Loading...
1THE CITY OF PLEASANT LIVING To: FROM: DATE: SUBJECT: BACKGROUND: AMOUNT: ATTACHMENTS: CITY OF SOUTH MIAMI OFFICE OF THE CITY MANAGER INTER-OFFICE MEMORANDUM The Honorable Mayor & Members of the City Commission Steven Alexander, City Manager October 7, 2014 Agenda Item No.: __ A Resolution authorizing the City Manager to execute FY 2014 Community Development Block Grant agreement with Miami-Dade County Public Housing and Community Development (PHCD) for the Murray Park Multi-Purpose Field Project in the amount of $55,000. The City of South Miami was awarded funding for the Murray Park Multi-Purpose Field Project under the Community Development Block Grant (CDBG) Program in a total amount $55,000 through Miami-Dade County, Public Housing and Community Development (PHCD). The grant will provide funding for the development of a multi-purpose field at Murray Park. The Agreement requires matched funding in the amount of $7,500 from the South Miami Community Redevelopment Agency and $7,500 from the City of South Miami C.LP., which is the $100,000 miscellaneous line item in Parks. The grant period begins on October 1, 2014 and ends on September 30, 2015. $55,000.00 Grant Contract 1 RESOLUTION NO. __ _ 2 3 A Resolution authorizing the City Manager to execute FY 2014 Community 4 Development Block Grant agreement with Miami-Dade County Public 5 Housing and Community Development (PH CD) for the Murray Park Multi- 6 Purpose Field Project in the amount of $55,000. 7 8 9 WHEREAS, the Mayor and City Commission desire to accept the grant from Miami- 10 Dade County administered by and through its Department of Public Housing and Community 11 Development (PHCD); and 12 13 WHEREAS, the Agreement will provide funding for the development of a multi-purpose 14 field at Murray Park; and 15 16 WHEREAS, the Agreement requires matched funding in the amount of $7,500 from the 17 SMCRA and $7,500 from the City of South Miami and; 18 19 WHEREAS, the grant period begins on October 1, 2014 and ends on September 30, 20 2015. 21 22 WHEREAS, the Mayor and City Commissioners desire to have the City Manager 23 execute the grant agreement in an amount of $55,000; 24 25 26 NOW, THEREFORE, BE IT RESOLVED BY THE MAYOR AND CITY 27 COMMISSION OF THE CITY OF SOUTH MIAMI, FLORIDA THAT: 28 29 30 Section 1: The City Manager is hereby authorized to execute the grant agreement with 31 Miami-Dade County Department of Public Housing and Community Development (PHCD) for 32 the Murray Park Multi-Purpose Field Project in the amount of $55,000. The grant agreement is 33 attached to this resolution. 34 35 Section 2: This resolution shall be effective immediately after the adoption hereof. 36 37 Section 3. Severability. If any section clause, sentence, or phrase of this resolution is for 38 any reason held invalid or unconstitutional by a court of competent jurisdiction, the holding shall 39 not affect the validity of the remaining portions of this resolution. 40 41 Section 4. Effective Date. This resolution shall become effective immediately upon 42 adoption by vote of the City Commission. 43 44 45 46 47 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 PASSED AND ADOPTED this __ day of _____ , 2014. ATTEST: CITY CLERK READ AND APPROVED AS TO FORM LANGUAGE, LEGALITY AND EXECUTION THEREOF: CITY ATTORNEY 2 APPROVED: MAYOR Mayor Stoddard: Vice Mayor Harris: Commissioner Edmond: Commissioner Liebman: Commissioner Welsh: Resolution Number #R-685~14 Duns Number 24628976 Awarded Amount $55,{)(lO CDBG 2014 Municipality FY 2014 COMMUNITY DEVELOPMENT BLOCK GRANT CONTRACT BETWEEN MIAMI·DADE COUNTY AND CITY OF SOUTH MIAMI This Agreement (hereinafter refened to as "Agreement" or "Contract"), by and between Miami-Dade County, a political sUbdivision of the State of Florida, hereinafter referred to as "County" and ,(;ity ol;ioutlLMI,mJJ1, hereinafter referred to as "Awardee" and having offices at §J;l~L$JJn§Slt[2rl'{?,,$9!JIJLM1?mi,J:L,~1J:Et and telephone number of [30tH. stales conditions and covonanls for tho rendering of Communiiy, Economic or Housing activities hereinafter referred 10 as "Activity ()( Activities" for the County lhroufjh its Public: tlousing and Community Dcveloprnenthereinafter ,dermd to as "PHCD," and haVing its principal offices at '101 N,W, 1 Court, 141h Floor, Miami, Florida 331:36, collectively referred to as the "Parties." . WHEREAS, the Home Rule Charter authorizes Miami-Dade County to provide for the uniform health and welfare of the residents throughout the County a; and WHEREAS, the Community Development Block Grant (CDBG) Program was authorized by the Housing and Community Development Act of 1974, as amended, with the primary objective of promoting the development of viable urban communities; and WHEREAS, the Awardee provides it will develop activities of value to the County and has demonstrated an ability to provide these activities; and WHEREAS, the County is desirous of obtaining such activities of the Awardee, and the Awardee is desirous of providing such activities; and WHEREAS, the County has approprioted i5!l,QQQ of corm funds 10 the Activity D8\{ylol1l!)8!'JLt2LMu!li Purpose Field located at 6701,§y'y,§[: Place, MianlLf:i~._33143, All CDBG funds awarded to County Departments and municipalties, such as Awardee, shal! be in the form of a grant conditioned upon Award!'!!) met;tlng a CDBG national objective pursuant to the terms and conditions set forth herein, including but not limited to Section II, W(2){a)(1)-(2); and WHEREAS, the Awardee shall carry out the Activities defined and set forth in Attachment A. "Scope of Services", in Miami-Dade County or the focus area(s) of the county. NOW, therefore, in consideration of the mutual covenants recorded herein, the parties hereto agree as follows: L DEFINITIONS PHCD 24 CFR Part 570 -CDBG Regulations Community Development Corporation local Public HOLlsing and Community Development or its successor Department. Federa! regulations implementing Title I of the Housing and Community Development Act of 1974, as amended -Community Development Block Grant. A local agency that is organized to meet community development needs with particular emphasis on the economic development, housing and revitalization needs of low-and moderate-income area residents and which is receptive to the needs expressed by the community. Having headquarters in Miami-Dade County or having a place of business located In Miami-Dade County from which the Contract or Subcontract will be performed. Page 1 Low-and Moderate-Income Individual or Family Very Low Income Individual or Family Contract Records or Agreement Records Federal Award Property Policies and Procedures Manual Subcontractor or Subconsultant Subcontract It THE AWARDEE AGREES: A person or family whose annual income does not exceed 80% of the median income for the area, as determined by HUD with adjustments for smaller and larger families and with certain exceptions as provided in 24 CFR Part 570. A person or family whose annual income does not exceed 50% of the median income for the area, as determined by HUO with adjustments for smaller and larger families and with certain eXceptions as provided in 24 CFR Part 570, Any and all books, records, documents, information, data, papers, letters, materials, electronic storage data and media whether written, printed, electronic or electrical, however collected, preserved, produced, developed, maintained, completed, received or compiled by or at the direction of the Awardee or any subcontractor in carrying out the duties and obligations required by the terms of this contract, including but not limited to financial books and records, ledgers, drawings, maps, pamphlets, designs, electronic tapes, computer drives and diskettes or surveys. Any federal funds received by the Awardee from any source during the period of time In which the Awardee is performing the obligations set forth in this contract. The rea! property as descibed by legal deSCription in any loan documents executed between Awardee and the County and any rea! property of Awardee or Related or Affiliated Entities (as defined herein) acquired or improved upon with funds awarded pursuant to this Agreement or on which funds awarded pursuant to this Agreement are anticipated to be used. PHCO's Policies and Procedures Manual flkla Contract Compliance Manual may be viewed and downloaded at http://www.miamidade.govthousingfcommunity-development.asp Any individual or firm hired on a contractual basis by the Awardee for the purpose of performing work or functions cited on the Action Step Format (Attachment uA 1) of this contract. Any contractual agreement between a Subcontractor and the Awardee. A. The Awardee shall carry out the Activities defined and set forth in Attachment A, "Scope of Services," which is incorporated herein and attached hereto, in the County or the focus area(s) of the County. Awardee acknowledges and agrees that the purpose of CDBG funds is to benefit low- and moderate-income persons. Therefore, Awardee shall carry out the Activities in such a manner as to satisfy a National Objective. B. Insurance Requirements Upon PHCD's notification, the Awardee shall furnish to the Department's Community and Housing Management Division (CHMD), 701 NoW. 1 Court, 14th floor, Miami, Florida 33136, relevant certificate(s) of Insurance evidencing insurance coverage as detailed in Attachment B-1 (M). The effective coverage start date of applicable insurances shall not be !ater than the date of the Agreement execution and shaH be approved by Miami-Dade County's Internal Services Department prior to any reimbursement being processed. All certificates and insurance updates must identify the names of the Awardee and the Activity being funded through this Agreement. The Awardee shall provide Builder'S Risk Insurance andlor Flood Insurance (if applicable) upon the issuance of the Notice to Proceed with an effective date for coverage commencing on the Notice to Proceed date. Any changes to the required insurance policies, including coverage renewals, must be submitted to PHCD through a formal notice immediately upon occurrence throughout the Agreement period. Page 2 If the Awardee fails to submit the required insurance documents in the manner prescribed in these requirements within sixty (60) calendar days after the Board of County Commissioners' approval, the Awardee shall be in default of the terms and conditions of the Agreement. C. Certificate of Continuity The Awardee shalf be responsible for ensuring that the insurance certificates required in conjunction with this subsection remain in force for the duration of the Agreement period, including any and all option years, if applicable. In the case of construction and major rehabilitation activities, the Awardee must have the coverage cited in Attachment B-1(M} of this Agreement at the time that it begins construction on the project. If the insurance certificates are scheduled to expire during the Agreement period, the Awardee shall be responsible for submitting new or renewed insurance certificates to the County at a minimum of thirty (30) calendar days before such expiration. In the event that expiration certificates are not replaced with new or renewed certificates that cover the Agreement period, the County shall suspend the Agreement until the new or renewed certificates are. received-by the. County in. the mannerprescribed.in the requirements; provided,. however, that this suspended period does not exceed thirty (30) calendar days. If such suspension exceeds thirty (30) calendar days, the County may, at its sole discretion, terminate the Agreement. Prior to . execution of the Agreement by the County and commencement of the contracted services, the Awardee shaH obtain all insurance required under this Section and submit same to the County for approval. All insurance shall be maintained throughout the term of the Agreement. D. Indemnification The County shaft not assume any liability for the acts, omissions to act or negligence of the Awardee, its agents, servants or employees; nor shall the Awardee exclude liability for its own acts, omissions to act, or negligence arising out of the Awardee's performance pursuant to this Agreement. The Awardee shall indemnify and hold harmless the County and its officers, employees, agents and instrumentalities from any and aU 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 Awardee or its employees, agents, servants, partners principals or subcontractors. The Awardee shaH 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. The Awardee expressly understands and agrees that any insurance protection required by this Agreement or otherwise provided by the Awardee 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. Nothing herein is intended to serve as a waiver of sovereign immunity by the County or Awardee (if Awardee is a municipality). Nothing herein shall be construed to extend the County's or Awardee's liability (if Awardee is a municipality) beyond that provided in section 768.28, Florida Statutes. Nothing herein shall be construed as consent by the County or Awardee (if Awardee is a municipality) to be sued by third parties in any matter arising out of this Agreement. The provisions of this section survive the termination or expiration of this Agreement. E. National Objective In accordance with 24 CFR Section 570.208 of the federal regulations, the Awardee shall be required to achieve the national objective of Benefit to Low and Moderate Income Persons or Households (LMI). (See Attachment B-2). Awardee shall execute and deliver to the County, simultaneous with this Agreement, a Promissory Note committing to repay the funds provided by the County pursuant to this Agreement in the event that Awardee fails to meet the national objective. In the event the CDBG funds subject to this Agreement are to be used for the acquisition or improvement of real property, the Awardee shall also be required to give the County a mortgage or other sercurity instrument to be determined at the absolute and sole discretion of the County Mayor or Mayor's designee in order to secure the loan described in this Agreement. Title work and a title insurance policy, if so required in the absolute and sole discretion of the County Mayor or Mayor's designee in order to adequately secure the loan set forth herein, shall be paid for by Awardee. Awardee understands that the County may be liable to the United States Department of Housing and Urban Development ("HUD") fo'r repayment of the federal funds loaned to Awardee pursuant to this Agreement in the event that HUD determines that Awardee has failed to meet the national objective. AWARDEE WAIVES ANY RIGHT TO OBJECT TO THE REPAYMENT OF FUNDS, PURSUANT TO THIS AGREEMENT ANDIOR THE PROMISSORY NOTE, IN THE EVENT THAT HUD DETERMINES THAT THE AWARDEE HAS NOT MET THE NATIONAL OBJECTIVE. The Page 3 County shall have all rights and remedies in law and equity to seek repayment of funds loaned to' Awardee pursuant to this Agreement. F. Documents and Reporting Requirements The Awardee shall submit documents to PHCD or report on relevant information to PHCD as described below and provide any other documents in whatever form, manner, or frequency as prescribed by PHCD. These will be used for monitoring progress, performance, and compliance with this Agreement and for compliance with applicable County and Federal requirements. 1. Certificates of IDsurance The original to be received by PHCD within the first month of this Agreement period, and submitted with each payment request, including any renewals, prior to payments made by the County. The effective date of the coverage must coincide with the beginning date of this agreement. Awardee shall comply with the insurance requirements set forth in Attachment B-1 (M). 2. Progress Reports a. The Awardee shall submit each quarter a status report using the form attached hereto as Attachment C, "Progress Report," as it may be revised by PHCD, which shall describe the progress made by the Awardee in achieving each of the Activities, objectives and action steps identified herein, induding but not limited to Attachment A and Attachment A-i. The Awardee shall ensure that PH CD receives each report in triplicate (or as indicated) no later than 10 days after the quarter ends. The Awardee shall submit to PHCD a cumulative account of its activities under this agreement by completing the fo!lowing portions of the Progress Report Form: Section I -General Information Section II -Financial Information: The Awardee must report expenditure information based on approved budgeted line items to reflect all costs incurred during the reporting period. In addition, the Awardee shall report on Program Income, depicting the twenty percent (20%) to be paid to the County quarterly as well as Awardee's usage of Program Income for each contracted activity. Section ill -Status of Contract~d Activities: The Awardee must report specific information regarding the status of the contracted activities, including accomplishments and/or delays encountered during the implementation of the project and an unduplicated count of clients served during the reporting period (if applicab!e) for each federally defined ethnic category. Awardees engaged in construction and/or housing rehabilitation projects shalt report on the progress of their activities including the number of housing units completed and occupied by low-moderate and low income residents. The Aw.ardee shall also report demographic information on each head of household. Each goal and corresponding objective(s), as indicated in the approved Scope of Services, must be addressed as part of this report. Awardees engaged in job creation'projects shan report on the progress of their activities including the names of businesses assisted, the number of jobs created and the income qualification of individuals holding the jobs created. 50% and 70% Benchmark Reporting: At the time Awardee has been Raid or otherwise received fifty percent (50%Und~Jlgventy percent (TO%') of the Mreell1~!1t Fllnd"~,~§[\;t~.J.I1!l~Lmp_ort =J!11 the [10xt progress reDort due -am! pUQ!IJJt documentation to show sufficiont to show that Award(1.§,IJ'?"~U!ccQ!I!PJl~heQ 50'% and 70%\~diveIYL" of_ltl~1.\s;;Jii1ities_"Q.tz§~[illi'Jjl-':lJ3rein, FQLAwardees engaged in construction and/or housing rehabilitation projects, Awardees shall report on the progress of their activities including the number of housing units completed and occupied by low-moderate and low income residents. The Page 4 Awardee shall also report demographic information on each head of household, Each goal and corresponding objective(s), as indicated in the approved Scope of Services, must be addressed as part of this report. Awardces engaged In job creation projects shall report on the progress of their activities including the names of businesses assisted, the number of jobs created and the income qualification of individuals holding the jobs created. In conjunction with the progress reports submitted, Awardee shall submit the Performance & Benefit Data Supplement (the "Supplement") to the Quarterly Expenditure & Progress Report. The Supplement shall be considered a part of the progress reports due pursuant to this Agreement. Section III ~ Contract and Subcontract Activity Report: ~~9Dlml£LflmJ.$J!tlf:.91JJI£!..c;;i_tjc1L\lJ1yJ~j)~I:! {Firsl and.Third Quarter Progress- Report) -The Awardee shall report to PHCD the number of business activities involving minority vendors, including subcontractors performing work under this Agreement. The "Contract and Subcontract Activity Report" Section in Attachment C, and when applicable Section 3 in the same Attachment shall be completed semiannually by the Awardee and submitted to PHCD no later than 10 days after the first and third quarter. Section IV -Neighborhood Employment Opportunities: Ne!9hborhoocLJ;XDI1]gYlnenl OrW0r11!Il[!jQ:;L80P9JJ (First and Third Quarter Progrehs Report) .. The Awardee shall repmt to PHCD the number of target and service a,Ga residents Who have received employment opportunities from federally financed and assisted projects and activities. The Neighborhood Employment Opportunities Report shall be submitted using the Progress Report Form attached hereto as a Section in Attachment C, as it may be revised. This section of the form shall be completed semiannually by the Awardee and submitted to PHCD no later than 10 days after the first and third quarter. The Awardee shall submit to the County, in a timely manner, any other information deemed necessary by the County to show Awardee has performed its obligations set forth in this Agreement and to show U.S. HUD that Awardee has met the national objective, and its presentation shall comply with the format specified at the time of the request. Failure to submit the Progress Reports or other information in a manner satisfactory to the County by the due date shall render the Awardee in noncompliance with this Agreement. The County may require the Awardee to forfeit its claim to payment requests or the County may invoke the termination provision in this Agreement by giving five (5) days written notice of such action to be taken. b. Quarterly Reporting when Subcontractors are Utilized Awardees are advised that when Subcontractors or Subconsultants are utilized to fulfil! the terms and conditions of this Agreement, Miami-Dade County Resolution No. 1634-93 will apply to this Agreement. This resolution requires the Awardees to file quarterty reports as to the amount of Agreement monies received from the County and the amounts thereof that have been paid by the Awardee directly to Black:, Hispanic and Women-Owned businesses performing part of the contract work. Additionally, the listed businesses are required to sign the reports, verifying their participation in the contract work: and their receipt of such monies. For purposes of applicability, the reqUirements of this resolution shall be in addition to any other reporting requirements required by law, ordinance or administrative order. c. Unspecified Site(s) Objective -If the Awardee has not yet identified a location to carry out any of the activities described in Attachment A, the Awardee shall Page 5 submit, in triplicate, Progress Reports, using the form attached hereto as part of' Attachment C, on a monthly basis until such time as the Awardee complies with the provisions contained within Section II, Paragraph FA. of this Agreement. Copies of the above described Progress Report shall be received by PHCD no later than the tenth (10th) day of each month and shall address the progress undertaken by the Awardee during the previous month. This Progress Report shall not be required if the Awardee is submitting the Progress Reports required by Section II, Paragraph F.2.a and Paragraph F.3. 3. Annual Report (Fourth Quarter Progress Report) and Final Report -The Awardee shall submit a cumulative status report (hereinafter referred to as "Annual Report") using the "Progress Report" specified in Section II, Paragraph F.2.a. above, which shall describe the progress made by the Awardee in achieving each of the National Objectives identified in Attachment A during the previous year. The "Annual Report" must cover the CDSG fiscal year beginning on January 1 and ending on December 31 and shall be received by PHCD no later than 10 days after the year ends. The Final Progress Report submitted by Awardee shall include a summary of services and accomplishments Awardee performed and achieved throughout the term of this Agreement and shall be accompanied by sufficient documentation to show Awardee has met the CDBG National Objective. For Activities where the National Objective is job creation, the Final Progress Report shall include documentation sufficient to prove to U.S. HUD that Awardee met the National Objective. Awardee shall report all Program Income earned during the year and shall pay to the County all program Income earned unless directed expressly, in writing, to otherwise by the County. 4. f!:tvjLQnm~E1DJ§L8~§~i,glt{ -The Awardee immediately upon locating or determining a site for each of the "Unspecified Site" activities to be carried out pursuant to this Agreement, shall submit information detailing the location of each site for which a Site Environmental Conditions Statement will be prepared. The Environmental Review is to be prepared on information contained in Attachment D, "Information for Environmental Review Form." NotwithstandillgJ!1Y ... J2!Qvision .QLJtlL!'l"8.9EQQXngnJ •..... !.b;~ ....... Rf,lrlJl"J;:; ........ h§lmtQ?9.m.Si ....... ?D.fl acknowledge that this Agreement· does not constitute ~?~QmmLtQlent of filll.J13'i""QL~J!? m1prov~lJJitllat SU!fjl.£9mmltsmmlJlUy.f1(!§gL~mJ2LQ,!gIJmw.S1D<:.~J( .. 9.n!y. ... \!Q9.Q ... §£.!i.§f?GtPfY cQllm!etif;tn of environmental review and receipt by th0 County oi.frJ:gjg.51se"RfJ1JG.Q§.lL12!I! the 11.3, Dellfl!J!II9JlLQLl:!gJJ§lllilj~):1C;U,lJ:l'?iJjlJ.t(,iy.(}.IQ1m.lQ!1L..lmgQL2.1..£FR Part 58. ThQ 12§.fjlf?§.J!JJjJ)§L"i;.1.9IQQ.Jlli'11J11fU2!I!,!isit1!:L..QLillJY~J!ds to ti¥u?LQjr;ct is conditioned on thq S:;ounty's determination 10 proceed with, modify or c;nnQgJJJl.l}J2r9jQfUl£l;?Q~;tQ!ltl]()Jes!JJj:'lQf a subsequent environmental review. 5. Audit Report -The Awardee shall submit to PHCD an annual audit report in triplicate as required by Section II, Paragraph L of this Agreement, as set forth below. The Awardee shall submit a written statement from its auditing firm to confirm that it has cleared any non- compliance issues stated in the audit, and a written statement from the Auditor that the audit complies with all applicable provisions of 24 CFR Part 84.26, Part 85.26 and OMB A- 133. 6, Personnel Policies and Administrative Procedures -The Awardee shall submit detailed documents describing the Awardee's internal corporate or organizational structure, property management and procurement policies and procedures, personnel management, accounting policies and procedures, etc. Such information shalf be submitted to PHCD within 30 days of the execution of this Agreement. 7. Inventorv Report -The Awardee shall report annually all nonexpendable personal and real property purchased with CDBG funds from this and previous agreements with the County as specified in Section II. Paragraph W of this Agreement. S. Aff![mJi.\JiY.~.h.Qtion Pial} -The Awardee shall report to PHCD information relative to the equality of employment opportunities whenever so requested by PHCD. 9. J1L!?gJQ§'YJJ~QfBgtatect9LAffiliaJ~J;LE:.<:jrt~.§ -At the time of contract execution, or at any other time at the request of the County, Awardee shall disclose to the County all Related or Affiliated Parties. Related or Affiliated Parties shall mean persons, corporations, partnerships, or other business entities (a) which have a direct or indirect ownership interest in Awardee, (b) which have a parent or principal thereof which has a direct or indirect ownership interest in Awardee, (c) whose members appointed by Awardee, or (d) Page 6 which the County deems in its sole discretion to be a Related or Affiliated Party of Awardee. The Awardee shall report this information to the County upon forming the relationship or, if already formed, shall report it immediately. Any supplemental information shall be reported quarterly in the required Progress Report. This provision shall be construed broadly to the benefit of the County. Non-compliance with these requirements will be considered a default, which may result in the immediate termination of the agreement, the recovery of the entire funding award, and the disqualification of funding through PHCD for a period of three years. 10. gepQE!!JJ9<<2r:1fin?Df,.!£lL§i§tv§,J?£mJ.mmlfy',Jif!?IJ:?IQllQJj.y,Q(\?gEl?,QIJi'lJ.J'(QPQlty -Awardee shall notify the County in writing within ten (10) days of the occurrence of any of the following as to Awardee or any Related or Affiliated Parties: a. Any anticipated or pending lis pendens, foreclosure action, arrearage, default, late payment regarding any property of Awardee or Related or Affiliated Parties, including properties not related to this Agreement. Awardee shall also provide the County with a 'copy of all· court ~ filings,notices of.. default;<arrearage Of-late payment, or any other documents relevant to the disclosures required herein. b. Any !egal encumbrance on the Property not permitted in writing by the County. c. Any default or arrearage on any loan, Note Of other debt or obligation for which the Property is security. d. Any anticipated or pending bankruptcy, restructuring, dissolution, reorganization, appointment of a trustee or receiver. e. Any action, activity, facts, or circumstances that would materially impair performance by Awardee of ali the terms and conditions of this Agreement. Failure to comply with these reporting reqUirements shaH constitute a default and shall entiUe the County to seek any and all remedies available at law, equity and pursuant to this Agreement. G. Lobbying Prohibition 1. The Awardee shall certify that no federal appropriated funds have been paid or will be paid, by or on behalf of the underSigned, to any person for influenCing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer Of employee of Congress, or an employee of a Member of Congress in connection with the awarding of any federal Agreement, the making of any federal grant, the making of any federal loan, the entering into of any cooperative Agreement, and the extension, continuation. renewal, amendment. or modification of any federal Agreement, grant, loan. or cooperative Agreement. 2. The Awardee shall disclose to PHCD if any funds other than federal appropriated funds have been paid Of will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer Of employee of Congress, or an employee of a Member of Congress in connection with this federal Agreement, grant, loan, or cooperative Agreement, on a Standard Form-LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions. 3. The Awardee shall ensure that the language in this Section It, Paragraph G.1. and G.2 be included in the award documents for all subawards at aU tiers (including subcontracts, subgrants, and Agreements under grants, loans, and cooperative Agreements) and to ensure that an subrecipients shall certify and disclose accordingly in connection with this activity. H. Federal, State, and County Laws and Regulations Rules, Regulations and Licensing Requirements Page 7 1. The Awardee shall comply with all laws, ordinances and regulations applicable to thE; services contemplated herein, especially those applicable to conflict of interest and collusion. Awardees are presumed to be familiar with all Federal, State and local laws, ordinances, codes, rules and regulations that may in any way affect the goods or services offered, especially Executive Order No. 11246 entitled "Equal Employment Opportunity" and as amended by Executive Order No. 11375, as supplemented by the Department of Labor Regulations (41 CFR, Part 60), the Americans with Disabilities Act of 1990 and implementing regulations, the Rehabilitation Act of 1973, as amended, Chapter 553 of Florida Statutes and any and aU other (ocal, State and Federal directives, ordinances, rules, orders, and laws relating to people with disabilities. The Awardee will also Comply with OMB A-122. OMB A-110, OMB A-21, OMB A-133, and with the applicable procedures specified in PHCD's Policies anQ~J~fQggdu[g.lL_.Jy'l£[lI:!£1 found at http://www.miamidade.gov/housing/community-developmenLasp which are incorporated herein by reference, receipt of which is hereby acknowledged, and as they may be revised. 2. The Awardee agrees to abide by Chapter II-A, Code of Miami-Dade County ("County Code"), as amended, applicabfe to non-discrimination in employment, housing and public accommodation. 3. Awardee shall comply with, and cause all subcontracts to require compliance with, Florida Statutes, the Miami-Dade County Code of Ordinances, and all applicable building codes, including the Miami-Dade County Building Code and any applicable municipal building code. Failure of Awardee or any subcontractor of Awardee to so comply with these requirements, which includes but is not limited to engaging in construction or repairs without proper building permits or unlicensed professionals engaging in work which requires a license, shall cause this Agreement to be voidable by the County at the County's absolute and sole discretion. In the event the County voids this Agreement for failure to comply with the requirements of this section, Awardee shall forfeit any right to payment pursuant to this Agreement, regardless of when Awardee's or the subcontractor's noncompliance becomes known to the County. 4. The Awardee shall comply with Section 504 of the Rehabilitation Act of 1973, as amended, which prohibits discrimination on the basis of handicap and requires a minimum number of units to be accessible to persons with disabilities; Title VI of the Civil Rights Act of 1964, as amended, which prohibits discrimination on the basis of race, color, or national origin; the Age Discrimination Act of 1975, as amended, which prohibits discrimination on the basis of age; Title VIII of the Civil Rights Act of 1968, as amended, and Executive Order 11063 which prohibits discrimination in housing on the basis of race, color, religion, sex, Of national origin; Executive Order 11246, as amended which requires equal employment opportunity; and with the Energy Policy, amended and Conservation Act (Pub.L 94-163) which requires mandatory standards and policies relating to energy efficiency. The Awardee also agrees to comply 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 violence leave 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 the Awardee. 5. If the amount payable to the Awardee pursuant to the tenns of this Agreement is in excess of $100,000, the Awardee shall comply with all applicable standards, orders, or regulations, issued pursuant to Section 306 of the Clean Air Act of 1970 (42 U.S.C, 1857 h), as amended; the Federal Water PoJiution Control Act (33 U.S.C. 1251), as amended; Section 508 of the Clean Water Act (33 U.S.C. 1368); Environmental Protection Agency regulations (40 CFR Part 15); and Executive Order 11738. 6. Assurance of Compliance with Section 504 of the Rehabilitation Act -The Awardee shall report its compliance with Section 504 of the Rehabilitation Act whenever so requested by PHCD within the tenn of this Agreement or the Affordability Period. 7. Americans with Disabilities Act (ADA) of 1990 -The Awardee shall attest to; and submit the required Disability Non-discrimination Affidavit assuring compliance with all applicable requirements of the laws listed below including but not limited to, those provisions pertaining to employment, provisions and program services, transportation, communications, access to facilities, renovations, and new construction. Page i! 8. AifinTl,ll.tivo jl,cilon/Non·.Qj~I~riIIli!la!iorL of E!J];2tqY!JillnL.~ElorllotiQI1......J;Jm.LJ:JQ~;'Pf~!IJJ:m!' Practices (Ordinance #98-30) -All firms with annual gross revenues in excess of $5 million, seeking to contract with Miami-Dade County shall, as a condition of award, have a written Affirmative Action Plan and Procurement Policy on file with the County's Regulatory and Economic Resources Department. Said firms must also submit, as a part of theif proposals/bids to be filed with the Clerk of the Board, an appropriately completed and signed Affirmative Action Plan/Procurement Policy Affidavit. Firms whose Boards of Directors are representative of the population make-up of the nation are exempt from this requirement and must submit, in writing. a detailed listing of their Boards of Directors, showing the race or ethnicity of each board member, to the County's Regulatory and Economic Resources Department. Firms claiming exemption must submit, as a part of their proposalsibids to be filed with the Clerk of the Board. an appropriately completed and signed Exemption Affidavit in accordance with Ordinance 98-30. These submittals shall be subject to periodic reviews to assure that the entities do not discriminate in their employment and procurement practices against minorities and women-owned businesses. It will be the responsibility of each firm to provide verification of-their gross annual revenues to determine the requirement for compliance with the Ordinance. Those firms that do not exceed $5 million annual gross revenues must clearly state so in their bid/proposal. Any bidder/respondent which does not provide an affirmative action plan and procurement policy may not be recommended by the County Mayor for award by the Board of County Commissioners. 9. Domestic Violence Leave Affidavit -Prior to entering into any contract with the County, a firm desiring to do business with the County shall, as a condition of award, certify that it is in compliance with the Domestic Leave Ordinance, 99-5 and Section 11A-60 of the Miami- Dade County Code. 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 each of twenty (20) or more calendar work weeks in the current or preceding calendar year. In accordance with Resolution R-185-00, the obligation to provide domestic violence leave to employees shall be a contractual obligation. The County shall not enter into a contract with any firm that has not certified its compliance with the Domestic Leave Ordinance. Failure to comply with the requirements of Resolution R-185-00, as well as the Domestic Leave Ordinance may result in the contract being declared void, the contract being terminated and/or the firm being debarred. 10. .Q.ggg of Business Ethics -In accordance with Section 2-8.1(1) of the Code of Miami-Dade County each person or entitiy that seeks to do business with Miami-Dade County shall adopt a Code of Business Ethics ("Code") and shall submit an affidavit stating that the f::..wj:lr.Q,0SU.1!:.t2,?Sl.Qntfj£L§,gJ2t;t12J!l?t£Q[UP!i.~;L\yjJJl.Jtl(;;!"L12glJ.lrenl12!lt*iQL!i~g![\m.:.fJ?'J(t) . .Qf1b? Miami-Dade County Code (Form A-12). Section 2-11.1(d) of Miami-Dade County Code as amended by Ordinance 00-1, also requires any county employee or any member of the employee's immediate family who has a controlling financial interest, direct or indirect, with Miami-Dade County or any person or agency acting for Miami-Dade County from competing Dr applying for any such contract as it pertains to this solicitation, must first request a conflict of interest opinion from the County's Ethic Commission prior to their or their immediate family members entering into any contract or transacting any business through a firm, corporation, partnership or business entity in which the employee or any member of the employee's immediate family has a controlling financial interest, direct or indirect, with Miami-Dade County or any person or agency acting for Miami-Dade County and that any such contract, agreement or business engagement entered in violation of this subsection, as amended, shall render this Agreement voidable. For additional information, please contact the Ethics Commission hoUins at (305) 579-9093. 11. Public Entity Crimes -Pursuant to Paragraph 2(a) of Section 287.133. Florida Statutes, a person Of affiliate who has been placed on the convicted vendor list following a conviction for a public entity clime may not submit a proposal for a contract to provide any goods or services to a public entity; may not submit a proposal on a contract with a public entity for the construction or repair of a public building or public work; may not submit proposals on leases of teal property to a public entity; may not be awarded or perform work as a Awardee, supplier, subcontractor, or consultant under. a contract with any public entity; and, may not transact business with any public entity in excess of the threshold amount provided PageS in Section 287.017 for Category TWO ($10,000) for a period of thirty-six (36) months fron'l the date of being placed on the convicted vendor list. The Awardee warrants and represents that it has not been placed on the convicted vendor list The Awardee agrees that should Miami-Dade County discover that the Awardee's representations regarding the list are false, this Agreement shall be terminated on the discretion of Miami-Dade County. Further, should the Awardee be placed on the list at any time during this Agreement Miami- Dade County shall have the right to terminate this agreement 12. .QrimJ!}QLQQr.lVi9tI9!1-Pursuant to Miami-Dade County Ordinance No. 94-34, "Any individual who has been convicted of a felony during the past ten years and any corporation, partnership, joint venture or other legal entity having an officer, director, or executive who has been convicted of a felony during the past ten years shalf disclose this information prior to entering into a contract with or receiving funding from the County." Failure of the Awardee to disclose this information as required may lead to the termination of this agreement by Miami-Dade County. If Awardee, or any owner, subsidiary, or other firm affiliated with or related to the Awardee, is found by the responsible enforcement agency, the Courts or the County to be in violation of the Acts, the County will conduct no further business with Awardee. Any contract entered into based upon a false affidavit, as listed below, and submitted pursuant to this resolution shall be voidable by the County: 1. Miami-Dade County Vendor Affidavit Form 2. Criminal Record Affidavit 3. Public Entity Crime Affidavit 4. Related-Party Discfosure Information 5. Miami-Dade County Affidavit Regarding Delinquent and Currently Due Fees or Taxes 6. Affirmative Action Affidavits 7. Current on all County Contracts, Loans, and Other Obligations Affidavit 8. Financial and Conflicts of Interest Affidavit 9. Collusion Affidavit If any attesting firm violates any of the Acts below during the term of any contract such firm has with the County, such contract shall be voidable by the County, even if the attesting firm was not in violation at the time it submitted its affidavit. The applicable Acts are as follows: 1. The Americans with Disabilities Act of 1990 (ADA), Pub. L. 101-336, 104 Stat 327, 42 U.S.C. 12101-12213 and 47 U.S.C. Sections 225 and 611 including Title I, Employment; Title H, Public Services; Title III, Public Accommodations and Services Operated by Private Entities; Title IV, Telecommunications; and ntle V, Miscellaneous Provisions. 2. The Rehabmtation Act of 1973,29 U.S.C. Section 794; 3. The Federal Transit Act, as amended 49 U.S.C. Section 1612; 4. The Fair Housing Act as amended, 42 U.S.C. Section 3601-3631. In addition to the requirements in the Agreement, the Awardee I Department agrees to comply with all the provisions of 24 CFR 570.502, 24 CFR 570.503, and 24 CFR Part 570, Subpart K, including the following: Public Law 88-352 and Public Law 90-284; affirmatively furthering fair housing; Executive Order 11063. Section 109 of the Housing and Community Development Act. Labor standards. Environmental standards. National Flood Insurance Program. Uniformed Relocation Act. Employment and contracting opportunities. Lead-based paint regulations. Eligibility of contractors or sub reCipients. Page 10 Uniform administrative requirements and cost principles. Conflict of interest. Executive Order 12372. Eligibility of certain resident aliens. Architectural Barriers Act and the Americans with Disabilities Act. 13. CDBG-Related Requirements 1, National Objective -Awardee must perform the Activities described herein in a manner in which Awardee meets the national objective of benefit to low- andmoderate-income persons. Awardee shall ensure and maintain documentation. acceptable to the County in its sole and absolute discretion, that conclusively demonstrates that each activity assisted in whole or in part with CDBG funds is an activity which provides benefit to low-and moderate-income persons, as defined in the CDBG Regulations. 2. The Awardee shall.complywith alLapplicabie provisions of 24 CFRPart570 and .. shall carry out each activity in compliance with all applicable federal laws and regulations described therein. If the Awardee is a primarily religious entity, it shall comply with all provisions of 24 CFR 570.200 (j). 3. The Awardee agrees to comply with (a) the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970, as amended (URA), and implementing regulations at 49 CFR Part 24 and 24 CFR 570.606(b): (b) the requirements of 24 CFR 570.606(c) governing the Residential Antidisplacement and Relocation Assistance plan under section 1D4(d) of the HCD Act; and (c) the requirements in 570.606(d) governing optional relocation policies. (The County may preemept the optional policies). The Awardee shall provide relocation assistance to persons (families, individuals, businesses, non-profit organizations and farms) that are displaced as a direct result of acquisition, rehabilitaion, demolition or conversion for a CDBG assisted project The Awardee also agrees to comply with applicable County ordinances, resolutions and policies concerning the displacement of persons from their residences; 4. For each activity or portion of activity described in Attachment A hereto for which a location has not yet been identified, the Awardee shall obtain, immediately after a si.te is identified by the Awardee, PHCD's written environmental clearance statement and shall agree in writing to comply with any and all requirements as may be set forth in the Site Environmental Clearance Statement. 5. The Awardee shall cooperate with PHCD in informing the appropriate CDBG citizen participation structures, including the appropriate area committees, of the activities of the Awardee in adhering to the provisions of this Agreement. Representatives of the Awardee shall attend meetings of the appropriate committees and citizen participation structures, upon the request of the citizen participation officers, PHCD, or the County. 6. The Awardee shall make a good faith effort to address the concerns of the residents of the affected area. The Awardee shall cooperate with PHCD in informing the appropriate CDBG citizen participation structures, including the appropriate area committees, of the activities of the Awardee in adhering to the provisions of this Agreement. Representatives of the Awardee shall attend meetings of the appropriate committees and citizen participation structures, upon the request of the citizen participation officers, PHCD, Of the County. 7< For activities involving acquisition, rehabilitation and/or demolition of property and which require the relocation of families, individuals, businesses and/or industries, the Awardee shall submit a written notification to the Community Planning and Outreach Division of PH CD prior to relocating, evacuating, and/or dispersing any and all legal occupants who reside at this property on the basis of a long or short term lease, When the legality of an occupant (individual. family, business, and/or industry) is in question, the Awardee shall contact the above mentioned unit prior to making a determination. Awardees receiving CDBG funds shall adhere to 24 CFR part 50 and/or part 58 and to the rules and regulations of the Uniform Page 11 \ Relocation Assistance and Real Property Acquisition Act of 1970, as amended. The Awardee shall adopt Affirmative Marketing Procedures and requirements for CDBG assisted projects. These procedures must consist of actions to provide information and attract eligible persons from all racial, ethnic and gender groups to the available services. The Awardee shall annually assess its affirmative marketing program to determine if the procedures used to comply with the requirements specified in Public Law 88-352 and Public Law 90-284 successfully meet these requirements. The Awardee shall submit to PHCD its Affirmative Marketing Plan no later than 60 days from the date this Agreement is executed. 8. For Housing. Rehabilitation, and Construction activities all conditions in this section will apply throughout the regulatory period identified in the national objective. Throughout that period, the Awardee will be required to submit an annual report regarding their compliance with the national objective, and PHCD will have the light to monitor the activity. 9. The Awardee shall comply with all applicable uniform administrative requirements as described in 24 CFR 570.502 10. The Awardee acknowledges that the County will perform an underwriting and project analysis to determine the financing gap or rate of return gap, project feasibility, and the reasonableness of costs and Awardee's or owner's equity return. Awardee agrees to defer to the County's analysis. Awardee shall have the opportunity to renegotiate this Agreement by modifying the Activity to improve the Activity to the County's satisfaction or to terminate this Agreement with each party paying its own costs and fees (as applicable). I. Conflicts with Applicable laws If any provision of this Agreement conflicts with any applicable law or regulation including but not limited to, 24 CFR 570, only the conflicting provision shall be deemed by the parties hereto to be modified to be consistent with the law or regulation or to be deleted if modification is impossible. However, the obligations under thi,s Agreement. as modified, shall continue and all other provisions of this Agreement shall remain in full force and effect. The County's determination on whether a provision conflicts shall be final and binding. J. Board of Directors If the Awardee is a Community Development Corporation (CDC). PHCD shall have the option to appoint a representative to the Awardee's board of directors. This representative shall not be considered in the counting of a quorum and shall have no voting privileges. K. Construction If the Awardee engages in, procures, or makes loans for construction work, the Awardee shall: 1, Contact the PHCD representative noted in Section IV, Paragraph M of this Agreement, prior to taking any action, to schedule a meeting to receive compliance information. 2. Comply with the Awardee's procurement and pre-award requirements and procedures which, at a minimum, shall adhere to all applicable federal standards. 3. Comply with the' Davis-Bacon Act; Copeland Anti-Kick Back Act; Contract Work Hours and Safety Standards Act; and lead-Based Paint Poisoning Prevention Act as amended on September 15, 1999; and other related acts, as applicable. 4. Submit to PHCD for written approval all proposed Solicitation Notices, Invitations for Bids. and Requests for Proposals prior to publication. 5. Submit to PHCD all construction plans and specifications and receive PH CD's approval prior to implementation. Page 12 6. Contact the PHCD representative noted in Section IV, Paragraph M, prior to scheduling a pre-construction conference. In accordance with industry standards, PHCD will hold ten percent (10%) of the total grant award as a retainer until the construction work is determined by PHCD, in its sole discretion, to be seventy-five percent (75%) completed, At the time that the construction work is determined by PHCD to be seventy-five percent complete, the retainer will be reduced to 5% until the work is completed, Completion shall occur whl'1n a Certificate of Occupancy is issued. 7. The County shall have the right to assign Professional Staff and provide Technical Assistance from the Public Housing and Community Development to assist the project if the County's staff determines that the Awardee has been unable to consistently achieve the work and units described within the time frames of the action step format of this agreement. Such involvement may result in a reduction of a maximum of 5% of the Agreement's award to cover the cost of the technical assistance. The Awardee shall cooperate and comply with all requests made by such staff. 8. Execute and record; at the County's request, any of the following documents-in order to ensure the Property is used as defined and described in Attachment A of this Agreement a. Promissory Note b. Mortgage c. Loan Agreement d. Restrictive Covenant e. Rental Regulatory Agreement f. Collateral Assignment of leases, rents and Contract Rights g. UCC-i Rider h. Title Insurance Policy L. Audits and Records 1. Nonprofit organizations that expend $500,000 or more annually if! federal awards shall have a single or program specific audit conducted in accordance with OMB A-133. Nonprofit organizations expending federal awards of $500,000 or more under only one federal program may elect to have a program-specific audit performed, in accordance with OMS A-133. Awardees who will be receiving, or who have received, federal awards for loans or loan guaranteed programs may be required to conduct audits of those programs in accordance with regulations of the federal agencies providing those guarantees or loans. 2. Nonprofit organizations that expend less than $500,000 annually in federal awards shall be exempt from an audit conducted in accordance with OMB A-133, although their records must be availab!e for review (e.g., inspections, evaluations). Such agencies that receive less than $500,000 in combined Federal awards must submit to the County annual compilation reports that describe their performance. To achieve uniformity regarding the reporting format, such documents must comply with the accounting industry standards by communicating an independent accountant's (1) expression of limited assurance on FINANCIAL STATEMENTS as a result of performing inquiry and analytic procedures (Review Report); (2) results of procedures performed (Agreed~Upon Procedures Report); (3) non-expression of opinion or any form of assurance on a presentation in the form of financial statements information that is the representation of management (Compilation Report); or (4) an opinion on an assertion made by management in accordance with the Statements on Standards for Attestation Engagements (Attestation Report). 3. When the requirements of OMB A-i33 apply, an audit shall be conducted for each fiscal year for which federal awards attributable to this Agreement have been received by the Awardee. Each audit shall include a fiscal review, which includes a validation of all program generated income and its disposition, especially attributable to CDBG funds, an internal control review, and a compliance review as described in OMB A-133. A copy of the audit report in triplicate must be received by PHCD no later than six months following the end of the Awardee's fiscal year. 4. If an audit is required by Paragraph L of this Agreement, but the requirements of OMS A- 133 do not apply the Awardee may choose to have an audit performed either on the basis of the Awardee's fiscal year or on the basis of the period during which PHCD-federal assistance has been received. In either case, each audit shall cover a time period of not more than twelve (12) months and an audit shall be submitted covering each assisted period until aU the assistance received from this Agreement has been reported on. Each Page 13 audit shall adhere to aU other audit standards of OMS A-133, as these may be limited to cover only those services undertaken pursuant to the terms of this Agreement. A copy of the audit report in triplicate must be received by PHCD no later than six months following each audit period. 5. The Awardee shall maintain all Contract Records in accordance with generally accepted accounting principles, procedures, and practices which shall sufficiently and properly reflect all revenues and expenditures of funds provided directly or indirectly by the County pursuant to the terms of this Agreement. 6. The Awardee shall maintain all Contract Records that document all actions undertaken to accomplish the "Scope of Services" outlined in Attachment A in this Agreement. 7. The Awardee shall ensure that the Contract Records shall be at all times subject to and available for full access and review, inspection, or audit by County and federal personnel and any other personnel duly authorized by the County. 8" The Awardee shall include in all PHCD approved subcontracts used to engage subcontractors to carry out any eligible substantive programmatic services, as such services are described in this Agreement and defined by PHCD, each of the record-keeping and audit requirements detailed in this Agreement. PHCD shall, in its sale discretion, determine when services are eligible substantive programmatic services and subject to the audit and record-keeping requirements described above, 9. The County reserves the right to require the Awardee to submit to an audit by Audit and Management Services or other auditor of the County's choosing at the Awardee's expense. The Awardee shall provide access to ali of its records, which relate directly or indirectly to this Agreement at its place of business during regular business hours. The Awardee shall retain all records pertaining to this Agreement and upon request make them available to the County for four years following expiration of the Agreement. The Awardee agrees to provide such assistance as may be necessary to facilitate the review or audit by the County to ensure compliance with applicable accounting and financial standards, 10. The Awardee shall ensure that its auditors share their audit results with and must submit the audit report to PHCD within six months after the conclusion of the audit period. 11, Pursuant to County Ordinance No. 03-2, the Awardee will grant access to the Commission Auditor to aU financial and performance related records, property,' and equipment purchased in whole or in part with government funds, The Awardee agrees to maintain an accounting system that provides accounting records that are supported with adequate documentation, and adequate procedures for determining the allow ability and allocability of costs. M. Protected Records and Documents 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 (UHI) andfor Protected Health Information (PHI) shall comply with the Health Insurance Portability and Accountability Act (HIPAA) of 1996 and the Miami-Dade County Privacy Standards Administrative Order. HIPAA mandates privacy, security and electronic transfer standards including but not limited to: 1. Use of information only for performing services required by the Agreement or as required by law; 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 Contractor and reasonable assurances that IIHIIPHI will be held confidential; 5. Making Protected Health Information (PHI) available to the customer; 6. Making PHI available to the customer for review and amendment, and incorporating any amendments requested by the customer; Page 14 7. Making PHI available to Miami-Dade County for an accounting of disclosures; and 8. Making internal practices, books and records related to PH! 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 Contractor must give its customers written notice of its privacy information practices induding specifically, a description of the types of uses and disclosures that would be made with protected health information. N. Retention of Records 1. The Awardee shall retain all Contract Records for a period of at least seven (7) years following the final Close-Out of the Activity/Project (hereinafter referred to as "Retention Period") subject to the limitations set forth below. The final Close-Out of the Activity/Project is the date when PHCD provides written notificationo of such. Under no circumstances shall .. Awardee dispose of any Contract Records prior to Awardee providing the County sufficient documentation to show that the HOME Regulations were fully complied with in Awardee's performance of its obligations under this Agreement and has received confirmation from PHCD that the Activity/Project has been finally Closed-Out in the U.S. HUD IDIS system. Upon Awardee's request in writing for confirmation of said final Close-Out, PHCD shall provide Awardee in writing either confirmation of final Close-Out or a list of documentation required in order to proceed toward final Close-Out 2. If the county or the Awardee have received or given notice of any kind indicating any threatened or pending litigation, claim or audit arising out of the services provided pursuant to the terms of this Agreement, the Retention Period shall be extended until such time as the threatened or pending litigation. claim or audit is, in the sole and absolute discretion of PHCD, fuily, completely and finally resolved. 3. The Awardee shall allow the County, federal personnel, or any person authorized by the County fu!! access to and the right to exami.ne any of the Agreement records during the required Retention Period. . 4. The Awardee shall notify PHCD in writing, both during the pendency of this Agreement and after its expiration as part of the final closeout procedure. of the address where aU Agreement records will be retained. 5. The Awardee shall obtain written approva! of PHCD prior to disposing of any Agreement records within one year after expiration of the Retention Period. O. Provision of Records and Proprietary Rights and Information 1. The Awardee shall provide to PHCD, upon request, all Agreement records. These records shaH become the property of PHCD without restriction, reservation. or limitation of their use. PHCD shaH have unlimited rights to all books, articles, or other copyrightable materials developed for the purpose of this Agreement. These unlimited rights shall include the rights to royalty-fees; nonexclusive, and irrevocable license to reproduce, publish, or otherwise use, and to authorize others to use, the information for public purposes. 2. If the Awardee receives funds from, or is under regulatory control of. other governmental agencies, and those agencies issue monitoring reports, regulatory examinations, or other similar reports, the Awardee shall provide a copy of each report and any follow-up communications and reports to PHCD immediately upon such issuance unless such disclosure is a violation of the rules or policies of the regulatory agencies issuing the reports. 3. Proprietary Information As a political subdivision of the State of Florida, Miami-Dade County is subject to the stipulations of Florida's Public Records Law. The Awardee acknowledges that all computer software in the County's possession may constitute or cOntain information or materials which the County has agreed to protect as Page 15 proprietary information from disdosure or unauthorized use and may also constitute or contain information Of materials which the County has developed at its own expense, the disclosure of which could harm the County's proprietary interest therein. During the term of the Agreement, the Awardee will not use directly or indirectly for itself or for others. or publish or disclose to any third party, or remove from the County's property. any computer programs, data compilations, or other software which the County has developed, has used or is using. is holding for use, or which are otherwise in the possession of the County (hereinafter "Computer Software"). All third-party license agreements must also be honored by the Awardees and their employees, except as authorized by the County and, if the Computer Software has been leased or purchased by the County, all hired party license agreements must also be honored by the Awardees' employees with the approval of the lessor or Awardees thereof. This includes mainframe, minis. telecommunications. personal computers and any and all information technology software. The Awardee will report to the County any information discovered or which is disclosed to the Awardee which may relate to the improper use, publication, disclosure or removal from the County's property of any information technology software and hardware and will take such steps as are within the Awardee's authority to prevent improper use, disclosure or removal. 3. Proprietary Rights a) The Awardee hereby acknowledges and agrees that the County retains all rights, title and interests in and to aU materials, data. documentation and copies thereof furnished by the County to the Awardee hereunder or furnished by the Awardee to the County and/or created by the Awardee for delivery to the County. even if unfinished or in process, as a result of the Services the Awardee performs in connection with this Agreement, including all copyright and other proprietary rights therein, which the Awardee as well as its employees, agents, subcontractors and suppliers may use onfy in connection of the performance of Services under this Agreement. The Awardee shall not, without the prior written consent of the County, use such documentation on any other project in which the Awardee or its employees, agents, subcontractors or suppliers are or may become engaged. Submission or distribution by the Awardee to meet official regulatory requirements or for other purposes in connection with the performance of Services under this Agreement shall not be construed as publication in derogation of the County's copyrights or other proprietary rights. b) All rights, title and interest in and to certain inventions, ideas, designs and methods, specifications and other documentation related thereto developed by the Awardee and its subcontractors specifically for the County, hereinafter referred to as "Developed Works" shall become the property of the County. c) Accordingly, neither the Awardee nor its employees, agents, subcontractors or suppliers shall have any proprietary interest in such Developed Works. The Developed Works may not be utilized, reproduced or distributed by or on behalf of the Awardee. or any employee. agent, subcontractor or supplier thereof, without the prior written consent of the County. except as required for the Awardee's performance hereunder. d) Except as otherwise provided in SUbsections a, b, and c above, or elsewhere herein. the Awardee and its subcontractors and suppliers hereunder shall retain aU proprietary rights in and to all Licensed Software provided hereunder, that have not been customized to satisfy the performance criteria set forth in the Scope of Services. Notwithstanding the foregoing, the Awardee hereby grants, and shall require that its subcontractors and suppliers grant. jf the County so desires. a perpetual, irrevocable and unrestricted right and license to use, duplicate, disclose and/or permit any other person(s) or entity(ies) to use all such Licensed Software and the associated specifications, technical data and other Documentation for the operations of the County or entities contrOlling. controlled by, under common control with, or affiliated with the County, or organizations which may hereafter be formed by or become affiliated with the County. Such license specifically includes, but is not limited to, the right of the County to use and/or disclose. in whole or in part, the technical documentation and Licensed Software, including source code provided hereunder. to Page 16 any person or entity outside the County for such person's or entity's use in furnishing any and/or all of the Defiverables provided hereunder exclusively for the County or entities controlling, controlled by, under common control with, or affiliated with the County. or organizations which may hereafter be formed by or become affiliated with the County. No such License Software, specifications, data, documentation or related information shall be deemed to have been given in confidence and any statement or legend to the contrary shall be void and of no effect P. Audits and Inspectors General Nothing in this Agreement shall impair any independent right of the County to conduct audit or investigate activities. The provisions of this section are neither intended nor shall they be construed to impose any liability on the County by the Awardee or third parties.The provisions in this section shall apply to the Awardee, its officers, agents, employees, subcontractors, suppliers and Related or Affiliated Parties. The Awardee shall incorporate the provisions in this section in all subcontracts and all other Agreements executed by the Awardee in connection with the performance of the According to Section 2-1076 of the Code of Miami-Dade County, as amended, Miami-Dade County has established the Office of the Inspector General which may, on a random basis, perform audits on all County contracts, throughout the duration of said contracts, except as otherwise provided below. The cost of the audit of any Contract shall be one quarter (1/4) of one (1) percent of the total contract amount which cost shall be included in the total proposed amount. The audit cost will be deducted by the County from progress payments to the selected Awardee. The audit cost shall also be included in all change orders and all contract renewals and extensions. Exception: The above application of one quarter (1/4) of one percent fee assessment shall not apply to the following contracts: (a) IPSIG contracts; (b) contracts for legal services; (c) contracts for financial advisory services; (d) auditing contracts; (e) facility rentals and lease agreements; (1) concessions and other rental agreements; (g) insurance contracts; (h) revenue-generating contracts; (I) contracts where an IPSIG is assigned at the time the contract is approved by the Commission; (j) professional service agreements under $1,000; (k) management agreements; (I) smail purchase orders as defined in Miami-Dade County Administrative Order 3-2; (m) federal, state and loca! government-funded grants; and (n) interlocal agreements. Notwithstanding the foregoing, the MiQml:pade County 89.Qrd of County C~mmi~§iQn§!X§.rrE1Y-.?J1UJQfiZ;1iLJh@wjnyJWi!jQIL.QLtD!'Lf0f'; assessment of one quarter (1/4) of one percent in any exempted contract at the time of award. Awardee consents to the powers of the Inspector General. The Miami-Dade County Inspector Genera! is authorized and empowered to review past, present and proposed County contracts, transactions, accounts, records and programs. In addition, the Inspector General has the power to subpoena witnesses, administer oaths, require the production of records and monitor existing projects and programs. Monitoring of an existing project or program may include a report concerning whether the project is on time, within budget and in compliance with plans, specifications and applicable law. Upon ten (10) days prior written notice to the Awardee from the Inspector General or IPSIG retained by the Inspector General, the Awardee shall make aU requested records and documents available to the Inspector Genera! or IPSIG for inspection and copying. The Inspector General and IPSIG shall have the right to inspect and copy all documents and records in the Awardee's possession, custody or control which, in the Inspector General or IPSIG's sole judgment, pertain to performance of the Agreement, including, but not limited to original estimate files, worksheets, proposals and Agreements from and with successful and unsuccessful subcontractors and suppliers, all project- related correspondence, memoranda, instructions, financial documents, construction documents, proposal and Agreement documents, back-charge documents, all documents and records which involve cash, trade or volume discounts, insurance proceeds, rebates, or dividends received, payroll and personnel records, and supporting documentation for the aforesaid documents and records. Independent Private Sector Inspector General Reviews Pursuant to Miami-Dade County Administrative Order 3-20, the Awardee is aware that the County has the right to retain the services of an Independent Private Sector Inspector General (hereinafter "IPSIG"), whenever the County deems it appropriate to do so. Upon written notice from the County, the Awardee shall make available to the IPSIG retained by the County, all requested records and documentation pertaining to this Agreement for inspection and reproduction. The County shall be Page 17 responsible for the payment of these IPSIG services, and under no circumstance shall the' Awardee's prices and any changes thereto approved by the County, be inclusive of any charges relating to these IPSIG services. The terms of this provision herein, apply to the Awardee, its officers, agents, employees, subcontractors and assignees. Nothing contained in this provision shall impair any independent right of the County to conduct an audit or investigate the operations, activities and performance of the Awardee in connection with this Agreement. The terms of this Article shall not impose any liability on the County by the Awardee or any third party. Pursuant to Ordinance No. 03-2, Awardee shall grant access to the Commission Auditor to aU financial and performance related records, property, and equipment purchased in whole or in part with govemment funds, including funds awarded tp Awardee pursuant to this Agreement. Q. Prior Approval The Awardee shall obtain written approval from PHCD prior to undertaking any of the following: 1, The engagement or execution of any subcontract(s) or Agreement assignments, wherein CDBG funds will be used to pay for goods or services. The Awardee must submit all proposed agreement documents to PHCD at feast thirty (30) days prior to the start date of the agreement. PHCD shall have no obligation to approve payment of any expenditure (resulting from an agreement or subcontract) which was incurred prior to the approval by PHCD of such agreement or subcontract. 2. The addition of any positions not specifically listed in the approved budget. 3. The modification or addition of ail job descriptions for existing staff. 4. The purchase of all nonexpendable personal property not specifically listed in the approved budget. 5. The dispOSition of all real, expendable persona!, and nonexpendable personal property as defined in Section II, Paragraph W.1. of this Agreement. 6. Out-of-town travel not specifically listed in the approved budget. 7. The disposition of Program income not specifically listed in the approved Program Income budget. 8. The publication of proposed Solicitation Notices, Invitations for Bids and Requests for Proposals as provided for in Section II, Paragraph K of this Agreement. 9. The disposal of all Agreement records as provided for in Section II, Paragraph N of this Agreement. 10. In the event the Awardee wishes to SUbstitute personnel for the key personnel identified by the Awardee's Proposal, the Awardee must notify the County in writing and request written approval for the substitution at least ten (10) business days prior to effecting such substitution. R. Monitoring The Awardee shall permit PHCD and other persons duly authorized by PHCD to inspect all Agreement records, facilities, equipment, materials, and services of the Awardee which are in any way connected to the activities undertaken pursuant to the terms of this Agreement, and/or to interview any clients, employees, subcontractors, or assignees of the Awardee. Following such inspection or interviews, PHCD will deliver to the Awardee a report of its findings, and the Awardee will rectify all deficiencies cited by PHCD within the specified period of time set forth in the report, or provide PHCD with a reasonable justification for not correcting the deficiencies. PHCD will determine, in its sole and absolute discretion, whether or not the Awardee's justification is acceptable or if the Awardee must, despite the justification, rectify the deficiencies cited by PHCD in its report. S. Conflict of Interest Page is The Awardee agrees to abide by the provisions of 24 CFR 84.42 (24 CFR Part 85.36 for Public Agencies) and 24 CFR 570.611 with respect to conflicts of interest, and covenants that it presentry has no financial interest and shall not acquire any financial interest, direct or indirect, which would conflict in any manner or degree with the performance of services requried under this Agreement The Awardee further covenants that in the performance of this Agreement no person having such a financial interest shall be employed or retained by the Awardee hereunder. These conflict of interest provisions apply to any person who is an employee, agent, consultant, officer, or elected official or appointed official of the County, or of any designated public agencies or subrecipients which are receiving funds under the CDBG Entitlement program. The Awardee certifies and represents that no officer, director, employee, agent, or other consultant of the County or a member of the immediate family or household of the aforesaid has directly or indirectly received or been promised any form of benefit, payment or compensation, whether tangible or intangible, in connection with the grant of this Agreement. The Awardee shall abide and be governed by Miami-Dade County Ordinance No. 72-82 (Conflict of I rite rest Ordinance), as amended, which is incorporated herein by reference as if fully set forth, in connection with its Agreement obligations hereunder. The Awardee shall disclose any possible conflicts of interest or apparent improprieties of any party that are covered by the above standards. The Awardee shall make such disclosure in writing to PHCD immediately upon the Awardee's discovery of such possible conflict. PHCD will then render an opinion which shall be binding on all parties. The Awardee shall submit to PHCD, within five business days of execution this Agreement, all updated Conflict of Interest affidavits, Related Party Disclosure statements, list of current Board members, and list of all business associations with the following documents: /> Original Agreement or its subsequent amendments. /> Requests for budget revisions. /> Requests for approval of subcontracts. Non-compliance with the above requirements will be considered a breach of Agreement, which will result in the immediate termination of the agreement, the recovery of the entire funding award, and the disqualification of funding through PHCD for a period ofthree years . . a) Awardee certifies and represents that there are no undisclosed persons or entities interested with the Awardee in this Agreement. This Agreement is entered into by the Awardee without any connection with any other entity or person making a proposal for the same purpose, and without collUSion, fraud or conflict of interest No elected or appointed officer or official, director, employee, agent or other consultant of the County, or of the State of Florida (including elected and appointed members of the legislative and executive branches of government), or a member of the immediate family or household of any of the aforesaid: i) is interested on behalf of or through the Awardee directly or indirectly in any manner whatsoever in the execution or the performance of this Agreement, or in the services, supplies or work, to which this Agreement relates or in any portion of the revenues; or ii) is an employee, agent, advisor, or consultant to the Awardee or to the best of the Awardee's knowledge any subcontractor or supplier to the Awardee. b) Neither the Awardee nor any officer, director, employee, agency, parent, subsidiary, or affiliate of the Awardee shall have an interest which is in conflict with the Awardee's faithful performance of its obligation under this Agreement; provided that the County, in its sole discretion, may consent in writing to such a relationship, provided the Awardee provides the County with a written notice, in advance, which identifies all the individuals and entities involved and sets forth in detail the nature of the relationship and why it is in the County's best interest to consent to such relationship. Page is c) The provisions of this Article are supplemental to, not in lieu of, all applicable laws with' respect to conflict of interest. In the event there is a difference between the standards applicable under this Agreement and those provided by statute, the stricter standard shaH apply. d) In the event Awardee has no prior knowledge of a conflict of interest as set forth above and acquires information which may indicate that there may be an actual or apparent violation of any of the above, Awardee shall promptly bring such information to the attention of the County's Project Manager. Awardee shall thereafter cooperate with the County's review and investigation of such information, and comply with the instructions Awardee receives from the Project Manager in regard to remedying the situation. T. Intentionally Left Blank U. Publicity, Advertisements and Sign age The Parties agree that the Awardee is funded by the County for CDSG Activities. Further, the Awardee agrees that all events funded by this Agreement shaH recognize the County and the United States Department of Housing and Urban Development (US HUD), as funding sources and that the Awardee shaH ensure that all publicity, public relations, advertisements and signs recognize the County and US HUD 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, fIyers, brochures, news releases, media packages, promotions, and stationery. The use of the official County logo is permissible. The Awardee shall ensure that all media representatives, when inquiring about the activities funded by this Agreement. are informed that the County and US HUD are the funding sources. The Awardee shall notify the County of all events and activities involving the Project ten (10) days prior to the activity or event. When the Awardee obtain(s) the building permit(s), the CHMD Project Manager at the Department, must be notified in order to request the project sign from Miami-Dade County Internal Services Department. Within thirty (30) days of the erection of the sign, the CHMD Project Manager will submit an invoice to the Awardee for payment of the project sign cost. The Awardee is responsible for all costs for replacing any amended, lost, defaced or missing sign. The sign shall remain on the premises at least ninety (90) days after the issuance of the Certificate of Occupancy (CO) or Certificate of Completion (CC). NO WORK SHALL COMMENCE UNTIL THE PROJECT SIGNS ARE SECURED IN PLACE. THE SIGNS SHALL BE IN ACCORDANCE WITH THE DETAIL SHOWN IN ATIACHMENT F. Payment for furnishing, installing and maintaining the sign shall be under the bid amount for mobilization. V. Procurement The Awardee must take affirmative steps to procure supplies, equipment, construction, or services to fulfill this Agreement from minority and women's businesses, and to provide these sources the maximum feasible opportunity to compete for subcontracts to be procured pursuant to this Agreement. To the maximum extent feaSible, these businesses shall be located in or owned by residents of the Community Development areas designated by PHCD in the CDBG application approved by the supervising federal agency. The Awardee shall assure that all subcontracts or third party agreements contain provisions with stated goals, that low-income residents from Community Development Target and Service Areas be provided with opportunities for employment and training in contracted activities. In conformance with Section 3 of the Housing and Community Development Act of 1968, the Awardee must direct federal financing assistance towards Target Area residents and ensure that employment and economic opportunities be given to low and very low-income persons, particularly those who are recipients of government assistance for housing according to the guidelines mentioned below: 1. The work to be performed under this Agreement is subject to the requirements of Section 3 of the Housing and Urban Development Act of 1968, as amended, 12 U.S.C. HOlu (Section 3). The purpose of Section 3 is to ensure that employment and other economic opportunities generated by HUD assistance or HUD-assisted projects covered by Section Page 20 3, shall, to the greatest extent feasible, be directed to low-and very low-income persons, particularly persons who are recipients of HUO assistance for housing. 2. The parties to this Agreement agree to comply with HUO's regulations in 24 CFR part 135, which implement Section 3. As evidenced by their execution of this Agreement, the parties to this Agreement certify that they are under no contractual or other impediment that would prevent them froin complying with the part 135 regulations. 3. The Awardee agrees to send to each labor organization or representative of workers with which the Awardee has a collective bargaining agreement or other understanding, if any, a notice advising the labor organization or workers' representative of the Awardee's commitments under this Section 3 clause, and will post copies of the notice in conspicuous plates at the work site where both employees and applicants for training and employment pOSitions can see the notice. The notice shall describe the Section 3 preference, shaff set forth minimum number and job titles subject to hire, availability of apprenticeship and training positions, the qualifications for each; and the name and location of the person(s) taking applications for each of the positions; and the anticipated date the work shall begin. 4. The Awardee agrees to include this Section 3 clause in every subcontract subject to compliance with regulations in 24 CFR part 135, and agrees to take appropriate action, as provided in an applicable provision of the subcontract or in this Section 3 clause, upon a finding that the subcontractor is in violation of the regulations in 24 CFR part 135. The Awardee will not subcontract with any subcontractor where the Awardee has notice or knowledge that the subcontractor has been found in violation of the regulations in 24 CFR part 135. 5. The Awardee will certify that any vacant employment positions, including training positions, that are filled (1) after the Awardee is selected but before the Agreement is executed, and (2) with persons other than those to whom the regulations of 24 CFR part 135 require employment opportunities to be directed, were not filled to circumvent the Awardee's obligations under 24 CFR part 135. 6. 'Noncompliance with HUO'l> regulations in 24 CFR part 135 may result in sanctions, termination of this Agreement for default, and debarment or suspension from future HUO assisted contracts. T. With respect to work performed in connection with Section 3 covered Indian housing assistance, section 7(b) of the Indian Self-Determination and Education Assistance Act (25 U.S.C. 450e) also applies to the work to be performed under this Agreement. Section 7(b) requires that to the greatest extent feasible (i) preference and opportunities for training and employment shall be given to Indians, and (ii) preference in the award of contracts and subcontracts shall be given to Indian organizations and Indian-owned Economic Enterprises. Parties to this Agreement that are subject to the provisions of Section 3 and section 7(b) agree to comply with Section 3 to the maximum extent feasil,:Jle, but not in derogation of compliance with section 7(b). 8. Fair Subcontracting Policies (Ordinance 97-35) All Awardees on County contracts in which subcontractors may be used shall be subject to and comply with Ordinance 97-35 as amended, requiring Awardees to provide a detailed statement of their poliCies and procedures for awarding subcontracts which: a) notifies the broadest number of local subcontractors of the opportunity to be awarded a subcontract; b) invites local subcontractors to submit bids/proposals in a practical, expedient way; c} provides local subcontractors access to information necessary to prepare and formulate a subcontracting bid/proposal; d) allows local subcontractors to meet with appropriate personnel of the Awardee to discuss the Awardee's requirements; and e) awards subcontracts based on full and complete consideration of all submitted proposals and in accordance with the Awardee's stated objectives. All Awardees seeking to contract with the County shall, as a condition of award, provide a statement of their subcontracting policies and procedures (see Attachment G). The County will not execute this Agreement with Awardees who faB to provide a statement of the Subcontractors Policies and Procedures. Page 21 The County reserves the right to either approve or withdraw its consent to a subcontract if it appears to the County, in its discretion and authority, that the subcontract will delay, prevent, or otherwise impair the performance of the Awardee's obligations under this Agreement. W. Property 1. Definitions a. Property. As defined on page 2 herein. b. Real Property: land. land improvements, structures, fixtures and appurtenances thereto, excluding movable machinery and equipment. c. Personal Property: Persona! property of any kind except real property. 1) Tangible: AU personal property having physical existence. 2) Intangible: All personal property having no physical existence such as patents, inventions, and copyrights. d. Nonexpendable Personal Property: Tangible personal property of a nonconsumable nature, with a value of $1,000 or more per item, with a normal expected life of one or more years, not fixed in place, and not an integral part of a structure, facility or another piece of equipment. e. Expendable Personal Property: All tangible personal property other than nonexpendable property. 2. The Awardee shail comply with the real property requirements as stated below: a. Any real property under the Awardee's control that was acquired or improved by Awardee or PHCD in whole or in part with CDSG funds received from PHCD in excess of $25,000 shall be either: 1) Used to meet one of the three (3) CDBG national objectives until five (5) years after the expiration or termination of this Agreement, or for such longer period of time as determined by PHCD in its sale and absolute discretion; or 2} Not used to meet one of the three (3) CDBG National Objectives. In the event the property is not used to meet one of the national objectives for five (5) years following the expiration or termination of this Agreement or such longer period as determined by PHCD, the Awardee shall, in the sole discretion of PHCD, either pay to PHCD an amount equal to the market value of the property as may be determined by PHCD in its sole and absolute discretion, less any proportionate portion of the value attributable to expenditures of non-CDBG funds for acquisition of, or improvement to, the property or transfer the property to PHCD at no cost to PHCD. Reimbursement is not required after the period of time specified in Paragraph W.2.a.1., above. b. Any real property under the Awardee's control that was acquired or improved in whole or in part with CDBG funds from PHCD for $25,000 or less shall be disposed of, at the expiration Of termination of this Agreement, in accordance with instructions from PHCD. c. AI! rea! property purchased or improved in whole or in part with funds from this and previous Agreements with PHCD, or transferred to the Awardee after being purchased in whole or in part with funds from PHCD, shall be listed in the property records of the Awardee and shall include a legal description; size; date of acquisition; value at time of acquisition; present market value; present condition; address or location; owner's name if different from the Awardee; information on the transfer or disposition of the property; and map indicating whether property is in parcels, lots, or blocks and showing adjacent streets and roads. The property records shall describe the programmatic purpose for which the property was Page 22 acquired and identify the CDBG national objective that will be met. If the property was improved, the records shall describe the programmatic purpose for which the improvements were made and identify the CDBG national objective that will be met. d. For awards involving the purchase or improvement of real property, the Awardee agrees to execute a mortgage, loan document, or restrictive covenant for the CDBG award with PHCD within 180 days after the execution of this agreement. Failure to comply with this requirement may result in the retraction of the CDBG award for the project and termination of this agreement. e. All real property shall be inventoried annually by the Awardee and an inventory report shaH be submitted to PHCD. This report shall include the elements listed in Paragraph W.2.c., above. Nothing in this section shan be construed to limit the County's right to collect from Awardee the· entire· amount of CDBG funds awarded pursuant to this Agreement in the event Awardee faits to meet a national objective. 3. Inventory -Capital Equipment and Real Property An capital items acquired for the project by the Awardee with funds aJlocated in this Agreement shall be assets of the Awardee and may be secured by a mortgage delivered to the County. A capital item shall be defined as an item that: (1) has a service life in excess of one year; (2) is either complete within itself or is a major component of another item of property; (3) by definition cannot be described either as supplies or materials; (4) will not be consumed or lose its identity; and (5) has a unit cost of $500 or more. Awardee shall notify the County immediately upon acquiring any capital items with funds aHocaled in this Agreement The County shall allow the Awardee to retain posseSSion of capital equipment after expiration of this Agreement as long as the Awardee continues to provide the service described in the Scope of Services (Attachment A). If the Awardee disbands, becomes defunct or in an'y way ceases to exist or if the Awardee ceases to provide the service described in the Scope of Services or another service of value, Awardee shall notify the County immediately and provide instructions describing how the County may take possession of the capita! equipment. Awardee shall deliver to the County all documents of title or ownership and shall transfer or assign such ownership rights to the County. Foreclosure of the County mortgage or enforcement of other documents shall not be required in order for the County to claim and take possession of capital equipment. 4. The Awardee shall comply with the nonexpendable personal property requrrements as stated below: a. AI! nonexpendable persona! property purchased or improved in whole or in part with funds from 1his and previous Agreements with PHCD shall be listed in the property records of the Awardee and shalt include a description of the property; location; model number; manufacturer's serial number; date of acquisition; funding source; unit cost at the time of acquisition; present market value; property inventory number; information on its condition; and information on transfer, replacement, or disposition of the property. b. All nonexpendable personal property purchased or improved in whore or in part with funds from this and previous Agreements with PHCD shall be inventoried annually by the Awardee and an inventory report shall be submitted to PHCD. The inventory report shall include the elements listed in Paragraph W.3.a., above. c. Titre (ownership) to aU nonexpendable personal property purchased in Whole or in part with funds given to the Awardee pursuant to the terms of this Agreement shall vest in the County and PHCD. 5. The Awardee shall obtain prior written approval from PHCD for the disposition of real property, expendable personal property, and nonexpendable personal property purchased or improved in whole or in part with funds given to the Awardee or subcontractor pursuant to the terms of this Agreement. The Awardee shall dispose of all such property in Page 23 accordance with instructions from PHCD. Those instructions may require the return of all' such property to PHCD. X. Program Income 1. Program Income as defined in 24 CFR Part 570.500 means gross income received by the Awarde,e directly generated from activities supported by CDBG funds; When Program Income is generated by an activity that is only partially assisted with CDBG funds, the income shall be prorated to reflect the percentage of CDBG funds used. 2. The Awardee shall not, under any circumstances, use Program Income to pay for charges or expenses that are specifically not allowed pursuant to the terms of this Agreement and applicable federal regulations or rules, or any County rules or ordinance. a. The Awardee shall comply with the Program Income provisions in PHCD's e.Q[ici~~ ... l!DfLE[Q9_eJ,IYIes,M.?11lli!!, If any Program Income provisions of the P9H9If?s!:l.O~LPIQg~clU[E2S.M?lJy.?J conflict with any Program Income provisions of this Agreement, the provisions of this Agreement shall rule. b. The Awardee shall report to PHCD aU cumulative Program Income generated from activities financed in whole or in part by funds from this Agreement, for as long as it receives and/or has control over Program Income generated from this and any previous Agreements with PHCD. The Awarded must submit the information for the generated Program Income to PH,CD quarterly as part of the Fiscal Section of the Awardee's Progress Report as outlined in Section II, Paragraph F.2.a. The County may expressly permit Awardee to use Program Income in the Scope of Services. If such permission is n9t expressly set forth in the Scope of Services, then Awardee must request permission from the County to use Program Income for eligible activities. The County may in its sole discretion grant such permission, but such permission may require the approval of the Board of County Commissioners. c. If the Awardee requests to use Program Income, the Awardee shall provide to PHCD a written explanation of the activities to be assisted with Program Income and shall obtain PHCD's written approval prior to implementing those activities. All provisions of this Agreement shall apply to any activity performed using Program Income. d. Should Awardee be granted permission to use Program Income, Awardee's use of Program Income shall be subject to the limitations set forth in this Agreement and as set forth in the COBG regulations, 24 CFR Part 570 et.seq. Awardee acknowledges that the CDSG Regulations require that Awardee spend Program Income before further COSG funds are drawn down. Therefore, in the event that the County permits Awardee to use Program Income, Awardee agrees that Awardee shall expend the Program Income funds prior to seeking payment of COBG funds from the County. Twenty percent (20%) of the Program Income Awardee makes, retains Qr receives shall be paid to the County on a quarterty basis and reported in Awardee's qua'rterty Progress Report. At the conclusion of the contract period or upon tennination of this Contract, Awardee shall immediately pay/return all Contract funds and Program Income to the County. e. Should Awardee be granted permiSSion to use Program Income from a revolving loan activity, Program Income must be used only for the same revolving loan activity. f. Should Awardee be granted permission to use Program Income, Program Income from a revolving loan activity, such as loan repayments, interest earned, late fees, and investment income, shall be substantially disbursed to eligible loans, loan- related programmatic costs, and operational costs for the same revolving loan activity before the Awardee may request additional CDBG funds for that activity_ g. Should Awardee be granted permission to use Program Income, all Program Income from activities other than a revolving loan activity shall be substantially disbursed to carry out other PHCD-approved CDBG eligible activities, and to cover operational costs before requesting additional CDBG funds. Page 24 h. Any proceeds from the sale of property as detailed in Section II, Paragraph W.4., above, shall be considered Program Income. i. The Awardee shall obtain, as part of the required audit report, validation by a certified auditor of all Program Income and its disposition. 3. Upon expiration or termination of this Agreement or at the end of any program year, the Awardee shan transfer to the County any Program Income funds on hand, and any Program Income accounts receivable to any CDBG funded activities. PH CD may require remittance of all or part of any Program Income balances (including investments thereof). 4. PHCO, in its sole and absolute discretion, reserves the right to pursue other courses of action in the retention and use of Program Income generated by the Awardee, and such action shall not require an amendment to this Agreement. The Awardee shall comply with the County's travel policies. Documentation of travel expenses shall conform to the requirements of PHCD's Policies and Procedures M!'l[!YJ1!. Z. Subcontracts and Assignments 1. Unless otherwise specified in this Agreement, the Awardee shall not subcontract any portion of the work without the prior written consent of the County. Subcontracting without the prior consent of the County may result in termination of the Agreement for breach. When Subcontracting is allowed, the Awardee shall comply with County Resolution No. 1634-93, Section 10-34 of the County Code and Section 2-8.8 of the County Code. The Awardee shall ensure that aU subcontracts and assignments: a. Ensure that no contractor, subcontractor or assignee is listed on the U.S. HUD's debarred, suspended, or ineligible contractors list; Awardee shall use, at a minimum, US HUD's Excluded Parties Ust System to confirm clearance of contractors. The system may be accessed at https:llwww.sam.gov/ Awardee shall provide to PHCD a copy of the site page that indicates the name and the date it was checked. Awardee shall further ensure that no contractor, subcontractor, or assignee is listed on Miami-Dade County's debarred Contractor's List; Awardee shall, at a minimum, check at http://www.miamidade.9Q-yl!!.Hsiness/smi.!!!.business.asp to determine if a porson or entity is on Miami·Dade Counly's debarred contrador's list. Awardee shall provide PHCD with a printout copy of the site page that indicates the name and the date it was checked. b. Comply with all COBG requirements, as applicable, as well as the regulations specified in PHCO's Policies and Procedures Manual. c. Identify the full, correct, and legal name of the party. d. Describe the activities to be performed. e. Present a complete and accurate breakdown of its price component. f. Incorporate a provision requiring compliance with all applicable regulatory and other requirements of this Agreement and with any conditions of approval that the County or PHCO deem necessary. This applies only to subcontracts and assignments in which parties are engaged to carry out any eligible substantive programmatic service, as may be defined by PHCD, set forth in this Agreement. PHCD shall in its sale discretion determine when services are eligible SUbstantive programmatic services and subject to the audit and record-keeping requirements described above, and; Result from an open competitive bid process generating a minimum of three bids. Such competitive process shall be described in writing, approved by the Board of Page 25 Directors and a copy of which submitted to PHCD. In such circumstances that' open. competitive bids are not feasible or that a minimum of three bids are unobtainable, permission to use other methods of award must be requested in writing and approved by PHCD prior to the assignment or award of subcontract. The Awardee agrees that no assignment or sub-contract will be made or let in connection with the Agreement without the prior written approval of PHCD, which approval shall not be unreasonably withheld, and that all such sub-contractors or assignees shall be governed by the terms and intent of this Agreement. g. Incorporate the language of Attachment E, "Certification Regarding Lobbying." h. Include language stating that the Subcontractor understands and agrees that the County is not a party to the subcontract and has no obligation to the subcontractor. i. The Awardee shall maintain, and shall require that its subcontractors and suppliers maintain, complete and accurate records to substantiate compliance with the requirements set forth in the Scope of Services. The Awardee and its subcontractors and suppliers, shaH retain such records, and all other documents relevant to the Services furnished under this Agreement for a period of three (3) years from the expiration date of this Agreement and any extension thereof. 2. The Awardee shall incorporate in aU consultant subcontracts this additional provision: The Awardee is not responsible for any insurance or other fringe benefits, e.g., social security, income tax withholdings, retirement or leave benefits, for the ConSUltant or employees of the Consultant normally available to direct employees of the Awardee. The Consultant assumes full responsibility for the provision of all insurance and fringe benefits for himself or herself and employees retained by the Consultant in carrying out the Scope of Services provided in this subcontract. 3. The Awardee shall be responsible for monitoring the contractual performance of all subcontracts and their progress toward meeting the approved goals and objectives indicated in the attached Scope of Services. Regardless of any approvals by PHCD of subcontracts or subcontractors, the Awardee shall bear all risks associated with subcontracting performance of the Activities to a subcontractor. 4. The Awardee shall receive from PHCD written prior approval for any subcontract engaging any party who agrees to carry out any substantive programmatic activities as may be determined by PHCD as described in this Agreement. PHCD's approval shall be obtained prior to the release of any funds to the subcontractor. 5. The Awardee shall receive written approval from PHCD prior to either assigning or transferring any obligations or responsibility set forth in this Agreement or the right to receive benefits or payments resulting from this Agreement. 6. Approval by PHCD of any subcontract or assignment shall not under any circumstance be deemed to provide for the incurrence of any obligation by PHCD in excess of the total dollar amount agreed upon in this Agreement. 7, If the subcontract involves $100,000 or more to provide services listed in the Scope of Services or suppliers to supply the materials, the Awardee shall provide the names of the subcontractors and suppliers to PHCD (Attachment H). 8, The Awardee agrees that it will not change or substitute subcontractors or suppliers from the list (Attachment H) without prior written approval from PHCD. 9. The Awardee shalf not hire any of the Awardee's staff members or employees as subcontractors. AA. Additional Funding The Awardee shall notify PHCD of any additional funding. received for any activity described in this Agreement. Such notification shall be in writing and received by PHCD within thirty (30) days of the Awardee's notification by the funding source. Page 26 BB. Method of Payment The Awardee shall be paid as described below: 1, The Awardee shall be paid for those expenses allowed pursuant to the provisions provided below only when the Awardee submits to PHCO adequate proof, as determined by PHCD in its so(e and absolute discretion, that the Awardee has incurred the expenditures. It shall be presumed that the Awardee has provided adequate proof of having incurred expenses if the Awardee submits to PHCD canceled checks or original invoices approved by the Awardee's authorized representative which show performance of the Activities described in Attachment A and conformance with the laws, rules and regulations set forth in this Agreement. When original documents cannot be presented, the Awardee must adequately justify their absence in writing and furnish copies of those documents to PHCO. The Awardee shat! be paid only for those expenditures contained within Attachment B, "Budget," to this Agreement as it may be revised with the prior written approval by PHCD. 2. Requests for payment (reimbursement) shall be assembled by calendar month and submitted to PHCD no less frequently than monthly. Expenditures incurred by the Awardee must be SUbmitted to PHCD, along with all original invoices, copies of front and back of cancelled checks paid to aU subcontractors and suppliers, all release of liens from alii subcontractors and suppliers, and all final approved permits, for payment within 30 days after the month in which the expenditures were incurred. Failure to comply will result in rejection of invoices. In no event shall the County be obligated to pay any invoices for expenses which were incurred more than 60 days prior to the date the request for payment is submitted to PHCD. 3. In no event shall the County provide advance CDBG funding to the Awardee or to any subcontractor hereunder, nor shall the Awardee advance COSG funds to any party. 4. Any payment due under the terms of this Agreement may be withheld pending the receipt and approval by PHCD of all reports and documents which the Awardee is required to submit to PHCD pursuant to the terms of this Agreement or any amendments thereto. 5. All payments will be limited to the quarterly payment schedule that accompanies the action step chart in the scope 'of services. Payment is contingent on the achievement by the Awardee of the quarterly accomplishment levels identified in the scope of services portion of this agreement -Attachment A, which shall be submitted with all payment requests and shall clearly identify the cornpletedlevel of accomplishments met. This shall also apply to soft costs associated with project delivery. 6. No payment(s) will be made without evidence of appropriate insurance required by this Agreement. Such evidence must be on file with PHCD and the Internal Services Department. PHCD must receive the final request for payment from the Awardee no more than thirty (30) calendar days after the expiration or termination of this Agreement. If the Awardee fails to comply with this reqUirement, the Awardee will forfeit all rights to payment(s) if PHCD, in its sale discretion, so chooses. 7, All monies paid to the Awardee which have not been used to retire outstanding obligations of this Agreement must be refunded to PHCD in accordance with PHCD's Policies and EJ:Q£edures Manual. 8. Any unexpended funds remaining after the completion of the services under this Agreement, or after termination of this Agreement, shaH be recaptured in fun by the County. 9. In the event the County determines that the Awardee has breached the terms of this agreement and that the County is entitled to return of any or all of the funds awarded under this Agreement, Awardee agrees to and shall assign any proceeds to the County from any Agreement between the County, its agencies or instrumentalities and the Awardee or any firm, corporation, partnership or joint venture in which the Awardee has a controlling financial interest in order to secure repayment of this award. "Controliing financial interest" shall mean ownership, directly or indirectly to ten percent or more of the outstanding capital stock in any corporation or a direct or indirect interest of ten percent or more in a firm, partnership or other business entity. CC, Reversion .of Assets Page 27 The Awardee shalf return to PHCD, upon the expiration or termination of this Agreement, all assets owned or held by Awardee as a result of this Agreement; including, but not limited to any CDBG funds on hand, any accounts receivable, any overpayments due to unearned funds or costs qisaHowed pursuant to the terms of this Agreement that were disbursed to the Awardee by the County, other than reasonable operating and deficit reserves established by Awardee and which are connected with the real property. In the case of activities involving real property, such reserves shall not be distributed to any partner or subcontractor prior to repayment to PHCD of the CDBG Loan. The Awardee shall at the request of the County execute any and all documents, including but not limited to, mortgages securing the property, UCC financing statements, and restrictive covenants, as required by the County to effectuate the reversion of assets. DO. Restriction on the Use of Funds The funds received pursuant this Agreement shall be used for the purposes set forth herein and shall not be used to supplant other funds. In no event shall funds received pursuant to this Agreement be used for: 1. Adverse Actions or Proceedings. The Awardee 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 Awardee 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. 2. Religious Purposes. County funds shall not be used for religious purposes. 3. Commingling Funds. The Awardee shall not commingle funds provided under this Agreement with funds received from any other funding sources, but may be included in a Development Bank Account permitted by the first mortgage lender at the discretion of the County. III. THE COUNTY AGREES: Subject to the availability of funds, to pay for contracted Activities according to the terms and conditions contained within this Agreement in an amount not to exceed $55,000. IV. THE AWARDEE AND PHCD AGREE: A. Effective Date 1, This Agreement shall begin on October 1, 2014. Any costs incurred by the Awardee prior to this date will not be reimbursed by the County. 2. This Agreement shall expire on September 30,2015. Any costs incurred by the Awardee beyond this date will not be reimbursed by the County. The term of this agreement and the provisions herein may be extended by the County to cover any addiional time period during which the Awardee remains in control of the CDBG funds or other assests, including Program Income to support CDSG eligible activites. Any extension made pursuant to this paragraph shall be accomplished by a writing by the County to the Awardee. Such notice shall automatiCally become a part of this Agreement. 3, This Agreement may, at the sale and absolute discretion of the County and PHCD, remain in effect during any period that the Awardee has control over Agreement funds, including Program Income. However, the County shall have no obligation or responsibility to make any payment, except those described within Section II, Paragraph Y, or provide any type of assistance or support to the Awardee if this Agreement has expired or been terminated, 4. Management Evaluation and Performance Review The Department may conduct a forma! management evaluation and performance review of the Awardee, if in the Department's sole discretion it is deemed necessary and applicable. The management evaluation shall reflect the Awardee's compliance with generally accepted fiscal and organizational standards and practices. The performance review Page 26 B. 1. should reflect the quality of service provided and the value-received using monitoring data, such as progress reports, site visits, and client surveys. Default or Breach The Awardee shall be in default or breach of this Agreement if any of the following acts, omissions or conditions occur: a. b. c. d. e. g. h. 1. j. The Awardee fails to fulfill each and every provision of this Agreement and the Attachments and fails to provide the services outlined in the Scope of Services (Attachment A) within the effective term of this Agreement, including but not limited to failure to meet the Nl1tional Objective, as determined by the County and U.S. HUD. Awardee fails to disclose all Related or Affiliated Parties and all matters required to be disclosed as to Related or Affiliated Parties to the County as requried herein. Filing of a !is pendens. foreclosure action, or other lega! action against the Property. any property of fi.wardee or Related or Affiliated Party, or against Awardee or Refated or Affiliated Party whiCh the County determines, in its sole discretion, threatens the Property or the ability of Awardee to fulfill the provisions of this Agreement and the services outlined in the Scope of Services. Any' arrearage, default, or late payment on any loan, Note or other debt or obligation for which the Property is security or regarding any property of Awardee or Related or Affiliated Party, including properties not related to this Agreement Any legal encumbrance on the Property not permitted in writing by the County. Any anticipated or pending bankruptcy. restructuring, dissolution, reorganization, appointment of a trustee or receiver. Any action, activity, facts, or circumstances that the County determines in its sole discretion would materially impair performance by Awardee of all the terms and conditions of this Agreement. Awardee fails to report to the County within ten (10) days any bankruptcy, reorganziation, dissolution, liquidation, appOintment of a trustee or receiver, lis pendens, foreclosure action or legal encumberance related to the Awardee, Related or Affiliated Party or the Property. or any action, activity, facts, or circumstances that would materially impair performance by Awardee of all the terms and cciditions .of this Agreement. Failure tb comply strictly with Section W(2)(a)(1 )-(2) of this Agreement Failure to meet the fifty percent (50%) or seventy percent (70%) Benchmarks, as set fortJ:l iii this Agreement, or to submit documentation (via Progress Reports and applicable supporting documentation) sufficient to show Awardee has met said Benchmarks. C. Suspension 1. The County may suspend payment in whole or in part under this Contract by providing written notice to the Awardee of such suspension and specifying the effective date thereof, at least ten (10) 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 Awardee as conditions 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 Agreements entered into between the County and the Awardee. The Awardee shall be responsible for its own direct and indirect costs associated with such suspension, including attorney's fees. Reasonable cause shall be determined by PHCD, in its sole and absolute discretion, and may include, but is not limited to: a. Ineffective or improper use of these Agreement funds by the Awardee or any of its subcontractors; Page 29 b. Failure by the Awardee to materially comply with any term or provision of this Agreement; c. Falfure by the Awardee to submit any documents required by this Agreement; or d. The Awardee's submittal of incorrect or incomplete reports or other required documents. e. Failure to meet the fifty percent (50%) or seventy percent (70%) Benchmarks, as set forth in this Agreement, or 10 submit documentation (via Progress Reports and applicable supporting documentation) sufficient to show Awardee has met said Benchmarks. 2. In the event of a default by the Awardee, PH CD may at any time suspend the Awardee's authority to obligate funds, withhold payments or bath. These actions may apply to only part or af! of the activities funded by this Agreement. 2. PHCD will notify the Awardee of the type of action to be taken in writing by certified mail, return receipt requested. or in person with proof of delivery. The notification will include the reason(s) for such action, the conditions of the action. and the necessary corrective action(s). D. Termination 1. Termination at Will This Agreement, in whole or in part, may be terminated by PHCD upon no less than ten (10) working days notice when PHCD determines that it would be in the best interest of PHCD and the County. Said notice shall be delivered by certified mail, return receipt requested, or in person with proof of delivery. 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 capital equipment secured by the Awardee with County funds under this Agreement; (b) seek reimbursement of County funds alfocated to the Awardee under this Agreement; and/or (c) terminate or cancel any other Agreements entered into between the County and the Awardee. The Awardee shall be responsible for its own direct and indirect costs associated with such termination, including attorney's fees. 2. Termination for Convenience PHCD may terminate this Agreement, in whole part, when both parties agree that the continuation of the activities would not produce beneficial results commensurate with the further expenditure of funds. Both parties shall agree upon the tennination conditions. PHCD, at its sole discretion, reserves the right to terminate this Agreement without cause upon thirty (30) days written notice. I.)pon receipt of such notice, the Awardee shall not incur any additional costs under this Agreement. 3. Termination Because of Lack of Funds In the event of a funding short-fall. or a reduction in federal appropriations. or should funds to finance this Agreement become unavailable, PHCD may terminate this Agreement upon no less than twenty-four (24) hours written notification to the Awardee. Said notice shall be delivered by certified mail, return receipt requested, or in person with proof of delivery. PHCD shall be the final authority to determine whether or not funds are available. PHCD may at its discretion terminate. renegotiate and/or adjust the Agreement award whichever is in the best interest of the County. 4. Termination for Substantial Funding Reduction In the event of a SUbstantial funding reduction of the allocation to the Awardee through Board of County Commissioners' action, the Awarqee may, at its discretion, request in writing from the Director of PHCD a release from its contractual obligations to the County. Page 30 The Director of PHCD win review the effect of the request on the community and the County prior to making a final determination. 5. Termination for Default or Breach PHCD may terminate this Agreement upon no less than twenty-four (24) hours written notification to the Awardee for breach or default. 6. Termination for Failure to Make Sufficient Progress. PHCD may terminate this Agreement, in whole or in part. when PHCD determines, in its sole and absolute discretion, that the Awardee is not making sufficient progress thereby endangering ultimate Agreement performance, or is not materially complying with any term or provision of this Agreement, PHCD may treat such failure to comply as a repudiation of this Agreement; 7. Termination for Bankruptcy The County reserves the right to terminate this Agreement, if, during the term of any Agreement the Awardee has with the County, the Awardee becomes involved as a debtor in a bankruptcy proceeding, or becomes involved in a reorganization, dissolution, or liquidation proceeding, or jf a trustee or receiver is appointed over al! or a substantial portion of the property of the Awardee under federal bankruptcy law or any state insolvency law. 8. Genera! to Termination and Breach Unless the Awardee's breach is waived by the County in writing, the County may. by written notice to the Awardee, terminate this Agreement upon no less than twenty-four (24) hours notice. Said notice shall be delivered by certified mail, return receipt requested, Of in person . with proof qf delivery. Waiver of breach of any provision of this Agreement 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. The provisions herein do not limit the County's right to legal or equitable remedies. The County may resort to any remedy .for breach provided herein or at law, including but not limited to, taking over the performance of the Services or any part thereof .either by itself or through others. In the event the County shall terminate this Agreement for default or breach, the County or its designated representatives, may immediately take possession of aU applicable eqUipment, materials, products, documentation, reports and data. 9. Penalties for Fraud Misrepresentation or Material Misstatement In accordance with the Code of Miami-Dade County, Section 2-8.4.1, any individual or corporation or other entity that attempts to meet its contractual obligations with the County through fraud, misrepresentation or material misstatement, shall have its Agreement with the County terminated. whenever practicable, as determined by the County. The County may terminate Of cancel any other Agreements which such individual or other subcontracted entity has with the County. Such individual or entity shall be responsible for its own direct and indirect costs associated with such termination or cancellation, including attorney's fees. The foregoing notwithstanding, any individual or entity who attempts to meet it contractual obligations with the County through fraud, misrepresentation or material misstatement may be disbarred from County contracting for up to five (5) years. E. Other Remedies In addition to other provisions set forth herein, in the event of default by the Awardee, the Page 31 County shall have the right to exercise any and all of the following remedies: 1. Awardee shall be liable for all damages, including but not limited to: a. the difference between the cost associated with procuring Services hereunder and the amount actually expended by the County for reprocurement of Services, including procurement and administrative costs; and b. such other direct damages. 2. The Awardee shaH remain liable for any liabilities and claims related to the Awardee's performance of this Agreement or any breach or default, notwithstanding the expiration or termination of this Agreement. 3. Seek enforcement of this Agreement including but not limited to filing an action with a court of appropriate jurisdiction. The Awardee shall be responsible for its own direct and indirect costs associated with such enforcement, including attorney's fees. 4. Debar the Awardee from future County contracting. 5. Any other remedy available at law or equity. Damages Sustained. Notwithstanding the above, the Awardee 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 Awardee 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. Payment Settlement. If termination occurs for reasons other than breach or default, Awardee shall be paid only for reasonable, allowable costs incurred by Awardee prior to notice of termination. "Reasonaple, allowable costs" are those costs which are necessary in order to perform Awardee's obligations under this Agreement and specifically exclude expenses incurred prior to the execution date of this Agreement, personal expenses, travel expenses, expenses related to additional phases of the Project not specifically and expressly incorporated into this Agreement. PHCD shall be the sole judge of "reasonable, allowable costs." AI! compensation pursuant to this Article is subject to an audit at the County's discretion. Awardee shaH not receive payment for lost future revenues, lost developer fees or lost profits, E-1. Limitation of Liabllity and Limitation of Remedies Awardee acknowledges that the County is providing substantial funds to Awardee at low or no cost to Awardee, and that these CpBG funds are for the purpose of providing a benefit to the community health and welfare. Therefore, notwithstanding any other provision herein, the Parties agree to the following limitations on liabilities for any and aU claims of any kind arising from or in connection with pertormance or breach of this Agreement, which limitations shall apply equaUy to both Parties: 1. 80th Parties' cumulative liability for damages, if any, is limited to the amount of the CDBG funds set forth in Section III, above. 2. Neither party shall be liable for lost revenues, lost profits, lost program income, or lost developer fees. 3. Each party shall bear its own attorney's fees and costs. 4. Neither party shall be liable for costs incurred by the other party prior to the execution of this Agreement. F. Renegotiation, Modification and Right to Waive Page 32 1. Modifications of provisions of this Agreement shall be valid only when in writing and signed by duly authorized representatives of each party, which for the County is the County Mayor Of Mayor's designee. The parties agree to renegotiate this Agreement if PHCO determines, in its sole and absolute discretion, that federal, state, and/or County revisions of any applicable laws or regulations, or increases or decreases in budget allocations make changes in this Agreement necessary. PHCD sha.!! be the final authority in determining whether or not funds for this Agreement are available due to federal, state and/or County revisions. of any appHcable laws or regulations, or increases in budget allocations. 2. The County shall have the right to exercise an option to extend this Agreement beyond the current Agreement period and will notify .the Awardee in writing of the extension. This Agreement may be extended beyond the initial extension period upon mutual agreement between the County and the Awardee, upon approval by the County Mayor or Mayor's designee. 3. The County may, for good and sufficient cause, waive provisions in this Agreement. Waiver requests.from the. Awardee shall bejo writing. No waiver sball be valid unless in writing and signed by the County Mayor or Mayor's designee. Any waiver shall not be construed to be a modification of this Agreement. 4. The County's failure to exercise any of its rignts under this Agreement, or the County's waiver of a provision on anyone occasion, shall not constitute a waiver of such rights or provision on any other occasion. No failure or delay by the County in the exercise of any right shall operate as a waiver. G. Budget Revisions and Changes to the COSG Eligibility Activity Title 1. ReviSions to the Budget (Attachment B) shaH be requested in writing and must comply. with PHCO's Policies and Procedures Manual. All budget revisions shall require an amendment of this Agreement, which the County shall have no obligation to execute. The County shall not be obligated to make payments for expenditures incurred prior to the approval of the budget revision related to such expenditures. 2. Budget Revisions Through County Resolution Should a portion ·of the funding allocati6n to the Awardee be rescinded by action from the Board of County Commissioners, written notification via certified mail to the Awardee advising of the funding reduction shall be sent by PHCO no later than five (5) working days of the action; written notification will constitute a Agreement amendment. The Awardee will have five working days upon receipt of certified return receipt notification to submit a revised budget reflecting funding adjustments. Should the modified budget not be received within the specified time, The County will revise the budget at its discretion. The County in its sole and absolute discretion will determine whether substantial reductions will necessitate revision and resubmittal of the Scope of Service (Attachment A). Revisions to the Scope of Services, when required, will be negotiated to the mutual satisfaction of both parties. 3. Revisions to the COSO eligibility activity titles under which this Agreement's objectives are classified as noted in the Scope of Services (Attachment A) shall not require a Agreement amendment. H, Compljance Tbe County shall have the right to inspect, monitor, and inquire of Awardee , at the sole and absolute discretion of the County, remain in effect during al')y period that the Awardee is obligated to complete a National Objective or has control over Agreement funds, including Program Income, in order to ensurecompHance with the COBO Regulations. However, the County shall have no obligation or responsibility to make any payment or provide any type of assistance or support to the Awardee if this Agreement has expired or been terminated. The Awardee agrees to comply with all applicable State and County laws, rules and regulations, which are incorporated herein by reference or fuHy set forth herein. Any alterations, variations, modifications, extensions or waivers of provisions of this Agreement 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. Page 33 This contract may be executed in counterpart copies, and these counterparts shall together constitute an original of this Agreement. I. Disputes In the event an unresolved dispute exists between the Awardee and PHCD, PH CD shall refer the questions, including the views of all interested parties and the recommendation of PHCD, to the County Mayor for determination. The County Mayor, or an authorized representative, will issue a determination within thirty (30) calendar days of receipt and so advise PHCD and the Awardee, or in the event additional time is necessary, PH CD will notify the Awardee within the thirty (30) day period that additional time is necessary. The Awardee agrees that it shall not seek legal redress for breach or enforcement of this Agreement untH thirty (30) days from the County Mayors issuing hislher determination. J. Headings The section and paragraph headings in this Agreement are inserted for convenience only and shall not affect in any way the meaning or interpretation of this Agreement. K. Minority Participation In order to gain greater Black business participation, the Awardee may submit its Agreements to the County Mayor for bidding and award in accordance with County policies and procedures. L. Proceedings This Agreement shall be construed in accordance with the laws of the State of Florida. Any dispute ariSing under, in connection with or related to this Agreement or related to any matter which is the subject of this Agreement shall be subject to the exclusive jurisdiction of the state and/or federal courts located in Miami-Dade County, Florida. M, Notice and Contact AI! notices between the Parties shaH be in writing and sent by registered or certified mail and addressed as foHows: TO AWARDEE: COpy TO: City of South Miami 6130 Sunset Drive South Miami, FL 33143 Attn: Steven Alexander, City Manager Page 34 TO COUNTY: COPY TO; COPY TO; COPY TO: Miami-Dade County 111 N. W. 1st Street Miami, Florida 33128 Attn: Russell Benford, Deputy Mayor Public Housing and Community Development 701 NW 1st Court, 14th Floor Miami, FL 33136 Attn: Clarence Brown, Division Director Public Housing and Community Development 701 NW 1st Court, 14th Floor . Miami, FL 33136 Attn: Letitia Goodson, PHCD Project Manager Assistant County Attorney .. J::'ounty Attorney's Office . 111 N. W. ist Street, Suite 2810 Miami, Florida 33128 Attn: Brenda Kuhns Neuman, Esquire Such addresses may be changed by written notice to the other party. In the event that different representatives are deSignated by either party after this Agreement is executed, or the Awardee changes its address, notice of the name of the new representative or new address will be rendered in writing to the other party and said notification attached to originals of this Agreement. In the event that any of th~ information required by the provisions of this Article is changed by either of the Parties after the €$xecu!ion of this Agreement, the affected Party shall give notice in writing within five (5) days to the other Party of the amended pertinent information, which shall be attached and incorporated into this Agreement. N. WAIVER OF JURY TRIAL NEITHER THE AWARDEE. SUBCONTRACTOR, NOR ANY OTHER PERSON LIABLE FOR THE RESPONSIBILITIES, OBl-lGATIONS, SERVICES AND REPRESENTATIONS HEREIN, NOR ANY ASSIGNEE, SUCCESSOR, HEIR OR PERSONAL REPRESENTATIVE OF THE AWARDEE, SUBCONTRACTOR OR ANY SUCH OTHER PERSON OR ENTITY SHALL SEEK A JURY TRIAL IN ANY LAWSUIT, PROCEEDING, COUNTERCLAIM OR ANY OTHER LITIGATION PROCEDURE BASED UPON OR ARISING OUT OF THIS AGREEMENT, OR THE DEALINGS OR THE RELATIONSHIP BETWEEN OR AMONG SUCH PERSONS OR ENTITIES, OR ANY OF THEM. NEITHER AWARDEE, SUBCONTRACTOR, NOR ANY SUCH PERSON OR ENTITY WILL SEEK TO CONSOLIDATE ANY SUCH ACTION IN WHICH A JURY TRIAL HAS BEEN WAIVED. THE PROVISIONS OF THIS PARAGRAPH HAVE BEEN FULLY DISCUSSED BY THE PARTIES HERETO, AND THE PROVISIONS HEREOF SHALL BE SUBJECT TO NO EXCEPTIONS. NO PARTY HAS IN ANY WAY AGREED WITH OR REPRESENTED TO ANY OTHER PARTY THAT THE PROVISIONS OF THIS PARAGRAPH WILL NOT BE FULLY ENFORCED IN ALL INSTANCES. O. Assignment The Awardee shall not assign, transfer, hypothecate or otherwise dispose of this Agreement, including any rights, title or interest therein, or its power to execute such Agreement to any person, company or corporation without the prior written consent of the County. P. Third Parties This agreement is intended for the sale and exclusive benefit of the parties and is not intended to benefit any third party nor shall it be deemed to give rise to any rights in any third party. Q. Survival Page 35 The parties acknowledge that many of the obligations in this agreement, including but not limited to Awardee's obligation to indemnify the County, maintain Contract Records, and provide sufficient evidence of COSG Regulation compliance for the duration of the period in which Awardee is obligated to meet a Nationa! Objective or has control over COBG funds as well as the County's right to inspect and monitor the Project and Awardee for complaince with the HOME Regulations, wi!! survive the term, termination, and cancellation hereof. Accordingly, the respective obligations of the Awardee and the County under this agreement, which by nature would continue beyond the termination, cancellation or expiration thereof, shall survive termination, cancellation or expiration hereof. R. Autonomy The Parties agree that this Agreement recognizes the autonomy of and stipulates and implies no affiliation between the contracting parties. It is expressly understood and intended that the Awardee is only a recipient of funding support and is not an agent, employee, servant or instrumentality of the County. The Awardee is, and shall be, in the performance of aU work services and activities under this Agreement, an independent contractor, and not an employee, agent or servant of the County. All persons engaged in any of the work or services performed pursuant to this Agreement shaH at all times, and in all places, be subject to the Awardee's sale direction, supervision and control. The Awardee shall exercise control over the means and manner in which it and its employees perform the work, and in all respects the Awardee's relationship and the relationship of its employees to the County shall be that of an independent contractor and not as employees, servants or agents of the County. The Awardee does not have the power or authority to bind the County in any promise, Agreement or representation other than specifically provided for in this Agreement. S. All Terms and Conditions Included This Agreement and its attachments as referenced (Attachment A -Scope of Services; Attachment Ai -Action Steps; Attachment B -Budget; Attachment B-1(M) !demnification and Insurance Requirements; Attachment B-2 -COBG Program Requirements (Housing Only); Attachment C - Progress Report,Set-Up Forms, Performance & Benefit Data Supplement to Quarterly Expenditure & Progress Report; Attachment 0 -Information for Environmental Review; Attachment E - Certification, Statements and Affidavits; Attachment F -Publicity. Advertisements and Signage; Attachment G -Fair Subcontracting Policies; Attachment H -Subcontractor/Supplier Listing) contain all the terms and conditions agreed upon by the parties. 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. T. Conflict In the event that a conflict arises between any prior funding documents and/or agreements governing this development, the terms, provisions and definitions included in this Agreement shall prevail. In the event that the Subsidy Layering Review (SLR) or Underwriting analysis determine the project's true "gap" financing needs to be less than the maximum award allocated by the Board of County Commissioners, the SLR amount shall prevail and the amount of COBG funds described in this Agreement shall be subsequently reduced. "Gapff financing means the difference between the amount of financing available for the Project from other sources and the total project cost. In the event Awardee applies for and is awarded by the Board of County Commissioners ("BCC") additional funding for the same Project, as described in this Agreement, a separate Agreement or amendment to this Agreement must be negotiated and executed between Awardee and the County Mayor or Mayor's designee. Any differences between the terms and conditions set forth in this Agreement and the subsequent funding award shall require a negotiation between the Parties in order to resolve those differences. Awardee understands and acknowledges that changes to the Project or Activities described in this Agreement may not be accomplished by applying for and being awarded subsequent funds by the BCC. In the event that Awardee applies for and is awarded by the BCC funding for an additional phase of the same Project, a separate agreement must be negotiated and executed between the Parties. Under no circumstances shall Awardee assert that a Page 36 subsequent application for and award of funds for the same project constitutes and amendment of this Agreement. Awardee expressly assumes any and all risk of loss or damage associated with a subsequent application for and award of funds for the same Project where such subsequent application by Awardee includes terms which conflict with the terms of this Agreement. U. Interpretation 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. V. Survival The parties acknowledge that any of the obligations in this Agreement, including but not limited to the Awardee's obligation to indemnify the County, will survive the term, termination and cancellation hereof. ~Accordingly, .·the. respective obligations of the Awardee and the County.underthis Agreement, which by nature would continue beyond the termination, cancellation or expiration thereof, shall survive termination, cancellation or expiration hereof. W, Corporate Governance A Not-for-Profit Awardee shall abide by and be govemed by Chapler 617, Florida Statutes, particularly Sections 617.0830 through 617,0835 as amended, which are incorporated herein by reference as if fully set forth herein in connection with its Agreement obligations hereunder. A For-Profit Awardee shall abide by and be governed by Chapter 607, Florida Statutes, particularly Sections 607.0830 through 607.0833, as amended, which is incorporated herein by reference as if fu!ly set forth herein in connection with its contractual obligations hereunder. Page 37 IN WITNESS THEREOF. the parties hereto have caused this Thirty-Eight (38) page contract to be executed by their undersigned officials as duly authorized, this __ day of 2014. AWARDEE: M!AMI~DADE COUNTY City of South Miami BY; BY: NAME: NAME: Carlos A. Gimenez TITLE: Mayor TITLE: DATE: DATE: BY: ATTEST BY: NAME: TITLE: Clerk, Board of County Commissioners TITLE: DATE: DATE: Witnesses: BY: (Signature) Type or Print Name BY: (Signature) Type or Print Name Federal 10 Number: 59-6000431 Resolution #: R-685-14 Awardee's Fiscal Year Ending Date: CORPORATE SEAL: AGREEMENT IS NOTVAUD UNTIL SIGNED AND DATED BY BOTH PARTIES Page 38 PUBLIC HOUSING AND COMMUNITY DI£VELOPMENT FY 2014 Scope of Services October 1,2014 through September 302015 Agency Name: City of South Miam.i 1. -ACTlVHYTlTLE: mIS#: RESOLUTION #: DUNS#: 2. -ACTIVITY DESCRIPTION: 2a-Activity Category: 2b. -Objective: 2c .... Outcome; 3. -APPROVED BY BCC: Other Funding Source and Amount: 4. -FY 2014 FUNDING RIIQUESTED: 5. -HUD INFORMATION; 5a. -HUD matrix code: 50. -HUD Activity Type: 5c. -HOD National Citation 6. -ACCOMPLISHMENTS: 6a. .... Number of Units: 6b.-Type: 7. -NA"fIONAL OBJECTIVE: Total #-ofLowfMod in Service Area: Census Tract: Block Group: 8. -ACTIVITY ADDRESS: 9. -LOCA1'ION: NRSA (Activity located in): District (Activity located in): HI. -LABOR Sl'ANDARD applicable Type of Work: o Building 0 Residential 1(,2,3,4) ll. U. Set aside units different from total units INSURANCE REQUIREMENTS: Projed Manager: Letitia Goodson o Highway o Heavy Cit<; of SOuth Miami Mu,ru P8rK M;JIHHP:Jn:',,')Se Fh~ld CDBG2014 Pil;9<.! 1 vi 3 ACTION STEPS r-______________________________ -=O::ct,ober'1,.:;2::.01:;;4~T~H::.R:::U:.:S::""'r:;l • .:;ffi:;M:::r~'::O::., 2:::0:.:1::S _______ ~~ ________________ , I AGEK.CY NAME, """" ;~CTl\'TTY: ; r:"UNDfNG SOURCE: I:"MOUN,: OTHER fUNDlNG: South Mi:ami eRA t Cit\:'cf So!~lh MEflmi trot/i. PROJECT COST: ACCOMPUSHMENT UNITS: r-'f';::>E Page :2::>r:;. City <.>f So;,th Miami ~'O'krra'i P;:;'(r( M\,Jl~l~h.H'Pose Fi-eld CDBG 2014 $55.!JDQ .OC t,7,S;JC,QO $7.500 no S7u.CCQ,{)O 1 ,~Ullchmf!rU .4-1 .; ii' :'1 i I:, I' ll_' ______ ! .-~ ;A';;;:;:~CY r.lAME: L.\CTVfT'{ I fUND!NG SOURCE: "-------------'-------------'-'"AciioN',.S::cT=E"'Pc::Sc---------" October i. 2014 THR\J S~~w:!mt<(-r ~v. 2015 City vf Bodh Miami Mum:ly ParJ<. MlJm~PUrpCSE Field CDBG2014 OF Rt9dlE2-?.3.th'lQ.VB9.£ ·F~ "uuuumu~ iCanslniotioo dc,,. (>ul in lOiS 1011/2015 1 121311'201'5 10 '5 IS I !' P'lg.o.:,3 G/ j. ;!:.u&;;.nrne<'.t A·1 CUMUlATIVE -, """""1',------rc---~,~i City of South Miami PUBLIC WORKS &. ENGINEERING DEPARTMENT 4795 SW 75th Avenue Miami, Fl33155 Tel. (305) 663-6350 Fax (305) 668-7208 Murray Park Multi-Purpose Field Activity Timeline FY 20 IS, Quarter I October I. 2014 -December 3 I, 2014 Request for Proposal to solicit bids for turf renovation program Staff collaboration to prepare RFP Staff recommendation to Commission Commission Approval PH CD Approval FY 2015, Quarter 2 January I, 2015 -March 30, 2015 Prepare turf renovation program (contractor -staff liaison) South Miami b1!td '~fP 2001 Completion of design plans based on field measurements and safety hazards mitigation Contractor to obtain proper materials Conduct pre-operational and safety check on tools, equipment and machinery Calibrate and adjust tools and equipment FY 2015, Quarter 3 April!, 2015 -June 30, 2015 Implement the turf renovation program (contractor -staff liaison) Keep a dean and safe work area throughout renovation period Dispose of waste materia! Review quality of work and correct deviations if necessary FY 2015, Quarter 4 July I, 2015 -September 30, 2015 Finalize Project Submit final reimbursement and dose-out grant CATEGORiES I. Personnel II. Contractual Services HI. Operating Services !V. Capital Outlay TOTAL BUDGET SOURCES OF OTHER FUNDING SMCRA City of South Miami CITV OF SOUTH MIAMI Murray Park Multi-Purpose Field CDBG FY 2014 Summary Budget ATTACHMENT B October 1, 2014 -September 30,2015 PR!ORYEAR FY 2014 FUNDING FUNDING NON-PHCD FUNDING TOTAL $ $ $ $ $ $ $ $ $ $ $ $ $ $ 55,000.00 $ 15,000.00 $ 70,000.00 $ $ 55,000.00 $ 15,000.00 $ 10,000.00 TOTAL AMOUNT 7,500.00 $ 7,500.00 I-__ .~_~c::o:.::n:.::tr-"actual Services CITY OF SOUTH MIAMI CDBG FY2014 Murray Park Multi-Purpose Field DETAIL BUDGET October 1, 2014 thru September 30, 2015 ATTACHMENTS 21011 Externa! Audit _._.m.~ _____ ...... ,----''-+-r:------m--+...c;--------t-';-------+-';--,-'''' ...... -..... -i...c;---"",,'--"""------1 21012 Environmental Audit 21030 O!.her profe~!onal" SVC S<:>n.?t Mgnlt Total Contractual r---"----·---~ ... "--"---~·-"-~w- Commodities 31510 _ql:!~side Printing" __ ,, ____ .... ,, ____ ,j ___ +: ____ .,_,,. +-;-_, ___ . __ 1_-;--_______ ",1: .. _,., _______ "' __ +,;_'''''''" .. ,,''''''-'''',--"."""--".",, I 9:>010 Computer Purchase 47010 Office SlIppHesL2!J.tslde v~~ii>,~~=-_ Total COmmodl_tl"es'---__ INDEMNIFICATION B-l(l\1) Municipality Non-Construction Government entity shall indenmify and hold harmless the County and its officers, employees, agents and instrumentalities from any and al11iability, 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 shaH pay all claims and losses in connection therewith and shaH investigate and defend aU claims, suits or actions of any kind or nature in the name of the County, where applicable, including appellate proceedings, and shaH pay aU costs, judgments, and attorney's fees which may issue thereon. Government entity expressly understands and agrees that any insurance protection required by this Agreement or otherwise provided by Government entity shaH 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. Public Housing and Community Development Attach ment B-2 Community Development Block Grant (CDBG) Program Not Applicable PUBLIC HOUSING AND COMMUNITY DEVELOPMENT QUARTERLY EXPENDITURE AND PROGRESS REPORT fY20 Recipient Name (Organization): "'"''.''' .. ''''''' ........ ......"....~..._. Contact Person (Name & Title): Activity Name (Project Title): . __ _ Activity Address: ..... _._~_ ......... ___ .... . Activity Description: .. ........_ .. __..... ... ATTACHMENT C IDIS#: Index Code: Funding Source: ___ .w .. Funded Amount: w§ ____ .. "._ ... '' Activity category: o Administration 0 Capital Improvement 0 Economic Deve!opment 0 Historic Preservation 0 Public Service o Housing 0 Homebuyer Assistance 0 Tenant-Based Rental Assistance (TBRA) 0 Homeless Housing Obiective: 0 Create suitable living environments 0 Provide decent affordable housing 0 Create economic opportunities Outcome: 0 Availability/Accessibility 0 Affordability 0 SustainabHity Category At the time the Awardees has been paid or otherWise received fifty percent (50%} and seventy the Awardees reporting these expenditures must submit documentation to show that Awardees has of the Activities described herein. Program Income The disposition of Program Income not specifically listed in the approved Program Income budget requires prior written approval from PHCD. 1. Does this activity generate Program Income? 0 Yes 0 No 2. If yes, indicate the amount generated this quarter. 3. If yes, was written approval granted by PHCD to use the Program Income generated from this activity? DYes DNa ON/A 4. If yes, @ attach copy of approval letter and related documents. [f no, a written request for approval to use the Program Income must be submitted to PHCD. CDI14151712 1 of 3 PUBLIC HOUSING AND COMMUNITY DEVELOPMENT QUARTERLY EXPENDITURE AND PROGRESS REPORT FY20 . ACTIVITY STATUS AND INFORMATION 1. Activity Status: 0 Cancelled 0 Underway 0 Completed 2. Environmental Status: 0 A=Exempt 0 C=Completed 0 D=Underway 3. Is this activity still in compliance with the original project schedule? 0 Yes 0 No Section Ill: Worle in Progress [Oo-going Activities] + 0 Accomplishment Narrative [Activity Completed] Check appropriate box and reference the SC9pe of Services, included in your contract, as the basis for reporting the a format. Attach of L-~ .. ~~~_~ __ ._ •. ~~. __ ~~ .. ~ ................ ~~ ____ ~." .... _____ ,., Section IV: OtherSuppo·rting Efforts Provide a description, using data, of all other supporting efforts that have begun, partially implemented; or this ----.... '"--''~''''''' "'~---'-~"-""""""'---"-"""""" ISectio~V': Prob(;;m~' Erlco~~tered I Provide a brief description of any problems or delays enZountered during this period or anticipated. L .... " .. ~ __ .. _ .... "" ...... _, ____ •. ." .. """ """.'''' _ ........... " .............. ____ .. " ... "."" .......... _ .. _ .. "". __ ~. ___ ~" .. ,,, ... _,,, " .. " .. " ...... _~ .. ".".J Section VI: Technical Assistance If your organization has a need or anticipate a need for technical assistance during this period, please describe the nature of the assistC,loce . . ---"-... "" ...... ,,.-.~-.. """""'_'_"'_""""'''''''''''''''''''-'-'-'''''' .................. --.---.. "-.,,,--~--.~~,,, .. ,,,,,, ................................ "'"''''''''''''''''''''''''''''''''''' .. ''' ,,, ..... ,, .... "',, .... . Sect.ion VB; Performance wNotes: A Supplemental Performance & Benefit Data Rep~rtmustbe sUbmittedifanya~tuaiaChie~ementsa~ej' reported durinn this reporting periOd and all HOME funded projects must submit applicable activity set"up form. ""._-" __ .. _,.,, •... "~~-~----"''' ... ''''' ........ ,.~-,, .. ~--~ .. ''.'' ...... ~.~---__ .~'" ".~"", ,_y.>'_.~~--_____ .... ,_.,~"., ... ~,~_''' .. ''''' .. _ ~'~m'~""'" Accomplishment Type: 0 People [01] 0 Households [041 0 Businesses [08] 0 Organizations [09] o Housing Units (iO] 0 Public Facilities [111 0 Jobs [13] National Objective: 0 Area Wide Benefit [e.g. LMA, LMAFI, LMASA, SBA] -or-0 Direct Benefit [e.g. LMC, LMH, LMJ] Households Households (LMH activities only) Lowf Mod Households Low I Mod Female Headed Supplemental Report Attached YIN .~~_ Performance & Benefit Data: o Housing -or-0 Public Service & Administration -or-0 Capi!B! Improvement & Public FacUities CDI14!51712 2of3 PUBLIC HOUSING AND COMMUNITY DEVELOPMENT QUARTERLY EXPENDITURE AND PROGRESS REPORT FY20 o Performance & Benefit Data: Housing Total Job Count Total Weekly Hours Percent Jobs Created Full-Time (FT) FT Low IMod Part-Time (PT) PT low/Mod low I Mod Jobs PI UJ~\';lt;U Goal Actual This Quarter Actual Cumulative I-vl<:tir,'" Businesses Total Supplemental Report Attached YIN ............. ~_ .... . o Performance & Benefit Data: Economic Development PERfORMANCE CERTIFICATION: D This certifies that No Accomplishments 'occurred during this Quarter. Initials' NOTE: Submittal of Supplemental Form .. Performance & Benefit Data is not required at this time based on the certification that no accomplishments occurred during this quarter. CERTIFICATION This is to certify that the data and other information provided in this Heport is correct, based on official accounting system and records, and that expendilums and obligations shown have been made for the purpose of and in accordance with applicab\e Terms and Conditions of the Contract and Funding [~equiremellts. Report Prepared by: Title: Date: ...................•..•.....•. ~" ..................... ~ .•...... ~~."" .. Print Name Signature of Certifying Official: ".-Title: Date: Activity lOIS Number: .......................... ""--_ ......... .. Report 0 is / 0 is not complete + Report 0 is lOis not accurate Initial review for completeness and accuracy completed by -Name: ................... ""PfojectManager-'" Name: Date: Supervisor Waming: Title 18, US Code Section 1001, states that a person who knowingly end willingly makes false or fraudulent statements to any Department or Agency of the United Stetes is guilty of a felony. State law may also provide penalties for false or fraudulent statements. This material is available in an accessible format upon request. 30f3 CDI14I51712 PUBLIC HOUSING AND COMMUNITY DEVELOPMENT PERFORMANCE & BENEFIT DATA: CAPITAL IMPROVEMENTS & PUBLIC FACILITIES Supplement to Quarterly Expenditure & Progress Report FY 20 Recipient Name: ...... __ ......... __ .... _ ..... ~_ ..... ~ ... _. ___ .. ~~ .. ~_.~ .. _._. ___ .......... ~ ___ .< Activity Name: __ ._~~_« < .... < .. ___ .m._« .. < ......... __ .,,~,' ...................... '_<.«,<.«.<.... ..< .......... ,<'m< ... < .. « •... lOIS # : __ < __ <~ < ____ ..... Activity Category: __ .,_< ______ _ HUD Activity Matrix Code: .<mm« ___ <_< Accomplishment Type: <.... __ HUD Matrix Code Description: _«~.<. ___ ,< ... ___ .......... __ ... ____ .. _ .... __ _ D Acquisition I Disposition D Structures + D Parcels D Clearance I Demolition D Structures + D Parcels ___ # of Structures ___ # of Parcels "DStreenmpf6vemerits'pcrsori13~SeiVe(r+'T6Wl!\/kldlr;cbj']ie . o Public Facility I Type:m..m.~_.. Persons Served + low/Mod Income D Building I Type: _. _____ .___ Facilities + Persons Served t Low/Mod Income ... _ ..... __ o Other Capita! Improvement /Type: Persons Served + Low/Mod Income [indicate below] of Persons Served of Low/Mod Income Instructions & Applicability: National Objectives include LMA & LMC activities with any 03 matrix code except ST. 1. Tota! Persons Assisted for program year: _...... .. __ . 2. Counts by Households (H) or Persons (P): 3 •. 0f the Tota! Persons, enter the number: N!JJTlber of Pc::!sc!.I}'§ With New Access to this service or benefit VVith Improved Access to this service or benefit With access to a service or benefit that is No longer Substandard Note: This field must equal the number in Total Persons Assisted. With New Access to this type of Public Facility or Infrastructure Improvement With Improved Access to this type of Public Facility or Infrastructure Improvement With access to Public Facility or Infrastructure that is No longer Substandard Total Note: This field must equal the number in Total Persons Assisted ...... _~_ ..... , Total Homeless persons given overnight shelter Number of beds created in overnight shelter or other emergency housing Is this activity located in a NRSA? DYes DNa If yes, the NRSA must be identified, as applicable, using the maps provided via Miami-Dade County's website -Services Near You: http://gisweb.miamidade.govICommunityServicest. A copy of the printout must be included with this report. Provide the following information: NRSA # of Clients Served CD115151712V 1 of3 PUBLIC HOUSING AND COMMUNITY DEVELOPMENT PERFORMANCE & BENEFIT DATA: CAPITAL IMPROVEMENTS & PUBLIC FACILITIES Supplement to Quarterly Expemiiture & Progress Report FY20 # of Clients Served !t of Clients Served Location I Project Address: ··--·SfreetTCfty I Zip·Code -o~Fo"iioNum"beris"thereis·no~streeTaddress···"" Location I Project Address: RACE &ETHNICITY CATEGORY .dil1~i~ucii;;ns: (1 )lndicate"thetot8!dnumber of persons or hou~~ho!ds served in each Racial Category for this n:iporting d period and the cumulative total. (2) From the total number depicted in each Racial Category, indicate the numbers that are of Hispanic Ethnicity for this reporting period and the cumulative total. OTHER DIRECT BENEFIT INFORMATION Census ( C) or Survey (S) Data Used: ___ _ Total # of Low/Mod in Service Area: Percent of Low/Mod in Service Area: Census Tract: Block Groups: Census Tract: Block Groups: Census Tract: Block Groups: Cumulative I YTn :Tota.!s . Tota! Number: .•• __ ._.,,_., __ ~ ____ ,.,_,,~_, _" ,"··_··· ____ ~_'v ___ .~" ••.••.••.•••••• =:J If (S), enter # of Low/Mod & Total Population: Totallow/Mod Universe Population in Service Area: CD115151712V 2of3 PUBLIC HOUSiNG AND COMMUNITY DEVELOPMENT PERFORMANCE & BENEFIT DATA: CAP!TALIMPROVEMENTS & PUBLIC FACILITIES Supplement to Quarterly Expenditure & Progress Report FY20 -""~"""""""""""""""""_"."""""".,, ... ,,. 1. CDBG Funds .,,",," __ ,,''''''' __ .,,'' ___ 5. Other Federal Funds ";"-"""."""",~.~."~.""" .. ,,--,,,,,, 2. HOME Funds .-'---.,,----~--.-6. State / Local Funds -,,, .. ,,,--.. ~.--,,,,-3. ESG Funds .. ~.'w." ____ ~"".~.""""""''''' .. ,,._''''''''''_ 7. Private Funds --'---.""".",,,_ .... , ..... ---4; Section 1 08 Loan Guarantee 1""'''--'''-'''''''''''''''-'''''''''''''''-.-'''''''''-,,-''''-'''':'''''--''''''''~-"" "" ... "_.".--" .•.• """"-_ •• """""-_ ..••.•.. "_.".,,,,.",,".,,,,", ••••• "".""""""""""""" •••• " .. ""."" ..... ".",, •• ,,.,, ...... " .. " .. " """""""""""""; ". r@·REQUIR~DATTACHMENDL[iLappliG~bleJ:"J) "C;Slrli[l.l;£]tq glJ?mplg"tiqn;2)"eLilltt.?u"t()(l!J3$A."~;ClP,,jt~Ee!L':~?!)Ie;})! i Documentation of performance I accomplishments, e.g,. new or Improved access to servIces, faCility. or Infrastructure I lupgrade; and 4} Documentation as described in the Coritract or Scope of Services, or as instructed by the County, l ""~_~ .,,·,._ .. "' .. _~hv.,. __ . ___ "·'n .. ~_m·····~_ .. __ .m'··· __ .... ___ .~"v,·· .. , .................... ,.' .... "" ......... ,,, .... ,,, .................... ' .··'NM·''' ......•. ~~~"'~~ .• ···· .• ~· ............... ~._· ... ···, ...... ,. ............ n ,.,~_ .. ~_~ '.~"'~A~ __ '" .. ~, .. ".~~y~_~ ... ~ .. <. "" __ • ___ •••• >.,~~_._. Report Prepared by: ... Title: Date: Print Name Signature of Certifying Official: Title: Date: Warning: Title 18, US Code Section 1001, states that a person who knowingly and willingly makes false or fraudulent statements to any Department or Agency of the United States is guilty of a fetony. State law may also provide penalties for false or fraudulent statements. This material is available In an accessible format upon request CD115151712V :3 of3 DATE: AGENCY NAME: PUBLIC HOUSING AND COMMUNITY DEVELOPMENT MONTHLY PROGRESS REPORT {Form to be submitted with every Payment Request} ------- PROJECT! ACTNITY NAME: .ACTIViTY CATEGORY: FlJNDiNG YEAR f SOLJHCE: FUNDING AMOUNT: --_ .................• -.. -------••.... GOD!?J!D!S; REQUEST AMOUNT: -'----•...... ~ ··REPORTING· MONTH I YEAR: Attach copy of approved Action Step Format (Attachment M) in the contract, which depicts: (1) Service Frequency; (2) Number of Clients; (3) Cumulative Quarterly Service Units; (4) Cumulative Number of CHents; and (5) Cumulative Projected Payment LeveL ECONOMIC DEVELOPMENT ACTMTIES 1) NUMBER OF CLIENTS! PARTiC!PANTS J BUSiNESSES SERVED: .. __ _ 2) NUMBER OF AGREEMENTS EXECUTED WITH BUSINESSES: 3) NUMBER OF JOBS CREATED: 4) NUMBER OF JOBS FILLED: 5) NUMBER OF JOBS RETAINED: HOUSING ACTNITIES {EMERGENCY SHELTER, TENANT BASED RENTAL ASSISTANCE, ETC.} 1) NUMBER OF PERSONS ASSISTED: ACCOMPLISHMENTS I CHALLENGES NARRATIVE: Report Prepared By: ......... .. Report Reviewed By: TITLE: TITLE: By Signing below I, m. ____ mm'.m._' verify that the information in this report is accurate and appropriate records have been maiiltainecf·m of Reviewer: Warning: Title 18, US Code Section 1001, states that a person who knowingly and willingly makes false or fraudulent statements 10 any Oepartment or Agency of the United States is guilty of a felony. state law may also provide penalties for false or fraudulent statements. This materia! is available in an accessible format upon request. C012216812V 1 of 1 MIAMI-DADE PUBLIC HOUSING AND 'COMMUNITY DEVELOPMENT (PHCD) INFORMATION FOR ENVIRONMENTAL REVIEW FORM INSTRUCT!ONS: Per 24 CFR Part 58. the purpose of the environmental review procedures is to foster the implementation of environmentally compatible activities. As a grant or loan recipient, Miami-Dade County will not fund projects that will negativery impact clients. communities, or the environment. Part I. AGENCY AND PROJECT DETAIL 1: Indicate Funding Source: O' tOBG o HOMELESS (SRO/SHP) 3. Name of SubrecipientiAgency: 4. Name of Proposed Activity; o HOME DEDI o HOPEVI o NSP .....................•• ~............. ...................................... . ... -........................... ~ .. -----........ -- 7. Commission District(s): ........................... -~ .... -.-............ ----.... ---~ 8. Dired Contact information of loan/grant recipient: 9. Detailed description of activity or project i O. What is the purpose of the activity or project? For example, Public Service, Economic Development, Historic Preservation, Capita! Improvement, Housing, etc. 11. What is the status of activity or project? For example, Pre-Development Phase, Rehab/Construction Underway, Rehab/Construction Completed, etc. Part II. PROJECT OUTCOME Part m. SITE SPECIFIC INFORMATION 1. Land Use: Describe the existing and proposed fand use: .. Existing? <II Proposed? 2 .. Does the site have any known contaminants? DYES o NO .. If there are known contaminants, has a Phase. I audit been completed? If yes, a copy of Phase I Environmenta! Audit certified to Miami-Dade County must be submitted to determine the likely presence of either a release or threatened release of hazardous substance. DYES 2. Site Plan: o NO Does the proposed activity indude a new structure(s) or site improvements on a site of one {1) acre or more? DYES o NO lfyes. 11 fiii£! nla.n must !?r~.9vidgd. _proiect{£~lYiiU.l!Qt9J) env!£QJHnem£ll!Ylgviewed wiihout q site plan. 3. Photographs: Does the activity include new construction, renovation or rehabilitation? DYES o NO If yes, photographs must be provided of each side (front, rear and sides) of the structure(s) proposed for assistance and the buildioDs on the adjacent lots. The photographs shall be identified by address. In addition, provide for each existin~l structure on the site, the foHowing information: .. Existing structure(s) on site? DYES D NO Estimated age of structure(s)? 4. Value of Improvements: Does the proposed activity include rehabilitation or renovation of structure(s)? DYES o NO If yes, what is the estimated cost of rehabilitation or renovation? _____ ,.,,~_,, ___ ,," ... _. In addition. indicate if the estimated value of the improvement represents: o 0 to 39.9 percent of the market value of the structure(s) o 40 to 49.9 percent of the market value of the structure(s) o 50 to 74.9 percent of the market value of the structure{s) o 75 perc:ent or more of the market value of the structure(s} 3 5. Phase I Environmental Audits: Does the proposed activity involve the transfer of any property, new construction, major renovations of 75% or more of the structures' market value, or a securing of a loan for nonresidential parcel? DYES o NO If yes, a copy of Phase I Environmenta! Audit certified to Miami-Dade County must be submitted to determine the likely presence of either a release or threatened release of hazardous substance. An audit is a review of a site and adjacent properties and involves preparing a history of ownersh ip,-land use and zoning for the last 50 years;· researching -environmental records for- information on hazardous waste sites,. hazardous facHities, solid waste/landfill facilities and underground storage tanks (available through the Department of Permitting Environment and Regulatory Affairs (OPERA). Florida Department of Environmental Protection (FDEP) and ---------HU:S:-Bwironmental-Protectiof1~geficyiEPA]);=afld~site=if'lsl'ectiGn-9'or=physicalo-evidenee=of=="="""'''7.'~''==­ contamination such as damaged vegetation or stains in the soiL Has a Phase I been performed? DYES o NO 6. Environmental Health Information: .. If a residential site, and the activity includes or involves rehabilitation, has it been inspected for defective paint surfaces? DYES D NO If yes, please submit the results. .. Have any child under the age of six at the site been tested for elevated fevels of lead in the body? DYES If yes, please submit the results. 7. Other Site Information: o NO 4 Part: IV. SUPPLEMENTAL REQUIRED DOCUMENTS Required Submittal Documents: 1. For aH projects: Submit. street/plat maps that depict location of property in the County and/or qty with the location or lot clearly pointed out 2. For new construction projects: Submit a scope of service, an itemized budget, and a site plan. 3. For housing/building rehabilitation projects only: Su.bmit a scope of service, an itemized budget describing the major components of the rehabHitation program planned, and a photograph of the property. . " 4. For historic proprieties, include: Submit photographs of the property, and a description of any adjacent historic properties that may be affected by your activity. ! certify to tim accuracy of the lnforrnatlon prov-ided. I understand that all funded activities rnust: have an approved environrnrmtal review cleardnce prior to the cormnenCl)ment of projects. I clearly understand that any omitted andlor incorrect information will delay thf~ initiation of ih(~ enVironmental wvlew process by the PHCD stati'. As such, I arn aware that omitted information could delay the commencement of my organization's projf~Ct. I understand ,dt approved environmental reviews are valid for one (1) year maximum. Unless otherwise indicated, return completed form and attachments to: Project Management Division Public Housing and Community Development 701 NW 1"t Court _14th Floor Miami, Florida 33136 TYPES Of ACTiVITIES AND ENVIRONMENTAL GUIDELINES TRIGGERED: Economic U':"C"U New Construction Rehab ~_~~ .. ()n-C~~ction/Expansion Housing Single Family Rehab Multi-Family Rehab New Construction Homeownership Assistance x x Date ,,_".~"_".,,~!f()Tda~!~ Hou"~J{m.f!:.~I::J~~':"I_~" ___ ""'_"'_' ____ """+''''''''''''"_''''""_ .... _ ...... _____ '~-----" .• ~ ....... " ......... "--"'--•• ----..... ""-... , .".""_,~"~~ __ ... _" Capital Improvement Handicapped Access Public Facillties XZ Infrastructure Xl _~. ___ .. _______ ".~-"--'_'".""_~~" .. __ "._" .. __ " __ ~. __ "'_'" ___ -'--"_"~"_" ___ .L-_~. 5 Public Services Employment X Crime Prevention X Child Care X Youth or Senior Services X .. _<.~.§~£P9~y~~§~11?".~ ....... ____ ~~___4 __ X~~._...J ~,=>'"~_~_,~=.~ . ..,.,.,.".",._~,,,~~_~~N=mm' ." .... >_ •••••• ~ ••• .,~. __ ~~_.~ ••• ~ •• ,.,_~~rl" Type of Publication No Public Notice/No RROF No Public NoticelNo RROF No Public Notice/No RROF (No Statutory Requirement Triggered) Or Publish NOllRROF (Statutory X1 Iffor continued use and change in density (or size) of less than 20% X2 Change in density {or size) of more than 20% Exempt CENST CEST ,EA Exempt Activities Categorically Excluded and Not Subject to 58.5 Categorically Excluded Subject to 58.5 Environmental Assessment (Format II) CD143131413 Publish FONS! and NOllRROF PUBLIC HOUS[NG AND COMMUNITY DEVELOPMENT (PHCD) ATTACHMENT E AFfiDAVITS ,Uniform Affidavits _ Street Address (P .0. Box NLlmber Is not pennltled) Firrrm registered to do business \A~th Miami-Dada County, shall require the person contracting or tronsactll1g such buslness with the Counly 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 lila full legal name and business address of aU individuals having any Intere!;t (!egal, equitable, oonejiei,!l of olhep. ... ise) in the contm<:t: oUll~r than subcontractors, materialmen, suppliers, laborers or !enders. Post office box addresses shall nol be ;lcceplad hc{eund'~r. If tho contta~;! or business traosactJoo is with a corpnratioo the foregoing informatlon shal! be provided for eoch oJllcer i1l1d dlrector and ench stockholder holdIng, dlrectty Of Indirectly, five (5) perrent Of mDre of the outs!,lnding slor,.k in Iht' r:.orpomllon. It th" contmct Of business trensactlon ls with a partnership, the foregoing information shall b<~ provided fOf each porhler, If lile Ctlnlmcl of business transaction is with a trust, the furegoing infurmation shall be prOllided fur Ihe trustee and each bcneficllllY of \tIC {rust The foregoing disclosure mqulremenl:, shall not apply to CtlnhJ:lr.:ts with pubficly- traded corporations, or to contracts witn the United States of any depatitnent Of Bfjem:y therB()f, the Stilt, Of any political subdivision or agency thereof, or any municipality of this State. Use duplicate pflge if 1lC{,ded for adoiliol1<l1 namGs. If no officer, dlrector or stockllo/der owns (5"/..; or more of srock, please write "None" be/ow. PRINCIPALS I FlJU..lEGAL NAME TITLE. FULL LEGAL NAME TITLE ADDRESS If <') pen::enfage oflhe firm {s owned by tI jllJbllcJy trBded corpondl<m, Indica!", below in the space 'Other Corporation's', OTHER CORPORATlO~ Page '1 of 9 CDl42131.4-13 PUBUC HOUSING AND. COMMUNITY DEVELOPMENT (PHCD) A IT AGHMENT E AFF!DAVITS Uniform Affidavits 1.. MtAMf·DADE COUNTY EMPLOYMENT DISCLOSURE AFRDA WT (COunty OrrJinsllC'e No. 90-133, amending Sectfan 2.8·1 (d) (2) of the Miamf-Daoo County Code) The following information Is for compliaoce wiIJ1 all items in the aforementioned Sl;;ctlon: 1. Does your fum have a 9'lIecUve bargaining agreement with its employees? Yes No 2. Does your firm provide paid health care benefll:s for its employees? Yes No 3. Provlae a current braakdDWrl (number of persons) in your firm's work force indiCating race, motional oriilki~ani:! gender. NUMBER OF BIIIPlOYEES 3. MIAMI-DADE EMPLOYMENT DRUG-FREE WORKPL.ACE AFFiDA vrr (Section 2-8.1.2(1)) oftha Miamf..lJaue County Code) AI! persons and entities that contract with Miami-Dade County are required to certify that they will maintain a drug..free workplace and sllch persons and entities ure required to provide notice to employees and 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 vnitton statement to each employee shall infotlT1 the employee about 1. D<lOgor of dmn abU,$<' in Ihe workplace 2. The film's polfey of maintaining a drug-flee environment at ill! work planes 3. Availability at drug counseling. rehHhilitation and employee assishmte programs 4. Penalties Hmi may be Imposed upon employees fOI drug abuse viofnlions ThH finn shall also require an "'!11ployoH In sign a smlpmcnt. as a condition of employment th;,t the employee wiH "bide by the linIn:> of Iht. dfllg·,fr,'"' workplacu poliGY ,md not1fy ihe employer of ~my crimina! drug cOllviction occurring no laler Ihan live (5) days alief mceiving nolle" of Sllch r:onvidion and impose approiJrialc personnel action against the employee IIp to and int:iuding lerminalirm, firm!?, may al;;o comply wilh the County's Drug Frec V\loritplao:J Certificcatkm where a pmson or entity is required to have :a drllg-flee workplacc policy by anoJJlef 10C<11. sla\e, Of federal agoncy, Of mRlinlains such a policy of ~s mllil aGctlrcl nnd such policy mer,!!; the intent offhls ortlillanC(I. 4. MIAMl-DADECOUNIY DlSABJU1Y AND NON-DISCRIMINATION AFFIDAVIT (Article 1, Sectfon 2-8. 1.5 f/.esoflJlio{! n-11J2-00 Anwndh79 R-385·95 of the Miami-Dade COunty Code) Firms transacting business with M1ami-Dade County shall provide an affidavit Indicating oompnance with aU requirements of the Americans with Disabilities Act (A.D.A.). I, state that this firm, is In Cnmpli:lflce with and agroes 10 continua to comply with. and assure that any SUbcontractor, or third party contractor shaH comply with all applicable mquircl'n<mts of the laws including, but not Ilmlted to, those provisions pertaining to employment. provision 01 pfO[;rmns "nd se!vlces, lmor;portalion, communications, access to facilities, renovations, and new construction. The Amerlc:an with DisabUities Act of 1990 (A,D.A.), Pub. L 101-330, 104 Stat 327, 42 U.S.C. SectiQns 225 and 611 !ncludlng TIlles I, II. m. IV and V. The Rehabilitation Act' of 1913, 29 U.S.C. Sadlon 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 PageZ of9 CD142131413 PUBliC HOUSING AND COMMUNITY DEVELOPMENT (PHCD) A IT ACHMENT E JJlffLfJJxLrifJirrrl lila} ( mil in cotrJpliall£.f.1.J:dJl! the Im['2.1!L§JJ.£ffP.ll§: Secfjon i!·'roA(4)(a) of lile C.ade of Miomi-Daria County (OrdInance No, 82-37), whim requires that all properly licensed <!rdlit&.iural, engineering, [tmdscape archlteciur"l. and h:HId sUiveyors have an affirmative action plan on jjla with Mlaml-Dade County Sed/on ;2-8.1,5 of Ihe Code of Miomi-Dm}e County, whfch requires filM finns find have 8JlltlJlJl gross revenues In excess of fiVe (5) milliOfl doflars have 1111 {lflirmalive OC/i()f7 pJ:;m mu;i prucUfu:me(Jt policy 00 filt! wilh MiamHi8dtJ County. Firms that have a Board of Dirac!olS Hwl ilte rDprol';Onl"IAm off/If; population 1J16kn,tJp of tile I1tltiCiIl may be eXf1mp(. 5. MIAMI-DADE CDUNTY DEBARMENT DISCLOSURE AFFIDA Vir (Section '10.38 of the I' .. <jamf-Dacfa County Code) Films wishIng to do business with Mlaml-Dade County must certify that it's contractors. subcontractors, officers, principals, stockholders, or affiliates are not debarred by the County befure submi1tlng a bid. I, confirm that none of this nm1s agents, officers, principals, stockholders, subcontractors or their affiliates are debarred by MiamI- Dade County. 6. MIAMI-DADE COUNTY AFFIDA VlT RELATfNG 10 fNDflllf)UALS AND ENTITlES A ITES71NG BBNG CURRENTfN THBR DBUGA710NS TO MIAMUJADE COUNTY (Ordinance 99-162, amending SoctiM 2-8. 1; Ordinance (1),-30, amending Soclion 2-8.1 (c), and Ordinance 00-67, amentfing 2-8.1 (h), of the Miami-Dade County Code) Firms wishing to transact business IIAth Miami·Darla County must certify that at! delinquent and currently due 'fees, taxes and parking tickets have been paid and flO indiVidual or entity in arrears ill any payment under a contmct, promissory flote or other document \\Ilth the County shall be aHowed to mceivG any !lew business. I, confirm that aU delinquent and currently due fees or taxes including, but not limited to, real and pernonal property taxes, convention,and tourist development taxes, utility taxes, and local Business Tax Receipt collected ill the normal course by the Miami-Dade County Tax Collector and County Issued parking tickets fur vehides registered in the name of the above firm, hal/e been paid. 7. MIAMI-mWE COUNTY CODE OF BUSINESS E1111CS AFFIDAVIT (/lrlide 1. Secti()n 2-8.1(i) of fhe Miami·Dade County Codn through (o) and (9) offhe County Code and County Ordinance No 00-1 amendin[j .secllo!! 2A t 1 (c) of tfle County Cod,,) Fhms winhlng \.0 !raosaci. husine;;;s with Miami-Dade County must certify that it has adopted a Gode that complies with the roq\Jifl~menlll of Section 2·S.1 of the COUnty Code. The Code of Business Ethics shall apply to ali business that the e')Hltactor dncs with the COlin!y and shall. at a minimum; require the cctnlractor to comply with ali appiiGil\lkl g()vernmeplal rul(1s and regulations. I coofirm that this llll!) h"s adopted " C()do of husiness ethics which complies with the reqUirements of Sections 2-8.1 of the Counly Code, and Uwt such code of business dhics shall apply to aU business that this firm does with the County and shall, at a minimum, require the GOlllractor to c.omply with ali applicable governmental rules and regulations. 8. MIAMf-f)ADE COUNTY FAMIL Y LEA VE AFFlDA 11« (Artfcle Vaf Chapter 11, afrha Miami-Dada Couoly Code) Firms contmding business with Miami-Dade County, which have mOfe than fifty (50) employees for each working day during each of twenty (20) or more walk weeks In the current or preceding calendar year, are required to certify that thaI' provide family leave \0 their employees. Arms with less than the number of employees indicated above are exempt from this requirement, but must indicate by letter (signed by an lluthonz.ed agent) that it does not have the minimum number of employees required by the County Code. I confirm that If applicable, this fmn compfleS with Article V of Chapter 11 of the County Code, which requlres that firms contracling business with MIamI-Dade County which have more than fifty (50} employees fur each working day during each of twenty (ZO) or more war1< weeks in the current or preceding caklndar year ara required to certny that they prOvide family leave to Page30f9 CDf42131413 PUBLIC HOUSING AND COMMUNITY DEVELOPMENT (pHeD) ATTACHMENT E AFFIDAVITS .Uniform Affidavits their employees. 9. NlIAM/~lJAD/E COUNTY UWNG WAGE AFFllJAVrr (Section 2-8.9 of the of the Miam!..[)ade County COt:fe) All applicable contractof$ entering into a contract with the County shaH agree to pay the prevamng IMng wage required by thfs section of the County Code. -- I conilrm that if applfcable, furs firm complies with Section 2-8.9 of the County Code, which requires that ali appHcable employers entering a contmctlJliU1 Mfam!-Oade County shall pay the prallul!lng !Mng w.age required by the secti()n of the County Code. 10. MIAMt-DAP/E COUNTY DOMESTIC LEA \IE' ANO REPORTING AFFIDAVrr (Mids e, SadiO!) 11A-60 -itA-57 of the of the fl/Jaml-Daoo County Code) Arms wishing to transact business with Miami-Dade County must certify that it Is in compliance with the Domestic Leave O.dimmce. ! confirm that if applicable, thls firm complies with the DomesUo Leave Ordinance. This ordinance app!1es to employers ttiat have, in the regular course of business. fJfty (50) or more employees working in Miami-Dade County for each working day during the current or prea:.-ding calendar year. 11. MIAMI-DADE COUNTY CRIMINAL RECORP AFRDA ViT (SecVon 2-8. ('; of the Mfami-Dade County Code) The Indlvidua[ or entity entering into a contract Of reatMog funding from the County ___ has __ has nctas oHlle date 01 this affidavit been convicted of a felony during the past ten (10) years. An officer. director. Of executive of the entity entering Into a contract or receiving funding from toe County __ has __ has. not DS of lhi'£> date been convicted of a felony during the past ten (i 0) years. Sworn to and subscribed before me this Personally Or produced identification ~ __ . __ _ ~_. Notary PUblic-State Page 4 of9 CDf42131413 PUBUC HOUSING AND COMMUNITY DEVELOPMENT (PHCD) ATTACHMENT E Uniform Affidavj~ SWORN STATEMENT PURSUANT TO SECTION 281.133 (3) (a) FLORIDA STATUTES ON PUBLIC ENTITY CRIMES TH!S FORM MUST BE SIGNED AND SWORN TO IN THE PRESENCE OF A NOTARY PUBLIC OR OTHER OFFICIAL AUTHORIZED TO ADMINISTER OATHS. 1.-This form statement is submitted 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 this sworn statement 2.-! 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 fo, 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, induding, but not limited to any bid or contract for goods Of services to be provided to public entity or agency or political subdivision of any other state or of the United States and involving antitrust, fraud, theft, bribery, collusion, rackctHering, conspiracy. or material misinterpretation. 3.-! understand that "convicted" or "conviction" as defined in Paragraph 287.133 (1)(b), Florid,,! statuteli, means a finding of guBt or a conviction of a public entity crime, with or without an adjudication of gunt, in a federal or state mal court of record relating to charges brought by indictment or information after July 1, 1989, as a result of a jury verdic~ non-jury trial, or entry of a plea of guilty or nolo contendere. 4.-1 understand that an "Affiliate" as defined in paragraph 287.133 (1}{a), Florida.Statutes means: a) A predecessor or'SUCC0ssor of a person cOfwic1ed 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 tann "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 inwrne among persons when not for f3ir market vniuc under an arm's length agreement, shalf be a prirna facie case that one person controls t;1nothor person. A person who knOwingly enters into a joint veniure with 3 pen;on Who has been convicted of a pubUG entity crime in Florida during the preceding 36 moths 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 entil:y organized under the laws of any state or of the United Slates within the legal power to enter into a binding contract and which bids or applies to bid on contracts for the provision of goods or entity. The term "person' ilicludes those officers, executives, partners, shareholders, employees, members, and agents who are active in management of an entity. Page 50f9 CDl42131413 PUBLIC HOUSING AND COMMUNITY DEVELOPMENT (PHCD) ATTACHMENT E AFFIDAViTS Unilt~rm Affidavits 6.-Based on information and belief, the statement which r have marked below is true in relation to the entity submittlng this swom statement (Please indicate which statement applies) __ Neither the entity submitiing 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 (j public entity crime subsequent to July 1, 1989. ___ ~ The enUly submitting this sworn statement, or one or more of its officers:, directors, executives, partners, shareholders, employees, members. or agenis who are active in the management of the entity, or an affiliate of the entity. or an affiliate of tho entity had been charg(~d with, i}:nd convicted of a public entity crime subsequent . to July 1 t 1989. AND (please indicate which additional statement applies)" .. " .......................••.•.• """"N""" ..... ~...... . 'N 'N' •• ~ •• " ••••• ••••••• .. ······_._·.· ___ ••••••• N ...... . • ••••••••••••••• _.~ •••• " •• A •• ~ __ 0 __ " The entity submitting tl1is swom statement, or one or more of its officers, directors, executives, partners, shareholders, employees, members, or agents who are active in the management of the entity, nor any affiliate of the entity has been charged with and convicted of a public entity crime subsequent proceeding before a Hearing Officer of the State of F!orIda, Dfvision 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}o I UNDERSTAr-lD THAT THE SUBMISSION OF THIS FORM TO THE CONTRACTING OFFICER FOR THE PUBLIC ENTITY IDENTIFIED IN J?AHAGRAPH '1 (ONE) ABOVE IS FOR THAT PUBLIC ENTITY ONLY AND THAT THIS FOHM IS VALlD THROUGH DECEMBER 31 OF THE CALENDAR YEAR IN WHICH IT IS FILED. I ALSO UNDERSTAND THAT I AM EEQUIHED TO INFORM THAT PUBLIC ENTITI PRIOR TO ENTRING INTO A CONTRACT IN EXCESS OF THE THRESHOLD AMOUNT PROVIDED IN SECTION 287.017 FLORIDA STATUTES FOR A CATEGORY lWO OF ANY CHANGE iN THE !NFORMATION CONTAINED IN THIS FORM. Sworn. to and subscribed before me this _.0 ___ ... _. day Or produced identification ._ ... __ ........... _, ... __ ... _ Notary Public-State ............ _._ ..•... ~_ ... _. My commission expires _0.'. PageS ofS CD!4213i413 PUBLIC HOUSING AND COMMUNITY DEVELOPMENT (PHeD) ATTACHMENTE AFFiDAVITS Uniform Affidavits AFFIDAVIT OF FINANCIAL AND CONFLICTS OF INTEREST 1.-Do you have any past due financial obligations with Miami-Dade County? Single Family House Loans Multi-Family Housing Rehab CDBG Commercial Loan Project ··O.SJ-lUD-SeCtloniOB Loan· . Other HUD Funded Programs Other (liens, fines, loans, occupational licenses, etc.) YES 2.-Do you have any past due financial obligations with MIami-Dade County? YES. __ .. ~._ NO __ _ If YES, please explain: NO 3.-Are you a relative of or do you have any business or finandal interests with any elected Miami-Dade County official, Miami-Dade County Employee, or Member of Miami-Dade County's Advisory Boards? YES __ _ NO __ _ If YES, please explain: Any false information provided on !hls affidavit will be reason for rejection and disqualification of your project-funding request jo Miami-Dade County The answers to the foregcing questions are rorrectly stated to the best of my knowledge and beHef. By: ---:=:---:---::-:--::c---:-;---- (Signature of Applicant) Sworn to and subscribed before me this _..._~_._ ..... day Personally Page 10fS CD/42!31413 PUBLIC HOUSING AND COMMUNITY DEVELOPMENT (PHCD) ATTACHMENT E p,FFrDAVIT!:t Uniform Affidavits COLLUSION AFFIDAVIT (Code of Miami-Dado County Section 2~8.1.1 and 10-33.1) (Ordinance No. 08-113) BEFORE ME, A NOTARY PUBLIC. personally appeared ___ '"" "" ___ who being duly swom states: (insert name of affiant) ! am over i B years of age, ~ave personal knowledge of the facts stated in this affidavit and! am an owner, officer, director, principal shareholder and/or I am otherwise authorized to bind the bidder of "",,,,--thiS.{JOfltract,,,, '''''''''''''-''''-"-~,-.. ,, -",.,,,"-,----.. -,-"'-"'''-'''''''''''''._",'' ",-----, """,""""''''''''"_",~'""",,_,, '" "'," ",,,-,,,_,,, __ ,,,,,,,,_ "',," .,"---" '''' I state that the bidder of this contract [] Is not related to any of the other pariies bidding in the competitive solicitation, and that tile 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 solidted any other proposer to put in ;:) 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 o 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 shaH be ineligible for contract award. In the event a recommended contractor identifies related parties in the competitive solicitation its bid shall be presumed. to be collusive and the recommended contractor shall be ineligible for award unless that presumption is rebutted by presentation of evidence as to the extent of ownership, control and management of such related parties in the prep3ration and rmbmiUai of such bids or proposals. Related pariies shall mean bidders or proposers or thE; principals, corporate officers, and managers thereof which have a dired 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 Date Printed Name of Affiant Arlrln::·t,,,,, of Finm PageS of9 CD!42131413 PUBLIC HOUS!NG AND COMMUNITY DEVELOPMENT (PHCD) ATTACHMENT E ~FFIDAVITS Uniform Affidavits SUBSCRIBED AND SWORN TO (or affirmed) before me this __ oay of~_.----, 20_ Type rdentificatiofl .......... '''' . .""W'''~''"' ...... ~~.'''''',,~_~.~,,~~.'._''''H'_'''~~,,~·.~~.~ ...... ~.~=~_ Signa!11re of Notary Serial Number Print or Stamp Notary Public -State of ~ __ PageS ofS CD14m1413 DEVELOPER'S AfFIDAVIT THAT NHAMI-DADE COUNTY TAXES, FEES AND PARKING TICKETS HAVE BEEN PAID (Section 2.-8.1 (c) ofthe Code of Miami-Dade County, as amended by Ordinance No. DO-3~} and THAT DEVELOPER !S NOT IN ARREARS TO THE COUNTY (Section 2-8. i (h) of the Code of Miami-Dade County. as amended by Ordinance No.00-67) 1. That! am the Developer (if the Developer is an individual), or the position held with the Developer) of the Developer. in the title of 2. That the Developer has paid at! delinquent and currently due fees or taxes (including but not limited to, real and persona! property taxes, utility taxes, and occupational taxes) collected in the normal course by ~----.. _ ........ _lhfl.Mia!ni;,Q§'p .. ~ ....... CqJJn"ty~Ig~,,kgl1~~;tqf!_~JJ.dC91111!y ..... j$~~lm-j ...... PJlrkLQD ...... tit;::~~lsf()Lyel)ic:l{~s ........ !~?~j?l~(~Ej ..... iD ..... the name of the above developer, have ooen paJ;:C· ..... -------------........... . ... ....---....... -.. ..... ........ . ............... . 3. That the Developer Is not in arrears in excess of the enforcement threshold under any contract, final non-appeasable judgment, or lien with Miami-Dade County, Of any of Us anencies Dr instwrnentaHties, including the Public Health Trust, either directly or indirectly through a fiml, corporation, partnership or joint venture ill which the Developer has. a conlrolling financial interest. For purposes hereof, ihe term "enforcement threshold" means any arrearage under any individual contract, non-appeal able judgment, or lien with Miami-Dade Counly that exceeds $25,000 and has been delinquent for greater than 130 days. For purposes hereof, the term "controlling financial interest" means ownership, diredly or indirectly. of ten percent or more of the outstandinfJ capital stock in any corporation, or a direct or indirect interest of ten percent or more in a finn, parlnership. or other business entity, S' y,." .. <~---~« .. --~<.<-~--... -<. Signature of Affiant Printed Name Firm Address of Firm SCRIBED AND SWORN TO (or affirmed) before me this __ day Type of Identification --Pnn(pr'Stamp Name of NotarY Notary PubHc-State of _.~_<~ __ as identification. Notary Sea! Expiration Date CERTIFICATION REGARDING LOBBYING Certification for Contracts, Grants, Loans and Cooncrative Agreements The undersigned certifies, to the best of his or her knowledge and belie£: that: L No Federal appropriated funds have been paid or will be paid, by or on behalf of the oodersigned, to any person for influencing or attempting to influence an officer or employee of an agcl1GY, a Member of Congress, an officer or cm;ployr;0 of Congress. or an employee of 11. Member of COllbrress ill connectiol1 with the awarding of any Federal contract, the making of any Federal grant, the making of any Federall(Jal1~ the entering into of any cooperative agreement, and the extension, . continuation, renewal, amendment, or modification of any Federal contract, grant. loan, or """": .. :::"::":::::::::::::::::::::::::';"::::, 2. If any of the funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency. a Member of Congress, an officer or employee of Congress, or an tttnployee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form LLL, "Disclosure Fornl to Report Lobbying," in accordance with its instmctions. 3. The undersigned shall require that the language of this eertification be included in the award documents for all subawards at all tiers (induding subcontracts, subgrants, and contracts under grants, loans, and cooperative agreement in excess of $100,000) and that all subrecipients shall certify and disclose accordingly. 4. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite fur making or entering :into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such :fuilure. Ey: Print: ............•. " •......••• "',.,., ........................ , ............. ' ..............• --,-.•. ,--~".".~--"""--.. -.-....... _-,_ ...... ,._-- (print Nfllile ofFit'm ~nd Authorized Representative) Title: Date: Agency's letterhead AG'ENCY N E DISCLOSURE ABOUT R TED PARTIES {DATE} THERE ARE NO BOARD MEMBERS OF THE _-L-(A~GENCY NA!V!B __ WHO HAVE ANY RELATIONSHfP OR HAVE MADE ANY TRANSACTION WITH .. OTHER ENTITIES THAT MIGHT RESULT IN A CONFLICT WITH ---,AGENCY t~L6MEL~ ____ mmm __ ~._ OPERATIONS. PUBLIC HOUS!NG AND COMMUNITY DEVELOPMENT (PHCD) ETHICS COMMISSION DISCLOSURE STATEMENT FOR ALL PHCD PROGRAMS Applicant; Co-Applicant: In accordance with Section 2··11.1 Subsection (c), and (d) of the Miami-Dade County Conflict of Interest and Code of Ethics Ordinance, covered persons defined under 2-11.1 (b) are required to request an Ethics Opinion if they are seeking to participate in housing assistance programs administered by the PHCD. Check if any of the foHowingapplies to you: o l!we do not currently work for Miami-Dade County (no additional action is required). o l!we am/are a School Board or Federal Employee. These employees are not covered under Section 2-11.1 of the Miami-Dade County Conflict of Interest and Code of Ethics Ordinance (no additional action is required). o It we amfal'8 an appointed or elected County Official (Ethics Opinion must be sought - http://ethics.miamidade.govlfrequently-used-forms.asp) o Ilwe am{are a Miami-Dade County Employee '(Ethics Opinion must be sought- http://efhics.miamidade.govlfrequently-used-forms.asp). Please provide the department and division name below: o lfwe amfg,m immediate famiiy to a Miami-Dade County employee, appointed or elected official. (*) Immediate family is defined as spouse, domestic partner, parents, stepparents, chifdren and stepchildren (Ethics Opinion must be sought -http://ethics.miamidade.govlfrequently-used-forms.asp). .. Please provide the following information regarding the County employee, appointed or elected official: Name of employee, appointed or elected official: Department, Division, or Board: Signature of Applicant: Signature of Co-Applicant: Date: ---_ .•.•.. _.--_. __ ._ ........ _--.. _ .. _ ... _-_. Warning: TJtle 18, US Code Section 1001, states that a person who knowingly and willingly makes false or fraudulent statements to any Department or Agency of tile United States Is guilty of a felony. State law may also provide penalties for false or fraudulent statements. ALCIAMICAlCD/1162414N Miami~Dade County Contractor Due Diligence Affidavit Per Miami-Dade County Board of COU0ty Commissioners (Board) ResoltJlion No. R-63-14, County Vendors and Contractors shall disciose the fonowlng as a condition of award for any contract that e)(ceeds one million dol!ars ($1,000,000) or that otherwise must be presented to the Board for approval: (1) Provide a list of all lawsuits in the rNa (5) years prior to bid or proposal submittal that have been filed against [he firm, Its directors, partners, principals and/or board members based on a breach of contract by lhe firm; include (he case name, number and disposition; (2) Provide a tist of any instances in the five (5) years prior to bid or proposal submlUal where Ihe firm has defaulted; Include a brief description of the drcumstances; . . (3) Provide a list of any instances in the five (5) years prior to bid Of proposal submittal where the firm has been debarred or received a formal notice of nOll-compliance or non-penormance, sllch as a nolicc io cure or a suspension from participating or bidding for contracts, whether related to Miami-Dada County or not All of lhe above information shaH be attached [0 the execuled affidavit and submitted to the Procurement Contracting Officer (PCO)! AE Selecllon C.oordinaior overseeing this soircilation. The Vendor/Conlrac!or attests to providing all of lhe above information, if applicable, to ille PCO. Federal Employer Contract No. : ... ___ .... _.~_~_ ... __ _______ Identification Number (FEIN): Contract Tltle; Printed Name of Affiant Signature of Affian! ~---N;ne of Arm Notal)' Public -Slate of .... _ ______ County of Subscribed and sworn 10 (or affirmed) before me this , day of, 20 by He or she is personally known 10 mo 0 Of has produced Identificatioo Type of IdooU1k:aUon produced Print Of Stamp 0\ Nolary Public Expiration Date 212014 County Construction Sign (Only areas are subject to change) Carlos A-Gimenez Mayor RebeC<! 50S<! Chairworrmn Lynda Bcll V!C8 Chair Barbara J. Jordan DIWict 1 :;e""tM Javier D. Scuto Disfrid 10 Juan C. Zapata Dis1Iid 11 J""", UP"p"" Dial: DlWict12 E;,iehan 130\10, Jr. Distrid13 Sign is 4' X 8' with 12' post o Place check mark in box after location has been marked. Once location has been marked submit signage request form This form to be faxed to: 305-637-1746 or 305-375-1125 Attention: Michael O. Smart ent signs (In Glfotmd) Iacement or 0 New Distt"ict Commissioner 3-10 9 (5) Check if ARRA Funded 0 Yes 0 No Must ii1dic:ate Federal Deparlmellt alitd I Or' State Department if applicable Sign locatkm address Plus locatiml of PUBLIC HOUSING AND COMMUNITY DEVELOPMENT (PHCD) ATTACHMENT G FAIR SUBCONTRACTtNG POLICIES (OrcHnance 91-35) FA!R SUBCONTRACTiNG PRACTICES In compliance with Miami-Dade County Ordinance 97-35~ the Developer submits the following detailed statement of its policies and procedures of awarding sUbcontracts: ! hereby certify that the foregoing information is true, correct and complete. 10 No: Address: ___________________________ _ CDf39f31313 ATTACHMENT H PUBliC HOUSING AND COMMUNITY DEVELOPMENT (P~CD) SUBCONTRACTOR/SUPPLIER liSTING (Ordinance 91~104) Firm Name of Prime COll~ctor!Oeveloper _~ ________ ~. This form, or a comparable listing meeting the requirements of Ordinance No. 91-104, MUST be completed by the developers on County contracts for purchase of ~upp!ies, materials or services, including professional servfces which involve expenditures of $100,000 or more, and all developers on County or Public Health Trust construction contracts which involve expenditures of $100,000 or more. This form, or a comparable listing meeting ilie requirements of Ordinaru::e No. 91-104, must be completed and submitted even though tlH~ developer will not utilize subcontractors or suppliers on the contract. The developer .N ''ltnould,entcl>thewordDNONEt.' .. underthe .. approflriaie.heading-{)rlAhlsJotm.Jn.cthosocirlstancns.,where,,=.=,~-­ no sld.u;onttaclors or suppliers wi!! be used 011 the contract. The developer who is awarded the contract shall not change or SUbstitute first tier suoc.ontraclors. direct suppliers or the portions of the contract work to be performed, or materials to be supplied from those identified, except upon written approva! of the County. I certify that the reprt',sentations contained in this Subcontractor/Supplier Listing are to the best of my knowledge true and accurate. . .. ··'_='''''m~m'·N .... __ ~_~.,. __ ~~'NV •. '' ..• '"·.·,,··, Signature Developer(s) Print Name PrintTitJe (Duplicate if additional space is needed) Page 1. of1 C0f40f31415 PUBUC HOUSING AND COMMUNITY DEVELOPMENT (PHCD) ATTACHMENT E Uniform Affidavits Zip Code 1. MJAMI4)!\DE COUNTY OWNERSIllP DISCLOSURE Ar-FJDAlflT .. ··-(:,>-;c:z:.Ji.l of ihit Miiiillf.Da·dei'50linfY(,'Ode) ....... ..... . ............. . firms registert.'<1 to do busln",ss with Mlami-Dacia County, shall require the person contracting or transacting such business with ihe County to disclose under oath his or her full lega! name, and business address. Such contract or transaction shall also require Ihe disclosure under oath of the full legal name and busine',$ address of al! indMdu;;ls having any inleresl (legal, equitable, beneficial or otherwise) jn the contract other than subcontractors. materialmen, ~uppliers. laborers or lenders. Post office box: addresses shall not be accepted hereunder. If the contract or business transaction Is with a corporation !.he foregoing information shall be provided for each officer aod director and each slockholder holdIng, directly or indirectly. fiVH (5j percent or more of the outstanding stock In the corporation. If the contract Of business transaction is with a partnersh1p. 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 contrads with publicly- traded corporations, or to contracts with the United States or any department or agency thereof, the Slale or any political subdivision or agency thereof. or any municipality of this State. Use dlJpUcate page if needed for additional names. If flO officer, director or stockholder owns (5";';) Of more of stock, please wrife "None" below. -.. AODRESS ,g ji M F tl '" .~ D,.~ '" -.. .,~ ~ TI .. 0="0 "-we: j~ ~ " f ~~ ii'i fULL LEGAL NAM~ nnE. .".~.~--.-~-. . ~~~.~ -" ._- Page 1 ofE! CD/42/31.413 a; 5 PUBLIC HOUSING AND. COMMUNITY DEVELOPMENT (PHCD) A IT ACHMENT E AFFIDAVITS Uniform Affidavits 2. MIAMi-DADE COUNTY EMPLOYM£NT D1SCLOSUR£ AFFIDAVIT (County Ordinance No. 90·133, aroondlng SE1Cfion 2.8-1 (d) (2) of the Miami-Dade COI.Jlliy Code) The following information is forcompfianoo with all Items in the aforementioned Section: 1. Does your fum have a ~lIectl\le bargaining agreement with its employees? ¥es No 2. Does your firm provide paid health care benefits for its employees? Yes No 3. Provlda a current breakdown (number ur persons) in your firm's work force indicating race, national origin and gender. ' __ "",,M>' .~. .---.~~ NUMBER OF EMPLOYEES MEJ:fiJ§ 3. MIAMI-DADE EMPLOYMENT DRUG-FREE WORKPLACE AFFIDA VIr (Section ;Z-8.1.2(b) of the Mfami-Dade County Code) E.§m?L~ " ~-J Total Employees All persons and entities that contract with Miamf.-Dade County are required to certify that they will maintain a drug-free workplace and such persons and entities are reqUired \0 provide notice to employees and impose sanctions for drug violations oc:CUrring in the workplace. In compliance with Ordinance No. 9245 of the Code of Miami-Dade County, the above named firm is providing a drug-free workplace. A writfen statement to each employee shall inform the employee about: j. Dang"'f of drug anus« in the workplace 2. 111<\ firm's polky of maintaining a drug-fi'ee environment at all work places 3. Availability of drug counseling. rehabilitation and employee assistancn programs 4. Pnnallles that may be Imposed upon employees for dwg abuse violations The firm shall also require an emp'oYlli~ to siun a sM"'If,ent. as a condition of employment that the employee will abide by the lenns of UW dn.l9"fme workplace policy and notify ttle employer of any crirnin"l drug GOfwk:tion occulting no lalr,r than five (5) drlYS alter recdving noticn of such conviction and impose appropliaie personnel action against the employee up to and illci'ld1llg termination, Films rnay also comply with the County's D!i.lq Free Workplace CElltific:.4lion where a person or enOty is requirc>d to have e dnJg-free wOIkplace polir,y by another local, state or federal agency. Of fWllnlains such a polk;y of its own acc()rd and mlt'.h policy meets Ihe inlen! of this ordinance. 4. MIAMf-DADE COUNTY D1SASlUTY AND NON·DiSCRIMINATION AFFIDAVIT (Miele 1, Section 2-8.1.5 Resolution R-182-OO Amending R-385-95 of fhe Miami-Dade County Code) firms transacting busIness with Miami-Dade County shall provide an affidavit Ind~Ung compllanoo with all requirements of the Americens with Disabilities Act (A.D.A.). I, state that this firm. is in compliance with a~d agrees 10 (Dfltinue to comply with, and assure that any subcontractor, orthird party contractor shall comply with all applicable I!lquircmen!s of the laws Including, but not limited to, those provisions pertaining to employment.. prOVision of progfllll1S and s0IVices, transportation, communications, access to facilities, renovations, ano new construction. The Amerlcan 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, n, IU, IV Ilnd V. The Rehabilitation Act'of 1973,29 U.S.C. Section 794 The Faderal Transit Act, as amendoo,49 U.S.C. Section 1612 The Fair Housing Act as amended, 42 U.S,C. Section 3601·3531 Pagelof9 CD142131413 PUBUC HOUSING AND COMMUNITY DEVELOPMENT (PHCD) ATTACHMENT E AFFIDAVITS Uniform Affidavits L~I!qlJtP.YJ!tflLm.,tlJfJ,U~?'(1],l(l,c;g[1JJ]Jjy!1c:.?iyjJ!Lfjl(t (;QIQ~JAlrtl~: Section 2-10.4(4)(8) of the Code of Miaml-Dada County (Onlfmmca No. 82-37), which requires Ihal all properly licensed architectural, engineering. landscape arcnltectural, and land surveyors have an affirmative llcllon plan on file with Miami-Dade County SeciJon 2-E$.1.5 of the Code of Mmmi-Dade County, which requires that firms that have annual gross revenues in excess offfve (5) million dollars have an affirmative ec1ion plan and procurement po/icy on fifo with Miami-Dade County. Rrms that have 8 Board of Directors thai are representative of the population make-up of the nation may be exempt. 5. MIAMi-DADE COUf.!TY DEBARMEf.!T mSCLOSURE AFFIDA VlT (Section 10.38 of ihe Miamf-Dacie County Code) FIrms w!shfng to do business with Mlaml-Dade County mllst certify that it's contrectors, subcontractors, officers, principals, stockholders, or afflllates 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. MIANfl.DADE COUNTY AFFIDAVIT REtA TlNG TO JNDfVfDUALS AND EN TinES A ITES17NG BEING CURRENT IN THEIR OBUGA nONS TO MIAMI-PADE COUNTY (Ordinance 99-162, amendlng Seelion 2-8.1; Ordinance 00-30. amending Section 2-8.1 (e), and Ordinance 00-67, amending Z..:fI.1 (h), of the Miami-Dade County Code) F1rms wishing to transact business with Miami-Dade County rnust certify that all delinquent and currently due rees, 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 shall be allowed 10 receive any new bUSiness. I, confirm thai aU delinquent and currently due fees Of taxes including, but not limited to, real and personal property taxes. convcntionand 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 Iha above firm, have been paid. 7. MIAMI-DADE COUNTY CODE OF BUSINESS ETHICS AFFIDAVIT (Aroda 1, Section 2-8.1 (i) of the Miami-Dade County Cooe through (8) and (9) of the County Code and County Ordinance No 00-1 amending Section 2-11. 1 (c) of the County Code) FIrms wishlnn 10 lransac! bUsiness with Miami-Dade CQunty must certil)' that it has adopted a Coos that complies with the requimrnent,; {If BodioD :Hl.1 of the County Code. The Code of Business Ethics shall apply to aU business that the contractor does wilh the (Alunfy C.M shall, at a minimum; require the contractor to comply with all app!fcable governmental rules and regUlations. I confirm that this 1ifTl1 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 to comply with ail applicable governmental rules and regulations. 8. MIAMf-DADE COUNTY FANI1L Y LEA VE AFFIDAVIT (Article Vof Chapter 11, ofilia 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 \0 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 hal/e the mInimum number of employees required by the County Code. I confirm that If applicable, this firm complies wlth Article V of Chapter 11 of the County Code, which requires that firms contracting bUsiness with MlamI·Dade County which have more than fl1ty (50) employees for each woli\lng day during each of twenty (20) or more work weeks in the current or preoedlng calendar year are required to certify that they proVide famUy leave to Page 30f9 CDf42.131413 PUBLIC HOUSING AND COMMUNITY DEVELOPMENT (PHCD) ATTACHMENTE iheir employees. 9. MIAMf-DADE COUNTY LNfNG WAGE' AFFiDAVIT (Section 2-8.9 of the of the Miaml-Daoo County Code) AFFIDAVITS All applicable contractors entering into a contract with the County shall agree to pay the prevailins Uvlng wage required by Ihls sectlon of the County Code. . I confirm that tf applicable, this firm compiles with Section 2-8.9 of the County Code, which requires that all applfcable employers entering a contract with Mi3mi-Oade County shall pay the prevailing living wage requirEKi by the section of the County Code. 1f1. MIAfAr-DADE' COUNTY DOMESTIC LEAVE' AND Rf3POR.TING AFFIDAVIT (Article 8, Section 11 A-60 -11A-57 of the ofilia Miami-Dade County Code) 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 bus1ness. fifty (50) or more employees working in Miami-Dade County for each working clay during the current or preceding calendar year. 11. MIAMt-DADE COUNTY CRIMINAL RECORD AFFIDAVIT (Section 2-8.6 of the Miami-Dade County Code) The Individual Of entity entering into a conuact or receiving funding from the County __ has __ has not as of the date 01 tllis affidavit been convicted of a felony during the past ten (10) years. An officer, director. or executive of the entity entering into a contract or receiving funding from the County __ has __ has not as ofthi& date been convicted ofa felony during the past ten (10) years. Sworn to and subscribed before me this ~_.~ __ day 20 __ . Personally Or produced identification ~~, ... __ ..... _ ........ __ , .. __ Notary PubHc-State <--w· __ ""~,_~ __ • __ ~,······,·~,~~~ (Type of identification) Page40fS CDf4213i413 PUBLIC HOUSING AND COMMUNITY DEVELOPMENT (PHCD) AFFIDAVITS SWORN STATEMENT PURSUANT TO SECTlON 281.133 (3) (a) ,FLORIDA STATUTES ON PUBLIC ENTITY CRIMES A IT ACHMENT E THIS FORM MUST BE SIGNED AND SWORN TO IN THE PRESENCE OF A NOTARY PUBLIC OR OTHER OFFICIAL AUTHORIZED TO ADMINISTER OATHS. -~,--~.,..~-.~.-~-,,-.-~--.-~.-.-.. - (Print name of entity submitting sworn statement) and jf applicable its Federal Employer Identification Number (FEIN) is ______ ~<. If the entity has no FEIN, inducte the Social Security Number of the individual signing this sworn statement 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 taw 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 political subdivision of any other state or of the United States and involving antitrust, fraud, theft, bribery, coIlusion, racketeering, conspi~acy, or materia! misinterpretation. 3.-( 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 a federal or state trial court of record relating to charges brought by indictment or information after July 1, 1989, as a result of a jury verdict, non-jury trial, or entry of a plea of guilty or nolo contendere. 4.-1 understand that an "Affiliate'; as defined in paragraph 287.133 (1){a), Florida Statutes means: a) A predecessor or {;UGcessor of a person convicted of a public entity crime or; b) An entity under the Gontro! of any natura! person who is active in the management of the entity and who has been convided of H 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 Doe person of shares constituting a controlling Interest in another person, or a pooling of equipment or income among persons when not for fair market value under an arm's length agreement, shall be a prima facie case that one person controls another person. A person who knowingly enters into a joint venture with a person who has been convicted of a public entity crime in Florida during the preceding 36 moths shall be considered an affifiate. 5.-I understand that a 'person" as defined in paragraph 287.133 (1}(e), Florida Statutes, means any natura! person or entity organized under the laws of any stale or of the United States within the legal power to enter into a binding contract and which bids or applies to bid on contracts fur the provision of goods or entity. The term "person" includes those officers, executives, partners, sharehOlders, employees, members, and agents who are active in management of an entity. Page 50f9 CDJ42i314i3 PUBliC HOUSING AND COMMUNITY DEVELOPMENT (PHCD) ATIACHMENTE Uniform Affidavits 6,-Based on information and bellef, the statement which I have marked below is true in relation to the entity submittlog this sworn statement. (Please Indicate which statement applies) _____ Neither the entity subrnitling sworn statement, nor any of its officers, directors, executives, partners, shareholders, ernployees, members, or agents who are active in the management of the entity, nor any affiliate 01 !ilf~ entity has been charged with and convicted of 8 public entity crime subsequent to July 1, 1989. _____ The entity submitting this sworn statement, or On8 or more of its ameen,. directors, executives, partners, sharei1olders, employees, members, or agents who are active in the management of the entity, or an affiliate of. the entity, or an afJ1!!ate of the entity had been charged with, and convic.ied of a public entity crime subsequent to ,Ju!y 1, 19B9, AND (please indicate Which additional statement applies). _____ , The entity submitiing this sworn statement, or one or more of its officers, directors, executives, partners, shareholders, (~rnployees. members, or agents who are active in the management of the entity, nor any affiliate of the entity has been charged with and convicted of a public entity crime subsequent proceeding before a Hearin9 Officer of the Stale of Florida, Division of Administrative Hearings and the Final Order entered by the Hearing Oliicer 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 P.ARAGRAPH "1 (ONE) ABOVE [S FOR THAT PUBLIC ENTlTY ONLY AND THAT THIS FORM IS VAUD THROUGH DECEMBER 31 OF THE CALENDAR YEAR IN WHICH IT IS FILED. I ALSO UNDERSTAND THAT! AM REQUIRED TO lNFORM THAT PUBLIC ENTI1Y PRIOR TO ENTRING INTO A CONTRACT IN EXCESS OF THE THRESHOLD AMOUNT PROVIDED IN SECTiON 2B7.017 FLORIDA STATUTES FOR A CATEGORY "TWO OF ANY CHANGE IN THE !NFORMATION CONTAINED IN THIS FORM. Sworn to and subscribed before me this _""___ _ ... day Personally known, _______________ ~.~ ___ , _. My commission expires ............. ~~_.~ ____ .. _ (Type of identification) PageS ofS CDf42f314i3 PUBLIC HOUSING AND COMMUNITY DEVELOPMENT (PHCD) ATTACHMENT E Uniform Affidavits AfFIDAVIT OF FiNANCIAL AND CONFLICTS OF INTEREST 1.-Do you have any past due financial obligations with Miami-Dade County? Single Family House Loans Multi-Family Housing Rehab CDBG Commercial Loan Project U.S.HUD Section 108 Loan Other HUD Funded Programs . Other (liens, fines, loans, occupational licenses, etc.) YES 2.-Do you have any past due financial obHgations with Miami-Dade County? If YES, please explain: NO 3.-Are you a relative of or do you have any business or financial interests with any elected Miami-Dade County official. Miami-Dade County Emproyee, or Member of Miami-Dade County's Advisory Boards? NO __ _ If YES, please explain: Any false information provided on thIs affidavit wi!! be reason for rejection and disqualification of your project{unoing request to Miamf-Dade County The answers to the foregoing questions are correctly stated to the best of my knowledge and belief. By: __ ", __ ~ ___ .. _~ __ . __ ..... " ..... _~ __ ,. (Signature of Applicant) Sworn to and subscribed before me this __ . __ . ____ day Personally Or produced identification __ . ______ .. _ .. ____ .. ___ Notary Public-State Page '7of9 CD!42(31413 PUBLIC HOUSING AND COMMUNITY DEVELOPMENT (PHCD) ATTACHMENT E Uniform Affidavits COLLUSION AFFIDAVIT (Code of Miami~Dad6) County Section 2AJ.1.1 and 1()~33.1) (Ordinance No. 08-113) BEFORE ME, A NOTARY PUBLIC, personally appeared ___ " """"""_~_'_""'""""""_ who being duly swom states: 0nsert name of affiant) I am over 18 years of age, t)ave personal knowledge of the facts stated in this affidavit and I am an owner, officer, director, princlpal shareholder and/or I am othelWise authorized to bind the bidder of thiscontract-"-" ' -'"-'--"'''', I state that the bidder of this contract [] Is not related to any oj' the other parties bidding in the competitive solicitation, and that the r.1)ntraciors proposal is t'Jenuine and not sham or collusive or made in the interest or on behalf of any person not theffzin named, ~!(ld 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 proposinrJ, and that the proposer has not in any manner sought by collusion to secure to the proposer an advantage over any other proposer. . OR 0-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 contrad 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 shaH be ineliglb!e for award unless that presumption is rebutted by presentation of evidenc(;! as to the extent of ownership, control and management of such related parties in the preparation and submiti:C1i of such blds 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 sha!! be rejected. By: Signature of Affiant Printed Name of Affiant and Title Date _'_-_1_1_'_'_'_1_1 Federa! Employer Identification Number Printed Name of Firm Page 8 ofS CDf4213i413 PUBUC HOUSING AND COMMUNITY DEVELOPMENT (PHCD) AITACHMENT E Uniform Affidavits SUBSCRIBED AND SWORN TO (or affirmed) before me this ___ day of ___ , 20_ HeiShe is personally known to me or has presented __ "_""" ""'_""""~_""'_'" ,_"_"""",,, ___ "'''''''''',,'' as identification. --"SignatUre of Notary"---'-- Print or Stamp Name of Notary Notary Public -state of __ _ Page 9 ofS Type of identification Serial Number Expiration Date CDf42131413 DEVELOPER'S AfFIDAVIT THAT MIAMI-DADE COUNTY TAXES, fEES AND PARKING TICKE.TS HAVE. BEEN PAiD (Section 2-8.1 (0) of the Code of Miami-Dade County. as amended by Ordinance No. 00-30) and THAT DEVELOPER IS NOT IN ARREARS TO THE COUNTY (Section 2-8.1 (h) of the Code of Miaml-Dade County, as amended by Ordinance No.00-67) I, ___ m~",~ __ ,",_,_,,", ___ ,,~ ___ ,, __ ,,_," ___ ' being first duly sworn, hereby state and certify that the foregoing statements are true and correct t That I am the Developer (if the Developer is an individual). or the , .. , ..... ~_ .. _" ...... '"" __ ,~ __ ._ .. (fiH in the title of the position held with the Developer) of the Developer. 2. That the Developer has paid all delinquent and currently due fees or taxes (including but not limited to, real and personal property taxes, utility taxes, and occupational taxes) collected in the normal course by "the. Miam i::Oade CountyT axC.Q!!!;1cipf. .9JKlJ;}2uqty .. i~;sJJj;~~t P9r~il]g.!k~QJs.. fQL\,iehiq:!t;;$ J?gistl':lCf;:sLir1.the. name of the above developer. have been paid. 3. That the Developer is not in arrears in excess of the enforcement threshold under any contract. finat flon--appeasable judgment, or lien with Miarni--Oade County, or any of its agencies or instrumentalities, includlng the Public Health Trust, either directly or indirectly through a firm, corporation, partnership or joint venture in which the Developer has, a controlling financial interest. For purposes hereof, the term "enforcernent threshold" means any arrearage under any individual conlrad, non·appeal able jud9ment, or lien with MiamiMDade County that exceeds $2(5,000 2nd has been delinquent for greater than 'H30 days. For purposes hereof, the term ~controlling financial interest" means ownership, directly or indirectly, of ten percent or more of the outstanding cnpital stock in any corporation, or a direct or indirect interest of ten percent or more in a firm, partnership, or other business entity. Signature 1111111/11 f FederalEmployer IdentlficatioflNumber Printed Name of Address of Firm SCRI8ED AND SWORN TO (or affirmed) before me this __ day He/She is personally known to me or has presented as identification . . ~,~~--,-,~~--~ .. ~-~-- Signature of Notary Print.pr'Stamp Notary Date Notary Public-State of ,.. . __ ~ Notary Sea! CERTIFICATION REGARDING LOBBYING Certilication for Contracts, Grants, Loans and Cooperative Agreements The undersigned certifies, to the best of his or her knowledge aud belief, that: 1. No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress. or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract. grant, loan, or ~.~?p~r~tive:~1ill~ment. 2. If any of the funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an t1D1ployee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement,. the undersigned shall complete and submit Standard Form. LLL, "Disclosure FOTIn to Report Lobbying," in accordance with its instructions. 3. The undersigned shall require that the language of this certification be included in the award documents for all sub awards at all tiers (including subcontracts, subgrants. and contracts under grants, loans, and cooperative agreement in excess of $100,000) and that all subrecipients shall certify and disclose accordingly. 4. This certification is a material representation offac! upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to flie the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. By: (Signature Title: Date: Agency's letterhead A 'ENCYNA E DISCL SURE ABOUT RE TED PARTIES {DATE} THERE ARE NO BOARD MEMBERS OF THE ._,,_~"18GI;J~tQYJ:!8JVI!;t~ ___ , ..... ~~_. WHO HAVE ANY RELATIONSHfP OR HAVE MADE ANY TRANSACTION WITH '. OTH.ER ENTITI THAT MIGHT RESULT IN A CONFLICT WITH (AGENCY NA.Ml;.L~" .. "." ... _ ... _~ ... OPERA TIONS. PUBLIC HOUSING AND COMMUNITY DEVELOPMENT (PHCD) ETHICS COMMISSION DISCLOSURE STATEMENT FOR ALL PHCD PROGRAMS Applicant: Co-Applicant: In accordance with Section 2-11.1 Subsection (c), and (d) of the Miami-Dade County Conflict of Interest and Code of Ethics Ordinance, covered persons defined under 2-·11.1 (b) are required to request an Ethics Opinion if they are seeking to participate in housing assistance programs administered by the PHCD. Check if any of the following applies to you: o l!we do not currently work for Miami-Dade County (no additional action is required). o l!we amfare a Schoo! Board or Federal Employee. These employees are not covered under Section 2-11.1 of the Miami-Dade County Conflict of Interest and Code of Ethics Ordinance (no additional action is required). D ffwe am/are an appointed or elected County Official (Ethics Opinion must be sought - http://ethfcs.miamidade.govlfrequently-used-folms.asp) o !/we am/are a Miami-Dade County Employee ·(Ethics Opinion must be sought- htfp:llethics.miamidade.govlfrequently-used-forms.8sp). .. Please provide the department and division name below: o l!we am!~ immediate family to a Miami-Dade County employee, appointed or elected official. (*) Immediate family is defined as spouse, domestic partner, parents, stepparents, children and stepchildren (Ethics Opinion must be sought -http://ethics.miamid8de.govlfrequently-used-forms.asp). " Please provide the following information regarding the County employee, appointed or eleded official: Name of employee, appointed or elected official: Department, Division, or Board: Signature of Applicant Signature of Co-Applicant: Date: Waming: TTtIe 18, US Code Section 1001, states that a person who knowingly and willingly makes false or fraudulent statements to any Department or Agern:y of the United Slates Is guilty of a felony. Stale law may also provide penalties for false or fraudulent siatements. ALCIAMICNCD/1/62414N Miami~Dade County Contractor Due Diligence Affidavit Per Miami-Dade County Board of County Commissioners (Board) Resolution No. R-63-i4, County Vendors and Contractors shall disclose the following as a condition of award for any conlract that exceeds one million dollars {$1 ,DOD,OOO} or thai otherwise must be presented to the Board for approval: (1) Provide a list of aJllawsuits in the five (5) years prior to bid or proposal submitlalthat have been filed against the firm. its directors, parlners, principals andlor board members based on a breach of contract by the firm; include the case name, number and disposition; (2) Provide a list of any instances in the five (5) years prtor to bid or propos'al submittal where the firm has defaulted; include a brief description of the circumstances; . (3) Provide a list of any instances in the five (5) years prior to bid or proposal submittal where the firm has been debarred or received a formal notice of non-compliahceor non-performanCe, such asa notice to cure or a suspensionfrorn participating or bidding for contracts, Whether related to Miami-Dade County or not. All of the above information shall be attached to the executed affidavit and submitted to the Procurement Contracting Officer (PCO)/ AE Selection Coordinator overseeing this solicitation. The Vendor/Contractor attests to providing all of the above information, if applicable, to the PCO. Federa! Employer Contract No. : ~~ __ ...... ~ ....... _ Identification Number (FEIN): Contract Title; Siale Notary Public Information Notary Public -State of ..... _ Countyof Sl1bscrlbed and sworn fo (or affirmed) before me this 20 by He or she is personally known to me 0 or has produced Identification Type of Identificatlon produced Serial Numbe;~ Notary publlc Seal 212014 PUBLIC HOUSJNG AND COMMUNITY DEVELOPMENT (PHCD) ATTACHMENT G FAiR SUBCONTRACTlNG POLICIES (Ordinance 91-35) FAIR SUBCONTRACTING PRACtiCES In compliance with Miami-Dade County Ordinance 97-35, the Developer sUbmits the following detailed statement of its policies and procedures of awarding sUbcontracts: I hereby certify that the foregoing information is true, correct and complete. 10 No: Address: CDf39/31313 ATTACHMENT H PUBLIC HOUSING AND COMMUNITY DEVELOPMENT (PHCD) SUBCONTRACTORlSUPPUER LISTING (Ordinance 91~104) This form, or a comparable listing meeting the requirements of Ordinance No. 97-104, MUST be completed by the developers on County contracts for purchase of supplies, materials or services, including professional services which involve expenditures of $100,000 or more, and aU developers on County or Public Health Trust construction contracts which involve expenditures of $100,000 or more. This form, or a comparable Hating meeting the requirements of Ordinance No. 97-104, must be compieted and submitted even though the developer wi!! not utilize subcontractors or suppliers on the contract. The developer should -entertha worrl..!:'NONE'Lundedho-appl'Opriaia -heading-on"thistOlminthosa-jnstiln~s where no subcontractors or suppliers will be used on the contract. The developer who Is awarded the contract shall not change or substitute first tier subcontractors. direct suppliers or the portions of the contract work to be performed. or materials to be supplied from those identified, except upon written approval of the County. ,'-~---".. -'-''''''''''-'''''''-.-.. '.-'.-<--.''---t--~,,-,,---·,-·--,,--------,---,--,-,,""'" ··i----,,----"'-· ~---.-.-.--.-.---,------!----'''-,-'''''-''''--, .... ".-,--"."-""--{-,--,-,-.-----------,---."-",, .... ,'-"'-,, ......... _m_"<m_· 1···-:·",,,--·-1·--·-·· .. ,·-· .. , .. ,· .. , .. '1 --,--."-,,.----'" ·",---I--........ '''-----, .. ''·-,-"'''---+~--·-·,---.. ·---··,,-.. '''· .. ~-.. ,-··-·1--.. ·-·<,··4---·--! ------+-__ J , ...... , .... ,', .. ,"', .. _,---"_._+-------._"-,._------{_ ... " .. -_._-,,---,--,,----"'--,-"-_ .... .. ,---, .... ------_.,,, ..... _._-- I certify that the representations contained in this Subcontractor/Supplier Listing are to the best of my knowledge true and accurate. ' --,~"'",.---~.~"-~-~-""~=.~---~"¥,,'" .... ,,.,."'" Signature Developer(s) Print Name Print Title Date --... "' ... -.... ~ .. -"' .. "'~~--~--::----- Authorized Representative (Duplicate if additional space is needed) Page 1 ofi CDf40/314i5