering into a contract or receiving funding from the County
has has not of the date of this affidavit been convicted of a felony during the past ten
(10) years.
V. MIAMI -DADE EMPLOYMENT DRUG -FREE WORKPLACE AFFIDAVIT (County Ordinance
no. 92 -15 codified as Section 2 -8.1.2 of the County Code)
That in compliance with Ordinance No. 92 =15 of the Code of Miami -Dade County, Florida, the
above named person or entity is providing a drug -free workplace. A written statement to each
employee shall, inform the employee about:
1. Danger of drug abuse in the workplace
2. The firm's policy of maintaining a drug -free environment at all workplaces
3. Availability of drug counseling, rehabilitation and employee assistance programs
4. Penalties that may be imposed upon employees for drug abuse violations
The person or entity shall also require an employee to sign a statement, as a condition of
employment that the employee will abide by the terms and notify the employer of any criminal
drug conviction occurring no later than five (5) days after receiving notice of such conviction
and impose appropriate personnel action against .the employee up to and including
termination. .
Compliance with Ordinance No. 92 -15 may be waived if the special characteristics of the
product or service offered by the person or entity make it necessary for the operation of the
County or for the health, , safety, welfare, economic benefits and well -being of the public.
Contracts involving funding which is provided in whole or in part by the United States of the
State of Florida shall be exempted from the provisions of this ordinance in those instances
where those provisions are in conflict with the requirements of those government entities.
VI. MIAMI -DADE EMPLOYMENT FAMILY LEAVE AFFIDAVIT (County Ordinances No. 142 -91
codified as Section 11A -29 et. Seq of the County Code)
That in compliance with ordinance No. 142 -91 of the Code of Miami -Dade County, Florida, an
employer with fifty (50) or more employees working in Dade County for each working day
during each of twenty (20) or more calendar workweeks, shall provide the following
information in compliance with all items in the aforementioned ordinance:
Page 3 or 5
An employee who has worked for the above firm at least one (1) year shall be entitled to
ninety (90) days of family leave during any twenty -four (24) month period, for medical reasons,
for the birth or adoption of a child, or for the care of a child, spouse or other close relative who
i'ta8 Garira ie haolth nnnrlitinn Withni it risk of terminatinn of emnlrniar rataliatinn
The foregoing requirements shall not pertain to contracts with the United States or any
department or agency thereof, or the State of Florida or any political subdivision or agency
thereof. It shall, however, pertain to municipalities of this State.
VII. DISABILITY NON - DISCRIMINATION AFFIDAVIT (County Resolution R385 -95)
That the above names firm, corporation or organization is in compliance with the agrees to
continue to comply with and assure that any subcontractor, or third party contractor under this
project complies with all applicable requirements of the laws listed below including, but not
limited to, those provisions nertainino to employment provisions of proorams and services,
transportation, communications, access to facilities, renovations, and new construction in the
following laws: The Americans with Disabilities Act of 1990 (ADA), Pub. L. 101 -336, 104 Stat
327.42 U.S.C. 12101 -12213 and 47 U.S.C. Section 1612; The Fair Housing Act as amended,
42 U.S.C. Section 3601 -3631. The foregoing requirements shall not pertain to contracts with
the United States or any department or agency thereof, the State or any political subdivision
or agency thereof or any municipality of this State.
VIII. MIAMI -DADE COUNTY REGARDING DELIQUENT AND CURRENTLY DUE FEES OR
TAXES (Sec. 208.1 (c) of the County Code)
Except for small purchase orders and sole source contracts, that above named firm,
corporation, organization or individual desiring to transact business or enter a contract with the
County Verifies that all delinquent and currently due fees or taxes — including but not limited to
real and property taxes, utility taxes and occupational licenses — which are collected in the
normal course by the Dade County Tax Collector as well as Dade County issued parking
tickets for vehicles registered in the name of the firm, corporation, organization or individual
have been paid.
IX. CURRENT OR ALL COUNTY CONTRACTS, LOANS AND OTHER OBLIGATIONS
The individual entity seeking to transact business with the County is current in all its
obligations to the County and is not otherwise in default or any contract, promissory note or
other loan documents with the County.or any of its agencies or instrumentalities.
X. PROJECT FRESH START (Resolution R- 702 -98 and 358 -99)
Any firm that has a contract with the County that results in actual payment of $500,000 or
more shall contribute to. Project Fresh Start, the County's Welfare to Work Initiative. However,
if five percent (5 %) of the firm's work force consists of individuals who reside in Miami -Dade
County and who have lost or will loose cash assistance benefits (formerly Aid to Families with
dependent Children) as a result of the Personal Responsibility and Work Opportunity
Reconciliation Act of 1996, the firm may request waiver from the requirement of R- 702098 and
R- 358 -99 by submitting a waiver request affidavit. The foregoing requirement does not pertain
to government entities, not for profit organizations or recipients of grant awards.
Page 4 of 5
XI iIQAAFCTif \ /1f1I Fr`I( -`F LEAVE /Racnhtipn 1R5 -nn; 9g -5 Codified at 11A -50 Ft. San of the
— M cn -
Miami -Dade County Code).
The firm desiring to do business with the County is in compliance with Domestic Leave
Ordinance, Ordinance 99 -5, codified at 11A -60 et. Seq. of the Miami -Dade County Code,
which requires an employer which has in the regular course of business fifty (50) or more
employees working in Miami -Dade County for each working day during each of twenty (20) or
more calendar work weeks in the current or proceeding calendar years, to provide Domestic
Violence Leave to its employees.
I have carefully read this entire five (5) page document entitled Miami -Dade County Affidavits and have
indicated by an "x" a,li affidavits that pertain to his contrsrt and have indicated by an "N /A all affidavits that do
not pertain to this contract.
By:
(Signature of Affiant) (Date)
SUBSCRIBED AND SWORN TO (or affirmed) before me this day of
20_by
He /She is personally known to me or has
presented as identification.
(Type of Identification)
(Signature of Notary) (Serial Number)
(Print of Stamp of Notary)
Notary Public — State of
(State)
Page 5 of 5
(Expiration Date)
AFFIDAVIT OF FINANCIAL AND CONFLICTS OF INTEREST
1. Do you have any past due financial obligations with Miami -Dade County?
YP$ NO
Single Family House Loans —
Multi- Family Housing Rehab —
CDBG Commercial Loan Project —
U.S. HUD Section 108 Loan —
Other HUD Funded Programs .--
Other (liens, fines, loans,
Occupational licenses, etc.) —
If YES, please explain
2. Do you have any past due financial obligations with Miami -Dade County?
YES NO
If YES, please explain:
3. Are you, a relative, of or do you have any business or financial interests with any elected Miami -Dade County official,
Miami -Dade County Employee, or Member of Miami -Dade County's Advisory Boards?
YES _ NO _
If YES, please explain:
Any false Information provided on this affidavit will be reason for rejection and disqualification of your project- funding request
to Miami -Dade County.
The answers to the foregoing questions are correctly stated to the best of my knowledge and belief.
By:
(Signature of Applicant)
(Date)
SUBSCRIBED AND SWORN TO (or affirmed) before me this day of 20_
By . He /She is personally known to me or has presented
as identification.
(Type of Identification)
(Signature of Notary)
(Print or Stamp of Notary)
Notary Public – Stamp of
(State)
(Serial Number)
(Expiration Date)
Notary Seal
i."'.� A C7i Li A b CTS
� A ivxiFLc
,AGENCY NAME
1, S, I nee �Rc
o V v L'�..i'�3 tJ � �.
DATE
O ROUT
1 ATDf'1 DADTIPC
e.r a o L. o..o n t a a e v
THERE ARE NO BOARD MEMBERS OF THE _ (AGENCY NAME)
WHO HAVE ANY RELATIONSHIP OR HAVE MADE ANY TRANSACTION WITH
OTHER ENTITIES THAT MIGHT RESULT IN A CONFLICT WITH (AGENCY
NAME) OPERATIONS.
SWORN STATEMENT PURSUANT TO SECTION 287.133 (3) (a)
FLORIDA STATUTES ON PUBLIC ENTITY CRIMES
THIS FORM MUST BE SIGNED AND SWORN TO IN THE PRESENCE OF A
NOTARY PUBLIC OR OTHER OFFICIAL AUTHORIZED TO ADMINISTER
OATHS
1. This form statement is submitted to
by
(Print individual's name and title)
for
(Print name of entity submitting sworn statement)
whose business address is
and if applicable its Federal Employer Identification Number (FEIN) is If the entity has
not FEIN, include the Social Security Number of the individual signing this sworn statement.
2. 1 understand that a "public entity crime" as defined in paragraph 287.133(1)(g), Florida Statutes,
means a violation of any state or federal law by a person with respect to an directly related to
the transactions . of business with, any public entity or with an agency or political subdivision of
any other state or with the United States, including, but not limited to any bid or contract for
goods or services to be provided to public entity or agency or political subdivision of any other
state or of the United States and involving antitrust, fraud, theft, bribery, collusion, racketeering,
conspiracy, or material misinterpretation.
3. 1 understand that "convicted" or "conviction" as defined in Paragraph 287.133(1)(b), Florida
Statutes, means a finding of guilt or a conviction of a public entity crime, with or without an
adjudication of guilt, in an federal or state trial court of record relating to charges brought by
indictment or information after July 1, 1989, as a result of a jury verdict, non -jury trial, or entry of
a plea of guilty or nolo contendere.
4. 1 understand that an "Affiliate" as.defined in paragraph 287.133(1)(a), Florida Statutes means:
1. A predecessor or successor of a person convicted of a public entity crime, or
2. An entity under the control of any natural person who is active in the management of the
entity and who has been convicted of a public entity crime. The term "affiliate" includes
those officers , directors, executives, partners, shareholders, employees, members, and
agents who are active in the management of an affiliate. The ownership by one person
of shares constituting a controlling interest in another person, or a pooling of equipment
or income among persons when not for fair market value under an arm's length
agreement, shall be a prima facie case that one person controls another person. A
person who knowingly enters into a joint venture with a person who has been convicted
of a public entity crime in Florida during the preceding 36 months shall be considered an
affiliate.
5. I understand that a "person" as. defined in Paragraph 287.133(1)(e), Florida Statutes, means
any natural person or entity organized under the laws of any state or of the United States within
the legal power to enter into a binding contract and which bids or applies to bid on contracts for
the
nrCVISICn ^i ^ ^d° nr
r ^y �Y• "nor °on" inn ue those C:Cero oxi #1 , cnfifii The f — par#narc
r
shareholders, employees, members, and agents who are active in management of an entity
6. Based on information and belief, the statement which 1 have marked below is true in relation to the
entity submitting this sworn statement. (Please indicate which statement applies.)
Neither the entity submitting sworn statement, nor any of its officers, director, executives,
partners, shareholders, employees, members, or agents who are active in the management of the
entity, nor any affiliate of the entity has been charged with and convicted of a public entity crime
subsequent to July 1, 1989.
The entity SUbmifting Chic cAnmrn statement, or one nr more. of itc nffir_.erc diragtnrc,
executives, partners, shareholders, employees, members, or agents who are active in the
management of the entity, or an affiliate of the entity, or an affiliate of the entity had been charged
with and convicted of a public entity crime subsequent to July 1, 1989, AND (please indicate which
additional statement applies.
The entity submitting this sworn statement, or one or more of its officers, directors,
executives, partners, shareholders, employees, members, or agents who are active in the
management of the entity, nor any affiliate of the entity has been charged with and convicted of a
public entity crime subsequent proceeding before a Hearing Officer of the State of the State of
Florida, Division of Administrative Hearings and the Final Order entered by the Hearing Officer
determined that it was not in the public interest to place the entity submitting this sworn statement
on the convicted vendor list. (attach a copy of the final order).
I UNDERSTAND THAT THE SUBMISSION OF THIS FORM TO THE CONTRACTING OFFICER
FOR THE PUBLIC ENTITY IDENTIFIED IN PARAGRAPH 1 (ONE) ABOVE IS FOR THAT PUBLIC
ENTITY ONLY AND THAT THIS FORM IS VALID THROUGH DECEMBER 31 OR THE
CALENDAR YEAR IN WHICH IT IS FILED. I ALSO UNDERSTAND THAT I AM REQUIRED TO
INFORM THAT PUBLIC ENTITY PRIOR TO ENTERING INTO A CONTRACT IN EXCESS OF THE
THRESHOLD AMOUNT PROVIDED IN SECTION 287.017 FLORIDA STATUTES FOR A
CATEGORY TWO OF ANY CHANGE IN THE INFORMATION CONTAINED IN THIS FORM.
Sworn to and subscribed before me this day of
Personally known
Or produced identification
(Signature)
Notary Public -State of
My commission expires
(Type of identification)
20
(Printed, typed or stamped commissioned
name of notary public)
FORM A -12
CODE OF BUSINESS ETHICS
In accordance with Section2- 8.1(i) of the Miami -Dade County Code, each person or
entity that seeks to do business with the County shall adopt a Code of Business Ethics
( "Code) and shall, prior to execution of any contract between the contractor and the
County, submit an affidavit stating that the contractor has adopted a Code that complies
with the requirements of Section 2 -8.1 (i) of the Miami -Dade County Code. Any person
or entity that fails to submit the required affidavit shall be ineligible for contract award.
The Code of Business Ethics shall apply to all business that the contractor does with the
County and shall, at a minimum, require that the contractor:
Comply with all applicable governmental rules and regulations including, among
others, the Miami -Dade County Conflict of Interest and Code of Ethics Ordinance
and the False Claims Ordinance.
Comply with all applicable rules and regulations regarding Disadvantaged
Business Enterprises, Black Business Enterprises, Hispanic Business
Enterprises and Women Business Enterprises (hereinafter collectively Minority
Business Enterprises, "MBEs ") and Community Small Business Enterprises
(CSBEs) and shall specifically prohibit the following practices:
o Pass - through Requirements, The Code shall prohibit pass - throughs
whereby the prime fire requires that the MBE or CSBE firm accept
payments as a MBE or CSBE and pass through those payments or a
portion of those payments to another entity including, but not limited to the
owner /operator of the prime firm;
• Rental Space Equipment or Flat Overhead Fee Requirements, The Code
shall prohibit rental space requirements, equipment requirements, and /or
flat overhead fee requirements, whereby the prime firm requires the MBE
or CSBE firm to rent space or equipment from the prime firm or charges a
flat overhead fee for the use of space, equipment, secretary, etc;
• Staffing Requirements. The Code shall prohibit the prime firm from
mandating, as.a condition to inclusion in the project, that a MBE or CSBE
hire, fire, or promote certain individuals not employed by the prime firm, or
utilize staff employed or previously employed by the prime firm.
• MBE or CSBE Staff Utilization, The Code shall prohibit the prime firm
from requiring the MBE or CSBE firm to provide more staff than is
necessary and then utilizing the MBE or CSBE staff for other work to be
performed by the prime firm.
• Fraudulently creating operating or representing MBE or CSBE. The Code
shall prohibit a prime firm including, but not limited to, the
owners /operators thereof . from fraudulently creating, operating or
representing an entity as a MBE or CSBE for purposes of qualifying for
certification as a MBE or CSBE.
The Code shall also require that on any contract where MBE or CSBE
participation is purported, the contract shall specify essential terms, including, but
not limited to; a specific statement regarding the percent of participation planned
for MBEs or CSBEs, the timing of payments and when the work is to be
performed.
The failure of a contractor to comply with its Code of Business Ethics shall render
any contract between the contractor and the County voidable, and subject
violators to debarment from future County work pursuant to Section 10- 38(h)(2)
of the Code. The Inspector General shall be authorized to investigate any alleged
violation by a contractor of its Code of Business Ethics.
By:
Signature of Affant
Printed Name and Title of Affiant
20_
Date
Federal Employer Identification Number
Printed Name of Firm
of Firm
SUBSCRIBED AND SWORN TO (of.affirmed ) before me this day of _,20_
He /She is personally known to me or has presented as identification.
Type of Identification
Signature of Notary
Print or Stamped Name of Notary
Notary Public, State of
Serial Number
Expiration Date
MIAMI -DADE COUNTY, FLORIDA RFP NO.
Form A -7.2
FAIR SUBCONTRACTING POLICIES
FAIR SUBCONTRACTING PRACTICES
In compliance with Miami -Dade County Ordinance 97 -35, the Proposer submits the following detailed
statement of its policies and procedures for awarding subcontracts:
I hereby certify that the foregoing information is true, correct and complete.
Signature of Authorized Representative:
Title:
Firm Name:
Address:
Telephone:
Form A -7.2 Rev. 2113101
Date:
Fed. ID No
City /State /Zip:
Fax: ( )
LIVING WAGE REQUIREMENT (Miami -Dade County Ordinance 9944)
Effective November 11, 1999 the provisions of Miami -Dade County Ordinance 99 -44 and
Section 2 -8.9 of the Code of Miami -Dade County shall apply to all service contracts involving
the expenditure of over $100,000 per year for "Covered Services."
"Covered Services" are the type of services purchased by the County that are subject to the
requirements of the Living Wage Ordinance which are one of the following:
(1) County Service Contracts
(i) food preparation and /or distribution
(11) security services
(iii) routine maintenance services such as custodial, cleaning, refuse removal, repair,
refinishing and recycling
(iv) clerical or other non - supervisory office work, whether temporary or permanent
(v) transportation and parking services, including airport and seaport services
(vi) . printing and reproduction services
(vii) landscaping, lawn and /or agricultural services
In accordance with .Miami -Dade County Ordinance 99 -44, all Service Contractors entering
into a contract with Miami -Dade County to provide Covered Services as described above
shall pay to all of its employees providing such Covered Services to the County.a Living
Wage of no less than $8.81 per hour plus Health Insurance as described in the
aforementioned ordinance,. or.$10.09 per hour without Health Insurance.
Such Health Benefits shall consist of, payment of at least $1.28 per hour towards the
provision of health care benefits for employees and their dependents. Proof of the provision
of Health Insurance must be submitted to the, County to qualify for the wage rate for
employees with health benefits. The Service Contractor shall also agree to produce all
documents and records relating to he
and compliance with this Ordinance prior to award
of a contract as a result of this solicitation upon request by the County.
If records reflect that the Service, Contractor is
the right to sanction the Service Contractor to
suspension.
In violation of this Ordinance, the County has
include but not limited to termination, fine and
This Ordinance encompasses various responsibilities that must be accomplished by the
successful proposer such as record keeping, posting and reporting. Upon the award of this
contract, the successful proposer must be prepared to comply with these requirements as
outlined in Ordinance 99 -44.
itORryi A -II
MIAMI -DADS COIINTy, FLORIDA
MIAMI -DADE COUNTY LIVING WAGE AFFIDAVIT
(Ordinance 99 -44 and Section 2 -8.9 of the Miami -Dade County Code)
Solicitation No.:
Title:
I being first duly sworn hereby
state and certify that in compliance with Miami -Dade County Ordinance 99 -44 and Section 2 -8.9 of
the Miami -Dade County Code, by accepting award of this contract, the bidder or, proposer agrees to
pay the living wage required by Miami -Dade County Ordinance 99 -44 to all employees assigned to
this contract. The bidder or proposer further understands that the current living wage applied to this
contract is $8.81 per hour plus health benefits as described in the ordinance, or $10.09 per hour without
health benefits.
20
By slgnalu a Of AfAEEant
Printed Name ofAffian[and Tiile Federal Identification Number -
SUBSCRIBED AND SWORN TO (or affirmed) before me this day of 120_1
by HelShe is personally known to me or has presented
as identification.
Type of idenhrleation
Signature ofNotary
Print or Stamp Name of Notary
Notary Public — State of
Rev. 3126102
Serial Number
Expiration Date
Notary Seal
COLLUSION AFFIDAVIT
(Code of Miami -Dade County Section 2 -8.1.1 and 10 -33.1) (Ordinance No. 08 -113)
BEFORE ME, A NOTARY PUBLIC, personally appeared who being
duly sworn states: (insert name of affiant)
I am over 18 years of age, have personal knowledge of the facts stated in this affidavit
and I am an owner, officer, director, principal shareholder and /or I am otherwise authorized to
bind the bidder of this contract.
f state that the bidder ur this coiivaci:
❑ is not related to any of the other parties bidding In the competitive solicitation, and that the
contractor's proposal is genuine and not sham or collusive or made in the interest or on
behalf of any person not therein named, and that the contractor has not, directly or indirectly,
induced or solicited any other proposer to put in a sham proposal, or any other person, firm,
or corporation to refrain from proposing, and that the proposer has not in any manner sought
OR by collusion to secure to the proposer an advantage over any other proposer.
❑ is related to the following parties who bid in the solicitation which are identified and listed
below:
Note: Any person or entity that fails to submit this executed affidavit shall be ineligible for
contract award. In the event a recommended 'contractor identifies related parties in the
competitive solicitation its bid shall be presumed to be collusive and the recommended contractor
shall be ineligible for award unless that presumption is rebutted by presentation of evidence as to
the extent of ownership, control and management of such related parties in the preparation and
submittal of such bids or proposals. Related parties shall mean bidders or proposers or the
principals, corporate officers, and managers thereof which have a direct or indirect ownership
interest in another bidder or proposer for the same agreement or in which a parent company or
the principals thereof of one (1) bidder or proposer have a direct or indirect ownership interest in
another bidder or proposer for the same agreement. Bids or proposals found to be collusive shall
be rejected.
By' 20
Signature of Affiant Date
Printed Name of Affiant and Title Federal Employer Identification Number
Printed Name
Address
BID PACKAGE ADDENDUM RnvhW4A2J99
SUBSCRIBED AND SWORN TO (or affirmed) before me this day of , 20_
He /She is personally known to me or has presented as
identification. Type of identification
Signature of Notary
Print or Stamp Name of Notary
Notary Public — State of
Serial Number
Expiration Date
Notary Seal
BID PACKAGE ADDENDUM RevkW4 /12199
CERTIFICATION REGARDING LOBBYING
Certificz on for Contracts, Grants, Loans and Cooperative Arireemenis
The undersigned certifies, to the best of his or her knowledge and belief, that:
No Federal appropriated funds have been paid or will be paid, by or on behalf of the
undersigned, to any person for influencing or attempting to influence an officer or
employee of an agency, -a Member of Congress, an officer or employee of Congress,
or an employee of a Member of Congress in connection with the awarding of any
Federal contract, the making of any Federal grant, the making of any Federal loan,
the entering into of any cooperative agreement, and the extension, continuation,
renewal, 6inen- '--ce ^+ di cation, Federal contract, reran+ loan, an or
LLAAAvI., w �a.�iUifl of aC_y ..., b.... -., !J.vy
cooperative agreement.
2. If any of the funds other than Federal appropriated funds have been paid or will be
paid to any person for influencing or attempting to influence an officer or employee
of any agency, a Member of Congress, an officer or employee of Congress, or an
employee of a Member of Congress in connection with this Federal contract, grant,
loan, or cooperative agreement, the undersigned shall complete and submit Standard
Form LLL, "Disclosure Form to Report Lobbying," in accordance with its
instructions.
3. The undersigned shall require that the language of this certification be included in
the award documents for all subawards at all tiers (including subcontracts, subgrants,
and contracts under grants, loans, and cooperative agreement in excess of $100,000)
and that all subrecipients shall certify and disclose accordingly.
4. This certification is a material representation of fact upon which reliance was placed
when this transaction was made or entered into. Submission of this certification is a
prerequisite for making or entering into this transaction imposed by section 1352,
title 31, U.S. Code. Any person who fails to file the required certification shall be
subject to a civil penalty of not less than $10,000 and not more than $100,000 for
each such failure.
By:
(signature of Authorized Representative)
Print:
(Print Name of Firm and Authorized Representative)
Title:
Date:
11/06/2009 17:23 FAX
,
CQ.UN7aYx`i''
Carlos Alvarez., Mayor
November 6, 2009
Mr. W. AjiboI8 Bnloguri
City Manager
City of South Miami
6130 Sunset Drive
South Miami, FL 33143
Activity Title: South Miami CRA Street Lighting
Activity ID: 20100002
Category: Capital improvement
Source: CDBG
Approved Amount: $120,000
Subject: FY 2010 Final Award Letter
Dear Mr. Balogun:
1@ 002/005
Housing and Community Development
701 SIN W. It1 C nVd 101 Hoor
Midn�i, I'Inritln i;l;b
1" 786-109,2100 1 786 4r.7 7? Yb
miamidado};nv
Congratulations! On November 4, 2009, the Board of County Commissioners (BCC) approved
the FY 2010 Action Plan funding allocations for the FY 2010 Community Development Block
Grant (CDBG), the HOME Investment Partnerships (HOME). the Emergency Shelter Grant
(ESG), the State Housing Initiative Partnerships (SHIP) and the Community Development Block
Grant Recovery (CDBG -R) Pr'ogroms. This action by the Board of County Commissioners was
the culmination of the FY 2010 Consolidated Request for Applications (RFA) process, which
opened on July 2, 2009, and was coordinated by the Department of Mousing and Community
Development f /k/a the Office of Community and Economic Development.
In an effort to initiate the contract preparation and execution process, picase fill out and return
the following documents (see enclosed samples) by November 18, 2009:
m Detailed and summary budgets as per format provided;
4 Scope of services as per format provided;
a Environmental Review (ER) form with attachments.
In addition, funded agencies are rLquired to attend our Contract Development Technical
Assistance workshop as follows:
November 13, 2009 from 10 :00 a.m. to 12:00 p.m. at the Miami -Dade Hoard of
County Commission Chambers, 111 NW 1st Street, Miami, Florida.
This workshop is mandatory for all newly funded agencies receiving CDBG or ROME
funds. A separate meeting will be scheduled for applicants receiving CDBG -R funds.
"rho purpose of the workshop is to provide technical assistance to agencies regarding the
contract development process. At that time, staff will also discuss the new requirement that all
CDBG funds wilt be granted in the form of forgivable loons. The workshop will mostly focus on
11/06/2009 17:23 FAX R003/005
Mr. W Ajibola Balogun
City Manager
City of Soutb Miami
November 0, 2009
Page '2
federal requirements, the execution of the required documents, and the preparation of scopes of
services and budgets. Your participation will ensure not only the expeditious development of
your contract(s), but also the implemontation and the completion of your activities within the
required time frames. An additional mandatory workshop will be scheduled in mid -
January 2020 for funded agencies /dovolopers of housing activities regardless of funding.
source, Notification and complete details of this workshop will be forwarded under
separate cover.
Please contact Sonia Colon, Team Leader, at (786) 469 -2100 if you have any questions.
Sincerely,
0dj -�
Shalley Jones Horn
Director
EnClOsures
c: Tangle White Jackson, Director, CED Division — DFICD
Annetta Jenkins, Assistant Director, HDLAD - DHCD
Sonia Colon, Team Leader, CEO Division - DHCD
SMCRA Proposed Lighting Improvement Master Plan Priority List
Priority #1—
Priority #2.—
Priority #3 -
Priority #4 -
SW 66th Street from SW 61" Court to SW 58" Avenue
SW 681h Street from SW 59th Place to SW 58h Place; and
SW 61" Drive /Court from SW 59th Place to SW 66th Street
SW62nd Street from SW 62 d Avenue to SW 59th Avenue
SW 64th Street from SW 62nd Avenue to Red Road
Lighting Improvement Master Plan Map
South Miami Community Redevelopment Agency Area
S- W
To IC-oR
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..................... ................ .............
o00o IT PI
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City of South Miami
2008/09- 2012/13 CAPITAL IMPROVEMENTS PROGRAM
CAPITAL IMPROVEMENT PROJECT REQUEST FORM
Name of Project: SMCRA Lighting Improvement —Area 2
. "Dept. Priority: CRA0002
Project No.:
Project Location: SW 68i° Street and SW 61st Court
Category:
Requesting Dept.: SMCRA
,Sl.emnes. mNns. �J�,LV1ipL dames K nn> proieci snPpnnine tlncun,mnx�
DESCRIPTION:
Description.
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JUSTIFICATION
Description.
10-1.s,
OPERATING IAAPACT
Description.
w�
CONCURRENCY:
Description.
-
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ton
PR1olt :PS.
FY 08 -09
FY 09 -10
FY 10 -11
FY 11 -12
FY 12 -13
ACTIVITY
EXPENDITURE SCHEDULE
* *Total Budget:
FUNDING SOURCES
APPROPRIATIONS SCHEDULE
" *Total Funding:
' Priority is subject to change. 2 of 4
'" Based on amounts estimated during preliminary planning.