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2~ South rMiami CITY OF SOUTH MIAMI OFFICE OF THE CITY MANAGER INTER-OFFICE MEMORANDUM THE CITY OF PI..EASANT LIVING To: FROM: DATE: SUBJECT: BACKGROUND: AMOUNT: ATTACHMENTS: The Honorable Mayor & Members of the City Commission Steven Alexander, City Manager Agenda Item NO.:-2. October 6, 2015 A Resolution authorizing the City Manager to execute FY 2015 Community Development Block Grant agreement with Miami-Dade County Public Housing and Community Development (PH CD) for the SW 64th Street Bike Lane and Street Improvements project in the amount of $336,000. The City of South Miami was awarded funding for the SW 64th Street Bike Lane and Street Improvements (Project) under the Community Development Block Grant (CDBG) Program in a total amount of $336,000 through Miami-Dade County, Public Housing and Community Development (PHCD). The Agreement requires . matched funding in the amount of $84,000 from the City of South Miami. People's Transportation Plan (PTP) funds have been allocated to cover these match requirements. The proposed Project is part of a continuing effort to enhance the transportation system and mobility choices for the residents and visitors to the City of South Miami. This Project was identified in the South Miami Intermodal Transportation Plan (SMITP) completed in early 2015 with a focus on pedestrian safety and mobility. The Project includes buffered bike lanes, drainage renovations, landscaping, signage, pavement marking and resurfacing along SW 64th Street between SW 57th and 62nd Avenue. A main priority of this Project is to provide a safer environment for pedestrians, cyclists, and residents by through infrastructure improvements. The grant period begins on October 1, 2015 and ends on September 30,2017. $336,000.00 with matched funds of 84,000.00 (PTP) G rant Contract 1 RESOLUTION NO. __ _ 2 3 A Resolution authorizing the City Manager to execute FY 2015 Community 4 Development Block Grant agreement as well as loan documents and other 5 documents required by the agreement with Miami-Dade County Public 6 Housing and Community Development (PHCD) for the SW 64th Street Bike 7 Lane and Street Improvements Project. 8 9 10 WHEREAS, the Mayor and City Commission desire to accept the grant of a loan in the 11 amount of $336,000 from Miami-Dade County administered by and through its Department of 12 Public Housing and Community Development (PHCD) that may be forgiven if all conditions are 13 met; and 14 15 WHEREAS, the Agreement will provide funding for the development of a bike lanes on 16 SW 64th Street between SW 57th Avenue and 62nd Avenue; and 17 18 WHEREAS, the Agreement requires matched funding in the amount of $84,000 from the 19 City of South Miami and; 20 21 WHEREAS, the grant period begins on October 1, 2015 and ends on September 30, 22 2017. 23 24 WHEREAS, the Mayor and City Commissioners desire to have the City Manager 25 execute the grant agreement in an amount of $336,000; 26 27 28 NOW, THEREFORE, BE IT RESOLVED BY THE MAYOR AND CITY 29 COMMISSION OF THE CITY OF SOUTH MIAMI, FLORIDA THAT: 30 31 32 Section 1: The City Manager is hereby authorized to execute the grant agreement, loan 33 documents and any related documents required by the agreement with Miami-Dade County 34 Department of Public Housing and Community Development (PHCD) for the SW 64th Street 35 Bike Lane and Street Improvements Project in the amount of $336,000. The grant agreement is 36 attached to this resolution. 37 38 Section 2: Severability. If any section clause, sentence, or phrase of this resolution is for 39 any reason held invalid or unconstitutional by a court of competent jurisdiction, the holding shall 40 not affect the validity of the remaining portions of this resolution. 41 42 Section 3. Effective Date. This resolution shall become effective immediately upon 43 adoption by vote of the City Commission. 44 45 46 47 48 PASSED AND ADOPTED this __ day of ,2015. 49 50 ATTEST: APPROVED: 51 52 53 CITY CLERK MAYOR 54 55 READ AND APPROVED AS TO FORM Mayor Stoddard: 56 LANGUAGE, LEGALITY AND Vice Mayor Harris: 57 EXECUTION THEREOF: Commissioner Edmond: 58 Commissioner Liebman: 59 Commissioner Welsh: 60 61 CITY ATTORNEY 2 Resolution Number: ~::c"= Duns Number: Awarded An10,mt: ~!'!!'!1!l!!!&!! CDBG 2015 Non·Profit FY 2015 COMMUNITY DEVELOPMENT BLOCK GRANT CONTRACT BETWEEN MIAMI·DADE COUNTY AND City of South Miami This Agreement (hereinalter referred to as "Agreement"" or "Contract"), by and between Miami·Dade County, a political subdivision of the State of Florida, hereinafter referred to as "County" and City of South Miami, hereinafter referred to as "Awardee" and having offices at 6130 Sunset Drive, South Miami, FL 33143·5040, and telephone number of (305) 668·2514 states conditions and covenants for the rendering of Community, Economic or Housing activities hereinafter referred to as "Activity or Activities" for the County through its Public Housing and Community Developmenthereinafter referred to as "PHCD," and having its principal offices at 701 NW, 1 Court, 14th Floor, Miami, Florida 33136, collectively referred to as the "Parties," WHEREAS, the Home Rule Charter authorizes Miami·Dade County to provide for the uniform health and welfare of the residents throughout the County a; and WHEREAS, the Community Development Block Grant (CDBG) Program was authorized by the Housing and Community Development Act of 1974, as amended, with the primary objective of promoting the development of viable urban communities; and WHEREAS, the Awardee provides it will develop activities of value to the County and has demonstrated an ability to-provide these activities; and WHEREAS, the County is desirous of obtaining such activities of the Awardee, and the Awardee is desirous of providing such activities; and WHEREAS, the County has appropriated $336,000,00 of CDBG funds (plus any Program Income awarded by the Board of County Commissioners, which shall be added to the Contract by Amendment) to the Activity SW 64th Street between SW 57th Ave and 62nd Ave, located at SW 64 Street between 57 th and 62nd Avenue, Miami. All CDBG funds, except those awarded to County Departments and municipalties, are awarded in the form of a loan that is forgivable if the national objective is met pursuant to the terms and conditions set forth herein, including but not limited to Section II, W(2)(a)(1)'l2); and WHEREAS, the Awardee shall carry out the Activities defined and set forth in Attachment A, "Scope of Services", in Miami-Dade County or the focus area(s) of the county. This contract effective start date is October 1. 2015, and shall expire on September 30,2017, NOW. therefore, in consideration of the mutual covenants recorded herein, the parties hereto agree as follows: I, DEFINITIONS PHCD 24 CFR Part 570 -CDBG Regulations Awardee Community Development Corporation Local Public Housing and Community Developmentor its successor Department. Federal regulations Implementing Title I of the Housing and Community Development Act of 1974, as amended • Community Development Block Grant. Recipient of CDBG funds from Miami·Dade County, A local agency that is organized to meet community development needs with particular emphasis on the economic developmentl housing and revitalization needs of low-and moderate-income area residents and which is receptive to the needs expressed by the community. Having headquarters In Miami·Dade County or having a place of business located in Miami·Dade County from which the Contract or Subcontract will be performed. Page 1 Low~ and Moderate~lncome Individual or Family Very Low Income Individual or Family Contract Records or Agreement Records Federal Award Property Policies and Procedures Manual Subcontractor or Subconsultant Subcontract II. THE AWARDEE AGREES: A person or family whose annual income does not exceed 80% of the median income for the area, as determined by HUD with adjustments for smaller and larger families and with certain exceptions as provided in 24 CFR Part 570. A person or family whose annual income does not exceed 50% of the median income for the area, as determined by HUD with adjustments for smaller and larger families and with certain exceptions as provided in 24 CFR Part 570. Any and all books, records, documents, information, data, papers, letters, materials, electronic storage data and media whether written, printed, electronic or electrical, however collected, preserved, produced, developed, maintained, completed, received or compiled by or at the direction of the Awardee or any subcontractor in carrying out the duties and obligations required by the terms of this contract, including but not limited to financial books and records, ledgers, drawings, maps, pamphlets, designs, electronic tapes, computer drives and diskettes or surveys. Any federal funds received by the Awardee from any source during the period of time in which the Awardee is performing the obligations set forth in this contract. The real property as descibed by legal description in any loan documents executed between Awardee and the County and any real property of Awardee or Related or Affiliated Entities (as defined herein) acquired or improved upon with funds awarded pursuant to this Agreement or on which funds awarded pursuant to this Agreement are anticipated to be used. PHCD's Policies and Procedures Manual flk/a Contract Compliance Manual may be viewed and downloaded at http://www/miamidade.govlhousing/community-development.asp Any individual or firm hired on a contractual basis by the Awardee for the purpose of performing work or functions cited on the Action Step Format (Attachment UA1) of this contract. Any contractual agreement between a Subcontractor and the Awardee. A. The Awardee shall carry out the Activities defined and set forth in Attachment A. "Scope of Services," which is incorporated herein and attached hereto, in the County or the focus area(s) of the County. Awardee acknowledges and agrees that the purpose of CDBG funds is to benefit low- and moderate~income persons. Therefore, Awardee shall carry out the Activities in such a manner as 10 satisfy a National Objective. B. Insurance Requirements Upon PHCD's notification. the Awardee shall furnish to the Department's Community and Housing Management Division (CHMD), 701 NW. 1 Court, 14th floor, Miami, Florida 33136. relevant certificale(s) of Insuranc, in compliance with 24 CFR 84.31 .. and 24 CFR 84.48 as applicable. evidencing insurance coverage as detailed in Attachment B-1(N). The effeclive coverage slart date of applicable insurances shall not be later Ihan the date of Ihe Agreement execution and shall be approved by Miami-Dade County's Internal Services Department prior to any reimbursement being processed. All certificates and insurance updates must identify the names of the Awardee and Ihe Activity being funded through this Agreement. The Awardee shall provide Builder's Risk Insurance andlor Flood Insurance (if applicable) upon the issuance of the Notice to Proceed with an effeclive date for coverage commencing on the Notice to Proceed date. Page 2 Any changes to the required insurance policies, including coverage renewals, must be submitted to PHCD through a formal notice immediately upon occurrence throughout the Agreement period. If the Awardee fails to submit the required insurance documents in the manner prescribed in these requirements within sixty (60) calendar days after the Board of County Commissioners' approval, the Awardee shall be in default of the terms and conditions of the Agreement. C. Certificate of Continuity The Awardee shat! be responsible for ensuring that the insurance certificates required in conjunction with this subsection remain in force for the duration of the Agreement period, including any and all option years, if applicable. In the case of construction and major rehabilitation activities, the Awardee must have the coverage cited in Attachment B-1 (N) of this Agreement at the time that it begins construction on the project. If the insurance certificates are scheduled to expire during the Agreement period, the Awardee shall be responsible for submitting new or renewed insurance certificates to the County at a minimum of thirty (30) calendar days before such expiration. In the event that expiration certificates are not replaced with new or renewed certificates that cover the Agreement period, the County shall suspend the Agreement until the new or renewed certificates are received by the County in the manner prescribed in the requirements; provided, however, that this suspended period does not exceed thirty (30) calendar days. If such suspension exceeds thirty (30) calendar days, the County may, at its sale discretion, terminate the Agreement. Prior to execution of the Agreement by the County and commencement of the contracted services, the Awardee shaH obtain all insurance required under this Section and submit same to the County for approval. All insurance shall be maintained throughout the term of the Agreement. D. Indemnification The County shall not assume any liability for the acts, omissions to act or negligence of the Awardee, its agents, servants or employees; nor shall the Awardee exclude liability for its own acts, omissions to act, or negligence arising out of the Awardee's performance pursuant to this Agreement. The Awardee shall indemnify and hold harmless the County and its officers, employees, agents and instrumentalities from any and 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 Awardee or its employees, agents, servants, partners principals Of subcontractors. The Awardee shall pay all claims and losses in connection therewith and shall investigate and defend all claims, suits or actions of any kind Of. nature in the name of the County. where app!icable, including appellate proceedings, and shall pay all costs, judgments, and attorney's fees which may issue thereon. The Awardee expressly understands and agrees that any insurance protection required by this Agreement or othervvise provided by the Awardee shall in no way limit the responsibility to indemnify, keep and save harmless and defend the County or its officers, employees, agents and instrumentalities as herein provided. Nothing herein is intended to selVe as a waiver of sovereign immunity by the County nor shall any1hing herein be construed as consent by the County to be sued by third parties in any matter arising out of this Agreement. Nothing herein shall be construed to extend the County's or Awardee's liability beyond that provided in section 768.28, Florida Statutes. The provisions of this section survive the termination or expiration of this Agreement. E. National Objective In accordance with 24 CFR Section 570.208 of the federal regulations, the Awardee shall be required to achieve the national objective of Benefit to Low and Moderate Income Persons or Households (LMI). (See Attachment B-2). Awardee shall execute and deliver to the County, simultaneous with this Agreement, a Promissory Note committing to repay the funds provided by the County pursuant to this Agreement in the event that Awardee fails to meet the national objectIve. In the event the CDBG funds subject to this Agreement are to be used for the acquisition or improvement of real property, the Awardee shall also be required to give the County a mortgage or other sercurity instrument to be determined at the absolute and sale discretion of the County Mayor or Mayor's designee in order to secure the loan described in this Agreement. TItle work. and a title insurance policy, if so required in the absolute and sole discretion of the County Mayor or Mayor's designee in order to adequately secure the loan set forth herein, shall be paid for by Awardee. Awardee understands that the County may be liable to the United States Department of Housing and Urban Development ("HUD") for repayment of the federal funds loaned to Awardee pursuant to this Agreement in the event that HUD determines that AWardee has failed to meet the national Page 3 objective. AWARDEE WAIVES ANY RIGHT TO OBJECT TO THE REPAYMENT OF FUNDS, PURSUANT TO THIS AGREEMENT AND/OR THE PROMISSORY NOTE, IN THE EVENT THAT HUD DETERMINES THAT THE AWARDEE HAS NOT MET THE NATIONAL OBJECTIVE. The County shall have all rights and remedies in law and equity to seek repayment of funds loaned to Awardee pursuant to this Agreement. F. Documents and Reporting Requirements The Awardee shall submit documents to PHCD or report on relevant infonnation to PHCD as described below and provide any other documents in whatever form, manner, or frequency as prescribed by PHCO. These will be used for monitoring progress, performance, and compliance with this Agreement and for compliance with applicable County and Federal requirements. 1. Certificates of Insurance The original certificate, as set forth in Attachment B·1 (N) to be received by PHCD wilhin the first month of this Agreement period, and submitted with each payment request, including any renewals, prior to payments made by the County. The effective date of the coverage must coincide with the beginning date of this agreement. 2. Progress Reports a. The Awardee shall submit each quarter a status report using the form attached hereto as Attachment C, "Progress Report," as it may be revised by PHCD, which shall describe the progress made by the Awardee in achieving each of the Activities, objectives and action steps identified herein, including but not limited to Allaehmen! A and Attachment A-1. The Awardee shall ensure that PHCD receives each report in triplicate (or as indicated) no later than 10 days after the quarter ends. The Awardee shall submit to PHCD a cumulative account of its activities under this agreement by completing the following portions ol!he Progress Report Form: Section 1-General Information Section II -Financial Information: The Awardee must report expenditure information based on approved budgeted line items to reflect all costs incurred during the reporting period. In addition, the Awardee shall report on Program Income, depicting the twenty percent (20%) to be paid to the County quarterly as well as Awardee's usage of Program Income for each contracted activity. Section III -Status of Contracted Activities: The Awardee must report specific information regarding the status of the contracted activities, including accomplishments and/or delays encountered during the implementation of the project and an unduplicated count of clients selVed during the reporting period (if applicable) lor each federally defined elhnic category. Awardees engaged in construction and/or housing rehabilitation projects shall report on the progress of their activities including the number of housing units completed and occupied by low-moderale and low income residents. The Awardee shall also report demographic information on each head of household. Each goal and corresponding objective(s), as indicated in the approved Scope of Services, must be addressed as part of this report. Awardees engaged in job creation projects shall report on the progress of their activities including the names of businesses assisted, the number of jobs created and the income qualification of individuals holding the jobs created. 50% and 70% Benchmark Reporting: At Ihe time Awardee has been paid or otherwise received fifty percent (50%) and seventy percent (70%) of the Agreement Funds, Awardee must report -on the nexl progress report due --and submit documentation to show sufficient to show that Awardee has accomplished 50% and 70%, respectively, of the Activities described herein. For Awardees engaged in construction and/or housing rehabilitation projects, Awardees shall Page 4 report on the progress of their activities including the number of housing units completed and occupied by low-moderate and low income residents. The Awardee shall also report demographic information on each head of household, Each goal and corresponding objective(s), as indicated in the approved Scope 01 Services, must be addressed as part of this report. Awardees engaged in job creation projects shall report on the progress of their activities indud'ing the names of businesses assisted, the number of jobs created and the income qualification of individuals holding the jobs created, In conjunction with the progress reports submitted, Awardee shall submit the Peliormance & Benefit Data Supplement (the "Supplement") to the Quarterly Expenditure & Progress Report. The Supplement shall be considered a part 01 the progress reports due pursuant to this Agreement, Section 111-Contract and Subcontract Activity Report: Contract and Subcontract Activity Report (First and Third Quarter Progress Report) -The Awardee shall report to PHCD the number of business activities involving minority vendors, including subcontractors performing work under this Agreement. The "Contract and Subcontract Activity Report" Section in Attachment C, and when applicable Section 3 in the same Attachment shall be completed semiannuallY by the Awardee and submitted to PHCD no later than 10 days after the first and third quarter. Section IV -Neighborhood Employment Opportunities: Neighborhood Employment Opportunities Report (First and Third Quarter Progress Report) -The Awardee shall report to PHCD the number of target and service area residents who have received employment opportunities from federally financed and assisted projects and activities, The Neighborhood Employment Opportunities Report shall be submitted using the Progress Report Form attached hereto as a Section in Attachment C, as it may be revised, This section of the form shall be completed semiannually by the Awardee and submitted to PHCD no later than 10 days after the first and third quarter. The Awardee shall submit to the County, in a timely manner, any other inlonmation deemed necessary by the County to show Awardee has performed its obligations set lorth in this Agreement and to show U.S. HUD that Awardee has met the national object',ve, and its presentation shall comply with the format specified at the time 01 the request. Failure to submit the Progress Reports or other information in a manner satisfactory to the County by the due date shall render the Awardee in noncompliance with this Agreement. The County may require the Awardee to lolieit its claim to payment requests or the County may invoke the termination provision in this Agreement by giving five (5) days written notice 01 such action to be taken. b. Quarterly Reporting when Subcontractors are Utilized Awardees are advised that when Subcontractors or Subconsultants are utilized to lulfill the terms and conditions of this Agreement, Miami-Dade County Resolution No. 1634-93 will apply to this Agreement. This resolution requires the Awardees to file quarterly reports as to the amount of Agreement monies received from the County and the amounts thereof that have been paid by the Awardee directly to Black, Hispanic and Women-Owned businesses performing part 01 the contract work. Additionally, the listed businesses are required to sign the reports, verifying their participation in the contract work aDd their receipt of such monies, For purposes 01 applicability, the requirements 01 this resolution shall be in addition to any other reporting requirements required by law, ordinance or administrative order. Page 5 c. Unspecified Site(s) Objective -If the Awardee has not yet identified a location to carry out any of the activities described in Attachment A, the Awardee shall submit, in tripficate, Progress Reports, using the form attached hereto as part of Attachment C, on a monthly basis until such time as the Awardee complies with the provisions contained within Section II, Paragraph FA. of this Agreement. Copies of the above described Progress Report shall be received by PHCD no later than the tenth (10th) day of each month and shall address the progress undertaken by the Awardee during the prevIous month. This Progress Report shall not be required if the Awardee is submitting the Progress Reports required by Section II, Paragraph F.2.a and Paragraph F.3. 3. Annual Report (Fourth Quarter Progress Report) and Final Report -The Awardee shall submit a cumulative status report (hereinafter referred to as "Annual Report") using the "Progress Report" specified in Section II, Paragraph F.2.a. above, which shall describe the progress made by the Awardee in achieving each of the National Objectives identified in Attachment A during the previous year. The uAnnual Report" must cover the COSG fiscal year beginning on January 1 .and ending on December 31 and shall be received by PHCD no later than 10 days after the year ends. The Final Progress Report submitted by Awardee shall include a summary of services and accomplishments Awardee performed and achieved throughout the term of this Agreement and shall be accompanied by sufficient documentation to show Awardee has met the CDBG Naiional Objective. For Activitles where the National Objective is job creation, the Final Progress Report shall include documentation sufficient to prove to U.S. HUD that Awardee met the National Objective. Awardee shall report all Program Income earned during the year and shall pay to the County all Program Jncome earned unless directed expressly, in writing, to otherwise by the County. 4, Environmental Review -The Awardee immediately upon locating or determining a site for each of the "Unspecified Site" activities to be'carried out pursuant to this Agreement, shall submit information detailing the location of each site for which a Site Environmental Conditions Statement will be prepared. The Environmental Review is to be prepared on information contained in Attachment D, "Information for Environmental Review Form." Notwithstanding any provision of this Agreement the parties hereto agree and acknowledge that this Agreement does not constitute a commitment of funds or site approval, and that such commitment of funds or aoproval may occur only upon satisfactory completion of environmental review and receipt by the County of a release of funds from the U.S. Department of Housing and Urban Development under 24 CFR Part 58. The parties further agree that the provision of any funds to the project is conditioned on the County's determination to proceed with, modify or cancel the project based on the results of a subsequent environmental review. 5. Audit Report -The Awardee shall submit to PHCD an annual audit report in triplicate as required by Section II, Paragraph L of this Agreement, as set forth below. The Awardee shall submit a written statement from its auditing firm to confirm that it has cleared any non- compliance issues stated in the audit, and a written statement from the Auditor that the audit complies with all applicable provisions of 24 CFR Part 84.26, Part 85.26 and OMS A- 133. 6. Personnel Policies and Administrative Procedures -The Awardee shall submit detailed documents describing the Awardee's internal corporate or organizational structure, property management and procurement policies and procedures, personnel management, accounting policies and procedures, etc. Such information shall be submitted to PHCD within 30 days of the execution of this Agreement. 7. Inventory Report -The Awardee shall report annually all nonexpendable personal and real property purchased with CDSG funds from this and previous agreements with the County as specified in Section II, Paragraph Waf this Agreement. 8. Affirmative Action Plan -The Awardee shall report to PHCD information relative to the equality of employment opportunities whenever so requested by PHCD. 9. Disclosure of Related or Affiliated Parties -At the time of contract execution, or at any other time at the request of the County, Awardee shall disclose to the County all Related or Affiliated Parties. Related or Affiliated Parties shall mean persons, corporations, partnerships, or other business entities (a) which have a direct or indirect ownership Page 6 interest in Awardee, (b) which have a parent or principal thereof which has a direct or indirect ownership interest in Awardee, (c) whose members appointed by Awardee, or (d) which the County deems in tts sole discretion to be a Related or Affiliated Party of Awardee. The Awardee shall report this information to the County upon forming the relationship or, if already formed, shall report it immediately, Any supplemental information shall be reported quarterly in the required Progress Report. This provision shall be construed broadly to the benefit of the County. Non-compliance with these requirements will be considered a default, which may result in the immediate termination of the agreement, the recovery of the entire funding award, and the disqualification of funding through PHCD for a period of three years. 10. Reporting on financiaJ Status, Bankruptcy. Rea! Property, or Personal Property Awardee shall notify the County in writing within ten (10) days of the occurrence of any of the following as to Awardee or any Related or Affiliated Parties: a. Any anticipated or pending lis pendens, foreclosure action, arrearage, default, late payment regarding any property of Awardee or Related or Affiliated Parties, including properties not related to this Agreement. Awardee shall also provide the County with a copy of all court filings, notices of default, arrearage or late payment, or any other documents relevant to the disclosures required herein, b. Any legal encumbrance on the Property not permitted in writing by the County. c. Any default or arrearage on any loan, Note or other debt or obligation for which the Property is security. d. Any anticipated or pending bankruptcy, restructuring, dissolution, reorganIzation, appointment of a trustee or receiver. e. Any action, activity, facts, or circumstances that would materially impair performance by Awardee of all the terms and conditions of this Agreement. Failure to comply with these reporting requirements shall constitute a default and shall entitle the County to seek any and all remedies available at law, equity and pursuant to this Agreement. G. Lobbying Prohibition 1. The Awardee shall certify that no federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress tn connection with the awarding of any federal Agreement, the making of any federal grant, the making of any federal loan, the entering into of any cooperative Agreement, and the extension, continuation, renewal, amendment, or modification of any federal Agreement, grant, Joan, or cooperative Agreement. 2. The Awardee shall disclose to PHCD if any funds other than federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this federal Agreement, grant, loan, or cooperative Agreement, on a Standard Form-LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions, 3. The Awardee shall ensure that the language in this Section II, Paragraph G.1. and G.2 be included in the award documents for all subawards at all tiers (including subcontracts, subgrants, and Agreements under grants, loans, and cooperative Agreements) and to ensure that all subrecipients shall certlfy and disclose accordingly in connection with this activity. H. Federal, State, and County Laws and Regulations Page 7 Rules, Regulations and Licensing Requirements 1. The Awardee shall comply with all laws, ordinances and regulations applicable to Ihe selVices contemplated herein, especially those applicable to conflict of interest and collusion. Awardees are presumed to be familiar with all Federal, State and local Jaws, ordinances, codes, rules and regulations that may in any way affect the goods or services offered, especially Executive Order No. 11246 entitled "Equal Employment Opportunity" and as amended by Executive Order No. 11375, as supplemented by the Department of Labor Regulations (41 CFR, Part 60), the Americans with Disabilities Act of 1990 and implementing regulations, the Rehabilitation Act of 1973, as amended, Chapter 553 of Florida Statutes and any and all other local, State and Federal directives, ordinances, rules, orders. and laws relating to peopJe with disabilities. The Awardee will also comply with OMB A-122, OMB A-110, OMS A-21 , OMB A-133, and with the app[icable procedures specified in PH CD's Policies and Procedures Manual found at http://www/miamidade.gov/housinglcommunity-deve[opment.asp, whioh are incorporated herein by reference, receipt of which is hereby acknowledged, and as they may be revised. 2. The Awardee agrees to abide by Chapter II-A, Code of Miami-Dade County ("County Code"), as amended. applicable to non-discrimination in employment, housing and public accommodation, and in accordane with 24 CFR 570.607. 3. Awardee shall comply with, and cause all subcontracts to require compliance with, Florida Statutes, the Miami-Dade County Code of Ordinances, and all applicable building codes, including the Miami-Dade County Building Code and any applicable municipal building code. Failure of Awardee or any subcontractor of Awardee to so comply with these requirements, which inclUdes but is not limited to engaging in construction or repairs without proper building permits or unlicensed professionals engaging in work which requires a license, shall cause this Agreement to be voidable by the County at the County's absolute and sale discretion. In the event the cou'nty voids this Agreement for failure fa comply with the requirements of this section, Awardee Shall forfeit any right to payment pursuant to this Agreement, regardless of when Awardee's or the subcontractor's non~ompliance becomes known to the County. 4. The Awardee shall comply with Section 504 of the Rehabilitation Act of 1973, as amended, which prohibits discrimination on the basis of handicap and requires a minimum number of units to be accessible to persons with disabilities; Title VI of the Civil Rights Act of 1964, as amended, which prohibits discrimination on the basis of race, color, or national origin; the Age Discrimination Act of 1975, as amended, which prohibits discrimination on the basis of age; Tit[e VII[ of the Civil Rights Act of 1968, as amended, and Executive Order 11063 which prohibits discrimination in housing on the basis of race, color, religion, sex, or national origin; Executive Order 11246, as amended which requires equal employment opportunity; and with the Energy Policy, amended and Conservation Act (Pub.L 94-163) which requires mandatory standards and policies relating to energy efficiency. The Awardee also agrees to comply with the Domestic Violence Leave codified as 11A-60 et seq. of the Miami-Dade County Code, which requires an employer, who in the regular course of business has fifty (50) or more employees working in Miami-Dade County for each working day during each of twenty (20) or more calendar work weeks to provide domestic violence leave to its employees. Failure to comply with this local law may be grounds for voiding or terminating this Agreement or for commencement of debarment proceedings against the Awardee. 5. If the amount payable to the Awardee pursuant to the terms of this Agreement is in excess of $100,000, the Awardee shall comply with all applicable standards, orders, or regulations, issued pursuant to Section 306 of the Clean Air Act of 1970 (42 U.S.C. 7401,1857 h), as amended; the Federal Water Pollution ContrOl Act (33 U.S.C. 1251), as amended; Section 508 of the Clean Water Act (33 U.S.C. 1368); Environmental Protection Agency regulations (40 CFR Part 15, 50); and Executive Order 11738. 6. Assurance of Compliance with Section 504 of the Rehabilitation Act -The Awardee shall report its compliance with Section 504 of the Rehabilitation Act whenever so requested by PHCD within the term of this Agreement or the Affordabi[ity Period. 7. Americans with Disabilities Act (ADA) of 1990 -The Awardee shall attest to; and submit the required Disability Non-discrimination Affidavit assuring compliance with all applicab[e requirements of the laws listed below including but not limited to, those provisions Page 8 pertaining to employment, provisions and program services, transportation, communications, access to facilities, renovations, and new construction. 8. Affirmative Action/Non-Discrimination of Employment. Promotion and Procurement Practices (Ordinance #98-30) 4 All firms with annual gross revenues in excess of $5 million, seeking to contract with Miami-Dade County shall, as a condition of award, have a written Affirmative Action Plan and Procurement Policy on file with the Regulatory and Economic Resources Department. Said firms must also submit, as a part of their proposals/bids 10 be filed with the Clerk of the Board, an appropriately completed and signed Affirmative Action Plan/Procurement Policy Affidavit. Firms whose Boards of Directors are representative of the population make-up of the nation are exempt from this requirement and must submit, in writing, a detailed listing of their Boards of Directors, showing the race or ethnicity of each board member, to the County's Regulatory and Economic Resources Department. Firms claiming exemption must submit, as a part of their proposals/bids to be filed with the Clerk of the Board, an appropriately completed and signed Exemption Affidavit in accordance with Ordinance 98-30. These submittals shall be subject to periodic reviews to assure that the entities do not discriminate in their emp~oyment and procurement practices against minorities and women-owned businesses. It will be the responsibility of each firm to provide verification of their gross annual revenues to determine the requirement for compliance with the Ordinance. Those firms that do not exceed $5 million annual gross revenues must clearly state so in their bid/proposal. Any bidderlrespondent which does not provide an affirmative action plan and procurement policy may not be recommended by the County Mayor for award by the Miami-Dade County Mayor. 9. Domestic Violence Leave Affidavit -Prior to entering into any contract with the County, a firm desiring to do business with the County shall, as a condition of award, certify that it is in compliance with the Domestic Leave Ordinance, 99-5 and Section llA-60 of the Miami- Dade County Code. This Ordinance applies to employers that have, in the regular course of business, fifty (50) or more employees working in Miami Dade County for each working day during each of twenty (20) or more calendar work weeks in the current or preceding calendar year. In accordance with Resolution R-185-00, the obligation to provide domestic violence leave to employees shall be a contractual obligation. The County shall not enter into a contract with any firm that has not certified its compliance with the Domestic Leave Ordinance. Failure to comply with the requirements of Resolution R-185-00, as well as the Domestic Leave Ordinance may result in the contract being declared void, the contract being terminated and/or the firm being debarred. 10. Code of Business Ethics -In accordance with Section 2-8.1(1) of the Code of Miami-Dade County each person or entitiy that seeks to do business with Miami-Dade County shall adopt a Code of Business Ethics ("Code"\ and shall submit an affidavit stating that the Awardee has adopted a Code that complies with the requirements of Section 2-8.1 (i) of the Miami-Dade County Code (Form A-12\. Section 2-11.1 (d) of Miami-Dade County Code as amended by Ordinance 00-1, also requires any county employee or any member of the employee's immediate family who has a controlling financial interest, direct or indirect, with Miami-Dade County or any person or agency acting for Miami-Dade County from competing or applying for any such contract as it pertains to this solicitation, must ftrst request a conflict of interest opinion from the County's Ethic Commission prior to their or their immediate family member's entering into any contract or transacting any business through a firm, corporation, partnership or business entity in which the employee or any member of the employee's immediate family has a controlling financial interest, direct or indirect, with Miami-Dade County or any person or agency acting for Miami-Dade County and that any such contract, agreement or business engagement entered in violation of this subsection, as amended, shall render this Agreement voidable. For additional information, please contact the Ethics Commission hotline at (305) 579-9093. 11. Public Entity Crimes -Pursuant to Paragraph 2(a) of Section 287.133, Florida Statutes, a person or affiliate who has been placed on the convicted vendor list following a conviction for a public entity crime may not submit a proposal for a contract to provide any goods or services to a public entity; may not submit a proposal on a contract with a public entity for the construction or repair of a public building or public work; may not submit proposals on Page 9 leases of real property to a public entity; may not be awarded or perform work as a Awardee, supplier, subcontractor, or consultant under a contract with any public entity; and, may not transact business with any public entity in excess of the threshold amount provided in Section 287.017 for Category TVVO ($10,000) for a period of thirty-six (36) months from the date of being placed on the convicted vendor list. The Awardee warrants and represents that it has not been placed on the convicted vendor list The Awardee agrees that should Miami-Dade County discover that the Awardee's representations regarding the list are false, this Agreement shall be terminated on the discretion of Miami-Dade County. Further, should the Awardee be placed on the list at any time during this Agreement Miami- Dade County shall have the right to terminate this agreement 12. Criminal Conviction -Pursuant to Miami-Dade County Ordinance No. 94-34, "Any individual who has been convicted of a felony during the past ten years and any corporation, partnership, joint venture or other legal enti1y having an officer, director, or executive who has been convicted of a felony during the past ten years shall disclose this information prior to entering into a contract with or receiving funding from the County." Failure of the Awardee to disclose this information as required may lead to the termination of this agreement by Miami-Dade County. If Awardee, or any owner, subsidiary, or other firm affiliated with or related to the Awardee, is found by the responsible enforcement agency, the Courts or the County to be in violation of the Acts, the County will conduct no further business with Awardee. Any contract entered into based upon a false affidavit, as listed below, and submitted pursuant to this resolution shall be voidable by the County: 1. Miami-Dade County Vendor Affidavit Form 2. Criminal Record Affidavit 3. Public Entity Crime Affidavit 4. Related-Party Disclosure Information 5. Miami~Dade County Affidavit Regarding Delinquent and Currently Due Fees or Taxes 6. Affirmative Action Affidavits 7. Current on all County Contracts, Loans, and Other Obligations Affidavit 8. Financial and Confiicts of Interest Affidavit 9. Collusion Affidavit If any attesting firm violates any of the Acts below during the term of any contract such firm has with the County, such contract shall be voidable by the County, even if the attesting firm was not in violation at the time it submitted its affidavit. The applicable Acts are as follows: 1. The Americans with Disabilities Act of 1990 (ADA), Pub. L. 101-336, 104 Stat 327, 42 U.S.C. 12101-12213 and 47 U.S.C. Sections 225 and 611 including Title I, Employment; Title II, Public Services; Title III, Public Accommodations and Services Operated by Private Entities; Title IV, Telecommunications; and Title V, Miscellaneous Provisions. 2. The Rehabilitation Act of 1973, 29 U.S.C. Section 794; 3. The Federal Transit Act, as amended 49 U.S.C. Section 1612; 4. The Fair Housing Aot as amended, 42 U.S.C. Section 3601-3631. In addition to the requirements in the Agreement, the Awardee I Department agrees to comply with all the provisions of 24 CFR 570.502, 24 CFR 570.503, and 24 CFR 'Part 570, Subpart K (24 CFR 570.600 -570.614), including the following: Public Law 88-352 and Public Law 90-284; affirmatively furthering fair housing; Executive Order 11063. 24 CFR 570.602 Section 109 of the Housing and Community Development Act. Labor standards (24 CFR 570.603; 29 CFR Part 5). Environmental standards. National Flood Insurance Program. Uniformed Relocation Act. Page 10 Employment and contracting opportunities. Lead-based paint regulations. Eligibility of contractors or sub redpients. Uniform administrative requirements and cost principles. Conflict of interest. Executive Order 12372. Eligibility of certain resident aliens. Architectural Barriers Act and the Americans with Disabilities Act. 13. CDBG-Related Requirements 1. National Objective -Awardee must perform the Activities described herein in a manner in which Awardee meets the national objective of benefit to low- and moderate-income persons. Awardee shall ensure and maintain documentation, acceptable to the County in its sale and absolute discretion, that conclusively demonstrates that each activity assisted in whole or in part wtth CDBG funds is an activity which provides benefit to low-and moderate-income persons, as defined in the CDBG Regulatlons. 2. The Awardee shall comply with all applicable provisions of 24 CFR Part 570 and shall carry out each actvily in compliance with all applicable federal laws and regulations described therein. If the Awardee is a primarily religious entity, it shall comply with all provisions of 24 CFR 570.200 0). 3. The Awardee agrees to comply with (a) the Uniform Relocation Assi;tance and Real Property Acquisition Policies Act of 1970, as amended (URA), and implementing regulations al 49 CFR Part 24 and 24 CFR 570.606(b); (b) the requirements of 24 CFR 570.606(c) governing the Residential Antidisplacement and Relocation Assistance plan under section 104(d) of the HCD Act; and (c) the requirements in 570.606(d) governing optional relocation policies. (The County may preemept the optional policies). The Awardee shal[ provide relocation assistance to persons (families, individuals, businesses, non-profit organizations and farms) that are displaced as a direct result of acquisition, rehabilitaion, demolition or conversion for a CDBG assisted project. The Awardee also agrees to comply with applicable County ordinances, resolutions and policies concerning the displacement of persons from their residences. 4. For each activity or portion of activity described in Attachment A hereto for which a location has not yet been identified, the Awardee shall obtain, immediately after a site is identified by the Awardee, PHCD's written environmental clearance statement and shalt agree in writing to comply with any and all requirements as may be set forth in the Site EnvIronmental Clearance Statement. 5. The Awardee shall cooperate with PHCD in informing the appropriate CDBG citizen participation structures, including the appropriate area committees, of the activities of the Awardee in adhering to the provisions of this Agreement. Representatives of the Awardee shall attend meetings of the appropriate committees and citizen participation structures, upon the request of the citizen partiCipation officers, PHCD, orthe County. 6. The Awardee shall make a good faith effort to address the concerns of the residents of the affected area. The Awardee shall cooperate with PH CD in informing the appropriate CDBG citizen participation structures, including the appropriate area committees, of the activities of the Awardee in adhering to the provisions of this Agreement. Representatives of the Awardee shall attend meetings of the appropriate committees and citizen participation structures, upon the request of the citizen participation officers, PHCD, or the County. 7. For activities involving acquisition, rehabilitation andlor demolition of property and which require the relocation of families, individuals, businesses and/or industries, the Awardee shall submit a written notification to the Community Planning and Outreach Division of PHCD prior to relocating, evacuating, andlor dispersing any and all legal occupants who reside at this property on the basis of a long or short term lease. When the legality of an occupant (individual, family, business, andlor Page 11 industry) is in question, the Awardee shall contact the above mentioned unit prior to making a determination. Awardees receiving CDBG funds shall adhere to 24 CFR part 50 andlor part 58 and to the rules and regulations of the Uniform Relocation Assistance and Real Property Acquisition Act of 1970, as amended.The Awardee shall adopt Affirmative Marketing Procedures and requirements for CDBG assisted projects. These procedures must. consist of actions to provide information and attract eligible persons from all racial, ethnic and gender groups to the available services. The Awardee shall annually assess its affirmative marketing program to determine if the procedures used to comply with the requirements specified in Public Law 88-352 and Public Law 90-284 successfully meet these requirements. The Awardee shall submit to PHCD its Affirmative Marketing Plan no later than 60 days from the date this Agreement is executed. 8. For Housing, Rehabilitation, and Construction activities all conditions in this section will apply throughout the regulatory period identified in the national objective. Throughout that period, the Awardee will be required to submit an annual report regarding their compliance with the national objective; and PH CD will have the right to monitor the activity. 9. The Awardee shall comply with all applicable uniform administrative requirements as described in 24 CFR 570.502 10. For Special Economic Development projects, Awardee is ·reponsib!e for understanding 24 CFR 570.209, which describes HUD's underwriting and project anlaysis requirements. These requirements include, but are not limited to, the analYSIS of Awardee's financing gap or rate of return gap, project feasibllfty, and the reasonableness of costs and Awardee's or owner's equity return. Awardee agrees to defer to the County's analysis of the Activity as conducted in compliance with the CDBG Regulations, including but not limited to 24 CFR 570.209, including Appendix A, as well as OMS guidance Dn using federal funds. Awardee understands that in the event that the Activity fails the analysis cDnducted pursuant to 24 CFR 570.209, Awardee shall have the Dpportunity tD renegotiate this Agreement by modifying the Activity to improve the Activity to the County's satisfadion or to terminate this Agreement with each party paying therr own costs, fees and damages (as applicable). I. Con~icts with Applicable Laws If any provision of this Agreement conflicts with any applicable law or regulation including but not limited to, 24 CFR 570, Dnly the cDnflicting provisiDn shall be deemed by the parties hereto to be modified to be consistent with the law or regulation or to be deleted if modification is impossible. However, the obligations under this Agreement, as modified, shall continue and all other provisions of this Agreement shall remain in full force and effect. The County's determination on whether a provision conflicts shall be final and binding. J. Board Df Directors If the Awardee is a CDmmunity DevelDpment Corporation (CDC), PHCD shall have the Dption to appoint a representative to the Awardee's board of directors. This representative shall not be considered in the counting of a quorum .and shall have no voting privileges. K. Construction If the Awardee engages in, procures, or makes loans for construction work, the Awardee shall: 1. Contact the PHCD representative nDted in Section IV, Paragraph M of this Agreement, prior to taking any action, to schedule a meeting to receive compliance information. 2. Comply with the Awardee's procurement and pre-award requirements and procedures which, at a minimum, shall adhere to all applicable federal standards. Page 12 3, Comply with the Davis-Bacon Act; Copeland Anti-Kick Back Act (18 U,S,C, 874 et seq,); Contract Work Hours and Safety Standards Act (40 U.S.C. 327 Et Seq.); and Lead-Based Paint Poisoning Prevention Act as amended on September 15, 1999; and other related acts, as applicable, 4. Submit to PHCD for written approval all proposed Solicitation Notices, Invitations for Bids, and Requests for Proposals prior to publication. 5. Submit to PHCD all construction plans and specifications and receive PHCD's approval prior to implementation. 6. Contact the PHCD representative noted in Section IV, Paragraph M, prior to scheduling a pre-construction conference. In accordance with industry standards, PHCD will hold ten percent (10%) of the total grant award as a retainer until the construction work is determined by PHCD, in its sale discretion, to be seventy-five percent (75%) completed, At the time that the construction work is determined by PHCD to be seventy-five percent complete, the retainer will be reduced to 5% until the work is completed, Completion shall occur when a Certificate of Occupancy is Issued. 7. The County shall have the right to assign Professional Staff and Technical Assistance from the PubJ1c Housing and Community Developmentto assist the project if the County's staff determines that the Awardee has been unable to conSistently achieve the work and units described within the time frames of the action step format of this agreement. Such involvement may result in a reduction of a maximum of 5% of the Agreement's award to cover the cost of the technical assistance. The Awardee shall cooperate and comply with all requests made by such staff. 8. Execute and record, at the County's request, any of the following documents in order to ensure the Property is used as defined and described in Attachment A of this Agreement: B. Promissory Note· b, Mortgage c. Loan Agreement d. Restrictive Covenant e, Rental Regulatory Agreement f. Collateral Assignment of leases, rents and Contract Rights g, UCC-1 Rider h. Title Insurance Policy L. Audits and Records 1, Nonprofit organizations that expend $500,000 Dr more annually in federal awards shall have a single or program specific audit conducted in accordance with OMS A-133. Nonprofit organizations expending federal awards of $500,000 or more under only one federal program may elect to have a program-specific audit performed, in accordance with OMS A-133. Awardees who will be receiving. or who have received, federal awards for loans or loan guaranteed programs may be required to conduct audits of those programs in accordance with regulations of the federal agencies providing those guarantees or loans. 2. Nonprofit organizations that expend less than $500,000 annually in federal awards shall be exempt from an audit conducted in accordance with OMB A-133, although their records must be available for review (e.g., inspections, evaluations), Such agencies that receive less than $500,000 in combined Federal awards must submit to the County annual compilation reports that describe their penormance. To achieve uniformity regarding the reporting format, such documents must comply with the accounting industry standards by communicating an independent accountant's (1) expression of limited assurance on FINANCIAL STATEMENTS as a result of performing' inquiry and analytic procedures (Review Report); (2) results of procedures performed (Agreed-Upon Procedures Report); (3) non-expressIon of opinion or any form of assurance on a presentation in the form of financial statements information that is the representation of management (Compilation Report); or (4) an opinion on an assertion made by management in accordance with the Statements on Standards for Attestation Engagements (Attestation Report). 3, When the requirements of OMB A-133 apply, an audit shall be conducted for each fiscal year for which federal awards attributable to this Agreement have been received by the Awardee. Each audit shall include a fiscal review, which includes a validation of all Page 13 program generated income and its disposition, especially attributable to CDBG funds, an internal control review, and a compliance review as described in OMB A-133. A copy of the audit report in triplicate must be received by PHCD no later than six months following the end of the Awardee's fiscal year. 4. If an audit is required by Paragraph L of this Agreement, but the requirements of OMS A- 133 do not apply the Awardee may choose to have an audit performed either on the basis of the Awardee's fiscal year or on the basis of the period during which PHCD-federal assistance has been received. In either case, each audit shall cover a time period of n01 more than twelve (12) months and an audit shall be submitted covering each assisted period until all the assistance received from this Agreement has been reported on. Each audit shall adhere to all other audit standards of OMS A-133. as these may be limited to cover only those services undertaken pursuant to the terms of this Agreement. A copy of the audit report in triplicate must be received by PHCD no later than six months following each audit period. 5. The Awardee shall maintain alJ Contract Records in accordance with generally accepted accounting principles, procedures, and practices which shall sufficiently and properly reflect all revenues and expenditures of funds provided directly or indirectly by the County pursuant to the terms of this Agreement. 6. The Awardee shall maintain all Contract Records that document all actions undertaken to accomplish the "Scope of Services" outlined in Attachment A in this Agreement, in accordance with 24 CFR 570.506; 570.503 .. 7. The Awardee shall ensure that the Contract Records shall be at a[l times subject to and avaIlable for full access and review, inspection, or audit by County and federal personnel and any other personnel duly authorized by the County. 8. The Awardee shall include in all PHCD approved subcontracts used to engage subcontractors to carry out any eligible substantive programmatic services, as such services are described in this Agreement and defined by PHCD, each of the record-keeping and audit requirements detailed in. this Agreement. PHCD shall, in its sole discretion, determine when services are eligible substantive programmatic services and subject to the audit and record~keeping requirements described above. 9. The County reserves the right to require the Awardee to submit to an audit by Audit and Management Services or other auditor of the County's choosing at the Awardee's expense. The Awardee shall provide access to all of its records, which retate directly or indirectly to this Agreement at its place of business during regular business hours. The Awardee shall retain all records pertaining to this Agreement and upon request make them available to the County for four years following expiration of the Agreement. The Awardee agrees to provide such assistance as may be necessary to facilitate the review or audit by the County to ensure compliance with applicable accounting and financial standards. 10. The Awardee shall ensure that its auditors share their audit results with and must submit the audit report to PHCD within six months afier the conclusion ofthe audit period. 11. Pursuant to County Ordinance No. 03~2, the Awardee will grant access to the Commission Auditor to all financial and perfonmance related records. property, and eqUipment purchased in whole or in part with government funds. The Awardee agrees to maintain an accounting system that provides accounting records that are supported with adequate documentation. and adequate procedures for determining the allow ability and allocability of costs. M. Protected Records and Documents Any person or entity that performs or assists Miami-Dade County with a function or activity involving the use or disdosure of "Individually Identifiable Health Information (IIHI) andlor Protected Health Information (PHI) shall comply with the Health Insurance Portability and Accountability Act (HIPAA) of 1996 and the Miami-Dade County Privacy Standards Administrative Order. HIPAA mandates privacy, security and electronic transfer standards including but not limited to: 1. Use of information only for performing services required by the Agreement or as required by law; Page 14 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 10 the Contractor and reasonable assurances that IIHlfPHI will be held confidential; 5. Making Protected Health Information (PHI) available to the customer; 6. Making PHI available to the customer for review and amendment, and incorporating any amendments requested by the customer; 7. Making PHI available to Miami-Dade County for an accounting of disclosures; and B. Making internal practices, books and records related to PHI available to Miami- Dade County for compliance audits. PHi shall maintain its protected status regardless of the form and method of transmission (paper records, and/or electronic transfer of data). The Contractor must give its customers 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. N. Retention of Records 1. The Awardee shall retain all Contract Records for a period of at least seven (7) years following the final Close-Out of the Activity/Project (hereinafter referred to as "Retention Period") subject to the limitations set forth below. The final Close·Out of the ActivityfProject is the date when PHCD provides written notification of such. Under no circumstances shall Awardee dispose of any Contract Records prior to Awardee providing the County sufficient documentation to show that the HOME Regulations were fully complied with in Awardee's performance of its obligations under this Agreement and has received confirmation from PH CD that the Activity/Project has been finally Closed·Out in the U.S. HUD IDIS system. Upon Awardee's request in writing for confirmation of said final Close-Out, PHCD shall provide Awardee in writing either confirmation of final Close-Out or a list of documentation required in order to proceed toward final Close-Out. 2. If the County or the Awardee have received or given notice of any kind indicating any threatened or pending litigation, claim or audit arising out of the services provided pursuant to the terms of this Agreement, the Retention Period shall be extended until such time as the threatened or pending litigation, claim or audit is, in the sole and absolute discretion of PHCD, fully, completely and finally resolved. 3. The Awardee shall allow the County, federal personnel, or any person authorized by the County full access to and the right to examine any of the Agreement records during the required Retention Period. 4. The Awardee shall notify PHCD in writing, both during the pendency of this Agreement and after its expiration as part of the final closeout procedure, of the address where all Agreement records will be retained. 5. The Awardee shall obtain written approval of PHCD prior to disposing of any Agreement records within one year after expiration of the Retention Period. o. Provision of Records and Proprietary Rights and Information 1. The Awardee shall provide to PHCD, upon request, all Agreement records. These records shall become the property of PHCD without restriction, reservation, or limitation of their use. PHCD shall have unlimited rights to all books, articles, or other copyrightable materials developed for the purpose of this Agreement. These unlimited rights shall include the rights to royalty~fees; nonexclusive, and irrevocable license to reproduce, publish, or otherwise use, and to authorize others to use, the information for public purposes. 2. If the Awardee receives funds from, or is under regulatory control of, other governmental agencies, and those agencies issue monitoring reports, regulatory examinations, or other Page 15 similar reports, the Awardee shall provide a copy of each report and any follow-up communications and reports to PHCD immediately upon such issuance unless such disclosure is a violation of the rules or policies of the regulatory agencies issuing the reports, 3. Proprietary Information As a political subdivision of the State of Florida, Miami-Dade County is subject to the stipulations of Florida's Public Records Law. The Awardee acknowledges that all computer software in the County's possession may constitute or contain information or materials which the County has agreed to protect as proprietary information from disclosure or unauthorized use and may also constitute or contain information or materials which the County has developed at its own expense, the disclosure of which could harm the County's proprietary interest therein. During the term of the Agreement, the Awardee will not ,use directly or indirectly for itself or for others, or publish or disclose to any third party, or remove from the County's property, any computer programs, data compilations, or other software which the County has developed, has used or is using, is holding for use, or which are otherwise in the possession of the County (hereinafter "Computer Software"). All third-party license agreements must 'also be honored by the Awardees and their employees, except as authorized by the County and, if the Computer Software has been leased or purchased by the County, all hired party license agreements must also be honored by the Awardees' employees with the approval of the lessor or Awardees thereof. This includes mainframe, minis, telecommunications, personal computers and any and all information technology software. The Awardee will report to the County any information discovered or which is disclosed to the Awardee which may relate to the improper use, publication, disclosure or removal from the County's property of any information technology software and hardware and will take such steps as are within the Awardee's authority to prevent improper use, disclosure or removal. 3. Proprietary Rights a) The Awardee hereby acknowledges and agrees that the County retains all rights, title and interests in and to all materials, data, documentation and copies thereof furnished by the County to the Awardee hereunder or furnished by the Awardee to the County andlor created by the Awardee for delivery to the County, even if unfinished or in process, as a result of the Services the Awardee performs in connection with this Agreement, including all copyright and other proprietary rights therein, which the Awardee as well as its employees, agents, subcontractors and suppliers may use only in connection of the performance of Services under this Agreement. The Awardee shall not, without the prior written consent of the County, use such documentation on any other project in which the Awardee or its employees, agents, subcontractors or suppliers are or may become engaged, Submission or distribution by the Awardee to meet official regulatory requirements or for other purposes in connection with the performance of Services under this Agreement shall not be construed as publication in derogation of the County's copyrights or other proprietary rights. b) All rights, title and interest in and to certain inventions, ideas, designs and methods, specifications and other documentation related thereto developed by the Awardee and its subcontractors specifically for the County, hereinafter referred to as "Developed Works" shall become the property of the County. c) Accordingly, neither the Awardee nor its employees, agents, subcontractors or suppliers shall have any proprietary interest in such Developed Works. The Developed Works may not be utilized, reproduced or distributed by or on behalf of the Awardee, or any employee, agent, subcontractor or supplier thereof, without the prior written consent of the County, except as required for the Awardee's performance hereunder. d) Except as otherwise provided in subsections a, b, and c above, or elsewhere herein, the Awardee and its subcontractors and suppliers hereunder shall retain all proprietary Page 16 rights in and to all Licensed Software provided hereunder, that have not been customized to satisfy the performance criteria set forth in the Scope of Services. Notwithstanding the foregoing, the Awardee hereby grants, and shall require that its subcontractors and suppliers grant, if the County so desires, a perpetual, irrevocable and unrestricted right and license to use, duplicate, disclose and/or permit any other person(s) or entity(ies) to use all such Licensed Software and the associated specifications, technical data and other Documentation for the operations of the County or entities controlling, controlled by, under common control with, or affiliated with the County, or organizations which may hereafter be formed by or become affiliated with the County, Such license specifically includes, but is not limited to, the right of the County to use and/or disclose, in whole or in part, the technical documentation and Licensed Software, including source code provided hereunder, to any person or entity outside the County for such person's or entity's use in furnishing any and/or all of the Deliverables provided hereunder exclusively for the County or entities controlling, controlled by, under common control with, or affiliated with the County, or organizations which may hereafter be formed by or become affiliated with the County. No such License Software, specifications, data, documentation or related information shall be deemed to have been given in confidence and any statement or legend to the contrary shall be void and of no effect P. Audits and Inspectors General Nothing in this Agreement shall impair any independent right of the County to conduct audit or investigate activities. The provisions of this section are neither intended nor shaH they be construed to impose any' liability on the County by the Awardee or third parties. The proVisions in this section shall apply to the Awardee, its officers"agents, employees, subcontractors, suppliers and Related or Affiliated Parties. The Awardee shall incorporate the provisions in this section in all subcontracts and all other Agreements executed by the Awardee In connection with the performance of the Agreement. Miami-Dade County Inspectors General Review According to Section 2-1076 of the Code of Miami-Dade County, as amended, Miami-Dade County has established the Office of the' Inspector General which may, on a random basis, peliorm audits on all County contracts, throughout the duration of said contracts, except as otherwise provided below. The cost of the audit of any Contract shall be one quarter (114) of one (1) percent of the total contract amount which cost shall be included in the total proposed amount. The audit cost will be deducted by the County from progress payments to the selected Awardee. The audit cost shall also be included in all change orders and all con1ract renewals and extensions. Exception: The above application of one quarter (1/4) of one percent fee assessment shall not apply to the following contracts: (a) IPSIG contracts; (b) contracts for legal services; (c) contracts for financial advisory services; (d) auditing contracts; (e) facility rentals and lease agreements; (I) concessions and other rental agreements; (g) insurance contracts; (h) revenue-generating contracts; (I) contracts where an IPSIG is assigned at the time the contract is approved by the Commission; 0) professional service agreements under $1,000; (k) management agreements; (I) small purchase orders as defined in Miami-Dade County Administrative Order 3-2; (m) federal, state and local government-funded grants; and (n) interlocal agreements. Notwithstanding the foregoing, the Miami-Dade County Board of County Commissioners may authorize the inclusion of the fee assessment of one quarter (1/4) of one percent in any exempted contract at the time of award. Awardee consents to the powers of the Inspector General. The Miami-Dade County Inspector Genera1 is authorized and empowered to review past, present and proposed County contracts, transactions, accounts, records and programs. !n addition, the Inspector General has the power to subpoena witnesses, administer oaths, require the production of records and monitor existing projects and programs. Monitoring of an eXisting project Of program may include a report concerning whether the project is on time, within budget and in compliance with plans, specifications and applicable law. Upon ten (10) days prior written notice to the Awardee from the Inspector General or IPSIG retained by the Inspector General, the Awardee shall make all requested records and documents available to the Inspector General or IPSIG for inspection and copying. The Inspector General and IPSIG shall have the right to inspect and copy all documents and records in the Awardee's possession, custody or control which, in the Inspector General or IPSIG's sole judgment, pertain to performance of the Agreement, including, but not limited to original estimate flies, worksheets, proposals and Agreements from and with successful and unsuccessful subcontractors and suppliers, all project- Page 17 related correspondence, memoranda, instructions, financial documents, construction documents, proposal and Agreement documents, back-charge documents, all documents and records which involve cash, trade or volume discounts, insurance proceeds, rebates, or dividends received, payroll and personnel records, and supporting documentation for the aforesaid documents and records. Independent Private Sector Inspector General Reviews Pursuant to Miami-Dade County Administrative Order 3-20, the Awardee is aware that the County has the right to retain the services of an Independent Private Sector Inspector General (hereinafter "IPSIG"), whenever the County deems it appropriate to do so. Upon written notice from the County, the Awardee shall make available to the IPSIG retained by the County, all requested records and documentation pertaining to this Agreement for inspection and reproduction. The County shall be responsible for the payment of these IPSIG selVices, and under no circumstance shall the Awardee's prices and any changes thereto approved by the County, be inclusive of any charges relating to these !PSIG services. The terms of this proVision herein, apply to the Awardee, its officers, agents, employees, subcontractors and assignees. Nothing contained in this provision shall impair any independent right of the County to conduct an audit or investigate the operations, activities and performance of the Awardee in connection with this Agreement. The terms of this Article shall not impose any liability on the County by the Awardee or any third party. Commission Auditor Access to Records Pursuant to Ordinance No. 03-2, Awardee shall grant access to the Commission Auditor to all financial and performance related records, property, and equipment purchased in whole or in part with government funds, including funds awarded tp Awardee pursuant to this Agreement. Q. Prior Approval The Awardee shall obtain written approval from PHCD prior to undertaking any of the following: 1. The engagement or execution of any subcontract(s) or Agreement assignments, wherein CDBG funds will be used to pay for goods or services. The Awardee must submit all proposed agreement documents to PHCD at least thirty (30) days prior to the start date of the agreement. PHCD shall have no obligation to approve payment of any expenditure (resulting from an agreement or subcontract) which was incurred prior to the approval by PHCD of such agreement or subcontract. 2. The addition of any positions not specifically listed in the approved budget. 3, The modificatfon or addition of all job descriptions for existing staff. 4, The purchase of all nonexpendable personal property not specifically Jjsted in the approved budget. 5, The disposition of all real, expendable personal, and nonexpendable personal property as defined in Section II, Paragraph W.1. 01 this Agreement. 6. Out-ol-town travel not specifically listed in the approved budget. 7. The disposition of Program Income not specifical!y listed in the approved Program Income budget. 8. The publication of proposed Solicitation Notices, Invitations lor Bids and Requests for Proposals as provided for in Section II, Paragraph K of this Agreement. 9. The disposal of all Agreement records as provided for in Section II, Paragraph N 01 this Agreement. 10. In the event the Awardee wishes to substitute personnel for the key personnel identified by the Awardee's Proposal, the Awardee must notify the County in writing and request written approval for the substitution at least ten (10) business days prior to ef/ecting such substitution. R. Monitoring Page 18 The Awardee shall permit PH CD and other persons duly authorized by PHCD to inspect all Agreement records, facilities, equipment, materials, and services of the Awardee which are in any way connected to the activities undertaken pursuant to the terms of thls Agreement, and/or 10 interview any clients, employees, subcontractors, or assignees of the Awardee. Following such inspection or interviews, PHCD will deliver to the Awardee a report of its findings, and the Awardee will rectify all deficiencies cited by PHCD within the specified period of time set forth in the report, or provide PHCD with a reasonable justification for not correcting the deficiencies. PH CD will determine, in its sole and absolute discretion, whether or not the Awardee's justification is acceptable or if the Awardee must, despite the justification, rectify the deficiencies cited by PHCD in its report, s. Conflict of Interest The Awardee agrees to abide by the provisions of 24 CFR 84.42 (24 CFR Part 85.36 for Public Agencies) and 24 CFR 570.611 with respect to conmcts of interest, and covenants that it presently has no financial interest and shall not acquire any financial interest, direct or indirect, which would conflict in any manner or degree with the performance of services requried under this Agreement. The Awardee further covenants that in the performance of this Agreement no person having such a financial interest shall be employed or retained by the Awardee hereunder. These conflict of interest prOVisions apply to any person who is an employee, agent, consultant, officer, or elected official or appointed official of the County, or of any designated public agencies or subrecipients which are receiving funds under the CDBG Entitlement program. The Awardee certifies and represents that no officer, director, employee, agent, or other consultant of the County or a member of the immediate family or household of the aforesaid has directly or indirectly received or been promised any form of benefit, payment or compensation, whether tangible or intangible, in connection with the grant of this Agreement. The Awardee shall abide and be governed by Miami-Dade County Ordinance No. 72-82 (Conflict of Interest Ordinance), as amended, which is incorporated herein by reference as if fully set forth, in connection with its Agreement obligations hereunder. The Awardee shall disclose any possible conflicts of interest or apparent improprieties of any party that are covered by the above standards. The Awardee shall make such disclosure in writing to PHCD immediately upon the Awardee's discovery of such possible conflict. PHCD will then render an opinion which shall be binding on all parties. The Awardee shall submit to PHCD, within five business days' of execution this Agreement, all updated Conflict of Interest affidavits, Related Party Disclosure statements, list of current Board members, and list of all business associations with the following documents: ",. Original Agreement or its subsequent amendments. ~ Requests for budget revisions. ~ Requests for approval of subcontracts. Non-compliance with the above requirements will be considered a breach of Agreement, which will result in the immediate termination of the agreement, the recovery of the entire funding award, and the disqualification of funding through PHCD for a period of three years. a) Awardee certifies and represents that there are no undisclosed persons or entities interested with the Awardee in this Agreement This Agreement is entered into by the Awardee without any connection with any other entity or person making a proposal for the same purpose, and without collusion, fraud or conflict of interest. No elected or appointed officer or official, director, employee, agent or other consultant of the County, or of the State of Florida (including elected and appointed members of the legislative and executive branches of government), or a member of the immediate family or household of any of the aforesaid: i) is interested on behalf of or through the Awardee directly or indirectly in any manner whatsoever in the execution or the performance of this Agreement, or in the services, supplies or work, to which this Agreement relates or in any portion of the revenues; or Page 19 ji) is an employee, agent, advisor, or consultant to the Awardee or to the best of the Awardee's knowledge any subcontractor or supplier to the Awardee. b) Neither the Awardee nor any officer, director, employee, agency, parent, subsidiary, or affiliate of the Awardee shall have an interest which is in conflict with the Awardee's faithful performance of its obligation under this Agreement; provided that the County, in its sale discretion, may consent in writing to such a relationship, provided the Awardee provides the County with a written notice, in advance, which identifies all the individuals and entities involved and sets forth in detail the nature of the relationship and why it is in the County's best interest to consent to such relationship. c) The provisions of this Article are supplemental to, not in lieu of, all applicable laws with respect to conflict of interest tn the event there 'IS a difference between the standards applicable under this Agreement and those provided by statute, the stricter standard shall apply. d) In the event Awardee has no prior knowledge of a conflict of interest as set forth above and acquires information which may indicate that there may be an actual or apparent violation of any of the above, Awardee shall promptly bring such information to the attention of the County's Project Manager. Awardee shall thereafter cooperate with the County's review and investigation of such information, and comply with the instructions Awardee receives from the Project Manager in regard to remedying the situation. T. Intentionally Left Blank U. Publicity, Advertisements and Signage The Parties agree that the Awardee is funded by the County for CDBG Activities. Further, the Awardee agrees that all events funded by this Agreement shall recognize the County and the United Stales Department of Housing and Urban Development (US HUD), as funding sources and that the Awardee shall ensure that all publicity, public relations, advertisements and signs recognize the County and US HUD for the support of all contracted activities. This is to include, but is not limited to, all posted Signs, pamphlets, wall plaques, cornerstones; dedications, notices, flyers, brochures, news releases, media packages, promotions, and stationery. The use of the official County logo is permissible. The Awardee shall ensure that all media representatives, when inquiring about the activities funded by this Agreement, are informed that the County and US KUD are the funding sources. The Awardee shall notify the County of all events and activities involving the Project ten (10) days prior to the activity or event. When the Awardee obtain(s) the building permit(s), the CHMD Project Manager at the Department, must be notified in order to request the project sign from Miami-Dade County Internal Services Department (ISD). Within thirty (30) days olthe erection olthe sign, the CKMD Project Manager will submit an invoice to the Awardee for payment of the project sign cost. The Awardee is responsible for all costs for replacing any amended, lost, defaced or missing sign. The sign shall remain on the premises at least ninety (90) days after the issuance of the Certificate of Occupancy (CO) or Certificate of Completion (CC). NO WORK SHALL COMMENCE UNTIL THE PROJECT SIGNS ARE SECURED IN PLACE. THE SIGNS SHALL BE IN ACCORDANCE WITH TKE DETAIL SHOWN IN ATTACKMENT F. Payment for furnishing, installing and maintaining the sign shall be under the bid amount for mobilization. V. Procurement The Awardee must take affirmative steps to procure supplfes, equipment, construction, or services to fulfill this Agreement from minority and women's businesses, and to provide these sources the maximum feasible opportunity to compete for subcontracts to be procured pursuant to fhis Agreement. To the maximum extent feasible) these businesses shall be located in or owned by residents of the Community Development areas designated by PHCD in the CDSG application approved by the supervising federal agency. Page 20 The Awardee shall assure that all subcontracts or third party agreements contain provisions with stated goals, that low-income residents from Community Development Target and Service Areas be provided with opportunities for employment and training in cOrLtracted activities_ In conformance with Section 3 of the Housing and Community Development Act of 1968, the Awardee must direct federal financing assistance towards Target Area residents and ensure that employment and economic opportunities be given to low and very low-income persons, particularly those who are reCipients of government assistance for housing according to the guidelines mentioned below: 1. The work to be performed under this Agreement is subject to the requirements of Section 3 of the Housing and Urban Development Act of 1968, as amended, 12 U.S.C. 1701 (Section 3). The purpose of Section 3 is to ensure that employment and other economic opportunities generated by HUD assistance or HUD-assisted projects covered by Section 3, shall, to the greatest extent feaSible, be directed to low-and very low-income persons, particularly persons who are recipients of HUD assistance for housing. 2. The parties to this Agreement agree to comply with HUD's regulations in 24 CFR part 135, which implement Section 3. As evidenced by their execution of this Agreement, the parties to this Agreement certify that they are under no contractual or other impediment that would prevent them from complying with the part 135 regulations. 3. The Awardee agrees to send to each labor organization or representative of workers with which the Awardee has a collective bargaining agreement or other understanding, if any, a notice advising the labor organiza1ion or workers' representative of the Awardee's commitments under this Section 3 clause, and will post copies of the notice in conspicuous places at the work site where both employees and applicants for training and employment positions can see the notice. The notice shaH describe the Section 3 preference, shall set forth minimum number and job titles subject to hire, availability of apprenticeship and training positions, the qualifications for each; and the name and location of the person(s) taking applications for each of the positions; and the antiCipated date the work shall begin. 4. The Awardee agrees to include this Section 3 clause in every subcontract subject 10 compliance with regulations in 24 CFR part 135, and agrees to take appropriate action, as provided in an applicable provision of the subcontract or in this Section 3 clause, upon a finding that the subcontractor is in violation of the regulations in 24 CFR part 135. The Awardee will not subcontract with any subcontractor where the Awardee has notice or knowledge that the subcontractor has been found in violation of the regulations in 24 CFR part 135. 5. The Awardee will certify that any vacant employment positions, including training positions, that are filled (1) after the Awardee is selected but before the Agreement is executed, and (2) with persons other than those to whom the regulations of 24 CFR part 135 require employment opportunities to be directed, were not filled to circumvent the Awardee's obligations under 24 CFR part 135. 6. Noncompliance with HUD's regulations in 24 CFR part 135 may result in sanctions, termination of this Agreement for default, and debarment or suspension from future HUD assisted contracts. 7. With respect to work performed in connection with Section 3 covered Indian housing assistance, section 7(b) of the Indian Self-Determination and Education Assistance Act (25 U.S.C. 450e) also applies to the work to be peliormed under this Agreement. Section 7(b) requires that to the greatest extent feasible (i) preference and opportunities for training and employment shall be given to Indians, and (ii) preference in the award of contracts and subcontracts shall be given to Indian organizations and Indian-owned Economic Enterprises. Parties to this Agreement that are subject to the proviSions of Section ,3 and section 7(b) agree to comply with Section 3 to the maximum extent feaSible, but not in derogation of compliance with section 7(b). 8. Fair Subcontracting Policies (Ordinance 9-7-35) All Awardees on County contracts in which subcontractors may be used shall be subjecllo and comply with Ordinance 97-35 as amended, requiring Awardees to provide a detailed statement of their policies and procedures for awarding subcontracts which: Page 21 a) notifies the broadest number of local subcontractors of the opportunity to be awarded a subcontract; b) invites local subcontractors to submit bids/proposals in a practical, expedient way; c) provides local subconlractors access to information necessary to prepare and formulate a subcontracting bid/proposal; d) allows local subcontractors to meet with appropriate personnel of the Awardee to discuss the Awardee's requiremenfs; and e) awards subcontracts based on full and complete consideration of all submitted proposals and in accordance with the Awardee's stated objectives. All Awardees seeking to contract with the Counfy shall, as a condition of award, provide a statement of their subcontracting policies and procedures (see Attachment G). The County will not execute this Agreement with Awardees who fail to provide a statement of the Subcontractors Policies and Procedures. The County reserves the right to either approve or withdraw its consent to a subcontract if it appears to the County, in its discretion and authority, that lhe subcontract will delay, prevent, or otherwise impair the peiformance of the Awardee's obligations under this Agreement. W. Property 1. Definitions a. Property. As defined on page 2 herein. b. Real Property: Land, land improvements, structures, fixtures and appurtenances thereto, excluding movable machinery and equipment. C. Personal Property: Personal property of any kind except real property. 1) Tangible: All personal property having physical existence. 2) Intangible: All personal property having no physical existence such a's patents, inventions, and copyrights. d. Nonexpendable Personal Property: Tangible personal property of a nonconsumable nature, with a value of $750 or more per item, with a normal expected life of one or more years, not fixed in place, and not an integral part of a structure, facility or another piece of equipment. e. Expendable Personal Property: All tangible personal property other than nonexpendable property. 2. The Awardee shall comply with the real property requirements as slated below: a. Any real property under the Awardee's control that was acquired or improved by Awardee or PH CD in whole or in part with CDBG funds received from PHCD in excess of $25,000 shall be either: 1) Used to meet one of the three (3) CDBG national objectives until five (5) years after the expiration or termination of this Agreement, or for such longer period of time as determined by PH CD in its sole and absolute discretion; or 2) Not used to meet one of the three (3) CDBG National Objectives. In the event the property is not used to meet one of the national objectives for five (5) years following the expiration or termination of Ihis Agreement or such longer period as determined by PHCD, the Awardee shall, in the sole discretion of PHCD, either pay to PHCD an amount equal to the market value of the property as may be determined by PHCD in its sole and absolute discretion, less any proportionate portion of the value attributable to expenditures of non-CDBG funds for acquisition of, or improvement to, the property or transfer the property to PHCD at no cost to PHCD. Reimbursement is not required after the period of time specified in Paragraph W.2.a.1., above. Page 22 b. Any real property under the Awardee's control that was acquired or improved in whole or in part with CDBG funds from PHCD for $25,000 or less shall be disposed of, at the expiration or termination of this Agreement, in accordance with instructions from PHCD. c. All real property purchased or improved in whole or in part with funds from this and previous Agreements with PHCD, or transferred to the Awardee after being purchased in whole or in part with funds from PHCD, shall be listed in the property records of the Awardee and shall. include a legal description; size; date of acquisition; value at time of acquisition; present market value; present condition; address or location; owner's name if different from the Awardee; information on the transfer or disposition of the property; and map indicating whether property is in parcels, lots, Of blocks and showing adjacent streets and roads. The property records shall describe the programmatic purpose for which the property was acquired and identify the CDBG national objective that will be met. If the property was improved, the records shall describe the programmatic purpose for which the improvements were made and identify the CDBG national objective that wilt be met. d, For awards involving the purchase or improvement of rea! property, the Awardee agrees to execute a mortgage, loan document, or restrictive covenant for the CDBG award with PHCD within 180 days after the execution of this agreement. Failure to comply with this requirement may result in the retraction of the CDBG award for the project and term'lnation of this agreement e. All real property shall be inventoried annually by the Awardee and an inventory report shall be submitted to PHCD. This report shall include the elements listed in Paragraph W _2.c., above. Nothing in this section shall be construed to limit the County's right to collect from Awardee the entire amount _of CDBG funds awarded pursuant to this Agreement in the event Awardee fails to meet a national objective. 3. Inventory -Capital Equipment and Real Property All capital items acquired for the project by the Awardee with funds allocated in this Agreement shall be assets of the Awardee and may be secured by a mortgage delivered to the County. A capital item shall be defined as an item that (1) has a service life in excess of one year; (2) is either complete within itself or is a major component of another item of property; (3) by definition cannot be described either as supplies or materials; (4) will not be consumed or lose its identity; and (5) has a unit cost of $500 or more. Awardee shall notify the County immediately upon acquiring any capital items with funds allocated in this Agreement The County shall allow the Awardee to retain possession of capital equipment after expiration of this Agreement as long as the Awardee continues to provide the service described in the Scope of Services (Attachment A). If the Awardee disbands, becomes defunct or in any way ceases to exist or if the Awardee ceases to provide the service described in the Scope of Services or another service of value, Awardee shall notify the County immediately and provide instructions describing how the County may take possession of the capi1al equipment. Awardee shall deliver to the County all documents of title or ownership and shall transfer or assign such ownership rights to the County. Foreclosure of the County mortgage or enforcement of other documents shall not be required in order for the County to claim and take possession of capital equipment. 4. The Awardee shall comply with the nonexpendable personal property requirements as stated below: a. All nonexpendable personal property purchased or improved in whole or in part with funds from this and previous Agreements with PHCD shall be listed in the property records of the Awardee and shall include a description of the property; location; model number; manufacturer's serial number; date of acquisition; funding source; unit cost at the time of acquisition; present market value; property inventory number; information on its condition; and information on transfer, replacement. or disposition of the property. Page 23 b. Ali non expendable personal property purchased or improved in whole or in part with funds from this and previous Agreements with PHCD shall be inventoried annually by the Awardee and an inventory report shall be submitted to PHCD. The inventory report shall include the elements listed in Paragraph W.3.a., above. c. Title (ownership) to all non expendable personal property purchased in whole or in part with funds given to the Awardee pursuant to the terms of this Agreement shall vest in the County and PHCD. 5. The Awardee shall obtain prior written approval from PHCD for the disposition of real property, expendable personal property, and non expendable personal property purchased or improved in whole or in part with funds given to the Awardee or subcontractor pursuant to the terms of this Agreement. The Awardee shall dispose of all such property in accordance with instructions from PHCD. Those instructions may require the return of all such property to PHCD. x. Program Income 1. Program Income as defined in 24 CFR Part 570.500 (a) means gross income received by the Awardee directly generated from activities supported by CDBG funds. When Program Income is generated by an activity that is only partially assisted with CDBG funds, the income shall be prorated to refled the percentage of CDBG funds used. 2. The Awardee shall not, under any circumstances, use Program Income to pay for charges or expenses that are specifically not allowed pursuant to the terms of this Agreement and applicable federal regulations or rules, or any County rules or ordinance. a. The Awardee shall comply with the Program Income provisions in PHCD's Policies and Procedures ManuaL If any Program Income provisions of the Policies and Procedures Manual conflict with any Program Income proviSions of this Agreement, the provisions of this Agreement shall rule. b. The Awardee shall report to PHCD all cumulative Program Income generated from activities financed in Whole or in part by funds from this Agreement, for as long as it receives and/or has control over Program Income generated from this and any previous Agreements with PHeD. The Awarded must submit the information for the generated Program Income to PHCD quarterly as part of the Fiscal Section of the Awardee's Progress Report as outlined in Section II, Paragraph F.2.a. The County may expressly permit Awardee to use Program Income in the Scope of Services. If such permission is not expressly set forth in the Scope of Services. then Awardee must request permission from the County to use Program Income for eligible activities. The County may in its sole discretion grant such permission. but such permission may require the approval of the Board of County Commissioners. c. If the Awardee requests to use Program Income, the Awardee shall provide to PHCD a written explanation of the activities to be assisted with Program Income and shall obtain PHCD's written approval prior to implementing those activities. All proviSions of this Agreement shall apply to any activity performed using Program Income. d. Should Awardee be granted permission to use Program Income, Awardee's use of Program Income shall be subject to the limitations set forth in this Agreement and as set forth in the CDBG regulations, 24 CFR Part 570.504(c) et.seq. Awardee acknowledges that the CDBG Regulations require that Awardee spend Program Income before further CDBG funds are drawn down. Therefore, in the event that the County permits Awardee to Use Program Income, Awardee agrees that Awardee shall expend the Program Income funds prior to seeking payment of CDBG funds from the County. Twenty percent (20%) of the Program Income Awardee makes, . retains or receives shall be paid to the County on a quarterly basis and reported in Awardee's quarterly Progress Report. At the conclusion of the contract period or upon termination of this Contract, Awardee shall immediately paylreturn all Contract funds and Program Income to the County. Page 24 e. Should Awardee be granted permission to use Program Income from a revolving loan activity, Program Income must be used only for the same revolving loan activity. f. Should Awardee be granted permission to Use Program Income, Program Income from a revolving loan activity, such as loan repayments, interest earned, late fees, and investment income, shall be substantially disbursed to eligible loans, loan- related programmatic costs, and operatronal costs for the same revolving loan activity before the Awardee may request additional CDBG funds for that activity. g. Should Awardee be granted permission to use Program Income, all Program Income from activities other than a revolving loan activity shall be substantially disbursed to carry out other PHCD-approved CDBG eligible activities, and to cover operational costs before requesting additional CDBG funds. h. Any proceeds from the sale of property as detailed in Section II, Paragraph WA., above, shall be considered Program Income. i. The Awardee shall obtain, as part of the required audit report, validation by a certified auditor of all Program Income and its disposition. 3. Upon expiration or termination of this Agreement or at the end of any program year, the Awardee shall transfer to the County any Program Income funds on hand, and any Program Income accounts receivabfe to any CDBG funded activities. PHCD may require remitiance of all or part of any Program Income balances (including investments thereof). 4. PHCD, in its sale and absolute discretion, reserves the right to pursue other courses of action in the retention and use of Program Income generated by the Awardee, and such action shall not require an amendment to this Agreement. Y. Travel The Awardee shall comply with the County's travel policies. Documentation of travel expenses shall conform to the requirements of PHCO's Policies and Procedures Manual. Z. Subcontracts and ASSignments 1. Unless otherwise specified in this Agreement, the Awardee shall not subcontract any portion of the work without the prior written consent of the County. Subcontracting without the prior consent of the County may result in termination of the Agreement for breach. When Subcontracting is allowed, the Awardee shall comply with County Resolution No. 1634-93, Section 10-34 of the County Code and Section 2-8.8 of the County Code. The Awardee shall ensure that all subcontracts and assignments: a. Ensure that no contractor, subcontractor or assignee is listed on the U.S. HUD's debarred, suspended, or ineligible contractors list; Awardee shall use, at a minimum, US HUD's Excluded Parties List System to confirm clearance of contractors. The system may be accessed at https:llwww.sam.gov/ Awardee shall provide to PHCD a copy of the site page that indicates the name and the date it was checked. Awardee shall further ensure that no contractor, subcontractor, or assignee is listed on Miami-Dade County's debarred Contractor's List; Awardee shall, at a minimum, check at http://www.miamidade.gov/business/small-business.asp to determine jf a person or entity is on Miami-Dade County's debarred contractor's list. Awardee shall provide PHCD with a printout copy of the site page that indicates the name and the date it was checked. b. Comply with ali CDBG requirements, as applicable, as well as the regulations specified in PHCD's Policies and Procedures ManuaL c. Identify the full, correct, and legal name of the party. d. Describe the activities to be performed. Page 26 e. Present a complete and accurate breakdown of its price component. f. Incorporate a provision requiring compliance with all applicable regulatory and other requirements of this Agreement and with any conditions of approval that the County or PHCD deem necessary. This applies only to subcontracts and assignments in which parties are engaged to carry out any eligible substantive programmatic serlice, as may be defined by PHCD, set forth in this Agreement. PHCD shall in its sole discretion determine when services are eligible substantive programmatic selVices and subject to the audit and record-keeping requirements described above, and; Result from an open competitive bid process generating a minimum of three bids. Such competitive process sha[1 be described in writing, approved by the Board of Directors and a copy of which submitled to PHCD. In such circumstances that open, competitive bids are not feasible or that a minimum of three bids are unobtainable, permission to use other methods of award must be requested in writing and approved by PHCD prior to the assignment or award of subcontract. The Awardee agrees that no assignment or sub-contract will be made or let in connection with the Agreement without the prior written approval of PHCD, which approval shall not be unreasonably withheld, and that all such sub-contractors or assignees shall be governed by the terms and intent of this Agreement. g. Incorporate the language of Attachment E, "Certification Regarding Lobbying." h. Include language stating that the Subcontractor understands and agrees that the County is not a party to the subcontract and has no obligation to the subcontractor. i. The Awardee shall maintain, and shall require that its subcontractors and suppliers maintain, complete and accurate records to substantiate compliance with the requirements set forth in the Scope of Services. The Awardee and its subcontractors and suppliers, shall retain such records, and all other documents relevant to the Services furnished under this Agreement for a period of three (3) years from the expiration date of this Agreement and any extension thereof. 2. The Awardee shall incorporate in all consultant subcontracts this additional provision: The Awardee is not responsible for any insurance or other fringe benefits, e.g., social security, income tax withholdings, retirement or leave benefits, for the ConSUltant or employees of the Consultant normally available to direct employees of the Awardee. The Consultant assUmes full responsibility for the provision of all insurance and fringe benefits for himself or herself and employees retained by the ConSUltant in carrying out the Scope of Services provided in this subcontract. 3. The Awardee shall be responsible for monitoring the contractual performance of all subcontracts and their progress toward meeting the approved goals and objectives indicated in the attached Scope of Services. Regardless of any approvals by PHCDof subcontracts or subcontractors, the Awardee shall bear all risks associated with subcontracting performance of the Activities to a subcontractor. 4, The Awardee shall receive from PHCD written prior approval for any subcontract engaging any party who agrees to carry out any substantive programmatic activities as may be determined by PHCD as described in this Agreement. PHCD's approval shall be obtained prior to the release of any funds to the subcontractor. 5. The Awardee shall receive written approval from PHCD prior to either assigning or transferring any obligations or responsibility set forth in this Agreement or the right to receive benefits or payments resulting from this Agreement. 6. Approval by PH CD of any subcontract or assignment shall not under any circumstance be deemed to provide for the-incurrence of any obligation by PHCD in excess of the total dol[ar amount agreed upon in this Agreement. Page 26 7. If the subcontract involves $100,000 or more to provide services listed in the Scope of Services or suppliers to supply the materials, the Awardee shall provide the names of the subcontractors and suppliers to PHCD (Attachment H). 8. The Awardee agrees that it will not change or substitute subcontractors or suppliers from the list (Attachment H) without prior written approval from PHCD. 9. The Awardee shall not hire any of the Awardee's staff members or employees as subcontractors. M. Additional Funding The Awardee shall notify PHCD of any additional funding received for any activity described [n this Agreement. Such notification shall be in writing and received by PHCD within thirty (30) days of the Awardee's notification by the funding source. BB. Method of Payment The Awardee shall be paid as described below: 1. The Awardee shall be paid for those expenses allowed pursuant to the provisions provided below only when the Awardee submits to PHCD adequate proof, as determined by PHCD in its sale and absolute discretion, that the Awardee has incurred the expenditures. It shall be presumed that the Awardee has provided adequate proof of having incurred expenses if the Awardee submits to PHCD canceled checks or origInal invoices approved by the Awardee's authorized representative which show performance of the Activities described in Attachment A and conformance with the laws, rules and regulations set forth in this Agreement. When original documents Cannot be presented, the Awardee must adequately justify their absence in writing and furnish copies of those documents to PHCD. The Awardee shall be paid only for those expenditures contained within Attachment B, "Budget," to this Agreement as it may be revised with the prior written approval by PHCD. 2. Requests for payment (reimbursement) shall be assembled by calendar month and submitted to PHCD no less frequently than monthly. Expenditures incurred by the Awardee must be submitted to PHCD, along with all original invoices, copies of front and back of cancelled checkspaid to all subcontractorsand suppliers, all release of liens from alII subcontractorsand suppliers, and all final approved permits, for payment within 30 days after the month in which the expenditures were incurred. Failure to comply will result in rejection of invoices. In no event shall the County be obligated to pay any invoices for expenses which were incurred more than 60 days prior to the date the request for payment is submitted to PHCD. 3. In no event shall the County provide advance CDBG funding fa the Awardee or to any subcontractor hereunder, nor shall the Awardee advance CDBG funds to any party. 4. Any payment due under the terms of this Agreement may be withheld pending the receipt and approval by PHCD of all reports and documents which the Awardee is required to submit to PHCD pursuant to the terms of this Agreement or any amendments thereto. 5. All payments will be limited to the quarterly payment schedule that accompanies the action step chart in the scope of services. Payment is contingent on the achievement by the Awardee of the quarterly accomplishment levels identified in the scope of services portion of this agreement -Attachment A, which shall be submitted with all payment requests and shall clearly identify the completed level of accomplishments met. This shall also apply to soft costs associated with project delivery. 6. No payment(s) will be made without evidence of appropriate insurance required by this Agreement Such evidence must be on file with PHCD and the County's Internal Services Department. PHCD must receive the final request for payment from the Awardee no more than thirty (30) calendar days after the expiration or termination of this Agreement. If the Awardee fails to comply with this requirement, the Awardee will forfett all rights to payment(s) if PHCD, in its sale discretion, so chooses. 7. All monies paid to the Awardee which have not been used to retire outstanding obligations of this Agreement must be refunded to PHCD in accordance with PHCD's Policies and Procedures Manual. Page 27 8. Any unexpended funds remaining after the completion of the services under this Agreement, or after termination of this Agreement, shall be recaptured in full by the County. 9. In the event the County determines that the Awardee has breached the terms of this agreement and that the County is entitled to return of any or all of the funds awarded under this Agreement, Awardee agrees to and shall assign any proceeds to the County from any Agreement between the County, its agencies or instrumentalities and the Awardee or any firm, corporation, partnership or joint venture in which the Awardee has a controlling financial interest in order to secure repayment of this award. "Controlling financial interest" shall mean ownership, directly or indirectly to ten percent or more of the outstanding capital stock in any corporation or a direct or indirect interest of ten percent or more in a firm, partnership or other business entity. CC. Reversion of Assets The Awardee shall return to PH CD, upon the expiration or termination of this Agreement, an assets owned or held by Awardee as a result of this Agreement, including, but not limited to any CDBG funds on hand, any accounts receivable, any overpayments due to unearned funds or costs disallowed pursuant to the terms of this Agreement that were disbursed to the Awardee by the County, other than reasonable operating and delicit reserves established by Awardee and which are connected with the real property. In the case of activities involving rea! property, such reserves shall not be distributed to any partner or subcontractor prior to repayment to PHCD of the CDBG Loan. The Awardee shall at the request of the County exe~ute any and all documents, including but not limited to, mortgages securing the property, UCC financing statements, and restrictive covenants, as required by the County to effectuate the reversion of assets. DO. Restriction on the Use of Funds The funds received pursuant this Agreement shall be used for the purposes set forth herein and shall not be used to supplant other funds. In no event shall .funds received pursuant to this Agreement be used for: 1. Adverse Actions or Proceedings. The Awardee shall not utilize County funds to retain legal counsel for any action or proceeding against the County or any of its agents, instrumentalities, employees or officials. The Awardee shall not utilize County funds to provide legal representation, advice or counsel to any client in any action or proceeding against the County or any of its agents J instrumentalities, employees or officials. 2. Religious Purposes. County funds shall not be used for religious purposes. 3. Commingling Funds. The Awardee shall not commingle funds provided under this Agreement with funds received from any other funding sources, but may be included in a Development Bank Account permitted by the first mortgage lender at the discretion of the County. III. THE COUNTY AGREES: Subject to the availability of funds, to pay for contracted Activities according to the terms and conditions contained within this Agreement in an amount not to exceed the appropriated amount as stated on page 1 of this contract. IV. THE AWARDEE AND PHCD AGREE: A. Effective Date 1. This Agreement shall begin on the effective start date as stated on page 1 of this contract. Any costs incurred by the Awardee prior to this date will not be reimbursed by the County. 2. This Agreement shall expire on the end date as stated on page 1 of this contract. Any costs incurred by the Awardee beyond this date will not be reimbursed by the County. The term of this agreement and the provisions herein may be extended by the County to cover any additonal time period during which the Awardee remains in control of the CDBG funds or other assests, including Program Income to support CDBG eligible activites. Any Page 28 B. extension made pursuant to this paragraph shall be accomplished by a writing by the County to the Awardee. Such notice shall automatically become a part of this Agreement. 3. This Agreement may, at the sale and absolute discretion of the County and PHCD, remain in effect during any period that the Awardee has control over Agreement funds, including Program Income. However, the County shall have no obligation or responsibility to make any payment, except those described withjn Section II, Paragraph Y, or provide any type of assistance or support to the Awardee if this Agreement has expired or been terminated. 4. Management Evaluation and Performance Review 1. The Department may conduct a formal management evaluation and performance review of the Awardee, if in the Department's sale discretion it is deemed necessary and applicable, The management evaluation shall reflect the Awardee's compliance with generally accepted fiscal and organizational standards and practices, The performance review should reflect the quality of service provided and the value received using monitoring data, such as progress reports, site visits, and client surveys. Default or Breach The Awardee shall be in default or breach of this Agreement if any of the following acts, omissions or conditions occur: a. The Awardee fails to fulfill each and every provision of this Agreement and the Attachments and fails to provide the services outlined in the Scope of Services (Attachment A) within the effective term of this Agreement, including but not limited to failure to meet the National Objective, as determined by the County and U.S. HUD. b. Awardee fails 10 disclose all Related or Affiliated Parties and all matters required to be disclosed as to Related or Affiliated Parties to the County as requried herein. c. Filing of a lis pendens, foreclosure action, or other legal action against the Property, any property of Awardee or Related or Affiliated Party, or against Awardee or Related or Affiliated Party which the County determines, in its sole discretion, threatens the Property or the ability of Awardee to fulfill the provisions of this Agreement and the services outlined in the Scope of Services, d. Any arrearage, default, or late payment on any loan, Note or other debt or obligation for which the Property is security or regarding any property of Awardee or Related or Affiliated Party, including properties not related to this Agreement. e. Any legal encumbrance on the Property not permitted in writing by the County. I. Any anticipated or pending bankruptcy, restructuring, dissolution, reorganization, appointment of a trustee or receiver. g. Any action, activity, facts, or circumstances that the County determines in its sale discretion would materially impair performance by Awardee of all the terms and conditions of this Agreement. h. Awardee fails to report to the County within ten (10) days any bankruptcy, reorganziation, dissolution, liquidation, apPOintment of a trustee or receiver, lis pendens, foreclosure action or legal encumberance related to the AWardee, Related or Affiliated Party or the Property, or any action, activity, facts, or circumstances that would materially impair performance by Awardee of all the terms and coditions of this Agreement. i. Failure to comply strictly with Section W(2)(a)(1)-(2) 01 this Agreement. j. Failure to meet the fifty percent (50%) or seventy percent (70%) Benchmarks, as set forth in this Agreement, or to submit documentation (via Progress Reports and applicable supporting documentation) sufficient to show Awardee has met said Benchmarks, Page 29 C. Suspension 1. The County may suspend payment in whole or in part under this Contract by providing written notice to the Awardee of such suspension and specifying the effective date thereof, at least ten (10) days before the effective date of suspension. If payments are suspended, the County shall specify in writing the actions that must be taken by the Awardee as conditions precedent to resumption of payments and shall specify a reasonable date for compliance. The County may also suspend any payments in whole or in part under any other Agreements entered into between the County and the Awardee. The Awardee shall be responsible for its own direct and indirect costs associated with such suspension, including attorney's fees. Reasonable cause shall be determined by PHCD, in its sole and absolute discretion, and may include, but is not limited to: a. Ineffective or improper use of these Agreement funds by the Awardee or any of its subcontractors; b. Failure by the Awardee to materially comply with any term or provision of this Agreement; c. Failure by the Awardee to submit any documents required by this Agreement; or d. The Awardee's submittal of incorrect or incomplete reports or other required documents. e. Failure to meet the fifty percent (50%) or seventy percent (70%) Benchmarks, as set forth in this Agreement, or to submit documentation (via Progress Reports and applicable supporting documentation) sufficient to show Awardee has met said Benchmarks. 2. In the event of a default by the Awardee, PHCD may at any time suspend the Awardee's authority to obligate funds, withhold payments or both. These actions may apply to only part or all of the activities funded by this Agreement. 2. PHCD will notify the Awardee of the type of action to be taken in writing by certified mail, return receipt requested, or in person with proof of delivery. The notification will include the reason(s) for such action, the conditions of the action, and the necessary corrective action(s). D. Termination 1. Termination at Will This Agreement, in whole or in part, may be terminated by PHCD upon no less than ten (10) working days notice when PHCD determines that it would be in the best interest of PHCD and the County. Said notice shall be delivered by certified mail, return receipt requested, or in person with proof of delivery. In the event of termination, the County may: (a) request the return of all finished or unfinished documents, data studies, surveys, draWings, maps, models, photographs, reports prepared, and capital eqUipment secured by the Awardee with County funds under this Agreement; (b) seek reimbursement of County funds allocated to 1he Awardee under this Agreement; and/or (c) terminate or cancel any other Agreements entered into between the County and the Awardee. The Awardee shall be responsible for its own direct and indirect costs associated with such termination, including attorney's fees. 2. Termination for Convenience PH CD may terminate this Agreement, in whole part, in accordance with 24 CFR Part 85.44, when both parties agree that the continuation of the activities would not produce beneficial results commensurate with the further expenditure of funds. Both parties shall agree upon the termination conditions. PHCD, at its sale discretion. reserves the right to terminate this Agreement without cause upon thirty (30) days written notice. Upon receipt of such notice, the Awardee shall not incur any additional costs under this Agreement. 3. Termination Because of Lack of Funds Page 30 In the event of a funding short~fal!, or a reduction in federal appropriations, or should funds to finance this Agreement become unavailable, PHCD may terminate this Agreement upon no Jess than twenty-four (24) hours written notification to the Awardee. Said notice shall be delivered by certified mail, return receipt requested, or in person with proof of delivery. PHCD shall be the final authority to determine wheiher Dr not funds are available. PHCD may at its discretion terminate, renegotiate and/or adjust the Agreement award whichever is in the best interest of the County. 4. Termination for SUbstantial Funding Reduction In the event of a substantial funding reduction of the allocation to the Awardee through Board of County Commissioners' action, the Awardee may, at its discretion, request in writing from the Diredor of PHCD a release from its contractual obligations to the County. The Director of PHCD will review the effect of the request on the community and the County prior to making a final detenn·lnation. 5. Termination for Default or Breach PHCD may terminate this Agreement upon no less than twenty-four (24) hours written notification to the Awardee for breach or default. 6. Termination for Failure to Make Sufficient Progress. PHCD may terminate this Agreement, in whole or in part, when PHCD determines, in its sale and absolute discretion, that the Awardee is not making sufficient progress thereby endangering ultimate Agreement performance, or is not materially complying with any term or provision of this Agreement, PHCD may treat such failure to comply as a repudiation of this Agreement; 7. Termination for Bankruptcy The County reserves the fight to terminate this Agreement, if, during the term of any Agreement the Awardee has with the County, the Awardee becomes involved as a debtor in a bankruptcy proceeding, or becomes involved in a reorganization, dissolution, or liquidation proceeding, or if a trustee or receiver is appointed over all Of a substantial portion of the property of the Awardee under federal bankruptcy law or any state insolvency law. 8. General to Termination and Breach Unless the Awardee's breach is waived by the County in writing, the County may, by written notice to the Awardee, terminate this Agreement upon no less than twenty-four (24) hours notice. Said notice shall be delivered by certified mail, return receipt requested, or in person with proof of delivery. Waiver of breach of any provision of this Agreement shall not be deemed to be a waiver of any other breach and shall not be construed to be a modification of the terms of this Agreement. The provisions herein do not limit the County's right to legal or equitable remedies. The County may resort to any remedy for breach provided herein or at law, including but not limited to, taking over the performance of the Services or any part thereof either by itself or through others. In the event the County shall tenminate this Agreement for default or breach, the County or its designated representatives, may immediately take possession of all applicable eqUipment, materials, products, documentation, reports and data. 9. Penalties for Fraud Misrepresentation or Material Misstatement In accordance with the Code of Miami-Dade County, Section 2·8.4.1, any individual or corporation or other entity that attempts to meet its contractual obligations with the County through fraud, misrepresentation or material misstatement, shall have its Agreement with Page 31 the County terminated, whenever practicable, as determined by the County. The County may terminate or cancel any other Agreements which such individual or other subcontracted entity has with the County. Such individual or entity shall be responsible for its own direct and indirect costs associated with such tennination or cancellation, including attorney's fees. The foregoing notwithstanding, any individual or entity who attempts to meet it contractual obligations with the County through fraud, misrepresentation or material misstatement may be disbarred from County contracting for up to five (5) years. E. Other Remedies In addition to other provisions set forth herein. in the event of default by the Awardee. the County shall have the right to exercise any and all of the following remedies: 1. Awardee shall be liable for all damages, including but not limited to: a. the difference between the cost associated with procuring SelVices hereunder and the amount actually expended by the County for reprocurement of Services. including procurement and administrative costs; and b. such other direct damages. 2. The Awardee shall remain liable for any liabilities and claims related to the Awardee's' performance of this Agreement or any breach or default, notwithstanding the expiration or termination of this Agreement. 3. Seek enforcement of this Agreement, in accordance with 24 CFR Part 85.43 at.seq including but not limited to filing an action with a court of appropriate jurisdiction. The AWardee shall be responsible for its own direct and indirect costs associated with such enforcement, including attorney's fees. 4_ Debar the Awardee from future County contracting. 5. Any other remedy available at law or equity. Damages Sustained. Notwithstanding the above, the Awardee shall not be relieved of liability to the County for damages sustained by the County by virtue of any breach of the Agreement, and the County may withhold any payments to the Awardee until such time as the exact amount of damages due the County is determined. The County may also pursue any remedies available at law or equity to compensate for any damages sustained by the breach. Payment Settlement. If termination occurs for reasons other than breach or default, Awardee shall be paid only for reasonable, allowable costs incurred by Awardee prior to notice of termination. "Reasonable, allowable costs" are those costs which are necessary in order to perfonn Awardee's obligations under this Agreement and specifically exclude expenses incurred prior to the execution date of this Agreement. personal expenses, travel expenses. expenses related to additional phases of the Project not specifically and expressly incorporated into this Agreement. PHCD shall be the sole judge of "reasonable, allowable costs." All compensation pursuant to this Article is subject to an audit at the County's discretion. Awardee shall not receive payment for lost future revenues, lost developer fees or lost profits, E-1. Llmitation of Liability and Limitation of Remedies Awardee acknowledges that the County is providing substantial funds to Awardee at low or no cost to Awardee, and that these CDBG funds are for the purpose of providing a benefit to the community health and welfare. Therefore, notwithstanding any other provision herein, the Parties agree to the following limitations on liabilities for any and all claims of any kind arising from or in connection with performance or breach of this Agreement. which limitations shall apply equally to both Parties: 1. Both Parties' cumulative liability for damages. if any. is limited to the amount of the CDBG funds set forth in Section III. above. Page 32 2. Neither party shall be liable for lost revenues, lost profits, lost program income, or lost developer fees. 3. Each party shall bear its own attorney's fees and costs. 4. Neither party shall be liable for costs incurred by the other party prior to the execution of this Agreement. F. Renegotiation, Modification and Right to Waive 1. Modifications of provisions of this Agreement shall be valid only when in writing and signed by duly authorized representatives of each party, which for the County is the County Mayor or Mayors designee. The parties agree to renegotiate this Agreement if PHCD determines, in its sale and absolute discretion, that federal, state, and/or County rev]sions of any applicable laws or regulations, or increases or decreases in budget allocations make changes in this Agreement necessary. PHCD shall be the final authority in determining whether or not funds for this Agreement are available due to federal, state and/or County revisions of any applicable la:vvs or regulations, or increases in budget allocations. 2, The County shall have the right to exercise an option to ext,end this Agreement beyond the current Agreement period and will notify the Awardee in ·writing of the extension. This Agreement may be extended beyond the initial extension period upon mutual agreement between the County and the Awardee, upon approval by the County Mayor or Mayor's designee. 3. The County may, for good and sufficient cause, waiVe provisions in this Agreement. Waiver requests from the Awardee shall be in writing. No waiver shall be valid unless in writing and signed by the County Mayor or Mayor's designee. Any waiver shall not be construed to be a modification of this Agreement. 4. The County's failure to exercise any of its rights under this Agreement, or the County's waiver of a provision on anyone occasion, shall not constitute a waiver of such rights or provision on any other occasion. No failure or delay by the County in the exercise of any right shall operate as a waiver. G. Budget Revisions and Changes to the CDBG Eligibility Activity Title 1. Revisions to the Budget (Attachment B) shall be requested in writing and must comply with PHCD's Policies and Procedures Manual. All budget revisions shall require an amendment of this Agreement, which the County shall have no obligation to execute. The County shall not be obligated to make payments for expenditures incurred prior to the approval of the budget revision related to such expenditures. 2. Budget Revisions Through County Resolution Should a portion of the funding allocation to the Awardee be rescinded by action from the Board of County Commissioners, written notification via certified mail to the Awardee advising of the funding reduction shall be sent by PHCD no later than five (5) working days of the action; written notification will constitute a Agreement amendment. The Awardee will have five working days upon receipt of certified return receipt notification to submit a revised budget reflecting funding adjustments. Should th~ modified budget not be received within the specified time, The County will revise the budget at its discretion. The County in its sale and absolute discretion will determine whether substantial reductions will necessitate revision and resubmittal of the Scope of Service (Attachment A). Revisions to the Scope of Services, when required, will be negotiated to the mutual satisfaction of both parties. 3, Revisions to the CDBG eligibility activity titles under which this Agreement's objectives are classified as noted in the Scope of Services shall not require a Agreement amendment. H. Compliance Page 33 The County shall have the right to inspect, monitor, and Inquire of Awardee , at the sole and absolute discretion of the County, remain in effect during any period that the Awardee is obligated to complete a National Objective or has control over Agreement funds, including Program Income, in order to ensure compliance with the CDBG Regulations. However, the County shall have no obligation or responsibility to make any payment or provide any type of assistance or support to the Awardee if this Agreement has expired or been terminated. The Awardee agrees to comply with all applicable State and County laws, rules and regulations, which are incorporated herein by reference orfully set forth herein. Any alterations, variations, modifications, extensions or waivers of provisions of this Agreement shall only be valid when they have been reduced to writing, duly approved and signed by both parties and attached to the original of this Agreement. This contract may be executed in counterpart copies, and these counterparts shall together constitute an original of this Agreement. I. Disputes In the event an unresolved dispute exists between the Awardee and PHCD, PHCD shall refer the questions, including the views of all interested parties and the recommendation of PHCD, to the County Mayor for determination. The County Mayor, or an authorized representative, will issue a determination within thirty (30) calendar days of receipt and so advise PHCD and the Awardee, or in the event additional time is necessary, PHCD will notify the Awardee within the thirty (30) day period that additional time is necessary. The Awardee agrees that it shall not bring any (egal action or against the County until thirty (30) days from Ihe County Mayor issuing his/her determination. J. Headings The section and paragraph headings in this Agreement are inserted for convenience only and shall not affect in any way the meaning or interpretation of this Agreement. K. Minority Part'lcJpation In order to gain greater Black business participafion, the Awardee may submit its Agreemenls to the County Mayor for bidding and award in accordance with County policies and procedures. L. Proceedings This Agreement shall be construed in accordance with the laws of the State of Florida. Any dispute arising under, in connection with or related to this Agreement or related to any matter which is the subject of this Agreement shall be subject to the exclusive jurisdiction of the slale and/or federal courts located in Miami-Dade County. Florida. M. Notice and Contact All notices between the Parties shall be in writing and sent by registered or certified mail and addressed as follows: TO AWARDEE: COPY TO: Jennifer Korth Grant Coordinator City of South Miami 6130 Sunset Drive South Miami, FL 33143-5040 City Clerk City of South Miami 6130 Sunset Drive South Miami, FL 33143-5040 Page 34 TO COUNTY: COpy TO: COPY TO: COpy TO: Miami-Dade County 111 N. W. 1st Street Miami, Florida 33128 Attn: Russell Benford, Deputy Mayor Public Housing and Community Development 701 NW 1" Court, 14~ Floor Miami, FL 33136 Attn: Michael Liu, Director Public Housing and Community Development 701 NW 1'[ Court, 14~ Floor Miami, FL 33136 Attn: Leiitia Goodson, PHCD Project Manager Assistant County Attorney County Attorney's Office 111 N. W. 1 st Street, Suite 2B10 Miami, Florida 33128 Attn: Brenda Kuhns Neuman, Esquire Such addresses may be changed by written notice to the other party. In the event that different representatives are designated by either party after this Agreement is executed, Of the Awardee changes its address, notice of the n8me of the new representative or new address will be rendered in writing to the other party and said notification attached to originals of this Agreement. In the event that any of the information required by the provisions of this Article is changed by either of the Parties after the execution of this Agreement, the affected Party shall give notice in writing within five (5) days to the other Party of the amended pertinent information, which shall be attached and incorporated into this Agreement. N. WAIVER OF JURY TRIAL NEITHER THE AWARDEE, SUBCONTRACTOR, NOR ANY OTHER PERSON LIABLE FOR THE RESPONSIBILITIES, OBLIGATIONS, SERVICES AND REPRESENTATIONS HEREIN, NOR ANY ASSIGNEE, SUCCESSOR, HEIR OR PERSONAL REPRESENTATIVE OF THE AWARDEE, SUBCONTRACTOR OR ANY SUCH OTHER PERSON OR ENTITY SHALL SEEK A JURY TRIAL IN ANY LAWSUIT, PROCEEDING, COUNTERCLAIM OR ANY OTHER LITIGATION PROCEDURE BASED UPON OR ARISING OUT OF THIS AGREEIvlENT, OR THE DEALINGS OR THE RELATIONSHIP BETWEEN OR AMONG SUCH PERSONS OR ENTITIES, OR ANY OF THEM. NEITHER AWARDEE, SUBCONTRACTOR, NOR ANY SUCH PERSON OR ENTITY WILL SEEK TO CONSOLIDATE ANY SUCH ACTION IN WHICH A JURY TRIAL HAS BEEN WAIVED. THE PROVISIONS OF THIS PARAGRAPH HAVE BEEN FULLY DISCUSSED BY THE PARTIES HERETO, AND THE PROVISIONS HEREOF SHALL BE SUBJECT TO NO EXCEPTIONS. NO PARTY HAS IN ANY WAY AGREED WITH OR REPRESENTED TO ANY OTHER PARTY THAT THE PROVISIONS OF THIS PARAGRAPH WILL NOT BE FULLY ENFORCED IN ALL INSTANCES. O. Assignment The Awardee shall not assign, transfer, hypothecate or otherwise dispose of this Agreement, including any rights, title or interest therein, or its power to execute such Agreement to any person, company or corporation without the prior written consent of the County_ P. Third Parties This agreement is intended for the sale and exclusive benefit of the parties and is not intended to benefit any third party nor shall it be deemed to give rise to any rights in any third party. Q. Survival Page 35 The parties acknowledge that many of the obligations in this agreement, including but not limited to Awardee's obligation to indemnify the County, maintain Contract Records, and provide sufficient evidence of CDBG Regulation compliance for the duration of the period in which Awardee is obligated to meet a National Objective or has control over CDBG funds as well as the County's right to inspect and monitor the Project and Awardee for complaince with the HOME Regulations, will survive the term, termination, and cancellation hereof. Accordingly, the respective obligations of the Awardee and the County under this agreement, which by nature would continue beyond the termination, cancellation or expiration thereof, shall survive termination, cancellation or expiration hereof. R. Autonomy The Parties agree that this Agreement recognizes the autonomy of and stipulates and implies no affiliation between the contracting parties. It is expressly understood and intended that the Awardee is only a recipient of funding support and is not an agent, employee, servant or instrumentality of the County. The Awardee is, and shall be, in the performance of all work services and activities under this Agreement, an independent contractor, and not an employee, agent or servant of the County. All persons engaged in any of the work or services performed pursuant to this Agreement shall at all times, and in all places, be subject to the Awardee's sole direction, supervision and control. The Awardee shall exercise control over the means and manner in which it and its employees perform the work, and in all respects the Awardee's relationship and the relationship of lts employees to the County shall be that of an independent contractor and not as employees, servants or agents of the County. The Awardee does not have the power or authority to bind the County in any promise, Agreement or representation other than specifically provided for in this Agreement. S. All Terms and Conditions Included This Agreement and its attachments as referenced (Attachment A : Scope of Services; Attachment Ai -Action Steps; Attachment B -Budget; Attachment B-1 (N) Idemnification and Insurance Requirements; Attachment B-2 -CDBG Program Requirements (Housing Only); Attachment C - Progress Report,Set-Up Forms, Performance & Benefit Data Supplement to Quarterly Expenditure & Progress Report; Attachment 0 -Information for Environmental Review; Attachment E - Certification, Statements and Affidavits; Attachment F -Publicity, Advertisements and Signage; Attachment G -Fair Subcontracting Policies; Attachment H -Subcontractor/Supplier Listing) contain all the terms and conditions agreed upon by the parties. No other Agreement, oral or otherwise, regarding the SUbject matter of this Agreement shall be deemed to exist or bind any of the parties hereto. T. Confiict In the event that a conflict arises between any prior funding documents and/or agreements governing this development, the terms, provisions and definitions included in this Agreement shall prevail. In the event that the Subsidy Layering Review (SLR) or Underwriting analysis determine the project's true "gap" financing needs to be less than the maximum award allocated by the Board of County Commissioners, the SLR amount shall prevail and the amount of CDBG funds described in this Agreement shall be subsequently reduced. "Gap" financing means the difference between the amount of financing available for the Project from other sources and the total project cost. [n the event Awardee applies for and is awarded by the Board of County Commissioners ("BCC") additional funding for the same Project, as described in this Agreement, a separate Agreement or amendment to this Agreement must be negotiated and executed between Awardee and the County Mayor or Mayor's designee. Any differences between the terms and conditions set forth in this Agreement and the subsequent funding award shall require a negotiation between the Parties [n order to resolve those differences. Awardee understands and acknowledges that changes to the Project or Activities described in this Agreement may not be accomplished by applying for and being awarded subsequent funds by the BCC. In the event that Awardee applies for and is awarded by the BCC funding for an additional phase of the same Project, a separate agreement must be negotiated and executed between the Parties. Under no circumstances shall Awardee assert that a Page 36 subsequent application for and award of funds for the same project constitutes and amendment of this Agreement. Awardee expressly assumes any and all risk of loss or damage associated with a subsequent application for and award of funds for the same Project where such subsequent application by Awardee includes terms which conflict with the terms of this Agreement. U. Interpretation Paragraph headings are for convenience only and are not intended to expand or restrict the scope or substance of the provisions of this Agreement. Wherever used herein, the singular shall include the plural and plural shall include the singular, and pronouns shall be read as masculine, feminine or neuter as the context requires. v. Survival The parties acknowledge that any of the obligations in this Agreement, including but not limited to the Awardee's obligation to indemnify the County, will survive the term, termination and cancellation hereof. Accordingly, the respective obligations of the Awardee and the County under this Agreement, which by nature would continue beyond the termination, cancellation or expiration thereof, shall survive termination, cancellation or expiration hereof. w. Corporate Governance A Not-far-Profit Awardee shall abide by and be governed by Chapter 617, Florida Statutes, particularly Sections 617.0830 through 617.0835 as amended, which are incorporated herein by reference as jf fully set forth herein in connection with its Agreement obligations hereunder. A For-Profit Awardee shall abide by and be governed by Chapter 607, Florida Statutes, particularly Sections 607.0830 through 607.0833, as amended, which is Incorporated herein by reference as if fully set forth herein in connection with its contractual obligations hereunder. Page 37 IN WITNESS THEREOF, the parties hereto have caused this Thirty-Eight (38) page contract to be executed by their undersigned officials as duly authorized, 1his ___ day of 2015. AWARDEE: MIAMI-DADE COUNTY City of South Miami BY: BY: NAME: NAME: Carlos A. Gimenez TITLE: Mayor TITLE: DATE: DATE: BY: ATTEST BY: NAME: TITLE: Clerk, Board of County Commissioners TITLE: DATE: DATE: Witnesses: BY: (Signature) Type or Print Name BY: (Signature) Type or Print Name FederallD Number: 596000431 Resolution #: R-579-15 Awardee's Fiscal Year Ending Date: CORPORATE SEAL: AGREEMENT IS NOT VAliD UNTIL SIGNED AND DATED BY BOTH PARTIES Page 38 1. 2. 3. 4. 5. 6. PUBLIC HOUSING AND COMMUNITY DEVELOPMENT ATTACHMENT A MIAMI .• [cIelImo iiiII' FY 2015 Scope of ServiCes October 1, 2015 through September 30, 2017 Agency Name: City of South.Miami -ACTIVITY TITLE: lDIS #: RESOLUTION #: DUNS#: -ACTIVITY DESCRIPTION: 20 -Activity Category: 2b. -Objeclive: 2e. -Outcome: 2d.-Scppe of work (Attached) -API'ROVED BY BeC: ,Oth~~ Funding Source anq Anwu,nt~ -FY 20~5 FUNDING :REQUESTED: -HUD INFORMA nON: Sa. -HUD matrix code: 5.b. -HUD Activity Type: 5c. -HUD National Citation -ACCOMPLISHMENTS: 60. -Number of Units ; 6h.-T~pe: SW 64 th Stl'eet, between SWS7th Avenue and 62"d Avenue R-579-15 24628976 Street improvements to instalJ/improve buffcl"c(i bike lanes: including drainage renov'ations, landscaping, signage, pavement mRrldng~ Rnd resurfacing along SW 64 th strc,c.t between SW 57"1 'and 62nd avenue. Public Facilities and Cap'itallmprov-cment Sustainable: Living Environment Ava iJabiIityl Accessibility Amount: $336,000 Source: eDBG FY:2015 $84,000 City of Soutb Miami $336,000 3)( LMA 570.208(0)(2) 570.201 (c) 1 P'ublic Facilities 7. -NATIONAL QBJEj:TIVE: Total,# 'Of·LoW/Mod ill Service Area: Census Tract: 76.04 Block Group: 8. -ACTIVITY ADDRESS: 6130 Sunset DriyeSoulh Miami, FL 33143 9. -LOCATION: NRSA (Activity l\lcatedi~): District (Activity located in): South Miami 7 10. -LABORSTANDARD applicable Type of Work: D Building 0 Residential o I-lighway o Heavy 11. Sct'aside tmits different from total units 12. INSURANCE REQUIREMENTS: Worker-'s COinp,ensalion Insurance,_ Cbmlnerdai General Liability Insurance, Auto mobnity Liahility Insurance and P1'ofessional Liahility 1nsm-anee. See -=~~~ ____ ~~~~~ ______________ ~A~tt~.c~h~m~e~nt~~~o~r~de~t~.i~I.~d7r.~·~~~ts~. __________ ~~ __________ _ Project Manager: Letitia Goodson LaWanda S. Scott Plannel~: (Signature) Mario Alv81"ez IIcn ManegC!' lSia"gtnu) ... '-" / pa'le FY 2015 CDBG Funding Application SW 64th Street Bike Lane & Street Improvements Scope of Services 1. Detailed Activity Description "American urbanism has been a process through wh1ch communities ~ diverse in ideology, interest, in income, in ethnic background and in racial identification -have negotiated space. Some of this evolution has been brutal. Today's cities are, among other things, the result of generations of racism and ciassism and struggles in the face of those discriminations. As decades and centuries have gone by,' racial-boundaries in the United States have shift; discrimination has remained. Transportation has been near the heart of that struggle from the start From housing choice to bus frequency to freeway routing to sidewalk quality, cities have often failed to equitably distribute the costs and benefits of mobility." -Building Equity -A report from People for Bikes and Alliance for Biking and Walking This project aims to ensure that the City of South Miami provides mobility choices throughout the entire district. Specifically, the following items will be induded: -Designated bike lanes on both sides of SW 64th Street between SW 57th Avenue and SW 62nd Avenue with buffer islands where right-a-way is adequate. -Shared green colored bike lanes at the intersections of SW 59th Place and SW 57th Avenue. -Resurfacing of intersection of SW 59th Place for existing stamped concrete. -Evaluation and establishment of drainage impacts throughout corridor. -Milling and resurfacing of entire SW 64th Street corridor between SW 57th Avenue and SW 52nd Avenue (Approx. Length 2500 LF). -Signing and Pavement Markings, including new bike lane symhols and sharrows. -Landscaping -New concrete curb type "D" for buffer islands. 2. Activity Location SW 64th Street (Hardee Drive), between SW 57th Avenue (Red Road) and SW 62nd Avenue 3. Target Population The South Miami NRSA almost entirely consist of a minority community. The 2000 Census figures indicate that 83% are Black and African American. With more than 32% of the population falling below poverty level, property is clearly a major issue in the SMCRA. Moreover, educational attainment levels of the redevelopment's area's residents continue to lag behind regional levels. In 2000, nearly 36% of the population never graduated high school, while 18% in the City and 32% in the County did not graduate. The boundaries of the SMCRA are Sunset Drive on the South, SW 62nd Street on the North, SW 62nd Avenue on the West and SW 57th Avenue (Red Road) on the East. 4. Priority Needs Statements This activity meets one or more of the County's high priority needs listed in the FY 2013-2017 Consolidated Plan: Overall Goal: Provide adequate public facilities and capital improvements to benefit low-to moderate areas and residents Proposed Five-Year Funding priorities and strategies: Public Facilities and Capital Improvements: The County shall prioritize funding to upgrade parks, community centers, and street and roadway improvements to benefit low-to moderate- income residents in Miami-Dade County. According to the South Miami NRSA priority needs table, Public Facility and Infrastructure Needs are rated high. Quarterly Milestones / Action Steps FY 2015, Quarter 3 April I, 2015 -June 30,2015 Receive funding from Community Development Block Grant (CDBG) Staff coordination to prepare scope of work Consultant Selection from the City of South Miami CCNA list FY 2015, Quarter 4 July I, 2015 -September 30, 2015 Prepare package for Commission approval and Start Construction Documents (Design Phase) Prepare Resol ution Package Commission Approval Provide Purchase Order to Consultant Consultant is to provide 30% plans to the City for review City will provide comments for 30% submittal Attachment Al Public Facilities and Infrastructure Improvements -FY15 SW 64th Street, between SW 57th Ave. and 62nd Ave. (Bike Lanes) Enter in the % ,'. of Task .. Ente[""in .the ! Completed (~ ".~~.ar~;.D~~e!,()f ;Calculated End Notes: 10" .'. r~k "!.i;lrn.e .:,R~quired Re.sQurce of today) . Task Da.te, of Task W;f'>; ",;g,,} .. r~f.:{, !~:w;~,,?pm,~p .,." I8lJ2~lJ2lJ22lJ2222lJ illdlli±±]~ 1.1.1 su mitta 0 scopean u get Agency 100.00 8/31/15 scope and budget review by Public HUU~1I11':' b .1.2 I Community Development (PHCD) Project I Project Manager prepare and assemble contract with Attachments A to H 1.1.3 (24cfr92.504) Project Manager Project Manager 1.1.4 submit contract for agency signature to execute return signed contract to PHCD for final fJl U"'I::~::'II!S receive and distribute executed PHCD Contract Isubmit required Envlromental Review (ER) form (see .1.7 lattachment D in the Centrad) ~ lenvironmental review process g~,j~(!H;~0:\~~m',7n¥}Bn~,~' 1.2.1 submit required insuranc .2.2 !Environment clearance letter ~ K€VleW B 4'fb~e'"'' T.T 1 _. Select consultant from City's CCNA list 1.3_2 Approval of consultant by City I Submit executed design contract for PHCD review '.base·:: ","}".>,.",. 1.3.1 [ or .6.1 RFP package for General Contractor (GC) .6.2 Submit RFP package to PHCD .6.3 review GC bid package by PHCD .6.4 Submit revised RFP feedback to Agency .6.5 Give wrItten approval for RFP .6.6 Pre~bid meeting .6.7 BidjRFP opening Agency Project rv'''Hld~1: I Agency ~ ~ IAgency Agency Agency Project I Project I Project I Agencyj Agency 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9/1/15 9/1/15 1011/15 10/15/15 11/15/1~ 7/1/15 9/30/15 . 9/30115 10115/15 11/15/15 12/1511.5 12/31/15 1/31/16 2/1/161 2115/16 2/11161 2115/16 .: 1< ::"·1,:>:,:::::/;:::;1-: @ 0.00 111 t;J 3/15/16 1<ilI 0.00 2/15/16 1<ilI 0.00 3/15/161' 3/30/16 I@ 0.00 41111 hI: ':D: :"::1;'::::';;·)":,-:;\:;;1:/ 0.00 11/1/16 Page 1 of 3 as of 9/21/2015 0.00 11/1/161 12/3 0.00 11/1/16: :12/31/16 0.00 1111/16':: 12/3·1/16 0.00 1111/16> 1:2.1.311.16 0.00 1111/16' 12/31/16 0.00 11/1/16 12131/16 Attachment Al • ID Task Name 1.6.8 Check debarment tist 1.6.9 Selection/Award 1.6.10 '"'lace ora error IVlIaml-uaae LonstructlOn ~lgn IM1Iesrone l<eVfeW 11;?. t'·'t'?,·. 1.7.1 executed GC contract Submit GC contract, bid tabulations, recommendation by agency staff, resolution approvigin selection, copy of ad to 1.7.2 PHCD 1.7.3 PHCD Review GC contract / check debarment list 1.7.4 Give agency written approval for subcontract 1.7.5 Certificate of Insurance 1.7.6 Payment of Perlormance Bond Submit copies of State, County and City licences and 1.7.7 Certicate of Competencies 1.7.8 Submit W-9 Request for Taxpayer lD# Milestone Review .1.';8.·' • t::::'~r~ction conference : , 1 .•. 1 1.B.2 notice to proceed 1.8.3 obtain permits I'?," II'l.F~'W~!lgll~~il"1R%!¥~M.(;:I'l!~ . .9I'jH: .,. , IlvloDiJlzatron 1.9.2 maintenance of traffic 1.9.3 submit payment request 1.9.4 remove asphalt pavement 1.9.5 submit payment request .?O luavls-oacon L.omp alnce .?I luramage 1.?. cUrD inlet 1.9.9 pipes 1.9.10 submit payment request .'.11 I Uavls-t:lacon Lomplamce .? '" avmg 1.9.13 construct concrete crua 1.9.14 submit payment request .~.l) I OaVIS-~acon Comp"lnce . -. -- Enter in the % of Task Enter in the <;ompleted (as. ·1.· Start Date of Calculated Eot;l Required Resourc~ .of today) Task Date of Task Agency 11/1/16 12131116 Agency 0.00 11/1116 ... 12/31/16 Project Manager 0.00 11/1/16 I 12/31/16 ..~ ...•.•.... Q; Agency 0.00 1/1/17 2129/2017 Agency 0.00 1/1/16 2129/2017 Project Manager 0.00 1/1/16 2/29/2017 Project Manager 0.00 1/1116 2129{2017 Construction Manager 0.00 1/1/16 ?JZ91Z017 Construction Manager 0.00 1/1/16 212912017 .... Construction Manager 0.00 1/1/16 212912017 Construction Manager 0.00 1/1/16 2129/2017 I·' .. : •.•. ..... ~1/17 Agency U.UU 3/31/17 Agency 0.00 3/1/17 3/31/17 Agency 0.00 3/1/17 ... 3/31/17 I .... ,. Agency u.uu ql'l"' 5/30/17 Agency 0.00 4/1/17 , 5/30/17. Agency 0.00 4/1/17. .. 5/30/IT Agency 0.00 4/1/17 5130/17 Agency 0.00 4/1/17 . 5/30/17 .Agency u.uu ;Agency 0.00 4/1/17 4/30/17 Agency 0.00 4/1/17 . 4/30/17 Agency 0.00 4/1/17 . 4130/17 Agency 0.00 471717 4130/17 IAgency 0.00 I','· . ---:- JAgency U,UU 01>1"' ,. 6/30/17 Agency 0.00 6/1/17 IT' .6flO/17 Agency 0.00 6/1/17 ·6130/17 I"gency u.uu _._---_ . Page2of3 as of 912112015 Notes: .. ,.,. ·i······· .. ". .. __ .- ..,,'.' Attachment A1 ID Task Name 1.1 the wage statement, interest statement, unemployment statement) for the family Required Resoul'"c~ 0.00 0.00 Page 3 of3 as of 9/2112015 :-Enter in· the S~rt_Date -of Task Notes: If If ATTACHMENT B CITY OF SOUTH MIAMI SW 64th Street, between SW 57th Ave. and 62nd Ave. (Bike Lanes) CDBG FY 2015 Summary Budget October 1, 2015 -September 30, 2017 CATEGORIES I. Personnel II. Contractual Services III. Operating Services IV. Capital Outlay TOTAL BUDGET SOURCES OF OTHER FUNDING City of South Miami NON-PHCD FY 2015 FUNDING FUNDING $ $ 60,000.00 $ $ 276,000.00 $ 336,000.00 $ $ $ $ 84,000.00 $ 84,000.00 TOTAL AMOUNT $ 84,000.00 TOTAL ALL SOURCES $ $ 60,000.00. $ $ 360,000.00 $ 420,000.00 ATIACHMENTB CITY OF SOUTH MIAMI CDBG FY 2015 SW 64th Street, between SW 57th Ave. and 62nd Ave. (Bike Lanes) DETAIL BUDGET October 1, 2015 thru September 30, 2017 PP Non-PHCD PHeD 2015 Total All Sources 0410 PERSONNEL· Employee Regular-Salaries Position #1 Position #2 Position #3 Sub·Total Salaries 4010 Fringe Benefits FICA (salaryX7.65%) Sub-Total Fringe Total Personnel Contractual Services 21011 External Audit 21012 Environmental Audit 21030 Other Professional-Design 21030 Other Professional SVC 22350 Bottled Water 25330 Rent Copier 25511 Building Rental Total Contractual Operating Expenses 31011 Telephone Regular 31011 Telephone Long Distance 31610 Postage 31420 Advertising Radio Total Operating Expenses CommoditIes 31510 Outside Printing 95020 Computer Purchase 47010 Office Supplies / Outside Vendors Total Commodities Capital Outlay 90 Construction Signage Infrastructure Improvements Total Capital Outlay I TOTAL BUDGET SOURCES OF OTHER FUi'{JING City of South Miami $ -$ -$ $ -$ $ $ -$ -$ $ -$ -$ $ -$ -$ $ -$ -$ $ -$ -$ $ -$ -$ $ -$ -$ $ -$ 60,000.00 $ $ -$ -$ $ -$ -$ $ -$ -$ $ -$ -$ $ -$ 60,000.00 $ $ -$ -$ $ -$ -$ $ -$ -$ $ -$ -$ $ -$ $ $ -$ -$ $ -$ . $ $ -$ -$ $ -$ -$ $ 84,000.00 $ 475,000.00 $ $ -$ 1,000.00 $ $ . $ -$ $ 84/000.00 $ Z76,000.00 $ I $ 84,000.00 I $ 336,000.00 I $ TOTAL AMOUNT $ 84,000.00 - - - " - - " - - 60,000.00 " - " 60,000.00 - - - - - - - 359,000.00 1,000.00 - 360,000.00 420,000.00 I ATTACHMENT B-l(N) INDEMNIFICATION Government entity shall indemnify and hold hannless the County and its officers, employees, agents and instrumentalities from any and all liability, losses or damages, including attorneys' fees and costs of defense, wh ich the County or its officers, employees, agents or instrumentalities may incur as a result of claims, demands, suits, causes of actions or proceedings of any kind or nature arising out of, relating to or resulting from the performance of this Agreement by the Government entity or its employees, agents, servants, partners principals or subcontractors. Government entity shall pay all claims and losses in connection therewith and shan 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. Government entity expressly understands and agrees that any insurance protection required by tbis Agreement or otherwise provided by Government entity shall in no way limit the responsibility to indemnify, keep and save hannless and defend the County or its officers, employees, agents and instrumentalities as herein provided. Public Housing and Community Development Attachment B-2 Community Development Block Grant (CDBG) Program Not Applicable ATTAClIMENT C PUBLIC HOUSING AND COMMUNITY DEVELOPMENT QUARTERLY EXPENDITURE AND PROGRESS REPORT FY 20 !Rep';-rti':;9p;,iOd:l_________ __._._. __ .___________ ___________ . __ r 0 1" Quarter [Jan-Mar] 0 2"' Quarter [Apr-Jun] 0 3" Quarter [Jul-Sept] 0 4~ Quarter [Oct-Dec]/ Annual Report i '-=--,---.------.--------.. "' .. -,--.-'"-.-,.------~-----.-----------,--... _-------------,._ .... _--_. -' ~tion I: Gen~'allnform~ti;;_;;---------------·--------·------------------------.---- ~__'___. _____ ". __ ~ _____ . ___ , ... ,,_. ___ .. ___ .. _,. ___ .. ,. ______ .. _____ ., _____ .. _______ . ___ • _________ , _____________ ._. ___________ --i Recipient Name (Organization): Contact Person (Name & Title): Telephone Number: Activity Name (Project Title): Activity Address: Activity Description: _______________________ _ IDIS#: Index Code: ___ Funding Source: ___ _ Funded Amount--"$'---____ _ Activity Category: o Administration 0 Capital Improvement 0 Economic Development 0 Historic Preservation 0 Public Service D Housing 0 Homebuyer Assistance 0 Tenant-Based Rental Assistance (TBRA) 0 Homeless Housing Objective: 0 Create suitable living environments 0 Provide decent affordable housing 0 Create economic opportunities Outcome: 0 Availability/Accessibility 0 Affordability 0 Sustainability Section II: Financial Information At the time the Awardees has _been paid or otherwise received fifty percent (50%) and seventy ! pen;ent (70%) of the Agreement Funds, the Awardees reporting these expenditures must submit documentation to show that Awardees has i accomplished 50% and 10%, respe':..~~!:!r..,?f the Activities described_herein-_ _ __________ J A B C o E F G H Actual Reimbursed Projected Approved Total Expenditures Cumulative Cumulative Projected Cumulative Category Budget Expended Cumulative [Through end of Percentage Expenditures Expendilu res [[his Quarterl [Through end of this quarter] [B&D] {Next Quarter1 [By end of Contract this quarter] Period] Personnel $ $ $ $ % $ $ Contractual $ $ 1$ 1$ % $ $ Operating $ $ 1$ 1$ % $ $ Costs Commodities $ $ $ $ % $ $ Capital $ $ $ $ % $ $ Outlay TOTAL $ $ $ $ % $ $ Program Income The disposition of Program Income not specifically listed in the approved Program Income budget requires prior written approval from PHCD, 1_ Does this activity generate Program Income? 0 Yes 0 No 2. If yes, indicate the amount generated this quarter. -'$'----_____ _ 3. If yes, was written approval granted by PHCD to use the Program income generated from this activity? DYes ONo ON/A 4_ If yes, @ attach copy of approval letter and related documents_ If no, a written request for approval to use the Program Income must be submitted to PHCD_ eeH~'51712 1 of 3 "IA~'f:+ 2!!iill . PUBLIC HOUSING AND COMMUNITY DEVELOPMENT QUARTERLY EXPENDITURE AND PROGRESS REPORT FY20 L ___ . __ .. _. ___ . ___ ._~<::.!.lyITY ST~!~!) AN D _~~C0iV!"I".I~fjr.tlE:. NT II>I.I':()R~A ngi'l...._ ... ____ ..... ____ . __ ....... _ 1. Activity Status: 0 Cancelled 0 UndelWay 0 Completed 2. Environmental Status: 0 A~Exempt 0 C~Completed 0 D~Underway 3. Is this activity still in compliance with the original project schedule? 0 Yes 0 No [ S~cti';~iiI;D Work in p;,;g-;ess[on·g~;ng ActIViti~~i-;O·A~co,;;plishme~t·Nar~;ti~;[Act;~ity C~;'pletedi-··-] i Check appropriate box and reference the Scope of Services, included in your contract, as the basis for reporting the i L",,?~~in EI!J9ress or ac:;".o_rTlelis.b.ed in<l..~!ief ~arrElti~E!!.ormEl'.:j~Att."-,,.h Sc()[>".~!.§~r"kesL._... .. ___ ..•.. ___ J i Secti';~·IV: Other Supp~rting Efforts I Provide a description, using quantifiable data~0a";;ih~;;-~·pp~rting-~fforts that hav~·b;,gu~~partiajiY;;;:'plem~ni~;j·~-r-j : completed during this period. I , _. _____ ~_, _____ "_. ___________ ._'._. __ . ____ . _______ .~~",_."_. ______ ,. __ "" _____ ".". __ ~ ______ ,_"." _____ .~" .. __ , ___ ----1 ! Section V: Problems Enc';untered i Provide a brief desc~iption of an~.problems or.~.elays ..:'!'countered durin~ this p<:r:'0d or anticipated. ! Section VI: Technical Assistanc;----j j If your organization has a need or anticipatLe-a-n-e-e-d-fo-r -te-c-h-n-ic-a-I-a-s-si-s-ta-n-c-e-d-uring this period~ please describe the ! nature of the assistance required. : , -------,. ' --------' , ~ i Section VII: Performance Measurement L ___ . . . . .. ___ . ___ ----, I 'Notes: A Supplemental Performance & Benefit Data Report must be submitted· if any actual achievements are i 1 reported during this reporting period and all HOME funded projects must submit applicable activity set-up form. ' Accomplishment Type: 0 People [OlJ 0 Households [04J 0 Businesses [08J 0 Organizations [09J o Housing Units [10J 0 Public Facilities [11J 0 Jobs [13J National Objective: 0 Area Wide Benefit [e.g. LMA, LMAFI, LMASA, SBAJ -or· 0 Direct Benefit [e,g. LMC, LMH, LMJJ I People or Hou;~holds • Achievements: 0 Yes 0 No ',I i If yes, what is the accomplishment type? 0 People -oro. 0 Household'-'s'--__ _ ___ .--.J People Households (LMH activities only) Total People Low/Mod Total Households Low/Mod Female Headed Projected Goal Actual This Quarter Actual Cumulative Supplemental Report Attached YIN Performance & Benefit Data: o Housing -or-0 Public Service & Administration --or-0 Capital Improvement & Public Facilities CDI14151712 20r3 MiAMI! •. ·.·. \--<"l·,'Uf Projected Goal Actual This Quarter Actual cumulative PUBLIc HOUSING AND cOMMUNITY DEVELOPMENT QUARTERLY EXPENDITURE AND PROGRESS REPORT FY 20 Owner Rental Buyer Total Supplemental Report Attached YIN ___ _ o Performance & Benefit Data: Housing Total Job Count Total Weekly Hours Percent Jobs Created Full-Time (FT) FT low I Mod Part-Time (PT) PT low I Mod low I Mod Jobs rp~ro~j~e~ct~e~d~G~o~a~I---~------~~'---------r-~---~~-'~----~~~'3 Actual This Quarter Actual Cumulative Assistance to Businesses Projected Goal Actual This Quarter Actual Cumulative New Businesses Existing Businesses Total . Supplemental Report Attached YIN ___ _ o Performance & Benefit Data: Economic Development PERFORMANCE CERTIFICATION: D This certifies that No Accomplishments occurred during this Quarter. Initials NOTE: Submittal of Supplemental Form -Performance & Benefit Data is not required at this time based on the certification that no accomplishments occurred during this quarter. CERTIFICATION This is to certify that the data and other information provided in this Report is correct, based on official accounting system and records, and that expenditures and obligations shown have been made for the purpose of and in accordance with applicable Terms and Conditions of the Contract and Funding Requirements. Report Prepared by: ____ ==--, _____ Title: ___________ Date: ____ _ Print Name Signature of certifying Official: _________ Title: ___________ _ Date: _____ _ FOR PI;!~P USE ONLY Activity lOIS Number: _____ _ Report 0 is lOis not complete • Report 0 is I D is not accurate Initial review for completeness and accuracy completed by -Name: ___ =~= _____ _ Project Manager Name: ------,0---:-----Date: ____ _ SupelVisor Waming: Title 18, US Code Section 1001, states that a person who knowingJy and wl1ling/y makes false or fraudulent statements to any Department or Agency of the-United States is guilty of a feiony. State law may also provide penalties for false or fraudulent statements. ® This material is available In an accessible foana. "pon req"est Gf)/I~'SI712 3013 PUBLIC HOUSING AND COMMUNITY DEVELOPMENT PERFORMANCE & BENEFIT DATA: CAPITAL IMPROVEMENTS & PUBLIC FACILITIES Supplement to Quarterly Expenditure & Progress Report FY 20 Recipient Name: Activity Name: _______________________ _ lOIS #: ________ Activity Category: _~ _____ _ HUD Activity Matrix Code: Accomplishment Type: _____ _ HUD Matrix Code Description: PROJECT TYPE: -MEASURES: .: "R"p.6.rtin~J:>"riod ~ 1" Quarter [Jan-Marl 2"' Quarter [Apr -Jun 1 3" Quarter fJul-Septl 4tfi-Quarter [Oct-Dec] { Annual Report ACCOMPLISHMENT UNITS COMPLETED: o Acquisition { Disposition o Structures + 0 Parcels # of Structures o Clearance { Demolition o Structures + 0 Parcels # of Parcels o Street Improvements Persons Served. LowlMod Income # of Facilities 0 0 0 0 o Public Facility {Type: ____ _ Persons Served + LowlMod Income # of Persons Served o Building !Type: Facilities + Persons Served + Low/Mod Income ___ # of Low/Mod Income o other Capital Improvement {Type: [indicate below] Persons Served + LowlMod Income PERFORMANCE MEASUREMENT & ACCOMPLISHMENT INFORMATION Instructions & Applicability: National Objectives include LMA & LMC activities with any 03 matrix code except 3T. 1. Total Persons Assisted for program year: 2. Counts by Households (H) or Persons (P): ____ _ 3. Of the Total Persons, enter the number: Number of Persons With New Access to this service or benefit With im~roV~dAccess to this:seivipe or benefit With access to a service or benefit that is No Longer Substandard Note: This field must equal the number in Total Persons Assisted. __ ~_Total With. New Ac~ess (0 this lypeof Public Fa¢ilttyorlf1frastructurelniprov~ment Withlmproved Access to this type of PublicFacility. ~r Infrastructure Improvement. ___ _ . ·Wit~c~&.c~ssf6PuIilicF~~i!ityo;lhfra$·truc:tufethat is No Longer Substandard· Note: This fleld must equal the number in Total Persons Assisted. ____ Total . Homere~sp~rsc,"sgi;;~n oven1ightsh",lter Number of beds created in overnight shelter or other emergency housing NEIGHBORHOOD REVITALIZATION STRATEGEY AREA (NRSA) INFORMATION Is this activity located in a NRSA? DYes DNa If yes, the NRSA must be identified, as applicable, using the maps provided via Miami-Dade County's website -Services Near You: http://gisweb.miamidade.govICommunitvServices/. A COPy of the printout must be included with this report. Provide the following Information: NRSA # of Clients Served # of Clients Served CD7161b1712V 1 of3 PUBLIC HOUSING AND COMMUNITY DEVELOPMENT PERFORMANCE & BENEFIT DATA: CAPITAL IMPROVEMENTS & PUBLIC FACILITIES Supplement to Quarterly Expenditure & Progress Report FY20 # of Clients Served # of Clients Served Location / Project Address: Street / City / Zip Code -or-Folio Number is there is no street address Location / Project Address: Street / City / Zip Code -or-Folio Number is there is no street address DIRECT BENEFIT DATA: [j PERSONS -OR-[] HOUSEHOLDS RACE & ETHNICITY CATEGORY Instructions: (1) Indicate the total number of persons or households served in each Racial Category for this reporting period and the cumulative total. (2) From the total number depicted in each Racial Category, indicate the numbers that are of Hispanic Ethnicity for this reporting period and the cumulative total. Period Totals OTHER DIRECT BENEFIT INFORMATION AREA BENEFIT INFORMA nON Census ( C) Of Survey (S) Data Used: __ _ If (S), enter # of Low/Mod & Total Population: Total # of Low/Mod in Service Area: Total low/Mod Universe Population in Service Area: Percent of Low/Mod in Service Area: Census Tract: Block Groups: Census Tract: Block Groups: Census Tract: Block Groups: 68/15/51712'0' 20f3 MiAH'e' '!t~J;1 - $ $ $ $ PUBLIC HOUSING AND COMMUNITY DEVELOPMENT PERFORMANCE & BENEFIT DATA: CAPITAL IMPROVEMENTS & PUBLIC FACILITIES Supplement to Quarterly Expenditure & Progress Report FY 20 , PART 3 -LEVERAGING OF FUNDS [Other Funding Sources] " 1. CDBG Funds $ 5. other Federal Funds 2. HOME Funds $ 6. State / Local Funds 3. ESG Funds $ 7 Private Funds 4. Section 108 Loan Guarantee $ 8. Other: Name of Funding Source $ Total Funds i@ REQUIRED ATTAC;HI\IIENTS[if applicablej:1)Certifieate of Completion; 2)Printou.t of NRSA,map,if~pp)iqable;3) I Docu.ment. a.tion .. 0.1 p.erfo. :.rmance.(aepom. R.liShm .. en. ts,e .. g: ' .. n ... ew or impmv~d .. i3c?es.s (o.se.rviee.s, fa. eility,.or ..•.. nif.ra .. ·.· ... s.tructur~ Lupgrade;·and 4) DocumentatJon as described In theContraet orScopeof.S~r:":!~_es,·or as Instructed.by the:·C.ounty. ____ _ Report Prepared by: ------;::--c-:--:-:-------Title: __________ Date: ______ _ Print Name Signature of Certifying Official: ___________ Title: __________ Date: ______ _ Warning: Title 1B, US Code Section 1001, states that a person who knowingly and willingly makes false or fraudulent statements to any Department or Agenc:y of the United States is guilty of a felony. State jaw may also provide penalties for talse Dr fraudulent statements. til '·'c"'··'·· c.'" This material is available in an accessible format upon request CD/15151712V 3 of3 PHCD SIJ I:l MITT AL OF PUBLIC FACILITIES CHECKLIST ~ ................................................................................................................................................................................................................ Aaencv -: Activitv Name · F undina Source I Year : : Amount/lOIS # · · · Proiect Location · : ................................................................................................................................................................................................................... 0 LMI Limited Clientele Criteria (Must check one below & Provide documentation as required) Client Name ________ _ o 1. Low·Mod Clientele (LMC) -Documentation showing that the activity is designed for and used by a segment of the population presumed by HUD to be LMI persons; for example: D Abused children. o Battered spouses, D Elderly persons (family whose head, spouse, or sole member is a person aged 62 or older), D Severely disabled, o Homeless persons, D Illiterate adults, o Persons living with AIDS, o Migrantfarm workers o 2. Neighborhood Revitalization Strategy Area (NRSA) -Be of such a nature and in a location that it may be concluded that the activities clientele located in an NRSA: Obtain documentation that shows the client lives at the address which is located in an NRSA: • Proof of location: • Child(ren) Schoof Records (showing home address) • Driver License • Utility Bill (FPL, Water & Sewer, etc) REQUIRED DOCUMENTATION-NO EXCEPTIONS • PH CD General COBG Intake Eligibility Form (Must be Attached) 'Services Near You Print Out (Must be Attached) (http://gisweb,miamidade.gov/CommunityServices/ 1. Biscayne North 2. Cutler Ridge 3. Goulds 4, Leisure City/Naranja 5. Model City 6, Opa-Locka 7, Perrine 8, South Miami 9. West Little River Yes No o 0 o 0 o 0 Yes No o 0 o 0 NOTE: SHOULD ANY OF THE ABOVE NOT BE PROVIDED, QUARTERLY PROGRESS REPORTS WILL BE RETURNED TO THE AGENCY AND WILL BE CONSIDERED NON-COMPLIANT Page 1 of2 PHCDSUBMITTAL OF PUBLIC FACILITIESc<HECKLIST o 3. Required Documentation: -Data showing the size and annual income for the family of each person receiving the benefit and that at least 51 % of those served are LM I. REQUIRED DOCUMENTATION A MUST -NO EXCEPTIONS Yes No , PHCD General CDSG Intake Eligibility Form (Current Income Must be Attached) 0 0 Select One Form of Proof to Provide: , Pay Stub(s) 0 0 * Aid to Families with Dependent Children (AFDC) or Temporary Assistance to Needy Families (TAN F) 0 0 , Food Stamp Official Print out Leiter 0 0 , Unemployment Benefits Letler with Amount 0 0 , Proof of Child Support or Alimony 0 0 , Proof of SSAISSI or Veteran's Benefits 0 0 'Proof of Retirement Income (Must be atlached for Senior Programs) 0 0 'Other Income 0 0 Prepared by (Print) Agency Official Signature and Date NOTE: SHOULD ANY OF THE ABOVE NOT BE PROVIDED, QUARTERLY PROGRESS REPORTS WILL BE RETURNED TO THE AGENCY AND WILL BE CONSIDERED NON·COMPLIANT Page 2 of2 PUBLIC HOUSING AND COMMUNITY DEVELOPMENT GENERAL CDBG INTAKE ELIGIBILITY FORM LMI LIMITED CLIENTELE (LMC) I JOBS (LMJ) I HOUSING (LMH) NAME: _______________________________________ PHONE: ____________________ __ ADDRESS: ZIP: --------------------------------------------------------- Gender: 0 Male 0 Female Ethnicity: 0 Hispanic o Not Hispanic Race (Please check the race category which applies to you): o White 0 Black/African American o American Indian/Alaskan Native o Asian 0 Black/African American & White o American Indian/Alaskan Native & White o Asian & White 0 Native Hawaiian/Other Pacific Islander o Other: Multi Racial o American Indian or Alaskan Native & Black/African American Yourself and all other INCOME VEF,UFICATIONDATA . . '." ,.', ......... The assistance you receive is determined in part by the size of your household and your income. All income and assets will require verification before eligibility will be granted. Income includes all money coming into the household from all persons over 18 years old. Wages, salaries, tips, commissions; Self-employment income; Retirement, Survivor, or Disability pensions; Social Security or Railroad retirement; Supplemental Security Income, Aid to Families with Dependent Children (AFDC), Temporary Assistance to Needy Families (TANF), Food Stamps, or other public assistance, or public welfare programs; Interest, dividends, net rental income, or income from estates or trusts; and any other sources of income received regularly, including Veterans' 0fA) payments, unemployment compensation, alimony, and child support must be disclosed. Household Member Source of Income Gross Monthly Amount Received 1. $ 2. $ 3. $ 4. $ 5. $ Income Eligibility Acceptable Documentation: Copy of Pay Stubs (from previous employer), Aid to Families with Dependent Children (AFDC) or Temporary Assistance to Needy Families (TANF) Official PrintouVletter, Food stamp Official PrintouVletter, Letter confrrming amount of unemployment benents received, proof of child support or alimony, proof of SSAISSI or Veteran's Benefits, or proof of retirement income. MUST A IT ACH A COPY OF DOCUMENTS -NO EXCEPTIONS. I, the undersigned applicant, do hereby authorize to verify my personal records, including (Namec(/V;1lf¥'.)J) wages, pensions, and investments. It is understood that this authorization is granted for the sole purpose of certifying my eligibility for federal financial assistance, and that all infonnation acquired in this regard will remain confidential. BY MY SIGNATURE, I ACKNOWLEDGE THAT ALL INFORMATION I HAVE PROVIDED IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. I AM AWARE THAT IF I MAKE ANY WILLFUL FALSE STATEMENT IN THIS CERTIFICATION OR ANY OTHER DOCUMENTATION THAT I PROVIDE FOR PROGRAM ELIGIBILITY, I MAY BE PUNISHED WITH FINES OR IMPRISONMENT OF UP TO FIVE (5) YEARS, OR. BOTH, UNDER SECTION 1001 OF TITLE 18, UNITED STATES CODE, AND I ALSO MAY BE SUBJECT TO CIVILANDIORADMINISTRATIVE PENALTIES AND SANCTIONS. Signature of Applicant Date Page 1 of2 CDI17151712N3 PUBLIC HOUSING AND COMMUNITY DEVELOPMENT GENERAL CDBG INTAKE ELIGIBILITY FORM CDBG INCOME ELIGIBILITY 24 CFR 570.208 Activitv classified under familY size and income 24 CFR 570.208(a)(2)(i)(8) Activity is classified based on income eligibility requirements 24 CFR 570.208(a)(2)(i)(C) that restrict it exclusively to low· and moderate-income persons 24 CFR 570.506(b)(3)(Hi) 24 CFR 570.506(b)(3)(iii) i DEFINITIONS i 24 CFR 570.3 .. --------.----.... --.-.-.... .--... --------.--.-------.--.---, i Family means all persons living in the same household who are related by birth, marriage or adoption. . i Household means all the persons who occupy a housing unit. The occupants may be a single family, one person living alone, J I two or more families living together, or any other group of related or unrelated persons who share living arrangements, ! , Income. For the purpose of determining whether a family or household is low-and moderate-income under subpart C of this j part, grantees may select any of the three definitions listed below for each activity, except that integrally related activities of the; same type and qualifying under the same paragraph of 570.208(a) shall use the same definition of income. The option to ! choose a definition does not apply to activities that qualify under 570.208(a)(1) (Area benefit activities), except when the! recipient carries out a survey under 570.208(a)(1)(vi). Activities qualifying under 570.208(a)(1) generally must use the area: income data supplied to recipients by HUD. The three definitions are as follows: i (i) Annual income as defined under the Section 8 Housing Assistance Payments program at 24 CFR 813.106 (except that if ! the CD8G assistance being provided is homeowner rehabilitation under 570.202, the value of the homeowner's primary i residence may be excluded from any calculation of Net Family Assets); or I Estimate the annual income of a family or household by projecting the prevailing rate of income of each person at the time I . assistance is provided for the individual, family, or household (as applicable). : i Estimated annual income shall include income from all family or household members, as applicable. Income or asset i I enhancement derived from the CDBG-assisted activity shall not be considered in calculating estimated annual income. I , Low-and moderate-income household means a household having an income equal to or less than the Section 8 low-I i income limit established by HUD. ! \ Low-and moderate-income pelSon means a member of a family having an income equal to or less than the Section 8 low-! income limit established by HUD. Unrelated individuals will be considered as one-person families for this purpose. ! Low-income household means a household having an income equal to or less than the Section 8 very low-income limit i established by HUD. i Low-income pelSon means a member of a family that has an income equal to or less than the Section 8 very low-income : I .. ~rnit .. stablish"-~_~y.!2~.P.,_lJnrel.~.t~9J."divi9uals shall be cons!~~-"d as one-per~"nJamili,,-s for this "-1!':p-os8..:... _______ . __ . ..! INSTRUCTIONS FOR IMPLEMENTING AGENCY ;voumusifirsi-se-ek thi;:;fparty veriTIcafun. This is a verification'iiiiifis-recefVeddfrectlyfrom theSourceoiincciii1e. The request canl ! be_~ mail, fax, or email. It must be clearly evidenced that it was received from the source. ._j Warning: Title 18, US Code Section 1001, states that a person who knowingly and wi/lingly makes false or fraudulent statements to any Department or Agi Ih:::i::t~~:::: :v:::::~: ::':::.S:::,I: :::::::::::::~:e penalties for mISe or fffiuduleni stalemenls. 2of2 CD/17151712N3 ~~A~·~a PUBLIC HOUSING AND COMMUNITY DEVELOPMENT IE!'lm List of Persons Assisted (Public Service) Supplement to Quarterly Expenditure and Progress Report Date: ttJ:,;i~~ ~:;tljl;:!~j~:~k~Jt8~reg:t!IQgl.~~rg'J!~0~~~i::@m:ii!1~~::!j~l 1st Quarter [Jan -Mar] 0 Recipient Name: Activity 2nd Quarter [Apr -Jun] 0 Name: 3rd Quarter [Jul -Sept] 0 lOIS Number: 4th Quarter [Oct -Dec]fAnnual Report 0 1, Persons Assisted 2. Status 3. Address 4 &5. NRSA http:// gisweb. mja m id ade.gov! Com mu nityServi ces! Last Name First Name New EXisting House Number Direction Street Name Street Type . Lives in a NRSA? NameofNRSA 1 D D Dyes DNa 2 D D Dyes DNa 3 0 0 DYes DNa . 4 D D DYes DNa 5 D D DYes DNa 6 D D Dyes DNa 7 D D Dyes DNa 8 D D Dyes DNo I D D DYes DNa I 9 10 D D DYes DNa 11 D D DYes DNa 12 D D Dyes DNa 13 D D DYes DNa 14 D D Dyes DNa 15 0 D Dyes DNa INSTRUCTIONS 1. Fin in name of the person for which Public Services were provided. 2, Enter a check mark in the colUmn that matches the person's sfatus [New-or-Existing]. 3, Enter the complete address of the person assisted, e.9., House Number, Direction, Street Name, & Street Type. 4. Enter Yes or No as applicable if the person lives in one of the NRSAs. 5. If yes, view NRSA map at http://gisweb.miamldade.gov/CommunityServicesJto determine correct NRSA location and fiI[ in the name of the NRSA: Goulds, Lelsure Clty, Melrose, Model City, Opa-Locka, Perrine, South Miami, West little River, Biscayne North or Cutler Ridge. Wam1ng: Titte 18, us Code Saction 1001, stales that a person Who knowingly and willingly makes false or frs1-Idulent statements to any Department or Agency of the United Slales is gu!llyof II felony. Stale law may also provide penalties for false orfraudulen( statement:>. ® CDf23/12513NJ ::~ .. ~,,:-,; Th)s malsrial is available in an accessible format upon requeSt. Page Dal 0 MIAMI-DADE PUBLIC HOUSING AND COMMUNITY DEVELOPMENT (PHCD) INFORMATION FOR ENVIRONMENTAL REVIEW FORM INSTRUCTIONS: Per 24 CFR Part 58, the purpose of the environmental review procedures is to foster the implementation of environmentally compatible activities. As a grant or loan recipient, Miami-Dade County will not fund projects that will negatively impact clients, communities, or the environment. Part I. AGENCY AND PROJECT DETAIL 1. Indicate Funding Source: o COSG o HOMELESS (SRO/SHP) 2 .. Indicate Fisdil Year: FY20 __ 3. Name of SubrecipientiAgency: 4. Name of Proposed Activity: o HOME DEDI 5. Location (Address with City, 8T and Zip) of Activity or Proiect: 6. Site Folio Number(s): 7. Commission District(s): 8. Direct Contact information of loan/grant recipient: I Name: Address: I State: I Fax: I Zip: Crty: Phone: 9. Detailed description of activity or project: o HOPE VI o NSP 10. What is the purpose of the activity or project? For example, Public Service, Economic Development, Historic Preservation, Capital Improvement, Housing, etc. 11. What is the status of activity or project? For example, Pre-Development Phase, Rehab/Construction Underway, Rehab/Construction Completed, etc. Part II. PROJECT OUTCOME Will the activity, or project result in the foliowinQ? YES NO 1. Change in use 2. Sub-suJiace alteration (i.e. excavations) 3. New construction 4. Renovation or demolition 5. Site improvements (utilities, sidewalk, landscaping, storm drainage, parkingareas, drives, etc~ 6. Building improvements (windows, doors, etc.) 7, Displacement of persons, households or business B. Increase in population working or living on site 9. Land acquisition 10. Activity in 100-year floodplain 11. A new nonresidential use generating at least 1,375,000 gallons of water or 687,500 gallons of sewage per day. 12. Use requiring operating permit (I.e. for hazardous waste, jJl'etreatment of sewaQe, etcl 13. A sanitary landfill or hazardous waste disposal site 14. Tree removal or relocation 15. Street improvements 16. The impounding of more than 10 acre feet of water (e,g. digging a lake or diverting or deepening of a body of water). Part III. SITE SPECIFIC INFORMATION 1. Land Use: Describe the existing and proposed land use: • Existing? • Proposed? 2 • Does the site have any known contaminants? DYES o NO • If there are known contaminants, has a Phase I audit been completed? If yes, a copy of Phase I Environmental Audit certified to Miami-Dade County must be submitted to determine the likely presence of either a release or threatened release of hazardous sUbstance. DYES 2. Site Plan: o NO Does the proposed activity include a new structure(s) or site improvements on a site of one ! 1) acre or more? DYES o NO If yes, a site plan must be provided. Project!s) will not be environmentally reviewed without a site plan. 3. Photographs: Does the activity include new construction, renovation or rehabilitation? DYES o NO If yes, photographs must be provided of each side (front, rear and sides) of the structure(s) proposed for assistance and the buildings on the adjacent lots. The photographs shall be identified by address. In addition, provide for each existing structure on the site, the following information: • Existing structure(s) on site? DYES o NO • Estimated age of structure(s)? 4. Value of Improvements: Does the proposed activity include rehabilitation or renovation of structure(s)? DYES o NO If yes, what is the estimated cost of rehabilitation Or renovation? ________ _ What is the amount sought for funding? In addition, indicate if the estimated value afthe improvement represents: o 0 to 39.9 percent of the market value of the structure(s) o 40 to 49.9 percent of the market value of the structure(s) o 50 to 74.9 percent of the market value olthe structure(s) o 75 percent or more of the market value of the structure(s) 3 1. 2. 3. 4. 5. 6. 7. 5. Phase I Environmental Audits; Does the proposed activity involve the transfer of any property, new construction, major renovations of 75% or more of the structures' market value, or a securing of a loan for nonresidential parcel? DYES o NO If yes, a copy of Phase I Environmental Audit certified to Miami-Dade County must be submitted to determine the likely presence of either a release or threatened release of hazardous substance. An audit is a review of a site and adjacent properties and involves preparing a history of ownership, land use and zoning for the last 50 years; researching environmental records for information on hazardous waste sites, hazardous facilities, solid waste/landfill facilities and underground storage tanks (available through the Department of Permitting Environment and Regulatory Affairs (OPERA), Florida Department of Environmental Protection (FDEP) and U.S. Environmental Protection Agency (EPA)); and site inspection for physical evidence of contamination such as damaged vegetation or stains in the soil Has a Phase I been performed? DYES o NO 6. Environmental Health Information: • If a residential site, and the activity includes or involves rehabilitation, has it been inspected for defective paint surfaces? DYES 0 NO If yes, please submit the results. • Have any child under the age of six at the site been tested for elevated levels of lead in the body? DYES If yes, please submit the results. 7. Other Site Information: Flood insurance required? Public water available on site? Public sewer available on site? Children under 6 years of age residing on site or relocating to site (including day care facility)? Hazardous waste disposal facility? Storage of hazardous materials on site? Abandoned structure{s) on site? o NO YES NO 4 Part IV. SUPPLEMENTAL REQUIRED DOCUMENTS Required Submittal Documents: 1. For all projects: Submit streeUplat maps that depict location of property in the County and/or City with the location or lot clearly pointed out. 2. For new construction projects: Submit a scope of service, an itemized budget, and a site plan. 3. For housing/building rehabilitation projects only: Submit a scope of service, an itemized budget describing the major components of the rehabilitation program planned, and a photograph of the property. 4. For historic proprieties, include: Submit photographs of the property, and a description of any adjacent historic properties that may be affected by your activity. Part V. CERTIFICATION I certify to the accuracy of the information provided. I understand that all funded activities must have an approved environmental review clearance prior to the commencement of projects. I clearly understand that any omitted and/or incorrect information will delay the initiation of the environmental review process by the PHCD staff. As such, I am aware that omitted information could delay the commencement of my organization's project. I understand all approved environmental reviews are valid for one (1) year maximum. Print Name Signature Name of Organization or Corporation Unless otherwise indicated, return completed form and attachments to: Project Management Division Public Housing and Community Development 701 NW 1 ,t Court -14'" Floor Miami, Florida 33136 TYPES OF ACTIVITIES AND ENVIRONMENTAL GUIDELINES TRIGGERED: Type of Activity EXEMPT' CENST" CEST'" Economic Development New Construction Rehab X' Non-Construction/Expansion X Housing Single Family Rehab X Multi-Family Rehab X' New Construction Homeownership Assistance X Affordable Housinq Pre-Dev. X Capital Improvement Handicapped Access X Public Facilities X' Infrastructure X' 5 Title Date EA**** X X' X' X X' X' Public Services Employment X Crime Prevention X Child Care X Youth or Senior Services X Supportive Services X Type of Publication No Public No Public No Public Notice/No Notice/No Notice/No RROF (No Statutory RROF RROF Requirement Triggered) Or Publish NOIfRROF Estimated Time Frame (Excluding 30-45 Days 30-45 Days Triggered Statutes) X' If for continued use and change in density (or size) of less than 20% X2 Change in density (or size) of more than 20% • .. ... .... Exempt CENST CEST EA Exempt Activities Categorically Excluded and Not Subject to 58.5 Categorically Excluded Subject to 58.5 Environmental Assessment (Format II) 6 (Statutory Requirement Triggered) 45-90 Days CD/43/31413 Publish FONSI and NOI/RROF 90 Days Minimum , " ! PUBLIC HOUSING AND COMMUNITY DEVELOPMENT (PHCD) ATTACHMENT E' AFFIDAVITS Un iform Affidavits Federal Employnr tdentillctdlon Number (FEIN) Dun & Braclstreei Number(D·U.N-S"j A) Nam ofE ty, In Iv!dual{s), PaltMcs or Cofporalion S) DOing Business As (If same as line A, teave blarlk) (~( 3<) Jl.n~e+ D/<,'lff.... s~v1h IUiii!!1: SiletAddres~ (P.O. fbx Number is not permitted) City 1, MIAMI'PAOE COUIITY OWNERSHIP DISCLOSURE AFFIDAVIT (Sec. 2-8.1 of the MiamI-Dade County CQda) ''7,,'13 Counlry lip Code Firms registered t{) do business with Miami-Dade County, sh.al! require the person contr.'lcting' or transacting such business with (lie County to disclose under oath his or her full legal name, and busYness address. Such cofltract or transaction sha1l also require Ihe disclosure under oalh of the full legal name ~nd business address of all individuals having any, inler~st (I~al. equitable, beneficial or olhe.twlse) In the contract other than subcontractors. matarlalmen, suppli~rs, laborers at fenders. Post office box addresses shat! not be accepted hereunder. I(the contract or business \ransaciion is with a corporallon the foregoing informal1on shall be provided for each officer and director and each stockhOlder holding, directly or indirectly, five (5) percent or more of the outstanding stock In the torporati~n, If the contract or business transaction ls with a partnership, the foregoing informatIon shaU be provil:jed for eaoh partner, If the contract (lr buslne~ transaction is with a trust, the foregoing Information shall be prt)vlded for the trustee end each benef1ciary of the trust. The fOr'egoinu dlsclo$ure reqUirements shall not apply to contracts with pUbliclY. traded corporations, or to contracts with the United sta.tes or any dep.artment or agency thereuf, the State Of Qny politica.l subdivision or agency thereof, or any'muhlclpality of this state. Use duplicate page if needed·for additional names. If no officer, dIrector orst.ockhoJder owns (5%) or more of stock, please write "None" below. ~l TITLE .---- ~ 0 ~~ FULl. LEGAL NAME TITLE ADDRESS M F Ijj i • ~~ ~" ~ If ~ -< l~ -~ re.l! .~~ ~m .:1" :11« . -' . . . lira, 'of I •• Ilrm Is owned by a publiclyJcodad_ ',d", ,', , Ih. '_000 v", .. . I 1 I \ . PagEd 019 CD/42/31413 \ ~.~.MfFt ~ .. PUBLIC HOUSING AND COMMUNITY DEVELOPMENT (PHCD) ATTACHMENT E AFFIDAVITS Uniform Affid~vits 2. MIAMI-DADE COUNTY EMPLOYMENT DfSCLOSURE AFFIDAVIT (County Ordinance No. 90-133, amend;ng Section 2.8~1 (d) (2) of the Mlami-Dade County Code) The following lllfoml"tion Is for compliance .with aU items in the aforementioned Sedlon: 1. Does your firm have a C<)lIective bargaining agreement with Its employees? Yes No 2. Does y-ourfint1 provide paid health care benefits fOf its employees? No 3. Provide.a current b,eakdown (number of persons) in your firm's work force lndlcating race. national origln and gender. NUMBER OF EMPLOYEES Males Fem~ White . Black Hispanic Asian J Pacific Islander --Natlve Amerlcan I Alaskan Native Olher Total Number of Employees -, Total Employees 3. MIAMI-DADE EMPLOYMENT DRUG-FREE WORKPLACE AFFIDAVIT (Sect/on 2-8.1.2(b) of the Miamj~D8de CQunty Codo} A1l"pefBons and entities that conbacl with M!.nnl·Dade County· are required to certify that they w!1l maln1ain a drug-flee workplace and such persons and entities. are required to provide notice to employ€es and Impose sanctions for dfug vlolaUons .occurring in the workplace. In compliance with Otdinance No, 92-15 of the Code of Miami.Dade County, the above named firm is providing a drug-free workplace. A written statement to each employee shall inform the employee about: 1. Danger of drug abuse In the workplace 2. The fiml's policy of maintaining a drug-free envifonment at all work places 3. Availability of drug counseling, rehabilitation and employee assIstance programs 4. Penaltie-s that may be imposed .upon employees for drug abuse violations The firm shell also require an employee to slgo a statement, as a condition of employment that the employee win abide by the terms of the drug.free workplace policy and notify the employer of any criminal drug conviction occurring no later than five (5) days after receiving notice-01 such conviction and Impose· appropriate personnel action against the employee up to and In¢lIJ<;Ilng termInation. Firms may also oomply with the COunty's Drug Free Workplace Certification where a person or entity is reqllired to have a drug~free wOrkplace policy by another local, state (If federal agency, or maintains sucll a pol1cy of its own accord and such policy meets the intent of this ordinance. 4. MIAMI-DADe COUNTY DISABIUTY AND NON·DISCRIMINA nON AFFIDAVIT (Arlie/it 1, SectloIl2-8.1,5 Resolution R-182-0D Amending R·385·95 of the Miami·Dad$ Counly COO6) Arms transacting business with Miami·Dade County shall pr()vide an affidavit indicating compliance with aU requirements ollhe Americans with Dls~bilities Act (A.DA). t, state that this. firm, is in (;(lr'llpJiance wilh and agrees to contlf1ue to complywiUl l and assure that any subcontractor, or third party contractor shan comply wllh-an applicable requirements of the laws Including, but not I!mit~d to, those provisions pertaining to employment. provision of programs and servicGs, transportation, communi<:a.tions, .aocess to rilcilities. renovations, and new (::(Instruction. The Amencan wllh DlsablllUes Act of 1990 (A.D,A,), Pub, L.101-3BS, 104 Stat 327, 42 U.S,C, Sections 225 and 611 lncludlng Titles J, 11, Ill. IV and V. . The Rehabilitation Act of 197$, 29"lJ.S.C. Section 794 The Fedefal Transit Act., as amended, 49 U.S,C. Sec(ion 1612 The F~ir Housing Act as amended, 42 U.S.C. Section 3601:3631 Page 2 of 9 CD/42131413 PUBLIC HOUSING AND COMMUNITY DEVELOPMENT (PHCD) ATTACHMENT E AFFIDAVITS Uniform Affidavits J...Jl~[gJly"§ffirm that I '8m in compliance with the below seclfons: Section 2-10.4(4)(8) of the Code of MiamI-Dade Counly (Ordinance No. 82.37), which requires that all properly licensed architectural. engineerihg, landscape architectural, and land surveyors have an affirmative a.ction plan on file with Mlami~Dade County Section 2-8.1.5 of the Code of Miami-Dade county, which requires thal firms thaI have anllual gross revenues in excess of five (5) million dollars h8ve an Bffirmalive action plan and procurement policy on file with Miami-Dade County. Pions thai have a Board of Directors thai are representatille of the papu/alion make-up of the nation may be exempt. 5. MIAMI-VADE COUrfrY DEBARMENT DISCLOSURE Af=FlDAVI1 (Section 10,38 Of the MJam;-Dade County Cede) FJrms Wishing to do bus!~ess with MIami-Dade County must certify that it's contractors, subcontractors, officers, principals. stockholders, or affiliates are f10t debaHoo by Ihe County before submitting a bid. I; COllflrrt'llhat none of lhls firms agents, officers, principals, stockholders, subcontractors or their affiliates are debarred by Miami- Dade County. 6, MIAM/~DADeCOUN1Y AFFIDAVIT RELATING TO /NDfVtDUALSAND ENTrrJESATTESTlNGBEfNG GURRENTJN THEIR OBLlGA'fIONS TO MIArvtJ..DADE COUNTY (OrdInance 9!H62, ilme'nding &clion 2-8.1,' Ordinance 00..30, 8mending Section 2-8.1 (e), and Ordinance 00··67, omending·2-8.1 (hl. of the Miamf-Dadfi County Code) I Firms' wishing. to transact business wUh Miaml·Dade County must certify that all delinquent and currently due fees, taxes and parking tiCkets have been paid and ho Individual OJ enlity in arrears in any payment under a contract, promissory note or other document with the County shall be allo~ed to receivB any new business. I, confinn that aU delinquent and currently due fees or tax.es Including, but not IImiled to, real and personal property taxes, cQnventton and tourist development taxes, utility taxes, and Local Business Tax Receipt collected in the normal course by the Miami-Dade COunty Tax Collector and County issued paTking IIckets for vehicles registered tn the name of the above firm, have been paid. '1, MIAMI-DADE COUNTY CODE OF BUSINESS ~THICS AFFIDAWr (Arlfc{e 1, Section 2~8. 1(i) of the ivllami-Dade CO(lnty Code through (6) and (9) of the County CccJ~ end County Ordinance No 00-1 amending Section 2~11.1 (e) of Ihe County Code) Firms wishing to 1rimsad business with Mlaml-Dade County must certify that It has adopted a Code that "om plies with the requirements of Section 2-8.1 of the County Code, The Code of Business Ethics shall apply to all business that th.e contractor does with the County and shall,'at a minimum; require the contractor to comply with -all applicable .governmental rules and regulations, I confinn that this firm has adopted a Code of business ethics which complies with 1he requIrements of Sections 2-8.1 of the County Code, and that such code of blJ~ness ethics shall apply to all businesl> that this finn does with the County and shall, at a minimum', require the contractor to comply with all <lpplicable governmental rules and regulattons. 8, MIAMI-JJADE COUNTY FAMIL YLEA VE AFFIDAVIT (Artfole V of Chapter 11, of the Mia.mi-Dade C<Junty Codfl) Firms contracting btJslnas.s wlth MiamI-Dade CQunty, Which have more than filly (50) employees for each working day during each of.twenty (20) or more work weeks In the current or preceding calendar year, are required to certify that they provide family leave to their employees. Firms with less than the number of employees indicated above are exempt from this requirement, but must indicate by letter (signed by ao authorized at/cnt) t~at it does not have the minimum number of employees required by the County Code_ I confirm that if applicable, this firm· complies with Article V of Chapter 11 of the county Code, which requires that firms contracting' bUsiness with Miami-Dade County whIch have more than fifty (50) employees for each working day during each of twenty (20) or more work weeks in llle current or preceding calendar year are required ·to certify that they provlde f~m\ly {eave to Page 3 019 CDI.42/31413 " PUBLIC HOUSING AND COMMUNITY DEVELOPMENT (PHCD) ATTACHMENT E AFFIDAVITS Uniform Affidavits their employees, 9, MlAM!·DADE COUNTY LIVING WAGE AFFIDAVIT (SectiDn 2-8.9 of file 01 /lle MI{jmi~Dade Coulily Code) All applicable conlractors enlering inl0 a contract with the County shall agree lc pay the prevailing living wage· required by this section of Ihe County Code. I coofinn lhat if applicable, this firm complies with-Section 2-6.9 of the County Code, which reqUires thilt all applicable employers enlerilltJ a contract with Miami-Dade: County shall pay the prevailing living wage reqllired by the section oflhe County Code, 10; MIAM'·DADE coUNTY DOMESrJG LEAVE AND REPORnNG AFFIDAVIT (Ar1iclo 8, Secllon 11A-60 -11A-Q7 of the of Ihe Mi8m;-Dade Gounfy Cod~) Films wishing to tral1sact business wilh Mjaml~Dade County must certify that It is in compliance 't/ith the OomestiG Leave Ordinance. I confirm tha.t If applicable, this firm compHe$·wlth the Domesllc Leave Ordinance. This ordinance applies to employers that have, In the regular course of busJness, filly (50) O( more employees working in Miami·D~d~ County (or each working' day during the curren! or precE;lcling oalendar year_ 11, MIAMI,DADE COUNTY CRIMINAL RECORD AFFIDAVIT (Sectiqn 2-8_ 6 0.' the. Mia·mi-bade. County Coae)· The individual or entity entering Into a colltra.ct or receiving funding from the County ___ has ~as hOt a.s of the date· of this affidavit been convicted of a felony durln.9 the past 1en (10) yeats. ./ An officer. directQr, or executive of the enfll.y e!1tering into a contract or receIVIng funding from the Counly _' __ has _v"_ "has not as of this dale been convicted of a f~rony durIng the past ten (10) years_ .'~ (Signature) Sworn to and subscribed before me this _-:-~_,_/_ day of _-,-0_{_J~.." ,+-_-,-' _' ___ , 20 / .J.~ Personally known,_/_'_' _____________ ------~___c""---~.,._ Or produced identification __________ Notary Public·State of 9~0 ___ ,~ My commission expires cd /,:;:; , ,;)ef' /' (Type of identifl<;ation) page4019 CDf42/31413 PUBLIC HOUSING AND COMMUNITY DEVELOPMENT (PHCD) ATTACHMENT E AFFIDAVITS Uniform Affidavits SWORN STATEMENT PURSUANT TO SECTION 287.133 (3) la) FLORIDA STATUTES ON PUBLIC ENTITY CRIMES THIS FORM MUST BE SIGNED AND SWORN TO IN THE PRESENCE OF A NOTARY PUBLIC OR OTHER OFFICIAL AUTHORIZED TO ADMINISTER OATHS .. for~~~4-~~~~~~~,~(~"n~·'~~~~~~ ____ ~~ ___ ~ __________ __ (Print name of entity submitting sworn statement) whose business address is la/3 D (Q.n'l-( J-Oil! Ifl. ,f/!/ 'Ct.I'"" I PL 331 '-15 I and if applicable its Federal Employer Identification Number (FEIN) is S/-JOiHt3I. If the entity has no FEIN, include the Social Security Number of the Individual signing this sworn statement. 2.-I understand that a "public eptiiy ori;ne" as defined in paragraph 287.133 (1) (g), Florida Statutos, means a violation of any state or fedecal 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 olher stale or with the United States, including, but not limited to any· bid or contract for goods or services to be provided to public entity or agency or political subdivision of any other state or of the United States and Involving antitrust, fraud, Iheft, bribery, collusion, racketeering, conspiracy, 'or material misinterpretation. . 3.-I understand that "convicted" or "conViction" as defined In Para-gfBph 287,133 (1)(b), Florid" Statutes means a finding Df guilt or a convictiDn of a public entity crime, with or without an adjudication of guilt, hi a federal or state trial court of record relating to charges brought by indictment or information after July 1, 1989, as a result of a jury verdict, non-Nry trial, or entry of a plea of guilty or nolo contendere. J , 4.-I understand that an "Affiliate" as defined in para~raph 287.133 (1 )(a), Florida Statutes mean,s; a) A predecessor or successor of a person convicted of a public entity crime or; ~ b) An entity under the control of any natural person.who is active in the management of the entity and who has been convicted of a public entity crime. The term "affiliate" includes fhose officers, directors, executives, partners, shareholders, employees, members, and agents who are active in the management of an affiliate. The ownership by one person of shares constituting a controlling interest in another person, or a pooling of equipment or Income among persons When not for fair market value under an arm's length agreement. shall be a prima facie case that one person controls another person. A person who knowingly enters into a joint venture with a person who has been convicted of a public entity crime in Florida during the preceding 36 mofhs shall be considered an affiliale. '5.-I understand thai a "person" as defined in paragraph 287.133 (1)(e), Florida Statutes, means any natural person or entity organized under the laws of any state or of the United states within the legal power to enter into a binding contract and which.bids or applies to bid on contracts for the provision of goods or entity. The term 'person" includes those officers, executives, p;1rtners, shareholders, employees, members, and agents who are active in management of?n entity. . Page 50f9 COl42131413 ~-.... -: .. HIAMfr». WlTI PUBLIC HOUSING AND COMMUNITY DEVELOPMENT (PHCD) ATTACHME;NT E AFFJOAVITS Uniform Affidavits 6.~ Basad on iilfortna1ion anq belief, the statement which I have marked below is true in relation to the entity submitting this sworn statement (Please indicate whicn statement applies) ~ Neither the entity submitting sworn statement, nor any of its officers! directors, executives, partners, shareholders, employees, lTlembers, qr agents who ar'e active in the management of the entity, nor any affiliate of the entHy has been charged with and convicled of a public entity crime subsequent (0 July 1, 1989. __ lhe entity submitting thi$ sworn statement, or one or more of its,office:rs, directbrs, executives, partners, shareholders, employees, members, or agents who are active In the management of the entity, or an affiliate of the entity, or an affiliate of the entity had been charged with, and convicted of a public entity crime subsequent to July 1, 1989. AND (please indicate which additional statement applies). __ The entity submitting this sworn statement, or one or more of its officers, directors, executiv~s, partrwrs, shareholders, employees, members, or agents who are active in the management of the entity, nor any aHiliate of the entity has been charged with and convicted of a public entity crime subsequent proceeding before a Hearing Officer of Ihe Slate of Florida, Oivision of Administrative Hearings and the Final Order enlered 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 THtS 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 ENTRING INTO A CONTRACT IN EXCESS OF THE THRESHOLD AMOUNT PROVIDED INSECTION·287.017 FLORIDA STATUTES FOR A CATEGORY TWO OF ANY CHANGE IN E1N'FclRMATION CONTAINED IN TIIIS.FORM. (Signalure) ,// Sworn to and subscribed before me thIs .,)! day of __ 6_2_~_--+~= ___ ~" 20 /.,5--:- Personally known_. _,...,-/ __ -. ___________ -------,z:-----:--::-- 7> . P- Or produced Identification Notary Public-State of J-tl'~.~ _--;:;:-_=--;;,,-,,-.,-________ My commission expires le,flJl?" ~'/ (Type of identification) Page G of9 CD142131413 PUBLIC HOUSING AND COMMUNITY DEVELOPMENT (PHCD) ATTACHMENT E AFFIDAVITS Uniform Affidavits AFFIDAVIT OF FINANCIAL AND CONFLICTS OF INTEREST 1.~ Do you have any past due financial obligations with Miami-Dade county? Single Family House Loans Multi-Family Housing Rehab CDBG Commercial Loan Project U.S.HUD Section 108 Loan Other HUD Funded Programs Other (liens, fines, loans, occupational licenses, etc.) )f.YJ;S, please explain: YES 2.~ Do you have any past due financial obligations with Miami-Dade County? YES ___ . NO/ __ If YES, please explain: 3.-Are you a relative of or do you have any business or financial inierests with any eleeled Miami-Dade County offidal, Miami-Dade county Employee, or Member of Miami-Dade County's Advisory Boards? YES ___ . NO J . If YES, please explain: Any.false Infonnatlon provided 0 .is-afJidaVltWi!l be teason for rejection and dlsqualiflcaUon of yOU! project-funding requesUo Mlami-Oade . County .---- The answers to t s are correctly stated to the best of my knpwledge and belief. By: _---,=L----:;".-;'::.."'---,,--,-~ __ fApplicant) ate) . sw:n to and subscribed before me this _-,,~",':.../,-' _ day of _t2--,,--~~.-rf'=J=--____ , 20._/_..5_' -. - ~-Personally known--c=---'-__________ -------C7""--,.---;;-- Or produced identification __________ Notaty Public-State of (9;~ __ =-_~-:-=-;;-c-_________ MY cOmmission expires ;J (J!J /(" :;:)3)( I (Type of identification) PUBLIC HOUSING AND COMMUNITY DEVELOPMENT (PHCD) ATTACHMENT E AFFIDAVITS Uniform Affid~vits COLLUSION AFFIDAVIT (Code arMiami-Dade County Section 2-8.1.1 and 10-33.1) (Ordinance N Q• 08-113) BEFORE ME, A NOTARY PUBLIC, personally appeared,)jitMi't 1. AIt..c~who being duly sworn states: (insert name of affiant) I am over 18 years of age, have personal knowledge of the facls stated in this affidavit and I am an owner, officer, director, principal shareholder andlor I am otherwise aUlhonzed to bind the bidder of this contract. I sre that tile bidder of this contract: ·Ef is not relqted to any· of Ihe other parties bidding in the competitive solicitation, and that the contractor's proposal "Is genuine and not silam or collusive or made in the interest or on b.ehalf of any person not Iherein named, and that the contractor has not, directly or indirectly, induced or solicited any other proposer to put in a sham proposal, or any other person, firm, or Corporation to refrain from proposing, and that the proposer has not in any rnanner sought by collusion to secure to the proposer an advantage over any other proposer. OR o is.related to the following parties who bid in the solicitation whicn ale 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 .\.he competitive solicitation Its bid shall. be presumed to be collusive and the reCommended contractor shall be ineligible for award unless that presumption is rebutted by presentation of evidence as to the extent of ownership, control and management .of such related parties in the preparation and submittal of such bids or proposals. Related parties shall mean bidders or proposers or the principals, corporate officers, and managers thereof which have a direct or indirect ownership interest in 'another bidder or proposer for the same agreement or in which a parent company or the prinCipals thereof of one (1) bidder or propDser have a direct or indirect o~iirP?nierest in another bidder or proposer for the same agreement. Bids or proposals found c1iecoliusl e shalt be rejected I ~ By. <.-r-' ~I 20 / j..- Sig natu re of Affiant Date . ":£JijU.JJ2..J0J2J.JJS 10 Federal Employer Identification Number Printed Narne Df Affiant and Title r r C'l (1 '7 t2. <;;jvfh-f..-LUJ-ml' , Printed Nameof Firm Slhset w/,; e ( /IJI,c,m,! FL 3 3/'-13 I Address of Firrn Page 8 of9 CD1421314t3 PUBLIC HOUSING AND COMMUNITY DEVELOPMENT (PHeD) ATTACHMENT E AFFIDAVITS , Uniform Affidavits ' ~ SUBSCRIBED AND SWORN TO (or affirmed)before me Ihisdl day Oft2£L~,~o~ .:5,:- He/She is pers.onally known to me or has presented "--rdentificafion. '----.-.:...----.. ~ .. ,.-.. --Type of identification as ;& Signa.!Ur .~ota60 . J-!f7//'fL. .' . 7!4:.jff Print or Siamp Name .of Notary /J prtal Number 7' (D' &,_~/ , Expiration Dale Nolary Public -Slate Of_,~~ , Notary ,Seal Page 90f9 CD142f31413 DEVELOPER'S AFFIDAVIT THAT MIAMI-DADE COUNTY TAXES, FEES AND PARKING TICKETS HAVE BEEN PAID (Sedion 2-8.1 (c) of the Code of Miami-Dade County, as amended by Ordihance No. 00-30) and THAT DEVELOPER IS NOT IN ARREARS TO THE COUNTY (Section 2-8.1 (h) of the Code of Miami-Dade County, as amended by Ordinance No.OO-67) I, ,_S~Jen j; il)Ct;6.ncLt/ , being first duly sworn, hereby state and certify lhat the foregOing staternents are true and correct: That I am m.e Developer (if the Developer is an individual), or the &-h -.. !It..IUjzf'tfill in the titte of the position held with the Developer) of the Developer. f 2, That the Developer has paid all delinquent and currently due fees or taxes (including but not limited. to, real and personal property taxes) utility taxes, and occupational taxes) collected in the normal courSe by the Miami-Dade County Tax Collector, and County issued parking tickets for vehicles registered in the name. of the aboVe developer, have been paid. 3. That the Developer is not in arrears in excess of the enforcement threshold under any contract, final non-appeasable judgment, or lien with MiamikOade County, or any of its agencies or !listrum~htaliti~sj including the Public Health Trust, either directly or indirectly through a firm, corporalion, partnersllip or joint venture in Wllich the Developer has a controlling financial interest. For purposes hereof, the term "enforcement threshold" meanS any arrearage un<ler any indiVidual contract, non-appeal able judgment. or lien with Miami-Dade County that exceeds $25,000 and has been delinquent for greater than 180 days. For . ereot, the term "controlling financial Inlerese meanS ownership, directly or indiree, ten~percent or more olthe outstanding capitat stock in any corporation, or a direct or in . ect interest of ten ent or more in a fiml, partnership, or other business entity, By: __ =--e';:---;-;-;;;:-::-;-___ _ ig ature of Affiant -11~dc:P/ ,20 J.& Date .LL="-'....? "=,77-:' ~-..w,;~7-:0~~.pt.,VI/.II"i:f'" 3J'1;&,tJ to /0, Sf 3,1, _!...J Printed Name of Affiant od Title Federal Employer Identification Number Celt, <,[cPA ,{{ltLA"; T ~~N_cl~ (JIJD Jhn&+ DlZ/,/.L I I/J la;; ..... ' '& I ~ . . Address of Firm SCRIBED AND SWORN TO (or affirmed) before me Ihis vi day of tt&LtJ ,20 / J,-:- . f) 1J f-- By Sr eUf!f)I)Mp.i'~Y ,.!.ie/Sheis e.e~~?~~I!y_~~n to me or has presented ___ ~_-c:;=:-;:-;-;-====--_as identification. Print or Stamp Name of Notary . ExpiratiorlDate Notary Public-Stale of f()Ztuwt£; Notary Seal Miami-Dade COlJnty Conlractor Due Diligence Affidavit per Miamj~Dade County Board of GoW)tY CommlsslonefS (Board) Re-SQltJUon No. R-63-14, County Vendors and Conliaclors shall disclose the following as a condition of award for any contrad that exceeds one million doJlars ($1,000,000) or !hal otherwise must be presented 10 the Soaid/or approval: (1) prDvi,de a list of alllawsujfs in the five (5) years prior 10 bid Of proposal sUbmlllallhal have been' filed against the" film, its diredof.s, parlners, principals and/or board Olen")bms based on a breach of ooiltl'aGt by the firm; iflch.lde the case name, OIJmbar and disposition; (2) Provide a list 01 any instances in the nve (5) yeats pnof 10 I::itl Of proposal submitl-al where the finn has defaulle&, include a bflef de5cnpliort of the circumstances; . (3} Provide a list of any inslances In !he five (5) years prior 10 bid or proposal submittal Where the finn has been-debaned or received a formal noHce of nOn-!Xlffipliahce or non-performance, such as a notice 10 cure Of a suspeAsioil from parficipBling or bidding fOT conlrads, wnether related to Miami-Dade County or not. All of the above Inrormatiim shall be attached to (he executed affid;wH and submitled 10 the Procurement Contracting Officer (PCO)! AE Selection Coordinator oVerseeing this solicitation. The Vendor/Conlractorallesls to providIng all .of Ihe above informalio.[l, if applicable, 10 lhe PCO, Federal Employer Contract No. : ____ . ____ . __ . _ Identification Number (FEIN): 01AL~Srr-M-.f Contrad Title~ ---~---~~","'----- ~i/ll7 J. /&C~l(;&' . f!dyf. . . I.mea AlHan!, . ' . AI /WI(LtL<.- . : Notary Public-Slate-of Subsc(ib~d and SNom fo (Of offlmled) beforQ me (his J >,pe of Idenllficalioo produced Signalur. of t3l)' Public d&/iJ!1 'lafBdlj/J, . . Prilll or Slamp of NolaryPlIblfc ,. 212014 Signature of Affiant Dale ZJp Cod. Nc;tafY Public InformatIon ... f}J/jlWL.'--, '''----=!S~· e::5.v.tL:..'_ ~ 2i)/.s:~ County of He orsoe Is p.f$ona1Jy !mown 10 me W" Of has produced IdenUijcation MIAMI-DADE' PUBLIC HOUSING AND COMMUNITY DEVELOPMENT ETHICS DISCLOSURE STATEMENT FOR ALL PHCD PROGRAMS ~ Applicant: City of South Miami ----_... ------Mailing Address: 6130 Sunset Drive. South Miami, FL Co~Applicant: N/A Zip Code: 33143 305-668-2514 _._-_. __ .. _--- E-mail Address: jkorth@southmiamifl·9 0V Telephone: The Miami-Dade County Conflict of Iniefest and Code of Ethics at Sec;. 2~11.1 (c)(5)(S) allows County Employees and their immediate family members to apply for direct housing assistance programs from the County's Public Housing and Community Development department (PHeO) if they meet certain condItions and if the following criteria are met. Check if any of the fo!lowing applies to you: 1. Please mark the PHeD Program you are applying for: [J ~e.ction 8 Housing Choice Voucher (HeV) 0 Project~Based Voucher (PBY) [] Veterans Affair Supportive Voucher (VAS H) 0 Moderate Rehabilitation 0 Substantial Rehabilitation 0 Shelter Plus Care (S+C) 0 0 0 0 0 0 Public Housing Rental Tenant~Based Rental Assistance (TBRA~rnaximum 2 years) Home-ownership Program (Second Mortgages) Horne~owner Rehabilitation Program Home-owner Beautification Program Other (please list): .c:().B.c>._ .. _____ .. 2. Mark the type of participaljqn you are, seeking for the program marked above: o 3. [7] Owner/Landlord o Housing Assistance Applicant .-------~ ... -------~ I/we do not currently wor\<; for Miami-Dade County. lIwe am/are a ScJlOol Board or Federi'il Employee. These ~mp'DY8:eS_are not coveted under SecOon 2~11.1 of the Miami·Dade County Conflict of interest and Code of Ethics Ordinance. IF YOU MARKED BOl(ES 3 OR 4. NO FURTHER ACTION IS NEEDED. THE PHCD REPRESENTATIVE MUST PLACE THIS FORM IN APPLICANT'S FILE. 5. 0 6. 0 7. 0 -------------------------------------- IIwe am/are a Miami-Dade County Employee (including Jackson PUblic Health Trust Employees). Please provide the departmen1 and division you are working for: I/we am/are an appointed or elected County Official. l!we amfiire "immediate family to a MiamikDade County employee, apPointecd or elected offiCiaL {")!mmedjale family is defined as spou~e, domestic partner, parents, stepparenfs, children and stepchildren. Please provide the follow'lng information regarding the Miami-Dade County employee, appointed or elected offiCial: Name of employee, appointed or elected'official: Department, Division, or Board: -~-... ~--~----------- IF YOU MARK EO BOXES 5, 6, or 7, THE APPLICANT MUST OBTAIN THE REQUEST FOR OPINION APPLICATION AT http://elhlcs.miamidade.gov1frequently-used-forms.asp. THE APPLICATION MUST BE FULLY COMPLETED AND SENT TO THE CONTACT PERSO N9!CATED . .--~ Signature of ~ -----_ Applicant ~ /8120/2015 Date: Signature 'of Co-Applicant: Wflming: Tille. 18, US Code Sed/on 1001, states that a person who knowingly and willfngly makes false or fraudulent statements fo any Department Of Agency of /he United Slates is guilty of a felony. State law may also provrde penalties for false or fraudulent statements. ALC/AM1CAlCD/i/G2414N4 August 20.2015 (?) South'Miami THE CITY OF PLEASA,~T LIVING DISCLOSURE ABOUT RELATED PARTIES THERE ARE NO BOARD MEMBERS OF THE CITY OF SOUTH MIAMI WHO HAVE ANY RELATIONSHIP PR HAVE MADE ANY TRANSACTION WITH OTHER ENTITIES THAT MIGHT RESULT IN A CONFLICT WITH THE CITY OF SOUTH MIAMI OPERATIONS. City of South Miami I 6130 Sunset Drive I South Miami, FL 33143-5093 305.663.6338 I southmiamifl.gov CICR'rllfJCATION REGAlUllNG LOBBYING CcrtUlcatiori fot" Coniracts, Gral1ts. Loans and C(lopenttive Agreements TIl,? \llldcrSigned'certifies, to .the best of his or her knowledge and.belief, thftt~ L 'No Fooera! appropriated funds have been paid or will be p'ud, by or on behalf of the .undersigned, to any person for ini]uencing or attempting to il\flucnce an oIllcer or employee of an agency, a Member of Congress, an officcr or employee of Congress, or an employee of a Member of Congress in connectiou wi.th tile awarding of any Feeleral coniract, the making of any Federal grant, (he making of any Federal loan, the entering into of any cooperative agreement) and th~ extension, continuation, renewal,. -amendment) or mod.ification of any Federal contract, grant, loan~ or cooperative agreement, 2. If any oflhe fands otherlban Federal appropriated funds have been paid or will be. paid to any person for influencing or attempting to influence an officer or employee . of BIly agency, a Member. of Congress, an officer or employee of Cimgress, or an employee of a Memher of Congress in comlcction with this Federal contract; grant, Joan, or cooperative agreement, the undersigned shall complete and submit Standard FOIm LLL, "Disclosure Form to Report Lobbying," ill accorda..'lce with its m~iructions. 3. The nndersiglled 'shall require that the language of this celtlfication be included in the award documents for all.subawards at all tiers (including subContracts, subgrants; and.contract, under grants, loans, and cooperati:Vfr agreement in excess of $100,000) . . . ·and that all subrecipients shall certify and disclose accordingly . . 4. Tills certification is a material representation of fact UpOll which xcliance wa' placed . . when tlils transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required cerlificationshall be subject to a civil penalty otnot Jess than $10,000 and not more than $100,000 for each such failure. County Construction Sign (Only areas circled are subject to change) 6J GOB o NON GOB 4' x 8' Construction Signs a In Ground a A-Frame 1 Sided [J A-Frame 2 Sided Email this form to: Brian Williams: brianw@miamidade.gov and Hernan Lopez: lopezh@miamidade.gov J ... nM"" ..... tlm .. Ch",,,,,,,n eslOb-~n Bo"", Jr. VIC<! Cl!a,rmiltJ Sign is 4' X 8' with 12' post o Place check mark in bo)[ after location has been marked. Once location has been marked . submit signage request form ATTACHMENT F Services Ticket Quantity required LI _______ -1 Project Manager Name: _____________ _ Department: ___________ _ Address: ____________ _ Phone Number: Index code Name Number Distrrct Commissioner Check if ARRA Funded [J Yes EJ No Must indicate Federal Department and I or State Department if applicable Other Funding Source For GOB Projects only Sign location address Plus specific location of sign placement PUBLIC HOUSING AND COMM\.JNITY DEVELOPMENT (PHCD) ATTACHMENY G ~~~~~~ ........... -.. -.....•. -.. _.-_ .. _------------_._-, [ . FAIR SUBCONTRACTING POLICIES (Ordinance 97-35) -_ .. -..... _-----_._ ... -_ ..... _ .. _--_ •...• _ ... _ ...•. FAIR SUBCONTRACTING PRACTICES In compliance with Miami·Dade County Ordinance 97-35, the Developer submits Ihe following detiljied statement of its policies and procedures of awarding subcontracts: I hereby ceJiify that the foregoing information is tr~l£l"". __ ~;~::at(1~~::;;entative: , . Date.~~~_~ ____ _ Firm Name: §l ':11 j;. 1-,(, Ct-M.,' Fed. 10 No: '51-&(}{)O l' I Address: ~!J 6 ( (,)1// Jd Dr,.; z ,:;:; CitY:j.,{ tUft-c. State:. PL Zip Code:~. _'>""-'-.3+-I--'-V_3 ____ _ Telephone:W)U(a.t' -0/ 51D Fax: (_) ______ _ tit, CD/39131313 PURCHASING POLICY The purchasing policy is in accordance with City of South Miami Charter Article 111, Section 5 (Power and Duties) and Florida Statute Chapter 287. Purchases less than $5,000.00. Purchases of, or contracts for, materials, supplies, equipment, improvements or services for which funds are provided in the budget, where the total amount to be expended is not in excess of $5,000.00, may be made or entered into by the City Manager without submittal to the City Commission and without compotldve bidding. Single purchases or contracts in excess of $5,000.00 shall not be broken down to amounts less than $5,000.00 to avoid the requirements ,of this subsection. Purchases of less than $1,000.00 do. not require: -Purchase orders -Sealed Competitive bids Purchases of less than $5,000.00 but greater than $1 ,aoo do require A minimum of 3 written quotes from 3 different vendors unless piggybacking off an exlsting govemmental contract, which was part of an acceptable competitive bid process. An approved purchase order Must have been Induded in the original budget or received approval from the City Manager. Purchases more than $5,000.00 but less than $25,000.00. Purchases of or contracts for materials, supplies, equipment, improvements or services for which funds are provided in the budget, where the total amount to be expended is in excess of $5,000.00 but which does not exceed $25,000.00, may be made or entered into by the City Manager with submittal to the City Commission and without competitive bidding, but shall require that the City Manager obtain quotes from at least three different vendors. Single purchases or contracts in excess of $25,000.00 shall not be broken down to amounts less than $25,000.00 to avoid the requirements of this subsection. Purchases more than $5,000.00 but less than $25,000,00 require: -Approval by the City Manager before the expenditure is made or funds committed. A minimum of 3 written quotes from 3 different vendors unless piggybacking off an existing governmental contract which was part of an acceptable competitive bid process -City Commission approval Purchases in excess of $25,000.00. Purchases in excess of $25,000.00 shall be in compliance with the competitive bidding requirements. Purchases in excess of $25,000.00 require: -Competitive bid process unless piggybacking off an existing governmental contract which was part of an acceptable competitive bid process -Purchase orders must be obtained before an expenditure is made or funds committed and approved by the City Manager, -City Commission approval o} The Oty Commission in FY 20/5 may be adopting Q Purdiosing Ordinance whIch wUJ supersede the Purchosing PoDq. withIn the fY 2015 Budget Oocument CIIT OF SOUTH MIAMI BUDGET FY 2014,2015 20 ADACHMENTH puaLic HOUSING AND COMMUNITY DEVELOPMENT (PHCD) SUBCONTRACTOR/SUPPLIER LISTING (Ordinanoe 97'.Y1 1 4). • , Rrm Name 01 Prime Contractor/Developer 01 () f Jo v'ih. /u-' C<::!:::: ... __ . __ ~_ This form, or "a camp-arable Ilsting meeting the requirements of Ordinance No. 97-104, MUST be completed by the developers on CounlY contracts tor plJrchase 01 supplies, materials or services, Including professional services whicll involve expenditures of $100,000 or more, and-an developers on County or Public HeaUh Trust construction contracts which involve expenditures of $100,000 or rno're, This form, or a comparable listing meeting tile requirements of Ordinance No. 97-104, must be completed and submitted eVen though the developer wiH not utiHz:e subcontractors at 5uppUC"rs _ on the contract. The: developer should enter Ihe, word "NONE" under the appropriate heading on this form in those instances where n.o subcontractors or suppliers will be used on the contract. The developer who is awarded the contract shall not change or !)ubsH\ute lirs1 tier subcontractors, direct suppliers or the portions of the contract work to be performed, or materials to be supplied froffl those idenllfied: except upon wrlUen approval of the County. I certify that the representations contained in this SubconlractoriSupplier Listing are to Ihe best of my knowledge true and accurate. -__ .Ji!I}~~ Signature b~veIOper(s) Print Title Date -;:-;:---c-z:<2-"'-.--------~ 'Representative (Duplicate if additional space is needed) Page 1 of 1 CD153/31413N