2CITY OF SOUTH MIAMI
OFFICE OF THE CITY MANAGER
INTER-OFFICE MEMORANDUM
South Miami
bOd
All-America CitY l1IU'
2001
TO: The Honorable Mayor & Members of the City Commission
FROM: Steven Alexander, City Manager
DATE: December 17, 2013 Agenda Item No.:
SUBJECT:
BACKGROUND:
GRANTOR:
GRANT AMOUNT:
GRANT PERIOD:
ATTACHMENTS:
A Resolution authorizing the City Manager to execute a fiscal year 2014 grant
agreement with Miami-Dade County, Office of Management and Budget,
Grants Coordination for the After School House (Tutoring) grant in the
amount of $26,775.
Miami-Dade County by and through its Office of Grants Coordination
awarded the City of South Miami $26,775 to fund the After School House
(Tutoring) Program. The grant period begins on October I, 2013 and ends on
September 30, 2014.
The City of South Miami will be allocating the funds to help support the City's
After School Program by paying for three (3) part-time instructors' salary at
$8,925 each, for a total of $26,775.
Miami-Dade County Office of Management and Budget Grants Coordination
(Formerly Known As Department of Human Services) -Local Granting
Agency
$26,775
October I, 2013 through September 30, 2014
Miami-Dade County FY 2014 Contract for the After School House (Tutoring)
Program (14-SMIA-CB)
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RESOLUTION NO. __ _
A Resolution authorizing the City Manager to execute a fiscal year 2014
grant agreement with Miami-Dade County for the After School House
(Tutoring) grant.
WHEREAS, the Mayor and City Commission desire to accept the grant from Miami-
Dade County by and through its Office of Grants Coordination; and
WHEREAS, the Agreement will provide funding for the After School House (Tutoring)
program; and
WHEREAS, the City Manager is authorized to execute the grant agreement in an amount
of$26,775; and
WHEREAS, the grant period begins on October 1, 2013 and ends on September 30,
2014.
NOW, THEREFORE, BE IT RESOLVED BY THE MAYOR AND CITY
COMMISSION OF THE CITY OF SOUTH MIAMI, FLORIDA THAT:
Section 1: The City Manager is hereby authorized to execute the grant agreement with
Miami-Dade County, Office of Grants Coordination for the After School House Program in the
amount of$26,775. The grant agreement is attached to this resolution.
Section 2: This resolution shall be effective immediately after the adoption hereof.
PASSED AND ADOPTED this __ , day of ___ , 2013.
ATTEST:
CITY CLERK
READ AND APPROVED AS TO FORM
LANGUAGE, LEGALITY AND
EXECUTION THEREOF:
CITY ATTORNEY
APPROVED:
MAYOR
Mayor Stoddard:
Vice Mayor Liebman:
Commissioner Harris:
Commissioner Newman:
Commissioner Welsh:
( .... ", .. ; .. : ....
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AGREEMENT
14-SMIA-CB
FY 2013-14 County General Funds
Ordinances # 13-88 AND 13-90
This Agreement made and entered into as of this day o~, I by and
between Miami-Dade County, a political subdivision of the State of Florida (hereinafter referred
to as "County"), having its principal office at 111 N.W. 1st Street. 19th Floor, Miami, Florida
33128 and City of South Miami, a municipality existing within Miami-Dade under the laws of the
State of Florida, having its principal office at 6130 Sunset Drive, South Miami, Florida 33143
(hereinafter referred to as "Provider"), states conditions and covenants for the rendering of
human and social services. (hereinafter referred to as "Services") for the County.
WHEREAS, the Provider provides or will develop services of value to the County and
has demonstrated an ability or desire to provide these services; and
WHEREAS, the County is desirous of assisting the Provider in providing those services
and the Provider is desirous of providing such services; and
WHEREAS, the County has appropriated grant funds for the proposed services;
NOW, THEREFORE, in consideration of the mutual covenants and agreements herein
contained, the parties hereto agree as foHows:
ARTICLE 1. DEFINITIONS
The following words and expressions used in this Agreement shall be construed as follows,
except when it is clear from the context that another meaning is intended:
a) The words "Agreement" "Contract" or "Contract Documents" shall mean collectively
these terms and conditions, the Scope of Services (Attachment A) .and the Budget
Documents (Attachment B) and all other attachments hereto, as well as all amendments
or budget revisions issued hereto.
b) The words "Contract Manager" shall mean Miami-Dade County's Director of the Office
of Management and Budget ("OMB-GC") or the Director's designee, or the duly
authorized representative designated to manage the Contract.
c} The word "Days" shall mean Calendar Days, unless otherwise specifically noted.
d) The word "Deliverables" shall mean all documentation and any items of any nature
submitted by the Provider to the County's Contract Manager for review and approval
pursuant to the terms of this Agreement.
e) The words "directed", "required", "permitted", "ordered", "designated", "selected",
"prescribed" or words of like import to mean respectively, the direction, requirement,
permission, order, designation, selection or prescription of the County's Contract
Manager; and similarly the words "approved", acceptable", "satisfactory", "equal",
"necessary", or words of like import to mean respectively, approved by, or acceptable or
satisfactory to, equal or necessary. in the sole discretion of the County's Contract
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f)
g)
14-SMIA-CB
Manager.
The words "Effective Term" shall mean the date on which this Agreement is effective,
including start date and end date.
The words "Extra Work" or "Change Order" or "Additional Work" shall mean resulting in
additions or deletions or modifications to the amount, type or value of the Work and
Services as required in this Agreement, as directed and/or approved by the County.
h) "HIPAA" means Health Insurance Portability and Accountability Act of 1996.
i) The words "Scope of Services" shall mean the document appended hereto as
Attachment A, which details the work to be performed by the Provider.
j) The word "subcontractor" or "subconsultant" shall mean any person, entity, firm or
corporation, other than the employees of the Provider, who furnishes labor and/or
materials, in connection with the Work, whether-directly or indirectly, on behalf and/or
under the direction of the Provider and whether or not in privity of Agreement with the
Provider.
k) The words "Work", "Services", "Program", or "Project" shall mean all matters and things
required to be done by the Provider in accordance with the provisions of this Agreement.
I) The word "review" shall mean inspection of original documentation and retention of
copies of such documents associated VJith the administiativ6, fiscal, and piogrammatic
functions of the program(s) supported by Miami~Dade County General Funds.
m) The term "administrative budget" shall refer to costs that are not tied to the direct
provision of services funded under this agreement. These costs may include: 1) the
portion of payroll of Provider's salaried administrative personnel and compensation of
Provider's subcontracted administrative personnel (Le., executive directors, agency
heads, management and business consultants, information technology (IT) consultants,
clerical or other administrative personnel), payment for the administrative (non-program)
portion of their duties; 2) overhead costs not related to the direct provision of services
(Le., administrative office space and related maintenance, utilities, and supplies,
insurance, advertising, marketing and fundraising costs, staff training, accounting and
tax preparation services, and audit fees).
n) The term "arm's length transaction" shall refer to any transaction in which the buyers and
sellers of a product act independently and have no relationship to each other to ensure
that both parties in the transaction are acting in their own self-interest and are not
subject to any pressure or duress from the other party.
0) The term "related party transaction" shall refer to a business deal or arrangement
between two parties who are joined by a special relationship (family member or relative,
stockholder, related corporation) prior to the deal.
p) The term "program income" shall refer to the income received by the Provider directly
from the activities funded under this agreement, or generated as a result of the use of
the County's General Fund award.
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14-SMIA-CB
ARTICLE 2. AMOUNT PAYABLE
Subject to available funds, the maximum amount payable for services rendered under this
contract shall not exceed:
Elderly Services -South Miami Senior Meals
The After School House Program (Tutoring)
$ 18,400
$ 26,775
Both parties agree that should, in the County's sole discretion, available County funding be
reduced, the amount payable under this Contract may be proportionately reduced at the sole
discretion and option of the County.
All services undertaken by the Provider before the County's execution of this Contract shall be
at the Provider's risk and expense.
Both parties agree that this is a twelve month contract from October 1,2013 through September
30, 2014. Both parties expressly acknowledge availability of funding under this contract is at the
County's sole discretion.
It is the ongoing responsibility of the Provider to maintain sufficient financial resources to meet
the expenses incurred during the period between the provision of services and payment by the
County.
ARTICLE 3. SCOPE OF SERVICES
The Provider shall render services in accordance with the Scope of Services incorporated
herein and attached hereto as Attachment A. The Scope of Services must clearly indicate the
time frames for the delivery of each of the proposed services.
The Provider shall implement the Scope of Services as described in Attachment A in a
manner deemed satisfactory to the County. Any modification or amendment to the Scope of
Services shall not be effective until approved by the County and Provider in writing.
The Provider will not use products or foods containing "pink slime," as defined in
Resolution 478-12 of the Board of Miami-Dade County Commissioners, in food that is provided
or served pursuant to this agreement.
For congregate and home-delivered meal programs, the Provider agrees to furnish
proof that it is meeting all applicable local, State, and Federal food safety and hygiene
requirements.
ARTICLE 4. BUDGET SUMMARY
The Provider agrees that all expenditures or costs shall be made in accordance with the
Budget, which is attached herein and incorporated hereto as Attachment B. Pursuant to Board
of Miamj-Dad~ County Commissioners Resolution 630-13, the Provider will also submit a
detailed project budget, and sources and uses statement as Attachment B-1, which shall be
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sufficiently detailed to show (i) the total project cost, (ii) the amount of funds to be used for
administrative and overhead costs, (iii) whether the County funds will be 'gap' funds meaning
that they would be the last remaining funds needed to ensure funding for the total project cost,
(iv) any profit to be made by the Provider, and (v) the amount of funds devoted toward the
provision of the desired services or activities. The Provider will also submit an agency-wide
budget as Attachment 8-2. The agency-wide budget shall display all projected agency revenues
by funding source(s), including but not limited to funds from this Miami-Dade County General
Fund Agreement, any other Miami-Dade County General Fund revenues, the projected
administrative costs across all funding sources, and the total agency revenue for FY 2013-14.
The Provider will continually disclose any changes in funding -County or non-County -through
the submission of an updated Agency-Wide Budget to the OM8-GC within thirty (30) days after
such changes occur.
The Provider may request a budget revision to amend the budget in Attachment 8 no more than
twice during the term of this Agreement. A request for a budget revision must be submitted to
OMB no later than thirty (30) days prior to the expiration of this Agreement.
The Provider may shift funds between existing line items in Attachment B: 1) without a budget
revision, if the change to the line item does not exceed fifteen percent (15%); or 2) with a budget
revision requested by the Provider's President, Vice President, Executive Director, or other
designated representative as stated on the Authorized Signature Form attached hereto, and
approved by the OMB, if the changes to a line item exceed fifteen percent (15%). A budget
revision is also required in order to add new line items.
In no event shall the budget under this agreement include total administrative costs in excess of
fjfteen percent (15%) of each program aHocation under this agreement In addition, pursuant to
Board of Miami-Dade County Commissioners Resolution 700-13, in no event shall County
General Funds, whether under this contract or other county contracts, be used to fund more
than twenty-five percent (25%) of the Provider's total administrative budget.
ARTICLE 5. EFFECTIVE TERM
Both parties agree that the effective term of this Agreement shaH commence on October
1,2013 and terminate at the close of business on September 30,2014.
ARTICLE 6. INDEMNIFICATION BY PROVIDER
A. If the Provider is a Government Entity. Government entity shall indemnify and
hold harmless the County and its officers, employees, agents and instrumentalities from any
and all liability, losses or damages, including attorneys' fees and costs of defense, which the
County or 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 Agreement by the government entity or its employees,
agents, servants, partners, principals or subcontractors. Government entity 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 County, where applicable, including appellate
proceedings, and shall pay all costs, judgments, and attorney's fees which may issue thereon.
Provided, however, this indemnification shall only be to the extent and within the limitations of
Section 768.28, Fla. Stat., subject to the provisions of that Statute, as may be amended,
whereby the government entity shall not be held liable to pay a personal injury or property
damage claim or judgment by a party which exceeds the statutory cap for personal injury or
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property damage claims, liabilities, losses or causes of action which may arise as a result of the
negligence of the government entity. Provider expressly understands and agrees that any
insurance protection required by this Agreement or otherwise provided by Provider or self-
insurance shall in no way limit the responsibility to indemnify, keep and save harmless and
defend the County or its officers, employees, agents and instrumentalities as herein provided,
B. All Other Providers. Provider shall indemnify and hold harmless the County
and its officers, employees, agents and instrumentalities from any and all liability, losses or
damages, including attorneys' fees and costs of defense, which the County or 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 Agreement by the Provide( or its employees, agents, servants, partners
principals or subcontractors. 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 County, where applicable, including appellate proceedings, and shall pay all costs,
judgments, and attorney's fees which may issue thereon. Provider expressly understands and
agrees that any insurance protection required by this Agreement or otherwise provided by
Provider shall in no way limit the responsibility to indemnify, keep and save harmless and
defend the County or its officers, employees, agents and instrumentalities as herein provided.
C. Term of Indemnification. The provisions of Article 6 shall survive the expiration
or termination of this Contract.
ARTICLE 7. INSURANCE
If the total dollar value of all County contracts with the Provider exceeds $25,000 then the
following insurance coverage is required:
A. Governme'nt Entity. If the Provider is the State of Florida or an agency or
political subdivision of the State as defined by section 768.28, Florida Statutes, the Provider
shall furnish the County, upon request, written verification of liability protection in accordance
with section 768.28, Florida Statutes. Nothing herein shall be construed to extend any party's
liability beyond that provided in section 768.28, Florida Statutes. The provider shall also furnish
the County, upon request, written verification of Workers Compensation protection in
accordance with Florida Statutes, Chapter 440.
B. All Other Providers.
1. Minimum Insurance Requirements: Certificates of Insurance. The
Provider shall submit to Miami-Dade County, c/o Office of Management and Budget (OMB), 111
N.W. 1st Street, 19th Floor, Miami, Florida 33128-1994, original Certificate(s) of Insurance
indicating that insurance coverage has been obtained which meets the requirements as outlined
below:
A. All insurance certificates must list the COUNTY as "Certificate Holder" in the
following manner:
Miami-Dade County
111 N.W. 1st Street, Suite 2340
Miami, Florida 33128
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B. Worker's Compensation Insurance for all employees of the SERVICE
PROVIDER as required by Florida Statutes, Chapter 440.
C. Commercial General Liability Insurance in an amount not less than $300,000
combined single limit per occurrence for bodily injury and property damage.
Miami-Dade County must be shown as an additional insured with respect to
this coverage.
D. Automobile Liability Insurance covering all owned, non-owned, and hired vehicles
used in connection with the Work provided under this Agreement, in an amount
not less than $300,000* combined single limit per occurrence for bodily injury and
property damage.
E.
*NOTE: For SERVICE PROVIDERS supplying vans or mini-buses with seating
capacities of fifteen (15) passengers or more, the limit of liability required for Auto
Liability is $500,000. .
Professional Liability Insurance in the name of the SERVICE PROVIDER, when
,...",,,,1;,,,,1,..,.1,, 1 ..... ___ ~_. __ " __ , 1_,... ..... .J.h __ (tIo'lt:n nnn
aptJuValJlv, II I CU I-CU IIVUII\. llV," It;;,,~ LlIC::U I "-P~vVJVVV.
F. 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:
1. The company must be rated no less than "B" as to management, and no
less than "C!ass V" as to financial strength, according to the latest edition
of Best's Insurance Guide published by A.M. Best Company, Oldwick,
New Jersey, or its equivalent, subject to the approval of the COUNTY's
Risk Management Division.
OR
2. The company must hold a valid Florida Certificate of Authority as shown
in the latest "List of All Insurance Companies Authorized or Approved to
Do Business in Florida," issued by the State of Florida Department of
Financial Services.
G. Compliance with the foregoing requirements shall not relieve the SERVICE
PROVIDER of its liability and obligations under this Section or und~r any other
section of this Agreement.
H. The COUNTY reserves the right to inspect the SERVICE PROVIDER'S original
insurance policies at any time during the term of this Agreement.
I. Applicability of this section of the Agreement affects SERVICE PROVIDERS
whose combined total award for all services funded under this Agreement
exceed a $25,000 threshold. If the SERVICE PROVIDER's original total
combined award is less than $25,000, but the SERVICE PROVIDER receives
additional funding during the contract period which makes the total combined
award exceed $25,000, then the requirements in this section shall apply.
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J. Failure to Provide Certificates of Insurance. The Contractor shall be
responsible for assuring that the insurance certificates required in conjunction
with this Section remain in force for the duration of the effective term of this
Agreement (October 1, 2013 through September 30, 2014). If insurance
certificates are scheduled to expire during the effective term, the Provider shall
be responsible for submitting new or renewed insurance certificates to the
County prior to expiration.
In the event that expired certificates are not replaced with new or renewed
certificates which cover the effective term, the County may suspend the
Agreement until such time as the new or renewed certificates are received by the
County in the manner prescribed herein; provided, however, that this suspended
period does not exceed thirty (30) calendar days. Thereafter, the County may, at
its sole discretion, terminate this Agreement.
ARTICLE 8. PROOF OF LICENSURE AND BACKGROUND SCREENING
A. Licensure. If the Provider is required by the State of Florida or Miami-Dade
C'ounty or any law or regulation to be licensed or certified to provide the services or operate the
facilities outlined in the Scope of Services (Attachment A), the Provider shall furnish to the
County a copy of all required current licenses or certificates. Examples of services or
operations requiring such licensure or certification include but are not limited' to childcare, day
care, nursing homes, and boarding homes.
If the Provider fails to furnish the County with the licenses or certificates required under
this Section, the County shall not disburse any funds until it is provided with such licenses or
certificates. Failure to provide the licenses or certificates within sixty (60) days of execution of
this Agreement may result in termination of this Agreement at the County's discretion.
B. Background Screening. The Provider agrees to comply with all applicable
laws, regulations, ordinances, and resolutions regarding background screening of employees,
subcontracted personnel, and volunteers. Provider's failure to comply with any applicable laws,
regulations, ordinances, and resolutions regarding background screening of employees,
subcontracted personnel, and volunteers is grounds for a material breach and termination of this
contract at the sole discretion of the County.
The Provider agrees to comply with all applicable laws (including but not limited to
Chapters 39, 402, 409, 394, 408, 393, 397, 984, 985, and 435, Florida Statutes, as may be
amended from time to time), regulations, ordinances, and resolutions regarding background
screening for those who may work with. vulnerable persons, as defined by section 435.02,
Florida Statutes, as may be amended from time to time.
In the event criminal background screening is required by law, the State of Florida and/or
the County, the Provider will permit only employees, subcontractors, and volunteers with a
satisfactory national criminal background check through an appropriate screening agency (i.e.,
the Florida Department of Juvenile Justice, Florida Department of Law Enforcement, or Federal
Bureau of Investigation) to work in direct contact with yulnerable persons.
The Provider agrees to ensure that employees, subcontracted personnel, and volunteers
who work with vulnerable persons satisfactorily complete and pass Level 2 background
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screening before working with vulnerable persons. Provider shall furnish the County with proof
that employees, subcontracted personnel, and volunteers who work with vulnerable persons,
satisfactorily passed Level 2 background screening, pursuant to Chapter 435, Florida Statutes,
as may be amended from time to time.
The Provider agrees to update the background checks of its staff, subcontractors, and
volunteers at least once every five (5) years.
If the Provider fails to furnish to the County proof that an employee, subcontractor, or
volunteer's Level 2 background screening was satisfactorily passed and completed prior to that
employee, subcontractor, or volunteer working with a vulnerable person or vulnerable persons,
the County shall not disburse any further funds and this Contract may be subject to termination
at the sole discretion of the County.
ARTICLE 9. CONFLICT OF INTEREST
A. The Provider agrees to abide by and be governed by the Miami-Dade County Conflict of
IHtei"est-aHd-GGde-Gf-EtAicsGmtnaAce-c0difiedat-Seetien-~~11 .1et ak-of-theCodeof-Miami;;;
Dade County, as amended, as well as with section 617.0832, Florida Statutes, regarding
director conflict of interests, which are incorporated herein by reference as if fully set forth
herein, in connection with the Provider's contract obligations hereunder. Additionally, the
Provider agrees to:
1. Prohibit members of the Provider's board of directors from voting on matters relating to
this l\greement ';,A/hich may result in the boaid member dii6Ctly or indirectiy receiving
funds paid by the Provider under this Agreement.
2. Prohibit members of the Provider's board of directors from voting on any matters in INhich
they are related to the person or entity seeking a benefit as 1) an officer, director,
partner, of counsel, consultant, employee, fiduciary, beneficiary, or 2) a stockholder,
bondholder, debtor, or creditor.
3. Prohibit mempers of the Provider's board of directors from directly or indirectly receiving
any funds paid by the County to the Provider under this Agreement.
4. Prohibit employees of the Provider from directly or indirectly receiving any funds paid by
the County to the Provider under this Agreement, with the exception of the employee's
salary and fringe benefits or portion of the employee's salary and fringe benefits included
in Attachment B.
a. "Indirectly" for purposes of this section includes payment of funds paid by the
County to the Provider under this Agreement to an organization in which the
employee or board member has a "controlling financial interest," referring to
ownership, directly or indirectly, to ten (10) percent or more of the outstanding
capital stock in any corporation or a direct or indirect interest of ten (10) percent
or more in a firm, partnership, or other business entity or nonprofit organization.
5. Maintain a written conflict of interest policy that applies to hiring, providing services to
clients, and procuring supplies or equipment.
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6. Immediately disclose and justify in writing to the OMB-GC any business transactions
between the Provider, on one side, and Board members or staff, on another side, as well
as all related-party transactions with shareholders, partners, officers, directors, or
employees of any entity that is doing business with the Provider.
7. If the County determines the Provider has breached this section, the County shall
suspend payment until the matter has been resolved to the County's satisfaction.
8.The County may request an opinion from the Miami-Dade Commission on Ethics and
Public Trust regarding questions arising under this section.
B. No person, including but not limited to any officer, member of a board of directors, manager,
or supervisor employed by the Provider, who is in the position of authority, and who exercises
any function or responsibilities in connection with this Agreement, has at the time this
Agreement is entered into, or shall have during the term of this Agreement, received any of the
services funded under this agreement, or direct or instruct any employee under their supervision
to provide such services as described in this Agreement. Notwithstanding the before mentioned
provision, any officer, member of a board of directors, manager or supervisor employed by the
Provider, who is eligible to receive any of the services described herein may utilize such
services if he or she can demonstrate that he or she does not have direct supervisory
responsibility over the Provider's employee(s} or service program and that such utilization is
permissible pursuant to Section 2-11.1 et al. of the Code of Miami-Dade County.
C. All transactions associated with this agreement that do not meet the criteria of an Arm's
Length Transaction must be immediately disclosed and justified in writing to the OMB-GC.
The Provider is required to immediately disclose to the OMB-GC any related party transactions
that occur throughout the duration of this agreement.
ARTICLE 10. CIVIL RIGHTS
The Provider agrees to abide by Chapter 11A of the Code of Miami-Dade County ("County
Coden), as amended, which prohibits discrimination in employment, housing and public
accommodations on the basis of race, creed, religion, color, sex, familial status, marital status,
sexual orientation, pregnancy, age, ancestry, national origin or handicap; 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. §6101, as amended, which
prohibits discrimination in employment because of age; the Rehabilitation Act of 1973, 29
U.S.C. §794, as amended, which prohibits discrimination on the basis of disability; the
Americans with Disabilities Act, 42 U.S.C. §12101 et seq., which prohibits discrimination in
employment and public accommodations because of disability; the Federal Transit Act, 49
U.S.C. §1612, as amended; and the Fair Housing Act, 42 U.S.C. §3601 et seq. It is expressly
understood that. the Provider must submit an affidavit attesting that it is not in violation of the
Acts. If the Provider or any owner, subsidiary, or other firm affiliated with or related to the
Provider is found by the responsible enforcement agency, the Courts or the County to be in
violation of these acts, the County will conduct no ·further business with the Provider.
Any contract entered into based upon a false affidavit shall be voidable by the County. If the
Provider violates any of the Acts during the term of any contract the Provider has with the
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County, such contract shalf be voidable by the County, even if the Provider was not in violation
at the time it submitted its affidavit.
The Provider agrees that it is in compliance with the Domestic Violence Leave, codified as §
11A-60 et seq. of the Miami-Dade County Code, which requires an employer, who in the regular
course of business has fifty (50) or more employees working in Miami-Dade County for each
working day during each of twenty (20) or more calendar work weeks to provide domestic
vioience ieave to its employees.
Failure to comply with this local law may be grounds for voiding or terminating this Agreement or
for commencement of debarment proceedings against Provider.
ARTICLE 11. HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT:
Any person or entity that performs or assists Miami-Dade County with a function or
activity involving the use or disclosure of "individually identifiable health information (IIHI)"
and/or "Protected Health Information (PHI)" shall comply with the Health Insurance Portability
and Accountability Act (HIPAA) of 1996, the Miami-Dade County Privacy Standards
~dmlnlstratble_DrdeLa[l~D-y_ather appUcableJavv's-regardipg--ConfideHtial-infQi"mation.--M~~AA·
mandates for privacy, security and electronic transfer standards include but are not limited to:
1. Use of information only for performing services required by the contract or as required
bylaw;
2. Use of appropriate safeguards to prevent non-permitted disclosures;
3. Reporting to Miami-Dade County of any non-permitted use or disclosure;
4. Assurances that any agents and subcontractors agree to the same restrictions and
conditions that apply to the Provider and reasonable assurances that "HI/PHI will be
held confidential;
5. Makir;9 Protected Health Information (PHI) available to the customer;
6. Making PHI available to the client for review and amendment; and incorporating any
amendments requested by the client as may be required by law;
7. Making PHI available to MiamiwDade County for an accounting of disclosures; and
8. Making internal practices, books, and records related to PHI available to Miami-Dade
County for compliance audits.
PHI shall maintain its protected status regardless of the form and method of transmission (paper
records and/or electronic transfer of data). The Provider must give its clients written notice of its
privacy information practices, including specifically, a' description of the types of uses and
disclosures that would be made with protected health information. Provider must post, and
distribute upon request to service recipients, a copy of the County's Notice of Privacy Practices.
ARTICLE 12. NOTICE REQUIREMENTS
The Provider agrees to notify the County of any changes that may affect the County supported
program(s) under this Agreement within ten (10) days from the date of such a change's
occurrence.
It is also understood and agreed between the parties that any written notice addressed to the
OMS-GC, which is delivered by U.S. Mail or emailed to the OMS-GC and any written notice
addressed to the Provider, which is delivered by U.S. Mail or by email shall constitute sufficient
notice to either party.
Page 10 of 26
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All notices required or permitted under this Agreement which are delivered by U.S. Mail shall be
deemed sufficiently served if delivered by Registered or Certified Mail, with return receipt
requested; or delivered personally; or delivered via fax or by email. All notices to the County
shall be delivered to the following address:
(1) To the County
Miami-Dade County
Office of Management and Budget -Grants Coordination
111 NW 1 st Street, 19 th Floor, Miami, FL 33128
ATTENTION:
Phone:
Fax:
Email: .
(2) To the Provider
Phone:
Fax:
Email:
Felipe M. Rivero, III
Grants and Contracts Administrator
(305) 375-4765
(305) 375-4049
rivero@miamidade.gov
(305) 668-2514
. (305) 668-7388
J Korth@southmiamifl.gov
Either party may at any time designate a different mail or email address and/or contact person
by giving written notice as provided above to the other party.
ARTICLE 13. AUTONOMY
Both parties agree that this Agreement recognizes the autonomy of the contracting
parties and implies no affiliation between the contracting parties. It is expressly understood and
intended that the Provider is only a recipient of funding support and is not an agent or
instrumentality of the County. Furthermore, the Provider's agents and employees are not
agents or employees of the County.
ARTICLE 14. SURVIVAL
The parties acknowledge that any of the obligations in this agreement, including but not
limited to Provider's obligation to indemnify the County, will survive the term, termination, and
cancellation hereof. Accordingly, the respective obligations of the Provider under this
agreement, which by nature would continue beyond the termination, cancellation or expiration
thereof, shall survive termination, cancellation or expiration hereof.
ARTICLE 15. BREACH OF AGREEMENT: COUNTY REMEDIES
A. Breach. A breach by the Provider shall have occurred under this Agreement if:
(1) the Provider fails to provide the services outlined in the Scope of Services (Attachment A) or
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meet expected performance levels within the effective term of this Agreement; (2) the Provider
ineffectively or improperly uses the County funds allocated under this Agreement; (3) the
Provider does not furnish the Certificates of Insurance required by this Agreement or as
determined by the County's Risk Management Division; (4) if applicable, the Provider does not
furnish upon request by the County proof of licensure/certification or proof of background
screening required by this Agreement; (5) the Provider fails to submit, or submits incorrect or
incomplete, proof of expenditures to support disbursement requests or advance funding
disbursements or faiis to submit or submits incomplete or incorrect detailed reports of
expenditures or final expenditure reports; (6) the Provider does not submit or submits
incomplete or incorrect required reports or reports that indicate that expected performance
levels are not being met; (7) the PiOvider refuses to allow the County access to records or
refuses to allow the County to monitor, evaluate and review the Provider's program; (8) the
Provider discriminates under any of the laws outlined in Article 10 of this Agreement; (9) the
Provider, attempts to meet its obligations under this Agreement through fraud,
misrepresentation, or material misstatement; (10) the Provider fails to correct deficiencies found
during a monitoring, evaluation, or review within the specified time as described and defined in a
Corrective Action Plan (CAP); (11) the Provider fails to issue prompt payments to small
business subcontractors or follow dispute resolution procedures regarding a disputed payment;
{12L1:b~J::lrQl.rldeLJailsJo_~lIbJY'jL the_ C_ertificateofGorporate. Status,-8oai"d-.ofDIl"ectoi'"s
requirement, or proof of tax status; and (13) the Provider fails to fulfill in a timely and proper
manner any and all of its obligations, covenants, agreements, and stipulations in this
Agreement.; (14) the Provider fails to meet any of the terms and conditions of the Miami-Dade
County Affidavits (Attachment D) or the State Affidavit (Attachment E); (15) the Provider falsifies
or violates the provisions of the Drug Free Workplace Affidavit (Attachment D); or (16) the
Provider fails to fulfill in a timely and proper manner any and all of its obligations, covenants,
agreements, 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 Agreement.
B. County Remedies. If the Provider breaches this Agreement, the County may pursue any or
all of the following remedies:
1. The County may terminate this Agreement by giving written notice to the
Provider of such termination and specifying the effective date thereof. In the event of
termination, the County may: (a) request the return of all finished or unfinished documents, data
studies, surveys, drawings, maps, models, photographs, reports prepared and secured by the
Provider with County funds under this Agreement; (b) seek reimbursement of County funds
allocated to the Provider under this Agreement; (c) terminate or cancel any other contracts
entered into between the County and the Provider. The Provider shall be responsible for all
direct and indirect costs associated with such termination, including attorney's fees. The County
may also, in the County's sale discretion, recapture a proportionate amount of funding if
expected performance levels under this Agreement are not met by Provider in the County's sole
discretion;
. 2. The County may suspend payment in whole or in part under this
Agreement by providing written notice to the Provider of such suspension and specifying the
effective date thereof, at least five (5) days before the effective date of suspension. If payments
are suspended, the County shall specify in writing the actions that must be taken by the
Provider as condition precedent to resumption of payments and shall specify a reasonable date
for compliance. The County may also suspend any payments in whole or in part under any
other contracts entered into between the County and the Provider. The Provider shall be
Page 12 of 26
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responsible for all direct and indirect costs associated with such suspension, including
attorney's fees. The County may also, in the County's sole discretion, recapture a proportionate
amountof funding if expected performance levels under this Agreement are not met by Provider
in the County's sole discretion;
3. The County may seek enforcement of this Agreement including but not
limited to filing an action in a court of appropriate jurisdiction. The Provider shall be responsible
for all direct and indirect costs associated with such enforcement, including attorney's fees;
4. The County may debar the Provider from future County contracting;
5. If, for any reason, the Provider should attempt to meet its obligations
under this Agreement through fraud, misrepresentation, or material misstatement, the County
shall, whenever practicable terminate this Agreement by giving written notice to the provider of
such termination and specifying the effective date thereof at least five (5) days before the
effective date of such termination. The County may terminate or cancel any other contracts
which such individual or entity has with the County. Such individual or entity shall be
responsible for all direct and indirect costs associated with such termination or cancellation,
in'cluding attorney's fees. Any individual or entity who attempts to meet its contractual
obligations with the County through fraud, misrepresentation, or material misstatement may be
debarred from county contracting for up to five (5) years;
6. Any other remedy available at law or equity.
C. Authorization to Terminate Agreement. The Mayor or the Mayor's designee is
authorized to terminate this Agreement on behalf of the County,
D. Failures or waivers to insist on strict performance of any covenant, condition, or
provision of this Contract by the County shall not be deemed a waiver of any rights or remedies,
nor shall it relieve the Provider from performing any subsequent obligations strictly in
accordance with the term of this Contract. No waiver shall be effective unless in writing and
signed by the parties. Such waiver shall be limited to provisions of this Contract specifically
referred to therein and shall not be deemed a waiver of any other provision. No waiver shall
constitute a continuing waiver unless the writing states otherwise.
E. Damages Sustained. Notwithstanding the above, the Provider shall not be
relieved of liability to the County for damages sustained by the County by virtue of any breach of
the Agreement, and the County may withhold any payments to the Provider until such time as
. the exact amount of damages due the County is determined. The County may also pursue any
remedies available at law or equity to compensate for any damages sustained by the breach.
The Provider shall be responsible for all direct and indirect costs associated with such action,
including attorney's fees.
ARTICLE 16. TERMINATION BY EITHER PARTY
Both parties agree that this Agreement may be terminated by either party hereto by
written notice to the other party of such intent to terminate at least thirty (30) days prior to the
effective date of such termination. The Mayor or the Mayor's designee is authorized to
terminate this Agreement on the behalf of the County.
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ARTICLE 17. PAYMENT PROCEDURES
The County agrees to pay the Provider for services rendered under this Agreement
based on the payment schedule, the line item budget, or both, which are incorporated herein
and attached hereto as Attachment B for services provided under the attached Scope of
Services. Payment shall be made in accordance with procedures outlined below and if
applicable, the Sherman S. Winn Prompt Payment Ordinance (Ordinance 94-40).
A. Reimbursement and Advances. The parties agree that this is a cost~basis Agreement
and that the Provider shall be paid through reimbursement payment based on the budget
approved under this Contidct (see Attachment 8) and when cornpiete and proper
documentation of service delivery and incurred expenses are provided to the County. If the
actual performance levels of the program(s) covered by this agreement are less than tne
expected performance levels, then the County may adjust payments, recapture the funded
award, or seek repayment based on the level of performance. Upon proper and complete
execution of this Contract (to include proof of insurance), the County may provide the Provider
with twenty-five percent (25%) of the Contract amount in·advance. The Provider's request for
this advance payment must be submitted in writing and must specify the reasons and
lus1lflcation~fQLs_ucb __ advBrlce __ -p_aYIT'tB_nt~ __ Jt _nead __ nol_he __ accoJn_panied __ b-Y ____ ~d_etaited-expenditure-----------------------------------
report. The County shall have the sole discretion in choosing whether or not to provide any
advance payments and is not obligated to do so under any circumstances. Advance payments
in excess of 25% of the contract amount may be approved by the Mayor or the OMB-GC
Director as the Mayor's Designee for this purpose.
B. Monies Owed to the County. The County reserves the right, in its sole discretion, to
reduce oavments to the Provider in order to recaoture anv monie!=: OWE'!rl to thE'! r.Olmtv In I ., . ---"-------,-1---··-----J --.~.-.---------------~~ ••• -./ ••••
accordance with County Administrative Order No. 3-29, the Provider that is in arrears to the
County is prohibited from obtaining new County contracts or extensions of contracts until such
time as the arrearage has been paid in full or the County has agreed in writing to an approved
re-payment plan.
C. No Payment of Subcontractors. In no event shall County funds be advanced or paid
by the County directly to any subcontractor hereunder. Payment to approved subcontractors
shalf be made by the Provider following requirements and limitations as detailed in Article 21 of
this Agreement.
D. Requests for Payment. The County agrees to pay all budgeted costs incurred by the
Provider that are allowable under the County guidelines. In order to receive payment for
allowable costs, the Provider shall submit a Monthly Summary of Expenditures Report and a
Monthly Performance Report on forms provided by the OMB-GC. The OMB-GC must receive
the Monthly Summary of Expenditures Report and the Monthly Performance Report no later
than the 21 st day of the month following the month in which services were provided. The
Monthly Summary of Expenditures Report shall reflect the expenses incurred by the Provider for
the month in which services were rendered and documented in the Monthly Performance
Report. Upon submission of satisfactory required monthly reports, the OMB~GC shall make
payment. If the Provider is not meeting its expected expenditure rates, then a corrective action
plan must accompany the Provider's Monthly Summary of Expenditures Report.
The County will not approve payments for in-kind or volunteer services provided by the
Provider on behalf. of the project. The OMB-GC shall accept originals of invoices, receipts, and
other evidence of indebtedness as proof of expenditures. When original documents cannot be
Page 14 of 26
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produced, the Provider must adequately justify their absence in writing and furnish copies as
proof of the expenditures.
E. Processing the Request for Payment. After the OMB-GC staff reviews and approves
the payment request, the OMB will submit a payment request to the County's Finance
Department. The County's Finance Department will issue payment via Automated Clearing
House (ACH) or mail the check directly to the Provider at the address listed in Article 12 of this
Agreement, unless otherwise directed by the Provider in writing. The parties agree that the
processing of a payment request from date of submission by the Provider shall take a maximum
of forty-five (45) days from receipt of a complete and accurate payment request, pursuant to the
County's Sherman S. Winn Prompt Payment Ordinance (Ordinance 94-40), Section 2-8.1.4 of
the Code of Miami-Dade County, Administrative Order No. 3-19, and the Florida Prompt
Payment Act, if supporting documentationlinvoices are properly documented as determined by
the County in its sole discretion. It is the responsibility of the Provider to maintain sufficient
financial resources to meet the expenses incurred during the period between the provision of
services and payment by the County.
Failure to submit monthly reimbursement requests with supporting documentation in a manner
deemed correct and acceptable by the County, by the 21 st day of each month following the
month in which the service was delivered, shall be considered a breach of this Agreement and
may result in termination of this Agreement.
F. Final Request for Payment. A final request for payment from the Provider will be
accepted by the OMB-GC up to thirty (30) days after the expiration of this Agreement. If the
Provider fails to comply, all rights to payment shall be forfeited. The request for the final
payment may include accruals of the personnel costs listed in Attachment B, which the Provider
is obligated to pay after the close of the period for services provided within the term of the
Agreement.
G. Closeout Reporting Process/Recapture of ·Funds. Upon the expiration of this
Contract, the Provider shall submit Closeout Report documents to the OMS no more than thirty
(30) days after the expiration of this Contract. These documents shall include a cumulative
contract year-end summary of the Provider's program performance, the Contract Year-End
Closeout Report, and the Property Inventory Report. If after receipt of these documents, the
OMB-GC determines that the Provider has been paid funds not in accordance with the Contract,
and to which the Provider is not entitled, the Provider shall return such funds to the County or
submit appropriate documentation. The County shall have the sole discretion in determining
whether the Provider is entitled to such funds and the County's decision on this matter shall be
binding. Additionally, any unexpended or unallocated funds shall be recaptured by the County.
ARTICLE 18. PROHIBITED USE OF FUNDS
A. Adverse Actions or Proceeding. The Provider shall not utilize County funds to
retain legal counsel for any action or proceeding against the County or any of its
agents, instrumentalities, employees, or officials. The Provider shall not utilize
County funds to provide legal representation, advice, or counsel to any client in
any action or proceeding against the County or any of its agents,
instrumentalities, employees, or officials.
B. Religious Purposes. County funds shall not be used for religious purposes.
Page 15 of 26
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C. Commingling Funds. The Provider shall not commingle funds provided under
this Agreement with funds received from any other funding sources. The
Provider shall establish a separate account exclusively for receipt of the funds
received pursuant to this Agreement.
D. Program Income. The Provider shall not use any program income to cover
expenses other than those budgeted for payment by program income under this
agreement. The Provider shall track, record, and disclose any program income
generated from the program(s) funded under this agreement.
ARTICLE 19. REQUIRED DOCUMENTS, RECORDS, REPORTS, AUDITS, MONITORING
AND REVIEW
A. Certificate of Corporate Status. The Provider must submit to the OMS, within
thirty (30) days from the date of execution of this Agreement, a certificate of corporate status in
the name of the Provider, which certifies the following: that the Provider is organized under the
laws of the State of Florida; that all fees and penalties have been paid; that the Providers most
........ reooAt-aAl'ltlaifepert-i'las-eeefl-fiJed;-thattts-statusis-aettve:-aflotnat the Previeier-nasfleHiieei
Articles of Dissolution.
B. Board of Director Requirements. The Provider shall ensure that the
Provider's Board of Directors is apprised of the programmatic, fiscal, and administrative
obligations under this agreement funded through County Funds by passage of a formal
resolution authorizing execution of this Agreement with the County. A current list of the
shall at a minimum list the name(s) of the Board's President, Vice President and any other
persons authorized to execute this Agreement on behalf of the Provider, and reference the
program(s) and dollar amounts in the award, as may be amended. A copy of this corporate
resolution must be submitted to the County prior to contract execution. Through the offiCial
minutes of its Board meetings, the Provider must also maintain proof that it has been sharing
the results of all County monitoring reports with its Board.
Additionally, the Provider will furnish the County with copies of the minutes of those Board
meetings (where a properly constituted quorum was achieved). In order to meet Board meeting
requirements a quorum must be achieved. The Provider will furnish the County with a current
listing of the members of the agency's Board that includes the title and contact information,
including home and e-mail addresses for each Board member.
C. Proof of Tax Status; The Provider is required to submit to the County the
following documentation: (a) The I.R.S. tax exempt status determination letter; (b) the most
recent I.R.S. Form 990 or I.R.S. Form 990-N; (c) the annual submission of I.R.S. Form 990 or
I.R.S. Form 990-N within (6) months after the Provider's fiscal year end; (d) IRS form 941 -
Quarterly Federal Tax Return Reports within thirty-five (35) days after the quarter ends and if
the form 941 reflects a tax liability, proof of payment must be submitted within forty-five (45)
days after the quarter ends.
D. Business Application. The Provider shall be a registered vendor with the
County's Department of Procurement Management, for the duration of this Agreement. It is the
responsibility of the Provider to file the appropriate Vendor Application and to update the
Application file for any changes for the duration of this Agreement, including any option years.
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F. Accounting Records. The Provider shall keep accounting records which
conform to Generally Accepted Accounting Principles (GAAP) in the United States. All such
records will be retained by the Provider for not less than five (5) years beyond the term of this
Agreement, and shall be made available for review upon request from County authorized
personnel.
G. Financial Audit. If the Provider has or is required to have an annual certified
public accountant's opinion and related financial statements, the Provider agrees to provide
these documents to the OMB-GC no later than one hundred eighty (180) days following the end
of the Provider's fiscal year, for each year during which this Agreement remains in force or until
all funds received pursuant to this Agreement have been so audited, whichever is later.
H. Access to Records: Audit. The County reserves the right to require the
Provider to submit to an audit by an auditor of the County's choosing or approval and to review
any independent audit performed on the Provider for reasons of compliance with funding
requirements of any other governmental agency or financial institution. The Provider shall
provide access to all of its records which relate to this Agreement at its place of business during
regular business hours. The Provider agrees to provide such assistance as may be necessary
to facilitate the review or audit by the County to ensure compliance with all applicable
accounting and financial standards.
I. Quarterly Reviews of Expenditures and Records. The County Commission
Auditor may perform quarterly reviews of Provider expenditures and records. Subsequent
payments to the provider shall be subject to a satisfactory review of Provider records and
expenditures by the County Commission Auditor, including but not limited to, review of
supporting documentation for expenditures and the existence of sufficient documentation to
support eligible expenditures. The Provider agrees to reimburse the County for ineligible
expenditures as determined by the County Commission Auditor.
J. Quality Assurance I Recordkeeping. The Provider shall maintain, and shall
require that the Provider's subcontractors and suppliers maintain, complete and accurate
program and fiscal records to SUbstantiate compliance with the requirements set forth in the
Attachment A, Scope of Services, of this Agreement. The Provider and its subcontractors and
suppliers, shall retain such records, and all other documents relevant to the Services furnished
under this Agreement for a period of five (5) years from the expiration date of this Agreement.
The Provider agrees to participate in evaluation studies, quality management activities,
Corrective Action Plan activities, and analyses carried out by or on behalf of the County to
evaluate the effectiveness of client servicE?(s) or the appropriateness and quality of care/service
delivery. Accordingly, the Provider shall permit authorized staff involved in such efforts the right
of access to the Provider's premises and records
K. Confidentiality Requirements. The Provider shall establish and implement
policies and procedures that ensure compliance with the following security standards and any
and all applicable State and Federal statutes and regulations for the protection of confidential
client records and electronic exchang~ of confidential information. "Confidential" shall be used
in this section to describe information that is confidential under applicable law. The policies and
procedures must ensure that:
Page 17 of 26
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(1) There is a controlled and secure area for storing and maintaining active
confidential information and files, including but not limited to medical
records;
(2) Confidential records are not removed from the Provider's premises,
unless otherwise authorized by law or upon written consent from the
County;
(3) Access to confidential information is restricted to authorized personnel of
the Provider, the County, and/or the United States Office of the Inspector
General;
(4) Records are not left unattended in areas accessible to unauthorized
individuals;
(5) Access to electronic data is controlled;
(6)
(7)
Written authorization, signed by the client, is obtained for release of
-·eopiesof-eHent-records-andforinformation.-Ortgtnal-do-caments--must-
remain on file at the originating provider site;
An orientation is provided to new staff persons, employees, and
volunteers. All employees and volunteers must sign a confidentiality
pledge, acknowledging their awareness and understanding of
confidentiality laws, regulations, and policies;
(8) Procedures are developed and implemented that address client chart and
medical record identification, filing methods, storage, retrieval,
organization and maintenance, access and security. confidentiality,
retention, release of information, copying, and faxing.
L. Progress Reports. The Provider shall furnish the OMS-GC with monthly
progress/performance reports in accordance with the activities and goals detailed in
Attachments A and F of this Agreement. The reports shall explain the Provider's progress for
the month and, in the event that its activities are seasonal, must clearly indicate when specific
services and related expenditures will occur. The data should be quantified when appropriate.
A corrective action plan must accompany all progress reports that indicate that the 'Provider is
not meeting its expected service goals or expected performance levels. The final progress
report shall be due no later than thirty (30) days after the expiration or termination of this
Agreement.
M. Monitoring: Management Evaluation and Performance Review. The
Provider agrees to permit County authorized personnel to monitor. review, and evaluate the
program/work which is the subject of this Agreement. The OMS-GC shall monitor fiscal,
administrative, and programmatic compliance with all the terms and conditions of the
Agreement. The OMS-GC will also have the right to inspect original documentation regarding
administrative, fiscal, and programmatic matters and may retain copies of that documentation
for verification purposes. The Provider shall permit the OMS-GC to conduct site visits, client
assessment surveys, and other techniques deemed reasonably necessary to fulfill the
monitoring function. A report of the OMS-GC's findings will be delivered to the Provider and the
Page 18 of 26
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14-SMIA~CB
Provider will rectify all deficiencies cited within the period of time specified in the report. If such
deficiencies are not corrected within the specified time frame noted in the monitoring report, the
County may suspend payments or terminate this Agreement. The OMB-GC may conduct one
or more formal management evaluation and performance reviews of the Provider. Continuation
of this Agreement or future funding is dependent upon satisfactory monitoring of follow-up and
corrective action, if warranted, by the Provider.
N. Client Records. The Provider shall maintain a separate individual client file for
each client/family served, where appropriate. This client file shall include all pertinent
information regarding case activity. At a minimum, the client file shall contain referral and intake
information, treatment plans, and case notes documenting the dates services were provided
and the type of service provided. These client files shall be subject to the audit, monitoring and
inspection requirements under Article 19, Sections F, G, H, and M and any other relevant
provisions of this Agreement.
O. Disaster Plan/Continuity of Operations Plan (COOP). The Provider shall
develop and maintain an Agency Disaster Plan/COOP. At a minimum, the Plan will describe
how the Provider establishes and maintains an effective response to emergencies and
disasters, and must comply with any Emergency Management related Florida Statutes
applicable to the Provider. The Disaster Plan/COOP must be submitted to the OMB no later
than January 1st of the contract term and is also subject to review and approval of the County in
its sole discretion. The Provider will review the Plan annually, revise it as needed, and maintain
a written copy on file at the Provider's site.
P. Public Records. Pursuant to Section 119.0701 of the Florida Statutes, if the
Provider meets the definition of "Contractor" as defined in Section 119.0701 (1 )(a), the Provider
shall:
(a) Keep and maintain public records that ordinarily and necessarily would be
required by the public agency in order to perform the service;
(b) Provide the public with access to public records on the same terms and
conditions that the public agency would provide the records and at a cost that
. does not exceed the cost provided in this chapter or as otherwise provided by
law;
(c) Ensure that public records that are exempt or confidential and exempt from
public records disclosure requirements are not disclosed except as authorized by
law; and
(d) Meet all requirements for retaining public records and transfer to the County,
at no County cost, all public records created, received, maintained and or directly
related to the performance of this Agreement that are it:! possession of the
provider upon termination of this Agreement.
Upon termination of this Agreement, the Provider shall destroy any duplicate
public records that are exempt or confidential and exempt from public records
disclosure requirements. All records stored electronically must be provided to the
County in a format that is compatible with the information technology systems of
the County.
For purposes of this Article, the term "public records lll shall mean all documents,
papers, letters, maps, books, tapes, photographs, films, sound recordings, data
processing software, or other material, regardless of the physical form,
characteristics, or means of transmission, made or received pursuant to law or
ordinance or in connection with the transaction of official business of the County.
Page 19 of 26
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Providers failure to comply with the public records disclosure requirement set
forth in Section 119.0701 of the Florida Statutes shall be a breach of this
Agreement. .
In the event the Provider does not comply with the public records disclosure
requirement set forth in Section 119.0701 of the Florida Statutes, the County may, at the
County's sole discretion, avail itself of any of the remedies for breach set forth under this
Agreement or avaHab!e at la'v'v or equity.
ARTICLE 20. Audits and Internal Reviews by the Office of Management and Budget,
Office of Miami~Dade County Inspector General, and the Commission
Auditor
The Provider understands that it may be subject to an audit, random or otherwise, by the
Office of the Miami-Dade County Inspector General or an Independent Private Sector Inspector
General retained by the Office of the Inspector General, or the County Commission Auditor.
The Provider may also be subject to an internal review, random or otherwise, by the OMB-GC.
Independent Private Sector Inspector General Reviews. The attention of the Provider is
-lYefebydifected-to-tne r'eqillfementscirMiamf=UaaeCc>TJnfy···Code Secfion2~f076; ifitnatlffe-
Office of the Miami-Dade County Inspector General (IG) shall have the authority and power to
review past, present and proposed County programs, accounts, records, contracts and
transactions. The IG shall have the power to subpoena witnesses, administer oaths and require
the production of records. Upon ten (10) days written notice to the Provider from IG, the Provider
shall make all requested records and documents available to the IG for inspection and copying.
The IG shall have the power to report and/or recommend to the Board of County
Commissioners whether a particular project, program, contract or transaction is or was
necessary and, if deemed necessary, whether the method used for implementing the project or
__ .... _~ __ ~: ___ .A~ ___ E£~_:_~J. 1 ..... _J.1_ r: ...... __ .... ~!_t' •• _.~-1 _~ ___ .L:_~_IL. l\a_ .... :J. ...... :_~ _£ _. __ .6!_":._~ • ___ :_ .... L ......
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program may include reporting whether the project is on time, within budget and in conformity
with plans, specifications, and applicable law. The IG shall have the power to analyze the need
for, and reasonableness of, proposed change orders.
The IG may, on a random basis, perform audits on all County contracts throughout the
duration of said contract (hereinafter "random audits"). This random audit is separate and
distinct from any other audit by the County. Grant reCipients are exempt from paying the cost of
the audit which is normally % of 1 % of the total contract amount.
The IG shall have the power to retain and coordinate the services of an independent
private sector inspector general (IPSIG) who may be engaged to perform said random audits,
as well as audit, investigate, monitor, oversee, inspect, and review the operations, activities and
performance and procurement process including, but not limited to, project design,
establishment of bid specifications, bid submittals, activities of the contractor, its officers, agents
and employees, lobbyists, County staff and elected officials in order to ensure compliance with
contract specifications and detect corruption and fraud.
Nothing in this Agreement shall impair any independent right of the County to conduct
audit or investigative activities. The provisions of this section are neither intended nor shall they
be construed to impose any liability on the County by the Provider or third parties.
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ARTICLE 21. SUBCONTRACTORS and ASSIGNMENTS
A. Subcontracts. The parties agree that no assignment or subcontract will be
made or let in connection with this Agreement without the prior written approval of the OMB-GC
in its sole discretion, which shall not be unreasonably withheld, and that all subcontractors or
assignees shall be governed by all of the terms and conditions of this Agreement. The Provider
will obtain three quotes for all proposed subcontracts valued at $1,000 and above and maintain
documentation of all three (3) quotes on file.
1) If the Provider will cause any part of this Agreement to be performed by a
Subcontractor, the provisions of this Agreement will apply to such
Subcontractor and its officers, agents and employees in all respects as if
it and they were employees of the Provider; and the Provider will not be in
any manner thereby discharged from its obligations and liabilities
hereunder, but will be liable hereunder for all acts and negligence of the
Subcontractor, its officers, agents; and employees, as if they were
employees of the Provider. The services performed by the Subcontractor
will be subject to the provisions hereof as if performed directly by the
Provider.
2) The Provider, before making any subcontract for any portion of the
services, will state in writing to the County the name of the proposed
Subcontractor, the portion of the Services which the Subcontractor is to
perform, the place of business of such Subcontractor, and such other
information as the County may require. The County will have the right to
require the Provider not to award any subcontract to a person, firm, or
corporation disapproved by the County in its sole discretion.
3) Before entering into any subcontract hereunder, the Provider will inform
the Subcontractor fully and completely of all provisions and requirements
of this Agreement relating either directly or indirectly to the Services to be
performed. Such Services performed by such Subcontractor will strictly
comply with the requirements of this Agreement.
4) In order to qualify as a Subcontractor satisfactory to the County in its sole
discretion, in addition to the other requirements herein provided, the
Subcontractor must be prepared to prove to the satisfaction of the County
that it has the necessary facilities, skill and experience, and ample
financial resources to perform the Services in a satisfactory manner. To
be considered skill~d and experienced, the Subcontractor must show to
the satisfaction of the County in its sole discretion that it has satisfactorily
performed services of the same general type which is required to be
performed under this Agreement.
5) The County shall have the right to withdraw its consent to a subcontract if
it appears to the County that the subcontract will delay, prevent, or
otherwise impair the performance of the Contractor's obligations under
this Agreement. All Subcontractors are required to protect the
confidentiality of the County's and County's proprietary and confidential
information. Provider shall furnish to the County copies of all
Page 21 of 26
eB
14~SMIA-CB
subcontracts between Provider and Subcontractors and suppliers
hereunder. Within each such subcontract, there shall be a clause for the
benefit of the County permitting the County to request completion of
performance by the Subcontractor of its obligations under the
subcontract, in the event the County finds the Contractor in breach of its
obligations, the option to pay the Subcontractor directly for the
performance by such subcontractor. Notwithstanding, the foregoing shall
neither convey nor imply any obligation or liability on the part of the
County to any subcontractor.
B. If this Agreement involves the expenditure of $100,000 or more by the County
and the Provider intends to use subcontractors to provide the services listed in the Scope of
Service (Attachment A) or suppliers to supply the materials, the Provider shall provide the
names of the subcontractors and suppliers on the form attached as Attachment L The Provider
agrees that it will not change or SUbstitute subco.ntractors or suppliers from those listed in
Attachment I without prior written approval of the County.
C. Prompt Payments to Subcontractors. The Provider shall issue prompt
-fYaymefnlsfo-sUl5confracforslrYal are smallbusitiesses( annTfafgross sales or$750;OOOor less
with its principal place of business in Miami-Dade County) and shall have a dispute resolution
procedure in place to address disputed payments. Pursuant to the County's Sherman S. Winn
Prompt Payment Ordinance (Ordinance 94-40), Section 2-8.1.4 of the Code of Miami-Dade
County, Administrative Order No. 3-19, and the Florida Prompt Payment Act, payments must be
made within thirty (30) days of receipt of a proper invoice. Failure to issue prompt payments to
small business subcontractors or adhere to dispute resolution procedures may be grounds for
suspension or termination of this Agreement or debarment.
ARTICLE 22. LOCAL, STATE, AND FEDERAL COMPLIANCE REQUIREMENTS
Provider agrees to comply, in accordance with applicable professional standards, with
the provisions of any and all applicable Federal, State and the County orders, statutes,
ordinances, rules and regulations which may pertain to the Services required under this
Agreement, including but not limited to:
a) Miami-Dade County Florida, Department of Business Development Participation
Provisions, as applicable to this Agreement.
b) Miami-Dade County Code, Chapter 11A, Article 3. All Providers and
subcontractors performing work in connection with this Agreement shall provide
equal opportunity for employment and services without regard to race, creed,
religion, color, sex, familia.l.status, marital status, sexual orientation, pregnancy,
age, ancestry, national origin or handicap. The aforesaid provision shall include,
but not be limited to, the following: employment, upgrading, demotion or transfer,
recruitment advertising; layoff or termination; rates of payor other forms of
compensation; and selection for training, including apprenticeship. The Provider
agrees to post in a conspicuous place available for employees and applicants for
employment, such notices as may be required by the Dade County Equal
Opportunity Board or other authority having jurisdiction.
c) "Conflicts of Interest" Section 2-11 of the Code of Miami-Dade County, and
Or9inance 01-199, as well as the Miami-Dade County False Claims Ordinance.
Page 22 of 26
CB
d) Miami-Dade County Code Section 10-38 "Debarment".
e) Miami-Dade County Ordinance 99-5, codified at 11A-60 et. seq. Code of Miami-
Da(je County pertaining to complying with the County's Domestic Leave
Ordinance. Failure to comply with this local law may be grounds for voiding or
terminating this Agreement or for commencement of debarment proceedings
against Provider.
f) Part III, Ch. 2, Art. 1 and Ch. 11A of the Miami-Dade County Code, and any
payment and performance bond requirements if applicable under the Florida
Statutes and F.A. R. 52.222 if applicable.
g) Miami-Dade County Ordinance 99-152, prohibiting the presentation,
maintenance, or prosecution of false or fraudulent claims against Miami-Dade
County.
h) Provider shall also develop aDd implement a written Code of Business Ethics
and Conduct that will consist of a training program and an internal control system
fu~ .
1. Are suitable to the size of the Provider and extent of its involvement in
government contracting,
2. Facilitate timely discovery and disclosure of improper conduct in connection with
government contracts, and
3. Ensure corrective measures are promptly instituted and carried out.
Notwithstanding any other provision of this Agreement, Provider shall not be required pursuant
to this Agreement to take any action or abstain from taking any action if such action or
abstention would, in the good faith determination of the Provider, constitute a violation of any
law or regulation to which Provider is subject, including but not limited to laws and regulations
requiring that Provider conduct its operations in a safe and sound manner.
ARTICLE 23. MISCELLANEOUS
A. Publicity. It is understood and agreed between the parties hereto that this
Provider is funded by Miami-Dade County. Further, by the acceptance of these funds, the
Provider agrees that events funded by this Agreement shall recognize and adequately reference
the County as a funding source. The Provider shall ensure that all publicity, public relations,
advertisements and signs recognizes ~nd references the County for the support of all
contracted activities. This is to include, but is not limited to, all posted signs, pamphlets, wall
plaques, cornerstones, dedications, notices, flyers, brochures, news releases, media packages,
promotions, and stationery. The use of the official County logo is permissible for the publicity
purposes stated herein. Provider shall submit sample or mock up of such publicity or materials
to the County for review and approval. The Provider shall ensure that all media representatives,
when inquiring about the activities funded by this contract, are informed that the County is its
funding source.
B. Governing Law and Venue. This Agreement is made in the State of Florida and
shall be governed according to the laws of the State of Florida. Venue for this Agreement shall
Page 23 of 26
CB
14-SMIA-CB
be Miami-Dade County, Florida.
C. Modifications. Any alterations, variations, modifications, extensions, or waivers
of provisions of this Agreement 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 and attached to the original of this Agreement.
The County and Provider mutually agree that modification of the Scope of Service,
schedule of payments, billing and cash payment procedures, set forth herein and other such
revisions may be made as a written amendment to this Agreement executed by both the parties.
The Mayor or the Mayor's designee is authorized to make modifications to this
Agreement as described herein on behalf of the County.
The Office of the Inspector General shall have the power to analyze the need for, and
the reasonableness of proposed modifications to this Agreement.
D. Counterparts. This Agreement is executed in three (3) counterparts, and each
-cQ\Jnt@rpart-sllallcGtlstitute ·an0fi~iflaieftt'l:is A§reement-
E. 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 Agreement. 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.
F. Pre-condition to County's Execution of this Agreement. The Provider acknowledges
that prior to the County Mayor or Mayor's designee executing this Agreement, the OMB-GC
shall engage in a due diligence effort and review (lithe Due Diligence Effort and Review")
which includes but is not limited to researching background information on the Provider,
ensuring the Provider is not in non-compliance with other County contracts, and reviewing
the Provider's scope of services, budget, affidavits, responses to affidavits and any other
proposed or required attachments to this Agreement. If the· County through the OMB-GC in
consultation with the County Mayor or Mayor's designee is concerned regarding findings of
the Due Diligence Effort and Review, the County Mayor or Mayor's designee shall present
findings of the Due Diligence Effort and Review to the Board of Miami-Dade County
Commissioners with the County Mayor or Mayor's designee's recommendation as to how
to proceed, and the Board of Miami-Dade County Commissioners shall then direct the
County Mayor or Mayor's designee whether or not to execute this Agreement with the
Provider by taking action on the recommendation. All services undertaken by the Provider
before the County's execution of this Agreement shall be at the Provider's risk and
expense.
G. No Third Parties.The parties expressly agree there are no intended or unintended third
party beneficiaries to this Agreement.
H. Sovereign Immunity. Nothing in this contract shall be considered a waiver of
sovereign immunity_
Page 24 of 26
CB
14-SMIA-CB
I. Review of this Agreement. Each party hereto represents and warrants that
they have consulted with their own attorney concerning and participated in the drafting of each
of the terms contained in this Agreement. No inference, assumption, or presumption shall be
drawn from the fact that one party or its attorney prepared this Agreement. It shall be
conclusively presumed that each party participated in· the preparation and drafting of this
Agreement.
J. Totality of Agreement I Severability of Provisions. This Agreement and
Attachments, with it recitals on the first page of the Agreement and with its attachments as
referenced below contain all the terms and conditions agreed upon by the parties:
Attachment A Scope of Services
Attachment B: Budget
Attachment C: Collusion Affidavit
Attachment 0: Miami-Dade County Affidavits
Attachment 0-1: Due Diligence Affidavit
Attachment E: State Public Entities Crime Affidavit
Attachment F: Monthly Payment Request
Attachment G: Monthly Progress Report
Attachment H: Final Year-End Closeout Report
Attachment I: List of Subcontractors and Suppliers (NOTE: Attachment I must be completed and
included with this Agreement oniy if the accompanying contract award totals $100,000 or
more.)
Attachment J:Authorized Signature Form
No other Agreement, oral or otherwise, regarding the subject matter of this Agreement
shall be deemed to exist or bind any of the parties hereto. If any provision of this Agreement is
held invalid or void, the remainder of this Agreement shall not be affected thereby if such
remainder would then continue to conform to the terms and requirements of applicable law and
ordinance.
SIGNATURES ON THE FOLLOWING PAGE
Page 25 of 26
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14-SMIA-CB
IN WITNESS WHEREOF, the parties have executed this Agreement effective as of the contract
date herein above set forth.
CITY OF SOUTH MIAMI
By:
Name:
Title:
Date:
Attest:
Print Name:
Title:
Authorized Person OR
Notary Public
Corporate Seal OR Notary Seal/Stamp:
MIAMI-DADE COUNTY
By:
Name:
Title: County Mayor or Mayor's
Designee
Date:
Attest: HARVEY RUVIN, Clerk
Board of County Commissioners
By:
Print Name:
Page 26 of 26
J
·1
~
ATTACHMENT A
MIAMI-DADE COUNTY OFFICE OF MANAGEMENT AND BUDGET
GRANTS COORDINATION
SCOPE OF SERVICE NARRATIVE
SECTION I: GENERAL INFORMATION
Name of Organization: City of South Miami, Parks and Recreation Department
Address: 6130 Sunset Drive, South Miami, Florida 33143
Program Contact Person: Jennifer E. Korth, Grants and Sustainable Initiatives Administrator
Phone Number: 305-668-2514 Fax Number: 305-663-6345
E-mail Address: jkorth@southmiamifl.gov
Fiscal Contact Person: Alfredo Rivero!, CFO
Phone Number: 305-663-6343 Fax Number: 305-668-7388
E-mail Address: ariverol@southmiamifl.gov
Board President/Chair: N/A
Phone Number: N/A Fax Number: N/A
E-mail Address: N/A
Non-Profit Entity 0 For-Profit Entity 0
Contract Amount: $18.400 Contract Period: October 1, 2013 -September 30,2014
SECTION II: PROGRAM NARRATIVE
Descriptive Program Name: South Miami Senior Meals Program
Describe the program goals:
The Senior Meals Program will provide positive social, cultural, educational, and recreational
opportunities for seniors residing in the City of South Miami. In addition, the program will create a
healthy environment for our senior population by encouraging physical activities, and providing
nutritional meals, which will lead to a healthier lifestyle for the targeted population. Services will be
provided to residents at the HUD Senior Center for participants regardless of race, religion, gender, or
family income level that are 60 years and older.
Describe the program and services and how program funding will be used:
Page 1 of 3
ATTACHMENT A (A)
Through our Parks and Recreation Del2artment, the City of South Miami will provide prel2ared meals
to sixty-nine (69) residents that l2articil2ate in activities at the HUD Senior Center located in South
Miami. .
Identify what Commission District(s) will be served: District 7
. Identify the target population that will be served (i.e., children/students, seniors, adults, families,
genera! population, businesses etc,): Seniors
Identify the total number of the target population served (if more than one service, define for each): 69
SECTION III: PROFILE OF SERVICES
Annual workload measures (for each type of service to be provided including the number of clients to
be served in the program) [I.e., 3 hours of after school care for twenty-five (25) children ages 5 -10,
one home delivered meal for 50 seniors every day (18,250 meals)]:
The Senior Meals Program will provide two (?) pre-packaged meals (cantina-style) to sixty-nine (69)
residents at the HUD Senior Center every Friday. The program will provide approximately 138 meals
perweek-(69s<:miorsXn 2f'neals ·per-we-ek)for52-weeks;-for a-maximum-of-7';1fr4 ·mealsduringthen
contract period.
Unit Cost (Oefine the unit(s) of service and detail the unit cost(s) for the service):
$18,400/69 clients::: $266.67 per client.
Identify the period of service delivery for program component(s) that WILL NOT be provided year-
round: N/A.
Total number of unduplicated clients that will be served during the program year is: 69.
Total number of clients receiving ongoing services: 69.
Total number of new clients will be: 10.
A typical client will be in the program for: ..Lday(s) -1L month(s) .JLweek(s) ..Lhour(s)
What is the defined workload measure (meals provided, therapy, tutoring, or after-school care hours,
program completion, employment, etc.): meals provided.
The total number of workload measures that will be provided during the program year: 7,104 meals
Location of Service Site(s} and Hours of Service at each Site: (List all administrative and program
sites including the physical street address with zip codes, contact information and the hours of
operation for each site):
The City of South Miami Senior Center is located at 6701 SW 62nd Avenue, South Miami, Florida
33143. The hours of operation are Monday-Friday from 7:00 am -3:00 pm.
The service site phone number is: (305)663-6319; email: qpough@southmiamifl.gov.
Page 2 of3
ATTACHMENT A (A)
SECTION IV: STATEMENT OF OBJECTIVES: (Define measurable and specific program objectives.
Please quantify and note timeframe for completion of each objective [Le.,75% of children attending
after school tutoring program will increase their reading score by a full letter grade as measured by
pre and post-testing during the contract year]).
• One hundred percent (100%) of the elderly participants that receive weekend meals will satisfy
one of their basic needs.
• Ninety percent (90%) of the elderly participants will gain sufficient nutrition from the meals
provided which will be measured by the type of menu provided.
• Ninety percent 90% of the elderly participants will be satisfied with the services provided which
will be measured by surveys.
BACKGROUND SCREENING INFORMATION
The program(s) is serving "at-risk" population: Yes ... X... No.: .. :.: .. , .. : .. ! ... N/A~ ....
The minimum age for a client is: ~ years.
The maximum age for a client is: N/A years.
Staff or volunteers working directly with seniors for more than 10 hours: Yes ... X ... No -,-,-,-,-N/A~
SECTION V: ORGANIZATIONAL SUPPORT ACTIVITIES
Describe how your organization will do outreach and public awareness of program activities:
Public announcements will made during televised City Commission meetings, and on the City's Web.
Describe how your organization will complete a self-assessment of its services throughout the
program year (i.e .• client satisfaction questionnaires, online surveys, independent organization audit
review, etc.): Annual survey
SECTION VI: CERTIFICATION
I certify that the Scope of Services of the program will be carried out as described above. I also
understand that I must receive prior formal approval from Miami-Dade County Office of Management
and Budget-Grants Coordination for any variations from the operations and performance described
above.
Signature and Title of Person Completing Form Print Name and Title
Page 3 of 3
[0~~~-;~~1
r~Si!!i;lJ2ii;'X~'i~~~;:f~i9ii\izatiQtifN~I~?:ir'fW!!i;!%i;':0!i!'!&~P1~'B"q
Requested By: Alfredo Riveroll CFO
Executlv-e "'Oi:-re-ct'""o-r I:-:A-g-en-~y-O=-es~i9-nae"""N:-a-m-. ---
Executive Director I Agency Designee Signature
Reviewed By:
OMS Contracts Officer Signature
I
1011712013
Elate
Date
@;i~~l;ff~~~~Nfj}:l!\;W~l~~n?E~~Bu1[G]m~M'~~m~~~~~~7r~~\~wrt1ft!1
V¥~t%}~l~~0yj1~~:~tr:~~r.{:i.~1.;~~~t;o·g·r:annN~~:e:]tj~*"4,B~'2...;'t:~~r~;~·:~~!(dk1r~#.S:i.~;
South Miami Senior Meals
Approved By:
Board P,,'sident I Vice President Name
Board President! Vice President Signature
Approved By:
OMS Contrac1s & Grants Administrator
'TOTAL:I..V.
Date
Attachment 81
Date
Fiscal Approval (If needed)
Accountant:
Supervisor:
City of South Miami
South Miami Senior Meals Program
Miami-Dade County
October 1,2013 -September 30,2014
DIRECT COSTS
Contractual Services
Senior Meals ($18,400.00):
Attachment B1
Beginning October 1, 2013 through September 30, 2014, the City of South Miami Parks and
Recreation Department Senior Program will provide two (2) prepackaged meals (cantina-style)
to approximately sixty-nine (69) residents at the HUD Senior Center every Friday. The program
will provide 138 meals per week (one meal for Saturday and Sunday) for participants in the
program. In total, the program will provide approximate!y138 meals (residents) at the HUD
Senior Center every Friday for 52 weeks; for a maximum of 7,104 meals during the contract
period. ,
The Senior Site Manager and the Recreational Leaders I are the staff persons responsible for
the administrative functions related to this program. Their salaries and all other costs related to
the program are covered by the City of South Miami.
TOTAL AWARD: $18.400
Page 1 of1
ATTACHMENT A (8)
MIAMI-DADE COUNTY OFFICE OF MANAGEMENT AND BUDGET
GRANTS COORDINATION
SCOPE OF SERVICE NARRATIVE
SECTION I: GENERAL INFORMATION
Name of Organization: City of South ~1iami, Parks & Recreation Department
Address: 6130 Sunset Drive, South Miami, Florida 33143
Program Contact Person: Jennifer E. Korth, Grants and Sustainable Initiatives Administrator
Phone Number: 305-668-2514 Fax Number: 305-663-6345
E-mail Address: jkorth@southmiamifl.gov
Fisca! Contact Person: Alfredo Rivero!' CFO
E-mail Address: Ariverol@southmiamifl.gov
Board President/Chair: N/A
Phone Number: N/A
E-mail Address: N/A
Non-Profit Entity 0 For-PiOfit Entity D
Fax Number: N/A
Contract Amount: $26,775 Contract Period: October 1, 2013 -September 30, 2014
SECTION II: PROGRAM NARRATIVE
Descriptive Program Name: The After-School House Program (Tutoring)
Describe the program goals:
The goal of the After-School House Program is to provide positive social, cultural, educational, and
recreational opportunities for children residing in the City of South Miami. The program will also
create a friendly environment and essential after-school services to participants regardless of race,
religion, gender, family income, and/or ability to pay for children ages 5 -16 years.
Describe the program and services and how program funding will be used:
The After-School House Program operates from August -June. Funding will be used to provide
tutoring services which will include reading and math curricula, homework assistance.
Identify what Commission District(s) will be served: District 7
Page 1 of 4
ATTACHMENT A (8)
Identify the target population that will be served (Le., children/students, seniors, adults, families,
general population, businesses etc.): Children, ages 5 -16.
Identify the total number of the target population served (if more than one service, define for each):
Two hundred (200) children.
SECTION III: PROFILE OF SERVICES
Annual workload measures (for each type of service to be provided including the number of clients to
be served in the program) [Le., 3 hours of after school care for twenty-five (25) children ages 5 -10,
one home delivered meal for 50 seniors every day (18,250 meals)}:
The program takes place 39 weeks throughout the year and two hundred (200) children grades K
through 12 will participate in the program.
Unit Cost (Define the unit(s) of service and detail the unit cost(s) for the service): .
The unit cost to serve two hundred participants (200) is $133.88.
Identify the period of service delivery for program component(s) that WILL NOT be provided year-
round:
Winter Recess (December 23rd -January 3rd ), Spring Recess (One week in March), Summer Recess
(June through August).
Total number of unduplicated clients that will be served during the program year is: 200.
Total number of clients receiving ongoing services: 200.
Total number of new clients will be: 20.
A typical client will be in the program for: _day(s) _ month(s) ~ week{s) _hour(s)
What is the defined workload measure (meals provided, therapy, tutoring, or after-school care hours,
program completion, employment, etc.): After-school care hours/tutoring 1.5 hours per day (1 hour of
homework. 30 minutes reading).
The total number of workload measures that will be provided during the program year: 60,000 hours
of after-school care/tutoring assistance (200 children x 1.5 hours per day x 5 days per week x 40
weeks).
Location of Service Site(s) and Hours of Service at each Site: (List all administrative and program
sites including the physical street address with zip codes, contact information and the hours of
operation for each site):
• The After-school House Program is located at the Gibson-Bethel Community Center, Murray
Park -5800 SW 66th Street, South Miami, Florida 33143.
Page 2 of 4
.... -:: ... ---_. ------_. -.. _ .. -._---_ .. _.
ATTACHMENT A (8)
• Hours of Operation for the Center are Monday -Friday, 5:00 am -10:00 pm, Saturday, 9:00
am -6:00 pm, and Sunday, 10:00 am. -2:00 pm and services will be provided from 2:00 pm -
6:00 pm, Monday -Fridav.
The service site phone number is: (305)663-6319; email: gpough@southmiamifl.gov.
SECTION IV: STATEMENT OF OBJECTIVES: (Define measurable and specific program objectives.
Please quantify and note timeframa for completion of each objective ILe.,75~'o of children attending
after school tutoring program will increase their reading score by a full letter grade as measured by
pre and post-testing during the contract yearJ).
• Eighty percent (80%) of the children will increase their reading fluency and comprehension as
measured by various tests.
• Ninety percent (90%) of the students will complete their homework assignments as measured
by report cards.
• Ninety-five percent (95%) of the children will participate in educational activities as measured
---.by~ th.s-.. p.articipati.onJog .... __ _ _ .. __ . __
BACKGROUND SCREENING INFORMATION
The program(s) is serving "at-risk" population: Yes ... X... No:..:.:...:.:.:.N/A. ........ .
The minimum age for a client is: _5_ years.
The maximum age for· a client is: .J!L years.
Staff or volunteers working directly with children for more than 10 hours: Yes ... X ... No .:.:..:.:.-N/A~
SECTION V: ORGANIZATIONAL SUPPORT ACTIVITIES
Describe how your organization will do outreach and public awareness of program activities:
Public awareness and outreach will be communicated through public announcements during televised
City Commission meetings, City's website, and flyers.
Describe how your organization will complete a self~assessment of its services throughout the
program year (Le., client satisfaction questionnaires, online surveys, independent organization audit
review, etc.): Parent Surveys which are conducted once a year and report cards which are collected
four (4) times a year. . .
Page 3 of 4
ATTACHMENT A (8) .
SECTION VI: CERTIFICATION
I certify that the Scope of Services of the program will be carried out as described above. I also
understand that I must receive prior formal approval from Miami~Dade County Office of Management
and Budget-Grants Coordination for any variations from the operations and performance described
above.
Signature and Title of Person Completing Form Print Name and Title
Page 4 of4
fIl.l&9.g~~~j
Requested By: Alfredo Riveroll CFCI
Executh'. Director I Ag'ency Designee Name
Executive Director J Aeency Designee Signature
Reviewed By:
OMS Contracts Officer Signature
~O/17J2013
Date
Date
li?:f.~~S~~J~Yj~j1~i~~1r{~,;~f~f~Ht~M:~~Jj~p$Et:':fORM~~~~jj~;~~1.~1t~ZJ§l
Approved By:
Board President I Vice Presillent Name
Soard President/Vice President Signature
Approved By:
OMS Contracts & Grants Administrator
TOTAL: I. -V ..
Date
Attachment B1
Charged to
This Award
Date
Fiscal Approval (If needed)
Accountant:
Supervisor.
DIRECT COSTS
Personnel: Salaries
City of South Miami
After-School House Program
Miamf-Dade County
October 1, 2013 -September 30, 2014
Teachersllnstructors ($26,775):
Attachment B1
These line items represent the salaries of three (3) part-time instructors. These instructors will
dedicate 100% of their time to students enrolled in the. After-School House Program. These
instructors will provide tutoring and homework assistance for children participating in the
program. Grant funds are being charged 100% of these positions' salaries for the period of 18 -
25 weeks, depending on the hours worked per week. After County funds are expended, the
City of South Miami will continue to pay for their salaries until the program is completed . .
The staff person responsible for the administration of this program is the Director of Parks and
Recreation and his salary and all other additional costs (Le. utilities) are covered by the City of
South Miami and participant fees.
TOTAL AWARD: $26,775
Page 1 of 1
,
I
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CITY OF SOUTH MIAMI BUDGET FY 2013-2014
South Mlami
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176
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lOOI
PARKS & RECREATION ORGANIZATIONAL CHART
Parl~ & Ree, Director
Lorem:o Woodley
CITY OF SOUTH MIAMI
AssIst. Director (PR).
Quentin Pough
BUDGET FY 20/3-2014 177
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South Miami
200"
PARKS AND RECREATION DEPARTMENT
00 I -2000-572
MISSION
To provide the highest quality in educational. cultural. and recreational programs by inspiring,
developing, and empowering the men, women, and children of our community.
"Each one reach one, each one teach one"
PARKS AND RECREATION DEPARTMENT FUNCTION
PlannU'nn 1:111',.1 A.c.uol __ l·nH p ......... II' ... ""t"'Ld f~~·IH..fo:~"" 4-h ..... ,. f"lIi'O"6 An"·I· ... ,..,t .. U'.vt.I:l ...... I-n.u,1 ... .n. ..... ot'I~tih1'"., nll""-ui. ......... ,.Ii..,. ..... "'~e _I __ L UI -'-0 --«.LI_'\..II_--y-'-'y-~ .. \J.f-l-u o----a.L~_a.'_.t.' _' 0..-.... u\..J:\.:.i.oJ: _____ J,... Q.J .... ___ O"._'"'" __ \,;.0 _J_V_ 1-V-I-UI-l'-"lu.D..ll--,;)~ •• ->.--"--"""'t---rl---V-V-l-'U:'V Ul_Y __ ~I_")'_
leisure-time opportunities. support the community's vision and desires, and will maintain their
value over time. Providing high quality, high impact recreation experiences by organizing,
promoting. and delivering programs and services to our community. Responding to our
customers needs through trust and communication. Promoting collaborative efforts with other
agencies and businesses to help obtain the vision of the community and providing the quality of
life for residents. businesses, and visitors that make people choose South Miami over other areas.
PARKS AND RECREATION DEPARTMENT ACCOMPLISHMENTS FOR FY 2013
11 Solicited more vendors which
increased participation at park sites.
•
•
Increased expenditures to improve
,park aesthetics.
Increased registration numbers by
receiving funds from the Community
Redevelopment Agency (CRA). which
allowed underprivileged children to
participate in our Summer Camp
Program. .
III Renovated Computer lab with funds'
received from the Community
Redevelopment Agency (CRA).
Twenty three (23) computers are now
available to the community.
III Staff participated in various seminars
on how to stay green.
• Completed all lighting projects at
Murray and Palmer: ~ark.
III Completed grant project for Dante
Fascell Park.
III I n our effort to enhance rec,'uitment
of professional staff, interviews were
conducted to fill out the position of
Assistant Director.
• Upgraded Palmer Park maintenance
building to be in compliance with code
standards.
CITY OF SOUTH MIAMI BUDGET FY 2013-2014 178
','"
South Miami
~ ruhllmwcnv
'IUP
1001
PARKS AND RECREATION DEPARTMENT OBJECTIVES FOR FY 2014
" Commence operations at Murray Park " Increase advertising efforts of programs
Pool. and activities being offered by the Parks
a Begin renovations to Marshall Williams
and Recreation Department.
Park. " Provide training opportunities for staff
• Provide improvements to 50% of City
development.
parks. • Commence operations at Dante Fascell
" Research fUnding opportunities to
Park for the walking! running rubberized
trail:
provide snacks for children in our After-
school program, • In o't'der to bring the community
Enhance and provide programs to the
together', the Parks and Recreation • Department will offer a monthly
community that will provide educational breakfast at the Gibson-Bethel
and recreational opportunities, Community Center,
• Seek sponsorships, donations and/or in-" Ensure that the Computer Lab is
kind donations that will enhance service properly used by the seniors and the
offerings. children in the community, that the Lab
is well "staffed and remains open six days
a week
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CITY OF SOUTH MIAMI BUDGET FY 20 13~20 14 179
PARKS AND RECltEATION DEPARTMENT ACTIVITY ltEPORT
0 0 0
15
60 40 0
153 140
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CITY OF SOUTH MIAMI BUDGET FY 20 13~20 14
South Miami
bft;d
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20m
0
0
140
45
180
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0012000
0012000
0012000
0012000
0012000
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Attachment 82
PARKS AND RECREATION BUDGET FY 2014
001-2000"572
5721210 SALARIES· REGULAR 326,244 266,136 304,281
5721310 SALARIES -PART TIME ·25,340 966 13,181
5722110 F.I.C,A. 26,027 18,950 23,877
5722210 PENSION PLAN CONTRIBUTION 51,020 35.483 25,236
5722220 ICMA 0 1,280 8,485
5722310 GROUP HEALTH INSURANCE 41,845 .·28,278 37,436
5722410 WORKER'S COMPENSATION 14,512 12,331 11,704
TOTAL PERSONNEL SERVICES 484,988 363,424 424,200
5723450 CONTRACTUAL SERVICES 2,763 2,899 2,609
5724070 TRAVEL & CONFERENCE 874 218 298
5724080 EMPLOYEE EDUCATION 0 630 1,255
5724110 POSTAGE 100 86 100
5724120 COMMUNICATION 3,120 2,122 3,240
5724350 ELECTRICITY-CITY PARKS 663 877 4,800
5724515 LIABILITY INSURANCE~ AUTO 1,935 0 3,870
5724632 INTERNET SERVICE 0 0 ',620
5724634 MAINTENANCE-INTERNET SERVICE 0 0 188
5724670 MAINT & REP-PARK FACILITIES 1.431 3,702 1,800
5724690 MAINT & REP-TENNIS 0 864 3,250
5724710 COPY MACHINE 5,003 4,350 5,003
5724820 SPECIAL EVENTS 5.929 13,676 ·250
5725205 COMPUTER EQUIPMENT 0 0 9,315
5725210 SUPPLIES 5,957 7,215 3,097
5725220 UNIFORMS 1,484 1,058 1,507
5725230 FUEL 10,795 15,117 15,117
5725410 MEMBERSHIP & SUBSCRIPTION 1.909 1,902 1,880
5725630 FOOTBAll 21.876 38,636 1.0,335
5725631 CHEERLEADERS ·9,105 9,279 7,619
5725635 . DANCE/MODELING 0 1.755 2.250
5725650 SOCCER. PROGRAM 0 0 1,000
5725665 CONCESSION STAND 2,972 0 0
5725670 SPECIAL RECREATION PROGRAMS 10,141 6,813 6,ll7
5725680 SENIOR CITIZENS PROGRAMS 11,749 13,660 16,970
TOTAL OPERATING EXPENSES 97,813 124,859 113,600
TOTAL RECREATION 582,801 488,283 537,800
CITY OF SOUTH MIAMI BUDGET FY 2013~2014
South Miami
hOx1l
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·1
304,281 298,088
13,181 15,034
23,877 23,954
25,236 25,948
8,485 8,253
37,436 39,310
11.704 12,807
424,200 423,394
2,609 2,235
298 298
1,255 1,525
100 100
3,240 3,060
4,800 4,800
3,870 4,870
1,620 1,620
188 188
1,800 2,800
3,250 2,360
5,003 5,003
250 16,500
9,315 9,315
3,097 3,597
',507 3,155
15,117 15,120
1,880 2,460
20,335 19,085
7,619 6,626
2,250 3.825
1,000 1,000
0 0
6,227 5,607
16,970 17,746
113,600 132,894
537,800 556,288
181
Sooth Miami
b;f'I:d lilii:
1001
PARKS AND RECREATION DEPARTMENT BUDGET HIGHLIGHTS
3450 Contractual Services -Provides year-round portable bathroom facilities for South Miami
Park. The remaining funds are for fumigation at Palmer Park and MDe rire & Elevator Inspections
at the Community Center.
4350 Electricity -City Parks -Estimated electricity expense for bay four at the Mobley Building.
4670 Maintenance. & Repair -Park Facility -Provides for emergency hardware supplies for all
City Parks,
4690 Maintenance & Repair -Tennis Facilities -$3,250 is budget for windscreens at Brewer ParI<
Tennis Courts.
-4820 Spec}aIEveflts--Thisline-itelfi -funds ililscellaneouseveotsneldat theCommunlt),-Ceoter._
Additionally, contributes funding to the Fourth of July and State of the City Address events. as
well as
5205 Computer Equipment -
5210 SuppJies -
Desktop Computers
HP Laser Printer 30 ISdn
HP Color LaserJet CP4025dn
HI" OfAcejet 8600 Pro Plus
t\letgear 4TB t~AS
Yosemite
Trlpplite UPS
Annual Deep Freeze Maintenance
TOTAL
Barcode key tags for the fitness component.
Office supplies for the Center.
4 folding tables at $82.99 each= $331.96 plus shipping.
TOTAL
5410 Memberships & Subscriptions -
Florida Recreation Parks & Association Membership.
National Recreation & Park Assoclation (NRPA)
Direct T.V.
Bollinger lnsurimce
TOTAL
CITY OF SOUTH MIAMI BUDGET FY 2013-2014
5.427
699
1,300
299
CIO
'" I ,
299
522
250
9,3i5
215
3,000
382
3,597
720
360
1,080
300
2,460
182
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5630 Football
Football League dues
Football & Cheerleadlng Banquet 300 participants at $4.10.
Homecoming and banquet (Bounce house, tents, etc.)
Trophies for players, parents. commissIoners & coaches
Football scale yearly calibrated and certified
Fingerprinting & background check for 30 football volunteers at $55 each
Riddell Football practice uniforms (short sets) 150 participants at $13.95 each.
Riddell 7 piece pads sets @ $8 for ! 50 participants
Riddell Shoulder pads @ $29 for 60 participants
Referee's' fees 5 home games @$900/each.
Transportation to and from football games
TOTAL
5631 Cheerleading
Football League 2014 dues & Insurance
Cheerleading unIforms for 30 participants at $126 ea.
Fingerprinting & Background check for 25 cheerleadlng volunteers at $55 ea.
68 cheerleading trophies at approximately $4.50 each
Women Cap Sleeve Jersey EmbrOidered 14 coaches at $18.90 ea.
TOTAL
South Miami
tr1tt::f
~rrr
2001
900
1,230
1,000
1,262
250
1,650
2,093
1,200
1,500
4,500
3,500
19.0"85
900
3,780
1,375
306
265
6.626
5635 Dance I Modeling· $3,825 cover the cost for the teacher of this class that is held in the
Mobley Building.
CITY OF SOUTH MIAMI BUDGET FY 2013-2014 183
•• :-.• ' .. : ••.•• "! •• -, .:.~.'.;'. ':.~.'-: .:
5670 Special Recreation Program
Track & T-Ba!! Troph!es
Easter Egg hunt at the Community Center
Party Planet"Easter egg hunt event at the Comm, Center
Gopher Track Equipment
R.lddell Track & Field Jersey with matching shorts uniforms (35 x $24,95)
Miscellaneous Field trips for the children.
TOTAL
5680 Senior Citizen Program
Massage Therapy $120 monthly for 12 months
Cable Service at Senior Center Avg, $43 mo. for 12 months
-pesfControfMili1t. Senior Building $30 mo, fori 2 months,
........
DJ Services for events at Senior Center: Valentine's Day, Easter, Mothers day, Fathers
Day. Halloween, Black History month. Christmas $210 ea. for 7 events.
AT&T Monthly phone service at Senior Center averaging $65 mo.
Miscellaneous PUrCh:lSAs. SIJDDlies for 7 events: Monthly birthday parties for seniors: . . . . _ .. -. -_. ---. --., ----~ . . -
Theatre for 20 seniors monthly; Coffee and Cream for Center
Cosgrove Cleaning Supplies $65 for 12 months
Fields Trips 6 plays at $30.00 each for 20 seniors $600.00 for 6 pfays. Trip to Orlando
(Epcotl Animal Kingdom) at $3,000.00.
TOTAL
CITY OF SOUTH MIAMI BUDGET FY 2013-2014
.._. '"_ .. _, • ___ .~._ ._:.",:~"" ·w_ '_:~_"'._
south Miami
lr:tft:d
'ljj)!
2001
540
544
400
1,500
874
1,750
5,607
1,440
516
360
1,470
780
5,000
780
6,600
17,746
184
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BID NO.:
BID TITLE:
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 swo~n 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.
I state that the bidder of this contract:
o is not related to any of the other parties bidding in the competitive solieitation, 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 by collusion to secure to the proposer an
advantage over any other proposer.
OR IT 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 shalf 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:
Signature of Affiant
___ ,..--____ 20 _
Date
Printed Name of Affiant and Title
Printed Name of Firm
Address of Firm
i
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3
CD a-
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BID NO.:
BID TITLE:
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 Serial Number
Print or Stamp Name of Notary Expiration Date
Notary Pubiie -State of __ _
Notary Seal
Miami-Dade County
VENDOR AFFIDA vlrs FORM
(Uniform County Affidavits)
Department of Procurement Management
Vendor Services Section
111 NW 1st Street, Suite 1300, Miami, Florida 33128-1974
Telephone: 305-375-5773
www.miamldade.gov(dpm
The completion of the Vendor Affidavits Form allows vendors to comply with affidavit
requirements outlined in Section 2-8.1 of the Code of Miami-Dade County. Vendors are
required to have a complete Vendor Registration Package on file, including required affidavits,
prior to the award of any County contract. It Is the vendor's responsibiliry to keep a/l
affidavit information up to date and accurate by submitting any updates to the
Department of Procurement Management, Vendor Services Section.
FEDERAL EMPLOYER
IDENTIFICATION NUMBER (FEIN)
In order to establish a file for your firm, you must enter your
firm's FEIN. This number becomes your ·County Vendor
Number". Please enter your Federal Employee Identification
Number (FEIN) QL if none, then enter the owner's Sodal
Security Number (SSN).
o FEIN
NORTH AMERICAN INDUSTRY
CLASSIFICATION SYSTEM (NAICS)
The North American Industry Classification System (NAlCS)
Is the standard used by the federal statistical 8gencies In
Cl8ssifying business establfshments for the purpose of
collecting, 8nalyzlng and publishing statistical data related
to the U.S. business economy.
o NAICS Code
A) Name of Entity, Indlvldual(s), Partners or Corporation B) Doing Business As (If same as line A, leave blank)
Street Address (P.O. Box Number is not permitted) City
1. MIAMI-DADE COUNTY OWNERSHIP DISCLOSURE AFFIDA VIT
(Sec. 2-8.7 of the Miami-Dade County Code)
State (U.S.A.) Country Zip Code
Firms registered to do business with Miami-Dade County, shall require the person contracting or transacting such business with the County to
disclose under oath his or her full legal name, and business address. Such contract or transaction shall also require the disclosure under oath of
the full legal name and business oddress of all Individuals having any interest (legal, equitable, beneficial or otherwise) in the contract other
than subcontractors, materialmen, suppliers, laborers or lenders. Post office box addresses shall not be accepted hereunder. If the contract or
business transaction Is with a corporation the foregoing information shall be provided for each officer and director and each stockholder
holding, directly or indIrectly, five (S) percent or more of the outstanding stock In the corporation. If the contract or business transaction is with
a partnership, the foregoing information shall be provided for each partner. If the contract or business transaction Is wIth a trust, the foregoing
information shall be prOVided for the trustee and each beneficiary of the trust; The foregoing disclosure reqUirements shall not apply to
contracts with publicly-traded corporations, or to contracts with the United States or any deportment or agency thereof, the State or any
politico I subdivision or agency thereof, or any municipality of this State. Use duplicate page if needed for additional names.
If no omeer, director or stockholder owns (5%) or more of stock, please write "None" below.
PRINCIPALS I
FULL LEGAL NAME TITLE ADDRESS
OWNERS I CHECK BOXES BELOW
GENDER RACE I ETHNIc/TY
% .g .~ __ a
FULL LEGAL NAME TITLE ADDRESS 'g .. fi<?: oW::.SH/j M F .~ ~1 ... " Ii ~ " ~ ~~1 ;is a-.~ ..\! oE_ i:: ::: "l :r:: <:(.lO 2:«« a
If Q percentage of the firm is owned by If publicly traded corporalion or by another corporalion, incJicafe below in the space "Olher Corporalions".
OTHER CORPORATIONS %
OF
OVt'NE~
9/28/2011 Page 1
2. MIAMI-DADE COUNTY EMPLOYMENT DISCLOSURE AFFIDAVIT
(County Ordinance No. 90-133, amending Section 2.8-1 (d)(2) of the Miami-Dade County Code)
The following information is for compliance with all items in the aforementioned Section:
1.
2.
3.
Does your firm have a collective bargaining agreement with its employees?
Does your firm provide paid health care benefits for its employees?
Yes ______ . No ___ _
Yes No
Provide a current breakdown (number of persons) in your firm's work force indicating race, notional origin and gender~
NUMBER OF EMPLOYEES I
Males Females
White
Black
Hispanic
A$ian/Pacific Islander
Native American/Alaskan Native
Other
Total Number of Employees I
Tolal Employees
3. MiAMi-DADE COUNTY EMPLOYMENT DRUG-FREE WORKPLACE CERTIFICATION
(Secti<!" 2-8.].2(b} of the ~iam!-Dade COCJntlSo~e)
All persons and entities that contract with Miami-Dade County are required to certify that they will maintain a drug-free workplace
and such persons and entities are required to provide notice to employees and to impose sanctions for drug violations occurring in the
workplace.
In compliance with Ordinance No. 92-15 of the Code of Miami-Dade County, the above named firm 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 firms' policy of maintaining a drug·free environment at all workplaces
3. AvallabUlty of drug cOlJ!"!seHn9, reh!!bHitatkm and employee assistance programs
4. Penalties that may be imposed upon employees for drug abuse violations
The firin shall also require on employee to sign a statement, as a condition of employment that the employee will abide by the terms
of the drug-free workplace policy 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.
Firms may also comply with the County's Drug Free Workplace Certification where a person or entity is required to have a drug-free
workplace policy by another local, state or federal agency, or maintains such a policy of its own accord and such policy meets the
intent of this ordinance.
4. MIAMI-DADE COUNTY DISABILITY AND NONDISCRIMINATION AFFIDAVIT
(Article 1, Section 2-8.1.5 Resolution R 182·00 Amending R-385-95 of the Miami-Dade County Code)
Firms transacting business with Miami-Dade County shall provide an affidavit Indicating compliance with all requirements of the
Americans with Disabilities Act (A.D.A.).
I, state that this firm, is in compliance with and agrees to continue to comply with, and assure that any subcontractor, or third party
contractor shall comply with all applicable requirements of the laws including, but not limited to, those provisions pertaining to
employment, provision of programs and services, transportation, communications, access to facilities, renovations, and new construction.
The American with Disabilities Act of 1990 (A.DA), Pub. L 101-336, 104 Stat 327, 42 U.S.c. Sections 225 and 611 Including
Titles I, II, III, IV and V.
The Rehabilitation Act of 1 973, 29 U.S.c. Section 794
The Federal Transit Act, as amended, 49 U.S.c. Section 1612
The Fair Housing Act as amended, 42 U.S.c. Section 3601-3631
I, hereby affirm that I am in compliance with the below sec/ions:
Section 2-10.4(4)(a) of the Code of Miami-Dade County (Ordinance No. 82-37), which requires that all properly licensed architectural,
engineering, landscape architectural, and land surveyors have an affirmative action plan on file with Miami-Dade County.
Section 2-8.1.5 of the Code of Miami-Dade County, which requires that firms that have annual gross revenues In excess of five (5)
million dollars have an affirmative action plan and procurement polley on file with Miami-Dade County. Firms that have a Board of
Directors that are representative of the population make-up of the nation may be exempt.
9/28/2011 Page 2
5. MIAMi-DADE COUNTY DEBARMENT DISCLOSURE AFFIDAVIT
(Section 10.38 of the Miami-Dade County Code)
Firms wishing to do business with Miami-Dade County must certify that its contractors, subcontractors, officers, principals, stockholders,
or affiliates are not debarred by the County before submitting a bid.
I, confirm that none of this firms agents, officers, principals, stockholders, subcontractors or their affiliates are debarred by Mlami-
Dade County.
6. MIAMI-DADE COUNTY VENDOR OBLIGATION TO COUNTY AFFIDAViT
(Section 2-8.1 of the Miami-Dade County Code)
Firms wishing to transact business with Miami-Dade County must certify that all delinquent and currently due fees, taxes and parking
tickets have been paid and no individual or entity in arrears in any payment under a contract, promissory note or other document with
the County shaff be allowed to receive any new business.
I, confirm that aff delinquent and currently due fees or taxes including, but not limited to, real and personal property taxes, convention
and tourist development taxes, utility taxes, and local Business Tax Receipt collected in the normal course by the Miami-Dade County
Tax Collector and County Issued parking tickets for vehicles registered in the name of the above firm, have been paid.
7. MIAMI-DADE COUNTY CODE OF BUSINESS ETHICS AFFIDAVIT
(Article 1, Seelion 2.8.1 (i) and 2·11 (b)(l) of the Miami-Dade County Code through (6) and (9) of the County Code and County Ordinance No
00· J amending Seelion 2·11.1 (e) of the County Code)
Firms wishing to transact business with Miami-Dade County must certify that it has adopted a Code that complies with the requirements
of Section 2-8.1 of the County Code. The Code of Business Ethics shall apply to all business that the contractor does with the County
and ~hall, at a minimum; require the contractor to comply with all applicable governmental rules and regulations.
I confirm that thIs firm has adopted a Code of business ethics which complies with the requirements of Sections 2-8.1 of the County
Code, and that such code of business ethics shall apply to all business that thIs firm does with the County and shall, at a minimum,
requIre the contractor 10 comply with all applicable governmental rules and regulations.
8. MIAMiNDADE COUNTY FAMfL Y LEAVE AFRDAV/T
(Article V of Chapter 11, of the Miami-Dade County Code)
Firms contracting business with Miami-Dade County, which have more than fifty (50) employees for each working day during each of
twenty (20) .or more work weeks in the current or preceding calendar year, are required to certify that they provide family leave to
their employees.
Firms with less than the number of employees Indicated above are exempt from this requirement, but must indicate by letter (signed
by an authorized agent) that It does not have the minimum number of employees required by the County Code.
I confirm that if applicable, this firm complies with Article V of Chapter 11 of the County Code, which requires that firms contracting
business with Miami-Dade County which have more than fifty (50) employees for each working day during each of twenty (20) or
more work weeks in the current or preceding calendar year are required to certify that they provide famUy leave to their employees.
9. MIAMI-DADE COUNTY LIVING WAGE AFFIDA vir
(Section 2·8.9 of the Miami·Dade County Code)
All applicable contractors entering into a contract with the County shall agree to pay the prevailing living wage required by this
section of the County Code.
I confirm that if applicable, this firm complies with Section 2-8.9 of the County Code, which requires that all applicable employers
entering a contract with Miami-Dade County sholl pay the· prevailing living wage required by the section of the County Code.
10. MIAMI·DADE COUNTY DOMESTIC LEA VE AND REPORTING AFFIDA vir
(Article 8, Section 11 A-60 • 11 A-67 of the Miami-Dade County Code)
9/28/2011
Firms wishing to transact business with ,Miami-Dade County must certify that it is in compliance with the Domestic leave Ordinance.
I confirm that if applicable, this firm complies with the Domestic leave Ordinance. This ordinance applies to employers that have, in
the regular course of business, fifty (50) or more employees working in Miami-Dade County for each working day during the current
or preceding calendar year.
Page 3
AFFIRMATION
I, being duly sworn, do attest under penalty of perjury that the entity is in compliance with all requirements outlined In these MIami-Dade
County Vendor Affidavits.
I also attest that I will comply with and keep current all statements sworn to In the above affidavits and registration application. I will notIfy the
Miami-Dade County, Vendor Services Section immediately if any of the statement< attested hereto are no longe, yolid.
(Signature of Affiant)
Printed Name of Affiant and Title
NOTARY PUBLIC INFORMATION
Notary Public-
Stafe of: _________ -=-:-_-'--____ _
Stofe
SUBSCRIBED AND SWORN TO (or affirmed) before me this day of
by _______________ _ He or she is personally known to me 0
(Date)
County of
20
Or has produced identification 0
Type of Identification Produced __________________ ~ _____________________ _
Signature of Notary Pubiic
Print or Stamp of Notary Public
9/28/2011 Page 4
(Serial Number)
Expiration Date Notary Public Seal
(When applicable)
AFFIDAVIT D-1
Applicant Name: ______________________________ _
Address: ___________________________________ __
Telephone Number: ___________________________ _
Pursuant to Miami-Dade County Resolution No, R-630-13, the undersigned certifies, to the best
of his or her knowledge and belief, that:
1. Within the past five (5) years, neither the Agency nQr its directors, partners, principals,
members or board members: .
(i) have been sued by a funding source for breach of contract or failure to
perform obligations under a contract;
(ii) have been cited by a funding source for non-compliance or default under
a contract;
(iii) have been a defendant in a lawsuit based upon a contract with a funding
source:
Please list any matters which prohibit the Agency from making the certifications required and
explain how the matters are being resolved (use separate sheet if necessary):
This is certified by my signature:
Applicant's Signature Print Applicant's Name 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 number: _________ -,-_____ _
(Print or Stamp of Notary): Expiration Date: ____________ _
Notary Seal:
Notary Public -State of ______ _
ATTACHMENT E
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 s\."/orn 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 no FEIN, include the Social Security Number of the individual signing
-thfssWbrhsfafemerit -_.. . ........ .
2. I 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 and
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
poiiticai subdivision of any other state or of the United States and involving antitrust,
fraud, theft, bribery, collusion, racketeering, conspiracy, or material misinterpretation.
3. I 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 any 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. I understand that an "affiliate" as defined in paragraph 287.133(1)(a), Florida Statutes,
means:
A. A predecessor or successor of a person convicted of a public entity crime; or
B. 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
10f2
: ... :" ~. :---.~~.-.-.:: .... :"."
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 contact and which bids or
applies to bid on contracts for the provision of goods or services let by a public entity, or
which otherwise transacts or applies to transact business with a public entity. The term
"person" includes those officers, executives, partners, shareholders, employees,
members, and agents who are active in management of an entity.
6. Based on information and belief, the statement which I have marked below is true in
relation to the entity submitting this sworn statement. (Please indicate which statement
applies.)
__ Neither the entity submitting this sworn statement, nor any 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 to July 1, 1989.
__ 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 to July 1, 1989. However, there has been
a subsequent proceeding before a Hearing Officer 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
OF 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 CATEGORY TWO OF ANY CHANGE IN THE INFORMATION CONTAINED
IN THIS FORM.
(Signature)
Sworn to and subscribed before me this _____ day of _________ -'
20 __ . Personally known _______________________ _
OR Produced Identification _________ Notary Public -State of _____ _
__ ----::::::--___ ---,-,-,,----------,My commission expires ______ _
(Type of Identification)
(Printed typed or stamped commissioned name of notary public)
20f2
Remit to Address:
Contact Pers·on: .
teiepii6n~i.; .... , ..
MIAMI-DADE COUNTY
OFFICE OF MANAGEMENT AND BUDGET ..
COST-BASED CONTRACT·
MONTHLY SUMMARY OF EXPENDITURES REPORT •.
.. ":: ...... ; .. .
Ordiriance Number:· ••..•..
Print Month Below:
· .":: ,;.~.'. -:.~.:-:-.. '.' . ,.. -." ._---.-" ..
ATTACHMENT F
MIAMI·
B'B
1011f2013 -9/30/2014
0-13-88 and 0-13-90
November 25,2013
are outlined In Column II below:·: .
Approved Budget
Amount Monthly Expenses
TOTALS: $ ~------------~~----------~----------------~
To avoid delays in payment, provide complete back-up documentation for all expenses listed In Column"
and provide appropriate authorization on the signature page (Page 2, over)
CB (rev. 11/16109} Page 1 of2
AUTHORIZATION
I hereby certify that this expense report submitted by tbe undersigned constitutes approved budget expenses during the period listed above, and that no expenses for which
reimbursement is requested has been or will be reimbursed by any other funding sources.
Executive Director I Agency I)csigllcc Print Name Executive Pirector I Agency Designee Signature
November 25,2013
PliotTitle Date
CountylDepartment Use Only
C.O.NOTE:
VOUCHER #:
FISCAL PREPARED BY:
INVOICE#:
DATE: VENDOR#:
INDEX CODE:
FISCAL APPROVED BY:
SUB-OBJECT:
DATE: AMOUNT TO PAY:
CB (rev. 11/16/09) . Page 2 of2
·~~g~:~im![~~m~fi;;i
<The questions below Clre sample questions (#1-9),
will be em ailed later.>
7. How many participants completed a consumer satisfaction
survey.
8. Of those completing the Sli
satisfied with the services nrflvirl"rl
9. How many distributed to
Attachment G
I%fji~llillt'it
#ii:e~!~~H~mf,~E$~j:rj':
·#'~u:r~~gfp~f\~~~i'::"~·i;'irSf; 10/1/2013 -9130/2014
~~~;~:q~~~l~~h~~i,~~j~~~;lji
Nov-i3I Dec-i3I Jan-141 Feb-141 Mar-14
Page'lof2 OGe 025 (rev. 10/19/09)
Attachment G
Program Problems Encountered this Month:
Is Technical Assistance Needed? If Yes, Please Explain:
Comments:
Authorized Personnel (Print Name & Titlel Authnri7ed SinnatlJre Date
Page 2 of 2 OGe 025 (rev. 10/19/09)
MIAMI-DADE COUNTY
OFFICE OF MANAGEMENT AND E:UDGET • GRANTS COORDINATION
QUARTERLY SUMMARY OF ACTUAL EXPENDITURES
AWARD INFORMATION (complete all sections noted with ***)
Agency Name-; Project Name;
Total Award Amount:
Address-;
Agrenment Period: 10/01/2013·9130/2014
Ordinance No:
Contact Person-:
Index Code No:
Telephone-: Todal/'s Date-:
BUDGETED AMOUNT / QUARTERLY ACTUAL EXPENDITURES
Check Quarter Below:
ATIACHMENT H
Actual expenses for the
o 1st Quart'.er (Oct, Nov, Dec) o 3rd Quarter {Aer. Mav. Jun} are outlined in the appropriate Column below:
DIRI::CT COSTS:
Personnel
1. Position
Fringes
2. Posltion
Fringes
3. Position
Fringes
4. Position
Fringes
5. POSition
Fringes
6. PosItion
Fringes
7. Position
Fringes
Travel
Supplies
Equipment
Contractuai Services
1. Contractor #1
2. Contractor #2
3. Contractor #3
Other Direct Costs
Other Direct Costs
Other Direct Costs
Other Direct Costs
Approved
Budget
Amount
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Subtotal Direct Costs : $0.00
o 2nd Quarter (.Jan, Feb, Mar)
Revised ( This Column is for
Budget Dept!
(if any) County Use only)
$0.00 !
SO.OO ;
SO.OO I
$0.00
$0.00
SO.OO i
$0.00
$0.00 !
$0.00
$0.00 i
$0.00
$0.00 ,
SO.OO
$0.00 ,
SO.OO
$0.00
$0.00 I
$0.00 I
$0.00
$0.00
$0.00 , .
$0.00
$0.00
$0.00
$0.00 !
$0.00
.. '0' 4th Quarter (Jul, Aug,Sep) s 7 8
1st Quarter 2nd Quarter 3rd Quarter 4th Quarter
(Clct, Nov, Dec} (Jan, Feb, Mar) (Apr, May, Jun) (Jul, Aug, Sep) Y.T.D. Total Contract
Actual ExpenSE'S Actual Expenses Actual Expenses Actual Expenses Expended Balances
$0.00 $0.00 $0.00 $0.00 $0.00 . $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 SO.OO $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 SO.OO $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 SO.OO so. 00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $o.oOi
§O.OO $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$(l.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00'
SO.OO $0.00 $0.00 $0.00 $0.00 $0.00
. $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00,
INDIRECT COSTS:
Personnel
1. Position
Fringes
2. Position
Fringes
3. Position
Fringes
Other Indirect Costs
Other Indirect Costs
Other Indirect Costs
Subtotal Indirect Costs
Total Operating Expenses
AUTHORIZATION
:
:
$0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00
I hereby certify that this expense report submitted by the undersigned constitutes approved budget expenses during the period listed above:
PRJNT NAME AND TITLE ·SIGNATURE
$0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00
DATE
ATTACHMENT I
PROVIDER'S DISCLOSURE OF SUBCONTRACTORS AND SUPPLIERS
(Ordinance 97-104)
Name of Organization: __________ _ Address: _____________ _
REQUIRED LISTING OF SUBCONTRACTORS ON COUNTY CONTRACT
In compliance with Miami-Dade County Ordinance 97-104, the Community Based Organization
must submit the list of first their subcontractors or sub-conSUltants who will perform any part of
the Scope of Services Work, if this Agreement is for $100,000 or more.
The Community Based Organization must complete this information. If the Community Based
Organization will not utilize subcontractors, then the Community Based Organization must
state "No subcontractors wi!! be used"; do not state "NIA".
ADDRESS CITY ANDSTATE
REQUIRED LIST OF SUPPLIERS ON COUNTY CONTRACT
In compliance with Miami-Dade County Ordinance 97-104, the Community Based Organization
must submit a list of suppliers who will supply materials for the Scope of Services to the
Community Based Organization, if this Contract Agreement is $100,000 or more.
The Community Based Organization must fiii out this information. if the Community Based
Organization will not use suppliers, the Community Based Organization must state "No
suppliers will be used", do not state uN/A".
NAME OF SUPPLIER ADDRESS CITY AND STATE
I hereby certify that the foregoing information is true, correct and complete:
Signature of Authorized Representative: ______________ _
Title: ________________ _ Date: ____________ _
Firm Name: _____________ _ Fed. ID No;..... _______ _
Address: _________________ _ City/ StatelZip: ________ _
Telephone: -'-----''--_______ Fax: ( ) E-mail: _________ _
Page 1 of1
(USE SERVICE PROVIDER'S LETTERHEAD)
ATIACHMENT J
AUTHORIZED SIGNATURE FORM
DATE:
This form certifies the names, titles and signatures of individuals authorized by the Provider to sign
contracts, checks, budget revisions, payment requests, and other requests that may be requested by the
Office of Management and Budget--Grants Coordination (OMB-GC) for disbursement of funds.
Attached hereto and incorporated herein is a certified copy of a duly authorized and executed resolution
passed by the Provider's Board that provides for this authorization. These signature authorizations are
retained by the OMB-GC for auditing purposes. Should the Provider desire to change the information on
this document, a certified and authorized and executed Resolution describing the desired changes
should be submitted to the OMB-GC.
NAME (please type) TITLE (please type) SIGNATURE
I. Prime Contracts and Subcontracts
II. Checks (List amount limits)
III. Budget Revision Requests
IV. Payment Requests