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2rjl South ~Miami CITY OF SOUTH MIAMI OFFICE OF THE CITY MANAGER . INTER-OFFICE MEMORANDUM THE CITY OF PI.EASANT LlVING To: The Honorable Mayor & Members of the City Commission FROM: Steven Alexander, City Manager DATE: July 14, 2015 Agenda Item NO.:~ SUBJECT: BACKGROUND: GRANTOR: GRANT AMOUNT: GRANT PERIOD: ATTACHMENTS: A Resolution authorizing the City Manager to execute a fiscal year 2015 grant agreement with Miami-Dade County, Office of Management and Budget, G rants Coordination for the Afterschool House (Tutoring) grant in the amount of $24,098. Miami-Dade County by and through its Office of Grants Coordination awarded the City of South Miami $24,098 to fund the Afterschool House (Tutoring) Program. The grant period begins on October I, 2014 and ends on September 30, 2015. The City of South Miami will be allocating the funds to help support the City's Afterschool Program by paying for three (3) part-time instructors' salary at $8,033 each, for a total of $24,098. The contract is retroactive and the City will reimburse any payments accrued from October I, 2014 to date and through September 30, 2015. Miami-Dade County Office of Management and Budget Grants Coordination (Formerly Known As Department of Human Services) -Local Granting Agency $24,098 October I, 2014 through September 30, 2015 Miami-Dade County FY 2015 Contract for the Afterschool House (Tutoring) Program (15-SMIA-CB) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 RESOLUTION NO. __ _ A Resolution authorizing the City Manager to execute a fiscal year 2015 grant agreement with Miami-Dade County for the Afterschool House (Tutoring) grant. WHEREAS, the Mayor and City Commission desire to accept the grant from Miami- Dade County by and through its Office of Grants Coordination; and WHEREAS, the Agreement will provide funding for the Afterschool House (Tutoring) program; and WHEREAS, the City Manager is authorized to execute the grant agreement in an amount of $24,098; and WHEREAS, the grant period begins on October 1, 2014 and ends on September 30, 2015. NOW, THEREFORE, BE IT RESOLVED BY THE MAYOR AND CITY COMMISSION OF THE CITY OF SOUTH MIAMI, FLORIDA THAT: Section 1: The City Manager is hereby authorized to execute the grant agreement with Miami-Dade County, Office of Grants Coordination for the Afterschool House Program in the amount of $24,098. The grant agreement is attached to this resolution. Section 2: This resolution shall be effective immediately after the adoption hereof. PASSED AND ADOPTED this __ day of _____ , 2015. ATTEST: CITY CLERK READ AND APPROVED AS TO FORM LANGUAGE, LEGALITY AND EXECUTION THEREOF: CITY ATTORNEY APPROVED: MAYOR Mayor Stoddard: Vice Mayor Harris: Commissioner Edmond: Commissioner Liebman: Commissioner Welsh: MIAM·D Hli Carlos Gimenez, Mayor May 13, 2015 Ms. Jennifer Korth Grants & Sustainable Initiatives Administrator City of South Miami 6130 Sunset Drive Miami, FL 33143 Re: Execution of FY 2014-2015 General Revenue Contract Dear Ms. Korth: Office of Management and Budget Grants Coordination III NW I" Street 19th Floor Miami, FL 33128 T 305-375-4742 F 305-375-4454 This letter accompanies the contract for your agency's General Revenue supported project(s) for FY 2014-2015. Please retum three (3) originals of the contract, ensure that the affidavits on each of the originals have been completed, and that the person designated by your Board to sign on behalf of your agency executes the agreements. We are asking that you return the signed agreements to our office within seven (7) days from' the date of this letter so that we may expedite the processing of those documents. You also have the option to include with the contract package an original signed letter requesting an advance payment of 25% of your agency's award. Intended to offset any potential cash flow problems, that payment request will be processed after the final execution of the agreements by the Mayor or his designee. Please contact your assigned contracts officer by telephone or bye-mail if you have any questions regarding the final processing of your agency's agreement or the advance payment request. Sincerely, ~ =z:--.., . L/ -'-_ .LJ .....-~ Daniel T. Wall Assistant Director CB 15-SMIA-CB FY 2014-15 County General Funds Ordinances #14-125, #14-127 AND #14-132 AGREEMENT This Agreement made and entered into as of this day of., , by and between Miami-Dade County, a political subdivision of the State of Florida (hereinafter referred to as "County"), having its principal office at 111 N.W. 1st Street, 19th Floor, Miami, Florida 33128 and Ctty of South Miami, a municipality existing within Miami-Dade under the laws of the . State of Florida, having its principal office at 6130 Sunset Drive, South Miami, Florida 33143 (hereinafter referred to as "Provider"), states conditions and covenants for the rendering of human and social services (hereinafter referred to as "Services") for the County. WHEREAS, the Provider provides or will develop services of value to the County and has demonstrated an ability or desire to provide these services; and WHEREAS, the County is desirous of assisting the Provider in providing those services and the Provider is desirous of providing such services; and WHEREAS, the County has appropriated grant funds for the proposed services; NOW, THEREFORE, in consideration of the mutual covenants and agreements herein contained, the parties hereto agree as follows: ARTICLE 1. DEFINITIONS The following words and expressions used in this Agreement shall be construed as follows, except when it is clear from the context that another meaning is intended: a) The words "Agreement" "Contract" or "Contract Documents" shall mean collectively these terms and conditions, the Scope of Services (Attachment A) and the Budget Documents (Attachment B) and all other attachments hereto, as well as all amendments or budget revisions issued hereto. b) The words "Contract Manager" shall mean Miami-Dade County's Director of the Office of Management and Budget ("OMB-GC") or the Director's designee, or the duly authorized representative designated to manage the Contract. c) The word "Days" shall mean Calendar Days, unless otherwise specifically noted. d) The word "Deliverables" shall mean all documentation and any items of any nature submitted by the Provider to the County's Contract Manager for review and approval pursuant to the terms of this Agreement. e) The words "directed", "required", "permitted", "ordered", "designated", "selected", "prescribed" or words of like import to mean respectively, the direction, requirement, permission, order, deSignation, selection or prescription of the County's Contract Manager; and similarly the words "approved", acceptable", "satisfactory", "equal", "necessary", or words of like import to mean respectively, approved by, or acceptable or Page 1 of 28 CB 15-SMIA-CB satisfactory to, equal or necessary in the sole discretion of the County's Contract Manager. f) The words "Effective Term" shall mean the date on which this Agreement is effective, including start date and end date. g) The words "Extra Work" or "Change Order" or "Additional Work" shall mean resulting in additions or deletions or modifications to the amount, type or value of the Work and Services as required in this Agreement, as directed and/or approved by the County. h) "HIPAA" means Health Insurance Portability and Accountability Act of 1996. i) The words "Scope of Services" shall mean the document appended hereto as Attachment A, which details the work to be performed by the Provider. j) The word "subcontractor" or "subconsultant" shall mean any person, entity, firm or corporation, other than the employees of the Provider, who furnishes services, labor and/or materials, in connection with the Work, whether directly or indirectly, on behalf and/or under the direction of the Provider and whether or not in privity of Agreement with the Provider. k) The words "Work", "Services", "Program", or "Project" shall mean all matters and things required to be done by the Provider in accordance with the provisions of this Agreement. I) The word "review" shall mean inspection of original documentation and retention of copies of such documents associated with the administrative, fiscal, and programmatic functions of the program(s) supported by Miami-Dade County General Funds. m) The term "administrative budget" shall refer to costs that are not tied to the direct provision of services funded under this agreement. These costs may include: 1) the portion of payroll of Provider's salaried administrative personnel and compensation of Provider's subcontracted administrative personnel (i.e., executive directors, agency heads, management and business consultants, information technology (IT) consultants, clerical or other administrative personnel), payment for the administrative (non-program) portion of their duties; 2) overhead costs not related to the direct provision of services (Le., administrative office space and related maintenance, utilities, and. supplies, insurance, advertising, marketing and fundraising costs, staff training, accounting and tax preparation services, and audit fees). n) The term "arm's length transaction" shall refer to any transaction in which the buyers and sellers of a product act independently and have no relationship to each other to ensure that both parties in the transaction are acting in their own self-interest and are not subject to any pressure or duress from the other party. 0) The term "related party transaction" shall refer to a business deal or arrangement between two parties who are joined by a special relationship (family member or relative, stockholder, related corporation) prior to the deal. p) The term "program income" shall refer to the income received by the Provider directly Page 2 of 28 CB 15-SMIA-CB from the activities funded under this agreement, or generated as a result of the use of the County's General Fund award. ARTICLE 2. AMOUNT PAYABLE Subject to available funds, the maximum amount payable for services rendered under this contract shall not exceed: Elderly Services -South Miami Senior Meals The Afterschool House (Tutoring) . $ 18,400 $ 24,098 Both parties agree that should, in the County's sole discretion, available County funding be reduced, the amount payable under this Contract may be proportionately reduced at the sole discretion and option of the County. All services undertaken by the Provider before the County's execution of this Contract shall be at the Provider's risk and expense. Both parties agree that this is a twelve month contract effective as of October 1, 2014 through September 30, 2015. Both parties expressly acknowledge availability of funding under this contract is at the County's sole discretion. It is the ongoing responsibility of the Provider to maintain sufficient financial resources to meet the expenses incurred during the period between the provision of services and payment by the County. ARTICLE 3. SCOPE OF SERVICES The Provider shall render services in accordance with the Scope of Services incorporated herein and attached hereto as Altachment A. The Scope of Services must clearly indicate the time frames for the delivery of each of the proposed services. The Provider shall implement the Scope of Services as described in Attachment A in a manner deemed satisfactory to the County. Any modification or amendment to the Scope of Services shall not be effective until approved by the County and Provider in writing. The Provider will not use products or foods containing "pink slime," as defined in Resolution 478-12 of the Board of Miami-Dade County Commissioners, in food that is provided or served pursuant to this agreement. For congregate and home-delivered meal programs, the Provider agrees to furnish proof that it is meeting all applicable local, State, and Federal food safety and hygiene requirements. Page 3 of 28 CB 15-SMIA-CB ARTICLE 4. BUDGET SUMMARY The Provider agrees that all expenditures or costs shall be made in accordance with the Budget, which is attached herein and incorporated hereto as Attachment B. Pursuant to Board of Miami-Dade County Commissioners Resolution 630-13, the Provider will also submit a detailed project budget, and sources and uses statement as Attachment B-1, which shall be sufficiently detailed to show (i) the total project cost, (ii) the amount of funds to be used for administrative and overhead costs, (iii) whether the County funds will be 'gap' funds meaning that they would be the last remaining funds needed to ensure funding for the total project cost, (iv) any profit to be made by the Provider, and (v) the amount of funds devoted toward the provision of the desired services or activities. The Provider will also submit an agency-wide budget as Attachment B-2. The agency-wide budget shall display all projected agency revenues by funding source(s), including but not limited to funds from this Miami-Dade County General Fund Agreement, any other Miami-Dade County General Fund revenues, the projected administrative costs across all funding sources, and the total agency revenue for FY 2014-15. The Provider will continually disclose any changes in funding -County or non-County -through the submission of an updated Agency-Wide Budget to the OMB-GC within thirty (30) days after such changes occur. The Provider may request a budget revision to amend the budget in Attachment B no more than twice during the term of this Agreement. A request for a budget revision must be submitted to OMB no later than thirty (30) days prior to the expiration of this Agreement. The Provider may shift funds between existing line items in Attachment B: 1) without a budget revision, if the change to the line item does not exceed fifteen percent (15%); or 2) with a budget revision requested by the Provider's President, Vice President, Executive Director, or other designated representative as stated on the Authorized Signature Form attached hereto, and approved by the OMB, if the changes to a line item exceed fifteen percent (15%). A budget revision is also required in order to add new line items. In no event shall the budget under this agreement include total administrative costs in excess of fifteen percent (15%) of each program allocation under this agreement. ARTICLE 5. EFFECTIVE TERM Both parties agree that the effective term of this Agreement shall commence on October 1,2014 and terminate at the close of business on September 30,2015. ARTICLE 6. INDEMNIFICATION BY PROVIDER A. If the Provider is a Government Entity. Government entity shall indemnify and hold harmless the County and its officers, employees, agents and instrumentalities from any and all liability, losses or damages, including attorneys' fees and costs of defense, which the County or its officers, employees, agents or instrumentalities may incur as a result of claims, demands, suits, causes of actions or proceedings of any kind or nature arising 'out of, relating to or resulting from the performance of this Agreement by the government entity or its employees, agents, servants, partners, principals or subcontractors. Government entity shall pay all claims Page 4 of 28 CB 15-SMIA-CB and losses in connection therewith and shall investigate and defend all claims, suits or actions of any kind or nature in the name of the County, where applicable, including appellate proceedings, and shall pay all costs, judgments, and attorney's fees which may issue thereon. Provided, however, this indemnification shall only be to the extent and within the limitations of Section 768.28, Fla. Stat., subject to the provisions of that Statute, as may be amended, whereby the government entity shall not be held liable' to pay a personal injury or property damage claim or judgment by a party which exceeds the statutory cap for personal injury or property damage claims, liabilities, losses or causes of action which may arise as a result of the negligence of the government entity. Provider expressly understands and agrees that any insurance protection required by this Agreement or otherwise provided by Provider or self- insurance shall in no way limit the responsibility to indemnify, keep and save harmless and defend the County or its officers, employees, agents and instrumentalities as herein provided. B. All Other Providers. Provider shall indemnify and hold harmless the County and its officers, employees, agents and instrumentalities from any and all liability, losses or damages, including attorneys' fees and costs of defense, which the County or its officers, employees, agents or instrumentalities may incur as a result of claims, demands, suits, causes of actions or proceedings of any kind or nature arising out of, relating to or resulting from the performance of this Agreement by the Provider or its employees, agents, servants, partners principals or subcontractors. Provider shall pay all claims and losses in connection therewith and shall investigate and defend all claims, suits or actions of any kind or nature in the name of the County, where applicable, including appellate proceedings, and shall pay all costs, judgments, and attorney's fees which may issue thereon. Provider expressly understands and agrees that any insurance protection required by this Agreement or otherwise provided by Provider shall in no way limit the responsibility to indemnify, keep and save harmless and defend the County or its officers, employees, agents and instrumentalities as herein provided. C. Term of Indemnification. The provisions of Article 6 shall survive the expiration or termination of this Contract. ARTICLE 7. INSURANCE If the total dollar value of all County contracts with the Provider exceeds $25,000 then the following insurance coverage is required: A. Government Entity. If the Provider is the State of Florida or an agency or political subdivision of the State as defined by section 768.28, Florida Statutes, the Provider shall furnish the County, upon request, written verification of liability protection in accordance with section 768.28, Florida Statutes. Nothing herein shall be construed to extend any party's liability beyond that provided in section 768.28, Florida Statutes. The provider shall also furnish the County, upon request, written verification of Workers Compensation protection in accordance with Florida Statutes, Chapter440. B. All Other Providers. 1. Minimum Insurance Requirements: Certificates of Insurance. The Provider shall submit to Miami-Dade County, clo Office of Management and Budget (OMB), 111 N.W. 1st Street, 19th Floor, Miami, Florida 33128-1994, original Certificate(s) of Insurance indicating that insurance coverage has been obtained which meets the requirements as outlined below: Page 5 of 28 CB 15-SMIA-CB A. All insurance certificates must list the COUNTY as "Certificate Holder" in the following manner: Miami-Dade County 111 NW. 1 st Street, Suite 2340 Miami, Florida 33128 B. Worker's Compensation Insurance for all employees of the SERVICE PROVIDER as required by Florida Statutes, Chapter 440. C. Commercial General Liability Insurance in an amount not less than $300,000 combined single limit per occurrence for bodily injury and property damage. Miami-Dade County must be shown as an additional insured with respect to this coverage. D. Automobile Liability Insurance covering all owned, non-owned, and hired vehicles used in connection with the Work provided under this Agreement,in an amount not less than $300,000* combined single limit per occurrence for bodily injury and property damage. *NOTE: For SERVICE PROVIDERS supplying vans or mini-buses with seating capacities of fifteen (15) passengers or more, the limit of liability required for Auto Liability is $500,000. E. Professional Liability Insurance in the name of the SERVICE PROVIDER, when applicable, in an amount not less than $250,000. F. All insurance policies required above shall be issued by companies authorized to do business under the laws of the State of Florida, with the following qualtfications: 1. The company must be rated no less than "A" as to management, and no less than "Class VII" as to financial strength, according to the latest edition of Best's Insurance Guide published by A.M. Best Company, Oldwick, New Jersey, or its equivalent, subject to ihe approval of the COUNTY's Risk Management Division OR 2. The company must hold a valid Florida Certificate of Authority as shown in the latest "List of All Insurance Companies Authorized or Approved to Do Business in Florida," issued by the State of Florida Department of Financial Services. G. Compliance with the foregoing requirements shall not relieve the SERVICE PROVIDER of its liability and obligations under this Section or under any other section of this Agreement. Page 6 of 28 CB 15-SMIA-CB H. The COUNTY reserves the right to inspect the SERVICE PROVIDER'S original insurance policies at any time during the term of this Agreement. I. Applicability of this section of the Agreement affects SERVICE PROVIDERS whose combined total award for all services funded under this Agreement exceed a $25,000 threshold. If the SERVICE PROVIDER's original total combined award is less than $25,000, but the SERVICE PROVIDER receives additional funding during the contract period which makes the total combined award exceed $25,000, then the requirements in this section shall apply. J. Failure to Provide Certificates of Insurance. The Contractor shall be responsible for assuring that the insurance certificates required in conjunction with this Section remain in force for the duration of the effective term of this Agreement (October 1, 2014 through September 30, 2015). If insurance certificates are scheduled to expire during the effective term, the Provider shall be responsible for submitting new or renewed insurance certificates to the County prior to expiration. In the event that expired certificates are not replaced with new or renewed certificates which cover the effective term, the County may suspend the Agreement until such time as the new or renewed certificates are received by the County in the manner prescribed herein; provided, however, that this suspended period does not exceed thirty (30) calendar days. Thereafter, the County may, at its sole discretion, terminate this Agreement. ARTICLE 8. PROOF OF LICENSURE AND BACKGROUND SCREENING A. Licensure. If the Provider is required by the State of Florida or Miami-Dade County or any law or regulation to be licensed or certified to provide the services or operate the facilities outlined in the Scope of Services (Attachment A), the Provider shall furnish to the County a copy of all required current licenses or certificates. Examples of services or operations requiring such licensure or certification include but are not limited to childcare, day care, nursing homes, and boarding homes. . If the Provider fails to furnish the County with the licenses or certificates required under this Section, the County shall not disburse any funds until it is provided with such licenses or certificates. Failure to provide the licenses or certificates within sixty (60) days of execution of this Agreement may result in termination of this Agreement at the County's discretion. B. Background Screening. As a requirement of this contract, even if such screening is not otherwise required by applicable law, the Provider is required to furnish satisfactory Level 2 Background Screening Results for those employees, subcontractors, and volunteers that work with youths under 18 years of age, persons ages 65 years old and up, persons of any age that have disabilities, and victims of domestic violence. As a requirement of this contract, even if such screening is not otherwise required by applicable law, the Provider agrees to conduct pre-employment criminal background screenings Page 7 of 28 CB 15-SMIA-CB of its staff, subcontractors, and volunteers; to update those background checks at least once every five (5) years; and to maintain documentation of criminal background screening on file. I n addition, the Provider agrees to comply with all applicable federal, state and local laws, regulations, ordinances and resolutions regarding background screening of employees, volunteers, subcontractors and independent contractors. Provider's failure to comply with any applicable laws, regulations, ordinances and resolutions regarding background screening of employees, volunteers, subcontractors and independent contractors is grounds for a material breach and termination of this contract at the sole discretion of the County. The Provider agrees to comply with all applicable laws (including but not limited to Chapters 39, 402, 409, 430, 394, 408, 393, 397,943,984,985, 1012 and 435, Florida Statutes, and Section 943.04351, Florida Statutes, as may be amended form time to time), regulations, ordinances and resolutions, regarding background screening of those who may work or volunteer directly with or in the vicinity of vulnerable persons, as defined by section 435.02, Florida Statutes, as may be amended from time to time. In the event criminal background screening is required by law, the State of Florida and/or the County, the Provider will permit only employees, volunteers, subcontractors and independent contractors with a satisfactory national criminal background check through an appropriate screening agency (Le., the Florida Department of Juvenile Justice, Florida Department of Law Enforcement or Federal Bureau of Investigation) to work or volunteer in direct contact with or in the vicinity of vulnerable persons. The Provider shall also comply with Section 943.059, Florida Statutes, regarding court-ordered sealing of criminal history records, and Section 943.0585, Florida Statutes, regarding court-ordered expunction of criminal history records, as may be applicable. The Provider agrees to ensure that employees, volunteers, subcontracted personnel and independent contractors who work with vulnerable persons satisfactorily complete and pass Level 2 background screening before working or volunteering with vulnerable persons. Provider shall furnish the County with proof that employees, volunteers, subcontracted personnel and independent contractors, who work with vulnerable persons, satisfactorily passed Level 2 background screening, pursuant to Chapters 435 and 430, Florida Statutes, as may be amended from time to time. If the Provider fails to furnish to the County proof that an employee, volunteer, subcontractor or independent contractor's Level 2 or other required background screening was satisfactorily passed and completed prior to that employee, volunteer, subcontractor or independent contractor working or volunteering with or in the vicinity of a vulnerable person or vulnerable persons, the County shall not disburse any further funds and this Contract may be subject to termination at the sole discretion of the County. ARTICLE 9. CONFLICT OF INTEREST A. The Provider agrees to abide by and be governed by the Miami-Dade County Conflict of Interest and Code of Ethics Ordinance codified at Section 2-11.1 et al. of the Code of Miami- Dade County, as amended, as well as with section 617.0832, Florida Statutes, regarding director conflict of interests, which are incorporated herein by reference as if fully set forth herein, in ccnnection with the Provider's contract obligations hereunder. Additionally, the Page 8 of 28 CB 15-SMIA-CB Provider agrees to: 1. Prohibit members of the Provider's board of directors from voting on matters relating to this Agreement which may result in the board member directly or indirectly receiving funds paid by the Provider under this Agreement. 2. Prohibit members of the Provider's board of directors from voting on any matters in which they are related to the person or entity seeking a benefit as 1) an officer, director, partner, of counsel, consultant, employee, fiduciary, beneficiary, or 2) a stockholder, bondholder, debtor, or creditor. 3. Prohibit members of the Provider's board of directors from directly or indirectly receiving any funds paid by the County to the Provider under this Agreement. 4. Prohibit employees of the Provider from directly or indirectly receiving any funds paid by the County to the Provider under this Agreement, with the exception of the employee's salary and fringe benefits or portion of the employee's salary and fringe benefits included in Attachment B. a."lndirectly" for purposes of this section includes payment of funds paid by the County to the Provider under this Agreement to an organization in which the employee or board member has a "controlling financial interest," referring to ownership, directly or indirectly, to ten (10) percent or more of the outstanding capital stock in any corporation or a direct or indirect interest of ten (10) percent or more in a firm, partnership, or other business entity or nonprofit organization. 5. Maintain a written conflict of interest policy that applies to hiring, providing services to clients, and procuring supplies or equipment. 6. Immediately disclose and justify in writing to the OMB-GC any business transactions between the Provider, on one side, and Board members or staff, on another side, as well as all related-party transactions with shareholders, partners, officers, directors, or employees of any entity that is doing business with the Provider. 7.lmplement procedures to protect against fraud and co-mingling of funds as regards credit card purchases, if credit cards are utilized by the Provider. 8. If the County determines the Provider has breached this section, the County shall suspend payment until the matter has been resolved to the County's satisfaction. 9The County may request an opinion from the Miami-Dade Commission on Ethics and Public Trust regarding questions arising under this section. B. No person, including but not limited to any officer, member of a board of directors, manager, or supervisor employed by the Provider, who is in the position of authority, and who exercises any function or responsibilities in connection with this Agreement, has at the time this Agreement is entered into, or shall have during the term of this Agreement, received any of the services funded under this agreement, or direct or instruct any employee under their supervision to provide such services as described in this Agreement. Notwithstanding the before mentioned provision, any officer, member of a board of directors, manager or supervisor employed by the Page 9 of 28 CB 15-SMIA-CB Provider, who is eligible to receive any of the services described herein may utilize such services if he or she can demonstrate that he or she does not have direct supervisory responsibility over the Provider's employee(s) or service program and that such utilization is permissible pursuant to Section 2-11.1 et a\. of the Code of Miami-Dade County. C. All transactions associated with this agreement that do not meet the criteria of an Arm's Length Transaction must be immediately disclosed and justified in writing to the OMB-GC. The Provider is required to immediately disclose to the OMB-GC any related party transactions (for example (but not limited to), situations such as where the Provider leases office space from one of the Provider's Board members or employees) that occur throughout the duration of this agreement. ARTICLE 10. CIVIL RIGHTS The Provider agrees to abide by Chapter 11A of the Code of Miami-Dade County ("County Code"), as amended, which prohibits discrimination in employment, housing and public accommodations on the basis of race, creed, religion, color, sex, familial status, marital status, sexual orientation, pregnancy, age, ancestry, national origin or handicap; Title VII of the Civil Rights Act of 1968, as amended, which prohibits discriminati·on in employment and public accommodation; the Age Discrimination Act of 1975, 42 U.S.C. §6101, as amended, which prohibits discrimination in employment because of age; the Rehabilitation Act of 1973, 29 U.S.C. §794, as amended, which prohibits discrimination on the basis of disability; the Americans with Disabilities Act, 42 U.S.C. §12101 et seq., which prohibits discrimination in employment and public accommodations because of disability; the Federal Transit Act, 49 U.S.C. §1612, as amended; and the Fair Housing Act, 42 U.S.C. §3601 et seq. It is expressly understood that the Provider must submit an affidavit attesting that it is not in violation of the Acts. If the Provider or any owner, subsidiary, or other firm affiliated with or related to the Provider is found by the responsible enforcement agency, the Courts or the County to be in Violation of these acts, the County will conduct no further business with the Provider. Any contract entered into based upon a false affidavit shall be voidilble by the County. If the Provider violates any of the Acts during the term of any contract the Provider has with the. County, such contract shall be voidable by the County, even if the Provider was not in violation at the time it submitted its affidavit. The Provider agrees that it is in compliance with the Domestic Violence Leave, codified as § 11A-60 et seq. of the Miami-Dade County Code, which requires an employer, who in the regular course of business has fifty (50) or more employees working in Miami-Dade County for each working day during each of twenty (20) or more calendar work weeks to provide domestic 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 Provider. ARTICLE 11. HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT: Any person or entity that performs or assists Miami-Dade County with a function or activity involving the use or disclosure of "individually identifiable health information (II HI)" Page 10 of 28 CB 15-SMIA-CB and/or "Protected Health Information (PHI)" shall comply with the Health Insurance Portability and Accountability Act (HIPAA) of 1996, the Miami-Dade County Privacy Standards Administrative Order and any other applicable laws regarding confidential information. HIPAA mandates for privacy, security and electronic transfer standards include but are not limited to: 1. Use of information only for performing services required by the contract or as required bylaw; 2. Use of appropriate safeguards to prevent non-permitted disclosures; 3. Reporting to Miami-Dade County of any non-permitted use or disclosure; 4. Assurances that any agents and subcontractors agree to the same restrictions and conditions that apply to the Provider and reasonable assurances that IIHI/PHI will be held confidential; 5. Making Protected Health Information (PHI) available to the customer; 6. Making PHI available to the client for review and amendment; and incorporating any amendments requested by the client as may be required by law; 7. Making PHI available to Miami-Dade County for an accounting of disclosures; and 8. Making internal practices, books, and records related to PHI available to Miami-Dade County for compliance audits. PHI shall maintain its protected status regardless of the fonm and method of transmission (paper records and/or electroniC transfer of data). The Provider must give its clients written notice of its privacy information practices, including specifically, a description of the types of uses and disclosures that would be made with protected health information. Provider must post, and distribute upon request to service recipients, a copy of the County's Notice of Privacy Practices. ARTICLE 12. NOTICE REQUIREMENTS The Provider agrees to notify the County of any changes that may affect the County supported program(s) under this Agreement within ten (10) days from the date of such a change's occurrence. It is also understood and agreed between the parties that any written notice addressed to the OMB-GC, which is delivered by U.S. Mail or emailed to the OMB-GC and any written notice addressed to the Provider, which is delivered by U.S. Mail or by email shall constitute sufficient notice to either party. All notices required or permitted under this Agreement which are delivered by U.S. Mail shall be deemed sufficiently served if delivered by Registered or Certified Mail, with return receipt requested; or delivered personally; or delivered via fax or by email. All notices to the County shall be delivered to the following address: Page 11 of 28 CB (1) To the County Miami-Dade County Office of Management and Budget -Grants Coordination 111 NW 1st Street, 19th Floor, Miami, FL 33128 ATTENTION: Daniel T. Wall Assistant Director Phone: (305) 375-4742 Fax: (305) 375-4049 Email: dtw@miamidade.gov (2) To the Provider Ms. Jennifer Korth Grants & Sustainable Initiatives Administrator City of South Miami 6130 Sunset Drive Miami, FL 33143 Phone: (305) 668"2514 Fax: (305) 668·7356 Email: JKorth@southmiamifl.gov 15·SMIA·CB Either party may at any time designate a different mail or email address and/or contact person by giving written notice as provided above to the other party. ARTICLE 13. AUTONOMY Both parties agree that this Agreement recognizes the autonomy of the contracting parties and implies no affiliation between the contracting parties. It is expressly understood and intended that the Provider is only a recipient of funding support and is not an agent or instrumentality of the County. Furthermore, the Provider's agents and employees are not agents or employees of the County. ARTICLE 14. SURVIVAL The parties acknowledge that any of the obligations in this agreement, including but not limited to Provider's obligation to indemnify the County, will survive the term, termination, and cancellation hereof.. Accordingly, the respective obligations of the Provider under this agreement, which by nature would continue beyond the termination, cancellation or expiration thereof, shall survive termination, cancellation or expiration hereof. ARTICLE 15. BREACH OF AGREEMENT: COUNTY REMEDIES A. Breach. A breach by the Provider shall have occurred under this Agreement if: (1) the Provider fails to provide the services outlined in the Scope of Services (Attachment A) or meet expected performance levels within the effective term of this Agreement; (2) the Provider ineffectively or improperly uses the County funds allocated under this Agreement; (3) the Page 12 of 28 CB 15-SMIA-CB Provider does not furnish the Certificates of Insurance required by this Agreement or as determined by the County's Risk Management Division; (4) if applicable, the Provider does not furnish upon request by the County proof of licensure/certification or proof of background screening required by this Agreement; (5) the Provider fails to submit, or submits incorrect or incomplete, proof of expenditures to support disbursement requests or advance funding disbursements or fails to submit or submits incomplete or incorrect detailed reports of expenditures or final expenditure reports; (6) the Provider does not submit or submits incomplete or incorrect required reports or reports that indicate that expected performance levels are not being met; (7) the Provider refuses to allow the County access to records or refuses to allow the County to monitor, evaluate and review the Provider's program; (8) the Provider discriminates under any of the laws outlined in Article 10 of this Agreement; (9) the . Provider, attempts to meet its obligations under this Agreement through fraud, misrepresentation, or material misstatement; (10) the Provider fails to correct deficiencies found during a monitoring, evaluation, or review within the specified time as described in communication from OMB-GC; (11) the Provider fails to issue prompt payments to small business subcontractors or follow dispute resolution procedures regarding a disputed payment; (12) the Provider fails to submit the Certificate of Corporate Status, Board of Directors requirement, or proof of tax status; and (13) the Provider fails to fulfill in a timely and proper manner any and all of its obligations, covenants, agreements, and stipulations in this Agreement.; (14) the Provider fails to meet any of the terms and conditions of the Miami-Dade County Affidavits (Attachment D) or the State Affidavit (Attachment E); (15) the Provider falsifies or violates the provisions of the Drug Free Workplace Affidavit (Attachment D); or (16) the Provider fails to fulfill in a timely and proper manner any and all of its obligations, covenants, agreements, and stipulations in this Contract. Waiver of breach of any provisions of this Contract shall not be deemed to be a waiver of any other breach and shall not be construed to be a modification of the terms of this Agreement. B. County Remedies. If the Provider, breaches this Agreement, the County may pursue any or all of the following remedies: 1 . The County may terminate this Agreement by giving written notice to the Provider of such termination and specifying the effective date thereof. I n the event of termination, the County may: (a) request the return of all finished or unfinished documents, data studies, surveys, drawings, maps, models, photographs, reports prepared and secured by the Provider with County funds under this Agreement; (b) seek reimbursement of County funds allocated to the Provider under this Agreement; (c) terminate or cancel any other contracts entered into between the County and the Provider. The Provider shall be responsible for all direct and indirect costs associated with such termination, including attorney's fees. The County may also, in the County's sale discretion, recapture a proportionate amount of funding if expected performance levels under this Agreement are not met by Provider in the County's sale discretion; 2. The County may suspend payment in whole or in part under this Agreement by providing written notice to the Provider of such suspension and specifying the effective date thereof, at least five (5) days before the effective date of suspension. If payments are suspended, the County shall specify in writing the actions that must be taken by the Provider as condition precedent to resumption of payments and shall specify a reasonable date for compliance. The County may also suspend any payments in whole or in part under any other contracts entered into between the County and the Provider. The Provider shall be responsible for all direct and indirect costs associated with such suspension, including Page 13 of 28 CB 15-SMIA-CB attorney's fees. The County may also, in the County's sole discretion, recapture a proportionate amount of funding if expected performance levels under this Agreement are not met by Provider in the County's sole discretion; 3. . The County may seek enforcement of this Agreement including but not limited to filing an action in a court of appropriate jurisdiction. The Provider shall be responsible for all direct and indirect costs associated with such enforcement, including attorney's fees; 4. The County may debar the Provider from future County contracting; 5. If, for any reason, the Provider should attempt to meet its obligations under this Agreement through fraud, misrepresentation, or material misstatement, the County shall, whenever practicable terminate this Agreement by giving written notice to the provider of such termination and specifying the effective date thereof at least five (5) days before the effective date of such termination. The County may terminate or cancel any other contracts which such individual or entity has with the County. Such individual or entity shall be responsible for all direct and indirect costs associated with such termination or cancellation, including attorney's fees. Any individual or entity who attempts to meet its contractual obligations with the County through fraud, misrepresentation, or material misstatement may be debarred from county contracting for up to five (5) years; 6. Any other remedy available at law or equity. C. Authorization toTerminate Agreement. The Mayor or the Mayor's deSignee is authorized to terminate this Agreement on behalf of the County. D. Failures or waivers to insist on strict performance of any covenant, condition, or provision of this Contract by the County shall not be deemed a waiver of any rights or remedies, nor shall it relieve the Provider from performing any subsequent obligations strictly in accordance with the term of this Contract. No waiver shall be effective unless in writing and signed by the parties. Such waiver shall be limited to provisions of this Contract specifically referred to therein and shall not be deemed a waiver of any other provision. No waiver shall constitute a continuing waiver unless the writing states otherwise. E. Damages Sustained. NotWithstanding the above, the Provider shall not be relieved of liability to the County for damages sustained by the County by virtue of any breach of the Agreement, and the County may withhold any payments to the Provider until such time as the exact amount of damages due the County is determined. The County may also pursue any remedies available at law or equity to compensate for any damages sustained by the breach. The Provider shall be responsible for all direct and indirect costs associated with such action, including attorney's fees. ARTICLE 16. TERMINATION BY EITHER PARTY Both parties agree that this Agreement may be terminated by either party hereto by written notice to the other party of such intent to terminate at least thirty (30) days prior to the effective date of such termination. The Mayor or the Mayor's designee is authorized to terminate this Agreement on the behalf of the County. Page 14 of 28 CB 15-SMIA-CB ARTICLE 17. PAYMENT PROCEDURES The County agrees to pay the Provider for services rendered under this Agreement based on the payment schedule, the line item budget, or both, which are incorporated herein and attached hereto as Attachment B for services provided under the attached Scope of Services. Payment shall be made in accordance with procedures outlined below and if applicable, the Sherman S. Winn Prompt Payment Ordinance (Ordinance 94-40). A. Reimbursement and Advances. The parties agree that this is a cost-basis Agreement and that the Provider shall be paid through reimbursement payment based on the budget approved under this Contract (see Attachment B) and when complete and proper documentation of service delivery and incurred expenses are provided to the County. If the actual performance levels of the program(s) covered by this agreement are less than the expected performance levels, then the County may adjust payments, recapture the funded award, or seek repayment based on the level of performance. Upon proper and complete execution of this Contract (to include proof of insurance), the County may provide the Provider with twenty-five percent (25%) of the Contract amount in advance. The Provider's request for this advance payment must be submitted in writing and must specify the reasons and justifications for such advance payment. It need not be accompanied by a detailed expenditure report. The County shall have the sole discretion in choosing whether or not to provide any advance payments and is not obligated to do so under any circumstances. Advance payments in excess of 25% of the contract amount may be approved by the Mayor or the OMB-GC Director as the Mayor's Designee for this purpose. B. Monies Owed to the County. The County reserves the right, in its sole discretion, to reduce payments to the Provider in order to recapture any monies owed to the County. In accordance with County Administrative Order No. 3-29, a Provider that is in arrears to the County is prohibited from obtaining new County contracts or extensions of contracts until such time as the arrearage has been paid in full or the County has agreed in writing to an approved re-payment plan. Additionally, in accordance with Miami-Dade County Implementing Order 3-9, Accounts Receivable Adjustments, if money is owed by the Provider to the County, whether under this Contract or for any other purpose, the County reserves the right to retain such amount from payment due by County to the Provider under this Contract. Such retained amount shall be applied to the amount owed by the Provider to the County. The Provider shall have no further claim to such retained amount(s) which shall be deemed full accord and satisfaction of the amount due by the County to the Provider for the applicable payment due herein .. C. No Payment of Subcontractors. In no event shall County funds be advanced or paid by the County directly to any subcontractor hereunder. Payment to approved subcontractors shall be made by the Provider following requirements and limitations as detailed in Article 21 of this Agreement. D. Requests for Payment. The Countyagrees to pay all budgeted costs incurred by the Provider that are allowable under the County guidelines. In order to receive payment for allowable costs, the Provider shall submit a Monthly Summary of Expenditures Report and a Monthly Performance Report on forms provided by the OMB-GC. The OMB-GC must receive Page 15 of 28 CB 15-SMIA-CB the Monthly Summary of Expenditures Report and the Monthly Performance Report no later than the 21 st day of the month following the month in which services were provided. The Monthly Summary of Expenditures Report shall reflect the expenses incurred by the Provider for the month in which services were rendered and documented in the Monthly Performance Report. Upon submission of satisfactory required monthly reports, the OMB-GC shall make payment. If the Provider is not meeting its expected expenditure rates, then a corrective action plan must accompany the Provider's Monthly Summary of Expenditures Report. The County will not approve payments for in-kind or volunteer services provided by the Provider on behalf of the project. The OMB-GC shall accept originals of invoices, receipts, and other evidence of indebtedness as proof of expenditures. When original documents cannot be produced, the Provider must adequately justify their absence in writing and furnish copies as proof of the expenditures. E. Processing the Request for Payment. After the OMB-GC staff reviews and approves the payment request, the OMB will submit a payment request to the County's Finance Department. The County's Finance Department will issue payment via Automated Clearing House (ACH) or mail the check directly to the Provider at the address listed in Article 12 of this Agreement, unless otherwise directed by the Provider in writing. The parties agree that the processing of a payment request from date of submission by the Provider shall take a maximum of forty-five (45) days from receipt of a complete and accurate payment request, pursuant to the County's Sherman S. Winn Prompt Payment Ordinance (Ordinance 94-40), Section 2-8.1.4 of the Code of Miami-Dade County, Administrative Order No. 3-19, and the Florida Prompt Payment Act, if supporting documentation/invoices are properly documented as determined by the County in its sole discretion. It is the responsibility of the Provider to maintain sufficient financial resources to meet the expenses incurred during the period between the provision of services and payment by the County. Failure to submit monthly reimbursement requests with supporting documentation in a manner deemed correct and acceptable by the County, by the 21 st day of each month following the month in which the service was delivered, shall be considered a breach of this Agreement and may result in termination of this Agreement. F. Final Request for Payment. A final request for payment from the Provider will be accepted by the OMB-GC up to thirty (30) days after the expiration of this Agreement. If the Provider fails to comply, all rights to payment shall be forfeited. The request for the final payment may include accruals of the personnel costs listed in Attachment S, which the Provider is obligated to pay after'the close of the period for services provided within the term of the Agreement. G. Closeout Reporting Process/Recapture of Funds. Upon the expiration of this Contract, the Provider shall submit Closeout Report documents to the OMB no more than thirty (30) days after the expiration of this Contract. These documents shall include a cumulative contract year-end summary of the Provider's program performance, the Contract Year-End Closeout Report, and the Property Inventory Report. If after receipt of these documents, the OMB-GC determines that the Provider has been paid funds not in accordance with the Contract, and to which the Provider is not entitled, the Provider shall return such funds to the County or subrnit appropriate docurnentation. The County shall have the sole discretion in determining whether the Provider is entitled to such funds and the County's decision on this matter shall be binding. Additionally, any unexpended or unallocated funds shall be recaptured by the County. Page 16 of 28 CB 15-SMIA-CB ARTICLE 18. PROHIBITED USE OF FUNDS A. Adverse Actions or Proceeding. The Provider shall not utilize County funds to retain legal counsel for any action or proceeding against the County or any of its agents, instrumentalities, employees, or officials. The Provider shall not utilize County funds to provide legal representation, advice, or counsel to any client in any action or proceeding against the County or any of its agents, instrumentalities, employees, or officials. B. Religious Purposes. County funds shall not be used for religious purposes. C'. Commingling Funds. The Provider shall not commingle funds provided under this Agreement with funds received from any other funding sources. The Provider shall establish a separate account exclusively for receipt of the funds received pursuant to this Agreement. D. Program Income. The Provider shall not use any program income to cover expenses other than those budgeted for payment by program income under this agreement. The Provider shall track, record, and disclose any program income generated from the program(s) funded under this agreement. ARTICLE 19. REQUIRED DOCUMENTS, RECORDS, REPORTS, AUDITS, MONITORING AND REVIEW , A. Certificate of Corporate Status. The Provider must submit to the OMB, within thirty (30) days from the date of execution of this Agreement, a certificate of corporate status in the name of the Provider, which certifies the following: that the Provider is organized under the laws of the State of Florida; that all fees and penalties have been paid; that the Providers most recent annual report has been filed; that its status is active; and that the Provider has not filed Articles of Dissolution. B. Board of Director Requirements. The Provider shall ensure that the Provider's Board of Directors is apprised of the programmatic, fiscal,and administrative obligations under this agreement funded through County Funds by passage of a formal resolution authorizing execution of this Agreement with the County. A current list of the Provider's Board of Directors and officers must be included with the submission. Said resolution shall at a minimum list the name(s) of the Board's President, Vice President and any other persons authorized to execute this Agreement on behalf of the Provider, and reference the program(s) and dollar amounts in the award, as may be amended. A copy of this corporate resolution must be submitted to the County prior to contract execution. Through the official minutes of its Board meetings, the Provider must also maintain proof that it has been sharing the results of all County monitoring reports with its Board. Additionally, the Provider will furnish the County with copies of the minutes of those Board meetings (where a properly constituted quorum was achieved). In order to meet Board meeting requirements a quorum must be achieved. The Provider will furnish the County with a current listing of the members of the agency's Board that includes the title and contact information, including home and e-mail addresses for each Board member. Page 17 of 28 CB 15-SMIA-CB C. Proof of Tax Status. The Provider is required to submit to the County the following documentation: (a) The I.R.S. tax exempt status determination letter; (b) the most recent I.R.S, Form 990 or I.R.S. Form 990·N; (c) the annual submission of I.R.S, Form 990 or I.R,S. Form 990-N within (6) months after the Provider's fiscal year end; (d) IRS form 941 - Quarterly Federal Tax Return Reports within thirty·five (35) days after the quarter ends and if the form 941 reflects a tax liability, proof of payment must be submitted within forty-five (45) days after the quarter ends. D, Business Application. The Provider shall be a registered vendor with the County's Department of Procurement Management, for the duration of this Agreement It is the responsibility of the Provider to file the appropriate Vendor Application and to update the Application file for any changes for the duration of this Agreement, including any option years. E, Accounting Records. The Provider shall keep accounting records which conform to Generally Accepted Accounting Principles (GAAP) in the United States, All such records will be retained by the Provider for not less than five (5) years beyond the term of this Agreement, and shall be made available for review upon request from County authorized personnel. F, Financial Audit. If the Provider has or is required to have an annual certified public accountant's opinion and related financial statements, the Provider agrees to provide these documents to the OMB-GC no later than one hundred eighty (180) days following the end of the Provider's fiscal year, for each year during which this Agreement remains in force or until all funds received pursuant to this Agreement have been so audited, whichever is later. In the event that the documents provided under this section contain deficiencies or other matters of concern, the Provider shall provide to the County for review additional documentation to address the County's concerns. Failure to address concerns pursuant to this section to the County's satisfaction shall be a breach of this contract What constitutes a deficiency and/or matter of concern shall be determined in the County's sole discretion. Failure to address concerns pursuant to this section to the County's satisfaction shall be a breach of this contract, G, Access to Records: Audit. The County reserves the right to require the Provider to submit to an audit by an auditor of the County's choosing or approval and to review any independent audit performed on the Provider for reasons of compliance with funding requirements of any other governmental agency or financial institution. The Provider shall provide access to all of its records which relate to this Agreement at its place of business during regular business hours, The Provider agrees to provide such assistance as may be necessary to facilitate the review or audit by the County to ensure compliance with all applicable accounting and financial standards, H. Quarterly Reviews of Expenditures and Records. The County Commission Auditor may perform quarterly reviews of Provider expenditures and records. Subsequent payments to the provider shall be subject to a satisfactory review of Provider records and expenditures by the County Commission Auditor, including but not limited to, review of . supporting documentation for expenditures and the existence of sufficient documentation to support eligible expenditures, The Provider agrees to reimburse the County for ineligible Page 18 of 28 CB 15-SMIA-CB expenditures as determined by the County Commission Auditor. I. Quality Assurance / Recordkeeping. The Provider shall maintain, and shall require that the Provider's subcontractors and suppliers maintain, complete and accurate program and fiscal records to substantiate compliance with the requirements set forth in the Attachment A, Scope of Services, of this Agreement. The Provider and its subcontractors and suppliers, shall retain such records, and all other documents relevant to the Services furnished under this Agreement for a period of five (5) years from the expiration date of this Agreement. The Provider agrees to participate in evaluation studies, quality management activities, Corrective Action Plan activities, and analyses carried· out by or on behalf of the County to evaluate the effectiveness of client service(s) or the appropriateness and quality of care/service delivery. Accordingly, the Provider shall permit authorized staff involved in such efforts the right of access to the Provider's premises and records J. Confidentiality Requirements. The Provider shall establish and implement policies and procedures that ensure compliance with the following security standards and any and all applicable State and Federal statutes and regulations for the protection of confidential client records and electronic exchange of confidential information. "Confidential" shall be used in this section to describe information that is confidential under applicable law. The policies and procedures must ensure that: (1) There is a controlled and secure area for storing and maintaining active confidential information and files, including but not limited to medical records; (2) Confidential records are not removed from the Provider's premises, unless otherwise authorized by law or upon written consent from the County; (3) Access to confidential information is restricted to authorized personnel of the Provider, the County, and/or the United States Office of the Inspector General; (4) Records are not left unattended in areas accessible to unauthorized individuals; (5) Access to electronic data is controlled; (6) Written authorization, signed by the client, is obtained for release of copies of client records and/or information. Original documents must remain on file at the originating provider site; (7) An orientation is provided to new staff persons, employees, and volunteers. All employees and volunteers must sign a confidentiality pledge, acknowledging their awareness and understanding of confidentiality laws,regulations, and policies; (8) Procedures are developed and implemented that address client chart and medical record identification, filing methods, storage, retrieval, Page 19 of 28 CB 15-SMIA-CB organization and maintenance, access and security, confidentiality, retention, release of information, copying, and faxing. K. Progress Reports. The Provider shall furnish the OMB-GC with monthly progress/performance reports in accordance with the activities and goals detailed in Attachments A and F of this Agreement. The reports shall explain the Provider's progress for the month and, in the event that its activities are seasonal, must clearly indicate when specific services and related expenditures will occur. The data should be quantified when appropriate. A corrective action plan must accompany all progress reports that indicate that the Provider is not meeting its expected service goals or expected performance levels. The final progress report shall be due no later than thirty (30) days after the expiration or termination of this Agreement. L. Monitoring: Management Evaluation and Performance Review. The Provider agrees to permit County authorized personnel to monitor, review, and evaluate the program/work which is the subject of this Agreement. The OMB-GC shall monitor fiscal, administrative, and programmatic compliance with all the terms and conditions of the Agreement. The OMB-GC will also have the right to inspect original documentation regarding administrative, fiscal, and programmatic matters and may retain copies of that documentation for verification purposes. Documentation includes but is not limited to employee time records that document work hours spent on direct and indirect duties within the County funded program(s), and documentation to show consistency and adherence in implementing the County funded (program(s) in accordance with the line item budget and budget justification narrative pursuant to Attachment "B" of this agreement. The Provider shall permit the OMB-GC to conduct site visits, client assessment surveys, and other techniques deemed reasonably necessary to fulfill the monitoring function. A report of the OMB-GC's findings will be delivered to the Provider and the Provider will rectify all deficiencies cited within the period of time specified in the report. If such deficiencies are not corrected within the specified time frame noted in the monitoring report, the County may suspend payments or terminate this Agreement. The OMB-GC may conduct one or more formal management evaluation and performance reviews of the Provider. Continuation of this Agreement or future funding is dependent upon satisfactory monitoring of follow-up and corrective action, if warranted, by the Provider. Provider agrees the County Mayor or Mayor's designee may make unannounced, on- site visits during normal working hours to the Provider's headquarters and/or any location or stte where the services contracted for are performed. If the County suspends or stops payment to Provider after advising Provider of concerns arising from Provider's performance, Provider's management of County-funded or County-partially funded programs, or Provider's compliance with any of the terms of this Agreement, and if the Provider continues to provide services pursuant to this Agreement, the Provider shall do so at its own risk. The Provider understands and agrees that Provider may not be reimbursed or may not receive further payments under this Agreement in the event the County suspends or stops payment to Provider as described in this paragraph. M. Client Records. The Provider shall maintain a separate individual client file for each client/family served, where appropriate. This client file shall include all pertinent Page 20 of 28 CB 15-SMIA-CB information regarding case activity. At a minimum, the client file shall contain referral and intake information, treatment plans, and case notes documenting the dates services were provided and the type of service provided. These client files shall be subject to the audit, monitoring and inspection requirements under Article 19, Sections F, G, H, and M and any other relevant provisions of this Agreement. N. Disaster Plan/Continuity of Operations Plan (COOP). The Provider shall develop and maintain an Agency Disaster Plan/COOP. At a minimum, the Plan will describe how the Provider establishes and maintains an effective response to emergencies and disasters, and must comply with any Emergency Management related Florida Statutes applicable to the Provider. The Disaster Plan/COOP must be submitted to the OMB no later than thirty (30) days after the execution of this agreement and is also subject to review and approval of the County in its sole discretion. The Provider will review the Plan annually, revise it as needed, and maintain a written copy on file at the Provider's site. O. Public Records. Pursuant to Section 119.0701 of the Florida Statutes, if the Provider meets the definition of "Contractor" as defined in Section 119.0701(1)(a), the Provider shall: (a) Keep and maintain public records that ordinarily and necessarily would be required by the public agency in order to perform the service; (b) Provide the public with access to public records on the same terms and conditions that the public agency would provide the records and at a cost that does not exceed the cost provided in this chapter or as otherwise provided by law; (c) Ensure that public records that are exempt or confidential and exempt from public records disclosure requirements are not disclosed except as authorized by law; and (d) Meet all requirements for retaining public records and transfer to the County, at no County cost, all public records created, received, maintained and or directly related to the performance of this Agreement that are in possession of the Provider upon termination of this Agreement. Upon termination of this Agreement, the Provider shall destroy any duplicate public records that are exempt or confidential and exempt from public records disclosure requirements. All records stored electronically must be provided to the County in a format that is compatible with the information technology systems of the County. For purposes of this Article, the tenm "public records'" shall mean all documents, papers, letters, maps, books, tapes, photographs, films, sound recordings, data processing software, or other material, regardless of the physical form, characteristics, or means of transmission, made or received pursuant to law or ordinance or in connection with the transaction of official business of the County. Provider's failure to comply with the public records disclosure requirement set forth in Section 119.0701 of the Florida Statutes shall be a breach of this Agreement. In the event the Provider does not comply with the public records disclosure requirement set forth in Section 119.0701 of the Florida Statutes, the County may, at the County's sole discretion, avail itself of any of the remedies for breach set forth under this Agreement or available at law or equity. Page 21 of 28 CB ARTICLE 20. 15-SMIA-CB Audits and Internal Reviews by the Office of Management and Budget, Office of Miami-Dade County Inspector General, and the Commission Auditor The Provider understands that it may be subject to an audit, random or otherwise, by the Office of the Miami-Dade County Inspector General or an Independent Private Sector Inspector General retained by the Office of the Inspector General, or the County Commission Auditor. The Provider may also be subject to an internal review, random or otherwise, by the OMB-GC. Independent Private Sector I nspector General Reviews. The attention of the Provider is hereby directed to the requirements of Miami-Dade County Code Section 2-1076; in that the Office of the Miami-Dade County Inspector General (IG) shall have the authority and power to review past, present and proposed County programs, accounts, records, contracts and transactions. The IG shall have the power to subpoena witnesses, administer oaths and require the production of records. Upon ten (10) days written notice to the Provider from IG, the Provider shall make all requested records and documents available to the IG for inspection and copying. The IG shall have the power to report and/or recommend to the Board of County Commissioners whether a particular project, program, contract or transaction is or was necessary and, if deemed necessary, whether the method used for implementing the project or program is or was efficient both financially and operationally. Monitoring of an existing project or program may include reporting whether the project is on time, within budget and in conformity with plans, specifications, and applicable law. The IG shall have the power to analyze the need for, and reasonableness of, proposed change orders. The IG may, on a random basis, perform audits on all County contracts throughout the duration of said contract (hereinafter "random audits"). This random audit is separate and distinct from any other audit by the County. Grant recipients are exempt from paying the cost of the audit which is normally Y. of 1 % of the total contract amount. The IG shall have the power to retain and coordinate the services of an independent private sector inspector general (IPSIG) who may be engaged to perform said random audits, as well as audit, investigate, monitor, oversee, inspect, and review the operations, activities and performance and procurement process including, but not limited to, project design, establishment of bid specifications, bid submittals, activities of the contractor, its officers, agents and employees, lobbyists, County staff and elected officials in order to ensure compliance with contract specifications and detect corruption and fraud. Nothing in this Agreement Shall impair any independent right of the County to conduct audit or investigative activities. The provisions of this section are neither intended nor shall they be construed to impose any liability on the County by the Provider or third parties. ARTICLE 21. SUBCONTRACTORS and ASSIGNMENTS A. Subcontracts. The parties agree that no assignment or subcontract will be made or let in connection with this Agreement without the prior written approval of the OMB-GC in its sole discretion, which shall not be unreasonably withheld, and that all subcontractors or assignees shall be governed by all of the terms and conditions of this Agreement. The Provider will obtain three quotes for all proposed subcontracts partially or fully funded by the County, valued at $1,000 and above, and maintain documentation of all three (3) quotes on file. Page 22 of 28 CB 15-SMIA-CB 1) If the Provider will cause any par:! of this Agreement to be performed by a Subcontractor, the provisions of this Agreement will apply to such Subcontractor and its officers, agents and employees in all respects as if it and they were employees of the Provider; and the Provider will not be in any manner thereby discharged from its obligations and liabilities hereunder, but will be liable hereunder for all acts and negligence of the Subcontractor, its officers, agents, and employees, as if they were employees of the Provider. The services performed by the Subcontractor will be subject to the provisions hereof as if performed directly by the Provider. . 2) The Provider, before making any subcontract for any portion of the services, will state in writing to the County the name of the proposed Subcontractor, the portion of the Services which the Subcontractor is to perform, the place of business of such Subcontractor, and such other information as the County may require. The County will have the right to require the Provider not to award any subcontract to a person, firm, or corporation disapproved by the County in its sole discretion. 3) Before entering into any subcontract hereunder, the Provider will inform the Subcontractor fully and completely of all provisions and requirements of this Agreement relating either directly or indirectly to the Services to be performed. Such Services performed by such Subcontractor will strictly comply with the requirements of this Agreement. 4) In order to qualify as a Subcontractor satisfactory to the County in its sole discretion, in addition to the other requirements herein provided, the Subcontractor must be prepared to prove to the satisfaction of the County that it has the necessary facilities, skill and experience, and ample financial resources to perform the Services in a satisfactory manner. To be considered skilled and experienced, the Subcontractor must show to the satisfaction of the County in its sole discretion that it has satisfactorily performed services of the same general type which is required to be performed under this Agreement. 5) The County shall have the right to withdraw its consent to a subcontract if it appears to the County that the subcontract will delay, prevent, or otherwise impair the performance of the Contractor's obligations under this Agreement. All . Subcontractors are required to protect the confidentiality of the County's and County's proprietary and confidential information. Provider shall furnish to the County copies of all subcontracts between Provider and Subcontractors and suppliers hereunder. Within each such subcontract, there shall be a clause for the benefit of the County permitting the County to request completion of performance by the Subcontractor of its obligations under the subcontract, in the event the County finds the Contractor in breach of its obligations, the option to pay the Subcontractor directly for the performance by such subcontractor. Notwithstanding, the foregoing shall neither convey nor imply any obligation or liability on the part of the Page 23 of 28 CB County to any subcontractor. B. If this Agreement involves the expenditure of $100,000 or more by the County and the Provider intends to use subcontractors to provide the services listed in the Scope of Service (Attachment A) or suppliers to supply the materials, the Provider shall provide the names of the subcontractors and suppliers on the form attached as Attachment I. The Provider agrees that it will not change or substitute subcontractors or suppliers from those listed in Attachment I without prior written approval of the County. C. Prompt Payments to Subcontractors. The Provider shall issue prompt payments to subcontractors that are small businesses (annual gross sales of $750,000 or less with its principal place of business in Miami-Dade County) and shall have a dispute resolution procedure in place to address disputed payments. Pursuant to the County's Sherman S. Winn Prompt Payment Ordinance (Ordinance 94-40), Section 2-8.1.4 of the Code of Miami-Dade County, Administrative Order No. 3-19, and the Florida Prompt Payment Act, payments must be made within thirty (30) days of receipt of a proper invoice. Failure to issue prompt payments to small business subcontractors or adhere to dispute resolution procedures may be grounds for suspension or termination of this Agreement or debarment. ARTICLE 22. PURCHASES The Provider will obtain three (3) quotes for all purchases partially or fully funded by the County and valued at $1,000 or above, and maintain documentation of all three (3) quotes on file. ARTICLE 23. LOCAL. STATE. AND FEDERAL COMPLIANCE REQUIREMENTS Provider agrees to comply, in accordance with applicable professional standards, with the provisions of any and all applicable Federal, State and the County orders, statutes, ordinances, rules and regulations which may pertain to the Services required under this Agreement, including but not limited to: a) Miami-Dade County Florida, Department of Business Development PartiCipation Provisions, as applicable to this Agreement. b) Miami-Dade County Code, Chapter 11A, Article 3. All Providers and subcontractors performing work in connection with this Agreement shall provide equal opportunity for employment and services without regard to race, creed, religion, color, sex, familial status, marital status, sexual orientation, pregnancy, age, ancestry, national origin or handicap. The aforesaid provision shall include, but not be limited to, the following: employment, upgrading, demotion or transfer, recruitment advertising; layoff or termination; rates of payor other forms of compensation; and selection for training, including apprenticeship. The Provider agrees to post in a conspicuous place available for employees and applicants for employment, such notices as may be required by the Dade County Equal Opportunity Board or other authority having jurisdiction. Page 24 of28 CB 15-SMIA-CB c) "Conflicts of Interest" Section 2-11 of the Code of Miami-Dade County, and Ordinance 01-199, as well as the Miami-Dade County False Claims Ordinance. d) Miami-Dade County Code Section 10-38 "Debarment". e) Miami-Dade County Ordinance 99-5, codified at 11A-60 et. seq. Code of Miami- Dade County pertaining to complying with the County's Domestic Leave Ordinance. Failure to comply with this local law may be grounds for voiding or terminating this Agreement or for commencement of debarment proceedings against Provider. f) Part III, Ch. 2, Art. 1 and Ch. 11A of the Miami-Dade County Code, and any payment and performance bond requirements if applicable under the Florida Statutes and FAR. 52.222 if applicable. g) Miami-Dade County Ordinance 99-152, prohibiting the presEOntation, maintenance, or prosecution of false or fraudulent claims against Miami-Dade County. h) Provider shall also develop and implement a written Code of Business Ethics and Conduct that will consist of a training program and an internal control system that: 1. Are suitable to the size of the Provider and extent of its involvement in government contracting, 2. Facilitate timely discovery and disclosure of improper conduct in connection with government contracts, and 3. Ensure corrective measures are promptly instituted and carried out. Notwithstanding any other provision of this Agreement, Provider shall not be required pursuant to this Agreement to take any action or abstain from taking any action if such action or abstention WOUld, in the good faith determination of the Provider, constitute a violation of any law or regulation to which Provider is subject, including but not limited to laws and regulations requiring that Provider conduct its operations in a safe and sound manner. ARTICLE 24. MISCELLANEOUS A. PubliCity. It is understood and agreed between the parties hereto that this Provider is funded by Miami-Dade County. Further, by the acceptance of these funds, the Provider agrees that events funded by this Agreement shall recognize and adequately reference the County as a funding source. The Provider shall ensure that all publicity, public relations, advertisements and signs recognizes and references the County for the support of all contracted activities. This is to include, but is not limited to, all posted signs, pamphlets, wall plaques, cornerstones; dedications, notices, flyers, brochures, news releases, media packages, promotions, and stationery. The use of the official County logo is permissible for the publicity purposes stated herein. Provider shall submit sample or mock up of such publicity or materials to the County for review and approval. The Provider shall ensure that all media representatives, when inquiring about the activities funded by this contract, are informed that the County is its funding source. Page 25 of 28 CB 15-SMIA-CB B. Governing Law and Venue. This Agreement is made in the State of Florida and shall be governed according to the laws of the State of Florida. Venue for this Agreement shall be Miami-Dade County, Florida. C. Modifications. Any alterations, variations, modifications, extensions, or waivers of provisions of this Agreement including, but not limited to, amount payable and effective term shall only be valid when they have been reduced to writing, duly approved and signed by both parties and attached to the original of this Agreement. The County and Provider mutually agree that modification' of the Scope of Service, schedule of payments, billing and cash payment procedures, set forth herein and other such revisions may be made as a written amendment to this Agreement executed by both the parties. The Mayor or the Mayor's designee is authorized to make modifications to this Agreement as described herein on behalf of the County. The Office of the Inspector General shall have the power to analyze the need for, and the reasonableness of proposed modifications to this Agreement. D. Counterparts. This Agreement is executed in three (3) counterparts, and each counterpart shall constitute an original of this Agreement. E. Headings, Use of Singular and Gender. Paragraph headings are for convenience only and are not intended to expand or restrict the scope or substance of the provisions of this Agreement. Wherever used herein, the singular shall include the plural and plural shall include the singular, and pronouns shall be read as masculine, feminine, or neuter as the context requires. F. Pre-condition to County's Execution of this Agreement. The Provider acknowledges that prior to the County Mayor or Mayor's designee executing this Agreement, the OMB-GC shall engage in a due diligence effort and review ("the Due Diligence Effort and Review") which includes but is not limited to researching background information on the Provider, ensuring the Provider is not in non-compliance with other County contracts, and reviewing the Provider's scope of services, budget, affJdavits, responses to affidavits and any other proposed or required attachments to this Agreement. If the County through the OMB-GC in consultation with the County Mayor or Mayor's designee is concerned regarding findings of the Due Diligence Effort and Review, the County Mayor or Mayor's designee shall present findings of the Due Diligence Effort and Review to the Board of Miami-Dade County Commissioners with the County Mayor or Mayor's designee's recommendation as to how to proceed, and the Board of Miami-Dade County Commissioners shall then direct the County Mayor or Mayor's designee whether or not to execute this Agreement with the Provider by taking action on the recommendation. All services undertaken by the Provider before the County's execution of this Agreement shall be at the Provider's risk and expense. G. No Third Parties. The parties expressly agree there are no intended or unintended third party beneficiaries to this Agreement. Page 26 of 28 CB 15-SMIA-CB H. Sovereign Immunity. Nothing in this contract shall be considered a waiver of sovereign immunity. I. Review of this Agreement. Each party hereto represents and warrants that they have consulted with their own attorney concerning and participated in the drafting of each of the terms contained in this Agreement. No inference, assumption, or presumption shall be drawn from the fact that one party or its attomey prepared this Agreement. It shall be conclusively presumed that each party participated in the preparation and drafting of this Agreement. J. Totality of Agreement I Severability of Provisions. This Agreement and Attachments, with it recitals on the first page of the Agreement and with its attachments as referenced below contain all the terms and conditions agreed upon by the parties: Attachment A: Scope of Services Attachment B: Budget Attachment C: Collusion Affidavit Attachment 0: Miami-Dade County Affidavits Attachment 0-1: Due Diligence Affidavit Attachment E: State Public Entities Crime Affidavit Attachment F: Monthly Payment Request Attachment G: Monthly Progress Report Attachment H:Final Year-End Closeout Report Attachment I: List of Subcontractors and Suppliers (NOTE: Attachment I must be completed and included with this Agreemenl only if the accompanying contract award totals $100,000 or more.) Attachment J: Authorized Signature Form No other Agreement, oral or otherwise, regarding the subject matter of this Agreement shall be deemed to exist or bind any of the parties hereto. If any provision of this Agreement is held invalid or void, the remainder of this Agreement shall not be affected thereby if such remainder would then continue to conform to the terms and requirements of applicable law and ordinance. SIGNATURES ON THE FOLLOWING PAGE Page 27 of 28 CB 15-SMIA-CB IN WITNESS WHEREOF, the parties have executed this Agreement effective as of the contract date herein above set forth. CITY OF SOUTH MIAMI By: Name: Title: Date: Attest: Print Name: Title: Authorized Person OR Notary Public Corporate Seal OR Notary Seal/Stamp: MIAMI-DADE COUNTY By: Name: Title: County Mayor or Mayor's Designee Date: Attest: HARVEY RUVIN, Clerk Board of County Commissioners By: Print Name: Page 28 of 28 ATTACHMENT A (A) MIAMI-DADE COUNTY OFFICE OF MANAGEMENT AND BUDGET GRANTS COORDINATION SCOPE OF SERVICE NARRATIVE SECTION I: GENERAL INFORMATION Name of Organization: City of South Miami, Parks and Recreation Department Address: 6130 Sunset Drive, South Miami, Florida 33143 Program Contact Person: Jennifer E. Korth, Grants and Sustainable Initiatives Administrator Phone Number: 305-668-2514 Fax Number: 305-663-6345 E-mail Address: jkorth@southmiamifl.gov Fiscal Contact Person: Alfredo Riverol, CFO Phone Number: 305-663-6343 Fax Number: 305-668-7388 E-mail Address: ariverol@southmiamifl.gov Board PresidentfChair: NfA Phone Number: NfA Fax Number: NfA E-mail Address: NfA Non-Profit Entity 0 For-Profit Entity 0 Contract Amount: $ 18,400 Contract Period: October 1, 2014 -September 30, 2015 SECTION II: PROGRAM NARRATIVE Descriptive Program Name: Elderly Services -South Miami Senior Meals Describe the program goals: The Senior Meals Program will provide positive social. cultural. educational, and recreational opportunities for seniors residing in the City of South Miami. In addition, the program will create a healthy environment for our senior population by encouraging physical activities, and providing nutritional meals, which will lead to a healthier lifestyle for the targeted population. Services will be provided to residents at the HUD Senior Center for participants regardless of race, religion, gender, or family income level that are 60 years and older. . Page 1 of3 ATTACHMENT A (A) Describe the program and services and how program funding will be used: Through our Parks and Recreation Department. the City of South Miami will provide prepared meals to sixty-nine (69) residents that participate in activities at the HUD Senior Center located in South Miami. Identify what Commission District(s) will be served: District 7. Identify the target population that will be served (i.e., children/students, seniors, adults, families, general population, businesses etc.): Seniors. Identify the total number of the target population served (if more than one service, define for each): 69. SECTION III: PROFILE OF SERVICES Annual workload measures (for each type of service to be provided including the number of clients to be served in the program) [i.e., 3 hours of after school care for twenty-five (25) children ages 5 -10, one home delivered meal for 50 seniors every day (18,250 meals)]: The Senior Meals Program will provide two (2) pre-packaged meals (cantina-style) to sixty-nine (69) residents at the HUD Senior Center every Friday. The program will provide approximately 138 meals per week (69 seniors X 2 meals per week) for 52 weeks, for a maximum of 7,049 ($18,400/$2.61 per meal) meals during the contract period. Unit Cost (Define the unit(s) of service and detail the unit cost(s) for the service): $18,400/69 clients = $266.67 per client. Identify the period of service delivery for program component(s) t.hat WILL NOT be provided year- round: N/A. Total number of unduplicated clients that will be served during th.e program year is: 69. Total number of clients receiving ongoing services: 69. Total number of new clients will be: 10. A typical client will be in the program for: .JL.day(s).J.L month(s) .JL.yveek(s) .JL.hour(s) What is the defined workload measure (meals provided, therapy, tutoring, or after-school care hours, program completion, employment, etc.): meals provided. The total number of workload measures that will be provided during the program year: 7,049 meals. Location of Service Site(s) and Hours of Service at each Site: (list all administrative and program sites including the physical street address with zip codes, contact information and the hours of operation for each site): Page 2 of 3 ATTACHMENT A (A) The City of South. Miami Senior Center is located at 6701 SW 62nd Avenue, South Miami, Florida 33143. The hOurs of operation are Monday-Friday from 7:00 am -3:00 pm. The service site phone number is: (305)663-6319: email: qpough@southmiamifl.gov. SECTION IV: STATEMENT OF OBJECTIVES: (Define measurable and specific program objectives. Please quantify and note timeframe for completion of each objective [Le.,75% of children attending after school tutoring program will increase their reading score by a fuilielter grade as measured by pre and post-testing during the contract year]). • One hundred percent (100%) of the elderly participants that receive weekend meals will satisfy one of their basic needs. • Ninety percent (90%) of the elderly participants will gain sufficient nutrition from the meals provided which will be measured by the type of menu provided. • Ninety percent 90% of the elderly participants will be satisfied with the services provided which will be measured by surveys. BACKGROUND SCREENING INFORMATION The program(s) is serving "at-risk" population: Yes ... 2<,... No~N/A= .... The minimum age for a client is: .-illL years. The maximum age for a client is: N/A years. Staff or volunteers working directly with seniors for more than 10 hours: Yes ... 2<, .. No ~N/A~ SECTION V: ORGANIZATIONAL SUPPORT ACTIVITIES Describe how your organization will do outreach and public awareness of program activities: Public announcements will made during televised City Commission meetings, and on the City's Web. Describe how your organization will complete a self-assessment of its services throughout the program year (Le., client satisfaction questionnaires, online surveys, independent organization audit review, etc.): Annual survey. SECTION VI: CERTIFICATION I certify that the Scope of Services of the program will be carried out as described above. I also understand that I must receive prior formal approval from Miami-Dade County Office of Management and Budget-Grants Coordination for any variations from the operations and performance described above. Signature and Title of Person Completing Form Print Name and Title Page 3 of 3 lii:JiI~~;H f!::'4'i ;~,':r~~~t;~i?ii'l i:;Mg6i!:::~libit1l'aniZatioii':Name~::ti'tf;~;\':S:/::~,~,:';:~i>,~0~":·\·i;:',i,:c:;'<i;:'lf~!,!~,: City of South Miami ;:,';!;' Requested By: ::---,,---:c--;--;-;c--c-;:cc-;::---,:----- Executive Director I Agency Designee Name Executive Dlrecwr (Agency Designee Signature Reviewed By: ==-:--:-_--:::::-_-::;-_:---______ _ OMS Contracts Officer Signature Date Date f:·;:!:;,''i{¥;,i:;;;!:t!i#il;;LiNEi'i~MiiluJji>%Ti~ORM:~;;:':;' i',;;:;:f,,].:',q 'AY;"'~ ~i;i i;·'\\:::2):i1;:';3~!~~t·i':':~a:~.fp:g~m:Nam~W"X,~1!,(;:-"';', li.~ i::']<i'·~: ',';';;';':': ;~i;, Elderly. Services -South Miami Senior Meafs TOTAL: I.~V. For the Budgei Period ApprOVedBY:::-_cc-cc--c~_:--;-c-cc _____________ __ Board President I Vice President Name Board PresIdent I vrce President Signature Approved By: :7OCo--:--C--::CC--CCCC-:-CC-C-------- OMS Contracts & Grants Administrator Date Attachment B (A) 1::;::j'i'~""'i;j)~\~;iY:U :'~;A:'il 5{12!2015 [:1.~i:,~;.0:/(;:Bl:ldaet7r:-~;;'riuu· ;.;.,:<;".-, I Percent of Total Charged to This Date Fiscal Approval (if needed) .Accountant Sl1peNi$or: DIRECT COSTS Contractual Services City of South Miami Elderly Services -South Miami Senior Meals Miami-Dade County October 1, 2014 -September 30,2015 Seni.or Meals ($18,400): Attachment 81 Beginning October 1, 2014 through September 30, 2015, the City of South Miami Parks and Recreation Department staff will distribute two (2) prepackaged meals (cantina-style) to approximately sixty-nine (69) residents at the HUD Senior Center every Friday. These meals will be prepared by the catering company Montoya Holdings, Inc. at a cost of $2.61 per meal. In total, the program will provide approximately 138 meals to resident at the HUD Senior Center every Friday (one meal for Saturday and Sunday) for 52 weeks; for a maximum of 7,049 meals ($18,400/$2.61 per meal) during the contract period. The Senior Site Manager and the Recreational Leaders I are the staff persons responsible for the administrative functions related to this program. Their salaries and all other costs related to the program are covered by the City of South Miami. TOTAL AWARD: $18.400 Page 1 of 1 ATTACHMENT A (B) MIAMI-DADE COUNTY OFFICE OF MANAGEMENT AND BUDGET GRANTS COORDINATION SCOPE OF SERVICE NARRATIVE SECTION I: GENERAL INFORMATION Name of Organization: City of South Miami, Parks & Recreation Department Address: 6130 Sunset Drive, South Miami, Florida 33143 Program Contact Person: Jennifer E. Korth. Grants and Sustainable Initiatives Administrator Phone Number: 305-668-2514 Fax Number: 305-663-6345 E-mail Address: jkorth@southmiamifLgov Fiscal Contact Person: Alfredo Riverol, CFO Phone Number: 305-663-6343 Fax Number: 305-668-7388 E-mail Address: Ariverol@southmiamifl.gov Board President/Chair: N/A Phone Number: N/A Fax Number: N/A E-mail Address: N/A Non-Profit Entity 0 For-Profit Entity 0 Contract Amount: $24.098 Contract Period: October 1, 2014 -September 30, 2015 SECTION II: PROGRAM NARRATIVE Descriptive Program Name: The Afterschool House (Tutoring) Describe the program goals: The goal of the Afterschool House (Tutoring) Program is to provide positive social. cultural, educational, and recreational opportunities for children residing in the City of South Miami. The program will also create a friendly environment and essential after-school services to participants regardless of race, religion, gender, family income, and/or ability to pay for children ages 5 -13 years. Describe the program and services and how program funding will be used: The After-School House Program operates from August -June. Funding will be used to provide. tutoring services which will include reading and math curricula, homework assistance. Identify what Commission District(s) will be served: District 7 Page 1 of 4 ATTACHMENT A (8) Identify the target population that will be served (i.e., children/students, seniors, adults, families, general population, businesses etc.): Children, ages 5 -13. Identify the total number of the target population served (if more than one service, define for each): One hundred (100) children (This is a correction because in years past the scope and monthly progress reports for the After School Program included the participants from both the After School Program and the Summer Camp Program. The participants from the Summer Camp Program should not be included because it is not funded through this grant. The Summer Camp is solely funded by the City of South Miami.) SECTION III: PROFILE OF SERVICES Annual workload measures (for each type of service to be provided including the number of clients to be served in the program) [i.e., 3 hours of after school care for twenty-five (25) children ages 5 -10, one home delivered meal for 50 seniors every day (18,250 meals)]: The program takes place 39 weeks throughout the year and one hundred (100) children grades K through 8th grade will participate in the program. Unit Cost (Define the unit(s) of service and detail the unit cost(s) for the service): The unit cost to serve one hundred participants (100) is $240.98. Identify the period of service delivery for program component(s) that WILL NOT be provided year- round: Winter Recess (December 23m -January 3m), Spring Recess (One week in March), Summer Recess (June through August). Total number of unduplicated clients that will be served during the program year is: 100. Total number of ciients receiving ongoing services: 100. Total number of new clients will be: 0 A typical client will be in the program for: _day(s) _ month(s) -2L week(s) _hour(s) What is the defined workload measure (meals provided, therapy, tutoring, or after-school care hours, program completion, employment, etc.): After-school care hours/tutoring 1.5 hours per day (1 hour of homework, 30 minutes reading). The total number of workload measures that will be provided during the program year: 29,250 hours of after-school careltutoring assistance (100 children x 1,5 hours per day x 5 days per week x 39 weeks), Page 2of4 ATTACHMENT A (B) Location of Service Site(s) and Hours of Service at each Site: (List all administrative and program sites including the physical street address with zip codes, contact information and the hours of operation for each site): • The Afterschool House (Tutoring) Program is located at the Gibson-Bethel Community Center, Murray Park -5800 SW 66th Street, South Miami, Florida 33143. • Hours of Operation for the Center are Monday -Friday, 5:00 am -10:00 pm, Saturday, 9:00 am -6:00 pm, and Sunday, 10:00 am. -2:00 pm and services will be provided from 2:00 pm - 6:00 pm, Monday -Friday. • Afterschool House (Tutoring) Program hours of operation: Monday -Friday, 2:00pm -6:00pm, excluding holidays. The service site phone number is: (305) 663-6319; email: gpough@southmiamifl.gov. SECTION IV: STATEMENT OF OBJECTIVES: (Define measurable and specific program objectives. Please quantify and note timeframe for completion of each objective [l.e.,75% of children attending after school tutoring program will increase their reading score by a full letter grade as measured by pre and post-testing during the contract year]). • Eighty percent (80%) of the children will increase their reading fluency and comprehension as measured by various tests. • Ninety percent (90%) of the students will complete their homework assignments as measured by report cards. • Ninety-five percent (95%) of the children will participate in educational activities as measured by the participation log. BACKGROUND SCREENING INFORMATION The program(s) is serving "at-risk" population: Yes ... X... No=N/A ......... . The minimum age for a client is: _5_ years. The maximum age for a client is: ...JL years. Staff or volunteers working directly with children for more than 10 hours: Yes~ No ~N/A~ SECTION V: ORGANIZATIONAL SUPPORT ACTIVITIES Describe how your organization will do outreach and public awareness of program activities: Public awareness and outreach will be communicated through public announcements during televised City Commission meetings, City's website, and flvers. Describe how your organization will complete a self-assessment of its services throughout the program year (I.e., client satisfaction questionnaires, online surveys, independent organization audit review, etc.): Parent Surveys which are conducted once a year and report cards which are collected four (4) times a year. Page 3 of 4 ATTACHMENT A (B) SECTION VI: CERTIFICATION I certify that the Scope of Services of the program will be carried out as described above. I also understand that I must receive prior formal approval from Miami-Dade County Office of Management and Budget-Grants Coordination for any variations from the operations and performance described above. Signature and Title of Person Completing Form Print Name and Title Page 4 of4 Ei:l"$i%~~w~~~\;n~l 1:':;~~i;:::;';¥i~:,~tE;i~it:'.::2f..'6::-:"::!.:;'li;:::'~;it;0r,9'~liitiohlNa:ro~:~~~':';';:~'ii~i:~'ti;';) :,:':6:1 \:\j';:,:,:;;:8:j,~::~:1 City of South Miami ~~, ~,:\tt~~ i-" Requested By: ~=c:;:::-;;;::::;:::-;-::::==:;::=:::-:;:=:--­E)(ecut/ve Director r Agency Designee Name EXecutive Director I Agency Designee Signature Reviewed By: ;::;;:-==---:--::::::-c:-===-:------- OMS Contrac1s Officer Signature Date Date I!n~:ii;': i'i'i,',':: :,i'''{iNii!ifEM!B116GE~fQifi,;l:,:g'h:;"i':;~' :'~,?~I W~1.';;';"~'~:'::!;"i':':::::""; ':;0' 'it~ ';:;:';;(':;::P,~6'gf,:Uii:N"a'l\'ig:,:;):tl.:~t, ':::~':.i':: ':-,,;~,::;i: IF/&/:: {~i, ''''I The Afterschool House (TutOring) TOTAL: I.~V. For the Budget Period Approved ar. :;::=~==::-;7C=:;:::::===:-------------­Board President I Vice President Name Board President! Vice Presiderrt Signature Approved By: ;;;;:;;-::::::==c;-~=::_:c;:==:::::_--­ OMS Contral::ts So Grants Administrator Date Attat:hment B (8) 1,"'"iii:,,9';,)'5a~"9ii';/Wfl 5/12f2015 ri:,i;;fi._~ :\'1.a:uClgefl~~~:~'''''~'!\'.;ft~q Date Fiscal Approval (if needed) 'Accountant: Supervisor: DIRECT COSTS Personnel: Salaries City of South Miami The Afterschool House (Tutoring) Miami-Dade County October 1,2014 -September 30,2015 Teachersllnstructors ($24,098): Attachment 81 These line items represent the salaries of three (3) part-time instructors. These instructors will dedicate 100% of their time to students enrolled in the After-School House Program, These instructors will provide tutoring and homework assistance for children participating in the program. Grant funds are being charged 100% of these positions' salaries for the period of 18 - 25 weeks, depending on the hours worked per week. After County funds are expended, the City of South Miami will continue to pay for their salaries until the program is completed. The staff person responsible for the administration of this program is the Director of Parks and Recreation and his salary and all other additional costs (i.e. utilities) are covered by the City of South Miami and participant fees. TOTAL AWARD; $24,Q98 Page 1 of 1 FISCALYEAR· .. 20······ ORDINANCE 2. SOUTH MIAMI,FLORIDA THE CITY or l'lEASANr LlVINC COMMISSION -MANAGER FORM OF GOVERNMENT LIST OF PRINCIPAL OFFICIALS ELECTED OFFICIALS Philip K. Stoddard, Ph.D. Vice Mayor Walter A. Harris Commissioner Gabriel Edmond Maria Menendez Commissioner Bob Welsh CHARTERED OFFICIALS City Manager Steven Alexander Commissioner Josh Liebman City Attorney Thomas Pepe, Esq. #1~~l'!:>'1J,>.- Sou[hfJiami THE tHY 01' l'lfASAN'r LIVING GOVERNMENT FINANCE OFFICERS ASSOCIATION D istingu ished Budget Presen tation Award P.RESF.NTI~D TO City of South Miami Florida For the Fiscftl Yenr Bcgi-nning October 1,2013 r:xccutiw Di!cclOI' The Government Finance Officers Association of the United States and Canada (GFOA) presented a Distinguished Budget Presentation Award to City of South Miami, Florida for its annual budget for the fiscal year beginning· October I, 2013. In order to receive this award, a governmental unit must publish a budget document that meets program criteria as a policy document. as an operations gUide. as a financial plan, and as a communications device. This award is valid for a period of one year only. We believe our current budget continues to conform to program reqUirements, and we are submitting it to GFOA to determine its eligibility for another award. HlP. CITY OF l)l~ASI\,"lT UVlNG TABLE OF CONTENTS CITY MANAGER'S BUDGET MESSAGE ___________ --'-___ _ CONSOLIDATED ITEMS DETAIL BY DEPARTMENT FOR FY 15 _______ xvii GENERAL FUND SUMMARY xx GUIDE FOR READERS ____________________ _ HOW TO USE THIS DOCUMENT _________________ 3 ANNUAL BUDGET PROCEDURES 4 BUDGETING AND ACCOUNTING BASIS 5 BUDGET SCHEDULE 8 FINANCIAL AND BUDGETARY POLICIES 10 FUND STRUCTURE 20 FUND OVERVIEW 21 FUND EXPENDITURES 23 GOVERNMENT 26 CITY HISTORY 29 COMPREHENSIVE PLANNING 31 CITY OVERVIEW 34 CITY OF SOUTH MIAMI ORGANIZATIONAL CHART 35 POSITIONS BY DEPARTMENT 36 CAPITAL IMPROVEMENT PROGRAM 5-YEAR PLAN 43 GENERAL FUND BUDGET 53 GENERAL FUND REVENUE PROJECTIONS 54 CITY OF SOUTH MIAMI DEPARTMENTS & DIVISIONS 74 MAYOR AND CITY COMMISSION 75 CITY CLERK'S OFFICE 78 CITY ATTORNEY'S OFFICE 82 CITY MANAGER'S OFFICE 85 FINANCE DEPARTMENT 89 MANAGEMENT INFORMATION SYSTEMS OFFICE. 97 ·PROCUREMENT DIVISION 103 HUMAN RESOURCE OFFICE 108 BUILDING DEPARTMENT 113 /.fi1;::3'i'''~J\ souIhfMiarni THE CIlY OF I'HASANT LlV1NC PLANNING AND ZONING DEPARTMENT ____________ 119 CODE ENFORCEMENT DIVISION 125 PUBLIC WORKS DEPARTMENT 130 PUBLIC WORKS OFFICE OF THE DIRECTOR 132 BUILDING MAINTENANCE DIVISION 137 SOLID WASTE DIVISION 142 STREETS & LANDSCAPING DIVISION 145 MOTOR POOL DIVISION 149 ENGINEERING AND CONSTRUCTION DIVISION 153 POLICE DEPARTMENT 157 PARKS AND RECREATION DEPARTMENT 171 GIBSON-BETHEL COMMUNITY CENTER 193 PARKS LANDSCAPING DIVISION 198 COMMUNITY POOL 202 NON-DEPARTMENTAL 205 SPECIAL REVENUE FUNDS 207 STORMWATER DRAIN TRUST FUND 208 LOCAL OPTION GAS TAX TRUST FUND 212 HOMETOWN DISTRICT IMPROVEMENT TRUST FUND 2 I 5 TREE TRUST FUND 217 PEOPLE'S TRANSPORTATION TAX FUND 219 OTHER FUNDS 222 DEBT SERVICE FUND 223 CAPITAL IMPROVEMENT PROGRAM FUND 232 EMERGENCY RESERVE FUND 235 STATE FORFEITURE FUND 236 FEDERAL FORFEITURE FUND 237 APPENDIX 240 CITY OF SOUTH MIAMI PAY PLAN 241 GLOSSARY 255 Sout~iami TltE CITY OF PLEASANT liVING PARKS AND RECREATION DEPARTMENT CITY OF SOUTH MIAMI BUDGET FY 2014-2015 171 'F1i:;>';"~;~ sou~~fJiami THE CITY OF !'uA')ANT UVINc~ PARKS & RECREATION ORGANIZATIONAL CHART CITY OF SOUTH MIAMI' BUDGET FY 2014-2015 172 TH~ ow OF PLEASANT LIVING PARKS AND RECREATION PROGRAM GUIDE AQUATIC PRQGRAMS Learn to Swim Participants are taught important components of personal safety, personal growth, stroke development, rescue, and water games/sports at each level of our swim program. All of our swim classes are taught by qualified and caring instructors. Location Date/Time Cost Ages Murray Park Aquatic Center Spring 2015 EST $30.00/6-weeks course 5 -12 Water Aerobics Water Aerobics not only helps keep the all important heart and lungs in tip-top condition, but it also strengthens and tones your body. The water resistance means that you'll use far more energy than dancing around a studio, but with less strain on your muscles and joints. Exercising in water is therefore an ideal way to rehabilitate injuries, as well as being a safe workout for anyone with a dodgy back or knees. This class is for adults and seniors, all fitness levels. Location Date J Time Cost Ages Murray Park Aquatic Center Spring 2015". EST $30/monthly pass Adults CITY OF SOUTH MIAMI BUDGET FY 2014-2015 173 TIll: CIT'!' 0)' I'LtASANT LlVINC COMMUNITY PROGRAMS Ed's Boot Camp Ed's Boot Camp is South Florida's oldest boot camp provider. These classes are designed to give you a complete workout Whether you are trying to get in shape, stay in shape or improve your athletic performance. Ed's Boot Camp delivers results by targeting specific areas, including hips glutes, thighs, abs and arms. Location Contact Cost Ages Community Center Ed de la Torre Varies Adults (305) 613-9920 edsbootcamp@gmail.com www.edsbootcamp.com Free Income Tax Preparation The City of South Miami, in partnership with the Department of Treasury Internal Revenue Service, is proud to offer free tax preparation to individuals and seniors with low to moderate incomes (generally those who earn $55,000 or less), persons with disabilities and those who English is second language. Certified volunteers, made possible by the Department of Treasury Internal Revenue Service, provide free, quality tax preparation assistance during tax season beginning January through April 2015. Location Date/Time Cost Rule Community Center Jan. -April 2015 Free Earn $55,000 or less Saturdays only CITY OF SOUTH MIAMI BUDGET FY 2014-2015 174 THE CITY or-I'LEA$I\NT LIVING Int .. o to Compute .. s This class is designed for those who want to learn computer basics, such as using a mouse, icons, start-up menus and much more. Learn how to connect to and explore the World Wide Web (Internet), and how to find information anywhere in the world from the comfort of your seat. Location Date/Time Cost Ages Community Center Spring 20 I 5 ... EST $50.00 Adults Microsoft Office 20 I 0 Training Courses Microsoft Office training course is a hands-on, project-oriented class for beginners with a basic knowledge of computer usage. Students will learn how to create impressive, professional-looking documents, slides, and spreadsheets using Microsoft Word, Microsoft PowerPoint, and Microsoft Excel. Location Date/Time Cost Ages Community Center Spring 2015 ... EST $50.00 Adults Martial Arts Martial Arts have been one of the best tools for teaching children of all ages to become more confident, disciplined and focused -for over 2,000 years! Many kids who learn Karate, Kung-Fu or Tae Kwon Do typically get better grades, have a higher self-esteem and have learned how to defend themselves -mentally and physically. Location Date/Time Cost Ages . Community Center Coming soon ... TBA 5-16 CITY OF SOUTH MIAMI BUDGET FY 2014-2015 175 . '.!J!~'~~\ SoufhVMiami nu: CITY m PUASANT LIVING Zumba Zumba Fitness is a global lifestyle brand that fuses fitness, entertainment and culture into an exhilarating dance-fitness sensation! This class blends upbeat world rhythms with easy-to-follow choreography, for a total-body workout that feels like a celebration. This class is mainly for adults! Location Date/Time Cost Ages Community Center Coming soon ... EST $30/monthly pass Adults SENIOR HAPPENINGS Senior Center and Programs The Parks and Recreation Department Senior Center is designed for those who are sixty years (60) or older. The Senior Center offers a wide array of services such as counseling and support groups, information and referral, health and wellness activities, recreational and social activities, home lunch delivery, computer classes, trips to the mall, movies, grocery store and more! Services include, but not limited to: • A Dining Room • Home Lunch Delivery by Friendly Staff • English for Speakers of Other Languages (ESOL) • Spanish Classes • Art Classes • Exercise Classes • Computer Classes • Sewing and Knitting • Holiday Celebrations • Field Trips and more Location Date/Time Cost Ages Senior Center Ongoing Free 60+ CITY OF SOUTH MIAMI BUDGET FY 2014-2015 176 1'1-1[ CITY 01' l"l.r;ASAN'! liVING SPECIAL EVENTS 8acl<pacl< Giveaway The annual backpack giveaway offers a one-stop-shop for South Miami families to receive their school supplies and to attain resources for community center activities. The backpacks contain a variety of school supplies and will be given out on a first come, first served basis until there are none left to give away. The backpacks will include pencils, pencil pouches, erasers, high lighters, sharpeners, glue sticks, scissors, rulers, loose leaf notebook paper, composition notebooks, and hand sanitizers. Local businesses and individual supporters have joined the effort to give every youth what they need to start the school year off with success. Location Date/Time Cost Ages Community Center TBD in Aug. 20 I 5 Free 5-16 4:00-6:00p Safe Streets Halloween Trick or treating is one of the great adventures of Halloween and adds to many childhood memories. Local shops and vendors join Parks and Recreation staff to give local youth a safe location to obtain fun size treats. South Miami Police closes Sunset Drive for this event, creating a v~hicle free haunted street. It is fun for the whole family to enjoy, and best of all, it's free. Location Date/Time Cost Ages Sunset Drive 10/31114 Free Youth and adults 4:00p-7:00p CITY OF SOUTH MIAMI BUDGET FY 2014-2015 177 (i") South~Miami THE CITY Of' PLEASANT llVINC TUr'l<ey Dr'ive Thanksgiving is the time of year when communities come together in the spirit of giving. Warm up your Thanksgiving appetite by participating in the annual Parks and Recreation Turkey Drive. In collaboration with Interval International, each year Parks and Recreation gives away over 100 turkeys and baskets of dry goods to in-need South Miami residents. The Parks and Recreation Department will be accepting donated turkeys prior to the holiday this year that will later be distributed. Families must pre-register at the Gibson-Bethel Community Center to receive a turkey. There is a limit of one turkey for each requesting family. Location Date/ Time Cost Ages Community Center November 20, 2014 Free Adults Holiday Toy Drive Thanks to the support from Interval International and individual supporters, the Parks and Recreation Department is able to provide toys for boys and girls of South Miami each holiday season. Donations are accepted up until the event. Toys are given to all South Miami resident children. Parents/Guardians must present a valid South Miami ID at the event to receive gifts. During this event the community center gymnasium is transformed into a winter wonderland, complete with the North Pole's mailbox, holiday music and a chance to meet Santa. Ignite your holiday imagination during this fun family event. Location Date/Time Cost Ages Community Center December 17, 2014 Free 5-17 Easter' Egg Hunt Each year over 1000 eggs are spread throughout Murray Park for South Miami's Easter Egg Hunt. Areas are divided by age categories for the children's safety. All of the plastic eggs are filled with candy, toys and other Easter goodies. Don't forget to bring your own basket! Cotton candy, popcorn, light refreshments will be given away. The Easter bunny even makes a guest appearance! Location Date/Time Cost Ages Murray Park April 2, 2015 Free 5-16 CITY OF SOUTH MIAMI BUDGET FY 2014-2015 178 YOUTH ATHLETICS Youth Tackle Football & Cheerleading The City of South Miami offers a competitive youth tackle football and a cheerleading program for both boys and girls ages 5 through 14, These future stars will have an opportunity to learn the fundamentals of youth tackle football OR cheerleading, sportsmanship and develop social skills. Practices are held 4 days a week; games are played one weekday evening and Saturday beginning in August. Cheerleading and Football equipment and uniforms are included. Location Date I Time Cost Ages Murray Park May-November 2015 Residents $80 5 -14 Palmer Park Tuesday -Saturday Non Residents $90 Varies Youth Basketball Program Through Miami Basketball, the city offers coed youth basketball for boys and girls ages 7-13. Youth will have an opportunity to develop and improve skills while playing in an organized league. Participants will learn and practice basketball etiquette, learn rules and basic fundamentals of the game, as well as display values of sportsmanship while having fun, Location Contact Cost Ages Community Center Andre Daniels Varies U7-UI3 (786) 205-5198 www.miamibasketball.net andre@miamibasketball.net CITY OF SOUTH MIAMI BUDGET FY 2014-2015 179 THE CITY OF I'l~ASIINT !.IVING Youth Soccer Program Through South Miami United F.e., the city provides a youth recreational and travel soccer program to our community where children can learn, enjoy and develop in the sport of soccer. Our program emphasizes the values of sportsmanship and teamwork. Location Contact Cost Ages South Miami Park Robert Maseri Recreational $225 U4-U12 305 608-3182 Travel $400 U8-U14 www.smufc.net info@smufc.net Youth Tennis Program Through Montana Tennis Academy, the city provides children with the fundamentals of the game of tennis and educational components that develop life skills. Location Contact Cost Ages Dante Fascell Park Francisco Montana Varies 7-13 (305) 666-8680 www.montanatennisacademy.com montanatennisservices@gmail.com CITY OF SOUTH MIAMI BUDGET FY 2014-2015 180 TI-lE CITY 01' PLEASANT LIVING YOUTH PROGRAMS Afterschool Program The Parks and Recreation Department offers an Afterschool program Monday through Friday, during Miami Dade County's school calendar year. We provide homework assistance, swimming. fitness, recreational sports, computer time, arts and craft and more! Transportation is included from schools located in South Miami. Location Date/Time Cost Ages Community Center Aug. '14 -June' 15 Residents $25/monthly 5 -12 Mon -Fri Non Residents $40lweekly 2-6pm One Day Camp One Day Camps are offered to children ages 5-12. Participants will experience a variety of activities such as arts and craft, computer lab, sports, field trips, swimming and more. Locati'on Date/Time Cost Ages , Community Center Teacher Planning Days Residents $1 O/day 5 -12 8am-6pm Non Residents $30/day CITY OF SOUTH MIAMI BUDGET FY 2014-2015 181 nu: CITY 01' PLEASANT liVING Winter Camp We offer 2-weeks, full-day Winter Break Camp programs for children, ages 5-12, during Miami Dade Public Schools' winter recess. The department provides youth with a variety of structured games, computer lab, sports, character-education exercises, arts and crafts and field trips. Location Date / Time Cost Ages Community Center Dec. 22" -Jan. 2'd Residents $30/weekly 5 -12 Man -Fri Non Residents $75/weekly 8am-6pm Spring Camp We offer full-day Spring Break Camp programs for children, ages 5-12, during Miami Dade Public Schools' spring break. The department provides youth with a variety of structured games, swimming, sports, character-education exercises, arts and crafts and field trips. Location Date/Time Cost Ages Community Center March 23,d _ 27th Residents $30/weekly 5 -12 Man -Fri Non Residents $75/weekly 8am-6pm CITY OF SOUTH MIAMI BUDGET FY 2014-2015 182 nH: (In' 01' I'LEASAN r LlVINC Summer Camp The Department offers a quality, affordable Summer Youth Program, where youngsters find fun, sports, craft projects, active games, art exploration, fitness and nutrition, reading opportunities, swimming at the Murray Park Pool and more. Lunch and snacks are provided. Location Date/Time Cost Ages Community Center June 8th -Aug 14'h 2015 Residents $30/weeldy 5 -12 Mon -Fri Non Residents $75/weekly 8am-6pm . CITY OF SOUTH MIAMI BUDGET FY 2014-2015 183 ~_~~I<.'ll' Sou~fJiami THE ell'l' 0)' !'l~ASAN" LIVING PARKS AND RECREATION DEPARTMENT 001-2000-572 MISSION Our mission is to provide a comprehensive and exceptional recreation and parks experience for our community and future generations. PARKS AND RECREATION DEPARTMENT FUNCTION Planning and' developing parks and facilities that are environmentally sensitive, provide diverse leisure-time opportunities, support the community's vision and desires, and will maintain their value over time. Providing high quality, high impact recreation experiences by organizing, promoting, .and delivering programs and services to our community. Responding to our customers needs through trust and communication. Promoting collaborative efforts with other agencies and businesses to help obtain the vision of the community and providing the quality of life for residents, businesses, and visitors that make people choose South Miami over other areas. PARKS AND RECREATION DEPARTMENT ACCOMPLISHMENTS FOR FY 2014 . • In an effort to enhance recruitment of professional staff, interviews were conducted to fill the position of Recreation Supervisor II (Aquatics/Athletics). • .Installed new recreation business management software, RecPro. • Solicited more vendors which increased participation at park sites. • Increased productivity to improve park aesthetics. • Increased registration numbers by receiving funds from the Community Redevelopment Agency (CRA), which allowed underprivileged children to participate in our Summer Camp Program. • Assistant Director of Parks and Recreation attended Year I NRPA Directors School in Wheeling, WV. • Developed and advertised an RFP for Professional Services for a long-range strategic Master Plan for the Department of Parks and Recreation. CITY OF SOUTH MIAMI BUDGET FY 2014-2015 184 niE CITV Of Pl£AsANT LIVING PARKS AND RECREATION DEPARTMENT OBJECTIVES FOR FY 2015 • • • • Establish a theme for each park to create a distinct identity, aesthetic value, and unique function with a purpose of generating park interest and use. Provide direction for policy development and decision-making to support the parks and recreation system to Year 2020, and beyond, and engage in the development of a long-range master plan for the Parks and Recreation Department. Provide continuous improvements to all City Parks. Research funding opportunities to provide snacks for children in our afterschool program. • • • • • Enhance and provide programs to the community that will provide educational and recreational opportunities. Seek sponsorships, donations andlor in- kind donations that will enhance service offerings. Increase advertising efforts of programs and activities being offered by the Parks and Recreation Department. Provide training opportunities for staff development, Ensure that the Computer Lab is properly used by the seniors and the children in the community, that the Lab is well-staffed and remains open six days a week. CITY OF SOUTH MIAMI BUDGET FY 2014-2015 185 "IJE CITY OF I'UASANl L!VINC.; PARKS AND RECREATION DEPARTMENT ACTIVITY REPORT CITY OF SOUTH MIAMI BUDGET FY2014-201S 186 0012000 0012000 0012000 0012000 0012000 0012000 0012000 0012000 0012000 0012000 0012000 0012000 0012000 0012000 0012000 0012000 0012000 0012000 0012000 0012000 0012000 0012000 0012000 0012000 0012000 0012000 0012000 0012000 0012000 0012000 0012000 0012000 THE CITY OF PLEASANT LIVING PARKS AND RECREATION BUDGET FY 2015 001-2000-572 5721210 SALARIES -REGULAR 266,136 271,499 298,088 5721310 SALARIES -PART TIME 966 3,937 15,034 5722110 F.I.C.A. 18,950 21,262 23,954 5722210 PENSION PLAN CONTRIBUTION 35,483 28,900 25,948 5722220 ICMA 1,280 2,152 8,253 5722310 GROUP HEALTH INSURANCE 28,278 33,243 39,310 5722410 WORKER'S COMPENSATION 12,331 9,898 12,807 TOTAL PERSONNEL SERVICES 363,424 370,8,} I 423,3,}4 5723450 CONTRACTUAL SERVICES 2,899 1,000 2,235 5724070 TRAVEL & CONFERENCE 218 32 298 5724080 EMPLOYEE EDUCATION 630 60 1,525 5724110 POSTAGE 86 56 100 5724120 COMMUNICATION 2,122 3,500 3,060 5724350 ELECTRICITY-CITY PARKS 877 583 4,800 5724515 LIABILITY INSURANCE-AUTO 0 0 4,870 5724632 INTERNET SERVICE 0 125 1,620 5724634 MAINTENANCE-INTERNET SERVICE 0 0 188 5724670 MAINT & REP-PARK FACILITIES 3,702 1,798 2,800 5724690 MAINT & REP-TENNIS 864 0 2,360 5724710 COpy MACHINE 4,350 2,545 5,003 5724820 SPECIAL EVENTS 13,676 4,318 16,500 5725205 COMPUTER EQUIPMENT 0 8,706 9,315 5725210 SUPPLIES 7,215 3,095 3,597 5725220 UNIFORMS 1,058 828 3,155 5725230 FUEL 15,117 12,244 15,120 5725410 MEMBERSHIP & SUBSCRIPTION 1,902 1,763 2,460 5725630 FOOTBALL 38,636 21,417 19,085 5725631 CHEERLEADERS 9,279 5,847 6,626 5725635 DANCEfMQDELING 1,755 0 3,825 5725650 SOCCER PROGRAM 0 468 1,000 5725670 SPECIAL RECREATION PROGRAMS . 6,813 7,543 5,607 5725680 SENIOR CITIZENS PROGRAMS 13,660 13,101 17,746 TOTAL OPERATING EXPENSES 124,859 89,02'J 1 32,8,}4 5729920 CONTINGENCY 0 0 0 OTHER FUNDING SOURCE 0 0 0 TOTAL RECREATION 488,283 459,920 556,288 CITY OF SOUTH MIAMI BUDGET FY 2014-2015 298,088 301,876 15,034 0 23,954 23,093 25,948 13,680 8,253 13,931 39,310 42,538 12,807 9,102 423,3,}4 404,220 2,235 39,475 298 1,092 1,025 3,765 100 100 3,060 6,120 4,800 1,500 4,870 6,129 1,620 720 188 0 2,800 2,800 2,360 2,000 5,003 5,003 16,500 20,000 9,315 9,315 3,597 9,933 3,155 600 15,120 15,120 2,460 2,034 19,085 31,961 6,626 8,410 0 a 700 1,000 5,607 5,698 17,746 23,456 128,269 196,231 0 5,000 0 5,000 551,663 605,451 187 THE CITY Of PtEA5ANT LIVING PARKS AND RECREATION DEPARTMENT BUDGET HIGHLIGHTS 3450 Contractual Services - Annual Parks Software Support. United Site Service-Portable toilets for special events for 5 mo. $220 mo. Toro Pest Management-Fumigation for concession stand at Palmer Park $30 mo. for 12 mo. Miami-Dade County-Fire Inspection for the Community Center. Miami-Dade County Sprinklers Building Inspection. The ADMIT Music Intervention Experience 2,000 1,101 360 174 340 3,975 The Alternative Directions Music Industry Training (ADMIT) Program, Inc., will provide specialized educational, arts enrichment and service learning experience in the application of positive songwriting and recording techniques in the creation of positive songs by youth for distribution throughout their community. The scope will include music industry training, positive songwriting, music track production and recording sessions for three (3) groups of youth. During the sessions participants will learn about music production strategies and techniques, with hands-on participation in creating the music tracks for the selected theme songs, writing positive lyrics, vocal recording of different parts of song (such as verses, choruses, intros), optional attendance at offsite song mixing and mastering sessions, and duplication of 100 CDs with labels containing group photos. Final release and closing ceremony will be conducted where CD products for all groups will be presented and participants may perform, sign and distribute their music in CD release party event. . Fees for services include set-up and breakdown of recording, stage and sound eqUipment, and 100 copies of final CDs. The City of South Miami will own copyrights to recordings. Program Costs: $2,500 (instructor & equipment included) Dance & Tumbling Classes (age 5-12) In preparation for cheerleading season, this class provides an opportunity for students to work on pieces of artistic merit and tumbling routines under the direction of professional instructor. Program Costs: $2,500 (instructor & equipment included) CITY OF SOUTH MIAMI BUDGET FY 2014-2015 188 THE CHY OF IUA~i\NT LIVING Martial Arts have been one of the best tools for teaching children of all ages to become more confident, disciplined and focused -for over 2,000 years! Kids who learn Karate, Kung-Fu or Tae Kwon Do typically get better grades, have a higher self-esteem and have learned how to defend themselves -mentally and physically against a neighborhood or school bully. The city will provide up to 18 scholarships for City of South Miami residents. Program fee: $75 per participant/month ($900 annually) Number of Anticipated Scholarships: 18 Scholarship Amt: $16,200 The contractor will pay the City $1,000 per month for permit: Estimated City Revenue: $12,000 annually Intra to Computers, Email and Internet: This class is designed for those who want to learn computer basics, such as using a mouse, icons, start-up menus and much more. Learn how to connect to and explore the World Wide Web (Internet), and how to find information anywhere in the world from the comfort of your seat. Microsofi Office training course is a hands-on, project-oriented class for beginners. Students will learn how to create impressive, professional-looking documents, slides, and spreadsheets using Microsoft Word, Microsoft PowerPoint, and Microsoft Excel. Program fee: Participants: Overall Program Revenue Contractor (70%): City Revenue Net of Expenses (30%): $50 per participant I session 70 $3,500 $2,450 $1,050 Water Aerobics not only keeps the all important heart and lungs in tip-top condition, but it also strengthens and tones your body. The water resistance means that you'll use far more energy than dancing around a studio, but with less strain on your muscles and joints. Exercising in water is therefore an ideal way to rehabilitate injuries, as well as being a safe workout for anyone with a dodgy back or knees. This class is for adults and seniors, all fitness levels. W citer Aerobics (72 classes -6 months) CITY OF SOUTH MIAMI BUDGET FY 2014-2015 189 ~~,f.'-':"'~:\;-\ Sou[hlJiami Tlif CITY Of PI.EI\SANT LIVING Zumba Fitness is a global lifestyle brand that fuses fitness, entertainment and culture into an exhilarating dance-fitness sensation! This class blends upbeat world rhythms with easy-to-follow choreography, for a total-body workout that feels like a celebration. This class is mainly for adults. and those older adults who can keep up! Zumba Contractor fee: Program fee Participants Revenue (48 classes -6 months) $62 per class or $7,440.00 $30/month (unlimited pass) 30 $5,400 The City will sponsor five (5) teams in Miami Basketball Youth League. 7 & under team 9 & under team II & under team (2) 13 & under team $700 $700 $1,400 $700 4350 Electricity -City Parks -Estimated electricity expense for bay four at the Mobley BUilding. 4670 Maintenance & Repair -Park Facility-Provides for emergency hardware supplies for all City Parks. 4820 Special Events -This line item funds miscellaneous events held at the Community Center. Additionally, contributes funding to the Fourth of July and State of the City Address events. 5205 Computer Equipment- 5210 Supplies - Desktop Computers HP Laser Printer 30 15dn HP Color Laser)et CP4025dn HP Olfieejet 8600 Pro Plus Netgear 4TB NAS Yosemite Tripplite UPS Annual Deep Freeze Maintenance TOTAL Galloway-Office supplies for the Center. Galloway-7 Two Way radios at $225.29 each. CITY OF SOUTH MIAMI BUDGET FY 2014-2015 5,427 699 1,300 299 519 299 522 250 9,315 3,000 1,577 190 THE CITY OF I'LEASANT LIVING Mitylite-15 Tables at $165.29 each and 60 Folding Chairs at $47.94. 5,355 TOTAL 9,933 5410 Memberships & Subscriptions- 5630 Football Florida Recreation Parks & Association Membership. National Recreation & Park Association (NRPA) Direct T.V. Bollinger Insurance TOTAL 350 160 1,224 300 2,034 Football League dues 900 Football & Cheerleading Banquet 300 participants. 999 Homecoming and banquet (Bounce house, tents, etc.) 1,000 Trophies for players. parents, commissioners & coaches. 1,230 Football scale yearly calibrated and certified. 250 Fingerprinting & background check for 30 football volunteers at $20 each. 600 Riddell Football practice uniforms (short sets) at $1 0.44 each. 1,600 Riddell 5 piece pads sets at $17 each. 2,550 Riddell Shoulder pads at $27 for 55 participants. 1,485 Referees' fees 5 home games at $900Ieach. 4,500 Del Aguila J?us Service-transportation to and from football games. 4,500 Riddell-Helmets at $63 each. 2,520 Riddell-Game uniforms. Riddell-Coach's Uniforms 5631 Cheerleading TOTAL Cheerleading League dues & Insurance Cheerleadlng uniforms. Fingerprinting & Background check for 25 cheerleading volunteers at $20 ea. 68 cheerleading trophies at approximately $4.25 each and 12 coach trophies at $4;95 ea. Women Polo 14 coaches at $11.02 ea. TOTAL CITY OF SOUTH MIAMI BUDGET FY 2014-2015 9,000 827 31,961 900 4,174 500 348 2,486 8,410 191 THE CITY OF l'tEASANl LIVING 5670 Special Recreation Program Trophy World-(Track) 40 track trophies for $4.50 each ;$170.00 and (T-Ball) 80 T-Ball trophy for $4.25 each = $340.00 Ayers Distribution-Easter Egg hunt at the Community Center. Easter eggs. P'rty Planet Easter egg hunt event at the Community Center Miscellaneous Track Equipment. Riddell-Track & Field Jersey with matching shorts uniforms. Del Aguila-Miscellaneous Field trips for 'the children. Referees for Sports Events. TOTAL 5680 Senior Citizen Program Dynamic (Massage) Provides information and complimentary massages $120.00 monthly for 12 months Atlantic Broadband Cable Service at SenIor Center Average $52.32 monthly for 12 months Toro Pest Management Exterminator Maintenance for senior building $30.00 monthly for 12 months. Xcess Audio-DJ Services for events' at Senior Center: Valentine's Day, Easter, Mothers day, Fathers Day, Halloween, Black History month, Christmas $210.00 each for 7 events. . Verizon-Monthly air cards at Senior Center averaging $40.05 monthly for 12 months Miscellaneous Purchases -Purchase supplies for all 7 events averaging $400.00 for each = $2,800.00 -Monthly birthday parties for seniors $50.00 each month for 12 months -$600.00 -Theatre for 20 seniors monthly at $8.00 for 12 months =$1,920.00 -Coffee and Cream for Center approximately $40.00 monthly for 12 months = $480.00 Cosgrove Cleaning Supplies $65* 12 months= $780.00 Fields Trips: 6 plays at $30.00 each for 20 seniors $600.00 for 6 plays. Trip to Orlando (Epeot! Animal Kingdom) at $3,000.00. Internal Arts Inc-Tai Chi exercise instruction for seniors. Miami Dade County Life Safety Permit TOTAL CITY OF SOUTH MIAMI BUDGET FY 2014-2015 510 544 400 1,500 993 1,750 0.00 5,698 1,440 627 360 1,470 480 5,800 780 6,600 5,760 138 23,456 . 192 "::L~'" ,r "'\ , A" • ( {~~ i South~Miami n IE Clry OF j'tEASANr LIVING GIBSON-BETHEL COMMUNITY CENTER 001-2020-572 MISSION The mission statement of the Gibson-Bethel Community Center is to promote and provide quality activities and services that will contribute to the physical, mental, emotional, and social well-being of the community. GIBSON-BETHEL COMMUNITY CENTER FUNCTION The Community Center is approximately 30,000 square foot facility with a fitness room, a basketball and volleyball court, mUltipurpose rooms and classroom space for programs and activities. The Community Center functions under the supervision of the Parks and Recreation Director who is responsible for the general operation and programming of the activities and classes. The Community Center was established in 2003 through various grants and other types of funding. GIBSON-BETHEL COMMUNITY CENTER ACCOMPLISHMENTS FOR FY 2014 • • • • • Furnished and installed new VCT commercial tile flooring multipurpose room at the Bethel Community Center. in the Gibson- Achieved the distribution of 400 back packs with school supplies. 16th Annual Turkey Drive provided 500 turkeys to resident children and their families. 16th Annual Toy Drive provided 500 toys to community children including children which participate in our Afterschool House Program. 5th Annual Easter Egg Hunt held at the Gibson-Bethel Community Center, providing an array of fun and exCiting • • • games for community children for over 200 children. 3rd Annual T-Ball season was' held at the Gibson-Bethel Community Center. There were 40 participants that joined this league. The age range was from 5-7 years of age. Collaboration with Strong Women Strong Girls, providing a mentoring program for participants in the Afterschool House Program. Collaboration with Christ Fellowship in' prOViding a free barbecue/picnic for 60 seniors through our South Miami Senior Center at Murray Park. CITY OF SOUTH MIAMI BUDGET FY 2014-2015 193 ""-"''''''\ SouIhfMiami TIn: on OF PlEASNH lIVJt.'G GIBSON-BETHEL COMMUNITY CENTER OBJECTIVES FOR FY 20 15 • • • Improve existing Community Center by diversifying the range of activity opportunities as a means to attract a greater number of park users, including persons of all ages, abilities, and interest. Replace antiquated fitness equipment. Sponsorship and donation for programming, special events and enhancement of parks. • • Continue to support the green initiatives through commitment, to environmental education and conversation. Provide higher educational basis for the Afterschool House program and the Summer Camp program. GIBSON-BETHEL COMMUNITY CENTER ACTIVITY REPORT Winter 31 34 30 30 30 Summer 60 157 150 150 130 After School House 116 114 120 120 120 Track & Field 15 33 45 45 40 Basketball 60 54 55 55 55 T-Ball 60 19 0 0 0 Fitness Center Members 153 180 140 140 140 CITY OF SOUTH MIAMI BUDGET FY 2014·2015 194 0012020 0012020 0012020 0012020 0012020 0012020 0012020 0012020 0012020 0012020 0012020 0012020 0012020 0012020 0012020 0012020 0012020 0012020 #-';"''''''~'''1;-,~ Sou;~tfJiami THE CITY OF I'LE/\$M.n UVINC GIBSON-BETHEL COMMUNITY CENTER FY 2015 001-2020-572 5721210 SALARIES· REGULAR 127,138 146, I 06 136,062 5721310 SALARIES· PART TIME 245.146 283,454 353,982 5721410 SALARIES -OVERTIME 0 209 0 5722110 F.I.C.A. 30,027 34,335 37,488 5722210 PENSION PLAN CONTRIBUTION 16,167 17,541 15,685 5722220 ICMA 550 842 1,900 5722310 GROUP HEALTH INSURANCE 19,517 28,518 26,206 5722410 WORKER'S COMPENSATION 9,855 15,095 20,Q43 TOTAL PERSONNEL SERVICES 448,400 526,100 591,366 5724125 TELEPHONE SERVICE 0 0 5,500 5724310 UTILITIES·ELECTRICITY 56,488 54,993 61,300 5724320 UTI LlTI ES· WATER 8,000 8,698 14,000 5724670 MAINT & REp·GRDS & STRCTR 8,739 9,367 10,340 5724710 COPY MACHINE 1,337 747 1,668 5725210 SUPPLIES 7,942 1,026 1,050 5725550 SCHOOL PROGRAM 4,714 4,672 4,200 5725640 BASKETBALL 3,728 4,637 5,940 5725660 SUMMER CAMP 4,452 6,120 7,950 5725670 SPECIAL REC PROGRAMS 2,122 2,5% 2,000 TOTAL OPERATING EXPENSES 97,522 92,856 I 13,948 TOTAL COMMUNITY CENTER 545,922 618,956 705,314 CITY OF SOUTH MIAMI BUDGET FY 2014·2015 136,062 176,152 . 353,982 286,436 0 0 37,488 35,388 15,685 10,878 1,900 6,606 26,206 35,449 20,043 13,947 591,366 564,856 0 0 61,300 61,300 14,000 2,000 10,340 12,016 1,668 1,668 1,050 29,433 4,200 4,200 5,940 0 7,950 5,728 2,000 1,850 108,448 118,195 699,814 683,051 195 THE CITY OF I'LEASANT LIVING GIBSON-BETHEL COMMUNITY CENTER BUDGET HIGHLIGHTS 4310 Utilities -Electricity -The average monthly electricity bill is $5,083.33 for the field lights at the community Center which amounts to $61,000. The annual cost for the Marshall Williamson Tennis Court lights is approximately $300. 4670 Maintenance & Repair -Grounds & Structures T oro Exterminator Community Center Extermination $58.00 monthly for 12 -months. The amount of $696 is to cover the fumigation for the Community Center. ALSCO Floor Mats maintenance in the Community Center twice a month $41.54 every other week for 26 services a year. To cover the expense for floor mats maintenance at the Community Center. Alfi Electronics Burglary Monitoring Service at Community Center $40.00 a month totaling $480.00 for the year. Maintenance agreement for system $175.00 a month totaling $2, 100.00 for the year. For the monitoring of burglary alarm and for the monitoring and maintaining of all video cameras around the Center, Muscle & Wrench Preventive maintenance for fitness equipment $310.00 quarterly for the year. Muscle & Wrench Equipment repair. Emergency repairs for all machinery in the fitness room. MisceUaneous repairs for our equipments. Miscellaneous cleaning supplies for the Community center, TOTAL 5210 Supplies Galloway-3 office chairs at $167.00 each. 2 office desks at $136.99 each, 2 lateral storage drawers at $299.00 each, 4 storage file pedestal at $164.00 each. Alfi Electronics-Installation of 5 additional cameras throughout the Community Center. Total price includes labor, material and programming. Muscle & Wrench Fitness Equipment-3 Commercial Olympic Weight Bars at $269.00 each with a $65.00 delivery fee. Muscle & Wrench Fitness Equipment-Various small and medium sized pads. Office Supplies Fitness Equipment TOTAL CITY OF SOUTH MIAMI BUDGET FY 2014-2015 696 1,300 2,580 1,240 2,200 2,000 2,000 12,016 2,029 2,375 872 570 3,950 19,637 29,433 196 THE CITY m PLEASANT UVINC 5550 School Programs School supplies', books, learning materials After School House supplies Misc. supplies for events for the House Misc. supplies for After School Misc. supplies for all after school TOTAL 5660 -Summer Camp Del Aguila Transport. for 15 field trips at $200.00 each Books for the education component under summer camp program. T·shirts Plus 310 Summer Camp shirts at $3.80 each. Petty Cash Request $45.00 for 4 chaperones for each field trip (10 field trips). P'rty Planet End of summer camp fun day at $336.30 and $263.70 for any additional fun day purchases. TOTAL 5670 Special Recreation Programs Publix Purchase of turkeys for the Turkey Shoot Event. Oriental Trading Miscellaneous supplies ordered for different events held at the Community Center such as HolidaYI Spring and Summer events. Miscellaneous Dec~rations Elves Parade supplies. Petty Cash needed for the decoration of Elves Parade supplies for the Float. South Florida Age Group Track & Field Membership dues. TOTAL CITY OF SOUTH MIAMI BUDGET FY 20 14·20 15 800 1,200 800 800 600 4,200 3,000 500 1,178 450 600 5,728 300 700 700 150 1.850 197 ATIACHMENT C BID NO.: 6IDTITLE: COLLUSION AFFIDAVIT (Code of Miami-Dade County Section 2-8.1.1 and 10-33.1) (Ordinance No. 08-113) BEFORE ME, A NOTARY PUBLIC, personally appeared -----c---,-~-~~~ who being dWly sworn states: (insert name of affiant) I am over 18 years of age, have personal knowledge of the facts stated In this affidavit and I am an owner, offioer, director, principal shareholder and/or I am otherwise authorized to bind the bidder of this contract. I state that the bidder of this contract: o Is not related to any of the other parties bidding In the competitive solicitation, and that the contractor's proposal is genuine and not sham or collusive or made In the interest or on behalf of any person not therein nameC!, and that the contractor has not, directly or indirectly, Induced or solicited any other proposer to put in a sham proposal. or any other person, firm, or corporation to refrain from proposing, and that the proposer has not In-any manner sought by collusion to secure to the proposer an advantage over any other proposer . .QB 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 shall be ineligible for contract award. In the event a recommended contractor Identifies related parties in the competitive solicitation its bid shall be presumed to be collusive and the recommended contractor shall be ineligible for award unless -that presumption Ie rebutted by presentation of evidence as to the extent of ownership, control and management of such related parties In the prep"ration and submittal of such bids or proposals. Related parties shall mean bidders or proposers or the principals, corporate officers, -and managers thereof which have a direct or indirect ownerShip interest In another bidder or proposer for the same agreement or in which a parent company or the prinoipals thereof of one (1) bidder or proposer have a direct or indirect ownership interest In another bidder or proposer for the same agreement. Bids or proposals found to be collusive shall be rejected, By: Signature of Affiant Printed Name of Affiant and Title __ --;::,--,-___ 20 Date _1_~_-_/_i_/_l_I__1_/ Federal Employer Idehtifloation Number Printed Name of Firm Address of Firm BID NO.: BID TITLE: SUBSCRIBED AND SWORN TO (or affirmed) before me this __ day of __ ~ 20_ He/She Is personally known to me or has presented _____ -=_--;-,-,--::::----:,--__ as identification. Type of identification Signature of Notary Serial Number Print or Stamp Name of Notary Expiration Date Notary Public -state of __ _ Notary Seal Miami-Dade County VENDOR AFFIDAVITS FORM (Uniform Countv Affidavits) Department of Procurement Management Vendor Services Section 111. NW 1st Street! Suite 1300/ Miami! FlorIda 33128~1974 Telephone: 305-375-5773 www.miamidade.q.ovldpm The completlon of the Vendor AffidavIts Form allows vendors to comply wIth. affidavIt requIrements outlined in Section 2-8.1 of the Code of Miami-Dade county. Vendors af"E required to have 1j complete Vendor RegistratIon Package on filer including required affldavfts, prior to the award of any County contr8ct, :tt is the vendors responsibillty to keep aft affidavit infQrmation up tQ data and accurate bv submitting any updates to the Department of Procurement Management, Vendor Services Section. ATIACHMENT 0 FEDERAL EMPLOYER IDENTIFICATION NUMBER (FEIN) In order to estBbllsh (I file for your firmr you must enter vour firm's FEIN. ThIs number becomes your "County Vendor Number", Pfease enter your Federfll Employee Identlffcatlon Number (FEIN) Q[ If none, then enter the owner's SocIal Security Number (SSN). o FEIN NORTH AMERICAN INDUSTRY CLASSIFICATION SYSTEM (NAICS) The North American Industry classification System (NAICS) is the standard used by the federal stzJtlstlcal agencies in r:ilJ5slfylng bus/ness establishments for the purpose of collecting, analyzIng and publishIng statlstlca! data related to the U,S, business economy. o NAICS Code A) Name of EntltYI Indlviduol(s)j Partners or Corporation B) Doing Business As (If some os line-A, [eave blank) Street Address (P.O, Box Number Is-not permitted) City 1 • MIAMI·DADE COUNTY OWNERSHIP DISCLOSURE AFFIDAVIT (S." 2-8,1 of the Miami-Dade Coonty Code) Stale (U.S.A.) Country Zip Code Firms regl~terecl to do bus1ness with Mlqml~Dqde County, snail require the penoll contracting. or transactIng such business with the County to disclose under oath hIs or her full legal name, and business address. Such contract or transaction shall also require the disclosure undar oath of the full Jegal name and bus1ness address of alllnclividuais havh\9 Clny interest (Iegalt'equltable/ beneficial Qr otherwlse) In the contract ot~er than subcontractors, materialmen, ~upp!iers, laborers or lenders. Pas} office box qddresse~ sholl not be (]ccepted hereunder. If the contract or business tr.;:msaction Is wHh a corporation the foregoing informCltrQn shall be provIded for each offIcer and direcior and each stockholder hQlding, directly or [nd1rectly, five (5) pen:ent or more of Ihe outstcmdlng stock in the corporot[on. If the contrtlcf or b\Jslness transaction Is with a partnership! the foregoing Information shall be provided for eOGh partner. If the contract or bUSiness tronsClctlon Is with 0 trvs1, the foregoing Information sholl be prOVided for the tl'\Jstee and eClch beheficiary of !he trust. The foregoing dlsc!Qs\Jre requirements shall not apply to contrOGts wl1h pvblicly-traded corporations, or to controcts wi1h ihe United States or any deportment or qgency thereof, the State or any politico I subdivision or agency 1hereof, or any municipality of this Sfate. U~e dlJp!lcClte page If need~d for additional names. If no o(licerl dire<;tor 01' stockholder owm (5%) or more of slock, plG(lse write HNom/' below. PRINCIPALS I FULL LE;GAL NAME nnE ADDRESS --- .-- OWI>I§RS J CHECK BOXES BELOW . GENDER RACE I ETHNICtTY % i ,~ FULl. I.EGAL NAME TfTLE ADDRESS -;g 0' g j ~ OWNEIU/IJ M F .~ .. , .. ~ • '§i '% 1 ~ :l! ..!l ~ :Hi '" '" '" ~ '" 0 II p pen:ftnfage of the nrm is owned by fJ pubtitly trodod r;(lrporutlcm or by (mother corporaJlon/ rl1dlt;:~te helow In the spat;:e ('elfler Corporations", OTI:!ER CORPORATIONS % .. OWHEIISffll' 9/26120\ \ 2. MIAMI-DADE COUNTY EMPLOYMENT DISCLOSURE AFFIDAVIT (County Ordinance No. 90.133, amending Section 2.8-1 (d)(2) of the Mlami-Dode County Code) The following lnformotion is for compliance with all Items in the aforementioned Sectlonl 1. Does your fIrm hove C1 collective bargcllnlng agreement with Its employees? v,, _____ _ No 2, Does your firm provIde paid health care benefits. for lts employees? Yes No 3. Provide a Gurrent breakdowll (number of persons} In your firm's work force ihdlcating race, natIonal origin and gender. NUMBER OF EMPLOYEES Males Famal&$ White Black c--. HIspanic, Asian/Pacific Islander Native Americoh/Alaskan NCltive Other Tolal Number of Employees I lotal 'iimploYEtes 3. MIAMI-DADE COUNTY EMPLOYMENT DRUG"FREE WORKPLACE CERTIFICATION (Section 2·8.1.2(b) of the Miami· Docie Counly Code) All parsons and entIties: thot contract with MiamI-Dade County are required to certify that they will maintain a drug~free workplace and such persons: and entitles are required to provide notice to employees and to Impose sanctfons for drug violations occurring !n the workploce. In t:ompllance with Ordinance No. 92~ 15 of the Code of Mlam~Dacle County, the-(lbo~ named firm Is providing CI drug~free workploce. A wrUteh statement to each employee shall Inform the employee abou!! 1. Danger of drug abuse fn the workplace 2. The firms) policy of maintaIning a dr()g~free en.vironment at al! workplace~ ·3. Availability of dmg coumellno, rehabHrtation ond employee assbtonce programs 4. Pehaltles that may be Imposed upon employees fo~ drug abuse violalions The firm shall also requIre 01\ employee to sIgn a stellementl as 0 condliion of employment that the employee w1I1 abide by the terms of the drug-free worl<place policy and notify the employer of any crlmlntll drug conviction occurring no IClter Ihan five (5) doys ofter receiving nQtlce of such conviction and Impose .QPproprlate personnel qction against the employee up to ClOd Including termination. FIrms may alsa: comply with the County's Drug Free Workplace Certification where a person or entity Is: reqlJfred to have a drllg~free ytqrkploce policy by onQthe~ l<;Ical, stole or federal agency, or maintains Sl1ch a polky of Its own accord ond such polley meets the intent of thrs orcnnclnce. 4. MIAMI-OADE COUNTY DISABILITY AND NONDISCRIMINATION AFFIDAVIT (Article 1, Section 2-8.1.5 Resolution R182-00 Amending R-385-95 of the Miami·Dade Counl)' Code) Firms: transacting bl)slne~s with MlamlpDade COl1nty shall ·provlde an affidavit Indicating complJance w!fh Cl!f requlremen"h. of the Americans with DisahilltJes Acf (AD.A.), 11 state that Ihis firm, Is In complkmcE/. with tlnd Cl9raes to. contlnl.,le to comply with, and assure,1hat any subcontractor, or thl~cl party contractor shall comply with aU applicable requirements of the laws Includfng, bl.,lt not limited to, those provIsions pertain!n';;! to employment, provision of programs and s-ervlces, tran~portatlon, communlcatrons, access to fadlitles, renovations, and new constrlJction. The American with Disabilltfes Act of 1990 (A,D,A.), Pub. L 101-336,104 Stat 327, 42 U.S,C. Sections 225 and 611 indvdfhg Titles I, II, 111, IV and V. The Rehabl!1tatiotl Act of 1973, 29 U.$,C, Section 794 The Federal TransIt Act, os amended, 49 u.s:c. SectIon 1612 The 'FaIr Housing Act as amended, 42 U.S.C. Section 3601 ~3631 I, hereby affirm that I am in compliance wilh the below sections: Sedlon 2~ 1 0.4(4)(0) of the Code of Miami-D(Jde County (Otdinance No. 82k 37), which reqvJr~s that all propedy licensed archItectural, engineering, landscape architectural, and land surveyors hove art affh'matlve action plan on tile with MiamlwDade County. Section 2~8.1.5 of 'he Code of Miami~Dade CQlmfy. which requires thaf firms that helve annual gros!> revenues in excess of five (5) million dollars have on affirmative action plan and procurement polley on file with Miaml~Dade County. Firms that hove a Board of Directors that O're representative of the population mol<ewup of the notion mqy be ex.empt. 9{2a/2011 5. MIAMI-DADE COUNTY DEBARMENT DISCLOSURE AFFIDAVIT (Section 10.38 of the Miami-Dade County Code) Firms wishing to do busines.'j with Miami-Dade County must certify that Us contradars, subcontractors, officers, principals, stockholders, or affiliates are not deborre:d by the County before submitting a bid. I, cOilfirm thot none of this firrl1s agents, officer~, prlndpals, stockholders} subconlrodon or theIr affiliates are debarred by Miaml- Dade County. 6. MIAMI-DADE COUNTY VENDOR OBLIGATION TO COUNTY AFFIDA vir (Section 2~8, 1 of the Miaml-Dode County Code} Firms wishing to transact business wIth MIami-Dade County must certify that cdl delfnquent and currently due f~es, taxes and parking tld(ets have been paid Clnd no individual or entity In Clrrears in any payment under CI contrad, promissory note 01' other document with the CoUnty shall be allowed to receive (.my new business: I, confirm that aU de!1nquent and currently due fees or toxes Including, but not limited tOI reol and IJersonal property loxes. convention ond tourtst development taxes, utility taxes, and loco! Busines!; Tax Receipt collected it) Ihe normal course by the Miami-Dade County Tax Collector and County Issued p(lrklng tl(;k~ts for vehides registered In the name of the above firm, have been paid. 7. MIAMI-DADE COUNTY CODE OF BUSINESS ETHICS AFFIDAVIT (Arficle 1, Section 2~8, 1 (i) and 2~ 11 (b)(J) {'Jf the M1ami~Dl;Jde Counfy Code through (6) and (9) of the County Code and County Ordinance No OO~ 1 amending Secflon 2·1 J.I (c) of fhe County Code) Firms wishIng to tronsClct bUsiness with Mlami-DCld~ County must certify that it has adopted q Code that complies with the requirements of Sedron 2pB.l of the County Code. The Code of BusIness tfhlcs shall apply to all business that the ccmtrocto"r does with the County and shall, at 0 minimum; require the contractor to corn ply with all applicoble governmentol rules ~nd regulations, . I confirm that this firm has adopted 0 Code of bvslness ethics which complies with the req\J!rements of Sections 2wB.l of the County Code, and that such coda of bU$iness ethics sh(lll apply to all buslne$s that fhfs firm does with the County and shall, ot 0 minimum, require the con~n::lctor to comply with 011 applk;able governmental rules emd regvlatlons. 8. MIAMI-DADE COUNTY FAMIL Y LEAVE AFFIDA VIT (Article V of Chopte, 11, of the Mloml-Dode County Code) Firms controcting business with Mlaml.Dade COlJnty, which have more than fIfty (50) employees for each workIng day during edch of twenty (20) or more work w~eks in the current or preceding calendar year, are required to certify that they provide family leave to their employees. FIrms with las~ than the number .of employees indkated above are exempt from this requlremenf, but most indicate by letter (signed by em authorrzed agent) that ft does not hove the minimum number of employees required by the Coonty Code. I Gonflrm thClt 1f applicable, fhls firm complies with Article V of Chapter 11 of the County Code, which requires that firms contracting business wIth MiamI-Dade County whleh hqve more them fifty {50) employeos for eoch worklng day dvrlng each of twenty (20) or more work weeks [n the current or precedIng calendar yeClr are requIred to c;ertlfy that they provide fClmily leave to their employees, 9. MIAMI-DADE COUNTY LIVING WAGE AFFIDAVIT (Section 2-8.9 of the Miami-Dade Counly Code) All oppJicob'le contractors entering into CI contract with the County sholl agree to pay fhe prevailing living wage required by fhh section of the County Code, . I confirm that If applicable, this firm complies with Section 2wB.9 of the County Code, which requlros fh.;::tt 011 applicable ~mployers entering C1 contract wIth Miaml~OClde County sholl pay the preva!l1ng livIng woge-requfred by the section of the County Code. 10. MIAMI-DADli COUNTY DOMESTIC LEA VE AND REPORTING AFFIDAVIT (A,ticle 8, Section 11A-60 -l1A-67 o{the Mlaml-Dode County Code) 9/2a/2011 Firms wishing to transact business with MIClmlwDade County must certify that It is Tn compn'mc;~ with the Domestic leave Ordinance. I confirm that if appllcable, this firm complies with, the DomestIc leave OrdInance. This ordinCince applies to employers that have, rn the regular course of bl,lslnfi:;ss, fifty (50) or more employees workln~ In MiomlMDade County for each working day during the current or preceding calendar year. Pago 3 AFFIRMATION I, being duly sworn, do attest under penalty of per{vry that the enflty Is In compliance w1th all requirements olJtl1nad In these Miami-Dade County V~ndor Affidavits. I also attest that I will comply with and keep current all stCltements sworn to 10 the above offldavlts Clnd regIstration application. I will notify the MlomlH Dade County, Vendor Services Section Imme?iately If any of the statements aitested hereto are no longer volld, No/ary Public ~ State of: {S!gnqfUre of Affiant) Stoia Printed Nelfne of Affiant and TItle NOTARY PUBLIC INFORMATION SUBSCRfBED AND SWORN TO (or affirmed) before me this _____ clar of by ___________________ _ He or she is personally known to me 0 (Dote) C~unfy of 20 _____ -'-. Or hos produced fdellfiflcalion 0 Type of Idenffficafjon Produced _______ -'-____________________________ _ Signafure of Notary Public Print or Slamp of No/ory Pubfic 9/28/2011 Page 4 (Serial Number) Explra/ion D<:1te Noiary Pub/jc Seal (WIlen applicabfe) AFFIDAVIT 0-1 Applicant Name: __________________________ _ Address: _____________________________ _ Telephone Number: _________________________ _ Pursuant to Miami-Dade County Resolution No. R-630-13, the undersigned certifies, to the best of his or her knowledge and belief, that: 1. Within the past five (5) years, neither the Agency nor its directors, partners, principals, members or board members: (i) have been sued by a funding source for breach of contract or failure to perform obligations under a contract; (ii) have been crred by a funding source for non-compliance or default under a contract;' (iii) have been a defendant in a lawsuit based upon a contract w~h a funding source. Please list any matters which prohibit the Agency from making the certifications required and explain-how the matters are being resolved (use separate sheet if necessary): This is certified by my signature: Applicant's Signature Print Applicant's Name Date Subscribed and sworn to (or affirmed) before rna this day of --' 20_ by . He/she;s personallyknovvn to me ortias presented __ ___________ as identification number: _____________ _ (Print or Stamp of Notary): Expiration Date: ________ _ Notary Seal: Notary Public -State of _~ ____ _ ATTACHMENTE SWORN STATEMENT PURSUANT TO SECTION 287.133 (3) (a), FLORIDA STATUTES, ON PUBLIC ENTITY CRIMES THIS FORM MUST BE SIGNED AND SWORN TO IN TJ-IE PRESENCE OF A NOTARY PUBLIC OR OTHER OFFICIAL AUTHORlZED TO ADMINISTER OATHS 1. This sworn statement Is submitted to ________________ _ by __________ ~~~~~------~~----------------- (Print individual's name and title) for __________ ~~~--~~--~~----~-~---------(Print Name of entity submitting sworn statement) whose business address is _________________ ---'---__ _ and if applicable its Federal Employer Identification Number (FEIN) is ~--c--,-,-----cc--­ If the entity has no FEIN, include th~ 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 law by a person with respect to and directly related to the transactions of business with any public entity or with an agency or political subdivision of any other state or with the United States, including, but not limited to, any bid or contract for goods or services to be provided to public entity or agency or political subdivision of any other state or of the United St<'!tes and involving antitrust, fraud, theft, bribery, collusion, racketeering, conspiracy, or material misinterpretation, 3, I understand that "convicted" or "conviction" as defined ,in Paragraph 287,133 (1)(b), Florida statutes, me<'!ns a finding of guilt or a conviction of a public entity crime, with or without an adjudication of guilt, in any federal or state trial court of record relating to charges brought by indictment or information after July 1, 1989, as a result of a jury verdict, non jury trial, or entry of a plea of guilty or nolo contendere_ 4, I understand that an "affiliate" as defined in paragraph 287,133(1 lea), Florida Statutes, means: A. A predecessor or successor of a person convicted of a public entity crime; or" B. An entity under the control of any natural person who is active In the management of the entity and who has. b\3sn convicted of a public entity crime ' The term "affiliate" includes those officers, directors, executives, partners, shareholders, employees, members, and agents who are active in the management of an affiliate. The ownership by one person of shares constituting a controlling"interest ih another person, or a pooling of equipment or income among persons when not for fair market value under an arm's length agreement, shall be a prima facie case that one person controls another person, A person who knowingly enters into a joint venture with a 10f2 person who has been convicted of a public entity crime in Florida during the preceding 36 months shall be considered an affiliate. 5. I understand that a "person" as defined in Paragraph 287.133(1 )(e), Florida Statutes, means any natural person or entity organized under the laws of any state or of the United States within the legal power to enter into a binding contact and which bids or applies to bid on contracts for the provision of goods or services let by a public entity, or which otherwise transacts or applies to transact business with a public entity. The term "person" includes those officers, executives, partners, shareholders, employees; members, and agents who are active in management of an entity. 6. Based on information and belief, the statement which I have marked below is true in relation to the entity submitting this sworn statement. (Please Indicate which statement . applies.) __ Neither the entity submitting this sworn statement, nor any of Its officers, directors, executives, partners, shareholders, employees, members, or agents who are active in the mqnagement of the entity, nor any affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July 1, 1989. __ The entity submitting this sworn statement, or one or more of its officers, directors, executives, partners, shareholders, employees, members, or agents who are active in the management of the entity, nor any affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July 1, 1989. However, there has been a subsequent proceeding before a Hearing Officer of the State of Florida, Division of Administrative Hearings and the Final Order entered by the Hearing Officer determined that it was not in the public interest to place the entity submitting this sworn statement on the convicted vendor list. (attach a copy of the final order). I UNDERSTAND THAT THE SUBMISSION OF THIS FORM TO THE CONTRACTING OFFICER FOR THE PUBLIC ENTITY IDENTIFIED IN PARAGRAPH 1 (ONE) ABOVE IS FOR THAT PUBLIC ENTITY ONLY AND, THAT THIS FORM IS VALID THROUGH DECEMBER 31 OF THE CALENDAR YEAR IN WHICH IT IS FILED, I ALSO UNDERSTAND THAT I AM REQUIRED TO INFORM THAT PUBLIC ENTITY PRIOR TO ENTERING INTO A CONTRACT IN EXCESS OF THE THRESHOLD AMOUNT PROVIDED IN SECTION 287.017 FLORIDA STATUTES FOR CATEGORY TWO OF ANY CHANGE IN THE INFORMATION CONTAINED IN THIS FORM. (Signature) Sworn to and subscribed before me this _____ day of _____ '--__ --> 20 __ ' Personally known ______________________ _ OR Produced Identification _________ Notary Public -State of _____ _ __ ---;;:;:-_-;-;--;---;:-:;----,-;-----c,--______ My commission expires ______ _ (Type of Identification) (Printed typed or stamped commissioned name of notary public) 20/2 FY 2014 ·15 A~~~C.Y.Na~~\\.~·_".' . Ag~n~~~~.ddf~~~~.' : ... .:' . --R~'mit"td A(id"res~;·.: :',;' .. contact Person: tetephone; .' , Program Name: '" Contracts and Grants Unit stamp Fiscal Unit Starn . (FOR IWA PVRPOSI;Sj MIAMI-DADE COUNTY OFFICE OF MANAGEMENT AND BUDGET. ' GRANTS COORDINATION. , . COST-BASED CONTRACT', " .' . . MONTHl,YSUMMARYOFEXPENDITURESREPORT : < .. '.' ABC Agency Inc. 123 Flagler St. Miami, FL 33130 P.O. Box 123456 Miami, FL 33130 John Doe 305-555-5555 Senior Meals Prin! Month andYear Balow: October 2014 Approved Budget Amount Allocation Amount: Contract'Number: Agreemont Paflod~ Ordinance Number~ Date: Monthly E)(penses ATIACHMENT F Page 1 012 $100,000 15-ABCD-CB·A 101112014·9130/2015 14·125,14-127,14-132 December 16, 2014 Tp pVold delays in paymentl provide complete back-up documentation for aU expenses listed in Column 11 . and provide appropriate authorization on the slgnature p~ge (Page-2, aver) Revised 10/1(2014 Page 2 of2 Approv~d Budget Monthly g){penses Amount CASH ADVANCE APPLIED: Do not fill alii this portion. AMOUNT TO PAY: AUTHORIZATION [hel'eby certifY that this <lxpllTlse report sLlbmifted by the ulldel~ignl.ld ()onstlttltes IIpprovf;l(! budget expenses during the p~riod lililcd Ilbove, and thot 110 expenses forwhrch reimbursement is reqtlcsled hils been or will be reimbursed by nny other funding :rot/fees, Ex~cutlv~ Dirc.ctar I Agency Desigllee Prillt Name I!;xeclltive Dir\!ctol' I Ag~lley DllsigllCC Signoture December 16, 2014 Pl'intTitie Dnle County/Department Use Only C,O, NOTE: C,O, APPROVgp s¥: bATE: INVOICE II: FISCAL PREPARED BY: veNDOR #: DATE: AMOUNT TO PAY: SUPPORTING DOCUMENTATION FOR THIS PAYMENT ON FILE WITH DEPARTMENT Revised 101"\/2.014 Page 1 of.2 OGC 025 (rev_ 10119109) '·";~:"'-cf,,,,,~.,, "?;:~~~" -~~;'" Page 2 of2 OGe 025 (rev. 10119109) Contracts and Grants Unit Stamp FY 2014 ·15 ". Revised 10/112014 Approved l3udget AmQunt (Please go to Page 2, over) Flacal Unit Stamp (FOR IWA PURPOSES) Actua! expens&s from Oot, 1,2014 through Sep. 3(1, 2015 ATIACHMENT H 101112014 -913012015 14-125,14-127,14-132 December 16, 2014 TOTALS: AUTHORIZATION Approved Budget Amount Actual expenses from Oct. '1,2014 through Sap, 30, 2015 Closeout I Final Amount OMB Use Only (Do not write In this I hel'eby certify thllf this cXjlcnstll'tlporf submitted by the undersigned CQllstitlltcs nppN]vecl budget cxpellsc~ during fhe period llsted nilovc,llfld Ihn! flO expenses f{II' which rcimbnl'Scnumt is l'eques!{!{1 hps twen or will be rcil1lhu]'~ed by otllet' funding SOUI'Ce.<>. EXl!cnfivl! OII'{JctOi'j Agency Dtl1iglltlc Print Nllme EXccllti\'e DiI'tl\!f()J' I Agency Designee Signature 1211612014 Print Title ... County/Department Use Only C.O. NOTE: C,O. APPROVED BY: DATE: INVOICE#.: FISCAJ,. PREPA~D BY: VI::.NDOR #: DATEi: AMOUNT TO PAY: riSCAL APPROVED BY. DATE: SUPPORTING DOCUMENTATION FOR THIS PAYMENT ON FILE WITH DEPARTMENT Revised 10/1/2014 ATTACHMENT I PROVIDER'S DISCLOSURE Of SUBCONTRACTORS AND SUPPLIERS (Ordinance 97 -104) Name of Organization: __________ _ Address: __________________ ___ REQUIRED LISTING OF SUBCONTRACTORS ON COUNTY CONTRACT In compliance with Miami-Dade County Ordinance 97-104, the Community Based Organization must submit the list of firsttheir subcontractors or sub-consultants who will perform any part of the Scope of Services Work, if this Agreement is for $100,000 or more. The Community Based Organization must complete this information. If the Community Based Organization will not utilize subcontractors, then the Community Based Organization must state "No subcontractors will be used"; do not state "N/A". NAME OF SUBCONTRACTOR OR SUB-CONSULTANT ADDRESS CITY AND STATE REQUIRED LIST OF SUPPLIERS ON COUNTY CONTRACT In compliance with Miami-Dade County Ordinance 97-104, the Community Based Organization must submit a list of suppliers who will supply materials for the Scope of Services to the Community Based Organization, if this Contract Agreement is $100,000 or more. The Community Based Organization must fill out this information. If the Community Based Organization will not use suppliers, the Community Based Organization must state "No suppliers will be used", do not state "N/A". NAME OF SUPPLIER ADDRESS CITY AND STATE I hereby certify that the foregoing information is true, correct and complete: Signature of Authorized Representative: ________ '---_____ - -Title: ___________________ _ Oale: ________ -'--______ _ Firm Name: ____________ _ Fed. 10 NoL.' __________ _ Address: City/ State/Zip: ________ _ Telephone: ...l,(_.",) ______ Fax: ",C _'-____ E-mail: _________ _ Page 1 ofl (USE SERVICE PROVIDER'S LETTERHEAD) ATTACHMENT J AUTHORIZED SIGNATURE FORM' DATE: This form certifies the names, titles and signatures of Individuals authorized by the Provider to sign contracts, checks, budget revisions, payment requests, and other requests that may be requested by the Office of Management and Budget--Grants Coordination (OMB-GC) for disbursement of funds. Attached hereto and incorporated herein is a certified copy of a duly authorized and executed resolution passed by the Provider's Board that provides for this authorization, These signature authorizations are retained by the OMB-GC for auditing purposes. Should the Provider desire to change the information on this document, a certified and authorized and executed Resolution describing the desired changes should be submitted to the OMB-GC, NAME (please type) TITLE (please type) SIGNATURE I. Prime Contracts and Subcontracts II. III. Budget Revision Requests IV: Payment Requests